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MedicaidBilling CodesMedium impact

Newsletter Vol. 24, No.10

New Jersey Medicaid·NJ · Psychiatry, Emergency Medicine·Medical Policy
Effective date
May 6, 2014
We identified it
Jun 20, 2026
Days to comply

Summary

New Jersey has established billing procedures for Psychiatric Emergency Rehabilitation Services (PERS) under NJ FamilyCare Medicaid. This policy provides specific billing codes, reimbursement rates, and procedures for PERS services provided in various settings including hospitals, clinics, and community-based locations.

Action Required

Action needed
New Jersey providers: Update billing systems to include PERS-specific HCPCS codes S9480, S9484, T2034, and CPT code 90839 with corresponding revenue codes and reimbursement rates. Configure systems to enforce billing limitations including maximum 2 units per day for follow-up services and 3-day limit within 14 days post-episode. Train billing staff on proper form usage (UB-04 vs 1500) based on service setting and provider type.

Affected Billing Codes

S9480
S9484
T2034
90839