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Governor Chris Christie • Lt.Governor Kim Guadagno
 
Division of Addiction Services
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Service HPCS
Code
Rate Unit Service Type Auth.
per 30 day
Range
Assessment-continuing
care ASI
Z3333 $45.00 Unit Clinical 1 day
Case Management Z3363 $48.00 hour Enhancement 8 day
Enhanced Detox Z334E $416.00 Day Medical 7 weekly
Medical Follow-up   $42.00 visit Medical 1 day
Methodone Maintenance Z3357 $4.25 Day Medical 30 weekly
Outpatient / Family
Conference
Z3349 $35.00 Hour Clinical 4 day
Outpatient / Family
Counseling
Z3348 $49.00 Hour Clinical 4 day
Outpatient /
Group Therapy
Z3355 $23.00 Hour Clinical 4 day
Outpatient /
Individual Half
Z3358 $26.00 Half Hour Clinical 4 day
Outpatient /
Individual Full
Z3354 $49.00 Half Hour Clinical 4 day
Outpatient /
Intensive
Z3346 $71.00 Day Clinical 16 day
Outpatient /
Partial Care
Z3344 $84.00 Day Clinical 20 day
Outpatient /
Prescription Visit
Z3353 $4.50 Visit Medical 4 day
Physical Exam   $144.00 visit Medical 1 day
Recovery Mentor   $30.00 hour Enhancement 6 day
Residential /
Halfway House
Z3339 $57.00 Day Clinical 30 weekly
Residential /
Long Term (TC)
Z3337 $68.00 Day Clinical 30 weekly
Residential /
Short Term (TC)
Z3335 $147.00 Day Clinical 30 weekly
Suboxone Maintenance   2mg/0.5mg-
$7.25
Day Medical 30 weekly
    8mg/2mg-
$9.84
  Medical 30 weekly
    Subutex 2mg-
$7.92
  Medical 30 weekly
    Subutex 8mg-
$11.38
  Medical 30 weekly
Transportation   $8.00 hour Enhancement 2 day
Urine Drug Screen Z3359 $8.00 unit Medical 8 day
             
Co-occurring            
Medication Monitoring 90862 $42.00 Unit Co-occurring 2  
Psychiatric Evaluation 90801 $32.00 Unit Co-occurring 6  
Family Therapy 90846 $49.00 Hour Co-occurring 4  
Individual Therapy 90806 $49.00 Hour Co-occurring 4  
Clinical Consultation 90887 $25.00 Unit Co-occurring 6  
Co-Occurring Assessment 90801A $0.00 Unit Co-occurring 1  
 
 
 
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