chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

IV TX HYDRA ADD'L HR0 0
VACCINE INJECTION 1 1
IMMUNO THERAPY INJECTION 0 0
IV THERAPY 1ST HR 0 0
IV THERAPY ADD'L HR0 0
IV TX ADD'L SEQ < 1 HR 0 0
IV TX CONCUR INF 0 0
PICC 4 FR KIT 1 1
MIDLINE CATHETER 0 0
MAXIMUM BARRIER KIT 1 1
4 FR INTRODUCER 0 0
PICC 5 FR KIT 0 0
PICC 4 FR MST KIT 1 1
PICC 5 FR MST KIT 0 0
HICKMAN REPAIR KIT0 0
FACILITY FEE-MINIMAL 22 22
FACILITY FEE-BRIEF 54 54
FACILITY FEE-LIMITED 444 444
FACILITY FEE-INTERME 546 546
FACILITY FEE-EXTEND 448 448
FACILITY FEE-NO CHRG1 1
CRITICAL CARE 1ST-HR 30 30
CRITICAL CA EA 30 MN0 0
LWBS-TRIAGE ONLY 6 6
NES PHY FEE-MINIMAL 0 0
NES PHY FEE-LIMITED 239 239
NES PHY FEE-INTERMED 173 173
NES PHY FEE-EXTENDED 53 53
NES PHY SEE NOTE* 0 0
NES PHY FEE-COMPREHE 7 7
I&D ABSCESS SIMPLE2 2
I&D ABSCESS COMPLEX 2 2
I&D PILONIDAL CYST S0 0
I&D PILONIDAL CYST C0 0
RMVL SUBC FB SMPL0 0
RMVL SUBC FB CMPLX0 0
I&D HEMATOMA SEROMA 0 0
PUNC ASP ABSC CYST0 0
DEBR W/OPEN FX/DIS0 0
DEBRIDE OPEN FX/BONE 0 0
DEBR SKN & SUBC TISS 1 1
AVUL NAIL PLATE SMPL 1 1
EVAC SUBUNGUAL HEMAT 2 2
EXC NAIL MATRIX INGE 0 0
REPAIR NAIL BED 0 0
WDG EXC NAIL FOLD0 0
SMPL BODY SC