Medicaid Fee Schedule without Mods 200801

More documents

Recommendations

Info

PROC-CODE DESC MAC BEG END 34802 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; USING $946.69 20060701 99999999 34803 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; $1,010.43 20060701 99999999 34804 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; USING $946.69 20060701 99999999 34805 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; USING $916.95 20060701 99999999 34806 TRANSCATHETER PLACEMENT OF WIRELESS PHYSIOLOGIC SENSOR IN ANEURYSMAL SAC DURING $53.30 20080101 99999999 34808 ENDOVASCULAR PLACEMENT OF ILIAC ARTERY OCCLUSION DEVICE (LIST SEPARATELY IN ADDI $161.96 20060701 99999999 34812 OPEN FEMORAL ARTERY EXPOSURE FOR DELIVERY OF AORTIC ENDOVASCULAR PROSTHESIS, BY $264.86 20060701 99999999 34813 PLACEMENT OF FEMORAL-FEMORAL PROSTHETIC GRAFT DURING ENDOVASCULAR AORTIC ANEURYS $188.37 20060701 99999999 34820 OPEN ILIAC ARTERY EXPOSURE FOR DELIVERY OF ENDOVASCULAR PROSTHESIS OR ILIAC OCCL $382.53 20060701 99999999 34825 PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF $515.07 20060701 99999999 34826 PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF $161.96 20060701 99999999 34830 OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF ASSOCIAT $1,333.93 20060701 99999999 34831 OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF ASSOCIAT $1,441.74 20060701 99999999 34832 OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF ASSOCIAT $1,441.74 20060701 99999999 34833 OPEN ILIAC ARTERY EXPOSURE WITH CREATION OF CONDUIT FOR DELIVERY OF INFRARENAL A $480.59 20060701 99999999 34834 OPEN BRACHIAL ARTERY EXPOSURE TO ASSIST IN THE DEPLOYMENT OF INFRARENAL AORTIC O $225.93 20060701 99999999 34900 ENDOVASCULAR GRAFT REPLACEMENT FOR REPAIR OF ILIAC ARTERY (EG, ANEURYSM, PSEUDOA $710.75 20060701 99999999 35001 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $997.73 20060701 99999999 35002 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $979.73 20060701 99999999 35005 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $801.65 20060701 99999999 35011 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $658.96 20060701 99999999 35013 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $878.57 20060701 99999999 35021 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,048.44 20060701 99999999 35022 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,068.71 20060701 99999999 35045 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $642.60 20060701 99999999 35081 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,385.32 20060701 99999999 35082 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,683.86 20060701 99999999 35091 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,668.63 20060701 99999999 35092 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,821.56 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 152
PROC-CODE DESC MAC BEG END 35102 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,490.48 20060701 99999999 35103 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,646.84 20060701 99999999 35111 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $899.67 20060701 99999999 35112 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,061.59 20060701 99999999 35121 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,272.25 20060701 99999999 35122 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,502.69 20060701 99999999 35131 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $955.64 20060701 99999999 35132 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,112.39 20060701 99999999 35141 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $791.31 20060701 99999999 35142 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $860.05 20060701 99999999 35151 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $890.44 20060701 99999999 35152 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $938.04 20060701 99999999 35161 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $969.65 19990701 99999999 35162 DIRECT REPAIR OF ANEURYSM OR EXCISION (PARTIAL OR TOTAL) AND $1,047.52 19990701 99999999 35180 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA $631.32 20060701 99999999 35182 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA $1,087.90 20060701 99999999 35184 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA $666.43 20060701 99999999 35188 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA $662.64 20060701 99999999 35189 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA $1,014.35 20060701 99999999 35190 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA $650.22 20060701 99999999 35201 REPAIR BLOOD VESSEL, DIRECT $613.12 20060701 99999999 35206 REPAIR BLOOD VESSEL, DIRECT $540.09 20060701 99999999 35207 REPAIR BLOOD VESSEL, DIRECT $607.12 20060701 99999999 35211 REPAIR BLOOD VESSEL, DIRECT $1,173.77 20060701 99999999 35216 REPAIR BLOOD VESSEL, DIRECT $954.12 20060701 99999999 35221 REPAIR BLOOD VESSEL, DIRECT $869.18 20060701 99999999 35226 REPAIR BLOOD VESSEL, DIRECT $555.67 20060701 99999999 35231 REPAIR BLOOD VESSEL WITH VEIN GRAFT $756.07 20060701 99999999 35236 REPAIR BLOOD VESSEL WITH VEIN GRAFT $633.91 20060701 99999999 35241 REPAIR BLOOD VESSEL WITH VEIN GRAFT $1,235.43 20060701 99999999 35246 REPAIR BLOOD VESSEL WITH VEIN GRAFT $1,094.28 20060701 99999999 35251 REPAIR BLOOD VESSEL WITH VEIN GRAFT $1,062.54 20060701 99999999 35256 REPAIR BLOOD VESSEL WITH VEIN GRAFT $677.99 20060701 99999999 35261 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN $656.24 20060701 99999999 35266 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN $595.01 20060701 99999999 35271 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN $1,159.80 20060701 99999999 35276 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN $985.60 20060701 99999999 35281 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN $1,007.31 20060701 99999999 35286 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN $667.84 20060701 99999999 35301 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT $948.13 20060701 99999999 35302 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; SUPERFICIAL FEMORAL $783.06 20070101 99999999 35303 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; POPLITEAL ARTERY $859.88 20070101 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 153
Page 1 and 2:
PROC-CODE DESC MAC BEG END A0130 NO
Page 3 and 4:
PROC-CODE DESC MAC BEG END A4355 3-
Page 5 and 6:
PROC-CODE DESC MAC BEG END A4431 OS
Page 7 and 8:
PROC-CODE DESC MAC BEG END A5093 OS
Page 9 and 10:
PROC-CODE DESC MAC BEG END A6231 GA
Page 11 and 12:
PROC-CODE DESC MAC BEG END A6452 HI
Page 13 and 14:
PROC-CODE DESC MAC BEG END A7504 FI
Page 15 and 16:
PROC-CODE DESC MAC BEG END ENTERAL
Page 17 and 18:
PROC-CODE DESC MAC BEG END D4210 GI
Page 19 and 20:
PROC-CODE DESC MAC BEG END D7911 SU
Page 21 and 22:
PROC-CODE DESC MAC BEG END E0248 TR
Page 23 and 24:
PROC-CODE DESC MAC BEG END E0580 NE
Page 25 and 26:
PROC-CODE DESC MAC BEG END E0911 TR
Page 27 and 28:
PROC-CODE DESC MAC BEG END E1085 HE
Page 29 and 30:
PROC-CODE DESC MAC BEG END E1638 HE
Page 31 and 32:
PROC-CODE DESC MAC BEG END E2324 PO
Page 33 and 34:
PROC-CODE DESC MAC BEG END E2605 PO
Page 35 and 36:
PROC-CODE DESC MAC BEG END G0091 IN
Page 37 and 38:
PROC-CODE DESC MAC BEG END G0206 DI
Page 39 and 40:
PROC-CODE DESC MAC BEG END K0032 SE
Page 41 and 42:
PROC-CODE DESC MAC BEG END K0130 FO
Page 43 and 44:
PROC-CODE DESC MAC BEG END K0240 HY
Page 45 and 46:
PROC-CODE DESC MAC BEG END K0529 ST
Page 47 and 48:
PROC-CODE DESC MAC BEG END K0822 PO
Page 49 and 50:
PROC-CODE DESC MAC BEG END L0350 TL
Page 51 and 52:
PROC-CODE DESC MAC BEG END L0633 LU
Page 53 and 54:
PROC-CODE DESC MAC BEG END L1685 HO
Page 55 and 56:
PROC-CODE DESC MAC BEG END L2106 AF
Page 57 and 58:
PROC-CODE DESC MAC BEG END L2670 AD
Page 59 and 60:
PROC-CODE DESC MAC BEG END L3420 FU
Page 61 and 62:
PROC-CODE DESC MAC BEG END L3906 WH
Page 63 and 64:
PROC-CODE DESC MAC BEG END L4110 RE
Page 65 and 66:
PROC-CODE DESC MAC BEG END L5622 AD
Page 67 and 68:
PROC-CODE DESC MAC BEG END L5701 AL
Page 69 and 70:
PROC-CODE DESC MAC BEG END L5981 AL
Page 71 and 72:
PROC-CODE DESC MAC BEG END L6646 UP
Page 73 and 74:
PROC-CODE DESC MAC BEG END L6915 HA
Page 75 and 76:
PROC-CODE DESC MAC BEG END L8170 EL
Page 77 and 78:
PROC-CODE DESC MAC BEG END M0728 EX
Page 79 and 80:
PROC-CODE DESC MAC BEG END Q4047 CA
Page 81 and 82:
PROC-CODE DESC MAC BEG END V2522 CO
Page 83 and 84:
PROC-CODE DESC MAC BEG END W9801 QU
Page 85 and 86:
PROC-CODE DESC MAC BEG END 00530 AN
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
PROC-CODE DESC MAC BEG END 11443 EX
Page 97 and 98:
PROC-CODE DESC MAC BEG END 12056 LA
Page 99 and 100:
PROC-CODE DESC MAC BEG END 15341 TI
Page 101 and 102: PROC-CODE DESC MAC BEG END 15934 EX
Page 103 and 104: PROC-CODE DESC MAC BEG END 19110 NI
Page 105 and 106: PROC-CODE DESC MAC BEG END 20612 AS
Page 107 and 108: PROC-CODE DESC MAC BEG END 21100 AP
Page 109 and 110: PROC-CODE DESC MAC BEG END 21310 TR
Page 111 and 112: PROC-CODE DESC MAC BEG END 21920 BI
Page 113 and 114: PROC-CODE DESC MAC BEG END 22844 PO
Page 119 and 120: PROC-CODE DESC MAC BEG END 25316 FL
Page 121 and 122: PROC-CODE DESC MAC BEG END 26010 DR
Page 123 and 124: PROC-CODE DESC MAC BEG END 26530 AR
Page 129 and 130: PROC-CODE DESC MAC BEG END 27513 OP
Page 133 and 134: PROC-CODE DESC MAC BEG END 28200 RE
Page 135 and 136: PROC-CODE DESC MAC BEG END 28636 PE
Page 139 and 140: PROC-CODE DESC MAC BEG END 30801 CA
Page 141 and 142: PROC-CODE DESC MAC BEG END 31560 LA
Page 143 and 144: PROC-CODE DESC MAC BEG END 32310 PL
Page 151: PROC-CODE DESC MAC BEG END 33920 RE
Page 155 and 156: PROC-CODE DESC MAC BEG END TRANSLUM
Page 159 and 160: PROC-CODE DESC MAC BEG END 36555 IN
Page 161 and 162: PROC-CODE DESC MAC BEG END 37188 PE
Page 167 and 168: PROC-CODE DESC MAC BEG END 42836 AD
Page 169 and 170: PROC-CODE DESC MAC BEG END 43260 EN
Page 175 and 176: PROC-CODE DESC MAC BEG END 45114 PR
Page 177 and 178: PROC-CODE DESC MAC BEG END 46221 HE
Page 185 and 186: PROC-CODE DESC MAC BEG END 50393 IN
Page 187 and 188: PROC-CODE DESC MAC BEG END 50940 DE
Page 189 and 190: PROC-CODE DESC MAC BEG END 51920 CL
Page 191 and 192: PROC-CODE DESC MAC BEG END 52647 NO
Page 193 and 194: PROC-CODE DESC MAC BEG END 54162 LY
Page 195 and 196: PROC-CODE DESC MAC BEG END 55110 SC
Page 197 and 198: PROC-CODE DESC MAC BEG END 56353 HY
Page 199 and 200: PROC-CODE DESC MAC BEG END 57310 CL
Page 203 and 204:
PROC-CODE DESC MAC BEG END 59070 TR
Page 205 and 206:
PROC-CODE DESC MAC BEG END 61026 VE
Page 207 and 208:
PROC-CODE DESC MAC BEG END 61576 TR
Page 209 and 210:
PROC-CODE DESC MAC BEG END 61865 CR
Page 211 and 212:
PROC-CODE DESC MAC BEG END 62360 IM
Page 213 and 214:
PROC-CODE DESC MAC BEG END 63270 LA
Page 215 and 216:
PROC-CODE DESC MAC BEG END 64479 IN
Page 217 and 218:
PROC-CODE DESC MAC BEG END 64837 SU
Page 219 and 220:
PROC-CODE DESC MAC BEG END 65870 SE
Page 221 and 222:
PROC-CODE DESC MAC BEG END 67225 DE
Page 223 and 224:
PROC-CODE DESC MAC BEG END 68320 CO
Page 225 and 226:
PROC-CODE DESC MAC BEG END 69643 TY
Page 227 and 228:
PROC-CODE DESC MAC BEG END 70542 MA
Page 229 and 230:
PROC-CODE DESC MAC BEG END 72200 RA
Page 231 and 232:
Page 233 and 234:
PROC-CODE DESC MAC BEG END 75822 VE
Page 235 and 236:
Page 237 and 238:
PROC-CODE DESC MAC BEG END 76938 UL
Page 239 and 240:
Page 241 and 242:
PROC-CODE DESC MAC BEG END 78261 GA
Page 243 and 244:
Page 245 and 246:
PROC-CODE DESC MAC BEG END 82000 AC
Page 247 and 248:
Page 249 and 250:
PROC-CODE DESC MAC BEG END 83015 HE
Page 251 and 252:
PROC-CODE DESC MAC BEG END 83903 MO
Page 253 and 254:
PROC-CODE DESC MAC BEG END 84425 TH
Page 255 and 256:
PROC-CODE DESC MAC BEG END 85370 FI
Page 257 and 258:
PROC-CODE DESC MAC BEG END 86343 LE
Page 259 and 260:
Page 261 and 262:
PROC-CODE DESC MAC BEG END 87206 SM
Page 263 and 264:
Page 265 and 266:
Page 267 and 268:
PROC-CODE DESC MAC BEG END 88184 FL
Page 269 and 270:
PROC-CODE DESC MAC BEG END 89140 GA
Page 271 and 272:
PROC-CODE DESC MAC BEG END 90734 ME
Page 273 and 274:
PROC-CODE DESC MAC BEG END 90847 FA
Page 275 and 276:
PROC-CODE DESC MAC BEG END 92250 OP
Page 277 and 278:
PROC-CODE DESC MAC BEG END 92602 DI
Page 279 and 280:
PROC-CODE DESC MAC BEG END 93237 EL
Page 281 and 282:
Page 283 and 284:
PROC-CODE DESC MAC BEG END 94016 PA
Page 285 and 286:
PROC-CODE DESC MAC BEG END 95811 PO
Page 287 and 288:
Page 289 and 290:
PROC-CODE DESC MAC BEG END 97022 PH
Page 291 and 292:
PROC-CODE DESC MAC BEG END 99214 OF
Page 293 and 294:
PROC-CODE DESC MAC BEG END 99307 SU
Page 295:
PROC-CODE DESC MAC BEG END 99440 NE
show all

Medicaid Fee Schedule without Mods 200801

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?