Medicaid Fee Schedule without Mods 200801
Medicaid Fee Schedule without Mods 200801
Medicaid Fee Schedule without Mods 200801
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PROC-CODE DESC MAC BEG END<br />
01992<br />
ANESTHESIA FOR DIAGNOSTIC OR THERAPEUTIC NERVE BLOCKS<br />
AND INJECTIONS (WHEN BLOCK $22.80 20030401 99999999<br />
01995<br />
REGIONAL IV ADMINISTRATION OF LOCAL ANESTHETIC AGENT<br />
(UPPER OR LOWER EXTREMITY) $22.80 19990701 99999999<br />
01996<br />
DAILY MANAGEMENT OF EPIDURAL OR SUBARACHNOID DRUG<br />
ADMINISTRATION $27.32 19990701 99999999<br />
01999 UNLISTED ANESTHESIA PROCEDURE(S) $22.80 20020101 99999999<br />
10021 FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE $65.06 20060701 99999999<br />
10022 FINE NEEDLE ASPIRATION; WITH IMAGING GUIDANCE $66.30 20060701 99999999<br />
10040 ACNE SURGERY (EG, MARSUPIALIZATION, OPENING OR REMOVAL OF $47.83 20060701 99999999<br />
10060<br />
INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE,<br />
SUPPURATIVE $52.42 20060701 99999999<br />
10061<br />
INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE,<br />
SUPPURATIVE $97.47 20060701 99999999<br />
10080 INCISION AND DRAINAGE OF PILONIDAL CYST $56.78 20060701 99999999<br />
10081 INCISION AND DRAINAGE OF PILONIDAL CYST $103.48 20060701 99999999<br />
10120<br />
INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS<br />
TISSUES $54.57 20060701 99999999<br />
10121<br />
INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS<br />
TISSUES $112.70 20060701 99999999<br />
10140 INCISION AND DRAINAGE OF HEMATOMA $71.01 20060701 99999999<br />
10160 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST $57.25 20060701 99999999<br />
10180<br />
INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND<br />
INFECTION $108.05 20060701 99999999<br />
11000 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN $23.96 20060701 99999999<br />
11001 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN $12.45 20060701 99999999<br />
11004<br />
DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND<br />
FASCIA FOR NECROTIZING $415.20 20060701 99999999<br />
11005<br />
DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND<br />
FASCIA FOR NECROTIZING $566.13 20060701 99999999<br />
11006<br />
DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND<br />
FASCIA FOR NECROTIZING $520.32 20060701 99999999<br />
11008<br />
REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL<br />
FOR NECROTIZING SOFT $211.51 20060701 99999999<br />
11010<br />
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL<br />
ASSOCIATEDWITH OPEN FRACTURE $219.04 20060701 99999999<br />
11011<br />
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL ASSOC<br />
WITHOPEN FX(S)/DISLOCATI $262.37 20060701 99999999<br />
11012<br />
DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL ASSOC<br />
WITHOPEN FRACTURE(S)/DIS $373.19 20060701 99999999<br />
11040 DEBRIDEMENT $20.46 20060701 99999999<br />
11041 DEBRIDEMENT $33.06 20060701 99999999<br />
11042 DEBRIDEMENT $44.20 20060701 99999999<br />
11043 DEBRIDEMENT $125.89 20060701 99999999<br />
11044 DEBRIDEMENT $172.73 20060701 99999999<br />
11055<br />
PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG,<br />
CORN OR CALLUS); SINGLE L $15.03 20060701 99999999<br />
11056<br />
PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG,<br />
CORN OR CALLUS); TWO TO F $21.02 20060701 99999999<br />
11057<br />
PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG,<br />
CORN OR CALLUS); MORE THA $27.45 20060701 99999999<br />
11100<br />
BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS<br />
MEMBRANE $32.61 20060701 99999999<br />
11101<br />
BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS<br />
MEMBRANE $16.91 20060701 99999999<br />
Hawaii <strong>Medicaid</strong> <strong>Fee</strong> <strong>Schedule</strong> <strong>without</strong> <strong>Mods</strong> 01/2008 93