2010 HCPCS Schedule - DE Medical Assistance Program

56810 REPAIR OF PERINEUM 3 $253.89
56820 EXAM OF VULVA W/SCOPE 3 $107.46
56821 EXAM/BIOPSY OF VULVA W/SCOPE 3 $143.00
57000 EXPLORATION OF VAGINA 3 $186.30
57010 DRAINAGE OF PELVIC ABSCESS 3 $421.90
57020 DRAINAGE OF PELVIC FLUID 3 $91.58
57022 I & D VAGINAL HEMATOMA, PP 3 $163.39
57023 I & D VAG HEMATOMA, NON-OB 3 $303.95
57061 DESTROY VAG LESIONS, SIMPLE 3 $110.76
57065 DESTROY VAG LESIONS, COMPLEX 3 $186.28
57100 BIOPSY OF VAGINA 3 $85.69
57105 BIOPSY OF VAGINA 3 $131.83
57106 REMOVE VAGINA WALL, PARTIAL 3 $467.03
57107 REMOVE VAGINA TISSUE, PART 3 $1,365.07
57108 PARTIAL REMOVAL OF VAGINA O $0.00
57109 VAGINECTOMY PARTIAL W/NODES 3 $1,564.36
57110 REMOVE VAGINA WALL, COMPLETE 3 $876.66
57111 REMOVE VAGINA TISSUE, COMPL 3 $1,577.97
57112 VAGINECTOMY W/NODES, COMPL 3 $1,635.23
57120 CLOSURE OF VAGINA 3 $499.35
57126 COMPLEX CYSTOMETROGRAM (EG, CALIBRA 9 $0.00
57130 REMOVE VAGINA LESION 3 $174.70
57135 REMOVE VAGINA LESION 3 $187.37
57150 TREAT VAGINA INFECTION 3 $48.02
57155 INSERT UTERI TANDEMS/OVOIDS 3 $411.44
57160 INSERT PESSARY/OTHER DEVICE 3 $74.66
57170 FITTING OF DIAPHRAGM/CAP 3 $65.18
57180 TREAT VAGINAL BLEEDING 3 $138.15
57200 REPAIR OF VAGINA 3 $290.26
57210 REPAIR VAGINA/PERINEUM 3 $357.69
57220 REVISION OF URETHRA 3 $312.59
57230 REPAIR OF URETHRAL LESION 3 $392.15
57240 REPAIR BLADDER & VAGINA 3 $655.90
57250 REPAIR RECTUM & VAGINA 3 $649.87
57260 REPAIR OF VAGINA 3 $804.40
57265 EXTENSIVE REPAIR OF VAGINA 3 $889.07
57267 INSERT MESH/PELVIC FLR ADDON 3 $257.79
57268 REPAIR OF BOWEL BULGE 3 $470.20
57270 REPAIR OF BOWEL POUCH 3 $779.84
57280 SUSPENSION OF VAGINA 3 $942.24
57282 COLPOPEXY, EXTRAPERITONEAL 3 $493.00
57283 COLPOPEXY, INTRAPERITONEAL 3 $675.96
57284 REPAIR PARAVAG DEFECT, OPEN 3 $813.45
57285 REPAIR PARAVAG DEFECT, VAG 3 $665.52
57287 REVISE/REMOVE SLING REPAIR 3 $686.29
57288 REPAIR BLADDER DEFECT 3 $714.10
57289 REPAIR BLADDER & VAGINA 3 $739.76
57291 CONSTRUCTION OF VAGINA 3 $528.07
57292 CONSTRUCT VAGINA WITH GRAFT 3 $808.73