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2010 HCPCS Schedule - DE Medical Assistance Program

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67570 <strong>DE</strong>COMPRESS OPTIC NERVE 3 $1,108.03<br />

67599 ORBIT SURGERY PROCEDURE 5 $0.00<br />

67700 DRAINAGE OF EYELID ABSCESS 3 $239.38<br />

67710 INCISION OF EYELID 3 $202.13<br />

67715 INCISION OF EYELID FOLD 3 $213.58<br />

67800 REMOVE EYELID LESION 3 $115.64<br />

67801 REMOVE EYELID LESIONS 3 $148.96<br />

67805 REMOVE EYELID LESIONS 3 $184.89<br />

67808 REMOVE EYELID LESION(S) 3 $338.06<br />

67810 BIOPSY OF EYELID 3 $202.38<br />

67820 REVISE EYELASHES 3 $47.55<br />

67825 REVISE EYELASHES 3 $117.99<br />

67830 REVISE EYELASHES 3 $241.29<br />

67835 REVISE EYELASHES 3 $406.97<br />

67840 REMOVE EYELID LESION 3 $251.06<br />

67850 TREAT EYELID LESION 3 $200.65<br />

67875 CLOSURE OF EYELID BY SUTURE 3 $156.54<br />

67880 REVISION OF EYELID 3 $415.59<br />

67882 REVISION OF EYELID 3 $515.27<br />

67900 REPAIR BROW <strong>DE</strong>FECT 3 $587.57<br />

67901 REPAIR EYELID <strong>DE</strong>FECT 3 $647.82<br />

67902 REPAIR EYELID <strong>DE</strong>FECT 3 $661.90<br />

67903 REPAIR EYELID <strong>DE</strong>FECT 3 $556.19<br />

67904 REPAIR EYELID <strong>DE</strong>FECT 3 $668.99<br />

67906 REPAIR EYELID <strong>DE</strong>FECT 3 $458.91<br />

67907 REPAIR OF BLEPHAROPTOSIS SUPERIOR R O $0.00<br />

67908 REPAIR EYELID <strong>DE</strong>FECT 3 $451.75<br />

67909 REVISE EYELID <strong>DE</strong>FECT 3 $492.83<br />

67911 REVISE EYELID <strong>DE</strong>FECT 3 $514.68<br />

67912 CORRECTION EYELID W/IMPLANT 3 $814.84<br />

67914 REPAIR EYELID <strong>DE</strong>FECT 3 $355.62<br />

67915 REPAIR EYELID <strong>DE</strong>FECT 3 $315.80<br />

67916 REPAIR EYELID <strong>DE</strong>FECT 3 $492.14<br />

67917 REPAIR EYELID <strong>DE</strong>FECT 3 $538.01<br />

67921 REPAIR EYELID <strong>DE</strong>FECT 3 $339.73<br />

67922 REPAIR EYELID <strong>DE</strong>FECT 3 $305.62<br />

67923 REPAIR EYELID <strong>DE</strong>FECT 3 $521.07<br />

67924 REPAIR EYELID <strong>DE</strong>FECT 3 $537.09<br />

67930 REPAIR EYELID WOUND 3 $335.83<br />

67935 REPAIR EYELID WOUND 3 $547.07<br />

67938 REMOVE EYELID FOREIGN BODY 3 $218.76<br />

67950 REVISION OF EYELID 3 $527.46<br />

67961 REVISION OF EYELID 3 $528.37<br />

67966 REVISION OF EYELID 3 $703.80<br />

67971 RECONSTRUCTION OF EYELID 3 $677.28<br />

67973 RECONSTRUCTION OF EYELID 3 $875.47<br />

67974 RECONSTRUCTION OF EYELID 3 $872.49<br />

67975 RECONSTRUCTION OF EYELID 3 $640.00<br />

67999 REVISION OF EYELID 5 $0.00

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