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2010 HCPCS Schedule - DE Medical Assistance Program

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61867 IMPLANT NEUROELECTRO<strong>DE</strong> 60.01 1.00<br />

61868 IMPLANT NEUROELECTR<strong>DE</strong>, ADDL 13.48 1.00<br />

61870 IMPLANT NEUROELECTRO<strong>DE</strong>S 30.95 1.00<br />

61875 IMPLANT NEUROELECTRO<strong>DE</strong>S 26.57 1.00<br />

61880 REVISE/REMOVE NEUROELECTRO<strong>DE</strong> 14.34 1.00<br />

61885 INSRT/REDO NEUROSTIM 1 ARRAY 16.78 1.00<br />

61886 IMPLANT NEUROSTIM ARRAYS 21.26 1.00<br />

61888 REVISE/REMOVE NEURORECEIVER 10.19 1.00<br />

62000 TREAT SKULL FRACTURE 25.27 1.00<br />

62005 TREAT SKULL FRACTURE 32.81 1.00<br />

6<strong>2010</strong> TREATMENT OF HEAD INJURY 39.63 1.00<br />

62100 REPAIR BRAIN FLUID LEAKAGE 42.17 1.00<br />

62115 REDUCTION OF SKULL <strong>DE</strong>FECT 33.17 1.00<br />

62116 REDUCTION OF SKULL <strong>DE</strong>FECT 46.36 1.00<br />

62117 REDUCTION OF SKULL <strong>DE</strong>FECT 46.61 1.00<br />

62120 REPAIR SKULL CAVITY LESION 45.47 1.00<br />

62121 INCISE SKULL REPAIR 45.2 1.00<br />

62140 REPAIR OF SKULL <strong>DE</strong>FECT 27.12 1.00<br />

62141 REPAIR OF SKULL <strong>DE</strong>FECT 29.87 1.00<br />

62142 REMOVE SKULL PLATE/FLAP 22.94 1.00<br />

62143 REPLACE SKULL PLATE/FLAP 26.91 1.00<br />

62145 REPAIR OF SKULL & BRAIN 37.02 1.00<br />

62146 REPAIR OF SKULL WITH GRAFT 32.15 1.00<br />

62147 REPAIR OF SKULL WITH GRAFT 38.06 1.00<br />

62148 RETR BONE FLAP TO FIX SKULL 3.37 1.00<br />

62160 NEUROENDOSCOPY ADD-ON 5.11 1.00<br />

62161 DISSECT BRAIN W/SCOPE 39.61 1.00<br />

62162 REMOVE COLLOID CYST W/SCOPE 49.58 1.00<br />

62163 NEUROENDOSCOPY W/FB REMOVAL 31.85 1.00<br />

62164 REMOVE BRAIN TUMOR W/SCOPE 54 1.00<br />

62165 REMOVE PITUIT TUMOR W/SCOPE 41.2 1.00<br />

62180 ESTABLISH BRAIN CAVITY SHUNT 41.85 1.00<br />

62190 ESTABLISH BRAIN CAVITY SHUNT 23.77 1.00<br />

62192 ESTABLISH BRAIN CAVITY SHUNT 25.29 1.00<br />

62194 REPLACE/IRRIGATE CATHETER 9.87 1.00<br />

62200 ESTABLISH BRAIN CAVITY SHUNT 35.9 1.00<br />

62201 BRAIN CAVITY SHUNT W/SCOPE 31.02 1.00<br />

62220 ESTABLISH BRAIN CAVITY SHUNT 26.38 1.00<br />

62223 ESTABLISH BRAIN CAVITY SHUNT 27.27 1.00<br />

62225 REPLACE/IRRIGATE CATHETER 13.09 1.00<br />

62230 REPLACE/REVISE BRAIN SHUNT 21.83 1.00<br />

62252 CSF SHUNT REPROGRAM 2.63 1.00<br />

62256 REMOVE BRAIN CAVITY SHUNT 15.23 1.00<br />

62258 REPLACE BRAIN CAVITY SHUNT 29.31 1.00<br />

62263 EPIDURAL LYSIS MULT SESSIONS 10.28 1.00<br />

62264 EPIDURAL LYSIS ON SINGLE DAY 6.19 1.00<br />

62267 INTERDISCAL PERQ ASPIR, DX 4.47 1.00<br />

62268 DRAIN SPINAL CORD CYST 7.02 1.00<br />

62269 NEEDLE BIOPSY, SPINAL CORD 7.23 1.00<br />

62270 SPINAL FLUID TAP, DIAGNOSTIC 2.14 1.00<br />

62272 DRAIN CEREBRO SPINAL FLUID 2.27 1.00<br />

62273 INJECT EPIDURAL PATCH 2.99 1.00<br />

62280 TREAT SPINAL CORD LESION 4.2 1.00

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