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2010 HCPCS Schedule - DE Medical Assistance Program

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64865 REPAIR OF FACIAL NERVE 30.18 1.00<br />

64866 FUSION OF FACIAL/OTHER NERVE 31.13 1.00<br />

64868 FUSION OF FACIAL/OTHER NERVE 27.47 1.00<br />

64870 FUSION OF FACIAL/OTHER NERVE 28.71 1.00<br />

64872 SUBSEQUENT REPAIR OF NERVE 3.17 1.00<br />

64874 REPAIR & REVISE NERVE ADD-ON 4.59 1.00<br />

64876 REPAIR NERVE/SHORTEN BONE 5.34 1.00<br />

64885 NERVE GRAFT, HEAD OR NECK 29.75 1.00<br />

64886 NERVE GRAFT, HEAD OR NECK 35.27 1.00<br />

64890 NERVE GRAFT, HAND OR FOOT 28.65 1.00<br />

64891 NERVE GRAFT, HAND OR FOOT 30.25 1.00<br />

64892 NERVE GRAFT, ARM OR LEG 27.76 1.00<br />

64893 NERVE GRAFT, ARM OR LEG 29.35 1.00<br />

64895 NERVE GRAFT, HAND OR FOOT 34.81 1.00<br />

64896 NERVE GRAFT, HAND OR FOOT 40.98 1.00<br />

64897 NERVE GRAFT, ARM OR LEG 33.52 1.00<br />

64898 NERVE GRAFT, ARM OR LEG 36.49 1.00<br />

64901 NERVE GRAFT ADD-ON 16.55 1.00<br />

64902 NERVE GRAFT ADD-ON 19.07 1.00<br />

64905 NERVE PEDICLE TRANSFER 27.06 1.00<br />

64907 NERVE PEDICLE TRANSFER 32.01 1.00<br />

64910 NERVE REPAIR W/ALLOGRAFT 21.4 1.00<br />

64911 NEURORRAPHY W/VEIN AUTOGRAFT 26.41 1.00<br />

65091 REVISE EYE 16.09 1.00<br />

65093 REVISE EYE WITH IMPLANT 15.95 1.00<br />

65101 REMOVAL OF EYE 18.6 1.00<br />

65103 REMOVE EYE/INSERT IMPLANT 19.44 1.00<br />

65105 REMOVE EYE/ATTACH IMPLANT 21.48 1.00<br />

65110 REMOVAL OF EYE 30.43 1.00<br />

65112 REMOVE EYE/REVISE SOCKET 35.62 1.00<br />

65114 REMOVE EYE/REVISE SOCKET 37.32 1.00<br />

65125 REVISE OCULAR IMPLANT 7.32 1.00<br />

65130 INSERT OCULAR IMPLANT 18.44 1.00<br />

65135 INSERT OCULAR IMPLANT 18.76 1.00<br />

65140 ATTACH OCULAR IMPLANT 20 1.00<br />

65150 REVISE OCULAR IMPLANT 14.06 1.00<br />

65155 REINSERT OCULAR IMPLANT 21.52 1.00<br />

65175 REMOVAL OF OCULAR IMPLANT 16.2 1.00<br />

65205 REMOVE FOREIGN BODY FROM EYE 1.13 1.00<br />

65210 REMOVE FOREIGN BODY FROM EYE 1.38 1.00<br />

65220 REMOVE FOREIGN BODY FROM EYE 1.11 1.00<br />

65222 REMOVE FOREIGN BODY FROM EYE 1.51 1.00<br />

65235 REMOVE FOREIGN BODY FROM EYE 17.56 1.00<br />

65260 REMOVE FOREIGN BODY FROM EYE 23.31 1.00<br />

65265 REMOVE FOREIGN BODY FROM EYE 27.79 1.00<br />

65270 REPAIR OF EYE WOUND 3.56 1.00<br />

65272 REPAIR OF EYE WOUND 8.51 1.00<br />

65273 REPAIR OF EYE WOUND 9.31 1.00<br />

65275 REPAIR OF EYE WOUND 11.44 1.00<br />

65280 REPAIR OF EYE WOUND 17.2 1.00<br />

65285 REPAIR OF EYE WOUND 26.54 1.00<br />

65286 REPAIR OF EYE WOUND 12.36 1.00<br />

65290 REPAIR OF EYE SOCKET WOUND 12.58 1.00

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