2010 HCPCS Schedule - DE Medical Assistance Program

40527 RECONSTRUCT LIP WITH FLAP 3 $620.59
4052F HEMODIALYSIS VIA AV FISTULA 9 $0.00
40530 PARTIAL REMOVAL OF LIP 3 $514.92
4053F HEMODIALYSIS VIA AV GRAFT 9 $0.00
4054F HEMODIALYSIS VIA CATHETER 9 $0.00
4055F PT RCVNG PERITON DIALYSIS 9 $0.00
4056F APPROP ORAL REHYD RECOMMD 9 $0.00
4058F PED GASTRO ED GIVEN, CAREGVR 9 $0.00
4060F PSYCH SVCS PROVIDED 9 $0.00
4062F PT REFERRAL PSYCH DOCD 9 $0.00
4063F ANTIDEPRES RXTHXPY NOT RXD 9 $0.00
4064F ANTIDEPRESSANT RX 9 $0.00
40650 REPAIR LIP 3 $390.25
40652 REPAIR LIP 3 $457.53
40654 REPAIR LIP 3 $537.77
4065F ANTIPSYCHOTIC RX 9 $0.00
4066F ECT PROVIDED 9 $0.00
4067F PT REFERRAL FOR ECT DOCD 9 $0.00
40700 REPAIR CLEFT LIP/NASAL 3 $896.35
40701 REPAIR CLEFT LIP/NASAL 3 $1,089.84
40702 REPAIR CLEFT LIP/NASAL 3 $828.85
4070F DVT PROPHYLX RECVD DAY 2 9 $0.00
40720 REPAIR CLEFT LIP/NASAL 3 $963.26
4073F ORAL ANTIPLAT THX RX DISCHRG 9 $0.00
4075F ANTICOAG THX RX AT DISCHRG 9 $0.00
40761 REPAIR CLEFT LIP/NASAL 3 $1,034.93
4077F DOC T-PA ADMIN CONSIDERED 9 $0.00
40799 LIP SURGERY PROCEDURE 5 $0.00
4079F DOC REHAB SVCS CONSIDERED 9 $0.00
40800 DRAINAGE OF MOUTH LESION 3 $190.24
40801 DRAINAGE OF MOUTH LESION 3 $289.80
40804 REMOVAL, FOREIGN BODY, MOUTH 3 $195.58
40805 REMOVAL, FOREIGN BODY, MOUTH 3 $300.31
40806 INCISION OF LIP FOLD 3 $97.86
40808 BIOPSY OF MOUTH LESION 3 $170.64
40810 EXCISION OF MOUTH LESION 3 $189.32
40812 EXCISE/REPAIR MOUTH LESION 3 $264.57
40814 EXCISE/REPAIR MOUTH LESION 3 $356.02
40816 EXCISION OF MOUTH LESION 3 $375.71
40818 EXCISE ORAL MUCOSA FOR GRAFT 3 $333.01
40819 EXCISE LIP OR CHEEK FOLD 3 $283.92
40820 TREATMENT OF MOUTH LESION 3 $246.42
40830 REPAIR MOUTH LACERATION 3 $230.12
40831 REPAIR MOUTH LACERATION 3 $303.32
40840 RECONSTRUCTION OF MOUTH 3 $755.86
40842 RECONSTRUCTION OF MOUTH 3 $763.05
40843 RECONSTRUCTION OF MOUTH 3 $985.81
40844 RECONSTRUCTION OF MOUTH 3 $1,300.60
40845 RECONSTRUCTION OF MOUTH 3 $1,403.88