fee schedule 2009 new - DE Medical Assistance Program

G0256 O PROSTATE BRACHY W PALLADIUM 0.00
G0257 5 UNSCHED DIALYSIS ESRD PT HOS 0.00
G0258 O IV INFUSION DURING OBS STAY 0.00
G0259 5 INJECT FOR SACROILIAC JOINT 0.00
G0260 5 INJ FOR SACROILIAC JT ANESTH 0.00
G0261 O PROSTATE BRACHY W IODINE SEE 0.00
G0262 O SM INTESTINAL IMAGE CAPSULE 0.00
G0263 O ADM WITH CHF, CP, ASTHMA 0.00
G0264 O ASSMT OTR CHF, CP, ASTHMA 0.00
G0265 O CRYOPRESEVATION FREEZE+STORA 0.00
G0266 O THAWING + EXPANSION FROZ CEL 0.00
G0267 O BONE MARROW OR PSC HARVEST 0.00
G0268 9 REMOVAL OF IMPACTED WAX MD 0.00
G0269 5 OCCLUSIVE DEVICE IN VEIN ART 0.00
G0270 5 MNT SUBS TX FOR CHANGE DX 0.00
G0271 5 GROUP MNT 2 OR MORE 30 MINS 0.00
G0272 O NASO/ORO GASTRIC TUBE PL MD 0.00
G0273 O PRETX PLANNING, NON-HODGKINS 0.00
G0274 O RADIOPHARM TX, NON-HODGKINS 0.00
G0275 3 RENAL ANGIO, CARDIAC CATH 13.49
G0278 3 ILIAC ART ANGIO,CARDIAC CATH 13.85
G0279 O EXCORP SHOCK TX, ELBOW EPI 0.00
G0280 O EXCORP SHOCK TX OTHER THAN 0.00
G0281 5 ELEC STIM UNATTEND FOR PRESS 0.00
G0282 5 ELECT STIM WOUND CARE NOT PD 0.00
G0283 9 ELEC STIM OTHER THAN WOUND 0.00
G0288 3 RECON, CTA FOR SURG PLAN 234.70
G0289 3 ARTHRO, LOOSE BODY + CHONDRO 84.90
G0290 5 DRUG-ELUTING STENTS, SINGLE 0.00
G0291 5 DRUG-ELUTING STENTS,EACH ADD 0.00
G0292 O ADM EXP DRUGS,CLINICAL TRIAL 0.00
G0293 9 NON-COV SURG PROC,CLIN TRIAL 0.00
G0294 9 NON-COV PROC, CLINICAL TRIAL 0.00
G0295 9 ELECTROMAGNETIC THERAPY ONC 0.00
G0296 O PET IMGE RESTAG THYROD CANCE 0.00
G0297 O INSERT SINGLE CHAMBER/CD 0.00
G0298 O INSERT DUAL CHAMBER/CD 0.00
G0299 O INSER/REPOS SINGLE ICD+LEADS 0.00
G0300 O INSERT REPOSIT LEAD DUAL+GEN 0.00
G0302 9 PRE-OP SERVICE LVRS COMPLETE 0.00
G0303 9 PRE-OP SERVICE LVRS 10-15DOS 0.00
G0304 9 PRE-OP SERVICE LVRS 1-9 DOS 0.00
G0305 9 POST OP SERVICE LVRS MIN 6 0.00
G0306 9 CBC/DIFFWBC W/O PLATELET 0.00
G0307 9 CBC WITHOUT PLATELET 0.00
G0308 O ESRD RELATED SVC 4+MO < 2YRS 0.00
G0309 O ESRD RELATED SVC 2-3MO