fee schedule 2009 new - DE Medical Assistance Program

K0257 9 TRANSPARENT FILM, 16 SQ. IN. OR LES 0.00
K0258 9 TRANSPARENT FILM, MORE THAN 16 BUT 0.00
K0259 9 TRANSPARENT FILM, MORE THAN 48 SQ. 0.00
K0260 9 WOUND CLEANSERS, ANY TYPE, ANY SIZE 0.00
K0261 9 WOUND FILLER, NOT ELSEWHERE CLASSIF 0.00
K0262 9 WOUND FILLER, NOT ELSEWHERE CLASSIF 0.00
K0263 9 GAUZE, ELASTIC, NON-STERILE, ALL T 0.00
K0264 9 GAUZE, NON-ELASTIC, NON-STERILE, PE 0.00
K0265 9 TAPE, ALL TYPES, PER 18 SQUARE INCH 0.00
K0266 9 GAUZE, IMPREGNATED, OTHER THAN WATE 0.00
K0267 O REPLACEMENT BATTERY, ANY TYPE, FOR 0.00
K0268 O HUMIDIFIER NONHEATED W PAP 0.00
K0269 9 AEROSOL COMPRESSOR CPAP DEV 0.00
K0270 9 ULTRASONIC GENERATOR W NEBUL 0.00
K0271 9 POUCH, DRAINABLE; WITH FACEPLATE AT 0.00
K0272 9 POUCH, DRAINABLE; WITHOUT FACEPLATE 0.00
K0273 9 POUCH, URINARY; WITH FACEPLATE ATTA 0.00
K0274 9 POUCH, URINARY; WITHOUT FACEPLATE A 0.00
K0275 9 OSTOMY FACEPLATE; CONVEX; REUSABLE; 0.00
K0276 9 OSTOMY FACEPLATE; CONVEX; CUSTOM FI 0.00
K0277 9 SKIN BARRIER SOLID 4X4 EQUIV 0.00
K0278 9 SKIN BARRIER WITH FLANGE 0.00
K0279 9 SKIN BARRIER EXTENDED WEAR 0.00
K0280 9 EXTENSION DRAINAGE TUBING 0.00
K0281 9 LUBRICANT CATHETER INSERTION 0.00
K0283 9 SALINE SOLUTION DISPENSER 0.00
K0284 9 EXTERNAL INFUSION PUMP REUSE 0.00
K0285 9 REPAIR OF PROSTHETIC DEVICE, LABOR 0.00
K0400 9 SKIN SUPPORT ATTACHMENT EACH 0.00
K0401 9 DIABETIC DELUXE SHOE 0.00
K0402 9 GAUZE, NON-IMPREGNATED, STERILE, PA 0.00
K0403 9 GAUZE, NON-IMPREGNATED, STERILE, PA 0.00
K0404 9 GAUZE, NON-IMPREGNATED, STERILE, PA 0.00
K0405 9 GAUZE, ELASTIC, STERILE, ALL TYPES, 0.00
K0406 9 GAUZE, NON-ELASTIC, STERILE, PER LI 0.00
K0407 9 URINARY CATH SKIN ATTACHMENT 0.00
K0408 9 URINARY CATH LEG STRAP 0.00
K0409 9 STERILE H2O IRRIGATION SOLUT 0.00
K0410 9 MALE EXT CATH W/ADH COATING 0.00
K0411 9 MALE EXT CATH W/ADH STRIP 0.00
K0412 9 MYCOPHENOLATE MOFETIL 25O MG 0.00
K0413 O NON-POWERED, ADVANCED PRESSURE-REDU 0.00
K0414 O POWERED AIR OVERLAY FOR MATTRESS, S 0.00
K0415 O RX ANTIEMETIC DRG, ORAL NOS 0.00
K0416 O RX ANTIEMETIC DRG,RECTAL NOS 0.00
K0417 9 MECH INFUS PUMP SHT TRM DRUG 0.00
K0418 9 ORAL CYCLOSPORIN 0.00
K0419 9 DRAINABLE PLSTIC PCH W FCPLT 0.00
K0420 9 DRAINABLE RUBBER PCH W FCPLT 0.00
K0421 9 DRAINABLE PLSTIC PCH W/O FP 0.00