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fee schedule 2009 new - DE Medical Assistance Program

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L8681 6 PT PRGRM FOR IMPLT NEUROSTIM 0.00<br />

L8682 6 IMPLT NEUROSTIM RADIOFQ REC 0.00<br />

L8683 6 RADIOFQ TRSMTR FOR IMPLT NEU 0.00<br />

L8684 6 RADIOF TRSMTR IMPLT SCRL NEU 0.00<br />

L8685 9 IMPLT NROSTM PLS GEN SNG REC 0.00<br />

L8686 9 IMPLT NROSTM PLS GEN SNG NON 0.00<br />

L8687 9 IMPLT NROSTM PLS GEN DUA REC 0.00<br />

L8688 9 IMPLT NROSTM PLS GEN DUA NON 0.00<br />

L8689 6 EXTERNAL RECHARG SYS INTERN 0.00<br />

L8690 9 AUD OSSEO <strong>DE</strong>V, INT/EXT COMP 0.00<br />

L8691 6 AUD OSSEO <strong>DE</strong>V EXT SND PROCES 0.00<br />

L8695 6 EXTERNAL RECHARG SYS EXTERN 0.00<br />

L8699 9 PROSTHETIC IMPLANT NOS 0.00<br />

L9900 5 O&P SUPPLY/ACCESSORY/SERVICE 0.00<br />

L9999 O SALES TAX, ORTHOTIC/PROSTHETIC/OTHE 0.00<br />

M0005 9 OFFICE VISITS WITH TWO OR MORE MODA 0.00<br />

M0006 9 OFFICE VISITS WITH ONE OF THE ABOVE 0.00<br />

M0007 9 OFFICE VISITS INCLUDING COMBINATION 0.00<br />

M0008 9 OFFICE VISIT INCLUDING COMBINATION 0.00<br />

M0009 9 NOT OTHERWISE CLASSIFIED, OFFICE VI 0.00<br />

M0019 9 NOT OTHERWISE CLASSIFIED, HOME VISI 0.00<br />

M0021 9 PER DIEM INPATIENT HOSPITAL CARE WH 0.00<br />

M0022 9 I.C.U. CARE FOLLOW-UP WHEN ONE OR 0.00<br />

M0023 9 ROUTINE NEWBORN CARE, INHOSPITAL, I 0.00<br />

M0024 9 CHEMOTHERAPY(FOR MALIGNANCIES, FOLL 0.00<br />

M0029 9 NOT OTHERWISE CLASSIFIED, HOSPITAL 0.00<br />

M0039 9 NOT OTHERWISE CLASSIFIED, SNF, ECF, 0.00<br />

M0049 9 NOT OTHERWISE CLASSIFIED, NH, BOARD 0.00<br />

M0059 9 NOT OTHERWISE CLASSIFIED, EMERGENCY 0.00<br />

M0064 9 BRIEF OFFICE VISIT FOR THE SOLE PU 0.00<br />

M0070 9 INSULIN SHOCK THERAPY, HYPOGLYCEMIA 0.00<br />

M0071 9 ORTHOMOLECULAR THERAPY 0.00<br />

M0072 9 IMMUNOTHERAPY FOR MALIGNANT DISEASE 0.00<br />

M0075 9 CELLULAR THERAPY 0.00<br />

M0076 9 PROLOTHERAPY 0.00<br />

M0080 9 HYPERTHERMIA THERAPY (TO INCLU<strong>DE</strong> SY 0.00<br />

M0100 9 INTRAGASTRIC HYPOTHERMIA 0.00<br />

M0101 9 FOOT CARE HYGIENIC/PM 0.00<br />

M0260 9 TONSILLECTOMY, WITH OR WITHOUT A<strong>DE</strong>N 0.00<br />

M0261 9 TONSILLECTOMY, WITH OR WITHOUT A<strong>DE</strong>N 0.00<br />

M0300 9 IV CHELATIONTHERAPY 0.00<br />

M0301 9 FABRIC WRAPPING OF ANEURYSM 0.00<br />

M0520 9 ELECTRONIC PACEMAKER ANALYSIS, PULS 0.00<br />

M0525 9 SINGLE LEAD EKG WITH ANALYSIS OF PA 0.00<br />

M0526 9 COMPUTER TRACING AND INTERPRETATION 0.00<br />

M0530 9 CARDIAC EVENTS RECOR<strong>DE</strong>R, ELECTROCAR 0.00<br />

M0535 9 CARDIAC EVENTS RECOR<strong>DE</strong>R, ELECTROCAR 0.00<br />

M0540 9 SIGNAL-AVERAGING EKG 0.00<br />

M0560 9 PNEUMOPLETHYSMOGRAPHY VENOUS OCCLUS 0.00<br />

M0575 9 ELECTROENCEPHALOGRAM (EEG), INTERPR 0.00

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