fee schedule 2009 new - DE Medical Assistance Program

S9543 O ADMINISTRATION OF MEDICATION 0.00
S9545 9 ADMINISTRATION OF IMMUNE GLO 0.00
S9546 O HOME INF BLOOD PROD NURS SER 0.00
S9550 9 HOME IV THERAPY, HYDRATION 0.00
S9555 9 ADDITIONAL HOME INFUSION 0.00
S9558 9 HT INJ GROWTH HORM DIEM 0.00
S9559 9 HIT INJ INTERFERON DIEM 0.00
S9560 9 HT INJ HORMONE DIEM 0.00
S9562 9 PALIVIZUMAB HOME INJ PERDIEM 0.00
S9590 9 IN HOME IRRIGATION THERAPY 0.00
S9800 9 HT RN PER HOUR 0.00
S9802 O SPECIALTY DRUG ADMIN/NSG SRV 0.00
S9803 O EACH ADDITIONAL HOUR 0.00
S9806 O RN INFUSION SUITE VISIT 0.00
S9810 9 HT PHARM PER HOUR 0.00
S9900 9 CHRISTIAN SCI PRACT VISIT 0.00
S9970 9 HEALTH CLUB MEMBERSHIP YR 0.00
S9975 9 TRANSPLANT RELATED PER DIEM 0.00
S9976 9 LODGING PER DIEM 0.00
S9977 9 MEALS PER DIEM 0.00
S9981 9 MED RECORD COPY ADMIN 0.00
S9982 9 MED RECORD COPY PER PAGE 0.00
S9986 9 NOT MEDICALLY NECESSARY SVC 0.00
S9988 9 SERV PART OF PHASE I TRIAL 0.00
S9989 9 SERVICES OUTSIDE US 0.00
S9990 9 SERVICES PROVIDED AS PART OF 0.00
S9991 9 SERVICES PROVIDED AS PART OF 0.00
S9992 9 TRANSPORTATION COSTS TO AND 0.00
S9994 9 LODGING COSTS (E.G. HOTEL CH 0.00
S9996 9 MEALS FOR CLINICAL TRIAL PAR 0.00
S9999 9 SALES TAX 0.00
SARCW O MCO SPECIFIC CODE: SMART START SUBS 0.00
SARRN O MCO SPECIFIC CODE: SMART START SUBS 0.00
SARSW O MCO SPECIFIC CODE: SMART START SUBS 0.00
T1000 7 PRIVATE DUTY/INDEPENDENT NSG 0.00
T1001 7 NURSING ASSESSMENT/EVALUATN 0.00
T1002 3 RN SERVICES UP TO 15 MINUTES 19.00
T1003 9 LPN/LVN SERVICES UP TO 15MIN 0.00
T1004 9 NSG AIDE SERVICE UP TO 15MIN 0.00
T1005 7 RESPITE CARE SERVICE 15 MIN 0.00
T1006 9 FAMILY/COUPLE COUNSELING 0.00
T1007 9 TREATMENT PLAN DEVELOPMENT 0.00
T1008 O DAY TREATMENT FOR INDIVIDUAL 0.00
T1009 9 CHILD SITTING SERVICES 0.00
T1010 9 MEALS WHEN RECEIVE SERVICES 0.00
T1011 O ALCOHOL/SUBSTANCE ABUSE NOC 0.00
T1012 9 ALCOHOL/SUBSTANCE ABUSE SKIL 0.00
T1013 9 SIGN LANG/ORAL INTERPRETER 0.00
T1014 9 TELEHEALTH TRANSMIT, PER MIN 0.00
T1015 9 CLINIC SERVICE 0.00