fee schedule 2009 new - DE Medical Assistance Program

65105 REMOVE EYE/ATTACH IMPLANT 19.74 1.00
65110 REMOVAL OF EYE 28.78 1.00
65112 REMOVE EYE/REVISE SOCKET 34.20 1.00
65114 REMOVE EYE/REVISE SOCKET 35.30 1.00
65125 REVISE OCULAR IMPLANT 6.75 1.00
65130 INSERT OCULAR IMPLANT 16.99 1.00
65135 INSERT OCULAR IMPLANT 17.29 1.00
65140 ATTACH OCULAR IMPLANT 18.76 1.00
65150 REVISE OCULAR IMPLANT 13.76 1.00
65155 REINSERT OCULAR IMPLANT 20.00 1.00
65175 REMOVAL OF OCULAR IMPLANT 15.29 1.00
65205 REMOVE FOREIGN BODY FROM EYE 1.04 1.00
65210 REMOVE FOREIGN BODY FROM EYE 1.26 1.00
65220 REMOVE FOREIGN BODY FROM EYE 1.04 1.00
65222 REMOVE FOREIGN BODY FROM EYE 1.37 1.00
65235 REMOVE FOREIGN BODY FROM EYE 15.91 1.00
65260 REMOVE FOREIGN BODY FROM EYE 22.06 1.00
65265 REMOVE FOREIGN BODY FROM EYE 24.79 1.00
65270 REPAIR OF EYE WOUND 3.30 1.00
65272 REPAIR OF EYE WOUND 7.90 1.00
65273 REPAIR OF EYE WOUND 8.72 1.00
65275 REPAIR OF EYE WOUND 10.32 1.00
65280 REPAIR OF EYE WOUND 15.28 1.00
65285 REPAIR OF EYE WOUND 23.87 1.00
65286 REPAIR OF EYE WOUND 11.22 1.00
65290 REPAIR OF EYE SOCKET WOUND 11.25 1.00
65400 REMOVAL OF EYE LESION 13.55 1.00
65410 BIOPSY OF CORNEA 2.45 1.00
65420 REMOVAL OF EYE LESION 8.65 1.00
65426 REMOVAL OF EYE LESION 10.89 1.00
65430 CORNEAL SMEAR 2.46 1.00
65435 CURETTE/TREAT CORNEA 1.64 1.00
65436 CURETTE/TREAT CORNEA 8.48 1.00
65450 TREATMENT OF CORNEAL LESION 7.28 1.00
65600 REVISION OF CORNEA 7.61 1.00
65710 CORNEAL TRANSPLANT 25.37 1.00
65730 CORNEAL TRANSPLANT 28.18 1.00
65750 CORNEAL TRANSPLANT 28.63 1.00
65755 CORNEAL TRANSPLANT 28.46 1.00
65767 CORNEAL TISSUE TRANSPLANT 5.00 1.00
65770 REVISE CORNEA WITH IMPLANT 32.71 1.00
65771 RADIAL KERATOTOMY 999.99 1.00
65772 CORRECTION OF ASTIGMATISM 9.19 1.00
65775 CORRECTION OF ASTIGMATISM 12.64 1.00
65780 OCULAR RECONST, TRANSPLANT 20.48 1.00
65781 OCULAR RECONST, TRANSPLANT 30.91 1.00
65782 OCULAR RECONST, TRANSPLANT 26.69 1.00
65800 DRAINAGE OF EYE 3.10 1.00
65805 DRAINAGE OF EYE 3.11 1.00
65810 DRAINAGE OF EYE 10.59 1.00