fee schedule 2009 new - DE Medical Assistance Program

33482 O SINGLE VALVE REPLACEMENT WITH COMMI 0.00
33483 O DOUBLE VALVE REPLACEMENT 0.00
33485 O DOUBLE VALVE REPLACEMENT WITH COMMI 0.00
33490 O REPLACEMENT AND/OR REPAIR, TRIPLE V 0.00
33492 O TRIPLE VALVE REPLACEMENT 0.00
33496 3 REPAIR, PROSTH VALVE CLOT 1,598.91
33500 3 REPAIR HEART VESSEL FISTULA 1,500.54
33501 3 REPAIR HEART VESSEL FISTULA 1,035.62
33502 3 CORONARY ARTERY CORRECTION 1,225.95
33503 3 CORONARY ARTERY GRAFT 1,242.51
33504 3 CORONARY ARTERY GRAFT 1,398.00
33505 3 REPAIR ARTERY W/TUNNEL 1,917.15
33506 3 REPAIR ARTERY, TRANSLOCATION 1,956.42
33507 3 REPAIR ART, INTRAMURAL 1,669.98
33508 3 ENDOSCOPIC VEIN HARVEST 15.51
3350F 9 MAMMO BX PROVEN MALIG DOCD 0.00
33510 3 CABG, VEIN, SINGLE 1,888.63
33511 3 CABG, VEIN, TWO 2,049.46
33512 3 CABG, VEIN, THREE 2,285.88
33513 3 CABG, VEIN, FOUR 2,351.65
33514 3 CABG, VEIN, FIVE 2,464.43
33516 3 CABG, VEIN, SIX OR MORE 2,558.83
33517 3 CABG, ARTERY-VEIN, SINGLE 171.76
33518 3 CABG, ARTERY-VEIN, TWO 367.88
33519 3 CABG, ARTERY-VEIN, THREE 493.98
3351F 9 NEG SCRN DEP SYMP BY DEPTOOL 0.00
33520 O CORONARY ARTERY BYPASS, NONAUTOGENO 0.00
33521 3 CABG, ARTERY-VEIN, FOUR 602.13
33522 3 CABG, ARTERY-VEIN, FIVE 690.24
33523 3 CABG, ART-VEIN, SIX OR MORE 791.62
33525 O CORONARY ARTERY BYPASS, NONAUTOGENO 0.00
33528 O CORONARY ARTERY BYPASS, NONAUTOGENO 0.00
3352F 9 NO SIG DEP SYMP BY DEP TOOL 0.00
33530 3 CORONARY ARTERY, BYPASS/REOP 465.12
33533 3 CABG, ARTERIAL, SINGLE 1,846.77
33534 3 CABG, ARTERIAL, TWO 2,126.51
33535 3 CABG, ARTERIAL, THREE 2,340.03
33536 3 CABG, ARTERIAL, FOUR OR MORE 2,500.53
3353F 9 MILD-MOD DEP SYMP BY DEPTOOL 0.00
33542 3 REMOVAL OF HEART LESION 2,348.15
33545 3 REPAIR OF HEART DAMAGE 2,788.74
33548 3 RESTORE/REMODEL, VENTRICLE 2,753.97
3354F 9 CLIN SIG DEP SYM BY DEP TOOL 0.00
33570 O CORONARY ANGIOPLASTY (ENDARTERECTOM 0.00
33572 3 OPEN CORONARY ENDARTERECTOMY 224.09
33575 O CORONARY ANGIOPLASTY (ENDARTERECTOM 0.00
33600 3 CLOSURE OF VALVE 1,638.64
33602 3 CLOSURE OF VALVE 1,567.30
33606 3 ANASTOMOSIS/ARTERY-AORTA 1,697.64
33608 3 REPAIR ANOMALY W/CONDUIT 1,746.49