fee schedule 2009 new - DE Medical Assistance Program

43750 O PLACE GASTROSTOMY TUBE 0.00
43752 3 NASAL/OROGASTRIC W/STENT 38.16
43760 3 CHANGE GASTROSTOMY TUBE 48.43
43761 3 REPOSITION GASTROSTOMY TUBE 115.28
43770 3 LAP PLACE GASTR ADJ DEVICE 967.56
43771 3 LAP REVISE GASTR ADJ DEVICE 1,104.42
43772 3 LAP RMVL GASTR ADJ DEVICE 830.90
43773 3 LAP REPLACE GASTR ADJ DEVICE 1,104.32
43774 3 LAP RMVL GASTR ADJ ALL PARTS 836.37
43800 3 RECONSTRUCTION OF PYLORUS 805.02
43810 3 FUSION OF STOMACH AND BOWEL 869.27
43820 3 FUSION OF STOMACH AND BOWEL 1,104.94
43825 3 FUSION OF STOMACH AND BOWEL 1,121.88
43830 3 PLACE GASTROSTOMY TUBE 598.76
43831 3 PLACE GASTROSTOMY TUBE 500.36
43832 3 PLACE GASTROSTOMY TUBE 917.72
43840 3 REPAIR OF STOMACH LESION 1,124.20
43842 3 V-BAND GASTROPLASTY 1,067.04
43843 3 GASTROPLASTY W/O V-BAND 1,094.35
43844 O GASTRIC BYPASS, OTHER THAN WITH ROU 0.00
43845 3 GASTRIC RESTRICTIVE PROCEDURE 1,708.81
43846 3 GASTRIC BYPASS FOR OBESITY 1,411.61
43847 3 GASTRIC BYPASS INCL SMALL I 1,547.52
43848 3 REVISION GASTROPLASTY 1,673.99
43850 3 REVISE STOMACH-BOWEL FUSION 1,407.82
43855 3 REVISE STOMACH-BOWEL FUSION 1,465.34
43860 3 REVISE STOMACH-BOWEL FUSION 1,422.24
43865 3 REVISE STOMACH-BOWEL FUSION 1,482.78
43870 3 REPAIR STOMACH OPENING 608.74
43880 3 REPAIR STOMACH-BOWEL FISTULA 1,391.29
43881 6 IMPL/REDO ELECTRD, ANTRUM 0.00
43882 6 REVISE/REMOVE ELECTRD ANTRUM 0.00
43885 O ANTERIOR GASTROPEXY FOR HIATAL HERN 0.00
43886 3 REVISE GASTRIC PORT, OPEN 290.86
43887 3 REMOVE GASTRIC PORT, OPEN 273.21
43888 3 CHANGE GASTRIC PORT, OPEN 388.63
43999 5 STOMACH SURGERY PROCEDURE 0.00
44005 3 FREEING OF BOWEL ADHESION 948.67
44010 3 INCISION OF SMALL BOWEL 745.47
44015 3 INSERT NEEDLE CATH BOWEL 129.99
44020 3 EXPLORE SMALL INTESTINE 837.10
44021 3 DECOMPRESS SMALL BOWEL 844.01
44025 3 INCISION OF LARGE BOWEL 851.05
44040 O EXTERIORIZATION OF INTESTINE (MIKUL 0.00
44050 3 REDUCE BOWEL OBSTRUCTION 810.46
44055 3 CORRECT MALROTATION OF BOWEL 1,290.48
44100 3 BIOPSY OF BOWEL 105.05
44110 3 EXCISE INTESTINE LESION(S) 730.38
44111 3 EXCISION OF BOWEL LESION(S) 852.90
44120 3 REMOVAL OF SMALL INTESTINE 1,049.44