Description - DE Medical Assistance Program

49255 REMOVAL OF OMENTUM 3 $722.73
49300 PERITONEOSCOPY WITHOUT BIOPSY O $0.00
49301 PERITONEOSCOPY WITH BIOPSY O $0.00
49302 PERITONEOSCOPY WITH GUIDED TRANSHEP O $0.00
49303 PERITONEOSCOPY WITH GUIDED TRANSHEP O $0.00
49310 LAPAROSCOPY, SURGICAL; CHOLECYSTECT O $0.00
49311 LAPAROSCOPY, SURGICAL; CHOLECYSTECT O $0.00
49315 LAPAROSCOPY, SURGICAL;APPENDECTOMY O $0.00
49320 DIAG LAPARO SEPARATE PROC 3 $302.18
49321 LAPAROSCOPY, BIOPSY 3 $318.66
49322 LAPAROSCOPY, ASPIRATION 3 $344.69
49323 LAPARO DRAIN LYMPHOCELE 3 $589.72
49324 LAP INSERTION PERM IP CATH 3 $362.95
49325 LAP REVISION PERM IP CATH 3 $388.03
49326 LAP W/OMENTOPEXY ADD-ON 3 $176.52
49329 LAPARO PROC, ABDM/PER/OMENT 5 $0.00
49400 AIR INJECTION INTO ABDOMEN 3 $168.79
49401 PNEUMOPERITONEUM (SEPARATE PROCEDUR O $0.00
49402 REMOVE FOREIGN BODY, ADBOMEN 3 $783.29
49411 INS MARK ABD/PEL FOR RT PERQ 3 $507.82
49419 INSRT ABDOM CATH FOR CHEMOTX 3 $412.98
49420 INSERT ABDOM DRAIN, TEMP 3 $129.73
49421 INSERT ABDOM DRAIN, PERM 3 $356.15
49422 REMOVE PERM CANNULA/CATHETER 3 $356.35
49423 EXCHANGE DRAINAGE CATHETER 3 $75.43
49424 ASSESS CYST, CONTRAST INJECT 3 $39.83
49425 INSERT ABDOMEN-VENOUS DRAIN 3 $700.91
49426 REVISE ABDOMEN-VENOUS SHUNT 3 $593.48
49427 INJECTION, ABDOMINAL SHUNT 3 $45.70
49428 LIGATION OF SHUNT 3 $403.51
49429 REMOVAL OF SHUNT 3 $419.01
49435 INSERT SUBQ EXTEN TO IP CATH 3 $112.38
49436 EMBEDDED IP CATH EXIT-SITE 3 $171.15
49440 PLACE GASTROSTOMY TUBE PERC 3 $1,044.32
49441 PLACE DUOD/JEJ TUBE PERC 3 $1,138.36
49442 PLACE CECOSTOMY TUBE PERC 3 $995.28
49446 CHANGE G-TUBE TO G-J PERC 3 $958.56
49450 REPLACE G/C TUBE PERC 3 $68.16
49451 REPLACE DUOD/JEJ TUBE PERC 3 $94.88
49452 REPLACE G-J TUBE PERC 3 $146.24
49460 FIX G/COLON TUBE W/DEVICE 3 $768.64
49465 FLUORO EXAM OF G/COLON TUBE 3 $164.77
49491 RPR HERN PREEMIE REDUC 3 $715.68
49492 RPR ING HERN PREMIE, BLOCKED 3 $853.31
49495 RPR ING HERNIA BABY, REDUC 3 $364.33
49496 RPR ING HERNIA BABY, BLOCKED 3 $556.05
49500 RPR ING HERNIA, INIT, REDUCE 3 $364.09
49501 RPR ING HERNIA, INIT BLOCKED 3 $546.00
49505 PRP I/HERN INIT REDUC >5 YR 3 $470.97