Description - DE Medical Assistance Program

21742 REPAIR STERN/NUSS W/O SCOPE 5 $0.00
21743 REPAIR STERNUM/NUSS W/SCOPE 5 $0.00
21750 REPAIR OF STERNUM SEPARATION 3 $671.57
21800 TREATMENT OF RIB FRACTURE 3 $92.11
21805 TREATMENT OF RIB FRACTURE 3 $242.30
21810 TREATMENT OF RIB FRACTURE(S) 3 $468.69
21820 TREAT STERNUM FRACTURE 3 $122.33
21825 TREAT STERNUM FRACTURE 3 $530.68
21899 NECK/CHEST SURGERY PROCEDURE 5 $0.00
21920 BIOPSY SOFT TISSUE OF BACK 3 $236.75
21925 BIOPSY SOFT TISSUE OF BACK 3 $389.29
21930 EXC BACK LES SC < 3 CM 3 $424.24
21931 EXC BACK LES SC = 3 CM 3 $449.13
21932 EXC BACK TUM DEEP < 5 CM 3 $644.38
21933 EXC BACK TUM DEEP = 5 CM 3 $709.69
21935 RESECT BACK TUM < 5 CM 3 $965.79
21936 RESECT BACK TUM = 5 CM 3 $1,373.82
22010 I&D, P-SPINE, C/T/CERV-THOR 3 $852.19
22015 I&D, P-SPINE, L/S/LS 3 $844.79
22100 REMOVE PART OF NECK VERTEBRA 3 $778.82
22101 REMOVE PART, THORAX VERTEBRA 3 $790.42
22102 REMOVE PART, LUMBAR VERTEBRA 3 $752.24
22103 REMOVE EXTRA SPINE SEGMENT 3 $134.49
22105 PARTIAL RESECTION OF VERTEBRAL COMP O $0.00
22106 PARTIAL RESECTION OF VERTEBRAL COMP O $0.00
22107 PARTIAL RESECTION OF VERTEBRAL COMP O $0.00
22110 REMOVE PART OF NECK VERTEBRA 3 $958.24
22112 REMOVE PART, THORAX VERTEBRA 3 $950.27
22114 REMOVE PART, LUMBAR VERTEBRA 3 $917.62
22116 REMOVE EXTRA SPINE SEGMENT 3 $131.95
22140 RECONSTRUCTION OF SPINE WITH BONE G O $0.00
22141 RECONSTRUCTION OF SPINE WITH BONE G O $0.00
22142 RECONSTRUCTION OF SPINE WITH BONE G O $0.00
22145 RECONSTRUCTION OF SPINE FOLLOWING V O $0.00
22148 HARVESTING OF BONE AUTOGRAFT FOR VE O $0.00
22150 RECONSTRUCTION OF SPINE WITH PREFAB O $0.00
22151 RECONSTRUCTION OF SPINE WITH PREFAB O $0.00
22152 RECONSTRUCTION OF SPINE WITH PREFAB O $0.00
22206 CUT SPINE 3 COL, THOR 3 $2,188.83
22207 CUT SPINE 3 COL, LUMB 3 $2,198.86
22208 CUT SPINE 3 COL, ADDL SEG 3 $547.30
22210 REVISION OF NECK SPINE 3 $1,616.41
22212 REVISION OF THORAX SPINE 3 $1,346.72
22214 REVISION OF LUMBAR SPINE 3 $1,356.71
22216 REVISE, EXTRA SPINE SEGMENT 3 $344.61
22220 REVISION OF NECK SPINE 3 $1,464.63
22222 REVISION OF THORAX SPINE 3 $1,350.37
22224 REVISION OF LUMBAR SPINE 3 $1,448.58
22226 REVISE, EXTRA SPINE SEGMENT 3 $344.32