Description - DE Medical Assistance Program

43659 LAPAROSCOPE PROC, STOM 5 $0.00
43750 PLACE GASTROSTOMY TUBE O $0.00
43752 NASAL/OROGASTRIC W/STENT 3 $40.75
43760 CHANGE GASTROSTOMY TUBE 3 $48.26
43761 REPOSITION GASTROSTOMY TUBE 3 $117.22
43770 LAP PLACE GASTR ADJ DEVICE 3 $1,020.48
43771 LAP REVISE GASTR ADJ DEVICE 3 $1,162.68
43772 LAP RMVL GASTR ADJ DEVICE 3 $876.37
43773 LAP REPLACE GASTR ADJ DEVICE 3 $1,163.42
43774 LAP RMVL GASTR ADJ ALL PARTS 3 $880.35
43775 LAP SLEEVE GASTRECTOMY 3 $1,258.92
43800 RECONSTRUCTION OF PYLORUS 3 $852.81
43810 FUSION OF STOMACH AND BOWEL 3 $925.94
43820 FUSION OF STOMACH AND BOWEL 3 $1,215.46
43825 FUSION OF STOMACH AND BOWEL 3 $1,190.23
43830 PLACE GASTROSTOMY TUBE 3 $635.38
43831 PLACE GASTROSTOMY TUBE 3 $534.35
43832 PLACE GASTROSTOMY TUBE 3 $970.62
43840 REPAIR OF STOMACH LESION 3 $1,232.33
43842 V-BAND GASTROPLASTY 3 $1,117.63
43843 GASTROPLASTY W/O V-BAND 3 $1,158.79
43844 GASTRIC BYPASS, OTHER THAN WITH ROU O $0.00
43845 GASTROPLASTY DUODENAL SWITCH 3 $1,792.98
43846 GASTRIC BYPASS FOR OBESITY 3 $1,496.89
43847 GASTRIC BYPASS INCL SMALL I 3 $1,636.51
43848 REVISION GASTROPLASTY 3 $1,769.67
43850 REVISE STOMACH-BOWEL FUSION 3 $1,483.70
43855 REVISE STOMACH-BOWEL FUSION 3 $1,538.54
43860 REVISE STOMACH-BOWEL FUSION 3 $1,503.65
43865 REVISE STOMACH-BOWEL FUSION 3 $1,563.21
43870 REPAIR STOMACH OPENING 3 $648.28
43880 REPAIR STOMACH-BOWEL FISTULA 3 $1,467.02
43881 IMPL/REDO ELECTRD, ANTRUM 6 $0.00
43882 REVISE/REMOVE ELECTRD ANTRUM 6 $0.00
43885 ANTERIOR GASTROPEXY FOR HIATAL HERN O $0.00
43886 REVISE GASTRIC PORT, OPEN 3 $319.46
43887 REMOVE GASTRIC PORT, OPEN 3 $291.05
43888 CHANGE GASTRIC PORT, OPEN 3 $411.60
43999 STOMACH SURGERY PROCEDURE 5 $0.00
44005 FREEING OF BOWEL ADHESION 3 $1,003.38
44010 INCISION OF SMALL BOWEL 3 $791.65
44015 INSERT NEEDLE CATH BOWEL 3 $134.18
44020 EXPLORE SMALL INTESTINE 3 $889.01
44021 DECOMPRESS SMALL BOWEL 3 $898.49
44025 INCISION OF LARGE BOWEL 3 $904.67
44040 EXTERIORIZATION OF INTESTINE (MIKUL O $0.00
44050 REDUCE BOWEL OBSTRUCTION 3 $855.20
44055 CORRECT MALROTATION OF BOWEL 3 $1,371.44
44100 BIOPSY OF BOWEL 3 $111.02