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Days | BS Description E | ICD | IOS BS | CPT | PACKAGE | Price | Center |
|---|---|---|---|---|---|---|---|
0 | CPM (CONTINUES PASSIVE MOTION) | 760025 | 50 | ||||
0 | Different Medical Insole | 760026 | 10013 | 50 | |||
0 | Electrical Massage | 96162-00[1908] | 760027 | 9616200 | 50 | ||
0 | Electrical Stimulation | 13400-00[1890] | 760028 | 1340000 | 75 | ||
0 | Electrotherapy | 30195-06[1612] | 760029 | 3019506 | 60 | ||
0 | H.K.A.F.O. Orthosis | 760030 | 9609100 | 8,000.00 | |||
0 | HEPATITIS B IMMUNOGLOBULIN INFUSION SESSION [ HBIG ] (INCL; DRUG PREP, CONSULT SUPERVISION,ACCOM, IVFLUIDS,SUPPLIES, NURSE | 13706-05[1893] | 760031 | 2,600.00 | |||
CARE, W/OUT MED) | |||||||
0 | HEPATORRHAPHY [ REPAIR OF LIVER LACERATION ] | 30422-00[954] | 760032 | 3,200.00 | |||
0 | Hydrotherapy | 96153-00[1880] | 760034 | 9615300 | 100 | ||
0 | IN PATIENT PHYSIOTHERAPY (PARTIAL) | 95550-00[1920] | 760035 | 9555000 | 100 | ||
0 | Includes an assessment by Rehabilitation Consultant. Twelve | 760036 | 5,400.00 |
CPM (CONTINUES PASSIVE MOTION)
50
Different Medical Insole
50
Electrical Massage
50
Electrical Stimulation
75
Electrotherapy
60
H.K.A.F.O. Orthosis
8,000.00
HEPATITIS B IMMUNOGLOBULIN INFUSION SESSION [ HBIG ] (INCL; DRUG PREP, CONSULT SUPERVISION,ACCOM, IVFLUIDS,SUPPLIES, NURSE
2,600.00
CARE, W/OUT MED)
HEPATORRHAPHY [ REPAIR OF LIVER LACERATION ]
3,200.00
Hydrotherapy
100
IN PATIENT PHYSIOTHERAPY (PARTIAL)
100
Includes an assessment by Rehabilitation Consultant. Twelve
5,400.00
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