chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov
8303356 PLFD WHFOADDSPREXT L3835 274 0 0 4370 8303364 PLFD WHFOADSPGS L3840 274 0 0 4370 8303372 PLFD WHFOADDTHMP L3845 274 0 0 4370 8303380 PLFD WHFOADDASST L3850 274 0 0 4370 8303398 PLFD WHFOADDMPFLX L3855 274 0 0 4370 8303406 PLFD WHFOADMPFLIP L3860 274 0 0 4370 8303414 PLFD ADDTOUEJWE,EA L3890 274 0 0 4370 8303422 PLFD WHFODYNHINGE L3900 274 0 0 4370 8303430 PLFD WHFODYNHNGCABLE L3901 274 0 0 4370 8303448 PLFD WHOWOJT L3906 274 0 0 4370 8303455 PLFD WHOWRTHSPICA L3907 274 0 0 4370 8303463 PLFD HFOWOJT L3913 274 0 0 4370 8303471 PLFD HOWOJT L3919 274 0 0 4370 8303489 PLFD HFO1+JT L3921 274 0 0 4370 8303497 PLFD FOWOJT L3933 274 0 0 4370 8303505 PLFD FOWJT L3935 274 0 0 4370 8303513 PLFD ADDTOPERJOINT L3956 274 0 0 4370 8380750 PLFD CERVICAL COLLAR FORM FIT 274 0 0 4370 8380800 PLFD UNIVERSAL CERVICAL COLLAR 274 0 0 4370 8380859 PLFD COLLAR W/OPEN TRACHEA 274 0 0 4370 8380909 PLFD UNIVERSAL KNEE SPLINT 274 0 0 4370 8380958 PLFD UNIVERSAL RIB BELT 274 0 0 4370 8400152 RE-EVAL COMPLEX CT CARE (PROC) 424 0 0 4370 8401259 MOIST HEAT/CRYO (PROC) 420 0 0 4370 8401804 FUNCTIONAL CAPACITY PER 15 MIN 420 0 0 4370 8401952 SHORT ARM SPLINT DYN 420 0 0 4370 8402000 FINGER SPLINT STATIC 420 0 0 4370 8402059 FINGER SPLINT DYNAMI 420 0 0 4370 8402109 LOW BACK STRAPPING (PROC) 420 0 0 4371 8402158 SHOULDER STRAPPING (PROC) 420 0 0 4371 8402208 ELBOW/WRIST STRAPPING (PROC) 420 0 0 4371 8402356 HAND/FINGER STRAPPING (PROC) 420 0 0 4371 8402406 THORAX/CHEST STRAP (PROC) 420 0 0 4370 8402505 TOES STRAPPING (PROC) 420 0 0 4370 8402554 UNNA BOOT STRAPPING (PROC) 420 0 0 4370 8402653 CONTRAST BATHS PER 15 MIN 420 0 0 4370 8402703 COMM/WORK REINTEGRAT PER 15 MIN 420 0 0 4370 8402752 DEVELOP COGN SKILLS PER 15 MIN 420 0 0 4370 8402802 SENSORY INTEG TECH PER 15 MIN 420 0 0 4370 8402901 AQUATIC REHAB/15 MIN 420 0 0 4371 8402950 WC DEBRID >20CM (PROC) 420 0 0 4371 8403008 WC DEBRID
8403263 EWHORTHO L3763 274 0 0 4370 8403271 EWHFOWOJT L3765 274 0 0 4370 8403289 WHFOSHOPPON L3800 274 0 0 4370 8403297 WHFOLGOPPONENS L3805 274 0 0 4370 8403305 WHFOADDTHUMB L3810 274 0 0 4370 8403313 WHFOADD2NDMP L3815 274 0 0 4370 8403321 WHFOADDIPEXTMP L3820 274 0 0 4370 8403339 WHFOADDMPEXTST L3825 274 0 0 4370 8403347 WHFOADDMPAST L3830 274 0 0 4370 8403354 WHFOADDSPREXT L3835 274 0 0 4370 8403362 WHFOADDSPRGSWVL L3840 274 0 0 4370 8403370 WHFOADDTHMP L3845 274 0 0 4370 8403388 WHFOADDASST L3850 274 0 0 4370 8403396 WHFOADDMPFLX L3855 274 0 0 4370 8403404 WHFOADOMPFLXIP L3860 274 0 0 4370 8403412 ADDTOUEJWE,EA L3890 274 0 0 4370 8403420 WHFODYNHINGE L3900 274 0 0 4370 8403438 WHFODYNHNGCABLE L3901 274 0 0 4370 8403446 WHOWOJT L3906 274 0 0 4370 8403453 WHOWRTHSPICA L3907 274 0 0 4370 8403479 HOWOJT L3919 274 0 0 4370 8403487 HFO1+JT L3921 274 0 0 4370 8403495 FOWOJT L3933 274 0 0 4370 8403503 FOWJT L3935 274 0 0 4370 8403511 ADDTOPERJOINT L3956 274 0 0 4370 8480055 PHYS THER SUPPLIES 420 0 0 4370 8480808 UNIVERSAL CERV COLLA 274 0 0 4370 8480857 COLLAR W/OPEN TRACH 274 0 0 4370 8480907 UNIV KNEE SPLINT 274 0 0 4370 8480956 UNIV RIB BELT 274 0 0 4370 8481004 WHFOJT L3806 274 0 0 4370 8481012 WHFOWOJT L3808 274 0 0 4370 8481020 REPLSTRAP L4002 274 0 0 4370 8481038 REPAIRTIME L4205 274 0 0 4370 8481046 REPAIRMINOR L4210 274 0 0 4370 8481053 ELBOWORTHO L3702 274 0 0 4370 8481061 EWHORTHO L3763 274 0 0 4370 8481079 EWHFOWOJT L3765 274 0 0 4370 8481087 WHFOSHOPPON L3800 274 0 0 4370 8500050 EVAL SPEECH & LANGUA 274 0 0 4370 8500100 SPEECH & LANGUAGE TX 274 0 0 4370 8500159 SWALLOW EVAL 274 0 0 4370 8500209 SWALLOW TX 274 0 0 4370 8500258 AAC EVAL NON-SP GEN 274 0 0 4370 8500308 AAC THER SERV NON SP 274 0 0 4370 8500357 AAC EVAL SPEECH GEN 274 0 0 4370 8500407 AAC 30 ADDIT'L MIN 274 0 0 4370
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8303356 PLFD WHFOADDSPREXT L3835 274 0 0 4370<br />
8303364 PLFD WHFOADSPGS L3840 274 0 0 4370<br />
8303372 PLFD WHFOADDTHMP L3845 274 0 0 4370<br />
8303380 PLFD WHFOADDASST L3850 274 0 0 4370<br />
8303398 PLFD WHFOADDMPFLX L3855 274 0 0 4370<br />
8303406 PLFD WHFOADMPFLIP L3860 274 0 0 4370<br />
8303414 PLFD ADDTOUEJWE,EA L3890 274 0 0 4370<br />
8303422 PLFD WHFODYNHINGE L3900 274 0 0 4370<br />
8303430 PLFD WHFODYNHNGCABLE L3901 274 0 0 4370<br />
8303448 PLFD WHOWOJT L3906 274 0 0 4370<br />
8303455 PLFD WHOWRTHSPICA L3907 274 0 0 4370<br />
8303463 PLFD HFOWOJT L3913 274 0 0 4370<br />
8303471 PLFD HOWOJT L3919 274 0 0 4370<br />
8303489 PLFD HFO1+JT L3921 274 0 0 4370<br />
8303497 PLFD FOWOJT L3933 274 0 0 4370<br />
8303505 PLFD FOWJT L3935 274 0 0 4370<br />
8303513 PLFD ADDTOPERJOINT L3956 274 0 0 4370<br />
8380750 PLFD CERVICAL COLLAR FORM FIT 274 0 0 4370<br />
8380800 PLFD UNIVERSAL CERVICAL COLLAR 274 0 0 4370<br />
8380859 PLFD COLLAR W/OPEN TRACHEA 274 0 0 4370<br />
8380909 PLFD UNIVERSAL KNEE SPLINT 274 0 0 4370<br />
8380958 PLFD UNIVERSAL RIB BELT 274 0 0 4370<br />
8400152 RE-EVAL COMPLEX <strong>CT</strong> CARE (PROC) 424 0 0 4370<br />
8401259 MOIST HEAT/CRYO (PROC) 420 0 0 4370<br />
8401804 FUN<strong>CT</strong>IONAL CAPACITY PER 15 MIN 420 0 0 4370<br />
8401952 SHORT ARM SPLINT DYN 420 0 0 4370<br />
8402000 FINGER SPLINT STATIC 420 0 0 4370<br />
8402059 FINGER SPLINT DYNAMI 420 0 0 4370<br />
8402109 LOW BACK STRAPPING (PROC) 420 0 0 4371<br />
8402158 SHOULDER STRAPPING (PROC) 420 0 0 4371<br />
8402208 ELBOW/WRIST STRAPPING (PROC) 420 0 0 4371<br />
8402356 HAND/FINGER STRAPPING (PROC) 420 0 0 4371<br />
8402406 THORAX/CHEST STRAP (PROC) 420 0 0 4370<br />
8402505 TOES STRAPPING (PROC) 420 0 0 4370<br />
8402554 UNNA BOOT STRAPPING (PROC) 420 0 0 4370<br />
8402653 CONTRAST BATHS PER 15 MIN 420 0 0 4370<br />
8402703 COMM/WORK REINTEGRAT PER 15 MIN 420 0 0 4370<br />
8402752 DEVELOP COGN SKILLS PER 15 MIN 420 0 0 4370<br />
8402802 SENSORY INTEG TECH PER 15 MIN 420 0 0 4370<br />
8402901 AQUATIC REHAB/15 MIN 420 0 0 4371<br />
8402950 WC DEBRID >20CM (PROC) 420 0 0 4371<br />
8403008 WC DEBRID