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
8703407 DLSN OT WHFOADMPFLXI L3860 274 0 0 4390 8703415 DLSN OT ADDUEJWE,EA L3890 274 0 0 4390 8703423 DLSN OT WHFODYNHINGE L3900 274 0 0 4390 8703431 DLSN OT WHFODYHNGCBL L3901 274 0 0 4390 8703449 DLSN OT WHOWOJT L3906 274 0 0 4390 8703456 DLSN OT WHOWRTHSPICA L3907 274 0 0 4390 8703464 DLSN OT HFOWOJT L3913 274 0 0 4390 8703498 DLSN OT FOWOJT L3933 274 0 0 4390 8703506 DLSN OT FOWJT L3935 274 0 0 4390 8703514 DLSN OT ADDOPERJOINT L3956 274 0 0 4390 8780751 DLSN OT CERVICAL COLLAR FORM FIT 274 0 0 4390 8780801 DLSN OT UNIV CERIVICAL COLLAR 274 0 0 4390 8780850 DLSN OT COLLAR W/OPEN TRACHEA 274 0 0 4390 8780900 DLSN OT UNIV KNEE SPLINT 274 0 0 4390 8780959 DLSN OT UNIVERSAL RIB BELT 274 0 0 4390 8800153 RE-EVAL COMPLEX CTCARE(PROC) PLF 434 0 0 4390 8801151 WHIRLPOOL (PROC) PLF 430 0 0 4390 8801250 PLFD OT HEAT/CYRO (PROC) 430 0 0 4390 8801805 PHYS PERF TEST FTE 15 MIN PLF 434 0 0 4390 8801904 PLFD OT SHORT ARM SPLINT STAT(PROC) 430 0 0 4390 8801953 PLFD OT SHORT ARM SPLINT DYNA(PROC) 430 0 0 4390 8802001 PLFD OT FINGER SPLINT STATIC (PROC) 430 0 0 4390 8802050 PLFD OT FINGER SPLINT DYNAMIC(PROC) 430 0 0 4390 8802100 LOW BACK STRAPPING (PROC) PLF 430 0 0 4390 8802159 SHOULDER STRAPPING (PROC) PLF 430 0 0 4390 8802209 ELBOW/WRIST STRAPPING(PROC) PLF 430 0 0 4373 8802357 HAND/FINGER STRAPPING(PROC) PLF 430 0 0 4373 8802407 THORAX/CHEST STRAP (PROC) PLF 430 0 0 4390 8802506 TOES STRAPPING (PROC) PLF 430 0 0 4373 8802555 UNNA BOOT STRAPPING (PROC) PLF 430 0 0 4390 8802654 CONTRAST BATH PER 15 MIN PLF 430 0 0 4390 8802704 COMM/WORK REINTEG PER 15MIN PLF 430 0 0 4390 8802753 PLFD OT DEVELOP COGN SKILLS/15 MIN 430 0 0 4390 8802761 DEV OF COGNITIVE SKILLS / 15 MIN 430 0 0 4390 8802902 AQUATIC REHAB PER 15 MIN PLF 430 0 0 4390 8802951 WC DEBRIDE >20CM (PROC) PLF 430 0 0 4390 8803009 WC DEBRIDE
8803306 PLFD OT WHFOADDTHUM L3810 274 0 0 4390 8803314 PLFD OT WHFOADD2NDMP L3815 274 0 0 4390 8803322 PLFD OT WHFADIPMP L3820 274 0 0 4390 8803330 PLFD OT WHFADMPEXT L3825 274 0 0 4390 8803348 PLFD OT WHFOADDMPAST L3830 274 0 0 4390 8803355 PLFD OT WHFOADSPREXT L3835 274 0 0 4390 8803363 PLFD OT WHFOADSPGSW L3840 274 0 0 4390 8803371 PLFD OT WHFOADDTHMP L3845 274 0 0 4390 8803389 PLFD OT WHFOADDASST L3850 274 0 0 4390 8803397 PLFD OT WHFOADDMPFLX L3855 274 0 0 4390 8803405 PLFD OT WHFOADMPFLXI L3860 274 0 0 4390 8803413 PLFD OT ADDUEJWE,EA L3890 274 0 0 4390 8803421 PLFD OT WHFODYNHINGE L3900 274 0 0 4390 8803439 PLFD OT WHFODYHNGCBL L3901 274 0 0 4390 8803454 PLFD OT WHOWRTHSPICA L3907 274 0 0 4390 8803504 PLFD OT FOWJT L3935 274 0 0 4390 8803512 PLFD OT ADDOPERJT L3956 274 0 0 4390 8880759 PLFD OT CERVICAL COLLAR FORM FIT 274 0 0 4390 8880809 PLFD OT UNIVERSAL CERVICAL COLLAR 274 0 0 4390 8880858 PLFD OT COLLAR W/OPEN TRACHEA 274 0 0 4390 8880908 PLFD OT UNIVERSAL KNEE SPLINT 274 0 0 4390 8880957 PLFD OT UNIVERSAL RIB BELT 274 0 0 4390 9000050 MISSED APPOINTMENT 990 0 0 4470 9000100 CANCELLATION 990 0 0 4470 9000159 INITIAL IP CONSULT 914 0 0 4470 9000209 FOLLOW-UP IP CONSULT 914 0 0 4470 9001058 INDIV THER 20-30 MIN 914 0 0 4470 9001108 FAMILY PSYCHOTHERAPY 914 0 0 4470 9001157 GROUP THERAPY BY DR 914 0 0 4470 9001207 GROUP THERAPY BY PRN 914 0 0 4470 9001306 GROUP THERAPY-DBT 915 0 0 4470 9001355 EMERGENCY PSYCH EVAL NON CR 459 0 0 4470 9001405 EMER PSYCH EVAL-CREDENTIALED 459 0 0 4470 9001504 THERAPY&MED EVA-APRN 45 50 914 0 0 4470 9001603 MEDS EVAL BY MD 914 0 0 4470 9001652 MEDS EVAL BY APRN 914 0 0 4470 9001751 INITIAL M.D. EVAL 900 0 0 4470 9001801 INITIAL APRN EVAL 900 0 0 4470 9001850 INIT PSYCHOTHER EVAL 914 0 0 4470 9002007 MISSED APPOINTMENT 990 0 0 4470 9002015 CANCELLATION 990 0 0 4470 9002023 PROF FEE EMERG PSYCH EVAL 985 0 0 4470 9002031 PROF FEE INDIV THERAPY 20 30 MIN 985 0 0 4470 9002049 PROF FEE INDIV THERAPY 45 50 MIN 985 0 0 4470 9002056 PROF FEE INDIV THERAPY W/MED EVAL 985 0 0 4470 9002064 PROF FEE INDIV 20 30 MIN W/MED EVAL 985 0 0 4470 9002072 PROF FEE INDIV 75 80 MIN 985 0 0 4470
- Page 183 and 184: 9704602 UNITED HLTHCR/UNITED HLTHCR
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- Page 195 and 196: 9829565 MATERIAL MGMT-NON-MED SUP S
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- Page 199 and 200: 9940453 CT CARPENTERS HEALTH FUND P
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8703407 DLSN OT WHFOADMPFLXI L3860 274 0 0 4390<br />
8703415 DLSN OT ADDUEJWE,EA L3890 274 0 0 4390<br />
8703423 DLSN OT WHFODYNHINGE L3900 274 0 0 4390<br />
8703431 DLSN OT WHFODYHNGCBL L3901 274 0 0 4390<br />
8703449 DLSN OT WHOWOJT L3906 274 0 0 4390<br />
8703456 DLSN OT WHOWRTHSPICA L3907 274 0 0 4390<br />
8703464 DLSN OT HFOWOJT L3913 274 0 0 4390<br />
8703498 DLSN OT FOWOJT L3933 274 0 0 4390<br />
8703506 DLSN OT FOWJT L3935 274 0 0 4390<br />
8703514 DLSN OT ADDOPERJOINT L3956 274 0 0 4390<br />
8780751 DLSN OT CERVICAL COLLAR FORM FIT 274 0 0 4390<br />
8780801 DLSN OT UNIV CERIVICAL COLLAR 274 0 0 4390<br />
8780850 DLSN OT COLLAR W/OPEN TRACHEA 274 0 0 4390<br />
8780900 DLSN OT UNIV KNEE SPLINT 274 0 0 4390<br />
8780959 DLSN OT UNIVERSAL RIB BELT 274 0 0 4390<br />
8800153 RE-EVAL COMPLEX <strong>CT</strong>CARE(PROC) PLF 434 0 0 4390<br />
8801151 WHIRLPOOL (PROC) PLF 430 0 0 4390<br />
8801250 PLFD OT HEAT/CYRO (PROC) 430 0 0 4390<br />
8801805 PHYS PERF TEST FTE 15 MIN PLF 434 0 0 4390<br />
8801904 PLFD OT SHORT ARM SPLINT STAT(PROC) 430 0 0 4390<br />
8801953 PLFD OT SHORT ARM SPLINT DYNA(PROC) 430 0 0 4390<br />
8802001 PLFD OT FINGER SPLINT STATIC (PROC) 430 0 0 4390<br />
8802050 PLFD OT FINGER SPLINT DYNAMIC(PROC) 430 0 0 4390<br />
8802100 LOW BACK STRAPPING (PROC) PLF 430 0 0 4390<br />
8802159 SHOULDER STRAPPING (PROC) PLF 430 0 0 4390<br />
8802209 ELBOW/WRIST STRAPPING(PROC) PLF 430 0 0 4373<br />
8802357 HAND/FINGER STRAPPING(PROC) PLF 430 0 0 4373<br />
8802407 THORAX/CHEST STRAP (PROC) PLF 430 0 0 4390<br />
8802506 TOES STRAPPING (PROC) PLF 430 0 0 4373<br />
8802555 UNNA BOOT STRAPPING (PROC) PLF 430 0 0 4390<br />
8802654 CONTRAST BATH PER 15 MIN PLF 430 0 0 4390<br />
8802704 COMM/WORK REINTEG PER 15MIN PLF 430 0 0 4390<br />
8802753 PLFD OT DEVELOP COGN SKILLS/15 MIN 430 0 0 4390<br />
8802761 DEV OF COGNITIVE SKILLS / 15 MIN 430 0 0 4390<br />
8802902 AQUATIC REHAB PER 15 MIN PLF 430 0 0 4390<br />
8802951 WC DEBRIDE >20CM (PROC) PLF 430 0 0 4390<br />
8803009 WC DEBRIDE
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