chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

MELGISORB AG 6 X 61 1
MEPITEL 2 X 3 0 0
MEPITEL 3 X 4 0 0
MEPITEL 4 X 7.2 0 0
COBAN 3M LITE COMP 2 WRAP 2
COBAN 4 X 5 YD 0 0
HYDRO 9 MM TUNNEL 13 DRESSNG13
MEDIHONEY HCS 4.52X 4.5 2
MEDIHONEY CAL ALG 0.75X12
0
COBAN 3M COMPRESSION 13 WRAP 13
ELASTO-GEL PLUS TAPE 0 4X4 0
STIMULEN COLLAGEN 5POWDER
5
MATRIX SKIN SUB PER 105 SQ CM 105
HYDROGEL GOLD DUST 4 FILLER 4
PROTHROMBIN TIME 303 303
ANTI COAG CLINIC 303 VISIT 303
CARDIOVERSION PROC3 3
CARDIO QUICK COMBO 3 PADS 3
SPEC PROC RM-1/2 HR0 0
SPEC PROC RM-1 HR 2 2
SPEC PROC RM-1 1/20HRS
0
SPEC PROC RM- 2 HRS0 0
MONITORED ANES 1ST 3 1/2 HR 3
MON ANES EA ADD'L 015 MIN 0
INSERT TEMP PACEMAKER 1 1
ICU NURSING TIME PER 7 HOUR 7
BLOOD DRAW/CENTRAL 1 LINE 1
BLOOD DRAW THRU SQ 0 PORT 0
PICC INSERTION 1 1
CATHFLO ACT HITECH 0LINES
0
PICC LINE REPOSITION0 0
SQ PORT FLUSH 0 0
AUTOLO BLOOD TRANSFUSION 0 0
IV TEAM VISIT 2 2
HICKMAN CATHETER 0REPAIR
0
E & M LEVEL 1 0 0
E & M LEVEL 2 0 0
E & M LEVEL 3 0 0
E & M LEVEL 4 0 0
E & M LEVEL 5 0 0
BLOOD ADMINISTRATION 0 0
PHLEBOTOMY 0 0
IV PUSH INITIAL 0 0
IV PUSH SEQ SAME DRUG>30 0 0
IV PUSH EA ADD'L SEQ0 0
INJECTION SC, IM 0 0
IV TX HYDRA 31 TO 600 MIN 0