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
FOOT LT(2 VIEWS) 0 0 FOOT RT(2 VIEWS) 0 0 FOOT BILATERAL 1 1 FOREARM LEFT 0 0 FOREARM RIGHT 0 0 HAND LEFT 2 2 HAND RIGHT 2 2 HAND LT(2 VIEWS) 0 0 HAND RT(2 VIEWS) 0 0 HAND/WRIST BONE AGE 0 0 HAND BILATERAL 2 2 HEEL (OS CALC) LEFT 0 0 HEEL(OS CALC) RIGHT0 0 HIP(PEL INCL) BILAT 1 1 HIP(PELVIS INCL) LT 1 1 HIP(PELVIS INCL)RT 1 1 HIP RECHECK LEFT 0 0 HIP RECHECK RIGHT 0 0 HIP 2 VIEWS LT 4 4 HIP 2 VIEWS RT 9 9 HIPS PEDIATRIC BILAT0 0 HUMERUS LEFT 0 0 HUMERUS RIGHT 0 0 KNEE NO TRAUMA BILAT 1 1 KNEE NO TRAUMA LEFT 3 3 KNEE NO TRAUMA RIGHT 4 4 KNEE W/OBLIQ LEFT 0 0 KNEE W/OBLIQ RIGHT1 1 KNEE W/OBLIQUE BILAT 0 0 KNEE W/PATELLA BILAT 0 0 KNEE W/PATELLA LEFT0 0 KNEE W/PATELLA RIGHT 0 0 KNEES STANDING BILAT 1 1 LONG BONE SURVEY 0 0 LOWER EXTR INFANT 0LT 0 LOWER EXTR INFANT 0RT 0 LOWER LEG BILAT 0 0 LOWER LEG LEFT 2 2 LOWER LEG RIGHT 0 0 LS SPINE ROUTINE 216 VIEWS 16 LS SPINE W OBLIQUES 6 4VIEW 6 LS SPINE W UPRIGHT 04VIEW 0 LS SPINE&OBL&FLEX&EX 0 6VW 0 LS SPINE SHOOT THRU0 0 LUMBAR SP W FLEX EXT 0 6 VW 0 MAMMO DIAG DIGITAL 0 0 MAMMO DIAG DIGITAL 0 LEFT 0
MAMMO DIAG DIGITAL 0 RIGHT 0 DDC MAMMO SCREEN 167 DIGITAL 167 MANDIBLE 0 0 MANDIBLE(LIMITED) 0 0 MASTOIDS 0 0 MASTOIDS(LIMITED) 0 0 METASTATIC SERIES 0 0 NASAL BONES 0 0 NAVICULAR VIEWS LT0 0 NAVICULAR VIEWS RT0 0 NOSE TO RECTUM/FB0 0 ORBITS 0 0 ORBITS/FOREIGN BODY 0 0 ORBITS WATER VIEW0 0 PELVIS 1 OR 2 VIEWS2 2 RIBS BILATERAL R & L0 0 RIBS ONE SIDE LT 4 4 RIBS ONE SIDE RT 1 1 SACROCOCCYGEAL SPINE 0 0 SACROILIAC JOINTS 0 0 SCAPULA LT 0 0 SCAPULA RT 0 0 SHLDR NO TRAUMA LT6 6 SHLDR NO TRAUMA RT 5 5 SHLDR TRAUMA LT 0 0 SHLDR TRAUMA RT 1 1 SHOULDER 1 VIEW LT0 0 SHOULDER 1 VIEW RT0 0 MAMMO DIAG EXTRA 0 VIEW LT 0 MAMMO DIAG EXTRA 0 VIEW RT 0 MAMMO DIAG EXTRA 0 VIEWS BI 0 MAMMO SCREEN DIG 0 RT DNLSN0 MAMMO SCREEN DIG 1 LT DNLSN 1 MAMMO SCREEN IMPLANT 1 DNLS1 ABDOMEN (KIB/FLAT) 12 12 ABDOMEN FLAT & UPRIGHT 0 0 ABDOMEN LATERAL & 0 AP 0 ABDOMEN W/DECUBITIS 0 0 ABDOMEN WITH LATERAL 0 0 AC JTS, W&WO WTS R&L 0 0 ANKLE LEFT 9 9 ANKLE RIGHT 8 8 ANKLE BILAT 0 0 CERV SPINE TRAUMA0 0 CERV SPINE W/OBL 7 7 CERB SPINE LAT ONLY0 0 CERV SPINE OBL ONLY0 0
- Page 548 and 549: ANTI-STREPTOLYSIN O3 3 S.CEREVISIAE
- Page 550 and 551: RUBEOLA AB,IGG 28 28 SEX HORMONE BI
- Page 552 and 553: COXSACKIE B2 AB 0 0 COXSACKIE B3 AB
- Page 554 and 555: N.GONORRHOEAE RNA 0 0 CORTISONE,SER
- Page 556 and 557: ALBUMIN 0 0 YERSINIA AB 1 1 JANUS K
- Page 558 and 559: GLYCOMARK 0 0 STREPTOMYCIN 0 0 THYR
- Page 560 and 561: CHROMAGRANIN A 3 3 CMV DNA QUANT RT
- Page 562 and 563: ANTI MULLERIAN HORMONE 0 0 TSH ANTI
- Page 564 and 565: INSULIN 0 0 LD, BODY FLUID 0 0 LACT
- Page 566 and 567: MUMPS ANTIBODIES, 0IGG 0 MYCOPLASMA
- Page 568 and 569: C1 ESTERASE INHIB, FUNC 0 0 CCP ANT
- Page 570 and 571: UREAPLASMA MYCOPLASMA 0 HOM 0 MYCOB
- Page 572 and 573: COCONUT, IGE 0 0 ONIONS, IGE 0 0 PI
- Page 574 and 575: PARAINFLUENZA TYPE 0 I 0 PARAINFLUE
- Page 576 and 577: MRI KEN KNEE WO CONT 9 LT 9 MRI KEN
- Page 578 and 579: MRI KEN UPEXT W/WO 0 CON RT 0 MRI K
- Page 580 and 581: PRO FEE STRESS MD SUPERVS 0 0 PRO F
- Page 582 and 583: LOWER LEG-LEFT 7 7 LOWER LEG-RIGHT
- Page 584 and 585: GASTRO TUBE REPLACEMENT 1 1 INSERT
- Page 586 and 587: MAMMO DUCT PROC-RT 1 1 HIP-2 VIEWS
- Page 588 and 589: PYROPHOSPHATE 7 7 I 123 - 200 2 2 S
- Page 590 and 591: US-BIOPSY PROC-PANCR 0 0 US-BIOPSY-
- Page 592 and 593: MRI-LS SPINE W/O CON 43 43 MRI-LS S
- Page 594 and 595: CT CHEST HIGH RESOLU 0 W/O 0 CT CHE
- Page 596 and 597: CT INTRAPERI CATHETER 0 0 CT INTRAP
- Page 600 and 601: CERV SPINE TWO VIEW0 0 CERV SPINE W
- Page 602 and 603: LS SPINE&OBL&FLEX&EX 0 6 VW 0 LS SP
- Page 604 and 605: MRI WRIST WO CON 0LT PLF 0 MRI-WRIS
- Page 606 and 607: CALCITRIOL 0.25 MCG 5 CAP 5 ALLOPUR
- Page 608 and 609: CALCIUM CHLORIDE 10% 0 VIAL 0 CANDE
- Page 610 and 611: DEXAMETHASONE 492 4MG/ML VIAL 492 D
- Page 612 and 613: FIORINAL CAP GENERIC 2 CAP 2 FLUNIS
- Page 614 and 615: HUMALOG MIX 75/250 INSULIN 0 ITRACO
- Page 616 and 617: METHENAMINE 1 GM 0TAB 0 METHOCARBAM
- Page 618 and 619: NITROGLYCERIN 0.4MG 0 SL SP 0 NITRO
- Page 620 and 621: PROCHLORPERAZINE 110 MG VI 1 PROCAI
- Page 622 and 623: TOBRAMYCIN 80 MG/2ML 11 VIAL11 TOBR
- Page 624 and 625: AMIODARONE 200 MG 16 TAB 16 CAFFEIN
- Page 626 and 627: VITAMIN E 200 UNIT 0CAP 0 LAMOTRIGI
- Page 628 and 629: ATORVASTATIN 40205 MG TAB 205 GUAIF
- Page 630 and 631: FLUVASTATIN 20 MG 0CAP 0 CASTOR OIL
- Page 632 and 633: PRAMIPEXOLE .25MG 0TAB 0 AMOXICILLI
- Page 634 and 635: ERTAPENEM 1GM ADDV 0 0 GLYCOPYRROLA
- Page 636 and 637: FOSPROPOFOL 1050MG/30ML 0 0 HAVRIX
- Page 638 and 639: BACITRACIN 50 MU INJ 4 VIAL 4 DRONE
- Page 640 and 641: ACETAMINOPH 100MG/ML 0 DROP0 REPAGL
- Page 642 and 643: FLUCONAZOLE 400 MG/200 0 ML 0 ZOSYN
- Page 644 and 645: SP-CANCEL VISIT DLS0 0 SP-ABSENT DL
- Page 646 and 647: CHCKOT ORTH PROS 0PER 15 0 WHEELCHA
MAMMO DIAG DIGITAL 0 RIGHT 0<br />
DDC MAMMO SCREEN 167 DIGITAL 167<br />
MANDIBLE 0 0<br />
MANDIBLE(LIMITED) 0 0<br />
MASTOIDS 0 0<br />
MASTOIDS(LIMITED) 0 0<br />
METASTATIC SERIES 0 0<br />
NASAL BONES 0 0<br />
NAVICULAR VIEWS LT0 0<br />
NAVICULAR VIEWS RT0 0<br />
NOSE TO RE<strong>CT</strong>UM/FB0 0<br />
ORBITS 0 0<br />
ORBITS/FOREIGN BODY 0 0<br />
ORBITS WATER VIEW0 0<br />
PELVIS 1 OR 2 VIEWS2 2<br />
RIBS BILATERAL R & L0 0<br />
RIBS ONE SIDE LT 4 4<br />
RIBS ONE SIDE RT 1 1<br />
SACROCOCCYGEAL SPINE 0 0<br />
SACROILIAC JOINTS 0 0<br />
SCAPULA LT 0 0<br />
SCAPULA RT 0 0<br />
SHLDR NO TRAUMA LT6 6<br />
SHLDR NO TRAUMA RT 5 5<br />
SHLDR TRAUMA LT 0 0<br />
SHLDR TRAUMA RT 1 1<br />
SHOULDER 1 VIEW LT0 0<br />
SHOULDER 1 VIEW RT0 0<br />
MAMMO DIAG EXTRA 0 VIEW LT 0<br />
MAMMO DIAG EXTRA 0 VIEW RT 0<br />
MAMMO DIAG EXTRA 0 VIEWS BI 0<br />
MAMMO SCREEN DIG 0 RT DNLSN0<br />
MAMMO SCREEN DIG 1 LT DNLSN 1<br />
MAMMO SCREEN IMPLANT 1 DNLS1<br />
ABDOMEN (KIB/FLAT) 12 12<br />
ABDOMEN FLAT & UPRIGHT 0 0<br />
ABDOMEN LATERAL & 0 AP 0<br />
ABDOMEN W/DECUBITIS 0 0<br />
ABDOMEN WITH LATERAL 0 0<br />
AC JTS, W&WO WTS R&L 0 0<br />
ANKLE LEFT 9 9<br />
ANKLE RIGHT 8 8<br />
ANKLE BILAT 0 0<br />
CERV SPINE TRAUMA0 0<br />
CERV SPINE W/OBL 7 7<br />
CERB SPINE LAT ONLY0 0<br />
CERV SPINE OBL ONLY0 0
Change language