MSP Billing Codes

Specialty: Hospital

Code	Description	Fee
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19961	Worksafebc hosp - acute care per diem	$2,139.00
19749	Worksafebc hosp - compression garments	$300.00
19795	Worksafebc hosp - computerized tomography (ct)	$687.00
19748	Worksafebc hosp - custom braces/splints	$500.00
19957	Worksafebc hosp - day care surgery	$1,385.00
19958	Worksafebc hosp - fiberglass cast	$500.00
19786	Worksafebc hosp - haemodialysis	$544.00
19798	Worksafebc hosp - high cost diag imaging	$337.00
19792	Worksafebc hosp - hyperbaric oxygen therapy	$3,554.00
19954	Worksafebc hosp - iv therapy	$337.00
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19955	Worksafebc hosp - iv therapy 2nd visit of the day	$337.00
19956	Worksafebc hosp - iv therapy 3rd visit of the day	$337.00
19744	Worksafebc hosp - medical misc - take away items	$200.00
19793	Worksafebc hosp - medical resonance imaging (mri)	$638.00
19743	Worksafebc hosp - nerve/epidural block	$337.00
19796	Worksafebc hosp - out patient treatment services	$60.00
19960	Worksafebc hosp - per diem extended ltc	$405.00
19741	Worksafebc hosp - preferred accomm(private/semi pr	$180.00
19789	Worksafebc hosp - prosthetics	$2,300.00
19791	Worksafebc hosp - radioactive therapy services	$587.00
19790	Worksafebc hosp - referred in laboratory specimens	$142.00
19788	Worksafebc hosp-orthotics/custom braces	$500.00
19787	Worksafebc hosp/cancer chemo visit + treatment	$550.00
19897	Worksafebc hosp/cancer chemotherapy visit (high)	$3,000.00
19747	Worksafebc hosp/cast clinc/booked outpatient visit	$337.00
19745	Worksafebc hosp/dressing changes/booked outpatient	$337.00
19742	Worksafebc hosp/medical imaging 2nd opinion/exped	$200.00
19794	Worksafebc hosp/medical resonance angiogram (mra)	$638.00
19746	Worksafebc hosp/sterile environ/booked outpatient	$337.00
19921	Worksafebc hospital emergency per diem rate	$337.00
19948	Worksafebc hospital outpatient clinic visit	$1,472.00
19947	Worksafebc hospital outpatient clinic visit	$80.00

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