Department of Veterans' Affairs Fee Schedules for Medical Services

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REPATRIATION MEDICAL FEE SCHEDULE Item RMFS In Hospital % 99 D D 104 115.85 113.35 105 58.25 57.00 106 96.15 94.10 107 166.30 108 105.25 109 260.95 255.45 110 204.25 199.95 112 D 116 102.30 100.05 119 58.25 57.00 122 242.60 128 146.75 131 105.65 132 356.20 349.65 133 178.35 175.05 135 356.20 349.65 137 356.20 349.65 139 172.15 141 610.90 599.70 143 381.90 374.85 145 727.15 147 454.55 149 D 160 293.85 287.70 161 489.60 479.50 162 685.20 671.05 163 881.25 863.15 164 979.30 959.05 170 135.55 152.70 171 142.80 160.90 172 173.80 195.75 173 29.95 29.25 193 48.10 195 D 23.83 197 93.15 199 137.10 288 D RMFS Out Hospital % Item RMFS In Hospital % 289 349.70 349.65 291 599.70 293 374.85 296 344.90 297 352.15 299 412.45 300 57.45 302 114.55 304 176.35 306 243.35 308 282.45 310 28.65 312 57.45 314 88.30 316 121.85 318 141.25 319 243.35 320 58.75 322 117.00 324 180.10 326 248.60 328 288.30 330 105.40 332 165.20 334 240.65 336 291.15 338 330.65 342 66.85 65.35 344 88.70 86.75 346 131.10 128.25 348 171.60 167.95 350 236.90 231.90 352 171.60 167.95 353 67.50 75.85 355 134.60 151.65 356 197.40 222.30 357 272.35 306.70 358 331.80 373.65 RMFS Out Hospital % 12 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item RMFS In Hospital % 359 439.20 431.10 361 404.00 396.50 364 58.75 57.45 366 117.00 114.55 367 171.60 176.35 369 236.90 243.50 370 288.30 282.45 385 115.85 113.35 386 58.25 57.00 387 169.80 166.30 388 107.55 105.25 389 D 410 25.95 411 56.65 412 109.50 413 161.30 RMFS Out Hospital % 414 D 37.97 35 415 D 37.75 35 416 D 37.89 35 417 D 37.85 35 501 45.30 503 76.55 507 128.60 511 181.95 515 281.70 519 193.70 520 372.10 530 609.80 532 847.55 534 1,085.50 536 1,204.45 597 598 144.45 141.45 600 171.25 167.75 820 184.30 822 276.50 823 368.50 825 132.40 Item RMFS In Hospital % 826 211.10 828 289.80 830 188.25 184.30 832 282.40 276.50 834 376.25 368.50 835 132.40 837 211.10 838 289.80 855 188.25 184.30 857 282.40 276.50 858 376.25 368.50 861 188.25 184.30 864 282.40 276.50 866 376.25 368.50 871 108.70 106.40 872 50.60 49.55 880 65.80 2100 25.40 2122 D 2125 D 2126 55.30 2137 D 2138 D 2143 107.20 2147 D 2179 D 2195 157.70 2199 D 2220 D 2801 204.25 199.95 2806 102.30 100.05 2814 58.25 57.00 2820 D 2824 242.60 2832 146.75 2840 105.65 2946 188.25 184.30 2949 282.40 276.50 RMFS Out Hospital % 1 NOVEMBER 2011 – 31 OCTOBER 2012 13
Page 1 and 2: Department of Veterans’ Affairs F
Page 3 and 4: DEPARTMENT OF VETERANS’ AFFAIRS M
Page 5 and 6: LOCAL MEDICAL OFFICER FEE SCHEDULE
Page 7 and 8: LOCAL MEDICAL OFFICER FEE SCHEDULE
Page 9 and 10: DERIVED FEES - READY RECKONER FOR L
Page 11 and 12: Item Nos. Patients LMO Fee 2631 1 $
Page 13: REPATRIATION MEDICAL FEE SCHEDULE R
Page 17 and 18: Item RMFS In Hospital % 11240 104.0
Page 29 and 30: Item 32168 169.80 32171 111.10 RMFS
Page 33 and 34: Item 35687 526.00 35688 526.00 3569
Page 35 and 36: Item 37221 676.75 37223 299.35 RMFS
Page 37 and 38: Item 38464 470.05 38466 1,295.60 38
Page 39 and 40: Item 39656 4,554.80 39658 5,214.20
Page 43 and 44: Item 42683 175.85 RMFS In Hospital
Page 49 and 50: Item 46315 1,374.70 46318 1,896.25
Page 51 and 52: Item 47432 669.70 RMFS In Hospital
Page 53 and 54: Item 48215 1,011.65 48218 963.75 48
Page 55 and 56: Item 49563 1,279.25 49564 1,525.10
Page 59 and 60: Item RMFS In Hospital % 52460 1,094
Page 61 and 62: RELATIVE VALUE GUIDE RELATIVE VALUE
Page 63 and 64: Item Relative Value Guide Item Rela
Page 65 and 66:
Item Relative Value Guide Item Rela
Page 67 and 68:
DIAGNOSTIC IMAGING SERVICES Item 10
Page 69 and 70:
Item 100% MBS Item 100% MBS Item 10
Page 71 and 72:
Page 73 and 74:
PATHOLOGY SERVICES PATHOLOGY FEE SC
Page 75 and 76:
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Department of Veterans' Affairs Fee Schedules for Medical Services

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