Department of Veterans' Affairs Fee Schedules for Medical Services

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Item RMFS In Hospital % 2954 376.25 368.50 2958 135.30 132.40 2972 215.65 211.10 2974 296.05 289.80 2978 188.25 2984 282.40 2988 376.25 2992 132.40 2996 211.10 3000 289.80 3005 204.25 199.95 3010 102.30 100.05 3014 58.25 57.00 3015 D 3018 242.60 3023 146.75 3028 105.65 3032 188.25 184.30 3040 282.40 276.50 3044 376.25 368.50 3051 135.30 132.40 3055 215.65 211.10 3062 296.05 289.80 3069 188.25 3074 282.40 3078 376.25 3083 132.40 3088 211.10 3093 289.80 5906 25.95 5908 56.65 5910 107.50 5912 158.30 6007 175.40 171.75 6009 58.25 57.00 6011 115.85 113.35 6013 160.40 157.05 6015 204.25 199.95 RMFS Out Hospital % Item RMFS In Hospital % 6016 D 10801 164.70 161.20 10802 164.70 161.20 10803 164.70 161.20 10804 164.70 161.20 10805 164.70 161.20 10806 164.70 161.20 10807 164.70 161.20 10808 164.70 161.20 10809 164.70 161.20 10816 164.70 161.20 11000 151.60 169.15 11003 386.25 447.55 11004 385.25 447.55 11005 385.25 447.55 11006 197.50 229.50 11009 269.40 312.90 11012 132.70 153.90 11015 177.30 205.95 11018 264.90 307.65 11021 214.20 205.95 11024 134.75 156.45 11027 199.75 232.05 11200 52.55 56.10 11203 89.10 94.75 11204 139.65 148.75 11205 139.65 148.75 11210 153.25 148.75 11211 139.65 148.75 11212 90.65 96.35 11215 180.35 169.00 11218 277.75 208.75 11221 101.55 93.10 11222 87.50 93.10 11224 52.60 56.15 11225 52.60 56.15 11235 158.35 168.65 11237 105.20 111.95 RMFS Out Hospital % 14 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item RMFS In Hospital % 11240 104.05 111.95 11241 133.85 142.40 11242 103.40 110.05 11243 103.40 110.05 11300 248.55 264.40 11303 248.55 264.40 11304 408.95 435.50 11306 28.35 30.10 11309 36.10 36.15 11312 51.30 51.05 11315 71.55 67.65 11318 89.05 83.45 11321 148.90 158.50 11324 43.60 45.15 11327 28.65 27.20 11330 10.20 10.85 11332 75.45 80.45 11333 57.55 61.25 11336 57.55 61.25 11339 57.55 61.25 11500 283.35 229.50 11503 170.45 190.50 11506 24.80 28.25 11509 42.25 49.00 11512 73.05 84.85 11600 95.05 95.20 11602 73.10 79.35 11604 89.20 104.05 11605 89.20 104.05 11610 75.20 87.60 11611 76.40 87.60 11612 132.35 154.45 11614 94.15 104.05 11615 100.50 104.30 11627 295.00 314.20 11700 37.60 42.95 11701 18.65 21.35 11702 19.65 21.35 RMFS Out Hospital % Item RMFS In Hospital % 11708 151.40 175.70 11709 198.15 230.10 11710 61.40 71.35 11711 33.55 38.85 11712 179.95 209.05 11713 87.60 95.85 11715 142.55 165.90 11718 41.20 47.75 11721 82.55 95.85 11722 41.20 47.75 11724 199.75 232.05 11727 122.10 130.20 11800 205.55 239.70 11810 205.55 239.70 11820 2,401.40 2,801.70 11823 2,401.40 2,801.70 11830 219.95 256.65 11833 294.30 343.15 11900 33.75 37.90 11903 131.55 152.70 11906 131.55 152.70 11909 195.30 226.90 11912 212.60 226.90 11915 195.30 226.90 11917 511.60 588.50 11919 505.35 588.50 11921 96.70 103.15 12000 55.25 53.50 12003 111.40 80.85 12012 24.55 28.60 12015 73.60 85.85 12018 94.75 110.40 12021 138.85 161.95 12200 43.90 51.10 12201 2,818.10 3,287.65 12203 692.55 807.90 12207 692.55 807.90 12210 826.55 964.25 RMFS Out Hospital % 1 NOVEMBER 2011 – 31 OCTOBER 2012 15
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 and 14: REPATRIATION MEDICAL FEE SCHEDULE R
Page 15: Item RMFS In Hospital % 359 439.20
Page 19 and 20: Item RMFS In Hospital % 13857 173.2
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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