Department of Veterans' Affairs Fee Schedules for Medical Services

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Item RMFS In Hospital % 12213 744.75 868.70 12215 826.55 964.25 12217 744.75 868.70 12250 394.95 460.70 12306 120.65 140.70 12309 120.65 140.70 12312 120.65 140.70 12315 126.80 140.70 12318 120.65 140.70 12321 127.25 140.70 12323 127.35 140.70 12500 255.20 297.65 12503 500.35 583.60 12506 357.30 416.75 12509 255.20 297.65 12512 123.80 144.35 12515 270.80 315.80 12518 123.80 144.35 12521 149.20 174.05 12524 186.50 217.60 12527 100.15 116.70 12530 149.20 174.05 12533 99.75 116.30 13015 300.10 350.00 13020 304.80 355.60 13025 136.35 159.00 13030 192.55 224.60 13100 191.80 187.75 13103 83.90 97.80 13104 203.30 13106 143.05 166.75 13109 268.20 312.90 13110 269.20 313.95 13112 180.35 187.75 13200 4,179.20 4,273.85 13201 3,909.15 3,997.70 13202 625.50 639.60 13203 661.65 668.75 RMFS Out Hospital % Item RMFS In Hospital % 13206 1,150.40 639.60 13209 119.95 116.35 13210 D 13212 458.30 487.00 13215 158.45 152.70 13218 1,109.55 1,090.25 13221 70.20 69.80 13251 569.15 574.25 13290 270.55 280.65 13292 540.95 561.55 13300 67.20 78.30 13303 99.40 116.00 13306 393.50 459.00 13309 335.50 391.40 13312 44.75 39.10 13318 267.90 312.50 13319 267.90 312.50 13400 114.10 133.00 13500 212.40 247.75 13503 424.80 495.55 13506 217.30 253.50 13700 394.20 457.90 13703 141.35 164.15 13706 98.75 114.55 13709 62.85 66.60 13750 161.75 187.75 13755 177.05 187.75 13757 86.30 100.25 13760 901.80 1,047.80 13815 100.80 117.15 13818 134.50 156.25 13830 89.15 103.55 13839 28.55 31.65 13842 82.00 95.20 13847 184.45 214.50 13848 159.55 180.05 13851 583.40 678.25 13854 185.45 157.80 RMFS Out Hospital % 16 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item RMFS In Hospital % 13857 173.20 201.15 13870 426.55 497.50 13873 316.40 369.05 13876 96.25 105.65 13881 172.45 201.15 13882 135.85 158.35 13885 181.05 211.15 13888 90.65 105.65 13915 76.70 89.40 13918 115.35 134.55 13921 130.65 152.25 13924 76.95 89.70 13927 99.40 116.00 13930 138.80 161.85 13933 154.00 179.55 13936 100.40 117.00 13939 115.35 134.55 13942 76.95 89.70 13945 62.00 72.10 13948 76.95 89.70 14050 62.45 72.45 14053 62.45 72.45 14100 212.70 209.55 14106 218.30 209.55 14109 269.50 257.40 14112 291.05 304.65 14115 303.55 352.40 14118 425.80 447.60 14124 180.45 209.55 14200 81.00 82.20 14201 306.15 325.45 14202 154.95 164.75 14203 65.95 70.30 14206 46.05 48.95 14209 114.45 121.90 14212 240.05 254.60 14215 126.35 134.55 14218 126.35 134.55 RMFS Out Hospital % Item RMFS In Hospital % 14221 62.05 72.10 14224 87.50 96.70 14227 119.70 134.55 14230 364.40 14233 442.50 14236 806.85 14239 195.00 14242 579.05 14245 119.70 134.55 15000 54.95 58.45 RMFS Out Hospital % 15003 D 31.25 D 40 15006 140.00 129.65 15009 D 31.46 D 40 15012 84.15 73.45 15100 61.80 65.55 15103 D D 40 15106 72.75 77.35 15109 D D 40 15112 154.80 165.20 15115 D 31.15 D 40 15211 65.65 75.20 15214 D 22.13 D 40 15215 73.30 82.00 15218 73.30 82.00 15221 100.45 82.00 15224 71.85 82.00 15227 88.60 82.00 15230 D 25.02 D 40 15233 D 25.02 D 40 15236 D 71.28 D 40 15239 D 22.56 D 40 15242 D 51.09 D 40 15245 87.90 82.00 15248 73.30 82.00 15251 82.80 82.00 15254 86.95 82.00 15257 88.10 82.00 15260 D 49.86 D 40 1 NOVEMBER 2011 – 31 OCTOBER 2012 17
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 and 16: Item RMFS In Hospital % 359 439.20
Page 17: 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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