Department of Veterans' Affairs Fee Schedules for Medical Services

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Item RMFS In Hospital % 18286 196.10 202.90 18288 201.55 202.90 18290 376.05 343.15 18292 233.40 171.50 18294 227.85 241.80 18296 242.15 206.85 18298 326.70 241.80 18350 174.70 171.50 18351 174.70 171.50 18352 376.05 343.15 18354 207.20 171.50 18356 213.55 171.50 18358 188.05 171.50 18360 223.40 171.50 18361 223.40 171.50 18362 371.40 338.95 18364 188.05 171.50 18366 192.15 214.90 18368 402.00 366.90 18370 67.90 61.90 18371 60.25 61.90 18372 188.05 171.50 18373 188.05 171.50 RMFS Out Hospital % 30001 D D 40 30003 45.55 49.85 30006 61.05 63.95 30009 96.80 30010 96.80 30013 203.55 30014 203.55 30017 430.55 447.95 30020 780.20 30023 426.85 447.95 30024 426.85 447.95 30026 68.35 71.75 30029 117.85 123.65 30032 108.15 113.35 30035 150.05 161.50 Item RMFS In Hospital % 30038 147.05 123.65 30041 245.55 197.85 30042 245.55 255.05 30045 154.05 161.50 30048 192.85 205.75 30049 239.10 255.05 30052 332.55 348.95 30055 97.55 101.50 30058 183.75 198.35 30061 32.30 32.30 30062 79.55 83.45 30064 131.25 151.00 30067 375.90 307.25 30068 375.90 380.35 30071 68.35 71.75 30074 201.55 161.50 30075 201.55 205.75 30078 60.55 66.60 30081 135.25 151.00 30084 71.05 80.80 30087 38.65 40.50 30090 156.45 176.65 30093 224.65 235.70 30094 248.00 260.20 30096 274.40 252.65 30097 129.55 133.50 30099 117.85 123.65 30102 224.90 205.75 30103 224.90 252.65 30104 193.50 174.40 30106 290.55 213.50 30107 290.55 302.20 30110 486.45 390.70 30111 486.45 510.40 30114 439.45 30165 802.65 624.90 30168 595.50 624.90 30171 1,268.25 950.40 RMFS Out Hospital % 20 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item RMFS In Hospital % 30174 905.45 950.40 30177 1,290.50 30180 178.70 187.55 30183 322.60 338.70 30185 247.50 250.75 30186 61.55 65.20 30187 353.55 353.05 30189 176.20 202.40 30190 585.25 546.50 30192 51.95 54.35 30195 83.10 87.25 30196 165.35 173.55 30197 720.45 604.60 30202 63.35 66.45 30203 222.95 233.95 30205 165.35 173.55 30207 58.50 61.25 30210 262.30 30213 143.80 150.85 30214 143.80 150.85 30216 35.90 37.60 30219 37.60 30223 197.30 30224 311.20 326.45 30225 338.75 367.75 30226 196.10 205.75 30229 357.45 375.00 30232 292.80 307.25 30235 387.10 406.30 30238 196.10 205.75 30241 486.65 489.60 30244 466.60 30246 995.30 30247 967.80 30250 1,663.85 30251 2,540.25 2,640.30 30253 1,158.25 30255 1,682.70 RMFS Out Hospital % Item 30256 668.55 RMFS In Hospital % 30259 261.85 272.75 30262 77.15 80.80 30265 213.60 161.50 30266 213.60 205.75 30269 196.10 205.75 30272 390.85 406.30 30275 2,500.85 30278 58.55 63.95 30281 146.05 164.15 30282 296.95 213.50 30283 296.95 281.30 30286 587.70 546.65 30289 611.65 30293 583.15 611.95 30294 3,142.70 30296 1,485.35 30297 1,491.65 30299 834.60 30300 1,001.50 30302 667.60 30303 801.10 30306 1,195.45 30308 1,212.00 30309 1,593.35 30310 582.05 30313 489.40 375.00 30314 681.60 30315 1,736.95 30317 2,013.50 30318 1,188.25 30320 1,747.40 30321 1,188.25 30323 2,047.90 30324 2,056.45 30329 323.30 339.30 30330 964.15 30332 452.85 RMFS Out Hospital % 1 NOVEMBER 2011 – 31 OCTOBER 2012 21
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 21: Item RMFS In Hospital % 16514 48.20
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: Item 100% MBS Item 100% MBS Item 10
Page 73 and 74:
PATHOLOGY SERVICES PATHOLOGY FEE SC
Page 75 and 76:
Item 100% MBS Item 100% MBS Item 10
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Department of Veterans' Affairs Fee Schedules for Medical Services

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