Department of Veterans' Affairs Fee Schedules for Medical Services

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Item 38730 3,028.35 38733 2,063.65 38736 3,028.35 38739 2,729.75 38742 2,729.75 38745 2,554.50 38748 3,028.35 38751 3,028.35 38754 4,113.80 38757 3,028.35 38760 3,028.35 38763 3,028.35 38766 3,028.35 RMFS In Hospital % 38800 54.75 52.95 38803 109.10 105.65 38806 189.55 183.50 38809 233.60 226.10 38812 296.90 287.35 39000 101.10 103.50 39003 119.85 117.70 39006 301.10 219.05 39009 83.10 39012 332.45 39013 149.45 149.95 39015 526.05 39018 526.05 39100 322.50 326.45 39106 1,587.55 39109 713.45 609.65 39112 2,592.75 39115 90.40 103.50 39118 434.50 409.25 39121 883.80 867.95 39124 2,261.85 39125 440.40 39126 506.40 39127 624.60 39128 913.30 RMFS Out Hospital % Item 39130 900.15 RMFS In Hospital % 39131 196.65 175.60 39133 223.15 39134 476.55 39135 220.80 39136 223.15 39137 788.40 39138 892.75 39139 1,536.35 39140 414.95 402.40 39300 494.50 39303 750.85 39306 981.65 39309 999.35 39312 520.00 39315 1,565.70 39318 1,100.50 39321 606.75 39323 349.90 380.35 39324 387.10 380.35 39327 663.10 39330 360.35 39331 438.50 380.35 39333 557.55 547.55 39500 1,778.05 39503 1,631.95 39600 683.40 39603 1,553.25 39606 996.75 39609 1,175.10 39612 1,567.60 39615 1,719.75 39640 5,434.85 39642 4,439.35 39646 5,111.25 39650 4,678.00 39653 6,579.40 39654 4,785.05 RMFS Out Hospital % 36 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item 39656 4,554.80 39658 5,214.20 39660 4,241.20 39662 4,241.20 39700 778.80 39703 726.00 39706 1,556.85 39709 2,458.10 39712 4,446.15 39715 3,379.80 39718 1,220.45 39721 1,020.00 39800 4,112.15 39803 4,098.00 39806 1,760.50 39812 883.80 RMFS In Hospital % 39815 2,556.30 2,510.50 39818 2,800.05 39821 2,943.15 39900 726.00 39903 2,483.65 39906 1,055.65 40000 1,283.50 40003 1,256.05 40006 936.30 40009 686.80 40012 1,579.85 40015 893.60 40018 192.10 219.05 40100 967.90 40103 1,209.55 40106 1,826.60 40109 1,658.40 40112 1,900.90 40115 1,010.05 40118 1,617.35 40300 1,458.95 40301 1,682.95 RMFS Out Hospital % Item 40303 1,951.90 40306 2,289.90 40309 1,635.40 40312 2,635.80 40315 2,731.05 40316 3,196.70 40318 3,422.55 40321 1,525.35 40324 894.30 40327 894.30 40330 1,336.10 40331 1,336.10 40332 2,609.35 40333 1,115.15 40334 1,584.95 40335 3,007.40 40336 442.15 40339 2,219.75 40342 2,452.50 40345 1,850.60 40348 2,424.55 40351 2,424.55 40600 1,336.10 40700 2,663.65 40703 1,973.65 RMFS In Hospital % 40706 3,151.15 2,944.45 40709 726.00 40712 1,462.20 40800 784.45 877.45 40801 3,202.50 40803 1,672.70 1,642.80 40850 3,825.70 40851 6,567.80 40852 617.70 40854 958.80 40856 359.15 40858 774.55 40860 3,587.70 RMFS Out Hospital % 1 NOVEMBER 2011 – 31 OCTOBER 2012 37
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 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: Item 38464 470.05 38466 1,295.60 38
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 73 and 74: PATHOLOGY SERVICES PATHOLOGY FEE SC

Department of Veterans' Affairs Fee Schedules for Medical Services

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