Department of Veterans' Affairs Fee Schedules for Medical Services

LOCAL MEDICAL OFFICER FEE SCHEDULE
LOCAL MEDICAL OFFICER FEE SCHEDULE
1 November 2011
The Local Medical Officer Fee Schedule lists fees for medical attendances and consultations
provided by general practitioners participating in DVA’s Local Medical Officer (LMO) Scheme.
LMOs will be paid at 115% of the listed MBS fee plus the relevant Veterans Access Payment (VAP)
or where applicable the Rural Enhancement Initiative (REI) loading.
The VAP can be claimed using the Medicare Bulk Billing Incentive item numbers as follows:
• Items 10990, 64990 and 74990 are to be used when claiming the $6.90 VAP; and
• Items 10991, 10992, 64991 and 74991 when claiming the $10.45 VAP.
Please note that VAP is not payable on items provided to inpatients of a hospital or day surgery,
Coordinated Veterans’ Care Program UP items and Telehealth consultation items. Items 10990,
10991 and 10992 are VAP incentives and are paid at 100% of the MBS fee.
Derived fees are indicated by a “D” in the column of the Schedule. Please refer to the derived fees
section of the booklet for benefit calculation.
The REI loading is available to LMOs who provide services to veterans in designated rural public
hospitals by State or Territory governments. The REI only applies to those In Hospital items indicated
in the Local Medical Officer Fee Schedule. The REI loading is an additional 10% of the LMO fee.
For items not listed in the LMO schedule please refer to the appropriate schedule in this booklet.
• For derived fees for Local Medical Officers, please use the Derived Fees for Local Medical
Officers Fee Schedule.
• For all specialist attendances and consultations, investigative and general medical
procedures claim from the Repatriation Medical Fee Schedule.
• For In Hospital anaesthetic services please use Relative Value Guide Fee Schedule.
• For diagnostic imaging services claim from the Diagnostic Imaging Fee Schedule.
• For pathology services claim from the Pathology Fee Schedule.
2 1 NOVEMBER 2011 – 31 OCTOBER 2012