Department of Veterans' Affairs Fee Schedules for Medical Services

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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
LOCAL MEDICAL OFFICER FEE SCHEDULE Item LMO Fee REI Benefit VAP 10990, 64990, 74990 VAP 10991, 10992, 64991, 74991 3 18.75 Y Y 4 D Y Y Y 20 D Y Y 23 40.95 Y Y 24 D Y Y Y 35 D Y Y 36 79.35 Y Y 37 D Y Y Y 43 D Y Y 44 116.80 Y Y 47 D Y Y Y 51 D Y Y 52 12.65 Y Y 53 24.15 Y Y 54 43.70 Y Y 57 70.15 Y Y 58 D Y Y 59 D Y Y 60 D Y Y 65 D Y Y 92 D Y Y 93 D Y Y 95 D Y Y 96 D Y Y 597 143.65 Y Y 599 169.30 Y Y 701 65.70 Y Y 703 152.65 Y Y 705 210.55 Y Y 707 297.45 Y Y 715 234.85 Y Y 721 159.60 Y Y 723 126.45 Y Y 729 77.90 Y Y 731 77.90 Y Y 732 79.80 Y Y Item LMO Fee REI Benefit VAP 10990, 64990, 74990 VAP 10991, 10992, 64991, 74991 735 78.15 Y Y 739 133.90 Y Y 743 223.10 Y Y 747 57.45 Y Y 750 98.45 Y Y 758 164.00 Y Y 900 171.25 Y Y 903 117.25 Y Y 2100 25.40 2122 D 2125 D 2126 55.30 2137 D 2138 D 2143 107.20 2147 D 2179 D 2195 157.70 2199 D 2220 D 2497 18.75 Y Y 2501 40.95 Y Y 2503 D Y Y 2504 79.35 Y Y 2506 D Y Y 2507 116.80 Y Y 2509 D Y Y 2517 40.95 Y Y 2518 D Y Y 2521 79.35 Y Y 2522 D Y Y 2525 116.80 Y Y 2526 D Y Y 2546 40.95 Y Y 2547 D Y Y 2552 79.35 Y Y 1 NOVEMBER 2011 – 31 OCTOBER 2012 3
Page 1 and 2: Department of Veterans’ Affairs F
Page 3: DEPARTMENT OF VETERANS’ AFFAIRS M
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 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 57 and 58:
Item RMFS In Hospital % 50600 583.0
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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