Department of Veterans' Affairs Fee Schedules for Medical Services

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Item 48948 844.65 48951 1,519.55 48954 1,702.50 48957 1,843.35 48960 1,578.20 49100 478.35 49103 1,228.95 RMFS In Hospital % 49106 1,421.95 1,293.50 49109 1,208.80 49112 1,011.95 49115 1,815.40 49116 2,088.90 49117 2,506.45 49118 396.25 49121 947.30 49200 1,297.85 49203 960.70 49206 819.75 49209 1,254.15 49210 1,392.80 49211 1,671.35 49212 341.65 49215 1,097.30 49218 430.85 49221 1,081.90 49224 1,140.30 49227 1,263.55 49300 806.15 49303 733.40 49306 1,700.95 49309 1,027.85 49312 1,683.15 49315 1,277.30 49318 2,165.35 49319 4,224.95 49321 2,528.60 49324 2,687.55 49327 3,357.65 RMFS Out Hospital % Item 49330 3,292.20 49333 3,912.85 49336 519.10 49339 4,425.75 49342 4,555.00 49345 4,522.10 49346 1,237.95 49360 472.10 RMFS In Hospital % 49363 546.35 569.10 49366 956.75 49500 546.45 49503 675.70 49506 1,095.95 49509 1,093.10 49512 1,529.80 49515 1,416.90 49517 2,053.00 49518 2,178.00 49519 3,875.00 49521 2,585.60 49524 2,992.65 49527 2,520.50 49530 2,888.85 49533 3,291.95 49534 716.45 49536 1,508.60 49539 1,678.45 49542 2,297.50 49545 1,093.10 49548 1,354.35 49551 2,253.00 49554 2,436.45 49557 393.75 49558 450.90 49559 666.90 49560 921.80 49561 1,122.40 49562 1,272.90 RMFS Out Hospital % 52 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item 49563 1,279.25 49564 1,525.10 49566 1,193.20 49569 960.00 49700 396.25 49703 1,010.45 49706 478.35 49709 1,024.70 49712 1,337.30 49715 1,914.30 49716 1,955.80 49717 2,346.95 49718 606.90 RMFS In Hospital % 49721 341.65 323.55 49724 1,088.95 49727 409.70 49728 740.65 49800 191.40 181.20 49803 220.25 232.90 49806 191.40 181.20 49809 314.10 49812 628.50 49815 1,316.35 49818 380.45 49821 644.20 49824 1,238.55 49827 683.10 49830 1,195.55 49833 786.30 49836 1,460.55 49837 939.40 49838 1,971.35 49839 751.60 49842 1,681.65 49845 715.30 49848 232.45 219.90 49851 300.65 49854 567.60 RMFS Out Hospital % Item 49857 528.15 49860 409.70 49863 615.10 49866 444.05 RMFS In Hospital % 49878 82.30 77.65 50100 337.75 375.00 50102 991.15 50103 478.35 50104 453.35 429.10 50106 588.75 50109 683.10 50112 436.00 50115 193.55 50118 628.50 50121 1,229.75 50127 1,087.25 50130 453.35 50200 273.30 258.60 50201 477.75 50203 640.85 569.20 50206 1,000.50 50209 1,030.75 50212 2,326.35 50215 2,487.00 50218 4,057.00 50221 3,470.90 50224 4,654.05 3,880.40 50227 4,949.25 50230 2,625.35 50233 3,292.35 50236 2,286.05 50239 1,630.95 50300 1,386.30 50303 2,293.75 50306 3,581.35 3,390.70 50309 372.85 50312 1,046.45 50315 976.60 RMFS Out Hospital % 1 NOVEMBER 2011 – 31 OCTOBER 2012 53
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 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: Item 48215 1,011.65 48218 963.75 48
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
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Department of Veterans' Affairs Fee Schedules for Medical Services

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