Department of Veterans' Affairs Fee Schedules for Medical Services

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Item 50318 1,157.45 50321 1,380.00 50324 2,011.80 50327 2,643.25 50330 292.65 50333 922.00 50336 1,350.55 50339 815.00 50342 1,047.50 50345 443.50 50348 293.00 RMFS In Hospital % 50349 464.60 439.90 50351 2,316.95 50352 90.80 77.65 50353 539.10 50354 1,901.35 1,800.00 50357 815.00 50360 982.30 50363 724.45 50366 1,284.55 50369 945.65 50372 1,614.80 50375 724.45 50378 1,267.70 50381 945.65 50384 1,775.55 50387 945.65 50390 332.00 50393 1,227.35 50394 4,610.40 50396 745.85 50399 1,338.10 50402 659.80 50405 1,002.30 50408 1,589.70 50411 1,901.35 1,800.00 50414 2,565.20 2,428.55 RMFS Out Hospital % 50417 1,901.35 1,800.00 Item 50420 1,569.45 RMFS In Hospital % 50423 1,448.80 1,371.55 50426 738.65 50450 1,645.30 50451 1,645.30 50455 1,863.15 50456 1,863.15 50460 2,781.65 50461 2,781.65 50465 3,917.95 50466 3,917.95 50470 4,968.90 50471 4,968.90 50475 5,733.65 50476 5,733.65 50500 371.00 380.10 50504 494.95 507.05 50508 530.10 543.10 50512 707.25 50516 477.30 488.90 50520 636.25 50524 547.80 50528 883.70 50532 768.95 50536 1,025.05 50540 707.25 50544 353.55 362.20 50548 707.25 50552 609.90 50556 812.85 50560 636.25 50564 848.50 50568 742.55 50572 989.85 50576 812.85 832.90 50580 848.50 50584 812.85 50588 1,060.45 RMFS Out Hospital % 54 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item RMFS In Hospital % 50600 583.00 597.25 50604 2,474.20 50608 4,595.45 50612 6,536.45 50616 830.60 50620 4,595.45 50624 4,595.45 50628 5,676.55 50632 4,772.00 50636 5,302.25 50640 2,931.10 50644 2,827.95 50650 556.25 569.80 50654 666.15 50658 265.20 271.70 50950 1,186.00 1,122.60 50952 1,186.00 1,122.60 51300 122.40 118.60 51303 D D 51306 199.80 171.30 51309 D D 51312 D D 51315 378.20 374.25 51318 237.10 247.00 51700 111.70 117.55 51703 62.30 59.10 51800 120.75 118.60 51803 D D 51900 406.20 447.95 51902 113.50 101.50 51904 610.20 624.90 51906 968.30 950.40 52000 115.55 113.35 52003 164.55 161.50 52006 164.55 161.50 52009 251.10 255.05 52010 304.00 348.95 52012 32.90 32.30 RMFS Out Hospital % Item RMFS In Hospital % 52015 153.95 151.00 52018 348.05 380.35 52021 41.35 40.50 52024 73.15 71.75 52025 257.45 252.65 52027 269.55 205.75 52030 120.90 123.65 52033 253.50 252.65 52034 60.10 59.10 52035 666.30 654.10 52036 167.70 174.40 52039 403.65 447.95 52042 241.45 237.05 52045 301.85 338.70 52048 537.30 510.40 52051 630.20 690.10 52054 1,004.35 807.35 52055 37.60 52056 42.60 37.60 52057 205.90 52058 332.55 326.45 52059 374.60 367.75 52060 242.00 260.20 52061 313.00 307.25 52062 413.95 406.30 52063 502.45 489.60 52064 306.25 232.90 52066 623.45 611.95 52069 370.85 272.75 52072 82.35 80.80 52073 209.65 205.75 52075 206.40 205.75 52078 510.85 406.30 52081 65.20 63.95 52084 159.30 164.15 52087 327.70 281.30 52090 454.70 489.60 52092 650.10 638.20 RMFS Out Hospital % 1 NOVEMBER 2011 – 31 OCTOBER 2012 55
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 and 54: Item 48215 1,011.65 48218 963.75 48
Page 55: 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
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Department of Veterans' Affairs Fee Schedules for Medical Services

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