Department of Veterans' Affairs Fee Schedules for Medical Services

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RELATIVE VALUE GUIDE Item Relative Value Guide Item Relative Value Guide Item Relative Value Guide Item Relative Value Guide 20100 160.25 20355 384.60 20690 160.25 20845 320.50 20102 192.30 20400 96.15 20700 96.15 20846 320.50 20104 128.20 20401 128.20 20702 128.20 20847 320.50 20120 160.25 20402 160.25 20703 128.20 20848 320.50 20124 128.20 20403 160.25 20704 320.50 20850 384.60 20140 160.25 20404 192.30 20705 192.30 20855 480.75 20142 192.30 20405 256.40 20706 224.35 20860 192.30 20143 192.30 20406 416.65 20730 160.25 20862 224.35 20144 256.40 20410 160.25 20740 160.25 20863 320.50 20145 256.40 20420 160.25 20745 192.30 20864 320.50 20146 160.25 20440 128.20 20750 128.20 20866 320.50 20147 192.30 20450 160.25 20752 192.30 20867 320.50 20148 128.20 20452 192.30 20754 224.35 20868 320.50 20160 192.30 20470 192.30 20756 288.45 20880 480.75 20162 224.35 20472 320.50 20770 480.75 20882 320.50 20164 128.20 20474 416.65 20790 256.40 20884 160.25 20170 192.30 20475 320.50 20791 320.50 20886 192.30 20172 224.35 20500 480.75 20792 416.65 20900 96.15 20174 288.45 20520 192.30 20793 480.75 20902 128.20 20176 320.50 20522 128.20 20794 384.60 20904 224.35 20190 160.25 20524 128.20 20798 320.50 20905 320.50 20192 320.50 20526 320.50 20799 192.30 20906 128.20 20210 480.75 20528 256.40 20800 96.15 20910 128.20 20212 160.25 20540 416.65 20802 160.25 20911 160.25 20214 288.45 20542 480.75 20803 128.20 20912 160.25 20216 641.00 20546 480.75 20804 320.50 20914 224.35 20220 320.50 20548 480.75 20805 192.30 20916 224.35 20222 192.30 20560 641.00 20806 224.35 20920 128.20 20225 384.60 20600 320.50 20810 128.20 20924 128.20 20230 384.60 20604 416.65 20815 192.30 20926 128.20 20300 160.25 20620 320.50 20820 160.25 20928 192.30 20305 480.75 20622 416.65 20830 128.20 20930 128.20 20320 192.30 20630 256.40 20832 192.30 20932 128.20 20321 320.50 20632 224.35 20840 192.30 20934 192.30 20330 256.40 20634 320.50 20841 256.40 20936 256.40 20350 320.50 20670 416.65 20842 128.20 20938 128.20 20352 160.25 20680 96.15 20844 320.50 20940 128.20 60 1 NOVEMBER 2011 – 31 OCTOBER 2012
Item Relative Value Guide Item Relative Value Guide Item Relative Value Guide Item Relative Value Guide 20942 160.25 21270 256.40 21530 480.75 21820 96.15 20943 128.20 21272 128.20 21532 256.40 21830 128.20 20944 192.30 21274 192.30 21535 320.50 21832 224.35 20946 256.40 21275 320.50 21600 96.15 21834 128.20 20948 128.20 21280 480.75 21610 160.25 21840 256.40 20950 160.25 21300 96.15 21620 128.20 21842 192.30 20952 128.20 21321 128.20 21622 160.25 21850 128.20 20953 160.25 21340 128.20 21630 160.25 21860 96.15 20954 320.50 21360 160.25 21632 192.30 21865 320.50 20956 128.20 21380 96.15 21634 288.45 21870 480.75 20958 160.25 21382 128.20 21636 480.75 21872 256.40 20960 224.35 21390 96.15 21638 320.50 21878 96.15 21100 96.15 21392 128.20 21650 256.40 21879 160.25 21110 160.25 21400 128.20 21652 320.50 21880 224.35 21112 128.20 21402 224.35 21654 256.40 21881 288.45 21114 160.25 21403 320.50 21656 320.50 21882 352.55 21116 192.30 21404 160.25 21670 128.20 21883 416.65 21120 192.30 21420 96.15 21680 96.15 21884 480.75 21130 96.15 21430 128.20 21682 128.20 21885 544.85 21140 480.75 21432 160.25 21685 320.50 21886 608.95 21150 320.50 21440 256.40 21700 96.15 21887 673.05 21155 320.50 21445 320.50 21710 128.20 21900 96.15 21160 128.20 21460 96.15 21712 160.25 21906 160.25 21170 256.40 21461 128.20 21714 160.25 21908 192.30 21195 96.15 21462 96.15 21716 160.25 21910 288.45 21199 128.20 21464 128.20 21730 96.15 21912 160.25 21200 128.20 21472 160.25 21732 128.20 21914 192.30 21202 128.20 21474 160.25 21740 160.25 21915 160.25 21210 192.30 21480 128.20 21756 192.30 21916 160.25 21212 320.50 21482 160.25 21760 224.35 21918 160.25 21214 320.50 21484 160.25 21770 256.40 21922 224.35 21216 448.70 21486 224.35 21772 192.30 21925 128.20 21220 128.20 21490 96.15 21780 128.20 21926 160.25 21230 192.30 21500 256.40 21785 320.50 21927 160.25 21232 160.25 21502 192.30 21790 480.75 21930 192.30 21234 256.40 21520 128.20 21800 96.15 21935 160.25 21260 128.20 21522 160.25 21810 128.20 21936 192.30 1 NOVEMBER 2011 – 31 OCTOBER 2012 61
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 and 56: Item 49563 1,279.25 49564 1,525.10
Page 59 and 60: Item RMFS In Hospital % 52460 1,094
Page 61: RELATIVE VALUE GUIDE RELATIVE VALUE
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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