Department of Veterans' Affairs Fee Schedules for Medical Services

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Item LMO Fee REI Benefit VAP 10990, 64990, 74990 VAP 10991, 10992, 64991, 74991 2553 D Y Y 2558 116.80 Y Y 2559 D Y Y 2598 12.65 Y Y 2600 24.15 Y Y 2603 43.70 Y Y 2606 70.15 Y Y 2610 D Y Y 2613 D Y Y 2616 D Y Y 2620 24.15 Y Y 2622 43.70 Y Y 2624 70.15 Y Y 2631 D Y Y 2633 D Y Y 2635 D Y Y 2664 24.15 Y Y 2666 43.70 Y Y 2668 70.15 Y Y 2673 D Y Y 2675 D Y Y 2677 D Y Y 2700 79.35 Y Y 2701 116.80 Y Y 2712 79.35 Y Y 2713 79.35 Y Y 2715 100.75 Y Y 2717 148.35 Y Y 2721 102.65 Y Y 2723 D Y Y 2725 146.90 Y Y 2727 D Y Y 4001 84.80 Y Y 5000 32.10 Y Y 5003 D Y Y 5010 D Y Y Item LMO Fee REI Benefit VAP 10990, 64990, 74990 VAP 10991, 10992, 64991, 74991 5020 54.25 Y Y 5023 D Y Y 5028 D Y Y 5040 92.90 Y Y 5043 D Y Y 5049 D Y Y 5060 130.30 Y Y 5063 D Y Y 5067 D Y Y 5200 24.15 Y Y 5203 35.65 Y Y 5207 55.20 Y Y 5208 81.65 Y Y 5220 D Y Y 5223 D Y Y 5227 D Y Y 5228 D Y Y 5260 D Y Y 5263 D Y Y 5265 D Y Y 5267 D Y Y 10983 31.80 Y Y 10984 31.80 Y Y 10986 57.10 Y Y 10987 23.55 Y Y 10988 11.80 Y Y 10989 11.80 Y Y 10990 6.90 10991 10.45 10992 10.45 64990 6.90 64991 10.45 74990 6.90 74991 10.45 82100 52.40 82105 31.70 4 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 Item LMO Fee REI Benefit VAP 10990, 64990, 74990 VAP 10991, 10992, 64991, 74991 82110 52.40 82210 39.00 82115 313.05 82215 57.45 82120 739.25 82220 27.75 82125 739.25 82221 52.70 82130 52.40 82222 77.50 82135 77.05 82223 27.75 82140 52.40 82224 52.70 82150 27.75 82225 77.50 82151 52.70 UP01 408.00 82152 77.50 UP02 255.00 82200 9.40 UP03 425.85 82205 20.55 UP04 191.25 1 NOVEMBER 2011 – 31 OCTOBER 2012 5
Page 1 and 2: Department of Veterans’ Affairs F
Page 3 and 4: DEPARTMENT OF VETERANS’ AFFAIRS M
Page 5: 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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Department of Veterans' Affairs Fee Schedules for Medical Services

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