Department of Veterans' Affairs Fee Schedules for Medical Services

DERIVED FEES - READY RECKONER FOR LOCAL MEDICAL OFFICERS
DERIVED FEES—READY RECKONER FOR
LOCAL MEDICAL OFFICERS
1 November 2011
Derived fees are indicated by a “D” in the column of the Schedule. Derived Fees Ready Reckoner for
Local Medical Officers is a quick reference table for all derived fees. The derived fees are calculated
at 115% of the listed MBS fee.
LMOs will be paid the relevant Veterans Access Payment (VAP) and 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.
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 of 10% is added to 100% of the MBS
fee prior to the LMO fee calculation.
For items not listed in the Derived Fees schedule please refer to the appropriate schedule in this
booklet.
• For medical attendances and consultations provided by general practitioners participating
in DVA’s Local Medical Officer Scheme, please use the Local Medical Fee Schedule for the
relevant fees.
• 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.
6 1 NOVEMBER 2011 – 31 OCTOBER 2012