Virginia
mediumProcedure Fee Files
Run Date and Time
Oct 15, 2026
14m 7s
Run Metrics
Fee Schedule Impacts
Run summary
No run summary available.
High Impact (0)
No documents in this severity group.
Medium Impact (4)
revenue.txt
The document shows updates to the reimbursement rates for skilled nursing visits, with a new rate of $15.28 effective from October 1, 2026. Previous rates were $14.97 effective from October 1, 2025, and $14.60 effective from October 1, 2024.
Highlights
- •New rate: $15.28 effective 10/01/2026
- •Previous rate: $14.97 effective 10/01/2025
- •Previous rate: $14.60 effective 10/01/2024
- •Service: Skilled nursing visit
- •Revenue code: 0551
Reason
The rate change is not immediate but is scheduled for a future date, requiring monitoring.
Watch items
audtrail.csv
The document update includes changes to procedure codes and effective dates, with new codes such as 87638 and 1111t effective from 05/15/2026 and 10/01/2026, respectively. Previous codes like 90673 and 90662 have been removed.
Highlights
- •New codes: 87638, 1111t, 1110t, 1109t, 1108t
- •Effective dates: 05/15/2026, 10/01/2026
- •Old codes removed: 90673, 90662
- •New entries have 'ic' as max rate
Reason
Changes involve new procedure codes and future effective dates, but no immediate impact.
Watch items
revenue.csv
The document shows updates to the reimbursement rates for 'nursing visit skilled' services, with a new rate of $15.28 effective from October 1, 2026. Previous rates were $14.97 and $14.60 for different periods.
Highlights
- •New rate: $15.28 effective 10/01/2026
- •Previous rate: $14.97 effective 10/01/2025 to 09/30/2026
- •Previous rate: $14.60 effective 10/01/2024 to 09/30/2025
- •Service: Nursing visit skilled
- •Revenue code: 0551
Reason
The rate change is not effective immediately but is upcoming, requiring future planning.
Watch items
cptmedical4.txt
The document update includes the addition of a new CPT code 87638 for 'iadna dna/rna rubeola measls' with an effective date of 05/15/2026. This code is set to be active until 12/31/9999. No immediate changes to existing rates or codes are evident.
Highlights
- •New CPT code 87638 added.
- •Description: iadna dna/rna rubeola measls.
- •Effective date: 05/15/2026.
- •End date: 12/31/9999.
Reason
The change involves a new CPT code effective in the future, not impacting current reimbursement.
Watch items
Low Impact (0)
No documents in this severity group.