Virginia
highProcedure Fee Files
Run Date and Time
Mar 15, 2026
1m 39s
Run Metrics
Fee Schedule Impacts
Run summary
Run: 4974bf89-1ac4-4c90-aae3-5acdddcc4dd7 Status: ok Started: 2026-03-15T13:49:54.137082+00:00 Finished: 2026-03-15T13:51:33.191659+00:00 Source: Virginia DMAS Procedure Fee Files Hub: procedure-fee-files IMPORTANT DOC_CHANGED (High/Medium) - 5 - The document shows significant updates to Medicaid rates, with new procedure codes and rates effective January 1, 2026. Previous codes and rates have been replaced, indicating a major update to the reimbursement schedule. - The document shows significant updates to Medicaid rates, with new procedure codes and rates effective January 1, 2026. Previous codes and rates have been replaced, indicating a major update to the reimbursement schedule. - The document shows a rate change for code A4216, 'sterile water/saline/dextrose 10 ml,' from $0.51 to $0.52, effective 01/01/2026. - The document contains updates related to the CPT code 83020 for hemoglobin electrophoresis, with various historical rate changes and future rates effective from 2024 and 2025. No immediate changes are effective now. - The document shows a rate change for CPT code A4216, with the rate increasing from $0.51 to $0.52, effective January 1, 2026. HISTORICAL DISCOVERIES OTHER DOC_CHANGED (Low) - 1 - The document contains updates related to the CPT code 83020 for hemoglobin electrophoresis, with various historical and future rate changes. However, no immediate changes are evident from the excerpts provided.
High Impact (2)
audtrail.csv
The document shows significant updates to Medicaid rates, with new procedure codes and rates effective January 1, 2026. Previous codes and rates have been replaced, indicating a major update to the reimbursement schedule.
Highlights
- •New procedure codes: a4297, a4296, a4295
- •New rates: $8.97, $8.24, $2.09
- •Effective date: January 1, 2026
- •Old codes (e.g., j1598) removed
Reason
The changes include new procedure codes and rates effective soon, impacting reimbursement.
Watch items
audtrail.txt
The document shows significant updates to Medicaid rates, with new procedure codes and rates effective January 1, 2026. Previous codes and rates have been replaced, indicating a major update to the reimbursement schedule.
Highlights
- •New procedure codes: a4297, a4296, a4295, e2326, e2325
- •New rates effective 01/01/2026
- •Old codes (e.g., j1598) removed
- •Rates range from $2.09 to $1737.12
Reason
The changes involve new procedure codes and rates effective soon, impacting reimbursement.
Watch items
Medium Impact (3)
hcpcmedical.txt
The document shows a rate change for CPT code A4216, with the rate increasing from $0.51 to $0.52, effective January 1, 2026.
Highlights
- •CPT code A4216 rate change from $0.51 to $0.52.
- •Effective date for new rate: January 1, 2026.
Reason
The rate change is not effective immediately, but it is relevant for future planning.
Watch items
cptmedical4.csv
The document contains updates related to the CPT code 83020 for hemoglobin electrophoresis, with various historical rate changes and future rates effective from 2024 and 2025. No immediate changes are effective now.
Highlights
- •CPT code 83020 for hemoglobin electrophoresis is mentioned.
- •Future rate of 000015.07 effective from 07/01/2025.
- •Future rate of 000014.78 effective from 07/01/2024 to 06/30/2025.
- •Historical rates and dates are included, but no immediate changes.
Reason
The document includes future rate changes but no immediate impact.
Watch items
hcpcmedical.csv
The document shows a rate change for code A4216, 'sterile water/saline/dextrose 10 ml,' from $0.51 to $0.52, effective 01/01/2026.
Highlights
- •Rate for A4216 increased from $0.51 to $0.52.
- •Effective date for new rate is 01/01/2026.
Reason
The rate change is not immediate but is scheduled for a future date, requiring attention for future planning.
Watch items
Low Impact (1)
cptmedical4.txt
The document contains updates related to the CPT code 83020 for hemoglobin electrophoresis, with various historical and future rate changes. However, no immediate changes are evident from the excerpts provided.
Highlights
- •CPT code 83020 for hemoglobin electrophoresis is mentioned.
- •Rates are listed with historical and future effective dates.
- •No immediate rate changes are evident.
- •Future rates are set for 2024 and 2025.
Reason
The evidence does not indicate any immediate or upcoming changes that require urgent review.