Virginia
highProcedure Fee Files
Run Date and Time
Jun 01, 2026
1m 37s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Virginia DMAS Procedure Fee Files / procedure-fee-files identified 6 changed documents and 0 newly discovered documents. 2 item(s) are high priority.
High Impact (2)
audtrail.csv
The document update involves significant changes to procedure codes and effective dates, with new codes starting on 04/01/2026. Previous codes and rates have been replaced with new entries, indicating a shift in reimbursement policies.
Highlights
- •New procedure codes (e.g., 0630u, 0629u) added.
- •Effective date for new codes: 04/01/2026.
- •Old codes (e.g., 55711, 55707) removed.
- •Changes affect outpatient procedures.
Reason
The update includes new procedure codes and effective dates that impact reimbursement, effective soon.
Watch items
audtrail.txt
The document shows a significant update to Medicaid rates, with new procedure codes and effective dates starting April 1, 2026. Previous codes and rates have been replaced, indicating a major update to the reimbursement schedule.
Highlights
- •New procedure codes: 0630u, 0629u, 0628u, 0627u, 0626u
- •Effective date for new codes: 04/01/2026
- •Old codes and rates removed
- •New entries marked with 'ic' for max rate
Reason
The update includes new procedure codes and effective dates that will impact reimbursement starting soon.
Watch items
Medium Impact (0)
No documents in this severity group.
Low Impact (4)
hcpcmedical.txt
The document contains updates to medical codes with effective dates extending to 2025, but no immediate changes to rates or policies are evident.
Highlights
- •No immediate rate changes detected.
- •Updates include codes a2036, a2037, and a2038.
- •Effective dates extend to 2025.
- •No reimbursement-impacting changes identified.
Reason
The changes are not urgent as they do not impact current reimbursement rates or policies.
cptmedical1.csv
The document shows changes in the description of certain medical procedures, specifically for codes 0256u and 0580u, but no changes in rates or effective dates were identified.
Highlights
- •Changes in description for code 0256u from 'tma/tmao prfl ms/ms ur alg' to 'tma/tmao prfl lcms/ms ur alg'.
- •Changes in description for code 0580u from 'bbrgdrferi antb detc 24rprtn' to 'bbrgdrferi ld antb detcj 31'.
- •No changes in rates or effective dates were found.
Reason
The changes are descriptive and do not impact reimbursement or policy.
hcpcmedical.csv
The document contains updates to medical codes with effective dates extending to 2025, but no immediate changes to rates or policies are evident.
Highlights
- •No immediate rate changes identified.
- •Codes a2036 and a2037 have future effective dates (10/01/2025).
- •No changes to existing rates or policies for codes a2010 and a2014.
Reason
The changes are not effective immediately and do not impact current reimbursement rates.
cptmedical1.txt
The document shows changes in the description of certain medical procedures, specifically for codes 0256u and 0580u, with no changes in rates or effective dates.
Highlights
- •Code 0256u description changed from 'tma/tmao prfl ms/ms ur alg' to 'tma/tmao prfl lcms/ms ur alg'.
- •Code 0580u description changed from 'bbrgdrferi antb detc 24rprtn' to 'bbrgdrferi ld antb detcj 31'.
- •No changes in rates or effective dates were observed.
Reason
The changes are limited to descriptions and do not impact reimbursement or policy.