Virginia
highProcedure Fee Files
Run Date and Time
Mar 05, 2026
2m 4s
Run Metrics
Fee Schedule Impacts
Run summary
Run: bd4adebf-1205-489a-a630-1981ae8b9ebd Status: ok Started: 2026-03-05T04:05:24.654018+00:00 Finished: 2026-03-05T04:07:29.021010+00:00 Source: Virginia DMAS Procedure Fee Files Hub: procedure-fee-files IMPORTANT HISTORICAL DISCOVERIES OTHER NEW_DOC (Unknown date) - 14 - The document contains historical Medicaid rate data for procedure code 38525, with effective dates ranging from 1984 to 2014. No current or upcoming changes are indicated. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical2.csv - The document contains historical Medicaid rate data, with effective dates primarily from 2005 to 2007, and some entries extending to 2010. No current or upcoming rate changes are evident. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical4.txt - The document contains updated Medicaid rates for various procedure codes, with effective dates ranging from 2024 to 2026. Notable changes include rate adjustments for codes such as J1598, J1597, J1611, and J1610, with future effective dates extending to 2026. URL: https://www.dmas.virginia.gov/media/cptcodes/audtrail.txt - The document contains procedural data for Medicaid, including a procedure code 38525 for biopsy/removal of lymph nodes. The effective date for this procedure is listed as 07/01/2013, with an end date of 06/30/2014, indicating historical data. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical2.txt - The document contains Medicaid rate information with effective dates ranging from 1991 to 9999, indicating ongoing applicability. Specific rates for skilled nursing and other services are mentioned, but no new or updated rates are evident. URL: https://www.dmas.virginia.gov/media/cptcodes/revenue.csv - The document contains procedural codes and descriptions with associated dates, but lacks clear current or upcoming changes to rates or policies. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical3.csv - The document contains updated Medicaid rates for various procedure codes effective from 2025 to 2026, with specific rate changes for codes like J1598, J1597, J1611, and others. URL: https://www.dmas.virginia.gov/media/cptcodes/audtrail.csv - The document contains procedural codes and descriptions with associated dates, but lacks clear evidence of current or upcoming changes to rates or policies. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical3.txt - The document includes procedural codes and descriptions, with some historical data dating back to 1984. It mentions a specific code 'j2510' for 'penicillin g procaine inj' with a rate effective from 2008. URL: https://www.dmas.virginia.gov/media/cptcodes/hcpcmedical.csv - The document includes procedural data with historical effective dates, such as a procedure code 24666 with rates and dates from 1975 to 2012. No current or upcoming changes are evident. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical1.txt - The document contains procedural codes and descriptions with associated rates and effective dates, but the data appears historical with effective dates starting from 1975 and ending in 2012. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical1.csv - The document includes procedural codes and descriptions, with some entries having historical effective dates. One specific entry for 'penicillin g procaine inj' (code 'j2510') shows an effective date starting from 1984, indicating it is archival. URL: https://www.dmas.virginia.gov/media/cptcodes/hcpcmedical.txt - The document includes Medicaid rate information with effective dates ranging from 1991 to 9999, indicating ongoing applicability. Specific rates and procedure codes are mentioned, such as '0100' and '0559', but no new changes or updates are evident from the excerpts. URL: https://www.dmas.virginia.gov/media/cptcodes/revenue.txt - The document contains historical Medicaid rate data, with effective dates primarily from 2005 to 2007, and no current or upcoming changes are evident. URL: https://www.dmas.virginia.gov/media/cptcodes/cptmedical4.csv
High Impact (1)
audtrail.csv
The document contains updated Medicaid rates for various procedure codes effective from 2025 to 2026, with specific rate changes for codes like J1598, J1597, J1611, and others.
Highlights
- •Procedure code J1598 has multiple rate changes from 2024 to 2025.
- •Procedure code J1597 has a new rate effective 01/01/2026.
- •Procedure code J1611 has a rate change effective 01/01/2026.
- •Procedure code J1610 has a rate change effective 01/01/2026.
Reason
The document includes specific rate changes and effective dates that impact reimbursement starting in 2025 and 2026.
Watch items
Medium Impact (1)
audtrail.txt
The document contains updated Medicaid rates for various procedure codes, with effective dates ranging from 2024 to 2026. Notable changes include rate adjustments for codes such as J1598, J1597, J1611, and J1610, with future effective dates extending to 2026.
Highlights
- •Procedure code J1598 has multiple rate changes with future effective dates.
- •Procedure code J1597 has a new rate effective from 01/01/2026.
- •Procedure code J1611 has a rate change effective from 01/01/2026.
- •Procedure code J1610 has a rate change effective from 01/01/2026.
Reason
The document includes future rate changes, but they are not immediately effective.
Watch items
Low Impact (12)
cptmedical4.csv
The document contains historical Medicaid rate data, with effective dates primarily from 2005 to 2007, and no current or upcoming changes are evident.
Highlights
- •Data includes procedure codes and descriptions.
- •Effective dates range from 2005 to 2007.
- •No new or upcoming rate changes identified.
- •Document appears to be archival.
Reason
The document contains historical data with no indication of current or upcoming changes.
revenue.txt
The document includes Medicaid rate information with effective dates ranging from 1991 to 9999, indicating ongoing applicability. Specific rates and procedure codes are mentioned, such as '0100' and '0559', but no new changes or updates are evident from the excerpts.
Highlights
- •Procedure code '0100' with an all-inclusive rate.
- •Procedure code '0559' for skilled nursing.
- •Effective dates range from 1991 to 9999.
- •No new rate changes identified.
Reason
The document appears to contain historical data with no immediate changes or updates impacting reimbursement.
hcpcmedical.txt
The document includes procedural codes and descriptions, with some entries having historical effective dates. One specific entry for 'penicillin g procaine inj' (code 'j2510') shows an effective date starting from 1984, indicating it is archival.
Highlights
- •Includes procedural codes and descriptions.
- •Entry for 'j2510' with effective date from 1984.
- •Data appears largely historical.
Reason
The document primarily contains historical data with no imminent changes.
cptmedical1.csv
The document contains procedural codes and descriptions with associated rates and effective dates, but the data appears historical with effective dates starting from 1975 and ending in 2012.
Highlights
- •Procedure code 24666: 'optx radial head/nck fx rplc'.
- •Effective date range: 10/01/1975 to 12/31/9999.
- •Max rate: 000592.30 effective 07/01/2011 to 06/30/2012.
- •Age restriction: <21 years.
- •Historical data with no current updates.
Reason
The document contains historical data with no current or upcoming changes impacting reimbursement or policy.
cptmedical1.txt
The document includes procedural data with historical effective dates, such as a procedure code 24666 with rates and dates from 1975 to 2012. No current or upcoming changes are evident.
Highlights
- •Procedure code 24666: 'optx radial head/nck fx rplc'
- •Effective dates range from 1975 to 2012
- •No new or upcoming rate changes identified
Reason
The document contains historical data with no indication of current or upcoming changes.
hcpcmedical.csv
The document includes procedural codes and descriptions, with some historical data dating back to 1984. It mentions a specific code 'j2510' for 'penicillin g procaine inj' with a rate effective from 2008.
Highlights
- •Includes procedural codes and descriptions.
- •Mentions code 'j2510' for 'penicillin g procaine inj'.
- •Historical data with effective dates starting from 1984.
- •Rate for 'j2510' effective from 07/01/2008 to 09/30/2008.
Reason
The document primarily contains historical data with no imminent changes or updates.
cptmedical3.txt
The document contains procedural codes and descriptions with associated dates, but lacks clear evidence of current or upcoming changes to rates or policies.
Highlights
- •Contains procedural codes and descriptions.
- •Includes effective and end dates for procedures.
- •No clear evidence of rate changes.
- •Dates range from 1986 to 9999, indicating historical data.
Reason
The document appears to contain historical data without clear evidence of current or upcoming changes.
cptmedical3.csv
The document contains procedural codes and descriptions with associated dates, but lacks clear current or upcoming changes to rates or policies.
Highlights
- •Includes procedural codes and descriptions.
- •Contains effective and end dates for procedures.
- •No clear indication of new rate changes.
- •Dates range from 1986 to 9999, suggesting historical data.
Reason
The evidence lacks clear current or upcoming rate or policy changes.
revenue.csv
The document contains Medicaid rate information with effective dates ranging from 1991 to 9999, indicating ongoing applicability. Specific rates for skilled nursing and other services are mentioned, but no new or updated rates are evident.
Highlights
- •Document includes procedure codes and descriptions.
- •Effective dates range from 1991 to 9999.
- •Rates for 'skilled nursing-other' are listed.
- •No new rate changes are evident.
Reason
The document appears to be archival with no new rate changes or effective dates impacting current reimbursement.
cptmedical2.txt
The document contains procedural data for Medicaid, including a procedure code 38525 for biopsy/removal of lymph nodes. The effective date for this procedure is listed as 07/01/2013, with an end date of 06/30/2014, indicating historical data.
Highlights
- •Procedure code: 38525
- •Procedure: Biopsy/removal of lymph nodes
- •Effective date: 07/01/2013
- •End date: 06/30/2014
- •Rate: 000374.28
Reason
The document contains historical data with effective dates in the past, indicating no immediate action is required.
cptmedical4.txt
The document contains historical Medicaid rate data, with effective dates primarily from 2005 to 2007, and some entries extending to 2010. No current or upcoming rate changes are evident.
Highlights
- •Data includes procedure codes and descriptions.
- •Effective dates range from 2005 to 2010.
- •No new or upcoming changes identified.
- •Document appears to be historical.
Reason
The document contains historical data with no evidence of current or upcoming changes.
cptmedical2.csv
The document contains historical Medicaid rate data for procedure code 38525, with effective dates ranging from 1984 to 2014. No current or upcoming changes are indicated.
Highlights
- •Procedure code 38525: biopsy/removal lymph nodes.
- •Effective dates: 10/01/1984 to 06/30/2014.
- •Max rate: $374.28 (2013-2014).
- •Historical data with no recent updates.
Reason
The document contains historical data with no indication of current or upcoming changes.