Virginia
highProcedure Fee Files
Run Date and Time
Sep 15, 2026
2m 27s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Virginia DMAS Procedure Fee Files / procedure-fee-files identified 4 changed documents and 0 newly discovered documents. 4 item(s) are high priority.
High Impact (4)
cptmedical4.txt
The document shows a rate change for CPT code 90653, effective August 1, 2026, with the new rate set at $115.23. This supersedes the previous rate of $98.16 effective from August 1, 2025, to July 31, 2026.
Highlights
- •CPT code 90653 rate change.
- •New rate: $115.23 effective 08/01/2026.
- •Previous rate: $98.16 effective 08/01/2025 - 07/31/2026.
Reason
The change involves a specific rate update for a CPT code effective soon, impacting reimbursement.
Watch items
audtrail.txt
The document shows updates to Medicaid rates with new procedure codes and rates effective from August 1, 2026. Notable changes include new rates for codes 90673, 90662, and 90661.
Highlights
- •New rates for codes 90673, 90662, and 90661 effective 08/01/2026.
- •Old rates for code J9381 removed.
- •Rates for code 90673 set at $122.52 starting 08/01/2026.
- •Rates for code 90662 set at $122.52 starting 08/01/2026.
- •Rates for code 90661 set at $66.85 starting 08/01/2026.
Reason
The changes include new rates and effective dates starting soon, impacting reimbursement.
Watch items
cptmedical4.csv
The document shows a change in the reimbursement rate for CPT code 90653, effective August 1, 2026. The rate has been updated from $98.16 to $115.23.
Highlights
- •CPT code 90653 rate change
- •New rate: $115.23
- •Effective date: 08/01/2026
- •Old rate: $98.16
Reason
The change involves a specific reimbursement rate update effective soon, impacting billing.
Watch items
audtrail.csv
The document shows updates to Medicaid rates with new procedure codes and effective dates starting from August 1, 2025, and August 1, 2026. Notable changes include new rates for codes 90673, 90662, and 90661.
Highlights
- •New rates for codes 90673, 90662, 90661.
- •Effective dates: 08/01/2025 and 08/01/2026.
- •Rates range from $11.14 to $122.52.
- •Old codes like j9381 removed.
Reason
The document includes new rates and effective dates that impact reimbursement starting soon.
Watch items
Medium Impact (0)
No documents in this severity group.
Low Impact (0)
No documents in this severity group.