Virginia
highProcedure Fee Files
Run Date and Time
Jun 15, 2026
1m 41s
Run Metrics
Fee Schedule Impacts
Run summary
This run for Virginia DMAS Procedure Fee Files / procedure-fee-files identified 10 changed documents and 0 newly discovered documents. 2 item(s) are high priority.
High Impact (2)
cptmedical4.csv
The document update introduces a new effective date of January 1, 2024, for a specific entry related to 'assay ph body fluid nos'.
Highlights
- •New effective date: 01/01/2024
- •CPT code: 83986
- •Service: assay ph body fluid nos
- •Previous effective date: 07/01/1978
Reason
The update includes a new effective date for a medical service, impacting reimbursement schedules.
Watch items
cptmedical4.txt
The document update introduces a new effective date of January 1, 2024, for a specific entry related to 'assay ph body fluid nos'. This change is set to last until December 31, 9999, indicating a long-term update.
Highlights
- •New effective date: 01/01/2024
- •Entry: 'assay ph body fluid nos'
- •Duration: Until 12/31/9999
Reason
The update includes a new effective date for a medical entry starting soon, which may impact reimbursement or policy.
Watch items
Medium Impact (8)
cptmedical1.txt
The document update includes changes to the effective dates for certain medical codes, specifically extending the end date for code 0031u and 0423u to 06/30/2026.
Highlights
- •Code 0031u effective date changed to 06/30/2026.
- •Code 0423u effective date changed to 06/30/2026.
Reason
The changes involve future effective dates for specific codes, which are not immediately urgent but relevant for future planning.
Watch items
hcpcmedical.txt
The document updates involve changes to the description of certain medical items, specifically the transition from 'transanal irrigation, any' to 'transanal irrigation, manual' and 'transanal irrigation, electr.' These changes are effective from 04/01/2026.
Highlights
- •Change from 'transanal irrigation, any' to 'manual' and 'electr'.
- •Effective date for 'transanal irrigation, electr' is 04/01/2026.
- •No rate changes or new CPT codes identified.
Reason
The changes are descriptive and effective in the future, not immediately impacting reimbursement.
Watch items
audtrail.txt
The document shows updates to procedure codes and effective dates, with new codes starting on 07/01/2026. Previous codes effective from 04/01/2026 have been replaced.
Highlights
- •New procedure codes: 90616, 1053t, 1052t, 1051t, 1050t, 1049t, 1048t, 1047t, 1046t, 1045t.
- •Effective date for new codes: 07/01/2026.
- •Old codes (e.g., 0630u, 0629u) effective from 04/01/2026 are removed.
Reason
Changes are not immediately effective but involve future updates to procedure codes and effective dates.
Watch items
cptmedical3.csv
The document update introduces a new effective date of January 1, 2024, for certain entries, replacing previous entries with an effective date of June 30, 2008. This change affects the 'fp' code, which now has a new start date.
Highlights
- •New effective date: 01/01/2024 for 'fp' code
- •Previous effective date: 06/30/2008
- •CPT code 54050 remains unchanged
- •No rate changes detected
- •Applies to entries with 'fp' and 'rd' codes
Reason
The update introduces a new effective date for a specific code, but no immediate reimbursement impact is evident.
Watch items
cptmedical3.txt
The document update includes a new effective date of January 1, 2024, for certain entries, replacing previous entries with an effective date of October 1, 1975. This change affects the 'fp' code, which now has a new start date.
Highlights
- •New effective date: 01/01/2024 for 'fp' code
- •Previous effective date: 10/01/1975
- •CPT code 54050 remains unchanged
- •No rate changes identified
- •Applies to 'destruction penis lesion(s)'
Reason
The update introduces a new effective date for a code, but no immediate reimbursement impact is evident.
Watch items
hcpcmedical.csv
The document updates involve changes to the description of CPT code A4459 from 'transanal irrigation, any' to 'transanal irrigation, manual.' Additionally, CPT code A4479's description changes from 'electro pump enema, reusable' to 'transanal irrigation, electr.'
Highlights
- •CPT code A4459 description changed to 'transanal irrigation, manual'.
- •CPT code A4479 description changed to 'transanal irrigation, electr'.
Reason
The changes involve description updates for existing CPT codes, which may affect billing but do not indicate immediate reimbursement changes.
Watch items
audtrail.csv
The document shows updates to procedure codes and effective dates, with new codes starting on 07/01/2026, replacing previous codes effective from 04/01/2026.
Highlights
- •New procedure codes: 90616, 1053t, 1052t, 1051t, 1050t, 1049t, 1048t, 1047t, 1046t, 1045t.
- •Effective date for new codes: 07/01/2026.
- •Old codes (e.g., 0630u, 0629u) were effective from 04/01/2026.
- •End date remains 12/31/9999 for all entries.
Reason
Changes are relevant but effective date is not imminent.
Watch items
cptmedical1.csv
The document update includes changes to the effective dates for certain medical codes, specifically extending the end date for code 0031u and 0423u to June 30, 2026.
Highlights
- •Code 0031u effective date changed to 06/30/2026.
- •Code 0423u effective date changed to 06/30/2026.
Reason
The changes involve future effective dates for specific codes, which are not immediately urgent but relevant for future planning.
Watch items
Low Impact (0)
No documents in this severity group.