Virginia Medicaid

Procedure Fee Files & CPT Codes


All Files Are Updated 3 Times a Week (MON, WED, FRI)


Description Of Search Current Rates File Layout

Search CPT Codes

Search by service date, flag code or multiple CPT codes by separating each one with a comma.

Please supply a cpt code to search

Service Date:
Flag Code:
CPT Code *

Proc Code Proc Description Type Desc Proc Begin Proc End Min Age Max Age Sex PA Type PA Begin PA End CAT Type CAT Description INP OUT Max Rate EFF Date End Date PC Rate PC EFF Date PC End Date TC Rate TC EFF date Flag Code

Revenue Codes

Revenue Codes For Home Health, Hospice, Or Other Services

Revenue Fee File [csv]

Revenue Fee File [txt]

Commonly Used Fields

The most commonly used fields are listed below. Please note that the Procedure Rate file is historical and fields identifying the effective and end dates should be used to match the date of service with the rate.


Formatting Issues

Opening/Importing Files In Excel Or Other Software
You may choose to define the columns with fee amounts either as dollar or number fields in order to see the decimal places. You will need to define the procedure-code fields as text or else leading zeroes will be dropped. Also, each file has a header record identifying the data in each column. Please refer to your own software manual or the Help function in your software packages for further instructions on opening, importing, saving, and/or resizing files.

Frequently Asked Questions