To access the Workers' Compensation Fee Schedule you will need to enter into the AMA License Agreement. You can access this by clicking on the link below.
Applicable FARS/DFARS Restrictions Apply to Government Use
If you have any questions concerning the application of the fee schedule, please contact Trudy Smith at
(802) 828-2991 or email trudy.smith@state.vt.us.
The following tables are now available online in Adobe PDF Format. You must click on the link above (AMA License Agreement) and read and accept the license agreement.
APPENDIX I; Table A: MAXIMUM ALLOWABLE BASE UNIT VALUES FOR ANESTHESIA REIMBURSEMENT PER RULE 40.040(c)
APPENDIX I; Table B: MAXIMUM ALLOWABLE PAYMENTS PER SECTION 40.020.
APPENDIX II: OTHER SERVICES WHICH CAN BE BILLED WITH THE -50 MODIFIER PER SECTION 40.060 (G).
APPENDIX III: PAYMENT FOR MAJOR PROCEDURES (UNBUNDLING) PER SECTION 40.021 (F).
Interpretative Memorandums
Code Clarification Memorandum - Dated October 18, 2006
DMEPOS Reimbursement Memorandum - Dated March 11, 2009