(802) 828-4000 Contact Us | Sitemap

Rule 40 – Vermont’s Medical Fee Schedule

image_pdfimage_print

Workers’ Compensation Medical Fee Schedule

All portions of the Workers’ Compensation Medical Fee Schedule are available in PDF format. If you don’t have Adobe Acrobat Reader, you can download it by clicking here.

Applicable FARS/DFARS Restrictions Apply to Government Use

Text of Rule 40 [PDF]

Appendix 1, Table A [PDF] – Maximum Allowable Base Unit Values for Anesthesia Reimbursement

Appendix 1, Table B [PDF] – Maximum Allowable Payments

Appendix 2 [PDF] – Other Services Which Can Be Billed With the -50 Modifier

Appendix 3 [PDF] – Payment for Major Procedures (Unbundling)

Applicable FARS/DFARS Restrictions Apply to Government Use

If you have any questions regarding this rule please contact Trudy Smith at (802) 828-2991 or trudy.smith@state.vt.us.