Rule 40 – Vermont’s Medical Fee Schedule

Workers’ Compensation Medical Fee Schedule

All portions of the Workers’ Compensation Medical Fee Schedule are available in PDF format.

Applicable FARS/DFARS Restrictions Apply to Government Use Text of Rule 40

 

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

Appendix 1, Table B – Maximum Allowable Payments

 

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

 

Appendix 3– 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@vermont.gov.

Contact Information

COVID-19 Update: Department of Labor offices are currently closed due to COVID-19. Please contact the Department by phone.

Vermont Department of Labor
5 Green Mountain Drive
P.O. Box 488
Montpelier, 05601-0488
(802) 828-4000

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