2026 Medical Fee Schedules and Ground Rules Go Into Effect January 1, 2026
On January 1, 2026, the Virginia Workers’ Compensation Commission will implement the 2026 Medical Fee Schedules and Ground Rules that will establish the maximum fees for fee scheduled medical services rendered to injured workers pursuant to (a) the Virginia Workers’ Compensation Act (Title 65.2 of the Code of Virginia) during the period from January 1, 2026 through December 31, 2027; and (b) amendments to regulation 16 VAC 30-110-10 et seq. Click below to view the following information:
- 2026 Medical Fee Schedules;
- 2026 Medical Fee Schedules Ground Rules;
- 2026 Medical Fee Schedules Summary of Changes;
- Medical Fee Schedule Regulations
Additional Schedule resources available include the MFS Calculator and MFS Administrative Determination Notice. Both include:
- Line-Level Adjustments – each claim line now clearly shows impact of Ground Rule adjustment(s) to the maximum fee.
- Fee Calculations – are also displayed as the calculated maximum fee per code.
Tutorials for each are linked here.
Questions? Email the Medical Fee Services team here.


