Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998

 

Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998

CONTENTS

1.Citation1

2.Scales of fees — medical specialists and other medical practitioners1

3.Scale of fees — physiotherapists2

4.Scale of fees — chiropractors2

5.Scale of fees — occupational therapists2

6.Scale of fees — clinical psychologists2

6A.Scale of fees — counselling psychology3

7.Scale of fees — speech therapists3

7A.Scale of fees — osteopaths3

7B.Scale of fees — exercise physiologists4

8.Scale of fees — vocational rehabilitation providers4

9.Scale of maximum fees — approved medical specialists4

10.Effect of GST4

Schedule 1

Scales of fees — medical specialists and other medical practitioners

Part 1 — Medical specialists and other medical practitioners

Part 2 — Medical procedures

Part 3 — Diagnostic Imaging Services

Schedule 2 — Scale of fees — physiotherapists

Part 1 — General

Part 2 — Exercise‑based programs

Schedule 3 — Scale of fees — chiropractors

Schedule 4 — Scale of fees — occupational therapists

Schedule 5 — Scale of fees — speech pathologists

Schedule 5A — Scale of fees — exercise physiologists

Schedule 6 — Scale of maximum fees — approved medical specialists

Part 1 — Assessments

Part 2 — Attempted assessments

Notes

Compilation table76

 

Workers’ Compensation and Injury Management Act 1981

Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998

1.Citation

These regulations may be cited as the Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998 1.

[Regulation 1 amended in Gazette 1 Nov 2005 p. 4977.]

2.Scales of fees — medical specialists and other medical practitioners

(1)Under section 292(2)(a)(i) of the Act, the scales of fees set out in Schedule 1 are prescribed as the scales of fees to be paid to medical specialists and other medical practitioners for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

(2)In Schedule 1 — 

MBS item number means the item number corresponding to a radiological service described in the Medicare Benefits Schedule published by the Commonwealth Department of Health and Aged Care, as at November 2006.

[Regulation 2 amended in Gazette 28 Dec 2001 p. 6691; 23 Sep 2003 p. 4174; 19 Mar 2004 p. 863; 11 Nov 2005 p. 5569 and 5570; 22 Dec 2006 p. 5757-8; 7 Dec 2007 p. 6034.]

3.Scale of fees — physiotherapists

(1)Under section 292(2)(a)(iii) of the Act, the scale of fees set out in Schedule 2 is prescribed as the scale of fees to be paid to physiotherapists for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

[(2)deleted]

[Regulation 3 amended in Gazette 21 Jan 2005 p. 278; 11 Nov 2005 p. 5569 and 5570; 22 Dec 2006 p. 5757-8; 7 Dec 2007 p. 6034.]

4.Scale of fees — chiropractors

Under section 292(2)(a)(iv) of the Act, the scale of fees set out in Schedule 3 is prescribed as the scale of fees to be paid to chiropractors for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

[Regulation 4 amended in Gazette 11 Nov 2005 p. 5569 and 5570; 22 Dec 2006 p. 5757-8; 7 Dec 2007 p. 6034.]

5.Scale of fees — occupational therapists

Under section 292(2)(a)(v) of the Act, the scale of fees set out in Schedule 4 is prescribed as the scale of fees to be paid to occupational therapists for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

[Regulation 5 amended in Gazette 11 Nov 2005 p. 5569 and 5570; 22 Dec 2006 p. 5757-8; 7 Dec 2007 p. 6034.]

6.Scale of fees — clinical psychologists

(1)Under section 292(2)(a)(vi) of the Act, the hourly rate of $187.70 per hour is prescribed as the fee to be paid to clinical psychologists for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

(2)The hourly rate under subregulation (1) is also payable for compiling a treatment report, but the hours required to compile a report cannot exceed 3 hours per report.

[Regulation 6 inserted in Gazette 22 Dec 2006 p. 5758; amended in Gazette 7 Dec 2007 p. 6035; 17 Dec 2008 p. 5290.]

6A.Scale of fees — counselling psychology

Under section 292(2)(a)(viii) of the Act, the hourly rate of $187.70 per hour is prescribed as the fee to be paid to a psychologist providing counselling services for the treatment of a worker suffering injuries that are compensable under the Act.

Note:“Counselling psychology” was approved as an “approved treatment” under section 5(1) of the Act in Gazette 10/1/2003, p. 55.

[Regulation 6A inserted in Gazette 22 Dec 2006 p. 5758; amended in Gazette 7 Dec 2007 p. 6035; 17 Dec 2008 p. 5290.]

7.Scale of fees — speech therapists

Under section 292(2)(a)(vii) of the Act, the scale of fees set out in Schedule 5 is prescribed as the scale of fees to be paid to speech pathologists for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

[Regulation 7 amended in Gazette 11 Nov 2005 p. 5569 and 5570; 22 Dec 2006 p. 5757-8; 7 Dec 2007 p. 6035.]

7A.Scale of fees — osteopaths

Under section 292(2)(a)(viii) of the Act, the amount of $59.40 is prescribed as the fee to be paid to an osteopath for an osteopathic consultation with a worker suffering injuries that are compensable under the Act.

Note:“Osteopathy” was approved as an “approved treatment” under section 5(1) of the Act in Gazette 29/9/2000, p. 5564.

[Regulation 7A inserted in Gazette 22 Dec 2006 p. 5759; amended in Gazette 7 Dec 2007 p. 6035; 17 Dec 2008 p. 5290.]

7B.Scale of fees — exercise physiologists

Under section 292(2)(a)(viii) of the Act, the scale of fees set out in Schedule 5A is prescribed as the scale of fees to be paid to exercise physiologists for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

[Regulation 7B inserted in Gazette 17 Dec 2008 p. 5290.]

8.Scale of fees — vocational rehabilitation providers

Under section 292(2)(b) of the Act, the hourly rate of $140.20 per hour is prescribed as the fee to be paid to approved providers of vocational rehabilitation services when those services are provided to workers in accordance with the Act.

[Regulation 8 amended in Gazette 21 Dec 2000 p. 7626; 28 Dec 2001 p. 6692; 23 Sep 2003 p. 4174; 9 Jan 2004 p. 99; 21 Jan 2005 p. 279; 11 Nov 2005 p. 5569; 10 Jan 2006 p. 44; 22 Dec 2006 p. 5759; 7 Dec 2007 p. 6036; 17 Dec 2008 p. 5291.]

9.Scale of maximum fees — approved medical specialists

(1)Under section 292(3) of the Act, the scale of maximum fees set out in Schedule 6 is prescribed as the scale of maximum fees to be paid to approved medical specialists for making or attempting to make assessments referred to in Part VII Division 2 of the Act.

(2)In Schedule 6 Part 1 —

assessor has the meaning given by the WorkCover Guides;

report and certificate means a report referred to in section 146H(1)(a) of the Act and a certificate referred to in section 146H(1)(b) of the Act.

[Regulation 9 inserted in Gazette 11 Nov 2005 p. 5567‑8.]

10.Effect of GST

(1)In this regulation —

GST has the meaning given in A New Tax System (Goods and Services Tax) Act 1999 of the Commonwealth.

(2)An amount fixed by these regulations is a net figure that does not include any GST that may be imposed due to the nature of the provision of the service or the service provider.

(3)If GST is payable on a service listed in these regulations, the fee for the service is the applicable fee increased by 10%.

(4)An injured worker’s prescribed entitlements are to be calculated using the net cost of the treatment or service, without deducting any GST component.

[Regulation 10 inserted in Gazette 7 Dec 2007 p. 6036.]

 

Schedule 1

[r. 2]

Scales of fees — medical specialists and other medical practitioners

[Heading inserted in Gazette 20 Jul 1999 p. 3250.]

Part 1 — Medical specialists and other medical practitioners

[Heading inserted in Gazette 28 Dec 2001 p. 6692.]

Type of service/by whom

Fee

$

GENERAL PRACTITIONER

CONSULTATIONS

Surgery Consultation

in hours

Content based

$

Minor or Specific Service (Level A or B)

58.35

Extended Service (Level C)

106.65

Comprehensive Service (Level D)

163.90

Time based

$

up to 5 minutes

34.80

more than 5 minutes to 15 minutes

45.40

more than 15 minutes to 30 minutes

87.60

more than 30 minutes to 45 minutes

132.50

more than 45 minutes to 60 minutes

179.60

Surgery Consultations

out of hours

For attendances between the hours of 6 p.m. and 8 a.m. on a weekday or between 12 noon on Saturday and 8 a.m. on the following Monday, and Public Holiday.


Content based

$

Minor Service (Level A)

43.80

Specific Service (Level B)

87.60

Extended Service (Level C)

159.50

Comprehensive Service (Level D)

246.95

Time based

$

up to 5 minutes

69.35

more than 5 minutes to 15 minutes

75.25

more than 15 minutes to 30 minutes

116.70

more than 30 minutes

159.50

VISITS

Consultations at a place other than the Consulting Rooms

in hours

$

Minor Service (Level A)

73.05

Specific Service (Level B)

99.85

Extended Service (Level C)

148.20

Comprehensive Service (Level D)

206.55

out of hours

$

Minor Service (Level A)

87.60

Specific Service (Level B)

130.25

Extended Service (Level C)

199.85

Comprehensive Service (Level D)

291.90

TELEPHONE CONSULTATIONS

Time based

$

up to 5 minutes

19.50

more than 5 minutes to 15 minutes

24.40

more than 15 minutes to 30 minutes

51.05

more than 30 minutes

76.50

CASE CONFERENCES, discussions with employers/insurers, rehabilitation providers, workplace assessments, etc.

per hour

$219.55

TRAVELLING FEES

Rate per kilometre

 

$3.90

PHYSICIANS, OCCUPATIONAL PHYSICIANS & REHABILITATION PHYSICIANS

CONSULTATIONS

Professional attendance at consulting rooms and issue of certificate (if required) et al.


$

first attendance

225.35

subsequent attendances

110.90

VISITS

Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al.

$

first attendance

265.50

subsequent attendances

153.20

TELEPHONE CONSULTATIONS

Time based

$

up to 5 minutes

29.10

more than 5 minutes to 15 minutes

35.90

more than 15 minutes to 30 minutes

75.00

more than 30 minutes

113.25

CASE CONFERENCES, discussions with employers/insurers, rehabilitation providers, workplace assessments, etc.

per hour

$325.55

TRAVELLING FEES

Rate per kilometre

$3.90

CONSULTANT PSYCHIATRISTS

CONSULTATIONS

Professional attendance at consulting rooms and issue of certificate (if required) et al.

 

Time based

$

up to 15 minutes

65.00

more than 15 minutes to 30 minutes

129.75

more than 30 minutes to 45 minutes

194.30

more than 45 minutes to 60 minutes

259.95

more than 60 minutes to 75 minutes

294.15

more than 75 minutes

328.35

VISITS

Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al.
Visits include both attendance at hospitals and home visits

 

Time based

$

up to 15 minutes

106.75

more than 15 minutes to 30 minutes

172.40

more than 30 minutes to 45 minutes

235.30

more than 45 minutes to 75 minutes

301.00

more than 75 minutes

362.65

TELEPHONE CONSULTATIONS

Time based

$

up to 45 minutes

86.25

more than 45 minutes

188.35

CASE CONFERENCES, discussions with employers/insurers, rehabilitation providers, workplace assessments, etc.

per hour

$325.55

TRAVELLING FEES

Rate per kilometre

$3.90

SPECIALISTS

SURGEONS

CONSULTATIONS

Professional attendance at consulting rooms and issue of certificate (if required) et al.


$

first attendance

126.05

subsequent attendances

65.75

VISITS

Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al.


$

first attendance

169.90

subsequent attendances

108.25

DERMATOLOGISTS

CONSULTATIONS

Professional attendance at consulting rooms and issue of certificate (if required) et al.


$

first attendance

126.05

subsequent attendances

65.75

VISITS

Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al.


$

first attendance

169.60

subsequent attendances

108.10

TELEPHONE CONSULTATIONS

Time based

$

up to 5 minutes

29.10

more than 5 minutes to 15 minutes

35.90

more than 15 minutes to 30 minutes

75.00

more than 30 minutes

113.25

CASE CONFERENCES, discussions with employers/insurers, rehabilitation providers, workplace assessments, etc.

per hour

$325.55

TRAVELLING FEES

Rate per kilometre

$3.90

ANAESTHETISTS

All anaesthesia fees are calculated by multiplying the units for the consultation, attendance, procedure or service by the $ value per unit allocated by this Schedule.

$ VALUE PER UNIT

$ value per unit

$65.55

CONSULTATIONS AND ATTENDANCES

Units

 

Anaesthetist Consultation

 

 — an attendance of 15 minutes or less duration

2

 — an attendance of more than 15 minutes but not more than 30 minutes duration

4

 — an attendance of more than 30 minutes but not more than 45 minutes duration

6

 — an attendance of more than 45 minutes duration

8

Post anaesthesia patient care following a day procedure

2

EMERGENCY ATTENDANCES

 

After hours — where immediate attendance is required after 6 p.m. and before 8 a.m. on any weekday, or at any time on a Saturday, Sunday or a public holiday

6

Note: No after hours loading applies to the above item

 

Attendance on a patient in imminent danger of death requiring continuous life saving emergency treatment to the exclusion of all other patients

6

Call back from home, office or other distant location for the provision of emergency services

4

PROCEDURES AND SERVICES

All anaesthesia fees in relation to procedures and services are to be charged on the relative value guide (RVG) system. In most cases, the RVG system comprises 3 elements: base units (BUs), modifying units (MUs) and time units (TUs).

In Part A, the fee for a procedure is calculated by adding the base units for the procedure, the time units, and any modifying units and multiplying the result by the $ value per unit allocated by this Schedule.

(BUs + TUs + MUs ) x $ value per unit = Fee

In Part B, the fee for a therapeutic or diagnostic service only includes modifying units (MUs), and time units (TUs) if the item notes that service as including either or both.

Base units

The appropriate number of base units for each procedure has been established and is set out in this Schedule.

[The number of base units for each procedure has been calculated so as to include usual postoperative visits, the administration of fluids and/or blood incidental to the anaesthesia care and usual monitoring procedures.]

Time units

For the first 2 hours, each 15 minutes (or part thereof) of anaesthetic time constitutes one time unit. After 2 hours, time units are calculated at one per 10 minutes (or part thereof).

Modifying units

Many anaesthetic services are provided under particularly difficult circumstances depending on factors such as the medical condition of the patient and unusual risk factors. These factors significantly affect the character of the anaesthetic services provided. Circumstances giving rise to additional modifying units are set out in this Schedule.

[Note: The modifying units are, in the main, derived from the modifying units set out in the AMA’s “List of Medical Services and Fees”.]

 

Description

Units

A normal healthy patient

0

A patient with a mild systemic disease

0

A patient with a severe systemic disease

1

A patient with a severe systemic disease that is a constant threat to life

4

A moribund patient who is not expected to survive for 24 hours with or without the operation

6

A patient who is morbidly obese (body mass index is more than 35)

2

A patient who is in the 3rd trimester of pregnancy

2

A patient declared brain dead whose organs are being removed for donor purposes

0

Where the patient is aged under 1 year or over 70 years old

1

Emergency surgery (i.e. When undue delay in treatment of the patient would lead to a significant increase in a threat to life or body part)

2

Anaesthesia in the prone position (not applicable to lower intestinal endoscopic procedures)

3

Anaesthesia for after‑hours emergencies

A 50% loading should apply to emergency after–hours anaesthesia. It is calculated using the “total relative value”. The 50% loading and the emergency surgery modifier should not be used together.

After‑hours is defined as that period between 6.00 p.m. and the following 8.00 a.m. on weekdays and between 8.00 a.m. and the following 8.00 a.m. on weekend days and public holidays.

PART A — PROCEDURES

Description of procedure, etc

Units

Head

 

Anaesthesia for all procedures on the skin and subcutaneous tissue, muscles, salivary glands and superficial blood vessels of the head, including biopsy, unless otherwise specified

5

 — plastic repair of cleft lip

6

Anaesthesia for electroconvulsive therapy

4

Anaesthesia for all procedures on external, middle or inner ear, including biopsy, unless otherwise specified

5

 — otoscopy

4

Anaesthesia for all procedures on eye unless otherwise specified

5

 — lens surgery

6

 — retinal surgery

6

 — corneal transplant

8

 — vitrectomy

8

 — biopsy of conjunctiva

5

 — ophthalmoscopy

4

Anaesthesia for all procedures on nose and accessory sinuses unless otherwise specified

6

 — radical surgery

7

 — biopsy, soft tissue

4

Anaesthesia for all intraoral procedures, including biopsy, unless otherwise specified

6

 — repair of cleft palate

7

 — excision of retropharyngeal tumour

9

 — radical intraoral surgery

10

Anaesthesia for all procedures on facial bones unless otherwise specified

5

 — extensive surgery on facial bones (including prognathism and extensive facial bone reconstruction)

10

Anaesthesia for all intracranial procedures unless otherwise specified

15

 — subdural taps

5

 — burr holes

9

 — intracranial vascular procedures including those for aneurysms and arterio‑venous abnormalities

20

 — spinal fluid shunt procedures

10

 — ablation of intracranial nerve

6

Anaesthesia for all cranial bone procedures

12

Neck

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the neck unless otherwise specified

5

Anaesthesia for incision and drainage of large haematoma, large abscess, cellulitis, or similar lesion causing life threatening airway obstruction

15

Anaesthesia for all procedures on oesophagus, thyroid, larynx, trachea and lymphatic system muscles, nerves or other deep tissues of the neck unless otherwise specified

6

 — for laryngectomy, hemi laryngectomy, laryngopharyngectomy, or pharyngectomy

10

Anaesthesia for laser surgery to the airway

8

Anaesthesia for all procedures on major vessels of neck unless otherwise specified

10

 — simple ligation

5

Thorax (Chest Wall/Shoulder Girdle)

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the chest unless otherwise specified

3

Anaesthesia for all procedures on the breast unless otherwise specified

4

 — reconstructive procedures on the breast (eg. reduction or augmentation, mammoplasty)

5

 — removal of breast lump or for breast segmentectomy where axillary node dissection is performed

5

 — mastectomy

6

 — reconstructive procedures on the breast using myocutaneous flaps

8

 — radical or modified radical procedures on breast with internal mammary node dissection

13

 — electrical conversion of arrhythmias

5

Anaesthesia for percutaneous bone marrow biopsy of the sternum

4

Anaesthesia for all procedures on the clavicle, scapula or sternum unless otherwise specified

5

 — radical surgery

6

Anaesthesia for partial rib resection unless otherwise specified

6

 — thoracoplasty

10

 — extensive procedures (eg. pectus excavatum)

13

Intrathoracic

 

Anaesthesia for open procedures on the oesophagus

15

Anaesthesia for all closed chest procedures (including rigid oesophagoscopy or bronchoscopy) unless otherwise specified

6

 — needle biopsy of pleura

4

 — pneumocentesis

4

 — thoracoscopy

10

 — mediastinoscopy

8

Anaesthesia for all thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum unless otherwise specified

13

 — pulmonary decortication

15

 — pulmonary resection with thoracoplasty

15

 — intrathoracic repair of trauma to trachea and bronchi

15

Anaesthesia for all open procedures on the heart, pericardium, and great vessels of the chest

20

Anaesthesia for heart transplant

20

Anaesthesia for heart and lung transplant

20

Cadaver harvesting of heart and/or lungs

8

Spine and spinal cord

 

Anaesthesia for all procedures on the cervical spine and/or cord unless otherwise specified (for myelography and discography see items in ‘Other Procedures’)

10

 — posterior cervical laminectomy in sitting position

13

Anaesthesia for all procedures on the thoracic spine and/or cord unless otherwise specified

10

 — thoracolumbar sympathectomy

13

Anaesthesia for all procedures in the lumbar region unless otherwise specified

8

 — lumbar sympathectomy

7

 — chemonucleolysis

10

Anaesthesia for extensive spine and spinal cord procedures

13

Anaesthesia for manipulation of spine

3

Anaesthesia for percutaneous spinal procedures

5

Upper abdomen

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the upper abdominal wall unless otherwise specified

3

Anaesthesia for all procedures on the nerves, muscles, tendons and fascia of the upper abdominal wall

4

Anaesthesia for diagnostic laparoscopy

6

Anaesthesia for laparoscopic procedures unless otherwise specified

7

Anaesthesia for extracorporeal shock wave lithotripsy

6

Anaesthesia for upper gastrointestinal endoscopic procedures

5

Anaesthesia for upper gastrointestinal endoscopic procedures in association with imaging techniques including fluoroscopy and ultrasound

6

Anaesthesia for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage

6

Anaesthesia for all hernia repairs in upper abdomen unless otherwise specified

4

 — repair of incisional hernia and/or wound dehiscence

6

 — repair of omphalocele

7

 — transabdominal repair of diaphragmatic hernia

9

Anaesthesia for all procedures on major abdominal blood vessels

15

Anaesthesia for all procedures within the peritoneal cavity in upper abdomen including cholecystectomy, gastrectomy, laparoscopic nephrectomy, bowel shunts and cadaver harvesting of organs unless otherwise specified

8

Anaesthesia for gastric reduction or gastroplasty for the treatment of morbid obesity

10

Anaesthesia for partial hepatectomy (excluding liver biopsy)

13

Anaesthesia for extended or trisegmental hepatectomy

15

Anaesthesia for pancreatectomy, partial or total (eg. Whipple procedure)

12

Anaesthesia for liver transplant (recipient)

30

Anaesthesia for neuro endocrine tumour removal (eg. carcinoid)

10

Anaesthesia for percutaneous procedures on an intra‑abdominal organ in the upper abdomen

6

Lower abdomen

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the lower abdominal wall unless otherwise specified

3

 — lipectomy

5

Anaesthesia for all procedures on the nerves, muscles, tendons and fascia of the lower abdominal wall (with the exception of abdominal lipectomy)

4

Anaesthesia for diagnostic laparoscopy

6

Anaesthesia for laparoscopic procedures

7

Anaesthesia for all lower intestinal endoscopic procedures (modifier for prone position is not applicable)

4

Anaesthesia for extracorporeal shock wave lithotripsy

6

Anaesthesia for all hernia repairs in lower abdomen unless otherwise specified

4

 — repair of incisional hernia and/or wound dehiscence

6

Anaesthesia for all procedures within the peritoneal cavity in the lower abdomen (including appendicetomy) unless otherwise specified

6

Anaesthesia for bowel resection, including laparascopic bowel resection, unless otherwise specified

8

 — amniocentesis

4

 — abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation of bowel reservoir

10

 — radical prostatectomy

10

 — radical hysterectomy

10

 — radical ovarian surgery

10

 — pelvic exenteration

10

 — Caesarean section

10

 — Caesarean hysterectomy or hysterectomy within 24 hours of delivery

15

Anaesthesia for all extraperitoneal procedures in lower abdomen, including urinary tract, unless otherwise specified

6

 — renal procedures, including upper 1/3 or ureter

7

 — total cystectomy

10

 — adrenalectomy

10

 — neuro endocrine tumour removal (eg. carcinoid)

10

 — renal transplant (donor or recipient)

10

Anaesthesia for all procedures on major lower abdominal vessels unless otherwise specified

15

 — inferior vena cava ligation

10

 — percutaneous umbrella insertion

5

Anaesthesia for percutaneous procedures on an intra‑abdominal organ in the lower abdomen

6

Perineum

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the perineum (including biopsy of male genital system) unless otherwise specified

3

 — anorectal procedure (including endoscopy and/or biopsy)

4

 — radical perineal procedure including radical perineal prostatectomy or radical vulvectomy

7

 — vulvectomy

4

Anaesthesia for all transurethral procedures (including urethrocystoscopy) unless otherwise specified

4

 — transurethral resection of bladder tumour(s)

5

 — transurethral resection of prostate

7

 — post‑transurethral resection bleeding

7

Anaesthesia for all procedures on male external genitalia unless otherwise specified

3

 — undescended testis, unilateral or bilateral

4

Anaesthesia for procedures on the cord and/or testes unless otherwise specified

4

 — radical orchidectomy, inguinal approach

4

 — radical orchidectomy, abdominal approach

6

 — orchiopexy, unilateral or bilateral

4

 — complete amputation of the penis

4

 — complete amputation of the penis with bilateral inguinal lymphadenectomy

6

 — complete amputation of the penis with bilateral inguinal and iliac lymphadenectomy

8

 — insertion of penile prosthesis (perianal approach)

4

Anaesthesia for all vaginal procedures (including biopsy of labia, vagina, cervix or endometrium) unless otherwise specified

4

 — colpotomy, colpectomy, colporrhaphy

5

 — transvaginal assisted reproductive services

4

 — vaginal hysterectomy

6

 — vaginal delivery

6

 — purse string ligation of cervix

4

 — culdoscopy

5

 — hysteroscopy

4

Anaesthesia for endometrial ablation or resection in association with hysteroscopy

5

 — correction of inverted uterus

8

Anaesthesia for evacuation of retained products of conception, as a complication of confinement

4

 — for the manual removal of retained placenta or for repair of vaginal or perineal tear following delivery

5

 — for vaginal procedures in the management of post partum haemorrhage

7

Pelvis — except hip

 

Anaesthesia for all procedures on the skin and subcutaneous tissue of the pelvic region, except external genitalia

3

Anaesthesia for percutaneous bone marrow biopsy of the anterior iliac crest

4

 — percutaneous bone marrow biopsy of the posterior iliac crest

5

Anaesthesia for percutaneous bone marrow harvesting from the pelvis

6

Anaesthesia for procedures on bony pelvis

6

Anaesthesia for body cast application or revision

3

Anaesthesia for interpelviabdominal (hind quarter) amputation

15

Anaesthesia for radical procedures for tumour of pelvis, except hind quarter amputation

10

Anaesthesia for closed procedures involving symphysis pubis or sacroiliac joint

4

Anaesthesia for open procedures involving symphysis pubis or sacroiliac joint

8

Upper leg — except knee

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the upper leg

3

 — on the nerves, muscles, tendons, fascia, or bursae of the upper leg

4

Anaesthesia for all closed procedures involving hip joint

4

Anaesthesia for arthroscopic procedures of hip joint

4

Anaesthesia for all open procedures involving hip joint unless otherwise specified

6

 — hip disarticulation

10

 — total hip replacement or revision

10

Anaesthesia for bilateral total hip replacement

14

Anaesthesia for all closed procedures involving upper 2/3 of femur

4

Anaesthesia for all open procedures involving upper 2/3 of femur unless otherwise specified

6

 — amputation

5

 — radical resection

8

Anaesthesia for all procedures involving veins of the upper leg including exploration

4

Anaesthesia for all procedures involving arteries of the upper leg, including bypass graft, unless otherwise specified

8

 — femoral artery ligation

4

 — femoral artery embolectomy

6

 — for microsurgical reimplantation of upper leg

15

Knee and popliteal area

 

Anaesthesia for all procedures on the skin and subcutaneous tissue of the knee and/or popliteal area

3

Anaesthesia for all procedures on nerves, muscles, tendons, fascia and bursae of the knee and/or popliteal area

4

Anaesthesia for all closed procedures on the lower 1/3 of femur

4

Anaesthesia for all open procedures on the lower 1/3 of femur

5

Anaesthesia for all closed procedures on the knee joint

3

Anaesthesia for arthroscopic procedures of the knee joint

4

Anaesthesia for all closed procedures on upper ends of the tibia and fibula, and/or patella

3

Anaesthesia for all open procedures on upper ends of the tibia and fibula, and/or patella

4

Anaesthesia for open procedures on the knee joint unless otherwise specified

4

 — knee replacement

7

 — bilateral knee replacement

10

 — disarticulation of knee

5

Anaesthesia for all cast applications, removal, or repair involving the knee joint

3

Anaesthesia for all procedures on the veins of the knee and popliteal area unless otherwise specified

4

 — repair of arteriovenous fistula

5

Anaesthesia for all procedures on the arteries of the knee and popliteal area unless otherwise specified

8

Lower leg — below knee (includes ankle and foot)

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the lower leg, ankle and foot

3

Anaesthesia for all procedures on the nerves, muscles, tendons and fascia of the lower leg, ankle, and foot unless otherwise specified

4

Anaesthesia for all closed procedures on the lower leg, ankle and foot

3

Anaesthesia for arthroscopic procedure of ankle joint

4

 — gastrocnemius recession

5

Anaesthesia for all open procedures on the bones of the lower leg, ankle and foot, including amputation, unless otherwise specified

4

 — radical resection

5

 — osteotomy or osteoplasty of tibia and fibula

5

 — total ankle replacement

7

Anaesthesia for lower leg cast application, removal or repair

3

Anaesthesia for all procedures on arteries of the lower leg, including bypass graft unless otherwise specified

8

 — embolectomy

6

Anaesthesia for all procedures on the veins of the lower leg unless otherwise specified

4

 — venous thrombectomy

5

 — for microsurgical reimplantation of the lower leg, ankle or foot

15

 — for microsurgical reimplantation of the toe

8

Shoulder and axilla (includes humeral head and neck, sternoclavicular joint, acromioclavicular joint and shoulder joint)

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the shoulder or axilla

3

Anaesthesia for all procedures on nerves, muscles, tendons, fascia and bursae of shoulder and axilla, including axillary dissection

5

Anaesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or the shoulder joint

4

Anaesthesia for all arthroscopic procedures of the shoulder joint

5

Anaesthesia for all open procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint or the shoulder joint unless otherwise specified

5

 — radical resection

6

 — shoulder disarticulation

9

 — interthoracoscapular (forequarter) amputation

15

 — total shoulder replacement

10

Anaesthesia for all procedures on arteries of shoulder and axilla unless otherwise specified

8

 — axillary‑brachial aneurysm

10

 — bypass graft

8

 — axillary‑femoral bypass graft

10

Anaesthesia for all procedures on veins of shoulder and axilla

4

Anaesthesia for all shoulder cast application, removal or repair unless otherwise specified

3

 — shoulder spica

4

Upper arm and elbow

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the upper arm and elbow

3

Anaesthesia for all procedures on the nerves, muscles, tendons, fascia and bursae of upper arm and elbow, unless otherwise specified

4

 — tenotomy, elbow to shoulder, open

5

 — tenoplasty, elbow to shoulder

5

 — tenodesis, rupture of long tendon of biceps

5

Anaesthesia for all closed procedures on the humerus and elbow

3

Anaesthesia for arthroscopic procedures of elbow joint

4

Anaesthesia for all open procedures on the humerus and elbow unless otherwise specified

5

 — radical procedures

6

 — total elbow replacement

7

Anaesthesia for all procedures on the arteries of the upper arm unless otherwise specified

8

 — embolectomy

6

Anaesthesia for all procedures on the veins of the upper arm unless otherwise specified

4

 — for microsurgical reimplantation of the upper arm

15

Forearm, wrist and hand

 

Anaesthesia for all procedures on the skin or subcutaneous tissue of the forearm, wrist and hand

3

Anaesthesia for all procedures on the nerves, muscles, tendons, fascia and bursae of the forearm, wrist and hand

4

Anaesthesia for all closed procedures on radius, ulna, wrist, or hand bones

3

Anaesthesia for all open procedures on radius, ulna, wrist, or hand bones unless otherwise specified

4

 — total wrist replacement

7

Anaesthesia for arthroscopic procedures of the wrist joint

4

Anaesthesia for all procedures on the arteries of the forearm, wrist, and hand unless otherwise specified

8

 — embolectomy

6

Anaesthesia for all procedures on the veins of the forearm, wrist, and hand unless otherwise specified

4

Anaesthesia for forearm, wrist, or hand cast application, removal or repair

3

 — for microsurgical reimplantation of forearm, wrist or hand

15

 — for microsurgical reimplantation of a finger

8

Burns

 

Anaesthesia for excision of debridement of burns with or without skin grafting

 

 — where the burnt area involves not more than 3% of total body surface

3

 — where the burnt area involves more than 3% but less than 10% of total body surface

5

 — where the burnt area involves 10% or more but less than 20% of total body surface

7

 — where the burnt area involves 20% or more but less than 30% of total body surface

9

 — where the burnt area involves 30% or more but less than 40% of total body surface

11

 — where the burnt area involves 40% or more but less than 50% of total body surface

13

 — where the burnt area involves 50% or more but less than 60% of total body surface

15

 — where the burnt area involves 60% or more but less than 70% of total body surface

17

 — where the burnt area involves 70% or more but less than 80% of total body surface

19

 — where the burnt area involves 80% or more of total body surface

21

Other procedures

 

Anaesthesia for injection procedure for myelography:

 

 — lumbar or thoracic

5

 — cervical

6

 — posterior fossa

9

Anaesthesia for injection procedure for discography:

 

 — lumbar or thoracic

5

 — cervical

6

Anaesthesia for peripheral arteriogram

5

Anaesthesia for arteriograms:

 

 — carotid, cerebral or vertebral

5

 — retrograde, brachial or femoral

5

Anaesthesia for computerised axial tomography scanning, magnetic resonance scanning, ultrasound scanning or digital subtraction angiography scanning

7

Anaesthesia for radiology unless otherwise specified

4

Anaesthesia for retrograde cystography, retrograde urethrography or retrograde cystourethrography

4

Anaesthesia for flouroscopy

5

Anaesthesia for small bowel enema, barium or other opaque study of the small bowel

5

Anaesthesia for bronchography

6

Anaesthesia for phlebography

5

Anaesthesia for heart, 2 dimensional real time transoesophageal examination

6

Anaesthesia for peripheral venous cannulation

3

Anaesthesia for cardiac catheterisation including coronary arteriography, ventriculography, cardiac mapping, insertion of automatic defibrillator or transvenous pacemaker

7

Anaesthesia for cardiac electrophysiological procedures including radio frequency ablation

10

Anaesthesia for central vein catheterisation or insertion of right heart balloon catheter

5

Anaesthesia for lumbar puncture, cisternal puncture, or epidural injection

5

Anaesthesia for harvesting of bone marrow for the purpose of transplantation

5

Anaesthesia for muscle biopsy for malignant hyperpyrexia

10

Anaesthesia for electroencephalography

5

Anaesthesia for brain stem evoked audiometry

5

Anaesthesia for electrocochleography by extratympanic method or transtympanic membrane insertion method

5

Anaesthesia for a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia

5

Anaesthesia during hyperbaric therapy where the medical practitioner is not confined in the chamber (including the administration of oxygen)



8

Anaesthesia during hyperbaric therapy where the medical practitioner is confined in the chamber (including the administration of oxygen)



15

Anaesthesia for brachytherapy using radioactive sealed sources

5

Anaesthesia for therapeutic nuclear medicine

5

Anaesthesia for radiotherapy

7

Anaesthesia where no procedure ensues

3

Note — Unlisted anaesthetic procedures

The AMA recognise that in determining the number of units applicable, the anaesthetist shall have regard to equivalent procedures

PART B — THERAPEUTIC AND DIAGNOSTIC SERVICES

Description of service, etc.

MUs

TUs

BUs

Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in an emergency situation

no

no

3

Administration of blood or bone marrow already collected when performed in association with the administration of anaesthesia

no

no

4

Venous cannulation and blood transfusion (or blood products) not associated with anaesthesia

no

no

5

Intubation, endotracheal, emergency procedure, where the patient’s airway is unsecured and at high risk of occlusion, (eg. epiglottitis or haematoma post thyroidectomy) not associated with surgery

yes

yes

15

Intubation, endotracheal, not associated with anaesthesia, when subsequent management is not in an intensive care unit

yes

yes

4

Awake endotracheal intubation with flexible fibreoptic scope, associated with difficult airway, when performed in association with the administration of anaesthesia

no

no

4

Double lumen endobronchial tube or bronchial blocker, insertion of, when performed in association with the administration of anaesthesia

no

no

4

Monitoring of depth of anaesthesia, incorporating continuous measurement of the EEG during anaesthesia for the diagnosis of awareness

no

no

3

Venous cannulation and commencement of intravenous infusion, under age of 3 years, not associated with anaesthesia

no

no

3

Venous cannulation, cutdown

no

no

5

Venous cannulation and commencement of intravenous infusion not associated with anaesthesia

no

no

2

Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement

no

no

7

Pulmonary artery pressure monitoring

no

no

3

Left atrial pressure monitoring via left atrial catheter

no

no

3

Invasive pressure monitoring, not otherwise listed

no

no

3

Measurement of the mechanical or gas exchange function of the respiration system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood and incorporating serial arterial blood gas analysis and a written record of the results, when performed in association with the administration of anaesthesia

no

no

7

Central vein catheterization, percutaneous via jugular, subclavian or femoral vein

no

no

3

Central vein catheterization by cutdown

no

no

5

Central venous pressure monitoring

no

no

3

Arterial cannulation, percutaneous

no

no

3

Arterial puncture, withdrawal of blood for diagnosis

no

no

1

Arterial cannulation, by cutdown

no

no

5

Intra arterial pressure monitoring

no

no

3

Catheterization, umbilical artery, newborn, for diagnosis, or therapy

no

no

5

Intra‑arterial infusion or retrograde intravenous perfusion of a sympatholytic agent

no

no

4

Intravenous regional anaesthesia of limb by retrograde perfusion

no

no

4

Perfusion of limb or organ

no

no

12

Medical management of cardio‑pulmonary bypass perfusion using heart/lung machine

yes

yes

20

Hypothermia, total body

no

no

5

Cardioplegia, blood or crystalloid, administration by any route

no

no

10

Deep hypothermia to a core temperature of less than 22 degrees in association with circulatory arrest

no

no

15

Standby medical management of cardio‑pulmonary bypass perfusion using heart/lung machine

no

yes

5

Major nerve block (proximal to the elbow or knee), including intercostal nerve clock(s) or plexus block to provide post operative pain relief

no

no

4

Minor nerve block (specify type) to provide post operative pain relief (does not include subcutaneous infiltration)

no

no

2

Intrathecal or epidural injection (initial) of a therapeutic substance, with or without insertion of a catheter, in association with anaesthesia and surgery, for post operative pain management

no

no

5

Intrathecal or epidural injection (subsequent) of a therapeutic substance, in association with anaesthesia and surgery, for post operative pain management

no

no

3

Subarachnoid puncture, lumbar, diagnostic

no

no

5

Insertion of subarachnoid drain

no

no

8

Intrathecal, or epidural or injection, (initial or commencement of infusion) of a therapeutic substance, including up to one hour of continuous attendance by a medical practitioner

no

no

8

Intrathecal, or epidural or injection, (initial or commencement of infusion) of a therapeutic substance, where continuous attendance by a medical practitioner extends beyond the first hour. Derived fee being 8 units for the first hour plus one unit for each additional 15 minutes or part thereof

no

no

0

Intrathecal, or epidural or injection, (initial or commencement of infusion) of a therapeutic substance, including up to one hour of continuous attendance by a medical practitioner after hours for a patient in labour

no

no

15

Intrathecal, or epidural or injection, (initial or commencement of infusion) of a therapeutic substance, where continuous after hours attendance by a medical practitioner extends beyond the first hour for a patient in labour. Derived fee being 15 units for the first hour plus one unit for each additional 15 minutes or part thereof

no

no

0

Subsequent injection (or revision of infusion) of a therapeutic substance to maintain regional anaesthesia or analgesia where the period of continuous medical practitioner attendance is 15 minutes or less

no

no

3

Subsequent injection (or revision of infusion) of a therapeutic substance to maintain regional anaesthesia or analgesia where the period of continuous medical practitioner attendance is more than 15 minutes

no

no

4

Interpleural block, initial injection or commencement of infusion of a therapeutic substance

no

no

5

Intrathecal, epidural or caudal injection of neurolytic substance

no

no

20

Intrathecal, epidural or caudal injection of substance other than anaesthetic, contrast or neurolytic solutions, not being a service to which another item in the Group applies

no

no

8

Epidural injection of blood for blood patch

no

no

8

Injection of an anaesthetic agent

 

 

 

 — trigeminal nerve, primary division of

no

no

10

 — trigeminal nerve, peripheral branch of

no

no

5

 — facial nerve

no

no

3

 — retrobulbar or peribulbar

no

no

5

 — greater occipital nerve

no

no

3

 — vagus nerve

no

no

8

 — glossopharyngeal nerve

no

no

8

 — phrenic nerve

no

no

7

 — spinal accessory nerve

no

no

5

 — cervical plexus

no

no

8

 — brachial plexus

no

no

8

 — suprascapular nerve

no

no

5

 — intercostal nerve, single

no

no

5

 — intercostal nerves, multiple

no

no

7

 — ilioinguinal, iliohypogastric or genito femoral nerves, one or more of

no

no

5

 — pudendal nerve

no

no

8

 — ulnar, radial or median nerve of main trunk, one or more of, not being associated with a brachial plexus block

no

no

5

 — paracervical (uterine) nerve

no

no

5

 — obturator nerve

no

no

7

 — femoral nerve

no

no

7

 — saphenous, sural, popliteal or posterior tibial nerve of main trunk, one or more of

no

no

5

 — paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, single vertebral level

no

no

7

 — paravertebral nerves, multiple levels

no

no

10

 — sciatic nerve

no

no

7

 — other peripheral nerve or branch

no

no

5

 — sphenopalatine ganglion

no

no

10

 — carotid sinus, as an independent percutaneous procedure

no

no

8

 — stellate ganglion (cervical sympathetic block)

no

no

8

 — lumbar or thoracic nerves (paravertebral sympathetic block)

no

no

8

 — coeliac plexus or splanchnic nerves

no

no

10

Cranial nerve other than trigeminal, destruction by a neurolytic agent, not being a service associated with the injection of botulinum toxin

no

no

20

Nerve branch, not covered by any other item in this Group, destruction by a neurolytic agent, not being a service associated with the injection of botulinum toxin

no

no

10

Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent

no

no

20

Lumbar sympathetic chain, destruction by a neurolytic agent

no

no

15

Cervical or thoracic sympathetic chain, destruction by a neurolytic agent

no

no

20

Cardioversion, elective, electrical conversion of arrhythmia, external

no

no

4

Hyperbaric oxygen treatment when the specialist is inside the chamber

yes

yes

15

Hyperbaric oxygen treatment when the specialist is outside the chamber

yes

yes

8

Heart, 2 dimensional real time transoesophageal examination of, at least 2 oesophageal windows performed using a mechanical sector scanner or phased array transducer with —

 

 

 

(a)measurement blood flow velocities across the cardiac valves using pulsed wave and continuous Doppler techniques;

 

 

 

(b)real time colour flow mapping from at least 2 oesophageal windows; and

(c)recording on video tape

no

no

10

Intra‑operative 2 dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape, performed during cardiac surgery incorporating sequential assessment of cardiac function before and after the surgical procedure

no

no

14

The use of 2 dimensional imaging ultrasound guidance to assist percutaneous major vascular access involving catheterisation of the jugular, subclavian or femoral vein

no

no

3

The use of 2 dimensional imaging ultrasound guidance to assist percutaneous neural blockade involving the branchial plexus, or femoral and/or sciatic nerve

no

no

3

Skin testing for allergy to anaesthetic agents

no

yes

4

Assistance in the administration of an anaesthetic

yes

yes

5

Note — Unlisted services

For an unlisted service, the number of units is to be determined by reference to the nearest listed anaesthetic procedure

[Part 1 inserted in Gazette 20 Jul 1999 p. 3250‑69; amended in Gazette 31 Aug 1999 p. 4244-5; 21 Dec 2000 p. 7626-34; 28 Dec 2001 p. 6692-7; 23 Sep 2003 p. 4174-7; 19 Mar 2004 p. 864‑96; 29 Oct 2004 p. 4941‑2; 21 Jan 2005 p. 279‑81; 10 Jan 2006 p. 44-52; 22 Dec 2006 p. 5759-68; 7 Dec 2007 p. 6037‑42; 17 Dec 2008 p. 5291‑6.]

Part 2 — Medical procedures

[Heading inserted in Gazette 17 Dec 2008 p. 5296.]

Type of procedure

Fee
$

GENERAL

 

Localised burns

48.65

Localised burns, including dressing of, under general anaesthetic


138.50

Extensive burns

83.95

Extensive burns, including dressing of, under general anaesthetic


293.05

Dressing of wounds, under general anaesthetic

138.50

Acupuncture, including consultation

64.60

DISLOCATIONS

 

closed reduction means non‑operative reduction of the dislocation, and includes percutaneous fixation and/or external splintage by cast or splint.

 

open reduction means treatment by either closed reduction and intra‑medullary fixation or treatment by operative exposure of the dislocation including internal or external fixation.

 

other means treatment by any other method and includes the use of external splintage.

 

[Where injuries are associated with a compound (open) wound, an additional fee of 50% of the fee listed is to apply.]

 

Elbow, by closed reduction

261.10

Elbow, by open reduction

346.25

Interphalangeal joint, by closed reduction

111.95

Interphalangeal joint, by open reduction

149.25

Mandible, by closed reduction

93.30

Clavicle, by closed reduction

110.65

Clavicle, by open reduction

223.80

Shoulder, not requiring general anaesthetic

124.50

Shoulder, by open reduction, with general anaesthetic

446.30

Shoulder, other, with general anaesthetic

221.10

Metacarpophalangeal joint, by closed reduction

149.25

Metacarpophalangeal joint, by open reduction

199.85

Patella, by closed reduction

167.80

Patella, by open reduction

223.80

Radioulnar joint, by closed reduction

261.10

Radioulnar joint, by open reduction

346.25

Toe, by closed reduction

93.30

Toe, by open reduction

123.90

REMOVAL OF FOREIGN BODIES — 

 

superficial

40.60

as independent procedure

181.10

deep tissue or muscle

506.25

ear, other than by syringing

130.50

nose, other than by simple probing

130.50

cornea or sclera, embedded

133.20

FRACTURES

 

closed reduction means non‑operative reduction of the fracture, and includes percutaneous fixation and/or external splintage by cast or splint.

 

open reduction means treatment by either closed reduction and intra‑medullary fixation or treatment by operative exposure of the fracture including internal or external fixation.

 

other means treatment by any other method and includes the use of external splintage.

 

[Where injuries are associated with a compound (open)
wound, an additional fee of 50% of the fee listed is to apply.]

 

Distal phalanx of finger or thumb

 

fracture, by closed reduction

167.80

fracture, intra‑articular, by closed reduction

194.50

fracture, by open reduction

223.80

fracture, intra‑articular, by open reduction

279.75

Middle phalanx of finger

 

fracture, by closed reduction

253.10

fracture, intra‑articular, by closed reduction

286.35

fracture, by open reduction

333.00

fracture, intra‑articular, by open reduction

419.55

Proximal phalanx of finger or thumb

 

fracture, by closed reduction

333.00

fracture, intra‑articular, by closed reduction

392.85

fracture, by open reduction

446.30

fracture, intra‑articular, by open reduction

559.45

Metacarpal

 

fracture, by closed reduction

333.00

fracture, intra‑articular, by closed reduction

392.85

fracture, by open reduction

446.30

fracture, intra‑articular, by open reduction

559.45

Carpal Scaphoid, by open reduction

745.95

Carpal Scaphoid, other

333.00

Carpus (excluding Scaphoid), by open reduction

466.15

Carpus (excluding Scaphoid), other

186.45

Radius

 

by closed management

372.90

by open management

745.95

Radius or Ulnar, distal end, (Colies’, Smith’s or Barton’s)

 

by closed reduction

559.45

by open reduction

745.95

Ribs (1 or more), each attendance

85.35

Tibia, plateau of, medial or lateral

 

by closed reduction

672.70

by open reduction

892.40

Tibia, plateau of, medial and lateral

 

by closed reduction

1 118.85

by open reduction

1 498.45

SUTURES

 

Face or neck

 

less than 7 cm, superficial

133.20

less than 7 cm, deep

202.45

more than 7 cm, superficial

202.45

more than 7 cm, deep

346.25

Except face or neck

 

less than 7 cm, superficial

101.20

less than 7 cm, deep

151.85

more than 7 cm, superficial

151.85

more than 7 cm, deep

333.00

AMPUTATIONS

 

Hand, midcarpal or transmetacarpal

506.25

Hand, forearm or through arm

586.10

At shoulder

992.25

Interscapulothoracic

1 971.25

One digit of foot

266.30

Two digits of one foot

399.60

Three digits of one foot

539.45

Four digits of one foot

672.70

Five digits of one foot

805.85

Toe including metatarsal or part of metatarsal — each toe

314.45

Foot, at ankle

586.10

Foot, midtarsal or transmetatarsal

506.25

Through thigh, at knee or below knee

865.85

At hip

1 218.65

ASSISTANCE AT OPERATIONS

The fee for assistance at any operation (or series or combination of operations) is to be related to the fee listed for the operation (or series or combination of operations) itself.

 

The fee is 20% of the total fee or the minimum sum of $167.80, whichever is greater.

 

 

USE OF PRIVATE THEATRES

A theatre fee of $101.20 will be paid to practitioners for the use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.

 

[Part 2 inserted in Gazette 17 Dec 2008 p. 5296‑300.]

Part 3 — Diagnostic Imaging Services

[Heading inserted in Gazette 17 Dec 2008 p. 5301]

ULTRASOUND

MBS item number
(1 November 2007)

Fee
$

55028

163.15

55029

56.60

55030

163.15

55031

56.60

55032

163.15

55033

56.60

55036

166.40

55037

56.60

55038

163.15

55039

56.60

55044

166.40

55045

56.60

55048

163.15

55049

56.60

55054

163.15

55070

146.90

55073

50.85

55076

163.15

55079

56.60

55084

146.90

55085

50.85

55113

344.90

55114

344.90

55115

344.90

55116

383.50

55117

383.50

55118

411.90

55130

254.25

55135

528.75

55238

253.40

55244

253.40

55246

253.40

55248

253.40

55252

253.40

55274

253.40

55276

253.40

55278

253.40

55280

253.40

55282

253.40

55284

253.40

55292

253.40

55294

253.40

55296

166.10

55600

163.15

55603

163.15

55700

89.65

55703

52.35

55704

104.70

55705

52.35

55706

149.55

55707

104.70

55708

52.35

55709

56.85

55712

171.95

55715

59.80

55718

149.55

55721

171.95

55723

56.85

55725

59.80

55729

40.75

55731

146.60

55733

52.35

55736

189.85

55739

85.20

55759

224.30

55762

89.65

55764

239.20

55766

97.15

55768

224.30

55770

89.65

55772

239.20

55774

97.15

55800

163.15

55802

56.60

55804

163.15

55806

56.60

55808

163.15

55810

56.60

55812

163.15

55814

56.60

55816

163.15

55818

56.60

55820

163.15

55822

56.60

55824

163.15

55826

56.60

55828

163.15

55830

56.60

55832

163.15

55834

56.60

55836

163.15

55838

56.60

55840

163.15

55842

56.60

55844

130.60

55846

56.60

55848

163.15

55850

228.55

55852

163.15

55854

56.60

COMPUTED TOMOGRAPHY — 
EXAMINATION AND REPORT

MBS item number
(1 November 2007)

Fee
$

56001

267.80

56007

343.35

56010

346.15

56013

343.35

56016

398.30

56022

309.00

56028

462.50

56030

309.00

56036

462.50

56041

135.65

56047

173.20

56050

176.10

56053

176.10

56056

213.40

56062

155.35

56068

231.25

56070

155.35

56076

231.25

56101

315.90

56107

467.00

56141

159.90

56147

235.70

56219

447.95

56220

329.65

56221

329.65

56223

329.65

56224

482.60

56225

482.60

56226

482.60

56227

168.20

56228

168.20

56229

168.20

56230

243.70

56231

243.70

56232

243.70

56233

329.65

56234

482.60

56235

168.15

56236

243.70

56237

329.65

56238

482.60

56239

168.15

56240

243.70

56259

226.30

56301

405.15

56307

549.25

56341

205.25

56347

277.40

56401

343.35

56407

494.35

56409

343.35

56412

494.35

56441

174.10

56447

249.20

56449

174.10

56452

249.20

56501

528.75

56507

659.20

56541

265.25

56547

334.70

56549

528.75

56551

528.75

56619

302.15

56625

459.55

56659

153.90

56665

229.90

56801

640.75

56807

769.05

56841

320.45

56847

389.85

57001

640.85

57007

779.70

57041

320.50

57047

389.90

57201

213.10

57247

106.45

57341

645.45

57345

331.80

57350

700.40

57351

700.40

57355

362.75

57356

362.75

DIAGNOSTIC RADIOLOGY

MBS item number
(1 November 2007)

Fee
$

57506

47.20

57509

63.05

57512

64.25

57515

85.60

57518

51.55

57521

68.80

57524

78.45

57527

104.30

57700

64.25

57703

85.60

57706

51.55

57709

68.80

57712

74.75

57715

96.60

57721

157.40

57901

102.25

57902

102.25

57903

75.00

57906

102.25

57909

102.25

57912

74.75

57915

74.75

57918

74.75

57921

74.75

57924

74.75

57927

78.70

57930

52.15

57933

124.10

57939

102.25

57942

78.70

57945

68.80

57960

75.20

57963

75.20

57966

75.20

57969

75.20

58100

106.45

58103

87.40

58106

122.10

58108

210.75

58109

74.55

58112

154.25

58115

210.75

58300

63.60

58306

141.80

58500

56.05

58503

74.75

58506

96.40

58509

63.05

58521

68.80

58524

89.60

58527

110.05

58700

73.10

58706

250.40

58715

240.35

58718

200.05

58721

219.25

58900

56.60

58903

75.45

58909

142.60

58912

174.85

58915

125.15

58916

219.60

58921

214.50

58924

133.30

58927

121.30

58933

326.10

58936

310.80

58939

220.95

59103

33.80

59300

141.90

59303

85.55

59306

159.10

59309

318.05

59312

138.00

59314

83.20

59318

74.60

59503

141.80

59700

153.15

59703

120.35

59712

180.35

59715

227.70

59718

213.60

59724

359.20

59733

170.80

59736

98.35

59739

117.05

59751

220.70

59754

347.85

59760

182.60

59763

212.40

59903

181.70

59912

484.05

59925

574.75

59970

267.00

59971

90.85

59972

242.00

59973

287.45

59974

133.50

60000

894.45

60003

1 311.75

60006

1 865.25

60009

2 182.80

60012

894.45

60015

1 311.75

60018

1 865.25

60021

2 182.80

60024

894.45

60027

1 311.75

60030

1 865.25

60033

2 182.80

60036

894.45

60039

1 311.75

60042

1 865.25

60045

2 182.80

60048

894.45

60051

1 311.75

60054

1 865.25

60057

2 182.80

60060

894.45

60063

1 311.75

60066

1 865.25

60069

2 182.80

60072

76.35

60075

152.40

60078

228.75

60100

96.40

60500

68.80

60503

47.20

60506

101.10

60509

156.80

60918

74.75

60927

60.35

61109

410.60

NUCLEAR MEDICINE IMAGING

MBS item number
(1 November 2007)

Fee
$

61302

548.35

61303

690.55

61306

866.90

61307

1 019.95

61310

448.70

61313

370.60

61314

513.05

61316

465.70

61317

601.50

61320

279.65

61328

278.10

61340

309.05

61348

541.60

61352

316.80

61353

472.25

61356

479.85

61360

492.75

61361

563.65

61364

607.10

61368

272.55

61369

2 462.35

61372

272.55

61373

598.15

61376

175.15

61381

701.55

61383

763.35

61384

840.05

61386

406.20

61387

526.20

61389

452.65

61390

500.80

61393

739.65

61397

301.55

61401

198.30

61402

739.15

61405

422.65

61409

1 067.05

61413

276.00

61417

145.15

61421

586.15

61425

733.75

61426

677.70

61429

663.30

61430

805.55

61433

607.10

61434

751.75

61437

663.10

61438

822.10

61441

598.15

61442

919.10

61445

350.30

61446

407.50

61449

557.25

61450

485.60

61453

628.75

61454

425.20

61457

574.65

61458

484.85

61461

644.75

61462

159.15

61465

324.30

61469

425.20

61473

214.20

61480

472.55

61484

1 076.10

61485

1 220.55

61495

272.55

61499

309.05

61650

1 073.35

MAGNETIC RESONANCE IMAGING

MBS item number
(1 November 2007)

Fee

$

63000‑63200

795.45

63201

1 193.15

63202‑63203

795.45

63204

1 193.15

63219‑63243

1 193.15

63271‑63473

795.45

63491‑63494

90.90

63497

273.00

[Part 3 inserted in Gazette 17 Dec 2008 p. 5301‑14.]

Schedule 2 — Scale of fees — physiotherapists

[r. 3]

[Heading inserted in Gazette 17 Dec 2008 p. 5315.]

Part 1 — General

[Heading inserted in Gazette 17 Dec 2008 p. 5315.]

 

Type of service

Fee

PA001

Initial Consultation

A consultation with the physiotherapist including the following elements —

Set Fee

$65.00

 

Subjective assessment — of the following points as required:

Major symptoms and lifestyle dysfunction; current history and treatment; past history and treatment; pain, 24‑hour behaviour, aggravating and relieving factors; general health, medication, risk factors.

 

 

Objective assessment — of the following points as required:

Movement — active, passive, resisted, repeated; muscle tone, spasm, weakness; accessory movements, passive intervertebral movements etc. Appropriate procedures/tests as indicated.

 

 

Appropriate initial management, treatment or advice — based on assessment findings that could include the following as required:

Provisional diagnosis; goals of treatment; treatment plan. Discussion with the patient regarding working hypothesis and treatment goals and expected outcomes; initial treatment and response; advice regarding home care including any exercise programs to be followed.

 

 

Documentation of consultation — as required that could include:

The assessment findings, physiotherapy intervention(s), evaluation of interventions, plan for future treatment and results of other relevant tests and warnings (if applicable).

 

 

Includes:

·Individual services provided in rooms, home or hospital; hydrotherapy treatment; extended treatments; and services provided outside of normal business hours.

 

 

·Courtesy communication by the physiotherapist with the medical practitioner such as acknowledgment of referral.

 

 

·The physiotherapist’s brief communication with the medical practitioner regarding the injured worker’s management.

 

 

Does not include:

·Any oral or written communication by the physiotherapist with a third party initiated by or requested by the insurer and/or the employer relating to the treatment or rehabilitation of a specific worker (such as suitable work duties).

 

 

·Communication by the physiotherapist with a third party initiated by or requested by the insurer and/or the employer. This service has a specific item number in this Table (PK001).

 

 

·Physiotherapist’s involvement in case conferences. The physiotherapist’s involvement in case conferences has a specific item number in this Table (PQ001).

 

PB001

Standard Consultation

Consultation for one body area or condition including the following elements —

·subjective re‑assessment;

·objective re‑assessment;

·appropriate management, intervention or advice;

·documentation of consultation.

Set Fee

$52.20

 

Includes:

·Individual services provided in rooms, home or hospital; hydrotherapy treatment; extended treatments; and services provided outside of normal business hours.

 

 

·Courtesy communication by the physiotherapist such as brief oral and/or written updates to the medical practitioner.

 

 

Does not include:

·Any oral or written communication by the physiotherapist with a third party initiated by or requested by the insurer and/or the employer relating to the treatment or rehabilitation of a specific worker (such as suitable work duties).

 

 

·Communication by the physiotherapist with a third party initiated by or requested by the insurer and/or the employer has a specific item number in this Table (PK001).

 

 

·The physiotherapist’s involvement in case conferences. The physiotherapist’s involvement in case conferences has a specific item number in this Table (PQ001).

 

PC001

Two distinct areas of treatment per visit

Same description as PB001 except relates to the treatment/management of 2 distinct areas/conditions.

Set Fee

$66.00

PG001

Group Consultation — per person

Includes non‑individualised services provided to more than one individual whether —

·in rooms, home or hospital;

·hydrotherapy treatment;

·extended treatments;

·services provided outside of normal business hours.

Cost per
participant

$16.05

PE001

Worksite Visit — prior approval from insurer required.

Prior to a worksite evaluation, consideration of details such as relevance to injury; intended outcomes; likely duration and reporting requirements should be made and discussed with the insurer with a suggested maximum duration of 2 hours.

Does not include reports or travel.

Hourly rate**

$148.30

PR001

Reports

Any report relating to a specific worker required by or requested by —

·medical specialist;

·medical practitioner;

·employer;

·insurer.

Excludes courtesy communication such as acknowledgment of referral and brief updates to the medical practitioner.

 

 

Progress/Standard report

Report should contain summarised information or assessment findings, treatment services provided, results obtained with specific recommendations for further management and return to work if applicable.

Set Fee

$65.00

 

Comprehensive report

As above for progress/standard report and contains information relating to more detailed assessments and interventions performed.

The specific requirements for a comprehensive report must be discussed with the insurer prior to approval with a suggested maximum duration of 2 hours.

Hourly rate**

$148.30

PT001

Travel

Travel when the most appropriate management of the patient requires the provider to travel away from their normal practice. The insurer must provide pre‑approval for travel in excess of one hour.

If services are provided to more than one worker before leaving a venue, the fee for the journey is to be apportioned equally between workers.

Hourly Rate**

$118.65

PQ001

Case Conferences

Face‑to‑face or telephone communication involving the physiotherapist with one or more of the following —

doctor, employer, insurer/claims manager, rehabilitation providers and worker.

The aim of the case conference is to plan, implement, manage or review treatment options and/or rehabilitation plan.

 

$14.90
per 6 minute block

PK001

Communication

Any requested or required oral communication by the physiotherapist with relevant parties (treating medical practitioners, employers and insurers) relating to the treatment or rehabilitation of a specific worker.

Excludes courtesy communication such as acknowledgment of referral and brief updates to the medical practitioner.

Maximum time allowable per communication of 30 minutes.

 

$14.90 per 6 minute block

PS001

Specific Physiotherapy Assessment — prior approval from insurer required.

Includes specific types of assessments not classified elsewhere in these scales required by the insurer which physiotherapists may undertake (e.g. diagnostic ultrasound imaging, Functional Capacity Assessments (FCE’s), seating and wheelchair assessments).

Hourly Rate**

$148.30

PW001

Specific Physiotherapy Intervention — prior approval from insurer required (*replaces PD001).

Includes treatments not classified elsewhere in these scales required by the insurer which physiotherapists may undertake (e.g. treatment of severe multiple area trauma, burns, neurologically injured patients and patients with severe spinal injuries, ergonomic corrections of workplace, specialised real‑time ultrasound imaging, short consultations).

Hourly Rate**

$148.30
Maximum duration of service provision 2 hours

**Denotes that where the service provided is a fraction of one hour, the amount chargeable is to be calculated as that fraction of the maximum amount.

[Part 1 inserted in Gazette 17 Dec 2008 p. 5315‑20.]

Part 2 — Exercise‑based programs

[Heading inserted in Gazette 17 Dec 2008 p. 5321.]

 

Type of service

Fee

EXE20

Initial Consultation/Assessment

Insurer approval must be obtained prior to undertaking the service.

·Review of current medical and vocational status.

·Communication/Liaison with relevant parties.

·Physiological Assessment/testing.

·Screening Questionnaires relating to worker’s level of function.

·Program design based on above.

·Exercise facility/equipment coordination (pool or gym based).

 

$148.30
per hour to a maximum of 2 hours**

 

Provider to patient ratio must be 1:1 for the duration of the consultation.

 

EXE21

Subsequent Exercise Consultation/Assessment

Includes —

·program implementation — prescription and provision of exercises (land or pool based);

·program monitoring;

·post program screening questionnaire relating to worker’s level of function;

·psychosocial reassessment;

·communication/liaison with relevant parties.

 

$148.30 per hour to a maximum of one hour**

EXE02

Initial report

Includes —

·initial assessment report outlining results (self‑reported and objective), recommendations and exercise rehabilitation plan;

·current status as per medical certification and proposed outcome status;

·detailed cost plan outlining proposed outcome, services required and proposed costs for insurer approval.

 

$148.30 per hour to a maximum of one hour**

EXE03

Subsequent reports

Progress report to be provided at the request of the referrer.

 

$148.30 per hour to a maximum of 30 minutes**

EXE04

Final report

Comprehensive report to be provided at the end of the service delivery detailing —

·physiological testing results pre and post program;

·worker attendance/program compliance.

 

$148.30 per hour to a maximum of 30 minutes**

EXE05

Gym membership/Entry fees

Includes direct cost of membership (pool or gym).

Prior approval from insurer required.

 

Market rates

EXE06

Travel

Travel when the most appropriate management of the patient requires the provider to travel away from their normal practice.

The insurer must provide pre‑approval for travel in excess of one hour.

If services are provided to more than one worker before leaving a venue, the fee for the journey is to be apportioned equally between workers.

 

$118.65 per hour **

EXE08

Communication

Any requested or required oral communication with relevant parties (treating medical practitioners, employers and insurers) relating to the treatment of a specific worker.

Excludes courtesy communication such as acknowledgment of referral and brief updates to the medical practitioner.

Maximum time allowable per communication of 30 minutes.

 

$14.90
per 6 minute block

EXE09

Attendance at Medical Case Conferences

Prior insurer approval must be obtained prior to undertaking the service.

 

$148.30 per hour **

**Denotes that where the service provided is a fraction of one hour, the amount chargeable is to be calculated as that fraction of the maximum amount.

[Part 2 inserted in Gazette 17 Dec 2008 p. 5321‑3.]

Schedule 3 — Scale of fees — chiropractors

[r. 4]

[Heading inserted in Gazette 17 Dec 2008 p. 5323.]

 

Type of service

Fee
$

1.

Initial consultation and examination

51.45

2.

Subsequent consultation

42.90

3.

Spinal x‑ray, one region

102.15

4.

Spinal x‑ray, 2 or more regions

153.40

5.

Travel (per kilometre)

0.75

[Schedule 3 inserted in Gazette 17 Dec 2008 p. 5323.]

Schedule 4 — Scale of fees — occupational therapists

[r. 5]

[Heading inserted in Gazette 17 Dec 2008 p. 5324.]

 

Type of Service

Fee

$

1.

Brief consultation (< 15 minutes)

22.20

2.

Short consultation (15 minutes to < 30 minutes)

44.50

3.

Standard consultation (30 minutes to < 45 minutes)


73.35

4.

Extended consultation (45 minutes to < one hour)

110.00

5.

Extended consultation ( > one hour)

146.70

6.

Standard group consultation (30 minutes)
per person


48.15

7.

Travel costs are to be calculated at the hourly rate
by the length of time spent travelling.

[Schedule 4 inserted in Gazette 17 Dec 2008 p. 5324.]

Schedule 5 — Scale of fees — speech pathologists

[r. 7]

[Heading inserted in Gazette 17 Dec 2008 p. 5324.]

 

Type of service

Fee

$

1.

Initial consultation/assessment (up to and including one hour)


135.55

2.

Initial consultation/assessment (exceeding one hour)


175.55

3.

Subsequent consultation (< ½ hour)

59.20

4.

Subsequent consultation (½ hour — one hour)

76.75

5.

Subsequent consultation (> one hour)

103.65

[Schedule 5 inserted in Gazette 17 Dec 2008 p. 5324.]

Schedule 5A — Scale of fees — exercise physiologists

[r. 7B]

[Heading inserted in Gazette 17 Dec 2008 p. 5325.]

Exercise‑based programs

 

Type of service

Fee

EXE20

Initial Consultation/Assessment

Insurer approval must be obtained prior to undertaking the service.

·Review of current medical and vocational status.

·Communication/Liaison with relevant parties.

·Physiological Assessment/testing.

·Screening questionnaires relating to worker’s level of function.

·Program design based on above.

·Exercise facility/equipment coordination (pool or gym based).

 

$148.30
per hour to a maximum of 2 hours**

 

Provider to patient ratio must be 1:1 for the duration of the consultation.

 

EXE21

Subsequent Exercise Consultation/Assessment

Includes —

·program implementation — prescription and provision of exercises (land or pool based);

·program monitoring;

·post program screening questionnaire relating to worker’s level of function;

·psychosocial reassessment;

·communication/liaison with relevant parties.


$148.30
per hour to a maximum of one hour**

EXE02

Initial report

Includes —

·initial assessment report outlining results (self‑reported and objective), recommendations and exercise rehabilitation plan;

·current status as per medical certification and proposed outcome status;

·detailed cost plan outlining proposed outcome, services required and proposed costs for insurer approval.

 

$148.30
per hour to a maximum of one hour**

EXE03

Subsequent reports

Progress report to be provided at the request of the referrer.

 

$148.30
per hour to a maximum of 30 minutes**

EXE04

Final report

Comprehensive report to be provided at the end of the service delivery detailing —

·physiological testing results pre and post program;

·worker attendance/program compliance.

 

$148.30
per hour to a maximum of 30 minutes**

EXE05

Gym membership/Entry fees

Includes direct cost of membership (pool or gym).

Prior approval from insurer required.

 

Market rates

EXE06

Travel

Travel when the most appropriate management of the patient requires the provider to travel away from their normal practice.

The insurer must provide pre‑approval for travel in excess of one hour.

If services are provided to more than one worker before leaving a venue, the fee for the journey is to be apportioned equally between workers.

 

$118.65
per hour **

EXE08

Communication

Any requested or required oral communication with relevant parties (treating medical practitioners, employers and insurers) relating to the treatment of a specific worker.

Excludes courtesy communication such as acknowledgment of referral and brief updates to the medical practitioner.

Maximum time allowable per communication of 30 minutes.

 

$14.90
per 6 minute block

EXE09

Attendance at Medical Case Conferences

Prior insurer approval must be obtained prior to undertaking the service.

 

$148.30
per hour **

**Denotes that where the service provided is a fraction of one hour, the amount chargeable is to be calculated as that fraction of the maximum amount.

[Schedule 5A inserted in Gazette 17 Dec 2008 p. 5325‑8.]

Schedule 6 — Scale of maximum fees — approved medical specialists

[r. 9]

[Heading inserted in Gazette 17 Dec 2008 p. 5328.]

Part 1 — Assessments

[Heading inserted in Gazette 17 Dec 2008 p. 5328.]

 

Description of assessment

Maximum fee**

1.

Examination and provision of report and certificate — straightforward assessment — other than a service mentioned in item 4, 5, 6 or 8.

$1 000.15 (or, if an interpreter is present at the examination, $1 250.10 excluding any fee payable to the interpreter)

2.

Examination and provision of report and certificate — moderately complex assessment (e.g. reviewing multiple questions and reports; impairment involving more complex assessments; more than one body system involved) — other than a service mentioned in item 4, 5, 6 or 8.

$1 250.10 (or, if an interpreter is present at the examination, $1 500.15 excluding any fee payable to the interpreter)

3.

Examination and provision of report and certificate — complex assessment (e.g. multiple injuries; severe impairment such as spinal cord injury or head injury) — other than a service mentioned in item 4, 5, 6 or 8.

$1 500.15 (or, if an interpreter is present at the examination, $1 750.15 excluding any fee payable to the interpreter)

4.

Examination of any of ear, nose and throat only, including audiometric testing, and provision of report and certificate — other than a service mentioned in item 8.

$1 000.15 (or, if an interpreter is present at the examination, $1 250.10 excluding any fee payable to the interpreter)

5.

Examination and provision of report and certificate — psychiatric — standard assessment — other than a service mentioned in item 8.

$1 500.15 (or, if an interpreter is present at the examination, $1 750.15 excluding any fee payable to the interpreter)

6.

Examination and provision of report and certificate — psychiatric — complex assessment (e.g. reviewing significant documented prior psychiatric history) — other than a service mentioned in item 8.

$2 500.20 (or, if an interpreter is present at the examination, $2 750.20 excluding any fee payable to the interpreter)

7.

Consolidation of written assessments from multiple assessors.

$500.00

8.

Re‑examination and provision of report and certificate.

$750.05 (or, if an interpreter is present at the examination, $1 000.15 excluding any fee payable to the interpreter)

9.

Provision of supplementary report and certificate.

$250.05

[Part 1 inserted in Gazette 17 Dec 2008 p. 5328‑9.]

Part 2 — Attempted assessments

[Heading inserted in Gazette 17 Dec 2008 p. 5330.]

 

Description of circumstances

Maximum fee**

1.

If a worker who is required under Part VII Division 2 of the Act to submit to an examination by an approved medical specialist does not attend, in a case in which —

(a)no prior arrangements to cancel the examination are made; or

$500.00

 

(b)the examination is cancelled, otherwise than at the request of the approved medical specialist, with less than one working day’s notice.

 

**Denotes that where the service provided is a fraction of one hour, the amount chargeable is to be calculated as that fraction of the maximum amount.

 

[Part 2 inserted in Gazette 17 Dec 2008 p. 5330.]

· 

Notes

1This is a compilation of the Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998 and includes the amendments made by the other written laws referred to in the following table 2. The table also contains information about any reprint.

Compilation table

Citation

Gazettal

Commencement

Workers’ Compensation and Rehabilitation (Scales of Fees) Regulations 1998 3

13 Oct 1998 p. 5709‑25

13 Oct 1998

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 1999

20 Jul 1999 p. 3249‑77

20 Jul 1999

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 2) 1999

31 Aug 1999 p. 4244‑5

31 Aug 1999

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2000

21 Dec 2000 p. 7623‑51
(correction 6 Feb 2001 p. 743)

21 Dec 2000

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2001

14 Dec 2001 p. 6416‑17

14 Dec 2001

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 2) 2001

28 Dec 2001 p. 6691‑710

28 Dec 2001

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2002

21 May 2002 p. 2593‑4

21 May 2002

Reprint of the Workers’ Compensation and Rehabilitation (Scales of Fees) Regulations 1998 as at 24 May 2002 (includes amendments listed above)

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 2) 2002

10 Sep 2002 p. 4602‑3

10 Sep 2002

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2003

7 Mar 2003 p. 741‑2

7 Mar 2003

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 2) 2003

25 Mar 2003 p. 922‑3

25 Mar 2003

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 3) 2003

9 May 2003 p. 1626

9 May 2003

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 4) 2003

12 Sep 2003 p. 4081‑2

12 Sep 2003

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 5) 2003

23 Sep 2003 p. 4173‑86

23 Sep 2003

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 6) 2003

9 Jan 2004 p. 98‑100

9 Jan 2004

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2004

19 Mar 2004 p. 861‑910

19 Mar 2004

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 2) 2004

29 Oct 2004 p. 4940‑2

29 Oct 2004

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2005

21 Jan 2005 p. 278‑86

21 Jan 2005

Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 2) 2005

1 Nov 2005 p. 4976‑84

1 Nov 2005

Workers’ Compensation and Injury Management (Scales of Fees) Amendment Regulations (No. 3) 2005

11 Nov 2005 p. 5567‑70

14 Nov 2005 (see r. 2 and Gazette 31 Dec 2004 p. 7131 and 17 Jun 2005 p. 2657)

Workers’ Compensation and Injury Management (Scales of Fees) Amendment Regulations 2006

10 Jan 2006 p. 41‑71

10 Jan 2006

Reprint 2: The Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998 as at 3 Mar 2006 (includes amendments listed above)

Workers’ Compensation and Injury Management (Scales of Fees) Amendment Regulations (No. 2) 2006

28 Apr 2006 p. 1660

28 Apr 2006

Workers’ Compensation and Injury Management (Scale of Fees) Amendment Regulations (No. 3) 2006

22 Dec 2006 p. 5755-94

22 Dec 2006

Reprint 3: The Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998 as at 2 Mar 2007 (includes amendments listed above)

Workers’ Compensation and Injury Management (Scale of Fees) Amendment Regulations 2007

7 Dec 2007 p. 6031‑71

r. 1 and 2: 7 Dec 2007 (see r. 2(a));
Regulations other than r. 1 and 2: 8 Dec 2007 (see r. 2(b))

Workers’ Compensation and Injury Management (Scale of Fees) Amendment Regulations 2008

17 Dec 2008 p. 5287‑330

r. 1 and 2: 17 Dec 2008 (see r. 2(a));
Regulations other than r. 1 and 2: 18 Dec 2008 (see r. 2(b))

2The amendments in the Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 3) 2004 published in Gazette 4 Jan 2005
p. 6-14 have no effect because of an error in the reference to the principal regulations to be amended.

3Now known as the Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998; citation changed (see note under r. 1).