Workers’ Compensation and Injury Management Act 1981

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 GST5

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

Exercise‑based programs

Schedule 6 — Scale of maximum fees — approved medical specialists

Part 1 — Assessments

Part 2 — Attempted assessments

Notes

Compilation table81

 

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 `$196.35 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; 30 Oct 2009 p. 4345.]

6A.Scale of fees — counselling psychology

Under section 292(2)(a)(viii) of the Act, the hourly rate of $196.35 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; 30 Oct 2009 p. 4346.]

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 $62.15 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; 30 Oct 2009 p. 4346.]

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 $146.65 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; 30 Oct 2009 p. 4346.]

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)

$61.05

Extended Service (Level C)

$111.55

Comprehensive Service (Level D)

$171.45

Time based

 

up to 5 minutes

$36.40

more than 5 minutes to 15 minutes

$47.50

more than 15 minutes to 30 minutes

$91.65

more than 30 minutes to 45 minutes

$138.60

more than 45 minutes to 60 minutes

$187.85

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)

$45.80

Specific Service (Level B)

$91.65

Extended Service (Level C)

$166.85

Comprehensive Service (Level D)

$258.30

Time based

 

up to 5 minutes

$72.55

more than 5 minutes to 15 minutes

$78.70

more than 15 minutes to 30 minutes

$122.05

more than 30 minutes

$166.85

VISITS

Consultations at a place other than the Consulting Rooms

in hours

 

Minor Service (Level A)

$76.40

Specific Service (Level B)

$104.45

Extended Service (Level C)

$155.00

Comprehensive Service (Level D)

$216.05

out of hours

 

Minor Service (Level A)

$91.65

Specific Service (Level B)

$136.25

Extended Service (Level C)

$209.05

Comprehensive Service (Level D)

$305.35

TELEPHONE CONSULTATIONS

Time based

 

up to 5 minutes

$20.40

more than 5 minutes to 15 minutes

$25.50

more than 15 minutes to 30 minutes

$53.40

more than 30 minutes

$80.00

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

per hour

$229.65

 

TRAVELLING FEES

Rate per kilometre

 

 

$4.10

PHYSICIANS, OCCUPATIONAL & REHABILITATION PHYSICIANS

PHYSICIANS

CONSULTATIONS

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

 

first attendance

$231.85

subsequent attendances

$116.00

VISITS

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

 

first attendance

$277.70

subsequent attendances

$160.25

REHABILITATION PHYSICIANS

CONSULTATIONS

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

 

first attendance

$231.85

subsequent attendances

$116.00

VISITS

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

 

first attendance

$277.70

subsequent attendances

$160.25

OCCUPATIONAL PHYSICIANS

CONSULTATIONS

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

 

first attendance

$235.70

subsequent attendances

$116.00

VISITS

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

 

first attendance

$277.70

subsequent attendances

$160.25

TELEPHONE CONSULTATIONS

Time based

 

up to 5 minutes

$30.45

more than 5 minutes to 15 minutes

$37.55

more than 15 minutes to 30 minutes

$78.45

more than 30 minutes

$118.45

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

per hour

$340.55

TRAVELLING FEES

Rate per kilometre

$4.10

CONSULTANT PSYCHIATRISTS

CONSULTATIONS

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

Time based

 

up to 15 minutes

$68.00

more than 15 minutes to 30 minutes

$135.70

more than 30 minutes to 45 minutes

$203.25

more than 45 minutes to 60 minutes

$271.90

more than 60 minutes to 75 minutes

$307.70

more than 75 minutes

$343.45

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

$111.65

more than 15 minutes to 30 minutes

$180.35

more than 30 minutes to 45 minutes

$246.10

more than 45 minutes to 75 minutes

$314.85

more than 75 minutes

$379.35

TELEPHONE CONSULTATIONS

Time based

 

up to 45 minutes

$90.20

more than 45 minutes

$197.00

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

per hour

$340.55

TRAVELLING FEES

Rate per kilometre

$4.10

SPECIALISTS

SURGEONS

CONSULTATIONS

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

 

first attendance

$131.85

subsequent attendances

$68.75

VISITS

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

 

first attendance

$177.70

subsequent attendances

$113.25

DERMATOLOGISTS

CONSULTATIONS

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

 

first attendance

$131.85

subsequent attendances

$68.75

VISITS

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

 

first attendance

$177.40

subsequent attendances

$113.05

TELEPHONE CONSULTATIONS

Time based

 

up to 5 minutes

$30.45

more than 5 minutes to 15 minutes

$37.55

more than 15 minutes to 30 minutes

$78.45

more than 30 minutes

$118.45

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

per hour

$340.55

TRAVELLING FEES

Rate per kilometre

$4.10

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

$68.55

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; 30 Oct 2009 p. 4346‑53.]

Part 2 — Medical procedures

[Heading inserted in Gazette 30 Oct 2009 p. 4353.]

Type of procedure

Fee
$

GENERAL

 

Localised burns

50.90

Localised burns, including dressing of, under general anaesthetic


144.85

Extensive burns

87.80

Extensive burns, including dressing of, under general anaesthetic


306.55

Dressing of wounds, under general anaesthetic

144.85

Acupuncture, including consultation

67.55

DISLOCATIONS

 

closed reduction means non‑operative reduction of the dislocation, and included 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

273.10

Elbow, by open reduction

362.20

Interphalangeal joint, by closed reduction

117.10

Interphalangeal joint, by open reduction

156.10

Mandible, by closed reduction

97.60

Clavicle, by closed reduction

115.75

Clavicle, by open reduction

234.10

Shoulder, not requiring general anaesthetic

130.25

Shoulder, by open reduction, with general anaesthetic

466.85

Shoulder, other, with general anaesthetic

231.25

Metacarpophalangeal joint, by closed reduction

156.10

Metacarpophalangeal joint, by open reduction

209.05

Patella, by closed reduction

175.50

Patella, by open reduction

234.10

Radioulnar joint, by closed reduction

273.10

Radioulnar joint, by open reduction

362.20

Toe, by closed reduction

97.60

Toe, by open reduction

129.60

REMOVAL OF FOREIGN BODIES — 

 

as independent procedure

42.45

superficial

189.45

deep tissue or muscle

529.55

ear, other than by syringing

136.50

nose, other than by simple probing

136.50

cornea or sclera, embedded

139.35

FRACTURES

 

closed reduction means non‑operative reduction of the fracture, and included 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

175.50

fracture, intra‑articular, by closed reduction

203.45

fracture, by open reduction

234.10

fracture, intra‑articular, by open reduction

292.60

Middle phalanx of finger

 

fracture, by closed reduction

264.75

fracture, intra‑articular, by closed reduction

299.50

fracture, by open reduction

348.30

fracture, intra‑articular, by open reduction

438.85

Proximal phalanx of finger or thumb

 

fracture, by closed reduction

348.30

fracture, intra‑articular, by closed reduction

410.90

fracture, by open reduction

466.85

fracture, intra‑articular, by open reduction

585.20

Metacarpal

 

fracture, by closed reduction

348.30

fracture, intra‑articular, by closed reduction

410.90

fracture, by open reduction

466.85

fracture, intra‑articular, by open reduction

585.20

Carpal Scaphoid, by open reduction

780.25

Carpal Scaphoid, other

348.30

Carpus (excluding Scaphoid), by open reduction

487.60

Carpus (excluding Scaphoid), other

195.05

Radius

 

by closed management

390.05

by open management

780.25

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

 

by closed reduction

585.20

by open reduction

780.25

Ribs (1 or more), each attendance

89.30

Tibia, plateau of, medial or lateral

 

by closed reduction

703.65

by open reduction

933.45

Tibia, plateau of, medial and lateral

 

by closed reduction

1 170.30

by open reduction

1 567.40

 

 

SUTURES

 

face or neck, less than 7 cm, superficial

139.35

face or neck, less than 7 cm, deep

211.75

face or neck, more than 7 cm, superficial

211.75

face or neck, more than 7 cm, deep

362.20

except face or neck, less than 7 cm, superficial

105.85

except face or neck, less than 7 cm, deep

158.85

except face or neck, more than 7 cm, superficial

158.85

except face or neck, more than 7 cm, deep

348.30

 

 

AMPUTATIONS

 

Hand, midcarpal or transmetacarpal

529.55

Hand, forearm or through arm

613.05

At shoulder

1 037.90

Interscapulothoracic

2 061.95

One digit of foot

278.55

Two digits of one foot

418.00

Three digits of one foot

564.25

Four digits of one foot

703.65

Five digits of one foot

842.90

Toe including metatarsal or part of metatarsal — each toe


328.90

Foot, at ankle

613.05

Foot, midtarsal or transmetatarsal

529.55

Through thigh, at knee or below knee

905.70

At hip

1 274.70

 

 

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 $175.50, whichever is greater.

 

USE OF PRIVATE THEATRES

A theatre fee of $105.85 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 30 Oct 2009 p. 4353‑9.]

Part 3 — Diagnostic Imaging Services

[Heading inserted in Gazette 30 Oct 2009 p. 4359.]

ULTRASOUND

MBS item number
(1 November 2008)

Fee
$

55028

170.65

55029

59.20

55030

170.65

55031

59.20

55032

170.65

55033

59.20

55036

174.05

55037

59.20

55038

170.65

55039

59.20

55044

174.05

55045

59.20

55048

170.65

55049

59.20

55054

170.65

55070

153.65

55073

53.20

55076

170.65

55079

59.20

55084

153.65

55085

53.20

55113

360.75

55114

360.75

55115

360.75

55116

401.15

55117

401.15

55118

430.85

55130

265.95

55135

553.05

55238

265.05

55244

265.05

55246

265.05

55248

265.05

55252

265.05

55274

265.05

55276

265.05

55278

265.05

55280

265.05

55282

265.05

55284

265.05

55292

265.05

55294

265.05

55296

173.75

55600

170.65

55603

170.65

55700

93.75

55703

54.75

55704

109.50

55705

54.75

55706

156.45

55707

109.50

55708

54.75

55709

59.45

55712

179.85

55715

62.55

55718

156.45

55721

179.85

55723

59.45

55725

62.55

55729

42.60

55731

153.35

55733

54.75

55736

198.60

55739

89.10

55759

234.60

55762

93.75

55764

250.20

55766

101.60

55768

234.60

55770

93.75

55772

250.20

55774

101.60

55800

170.65

55802

59.20

55804

170.65

55806

59.20

55808

170.65

55810

59.20

55812

170.65

55814

59.20

55816

170.65

55818

59.20

55820

170.65

55822

59.20

55824

170.65

55826

59.20

55828

170.65

55830

59.20

55832

170.65

55834

59.20

55836

170.65

55838

59.20

55840

170.65

55842

59.20

55844

136.60

55846

59.20

55848

170.65

55850

239.05

55852

170.65

55854

59.20

COMPUTED TOMOGRAPHY — 
EXAMINATION AND REPORT

MBS item number
(1 November 2008)

Fee
$

56001

280.10

56007

359.15

56010

362.05

56013

359.15

56016

416.60

56022

323.20

56028

483.80

56030

323.20

56036

483.80

56041

141.90

56047

181.15

56050

184.20

56053

184.20

56056

223.20

56062

162.50

56068

241.90

56070

162.50

56076

241.90

56101

330.45

56107

488.50

56141

167.25

56147

246.55

56219

468.55

56220

344.80

56221

344.80

56223

344.80

56224

504.80

56225

504.80

56226

504.80

56227

175.95

56228

175.95

56229

175.95

56230

254.90

56231

254.90

56232

254.90

56233

344.80

56234

504.80

56235

175.90

56236

254.90

56237

344.80

56238

504.80

56239

175.90

56240

254.90

56259

236.70

56301

423.80

56307

574.50

56341

214.70

56347

290.15

56401

359.15

56407

517.10

56409

359.15

56412

517.10

56441

182.10

56447

260.65

56449

182.10

56452

260.65

56501

553.05

56507

689.50

56541

277.45

56547

350.10

56549

553.05

56551

553.05

56619

316.05

56625

480.70

56659

161.00

56665

240.50

56801

670.20

56807

804.45

56841

335.20

56847

407.80

57001

670.35

57007

815.55

57041

335.25

57047

407.85

57201

222.90

57247

111.35

57341

675.15

57345

347.05

57350

732.60

57351

732.60

57355

379.45

57356

379.45

DIAGNOSTIC RADIOLOGY

MBS item number
(1 November 2008)

Fee
$

57506

49.35

57509

65.95

57512

67.20

57515

89.55

57518

53.90

57521

71.95

57524

82.05

57527

109.10

57700

67.20

57703

89.55

57706

53.90

57709

71.95

57712

78.20

57715

101.05

57721

164.65

57901

106.95

57902

106.95

57903

78.45

57906

106.95

57909

107.35

57912

78.20

57915

78.20

57918

78.20

57921

78.20

57924

78.20

57927

82.30

57930

54.55

57933

129.80

57939

106.95

57942

82.30

57945

71.95

57960

78.65

57963

78.65

57966

78.65

57969

78.65

58100

111.35

58103

91.40

58106

127.70

58108

220.45

58109

78.00

58112

161.35

58115

220.45

58300

66.55

58306

148.30

58500

58.65

58503

78.20

58506

100.85

58509

65.95

58521

71.95

58524

93.70

58527

115.10

58700

76.45

58706

261.90

58715

251.40

58718

209.25

58721

229.35

58900

59.20

58903

78.90

58909

149.15

58912

182.90

58915

130.90

58916

229.70

58921

224.35

58924

139.45

58927

126.90

58933

341.10

58936

325.10

58939

231.10

59103

35.35

59300

148.45

59303

89.50

59306

166.40

59309

332.70

59312

144.35

59314

87.05

59318

78.05

59503

148.30

59700

160.20

59703

125.90

59712

188.65

59715

238.15

59718

223.45

59724

375.70

59733

178.65

59736

102.85

59739

122.45

59751

230.85

59754

363.85

59760

191.00

59763

222.15

59903

265.30

59912

506.30

59925

601.20

59970

279.30

59971

95.05

59972

253.15

59973

300.65

59974

139.65

60000

935.60

60003

1 372.10

60006

1 951.05

60009

2 283.20

60012

935.60

60015

1 372.10

60018

1 951.05

60021

2 283.20

60024

935.60

60027

1 372.10

60030

1 951.05

60033

2 283.20

60036

935.60

60039

1 372.10

60042

1 951.05

60045

2 283.20

60048

935.60

60051

1 372.10

60054

1 951.05

60057

2 283.20

60060

935.60

60063

1 372.10

60066

1 951.05

60069

2 283.20

60072

79.85

60075

159.40

60078

239.25

60100

100.85

60500

71.95

60503

49.35

60506

105.75

60509

164.00

60918

78.20

60927

63.15

61109

429.50

NUCLEAR MEDICINE IMAGING

MBS item number
(1 November 2008)

Fee
$

61302

573.55

61303

722.30

61306

906.80

61307

1 066.85

61310

469.35

61313

387.65

61314

536.65

61316

487.10

61317

629.15

61320

292.50

61328

290.90

61340

323.25

61348

566.50

61352

331.35

61353

493.95

61356

501.90

61360

515.40

61361

589.60

61364

635.05

61368

285.10

61369

2 575.60

61372

285.10

61373

625.65

61376

183.20

61381

733.80

61383

798.45

61384

878.70

61386

424.90

61387

550.40

61389

473.45

61390

523.85

61393

773.65

61397

315.40

61401

207.40

61402

773.15

61405

442.10

61409

1 116.15

61413

288.70

61417

151.85

61421

613.10

61425

767.50

61426

708.85

61429

693.80

61430

842.60

61433

635.05

61434

786.35

61437

693.60

61438

859.90

61441

625.65

61442

961.40

61445

366.40

61446

426.25

61449

582.90

61450

507.95

61453

657.65

61454

444.75

61457

601.10

61458

507.15

61461

674.40

61462

166.45

61465

339.20

61469

444.75

61473

224.05

61480

494.30

61484

1 125.60

61485

1 276.70

61495

285.10

61499

323.25

61650

1 122.70

MAGNETIC RESONANCE IMAGING

MBS item number
(1 November 2008)

Fee
$

63000‑63200

1 161.35

63201

1 248.05

63202‑63203

832.05

63204

1 248.05

63219‑63243

1 248.05

63271‑63473

832.05

63491‑63494

95.10

63497

285.55

[Part 3 inserted in Gazette 30 Oct 2009 p. 4359‑75.]

Schedule 2 — Scale of fees — physiotherapists

[r. 3]

[Heading inserted in Gazette 30 Oct 2009 p. 4375.]

Part 1 — General

[Heading inserted in Gazette 30 Oct 2009 p. 4375.]

Service Code

Service

 

PA001

Initial Consultation

A consultation with the physiotherapist including the following elements —

Set Fee

$68.00

 

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 acknowledgement 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

$54.60

 

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

$69.05

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

$16.80

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**

$155.10

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 acknowledgement 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

$68.00

 

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**

$155.10

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**

$124.10

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.

 

$15.60
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 acknowledgement of referral and brief updates to the medical practitioner.

Maximum time allowable per communication of 30 minutes.

 

$15.60 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**

$155.10

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**

$155.10
Max 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 30 Oct 2009 p. 4375‑81.]

Part 2 — Exercise‑based programs

[Heading inserted in Gazette 30 Oct 2009 p. 4382.]

 

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.

 

$155.10
per hour to a maximum of 2 hours**

 

·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).

 

 

·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);

 

$155.10 per hour to a maximum of one hour**

 

·program monitoring;

 

 

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

 

 

·psychosocial reassessment;

 

 

·communication/liaison with relevant parties.

 

EXE02

Initial report

Includes —

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

 

$155.10 per hour to a maximum of one hour**

 

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

 

 

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

 

EXE03

Subsequent reports

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

 

$155.10 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/programme compliance.

 

$155.10 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.

 

$124.10 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 acknowledgement of referral and brief updates to the medical practitioner.

Maximum time allowable per communication of 30 minutes.

 

$15.60
per 6 minute block

EXE09

Attendance at Medical Case Conferences

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

 

$155.10 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 30 Oct 2009 p. 4382‑4.]

Schedule 3 — Scale of fees — chiropractors

[r. 4]

[Heading inserted in Gazette 30 Oct 2009 p. 4384.]

 

Type of service

Fee
$

1.

Initial consultation and examination

53.80

2.

Subsequent consultation

44.85

3.

Spinal x‑ray, one region

106.85

4.

Spinal x‑ray, 2 or more regions

160.45

5.

Travel (per kilometre)

0.80

[Schedule 3 inserted in Gazette 30 Oct 2009 p. 4384‑5.]

Schedule 4 — Scale of fees — occupational therapists

[r. 5]

[Heading inserted in Gazette 30 Oct 2009 p. 4385.]

 

Type of Service

Fee
$

1.

Brief consultation (< 15 minutes)

23.20

2.

Short consultation (15 minutes to < 30 minutes)

46.55

3.

Standard consultation (30 minutes to < 45 minutes)

76.70

4.

Extended consultation (45 minutes to < one hour)

115.05

5.

Extended consultation ( > one hour)

153.45

6.

Standard group consultation (30 minutes)
per person


50.35

7.

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

[Schedule 4 inserted in Gazette 30 Oct 2009 p. 4385.]

Schedule 5 — Scale of fees — speech pathologists

[r. 7]

[Heading inserted in Gazette 30 Oct 2009 p. 4385.]

 

Type of service

Fee
$

1.

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


141.80

2.

Initial consultation/assessment (exceeding one hour)


183.65

3.

Subsequent consultation (<½ hour)

61.90

4.

Subsequent consultation (½ hour – one hour)

80.30

5.

Subsequent consultation (>one hour)

108.40

[Schedule 5 inserted in Gazette 30 Oct 2009 p. 4385‑6.]

Schedule 5A — Scale of fees — exercise physiologists

[r. 7B]

[Heading inserted in Gazette 30 Oct 2009 p. 4386.]

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.

 

$155.10
per hour to a maximum of 2 hours**

 

·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).

 

 

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);


$155.10
per hour to a maximum of one hour**

 

·program monitoring;

 

 

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

 

 

·psychosocial reassessment;

 

 

·communication/liaison with relevant parties.

 

EXE02

Initial report

Includes —

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

 

$155.10
per hour to a maximum of one hour**

 

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

 

 

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

 

EXE03

Subsequent reports

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

 

$155.10
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.

 

$155.10
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.

 

$124.10
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.

 

$15.60
per 6 minute block

EXE09

Attendance at Medical Case Conferences

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

 

$155.10
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 30 Oct 2009 p. 4386‑9.]

Schedule 6 — Scale of maximum fees — approved medical specialists

[r. 9]

[Heading inserted in Gazette 30 Oct 2009 p. 4389.]

Part 1 — Assessments

[Heading inserted in Gazette 30 Oct 2009 p. 43.]

 

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.

$1 046.15 (or, if an interpreter is present at the examination, $1 307.60 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.

$1 307.60 (or, if an interpreter is present at the examination, $1 569.15 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.

$1 569.15 (or, if an interpreter is present at the examination, $1 830.65 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.

$1 046.15 (or, if an interpreter is present at the examination, $1 307.60 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.

$1 569.15 (or, if an interpreter is present at the examination, $1 830.65 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.

$2 615.20 (or, if an interpreter is present at the examination, $2 876.70 excluding any fee payable to the interpreter)

7.

Consolidation of written assessments from multiple assessors.

$523.00

8.

Re‑examination and provision of report and certificate.

$784.55 (or, if an interpreter is present at the examination, $1 046.15 excluding any fee payable to the interpreter)

9.

Provision of supplementary report and certificate.

$261.55

[Part 1 inserted in Gazette 30 Oct 2009 p. 4389‑90.]

Part 2 — Attempted assessments

[Heading inserted in Gazette 30 Oct 2009 p. 4390.]

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

$523.00

 

(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 30 Oct 2009 p. 4390‑1.]

· 

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))

Workers’ Compensation and Injury Management (Scale of Fees) Amendment Regulations 2009

30 Oct 2009 p. 4343‑91

r. 1 and 2: 30 Oct 2009 (see r. 2(a));
Regulations other than r. 1 and 2: 1 Nov 2009 (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).