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

7.Scale of fees — speech therapists3

7A.Scale of fees — osteopaths3

8.Scale of fees — vocational rehabilitation providers3

9.Scale of maximum fees — approved medical specialists4

Schedule 1

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 6 — Scale of maximum fees — approved medical specialists

Part 1 — Assessments

Part 2 — Attempted assessments

Notes

Compilation table60

 

Workers’ Compensation and Rehabilitation 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 2003;

metropolitan area means the area within a radius of 50 kilometres from the General Post Office at Perth.

[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.]

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)In Schedule 2 Part 2 —

metropolitan area means the area within a radius of 50 kilometres from the General Post Office at Perth.

[Regulation 3 amended in Gazette 21 Jan 2005 p. 278; 11 Nov 2005 p. 5569 and 5570.]

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.]

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.]

6.Scale of fees — clinical psychologists

Under section 292(2)(a)(vi) of the Act, the hourly rate of $165.20 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.

[Regulation 6 amended in Gazette 20 Jul 1999 p. 3249; 21 Dec 2000 p. 7625; 14 Dec 2001 p. 6417; 9 May 2003 p. 1626; 9 Jan 2004 p. 99; 21 Jan 2005 p. 278; 11 Nov 2005 p. 5569 and 5570; 10 Jan 2006 p. 43.]

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.]

7A.Scale of fees — osteopaths

Under section 292(2)(a)(viii) of the Act, the amount of $52.30 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 14 Dec 2001 p. 6417; amended in Gazette 7 Mar 2003 p. 741; 9 Jan 2004 p. 99; 21 Jan 2005 p. 279; 11 Nov 2005 p. 5569 and 5570; 10 Jan 2006 p. 44.]

8.Scale of fees — vocational rehabilitation providers

Under section 292(2)(b) of the Act, the hourly rate of $123.35 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 2005 p. 44.]

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.]

 

Schedule 1

[r. 2]

Scales of fees — medical specialists and other medical practitioners

Part 1 — Medical specialists and other medical practitioners

Type of service/by whom

Fee

$

GENERAL PRACTITIONER

CONSULTATIONS

Surgery Consultation

in hours

Content based

$

Minor or Specific Service (Level A or B)

51.35

Extended Service (Level C)

93.85

Comprehensive Service (Level D)

144.20

Time based

$

up to 5 mins

30.60

more than 5 mins to 15 mins

40.00

more than 15 mins to 30 mins

77.05

more than 30 mins to 45 mins

116.55

more than 45 mins to 60 mins

158.05

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)

38.55

Specific Service (Level B)

77.05

Extended Service (Level C)

140.30

Comprehensive Service (Level D)

217.35

Time based

$

up to 5 mins

61.00

more than 5 mins to 15 mins

66.20

more than 15 mins to 30 mins

102.75

more than 30 mins to 45 mins

140.30

VISITS

Consultations at a place other than the Consulting Rooms

in hours

$

Minor Service (Level A)

64.25

Specific Service (Level B)

87.90

Extended Service (Level C)

130.40

Comprehensive Service (Level D)

181.75

out of hours

$

Minor Service (Level A)

77.05

Specific Service (Level B)

114.60

Extended Service (Level C)

175.85

Comprehensive Service (Level D)

256.85

TELEPHONE CONSULTATIONS

Time based

$

up to 5 mins

17.15

more than 5 mins to 15 mins

21.50

more than 15 mins to 30 mins

44.90

more than 30 mins

67.30

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

per hour

193.20

 

TRAVELLING FEES

Outside the metropolitan area
Rate per kilometre

 

 


3.42

PHYSICIANS, OCCUPATIONAL & REHABILITATION PHYSICIANS

PHYSICIANS

CONSULTATIONS

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


$

first attendance

195.05

subsequent attendances

97.60

VISITS

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


$

first attendance

233.60

subsequent attendances

134.80

REHABILITATION PHYSICIANS

CONSULTATIONS

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


$

first attendance

195.05

subsequent attendances

97.60

VISITS

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


$

first attendance

233.60

subsequent attendances

134.80

OCCUPATIONAL PHYSICIANS

CONSULTATIONS

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


$

first attendance

198.25

subsequent attendances

97.60

VISITS

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


$

first attendance

233.60

subsequent attendances

134.80

TELEPHONE CONSULTATIONS

Time based

$

up to 5 mins

25.55

more than 5 mins to 15 mins

31.55

more than 15 mins to 30 mins

66.00

more than 30 mins

99.65

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

per hour

286.45

TRAVELLING FEES

Outside the metropolitan area

Rate per kilometre

3.42

CONSULTANT PSYCHIATRISTS

CONSULTATIONS

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

Time based


$

up to 15 mins

57.25

more than 15 mins to 30 mins

114.15

more than 30 mins to 45 mins

170.95

more than 45 mins to 60 mins

228.75

more than 60 mins to 75 mins

258.85

more than 75 mins

288.90

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 mins

93.95

more than 15 mins to 30 mins

151.70

more than 30 mins to 45 mins

207.05

more than 45 mins to 75 mins

264.85

more than 75 mins

319.10

TELEPHONE CONSULTATIONS

Time based

$

up to 45 mins

75.85

more than 45 mins

165.70

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

per hour

286.45

TRAVELLING FEES

Outside the metropolitan area

Rate per kilometre

3.42

SPECIALISTS

SURGEONS

CONSULTATIONS

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


$

first attendance

110.90

subsequent attendances

57.85

VISITS

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


$

first attendance

149.50

subsequent attendances

95.25

DERMATOLOGISTS

CONSULTATIONS

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


$

first attendance

110.90

subsequent attendances

57.85

VISITS

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


$

first attendance

149.25

subsequent attendances

95.10

TELEPHONE CONSULTATIONS

Time based

$

up to 5 mins

25.55

more than 5 mins to 15 mins

31.55

more than 15 mins to 30 mins

66.00

more than 30 mins

99.65

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

per hour

286.45

TRAVELLING FEES

Outside the metropolitan area

Rate per kilometre

3.42

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

$35.45

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

Each 15 minutes (or part thereof) of anaesthetic time constitutes one time unit. After 4 hours, time units are calculated at 1 per 10 minutes.

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

 — gastric reduction or gastroplasty for the treatment of morbid obesity


10

 — partial hepatectomy (excluding liver biopsy)

13

 — extended or trisegmental hepatectomy

15

 — pancreatectomy, partial or total (eg. Whipple procedure)


12

 — liver transplant (recipient)

30

 — neuro endocrine tumour removal (eg. carcinoid)


10

 — 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

4

 — radical orchidectomy, abdominal

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 one hour, add one unit for each 15 minutes over the first hour








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, add one unit for each 15 minutes of the first hour for a patient in labour









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 two 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 two 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 amended in Gazette 19 Mar 2004 p. 864-96; 29 Oct 2004 p. 4941‑2; 21 Jan 2005 p. 279-81; 10 Jan 2006 p. 44-52.]

Part 2 — Medical procedures

Type of procedure

Fee
$

GENERAL

 

Localised burns

42.80

Localised burns, including dressing of, under general anaesthetic


121.90

Extensive burns

73.85

Extensive burns, including dressing of, under general anaesthetic


257.90

Dressing of wounds, under general anaesthetic

121.90

Acupuncture, including consultation

56.85

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

229.75

Elbow, by open reduction

304.70

Interphalangeal joint, by closed reduction

98.50

Interphalangeal joint, by open reduction

131.30

Mandible, by closed reduction

82.10

Clavicle, by closed reduction

97.35

Clavicle, by open reduction

196.95

Shoulder, not requiring general anaesthetic

109.55

Shoulder, by open reduction, with general anaesthetic

392.70

Shoulder, other, with general anaesthetic

194.55

Metacarpophalangeal joint, by closed reduction

131.30

Metacarpophalangeal joint, by open reduction

175.85

Patella, by closed reduction

147.65

Patella, by open reduction

196.95

Radioulnar joint, by closed reduction

229.75

Radioulnar joint, by open reduction

304.70

Toe, by closed reduction

82.10

Toe, by open reduction

109.00

 

 

REMOVAL OF FOREIGN BODIES — 

 

as independent procedure

35.75

superficial

159.40

deep tissue or muscle

445.45

ear, other than by syringing

114.85

nose, other than by simple probing

114.85

cornea or sclera, embedded

117.20

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

147.65

fracture, intra‑articular, by closed reduction

171.15

fracture, by open reduction

196.95

fracture, intra‑articular, by open reduction

246.15

Middle phalanx of finger

 

fracture, by closed reduction

222.70

fracture, intra‑articular, by closed reduction

251.95

fracture, by open reduction

293.00

fracture, intra‑articular, by open reduction

369.15

Proximal phalanx of finger or thumb

 

fracture, by closed reduction

293.00

fracture, intra‑articular, by closed reduction

345.70

fracture, by open reduction

392.70

fracture, intra‑articular, by open reduction

492.30

Metacarpal

 

fracture, by closed reduction

293.00

fracture, intra‑articular, by closed reduction

345.70

fracture, by open reduction

392.70

fracture, intra‑articular, by open reduction

492.30

Carpal Scaphoid, by open reduction

656.35

Carpal Scaphoid, other

293.00

Carpus (excluding Scaphoid), by open reduction

410.20

Carpus (excluding Scaphoid), other

164.10

Radius

 

by closed management

328.15

by open management

656.35

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

 

by closed reduction

492.30

by open reduction

656.35

Ribs (1 or more), each attendance

75.10

Tibia, plateau of, medial or lateral

 

by closed reduction

591.90

by open reduction

785.25

Tibia, plateau of, medial and lateral

 

by closed reduction

984.50

by open reduction

1 318.50

 

 

SUTURES

 

face or neck, less than 7 cm, superficial

117.20

face or neck, less than 7 cm, deep

178.10

face or neck, more than 7 cm, superficial

178.10

face or neck, more than 7 cm, deep

304.70

except face or neck, less than 7 cm, superficial

89.10

except face or neck, less than 7 cm, deep

133.60

except face or neck, more than 7 cm, superficial

133.60

except face or neck, more than 7 cm, deep

293.00

 

 

AMPUTATIONS

 

Hand, midcarpal or transmetacarpal

445.45

Hand, forearm or through arm

515.70

At shoulder

873.10

Interscapulothoracic

1 734.55

One digit of foot

234.35

Two digits of one foot

351.60

Three digits of one foot

474.70

Four digits of one foot

591.90

Five digits of one foot

709.10

Toe including metatarsal or part of metatarsal

276.65

Foot, at ankle

515.70

Foot, midtarsal or transmetatarsal

445.45

Through thigh, at knee or below knee

761.85

At hip

1 072.30

 

 

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 $147.65, whichever is greater.

 

 

USE OF PRIVATE THEATRES

A theatre fee of $89.10 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 10 Jan 2006 p. 52-6.]

Part 3 — Diagnostic Imaging Services

ULTRASOUND

MBS item number

(1 November 2005)

Fee

$

55028

143.55

55029

49.80

55030

143.55

55031

49.80

55032

143.55

55033

49.80

55036

146.40

55037

49.80

55038

143.55

55039

49.80

55044

146.40

55045

49.80

55048

143.55

55049

49.80

55054

143.55

55070

129.25

55073

44.80

55076

143.55

55079

49.80

55084

129.25

55085

44.80

55113

303.50

55114

303.50

55115

303.50

55116

337.45

55117

337.45

55118

362.45

55130

223.70

55135

465.25

55238

223.00

55244

223.00

55246

223.00

55248

223.00

55252

223.00

55274

223.00

55276

223.00

55278

223.00

55280

223.00

55282

223.00

55284

223.00

55292

223.00

55294

223.00

55296

146.10

55600

143.55

55603

143.55

55700

78.90

55703

46.05

55704

92.10

55705

46.05

55706

131.60

55707

92.10

55708

46.05

55709

50.00

55712

151.30

55715

52.60

55718

131.60

55721

151.30

55723

50.00

55725

52.60

55728

131.60

55729

35.85

55731

128.95

55733

46.05

55736

167.05

55739

74.95

55759

197.35

55762

78.90

55764

210.50

55766

85.50

55768

197.35

55770

78.90

55772

210.50

55774

85.50

55800

143.55

55802

49.80

55804

143.55

55806

49.80

55808

143.55

55810

49.80

55812

143.55

55814

49.80

55816

143.55

55818

49.80

55820

143.55

55822

49.80

55824

143.55

55826

49.80

55828

143.55

55830

49.80

55832

143.55

55834

49.80

55836

143.55

55838

49.80

55840

143.55

55842

49.80

55844

114.95

55846

49.80

55848

143.55

55850

201.10

55852

143.55

55854

49.80

COMPUTED TOMOGRAPHY — 
EXAMINATION AND REPORT

MBS item number

(1 November 2005)

Fee

$

56001

235.70

56007

302.15

56010

304.60

56013

302.15

56016

350.45

56022

271.90

56028

407.00

56030

271.90

56036

407.00

56041

119.35

56047

152.40

56050

154.95

56053

154.95

56056

187.80

56062

136.70

56068

203.50

56070

136.70

56076

203.50

56101

277.95

56107

410.90

56141

140.70

56147

207.40

56219

394.15

56220

290.05

56221

290.05

56223

290.05

56224

424.65

56225

424.65

56226

424.65

56227

148.05

56228

148.05

56229

148.05

56230

214.45

56231

214.45

56232

214.45

56233

290.05

56234

424.65

56235

148.00

56236

214.45

56237

290.05

56238

424.65

56239

148.00

56240

214.45

56259

199.15

56301

356.50

56307

483.35

56341

180.60

56347

244.10

56401

302.15

56407

435.00

56409

302.15

56412

435.00

56441

153.20

56447

219.30

56449

153.20

56452

219.30

56501

465.25

56507

580.05

56541

233.40

56547

294.55

56549

465.25

56551

465.25

56619

265.85

56625

404.40

56659

135.45

56665

202.30

56801

563.80

56807

676.70

56841

282.00

56847

343.00

57001

563.90

57007

686.10

57041

282.05

57047

343.05

57201

187.55

57247

93.70

57341

567.95

57345

291.95

57350

616.30

57351

616.30

57355

319.20

57356

319.20

DIAGNOSTIC RADIOLOGY

MBS item number

(1 November 2005)

Fee

$

57506

41.50

57509

55.45

57512

56.50

57515

75.35

57518

45.35

57521

60.55

57524

380.25

57527

91.75

57700

56.50

57703

75.35

57706

45.35

57709

60.55

57712

65.80

57715

85.00

57721

138.50

57901

90.00

57902

90.00

57903

66.00

57906

90.00

57909

90.00

57912

65.80

57915

65.80

57918

65.80

57921

65.80

57924

65.80

57927

69.25

57930

45.90

57933

109.20

57939

90.00

57942

69.25

57945

60.55

57960

66.15

57963

66.15

57966

66.15

57969

66.15

58100

93.70

58103

76.90

58106

107.45

58108

185.45

58109

65.60

58112

135.75

58115

185.45

58300

56.00

58306

124.80

58500

49.35

58503

65.80

58506

84.80

58509

55.45

58521

60.55

58524

78.85

58527

96.85

58700

64.30

58706

220.35

58715

211.50

58718

176.00

58721

192.90

58900

49.80

58903

66.40

58909

125.50

58912

153.85

58915

110.15

58916

193.25

58921

188.75

58924

117.30

58927

106.70

58933

286.90

58936

273.45

58939

194.40

59103

29.75

59300

124.90

59303

75.30

59306

140.00

59309

279.90

59312

121.40

59314

73.25

59318

65.65

59503

124.80

59700

134.75

59703

105.90

59712

158.65

59715

200.35

59718

187.95

59724

316.05

59733

150.30

59736

86.55

59739

102.95

59751

194.20

59754

306.10

59760

160.70

59763

186.85

59903

159.85

59912

425.90

59925

505.75

59970

234.90

59971

79.95

59972

212.95

59973

252.95

59974

117.50

60000

787.05

60003

1 154.25

60006

1 641.25

60009

1 920.65

60012

787.05

60015

1 154.25

60018

1 641.25

60021

1 920.65

60024

787.05

60027

1 154.25

60030

1 641.25

60033

1 920.65

60036

787.05

60039

1 154.25

60042

1 641.25

60045

1 920.65

60048

787.05

60051

1 154.25

60054

1 641.25

60057

1 920.65

60060

787.05

60063

1 154.25

60066

1 641.25

60069

1 920.65

60072

67.15

60075

134.10

60078

201.30

60100

84.80

60500

60.55

60503

41.50

60506

89.00

60509

138.00

60918

65.80

60927

53.10

61109

361.30

NUCLEAR MEDICINE IMAGING

MBS item number

(1 November 2005)

Fee

$

61302

482.50

61303

607.65

61306

762.80

61307

897.45

61310

394.80

61313

326.10

61314

451.45

61316

409.75

61317

529.25

61320

246.05

61328

244.70

61340

271.95

61348

476.55

61352

278.80

61353

415.55

61356

422.20

61360

433.55

61361

495.95

61364

534.20

61368

239.80

61369

2 166.70

61372

239.80

61373

526.35

61376

154.10

61381

617.35

61383

671.75

61384

739.20

61386

357.40

61387

463.00

61389

398.30

61390

440.65

61393

650.85

61397

265.35

61401

174.45

61402

650.40

61405

371.90

61409

938.90

61413

242.85

61417

127.75

61421

515.75

61425

645.70

61426

596.35

61429

583.65

61430

708.80

61433

534.20

61434

661.50

61437

583.45

61438

723.40

61441

526.35

61442

808.70

61445

308.25

61446

358.55

61449

490.35

61450

427.30

61453

553.25

61454

374.15

61457

505.65

61458

426.65

61461

567.35

61462

140.05

61465

285.35

61469

374.15

61473

188.50

61480

415.80

61484

946.85

61485

1 074.00

61495

239.80

61499

271.95

61650

944.50

MAGNETIC RESONANCE IMAGING

MBS item number

(1 November 2003)

Fee

$

63000 — 63497

526.75

[Part 3 inserted in Gazette 10 Jan 2006 p. 56-67.]

[Schedule 1 inserted in Gazette 20 Jul 1999 p. 3250‑77; amended in Gazette 31 Aug 1999 p. 4244‑5; 21 Dec 2000 p. 7626‑46 (Printers correction in Gazette 6 Feb 2001 p. 743); 28 Dec 2001 p. 6692‑710; 23 Sep 2003 p. 4174-85; 19 Mar 2004 p. 864‑910; 29 Oct 2004 p. 4941‑2; 21 Jan 2005 p. 279-83; 1 Nov 2005 p. 4977-84; 10 Jan 2006 p. 44-67.]

Schedule 2 — Scale of fees — physiotherapists

[r. 3]

[Heading inserted in Gazette 10 Jan 2006 p. 67.]

Part 1 — General

 

Type of service

Fee
$

1.

Initial consultation

(Includes individual initial services provided in rooms, home or hospital; hydrotherapy treatment; specialist consultations; extended treatments; and services provided outside normal business hours)

57.25

2.

Standard consultation

(Includes individual subsequent services provided in rooms, home or hospital; hydrotherapy treatment; specialist consultations; extended treatments; and services provided outside normal business hours)

45.95

3.

Two distinct areas of treatment per visit

(Includes individual initial or subsequent services provided in rooms, home or hospital; hydrotherapy treatment; specialist consultations; and services provided outside normal business hours)

58.10

4.

Three or more distinct areas of treatment per visit

(Includes individual initial or subsequent services provided in rooms, home or hospital; hydrotherapy treatment; complex treatment; specialist consultations; and services provided outside normal business hours)

77.35

5.

Group consultation – per person

(Includes services provided to more than one individual in rooms, home or hospital; hydrotherapy treatment; complex treatment; specialist consultations; extended treatments; and services provided outside normal business hours)

14.15

6.

Worksite visit (per hour)

130.10

7.

Solicitors reports

57.25

8.

Travel (per kilometre)

0.66

[Part 1 inserted in Gazette 10 Jan 2006 p. 67-8.]

Part 2 — Exercise‑based programs

 

Type of service

Fee
$

9.

Exercise consultation/assessment

The following services are included in the initial/subsequent consultation fee —

Assessment of the worker;

Provision/prescription of exercises;

Program development, coordination;

Physiological testing;

Communication with relevant persons (other than reports).

$130.50 per
hour, total fee
not to exceed
$261.00
Where a session is for a fraction of one hour, the amount chargeable is to be calculated as that fraction of the maximum amount chargeable.

 

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

 

10.

Initial report

57.45

11.

Subsequent reports

46.15

per report

12.

Final report

46.15

13.

Gym membership/Entry fees
(Prior approval from insurer/self‑insurer is required)

Market rates

14.

Travel, within metropolitan area

32.53 per journey to a venue (If a physiotherapist consults with more than one worker before leaving a venue, the fee for the journey to

 

 

the venue is to be apportioned equally between the workers.)

[Part 2 inserted in Gazette 10 Jan 2006 p. 69-70.]

Schedule 3 — Scale of fees — chiropractors

[r. 4]

[Heading inserted in Gazette 10 Jan 2006 p. 70.]

 

Type of service

Fee

$

1.

Initial consultation and examination

45.25

2.

Subsequent consultation

37.75

3.

Spinal x‑ray, one region

89.90

4.

Spinal x‑ray, 2 or more regions

134.95

5.

Travel (per kilometre)

0.64

[Schedule 3 inserted in Gazette 10 Jan 2006 p. 70.]

Schedule 4 — Scale of fees — occupational therapists

[r. 5]

[Heading inserted in Gazette 10 Jan 2006 p. 70.]

 

Type of Service

Fee

$

1.

Brief consultation (< 15 minutes)

19.55

2.

Short consultation (15 minutes to < 30 minutes)

39.15

3.

Standard consultation (30 minutes to < 45 minutes)

64.55

4.

Extended consultation (45 minutes to < one hour)

96.80

5.

Extended consultation ( > one hour)

129.05

6.

Standard group consultation (30 minutes)
per person


42.40

7.

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

[Schedule 4 inserted in Gazette 10 Jan 2006 p. 70.]

Schedule 5 — Scale of fees — speech pathologists

[r. 7]

[Heading inserted in Gazette 10 Jan 2006 p. 71.]

 

Type of service

Fee

$

1.

Initial consultation/assessment (up to and including 1 hour)


$119.25

2.

Initial consultation/assessment (exceeding 1 hour)

$154.50

3.

Subsequent consultation (<½ hour)

$52.10

4.

Subsequent consultation (½ hour – 1 hour)

$67.55

5.

Subsequent consultation (>1 hour)

$91.20

[Schedule 5 inserted in Gazette 10 Jan 2006 p. 71.]

Schedule 6 — Scale of maximum fees — approved medical specialists

[r. 9]

[Heading inserted in Gazette 11 Nov 2005 p. 5568.]

Part 1 — Assessments

 

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

$880 (or, if an interpreter is present at the examination, $1 100 excluding any fee payable to the interpreter)

2.

Examination and provision of report and certificate — moderately complex assessment (eg. 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

$1 100 (or, if an interpreter is present at the examination, $1 320 excluding any fee payable to the interpreter)

3.

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

$1 320 (or, if an interpreter is present at the examination, $1 540 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

$880 (or, if an interpreter is present at the examination, $1 100 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

$1 320 (or, if an interpreter is present at the examination, $1 540 excluding any fee payable to the interpreter)

6.

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

$2 200 (or, if an interpreter is present at the examination, $2 420 excluding any fee payable to the interpreter)

7.

Consolidation of written assessments from multiple assessors

$440

8.

Re‑examination and provision of report and certificate

$660 (or, if an interpreter is present at the examination, $880 excluding any fee payable to the interpreter)

9.

Provision of supplementary report and certificate

$220

[Part 1 inserted in Gazette 11 Nov 2005 p. 5568-9.]

Part 2 — Attempted assessments

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

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

$440

[Part 2 inserted in Gazette 11 Nov 2005 p. 5569.]

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. The table also contains information about any reprint.

Compilation table

Citation

Gazettal

Commencement

Workers’ Compensation and Rehabilitation (Scales of Fees) Regulations 1998 2

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
(Printers 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 (Scale 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

2Now known as the Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998; short title changed (see note under s. 1).