Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2007 (WA)

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!200700254GG!

WESTERN 6031
AUSTRALIAN
GOVERNMENT
ISSN 1448-949X PRINT POST APPROVED PP665002/00041
PERTH, FRIDAY, 7 DECEMBER 2007 No. 254 SPECIAL

PUBLISHED BY AUTHORITY JOHN A. STRIJK, GOVERNMENT PRINTER AT 3.45 PM

© STATE OF WESTERN AUSTRALIA

WORKERS’ COMPENSATION AND INJURY MANAGEMENT

ACT 1981

_________

WORKERS’ COMPENSATION AND INJURY MANAGEMENT

(SCALES OF FEES)

AMENDMENT

REGULATIONS 2007

7 December 2007 GOVERNMENT GAZETTE, WA 6033

Workers’ Compensation and Injury Management Act 1981

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

Regulations 2007

Made by the Governor in Executive Council, on the recommendation of
WorkCover WA, under section 292 of the Act.

1.             Citation

These regulations are the Workers’ Compensation and Injury Management (Scales of Fees) Amendment Regulations 2007.

2.             Commencement

These regulations come into operation as follows:

(a) regulations 1 and 2 — on the day on which these regulations are published in the Gazette;
(b) the rest of the regulations — on the day after that day.

3.             The regulations amended

The amendments in these regulations are to the Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998.

6034 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 4

4.             Regulation 2 amended

(1) Regulation 2(1) is amended by deleting “disabilities” and
inserting instead —
“ injuries ”.
(2) Regulation 2(2) is amended as follows:
(a) in the definition of “MBS item number” by deleting “2003;” and inserting instead —

“ 2006. ”;

(b) by deleting the definition of “metropolitan area”.

5.             Regulation 3 amended

(1) Regulation 3(1) is amended by deleting “disabilities” and
inserting instead —
“ injuries ”.
(2) Regulation 3(2) is repealed.

6.             Regulation 4 amended

Regulation 4 is amended by deleting “disabilities” and inserting
instead —

“ injuries ”.

7.             Regulation 5 amended

Regulation 5 is amended by deleting “disabilities” and inserting
instead —
“ injuries ”.
7 December 2007 GOVERNMENT GAZETTE, WA 6035

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 8

8.             Regulation 6 amended

Regulation 6(1) is amended as follows:

(a) by deleting “$171.90” and inserting instead —

“ $179.15 ”;

(b) by deleting “disabilities” and inserting instead —

“ injuries ”.

9.             Regulation 6A amended

Regulation 6A is amended as follows:

(a) by deleting “$171.90” and inserting instead —

“ $179.15 ”;

(b) by deleting “disabilities” and inserting instead —

“ injuries ”.

10.           Regulation 7 amended

Regulation 7 is amended by deleting “disabilities” and inserting
instead —

“ injuries ”.

11.           Regulation 7A amended

Regulation 7A is amended as follows:

(a) by deleting “$54.40” and inserting instead —

“ $56.70 ”;

(b) by deleting “disabilities” and inserting instead —

“ injuries ”.

6036 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 12

12.           Regulation 8 amended

Regulation 8 is amended by deleting “$128.35” and inserting
instead —

“ $133.80 ”.

13.           Regulation 10 inserted

After regulation 9 the following regulation is inserted —

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.

”.

7 December 2007 GOVERNMENT GAZETTE, WA 6037

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

14.           Schedule 1 amended

(1) Schedule 1 Part 1 is amended by deleting the heading
“GENERAL PRACTITIONER” and everything following that
heading, through to (but not including) the heading
“ANAESTHETISTS” and inserting instead —

GENERAL PRACTITIONER

CONSULTATIONS

Surgery Consultation

in hours

Content based $
Minor or Specific Service (Level A or B) 55.70
Extended Service (Level C) 101.80
Comprehensive Service (Level D) 156.40
Time based $
up to 5 minutes 33.20
more than 5 minutes to 15 minutes 43.35
more than 15 minutes to 30 minutes 83.60
more than 30 minutes to 45 minutes 126.45
more than 45 minutes to 60 minutes 171.40

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) 41.80
Specific Service (Level B) 83.60
Extended Service (Level C) 152.20
Comprehensive Service (Level D) 235.70
6038 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

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Time based $
up to 5 minutes 66.20
more than 5 minutes to 15 minutes 71.80
more than 15 minutes to 30 minutes 111.40
more than 30 minutes 152.20

VISITS

Consultations at a place other than the Consulting Rooms

in hours $
Minor Service (Level A) 69.70
Specific Service (Level B) 95.30
Extended Service (Level C) 141.45
Comprehensive Service (Level D) 197.15
out of hours $
Minor Service (Level A) 83.60
Specific Service (Level B) 124.30
Extended Service (Level C) 190.75
Comprehensive Service (Level D) 278.60

TELEPHONE CONSULTATIONS

Time based $
up to 5 minutes 18.60
more than 5 minutes to 15 minutes 23.30
more than 15 minutes to 30 minutes 48.70
more than 30 minutes 73.00

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $209.55

TRAVELLING FEES

Rate per kilometre $3.70
7 December 2007 GOVERNMENT GAZETTE, WA 6039

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

PHYSICIANS, OCCUPATIONAL & REHABILITATION PHYSICIANS
PHYSICIANS

CONSULTATIONS

Professional attendance at consulting rooms and issue of $
certificate (if required) et al
first attendance 211.55
subsequent attendances 105.85

VISITS

Professional attendance at a place other than consulting $
rooms and issue of certificate (if required) et al
first attendance 253.40
subsequent attendances 146.20

REHABILITATION PHYSICIANS

CONSULTATIONS

Professional attendance at consulting rooms and issue of $
certificate (if required) et al
first attendance 211.55
subsequent attendances 105.85

VISITS

Professional attendance at a place other than consulting $
rooms and issue of certificate (if required) et al
first attendance 253.40
subsequent attendances 146.20

OCCUPATIONAL PHYSICIANS

CONSULTATIONS

Professional attendance at consulting rooms and issue of $
certificate (if required) et al
first attendance 215.05
subsequent attendances 105.85
6040 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

VISITS

Professional attendance at a place other than consulting $
rooms and issue of certificate (if required) et al
first attendance 253.40
subsequent attendances 146.20

TELEPHONE CONSULTATIONS

Time based $
up to 5 minutes 27.75
more than 5 minutes to 15 minutes 34.25
more than 15 minutes to 30 minutes 71.60
more than 30 minutes 108.10

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $310.70

TRAVELLING FEES

Rate per kilometre $3.70

CONSULTANT PSYCHIATRISTS

CONSULTATIONS

Professional attendance at consulting rooms and issue of
certificate (if required) et al
Time based
$
up to 15 minutes 62.05
more than 15 minutes to 30 minutes 123.85
more than 30 minutes to 45 minutes 185.45
more than 45 minutes to 60 minutes 248.10
more than 60 minutes to 75 minutes 280.75
more than 75 minutes 313.35
7 December 2007 GOVERNMENT GAZETTE, WA 6041

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

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 101.90
more than 15 minutes to 30 minutes 164.55
more than 30 minutes to 45 minutes 224.55
more than 45 minutes to 75 minutes 287.25
more than 75 minutes 346.10

TELEPHONE CONSULTATIONS

Time based $
up to 45 minutes 82.30
more than 45 minutes 179.75

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $310.70

TRAVELLING FEES

Rate per kilometre $3.70

SPECIALISTS

SURGEONS

CONSULTATIONS

Professional attendance at consulting rooms and issue of $
certificate (if required) et al
first attendance 120.30
subsequent attendances 62.75

VISITS

Professional attendance at a place other than consulting $
rooms and issue of certificate (if required) et al
first attendance 162.15
subsequent attendances 103.30
6042 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

DERMATOLOGISTS

CONSULTATIONS

Professional attendance at consulting rooms and issue of $
certificate (if required) et al
first attendance 120.30
subsequent attendances 62.75

VISITS

Professional attendance at a place other than consulting $
rooms and issue of certificate (if required) et al
first attendance 161.85
subsequent attendances 103.15

TELEPHONE CONSULTATIONS

Time based $
up to 5 minutes 27.75
more than 5 minutes to 15 minutes 34.25
more than 15 minutes to 30 minutes 71.60
more than 30 minutes 108.10

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $310.70

TRAVELLING FEES

Rate per kilometre $3.70

”.

(2) Schedule 1 Part 1 is amended in the item headed
“ANAESTHETISTS” before the heading “CONSULTATIONS
AND ATTENDANCES” by deleting “$60.00” as the $ value
per unit and inserting instead —
“ $62.55 ”.
7 December 2007 GOVERNMENT GAZETTE, WA 6043

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

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(3) Schedule 1 Parts 2 and 3 are repealed and the following Parts
are inserted instead —

Part 2 — Medical procedures

Type of procedure Fee
$
GENERAL
Localised burns 46.45
Localised burns, including dressing of, under general
anaesthetic 132.20
Extensive burns 80.10
Extensive burns, including dressing of, under general
anaesthetic 279.70
Dressing of wounds, under general anaesthetic 132.20
Acupuncture, including consultation 61.65
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 249.20
Elbow, by open reduction 330.45
Interphalangeal joint, by closed reduction 106.85
Interphalangeal joint, by open reduction 142.45
Mandible, by closed reduction 89.05
Clavicle, by closed reduction 105.60
Clavicle, by open reduction 213.60
Shoulder, not requiring general anaesthetic 118.80
6044 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14
Type of procedure Fee

$

Shoulder, by open reduction, with general anaesthetic 425.95
Shoulder, other, with general anaesthetic 211.00
Metacarpophalangeal joint, by closed reduction 142.45
Metacarpophalangeal joint, by open reduction 190.75
Patella, by closed reduction 160.15
Patella, by open reduction 213.60
Radioulnar joint, by closed reduction 249.20
Radioulnar joint, by open reduction 330.45
Toe, by closed reduction 89.05
Toe, by open reduction 118.25
REMOVAL OF FOREIGN BODIES —
as independent procedure 38.75
superficial 172.85
deep tissue or muscle 483.15
ear, other than by syringing 124.55
nose, other than by simple probing 124.55
cornea or sclera, embedded 127.10

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 160.15
fracture, intra-articular, by closed reduction 185.65
fracture, by open reduction 213.60
fracture, intra-articular, by open reduction 267.00
7 December 2007 GOVERNMENT GAZETTE, WA 6045

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

Type of procedure Fee
$
Middle phalanx of finger
fracture, by closed reduction 241.55
fracture, intra-articular, by closed reduction 273.30
fracture, by open reduction 317.80
fracture, intra-articular, by open reduction 400.40

Proximal phalanx of finger or thumb

fracture, by closed reduction 317.80
fracture, intra-articular, by closed reduction 374.95
fracture, by open reduction 425.95
fracture, intra-articular, by open reduction 533.95

Metacarpal

fracture, by closed reduction 317.80
fracture, intra-articular, by closed reduction 374.95
fracture, by open reduction 425.95
fracture, intra-articular, by open reduction 533.95
Carpal Scaphoid, by open reduction 711.90
Carpal Scaphoid, other 317.80
Carpus (excluding Scaphoid), by open reduction 444.90
Carpus (excluding Scaphoid), other 177.95
Radius
by closed management 355.90

by open management

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

711.90
by closed reduction 533.95
by open reduction 711.90
Ribs (1 or more), each attendance 81.45
Tibia, plateau of, medial or lateral
by closed reduction 642.00
by open reduction 851.70
6046 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14
Type of procedure Fee

$

Tibia, plateau of, medial and lateral

by closed reduction 1 067.80
by open reduction 1 430.10

SUTURES

face or neck, less than 7 cm, superficial 127.10
face or neck, less than 7 cm, deep 193.20
face or neck, more than 7 cm, superficial 193.20
face or neck, more than 7 cm, deep 330.45
except face or neck, less than 7 cm, superficial 96.60
except face or neck, less than 7 cm, deep 144.90
except face or neck, more than 7 cm, superficial 144.90
except face or neck, more than 7 cm, deep 317.80
AMPUTATIONS
Hand, midcarpal or transmetacarpal 483.15
Hand, forearm or through arm 559.35
At shoulder 947.00
Interscapulothoracic 1 881.30
One digit of foot 254.15
Two digits of one foot 381.35
Three digits of one foot 514.85
Four digits of one foot 642.00
Five digits of one foot 769.10
Toe including metatarsal or part of metatarsal — each
toe 300.10
Foot, at ankle 559.35
Foot, midtarsal or transmetatarsal 483.15
Through thigh, at knee or below knee 826.35
At hip 1 163.05
7 December 2007 GOVERNMENT GAZETTE, WA 6047

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

Type of procedure Fee
$

ASSISTANCE AT OPERATIONS 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 $160.15, whichever is greater.

USE OF PRIVATE THEATRES the use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.

Part 3 — Diagnostic Imaging Services

ULTRASOUND

MBS item number Fee
(1 November 2006) $
55028 155.70
55029 54.00
55030 155.70
55031 54.00
55032 155.70
55033 54.00
55036 158.80
55037 54.00
55038 155.70
55039 54.00
55044 158.80
55045 54.00
55048 155.70
55049 54.00
55054 155.70
55070 140.20
55073 48.55
6048 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
55076 155.70
55079 54.00
55084 140.20
55085 48.55
55113 329.15
55114 329.15
55115 329.15
55116 366.00
55117 366.00
55118 393.10
55130 242.65
55135 504.65
55238 241.85
55244 241.85
55246 241.85
55248 241.85
55252 241.85
55274 241.85
55276 241.85
55278 241.85
55280 241.85
55282 241.85
55284 241.85
55292 241.85
55294 241.85
55296 158.50
55600 155.70
55603 155.70
55700 85.55
55703 49.95
55704 99.90
55705 49.95
55706 142.75
55707 99.90
55708 49.95
55709 54.25
55712 164.10
7 December 2007 GOVERNMENT GAZETTE, WA 6049

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $

55715   57.05

55718   142.75

55721   164.10

55723   54.25

55725   57.05

55728   142.75

55729   38.90

55731   139.90

55733   49.95

55736   181.20

55739   81.30

55759   214.05

55762   85.55

55764   228.30

55766   92.70

55768   214.05

55770   85.55

55772   228.30

55774   92.70

55800   155.70

55802   54.00

55804   155.70

55806   54.00

55808   155.70

55810   54.00

55812   155.70

55814   54.00

55816   155.70

55818   54.00

55820   155.70

55822   54.00

55824   155.70

55826   54.00

55828   155.70

55830   54.00

55832   155.70

55834   54.00

6050 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
55836 155.70
55838 54.00
55840 155.70
55842 54.00
55844 124.65
55846 54.00
55848 155.70
55850 218.10
55852 155.70
55854 54.00
COMPUTED TOMOGRAPHY —
EXAMINATION AND REPORT
MBS item number Fee
(1 November 2006) $
56001 255.60
56007 327.70
56010 330.35
56013 327.70
56016 380.15
56022 294.90
56028 441.40
56030 294.90
56036 441.40
56041 129.45
56047 165.30
56050 168.05
56053 168.05
56056 203.65
56062 148.25
56068 220.70
56070 148.25
56076 220.70
56101 301.50
56107 445.70
56141 152.60
56147 224.95
7 December 2007 GOVERNMENT GAZETTE, WA 6051

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
56219 427.50
56220 314.60
56221 314.60
56223 314.60
56224 460.60
56225 460.60
56226 460.60
56227 160.55
56228 160.55
56229 160.55
56230 232.60
56231 232.60
56232 232.60
56233 314.60
56234 460.60
56235 160.50
56236 232.60
56237 314.60
56238 460.60
56239 160.50
56240 232.60
56259 216.00
56301 386.65
56307 524.20
56341 195.90
56347 264.75
56401 327.70
56407 471.80
56409 327.70
56412 471.80
56441 166.15
56447 237.85
56449 166.15
56452 237.85
56501 504.65
56507 629.15
56541 253.15
6052 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
56547 319.45
56549 504.65
56551 504.65
56619 288.35
56625 438.60
56659 146.90
56665 219.40
56801 611.50
56807 733.95
56841 305.85
56847 372.05
57001 611.60
57007 744.15
57041 305.90
57047 372.10
57201 203.40
57247 101.60
57341 616.00
57345 316.65
57350 668.45
57351 668.45
57355 346.20
57356 346.20
DIAGNOSTIC RADIOLOGY
MBS item number Fee
(1 November 2006) $
57506 45.05
57509 60.15
57512 61.30
57515 81.70
57518 49.20
57521 65.65
57524 74.85
57527 99.55
57700 61.30
57703 81.70
57706 49.20
7 December 2007 GOVERNMENT GAZETTE, WA 6053

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
57709 65.65
57712 71.35
57715 92.20
57721 150.20
57901 97.60
57902 97.60
57903 71.60
57906 97.60
57909 97.60
57912 71.35
57915 71.35
57918 71.35
57921 71.35
57924 71.35
57927 75.10
57930 49.75
57933 118.45
57939 97.60
57942 75.10
57945 65.65
57960 71.75
57963 71.75
57966 71.75
57969 71.75
58100 101.60
58103 83.40
58106 116.55
58108 201.15
58109 71.15
58112 147.20
58115 201.15
58300 60.70
58306 135.35
58500 53.50
58503 71.35
58506 92.00
58509 60.15
58521 65.65
6054 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
58524 85.50
58527 105.05
58700 69.75
58706 239.00
58715 229.40
58718 190.90
58721 209.25
58900 54.00
58903 72.00
58909 136.10
58912 166.85
58915 119.45
58916 209.60
58921 204.70
58924 127.20
58927 115.75
58933 311.20
58936 296.60
58939 210.85
59103 32.25
59300 135.45
59303 81.65
59306 151.85
59309 303.55
59312 131.70
59314 79.40
59318 71.20
59503 135.35
59700 146.15
59703 114.85
59712 172.10
59715 217.30
59718 203.85
59724 342.80
59733 163.00
59736 93.85
59739 111.70
59751 210.65
7 December 2007 GOVERNMENT GAZETTE, WA 6055

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
59754 332.00
59760 174.25
59763 202.70
59903 173.40
59912 461.95
59925 548.55
59970 254.80
59971 86.70
59972 230.95
59973 274.35
59974 127.40
60000 853.65

60003   1 251.90

60006   1 780.15

60009   2 083.20

60012   853.65

60015   1 251.90

60018   1 780.15

60021   2 083.20

60024   853.65

60027   1 251.90

60030   1 780.15

60033   2 083.20

60036   853.65

60039   1 251.90

60042   1 780.15

60045   2 083.20

60048   853.65

60051   1 251.90

60054   1 780.15

60057   2 083.20

60060   853.65

60063   1 251.90

60066   1 780.15

60069   2 083.20

60072   72.85

60075   145.45

60078   218.30

6056 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
60100 92.00
60500 65.65
60503 45.05
60506 96.50
60509 149.65
60918 71.35
60927 57.60
61109 391.85
NUCLEAR MEDICINE IMAGING
MBS item number Fee
(1 November 2006) $
61302 523.35
61303 659.05
61306 827.35
61307 973.40
61310 428.25
61313 353.70
61314 489.65
61316 444.45
61317 574.05
61320 266.90
61328 265.40
61340 294.95
61348 516.90
61352 302.35
61353 450.70
61356 457.95
61360 470.25
61361 537.95
61364 579.40
61368 260.10

61369   2 350.00

61372   260.10

61373   570.85

61376   167.15

61381   669.55

61383   728.55

7 December 2007 GOVERNMENT GAZETTE, WA 6057

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
61384 801.75
61386 387.65
61387 502.20
61389 432.00
61390 477.95
61393 705.90
61397 287.80
61401 189.25
61402 705.45
61405 403.35

61409   1 018.35

61413   263.40

61417   138.55

61421   559.40

61425   700.30

61426   646.80

61429   633.05

61430   768.80

61433   579.40

61434   717.45

61437   632.85

61438   784.60

61441   570.85

61442   877.15

61445   334.30

61446   388.90

61449   531.85

61450   463.45

61453   600.05

61454   405.80

61457   548.45

61458   462.75

61461   615.35

61462   151.90

61465   309.50

61469   405.80

61473   204.45

61480   451.00

6058 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 14

MBS item number Fee
(1 November 2006) $
61484 1 027.00
61485 1 164.85

61495   260.10

61499   294.95

61650   1 024.40

MAGNETIC RESONANCE IMAGING
MBS item number Fee
(1 November 2006) $
63000-63200 759.15

63201   1 138.70

63202-63203 759.15

63204   1 138.70

63219-63243 1 138.70
63271-63473 759.15
63491-63494 86.75
63497 260.55

”.

7 December 2007 GOVERNMENT GAZETTE, WA 6059

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

15.           Schedules 2, 3, 4, 5 and 6 replaced

Schedules 2, 3, 4, 5 and 6 are repealed and the following
Schedules are inserted instead —

Schedule 2 — Scale of fees — physiotherapists

[r. 3]

Part 1 General

Service Service
Code
PA001
Initial Consultation Set Fee
A consultation with the physiotherapist including the $62.05
following elements —
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.
6060 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15
Service Service

Code

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:

hospital; hydrotherapy treatment; extended

Individual services provided in rooms, home or normal business hours.

Courtesy communication by the physiotherapist acknowledgement of referral.

The physiotherapist’s brief communication with 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).

7 December 2007 GOVERNMENT GAZETTE, WA 6061

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Service Service
Code
PB001
Standard Consultation Set Fee
Consultation for one body area or condition including $49.80
the following elements —
• subjective re-assessment;
objective re-assessment;
appropriate management, intervention or advice;
• documentation of consultation.
Includes

hospital; hydrotherapy treatment; extended

Individual services provided in rooms, home or 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 Set Fee
Same description as PB001 except relates to the $63.00
treatment/management of 2 distinct areas/conditions.
6062 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15
Service Service

Code

PG001 Group Consultation — per person Cost per
Includes non-individualised services provided to participant
more than one individual whether — $15.30
in rooms, home or hospital;
hydrotherapy treatment;
extended treatments;

services provided outside of normal business hours.

PE001 Worksite Visit — prior approval from insurer Hourly
required. rate**
Prior to a worksite evaluation, consideration of details $141.55
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.
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 Set Fee
Report should contain summarised information or $62.05
assessment findings, treatment services provided,
results obtained with specific recommendations for
further management and return to work if applicable.
7 December 2007 GOVERNMENT GAZETTE, WA 6063

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Service Service
Code
Comprehensive report Hourly
As above for progress/standard report and contains rate**
information relating to more detailed assessments and $141.55

interventions performed. must be discussed with the insurer prior to approval with a suggested maximum duration of 2 hours.

PT001
Travel Hourly
Travel when the most appropriate management of the Rate**
patient requires the provider to travel away from their $113.24

pre-approval for travel in excess of one hour.

normal practice. The insurer must provide before leaving a venue, the fee for the journey is to be apportioned equally between workers.

PQ001 Case Conferences
Face-to-face or telephone communication involving $14.20
the physiotherapist with one or more of the per 6 minute
following — block

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.

PK001 Communication
Any requested or required oral communication by the $14.20 per
physiotherapist with relevant parties (treating medical 6 minute
practitioners, employers and insurers) relating to the block
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.
6064 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15
Service Service

Code

PS001 Specific Physiotherapy Assessment — prior Hourly
approval from insurer required. Rate**
Includes specific types of assessments not classified $141.55
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).
PW001 Specific Physiotherapy Intervention — prior Hourly
approval from insurer required (*replaces PD001). Rate**
Includes treatments not classified elsewhere in these $141.55
scales required by the insurer which physiotherapists Max duration
may undertake (e.g. treatment of severe multiple area of service
trauma, burns, neurologically injured patients and provision
patients with severe spinal injuries, ergonomic 2 hours
corrections of workplace, specialised real-time
ultrasound imaging, short consultations).
** 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.
7 December 2007 GOVERNMENT GAZETTE, WA 6065

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Part 2 — Exercise-based programs

Type of service Fee
EXE20 Initial Consultation/Assessment
Insurer approval must be obtained prior to $141.55

undertaking the service.

per hour to a maximum of

Review of current medical and vocational status.

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 — $141.55 per

hour to a

program implementation — prescription and

provision of exercises (land or pool based);

maximum of one hour**

program monitoring;

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

psychosocial reassessment;
communication/liaison with relevant parties.
6066 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15
Type of service Fee
EXE02 Initial report
Includes — $141.55 per

hour to a

initial assessment report outlining results
(self-reported and objective), recommendations maximum of
and exercise rehabilitation plan; 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 $141.55 per
referrer. hour to a

maximum of

30 minutes**

EXE04 Final report
Comprehensive report to be provided at the end of $141.55 per
the service delivery detailing — hour to a
• physiological testing results pre and post maximum of
program; 30 minutes**
worker attendance/programme compliance.
EXE05 Gym membership/Entry fees
Includes direct cost of membership (pool or gym). Market rates
Prior approval from insurer required.
EXE06 Travel
Travel when the most appropriate management of the $113.24 per
patient requires the provider to travel away from their hour **

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

normal practice. before leaving a venue, the fee for the journey is to be apportioned equally between workers.

7 December 2007 GOVERNMENT GAZETTE, WA 6067

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Type of service Fee
EXE08 Communication
Any requested or required oral communication with $14.20
relevant parties (treating medical practitioners, per 6 minute
employers and insurers) relating to the treatment of a block
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.
EXE09 Attendance at Medical Case Conferences
Prior insurer approval must be obtained prior to $141.55 per
undertaking the service. 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 3 — Scale of fees — chiropractors

[r. 4]

Type of service Fee
$
1. Initial consultation and examination 49.10
2. Subsequent consultation 40.95
3. Spinal x-ray, one region 97.50
4. Spinal x-ray, 2 or more regions 146.40
5. Travel (per kilometre) 0.70
6068 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Schedule 4 — Scale of fees — occupational

therapists

[r. 5]

Type of Service Fee
$
1. Brief consultation (< 15 minutes) 21.20
2. Short consultation (15 minutes to < 30 minutes) 42.45
3. Standard consultation (30 minutes to < 45 minutes) 70.00
4. Extended consultation (45 minutes to < one hour) 105.00
5. Extended consultation ( > one hour) 140.00
6. Standard group consultation (30 minutes)
per person 45.95

7.

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

Schedule 5 — Scale of fees — speech pathologists

[r. 7]

Type of service Fee
$

1.        Initial consultation/assessment (up to and including

one hour) 129.35

2.        Initial consultation/assessment (exceeding

one hour) 167.55
3.
Subsequent consultation (<½ hour) 56.50
4.
Subsequent consultation (½ hour – one hour) 73.25
5.
Subsequent consultation (>one hour) 98.90
7 December 2007 GOVERNMENT GAZETTE, WA 6069

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Schedule 6 — Scale of maximum fees — approved

medical specialists

[r. 9]

Part 1 — Assessments

Description of assessment Maximum fee**
1. Examination and provision of report and $954.50 (or, if an
certificate — straightforward interpreter is present at
assessment — other than a service the examination,
mentioned in item 4, 5, 6 or 8. $1 193.05 excluding any
fee payable to the
interpreter)
2. Examination and provision of report and $1 193.05 (or, if an
certificate — moderately complex interpreter is present at
assessment (e.g. reviewing multiple the examination,
questions and reports; impairment $1 431.70 excluding any
involving more complex assessments; fee payable to the
more than one body system involved) — interpreter)
other than a service mentioned in item 4,
5, 6 or 8.
3. Examination and provision of report and $1 431.70 (or, if an
certificate — complex assessment interpreter is present at
(e.g. multiple injuries; severe the examination,
impairment such as spinal cord injury or $1 670.30 excluding any
head injury) — other than a service fee payable to the
mentioned in item 4, 5, 6 or 8. interpreter)
4. Examination of any of ear, nose and $954.50 (or, if an
throat only, including audiometric interpreter is present at
testing, and provision of report and the examination,
certificate — other than a service $1 193.05 excluding any
mentioned in item 8. fee payable to the
interpreter)
6070 GOVERNMENT GAZETTE, WA 7 December 2007

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Description of assessment Maximum fee**
5. Examination and provision of report and $1 431.70 (or, if an
certificate — psychiatric — standard interpreter is present at
assessment — other than a service the examination,
mentioned in item 8. $1 670.30 excluding any
fee payable to the
interpreter)
6. Examination and provision of report and $2 386.15 (or, if an
certificate — psychiatric — complex interpreter is present at
assessment (e.g. reviewing significant the examination,
documented prior psychiatric history) — $2 624.75 excluding any
other than a service mentioned in item 8. fee payable to the
interpreter)
7. Consolidation of written assessments $477.20
from multiple assessors.
8. Re-examination and provision of report $715.85 (or, if an
and certificate. interpreter is present at
the examination, $954.50
excluding any fee payable
to the interpreter)
9. Provision of supplementary report and $238.65
certificate.

Part 2 — Attempted assessments

Description of circumstances Maximum fee**
1. If a worker who is required under $477.20

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

7 December 2007 GOVERNMENT GAZETTE, WA 6071

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2007

r. 15

Description of circumstances Maximum fee**
(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.

”.

Recommended by WorkCover WA on the 22nd day of November 2007.

The common seal of )
WorkCover WA )
) L.S

) )

A. WARNER
C. B. TILBURY

By Command of the Governor,

M. C. WAUCHOPE, Clerk of the Executive Council.

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