Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2007 (WA)
!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
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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 (2) Regulation 3(2) is repealed. 6.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
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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
PHYSICIANSCONSULTATIONS
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
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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
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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
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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
r. 14
(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)
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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 closedreduction and intra-medullary fixation or treatment
by operative exposure of the fracture includinginternal 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
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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 REPORTMBS 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
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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
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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
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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
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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 andwarnings (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
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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)
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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)
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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.
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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)
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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.
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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.
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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
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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)
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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)
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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)
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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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