Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2008 (WA)

!200800216GG!

WESTERN	5287
AUSTRALIAN
GOVERNMENT

ISSN 1448-949X PRINT POST APPROVED PP665002/00041

PERTH, WEDNESDAY, 17 DECEMBER 2008 No. 216 SPECIAL

PUBLISHED BY AUTHORITY JOHN A. STRIJK, GOVERNMENT PRINTER AT 3.30 PM

© STATE OF WESTERN AUSTRALIA

WORKERS’ COMPENSATION AND INJURY MANAGEMENT

ACT 1981

_________

WORKERS’ COMPENSATION AND INJURY MANAGEMENT

(SCALES OF FEES)

AMENDMENT REGULATIONS

17 December 2008 GOVERNMENT GAZETTE, WA 5289

Workers’ Compensation and Injury Management Act 1981

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

Regulations 2008

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 2008.

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.             Regulations amended

These regulations amend the Workers’ Compensation and Injury
Management (Scales of Fees) Regulations 1998.

5290 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 4

4.             Regulation 6 amended

In regulation 6(1) delete “$179.15” and insert:

$187.70

5.             Regulation 6A amended

In regulation 6A delete “$179.15” and insert:

$187.70

6.             Regulation 7A amended

In regulation 7A delete “$56.70” and insert:

$59.40

7.             Regulation 7B inserted

After regulation 7A insert:

7B.	Scale of fees — exercise physiologists
Under section 292(2)(a)(viii) of the Act, the scale of fees set out in Schedule 5A is prescribed as the scale of fees to be paid to exercise physiologists for attendance on, and treatment of, workers suffering injuries that are compensable under the Act.

17 December 2008 GOVERNMENT GAZETTE, WA 5291

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 8

8.             Regulation 8 amended

In regulation 8 delete “$133.80” and insert:

$140.20

9.             Schedule 1 amended

(1)	In Schedule 1 Part 1 delete the heading “GENERAL
PRACTITIONER” and everything following that heading,
through to (but not including) the heading “ANAESTHETISTS” and insert:

GENERAL PRACTITIONER

CONSULTATIONS

Surgery Consultation

in hours

Content based $

Minor or Specific Service (Level A or B)	58.35
Extended Service (Level C)	106.65
Comprehensive Service (Level D)	163.90

Time based $

up to 5 minutes	34.80
more than 5 minutes to 15 minutes	45.40
more than 15 minutes to 30 minutes	87.60
more than 30 minutes to 45 minutes	132.50
more than 45 minutes to 60 minutes	179.60

5292 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

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Surgery Consultations

out of hours

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

Content based $

Minor Service (Level A)	43.80
Specific Service (Level B)	87.60
Extended Service (Level C)	159.50
Comprehensive Service (Level D)	246.95

Time based $

up to 5 minutes	69.35
more than 5 minutes to 15 minutes	75.25
more than 15 minutes to 30 minutes	116.70
more than 30 minutes	159.50

VISITS

Consultations at a place other than the Consulting Rooms

in hours $

Minor Service (Level A)	73.05
Specific Service (Level B)	99.85
Extended Service (Level C)	148.20
Comprehensive Service (Level D)	206.55

out of hours $

Minor Service (Level A)	87.60
Specific Service (Level B)	130.25
Extended Service (Level C)	199.85
Comprehensive Service (Level D)	291.90

17 December 2008 GOVERNMENT GAZETTE, WA 5293

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

TELEPHONE CONSULTATIONS

Time based $

up to 5 minutes	19.50
more than 5 minutes to 15 minutes	24.40
more than 15 minutes to 30 minutes	51.05
more than 30 minutes	76.50

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

per hour $219.55

TRAVELLING FEES

Rate per kilometre $3.90

PHYSICIANS, OCCUPATIONAL PHYSICIANS &

REHABILITATION PHYSICIANS

CONSULTATIONS

Professional attendance at consulting rooms and issue of

certificate (if required) et al.	$
first attendance	225.35
subsequent attendances	110.90

VISITS

Professional attendance at a place other than consulting	$
rooms and issue of certificate (if required) et al.
first attendance	265.50
subsequent attendances	153.20

TELEPHONE CONSULTATIONS

Time based $

up to 5 minutes	29.10
more than 5 minutes to 15 minutes	35.90
more than 15 minutes to 30 minutes	75.00
more than 30 minutes	113.25

5294 GOVERNMENT GAZETTE, WA 17 December 2008

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CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $325.55

TRAVELLING FEES

Rate per kilometre $3.90

CONSULTANT PSYCHIATRISTS

CONSULTATIONS

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

Time based $

up to 15 minutes	65.00
more than 15 minutes to 30 minutes	129.75
more than 30 minutes to 45 minutes	194.30
more than 45 minutes to 60 minutes	259.95
more than 60 minutes to 75 minutes	294.15
more than 75 minutes	328.35

VISITS

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

Visits include both attendance at hospitals and home visits

Time based $

up to 15 minutes	106.75
more than 15 minutes to 30 minutes	172.40
more than 30 minutes to 45 minutes	235.30
more than 45 minutes to 75 minutes	301.00
more than 75 minutes	362.65

TELEPHONE CONSULTATIONS

Time based $

up to 45 minutes	86.25
more than 45 minutes	188.35

17 December 2008 GOVERNMENT GAZETTE, WA 5295

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

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

per hour $325.55

TRAVELLING FEES

Rate per kilometre $3.90

SPECIALISTS

SURGEONS

CONSULTATIONS

Professional attendance at consulting rooms and issue of

certificate (if required) et al.	$
first attendance	126.05
subsequent attendances	65.75

VISITS

Professional attendance at a place other than consulting

rooms and issue of certificate (if required) et al.	$
first attendance	169.90
subsequent attendances	108.25

DERMATOLOGISTS

CONSULTATIONS

Professional attendance at consulting rooms and issue of

certificate (if required) et al.	$
first attendance	126.05
subsequent attendances	65.75

VISITS

Professional attendance at a place other than consulting

rooms and issue of certificate (if required) et al.	$
first attendance	169.60
subsequent attendances	108.10

5296 GOVERNMENT GAZETTE, WA 17 December 2008

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TELEPHONE CONSULTATIONS

Time based $

up to 5 minutes	29.10
more than 5 minutes to 15 minutes	35.90
more than 15 minutes to 30 minutes	75.00
more than 30 minutes	113.25

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

per hour $325.55

TRAVELLING FEES

Rate per kilometre	$3.90
(2)	In Schedule 1 Part 1 in the item headed “ANAESTHETISTS” delete “$62.55” and insert:
$65.55
(3)	Delete Schedule 1 Parts 2 and 3 and insert:

Part 2 — Medical procedures

Type of procedure	Fee
$
GENERAL
Localised burns	48.65
Localised burns, including dressing of, under general
anaesthetic	138.50
Extensive burns	83.95
Extensive burns, including dressing of, under general
anaesthetic	293.05
Dressing of wounds, under general anaesthetic	138.50
Acupuncture, including consultation	64.60

17 December 2008 GOVERNMENT GAZETTE, WA 5297

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

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Type of procedure	Fee
$
DISLOCATIONS

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

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

other means treatment by any other method and includes the use

of external splintage.

[Where injuries are associated with a compound (open) wound, an

additional fee of 50% of the fee listed is to apply.]

Elbow, by closed reduction	261.10
Elbow, by open reduction	346.25
Interphalangeal joint, by closed reduction	111.95
Interphalangeal joint, by open reduction	149.25
Mandible, by closed reduction	93.30
Clavicle, by closed reduction	110.65
Clavicle, by open reduction	223.80
Shoulder, not requiring general anaesthetic	124.50
Shoulder, by open reduction, with general anaesthetic	446.30
Shoulder, other, with general anaesthetic	221.10
Metacarpophalangeal joint, by closed reduction	149.25
Metacarpophalangeal joint, by open reduction	199.85
Patella, by closed reduction	167.80
Patella, by open reduction	223.80
Radioulnar joint, by closed reduction	261.10
Radioulnar joint, by open reduction	346.25
Toe, by closed reduction	93.30
Toe, by open reduction	123.90
REMOVAL OF FOREIGN BODIES —
superficial	40.60
as independent procedure	181.10
deep tissue or muscle	506.25

5298 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

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Type of procedure Fee

$

ear, other than by syringing	130.50
nose, other than by simple probing	130.50
cornea or sclera, embedded	133.20

FRACTURES

closed reduction means non-operative reduction of the fracture, and includes percutaneous fixation and/or external splintage by cast or splint.
open reduction means treatment by either closed reduction and intra-medullary fixation or treatment by operative exposure of the fracture including internal or external fixation.
other means treatment by any other method and includes the use

of external splintage.

[Where injuries are associated with a compound (open)

wound, an additional fee of 50% of the fee listed is to apply.]

Distal phalanx of finger or thumb

fracture, by closed reduction	167.80
fracture, intra-articular, by closed reduction	194.50
fracture, by open reduction	223.80
fracture, intra-articular, by open reduction	279.75

Middle phalanx of finger

fracture, by closed reduction	253.10
fracture, intra-articular, by closed reduction	286.35
fracture, by open reduction	333.00
fracture, intra-articular, by open reduction	419.55

Proximal phalanx of finger or thumb

fracture, by closed reduction	333.00
fracture, intra-articular, by closed reduction	392.85
fracture, by open reduction	446.30
fracture, intra-articular, by open reduction	559.45

17 December 2008 GOVERNMENT GAZETTE, WA 5299

Workers’ Compensation and Injury Management (Scales of Fees)

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Type of procedure	Fee
$
Metacarpal
fracture, by closed reduction	333.00
fracture, intra-articular, by closed reduction	392.85
fracture, by open reduction	446.30
fracture, intra-articular, by open reduction	559.45
Carpal Scaphoid, by open reduction	745.95
Carpal Scaphoid, other	333.00
Carpus (excluding Scaphoid), by open reduction	466.15
Carpus (excluding Scaphoid), other	186.45
Radius
by closed management	372.90
by open management	745.95
Radius or Ulnar, distal end, (Colies’, Smith’s or Barton’s) by closed reduction	559.45
by open reduction	745.95
Ribs (1 or more), each attendance	85.35
Tibia, plateau of, medial or lateral
by closed reduction	672.70
by open reduction	892.40

Tibia, plateau of, medial and lateral

by closed reduction	1 118.85
by open reduction	1 498.45

SUTURES

Face or neck

less than 7 cm, superficial	133.20
less than 7 cm, deep	202.45
more than 7 cm, superficial	202.45
more than 7 cm, deep	346.25

5300 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

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Type of procedure Fee

$

Except face or neck

less than 7 cm, superficial	101.20
less than 7 cm, deep	151.85
more than 7 cm, superficial	151.85
more than 7 cm, deep	333.00

AMPUTATIONS

Hand, midcarpal or transmetacarpal	506.25
Hand, forearm or through arm	586.10
At shoulder	992.25
Interscapulothoracic	1 971.25
One digit of foot	266.30
Two digits of one foot	399.60
Three digits of one foot	539.45
Four digits of one foot	672.70
Five digits of one foot	805.85
Toe including metatarsal or part of metatarsal — each toe	314.45
Foot, at ankle	586.10
Foot, midtarsal or transmetatarsal	506.25
Through thigh, at knee or below knee	865.85
At hip	1 218.65
ASSISTANCE AT OPERATIONS combination of operations) is to be related to the fee listed for the operation (or series or combination of operations) itself.
The fee is 20% of the total fee or the minimum sum of $167.80, whichever is greater.
USE OF PRIVATE THEATRES use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.

17 December 2008 GOVERNMENT GAZETTE, WA 5301

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

Part 3 — Diagnostic Imaging Services

ULTRASOUND

MBS item number	Fee
(1 November 2007)	$
55028	163.15
55029	56.60
55030	163.15
55031	56.60
55032	163.15
55033	56.60
55036	166.40
55037	56.60
55038	163.15
55039	56.60
55044	166.40
55045	56.60
55048	163.15
55049	56.60
55054	163.15
55070	146.90
55073	50.85
55076	163.15
55079	56.60
55084	146.90
55085	50.85
55113	344.90
55114	344.90
55115	344.90
55116	383.50
55117	383.50
55118	411.90
55130	254.25

5302 GOVERNMENT GAZETTE, WA 17 December 2008

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9

MBS item number	Fee
(1 November 2007)	$
55135	528.75
55238	253.40
55244	253.40
55246	253.40
55248	253.40
55252	253.40
55274	253.40
55276	253.40
55278	253.40
55280	253.40
55282	253.40
55284	253.40
55292	253.40
55294	253.40
55296	166.10
55600	163.15
55603	163.15
55700	89.65
55703	52.35
55704	104.70
55705	52.35
55706	149.55
55707	104.70
55708	52.35
55709	56.85
55712	171.95
55715	59.80
55718	149.55
55721	171.95
55723	56.85

17 December 2008 GOVERNMENT GAZETTE, WA 5303

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

MBS item number	Fee
(1 November 2007)	$
55725	59.80
55729	40.75
55731	146.60
55733	52.35
55736	189.85
55739	85.20
55759	224.30
55762	89.65
55764	239.20
55766	97.15
55768	224.30
55770	89.65
55772	239.20
55774	97.15
55800	163.15
55802	56.60
55804	163.15
55806	56.60
55808	163.15
55810	56.60
55812	163.15
55814	56.60
55816	163.15
55818	56.60
55820	163.15
55822	56.60
55824	163.15
55826	56.60
55828	163.15
55830	56.60

5304 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

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9

MBS item number	Fee
(1 November 2007)	$
55832	163.15
55834	56.60
55836	163.15
55838	56.60
55840	163.15
55842	56.60
55844	130.60
55846	56.60
55848	163.15
55850	228.55
55852	163.15
55854	56.60

COMPUTED TOMOGRAPHY —

EXAMINATION AND REPORT

MBS item number	Fee
(1 November 2007)	$
56001	267.80
56007	343.35
56010	346.15
56013	343.35
56016	398.30
56022	309.00
56028	462.50
56030	309.00
56036	462.50
56041	135.65
56047	173.20
56050	176.10
56053	176.10
56056	213.40

17 December 2008 GOVERNMENT GAZETTE, WA 5305

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

MBS item number	Fee
(1 November 2007)	$
56062	155.35
56068	231.25
56070	155.35
56076	231.25
56101	315.90
56107	467.00
56141	159.90
56147	235.70
56219	447.95
56220	329.65
56221	329.65
56223	329.65
56224	482.60
56225	482.60
56226	482.60
56227	168.20
56228	168.20
56229	168.20
56230	243.70
56231	243.70
56232	243.70
56233	329.65
56234	482.60
56235	168.15
56236	243.70
56237	329.65
56238	482.60
56239	168.15
56240	243.70
56259	226.30

5306 GOVERNMENT GAZETTE, WA 17 December 2008

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Amendment Regulations 2008

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9

MBS item number	Fee
(1 November 2007)	$
56301	405.15
56307	549.25
56341	205.25
56347	277.40
56401	343.35
56407	494.35
56409	343.35
56412	494.35
56441	174.10
56447	249.20
56449	174.10
56452	249.20
56501	528.75
56507	659.20
56541	265.25
56547	334.70
56549	528.75
56551	528.75
56619	302.15
56625	459.55
56659	153.90
56665	229.90
56801	640.75
56807	769.05
56841	320.45
56847	389.85
57001	640.85
57007	779.70
57041	320.50
57047	389.90

17 December 2008 GOVERNMENT GAZETTE, WA 5307

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

MBS item number	Fee
(1 November 2007)	$
57201	213.10
57247	106.45
57341	645.45
57345	331.80
57350	700.40
57351	700.40
57355	362.75
57356	362.75
DIAGNOSTIC RADIOLOGY
MBS item number	Fee
(1 November 2007)	$

57506   47.20

57509   63.05

57512   64.25

57515   85.60

57518   51.55

57521   68.80

57524   78.45

57527   104.30

57700   64.25

57703   85.60

57706   51.55

57709   68.80

57712   74.75

57715   96.60

57721   157.40

57901   102.25

57902   102.25

57903   75.00

57906   102.25

5308 GOVERNMENT GAZETTE, WA 17 December 2008

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MBS item number	Fee
(1 November 2007)	$

57909   102.25

57912   74.75

57915   74.75

57918   74.75

57921   74.75

57924   74.75

57927   78.70

57930   52.15

57933   124.10

57939   102.25

57942   78.70

57945   68.80

57960   75.20

57963   75.20

57966   75.20

57969   75.20

58100   106.45

58103   87.40

58106   122.10

58108   210.75

58109   74.55

58112   154.25

58115   210.75

58300   63.60

58306   141.80

58500   56.05

58503   74.75

58506   96.40

58509   63.05

58521   68.80

17 December 2008 GOVERNMENT GAZETTE, WA 5309

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

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MBS item number	Fee
(1 November 2007)	$

58524   89.60

58527   110.05

58700   73.10

58706   250.40

58715   240.35

58718   200.05

58721   219.25

58900   56.60

58903   75.45

58909   142.60

58912   174.85

58915   125.15

58916   219.60

58921   214.50

58924   133.30

58927   121.30

58933   326.10

58936   310.80

58939   220.95

59103   33.80

59300   141.90

59303   85.55

59306   159.10

59309   318.05

59312   138.00

59314   83.20

59318   74.60

59503   141.80

59700   153.15

59703   120.35

5310 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

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MBS item number	Fee
(1 November 2007)	$

59712   180.35

59715   227.70

59718   213.60

59724   359.20

59733   170.80

59736   98.35

59739   117.05

59751   220.70

59754   347.85

59760   182.60

59763   212.40

59903   181.70

59912   484.05

59925   574.75

59970   267.00

59971   90.85

59972   242.00

59973   287.45

59974   133.50

60000   894.45

60003   1 311.75

60006   1 865.25

60009   2 182.80

60012   894.45

60015   1 311.75

60018   1 865.25

60021   2 182.80

60024   894.45

60027   1 311.75

60030   1 865.25

17 December 2008 GOVERNMENT GAZETTE, WA 5311

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

MBS item number	Fee
(1 November 2007)	$

60033   2 182.80

60036   894.45

60039   1 311.75

60042   1 865.25

60045   2 182.80

60048   894.45

60051   1 311.75

60054   1 865.25

60057   2 182.80

60060   894.45

60063   1 311.75

60066   1 865.25

60069   2 182.80

60072   76.35

60075   152.40

60078   228.75

60100   96.40

60500   68.80

60503   47.20

60506   101.10

60509   156.80

60918   74.75

60927   60.35

61109   410.60

NUCLEAR MEDICINE IMAGING

MBS item number	Fee
(1 November 2007)	$
61302	548.35
61303	690.55
61306	866.90

5312 GOVERNMENT GAZETTE, WA 17 December 2008

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Amendment Regulations 2008

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9

MBS item number	Fee
(1 November 2007)	$

61307 1 019.95

61310	448.70
61313	370.60
61314	513.05
61316	465.70
61317	601.50
61320	279.65
61328	278.10
61340	309.05
61348	541.60
61352	316.80
61353	472.25
61356	479.85
61360	492.75
61361	563.65
61364	607.10
61368	272.55

61369 2 462.35

61372	272.55
61373	598.15
61376	175.15
61381	701.55
61383	763.35
61384	840.05
61386	406.20
61387	526.20
61389	452.65
61390	500.80
61393	739.65
61397	301.55

17 December 2008 GOVERNMENT GAZETTE, WA 5313

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 9

MBS item number	Fee
(1 November 2007)	$
61401	198.30
61402	739.15
61405	422.65

61409   1 067.05

61413   276.00

61417   145.15

61421   586.15

61425   733.75

61426   677.70

61429   663.30

61430   805.55

61433   607.10

61434   751.75

61437   663.10

61438   822.10

61441   598.15

61442   919.10

61445   350.30

61446   407.50

61449   557.25

61450   485.60

61453   628.75

61454   425.20

61457   574.65

61458   484.85

61461   644.75

61462   159.15

61465   324.30

61469   425.20

61473   214.20

5314 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r.

9

MBS item number	Fee
(1 November 2007)	$
61480	472.55

61484	1 076.10
61485	1 220.55

61495	272.55
61499	309.05

61650 1 073.35

MAGNETIC RESONANCE IMAGING

MBS item number	Fee
(1 November 2007)	$
63000-63200	795.45

63201   1 193.15

63202-63203 795.45

63204   1 193.15

63219-63243	1 193.15
63271-63473	795.45
63491-63494	90.90
63497	273.00

17 December 2008 GOVERNMENT GAZETTE, WA 5315

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

10.           Schedules 2, 3, 4 and 5 replaced

Delete Schedules 2, 3, 4 and 5 and insert:

Schedule 2 — Scale of fees — physiotherapists

[r. 3]

Part 1 — General

Type of service Fee

PA001	Initial Consultation	Set Fee
A consultation with the physiotherapist including	$65.00
the 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.

5316 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Type of service	Fee
Documentation of consultation — as required that could include: The assessment findings, physiotherapy intervention(s), evaluation of interventions, plan for future treatment and results of other relevant tests and warnings (if applicable).
Includes:
•	Individual services provided in rooms, home or hospital; hydrotherapy treatment; extended treatments; and services provided outside of

normal business hours.

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

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

Does not include:

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

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

• conferences. The physiotherapist’s

Physiotherapist’s involvement in case item number in this Table (PQ001).

17 December 2008 GOVERNMENT GAZETTE, WA 5317

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Type of service Fee

PB001	Standard Consultation	Set Fee
Consultation for one body area or condition	$52.20
including the following elements —

• subjective re-assessment;

• objective re-assessment;

• appropriate management, intervention or
advice;

• documentation of consultation.

Includes:

• Individual services provided in rooms, home or hospital; hydrotherapy treatment; extended treatments; and services provided outside of

normal business hours.

•

Courtesy communication by the 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).

• conferences. The physiotherapist’s

The physiotherapist’s involvement in case item number in this Table (PQ001).

5318 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Type of service Fee

PC001	Two distinct areas of treatment per visit	Set Fee
Same description as PB001 except relates to the	$66.00
treatment/management of 2 distinct areas/conditions.
PG001	Group Consultation — per person	Cost per
Includes non-individualised services provided to	participant
more than one individual whether —	$16.05

• 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	$148.30
details such as relevance to injury; intended outcomes; likely duration and reporting requirements should be made and discussed with the insurer with a suggested maximum duration of 2 hours. Does not include reports or travel.
PR001	Reports Any report relating to a specific worker required by or requested by —

• medical specialist;

• medical practitioner;

• employer;
• insurer.

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

17 December 2008 GOVERNMENT GAZETTE, WA 5319

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Type of service	Fee
Progress/Standard report	Set Fee
Report should contain summarised information or	$65.00
assessment findings, treatment services provided, results obtained with specific recommendations for further management and return to work if applicable.
Comprehensive report	Hourly
As above for progress/standard report and	rate**
contains information relating to more detailed	$148.30
assessments and interventions performed. report 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	Rate**
the patient requires the provider to travel away	$118.65
provide pre-approval for travel in excess of one hour.
from their normal practice. The insurer must 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	$14.90
involving the physiotherapist with one or more of	per
the following —	6 minute
doctor, employer, insurer/claims manager,	block
rehabilitation providers and worker. implement, manage or review treatment options and/or rehabilitation plan.

5320 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Type of service Fee

PK001

Communication

Any requested or required oral communication by	$14.90 per
the physiotherapist with relevant parties (treating	6 minute
medical practitioners, employers and insurers)	block

relating to the treatment or rehabilitation of a
specific worker.
Excludes courtesy communication such as
acknowledgment of referral and brief updates to
the medical practitioner.
Maximum time allowable per communication of
30 minutes.

PS001

Specific Physiotherapy Assessment — prior	Hourly
approval from insurer required.	Rate**
Includes specific types of assessments not	$148.30

classified elsewhere in these scales required by
the insurer which physiotherapists may undertake
(e.g. diagnostic ultrasound imaging, Functional
Capacity Assessments (FCE’s), seating and
wheelchair assessments).

PW001

Specific Physiotherapy Intervention — prior	Hourly
approval from insurer required (*replaces PD001).	Rate**
Includes treatments not classified elsewhere in	$148.30
these scales required by the insurer which	Maximum
physiotherapists may undertake (e.g. treatment of	duration of
severe multiple area trauma, burns, neurologically	service
injured patients and patients with severe spinal	provision
injuries, ergonomic corrections of workplace,	2 hours

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.

17 December 2008 GOVERNMENT GAZETTE, WA 5321

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Part 2 — Exercise-based programs

Type of service Fee

EXE20

Initial Consultation/Assessment

Insurer approval must be obtained prior to	$148.30
undertaking the service.	per hour to a maximum

• Review of current medical and vocational

status. of
2 hours**

• Communication/Liaison with relevant parties.

• Physiological Assessment/testing.

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

• Program design based on above.

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

Provider to patient ratio must be 1:1 for the

duration of the consultation.

EXE21	Subsequent Exercise Consultation/Assessment
Includes — $148.30 per hour to a
• program implementation — prescription and

provision of exercises (land or pool based); maximum
of one

•	program monitoring;	hour**
•	post program screening questionnaire relating to worker’s level of function;
•	psychosocial reassessment;
•	communication/liaison with relevant parties.

5322 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Type of service Fee

EXE02	Initial report
Includes — $148.30 per hour to a
• initial assessment report outlining results

(self-reported and objective),	maximum
recommendations and exercise rehabilitation	of one
plan;	hour**

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

detailed cost plan outlining proposed for insurer approval.

EXE03

Subsequent reports

Progress report to be provided at the request of	$148.30 per
the referrer.	hour to a maximum of 30 minutes **

EXE04

Final report

Comprehensive report to be provided at the end	$148.30 per
of the service delivery detailing —	hour to a maximum

• physiological testing results pre and post

program; of
30 minutes

• worker attendance/program compliance. **

EXE05

Gym membership/Entry fees

Includes direct cost of membership (pool or	Market
gym).	rates

Prior approval from insurer required.

17 December 2008 GOVERNMENT GAZETTE, WA 5323

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Type of service Fee

EXE06

Travel

Travel when the most appropriate management of	$118.65 per
the patient requires the provider to travel away	hour **

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

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

EXE08

Communication

Any requested or required oral communication	$14.90
with relevant parties (treating medical	per
practitioners, employers and insurers) relating to	6 minute
the treatment of a specific worker.	block

Excludes courtesy communication such as
acknowledgment 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	$148.30 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	51.45
2.	Subsequent consultation	42.90
3.	Spinal x-ray, one region	102.15
4.	Spinal x-ray, 2 or more regions	153.40
5.	Travel (per kilometre)	0.75

5324 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 10

Schedule 4 — Scale of fees — occupational therapists

[r. 5]

Type of Service	Fee
$

1.	Brief consultation (< 15 minutes)	22.20
2.	Short consultation (15 minutes to < 30 minutes)	44.50
3.	Standard consultation (30 minutes to < 45
minutes)	73.35
4.	Extended consultation (45 minutes to < one hour)	110.00
5.	Extended consultation ( > one hour)	146.70
6.	Standard group consultation (30 minutes)
per person	48.15
7.	Travel costs are to be calculated at the hourly rate by the length of time spent travelling.

Schedule 5 — Scale of fees — speech pathologists

[r. 7]

Type of service	Fee
$

1.                 Initial consultation/assessment (up to and

including one hour) 135.55

2.                 Initial consultation/assessment (exceeding

one hour) 175.55
3.	Subsequent consultation (< ½ hour) 59.20
4.	Subsequent consultation (½ hour — one hour) 76.75
5.	Subsequent consultation (> one hour) 103.65

17 December 2008 GOVERNMENT GAZETTE, WA 5325

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 11

11.           Schedule 5A inserted

After Schedule 5 insert:

Schedule 5A — Scale of fees — exercise

physiologists

[r. 7B]

Exercise-based programs

Type of service Fee

EXE20	Initial Consultation/Assessment
Insurer approval must be obtained prior to $148.30
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.

5326 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 11

Type of service Fee

EXE21	Subsequent Exercise
Consultation/Assessment
Includes — $148.30

per hour to a

•

program implementation — prescription

and provision of exercises (land or pool	maximum of
based);	one hour**

•

program monitoring;

•

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

•

psychosocial reassessment;

•

communication/liaison with relevant
parties.

EXE02	Initial report
Includes — $148.30

per hour to a

•

initial assessment report outlining

results (self-reported and objective),	maximum of
recommendations and exercise	one hour**

rehabilitation plan;

•

current status as per medical status;

•

detailed cost plan outlining proposed proposed costs for insurer approval.

EXE03	Subsequent reports
Progress report to be provided at the request of $148.30
the referrer. per hour to a maximum of 30 minutes**

17 December 2008 GOVERNMENT GAZETTE, WA 5327

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 11

Type of service Fee

EXE04	Final report
Comprehensive report to be provided at the end $148.30
of the service delivery detailing — per hour to a maximum of

•	physiological testing results pre and
post program; 30 minutes**
•	worker attendance/program compliance.

EXE05	Gym membership/Entry fees
Includes direct cost of membership (pool or Market rates
gym). Prior approval from insurer required.
EXE06	Travel
Travel when the most appropriate management $118.65
of the patient requires the provider to travel per hour **
The insurer must provide pre-approval for travel in excess of one hour.
away from their normal practice. worker before leaving a venue, the fee for the journey is to be apportioned equally between workers.
EXE08	Communication
Any requested or required oral communication $14.90
with relevant parties (treating medical per 6 minute
practitioners, employers and insurers) relating to block
the treatment of a specific worker. Excludes courtesy communication such as acknowledgment of referral and brief updates to the medical practitioner. Maximum time allowable per communication of 30 minutes.

5328 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 12

Type of service Fee

EXE09	Attendance at Medical Case Conferences
Prior insurer approval must be obtained prior to $148.30
undertaking the service. per hour **

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

12.           Schedule 6 replaced

Delete Schedule 6 and insert:

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	$1 000.15 (or, if an
certificate — straightforward	interpreter is present
assessment — other than a service	at the examination,
mentioned in item 4, 5, 6 or 8.	$1 250.10 excluding any fee payable to the interpreter)
2.	Examination and provision of report and	$1 250.10 (or, if an
certificate — moderately complex	interpreter is present
assessment (e.g. reviewing multiple	at the examination,
questions and reports; impairment	$1 500.15 excluding
involving more complex assessments;	any fee payable to
more than one body system	the interpreter)
involved) — other than a service mentioned in item 4, 5, 6 or 8.

17 December 2008 GOVERNMENT GAZETTE, WA 5329

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 12

Description of assessment Maximum fee**

3.	Examination and provision of report and	$1 500.15 (or, if an
certificate — complex assessment	interpreter is present
(e.g. multiple injuries; severe	at the examination,
impairment such as spinal cord injury or	$1 750.15 excluding
head injury) — other than a service	any fee payable to
mentioned in item 4, 5, 6 or 8.	the interpreter)
4.	Examination of any of ear, nose and	$1 000.15 (or, if an
throat only, including audiometric	interpreter is present
testing, and provision of report and	at the examination,
certificate — other than a service	$1 250.10 excluding
mentioned in item 8.	any fee payable to the interpreter)
5.	Examination and provision of report and	$1 500.15 (or, if an
certificate — psychiatric — standard	interpreter is present
assessment — other than a service	at the examination,
mentioned in item 8.	$1 750.15 excluding any fee payable to the interpreter)
6.	Examination and provision of report and	$2 500.20 (or, if an
certificate — psychiatric — complex	interpreter is present
assessment (e.g. reviewing significant	at the examination,
documented prior psychiatric	$2 750.20 excluding
history) — other than a service	any fee payable to
mentioned in item 8.	the interpreter)
7.	Consolidation of written assessments	$500.00
from multiple assessors.
8.	Re-examination and provision of report	$750.05 (or, if an
and certificate.	interpreter is present at the examination, $1 000.15 excluding any fee payable to the interpreter)
9.	Provision of supplementary report and	$250.05
certificate.

5330 GOVERNMENT GAZETTE, WA 17 December 2008

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2008

r. 12

Part 2 — Attempted assessments

Description of circumstances Maximum fee**

1.	If a worker who is required under	$500.00
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.

** 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 18th day of September 2008.

The common seal of	)
WorkCover WA	)
) L.S
) )
ADRIAN WARNER
WENDY ATTENBOROUGH

By Command of the Governor,

G. M. PIKE, Clerk of the Executive Council.