Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2010 (WA)

!201000200GG!

WESTERN	5347
AUSTRALIAN
GOVERNMENT

ISSN 1448-949X PRINT POST APPROVED PP665002/00041

PERTH, FRIDAY, 29 OCTOBER 2010 No. 200 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 2010

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 2010.

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 1 November 2010.

3.             Regulations amended

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

5348 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 4

4.             Various fees amended

Amend the provisions listed in the Table as set out in the Table.

Table

Provision	Delete	Insert
r. 6(1)	$196.35	$202.35
r. 6A	$196.35	$202.35
r. 7A	$62.15	$64.05
r. 8	$146.65	$151.10

5.             Schedule 1 amended

(1) In Schedule 1 delete:

Schedule 1

[r. 2]

Scales of fees — medical specialists and other medical

practitioners

and insert:

Schedule 1 — Scale of fees: medical specialists and

other medical practitioners

[r. 2]

29 October 2010 GOVERNMENT GAZETTE, WA 5349

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

(2) In Schedule 1 Part 1 delete the passage that begins with
“GENERAL PRACTITIONER” and ends immediately before
“ANAESTHETISTS” and insert:

GENERAL PRACTITIONER

CONSULTATIONS Surgery Consultation in hours

Content based

Minor or Specific Service (Level A or B)	$62.90
Extended Service (Level C)	$114.95
Comprehensive Service (Level D)	$176.70

Time based

up to 5 minutes	$37.50
more than 5 minutes to 15 minutes	$48.95
more than 15 minutes to 30 minutes	$94.45
more than 30 minutes to 45 minutes	$142.85
more than 45 minutes to 60 minutes	$193.60

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)	$47.20
Specific Service (Level B)	$94.45
Extended Service (Level C)	$171.95
Comprehensive Service (Level D)	$266.20

Time based

up to 5 minutes	$74.75
more than 5 minutes to 15 minutes	$81.10

5350 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

more than 15 minutes to 30 minutes	$125.75
more than 30 minutes	$171.95

VISITS

Consultations at a place other than the Consulting Rooms

in hours

Minor Service (Level A)	$78.75
Specific Service (Level B)	$107.65
Extended Service (Level C)	$159.75
Comprehensive Service (Level D)	$222.65
out of hours Minor Service (Level A)	$94.45
Specific Service (Level B)	$140.40
Extended Service (Level C)	$215.45
Comprehensive Service (Level D)	$314.65

TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$21.00
more than 5 minutes to 15 minutes	$26.30
more than 15 minutes to 30 minutes	$55.05
more than 30 minutes	$82.45

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

per hour $236.65

TRAVELLING FEES

Rate per kilometre $4.25

29 October 2010 GOVERNMENT GAZETTE, WA 5351

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

PHYSICIANS, OCCUPATIONAL & REHABILITATION PHYSICIANS

PHYSICIANS

CONSULTATIONS

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

first attendance	$238.90
subsequent attendances	$119.55

VISITS

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

first attendance	$286.15
subsequent attendances	$165.15

REHABILITATION PHYSICIANS

CONSULTATIONS

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

first attendance	$238.90
subsequent attendances	$119.55

VISITS

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

first attendance	$286.15
subsequent attendances	$165.15

OCCUPATIONAL PHYSICIANS

CONSULTATIONS

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

first attendance	$242.90
subsequent attendances	$119.55

5352 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

VISITS

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

first attendance	$286.15
subsequent attendances	$165.15

TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$31.40
more than 5 minutes to 15 minutes	$38.70
more than 15 minutes to 30 minutes	$80.85
more than 30 minutes	$122.05

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $350.95

TRAVELLING FEES

Rate per kilometre $4.25

CONSULTANT PSYCHIATRISTS

CONSULTATIONS

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

Time based

up to 15 minutes	$70.05
more than 15 minutes to 30 minutes	$139.85
more than 30 minutes to 45 minutes	$209.45
more than 45 minutes to 60 minutes	$280.20
more than 60 minutes to 75 minutes	$317.10
more than 75 minutes	$353.95

29 October 2010 GOVERNMENT GAZETTE, WA 5353

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

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	$115.05
more than 15 minutes to 30 minutes	$185.85
more than 30 minutes to 45 minutes	$253.60
more than 45 minutes to 75 minutes	$324.45
more than 75 minutes	$390.90

TELEPHONE CONSULTATIONS

Time based

up to 45 minutes	$92.95
more than 45 minutes	$203.00

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

per hour $350.95

TRAVELLING FEES

Rate per kilometre $4.25

SPECIALISTS

SURGEONS

CONSULTATIONS

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

first attendance	$135.85
subsequent attendances	$70.85

5354 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

VISITS

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

first attendance	$183.10
subsequent attendances	$116.70

DERMATOLOGISTS

CONSULTATIONS

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

first attendance	$135.85
subsequent attendances	$70.85

VISITS

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

first attendance	$182.80
subsequent attendances	$116.50

TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$31.40
more than 5 minutes to 15 minutes	$38.70
more than 15 minutes to 30 minutes	$80.85
more than 30 minutes	$122.05

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

per hour $350.95

29 October 2010 GOVERNMENT GAZETTE, WA 5355

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

TRAVELLING FEES

Rate per kilometre	$4.25
(3)	In Schedule 1 Part 1 in the item headed “ANAESTHETISTS” delete “$68.55” and insert:
$70.65
(4)	Delete Schedule 1 Parts 2 and 3 and insert:

Part 2 — Medical procedures

Type of procedure	Fee
$
GENERAL
Localised burns	52.45
Localised burns, including dressing of, under general
anaesthetic	149.25
Extensive burns	90.50
Extensive burns, including dressing of, under general
anaesthetic	315.90
Dressing of wounds, under general anaesthetic	149.25
Acupuncture, including consultation	69.60
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.

5356 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r.	5
Type of procedure Fee

$

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	281.45
Elbow, by open reduction	373.25
Interphalangeal joint, by closed reduction	120.65
Interphalangeal joint, by open reduction	160.85
Mandible, by closed reduction	100.60
Clavicle, by closed reduction	119.30
Clavicle, by open reduction	241.25
Shoulder, not requiring general anaesthetic	134.20
Shoulder, by open reduction, with general anaesthetic	481.10
Shoulder, other, with general anaesthetic	238.30
Metacarpophalangeal joint, by closed reduction	160.85
Metacarpophalangeal joint, by open reduction	215.45
Patella, by closed reduction	180.85
Patella, by open reduction	241.25
Radioulnar joint, by closed reduction	281.45
Radioulnar joint, by open reduction	373.25
Toe, by closed reduction	100.60
Toe, by open reduction	133.55
REMOVAL OF FOREIGN BODIES

as independent procedure	43.75
superficial	195.25

29 October 2010 GOVERNMENT GAZETTE, WA 5357

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

Type of procedure	Fee
$

deep tissue or muscle	545.70
ear, other than by syringing	140.65
nose, other than by simple probing	140.65
cornea or sclera, embedded	143.60

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	180.85
fracture, intra-articular, by closed reduction	209.65
fracture, by open reduction	241.25
fracture, intra-articular, by open reduction	301.50

Middle phalanx of finger

fracture, by closed reduction	272.80
fracture, intra-articular, by closed reduction	308.65
fracture, by open reduction	358.90
fracture, intra-articular, by open reduction	452.25

5358 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r.	5
Type of procedure Fee

$

Proximal phalanx of finger or thumb

fracture, by closed reduction	358.90
fracture, intra-articular, by closed reduction	423.45
fracture, by open reduction	481.10
fracture, intra-articular, by open reduction	603.05

Metacarpal

fracture, by closed reduction	358.90
fracture, intra-articular, by closed reduction	423.45
fracture, by open reduction	481.10
fracture, intra-articular, by open reduction	603.05

Carpal Scaphoid, by open reduction	804.05
Carpal Scaphoid, other	358.90
Carpus (excluding Scaphoid), by open reduction	502.45
Carpus (excluding Scaphoid), other	201.00
Radius

by closed management	401.95
by open management	804.05

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

by closed reduction 603.05

by open reduction Ribs (1 or more), each attendance	804.05
92.00
Tibia, plateau of, medial or lateral by closed reduction	725.10

by open reduction 961.90

29 October 2010 GOVERNMENT GAZETTE, WA 5359

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

Type of procedure	Fee
$
Tibia, plateau of, medial and lateral

by closed reduction	1 206.00
by open reduction	1 615.20

SUTURES

face or neck, less than 7 cm, superficial	143.60
face or neck, less than 7 cm, deep	218.20
face or neck, more than 7 cm, superficial	218.20
face or neck, more than 7 cm, deep	373.25
except face or neck, less than 7 cm, superficial	109.10
except face or neck, less than 7 cm, deep	163.70
except face or neck, more than 7 cm, superficial	163.70
except face or neck, more than 7 cm, deep	358.90
AMPUTATIONS
Hand, midcarpal or transmetacarpal	545.70
Hand, forearm or through arm	631.75
At shoulder	1 069.55
Interscapulothoracic	2 124.85
One digit of foot	287.05
Two digits of one foot	430.75
Three digits of one foot	581.45
Four digits of one foot	725.10
Five digits of one foot	868.60
Toe including metatarsal or part of metatarsal — each toe	338.95
Foot, at ankle	631.75
Foot, midtarsal or transmetatarsal	545.70
Through thigh, at knee or below knee	933.30
At hip	1 313.60

5360 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r.	5
Type of procedure Fee

$

ASSISTANCE AT OPERATIONS
The fee for assistance at any operation (or series or combination
of operations) is to be related to the fee listed for the operation
(or series or combination of operations) itself.

The fee is 20% of the total fee or the minimum sum of $180.85, whichever is greater.

USE OF PRIVATE THEATRES

A theatre fee of $109.10 will be paid to practitioners for the use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.

Part 3 — Diagnostic Imaging Services

ULTRASOUND

MBS item number	Fee
(1 November 2008)	$
55028	175.85
55029	61.00
55030	175.85
55031	61.00
55032	175.85
55033	61.00
55036	179.35
55037	61.00
55038	175.85
55039	61.00
55044	179.35
55045	61.00

29 October 2010 GOVERNMENT GAZETTE, WA 5361

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
55048	175.85
55049	61.00
55054	175.85
55070	158.35
55073	54.80
55076	175.85
55079	61.00
55084	158.35
55085	54.80
55113	371.75
55114	371.75
55115	371.75
55116	413.40
55117	413.40
55118	444.00
55130	274.05
55135	569.90
55238	273.15
55244	273.15
55246	273.15
55248	273.15
55252	273.15
55274	273.15
55276	273.15
55278	273.15

5362 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
55280	273.15
55282	273.15
55284	273.15
55292	273.15
55294	273.15
55296	179.05
55600	175.85
55603	175.85
55700	96.60
55703	56.40
55704	112.85
55705	56.40
55706	161.20
55707	112.85
55708	56.40
55709	61.25
55712	185.35
55715	64.45
55718	161.20
55721	185.35
55723	61.25
55725	64.45
55729	43.90
55731	158.05
55733	56.40

29 October 2010 GOVERNMENT GAZETTE, WA 5363

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
55736	204.65
55739	91.80
55759	241.75
55762	96.60
55764	257.85
55766	104.70
55768	241.75
55770	96.60
55772	257.85
55774	104.70
55800	175.85
55802	61.00
55804	175.85
55806	61.00
55808	175.85
55810	61.00
55812	175.85
55814	61.00
55816	175.85
55818	61.00
55820	175.85
55822	61.00
55824	175.85
55826	61.00
55828	175.85

5364 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
55830	61.00
55832	175.85
55834	61.00
55836	175.85
55838	61.00
55840	175.85
55842	61.00
55844	140.75
55846	61.00
55848	175.85
55850	246.35
55852	175.85
55854	61.00

COMPUTED TOMOGRAPHY — EXAMINATION AND REPORT

MBS item number	Fee
(1 November 2008)	$
56001	288.65
56007	370.10
56010	373.10
56013	370.10
56016	429.30
56022	333.05
56028	498.55
56030	333.05
56036	498.55
56041	146.25

29 October 2010 GOVERNMENT GAZETTE, WA 5365

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
56047	186.70
56050	189.80
56053	189.80
56056	230.00
56062	167.45
56068	249.30
56070	167.45
56076	249.30
56101	340.55
56107	503.40
56141	172.35
56147	254.05
56219	482.85
56220	355.30
56221	355.30
56223	355.30
56224	520.20
56225	520.20
56226	520.20
56227	181.30
56228	181.30
56229	181.30
56230	262.65
56231	262.65
56232	262.65
56233	355.30
56234	520.20
56235	181.25
56236	262.65
56237	355.30

5366 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
56238	520.20
56239	181.25
56240	262.65
56259	243.90
56301	436.75
56307	592.00
56341	221.25
56347	299.00
56401	370.10
56407	532.85
56409	370.10
56412	532.85
56441	187.65
56447	268.60
56449	187.65
56452	268.60
56501	569.90
56507	710.55
56541	285.90
56547	360.80
56549	569.90
56551	569.90
56619	325.70
56625	495.35
56659	165.90
56665	247.85
56801	690.65
56807	829.00
56841	345.40
56847	420.25

29 October 2010 GOVERNMENT GAZETTE, WA 5367

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
57001	690.80
57007	840.40
57041	345.50
57047	420.30
57201	229.70
57247	114.75
57341	695.75
57345	357.65
57350	754.95
57351	754.95
57355	391.00
57356	391.00

DIAGNOSTIC RADIOLOGY

MBS item number	Fee
(1 November 2008)	$
57506	50.85
57509	67.95
57512	69.25
57515	92.30
57518	55.55
57521	74.15
57524	84.55
57527	112.45
57700	69.25
57703	92.30
57706	55.55
57709	74.15
57712	80.60
57715	104.15
57721	169.65

5368 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
57901	110.20
57902	110.20
57903	80.85
57906	110.20
57909	110.20
57912	80.60
57915	80.60
57918	80.60
57921	80.60
57924	80.60
57927	84.80
57930	56.20
57933	133.75
57939	110.20
57942	84.80
57945	74.15
57960	81.05
57963	81.05
57966	81.05
57969	81.05
58100	114.75
58103	94.20
58106	131.60
58108	227.15
58109	80.40
58112	166.25
58115	227.15
58300	68.60
58306	152.80
58500	60.45

29 October 2010 GOVERNMENT GAZETTE, WA 5369

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
58503	80.60
58506	103.95
58509	67.95
58521	74.15
58524	96.55
58527	118.60
58700	78.80
58706	269.90
58715	259.05
58718	215.65
58721	236.35
58900	61.00
58903	81.30
58909	153.70
58912	188.50
58915	134.90
58916	236.70
58921	231.20
58924	143.70
58927	130.75
58933	351.50
58936	335.00
58939	238.15
59103	36.45
59300	153.00
59303	92.25
59306	171.50
59309	342.85
59312	148.75
59314	89.70

5370 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
59318	80.45
59503	152.80
59700	165.10
59703	129.75
59712	194.40
59715	245.40
59718	230.25
59724	387.15
59733	184.10
59736	106.00
59739	126.20
59751	237.90
59754	374.95
59760	196.85
59763	228.95
59903	195.85
59912	521.75
59925	619.55
59970	287.80
59971	97.95
59972	260.85
59973	309.80
59974	143.90
60000	964.15

60003   1 413.95

60006   2 010.55

60009   2 352.85

60012   964.15

60015   1 413.95

60018   2 010.55

29 October 2010 GOVERNMENT GAZETTE, WA 5371

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$

60021   2 352.85

60024   964.15

60027   1 413.95

60030   2 010.55

60033   2 352.85

60036   964.15

60039   1 413.95

60042   2 010.55

60045   2 352.85

60048   964.15

60051   1 413.95

60054   2 010.55

60057   2 352.85

60060   964.15

60063   1 413.95

60066   2 010.55

60069   2 352.85

60072   82.30

60075   164.25

60078   246.55

60100   103.95

60500   74.15

60503   50.85

60506   109.00

60509   169.00

60918   80.60

60927   65.10

61109   442.60

5372 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

NUCLEAR MEDICINE IMAGING

MBS item number	Fee
(1 November 2008)	$
61302	591.05
61303	744.35
61306	934.45

61307   1 099.40

61310   483.65

61313   399.45

61314   553.00

61316   501.95

61317   648.35

61320   301.40

61328   299.75

61340   333.10

61348   583.80

61352   341.45

61353   509.00

61356   517.20

61360   531.10

61361   607.60

61364   654.40

61368   293.80

61369   2 654.15

61372   293.80

61373   644.75

61376   188.80

61381   756.20

61383   822.80

61384   905.50

61386   437.85

61387   567.20

29 October 2010 GOVERNMENT GAZETTE, WA 5373

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
61389	487.90
61390	539.85
61393	797.25
61397	325.00
61401	213.75
61402	796.75
61405	455.60

61409   1 150.20

61413   297.50

61417   156.50

61421   631.80

61425   790.90

61426   730.45

61429   714.95

61430   868.30

61433   654.40

61434   810.35

61437   714.75

61438   886.15

61441   644.75

61442   990.70

61445   377.60

61446   439.25

61449   600.70

61450   523.45

61453   677.70

61454   458.30

61457   619.45

61458   522.60

61461   694.95

5374 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 5

MBS item number	Fee
(1 November 2008)	$
61462	171.55
61465	349.55
61469	458.30
61473	230.90
61480	509.40

61484   1 159.95

61485   1 315.65

61495   293.80

61499   333.10

61650   1 156.95

MAGNETIC RESONANCE IMAGING
MBS item number	Fee
(1 November 2008)	$
63000-63200	857.45

63201   1 286.10

63202-63203 857.45

63204   1 286.10

63219-63243	1 286.10
63271-63473	857.45
63491-63494	98.00
63497	294.25

29 October 2010 GOVERNMENT GAZETTE, WA 5375

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

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

Delete Schedules 2, 3, 4, 5, 5A and 6 and insert:

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	$70.05

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.

5376 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r.	6
Service Service

Code

Documentation of consultation — as required

that could include:

The assessment findings, physiotherapy
intervention(s), evaluation of intervention(s), plan
for future treatment and results of other relevant

tests and warnings (if applicable).

Includes:

• or hospital; hydrotherapy treatment;

Individual services provided in rooms, home outside of normal business hours.

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

• The physiotherapist’s notes of the consultation.

Does not include:

• physiotherapist with a medical specialist,
medical practitioner, employer, insurer or
vocational rehabilitation provider (other than

Oral or written communication by the practitioner). Oral communication has a specific item number in this Table (PK001).

• The physiotherapist’s involvement in case conferences. This service has a specific item number in this Table (PQ001).

29 October 2010 GOVERNMENT GAZETTE, WA 5377

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Service

Service

Code

PB001

Standard Consultation	Set Fee
Consultation for one body area or condition	$56.25

including the following elements —

• subjective re-assessment;

• objective re-assessment;

• appropriate management, intervention or
advice;

• documentation of consultation.

Includes:

• or hospital; hydrotherapy treatment;

Individual services provided in rooms, home outside of normal business hours.

• Courtesy communication by the
physiotherapist such as brief oral or written
communication with the medical
practitioner.

Does not include:

• physiotherapist with a medical specialist,
medical practitioner, employer, insurer or
vocational rehabilitation provider (other than
a courtesy communication with the medical

Oral or written communication by the specific item number in this Table (PK001).

• The physiotherapist’s involvement in case conferences. This service has a specific item number in this Table (PQ001).

5378 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r.	6
Service Service

Code

PC001 Two distinct areas of treatment per visit Set Fee

Same description as PB001 except relates to the	$71.15
treatment/management of 2 distinct areas/conditions.

PG001	Group Consultation — per person	Cost per
participant
Includes non-individualised services provided to	$17.30
more than one individual whether —

• 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	$159.85
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.
29 October 2010	GOVERNMENT GAZETTE, WA	5379

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Service

Service

Code

PR001

Progress/Standard report	Set Fee
A report relating to a specific worker that is	$70.05

provided to a medical specialist, medical
practitioner, employer, insurer or vocational
rehabilitation provider that contains (where
applicable) —

• a summary of assessment findings;

• treatment/management services provided and
results obtained;

• recommendations for further
treatment/management;

• functional and objective improvements;

• perceived treatment duration required;

• return to work recommendation;

• perceived barriers to return to work;

• questionnaire results and implications.

A maximum combined total of 3 reports or Treatment Management Plans (PR003) permitted without prior approval from insurer. Additional reports require prior approval from insurer.

Does not include:

• Courtesy communication by the
physiotherapist such as brief oral or written
communication with the medical
practitioner.

PR002

Comprehensive report Hourly

rate**

As above for progress/standard report and contains	$159.85
information relating to more detailed assessments and interventions performed.

5380 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r.	6
Service Service

Code

The specific requirements for a comprehensive
report must be discussed with the insurer prior to
approval with a suggested maximum duration of

2 hours.

PR003	Treatment Management Plan	Set Fee
Provision of a completed Treatment Management	$70.05
Plan that must contain —

• clinical assessment of injured worker and results of any investigation;

• injured worker’s current work status and level of incapacity;

• proposed management plan including —

1.     the proposed work and functional goals and estimated timeframe in weeks;

2.     description and number of proposed treatment methods;

3.     the number of weeks treatment is to be conducted;

4.     the injured worker’s expected fitness for work at the end of the management plan;

5.     other comments or recommendations (including barriers to recovery where relevant).

A maximum combined total of 3 Treatment without prior approval from insurer. Additional Treatment Management Plans require prior approval from insurer.

29 October 2010 GOVERNMENT GAZETTE, WA 5381

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Service	Service
Code
PT001	Travel Hourly

rate**

Travel when the most appropriate management of	$127.90
the patient requires the provider to travel away from their normal practice. The insurer must provide pre-approval for travel in excess of one hour.
If services are provided to more than one worker before leaving a venue, the fee for the journey is to be apportioned equally between workers.

PQ001

Case Conferences

Face-to-face or telephone communication	$16.10
involving the physiotherapist with one or more of	per 6 minute
the 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 required oral communication by the	$16.10
physiotherapist with a medical specialist, medical	per 6 minute
practitioner, employer, insurer or vocational	block

rehabilitation provider (other than a courtesy communication with the medical practitioner) relating to the treatment or rehabilitation of a specific worker.

The physiotherapist must keep a written record of
the details of the communication, including its
date, time and duration.

Maximum duration per communication is
30 minutes.

5382 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r.	6
Service Service

Code

Maximum cumulative duration of communications
per claim is one hour. When the maximum
cumulative duration has been reached, prior
approval from insurer for a minimum of 5 blocks

of 6 minutes is required.

PS001	Specific Physiotherapy Assessment — prior	Hourly
approval from insurer required.	rate**
Includes specific types of assessments not	$159.85
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	$159.85
these scales required by the insurer which	per hour to a
physiotherapists may undertake (e.g. treatment of	maximum of
severe multiple area trauma, burns, neurologically	2 hours**
injured patients and patients with severe spinal injuries, ergonomic 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.

Part 2 — Exercise-based programs

Type of service Fee

EXE20

Initial Consultation/Assessment

Insurer approval must be obtained prior to	$159.85
undertaking the service.	per hour to a maximum of
Review of current medical and vocational status.	2 hours**

29 October 2010 GOVERNMENT GAZETTE, WA 5383

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Type of service	Fee
•	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 — $159.85 per hour to a
• program implementation — prescription and maximum of

provision of exercises (land or pool 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 — $159.85 per hour to a
• initial assessment report outlining results

(self-reported and objective),	maximum of
recommendations and exercise rehabilitation	one hour**
plan;
•	current status as per medical certification and proposed outcome status;

5384 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Type of service	Fee
• Progress report to be provided at the request of the	detailed cost plan outlining proposed costs for insurer approval.

EXE03 Subsequent reports

$159.85

referrer. per hour to a maximum of 30 minutes**

EXE04

Final report

Comprehensive report to be provided at the end of	$159.85
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 gym). Market rates

Prior approval from insurer required.

EXE06

Travel

Travel when the most appropriate management of	$127.90
the patient requires the provider to travel away	per 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.

29 October 2010 GOVERNMENT GAZETTE, WA 5385

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Type of service Fee

EXE08

Communication

Any requested or required oral communication	$16.10
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.

EXE09

Attendance at Medical Case Conferences

Insurer approval must be obtained prior to	$159.85
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.

Schedule 3 — Scale of fees: chiropractors

[r. 4]

Type of service	Fee
$

1.	Initial consultation and examination	55.45
2.	Subsequent consultation	46.20
3.	Spinal x-ray, one region	110.10
4.	Spinal x-ray, 2 or more regions	165.35
5.	Travel (per kilometre)	0.80

5386 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Schedule 4 — Scale of fees: occupational therapists

[r. 5]

Type of service	Fee
$

1.	Brief consultation (< 15 minutes)	23.90
2.	Short consultation (15 minutes to < 30 minutes)	47.95
3.	Standard consultation (30 minutes to < 45 minutes)	79.05
4.	Extended consultation (45 minutes to < one hour)	118.55
5.	Extended consultation ( > one hour)	158.15
6.	Standard group consultation (30 minutes) per person	51.90
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) 146.10
2.	Initial consultation/assessment (exceeding one hour) 189.25
3.	Subsequent consultation (< ½ hour) 63.80
4.	Subsequent consultation (½ hour – one hour) 82.75
5.	Subsequent consultation (> one hour) 111.70

29 October 2010 GOVERNMENT GAZETTE, WA 5387

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

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	$159.85
undertaking the service.	per hour to a maximum of 2 hours**

• Review of current medical and vocational status.

• 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.

5388 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Type of service Fee

EXE21	Subsequent Exercise Consultation/Assessment
Includes — $159.85 per hour to a
• program implementation — prescription and maximum of

provision of exercises (land or pool 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 — $159.85 per hour to a
• initial assessment report outlining results

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

•	current status as per medical certification and proposed outcome status;
• Progress report to be provided at the request of the	detailed cost plan outlining proposed costs for insurer approval.

EXE03 Subsequent reports

$159.85

referrer. per hour to a maximum of 30 minutes**

29 October 2010 GOVERNMENT GAZETTE, WA 5389

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Type of service Fee

EXE04

Final report

Comprehensive report to be provided at the end of	$159.85
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 gym). Market rates

Prior approval from insurer required.

EXE06

Travel

Travel when the most appropriate management of	$127.90
the patient requires the provider to travel away	per 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	$16.10
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.

5390 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Type of service Fee

EXE09

Attendance at Medical Case Conferences

Insurer approval must be obtained prior to	$159.85
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.

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	$1 078.05 (or, if an
certificate — straightforward assessment —	interpreter is present at
other than a service mentioned in item 4, 5, 6	the examination,
or 8.	$1 347.50 excluding any fee payable to the interpreter)
2.	Examination and provision of report and	$1 347.50 (or, if an
certificate — moderately complex	interpreter is present at
assessment (e.g. reviewing multiple	the examination,
questions and reports; impairment involving	$1 617.00 excluding any
more complex assessments; more than one	fee payable to the
body system involved) — other than a	interpreter)
service mentioned in item 4, 5, 6 or 8.
3.	Examination and provision of report and	$1 617.00 (or, if an
certificate — complex assessment	interpreter is present at
(e.g. multiple injuries; severe impairment	the examination,
such as spinal cord injury or head injury) —	$1 886.50 excluding any
other than a service mentioned in item 4, 5, 6	fee payable to the
or 8.	interpreter)
29 October 2010	GOVERNMENT GAZETTE, WA	5391

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Description of assessment Maximum fee**

4.	Examination of any of ear, nose and throat	$1 078.05 (or, if an
only, including audiometric testing and	interpreter is present at
provision of report and certificate — other	the examination,
than a service mentioned in item 8.	$1 347.50 excluding any fee payable to the interpreter)
5.	Examination and provision of report and	$1 617.00 (or, if an
certificate — psychiatric — standard	interpreter is present at
assessment — other than a service	the examination,
mentioned in item 8.	$1 886.50 excluding any fee payable to the interpreter)
6.	Examination and provision of report and	$2 694.95 (or, if an
certificate — psychiatric — complex	interpreter is present at
assessment (e.g. reviewing significant	the examination,
documented prior psychiatric history) —	$2 964.45 excluding any
other than a service mentioned in item 8.	fee payable to the interpreter)
7.	Consolidation of written assessments from	$538.95
multiple assessors.
8.	Re-examination and provision of report and	$808.50 (or, if an
certificate.	interpreter is present at the examination, $1 078.05 excluding any fee payable to the interpreter)
9.	Provision of supplementary report and	$269.55
certificate.

5392 GOVERNMENT GAZETTE, WA 29 October 2010

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2010

r. 6

Part 2 — Attempted assessments

Description of circumstances Maximum fee**

1.	If a worker who is required under Part VII	$538.95
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, 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 the WorkCover Western Australia Authority on 11th day of October 2010.

The common seal of	)
the WorkCover Western	)
Australia Authority	) L.S
) )
W. ATTENBOROUGH
G. JOYCE

By Command of the Governor,

PETER CONRAN, Clerk of the Executive Council.