Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2012 (WA)

!2012166GG!

WESTERN	4447
AUSTRALIAN GOVERNMENT

ISSN 1448-949X PRINT POST APPROVED PP665002/00041

PERTH, TUESDAY, 25 SEPTEMBER 2012 No. 166 SPECIAL

PUBLISHED BY AUTHORITY JOHN A. STRIJK, GOVERNMENT PRINTER AT 11.30 AM

© STATE OF WESTERN AUSTRALIA

WORKERS’ COMPENSATION AND INJURY

MANAGEMENT ACT 1981

_________

WORKERS’ COMPENSATION AND INJURY MANAGEMENT

(SCALES OF FEES)

AMENDMENT

REGULATIONS 2012

25 September 2012 GOVERNMENT GAZETTE, WA 4449

Workers’ Compensation and Injury Management Act 1981

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

Regulations 2012

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 2012.

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 2012.

3.             Regulations amended

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

4.             Regulation 6 amended (clinical psychologists)

In regulation 6(1) delete “$209.55” and insert:

$217.80

4450 GOVERNMENT GAZETTE, WA 25 September 2012

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Amendment Regulations 2012

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5.             Regulation 6A amended (counselling psychology)

In regulation 6A delete “$209.55” and insert:

$217.80

6.             Regulation 7A amended (osteopaths)

In regulation 7A delete “$66.30” and insert:

$68.90

7.             Regulation 8 amended (vocational rehabilitation providers)

In regulation 8 delete “$156.45” and insert:

$162.60

8.             Schedule 1 amended

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

GENERAL PRACTITIONER

CONSULTATIONS Surgery Consultation in hours

Content based

Minor or Specific Service (Level A or B)	$67.70
Extended Service (Level C)	$123.75
Comprehensive Service (Level D)	$190.15

25 September 2012 GOVERNMENT GAZETTE, WA 4451

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Time based

up to 5 minutes	$40.40
more than 5 minutes to 15 minutes	$52.70
more than 15 minutes to 30 minutes	$101.65
more than 30 minutes to 45 minutes	$153.70
more than 45 minutes to 60 minutes	$208.35

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)	$50.80
Specific Service (Level B)	$101.65
Extended Service (Level C)	$185.05
Comprehensive Service (Level D)	$286.50

Time based

up to 5 minutes	$80.45
more than 5 minutes to 15 minutes	$87.30
more than 15 minutes to 30 minutes	$135.30
more than 30 minutes	$185.05

VISITS

Consultations at a place other than the Consulting Rooms

in hours

Minor Service (Level A)	$84.75
Specific Service (Level B)	$115.85
Extended Service (Level C)	$171.90
Comprehensive Service (Level D)	$239.60

4452 GOVERNMENT GAZETTE, WA 25 September 2012

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out of hours

Minor Service (Level A)	$101.65
Specific Service (Level B)	$151.10
Extended Service (Level C)	$231.85
Comprehensive Service (Level D)	$338.60

TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$22.60
more than 5 minutes to 15 minutes	$28.30
more than 15 minutes to 30 minutes	$59.25
more than 30 minutes	$88.75

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

per hour $254.70

TRAVELLING FEES

Rate per kilometre $4.55

PHYSICIANS, OCCUPATIONAL & REHABILITATION PHYSICIANS

PHYSICIANS

CONSULTATIONS

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

first attendance	$257.10
subsequent attendances	$128.65

25 September 2012 GOVERNMENT GAZETTE, WA 4453

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

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VISITS

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

first attendance	$307.95
subsequent attendances	$177.70

REHABILITATION PHYSICIANS

CONSULTATIONS

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

first attendance	$257.10
subsequent attendances	$128.65

VISITS

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

first attendance	$307.95
subsequent attendances	$177.70

OCCUPATIONAL PHYSICIANS

CONSULTATIONS

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

first attendance	$261.40
subsequent attendances	$128.65

VISITS

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

first attendance	$307.95
subsequent attendances	$177.70

4454 GOVERNMENT GAZETTE, WA 25 September 2012

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TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$33.80
more than 5 minutes to 15 minutes	$41.60
more than 15 minutes to 30 minutes	$87.00
more than 30 minutes	$131.35

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $377.70

TRAVELLING FEES

Rate per kilometre $4.55

CONSULTANT PSYCHIATRISTS

CONSULTATIONS

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

Time based

up to 15 minutes	$75.40
more than 15 minutes to 30 minutes	$150.50
more than 30 minutes to 45 minutes	$225.40
more than 45 minutes to 60 minutes	$301.55
more than 60 minutes to 75 minutes	$341.25
more than 75 minutes	$380.90

25 September 2012 GOVERNMENT GAZETTE, WA 4455

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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	$123.85
more than 15 minutes to 30 minutes	$200.00
more than 30 minutes to 45 minutes	$272.90
more than 45 minutes to 75 minutes	$349.15
more than 75 minutes	$420.70

TELEPHONE CONSULTATIONS

Time based

up to 45 minutes	$100.05
more than 45 minutes	$218.45

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

per hour $377.70

TRAVELLING FEES

Rate per kilometre $4.55

SPECIALISTS

SURGEONS

CONSULTATIONS

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

first attendance	$146.20
subsequent attendances	$76.25

4456 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

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VISITS

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

first attendance	$197.05
subsequent attendances	$125.60

DERMATOLOGISTS

CONSULTATIONS

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

first attendance	$146.20
subsequent attendances	$76.25

VISITS

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

first attendance	$196.75
subsequent attendances	$125.40

TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$33.80
more than 5 minutes to 15 minutes	$41.60
more than 15 minutes to 30 minutes	$87.00
more than 30 minutes	$131.35

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

per hour $377.70

TRAVELLING FEES

Rate per kilometre $4.55

25 September 2012 GOVERNMENT GAZETTE, WA 4457

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ANAESTHETISTS

All anaesthesia fees are calculated by multiplying the units for the consultation,
attendance, procedure or service by the $ value per unit allocated by this

Schedule.

$ VALUE PER UNIT

$ value per unit	$76.00
(2)	Delete Schedule 1 Parts 2 and 3 and insert:

Part 2 — Medical procedures

Type of procedure	Fee
GENERAL
Localised burns	$56.45
Localised burns, including dressing of, under general
anaesthetic	$160.60
Extensive burns	$97.40
Extensive burns, including dressing of, under general
anaesthetic	$339.95
Dressing of wounds, under general anaesthetic	$160.60
Acupuncture, including consultation	$74.90
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.

4458 GOVERNMENT GAZETTE, WA 25 September 2012

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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	$302.90
Elbow, by open reduction	$401.70
Interphalangeal joint, by closed reduction	$129.85
Interphalangeal joint, by open reduction	$173.10
Mandible, by closed reduction	$108.25
Clavicle, by closed reduction	$128.40
Clavicle, by open reduction	$259.60
Shoulder, not requiring general anaesthetic	$144.40
Shoulder, by open reduction, with general anaesthetic	$517.80
Shoulder, other, with general anaesthetic	$256.45
Metacarpophalangeal joint, by closed reduction	$173.10
Metacarpophalangeal joint, by open reduction	$231.85
Patella, by closed reduction	$194.60
Patella, by open reduction	$259.60
Radioulnar joint, by closed reduction	$302.90
Radioulnar joint, by open reduction	$401.70
Toe, by closed reduction	$108.25
Toe, by open reduction	$143.75
REMOVAL OF FOREIGN BODIES
as independent procedure	$47.10
superficial	$210.15
deep tissue or muscle	$587.25

25 September 2012 GOVERNMENT GAZETTE, WA 4459

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

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Type of procedure	Fee
ear, other than by syringing	$151.35
nose, other than by simple probing	$151.35
cornea or sclera, embedded	$154.55

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	$194.60
fracture, intra-articular, by closed reduction	$225.65
fracture, by open reduction	$259.60
fracture, intra-articular, by open reduction	$324.45

Middle phalanx of finger

fracture, by closed reduction	$293.60
fracture, intra-articular, by closed reduction	$332.15
fracture, by open reduction	$386.25
fracture, intra-articular, by open reduction	$486.70

Proximal phalanx of finger or thumb

fracture, by closed reduction $386.25

4460 GOVERNMENT GAZETTE, WA 25 September 2012

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Type of procedure Fee

fracture, intra-articular, by closed reduction	$455.75
fracture, by open reduction	$517.80
fracture, intra-articular, by open reduction	$649.00

Metacarpal

fracture, by closed reduction	$386.25
fracture, intra-articular, by closed reduction	$455.75
fracture, by open reduction	$517.80
fracture, intra-articular, by open reduction	$649.00
Carpal Scaphoid, by open reduction	$865.30
Carpal Scaphoid, other	$386.25
Carpus (excluding Scaphoid), by open reduction	$540.75
Carpus (excluding Scaphoid), other	$216.35
Radius
by closed management	$432.55
by open management	$865.30

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

by closed reduction	$649.00
by open reduction Ribs (1 or more), each attendance	$865.30
$99.00
Tibia, plateau of, medial or lateral by closed reduction	$780.35
by open reduction Tibia, plateau of, medial and lateral	$1 035.20
by closed reduction	$1 297.90
by open reduction	$1 738.30

25 September 2012 GOVERNMENT GAZETTE, WA 4461

Workers’ Compensation and Injury Management (Scales of Fees)

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Type of procedure	Fee
SUTURES
face or neck, less than 7 cm, superficial	$154.55
face or neck, less than 7 cm, deep	$234.85
face or neck, more than 7 cm, superficial	$234.85
face or neck, more than 7 cm, deep	$401.70
except face or neck, less than 7 cm, superficial	$117.40
except face or neck, less than 7 cm, deep	$176.15
except face or neck, more than 7 cm, superficial	$176.15
except face or neck, more than 7 cm, deep	$386.25
AMPUTATIONS
Hand, midcarpal or transmetacarpal	$587.25
Hand, forearm or through arm	$679.90
At shoulder	$1 151.00
Interscapulothoracic	$2 286.75
One digit of foot	$308.95
Two digits of one foot	$463.60
Three digits of one foot	$625.75
Four digits of one foot	$780.35
Five digits of one foot	$934.80
Toe including metatarsal or part of metatarsal — each toe	$364.80
Foot, at ankle	$679.90
Foot, midtarsal or transmetatarsal	$587.25
Through thigh, at knee or below knee	$1 004.45
At hip	$1 413.70

4462 GOVERNMENT GAZETTE, WA 25 September 2012

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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 $194.60, whichever is greater.

USE OF PRIVATE THEATRES

A theatre fee of $117.40 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 2009)
55028	$189.25
55029	$65.65
55030	$189.25
55031	$65.65
55032	$189.25
55033	$65.65
55036	$193.00
55037	$65.65
55038	$189.25
55039	$65.65
55044	$193.00
55045	$65.65

25 September 2012 GOVERNMENT GAZETTE, WA 4463

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Amendment Regulations 2012

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MBS item number	Fee
(1 November 2009)
55048	$189.25
55049	$65.65
55054	$189.25
55070	$170.40
55073	$59.00
55076	$189.25
55079	$65.65
55084	$170.40
55085	$59.00
55113	$400.10
55114	$400.10
55115	$400.10
55116	$444.90
55117	$444.90
55118	$477.80
55130	$294.95
55135	$613.35
55238	$293.95
55244	$293.95
55246	$293.95
55248	$293.95
55252	$293.95
55274	$293.95
55276	$293.95
55278	$293.95

4464 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
55280	$293.95
55282	$293.95
55284	$293.95
55292	$293.95
55294	$293.95
55296	$192.70
55600	$189.25
55603	$189.25
55700	$104.00
55703	$60.70
55704	$121.45
55705	$60.70
55706	$173.45
55707	$121.45
55708	$60.70
55709	$65.90
55712	$199.50
55715	$69.35
55718	$173.45
55721	$199.50
55723	$65.90
55725	$69.35
55729	$47.25
55731	$170.10
55733	$60.70

25 September 2012 GOVERNMENT GAZETTE, WA 4465

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
55736	$220.25
55739	$98.80
55759	$260.20
55762	$104.00
55764	$277.50
55766	$112.65
55768	$260.20
55770	$104.00
55772	$277.50
55774	$112.65
55800	$189.25
55802	$65.65
55804	$189.25
55806	$65.65
55808	$189.25
55810	$65.65
55812	$189.25
55814	$65.65
55816	$189.25
55818	$65.65
55820	$189.25
55822	$65.65
55824	$189.25
55826	$65.65
55828	$189.25

4466 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

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MBS item number	Fee
(1 November 2009)
55830	$65.65
55832	$189.25
55834	$65.65
55836	$189.25
55838	$65.65
55840	$189.25
55842	$65.65
55844	$151.50
55846	$65.65
55848	$189.25
55850	$265.15
55852	$189.25
55854	$65.65
COMPUTED TOMOGRAPHY — EXAMINATION AND REPORT
MBS item number	Fee
(1 November 2009)
56001	$310.65
56007	$398.30
56010	$401.55
56013	$398.30
56016	$462.00
56022	$358.40
56028	$536.55
56030	$358.40

25 September 2012 GOVERNMENT GAZETTE, WA 4467

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

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MBS item number	Fee
(1 November 2009)
56036	$536.55
56041	$157.40
56047	$200.95
56050	$204.25
56053	$204.25
56056	$247.50
56062	$180.20
56068	$268.30
56070	$180.20
56076	$268.30
56101	$366.50
56107	$541.75
56141	$185.45
56147	$273.40
56219	$519.65
56220	$382.35
56221	$382.35
56223	$382.35
56224	$559.80
56225	$559.80
56226	$559.80
56227	$195.15
56228	$195.15
56229	$195.15
56230	$282.65

4468 GOVERNMENT GAZETTE, WA 25 September 2012

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Amendment Regulations 2012

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MBS item number	Fee
(1 November 2009)
56231	$282.65
56232	$282.65
56233	$382.35
56234	$559.80
56235	$195.10
56236	$282.65
56237	$382.35
56238	$559.80
56239	$195.10
56240	$282.65
56259	$262.50
56301	$470.00
56307	$637.10
56341	$238.10
56347	$321.75
56401	$398.30
56407	$573.45
56409	$398.30
56412	$573.45
56441	$201.95
56447	$289.10
56449	$201.95
56452	$289.10
56501	$613.35
56507	$764.65

25 September 2012 GOVERNMENT GAZETTE, WA 4469

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
56541	$307.70
56547	$388.30
56549	$613.35
56551	$613.35
56619	$350.50
56625	$533.10
56659	$178.55
56665	$266.75
56801	$743.25
56807	$892.20
56841	$371.70
56847	$452.25
57001	$743.40
57007	$904.45
57041	$371.80
57047	$452.30
57201	$247.20
57247	$123.45
57341	$748.75
57345	$384.90
57350	$812.45
57351	$812.45
57355	$420.80
57356	$420.80

4470 GOVERNMENT GAZETTE, WA 25 September 2012

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DIAGNOSTIC RADIOLOGY

MBS item number	Fee
(1 November 2009)
57506	$54.70
57509	$73.10
57512	$74.50
57515	$99.35
57518	$59.75
57521	$79.80
57524	$91.00
57527	$121.05
57700	$74.50
57703	$99.35
57706	$59.75
57709	$79.80
57712	$86.75
57715	$112.10
57721	$182.55
57901	$118.60
57902	$118.60
57903	$87.00
57906	$118.60
57909	$118.60
57912	$86.75
57915	$86.75
57918	$86.75
57921	$86.75

25 September 2012 GOVERNMENT GAZETTE, WA 4471

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
57924	$86.75
57927	$91.25
57930	$60.50
57933	$143.95
57939	$118.60
57942	$91.25
57945	$79.80
57960	$87.25
57963	$87.25
57966	$87.25
57969	$87.25
58100	$123.45
58103	$101.40
58106	$141.60
58108	$244.45
58109	$86.50
58112	$178.90
58115	$244.45
58300	$73.85
58306	$164.40
58500	$65.05
58503	$86.75
58506	$111.90
58509	$73.10
58521	$79.80

4472 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
58524	$103.95
58527	$127.65
58700	$84.80
58706	$290.50
58715	$278.80
58718	$232.10
58721	$254.35
58900	$65.65
58903	$87.50
58909	$165.40
58912	$202.85
58915	$145.20
58916	$254.75
58921	$248.80
58924	$154.65
58927	$140.70
58933	$378.30
58936	$360.55
58939	$256.30
59103	$39.25
59300	$164.70
59303	$99.25
59306	$184.60
59309	$368.95
59312	$160.10

25 September 2012 GOVERNMENT GAZETTE, WA 4473

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
59314	$96.55
59318	$86.55
59503	$164.40
59700	$177.65
59703	$139.65
59712	$209.20
59715	$264.10
59718	$247.75
59724	$416.65
59733	$198.15
59736	$114.05
59739	$135.85
59751	$256.05
59754	$403.50
59760	$211.85
59763	$246.40
59903	$210.75
59912	$561.50
59925	$666.75
59970	$309.70
59971	$105.45
59972	$280.70
59973	$333.40
59974	$154.85

60000   $1 037.65

4474 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)

60003   $1 521.70

60006   $2 163.70

60009   $2 532.15

60012   $1 037.65

60015   $1 521.70

60018   $2 163.70

60021   $2 532.15

60024   $1 037.65

60027   $1 521.70

60030   $2 163.70

60033   $2 532.15

60036   $1 037.65

60039   $1 521.70

60042   $2 163.70

60045   $2 532.15

60048   $1 037.65

60051   $1 521.70

60054   $2 163.70

60057   $2 532.15

60060   $1 037.65

60063   $1 521.70

60066   $2 163.70

60069   $2 532.15

60072   $88.55

60075   $176.80

25 September 2012 GOVERNMENT GAZETTE, WA 4475

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
60078	$265.35
60100	$111.90
60500	$79.80
60503	$54.70
60506	$117.30
60509	$181.90
60918	$86.75
60927	$70.05
61109	$476.30
NUCLEAR MEDICINE IMAGING
MBS item number	Fee
(1 November 2009)
61302	$636.10
61303	$801.05

61306   $1 005.65

61307   $1 183.20

61310   $520.50

61313   $429.90

61314   $595.15

61316   $540.20

61317   $697.75

61320   $324.35

61328   $322.60

61340   $358.50

61348   $628.25

4476 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
61352	$367.45
61353	$547.75
61356	$556.60
61360	$571.55
61361	$653.90
61364	$704.30
61368	$316.20

61369   $2 856.35

61372   $316.20

61373   $693.90

61376   $203.20

61381   $813.80

61383   $885.50

61384   $974.50

61386   $471.20

61387   $610.45

61389   $525.05

61390   $580.95

61393   $858.00

61397   $349.80

61401   $230.05

61402   $857.45

61405   $490.30

61409   $1 237.85

61413   $320.15

25 September 2012 GOVERNMENT GAZETTE, WA 4477

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
61417	$168.40
61421	$679.95
61425	$851.20
61426	$786.15
61429	$769.45
61430	$934.45
61433	$704.30
61434	$872.10
61437	$769.20
61438	$953.65
61441	$693.90

61442   $1 066.15

61445   $406.35

61446   $472.75

61449   $646.45

61450   $563.35

61453   $729.35

61454   $493.20

61457   $666.65

61458   $562.40

61461   $747.90

61462   $184.65

61465   $376.15

61469   $493.20

61473   $248.50

4478 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 8

MBS item number	Fee
(1 November 2009)
61480	$548.25

61484   $1 248.35

61485   $1 415.90

61495   $316.20

61499   $358.50

61650   $1 245.10

MAGNETIC RESONANCE IMAGING
MBS item number	Fee
(1 November 2009)
63000-63200	$922.80

63201   $1 384.10

63202-63203 $922.80

63204   $1 384.10

63219-63243	$1 384.10
63271-63473	$922.80
63491-63494	$105.50
63497	$316.65

25 September 2012 GOVERNMENT GAZETTE, WA 4479

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

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

(1) Delete Schedule 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	$75.40

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.

4480 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service

Service

Code

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.

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:

	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 notes of the consultation.

25 September 2012 GOVERNMENT GAZETTE, WA 4481

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service

Service

Code

Does not include:

	Oral or written communication by the physiotherapist with a medical specialist, medical practitioner, employer, insurer or vocational rehabilitation provider (other than a courtesy communication with the medical 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).

PB001

Standard Consultation	Set Fee
Consultation for one body area or condition	$60.55

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

4482 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service

Service

Code

Does not include:

	Oral or written communication by the physiotherapist with a medical specialist, medical practitioner, employer, insurer or vocational rehabilitation provider (other than a courtesy communication with the medical 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).

PC001

Two distinct areas of treatment per visit	Set Fee
Same description as PB001 except relates to the	$76.60

treatment/management of 2 distinct
areas/conditions.

PG001

Group Consultation — per person Cost per

participant

Includes non-individualised services provided to	$18.60
more than one individual whether —
	in rooms, home or hospital;
	hydrotherapy treatment;
	extended treatments;
	services provided outside of normal business hours.

25 September 2012 GOVERNMENT GAZETTE, WA 4483

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service

Service

Code

PE001

Worksite Visit — prior approval from insurer	Hourly
required.	rate**
Prior to a worksite evaluation, consideration of	$172.00

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

Progress/Standard report	Set Fee
A report relating to a specific worker that is	$75.40

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.

4484 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service	Service
Code
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	$172.00
information relating to more detailed assessments and interventions performed.
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	$75.40
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;

25 September 2012 GOVERNMENT GAZETTE, WA 4485

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service	Service
Code

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.

PT001	Travel	Hourly
rate**
Travel when the most appropriate management of	$137.65
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	$17.30
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.

4486 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service

Service

Code

PK001

Communication

Any required oral communication by the	$17.30
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.

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	$172.00

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).

25 September 2012 GOVERNMENT GAZETTE, WA 4487

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Service

Service

Code

PW001

Specific Physiotherapy Intervention — prior	Hourly
approval from insurer required (*replaces PD001).	rate**
Includes treatments not classified elsewhere in	$172.00
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	$172.00
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.

4488 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Type of service Fee

EXE21

Subsequent Exercise Consultation/Assessment

Includes —	$172.00 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 —	$172.00
initial assessment report outlining results	per hour to a
(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	$172.00
referrer.	per hour to a maximum of 30 minutes**

EXE04

Final report

Comprehensive report to be provided at the end of	$172.00
the service delivery detailing —	per hour to a maximum of
physiological testing results pre and post program;	30 minutes**

worker attendance/program compliance.

25 September 2012 GOVERNMENT GAZETTE, WA 4489

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Type of service Fee

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	$137.65
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	$17.30
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	$172.00
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.

4490 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Schedule 3 — Scale of fees: chiropractors

[r. 4]

Type of service Fee

1.	Initial consultation and examination	$59.65
2.	Subsequent consultation	$49.75
3.	Spinal x-ray, one region	$118.50
4.	Spinal x-ray, 2 or more regions	$177.95
5.	Travel (per kilometre)	$0.90

Schedule 4 — Scale of fees: occupational therapists

[r. 5]

Type of service Fee

1.	Brief consultation (< 15 minutes)	$25.70
2.	Short consultation (15 minutes to < 30 minutes)	$51.60
3.	Standard consultation (30 minutes to < 45 minutes)	$85.05
4.	Extended consultation (45 minutes to < one hour)	$127.55
5.	Extended consultation ( > one hour)	$170.20
6.	Standard group consultation (30 minutes) per person	$55.85
7.	Travel costs are to be calculated at the hourly rate by the length of time spent travelling.
25 September 2012	GOVERNMENT GAZETTE, WA	4491

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Schedule 5 — Scale of fees: speech pathologists

[r. 7]

Type of service Fee

1.           Initial consultation/assessment (up to and including

one hour) $157.25
2.	Initial consultation/assessment (exceeding one hour) $203.65
3.	Subsequent consultation (< ½ hour) $68.65
4.	Subsequent consultation (½ hour – one hour) $89.05
5.	Subsequent consultation (> one hour) $120.20

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	$172.00
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.

4492 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Type of service	Fee
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 —	$172.00 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 —	$172.00
initial assessment report outlining results	per hour to a
(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	$172.00
referrer.	per hour to a maximum of 30 minutes**

25 September 2012 GOVERNMENT GAZETTE, WA 4493

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Type of service Fee

EXE04

Final report

Comprehensive report to be provided at the end of	$172.00
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	$137.65
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	$17.30
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.

4494 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Type of service Fee

EXE09

Attendance at Medical Case Conferences

Insurer approval must be obtained prior to	$172.00
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	$1 160.15 (or, if an
certificate — straightforward assessment —	interpreter is present at
other than a service mentioned in item 4, 5, 6	the examination,
or 8.	$1 450.20 excluding any fee payable to the interpreter)
2.	Examination and provision of report and	$1 450.20 (or, if an
certificate — moderately complex	interpreter is present at
assessment (e.g. reviewing multiple	the examination,
questions and reports; impairment involving	$1 740.20 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	$1 740.20 (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) —	$2 030.20 excluding any
other than a service mentioned in item 4, 5, 6	fee payable to the
or 8.	interpreter)
25 September 2012	GOVERNMENT GAZETTE, WA	4495

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Description of assessment Maximum fee**

4.	Examination of any ear, nose and throat	$1 160.15 (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.	$1 450.20 excluding any fee payable to the interpreter)
5.	Examination and provision of report and	$1 740.20 (or, if an
certificate — psychiatric — standard	interpreter is present at
assessment — other than a service	the examination,
mentioned in item 8.	$2 030.20 excluding any fee payable to the interpreter)
6.	Examination and provision of report and	$2 900.25 (or, if an
certificate — psychiatric — complex	interpreter is present at
assessment (e.g. reviewing significant	the examination,
documented prior psychiatric history) —	$3 190.35 excluding any
other than a service mentioned in item 8.	fee payable to the interpreter)
7.	Consolidation of written assessments from	$580.05
multiple assessors.
8.	Re-examination and provision of report and	$870.10 (or, if an
certificate.	interpreter is present at the examination, $1 160.15 excluding any fee payable to the interpreter)
9.	Provision of supplementary report and	$290.05
certificate.

4496 GOVERNMENT GAZETTE, WA 25 September 2012

Workers’ Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2012

r. 9

Part 2 — Attempted assessments

Description of circumstances Maximum fee**

1.	If a worker who is required under Part VII	$580.05
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 WorkCover WA on the 3rd day of September 2012.

The common seal of	)
WorkCover WA	)
) L.S
)
GREG JOYCE
CHRIS WHITE

By Command of the Governor,

R. KENNEDY, Clerk of the Executive Council.

———————————