Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2016 (WA)

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!2016192GG!

WESTERN	4821
AUSTRALIAN

GOVERNMENT

ISSN 1448-949X (print) ISSN 2204-4264 (online)
PRINT POST APPROVED PP665002/00041

4822 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

Table

Provision Delete Insert

r. 6(1) $236.90 $241.35
r. 6A $236.90 $241.35
r. 7A $74.95 $76.35
r. 7C(2) $73.15 $74.50
r. 8 $176.80 $180.10
6. Schedule 1 amended

(1) Amend Schedule 1 Part 1 as set out in the Table.

Table

Delete Insert

$73.65 $75.05
$134.60 $137.10
$206.75 $210.60
$44.00 $44.80
$57.30 $58.35
$110.60 $112.65
(each occurrence)
$167.15 $170.30
$226.55 $230.80
$55.25 $56.30

21 October 2016 GOVERNMENT GAZETTE, WA 4823
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

Delete Insert

$201.25 $205.00
(each occurrence)
$311.55 $317.40
$87.50 $89.15
$94.95 $96.75
$147.15 $149.90
$92.20 $93.90
$126.00 $128.35
$186.95 $190.45
$260.55 $265.40
$164.35 $167.40
$252.15 $256.85
$368.20 $375.10
$24.55 $25.00
$30.80 $31.40
$64.45 $65.65
$96.55 $98.35
$277.00 $282.20

4824 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

Delete Insert

$4.95 $5.05
(each occurrence)
$279.65 $284.90
(each occurrence)
$139.90 $142.50
(each occurrence)
$334.85 $341.10
(each occurrence)
$193.20 $196.80
(each occurrence)
$284.30 $289.60
$36.75 $37.45
(each occurrence)
$45.20 $46.05
(each occurrence)
$94.60 $96.35
(each occurrence)
$142.85 $145.50
(each occurrence)
$410.75 $418.45
(each occurrence)
$82.00 $83.55
$163.65 $166.70
$245.10 $249.70

21 October 2016 GOVERNMENT GAZETTE, WA 4825
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

Delete Insert

$327.95 $334.10
$371.10 $378.05
$414.20 $421.95
$134.70 $137.20
$217.50 $221.55
$296.80 $302.35
$379.70 $386.80
$457.55 $466.10
$108.85 $110.90
$237.55 $242.00
$159.00 $161.95
(each occurrence)
$82.95 $84.50
(each occurrence)
$214.25 $218.25
$136.65 $139.20
$213.95 $217.95
$136.35 $138.90
$82.70 $84.25

4826 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

(2) In Schedule 1 Part 1 Division 2 delete:

— glossopharyngeal nerve no no 8
(3) Delete Schedule 1 Parts 2 and 3 and insert:
Part 2 — Medical procedures

Type of procedure Fee
GENERAL
Localised burns $62.55
Localised burns, including dressing of, under general
anaesthetic $177.90
Extensive burns $107.95
Extensive burns, including dressing of, under general
anaesthetic $376.60
Dressing of wounds, under general anaesthetic $177.90
Acupuncture, including consultation $82.95
DISLOCATIONS
closed reduction means non-operative reduction of the dislocation, and included percutaneous fixation and/or external splintage by cast or splint.
open reduction means treatment by either closed
reduction and intra-medullary fixation or treatment by
operative exposure of the dislocation including
internal or external fixation.
other means treatment by any other method and
includes the use of external splintage.
[Where injuries are associated with a compound (open)
wound, an additional fee of 50% of the fee listed is to apply.]

Elbow, by closed reduction $335.55

21 October 2016 GOVERNMENT GAZETTE, WA 4827
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

Type of procedure Fee
Elbow, by open reduction $445.00
Interphalangeal joint, by closed reduction $143.85
Interphalangeal joint, by open reduction $191.70
Mandible, by closed reduction $119.90
Clavicle, by closed reduction $142.25
Clavicle, by open reduction $287.60
Shoulder, not requiring general anaesthetic $160.00
Shoulder, by open reduction, with general anaesthetic $573.65
Shoulder, other, with general anaesthetic $284.05
Metacarpophalangeal joint, by closed reduction $191.70
Metacarpophalangeal joint, by open reduction $256.85
Patella, by closed reduction $215.55
Patella, by open reduction $287.60
Radioulnar joint, by closed reduction $335.55
Radioulnar joint, by open reduction $445.00
Toe, by closed reduction $119.90
Toe, by open reduction $159.20
REMOVAL OF FOREIGN BODIES

as independent procedure $52.20
superficial $232.75
deep tissue or muscle $650.60
ear, other than by syringing $167.70
nose, other than by simple probing $167.70
cornea or sclera, embedded $171.25

4828 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016

r. 6

Type of procedure Fee
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.]
Metacarpal

Carpal Scaphoid, by open reduction $958.60
Carpal Scaphoid, other $427.90
Carpus (excluding Scaphoid), by open reduction $599.10
Carpus (excluding Scaphoid), other $239.70

Radius

by closed management $479.15
by open management $958.60
Radius or Ulnar, distal end, (Colies’, Smith’s or Barton’s)

by closed reduction $718.95

Ribs (1 or more), each attendance $109.65
Tibia, plateau of, medial or lateral

by closed reduction $864.45
by open reduction $1 146.85
Tibia, plateau of, medial and lateral

by closed reduction $1 437.85
by open reduction $1 925.75

21 October 2016 GOVERNMENT GAZETTE, WA 4829
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

Type of procedure Fee
SUTURES

face or neck, less than 7 cm, superficial $171.25
face or neck, less than 7 cm, deep $260.25
face or neck, more than 7 cm, superficial $260.25
face or neck, more than 7 cm, deep $445.00
except face or neck, less than 7 cm,
superficial $130.10
except face or neck, less than 7 cm, deep $195.15
except face or neck, more than 7 cm,
superficial $195.15
except face or neck, more than 7 cm, deep $427.90
AMPUTATIONS

Hand, midcarpal or transmetacarpal $650.60
Hand, forearm or through arm $753.20
At shoulder $1 275.10
Interscapulothoracic $2 533.30
One digit of foot $342.25
Two digits of one foot $513.60
Three digits of one foot $693.25
Four digits of one foot $864.45
Five digits of one foot $1 035.60
Toe including metatarsal or part of metatarsal — each toe $404.15
Foot, at ankle $753.20
Foot, midtarsal or transmetatarsal $650.60
Through thigh, at knee or below knee $1 112.80
At hip $1 566.10

4830 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016

r. 6

Type of procedure Fee
ASSISTANCE AT OPERATIONS combination of operations) is to be related to the fee listed for the operation (or series or combination of operations) itself.

The fee is 20% of the total fee or the minimum sum of
$215.55, whichever is greater.
USE OF PRIVATE THEATRES

A theatre fee of $130.10 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 2009)
55028 $209.70
55029 $72.70
55030 $209.70
55031 $72.70
55032 $209.70
55033 $72.70
55036 $213.75
55037 $72.70
55038 $209.70
55039 $72.70
55044 $213.75
55045 $72.70
55048 $209.70

21 October 2016 GOVERNMENT GAZETTE, WA 4831
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
55049 $72.70
55054 $209.70
55070 $188.75
55073 $65.40
55076 $209.70
55079 $72.70
55084 $188.75
55085 $65.40
55113 $443.20
55114 $443.20
55115 $443.20
55116 $492.90
55117 $492.90
55118 $529.30
55130 $326.75
55135 $679.45
55238 $325.70
55244 $325.70
55246 $325.70
55248 $325.70
55252 $325.70
55274 $325.70
55276 $325.70
55278 $325.70
55280 $325.70

4832 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
55282 $325.70
55284 $325.70
55292 $325.70
55294 $325.70
55296 $213.45
55600 $209.70
55603 $209.70
55700 $115.20
55703 $67.30
55704 $134.55
55705 $67.30
55706 $192.15
55707 $134.55
55708 $67.30
55709 $73.05
55712 $221.00
55715 $76.85
55718 $192.15
55721 $221.00
55723 $73.05
55725 $76.85
55729 $52.35
55731 $188.45
55733 $67.30
55736 $244.00

21 October 2016 GOVERNMENT GAZETTE, WA 4833
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
55739 $109.45
55759 $288.25
55762 $115.20
55764 $307.45
55766 $124.85
55768 $288.25
55770 $115.20
55772 $307.45
55774 $124.85
55800 $209.70
55802 $72.70
55804 $209.70
55806 $72.70
55808 $209.70
55810 $72.70
55812 $209.70
55814 $72.70
55816 $209.70
55818 $72.70
55820 $209.70
55822 $72.70
55824 $209.70
55826 $72.70
55828 $209.70
55830 $72.70

4834 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
55832 $209.70
55834 $72.70
55836 $209.70
55838 $72.70
55840 $209.70
55842 $72.70
55844 $167.85
55846 $72.70
55848 $209.70
55850 $293.70
55852 $209.70
55854 $72.70
COMPUTED TOMOGRAPHY —
EXAMINATION AND REPORT

MBS item number Fee
(1 November 2009)
56001 $344.10
56007 $441.20
56010 $444.80
56013 $441.20
56016 $511.80
56022 $397.05
56028 $594.40
56030 $397.05
56036 $594.40
56041 $174.35
56047 $222.65
56050 $226.30

21 October 2016 GOVERNMENT GAZETTE, WA 4835
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
56053 $226.30
56056 $274.20
56062 $199.60
56068 $297.20
56070 $199.60
56076 $297.20
56101 $406.05
56107 $600.10
56141 $205.45
56147 $302.85
56219 $575.70
56220 $423.60
56221 $423.60
56223 $423.60
56224 $620.15
56225 $620.15
56226 $620.15
56227 $216.15
56228 $216.15
56229 $216.15
56230 $313.15
56231 $313.15
56232 $313.15
56233 $423.60
56234 $620.15
56235 $216.10
56236 $313.15
56237 $423.60
56238 $620.15
56239 $216.10

4836 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
56240 $313.15
56259 $290.80
56301 $520.65
56307 $705.80
56341 $263.80
56347 $356.45
56401 $441.20
56407 $635.30
56409 $441.20
56412 $635.30
56441 $223.70
56447 $320.25
56449 $223.70
56452 $320.25
56501 $679.45
56507 $847.10
56541 $340.85
56547 $430.20
56549 $679.45
56551 $679.45
56619 $388.25
56625 $590.55
56659 $197.85
56665 $295.45
56801 $823.40
56807 $988.40
56841 $411.75
56847 $501.00
57001 $823.55
57007 $1 002.00

21 October 2016 GOVERNMENT GAZETTE, WA 4837
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
57041 $411.85
57047 $501.05
57201 $273.90
57247 $136.75
57341 $829.55
57345 $426.45
57350 $900.05
57351 $900.05
57355 $466.20
57356 $466.20
DIAGNOSTIC RADIOLOGY
MBS item number Fee
(1 November 2009)
57506 $60.60
57509 $81.00
57512 $82.55
57515 $110.00
57518 $66.15
57521 $88.40
57524 $100.80
57527 $134.05
57700 $82.55
57703 $110.00
57706 $66.15
57709 $88.40
57712 $96.10
57715 $124.20
57721 $202.25
57901 $131.40
57902 $131.40

4838 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
57903 $96.35
57906 $131.40
57909 $131.40
57912 $96.10
57915 $96.10
57918 $96.10
57921 $96.10
57924 $96.10
57927 $101.05
57930 $67.05
57933 $159.50
57939 $131.40
57942 $101.05
57945 $88.40
57960 $96.65
57963 $96.65
57966 $96.65
57969 $96.65
58100 $136.75
58103 $112.30
58106 $156.90
58108 $270.80
58109 $95.85
58112 $198.20
58115 $270.80
58300 $81.80
58306 $182.10
58500 $72.05
58503 $96.10
58506 $124.00

21 October 2016 GOVERNMENT GAZETTE, WA 4839
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
58509 $81.00
58521 $88.40
58524 $115.15
58527 $141.40
58700 $94.00
58706 $321.80
58715 $308.85
58718 $257.10
58721 $281.75
58900 $72.70
58903 $96.95
58909 $183.25
58912 $224.75
58915 $160.85
58916 $282.25
58921 $275.65
58924 $171.35
58927 $155.80
58933 $419.10
58936 $399.45
58939 $283.90
59103 $43.50
59300 $182.45
59303 $109.90
59306 $204.45
59309 $408.70
59312 $177.35
59314 $106.95
59318 $95.90
59503 $182.10

4840 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
59700 $196.75
59703 $154.75
59712 $231.80
59715 $292.55
59718 $274.45
59724 $461.55
59733 $219.55
59736 $126.35
59739 $150.50
59751 $283.65
59754 $447.00
59760 $234.70
59763 $272.95
59903 $233.50
59912 $622.00
59925 $738.65
59970 $343.10
59971 $116.80
59972 $310.90
59973 $369.35
59974 $171.55
60000   $1 149.55
60003   $1 685.80
60006   $2 397.05
60009   $2 805.20
60012   $1 149.55
60015   $1 685.80
60018   $2 397.05
60021   $2 805.20
60024   $1 149.55

21 October 2016 GOVERNMENT GAZETTE, WA 4841
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
60027   $1 685.80
60030   $2 397.05
60033   $2 805.20
60036   $1 149.55
60039   $1 685.80
60042   $2 397.05
60045   $2 805.20
60048   $1 149.55
60051   $1 685.80
60054   $2 397.05
60057   $2 805.20
60060   $1 149.55
60063   $1 685.80
60066   $2 397.05
60069   $2 805.20
60072   $98.15
60075   $195.90
60078   $293.90
60100   $124.00
60500   $88.40
60503   $60.60
60506   $130.00
60509   $201.50
60918   $96.10
60927   $77.55
61109   $527.65

4842 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6
NUCLEAR MEDICINE IMAGING

MBS item number Fee
(1 November 2009)
61302 $704.70
61303 $887.45
61306   $1 114.05
61307   $1 310.75
61310   $576.60
61313   $476.30
61314   $659.30
61316   $598.45
61317   $773.00
61320   $359.30
61328   $357.40
61340   $397.15
61348   $696.05
61352   $407.00
61353   $606.85
61356   $616.60
61360   $633.20
61361   $724.40
61364   $780.20
61368   $350.30
61369   $3 164.40
61372   $350.30
61373   $768.75
61376   $225.10
61381   $901.60
61383   $980.95
61384   $1 079.55
61386   $522.05
61387   $676.25
61389   $581.70

21 October 2016 GOVERNMENT GAZETTE, WA 4843
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
61390 $643.55
61393 $950.55
61397 $387.50
61401 $254.85
61402 $949.90
61405 $543.10
61409   $1 371.30
61413   $354.70
61417   $186.55
61421   $753.25
61425   $943.00
61426   $870.95
61429   $852.40
61430   $1 035.25
61433   $780.20
61434   $966.15
61437   $852.15
61438   $1 056.50
61441   $768.75
61442   $1 181.15
61445   $450.15
61446   $523.70
61449   $716.15
61450   $624.10
61453   $808.00
61454   $546.40
61457   $738.55
61458   $623.05
61461   $828.50
61462   $204.55

4844 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 6

MBS item number Fee
(1 November 2009)
61465 $416.70
61469 $546.40
61473 $275.30
61480 $607.35
61484   $1 382.90
61485   $1 568.60
61495   $350.30
61499   $397.15
61650   $1 379.35

MAGNETIC RESONANCE IMAGING

MBS item number Fee
(1 November 2009)

63000-63200 $1 022.25
63201 $1 533.35
63202-63203 $1 022.25
63204 $1 533.35
63219-63243 $1 533.35
63271-63473 $1 022.25

63491-63494 $116.85
63497 $350.85

21 October 2016 GOVERNMENT GAZETTE, WA 4845
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

7. Schedules 2 to 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 Code Service
PA001

Initial Consultation Set Fee
A consultation with the physiotherapist $83.55
including 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.

4846 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
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
programme 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:

•
home or hospital; hydrotherapy
treatment; extended treatments; and
Individual services provided in rooms, business hours.

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

•

The physiotherapist’s notes of the consultation.

21 October 2016 GOVERNMENT GAZETTE, WA 4847
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
Does not include:

•
physiotherapist with a medical
specialist, medical practitioner,
employer, insurer or vocational
rehabilitation provider (other than a
courtesy communication with the
medical practitioner). Oral
Oral or written communication by the 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 $67.10
including the following elements —

• subjective re-assessment;
• objective re-assessment;
• appropriate management, intervention
or advice;
• documentation of consultation.
Includes:

•
home or hospital; hydrotherapy
treatment; extended treatments; and
Individual services provided in rooms, business hours.

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

4848 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
Does not include:

•
physiotherapist with a medical
specialist, medical practitioner,
employer, insurer or vocational
rehabilitation provider (other than a
courtesy communication with the
medical practitioner). Oral
Oral or written communication by the 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 $84.85
to the treatment/management of 2 distinct
areas/conditions.
PG001 Group Consultation — per person Cost per
participant
Includes non-individualised services $20.65
provided to more than one individual
whether —

• in rooms, home or hospital;
• hydrotherapy treatment;
• extended treatments;

•

services provided outside of normal business hours.

21 October 2016 GOVERNMENT GAZETTE, WA 4849
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
PE001

Worksite Visit — prior approval from Hourly
insurer required rate**
Prior to a worksite evaluation, $190.55
consideration of 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 $83.55
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.

4850 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
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 $190.55
contains 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 $83.55
Management 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;

21 October 2016 GOVERNMENT GAZETTE, WA 4851
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
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
Management Plans or reports (PR001)
permitted without prior approval from
insurer. Additional Treatment Management
Plans require prior approval from insurer.

PT001 Travel Hourly
rate**
Travel when the most appropriate $152.50
management of the patient requires the
provider to travel away from their normal
practice. The insurer must provide
pre-approval for travel in excess of 1 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 $19.15
involving the physiotherapist with one or per 6 minute
more of 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.

4852 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
PK001 Communication

Any required oral communication by the $19.15
physiotherapist with a medical specialist, per 6 minute
medical practitioner, employer, insurer or block

vocational 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 1 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 — Hourly
prior approval from insurer required rate**
Includes specific types of assessments not $190.55
classified elsewhere in these scales required
by the insurer which physiotherapists may
undertake (e.g. diagnostic ultrasound
imaging, Functional Capacity Assessments
(FCA’s), seating and wheelchair
assessments).

21 October 2016 GOVERNMENT GAZETTE, WA 4853
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Service Code Service
PW001

Specific Physiotherapy Intervention — Hourly
prior approval from insurer required rate**
Includes treatments not classified elsewhere $190.55
in these scales required by the insurer per hour to a
which physiotherapists may undertake (e.g. maximum of
treatment of severe multiple area trauma, 2 hours**
burns, neurologically injured patients and
patients with severe spinal injuries,
ergonomic corrections of workplace,
specialised real-time ultrasound imaging,
short consultations).
Note for this Part:
** Denotes that where the service provided is a fraction of 1 hour, the amount chargeable is to be calculated as that fraction of the maximum amount.
Part 2 — Exercise-based programmes

Type of service Fee

EXE20 Initial Consultation/Assessment

Insurer approval must be obtained prior to $190.55
undertaking the service. per hour to a
Review of current medical and vocational maximum of
status. 2 hours**
Communication/Liaison with relevant
parties.
Physiological assessment/testing.
Screening questionnaires relating to
worker’s level of function.
Programme 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.

4854 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016

r. 7

Type of service Fee

EXE21 Subsequent Exercise
Consultation/Assessment

Includes — $190.55
per hour to a

• programme implementation —

prescription and provision of maximum of
exercises (land or pool based); 1 hour**

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

EXE02 Initial report

Includes — $190.55
per hour to a

• initial assessment report outlining

results (self-reported and objective), maximum of
recommendations and exercise 1 hour**
rehabilitation plan;

•
current status as per medical status;

•
Progress report to be provided at the
detailed cost plan outlining proposed proposed costs for insurer approval.

EXE03 Subsequent reports
$190.55

request of the referrer.

per hour to a maximum of 30 minutes**

21 October 2016 GOVERNMENT GAZETTE, WA 4855
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Type of service Fee

EXE04 Final report

Comprehensive report to be provided at $190.55
the end of the service delivery per hour to a

detailing —

maximum of 30 minutes**

•

physiological testing results pre and post programme;
• worker attendance/programme
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 $152.50
management of the patient requires the per hour**

practice.
The insurer must provide pre-approval for
travel in excess of 1 hour.

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

4856 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016

r. 7

Type of service Fee

EXE08 Communication

Any requested or required oral $19.15
communication with relevant parties per 6 minute
(treating medical practitioners, employers block
and insurers) relating to 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 $190.55
undertaking the service. per hour**
Note for this Part:
** Denotes that where the service provided is a fraction of 1 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 $66.05
2. Subsequent consultation $55.10
3. Spinal x-ray, one region $131.25
4. Spinal x-ray, 2 or more regions $197.10
5. Travel (per kilometre) $1.00

21 October 2016 GOVERNMENT GAZETTE, WA 4857
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Schedule 4 — Scale of fees: occupational therapists
[r. 5]

Type of service Fee

1. Brief consultation (< 15 minutes) $28.45
2. Short consultation (15 minutes to < 30 minutes) $57.15
3. Standard consultation (30 minutes to < 45 minutes) $94.25
4. Extended consultation (45 minutes to < 1 hour) $141.30
5. Extended consultation (≥ 1 hour) $188.55
6. Standard group consultation (30 minutes) per person $61.90

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

1 hour) $174.20
2.

Initial consultation/assessment (exceeding 1 hour) $225.60
3.

Subsequent consultation (< 30 minutes) $76.00
4.

Subsequent consultation (30 minutes — 1 hour) $98.65
5.

Subsequent consultation (> 1 hour) $133.15

4858 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7
Schedule 5A — Scale of fees: exercise physiologists
[r. 7B]
Exercise-based programmes

Type of service Fee

EXE20 Initial Consultation/Assessment

Insurer approval must be obtained prior to $190.55

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.
Programme 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 — $190.55
per hour to

• programme implementation — prescription

and provision of exercises (land or pool a maximum
based); of 1 hour**

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

21 October 2016 GOVERNMENT GAZETTE, WA 4859
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Type of service Fee

EXE02 Initial report

Includes — $190.55
per hour to

• initial assessment report outlining results

(self-reported and objective), a maximum
recommendations and exercise of 1 hour**
rehabilitation plan;

• current status as per medical certification and proposed outcome status;
•
detailed cost plan outlining proposed costs for insurer approval.

EXE03 Subsequent reports

Progress report to be provided at the request of $190.55

the referrer.

per hour to a maximum of
30 minutes
**

EXE04 Final report

Comprehensive report to be provided at the end $190.55

of the service delivery detailing —

per hour to a maximum

• physiological testing results pre and post of

programme; 30 minutes

• worker attendance/programme compliance. **

EXE05 Gym membership/Entry fees

Includes direct cost of membership (pool or Market
gym). rates
Prior approval from insurer required.

4860 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016

r. 7

Type of service Fee

EXE06 Travel

Travel when the most appropriate management $152.50
of the patient requires the provider to travel per hour**

The insurer must provide pre-approval for travel
in excess of 1 hour.

away 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 $19.15
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

Insurer approval must be obtained prior to $190.55
undertaking the service. per hour**

Note for this Schedule:
** Denotes that where the service provided is a fraction of 1 hour, the amount chargeable is to be calculated as that fraction of the maximum amount.

21 October 2016 GOVERNMENT GAZETTE, WA 4861
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

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 $1 285.25 (or, if an
certificate — straightforward assessment — interpreter is present at
other than a service mentioned in item 4, 5, the examination,
6 or 8. $1 606.60 excluding
any fee payable to the
interpreter)
2. Examination and provision of report and $1 606.60 (or, if an
certificate — moderately complex interpreter is present at
assessment (e.g. reviewing multiple the examination,
questions and reports; impairment $1 927.90 excluding
involving more complex assessments; more any fee payable to the
than one body system involved) — other interpreter)
than a service mentioned in item 4, 5, 6
or 8.
3. Examination and provision of report and $1 927.90 (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) — $2 249.10 excluding
other than a service mentioned in item 4, 5, any fee payable to the
6 or 8. interpreter)
4. Examination of any ear, nose and throat $1 285.25 (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. $1 606.60 excluding
any fee payable to the
interpreter)

4862 GOVERNMENT GAZETTE, WA 21 October 2016
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016

r. 7

Description of assessment Maximum fee**

5. Examination and provision of report and $1 927.90 (or, if an
certificate — psychiatric — standard interpreter is present at
assessment — other than a service the examination,
mentioned in item 8. $2 249.10 excluding
any fee payable to the
interpreter)
6. Examination and provision of report and $3 213.00 (or, if an
certificate — psychiatric — complex interpreter is present at
assessment (e.g. reviewing significant the examination,
documented prior psychiatric history) — $3 534.30 excluding
other than a service mentioned in item 8. any fee payable to the
interpreter)
7. Consolidation of written assessments from $642.65
multiple medical practitioners.
8. Re-examination and provision of report and $963.90 (or, if an
certificate. interpreter is present at
the examination,
$1 285.25 excluding
any fee payable to the
interpreter)
9. Provision of supplementary report and $321.35
certificate.
Part 2 — Attempted assessments

Description of circumstances Maximum fee**

1. If a worker who is required under Part VII $642.65

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

21 October 2016 GOVERNMENT GAZETTE, WA 4863
Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations 2016
r. 7

Description of circumstances Maximum fee**

(b)
the examination is cancelled, approved medical specialist, with less than one working day’s notice.
Note for this Schedule:
** Denotes that where the service provided is a fraction of 1 hour, the amount chargeable is to be calculated as that fraction of the maximum amount.
N. HAGLEY, Clerk of the Executive Council.

———————————

PERTH, FRIDAY, 21 OCTOBER 2016 No. 192 SPECIAL
PUBLISHED BY AUTHORITY JOHN A. STRIJK, GOVERNMENT PRINTER AT 12.30 PM
© STATE OF WESTERN AUSTRALIA

Workers’ Compensation and Injury Management Act 1981

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

Regulations 2016

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 2016.

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 2016.

3. Regulations amended

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

4. Regulation 9 amended
In regulation 9(2) delete the definition of assessor.

5. Various fees amended
Amend the provisions listed in the Table as set out in the Table.

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Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2016 (WA)

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ISSN 1448-949X (print)	ISSN 2204-4264 (online)
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Provision	Delete	Insert
r. 6(1)	$236.90	$241.35
r. 6A	$236.90	$241.35
r. 7A	$74.95	$76.35
r. 7C(2)	$73.15	$74.50
r. 8	$176.80	$180.10

$73.65	$75.05
$134.60	$137.10
$206.75	$210.60
$44.00	$44.80
$57.30	$58.35
$110.60	$112.65
(each occurrence)
$167.15	$170.30
$226.55	$230.80
$55.25	$56.30

$201.25	$205.00
(each occurrence)
$311.55	$317.40
$87.50	$89.15
$94.95	$96.75
$147.15	$149.90
$92.20	$93.90
$126.00	$128.35
$186.95	$190.45
$260.55	$265.40
$164.35	$167.40
$252.15	$256.85
$368.20	$375.10
$24.55	$25.00
$30.80	$31.40
$64.45	$65.65
$96.55	$98.35
$277.00	$282.20

$4.95	$5.05
(each occurrence)
$279.65	$284.90
(each occurrence)
$139.90	$142.50
(each occurrence)
$334.85	$341.10
(each occurrence)
$193.20	$196.80
(each occurrence)
$284.30	$289.60
$36.75	$37.45
(each occurrence)
$45.20	$46.05
(each occurrence)
$94.60	$96.35
(each occurrence)
$142.85	$145.50
(each occurrence)
$410.75	$418.45
(each occurrence)
$82.00	$83.55
$163.65	$166.70
$245.10	$249.70

$327.95	$334.10
$371.10	$378.05
$414.20	$421.95
$134.70	$137.20
$217.50	$221.55
$296.80	$302.35
$379.70	$386.80
$457.55	$466.10
$108.85	$110.90
$237.55	$242.00
$159.00	$161.95
(each occurrence)
$82.95	$84.50
(each occurrence)
$214.25	$218.25
$136.65	$139.20
$213.95	$217.95
$136.35	$138.90
$82.70	$84.25

Type of procedure	Fee
GENERAL
Localised burns	$62.55
Localised burns, including dressing of, under general
anaesthetic	$177.90
Extensive burns	$107.95
Extensive burns, including dressing of, under general
anaesthetic	$376.60
Dressing of wounds, under general anaesthetic	$177.90
Acupuncture, including consultation	$82.95
DISLOCATIONS

Type of procedure	Fee
Elbow, by open reduction	$445.00
Interphalangeal joint, by closed reduction	$143.85
Interphalangeal joint, by open reduction	$191.70
Mandible, by closed reduction	$119.90
Clavicle, by closed reduction	$142.25
Clavicle, by open reduction	$287.60
Shoulder, not requiring general anaesthetic	$160.00
Shoulder, by open reduction, with general anaesthetic	$573.65
Shoulder, other, with general anaesthetic	$284.05
Metacarpophalangeal joint, by closed reduction	$191.70
Metacarpophalangeal joint, by open reduction	$256.85
Patella, by closed reduction	$215.55
Patella, by open reduction	$287.60
Radioulnar joint, by closed reduction	$335.55
Radioulnar joint, by open reduction	$445.00
Toe, by closed reduction	$119.90
Toe, by open reduction	$159.20
REMOVAL OF FOREIGN BODIES
as independent procedure	$52.20
superficial	$232.75
deep tissue or muscle	$650.60
ear, other than by syringing	$167.70
nose, other than by simple probing	$167.70
cornea or sclera, embedded	$171.25

Carpal Scaphoid, by open reduction	$958.60
Carpal Scaphoid, other	$427.90
Carpus (excluding Scaphoid), by open reduction	$599.10
Carpus (excluding Scaphoid), other	$239.70

by closed reduction	$718.95
Ribs (1 or more), each attendance	$109.65
Tibia, plateau of, medial or lateral
by closed reduction	$864.45
by open reduction	$1 146.85

Type of procedure	Fee
SUTURES
face or neck, less than 7 cm, superficial	$171.25
face or neck, less than 7 cm, deep	$260.25
face or neck, more than 7 cm, superficial	$260.25
face or neck, more than 7 cm, deep	$445.00
except face or neck, less than 7 cm,
superficial	$130.10
except face or neck, less than 7 cm, deep	$195.15
except face or neck, more than 7 cm,
superficial	$195.15
except face or neck, more than 7 cm, deep	$427.90

Hand, midcarpal or transmetacarpal	$650.60
Hand, forearm or through arm	$753.20
At shoulder	$1 275.10
Interscapulothoracic	$2 533.30
One digit of foot	$342.25
Two digits of one foot	$513.60
Three digits of one foot	$693.25
Four digits of one foot	$864.45
Five digits of one foot	$1 035.60
Toe including metatarsal or part of metatarsal — each toe	$404.15
Foot, at ankle	$753.20
Foot, midtarsal or transmetatarsal	$650.60
Through thigh, at knee or below knee	$1 112.80
At hip	$1 566.10

MBS item number	Fee
(1 November 2009)
55028	$209.70
55029	$72.70
55030	$209.70
55031	$72.70
55032	$209.70
55033	$72.70
55036	$213.75
55037	$72.70
55038	$209.70
55039	$72.70
55044	$213.75
55045	$72.70
55048	$209.70

MAGNETIC RESONANCE IMAGING
MBS item number	Fee
(1 November 2009)
63000-63200	$1 022.25
63201	$1 533.35
63202-63203	$1 022.25
63204	$1 533.35
63219-63243	$1 533.35
63271-63473	$1 022.25
63491-63494	$116.85
63497	$350.85

PB001	Standard Consultation	Set Fee
Consultation for one body area or condition	$67.10
including the following elements —

•	subjective re-assessment;
•	objective re-assessment;
•	appropriate management, intervention or advice;
•	documentation of consultation.

PC001	Two distinct areas of treatment per visit	Set Fee
Same description as PB001 except relates	$84.85
to the treatment/management of 2 distinct areas/conditions.
PG001	Group Consultation — per person	Cost per
participant
Includes non-individualised services	$20.65
provided to more than one individual whether —

•	in rooms, home or hospital;
•	hydrotherapy treatment;
•	extended treatments;
•	services provided outside of normal business hours.

As above for progress/standard report and	$190.55
contains 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	$83.55
Management Plan that must contain —

PT001	Travel	Hourly
rate**
Travel when the most appropriate	$152.50
management of the patient requires the provider to travel away from their normal practice. The insurer must provide pre-approval for travel in excess of 1 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	$19.15
involving the physiotherapist with one or	per 6 minute
more of the following —	block

prescription and provision of	maximum of
exercises (land or pool based);	1 hour**
•	programme monitoring;
•	post programme screening questionnaire relating to worker’s level of function;
•	psychosocial reassessment;
•	communication/liaison with relevant parties.

results (self-reported and objective),	maximum of
recommendations and exercise	1 hour**
rehabilitation plan;
•

1.	Initial consultation and examination	$66.05
2.	Subsequent consultation	$55.10
3.	Spinal x-ray, one region	$131.25
4.	Spinal x-ray, 2 or more regions	$197.10
5.	Travel (per kilometre)	$1.00

1.	Brief consultation (< 15 minutes)	$28.45
2.	Short consultation (15 minutes to < 30 minutes)	$57.15
3.	Standard consultation (30 minutes to < 45 minutes)	$94.25
4.	Extended consultation (45 minutes to < 1 hour)	$141.30
5.	Extended consultation (≥ 1 hour)	$188.55
6.	Standard group consultation (30 minutes) per person	$61.90
7.	Travel costs are to be calculated at the hourly rate by the length of time spent travelling

and provision of exercises (land or pool	a maximum
based);	of 1 hour**

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

(self-reported and objective),	a maximum
recommendations and exercise	of 1 hour**
rehabilitation plan;

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

1.	Examination and provision of report and	$1 285.25 (or, if an
certificate — straightforward assessment —	interpreter is present at
other than a service mentioned in item 4, 5,	the examination,
6 or 8.	$1 606.60 excluding any fee payable to the interpreter)
2.	Examination and provision of report and	$1 606.60 (or, if an
certificate — moderately complex	interpreter is present at
assessment (e.g. reviewing multiple	the examination,
questions and reports; impairment	$1 927.90 excluding
involving more complex assessments; more	any fee payable to the
than one body system involved) — other	interpreter)
than a service mentioned in item 4, 5, 6 or 8.
3.	Examination and provision of report and	$1 927.90 (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) —	$2 249.10 excluding
other than a service mentioned in item 4, 5,	any fee payable to the
6 or 8.	interpreter)
4.	Examination of any ear, nose and throat	$1 285.25 (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.	$1 606.60 excluding any fee payable to the interpreter)