Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2020 (WA)

WESTERN

AUSTRALIAN

azett e

GOVERNMENT

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

PERTH, FRIDAY, 23 OCTOBER 2020 No. 180 SPECIAL

PUBLISHED BY AUTHORITY GEOFF 0. LAWN, GOVERNMENT PRINTER

t: STATE OF WESTERN AUSTRALIA

Workers' Compensation and Injury Management Act 1981

Workers' Compensation and Injury

Management (Scales of Fees) Amendment

Regulations 2020

SL 2020/203

Made by the Governor in Executive Council.

1.   Citation

These regulations are the Workers' Compensation and Injury

Management (Scales of Fees) Amendment Regulations 2020.

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 — 1 November 2020.

In regulation 2(2) in the definition of MBS item number delete
"1 November 2019." and insert:

1 November 2020. 

3. Regulations amended

These regulations amend the Workers' Compensation and Injuly

Management (Scales of Fees) Regulations 1998.

4.           Regulation 2 amended

3880 GOVERNMENT GAZETTE, WA 23 October 2020

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Amendment Regulations 2020

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5.            Various fees amended

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

Table

Provision Delete Insert

r. 6(1)	$253.70	$258.35
r. 6A	$253.70	$258.35
r. 7A	$80.25	$81.70
r. 7C(2)	$78.30	$79.75
r. 8	$189.30	$192.75

6.            Schedule 1 Part I amended

Amend Schedule I Part I as set out in the Table.

Table

Delete Insert

$78.90 $80.35

$144.10	$146.75
$221.35	$225.40
$47.05	$47.90
$61.30	$62.40

$118.35 (each occurrence)	$120.50
$179.05	$182.35

23 October 2020 GOVERNMENT GAZETTE, WA 3881

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Delete Insert

$242.60	$247.05
$59.20	$60.30
$215.45 (each occurrence)	$219.40
$333.60	$339.70
$93.75	$95.45
$101.70	$103.55
$157.55	$160.45
$98.70	$100.50
$134.90	$137.35
$200.15	$203.80
$278.95	$284.05
$176.00	$179.20
$269.95	$274.90

$394.30	$401.50
$26.25	$26.75
$33.00	$33.60
$69.00	$70.25
$103.40	$105.30
$296.65	$302.10

GOVERNMENT GAZETTE, WA 23 October 2020

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Amendment Regulations 2020

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Delete Insert

$5.35 (each occurrence)	$5.45
$299.50 (each occurrence)	$305.00
S 1 49.75 (each occurrence)	$152.50
$358.50 (each occurrence)	$365.05
$206.80 (each occurrence)	$210.60
$304.35	$309.90
$39.35 (each occurrence)	$40.05
$48.40 (each occurrence)	$49.30
$101.25 (each occurrence)	$103.10
$152.90 (each occurrence)	$155.70
$439.80 (each occurrence)	$447.85
$87.85	$89.45
$175.20	$178.40

$262.45	$267.25
$351.15	$357.60
$397.35	$404.60
$443.50	$451.60
$144.20	$146.85
$232.85	$237.10

23 October 2020 GOVERNMENT GAZETTE, WA 388

Workers' Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2020

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Delete Insert

S317.75	$323.55
$406.50	$413.95
$489.90	$498.85
$116.60	$118.75
$254.35	$259.00
$170.25 (each occurrence)	$173.35
$88.80 (each occurrence)	$90.45
$229.35	$233.55
$146.30	$149.00
$229.05	$233.25
$146.00	$148.65
$88.55	$90.15

7.            Schedule 1 Parts 2 and 3 replaced

Delete Schedule I Parts 2 and 3 and insert: Part 2 - Medical procedures

Type of procedure	Fee
GENERAL
Localised burns	$66.95
Localised burns, including dressing of, under general
anaesthetic	$190.35

GOVERNMENT GAZETTE, WA 23 October 2020

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Amendment Regulations 2020

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Type of procedure Fee
Extensive bums $115.60

Extensive bums, including dressing of, under general

anaesthetic	$403.05
Dressing of wounds, under general anaesthetic	$190.35
Acupuncture, including consultation	$88.85

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	$359.10
Elbow, by open reduction	$476.30
Interphalangeal joint, by closed reduction	$153.95

Interphalangeal joint, by open reduction	$205.20
Mandible, by closed reduction	$128.35
Clavicle, by closed reduction	$152.25
Clavicle, by open reduction	$307.80
Shoulder, not requiring general anaesthetic	$171.25
Shoulder, by open reduction, with general anaesthetic	$613.95
Shoulder, other, with general anaesthetic	$303.95
Metacarpophalangeal joint, by closed reduction	$205.20

23 October 2020 GOVERNMENT GAZETTE, WA

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Type of procedure	Fee
Metacarpophalangeal joint, by open reduction	$274.90
Patella, by closed reduction	$230.70
Patella, by open reduction	$307.80
Radioulnar joint, by closed reduction	$359.10
Radioulnar joint, by open reduction	$476.30
Toe, by closed reduction	$128.35
Toe, by open reduction	$170.40
REMOVAL OF FOREIGN BODIES

as independent procedure	$55.85
superficial	$249.15
deep tissue or muscle	$696.30
ear, other than by syringing	$179.55
nose, other than by simple probing	$179.55
cornea or sclera, embedded	$183.30

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 $1 025.95

GOVERNMENT GAZETTE, WA 23 October 2020

Workers' Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2020

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7

Type of procedure Fee

Carpal Scaphoid, other	$457.95
Carpus (excluding Scaphoid), by open reduction	$641.15
Carpus (excluding Scaphoid), other	$256.55

Radius

by closed management	$512.80
by open management	$1 025.95

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

by closed reduction $769.50

Ribs (1 or more), each attendance	$117.30
Tibia, plateau of, medial or lateral

by closed reduction	$925.25
by open reduction	$1227.45

Tibia, plateau of, medial and lateral

by closed reduction	$1 538.90
by open reduction	$2061.10

SUTURES

face or neck, less than 7 cm, superficial $183.30

face or neck, less than 7 cm, deep $278.55

face or neck, more than 7 cm, superficial	$278.55
face or neck, more than 7 cm, deep	$476.30
except face or neck, less than 7 cm, superficial	$139.25
except face or neck, less than 7 cm, deep	$208.90
except face or neck, more than 7 cm, superficial	$208.90
except face or neck, more than 7 cm, deep	$457.95

23 October 2020 GOVERNMENT GAZETTE, WA 3887

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Type of procedure	Fee
AMPUTATIONS Hand, midearpal or transmetacarpal	$696.30
Hand, forearm or through arm	$806.15
At shoulder	$1 364.75
Interscapulothoracic	$2711.35
One digit of foot	$366.35
Two digits of one foot	$549.75
Three digits of one foot	$742.00
Four digits of one foot	$925.25
Five digits of one foot	$1 108.40
Toe including metatarsal or part of metatarsal - each toe	$432.55
Foot, at ankle	$806.15
Foot, midtarsal or transmetatarsal	$696.30
Through thigh, at knee or below knee	$1190.95
At hip	$1676.15
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 use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.
$230.70, whichever is greater.
USE OF PRIVATE THEATRES

3888 GOVERNMENT GAZETTE, WA 23 October 2020

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Part 3 - Diagnostic Imaging Services

ULTRASOUND

NIBS item number	Fee
S
55028	224.45
55029	77.80
55030	224.45
55031	77.80
55032	224.45
55033	77.80
55036	228.80
55037	77.80
55038	224.45
55039	77.80
55048	224.45
55049	77.80
55054	224.45
55070	202.05
55073	70.00

55076   224.45

55079   77.80

55084   202.05

55085   70.00

55113   474.30

55114   474.30

55115   474.30

23 October 2020 GOVERNMENT GAZETTE, WA 3889

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Amendment Regulations 2020

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MBS item number	Fee
$
55116	527.55
55117	527.55
55118	566.55
55130	349.70
55135	727.20
55238	348.60
55244	348.60
55246	348.60
55248	348.60
55252	348.60
55274	348.60
55276	348.60
55278	348.60
55280	348.60
55282	348.60
55284	348.60
55292	348.60

55294   348.60

55296   228.45

55600   224.45

55603   224.45

55700   123.30

55703   72.05

55704   144.00

3890 GOVERNMENT GAZETTE, WA 23 October 2020

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NIBS item number	Fee
S
55705	72.05
55706	205.65
55707	144.00
55708	72.05
55709	78.15
55712	236.55
55715	82.30
55718	205.65
55721	236.55
55723	78.15
55725	82.30
55729	56.05
55736	261.15
55739	117.15
55759	308.55
55762	123.30
55764	329.05

55766   133.60

55768   308.55

55770   123.30

55772   329.05

55774   133.60

55812   224.45

55814   77.80

23 October 2020 GOVERNMENT GAZETTE, WA 3891

Workers' Compensation and Injury Management (Scales of Fees)

Amendment Regulations 2020

r. 7

NIBS item number	Fee
S
55844	179.65
55846	77.80
55848	224.45
55850	314.30
55852	224.45
55854	77.80
COMPUTED TOMOGRAPHY -	EXAMINATION AND REPORT
NIBS item number	Fee
S
56001	368.35
56007	472.20
56010	476.10
56013	472.20
56016	547.75
56022	425.00
56028	636.25

56030   425.00

56036   636.25

56101   434.55

56107   642.35

56219   616.20

56220   453.35

56221   453.35

3892 GOVERNMENT GAZETTE, WA 23 October 2020

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Amendment Regulations 2020

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NIBS item number	Fee
S
56223	453.35
56224	663.75
56225	663.75
56226	663.75
56233	453.35
56234	663.75
56235	231.25
56236	335.15
56237	453.35
56238	663.75
56239	231.25
56240	335.15
56259	311.20
56301	557.20
56307	755.35
56341	282.30
56347	381.50

56401   472.20

56407   679.95

56409   472.20

56412   679.95

56441   239.40

56447   342.75

56449   239.40

23 October 2020 GOVERNMENT GAZETTE, WA 3893

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Amendment Regulations 2020

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MBS item number	Fee
$
56452	342.75
56501	727.20
56507	906.60
56541	364.75
56547	460.40
56659	211.75
56665	316.30
56801	881.35

56807	I	057.85
56841	440.65
56847	536.20
57001	881.50

57007   I 072.40

57041   440.75

57047   536.25

57201   293.10

57247   146.40

57341   887.80

57345   456.40

57351   963.30

57355   498.95

57356   498.95

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DIAGNOSTIC RADIOLOGY

NIBS item number	Fee
S

57506   64.80

57509   86.70

57512   88.40

57515   117.70

57518   70.75

57521   94.65

57524   107.85

57527   143.50

57700   88.40

57703   117.70

57706   70.75

57709   94.65

57712   102.85

57715   132.95

57721   216.45

57901   140.65

57902   140.65

57915   102.85

57918   102.85

57921   102.85

57924   102.85

57927   108.15

57930   71.80

23 October 2020 GOVERNMENT GAZETTE, WA 3895

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Amendment Regulations 2020

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NIBS item number	Fee
S
57933	170.65
57939	140.65
57942	108.15
57945	94.65
57960	103.50
57963	103.50
57966	103.50
57969	103.50
58100	146.40
58103	120.20
58106	167.90
58108	289.85
58109	102.60
58112	212.15
58115	289.85
58300	87.50
58306	194.85

58500   77.10

58503   102.85

58506   132.75

58509   86.70

58521   94.65

58524   123.25

58527   151.30

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Amendment Regulations 2020

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NIBS item number	Fee
S
58700	100.60
58706	344.40
58715	330.60
58718	275.25
58721	301.60
58900	77.80
58903	103.75
58909	196.10
58912	240.50
58915	172.15
58916	302.10
58921	295.05
58927	166.75
58933	448.55
58936	427.50
58939	303.80
59103	46.55

59300   195.30

59303   117.60

59312   189.80

59314   114.45

59318   102.65

59700   210.60

59703   165.65

23 October 2020 GOVERNMENT GAZETTE, WA 3897

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Amendment Regulations 2020

r. 7

NIBS item number	Fee
S
59712	248.05
59715	313.20
59718	293.75
59724	494.05
59733	234.95
59739	161.05
59751	303.55
59754	478.45
59763	292.15
59903	249.90
59912	665.75
59925	790.55
59970	367.20
59971	125.05
59972	332.75
59973	395.30
59974	183.60

60000	I	230.35
60003	I	804.35

60006   2 565.50

60009   3002.30

60012	I 230.35
60015	I 804.35

60018   2565.50

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Amendment Regulations 2020

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NIBS item number	Fee
S

60021   3002.30

60024   I 230.35

60027 I 804.35

60030   2 565.50

60033   3002.30

60036   I 230.35

60039 I 804.35

60042   2565.50

60045   3002.30

60048   I 230.35

60051   I 804.35

60054   2565.50

60057   3002.30

60060   I 230.35

60063   I 804.35

60066   2565.50

60069   3002.30

60072   105.10

60075   209.65

60078   314.50

60500   94.65

60503   64.80

60506   139.15

60509   215.70

23 October 2020 GOVERNMENT GAZETTE, WA 3899

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NIBS item number	Fee
S
60918	102.85
60927	83.05
61109 NUCLEAR MEDICINE IMAGING	564.75
MBS item number	Fee
S
61302	754.20
61303	949.75

61306   1192.40

61307   1 402.85

61310   617.10

61313   509.75

61314   705.65

61328   382.50

61340   425.10

61348   745.00

61353   649.45

61356   659.95

61360   677.75

61361   775.30

61364   835.05

61368   374.95

61369   3386.75

61372   374.95

3900 GOVERNMENT GAZETTE, WA 23 October 2020

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Amendment Regulations 2020

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MBS item number	Fee
$
61373	822.80
61376	240.90
61381	964.95

61383   1 049.90

61384   1155.45

61386   558.75

61387   723.80

61389   622.60

61390   688.85

61393   1 017.35

61397   414.70

61402   1 016.60

61409   1 467.75

61413   379.60

61421   806.20

61425   1 009.30

61426   932.15

61429   912.30

61430   1108.05

61433   835.05

61434   1 034.00

61438   1130.70

61441   822.80

61442   1 264.10

23 October 2020 GOVERNMENT GAZETTE, WA 3901

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Amendment Regulations 2020

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MBS item number	Fee
$
61445	481.85
61446	560.50
61449	766.45
61450	667.90
61453	864.80
61454	584.80
61457	790.45
61461	886.75
61462	218.95
61469	584.80
61473	294.60
61480	650.05

61485   1 678.85

61495   374.95

61499   425.10

61650 MAGNETIC RESONANCE IMAGING 1 476.30

MBS item number	Fee
$
63000-63200	I 094.10
63201	I 641.15
63202-63203	I 094.10
63204	I 641.15
63219-63243	1 641.15

3902 GOVERNMENT GAZETTE, WA 23 October 2020

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MBS item number	Fee
$
63271-63473	1094.10
63491-63494	125.10
63497	375.50

8.            Schedules 2 to 6 replaced

Delete Schedules 2 to 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 including the following elements -	$89.45
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.

23 October 2020 GOVERNMENT GAZETTE, WA 390

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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 program 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.

9( ) 1 GOVERNMENT GAZETTE, WA 23 October 2020

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Service Code Service 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 (PKOO 1).
•

The physiotherapist's involvement in specific item number in this Table (PQOO 1).

PBOO I Standard Consultation Set Fee

Consultation for one body area or condition $71.85 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.

23 October 2020 GOVERNMENT GAZETTE, WA 3905

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Service Code	Service 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 (PKO0 1).

•

The physiotherapist's involvement in specific item number in this Table (PQOO 1).

PCOO1

Two distinct areas of treatment per visit Set Fee

Same description as PBOO 1 except relates $90.80

to the treatment/management of 2 distinct
areas/conditions.

P0001

Group Consultation - per person Cost per
participant

Includes non-individualised services provided to more than one individual	$22.15
whether -

• in rooms, home or hospital;

• hydrotherapy treatment;

• extended treatments;

• services provided outside of normal business hours.

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Service Code Service

PEOO I	Worksite Visit - prior approval from	Hourly
insurer required	rate**
Prior to a worksite evaluation,	$203.90
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.
PROW	Progress/Standard Report	Set Fee
A report relating to a specific worker that is	$89.45
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.

23 October 2020 GOVERNMENT GAZETTE, WA 3907

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Service Code

Service

A maximum combined total of 3 reports or
Treatment Management Plans (PRO03)
permitted without prior approval from
insurer. Additional reports require prior
approval from insurer.

Does not include:

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

PR002

Comprehensive Report	Hourly rate**
As above for progress/standard report and	$203.90

detailed assessments and interventions
performed.

contains information relating to more comprehensive report must be discussed with the insurer prior to approval with a suggested maximum duration of 2 hours.

PRO03

Treatment Management Plan	Set Fee
Provision of a completed Treatment	$89.45
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 -

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

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Service Code Service

2.	description and number of proposed treatment methods;
3.

the number of weeks during conducted;

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

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

A maximum combined total of 3 Treatment
Management Plans or reports (PROO 1)
permitted 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 the patient requires the provider to travel away from their normal practice. The insurer must provide	$163.25
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.

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Service Code Service

PQOO I

Case Conferences

Face-to-face or telephone communication	$20.45
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.

PKOO I

Communication

Any required oral communication by the	$20.45
physiotherapist with a medical specialist,	per 6 minute

vocational rehabilitation provider (other
than a courtesy communication with the
medical practitioner) relating to the
treatment or rehabilitation of a specific
worker. medical practitioner, employer, insurer or record of the details of the communication, including its date, time and duration. block

30 minutes.

Maximum duration per communication is

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.

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Service Code Service

PS0O I	Specific Physiotherapy Assessment -	Hourly
prior approval from insurer required	rate**
Includes specific types of assessments not	$203.90
classified elsewhere in these scales required by the insurer which physiotherapists may undertake (e.g. diagnostic ultrasound imaging, Functional Capacity Assessments (FCAs), seating and wheelchair assessments).
PWOO 1	Specific Physiotherapy Intervention -	Hourly
prior approval from insurer required	rate**
Includes treatments not classified elsewhere	$203.90
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 programs
Type of service	Fee

EXE2O

Initial Consultation/Assessment

Insurer approval must be obtained prior to	$203.90
undertaking the service.	per hour to a
Review of current medical and vocational	maximum of
status.	2 hours**

Communication/liaison with relevant
parties.

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Type of service	Fee
Physiological assessment/testing.
Screening questionnaires relating to worker's level of function.
Exercise facility/equipment coordination (pool or gym based).	Program design based on above. the duration of the consultation.

EXE21	Subsequent Exercise Consultation/Assessment
Includes - $203.90 per hour to a
• program implementation -

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

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

EXEO2	Initial report
Includes - $203.90 per hour to a
• initial assessment report outlining maximum of

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

•

current status as per medical status;

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Type of service	Fee
•	detailed cost plan outlining proposed outcome, services required and proposed costs for

insurer approval.

EXEO3

Subsequent reports

Progress report to be provided at the	$203.90
request of the referrer.	per hour to a maximum of 30 minutes**

EXEO4

Final report

Comprehensive report to be provided at	$203.90
the end of the service delivery	per hour to a
detailing -	maximum of 30 minutes**

• physiological testing results pre and post program;

• worker attendance/program
compliance.

EXEO5

Gym membership/Entry fees

Includes direct cost of membership (pool Market rates

or gym).
Prior approval from insurer required.

EXEO6

Travel

Travel when the most appropriate	$163.25
management of the patient requires the	per hour**

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.

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Type of service Fee

EXE08

Communication

Any requested or required oral	$20.45
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 $203.90

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	$70.65
2.	Subsequent consultation	$58.95
3.	Spinal x-ray, one region	$140.45
4.	Spinal x-ray, 2 or more regions	$210.90
5.	Travel (per kilometre)	$1.00

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Schedule 4— Scale of fees: occupational therapists

[r. 5]

Type of service Fee

I.	Brief consultation (< 15 minutes)	$30.40
2.	Short consultation (15 minutes to <30 minutes)	$61.15
3.	Standard consultation (30 minutes to <45 minutes)	$100.85
4.	Extended consultation (45 minutes to < 1 hour)	$151.20
5.	Extended consultation (2 1 hour)	$201.85
6.	Standard group consultation (30 minutes) per person	$66.30
7.	Travel costs	$201.85 per hour**
8.	Treatment management plan for an upper limb injury	$89.45

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.

Schedule 5— Scale of fees: speech pathologists

[r. 7]

Type of service Fee

1. Initial consultation/assessment (up to and including

1 hour) $186.45

2.	Initial consultation/assessment (exceeding 1 hour)	$241.45
3.	Subsequent consultation (< 30 minutes)	$81.30

4.	Subsequent consultation (30 minutes -	1 hour)	$105.60
5.	Subsequent consultation (> 1 hour)	$142.50

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Schedule 5A - Scale of fees: exercise physiologists

jr. 7Bj

Exercise-based programs

Type of service Fee

EPE20

Initial Consultation/Assessment

Insurer approval must be obtained prior to	$203.90
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.

Exercise facility/equipment coordination (pool
or gym based). Program design based on above. duration of the consultation.

EPE2 1 Subsequent Exercise

Consultation/Assessment	$203.90
Includes -	per hour to a maximum

•	program implementation - prescription	of 1 hour**
and provision of exercises (land or pool based);
•	program monitoring;
•	post program screening questionnaire relating to worker's level of function;
•	psychosocial reassessment;

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Type of service	Fee
•	communication/liaison with relevant parties.

EPE02	Initial report
Includes - $203.90 per hour to
• initial assessment report outlining results a maximum

(self-reported and objective),

recommendations and exercise	of I hour**
rehabilitation plan;

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

detailed cost plan outlining proposed costs for insurer approval.

EPE03

Subsequent reports

Progress report to be provided at the request of	$203.90
the referrer.	per hour to a maximum of

30 minutes

**

EPE04	Final report
Comprehensive report to be provided at the end $203.90
of the service delivery detailing - per hour to a maximum
• physiological testing results pre and post of

program; 30 minutes
**

• worker attendance/program compliance.

EPE05

Gym membership/Entry fees

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

Prior approval from insurer required.

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Type of service Fee

EPE06 Travel

Travel when the most appropriate management	$163.25
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.

EPE08	Communication
Any requested or required oral communication with relevant parties (treating medical practitioners, employers and insurers) relating to 6 minute $20.45

per

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.

EPE09	Attendance at Medical Case Conferences
Insurer approval must be obtained prior to $203.90
undertaking the service.

Note for this Schedule:  per hour**

**

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.

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Schedule 6— Scale of maximum fees: approved
medical specialists

r. 9]

Part 1 - Assessments

Description of assessment	Maximum fee**
Examination and provision of report and	$1 375.60 (or, if an
certificate - straightforward assessment -	interpreter is present at
other than a service mentioned in item 4, 5,	the examination,
6or8.	$1719.50 excluding any fee payable to the interpreter)

2.	Examination and provision of report and	$1719.50 (or, if an
certificate - moderately complex	interpreter is present at
assessment (e.g. reviewing multiple	the examination,
questions and reports; impairment	$2 063.40 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	$2 063.40 (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) -	$2 407.20 excluding

other than a service mentioned in item 4, 5,	any fee payable to the
6or8.	interpreter)

4.	Examination of any ear, nose and throat	$1 375.60 (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.	$1719.50 excluding any fee payable to the interpreter)

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Description of assessment Maximum fee**

5.	Examination and provision of report and	$2 063.40 (or, if an
certificate - psychiatric - standard	interpreter is present at
assessment - other than a service	the examination,
mentioned in item 8.	$2 407.20 excluding any fee payable to the interpreter)
6.	Examination and provision of report and	$3 438.80 (or, if an
certificate - psychiatric - complex	interpreter is present at
assessment (e.g. reviewing significant	the examination,
documented prior psychiatric history) -	$3 782.65 excluding
other than a service mentioned in item 8.	any fee payable to the interpreter)
7.	Consolidation of written assessments from	$687.75
multiple medical practitioners.
8.	Re-examination and provision of report and	$1031.65 (or,ifan
certificate.	interpreter is present at the examination, $1375.60 excluding any fee payable to the interpreter)
9.	Provision of supplementary report and	$343.95
certificate.

Part 2 - Attempted assessments

Description of circumstances	Maximum fee**
If a worker who is required under Part VII	$687.75
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

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Description of circumstances	Maximum fee**
(b)	the examination is cancelled, otherwise than at the request of the approved medical specialist, with less than one working day's notice.

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.

V. MOLAN, Clerk of the Executive Council.