Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2021 (WA)
8 October 2021 GOVERNMENT GAZETTE, WA 4603 WORKCOVER
WC301
Workers’ Compensation and Injury Management Act 1981
Workers’ Compensation and Injury
Management (Scales of Fees) Amendment
Regulations 2021
SL 2021/169
Made by the Governor in Executive Council.
1. Citation
These regulations are the Workers’ Compensation and Injury
Management (Scales of Fees) Amendment Regulations 2021.
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 2021. 3. Regulations amended
These regulations amend the Workers’ Compensation and Injury
Management (Scales of Fees) Regulations 1998.
4. Regulation 2 amended
In regulation 2(2) in the definition of MBS item number delete
“1 November 2020.” and insert:
1 November 2021.
5. Various fees amended
Amend the provisions listed in the Table as set out in the Table.
Table
Provision Delete Insert
r. 6(1) $258.35 $262.35 r. 6A $258.35 $262.35
| 4604 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Provision Delete Insert
r. 7A $81.70 $82.95 r. 7C(2) $79.75 $81.00 r. 8 $192.75 $195.70 6. Schedules 1 to 6 replaced
Delete Schedules 1 to 6 and insert:
Schedule 1 — Scale of fees: medical specialists and
other medical practitioners
[r. 2]
Part 1 — Medical specialists and other medical practitioners
Type of service/by whom Fee
GENERAL PRACTITIONER
CONSULTATIONS
Surgery Consultation
in hours
Content based
Minor or Specific Service (Level A or B) $81.60 Extended Service (Level C) $149.00 Comprehensive Service (Level D) $228.85
Time based
up to 5 minutes $48.65 more than 5 minutes to 15 minutes $63.35 more than 15 minutes to 30 minutes $122.35 more than 30 minutes to 45 minutes $185.15 more than 45 minutes to 60 minutes $250.85
Surgery Consultations
out of hours
For attendances between the hours of 6 pm and 8 am on a weekday or between 12 noon on Saturday and 8 am on the following Monday and Public Holiday.
Content based
Minor Service (Level A) $61.25 Specific Service (Level B) $122.35 Extended Service (Level C) $222.80
8 October 2021 GOVERNMENT GAZETTE, WA 4605
Comprehensive Service (Level D) $344.95 Time based
up to 5 minutes $96.90 more than 5 minutes to 15 minutes $105.15 more than 15 minutes to 30 minutes $162.90 more than 30 minutes $222.80
VISITS
Consultations at a place other than the Consulting Rooms
in hours
Minor Service (Level A) $102.05 Specific Service (Level B) $139.45 Extended Service (Level C) $206.95 Comprehensive Service (Level D) $288.40
out of hours
Minor Service (Level A) $122.35 Specific Service (Level B) $181.95 Extended Service (Level C) $279.15 Comprehensive Service (Level D) $407.70
TELEPHONE CONSULTATIONS
Time based
up to 5 minutes $27.15 more than 5 minutes to 15 minutes $34.10 more than 15 minutes to 30 minutes $71.35 more than 30 minutes $106.90
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments, etc.
per hour $306.75 TRAVELLING FEES
Rate per kilometre $5.55 PHYSICIANS, OCCUPATIONAL & REHABILITATION
PHYSICIANS
PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms or a
hospital and issue of certificate (if required) et al
first attendance $309.70 subsequent attendances $154.85
| 4606 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
VISITS
Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required)
et al
first attendance $370.65 subsequent attendances $213.85 REHABILITATION PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms or a
hospital and issue of certificate (if required) et al
first attendance $309.70 subsequent attendances $154.85 VISITS
Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required)
et al
first attendance $370.65 subsequent attendances $213.85 OCCUPATIONAL PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms or a
hospital and issue of certificate (if required) et al
first attendance $314.65 subsequent attendances $154.85 VISITS
Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required)
et al
first attendance $370.65 subsequent attendances $213.85 TELEPHONE CONSULTATIONS
Time based
up to 5 minutes $40.65 more than 5 minutes to 15 minutes $50.05 more than 15 minutes to 30 minutes $104.70 more than 30 minutes $158.10
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments, etc.
per hour $454.75 TRAVELLING FEES
Rate per kilometre $5.55
8 October 2021 GOVERNMENT GAZETTE, WA 4607 CONSULTANT PSYCHIATRISTS
CONSULTATIONS
Professional attendance at consulting rooms or a hospital and issue of certificate (if required) et al
Time based
up to 15 minutes $90.85 more than 15 minutes to 30 minutes $181.15 more than 30 minutes to 45 minutes $271.35 more than 45 minutes to 60 minutes $363.10 more than 60 minutes to 75 minutes $410.85 more than 75 minutes $458.55
VISITS
Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required) et al
Time based
up to 15 minutes $149.10 more than 15 minutes to 30 minutes $240.75 more than 30 minutes to 45 minutes $328.55 more than 45 minutes to 75 minutes $420.30 more than 75 minutes $506.55
TELEPHONE CONSULTATIONS
Time based
up to 45 minutes $120.60 more than 45 minutes $263.00
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments, etc.
per hour $454.75 TRAVELLING FEES
Rate per kilometre $5.55 SPECIALISTS
SURGEONS
CONSULTATIONS
Professional attendance at consulting rooms or a
hospital and issue of certificate (if required) et al
first attendance $176.00 subsequent attendances $91.85
| 4608 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
VISITS
Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required)
et al
first attendance $237.15 subsequent attendances $151.30 DERMATOLOGISTS
CONSULTATIONS
Professional attendance at consulting rooms or a
hospital and issue of certificate (if required) et al
first attendance $176.00 subsequent attendances $91.85 VISITS
Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required)
et al
first attendance $236.85 subsequent attendances $150.95 TELEPHONE CONSULTATIONS
Time based
up to 5 minutes $40.65 more than 5 minutes to 15 minutes $50.05 more than 15 minutes to 30 minutes $104.70 more than 30 minutes $158.10
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments, etc.
per hour $454.75 TRAVELLING FEES
Rate per kilometre $5.55 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 $91.55 CONSULTATIONS AND ATTENDANCES Units Anaesthetist Consultation — an attendance of 15 minutes or less duration 2
8 October 2021 GOVERNMENT GAZETTE, WA 4609
CONSULTATIONS AND ATTENDANCES Units
— an attendance of more than 15 minutes but not
more than 30 minutes duration 4
— an attendance of more than 30 minutes but not
more than 45 minutes duration 6
— an attendance of more than 45 minutes duration 8 Post anaesthesia patient care following a day procedure 2 EMERGENCY ATTENDANCES After hours — where immediate attendance is required after 6 pm and before 8 am on any weekday, or at any time on a Saturday, Sunday or a public holiday 6 Note: No after hours loading applies to the above item Attendance on a patient in imminent danger of death requiring continuous life saving emergency treatment to
the exclusion of all other patients 6 Call back from home, office or other distant location for the provision of emergency services 4 PROCEDURES AND SERVICES
All anaesthesia fees in relation to procedures and services are to be
charged on the relative value guide (RVG) system. In most cases, the
RVG system comprises 3 elements: base units (BUs), modifying units
(MUs) and time units (TUs).In Division 1, the fee for a procedure is calculated by adding the base units for the procedure, the time units, and any modifying units and multiplying the result by the $ value per unit allocated by this Schedule.
(BUs + TUs + MUs) x $ value per unit = Fee
In Division 2, the fee for a therapeutic or diagnostic service only includes modifying units (MUs), and time units (TUs) if the item notes that service as including either or both.
Base units
The appropriate number of base units for each procedure has been established and is set out in this Schedule.
[The number of base units for each procedure has been calculated so
as to include usual postoperative visits, the administration of fluids
and/or blood incidental to the anaesthesia care and usual monitoringprocedures.]
Time units
For the first 2 hours, each 15 minutes (or part thereof) of anaesthetic
time constitutes 1 time unit. After 2 hours, time units are calculated at
1 per 10 minutes (or part thereof).
| 4610 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Modifying units
Many anaesthetic services are provided under particularly difficult circumstances depending on factors such as the medical condition of the patient and unusual risk factors. These factors significantly affect the character of the anaesthetic services provided. Circumstances giving rise to additional modifying units are set out in this Schedule.
[Note: The modifying units are, in the main, derived from the modifying units set out
in the AMA’s “List of Medical Services and Fees”.]
Description Units A normal healthy patient 0 A patient with a mild systemic disease 0 A patient with a severe systemic disease 1 A patient with a severe systemic disease that is a constant threat to life 4 A moribund patient who is not expected to survive for 24 hours with or without the operation 6 A patient who is morbidly obese (body mass index is more than 35) 2 A patient who is in the 3rd trimester of pregnancy 2 A patient declared brain-dead whose organs are being removed for donor purposes 0 Where the patient is aged under 1 year or over 70 years of age 1 Emergency surgery (i.e. when undue delay in treatment of the patient would lead to a significant increase in a threat to life or
body part) 2 Anaesthesia in the prone position (not applicable to lower intestinal endoscopic procedures) 3 Anaesthesia for after hours emergencies
A 50% loading should apply to emergency after hours anaesthesia. It
is calculated using the “total relative value”. The 50% loading and the
emergency surgery modifier should not be used together.
after hours is defined as that period between 6.00 pm. and the following 8.00 am on weekdays and between 8.00 am and the following 8.00 am on weekend days and public holidays.
Division 1 — Procedures
Description of procedure, etc. Units Head Anaesthesia for all procedures on the skin and subcutaneous tissue, muscles, salivary glands and superficial blood vessels
of the head, including biopsy, unless otherwise specified 5 — plastic repair of cleft lip 6 Anaesthesia for electroconvulsive therapy 4
8 October 2021 GOVERNMENT GAZETTE, WA 4611
Description of procedure, etc. Units Anaesthesia for all procedures on external, middle or inner ear, including biopsy, unless otherwise specified 5 — otoscopy 4 Anaesthesia for all procedures on eye unless otherwise
specified 5 — lens surgery 5 — retinal surgery 8 — corneal transplant 7 — vitrectomy 7 — biopsy of conjunctiva 5 — ophthalmoscopy 4 Anaesthesia for all procedures on nose and accessory sinuses
unless otherwise specified 6 — radical surgery 7 — biopsy, soft tissue 4 Anaesthesia for all intraoral procedures, including biopsy,
unless otherwise specified 6 — repair of cleft palate 7 — excision of retropharyngeal tumour 9 — radical intraoral surgery 10 Anaesthesia for all procedures on facial bones unless
otherwise specified 5 — extensive surgery on facial bones (including
prognathism and extensive facial bone reconstruction) 10 Anaesthesia for all intracranial procedures unless otherwise
specified 15 — subdural taps 5 — burr holes 9 — intracranial vascular procedures including those for aneurysms and arterio-venous abnormalities 20 — spinal fluid shunt procedures 10 — ablation of intracranial nerve 6 Anaesthesia for all cranial bone procedures 12 Neck Anaesthesia for all procedures on the skin or subcutaneous tissue of the neck unless otherwise specified 5 Anaesthesia for incision and drainage of large haematoma, large abscess, cellulitis, or similar lesion causing life
threatening airway obstruction 15
| 4612 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of procedure, etc. Units Anaesthesia for all procedures on oesophagus, thyroid, larynx, trachea and lymphatic system muscles, nerves or
other deep tissues of the neck unless otherwise specified 6 — for laryngectomy, hemi-laryngectomy,
laryngopharyngectomy, or pharyngectomy 10
Anaesthesia for laser surgery to the airway 8 Anaesthesia for all procedures on major vessels of neck unless otherwise specified 10 — simple ligation 5 Thorax (chest wall/shoulder girdle)
Anaesthesia for all procedures on the skin or subcutaneous
tissue of the chest unless otherwise specified 3 Anaesthesia for all procedures on the breast unless otherwise specified 4 — reconstructive procedures on the breast (e.g. reduction
or augmentation, mammoplasty) 5
— removal of breast lump or for breast segmentectomy
where axillary node dissection is performed 5
— mastectomy 6 — reconstructive procedures on the breast using
myocutaneous flaps 8
— radical or modified radical procedures on breast with
internal mammary node dissection 13
— electrical conversion of arrhythmias 4 Anaesthesia for percutaneous bone marrow biopsy of the
sternum 4 Anaesthesia for all procedures on the clavicle, scapula or sternum unless otherwise specified 5 — radical surgery 6 Anaesthesia for partial rib resection unless otherwise
specified 6 — thoracoplasty 10 — extensive procedures (e.g. pectus excavatum) 13 Intrathoracic
Anaesthesia for open procedures on the oesophagus 15 Anaesthesia for all closed chest procedures (including rigid oesophagoscopy or bronchoscopy) unless otherwise
specified 6 — needle biopsy of pleura 4 — pneumocentesis 4 — thoracoscopy 10 — mediastinoscopy 8
8 October 2021 GOVERNMENT GAZETTE, WA 4613
Description of procedure, etc. Units Anaesthesia for all thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum unless otherwise
specified 13 — pulmonary decortication 15 — pulmonary resection with thoracoplasty 15 — intrathoracic repair of trauma to trachea and bronchi 15 Anaesthesia for all open procedures on the heart,
pericardium, and great vessels of the chest 20 Anaesthesia for heart transplant 20 Anaesthesia for heart and lung transplant 20 Cadaver harvesting of heart and/or lungs 8 Spine and spinal cord Anaesthesia for all procedures on the cervical spine and/or cord unless otherwise specified (for myelography and
discography see items in ‘Other Procedures’) 10 — posterior cervical laminectomy in sitting position 13 Anaesthesia for all procedures on the thoracic spine and/or
cord unless otherwise specified 10 — thoracolumbar sympathectomy 13 Anaesthesia for all procedures in the lumbar region unless
otherwise specified 8 — lumbar sympathectomy 7 — chemonucleolysis 10 Anaesthesia for extensive spine and spinal cord procedures 13 Anaesthesia for manipulation of spine 3 Anaesthesia for percutaneous spinal procedures 5 Upper abdomen Anaesthesia for all procedures on the skin or subcutaneous tissue of the upper abdominal wall unless otherwise specified 3 Anaesthesia for all procedures on the nerves, muscles, tendons and fascia of the upper abdominal wall 4 Anaesthesia for laparoscopic procedures unless otherwise specified 7 Anaesthesia for extracorporeal shock wave lithotripsy 6 Anaesthesia for upper gastrointestinal endoscopic procedures 5 Anaesthesia for upper gastrointestinal endoscopic procedures in association with imaging techniques including
fluoroscopy and ultrasound 6 Anaesthesia for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage 7 Anaesthesia for all hernia repairs in upper abdomen unless otherwise specified 5
| 4614 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of procedure, etc. Units — repair of incisional hernia and/or wound dehiscence 6 — repair of omphalocele 7 — transabdominal repair of diaphragmatic hernia 9 Anaesthesia for all procedures on major abdominal blood
vessels 15 Initiation of the management of anaesthesia for procedures within the peritoneal cavity in upper abdomen, including open cholecystectomy, gastrectomy, laparoscopically
assisted nephrectomy and bowel shunts 8 Anaesthesia for bariatric surgery in a patient with clinically severe obesity 10 Anaesthesia for partial hepatectomy (excluding liver biopsy) 13 Anaesthesia for extended or trisegmental hepatectomy 15 Anaesthesia for pancreatectomy, partial or total (e.g. Whipple procedure) 12 Anaesthesia for liver transplant (recipient) 30 Anaesthesia for neuro endocrine tumour removal (e.g. carcinoid) 10 Anaesthesia for percutaneous procedures on an intra-abdominal organ in the upper abdomen 6 Lower abdomen Anaesthesia for all procedures on the skin or subcutaneous tissue of the lower abdominal wall unless otherwise specified 3 — lipectomy 5 Anaesthesia for all procedures on the nerves, muscles, tendons and fascia of the lower abdominal wall (with the
exception of abdominal lipectomy) 4 Anaesthesia for laparoscopic procedures 7 Anaesthesia for all lower intestinal endoscopic procedures (modifier for prone position is not applicable) 4 Anaesthesia for extracorporeal shock wave lithotripsy 6 Anaesthesia for all hernia repairs in lower abdomen unless otherwise specified 4 — repair of incisional hernia and/or wound dehiscence 6
Anaesthesia for all procedures within the peritoneal cavity in the lower abdomen (including appendicetomy) unless
otherwise specified 6 Anaesthesia for bowel resection, including laparascopic bowel resection, unless otherwise specified 8 — amniocentesis 4 — abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation
of bowel reservoir 10
8 October 2021 GOVERNMENT GAZETTE, WA 4615
Description of procedure, etc. Units — radical prostatectomy 10 — radical hysterectomy 10 — radical ovarian surgery 10 — pelvic exenteration 10 — Caesarean section 10 — Caesarean hysterectomy or hysterectomy within 24 hours of delivery 15 Anaesthesia for all extraperitoneal procedures in lower
abdomen, including urinary tract, unless otherwise specified 6 — renal procedures, including upper 1/3 or ureter 7 — total cystectomy 10 — adrenalectomy 10 — neuro endocrine tumour removal (e.g. carcinoid) 10 — renal transplant (donor or recipient) 10 Anaesthesia for all procedures on major lower abdominal
vessels unless otherwise specified 15 — inferior vena cava ligation 10 — percutaneous umbrella insertion 5 Anaesthesia for percutaneous procedures on an
intra-abdominal organ in the lower abdomen 6 Perineum Anaesthesia for all procedures on the skin or subcutaneous tissue of the perineum unless otherwise specified 3 — anorectal procedures (including surgical
haemorrhoidectomy, but not banding of haemorrhoids) 4
— radical perineal procedure including radical perineal
prostatectomy or radical vulvectomy 7 — vulvectomy 4 Anaesthesia for all transurethral procedures (including
urethrocystoscopy) unless otherwise specified 4 — transurethral resection of bladder tumour(s) 5 — transurethral resection of prostate 7 — post-transurethral resection bleeding 7 Anaesthesia for all procedures on male external genitalia
unless otherwise specified 4 — undescended testis, unilateral or bilateral 4 Anaesthesia for procedures on the cord and/or testes unless
otherwise specified 4 — radical orchidectomy, inguinal approach 4 — radical orchidectomy, abdominal approach 6
| 4616 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of procedure, etc. Units — orchiopexy, unilateral or bilateral 4 — complete amputation of the penis 4 — complete amputation of the penis with bilateral inguinal
lymphadenectomy 6
— complete amputation of the penis with bilateral inguinal
and iliac lymphadenectomy 8
— insertion of penile prosthesis (perianal approach) 4 Anaesthesia for all vaginal procedures (including biopsy of labia, vagina, cervix or endometrium) unless otherwise
specified 4 — transvaginal assisted reproductive services 4 — vaginal hysterectomy 6 — vaginal delivery 6 — purse string ligation of cervix 4 — culdoscopy 5 — hysteroscopy 4 — correction of inverted uterus 8 Anaesthesia for evacuation of retained products of
conception, as a complication of confinement 4 — for the manual removal of retained placenta or for repair
of vaginal or perineal tear following delivery 5
— for vaginal procedures in the management of post
partum haemorrhage 7
Pelvis — except hip
Anaesthesia for all procedures on the skin and subcutaneous
tissue of the pelvic region, except external genitalia 3 Anaesthesia for percutaneous bone marrow biopsy of the anterior iliac crest 4 — percutaneous bone marrow biopsy of the posterior iliac
crest 5
Anaesthesia for percutaneous bone marrow harvesting from
the pelvis 6 Anaesthesia for procedures on bony pelvis 6 Anaesthesia for body cast application or revision 3 Anaesthesia for interpelviabdominal (hind quarter) amputation 15 Anaesthesia for radical procedures for tumour of pelvis, except hind quarter amputation 10 Anaesthesia for closed procedures involving symphysis pubis or sacroiliac joint 4 Anaesthesia for open procedures involving symphysis pubis or sacroiliac joint 8
8 October 2021 GOVERNMENT GAZETTE, WA 4617
Description of procedure, etc. Units Upper leg — except knee Anaesthesia for all procedures on the skin or subcutaneous tissue of the upper leg 3 — on the nerves, muscles, tendons, fascia, or bursae of the
upper leg 4 Anaesthesia for all closed procedures involving hip joint 4 Anaesthesia for arthroscopic procedures of hip joint 4 Anaesthesia for all open procedures involving hip joint unless otherwise specified 6 — hip disarticulation 10 — total hip replacement or revision 10 Anaesthesia for bilateral total hip replacement 14 Anaesthesia for all closed procedures involving upper 2/3 of femur 4 Anaesthesia for all open procedures involving upper 2/3 of femur unless otherwise specified 6 — amputation 5 — radical resection 8 Anaesthesia for all procedures involving veins of the upper
leg including exploration 4 Anaesthesia for all procedures involving arteries of the upper leg, including bypass graft, unless otherwise specified 8 — femoral artery ligation 4 — femoral artery embolectomy 6 — for microsurgical reimplantation of upper leg 15 Knee and popliteal area
Anaesthesia for all procedures on the skin and subcutaneous
tissue of the knee and/or popliteal area 3 Anaesthesia for all procedures on nerves, muscles, tendons, fascia and bursae of the knee and/or popliteal area 4 Anaesthesia for all closed procedures on the lower 1/3 of femur 4 Anaesthesia for all open procedures on the lower 1/3 of femur 5 Anaesthesia for all closed procedures on the knee joint 3 Anaesthesia for arthroscopic procedures of the knee joint 4 Anaesthesia for all closed procedures on upper ends of the tibia and fibula, and/or patella 3 Anaesthesia for all open procedures on upper ends of the tibia and fibula, and/or patella 4 Anaesthesia for open procedures on the knee joint unless otherwise specified 4
| 4618 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of procedure, etc. Units — knee replacement 7 — bilateral knee replacement 10 — disarticulation of knee 5 Anaesthesia for all cast applications, removal, or repair
involving the knee joint 3 Anaesthesia for all procedures on the veins of the knee and popliteal area unless otherwise specified 4 — repair of arteriovenous fistula 5 Anaesthesia for all procedures on the arteries of the knee and
popliteal area unless otherwise specified 8 Lower leg — below knee (includes ankle and foot) Anaesthesia for all procedures on the skin or subcutaneous tissue of the lower leg, ankle and foot 3 Anaesthesia for all procedures on the nerves, muscles, tendons and fascia of the lower leg, ankle, and foot unless
otherwise specified 4 Anaesthesia for all closed procedures on the lower leg, ankle and foot 3 Anaesthesia for arthroscopic procedure of ankle joint 4 — gastrocnemius recession 5 Anaesthesia for all open procedures on the bones of the lower leg, ankle and foot, including amputation, unless
otherwise specified 4 — radical resection 5 — osteotomy or osteoplasty of tibia and fibula 5 — total ankle replacement 7 Anaesthesia for lower leg cast application, removal or repair 3 Anaesthesia for all procedures on arteries of the lower leg, including bypass graft unless otherwise specified 8 — embolectomy 6 Anaesthesia for all procedures on the veins of the lower leg
unless otherwise specified 4 — venous thrombectomy 5 — for microsurgical reimplantation of the lower leg, ankle
or foot 15
— for microsurgical reimplantation of the toe 8 Shoulder and axilla (includes humeral head and neck, sternoclavicular joint, acromioclavicular joint and
shoulder joint)
Anaesthesia for all procedures on the skin or subcutaneous
tissue of the shoulder or axilla 3
8 October 2021 GOVERNMENT GAZETTE, WA 4619
Description of procedure, etc. Units Anaesthesia for all procedures on nerves, muscles, tendons, fascia and bursae of shoulder and axilla, including axillary
dissection 5 Anaesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint or the
shoulder joint 4 Anaesthesia for all arthroscopic procedures of the shoulder joint 5 Anaesthesia for all open procedures on the humeral head and neck, sternoclavicular joint, acromioclavicular joint or the
shoulder joint unless otherwise specified 5 — radical resection 6 — shoulder disarticulation 9 — interthoracoscapular (forequarter) amputation 15 — total shoulder replacement 10 Anaesthesia for all procedures on arteries of shoulder and
axilla unless otherwise specified 8 — axillary-brachial aneurysm 10 — bypass graft 8 — axillary-femoral bypass graft 10 Anaesthesia for all procedures on veins of shoulder and
axilla 4 Anaesthesia for all shoulder cast application, removal or repair unless otherwise specified 3 — shoulder spica 4 Upper arm and elbow
Anaesthesia for all procedures on the skin or subcutaneous
tissue of the upper arm and elbow 3 Anaesthesia for all procedures on the nerves, muscles, tendons, fascia and bursae of upper arm and elbow, unless
otherwise specified 4 — tenotomy, elbow to shoulder, open 5 — tenoplasty, elbow to shoulder 5 — tenodesis, rupture of long tendon of biceps 5 Anaesthesia for all closed procedures on the humerus and
elbow 3 Anaesthesia for arthroscopic procedures of elbow joint 4 Anaesthesia for all open procedures on the humerus and elbow unless otherwise specified 5 — radical procedures 6 — total elbow replacement 7
| 4620 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of procedure, etc. Units Anaesthesia for all procedures on the arteries of the upper arm unless otherwise specified 8 — embolectomy 6 Anaesthesia for all procedures on the veins of the upper arm
unless otherwise specified 4 — for microsurgical reimplantation of the upper arm 15 Forearm, wrist and hand
Anaesthesia for all procedures on the skin or subcutaneous
tissue of the forearm, wrist and hand 3 Anaesthesia for all procedures on the nerves, muscles, tendons, fascia and bursae of the forearm, wrist and hand 4 Anaesthesia for all closed procedures on radius, ulna, wrist, or hand bones 3 Anaesthesia for all open procedures on radius, ulna, wrist, or hand bones unless otherwise specified 4 — total wrist replacement 7 Anaesthesia for arthroscopic procedures of the wrist joint 4 Anaesthesia for all procedures on the arteries of the forearm, wrist, and hand unless otherwise specified 8 — embolectomy 6 Anaesthesia for all procedures on the veins of the forearm,
wrist, and hand unless otherwise specified 4 Anaesthesia for forearm, wrist, or hand cast application, removal or repair 3 — for microsurgical reimplantation of forearm, wrist or
hand 15
— for microsurgical reimplantation of a finger 8 Burns
Anaesthesia for excision of debridement of burns with or
without skin grafting
— where the burnt area involves not more than 3% of total
body surface 3
— where the burnt area involves more than 3% but less
than 10% of total body surface 5
— where the burnt area involves 10% or more but less than
20% of total body surface 7
— where the burnt area involves 20% or more but less than
30% of total body surface 9
— where the burnt area involves 30% or more but less than
40% of total body surface 11
— where the burnt area involves 40% or more but less than
50% of total body surface 13
8 October 2021 GOVERNMENT GAZETTE, WA 4621
Description of procedure, etc. Units — where the burnt area involves 50% or more but less than
60% of total body surface 15 — where the burnt area involves 60% or more but less than
70% of total body surface 17 — where the burnt area involves 70% or more but less than
80% of total body surface 19
— where the burnt area involves 80% or more of total
body surface 21 Other Procedures
Anaesthesia for injection procedure for myelography
— lumbar or thoracic 5 — cervical 6 — posterior fossa 9 Anaesthesia for injection procedure for discography
— lumbar or thoracic 5 — cervical 6 Anaesthesia for peripheral arteriogram 5 Anaesthesia for arteriograms — carotid, cerebral or vertebral 5 — retrograde, brachial or femoral 5 Anaesthesia for computerised axial tomography scanning, magnetic resonance scanning, ultrasound scanning or digital
subtraction angiography scanning 7 Anaesthesia for radiology unless otherwise specified 4 Anaesthesia for retrograde cystography, retrograde urethrography or retrograde cystourethrography 4 Initiation of management of anaesthesia for fluoroscopy 4 Anaesthesia for bronchography 6 Anaesthesia for phlebography 5 Anaesthesia for heart, 2 dimensional real time transoesophageal examination 6 Anaesthesia for peripheral venous cannulation 3 Anaesthesia for cardiac catheterisation including coronary arteriography, ventriculography, cardiac mapping, insertion
of automatic defibrillator or transvenous pacemaker 7 Anaesthesia for cardiac electrophysiological procedures including radio frequency ablation 10 Anaesthesia for central vein catheterisation or insertion of right heart balloon catheter 5 Anaesthesia for lumbar puncture, cisternal puncture, or epidural injection 5
| 4622 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of procedure, etc. Units Anaesthesia for harvesting of bone marrow for the purpose of transplantation 5 Anaesthesia for muscle biopsy for malignant hyperpyrexia 4 Anaesthesia for electroencephalography 5 Anaesthesia for brain stem evoked audiometry 5 Anaesthesia for electrocochleography by extratympanic method or transtympanic membrane insertion method 5 Anaesthesia for a therapeutic procedure where it can be demonstrated that there is a clinical need for anaesthesia 5 Anaesthesia during hyperbaric therapy where the medical practitioner is not confined in the chamber (including the
administration of oxygen) 8 Anaesthesia during hyperbaric therapy where the medical practitioner is confined in the chamber (including the
administration of oxygen) 15 Anaesthesia for brachytherapy using radioactive sealed sources 5 Anaesthesia for therapeutic nuclear medicine 5 Anaesthesia for radiotherapy 7 Anaesthesia where no procedure ensues 3 Note — Unlisted anaesthetic procedures
The AMA recognise that in determining the number of units applicable, the anaesthetist shall have regard to equivalent
procedures.
Division 2 — Therapeutic and diagnostic services
Description of service, etc. MUs TUs BUs Administration of blood or bone marrow already collected when performed in association with the
administration of anaesthesia no no 4 Venous cannulation and blood
transfusion (or blood products) notassociated with anaesthesia no no 5 Intubation, endotracheal, emergency procedure, where the patient’s airway is unsecured and at high risk of
occlusion, (e.g. epiglottitis or
haematoma post thyroidectomy) notassociated with surgery yes yes 15 Intubation, endotracheal, not
associated with anaesthesia, when
subsequent management is not in anintensive care unit yes yes 4
8 October 2021 GOVERNMENT GAZETTE, WA 4623
Description of service, etc. MUs TUs BUs Awake endotracheal intubation with flexible fibreoptic scope, associated with difficult airway, when performed
in association with the administration of anaesthesia no no 4 Double lumen endobronchial tube or bronchial blocker, insertion of, when performed in association with the
administration of anaesthesia no no 4 Monitoring of depth of anaesthesia,
incorporating continuous
measurement of the EEG during
anaesthesia for the diagnosis ofawareness no no 3 Venous cannulation and
commencement of intravenous
infusion, under age of 3 years, notassociated with anaesthesia no no 3 Venous cannulation, cutdown no no 5 Venous cannulation and
commencement of intravenous
infusion not associated withanaesthesia no no 2 Right heart balloon catheter, insertion
of, including pulmonary wedge
pressure and cardiac outputmeasurement no no 7 Central vein catheterisation,
percutaneous via jugular, subclavianor femoral vein no no 3 Central vein catheterisation by cutdown no no 5 Central venous pressure monitoring no no 3 Arterial cannulation, percutaneous no no 3 Arterial puncture, withdrawal of blood for diagnosis no no 1 Arterial cannulation, by cutdown no no 5 Catheterisation, umbilical artery, newborn, for diagnosis, or therapy no no 5 Intra-arterial infusion or retrograde
intravenous perfusion of asympatholytic agent no no 4 Intravenous regional anaesthesia of limb by retrograde perfusion no no 4 Perfusion of limb or organ no no 12
| 4624 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of service, etc. MUs TUs BUs Medical management of
cardio-pulmonary bypass perfusionusing heart/lung machine yes yes 20 Hypothermia, total body no no 5 Deep hypothermia to a core
temperature of less than 22 degrees inassociation with circulatory arrest no no 15 Standby medical management of
cardio-pulmonary bypass perfusionusing heart/lung machine no yes 5 Major nerve block (proximal to the
elbow or knee), including intercostal
nerve block(s) or plexus block toprovide post operative pain relief no no 4 Minor nerve block (specify type) to
provide post operative pain relief
(does not include subcutaneousinfiltration) no no 2 Intrathecal or epidural injection
(initial) of a therapeutic substance,
with or without insertion of a catheter,
in association with anaesthesia and
surgery, for post operative painmanagement no no 5 Intrathecal or epidural injection
(subsequent) of a therapeutic
substance, in association with
anaesthesia and surgery, for postoperative pain management no no 3 Subarachnoid puncture, lumbar, diagnostic no no 5 Insertion of subarachnoid drain no no 8 Intrathecal, or epidural or injection,
(initial or commencement of infusion)
of a therapeutic substance, including
up to 1 hour of continuous attendanceby a medical practitioner no no 8 Intrathecal, or epidural or injection,
(initial or commencement of infusion)
of a therapeutic substance, where
continuous attendance by a medical
practitioner extends beyond the first
hour. Derived fee being 8 units for the
first hour plus 1 unit for eachadditional 15 minutes or part thereof no no 0
8 October 2021 GOVERNMENT GAZETTE, WA 4625
Description of service, etc. MUs TUs BUs Intrathecal, or epidural or injection,
(initial or commencement of infusion)
of a therapeutic substance, including
up to 1 hour of continuous attendance
by a medical practitioner after hoursfor a patient in labour no no 15 (initial or commencement of infusion)
of a therapeutic substance, where
continuous after hours attendance by a
medical practitioner extends beyond
the first hour for a patient in labour.Intrathecal, or epidural or injection, hour plus 1 unit for each additional
15 minutes or part thereof no no 0 Subsequent injection (or revision of
infusion) of a therapeutic substance to
maintain regional anaesthesia or
analgesia where the period of
continuous medical practitionerattendance is 15 minutes or less no no 3 Subsequent injection (or revision of
infusion) of a therapeutic substance to
maintain regional anaesthesia or
analgesia where the period of
continuous medical practitionerattendance is more than 15 minutes no no 4 Interpleural block, initial injection or
commencement of infusion of atherapeutic substance no no 5 Intrathecal, epidural or caudal injection of neurolytic substance no no 20 Intrathecal, epidural or caudal
injection of substance other than
anaesthetic, contrast or neurolytic
solutions, not being a service to whichanother item in the Group applies no no 8 Epidural injection of blood for blood patch no no 8 Injection of an anaesthetic agent — trigeminal nerve, primary
division of no no 10 — trigeminal nerve, peripheral
branch of no no 5 — facial nerve no no 3 — retrobulbar or peribulbar no no 5 — greater occipital nerve no no 3 — vagus nerve no no 8
| 4626 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of service, etc. MUs TUs BUs — phrenic nerve no no 7 — spinal accessory nerve no no 5 — cervical plexus no no 8 — brachial plexus no no 8 — suprascapular nerve no no 5 — intercostal nerve, single no no 5 — intercostal nerves, multiple no no 7 — ilioinguinal, iliohypogastric or genito femoral nerves, 1 or more
of no no 5 — pudendal nerve no no 8 — ulnar, radial or median nerve of main trunk, 1 or more of, not
being associated with a brachial
plexus block no no 5 — paracervical (uterine) nerve no no 5 — obturator nerve no no 7 — femoral nerve no no 7 — saphenous, sural, popliteal or posterior tibial nerve of main
trunk, 1 or more of no no 5 — paravertebral, cervical, thoracic,
lumbar, sacral or coccygeal
nerves, single vertebral level no no 7 — paravertebral nerves, multiple
levels no no 10 — sciatic nerve no no 7 — other peripheral nerve or branch no no 5 — sphenopalatine ganglion no no 10 — carotid sinus, as an independent percutaneous procedure no no 8 — stellate ganglion (cervical
sympathetic block) no no 8 — lumbar or thoracic nerves
(paravertebral sympathetic block) no no 8 — coeliac plexus or splanchnic
nerves no no 10 Cranial nerve other than trigeminal,
destruction by a neurolytic agent, notbeing a service associated with the
injection of botulinum toxin no no 20
8 October 2021 GOVERNMENT GAZETTE, WA 4627
Description of service, etc. MUs TUs BUs Nerve branch, not covered by any other item in this Group, destruction by a neurolytic agent, not being a service associated with the injection
of botulinum toxin no no 10 Coeliac plexus or splanchnic nerves, destruction by a neurolytic agent no no 20 Lumbar sympathetic chain, destruction by a neurolytic agent no no 15 Cervical or thoracic sympathetic chain, destruction by a neurolytic
agent no no 20 Cardioversion, elective, electrical conversion of arrhythmia, external no no 4 Hyperbaric oxygen treatment when the specialist is inside the chamber yes yes 15 Hyperbaric oxygen treatment when the specialist is outside the chamber yes yes 8 Heart, 2-dimensional real time
transoesophageal examination of, at
least 2 oesophageal windows
performed using a mechanical sector
scanner or phased array transducerwith — (a) measurement blood flow
velocities across the cardiac
valves using pulsed wave andcontinuous Doppler
techniques; and
(b) real time colour flow mapping windows; and
(c) recording on video no no 10 Intra-operative 2-dimensional real
time transoesophageal
echocardiography incorporating
Doppler techniques with colour flow
mapping and recording onto video,
performed during cardiac surgery
incorporating sequential assessmentof cardiac function before and after
the surgical procedure no no 14 The use of 2-dimensional imaging
ultrasound guidance to assist
percutaneous major vascular access
involving catheterisation of thejugular, subclavian or femoral vein no no 3
| 4628 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Description of service, etc. MUs TUs BUs The use of 2-dimensional imaging
ultrasound guidance to assist
percutaneous neural blockade
involving the branchial plexus, orfemoral and/or sciatic nerve no no 3 Assistance in the administration of an anaesthetic yes yes 5 Note — Unlisted services For an unlisted service, the number of units is to be determined by
reference to the nearest listed anaesthetic procedure.
Part 2 — Medical procedures
Type of procedure Fee GENERAL Localised burns $68.00 Localised burns, including dressing of, under general anaesthetic $193.30 Extensive burns $117.40 Extensive burns, including dressing of, under general anaesthetic $409.25 Dressing of wounds, under general anaesthetic $193.30 Acupuncture, including consultation $90.20 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 byoperative 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 $364.65 Elbow, by open reduction $483.65 Mandible, by closed reduction $130.35 Clavicle, by closed reduction $154.60 Shoulder, not requiring general anaesthetic $173.90 Shoulder, by open reduction, with general anaesthetic $623.40 Shoulder, other, with general anaesthetic $308.65 Metacarpophalangeal joint, by closed reduction $208.35
8 October 2021 GOVERNMENT GAZETTE, WA 4629
Type of procedure Fee Patella, by closed reduction $234.25 Patella, by open reduction $312.55 Radioulnar joint, by closed reduction $364.65 Toe, by closed reduction $130.35 REMOVAL OF FOREIGN BODIES
as independent procedure $56.70 superficial $253.00 deep tissue or muscle $707.00 ear, other than by syringing $182.30 nose, other than by simple probing $182.30 cornea or sclera, embedded $186.10
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 byoperative 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 $1 041.75 Carpal Scaphoid, other $465.00 Carpus (excluding Scaphoid), by open reduction $651.00 Carpus (excluding Scaphoid), other $260.50 Radius
by closed management $520.70 by open management $1 041.75
Ribs (1 or more), each attendance $119.10 Tibia, plateau of, medial or lateral, by closed reduction $939.50 Tibia, plateau of, medial and lateral
by closed reduction $1 562.60 by open reduction $2 092.85
SUTURES
face or neck, less than 7 cm, superficial $186.10 face or neck, less than 7 cm, deep $282.85
| 4630 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Type of procedure Fee
face or neck, more than 7 cm, superficial $282.85 face or neck, more than 7 cm, deep $483.65 except face or neck, less than 7 cm, superficial $141.40 except face or neck, less than 7 cm, deep $212.10 except face or neck, more than 7 cm, superficial $212.10 except face or neck, more than 7 cm, deep $465.00
AMPUTATIONS
Hand, midcarpal or transmetacarpal $707.00 Hand, forearm or through arm $818.55 At shoulder $1 385.75 Interscapulothoracic $2 753.10 1 digit of foot $372.00 2 digits of 1 foot $558.20 3 digits of 1 foot $753.45 4 digits of 1 foot $939.50 5 digits of 1 foot $1 125.45 Foot, midtarsal or transmetatarsal $707.00 Through thigh, at knee or below knee $1 209.30 At hip $1 701.95 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 $234.25, whichever is greater. USE OF PRIVATE THEATRES A theatre fee of $141.40 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 $ 55028 227.90 55029 79.00 55030 227.90 55031 79.00 55032 227.90
8 October 2021 GOVERNMENT GAZETTE, WA 4631
MBS item number Fee $ 55033 79.00
55036 232.30
55037 79.00
55038 227.90
55039 79.00
55048 227.90
55049 79.00
55054 227.90
55070 205.15
55073 71.10
55076 227.90
55079 79.00
55084 205.15
55085 71.10
55113 481.60
55114 481.60
55115 481.60
55116 535.65
55117 535.65
55118 575.25
55130 355.10
55135 738.40
55238 353.95
55244 353.95
55246 353.95
55248 353.95
55252 353.95
55274 353.95
55276 353.95
55278 353.95
55280 353.95
55282 353.95
55284 353.95
55292 353.95
55294 353.95
55296 231.95
| 4632 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
MBS item number Fee $ 55600 227.90 55603 227.90 55700 125.20 55703 73.15 55704 146.20 55705 73.15 55706 208.80 55707 146.20 55708 73.15 55709 79.35 55712 240.20 55715 83.55 55718 208.80 55721 240.20 55723 79.35 55725 83.55 55729 56.90 55736 265.15 55739 118.95 55759 313.30 55762 125.20 55764 334.10 55766 135.65 55768 313.30 55770 125.20 55772 334.10 55774 135.65 55812 227.90 55814 79.00 55844 182.40 55846 79.00 55848 227.90 55850 319.15 55852 227.90 55854 79.00 COMPUTED TOMOGRAPHY — EXAMINATION AND REPORT
8 October 2021 GOVERNMENT GAZETTE, WA 4633
MBS item number Fee $ 56001 374.00 56007 479.45 56010 483.45 56013 479.45 56016 556.20 56022 431.55 56028 646.05 56030 431.55 56036 646.05 56101 441.25 56107 652.25 56219 625.70 56220 460.35 56221 460.35 56223 460.35 56224 673.95 56225 673.95 56226 673.95 56233 460.35 56234 673.95 56235 234.80 56236 340.30 56237 460.35 56238 673.95 56239 234.80 56240 340.30 56259 316.00 56301 565.80 56307 767.00 56341 286.65 56347 387.40 56401 479.45 56407 690.40 56409 479.45 56412 690.40 56441 243.10
| 4634 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
MBS item number Fee $ 56447 348.05 56449 243.10 56452 348.05 56501 738.40 56507 920.55 56541 370.35 56547 467.50 56659 215.00 56665 321.15 56801 894.90 56807 1 074.15
56841 447.45
56847 544.45
57001 895.10
57007 1 088.90
57041 447.55
57047 544.50
57201 297.60
57247 148.65
57341 901.45
57345 463.45
57351 978.15
57355 506.65
57356 506.65
DIAGNOSTIC RADIOLOGY
MBS item number Fee $ 57506 65.80
57509 88.05
57512 89.75
57515 119.50
57518 71.85
57521 96.10
57524 109.50
57527 145.70
57700 89.75
57703 119.50
8 October 2021 GOVERNMENT GAZETTE, WA 4635
MBS item number Fee $ 57706 71.85
57709 96.10
57712 104.45
57715 135.00
57721 219.80
57901 142.80
57902 142.80
57915 104.45
57918 104.45
57921 104.45
57924 104.45
57927 109.80
57930 72.90
57933 173.30
57939 142.80
57942 109.80
57945 96.10
57960 105.10
57963 105.10
57966 105.10
57969 105.10
58100 148.65
58103 122.05
58106 170.50
58108 294.30
58109 104.20
58112 215.40
58115 294.30
58300 88.85
58306 197.85
58500 78.30
58503 104.45
58506 134.80
58509 88.05
58521 96.10
58524 125.15
58527 153.65
| 4636 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
MBS item number Fee $ 58700 102.15 58706 349.70 58715 335.70 58718 279.50 58721 306.25 58900 79.00 58903 105.35 58909 199.10 58912 244.20 58915 174.80 58916 306.75 58921 299.60 58927 169.30 58933 455.45 58936 434.10 58939 308.50 59103 47.25 59300 198.30 59303 119.40 59312 192.70 59314 116.20 59318 104.25 59700 213.85 59703 168.20 59712 251.85 59715 318.00 59718 298.25 59724 501.65 59733 238.55 59739 163.55 59751 308.20 59754 485.80 59763 296.65 59903 253.75 59912 676.00 59925 802.70 59970 372.85
8 October 2021 GOVERNMENT GAZETTE, WA 4637
MBS item number Fee $ 59971 127.00 59972 337.85 59973 401.40 59974 186.45 60000 1 249.30
60003 1 832.15
60006 2 605.00
60009 3 048.55
60012 1 249.30
60015 1 832.15
60018 2 605.00
60021 3 048.55
60024 1 249.30
60027 1 832.15
60030 2 605.00
60033 3 048.55
60036 1 249.30
60039 1 832.15
60042 2 605.00
60045 3 048.55
60048 1 249.30
60051 1 832.15
60054 2 605.00
60057 3 048.55
60060 1 249.30
60063 1 832.15
60066 2 605.00
60069 3 048.55
60072 106.70
60075 212.90
60078 319.35
60500 96.10
60503 65.80
60506 141.30
60509 219.00
60918 104.45
60927 84.35
| 4638 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
MBS item number Fee $ 61109 573.45 NUCLEAR MEDICINE IMAGING
MBS item number Fee $ 61302 765.80 61303 964.40 61306 1 210.75
61307 1 424.45
61310 626.60
61313 517.60
61314 716.50
61328 388.40
61340 431.65
61348 756.45
61353 659.45
61356 670.10
61360 688.20
61361 787.25
61364 847.90
61368 380.70
61369 3 438.90
61372 380.70
61373 835.45
61376 244.60
61381 979.80
61383 1 066.05
61384 1 173.25
61386 567.35
61387 734.95
61389 632.20
61390 699.45
61393 1 033.00
61397 421.10
61402 1 032.25
61409 1 490.35
61413 385.45
61421 818.60
8 October 2021 GOVERNMENT GAZETTE, WA 4639
MBS item number Fee $ 61425 1 024.85
61426 946.50
61429 926.35
61430 1 125.10
61433 847.90
61434 1 049.90
61438 1 148.10
61441 835.45
61442 1 283.55
61445 489.25
61446 569.15
61449 778.25
61450 678.20
61453 878.10
61454 593.80
61457 802.60
61461 900.40
61462 222.30
61469 593.80
61473 299.15
61480 660.05
61485 1 704.70
61495 380.70
61499 431.65
61650 1 499.05
MAGNETIC RESONANCE IMAGING
MBS item number Fee $ 63000—63200 1 110.95 63201 1 666.40 63202—63203 1 110.95 63204 1 666.40 63219—63243 1 666.40 63271—63473 1 110.95 63491—63494 127.05 63497 381.30
| 4640 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Schedule 2 — Scale of fees: physiotherapists
[r. 3]
Part 1 — General
Service Code Service PA001
Initial Consultation Set Fee A consultation with the physiotherapist $90.85 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; generalhealth, 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. Appropriateprocedures/tests as indicated. Appropriate initial management, treatment or advice — based on assessment findings that could include the
following as required:Provisional diagnosis; goals of treatment;
treatment plan. Discussion with the patient
regarding working hypothesis and treatment
goals and expected outcomes; initial
treatment and response; advice regarding
home care including any exercise programto 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 andwarnings (if applicable). Includes:
• home or hospital; hydrotherapy
Individual services provided in rooms, services provided outside of normal
business hours.
8 October 2021 GOVERNMENT GAZETTE, WA 4641
Service Code Service
• Courtesy communication by the physiotherapist with the medical
practitioner such as acknowledgment of
referral.
• The physiotherapist’s notes of the consultation.
Does not include:
• physiotherapist with a medical
specialist, medical practitioner,
employer, insurer or vocational
rehabilitation provider (other than a
courtesy communication with the
Oral or written communication by the 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 1 body area or condition $72.95 including the following elements —
• subjective re-assessment; • objective re-assessment; • appropriate management, intervention
or advice;• documentation of consultation. Includes:
• home or hospital; hydrotherapy
Individual services provided in rooms, services provided outside of normal
business hours.
• Courtesy communication by the physiotherapist such as brief oral or
written communication with themedical practitioner.
Does not include:
• physiotherapist with a medical
specialist, medical practitioner,
employer, insurer or vocational
rehabilitation provider (other than a
courtesy communication with theOral or written communication by the communication has a specific item
number in this Table (PK001).
| 4642 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Service Code Service
• The physiotherapist’s involvement in case conferences. This service has a
specific item number in this Table
(PQ001).
PC001 2 distinct areas of treatment per visit Set Fee Same description as PB001 except relates $92.20 to the treatment/management of 2 distinct areas/conditions. PG001 Group Consultation — per person Cost per participant Includes non-individualised services $22.50 provided to more than 1 individual whether —
• in rooms, home or hospital; • hydrotherapy treatment; • extended treatments; • services provided outside of normal business hours.
PE001 Worksite Visit — prior approval from Hourly insurer required rate** Prior to a worksite evaluation, $207.05 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 $90.85 provided to a medical specialist, medical
practitioner, employer, insurer or vocational
rehabilitation provider that contains (whereapplicable) —
• 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.
8 October 2021 GOVERNMENT GAZETTE, WA 4643
Service Code Service A maximum combined total of 3 reports or Treatment Management Plans (PR003) permitted without prior approval from insurer. Additional reports require prior approval from insurer. Does not include:
• Courtesy communication by the written communication with the
medical practitioner.
PR002 Comprehensive Report Hourly rate** As above for progress/standard report and $207.05 contains information relating to more
detailed assessments and interventionsperformed. 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 $90.85 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 during which
treatment is to be conducted;
4. the injured worker’s expected
fitness for work at the end of the
management plan;
5. other comments or
recommendations (including
barriers to recovery whererelevant).
| 4644 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Service Code Service 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 $165.75 management of the patient requires the
provider to travel away from their normal
practice. The insurer must providepre-approval for travel in excess of 1 hour. If services are provided to more than 1 worker before leaving a venue, the fee for
the journey is to be apportioned equallybetween workers.
PQ001 Case Conferences
Face-to-face or telephone communication $20.75 involving the physiotherapist with 1 or per more of the following — 6 minute block
• doctor, employer, insurer/claims manager, rehabilitation providers and
worker.
The aim of the case conference is to plan,
implement, manage or review treatment
options and/or rehabilitation plan.
PK001 Communication
Any required oral communication by the $20.75 physiotherapist with a medical specialist, per medical practitioner, employer, insurer or 6 minute vocational rehabilitation provider (other block than a courtesy communication with the
medical practitioner) relating to the
treatment or rehabilitation of a specificworker. 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.
8 October 2021 GOVERNMENT GAZETTE, WA 4645
Service Code Service PS001
Specific Physiotherapy Assessment — Hourly prior approval from insurer required rate** Includes specific types of assessments not $207.05 classified elsewhere in these scales required
by the insurer which physiotherapists may
undertake (e.g. diagnostic ultrasound
imaging, Functional Capacity Assessments
(FCAs), seating and wheelchairassessments). PW001
Specific Physiotherapy Intervention — Hourly prior approval from insurer required rate** Includes treatments not classified elsewhere $207.05 in these scales required by the insurer per hour to which physiotherapists may undertake (e.g. a maximum treatment of severe multiple area trauma, of burns, neurologically injured patients and 2 hours** 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
EXE20 Initial Consultation/Assessment
Insurer approval must be obtained prior to $207.05 undertaking the service.
per hour to a maximum of
Review of current medical and vocational
2 hours**
status.
Communication/liaison with relevant
parties.
Physiological assessment/testing.
Screening questionnaires relating to
worker’s level of function.
Program design based on above.
Exercise facility/equipment coordination
(pool or gym based).
Provider to patient ratio must be 1:1 for
the duration of the consultation.
EXE21 Subsequent Exercise Consultation/Assessment
Includes — $207.05
per hour to a
| 4646 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Type of service Fee maximum of • program implementation — 1 hour**
prescription and provision of
exercises (land or pool based);
• program monitoring; • post program screening questionnaire relating to worker’s level of function;
• psychosocial reassessment; • communication/liaison with relevant parties.
EXE02 Initial report
Includes — $207.05
per hour to a
• initial assessment report outlining maximum of
results (self-reported and objective),
1 hour**
recommendations and exercise
rehabilitation plan;
• 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 $207.05 request of the referrer.
per hour to a maximum of
30 minutes**
EXE04 Final report
Comprehensive report to be provided at $207.05 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.
EXE05 Gym membership/Entry fees
Includes direct cost of membership (pool Market rates or gym). Prior approval from insurer required.
8 October 2021 GOVERNMENT GAZETTE, WA 4647
Type of service Fee
EXE06 Travel
Travel when the most appropriate $165.75 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
1 worker before leaving a venue, the fee
for the journey is to be apportionedequally between workers. EXE08 Communication
Any requested or required oral $20.75 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 $207.05 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 $71.75 2. Subsequent consultation $59.85 3. Spinal x-ray, 1 region $142.60 4. Spinal x-ray, 2 or more regions $214.15 5. Travel (per kilometre) $1.00 Schedule 4 — Scale of fees: occupational therapists
[r. 5]
Type of service Fee
1. Brief consultation (< 15 minutes) $30.85
| 4648 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Type of service Fee
2. Short consultation (15 minutes to < 30 minutes) $62.10 3. Standard consultation (30 minutes to < 45 minutes) $102.40 4. Extended consultation (45 minutes to < 1 hour) $153.55 5. Extended consultation (≥ 1 hour) $204.95 6. Standard group consultation (30 minutes) per person $67.30 7. Travel costs $204.95 per hour**
8. Treatment management plan for an upper limb injury $90.85 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) $189.30 2.
Initial consultation/assessment (exceeding 1 hour) $245.15 3.
Subsequent consultation (< 30 minutes) $82.55 4.
Subsequent consultation (30 minutes — 1 hour) $107.25 5.
Subsequent consultation (> 1 hour) $144.70 Schedule 5A — Scale of fees: exercise physiologists
[r. 7B]
Exercise-based programs
Type of service Fee
EPE20 Initial Consultation/Assessment
Insurer approval must be obtained prior to $207.05 undertaking the service.
per hour to a maximum of
2 hours**
Review of current medical and vocational status.
Communication/liaison with relevant parties.
Physiological assessment/testing.
Screening questionnaires relating to worker’s
level of function.
Program design based on above.
Exercise facility/equipment coordination (pool
or gym based).
8 October 2021 GOVERNMENT GAZETTE, WA 4649
Type of service Fee Provider to patient ratio must be 1:1 for the duration of the consultation.
EPE21 Subsequent Exercise Consultation/Assessment
$207.05
Includes —
per hour to a maximum
• program implementation — prescription and
of 1 hour**
provision of exercises (land or pool based);
• program monitoring; • post program screening questionnaire relating to worker’s level of function;
• psychosocial reassessment; • communication/liaison with relevant parties.
EPE02 Initial report
Includes — $207.05
per hour to
• initial assessment report outlining results
a maximum
(self-reported and objective),
of 1 hour**
recommendations and exercise rehabilitation
plan;
• current status as per medical certification and proposed outcome status;
• detailed cost plan outlining proposed outcome, services required and proposed
costs for insurer approval.
EPE03 Subsequent reports
Progress report to be provided at the request of $207.05 the referrer.
per hour to a maximum of
30 minutes
**
EPE04 Final report
Comprehensive report to be provided at the end $207.05 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.
| 4650 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
Type of service Fee
EPE06 Travel
Travel when the most appropriate management $165.75 of the patient requires the provider to travel per hour** 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 1 worker before leaving a venue, the fee for the journey is
to be apportioned equally between workers. EPE08 Communication
Any requested or required oral communication $20.75 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. EPE09 Attendance at Medical Case Conferences
Insurer approval must be obtained prior to $207.05 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.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 $1 396.80 (or, if an certificate — straightforward assessment — interpreter is present at other than a service mentioned in item 4, 5, the examination, 6 or 8. $1 746.00 excluding
any fee payable to theinterpreter) 2. Examination and provision of report and $1 746.00 (or, if an certificate — moderately complex interpreter is present at assessment (e.g. reviewing multiple the examination, questions and reports; impairment $2 095.20 excluding involving more complex assessments; more any fee payable to the than 1 body system involved) — other than interpreter) a service mentioned in item 4, 5, 6 or 8. 8 October 2021 GOVERNMENT GAZETTE, WA 4651
Description of assessment Maximum fee**
3. Examination and provision of report and $2 095.20 (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) — $2 444.25 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 $1 396.80 (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. $1 746.00 excluding
any fee payable to theinterpreter) 5. Examination and provision of report and $2 095.20 (or, if an certificate — psychiatric — standard interpreter is present at assessment — other than a service the examination, mentioned in item 8. $2 444.25 excluding
any fee payable to theinterpreter) 6. Examination and provision of report and $3 491.75 (or, if an certificate — psychiatric — complex interpreter is present at assessment (e.g. reviewing significant the examination, documented prior psychiatric history) — $3 840.90 excluding other than a service mentioned in item 8. any fee payable to the interpreter) 7. Consolidation of written assessments from $698.35 multiple medical practitioners. 8. Re-examination and provision of report and $1 047.55 (or, if an certificate. interpreter is present at
the examination,
$1 396.80 excluding
any fee payable to theinterpreter) 9. Provision of supplementary report and $349.25 certificate. Part 2 — Attempted assessments
Description of circumstances Maximum fee**
1. If a worker who is required under Part VII $698.35 Division 2 of the Act to submit to an examination by an approved medical specialist does not attend, in a case in
which —
(a) no prior arrangements to cancel the examination are made; or
(b) the examination is cancelled, otherwise than at the request of the
approved medical specialist, with lessthan 1 working day’s notice.
| 4652 | GOVERNMENT GAZETTE, WA | 8 October 2021 |
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.
———————————
0
0
0