Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations 2022 (WA)

1. GOVERNMENT GAZETTE, WA 7 October 2022

   WORKCOVER

   WC301

   Workers' Compensation and Injury Management Act 1981

   Workers' Compensation and Injury

   Management (Scales of Fees) Amendment

   Regulations 2022

   SL 2022/164

   Made by the Governor in Executive Council.

   1.   Citation

   These regulations are the Workers' Compensation and Injury

   Management (Scales of Fees) Amendment Regulations 2022.

Management (Scales of Fees) Regulations 1998.

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 2022.

3. Regulations amended

These regulations amend the Workers' Compensation and Injury

7 October 2022 GOVERNMENT GAZETTE, WA 4805

4.            Regulation 2 amended

In regulation 2(2) in the definition of MBS item number delete
"1 November 2021." and insert:

1 November 2022.

5.            Various fees amended

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

Table

Provision Delete Insert

r. 6(1)	$262.35	$268.25
r. 6A	$262.35	$268.25
r. 7A	$82.95	$84.80
r.7C(2)	$81.00	$82.80
r. 8	$195.70	$200.10

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)	$83.45
Extended Service (Level C)	$152.35
Comprehensive Service (Level D)	$234.00

4806 GOVERNMENT GAZETTE, WA 7 October 2022

Time based

up to 5 minutes	$49.75
more than 5 minutes to 15 minutes	$64.80
more than 15 minutes to 30 minutes	$125.10
more than 30 minutes to 45 minutes	$189.30
more than 45 minutes to 60 minutes	$256.50

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)	$62.65
Specific Service (Level B)	$125.10
Extended Service (Level C)	$227.80
Comprehensive Service (Level D)	$352.70

Time based

up to 5 minutes	$99.10
more than 5 minutes to 15 minutes	$107.50
more than 15 minutes to 30 minutes more than 30 minutes	$166.55
$227.80

VISITS

Consultations at a place other than the Consulting Rooms

in hours

Minor Service (Level A) $104.35

Specific Service (Level B) $142.60

Extended Service (Level C)	$211.60
Comprehensive Service (Level D)	$294.90

out of hours Minor Service (Level A) $125.10

Specific Service (Level B)	$186.05
Extended Service (Level C)	$285.45
Comprehensive Service (Level D)	$416.85

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $313.65

TRAVELLING FEES

Rate per kilometre $5.65

7 October 2022 GOVERNMENT GAZETTE, WA 4807

PHYSICIANS, OCCUPATIONAL & REHABILITATION

PHYSICIANS

PHYSICIANS

CONSULTATIONS

Professional attendance at consulting rooms or a hospital and issue of certificate (if required) et al first attendance	$316.65
subsequent attendances	$158.35

VISITS

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

first attendance	$379.00
subsequent attendances	$218.65

REHABILITATION PHYSICIANS

CONSULTATIONS

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

first attendance	$316.65
subsequent attendances	$158.35

VISITS

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

first attendance	$379.00
subsequent attendances	$218.65

OCCUPATIONAL PHYSICIANS

CONSULTATIONS
Professional attendance at consulting rooms or a hospital and issue of certificate (if required) et al first attendance	$321.75
subsequent attendances	$158.35

VISITS

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

first attendance	$379.00
subsequent attendances	$218.65

4808 GOVERNMENT GAZETTE, WA 7 October 2022

TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$41.55
more than 5 minutes to 15 minutes	$51.20
more than 15 minutes to 30 minutes	$107.05
more than 30 minutes	$161.65

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $465.00

TRAVELLING FEES

Rate per kilometre $5.65

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	$92.90
more than 15 minutes to 30 minutes	$185.25
more than 30 minutes to 45 minutes	$277.45
more than 45 minutes to 60 minutes	$371.25
more than 60 minutes to 75 minutes more than 75 minutes	$420.10
$468.85

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	$152.45
more than 15 minutes to 30 minutes	$246.15
more than 30 minutes to 45 minutes	$335.95
more than 45 minutes to 75 minutes	$429.75
more than 75 minutes	$517.95

TELEPHONE CONSULTATIONS

Time based

up to 45 minutes	$123.30
more than 45 minutes	$268.90

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $465.00

7 October 2022 GOVERNMENT GAZETTE, WA 4809

TRAVELLING FEES

Rate per kilometre $5.65

SPECIALISTS

SURGEONS

CONSULTATIONS

Professional attendance at consulting rooms or a hospital and issue of certificate (if required) et al first attendance	$179.95
subsequent attendances	$93.90

VISITS

Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required) eta!

first attendance	$242.50
subsequent attendances	$154.70

DERMATOLOGISTS

CONSULTATIONS

Professional attendance at consulting rooms or a hospital and issue of certificate (if required) et al first attendance	$179.95
subsequent attendances	$93.90

VISITS

Professional attendance at a place other than consulting rooms or a hospital and issue of certificate (if required) eta!

first attendance	$242.20
subsequent attendances	$154.35
TELEPHONE CONSULTATIONS

Time based

up to 5 minutes	$41.55
more than 5 minutes to 15 minutes	$51.20
more than 15 minutes to 30 minutes	$107.05
more than 30 minutes	$161.65

CASE CONFERENCES, discussions with employers/insurers,

rehabilitation providers, workplace assessments, etc.

per hour $465.00

TRAVELLING FEES

Rate per kilometre $5.65

4810 GOVERNMENT GAZETTE, WA 7 October 2022

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	$93.60
CONSULTATIONS AND ATTENDANCES	Units
Anaesthetist Consultation

an attendance of 15 minutes or less duration	2
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 + Mills) 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.

7 October 2022 GOVERNMENT GAZETTE, WA 4811

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 monitoring

procedures.]

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).

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 3' 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.

4812 GOVERNMENT GAZETTE, WA 7 October 2022

after hours is defined as that period between 6 pm and the following
8 am on weekdays and between 8 am and the following 8 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
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 radical surgery	6
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) Anaesthesia for all intracranial procedures unless otherwise	10
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

7 October 2022 GOVERNMENT GAZETTE, WA 4813

Description of procedure, etc.	Units
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
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 Anaesthesia for percutaneous bone marrow biopsy of the	4
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

4814 GOVERNMENT GAZETTE, WA 7 October 2022

Description of procedure, etc.	Units
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

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 Anaesthesia for all procedures in the lumbar region unless	13
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

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Description of procedure, etc. Anaesthesia for laparoscopic procedures unless otherwise	Units
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
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

4816 GOVERNMENT GAZETTE, WA 7 October 2022

Description of procedure, etc.	Units
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
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 Anaesthesia for percutaneous procedures on an	5
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

7 October 2022 GOVERNMENT GAZETTE, WA 4817

Description of procedure, etc.	Units
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 Anaesthesia for all procedures on male external genitalia	7
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
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

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Description of procedure, etc.	Units
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
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 hip disarticulation	6
10
total hip replacement or revision Anaesthesia for bilateral total hip replacement	10
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

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Description of procedure, etc.	Units
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
knee replacement	7
bilateral knee replacement	10
disarticulation of knee Anaesthesia for all cast applications, removal or repair	5
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 Anaesthesia for all procedures on the arteries of the knee and	5
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

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Description of procedure, etc.	Units
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 venous thrombectomy	4
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
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 Anaesthesia for all procedures on arteries of shoulder and	10
axilla unless otherwise specified	8

axillary-brachial aneurysm	10
bypass graft	8

axillary-femoral bypass graft Anaesthesia for all procedures on veins of shoulder and	10
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

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Description of procedure, etc.	Units
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

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

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Description of procedure, etc.	Units
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
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

7 October 2022 GOVERNMENT GAZETTE, WA 4823

Description of procedure, etc.	Units
Anaesthesia for bronchography	6
Anaesthesia for phiebography	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
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.

4824 GOVERNMENT GAZETTE, WA 7 October 2022

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) not
associated 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) not
associated with surgery	yes	yes	15
Intubation, endotracheal, not associated with anaesthesia, when subsequent management is not in an
intensive care unit	yes	yes	4
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 of awareness	no	no	3
Venous cannulation and

commencement of intravenous

infusion, under age of 3 years, not

associated with anaesthesia	no	no	3
Venous cannulation, cutdown	no	no	5
Venous cannulation and commencement of intravenous infusion not associated with
anaesthesia	no	no	2
Right heart balloon catheter, insertion
of, including pulmonary wedge
pressure and cardiac output
measurement	no	no	7
Central vein catheterisation,
percutaneous via jugular, subclavian
or femoral vein	no	no	3

7 October 2022 GOVERNMENT GAZETTE, WA 4825

Description of service, etc.	MUs	TUs	BUs
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 a
sympatholytic agent	no	no	4
Intravenous regional anaesthesia of
limb by retrograde perfusion	no	no	4
Perfusion of limb or organ	no	no	12
Medical management of cardio-pulmonary bypass perfusion
using heart/lung machine	yes	yes	20
Hypothermia, total body	no	no	5
Deep hypothermia to a core temperature of less than 22 degrees in
association with circulatory arrest Standby medical management of cardio-pulmonary bypass perfusion	no	no	15
using heart/lung machine	no	yes	5
Major nerve block (proximal to the elbow or knee), including intercostal nerve block(s) or plexus block to provide post operative pain relief	no	no	4

Minor nerve block (specify type) to

provide post operative pain relief

(does not include subcutaneous

infiltration)	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 pain
management	no	no	5
Intrathecal or epidural injection (subsequent) of a therapeutic substance, in association with anaesthesia and surgery, for post
operative pain management	no	no	3
Subarachnoid puncture, lumbar,
diagnostic	no	no	5

4826 GOVERNMENT GAZETTE, WA 7 October 2022

Description of service, etc.	MUs	TUs BUs
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 attendance
by 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 each additional 15 minutes or part thereof 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 hours	no	no 0
for 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 practitioner

attendance 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 practitioner
attendance is more than 15 minutes	no	no	4
Interpleural block, initial injection or commencement of infusion of a
therapeutic substance	no	no	5
Intrathecal, epidural or caudal injection of neurolytic substance	no	no	20

7 October 2022 GOVERNMENT GAZETTE, WA 4827

Description of service, etc.	MUs	TUs	BUs
Intrathecal, epidural or caudal injection of substance other than anaesthetic, contrast or neurolytic solutions, not being a service to which
another 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 greater occipital nerve	no	no	5
no	no	3
no	no

—vagus nerve 8

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

4828 GOVERNMENT GAZETTE, WA 7 October 2022

Description of service, etc. MUs TUs BUs

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, not

being a service associated with the

injection of botulinum toxin	no	no	20
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 transducer with

(a)	measurement blood flow velocities across the cardiac valves using pulsed wave and continuous Doppler techniques; and
(b)

real time colour flow mapping windows; and

(c) recording on video no no 10

7 October 2022 GOVERNMENT GAZETTE, WA 4829

Description of service, etc.	MUs	TUs	BUs
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 assessment of 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 the jugular, subclavian or femoral vein	no	no	3
The use of 2-dimensional imaging ultrasound guidance to assist percutaneous neural blockade involving the branchial plexus, or
femoral 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	$69.55
Localised burns, including dressing of, under general
anaesthetic	$197.65

Extensive bums	$120.05
Extensive bums, including dressing of, under general
anaesthetic	$418.45
Dressing of wounds, under general anaesthetic	$197.65
Acupuncture, including consultation	$92.25
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.

4830 GOVERNMENT GAZETTE, WA 7 October 2022

Type of procedure	Fee
[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	$372.85
Elbow, by open reduction	$494.55
Mandible, by closed reduction	$133.30
Clavicle, by closed reduction	$158.10
Shoulder, not requiring general anaesthetic	$177.80
Shoulder, by open reduction, with general anaesthetic	$637.45
Shoulder, other, with general anaesthetic	$315.60
Metacarpophalangeal joint, by closed reduction	$213.05
Patella, by closed reduction	$239.50
Patella, by open reduction	$319.60
Radioulnar joint, by closed reduction	$372.85
Toe, by closed reduction	$133.30
REMOVAL OF FOREIGN BODIES

as independent procedure	$58.00
superficial	$258.70
deep tissue or muscle	$722.90
ear, other than by syringing	$186.40
nose, other than by simple probing	$186.40
cornea or sclera, embedded	$190.30

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	$1065.20
Carpal Scaphoid, other	$475.45
Carpus (excluding Scaphoid), by open reduction	$665.65
Carpus (excluding Scaphoid), other	$266.35
Radius

by closed management $532.40

7 October 2022 GOVERNMENT GAZETTE, WA 4831

Type of procedure Fee

by open management $1 065.20

Ribs (1 or more), each attendance	$121.80
Tibia, plateau of, medial or lateral, by closed reduction	$960.65
Tibia, plateau of, medial and lateral

by closed reduction	$1 597.75
by open reduction	$2 139.95

SUTURES

face or neck, less than 7 cm, superficial	$190.30
face or neck, less than 7 cm, deep	$289.20
face or neck, more than 7 cm, superficial	$289.20
face or neck, more than 7 cm, deep	$494.55
except face or neck, less than 7 cm, superficial	$144.60
except face or neck, less than 7 cm, deep	$216.85
except face or neck, more than 7 cm, superficial	$216.85
except face or neck, more than 7 cm, deep	$475.45

AMPUTATIONS Hand, midcarpal or transmetacarpal	$722.90
Hand, forearm or through arm	$836.95
At shoulder	$1416.95
Interscapulothoracic	$2815.05
1 digit of foot	$380.35
2 digits of 1 foot	$570.75
3 digits of 1 foot	$770.40
4 digits of 1 foot	$960.65

S digits oflfoot $1 150.75

Foot, midtarsal or transmetatarsal	$722.90
Through thigh, at knee or below knee	$1236.50
At hip	$1740.25
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 $239.50, whichever is greater.

4832 GOVERNMENT GAZETTE, WA 7 October 2022

Part 3 - Diagnostic Imaging Services

ULTRASOUND

MBS item number	Fee
$
55028	233.05
55029	80.80
55030	233.05
55031	80.80
55032	233.05
55033	80.80
55036	237.55
55037	80.80
55038	233.05
55039	80.80
55048	233.05
55049	80.80
55054	233.05
55070	209.75
55073	72.70
55076	233.05
55079	80.80
55084	209.75
55085	72.70
55118	588.20
55130	363.10

55135	755.00
55238	361.90
55244	361.90
55246	361.90
55248	361.90
55252	361.90
55274	361.90
55276	361.90
55278	361.90
55280	361.90
55282	361.90
55284	361.90
55292	361.90

7 October 2022 GOVERNMENT GAZETTE, WA 4833

MBS item number	Fee
$
55294	361.90
55296	237.15
55600	233.05
55603	233.05
55700	128.00
55703	74.80
55704	149.50
55705	74.80
55706	213.50
55707	149.50
55708	74.80
55709	81.15
55712	245.60
55715	85.45
55718	213.50
55721	245.60
55723	81.15
55725	85.45
55729	58.20
55736	271.10
55739	121.65
55759	320.35
55762	128.00
55764	341.60

55766   138.70

55768   320.35

55770   128.00

55772   341.60

55774   138.70

55812   233.05

55814   80.80

55844   186.50

55846   80.80

55848   233.05

55850   326.35

55852   233.05

55854   80.80

4834 GOVERNMENT GAZETTE, WA 7 October 2022

COMPUTED TOMOGRAPHY	EXAMINATION AND REPORT
MBS item number	Fee
$
56001	382.40
56007	490.25
56010	494.35
56013	490.25
56016	568.70
56022	441.25
56028	660.60
56030	441.25
56036	660.60
56101	451.20
56107	666.95
56219	639.80
56220	470.70
56221	470.70
56223	470.70
56224	689.10
56225	689.10
56226	689.10
56233	470.70
56234	689.10
56235	240.10
56236	347.95

56237   470.70

56238   689.10

56301   578.55

56307   784.25

56341   293.10

56347   396.10

56401   490.25

56407   705.95

56409   490.25

56412   705.95

56501   755.00

56507   941.25

56801   915.05

7 October 2022 GOVERNMENT GAZETTE, WA 4835

MBS item number	Fee
$

56807   1098.30

57001   915.25

57007   1113.40

57201   304.30

57341   921.75

DIAGNOSTIC RADIOLOGY

MBS item number	Fee
$

57506   67.30

57509   90.05

57512   91.75

57515   122.20

57518   73.45

57521   98.25

57524   111.95

57527   149.00

57700   91.75

57703   122.20

57706   73.45

57709   98.25

57712   106.80

57715   138.05

57721   224.75

57901   146.00

57902   146.00

57915   106.80

57918   106.80

57921   106.80

57924   106.80

57927   112.25

57930   74.55

57933   177.20

57939   146.00

57942   112.25

57945   98.25

57960   107.45

57963   107.45

4836 GOVERNMENT GAZETTE, WA 7 October 2022

MBS item number	Fee
$
57966	107.45
57969	107.45
58100	152.00
58103	124.80
58106	174.35
58108	300.90
58109	106.55
58112	220.25
58115	300.90
58300	90.85
58306	202.30
58500	80.05
58503	106.80
58506	137.85
58509	90.05
58521	98.25
58524	127.95
58527	157.10
58700	104.45
58706	357.55
58715	343.25
58718	285.80
58721	313.15
58900	80.80

58903   107.70

58909   203.60

58912   249.70

58915   178.75

58916   313.65

58921   306.35

58927   173.10

58933   465.70

58936   443.85

58939   315.45

59103   48.30

59300   202.75

59303   122.10

7 October 2022 GOVERNMENT GAZETTE, WA 4837

MBS item number	Fee
$
59312	197.05
59314	118.80
59318	106.60
59700	218.65
59703	172.00
59712	257.50
59715	325.15
59718	304.95
59724	512.95
59733	243.90
59739	167.25
59751	315.15
59754	496.75
59763	303.30
59970	381.25

60000   1277.40

60003   1 873.35

60006   2663.60

60009   3 117.15

60012   1277.40

60015   1873.35

60018   2663.60

60021   3 117.15

60024   1277.40

60027   1873.35

60030   2663.60

60033   3 117.15

60036   1277.40

60039   1873.35

60042   2663.60

60045   3 117.15

60048   1277.40

60051   1873.35

60054   2663.60

60057   3 117.15

60060   1277.40

60063   1873.35

4838 GOVERNMENT GAZETTE, WA 7 October 2022

MBS item number	Fee
$

60066   2663.60

60069   3 117.15 109.10

60072  

60075   217.70

60078   326.55

60500   98.25

60503   67.30

60506   144.50

60509   223.95

60918   106.80

60927   86.25

61109   586.35

NUCLEAR MEDICINE IMAGING

MBS item number	Fee
$
61302	783.05
61310	640.70
61313	529.25
61314	732.60
61328	397.15
61340	441.35
61348	773.45
61353	674.30
61356	685.20

61360   703.70

61361   804.95

61364   867.00

61368   389.25

61369   3516.30

61372   389.25

61373   854.25

61376   250.10

61381   1 001.85

61383   1 090.05

61384   1199.65

61386   580.10

61387   751.50

7 October 2022 GOVERNMENT GAZETTE, WA 4839

MBS item number	Fee
$
61389	646.40
61390	715.20

61393   1 056.25

61397   430.55

61402   1 055.50

61409   1523.90

61413   394.10

61421   837.00

61425   1047.90

61426   967.80

61429   947.20

61430   1150.40

61433   867.00

61434   1 073.50

61438   1173.95

61441   854.25

61442   1312.45

61445   500.25

61446   581.95

61449   795.75

61450   693.45

61453   897.85

61454   607.15

61457   820.65

61461   920.65

61462   227.30

61469   607.15

61473   305.90

61480   674.90

61485   1 743.05

61495   389.25

61499   441.35

4840 GOVERNMENT GAZETTE, WA 7 October 2022

MAGNETIC RESONANCE IMAGING

MBS item number	Fee
$
63000-63200	1135.95
63201	1703.90
63204	1703.90
63219-63243	1703.90
63271-63473	1135.95
63491-63494	129.90
63497	389.90
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	$92.90

Subjective assessment of the following

points as required:
Major symptoms and lifestyle dysfunction;
current history and treatment; past history
and treatment; pain, 24-hour behaviour,
aggravating and relieving factors; general

health, medication, risk factors.

Objective assessment	of the following
points as required:
Movement	active, passive, resisted,

repeated; muscle tone, spasm, weakness;

accessory movements, passive

intervertebral movements etc. Appropriate
procedures/tests as indicated.

Appropriate initial management,

treatment or advice based on

assessment findings that could include the
following as required:
Provisional diagnosis; goals of treatment;
treatment plan. Discussion with the patient
regarding working hypothesis and treatment
goals and expected outcomes; initial
treatment and response; advice regarding
home care including any exercise program
to be followed.

7 October 2022 GOVERNMENT GAZETTE, WA 4841

Service Code Service

Documentation of consultation as
required that could include:
The assessment findings, physiotherapy
intervention(s), evaluation of
intervention(s), plan for future treatment
and results of other relevant tests and
warnings (if applicable).

Includes:

• home or hospital; hydrotherapy
treatment; extended treatments; and

Individual services provided in rooms, business hours.

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

referral.

• The physiotherapist's notes of the consultation.

Does not include:

•	physiotherapist with a medical specialist, medical practitioner, employer, insurer or vocational rehabilitation provider (other than a courtesy communication with the medical practitioner). Oral	Oral or written communication by the number in this Table (PK001).
•
The physiotherapist's involvement in specific item number in this Table

(PQ001).

PBOO 1	Standard Consultation	Set Fee
Consultation for 1 body area or condition including the following elements	$74.60

• subjective re-assessment;

• objective re-assessment;

• appropriate management, intervention
or advice;
documentation of consultation.

Includes:

• home or hospital; hydrotherapy
treatment; extended treatments; and

Individual services provided in rooms, business hours.

4842 GOVERNMENT GAZETTE, WA 7 October 2022

Service Code Service

Courtesy communication by the
physiotherapist such as brief oral or
written communication with the

medical practitioner.

Does not include:

Oral or written communication by the
physiotherapist with a medical
specialist, medical practitioner,
employer, insurer or vocational
rehabilitation provider (other than a
courtesy communication with the
medical practitioner). Oral
communication has a specific item
number in this Table (PK001).
The physiotherapist's involvement in
case conferences. This service has a
specific item number in this Table

(PQOO1).

PCOO 1	2 distinct areas of treatment per visit	Set Fee
Same description as P13001 except relates	$94.25
to the treatment/management of 2 distinct areas/conditions.

PGOO 1 Group Consultation - per person Cost per
participant

Includes non-individualised services
provided to more than 1 individual
whether $23.00

in rooms, home or hospital;

• hydrotherapy treatment;

• extended treatments;

business hours.

services provided outside of normal

PE001	Worksite Visit -	prior approval from	Hourly
insurer required	rate**

Prior to a worksite evaluation,	$211.70
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.

7 October 2022 GOVERNMENT GAZETTE, WA 4843

Service Code Service

PROW Progress/Standard Report Set Fee

A report relating to a specific worker that is $92.90
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; 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:	•	questionnaire results and implications.
•	Courtesy communication by the physiotherapist such as brief oral or written communication with the medical practitioner.

PRO02	Comprehensive Report	Hourly rate**
As above for progress/standard report and	$211.70

contains information relating to more

performed. detailed assessments and interventions 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	$92.90
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;

4844 GOVERNMENT GAZETTE, WA 7 October 2022

Service Code Service

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 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 pre-approval for travel in excess of 1 hour.	$169.50
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.
PQOO 1	Case Conferences
Face-to-face or telephone communication	$21.20
involving the physiotherapist with 1 or more of the following	per
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.

7 October 2022 GOVERNMENT GAZETTE, WA 4845

Service Code Service

PK00 1

Communication

Any required oral communication by the	$21.20
physiotherapist with a medical specialist,	per
medical practitioner, employer, insurer or	6 minute
vocational rehabilitation provider (other than a courtesy communication with the medical practitioner) relating to the	block
worker.	treatment or rehabilitation of a specific record of the details of the communication, including its date, time and duration.
30 minutes.	Maximum duration per communication is 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.

PSOO 1

Specific Physiotherapy Assessment -	Hourly
prior approval from insurer required	rate**
Includes specific types of assessments not	$211.70

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 $211.70

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 patients with severe spinal injuries, ergonomic corrections of workplace, specialised real-time ultrasound imaging, short consultations).	2 hours**

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.

4846 GOVERNMENT GAZETTE, WA 7 October 2022

Part 2 - Exercise based programs

Type of service Fee

EXE2O

Initial Consultation/Assessment

Insurer approval must be obtained prior to	$211.70
undertaking the service.	per hour to a
Review of current medical and vocational	maximum of
status.	2 hours**
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).	Communication/liaison with relevant the duration of the consultation.

EXE21

Subsequent Exercise
Consultation/Assessment

Includes $211.70

program implementation	per hour to a
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 $211.70 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.

7 October 2022 GOVERNMENT GAZETTE, WA 4847

Type of service Fee

EXEO3

Subsequent reports

Progress report to be provided at the	$211.70
request of the referrer.	per hour to a maximum of 30 minutes**

EXEO4

Final report

Comprehensive report to be provided at	$211.70
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.

EXEO6

Travel

Travel when the most appropriate	$169.50
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 apportioned
equally between workers.

EXEO8

Communication

Any requested or required oral	$21.20
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.

4848 GOVERNMENT GAZETTE, WA 7 October 2022

Type of service Fee

EXE09	Attendance at Medical Case Conferences
Insurer approval must be obtained prior to $211.70
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	$73.35
2.	Subsequent consultation	$61.20
3.	Spinal x-ray, 1 region	$145.80
4.	Spinal x-ray, 2 or more regions	$218.95
5.	Travel (per kilometre)	$1.00

Schedule 4 - Scale of fees: occupational therapists

[r. 5]

Type of service Fee

1.	Brief consultation (< 15 minutes)	$31.55
2.	Short consultation (15 minutes to <30 minutes)	$63.50
3.	Standard consultation (30 minutes to <45 minutes)	$104.70
4.	Extended consultation (45 minutes to < 1 hour)	$157.00
5.	Extended consultation (? 1 hour)	$209.55
6.	Standard group consultation (30 minutes) per person	$68.80

7.	Travel costs	$209.55 per hour**
8.	Treatment management plan for an upper limb injury	$92.90

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) $193.55
2.	Initial consultation/assessment (exceeding 1 hour) $250.65
3.	Subsequent consultation (< 30 minutes) $84.40

7 October 2022 GOVERNMENT GAZETTE, WA 4849

Type of service Fee

4. Subsequent consultation (30 minutes 1 hour) $109.65

5. Subsequent consultation (> 1 hour) $147.95

Schedule 5A Scale of fees: exercise physiologists

[r. 713]

Exercise-based programs

Type of service Fee

EPE20

Initial Consultation/Assessment

Insurer approval must be obtained prior to	$211.70
undertaking the service.	per hour to a maximum of

2 hours**

Review of current medical and vocational status.

Communication/liaison with relevant parties.

Physiological assessment/testing.

Screening questionnaires relating to worker's

level of function.

Program design based on above.

Exercise facility/equipment coordination (pool
or gym based).

Provider to patient ratio must be 1:1 for the duration of the consultation.

EPE21

Subsequent Exercise

Consultation/Assessment	$211.70
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— $211.70
per hour to

• initial assessment report outlining results a maximum

(self-reported and objective),	our**
recommendations and exercise rehabilitation of 1 h plan;
•	current status as per medical certification and proposed outcome status;

4850 GOVERNMENT GAZETTE, WA 7 October 2022

Type of service	Fee
•

detailed cost plan outlining proposed costs for insurer approval.

EPE03

Subsequent reports

Progress report to be provided at the request of	$211.70
the referrer.	per hour to a maximum of 30

minutes* *

EPE04

Final report

Comprehensive report to be provided at the end	$211.70
of the service delivery detailing	per hour to a maximum

• physiological testing results pre and post of 30

program;	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.

EPE06

Travel

Travel when the most appropriate management	$169.50
of the patient requires the provider to travel	per hour**

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

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

EPE08

Communication

Any requested or required oral communication	$21.20
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	$211.70
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.

7 October 2022 GOVERNMENT GAZETTE, WA 4851

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 $1 428.25 (or, if an

certificate straightforward assessment interpreter is present at

other than a service mentioned in item 4, 5,	the examination,
6or8.	$1785.30 excluding any fee payable to the interpreter)

2.	Examination and provision of report and	$1 785.30 (or, if an
certificate moderately complex	interpreter is present at
assessment (e.g. reviewing multiple	the examination,
questions and reports; impairment	$2 142.35 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.
3.	Examination and provision of report and	$2 142.35 (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)	$2 499.25 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	$1428.25 (or, if an
only, including audiometric testing and	interpreter is present at

provision of report and certificate	other	the examination,
than a service mentioned in item 8.	$1785.30 excluding any fee payable to the interpreter)

5.	Examination and provision of report and	$2 142.35 (or, if an
certificate psychiatric standard	interpreter is present at
assessment other than a service	the examination,

mentioned in item 8. $2 499.25 excluding
any fee payable to the
interpreter)

6.	Examination and provision of report and	$3 570.30 (or, if an
certificate psychiatric complex	interpreter is present at
assessment (e.g. reviewing significant	the examination,
documented prior psychiatric history)	$3 927.30 excluding
other than a service mentioned in item 8.	any fee payable to the interpreter)
7.	Consolidation of written assessments from	$714.05
multiple medical practitioners.
8.	Re-examination and provision of report and	$1071.10 (or, if an
certificate.	interpreter is present at the examination, $1428.25 excluding any fee payable to the interpreter)

4852 GOVERNMENT GAZETTE, WA 7 October 2022

Description of assessment Maximum fee**

9.	Provision of supplementary report and	$357.10
certificate.

Part 2 - Attempted assessments

Description of circumstances Maximum fee**

1.	If a worker who is required under Part VII	$714.05
Division 2 of the Act to submit to an examination by an approved medical specialist does not attend, in a case in which

(a) no prior arrangements to cancel the

examination are made; or

(b)	the examination is cancelled,
otherwise than at the request of the approved medical specialist, with less than 1 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.