Workers' Compensation and Injury Management (Scales of Fees) Amendment Regulations (No. 3) 2006 (WA)
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WESTERN 5755 AUSTRALIAN GOVERNMENT
| ISSN 1448-949X |
PERTH, FRIDAY, 22 DECEMBER 2006 No. 230 SPECIAL PUBLISHED BY AUTHORITY JOHN A. STRIJK, GOVERNMENT PRINTER AT 3.00 PM
© STATE OF WESTERN AUSTRALIA
WORKERS’ COMPENSATION AND INJURY
MANAGEMENT ACT 1981
_________
WORKERS’ COMPENSATION AND INJURY MANAGEMENT
(SCALE OF FEES) AMENDMENT
REGULATIONS (No. 3) 2006
22 December 2006 GOVERNMENT GAZETTE, WA 5757
Workers’ Compensation and Injury Management Act 1981
Workers’ Compensation and Injury
Management (Scales of Fees) Amendment
Regulations (No. 3) 2006
Made by the Governor in Executive Council, on the recommendation of
WorkCover WA, under section 292 of the Act.1. Citation
These regulations are the Workers’ Compensation and Injury
Management (Scales of Fees) Amendment Regulations
(No. 3) 2006.
2. The regulations amended
The amendments in these regulations are to the Workers’
Compensation and Injury Management (Scales of Fees)
Regulations 1998*.[* Reprinted as at 24 May 2002. For amendments to 27 November 2006 see Western
Australian Legislation Information Tables for 2005, Table 4,
and Gazette 10 January and 28 April 2006.]
3. References to “injuries” changed to “disabilities”
Each provision in the Table to this regulation is amended by
deleting “injuries” in each place where it occurs and inserting
instead —“ disabilities ”.
5758 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 4
Table
r. 2(1) r. 5 r. 3(1) r. 7 r. 4 4. Regulation 6 replaced
Regulation 6 is repealed and the following regulations are
inserted instead —“ 6. Scale of fees — clinical psychologists
(1)
Under section 292(2)(a)(vi) of the Act, the hourly rate of $171.90 per hour is prescribed as the fee to be paid to clinical psychologists for attendance on, and
treatment of, workers suffering disabilities that are
compensable under the Act.(2)
The hourly rate under subregulation (1) is also payable for compiling a treatment report, but the hours required to compile a report cannot exceed 3 hours per report.
6A. Scale of fees — counselling psychology Under section 292(2)(a)(viii) of the Act, the hourly rate
of $171.90 per hour is prescribed as the fee to be paid
to a psychologist providing counselling services for the
treatment of a worker suffering disabilities that are
compensable under the Act.
Note: “Counselling psychology” was approved as an “approved treatment”
under section 5(1) of the Act in Gazette 10/1/2003, p. 55.]
”.
22 December 2006 GOVERNMENT GAZETTE, WA 5759 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 5
5. Regulation 7A replaced
Regulation 7A is repealed and the following regulation is
inserted instead —“
7A. Scale of fees — osteopaths Under section 292(2)(a)(viii) of the Act, the amount of
$54.40 is prescribed as the fee to be paid to an
osteopath for an osteopathic consultation with a worker
suffering disabilities that are compensable under
the Act.
Note: “Osteopathy” was approved as an “approved treatment” under
section 5(1) of the Act in Gazette 29/9/2000, p. 5564.]
”.
6. Regulation 8 amended
Regulation 8 is amended by deleting “$123.35” and inserting
instead —“ $128.35 ”.
7. Schedule 1 amended
(1) Schedule 1 Part 1 is amended by deleting the heading
“GENERAL PRACTITIONER” and everything following that
heading, through to (but not including) the heading
“ANAESTHETISTS” and inserting instead —
“
GENERAL PRACTITIONER
CONSULTATIONS
Surgery Consultation
in hours
Content based $
Minor or Specific Service (Level A or B) 53.45
5760 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
Extended Service (Level C) 97.65 Comprehensive Service (Level D) 150.05
Time based $
up to 5 mins 31.85 more than 5 mins to 15 mins 41.60 more than 15 mins to 30 mins 80.20 more than 30 mins to 45 mins 121.30 more than 45 mins to 60 mins 164.45
Surgery Consultations
out of hours
For attendances between the hours of 6 p.m. and 8 a.m. on a weekday or
between 12 noon on Saturday and 8 a.m. on the following Monday and
Public Holiday.
Content based $
Minor Service (Level A) 40.10 Specific Service (Level B) 80.20 Extended Service (Level C) 146.00 Comprehensive Service (Level D) 226.15
Time based $
up to 5 mins 63.50 more than 5 mins to 15 mins 68.90 more than 15 mins to 30 mins 106.90 more than 30 mins to 45 mins 146.00
VISITS
Consultations at a place other than the Consulting Rooms
in hours $
Minor Service (Level A) 66.85 Specific Service (Level B) 91.45 Extended Service (Level C) 135.70 Comprehensive Service (Level D) 189.15
22 December 2006 GOVERNMENT GAZETTE, WA 5761 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
out of hours $
Minor Service (Level A) 80.20 Specific Service (Level B) 119.25 Extended Service (Level C) 183.00 Comprehensive Service (Level D) 267.30
TELEPHONE CONSULTATIONS
Time based $
up to 5 mins 17.85 more than 5 mins to 15 mins 22.35 more than 15 mins to 30 mins 46.70 more than 30 mins 70.05
CASE CONFERENCES, discussions with employers/insurers, $ rehabilitation providers, workplace assessments etc. per hour 201.05 TRAVELLING FEES $ Outside the metropolitan area
Rate per kilometre 3.56
PHYSICIANS, OCCUPATIONAL & REHABILITATION PHYSICIANS
PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms and issue of
certificate (if required) et al $ first attendance 202.95 subsequent attendances 101.55
5762 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
VISITS
Professional attendance at a place other than consulting
rooms and issue of certificate (if required) et al $ first attendance 243.10 subsequent attendances 140.25 REHABILITATION PHYSICIANS CONSULTATIONS Professional attendance at consulting rooms and issue of certificate (if required) et al $ first attendance 202.95 subsequent attendances 101.55 VISITS Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al $ first attendance 243.10 subsequent attendances 140.25 OCCUPATIONAL PHYSICIANS CONSULTATIONS Professional attendance at consulting rooms and issue of certificate (if required) et al $ first attendance 206.30 subsequent attendances 101.55 VISITS Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al $ first attendance 243.10 subsequent attendances 140.25 TELEPHONE CONSULTATIONS Time based $
up to 5 mins 26.60 more than 5 mins to 15 mins 32.85
22 December 2006 GOVERNMENT GAZETTE, WA 5763 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
more than 15 mins to 30 mins 68.70 more than 30 mins 103.70
CASE CONFERENCES, discussions with $ employers/insurers, rehabilitation providers, workplace assessments etc. per hour 298.10 TRAVELLING FEES Outside the metropolitan area $ Rate per kilometre 3.55 CONSULTANT PSYCHIATRISTS CONSULTATIONS Professional attendance at consulting rooms and issue of certificate (if required) et al Time based $
up to 15 mins 59.55 more than 15 mins to 30 mins 118.80 more than 30 mins to 45 mins 177.90 more than 45 mins to 60 mins 238.05 more than 60 mins to 75 mins 269.35 more than 75 mins 300.65
VISITS
Professional attendance at a place other than consulting
rooms and issue of certificate (if required) et al
Visits include both attendance at hospitals and home visits
Time based $
up to 15 mins 97.75 more than 15 mins to 30 mins 157.85 more than 30 mins to 45 mins 215.45 more than 45 mins to 75 mins 275.60 more than 75 mins 332.05
5764 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
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TELEPHONE CONSULTATIONS
Time based $
up to 45 mins 78.95 more than 45 mins 172.45
CASE CONFERENCES, discussions with employers/insurers, $ rehabilitation providers, workplace assessments etc. per hour 298.10 TRAVELLING FEES Outside the metropolitan area $ Rate per kilometre 3.56 SPECIALISTS
SURGEONSCONSULTATIONS Professional attendance at consulting rooms and issue of certificate (if required) et al $ first attendance 115.40 subsequent attendances 60.20 VISITS Professional attendance at a place other than consulting rooms and issue of certificate (if required) et al $ first attendance 155.55 subsequent attendances 99.10 DERMATOLOGISTS CONSULTATIONS Professional attendance at consulting rooms and issue of certificate (if required) et al $ first attendance 115.40 subsequent attendances 60.20
22 December 2006 GOVERNMENT GAZETTE, WA 5765 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
VISITS
Professional attendance at a place other than consulting
rooms and issue of certificate (if required) et al $ first attendance 155.30 subsequent attendances 98.95 TELEPHONE CONSULTATIONS Time based $
up to 5 mins 26.60 more than 5 mins to 15 mins 32.85 more than 15 mins to 30 mins 68.70 more than 30 mins 103.70
CASE CONFERENCES, discussions with employers/insurers, $ rehabilitation providers, workplace assessments etc. per hour 298.10 TRAVELLING FEES Outside the metropolitan area $ Rate per kilometre 3.55
”.
(2) Schedule 1 Part 1 is amended in the item headed
“ANAESTHETISTS” as follows:
(a) before the heading “CONSULTATIONS AND ATTENDANCES” by deleting “$35.45” as the $ value per unit and inserting instead — “ $60.00 ”;
(b)
minutes (or part thereof) of anaesthetic time constitutes
one time unit. After 4 hours, time units are calculated atunder the subheading “Time units” by deleting “Each 15 “
For the first 2 hours, each 15 minutes (or part
thereof) of anaesthetic time constitutes one time
5766 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
unit. After 2 hours, time units are calculated at
one per 10 minutes (or part thereof).
”.
(3) Schedule 1 Part 1 PART A – PROCEDURES is amended under
the subheading “Upper abdomen” by deleting —“
— gastric reduction or gastroplasty for the
treatment of morbid obesity 10
— partial hepatectomy (excluding liver biopsy) 13 — extended or trisegmental hepatectomy 15 — pancreatectomy, partial or total (eg. Whipple
procedure) 12
— liver transplant (recipient) 30 — neuro endocrine tumour removal
(eg. carcinoid) 10
— percutaneous procedures on an intra-abdominal
organ in the upper abdomen 6
”
and inserting instead —
“
Anaesthesia for gastric reduction or gastroplasty
for the treatment of morbid obesity 10
Anaesthesia for partial hepatectomy (excluding
liver biopsy) 13
Anaesthesia for extended or trisegmental
hepatectomy 15
Anaesthesia for pancreatectomy, partial or total
(eg. Whipple procedure) 12
Anaesthesia for liver transplant (recipient) 30 Anaesthesia for neuro endocrine tumour removal
(eg. carcinoid) 10
22 December 2006 GOVERNMENT GAZETTE, WA 5767 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
Anaesthesia for percutaneous procedures on an
intra-abdominal organ in the upper abdomen 6
”.
(4) Schedule 1 Part 1 PART A – PROCEDURES is amended under
the subheading “Perineum” by deleting —“
— radical orchidectomy, inguinal 4 — radical orchidectomy, abdominal 6
”
and inserting instead —
“
— radical orchidectomy, inguinal approach 4 — radical orchidectomy, abdominal approach 6
”.
(5) Schedule 1 Part 1 PART B – THERAPEUTIC AND DIAGNOSTIC SERVICES is amended as follows:
(a) by deleting — “
Intrathecal, or epidural or injection,
(initial or commencement of infusion)
of a therapeutic substance, where
continuous attendance by a medical
practitioner extends beyond one hour, add one unit for each 15 minutes over the first hour
no
no
0
”
and inserting instead —
“
Intrathecal, or epidural or injection,
(initial or commencement of infusion)
of a therapeutic substance, where
continuous attendance by a medical
5768 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
practitioner extends beyond the first
hour. Derived fee being 8 units for the
first hour plus one unit for each
additional 15 minutes or part thereof no no 0
”;
(b) by deleting — “
Intrathecal, or epidural or injection,
(initial or commencement of infusion)
of a therapeutic substance, where
continuous after hours attendance by a medical practitioner extends beyond the first hour, add one unit for each 15 minutes of the first hour for a patient
in labour no no 0
”
and inserting instead —
“
Intrathecal, or epidural or injection,
(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.
Derived fee being 15 units for the first hour plus one unit for each additional 15 minutes or part thereof
no
no
0
”.
(6) Schedule 1 Parts 2 and 3 are repealed and the following Parts
are inserted instead —“
Part 2 — Medical procedures
Type of procedure Fee $ GENERAL Localised burns 44.55
22 December 2006 GOVERNMENT GAZETTE, WA 5769 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
Type of procedure Fee $ Localised burns, including dressing of, under general
anaesthetic 126.85
Extensive burns 76.85 Extensive burns, including dressing of, under general
anaesthetic 268.35
Dressing of wounds, under general anaesthetic 126.85 Acupuncture, including consultation 59.15 DISLOCATIONS “closed reduction” means non-operative reduction of
the dislocation, and included percutaneous fixation
and/or external splintage by cast or splint.
“open reduction” means treatment by either closed
reduction and intra-medullary fixation or treatment by operative exposure of the dislocation including internal or external fixation.
“other” means treatment by any other method and
includes the use of external splintage.
[Where injuries are associated with a compound (open)
wound, an additional fee of 50% of the fee listed is to apply.]
Elbow, by closed reduction 239.10 Elbow, by open reduction 317.05 Interphalangeal joint, by closed reduction 102.50 Interphalangeal joint, by open reduction 136.65 Mandible, by closed reduction 85.45 Clavicle, by closed reduction 101.30 Clavicle, by open reduction 204.95 Shoulder, not requiring general anaesthetic 114.00 Shoulder, by open reduction, with general anaesthetic 408.65 Shoulder, other, with general anaesthetic 202.45 Metacarpophalangeal joint, by closed reduction 136.65 Metacarpophalangeal joint, by open reduction 183.00 Patella, by closed reduction 153.65 Patella, by open reduction 204.95 Radioulnar joint, by closed reduction 239.10 Radioulnar joint, by open reduction 317.05
5770 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
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Type of procedure Fee $
Toe, by closed reduction 85.45 Toe, by open reduction 113.45 REMOVAL OF FOREIGN BODIES —
as independent procedure 37.20 superficial 165.85 deep tissue or muscle 463.55 ear, other than by syringing 119.50 nose, other than by simple probing 119.50 cornea or sclera, embedded 121.95
FRACTURES
“closed reduction” means non-operative reduction of the fracture, and included percutaneous fixation and/or external splintage by cast or splint.
“open reduction” means treatment by either closed
reduction and intra-medullary fixation or
treatment by operative exposure of the fracture
including internal or external fixation.
“other” means treatment by any other method and
includes the use of external splintage.
[Where injuries are associated with a compound (open)
wound, an additional fee of 50% of the fee listed is to apply.]
Distal phalanx of finger or thumb fracture, by closed reduction
153.65
fracture, intra-articular, by closed reduction 178.10 fracture, by open reduction 204.95 fracture, intra-articular, by open reduction 256.15
Middle phalanx of finger
fracture, by closed reduction 231.75 fracture, intra-articular, by closed reduction 262.20 fracture, by open reduction 304.90 fracture, intra-articular, by open reduction 384.15
Proximal phalanx of finger or thumb
fracture, by closed reduction 304.90 fracture, intra-articular, by closed reduction 359.75
22 December 2006 GOVERNMENT GAZETTE, WA 5771 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
Type of procedure Fee $
fracture, by open reduction 408.65 fracture, intra-articular, by open reduction 512.30
Metacarpal
fracture, by closed reduction 304.90 fracture, intra-articular, by closed reduction 359.75 fracture, by open reduction 408.65 fracture, intra-articular, by open reduction 512.30
Carpal Scaphoid, by open reduction 683.00 Carpal Scaphoid, other 304.90 Carpus (excluding Scaphoid), by open reduction 426.85 Carpus (excluding Scaphoid), other 170.75 Radius
by closed management 341.45 by open management 683.00
Radius or Ulnar, distal end, (Colies’, Smith’s or
Barton’s)
by closed reduction 512.30 by open reduction 683.00
Ribs (1 or more), each attendance 78.15 Tibia, plateau of, medial or lateral by closed reduction
615.95
by open reduction 817.15
Tibia, plateau of, medial and lateral
by closed reduction 1 024.45 by open reduction 1 372.05
SUTURES
face or neck, less than 7 cm, superficial 121.95 face or neck, less than 7 cm, deep 185.35 face or neck, more than 7 cm, superficial 185.35 face or neck, more than 7 cm, deep 317.05 except face or neck, less than 7 cm, superficial 92.70 except face or neck, less than 7 cm, deep 139.00 except face or neck, more than 7 cm, superficial 139.00 except face or neck, more than 7 cm, deep 304.90
5772 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
Type of procedure Fee $
AMPUTATIONS
Hand, midcarpal or transmetacarpal 463.55 Hand, forearm or through arm 536.65 At shoulder 908.55 Interscapulothoracic 1 804.95 One digit of foot 243.85 Two digits of one foot 365.85 Three digits of one foot 493.95 Four digits of one foot 615.95 Five digits of one foot 737.90 Toe including metatarsal or part of metatarsal 287.90 Foot, at ankle 536.65 Foot, midtarsal or transmetatarsal 463.55 Through thigh, at knee or below knee 792.80 At hip 1 115.85 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.ASSISTANCE AT OPERATIONS of $153.65, whichever is greater.
USE OF PRIVATE THEATRES the use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.
22 December 2006 GOVERNMENT GAZETTE, WA 5773 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
Part 3 — Diagnostic Imaging Services
ULTRASOUND
MBS item number Fee (1 November 2005) $ 55028 149.40
55029 51.80
55030 149.40
55031 51.80
55032 149.40
55033 51.80
55036 152.35
55037 51.80
55038 149.40
55039 51.80
55044 152.35
55045 51.80
55048 149.40
55049 51.80
55054 149.40
55070 134.50
55073 46.60
55076 149.40
55079 51.80
55084 134.50
55085 46.60
55113 315.80
55114 315.80
55115 315.80
55116 351.15
55117 351.15
55118 377.15
55130 232.80
55135 484.15
55238 232.05
55244 232.05
55246 232.05
55248 232.05
55252 232.05
5774 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 55274 232.05
55276 232.05
55278 232.05
55280 232.05
55282 232.05
55284 232.05
55292 232.05
55294 232.05
55296 152.05
55600 149.40
55603 149.40
55700 82.10
55703 47.90
55704 95.85
55705 47.90
55706 136.95
55707 95.85
55708 47.90
55709 52.05
55712 157.45
55715 54.75
55718 136.95
55721 157.45
55723 52.05
55725 54.75
55728 136.95
55729 37.30
55731 134.20
55733 47.90
55736 173.85
55739 78.00
55759 205.35
55762 82.10
55764 219.05
55766 88.95
55768 205.35
55770 82.10
22 December 2006 GOVERNMENT GAZETTE, WA 5775 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 55772 219.05
55774 88.95
55800 149.40
55802 51.80
55804 149.40
55806 51.80
55808 149.40
55810 51.80
55812 149.40
55814 51.80
55816 149.40
55818 51.80
55820 149.40
55822 51.80
55824 149.40
55826 51.80
55828 149.40
55830 51.80
55832 149.40
55834 51.80
55836 149.40
55838 51.80
55840 149.40
55842 51.80
55844 119.60
55846 51.80
55848 149.40
55850 209.25
55852 149.40
55854 51.80
COMPUTED TOMOGRAPHY —
EXAMINATION AND REPORTMBS item number Fee (1 November 2005) $ 56001 245.25
56007 314.40
5776 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 56010 316.95
56013 314.40
56016 364.70
56022 282.95
56028 423.50
56030 282.95
56036 423.50
56041 124.20
56047 158.60
56050 161.25
56053 161.25
56056 195.40
56062 142.25
56068 211.75
56070 142.25
56076 211.75
56101 289.25
56107 427.60
56141 146.40
56147 215.80
56219 410.15
56220 301.85
56221 301.85
56223 301.85
56224 441.90
56225 441.90
56226 441.90
56227 154.05
56228 154.05
56229 154.05
56230 223.15
56231 223.15
56232 223.15
56233 301.85
56234 441.90
56235 154.00
56236 223.15
22 December 2006 GOVERNMENT GAZETTE, WA 5777 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 56237 301.85
56238 441.90
56239 154.00
56240 223.15
56259 207.25
56301 370.95
56307 502.95
56341 187.95
56347 254.00
56401 314.40
56407 452.65
56409 314.40
56412 452.65
56441 159.40
56447 228.20
56449 159.40
56452 228.20
56501 484.15
56507 603.60
56541 242.90
56547 306.50
56549 484.15
56551 484.15
56619 276.65
56625 420.80
56659 140.95
56665 210.50
56801 586.70
56807 704.15
56841 293.45
56847 356.95
57001 586.80
57007 713.95
57041 293.50
57047 357.00
57201 195.15
57247 97.50
5778 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 57341 591.00
57345 303.80
57350 641.30
57351 641.30
57355 332.15
57356 332.15
DIAGNOSTIC RADIOLOGY MBS item number Fee (1 November 2005) $ 57506 43.20 57509 57.70 57512 58.80 57515 78.40 57518 47.20 57521 63.00 57524 71.80 57527 95.50 57700 58.80 57703 78.40 57706 47.20 57709 63.00 57712 68.45 57715 88.45 57721 144.10 57901 93.65 57902 93.65 57903 68.70 57906 93.65 57909 93.65 57912 68.45 57915 68.45 57918 68.45 57921 68.45 57924 68.45 57927 72.05 57930 47.75
22 December 2006 GOVERNMENT GAZETTE, WA 5779 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 57933 113.65
57939 93.65
57942 72.05
57945 63.00
57960 68.85
57963 68.85
57966 68.85
57969 68.85
58100 97.50
58103 80.00
58106 111.80
58108 193.00
58109 68.25
58112 141.25
58115 193.00
58300 58.25
58306 129.85
58500 51.35
58503 68.45
58506 88.25
58509 57.70
58521 63.00
58524 82.05
58527 100.80
58700 66.90
58706 229.30
58715 220.10
58718 183.15
58721 200.75
58900 51.80
58903 69.10
58909 130.60
58912 160.10
58915 114.60
58916 201.10
58921 196.40
58924 122.05
58927 111.05
5780 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 58933 298.55
58936 284.55
58939 202.30
59103 30.95
59300 129.95
59303 78.35
59306 145.70
59309 291.25
59312 126.35
59314 76.20
59318 68.30
59503 129.85
59700 140.20
59703 110.20
59712 165.10
59715 208.50
59718 195.60
59724 328.90
59733 156.40
59736 90.05
59739 107.15
59751 202.10
59754 318.55
59760 167.20
59763 194.45
59903 166.35
59912 443.20
59925 526.30
59970 244.45
59971 83.20
59972 221.60
59973 263.20
59974 122.25
60000 819.00
60003 1 201.10
60006 1 707.90
60009 1 998.65
60012 819.00
22 December 2006 GOVERNMENT GAZETTE, WA 5781 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 60015 1 201.10
60018 1 707.90
60021 1 998.65
60024 819.00
60027 1 201.10
60030 1 707.90
60033 1 998.65
60036 819.00
60039 1 201.10
60042 1 707.90
60045 1 998.65
60048 819.00
60051 1 201.10
60054 1 707.90
60057 1 998.65
60060 819.00
60063 1 201.10
60066 1 707.90
60069 1 998.65
60072 69.90
60075 139.55
60078 209.45
60100 88.25
60500 63.00
60503 43.20
60506 92.60
60509 143.60
60918 68.45
60927 55.25
61109 375.95
NUCLEAR MEDICINE IMAGING MBS item number Fee (1 November 2005) $ 61302 502.10
61303 632.30
61306 793.75
5782 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 61307 933.90
61310 410.85
61313 339.35
61314 469.80
61316 426.40
61317 550.75
61320 256.05
61328 254.65
61340 283.00
61348 495.90
61352 290.10
61353 432.40
61356 439.35
61360 451.15
61361 516.10
61364 555.90
61368 249.55
61369 2 254.65
61372 249.55
61373 547.70
61376 160.35
61381 642.40
61383 699.00
61384 769.20
61386 371.90
61387 481.80
61389 414.45
61390 458.55
61393 677.25
61397 276.10
22 December 2006 GOVERNMENT GAZETTE, WA 5783 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 7
MBS item number Fee (1 November 2005) $ 61401 181.55
61402 676.80
61405 387.00
61409 977.00
61413 252.70
61417 132.95
61421 536.70
61425 671.90
61426 620.55
61429 607.35
61430 737.60
61433 555.90
61434 688.35
61437 607.15
61438 752.75
61441 547.70
61442 841.55
61445 320.75
61446 373.10
61449 510.25
61450 444.65
61453 575.70
61454 389.35
61457 526.20
61458 443.95
61461 590.40
61462 145.75
61465 296.95
61469 389.35
61473 196.15
5784 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
MBS item number Fee (1 November 2005) $ 61480 432.70
61484 985.30
61485 1 117.60
61495 249.55
61499 283.00
61650 982.85
MAGNETIC RESONANCE IMAGING MBS item number Fee (1 November 2005) $ 63000-63204 728.35 63219-63243 1 092.50 63271-63473 728.35 63491-63494 83.25 63497 250.00
”.
8. Schedules 2, 3, 4, 5 and 6 replaced
Schedules 2, 3, 4, 5 and 6 are repealed and the following
Schedules are inserted instead —“ Schedule 2 — Scale of fees — physiotherapists
[r. 3]
Part 1 — General
Service Service $ code PA001 Initial Consultation Set Fee A consultation with the physiotherapist $59.55 including the following elements — Subjective assessment
Major symptoms and lifestyle dysfunction;
current history and treatment; past history and22 December 2006 GOVERNMENT GAZETTE, WA 5785 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
treatment; pain, 24-hour behaviour, aggravating and relieving factors; general health, medication, risk factors.
Objective assessment
Movement – active, passive, resisted, repeated;
muscle tone, spasm, weakness; accessory
movements, passive intervertebral movementsetc. Appropriate procedures/tests as indicated.
Appropriate initial management, treatment
or advice
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 careincluding any exercise programs to be followed.
Documentation of consultation
Recording all of the above in the clinical record
of the patient, as well as: x-ray and results ofother relevant tests and warnings (if applicable).
Includes individual services provided in rooms,
home or hospital; hydrotherapy treatment;
extended treatments; and services providedoutside of normal business hours.
Includes courtesy communication by the
physiotherapist with the medical practitionersuch as acknowledgement of referral.
Includes the physiotherapist’s brief
communication with the medical practitionerregarding the injured worker’s management.
Does not include any verbal or written
communication by the physiotherapist with a
third party initiated by or requested by the
insurer and/or the employer relating to the
treatment or rehabilitation of a specific worker
(such as suitable work duties).
5786 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8 Communication by the physiotherapist with a
third party initiated by or requested by the
insurer and/or the employer has a specific item
number in this table (PK001).Does not include the physiotherapist’s involvement in case conferences. The physiotherapist’s involvement in case conferences has a specific item number in this
table (PQ001).
PB001 Standard Consultation Set Fee Consultation for one body area or condition $47.80 including the following elements — Subjective re-assessment Objective re-assessment Appropriate management, treatment or
advice
Documentation of consultation
Includes individual services provided in rooms,
home or hospital; hydrotherapy treatment;
extended treatments; and services providedoutside of normal business hours.
Includes courtesy communication by the
physiotherapist such as brief verbal and/orwritten updates to the medical practitioner.
Does not include any verbal or written
communication by the physiotherapist with a
third party initiated by or requested by the
insurer and/or the employer relating to the
treatment or rehabilitation of a specific worker(such as suitable work duties).
Communication by the physiotherapist with a
third party initiated by or requested by the
insurer and/or the employer has a specific item
number in this table (PK001).
22 December 2006 GOVERNMENT GAZETTE, WA 5787 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
Does not include the physiotherapist’s involvement in case conferences. The physiotherapist’s involvement in case conferences has a specific item number in this
table (PQ001).
PC001 Two distinct areas of treatment per visit Set Fee Same description as PB001 except relates to the $60.45 treatment/management of 2 distinct
areas/conditionsPG001 Group Consultation – per person Cost per participant
Includes non-individualised services provided to $14.70 more than one individual whether — in rooms, home or hospital
hydrotherapy treatment
extended treatments
services provided outside of normal businesshours
PE001 Worksite Visit Hourly rate** Does not include reports or travel $135.80 Maximum duration of visit of 2 hours without prior approval from insurer.
PR001 Reports
Any report required by or requested by —Medical Specialist
Medical Practitioner
EmployerInsurer
relating to a specific worker
Excludes unsolicited reports from the
physiotherapist and courtesy communication
such as acknowledgement of referral and brief
updates to the medical practitioner.
5788 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
Progress/Standard report Set Fee Report should contain summarised information $59.55 or assessment findings, treatment services
provided, results obtained with specific
recommendations for further management and
return to work if applicable.Comprehensive report Hourly rate** As above for progress/standard report and $135.80 assessments and interventions performed.
contains information relating to more detailed insurer with a suggested maximum of 2 hours.
PT001 Travel (within metropolitan area) Set Fee Outside metropolitan area to be negotiated prior $33.85 to consult with insurer per journey to a venue If a physiotherapist consults with more than one worker before leaving a venue, the fee for the journey is to be apportioned equally between workers.
PQ001 Case Conferences Face-to-face or telephone communication $13.60 involving the physiotherapist with one or more Calculated of the following — per
doctor, employer, insurer/claims manager, 6 minute rehabilitation providers and worker block. The aim of the case conference is to plan, implement, manage or review treatment options and/or rehabilitation plan.
22 December 2006 GOVERNMENT GAZETTE, WA 5789 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
PK001 Communication
Any verbal communication by the $13.60 physiotherapist with a third party initiated by or Calculated requested by the insurer and/or the employer per relating to the treatment or rehabilitation of a 6 minute specific worker (such as suitable work duties). block. Does not include unsolicited communication
from the physiotherapist.Maximum time allowable per communication of
30 minutes.PS001
Specific Physiotherapy Assessment – Prior Hourly approval from insurer required Rate** Includes specific types of assessments not $135.80 classified elsewhere in the table/Gazette required Max by the insurer which physiotherapists may duration undertake (eg. diagnostic ultrasound imaging, of service Functional Capacity Assessments (FCE’s), seating provision and wheelchair assessments). 2 hours PW001
Specific Physiotherapy Intervention – Prior Hourly approval from insurer required (*replaces Rate** PD001)
Includes treatments not classified elsewhere in the $135.80 table/Gazette required by the insurer which Max physiotherapists may undertake (eg. treatment of duration severe multiple area trauma, burns, neurologically of service injured patients and patients with severe spinal provision injuries, ergonomic corrections of workplace, 2 hours specialised real-time ultrasound imaging, short
consultations).** Denotes that where the service provided is a fraction of one hour, the amount
chargeable is to be calculated as that fraction of the maximum amount.
5790 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
Part 2 — Exercise-based programs
Type of service Fee 1. Initial Consultation/Assessment
The following services are included in the $135.80 per initial consultation fee — hour, total fee
Assessment of the worker not to exceed $271.60
Physiological testing Where a session is for Program design a fraction of one Communication with relevant persons hour, the amount (other than reports)
chargeable is to be calculated as that
fraction of the
maximum amount
chargeable.
Physiotherapist to patient ratio must be 1:1 for
the duration of the consultation.2. Subsequent Exercise
Consultation/Assessment
Subsequent consultation/assessments for the $135.80 per hour
provision or prescription of an exercise-based Where a session is for
program up to a maximum of one hour a fraction of one including —
hour, the amount chargeable is to be
Provision/prescription of exercises calculated as that Program development, coordination fraction of the Communication with relevant persons maximum amount (other than reports) chargeable.
3. Initial report $59.80 4. Subsequent reports $48.00
per report5. Final report $48.00 6. Gym membership/Entry fees Market rates (Prior approval from insurer/self-insurer is required) 7. Travel, within metropolitan area $33.85 per
journey to a
venue22 December 2006 GOVERNMENT GAZETTE, WA 5791 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
If a physiotherapist consults with more than one
worker before leaving a venue, the fee for the journey
to the venue is to be apportioned equally between theworkers.
8. Travel, outside metropolitan area $97.85
per hour9. Communication (assessment capped at 30 minutes) $67.00 Schedule 3 — Scale of fees — chiropractors
[r. 4]
Type of service Fee
1. Initial consultation and examination $47.10 2. Subsequent consultation $39.30 3. Spinal x-ray, one region $93.55 4. Spinal x-ray, 2 or more regions $140.45 5. Travel (per kilometre) 0.67 Schedule 4 — Scale of fees —
occupational therapists
[r. 5]
Type of Service Fee
1. Brief consultation (< 15 minutes) $20.35 2. Short consultation (15 minutes to < 30 minutes) $40.75 3. Standard consultation (30 minutes to < 45 minutes) $67.15 4. Extended consultation (45 minutes to < one hour) $100.75 5. Extended consultation ( > one hour) $134.30 6. Standard group consultation (30 minutes) per person $44.10 7.
Travel costs are to be calculated at the hourly rate by the length of time spent travelling.
5792 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
Schedule 5 — Scale of fees — speech pathologists
[r. 7]
Type of service Fee 1. Initial consultation/assessment (up to and including
1 hour) $124.10 2.
Initial consultation/assessment (exceeding 1 hour) $160.75 3.
Subsequent consultation (<½ hour) $54.20 4.
Subsequent consultation (½ hour – 1 hour) $70.30 5.
Subsequent consultation (>1 hour) $94.90 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 $915.75 (or, if an and certificate — straightforward interpreter is present at assessment — other than a service the examination, mentioned in item 4, 5, 6 or 8 $1 144.65 excluding any
fee payable to the
interpreter)2. Examination and provision of report $1 144.65 (or, if an and certificate — moderately complex interpreter is present at assessment (eg. reviewing multiple the examination, questions and reports; impairment $1 373.60 excluding any involving more complex assessments; fee payable to the more than one body system interpreter) involved) — other than a service
mentioned in item 4, 5, 6 or 83. Examination and provision of report $1 373.60 (or, if an and certificate — complex assessment interpreter is present at (eg. multiple injuries; severe the examination, impairment such as spinal cord injury $1 602.50 excluding any or head injury) — other than a service fee payable to the mentioned in item 4, 5, 6 or 8 interpreter) 22 December 2006 GOVERNMENT GAZETTE, WA 5793 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
Description of assessment Maximum fee*
4. Examination of any of ear, nose and $915.75 (or, if an throat only, including audiometric interpreter is present at testing, and provision of report and the examination, certificate — other than a service $1 144.65 excluding any mentioned in item 8 fee payable to the
interpreter)5. Examination and provision of report $1 373.60 (or, if an and certificate — psychiatric — interpreter is present at standard assessment — other than a the examination, service mentioned in item 8 $1 602.50 excluding any
fee payable to the
interpreter)6. Examination and provision of report $2 289.30 (or, if an and certificate — psychiatric — interpreter is present at complex assessment (eg. reviewing the examination, significant documented prior $2 518.25 excluding any psychiatric history) — other than a fee payable to the service mentioned in item 8 interpreter) 7. Consolidation of written assessments $457.85 from multiple assessors 8. Re-examination and provision of $686.80 (or, if an report and certificate interpreter is present at
the examination, $915.75
excluding any fee payable
to the interpreter)9. Provision of supplementary report and $228.95 certificate
5794 GOVERNMENT GAZETTE, WA 22 December 2006 Workers’ Compensation and Injury Management (Scales of Fees)
Amendment Regulations (No. 3) 2006
r. 8
Part 2 — Attempted assessments
Description of circumstances Maximum fee*
1. If a worker who is required under $457.85 Part VII 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 one working
day’s notice
* Denotes that where the service provided is a fraction of one hour, the amount
chargeable is to be calculated as that fraction of the maximum amount.
”.
Recommended by WorkCover WA on the 28th day of November 2006.
The common seal of ) ) WorkCover WA
) L.S. ) )
A. WARNER. ELIZABETH ROSARIO. By Command of the Governor,
M. C. WAUCHOPE, Clerk of the Executive Council.
!200600230GG!
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