Workers' Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 1999 (WA)
20 July 19991 GOVERNMENT GAZETTE, WA 3249 WORKCOVER
WC301
Workers' Compensation and Rehabilitation Act 1981
Workers' Compensation and Rehabilitation
(Scales of Fees) Amendment Regulations 1999
Made by the Governor in Executive Council, on the recommendation of the Commission, under section 176(1a).
" $135.50 ". 1. Citation
These regulations may be cited as the Workers 'Compensation
and Rehabilitation (Scales of Fees) Amendment Regulations
1999.2. The regulations amended
The amendments in these regulations are to the Workers' Compensation and Rehabilitation (Scales of Fees) 1998*. [* Published in Gazette 13 October 1998, pp. 5711-25.]
3. Regulation 6 amended
Regulation 6 is amended by deleting "$134.00" and inserting instead —
| 3250 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
4. Schedule 1 replaced
Schedule 1 is deleted and the following Schedule is inserted instead -
Schedule 1
Ir. 21
Scales of fees - medical specialists and other medical practitioners
Part 1 - Medical specialists and other medical practitioners
Type of service/by whom Fee $ GENERAL PRACTITIONER
CONSULTATIONS
Surerv Consultation: In Hours
Content based $
Minor Service (Level A) 17.50 Specific Service (Level B) 37.10 Extended Service (Level C) 66.00 Comprehensive Service (Level D) 95.00
Time based $
up to 5 mins 25.50 5-15 mins 32.50 15-30 mins 63.00 30-45 mins 94.00 45-60 mins 128.00
Surgery Consultations: Out of hours
For attendances between the hours of 6pm and 8am on a weekday or between 12 noon on Saturday and 8am on the following Monday, and Public Holiday
Content based $
Minor Service (Level A) 26.80
Specific Service (Level B) 55.60 Extended Service (Level C) 99.00 Comprehensive Service (Level D) 144.00 Time based $
up to 5 mins 46.00 5-15 mins 54.00 15-30 mins 83.00 30 + mins 114.00
VISITS
Consultations at a place other than the
Consulting Rooms $ in hours
Minor Service (Level A) 44.30 Specific Service (Level B) 63.90 Extended Service (Level C) 92.00 Comprehensive Service (Level D) 120.00
20 July 19991 GOVERNMENT GAZETTE, WA 3251
out of hours $
Minor Service (Level A) 53.60 Specific Service (Level B) 81.40 Extended Service (Level C) 124.00 Comprehensive Service (Level D) 170.00
TELEPHONE CONSULTATIONS
Time based $
up to 5 mins 13.80 5-15 mins 17.20 15-30 mins 36.00 30 + mins 54.00
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc
per hour $165.40
TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $2.90
PHYSICIANS, OCCUPATIONAL & REHABILITATION
PHYSICIANS
PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 166.90
subsequent attendances 83.50
VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ first attendance 197.90 subsequent attendances 115.40
REHABILITATION PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et a! $ first attendance 166.90 subsequent attendances 83.50
| 3252 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ first attendance 199.90 subsequent attendances 115.40 OCCUPATIONAL PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 166.90 subsequent attendances 83.50 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ first attendance 166.90 subsequent attendances 83.50 TELEPHONE CONSULTATIONS
Time based $
upto5mins 21.85 5 to 15 mins 27.00 15-30 mins 56.50 30 + mins 85.30
CASE CONFERENCES, discussions with employers/insurers, rehabilitation providers, workplace assessments etc
per hour $245.15 TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $2.90 CONSULTANT PSYCHIATRISTS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ Time based
up to 15 mins
15-30 mins48.95 97.90
20 July 19991 GOVERNMENT GAZETTE, WA 3253
30-45 mins 146.30 45-60 mins 195.80 60-75 mins 221.60 75 + mins 247.30
VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ Time based
up to 15 mins 80.40 15-30 mins 129.80 30-45 mins 177.25 45-75 mins 226.70 75+mins 273.10
TELEPHONE CONSULTATIONS
Time based $
up to 45 mins 67.00 45 + mins 146.30
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc
per hour $245.15
TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $2.90 SPECIALISTS
SURGEONS CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al$ first attendance 94.90 subsequent attendances 49.50
VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ first attendance 128.00 subsequent attendances 81.50
| 3254 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
DERMA TOLOGISTS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al$ first attendance 94.80 subsequent attendances 49.50 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ first attendance 127.80 subsequent attendances 81.40 TELEPHONE CONSULTATIONS
Time based $
upto5mins 21.85 5-15 mins 27.00 15-30 mins 56.50 30 + mins 85.30
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc
perhour $245.15 TRAVELLING FEES
Country
Rate per kilometre $2.90 ANAESTHETISTS CONSULTATIONS
$
Standard pre-anaesthesia 60.45 Referred pre-anaesthesia -
initial attendance 120.90 subsequent attendance 60.45
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 three elements: base units (BUs), modifying units (MU5) and time units (TU5).
20 July 19991 GOVERNMENT GAZETTE, WA 3255 In Part A, the fee for a procedure is calculated by adding the base units for the procedure, the time units, and any modifying units and multiplying the result by the $ value per unit allocated by this Schedule.
(BUs + TUs + MUs ) x $value per unit Fee
In Part B, the fee for a therapeutic or diagnostic service only includes modifying units (MUs), and time units (TU5) if the item notes that service as including either or both.
Base units 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 theanaesthesia care and usual monitoring procedures.]
Time units
Each 15 minutes (or part thereof) of anaesthetic time constitutes one time unit.
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, derivedfrom the
modifying units set out in the AMA's "List of Medical Services andFees"]
$ VALUE PER UNIT
$ value per unit $30.23
PART A - PROCEDURES
Description ofprocedure, etc. Units Anaesthesia for all procedures on the skin and its derivatives and subcutaneous tissue of the head and on its muscles, salivary glands and superficial blood vessels, including biopsy, unless otherwise specified 5
- plastic repair of cleft palate 6
Anaesthesia for electroconvulsive therapy 4 Anaesthesia for all procedures on external, middle and inner ear, including biopsy, unless otherwise specified 5 —otoscopy 4
- tympanotomy 4
| 3256 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
Anaesthesia for all procedures on the eye unless
otherwise specified 5 - lens surgery 6 - retinal surgery 6 - corneal transplant 8 - vitrectomy 8 - biopsy of conjunctiva - ophthalmoscopy 4 Anaesthesia for all procedures on the nose and accessory sinuses unless otherwise specified - radical surgery 7 - biopsy, soft tissue 4 Anaesthesia for all intraoral procedures, including biopsy, unless otherwise specified - radical surgery 10 Anaesthesia for all procedures on facial bones unless otherwise specified - radical surgery (including prognathism and extensive facial bone reconstruction) 10 Anaesthesia for all intracranial and cranial bone
procedures unless otherwise specified 12 - subdural taps 5 - burr holes 9 - intracranial vascular procedures including those for aneurysms and arteriovenous abnormalities - procedures in sitting position
20
13 - spinal fluid shunt procedures 10 - electrocoagulation of intracranial nerve 6 Neck derivatives and subcutaneous tissue of the neck
Anaesthesia for all procedures on oesophagus, thyroid, larynx, trachea and lymphatic system muscles, nerves
and other deep tissues of the neck unless otherwise
specified 6 - for laryngectomy, hemi laryngectomy, laryngophaiyngectomy, or pharyngectomy - needle biopsy of the thyroid
10
3 Anaesthesia for all procedures on major blood vessels of the neck unless otherwise specified 10 - simple ligation 5 Thorax (Chest Wall/Shoulder Girdle)
Anaesthesia for all procedures on the skin of the
anterior part of the chest, including its derivatives and
subcutaneous tissue unless otherwise specified 3 - reconstructive procedures on breast (eg. reduction or augmentation, mammoplasty, muscle flaps)
20 July 19991 GOVERNMENT GAZETTE, WA 3257 - radical or modified radical procedures on breast - radical or modified radical procedures on breast
with internal mammary node dissection - electrical conversion of arrhythmias
13
5 Anaesthesia for all procedures on the skin of the posterior part of the chest, including its derivatives and subcutaneous tissue Anaesthesia for all procedures on clavicle, scapula and sternum unless other specified 5 - radical surgery 6 - biopsy of clavicle 3 Anaesthesia for partial rib resection unless otherwise specified 6 - thoracoplasty (any type) 10 - radical procedures (eg. pecus excavatum) 13
Intrathoracic
Anaesthesia for all closed chest procedures (unless
oesophagoscopy, bronchoscopy, transverse pacemaker)
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 - decortication 15 - pulmonary resection with thoracoplasty 15 - intrathoracic repair of trauma to trachea and bronchi 15 Anaesthesia for all procedures on heart, pericardium, and great vessels of chest:
- without pump oxygenator
15
- with pump oxygenator 20 Anaesthesia for heart transplant 20 Anaesthesia for heart and lung transplant 20
Spine and spinal cord
Anaesthesia for all procedures on cervical spine and
cord unless otherwise specified 10 - posterior cervical laminectomy in sitting position 13 Anaesthesia for all procedures on thoracic spine and cord unless otherwise specified 10 - thoracolumbar sympathectomy 13 Anaesthesia for all procedures in the lumbar region unless otherwise specified 8 - lumbar sympathectomy 7 - chemoneucleosis 10
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Anaesthesia for extensive spine and spinal cord
procedures (eg. Harrington rod technique) 13 Anaesthesia for manipulation of spine 3 Anaesthesia for percutaneous spinal procedures unless otherwise specified
Upper abdomen
Anaesthesia for all procedures on upper anterior
abdominal wall unless otherwise specified 3 - percutaneous liver biopsy 4 Anaesthesia for laparoscopic procedures 7 Anaesthesia for lithotripsy 6 Anaesthesia for all procedures on the upper posterior abdominal wall 5 Anaesthesia for upper gastrointestinal endoscopic procedures 5 Anaesthesia for upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage 6 Anaesthesia for all hernia repairs in upper abdomen unless otherwise specified 4 - lumbar and ventral (incisional) hernia and/or wound dehiscence - omphalocele
6
7 - transabdominal repair of diaphragmatic hernia 9 Anaesthesia for all procedures on major abdominal blood vessels 15 Anaesthesia for all procedures within the peritoneal cavity in upper abdomen including cholecystectomy, gastrectomy, bowel shunts and cadaver harvesting of organs unless otherwise specified
7
- partial hepatectomy (excluding liver biopsy) 13 - pancreatectomy, partial or total (eg. Whipple procedure) - liver transplant (recipient) 10 20 - neuro endocrine tumour removal (eg carcinoid) 10 Lower abdomen
Anaesthesia for all procedures on lower anterior
abdominal wall unless otherwise specified 3 - panniculectomy Anaesthesia for laparoscopic procedures 6 Anaesthesia for all intestinal endoscopic procedures 4 Anaesthesia for lithotripsy 6 Anaesthesia for all procedures on lower posterior abdominal wall 5 Anaesthesia for all hernia repairs in lower abdomen unless otherwise specified 4
20 July 19991 GOVERNMENT GAZETTE, WA 3259 - ventral and incisional hernias
Anaesthesia for all procedures within the peritoneal
cavity in lower abdomen unless otherwise specified 6 - amniocentesis 4 - abdominoperineal resection, including pull through procedures 10 - radical prostatectomy 9 - radical hysterectomy 9 - pelvic exenteration 10 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 (eg. 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 - transvenous umbrella insertion 5
Perineum
Anaesthesia for all procedures on the skin and its derivatives and subcutaneous tissue of the perineum
(including biopsy of male genital system) unless
otherwise specified 3 - anorectal procedure (including endoscopy and/or biopsy) 4 - radical pineal procedure including radical
vulvectomy 7
- vulvectomy 4 Anaesthesia for all transurethral procedures (including urethrocystoscopy) unless otherwise specified 3 - transurethral resection of bladder tumour(s) 5 - transurethral resection of prostate 6 - post-transurethral resection bleeding Anaesthesia for all procedures on male external genitalia unless otherwise specified 3 - seminal vesicles 6 4 - undescended testis, unilateral or bilateral - radical orchidectomy, inguinal 4 - radical orchidectomy, abdominal 6 - orchiopexy, unilateral or bilateral 4 - complete amputation of the penis 4 - radical amputation of the penis with bilateral inguinal lymphadenectomy
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- radical 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 3 - colpotomy, colpectomy, colporrhaphy 4 - transvaginal oocyte collection 4 - vaginal hysterectomy 6 - purse string ligation of cervix 4 - culdoscopy 5 - hysteroscopy 4 - correction of inverted uterus 8 Pelvis - except hip
Anaesthesia for all procedures on the skin and its derivatives and subcutaneous tissue of the anterior
pelvic region (anterior to iliac crest), except external
genitalia 3 Anaesthesia for all procedures on the skin and its derivatives and subcutaneous tissue of the pelvic region (posterior to iliac crest), except perineum 5 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 closed procedures involving hip
joint 4 Anaesthesia for arthroscopic procedures of hip joint 4 Anaesthesia for all open procedures involving hip joint unless otherwise specified 6 - hip disarticulation 10 - total hip replacement or revision 10 Anaesthesia for all closed procedures involving upper % of femur 4 Anaesthesia for all open procedures involving upper % of femur unless otherwise specified 6 - amputation - radical resection 8 Anaesthesia for all procedures on the skin and its derivatives and subcutaneous tissue of the upper leg
20 July 19991 GOVERNMENT GAZETTE, WA 3261 Anaesthesia for all procedures on nerves, muscles,
tendons, fascia, and bursae of upper leg 4 Anaesthesia for all procedures involving veins of upper leg, including exploration 3 Anaesthesia for all procedures involving arteries of upper leg, including bypass graft, unless otherwise specified
8
- femoral artery ligation 4 - femoral artery embolectomy 6 - for microsurgical reimplantation of upper leg 15
Knee and popliteal area
Anaesthesia for all procedures on the skin and its
derivatives 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 knee joint 3 Anaesthesia for arthroscopic procedures of knee joint 4 Anaesthesia for all closed procedures on upper ends of tibia and fibula, and/or patella 3 Anaesthesia for all open procedures on upper ends of tibia and fibula, and/or patella 4 Anaesthesia for open procedures on knee joint unless otherwise specified 4
- total knee replacement 7
- disarticulation of knee 5 Anaesthesia for all cast applications, removal, or repair
involving knee joint 3 Anaesthesia for all procedures on veins of knee and popliteal area unless otherwise specified 3
- arteriovenous fistula 5 Anaesthesia for all procedures on arteries of knee and
popliteal area unless otherwise specified 8 - popliteal thromboendarterectomy, with or without
patch graft 8 - popliteal excision and graft or repair for occlusion
or aneurysm 8
Lower leg - below knee (includes ankle) Anaesthesia for all procedures on the skin and its
derivatives and subcutaneous tissue of the lower leg.
ankle and foot 3
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Anaesthesia for all closed procedures on the lower leg,
ankle and foot 3 Anaesthesia for arthroscopic procedure of ankle joint 4 Anaesthesia for all procedures on nerves, muscles, tendons, and fascia of lower leg, ankle and foot unless otherwise specified 3 - repair of Achilles tendon, with or without graft 5 - gastrocnemius recession (eg. Strayer procedure) 5 Anaesthesia for all open procedures on bones of lower leg, ankle and foot, including amputation,unless otherwise specified 3 - radical resection 4 - osteotomy or osteoplasty of tibia and fibula 4 - total ankle replacement 7 Anaesthesia for lower leg cast application, removal or repair 3 Anaesthesia for all procedures on arteries of lower leg, including bypass graft unless otherwise specified 8 - embolectomy 6 Anaesthesia for all procedures on veins of lower leg unless otherwise specified 3 - venous thrombectomy 5 - for microsurgical reimplantation of lower leg, ankle or foot 15 - for microsurgical reimplantation of toe 8 Shoulder and axilla
(includes humeral head and neck, sternoclavicnlarjuinf,
acromioclavicular joint and shoulder joint)
Anaesthesia for all procedures on the skin and its
derivatives and subcutaneous tissue on the shoulder and axilla 3 Anaesthesia for all procedures on nerves, muscles,
tendons, fascia and bursae of shoulder and axilla
Anaesthesia for all closed procedures on humeral headand neck, sternoclavicular joint, acromioclavicular jO lilt and shoulder joint 4 Anaesthesia for all arthroscopic procedures of shoulder joint ki Anaesthesia for all open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint and shoulder joint unless otherwise specified 5 - radical resection 6 - shoulder disarticulation 9 - interthoracoscapular (forequarter) amputation IS - total shoulder replacement 10
20 July 19991 GOVERNMENT GAZETTE, WA 3263 Anaesthesia for all procedures on arteries of shoulder
and axilla unless otherwise specified 8 - axillary-brachial aneurysm 10 - bypass graft 8 - axillary-femoral bypass graft 10 Anaesthesia for all procedures on veins of shoulder and axilla 4 Anaesthesia for all shoulder cast application, removal or repair unless otherwise specified 3 - shoulder spica 4
Upper arm and elbow
Anaesthesia for all procedures on the skin and its
derivatives and subcutaneous tissue of the upper arm
and elbow 3 Anaesthesia for all procedures on nerves, muscles, tendons, fascia and bursae of upper arm and elbow, unless otherwise specified
3
- tenotomy, elbow to shoulder, open 5 - tenoplasty, elbow to shoulder 5 - tenodesis, rupture of long tendon of bicep 5 Anaesthesia for all closed procedures on humerus and elbow 3 Anaesthesia for arthroscopic procedures of elbow joint 4 Anaesthesia for all open procedures on humerus and elbow unless otherwise specified 4 - osteotomy of humerus 5 - repair of non-union or malunion of humerus 5 - radical procedures 6 - excision of cyst or tumour of humerus - total elbow replacement 7 Anaesthesia for all procedures on arteries of upper arm unless otherwise specified 8 - embolectomy 6 Anaesthesia for all procedures on veins of upper arm unless otherwise specified 3 - phleborrhaphy 4 - for microsurgical reimplantation of upper arm 15
Forearm, wrist and hand
Anaesthesia for all procedures on the skin and its
derivatives and subcutaneous tissue of the forearm,
wrist and hand 3 Anaesthesia for all procedures on nerves, muscles, tendons, fascia and bursae of forearm, wrist and hand 3 Anaesthesia for all open procedures on radius, ulna, wrist, or hand bones unless otherwise specified 3 - total wrist replacement 7
| 3264 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
Anaesthesia for arthroscopic procedures on the wrist
joint 4 Anaesthesia for all procedures on arteries of forearm, wrist, and hand unless otherwise specified 8 - embolectomy 6 Anaesthesia for all procedures on veins of forearm, wrist, and hand unless otherwise specified 3 - phleborrhaphy 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 finger 8 Other procedures
Anaesthesia for injection procedure for
hysterosalpingography 3 Anaesthesia for burr hole(s) for ventriculography 9 Anaesthesia for injection procedure for pneumoencephalography 7 Anaesthesia for injection procedure for m\'elograph\':
- lumbar 5 - cervical 5 - posterior fossa 9 Anaesthesia for injection procedure for discography:
- lumbar 5 - cervical 6 Anaesthesia for arteriograms, needle:
- carotid or vertebral 5 - retrograde, brachial or femoral 5 Anaesthesia for cardiac catheterization including
coronary arteriography ventriculography and cardiac
mapping (not including Swan-Ganz catheter) 7 Anaesthesia for computerised axial tomography scanning, magnetic resonance scanning, ultrasound
scanning 7 Anaesthesia for radiology unless otherwise specified 4 Anaesthesia for radiotherapy 7 Anaesthesia for peripheral venous cannulation 3 Anaesthesia for central venous cannulation 3 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 10 Note - Unlisted anaesthetic procedures For an unlisted anaesthetic procedure, the number of units is to be determined by reference to the nearest listed anaesthetic procedure
20 July 19991 GOVERNMENT GAZETTE, WA 3265 PART B - THERAPEUTIC AND DIAGNOSTIC SERVICES
Description of service, etc. MUs or TUs BUs Intubation, endotracheal, emergency
procedure, where the patient's airway isunsecured and at high risk of occlusion, eg epiglottitis or haematoma post thyroidectomy yes yes 15 Intubation, endotracheal, not associated with anaesthesia, when subsequent management is not in an intensive care unit yes yes 4 Venous cannulation and commencement of intravenous infusion, under age of three 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 Venous cannulation and blood transfusion (or blood products) not associated with
anaesthesia no no 5 Collection of blood for auto logous transfusion or when homologous blood is
required for immediate transfusion in an emergency situation, not associated with anaesthesia
no
no
3
Central vein catheterization, percutaneous via jugular or subclavian vein no no 3
Central vein catheterization by cutdown iio no 5 Central venous pressure monitoring no no 3 Arterial puncture, withdrawal of blood for diagnosis no no 1 Arterial cannulation, percutaneous no no 3 Arterial cannulation, by cutdown no no 5 Intra arterial pressure monitoring no no 3 Catheterization, umbilical artery, newborn, for diagnosis, or therapy no no 5 Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent no no 4 Introduction of a narcotic, for the control of post-operative pain, into the epidural or intracathecal space in association with an operation
no
no
2
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Introduction of local anaesthetic, for the
control of post-operative pain, into the
epidural or intracathecal space in
conjunction with an operation no no 2 Intravenous regional anaesthesia of limb by retrograde perfusion no no 4 Perioperative nerve block (specify type) performed to provide post operative pain relief (this does not include subcutaneous infiltration)
no
no
3
Subarachnoid puncture, lumbar, diagnostic no no 4 Insertion of subarachnoid drain no no 8 Intrathecal, epidural or caudal, initial injection (or commencement of infusion) of a therapeutic substance, including up to one hour of continuous attendance by a
medical practitioner no no 8
- where continuous attendance by a medical practitioner extends beyond one hour, add one unit for each 15
minutes over the first hour no yes 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 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
20 July 19991 GOVERNMENT GAZETTE, WA 3267 Injection of an anaesthetic agent:
- trigeminal nerve, primary division of no no 10 - trigeminal nerve, peripheral branch of no no 5 - facial nerve no no 3 - retrobulbar or peribulbar no no 5 - greater occipital nerve no no 3 - vagus nerve no no 8 - glossopharyngeal nerve no no 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, one or more of no no 5 - pudendal nerve no no 8 - ulnar, radial or median nerve of main trunk, one 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, one or more of no no - paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, single vertebral level no no 7
- paravertebral nerves, multiple levels no no 10 - sciatic nerve no no 7 - other peripheral nerve or branch no no - 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 no no 20 Nerve branch, not covered by any other item in the Group, destruction by a neurolytic agent no no 10
| 3268 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
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 Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement
no
no
7
Pulmonary artery pressure monitoring no no 3 Left atrial pressure monitoring via left atrial catheter no no 3 Hyperbaric oxygen pressurisation, with or without anaesthesia, when anaesthetist is inside the chamber yes yes 15 Hyperbaric oxygen pressurisation, with or without anaesthesia, when anaesthetist is outside the chamber yes yes 8 Hypothermia, total body no no 5 Deep hypothermia to a core temperature of less than 20 degrees in association with circulatory arrest no no 15 Medical management of cardio- pulmonary bypass perfusion using heart/lung machine yes yes 20 Standby medical management of cardio- pulmonary bypass perfusion using heart/lung machine no yes 5
Perfusion of limb or organ no no 12 Cardioplegia, blood or crystalloid, administration by any route no no 10 Skin testing for allergy to anaesthetic 4 agents no yes Assistance in the administration of an anaesthetic yes yes
Note - Unlisted services For an unlisted service, the number of units is to be determined by reference to the nearest listed anaesthetic procedure
Description Units A normal healthy patient 0 A patient with a mild systemic disease 0 A patient with a severe systemic disease 1
20 July 19991 GOVERNMENT GAZETTE, WA 3269 A patient with a severe systemic disease that is
a constant threat to life 2 A moribund patient who is not expected to survive for 24 hours with or without the
operation 3 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 old 1 Emergency surgery (ie. when undue delay in treatment of the patient would lead to a significant increase in a threat to life or body
part) 2
Part 2 - Medical procedures
Type ofprocedure Fee $ GENERAL
Localised burns 36.50 Localised burns, including dressing of, under general anaesthetic 104.00 Extensive burns 63.00 Extensive burns, including dressing of, under general anaesthetic 220.00 Dressing of wounds, under general anaesthetic 104.00 Acupuncture, including consultation 48.50
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 orexternal 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 196.00 Elbow, by open reduction 260.00
| 3270 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
Interphalangeal joint, by closed reduction 84.00 Interphalangeal joint, by open reduction 112.00 Mandible, by closed reduction 70.00 Clavicle, by closed reduction 83.00 Clavicle, by open reduction 168.00 Shoulder, not requiring general anaesthetic 83.00 Shoulder, by open reduction, with general anaesthetic 335.00 Shoulder, other, with general anaesthetic 166.00 Metacarpophalangeal joint, by closed reduction 112.00 Metacarpophalangeal joint, by open reduction 150.00 Patella, by closed reduction 126.00 Patella, by open reduction 168.00 Radioulnar joint, by closed reduction 196.00 Radioulnar joint, by open reduction 260.00 Toe, by closed reduction 70.00 Toe by open reduction 93.00 REMOVAL OF FOREIGN BODIES -
$
as independent procedure 30.50 superficial 136.00 deep tissue or muscle 380.00 ear, other than by syringing 98.00 nose, other than by simple probing 98.00 cornea or sclera, embedded 100.00
FRACTURES
'closed reduction' means non operative reduction of the
fracture, and included percutaneous fixation and/orexternal 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
20 July 19991 GOVERNMENT GAZETTE, WA 3271 'other' means treatment by any other method and includes
the use of external splintage
$
lWhere 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 126.00 fracture, intra-articular, by closed reduction 146.00 fracture, by open reduction 168.00 fracture, intra-articular, by open reduction 210.00 Middle phalanx of finger
fracture, by closed reduction 190.00 fracture, intra-articular, by closed reduction 215.00 fracture, by open reduction 250.00 fracture, intra-articular, by open reduction 315.00
Proximal phalanx of finger or thumb
fracture, by closed reduction 250.00 fracture, intra-articular, by closed reduction 295.00 fracture, by open reduction 335.00 fracture, intra-articular, by open reduction 420.00
Metacarpal
fracture, by closed reduction 250.00 fracture, intra-articular, by closed
reduction 295.00 fracture, by open reduction 335.00 fracture, intra-articular, by open reduction 420.00 Carpal Scaphoid, by open reduction 560.00 Carpal Scaphoid, other 250.00 Carpus (excluding Scaphoid), by open reduction 350.00 Carpus (excluding Scaphoid), other 140.00
| 3272 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
Radius
by closed management 280.00 by open management 560.00 Radius or Ulnar, distal end, (Colies',
Smith's or Barton's)by closed reduction 420.00 by open reduction 560.00 Ribs (I or more). each attendance 64.00 Tibia, plateau of, medial or lateral by closed reduction 505.00 by open reduction 670.00 Tibia, plateau of, medial and lateral by closed reduction 840.00 by open reduction 1125.00 SUTURES
$
face or neck, less than 7 cm, superficial 100.00 face or neck, less than 7 cm, deep 152.00 face or neck, more than 7 cm, superficial 152.00 face or neck, more than 7 cm, deep 260.00 except face or neck, less than 7cm, superficial 76.00 except face or neck, less than 7cm, deep 114.00 except face or neck, more than 7cm, superficial 114.00
except face or neck, less than 7cm, deep 250.00
AMPUTATIONS
$
Hand, midcarpal or transmetacarpal 380.00 Hand, forearm or through arm 440.00 At shoulder 745.00 Interscapulothoracic 1480.00 One digit of foot 200.00 Two digits of one foot 300.00 Three digits of one foot 405.00 Four digits of one foot 505.00 Five digits of one foot 605.00 Foot, at ankle 440.00 Foot, midtarsal or transmetatarsal 380.00 Through thigh, at knee or below knee 650.00
20 July 19991 GOVERNMENT GAZETTE, WA 3273
Hand, forearm or arm 440.00 At hip 915.00 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 $126.00, whichever is greater.
USE OF PRIVATE THEATRES
A theatre fee of $76.00 will be paid to practitioners for the use of their private theatre, but this fee may only be charged if the patient would otherwise have been sent to hospital.
Part 3 - Radiology
Radiographic Examination and Report Fee (with or without fluoroscopy) $ HANDS AND FEET Digits or phalanges - all or any of either hand or either foot 74.00 Hand, wrist, forearm, elbow or arm (elbow to shoulder) 74.00 Hand, wrist, lower forearm or upper forearm and elbow or elbow and arm (elbow to shoulder) 96.00 Foot, ankle, lower leg, upper leg or thigh (femur) 80.00 Foot, ankle, lower leg or upper leg and thigh (femur) 118.00 SHOULDER OR HIP JOINT $ Shoulder or Scapula 96.00 Clavicle 78.00 Hip 90.00 Pelvic Girdle 112.00 Sacroiliac joint 112.00 Femur, internal fixation of neck or intertrochanteric (per trochanteric) fracture
186.00
| 3274 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
HEAD
$
Skull (Calvarium) 118.00 Sinuses 90.00 Mastoids 148.00 Petrous temporal bones 118.00 Facial bones - orbit, maxilla or malar. am or all 122.00 Mandible 112.00 Salivary calculus 112.00 Nose 90.00 Eye 90.00 Temporo-Mandibular joints 118.00 Teeth - single area (not applicable to dentists) 74.00 Teeth - full mouth (not applicable to dentists) 186.00 Palato-Pharyngeal studies with fluoroscopic screening 112.00 Palato-Pharyngeal studies without fluoroscopic screening 90.00 Larynx 80.00 SPINE $ Spine - cervical 118.00 Spine - thoracic 99.00 Spine - lumbo-sacral 138.00 Spine - sacro-coccygeal 83.00 Spine - functional views of one area 37.00 BONE AGE & SKELETAL SURVEYS
$
Skeletal survey involving four or more regions 164.00 THORACIC $ Chest (lung fields) by direct radiography 90.00 Chest (lung fields) by direct radiography with fluoroscopic screening 112.00 Thoracic inlet or trachea 90.00 Chest by miniature radiography 41.00 Cardiac examination (including barium swallow) 112.00 Sternum or ribs on one side 90.00 Sternum and ribs on one side, or ribs on both sides 112.00 Sternum and ribs on both sides 138.00
20 July 19991 GOVERNMENT GAZETTE, WA 3275 URINARY TRACT
$
Plain renal only 90.00 Drip infusion pyelography 245.00 Intravenous pyelography, including preliminary plain film 220.00 Intravenous pyelography, including preliminary plain film with delayed examination for cysto- uretic reflex 275.00 Antegrade and retrograde pyelography - unilateral including preliminary plain film 180.00 Retrograde cystography or retrograde urethrography 122.00 Retrograde micturating cysto-urethrography 148.00 Retro-Peritoneal pneumogram 96.00 ALIMENTARY TRACT & BILIARY
SYSTEM$ Plain abdominal only 90.00 Oesophagus, with or without examination for foreign body or barium swallow 126.00 Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest 170.00 Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest 198.00 Barium or other opaque meal - small bowel
series only 148.00 Opaque enema 170.00 Opaque enema, including air contrast study 198.00 Graham's Test (Cholecystography) 134.00 Cholegraphy, operative or post operative 144.00 Cholegraphy - intravenous 198.00 Cholegraphy - percutaneous transhepatic 144.00 Cholegraphy - drip infusion 245.00 FOR LOCALIZATION OF FOREIGN
BODIES$ Foreign body in eye (special method, Sweet's or other)
122.00
Foreign body, localization of and report, not covered by any other item in this Part
37.00
| 3276 | GOVERNMENT GAZETTE, WA | [20 July 1999 |
TOMOGRAPHY
S
Tomography of any part and report 112.00 STEREOSCOPIC EXAMINATIONS $ Stereoscopic examination and report 22.50 FLUOROSCOPIC EXAMINATION AND REPORT (Fluoroscopic examination and Report not
covered by any other item in this Part - where radiograph
is not taken)$ Examination with general anaesthesia 80.00 Examination without general anaesthesia 51.00 WITH OPAQUE OR CONTRAST MEDIA (Selective coronary arteriography) $ Discography - one disc 122.00 Dacryocystography 90.00 Encephalography 210.00 Cerebral venticulography 164.00 Hysterosalpingography 126.00 Bronchography - one side 186.00 Phlebography - one side 186.00 Splenography 186.00 Myelography - one region 220.00 Sialography - one gland 126.00
Vasoepididymography - one side 126.00
Sinuses and fistulae 41.00 Pneumoarthrography 90.00 Contrast arthrography 90.00 Double contrast arthrography 148.00 Lymphangiography, including follow up radiography 122.00 Peritoneogram (herniography) 212.00 PREPARATION ["Preparation" for radiological procedure means the
injection of opaque or contrast media, or the removal of
fluid and its replacement by air, oxygen or other contrast
media or other similar preparation.]Encephalography 290.00 Cerebral angiography - percutaneous, one side 225.00
20 July 19991 GOVERNMENT GAZETTE, WA 3277 Cerebral angiography - catheter or open
exposure, one side 225.00 Cerebral ventriculography 290.00 Dactyocystography - one side 74.00 Bronchography - one or both sides 112.00 Aortography 112.00 Arteriography - peripheral, one artery 114.00 Splenography 90.00 Retroperitoneal pneumogram 90.00 Selective phlebogram 90.00 Selective arteriogram 90.00 Pneumoarthrography 93.00 Hysterosalpingography 112.00 Drip-infusion pyelography or cholegraphy 55.00 Discography - one disc 74.00 Intra-osseous venography 74.00 Myelography 220.00 Cisternal puncture 148.00 Sinus or fistula, injection into 37.00 Lymphangiography - one side 220.00 Laryngography 112.00 Percutaneous transhepatic cholegram (Cholangiogram) 220.00 Magnetic Resonance Imaging $ Magnetic resonance study of one region, or 2 or more contiguous regions, of the body 693.80 5. Schedule 2 amended
Item 16 in Schedule 2 is amended by deleting the line
44 4 $12.00 $24.00 (per person) and inserting instead -
8 $12.00 $24.00 (per person)
Recommended by the Workers' Compensation and Rehabilitation Commission on the 7th day of July 1999.
The common seal of the ) Workers' Compensation and ) L.S. Rehabilitation Commission )
H. T. NEESHAM, Acting Chairman.
By Command of the Governor,
ROD SPENCER, Clerk of the Executive Council.
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