Workers' Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 1999 (WA)

Case
No judgment structure available for this case.

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 mins
48.95
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 the

anaesthesia 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 and

Fees"]

$ 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
3258 GOVERNMENT GAZETTE, WA [20 July 1999

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

3260 GOVERNMENT GAZETTE, WA [20 July 1999

- 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
3262 GOVERNMENT GAZETTE, WA [20 July 1999

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 head
and 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 is
unsecured 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

3266 GOVERNMENT GAZETTE, WA [20 July 1999

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 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 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/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

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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