Workers' Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2004 (WA)

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WESTERN 861
AUSTRALIAN
GOVERNMENT

ISSN 1448-949X

PERTH, FRIDAY, 19 MARCH 2004 No. 46 SPECIAL
PUBLISHED BY AUTHORITY JOHN A. STRIJK, GOVERNMENT PRINTER AT 3.15 PM
© STATE OF WESTERN AUSTRALIA

WORKERS’ COMPENSATION AND REHABILITATION
ACT 1981
_________

WORKERS’ COMPENSATION
AND REHABILITATION
(SCALE OF FEES)
AMENDMENT

REGULATIONS 2004

19 March 2004 GOVERNMENT GAZETTE, WA 863

Workers’ Compensation and Rehabilitation Act 1981

Workers’ Compensation and Rehabilitation
(Scales of Fees) Amendment Regulations 2004

Made by the Governor in Executive Council, on the recommendation of the Commission, under section 176(1a).
1. Citation

These regulations may be cited as the Workers’
Compensation and Rehabilitation (Scales of Fees)
Amendment Regulations 2004.

2. The regulations amended

The amendments in these regulations are to the Workers’
Compensation and Rehabilitation (Scales of Fees)
Regulations 1998*.
[* Reprinted as at 24 May 2002.
For amendments to 2 March 2004 see Western Australian Legislation Information Tables for 2002, Table 4, p. 447, and Gazette 9 May and 12 and 23 September 2003 and
9 January 2004.]

3. Regulation 2 amended
Regulation 2(2) is amended in the definition of “MBS item number” by deleting “2002” and inserting instead —
“ 2003 ”.

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4. Schedule 1 amended

(1) Schedule 1 Part 1 is amended in the item headed “GENERAL
PRACTITIONER” by deleting the figure set out in column 1 of,
and in the order in which it appears in, the Table to this
subregulation and inserting instead the figure set out in
column 2 opposite that figure.

Table

Column 1 Column 2

Delete Insert instead

18.45 19.10
39.15 40.50
69.70 72.10
101.00 104.50
26.90 27.85
34.30 35.50
66.50 68.80
99.25 102.65
135.05 139.70
28.30 29.30
58.70 60.75
104.50 108.10
152.00 157.25
48.60 50.30
57.00 58.95
87.65 90.65
120.30 124.45
48.60 50.30
67.45 69.80
97.10 100.45
126.65 131.00
56.60 58.55
85.90 88.85

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Column 1 Column 2

Delete Insert instead

130.85 135.35
179.45 185.65
15.50 16.05
19.40 20.05
40.55 41.95
60.80 62.90
$174.55 $180.55
$3.10 $3.20

(2) Schedule 1 Part 1 is amended in the item headed
“PHYSICIANS, OCCUPATIONAL & REHABILITATION
PHYSICIANS” by deleting the figure set out in column 1 of,
and in the order in which it appears in, the Table to this
subregulation and inserting instead the figure set out in
column 2 opposite that figure.

Table

Column 1 Column 2

Delete Insert instead

176.15 182.25
88.15 91.20
210.95 218.25
121.75 125.95
176.15 182.25
88.15 91.20
210.95 218.25
121.75 125.95
176.15 182.25
88.15 91.20
210.95 218.25
121.75 125.95
23.05 23.85
28.50 29.50

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Column 1 Column 2

Delete Insert instead

59.60 61.65
90.05 93.15
$258.70 $267.65
$3.10 $3.20

(3) Schedule 1 Part 1 is amended in the item headed
“CONSULTANT PSYCHIATRISTS” by deleting the figure set
out in column 1 of, and in the order in which it appears in, the
Table to this subregulation and inserting instead the figure set
out in column 2 opposite that figure.

Table

Column 1 Column 2

Delete Insert instead

51.70 53.50
103.10 106.65
154.40 159.75
206.60 213.75
233.85 241.90
260.95 269.95
84.85 87.80
137.00 141.75
187.05 193.50
239.25 247.50
288.20 298.15
68.55 70.90
149.70 154.85
$258.70 $267.65
$3.10 $3.20

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(4) Schedule 1 Part 1 is amended in the item headed
“SPECIALISTS” by deleting the figure set out in column 1 of,
and in the order in which it appears in, the Table to this
subregulation and inserting instead the figure set out in
column 2 opposite that figure.

Table

Column 1 Column 2

Delete Insert instead

100.15 103.60
52.25 54.05
135.05 139.70
86.05 89.00
100.15 103.60
52.25 54.05
134.85 139.50
85.90 88.85
23.05 23.85
28.50 29.50
59.60 61.65
90.05 93.15
$258.70 $267.65
$3.10 $3.20

(5) Schedule 1 Part 1 is amended by deleting the heading
“ANAESTHETISTS” and everything following that heading to,
but not including, the heading “Part 2 — Medical procedures”
and inserting instead —
“
ANAESTHETISTS consultation, attendance, procedure or service by the $ value per unit allocated by this Schedule.

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$ VALUE PER UNIT

$ value per unit $33.10
CONSULTATIONS AND Units
ATTENDANCES
Anaesthetist Consultation
— an attendance of 15 minutes or less

duration — an attendance of more than 15 minutes

2

but not more than 30 minutes duration — an attendance of more than 30 minutes

4

but not more than 45 minutes duration — an attendance of more than 45 minutes

6

duration Post anaesthesia patient care following a day

8
procedure 2
EMERGENCY ATTENDANCES

After hours — where immediate attendance is required after 6 p.m. and before 8 a.m. on any weekday, or at any time on a Saturday, Sunday or a public holiday

6
Note: No after hours loading applies to
the above item
Attendance on a patient in imminent danger
of death requiring continuous life saving
emergency treatment to the exclusion of all
other patients 6
Call back from home, office or other distant
location for the provision of emergency
services 4
PROCEDURES AND SERVICES
All anaesthesia fees in relation to procedures and services are to be
charged on the relative value guide (RVG) system. In most cases, the
RVG system comprises 3 elements: base units (BUs), modifying units
(MUs) and time units (TUs).

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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 established and is set out in this Schedule.
modifying units (MUs), and time units (TUs) if the item notes that
service as including either or both.
Base units
[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
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.
Each 15 minutes (or part thereof) of anaesthetic time constitutes one
time unit. After 4 hours, time units are calculated at 1 per 10 minutes.
Modifying units
[Note: The modifying units are, in the main, derived from the modifying units set out
in the AMA’s “List of Medical Services and Fees”.]

Description Units

A normal healthy patient 0
A patient with a mild systemic disease 0
A patient with a severe systemic disease 1
A patient with a severe systemic disease that is a
constant threat to life 4
A moribund patient who is not expected to survive
for 24 hours with or without the operation 6
A patient who is morbidly obese (body mass index
is more than 35) 2

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A patient who is in the 3rd trimester of pregnancy 2
A patient declared brain dead whose organs are
being removed for donor purposes 0
Where the patient is aged under 1 year or over
70 years old 1
Emergency surgery (i.e. When undue delay in
treatment of the patient would lead to a significant
increase in a threat to life or body part) 2
Anaesthesia in the prone position (not applicable to
lower intestinal endoscopic procedures) 3
Anaesthesia for after-hours emergencies
is calculated using the “total relative value”. The 50% loading and the emergency surgery modifier should not be used together. “After-hours” is defined as that period between 6.00 p.m. and the following 8.00 a.m. on weekdays and between 8.00 a.m. and the following 8.00 a.m. on weekend days and public holidays.
PART A — PROCEDURES

Description of procedure, etc. Units
Head
Anaesthesia for all procedures on the skin and
subcutaneous tissue, muscles, salivary glands and
superficial blood vessels of the head, including

biopsy, unless otherwise specified 5
— plastic repair of cleft lip 6
Anaesthesia for electroconvulsive therapy 4
Anaesthesia for all procedures on external, middle
or inner ear, including biopsy, unless otherwise
specified 5
— otoscopy 4
Anaesthesia for all procedures on eye unless
otherwise specified 5
— lens surgery 6

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— retinal surgery 6
— corneal transplant 8
— vitrectomy 8
— biopsy of conjunctiva 5
— ophthalmoscopy 4
Anaesthesia for all procedures on nose and
accessory sinuses unless otherwise specified 6
— radical surgery 7
— biopsy, soft tissue 4
Anaesthesia for all intraoral procedures, including
biopsy, unless otherwise specified 6
— repair of cleft palate 7
— excision of retropharyngeal tumour 9
— radical intraoral surgery 10
Anaesthesia for all procedures on facial bones
unless otherwise specified 5
— extensive surgery on facial bones (including
prognathism and extensive facial bone

reconstruction) Anaesthesia for all intracranial procedures unless

10
otherwise specified 15
— subdural taps 5
— burr holes 9
— intracranial vascular procedures including
those for aneurysms and arterio-venous

abnormalities — spinal fluid shunt procedures

20
10
— ablation of intracranial nerve 6
Anaesthesia for all cranial bone procedures 12

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Neck
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the neck unless otherwise

specified 5

Anaesthesia for incision and drainage of large haematoma, large abscess, cellulitis, or similar lesion causing life threatening airway obstruction

15

Anaesthesia for all procedures on oesophagus, thyroid, larynx, trachea and lymphatic system muscles, nerves or other deep tissues of the neck
unless otherwise specified 6
— for laryngectomy, hemi laryngectomy,

laryngopharyngectomy, or pharyngectomy Anaesthesia for laser surgery to the airway

10
8
Anaesthesia for all procedures on major vessels of
neck unless otherwise specified 10
— simple ligation 5
Thorax (Chest Wall/Shoulder Girdle)
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the chest unless otherwise
specified 3
Anaesthesia for all procedures on the breast unless
otherwise specified 4
— reconstructive procedures on the breast (eg.

reduction or augmentation, mammoplasty) — removal of breast lump or for breast

5
segmentectomy where axillary node

dissection is performed — mastectomy

5
6
— reconstructive procedures on the breast using

myocutaneous flaps 8

— radical or modified radical procedures on

breast with internal mammary node dissection — electrical conversion of arrhythmias

13
5

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Anaesthesia for percutaneous bone marrow biopsy

of the sternum 4
Anaesthesia for all procedures on the clavicle,
scapula or sternum unless otherwise specified 5
— radical surgery 6
Anaesthesia for partial rib resection unless
otherwise specified 6
— thoracoplasty 10
— extensive procedures (eg. pectus excavatum) 13
Intrathoracic
Anaesthesia for open procedures on the
oesophagus 15
Anaesthesia for all closed chest procedures
(including rigid oesophagoscopy or bronchoscopy)
unless otherwise specified 6
— needle biopsy of pleura 4
— pneumocentesis 4
— thoracoscopy 10
— mediastinoscopy 8
Anaesthesia for all thoracotomy procedures
involving lungs, pleura, diaphragm, and
mediastinum unless otherwise specified 13
— pulmonary decortication 15
— pulmonary resection with thoracoplasty 15
— intrathoracic repair of trauma to trachea and

bronchi Anaesthesia for all open procedures on the heart,

15
pericardium, and great vessels of the chest 20
Anaesthesia for heart transplant 20
Anaesthesia for heart and lung transplant 20
Cadaver harvesting of heart and/or lungs 8

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Spine and spinal cord
Anaesthesia for all procedures on the cervical
spine and/or cord unless otherwise specified (for
myelography and discography see items in ‘Other

Procedures’) 10
— posterior cervical laminectomy in sitting

position Anaesthesia for all procedures on the thoracic

13
spine and/or cord unless otherwise specified 10
— thoracolumbar sympathectomy 13
Anaesthesia for all procedures in the lumbar region
unless otherwise specified 8
— lumbar sympathectomy 7
— chemonucleolysis 10
Anaesthesia for extensive spine and spinal cord
procedures 13
Anaesthesia for manipulation of spine 3
Anaesthesia for percutaneous spinal procedures 5
Upper abdomen
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the upper abdominal wall
unless otherwise specified 3
Anaesthesia for all procedures on the nerves,
muscles, tendons and fascia of the upper
abdominal wall 4
Anaesthesia for diagnostic laparoscopy 6
Anaesthesia for laparoscopic procedures unless
otherwise specified 7
Anaesthesia for extracorporeal shock wave
lithotripsy 6
Anaesthesia for upper gastrointestinal endoscopic
procedures 5

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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
— repair of incisional hernia and/or wound

dehiscence — repair of 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, laparoscopic
nephrectomy, bowel shunts and cadaver harvesting
of organs unless otherwise specified 8
— gastric reduction or gastroplasty for the

treatment of morbid obesity — partial hepatectomy (excluding liver biopsy)

10
13
— extended or trisegmental hepatectomy 15
— pancreatectomy, partial or total (eg. Whipple

procedure) — liver transplant (recipient)

12
30
— neuro endocrine tumour removal

(eg. carcinoid) — percutaneous procedures on an intra-abdominal

10

organ in the upper abdomen 6

Lower abdomen
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the lower abdominal wall

unless otherwise specified 3
— lipectomy 5

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Anaesthesia for all procedures on the nerves,
muscles, tendons and fascia of the lower
abdominal wall (with the exception of abdominal

lipectomy) 4
Anaesthesia for diagnostic laparoscopy 6
Anaesthesia for laparoscopic procedures 7

Anaesthesia for all lower intestinal endoscopic procedures (modifier for prone position is not applicable)

4
Anaesthesia for extracorporeal shock wave
lithotripsy 6
Anaesthesia for all hernia repairs in lower
abdomen unless otherwise specified 4
— repair of incisional hernia and/or wound

dehiscence Anaesthesia for all procedures within the

6
peritoneal cavity in the lower abdomen (including
appendicetomy) unless otherwise specified 6
Anaesthesia for bowel resection, including
laparascopic bowel resection, unless otherwise
specified 8
— amniocentesis 4
— abdominoperineal resection, including pull
through procedures, ultra low anterior

resection and formation of bowel reservoir — radical prostatectomy

10
10
— radical hysterectomy 10
— radical ovarian surgery 10
— pelvic exenteration 10
— Caesarean section 10
— Caesarean hysterectomy or hysterectomy

within 24 hours of delivery Anaesthesia for all extraperitoneal procedures in

15
lower abdomen, including urinary tract, unless
otherwise specified 6

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— renal procedures, including upper 1/3 or ureter 7
— total cystectomy 10
— adrenalectomy 10
— neuro endocrine tumour removal (eg.

carcinoid) — renal transplant (donor or recipient)

10
10
Anaesthesia for all procedures on major lower
abdominal vessels unless otherwise specified 15
— inferior vena cava ligation 10
— percutaneous umbrella insertion 5
Anaesthesia for percutaneous procedures on an
intra-abdominal organ in the lower abdomen 6
Perineum
Anaesthesia for all procedures on the skin or

subcutaneous tissue of the perineum (including biopsy of male genital system) unless otherwise specified

3
— anorectal procedure (including endoscopy

and/or biopsy) — radical pineal procedure including radical

4

perineal prostatectomy or radical vulvectomy — vulvectomy

7
4
Anaesthesia for all transurethral procedures
(including urethrocystoscopy) unless otherwise
specified 4
— transurethral resection of bladder tumour(s) 5
— transurethral resection of prostate 7
— post-transurethral resection bleeding 7
Anaesthesia for all procedures on male external
genitalia unless otherwise specified 3
— undescended testis, unilateral or bilateral 4
Anaesthesia for procedures on the cord and/or
testes unless otherwise specified 4
— radical orchidectomy, inguinal 4

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— radical orchidectomy, abdominal 6
— orchiopexy, unilateral or bilateral 4
— complete amputation of the penis 4
— complete amputation of the penis with bilateral

inguinal lymphadenectomy — complete amputation of the penis with bilateral

6

inguinal and iliac lymphadenectomy — insertion of penile prosthesis (perianal

8

approach) Anaesthesia for all vaginal procedures (including

4
biopsy of labia, vagina, cervix or endometrium)
unless otherwise specified 4
— colpotomy, colpectomy, colporrhaphy 5
— transvaginal assisted reproductive services 4
— vaginal hysterectomy 6
— vaginal delivery 6
— purse string ligation of cervix 4
— culdoscopy 5
— hysteroscopy 4
— correction of inverted uterus 8
Anaesthesia for evacuation of retained products of
conception, as a complication of confinement 4

— for the manual removal of retained placenta or for repair of vaginal or perineal tear following delivery

5
— for vaginal procedures in the management of

post partum haemorrhage 7

Pelvis — except hip
Anaesthesia for all procedures on the skin and
subcutaneous tissue of the pelvic region, except

external genitalia 3
Anaesthesia for percutaneous bone marrow biopsy
of the anterior iliac crest 4

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— percutaneous bone marrow biopsy of the

posterior iliac crest Anaesthesia for percutaneous bone marrow

5
harvesting from the pelvis 6
Anaesthesia for procedures on bony pelvis 6
Anaesthesia for body cast application or revision 3
Anaesthesia for interpelviabdominal (hind quarter)
amputation 15
Anaesthesia for radical procedures for tumour of
pelvis, except hind quarter amputation 10
Anaesthesia for closed procedures involving
symphysis pubis or sacroiliac joint 4
Anaesthesia for open procedures involving
symphysis pubis or sacroiliac joint 8
Upper leg — except knee
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the upper leg 3
— on the nerves, muscles, tendons, fascia, or

bursae of the upper leg Anaesthesia for all closed procedures involving hip

4
joint 4
Anaesthesia for arthroscopic procedures of hip
joint 4
Anaesthesia for all open procedures involving hip
joint unless otherwise specified 6
— hip disarticulation 10
— total hip replacement or revision 10
Anaesthesia for bilateral total hip replacement 14
Anaesthesia for all closed procedures involving
upper 2/3 of femur 4
Anaesthesia for all open procedures involving
upper 2/3 of femur unless otherwise specified 6
— amputation 5
— radical resection 8

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Anaesthesia for all procedures involving veins of

the upper leg including exploration 4
Anaesthesia for all procedures involving arteries of
the upper leg, including bypass graft, unless
otherwise specified 8
— femoral artery ligation 4
— femoral artery embolectomy 6
— for microsurgical reimplantation of upper leg 15
Knee and popliteal area
Anaesthesia for all procedures on the skin and
subcutaneous tissue of the knee and/or popliteal
area 3
Anaesthesia for all procedures on nerves, muscles,
tendons, fascia and bursae of the knee and/or
popliteal area 4
Anaesthesia for all closed procedures on the lower
1/3 of femur 4
Anaesthesia for all open procedures on the lower
1/3 of femur 5
Anaesthesia for all closed procedures on the knee 3
joint
Anaesthesia for arthroscopic procedures of the
knee joint 4
Anaesthesia for all closed procedures on upper
ends of the tibia and fibula, and/or patella 3
Anaesthesia for all open procedures on upper ends
of the tibia and fibula, and/or patella 4
Anaesthesia for open procedures on the knee joint
unless otherwise specified 4
— knee replacement 7
— bilateral knee replacement 10
— disarticulation of knee 5
Anaesthesia for all cast applications, removal, or
repair involving the knee joint 3

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Anaesthesia for all procedures on the veins of the

knee and popliteal area unless otherwise specified 4
— repair of arteriovenous fistula 5
Anaesthesia for all procedures on the arteries of the
knee and popliteal area unless otherwise specified 8
Lower leg — below knee (includes ankle and
foot)
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the lower leg, ankle and
foot 3
Anaesthesia for all procedures on the nerves,
muscles, tendons and fascia of the lower leg, ankle,
and foot unless otherwise specified 4
Anaesthesia for all closed procedures on the lower
leg, ankle and foot 3
Anaesthesia for arthroscopic procedure of ankle
joint 4
— gastrocnemius recession 5
Anaesthesia for all open procedures on the bones
of the lower leg, ankle and foot, including
amputation, unless otherwise specified 4
— radical resection 5
— osteotomy or osteoplasty of tibia and fibula 5
— total ankle replacement 7
Anaesthesia for lower leg cast application, removal
or repair 3
Anaesthesia for all procedures on arteries of the
lower leg, including bypass graft unless otherwise
specified 8
— embolectomy 6
Anaesthesia for all procedures on the veins of the
lower leg unless otherwise specified 4
— venous thrombectomy 5

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— for microsurgical reimplantation of the lower

leg, ankle or foot — for microsurgical reimplantation of the toe

15
8
Shoulder and axilla (includes humeral head and
neck, sternoclavicular joint, acromioclavicular
joint and shoulder joint)
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the shoulder or axilla 3
Anaesthesia for all procedures on nerves, muscles,
tendons, fascia and bursae of shoulder and axilla,
including axillary dissection 5
Anaesthesia for all closed procedures on humeral
head and neck, sternoclavicular joint,
acromioclavicular joint or the shoulder joint 4
Anaesthesia for all arthroscopic procedures of the
shoulder joint 5
Anaesthesia for all open procedures on the humeral
head and neck, sternoclavicular joint,
acromioclavicular joint or the shoulder joint unless
otherwise specified 5
— radical resection 6
— shoulder disarticulation 9
— interthoracoscapular (forequarter) amputation 15
— total shoulder replacement 10
Anaesthesia for all procedures on arteries of
shoulder and axilla unless otherwise specified 8
— axillary-brachial aneurysm 10
— bypass graft 8
— axillary-femoral bypass graft 10
Anaesthesia for all procedures on veins of shoulder
and axilla 4
Anaesthesia for all shoulder cast application,
removal or repair unless otherwise specified 3
— shoulder spica 4

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Upper arm and elbow
Anaesthesia for all procedures on the skin or

subcutaneous tissue of the upper arm and elbow 3
Anaesthesia for all procedures on the nerves,
muscles, tendons, fascia and bursae of upper arm
and elbow, unless otherwise specified 4
— tenotomy, elbow to shoulder, open 5
— tenoplasty, elbow to shoulder 5
— tenodesis, rupture of long tendon of biceps 5
Anaesthesia for all closed procedures on the
humerus and elbow 3
Anaesthesia for arthroscopic procedures of elbow
joint 4
Anaesthesia for all open procedures on the
humerus and elbow unless otherwise specified 5
— radical procedures 6
— total elbow replacement 7
Anaesthesia for all procedures on the arteries of the
upper arm unless otherwise specified 8
— embolectomy 6
Anaesthesia for all procedures on the veins of the
upper arm unless otherwise specified 4
— for microsurgical reimplantation of the upper

arm 15

Forearm, wrist and hand
Anaesthesia for all procedures on the skin or

subcutaneous tissue of the forearm, wrist and hand 3
Anaesthesia for all procedures on the nerves,
muscles, tendons, fascia and bursae of the forearm,
wrist and hand 4
Anaesthesia for all closed procedures on radius,
ulna, wrist, or hand bones 3

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Anaesthesia for all open procedures on radius,
ulna, wrist, or hand bones unless otherwise

specified 4
— total wrist replacement 7
Anaesthesia for arthroscopic procedures of the
wrist joint 4
Anaesthesia for all procedures on the arteries of the
forearm, wrist, and hand unless otherwise specified 8
— embolectomy 6
Anaesthesia for all procedures on the veins of the
forearm, wrist, and hand unless otherwise specified 4
Anaesthesia for forearm, wrist, or hand cast
application, removal or repair 3
— for microsurgical reimplantation of forearm,

wrist or hand — for microsurgical reimplantation of a finger

15
8
Burns
Anaesthesia for excision of debridement of burns
with or without skin grafting
— where the burnt area involves not more than

3% of total body surface — where the burnt area involves more than 3%

3

but less than 10% of total body surface — where the burnt area involves 10% or more but

5

less than 20% of total body surface — where the burnt area involves 20% or more but

7

less than 30% of total body surface — where the burnt area involves 30% or more but

9

less than 40% of total body surface — where the burnt area involves 40% or more but

11

less than 50% of total body surface — where the burnt area involves 50% or more but

13

less than 60% of total body surface 15

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r. 4

— where the burnt area involves 60% or more but

less than 70% of total body surface — where the burnt area involves 70% or more but

17

less than 80% of total body surface — where the burnt area involves 80% or more of

19

total body surface 21

Other procedures
Anaesthesia for injection procedure for
myelography:

— lumbar or thoracic 5
— cervical 6
— posterior fossa 9
Anaesthesia for injection procedure for
discography:
— lumbar or thoracic 5
— cervical 6
Anaesthesia for peripheral arteriogram 5
Anaesthesia for arteriograms:
— carotid, cerebral or vertebral 5
— retrograde, brachial or femoral 5
Anaesthesia for computerised axial tomography
scanning, magnetic resonance scanning, ultrasound
scanning or digital subtraction angiography
scanning 7
Anaesthesia for radiology unless otherwise
specified 4
Anaesthesia for retrograde cystography, retrograde
urethrography or retrograde cystourethrography 4
Anaesthesia for flouroscopy 5
Anaesthesia for small bowel enema, barium or
other opaque study of the small bowel 5
Anaesthesia for bronchography 6
Anaesthesia for phlebography 5

886 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4
Anaesthesia for heart, 2 dimensional real time

transoesophageal examination 6
Anaesthesia for peripheral venous cannulation 3

Anaesthesia for cardiac catheterisation including coronary arteriography, ventriculography, cardiac mapping, insertion of automatic defibrillator or
transvenous pacemaker 7
Anaesthesia for cardiac electrophysiological
procedures including radio frequency ablation 10
Anaesthesia for central vein catheterisation or
insertion of right heart balloon catheter 5
Anaesthesia for lumbar puncture, cisternal
puncture, or epidural injection 5
Anaesthesia for harvesting of bone marrow for the
purpose of transplantation 5
Anaesthesia for muscle biopsy for malignant
hyperpyrexia 10
Anaesthesia for electroencephalography 5
Anaesthesia for brain stem evoked audiometry 5
Anaesthesia for electrocochleography by
extratympanic method or transtympanic membrane
insertion method 5
Anaesthesia for a therapeutic procedure where it
can be demonstrated that there is a clinical need for
anaesthesia 5
Anaesthesia during hyperbaric therapy where the
medical practitioner is not confined in the chamber
(including the administration of oxygen) 8
Anaesthesia during hyperbaric therapy where the
medical practitioner is confined in the chamber
(including the administration of oxygen) 15
Anaesthesia for brachytherapy using radioactive
sealed sources 5
Anaesthesia for therapeutic nuclear medicine 5
Anaesthesia for radiotherapy 7
Anaesthesia where no procedure ensues 3

19 March 2004 GOVERNMENT GAZETTE, WA 887
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

Note — Unlisted anaesthetic procedures applicable, the anaesthetist shall have regard to equivalent procedures
PART B — THERAPEUTIC AND DIAGNOSTIC SERVICES
Description of service, etc. Mus TUs BUs
Collection of blood for
autologous transfusion or when
homologous blood is required
for immediate transfusion in an

emergency situation no no 3

Administration of blood or bone marrow already collected when performed in association with
the administration of anaesthesia no no 4
Venous cannulation and blood
transfusion (or blood products)
not associated with anaesthesia no no 5
Intubation, endotracheal,
emergency procedure, where the

patient’s airway is unsecured and at high risk of occlusion, (eg. epiglottitis or haematoma post thyroidectomy) not
associated with surgery yes yes 15

Intubation, endotracheal, not associated with anaesthesia, when subsequent management is
not in an intensive care unit yes yes 4
Awake endotracheal intubation
with flexible fibreoptic scope,
associated with difficult airway,
when performed in association
with the administration of
anaesthesia no no 4

888 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4
Double lumen endobronchial
tube or bronchial blocker,
insertion of, when performed in
association with the

administration of anaesthesia no no 4
Venous cannulation and
commencement of intravenous
infusion, under age of 3 years,
not associated with anaesthesia no no 3
Venous cannulation, cutdown no no 5
Venous cannulation and
commencement of intravenous
infusion not associated with
anaesthesia no no 2
Right heart balloon catheter,
insertion of, including
pulmonary wedge pressure and
cardiac output measurement no no 7
Pulmonary artery pressure
monitoring no no 3
Left atrial pressure monitoring
via left atrial catheter no no 3
Invasive pressure monitoring,
not otherwise listed no no 3
Central vein catheterization,
percutaneous via jugular,
subclavian or femoral vein no no 3
Central vein catheterization by
cutdown no no 5
Central venous pressure
monitoring no no 3
Arterial cannulation,
percutaneous no no 3
Arterial puncture, withdrawal of
blood for diagnosis no no 1
Arterial cannulation, by
cutdown no no 5

19 March 2004 GOVERNMENT GAZETTE, WA 889
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

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
Intravenous regional anaesthesia
of limb by retrograde perfusion no no 4
Perfusion of limb or organ no no 12

Medical management of cardio-pulmonary bypass perfusion using heart/lung machine

yes

yes

20
Hypothermia, total body no no 5
Cardioplegia, blood or
crystalloid, administration by
any route no no 10

Deep hypothermia to a core temperature of less than 22 degrees in association with circulatory arrest

no

no

15
Standby medical management of

cardio-pulmonary bypass perfusion using heart/lung machine

no

yes

5
Major nerve block (proximal to
the elbow or knee), including

intercostal nerve clock(s) or plexus block to provide post operative pain relief

no

no

4
Minor nerve block (specify
type) to provide post operative
pain relief (does not include
subcutaneous infiltration) no no 2

890 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4
Intrathecal or epidural injection
(initial) of a therapeutic
substance, with or without
insertion of a catheter, in

association with anaesthesia and surgery, for post operative pain management

no

no

5
Intrathecal or epidural injection

(subsequent) of a therapeutic substance, in association with anaesthesia and surgery, for post
operative pain management no no 3
Subarachnoid puncture, lumbar,
diagnostic no no 5
Insertion of subarachnoid drain no no 8
Intrathecal, or epidural or
injection, (initial or

commencement of infusion) of a therapeutic substance, including up to one hour of continuous
attendance by a medical
practitioner no no 8
Intrathecal, or epidural or
injection, (initial or
commencement of infusion) of a
therapeutic substance, where
continuous attendance by a
medical practitioner extends
beyond one hour, add one unit
for each 15 minutes over the
first hour no no 0

19 March 2004 GOVERNMENT GAZETTE, WA 891
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

Intrathecal, or epidural or
injection, (initial or
commencement of infusion) of a therapeutic substance, including up to one hour of continuous
attendance by a medical
practitioner after hours for a

patient in labour no no 15
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

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

892 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4
Intrathecal, epidural or caudal
injection of substance other than
anaesthetic, contrast or

neurolytic solutions, not being a service to which another item in the Group applies

no

no

8
Epidural injection of blood for
blood patch no no 8
Injection of an anaesthetic agent
— trigeminal nerve, primary

division of — trigeminal nerve, peripheral

no

no

10

branch of — facial nerve

no

no

5
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 — pudendal nerve

no

no

5
no no 8
— ulnar, radial or median nerve
of main trunk, one or more
of, not being associated with

a brachial plexus block — paracervical (uterine) nerve

no

no

5
no no 5
— obturator nerve no no 7

19 March 2004 GOVERNMENT GAZETTE, WA 893
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

— femoral nerve no no 7
— saphenous, sural, popliteal
or posterior tibial nerve of

main trunk, one or more of — paravertebral, cervical,

no

no

5
thoracic, lumbar, sacral or
coccygeal nerves, single

vertebral level — paravertebral nerves,

no

no

7

multiple levels — sciatic nerve

no

no

10
no no 7
— other peripheral nerve or

branch — sphenopalatine ganglion

no

no

5
no no 10
— carotid sinus, as an
independent percutaneous

procedure — stellate ganglion (cervical

no

no

8

sympathetic block) — lumbar or thoracic nerves

no

no

8
(paravertebral sympathetic

block) — coeliac plexus or splanchnic

no

no

8

nerves
Cranial nerve other than
trigeminal, destruction by a
neurolytic agent, not being a
service associated with the
no no 10

no no 20

injection of botulinum toxin
Nerve branch, not covered by
any other item in this Group,
destruction by a neurolytic
agent, not being a service
associated with the injection of

no no 10

botulinum toxin

894 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4
Coeliac plexus or splanchnic
nerves, destruction by a

no no 20

neurolytic agent
Lumbar sympathetic chain,

no no 15

destruction by a neurolytic agent Cervical or thoracic sympathetic chain, destruction by a

no no 20

neurolytic agent
Cardioversion, elective,
electrical conversion of

no no 4

arrhythmia, external
Hyperbaric oxygen treatment
when the specialist is inside the

yes yes 15

chamber
Hyperbaric oxygen treatment
when the specialist is outside the

yes yes 8

chamber
Heart, 2 dimensional real time
transoesophageal examination
of, at least 2 oesophageal
windows performed using a
mechanical sector scanner or
phased array transducer with —

(a) measurement blood flow
velocities across the
cardiac valves using
pulsed wave and
continuous Doppler
techniques;
(b) real time colour flow mapping from at least 2 oesophageal windows;
and

no no 10

(c) recording on video tape

19 March 2004 GOVERNMENT GAZETTE, WA 895
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

Intra-operative 2 dimensional
real time transoesophageal
echocardiography incorporating
Doppler techniques with colour
flow mapping and recording
onto video tape, performed
during cardiac surgery
incorporating sequential
assessment of cardiac function
before and after the surgical

no no 14

procedure
Skin testing for allergy to

no yes 4

anaesthetic agents
Assistance in the administration

yes yes 5

of an anaesthetic

896 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4
reference to the nearest listed anaesthetic procedure
Note — Unlisted services
”.

(6) Schedule 1 Part 2 is amended by deleting the figure set out in
column 1 of, and in the order in which it appears in, the Table to
this subregulation and inserting instead the figure set out in
column 2 opposite that figure.

Table

Column 1 Column 2

Delete Insert instead

38.65 40.00
110.10 113.90
66.70 69.00
232.95 241.00
110.10 113.90
51.40 53.15
207.55 214.70
275.25 284.75
88.95 92.00
118.60 122.70
74.15 76.70
87.90 90.95
177.90 184.05
98.95 102.35
354.70 366.95
175.75 181.80
118.60 122.70
158.80 164.30
133.40 138.00
177.90 184.05

19 March 2004 GOVERNMENT GAZETTE, WA 897
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

Column 1 Column 2

Delete Insert instead

207.55 214.70
275.25 284.75
74.15 76.70
98.45 101.85
32.30 33.40
144.00 148.95
402.30 416.20
103.75 107.35
103.75 107.35
105.85 109.50
133.40 138.00
154.60 159.95
177.90 184.05
222.35 230.00
201.15 208.10
227.60 235.45
264.65 273.80
333.45 344.95
264.65 273.80
312.30 323.05
354.70 366.95
444.65 460.00
264.65 273.80
312.30 323.05
354.70 366.95
444.65 460.00
592.85 613.30
264.65 273.80
370.50 383.30

898 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

Column 1 Column 2

Delete Insert instead

148.25 153.35
296.40 306.65
592.85 613.30
444.65 460.00
592.85 613.30
67.80 70.15
534.65 553.10
709.30 733.75
889.25 919.95
1190.95 1 232.05
105.85 109.50
160.90 166.45
160.90 166.45
275.25 284.75

80.45 83.25
120.70 124.85
120.70 124.85
264.65 273.80
402.30 416.20
465.80 481.85
788.65 815.85
1566.75 1 620.80
211.70 219.00
317.60 328.55
428.75 443.55
534.65 553.10
640.50 662.60
$249.90 258.50
465.80 481.85

19 March 2004 GOVERNMENT GAZETTE, WA 899
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

Column 1 Column 2

Delete Insert instead

402.30 416.20
688.10 711.85
968.60 1 002.00

(7) Schedule 1 Part 2 is amended as follows:

(a)
in the item headed “ASSISTANCE AT OPERATIONS” “ $138.00 ”;

(b)
in the item headed “USE OF PRIVATE THEATRES” “ $83.25 ”.

(8) Schedule 1 Part 3 is deleted and the following Part is inserted
instead —

“
Part 3 — Diagnostic Imaging Services

ULTRASOUND

MBS item number Fee
(November 2003 edition) $
55028   122.90
55029   42.60
55030   122.90
55031   42.60
55032   122.90
55033   42.60
55036   125.40
55037   42.60
55038   122.90
55039   42.60
55044   125.40
55045   42.60
55048   123.35
55049   42.60

900 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee
(November 2003 edition) $
55054   122.90
55070   110.70
55073   38.40
55076   122.90
55079   42.60
55113   298.65
55114   298.65
55115   298.65
55116   332.10
55117   332.10
55118   356.70
55130   434.95
55238   196.35
55244   196.35
55246   196.35
55248   196.35
55252   196.35
55274   196.35
55276   196.35
55278   196.35
55280   196.35
55282   196.35
55284   196.35
55292   190.95
55294   190.95
55296   125.10
55600   122.90
55603   122.90
55700   73.80
55703   43.05
55704   86.10
55705   43.05
55706   123.00
55709   46.75
55712   141.45
55715   49.20
55718   123.00

19 March 2004 GOVERNMENT GAZETTE, WA 901
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee
(November 2003 edition) $
55721   141.45
55723   46.75
55725   49.20
55728   123.00
55729   33.50
55731   120.55
55733   43.05
55736   156.20
55739   70.10
55759   184.50
55762   73.80
55764   196.80
55766   79.95
55768   184.50
55770   73.80
55772   196.80
55774   79.95
55800   122.90
55802   42.60
55804   122.90
55806   42.60
55808   122.90
55810   42.60
55812   122.90
55814   42.60
55816   122.90
55818   42.60
55820   122.90
55822   42.60
55824   122.90
55826   42.60
55828   122.90
55830   42.60
55832   122.90
55834   42.60
55836   122.90
55838   42.60

902 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee
(November 2003 edition) $
55840   122.90
55842   42.60
55844   98.40
55846   42.60
55848   122.90
55850   172.20
55852   122.90
55854   42.60

COMPUTED TOMOGRAPHY — EXAMINATION AND REPORT

MBS item number Fee
(November 2003 edition) $
56001   223.45
56007   286.50
56010   288.90
56013   286.50
56016   332.30
56022   257.85
56028   385.95
56030   332.05
56036   415.10
56041   113.15
56047   144.50
56050   146.85
56053   146.85
56056   178.10
56062   129.65
56068   193.00
56070   166.05
56076   207.55
56101   263.55
56107   389.60
56141   133.40
56147   196.60
56219   373.80
56220   275.00

19 March 2004 GOVERNMENT GAZETTE, WA 903
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee
(November 2003 edition) $
56221   275.00
56223   275.00
56224   402.65
56225   402.65
56226   402.65
56227   140.40
56228   140.40
56229   140.40
56230   203.35
56231   203.35
56232   203.35
56233   275.00
56234   402.65
56235   140.35
56236   203.35
56237   275.00
56238   402.65
56239   140.35
56240   203.35
56259   188.85
56301   338.05
56307   458.35
56341   171.30
56347   231.45
56401   286.50
56407   412.55
56409   286.50
56412   412.55
56441   145.30
56447   207.95
56449   145.30
56452   207.95
56501   441.20
56507   550.05
56541   221.30
56547   279.30
56619   252.10

904 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee
(November 2003 edition) $
56625   383.45
56659   128.45
56665   191.80
56801   534.60
56807   641.70
56841   267.35
56847   325.25
57001   534.70
57007   650.60
57041   267.40
57047   325.30
57201   177.85
57247   88.90
57341   538.60
57345   276.85
57350   584.40
57351   584.40
57355   302.70
57356   302.70

DIAGNOSTIC RADIOLOGY

MBS item number Fee

(November 2003 edition) $
57506   35.85
57509   47.95
57512   48.80
57515   65.10
57518   39.20
57521   52.30
57524   59.50
57527   79.30
57700   48.80
57703   65.10
57706   39.20
57709   52.30
57712   56.85
57715   73.45

19 March 2004 GOVERNMENT GAZETTE, WA 905
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee

(November 2003 edition) $
57721   119.60
57901   77.75
57902   77.75
57903   56.95
57906   77.75
57909   77.75
57912   56.85
57915   56.85
57918   56.85
57921   56.85
57924   56.85
57927   59.85
57930   39.65
57933   94.30
57939   77.75
57942   59.85
57945   52.30
57960   57.10
57963   57.10
57966   57.10
57969   57.10
58100   80.95
58103   66.45
58106   92.75
58108   160.20
58109   56.65
58112   117.20
58115   160.20
58300   48.35
58306   107.75
58500   42.60
58503   56.85
58506   73.25
58509   47.95
58521   52.30
58524   68.10
58527   83.70

906 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee

(November 2003 edition) $
58700   55.50
58706   190.35
58715   182.65
58718   152.05
58721   166.60
58900   43.05
58903   57.35
58909   108.45
58912   132.90
58915   95.15
58916   166.95
58921   163.05
58924   101.25
58927   92.15
58933   247.80
58936   236.15
58939   167.90
59103   27.25
59300   104.85
59303   63.25
59306   120.90
59309   241.80
59312   104.85
59314   63.25
59318   56.70
59503   107.75
59700   116.35
59703   91.50
59712   137.05
59715   173.00
59718   162.30
59724   272.95
59733   129.80
59736   74.75
59739   88.85
59751   167.70
59754   264.35

19 March 2004 GOVERNMENT GAZETTE, WA 907
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee

(November 2003 edition) $
59760   138.80
59763   161.35
59903   154.20
59912   410.75
59925   487.85
59970   202.85
59971   77.10
59972   205.40
59973   243.95
59974   101.45
60000   679.75
60003   996.85
60006   1 417.50
60009   1 658.80
60012   679.75
60015   996.85
60018   1 417.50
60021   1 658.80
60024   679.75
60027   996.85
60030   1 417.50
60033   1 658.80
60036   679.75
60039   996.85
60042   1 417.50
60045   1 658.80
60048   679.75
60051   996.85
60054   1 417.50
60057   1 658.80
60060   679.75
60063   996.85
60066   1 417.50
60069   1 658.80
60072   58.00
60075   115.85
60078   173.85

908 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee

(November 2003 edition) $
60100   73.25
60500   52.30
60503   35.85
60506   76.85
60509   119.15
60918   63.50
60927   51.20
61109   312.05

NUCLEAR MEDICINE IMAGING

MBS item number Fee
(November 2003 edition) $
61302   448.05
61303   564.30
61306   708.40
61307   833.35
61310   366.60
61313   302.80
61314   419.25
61316   380.45
61317   491.45
61320   228.50
61328   227.25
61340   252.55
61348   442.55
61352   258.90
61353   385.85
61356   392.05
61360   402.60
61361   460.60
61364   496.05
61368   222.65
61369   2 012.05
61372   222.65
61373   488.80
61376   143.10
61381   573.30

19 March 2004 GOVERNMENT GAZETTE, WA 909
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee
(November 2003 edition) $
61383   623.85
61384   686.45
61386   331.85
61387   430.00
61389   369.90
61390   409.25
61393   604.40
61397   246.40
61401   161.95
61402   603.95
61405   345.35
61409   871.85
61413   225.55
61417   118.60
61421   478.90
61425   599.60
61426   553.75
61429   542.00
61430   658.20
61433   496.05
61434   614.25
61437   541.75
61438   671.75
61441   488.80
61442   750.95
61445   286.30
61446   332.95
61449   455.40
61450   396.80
61453   513.75
61454   347.45
61457   469.60
61458   396.20
61461   526.90
61462   130.05
61465   265.00
61469   347.45

910 GOVERNMENT GAZETTE, WA 19 March 2004
Workers’ Compensation and Rehabilitation (Scales of Fees) Amendment
Regulations 2004
r. 4

MBS item number Fee
(November 2003 edition) $
61473   175.05
61480   386.15
61484   879.25
61485   997.40
61495   222.65
61499   252.55

MAGNETIC RESONANCE IMAGING

MBS item number Fee

(November 2003 edition) $

63000 — 63946 526.75
”.

Recommended by the Workers’ Compensation and Rehabilitation
Commission on the 9th day of December 2003.

The common seal of the

) )
Workers’ Compensation and

) L.S
)
Rehabilitation Commission )
B. BRADLEY.

By Command of the Governor,
M. C. WAUCHOPE, Clerk of the Executive Council.

!200400046GG!

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Workers' Compensation and Rehabilitation (Scales of Fees) Amendment Regulations 2004 (WA)

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Column 1	Column 2
Delete	Insert instead
18.45	19.10
39.15	40.50
69.70	72.10
101.00	104.50
26.90	27.85
34.30	35.50
66.50	68.80
99.25	102.65
135.05	139.70
28.30	29.30
58.70	60.75
104.50	108.10
152.00	157.25
48.60	50.30
57.00	58.95
87.65	90.65
120.30	124.45
48.60	50.30
67.45	69.80
97.10	100.45
126.65	131.00
56.60	58.55
85.90	88.85

$ value per unit	$33.10
CONSULTATIONS AND	Units
ATTENDANCES Anaesthetist Consultation — an attendance of 15 minutes or less
duration — an attendance of more than 15 minutes	2
but not more than 30 minutes duration — an attendance of more than 30 minutes	4
but not more than 45 minutes duration — an attendance of more than 45 minutes	6
duration Post anaesthesia patient care following a day	8
procedure	2
EMERGENCY ATTENDANCES
After hours — where immediate attendance is required after 6 p.m. and before 8 a.m. on any weekday, or at any time on a Saturday, Sunday or a public holiday	6
Note: No after hours loading applies to
the above item
Attendance on a patient in imminent danger
of death requiring continuous life saving
emergency treatment to the exclusion of all
other patients	6
Call back from home, office or other distant
location for the provision of emergency
services	4

Description	Units
A normal healthy patient	0
A patient with a mild systemic disease	0
A patient with a severe systemic disease	1
A patient with a severe systemic disease that is a
constant threat to life	4
A moribund patient who is not expected to survive
for 24 hours with or without the operation	6
A patient who is morbidly obese (body mass index
is more than 35)	2

A patient who is in the 3rd trimester of pregnancy	2
A patient declared brain dead whose organs are
being removed for donor purposes	0
Where the patient is aged under 1 year or over
70 years old	1
Emergency surgery (i.e. When undue delay in
treatment of the patient would lead to a significant
increase in a threat to life or body part)	2
Anaesthesia in the prone position (not applicable to
lower intestinal endoscopic procedures)	3

Description of procedure, etc.	Units
Head
Anaesthesia for all procedures on the skin and
subcutaneous tissue, muscles, salivary glands and
superficial blood vessels of the head, including
biopsy, unless otherwise specified	5
— plastic repair of cleft lip	6
Anaesthesia for electroconvulsive therapy	4
Anaesthesia for all procedures on external, middle
or inner ear, including biopsy, unless otherwise
specified	5
— otoscopy	4
Anaesthesia for all procedures on eye unless
otherwise specified	5
— lens surgery	6

— retinal surgery	6
— corneal transplant	8
— vitrectomy	8
— biopsy of conjunctiva	5
— ophthalmoscopy	4
Anaesthesia for all procedures on nose and
accessory sinuses unless otherwise specified	6
— radical surgery	7
— biopsy, soft tissue	4
Anaesthesia for all intraoral procedures, including
biopsy, unless otherwise specified	6
— repair of cleft palate	7
— excision of retropharyngeal tumour	9
— radical intraoral surgery	10
Anaesthesia for all procedures on facial bones
unless otherwise specified	5
— extensive surgery on facial bones (including

reconstruction) Anaesthesia for all intracranial procedures unless	10
otherwise specified	15
— subdural taps	5
— burr holes	9
— intracranial vascular procedures including

abnormalities — spinal fluid shunt procedures	20
10
— ablation of intracranial nerve	6
Anaesthesia for all cranial bone procedures	12

specified	5
Anaesthesia for incision and drainage of large haematoma, large abscess, cellulitis, or similar lesion causing life threatening airway obstruction	15
Anaesthesia for all procedures on oesophagus, thyroid, larynx, trachea and lymphatic system muscles, nerves or other deep tissues of the neck
unless otherwise specified	6
— for laryngectomy, hemi laryngectomy,
laryngopharyngectomy, or pharyngectomy Anaesthesia for laser surgery to the airway	10
8
Anaesthesia for all procedures on major vessels of
neck unless otherwise specified	10
— simple ligation	5
Thorax (Chest Wall/Shoulder Girdle)
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the chest unless otherwise
specified	3
Anaesthesia for all procedures on the breast unless
otherwise specified	4
— reconstructive procedures on the breast (eg.
reduction or augmentation, mammoplasty) — removal of breast lump or for breast	5

dissection is performed — mastectomy	5
6
— reconstructive procedures on the breast using

breast with internal mammary node dissection — electrical conversion of arrhythmias	13
5

of the sternum	4
Anaesthesia for all procedures on the clavicle,
scapula or sternum unless otherwise specified	5
— radical surgery	6
Anaesthesia for partial rib resection unless
otherwise specified	6
— thoracoplasty	10
— extensive procedures (eg. pectus excavatum)	13
Intrathoracic
Anaesthesia for open procedures on the
oesophagus	15
Anaesthesia for all closed chest procedures
(including rigid oesophagoscopy or bronchoscopy)
unless otherwise specified	6
— needle biopsy of pleura	4
— pneumocentesis	4
— thoracoscopy	10
— mediastinoscopy	8
Anaesthesia for all thoracotomy procedures
involving lungs, pleura, diaphragm, and
mediastinum unless otherwise specified	13
— pulmonary decortication	15
— pulmonary resection with thoracoplasty	15
— intrathoracic repair of trauma to trachea and
bronchi Anaesthesia for all open procedures on the heart,	15
pericardium, and great vessels of the chest	20
Anaesthesia for heart transplant	20
Anaesthesia for heart and lung transplant	20
Cadaver harvesting of heart and/or lungs	8

Procedures’)	10
— posterior cervical laminectomy in sitting
position Anaesthesia for all procedures on the thoracic	13
spine and/or cord unless otherwise specified	10
— thoracolumbar sympathectomy	13
Anaesthesia for all procedures in the lumbar region
unless otherwise specified	8
— lumbar sympathectomy	7
— chemonucleolysis	10
Anaesthesia for extensive spine and spinal cord
procedures	13
Anaesthesia for manipulation of spine	3
Anaesthesia for percutaneous spinal procedures	5
Upper abdomen
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the upper abdominal wall
unless otherwise specified	3
Anaesthesia for all procedures on the nerves,
muscles, tendons and fascia of the upper
abdominal wall	4
Anaesthesia for diagnostic laparoscopy	6
Anaesthesia for laparoscopic procedures unless
otherwise specified	7
Anaesthesia for extracorporeal shock wave
lithotripsy	6
Anaesthesia for upper gastrointestinal endoscopic
procedures	5

gastrointestinal haemorrhage	6
Anaesthesia for all hernia repairs in upper
abdomen unless otherwise specified	4
— repair of incisional hernia and/or wound
dehiscence — repair of 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, laparoscopic
nephrectomy, bowel shunts and cadaver harvesting
of organs unless otherwise specified	8
— gastric reduction or gastroplasty for the
treatment of morbid obesity — partial hepatectomy (excluding liver biopsy)	10
13
— extended or trisegmental hepatectomy	15
— pancreatectomy, partial or total (eg. Whipple
procedure) — liver transplant (recipient)	12
30
— neuro endocrine tumour removal
(eg. carcinoid) — percutaneous procedures on an intra-abdominal	10

lipectomy)	4
Anaesthesia for diagnostic laparoscopy	6
Anaesthesia for laparoscopic procedures	7
Anaesthesia for all lower intestinal endoscopic procedures (modifier for prone position is not applicable)	4
Anaesthesia for extracorporeal shock wave
lithotripsy	6
Anaesthesia for all hernia repairs in lower
abdomen unless otherwise specified	4
— repair of incisional hernia and/or wound
dehiscence Anaesthesia for all procedures within the	6
peritoneal cavity in the lower abdomen (including
appendicetomy) unless otherwise specified	6
Anaesthesia for bowel resection, including
laparascopic bowel resection, unless otherwise
specified	8
— amniocentesis	4
— abdominoperineal resection, including pull

resection and formation of bowel reservoir — radical prostatectomy	10
10
— radical hysterectomy	10
— radical ovarian surgery	10
— pelvic exenteration	10
— Caesarean section	10
— Caesarean hysterectomy or hysterectomy
within 24 hours of delivery Anaesthesia for all extraperitoneal procedures in	15
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) — renal transplant (donor or recipient)	10
10
Anaesthesia for all procedures on major lower
abdominal vessels unless otherwise specified	15
— inferior vena cava ligation	10
— percutaneous umbrella insertion	5
Anaesthesia for percutaneous procedures on an
intra-abdominal organ in the lower abdomen	6
Perineum
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the perineum (including biopsy of male genital system) unless otherwise specified	3
— anorectal procedure (including endoscopy
and/or biopsy) — radical pineal procedure including radical	4
perineal prostatectomy or radical vulvectomy — vulvectomy	7
4
Anaesthesia for all transurethral procedures
(including urethrocystoscopy) unless otherwise
specified	4
— transurethral resection of bladder tumour(s)	5
— transurethral resection of prostate	7
— post-transurethral resection bleeding	7
Anaesthesia for all procedures on male external
genitalia unless otherwise specified	3
— undescended testis, unilateral or bilateral	4
Anaesthesia for procedures on the cord and/or
testes unless otherwise specified	4
— radical orchidectomy, inguinal	4

— radical orchidectomy, abdominal	6
— orchiopexy, unilateral or bilateral	4
— complete amputation of the penis	4
— complete amputation of the penis with bilateral
inguinal lymphadenectomy — complete amputation of the penis with bilateral	6
inguinal and iliac lymphadenectomy — insertion of penile prosthesis (perianal	8
approach) Anaesthesia for all vaginal procedures (including	4
biopsy of labia, vagina, cervix or endometrium)
unless otherwise specified	4
— colpotomy, colpectomy, colporrhaphy	5
— transvaginal assisted reproductive services	4
— vaginal hysterectomy	6
— vaginal delivery	6
— purse string ligation of cervix	4
— culdoscopy	5
— hysteroscopy	4
— correction of inverted uterus	8
Anaesthesia for evacuation of retained products of
conception, as a complication of confinement	4
— for the manual removal of retained placenta or for repair of vaginal or perineal tear following delivery	5
— for vaginal procedures in the management of

external genitalia	3
Anaesthesia for percutaneous bone marrow biopsy
of the anterior iliac crest	4

posterior iliac crest Anaesthesia for percutaneous bone marrow	5
harvesting from the pelvis	6
Anaesthesia for procedures on bony pelvis	6
Anaesthesia for body cast application or revision	3
Anaesthesia for interpelviabdominal (hind quarter)
amputation	15
Anaesthesia for radical procedures for tumour of
pelvis, except hind quarter amputation	10
Anaesthesia for closed procedures involving
symphysis pubis or sacroiliac joint	4
Anaesthesia for open procedures involving
symphysis pubis or sacroiliac joint	8
Upper leg — except knee
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the upper leg	3
— on the nerves, muscles, tendons, fascia, or
bursae of the upper leg Anaesthesia for all closed procedures involving hip	4
joint	4
Anaesthesia for arthroscopic procedures of hip
joint	4
Anaesthesia for all open procedures involving hip
joint unless otherwise specified	6
— hip disarticulation	10
— total hip replacement or revision	10
Anaesthesia for bilateral total hip replacement	14
Anaesthesia for all closed procedures involving
upper 2/3 of femur	4
Anaesthesia for all open procedures involving
upper 2/3 of femur unless otherwise specified	6
— amputation	5
— radical resection	8

the upper leg including exploration	4
Anaesthesia for all procedures involving arteries of
the upper leg, including bypass graft, unless
otherwise specified	8
— femoral artery ligation	4
— femoral artery embolectomy	6
— for microsurgical reimplantation of upper leg	15
Knee and popliteal area
Anaesthesia for all procedures on the skin and
subcutaneous tissue of the knee and/or popliteal
area	3
Anaesthesia for all procedures on nerves, muscles,
tendons, fascia and bursae of the knee and/or
popliteal area	4
Anaesthesia for all closed procedures on the lower
1/3 of femur	4
Anaesthesia for all open procedures on the lower
1/3 of femur	5
Anaesthesia for all closed procedures on the knee	3
joint
Anaesthesia for arthroscopic procedures of the
knee joint	4
Anaesthesia for all closed procedures on upper
ends of the tibia and fibula, and/or patella	3
Anaesthesia for all open procedures on upper ends
of the tibia and fibula, and/or patella	4
Anaesthesia for open procedures on the knee joint
unless otherwise specified	4
— knee replacement	7
— bilateral knee replacement	10
— disarticulation of knee	5
Anaesthesia for all cast applications, removal, or
repair involving the knee joint	3

knee and popliteal area unless otherwise specified	4
— repair of arteriovenous fistula	5
Anaesthesia for all procedures on the arteries of the
knee and popliteal area unless otherwise specified	8
Lower leg — below knee (includes ankle and
foot)
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the lower leg, ankle and
foot	3
Anaesthesia for all procedures on the nerves,
muscles, tendons and fascia of the lower leg, ankle,
and foot unless otherwise specified	4
Anaesthesia for all closed procedures on the lower
leg, ankle and foot	3
Anaesthesia for arthroscopic procedure of ankle
joint	4
— gastrocnemius recession	5
Anaesthesia for all open procedures on the bones
of the lower leg, ankle and foot, including
amputation, unless otherwise specified	4
— radical resection	5
— osteotomy or osteoplasty of tibia and fibula	5
— total ankle replacement	7
Anaesthesia for lower leg cast application, removal
or repair	3
Anaesthesia for all procedures on arteries of the
lower leg, including bypass graft unless otherwise
specified	8
— embolectomy	6
Anaesthesia for all procedures on the veins of the
lower leg unless otherwise specified	4
— venous thrombectomy	5

leg, ankle or foot — for microsurgical reimplantation of the toe	15
8
Shoulder and axilla (includes humeral head and
neck, sternoclavicular joint, acromioclavicular
joint and shoulder joint)
Anaesthesia for all procedures on the skin or
subcutaneous tissue of the shoulder or axilla	3
Anaesthesia for all procedures on nerves, muscles,
tendons, fascia and bursae of shoulder and axilla,
including axillary dissection	5
Anaesthesia for all closed procedures on humeral
head and neck, sternoclavicular joint,
acromioclavicular joint or the shoulder joint	4
Anaesthesia for all arthroscopic procedures of the
shoulder joint	5
Anaesthesia for all open procedures on the humeral
head and neck, sternoclavicular joint,
acromioclavicular joint or the shoulder joint unless
otherwise specified	5
— radical resection	6
— shoulder disarticulation	9
— interthoracoscapular (forequarter) amputation	15
— total shoulder replacement	10
Anaesthesia for all procedures on arteries of
shoulder and axilla unless otherwise specified	8
— axillary-brachial aneurysm	10
— bypass graft	8
— axillary-femoral bypass graft	10
Anaesthesia for all procedures on veins of shoulder
and axilla	4
Anaesthesia for all shoulder cast application,
removal or repair unless otherwise specified	3
— shoulder spica	4

subcutaneous tissue of the upper arm and elbow	3
Anaesthesia for all procedures on the nerves,
muscles, tendons, fascia and bursae of upper arm
and elbow, unless otherwise specified	4
— tenotomy, elbow to shoulder, open	5
— tenoplasty, elbow to shoulder	5
— tenodesis, rupture of long tendon of biceps	5
Anaesthesia for all closed procedures on the
humerus and elbow	3
Anaesthesia for arthroscopic procedures of elbow
joint	4
Anaesthesia for all open procedures on the
humerus and elbow unless otherwise specified	5
— radical procedures	6
— total elbow replacement	7
Anaesthesia for all procedures on the arteries of the
upper arm unless otherwise specified	8
— embolectomy	6
Anaesthesia for all procedures on the veins of the
upper arm unless otherwise specified	4
— for microsurgical reimplantation of the upper

subcutaneous tissue of the forearm, wrist and hand	3
Anaesthesia for all procedures on the nerves,
muscles, tendons, fascia and bursae of the forearm,
wrist and hand	4
Anaesthesia for all closed procedures on radius,
ulna, wrist, or hand bones	3

specified	4
— total wrist replacement	7
Anaesthesia for arthroscopic procedures of the
wrist joint	4
Anaesthesia for all procedures on the arteries of the
forearm, wrist, and hand unless otherwise specified	8
— embolectomy	6
Anaesthesia for all procedures on the veins of the
forearm, wrist, and hand unless otherwise specified	4
Anaesthesia for forearm, wrist, or hand cast
application, removal or repair	3
— for microsurgical reimplantation of forearm,
wrist or hand — for microsurgical reimplantation of a finger	15
8
Burns Anaesthesia for excision of debridement of burns with or without skin grafting — where the burnt area involves not more than
3% of total body surface — where the burnt area involves more than 3%	3
but less than 10% of total body surface — where the burnt area involves 10% or more but	5
less than 20% of total body surface — where the burnt area involves 20% or more but	7
less than 30% of total body surface — where the burnt area involves 30% or more but	9
less than 40% of total body surface — where the burnt area involves 40% or more but	11
less than 50% of total body surface — where the burnt area involves 50% or more but	13

less than 70% of total body surface — where the burnt area involves 70% or more but	17
less than 80% of total body surface — where the burnt area involves 80% or more of	19

— lumbar or thoracic	5
— cervical	6
— posterior fossa	9
Anaesthesia for injection procedure for
discography:
— lumbar or thoracic	5
— cervical	6
Anaesthesia for peripheral arteriogram	5
Anaesthesia for arteriograms:
— carotid, cerebral or vertebral	5
— retrograde, brachial or femoral	5
Anaesthesia for computerised axial tomography
scanning, magnetic resonance scanning, ultrasound
scanning or digital subtraction angiography
scanning	7
Anaesthesia for radiology unless otherwise
specified	4
Anaesthesia for retrograde cystography, retrograde
urethrography or retrograde cystourethrography	4
Anaesthesia for flouroscopy	5
Anaesthesia for small bowel enema, barium or
other opaque study of the small bowel	5
Anaesthesia for bronchography	6
Anaesthesia for phlebography	5

transoesophageal examination	6
Anaesthesia for peripheral venous cannulation	3
Anaesthesia for cardiac catheterisation including coronary arteriography, ventriculography, cardiac mapping, insertion of automatic defibrillator or
transvenous pacemaker	7
Anaesthesia for cardiac electrophysiological
procedures including radio frequency ablation	10
Anaesthesia for central vein catheterisation or
insertion of right heart balloon catheter	5
Anaesthesia for lumbar puncture, cisternal
puncture, or epidural injection	5
Anaesthesia for harvesting of bone marrow for the
purpose of transplantation	5
Anaesthesia for muscle biopsy for malignant
hyperpyrexia	10
Anaesthesia for electroencephalography	5
Anaesthesia for brain stem evoked audiometry	5
Anaesthesia for electrocochleography by
extratympanic method or transtympanic membrane
insertion method	5
Anaesthesia for a therapeutic procedure where it
can be demonstrated that there is a clinical need for
anaesthesia	5
Anaesthesia during hyperbaric therapy where the
medical practitioner is not confined in the chamber
(including the administration of oxygen)	8
Anaesthesia during hyperbaric therapy where the
medical practitioner is confined in the chamber
(including the administration of oxygen)	15
Anaesthesia for brachytherapy using radioactive
sealed sources	5
Anaesthesia for therapeutic nuclear medicine	5
Anaesthesia for radiotherapy	7
Anaesthesia where no procedure ensues	3

emergency situation	no	no	3
Administration of blood or bone marrow already collected when performed in association with
the administration of anaesthesia	no	no	4
Venous cannulation and blood
transfusion (or blood products)
not associated with anaesthesia	no	no	5
Intubation, endotracheal,
emergency procedure, where the
patient’s airway is unsecured and at high risk of occlusion, (eg. epiglottitis or haematoma post thyroidectomy) not
associated with surgery	yes	yes	15
Intubation, endotracheal, not associated with anaesthesia, when subsequent management is
not in an intensive care unit	yes	yes	4
Awake endotracheal intubation
with flexible fibreoptic scope,
associated with difficult airway,
when performed in association
with the administration of
anaesthesia	no	no	4