Workers' Compensation and Rehabilitation (Scales of Fees) Amendment Regulations (No. 2) 2001 (WA)
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WESTERN 6691 AUSTRALIAN GOVERNMENT azette
| PERTH, FRIDAY, 28 DECEMBER 2001 No. 256 | 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
(Scales of Fees) Amendment Regulations
(No. 2) 2001
Made by the Lieutenant-Governor and deputy of the Governor in section 176(1a).
1. Citation
These regulations may be cited as the Workers' Compensation
and Rehabilitation (Scales of Fees) Amendment Regulations
(No. 2) 2001.2. The regulations amended
The amendments in these regulations are to the Workers'
Compensation and Rehabilitation (Scales of Fees)
Regulations 1998*.[* Published in Gazette 13 Oct 1998, p. 5709-25.
Aged Care, as at November 2000;
For amendments to 18 December 2001 see 2000 Index to
Legislation of Western Australia, Table 4, p. 415-6 and
Gazette 14 December 2001.]3. Regulation 2 amended
Regulation 2(2) is amended before the definition of
"metropolitan area" by inserting the following definition44
"MBS item number" means the item number
corresponding to a radiological service described
in the Medicare Benefits Schedule published by
the Commonwealth Department of Health and
6692 GOVERNMENT GAZETTE, WA 28 December 2001 4. Regulation 8 amended
Regulation 8 is amended by deleting "$102.30" and inserting instead -
" $108 ".
5. Schedule 1 amended
(1) Schedule 1 Part 1 is amended by deleting the heading to Part 1,
and everything following that heading down to (but not
including) the heading "PART A - PROCEDURES", andinserting instead -
Part 1 - Medical specialists and other medical practitioners Type of service/by whom Fee
SGENERAL PRACTITIONER
CONSULTATIONS
Surgery Consultation: In Hours
Content based $
Minor Service (Level A) 18.45 Specific Service (Level B) 39.15 Extended Service (Level C) 69.70 Comprehensive Service (Level D) 100.25
Time based $
up to 5 mins 26.90 5-15 mins 34.30 15-30 mins 66.50 30-45 mins 99.25 45-60 mins 135.05
Surgery Consultations: Out of hours
For attendances between the hours of 6p.m. and 8a.m. on a weekday or
Public Holiday. between 12 noon on Saturday and 8a.m. on the following Monday, and Content based $
Minor Service (Level A) 28.30 Specific Service (Level B) 58.70 Extended Service (Level C) 104.50 Comprehensive Service (Level D) 152.00
Time based $
up to 5 mins 48.60 5-15 mins 57.00 15-30 mins 87.65 30+mins 120.30
28 December 2001 GOVERNMENT GAZETTE, WA 6693 VISITS
Consultations at a place other than the
Consulting Rooms
in hours $
Minor Service (Level A) 46.80 Specific Service (Level B) 67.45 Extended Service (Level C) 97.10 Comprehensive Service (Level D) 126.65
out of hours $
Minor Service (Level A) 56.60 Specific Service (Level B) 85.90 Extended Service (Level C) 130.85 Comprehensive Service (Level D) 179.45
Time based $
up to 5 mins 15.05 5-15 mins 18.80 15-30 mins 39.30 30+mins 58.95
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc.
per hour $169.20 TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $3.00 PHYSICIANS, OCCUPATIONAL & REHABILITATION
PHYSICIANS
PHYSICIANS CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 176.15 subsequent attendances 88.15 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ first attendance 208.85 subsequent attendances 121.75
6694 GOVERNMENT GAZETTE, WA 28 December 2001 REHABILITATION PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 176.15 subsequent attendances 88.15 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al $ first attendance 210.95 subsequent attendances 121.75 OCCUPATIONAL PHYSICIANS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) eta! S first attendance 176.15 subsequent attendances 88.15 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et a! $ first attendance 176.15 subsequent attendances 88.15 TELEPHONE CONSULTATIONS Time based $
up to 5 mins 22.35 5 to 15 mins 27.65 15-30 mins 57.80 30 + mins 87.30
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc.
per hour $250.80 TRAVELLING FEES
Outside the metropolitan area
Rate per kilometre $3.00
28 December 2001 GOVERNMENT GAZETTE, WA 6695 CONSULTANT PSYCHIATRISTS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al
Time based$
uptol5mins 51.70 15-30 mins 103.10 30-45 mins 154.40 45-60 mins 206.60 60-75 mins 233.85 75+mins 260.95
VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et al
Time based$
up to 15 mins 84.85 15-30 mins 137.00 30-45 mins 187.05 45-75 mins 239.25 75 + mins 288.20
TELEPHONE CONSULTATIONS
Time based $
up to 45 mins 68.55 45+mins 149.70
CASE CONFERENCES, discussions with employers/insurers,
rehabilitation providers, workplace assessments etc.
per hour $250.80 TRAVELLING FEES Outside the metropolitan area
Rate per kilometre $3.00
SPECIALISTS
SURGEONS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et al $ first attendance 100.15 subsequent attendances 52.25
6696 GOVERNMENT GAZETTE, WA 28 December 2001 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if required) etal
$
first attendance 135.05 subsequent attendances 86.05 DERMATOLOGISTS
CONSULTATIONS
Professional attendance at consulting rooms
and issue of certificate (if required) et at $ first attendance 100.05 subsequent attendances 52.25 VISITS
Professional attendance at a place other than consulting rooms and issue of certificate (if
required) et a! $ first attendance 134.85 subsequent attendances 85.90 TELEPHONE CONSULTATIONS
Time based $
upto5mins 22.35 5-15 mins 27.65 15-30 mins 57.80 30+mins 87.30
CASE CONFERENCES, discussions with employers/insurers, rehabilitation providers, workplace assessments etc.
per hour $250.80 TRAVELLING FEES
Country
Rate per kilometre $3.00 ANAESTHETISTS
CONSULTATIONS
$
Standard pre-anaesthesia 63.95 Referred pre-anaesthesia -
initial attendance 127.90 subsequent attendance 63.95
28 December 2001 GOVERNMENT GAZETTE, WA 6697 PROCEDURES AND SERVICES
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).All anaesthesia fees in relation to procedures and services are to be 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 (TUs) if the item notes that service as including either or both.
Base units established and is set out in this Schedule.
[The number of base units for each procedure has been calculated so as to include usual
postoperative visits, the administration of fluids and/or blood incidental to theanaesthesia care and usual monitoring procedures. ]
Time units 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 givingrise to additional modifying units are set out in this Schedule.
[Note: The modifying units are, in the main, derived from the modifying units set out
in the AMA's List of Medical Services and Fees"]
$ VALUE PER UNIT $ value per unit $32.00
(2) Schedule 1 Parts 2 and 3 are deleted and the following Parts are
inserted instead -
Part 2 - Medical procedures
Type ofprocedure Fee $ GENERAL Localised burns 38.65 Localised burns, including dressing of, under general anaesthetic 110.10 Extensive burns 66.70
6698 GOVERNMENT GAZETTE, WA 28 December 2001
Type ofprocedure Pee
$Extensive burns, including dressing of, under general anaesthetic 232.95 Dressing of wounds, under general
anaesthetic 110.10 Acupuncture, including consultation 51.40 DISLOCATIONS "closed reduction" means non operative
reduction of the dislocation, and included
percutaneous fixation and/or externalsplintage by cast or splint
"open reduction" means treatment by either
closed reduction and mtra-medullary
fixation or treatment by operative
exposure of the dislocation includinginternal 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 207.55 Elbow, by open reduction 275.25 Interphalangeal joint, by closed reduction 88.95 Interphalangeal joint, by open reduction 118.60 Mandible, by closed reduction 74.15
Clavicle, by closed reduction 87.90 Clavicle, by open reduction 177.90 Shoulder, not requiring general anaesthetic 87.90 Shoulder, by open reduction, with general anaesthetic 354.70 Shoulder, other, with general anaesthetic 175.75 Metacarpophalangeal joint, by closed reduction 118.60 Metacarpophalangeal joint, by open reduction 158.80
28 December 2001 GOVERNMENT GAZETTE, WA 6699 $
Patella, by closed reduction 133.40 Patella, by open reduction 177.90 Radioulnar joint, by closed reduction 207.55 Radioulnar joint, by open reduction 275.25 Toe, by closed reduction 74.15 Toe, by open reduction 98.45 REMOVAL OF FOREIGN BODIES - $
as independent procedure 32.30 superficial 144.00 deep tissue or muscle 402.30 ear, other than by syringing 103.75 nose, other than by simple probing 103.75 cornea or sclera, embedded 105.85
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 mtra-medullary
fixation or treatment by operative
exposure of the fracture includinginternal or external fixation.
"other" means treatment by any other method and includes the use of
external splintage
1W here injuries are associated with a compound (open)
wound, an additional fee of 50% of the fee listed is toa P P'' I
$
Distal phalanx of finger or thumb
fracture, by closed reduction 133.40 fracture, intra-articular, by closed
reduction 154.60 fracture, by open reduction 177.90 fracture, intra-articular, by open reduction 222.35
6700 GOVERNMENT GAZETTE, WA 28 December 2001 $ Middle phalanx of finger
fracture, by closed reduction 201.15 fracture, intra-articular, by closed reduction 227.60 fracture, by open reduction 264.65 fracture, intra-articular, by open reduction 333.45 Proximal phalanx of finger or thumb
fracture, by closed reduction 264.65 fracture, intra-articular, by closed reduction 312.30 fracture, by open reduction 354.70 fracture, intra-articular. by open reduction 444.65 Metacarpal
fracture, by closed reduction 264.65 fracture, intra-articular, by closed reduction 312.30 fracture, by open reduction 354.70 fracture, intra-articular, by open reduction 444.65 Carpal Scaphoid, by open reduction 592.85 Carpal Scaphoid, other 264.65 Carpus (excluding Scaphoid), by open reduction 370.50 Carpus (excluding Scaphoid), other
Radius 148.25
by closed management 296.40 by open management 592.85 Radius or Ulnar, distal end, (Colies',
Smith's or Barton's)
by closed reduction 444.65 by open reduction 592.85 Ribs (1 or more), each attendance 67.80 Tibia, plateau of, medial or lateral by closed reduction 534.65 by open reduction 709.30
28 December 2001 GOVERNMENT GAZETTE, WA 6701 $
Tibia, plateau of, medial and lateral
by closed reduction 889.25 by open reduction 1190.95 SUTURES
$
face or neck, less than 7 cm, superficial 105.85 face or neck, less than 7 cm, deep 160.90 face or neck, more than 7 cm, superficial 160.90 face or neck, more than 7 cm, deep 275.25 except face or neck, less than 7cm, superficial 80.45 except face or neck, less than 7cm, deep 120.70 except face or neck, more than 7cm. superficial 120.70 except face or neck, more than 7cm. deep 264.65 AMPUTATIONS $ Hand, midcarpal or transmetacarpal 402.30 Hand, forearm or through arm 465.80 At shoulder 788.65 Interscapulothoracic 1566.75 One digit of foot 211.70 Two digits of one foot 317.60 Three digits of one foot 428.75 Four digits of one foot 534.65
Five digits of one foot 640.50
Foot, at ankle 465.80 Foot, midtarsal or transmetatarsal 402.30 Through thigh, at knee or below knee 688.10 Hand, forearm or arm 465.80 At hip 968.60 ASSISTANCE AT OPERATIONS 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 $133.40, whichever is greater.
6702 GOVERNMENT GAZETTE, WA 28 December 2001 USE OF PRIVATE THEATRES 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- Diagnostic Imaging Services
ULTRASOUND
MBS item number Fee $ 55028 111.90
55029 38.80
55030 111.90
55031 38.80
55032 111.90
55033 38.80
55036 114.20
55037 38.80
55038 111.90
55039 38.80
55044 114.20
55045 38.80
55048 112.35
55049 38.80
55054 111.90
55070 100.80
55073 34.95
55076 111.90
55079 38.80
55112 288.55
55116 288.55
55117 288.55
55118 287.90
55130 416.85
55238 189.80
55240 220.65
55242 244.70
55244 189.80
55245 220.65
55246 189.80
55247 220.65
55248 189.80
55250 220.65
55252 189.80
55254 220.65
55256 189.80
28 December 2001 GOVERNMENT GAZETTE, WA 6703
MBS item number Fee $
55258 220.65
55260 244.70
55262 189.80
55263 220.65
55264 189.80
55265 220.65
55266 189.80
55268 220.65
55270 189.80
55272 220.65
55274 189.80
55276 189.80
55277 122.55
55278 189.80
55279 122.55
55280 189.80
55282 189.80
55284 189.80
55288 334.50
55290 334.50
55600 111.90
55603 111.90
55700 67.20
55703 39.20
55704 78.40
55705 39.20
55706 112.00
55709 42.55
55712 128.80
55715 44.80 55718 112.00
55721 128.80
55723 42.55
55725 44.80
55728 112.00
55729 30.50
55731 109.75
55733 39.20
55736 142.25
55739 63.85
55759 168.00
55762 67.20
55764 179.20
55766 72.80
55768 168.00
6704 GOVERNMENT GAZETTE, WA 28 December 2001
MBS item number Fee $
55770 67.20
55772 179.20
55774 72.80
55800 111.90
55802 38.80
55804 111.90
55806 38.80
55808 111.90
55810 38.80
55812 111.90
55814 38.80
55816 111.90
55818 38.80
55820 111.90
55822 38.80
55824 111.90
55826 38.80
55828 111.90
55830 38.80
55832 111.90
55834 38.80
55836 111.90
55838 38.80
55840 111.90
55842 38.80
55844 89.60
55846 38.80
55848 111.90
55850 156.80
COMPUTED TOMOGRAPHY - EXAMINATION AND REPORT
MBS item number Fee $
56001 208.65
56007 267.50
56010 269.75
56013 267.50
56016 310.30
56022 240.75
56028 360.40
56030 321.00
56036 401.25
56041 105.65
56047 134.95
28 December 2001 GOVERNMENT GAZETTE, WA 6705
MBS item number Fee $
56050 137.10
56053 137.10
56056 166.30
56062 121.05
56068 180.20
56070 160.50
56076 200.65
56101 246.10
56107 363.80
56141 124.55
56147 183.60
56210 256.80
56216 375.95
56219 349.05
56250 131.05
56256 189.95
56259 176.35
56301 315.65
56307 428.00
56341 159.95
56347 216.15
56401 267.50
56407 385.20
56409 267.50
56412 385.20
56441 135.70
56447 194.15
56449 135.70
56452 194.15
56501 411.95
56507 513.60
56541 206.60
56547 260.80
56619 235.40
56625 358.10
56659 119.95
56665 179.05
56801 499.20
56807 599.20
56841 249.65
56847 303.70
57001 499.30
57007 607.50
57041 249.70
57047 303.75
57201 166.05
57247 83.05
6706 GOVERNMENT GAZETTE, WA 28 December 2001
MBS item number Fee $ 57341 502.90
57345 258.95
57350 545.70
57355 282.65
DIAGNOSTIC RADIOLOGY
MBS item number Fee $ 57506 33.40
57509 44.65
57512 45.40
57515 60.55
57518 36.45
57521 48.65
57524 55.40
57527 73.80
57700 45.40
57703 60.55
57706 36.45
57709 48.65
57712 52.90
57715 68.35
57721 111.30
57901 72.35
57902 72.35
57903 53.00
57906 72.35
57909 72.35
57912 52.90
57915 52.90
57918 52.90
57921 52.90 57924 52.90
57927 55.70
57930 36.90
57933 87.75
57936 53.15
57939 72.35
57942 55.70
57945 48.65
58100 75.35
58103 61.80
58106 86.35
58109 52.70
58112 109.05
58115 149.10
58300 45.00
28 December 2001 GOVERNMENT GAZETTE, WA 6707
MBS item number Fee $ 58306 100.25
58500 39.65
58503 52.90
58506 68.20
58509 44.65
58521 48.65
58524 63.35
58527 77.90
58700 51.65
58706 177.15
58715 170.00
58718 141.50
58721 155.05
58900 40.05
58903 53.35
58909 100.90
58912 123.70
58915 88.55
58916 155.35
58921 151.70
58924 94.25
58927 85.75
58933 230.60
58936 219.80
58939 156.25
59103 25.35
59300 97.60
59303 58.85
59306 112.50
59309 225.05
59312 97.60
59314 58.85
59318 52.80
59503 100.25
59700 108.30
59703 85.15
59712 127.55
59715 161.00
59718 151.05
59724 254.00
59733 120.80
59736 69.55
59739 82.70
59751 156.05
59754 246.05
59760 129.15
59763 150.20
6708 GOVERNMENT GAZETTE, WA 28 December 2001
MBS item number Fee $ 59900 104.20
59903 143.50
59906 143.50
59912 382.30
59915 97.50
59918 123.70
59921 123.70
59924 123.70
59970 188.80
60000 632.60
60003 927.70
60006 1319.25
60009 1543.80
60012 632.60
60015 927.70
60018 1319.25
60021 1543.80
60024 632.60
60027 927.70
60030 1319.25
60033 1543.80
60036 632.60
60039 927.70
60042 1319.25
60045 1543.80
60048 632.60
60051 927.70
60054 1319.25
60057 1543.80
60060 632.60
60063 927.70
60066 1319.25
60069 1543.80
60072 53.95
60075 107.80
60078 161.80
60100 68.20
60500 48.65
60503 33.40
60506 71.50
60509 110.90
60903 143.75
60915 79.20
60918 59.10
60927 47.65
61109 290.40
28 December 2001 GOVERNMENT GAZETTE, WA 6709 NUCLEAR MEDICINE IMAGING
MBS item number Fee $ 61302 403.00
61303 507.55
61306 637.15
61307 749.60
61310 329.75
61313 272.40
61314 377.10
61316 342.15
61317 442.00
61320 205.55
61328 195.10
61340 227.15
61348 398.05
61352 232.85
61353 347.05
61356 352.60
61360 362.15
61361 414.25
61364 446.15
61368 200.30
61369 1809.70
61372 200.30
61373 439.65
61376 128.75
61381 515.65
61383 561.15
61384 617.45
61386 298.50
61387 386.70
61389 332.70
61390 368.10
61393 543.65
61397 221.65
61401 145.70
61402 543.20
61405 310.65
61409 784.25
61413 202.85
61417 106.65
61421 430.75
61425 539.30
61426 498.10
61429 487.50
61430 592.05
61433 446.15
61434 552.50
6710 GOVERNMENT GAZETTE, WA 28 December 2001
MBS item number Fee $ 61437 487.30
61438 604.20
61441 439.65
61442 675.40
61445 257.50
61446 299.45
61449 409.65
61450 356.90
61453 462.05
61454 312.50
61457 422.40
61458 356.35
61461 473.90
61462 116.95
61465 238.40
61469 312.50
61473 157.45
61480 347.30
61484 790.85
61485 897.15
61495 200.30
61499 227.15
MAGNETIC RESONANCE IMAGING
MBS item number Fee $ 63000 —
63946 498.75
Recommended by the Workers' Compensation and Rehabilitation
Commission on the 18th day of December 2001. The common seal of the
) )
Workers' Compensation and
) L. S. ) Rehabilitation Commission ) B. T. BRADLEY.
By Command of the Lieutenant-Governor
and deputy of the Governor,
M. C. WAUCHOPE, Clerk of the Executive Council.
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