Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Variation Regulations 2004 (SA)

South Australia

Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Variation Regulations 2004

under the Workers Rehabilitation and Compensation Act 1986

Contents

Part 1—Preliminary

Short title
Commencement
Variation provisions

Part 2—Variation of Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Regulations 1995

Substitution of Schedule 2—Scale of Charges—Physiotherapy services

Schedule 1—Substituted schedule

Schedule 2—Scale of charges—physiotherapy services

Part 1—Preliminary

1—Short title
These regulations may be cited as the Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Variation Regulations 2004.
2—Commencement
These regulations will come into operation 1 month after the day on which they are made.
3—Variation provisions
In these regulations, a provision under a heading referring to the variation of specified regulations varies the regulations so specified.

Part 2—Variation of Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Regulations 1995

4—Substitution of Schedule 2—Scale of Charges—Physiotherapy services
Schedule 2—delete the Schedule and substitute the Schedule in Schedule 1 of these regulations

Schedule 1—Substituted schedule

Schedule 2—Scale of charges—physiotherapy services

Item No.

Service Description

Charge

CORE PHYSIOTHERAPY SCHEDULE SERVICES

Refer to the Physiotherapy Service and Fee Schedule Guidelines for requirements regarding the delivery of core schedule services.

CONSULTATIONS

INITIAL CONSULTATION

It is recommended that the treating physiotherapist, on the commencement of physiotherapy treatment, notifies the Self-Managed Employer, Exempt Employer or Claims Agent in respect of any new claim.

An initial consultation involves some or all of the following elements, the components of which are at the discretion of the treating physiotherapist:

      (i)      Subjective Reporting

Major symptoms and lifestyle dysfunction; current history and treatment; past history and treatment; pain, 24 hour behaviour, aggravating and relieving factors; general health, medication, risk factors.

     (ii)      Objective Assessment

Movement – active, passive, resisted, repeated; muscle tone, spasm, weakness; accessory movements, passive intervertebral movements etc. Appropriate procedures/tests as indicated.

     (iii)     Assessment Results

Provisional diagnosis; goals of treatment; treatment plan.

     (iv)     Treatment

Discussion with the patient regarding working hypothesis and treatment goals and expected outcomes; initial treatment and response; advice regarding home care including any exercise programs to be followed.

     (v)     Documentation

Recording all of the above in the clinical record of the patient, as well as: X-ray and results of other relevant tests; skin tests, warnings (if applicable).

     (vi)     Communication

Communication of information relevant to the rehabilitation and return to work of the patient/injured worker to the employer, Self-Managed Employer, Exempt Employer, Claims Agent, or coordinating general practitioner.

PT105

Initial consultation, assessment, treatment

Initial assessment and treatment of condition

$47.70

SUBSEQUENT CONSULTATIONS

Reassessment and treatment of condition. This consultation must involve some or all of the following elements, the components of which are at the discretion of the treating physiotherapist.

      (i)      History Taking/Assessment

The history and assessment related to the condition previously treated and its behaviour following the previous treatment.

     (ii)      Examination

Examination by the physiotherapist of the condition previously treated.

     (iii)     Treatment

An appropriate treatment is performed.

     (iv)     Reassessment

Reassessment by both the patient and the physiotherapist.

     (v)     Discussion of the Management Program with Patient/Carer

The goals of treatment and management program are discussed with the patient and counselling given regarding care and/or action to be taken before the next consultation or if no further treatment is required, regarding care and preventative measures.

     (vi)     Communication

The appropriate management of a case involves communicating standard information to key parties. Information relevant to the management of the claim should be communicated to the treating general practitioner, Claims Agent case manager, Claims Agent medical, rehabilitation or physiotherapy advisor or non-medical experts involved in the claim.

     (vii)     Physiotherapy Treatment Form

This form is to be completed once only as part of a subsequent consultation and forwarded to the Claims Agent with their invoice. This form will be initiated by the physiotherapist and forwarded to the Claims Agent where treatment is expected to extend for longer than 6 weeks.

No additional fee is billable for the completion of this form.

     (viii)     Clinical Records

Comprehensive clinical notes must be kept recording all of the above.

PT205

Subsequent consultation – Level A

Assessment, treatment. This consultation must involve some, but not usually all, of the elements of a Subsequent Consultation and requires minimal practitioner contact time.

$22.00

PT210

Subsequent consultation– Level B

Assessment, treatment. This consultation must involve some or all of the elements of a Subsequent Consultation.

$37.85

PT215

Subsequent consultation – Level C

Assessment, treatment. This consultation must include all of the elements of a Subsequent Consultation, but because of the complexity of the injury, will require extra time for history taking, examination, treatment, documentation and liaison (eg injuries following major trauma, major surgery requiring intensive post-operative treatment).

$47.85

PT220

Subsequent consultation – Level D

Assessment, treatment. This consultation must include all of the elements of a Subsequent Consultation but requires greater time and should only be required in a limited number of cases where the case and treatment are extremely complex (eg injuries following extensive burns, multi-trauma, major surgery requiring intensive post-operative treatment such as complicated hand injuries or joint reconstruction and some neurological conditions).

$63.70

CORRECTIVE/SERIAL SPLINTING

Refer to the Physiotherapy Service and Fee Schedule Guidelines for further details regarding the types of splints available to the physiotherapist and the conditions associated with the provision of these splints.

PT300

Fabrication/Fitting/Adjustment of Splint

$103.40 per hour

PT390

Materials used to construct or modify a splint

(Note: ‘DF’ means derived fee. Each account will be considered on its merits.)

DF

AQUATIC PHYSIOTHERAPY AND EXERCISE SERVICES

Refer to Physiotherapy Service and Fee Schedule Guidelines for further details regarding delivery of Aquatic Physiotherapy services.

AQUATIC PHYSIOTHERAPY (HYDROTHERAPY)

PT415

Initial/individual aquatic physiotherapy (hydrotherapy) consultation

The first aquatic physiotherapy session requires significant planning, supervision and monitoring of individual clients and this item should be used.

This item may then be used for the 2 subsequent aquatic physiotherapy consultations after the initial service. It may also be used for one review at week 4-6 of the program.

Only in exceptional circumstances should the item PT415 be utilised after the first three appointments (eg. severe trauma, fear of water) where much closer supervision is required. Prior case manager approval is required in these circumstances.

$37.85

PT420

Subsequent/group aquatic physiotherapy (hydrotherapy) consultation

Aquatic physiotherapy sessions after the first three visits are to be billed at this rate. Clients may be treated in a group but all the programs must be unique and individualised to the particular client.

$15.80 per person

EXERCISE

PT455

Individual exercise consultation

Individual reassessment and exercise treatment of condition planned and supervised by a physiotherapist. This consultation must involve some or all of the elements of a Subsequent Consultation and the client to physiotherapist ratio must be 1:1 for the duration of the consultation.

$37.85

PT460

Group exercise consultation

Group exercise session planned and supervised by a physiotherapist. This consultation must involve some or all the elements of a Subsequent Consultation, with exercise treatment undertaken in a group. Each group must be comprised of a maximum of 8 patients per session.

$11.20 per person

PT429

Entry fee, aquatic physiotherapy (hydrotherapy) or exercise

Entry to a public or privately operated facility.

This item may be utilised when the physiotherapist supervises an individual or group exercise or aquatic physiotherapy session with a patient to reimburse them for entry paid for the patient. This item is not to be used if the physiotherapist is an employee of the exercise or hydrotherapy facility. For group sessions, this fee is applicable for each participant supervised by the physiotherapist.

(Note: ‘DF’ means derived fee. Each account will be considered on its merits.)

DF

TRAVEL

The treating physiotherapist must receive prior approval from the Self-Managed Employer, Exempt Employer or Claims Agent before providing this service.

All travel items refer to return trips to and from rooms to a workplace, hospital, patient’s home or case conference.

Refer to the Physiotherapy Service and Fee Schedule Guidelines for further details regarding travel.

PT905

Travel

Travel up to 100km from Adelaide GPO

$90.00 per hour

PT900

Travel after 100km from Adelaide GPO

Travel with a destination more than 100km distance from GPO where the physiotherapist is based in the metropolitan area attracts a 20% loading to be charged under this item.

$100.00 per hour

TELEPHONE CALLS

Refer to the Physiotherapy Service and Fee Schedule Guidelines for further details regarding telephone calls.

PT552

Telephone call

Calls of case specific nature made to or received from the worker’s referring/treating medical expert, rehabilitation provider, claims agent, self managed employer or self insured (exempt) case manager, employer, WorkCover Corporation Provider Consultant or worker advocate.

Excludes calls made during consultation and calls to or from the worker.

$15.00

TREATMENT REVIEW

PT785

Functional Notification Form

Completion of the Functional Notification Form will be initiated primarily by the treating physiotherapist when information is identified which directly impacts upon the patient’s capacity to return to work and any other issues influencing the return to work process. This form must be forwarded directly to the treating general practitioner. The Functional Notification Form may only be completed when it complies with the criteria specified within the Physiotherapy Service and Fee Schedule Guidelines.

$15.00

PT780

Independent clinical assessment

Includes a review of medical history, activity and a clinical examination to provide a differential diagnosis and/or make recommendations regarding ongoing treatment goals and return to work.

This service includes the provision of a report detailing relevant findings and recommendations.

The Self-Managed Employer, Exempt Employer or Claims Agent must be notified prior to the provision of this service to seek approval for payment.

This service will NOT be performed by the treating physiotherapist.

Refer to the Physiotherapy Service and Fee Schedule Guidelines for service standards and indicators for use regarding Independent Clinical Assessment.

$107.80 per hour

SUPPLEMENTARY SCHEDULE SERVICES

Refer to the Physiotherapy Service and Fee Schedule Guidelines for requirements regarding the delivery of supplementary schedule services

REHABILITATION AND RETURN TO WORK SERVICES

Refer to the Physiotherapy Service and Fee Schedule Guidelines for service requirements and indicators for use of each rehabilitation and return to work service listed within this schedule.

PT700

Functional Capacity Assessment (FCA) or Functional Capacity Evaluation (FCE) (Standardised)

This service is undertaken to determine a worker’s inferred work capacity based on assessment of a worker’s physical capabilities through a series of standardised tests that focus on selected work tolerances. Maximum time – 7 hours including report preparation.

$107.80 per hour

PT730

Worksite assessment

Involves attending the worksite in order to ascertain the availability of duties, including an overview of the following:

      —      physical environment;

      —      mental work demands;

      —      human behaviour;

      —      working conditions;

      —      educational requirements;

      —      other conditions.

$107.80 per hour

PT740

Job analysis

Aims to identify specific tasks or employment options that are within a worker’s capacity and ability to perform, through modifications to elements of the job, the provision of aids and equipment or training that will safely extend the worker’s capacity range.

The analysis consists of four main categories:

      —      workstation design;

      —      work demands (intellectual/physical/sensory/perceptual);

      —      equipment;

      —      work environment.

$107.80 per hour

PT750

Work hardening on site

Aims to increase a worker’s capacity, tolerance and endurance for the physical and intellectual demands of specified duties and employment, resulting in improved work performance and leading to a safe return to suitable employment.

$107.80 per hour

PT760

Activities of daily living assessment

Conducted in a worker’s home with the aim of meeting the following objectives:

      —      providing essential services for severely injured workers; and/or

      —      maintaining or improving a worker’s level of physical functioning at home;

      —      preventing further injury or aggravation;

      —      assisting in preventing the development of chronicity in a worker’s condition.

$107.80 per hour

OTHER SERVICES

PT810

Comprehensive report

A Self-Managed Employer, Exempt Employer or Claims Agent may request a comprehensive report in response to a series of specific questions.

A report will be taken to be comprehensive when requested by a Self-Managed Employer, Exempt Employer or Claims Agent and re-examination of the worker is a prerequisite for the preparation of the report.

All reports referred to under this item are chargeable on an hourly basis with a maximum time chargeable of 1.5 hours.

$103.40 per hour

PT820

Standard report

A Self-Managed Employer, Exempt Employer or Claims Agent may request a standard report in response to a series of specific questions.

A report will be taken to be standard when re-examination of the worker is not required and the report is based on a transcription of existing records.

All reports referred to under this item are chargeable on an hourly basis with a maximum time chargeable of 1 hour.

Refer to the Physiotherapy Service and Fee Schedule Guidelines for standards required for report writing.

$103.40 per hour

PT870

Case conference

Case conferences are used for the purpose of determining:

      —      details of limitations/recommendations relating to a sustainable return to work;

      —      options for management of a worker’s recovery;

      —      other related information.

$103.40 per hour

A case conference may be requested by:

      —      a treating medical expert;

      —      an employer;

      —      a worker or worker advocate;

      —      a Self-Managed Employer, Exempt Employer, Claims Agent or appointed Rehabilitation Coordinator.

The holding of a case conference must be authorised by the Self-Managed Employer, Exempt Employer or Claims Agent before the case conference is convened.

Refer to the Physiotherapy Service and Fee Schedule Guidelines for further detail regarding case conferences.

CURAP

Therapeutic appliance

Includes an appliance or aid for reducing the extent of a compensable disability or enabling a patient to overcome in whole or in part the effects of a compensable disability (eg TENS machine).

(Note: ‘DF’ means derived fee. Each account will be considered on its merits.)

Refer to the Physiotherapy Service and Fee Schedule Guidelines for further detail regarding therapeutic appliances.

DF

PT999

Non scheduled services

The use of this item number requires the approval of the Self-Managed Employer, Exempt Employer or Claims Agent prior to the delivery of the service.

This item number is used when the provision of services not listed on the Core or Supplementary Fee Schedule is necessary, appropriate and reasonably required.

Refer to the Physiotherapy Service and Fee Schedule Guidelines for further detail regarding non-scheduled services.

$103.40 per hour

Note—
As required by section 10AA(2) of the Subordinate Legislation Act 1978, the Minister has certified that, in the Minister's opinion, it is necessary or appropriate that these regulations come into operation as set out in these regulations.

Item No.	Service Description	Charge
CORE PHYSIOTHERAPY SCHEDULE SERVICES
Refer to the Physiotherapy Service and Fee Schedule Guidelines for requirements regarding the delivery of core schedule services.
CONSULTATIONS
INITIAL CONSULTATION It is recommended that the treating physiotherapist, on the commencement of physiotherapy treatment, notifies the Self-Managed Employer, Exempt Employer or Claims Agent in respect of any new claim. An initial consultation involves some or all of the following elements, the components of which are at the discretion of the treating physiotherapist:
(i) Subjective Reporting Major symptoms and lifestyle dysfunction; current history and treatment; past history and treatment; pain, 24 hour behaviour, aggravating and relieving factors; general health, medication, risk factors.
(ii) Objective Assessment Movement – active, passive, resisted, repeated; muscle tone, spasm, weakness; accessory movements, passive intervertebral movements etc. Appropriate procedures/tests as indicated.
(iii) Assessment Results Provisional diagnosis; goals of treatment; treatment plan.
(iv) Treatment Discussion with the patient regarding working hypothesis and treatment goals and expected outcomes; initial treatment and response; advice regarding home care including any exercise programs to be followed.
(v) Documentation Recording all of the above in the clinical record of the patient, as well as: X-ray and results of other relevant tests; skin tests, warnings (if applicable).
(vi) Communication Communication of information relevant to the rehabilitation and return to work of the patient/injured worker to the employer, Self-Managed Employer, Exempt Employer, Claims Agent, or coordinating general practitioner.
PT105	Initial consultation, assessment, treatment Initial assessment and treatment of condition	$47.70
SUBSEQUENT CONSULTATIONS Reassessment and treatment of condition. This consultation must involve some or all of the following elements, the components of which are at the discretion of the treating physiotherapist.
(i) History Taking/Assessment The history and assessment related to the condition previously treated and its behaviour following the previous treatment.
(ii) Examination Examination by the physiotherapist of the condition previously treated.
(iii) Treatment An appropriate treatment is performed.
(iv) Reassessment Reassessment by both the patient and the physiotherapist.
(v) Discussion of the Management Program with Patient/Carer The goals of treatment and management program are discussed with the patient and counselling given regarding care and/or action to be taken before the next consultation or if no further treatment is required, regarding care and preventative measures.
(vi) Communication The appropriate management of a case involves communicating standard information to key parties. Information relevant to the management of the claim should be communicated to the treating general practitioner, Claims Agent case manager, Claims Agent medical, rehabilitation or physiotherapy advisor or non-medical experts involved in the claim.
(vii) Physiotherapy Treatment Form This form is to be completed once only as part of a subsequent consultation and forwarded to the Claims Agent with their invoice. This form will be initiated by the physiotherapist and forwarded to the Claims Agent where treatment is expected to extend for longer than 6 weeks. No additional fee is billable for the completion of this form.
(viii) Clinical Records Comprehensive clinical notes must be kept recording all of the above.
PT205	Subsequent consultation – Level A Assessment, treatment. This consultation must involve some, but not usually all, of the elements of a Subsequent Consultation and requires minimal practitioner contact time.	$22.00
PT210	Subsequent consultation– Level B Assessment, treatment. This consultation must involve some or all of the elements of a Subsequent Consultation.	$37.85
PT215	Subsequent consultation – Level C Assessment, treatment. This consultation must include all of the elements of a Subsequent Consultation, but because of the complexity of the injury, will require extra time for history taking, examination, treatment, documentation and liaison (eg injuries following major trauma, major surgery requiring intensive post-operative treatment).	$47.85
PT220	Subsequent consultation – Level D Assessment, treatment. This consultation must include all of the elements of a Subsequent Consultation but requires greater time and should only be required in a limited number of cases where the case and treatment are extremely complex (eg injuries following extensive burns, multi-trauma, major surgery requiring intensive post-operative treatment such as complicated hand injuries or joint reconstruction and some neurological conditions).	$63.70
CORRECTIVE/SERIAL SPLINTING Refer to the Physiotherapy Service and Fee Schedule Guidelines for further details regarding the types of splints available to the physiotherapist and the conditions associated with the provision of these splints.
PT300	Fabrication/Fitting/Adjustment of Splint	$103.40 per hour
PT390	Materials used to construct or modify a splint (Note: ‘DF’ means derived fee. Each account will be considered on its merits.)	DF
AQUATIC PHYSIOTHERAPY AND EXERCISE SERVICES Refer to Physiotherapy Service and Fee Schedule Guidelines for further details regarding delivery of Aquatic Physiotherapy services.
AQUATIC PHYSIOTHERAPY (HYDROTHERAPY)
PT415	Initial/individual aquatic physiotherapy (hydrotherapy) consultation The first aquatic physiotherapy session requires significant planning, supervision and monitoring of individual clients and this item should be used. This item may then be used for the 2 subsequent aquatic physiotherapy consultations after the initial service. It may also be used for one review at week 4-6 of the program. Only in exceptional circumstances should the item PT415 be utilised after the first three appointments (eg. severe trauma, fear of water) where much closer supervision is required. Prior case manager approval is required in these circumstances.	$37.85
PT420	Subsequent/group aquatic physiotherapy (hydrotherapy) consultation Aquatic physiotherapy sessions after the first three visits are to be billed at this rate. Clients may be treated in a group but all the programs must be unique and individualised to the particular client.	$15.80 per person
EXERCISE
PT455	Individual exercise consultation Individual reassessment and exercise treatment of condition planned and supervised by a physiotherapist. This consultation must involve some or all of the elements of a Subsequent Consultation and the client to physiotherapist ratio must be 1:1 for the duration of the consultation.	$37.85
PT460	Group exercise consultation Group exercise session planned and supervised by a physiotherapist. This consultation must involve some or all the elements of a Subsequent Consultation, with exercise treatment undertaken in a group. Each group must be comprised of a maximum of 8 patients per session.	$11.20 per person
PT429	Entry fee, aquatic physiotherapy (hydrotherapy) or exercise Entry to a public or privately operated facility. This item may be utilised when the physiotherapist supervises an individual or group exercise or aquatic physiotherapy session with a patient to reimburse them for entry paid for the patient. This item is not to be used if the physiotherapist is an employee of the exercise or hydrotherapy facility. For group sessions, this fee is applicable for each participant supervised by the physiotherapist. (Note: ‘DF’ means derived fee. Each account will be considered on its merits.)	DF
TRAVEL
The treating physiotherapist must receive prior approval from the Self-Managed Employer, Exempt Employer or Claims Agent before providing this service.
All travel items refer to return trips to and from rooms to a workplace, hospital, patient’s home or case conference.
Refer to the Physiotherapy Service and Fee Schedule Guidelines for further details regarding travel.
PT905	Travel Travel up to 100km from Adelaide GPO	$90.00 per hour
PT900	Travel after 100km from Adelaide GPO Travel with a destination more than 100km distance from GPO where the physiotherapist is based in the metropolitan area attracts a 20% loading to be charged under this item.	$100.00 per hour
TELEPHONE CALLS
Refer to the Physiotherapy Service and Fee Schedule Guidelines for further details regarding telephone calls.
PT552	Telephone call Calls of case specific nature made to or received from the worker’s referring/treating medical expert, rehabilitation provider, claims agent, self managed employer or self insured (exempt) case manager, employer, WorkCover Corporation Provider Consultant or worker advocate. Excludes calls made during consultation and calls to or from the worker.	$15.00
TREATMENT REVIEW
PT785	Functional Notification Form Completion of the Functional Notification Form will be initiated primarily by the treating physiotherapist when information is identified which directly impacts upon the patient’s capacity to return to work and any other issues influencing the return to work process. This form must be forwarded directly to the treating general practitioner. The Functional Notification Form may only be completed when it complies with the criteria specified within the Physiotherapy Service and Fee Schedule Guidelines.	$15.00
PT780	Independent clinical assessment Includes a review of medical history, activity and a clinical examination to provide a differential diagnosis and/or make recommendations regarding ongoing treatment goals and return to work. This service includes the provision of a report detailing relevant findings and recommendations. The Self-Managed Employer, Exempt Employer or Claims Agent must be notified prior to the provision of this service to seek approval for payment. This service will NOT be performed by the treating physiotherapist. Refer to the Physiotherapy Service and Fee Schedule Guidelines for service standards and indicators for use regarding Independent Clinical Assessment.	$107.80 per hour
SUPPLEMENTARY SCHEDULE SERVICES Refer to the Physiotherapy Service and Fee Schedule Guidelines for requirements regarding the delivery of supplementary schedule services
REHABILITATION AND RETURN TO WORK SERVICES
Refer to the Physiotherapy Service and Fee Schedule Guidelines for service requirements and indicators for use of each rehabilitation and return to work service listed within this schedule.
PT700	Functional Capacity Assessment (FCA) or Functional Capacity Evaluation (FCE) (Standardised) This service is undertaken to determine a worker’s inferred work capacity based on assessment of a worker’s physical capabilities through a series of standardised tests that focus on selected work tolerances. Maximum time – 7 hours including report preparation.	$107.80 per hour
PT730	Worksite assessment Involves attending the worksite in order to ascertain the availability of duties, including an overview of the following: — physical environment; — mental work demands; — human behaviour; — working conditions; — educational requirements; — other conditions.	$107.80 per hour
PT740	Job analysis Aims to identify specific tasks or employment options that are within a worker’s capacity and ability to perform, through modifications to elements of the job, the provision of aids and equipment or training that will safely extend the worker’s capacity range. The analysis consists of four main categories: — workstation design; — work demands (intellectual/physical/sensory/perceptual); — equipment; — work environment.	$107.80 per hour
PT750	Work hardening on site Aims to increase a worker’s capacity, tolerance and endurance for the physical and intellectual demands of specified duties and employment, resulting in improved work performance and leading to a safe return to suitable employment.	$107.80 per hour
PT760	Activities of daily living assessment Conducted in a worker’s home with the aim of meeting the following objectives: — providing essential services for severely injured workers; and/or — maintaining or improving a worker’s level of physical functioning at home; — preventing further injury or aggravation; — assisting in preventing the development of chronicity in a worker’s condition.	$107.80 per hour
OTHER SERVICES
PT810	Comprehensive report A Self-Managed Employer, Exempt Employer or Claims Agent may request a comprehensive report in response to a series of specific questions. A report will be taken to be comprehensive when requested by a Self-Managed Employer, Exempt Employer or Claims Agent and re-examination of the worker is a prerequisite for the preparation of the report. All reports referred to under this item are chargeable on an hourly basis with a maximum time chargeable of 1.5 hours.	$103.40 per hour
PT820	Standard report A Self-Managed Employer, Exempt Employer or Claims Agent may request a standard report in response to a series of specific questions. A report will be taken to be standard when re-examination of the worker is not required and the report is based on a transcription of existing records. All reports referred to under this item are chargeable on an hourly basis with a maximum time chargeable of 1 hour. Refer to the Physiotherapy Service and Fee Schedule Guidelines for standards required for report writing.	$103.40 per hour
PT870	Case conference Case conferences are used for the purpose of determining: — details of limitations/recommendations relating to a sustainable return to work; — options for management of a worker’s recovery; — other related information.	$103.40 per hour
A case conference may be requested by: — a treating medical expert; — an employer; — a worker or worker advocate; — a Self-Managed Employer, Exempt Employer, Claims Agent or appointed Rehabilitation Coordinator.
The holding of a case conference must be authorised by the Self-Managed Employer, Exempt Employer or Claims Agent before the case conference is convened.
Refer to the Physiotherapy Service and Fee Schedule Guidelines for further detail regarding case conferences.
CURAP	Therapeutic appliance Includes an appliance or aid for reducing the extent of a compensable disability or enabling a patient to overcome in whole or in part the effects of a compensable disability (eg TENS machine). (Note: ‘DF’ means derived fee. Each account will be considered on its merits.) Refer to the Physiotherapy Service and Fee Schedule Guidelines for further detail regarding therapeutic appliances.	DF
PT999	Non scheduled services The use of this item number requires the approval of the Self-Managed Employer, Exempt Employer or Claims Agent prior to the delivery of the service. This item number is used when the provision of services not listed on the Core or Supplementary Fee Schedule is necessary, appropriate and reasonably required. Refer to the Physiotherapy Service and Fee Schedule Guidelines for further detail regarding non-scheduled services.	$103.40 per hour

Made by the Governor

with the advice and consent of the Executive Council

on 20 May 2004

No 32 of 2004

03WKC003CS