Early intervention physiotherapy framework fees effective from 1 July 2018

WorkSafe will pay up to a maximum amount for the following categories of the service.

Initial Consultation: (> 20mins)

History, examination and treatment of a new patient. Includes PMP to employer, Agent and Medical practitioner

Item number Service description Maximum payment rate
EPA100 Initial Consultation (> 20 mins) : < 7 months from date of injury $103.71
EPB100 Initial Consultation (> 20 mins) : > 7 months from date of injury $103.71

Standard Consultation: (≥ 15mins)

Item number Service description Maximum payment rate
EPA102 Standard Consultation (≥ 15 mins) : < 7 months from date of injury $68.47
EPB102 Standard Consultation (≥ 15 mins) : > 7 months from date of injury $54.46

Certificate of Capacity

Item number Service description Maximum payment rate
EICERT Certificate of Capacity - For completion of a Certificate of Capacity; can be billed with a consultation if required $45.00

Early Intervention Extended Consultation:

Max of 2 early intervention extended consultations within the first 7 months of injury (No prior approval required.).

Item number Service description Maximum payment rate
EIXTC1 Extended Consultation (30 to 40 mins) : < 7 months from date of injury $91.28
EIXTC2 Extended Consultation (≥ 40 mins) : < 7 months from date of injury $108.92

Post-operative Consultation : (≥ 15mins)

Item number Service description Maximum payment rate
EIP001 Post-operative Consultation (≥ 15mins) : max. of 3 months treatment
- See guidance material for eligible surgery types*. Can be billed for a maximum of 3 months of treatment following surgery (from first post-op physio session). Surgery must occur within 30 months of date of injury.
$68.47

Workplace Assessment: Employer approval required – includes travel

Item number Service description Maximum payment rate
PY128 Workplace Assessment and report - (Max 3 hours or $475.29) $158.43 per hour

Extended Consultation : Prior approval required – refer to policy for eligibility criteria

Item number Service description Maximum payment rate
EPA107 Extended Consultation (31-40 mins) : < 9 months from first community treatment $91.28
EPB107 Extended Consultation (31-40 mins) : > 9 months from first community treatment $67.85
EPA108 Extended Consultation (≥ 40 mins) : < 9 months from first community treatment $114.11
EPB108 Extended Consultation (≥ 40 mins) : > 9 months from first community treatment $108.92

Travel : Prior approval required – refer to the policy for eligibility criteria. Cannot be billed where service rate includes travel

Item number Service description Maximum payment rate
EPA131 Travel - Melbourne Metropolitan $2.72 per km
EPA132 Travel - Regional / Rural $1.84 per km

Hydrotherapy and Group Consultation : Hydrotherapy rates include travel

Item number Service description Maximum payment rate
PY130 Initial Consultation
- History, examination and treatment of a new patient. Includes PMP to employer, Agent and Medical practitioner
$103.73
PY132 Standard Consultation $46.09
PY133 Long Consultation $69.81
PY135 Group Consultation
- Two or more patients
$23.82
PY135 Group Consultation (≥ 30 mins)
- Maximum of 6 patients receiving constant overall
supervision and intermittent individual attention from a physiotherapist
$23.82
PY0035 Orthosis (purchase)
- Providers to use when submitting invoice for payment for orthoses
provided in accordance with the Prostheses and orthoses Policy
As approved

GST

Maximum fees listed in this fee schedule are exclusive of GST. If GST is applicable, WorkSafe Victoria will pay the GST component in addition to the maximum fee. Providers should provide a tax invoice where amounts are subject to GST. For queries regarding whether the services you provide to an injured worker are taxable (that is, subject to GST) please contact the Australian Taxation Office and/or your tax advisor.