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.

Item number Service description Maximum payment rate
Initial Consultation: ( > 20mins)
- History, examination and treatment of a new patient. Includes PMP to employer, Agent and Medical practitioner
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)
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
Post-operative Consultation : ( ≥15mins)
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
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
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
EPA131 Travel - Melbourne Metropolitan $2.72 per km
EPA132 Travel - Regional / Rural $1.84 per km
Hydrotherapy and Group Consultation : Hydrotherapy rates include travel
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.