Early intervention physiotherapy framework (EIPF) fee schedule

Early intervention physiotherapy framework fees effective from 1 July 2025

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

Initial consultation

Initial subjective and objective assessment and treatment of a new patient. Initial consultation fee includes the time taken to complete a Physiotherapy Management Plan for submission to the Agent/Employer/Medical Practitioner

^ Billable once per claim, by the same provider or clinic, unless there are exceptional circumstances.

Early intervention extended consultation

Maximum of two early intervention extended consultations can be billed within the first seven months from date of injury. These consultations are utilised to support RTW or a complicated recovery. Prior approval from the Agent is not required.

Standard consultation: ongoing assessment and treatment

Certificate of Capacity

Used when completing a Certificate of Capacity. This code can be billed in addition to a consultation item code if required. Please note: WorkSafe Victoria will only pay for one certificate within 28 days unless there is a change in capacity*. See guidance material on the WorkSafe website for further information.

* A ’change in capacity’ means a change in the functional tolerances and / or capabilities of the injured worker which will influence the hours or duties they are able to perform.

# Only payable for EIPF registered providers.

Post-operative consultation

This item 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. See guidance material on the WorkSafe website for eligible surgery types.

Extended consultation : prior approval required – refer to policy for eligibility criteria

Group consultation

Workplace assessment : employer approval required – includes travel

Travel: Prior approval required - refer to policy for eligibility criteria

Hydrotherapy & Group Consultation : rates are inclusive of travel for hydrotherapy consultations

Return to Work Case Conference

A RTW case conference is used to facilitate continuity of care, RTW and communication between relevant parties. If a RTW case conference is required, contact must be made with the Agent to facilitate the case conference and ensure appropriate representation from the Agent. The injured worker, Employer, and any member of the treating team can also be involved in the case conference. Administration and any follow up post RTW case conference is included in this fee.

Other

Requests for Information (ie Reports/Questionnaires)