EIPF physiotherapists
Note: While WorkSafe develops service model enhancements, all new and existing EIPF registrations will be automatically extended to 1 November 2027. Physiotherapists are not required to take any action to have their WorkSafe registration extended.
Early intervention physiotherapy framework fees effective from 1 October 2026
WorkSafe will pay up to a maximum amount for the following categories of the service.
Initial consultation
Initial consultation fee includes the time taken to complete an Allied Health Recovery Management Plan for submission to WorkSafe.
| Item number | Service description | Maximum payment rate |
|---|---|---|
EPA100 | ^Initial Consultation | $154.81 |
EPA100T | ^Telehealth - Initial Consultation | $154.81 |
EPAH100 | ^Initial Consultation (Hand Therapist) | $154.81 |
^ Initial consultation is billable once per claim, by the same provider, clinic or clinical group.
Early intervention extended consultation
A maximum of two early intervention extended consultations can be billed within the first seven months from date of injury. Prior approval from the Agent is not required.
| Item number | Service description | Maximum payment rate |
|---|---|---|
EIXTC1 | Extended Consultation (Minimum 40 minutes) | $154.81 |
EIXTC1H | Extended Consultation (Hand Therapist) (Minimum 40 minutes) | $154.81 |
EIXTC1T | Telehealth - Extended Consultation (Minimum 40 minutes) | $154.81 |
Standard consultation
| Item number | Service description | Maximum payment rate |
|---|---|---|
EPA102 | Standard Consultation < 7 months from date of injury (Minimum 20 minutes) | $96.75 |
EPA102T | Telehealth - Standard Consultation < 7 months from date of injury (Minimum 20 minutes) | $96.75 |
EPAH102 | Standard Consultation < 7 months from date of injury (Hand Therapist) (Minimum 20 minutes) | $96.75 |
EPB102 | Standard Consultation > 7 months from date of injury (Minimum 20 minutes) | $77.41 |
EPB102T | Telehealth - Standard Consultation > 7 months from date of injury (Minimum 20 minutes) | $77.41 |
EPBH102 | Standard Consultation > 7 months from date of injury (Hand Therapist) (Minimum 20 minutes) | $77.41 |
Certificate of Capacity: only payable for EIPF registered providers
This code can be billed in addition to a consultation item code only where additional time is required to complete the Certificate of Capacity. Only one certification consultation (for a subsequent certificate) can be billed within a 28-day period, unless there is a change in capacity that necessitates a new certificate. A “change in capacity” means a change in the functional tolerances and/or capabilities of the worker which will influence the hours or duties they are able to perform at work.
| Item number | Service description | Maximum payment rate |
|---|---|---|
EICERT | Certificate of Capacity | $58.06 |
EICERTT | Telehealth - Certificate of Capacity (prior approval required - refer to service guidelines for eligibility criteria) | $58.06 |
Post-operative consultation
This item can be billed for a maximum of 3 months (from first post-operative physio session) following an eligible procedure listed on the Post-operative physio eligible procedure list. Refer to service guidelines for eligibility criteria.
| Item number | Service description | Maximum payment rate |
|---|---|---|
EIP001 | Post-operative consultation (Minimum 20 minutes) | $96.75 |
EIP001T | Telehealth - Post-operative consultation (Minimum 20 minutes) | $96.75 |
EIPH001 | Post-operative Consultation (Hand Therapist) (Minimum 20 minutes) | $96.75 |
Restricted consultation: prior approval required – refer to service guides for eligibility criteria
| Item number | Service description | Maximum payment rate |
|---|---|---|
EIP105 | Restricted Consultation | $154.81 |
EIP105T | Telehealth - Restricted consultation | $154.81 |
EIPH105 | Restricted Consultation (Hand Therapist) | $154.81 |
PY106 | Restricted Consultation Application | $53.47 |
Workplace assessment : employer approval required – includes travel
| Item number | Service description | Maximum payment rate |
|---|---|---|
PY128 | Workplace Assessment and report : max 3 hours or $696.60 | $232.20 per hour |
Travel: Prior approval required - refer to the service guidelines for eligibility criteria
| Item number | Service description | Maximum payment rate |
|---|---|---|
EPA131 | Travel : Melbourne metropolitan | $2.72 per km |
EPA132 | Travel : Regional / Rural | $1.84 per km |
Aquatic physiotherapy consultation: rates are inclusive of travel
| Item number | Service description | Maximum payment rate |
|---|---|---|
PY130 | ^Aquatic Physiotherapy Initial Consultation | $142.59 |
PY132 | Aquatic Physiotherapy Standard Consultation (Minimum 20 minutes) | $71.28 |
PY133 | Aquatic Physiotherapy Long Consultation (Minimum 40 minutes) | $142.59 |
^ Initial consultation is billable once per claim, by the same provider, clinic or clinical group.
Group consultation
The session or class must be a minimum of 30 minutes, with a minimum of 1 and maximum of 6 participants. receiving constant overall supervision and intermittent individual attention to each participant from the physiotherapist.
| Item number | Service description | Maximum payment rate |
|---|---|---|
PY135 | Aquatic Physiotherapy Group Consultation | $35.66 |
PY136 | Group Consultation | $35.66 |
Return to Work Case Conference
If a RTW case conference is required, contact must be made with the Agent or occupational rehabilitation consultant to facilitate the case conference. 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.
| Item number | Service description | Maximum payment rate |
|---|---|---|
EPA109 | Return to Work Case Conference - Physiotherapy | $154.81 |
EPA109T | Telehealth - Return to Work Case Conference - Physiotherapy | $154.81 |
Other
| Item number | Service description | Maximum payment rate |
|---|---|---|
PY0035 | Orthosis (purchase): providers to use when submitting invoice for payment for orthoses provided in accordance with the Prosthetist and Orthotist services (external) policy | As approved |
Requests for Information (ie Reports/Questionnaires)
| Item number | Service description | Maximum payment rate |
|---|---|---|
INS107 | 52 MLER Questionnaire - Treating Physiotherapist - Medical & Like Entitlement Review (MLER) Questionnaire (estimated time to complete 20-40 mins) | $106.95 |
PY900 | Allied Health Recovery Management Plan (AHRMP) for 12-month treatment review | $77.41 |