Independent medical examinations - Medical practitioners fee schedule

View current and past independent medical examinations - Medical practitioners fee schedules.

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Independent medical examinations – Medical practitioner service fees effective from 1 July 2022

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

General Practitioner

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
fee
(Click to clear sorting)
GST
(Click to clear sorting)
Total (inc GST)
(Click to clear sorting)

GPO100

First Examination and Report
- Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services)
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with WorkSafe policies, the relevant Medical Benefit Schedule item code and WorkSafe's Reimbursement Rates for Medical Practitioners.

$443.20

$44.32

$487.52

GPO150

Subsequent Examination and Report
- Applies where a WorkSafe Agent requests a report within 12 months of the first examination and report for the same claim

$265.98

$26.60

$292.58

Loadings additional to examination and report fee are subject to prior written approval from the WorkSafe Agent.

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
fee
(Click to clear sorting)
GST
(Click to clear sorting)
Total (inc GST)
(Click to clear sorting)

GPO200

Report reading
- Flat rate for reading of all reports that accumulatively are greater than 20 pages.
- This fee is payable once only per claim per WorkSafe Agent report request.

$53.47

$5.35

$58.82

GPO250

Urgent Examination and Report
- Urgent request by a WorkSafe Agent to complete initial or subsequent exam and provide the report to the Agent within two business days.

$58.12

$5.81

$63.93

GPO300

Worksite visit
- Request by a WorkSafe Agent to complete a worksite visit and provide a report to the Agent
- Inclusive of worksite visit, report writing, reading time and any incidentals

$684.49

$68.45

$752.94

GPO350

Travel to and from assessment (at Agent's request) per hour
- Calculated in 15 minutes blocks
- Travel only paid when travelling to a location other than IMEs nominated practice location/s
- Travel for multiple assessments in the one location should be charged on a pro-rata basis for each claim

$347.70

$34.77

$382.47

GPO400

Audiovisual Viewing
- Flat rate for the viewing of all audiovisual material
- This fee is payable once only per claim per WorkSafe Agent report request

$173.99

$17.40

$191.39

GPO450

Supplementary report
- Applies where a WorkSafe Agent provides information additional to that initially provided or to answer additional questions not initially asked and the IME has previously examined an injured worker in the past 12 months.
- An IME is not required to conduct a re-examination (or re-contact) the injured worker in order to provide the additional information.

$123.11

$12.31

$135.42

GPO500

Interim report
- Request by a WorkSafe Agent to provide information prior to receiving the IME final written report
- The advice from the IME may be provided verbally (i.e. by telephone) or in writing (i.e. fax).

$29.13

$2.91

$32.04

GPO550

Non-attendance on day of appointment
- Non-attendance fee is applicable where an IME appointment is cancelled by the WorkSafe Agent on the day of the appointment or where the injured worker does not attend

$173.99

$17.40

$191.39

IEO100

Assessment of Impairment as requested by Agent using AMA2Guide**

$121.29

$12.13

$133.42

Specialist

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
fee
(Click to clear sorting)
GST
(Click to clear sorting)
Total (inc GST)
(Click to clear sorting)

SPO100

First Examination and Report
- Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with WorkSafe policies, the relevant Medicare Benefit Schedule item code and the WorkSafe's Reimbursement Rates for Medical Practitioners.

$670.21

$67.02

$737.23

SPO120

Work Capacity (130 Week Assessment ) First Examination and Report
- Inclusive of conducting the examination, report writing, reading time (up to 20 pages) and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with WorkSafe policies, the relevant Medicare Benefit Schedule item code and the WorkSafe's Reimbursement Rates for Medical Practitioners.
- Only payable for Agent referred WORK CAPACITY - 130 WEEK assessments where additional time is required to assess the worker and provide a comprehensive opinion on work capacity and suitable employment.

$928.06

$92.81

$1,020.87

SPO150

Subsequent Examination and Report
- Applies where a WorkSafe Agent requests a report within 12 months of the first examination and report for the same claim

$402.17

$40.22

$442.39

Loadings additional to examination and report fee are subject to prior written approval from the WorkSafe Agent.

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
fee
(Click to clear sorting)
GST
(Click to clear sorting)
Total (inc GST)
(Click to clear sorting)

IEO200

Assessment of Impairment as requested by Agent using AMA2Guide**

$180.85

$18.09

$198.94

SPO200

Report reading
- Flat rate for reading of all reports that accumulatively are greater than 20 pages
- This fee is payable once only per claim per WorkSafe Agent report request

$53.39

$5.34

$58.73

SPO201

Report reading
- Flat rate for reading of all reports 101 - 200 pages
- This fee is payable once only per claim per WorkSafe Agent report request

$133.46

$13.35

$146.81

SPO202

Report reading
- Flat rate for reading of all reports 201+ pages
- This fee is payable once only per claim per WorkSafe Agent report request

$222.43

$22.24

$244.67

SPO250

Urgent Examination and Report
- Urgent request by a WorkSafe Agent to complete initial or subsequent exam and provide the report to the Agent within two business days.

$84.52

$8.45

$92.97

SPO300

Worksite visit
- Request by a WorkSafe Agent to complete a worksite visit and provide a report to the Agent.
- Inclusive of work site visit, report writing, reading time and any incidentals.

$975.04

$97.50

$1,072.54

SPO350

Travel to and from assessment (at Agent's request) per hour
- Calculated in 15 minutes blocks
- Travel only paid when travelling to a location other than IMEs nominated practice location/s
- Travel for multiple assessments in the one location should be charged on a pro-rata basis for each claim

$506.21

$50.62

$556.83

SPO400

Audiovisual Viewing
- Flat rate for the viewing of all audiovisual material
- This fee is payable once only per claim per WorkSafe Agent report request

$253.19

$25.32

$278.51

SPO450

Supplementary report
- Applies where a WorkSafe Agent provides information additional to that initially provided or to answer additional questions not initially asked and the IME has previously examined an injured worker in the past 12 months.
- An IME is not required to conduct a re-examination (or re-contact) the injured worker in order to provide the additional information.

$190.45

$19.05

$209.50

SPO500

Interim report
- Request by a WorkSafe Agent to provide information prior to receiving the IME final written report
- The advice from the IME may be provided verbally ( i.e. by telephone) or in writing (i.e. fax)

$42.28

$4.23

$46.51

SPO550

Non-attendance on day of appointment
- Non-attendance fee is applicable where an IME appointment is cancelled by the WorkSafe Agent on the day of the appointment or where the injured worker does not attend.

$253.19

$25.32

$278.51

SPO551

Cancellation (Specialist Consultation) by Agent within 48 hours of appointment

$126.60

$12.66

$139.26

Psychiatrist

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
fee
(Click to clear sorting)
GST
(Click to clear sorting)
Total (inc GST)
(Click to clear sorting)

PCT100

First Examination and Report
- Inclusive of conducting the examination, report writing, reading time and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with WorkSafe policies, the relevant Medicare Benefit Schedule item code and the WorkSafe's Reimbursement Rates for Medical Practitioners.

$1,214.43

$121.44

$1,335.87

PCT120

Work Capacity (130 Week Assessment ) First Examination and Report
- Inclusive of conducting the examination, report writing, reading time (up to 20 pages) and any incidentals (such as postage, photography and faxing services).
- Diagnostic tests (such as x-rays) carried out as a necessary part of the examination are not included in the first examination and report item code and will be reimbursed in accordance with WorkSafe policies, the relevant Medicare Benefit Schedule item code and the WorkSafe's Reimbursement Rates for Medical Practitioners.
- Only payable for Agent referred WORK CAPACITY - 130 WEEK assessments where additional time is required to assess the worker and provide a comprehensive opinion on work capacity and suitable employment.

$1,480.05

$148.01

$1,628.06

PCT150

Subsequent Examination and Report
- Applies where a WorkSafe Agent requests a report within 12 months of the first examination and report for the same claim

$728.64

$72.86

$801.50

Loadings additional to examination and report fee are subject to prior written approval from the WorkSafe Agent.

Item number
(Click to sort descending)
Service description
(Click to clear sorting)
fee
(Click to clear sorting)
GST
(Click to clear sorting)
Total (inc GST)
(Click to clear sorting)

IEO400

Assessment of Impairment as requested by Agent using AMA2Guide**

$226.05

$22.61

$248.66

PCT200

Report reading
- Flat rate for reading of all reports 20 - 100 pages
- This fee is payable once only per claim per WorkSafe Agent report request

$53.39

$5.34

$58.73

PCT201

Report reading
- Flat rate for reading of all reports 101 - 200 pages
- This fee is payable once only per claim per WorkSafe Agent report request

$133.46

$13.35

$146.81

PCT202

Report reading
- Flat rate for reading of all reports 201+ pages
- This fee is payable once only per claim per WorkSafe Agent report request

$222.43

$22.24

$244.67

PCT250

Urgent Examination and Report
- Urgent request by a WorkSafe Agent to complete initial or subsequent exam and provide the report to the Agent within two business days.

$137.22

$13.72

$150.94

PCT300

Worksite visit
- Request by a WorkSafe Agent to complete a worksite visit and provide a report to the Agent.
- Inclusive of work site visit, report writing, reading time and any incidentals.

$1,189.15

$118.92

$1,308.07

PCT350

Travel to and from assessment (at Agent’s request) per hour
- Calculated in 15 minutes blocks
- Travel only paid when travelling to a location other than IMEs nominated practice location/s
- Travel for multiple assessments in the one location should be charged on a pro-rata basis for each claim

$493.35

$49.34

$542.69

PCT400

Audiovisual Viewing
- Flat rate for the viewing of all audiovisual material
- This fee is payable once only per claim per WorkSafe Agent report request

$308.38

$30.84

$339.22

PCT450

Supplementary report
- Applies where a WorkSafe Agent provides information additional to that initially provided or to answer additional questions not initially asked and the IME has previously examined an injured worker in the past 12 months
- An IME is not required to conduct a re-examination (or re-contact) the injured worker in order to provide the additional information.

$394.78

$39.48

$434.26

PCT500

Interim report
- Request by a WorkSafe Agent to provide information prior to receiving the IME final written report
- The advice from the IME may be provided verbally ( i.e. by telephone) or in writing (i.e. fax)

$82.37

$8.24

$90.61

PCT550

Non-attendance on day of appointment
- Non-attendance fee is applicable where an IME appointment is cancelled by the WorkSafe Agent on the day of the appointment or where the injured worker does not attend.

$411.25

$41.13

$452.38

PCT551

Cancellation (Psychiatrist Consultation) by Agent within 48 hours of appointment

$205.62

$20.56

$226.18

** This service is only paid when requested to be performed under special circumstances by the WorkSafe Agent or Self-insurer.

Download current and past fee schedules

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