Independent medical examinations – Worksite visit program fee schedule
View current and past independent medical examinations (IME) - Worksite visit program fee schedules.
WorkSafe item codes for independent medical examiner telehealth now available.
IME – Worksite visit program fees effective from 1 June 2024
WorkSafe will pay up to a maximum amount for the following categories of service.
General Practitioner
Item number | Service description | fee | GST | Total (inc GST) |
|---|---|---|---|---|
GPO100 | Examination & report: Inclusive of reading time (up to 200 pages), conducting the examination, report writing 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 examination and report item code and will be reimbursed in accordance with WorkSafe policies, the relevant Medicare Benefit Schedule item code and WorkSafe's Reimbursement Rates for Medical Practitioners. | $1,100.00 | $110.00 | $1,210.00 |
GPO300 | Worksite visit (can be used in conjunction with examination and report code GPO100): Request by WorkSafe agent to complete a worksite visit and provide a report to the WorkSafe Agent. Inclusive of reading time (up to 200 pages), worksite visit, report writing and any incidentals. | $1,100.00 | $110.00 | $1,210.00 |
GPO150 | Subsequent examination & report: Applies where a WorkSafe Agent requests an additional examination and report by the same IME within 12 months of a previous examination and report for the same claim. | $660.00 | $66.00 | $726.00 |
Loadings additional to examination and report fee are subject to prior written approval from the WorkSafe Agent.
Item number | Service description | fee | GST | Total (inc GST) |
|---|---|---|---|---|
GPO250 | Urgent Examination and Report - Applies when a WorkSafe Agent has requested IME to complete any type of exam and provide the report to the WorkSafe Agent within 2 business days. The WorkSafe Agent and IME must agree to the expedited time frame prior to accepting the referral. | $165.00 | $16.50 | $181.50 |
GPO310 | IME Call to THP post worksite visit Applies when a phone call to the injured workers THP is required to discuss their current work capacity and worksite options which are to be integrated into a RTW plan. | $180.36 | $18.04 | $198.40 |
GPO350 | Travel to/from assessment (at Agent's request) per hour: Calculated in 15 minute blocks. Travel only paid when travelling to a location other than IIA's registered practice location/s. Travel for multiple assessments in the one location should be charged on a pro-rata basis across each claim. | $360.71 | $36.07 | $396.78 |
GPO400 | Audio visual viewing: Flat rate for the viewing of all audio-visual material. This fee is payable once only per claim per WorkSafe Agent report request. | $220.00 | $22.00 | $242.00 |
GPO450 | Supplementary report: The IME must have examined the injured worker within the last 6 months. An IME is not required to conduct a re-examination (or re-contact) the injured worker in order to provide the additional information. | $220.00 | $22.00 | $242.00 |
GPO500 | Interim report: Applies when there is a request by a WorkSafe agent to provide information prior to receiving the final IME written report. The advice from the IME may be provided verbally or in writing. | $77.00 | $7.70 | $84.70 |
GPO140 | Report reading 201+ pages: Flat fee payable once only per WorkSafe Agent report for any pre-reading above the included 200 pages. | $180.36 | $18.04 | $198.40 |
GPO141 | Interpreter loading: Applies where a qualified interpreter is required in order to conduct the assessment and additional examination time is required (not applicable for support persons). The interpreter must have been pre-booked by the Agent. | $180.36 | $18.04 | $198.40 |
GPO550 | Non-attendance on day of appointment: Applies where an IME appointment is cancelled by the WorkSafe Agent on the day of appointment or where the injured worker does not attend. | $385.00 | $38.50 | $423.50 |
GPO551 | Cancellation by agent within two business days of appointment: Applies where an IME appointment is cancelled by the WorkSafe Agent within 2 business days of the scheduled appointment. | $220.00 | $22.00 | $242.00 |
Specialist
Item number | Service description | fee | GST | Total (inc GST) |
|---|---|---|---|---|
SPO100 | Examination & report: Inclusive of reading time (up to 200 pages), conducting the examination, report writing 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 examination and report item code and will be reimbursed in accordance with WorkSafe policies, the relevant Medicare Benefit Schedule item code and WorkSafe's Reimbursement Rates for Medical Practitioners. | $1,800.00 | $180.00 | $1,980.00 |
SPO300 | Worksite visit (can be used in conjunction with examination and report code SPO100): Request by WorkSafe agent to complete a worksite visit and provide a report to the WorkSafe Agent. Inclusive of reading time (up to 200 pages), worksite visit, report writing and any incidentals. | $1,800.00 | $180.00 | $1,980.00 |
SPO150 | Subsequent examination & report: Applies where a WorkSafe Agent requests an additional examination and report by the same IME within 12 months of a previous examination and report for the same claim. | $1,080.00 | $108.00 | $1,188.00 |
Loadings additional to examination and report fee are subject to prior written approval from the WorkSafe Agent.
Item number | Service description | fee | GST | Total (inc GST) |
|---|---|---|---|---|
SPO250 | Urgent Examination and Report - Applies when a WorkSafe Agent has requested IME to complete any type of exam and provide the report to the WorkSafe Agent within 2 business days. The WorkSafe Agent and IME must agree to the expedited time frame prior to accepting the referral. | $270.00 | $27.00 | $297.00 |
SPO310 | IME Call to THP post worksite visit Applies when a phone call to the injured workers THP is required to discuss their current work capacity and worksite options which are to be integrated into a RTW plan. | $262.59 | $26.26 | $288.85 |
SPO350 | Travel to/from assessment (at Agent’s request) per hour: Calculated in 15 minute blocks. Travel only paid when travelling to a location other than IIA's registered practice location/s. Travel for multiple assessments in the one location should be charged on a pro-rata basis across each claim. | $525.15 | $52.52 | $577.67 |
SPO400 | Audio visual viewing: Flat rate for the viewing of all audio-visual material. This fee is payable once only per claim per WorkSafe Agent report request. | $360.00 | $36.00 | $396.00 |
SPO450 | Supplementary report: The IME must have examined the injured worker within the last 6 months. An IME is not required to conduct a re-examination (or re-contact) the injured worker in order to provide the additional information. | $360.00 | $36.00 | $396.00 |
SPO500 | Interim report: Applies when there is a request by a WorkSafe agent to provide information prior to receiving the final IME written report. The advice from the IME may be provided verbally or in writing. | $126.00 | $12.60 | $138.60 |
SPO140 | Report reading 201+ pages: Flat fee payable once only per WorkSafe Agent report for any pre-reading above the included 200 pages. | $262.58 | $26.26 | $288.84 |
SPO141 | Interpreter loading: Applies where a qualified interpreter is required in order to conduct the assessment and additional examination time is required (not applicable for support persons). The interpreter must have been pre-booked by the Agent. | $262.58 | $26.26 | $288.84 |
SPO550 | Non-attendance on day of appointment: Applies where an IME appointment is cancelled by the WorkSafe Agent on the day of appointment or where the injured worker does not attend. | $630.00 | $63.00 | $693.00 |
SPO551 | Cancellation by agent within two business days of appointment: Applies where an IME appointment is cancelled by the WorkSafe Agent within 2 business days of the scheduled appointment. | $360.00 | $36.00 | $396.00 |