Physiotherapy service fees effective from 1 July 2019
WorkSafe will pay up to a maximum amount for the following categories of the service.
At practitioner's rooms
|Item number PY100||Service description Initial Consultation - New Patient - 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||Maximum payment rate $116.67|
|Item number PY102||Service description Standard Consultation - History, examination and treatment.||Maximum payment rate $58.33|
|Item number PY105||Service description Restricted Consultation - History, examination and complex treatment for workers with specific injuries based on prior approval.||Maximum payment rate $116.67|
|Item number PY106||Service description Restricted Consultation Application - Completion of Restricted Consultation Application Form.||Maximum payment rate $43.75|
|Item number PY136||Service description Group Consultation - Physiotherapist to supervise and attend planned session - A maximum of 6 patients treated in a class or group session and in receipt of constant overall supervision and intermittent individual attention to each participant in the group from the physiotherapist.||Maximum payment rate $29.17|
Travel : prior approval required – refer to the policy for eligibility criteria. Cannot be billed where service rate includes travel.
|Item number PY141||Service description Travel - Melbourne Metropolitan||Maximum payment rate $2.72 per km|
|Item number PY142||Service description Travel - Regional/Rural||Maximum payment rate $1.84 per km|
Hydrotherapy & Group Consultation : rates are inclusive of travel for hydrotherapy consultations
|Item number PY130||Service description Initial Consultation||Maximum payment rate $116.67|
|Item number PY132||Service description Standard Consultation||Maximum payment rate $58.33|
|Item number PY133||Service description Long Consultation||Maximum payment rate $116.67|
|Item number PY135||Service description Group Consultation - minimum of two to a maximum of six patients||Maximum payment rate $29.17|
Return to Work Case Conference
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.
|Item number PY600||Service description Return to Work Case Conference - Physiotherapy||Maximum payment rate $116.67|
|Item number PY0035||Service description Orthosis (purchase) : providers to use when submitting invoice for payment for orthoses provided in accordance with the External Prostheses and Orthoses Policy.||Maximum payment rate As approved|
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.