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 Service description Maximum payment rate
PY100 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
$116.67
PY102 Standard Consultation
- History, examination and treatment.
$58.33
PY105 Restricted Consultation
- History, examination and complex treatment for workers with specific injuries based on prior approval.
$116.67
PY106 Restricted Consultation Application
- Completion of Restricted Consultation Application Form.
$43.75
PY136 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.
$29.17

Travel : prior approval required – refer to the policy for eligibility criteria. Cannot be billed where service rate includes travel.

Item number Service description Maximum payment rate
PY141 Travel - Melbourne Metropolitan $2.72 per km
PY142 Travel - Regional/Rural $1.84 per km

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

Item number Service description Maximum payment rate
PY130 Initial Consultation $116.67
PY132 Standard Consultation $58.33
PY133 Long Consultation $116.67
PY135 Group Consultation - minimum of two to a maximum of six patients $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 Service description Maximum payment rate
PY600 Return to Work Case Conference - Physiotherapy $116.67

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 External Prostheses and Orthoses Policy. As approved

GST

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.

Download current and past fee schedules