Prosthetist and orthotist service fees effective from 1 July 2018
WorkSafe will pay up to a maximum amount for the following categories of the service.
|Item number||Service description||Maximum pay rate|
|PR602||Standard Consultation (up to 30 minutes)||$47.51|
|PR604||Long Consultation (31 to 45 minutes)||$71.00|
|PR606||Prolonged Consultation (46 to 60 minutes||$94.88|
|PR618||Prosthetic Management Review Form
- Lower extremity or upper extremity(total cost for completion of Form)
|PR608||Time to manufacture
(Greater than 1 hour should be charged pro-rata at hourly rate)
|$103.08 per hour|
|Purchase of Standard Products / Equipment
Standard products require the prior approval of WorkSafe and are payable at cost. Details of the products must be included on the invoice for payment)
|PR610||Minor Repair (Prosthesis)
- Total cost of consumables, materials, consultation and manufacturing time.(Minor repairs are any repairs up to $250)
|PR614||Major Repair (Prosthesis)
- Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers (Major repairs are any repairs above $250 inclusive of consumables)
|PR612||New prostheses or change of prescription
- Total cost of consumables and materials only. Consultation and/ormanufacturing time to be billed separately under corresponding item numbers
- Providers to use when submitting invoice for payment for orthotic equipment, aids & appliances. Not to be used for clinical or manufacturing services - use of PR codes to be used for these service types
Fees for prosthetist and orthotist services including equipment, provided within a public hospital will be based on the Department of Health schedule of fees and charges for acute health services in Victoria. Refer to www.health.vic.gov.au/feesman.
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.