Effective 1 July 2017
| Service Description | TAC Item Number | 2017/18 Maximum Payment Rate | 2016/17 Maximum Payment Rate |
|---|---|---|---|
| Initial Consultation: History, examination and treatment of new patient | |||
| Initial Consultation: < 7 months from date of injury | EPA100 | $101.50 | $100.02 |
| Initial Consultation: > 7 months from date of injury | EPB100 | $70.02 | $69.00 |
Standard Consultation | |||
| Standard Consultation: < 7 months from date of injury | EPA102 | $67.01 | $66.03 |
| Standard Consultation: > 7 months from date of injury | EPB102 | $53.35 | $52.57 |
| Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury. | |||
| Post-operative Consultation: max. 3 months of treatment | EIP001 | $67.01 | $66.03 |
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria | |||
| Extended Consultation (31-40 mins) : < 9 months from first community treatment | EPA107 | $89.33 | $88.03 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment | EPB107 | $66.74 | $65.77 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment | EPA108 | $111.68 | $110.05 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment | EPB108 | $106.60 | $105.05 |
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel | |||
| Melbourne Metropolitan | EPA131 | $2.72 per km | $2.72 per km |
| Regional / Rural | EPA132 | $1.84 per km | $1.84 per km |
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel | |||
| Individual Hydrotherapy Consultation | PH602R | $53.35 | $52.57 |
| Group Hydrotherapy Consultation: Two or more patients | PH602G | $32.38 | $31.91 |
| Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist | PY602G | $32.38 | $31.91 |
Assessment & review: Assessment and reviews include travel | |||
| Workplace Assessment and report | WPA101 | $155.05 per hour (max $465.15) | $152.79 per hour (max $458.37) |
| Home/Equipment Inspection & Report | PY620H | $117.28 | $115.57 |
| Completion of Physiotherapy Management Review ( at TAC request ) | PY630R | $58.74 | $57.88 |
| Attendance at TAC Team Meeting ( at TAC request) | PY625H | $117.28 | $115.57 |
GST
*The TAC maximum fee includes a 10% allowance for GST for items which TAC believes are taxable supplies. If you are a provider not registered for GST:
- You are not legally permitted to charge GST
- You should indicate on all invoices submitted your status as 'not registered for GST purposes'
- The TAC will only reimburse you an amount which excludes the GST component for items billed where the maximum fee includes a 10% allowance for GST
If you are not registered for GST please state on all invoices the TAC item number listed for providers not registered.