Physiotherapy Services (Private)

Effective 1 July 2017

Registered for GSTNot Registered for GST
Service DescriptionTAC Item Number2017/18 Maximum Payment Rate2016/17 Maximum Payment RateTAC Item Number2017/18 Maximum Payment Rate2016/17 Maximum Payment Rate
In Rooms
Initial ConsultationPY600R$70.02$68.99   
Standard ConsultationPY602R$53.35$52.57   
Consultation, with Treatment Notification Plan (TNP)PY604R$70.02$68.99   
Out of Rooms (the fees for these items include travel) 
Initial ConsultationPY600H$99.94$98.48   
Standard ConsultationPY602H$79.96$78.79   
Consultation, with Treatment Notification Plan (TNP)PY604H$99.94$98.48   
Worksite / Home /Equipment Inspection and Report#PY620H*#$117.28$115.57PY620F^$106.63$105.07
Physiotherapy Management Review (PMR)
Completion of PMR (on request of TAC Physiotherapy Consultant)PY630R*$58.74$57.88PY630F$53.38$52.60
#Billed as an hourly rate inclusive of travel
Group (e.g. Pilates)
Two or more patients treated in a class or group session and receive constant overall supervision and intermittent attention for up to 30 minutes at a timePY602G$32.38$31.91   
Hydrotherapy (includes pool hire and entrance fees)
IndividualPH602R$53.35$52.57   
Group (Two or more patients treated in a class or group session and receive constant overall supervision and intermittent attention for up to 30 minutes at a time)PH602G$32.38$31.91   
Attendance at TAC Team Meeting (the fee for this item includes travel)
Attendance by treating physiotherapist at meeting where patient is present, where requested by TAC#PY625H*#$117.28$115.57   
Extended Consultations
Specific Criteria apply and pre-approval by the TAC required.  Refer to the TAC Physiotherapy policy regarding criteria for extended consultations: "Can the TAC fund extended physiotherapy consultations?" For Complex and Multi-site Orthopaedic (CMSO) Injuries, refer also to CMSO criteria
In Rooms
Between 31 and 40 minutes of direct patient contact timePY614R$66.74$65.77   
Greater than 40 minutes of direct patient contact timePY616R$106.60$105.05   
Out of Rooms (the fees for these items include travel)
Between 31 and 40 minutes of direct patient contact timePY614H$99.94$98.48   
Greater than 40 minutes of direct patient contact timePY616H$159.67$157.34   
Travel as a separate fee/item
Specific Criteria apply and pre-approval by the TAC required.  Refer to the TAC Physiotherapy policy:  "Can the TAC fund physiotherapists to travel as a separate fee/item?" 
For rural and regional travel of greater than 30 minutes (by prior approval from the TAC)^PY650#$106.43$104.88   

# Billed as an hourly rate inclusive of travel

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.