Early Intervention Physiotherapy Framework fees

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Effective 1 July 2021

The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.

For EIPF physiotherapy services provided or or after 1 July 2021
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury EPA100 $109.35
Initial Consultation: < 7 months from date of injury (Telehealth) EPA100T $109.35  
Initial Consultation: > 7 months from date of injury EPB100 $75.43
Initial Consultation: > 7 months from date of injury (Telehealth) EPB100T $75.43

Standard Consultation
 
Standard Consultation: < 7 months from date of injury EPA102 $72.18
Standard Consultation: < 7 months from date of injury (Telehealth) EPA102T $72.18
Standard Consultation: > 7 months from date of injury EPB102 $57.48
Standard Consultation: > 7 months from date of injury (Telehealth) EPB102T $57.48
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 $72.18

Extended Consultation:
Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment EPA107 $96.24
Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth) EPA107T $96.24
Extended Consultation (31-40 mins) : > 9 months from first community treatment EPB107 $71.90
Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth) EPB107T $71.90
Extended Consultation (+40 mins) : < 9 months from first community treatment EPA108 $120.31
Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth) EPA108T $120.31
Extended Consultation (+40 mins) : > 9 months from first community treatment EPB108 $114.84
Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth) EPB108T $114.84

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
Regional / Rural EPA132 $1.84 per km

Hydrotherapy & Group Consultations:
Hydrotherapy rates include travel
Individual Hydrotherapy Consultation PH602R $57.48
Group Hydrotherapy Consultation: Two or more patients PH602G $34.88
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist PY602G $34.88

Assessment & review:
Assessment and reviews include travel
Workplace Assessment and report WPA101 $167.04 per hour (max $501.12)
Workplace Assessment and report (Telehealth) WPA101T $167.04 per hour (max $501.12)
Home/Equipment Inspection & Report PY620H $126.35
Completion of Allied Health Treatment and Recovery Plan  (at TAC request) PY630R $70.64
Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC # PY625H $126.35

# Billed as an hourly rate inclusive of travel

For EIPF physiotherapy services provided between 1 July 2020 and 30 June 2021
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury EPA100 $107.97
Initial Consultation: < 7 months from date of injury (Telehealth) EPA100T $107.97
Initial Consultation: > 7 months from date of injury EPB100 $74.48
Initial Consultation: > 7 months from date of injury (Telehealth) EPB100T $74.48

Standard Consultation
 
Standard Consultation: < 7 months from date of injury EPA102 $71.27
Standard Consultation: < 7 months from date of injury (Telehealth) EPA102T $71.27
Standard Consultation: > 7 months from date of injury EPB102 $56.75
Standard Consultation: > 7 months from date of injury (Telehealth) EPB102T $56.75
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 $71.27

Extended Consultation:
Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment EPA107 $95.02
Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth) EPA107T $95.02
Extended Consultation (31-40 mins) : > 9 months from first community treatment EPB107 $70.99
Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth) EPB107T $70.99
Extended Consultation (+40 mins) : < 9 months from first community treatment EPA108 $118.79
Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth) EPA108T $118.79
Extended Consultation (+40 mins) : > 9 months from first community treatment EPB108 $113.39
Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth) EPB108T $113.9

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
Regional / Rural EPA132 $1.84 per km

Hydrotherapy & Group Consultations:
Hydrotherapy rates include travel
Individual Hydrotherapy Consultation PH602R $56.75
Group Hydrotherapy Consultation: Two or more patients PH602G $34.44
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist PY602G $34.44

Assessment & review:
Assessment and reviews include travel
Workplace Assessment and report WPA101 $164.93 per hour (max $494.79)
Workplace Assessment and report (Telehealth) WPA101T $164.93 per hour (max $494.79)
Home/Equipment Inspection & Report PY620H $124.75
Completion of Allied Health Treatment and Recovery Plan  (at TAC request) PY630R $69.75
Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC # PY625H $124.75

# Billed as an hourly rate inclusive of travel