Orthoptic services fees

Effective 1 July 2023

Orthoptic services can be invoiced online via HICAPS Digital Claims for next business day payments.

For Orthoptic services provided on or after 1 July 2023
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $67.87
Standard Consultation TH0042 $54.37
Out of Rooms
Initial Consultation TH0041 $94.74
Standard Consultation TH0043 $81.36
For Orthoptic services provided between 1 July 2022 and 30 June 2023
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $62.85
Standard Consultation TH0042 $50.35
Out of Rooms
Initial Consultation TH0041 $87.73
Standard Consultation TH0043 $75.34
For Orthoptic services provided on or after 1 July 2023
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $67.87
Standard Consultation TH0042 $54.37
Out of Rooms
Initial Consultation TH0041 $94.74
Standard Consultation TH0043 $81.36
For Orthoptic services provided between 1 July 2022 and 30 June 2023
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $62.85
Standard Consultation TH0042 $50.35
Out of Rooms
Initial Consultation TH0041 $87.73
Standard Consultation TH0043 $75.34

Fees for orthoptic services performed within a public hospital will be based on the Department of Human Services schedule of fees and charges for acute health services in Victoria.
Refer to www.health.vic.gov.au/feesman

This Payment Limit relates to the following services