Orthoptic services fees

Effective 1 July 2026

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

For Orthoptic services provided on or after 1 July 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $74.51
Standard Consultation TH0042 $59.68
Out of Rooms
Initial Consultation TH0041 $104.00
Standard Consultation TH0043 $89.31
For Orthoptic services provided between 1 July 2025 and 30 June 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $72.22
Standard Consultation TH0042 $57.85
Out of Rooms
Initial Consultation TH0041 $100.81
Standard Consultation TH0043 $86.57
For Orthoptic services provided on or after 1 July 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $74.51
Standard Consultation TH0042 $59.68
Out of Rooms
Initial Consultation TH0041 $104.00
Standard Consultation TH0043 $89.31
For Orthoptic services provided between 1 July 2025 and 30 June 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
In Rooms
Initial Consultation TH0040 $72.22
Standard Consultation TH0042 $57.85
Out of Rooms
Initial Consultation TH0041 $100.81
Standard Consultation TH0043 $86.57

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