Prosthetic and orthotic fees

Changes to the TAC prosthetic and orthotic fee schedule

On 1 December 2026, we are updating the TAC prosthetic and orthotic fee schedule and increasing published fees by up to 76%.

These updates recognise the critical role prosthetists and orthotists play in the recovery and rehabilitation of TAC clients. They also aim to improve access to treatment and help reduce client gap payments.

The new TAC prosthetic and orthotic fee schedule should be used for services delivered on and after 1 December 2026. Please use the 1/7/2026 - 30/12/2026 fee schedule for services delivered prior to this date.

The updated fee schedule will:

  • include new service and item number for attendance at a TAC meeting where the client is present.
  • include a new service and item number for completion of prosthetics treatment request form.
  • include a new service and item number for completion of an orthotic device request form.
  • consolidate the existing long and prolonged consultation item numbers into a single hourly service item.
  • include a new service and item number for travel in recognition of our commitment to road safety.
  • include clear item number descriptors for clarity and to support accurate billing.
  • align fees to reasonable market rates.

Information about the new items can be found in the prosthetist and orthotist policy on our website.

Existing item numbers within the current fee schedule will be retained. Please continue to use these same numbers with updated rates. New item numbers have been added for new services.

What providers need to do

Please update your billing systems to reflect the new item numbers and rates.

These item numbers and rates must be used for all services delivered to TAC clients on and after 1 December 2026. The easiest way to do this is via the HICAPS digital platform, which has been updated to reflect the new fee schedule.

Services delivered prior to 1 December 2026 can still be manually billed for up to two years.

More information about invoicing the TAC is available on our website.

There are no changes to the TAC service approval process, and this change does not impact any other TAC services or benefits.

How to ask questions

We’re here to help. If you have questions about the new fee schedule, please contact sectors@tac.vic.gov.au 

Effective 1 December 2026

Future fees

For prosthetic and orthotic services provided on or after 1 December 2026

Service Description and Requirements

GST*

TAC Item Number

Maximum Payment Rate

Initial Consultation

Initial Consultation

 

PR600

$134.11

Initial Consultation via Telehealth

 

PR600T

$134.11

The session duration must represent reasonable and appropriate clinical practice.

  • Assessment of a new client or a new episode of care for an existing client.
  • Initial management, treatment and advice including a comprehensive history, clinical and biomechanical assessment.
  • Expectation setting that treatment will be provided in line with the Clinical Framework for the Delivery of Health   Services.
  • Goal setting and treatment planning if appropriate at assessment.
  • Screening for barriers to recovery.

Standard Consultation

Standard Consultation

 

PR602

$100.07

Standard Consultation via Telehealth

 

PR602T

$100.07

The session duration must represent reasonable and appropriate clinical practice

  • Further assessment as required
  • Management, treatment or advice including:
  • Goal setting and treatment planning
  • Response to previous treatment and self-management strategies
  • Monitoring of progress towards goals and adaptation of treatment when goals are not being met
  • Monitoring barriers to recovery and acting on these when goals are not met

Extended Consultation

Extended Consultation

 

PR606

$200.14

Extended Consultation via Telehealth

 

PR606T

$200.14

As approved - Maximum payment rate is per hour, to be billed in 15-minute increments with an expected duration of up to 1 hour.

  • For assessment and treatment that cannot be adequately addressed in a standard consultation.

Travel for consultations

Travel – in association with Initial, Standard or extended consultations

 

PR607

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments.

  • Provider travel will only be considered when the client is medically unfit to travel or where treatment in the client’s functional environment is clinically justified.

Attendance at a TAC Team Meeting

Attendance at a TAC team meeting – Providers registered for GST

*

PR613

$220.15

Attendance at a TAC team meeting – Providers not registered for GST

 

PR615

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments.

  • Meeting attendance, at the request of the TAC where the TAC client is present.

Travel for attendance at TAC team meeting

Travel – Team meeting – Providers registered for GST

*

PR616

$220.15

Travel – Team meeting – Providers not registered for GST

PR617

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments.

Manufacture

Manufacturing time

 

PR608

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments

Repairs and Purchase of Standard Products / Equipment

Standard products require the prior approval of the TAC and are payable at cost. Details of the products must be included on the invoice for payment.

Orthosis (purchase)

 

EQ0035

As approved

Providers to use when submitting invoice for payment for orthotic equipment, aids and appliances.

Not to be used for clinical or manufacturing services – use of PR codes to be used for these service types.

Minor repairs (Prosthesis)

 

PR610

As approved

Total cost of consumables, materials, consultation and manufacturing time. Minor repairs are any repairs up to $250.

As approved, in writing via letter or email.

Major Repair (Prosthesis)

 

PR614

As approved

Total cost of consumables and materials only.

Consultation and/or manufacturing time to be billed separately under corresponding item numbers. Major repairs are any repairs above $250 inclusive of consumables.

New prostheses or change of prescription

 

PR612

As approved

Total cost of consumables and materials only.

Consultation and/or manufacturing time to be billed separately under corresponding item numbers.

Completion of Request Forms

Prosthetic Management Review Form - lower extremity or upper extremity.  (Providers registered for GST)

*

PR618

$67.19

Prosthetic Management Review Form - lower extremity or upper extremity.  (Providers not registered for GST)

 

PR619

$61.08

Prosthetic treatment request form (Providers registered for GST)

*

PR620

$85.87

Prosthetic treatment request form (Providers not registered for GST)

 

PR621

$78.06

Orthotic device request form (Providers registered for GST)

*

PR622

$85.87

Orthotic device request form (Providers not registered for GST)

 

PR623

$78.06

Completion and submission of above mentioned forms as outlined in the Orthotic and Prosthetic Policy

From 1/12/2026

For prosthetic and orthotic services provided on or after 1 December 2026

Service Description and Requirements

GST*

TAC Item Number

Maximum Payment Rate

Initial Consultation

Initial Consultation

 

PR600

$134.11

Initial Consultation via Telehealth

 

PR600T

$134.11

The session duration must represent reasonable and appropriate clinical practice.

  • Assessment of a new client or a new episode of care for an existing client.
  • Initial management, treatment and advice including a comprehensive history, clinical and biomechanical assessment.
  • Expectation setting that treatment will be provided in line with the Clinical Framework for the Delivery of Health   Services.
  • Goal setting and treatment planning if appropriate at assessment.
  • Screening for barriers to recovery.

Standard Consultation

Standard Consultation

 

PR602

$100.07

Standard Consultation via Telehealth

 

PR602T

$100.07

The session duration must represent reasonable and appropriate clinical practice

  • Further assessment as required
  • Management, treatment or advice including:
  • Goal setting and treatment planning
  • Response to previous treatment and self-management strategies
  • Monitoring of progress towards goals and adaptation of treatment when goals are not being met
  • Monitoring barriers to recovery and acting on these when goals are not met

Extended Consultation

Extended Consultation

 

PR606

$200.14

Extended Consultation via Telehealth

 

PR606T

$200.14

As approved - Maximum payment rate is per hour, to be billed in 15-minute increments with an expected duration of up to 1 hour.

  • For assessment and treatment that cannot be adequately addressed in a standard consultation.

Travel for consultations

Travel – in association with Initial, Standard or extended consultations

 

PR607

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments.

  • Provider travel will only be considered when the client is medically unfit to travel or where treatment in the client’s functional environment is clinically justified.

Attendance at a TAC Team Meeting

Attendance at a TAC team meeting – Providers registered for GST

*

PR613

$220.15

Attendance at a TAC team meeting – Providers not registered for GST

 

PR615

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments.

  • Meeting attendance, at the request of the TAC where the TAC client is present.

Travel for attendance at TAC team meeting

Travel – Team meeting – Providers registered for GST

*

PR616

$220.15

Travel – Team meeting – Providers not registered for GST

PR617

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments.

Manufacture

Manufacturing time

 

PR608

$200.14

As approved – maximum payment rate is per hour to be billed in 15-minute increments

Repairs and Purchase of Standard Products / Equipment

Standard products require the prior approval of the TAC and are payable at cost. Details of the products must be included on the invoice for payment.

Orthosis (purchase)

 

EQ0035

As approved

Providers to use when submitting invoice for payment for orthotic equipment, aids and appliances.

Not to be used for clinical or manufacturing services – use of PR codes to be used for these service types.

Minor repairs (Prosthesis)

 

PR610

As approved

Total cost of consumables, materials, consultation and manufacturing time. Minor repairs are any repairs up to $250.

As approved, in writing via letter or email.

Major Repair (Prosthesis)

 

PR614

As approved

Total cost of consumables and materials only.

Consultation and/or manufacturing time to be billed separately under corresponding item numbers. Major repairs are any repairs above $250 inclusive of consumables.

New prostheses or change of prescription

 

PR612

As approved

Total cost of consumables and materials only.

Consultation and/or manufacturing time to be billed separately under corresponding item numbers.

Completion of Request Forms

Prosthetic Management Review Form - lower extremity or upper extremity.  (Providers registered for GST)

*

PR618

$67.19

Prosthetic Management Review Form - lower extremity or upper extremity.  (Providers not registered for GST)

 

PR619

$61.08

Prosthetic treatment request form (Providers registered for GST)

*

PR620

$85.87

Prosthetic treatment request form (Providers not registered for GST)

 

PR621

$78.06

Orthotic device request form (Providers registered for GST)

*

PR622

$85.87

Orthotic device request form (Providers not registered for GST)

 

PR623

$78.06

Completion and submission of above mentioned forms as outlined in the Orthotic and Prosthetic Policy

Service and Approval Requirements

Approval Requirements

Initial, Standard and Extended Consultations

  • The treatment must be related to the client’s transport accident injuries and delivered in line with the Clinical Framework for the Delivery of Health Services
  • Within the first 90 days of a client’s accident, and where the criteria mentioned in the descriptor are applicable, there is no need to contact the TAC for approval first. ​
  • After the initial 90-day period, approval to provide consultations must be requested:
    • Via the Prosthetic Treatment Request Form or Orthotic Treatment Request Form;
    • In writing via a letter or email; or
    • As otherwise agreed with the Claims Manager.

Approval must be obtained before services are delivered.

Orthotic equipment

Off the shelf/non customised

Within the first 90 days of a client’s accident there is no need to contact the TAC for approval first.

Beyond 90 days after the client’s accident, approval is required. Please complete the Orthotic device request form to submit

requests.

Specialised/customised

Approval is required for specialised or customised orthotic equipment, including repairs. Please complete the Orthotic device request form to submit requests.

Prosthetic equipment

Our approval is required for any prosthetic equipment, including repairs. Please complete the Prosthetics: treatment request form to submit requests.

Minor repairs (PR610) of up to $250 inclusive of consumables, materials, consultation and manufacturing time can be requested in writing via letter or email - completion of the form is not required

Travel

  • Within the first 90 days, and where the criteria mentioned in the descriptor are applicable, ​there is no need to contact the TAC for approval first. ​
  • After the initial 90-day period, approval to provide travel must be requested:
    • In writing via a letter or email; or
    • As otherwise agreed with the Claims Manager.

Approval must be approved before travel is provided.

  • Not for travel between clinics operated by the same operator​
  • Travel to be divided between clients where applicable

Completion of forms

Approval is not required for completion of the prosthetic treatment request form, orthotic device request form or prosthetics management review forms but should not exceed required frequency

Attendance at a TAC Team Meeting

At the request of TAC.

Please refer to the Orthotic and prosthetic service policy for further information.

Current fees

For prosthetic and orthotic services provided between 1 July 2026 and 30 November 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation PR600 $76.15
Initial Consultation (Telehealth) PR600T $76.15
Standard Consultation  PR602 $60.93
Standard Consultation (Telehealth) PR602T $60.93
Long Consultation  PR604 $91.06
Long Consultation (Telehealth) PR604T $91.06
Prolonged Consultation  PR606 $121.68
Prolonged Consultation (Telehealth) PR606T $121.68
Manufacture
Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) PR608 $132.16
Purchase of Standard Products / Equipment
Standard products require the prior approval of the TAC and are payable at cost.
Details of the products must be included on the invoice for payment. PR610 As approved
Major Repair (Prosthesis) PR614 As approved
Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers.
New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) PR612 As approved
Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) PR618* $67.19
Standard Consultation      - up to 30 minutes
Long Consultation             - >30 minutes < 45 minutes
Prolonged Consultation    - >45 minutes <60 minutes

1/7/2026 - 30/11/2026 fees

For prosthetic and orthotic services provided between 1 July 2026 and 30 November 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation PR600 $76.15
Initial Consultation (Telehealth) PR600T $76.15
Standard Consultation  PR602 $60.93
Standard Consultation (Telehealth) PR602T $60.93
Long Consultation  PR604 $91.06
Long Consultation (Telehealth) PR604T $91.06
Prolonged Consultation  PR606 $121.68
Prolonged Consultation (Telehealth) PR606T $121.68
Manufacture
Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) PR608 $132.16
Purchase of Standard Products / Equipment
Standard products require the prior approval of the TAC and are payable at cost.
Details of the products must be included on the invoice for payment. PR610 As approved
Major Repair (Prosthesis) PR614 As approved
Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers.
New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) PR612 As approved
Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) PR618* $67.19
Standard Consultation      - up to 30 minutes
Long Consultation             - >30 minutes < 45 minutes
Prolonged Consultation    - >45 minutes <60 minutes
For prosthetic and orthotic services provided between 1 July 2025 and 30 June 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation PR600 $73.81
Initial Consultation (Telehealth) PR600T $73.81
Standard Consultation  PR602 $59.06
Standard Consultation (Telehealth) PR602T $59.06
Long Consultation  PR604 $88.27
Long Consultation (Telehealth) PR604T $88.27
Prolonged Consultation  PR606 $117.95
Prolonged Consultation (Telehealth) PR606T $117.95
Manufacture
Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) PR608 $128.11
Purchase of Standard Products / Equipment
Standard products require the prior approval of the TAC and are payable at cost.
Details of the products must be included on the invoice for payment. PR610 As approved
Major Repair (Prosthesis) PR614 As approved
Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers.
New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) PR612 As approved
Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) PR618* $65.13
Standard Consultation      - up to 30 minutes
Long Consultation             - >30 minutes < 45 minutes
Prolonged Consultation    - >45 minutes <60 minutes

1/7/2025 - 30/6/2026 fees

For prosthetic and orthotic services provided between 1 July 2025 and 30 June 2026
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation PR600 $73.81
Initial Consultation (Telehealth) PR600T $73.81
Standard Consultation  PR602 $59.06
Standard Consultation (Telehealth) PR602T $59.06
Long Consultation  PR604 $88.27
Long Consultation (Telehealth) PR604T $88.27
Prolonged Consultation  PR606 $117.95
Prolonged Consultation (Telehealth) PR606T $117.95
Manufacture
Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) PR608 $128.11
Purchase of Standard Products / Equipment
Standard products require the prior approval of the TAC and are payable at cost.
Details of the products must be included on the invoice for payment. PR610 As approved
Major Repair (Prosthesis) PR614 As approved
Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers.
New prostheses or change of prescription. (Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers) PR612 As approved
Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) PR618* $65.13
Standard Consultation      - up to 30 minutes
Long Consultation             - >30 minutes < 45 minutes
Prolonged Consultation    - >45 minutes <60 minutes

* GST

Items denoted with an asterisk (*) are services which the TAC deems to be a taxable supply.
These item codes and maximum payment rates are to be used by providers who are registered for GST.
The accompanying maximum payment rate includes GST (10%).
For further information about GST, please contact the Australian Taxation Office and/or your tax advisor.

This Payment Limit relates to the following services