Early Intervention Physiotherapy Framework fees

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Effective 1 July 2019

For EIPF physiotherapy services provided on or after 1 July 2019
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injuryEPA100$105.84
Initial Consultation: > 7 months from date of injuryEPB100$73.01

Standard Consultation
 
Standard Consultation: < 7 months from date of injuryEPA102$69.87
Standard Consultation: > 7 months from date of injuryEPB102$55.63
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 treatmentEIP001$69.87

Extended Consultation:
Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatmentEPA107$93.15
Extended Consultation (31-40 mins) : > 9 months from first community treatmentEPB107$69.59
Extended Consultation (+40 mins) : < 9 months from first community treatmentEPA108$116.45
Extended Consultation (+40 mins) : > 9 months from first community treatmentEPB108$111.16

Travel:
Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel
Melbourne MetropolitanEPA131$2.72 per km
Regional / RuralEPA132$1.84 per km

Hydrotherapy & Group Consultations:
Hydrotherapy rates include travel
Individual Hydrotherapy ConsultationPH602R$55.63
Group Hydrotherapy Consultation: Two or more patientsPH602G$33.76
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapistPY602G$33.76

Assessment & review:
Assessment and reviews include travel
Workplace Assessment and reportWPA101$161.68 per hour (max $485.04)
Home/Equipment Inspection & ReportPY620H$122.29
Completion of Allied Health Treatment and Recovery Plan  (at TAC request)PY630R$68.38
Attendance at TAC Team Meeting (at TAC request)PY625H$122.29
For EIPF physiotherapy services provided between 1 July 2018 and 30 June 2019
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury EPA100 $103.71
Initial Consultation: > 7 months from date of injury EPB100 $71.55

Standard Consultation
 
Standard Consultation: < 7 months from date of injury EPA102 $68.47
Standard Consultation: > 7 months from date of injury EPB102 $54.51
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 $68.47

Extended Consultation:
Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment EPA107 $91.28
Extended Consultation (31-40 mins) : > 9 months from first community treatment EPB107 $68.19
Extended Consultation (+40 mins) : < 9 months from first community treatment EPA108 $114.11
Extended Consultation (+40 mins) : > 9 months from first community treatment EPB108 $108.92

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 $54.51
Group Hydrotherapy Consultation: Two or more patients PH602G $33.09
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist PY602G $33.09

Assessment & review:
Assessment and reviews include travel
Workplace Assessment and report WPA101 $158.43 per hour (max $475.29)
Home/Equipment Inspection & Report PY620H $119.84
Completion of Physiotherapy Management Review ( at TAC request ) PY630R $67.01
Attendance at TAC Team Meeting ( at TAC request) PY625H $119.84