Early Intervention Physiotherapy Framework fees

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Effective 1 July 2020

For EIPF physiotherapy services provided on or after 1 July 2020
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 EPB100 $74.48

Standard Consultation
 
Standard Consultation: < 7 months from date of injury EPA102 $71.27
Standard Consultation: > 7 months from date of injury EPB102 $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 EPB107 $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 EPB108 $113.39

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)
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

For EIPF physiotherapy services provided between 1 July 2019 and 30 June 2020
Service DescriptionTAC Item NumberMaximum Payment Rate
Initial Consultation: History, examination and treatment of new patient
Initial Consultation: < 7 months from date of injury EPA100 $105.84
Initial Consultation: > 7 months from date of injury EPB100 $73.01

Standard Consultation
 
Standard Consultation: < 7 months from date of injury EPA102 $69.87
Standard Consultation: > 7 months from date of injury EPB102 $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 treatment EIP001 $69.87

Extended Consultation:
Prior approval required - refer to the policy for eligibility criteria
Extended Consultation (31-40 mins) : < 9 months from first community treatment EPA107 $93.15
Extended Consultation (31-40 mins) : > 9 months from first community treatment EPB107 $69.59
Extended Consultation (+40 mins) : < 9 months from first community treatment EPA108 $116.45
Extended Consultation (+40 mins) : > 9 months from first community treatment EPB108 $111.16

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 $55.63
Group Hydrotherapy Consultation: Two or more patients PH602G $33.76
Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist PY602G $33.76

Assessment & review:
Assessment and reviews include travel
Workplace Assessment and report WPA101 $161.68 per hour (max $485.04)
Home/Equipment Inspection & Report PY620H $122.29
Completion of Allied Health Treatment and Recovery Plan  (at TAC request) PY630R $68.38
Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC # PY625H $122.29

# Billed as an hourly rate inclusive of travel