Prosthetic and orthotic fees
Effective 1 July 2022
The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing services from home.
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $64.24 |
| Initial Consultation (Telehealth) | PR600T | $64.24 |
| Standard Consultation | PR602 | $51.40 |
| Standard Consultation (Telehealth) | PR602T | $51.40 |
| Long Consultation | PR604 | $76.82 |
| Long Consultation (Telehealth) | PR604T | $76.82 |
| Prolonged Consultation | PR606 | $102.65 |
| Prolonged Consultation (Telehealth) | PR606T | $102.65 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $111.49 |
| 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. (Major repairs are any repairs above $250 inclusive of consumables) | ||
| 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* | $56.68 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $62.65 |
| Initial Consultation (Telehealth) | PR600T | $62.65 |
| Standard Consultation | PR602 | $50.13 |
| Standard Consultation (Telehealth) | PR602T | $50.13 |
| Long Consultation | PR604 | $74.92 |
| Long Consultation (Telehealth) | PR604T | $74.92 |
| Prolonged Consultation | PR606 | $100.12 |
| Prolonged Consultation (Telehealth) | PR606T | $100.12 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $108.74 |
| 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. (Major repairs are any repairs above $250 inclusive of consumables) | ||
| 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* | $55.28 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||