Prosthetic and orthotic fees
Effective 1 July 2024
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.
2024/25 rates
2023/24 rates
2024/25 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $72.01 |
| Initial Consultation (Telehealth) | PR600T | $72.01 |
| Standard Consultation | PR602 | $57.62 |
| Standard Consultation (Telehealth) | PR602T | $57.62 |
| Long Consultation | PR604 | $86.12 |
| Long Consultation (Telehealth) | PR604T | $86.12 |
| Prolonged Consultation | PR606 | $115.07 |
| Prolonged Consultation (Telehealth) | PR606T | $115.07 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $124.99 |
| 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* | $63.54 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
2023/24 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $69.37 |
| Initial Consultation (Telehealth) | PR600T | $69.37 |
| Standard Consultation | PR602 | $55.51 |
| Standard Consultation (Telehealth) | PR602T | $55.51 |
| Long Consultation | PR604 | $82.96 |
| Long Consultation (Telehealth) | PR604T | $82.96 |
| Prolonged Consultation | PR606 | $110.85 |
| Prolonged Consultation (Telehealth) | PR606T | $110.85 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $120.40 |
| 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* | $61.21 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
2024/25 rates
2024/25 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $72.01 |
| Initial Consultation (Telehealth) | PR600T | $72.01 |
| Standard Consultation | PR602 | $57.62 |
| Standard Consultation (Telehealth) | PR602T | $57.62 |
| Long Consultation | PR604 | $86.12 |
| Long Consultation (Telehealth) | PR604T | $86.12 |
| Prolonged Consultation | PR606 | $115.07 |
| Prolonged Consultation (Telehealth) | PR606T | $115.07 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $124.99 |
| 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* | $63.54 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
2023/24 rates
2023/24 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $69.37 |
| Initial Consultation (Telehealth) | PR600T | $69.37 |
| Standard Consultation | PR602 | $55.51 |
| Standard Consultation (Telehealth) | PR602T | $55.51 |
| Long Consultation | PR604 | $82.96 |
| Long Consultation (Telehealth) | PR604T | $82.96 |
| Prolonged Consultation | PR606 | $110.85 |
| Prolonged Consultation (Telehealth) | PR606T | $110.85 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $120.40 |
| 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* | $61.21 |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||
GST
If your business entity is not registered for GST, then you must only claim the lower of the rates provided at each item number. This is the "Maximum Payment rate - Non registered for GST". A business entity not registered for GST:
- Is not legally permitted to charge GST; and
- Should indicate on all invoices submitted your status as 'not registered for GST'
A business entity that is registered for GST should claim the higher rates provided at each item number. This is the "Maximum Payment Rate - Registered for GST". Where TAC believes an item is a taxable supply, an allowance for GST has been factored into the payment rate. You should not markup GST on the Maximum Payment Rate quoted for a GST registered entity.
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Prosthetic and orthotic feesEffective 1 July 2024 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. 2024/25 rates
2023/24 rates
2024/25 rates
2023/24 rates
GST If your business entity is not registered for GST, then you must only claim the lower of the rates provided at each item number. This is the "Maximum Payment rate - Non registered for GST". A business entity not registered for GST:
A business entity that is registered for GST should claim the higher rates provided at each item number. This is the "Maximum Payment Rate - Registered for GST". Where TAC believes an item is a taxable supply, an allowance for GST has been factored into the payment rate. You should not markup GST on the Maximum Payment Rate quoted for a GST registered entity. |
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