Effective 1 July 2019
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $60.64 |
| Standard Consultation | PR602 | $48.52 |
| Long Consultation | PR604 | $72.51 |
| Prolonged Consultation | PR606 | $96.90 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $105.25 |
| 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. | PR 610 | As approved |
| Major Repair (Prosthesis) | PR 614 | 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) | PR 612 | As approved |
| Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) | PR 618* | $53.50 |
| Orthosis (purchase)- Providers to use when submitting invoice for payment for orthotic equipment, aids & appliances - not to be used for clinical or manufacturing services - use of PR codes to be used for these service types | EQ 0035 | As approved |
| 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 | $59.42 |
| Standard Consultation | PR602 | $47.54 |
| Long Consultation | PR604 | $71.06 |
| Prolonged Consultation | PR606 | $94.96 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $103.14 |
| 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. | PR 610 | As approved |
| Major Repair (Prosthesis) | PR 614 | 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) | PR 612 | As approved |
| Prosthetic Management Review Form - lower extremity or upper extremity. (Total cost for completion of Form) | PR 618* | $52.43 |
| Orthosis (purchase)- Providers to use when submitting invoice for payment for orthotic equipment, aids & appliances - not to be used for clinical or manufacturing services - use of PR codes to be used for these service types | EQ 0035 | As approved |
| Standard Consultation - up to 30 minutes Long Consultation - >30 minutes < 45 minutes Prolonged Consultation - >45 minutes <60 minutes | ||