Effective 1 July 2020
In response to Covid-19, the TAC has introduced temporary funding of telehealth services to ensure clients can continue to access essential treatments and services. The TAC telehealth items and fees for prosthetic and orthotic services are available on our Telehealth fees page.
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation | PR600 | $61.86 |
| Standard Consultation | PR602 | $49.50 |
| Long Consultation | PR604 | $73.97 |
| Prolonged Consultation | PR606 | $98.85 |
| Manufacture | ||
| Time to manufacture (per hour) (Greater than 1 hour should be charged pro-rata at hourly rate) | PR608 | $107.37 |
| 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* | $54.58 |
| 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 | $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 | ||