A future where every journey is a safe one

Podiatrist guidelines

As podiatrists, you play an important role in helping our clients recover from feet and ankle injuries after their transport accident.

We can pay the reasonable costs of your patient’s podiatry services, without prior approval, immediately after a transport accident when they are required as a result of a transport accident injury. Patient consultations, biomechanical examinations, orthomechanical services and procedures and x-rays are covered. Basic equipment is also covered.

We will review our client’s services to ensure they're reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it. After a review we’ll let you and our client know the decision regarding further treatment.

As part of your patient’s treatment, you can complete certificates of capacity to assess and certify your patient’s capacity for work. For patients with a severe injury, the discussion, referral and approval of services may form part of the independence planning process.

If your patient's accident was prior to 14 February 2018 they may need to meet the medical excess before you can invoice the TAC for treatment.

Click on the tabs above for full details on our requirements and what we can and cannot pay for.

For more information on working with us, see our Podiatrist page and General Provider Guidelines.

These guidelines should be read in conjunction with our General provider guidelines.

Who can provide podiatry services?

You can provide services if you are registered under the Health Practitioner Regulation National Law (e.g. AHPRA) to practice in the podiatry profession (other than as a student).

What we can pay for

We can pay the reasonable costs of your patient’s podiatry services, without prior approval, immediately after a transport accident when they are required as a result of a transport accident injury.

We will review our client’s treatment to ensure it’s reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We'll ask you and our client for information during these reviews and may temporarily stop funding treatment if we don’t receive it. When requested, you must complete the Allied health treatment and recovery plan and return it to us.

Reviews help us understand our client’s injuries, treatment needs and goals and how to best support them to get their life back on track. After a review we’ll let you and our client know the decision regarding further treatment.

We can pay for:

  • Podiatry consultations.
  • Biomechanical examinations.
  • Orthomechanical services and procedures, such as impressions and models, prescription orthoses and simple digital or partial prosthesis.
  • Out of rooms consultations, where a patient is medically unfit to travel.
  • Visits to a patient who is an inpatient at a private hospital, where the cost of podiatry is not included in the hospital bed fee.
  • X-rays of the lower extremity, foot and ankle.
  • In-rooms podiatric surgery. For podiatric surgery occurring in hospital, see our Medical practitioner guidelines and Private hospital guidelines.

We can also pay for the provision of basic equipment, such as:

  • adaptive, modified or custom made orthopaedic footwear
  • modifications to a patient’s pre-injury footwear or off the shelf footwear
  • footwear that is required to accommodate an orthosis
  • prescription, manufacture, supply and fitting of an orthosis
  • repair, adjustment or replacement of a pre-existing orthosis damaged in a transport accident
  • prosthetic devices and splints

Our approval is required for specialised equipment. Please read our Medical and rehabilitation equipment guidelines and use the Equipment Prescription Form to submit written requests.

Other things to note

  • For accidents that occurred prior to 14 February 2018 a medical excess may apply. Visit the medical excess page to see if it applies to your patient.  If the medical excess applies you will need to invoice the client directly.
  • As part of your patient’s treatment, you can complete Certificates of Capacity to assess and certify your patient’s capacity for work.
  • If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between your patient's treating team and our TAC coordinator.
  • If your patient already has an individualised funding package, podiatric services may be included as part of that.

Gap in treatment

If our client has not received treatment in 6 months they will need to seek approval from us before we will pay for further treatment. Ask our client for a copy of their approval if you haven’t seen them in 6 months.

How much we can pay

We can pay for services in line with our Podiatry fees.

What we cannot pay for

We cannot pay for:

  • repair or replacement of an orthoses that was not damaged as a result of the transport accident injury
  • maintenance, repair, modification or replacement of an orthoses under warranty
  • footwear normally issued by an employer
  • non-orthopaedic or standard off the shelf footwear that is not required to fit custom modifications or orthotics required as a result of an accident

This Guideline relates to the following client policies


Podiatry fees

Effective 1 July 2019

For Podiatry services provided on or after 1 July 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate
In Room Consultations
Initial consultation F002$60.64
Standard consultation – up to 30 minutesF012$48.52
Long consultation – 31 to 45 minutesF014$72.66
Prolonged consultation – 46 minutes and aboveF016$96.90
Out of Rooms Consultations
Initial consultation F023$84.83
Standard consultation – up to 30 minutesF033$72.66
Long consultation – 31 to 45 minutes F034$96.90
Prolonged consultationF035$120.97
Biomechanical Examination
Biomechanical Assessment (includes F111, F114, F117)F118$170.44
Items F101, F104, F111, F114, F115, F116, F117, F121, F141, F142, F145, F147, F148, F163, F361 to be charged as per consultations.
ORTHOMECHANICAL SERVICES & PROCEDURES (NB: Prior TAC approval required for these services)
Impressions and Models
Negative impression cast – footF301$72.27
Negative impression cast – foot & lower 1/3 of legF303$88.54
Prescription Orthoses
Ankle-foot orthosisF201$515.59
Orthodigital traction deviceF211$141.01
Custom moulded thermoplastic orthosis (including cast and posting)F221$261.93
Heel stabiliser, made to plaster modelF227$147.47
Cushioning orthosisF261$46.06
Pressure relief orthosisF263$113.10
Custom moulded thermoplastic orthosis (including cast and accommodating)F265$173.69
Moulded thermoplastic orthosis – non castF267$131.15
Heel liftF269$37.84
Interior shoe paddingF271$37.84
Protective deviceF341 
Prefabricated Orthoses
Heel stabiliserF229$80.37
Pre-moulded or pre-formed orthosisF240$131.15
Orthoses Modification and Repairs
Orthosis repair – not otherwise specified  F231*$54.29
Orthosis repair – plain          F381*$32.77
Orthosis cover – with soft tissue supplementF383$47.65
Orthosis post – forefoot or rear footF385$28.08
Prosthetic Devices
Simple digital or partial prosthesisF351$141.01
Splints
Dennis Browne splintF281 $166.98
Galley splintF282 $219.45
Counter Rotation systemF283 $633.24
Immobilisation splint, thermoplastic, plaster, or other; below kneeF311 $155.70
Immobilisation splint, thermoplastic, plaster, or other; ankle/footF312 $127.75
Immobilisation splint, thermoplastic, plaster, or other; above kneeF315 $191.76
Traction and training devices (eg. HAV splints)F331 
FOOTWEAR – F008, F025, F019 & F037 to be charged as consultations
PODIATRIC SURGERY (NB: Prior TAC approval required for these services)
Foreign body removal (subcutaneous)F429# $199.64
Foreign body removal (deep to deep fascia)F430 $423.80
Avulsion of toenailF440# $155.70
Excision, benign lesionF445# $322.75
Excision nail and/or nail matrix, partial, for permanent removalF474 $370.30
Excision nail and/or nail matrix, complete, for permanent removalF475 $514.66
Excision or plastic correction of peri-ungual tissueF476 $307.88
Linear repairF492 $165.34
Adjacent tissue transferF502 $550.57
Nail root and matrix resection with matrix sterilisation (single edge)F546# $188.01
Nail root and matrix resection with matrix sterilisation (total nail)F547# $337.33
Incision of soft tissue abscess (superficial)F561# $46.80
Incision of soft tissue abscess (deep or complicated)F562 $299.40
Percutaneous tenotomyF678 $289.05
Open tenotomyF687 $350.30
Capsulotomy or arthrotomy (exploration, drainage, or dislocation reduction) F689 $497.48
Ligament / capsular repair (digital)F692 $497.48
Ligament / capsular repair (mid foot / rear foot)F694 $889.90
Plantar fasciotomyF698 $821.39
Plantar fasciectomyF699 $821.39
Neurectomy of peripheral nerveF702 $659.16
Neurolysis of peripheral nerveF703 $602.05
Excision of cyst or small ganglionF704 $395.69
TenosynovectomyF705 $577.81
Tendon transfer or transplantation (forefoot insertion)F750 $700.29
Tendon transfer or transplantation (rear foot insertion)F752 $811.41
Tenoplasty (digital insertion)F755 $350.30
Tenoplasty (mid foot insertion)F757 $639.66
Tenoplasty (rear foot insertion)F759 $775.45
Excision or curettage of bone cyst or benign tumour (forefoot)F712 $722.30
Excision or curettage of bone cyst or benign tumour (rear foot)F713 $722.30
Primary metatarsal osteectomyF715 $722.30
Lesser metatarsal osteectomyF716 $722.30
Lesser tarsal osteectomyF720 $722.30
Tarsal osteectomyF721 $722.30
Phalangeal osteectomyF725 $562.87
Digital resection (supernumerary or other)F728 $438.74
Tarsal resectionF733 $722.30
Excision of accessory ossicle (partial or total)F736 $633.21
Digital arthroplastyF739 $350.43
Metatarsophalangeal arthroplastyF742 $947.97
Excision of tarsal coalitionF791 $1,002.39
Primary metatarsal osteotomy (distal)F782 $1,048.66
Primary metatarsal osteotomy (proximal)F783 $1,133.55
Lesser metatarsal osteotomy (distal)F784 $893.25
Lesser metatarsal osteotomy (proximal)F785 $893.25
Phalangeal osteotomyF786 $893.25
Tarsal osteotomyF787 $1,133.55
Insertion of internal fixationF793 $246.03
Removal of buried wire or screwF794 $283.20
Removal of buried plate or rodF795 $469.69
Metatarsophalangeal arthrodesisF852 $1,029.21
Tarso-metatarsal arthrodesisF854 $1,029.21
Interphalangeal arthrodesisF856 $451.60
Tarsal arthrodesisF857 $1,313.40
Ankle arthrodesisF858 $1,313.40
Subtalar arthroereisisF860 $1,470.44
Bone graft harvestF862 $532.75
Bone graft insertionF863 $770.51
External fixation device for distraction, rotation or angular correction osteotomyF872 
Open reduction internal fixation forefootF873 $532.75
Open reduction internal fixation rear footF874 $1,074.31
ArthroscopyF884 $929.15

Fees for podiatry services performed within a public hospital will be based on the Department of Human Services schedule of fees and charges for acute health services in Victoria. Refer to www.health.vic.gov.au/feesman.

# Procedures which can be performed by a Podiatrist or a Podiatric Surgeon. All other surgical procedures will only be considered when performed by a Fellow of the Australasian College of Podiatric Surgeons.

For Podiatry services provided between 1 July 2018 and 30 June 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate
In Room Consultations
Initial consultation  F002 $59.42
Standard consultation – up to 30 minutes F012 $47.54
Long consultation – 31 to 45 minutes F014 $71.20
Prolonged consultation – 46 minutes and above F016 $94.96
Out of Rooms Consultations
Initial consultation  F023 $83.12
Standard consultation – up to 30 minutes F033 $71.20
Long consultation – 31 to 45 minutes  F034 $94.96
Prolonged consultation F035 $118.54
Biomechanical Examination
Biomechanical Assessment (includes F111, F114, F117) F118 $167.01
Items F101, F104, F111, F114, F115, F116, F117, F121, F141, F142, F145, F147, F148, F163, F361 to be charged as per consultations.
ORTHOMECHANICAL SERVICES & PROCEDURES (NB: Prior TAC approval required for these services)
Impressions and Models
Negative impression cast – foot F301 $70.82
Negative impression cast – foot & lower 1/3 of leg F303 $86.76
Prescription Orthoses
Ankle-foot orthosis F201 $505.23
Orthodigital traction device F211 $138.18
Custom moulded thermoplastic orthosis (including cast and posting) F221 $256.67
Heel stabiliser, made to plaster model F227 $144.50
Cushioning orthosis F261 $45.13
Pressure relief orthosis F263 $110.82
Custom moulded thermoplastic orthosis (including cast and accommodating) F265 $170.20
Moulded thermoplastic orthosis – non cast F267 $128.51
Heel lift F269 $37.08
Interior shoe padding F271 $37.08
Protective device F341  
Prefabricated Orthoses
Heel stabiliser F229 $78.76
Pre-moulded or pre-formed orthosis F240 $128.51
Orthoses Modification and Repairs
Orthosis repair – not otherwise specified   F231* $53.19
Orthosis repair – plain           F381* $32.12
Orthosis cover – with soft tissue supplement F383 $46.70
Orthosis post – forefoot or rear foot F385 $27.52
Prosthetic Devices
Simple digital or partial prosthesis F351 $138.18
Splints
Dennis Browne splint F281 $163.62
Galley splint F282 $215.04
Counter Rotation system F283 $620.52
Immobilisation splint, thermoplastic, plaster, or other; below knee F311 $152.58
Immobilisation splint, thermoplastic, plaster, or other; ankle/foot F312 $125.18
Immobilisation splint, thermoplastic, plaster, or other; above knee F315 $187.91
Traction and training devices (eg. HAV splints) F331  
FOOTWEAR – F008, F025, F019 & F037 to be charged as consultations
PODIATRIC SURGERY (NB: Prior TAC approval required for these services)
Foreign body removal (subcutaneous) F429# $195.63
Foreign body removal (deep to deep fascia) F430 $415.29
Avulsion of toenail F440# $152.58
Excision, benign lesion F445# $316.27
Excision nail and/or nail matrix, partial, for permanent removal F474 $362.86
Excision nail and/or nail matrix, complete, for permanent removal F475 $504.32
Excision or plastic correction of peri-ungual tissue F476 $301.70
Linear repair F492 $162.02
Adjacent tissue transfer F502 $539.51
Nail root and matrix resection with matrix sterilisation (single edge) F546# $184.23
Nail root and matrix resection with matrix sterilisation (total nail) F547# $330.55
Incision of soft tissue abscess (superficial) F561# $45.86
Incision of soft tissue abscess (deep or complicated) F562 $293.39
Percutaneous tenotomy F678 $283.24
Open tenotomy F687 $343.26
Capsulotomy or arthrotomy (exploration, drainage, or dislocation reduction)  F689 $487.49
Ligament / capsular repair (digital) F692 $487.49
Ligament / capsular repair (mid foot / rear foot) F694 $872.02
Plantar fasciotomy F698 $804.89
Plantar fasciectomy F699 $804.89
Neurectomy of peripheral nerve F702 $645.92
Neurolysis of peripheral nerve F703 $589.96
Excision of cyst or small ganglion F704 $387.74
Tenosynovectomy F705 $566.20
Tendon transfer or transplantation (forefoot insertion) F750 $686.22
Tendon transfer or transplantation (rear foot insertion) F752 $795.11
Tenoplasty (digital insertion) F755 $343.26
Tenoplasty (mid foot insertion) F757 $626.81
Tenoplasty (rear foot insertion) F759 $759.87
Excision or curettage of bone cyst or benign tumour (forefoot) F712 $707.79
Excision or curettage of bone cyst or benign tumour (rear foot) F713 $707.79
Primary metatarsal osteectomy F715 $707.79
Lesser metatarsal osteectomy F716 $707.79
Lesser tarsal osteectomy F720 $707.79
Tarsal osteectomy F721 $707.79
Phalangeal osteectomy F725 $551.57
Digital resection (supernumerary or other) F728 $429.92
Tarsal resection F733 $707.79
Excision of accessory ossicle (partial or total) F736 $620.49
Digital arthroplasty F739 $343.39
Metatarsophalangeal arthroplasty F742 $928.93
Excision of tarsal coalition F791 $982.26
Primary metatarsal osteotomy (distal) F782 $1,027.59
Primary metatarsal osteotomy (proximal) F783 $1,110.78
Lesser metatarsal osteotomy (distal) F784 $875.30
Lesser metatarsal osteotomy (proximal) F785 $875.30
Phalangeal osteotomy F786 $875.30
Tarsal osteotomy F787 $1,110.78
Insertion of internal fixation F793 $241.08
Removal of buried wire or screw F794 $277.51
Removal of buried plate or rod F795 $460.26
Metatarsophalangeal arthrodesis F852 $1,008.54
Tarso-metatarsal arthrodesis F854 $1,008.54
Interphalangeal arthrodesis F856 $442.53
Tarsal arthrodesis F857 $1,287.02
Ankle arthrodesis F858 $1,287.02
Subtalar arthroereisis F860 $1,440.90
Bone graft harvest F862 $522.05
Bone graft insertion F863 $755.03
External fixation device for distraction, rotation or angular correction osteotomy F872  
Open reduction internal fixation forefoot F873 $522.05
Open reduction internal fixation rear foot F874 $1,052.73
Arthroscopy F884 $910.49

Fees for podiatry services performed within a public hospital will be based on the Department of Human Services schedule of fees and charges for acute health services in Victoria. Refer to www.health.vic.gov.au/feesman.

# Procedures which can be performed by a Podiatrist or a Podiatric Surgeon. All other surgical procedures will only be considered when performed by a Fellow of the Australasian College of Podiatric Surgeons.

View Allied Health Treatment and Recovery Plan

Allied Health Treatment and Recovery Plan

Summary:

For allied health providers – complete this form, when requested by us, to provide us with an overview of your patient’s injury, outcome measures, goals and other details. For help completing this form, see the separate notes document.

For ongoing treatment to be approved, it must be clinically justified by satisfying the five principles of the Clinical Framework for the Delivery of Health Services.

Complete the Allied Health Treatment and Recovery Plan form online