South Australia
Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Regulations 1995
under the Workers Rehabilitation and Compensation Act 1986

Contents
1	Short title
3	Interpretation
3A	Scales of charges—public hospitals
4	Scales of charges—private hospitals and day surgery facilities
5	Scales of charges—physiotherapy services
6	Scales of charges—psychology services
7	Scales of charges—speech pathologists
8	Scales of charges—occupational therapists
8A	Scales of charges—chiropractors
9	Increase in charges for GST
10	WorkCover may issue guidelines
Schedule 1—Scales of charges—private hospitals and day surgery facilities
Part 1—Preliminary
1	Interpretation
Part 2—Private hospital services
2	Rehabilitation, psychiatric and pain assessment or management services by a private hospital
3	Other private hospital services
Part 3—Day surgery facility services
4	Day surgery facility services
Part 4—Tables
Schedule 2—Scales of charges—physiotherapy services
Schedule 3—Scales of charges—psychology services
Schedule 4—Scales of charges—speech pathologists
Schedule 5—Scales of charges—occupational therapists
Schedule 6—Scales of charges—chiropractors
Legislative history

1—Short title
This regulation may be cited as the Workers Rehabilitation and Compensation (Scales of Medical and Other Charges) Regulations 1995.
3—Interpretation
	(1)	In these regulations—
Act means the Workers Rehabilitation and Compensation Act 1986;
chiropractor means a person registered as a chiropractor under the law of this State;
claims agent means a private sector body that is a party to an authorised contract or arrangement under section 14 of the WorkCover Corporation Act 1994 involving the conferral of powers to manage and determine claims;
day surgery facility means a facility (other than a private hospital or facility of a private hospital) designed for the provision of medical, surgical or related treatment or care on a same day basis that is declared by WorkCover by notice in the Gazette to be a day surgery facility for the purposes of these regulations;
GST means the tax payable under the GST law;
GST law means—
	(a)	A New Tax System (Goods and Services Tax) Act 1999 (Commonwealth); and
	(b)	the related legislation of the Commonwealth dealing with the imposition of a tax on the supply of goods, services and other things;
occupational therapist means a person registered as an occupational therapist under the law of this State;
physiotherapist means a person registered as a physiotherapist under the law of this State;
private hospital means a private hospital within the meaning of the South Australian Health Commission Act 1976;
psychologist means a person registered as a psychologist under the law of this State;
same day, in relation to a service, means a service that is provided on a single calendar day;
self-insured employer means exempt employer;
WorkCover is the Corporation.
	(2)	A reference in these regulations to specified schedule guidelines is a reference to the guidelines of the specified name issued by WorkCover, as in force from time to time.
	(3)	If a charge prescribed in a scale of charges is expressed as an amount per hour—
	(a)	a charge is payable for services provided for less than or more than an hour; and
	(b)	the amount payable is to be determined by multiplying the amount per hour by the proportion that the number of minutes for which the services are provided rounded to the nearest 5 minutes bears to 60 minutes.
Note—
These regulations apply for the purposes of section 127A of the Motor Vehicles Act 1959 subject to modifications specified by that section and modifications specified by notice in the Gazette under that section.
3A—Scales of charges—public hospitals
Pursuant to section 32(11) of the Act, the scales of charges set out in the South Australian Health Commission (Compensable and Non-Medicare Patients Fees) Regulations 2004 as in force at 1 March 2008 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of services in recognised hospitals and incorporated health centres (within the meaning of the South Australian Health Commission Act 1976).
4—Scales of charges—private hospitals and day surgery facilities
Pursuant to section 32(11) of the Act, the scales of charges set out in Schedule 1 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of services in private hospitals and day surgery facilities.
5—Scales of charges—physiotherapy services
Pursuant to section 32(11) of the Act, the scales of charges set out in Schedule 2 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of physiotherapy services.
6—Scales of charges—psychology services
Pursuant to section 32(11) of the Act, the scales of charges set out in Schedule 3 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of services by a psychologist.
7—Scales of charges—speech pathologists
Pursuant to section 32(11) of the Act, the scales of charges set out in Schedule 4 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of services by speech pathologists.
8—Scales of charges—occupational therapists
Pursuant to section 32(11) of the Act, the scales of charges set out in Schedule 5 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of services by occupational therapists.
8A—Scales of charges—chiropractors
Pursuant to section 32(11) of the Act, the scales of charges set out in Schedule 6 are, subject to modification under regulation 9, prescribed as scales of charges for the purposes of section 32 for the provision of services by a chiropractor.
9—Increase in charges for GST
If a service for which a charge is prescribed in a scale of charges is subject to GST, the amount prescribed as the charge is increased by the amount of the GST.
10—WorkCover may issue guidelines
WorkCover may issue guidelines from time to time for the purposes of these regulations.

Schedule 1—Scales of charges—private hospitals and day surgery facilities
Part 1—Preliminary
1—Interpretation
	(1)	In this Schedule, unless the contrary intention appears—
admission means the formal administrative process of a private hospital or day surgery facility by which the hospital or facility commences the provision of treatment, care, accommodation and other services to a patient;
admitted, in relation to a patient in a private hospital or day surgery facility, means that the patient has undergone the formal admission process of the hospital or facility and has not been discharged;
AR‑DRG means Australian Refined Diagnosis Related Group;
criteria for admission—see subclause (5);
day means a calendar day;
Day Only Procedures Manual means the Day Only Procedures Manual published in 1999 by the Commonwealth Department of Health and Aged Care, as in force on 1 January 2008;
discharge means the formal administrative process of a private hospital or day surgery facility by which the hospital or facility ceases the provision of treatment, care, accommodation and other services to a patient;
discharged, in relation to a person who has been a patient in a private hospital or day surgery facility, means that the person has undergone the formal discharge process of the hospital or facility;
inlier patient means an admitted patient whose length of stay in a private hospital for a service identified in columns 1 and 2 of Table 2—
	(a)	is equal to or greater than the Lower Trim Point specified in column 5 of the table corresponding to that service (or, where the Lower Trim Point is zero, is greater than the Lower Trim Point); and
	(b)	is equal to or less than the Upper Trim Point specified in column 4 of the table corresponding to that service;
inpatient, in relation to a private hospital, means an admitted patient who, following a clinical decision, requires or is expected to require overnight treatment for a minimum of 1 night;
length of stay, in relation to an admitted patient in a private hospital, means the number of days between the day of admission of the patient to the hospital and the day of discharge of the patient from the hospital—
	(a)	counting the day of admission as 1 day; and
	(b)	excluding the day of discharge (unless it is also the day of admission);
long stay outlier patient means an admitted patient whose length of stay in a private hospital for a service identified in columns 1 and 2 of Table 2 is greater than the Upper Trim Point specified in column 4 of the table corresponding to that service;
Manual means the Australian Refined Diagnosis Related Groups, Version 4.2, Addendum to Definitions Manual, Volume 4, produced in 2000 by the Commonwealth Department of Health and Aged Care (read with the Australian Refined Diagnosis Related Groups, Version 4.1, Definitions Manual, Volumes 1—3, produced in 1998 by the Commonwealth Department of Health and Aged Care);
short stay outlier patient means an admitted patient whose length of stay in a private hospital for a service identified in columns 1 and 2 of Table 2 for which the Lower Trim Point specified in column 5 of the table corresponding to that service is 2 or more, is less than that Lower Trim Point but greater than zero.
	(2)	A reference in this Schedule to a Table of a specified number is a reference to the Table of that number in Part 4.
	(3)	For the purposes of this Schedule—
	(a)	AR‑DRG reference numbers or descriptions are as set out in the Manual; and
	(b)	terms and abbreviations used in AR‑DRG descriptions have the meanings given by the Manual.
	(4)	For the purposes of this Schedule—
	(a)	a charge determined in accordance with Part 2 or 3 for a service includes (where applicable) the cost of the following:
	(i)	accommodation;
	(ii)	intensive care unit;
	(iii)	theatre;
	(iv)	common use theatre items;
	(v)	pharmaceutical items directly related to the condition being treated;
	(vi)	television;
	(vii)	newspapers;
	(viii)	local telephone calls;
	(ix)	all hotel services (eg meals etc);
	(x)	consumable items;
	(b)	a charge determined in accordance with Part 2 or 3 for a service does not include the following costs:
	(i)	the cost of prostheses;
	(ii)	a 5% handling charge for prostheses (to a maximum of $200);
	(iii)	the cost of substituted high cost single use items not commonly used in Australian clinical practice for delivery of the service where the substitution for the usual item can be demonstrated to have been necessary for the treatment of the patient;
	(iv)	the cost of allied health treatment (such as physiotherapy, dietetics, podiatry, psychology, social work, speech pathology etc);
	(v)	the cost of pharmaceutical items provided on discharge of a patient;
	(vi)	the cost of pharmaceutical items required for a patient for maintenance of an unrelated condition;
	(vii)	the cost of splints and braces required for the discharge of a patient;
	(viii)	transfer costs;
	(ix)	boarder fees.
	(5)	For the purposes of this Schedule, a patient qualifies for admission to a private hospital or day surgery facility if he or she satisfies 1 of the following criteria:
	(a)	the patient is to receive day only Band 1, 2, 3, or 4 services (excluding uncertified Type C professional attention procedures) as specified in the Day Only Procedures Manual;
	(b)	the patient is to receive a Type C professional attention procedure as specified in the Day Only Procedures Manual and there is an accompanying certification by a medical practitioner that an admission is necessary on the grounds of the medical condition of the patient or other special circumstances relating to the patient;
	(c)	the patient, following a clinical decision, is expected to require overnight treatment for a minimum of 1 night;
	(d)	the patient is to receive a Type B professional attention procedure as specified in the Day Only Procedures Manual and there is an accompanying certification by a medical practitioner that an overnight admission is necessary on the grounds of the medical condition of the patient or other special circumstances relating to the patient.
Part 2—Private hospital services
2—Rehabilitation, psychiatric and pain assessment or management services by a private hospital
The charges for the provision to a patient by a private hospital of the rehabilitation, psychiatric and pain assessment or management services specified in Table 1 are as specified in that table.
3—Other private hospital services
	(1)	Subject to clause 2, the charges for the provision to an admitted patient by a private hospital of the services specified in columns 1 and 2 of Table 2 are as determined in accordance with this clause.
	(2)	Subject to subclause (5), the maximum charge for a service identified in columns 1 and 2 of Table 2 for an inlier patient is the Schedule Charge specified in column 3 of the table corresponding to that service.
	(3)	Subject to subclause (5), the maximum charge for a service identified in columns 1 and 2 of Table 2 for a short stay outlier patient is the charge calculated as follows:

where—
	(a)	the Rate per Day is the rate per day specified in column 6 of the table corresponding to the service; and
	(b)	LOS is the length of stay of the patient in the hospital.
	(4)	Subject to subclause (5), the maximum charge for a service identified in columns 1 and 2 of Table 2 for a long stay outlier patient is the charge calculated as follows:

where—
	(a)	the Schedule Charge is the charge specified in column 3 of the table corresponding to the service; and
	(b)	the Rate per Day is the rate per day specified in column 6 of the table corresponding to the service; and
	(c)	LOS is the length of stay of the patient in the hospital; and
	(d)	the Upper Trim Point is the Upper Trim Point specified in column 4 of the table corresponding to the service.
	(5)	Where the patient is transferred from the private hospital to another hospital, the maximum charge for the service provided by the transferring hospital is 80% of the charge determined in accordance with subclause (2), (3) or (4).
Part 3—Day surgery facility services
4—Day surgery facility services
The charges for the provision to an admitted patient by a day surgery facility of same day services included in Table 3 are the accommodation and theatre charges determined in accordance with the table.
Part 4—Tables

Table 1					
		Item No	Service description	Maximum charge
(excl GST)	
A charge applicable to an admitted patient is not payable unless the patient is admitted in accordance with the criteria for admission (see clause 1(5)).
Private rooms are allocated on the basis of clinical need and the cost of such rooms is, unless otherwise stated, included in the per day charges specified. Where a patient requests a private room, WorkCover will not be responsible for or accept any surcharge.
In this table—
length of stay, in relation to an inpatient in a private hospital, means the number of days between the day of admission of the patient to the hospital and the day of discharge of the patient from the hospital—
	(a)	counting the day of admission as 1 day (unless it is also the day of discharge); and
	(b)	excluding the day of discharge.					
HOSPITAL REHABILITATION SERVICES					
	Rehabilitation orthopaedic program for inpatients
An orthopaedic program involves referral and assessment by the rehabilitation coordinator of the program. It is a defined program with intense service provision. Rapid improvement is expected and there are specific outcome goals. The program includes physiotherapy, aquatic therapy, occupational therapy, case conferences and discharge planning.				
		PR600	Length of stay 1 or more days but not more than 21 days	$485.30 per day	
		PR605	22 or more days	$406.80 per day	
	Rehabilitation trauma program for inpatients
A trauma program involves referral and assessment by the rehabilitation coordinator of the program. It is a defined program with intense service provision. Rapid improvement is expected and there are specific outcome goals. The program includes physiotherapy, aquatic therapy, occupational therapy, speech therapy, case conferences and discharge planning.				
		PR610	Length of stay 1 or more days but not more than 50 days	$578.70 per day	
		PR615	51 or more days	$522.30 per day	
PSYCHIATRIC SERVICES					
	Inpatient services				
		PR800	Length of stay 1 or more days but not more than 14 days	$495.30 per day	
		PR803	15 or more days	$381.10 per day	
		PR822	Electro‑convulsive therapy (ECT)	$212.00 per day	
		PR850	Private room allocated on basis of clinical need	$12.45 per day (additional charge)	
	Drug and alcohol program for inpatients
This program provides specialised treatment and care for patients with alcohol or drug dependencies (including analgesics/narcotics/opiates and Benzodiazepine). The program is managed by a multi‑disciplinary team including a Medical Director and consultant psychiatrists. Where required, the program involves a medically controlled, safe withdrawal of drugs or alcohol.				
		PR990	Length of stay 1 or more days but not more than 14 days	$527.80 per day	
		PR991	15 or more days	$386.20 per day	
	Same day psychiatric services
A day program is usually available to provide ongoing support and care to patients after discharge from treatment as inpatients. It is managed by a multi‑disciplinary team of health care professionals, and is tailored to the individual needs of the patient. It can include specialised therapy modules including cognitive behavioural therapy, relaxation, assertiveness skills and anxiety management.
Outreach is treatment or care provided by the hospital to a non‑admitted patient at a location outside the hospital premises (being treatment or care provided as a direct substitute for treatment or care that would normally be provided on the hospital premises).
For billing purposes, the 'O' in item numbers for same day services is an alphabetical letter not the number zero.				
		PRO81	Group session	$63.50	
		PRO82	Electro‑convulsive therapy day program	$331.00	
		PRO83	Half‑day program	$169.40	
		PRO84	Day program	$268.20	
		PRO95	Outreach	$153.00	
OTHER SERVICES					
	Inpatient pain assessment/management				
		PR700	Length of stay 1 or more days but not more than 7 days	$425.80 per day	
		PR705	8 or more days but not more than 14 days	$400.00 per day	
		PR710	15 or more days	$260.00 per day	

Table 3					
		Item No	Service description	Maximum charge
(excl GST)	
A charge applicable to an admitted patient is not payable unless the patient is admitted in accordance with the criteria for admission (see clause 1(5)).
SAME DAY SERVICES FOR DAY SURGERY FACILITIES					
	Accommodation
The band into which services fall will be determined in accordance with the Day Only Procedures Manual.				
		PR410	Band 1: including gastrointestinal endoscopy, some minor surgical and non‑surgical procedures not normally requiring anaesthetic.	$270.50	
		PR420	Band 2: procedures other than Band 1 performed under local anaesthetic with no sedation.
Theatre time less than 1 hour.	$322.05	
		PR430	Band 3: procedures other than Band 1 performed under general or regional anaesthesia or intravenous sedation.
Theatre time less than 1 hour.	$376.30	
		PR440	Band 4: procedures other than Band 1 performed under general or regional anaesthesia or intravenous sedation.
Theatre time 1 hour or more.	$398.90	
	Theatre
The band into which services fall will be determined in accordance with the Group Accommodation and Theatre Banding Schedule produced by the Commonwealth Department of Veterans' Affairs, November 2007.
Where more than 1 service is provided in a single theatre session, the theatre charge is—
	(a)	the theatre charge for the service with the highest theatre charge; plus
	(b)	50% of the theatre charge for the service with the next highest theatre charge; plus
	(c)	30% of the theatre charge for each of the other services so provided.				
		PRT1A	Band 1A	$155.40	
		PRT01	Band 1	$310.75	
		PRT02	Band 2	$396.65	
		PRT03	Band 3	$551.45	
		PRT04	Band 4	$797.80	
		PRT05	Band 5	$1 023.80	
		PRT06	Band 6	$1 348.10	
		PRT07	Band 7	$1 844.15	
		PRT08	Band 8	$1 968.45	
		PRT9A	Band 9A	$2 289.40	
		PRT09	Band 9	$2 626.10	
		PRT10	Band 10	$3 437.45	
		PRT11	Band 11	$4 878.20	
		PRT12	Band 12	$5 237.55	
		PRT13	Band 13	$4 952.80	
		PRT50	Dental minor	$293.80	
		PRT55	Dental major	$529.95	

Schedule 2—Scales of charges—physiotherapy services
This Schedule must be read in conjunction with the Physiotherapy Fee Schedule Guidelines.

	Item No	Service description	Maximum charge
(excl GST)	
Consultations				
	Initial consultation
An initial consultation by a treating physiotherapist involving some or all of the following elements (although the extent of the consultation is at the discretion of the physiotherapist):			
		•	Subjective reporting
Consideration by the physiotherapist of major symptoms and lifestyle dysfunction; current history and treatment; past history and treatment; pain, 24 hour behaviour, aggravating and relieving factors; general health, medication, risk factors.			
		•	Objective assessment
Assessment by the physiotherapist of movement (eg, active, passive, resisted, repeated; muscle tone, spasm, weakness; accessory movements, passive intervertebral movements etc) and the carrying out of appropriate procedures and tests.			
		•	Assessment results
Provisional diagnosis; the setting of the goals of treatment, and the development of a treatment plan, by the physiotherapist.			
		•	Treatment
Discussion between the physiotherapist and the worker regarding working hypothesis, treatment goals and expected outcomes; initial treatment and response and the provision of advice by the physiotherapist regarding home care, including any exercise programs to be followed.			
		•	Clinical records
Recording of information by the physiotherapist in the worker's clinical records, including the results of procedures and tests carried out.			
		•	Communication
Communication by the physiotherapist of information relevant to the rehabilitation and return to work of the worker to the claims agent or self-insured employer, the worker's employer (if not self-insured) and the worker's referring/treating medical expert.			
	PT107	Short initial consultation of not more than 20 minutes duration.	$35.70	
	PT108	Initial consultation of more than 20 minutes duration.	$59.50	
	Subsequent consultation
A subsequent consultation by a treating physiotherapist involving assessment and treatment of a worker's condition and some or all of the other elements listed below (although the extent of the consultation is at the discretion of the physiotherapist):			
		•	History taking/assessment
Consideration by the physiotherapist of the clinical records of the worker relating to the condition and the worker's progress since the previous consultation.			
		•	Examination
Examination by the physiotherapist of the condition.			
		•	Treatment
Appropriate treatment of the condition by the physiotherapist.			
		•	Reassessment and management
Reassessment of the goals of treatment, the treatment plan and the management program by both the worker and the physiotherapist; counselling by the physiotherapist regarding further treatment (if any), care and preventative measures.			
		•	Communication
Communication by the physiotherapist of information relevant to the rehabilitation and return to work of the worker to the claims agent or self-insured employer, worker's employer (if not self-insured) and the worker's referring/treating medical expert.			
		•	Physiotherapy treatment form
If treatment is expected to extend for longer than 6 weeks, completion by the physiotherapist of a physiotherapy treatment form (in a form approved by the Corporation) and forwarding of the form to the claims agent or self-insured employer.
No additional fee is payable for completion of this form.			
		•	Clinical records
Recording of information by the physiotherapist in the worker's clinical records, including the results of any procedures and tests carried out.			
	PT205	Brief subsequent consultation of not more than 15 minutes duration.
The consultation will involve minimal physiotherapist contact time.	$29.70	
	PT210	Standard subsequent consultation of more than 15 minutes duration but not more than 20 minutes duration.	$41.60	
	PT215	Long subsequent consultation of more than 20 minutes duration but not more than 30 minutes duration.
The consultation will involve all of the elements of a subsequent consultation, and, because of the complexity of the injury, will require extra time for history taking, examination, treatment, documentation and liaison. For example, this type of consultation may be expected in cases of injuries following major trauma or major surgery requiring intensive post‑operative treatment.	$59.50	
	PT220	Prolonged subsequent consultation of more than 30 minutes duration.
The consultation will involve all of the elements of a subsequent consultation and, because of the extreme complexity of the injury or treatment, will require extra time for history taking, examination, treatment, documentation and liaison. This type of consultation is expected in only a limited number of cases, for example, in cases of injuries following extensive burns, multi-trauma, major surgery requiring intensive post-operative treatment such as complicated hand injuries or joint reconstruction and some neurological conditions.	$83.30	
Corrective/serial splinting				
	PT300	Fabrication/fitting/adjustment of splint	$142.80 per hour	
Aquatic physiotherapy				
	PT415	Individual aquatic physiotherapy session
An aquatic physiotherapy session requiring significant planning, supervision and monitoring of individual workers by a physiotherapist.
The prior approval of a claims manager or self-insured employer is required for a session other than—
	•	the initial session;
	•	2 subsequent individual sessions following the initial session;
	•	a review session at week 4 to 6 of the aquatic physiotherapy program.	$50.10	
	PT420	Subsequent individual or group aquatic physiotherapy session
An aquatic physiotherapy session not referred to in PT415. If the session is a group session—
	•	the group will be comprised of not more than 6 workers; and
	•	the session will involve programs that are unique and individualised to particular workers.	$20.90 per worker	
Exercise				
	PT455	Individual exercise session
Exercise session (other than an aquatic physiotherapy session) planned by a physiotherapist where an individual worker is constantly and directly supervised and assessed by the physiotherapist. The session will involve all or some of the elements of a subsequent consultation (but a subsequent consultation cannot be separately charged).	$50.10	
	PT460	Group exercise session
Group exercise session (other than an aquatic physiotherapy session) planned and supervised by a physiotherapist for a group of not more than 8 workers. The session will involve all or some of the elements of a subsequent consultation (but a subsequent consultation cannot be separately charged).	$14.80 per worker	
Telephone calls				
	PT552	Telephone call greater than 3 minutes	$19.80	
		Calls of a case specific nature made by a physiotherapist to, or received by a physiotherapist from, the worker’s referring/treating medical expert, rehabilitation provider contracted by WorkCover, claims agent or self-insured employer, employer (if not self‑insured), WorkCover provider consultant or the worker's representative, excluding—
	(a)	calls made during a consultation; and
	(b)	calls of a duration of 3 minutes or less.		
		There is no charge for a telephone call to or from a worker.		
Functional capacity evaluation				
	PT700	Functional capacity evaluation
The maximum time chargeable is 7 hours.	$142.80 per hour	
		Assessment by a physiotherapist of a worker's work capacity, including—
	(a)	a series of standardised tests of the worker's physical capabilities focussed on selected work tolerances (ie, the observed and measured physical capabilities that affect a worker's ability to perform the physical demands of specified work tasks); and
	(b)	an analysis of the results of the tests to infer the worker's capacity to sustain a given work effort (ie, the worker's capacity to undertake specified work at a prescribed frequency over a given period of time, taking into account the pace compatible with such work); and
	(c)	preparation of a report with an executive summary outlining the major components of the service and relevant findings.		
Worksite assessment				
	PT730	Worksite assessment	$142.80 per hour	
		Attendance by a physiotherapist at a worker's workplace in order to obtain an overview of the workplace and determine the availability of suitable duties.		
Job analysis				
	PT740	Job analysis	$142.80 per hour	
		Job analysis by a physiotherapist, including—
	(a)	an analysis of the critical physical demands of occupational tasks; and
	(b)	determining the worker's capacity to undertake the tasks or giving consideration to available medical guidelines and the physiotherapist's knowledge of the worker's diagnosis, pathology and prognosis; and
	(c)	making recommendations for—
	(i)	modifying the tasks or the way in which the tasks are undertaken; or
	(ii)	providing aids or equipment; or
	(iii)	introducing work practice guidelines to ensure that the worker utilises appropriate body mechanics; and
	(d)	preparation of a report with an executive summary outlining the major components of the service and relevant findings.		
Graduated return to work program				
	PT750	Graduated return to work program	$142.80 per hour	
		A program of work duties and work practice guidelines for a worker designed by a physiotherapist to increase the worker’s tolerance for the physical demands of work.		
		The purpose of the program is to assist the worker to maintain his or her employment while undertaking rehabilitation.
The program will involve actual and productive work duties identified by the physiotherapist as being within the worker's capacity and work practice guidelines relevant to the nature of the worker's injury and the performance of the particular duties.		
Activities of daily living assessment				
	PT760	Activities of daily living assessment	$142.80 per hour	
		Assessment by a physiotherapist, usually conducted in a worker's home environment, of the worker's level of functioning in relation to personal care, household tasks and recreational and social activities.		
		The purpose of the assessment is to facilitate the reduction of the adverse impact of the injury on the worker and the early return of the worker to normal activity, and to provide an indicator of functional tolerances for determining work capacity.		
Independent clinical assessment				
	PT780	Independent clinical assessment and report	$142.80 per hour	
		Service provided by a physiotherapist other than the treating physiotherapist comprising—
	(a)	a review of the worker's medical history; and
	(b)	a clinical assessment; and
	(c)	a review of the worker's activity and functional capacity; and
	(d)	preparation of a report,
for the purpose of providing a different diagnosis or making recommendations in relation to ongoing treatment goals, the worker's return to work and any other relevant matters.		
		The report will have been requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.		
Functional notification form				
	PT785	Functional notification form	$19.80	
		Completion by a physiotherapist of a functional notification form (in a form approved by the Corporation) and provision of the form to a worker's referring/treating medical expert. The form is completed when information directly affecting the worker's capacity to return to work or the process of the worker returning to work is identified by the physiotherapist.		
Reports				
	PT810	Comprehensive report	$214.10	
		A report by a treating physiotherapist, relating to the status of a claim and comprising a clinical opinion or statement or a response to specific questions, that has been requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.		
		A report will be taken to be comprehensive when re‑examination of the worker is a prerequisite for preparation of the report.
The consultation should be charged in accordance with the appropriate item.		
	PT820	Standard report	$142.80	
		A report by a treating physiotherapist, relating to the status of a claim and comprising a clinical opinion or statement or a response to specific questions, that has been requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.		
		A report will be taken to be standard when re‑examination of the worker is not required and the report is based on a transcription of existing clinical records.		
Case conference				
	PT870	Case conference	$142.80 per hour	
		Case conference, attended by a physiotherapist and authorised by a claims agent or self-insured employer, for the purpose of determining—
	•	details of limitations/recommendations relating to a sustainable return to work;
	•	options for management of a worker’s recovery;
	•	other related information.		
		A case conference may be requested by—
	•	a treating medical expert;
	•	a worker or worker's representative;
	•	a claims agent or self-insured employer;
	•	an employer (if not self-insured);
	•	a rehabilitation provider contracted by WorkCover.		
		The hourly rate excludes travelling time from rooms or other appropriate departure point to the venue and return. Travel may be charged separately.		
Travel				
	PT905	Travel time	$121.30 per hour	
		Travel, authorised by a claims agent or self‑insured employer, by a treating physiotherapist for the purposes of—
	(a)	a case conference; or
	(b)	a home, hospital or worksite visit; or
	(c)	consultation where the worker is otherwise unable to attend the physiotherapist's clinic or rooms.		
		There is no charge for travel from 1 clinic or rooms to another clinic or rooms.		
Non‑scheduled services				
	PT999	Non‑scheduled services	$142.80 per hour	
		A service of a kind not listed above, provided by a physiotherapist and authorised by a claims agent or self-insured employer prior to the delivery of the service as being necessary, appropriate and reasonably required.		

Schedule 3—Scales of charges—psychology services
This Schedule supersedes the scale of charges for medical services delivered by a registered psychologist fixed by notice under section 32 of the Act and published in the Gazette on 10 March 1994 at page 709.
This Schedule must be read in conjunction with the Psychology Fee Schedule Guidelines.

		Item No	Service description	Maximum charge
(excl GST)	
Psychological assessment					
	Assessment by a psychologist involving the psychologist's attendance on the client.				
		W0111	An attendance of not more than 15 minutes duration	$39.00	
		W0112	An attendance of more than 15 minutes duration but not more than 30 minutes duration	$58.50	
		W0113	An attendance of more than 30 minutes duration but not more than 45 minutes duration	$97.50	
		W0114	An attendance of more than 45 minutes duration but not more than 75 minutes duration	$156.00	
		W0115	An attendance of more than 75 minutes duration but not more than 105 minutes duration	$234.00	
		W0116	An attendance of more than 105 minutes duration but not more than 135 minutes duration	$312.00	
		W0117	An attendance of more than 135 minutes duration	$353.60	
Consultations					
	Treatment and intervention by a psychologist involving the psychologist's attendance on the client.				
	Initial attendance				
		W0101	An attendance of not more than 15 minutes duration	$39.00	
		W0102	An attendance of more than 15 minutes duration but not more than 30 minutes duration	$58.50	
		W0103	An attendance of more than 30 minutes duration but not more than 45 minutes duration	$97.50	
		W0104	An attendance of more than 45 minutes duration but not more than 75 minutes duration	$156.00	
		W0105	An attendance of more than 75 minutes duration	$195.00	
	Subsequent attendance				
		W0121	An attendance of not more than 15 minutes duration	$39.00	
		W0122	An attendance of more than 15 minutes duration but not more than 30 minutes duration	$58.50	
		W0123	An attendance of more than 30 minutes duration but not more than 45 minutes duration	$97.50	
		W0124	An attendance of more than 45 minutes duration but not more than 75 minutes duration	$156.00	
		W0125	An attendance of more than 75 minutes duration	$195.00	
Group therapy					
	Group therapy under the continuous direct supervision of a psychologist.				
	Group therapy (minimum of 2 clients, maximum of 9 clients)				
		W1704	Group therapy of more than 45 minutes duration and not more than 75 minutes duration	$30.75 (each client)	
		W1705	Group therapy of more than 75 minutes duration and not more than 105 minutes duration	$47.25 (each client)	
		W1706	Group therapy of more than 105 minutes duration and not more than 135 minutes duration	$62.65 (each client)	
		W1707	Group therapy of more than 135 minutes duration	$69.75 (each client)	
	Family group therapy (2 clients)				
		W1724	Family group therapy of more than 45 minutes duration and not more than 75 minutes duration	$78.00 (each client)	
		W1725	Family group therapy of more than 75 minutes duration and not more than 105 minutes duration	$117.00 (each client)	
		W1726	Family group therapy of more than 105 minutes duration and not more than 135 minutes duration	$156.00 (each client)	
		W1727	Family group therapy of more than 135 minutes	$176.10 (each client)	
	Family group therapy (3 or more clients)				
		W1714	Family group therapy of more than 45 minutes duration and not more than 75 minutes duration	$52.00 (each client)	
		W1715	Family group therapy of more than 75 minutes duration and not more than 105 minutes duration	$78.00 (each client)	
		W1716	Family group therapy of more than 105 minutes duration and not more than 135 minutes duration	$104.00 (each client)	
		W1717	Family group therapy of more than 135 minutes duration	$117.00 (each client)	
Interview of a person other than a client					
	Interview by a psychologist of a person other than a client (eg spouse, employer, supervisor) for the purposes of obtaining information crucial to the treatment and management of the injury. The psychologist must be able to provide clear justification for this service, if requested.				
		W0131	Interview of a person other than a client, not more than 15 minutes duration	$39.00	
		W0132	Interview of a person other than a client, more than 15 minutes duration but not more than 30 minutes duration	$58.50	
		W0133	Interview of a person other than a client, more than 30 minutes duration but not more than 45 minutes duration	$97.50	
		W0134	Interview of a person other than a client, more than 45 minutes duration but not more than 75 minutes duration	$156.00	
		W0135	Interview of a person other than a client, more than 75 minutes duration	$195.00	
Independent clinical assessment					
	Services provided by a psychologist other than the treating psychologist comprising—
	•	a review of the worker's psychological/medical history; and
	•	clinical assessment of the worker; and
	•	preparation of a report,
for the purpose of clarifying the worker's current psychological/psychosocial status and barriers to return to work, and providing advice on appropriate treatment or management.
The report may be requested in writing by—
	•	a claims agent or self-insured employer; or
	•	a worker or worker's representative.				
		W0780	Independent clinical assessment	$156.00 per hour	
Vocational assessment					
	A vocational assessment of a worker by a psychologist to identify potential and alternative career and employment options carried out by means of integrated clinical and standardised assessment procedures and instruments.				
		WV111	Vocational assessment, an attendance of not more than 15 minutes duration	$39.00	
		WV112	Vocational assessment, an attendance of more than 15 minutes duration but not more than 30 minutes duration	$58.50	
		WV113	Vocational assessment, an attendance of more than 30 minutes duration but not more than 45 minutes duration	$97.50	
		WV114	Vocational assessment, an attendance of more than 45 minutes duration but not more than 75 minutes duration	$156.00	
		WV115	Vocational assessment, an attendance of more than 75 minutes duration but not more than 105 minutes duration	$234.00	
		WV116	Vocational assessment, an attendance of more than 105 minutes duration but not more than 135 minutes duration	$312.00	
		WV117	Vocational assessment, an attendance of more than 135 minutes duration	$353.60	
Reports					
	Vocational report
A vocational report by a psychologist providing advice on factors affecting occupational options following a vocational assessment. These factors may include—
	•	psychosocial factors such as beliefs, motivation, attitude and personality
	•	skills and abilities
	•	cultural, religious or ethnic factors
	•	socio-economic context
	•	medical status
	•	education
	•	advice on strategies to assist in the return to work process.
The report may include responses to specific questions asked by the claims agent or self-insured employer.				
		WRV20	Vocational report, to provide advice on factors affecting occupational options following vocational assessment—First page	$125.00	
			Second and subsequent pages	$62.00	
	Other reports
Report by a psychologist, other than a report of an independent clinical assessment or a vocational report, requested by a claims agent, self-insured employer, worker or worker's representative.				
		Comprehensive report
A report will be taken to be comprehensive when re-examination of the patient is a prerequisite for the preparation of the report.			
		WR020	Comprehensive report—first page	$125.00	
			Second and subsequent pages	$62.00	
		Standard report
A report will be taken to be standard when re-examination of the worker is not required and the report is based on a transcription of existing clinical records.			
		WRT20	Standard report—first page	$93.00	
			Second and subsequent pages	$47.00	
	For the purposes of the charges for vocational and other reports—
	(a)	a page means a page of A4 paper that complies with the following:
	(i)	a top margin of no more than 2 centimetres;
	(ii)	a bottom margin of no more than 2 centimetres;
	(iii)	side margins of no more than 2.5 centimetres;
	(iv)	line spacing of no more than 1.5 centimetres;
	(v)	more than 75% of the lines on the page contain text; and
	(b)	if a page complies with (a) except (a)(v), the charge will be reduced as follows:
	(i)	if 25% or less of the lines on the page contain text, the charge is 25% of the charge otherwise payable;
	(ii)	if more than 25% but not more than 50% of the lines on the page contain text, the charge is 50% of the charge otherwise payable;
	(iii)	if more than 50% but not more than 75% of the lines on the page contain text, the charge is 75% of the charge otherwise payable.				
Telephone calls					
	Calls of a case specific nature made by a psychologist to, or received by a psychologist from, the worker's referring/treating medical expert, worker's employer, rehabilitation provider, claims agent or self-insured employer, WorkCover provider consultant or worker's representative, excluding—
	(a)	calls made during a consultation; and
	(b)	calls of a duration of 3 minutes or less.
There is no charge for a telephone call to or from a worker.				
		W0180	Telephone calls greater than 3 minutes	$2.60 per minute	
Travel					
	A return trip approved by a claims agent or self-insured employer by a treating psychologist from the treating psychologist's rooms to another place for the purpose of a home, hospital or worksite visit or case conference.				
		WT001	Travel time	$156.00 per hour	
Case conference					
	Case conference, attended by a psychologist and authorised by a claims agent or self-insured employer, for the purpose of determining—
	•	details of limitations/recommendations relating to a sustainable return to work
	•	options for management of a worker's recovery
	•	other related information
A case conference may be requested by—
	•	a treating medical expert
	•	an employer
	•	a worker or worker's representative
	•	a claims agent or self-insured employer
	•	a rehabilitation provider contracted by WorkCover.				
		W0130	Case Conference	$156.00 per hour	
		The hourly rate excludes travelling time from rooms or other appropriate departure point to the venue and return. Travel may be charged separately.			
Non-scheduled services					
	A service of a kind not listed above provided by a psychologist and authorised by a claims agent or self-insured employer prior to the delivery of the service as being necessary, appropriate and reasonably required.				
		W9999	Non scheduled services	$156.00 per hour	

Schedule 4—Scales of charges—speech pathologists
This Schedule must be read in conjunction with the Speech Pathology Fee Schedule Guidelines.

	Item No	Service description	Maximum charge
(excl GST)	
Consultations				
	Initial consultation			
	An initial consultation by a speech pathologist involving some or all of the following elements:			
		•	the taking of a detailed case history;
	•	counselling (according to the worker's emotional needs);
	•	determination of options for ongoing management following assessment;
	•	consideration and implementation of appropriate treatment;
	•	administration of a standardised clinical assessment or an empirical clinical assessment;
	•	assessment of the ability of the worker to communicate at the worker's workplace;
	•	evaluation and analysis of assessment results.			
	The initial consultation will be designed to form the basis of the diagnosis and assist in prognostic indications and treatment planning.			
	E0149	Standard initial consultation of up to 1.5 hours duration.	$133.10 per hour	
	E0151	Extended initial consultation of more than 1.5 hours duration (up to a maximum time chargeable of 2.5 hours).	$133.10 per hour	
	Subsequent consultation			
	A subsequent consultation by a speech pathologist involving treatment and intervention designed to restore the worker's function to optimal levels. The consultation may involve—
	(a)	tasks specifically related to skill development;
	(b)	counselling to facilitate adjustment and transfer of restored skill to everyday communicative situations.			
	E0249	Subsequent consultation of up to 1 hour duration.	$133.10 per hour	
Reports				
	E0810	Comprehensive report	$266.20	
		A report by a treating speech pathologist, relating to the status of a claim and comprising a clinical opinion or statement or a response to specific questions, that has been requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.		
		A report will be taken to be comprehensive when re-examination of the worker is a prerequisite for the preparation of the report.
The consultation should be charged in accordance with the appropriate item.		
	E0820	Standard report	$199.70	
		A report by a treating speech pathologist, relating to the status of a claim and comprising a clinical opinion or statement or a response to specific questions, that has been requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.		
		A report will be taken to be standard when re-examination of the worker is not required and the report is based on a transcription of existing clinical records.		
Telephone calls				
	E0850	Telephone call greater than 3 minutes	$2.20 per minute	
		Calls of a case specific nature made by a speech pathologist to, or received by a speech pathologist from, the worker’s referring/treating medical expert, rehabilitation provider contracted by WorkCover, claims agent or self-insured employer, employer (if not self-insured), WorkCover provider consultant or the worker's representative excluding—
	(a)	calls made during a consultation; and
	(b)	calls of a duration of 3 minutes or less.		
		There is no charge for a telephone call to or from a worker.		
Case conference				
	E0870	Case conference	$133.10 per hour	
		Case conference, attended by a speech pathologist and authorised by a claims agent or self-insured employer, for the purpose of determining—
	•	details of limitations/recommendations relating to a sustainable return to work;
	•	options for management of a worker's recovery;
	•	other related information.		
		A case conference may be requested by—
	•	a treating medical expert;
	•	a worker or worker's representative;
	•	a claims agent or self-insured employer;
	•	an employer (if not self-insured);
	•	a rehabilitation provider contracted by WorkCover.		
		The hourly rate excludes travelling time from rooms or other appropriate departure point to the venue and return. Travel may be charged separately.		
Travel				
	E0910	Travel time	$113.20 per hour	
		Travel, authorised by a claims agent or self‑insured employer, by a treating speech pathologist for the purposes of—
	•	a case conference; or
	•	a home, hospital or worksite visit; or
	•	a consultation where the worker is otherwise unable to attend the speech pathologist's clinic or rooms.		
		There is no charge for travel from 1 clinic or rooms to another clinic or rooms.		
Non-scheduled services				
	E0999	Non‑scheduled services	$133.10 per hour	
		A service of a kind not listed above, provided by a speech pathologist and authorised by a claims agent or self‑insured employer prior to the delivery of the service as being necessary, appropriate and reasonably required.		

Schedule 5—Scales of charges—occupational therapists
This Schedule must be read in conjunction with the Occupational Therapy Fee Schedule Guidelines.

	Item No	Service description	Maximum charge
(excl GST)	
Consultation (individual worker)				
	OT105	Initial consultation (history, examination and treatment)	$142.80 per hour	
	OT205	Subsequent consultation and treatment
A consultation by an occupational therapist involving some or all of the following elements:
	•	clinical assessment;
	•	clinical treatment;
	•	graded activity/exercise;
	•	pain management;
	•	stress management;
	•	relaxation training;
	•	biomechanical education;
	•	independent living skills training.	$142.80 per hour	
Corrective/serial splinting				
	OT300	Fabrication/fitting/adjustment of splint	$142.80 per hour	
Work simulation (group program)				
	OT502	Work simulation, group program	$39.80 per hour, per worker	
		A graduated program of activities planned and supervised by an occupational therapist used to simulate work conditions and the physical demands of duties.
The program will involve at least 2, and not more than 5, workers and will take place at the occupational therapist's rooms. The program will be highly structured, goal orientated and individualised for each worker.		
		The purpose of the program is to maximise the worker's ability to return to work.
The program will usually be agreed to by the worker to encourage attendance and appropriate behaviour at work.		
Telephone calls				
	OT552	Telephone call greater than 3 minutes	$19.80	
		Calls of a case specific nature made by an occupational therapist to, or received by an occupational therapist from, the worker’s referring/treating medical expert, rehabilitation provider contracted by WorkCover, claims agent or self‑insured employer, employer (if not self‑insured), WorkCover provider consultant or the worker's representative, excluding—
	(a)	calls made during a consultation; and
	(b)	calls of a duration of 3 minutes or less.		
		There is no charge for a telephone call to or from a worker.		
Pain management group program				
	OT602	Pain management, group program	$39.80 per hour, per worker	
		Pain management by way of a group program planned and supervised by an occupational therapist involving at least 2, but not more than 5, workers.		
Functional capacity evaluation				
	OT700	Functional capacity evaluation
The maximum time chargeable is 7 hours.	$142.80 per hour	
		Assessment by an occupational therapist of a worker's work capacity, including—
	(a)	a series of standardised tests of the worker's physical capabilities focussed on selected work tolerances (ie, the observed and measured physical capabilities that affect a worker's ability to perform the physical demands of specified work tasks); and
	(b)	an analysis of the results of the tests to infer the worker's capacity to sustain a given work effort (ie, the worker's capacity to undertake specified work at a prescribed frequency over a given period of time, taking into account the pace compatible with such work); and
	(c)	preparation of a report with an executive summary outlining the major components of the service and relevant findings.		
Worksite assessment				
	OT730	Worksite assessment	$142.80 per hour	
		Attendance by an occupational therapist at a worker's workplace in order to obtain an overview of the workplace and determine the availability of suitable duties.		
Job analysis				
	OT740	Job analysis	$142.80 per hour	
		Job analysis by an occupational therapist, including—
	(a)	an analysis of the critical physical demands of occupational tasks; and
	(b)	determining the worker's capacity to undertake the tasks or giving consideration to available medical guidelines and the occupational therapist's knowledge of the worker's diagnosis, pathology and prognosis; and		
			(c)	making recommendations for—
	(i)	modifying the tasks or the way in which the tasks are undertaken; or
	(ii)	providing aids or equipment; or
	(iii)	introducing work practice guidelines to ensure that the worker utilises appropriate body mechanics; and
	(d)	preparation of a report with an executive summary outlining the major components of the service and relevant findings.		
Graduated return to work program				
	OT750	Graduated return to work program	$142.80 per hour	
		A program of work duties and work practice guidelines for a worker designed by an occupational therapist to increase the worker’s tolerance for the physical demands of work.		
		The purpose of the program is to assist the worker to maintain his or her employment while undertaking rehabilitation.
The program will involve actual and productive work duties identified by the occupational therapist as being within the worker's capacity and work practice guidelines relevant to the nature of the worker's injury and the performance of the particular duties.		
Activities of daily living assessment				
	OT760	Activities of daily living assessment	$142.80 per hour	
		Assessment by an occupational therapist, usually conducted in a worker's home environment, of the worker's level of functioning in relation to personal care, household tasks and recreational and social activities.		
		The purpose of the assessment is to facilitate the reduction of the adverse impact of the injury on the worker and the early return of the worker to normal activity, and to provide an indicator of functional tolerances for determining work capacity.		
Independent clinical assessment				
	OT780	Independent clinical assessment and report	$142.80 per hour	
		Service provided by an occupational therapist other than the treating occupational therapist comprising—
	(a)	a review of the worker's medical history; and
	(b)	a clinical assessment; and
	(c)	a review of the worker's activity and functional capacity; and
	(d)	preparation of a report,
for the purpose of providing a different diagnosis or making recommendations in relation to ongoing treatment goals, the worker's return to work and any other relevant matters.		
		The report will have been requested in writing by—
	(a)	a claims agent or self‑insured employer; or
	(b)	a worker or worker's representative.		
		This service is NOT to be performed by the treating occupational therapist.		
Functional estimation form				
	OT785	Functional estimation form	$19.80	
		Completion by an occupational therapist of a functional estimation form (in a form approved by the Corporation) and provision of the form to a worker's referring/treating medical expert. The form is completed when information directly affecting the worker's capacity to return to work or the process of the worker returning to work is identified by the occupational therapist.		
Reports				
	OT810	Comprehensive report	$214.10	
		A report by a treating occupational therapist, relating to the status of a claim and comprising a clinical opinion or statement or a response to specific questions, that has been requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.		
		A report will be taken to be comprehensive when re‑examination of the worker is a prerequisite for the preparation of the report.
The consultation should be charged in accordance with the appropriate item.		
	OT820	Standard report	$142.80	
		A report by a treating occupational therapist, relating to the status of a claim and comprising a clinical opinion or statement or a response to specific questions, that has been requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.		
		A report will be taken to be standard when re-examination of the worker is not required and the report is based on a transcription of existing clinical records.		
Case conference				
	OT870	Case conference	$142.80 per hour	
		Case conference, attended by an occupational therapist and authorised by a claims agent or self‑insured employer, for the purpose of determining—
	•	details of limitations/recommendations relating to a sustainable return to work;
	•	options for management of a worker's recovery;
	•	other related information.		
		A case conference may be requested by—
	•	a treating medical expert;
	•	a worker or worker's representative;
	•	a claims agent or self‑insured employer;
	•	an employer (if not self-insured);
	•	a rehabilitation provider contracted by WorkCover.		
		The hourly rate excludes travelling time from rooms or other appropriate departure point to the venue and return. Travel may be charged separately.		
Travel				
	OT905	Travel time	$121.30 per hour	
		Travel, authorised by a claims agent or self‑insured employer, by a treating occupational therapist for the purposes of—
	(a)	a case conference; or
	(b)	a home, hospital or worksite visit; or
	(c)	consultation where the worker is otherwise unable to attend the occupational therapist's clinic or rooms.		
		There is no charge for travel from 1 clinic or rooms to another clinic or rooms.		
Non-scheduled services				
	OT999	Non‑scheduled services	$142.80 per hour	
		A service of a kind not listed above provided by an occupational therapist and authorised by a claims agent or self‑insured employer prior to the delivery of the service as being necessary, appropriate and reasonably required.		

Schedule 6—Scales of charges—chiropractors
This Schedule supersedes the scale of charges for medical services delivered by a registered chiropractor fixed by notice under section 32 of the Act and published in the Gazette on 29 September 1994 at pages 887 to 895.
This Schedule must be read in conjunction with the Chiropractic Fee Schedule Guidelines.

		Item No	Service description		Maximum charge
(excl GST)	
Consultations						
	Consultation by a chiropractor involving the chiropractor's attendance on the client.
The initial consultation may involve 2 separate attendances on the same day. For example, a second attendance might be required for the interpretation of test data (such as x-rays).					
		Initial consultation				
		C0001	Initial consultation, involving review of medical history and examination but no treatment, of more than 15 minutes duration but not more than 30 minutes duration		$50.00	
		C0002	Initial consultation, involving review of medical history, examination and treatment, of more than 15 minutes duration but not more than 30 minutes duration		$60.00	
		Subsequent consultation				
		C0005	Subsequent consultation and treatment, of not more than 15 minutes duration		$36.50	
		C0006	Subsequent consultation and treatment, of more than 15 minutes duration but not more than 30 minutes duration		$50.00	
		C0007	Subsequent consultation and treatment involving re-examination with treatment, of more than 30 minutes duration but not more than 45 minutes duration		$83.35	
		After hours consultation
If a consultation takes place on a public holiday, a Sunday, a Saturday before 8am or after 1pm, or on any other day before 8am or after 8pm, the following charge applies instead of the charges listed above.				
		C0008	After hours consultation of more than 15 minutes duration but not more than 30 minutes duration		$66.65	
Independent clinical assessment						
	Services provided by a chiropractor other than the treating chiropractor comprising—
	(a)	a review of the worker's medical history; and
	(b)	a clinical assessment; and
	(c)	an evaluation of the worker's functional capacity; and
	(d)	preparation of a report,
for the purpose of providing a different diagnosis or making recommendations in relation to treatment goals, the worker's return to work or any other relevant matters.
The report may be requested in writing by—
	(a)	a claims agent or self-insured employer; or
	(b)	a worker or worker's representative.					
		C0078	Independent clinical assessment		$146.00 per hour	
Travel						
	Travel authorised by a claims agent or self-insured employer by a treating chiropractor for the purposes of—
	(a)	a case conference; or
	(b)	a home, hospital or worksite visit; or
	(c)	a consultation where the client is otherwise unable to attend the chiropractor's clinic or rooms.
There is no charge for travel from 1 clinic or rooms to another clinic or rooms.					
		C0900	Travel time		$146.00 per hour	
Telephone calls						
	Calls of a case specific nature made by a chiropractor to, or received by a chiropractor from, the worker's referring/treating medical expert, worker's employer, rehabilitation provider, claims agent or self-insured employer, WorkCover provider consultant or worker's representative, excluding—
	(a)	calls made during a consultation; and
	(b)	calls of a duration of 3 minutes or less.
There is no charge for a telephone call to or from a worker.					
		C00R3	Telephone calls greater than 3 minutes		$2.43 per minute	
Reports						
	Report by chiropractor, other than a report of an independent clinical assessment, requested by a claims agent, self-insured employer, worker or worker's representative.					
		Comprehensive reports
A report will be taken to be comprehensive when re-examination of the patient is a prerequisite for the preparation of the report.
The consultation should be charged in accordance with the appropriate item.
A comprehensive report is chargeable on an hourly basis with a maximum time chargeable of 1.5 hours.				
		C00R4	Comprehensive reports		$146.00 per hour	
		Standard reports
A report will be taken to be standard when re-examination of the worker is not required and the report is based on a transcription of existing clinical records.
A standard report is chargeable on an hourly basis with a maximum time chargeable of 1 hour.				
		C00R5	Standard reports		$146.00 per hour	
Case conference						
		Case conference, attended by a chiropractor and authorised by a claims agent or self-insured employer, for the purpose of determining—
	•	details of limitations/recommendations relating to a sustainable return to work
	•	options for management of a worker’s recovery
	•	other related information.
A case conference may be requested by—
	•	a treating medical expert
	•	an employer
	•	a worker or worker’s representative
	•	a claims agent or self-insured employer
	•	a rehabilitation provider contracted by WorkCover.				
		C00R6	Case conference		$146.00 per hour	
		The hourly rate excludes travelling time from rooms or other appropriate departure point to the venue and return. Travel may be charged separately.				
Radiological services (including interpretation by chiropractor)						
		C0011	Cervical spine	2 views	$113.30	
		C0013	Thoracic spine	2 views	$96.30	
		C0015	Lumbo-sacral spine	3-6 views	$132.90	
		C0016	Sacro-coccygeal area	2 views	$80.30	
		C0027	Hip joint		$86.50	
		C0028	Pelvic girdle		$109.20	
Non-scheduled services						
		A service (other than a radiological service) of a kind not listed above provided by a chiropractor and authorised by a claims agent or self-insured employer prior to the delivery of the service as being necessary, appropriate and reasonably required.				
		C9999	Non-scheduled services		$146.00 per hour	

Legislative history
Notes
	•	Variations of this version that are uncommenced are not incorporated into the text.
	•	Please note—References in the legislation to other legislation or instruments or to titles of bodies or offices are not automatically updated as part of the program for the revision and publication of legislation and therefore may be obsolete.
	•	Earlier versions of these regulations (historical versions) are listed at the end of the legislative history.
	•	For further information relating to the Act and subordinate legislation made under the Act see the Index of South Australian Statutes or www.legislation.sa.gov.au.
Principal regulations and variations
New entries appear in bold.
Year	No	Reference	Commencement	
1995	206	Gazette 16.11.1995 p1370	16.11.1995: r 2	
1995	226	Gazette 14.12.1995 p1687	14.12.1995: r 2	
1996	247	Gazette 28.11.1996 p1777	28.11.1996: r 2	
1997	48	Gazette 24.4.1997 p1645	24.4.1997: r 2	
1997	133	Gazette 15.5.1997 p2293	15.5.1997: r 2	
1997	230	Gazette 27.11.1997 p1456	29.11.1997: r 2	
1999	9	Gazette 4.2.1999 p855	4.2.1999: r 2	
1999	269	Gazette 23.12.1999 p3835	23.12.1999: r 2	
2000	4	Gazette 20.1.2000 p458	7.2.2000: r 2	
2000	25	Gazette 30.3.2000 p1933	31.3.2000: r 2	
2000	141	Gazette 22.6.2000 p3370	22.6.2000: r 2	
2002	184	Gazette 26.9.2002 p3540	1.10.2002: r 2	
2004	32	Gazette 20.5.2004 p1331	20.6.2004: r 2 	
2004	237	Gazette 11.11.2004 p4312	11.11.2004: r 2 	
2005	276	Gazette 15.12.2005 p4347	16.1.2006: r 2	
2006	2	Gazette 12.1.2006 p57	23.1.2006: r 2	
2006	227	Gazette 28.9.2006 p3374	28.10.2006: r 2	
2007	55	Gazette 3.5.2007 p1462	1.7.2007: r 2	
2008	13	Gazette 7.2.2008 p404	7.2.2008: r 2	
2008	43	Gazette 1.5.2008 p1541	1.5.2008: r 2	
2008	185	Gazette 26.6.2008 p2660	1.7.2008: r 2	
Provisions varied
New entries appear in bold.
Entries that relate to provisions that have been deleted appear in italics.
Provision	How varied	Commencement	
r 2	omitted under the Legislation Revision and Publication Act 2002	20.6.2004	
r 3			
r 3(1)	r 3 redesignated as r 3(1) by 237/2004 r 4	11.11.2004	
chiropractor	inserted by 2/2006 r 4	23.1.2006	
Claims Agent	deleted by 276/2005 r 4(1)	16.1.2006	
claims agent	inserted by 276/2005 r 4(1)	16.1.2006	
day surgery facility	inserted by 13/2008 r 4(1)	7.2.2008	
GST	inserted by 141/2000 r 3	22.6.2000	
GST law	inserted by 141/2000 r 3	22.6.2000	
occupational therapist	inserted by 276/2005 r 4(2)	16.1.2006	
physiotherapist	inserted by 276/2005 r 4(2)	16.1.2006	
private hospital	inserted by 13/2008 r 4(2)	7.2.2008	
psychologist	inserted by 276/2005 r 4(2)	16.1.2006	
same day	inserted by 13/2008 r 4(3)	7.2.2008	
self-insured employer	inserted by 276/2005 r 4(2)	16.1.2006	
Self-Managed Employer	deleted by 276/2005 r 4(2)	16.1.2006	
r 3(2)	inserted by 237/2004 r 4	11.11.2004	
r 3(3)	inserted by 227/2006 r 4	28.10.2006	
r 3A	inserted by 276/2005 r 5	16.1.2006	
	varied by 43/2008 r 4	1.5.2008	
r 4 before substitution by 276/2005			
r 4(1)	r 4 amended and redesignated as r 4(1) by 247/1996 r 3	28.11.1996	
	varied by 141/2000 r 4(a)	22.6.2000	
r 4(2)	inserted by 247/1996 r 3(b)	28.11.1996	
	varied by 141/2000 r 4(b)	22.6.2000	
r 4	substituted by 276/2005 r 5	16.1.2006	
	varied by 13/2008 r 5	7.2.2008	
r 5	varied by 141/2000 r 5	22.6.2000	
	varied by 276/2005 r 6(1)—(3)	16.1.2006	
r 6	inserted by 226/1995 r 3	14.12.1995	
	varied by 141/2000 r 6	22.6.2000	
	substituted by 276/2005 r 7	16.1.2006	
r 7	inserted by 133/1997 r 3	15.5.1997	
	varied by 141/2000 r 7	22.6.2000	
	varied by 276/2005 r 8(1)—(3)	16.1.2006	
r 8	inserted by 25/2000 r 3	31.3.2000	
	varied by 141/2000 r 8	22.6.2000	
	varied by 276/2005 r 9(1)—(4)	16.1.2006	
r 8A	inserted by 2/2006 r 5	23.1.2006	
r 9	inserted by 141/2000 r 9	22.6.2000	
	substitution by 276/2005 r 10	16.1.2006	
r 10	inserted by 237/2004 r 5	11.11.2004	
Sch 1	substituted by 247/1996 r 4	28.11.1996	
	substituted by 230/1997 r 3	29.11.1997	
	substituted by 9/1999 r 3	4.2.1999	
	substituted by 269/1999 r 3	23.12.1999	
	substituted by 184/2002 r 3	1.10.2002	
	substituted by 276/2005 r 11	16.1.2006	
	substituted by 13/2008 r 6	7.2.2008	
Sch 1A	inserted by 247/1996 r 4	28.11.1996	
	varied by 48/1997 r 3	24.4.1997	
	substituted by 230/1997 r 3	29.11.1997	
	substituted by 9/1999 r 3	4.2.1999	
	substituted by 269/1999 r 3	23.12.1999	
	substituted by 184/2002 r 3	1.10.2002	
	deleted by 276/2005 r 11	16.1.2006	
Sch 2	substituted by 4/2000 r 3	7.2.2000	
	substituted by 32/2004 r 4 (Sch 1)	20.6.2004	
	varied by 276/2005 r 12(1)—(3)	16.1.2006	
	substituted by 227/2006 r 5	28.10.2006	
	substituted by 55/2007 r 4	1.7.2007	
Sch 3	inserted by 226/1995 r 4	14.12.1995	
	substituted by 276/2005 r 13	16.1.2006	
Sch 4	inserted by 133/1997 r 4	15.5.1997	
	varied by 276/2005 r 14(1)—(4)	16.1.2006	
	substituted by 227/2006 r 6	28.10.2006	
	substituted by 55/2007 r 5	1.7.2007	
Sch 5	inserted by 25/2000 r 4	31.3.2000	
	substituted by 237/2004 r 6	11.11.2004	
	heading varied by 276/2005 r 15	16.1.2006	
	substituted by 227/2006 r 6	28.10.2006	
	substituted by 55/2007 r 5	1.7.2007	
Sch 6	inserted by 2/2006 r 6	23.1.2006	
	varied by 227/2006 r 7	28.10.2006	
Historical versions
Reprint No 1—14.12.1995		
Reprint No 2—28.11.1996		
Reprint No 3—24.4.1997		
Reprint No 4—15.5.1997		
Reprint No 5—29.11.1997		
Reprint No 6—4.2.1999		
Reprint No 7—23.12.1999		
Reprint No 8—7.2.2000		
Reprint No 9—30.3.2000		
Reprint No 10—22.6.2000		
Reprint No 11—1.10.2002		
20.6.2004		
11.11.2004		
16.1.2006		
23.1.2006		
28.10.2006		
1.7.2007		
7.2.2008