100010000601.07.2026 O Y Y 2001.07.202600108.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - A one-on-one subsequent consultation in the 5001.07.2026treatment of work-related injuries or conditions. The first five (5) 5001.07.2026consultations (including initial consultation) are pre-approved, provided the 5001.07.2026injuries have not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment (subjective and 5001.07.2026objective), intervention/treatment, setting expectations of recovery and 5001.07.2026return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same worker on the same day. 100010002101.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - A one-on-one initial consultation in the treatment of 5001.07.2026work-related injuries or conditions, or the first consultation in a new 5001.07.2026episode of care for the same work-related injuries or conditions. Services to 5001.07.2026be conducted in accordance with the Clinical Framework for the Delivery of 5001.07.2026Health Services. Initial consultation may include subjective assessment, 5001.07.2026objective assessment, treatment/service, tailored goal setting and treatment 5001.07.2026planning, setting expectations of recovery and return to work, clinical 5001.07.2026recording, communication with the referrer and insurer about any relevant 5001.07.2026information for the worker's rehabilitation. Please note: A provider cannot 5001.07.2026bill for multiple initial consultations or multiple subsequent consultations 5001.07.2026for the same worker on the same day. 100010010601.07.2026 O Y Y 2001.07.202600058.0000000.0000000.00 5001.07.2026GROUP EXERCISE SESSIONS - A session where a common program is delivered to 5001.07.2026more than one individual at the same time. The group can consist of a maximum 5001.07.2026of eight (8) persons. The group session must be attended, conducted, and 5001.07.2026supervised by a physiotherapist. 100010022601.07.2026 H Y Y 2001.07.202600288.0000000.0000000.00 5001.07.2026INDEPENDENT CASE REVIEW - An independent physiotherapy examination and report 5001.07.2026on a worker. It is not carried out by the treating physiotherapist. The review 5001.07.2026is requested by the insurer where progress of treatment and/or rehabilitation 5001.07.2026falls outside the plan or expected course of injury management. The 5001.07.2026examination and report provide the insurer with an assessment and 5001.07.2026recommendations for ongoing treatment and prognosis. 100010028701.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SPECIALISED HAND/UPPER LIMB CONSULTATION- PHYSIOTHERAPIST ONLY - A one-on-one 5001.07.2026consultation and treatment for workers with hand and upper limb work-related 5001.07.2026injuries or conditions (below shoulder level). Treatment offered is considered 5001.07.2026hand therapy provided by a qualified hand therapist. Further details about 5001.07.2026qualifications are provided below the tables. The first five (5) consultations 5001.07.2026(including the initial consultation) are pre-approved, provided the injury or 5001.07.2026condition has not previously been treated by an allied health provider. 5001.07.2026Maximum one (1) hour. Prior insurer approval is required for sessions 5001.07.2026exceeding one (1) hour. The provider will be required to provide clinical 5001.07.2026justification and reasoning for sessions exceeding one (1) hour. Please note: 5001.07.2026A provider cannot bill for multiple consultations for the same worker on the 5001.07.2026same day. 100010031401.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - WORK SPECIFIC FUNCTIONAL EXERCISE PROGRAM - Initial 5001.07.2026development and instruction of a gym/pool-based exercise program focussed on 5001.07.2026improving function of the work-related injury or condition, relevant to the 5001.07.2026work role. The aim of this program is for a successful transition of the 5001.07.2026workers program to a gym/pool-based setting in order to meet their work 5001.07.2026specific functional goals. This service may only be charged once for 5001.07.2026development of an exercise program to meet the workers work specific 5001.07.2026functional goals. Refer to Item Number 300228 for Gym and Pool Entry Fees. The 5001.07.2026entire consultation must be one-on-one with the worker. Maximum one (1) hour. 5001.07.2026Please note: A provider cannot bill for multiple initial consultations or 5001.07.2026multiple subsequent consultations for the same injured worker on the same day. 100010040201.07.2026 O Y Y 2001.07.202600173.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - WORK SPECIFIC FUNCTIONAL EXERCISE PROGRAM - A 5001.07.2026one-on-one consultation with the worker for ongoing monitoring, review and 5001.07.2026progression of a gym/pool-based exercise program as developed during initial 5001.07.2026consultation (100314). The focus must be on improving function of the 5001.07.2026work-related injury or condition relevant to the work role and include 5001.07.2026education and progression to self-management. Any additional treatment 5001.07.2026required beyond the initial consultation (100314) will require the submission 5001.07.2026of a Provider Management Plan (PMP). Minimum 45 minutes per consultation. 5001.07.2026Please note: A provider cannot bill for multiple initial consultations or 5001.07.2026multiple subsequent consultations for the same injured worker on the same day. 100010040601.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SPECIFIC PHYSIOTHERAPY ASSESSMENT - A one-on-one assessment used for specific 5001.07.2026conditions that cannot be adequately assessed, due to the complexity of the 5001.07.2026condition, within an initial consultation (100021 and 100314 for work specific 5001.07.2026functional exercise program). These may include, but are not limited to 5001.07.2026extensive burns, acquired brain injuries, severe spinal cord injuries, 5001.07.2026multiple orthopaedic fractures, limb amputations, crush injuries. This service 5001.07.2026can also be used for the assessment (only) of suitability for entry into a 5001.07.2026Multi-Disciplinary Program or Pain Management Program. The service may only be 5001.07.2026used once by the physiotherapist in the treatment of a work-related injury or 5001.07.2026condition, or the first consultation in a new episode of care for the same 5001.07.2026work-related injury or condition. Maximum one (1) hour. Please note: A 5001.07.2026provider cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. 100010040701.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SPECIFIC PHYSIOTHERAPY CONSULTATION - A one-on-one consultation for 5001.07.2026recommended interventions identified during a Specific Physiotherapy 5001.07.2026Assessment (100406). These may include, but are not limited to extensive 5001.07.2026burns, acquired brain injuries, severe spinal cord injuries, multiple 5001.07.2026orthopaedic fractures, limb amputations, crush injuries. Please note: This 5001.07.2026service is not to be used for ongoing consultations within a 5001.07.2026Multi-Disciplinary Program and/or Pain Management Program. This service must 5001.07.2026not be already classified elsewhere in this Table of Costs. A Provider 5001.07.2026Management Plan (PMP) is to be submitted following the initial assessment 5001.07.2026(100406). The insurer may request justification and will consider seeking an 5001.07.2026independent opinion if more than six (6) consultations are requested per 5001.07.2026episode of care. Maximum one (1) hour. Please note: A provider cannot bill for 5001.07.2026multiple initial assessments or multiple subsequent consultations for the same 5001.07.2026worker on the same day. 100010050001.07.2026 H Y Y 2001.07.202600363.0000000.0000000.00 5001.07.2026SPECIALIST PHYSIOTHERAPIST (TIER 3) INTERVENTION - Treatment provided by a 5001.07.2026Specialist Physiotherapist (Tier 3) must be aligned with their qualifications 5001.07.2026specific to the work-related injuries they are treating. A copy of these 5001.07.2026qualifications must be provided to the insurer prior to undertaking services. 5001.07.2026Specialist Physiotherapy consultations are approved at the Specialist 5001.07.2026Physiotherapist rate, except for specified services. The first five (5) 5001.07.2026consultations (including initial consultation) are pre-approved, provided the 5001.07.2026injuries or conditions have not previously been treated by an allied health 5001.07.2026provider. 100010055501.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026REASSESSMENT OR PROGRAM REVIEW - A one-on-one comprehensive assessment used 5001.07.2026when: the worker has been in active rehabilitation for at least six (6) weeks 5001.07.2026and further treatment is likely and/or, there are new clinical findings that 5001.07.2026might affect ongoing treatment and/or, there is a rapid change in worker's 5001.07.2026status and/or, there is no response to current therapeutic interventions. It 5001.07.2026should include all components of initial consultation, a review of the workers 5001.07.2026progress based on established objective measures, a recommendation for future 5001.07.2026treatment and management strategies to assist the worker to return to work. It 5001.07.2026may include referral recommendations to other providers, a change in therapy 5001.07.2026or outcome direction requiring a new return to work goal. Following 5001.07.2026reassessment submit a Provider Management Plan (PMP). Please note: A provider 5001.07.2026cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. 100020001101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026COMPREHENSIVE ORAL EXAMINATION (ADA 011) - Insurer prior approval required. A 5001.07.2026comprehensive evaluation and recording of the current status of the dentition, 5001.07.2026mouth and associated structures performed on a patient. This applies to new 5001.07.2026patients, established patients who have had a significant change in health 5001.07.2026conditions, or established patients who have been absent from active treatment 5001.07.2026for two or more years. This may require interpretation of information acquired 5001.07.2026through additional diagnostic procedures reported and itemised separately. 5001.07.2026This evaluation includes recording an appropriate oral and medical history and 5001.07.2026any other relevant information. Usual practice fee applies. 100020001201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026PERIODIC ORAL EXAMINATION (ADA 012) - Insurer prior approval required. An 5001.07.2026evaluation of the dentition, mouth and associated structures performed on a 5001.07.2026patient of record to determine any changes in the patients oral and medical 5001.07.2026health status since a previous comprehensive or periodic examination. This may 5001.07.2026require interpretation of information acquired through additional diagnostic 5001.07.2026procedures reported and itemised separately. Usual practice fee applies. 100020001301.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026ORAL EXAMINATION - LIMITED (ADA 013) - Insurer prior approval required. A 5001.07.2026limited evaluation of the dentition, mouth and associated structures performed 5001.07.2026on a patient. This may be for a specific oral health problem or complaint. 5001.07.2026This may require interpretation of information acquired through additional 5001.07.2026diagnostic procedures reported and itemised separately. This evaluation 5001.07.2026includes recording an appropriate oral and medical history and any other 5001.07.2026relevant information. Usual practice fee applies. 100020001401.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026CONSULTATION (<30 MINUTES) (ADA 014) - Insurer prior approval required. A 5001.07.2026consultation to seek advice or discuss treatment options regarding a specific 5001.07.2026dental or oral condition. This consultation includes recording an appropriate 5001.07.2026medical history and any other relevant information. Usual practice fee 5001.07.2026applies. 100020001501.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026CONSULTATION - EXTENDED (30 MINUTES) (ADA 015) - Insurer prior approval 5001.07.2026required. An extended consultation to seek advice or discuss treatment options 5001.07.2026about a specific dental or oral complaint. This consultation includes 5001.07.2026recording an appropriate medical history and any other relevant information. 5001.07.2026Usual practice fee applies. 100020002201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026INTRAORAL PERIAPICAL OR BITEWING RADIOGRAPH (ADA 022) - Insurer prior approval 5001.07.2026required. Taking and interpreting a radiograph made with the film inside the 5001.07.2026mouth. Usual practice fee per exposure applies. 100020002501.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026INTRAORAL RADIOGRAPH - OCCLUSAL, MAXILLARY, MANDIBULAR (ADA 025) - Insurer 5001.07.2026prior approval required. Taking and interpreting a radiograph of the upper and 5001.07.2026or lower jaw using a film placed outside the mouth for example, oblique 5001.07.2026lateral radiograph. Usual practice fee per exposure applies. 100020003701.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026PANORAMIC RADIOGRAPH (OPG) (ADA 037) - Insurer prior approval required. Taking 5001.07.2026and interpreting an extraoral radiograph presenting a panoramic view of part 5001.07.2026or all the mandible and/or the maxilla and/or adjacent structures. Usual 5001.07.2026practice fee per exposure applies. 100020007101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026DIAGNOSTIC MODEL (ADA 071) - Insurer prior approval required. The production 5001.07.2026of a model from an impression or digital data. The model is used for 5001.07.2026examination and treatment planning procedures. This item should not be used to 5001.07.2026describe a working model. Usual practice fee per model applies. 100020031101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026REMOVAL OF A TOOTH OR PART(S) THEREOF (ADA 311) - Insurer prior approval 5001.07.2026required. A procedure consisting of the removal of a tooth or part(s) thereof. 5001.07.2026Usual practice fee applies. 100020031401.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026SECTIONAL REMOVAL OF A TOOTH OR PART(S) THEREOF (ADA 314) - Insurer prior 5001.07.2026approval required The removal of a tooth or part(s) thereof in sections. Bone 5001.07.2026removal may be necessary. Usual practice fee applies. 100020032201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026SURGICAL REMOVAL OF A TOOTH OR FRAGMENT NOT REQUIRING REMOVAL OF BONE OR TOOTH 5001.07.2026DIVISION (ADA 322) - Insurer prior approval required. Removal of a tooth or 5001.07.2026tooth fragment where an incision and the raising of a mucoperiosteal flap are 5001.07.2026required, but where removal of bone or sectioning of the tooth is not 5001.07.2026necessary to remove the tooth. Usual practice fee applies. 100020032301.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026SURGICAL REMOVAL OF A TOOTH OR TOOTH FRAGMENT REQUIRING REMOVAL OF BONE (ADA 5001.07.2026323) - Insurer prior approval required. Removal of a tooth or tooth fragment 5001.07.2026where removal of bone and/or sectioning of the tooth after an incision and the 5001.07.2026raising of a mucoperiosteal flap. The tooth may be removed in sections. Usual 5001.07.2026practice fees applies. 100020035201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026FRACTURE OF MAXILLA OR MANDIBLE - NOT REQUIRING FIXATION (ADA 352) - Insurer 5001.07.2026prior approval required. Conservative treatment of a fracture of the maxilla 5001.07.2026or mandible where there is no marked displacement or mobility of the 5001.07.2026fragments. No physical reduction or fixation is required. Usual practice fee 5001.07.2026applies. 100020038701.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026REPLANTATION AND SPLINTING OF A TOOTH (ADA 387) - Insurer prior approval 5001.07.2026required. Replantation of a tooth that has been avulsed or intentionally 5001.07.2026removed. It may be held in the correct position by splinting. Usual practice 5001.07.2026fee applies per tooth. 100020039901.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026CONTROL OF REACTIONARY OR SECONDARY POST-OPERATIVE HAEMORRHAGE (ADA 399) - 5001.07.2026Insurer prior approval required. This procedure describes the control of 5001.07.2026reactionary or secondary post-operative haemorrhage. Usual practice fee 5001.07.2026applies. 100020041101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026DIRECT PULP CAPPING (ADA 411) - Insurer prior approval required. A procedure 5001.07.2026where an exposed pulp is directly covered with a protective dressing or 5001.07.2026cement. Usual practice fee applies. 100020041901.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026EXTIRPATION OF PULP OR DEBRIDEMENT OF ROOT CANAL(S) - EMERGENCY OR PALLIATIVE 5001.07.2026(ADA 419) - Insurer prior approval required. The partial removal of a tooth 5001.07.2026pulp for one or more of the following reasons: to relieve pain; to perform an 5001.07.2026assessment of root integrity; or to carry out an assessment of the tooth's 5001.07.2026suitability for restoration. Item numbers 415 and/or 416 should not be used at 5001.07.2026the same appointment as 419. Usual practice fee applies. 100020045501.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026ADDITIONAL VISIT FOR IRRIGATION AND/OR DRESSING OF THE ROOT CANAL SYSTEM (ADA 5001.07.2026455) - Insurer prior approval required. Separate appointment for additional 5001.07.2026irrigation of the root canal system and replacement of the intracanal 5001.07.2026dressing/medicament with therapeutic properties that facilitates 5001.07.2026healing/development of the root and periradicular tissues over time. This item 5001.07.2026is not to be used in conjunction with items 411421 or 451453 or 457. Usual 5001.07.2026practice fee applies per tooth. 100020051101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026METALLIC RESTORATION - ONE SURFACE - DIRECT (ADA 511) - Insurer prior approval 5001.07.2026required. Direct metallic restoration involving one surface of a tooth. Usual 5001.07.2026practice fee applies. 100020051201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026METALLIC RESTORATION - TWO SURFACES - DIRECT (ADA 512) - Insurer prior 5001.07.2026approval required. Direct metallic restoration involving two surfaces of a 5001.07.2026tooth. Usual practice fee applies. 100020051301.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026ANY PROSTHODONTIC SERVICE (ADA 611-ADA 779) - Insurer prior approval required. 5001.07.2026Provision of any service from the Prosthodontics chapter of The Australian 5001.07.2026Schedule of Dental Services and Glossary 13th edition. Usual practice fee 5001.07.2026applies. 100020071101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026COMPLETE MAXILLARY DENTURE (ADA 711) - Insurer prior approval required. 5001.07.2026Provision of a patient removable dental prosthesis replacing the natural teeth 5001.07.2026and adjacent tissues in the maxilla. Usual practice fee applies. 100020071201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026COMPLETE MANDIBULAR DENTURE (ADA 712) - Insurer prior approval required. 5001.07.2026Provision of a patient removable dental prosthesis replacing the natural teeth 5001.07.2026and adjacent tissues in the mandible. Usual practice fee applies. 100020072101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026PARTIAL MAXILLARY DENTURE - RESIN BASE (ADA 721) - Insurer prior approval 5001.07.2026required. Provision of a resin base for a patient removable dental prosthesis 5001.07.2026for the maxilla where some natural teeth remain. Other components of the 5001.07.2026denture such as teeth, rests, retainers, and immediate tooth replacements 5001.07.2026should be appropriately itemised. Usual practice fee applies. 100020072201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026PARTIAL MANDIBULAR DENTURE - RESIN BASE (ADA 722) - Insurer prior approval 5001.07.2026required. Provision of a resin base for a patient removable dental prosthesis 5001.07.2026for the mandible where some natural teeth remain. Other components of the 5001.07.2026denture such as teeth, rests, retainers, and immediate tooth replacements 5001.07.2026should be appropriately itemised. Usual practice fee applies. 100020072801.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026PARTIAL MANDIBULAR DENTURE - CAST METAL FRAMEWORK (ADA 728) - Insurer prior 5001.07.2026approval required Provision of the framework for a patient removable dental 5001.07.2026prosthesis made with a cast metal on which to replace teeth from the mandible 5001.07.2026where some natural teeth remain. Other components of the denture such as 5001.07.2026teeth, rests, retainers, and immediate tooth replacements should be 5001.07.2026appropriately itemised. Usual practice fee applies. 100020073101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026RETAINER (ADA 731) - Insurer prior approval required. A retainer or clasp that 5001.07.2026is attached to a partial denture that is adapted to an undercut in a tooth to 5001.07.2026aid retention. The number of retainers should be indicated. Usual practice fee 5001.07.2026per tooth applies. 100020073201.07.2026 O Y Y 5001.07.2026OCCLUSAL REST (ADA 732) - Insurer prior approval required. A unit of partial 5001.07.2026denture that rests upon a tooth surface to provide support for the denture. 5001.07.2026The number of rests used should be indicated. Usual practice fee per rest 5001.07.2026applies. 100020073301.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026TOOTH/TEETH (PARTIAL DENTURE) (ADA 733) - Insurer prior approval required. An 5001.07.2026item to describe each tooth added to the base of new partial denture. The 5001.07.2026number of teeth should be indicated. Usual practice fee applies. 100020076401.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026REPAIRING BROKEN BASE OF A PARTIAL DENTURE (ADA 764) - Insurer prior approval 5001.07.2026required. Repair, insertion, and adjustment of a broken resin partial denture 5001.07.2026base. Usual practice fee applies. 100020076801.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026ADDING TOOTH TO PARTIAL DENTURE TO REPLACE AN EXTRACTED OR DECORONATED TOOTH 5001.07.2026(ADA 768) - Insurer prior approval required. Provision of a denture tooth on 5001.07.2026an existing partial denture to replace a natural tooth that has been removed 5001.07.2026or decoronated prior to or at the time of issue of the modified denture. Usual 5001.07.2026practice fee per tooth applies. 100020077601.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026IMPRESSION - DENTAL APPLIANCE REPAIR/ MODIFICATION (ADA 776) - Insurer prior 5001.07.2026approval required. An item to describe taking an impression where required for 5001.07.2026the repair or modification of a dental appliance. Usual practice fee applies. 100020091101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026PALLIATIVE CARE (ADA 911) - Insurer prior approval required. An item to 5001.07.2026describe interim care to relieve pain, infection, bleeding, or other problems 5001.07.2026not associated with other treatment, per appointment. Usual practice fee 5001.07.2026applies. 100020092701.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026PROVISION OF MEDICATION/MEDICAMENT (ADA 927) - Insurer prior approval 5001.07.2026required. The supply, or administration under professional supervision, of 5001.07.2026appropriate medications and medicaments required for dental treatments. Usual 5001.07.2026practice fee applies. 100021000101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026COMPLETE FORMS (SENT WITH REQUEST) - FOR TREATING DENTAL PRACTITIONERS TO 5001.07.2026PROVIDE BASIC INFORMATION - Complete forms (sent with request) for treating 5001.07.2026dental practitioners to provide basic information as set out in forms provided 5001.07.2026by the insurer. The treating dental practitioner is to indicate the need for 5001.07.2026phone contact or a full report if additional pertinent information is 5001.07.2026available. Basic fee payable for each form completed. Usual practice fee 5001.07.2026applies. 100021000201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026SHORT REPORT - A short report written in response to a request for specific 5001.07.2026information e.g. a statement of attendance, history, diagnosis, record of 5001.07.2026visits, including results of an investigation. These reports should only 5001.07.2026address the information requested but should include any comments necessary to 5001.07.2026make the position clear to a lay person. Expected length is half a page to one 5001.07.2026(1) page. Received by insurer within 10 working days. Usual practice fee 5001.07.2026applies. 100021000501.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026BASIC REPORT - A basic report includes summing up and an opinion helpful to 5001.07.2026the insurer. A basic report should include all of the relevant items listed in 5001.07.2026the outline for the short report and also a case summary. Details would only 5001.07.2026be given where this assists in determining the merits of a claim, establishing 5001.07.2026a need for a particular line of treatment or rehabilitation, understanding the 5001.07.2026development of the condition and the prognosis, or clarifying early treatment 5001.07.2026and return to work goals. Expected length is one (1) to two (2) pages. 5001.07.2026Received by insurer within 10 working days. Usual practice fee applies. 100021000801.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026SUBSTANTIAL REPORT - A substantial report includes extensive research or case 5001.07.2026discussion and opinion helpful to the insurer or assessment of impairment on 5001.07.2026request; or if the claim is rejected, to compensate for clinical input to the 5001.07.2026report. To qualify as substantial, a report must include, in addition to the 5001.07.2026case summary and comments required for a basic report, at least one of the 5001.07.2026following: - an assessment of impairment at the insurer's request - a report 5001.07.2026on a work-related injury or condition where the claim is subsequently rejected 5001.07.2026as a result of the report - evidence of extensive research into clinical, 5001.07.2026technical, or scientific papers - considerable case discussion outlining the 5001.07.2026merits of the claim - or advice on the future management of the case which 5001.07.2026assists the insurer and/or rehabilitation providers to manage the claim. 5001.07.2026Received by insurer within 10 working days. Usual practice fee applies. 100021001101.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026EXPERT SPECIALIST OPINION - An expert specialist opinion includes the above 5001.07.2026elements essential to the insurer in determining or managing claims. To 5001.07.2026attract the fee for an expert specialist report there should be evidence of 5001.07.2026two or more of the requirements for a substantial report, or the preparation 5001.07.2026of a report of a medico-legal standard for use by a medical assessment 5001.07.2026tribunal or a court. Expected length is three (3) or more pages. Note: only to 5001.07.2026be paid to specialists. Received by insurer within 10 working days. Usual 5001.07.2026practice fee applies. 100030000401.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - A one-on-one initial consultation for acupuncture in 5001.07.2026the treatment of work-related injuries or conditions, or the first 5001.07.2026consultation in a new episode of care for the same work-related injuries or 5001.07.2026conditions. Services to be conducted in accordance with the Clinical Framework 5001.07.2026for the Delivery of Health Services. Initial consultation may include 5001.07.2026subjective assessment, objective assessment, treatment/service, tailored goal 5001.07.2026setting and treatment planning, setting expectations of recovery and return to 5001.07.2026work, clinical recording, communication with the referrer and insurer about 5001.07.2026any relevant information for the worker's rehabilitation. Please note: A 5001.07.2026provider cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same worker on the same day. 100030000501.07.2026 O Y Y 2001.07.202600108.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - A one-on-one subsequent consultation for acupuncture 5001.07.2026in the treatment of work-related injuries or conditions. The first five (5) 5001.07.2026consultations (including initial consultation) are pre-approved, provided the 5001.07.2026injuries have not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment (subjective and 5001.07.2026objective), intervention/treatment, setting expectations of recovery and 5001.07.2026return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same worker on the same day. 100030000601.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026PSYCHOLOGY TREATMENT PROGRESS REPORT - This report is for cases where the 5001.07.2026insurer has requested specific information and/or where the insurer has 5001.07.2026requested specific information and/or a limited set of questions.Reports must 5001.07.2026be submitted within 10 business days of the request.Maximum billable time: 1.5 5001.07.2026hours.This report is only to be prepared at the request of the insurer. 100030001401.07.2026 H Y Y 2001.07.202600117.0000000.0000000.00 5001.07.2026HOME NURSING SERVICES BY A REGISTERED NURSE - Prior approval is required 5001.07.2026before providing this service. Home nursing services by a registered nurse 5001.07.2026such as dressing of wounds and assistance with daily care. The insurer will 5001.07.2026not pay for home nursing services in excess of four (4) weeks without a 5001.07.2026treating medical practitioner review. Please note: must be referred by a 5001.07.2026medical practitioner. Weekday evening rate: $133. Weekend rate: $186. 100030005301.07.2026 H Y Y 2001.07.202600095.0000000.0000000.00 5001.07.2026HOME NURSING SERVICES BY AN ENROLLED NURSE - Prior approval is required before 5001.07.2026providing this service. Home nursing services by an enrolled nurse such as 5001.07.2026wound dressings and assistance with daily care. The insurer will not pay for 5001.07.2026home nursing services in excess of (4 weeks) without treating medical 5001.07.2026practitioner review. Please note: must be referred by a medical practitioner. 5001.07.2026Weekday evening rate: $107 Weekend rate: $149. 100030007901.07.2026 O Y Y 2001.07.202600038.5000000.0000000.00 5001.07.2026COMMUNICATION - 3 TO 10 MINS - Communication - 3 to 10 mins. Direct 5001.07.2026communication between the treating provider, insurer, employer, 5001.07.2026insurer-referred allied health providers, and doctors is essential for 5001.07.2026facilitating faster and more effective rehabilitation and return to work 5001.07.2026outcomes for workers. Communications must involve the insurer. This excludes 5001.07.2026communication with the worker of a general administrative nature, the exchange 5001.07.2026of non-specific information, and communication between or among internal and 5001.07.2026external medical or allied health providers unless the communication 5001.07.2026specifically involves WorkCover the insurer. Communication must last longer 5001.07.2026than three (3) minutes. Treating providers are required to maintain a written 5001.07.2026record of the communication, including the date, time, and duration. The 5001.07.2026insurer may request evidence of communication at any time 100030008101.07.2026 O Y Y 2001.07.202600050.0000000.0000000.00 5001.07.2026GENERAL MEDICAL PROCEDURES - Payable where a patient is seen by an advanced 5001.07.2026practice registered nurse (i.e. a nurse practitioner or rural and isolated 5001.07.2026practice nurse) and performs straightforward medical procedures that would 5001.07.2026normally be payable as part of a doctor's MBS attendance fee i.e. suturing a 5001.07.2026wound or removal of a superficial foreign body. This also includes outpatient 5001.07.2026care in hospitals. 100030008201.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026CASE CONFERENCE - Face-to-face or phone communication involving the treating 5001.07.2026provider, insurer and one or more of the following: treating medical 5001.07.2026practitioner or specialist, employer or employee representative, worker, 5001.07.2026allied health provider; or other. Communication must involve the insurer. The 5001.07.2026exception for mandatory insurer involvement is for RTW Services providers, who 5001.07.2026may have the need to undertake case conferences where the insurer is not in 5001.07.2026attendance. Please check with the insurer for any clarification as required. 100030008401.07.2026 O Y Y 2001.07.202600077.0000000.0000000.00 5001.07.2026UPDATED SUITABLE DUTIES PROGRAM (SDP) - Documentation of an updated or further 5001.07.2026suitable duties plan for a worker, detailing specific information necessary 5001.07.2026for a safe and effective return to the workplace. For WorkCover Queensland 5001.07.2026claims, only an approved Rehabilitation Services provider can provide this 5001.07.2026service. ** 100030008601.07.2026 O Y Y 2001.07.202600077.0000000.0000000.00 5001.07.2026PROGRESS REPORT - A written report providing a brief summary of the workers 5001.07.2026progress towards recovery and return to work. 100030008701.07.2026 O Y Y 2001.07.202600155.0000000.0000000.00 5001.07.2026PUBLIC HOSPITAL EMERGENCY NURSE SERVICES - To be invoiced where a worker 5001.07.2026receives primary emergency services provided by nursing staff only. This code 5001.07.2026is used if the care is of an emergency nature only and the hospital is not 5001.07.2026considered to have a recognised emergency department as per the Public Health 5001.07.2026Services Table of Costs. 100030008801.07.2026 O Y Y 2001.07.202600196.0000000.0000000.00 5001.07.2026STANDARD REPORT - A written report that conveys relevant information relating 5001.07.2026to a workers recovery and return to work including functional and return to 5001.07.2026work status, treatment plan, interventions to date, any changes in prognosis 5001.07.2026along with the reasons for those changes, barriers, recommendations, goals, 5001.07.2026and timeframes. This may include responses to a limited number of questions 5001.07.2026raised by an insurer. 100030008901.07.2026 O Y Y 2001.07.202600051.0000000.0000000.00 5001.07.2026ASSISTING DOCTOR IN MINOR SURGERY - This item will be payable only if the 5001.07.2026procedure attracts an MBS assistance fee and there is no other doctor 5001.07.2026available to assist. 100030009001.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026COMPREHENSIVE REPORT - A written report that conveys all the information 5001.07.2026included in a standard report however would only be relevant where questions 5001.07.2026raised by the insurer are extensive. Maximum billable time: 3 to 5 hours 100030009101.07.2026 H Y Y 2001.07.202600206.0000000.0000000.00 5001.07.2026TRAVEL - RTW SERVICES ONLY - Travel charges are applicable when the provider 5001.07.2026is required to leave their normal place of practice to treat a worker at a: 5001.07.2026rehabilitation facility hospital workplace their place of residence, or 5001.07.2026community-based setting. Travel is not payable where: the travel is between 5001.07.2026clinics or facilities owned and/or operated by the provider or their employer. 5001.07.2026the travel is for services delivered at an external facility where treatment 5001.07.2026at these external facilities is a regular part of that providers approach and 5001.07.2026there exists a contractual arrangement and/or agreement to use that external 5001.07.2026facility. Please see explanatory notes for further information. For WorkCover 5001.07.2026Queensland claims, only an approved Rehabilitation Services provider can 5001.07.2026provide this service. ** 100030009201.07.2026 H Y Y 2001.07.202600171.0000000.0000000.00 5001.07.2026TRAVEL - TREATMENT - Travel - Prior approval is required for travel of more 5001.07.2026than one (1) hour. Travel charges are applicable when the provider is required 5001.07.2026to leave their normal place of practice to treat a worker at a: rehabilitation 5001.07.2026facility hospital workplace their place of residence, or community-based 5001.07.2026setting. Travel is not payable where: the travel is between clinics or 5001.07.2026facilities owned and/or operated by the provider or their employer. the travel 5001.07.2026is for services delivered at an external facility where treatment at these 5001.07.2026external facilities is a regular part of that providers approach and there 5001.07.2026exists a contractual arrangement and/or agreement to use that external 5001.07.2026facility. Please see explanatory notes for further information. 100030009301.07.2026 O Y Y 2001.07.202600032.0000000.0000000.00 5001.07.2026COPIES OF PATIENT RECORDS RELATING TO CLAIM - Copies of patient records 5001.07.2026relating to the worker's compensation claim including file notes, results of 5001.07.2026relevant tests e.g. pathology, diagnostic imaging, and reports from 5001.07.2026specialists. Paid at $32 flat fee plus $1 per page. 100030009401.07.2026 O Y Y 2001.07.202600085.0000000.0000000.00 5001.07.2026INCIDENTAL EXPENSES - Reasonable charges for incidental items required by the 5001.07.2026worker to assist in their recovery and which they take home with them 5001.07.2026following their treatment. Pharmacy items and consumables used by a provider 5001.07.2026during a consultation are not included. For further clarification refer to the 5001.07.2026information provided below the tables. * Payment will be made up to $85 in 5001.07.2026total for incidental expenses and up to $249 in total for supportive devices, 5001.07.2026per claim (not per consultation), without prior approval. Approval from the 5001.07.2026insurer must be obtained for items exceeding the pre-approved value. Hire of 5001.07.2026equipment to be negotiated with insurer. All expenses must be itemised on the 5001.07.2026invoice. Please note: This item number is not to be used for admission fees to 5001.07.2026external facilities such as gyms and pools. 100030010001.07.2026 O Y Y 2001.07.202600077.0000000.0000000.00 5001.07.2026COMMUNICATION - 11 TO 20 MINS - Communication - 11 to 20 mins. Direct 5001.07.2026communication between the treating provider, insurer, employer, 5001.07.2026insurer-referred allied health providers, and doctors is essential for 5001.07.2026facilitating faster and more effective rehabilitation and return to work 5001.07.2026outcomes for workers. Communications must involve the insurer. This excludes 5001.07.2026communication with the worker of a general administrative nature, the exchange 5001.07.2026of non-specific information, and communication between or among internal and 5001.07.2026external medical or allied health providers -unless the communication 5001.07.2026specifically involves the insurer. Communication must last longer than ten 5001.07.2026(10) minutes. Please refer to the exclusions listed below in the table before 5001.07.2026using this item number. Treating providers are required to maintain a written 5001.07.2026record of the communication, including the date, time, and duration. The 5001.07.2026insurer may request evidence of communication at any time. 100030010201.07.2026 O Y Y 2001.07.202600115.5000000.0000000.00 5001.07.2026INITIAL SUITABLE DUTIES PROGRAM (SDP) - Documentation of suitable duties for a 5001.07.2026worker, detailing specific information necessary for a safe and effective 5001.07.2026return to the workplace. For WorkCover Queensland claims, only an approved 5001.07.2026Rehabilitation Services provider can provide this service. ** 100030015801.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026WORKPLACE EVALUATION/ASSESSMENT - Systematic process using the workplace to 5001.07.2026estimate work potential and work behaviour. Includes ergonomic assessments. 5001.07.2026For WorkCover Queensland claims, only an approved Rehabilitation Services 5001.07.2026provider can provide this service. ** 100030015901.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026ACTIVITIES OF DAILY LIVING ASSESSMENT - A series of standardised tests and 5001.07.2026measures to assess a worker's activities of daily living and mobility 5001.07.2026(including Modified Barthel Index assessments for registered occupational 5001.07.2026therapists only). Service includes assessment and report, noting that 5001.07.2026WorkCover Queensland's template for Modified Barthel Index is to be used (for 5001.07.2026WorkCover claims). 100030016001.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026FUNCTIONAL CAPACITY EVALUATION (FCE) - Systematic assessment using a series of 5001.07.2026standardised tests and work specific simulation activities to assess a 5001.07.2026worker's functional capacity for work or potential to return to suitable work; 5001.07.2026includes assessment and report. For WorkCover Queensland claims, only an 5001.07.2026approved Rehabilitation Services provider can provide this service. ** 100030016101.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026DRIVING ASSESSMENT - Off-road and on-road driving assessments of cognitive, 5001.07.2026psychological, and physical capacity to drive. Assessments must be conducted 5001.07.2026by a qualified driving assessor. Service includes assessment and report. 5001.07.2026Driving instructor is also required for on-road assessment component and fees 5001.07.2026are paid separately. 100030016201.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026VOCATIONAL ASSESSMENT AND REPORT* - Assessment of realistic vocational options 5001.07.2026in the current job market for a worker using integrated clinical and 5001.07.2026standardised assessment procedures and instruments; includes assessment and 5001.07.2026report. For WorkCover Queensland claims, only an approved Rehabilitation 5001.07.2026Services provider can provide this service. ** 100030016401.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026RETURN TO WORK FACILITATION - Engaging with workers and employers for the 5001.07.2026purposes of establishing an updated suitable duties program or remove barriers 5001.07.2026preventing a workers participation in return to work where an alternative 5001.07.2026workplace rehabilitation service item number does not apply. This service may 5001.07.2026also be billed for face-to-face or electronic file reviews, or other services 5001.07.2026at the request from the insurer. For WorkCover Queensland claims, only an 5001.07.2026approved Rehabilitation Services provider can provide this service. ** 100030016801.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026JOB SEEKING AND PREPARATION SERVICES* - Prepare the worker to find suitable 5001.07.2026employment. Services will be based on the needs of the worker and may include 5001.07.2026development of or updating a resume and/or cover letter, interview preparation 5001.07.2026skills and career counselling. For WorkCover Queensland claims, only an 5001.07.2026approved Rehabilitation Services provider can provide this service. ** 100030018601.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - WORK SPECIFIC FUNCTIONAL EXERCISE PROGRAM - Initial 5001.07.2026development and instruction of an exercise program focused on improving 5001.07.2026function of the work-related injuries or conditions, relevant to their work 5001.07.2026role. This service may only be charged once for development of an exercise 5001.07.2026program to meet the workers work specific functional goals. Refer item number 5001.07.2026300228 for Gym and Pool Entry Fees. Initial consultation may include 5001.07.2026subjective assessment, objective assessment, treatment/service, tailored goal 5001.07.2026setting and treatment planning, setting expectations of recovery and return to 5001.07.2026work, clinical recording, communication with the referrer and insurer about 5001.07.2026any relevant information for the worker's rehabilitation. The entire 5001.07.2026consultation must be one-on-one with the worker. Maximum one (1) hour. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same injured worker on the same day. 100030018701.07.2026 O Y Y 2001.07.202600173.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - WORK SPECIFIC FUNCTIONAL EXERCISE PROGRAM - Prior 5001.07.2026approval is required before providing this service. A one-on-one consultation 5001.07.2026with the worker for ongoing monitoring, review and progression of a 5001.07.2026work-specific functional exercise program as developed during initial 5001.07.2026consultation (300186). The focus must be on improving function of the 5001.07.2026work-related injury or condition relevant to the work role and include 5001.07.2026education and progression to self-management. Any additional treatment 5001.07.2026required beyond the initial consultation (300186) will require the submission 5001.07.2026of a Provider Management Plan (PMP). Minimum 45 minutes per consultation. 5001.07.2026Please note: A provider cannot bill for multiple initial consultations or 5001.07.2026multiple subsequent consultations for the same injured worker on the same day. 100030018801.07.2026 H Y Y 2001.07.202600259.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - ADJUSTMENT COUNSELLING - A one-on-one initial 5001.07.2026consultation undertaken where possible to clarify the presence of possible 5001.07.2026adjustment to injury issues and set goals of therapy to optimise 5001.07.2026rehabilitation outcomes; performed where worker is displaying psychological, 5001.07.2026social, cognitive, emotional, and behavioural problems after a work-related 5001.07.2026incident or injury. The purpose of the consultation is to identify appropriate 5001.07.2026interventions/treatments to optimise rehabilitation outcomes. Initial 5001.07.2026consultation may include history taking, assessment, diagnostic formulation, 5001.07.2026treatment/service, tailored goal setting and treatment planning, setting 5001.07.2026expectations of recovery and return to work, clinical recording, communication 5001.07.2026with the referrer and insurer about any relevant information for the worker's 5001.07.2026rehabilitation. Please note: A provider cannot bill for multiple initial 5001.07.2026consultations or multiple subsequent consultations for the same injured worker 5001.07.2026on the same day. Maximum one (1) hour on any one day. 100030019001.07.2026 O Y Y 2001.07.202600141.0000000.0000000.00 5001.07.2026DIETARY ASSESSMENT - Consultation to evaluate dietary issues and objective 5001.07.2026tests to formulate an intervention plan focused on a return-to-work goal. 5001.07.2026Prior approval required before providing service. Services must be provided by 5001.07.2026a person with a tertiary degree in dietetics. 100030019801.07.2026 H Y Y 2001.07.202600062.0000000.0000000.00 5001.07.2026PERSONAL CARE ASSISTANCE - Prior approval is required before providing this 5001.07.2026service - generally a limited service. May need an Occupational Therapist 5001.07.2026Assessment. Provided through an agency - includes services for injury/wound 5001.07.2026care, personal hygiene and grooming etc. where the worker is living at home 5001.07.2026and has been assessed as incapable (for physical, cognitive or emotional 5001.07.2026reasons) of undertaking these tasks and has no family or other social support 5001.07.2026network. Day rate: $62 per hour. Weekend rate: $88 per hour. 100030020001.07.2026 H Y Y 2001.07.202600055.0000000.0000000.00 5001.07.2026DIVERSIONAL THERAPY PROGRAM - Prior approval is required before providing this 5001.07.2026service. Services to be provided by a diversional therapist at a nursing home 5001.07.2026including therapeutic activities. Services must be provided by a person with a 5001.07.2026minimum of an Associate Diploma in Diversional Therapy. The service should 5001.07.2026only be used under the supervision of an Occupational Therapist, who has 5001.07.2026recommended therapeutic activities as part of the overall treatment program. 100030020101.07.2026 H Y Y 2001.07.202600058.0000000.0000000.00 5001.07.2026DOMESTIC ASSISTANCE - HOME CARE SERVICES - Prior approval is required before 5001.07.2026providing this service. Provided through an agency - includes cleaning, 5001.07.2026shopping and washing etc. where the worker is living at home and has been 5001.07.2026assessed by an occupational therapist as incapable of undertaking these tasks 5001.07.2026(for physical, cognitive or emotional reasons) of undertaking these tasks and 5001.07.2026has no family or other social support network. Usually limited timeframe of 5001.07.2026delivery. Note: Weekend and Public Holiday rates may be negotiated with the 5001.07.2026insurer. Attendant care and support services are generally services to help a 5001.07.2026worker with serious injuries and complex injuries to participate with everyday 5001.07.2026tasks. 100030020201.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026LITERACY SKILLS - Prior approval is required before providing this service. 5001.07.2026Private tutoring by a qualified tutor to improve literacy skills for job 5001.07.2026placement prospects. Program should be limited to achieving a base level of 5001.07.2026competency up to four (4) to six (6) weeks. Typically, literacy services are 5001.07.2026provided through the local TAFE or appropriately qualified private literacy 5001.07.2026services. 100030021001.07.2026 O Y Y 2001.07.202600038.5000000.0000000.00 5001.07.2026RTW COMMUNICATION - 3 TO 10 MINS - Communication by a RTW Services provider 5001.07.2026who has received a referral from an insurer for the following services: 5001.07.2026worksite assessment/evaluation development of suitable duties program or 5001.07.2026updated program monitoring of suitable duties programs communication with 5001.07.2026relevant stakeholders about a worker's progress or issues related to an 5001.07.2026existing suitable duties program functional capacity evaluation vocational 5001.07.2026assessment job seeking and preparation services or job placement services. 5001.07.2026Direct communication between a RTW Services provider and the following: 5001.07.2026insurer employer worker insurer referred providers; and treating providers to 5001.07.2026assist with faster, more effective rehabilitation and return to work for a 5001.07.2026worker. Refer to the exclusions listed below these tables before using this 5001.07.2026item number. For WorkCover Queensland claims, only an approved Rehabilitation 5001.07.2026Services provider can provide this service. ** 100030021101.07.2026 O Y Y 2001.07.202600077.0000000.0000000.00 5001.07.2026RTW COMMUNICATION - 11 TO 20 MINS - Communication by a RTW Services provider 5001.07.2026who has received a referral from an insurer for the following services: 5001.07.2026worksite assessment/evaluation development of suitable duties program or 5001.07.2026updated program monitoring of suitable duties programs communication with 5001.07.2026relevant stakeholders about a worker's progress or issues related to an 5001.07.2026existing suitable duties program functional capacity evaluation vocational 5001.07.2026assessment job seeking and preparation services or job placement services. 5001.07.2026Direct communication between a RTW Services provider and the following: 5001.07.2026insurer employer worker insurer referred providers; and treating providers to 5001.07.2026assist with faster, more effective rehabilitation and return to work for a 5001.07.2026worker. Must be more than ten (10) minutes. Refer to the exclusions listed 5001.07.2026below these tables before using this item number. For WorkCover Queensland 5001.07.2026claims, only an approved Rehabilitation Services provider can provide this 5001.07.2026service. ** 100030021201.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026JOB PLACEMENT SERVICES - NEW EMPLOYER* - The process of actively sourcing and 5001.07.2026placing a worker in a host placement or for WorkCover also includes placing a 5001.07.2026worker in a Recover at Work program with a view to a durable return to work 5001.07.2026outcome. Also includes seeking new employment with/for the worker. Includes 5001.07.2026employer and worker liaison, job application and coaching. For WorkCover 5001.07.2026Queensland claims, only an approved Rehabilitation Services provider can 5001.07.2026provide this service. ** 100030021301.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026JOB PREPARATION SERVICES - WORK HARDENING PROGRAM* - The process of actively 5001.07.2026sourcing and placing a worker in a host placement or for WorkCover also 5001.07.2026includes placing a worker in a Recover at Work program where the worker has a 5001.07.2026job to return to. Includes employer and worker liaison, job application and 5001.07.2026coaching. For WorkCover Queensland claims, only an approved Rehabilitation 5001.07.2026Services provider can provide this service. ** 100030022801.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026GYM AND POOL ENTRY FEES - Prior approval is required before providing this 5001.07.2026service. Entry fee for the worker to attend a gym or pool for assessment and 5001.07.2026treatment up to a maximum three-month membership. Entry fees will be paid for 5001.07.2026the worker, only where the facility is not owned or operated by the provider, 5001.07.2026their employer, or where either party contracts their services to the 5001.07.2026facility. Entry fees will not be paid for providers. The insurer may request 5001.07.2026justification and will consider seeking a second opinion if more than a three 5001.07.2026(3) months membership is requested per episode of care. A Provider Management 5001.07.2026Plan (PMP) is expected to be submitted for approval before any treatment 5001.07.2026commences. The PMP should include a comprehensive treatment plan containing 5001.07.2026expected functional gains, transition of care to self-management and treatment 5001.07.2026timeframes. 100030028501.07.2026 H Y Y 2001.07.202600259.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - ADJUSTMENT COUNSELLING - A one-on-one subsequent 5001.07.2026consultation for ongoing treatment of work-related components of presenting 5001.07.2026adjustment to injury issues; intervention would be based on treatment 5001.07.2026formulated from the initial consultation (300188). The first six (6) hours 5001.07.2026(including initial consultation) are pre-approved, provided this issue has not 5001.07.2026previously been treated by an allied health provider. If additional treatment 5001.07.2026is required, submit a Provider Management Plan (PMP). Subsequent consultation 5001.07.2026may include ongoing assessment, intervention/treatment, setting expectations 5001.07.2026of recovery and return to work, clinical recording, communication with the 5001.07.2026referrer and insurer about any relevant information for the worker's 5001.07.2026rehabilitation. Please note: A provider cannot bill for multiple initial 5001.07.2026consultations or multiple subsequent consultations for the same injured worker 5001.07.2026on the same day. Maximum one (1) hour on any one day. 100030029501.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026EXTERNAL CASE MANAGEMENT - Includes an initial needs assessment and report; 5001.07.2026should outline a case management plan indicating the goals of the program, 5001.07.2026services required, timeframes and costs. Insurer request only. For WorkCover 5001.07.2026Queensland claims, only an approved Rehabilitation Services provider can 5001.07.2026provide this service. ** 100030030901.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026AMBULANCE TRANSPORT - NON QAS - INITIAL TRANSPORTATION - Transport provided 5001.07.2026immediately after the work-related injury or condition is sustained. 100030031001.07.2026 O Y Y 2001.07.202600000.0000000.0000000.00 5001.07.2026AMBULANCE TRANSPORT - NON QAS - SUBSEQUENT TRANSPORTATION - Subsequent 5001.07.2026transport must be certified in writing by a doctor as necessary because of the 5001.07.2026worker's physical condition resulting from a work-related injury or condition. 100030040101.07.2026 O Y Y 2001.07.202600058.0000000.0000000.00 5001.07.2026GROUP EXERCISE SESSIONS - Prior approval is required before providing this 5001.07.2026service. A group session where a common exercise programs is delivered to more 5001.07.2026than one individual at the same time. The group can consist of a maximum of 5001.07.2026eight (8) persons. The group session must be attended, conducted, and 5001.07.2026supervised by an exercise physiologist. 100030041301.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026WORKPLACE FACILITATED DISCUSSIONS* - Workplace facilitated discussion is a 5001.07.2026meeting conducted by a return-to-work services provider to resolve significant 5001.07.2026barriers in the workplace and support workers and employers in their 5001.07.2026return-to-work efforts. This includes engaging in discussions in a supported 5001.07.2026environment, identifying an appropriate suitable duties or rehabilitation and 5001.07.2026return to work plan for recovery, assisting the worker to reach a workable 5001.07.2026agreement for recovery at work, assisting employers in identifying suitable 5001.07.2026duties through discussions, resolving issues raised by the worker and/or the 5001.07.2026employer, resetting expectations of involved parties. For WorkCover Queensland 5001.07.2026claims, only an approved Rehabilitation Services provider can provide this 5001.07.2026service. ** 100040008801.07.2026 H Y Y 2001.07.202600277.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - PSYCHOLOGY - The initial consultation in the treatment 5001.07.2026of possible psychological, social, cognitive, emotional, and behavioural 5001.07.2026problems occurring after a work-related injury or condition. The purpose of 5001.07.2026the assessment is to identify appropriate interventions/treatments to optimise 5001.07.2026rehabilitation outcomes (maximum two (2) hours direct contact and test scoring 5001.07.2026time). Services to be conducted in accordance with the Clinical Framework for 5001.07.2026the Delivery of Health Services. Initial consultation may include history 5001.07.2026taking, assessment, diagnostic formulation, treatment/service, tailored goal 5001.07.2026setting and treatment planning, setting expectations of recovery and return to 5001.07.2026work, clinical recording, communication with the referrer and insurer about 5001.07.2026any relevant information for the worker's rehabilitation. Please note: A 5001.07.2026provider cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. 100040009101.07.2026 H Y Y 2001.07.202600277.0000000.0000000.00 5001.07.2026NEUROPSYCHOLOGICAL ASSESSMENT - A neuropsychological assessment involves a 5001.07.2026comprehensive evaluation of an individual's cognitive, emotional, and 5001.07.2026behavioural functions to understand how brain conditions might be impacting 5001.07.2026their abilities. These assessments use a combination of interviews, cognitive 5001.07.2026testing, and other assessment tools to identify strengths and weaknesses, 5001.07.2026assist in diagnosis, and inform treatment planning. Often used to clarify the 5001.07.2026presence of possible acquired brain injury or brain dysfunction after a 5001.07.2026work-related injury or condition. Usually involves 4 to 5 hours direct contact 5001.07.2026and test scoring time and does not include a report. Prior approval required 5001.07.2026for this assessment. 100040009501.07.2026 H Y Y 2001.07.202600277.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - PSYCHOLOGY - A one-on-one subsequent consultation 5001.07.2026with the worker in the ongoing management and treatment of their work-related 5001.07.2026psychological issues. Intervention is based on treatment formulated in the 5001.07.2026initial consultation. The first six (6) hours (including initial consultation) 5001.07.2026are preapproved provided this condition has not previously been treated by an 5001.07.2026allied health provider. If additional treatment is required, submit a Provider 5001.07.2026Management Plan (PMP). Subsequent consultation may include ongoing assessment, 5001.07.2026intervention/treatment, setting expectations of recovery and return to work, 5001.07.2026clinical recording, communication with the referrer and insurer about any 5001.07.2026relevant information for the worker's rehabilitation. Please note: A provider 5001.07.2026cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. Maximum one (1) 5001.07.2026hour on any one day. 100040010101.07.2026 H Y Y 2001.07.202600204.0000000.0000000.00 5001.07.2026INITIAL ASSESSMENT - COUNSELLING - A one-on-one initial consultation where 5001.07.2026possible psychological, social, cognitive, emotional, and behavioural problems 5001.07.2026are occurring after a work-related injury or condition. The purpose of the 5001.07.2026assessment is to identify appropriate interventions/treatments to optimise 5001.07.2026rehabilitation outcomes (maximum two (2) hours direct contact and test scoring 5001.07.2026time). Services to be conducted in accordance with the Clinical Framework for 5001.07.2026the Delivery of Health Services. Initial consultation may include history 5001.07.2026taking, assessment, diagnostic formulation, treatment/service. tailored goal 5001.07.2026setting and treatment planning, setting expectations of recovery and return to 5001.07.2026work, clinical recording, communication with the referrer and insurer about 5001.07.2026any relevant information for the worker's rehabilitation. Please note: A 5001.07.2026provider cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same worker on the same day. 100040010201.07.2026 H Y Y 2001.07.202600204.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - COUNSELLING - A one-on-one subsequent consultation 5001.07.2026with the worker in their ongoing management and treatment. Intervention is 5001.07.2026based on treatment formulated in the initial consultation. The first six (6) 5001.07.2026hours (including initial consultation) are pre-approved, provided this issue 5001.07.2026has not previously been treated by an allied health provider. If additional 5001.07.2026treatment is required, submit a Provider Management Plan (PMP). Subsequent 5001.07.2026consultation may include ongoing assessment, intervention/treatment, setting 5001.07.2026expectations of recovery and return to work, clinical recording, communication 5001.07.2026with the referrer and insurer about any relevant information for the worker's 5001.07.2026rehabilitation. Please note: A provider cannot bill for multiple initial 5001.07.2026consultations or multiple subsequent consultations for the same injured worker 5001.07.2026on the same day. Maximum one (1) hour on any one day. 100040018401.07.2026 H Y Y 2001.07.202600277.0000000.0000000.00 5001.07.2026CRITICAL INCIDENT DEBRIEFING SESSIONS - A process where, following exposure to 5001.07.2026a critical incident, an individual or group of workers are debriefed by a 5001.07.2026psychologist to assist them to deal more effectively with their experience. 5001.07.2026Approval required after the first two (2) pre-approved sessions. 100040022601.07.2026 H Y Y 2001.07.202600288.0000000.0000000.00 5001.07.2026INDEPENDENT CASE REVIEW - An independent psychologist examination and report 5001.07.2026of a worker (not by the treating psychologist). Only provided following a 5001.07.2026request from the insurer. The review is requested by the insurer where 5001.07.2026progress of treatment and/or rehabilitation falls outside the plan or expected 5001.07.2026course of injury management. The examination and report provide the insurer 5001.07.2026with an assessment and recommendations for ongoing treatment and prognosis. 100050000601.07.2026 O Y Y 2001.07.202600108.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - A one-on-one subsequent consultation in the 5001.07.2026treatment of work-related injuries or conditions. The first five (5) 5001.07.2026consultations (including initial consultation) are pre-approved, provided the 5001.07.2026injuries have not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment (subjective and 5001.07.2026objective), intervention/treatment, setting expectations of recovery and 5001.07.2026return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same worker on the same day. 100050002101.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - A one-on-one initial consultation in the treatment of 5001.07.2026work-related injuries or conditions, or the first consultation in a new 5001.07.2026episode of care for the same work-related injuries or conditions. Services to 5001.07.2026be conducted in accordance with the Clinical Framework for the Delivery of 5001.07.2026Health Services. Initial consultation may include subjective assessment, 5001.07.2026objective assessment, treatment/service, tailored goal setting and treatment 5001.07.2026planning, setting expectations of recovery and return to work, clinical 5001.07.2026recording, communication with the referrer and insurer about any relevant 5001.07.2026information for the worker's rehabilitation. Please note: A provider cannot 5001.07.2026bill for multiple initial consultations or multiple subsequent consultations 5001.07.2026for the same worker on the same day. 100050005501.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026REASSESSMENT OR PROGRAM REVIEW - A one-on-one comprehensive assessment used 5001.07.2026when: the worker has been in active rehabilitation for at least six (6) weeks 5001.07.2026and further treatment is likely and/or, there are new clinical findings that 5001.07.2026might affect ongoing treatment and/or, there is a rapid change in worker's 5001.07.2026status and/or, there is no response to current therapeutic interventions. It 5001.07.2026should include all components of initial consultation, a review of the workers 5001.07.2026progress based on established objective measures, a recommendation for future 5001.07.2026treatment and management strategies to assist the worker to return to work. It 5001.07.2026may include referral recommendations to other providers, a change in therapy 5001.07.2026or outcome direction requiring a new return to work goal. Following 5001.07.2026reassessment submit a Provider Management Plan (PMP). Please note: A provider 5001.07.2026cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. 100050022601.07.2026 H Y Y 2001.07.202600289.0000000.0000000.00 5001.07.2026INDEPENDENT CASE REVIEW - An independent chiropractic examination and report 5001.07.2026on a worker and is not carried out by the treating chiropractor. The review is 5001.07.2026requested by the insurer where progress of treatment and/or rehabilitation 5001.07.2026falls outside the plan or expected course of injury management. The 5001.07.2026examination and report provide the insurer with an assessment and 5001.07.2026recommendations for ongoing treatment and prognosis. 100055810001.07.2026 O Y Y 2001.07.202600145.0000000.0000000.00 5001.07.2026X-RAY - CERVICAL SPINE - X-Ray - Cervical Spine. Must be clinically 5001.07.2026justifiable. 100055810301.07.2026 O Y Y 2001.07.202600119.0000000.0000000.00 5001.07.2026X-RAY - THORACIC SPINE - X-Ray - Thoracic Spine. Must be clinically 5001.07.2026justifiable. 100055810601.07.2026 O Y Y 2001.07.202600166.0000000.0000000.00 5001.07.2026X-RAY - LUMBOSACRAL SPINE - X-Ray - Lumbosacral Spine. Must be clinically 5001.07.2026justifiable. 100055811201.07.2026 O Y Y 2001.07.202600209.0000000.0000000.00 5001.07.2026X-RAY - ANY TWO REGIONS OF THE SPINE - X-Ray - Any two regions of the spine. 5001.07.2026Must be clinically justifiable. 100055811501.07.2026 O Y Y 2001.07.202600237.0000000.0000000.00 5001.07.2026X-RAY - ANY THREE REGIONS OF THE SPINE - X-Ray - Any three regions of the 5001.07.2026spine. Must be clinically justifiable. 100060001501.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - A one-on-one initial consultation in the treatment of 5001.07.2026work-related injuries or conditions, or the first consultation in a new 5001.07.2026episode of care for the same work-related injuries or conditions. Services to 5001.07.2026be conducted in accordance with the Clinical Framework for the Delivery of 5001.07.2026Health Services. Initial consultation may include subjective assessment, 5001.07.2026objective assessment, treatment/service, tailored goal setting and treatment 5001.07.2026planning, setting expectations of recovery and return to work, clinical 5001.07.2026recording, communication with the referrer and insurer about any relevant 5001.07.2026information for the worker's rehabilitation. Please note: A provider cannot 5001.07.2026bill for multiple initial consultations or multiple subsequent consultations 5001.07.2026for the same worker on the same day. 100060001601.07.2026 O Y Y 2001.07.202600108.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - A one-on-one subsequent consultation in the 5001.07.2026treatment of work-related injuries or conditions. The first five (5) 5001.07.2026consultations (including initial consultation) are pre-approved, provided the 5001.07.2026injuries have not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment (subjective and 5001.07.2026objective), intervention/treatment, setting expectations of recovery and 5001.07.2026return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same worker on the same day. 100060005501.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026REASSESSMENT OR PROGRAM REVIEW - A one-on-one comprehensive assessment used 5001.07.2026when: the worker has been in active rehabilitation for at least six (6) weeks 5001.07.2026and further treatment is likely and/or, there are new clinical findings that 5001.07.2026might affect ongoing treatment and/or, there is a rapid change in worker's 5001.07.2026status and/or, there is no response to current therapeutic interventions. It 5001.07.2026should include all components of initial consultation, a review of the workers 5001.07.2026progress based on established objective measures, a recommendation for future 5001.07.2026treatment and management strategies to assist the worker to return to work. It 5001.07.2026may include referral recommendations to other providers, a change in therapy 5001.07.2026or outcome direction requiring a new return to work goal. Following 5001.07.2026reassessment submit a Provider Management Plan (PMP). Please note: A provider 5001.07.2026cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. 100060017001.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SPECIFIC OCCUPATIONAL THERAPY ASSESSMENT - A one-on-one assessment used for 5001.07.2026assessing specific conditions that cannot be adequately assessed, due to the 5001.07.2026complexity of the condition, within an initial consultation 600015. These may 5001.07.2026include, but are not limited to extensive burns, acquired brain injuries, 5001.07.2026severe spinal cord injuries, multiple orthopaedic fractures, limb amputations, 5001.07.2026crush injuries. This service can also be used for the assessment (only) of 5001.07.2026suitability for entry into a Multi-Disciplinary Program or Pain Management 5001.07.2026Program. The service may only be used once by the occupational therapist in 5001.07.2026the treatment of a work-related injury or condition, or the first consultation 5001.07.2026in a new episode of care for the same work-related injury or condition. 5001.07.2026Maximum one (1) hour. Please note: A provider cannot bill for multiple initial 5001.07.2026assessments or multiple subsequent consultations for the same worker on the 5001.07.2026same day. 100060022601.07.2026 H Y Y 2001.07.202600288.0000000.0000000.00 5001.07.2026INDEPENDENT CASE REVIEW - An independent occupational therapist examination 5001.07.2026and report on a worker and is not carried out by the treating occupational 5001.07.2026therapist. The review is requested by the insurer where progress of treatment 5001.07.2026and/or rehabilitation falls outside the plan or expected course of injury 5001.07.2026management. The examination and report provide the insurer with an assessment 5001.07.2026and recommendations for ongoing treatment and prognosis. 100060028701.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SPECIALISED HAND/UPPER LIMB THERAPY CONSULTATION- OCCUPATIONAL THERAPIST ONLY 5001.07.2026- A one-on-one consultation and treatment for workers with hand and upper limb 5001.07.2026work-related injuries or conditions (below shoulder level). Treatment offered 5001.07.2026is considered hand therapy provided by a qualified hand therapist. Further 5001.07.2026details about qualifications are provided below the tables. The first five (5) 5001.07.2026consultations (including the initial consultation) are pre-approved, provided 5001.07.2026the injury or condition has not previously been treated by an allied health 5001.07.2026provider. Maximum one (1) hour. Prior insurer approval is required for 5001.07.2026sessions exceeding one (1) hour. The provider will be required to provide 5001.07.2026clinical justification and reasoning for sessions exceeding one (1) hour. 5001.07.2026Please note: A provider cannot bill for multiple consultations for the same 5001.07.2026worker on the same day. 100060029201.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SPECIFIC OCCUPATIONAL THERAPY CONSULTATION - A one-on-one consultation for 5001.07.2026recommended interventions identified during a Specific Occupational Therapist 5001.07.2026Assessment (600170). These may include, but are not limited to extensive 5001.07.2026burns, acquired brain injuries, severe spinal cord injuries, multiple 5001.07.2026orthopaedic fractures, limb amputations, crush injuries. Please note: This 5001.07.2026service is not to be used for ongoing consultations within a 5001.07.2026Multi-Disciplinary Program and/or Pain Management Program. This service must 5001.07.2026not be already classified elsewhere in this Table of Costs. A Provider 5001.07.2026Management Plan (PMP) is to be submitted following the initial assessment 5001.07.2026(600170). The insurer may request justification and will consider seeking an 5001.07.2026independent opinion if more than six (6) consultations are requested per 5001.07.2026episode of care. Maximum one (1) hour. Please note: A provider cannot bill for 5001.07.2026multiple initial assessments or multiple subsequent consultations for the same 5001.07.2026worker on the same day. 100070005101.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - A one-on-one initial consultation in the treatment of 5001.07.2026work-related injuries or conditions, or the first consultation in a new 5001.07.2026episode of care for the same work-related injuries or conditions. Initial 5001.07.2026consultation may include subjective assessment, objective assessment, 5001.07.2026treatment/service, tailored goal setting and treatment planning, setting 5001.07.2026expectations of recovery and return to work, clinical recording, communication 5001.07.2026with the referrer and insurer about any relevant information for the worker's 5001.07.2026rehabilitation. Maximum one (1) hour. Please note: A provider cannot bill for 5001.07.2026multiple initial consultations or multiple subsequent consultations for the 5001.07.2026same worker on the same day. 100070005301.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - A one-on-one subsequent consultation in the 5001.07.2026treatment of work-related injuries or conditions. If additional treatment is 5001.07.2026required, the provider must submit a Provider Management Plan (PMP) after the 5001.07.2026initial consultation and before commencing any treatment consultations. The 5001.07.2026PMP should include a comprehensive treatment plan containing expected 5001.07.2026functional gains, transition of care to self-management and treatment 5001.07.2026timeframes. Subsequent consultation may include ongoing assessment (subjective 5001.07.2026and objective), intervention/treatment, setting expectations of recovery and 5001.07.2026return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. 5001.07.2026Maximum one (1) hour. Please note: A provider cannot bill for multiple initial 5001.07.2026consultations or multiple subsequent consultations for the same worker on the 5001.07.2026same day. 100070022601.07.2026 H Y Y 2001.07.202600288.0000000.0000000.00 5001.07.2026INDEPENDENT CASE REVIEW - An independent speech pathologist examination and 5001.07.2026report on a worker and is not carried out by the treating speech pathologist. 5001.07.2026The review is requested by the insurer where progress of treatment and/or 5001.07.2026rehabilitation falls outside the plan or expected course of injury management. 5001.07.2026The examination and report provide the insurer with an assessment and 5001.07.2026recommendations for ongoing treatment and prognosis. 100080002801.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - A one-on-one initial consultation in the treatment of 5001.07.2026work-related injuries or conditions, or the first consultation in a new 5001.07.2026episode of care for the same work-related injuries or conditions. Services to 5001.07.2026be conducted in accordance with the Clinical Framework for the Delivery of 5001.07.2026Health Services. Initial consultation may include subjective assessment, 5001.07.2026objective assessment, treatment/service, tailored goal setting and treatment 5001.07.2026planning, setting expectations of recovery and return to work, clinical 5001.07.2026recording, communication with the referrer and insurer about any relevant 5001.07.2026information for the worker's rehabilitation. Please note: A provider cannot 5001.07.2026bill for multiple initial consultations or multiple subsequent consultations 5001.07.2026for the same worker on the same day. 100080002901.07.2026 O Y Y 2001.07.202600108.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - A one-on-one subsequent consultation in the 5001.07.2026treatment of work-related injuries or conditions. The first five (5) 5001.07.2026consultations (including initial consultation) are pre-approved, provided the 5001.07.2026injuries have not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment (subjective and 5001.07.2026objective), intervention/treatment, setting expectations of recovery and 5001.07.2026return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same worker on the same day. 100080003701.07.2026 O Y Y 2001.07.202600267.0000000.0000000.00 5001.07.2026ORTHOSES - Thermoplastic shell - Intrinsic fore/rearfoot post - single. Prior 5001.07.2026insurer approval is required. 100080003801.07.2026 O Y Y 2001.07.202600520.0000000.0000000.00 5001.07.2026ORTHOSES - Thermoplastic shell - Intrinsic fore/rearfoot post - pair. Prior 5001.07.2026approval from the insurer is required. 100080003901.07.2026 O Y Y 2001.07.202600045.0000000.0000000.00 5001.07.2026INSOLES - Plain - single. Prior insurer approval is required. 100080004001.07.2026 O Y Y 2001.07.202600081.0000000.0000000.00 5001.07.2026INSOLES - Plain - pair. Prior insurer approval is required. 100080004101.07.2026 O Y Y 2001.07.202600093.0000000.0000000.00 5001.07.2026INSOLES - Padded insole - single. Prior insurer approval is required. 100080004201.07.2026 O Y Y 2001.07.202600179.0000000.0000000.00 5001.07.2026INSOLES - Padded insole - pair. Prior insurer approval is required. 100080004301.07.2026 O Y Y 2001.07.202600228.0000000.0000000.00 5001.07.2026INSOLES - Balance inlay - single custom. Prior insurer approval is required. 100080004401.07.2026 O Y Y 2001.07.202600433.0000000.0000000.00 5001.07.2026INSOLES - Balance inlay - pair custom. Prior insurer approval is required. 100080004501.07.2026 O Y Y 2001.07.202600156.0000000.0000000.00 5001.07.2026INSOLES - Balance inlay - Thermo non-cast single. Prior insurer approval is 5001.07.2026required. 100080004601.07.2026 O Y Y 2001.07.202600250.0000000.0000000.00 5001.07.2026INSOLES - Balance inlay - Thermo non-cast pair. Prior insurer approval is 5001.07.2026required. 100080004701.07.2026 O Y Y 2001.07.202600038.0000000.0000000.00 5001.07.2026ORTHOSES - Heel lift - single. Prior insurer approval is required. 100080004801.07.2026 O Y Y 2001.07.202600035.0000000.0000000.00 5001.07.2026ORTHOSES - Extrinsic fore/rear foot post - single. Prior approval from the 5001.07.2026insurer is required. 100080004901.07.2026 O Y Y 2001.07.202600107.0000000.0000000.00 5001.07.2026CAST - Negative impression- single. Prior insurer approval is required. 100080005001.07.2026 O Y Y 2001.07.202600147.0000000.0000000.00 5001.07.2026CAST - Negative impression - pair. Prior insurer approval is required. 100080008401.07.2026 O Y Y 2001.07.202600085.0000000.0000000.00 5001.07.2026INSOLES - Soft tissue supplement - pair. Prior insurer approval is required. 100080022601.07.2026 H Y Y 2001.07.202600288.0000000.0000000.00 5001.07.2026INDEPENDENT CASE REVIEW - This is an independent podiatrist examination and 5001.07.2026report on a worker and is not carried out by the treating podiatrist. The 5001.07.2026review is requested by the insurer where progress of treatment and/or 5001.07.2026rehabilitation falls outside the plan or expected course of injury management. 5001.07.2026The examination and report provide the insurer with an assessment and 5001.07.2026recommendations for ongoing treatment and prognosis. 100080023201.07.2026 O Y Y 2001.07.202600067.0000000.0000000.00 5001.07.2026ORTHOSES - Extrinsic fore/rear foot post - pair. Prior insurer approval is 5001.07.2026required. 100080028301.07.2026 O Y Y 2001.07.202600046.0000000.0000000.00 5001.07.2026INSOLES - Covers - plain. Prior insurer approval is required. 100080028401.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026NAIL REMOVAL - Nail removal under local anaesthetic. Prior insurer approval is 5001.07.2026required. 100090000601.07.2026 O Y Y 2001.07.202600108.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - A one-on-one subsequent consultation in the 5001.07.2026treatment of work-related injuries or conditions. The first five (5) 5001.07.2026consultations (including initial consultation) are pre-approved, provided the 5001.07.2026injuries have not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment (subjective and 5001.07.2026objective), intervention/treatment, setting expectations of recovery and 5001.07.2026return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same worker on the same day. 100090002101.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - A one-on-one initial consultation in the treatment of 5001.07.2026work-related injuries or conditions, or the first consultation in a new 5001.07.2026episode of care for the same work-related injuries or conditions. Services to 5001.07.2026be conducted in accordance with the Clinical Framework for the Delivery of 5001.07.2026Health Services. Initial consultation may include subjective assessment, 5001.07.2026objective assessment, treatment/service, tailored goal setting and treatment 5001.07.2026planning, setting expectations of recovery and return to work, clinical 5001.07.2026recording, communication with the referrer and insurer about any relevant 5001.07.2026information for the worker's rehabilitation. Please note: A provider cannot 5001.07.2026bill for multiple initial consultations or multiple subsequent consultations 5001.07.2026for the same worker on the same day. 100090005501.07.2026 O Y Y 2001.07.202600137.0000000.0000000.00 5001.07.2026REASSESSMENT OR PROGRAM REVIEW - A one-on-one comprehensive assessment used 5001.07.2026when: the worker has been in active rehabilitation for at least six (6) weeks 5001.07.2026and further treatment is likely and/or, there are new clinical findings that 5001.07.2026might affect ongoing treatment and/or, there is a rapid change in worker's 5001.07.2026status and/or, there is no response to current therapeutic interventions. It 5001.07.2026should include all components of initial consultation, a review of the workers 5001.07.2026progress based on established objective measures, a recommendation for future 5001.07.2026treatment and management strategies to assist the worker to return to work. It 5001.07.2026may include referral recommendations to other providers, a change in therapy 5001.07.2026or outcome direction requiring a new return to work goal. Following 5001.07.2026reassessment submit a Provider Management Plan (PMP). Please note: A provider 5001.07.2026cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. 100090022601.07.2026 H Y Y 2001.07.202600288.0000000.0000000.00 5001.07.2026INDEPENDENT CASE REVIEW - An independent osteopathy examination and report on 5001.07.2026a worker and is not carried out by the treating osteopath. The review is 5001.07.2026requested by the insurer where progress of treatment and/or rehabilitation 5001.07.2026falls outside the plan or expected course of injury management. The 5001.07.2026examination and report provide the insurer with an assessment and 5001.07.2026recommendations for ongoing treatment and prognosis. 100100023501.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - MENTAL HEALTH OCCUPATIONAL THERAPY - A one-on-one 5001.07.2026initial consultation for the treatment of possible psychological, social, 5001.07.2026cognitive, emotional, and behavioural problems occurring after a work-related 5001.07.2026injury or condition. The purpose of the consultation is to identify 5001.07.2026appropriate interventions/treatments to optimise rehabilitation outcomes 5001.07.2026(maximum two (2) hours direct contact and test scoring time). Initial 5001.07.2026consultation may include history taking, assessment, diagnostic formulation, 5001.07.2026treatment/service, tailored goal setting and treatment planning, setting 5001.07.2026expectations of recovery and return to work, clinical recording, communication 5001.07.2026with the referrer and insurer about any relevant information for the worker's 5001.07.2026rehabilitation. Please note: A provider cannot bill for multiple initial 5001.07.2026consultations or multiple subsequent consultations for the same injured worker 5001.07.2026on the same day. 100100023601.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - MENTAL HEALTH OCCUPATIONAL THERAPY - A one-on-one 5001.07.2026subsequent consultation with the worker in the ongoing management and 5001.07.2026treatment of their work-related psychological issues. Intervention is based on 5001.07.2026treatment formulated in the initial consultation (1000235). The first six (6) 5001.07.2026hours (including initial consultation) are pre-approved provided this 5001.07.2026condition has not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment, 5001.07.2026intervention/treatment, setting expectations of recovery and return to work, 5001.07.2026clinical recording, communication with the referrer and insurer about any 5001.07.2026relevant information for the worker's rehabilitation. Please note: A provider 5001.07.2026cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. Maximum one (1) 5001.07.2026hour on any one day. 100100023801.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026COMPREHENSIVE REPORT (ITEM CODE FOR PSYCHOLOGY ONLY) - A comprehensive 5001.07.2026psychological report prepared to assess diagnostic clarification, workplace 5001.07.2026functioning, or educational needs. Reports must be provided within 10 business 5001.07.2026days of the insurers request. This report is only to be prepared at the 5001.07.2026request of the insurer. Maximum billable time: 3 to 5 hours 100100023901.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026INITIAL NEEDS ASSESSMENT (INA) AND REPORT - Max 2-4 hrs. Assessment with a 5001.07.2026worker completed prior to commencement of return to work services to establish 5001.07.2026injuries and formulate recovery process and develop goals for return to work 5001.07.2026and/or reengagement with workplace based on expectation from all parties. 5001.07.2026Includes worksite assessment, interview with the employer and worker and 5001.07.2026liaison with relevant treating medical/allied health providers. Includes 5001.07.2026report. Assists with claims with complex diagnosis, secondary diagnosis or 5001.07.2026flags raised by worker and/or employer. Leads to development of rehabilitation 5001.07.2026program for return to work outcomes. For WorkCover Queensland claims, only an 5001.07.2026approved Rehabilitation Services provider can provide this service. ** 100100024001.07.2026 H Y Y 2001.07.202600231.0000000.0000000.00 5001.07.2026PSYCHOLOGICAL FUNCTIONAL CAPACITY EVALUATION (PFCE) - Max 3-5 hrs. Assessment 5001.07.2026of a worker's capacity to perform cognitive tasks, offering a baseline 5001.07.2026measurement of current symptoms and fitness for work. Determines capacity for 5001.07.2026return-to-work program, assists in graduation of duties in psychological 5001.07.2026claims or where cognitive deficits are identified by treating team. Assists 5001.07.2026with claims with delayed return to work in psychological or 5001.07.2026significant/complex physical injury claims, secondary psychological claims, 5001.07.2026minimal progression in return-to-work capacity despite ongoing treatment For 5001.07.2026WorkCover Queensland claims, only an approved Rehabilitation Services provider 5001.07.2026can provide this service. ** (Psychologists, Rehabilitation Counsellors and 5001.07.2026Occupational Therapists to perform this service. 100100024101.07.2026 H Y Y 2001.07.202600259.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - MENTAL HEALTH SOCIAL WORKER - A one-on-one initial 5001.07.2026consultation undertaken where possible to clarify the presence of possible 5001.07.2026adjustment to injury issues and set goals of therapy to optimise 5001.07.2026rehabilitation outcomes. Performed where worker is displaying psychological, 5001.07.2026social, cognitive, emotional, and behavioural problems after a work-related 5001.07.2026incident or injury. Services to be conducted in accordance with the Clinical 5001.07.2026Framework for the Delivery of Health Services. Initial consultation may 5001.07.2026include history taking, assessment, diagnostic formulation, treatment/service, 5001.07.2026tailored goal setting and treatment planning, setting expectations of recovery 5001.07.2026and return to work, clinical recording, communication with the referrer and 5001.07.2026insurer about any relevant information for the worker's rehabilitation. Please 5001.07.2026note: A provider cannot bill for multiple initial consultations or multiple 5001.07.2026subsequent consultations for the same injured worker on the same day. Maximum 5001.07.2026one (1) hour on any one day. 100100024201.07.2026 H Y Y 2001.07.202600259.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - MENTAL HEALTH SOCIAL WORKER - A one-on-one 5001.07.2026subsequent consultation for ongoing treatment of work-related components of 5001.07.2026presenting adjustment to injury conditions. intervention would be based on 5001.07.2026treatment formulated from the initial consultation (1000241) The first six (6) 5001.07.2026hours (including initial consultation) are pre-approved provided this 5001.07.2026condition has not previously been treated by an allied health provider. If 5001.07.2026additional treatment is required, submit a Provider Management Plan (PMP). 5001.07.2026Subsequent consultation may include ongoing assessment, 5001.07.2026intervention/treatment, setting expectations of recovery and return to work, 5001.07.2026clinical recording, communication with the referrer and insurer about any 5001.07.2026relevant information for the worker's rehabilitation. Please note: A provider 5001.07.2026cannot bill for multiple initial consultations or multiple subsequent 5001.07.2026consultations for the same injured worker on the same day. Maximum one (1) 5001.07.2026hour on any one day. 100100024301.07.2026 H Y Y 2001.07.202600204.0000000.0000000.00 5001.07.2026INITIAL CONSULTATION - PSYCHOTHERAPY - A one-on-one initial consultation for 5001.07.2026the treatment of possible psychological, social, cognitive, emotional, and 5001.07.2026behavioural problems are occurring after a work-related incident or injury. 5001.07.2026The purpose of the assessment is to identify appropriate 5001.07.2026interventions/treatments to optimise rehabilitation outcomes (maximum 2 hours 5001.07.2026direct contact and test scoring time). Services to be conducted in accordance 5001.07.2026with the Clinical Framework for the Delivery of Health Services. Initial 5001.07.2026consultation may include history taking, assessment, diagnostic formulation, 5001.07.2026treatment/service, tailored goal setting and treatment planning, setting 5001.07.2026expectations of recovery and return to work, clinical recording, communication 5001.07.2026with the referrer and insurer about any relevant information for the worker's 5001.07.2026rehabilitation. Please note: A provider cannot bill for multiple initial 5001.07.2026consultations or multiple subsequent consultations for the same injured worker 5001.07.2026on the same day. 100100024401.07.2026 H Y Y 2001.07.202600204.0000000.0000000.00 5001.07.2026SUBSEQUENT CONSULTATION - PSYCHOTHERAPY - A one-on-one subsequent consultation 5001.07.2026with the worker in their ongoing management and treatment. Intervention is 5001.07.2026based on treatment formulated in the initial consultation. The first six (6) 5001.07.2026hours (including initial consultation) are pre-approved, provided this issue 5001.07.2026has not previously been treated by an allied health provider. If additional 5001.07.2026treatment is required, submit a Provider Management Plan (PMP). Subsequent 5001.07.2026consultation may include ongoing assessment, intervention/treatment, setting 5001.07.2026expectations of recovery and return to work, clinical recording, communication 5001.07.2026with the referrer and insurer about any relevant information for the worker's 5001.07.2026rehabilitation. Please note: A provider cannot bill for multiple initial 5001.07.2026consultations or multiple subsequent consultations for the same injured worker 5001.07.2026on the same day. Maximum one (1) hour on any one day. 100100024501.07.2026 H Y Y 2001.07.202600070.0000000.0000000.00 5001.07.2026ATTENDANT CARE STANDARD WEEKDAY- DAYTIME - Weekday Daytime Support is any 5001.07.2026support to a participant that starts at or after 6:00 am and ends before or at 5001.07.20268:00 pm on a single weekday (unless it is a Public Holiday or Night-time 5001.07.2026Sleepover Support). Attendant care and support services are generally services 5001.07.2026to help a worker with serious injuries and complex injuries to participate 5001.07.2026with everyday tasks. Prior approval required before approving this service. 100100024601.07.2026 H Y Y 2001.07.202600077.0000000.0000000.00 5001.07.2026ATTENDANT CARE -STANDARD - WEEKDAY EVENING - Weekday Evening Support is any 5001.07.2026support to a participant that starts after 8:00 pm and finishes at or before 5001.07.2026midnight on a single weekday (unless it is a Public Holiday or Night-time 5001.07.2026Sleepover Support). Attendant care and support services are generally services 5001.07.2026to help a worker with serious injuries and complex injuries to participate 5001.07.2026with everyday tasks. Prior approval required before approving this service. 100100024701.07.2026 H Y Y 2001.07.202600078.0000000.0000000.00 5001.07.2026ATTENDANT CARE - STANDARD - WEEKDAY NIGHT - Weekday Night Support is any 5001.07.2026support to a participant that commences at or before midnight on a weekday and 5001.07.2026finishes after midnight on that weekday or commences before 6:00 am on a 5001.07.2026weekday and finishes on that weekday (unless it is a Public Holiday, Saturday, 5001.07.2026Sunday, or Night-time Sleepover Support). Attendant care and support services 5001.07.2026are generally services to help a worker with serious injuries and complex 5001.07.2026injuries to participate with everyday tasks. Prior approval required before 5001.07.2026approving this service. 100100024801.07.2026 H Y Y 2001.07.202600097.0000000.0000000.00 5001.07.2026ATTENDANT CARE - STANDARD - SATURDAY - Saturday Support is any support to a 5001.07.2026participant that starts at or after midnight on the night prior to a Saturday 5001.07.2026and ends before or at midnight of that Saturday (unless it is a Public Holiday 5001.07.2026or Night-time Sleepover Support). Attendant care and support services are 5001.07.2026generally services to help a worker with serious injuries and complex injuries 5001.07.2026to participate with everyday tasks. Prior approval required before approving 5001.07.2026this service. 100100024901.07.2026 H Y Y 2001.07.202600125.0000000.0000000.00 5001.07.2026ATTENDANT CARE - STANDARD - SUNDAY - Sunday Support is any support to a 5001.07.2026participant that starts at or after midnight on the night prior to a Sunday 5001.07.2026and ends before or at midnight of that Sunday (unless it is a Public Holiday 5001.07.2026or Night-time Sleepover Support). Attendant care and support services are 5001.07.2026generally services to help a worker with serious injuries and complex injuries 5001.07.2026to participate with everyday tasks. Prior approval required before approving 5001.07.2026this service. 100100025001.07.2026 H Y Y 2001.07.202600154.0000000.0000000.00 5001.07.2026ATTENDANT CARE - STANDARD - PUBLIC HOLIDAY - Public Holiday Support is any 5001.07.2026support to a participant that starts at or after midnight on the night prior 5001.07.2026to a Public Holiday and ends before or at midnight of that Public Holiday 5001.07.2026(unless it is a Night-time Sleepover Support). Attendant care and support 5001.07.2026services are generally services to help a worker with serious injuries and 5001.07.2026complex injuries to participate with everyday tasks. Prior approval required 5001.07.2026before approving this service. 100100025101.07.2026 O Y Y 2001.07.202600289.0000000.0000000.00 5001.07.2026ATTENDANT CARE - ASSISTANCE WITH SELF-CARE ACTIVITIES - NIGHT-TIME SLEEPOVER - 5001.07.2026Night-time Sleepover Support is any support to a participant delivered on a 5001.07.2026weekday, a Saturday, a Sunday, or a Public Holiday that commences before 5001.07.2026midnight on a day and finishes after midnight on that day; and is for a 5001.07.2026continuous period of eight (8) hours or more; and the worker is allowed to 5001.07.2026sleep when they are not providing support. Attendant care and support services 5001.07.2026are generally services to help a worker with serious injuries and complex 5001.07.2026injuries to participate with everyday tasks. Prior approval required before 5001.07.2026approving this service. 100100025201.07.2026 O Y Y 2001.07.202601439.0000000.0000000.00 5001.07.2026ATTENDANT CARE PROGRAM ESTABLISHMENT FEE - Establishment fee (one off set up 5001.07.2026fee) for complex attendant care program of ongoing support services. (where 5001.07.2026more than 20 hours of care per week is required for more than 3 months). 100100025301.07.2026 H Y Y 2001.07.202600058.0000000.0000000.00 5001.07.2026GARDEN MAINTENANCE - HOME CARE SERVICES - Provided through an agency includes 5001.07.2026basic gardening assistance where the worker is living at home and has been 5001.07.2026assessed by an occupational therapist as incapable of undertaking these tasks 5001.07.2026(for physical, cognitive, or emotional reasons) of undertaking these tasks and 5001.07.2026has no family or other social support network. Note: Yard maintenance (lawn 5001.07.2026mowing, light pruning, and rubbish removal) is limited to work ordinarily 5001.07.2026required for an average residence and excludes excessive or high frequency 5001.07.2026maintenance work. Prior approval is required before providing this service 100100025401.07.2026 H Y Y 2001.07.202600058.0000000.0000000.00 5001.07.2026HOME MAINTENANCE- HOME CARE SERVICES - Provided through an agency - includes 5001.07.2026basic home maintenance. where the worker is living at home and has been 5001.07.2026assessed by an occupational therapist as incapable of undertaking these tasks 5001.07.2026(for physical, cognitive, or emotional reasons) of undertaking these tasks and 5001.07.2026has no family or other social support network. Note: Home and garden 5001.07.2026maintenance services exclude services or works that are ordinarily undertaken 5001.07.2026by a skilled tradesperson (for example carpentry services for home repairs, 5001.07.2026painting services, electrical and plumbing services, roofing repair services). 5001.07.2026Prior approval is required before providing this service 100100025501.07.2026 O Y Y 2001.07.202600034.0000000.0000000.00 5001.07.2026BASIC DRESSING PACK SIMPLE - Basic wound dressings e.g. Primapore Opsite 5001.07.2026Mepilex lite Melolite Hypafix Steri-strips transparent Opsite Simple 5001.07.2026post-operative wound dressings Disposable Wound Management Kit Sterile field 5001.07.2026(sterile pack incl. gauze) Sterile instruments (scissors and tweezers) Stitch 5001.07.2026cutters (for suture removal) Saline solution (for wound irrigation) Peroxide 5001.07.2026Betadine Chlorohexidine (for wound irrigation) 100100025601.07.2026 O Y Y 2001.07.202600056.0000000.0000000.00 5001.07.2026BASIC DRESSING PACK COMPLEX - Complex wound dressings Multiple basic wound 5001.07.2026dressings e.g. Primapore Opsite Mepilex lite Mepitel Mepilex border lite 5001.07.2026Melolite Hypafix Steri-strips transparent Opsite Crepe bandaging Multiple 5001.07.2026wounds, infected wounds, specialised dressings, wounds requiring healing with 5001.07.2026secondary intention Disposable Wound Management Kit Sterile field (sterile 5001.07.2026pack incl. gauze) Sterile instruments (scissors and tweezers) Stitch cutters 5001.07.2026(for suture removal) Saline solution (for wound irrigation) Peroxide Betadine 5001.07.2026Chlorohexidine (for wound irrigation) 100100025701.07.2026 O Y Y 2001.07.202600080.0000000.0000000.00 5001.07.2026MULTI TRAUMA DRESSINGS - Variety of basic and complex wound dressings for 5001.07.2026multiple or large wounds e.g. Mepitel Mepilex border lite Primapore Opsite 5001.07.2026Mepilex lite Melolite Hypafix Steri-strips transparent Opsite Large wound 5001.07.2026margins requiring multiple dressings and large dressings, specialised 5001.07.2026dressings, burns, wound debridement isposable Wound Management Kit Sterile 5001.07.2026field (sterile pack incl. gauze) Sterile instruments (scissors and tweezers) 5001.07.2026Stitch cutters (for suture removal) Saline solution (for wound irrigation) 5001.07.2026Peroxide Betadine Chlorohexidine (for wound irrigation) 100100025801.07.2026 O Y Y 2001.07.202600170.0000000.0000000.00 5001.07.2026INCIDENTAL EXPENSES HAND THERAPY - Reasonable charges for incidental items 5001.07.2026required by the worker to assist in their recovery and which they take home 5001.07.2026with them following their treatment. Pharmacy items and consumables used by a 5001.07.2026provider during a consultation are not included. For further clarification 5001.07.2026refer to the information provided below the tables. * Payment will be made up 5001.07.2026to $170 in total for incidental expenses and up to $283 in total for 5001.07.2026supportive devices, per claim (not per consultation), without prior approval. 5001.07.2026Approval from the insurer must be obtained for items exceeding the 5001.07.2026pre-approved value. Hire of equipment to be negotiated with insurer. All 5001.07.2026expenses must be itemised on the invoice. Please note: This item number is not 5001.07.2026to be used for admission fees to external facilities such as gyms and pools.