Early Intervention Physiotherapy Framework fees
Effective 1 July 2024
The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.
2024/25 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation: History, examination and treatment of new patient | ||
| Initial Consultation: < 7 months from date of injury | EPA100 | $125.69 |
| Initial Consultation: < 7 months from date of injury (Telehealth) | EPA100T | $125.69 |
| Initial Consultation: > 7 months from date of injury | EPB100 | $86.70 |
| Initial Consultation: > 7 months from date of injury (Telehealth) | EPB100T | $86.70 |
Standard Consultation | ||
| Standard Consultation: < 7 months from date of injury | EPA102 | $82.96 |
| Standard Consultation: < 7 months from date of injury (Telehealth) | EPA102T | $82.96 |
| Standard Consultation: > 7 months from date of injury | EPB102 | $66.06 |
| Standard Consultation: > 7 months from date of injury (Telehealth) | EPB102T | $66.06 |
| Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury. | ||
| Post-operative Consultation: max. 3 months of treatment | EIP001 | $82.96 |
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria | ||
| Extended Consultation (31-40 mins) : < 9 months from first community treatment | EPA107 | $110.61 |
| Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth) | EPA107T | $110.61 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment | EPB107 | $82.64 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth) | EPB107T | $82.64 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment | EPA108 | $138.29 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth) | EPA108T | $138.29 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment | EPB108 | $132.00 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth) | EPB108T | $132.00 |
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel | ||
| Melbourne Metropolitan | EPA131 | $2.72 per km |
| Regional / Rural | EPA132 | $1.84 per km |
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel | ||
| Individual Hydrotherapy Consultation | PH602R | $66.06 |
| Group Hydrotherapy Consultation: Two or more patients | PH602G | $40.09 |
| Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist | PY602G | $40.09 |
Assessment & review: Assessment and reviews include travel | ||
| Workplace Assessment and report # | WPA101*# | $192.00 per hour (max $576.00) |
| Workplace Assessment and report (Telehealth) # | WPA101T*# | $192.00 per hour (max $576.00) |
| Home/Equipment Inspection & Report # | PY620H*# | $145.23 |
| Completion of Allied Health Treatment and Recovery Plan (at TAC request) | PY630R* | $81.20 |
| Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC # | PY625H*# | $145.23 |
# Billed as an hourly rate inclusive of travel
2023/24 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation: History, examination and treatment of new patient | ||
| Initial Consultation: < 7 months from date of injury | EPA100 | $121.08 |
| Initial Consultation: < 7 months from date of injury (Telehealth) | EPA100T | $121.08 |
| Initial Consultation: > 7 months from date of injury | EPB100 | $83.52 |
| Initial Consultation: > 7 months from date of injury (Telehealth) | EPB100T | $83.52 |
Standard Consultation | ||
| Standard Consultation: < 7 months from date of injury | EPA102 | $79.92 |
| Standard Consultation: < 7 months from date of injury (Telehealth) | EPA102T | $79.92 |
| Standard Consultation: > 7 months from date of injury | EPB102 | $63.64 |
| Standard Consultation: > 7 months from date of injury (Telehealth) | EPB102T | $63.64 |
| Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury. | ||
| Post-operative Consultation: max. 3 months of treatment | EIP001 | $79.92 |
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria | ||
| Extended Consultation (31-40 mins) : < 9 months from first community treatment | EPA107 | $106.55 |
| Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth) | EPA107T | $106.55 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment | EPB107 | $79.61 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth) | EPB107T | $79.61 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment | EPA108 | $133.21 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth) | EPA108T | $133.21 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment | EPB108 | $127.16 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth) | EPB108T | $127.16 |
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel | ||
| Melbourne Metropolitan | EPA131 | $2.72 per km |
| Regional / Rural | EPA132 | $1.84 per km |
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel | ||
| Individual Hydrotherapy Consultation | PH602R | $63.64 |
| Group Hydrotherapy Consultation: Two or more patients | PH602G | $38.62 |
| Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist | PY602G | $38.62 |
Assessment & review: Assessment and reviews include travel | ||
| Workplace Assessment and report # | WPA101*# | $184.95 per hour (max $554.85) |
| Workplace Assessment and report (Telehealth) # | WPA101T*# | $184.95 per hour (max $554.85) |
| Home/Equipment Inspection & Report # | PY620H*# | $139.90 |
| Completion of Allied Health Treatment and Recovery Plan (at TAC request) | PY630R* | $78.22 |
| Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC # | PY625H*# | $139.90 |
# Billed as an hourly rate inclusive of travel
2024/25 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation: History, examination and treatment of new patient | ||
| Initial Consultation: < 7 months from date of injury | EPA100 | $125.69 |
| Initial Consultation: < 7 months from date of injury (Telehealth) | EPA100T | $125.69 |
| Initial Consultation: > 7 months from date of injury | EPB100 | $86.70 |
| Initial Consultation: > 7 months from date of injury (Telehealth) | EPB100T | $86.70 |
Standard Consultation | ||
| Standard Consultation: < 7 months from date of injury | EPA102 | $82.96 |
| Standard Consultation: < 7 months from date of injury (Telehealth) | EPA102T | $82.96 |
| Standard Consultation: > 7 months from date of injury | EPB102 | $66.06 |
| Standard Consultation: > 7 months from date of injury (Telehealth) | EPB102T | $66.06 |
| Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury. | ||
| Post-operative Consultation: max. 3 months of treatment | EIP001 | $82.96 |
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria | ||
| Extended Consultation (31-40 mins) : < 9 months from first community treatment | EPA107 | $110.61 |
| Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth) | EPA107T | $110.61 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment | EPB107 | $82.64 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth) | EPB107T | $82.64 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment | EPA108 | $138.29 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth) | EPA108T | $138.29 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment | EPB108 | $132.00 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth) | EPB108T | $132.00 |
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel | ||
| Melbourne Metropolitan | EPA131 | $2.72 per km |
| Regional / Rural | EPA132 | $1.84 per km |
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel | ||
| Individual Hydrotherapy Consultation | PH602R | $66.06 |
| Group Hydrotherapy Consultation: Two or more patients | PH602G | $40.09 |
| Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist | PY602G | $40.09 |
Assessment & review: Assessment and reviews include travel | ||
| Workplace Assessment and report # | WPA101*# | $192.00 per hour (max $576.00) |
| Workplace Assessment and report (Telehealth) # | WPA101T*# | $192.00 per hour (max $576.00) |
| Home/Equipment Inspection & Report # | PY620H*# | $145.23 |
| Completion of Allied Health Treatment and Recovery Plan (at TAC request) | PY630R* | $81.20 |
| Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC # | PY625H*# | $145.23 |
# Billed as an hourly rate inclusive of travel
2023/24 rates
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
| Initial Consultation: History, examination and treatment of new patient | ||
| Initial Consultation: < 7 months from date of injury | EPA100 | $121.08 |
| Initial Consultation: < 7 months from date of injury (Telehealth) | EPA100T | $121.08 |
| Initial Consultation: > 7 months from date of injury | EPB100 | $83.52 |
| Initial Consultation: > 7 months from date of injury (Telehealth) | EPB100T | $83.52 |
Standard Consultation | ||
| Standard Consultation: < 7 months from date of injury | EPA102 | $79.92 |
| Standard Consultation: < 7 months from date of injury (Telehealth) | EPA102T | $79.92 |
| Standard Consultation: > 7 months from date of injury | EPB102 | $63.64 |
| Standard Consultation: > 7 months from date of injury (Telehealth) | EPB102T | $63.64 |
| Post-operative consultation: Eligible surgical procedures only - see guidance material for details; can be billed for a maximum of 3 months from first treatment following eligible surgery; Can only be billed within 30 months of the date of injury. | ||
| Post-operative Consultation: max. 3 months of treatment | EIP001 | $79.92 |
Extended Consultation: Prior approval required - refer to the policy for eligibility criteria | ||
| Extended Consultation (31-40 mins) : < 9 months from first community treatment | EPA107 | $106.55 |
| Extended Consultation (31-40 mins) : < 9 months from first community treatment (Telehealth) | EPA107T | $106.55 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment | EPB107 | $79.61 |
| Extended Consultation (31-40 mins) : > 9 months from first community treatment (Telehealth) | EPB107T | $79.61 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment | EPA108 | $133.21 |
| Extended Consultation (+40 mins) : < 9 months from first community treatment (Telehealth) | EPA108T | $133.21 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment | EPB108 | $127.16 |
| Extended Consultation (+40 mins) : > 9 months from first community treatment (Telehealth) | EPB108T | $127.16 |
Travel: Prior approval required - refer to the policy for eligibility criteria. Cannot be billed where the service rate includes travel | ||
| Melbourne Metropolitan | EPA131 | $2.72 per km |
| Regional / Rural | EPA132 | $1.84 per km |
Hydrotherapy & Group Consultations: Hydrotherapy rates include travel | ||
| Individual Hydrotherapy Consultation | PH602R | $63.64 |
| Group Hydrotherapy Consultation: Two or more patients | PH602G | $38.62 |
| Group Consultation: Maximum 6 patients receiving constant overall supervision and intermittent individual attention from a physiotherapist | PY602G | $38.62 |
Assessment & review: Assessment and reviews include travel | ||
| Workplace Assessment and report # | WPA101*# | $184.95 per hour (max $554.85) |
| Workplace Assessment and report (Telehealth) # | WPA101T*# | $184.95 per hour (max $554.85) |
| Home/Equipment Inspection & Report # | PY620H*# | $139.90 |
| Completion of Allied Health Treatment and Recovery Plan (at TAC request) | PY630R* | $78.22 |
| Attendance by treating physiotherapist at meeting where the patient is present, at the request of the TAC # | PY625H*# | $139.90 |
# Billed as an hourly rate inclusive of travel
