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
2023/24 rates
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
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
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
GST
If your business entity is not registered for GST, then you must only claim the lower of the rates provided at each item number. This is the "Maximum Payment rate - Non registered for GST". A business entity not registered for GST:
- Is not legally permitted to charge GST; and
- Should indicate on all invoices submitted your status as 'not registered for GST'
A business entity that is registered for GST should claim the higher rates provided at each item number. This is the "Maximum Payment Rate - Registered for GST". Where TAC believes an item is a taxable supply, an allowance for GST has been factored into the payment rate. You should not markup GST on the Maximum Payment Rate quoted for a GST registered entity.
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Early Intervention Physiotherapy Framework feesEffective 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
# Billed as an hourly rate inclusive of travel 2023/24 rates
# Billed as an hourly rate inclusive of travel 2024/25 rates
# Billed as an hourly rate inclusive of travel 2023/24 rates
# Billed as an hourly rate inclusive of travel GST If your business entity is not registered for GST, then you must only claim the lower of the rates provided at each item number. This is the "Maximum Payment rate - Non registered for GST". A business entity not registered for GST:
A business entity that is registered for GST should claim the higher rates provided at each item number. This is the "Maximum Payment Rate - Registered for GST". Where TAC believes an item is a taxable supply, an allowance for GST has been factored into the payment rate. You should not markup GST on the Maximum Payment Rate quoted for a GST registered entity. |
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