Orthoptic services fees

Effective 1 July 2024

Orthoptic services can be invoiced online via HICAPS Digital Claims for next business day payments.

For Orthoptic services provided on or after 1 July 2024
Service Description	TAC Item Number	Maximum Payment Rate
In Rooms
Initial Consultation	TH0040	$70.46
Standard Consultation	TH0042	$56.44
Out of Rooms
Initial Consultation	TH0041	$98.35
Standard Consultation	TH0043	$84.46

For Orthoptic services provided between 1 July 2023 and 30 June 2024
Service Description	TAC Item Number	Maximum Payment Rate
In Rooms
Initial Consultation	TH0040	$67.87
Standard Consultation	TH0042	$54.37
Out of Rooms
Initial Consultation	TH0041	$94.74
Standard Consultation	TH0043	$81.36

For Orthoptic services provided on or after 1 July 2024
Service Description	TAC Item Number	Maximum Payment Rate
In Rooms
Initial Consultation	TH0040	$70.46
Standard Consultation	TH0042	$56.44
Out of Rooms
Initial Consultation	TH0041	$98.35
Standard Consultation	TH0043	$84.46

For Orthoptic services provided between 1 July 2023 and 30 June 2024
Service Description	TAC Item Number	Maximum Payment Rate
In Rooms
Initial Consultation	TH0040	$67.87
Standard Consultation	TH0042	$54.37
Out of Rooms
Initial Consultation	TH0041	$94.74
Standard Consultation	TH0043	$81.36

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

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.