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2018 Public Hospital Fees Schedule

Public hospital fees, codes, items and services descriptors for services to injured workers on or after 1 July 2018.

For all patients admitted prior to 1 July 2018, please refer to the Workers Compensation (Public Hospital Rates) Order 2017 for the appropriate fee.

Acute admitted, emergency department admitted and emergency department non-admitted patient services except in small rural hospitals - patients admitted on or after 1 July 2017.

Payment
classification
code
ItemFee
PUH 001Acute admitted(NWAU (18) -11%) x NEP ($5,012)
ED admitted(NWAU(18) - 11%) x NEP ($5,012)
ED non-admittedNWAU(18) - 11% x NEP ($5,012)
Non-acute/sub-acute admitted patient services and outpatient services and ED patient services small rural hospitals
Payment classification codeItemFee
PUH 002Public hospital (sub-acute and non-acute) - in patientMax $1,181/day
Incorporating:
  • public hospital
$1,181/day
  • public psychiatric hospital
$496/day
  • other (eg residential aged care facility)
$278/day
Dialysis$666 (per session)
PUH 003Public hospital - outpatient occasion of services (excluding physiotherapy, psychology and exercise physiology services - use relevant WC gazetted fees for these services with code PUH 003) and ED of small rural hospitals not collecting patient level dataMax $125/occasion
Public hospital$125/occasion
Public psychiatric hospital$88/occasion
Other (eg residential aged care facility)$88/occasion
Brain injury rehabilitation program services
CodeItemFee
PBI 001Admitted patient brain injury rehabilitation serviceMax $1,765/day
Incorporating:
  • category A patient
$1,241/day
  • category B patient
$794/day
  • category X patient
$1,765/day
PBI 002Metropolitan (non-referral) servicesMax $886/day
Incorporating:
  • category A patient
$886/day
  • category B patient
$439/day
PBI 003Non-admitted patient services$85 per half hour
PBI 004Out-patient medical clinic appointmentsMax $293
Incorporating:
  • initial assessment
$293
  • follow up assessment
$146
PBI 005Group activities:
  • directly supervised by qualified allied health clinician
$54 per half hour
  • not directly supervised by qualified allied health clinician
$39 per half hour
Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney
CodeItemFee
PSI 001Admitted patients$1,181/day
PSI 002Out-patient services$85 half hour per therapist

Fees for medical/clinical reports

  • PHR 007 Public hospital medical reports
  • PHR 002 Public hospital records

Above services to be billed in accordance with the rates set out in NSW Health IB2017_035 subject to the categorisations set out in NSW Health PD2006_050, rates or categorisations are amended or revised from time to time.

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