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2017 Public Hospital Fees Schedule

Public hospital fees, codes, items and services descriptors for services to injured workers on or after 1 July 2017.

For all patients admitted prior to 1 July 2017, please refer to the  Workers Compensation (Public Hospital Rates) Order 2016 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 (17) - 11%) x NEP ($4,910)
ED admitted(NWAU (17) - 11%) x NEP ($4,910)
ED non-admittedNWAU (17) x NEP ($4,910)
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 $1,155/day
Incorporating:
  • public hospital
$1,155/day
  • public psychiatric hospital
$485/day
  • other (eg residential aged care facility)
$272/day
Dialysis$651 (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 $123/occasion
Public hospital$123/occasion
Public psychiatric hospital$86/occasion
Other (eg residential aged care facility)$86/occasion
Brain injury rehabilitation program services
CodeItemFee
PBI 001Admitted patient brain injury rehabilitation serviceMax $1,727/day
Incorporating:
  • category A patient
$1,214/day
  • category B patient
$777/day
  • category X patient
$1,727/day
PBI 002Metropolitan (non-referral) servicesMax $867/day
Incorporating:
  • category A patient
$867/day
  • category B patient
$430/day
PBI 003Non-admitted patient services$83 per half hour
PBI 004Out-patient medical clinic appointmentsMax $287
Incorporating:
  • initial assessment
$287
  • follow up assessment
$143
PBI 005Group activities:
  • directly supervised by qualified allied health clinician
$53 per half hour
  • not directly supervised by qualified allied health clinician
$38 per half hour
Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney
CodeItemFee
PSI 001Admitted patients$1,155/day
PSI 002Out-patient services$83 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 IB2016_047 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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