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.
|PUH 001||Acute admitted||(NWAU (17) - 11%) x NEP ($4,910)|
|ED admitted||(NWAU (17) - 11%) x NEP ($4,910)|
|ED non-admitted||NWAU (17) x NEP ($4,910)|
|Non-acute/sub-acute admitted patient services and outpatient services and ED patient services small rural hospitals|
|Payment classification code||Item||Fee|
|PUH 002||Public hospital (sub-acute and non-acute) - in patient||Max $1,155/day|
|Dialysis||$651 (per session)|
|PUH 003||Public 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 data||Max $123/occasion|
|Public psychiatric hospital||$86/occasion|
|Other (eg residential aged care facility)||$86/occasion|
|Brain injury rehabilitation program services|
|PBI 001||Admitted patient brain injury rehabilitation service||Max $1,727/day|
|PBI 002||Metropolitan (non-referral) services||Max $867/day|
|PBI 003||Non-admitted patient services||$83 per half hour|
|PBI 004||Out-patient medical clinic appointments||Max $287|
|PBI 005||Group activities:|
|$53 per half hour|
|$38 per half hour|
|Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney|
|PSI 001||Admitted patients||$1,155/day|
|PSI 002||Out-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.