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 | Item | Fee |
| PUH 001 | Acute admitted | (NWAU (18) -11%) x NEP ($5,012) |
| ED admitted | (NWAU(18) - 11%) x NEP ($5,012) | |
| ED non-admitted | NWAU(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 code | Item | Fee |
| PUH 002 | Public hospital (sub-acute and non-acute) - in patient | Max $1,181/day |
| Incorporating: | ||
| $1,181/day | |
| $496/day | |
| $278/day | |
| Dialysis | $666 (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 $125/occasion |
| Public hospital | $125/occasion | |
| Public psychiatric hospital | $88/occasion | |
| Other (eg residential aged care facility) | $88/occasion | |
| Brain injury rehabilitation program services | ||
|---|---|---|
| Code | Item | Fee |
| PBI 001 | Admitted patient brain injury rehabilitation service | Max $1,765/day |
| Incorporating: | ||
| $1,241/day | |
| $794/day | |
| $1,765/day | |
| PBI 002 | Metropolitan (non-referral) services | Max $886/day |
| Incorporating: | ||
| $886/day | |
| $439/day | |
| PBI 003 | Non-admitted patient services | $85 per half hour |
| PBI 004 | Out-patient medical clinic appointments | Max $293 |
| Incorporating: | ||
| $293 | |
| $146 | |
| PBI 005 | Group activities: | |
| $54 per half hour | |
| $39 per half hour | |
| Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney | ||
|---|---|---|
| Code | Item | Fee |
| PSI 001 | Admitted patients | $1,181/day |
| PSI 002 | Out-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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