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2019 Public Hospital Fee Schedule

Public hospital fees, codes, items and services descriptors for services to injured workers on or after 19 July 2019.

For all patients admitted prior to 19 July 2018, please refer to the Workers Compensation (Public) Hospital Rates) Order 2018 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 19 July 2019.

Payment
classification
code
ItemFee
PUH 001Acute admitted(NWAU (19) -11%) x NEP ($5,134)
ED admitted(NWAU(19) - 11%) x NEP ($5,134)
ED non-admittedNWAU(19) - 11% x NEP ($5,134)
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 $1,201/day
Incorporating:
  • public hospital
$1,201/day
  • public psychiatric hospital
$504/day
  • other (eg residential aged care facility)
$282/day
Dialysis$677 (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 $128/occasion
Public hospital$128/occasion
Public psychiatric hospital$89/occasion
Other (eg residential aged care facility)$89/occasion
Brain injury rehabilitation program services
CodeItemFee
PBI 001Admitted patient brain injury rehabilitation serviceMax $1,795/day
Incorporating:
  • category A patient
$1,262/day
  • category B patient
$807/day
  • category X patient
$1,795/day
PBI 002Metropolitan (non-referral) servicesMax $901/day
Incorporating:
  • category A patient
$901/day
  • category B patient
$447/day
PBI 003Non-admitted patient services$86 per half hour
PBI 004Out-patient medical clinic appointmentsMax $298
Incorporating:
  • initial assessment
$298
  • follow up assessment
$149
PBI 005Group activities:
  • directly supervised by qualified allied health clinician
$55 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$1,201/day
PSI 002Out-patient services$86 half hour per therapist