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 | Item | Fee |
| PUH 001 | Acute admitted | (NWAU (19) -11%) x NEP ($5,134) |
| ED admitted | (NWAU(19) - 11%) x NEP ($5,134) | |
| ED non-admitted | NWAU(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 code | Item | Fee |
| PUH 002 | Public hospital (sub-acute and non-acute) - in patient | Max $1,201/day |
| Incorporating: | ||
| $1,201/day | |
| $504/day | |
| $282/day | |
| Dialysis | $677 (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 $128/occasion |
| Public hospital | $128/occasion | |
| Public psychiatric hospital | $89/occasion | |
| Other (eg residential aged care facility) | $89/occasion | |
| Brain injury rehabilitation program services | ||
|---|---|---|
| Code | Item | Fee |
| PBI 001 | Admitted patient brain injury rehabilitation service | Max $1,795/day |
| Incorporating: | ||
| $1,262/day | |
| $807/day | |
| $1,795/day | |
| PBI 002 | Metropolitan (non-referral) services | Max $901/day |
| Incorporating: | ||
| $901/day | |
| $447/day | |
| PBI 003 | Non-admitted patient services | $86 per half hour |
| PBI 004 | Out-patient medical clinic appointments | Max $298 |
| Incorporating: | ||
| $298 | |
| $149 | |
| PBI 005 | Group activities: | |
| $55 per half hour | |
| $39 per half hour | |
| Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney | ||
|---|---|---|
| Code | Item | Fee |
| PSI 001 | Admitted patients | $1,201/day |
| PSI 002 | Out-patient services | $86 half hour per therapist |