Public hospital fees, codes, items and services descriptors for services to injured workers on or after 1 July 2020.
For all patients admitted prior to 1 July 2020, please refer to the Workers Compensation (Public) Hospital Rates) Order 2019 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 2020.
|PUH 001||Acute admitted||(NWAU (19) -11%) x NEP ($5,320)|
|ED admitted||(NWAU(19) - 11%) x NEP ($5,320)|
|ED non-admitted||NWAU(19) - 11% x NEP ($5,320)|
|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 $1,220/day|
|Dialysis||$688 (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 $130/occasion|
|Public psychiatric hospital||$91/occasion|
|Other (eg residential aged care facility)||$91/occasion|
|Brain injury rehabilitation program services|
|PBI 001||Admitted patient brain injury rehabilitation service||Max $1,824/day|
|PBI 002||Metropolitan (non-referral) services||Max $916/day|
|PBI 003||Non-admitted patient services||$88 per half hour|
|PBI 004||Out-patient medical clinic appointments||Max $303|
|PBI 005||Group activities:|
|$56 per half hour|
|$40 per half hour|
|Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney|
|PSI 001||Admitted patients||$1,220/day|
|PSI 002||Out-patient services||$88 half hour per therapist|