2020 Public Hospital Fee Schedule

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.
Payment classification code	Item	Fee
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
	Incorporating:
	public hospital	$1,220/day
	public psychiatric hospital	$512/day
	other (eg residential aged care facility)	$287/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 hospital	$130/occasion
	Public psychiatric hospital	$91/occasion
	Other (eg residential aged care facility)	$91/occasion

Brain injury rehabilitation program services
Code	Item	Fee
PBI 001	Admitted patient brain injury rehabilitation service	Max $1,824/day
	Incorporating:
	category A patient	$1,282/day
	category B patient	$820/day
	category X patient	$1,824/day
PBI 002	Metropolitan (non-referral) services	Max $916/day
	Incorporating:
	category A patient	$916/day
	category B patient	$454/day
PBI 003	Non-admitted patient services	$88 per half hour
PBI 004	Out-patient medical clinic appointments	Max $303
	Incorporating:
	initial assessment	$303
	follow up assessment	$151
PBI 005	Group activities:
	directly supervised by qualified allied health clinician	$56 per half hour
	not directly supervised by qualified allied health clinician	$40 per half hour

Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney
Code	Item	Fee
PSI 001	Admitted patients	$1,220/day
PSI 002	Out-patient services	$88 half hour per therapist