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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
ItemFee
PUH 001Acute admitted(NWAU (19) -11%) x NEP ($5,320)
ED admitted(NWAU(19) - 11%) x NEP ($5,320)
ED non-admittedNWAU(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 codeItemFee
PUH 002Public hospital (sub-acute and non-acute) - in patientMax $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 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 $130/occasion
Public hospital$130/occasion
Public psychiatric hospital$91/occasion
Other (eg residential aged care facility)$91/occasion
Brain injury rehabilitation program services
CodeItemFee
PBI 001Admitted patient brain injury rehabilitation serviceMax $1,824/day
Incorporating:
  • category A patient
$1,282/day
  • category B patient
$820/day
  • category X patient
$1,824/day
PBI 002Metropolitan (non-referral) servicesMax $916/day
Incorporating:
  • category A patient
$916/day
  • category B patient
$454/day
PBI 003Non-admitted patient services$88 per half hour
PBI 004Out-patient medical clinic appointmentsMax $303
Incorporating:
  • initial assessment
$303
  • follow up assessment
$151
PBI 005Group 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
CodeItemFee
PSI 001Admitted patients$1,220/day
PSI 002Out-patient services$88 half hour per therapist