2016 Public Hospital Fees Schedule

Public hospital feed, codes, items and services descriptors for services to injured workers on or after 1 July 2016.

For all patients admitted prior to 1 July 2016, please refer to the  Workers Compensation (Public Hospital Rates) Order 2015 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 2016.

Payment
classification
code
ItemFee
PUH 001Acute admitted(NWAU (15) - 11%) x NEP ($4,883)
ED admitted(NWAU (15) - 11%) x NEP ($4,883)
ED non admittedNWAU (15) x NEP ($4,883)
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 $1,135/day
Incorporating:
  • public hospital
$1,135/day
  • public psychiatric hospital
$476/day
  • other (eg residential aged care facility)
$267/day
Dialysis$640 (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 $121/occasion
Public hospital$121/occasion
Public psychiatric hospital$84/occasion
Other (eg residential aged care facility)$84/occasion
Brain injury rehabilitation program services
CodeItemFee
PBI 001Admitted patient brain injury rehabilitation serviceMax $1696/day
Incorporating:
  • category A patient
$1,193/day
  • category B patient
$763/day
  • category X patient
$1696/day
PBI 002Metropolitan (non-referral) servicesMax $852/day
Incorporating:
  • category A patient
$852/day
  • category B patient
$422/day
PBI 003Non-admitted patient services$81 per half hour
PBI 004Out-patient medical clinic appointmentsMax $282
Incorporating:
  • initial assessment
$282
  • follow up assessment
$141
PBI 005Group activities:
  • directly supervised by qualified allied health clinician
$52 per half hour
  • not directly supervised by qualified allied health clinician
$37 per half hour
Spinal injury rehabilitation services at Royal Rehabilitation Centre Sydney
CodeItemFee
PSI 001Admitted patients$1,135/day
PSI 002Out-patient services$81 half hour per therapist
Feed for medical/clinical reports*
CodeItemFee
PHR 001Public hospital medical reportsMax $790
PHR 002Public hospital recordsMax $106

*Reports charging in accordance with the rates set out in NSW Health IB2014_054 subject to the categorisations set out in NSW Health PD2006_050, both at those rates or categorisations are amended or revised from time to time.

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©WorkCover NSW
Catalogue No. WC01023

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