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Fees for non-admitted patients
Where an eligible person receives public hospital services as a public patient no charges will be raised, except for the following services provided to non-admitted patients:
- dental services
- spectacles and hearing aids
- surgical supplies
- prostheses – however, this does not include the following classes of prostheses, which must be provided free of charge:
- artificial limbs
- prostheses which are surgically implanted, either permanently or temporarily or are directly related to a clinically necessary surgical procedure
- external breast prostheses funded by the National External Breast Prostheses Reimbursement Program
- aids, appliances and home modifications
- other services as agreed between the Commonwealth and Victoria
Upon an admitted patient separation, a health service may raise fees for:
- pharmaceuticals at a level consistent with the Pharmaceutical Benefits Scheme statutory co-payments
See also:
- The National Health Reform Agreement
- National Health Reform Agreement Addendum Schedule G. Public patient charges
Dental Fees
Information on the Dental Health Program, including a fees schedule and exemptions, is available at dental health.
Pharmaceutical fees
Information on Pharmaceuticals, including fees is available on the Pharmaceuticals page
WorkSafe non-admitted compensable patient fees
These fees are revised annually in agreement with WorkSafe. Refer to the drop down list section below for the fee schedule for allied health and medical services. For queries relating to the WorkSafe non-admitted fees in the tables below please contact abf@health.vic.gov.au.
WorkSafe non-admitted allied health
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB76A $24.10 $24.70 Individual (30min) PUB76B $48.20 $49.41 Individual (45min) PUB76C $72.30 $74.11 Individual (60min) PUB76D $96.41 $98.82 Worksite / Home Inspection (15min) PUB77A $26.51 $27.17 Worksite / Home Inspection (30min) PUB77B $53.02 $54.35 Worksite / Home Inspection (45min) PUB77C $79.53 $81.52 Worksite / Home Inspection (60min) PUB77D $106.03 $108.68 Travel time ^^ (30min) PUB78B $60.24 $61.75 Travel time ^^ (45min) PUB78C $90.36 $92.62 Travel time ^^ (60min) PUB78D $120.49 $123.50 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB41A/AA $30.67 $31.44 Individual (30min) PUB41B/BB $61.33 $62.86 Individual (45min) PUB41C/CC $92.01 $94.31 Individual (60min) PUB41D/DD $122.68 $125.75 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB17A/AA $30.67 $31.44 Individual (30min) PUB17B/BB $61.33 $62.86 Individual (45min) PUB17C/CC $92.01 $94.31 Individual (60min) PUB17D/DD $122.68 $125.75 Worksite / Home Inspection (15min) PUB83A $33.75 $34.59 Worksite / Home Inspection (30min) PUB83B $67.50 $69.19 Worksite / Home Inspection (45min) PUB83C $101.25 $103.78 Worksite / Home Inspection (60min) PUB83D $135.00 $138.38 Travel time ^^ (30min) PUB84B $60.24 $61.75 Travel time ^^ (45min) PUB84C $90.36 $92.62 Travel time ^^ (60min) PUB84D $120.49 $123.50 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB23A/AA $30.67 $31.44 Individual (30min) PUB23B/BB $61.33 $62.86 Individual (45min) PUB23C/CC $92.01 $94.31 Individual (60min) PUB23D/DD $122.68 $125.75 Group (15min) PUB22A/AA $18.62 $19.09 Group (30min) PUB22B/BB $37.25 $38.18 Group (45min) PUB22C/CC $55.87 $57.27 Group (60min) PUB22D/DD $74.50 $76.36 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB09A $30.67 $31.44 Individual (30min) PUB09B $61.33 $62.86 Individual (45min) PUB09C $92.01 $94.31 Individual (60min) PUB09D $122.68 $125.75 Worksite / Home Inspection (15min) PUB85A $33.75 $34.59 Worksite / Home Inspection (30min) PUB85B $67.50 $69.19 Worksite / Home Inspection (45min) PUB85C $101.25 $103.78 Worksite / Home Inspection (60min) PUB85D $135.00 $138.38 Travel time ^^ (30min) PUB86B $60.24 $61.75 Travel time ^^ (45min) PUB86C $90.36 $92.62 Travel time ^^ (60min) PUB86D $120.49 $123.50 ** Note that PUB 09A - PUB 09D and PUB 85A - PUB 85D may relate to the treatment of wound management, medication reviews, continence management, and liaising with a client's general practitioner or specialist. A charge for the re-application of plaster for treatment of a fracture can also be raised where this service is performed by a nurse in an outpatient clinic. If another suitably qualified person such as an orthotist or prosthetist performs the task, then the PUB item number listed under that discipline can be billed.
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB09A $30.67 $31.44 Individual (30min) PUB09B $61.33 $62.86 Individual (45min) PUB09C $92.01 $94.31 Individual (60min) PUB09D $122.68 $125.75 Worksite / Home Inspection (15min) PUB85A $33.75 $34.59 Worksite / Home Inspection (30min) PUB85B $67.50 $69.19 Worksite / Home Inspection (45min) PUB85C $101.25 $103.78 Worksite / Home Inspection (60min) PUB85D $135.00 $138.38 Travel time ^^ (30min) PUB86B $60.24 $61.75 Travel time ^^ (45min) PUB86C $90.36 $92.62 Travel time ^^ (60min) PUB86D $120.49 $123.50 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB42A/AA $30.67 $31.44 Individual (30min) PUB42B/BB $61.33 $62.86 Individual (45min) PUB42C/CC $92.01 $94.31 Individual (60min) PUB42D/DD $122.68 $125.75 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB42A/AA $30.67 $31.44 Individual (30min) PUB42B/BB $61.33 $62.86 Individual (45min) PUB42C/CC $92.01 $94.31 Individual (60min) PUB42D/DD $122.68 $125.75 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 time to manufacture (per hour) Greater than 1 hour should be charged pro-rata at hourly rate PUB608 $139.10 $142.58 Minor Repair (Prosthesis). Total cost of consumables, materials, consultation and manufacturing time (Minor repairs are any repairs up to $250) PUB610 Depends on the total cost of the repairs or change of prescription costs (<$250) Depends on the total cost of the repairs or change of prescription costs (<$250) Major Repair (Prosthesis). Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers (Major repairs are any repairs above $250 inclusive of consumables) PUB614 Depends on the total cost of the repairs or change of prescription costs (<$250) Depends on the total cost of the repairs or change of prescription costs (<$250) New prostheses or change of prescription. Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers PUB612 Depends on the total cost of the repairs or change of prescription costs Depends on the total cost of the repairs or change of prescription costs Prosthetic Management Review Form - lower extremity or upper extremity. Total cost for completion of Form PUB618 $70.73 $72.50 Orthosis (purchase) - to be used when submitting invoice for payment for orthotic equipment, aids & appliances - not to be used for clinical or manufacturing services. EQ035 Depends on the total cost of the orthosis Depends on the total cost of the orthosis Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB13A $30.67 $31.44 Individual (30min) PUB13B $61.33 $62.86 Individual (45min) PUB13C $92.01 $94.31 Individual (60min) PUB13D $122.68 $125.75 Group (15min) PUB14A $18.62 $19.09 Group (30min) PUB14B $37.25 $38.18 Group (45min) PUB14C $55.87 $57.27 Group (60min) PUB14D $74.50 $76.36 Worksite / Home Inspection (15min) PUB66A $33.75 $34.59 Worksite / Home Inspection (30min) PUB66B $67.50 $69.19 Worksite / Home Inspection (45min) PUB66C $101.25 $103.78 Worksite / Home Inspection (60min) PUB66D $135.00 $138.38 Travel time ^^ (30min) PUB93B $60.24 $61.75 Travel time ^^ (45min) PUB93C $90.36 $92.62 Travel time ^^ (60min) PUB93D $120.49 $123.50 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB13A $30.67 $31.44 Individual (15min) PUB08A $54.49 $55.85 Individual (30min) PUB08B $108.98 $111.70 Individual (45min) PUB08C $163.47 $167.56 Individual (60min) PUB08D $217.96 $223.41 Group (15min) PUB07A $32.80 $33.62 Group (30min) PUB07B $65.61 $67.26 Group (45min) PUB07C $98.40 $100.86 Group (60min) PUB07D $131.21 $134.49 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Initial Assessment and preparation of Rehabilitation Plan PUB94 $120.49 $123.50 ^ Report refers to completion of 'Outpatient Rehabilitation Plan' only when required
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB40A $30.67 $31.44 Individual (30min) PUB40B $61.33 $62.86 Individual (45min) PUB40C $92.01 $94.31 Individual (60min) PUB40D $122.68 $125.75 Worksite / Home Inspection (15min) PUB79A $33.75 $34.59 Worksite / Home Inspection (30min) PUB79B $67.50 $69.19 Worksite / Home Inspection (45min) PUB79C $101.25 $103.78 Worksite / Home Inspection (60min) PUB79D $135.00 $138.38 Travel time ^^ (30 min) PUB80B $60.24 $61.75 Travel time ^^ (45 min) PUB80C $90.36 $92.62 Travel time ^^ (60 min) PUB80D $120.49 $123.50 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB29A $30.67 $31.44 Individual (30min) PUB29B $61.33 $62.86 Individual (45min) PUB29C $92.01 $94.31 Individual (60min) PUB29D $122.68 $125.75 Group (15min) PUB30A $18.62 $19.09 Group (30min) PUB30B $37.25 $38.18 Group (45min) PUB30C $55.87 $57.27 Group (60min) PUB30D $74.50 $76.36 Worksite / Home Inspection (15min) PUB81A $33.75 $34.59 Worksite / Home Inspection (30min) PUB81B $67.50 $69.19 Worksite / Home Inspection (45min) PUB81C $101.25 $103.78 Worksite / Home Inspection (60min) PUB81D $135.00 $138.38 Travel time ^^ (30min) PUB82B $60.24 $61.75 Travel time ^^ (45min) PUB82C $90.36 $92.62 Travel time ^^ (60min) PUB82D $120.49 $123.50 Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 PUB005 $30.13 $30.88 #BBD0E0 »
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 First 2 hours PUB10 $167.04 $171.22 per hour after initial 2 hours PUB11 $57.60 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB53A Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Individual (30min) PUB53B Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Individual (45min) PUB53C Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Individual (60min) PUB53D Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Group (15min) PUB54A Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Group (30min) PUB54B Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Group (45min) PUB54C Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Group (60min) PUB54D Fees to be advised by the Victorian WorkCover Authority Fees to be advised by the Victorian WorkCover Authority Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (varied) PUB71A $35.00 to $190.00
WorkSafe non-admitted medical services
# VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF04 $62.07 $63.62 (2 patients) $43.30 $44.38 (3 patients) $37.02 $37.95 (4 patients) $33.90 $34.75 (5 patients) $32.02 $32.82 (6 patients) $30.77 $31.54 (7 patients) $27.38 $28.06 # Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF058 $35.43 $36.32 (2 patients) $24.00 $24.60 (3 patients) $20.22 $20.73 (4 patients) $18.31 $18.77 (5 patients) $17.12 $17.55 (6 patients) $16.38 $16.79 (7 patients) $13.58 $13.92 # VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF024 $91.16 $93.44 (2 patients) $72.38 $74.19 (3 patients) $66.11 $67.76 (4 patients) $62.97 $64.54 (5 patients) $61.10 $62.63 (6 patients) $59.85 $61.35 (7 patients) $56.47 $57.88 # Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF059 $49.46 $50.70 (2 patients) $36.54 $37.45 (3 patients) $32.26 $33.07 (4 patients) $30.13 $30.88 (5 patients) $28.79 $29.51 (6 patients) $27.97 $28.67 (7 patients) $24.65 $25.27 # VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF037 $141.36 $144.89 (2 patients) $122.56 #BBD0E0 » # Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF060 $75.28 $77.16 (2 patients) $63.85 $65.45 (3 patients) $60.08 $61.58 (4 patients) $58.16 $59.61 (5 patients) $56.99 $58.41 (6 patients) $56.24 $57.65 (7 patients) $53.44 $54.78 # VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF047 $190.37 $195.13 (2 patients) $171.57 $175.86 (3 patients) $165.31 $169.44 (4 patients) $162.18 $166.23 (5 patients) $160.30 $164.31 (6 patients) $159.03 $163.01 (7 patients) $155.66 $159.55 Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF065 $107.76 $110.45 (2 patients) $96.34 $98.75 (3 patients) $92.55 $94.86 (4 patients) $90.64 $92.91 (5 patients) $89.45 $91.69 (6 patients) $88.72 $90.94 (7 patients) $85.91 $88.06 Service Provided - Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Specialist - Initial Attendance PUB/PMF 104 $126.29 $129.45 Specialist - Subsequent Attendance PUB/PMF 105 $63.48 $65.07 Consultant Physician - Initial Attendance PUB/PMF 110 $222.76 $228.33 Consultant Physician - Subsequent Attendance PUB/PMF 116 $111.45 $114.24 Consultant Physician - Minor Subsequent Attendance PUB/PMF 119 $63.48 $65.07 Professional Attendance - Prolonged (1-2 hours) PUB/PMF 160 $320.56 $328.57 Professional Attendance - Prolonged (2-3 hours) PUB/PMF 161 $534.25 $547.61 Professional Attendance - Prolonged (3-4 hours) PUB/ PMF 162 $747.72 $766.41 Professional Attendance - Prolonged (4-5 hours) PUB/PMF 163 $961.78 $985.82 Professional Attendance - Prolonged (>5 hours) PUB/PMF 164 $1,068.66 $1,095.38 Consultant Psychiatrist - Attendance 15 mins PUB/PMF 300 $64.00 $65.60 Consultant Psychiatrist - Attendance 30 mins PUB/PMF 302 $127.61 $130.80 Consultant Psychiatrist - Attendance 45 mins PUB/PMF 304 $196.49 $201.40 Consultant Psychiatrist - Attendance 75 mins PUB/PMF 306 $271.10 $277.88 Consultant Psychiatrist - Attendance > 75mins PUB/PMF 308 $314.65 $322.52
Non-admitted compensable patient fees (TAC)
From 1 July 2026, these fees only apply to some small rural health services that do not report activity through VINAH. If a health service reports activity through VINAH, these fees do not apply because the cost is already included in the TAC NWAU price.
For queries relating to the TAC non-admitted fees in the tables below please contact abf@health.vic.gov.au.
TAC non-admitted allied health
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB76A $23.53 $24.33 Individual (30min) PUB76B $47.07 $48.67 Individual (45min) PUB76C $70.60 $73.00 Individual (60min) PUB76D $94.13 $97.33 Worksite / Home Inspection (15min) PUB77A $25.88 $26.76 Worksite / Home Inspection (30min) PUB77B $51.78 $53.54 Worksite / Home Inspection (45min) PUB77C $77.66 $80.30 Worksite / Home Inspection (60min) PUB77D $103.55 $107.07 Travel time ^^ (30min) PUB78B $58.83 $60.83 Travel time ^^ (45min) PUB78C $88.24 $91.24 Travel time ^^ (60min) PUB78D $117.65 $121.65 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB41A/AA $29.95 $30.97 Individual (30min) PUB41B/BB $59.89 $61.93 Individual (45min) PUB41C/CC $89.84 $92.89 Individual (60min) PUB41D/DD $119.78 $123.85 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB17A/AA $29.95 $30.97 Individual (30min) PUB17B/BB $59.89 $61.93 Individual (45min) PUB17C/CC $89.84 $92.89 Individual (60min) PUB17D/DD $119.78 $123.85 Worksite / Home Inspection (15min) PUB83A $32.96 $34.08 Worksite / Home Inspection (30min) PUB83B $65.91 $68.15 Worksite / Home Inspection (45min) PUB83C $98.87 $102.23 Worksite / Home Inspection (60min) PUB83D $131.82 $136.30 Travel time ^^ (30min) PUB84B $58.83 $60.83 Travel time ^^ (45min) PUB84C $88.24 $91.24 Travel time ^^ (60min) PUB84D $117.65 $121.65 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB23A/AA $29.95 $30.97 Individual (30min) PUB23B/BB $59.89 $61.93 Individual (45min) PUB23C/CC $89.84 $92.89 Individual (60min) PUB23D/DD $119.78 $123.85 Group (15min) PUB22A/AA $18.18 $18.80 Group (30min) PUB22B/BB $36.38 $37.62 Group (45min) PUB22C/CC $54.56 $56.42 Group (60min) PUB22D/DD $72.74 $75.21 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB09A $29.95 $30.97 Individual (30min) PUB09B $59.89 $61.93 Individual (45min) PUB09C $89.84 $92.89 Individual (60min) PUB09D $119.78 $123.85 Worksite / Home Inspection (15min) PUB85A $32.96 $34.08 Worksite / Home Inspection (30min) PUB85B $65.91 $68.15 Worksite / Home Inspection (45min) PUB85C $98.87 $102.23 Worksite / Home Inspection (60min) PUB85D $131.82 $136.30 Travel time ^^ (30min) PUB86B $58.83 $60.83 Travel time ^^ (45min) PUB86C $88.24 $91.24 Travel time ^^ (60min) PUB86D $117.65 $121.65 ** Note that PUB 09A - PUB 09D and PUB 85A - PUB 85D may relate to the treatment of wound management, medication reviews, continence management, and liaising with a client's general practitioner or specialist. A charge for the re-application of plaster for treatment of a fracture can also be raised where this service is performed by a nurse in an outpatient clinic. If another suitably qualified person such as an orthotist or prosthetist performs the task, then the PUB item number listed under that discipline can be billed.
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Worksite / Home Inspection (15min) PUB67AA $32.96 $34.08 Worksite / Home Inspection (30min) PUB67BB $65.91 $68.15 Worksite / Home Inspection (45min) PUB67CC $98.87 $102.23 Worksite / Home Inspection (60min) PUB67DD $131.82 $136.30 Individual (15min) PUB20A/AA $29.95 $30.97 Individual (30min) PUB20B/BB $59.89 $61.93 Individual (45min) PUB20C/CC $89.84 $92.89 Individual (60min) PUB20D/DD $119.78 $123.85 Group (15min) PUB19A/AA $18.18 $18.80 Group (30min) PUB19B/BB $36.38 $37.62 Group (45min) PUB19C/CC $54.56 $56.42 Group (60min) PUB19D/DD $72.74 $75.21 Travel time ^^ (30min) PUB92B $58.83 $60.83 Travel time ^^ (45min) PUB92C $88.24 $91.24 Travel time ^^ (60min) PUB92D $117.65 $121.65 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB42A/AA $29.95 $30.97 Individual (30min) PUB42B/BB $59.89 $61.93 Individual (45min) PUB42C/CC $89.84 $92.89 Individual (60min) PUB42D/DD $119.78 $123.85 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB70A/AA $29.95 $30.97 Individual (30min) PUB70B/BB $59.89 $61.93 Individual (45min) PUB70C/CC $89.84 $92.89 Individual (60min) PUB70D/DD $119.78 $123.85 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Time to manufacture (per hour) Greater than 1 hour should be charged pro-rata at hourly rate PUB608 $135.83 $140.45 Minor Repair (Prosthesis). Total cost of consumables, materials, consultation and manufacturing time (Minor repairs are any repairs up to $250) PUB610 Depends on the total cost of the repairs or change of prescription costs (<$250) Major Repair (Prosthesis). Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers (Major repairs are any repairs above $250 inclusive of consumables) PUB614 Depends on the total cost of the repairs or change of prescription costs (<$250) New prostheses or change of prescription. Total cost of consumables and materials only. Consultation and/or manufacturing time to be billed separately under corresponding item numbers PUB612 Depends on the total cost of the repairs or change of prescription costs Prosthetic Management Review Form - lower extremity or upper extremity. Total cost for completion of Form PUB618 $69.06 $71.41 Orthosis (purchase) - to be used when submitting invoice for payment for orthotic equipment, aids & appliances - not to be used for clinical or manufacturing services. EQ035 Depends on the total cost of the orthosis. Physical Education (Not applicable for WorkCover patients)
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB58A $29.95 $30.97 Individual (30min) PUB58B $59.89 $61.93 Individual (45min) PUB58C $89.84 $92.89 Individual (60min) PUB58D $119.78 $123.85 Group (15min) PUB59A $18.18 $18.80 Group (30min) PUB59B $36.38 $37.62 Group (45min) PUB59C $54.56 $56.42 Group (60min) PUB59D $72.74 $75.21 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB13A $29.95 $30.97 Individual (30min) PUB13B $59.89 $61.93 Individual (45min) PUB13C $89.84 $92.89 Individual (60min) PUB13D $119.78 $123.85 Group (15min) PUB14A $18.18 $18.80 Group (30min) PUB14B $36.38 $37.62 Group (45min) PUB14C $54.56 $56.42 Group (60min) PUB14D $72.74 $75.21 Worksite / Home Inspection (15min) PUB66A $32.96 $34.08 Worksite / Home Inspection (30min) PUB66B $65.91 $68.15 Worksite / Home Inspection (45min) PUB66C $98.87 $102.23 Worksite / Home Inspection (60min) PUB66D $131.82 $136.30 Travel time ^^ (30min) PUB93B $58.83 $60.83 Travel time ^^ (45min) PUB93C $88.24 $91.24 Travel time ^^ (60min) PUB93D $117.65 $121.65 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB08A $53.20 $55.01 Individual (30min) PUB08B $106.41 $110.03 Individual (45min) PUB08C $159.62 $165.05 Individual (60min) PUB08D $212.83 $220.07 Group (15min) PUB07A $32.03 $33.12 Group (30min) PUB07B $64.06 $66.24 Group (45min) PUB07C $96.09 $99.36 Group (60min) PUB07D $128.12 $132.48 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Initial Assessment and preparation of Rehabilitation Plan PUB94 $117.65 $121.65 Report refers to completion of 'Outpatient Rehabilitation Plan' only when required
Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB40A $29.95 $30.97 Individual (30min) PUB40B $59.89 $61.93 Individual (45min) PUB40C $89.84 $92.89 Individual (60min) PUB40D $119.78 $123.85 Worksite / Home Inspection (15min) PUB79A $32.96 $34.08 Worksite / Home Inspection (30min) PUB79B $65.91 $68.15 Worksite / Home Inspection (45min) PUB79C $98.87 $102.23 Worksite / Home Inspection (60min) PUB79D $131.82 $136.30 Travel time ^^ (30 min) PUB80B $58.83 $60.83 Travel time ^^ (45 min) PUB80C $88.24 $91.24 Travel time ^^ (60 min) PUB80D $117.65 $121.65 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Individual (15min) PUB29A $29.95 $30.97 Individual (30min) PUB29B $59.89 $61.93 Individual (45min) PUB29C $89.84 $92.89 Individual (60min) PUB29D $119.78 $123.85 Group (15min) PUB30A $18.18 $18.80 Group (30min) PUB30B $36.38 $37.62 Group (45min) PUB30C $54.56 $56.42 Group (60min) PUB30D $72.74 $75.21 Worksite / Home Inspection (15min) PUB81A $32.96 $34.08 Worksite / Home Inspection (30min) PUB81B $65.91 $68.15 Worksite / Home Inspection (45min) PUB81C $98.87 $102.23 Worksite / Home Inspection (60min) PUB81D $131.82 $136.30 Travel time ^^ (30min) PUB82B $58.83 $60.83 Travel time ^^ (45min) PUB82C $88.24 $91.24 Travel time ^^ (60min) PUB82D $117.65 $121.65 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 PUB005 $29.41 $30.41 Session Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 First 2 hours PUB10 $163.12 $168.67 per hour after initial 2 hours PUB11 $56.25 $58.16 Registered Medical Practitioners providing services to compensable patients in the Accident and Emergency/Casualty (non-admitted) or Outpatient Departments may charge a consultation fee in accordance with the Commonwealth Medicare Benefits Schedule. For medical practitioners who are employees of a hospital (including HMOs and registrars), the hospital must invoice the relevant third party payer (e.g. WorkCover insurer) for the service
Services delivered in the emergency department of any public hospital should be invoiced by the public hospital using the non-admitted item codes. Medical services should be invoiced using PUB/PMF 104 - initial and PUB/PMF 105 - subsequent.
TAC non-admitted medical services
# VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF04 $60.61 $62.67 (2 patients) $42.28 $43.72 (3 patients) $36.16 $37.39 (4 patients) $33.09 $34.22 (5 patients) $31.26 $32.32 (6 patients) $30.04 $31.06 (7 patients) $26.74 $27.65 # Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF058 $34.59 $35.77 (2 patients) $23.44 $24.24 (3 patients) $19.75 $20.42 (4 patients) $17.88 $18.49 (5 patients) $16.72 $17.29 (6 patients) $16.00 $16.54 (7 patients) $13.25 $13.70 # VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF024 $89.02 $92.05 (2 patients) $70.68 $73.08 (3 patients) $64.55 $66.74 (4 patients) $61.49 $63.58 (5 patients) $59.66 $61.69 (6 patients) $58.43 $60.42 (7 patients) $55.14 $57.01 # Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF059 $48.29 $49.93 (2 patients) $35.68 $36.89 (3 patients) $31.51 $32.58 (4 patients) $29.41 $30.41 (5 patients) $28.11 $29.07 (6 patients) $27.32 $28.25 (7 patients) $24.06 $24.88 # VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF037 $138.03 $142.72 (2 patients) $119.68 $123.75 (3 patients) $113.57 $117.43 (4 patients) $110.50 $114.26 (5 patients) $108.68 $112.38 (6 patients) $107.45 $111.10 (7 patients) $104.15 $107.69 Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF060 $73.52 $76.02 (2 patients) $62.35 $64.47 (3 patients) $58.66 $60.65 #BBD0E0 » Discover more Data Management Web development tools Programming Word Processing Software Scripting Languages # VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF047 $185.88 $192.20 (2 patients) $167.54 $173.24 (3 patients) $161.41 $166.90 (4 patients) $158.36 $163.74 (5 patients) $156.53 $161.85 (6 patients) $155.30 $160.58 (7 patients) $152.01 $157.18 Non VR GP's
Item Number Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 (1 patient) PUB/PMF065 $105.23 $108.81 (2 patients) $94.07 $97.27 (3 patients) $90.38 $93.45 (4 patients) $88.51 $91.52 (5 patients) $87.35 $90.32 (6 patients) $86.63 $89.58 (7 patients) $83.88 $86.73 Service Provided Code Fee for Service ($) From 1 July 2025 to 30 June 2026 Fee for Service ($) From 1 July 2026 to 30 June 2027 Specialist - Initial Attendance PUB/PMF 104 $123.32 $127.51 Specialist - Subsequent Attendance PUB/PMF 105 $61.98 $64.09 Consultant Physician - Initial Attendance PUB/PMF 110 $217.53 $224.93 Consultant Physician - Subsequent Attendance PUB/PMF 116 $108.83 $112.53 Consultant Physician - Minor Subsequent Attendance PUB/PMF 119 $61.98 $64.09 Professional Attendance - Prolonged (1-2 hours) PUB/PMF 160 $313.03 $323.67 Professional Attendance - Prolonged (2-3 hours) PUB/PMF 161 $521.68 $539.42 Professional Attendance - Prolonged (3-4 hours) PUB/ PMF 162 $730.14 $754.96 Professional Attendance - Prolonged (4-5 hours) PUB/PMF 163 $939.16 $971.09 Professional Attendance - Prolonged (>5 hours) PUB/PMF 164 $1,043.52 $1,079.00 Consultant Psychiatrist - Attendance 15 mins PUB/PMF 300 $62.49 $64.61 Consultant Psychiatrist - Attendance 30 mins PUB/PMF 302 $124.62 $128.86 Consultant Psychiatrist - Attendance 45 mins PUB/PMF 304 $191.85 $198.37 Consultant Psychiatrist - Attendance 75 mins PUB/PMF 306 $264.72 $273.72 Consultant Psychiatrist - Attendance > 75mins PUB/PMF 308 $307.24 $317.69
Updated