Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012
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2012/11
Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012
Jerry Mateparae, Governor-General
Order in Council
At Wellington this 20th day of February 2012
Present:
His Excellency the Governor-General in Council
Pursuant to section 324 of the Accident Compensation Act 2001, His Excellency the Governor-General, acting on the advice and with the consent of the Executive Council and on the recommendation of the Minister for ACC, makes the following regulations.
Contents
Part 1
Amendments that come into force on 1 April 2012
4 Regulation 13 amended (Medical practitioners' costs)
5 Regulation 14 amended (Nurses' costs)
6 Regulation 15 amended (Medical practitioners' and nurses' costs for combined treatment)
7 New regulation 15A inserted (Nurse practitioners' costs)
Part 2
Amendments that come into force on 1 July 2012
9 Regulation 9 amended (Counsellors' costs)
10 Regulation 11 amended (Hyperbaric oxygen treatment costs)
11 Regulation 13 amended (Medical practitioners' costs)
12 Regulation 14 amended (Nurses' costs)
13 Regulation 15 amended (Medical practitioners' and nurses' costs for combined treatment)
14 Regulation 15A amended (Nurse practitioners' costs)
15 Regulation 16 amended (Specialists' costs)
16 Regulation 17 amended (Specified treatment providers' costs)
17 Regulation 19 amended (GST included)
Regulations
1 Title
These regulations are the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012.
2 Commencement
-
(1) Part 1 and Schedule 1 come into force on 1 April 2012.
(2) Part 2 and Schedule 2 come into force on 1 July 2012.
3 Principal regulations
These regulations amend the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 (the principal regulations).
Part 1
Amendments that come into force on 1 April 2012
4 Regulation 13 amended (Medical practitioners' costs)
-
(1) In regulation 13(1)(b), replace
“and nurses' ”
with“, nurses', and nurse practitioners' ”
.(2) In regulation 13(2)(a)(i), replace
“$36.67”
with“$37.40”
.(3) In regulation 13(2)(a)(ii), replace
“$33.53”
with“$34.20”
.
5 Regulation 14 amended (Nurses' costs)
-
(1) In regulation 14(1)(b), replace
“and nurses' ”
with“, nurses', and nurse practitioners' ”
.(2) In regulation 14(2)(a), replace
“$15.72”
with“$16.03”
.
6 Regulation 15 amended (Medical practitioners' and nurses' costs for combined treatment)
-
(1) In regulation 15(1)(b), replace
“and nurses' ”
with“, nurses', and nurse practitioners' ”
.(2) In regulation 15(2)(a)(i), replace
“$39.81”
with“$40.61”
.(3) In regulation 15(2)(a)(ii), replace
“$36.67”
with“$37.40”
.
7 New regulation 15A inserted (Nurse practitioners' costs)
After regulation 15, insert the following regulation:
“15A Nurse practitioners' costs
-
“(1) This regulation applies if—
“(a) a claimant visits or is visited by a nurse practitioner; and
“(b) any treatment received by the claimant during the visit is specified in the Schedule under the heading
‘Medical practitioners', nurses', and nurse practitioners' costs’
.
“(2) For each visit the Corporation is liable to pay—
“(a) $29.34; plus
“(b) the amount specified for any treatment the claimant receives.
“(3) If the claimant receives 2 or more treatments at the same visit, for different injuries, the Corporation is liable to pay—
“(a) the amount specified for the most expensive treatment the claimant receives; plus
“(b) 50% of the amount specified for each other treatment the claimant receives.
“(4) However, if at the same visit the claimant receives a treatment and a more comprehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.
“(5) The amount that the Corporation is liable to pay for the treatment under this regulation includes a contribution to the cost of the nurse practitioner using the most effective treatment materials available to the nurse practitioner having regard to the nature of the claimant's personal injury.”
-
8 Schedule amended
Amend the Schedule as set out in Schedule 1 of these regulations.
Part 2
Amendments that come into force on 1 July 2012
9 Regulation 9 amended (Counsellors' costs)
-
(1) In regulation 9(2)(a), replace
“$102.21”
with“$88.88”
.(2) In regulation 9(2)(b), replace
“$80.16”
with“$69.70”
.
10 Regulation 11 amended (Hyperbaric oxygen treatment costs)
In regulation 11(2)(a), replace
“$58.67”
with“$51.02”
.
11 Regulation 13 amended (Medical practitioners' costs)
-
(1) In regulation 13(2)(a)(i), replace
“$37.40”
with“$32.52”
.(2) In regulation 13(2)(a)(ii), replace
“$34.20”
with“$29.74”
.(3) In regulation 13(5)(a), replace
“84 cents”
with“73 cents”
.(4) In regulation 13(5)(b), replace
“$48.86”
with“$42.49”
.
12 Regulation 14 amended (Nurses' costs)
In regulation 14(2)(a), replace
“$16.03”
with“$13.94”
.
13 Regulation 15 amended (Medical practitioners' and nurses' costs for combined treatment)
-
(1) In regulation 15(2)(a)(i), replace
“$40.61”
with“$35.31”
.(2) In regulation 15(2)(a)(ii), replace
“$37.40”
with“$32.52”
.
14 Regulation 15A amended (Nurse practitioners' costs)
In regulation 15A(2)(a), replace
“$29.34”
with“$25.51”
.
15 Regulation 16 amended (Specialists' costs)
-
(1) In regulation 16(2)(a)(i), replace
“$102.21”
with“$88.88”
.(2) In regulation 16(2)(a)(ii), replace
“$80.16”
with“$69.70”
.(3) In regulation 16(3)(a), replace
“$40.08”
with“$34.85”
.
16 Regulation 17 amended (Specified treatment providers' costs)
In regulation 17(3)(a), replace
“$62.94”
with“$54.73”
.
17 Regulation 19 amended (GST included)
-
(1) In the heading to regulation 19, replace
“included”
with“excluded”
.(2) In regulation 19, replace
“inclusive”
with“exclusive”
.
18 Schedule replaced
Replace the Schedule with the Schedule set out in Schedule 2 of these regulations.
Schedule 1 |
Insert the following item after item DR8:
$ DR9 Complex reconstruction in complex resin, direct
178.89
Omit item DC12.
Replace the heading “Medical practitioners' and nurses' costs”
with “Medical practitioners', nurses', and nurse practitioners' costs”
.
In item RD14, replace “788.54”
with “785.54”
.
Insert after the heading “Specified treatment providers' costs”
:
| $ | ||
| POD3 | Abscess or haematoma: drainage with incision (with or without local anaesthetic agent) |
30.88 |
| POD4 | Nail, simple removal of |
24.73 |
| POD5 | Nail, wedge resection/removal of—requiring the use of digital anaesthesia |
102.91 |
Schedule 2 |
Schedule
Costs of treatmentrr 6, 7, 9–17
$ Dentists' costs Examination DE1 Dental consultation, including examination 55.58 DE2 Periodic oral examination/review 28.36 DE3 Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work)—including study models and photographs 115.56 Radiological examination and interpretation DX1 Periapical or bitewing film (each) 10.67 DX2 Occlusal (each) 28.36 DX3 Panorex 31.11 DX4 Other extra film (each) 28.36 DX5 Tomography 131.82 DX6 Lateral or antero-posterior head films 59.56 DX7 Sedation (age appropriate) 80.00 Emergency temporary cover DT1 Emergency temporary cover 28.36 General oral surgery Extractions DG1 Extraction of permanent or deciduous tooth per first tooth 93.33 DG2 Surgical removal of tooth or tooth fragment (root fracture) 141.69 DG3 Removal of unerupted tooth or teeth in fracture line 247.91 DG4 Extraction of subsequent permanent or deciduous tooth in same quadrant as for DG1 66.67 Surgery DG5 Management of minor (less than 1 cm) or moderate (1 to 2 cm) lacerations by suturing per operative site 141.69 DG6 Management of serious (over 2 cm) lacerations by suturing site 244.44 DG7 Incision and drainage abscess cellulitis 191.29 DG8 Excision of traumatic mucous cyst 232.89 DG9 Removal of root from maxillary sinus 262.13 DG10 Splint application or removal (per tooth) 59.29 DG11 Cleaning of wound and removal of debris 59.29 DG14 Reduction of fractured alveolar process 88.89 DG15 Repositioning of displaced tooth (per tooth) 44.44 DG16 Replacing avulsed tooth 44.44 DG17 Occlusal adjustment (simple) 29.60 DG18 Removal of plates, wires, and screws 370.40 DG19 Jaw fractures non-surgical management 127.47 DG20 Jaw fractures simple and moderate (simple methods of fixation) 290.49 DG21 TMJ disorder conservative management 127.47 DG22 Minor surgical operations not otherwise covered by this schedule 127.47 DG23 Provision of bite splints 213.33 Restorative DR1 Amalgam 1 surface filling (including 2 fillings on the one surface) 62.22 DR2 Amalgam 2 surface filling (approximo-occlusal) 80.00 DR3 Amalgam 3 surface filling (mesio-occlusal-distal) 88.89 DR4 Amalgam restoration (including 1 or more cusps) 115.56 DR5 Complex coronal reconstruction in amalgam 128.89 DR6 Non-metallic simple fillings 55.29 DR7 Non-metallic filling (more than 1 surface per tooth) 109.33 DR8 Rebonding tooth fragment 83.64 DR9 Complex reconstruction in composite resin, direct 155.56 Prosthodontics DP1 Partial denture (1 tooth) 351.11 DP2 Each additional tooth (all dentures) 18.49 DP3 Each clasp 11.38 DP4 Lingual bar 19.82 DP5 Metal framed partial denture (1 tooth) 836.44 DP6 Plastic flexible denture, eg, Valplast (1 tooth) 433.33 DP7 Transitional denture replacing missing tooth 351.11 DP8 Full upper or lower denture 566.67 DP9 Full upper and lower denture 991.73 DP10 Rebasing full upper or lower denture 226.67 DP11 Reline full denture 155.56 DP12 Reline partial denture 155.56 DP13 Repair (all types) 51.02 Crown and bridge Temporary structure DC1 Temporary crown 80.00 DC2 Temporary bridge (per unit) 80.00 Inlay/onlay DC3 Indirect gold inlay/onlay 265.60 DC4 Indirect resin inlay/onlay 199.20 DC5 Indirect porcelain inlay/onlay 265.16 Veneers DC6 Porcelain veneer 600.71 DC7 Composite resin veneer 155.56 DC8 Post (wrought or pre-formed) 82.13 DC9 Composite or glass ionomer core 55.29 DC10 Amalgam core 55.29 DC11 Cast post and core (metal or ceramic) 177.78 Crowns DC13 Stainless steel crown 70.84 DC14 Acrylic jacket crown 340.00 DC15 All ceramic crown 711.11 DC16 Porcelain fused to metal crown 685.69 DC17 Cast gold crown (full and three-quarters) 648.89 Bridges DC18 Indirect composite bridge (per unit) 209.69 DC19 Maryland bridge (per unit) 262.13 DC20 Direct composite bridge (per unit) 231.02 DC21 All ceramic bridge (per unit) 566.67 DC22 Porcelain fused to metal bridge (per unit) 566.67 DC23 Gold bridge (per unit) 566.67 Miscellaneous DC24 Stress breaker/precision attachment in bridge 28.36 DC25 Recementing crown/bridge/veneer/inlay 28.36 Endodontics DN1 Pulpotomy 85.07 DN2 Irrigation and dressing of root canal system 85.07 DN3 Complete preparation and obturation of root canal (per canal)—open or closed apex 284.44 DN5 Apicectomy and retrograde filling (per canal) 266.67 DN6 Removal of root filling (per canal) 213.96 DN7 Removal of post or post crown 213.96 DN8 Bleaching, 1 non-vital tooth (per treatment) 133.33 DN9 Pulp capping 35.56 DN10 Removal of a fractured post or instrument 213.96 DN11 Internal repair of perforation 213.96 DN12 Surgical repair of perforation 213.96 DN13 Negotiation of a calcified canal (can be used with item DN3) 213.96 Periodontics DD1 Gingivectomy (per tooth) 131.82 DD2 Surgical crown lengthening (per tooth) 311.11 DD3 Pericision (per tooth) 85.07 DD4 Surgical subgingival curettage (per tooth) 85.07 DD5 Frenectomy 222.22 DD6 Vestibuloplasty 222.22 DD7 Site preparation for dental implant 311.11 DD8 Placement of membrane 333.33 DD9 Substitute bone material 133.33 Dental implants DM1 Resilient linings (tooth or teeth) 64.00 DM2 Fixture head impressions and copings (per fixture) 342.22 DM3 Dental implant crown (per single unit) 1,066.67 DM4 Dental stent and guide (per fixture) 115.56 DM5 Definitive abutment (per fixture) 342.22 DM6 Temporary abutment (per fixture) 42.67 DM7 Repairs to abutments (per fixture) 74.04 Claimants under 18 years old DY1 Dental consultation, including examination 57.40 DY2 Periodic oral examination/review 40.00 DY3 Periapical or bitewing film (each) 10.67 DY4 Panorex 31.11 DY5 Sedation (age appropriate), covers IV and IM (not oral sedation) 80.00 DY6 Emergency temporary cover 31.11 DY7 Extraction permanent tooth or deciduous tooth (per tooth) 93.33 DY8 Surgical removal of tooth or root 177.78 DY9 Repositioning of displaced tooth (per tooth) 53.33 DY10 Replacing avulsed tooth 53.33 DY11 Non-metallic filling 109.56 DY12 Rebonding tooth fragment 97.78 DY13 Partial denture (1 tooth) 351.11 DY14 Temporary crown 106.67 DY15 Temporary bridge (per unit) 106.67 DY16 Complex reconstruction in composite resin, direct 155.56 DY17 Complete preparation and obturation of root canal per canal closed apex (either item DY17 or DY18 but not both) 284.44 DY18 Complete preparation and obturation of open apexed tooth per tooth (either item DY18 or DY17 but not both) 320.00 DY19 Bleaching, 1 non-vital tooth (per treatment) 160.00 DY20 Pulp capping 35.56 DY21 Surgical decoronation 373.33 Hyperbaric oxygen treatment costs H1 Neurological assay before recompression 85.02 H2 Neurological assay after recompression 76.49 H3 In-chamber treatment supervision, per hour 88.88 H4 Out-of-chamber treatment supervision, per hour 43.56 Medical practitioners', nurses', and nurse practitioners’ costs Burn/abrasion MB1 Treatment of burn less than 4 cm² 29.76 MB2 Treatment of burn at a single site greater than 4 cm² 58.60 MB3 Treatment of significant abrasions less than 4 cm² at a single site 29.77 MB4 Treatment of significant abrasions greater than 4 cm² at a single site 58.60 MB5 Significant burns or abrasions (not including fractures) at multiple sites (greater than 4 cm²): necessary wound cleaning, preparation, and dressing 85.37 Dislocation MD1 Dislocation of finger/toe with splint/strapping 34.48 MD2 Dislocation of thumb: closed reduction and immobilisation 96.62 MD3 Dislocation of elbow with radiological confirmation: closed reduction and immobilisation 89.49 MD4 Dislocation of shoulder: closed reduction and collar and cuff immobilisation 64.45 MD5 Dislocation of patella: closed reduction and cast immobilisation 153.36 Fracture MF1 Fractured finger or toe (proximal, middle, or distal phalanx): closed reduction and immobilisation 34.48 MF2 Fractured finger or toe (proximal, middle, or distal phalanx): requiring local anaesthetic 47.67 MF3 Fractured metatarsal: closed reduction (not requiring cast): closed reduction, immobilisation by strapping 34.48 MF4 Fractured metacarpal(s) hand: with or without local anaesthetic: immobilisation by strapping 47.67 MF5 Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction 107.38 MF6 Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation 153.36 MF7 Fractured calcaneum or talus: treatment by cast immobilisation 153.36 MF8 Fractured clavicle 64.45 MF9 Fractured distal radius and ulna: cast immobilisation not requiring reduction 107.38 MF10 Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia 128.39 MF11 Fractured shaft radius and ulna: treatment by cast immobilisation 107.38 MF12 Fractured distal humerus (supracondylar or condylar): by cast immobilisation 107.38 MF13 Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab 65.12 MF14 Fractured shaft tibia and/or fibula: treatment by cast immobilisation with reduction 153.36 MF15 Fractured distal tibia and/or fibula: treatment by cast immobilisation with reduction 153.36 MF16 Fractured fibula (without tibial fracture): immobilisation with soft tissue strapping 65.12 Miscellaneous MM1 Abscess or haematoma: drainage with incision (with or without local anaesthetic agent) 26.85 MM2 Insertion of IV line for administration of IV medications or electrolytes or transfusion (if provided under local or national guideline approved by the Corporation) 53.71 MM3 Nail, simple removal of 21.50 MM4 Nail, removal of or wedge resection: requiring the use of digital anaesthesia 89.49 MM5 Removal of embedded or impacted foreign body from cornea or conjunctiva (with use of topical anaesthetic), or from auditory canal or nasal passages, or from skin or subcutaneous tissue with incision, or from rectum or vagina 28.92 MM6 Pinch skin graft 67.14 MM7 Dental anaesthetic 25.08 MM8 Epistaxis: arrest during episode by nasal cavity packing with or without cautery 39.65 Open wound MW1 Closure of open wounds less than 2 cm: any necessary care and treatment, including cleaning and debriding, exploration, administration of anaesthetic, and dressing 31.63 MW2 Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane 2 cm to 7 cm long: any necessary care and treatment, including cleaning and debriding, exploration, administration of anaesthetic, and dressing 60.34 MW3 Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane greater than 7 cm long: any necessary care and treatment, including cleaning and debriding, exploration, administration of anaesthetic, and dressing 79.84 MW4 Amputation of digit, including use of anaesthetic, debridement of bone and soft tissue, and closure of wound 89.49 Soft tissue injury MT1 Simple soft tissue injuries: management of simple sprain of wrist/ankle/knee/elbow or other soft tissue injury requiring crepe bandage or similar immobilisation not requiring formal strapping 14.04 MT2 Soft tissue injury (other than splinting of dislocated or fractured digit), unless specified elsewhere: application of plaster or padded splint or specific strapping within agreed guidelines (includes splinting of Achilles tendon injury and serious ankle sprains) 65.12 MT3 Aspiration of inflamed joint, tendon, bursa, or other subcutaneous tissue or space (with or without injection) 31.60 MT4 Extensor tendon, primary repair 161.08 MT5 Ruptured Achilles tendon: management by plaster immobilisation 157.90 Radiologists' costs Extremities RA01 Sternum 55.93 RA02 Sterno-clavicular joints 63.91 RA03 Clavicle 47.94 RA04 Acromio-clavicular joints 47.94 RA05 Scapula 47.94 RA06 Shoulder 51.93 RA07 Humerus 51.93 RA08 Elbow joint 43.94 RA09 Forearm 43.94 RA10 Hand and/or wrist joint 43.94 RA11 Wrist/hand for bone age 43.94 RA15 Upper limb (infant) 51.93 RA21 Sacro-iliac joints 51.93 RA22 Pelvis or both hips (1 projection) 51.93 RA25 Hip joint (more than 1 projection) 55.93 RA26 Femur 51.93 RA27 Knee joint 47.94 RA28 Knee joint (and intercondylar/axial) 55.93 RA29 Tibia and fibula 47.94 RA30 Ankle joint 51.93 RA32 Foot 47.94 RA35 Long legs (hips to ankles—including measurement) 59.92 RA40 Lower limb (infant) 55.93 Head, neck, and spine RB01 Cervical spine 59.92 RB02 Thoracic spine 55.93 RB03 Lumbar spine including lumbosacral joint 55.93 RB04 Sacro-coccygeal spine 51.93 RB08 Spine (scoliosis views) 59.92 RB10 Skull 55.93 RB12 Nasal bones 47.94 RB13 Facial bones 51.93 RB14 Optic foramina 43.94 RB16 Auditory canals (plain films only) 55.93 RB21 Nasal sinuses 43.94 RB22 Nasopharynx 51.93 RB23 Mastoids (bilateral) 55.93 RB24 Larynx and/or trachea 47.94 RB31 Upper teeth 43.94 RB32 Lower teeth 43.94 RB33 Mandible or OPG or lateral ceph 59.92 RB34 Temporo-mandibular joints 59.92 RB35 Salivary gland 51.93 RB37 Pharynx 51.93 Chest, including breast RC05 Thoracic inlet 51.93 RC06 Chest (1 view) 51.93 RC07 Chest (more than 1 view) 51.93 RC08 Chest and thoracic cage 63.91 RC09 Chest and both oblique views 63.91 Mammography RC31 Screening mammogram 87.88 RC32 Recall mammogram 119.84 RC35 Problem mammogram bilateral 175.77 RC36 Problem mammogram unilateral 115.85 RC40 Needle localisation 235.69 RC41 Galactogram 235.69 RC45 Breast aspiration biopsy 235.69 RC46 Breast biopsy with stereotaxis 235.69 GI, GU, and obstetrics—no contrast modifiers permitted Radiology RD01 Abdomen (1 projection) 51.93 RD02 Abdomen (more than 1 projection) 51.93 RD07 Pelvimetry (1 view) 51.93 RD08 Pelvimetry (2 or more views) 51.93 Screening RD10 Contrast swallow (oesophagus only) 407.46 RD11 Contrast study upper GI tract 407.46 RD13 Small bowel meal 407.46 RD14 Small bowel enema (enteroclysis) 683.08 RD15 Contrast enema 407.46 RD20 Dynamic proctogram 407.46 RD30 ERCP 407.46 RD40 IVP including plain film and tomos 235.69 RD44 Cystogram retrograde or antegrade 407.46 RD45 Urethrogram 407.46 RD46 Micturating cysto-urethrogram 407.46 RD47 Ascending urethrogram 407.46 Special procedures RS42 Tube injection 235.69 RS43 Dacrocystogram 235.69 RS44 Sialogram 235.69 RS46 Hysterosalpingogram 407.46 RS61 Myelogram cervical 407.46 RS62 Myelogram lumbar 407.46 RS63 Myelogram multilevel 407.46 RS70 Arthrogram 235.69 RS71 Arthrogram—upper limb 235.69 RS73 Arthrogram—lower limb 235.69 Ultrasound Abdomen and pelvis RU01 US abdomen 123.83 RU02 US abdomen and pelvis 155.80 RU03 US renal tracts 115.85 RU04 US abdominal aorta (without Doppler) 115.85 RU06 US pelvis (trans-abdominal only) 115.85 Infants RU10 US infant head 115.85 RU11 US infant pylorus 115.85 RU12 US infant heart 219.71 RU13 US infant hips 115.85 RU19 US infant miscellaneous 115.85 Various RU20 US thyroid/neck 115.85 RU21 US scrotum and testis 115.85 RU22 US breast 115.85 RU23 US veins 163.78 RU24 US eye 115.85 RU25 US chest 115.85 RU27 US injection/aspiration 231.69 RU28 US additional region 83.88 RU29 US miscellaneous 115.85 Skeletal RU30 US shoulder 163.78 RU31 US musculoskeletal 123.83 RU32 US foreign body localisation 91.88 RU39 US skeletal miscellaneous 123.83 Intracavitary RU40 US prostate 143.80 RU41 US anus/rectum 143.80 RU42 US female pelvis (includes trans-vaginal and trans-abdominal, or trans-vaginal only) 143.80 RU43 US trans-oesophageal 243.67 RU44 US intraoperative 243.67 RU49 US intracavitary miscellaneous 143.80 Vascular RU51 Duplex/Doppler of chest 195.74 RU56 Duplex/Doppler: additional limb (arterial or venous) 155.80 Pregnancy RU60 US routine pregnancy less than 28 weeks 123.83 RU61 US problem pregnancy 155.80 RU62 US pregnancy greater than 28 weeks 155.80 RU64 US with amniocentesis 231.69 RU68 US pregnancy—per extra foetus greater than 1 59.92 Additional RX24 X-ray additional region 43.94 RX25 Domiciliary X-ray (in addition) 83.88 Specialists' costs Repair recent wound SR1 Not exceeding 7 cm, superficial 127.51 SR2 Not exceeding 7 cm, deeper tissue 170.00 SR3 Exceeding 7 cm, superficial 212.53 SR4 Exceeding 7 cm, deeper tissue 255.02 Fractures (closed reduction) SF1 Phalanges 85.02 SF2 Metacarpals, excluding Bennetts 153.02 SF3 Metatarsals 119.02 SF4 Bennetts 221.02 SF5 Carpal bones 110.49 SF6 Colles 204.00 SF7 Radius and ulna—shafts 246.49 SF8 Radius—head and neck 221.02 SF9 Humerus 246.49 SF10 Talus—neck 229.51 SF11 Calcaneus 229.51 SF12 Other tarsals 144.53 SF13 Ankle—fracture dislocation, Potts 357.02 SF14 Tibia and fibula—shaft 408.00 SF15 Tibia and fibula—upper end 357.02 SF16 Tibia and fibula—involving joint traction 416.49 SF17 Femur, any site, with/without traction 629.02 Haematoma, abscess, or other infection SH1 Small—aspiration 21.29 SH2 Large—incision and drainage (local anaesthetic) 101.47 SH3 Large—incision and drainage (general anaesthetic) 110.49 Foreign body, removal of SB1 Under local anaesthetic 80.80 SB2 Under general anaesthetic 178.49 SB3 From cornea or sclera 55.29 SB4 From ear, other than by simple syringing 85.02 SB5 From muscle, tendon, or other deep tissue 255.02 SB6 From nose, other than by simple probing 102.00 SB7 From throat, additional fee 85.02 Dislocations (closed reduction) SD1 Elbow, wrist, thumb, and fingers with strapping/splint 170.00 SD2 Shoulder 102.00 SD3 Patella 144.53 SD4 Hip 204.00 Plaster SP1 Upper limb—above elbow 127.51 SP2 Upper limb—below elbow 110.49 SP3 Lower limb—above knee 153.02 SP4 Lower limb—below knee 127.51 Other SM1 Aspiration of joint 21.29 SM2 Amputation of all or part of 1 digit 187.02 SM3 Extensor tendon, primary repair 297.51 SM4 Nail, simple removal of 85.02 Specified treatment providers' costs TMT All treatment 21.76 POD 3 Abcess or haematoma: drainage with incision (with or without local anaesthetic agent) 26.85 POD 4 Nail, simple removal of 21.50 POD 5 Nail, wedge resection/removal of: requiring the use of digital anaesthesia 89.49 X-RAY X-ray services provided by chiropractor (maximum of 2 films per claimant per personal injury) 13.60
Michael Webster,
for Clerk of the Executive Council.
Explanatory note
This note is not part of the regulations, but is intended to indicate their general effect.
These regulations amend the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003. Part 1 and Schedule 1 of the regulations come into force on 1 April 2012. Part 2 and Schedule 2 of the regulations come into force on 1 July 2012.
The amendments made by Part 1 and Schedule 1—
increase the amounts specified for non-specialist treatment by medical practitioners and nurses; and
insert a new regulation providing for nurse practitioners' costs; and
specify costs of treatment for 3 new treatments by podiatrists; and
make a number of technical amendments.
The amendments made by Part 2 and Schedule 2—
provide that the amounts specified for the costs of treatment are GST exclusive; and
adjust the amounts accordingly; and
replace the Schedule of the costs of treatment with a new Schedule.
Date of notification in Gazette: 23 February 2012.
These regulations are administered by the Department of Labour.
Versions
Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012
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