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.

Regulations

1 Title

These regulations are the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2010.

2 Commencement

These regulations come into force on 1 October 2010.

3 Principal regulations amended

These regulations amend the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003.

4 Counsellors' costs

(1) Regulation 9(2)(a) is amended by omitting “$99.99” and substituting “$102.21”.

(2) Regulation 9(2)(b) is amended by omitting “$78.41” and substituting “$80.16”.

5 Hyperbaric oxygen treatment costs

Regulation 11(2)(a) is amended by omitting “$57.40” and substituting “$58.67”.

6 Medical practitioners' costs

(1) Regulation 13(2)(a)(i) is amended by omitting “$35.88” and substituting “$36.67”.

(2) Regulation 13(2)(a)(ii) is amended by omitting “$32.80” and substituting “$33.53”.

(3) Regulation 13(5)(a) is amended by omitting “82 cents” and substituting “84 cents”.

(4) Regulation 13(5)(b) is amended by omitting “$47.80” and substituting “$48.86”.

7 Nurses' costs

Regulation 14(2)(a) is amended by omitting “$15.38” and substituting “$15.72”.

8 Medical practitioners' and nurses' costs for combined treatment

(1) Regulation 15(2)(a)(i) is amended by omitting “$38.95” and substituting “$39.81”.

(2) Regulation 15(2)(a)(ii) is amended by omitting “$35.88” and substituting “$36.67”.

9 Specialists' costs

(1) Regulation 16(2)(a)(i) is amended by omitting “$99.99” and substituting “$102.21”.

(2) Regulation 16(2)(a)(ii) is amended by omitting “$78.41” and substituting “$80.16”.

(3) Regulation 16(3)(a) is amended by omitting “$39.21” and substituting “$40.08”.

10 Specified treatment providers' costs

Regulation 17(3)(a) is amended by omitting “$61.57” and substituting “$62.94”.

11 New Schedule substituted

The Schedule is revoked and the Schedule set out in the Schedule of these regulations is substituted.

r 11

Schedule
Costs of treatment

rr 6, 7, 9–17

$

Audiologists' costs

AA1 Consultation 19.57

AA2 Pure-tone audiometry 48.86

AA3 Impedance tympanometry 39.10

AA4 Brain-stem evoked response (brain-damaged persons only) 68.44

Counsellors' costs

C1 Consultation provided by a counsellor who is a specialist

C2 Consultation provided by a counsellor

Dentists' costs

Examination

DE1 Dental consultation, including examination 63.92

DE2 Periodic oral examination/review 32.61

DE3 Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work)—including study models and photographs 132.89

Radiological examination and interpretation

DX1 Periapical or bitewing film (each) 12.27

DX2 Occlusal (each) 32.61

DX3 Panorex 35.78

DX4 Other extra film (each) 32.61

DX5 Tomography 151.59

DX6 Lateral or antero-posterior head films 68.49

DX7 Sedation (age appropriate) 92.00

Emergency temporary cover

DT1 Emergency temporary cover 32.61

General oral surgery

Extractions

DG1 Extraction of permanent or deciduous tooth per first tooth 107.33

DG2 Surgical removal of tooth or tooth fragment (root fracture) 162.94

DG3 Removal of unerupted tooth or teeth in fracture line 285.10

DG4 Extraction of subsequent permanent or deciduous tooth in same quadrant as for DG1 76.67

Surgery

DG5 Management of minor (less than 1 cm) or moderate (1 to 2 cm) lacerations by suturing per operative site 162.94

DG6 Management of serious (over 2 cm) lacerations by suturing site 281.11

DG7 Incision and drainage abscess cellulitis 219.98

DG8 Excision of traumatic mucous cyst 267.82

DG9 Removal of root from maxillary sinus 301.45

DG10 Splint application or removal (per tooth) 68.18

DG11 Cleaning of wound and removal of debris 68.18

DG14 Reduction of fractured alveolar process 102.22

DG15 Repositioning of displaced tooth (per tooth) 51.11

DG16 Replacing avulsed tooth 51.11

DG17 Occlusal adjustment (simple) 34.04

DG18 Removal of plates, wires, and screws 425.96

DG19 Jaw fractures non-surgical management 146.59

DG20 Jaw fractures simple and moderate (simple methods of fixation) 334.06

DG21 TMJ disorder conservative management 146.59

DG22 Minor surgical operations not otherwise covered by this schedule 146.59

DG23 Provision of bite splints 245.33

Restorative

DR1 Amalgam 1 surface filling (including 2 fillings on the one surface) 71.55

DR2 Amalgam 2 surface filling (approximo-occlusal) 92.00

DR3 Amalgam 3 surface filling (mesio-occlusal-distal) 102.22

DR4 Amalgam restoration (including 1 or more cusps) 132.89

DR5 Complex coronal reconstruction in amalgam 148.22

DR6 Non-metallic simple fillings 63.58

DR7 Non-metallic filling (more than 1 surface per tooth) 125.73

DR8 Rebonding tooth fragment 96.19

Prosthodontics

DP1 Partial denture (1 tooth) 403.78

DP2 Each additional tooth (all dentures) 21.26

DP3 Each clasp 13.09

DP4 Lingual bar 22.79

DP5 Metal framed partial denture (1 tooth) 961.91

DP6 Plastic flexible denture, eg, Valplast (1 tooth) 498.33

DP7 Transitional denture replacing missing tooth 403.78

DP8 Full upper or lower denture 651.67

DP9 Full upper and lower denture 1,140.49

DP10 Rebasing full upper or lower denture 260.67

DP11 Reline full denture 178.89

DP12 Reline partial denture 178.89

DP13 Repair (all types) 58.67

Crown and bridge

Temporary structure

DC1 Temporary crown 92.00

DC2 Temporary bridge (per unit) 92.00

Inlay/onlay

DC3 Indirect gold inlay/onlay 305.44

DC4 Indirect resin inlay/onlay 229.08

DC5 Indirect porcelain inlay/onlay 304.93

Veneers

DC6 Porcelain veneer 690.82

DC7 Composite resin veneer 178.89

DC8 Post (wrought or pre-formed) 94.45

DC9 Composite or glass ionomer core 63.58

DC10 Amalgam core 63.58

DC11 Cast post and core (metal or ceramic) 204.45

Crowns

DC12 Complex reconstruction in composite resin, direct 178.89

DC13 Stainless steel crown 81.47

DC14 Acrylic jacket crown 391.00

DC15 All ceramic crown 817.78

DC16 Porcelain fused to metal crown 788.54

DC17 Cast gold crown (full and three-quarters) 746.22

Bridges

DC18 Indirect composite bridge (per unit) 241.14

DC19 Maryland bridge (per unit) 301.45

DC20 Direct composite bridge (per unit) 265.67

DC21 All ceramic bridge (per unit) 651.67

DC22 Porcelain fused to metal bridge (per unit) 651.67

DC23 Gold bridge (per unit) 651.67

Miscellaneous

DC24 Stress breaker/precision attachment in bridge 32.61

DC25 Recementing crown/bridge/veneer/inlay 32.61

Endodontics

DN1 Pulpotomy 97.83

DN2 Irrigation and dressing of root canal system 97.83

DN3 Complete preparation and obturation of root canal (per canal)—open or closed apex 327.11

DN5 Apicectomy and retrograde filling (per canal) 306.67

DN6 Removal of root filling (per canal) 246.05

DN7 Removal of post or post crown 246.05

DN8 Bleaching, 1 non-vital tooth (per treatment) 153.33

DN9 Pulp capping 40.89

DN10 Removal of a fractured post or instrument 246.05

DN11 Internal repair of perforation 246.05

DN12 Surgical repair of perforation 246.05

DN13 Negotiation of a calcified canal (can be used with item DN3) 246.05

Periodontics

DD1 Gingivectomy (per tooth) 151.59

DD2 Surgical crown lengthening (per tooth) 357.78

DD3 Pericision (per tooth) 97.83

DD4 Surgical subgingival curettage (per tooth) 97.83

DD5 Frenectomy 255.55

DD6 Vestibuloplasty 255.55

DD7 Site preparation for dental implant 357.78

DD8 Placement of membrane 383.33

DD9 Substitute bone material 153.33

Dental implants

DM1 Resilient linings (tooth or teeth) 73.60

DM2 Fixture head impressions and copings (per fixture) 393.55

DM3 Dental implant crown (per single unit) 1,226.67

DM4 Dental stent and guide (per fixture) 132.89

DM5 Definitive abutment (per fixture) 393.55

DM6 Temporary abutment (per fixture) 49.07

DM7 Repairs to abutments (per fixture) 85.15

Claimants under 18 years old

DY1 Dental consultation, including examination 66.01

DY2 Periodic oral examination/review 46.00

DY3 Periapical or bitewing film (each) 12.27

DY4 Panorex 35.78

DY5 Sedation (age appropriate), covers IV and IM (not oral sedation) 92.00

DY6 Emergency temporary cover 35.78

DY7 Extraction permanent tooth or deciduous tooth (per tooth) 107.33

DY8 Surgical removal of tooth or root 204.45

DY9 Repositioning of displaced tooth (per tooth) 61.33

DY10 Replacing avulsed tooth 61.33

DY11 Non-metallic filling 125.99

DY12 Rebonding tooth fragment 112.45

DY13 Partial denture (1 tooth) 403.78

DY14 Temporary crown 122.67

DY15 Temporary bridge (per unit) 122.67

DY16 Complex reconstruction in composite resin, direct 178.89

DY17 Complete preparation and obturation of root canal per canal closed apex (either item DY17 or DY18 but not both) 327.11

DY18 Complete preparation and obturation of open apexed tooth per tooth (either item DY18 or DY17 but not both) 368.00

DY19 Bleaching, 1 non-vital tooth (per treatment) 184.00

DY20 Pulp capping 40.89

DY21 Surgical decoronation 429.33

Hyperbaric oxygen treatment costs

H1 Neurological assay before recompression 97.77

H2 Neurological assay after recompression 87.96

H3 In-chamber treatment supervision, per hour 102.21

H4 Out-of-chamber treatment supervision, per hour 50.09

Medical practitioners' and nurses' costs

Burn/abrasion

MB1 Treatment of burn less than 4 cm² 34.22

MB2 Treatment of burn at a single site greater than 4 cm² 67.39

MB3 Treatment of significant abrasions less than 4 cm² at a single site 34.24

MB4 Treatment of significant abrasions greater than 4 cm² at a single site 67.39

MB5 Significant burns or abrasions (not including fractures) at multiple sites (greater than 4 cm²); necessary wound cleaning, preparation, and dressing 98.18

Dislocation

MD1 Dislocation of finger/toe with splint/strapping 39.65

MD2 Dislocation of thumb; closed reduction and immobilisation 111.11

MD3 Dislocation of elbow with radiological confirmation; closed reduction and immobilisation 102.91

MD4 Dislocation of shoulder; closed reduction and collar and cuff immobilisation 74.12

MD5 Dislocation of patella; closed reduction and cast immobilisation 176.36

Fracture

MF1 Fractured finger or toe (proximal, middle, or distal phalanx); closed reduction and immobilisation 39.65

MF2 Fractured finger or toe (proximal, middle, or distal phalanx); requiring local anaesthetic 54.82

MF3 Fractured metatarsal: closed reduction (not requiring cast); closed reduction, immobilisation by strapping 39.65

MF4 Fractured metacarpal(s) hand: with or without local anaesthetic; immobilisation by strapping 54.82

MF5 Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction 123.49

MF6 Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation 176.36

MF7 Fractured calcaneum or talus: treatment by cast immobilisation 176.36

MF8 Fractured clavicle 74.12

MF9 Fractured distal radius and ulna; cast immobilisation not requiring reduction 123.49

MF10 Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia 147.65

MF11 Fractured shaft radius and ulna: treatment by cast immobilisation 123.49

MF12 Fractured distal humerus (supracondylar or condylar): by cast immobilisation 123.49

MF13 Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab 74.89

MF14 Fractured shaft tibia and/or fibula: treatment by cast immobilisation with reduction 176.36

MF15 Fractured distal tibia and/or fibula: treatment by cast immobilisation with reduction 176.36

MF16 Fractured fibula (without tibial fracture); immobilisation with soft tissue strapping 74.89

Miscellaneous

MM1 Abscess or haematoma: drainage with incision (with or without local anaesthetic agent) 30.88

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) 61.77

MM3 Nail, simple removal of 24.73

MM4 Nail, removal of or wedge resection; requiring the use of digital anaesthesia 102.91

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 33.26

MM6 Pinch skin graft 77.21

MM7 Dental anaesthetic 28.84

MM8 Epistaxis: arrest during episode by nasal cavity packing with or without cautery 45.60

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 36.37

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 69.39

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 91.82

MW4 Amputation of digit, including use of anaesthetic, debridement of bone and soft tissue, and closure of wound 102.91

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 16.15

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) 74.89

MT3 Aspiration of inflamed joint, tendon, bursa, or other subcutaneous tissue or space (with or without injection) 36.34

MT4 Extensor tendon, primary repair 185.24

MT5 Ruptured Achilles tendon: management by plaster immobilisation 181.59

Radiologists' costs

Extremities

RA01 Sternum 64.32

RA02 Sterno-clavicular joints 73.50

RA03 Clavicle 55.13

RA04 Acromio-clavicular joints 55.13

RA05 Scapula 55.13

RA06 Shoulder 59.72

RA07 Humerus 59.72

RA08 Elbow joint 50.53

RA09 Forearm 50.53

RA10 Hand and/or wrist joint 50.53

RA11 Wrist/hand for bone age 50.53

RA15 Upper limb (infant) 59.72

RA21 Sacro-iliac joints 59.72

RA22 Pelvis or both hips (1 projection) 59.72

RA25 Hip joint (more than 1 projection) 64.32

RA26 Femur 59.72

RA27 Knee joint 55.13

RA28 Knee joint (and intercondylar/axial) 64.32

RA29 Tibia and fibula 55.13

RA30 Ankle joint 59.72

RA32 Foot 55.13

RA35 Long legs (hips to ankles—including measurement) 68.91

RA40 Lower limb (infant) 64.32

Head, neck, and spine

RB01 Cervical spine 68.91

RB02 Thoracic spine 64.32

RB03 Lumbar spine including lumbosacral joint 64.32

RB04 Sacro-coccygeal spine 59.72

RB08 Spine; scoliosis views 68.91

RB10 Skull 64.32

RB12 Nasal bones 55.13

RB13 Facial bones 59.72

RB14 Optic foramina 50.53

RB16 Auditory canals (plain films only) 64.32

RB21 Nasal sinuses 50.53

RB22 Nasopharynx 59.72

RB23 Mastoids (bilateral) 64.32

RB24 Larynx and/or trachea 55.13

RB31 Upper teeth 50.53

RB32 Lower teeth 50.53

RB33 Mandible or OPG or lateral ceph 68.91

RB34 Temporo-mandibular joints 68.91

RB35 Salivary gland 59.72

RB37 Pharynx 59.72

Chest, including breast

RC05 Thoracic inlet 59.72

RC06 Chest (1 view) 59.72

RC07 Chest (more than 1 view) 59.72

RC08 Chest and thoracic cage 73.50

RC09 Chest and both oblique views 73.50

Mammography

RC31 Screening mammogram 101.06

RC32 Recall mammogram 137.82

RC35 Problem mammogram bilateral 202.14

RC36 Problem mammogram unilateral 133.23

RC40 Needle localisation 271.04

RC41 Galactogram 271.04

RC45 Breast aspiration biopsy 271.04

RC46 Breast biopsy with stereotaxis 271.04

GI, GU, and obstetrics—no contrast modifiers permitted

Radiology

RD01 Abdomen (1 projection) 59.72

RD02 Abdomen (more than 1 projection) 59.72

RD07 Pelvimetry (1 view) 59.72

RD08 Pelvimetry (2 or more views) 59.72

Screening

RD10 Contrast swallow (oesophagus only) 468.58

RD11 Contrast study upper GI tract 468.58

RD13 Small bowel meal 468.58

RD14 Small bowel enema (enteroclysis) 788.54

RD15 Contrast enema 468.58

RD20 Dynamic proctogram 468.58

RD30 ERCP 468.58

RD40 IVP including plain film and tomos 271.04

RD44 Cystogram retrograde or antegrade 468.58

RD45 Urethrogram 468.58

RD46 Micturating cysto-urethrogram 468.58

RD47 Ascending urethrogram 468.58

Special procedures

RS42 Tube injection 271.04

RS43 Dacrocystogram 271.04

RS44 Sialogram 271.04

RS46 Hysterosalpingogram 468.58

RS61 Myelogram cervical 468.58

RS62 Myelogram lumbar 468.58

RS63 Myelogram multilevel 468.58

RS70 Arthrogram 271.04

RS71 Arthrogram—upper limb 271.04

RS73 Arthrogram—lower limb 271.04

Ultrasound

Abdomen and pelvis

RU01 US abdomen 142.40

RU02 US abdomen and pelvis 179.17

RU03 US renal tracts 133.23

RU04 US abdominal aorta (without Doppler) 133.23

RU06 US pelvis (trans-abdominal only) 133.23

Infants

RU10 US infant head 133.23

RU11 US infant pylorus 133.23

RU12 US infant heart 252.67

RU13 US infant hips 133.23

RU19 US infant miscellaneous 133.23

Various

RU20 US thyroid/neck 133.23

RU21 US scrotum and testis 133.23

RU22 US breast 133.23

RU23 US veins 188.35

RU24 US eye 133.23

RU25 US chest 133.23

RU27 US injection/aspiration 266.44

RU28 US additional region 96.46

RU29 US miscellaneous 133.23

Skeletal

RU30 US shoulder 188.35

RU31 US musculoskeletal 142.40

RU32 US foreign body localisation 105.66

RU39 US skeletal miscellaneous 142.40

Intracavitary

RU40 US prostate 165.37

RU41 US anus/rectum 165.37

RU42 US female pelvis (includes trans-vaginal and trans-abdominal, or trans-vaginal only) 165.37

RU43 US trans-oesophageal 280.22

RU44 US intraoperative 280.22

RU49 US intracavitary miscellaneous 165.37

Vascular

RU51 Duplex/Doppler of chest 225.10

RU56 Duplex/Doppler: additional limb (arterial or venous) 179.17

Pregnancy

RU60 US routine pregnancy less than 28 weeks 142.40

RU61 US problem pregnancy 179.17

RU62 US pregnancy greater than 28 weeks 179.17

RU64 US with amniocentesis 266.44

RU68 US pregnancy—per extra foetus greater than 1 68.91

Additional

RX24 X-ray additional region 50.53

RX25 Domiciliary X-ray (in addition) 96.46

Specialists' costs

Repair recent wound

SR1 Not exceeding 7 cm, superficial 146.64

SR2 Not exceeding 7 cm, deeper tissue 195.50

SR3 Exceeding 7 cm, superficial 244.41

SR4 Exceeding 7 cm, deeper tissue 293.27

Fractures (closed reduction)

SF1 Phalanges 97.77

SF2 Metacarpals, excluding Bennetts 175.97

SF3 Metatarsals 136.87

SF4 Bennetts 254.17

SF5 Carpal bones 127.06

SF6 Colles 234.60

SF7 Radius and ulna—shafts 283.46

SF8 Radius—head and neck 254.17

SF9 Humerus 283.46

SF10 Talus—neck 263.94

SF11 Calcaneus 263.94

SF12 Other tarsals 166.21

SF13 Ankle—fracture dislocation, Potts 410.57

SF14 Tibia and fibula—shaft 469.20

SF15 Tibia and fibula—upper end 410.57

SF16 Tibia and fibula—involving joint traction 478.96

SF17 Femur, any site, with/without traction 723.37

Haematoma, abscess, or other infection

SH1 Small—aspiration 24.48

SH2 Large—incision and drainage (local anaesthetic) 116.69

SH3 Large—incision and drainage (general anaesthetic) 127.06

Foreign body, removal of

SB1 Under local anaesthetic 92.92

SB2 Under general anaesthetic 205.26

SB3 From cornea or sclera 63.58

SB4 From ear, other than by simple syringing 97.77

SB5 From muscle, tendon, or other deep tissue 293.27

SB6 From nose, other than by simple probing 117.30

SB7 From throat, additional fee 97.77

Dislocations (closed reduction)

SD1 Elbow, wrist, thumb, and fingers with strapping/splint 195.50

SD2 Shoulder 117.30

SD3 Patella 166.21

SD4 Hip 234.60

Plaster

SP1 Upper limb—above elbow 146.64

SP2 Upper limb—below elbow 127.06

SP3 Lower limb—above knee 175.97

SP4 Lower limb—below knee 146.64

Other

SM1 Aspiration of joint 24.48

SM2 Amputation of all or part of 1 digit 215.07

SM3 Extensor tendon, primary repair 342.14

SM4 Nail, simple removal of 97.77

Specified treatment providers' costs

TMT All treatment 25.02

X-RAY X-ray services provided by chiropractor (maximum of 2 films per claimant per personal injury) 15.64

		$
Audiologists' costs
AA1	Consultation	19.57
AA2	Pure-tone audiometry	48.86
AA3	Impedance tympanometry	39.10
AA4	Brain-stem evoked response (brain-damaged persons only)	68.44
Counsellors' costs
C1	Consultation provided by a counsellor who is a specialist
C2	Consultation provided by a counsellor
Dentists' costs
	*Examination*
DE1	Dental consultation, including examination	63.92
DE2	Periodic oral examination/review	32.61
DE3	Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work)—including study models and photographs	132.89
	*Radiological examination and interpretation*
DX1	Periapical or bitewing film (each)	12.27
DX2	Occlusal (each)	32.61
DX3	Panorex	35.78
DX4	Other extra film (each)	32.61
DX5	Tomography	151.59
DX6	Lateral or antero-posterior head films	68.49
DX7	Sedation (age appropriate)	92.00
	*Emergency temporary cover*
DT1	Emergency temporary cover	32.61
	*General oral surgery*
	Extractions
DG1	Extraction of permanent or deciduous tooth per first tooth	107.33
DG2	Surgical removal of tooth or tooth fragment (root fracture)	162.94
DG3	Removal of unerupted tooth or teeth in fracture line	285.10
DG4	Extraction of subsequent permanent or deciduous tooth in same quadrant as for DG1	76.67
	Surgery
DG5	Management of minor (less than 1 cm) or moderate (1 to 2 cm) lacerations by suturing per operative site	162.94
DG6	Management of serious (over 2 cm) lacerations by suturing site	281.11
DG7	Incision and drainage abscess cellulitis	219.98
DG8	Excision of traumatic mucous cyst	267.82
DG9	Removal of root from maxillary sinus	301.45
DG10	Splint application or removal (per tooth)	68.18
DG11	Cleaning of wound and removal of debris	68.18
DG14	Reduction of fractured alveolar process	102.22
DG15	Repositioning of displaced tooth (per tooth)	51.11
DG16	Replacing avulsed tooth	51.11
DG17	Occlusal adjustment (simple)	34.04
DG18	Removal of plates, wires, and screws	425.96
DG19	Jaw fractures non-surgical management	146.59
DG20	Jaw fractures simple and moderate (simple methods of fixation)	334.06
DG21	TMJ disorder conservative management	146.59
DG22	Minor surgical operations not otherwise covered by this schedule	146.59
DG23	Provision of bite splints	245.33
	*Restorative*
DR1	Amalgam 1 surface filling (including 2 fillings on the one surface)	71.55
DR2	Amalgam 2 surface filling (approximo-occlusal)	92.00
DR3	Amalgam 3 surface filling (mesio-occlusal-distal)	102.22
DR4	Amalgam restoration (including 1 or more cusps)	132.89
DR5	Complex coronal reconstruction in amalgam	148.22
DR6	Non-metallic simple fillings	63.58
DR7	Non-metallic filling (more than 1 surface per tooth)	125.73
DR8	Rebonding tooth fragment	96.19
	*Prosthodontics*
DP1	Partial denture (1 tooth)	403.78
DP2	Each additional tooth (all dentures)	21.26
DP3	Each clasp	13.09
DP4	Lingual bar	22.79
DP5	Metal framed partial denture (1 tooth)	961.91
DP6	Plastic flexible denture, eg, Valplast (1 tooth)	498.33
DP7	Transitional denture replacing missing tooth	403.78
DP8	Full upper or lower denture	651.67
DP9	Full upper and lower denture	1,140.49
DP10	Rebasing full upper or lower denture	260.67
DP11	Reline full denture	178.89
DP12	Reline partial denture	178.89
DP13	Repair (all types)	58.67
	*Crown and bridge*
	Temporary structure
DC1	Temporary crown	92.00
DC2	Temporary bridge (per unit)	92.00
	Inlay/onlay
DC3	Indirect gold inlay/onlay	305.44
DC4	Indirect resin inlay/onlay	229.08
DC5	Indirect porcelain inlay/onlay	304.93
	Veneers
DC6	Porcelain veneer	690.82
DC7	Composite resin veneer	178.89
DC8	Post (wrought or pre-formed)	94.45
DC9	Composite or glass ionomer core	63.58
DC10	Amalgam core	63.58
DC11	Cast post and core (metal or ceramic)	204.45
	Crowns
DC12	Complex reconstruction in composite resin, direct	178.89
DC13	Stainless steel crown	81.47
DC14	Acrylic jacket crown	391.00
DC15	All ceramic crown	817.78
DC16	Porcelain fused to metal crown	788.54
DC17	Cast gold crown (full and three-quarters)	746.22
	Bridges
DC18	Indirect composite bridge (per unit)	241.14
DC19	Maryland bridge (per unit)	301.45
DC20	Direct composite bridge (per unit)	265.67
DC21	All ceramic bridge (per unit)	651.67
DC22	Porcelain fused to metal bridge (per unit)	651.67
DC23	Gold bridge (per unit)	651.67
	*Miscellaneous*
DC24	Stress breaker/precision attachment in bridge	32.61
DC25	Recementing crown/bridge/veneer/inlay	32.61
	*Endodontics*
DN1	Pulpotomy	97.83
DN2	Irrigation and dressing of root canal system	97.83
DN3	Complete preparation and obturation of root canal (per canal)—open or closed apex	327.11
DN5	Apicectomy and retrograde filling (per canal)	306.67
DN6	Removal of root filling (per canal)	246.05
DN7	Removal of post or post crown	246.05
DN8	Bleaching, 1 non-vital tooth (per treatment)	153.33
DN9	Pulp capping	40.89
DN10	Removal of a fractured post or instrument	246.05
DN11	Internal repair of perforation	246.05
DN12	Surgical repair of perforation	246.05
DN13	Negotiation of a calcified canal (can be used with item DN3)	246.05
	*Periodontics*
DD1	Gingivectomy (per tooth)	151.59
DD2	Surgical crown lengthening (per tooth)	357.78
DD3	Pericision (per tooth)	97.83
DD4	Surgical subgingival curettage (per tooth)	97.83
DD5	Frenectomy	255.55
DD6	Vestibuloplasty	255.55
DD7	Site preparation for dental implant	357.78
DD8	Placement of membrane	383.33
DD9	Substitute bone material	153.33
	*Dental implants*
DM1	Resilient linings (tooth or teeth)	73.60
DM2	Fixture head impressions and copings (per fixture)	393.55
DM3	Dental implant crown (per single unit)	1,226.67
DM4	Dental stent and guide (per fixture)	132.89
DM5	Definitive abutment (per fixture)	393.55
DM6	Temporary abutment (per fixture)	49.07
DM7	Repairs to abutments (per fixture)	85.15
	*Claimants under 18 years old*
DY1	Dental consultation, including examination	66.01
DY2	Periodic oral examination/review	46.00
DY3	Periapical or bitewing film (each)	12.27
DY4	Panorex	35.78
DY5	Sedation (age appropriate), covers IV and IM (not oral sedation)	92.00
DY6	Emergency temporary cover	35.78
DY7	Extraction permanent tooth or deciduous tooth (per tooth)	107.33
DY8	Surgical removal of tooth or root	204.45
DY9	Repositioning of displaced tooth (per tooth)	61.33
DY10	Replacing avulsed tooth	61.33
DY11	Non-metallic filling	125.99
DY12	Rebonding tooth fragment	112.45
DY13	Partial denture (1 tooth)	403.78
DY14	Temporary crown	122.67
DY15	Temporary bridge (per unit)	122.67
DY16	Complex reconstruction in composite resin, direct	178.89
DY17	Complete preparation and obturation of root canal per canal closed apex (either item DY17 or DY18 but not both)	327.11
DY18	Complete preparation and obturation of open apexed tooth per tooth (either item DY18 or DY17 but not both)	368.00
DY19	Bleaching, 1 non-vital tooth (per treatment)	184.00
DY20	Pulp capping	40.89
DY21	Surgical decoronation	429.33
Hyperbaric oxygen treatment costs
H1	Neurological assay before recompression	97.77
H2	Neurological assay after recompression	87.96
H3	In-chamber treatment supervision, per hour	102.21
H4	Out-of-chamber treatment supervision, per hour	50.09
Medical practitioners' and nurses' costs
	*Burn/abrasion*
MB1	Treatment of burn less than 4 cm²	34.22
MB2	Treatment of burn at a single site greater than 4 cm²	67.39
MB3	Treatment of significant abrasions less than 4 cm² at a single site	34.24
MB4	Treatment of significant abrasions greater than 4 cm² at a single site	67.39
MB5	Significant burns or abrasions (not including fractures) at multiple sites (greater than 4 cm²); necessary wound cleaning, preparation, and dressing	98.18
	*Dislocation*
MD1	Dislocation of finger/toe with splint/strapping	39.65
MD2	Dislocation of thumb; closed reduction and immobilisation	111.11
MD3	Dislocation of elbow with radiological confirmation; closed reduction and immobilisation	102.91
MD4	Dislocation of shoulder; closed reduction and collar and cuff immobilisation	74.12
MD5	Dislocation of patella; closed reduction and cast immobilisation	176.36
	*Fracture*
MF1	Fractured finger or toe (proximal, middle, or distal phalanx); closed reduction and immobilisation	39.65
MF2	Fractured finger or toe (proximal, middle, or distal phalanx); requiring local anaesthetic	54.82
MF3	Fractured metatarsal: closed reduction (not requiring cast); closed reduction, immobilisation by strapping	39.65
MF4	Fractured metacarpal(s) hand: with or without local anaesthetic; immobilisation by strapping	54.82
MF5	Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction	123.49
MF6	Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation	176.36
MF7	Fractured calcaneum or talus: treatment by cast immobilisation	176.36
MF8	Fractured clavicle	74.12
MF9	Fractured distal radius and ulna; cast immobilisation not requiring reduction	123.49
MF10	Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia	147.65
MF11	Fractured shaft radius and ulna: treatment by cast immobilisation	123.49
MF12	Fractured distal humerus (supracondylar or condylar): by cast immobilisation	123.49
MF13	Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab	74.89
MF14	Fractured shaft tibia and/or fibula: treatment by cast immobilisation with reduction	176.36
MF15	Fractured distal tibia and/or fibula: treatment by cast immobilisation with reduction	176.36
MF16	Fractured fibula (without tibial fracture); immobilisation with soft tissue strapping	74.89
	*Miscellaneous*
MM1	Abscess or haematoma: drainage with incision (with or without local anaesthetic agent)	30.88
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)	61.77
MM3	Nail, simple removal of	24.73
MM4	Nail, removal of or wedge resection; requiring the use of digital anaesthesia	102.91
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	33.26
MM6	Pinch skin graft	77.21
MM7	Dental anaesthetic	28.84
MM8	Epistaxis: arrest during episode by nasal cavity packing with or without cautery	45.60
	*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	36.37
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	69.39
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	91.82
MW4	Amputation of digit, including use of anaesthetic, debridement of bone and soft tissue, and closure of wound	102.91
	*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	16.15
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)	74.89
MT3	Aspiration of inflamed joint, tendon, bursa, or other subcutaneous tissue or space (with or without injection)	36.34
MT4	Extensor tendon, primary repair	185.24
MT5	Ruptured Achilles tendon: management by plaster immobilisation	181.59
Radiologists' costs
	*Extremities*
RA01	Sternum	64.32
RA02	Sterno-clavicular joints	73.50
RA03	Clavicle	55.13
RA04	Acromio-clavicular joints	55.13
RA05	Scapula	55.13
RA06	Shoulder	59.72
RA07	Humerus	59.72
RA08	Elbow joint	50.53
RA09	Forearm	50.53
RA10	Hand and/or wrist joint	50.53
RA11	Wrist/hand for bone age	50.53
RA15	Upper limb (infant)	59.72
RA21	Sacro-iliac joints	59.72
RA22	Pelvis or both hips (1 projection)	59.72
RA25	Hip joint (more than 1 projection)	64.32
RA26	Femur	59.72
RA27	Knee joint	55.13
RA28	Knee joint (and intercondylar/axial)	64.32
RA29	Tibia and fibula	55.13
RA30	Ankle joint	59.72
RA32	Foot	55.13
RA35	Long legs (hips to ankles—including measurement)	68.91
RA40	Lower limb (infant)	64.32
	*Head, neck, and spine*
RB01	Cervical spine	68.91
RB02	Thoracic spine	64.32
RB03	Lumbar spine including lumbosacral joint	64.32
RB04	Sacro-coccygeal spine	59.72
RB08	Spine; scoliosis views	68.91
RB10	Skull	64.32
RB12	Nasal bones	55.13
RB13	Facial bones	59.72
RB14	Optic foramina	50.53
RB16	Auditory canals (plain films only)	64.32
RB21	Nasal sinuses	50.53
RB22	Nasopharynx	59.72
RB23	Mastoids (bilateral)	64.32
RB24	Larynx and/or trachea	55.13
RB31	Upper teeth	50.53
RB32	Lower teeth	50.53
RB33	Mandible or OPG or lateral ceph	68.91
RB34	Temporo-mandibular joints	68.91
RB35	Salivary gland	59.72
RB37	Pharynx	59.72
	*Chest, including breast*
RC05	Thoracic inlet	59.72
RC06	Chest (1 view)	59.72
RC07	Chest (more than 1 view)	59.72
RC08	Chest and thoracic cage	73.50
RC09	Chest and both oblique views	73.50
	*Mammography*
RC31	Screening mammogram	101.06
RC32	Recall mammogram	137.82
RC35	Problem mammogram bilateral	202.14
RC36	Problem mammogram unilateral	133.23
RC40	Needle localisation	271.04
RC41	Galactogram	271.04
RC45	Breast aspiration biopsy	271.04
RC46	Breast biopsy with stereotaxis	271.04
	*GI, GU, and obstetrics—no contrast modifiers permitted*
	Radiology
RD01	Abdomen (1 projection)	59.72
RD02	Abdomen (more than 1 projection)	59.72
RD07	Pelvimetry (1 view)	59.72
RD08	Pelvimetry (2 or more views)	59.72
	Screening
RD10	Contrast swallow (oesophagus only)	468.58
RD11	Contrast study upper GI tract	468.58
RD13	Small bowel meal	468.58
RD14	Small bowel enema (enteroclysis)	788.54
RD15	Contrast enema	468.58
RD20	Dynamic proctogram	468.58
RD30	ERCP	468.58
RD40	IVP including plain film and tomos	271.04
RD44	Cystogram retrograde or antegrade	468.58
RD45	Urethrogram	468.58
RD46	Micturating cysto-urethrogram	468.58
RD47	Ascending urethrogram	468.58
	*Special procedures*
RS42	Tube injection	271.04
RS43	Dacrocystogram	271.04
RS44	Sialogram	271.04
RS46	Hysterosalpingogram	468.58
RS61	Myelogram cervical	468.58
RS62	Myelogram lumbar	468.58
RS63	Myelogram multilevel	468.58
RS70	Arthrogram	271.04
RS71	Arthrogram—upper limb	271.04
RS73	Arthrogram—lower limb	271.04
	*Ultrasound*
	Abdomen and pelvis
RU01	US abdomen	142.40
RU02	US abdomen and pelvis	179.17
RU03	US renal tracts	133.23
RU04	US abdominal aorta (without Doppler)	133.23
RU06	US pelvis (trans-abdominal only)	133.23
	Infants
RU10	US infant head	133.23
RU11	US infant pylorus	133.23
RU12	US infant heart	252.67
RU13	US infant hips	133.23
RU19	US infant miscellaneous	133.23
	Various
RU20	US thyroid/neck	133.23
RU21	US scrotum and testis	133.23
RU22	US breast	133.23
RU23	US veins	188.35
RU24	US eye	133.23
RU25	US chest	133.23
RU27	US injection/aspiration	266.44
RU28	US additional region	96.46
RU29	US miscellaneous	133.23
	Skeletal
RU30	US shoulder	188.35
RU31	US musculoskeletal	142.40
RU32	US foreign body localisation	105.66
RU39	US skeletal miscellaneous	142.40
	Intracavitary
RU40	US prostate	165.37
RU41	US anus/rectum	165.37
RU42	US female pelvis (includes trans-vaginal and trans-abdominal, or trans-vaginal only)	165.37
RU43	US trans-oesophageal	280.22
RU44	US intraoperative	280.22
RU49	US intracavitary miscellaneous	165.37
	Vascular
RU51	Duplex/Doppler of chest	225.10
RU56	Duplex/Doppler: additional limb (arterial or venous)	179.17
	Pregnancy
RU60	US routine pregnancy less than 28 weeks	142.40
RU61	US problem pregnancy	179.17
RU62	US pregnancy greater than 28 weeks	179.17
RU64	US with amniocentesis	266.44
RU68	US pregnancy—per extra foetus greater than 1	68.91
	*Additional*
RX24	X-ray additional region	50.53
RX25	Domiciliary X-ray (in addition)	96.46
Specialists' costs
	*Repair recent wound*
SR1	Not exceeding 7 cm, superficial	146.64
SR2	Not exceeding 7 cm, deeper tissue	195.50
SR3	Exceeding 7 cm, superficial	244.41
SR4	Exceeding 7 cm, deeper tissue	293.27
	*Fractures (closed reduction)*
SF1	Phalanges	97.77
SF2	Metacarpals, excluding Bennetts	175.97
SF3	Metatarsals	136.87
SF4	Bennetts	254.17
SF5	Carpal bones	127.06
SF6	Colles	234.60
SF7	Radius and ulna—shafts	283.46
SF8	Radius—head and neck	254.17
SF9	Humerus	283.46
SF10	Talus—neck	263.94
SF11	Calcaneus	263.94
SF12	Other tarsals	166.21
SF13	Ankle—fracture dislocation, Potts	410.57
SF14	Tibia and fibula—shaft	469.20
SF15	Tibia and fibula—upper end	410.57
SF16	Tibia and fibula—involving joint traction	478.96
SF17	Femur, any site, with/without traction	723.37
	*Haematoma, abscess, or other infection*
SH1	Small—aspiration	24.48
SH2	Large—incision and drainage (local anaesthetic)	116.69
SH3	Large—incision and drainage (general anaesthetic)	127.06
	*Foreign body, removal of*
SB1	Under local anaesthetic	92.92
SB2	Under general anaesthetic	205.26
SB3	From cornea or sclera	63.58
SB4	From ear, other than by simple syringing	97.77
SB5	From muscle, tendon, or other deep tissue	293.27
SB6	From nose, other than by simple probing	117.30
SB7	From throat, additional fee	97.77
	*Dislocations (closed reduction)*
SD1	Elbow, wrist, thumb, and fingers with strapping/splint	195.50
SD2	Shoulder	117.30
SD3	Patella	166.21
SD4	Hip	234.60
	*Plaster*
SP1	Upper limb—above elbow	146.64
SP2	Upper limb—below elbow	127.06
SP3	Lower limb—above knee	175.97
SP4	Lower limb—below knee	146.64
	*Other*
SM1	Aspiration of joint	24.48
SM2	Amputation of all or part of 1 digit	215.07
SM3	Extensor tendon, primary repair	342.14
SM4	Nail, simple removal of	97.77
Specified treatment providers' costs
TMT	All treatment	25.02
X-RAY	X-ray services provided by chiropractor (maximum of 2 films per claimant per personal injury)	15.64

Rebecca Kitteridge,
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, which come into force on 1 October 2010, amend the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 (principal regulations).

The amendments increase amounts prescribed in the principal regulations to take account of the increase in the rate of goods and services tax on 1 October 2010 from 12.5% to 15% as provided by section 45 of the Taxation (Budget Measures) Act 2010.

Issued under the authority of the Acts and Regulations Publication Act 1989.

Date of notification in Gazette: 23 September 2010.

These regulations are administered by the Department of Labour.

Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2010

Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2010

Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2010

Order in Council

Contents

Regulations

1 Title

2 Commencement

3 Principal regulations amended

4 Counsellors' costs

5 Hyperbaric oxygen treatment costs

6 Medical practitioners' costs

7 Nurses' costs

8 Medical practitioners' and nurses' costs for combined treatment

9 Specialists' costs

10 Specified treatment providers' costs

11 New Schedule substituted

Schedule New Schedule substituted

ScheduleCosts of treatment

Explanatory note

Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2010

Schedule
New Schedule substituted

Schedule
Costs of treatment