Australian Capital Territory
Health (Fees) Determination 2004 (No 2)*
Disallowable Instrument DI2004-135
made under the
Health Act 1993, s 36 (Determination of Fees)

1.	I revoke Determination of Fees and Charges DI2004-90 effective from 1 July 2004.

2.	I make the following determination to take effect from 1 July 2004.

(1).  Definitions

In this Determination, unless the contrary intention appears:

A right to recover from any person, by way of compensation or damages does not include a right to recover compensation pursuant to the Criminal Injuries Compensation Act 1983;

Act means Health Act 1993;

After Hours means the hours outside of ‘Business Hours’.

Australian resident means a person who is ordinarily resident in Australia and includes a person domiciled in Australia but does not include a person who is:

(a)	the head of a diplomatic mission, or the head of a consular post, established in Australia;

(b)	a member of the staff of a diplomatic mission, or a member of the consulate, established in Australia;

(c)	a member of the family of a person referred to in paragraph (a) or (b), being a member who forms part of the household of that person; or

(d)	employed on a full-time basis to perform domestic or other private services for a person referred to in paragraphs (a), (b) or (c);

being a person who is not an Australian citizen or is not a person domiciled in Australia;

Business Hours means the hours between 8:00am and 5:00pm Monday to Friday, excluding public holidays.

cognitive behavioural therapy program means a service of The Canberra Hospital’s Pain Management Unit for the purpose of educating a patient to self-manage pain;

community health centre means a community health centre conducted by the ACT Health and Community Care Service;

compensable patient means in relation to a hospital, an inpatient of the hospital who in the opinion of the Chief Executive of The Canberra Hospital, has, or may have, a right to recover from any other person, by way of compensation for damages, the cost of the service;

concessional means a person who is the:

(a)	holder of a Pensioner Concession Card or a dependent of
	the holder of a Pensioner Concession Card; or

(b)	holder of a Health Care Card or a dependent of the holder of Health Care Card; or

(c)	holder of a Commonwealth Seniors Health Card; or

(d)	holder of a Repatriation Health Card for All Conditions; or

(e)	holder of a Repatriation Health Card for Specific Conditions;

coping and lifeskills program  means a service of The Canberra Hospital’s Pain Management Unit for the psychological management of comorbid depression and anxiety;

day care patient means a person other than:
(a) 	a compensable patient; or
(b) 	a non-eligible person,
who attends hospital for a period that does not include a part of an overnight stay for the purpose of permitting the provision of professional attention to the person;

exercise program means a service of The Canberra Hospital’s Pain Management Unit to increase mobility and wellbeing;

general means a person who is not concessional;

GST means tax that is payable under the GST law and imposed as goods and services tax by any of these:

(a) 	the A New Tax System (Goods and Services Tax Imposition – General) Act 1999; or

(b) 	the A New Tax System (Goods and Services Tax Imposition – Customs) Act 1999; or

(c) 	the A New Tax System (Goods and Services Tax Imposition – Excise) Act 1999.

hostel means a hostel conducted by the Health and Community Care Service;

hospital means the premises known as The Canberra Hospital;

hospital patient in relation to a hospital, means an inpatient of the hospital other than a private patient;

inpatient means a person who is formally admitted to hospital and then after a period of time discharged;

medical practitioner means a person registered as a medical practitioner under the Medical Practitioners Act 1930;

Medicare Benefits Schedule Book means the table of medical services prescribed for the purposes of subsection 4(1) of the Health Insurance Act 1973 (Cth);

Multidisciplinary assessment means a service of The Canberra Hospital’s Pain Management Unit made up of individual multidisciplinary consultations (physiotherapy, occupational therapy, psychology, nursing, medical assessment) case-conference, patient feedback, documentation and advice;

multiple-bed room means a room in which 2 or more beds are situated;

non-eligible person means -

(a)	a person who is not an Australian resident; or

(b)	a person in respect of whom, or a person included in a class of persons in respect of which, there is in force an order under Subsection 6(2) of the Health Insurance Act 1973 (Cth);

non-inpatient with respect to a hospital, means a patient other than an inpatient of the hospital who receives any examination(s), consultation(s) or other service(s) from an individual functional unit of a health services facility;

nursing-home type patient means a nursing-home type patient for the purposes of the Health Insurance Act 1973 (Cth) but does not include a compensable patient or a non-eligible person;

occupational therapy service means an occupational therapy service provided to:
(a)	a compensable non-inpatient; or
(b)	a non-eligible person,
at a community health centre conducted by the ACT Government or at a hospital;

outpatient service means any examination, consultation, treatment or other service provided to:
(a)	a non-inpatient; or
(b)	a non-eligible person,
not being an inpatient of the hospital at a health services facility other than a community health centre, but does not include a Physiotherapy, Occupational Therapy or a Pain Management Service;

pathology service means a professional service in respect of which:
(a)	a fee is specified in an item in Pathology Services Category 6 of the Medicare Benefits Schedule Book; or 
(b)	 a fee is determined by ACT Pathology for testing not specified in the Medicare Benefits Schedule Book;

person domiciled in Australia means a person whose domicile is in Australia, other than a person in respect of whom the Minister for Health is satisfied that the person's permanent place of abode is outside Australia;

physiotherapy service means any treatment or other service provided to:
(a)	a compensable non-inpatient; or
(b)	a non-eligible person,
at a community health centre or at a hospital and which falls within the definition of physiotherapy in the Physiotherapists Act 1977;

private patient, in relation to a hospital, means an inpatient of the hospital who:-

(a)	has made an election to be treated as a private patient, and who has not revoked that election; or

(b)	is accommodated in a single room in the hospital at a patient's own request;

professional service means a professional service within the meaning of the Health Insurance Act 1973 (Cwlth);

psychology assessment means a service of The Canberra Hospital’s Pain Management Unit for a psychological appraisal of patients suffering chronic pain;

single room means a room in which one bed is situated;

standard patient, in relation to a hospital, means an inpatient of the hospital, other than:-

(a)	a day care patient; or

(b)	a nursing-home type patient.

(2)  Request by a Patient

For the purposes of this Determination, a request by a patient shall, in relation to a patient who has not attained the age of 18 years, be read as including a request by a parent or guardian of the patient.

(3)  Period of accommodation

For the purpose of services listed at A, C, D, E, J, and S of the schedule to this Determination, the day on which a person commences to be accommodated in a hospital or a hostel as a patient and the day on which that person ceases to be so accommodated shall be counted together as one day.

(4)  Mother and child less than 12 months

For the purposes of the services listed at A, B and C of the Schedule to this Determination, where a child whose age is less than 12 months and the mother of that child are both accommodated in a hospital, they shall be treated as one patient unless the child and the mother both receive treatment.

(5)  Absences from a Hostel

(a)	For the purposes of the service listed at item D of the Schedule to this Determination, where a person who has been admitted to a hostel is absent from the hostel for a period not exceeding 3 days, the fee payable pursuant to the service listed at D shall apply as if the person had been accommodated in the hostel during the whole of the period.

(b)	For the purposes of sub-clause (5)(a) of this Determination, the day on which the absence of a person from a hostel begins and the day on which the person returns to the hostel shall be counted together as one day.

(6)  Schedule of Fees

The fee for the purposes of the service listed in Column 1 of the Schedule to this Determination shall be the amount listed in Column 2 of the Schedule where GST is not payable or Column 3 where GST is payable.  

Simon Corbell MLA
Minister for Health

24 June 2004

A. Hospital Accommodation Fees – Standard Patients
1. If the patient is a private patient other than a compensable patient or a non-eligible  person, and is:				
(a) in a multiple-bed room,	per day	$255.00	n/a	
(b) in a single room, otherwise than at the patients request,	
per day	
$255.00	
n/a	
(c) in a single room at the patients request.	
per day	
$441.00	
n/a	
(d) Hospital in the Home	per day 	$153.00	n/a	
				
2. If the patient is a compensable patient or a non-eligible person.				
(a) Critical Care	per day	$1,973.00	n/a	
(b) Inpatient (other than critical care)	per day	$797.00	n/a	
(c) Hospital in the Home	per day 	$325.00	n/a	

B. Hospital Accommodation Fees – Day Care Patients
If the patient is a private patient and is provided with:				
				
1. Type-B professional attention as determined under paragraph 4B(a) of the Commonwealth National Health Act 1953,	per day	$185.00	n/a	
				
2. procedures (other than those set out in paragraph 1) carried out under local anaesthetic, no sedation.  Theatre time (actual time in theatre) less than one hour,	per day	$208.00	n/a	
				
3. procedures (other than those set out in paragraph 1) carried out under general or regional anaesthetic or intravenous sedation.  Theatre time (actual time in theatre) less than one hour,	per day	$228.00	n/a	
				
4. procedures (other than those set out in paragraph 1) carried out under general or regional anaesthetic or intravenous sedation.  Theatre time (actual time in theatre) one hour or more.	per day	$255.00	n/a	

C. Hospital Accommodation Fees – Nursing Home Type Patients
1. If the patient has attained the age of 16 years and is:				
(a) a hospital patient,	per day	$33.15	n/a	
(b) a private patient.	per day	$114.00	n/a	
				
2. If the patient has not attained the age of 16 years and is:				
(a) a hospital patient,		Nil	n/a	
(b) a private patient.	per day	$80.85	n/a	

D. Hostel Fees
Hostel Accommodation Fees	per day	$25.25	n/a	

E. Accommodation where the person is other than a patient
Whether the accommodation is in a hospital or a nursing home or a hostel: 				
				
1. On wards	per day	$7.00	$7.70	
				
2. In residences – non-IPTAS eligible, others				
(a) first person	per day	$31.00	$34.10	
(b) second and subsequent persons, 5 years and older	per day	$15.00	$16.50	
(c) Each child, under 5 years	
per day	
$7.00	
$7.70	
				
3. In residences – IPTAS eligible and Pensioner or a health care card holders 				
(a) first person	per day	$21.00	$23.10	
(b) second and subsequent persons, 5 years and older	per day	$12.00	$13.20	
(c) Each child, under 5 years	per day	nil	nil	

F. Fees for Professional Services other than the Pathology Service
These do not apply in relation to:

1. a professional service provided in the course of a program of child health care,

2. a professional service provided at a hospital,

3. a professional service provided at the request of a member of the Australian Federal Police acting in his or her capacity as such a member;

4. a professional service provided in accordance with a request made, or a direction given under or for the purposes of, a law in force in the Territory, or

5. a professional service provided in the treatment or control of addiction to alcohol or drugs.	

An amount equal to the fee specified in respect of that professional service in the Schedule of Fees listed in the Medicare Benefits Schedule Book as amended from time-to-time.	

G. Pathology Service Fees
Where the pathology service is provided by the ACT to:

1. a compensable person,

2. a non-eligible person.	An amount equal to the fee specified in respect of that pathology service in the Schedule of Fees listed in the Medicare Benefits Schedule Book as amended from time-to-time.	

H. Outpatient Service Fees
Compensable non-inpatients and non-eligible persons:

1. First visit
2. Second and subsequent visits.	

per visit
per visit	

$132.60
$87.50	

n/a
n/a	

I. Physiotherapy and Occupational Therapy
Compensable non-inpatients and non-eligible persons at Community Health Center’s and Hospitals:

First and subsequent visit.	

per visit	

$87.50	

n/a	

J. Patient’s Personal Laundry
Patients at Nursing Homes	per day	$1.40	n/a	

K. Mass Vaccinations
Where there is a contract/agreement to vaccinate work groups against:				
1. Hepatitis A	per vaccine	$69.70	n/a	
2. Hepatitis B	per vaccine	$20.30	n/a	
3. Influenza	per vaccine	$23.70	n/a	
4. Other (Adult Diphtheria Tetanus, Measles Mumps Rubella, Rubella, Sabin)	
per vaccine	
$11.30	
n/a	

L. Facilities Hire
1. The Canberra Hospital

(a). Use of theatrette (after hours)	

per hour	

$130.00	

$143.00	
				
2. Community Health -  Conference, Meeting and Group Rooms				
				
(a). Commercial Use				
     (i) Non-Health Related	per hour	$25.00	$27.50	
     (ii) Sessional Health Related	per hour	$17.50	$19.25	
				
(b). Community Use				
     (i) Non-Health Related	per hour	$17.50	$19.25	
     (ii) Health Related	per hour	$13.50	$14.85	
				
3. Community Health (Moore St Building) - Theatrette	per hour	$74.50	$81.95	

M. Medical Records and Health Reports
1. Medical Practitioner Reports			
			
(a). Preparation of a medical report by a treating medical practitioner appointed to or employed by the Health and Community Care Service requiring no further examination of the patient.	$173.00	$190.30	
			
(b) Preparation of a medical report by a medical practitioner appointed to or employed by the Health and Community Care Service who has not previously treated the patient and no further examination of the patient is required.	$201.00	$221.10	
			
(c) A report made by a treating medical practitioner appointed to or employed by the Health and Community Care Service where a re-examination is required.	$230.00	$253.00	
			
(d) A report made by a treating medical practitioner appointed to or employed by the Health and Community Care Service who has not previously treated the patient and where an examination is required.	$287.50	$316.25	
			
2. Health records required to be produced by subpoena			
			
(a) Where at least 5 days notice is given for the production of the record to the Court	$50.50	$55.55	
			
(b) Where less than 5 days notice is given.	$84.00	$92.40	
			
3. Search Fees

Other than requests made by a party concerned with a patient's continued treatment or future management

A search fee is to be charged where:
•	the applicant subsequently advises that a report/record is no longer required.
•	where a thorough search has ascertained that the patient has never attended the hospital for that episode of illness.
•	for Motor Accident and Comcare medical certificates completed other than at the time of consultation.
•	the fee also applies to requests for information on date or time of birth.	$34.50	$37.95

4. Medical Records Department

Preparation of a report by the Medical Records Department as part of its medico-legal responsibilities	

$116.00	

$127.60	
			
5. Health Professional Reports

(a) Preparation of a report by a treating health professional, other than a medical practitioner, appointed to or by the Health and Community Care Service requiring no further examination of the patient	

$173.00	

$190.30	
			
(b) Preparation of a report by a treating health professional, other than a medical practitioner, appointed to or by the Health and Community Care Service who has not previously treated the patient and no further examination is required.	$201.00	$221.10	
			
(c) Preparation of a report by a treating health professional, other than a medical practitioner, appointed to or by the Health and Community Care Service where a re-examination is required.	$230.00	$253.00	
			
(d) Preparation of a report by a treating health professional, other than a medical practitioner, appointed to or by the Health and Community Care Service who has not previously treated the patient and where an examination is required.	$287.50	$316.25	
			
6. Clinical Notes provided to patient's solicitor

(a) Upon receipt of written consent from the patient for the solicitor to have copies of all or part of the clinical notes - Provision of a copy of the medical record or part thereof, e.g. continuation notes, pathology reports and charts.	

$127.00	

$139.70	
			
7. Clinical Notes provided to insurer 

(a) Upon written consent from the patient allowing the insurer to have copies of all or part of their clinical notes and indicating their awareness of the possible inclusion of confidential medical information irrelevant to the claim - Provision of a copy of the medical record, or part thereof, e.g. continuation notes, pathology reports and charts.	

$127.00	

$139.70	

N. Pathology
Histology on Coronial post mortems 		$212.00	$233.20	

O. Dental Services
Group 0 - Examination/Diagnostic			
Comprehensive Oral Exam	$7.00	n/a	
Periodic Exam	$7.00	n/a	
Emerg Exam (Min. $20: Restorative Emergencies) -                                    	$25.00	n/a	
Pros Emergency Visit 	$25.00	n/a	
Consult (incl Exam)	$7.00	n/a	
Consult Ext + 30 (incl Exam)	$7.00	n/a	
Consult by Ref (incl Exam)	nil	n/a	
Consult  by Ref Ext +30 (incl Exam)	$7.00	n/a	
Letter of Referral	$0.00	n/a	
X-Ray -1 film PA or BW	$7.00	n/a	
Intraoral radiograph - occlusal, maxillary or mandibular - single film	$7.00	n/a	
Extraoral radiograph - maxillary and/or mandibular - single film	$7.00	n/a	
Biopsy of Tissue	$7.00	n/a	
Pulp Test Per visit	nil	n/a	
Diagnostic cast	$7.00	n/a	
Photographic records - intraoral	nil	n/a	
Group 1 - Preventative Services			
Removal of Plaque and / or stain	$9.00	n/a	
Recontouring - pre existing restoration/s	$9.00	n/a	
Calculus (supra & subging.) & Plaque Removal 1st visit	$9.00	n/a	
Calculus (supra & subging.) & Plaque Removal  Addit. visit	$9.00	n/a	
Enamel mirco- abrasion - per tooth	$9.00	n/a	
Bleaching, internal - per tooth	$9.00	n/a	
Fluoride - Topical (including tooth mouse)	$9.00	n/a	
Concentrated fluoride, application single tooth	$9.00	n/a	
Dietary advice. Analyisis  and advice	$9.00	n/a	
Oral Hygiene Instr.  (if more than 10 mins.)	$9.00	n/a	
Fissure Sealant - per tooth	$9.00	n/a	
Apply Desensitising Agent	$9.00	n/a	
Odontoplasty - per tooth	$9.00	n/a	
Group 2 - Periodontics			
Treatment of acute Periodontal Infection	$8.00	n/a	
Root Planing & Curettage (per 8 or less teeth)	$20.00	n/a	
Non-surgical periodontal treatment not otherwise specified - per visit	$8.00	n/a	
Gingivectomy -  per 8 teeth or less	$20.00	n/a	
Periodontal flap surgery - per 8 teeth or less	$20.00	n/a	
Osseous surgery - per 8 teeth or less	$20.00	n/a	
Root resection - per root	$20.00	n/a	
Periodontal surgery involving one tooth or an implant	$8.00	n/a	
Group 3 - Oral Surgery			
Removal of tooth or parts	$10.00	n/a	
Sectional removal of tooth.  Bone  removal maybe necessary	$10.00	n/a	
Surgical removal of tooth or tooth fragment not including bone	$21.00	n/a	
Surgical removal of tooth or tooth fragment including bone	$21.00	n/a	
Surgical removal of tooth or tooth fragment requiring both bone and tooth dividon	$21.00	n/a	
Alveolectomy per segment	$21.00	n/a	
Reduction of fibrous tuberosity	$21.00	n/a	
Reduction of flabby ridge - per segment	$21.00	n/a	
Removal of fibrous hyperplasia	$21.00	n/a	
Removal of tumour, cyst or scar 	$21.00	n/a	
Removal of tumour, cyst or scar involving muscle, done or deep tissue	$21.00	n/a	
Surgery to salivary duct	$21.00	n/a	
Surgery to salivary gland	$21.00	n/a	
Removal or repair of soft tissue  (not elsewhere defined)	$21.00	n/a	
Surgical removal of foreign body	$21.00	n/a	
Marsupialization of cyst	$21.00	n/a	
Surgical exposure to unerupted tooth	$21.00	n/a	
Reposition tooth / Splint	$21.00	n/a	
Replantation of /& Splinting of tooth	$21.00	n/a	
Frenectomy	$21.00	n/a	
Drainage of abscess or cyst	$21.00	n/a	
Surgery involving the maxially antrum	$21.00	n/a	
Control of reactionary or secondary post operative haemorrhage	$21.00	n/a	
Group 4 - Endodontics			
Pulp cap -direct	nil	n/a	
Pulpotomy 	$15.00	n/a	
Complete Endodontic treatment, incisor or canine tooth (415 & 417)	$61.00	n/a	
Complete Endodontic treatment, premolar tooth (415,417,416,& 418)	$61.00	n/a	
Complete Endodontic treatment, molar tooth(415,417[2x416 & 2x418])	$61.00	n/a	
Extirpation of pulp and debridement of root canal(s) - emerg	$15.00	n/a	
Resorbable root canal filling - primary tooth	$15.00	n/a	
Periapical curettage - per root	$15.00	n/a	
Apicectomy- per root	$60.00	n/a	
Apical seal - per canal	nil	n/a	
Sealing of perforation	$60.00	n/a	
Surgical treatment or repair of external root resorption	$60.00	n/a	
Exploration and/or negotiation of calcified canal -per canal, per visit	$15.00	n/a	
Removal of root filling, per canal	$15.00	n/a	
Removal of cemented root canal post or post crown	$15.00	n/a	
Removing or bypassing fractured endodontic instrument	$15.00	n/a	
Additional visit for irrigation and/or dressing of the root canal system - per tooth	nil	n/a	
Interim therapeutic root filling - per tooth	$15.00	n/a	
Group 5 - Restorative Services			
Metallic restoration  - 1 surface - direct	$13.00	n/a	
Metallic restoration  - 2 surface - direct	$13.00	n/a	
Metallic restoration  - 3 surface - direct	$13.00	n/a	
Metallic restoration  - 4 surface - direct	$13.00	n/a	
Metallic restoration - 5 surface - direct	$13.00	n/a	
Adhesive restoration  - 1 surface - Anterior tooth - direct	$13.00	n/a	
Adhesive restoration  - 2 surface - Anterior tooth - direct	$13.00	n/a	
Adhesive restoration  - 3 surface - Anterior tooth - direct	$13.00	n/a	
Adhesive restoration  - 4 surface - Anterior tooth - direct	$13.00	n/a	
Adhesive restoration - 5 surface - Anterior tooth - direct	$13.00	n/a	
Adhesive restoration - 1 surface  Posterior tooth - direct	$13.00	n/a	
Adhesive restoration - 2 surface  Posterior tooth - direct	$13.00	n/a	
Adhesive restoration - 3 surface  Posterior tooth - direct	$13.00	n/a	
Adhesive restoration - 4 surface  Posterior tooth - direct	$13.00	n/a	
Adhesive restoration - 5 surface  Posterior tooth - direct	$13.00	n/a	
Provisional (Intermediate / temporary) restoration	$5.00	n/a	
Provisional (Intermediate / temporary) restoration	nil	n/a	
Metal band	$5.00	n/a	
Pin restoration -per pin	$5.00	n/a	
Cusp capping - per cusp	nil	n/a	
Restoration of an incisal corner - per corner	nil	n/a	
Removal of inlay/onlay	$5.00	n/a	
Recementing onlay/inlay	$5.00	n/a	
Post - direct	$5.00	n/a	
Group 6 - Crown and Bridge			
Recrement Crown or veneer	$10.00	n/a	
Recrement bridge or splint	$10.00	n/a	
Removal of crown	$10.00	n/a	
Removal of bridge or splint	$10.00	n/a	
Group 7 - Prosthodontics			
Full Maxillary denture	$61.00	n/a	
Full Mandibular denture	$61.00	n/a	
Metal plate or mesh	$160.00	n/a	
Full Maxillary & Full Mandibular dentures	$122.00	n/a	
Partial Max Denture - resin base	$61.00	n/a	
Partial Mand Denture - resin base	$61.00	n/a	
Partial Max Denture - cast CO/CR base	$241.00	n/a	
Partial Mand Denture - cast CO/CR base 	$241.00	n/a	
Retainer - per tooth	nil	n/a	
Occlusal rest - per rest	nil	n/a	
Tooth/ Teeth ( partial denture)	nil	n/a	
Overlays - per tooth	nil	n/a	
Immediate tooth replacement - per tooth	nil	n/a	
Resilient Lining in addit'n to new denture	$28.00	n/a	
Wrought Bar	nil	n/a	
Metal Backing - per backing	nil	n/a	
Denture Adjustment (not new)	$5.00	n/a	
Denture Adjustment ( new)	nil	n/a	
Reline -Complete denture	$28.00	n/a	
Reline -Part denture	$28.00	n/a	
Remodel - complete denture 	$28.00	n/a	
Remodel - Partial denture 	$28.00	n/a	
Clean and polish of pre-existing denture	$5.00	n/a	
Denture base modification	$28.00	n/a	
Reattaching pre-existing tooth or clasp to denture	nil	n/a	
Replacing/added clasp to denture	nil	n/a	
Repairing broken base of complete denture	nil	n/a	
Repairing broken base of partial denture	nil	n/a	
Added tooth to partial denture to replace an extraction or decoronated tooth 	nil	n/a	
Repair to metal casting: one point	$85.00	n/a	
Tissue conditioning preparatory to impressions  - per application	$5.00	n/a	
Impression  for denture repair	nil	n/a	
Identification	$5.00	n/a	
Group 7 -Provision for New Dentures  (No ADA Item Numbers)			
Ist Impression (New Denture) Per Impression	nil	n/a	
2nd Impression (New Denture) Per Impression	nil	n/a	
Bite (New Denture)	nil	n/a	
Try In (New Denture)	nil	n/a	
Re Try (New Denture)	nil	n/a	
Group 8 - Orthodontics (When Used for an Adult)			
Passive removable appliance - one arch	$122.00	n/a	
Active removable appliance - one arch	$122.00	n/a	
Functional orthopaedic appliance	$122.00	n/a	
Passive fixed appliance	$122.00	n/a	
Extra-oral appliance 	$122.00	n/a	
Orthodontic adjustment	nil	n/a	
Repair removable appliance	$21.00	n/a	
Repair removable appliance - clasp, spring or tooth	$21.00	n/a	
Addition to removable appliance	$21.00	n/a	
Relining removable appliance	$21.00	n/a	
Group 9 - General Services			
Palliative  care	$6.00	n/a	
After hours emergency	nil	n/a	
Travel to provide service	$6.00	n/a	
Provision of medication/ medicaments	nil	n/a	
Local anaesthesia(dignosis or pain relif)	$6.00	n/a	
Treatment under G.A.	$82.00	n/a	
Minor Occlusal adjustment	$6.00	n/a	
Occlusal splint	$46.00	n/a	
Adjust occlusal splint	$6.00	n/a	
Repair/addition - occlusal splint	$6.00	n/a	
Splinting and stabilization - direct - per tooth	$6.00	n/a	
Post-operative care not elsewhere included	nil	n/a	
Treatment not otherwise included	$6.00	n/a	
Group A - Restorative Referal Scheme  (No ADA Item Numbers)			
Complete Endodontic treatment, incisor or canine tooth (415 & 417)	$61.00	n/a	
Complete Endodontic treatment, premolar tooth (415,417,416,& 418)	$61.00	n/a	
Complete Endodontic treatment, molar tooth(415,417[2x416 & 2x418])	$61.00	n/a	
Group B - Child & Youth Membership Fees			
Standard Annual Fee	$40.00	n/a	
Maximum Standard Annual Family Fee	$100.00	n/a	
Reduced Annual Fee For Low Income Families	$20.00	n/a	
Maximum Reduced Annual Family Fee	$20.00	n/a	
Free for Families Covered by a Concession Card	nil	n/a	

Note Special Conditions apply below:
a) Total fees charged per year to any Restorative Client is capped at $250.00.
b) Item numbers in Group 8 are charged at 50% of the above adult fee when services provided for children registered in the child and youth scheme.
c) BRC clients are paid by an SLA with Corrections Health
d) Services provided at Jervis Bay (two clinics per year) are provided free of charge as part of a contract with the Commonwealth Government.
e) Children in foster care providing appropriate documentation, are provided with assessment and treatment free of charge.
f) Children screened as part of special Dental Health programs, are screened without charge.
g) Dental Screening in schools is provided without charge to the children screened.
h) Under school aged children involved in 'The First Smiles Program'  are provided with a free assessment. If they require treatment they may then join the Child and Youth Membership Scheme.
i) Detainees at Quamby receive treatment free of charge.
j) Refugee's providing appropriate documentation have free assessment and treatment for 12 months after the assessment.
k) Aboriginal and Torres Strait islanders have free assessment and any urgent treatment within 12 months after the assessment.
l) Methadone clients/buprenorphine clients - Clients presenting with appropriate documentation are given free assessment and oral hygiene appointments every six months.  Only urgent treatment is provided immediately and normal fees apply.  For routine and non-urgent treatment, these clients are placed on the waiting list and   normal fees apply.
m) Clients with medical conditions that complicate dental treatment, or where dental disease is a significant health risk can have 2 free assessment sessions, oral hygiene and treatment planning.  Normal fees apply for all other treatment.  A referral from a medical practitioner is required acknowledging conditions such as haemophilia; HIV/AIDS; clients at risk of Subacute Bacterial Endocarditis; people with a disability who have complex physical problems or associated medical conditions. 
n) People from groups with additional disadvantage - homeless people and newly arrived refugees without a concession card, where appropriate documentation is provided from a responsible organisation to show evidence that they are genuinely in this category, are provided with assessment and initial treatment to restore oral health at no charge.  People are then placed on the waiting list.  If their situation has improved by the time they come off the waiting list normal fees are then charged.

P. Alcohol and Drug Service
1. Service reports supplied to insurance agents and solicitors	
per session	
$39.50	
$43.45	
				
2. Opioid dispensed to clients on the Opioid Treatment Service for 6 months or more	
per week	
$15.00	
n/a	

Q. Meals on Wheels
Supplied to Red Cross for distribution.	per meal	$5.15	$5.67	

R. Magnetic Resonance Imaging
Compensable patients, non-eligible patients and research.	An amount equal to the fee specified in respect of that professional service in the Schedule of Fees listed in the Medicare Benefits Schedule Book as amended from time-to-time.	

S. Pain Management Service
Provide to compensable non-inpatients and non-eligible non-inpatients of the Pain management Unit of The Canberra Hospital:
1. Multidisciplinary Assessment	per  assessment	$862.50	n/a	
2. Cognitive Behavioural Therapy Program	per program	$3,659.30	n/a	
3. Coping and Lifeskills Program	per program	$367.00	n/a	
4. Exercise Program	per program	$6.30	n/a	
5. Psychology Assessment	per  assessment	$165.20	n/a	
6. Medical assessment and Follow-ups				
	(a) First visit	per visit	$188.20	n/a	
	(b) Second and subsequent visits	per visit	$94.10	n/a	
7. Physiotherapy and Occupational therapy				
	(a) First and subsequent visits	per visit	$87.50	n/a	

T. Biomedical Repairs
Repairs on equipment and advice/training provided during:				
				
1. Business Hours	per hour	$98.00 
+ parts	$107.80 
+ parts	
2. After Hours	per hour	$127.00 
+ parts	$139.70
+ parts	

U. Community Rehabilitation Program
1.	Community – Based Rehabilitation Services
General services to whom fees apply and commercial consultancy services
a	Community Medical Officer	Per hour (half hour min)	$105.00	$115.50	
b	Allied Health Staff				
	i) Appointment		$87.50	$96.25	
	Education and/or (for student groups, private and public sector staff groups)				
	ii) Per facilitator – business hours	Per hour (half hour min)	$50.50	$55.55	
	iii) Per facilitator – after hours	Per hour (half hour min)	$76.50	$84.15	

2. Independent Living Centre
(a) Appointment fee for client with third party payer
	i) Assisted appointment and report writing	Per hour (half hour min)	$87.50	n/a	
	ii) Non attendance at appointment		$13.50	$14.85	
(b) Unassisted appointments - service provided by staff member of another organisation
	i) Unassisted appointment under 1.5 hour	Per hour (half hour min)	$29.50	$32.45	
(c) Education and/or Training (for student groups private and public sector staff groups)
	i) Per facilitator - business hours	Per hour (half hour min)	$51.50	$56.65	
	ii) Per facilitator - after hours	Per hour (half hour min)	$77.00	$84.70	
(d) Second hand register (referral service)
	i) for items over $500		$17.50	$19.25	
	ii) for items under $500		$8.50	$9.35	
	iii) for more than 1 item		$17.50	$19.25	
(e) Consultancy fee for commercial advisory services (including travel)
	(i) Consultancy Fee	Per hour (half hour min)	$88.00	$96.80	

3. Equipment Loan Service
(a) Default on loan agreements		Cost of replacement + 10% admin charge ($157 max.)	Cost of replacement + 11% admin charge ($172.70 max.)	
(b) Hire of pressure care products				
i) Pressure Relief Mattress or Overlay Hire	per month	$87.60	n/a	
ii) Pressure Relief Mattress or Overlay Hire – Pensioner Rate	per month	$43.80	n/a	
iii) Pressure Reduction Mattresses and Overlays	per month	$21.90	n/a	

4. ACT Equipment Scheme
(a) Continence pads and aids for incontinence	Per carton of continence pads or order of incontinence aids	$21.40	n/a	
(b) Orthopaedic footwear		10% of total cost ($53.70 min.)	n/a	
(c) Orthoses		10% of total cost ($21.40 min.)	n/a	
(d) Repairs to ACTES Equipment		1/3 of total cost ($21.40 min.)	n/a	
(e) Home modifications		10% of total cost ($21.40 min.)	n/a	
(f) Walking aids		10% of total cost ($21.40 min.)	n/a	
(g) Equipment and appliances for personal use		10% of total cost ($21.40 min.)	n/a	
(h) Wigs		$21.40	n/a	
(i) Breast Prostheses		$21.40	n/a	
Notes:
i) For items other than above a client contribution may be payable direct to supplier
ii) Cost ceilings apply - excess is paid direct to supplier.
iii) Only charges levied by ACT Health are listed above, additional costs may be payable to suppliers.
iv) 'Total cost' above refers to cost of procurement or parts plus labour incurred by ACT Health.

5. Prosthetic and Orthotic Services
(a)	New prostheses or repairs for compensable clients	Per hour (half hour min)	$87.60
+ components	n/a	
(b)	New prostheses or repairs for non compensable clients not holding concession cards (cost ceilings apply)	Per hour (half hour min)	15% of 
total cost 
($214pa max.)	n/a	
(c)	New orthoses 	Per hour (half hour min)	$87.60
+ components	n/a	
(d)	Repairs to Orthoses 	Per hour (half hour min)	$87.50
+ components	$96.25
+ components	
(e)	Rehabilitation engineering maintenance/modification on equipment and advice/training	Per hour (half hour min)	$64.50
+ components	$70.95
+ components	
(f)	Orthotics assessment for private and compensable clients	Per hour (half hour min)	$87.50	n/a	

6. Driver Rehabilitation Service
(a)	Initial Assessment – Non compensable	Per assessment	$57.50	$63.25	
(b)	Initial Allied Health Assessment 	Per assessment	$613.50	n/a	
(c)	Initial Assessment Report and Driving Instruction	Per assessment	$280.00	$308.00	
(d)	Lesson (compensable and non compensable)	Per lesson	$52.00	$57.20	
(e)	Re-assessment – Non compensable	Per assessment	$52.00	$57.20	
(f)	Allied Health Re-assessment	Per assessment	$262.50	n/a	
(g)	Re-assessment Report and Driving Instruction	Per assessment	$280.00	$308.00	
Notes:
i) Cost ceilings apply to certain items - excess costs born by client
ii) 'Total cost' above refers to cost of procurement or parts plus labour incurred by ACTCC.

7. Wheelchair and Posture Seating
(a)	ACT Residents, not including    residential care (covered by concession card) 		Component costs	Components costs + 10%	
(b)	Clients whom fees apply				
	i) Occupational therapist	Per hour (half hour min)	$87.50	n/a	
	ii) Community Medical Officer	Per hour (half hour min)	$102.50	n/a	
	iii) Technician	Per hour (half hour min)	$64.50 
+ Component costs	n/a 
+ (Component Costs + 10%)	

V. Health Protection Services
1. Scientific Services
(a)    Other than theACT Coroner’s Office      
(b)	ACT Coroners Office 
        (Attorney-General’s Dept)		
Per hour
Per matter	
$125.00
	 $796.00	
           $137.50
           $875.60	
	2. Other
(a)	Consultation - Business Hours	Per hour 	$88.00	$96.80	
(b)	Consultation – After Hours	Per hour 	$108.50	119.35	
(c)	Exhumations 	Per matter 	$313.50	$344.85	

W. Audiometry
Adult Hearing Tests 	per consultation	$29.60	n/a	

X. Other Community Health Fees
				
ACT Specialist Scheme
   1. 	Specialist Scheme
		
20% of total costs	
n/a
	
Education and/or Training
   1. 	Per facilitator - business hours
   2. 	Per facilitator - after hours	
per hour
per hour	
$50.50
$76.50	
$55.55
$84.15	
Community Health Care Program
   3. 	Chronic pain management course 	for compensation clients	

per hour	

$32.50	

$35.75	
   4. 	Nursing education - business hours	per hour	$62.50	$68.75	
   5. 	Nursing education - after hours	per session	$94.00	$103.40	
   6. 	Sale of infection control manual	per manual	$67.50	$74.25	
   7. 	Podiatric surgery (materials)	per intervention	$35.00	$38.50	
   8. 	Simple innersoles	per pair	$24.00	n/a	
   9. 	Accommodative	per pair	$92.50	n/a	
   10. 	Rigid innersoles	per pair	$208.00	n/a	
   11. 	Day care meals	per meal	$5.50	n/a	
   12. 	Consultation for nurses in private 	hospitals	
per hour	
$64.00	
$70.40	
   13. 	Home nursing	per hour	$64.00	n/a	
   14. 	Consultation overseas clients	per hour	$64.00	n/a	

Child, Youth & Women’s Health Program
   15. 	Copies of mammograms	per set	$29.09	$32.00	

Y. Pharmaceutical Co-payment
Collection of a co-payment for medications or pharmaceutical’s dispensed from hospital for:
1.  General non-inpatient	per item	$19.00	n/a	
2.  Concessional non-inpatient	per item	$3.80	n/a	

Thresholds:
1.	General non-inpatient – Once a patient reaches $726.80 worth of prescriptions dispensed from hospital in a calendar year, all further prescriptions will be charged at the concessional rate.
2.	Concessional non-inpatient - Once a patient receives 52 prescriptions in a calendar year, all further prescriptions will be supplied at no charge.