All about
Specified treatment providers’ costs
Effective 01 April 2014
This information sheet lists the Cost of Treatment Regulation amounts ACC can pay for specified
treatment provider treatments.
Specified treatment provider means an acupuncturist, chiropractor, occupational therapist, osteopath,
physiotherapist, podiatrist, or speech therapist.
For the TMT items below, ACC can pay either a flat rate for each consultation or an hourly rate based on the
time the client receives direct treatment.
Hourly
Hourly
Flat rate
Flat rate
rate
rate
Regulation
Billing
item
code
Item description
$(GST excl)
$(GST incl)
$(GST excl)
$ (GST incl)
ACU1 Acupuncture
CH01 Chiropractic
OT01 Occupational
therapy
TMT
OST1 Osteopathy
22.56
25.94 56.76
65.27
PHY3 Physiotherapy
ST01 Speech
therapy
POD1 Podiatry
POD3
POD3
Abscess or haematoma:
27.33
31.43
drainage with incision (with or
without local anaesthetic agent)
POD4
POD4
Nail, simple removal of
21.88
25.16
POD5
POD5
Nail, wedge resection/removal
91.08
104.74
of – requiring the use of digital
anaesthesia
XRAY XRAY
X-ray
chiropractor (per film –
13.84
15.92
maximum 2 films per claimant
per personal injury)
Part-hour payments
If the hourly rate payment option is chosen, ACC will pay $65.27 GST incl ($56.76 GST excl) per hour for the
time a client receives direct treatment. If direct treatment is for less than one hour, we will calculate payment as
the appropriate portion of the hourly rate (see the table on p.2).
ACC1523 – April 2014
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Specified treatment providers’ costs, Continued…
Part-hour payments
Hourly Rate
Hourly Rate
Minutes
$(GST excl)
$(GST incl)
5 4.73
5.44
10 9.46
10.88
15 14.19
16.32
20 18.92
21.76
25 23.65
27.20
30 28.38
32.64
35 33.11
38.08
40 37.84
43.52
45 42.57
48.96
50 47.30
54.40
55 52.03
59.83
60 56.76
65.27
Specific clauses
The following clauses are taken from the principal regulations that are in effect – the Accident Compensation (Liability to Pay
or Contribute to Cost of Treatment) Regulations 2014.
17 Specified treatment providers’ costs
(1) This regulation applies to the treatments specified in the Schedule under the heading “Specified treatment providers’
costs”.
(2) A treatment provider may elect not to be paid the amount specified in item TMT for any treatment that a claimant
receives by giving the Corporation a written notice of election.
(3) If the Corporation receives a notice of election, the Corporation is liable to pay the lesser of –
(a) $56.76 GST excl ($65.27 GST incl) an hour; or
(b) the rate per hour the provider would have charged the claimant for treating personal injuries of the kind suffered
by the claimant.
(4) The provider may revoke an election under subclause (2) by giving the Corporation a written notice of revocation, but
may give another written notice of election only if the Corporation first gives written consent allowing the provider to
make, a re-election.
5 Limitations on hourly rate
(1) This regulation applies if a treatment provider –
(a) elects to receive an hourly rate under these regulations for payment for his or her services to a claimant; or
(b) receives an hourly rate under these regulations for payment for his or her services to a claimant.
(2) For any particular hour during which a treatment provider is treating claimants, the Corporation is liable to pay for no
more than a total of 60 minutes of treatment at the relevant hourly rate despite –
(a) the number of claimants that the treatment provider may have directly treated in succession in that hour; or
(b) the number of claimants that the treatment provider may have directly treated at the same time in that hour.
Disclaimer
All information in this publication was correct at the time of printing, April 2014. This information is intended to serve only as a general guide to
arrangements under the Accident Compensation Act 2001 and regulations. For any legal or financial purposes this Act takes precedence over the
contents of this guide.
ACC1523 – April 2014
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