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Safeguard OSH Solutions - Thomson Reuters


[Schedule Costs of treatment

[Schedule
Costs of treatment
rr 6, 7, 9–17
Item number
Treatment
Cost ($)
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
46.59
DE2
Periodic oral examination or review
29.96
DE3
Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work), including study models, photographs, and tomography
128.64
 
Radiological examination and interpretation
 
DX1
Periapical or bitewing film (each)
23.29
DX2
Occlusal (each)
23.29
DX3
Panorex
60.88
DX4
Other additional images (per treatment episode)
9.19
DX7
Acute sedation (IV only) (initial consultation only)
160.79
 
Emergency temporary cover
 
DT1
Emergency temporary cover
45.11
 
General oral surgery
 
 
Extractions
 
DG1
Extraction of permanent or rooted deciduous tooth (per first tooth)
120.32
DG2
Surgical removal of tooth, including insertion and removal of sutures
192.95
DG4
Extraction of subsequent permanent or deciduous tooth in the same quadrant arch as for DG1
65.75
 
Surgery
 
DG5
Management of lacerations by suturing (per operative site)
125.42
DG7
Incision and drainage abscess cellulitis
141.49
DG8
Excision of traumatic mucous cyst
167.23
DG10
Splint application or removal (for 3 splint units)
96.47
DG11
Cleaning of wound and removal of debris
44.10
DG14
Reduction of fractured alveolar process
93.92
DG15
Repositioning of displaced tooth (per tooth) or replacing avulsed tooth
46.95
DG17
Occlusal adjustment (simple)
31.28
DG22
Minor surgical operations not otherwise covered by this schedule
134.69
DG23
Provision of bite splints
192.95
 
Restorative
 
DR1
Amalgam 1 surface filling (including 2 fillings on the one surface)
85.45
DR2
Amalgam 2 surface filling (approximo-occlusal)
111.77
DR3
Complex amalgam restoration
161.70
DR6
Non-metallic simple fillings (including 2 fillings on the one surface)
98.58
DR7
Non-metallic filling (2 or more surfaces per tooth)
131.47
DR8
Rebonding tooth fragment or coronal portion
88.38
DR9
Complex reconstruction in composite resin (direct)
175.54
 
Prosthodontics
 
DP1
Plastic denture (1 tooth—material of choice)
492.15
DP2
Each additional tooth (all dentures)
22.05
DP5
Metal-framed partial denture (1 tooth)
1,127.05
DP7
Transitional denture replacing missing tooth or teeth
448.38
DP8
Full upper or lower denture
735.04
DP11
Reline or rebase denture
230.11
DP13
Repair (all types)
75.16
DP14
Addition of tooth to existing denture (includes additional tooth)
138.05
 
Crown and bridge
 
 
Inlay or onlay and veneers
 
DC3
Indirect inlay or onlay
280.64
DC6
Porcelain veneer
826.19
DC7
Composite resin veneer
180.08
DC8
Post (wrought or preformed)
96.47
DC9
Composite or amalgam core
115.78
DC11
Cast post and core (metal or ceramic)
221.25
 
Crowns
 
DC15
All ceramic crown
976.88
DC16
Porcelain fused to metal crown
939.38
DC17
Cast gold crown (full and three-quarters)
883.06
 
Bridges
 
DC19
Maryland bridge
680.66
DC20
Composite bridge (per unit)
225.10
DC25
Re-cementing crown, bridge, veneer, or inlay
33.81
DC26
Non-composite bridge (on injured teeth that meet the requirement for a crown) (3 units)
2,300.69
DC27
Replacement of non-composite bridge
2,752.74
 
Endodontics
 
DN1
Pulpotomy or pulpectomy
128.64
DN2
Irrigation and dressing of root canal system
130.57
DN3
Complete preparation and obturation of root canal (per canal)—open or closed apex
289.43
DN5
Apicectomy and retrograde filling (per canal)
281.78
DN6
Removal of root filling (per canal)
226.07
DN7
Removal of post, post crown, or crown
226.07
DN8
Bleaching, 1 non-vital tooth (per treatment)
160.79
DN9
Pulp capping
37.57
DN10
Removal of fractured post or instrument
226.07
DN11
Repair of perforation
226.07
DN13
Negotiation of calcified canal (can be used with item DN3)
226.07
 
Periodontics
 
DD1
Gingivectomy
107.72
DD2
Crown lengthening (per tooth)
225.10
DD4
Subgingival curettage (per tooth)
89.88
DD7
Site preparation for dental implant
328.73
DD8
Placement of membrane
352.20
DD9
Substitute bone material
140.87
 
Dental implants
 
DM1
Resilient linings (tooth or teeth)
67.63
DM2
Fixture head impressions and copings (per fixture)
361.59
DM3
Dental implant crown (per single unit)
1,127.07
DM4
Dental stent and guide (per fixture)
122.11
DM5
Definitive abutment (per fixture)
361.59
DM6
Temporary abutment (per fixture)
45.08
DM7
Repairs to abutments (per fixture)
78.23
 
Claimants under 18 years old
 
DY1
Dental consultation (including examination)
60.65
DY14
Temporary crown
112.71
DY15
Temporary bridge
112.71
DY21
Surgical decoronation
394.48
DY22
Removal of deciduous teeth
27.56
Hyperbaric oxygen treatment costs
 
H1
Neurological assay before recompression
89.83
H2
Neurological assay after recompression
80.82
H3
In-chamber treatment supervision (per hour)
93.91
H4
Out-of-chamber treatment supervision (per hour)
46.03
Medical practitioners’, nurses’, and nurse practitioners’ costs
 
 
Burn or abrasion
 
MB1
Treatment of burn not exceeding 4 cm²
31.44
MB2
Treatment of burn at single site exceeding 4 cm²
61.91
MB3
Treatment of significant abrasions not exceeding 4 cm² at single site
31.45
MB4
Treatment of significant abrasions exceeding 4 cm² at single site
61.91
MB5
Significant burns or abrasions (not including fractures) at multiple sites (exceeding 4 cm²): necessary wound cleaning, preparation, and dressing
90.21
 
Dislocation
 
MD1
Dislocation of finger or toe with splint or strapping
36.43
MD2
Dislocation of thumb: closed reduction and immobilisation
102.09
MD3
Dislocation of elbow with radiological confirmation: closed reduction and immobilisation
94.55
MD4
Dislocation of shoulder: closed reduction and collar and cuff immobilisation
68.11
MD5
Dislocation of patella: closed reduction and cast immobilisation
162.05
 
Fracture
 
MF1
Fractured finger or toe (proximal, middle, or distal phalanx): closed reduction and immobilisation
36.43
MF2
Fractured finger or toe (proximal, middle, or distal phalanx): requiring local anaesthetic
50.37
MF3
Fractured metatarsal: closed reduction (not requiring cast): closed reduction, immobilisation by strapping
36.43
MF4
Fractured metacarpal(s) hand: with or without local anaesthetic, immobilisation by strapping
50.37
MF5
Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction
113.46
MF6
Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation
162.05
MF7
Fractured calcaneum or talus: treatment by cast immobilisation
162.05
MF8
Fractured clavicle
68.11
MF9
Fractured distal radius and ulna: cast immobilisation not requiring reduction
113.46
MF10
Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia
135.66
MF11
Fractured shaft radius and ulna: treatment by cast immobilisation
113.46
MF12
Fractured distal humerus (supracondylar or condylar): treatment by cast immobilisation
113.46
MF13
Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab
68.81
MF14
Fractured shaft tibia or fibula, or both: treatment by cast immobilisation with reduction
162.05
MF15
Fractured distal tibia or fibula, or both: treatment by cast immobilisation with reduction
162.05
MF16
Fractured fibula (without tibial fracture): immobilisation with soft tissue strapping
68.81
 
Miscellaneous
 
MM1
Abscess or haematoma: drainage with incision (with or without local anaesthetic agent)
28.38
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)
56.75
MM3
Nail, simple removal
22.72
MM4
Nail, removal or wedge resection requiring the use of digital anaesthesia
94.55
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
30.55
MM6
Pinch skin graft
70.95
MM7
Dental anaesthetic
26.51
MM8
Epistaxis: arrest during episode by nasal cavity packing with or without cautery
41.90
 
Open wound
 
MW1
Closure of open wound (or wounds) less than 2 cm: any necessary care and treatment, including cleaning and debriding, exploration, administration of anaesthetic, and dressing
33.41
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
63.75
MW3
Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane exceeding 7 cm long: any necessary care and treatment, including cleaning and debriding, exploration, administration of anaesthetic, and dressing
84.36
MW4
Amputation of digit, including use of anaesthetic, debridement of bone and soft tissue, and closure of wound
94.55
 
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
14.84
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)
68.81
MT3
Aspiration of inflamed joint, tendon, bursa, or other subcutaneous tissue or space (with or without injection)
33.38
MT4
Extensor tendon: primary repair
170.20
MT5
Ruptured Achilles tendon: management by plaster immobilisation
166.84
Radiologists’ costs
 
 
Extremities
 
RA01
Sternum
59.09
RA02
Sternoclavicular joints
67.53
RA03
Clavicle
50.65
RA04
Acromio-clavicular joints
50.65
RA05
Scapula
50.65
RA06
Shoulder
54.87
RA07
Humerus
54.87
RA08
Elbow joint
46.43
RA09
Forearm
46.43
RA10
Hand or wrist joint, or both
46.43
RA11
Wrist or hand for bone age
46.43
RA15
Upper limb (infant)
54.87
RA21
Sacroiliac joints
54.87
RA22
Pelvis or both hips (1 projection)
54.87
RA25
Hip joint (more than 1 projection)
59.09
RA26
Femur
54.87
RA27
Knee joint
50.65
RA28
Knee joint (and intercondylar or axial)
59.09
RA29
Tibia and fibula
50.65
RA30
Ankle joint
54.87
RA32
Foot
50.65
RA35
Long legs (hips to ankles), including measurement
63.31
RA40
Lower limb (infant)
59.09
 
Head, neck, and spine
 
RB01
Cervical spine
63.31
RB02
Thoracic spine
59.09
RB03
Lumbar spine, including lumbosacral joint
59.09
RB04
Sacro-coccygeal spine
54.87
RB08
Spine (scoliosis views)
63.31
RB10
Skull
59.09
RB12
Nasal bones
50.65
RB13
Facial bones
54.87
RB14
Optic foramina
46.43
RB16
Auditory canals (plain films only)
59.09
RB21
Nasal sinuses
46.43
RB22
Nasopharynx
54.87
RB23
Mastoids (bilateral)
59.09
RB24
Larynx or trachea, or both
50.65
RB31
Upper teeth
46.43
RB32
Lower teeth
46.43
RB33
Mandible or OPG or lateral cephalogram
63.31
RB34
Temporo-mandibular joints
63.31
RB35
Salivary gland
54.87
RB37
Pharynx
54.87
 
Chest, including breast
 
RC05
Thoracic inlet
54.87
RC06
Chest (1 view)
54.87
RC07
Chest (more than 1 view)
54.87
RC08
Chest and thoracic cage
67.53
RC09
Chest and both oblique views
67.53
 
Mammography
 
RC31
Screening mammogram
92.86
RC32
Recall mammogram
126.63
RC35
Problem mammogram bilateral
185.72
RC36
Problem mammogram unilateral
122.40
RC40
Needle localisation
249.03
RC41
Galactogram
249.03
RC45
Breast aspiration biopsy
249.03
RC46
Breast biopsy with stereotaxis
249.03
 
GI, GU, and obstetrics—no contrast modifiers permitted
 
 
Radiology
 
RD01
Abdomen (1 projection)
54.87
RD02
Abdomen (2 or more projections)
54.87
RD07
Pelvimetry (1 view)
54.87
RD08
Pelvimetry (2 or more views)
54.87
 
Screening
 
RD10
Contrast swallow (oesophagus only)
430.53
RD11
Contrast study upper GI tract
430.53
RD13
Small bowel meal
430.53
RD14
Small bowel enema (enteroclysis)
721.76
RD15
Contrast enema
430.53
RD20
Dynamic proctogram
430.53
RD30
ERCP
430.53
RD40
IVP, including plain film and tomography
249.03
RD44
Cystogram: retrograde or antegrade
430.53
RD45
Urethrogram
430.53
RD46
Micturating cysto-urethrogram
430.53
RD47
Ascending urethrogram
430.53
 
Special procedures
 
RS42
Tube injection
249.03
RS43
Dacrocystogram
249.03
RS44
Sialogram
249.03
RS46
Hysterosalpingogram
430.53
RS61
Myelogram cervical
430.53
RS62
Myelogram lumbar
430.53
RS63
Myelogram multilevel
430.53
RS70
Arthrogram
249.03
RS71
Arthrogram—upper limb
249.03
RS73
Arthrogram—lower limb
249.03
 
Ultrasound
 
 
Abdomen and pelvis
 
RU01
US abdomen
130.85
RU02
US abdomen and pelvis
164.61
RU03
US renal tracts
122.40
RU04
US abdominal aorta (without Doppler)
122.40
RU06
US pelvis (transabdominal only)
122.40
 
Infants
 
RU10
US infant head
122.40
RU11
US infant pylorus
122.40
RU12
US infant heart
232.15
RU13
US infant hips
122.40
RU19
US infant miscellaneous
122.40
 
Various
 
RU20
US thyroid or neck
122.40
RU21
US scrotum and testes
122.40
RU22
US breast
122.40
RU23
US veins
173.05
RU24
US eye
122.40
RU25
US chest
122.40
RU27
US injection or aspiration
244.81
RU28
US additional region
88.64
RU29
US miscellaneous
122.40
 
Skeletal
 
RU30
US shoulder
173.05
RU31
US musculo-skeletal
130.85
RU32
US foreign body localisation
97.08
RU39
US skeletal miscellaneous
130.85
 
Intracavitary
 
RU40
US prostate
151.95
RU41
US anus or rectum
151.95
RU42
US female pelvis (includes transvaginal and transabdominal, or transvaginal only)
151.95
RU43
US trans-oesophageal
257.47
RU44
US intraoperative
257.47
RU49
US intracavitary (miscellaneous)
151.95
 
Vascular
 
RU51
Duplex or Doppler of chest
206.82
RU56
Duplex or Doppler of additional limb (arterial or venous)
164.61
 
Pregnancy
 
RU60
US routine pregnancy less than 28 weeks
130.85
RU61
US problem pregnancy
164.61
RU62
US pregnancy exceeding 28 weeks
164.61
RU64
US with amniocentesis
244.81
RU68
US pregnancy (per extra foetus exceeding 1)
63.31
 
Additional
 
RX24
X-ray additional region
46.43
RX25
Domiciliary X-ray (in addition)
88.64
Specialists’ costs
 
 
Repair recent wound
 
SR1
Not exceeding 7 cm (superficial)
134.73
SR2
Not exceeding 7 cm (deeper tissue)
179.63
SR3
Exceeding 7 cm (superficial)
224.56
SR4
Exceeding 7 cm (deeper tissue)
269.46
 
Fractures (closed reduction)
 
SF1
Phalanges
89.83
SF2
Metacarpals (excluding Bennetts)
161.68
SF3
Metatarsals
125.76
SF4
Bennetts
233.53
SF5
Carpal bones
116.75
SF6
Colles
215.55
SF7
Radius and ulna—shafts
260.45
SF8
Radius—head and neck
233.53
SF9
Humerus
260.45
SF10
Talus—neck
242.52
SF11
Calcaneus
242.52
SF12
Other tarsals
152.72
SF13
Ankle—fracture dislocation, Potts
377.23
SF14
Tibia and fibula—shaft
431.10
SF15
Tibia and fibula—upper end
377.23
SF16
Tibia and fibula—involving joint traction
440.07
SF17
Femur, any site (with or without traction)
664.64
 
Haematoma, abscess, or other infection
 
SH1
Small—aspiration
22.50
SH2
Large—incision and drainage (local anaesthetic)
107.22
SH3
Large—incision and drainage (general anaesthetic)
116.75
 
Foreign body, removal of
 
SB1
Under local anaesthetic
85.38
SB2
Under general anaesthetic
188.60
SB3
From cornea or sclera
58.42
SB4
From ear (other than by simple syringing)
89.83
SB5
From muscle, tendon, or other deep tissue
269.46
SB6
From nose (other than by simple probing)
107.78
SB7
From throat (additional fee)
89.83
 
Dislocations (closed reduction)
 
SD1
Elbow, wrist, thumb, and fingers with strapping or splint
179.63
SD2
Shoulder
107.78
SD3
Patella
152.72
SD4
Hip
215.55
 
Plaster
 
SP1
Upper limb—above elbow
134.73
SP2
Upper limb—below elbow
116.75
SP3
Lower limb—above knee
161.68
SP4
Lower limb—below knee
134.73
 
Other
 
SM1
Aspiration of joint
22.50
SM2
Amputation of all or part of 1 digit
197.62
SM3
Extensor tendon (primary repair)
314.36
SM4
Nail (simple removal)
89.83
Specified treatment providers’ costs
 
TMT
All treatment
23.42
POD3
Podiatry: abscess or haematoma: drainage with incision (with or without local anaesthetic agent)
28.38
POD4
Podiatry: nail, simple removal
22.72
POD5
Podiatry: nail, removal or wedge resection requiring the use of digital anaesthesia
94.55
XRAY]
X-ray services provided by chiropractor (maximum of 2 films per claimant per personal injury)]
14.37]

History Note - Regulations of New Zealand

Item C1 was amended, as from 19 September 2004, by reg 9(1) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318) by omitting from the second column “registered”.
Item DE3 was amended, as from 19 September 2004, by reg 9(2) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318) by substituting in the second column “Conducted by a dentist whose scope of practice includes a dental speciality recognised by the Dentist Council of New Zealand” for “Specialist only”.
The item relating to “Dentists' costs” was substituted, as from 1 April 2005, by reg 4 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2005 (SR 2005/29).
Item DE 1 was amended, as from 1 April 2006, by reg 10 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2006 (SR 2006/18) by substituting “62.53” for “61.00”.
Item DY 1 was amended, as from 1 April 2006, by reg 10 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2006 (SR 2006/18) by substituting “64.58” for “63.00”.
Item H 3 was amended, as from 1 April 2006, by reg 10 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2006 (SR 2006/18) by substituting “99.99” for “97.55”.
Item H 4 was amended, as from 1 April 2006, by reg 10 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2006 (SR 2006/18) by substituting “49.00” for “47.80”.
Items RX25 and MT5 were amended, as from 19 September 2004, by reg 9(3) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318) by omitting from the heading “Registered”.
The item relating to “Radiologist's costs” was substituted, as from 1 April 2005, by reg 5 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations (No 2) 2004 (SR 2004/424).
Item TMT was amended, as from 1 April 2006, by reg 10 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2006 (SR 2006/18) by substituting “19.48” for “19.00”.
Item TMT was amended, as from 1 April 2007, by reg 5 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2007 (SR 2007/19) by substituting “24.48” for “19.48”.
This Schedule was substituted, as from 1 October 2010, by reg 11 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2010 (SR 2010/329).
The heading “Audiologists' costs” and the 4 items relating to audiologists' costs following the heading were revoked, as from 1 January 2011, by reg 12(2) Accident Compensation (Apportioning Entitlements for Hearing Loss) Regulations 2010 (SR 2010/424).
Item DR9 was inserted, as from 1 April 2012, by reg 8 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Item DC12 was revoked, as from 1 April 2012, by reg 8 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
The heading “Medical practitioners' and nurses' costs” was substituted by the heading “Medical practitioners', nurses', and nurse practitioners' costs”, as from 1 April 2012, by reg 8 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
The item RD14 was amended, as from 1 April 2012, by reg 8 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11) by substituting “785.54” for “788.54”.
After the heading “Specified treatment provider”, items POD3, POD4, and POD5 were inserted, as from 1 April 2012, by reg 8 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
This Schedule was substituted, as from 1 July 2012, by reg 18 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
The item relating to “Counsellors' costs” was inserted, as from 19 June 2013, by reg 12 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013 (SR 2013/138).
The item relating to “Dentists' costs” was replaced, as from 19 June 2013, by reg 12 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013 (SR 2013/138).
Item TMT All treatment, under the heading “Specified treatment providers' costs” was amended, as from 19 June 2013, by reg 12 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013 (SR 2013/138) by substituting “22.17” for “21.76”.
The items relating to “Dentists' costs”, “Hyperbaric oxygen treatment costs”, “Medical practitioners', nurses', and nurse practitioners’ costs”, “Radiologists' costs”, “Specialists' costs”, and “Specified treatment providers' costs” were replaced, as from 1 April 2014, by reg 12 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2014 (LI 2014/31).
The Schedule was replaced, as from 1 December 2016, by reg 12 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2016 (LI 2016/236).
The Schedule was replaced, as from 1 December 2018, by reg 13 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2018 (SR 2018/215).

Historical Versions - Regulations of New Zealand

Show the historical version (1 December 2016 to 30 November 2018)

[[Schedule
Costs of treatment
rr 6, 7, 9–17
Item number
Treatment
Cost ($)
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
45.87
DE2
Periodic oral examination or review
29.50
DE3
Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work), including study models, photographs, and tomography
126.66
 
Radiological examination and interpretation
 
DX1
Periapical or bitewing film (each)
22.93
DX2
Occlusal (each)
22.93
DX3
Panorex
59.94
DX4
Other additional images (per treatment episode)
9.05
DX7
Acute sedation (IV only) (initial consultation only)
158.32
 
Emergency temporary cover
 
DT1
Emergency temporary cover
44.42
 
General oral surgery
 
 
Extractions
 
DG1
Extraction of permanent or rooted deciduous tooth (per first tooth)
118.47
DG2
Surgical removal of tooth, including insertion and removal of sutures
189.99
DG4
Extraction of subsequent permanent or deciduous tooth in the same quadrant arch as for DG1
64.74
 
Surgery
 
DG5
Management of lacerations by suturing (per operative site)
123.49
DG7
Incision and drainage abscess cellulitis
139.32
DG8
Excision of traumatic mucous cyst
164.66
DG10
Splint application or removal (for 3 splint units)
94.99
DG11
Cleaning of wound and removal of debris
43.42
DG14
Reduction of fractured alveolar process
92.48
DG15
Repositioning of displaced tooth (per tooth) or replacing avulsed tooth
46.23
DG17
Occlusal adjustment (simple)
30.80
DG22
Minor surgical operations not otherwise covered by this schedule
132.62
DG23
Provision of bite splints
189.99
 
Restorative
 
DR1
Amalgam 1 surface filling (including 2 fillings on the one surface)
84.14
DR2
Amalgam 2 surface filling (approximo-occlusal)
110.05
DR3
Complex amalgam restoration
159.22
DR6
Non-metallic simple fillings (including 2 fillings on the one surface)
97.07
DR7
Non-metallic filling (2 or more surfaces per tooth)
129.45
DR8
Rebonding tooth fragment or coronal portion
87.02
DR9
Complex reconstruction in composite resin, direct
172.84
 
Prosthodontics
 
DP1
Plastic denture (1 tooth—material of choice)
484.59
DP2
Each additional tooth (all dentures)
21.71
DP5
Metal-framed partial denture (1 tooth)
1,109.74
DP7
Transitional denture replacing missing tooth or teeth
441.49
DP8
Full upper or lower denture
723.75
DP11
Reline or rebase denture
226.58
DP13
Repair (all types)
74.01
DP14
Addition of tooth to existing denture (includes additional tooth)
135.93
 
Crown and bridge
 
 
Inlay or onlay and veneers
 
DC3
Indirect inlay or onlay
276.33
DC6
Porcelain veneer
813.50
DC7
Composite resin veneer
177.31
DC8
Post (wrought or preformed)
94.99
DC9
Composite or amalgam core
114.00
DC11
Cast post and core (metal or ceramic)
217.85
 
Crowns
 
DC15
All ceramic crown
961.87
DC16
Porcelain fused to metal crown
924.95
DC17
Cast gold crown (full and three-quarters)
869.50
 
Bridges
 
DC19
Maryland bridge
670.20
DC20
Composite bridge (per unit)
221.64
DC25
Re-cementing crown, bridge, veneer, or inlay
33.29
DC26
Non-composite bridge (on injured teeth that meet the requirement for a crown) (3 units)
2,265.35
DC27
Replacement of non-composite bridge
2,710.46
 
Endodontics
 
DN1
Pulpotomy or pulpectomy
126.66
DN2
Irrigation and dressing of root canal system
128.56
DN3
Complete preparation and obturation of root canal (per canal)—open or closed apex
284.98
DN5
Apicectomy and retrograde filling (per canal)
277.45
DN6
Removal of root filling (per canal)
222.60
DN7
Removal of post, post crown, or crown
222.60
DN8
Bleaching, 1 non-vital tooth (per treatment)
158.32
DN9
Pulp capping
36.99
DN10
Removal of fractured post or instrument
222.60
DN11
Repair of perforation
222.60
DN13
Negotiation of calcified canal (can be used with item DN3)
222.60
 
Periodontics
 
DD1
Gingivectomy
106.07
DD2
Crown lengthening (per tooth)
221.64
DD4
Subgingival curettage (per tooth)
88.50
DD7
Site preparation for dental implant
323.68
DD8
Placement of membrane
346.79
DD9
Substitute bone material
138.71
 
Dental implants
 
DM1
Resilient linings (tooth or teeth)
66.59
DM2
Fixture head impressions and copings (per fixture)
356.04
DM3
Dental implant crown (per single unit)
1,109.76
DM4
Dental stent and guide (per fixture)
120.23
DM5
Definitive abutment (per fixture)
356.04
DM6
Temporary abutment (per fixture)
44.39
DM7
Repairs to abutments (per fixture)
77.03
 
Claimants under 18 years old
 
DY1
Dental consultation, including examination
59.72
DY14
Temporary crown
110.98
DY15
Temporary bridge
110.98
DY21
Surgical decoronation
388.42
DY22
Removal of deciduous teeth
27.14
Hyperbaric oxygen treatment costs
 
H1
Neurological assay before recompression
88.45
H2
Neurological assay after recompression
79.58
H3
In-chamber treatment supervision (per hour)
92.47
H4
Out-of-chamber treatment supervision (per hour)
45.32
Medical practitioners’, nurses’, and nurse practitioners’ costs
 
 
Burn or abrasion
 
MB1
Treatment of burn not exceeding 4 cm²
30.96
MB2
Treatment of burn at single site exceeding 4 cm²
60.96
MB3
Treatment of significant abrasions not exceeding 4 cm² at single site
30.97
MB4
Treatment of significant abrasions exceeding 4 cm² at single site
60.96
MB5
Significant burns or abrasions (not including fractures) at multiple sites (exceeding 4 cm²): necessary wound cleaning, preparation, and dressing
88.82
 
Dislocation
 
MD1
Dislocation of finger or toe with splint or strapping
35.87
MD2
Dislocation of thumb: closed reduction and immobilisation
100.52
MD3
Dislocation of elbow with radiological confirmation: closed reduction and immobilisation
93.10
MD4
Dislocation of shoulder: closed reduction and collar and cuff immobilisation
67.06
MD5
Dislocation of patella: closed reduction and cast immobilisation
159.56
 
Fracture
 
MF1
Fractured finger or toe (proximal, middle, or distal phalanx): closed reduction and immobilisation
35.87
MF2
Fractured finger or toe (proximal, middle, or distal phalanx): requiring local anaesthetic
49.60
MF3
Fractured metatarsal: closed reduction (not requiring cast): closed reduction, immobilisation by strapping
35.87
MF4
Fractured metacarpal(s) hand: with or without local anaesthetic, immobilisation by strapping
49.60
MF5
Fractured carpal bone, including scaphoid: treatment by cast immobilisation, not requiring reduction
111.72
MF6
Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation
159.56
MF7
Fractured calcaneum or talus: treatment by cast immobilisation
159.56
MF8
Fractured clavicle
67.06
MF9
Fractured distal radius and ulna: cast immobilisation not requiring reduction
111.72
MF10
Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia
133.58
MF11
Fractured shaft radius and ulna: treatment by cast immobilisation
111.72
MF12
Fractured distal humerus (supracondylar or condylar): treatment by cast immobilisation
111.72
MF13
Fractured proximal or shaft humerus: immobilisation by collar and cuff or U-slab
67.75
MF14
Fractured shaft tibia or fibula, or both: treatment by cast immobilisation with reduction
159.56
MF15
Fractured distal tibia or fibula, or both: treatment by cast immobilisation with reduction
159.56
MF16
Fractured fibula (without tibial fracture): immobilisation with soft tissue strapping
67.75
 
Miscellaneous
 
MM1
Abscess or haematoma: drainage with incision (with or without local anaesthetic agent)
27.94
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)
55.88
MM3
Nail, simple removal
22.37
MM4
Nail, removal or wedge resection requiring the use of digital anaesthesia
93.10
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
30.08
MM6
Pinch skin graft
69.86
MM7
Dental anaesthetic
26.10
MM8
Epistaxis: arrest during episode by nasal cavity packing with or without cautery
41.26
 
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
32.90
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
62.77
MW3
Closure of open wound (or wounds) of skin and subcutaneous tissue or mucous membrane exceeding 7 cm long: any necessary care and treatment, including cleaning and debriding, exploration, administration of anaesthetic, and dressing
83.06
MW4
Amputation of digit, including use of anaesthetic, debridement of bone and soft tissue, and closure of wound
93.10
 
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
14.61
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)
67.75
MT3
Aspiration of inflamed joint, tendon, bursa, or other subcutaneous tissue or space (with or without injection)
32.87
MT4
Extensor tendon: primary repair
167.59
MT5
Ruptured Achilles tendon: management by plaster immobilisation
164.28
Radiologists’ costs
 
 
Extremities
 
RA01
Sternum
58.19
RA02
Sterno-clavicular joints
66.50
RA03
Clavicle
49.88
RA04
Acromio-clavicular joints
49.88
RA05
Scapula
49.88
RA06
Shoulder
54.03
RA07
Humerus
54.03
RA08
Elbow joint
45.72
RA09
Forearm
45.72
RA10
Hand or wrist joint, or both
45.72
RA11
Wrist or hand for bone age
45.72
RA15
Upper limb (infant)
54.03
RA21
Sacro-iliac joints
54.03
RA22
Pelvis or both hips (1 projection)
54.03
RA25
Hip joint (more than 1 projection)
58.19
RA26
Femur
54.03
RA27
Knee joint
49.88
RA28
Knee joint (and intercondylar or axial)
58.19
RA29
Tibia and fibula
49.88
RA30
Ankle joint
54.03
RA32
Foot
49.88
RA35
Long legs (hips to ankles), including measurement
62.34
RA40
Lower limb (infant)
58.19
 
Head, neck, and spine
 
RB01
Cervical spine
62.34
RB02
Thoracic spine
58.19
RB03
Lumbar spine, including lumbosacral joint
58.19
RB04
Sacro-coccygeal spine
54.03
RB08
Spine (scoliosis views)
62.34
RB10
Skull
58.19
RB12
Nasal bones
49.88
RB13
Facial bones
54.03
RB14
Optic foramina
45.72
RB16
Auditory canals (plain films only)
58.19
RB21
Nasal sinuses
45.72
RB22
Nasopharynx
54.03
RB23
Mastoids (bilateral)
58.19
RB24
Larynx or trachea, or both
49.88
RB31
Upper teeth
45.72
RB32
Lower teeth
45.72
RB33
Mandible or OPG or lateral cephalogram
62.34
RB34
Temporo-mandibular joints
62.34
RB35
Salivary gland
54.03
RB37
Pharynx
54.03
 
Chest, including breast
 
RC05
Thoracic inlet
54.03
RC06
Chest (1 view)
54.03
RC07
Chest (more than 1 view)
54.03
RC08
Chest and thoracic cage
66.50
RC09
Chest and both oblique views
66.50
 
Mammography
 
RC31
Screening mammogram
91.44
RC32
Recall mammogram
124.69
RC35
Problem mammogram bilateral
182.88
RC36
Problem mammogram unilateral
120.53
RC40
Needle localisation
245.22
RC41
Galactogram
245.22
RC45
Breast aspiration biopsy
245.22
RC46
Breast biopsy with stereotaxis
245.22
 
GI, GU, and obstetrics—no contrast modifiers permitted
 
 
Radiology
 
RD01
Abdomen (1 projection)
54.03
RD02
Abdomen (2 or more projections)
54.03
RD07
Pelvimetry (1 view)
54.03
RD08
Pelvimetry (2 or more views)
54.03
 
Screening
 
RD10
Contrast swallow (oesophagus only)
423.94
RD11
Contrast study upper GI tract
423.94
RD13
Small bowel meal

From OSH Legislation

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