CTP/Workers Compensation
If you've sustained a workplace or motor vehicle injury, you may be entitled to Exercise Physiology and Remedial Massage services funded by your insurer. These therapies play a crucial role in rehabilitation, pain management, and facilitating a safe return to work or daily activities.
At Fitness & Wellbeing Physiology, we have had plenty of experience with helping our clients return to work as early as possible with full functional capacity and a program that prevents any recurrence of the initial concern.
Understanding Workers Compensation and CTP Insurance
Workers Compensation
Workers Compensation provides support for employees injured during the course of their employment. Each state and territory in Australia has its own regulatory body overseeing these claims:
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New South Wales (NSW): State Insurance Regulatory Authority (SIRA)
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Queensland (QLD): WorkCover Queensland
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Victoria (VIC): WorkSafe Victoria
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Australian Capital Territory (ACT) & Commonwealth Employees: Comcare
Compulsory Third Party (CTP) Insurance
CTP insurance covers personal injuries sustained in motor vehicle accidents. Each state has its own CTP scheme, and entitlements can vary. In NSW, for instance, the State Insurance Regulatory Authority (SIRA) oversees the CTP scheme.
Cost and Fees - Exercise Physiology
Under Workers’ Compensation and CTP schemes, Exercise Physiology fees are set by the NSW State Insurance Regulatory Authority (SIRA), WorkCover Queensland and Comcare.
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iCare (NSW Workers’ Compensation)
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EPA001 Initial Consultation: $142.40 (exclusive of GST)
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EPA002 Subsequent Consultation: $96.50 (exclusive of GST)
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These fees reflect the “Accredited Exercise Physiology Fees & Practice Requirements” Order (effective 1 February 2025) SIRA.
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QBE (NSW CTP)
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CTP exercise physiology attracts the same SIRA-set maximums as NSW Workers’ Compensation:
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Initial $142.40; Subsequent $96.50 (both excl. GST) SIRA.
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WorkCover Queensland
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Fees are indexed annually in the Allied Health Services Table of Costs (effective 1 July 2024).
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Initial Physiologist Consultation: $129.00 (excl. GST)
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Subsequent Consultation: $101.00 (excl. GST)
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Full details in the Exercise Physiology Services Table of Costs WorkSafe Queensland.
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Comcare (ACT & Commonwealth Employees)
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Comcare provides “upper limit” guidance rather than fixed fees; case managers determine approved rates based on national benchmarks.
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Providers should contact Comcare to confirm the current approved fee schedule Comcare.
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Accessing Exercise Physiology and Remedial Massage Services
Step 1: Obtain a Referral
To access these services under Workers Compensation or CTP:
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Consult Your General Practitioner (GP): Your GP will assess your condition and, if appropriate, provide a referral to an accredited Exercise Physiologist or Remedial Massage Therapist.
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Approval from Insurer: Some insurers may require prior approval before commencing treatment. It's essential to check with your case manager or insurer regarding their specific requirements.
Step 2: Initial Assessment
Your first appointment will involve a comprehensive assessment to:
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Evaluate your injury and functional limitations
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Develop a tailored treatment plan
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Set rehabilitation goals
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Write an AHHR letter back to your insurer for further approval for services
Step 3: Treatment Sessions
Based on your assessment, a series of treatment sessions will be scheduled. The number and frequency of sessions depend on:
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The severity of your injury
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Recommendations from your healthcare provider
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Approval from your insurer
Cost and Fees - Remedial Massage
Remedial (soft-tissue) massage is claimable only when delivered by an approved physiotherapist or Remedial Massage Therapist as part of a compensable treatment plan.
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iCare (NSW Workers’ Compensation) & QBE (NSW CTP)
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Remedial massage fees follow the “Massage Therapy Fees Order” (effective 1 February 2025).
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Maximum Fee per Session: As specified in Schedule A of the Order (e.g. up to $90.00 for a standard session, exclusive of GST).
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Providers must comply with SIRA coding and billing requirements SIRA.
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WorkCover Queensland
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Remedial massage is not routinely covered under the QLD Workers’ Compensation scheme.
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Any exceptions require insurer pre-approval; please check with your WorkCover QLD case manager WorkSafe Queensland.
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Comcare (ACT & Commonwealth Employees)
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Massage can be funded when incorporated into an approved treatment plan.
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Rates are determined case-by-case; contact Comcare for the relevant upper limit fee Comcare.
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Key Links and Resources
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iCare (NSW Workers’ Compensation):
Accredited Exercise Physiology Fees & Practice Requirements (Feb 2025) SIRA -
SIRA CTP & WC Massage Fees Order:
Massage Therapy Fees Order (effective 1 Feb 2025) SIRA -
WorkCover Queensland Allied Health Fees:
Exercise Physiology Services Table of Costs – 1 July 2024 WorkSafe Queensland -
Comcare Treatment Rates & Guidance:
Rates for Medical & Allied Health Treatment Comcare
Why Choose Us?
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Insurer-Experienced: We liaise directly with iCare, QBE, WorkCover QLD and Comcare to streamline approvals and billing.
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Up to date Accreditation: Ensuring evidence-based, measurable outcomes.
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Seamless Reporting: Timely progress and closure reports to keep your claim on track.
Ready to Book?
Call us on 0418 153 608 or the booking link below and let us manage the paperwork so you can focus on your recovery.