Fee schedule: Physiotherapy

Overview of Physiotherapy services

Physiotherapists have direct patient care access to treat injured/ill workers.

Physiotherapy services

Services included Service code Fee
Initial Visit P900 $27.82
Continuing Treatment (per visit) P900 $27.82

Acupuncture (per visit)

5130 $44.96

Note: Acupuncture (per visit)

  • An initial trial of up to six treatments may be allowed.
  • Requests for extensions must be submitted in writing and pre- approved by the WSIB.
  • Must be delivered by a regulated health professional with appropriate training completed at an educational facility that offers a certification program in acupuncture and adheres to the standards of the College of Physiotherapists of Ontario.

 

Physiotherapy reports

Services included Service code Fee
Health Professional's Report (paper submission) 8M1 $40.00
Health Professional's Report (electronic submission) 8M1E $50.00
Health Professional's Continuity Report 8R $33.00
Health Professional's Progress/Narrative Report 26M1 $35.00
Health Professional's Progress Report (electronic submission) 26M1E $40.00
Narrative Progress Report 26 $23.54
Functional Abilities Form for Planning Early and Safe Return to Work (FAF) FAF $45.00
Review of patient records/clinical literature (per 15 minute unit or major part thereof) P651 $56.05
Physiotherapy Assessment Report P970 $18.41

Note: Functional Abilities Form for Planning Early and Safe Return to Work (FAF) Request for the completion of the form must be initiated by either the worker or employer. Do not include clinical/diagnostic information on the form.

Physiotherapy other services
Services included Service code Fee
In-office interview with WSIB representative P645 $29.15
Photocopies of Clinical Reports (one to five pages) P650 $23.54
Photocopies of Clinical Reports (each additional page, after five) P650 $1.12

Telephone consultation with treating health professional

N/A

$45.00

Note: Telephone consultation with treating health professional

  • Call must be initiated by the WSIB to treating health professional.
  • Paid at a flat rate fee regardless of the duration of discussion.
  • A clinical report should not be billed in addition to the telephone consultation.

Physiotherapy description of reports

The following information is intended to provide the physiotherapist with a list of reports that may be re- quested or required by the WSIB.

Report Service code When to submit
Health Professional’s Report 8M1/8M1E

This form should be completed and submitted to the WSIB in all cases where the worker has identified the injury/illness as work-related. Submit only one Form 8 for each worker. This report must not be used as a progress report.

Health Professional’s Continuity Report 8R This form should be completed and submitted to the WSIB in all cases where the worker has identified a recurrence of a previous work-related injury/illness.
Health Professional’s Progress Report 26M1/26M1E

The WSIB sends this form to the worker when a progress report is required.

When a worker provides this form, complete it and submit it to the WSIB.

Narrative Progress Report 26 A progress report may be provided on your letterhead in cases when you become aware of new and significant information relevant to the worker’s workplace injury/illness.
Functional Abilities Form for Planning Early and Safe Return to Work FAF

This form is to be provided to you by either the worker or employer. Health professionals do not initiate the completion of this form. Do not include clinical or diagnostic information on the form.

In-Office Interview P645 This will be paid only when a WSIB representative (i.e. investigator)requests an appointment with you to discuss the worker’s injury/illness.
Photocopies P650 Photocopies of reports must be requested by the WSIB. Only provide copies of your own clinical records. Copies of other health professionals’ reports are not to be submitted. The WSIB will request the necessary reports from other health professionals involved in the worker’s claim.
Review of Patient Records/Clinical Literature P651 The WSIB may request a narrative report when detailed information regarding the worker’s past records and/or clinical literature relevant to the worker’s claim is required. The WSIB will specify the period in question and the information required. Usually there is no concurrent clinical assessment of the worker required.
Physiotherapy Assessment Report P970

Complete this form when physiotherapy treatment begins. Only one form per injury or recurrence will be paid.

Physiotherapist Treatment Extension Request N/A

Complete this form in cases where the worker requires treatment beyond the initial allowed treatment period. To ensure continuity of treatment, submit the request at least four weeks prior to the completion of the initial treatment period.

Please note that no fee is paid for the completion of this form.

Additional notes:

Health Professional’s Report

  • On the worker’s initial visit, ONLY the Form 8 will be paid. A Functional Abilities (FAF) will not be paid if completed on the same day.

Functional Abilities Form for Planning Early and Safe Return to Work

  • On the worker’s initial visit, ONLY the Form 8 will be paid. A Functional Abilities (FAF) will not be paid if completed on the same day.

Physiotherapy Assessment Report

  • On the worker’s initial visit, ONLY the Form 8 will be paid. A Functional Abilities (FAF) will not be paid if completed on the same day.