Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698940721287.pdf (New Zealand)
Reprint as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 (SR 2003/388) Dame Sian Elias, Administrator of the Government Order in Council At Wellington this 15th day of December 2003 Present: Her Excellency the Administrator of the Government in Council Pursuant to sections 324 and 349(1)(f) of the Injury Prevention, Re- habilitation, and Compensation Act 2001, Her Excellency the Ad- ministrator of the Government, acting on the advice and with the consent of the Executive Council, makes the following regulations.
Note Changes authorised by section 17C of the Acts and Regulations Publication Act 1989 have been made in this reprint.

A general outline of these changes is set out in the notes at the end of this reprint, together with other explanatory material about this reprint.

These regulations are administered by the Department of Labour.
1 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Contents Title Commencement Interpretation What hourly rate means Limitations on hourly rate Liability to pay or contribute to cost of treatment Liability of insurer for cost of treatment Liability of Corporation for cost of treatment Corporation not liable for cost of public health acute service Counsellors’ costs Dentists’ costs Hyperbaric oxygen treatment costs Radiologists’ costs Medical practitioners’ costs Nurses’ costs Medical practitioners’ and nurses’ costs for combined treatment Nurse practitioners’ costs Specialists’ costs Specified treatment providers’ costs Elective surgery costs GST excluded Revocations GST Revocations Schedule Costs of treatment Page 15A Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 3 1 2 3 Regulations Title These regulations are the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003.
Commencement These regulations come into force on 1 April 2004.
Interpretation In these regulations, unless the context otherwise requires,— Act means and Compensation Act 2001 Corporation— (a) means the Accident Compensation Corporation con- the Injury Prevention, Rehabilitation, tinued by section 259 of the Act; and includes insurers (b) elective surgery— (a) means any surgery required in respect of a personal in- (b) jury; but does not include— (i) (ii) (iii) an acute treatment; or a public health acute service; or treatment insurer has the same meaning as in section 341 of the Act public health acute services has the same meaning as in regu- lation 4 of the Injury Prevention, Rehabilitation, and Compen- sation (Public Health Acute Services) Regulations 2002 radiologist means a medical practitioner who holds a licence, appropriate to the treatment for which payment is sought, under the Radiation Protection Act 1965 recognised branch of medicine means any of the following branches of medicine: (a) (b) (c) (d) (e) anaesthetics: cardiothoracic surgery: dermatology: diagnostic radiology: emergency medicine: 3 r 3 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 general surgery: internal medicine: neurosurgery: obstetrics and gynaecology: occupational medicine: ophthalmology: orthopaedic surgery: otolaryngology head and neck surgery: paediatric surgery: paediatrics: pathology: plastic and reconstructive surgery: psychological medicine or psychiatry: public health medicine: radiation oncology: rehabilitation medicine: sexual health medicine: urology: venereology (f) (g) (h) (i) (j) (k) (l) (m) (n) (o) (p) (q) (r) (s) (t) (u) (v) (w) (x) scope of practice has the same meaning as in section 5(1) of the Health Practitioners Competence Assurance Act 2003 specialist means a medical practitioner whose scope of prac- tice includes 1 or more recognised branches of medicine specified treatment provider means an acupuncturist, chiro- practor, occupational therapist, osteopath, physiotherapist, po- diatrist, or speech therapist.
Regulation 3 nurse: revoked, on 19 September 2004, by regulation 3(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 3 radiologist: amended, on 19 September 2004, by regulation 3(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 3 registered specialist: revoked, on 19 September 2004, by regula- tion 3(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 3 scope of practice: inserted, on 19 September 2004, by regulation 3(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
4 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 5 Regulation 3 specialist: inserted, on 19 September 2004, by regulation 3(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 3 vocational registration: revoked, on 19 September 2004, by regulation 3(4) of the Injury Prevention, Rehabilitation, and Compensation (Li- ability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

4 (1) What hourly rate means If an hourly rate is specified in these regulations, the Corpor- ation is liable to pay the appropriate proportion of the hourly rate for the part of an hour during which a claimant received direct treatment.
(2) Despite subclause (1), the Corporation is liable to pay a pro- portion of the hourly rate under regulation 13(5)(b) only after the claimant has received the first 30 minutes of direct treat- ment.

For the purposes of this regulation, and regulation 5, direct treatment means the time during which a treatment provider is directly applying his or her expertise to a claimant’s treatment.
(3) 5 (1) (2) Limitations on hourly rate 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 receives an hourly rate under these regulations for pay- ment for his or her services to a claimant.
(b) 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 the number of claimants that the treatment provider may have directly treated at the same time in that hour.
(b) 5 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Liability to pay or contribute to cost of treatment Liability of insurer for cost of treatment The amount that an insurer is liable to pay under clause 1(2)(b) of Schedule 1 of the Accident Insurance Act 1998 (as con- tinued by section 342(2) of the Act), for treatment other than elective surgery, is calculated by— (a) determining the amount that the treatment provider who treated the claimant charges for treating personal in- juries of the kind suffered by the claimant; and determining the amount that is payable under these regulations for treatment; and selecting the lesser of the amounts under paragraphs (a) and (b).
(b) (c) For the purposes of subclause (1)(b), the amounts that are payable under these regulations are in— (a) column 3 of the Schedule of these regulations, which specifies the amount payable for the treatment specified in column 2; and regulations 9 to 17,— (i) some of which prescribe amounts that are payable without reference to the Schedule; and some of which modify the amounts specified in column 3 of the Schedule.
(ii) (b) The amount that an insurer is liable to pay under clause 1(2) of Schedule 1 of the Accident Insurance Act 1998 (as continued by section 342(2) of the Act) for elective surgery is calculated under regulation 18.
Liability of Corporation for cost of treatment For the purposes of clause 1(1)(b) of Schedule 1 of the Act, the amounts that the Corporation is liable to pay under these regulations (for other than elective surgery) are in— (a) column 3 of the Schedule, which specifies the amount payable for the treatment specified in column 2; and regulations 9 to 17,— (i) (b) some of which prescribe amounts that are payable without reference to the Schedule; and some of which modify the amounts specified in column 3 of the Schedule.
(ii) r 6 6 (1) (2) (3) 7 (1) 6 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 9 (2) (3) 8 (1) (2) 9 (1) (2) The amount that the Corporation is liable to pay under clause 1(1)(b) of Schedule 1 of the Act for elective surgery is calcu- lated under regulation 18.

For the purposes of subclause (1), Corporation does not in- clude insurers.
Corporation not liable for cost of public health acute service The Corporation is not liable to pay a claimant for a public health acute service that— (a) the claimant receives; or the claimant does not receive, but is entitled to receive.

(b) Subclause (1) applies even if the public health acute service is— (a) a treatment of a kind to which regulation 6 or regulation 7 applies; or elective surgery of a kind to which regulation 18 ap- plies.
(b) Counsellors’ costs This regulation applies to the treatments specified in the Schedule under the heading “Counsellors’ costs”.

The Corporation is liable to pay— (a) $88.88 an hour for the treatment specified in item C1; and $69.70 an hour for the treatment specified in item C2.

(b) (3) Despite regulation 4(3), the Corporation is liable to pay only for treatment provided on a face-to-face basis.
(4) However, the Corporation is liable to pay for 1 session of treat- ment provided on other than a face-to-face basis if the treat- ment is provided because a claimant needs it urgently for a mental injury the claimant suffered in the circumstances de- scribed in section 21 of the Act.

Regulation 9(2)(a): amended, on 1 July 2012, by regulation 9(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Regulation 9(2)(b): amended, on 1 July 2012, by regulation 9(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

7 r 10 10 (1) (2) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Dentists’ costs This regulation applies to the treatments specified in the Schedule under the heading “Dentists’ costs”.
The Corporation is liable to pay,— (a) (ii) for a claimant less than 18 years old at the time the claimant receives a treatment,— (i) the amount specified under the subheading “Claimants under 18 years old”, if the treatment is specified under the subheading; or the amount specified elsewhere under the head- ing, if the treatment is not specified under the sub- heading referred to in subparagraph (i); and for any other claimant, the amount specified for the treatment other than under the subheading “Claimants under 18 years old”.
(b) (4) (3) However, if at the same visit the claimant receives a treatment and a more comprehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.

If the claimant receives a treatment on a tooth that has previ- ously been heavily restored, and the Corporation was not liable to pay for the previous restoration, the Corporation is liable to pay 75% of the amount specified for the treatment.
If the claimant receives a treatment on a tooth that has pre- viously been crowned, and the Corporation was not liable to pay for the previous crowning, the Corporation is liable to pay 50% of the amount specified for the treatment.

(5) Hyperbaric oxygen treatment costs This regulation applies to the treatments specified in the Schedule under the heading “Hyperbaric oxygen treatment costs”.
If a claimant receives a treatment, the Corporation is liable to pay— (a) $51.02 an hour for the use of a hyperbaric oxygen cham- ber; plus the amount specified for the treatment.
(b) For the purposes of subclause (2)(a),— 11 (1) (2) (3) 8 Reprinted as at 1 July 2012 (a) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 13 the Corporation is liable to pay the appropriate propor- tion for the part of an hour during which a chamber is used; and regulation 4 does not apply.
(b) Regulation 11(2)(a): amended, on 1 July 2012, by regulation 10 of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

12 (1) (2) Radiologists’ costs This regulation applies to the treatments specified in the Schedule under the heading “Radiologists’ costs”.
If a claimant receives treatment from a radiologist, the Cor- poration is liable to pay— (a) the amount specified for the treatment, if the radiolo- gist’s scope of practice includes the branch of medicine known as diagnostic radiology; or in any other case, 60% of the amount specified for the treatment.
(b) Regulation 12(2)(a): amended, on 19 September 2004, by regulation 4 of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
13 Medical practitioners’ costs (1) This regulation applies if— (a) a claimant visits or is visited by a medical practitioner who— (i) (ii) is not a specialist; or is a specialist but during the visit is not practising within a recognised branch of medicine included in his or her scope of practice; and (b) any treatment received by the claimant during the visit is specified in the Schedule under the heading “Medical practitioners’, nurses’, and nurse practitioners’ costs”.
(2) For each visit the Corporation is liable to pay— (a) either— (i) (ii) $32.52, if the claimant is under 6 years old when the visit takes place; or $29.74, if the claimant is 6 years old or over when the visit takes place; plus 9 r 13 (3) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 (b) the amount specified for any treatment the claimant re- ceives.
If the claimant receives 2 or more treatments at the same visit, for different injuries, the Corporation is liable to pay— (a) the amount specified for the more or most expensive treatment the claimant receives; plus 50% of the amount specified for each other treatment the claimant receives.
(b) (5) (4) However, if at the same visit the claimant receives a treatment and a more comprehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.
If the practitioner travels to the claimant and the claimant re- ceives emergency treatment, the Corporation is liable to pay— a travelling fee at the rate of 73 cents per kilometre (a) (if in the same circumstances the cost of travel would be payable under the New Zealand Public Health and Disability Act 2000); plus $42.49 an hour if the Corporation is liable to pay a trav- elling fee under paragraph (a); plus the amount payable under subclause (2).
(b) (c) The amount that the Corporation is liable to pay for treatment under this regulation includes a contribution to the cost of the practitioner using the most effective treatment materials available to the practitioner, having regard to the nature of the claimant’s personal injury.

This regulation is subject to regulation 15.


Regulation 13 heading: amended, on 19 September 2004, by regulation 5(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 13(1)(a): amended, on 19 September 2004, by regulation 5(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 13(1)(a)(i): amended, on 19 September 2004, by regulation 5(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 13(1)(a)(ii): amended, on 19 September 2004, by regulation 5(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
(6) (7) 10 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 14 Regulation 13(1)(a)(ii): amended, on 19 September 2004, by regulation 5(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 13(1)(b): amended, on 1 April 2012, by regulation 4(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 13(1)(b): amended, on 19 September 2004, by regulation 5(4) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 13(2)(a)(i): amended, on 1 July 2012, by regulation 11(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 13(2)(a)(ii): amended, on 1 July 2012, by regulation 11(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Regulation 13(5)(a): amended, on 1 July 2012, by regulation 11(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 13(5)(b): amended, on 1 July 2012, by regulation 11(4) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Nurses’ costs This regulation applies if— (a) (b) a claimant visits or is visited by a nurse; and any treatment received by the claimant during the visit is specified in the Schedule under the heading “Medical practitioners’, nurses’, and nurse practitioners’ costs”.

For each visit the Corporation is liable to pay— (a) (b) $13.94; plus the amount specified for any treatment the claimant re- ceives.
If the claimant receives 2 or more treatments at the same visit, for different injuries, the Corporation is liable to pay— (a) the amount specified for the more or most expensive treatment the claimant receives; plus 50% of the amount specified for each other treatment the claimant receives.
(b) 14 (1) (2) (3) (4) However, if at the same visit the claimant receives a treatment and a more comprehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.
11 r 15 (5) (6) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 The amount that the Corporation is liable to pay for treatment under this regulation includes a contribution to the cost of the nurse using the most effective treatment materials available to the nurse, having regard to the nature of the claimant’s per- sonal injury.

This regulation is subject to regulation 15.


Regulation 14(1)(b): amended, on 1 April 2012, by regulation 5(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 14(1)(b): amended, on 19 September 2004, by regulation 6 of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 14(2)(a): amended, on 1 July 2012, by regulation 12 of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
15 Medical practitioners’ and nurses’ costs for combined treatment This regulation applies if— (a) a claimant visits or is visited by— (i) (ii) a nurse; and a medical practitioner described in regulation 13(1)(a); and (b) any treatment received by the claimant during the visit is specified in the Schedule under the heading “Medical practitioners’, nurses’, and nurse practitioners’ costs”.
For each combined visit the Corporation is liable to pay— (a) either— (i) (ii) $35.31, if the claimant is under 6 years old when the visit takes place; or $32.52, if the claimant is 6 years old or over when the visit takes place; plus (b) the amount specified for any treatment the claimant re- ceives.
If the claimant receives 2 or more treatments at the same com- bined visit, for different injuries, and the nurse and the medical practitioner worked together on each treatment, the Corpor- ation is liable to pay— (a) the amount specified for the more or most expensive treatment the claimant receives; plus (1) (2) (3) 12 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 15 (b) 50% of the amount specified for each other treatment the claimant receives.
(4) If the claimant receives 2 or more treatments at the same com- bined visit, for different injuries, and the nurse and the medical practitioner worked separately on each treatment, the Corpor- ation is liable to pay— (a) to the nurse— (i) the amount specified for the more or most ex- pensive treatment the claimant receives from the nurse; plus 50% of the amount specified for any other treat- ment the claimant receives from the nurse; and (b) to the medical practitioner— (i) the amount specified for the more or most ex- pensive treatment the claimant receives from the medical practitioner; plus 50% of the amount specified for any other treat- ment the claimant receives from the medical practitioner.
(ii) (ii) (6) (5) However, if at the same combined visit the claimant receives a treatment and a more comprehensive treatment for the same injury, the Corporation is liable to pay only the amount speci- fied for the more comprehensive treatment.
The amount that the Corporation is liable to pay for treatment under this regulation includes a contribution to the cost of the nurse and the medical practitioner using the most effective treatment materials available to the nurse and medical prac- titioner, having regard to the nature of the claimant’s personal injury.
To avoid doubt, if the Corporation is liable to pay a nurse or a medical practitioner for a visit under this regulation, the Cor- poration is not liable, in relation to the visit, to pay the nurse or medical practitioner— (a) more than once for any treatment that the claimant re- (7) (b) ceives; or under any of the provisions contained in regulation 13 or regulation 14.
13 r 15A Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Regulation 15 heading: amended, on 19 September 2004, by regulation 7(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 15(1)(a)(ii): amended, on 19 September 2004, by regulation 7(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 15(1)(b): amended, on 1 April 2012, by regulation 6(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Regulation 15(1)(b): amended, on 19 September 2004, by regulation 7(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 15(2)(a)(i): amended, on 1 July 2012, by regulation 13(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Regulation 15(2)(a)(ii): amended, on 1 July 2012, by regulation 13(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 15(3): amended, on 19 September 2004, by regulation 7(4) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 15(4): amended, on 19 September 2004, by regulation 7(5) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 15(4)(b): amended, on 19 September 2004, by regulation 7(5) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 15(4)(b)(i): amended, on 19 September 2004, by regulation 7(5) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 15(4)(b)(ii): amended, on 19 September 2004, by regulation 7(5) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 15(6): amended, on 19 September 2004, by regulation 7(6) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 15(7): amended, on 19 September 2004, by regulation 7(7) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
15A Nurse practitioners’ costs This regulation applies if— (1) (a) (b) a claimant visits or is visited by a nurse practitioner; and any treatment received by the claimant during the visit is specified in the Schedule under the heading “Med- 14 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 16 (2) (3) ical practitioners’, nurses’, and nurse practitioners’ costs”.
For each visit the Corporation is liable to pay— (a) (b) $25.51; plus the amount specified for any treatment the claimant re- ceives.

If the claimant receives 2 or more treatments at the same visit, for different injuries, the Corporation is liable to pay— (a) the amount specified for the most expensive treatment the claimant receives; plus 50% of the amount specified for each other treatment the claimant receives.
(b) (5) (4) However, if at the same visit the claimant receives a treatment and a more comprehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.
The amount that the Corporation is liable to pay for the treat- ment under this regulation includes a contribution to the cost of the nurse practitioner using the most effective treatment ma- terials available to the nurse practitioner having regard to the nature of the claimant’s personal injury.
Regulation 15A: inserted, on 1 April 2012, by regulation 7 of the Injury Preven- tion, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 15A(2)(a): amended, on 1 July 2012, by regulation 14 of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
16 (1) Specialists’ costs This regulation applies if— (a) a claimant visits or is visited by a medical practitioner who— (i) (ii) is a specialist; and during the visit, is practising within a recognised branch of medicine included in his or her scope of practice; and (b) any treatment received by the claimant during the visit is specified in the Schedule under the heading “Special- ists’ costs”.
15 r 16 (2) (3) (4) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 For the first visit that the claimant has, the Corporation is liable to pay— (a) either— (i) $88.88, if the visit was with a specialist practising within any of the following recognised branches of medicine: (A) (B) (C) (D) (E) (F) $69.70, if the visit was with a specialist practising within any other recognised branch of medicine; plus internal medicine: neurosurgery: occupational medicine: paediatrics: psychological medicine or psychiatry: rehabilitation medicine; or (ii) (b) the amount specified for any treatment the claimant re- ceives.
For each further visit that the claimant has with the specialist, in relation to the same injury, the Corporation is liable to pay— (a) (b) $34.85; plus the amount specified for any treatment the claimant re- ceives.

If the claimant receives 2 or more treatments at the same visit, the Corporation is liable to pay— (a) the amount specified for the more or most expensive treatment the claimant receives; plus 50% of the amount specified for each other treatment the claimant receives.
(b) (5) However, if at the same visit the claimant receives a treatment and a more comprehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.

Regulation 16 heading: amended, on 19 September 2004, by regulation 8(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 16(1)(a): amended, on 19 September 2004, by regulation 8(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
16 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 17 Regulation 16(1)(a)(i): amended, on 19 September 2004, by regulation 8(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 16(1)(a)(ii): amended, on 19 September 2004, by regulation 8(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

Regulation 16(1)(b): amended, on 19 September 2004, by regulation 8(4) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 16(2)(a)(i): amended, on 1 July 2012, by regulation 15(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 16(2)(a)(ii): amended, on 1 July 2012, by regulation 15(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Regulation 16(3)(a): amended, on 1 July 2012, by regulation 15(3) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

17 (1) Specified treatment providers’ costs This regulation applies to the treatments specified in the Schedule under the heading “Specified treatment providers’ costs”.
(3) (2) A treatment provider may elect not to be paid the amount spe- cified in item TMT for any treatment that a claimant receives by giving the Corporation a written notice of election.

If the Corporation receives a notice of election, the Corpor- ation is liable to pay the lesser of— (a) (b) $54.73 an hour; or the rate per hour the provider would have charged the claimant for treating personal injuries of the kind suf- fered 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.

Regulation 17(3)(a): amended, on 1 July 2012, by regulation 16 of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
17 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Elective surgery costs This regulation applies if the Corporation is liable to pay for elective surgery for a claimant.

The Corporation may nominate a provider to perform the surgery (nominated provider).
Subject to subclause (4), the claimant must then— decide to accept the nominated provider; or (a) decide not to accept the nominated provider and choose (b) a provider (chosen provider); or choose a provider (because the Corporation has not nominated a provider under subclause (2)).
(c) Before the claimant decides whether to accept the nominated provider, the Corporation must tell the claimant that the Cor- poration would be liable to pay the full cost of the surgery if it was performed by the nominated provider.

The Corporation is liable to pay the full cost of surgery under this regulation if it is performed by— a district health board; or (a) a nominated provider; or (b) (c) a provider described in subclause (3)(c).
The Corporation is liable to pay 60% of the amount that would have been payable under this regulation had the surgery been performed by the nominated provider, if— (a) the Corporation nominated a provider under subclause (2); and the surgery is performed by the chosen provider; and the chosen provider is not a district health board.

(b) (c) GST GST excluded All amounts specified or referred to in these regulations are exclusive of goods and services tax.
Regulation 19 heading: amended, on 1 July 2012, by regulation 17(1) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).

Regulation 19: amended, on 1 July 2012, by regulation 17(2) of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
r 18 18 (1) (2) (3) (4) (5) (6) 19 18 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 20 Revocations 20 (1) Revocations The Accident Insurance (Insurer’s Liability to Pay Cost of Treatment) Regulations 1999 are revoked.
(2) Despite subclause (1), the regulations continue to apply as if they had not been revoked for the purposes of determining the amount the Corporation is liable to pay for treatment received by a claimant at visits before 1 April 2004.
19 Schedule Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Schedule Costs of treatment Reprinted as at 1 July 2012 rr 6, 7, 9–17 Schedule: replaced, on 1 July 2012, by regulation 18 of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Dentists’ costs Examination DE1 DE2 DE3 DX1 DX2 DX3 DX4 DX5 DX6 DX7 Dental consultation, including examination Periodic oral examination/review Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work)—including study models and photographs Radiological examination and interpretation Periapical or bitewing film (each) Occlusal (each) Panorex Other extra film (each) Tomography Lateral or antero-posterior head films Sedation (age appropriate) Emergency temporary cover DT1 Emergency temporary cover General oral surgery Extractions Extraction of permanent or deciduous tooth per first tooth Surgical removal of tooth or tooth fragment (root fracture) Removal of unerupted tooth or teeth in fracture line Extraction of subsequent permanent or deciduous tooth in same quadrant as for DG1 Surgery Management of minor (less than 1 cm) or moderate (1 to 2 cm) lacerations by suturing per operative site Management of serious (over 2 cm) lacerations by suturing site Incision and drainage abscess cellulitis Excision of traumatic mucous cyst Removal of root from maxillary sinus DG1 DG2 DG3 DG4 DG5 DG6 DG7 DG8 DG9 20 $ 55.58 28.36 115.56 10.67 28.36 31.11 28.36 131.82 59.56 80.00 28.36 93.33 141.69 247.91 66.67 141.69 244.44 191.29 232.89 262.13 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Schedule DG10 DG11 DG14 DG15 DG16 DG17 DG18 DG19 DG20 DG21 DG22 DG23 DR1 DR2 DR3 DR4 DR5 DR6 DR7 DR8 DR9 DP1 DP2 DP3 DP4 DP5 DP6 DP7 DP8 DP9 Splint application or removal (per tooth) Cleaning of wound and removal of debris Reduction of fractured alveolar process Repositioning of displaced tooth (per tooth) Replacing avulsed tooth Occlusal adjustment (simple) Removal of plates, wires, and screws Jaw fractures non-surgical management Jaw fractures simple and moderate (simple methods of fix- ation) TMJ disorder conservative management Minor surgical operations not otherwise covered by
 this schedule Provision of bite splints Restorative Amalgam 1 surface filling (including 2 fillings on the one surface) Amalgam 2 surface filling (approximo-occlusal) Amalgam 3 surface filling (mesio-occlusal-distal) Amalgam restoration (including 1 or more cusps) Complex coronal reconstruction in amalgam Non-metallic simple fillings Non-metallic filling (more than 1 surface per tooth) Rebonding tooth fragment Complex reconstruction in composite resin, direct Prosthodontics Partial denture (1 tooth) Each additional tooth (all dentures) Each clasp Lingual bar Metal framed partial denture (1 tooth) Plastic flexible denture, eg, Valplast (1 tooth) Transitional denture replacing missing tooth Full upper or lower denture Full upper and lower denture $ Schedule Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 DP10 DP11 DP12 DP13 DC1 DC2 DC3 DC4 DC5 DC6 DC7 DC8 DC9 DC10 DC11 DC13 DC14 DC15 DC16 DC17 DC18 DC19 DC20 DC21 DC22 DC23 Rebasing full upper or lower denture Reline full denture Reline partial denture Repair (all types) Crown and bridge Temporary structure Temporary crown Temporary bridge (per unit) Inlay/onlay Indirect gold inlay/onlay Indirect resin inlay/onlay Indirect porcelain inlay/onlay Veneers Porcelain veneer Composite resin veneer Post (wrought or pre-formed) Composite or glass ionomer core Amalgam core Cast post and core (metal or ceramic) Crowns Stainless steel crown Acrylic jacket crown All ceramic crown Porcelain fused to metal crown Cast gold crown (full and three-quarters) Bridges Indirect composite bridge (per unit) Maryland bridge (per unit) Direct composite bridge (per unit) All ceramic bridge (per unit) Porcelain fused to metal bridge (per unit) Gold
 bridge (per unit) Miscellaneous DC24 Stress breaker/precision attachment in bridge 22 $ 226.67 155.56 155.56 51.02 80.00 80.00 265.60 199.20 265.16 600.71 155.56 82.13 55.29 55.29 177.78 70.84 340.00 711.11 685.69 648.89 209.69 262.13 231.02 566.67 566.67 566.67 28.36 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Schedule DC25 Recementing crown/bridge/veneer/inlay DN1 DN2 DN3 DN5 DN6 DN7 DN8 DN9 DN10 DN11 DN12 DN13 DD1 DD2 DD3 DD4 DD5 DD6 DD7 DD8 DD9 DM1 DM2 DM3 DM4 DM5 DM6 DM7 Endodontics Pulpotomy Irrigation and dressing of root canal system Complete preparation and obturation of root canal (per canal)—open or closed apex Apicectomy and retrograde filling (per canal) Removal of root filling (per canal) Removal of post or post crown Bleaching, 1 non-vital tooth (per treatment) Pulp capping Removal of a fractured post or instrument Internal repair of perforation Surgical repair of perforation Negotiation of a calcified canal (can be used with item DN3) Periodontics Gingivectomy (per tooth) Surgical crown lengthening (per tooth) Pericision (per tooth) Surgical subgingival curettage (per tooth) Frenectomy Vestibuloplasty Site preparation for dental implant Placement of membrane Substitute bone material Dental implants Resilient linings (tooth or teeth) Fixture head impressions and copings (per fixture) Dental implant crown (per single unit) Dental stent and guide (per fixture) Definitive abutment (per fixture) Temporary abutment (per fixture) Repairs to abutments (per fixture) Claimants under 18 years old $ Schedule Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 DY1
 DY2 DY3 DY4 DY5 DY6 DY7 DY8 DY9 DY10 DY11 DY12 DY13 DY14 DY15 DY16 DY17 DY18 DY19 DY20 DY21 Dental consultation, including examination Periodic oral examination/review Periapical or bitewing film (each) Panorex Sedation (age appropriate), covers IV and IM (not oral se- dation) Emergency temporary cover Extraction permanent tooth or deciduous tooth (per tooth) Surgical removal of tooth or root Repositioning of displaced tooth (per tooth) Replacing avulsed tooth Non-metallic filling Rebonding tooth fragment Partial denture (1 tooth) Temporary crown Temporary bridge (per unit) Complex reconstruction in composite resin, direct Complete preparation and obturation of root canal per canal closed apex (either item DY17 or DY18 but not both) Complete preparation and obturation of open apexed tooth per tooth (either item DY18 or DY17 but not both) Bleaching, 1 non-vital tooth (per treatment) Pulp capping Surgical decoronation Hyperbaric oxygen treatment costs H1 H2 H3 H4 Neurological assay before recompression Neurological assay after recompression In-chamber treatment supervision, per hour Out-of-chamber treatment supervision, per hour Medical practitioners’, nurses’, and nurse practitioners’ costs Burn/abrasion Treatment of burn less than 4 cm² Treatment of burn at a single site greater than 4 cm² Treatment of significant abrasions less than 4 cm² at a single site MB1 MB2 MB3 24 $ 57.40 40.00 10.67 31.11 80.00 31.11 93.33 177.78 53.33 53.33 109.56 97.78 351.11 106.67 106.67 155.56 284.44 320.00 160.00 35.56 373.33 85.02 76.49 88.88 43.56 29.76 58.60 29.77 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Schedule MB4 MB5 MD1 MD2 MD3 MD4 MD5 MF1 MF2 MF3 MF4 MF5 MF6 MF7 MF8 MF9 MF10 MF11 MF12 MF13 MF14 Treatment of significant abrasions greater than 4 cm² at a single site Significant burns or abrasions (not including fractures) at multiple sites (greater than 4 cm²):
 necessary wound clean- ing, preparation, and dressing Dislocation Dislocation of finger/toe with splint/strapping Dislocation of thumb: closed reduction and immobilisation Dislocation of elbow with radiological confirmation: closed reduction and immobilisation Dislocation of shoulder: closed reduction and collar and cuff immobilisation Dislocation of patella: closed reduction and cast immobil- isation Fracture Fractured finger or toe (proximal, middle, or distal pha- lanx): closed reduction and immobilisation Fractured finger or toe (proximal, middle, or distal pha- lanx): requiring local anaesthetic Fractured metatarsal: closed reduction (not requiring cast): closed reduction, immobilisation by strapping Fractured metacarpal(s) hand: with or without local anaes- thetic: immobilisation by strapping Fractured carpal bone, including scaphoid: cast immobilisation, not requiring reduction Fractured tarsal or metatarsal bones (excluding calcaneum or talus): treatment by cast immobilisation Fractured calcaneum or talus: treatment by cast immobili- sation Fractured clavicle treatment by Fractured distal radius and ulna: cast immobilisation not requiring reduction Fractured distal radius and ulna requiring closed reduction, involving regional or other form of anaesthesia Fractured shaft radius and ulna: treatment by cast immo- bilisation Fractured distal humerus (supracondylar or condylar): by cast immobilisation Fractured proximal or shaft humerus: collar and cuff or U-slab Fractured shaft tibia and/or fibula: treatment by cast immo- bilisation with reduction immobilisation by $ 58.60 85.37 34.48 96.62 89.49 64.45 153.36 34.48 47.67 34.48 47.67 107.38 153.36 153.36 64.45 107.38 128.39 107.38 107.38 65.12 153.36 25 Schedule Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Fractured distal tibia and/or fibula: treatment by cast im- mobilisation with reduction Fractured fibula
 (without tibial fracture): with soft tissue strapping Miscellaneous immobilisation Abscess or haematoma: drainage with incision (with or without local anaesthetic agent) Insertion of IV line for administration of IV medications or electrolytes or transfusion (if provided under local or national guideline approved by the Corporation) Nail, simple removal of Nail, removal of or wedge resection: requiring the use of digital anaesthesia 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 Pinch skin graft Dental anaesthetic Epistaxis: arrest during episode by nasal cavity packing with or without cautery Open wound Closure of open wounds less than 2 cm: any necessary care and treatment, including cleaning and debriding, explor- ation, administration of anaesthetic, and dressing Closure of open wound (or wounds) of skin and subcu- taneous 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 Closure of open wound (or wounds) of skin and subcuta- neous tissue or mucous membrane greater than 7 cm long: any necessary care and treatment, including cleaning and debriding, exploration, administration of anaesthetic, and dressing Amputation of digit, including use of anaesthetic, debride- ment of bone and soft tissue, and closure of wound Soft tissue injury Simple soft tissue injuries: management of simple sprain of wrist/ankle/knee/elbow or other soft tissue injury requir- ing crepe bandage or similar immobilisation not requiring formal strapping $ 153.36 65.12 26.85 53.71 21.50 89.49 28.92 67.14 25.08 39.65 31.63 60.34 79.84 89.49 14.04 MF15 MF16 MM1 MM2 MM3 MM4 MM5 MM6 MM7 MM8 MW1 MW2 MW3 MW4 MT1 26 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to
 Pay or Contribute to Cost of Treatment) Regulations 2003 MT2 MT3 MT4 MT5 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) Aspiration of inflamed joint, tendon, bursa, or other subcu- taneous tissue or space (with or without injection) Extensor tendon, primary repair Ruptured Achilles tendon: management by plaster immo- bilisation Radiologists’ costs RA01 RA02 RA03 RA04 RA05 RA06 RA07 RA08 RA09 RA10 RA11 RA15 RA21 RA22 RA25 RA26 RA27 RA28 RA29 RA30 RA32 RA35 RA40 Extremities Sternum Sterno-clavicular joints Clavicle Acromio-clavicular joints Scapula Shoulder Humerus Elbow joint Forearm Hand and/or wrist joint Wrist/hand for bone age Upper limb (infant) Sacro-iliac joints Pelvis or both hips (1 projection) Hip joint (more than 1 projection) Femur Knee joint Knee joint (and intercondylar/axial) Tibia and fibula Ankle joint Foot Long legs (hips to ankles—including measurement) Lower limb (infant) Head, neck, and spine Schedule $ 65.12 31.60 161.08 157.90 55.93 63.91 47.94 47.94 47.94 51.93 51.93 43.94 43.94 43.94 43.94 51.93 51.93 51.93 55.93 51.93 47.94 55.93 47.94 51.93 47.94 59.92 55.93 27 Schedule Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Cervical spine Thoracic spine Lumbar spine including lumbosacral joint Sacro-coccygeal spine Spine (scoliosis views) Skull Nasal bones Facial bones Optic foramina Auditory canals (plain films only) Nasal sinuses Nasopharynx Mastoids (bilateral) Larynx and/or trachea Upper teeth Lower teeth Mandible or OPG or lateral ceph Temporo-mandibular joints Salivary gland Pharynx Chest, including breast Thoracic inlet Chest (1 view) Chest (more than 1 view) Chest and thoracic cage Chest and both oblique views Mammography
 Screening mammogram Recall mammogram Problem mammogram bilateral Problem mammogram unilateral Needle localisation Galactogram Breast aspiration biopsy RB01 RB02 RB03 RB04 RB08 RB10 RB12 RB13 RB14 RB16 RB21 RB22 RB23 RB24 RB31 RB32 RB33 RB34 RB35 RB37 RC05 RC06 RC07 RC08 RC09 RC31 RC32 RC35 RC36 RC40 RC41 RC45 28 $ Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 RC46 Breast biopsy with stereotaxis GI, GU, and obstetrics—no contrast modifiers permitted RD01 RD02 RD07 RD08 RD10 RD11 RD13 RD14 RD15 RD20 RD30 RD40 RD44 RD45 RD46 RD47 RS42 RS43 RS44 RS46 RS61 RS62 RS63 RS70 RS71 RS73 Radiology Abdomen (1 projection) Abdomen (more than 1 projection) Pelvimetry (1 view) Pelvimetry (2 or more views) Screening Contrast swallow (oesophagus only) Contrast study upper GI tract Small bowel meal Small bowel enema (enteroclysis) Contrast enema Dynamic proctogram ERCP IVP including plain film and tomos Cystogram retrograde or antegrade Urethrogram Micturating cysto-urethrogram Ascending urethrogram Special procedures Tube injection Dacrocystogram Sialogram Hysterosalpingogram Myelogram cervical Myelogram lumbar Myelogram multilevel Arthrogram Arthrogram—upper limb Arthrogram—lower limb Ultrasound Abdomen and pelvis RU01 US abdomen Schedule $ 235.69 51.93 51.93 51.93 51.93 407.46 407.46 407.46 683.08 407.46 407.46 407.46 235.69 407.46 407.46 407.46 407.46 235.69 235.69 235.69 407.46 407.46 407.46 407.46 235.69 235.69 235.69 123.83 29 Schedule Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 RU02 RU03 RU04 RU06 RU10 RU11 RU12 RU13 RU19 RU20 RU21 RU22 RU23 RU24 RU25 RU27 RU28 RU29 RU30 RU31
 RU32 RU39 RU40 RU41 RU42 RU43 RU44 RU49 US abdomen and pelvis US renal tracts US abdominal aorta (without Doppler) US pelvis (trans-abdominal only) Infants US infant head US infant pylorus US infant heart US infant hips US infant miscellaneous Various US thyroid/neck US scrotum and testis US breast US veins US eye US chest US injection/aspiration US additional region US miscellaneous Skeletal US shoulder US musculoskeletal US foreign body localisation US skeletal miscellaneous Intracavitary US prostate US anus/rectum US female pelvis (includes trans-vaginal and trans-abdom- inal, or trans-vaginal only) US trans-oesophageal US intraoperative US intracavitary miscellaneous Vascular RU51 Duplex/Doppler of chest 30 $ 155.80 115.85 115.85 115.85 115.85 115.85 219.71 115.85 115.85 115.85 115.85 115.85 163.78 115.85 115.85 231.69 83.88 115.85 163.78 123.83 91.88 123.83 143.80 143.80 143.80 243.67 243.67 143.80 195.74 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Schedule RU56 Duplex/Doppler: additional limb (arterial or venous) RU60 RU61 RU62 RU64 RU68 RX24 RX25 Pregnancy US routine pregnancy less than 28 weeks US problem pregnancy US pregnancy greater than 28 weeks US with amniocentesis US pregnancy—per extra foetus greater than 1 Additional X-ray additional region Domiciliary X-ray (in addition) Specialists’ costs SR1 SR2 SR3 SR4 SF1 SF2 SF3 SF4 SF5 SF6 SF7 SF8 SF9 SF10 SF11 SF12 SF13 SF14 SF15 SF16 SF17 Repair recent wound Not exceeding 7 cm, superficial Not exceeding 7 cm, deeper tissue Exceeding 7 cm, superficial Exceeding 7 cm, deeper tissue Fractures (closed reduction) Phalanges Metacarpals, excluding Bennetts Metatarsals Bennetts Carpal bones Colles Radius and ulna—shafts Radius—head and neck Humerus Talus—neck Calcaneus Other tarsals Ankle—fracture dislocation, Potts Tibia and fibula—shaft Tibia and fibula—upper end Tibia and fibula—involving joint traction
 Femur, any site, with/without traction $ Schedule Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 SH1 SH2 SH3 SB1 SB2 SB3 SB4 SB5 SB6 SB7 SD1 SD2 SD3 SD4 SP1 SP2 SP3 SP4 SM1 SM2 SM3 SM4 Haematoma, abscess, or other infection Small—aspiration Large—incision and drainage (local anaesthetic) Large—incision and drainage (general anaesthetic) Foreign body, removal of Under local anaesthetic Under general anaesthetic From cornea or sclera From ear, other than by simple syringing From muscle, tendon, or other deep tissue From nose, other than by simple probing From throat, additional fee Dislocations (closed reduction) Elbow, wrist, thumb, and fingers with strapping/splint Shoulder Patella Hip Plaster Upper limb—above elbow Upper limb—below elbow Lower limb—above knee Lower limb—below knee Other Aspiration of joint Amputation of all or part of 1 digit Extensor tendon, primary repair Nail, simple removal of Specified treatment providers’ costs All treatment Abcess or haematoma: drainage with incision (with or without local anaesthetic agent) Nail, simple removal of Nail, wedge resection/removal of: requiring the use of dig- ital anaesthesia X-ray services provided by chiropractor (maximum of 2 films per claimant per personal injury) TMT POD 3 POD 4 POD 5 X-RAY 32 $ 21.29 101.47 110.49 80.80 178.49 55.29 85.02 255.02 102.00 85.02 170.00 102.00 144.53 204.00 127.51 110.49 153.02 127.51 21.29 187.02 297.51 85.02 21.76 26.85 21.50 89.49 13.60 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Diane Morcom, Clerk of the Executive Council.
Issued under the authority of the Acts and Regulations Publication Act 1989.

Date of notification in Gazette: 18 December 2003.
33 Notes Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 Contents 1 2 3 4 General Status of reprints How reprints are prepared Changes made under section 17C of the Acts and Regulations Publication Act 1989 List of amendments incorporated in this reprint (most recent first) General This is a reprint of the Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003.
The reprint incorporates all the amendments to the regulations as at 1 July 2012, as specified in the list of amendments at the end of these notes.

Relevant provisions of any amending enactments that contain transitional, savings, or application provisions that cannot be compiled in the reprint are also included, after the principal enactment, in chronological order.

For more information, see http://www.pco.parliament.govt.nz/reprints/.
Status of reprints Under section 16D of the Acts and Regulations Publication Act 1989, reprints are presumed to correctly state, as at the date of the reprint, the law enacted by the principal enactment and by the amendments to that enactment.

This presumption applies even though editorial changes authorised by section 17C of the Acts and Regulations Publication Act 1989 have been made in the reprint.
This presumption may be rebutted by producing the official volumes of statutes or statutory regulations in which the prin- cipal enactment and its amendments are contained.

How reprints are prepared A number of editorial conventions are followed in the prep- aration of reprints.
For example, the enacting words are not 5 Notes 1 2 3 34 Reprinted as at 1 July 2012 Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Notes included in Acts, and provisions that are repealed or revoked are omitted.
For a detailed list of the editorial conventions, see http://www.pco.parliament.govt.nz/editorial-conventions/ or Part 8 of the Tables of New Zealand Acts and Ordinances and Statutory Regulations and Deemed Regulations in Force.
4 Changes made under section 17C of the Acts and Regulations Publication Act 1989 Section 17C of the Acts and Regulations Publication Act 1989 authorises the making of editorial changes in a reprint as set out in sections 17D and 17E of that Act so that, to the extent permitted, the format and style of the reprinted enactment is consistent with current legislative drafting practice.

Changes that would alter the effect of the legislation are not permitted.
A new format of legislation was introduced on 1 January 2000.

Changes to legislative drafting style have also been made since 1997, and are ongoing.

To the extent permitted by section 17C of the Acts and Regulations Publication Act 1989, all legisla- tion reprinted after 1 January 2000 is in the new format for legislation and reflects current drafting practice at the time of the reprint.
In outline, the editorial changes made in reprints under the au- thority of section 17C of the Acts and Regulations Publication Act 1989 are set out below, and they have been applied, where relevant, in the preparation of this reprint: • omission of unnecessary referential words (such as “of this section” and “of this Act”) typeface and type size (Times Roman, generally in 11.5 point) layout of provisions, including: • • indentation position of section headings (eg, the number and heading now appear above the section) format of definitions (eg, the defined term now appears in bold type, without quotation marks) format of dates (eg, a date formerly expressed as “the 1st day of January 1999” is now expressed as “1 January 1999”) 35 • • • • Notes Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 July 2012 • • • • • • • position of the date of assent (it now appears on the front page of each Act) punctuation (eg, colons are not used after definitions) Parts numbered with roman numerals are replaced with arabic numerals, and all cross-references are changed accordingly case and appearance of letters and words, including: • format of headings (eg, headings where each word formerly appeared with an initial cap- ital letter followed by small capital letters are amended so that the heading appears in bold, with only the first word (and any proper nouns) appearing with an initial capital letter) small capital letters in section and subsection ref- erences are now capital letters • schedules are renumbered (eg, Schedule 1 replaces First Schedule), and all cross-references are changed accord- ingly running heads (the information that appears at the top of each page) format of two-column schedules of consequential amendments, and schedules of repeals (eg, they are rearranged into alphabetical order, rather than chrono- logical).
List of amendments incorporated in this reprint (most recent first) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Con- tribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318) Wellington, New Zealand: Published under the authority of the New Zealand Government—2012 5 12 36