Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698941798815.pdf (New Zealand)
Reprint as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 (SR 2003/388) Regulations name: amended, on 19 June 2013, pursuant to regulation 4(2) of the Accident Compen‐ sation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013 (SR 2013/138).
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, Rehabilitation, and Compensation Act 2001, Her Excellency the Administrator of the Government, acting on the advice and with the consent of the Executive Council, makes the following regulations.
Contents Title Commencement Interpretation What hourly rate means 1 2 3 4 Note Page 2 2 2 5 Changes authorised by subpart 2 of Part 2 of the Legislation Act 2012 have been made in this official reprint.

Note 4 at the end of this reprint provides a list of the amendments incorporated.

These regulations are administered by the Ministry of Business, Innovation, and Employment.
1 r 1 15A Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 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 Regulations 5 6 6 7 7 7 8 8 8 10 12 Title These regulations are the Accident Compensation (Liability to Pay or Contrib‐ ute to Cost of Treatment) Regulations 2003.
Regulation 1: amended, on 19 June 2013, by regulation 4(2) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2013 (SR 2013/138).

Commencement These regulations come into force on 1 April 2004.
Interpretation In these regulations, unless the context otherwise requires,— Act means the Accident Compensation Act 2001 community services card means— (a) a community services card issued under the Health Entitlement Cards Regulations 1993; or 2 3 2 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 3 (b) a corresponding card issued under corresponding regulations made or deemed to have been made under either or both of section 92(3) of the New Zealand Public Health and Disability Act 2000 and section 437 of the Social Security Act 2018 Corporation— (a) means the Accident Compensation Corporation continued by section 259 of the Act; and (b) includes insurers dependent child has the meaning given to it by section 3(1) of the Social Security Act 1964, but does not include a child for whom an orphan’s benefit or an unsupported child’s benefit is paid under that Act elective surgery— (a) means any surgery required in respect of a personal injury; but (b) does not include— (i) (ii) an acute treatment; or a public health acute service; or (iii) treatment insurer has the same meaning as in section 341 of the Act public health acute services has the same meaning as in regulation 4 of the Injury Prevention, Rehabilitation, and Compensation (Public Health Acute Ser‐ vices) Regulations 2002 radiologist means — (a) a medical practitioner who is registered in the diagnostic and interven‐ tional radiology scope of practice by the Medical Council of New Zea‐ land; or (b) a medical practitioner who— (i) (ii) is registered in a general scope of practice by the Medical Council of New Zealand; and holds a licence under the Radiation Safety Act 2016 to use X-ray equipment for the purposes of radiology; or (c) a medical practitioner who— (i) (ii) is registered in the general practice vocational scope of practice by the Medical Council of New Zealand; and holds a licence under the Radiation Safety Act 2016 to use X-ray equipment for the purposes of general
 practice recognised branch of medicine means any of the following branches of medi‐ cine: (a) anaesthetics: 3 r 3 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) (l) cardiothoracic surgery: dermatology: diagnostic and interventional radiology: emergency medicine: general surgery: internal medicine: neurosurgery: obstetrics and gynaecology: occupational medicine: ophthalmology: orthopaedic surgery: (m) otolaryngology head and neck surgery: (n) (o) (p) (q) (r) (s) (t) (u) (v) (w) (x) paediatric surgery: paediatrics: pathology: plastic and reconstructive surgery: psychological medicine or psychiatry: public health medicine: radiation oncology: rehabilitation medicine: sexual health medicine: urology: venereology scope of practice has the same meaning as in section 5(1) of the Health Practi‐ tioners Competence Assurance Act 2003 specialist means a medical practitioner whose scope of practice includes 1 or more recognised branches of medicine specified treatment provider means an acupuncturist, chiropractor, occupa‐ tional therapist, osteopath, physiotherapist, podiatrist, or speech therapist.
Regulation 3 Act: amended, on 3 March 2010, pursuant to section 5(1)(b) of the Accident Compensa‐ tion Amendment Act 2010 (2010 No 1).

Regulation 3 community services card: inserted, on 1 December 2018, by regulation 4 of the Acci‐ dent Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2018 (LI 2018/215).
Regulation 3 dependent child: inserted, on 1 December 2018, by regulation 4 of the Accident Com‐ pensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2018 (LI 2018/215).
4 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 5 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: replaced, on 7 March 2017, by section 99 of the Radiation Safety Act 2016 (2016 No 6).
Regulation 3 recognised branch of medicine paragraph (d): replaced, on 7 March 2017, by section 99 of the Radiation Safety Act 2016 (2016 No 6).

Regulation 3 registered specialist: revoked, 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 scope of practice: inserted, on 19 September 2004, by regulation 3(3) of the Injury Pre‐ vention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).

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 (Liability to Pay or Contribute to Cost of Treat‐ ment) Amendment Regulations 2004 (SR 2004/318).

4 (1) What hourly rate means If an hourly rate is specified in these regulations, the Corporation 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 proportion of the hourly rate under regulation 13(5)(b) only after the claimant has received the first 30 minutes of direct treatment.

(3) 5 (1) (2) 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.
Limitations on hourly rate This regulation applies if a treatment provider— (a) (b) 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 payment for his or her services to a claimant.
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 treat‐ ment at the relevant hourly rate despite,— (a) (b) 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.
5 r 6 6 (1) Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 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 continued by section 342(2) of the Act), for treatment other than elective surgery, is calculated by— (a) (b) determining the amount that the treatment provider who treated the claimant charges for treating personal injuries of the kind suffered by the claimant; and determining the amount that is payable under these regulations for treat‐ ment; and (c) selecting the lesser of the amounts under paragraphs (a) and (b).
(2) 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 (b) regulations 9 to 17,— (3) 7 (1) (i) (ii) some of which prescribe amounts that are payable without refer‐ ence to the Schedule; and some of which modify the amounts specified in column 3 of the Schedule.
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 (b) regulations 9 to 17,— (i) (ii) some of which prescribe amounts that are payable without refer‐ ence to the Schedule; and some of which modify the amounts specified in column 3 of the Schedule.
(2) The amount that the Corporation is liable to pay under clause 1(1)(b) of Sched‐ ule 1 of the Act for elective surgery is calculated under regulation 18.

(3) For the purposes of subclause (1), Corporation does not include insurers.
6 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 10 8 (1) 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) (b) the claimant receives; or the claimant does not receive, but is entitled to receive.
(2) Subclause (1) applies even if the public health acute service is— (a) (b) a treatment of a kind to which regulation 6 or regulation 7 applies; or elective surgery of a kind to which regulation 18 applies.

9 (1) Counsellors’ costs The Corporation is liable to pay the following for treatments provided by a counsellor: (a) (b) $97.66 an hour for consultation provided by a counsellor who is a spe‐ cialist: $76.57 an hour for consultation provided by a counsellor who is not a specialist.
(2) [Revoked] (3) Despite regulation 4(3), the Corporation is liable to pay only for treatment pro‐ vided on a face-to-face basis.

(4) However, the Corporation is liable to pay for 1 session of treatment provided on other than a face-to-face basis if the treatment is provided because a claim‐ ant needs it urgently for a mental injury the claimant suffered in the circum‐ stances described in section 21 of the Act.
Regulation 9(1): replaced, on 1 May 2021, by regulation 4 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 9(2): revoked, on 1 May 2021, by regulation 4 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

10 (1) Dentists’ costs This regulation applies to the treatments specified in the Schedule under the heading “Dentists’ costs”.
(2) The Corporation is liable to pay,— (a) for a claimant less than 18 years old at the time the claimant receives a treatment,— (i) (ii) 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 heading, if the treatment is not specified under the subheading referred to in subparagraph (i); and 7 r 11 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 (b) for any other claimant, the amount specified for the treatment other than under the subheading “Claimants under 18 years old”.
(3) However, if at the same visit the claimant receives a treatment and a more com‐ prehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.

(4) (5) [Revoked] [Revoked] Regulation 10(4): revoked, on 1 May 2021, by regulation 5 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 10(5): revoked, on 1 May 2021, by regulation 5 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

11 (1) Hyperbaric oxygen treatment costs This regulation applies to the treatments specified in the Schedule under the heading “Hyperbaric oxygen treatment costs”.
(2) If a claimant receives a treatment, the Corporation is liable to pay— (a) (b) $54.84 an hour for the use of a hyperbaric oxygen chamber; plus the amount specified for the treatment.

(3) For the purposes of subclause (2)(a),— (a) the Corporation is liable to pay the appropriate proportion for the part of an hour during which a chamber is used; and (b) regulation 4 does not apply.
Regulation 11(2)(a): amended, on 1 May 2021, by regulation 6 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

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 whose scope of practice includes the branch of medicine known as diagnostic and interventional radi‐ ology, the Corporation is liable to pay the amount specified for the treatment.

Regulation 12(2): replaced, on 7 March 2017, by section 99 of the Radiation Safety Act 2016 (2016 No 6).
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 recog‐ nised branch of medicine included in his or her scope of practice; and 8 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 13 (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) whichever of the following applies: (i) (ii) (iii) (iv) $58.11, if the claimant is under 14 years old when the visit takes place: $32.68, if the claimant is 14 years old or over when the visit takes place and is not the holder of a community services card or the dependent child of a holder: $54.42, if the claimant is 14 years old or over when the visit takes place and is the holder of a community services card: $59.74, if the claimant is 14 years old or over but under 18 years old when the visit takes place and is the dependent child of a holder of a community services card; plus (b) the amount specified for any treatment the claimant receives.
(3) If the claimant receives 2 or more treatments at the same visit, for different injuries, the Corporation is liable to pay— (a) (b) 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.
(4) However, if at the same visit the claimant receives a treatment and a more com‐ prehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.
(5) If the practitioner travels to the claimant and the claimant receives emergency treatment, the Corporation is liable to pay— (a) (b) a travelling fee at the rate of 73 cents per kilometre (if in the same cir‐ cumstances the cost of travel would be payable under the New Zealand Public Health and Disability Act 2000); plus $45.01 an hour if the Corporation is liable to pay a travelling fee under paragraph (a); plus (c) the amount payable under subclause (2).
(6) The amount that the Corporation is liable to pay for treatment under this regu‐ lation 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.

(7) This regulation is subject to regulation 15.


9 r 14 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 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).

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, Rehabili‐ tation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regula‐ tions 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): replaced, on 1 December 2018, by regulation 7(1) of the Accident Compensa‐ tion (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2018 (LI 2018/215).

Regulation 13(2)(a)(i): amended, on 1 May 2021, by regulation 7(1) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 13(2)(a)(ii): amended, on 1 May 2021, by regulation 7(2) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 13(2)(a)(iii): amended, on 1 May 2021, by regulation 7(3) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 13(2)(a)(iv): amended, on 1 May 2021, by regulation 7(4) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 13(5)(a): amended, on 1 July 2012, by regulation 11(3) of the Injury Prevention, Rehabili‐ tation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regula‐ tions 2012 (SR 2012/11).
Regulation 13(5)(b): amended, on 1 May 2021, by regulation 7(5) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

14 (1) 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”.
(2) For each visit the Corporation is liable to pay— (a) whichever of the following applies: 10 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 14 (i) (ii) (iii) (iv) $32.58, if the claimant is under 14 years old when the visit takes place: $15.31, if the claimant is 14 years old or over when the visit takes place and is not the holder of a community services card or the dependent child of a holder: $28.18, if the claimant is 14 years old or over when the visit takes place and is the holder of a community services card: $33.50, if the claimant is 14 years old or over but under 18 years old when the visit takes place and is the dependent child of a holder of a community services card; plus (b) the amount specified for any treatment the claimant receives.
(3) If the claimant receives 2 or more treatments at the same visit, for different injuries, the Corporation is liable to pay— (a) (b) 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.
(4) However, if at the same visit the claimant receives a treatment and a more com‐ prehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.

(5) The amount that the Corporation is liable to pay for treatment under this regu‐ lation 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 personal injury.
(6) This regulation is subject to regulation 15.

Regulation 14(1)(b): amended, on 1 April 2012, by regulation 5(1) of the Injury Prevention, Rehabili‐ tation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regula‐ tions 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 Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
Regulation 14(2)(a): replaced, on 1 December 2018, by regulation 8 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2018 (LI 2018/215).

Regulation 14(2)(a)(i): amended, on 1 May 2021, by regulation 8(1) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 14(2)(a)(ii): amended, on 1 May 2021, by regulation 8(2) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 14(2)(a)(iii): amended, on 1 May 2021, by regulation 8(3) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 14(2)(a)(iv): amended, on 1 May 2021, by regulation 8(4) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
11 r 15 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 15 Medical practitioners’ and nurses’ costs for combined treatment (1) 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”.
(2) For each combined visit the Corporation is liable to pay— (a) whichever of the following applies: (i) (ii) (iii) (iv) $61.16, if the claimant is under 14 years old when the visit takes place: $35.74, if the claimant is 14 years old or over when the visit takes place and is not the holder of a community services card or the dependent child of a holder: $57.47, if the claimant is 14 years old or over when the visit takes place and is the holder of a community services card: $62.80, if the claimant is 14 years old or over but under 18 years old when the visit takes place and is the dependent child of a holder of a community services card; plus (b) the amount specified for any treatment the claimant receives.
(3) If the claimant receives 2 or more treatments at the same combined visit, for different injuries, and the nurse and the medical practitioner worked together on each treatment, the Corporation is liable to pay— (a) (b) 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.
(4) If the claimant receives 2 or more treatments at the same combined visit, for different injuries, and the nurse and the medical practitioner worked separately on each treatment, the Corporation is liable to pay— (a) to the nurse— (i) (ii) the amount specified for the more or most expensive treatment the claimant receives from the nurse; plus 50% of the amount specified for any other treatment the claimant receives from the nurse; and (b) to the medical practitioner— 12 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 15 (i) (ii) the amount specified for the more or most expensive treatment the claimant receives from the medical practitioner; plus 50% of the amount specified for any other treatment the claimant receives from the medical practitioner.
(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 specified for the more comprehensive treatment.
(6) (7) The amount that the Corporation is liable to pay for treatment under this regu‐ lation includes a contribution to the cost of the nurse and the medical practi‐ tioner using the most effective treatment materials available to the nurse and medical practitioner, 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 practi‐ tioner for a visit under this regulation, the Corporation 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 receives; or (b) under any of the provisions contained in regulation 13 or regulation 14.
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, Rehabili‐ tation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regula‐ tions 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): replaced, on 1 December 2018, by regulation 9 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2018 (LI 2018/215).

Regulation 15(2)(a)(i): amended, on 1 May 2021, by regulation 9(1) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 15(2)(a)(ii): amended, on 1 May 2021, by regulation 9(2) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 15(2)(a)(iii): amended, on 1 May 2021, by regulation 9(3) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 15(2)(a)(iv): amended, on 1 May 2021, by regulation 9(4) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 15(3): amended, on 19 September 2004, by regulation 7(4) 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): 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).
13 r 15A Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 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 Contribute 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 Contribute to Cost of Treatment) Amendment Regulations 2004 (SR 2004/318).
15A Nurse practitioners’ costs (1) This regulation applies if— (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 “Medical practitioners’, nurses’, and nurse practitioners’ costs”.
(2) For each visit the Corporation is liable to pay— (a) whichever of the following applies: (i) (ii) (iii) (iv) $53.44, if the claimant is under 14 years old when the visit takes place: $28.02, if the claimant is 14 years old or over when the visit takes place and is not the holder of a community services card or the dependent child of a holder: $50.07, if the claimant is 14 years old or over when the visit takes place and is the holder of a community services card: $54.96, if the claimant is 14 years old or over but under 18 years old when the visit takes place and is the dependent child of a holder of a community services card; plus (b) the amount specified for any treatment the claimant receives.
(3) If the claimant receives 2 or more treatments at the same visit, for different injuries, the Corporation is liable to pay— (a) (b) the amount specified for the most expensive treatment the claimant receives; plus 50% of the amount specified for each other treatment the claimant receives.
14 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 16 (4) However, if at the same visit the claimant receives a treatment and a more com‐ prehensive treatment for the same injury, the Corporation is liable to pay only the amount specified for the more comprehensive treatment.
(5) The amount that the Corporation is liable to pay for the treatment under this regulation includes a contribution to the cost of the nurse practitioner using the most effective treatment materials 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 Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2012 (SR 2012/11).
Regulation 15A(2)(a): replaced, on 1 December 2018, by regulation 10 of the Accident Compensa‐ tion (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2018 (LI 2018/215).

Regulation 15A(2)(a)(i): amended, on 1 May 2021, by regulation 10(1) of the Accident Compensa‐ tion (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 15A(2)(a)(ii): amended, on 1 May 2021, by regulation 10(2) of the Accident Compensa‐ tion (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 15A(2)(a)(iii): amended, on 1 May 2021, by regulation 10(3) of the Accident Compensa‐ tion (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 15A(2)(a)(iv): amended, on 1 May 2021, by regulation 10(4) of the Accident Compensa‐ tion (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
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 medi‐ cine 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 “Specialists’ costs”.
(2) For the first visit that the claimant has, the Corporation is liable to pay— (a) either— (i) $97.66, if the visit was with a specialist practising within any of the following recognised branches of medicine: (A) (B) (C) (D) (E) internal medicine: neurosurgery: occupational medicine: paediatrics: psychological medicine or psychiatry: 15 r 17 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 (F) rehabilitation medicine; or (ii) $76.57, if the visit was with a specialist practising within any other recognised branch of medicine; plus (b) the amount specified for any treatment the claimant receives.
(3) 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) $38.29; plus the amount specified for any treatment the claimant receives.

(4) If the claimant receives 2 or more treatments at the same visit, the Corporation is liable to pay— (a) (b) 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.
(5) However, if at the same visit the claimant receives a treatment and a more com‐ prehensive 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).

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 May 2021, by regulation 11(1) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Regulation 16(2)(a)(ii): amended, on 1 May 2021, by regulation 11(2) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
Regulation 16(3)(a): amended, on 1 May 2021, by regulation 11(3) of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).

Specified treatment providers’ costs This regulation applies to the treatments specified in the Schedule under the heading “Specified treatment providers’ costs”.
17 (1) 16 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 r 18 (2) A treatment provider may elect not to be paid the amount specified in item TMT for any treatment that a claimant receives by giving the Corporation a written notice of election.
(3) If the Corporation receives a notice of election, the Corporation is liable to pay the lesser of— (a) (b) $60.14 an hour; or the rate per hour the provider would have charged the claimant for treat‐ ing personal injuries of the kind suffered by the claimant.
The provider may revoke an election under subclause (2) by giving the Corpor‐ ation a written notice of revocation, but may give another written notice of election only if the Corporation first gives written consent allowing the pro‐ vider to make a re-election.

Regulation 17(3)(a): amended, on 1 May 2021, by regulation 12 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
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).
(4) 18 (1) (2) (3) Subject to subclause (4), the claimant must then— (a) (b) (c) decide to accept the nominated provider; or decide not to accept the nominated provider and choose a provider (chosen provider); or choose a provider (because the Corporation has not nominated a pro‐ vider under subclause (2)).
Before the claimant decides whether to accept the nominated provider, the Cor‐ poration must tell the claimant that the Corporation 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) (b) (c) a district health board; or a nominated provider; or a provider described in subclause (3)(c).
The Corporation is liable to pay 60% of the amount that would have been pay‐ able under this regulation had the surgery been performed by the nominated provider, if— (a) (b) the Corporation nominated a provider under subclause (2); and the surgery is performed by the chosen provider; and (4) (5) (6) 17 r 19 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 (c) the chosen provider is not a district health board.
GST 19 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 Contribute 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).

Revocations Revocations The Accident Insurance (Insurer’s Liability to Pay Cost of Treatment) Regula‐ tions 1999 are revoked.
20 (1) (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.
18 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Schedule Schedule Costs of treatment Schedule: replaced, on 1 May 2021, by regulation 13 of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regulations 2021 (LI 2021/41).
rr 6, 7, 9–17 Item number Treatment Dentists’ costs Examination Dental consultation, including examination Periodic oral examination or review Extended initial examination (complex cases relating to dental implants, orthodontics, and advanced restorative work), including study models, photographs, and tomography Radiological examination and interpretation Periapical or bitewing film (each) Occlusal (each) Panorex Other additional images (per treatment episode) Acute sedation (IV only) (initial consultation only) Emergency temporary cover Emergency temporary cover General oral surgery Extractions Extraction of permanent or rooted deciduous tooth (per first tooth) Surgical removal of tooth, including insertion and removal of sutures Extraction of subsequent permanent or deciduous tooth in the same quadrant arch as for DG1 Surgery Management of lacerations by suturing (per operative site) Incision and drainage abscess cellulitis Excision of traumatic mucous cyst Splint application or removal (for 3 splint units) Cleaning of wound and removal of debris Reduction of fractured alveolar process Repositioning of displaced tooth (per tooth) or replacing avulsed tooth Occlusal adjustment (simple) 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) Complex amalgam restoration Non-metallic simple fillings (including 2 fillings on the one surface) Non-metallic filling (2 or more surfaces per tooth) DE1 DE2 DE3 DX1 DX2 DX3 DX4 DX7 DT1 DG1 DG2 DG4 DG5 DG7 DG8 DG10 DG11 DG14 DG15 DG17 DG22 DG23 DR1 DR2 DR3 DR6 DR7 Cost ($) 47.55 30.57 131.28 23.77 23.77 62.13 9.38 164.09 46.03 122.79 196.91 67.10 127.99 144.39 170.66 98.45 45.00 95.85 47.91 31.92 137.45 196.91 87.20 114.06 165.01 100.60 134.17 19 Schedule Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 Item number Treatment DR8 DR9 Rebonding
 tooth fragment or coronal portion Complex reconstruction in composite resin (direct) Prosthodontics Plastic denture (1 tooth—material of choice) Each additional tooth (all dentures) Metal-framed partial denture (1 tooth) Transitional denture replacing missing tooth or teeth Full upper or lower denture Reline or rebase denture Repair (all types) Addition of tooth to existing denture (includes additional tooth) Crown and bridge Inlay or onlay and veneers Indirect inlay or onlay Porcelain veneer Composite resin veneer Post (wrought or preformed) Composite or amalgam core Cast post and core (metal or ceramic) Crowns All ceramic crown Porcelain fused to metal crown Cast gold crown (full and three-quarters) Bridges Maryland bridge Composite bridge (per unit) Re-cementing crown, bridge, veneer, or inlay Non-composite bridge (on injured teeth that meet the requirement for a crown) (3 units) Replacement of non-composite bridge Endodontics Pulpotomy or pulpectomy Irrigation and dressing of root canal system Complete preparation and obturation of root canal (per canal)—open or closed apex Apicectomy and retrograde filling (per canal) Removal of root filling (per canal) Removal of post, post crown, or crown Bleaching, 1 non-vital tooth (per treatment) Pulp capping Removal of fractured post or instrument Repair of perforation Negotiation of calcified canal (can be used with item DN3) Periodontics Cost ($) DP1 DP2 DP5 DP7 DP8 DP11 DP13 DP14 DC3 DC6 DC7 DC8 DC9 DC11 DC15 DC16 DC17 DC19 DC20 DC25 DC26 DC27 DN1 DN2 DN3 DN5 DN6 DN7 DN8 DN9 DN10 DN11 DN13 20 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 DM1 DM2 DM3 DM4 DM5 DM6 DM7 Item number Treatment DD1 DD2 DD4 DD7
 DD8 DD9 Gingivectomy Crown lengthening (per tooth) Subgingival curettage (per tooth) 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 Dental consultation (including examination) Temporary crown Temporary bridge Surgical decoronation Removal of deciduous teeth DY1 DY14 DY15 DY21 DY22 Hyperbaric oxygen treatment costs H1 H2 H3 H4 Medical practitioners’, nurses’, and nurse practitioners’ costs Neurological assay before recompression Neurological assay after recompression In-chamber treatment supervision (per hour) Out-of-chamber treatment supervision (per hour) Burn or abrasion Treatment of burn not exceeding 4 cm² Treatment of burn at single site exceeding 4 cm² Treatment of significant abrasions not exceeding 4 cm² at single site Treatment of significant abrasions exceeding 4 cm² at single site Significant burns or abrasions (not including fractures) at multiple sites (exceeding 4 cm²): necessary wound cleaning, preparation, and dressing Dislocation Dislocation of finger or toe with splint or 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 immobilisation MB1 MB2 MB3 MB4 MB5 MD1 MD2 MD3 MD4 MD5 Schedule Cost ($) Schedule Accident Compensation (Liability to Pay or Contribute to Cost of
 Treatment) Regulations 2003 Reprinted as at 1 May 2021 Item number Treatment Fracture Fractured finger or toe (proximal, middle, or distal phalanx): closed reduction and immobilisation Fractured finger or toe (proximal, middle, or distal phalanx): requiring local anaesthetic Fractured metatarsal: closed reduction (not requiring cast): closed reduction, immobilisation by strapping Fractured metacarpal(s) hand: with or without local anaesthetic, immobilisation by strapping Fractured carpal bone, including scaphoid: treatment by 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 immobilisation Fractured clavicle 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 immobilisation Fractured distal humerus (supracondylar or condylar): treatment by cast immobilisation Fractured proximal or shaft humerus: immobilisation by collar and cuff or U- slab Fractured shaft tibia or fibula, or both: treatment by cast immobilisation with reduction Fractured distal tibia or fibula, or both: treatment by cast immobilisation with reduction Fractured fibula (without tibial fracture): immobilisation with soft tissue strapping Miscellaneous 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 Nail, removal 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 MF1 MF2 MF3 MF4 MF5 MF6 MF7 MF8 MF9 MF10 MF11 MF12 MF13 MF14 MF15 MF16 MM1 MM2 MM3 MM4 MM5 MM6 MM7 MM8 22 Cost ($) 37.18 51.40 37.18 51.40 115.79 165.37 165.37 69.51 115.79 138.44 115.79 115.79 70.22 165.37 165.37 70.22 28.96 57.91 23.19 96.49 31.18 72.40 27.05 42.76 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Item number Treatment MW1 MW2 MW3 MW4 MT1 MT2 MT3 Open wound 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 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 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 Amputation of digit, including use of anaesthetic, debridement 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 requiring crepe bandage or similar immobilisation not requiring formal strapping 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 subcutaneous tissue or space (with or without injection) Extensor tendon: primary repair Ruptured Achilles tendon: management by
 plaster immobilisation MT4 MT5 Radiologists’ costs Extremities Sternum Sternoclavicular joints Clavicle Acromio-clavicular joints Scapula Shoulder Humerus Elbow joint Forearm Hand or wrist joint, or both Wrist or hand for bone age Upper limb (infant) Sacroiliac joints Pelvis or both hips (1 projection) Hip joint (more than 1 projection) Femur Knee joint Knee joint (and intercondylar or axial) Tibia and fibula Ankle joint Foot RA01 RA02 RA03 RA04 RA05 RA06 RA07 RA08 RA09 RA10 RA11 RA15 RA21 RA22 RA25 RA26 RA27 RA28 RA29 RA30 RA32 Schedule Cost ($) Schedule Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 Item number Treatment RA35 RA40 Long legs (hips to ankles), including measurement Lower limb (infant) Head, neck, and spine Cervical spine Thoracic spine Lumbar spine, including lumbosacral joint Sacro-coccygeal spine Spine (scoliosis views) Skull Nasal bones Facial bones Optic foramina Auditory canals (plain films only) Nasal sinuses Nasopharynx Mastoids (bilateral) Larynx or trachea, or both Upper teeth Lower teeth Mandible or OPG or lateral cephalogram Temporo-mandibular joints Salivary gland Pharynx Chest, including breast Thoracic inlet Chest (1 view) Chest (more than 1 view) Chest and thoracic cage Chest and both oblique views Mammography Screening mammogram Recall mammogram Problem mammogram bilateral Problem mammogram unilateral Needle localisation Galactogram Breast aspiration biopsy Breast biopsy with stereotaxis GI, GU, and obstetrics—no contrast modifiers permitted Radiology Abdomen (1 projection) Abdomen (2 or more projections) Pelvimetry (1 view) Pelvimetry (2 or more views) RB01 RB02 RB03 RB04 RB08 RB10 RB12 RB13 RB14 RB16 RB21 RB22 RB23 RB24 RB31 RB32 RB33 RB34 RB35 RB37 RC05 RC06 RC07 RC08 RC09 RC31
 RC32 RC35 RC36 RC40 RC41 RC45 RC46 RD01 RD02 RD07 RD08 24 Cost ($) Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 RS42 RS43 RS44 RS46 RS61 RS62 RS63 RS70 RS71 RS73 RD10 RD11 RD13 RD14 RD15 RD20 RD30 RD40 RD44 RD45 RD46 RD47 Item number Treatment 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 tomography 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 US abdomen US abdomen and pelvis US renal tracts US abdominal aorta (without Doppler) US pelvis (transabdominal only) Infants US infant head US infant pylorus US infant heart US infant hips US infant miscellaneous Various US thyroid or neck US scrotum and testes US breast US veins US eye US chest RU20 RU21 RU22 RU23 RU24 RU25 RU01 RU02 RU03 RU04 RU06 RU10 RU11 RU12 RU13 RU19 Schedule Cost ($) Schedule Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 Item number Treatment RU27 RU28 RU29 US injection or aspiration US additional region US miscellaneous Skeletal US
 shoulder US musculo-skeletal US foreign body localisation US skeletal miscellaneous Intracavitary US prostate US anus or rectum US female pelvis (includes transvaginal and transabdominal, or transvaginal only) US trans-oesophageal US intraoperative US intracavitary (miscellaneous) Vascular Duplex or Doppler of chest Duplex or Doppler of additional limb (arterial or venous) Pregnancy US routine pregnancy less than 28 weeks US problem pregnancy US pregnancy exceeding 28 weeks US with amniocentesis US pregnancy (per extra foetus exceeding 1) Additional X-ray additional region Domiciliary X-ray (in addition) RU30 RU31 RU32 RU39 RU40 RU41 RU42 RU43 RU44 RU49 RU51 RU56 RU60 RU61 RU62 RU64 RU68 RX24 RX25 Specialists’ costs Repair recent wound Not exceeding 7 cm (superficial) Not exceeding 7 cm (deeper tissue) Exceeding 7 cm (superficial) Exceeding 7 cm (deeper tissue) Fractures (closed reduction) Phalanges Metacarpals (excluding Bennett’s fracture) Metatarsals Bennett’s fracture Carpal bones Colles’ fracture Radius and ulna—shafts Radius—head and neck Humerus SR1 SR2 SR3 SR4 SF1 SF2 SF3 SF4 SF5 SF6 SF7 SF8 SF9 26 Cost ($) Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Item number Treatment SF10 SF11 SF12 SF13 SF14 SF15 SF16 SF17 Talus—neck Calcaneus Other tarsals Ankle—fracture dislocation (Pott’s fracture) Tibia and fibula—shaft Tibia and fibula—upper end Tibia and fibula—involving joint traction Femur, any site (with or without traction) 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 or 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) SH1 SH2 SH3 SB1 SB2 SB3 SB4 SB5 SB6 SB7 SD1 SD2 SD3 SD4 SP1 SP2 SP3 SP4 SM1 SM2 SM3 SM4 Specified treatment providers’ costs POD3 Podiatry: abscess or haematoma: drainage with incision (with or without local anaesthetic agent) Podiatry: nail, simple removal Podiatry: nail, removal or wedge resection requiring the use of digital anaesthesia X-ray services provided by chiropractor (maximum of 2 films per claimant per personal injury) Any other treatment POD4 POD5 XRAY TMT Schedule Cost ($) Schedule Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Reprinted as at 1 May 2021 Diane Morcom, Clerk of the Executive Council.
Issued under the authority of the Legislation Act 2012.

Date of notification in Gazette: 18 December 2003.

28 Reprinted as at 1 May 2021 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 Notes Reprints notes 1 General This is a reprint of the Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Regulations 2003 that incorporates all the amendments to those regulations as at the date of the last amendment to them.
2 Legal status Reprints are presumed to correctly state, as at the date of the reprint, the law enacted by the principal enactment and by any amendments to that enactment.

Section 18 of the Legislation Act 2012 provides that this reprint, published in electronic form, has the status of an official version under section 17 of that Act.

A printed version of the reprint produced directly from this official elec‐ tronic version also has official status.
3 Editorial and format changes Editorial and format changes to reprints are made using the powers under sec‐ tions 24 to 26 of the Legislation Act 2012.

See also http://www.pco.parlia‐ ment.govt.nz/editorial-conventions/.
4 Amendments incorporated in this reprint Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regula‐ tions 2021 (LI 2021/41) Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regula‐ tions 2018 (LI 2018/215) Radiation Safety Act 2016 (2016 No 6): section 99 Accident Compensation (Liability to Pay or Contribute to Cost of Treatment) Amendment Regula‐ tions 2013 (SR 2013/138) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treat‐ ment) Amendment Regulations 2012(SR 2012/11) Accident Compensation Amendment Act 2010 (2010 No 1): section 5(1)(b) Injury Prevention, Rehabilitation, and Compensation (Liability to Pay or Contribute to Cost of Treat‐ ment) Amendment Regulations 2004 (SR 2004/318) Wellington, New Zealand: Published under the authority of the New Zealand Government—2021 29