Fee schedule

DVA physiotherapy fee schedule 2026-27

From 1 July 2026 DVA pays $77.10 (GST-free) for a physiotherapy initial or standard consultation in rooms (items PH10 and PH20), up from $75.10 under the 1 January 2026 schedule. Every set fee rose by about 2.6 per cent. The 12 session treatment cycle still applies, and you cannot charge the veteran a gap.

Last checked 25 Sep 2026 against the sources listed at the end of this page.

Payer

DVA

Effective from

1 Jul 2026

Official schedule

Source document

All 37 physiotherapy items

Claiming notes

• Card types: a Veteran Card, All Conditions (the Gold Card) covers clinically necessary physiotherapy for all conditions. A Veteran Card, Specific Conditions (the White Card) covers accepted conditions only, so confirm eligibility before the first treatment. The schedule still uses the Gold and White Card names.
• No gap: by accepting the card you agree to accept the DVA fee as full payment and cannot charge the veteran a gap fee.
• Referral: the client needs a valid referral from their GP. For an initial treatment cycle it can also come from a medical specialist, a treating hospital doctor or a hospital discharge planner.
• Treatment cycle: up to 12 sessions or one year, whichever ends first, then a new GP referral. Claim the end of cycle report (PH90) once per cycle, only after you send it to the client's usual GP. You may send it after eight sessions but should still provide 12 before a new cycle, and at least two sessions are needed before PH90 can be claimed on a short cycle.
• TPI card holders are outside the treatment cycle. Initial consultations for them need a new referral for a new episode or unrelated condition, with a maximum of three in 12 months, and PH90 cannot be claimed.
• One consultation per client per day. Standard consultation cannot be claimed on the same day as an initial consultation for the same client.
• Telehealth: only PH70 and PH71 exist. Initial and extended consultations cannot be delivered by permanent telehealth, and phone is only allowed when video is unavailable.
• Shaded items need prior financial authorisation before you treat. Request it at health.approval@dva.gov.au or on 1800 550 457 (option 3, then option 1).
• How to claim: DVA lists three ways. DVA Webclaim is free through Health Professional Online Services (HPOS) via PRODA and pays within 2 business days. Practice management software that is compatible with DVA claiming is the second, and mail to Veterans' Affairs Processing, Services Australia, GPO Box 964, Adelaide SA 5001 is the slowest. DVA's claiming page does not list HICAPS.
• Time limit: claims must reach Services Australia within 2 years of the date of service. Billing and claim enquiries go to 1300 550 017.
• Your provider number cannot be shared. If staff or software submit claims for you, the errors are still yours.

Load these fees into your practice software

1. Cliniko does support bulk import of billable items. Go to Settings, then Data & docs, then Data imports, choose Billable items and click Import.
2. Before importing, add a GST tax type under Settings if you have not already. The import matches the Taxable column against tax types that already exist in your account.
3. Build a CSV with a heading row and these columns: Item code, Name, Price (ex. tax), Taxable, Item type. Put the DVA code (for example PH20) in Item code, a name that starts with DVA (for example "DVA PH20 Standard consultation, rooms") so staff can find it, the fee from the table above in Price (ex. tax), and service in Item type.
4. Leave Taxable blank for the GST-free items. Set it to your GST tax type for the taxable items: PH90, PH93, PH98 and PH99.
5. For PH92 to PH96 the schedule fee is a maximum, not a set price. Either skip them and add the invoiced cost on the day, or import them with the maximum and edit the price on each invoice.
6. Upload the CSV, click Next to match information, check each column matched, then click Import and finish. The items appear under Settings, Billable items.
7. Each July, update prices in bulk rather than creating new items: export billable items as a CSV from Data exports, keep the Item ID column and the price column, change the prices, then import it again and enable only the price field. Cliniko warns there is no undo, so keep the original export.
8. To claim DVA from inside Cliniko you need the Tyro Health integration on a Tyro Health plan that includes DVA claiming. Store the client's DVA number in their patient file so it fills the claim form automatically.
9. DVA also publishes a dental and allied health software vendor file (XLSX and XML, effective 1 July 2026) on the fee schedules page, which you can use to cross check your codes and fees.