Fee schedule
DVA exercise physiology fee schedule 2026-27
From 1 July 2026 DVA pays $77.10 (plus GST, taxable) for an initial or subsequent exercise physiology consultation in rooms (items EP10 and EP11), up from $75.10. Group sessions and supervised group aquatic sessions each pay $34.50 per client. Unlike physiotherapy, DVA treats exercise physiology as taxable, so add 10 per cent GST to every fee in the schedule.
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
What changed this year
- Every dollar fee rose by roughly 2.6 per cent against the 1 July 2025 schedule. EP10 and EP11, the rooms consultations, moved from $75.10 to $77.10, and the group and aquatic group rate (EP30, EP32) from $33.60 to $34.50.
- No rules changed. The item structure, group size limits and telehealth restrictions carry over unchanged from the 1 July 2025 schedule.
- Exercise physiology is taxable across almost the whole schedule, the opposite of physiotherapy, chiropractic and osteopathy, which are GST-free for consultations. Only the case conferencing items (EP76 to EP78) are GST-free.
- TPI Gold Card holders sit outside the treatment cycle for exercise physiology, but their initial consultations are still capped at three in a 12 month period, each needing a new episode of care or a new, unrelated condition and referral.
All 26 exercise physiology items
| Item | Description | Fee | Previous |
|---|---|---|---|
| EP10 | Initial consultation, rooms, at least 20 minutes individual (taxable) | $77.10 | $75.10 |
| EP11 | Subsequent consultation, rooms, at least 20 minutes individual (taxable) | $77.10 | $75.10 |
| EP12 | Initial consultation, home (taxable) | $82.75 | $80.65 |
| EP13 | Subsequent consultation, home (taxable) | $77.10 | $75.10 |
| EP70 | Subsequent consultation, video conference (taxable) | $77.10 | $75.10 |
| EP71 | Subsequent consultation, phone, only when video is unavailable (taxable) | $77.10 | $75.10 |
| EP90 | End of cycle report, once per cycle, not for TPI card holders (taxable) | $35.40 | $34.50 |
| EP76 | GP initiated case conference, 15 to less than 20 minutes (GST-free) | $58.50 | $57.00 |
| EP77 | GP initiated case conference, 20 to less than 40 minutes (GST-free) | $100.30 | $97.75 |
| EP78 | GP initiated case conference, 40 minutes and over (GST-free) | $166.85 | $162.60 |
| EP14 | Public hospital, initial consultation, 1st client, prior authorisation only (taxable) | $82.75 | $80.65 |
| EP15 | Public hospital, initial consultation, 2nd and subsequent clients, prior authorisation only (taxable) | $77.10 | $75.10 |
| EP16 | Public hospital, subsequent consultation, 1st client, prior authorisation only (taxable) | $77.10 | $75.10 |
| EP17 | Public hospital, subsequent consultation, 2nd and subsequent clients, prior authorisation only (taxable) | $77.10 | $75.10 |
| EP18 | Private hospital, initial consultation, 1st client (taxable) | $82.75 | $80.65 |
| EP19 | Private hospital, initial consultation, 2nd and subsequent clients (taxable) | $77.10 | $75.10 |
| EP20 | Private hospital, subsequent consultation, 1st client (taxable) | $77.10 | $75.10 |
| EP21 | Private hospital, subsequent consultation, 2nd and subsequent clients (taxable) | $77.10 | $75.10 |
| EP26 | Residential aged care, initial consultation, 1st client (taxable) | $82.75 | $80.65 |
| EP27 | Residential aged care, initial consultation, 2nd and subsequent clients (taxable) | $77.10 | $75.10 |
| EP28 | Residential aged care, subsequent consultation, 1st client (taxable) | $77.10 | $75.10 |
| EP29 | Residential aged care, subsequent consultation, 2nd and subsequent clients (taxable) | $77.10 | $75.10 |
| EP30 | Group session, per client, 2 to 12 participants, at least 30 minutes, cannot be delivered by telehealth (taxable) | $34.50 | $33.60 |
| EP31 | Supervised individual aquatic exercise physiology, cannot be delivered by telehealth (taxable) | $77.10 | $75.10 |
| EP32 | Supervised group aquatic exercise physiology, per client, 2 to 12 participants, cannot be delivered by telehealth (taxable) | $34.50 | $33.60 |
| EP99 | Report or service specifically requested by DVA, prior authorisation, DVA advises the fee (GST applicable) | FBN | Specified at time of request |
What changed on 1 July 2026
DVA published a new exercise physiologists schedule of fees effective 1 July 2026, replacing the schedule that started on 1 July 2025. The change is indexation only, roughly 2.6 per cent across every item, with no change to the rules or item structure. EP10 and EP11, the standard rooms consultations, are now $77.10, up from $75.10.
Group and aquatic group sessions (EP30, EP32) moved from $33.60 to $34.50 per client, and the home initial (EP12) from $80.65 to $82.75. As with every other allied health schedule, DVA notes the 1 July 2026 documents were still being finalised at the time of publication, so check the PDF again before relying on a figure for a large claim run.
Exercise physiology is taxable, not GST-free
This is the biggest practical difference from physiotherapy, chiropractic, osteopathy and dietetics. Those disciplines are GST-free health services under the GST Act, but exercise physiology consultations are taxable, meaning DVA pays the schedule fee plus 10 per cent GST on top. Only the multi-disciplinary case conferencing items (EP76 to EP78) are GST-free. Get this wrong in your billing software and you either short claim by 10 per cent on every invoice or remit GST you never collected.
Group and aquatic sessions are also taxable, and DVA sets them at $34.50 per client for a session of 2 to 12 participants running at least 30 minutes. The gym or pool admission is included in that fee, and you cannot claim separate travel for getting from your rooms to the facility.
TPI Gold Card holders and the treatment cycle
The treatment cycle, a GP referral covering up to 12 sessions or one year, does not apply to exercise physiology for Totally and Permanently Incapacitated (TPI) Gold Card holders. That does not mean unlimited billing: their initial consultations are capped at three in a 12 month period, each one needs a new episode of care or a new and unrelated condition with its own referral, and the end of cycle report (EP90) can never be claimed for them.
For everyone else the standard cycle rules apply. One session per client per day across every type, individual, group or aquatic, and the end of cycle report can be sent after eight sessions but a full 12 should still be delivered before a new cycle starts.
Loading the schedule into Cliniko
With around 27 items, exercise physiology sits at a similar size to physiotherapy, but the GST setup is inverted: tick Taxable on almost everything and leave it blank only on the three case conferencing items. That is the opposite default from a physio or chiro import, so it is worth checking each row rather than copying a GST-free template from another discipline.
Build EP30 and EP32 as their own billable items priced per participant, since a group exercise class of eight veterans should generate eight invoice lines at $34.50 each, not one lump sum. When DVA republishes the schedule each 1 July, export your existing billable items, update only the Price column against the new PDF, and re-import with the price field only.
Claiming notes
- GST: unlike physiotherapy, chiropractic, osteopathy and dietetics, exercise physiology consultations are taxable, so DVA pays the schedule fee plus 10 per cent GST. Only the case conferencing items are GST-free.
- Card types: a Veteran Card, All Conditions (the Gold Card) covers clinically necessary exercise physiology for all conditions. A Veteran Card, Specific Conditions (the White Card) covers accepted conditions only, so confirm eligibility before the first session.
- 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.
- Duration: initial and subsequent individual consultations must run at least 20 minutes and be delivered to the client individually. A group session needs at least 30 minutes and 2 to 12 participants.
- One session per client per day: a consultation or session cannot be claimed on the same day as any other consultation or session for the same client, whether individual, group or aquatic.
- Group and aquatic sessions include gym or pool admission in the fee. You cannot claim travel separately for getting from your rooms to the gym or pool.
- Treatment cycle: up to 12 sessions or one year, whichever ends first, then a new GP referral. Claim the end of cycle report (EP90) once per cycle, only after you send it to the client's usual GP, and not at all for TPI Gold Card holders.
- Telehealth: only EP70 and EP71 exist, both subsequent consultations only. Group and aquatic sessions cannot be delivered by telehealth at all.
- How to claim: DVA Webclaim is free through Health Professional Online Services (HPOS) via PRODA and pays within 2 business days. Practice management software compatible with DVA claiming is the second option, and mail to Veterans' Affairs Processing, Services Australia, GPO Box 964, Adelaide SA 5001 is the slowest. Claims must reach Services Australia within 2 years of the date of service.
Load these fees into your practice software
- Cliniko supports bulk import of billable items. Go to Settings, then Data & docs, then Data imports, choose Billable items and click Import.
- Before importing, add a GST tax type under Settings if you have not already. Because most exercise physiology items are taxable, set the Taxable column to your GST tax type for every row except EP76, EP77 and EP78.
- 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 EP10) in Item code, a name that starts with DVA (for example "DVA EP10 Initial consultation, rooms") so reception can find it, the fee from the table above in Price (ex. tax), and service in Item type.
- Create separate billable items for EP30 (group) and EP32 (aquatic group), each priced per client, so invoicing multiple participants in one session is a case of adding the line once per attendee.
- Upload the CSV, click Next to match information, check each column matched, then click Import and finish. The items appear under Settings, Billable items.
- 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.
- 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.
Sources
- From 1 July 2026 DVA pays $77.10 (excluding GST, taxable) for EP10 initial consultation and EP11 subsequent consultation in rooms, and $34.50 per client for a group session (EP30). Department of Veterans' Affairs, checked 25 Sep 2026.
- Under the schedule effective 1 July 2025, EP10 and EP11 were $75.10 and the group session rate (EP30) was $33.60. Department of Veterans' Affairs, checked 25 Sep 2026.
- Exercise physiology consultations are marked taxable across the schedule, with only the multi-disciplinary case conferencing items (EP76 to EP78) shown as GST-free. Department of Veterans' Affairs, checked 25 Sep 2026.
- The treatment cycle does not apply to exercise physiology services for Totally and Permanently Incapacitated (TPI) Gold Card holders, whose initial consultations are capped at three in a 12 month period. Department of Veterans' Affairs, checked 25 Sep 2026.
- By accepting a Veteran Card you agree to accept the DVA fee as full payment and cannot charge the card holder a gap fee. Department of Veterans' Affairs, checked 25 Sep 2026.
- DVA Webclaim is free via HPOS through PRODA, pays within 2 business days, and all claims must be submitted within 2 years of the service. Department of Veterans' Affairs, checked 25 Sep 2026.
- Cliniko's data import tool can create billable items from a CSV with the fields Item code, Name, Price (ex. tax), Taxable and Item type. Cliniko, checked 25 Sep 2026.