Fee schedule

DVA occupational therapy fee schedule 2026-27

From 1 July 2026 DVA pays $134.35 (GST-free) for an initial or subsequent occupational therapy consultation in rooms (items OT01 and OT07), up from $130.90. Home visits pay $168.00. Aids assessment items run from a $131.35 follow-up to a $302.30 special consultation for major home modifications, and remote area travel pays $1.15 per kilometre.

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 38 occupational therapy items

Claiming notes

• Card types: a Veteran Card, All Conditions (the Gold Card) covers clinically necessary occupational therapy for all conditions. A Veteran Card, Specific Conditions (the White Card) covers accepted conditions only, so confirm eligibility before the first appointment.
• 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.
• Only one consultation of any type, treatment or aids assessment, can be claimed for the same client on the same day. Standard and extended aids assessments count as the initial consultation for a treatment cycle when they are the first service.
• Special consultations (OT40, OT41) are only for major structural home modifications, ramps, water lifts, stair climbers, and OT41 specifically needs an in-depth follow-up such as a pre or post construction visit.
• Report items (OT50, OT51) are not for creating or maintaining ordinary client records. OT50 attaches to a direct order form, prior approval form or post modification assessment, and OT51 only where a detailed structural diagram is required.
• Remote area allowance (OT80) applies only when you travel more than 50km from your normal place of business, you are the nearest suitable provider, and you claim from the nearest practice location to the client's home. Claim it as a separate item alongside the consultation.
• Lymphoedema treatment (OT26) needs recognised postgraduate certification sent to DVA before your first claim, and cannot be provided to a client already receiving lymphoedema treatment from a DVA recognised physiotherapist lymphoedema therapist.
• Consumables, splints and small aids (OT71 to OT75) are maximum fees, not set prices. Claim the invoiced cost only, and anything above the schedule's cap needs prior financial authorisation. Everything else must be sourced through DVA's Rehabilitation Appliances Program (RAP).
• Treatment cycle: the end of cycle report (OT90) is claimable once per cycle, only after it reaches the client's usual GP, and does not apply to lymphoedema treatment, case conferencing, travel, assessment reports, consumables or freight.
• How to claim: DVA Webclaim is free through Health Professional Online Services (HPOS) via PRODA and pays within 2 business days. Claims must reach Services Australia within 2 years of the date of service.

Load these fees into your practice software

1. Cliniko supports 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. Occupational therapy mixes GST-free consultations with taxable reports (OT50, OT51), taxable freight (OT72, OT98) and OT90, so check the Taxable column row by row rather than applying one setting to the whole list.
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 OT01) in Item code, a name that starts with DVA (for example "DVA OT01 Treatment, initial consultation") so reception can find it, the fee from the table above in Price (ex. tax), and service in Item type.
4. For OT71 to OT75, OT81 and OT98 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.
5. Add OT80, the remote area allowance, as a per kilometre item so it can be added as a second line alongside a home visit or major modification assessment.
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.