Navigating the National Disability Insurance Scheme (NDIS) as an independent therapist can be overwhelming, especially when it comes to billing correctly. If you’re a sole trader providing Counselling, Occupational Therapy, Psychology, Physiotherapy, Speech Therapy, or Music Therapy, understanding the right line item codes and pricing structure is crucial to running a compliant and profitable practice.
In this guide, we’ll break down the essential NDIS line item codes for independent therapists, outline the requirements for charging the correct fees, and introduce how Blueset can streamline your invoicing and financial management.
NDIS Pricing and Line Item Codes for Therapists
NDIS line item codes specify the type of service provided and the maximum allowable fee under the NDIS pricing arrangements. Here are the key line item codes for various therapy services:
- Counselling
Item Code: 15_043_0128_1_3
Item Name: Counselling
Description: Counselling support provided by a qualified therapist to assist participants in managing emotional and psychological challenges.
Requirements: Counsellors must hold appropriate accreditation (e.g., PACFA, ACA) and adhere to professional standards.
- Occupational Therapy (OT)
Item Code: 15_617_0128_1_3
Item Name: Assessment, Recommendation, Therapy, and/or Training – Occupational Therapy
Description: Occupational therapy support, including assessments, therapy interventions, and training to improve daily living and functional abilities.
Requirements: Must be a registered Occupational Therapist with AHPRA.
- Psychology
Item Code: 15_054_0128_1_3
Item Name: Assessment, Recommendation, Therapy, and/or Training – Psychology
Description: Psychological interventions and assessments to support mental health and emotional well-being.
Requirements: Must be a registered Psychologist with AHPRA and hold an appropriate professional indemnity insurance policy.
- Physiotherapy
Item Code: 15_055_0128_1_3
Item Name: Assessment, Recommendation, Therapy, and/or Training – Physiotherapy
Description: Physiotherapy services for mobility improvement, pain management, and rehabilitation support.
Requirements: Must be an AHPRA-registered Physiotherapist.
- Speech Therapy (Speech Pathology)
Item Code: 15_056_0128_1_3
Item Name: Assessment, Recommendation, Therapy, and/or Training – Speech Pathology
Description: Speech therapy support for communication and swallowing disorders, including assessments and interventions.
Requirements: Must be a Speech Pathologist registered with Speech Pathology Australia.
- Music Therapy
Item Code: 15_050_0128_1_3
Item Name: Assessment, Recommendation, Therapy, and/or Training – Music Therapy
Description: The use of music-based interventions to enhance emotional, cognitive, and social well-being.
Requirements: Must be a registered Music Therapist with the Australian Music Therapy Association (AMTA).
How to Ensure You’re Charging the Correct Fee
To charge the correct fee, independent therapists must:
Check the latest NDIS Pricing Arrangements and Limits. The NDIS regularly updates pricing, so staying informed is essential.
Be appropriately qualified. Ensure you meet all professional registration and accreditation requirements.
Have a valid Service Agreement. Agreements with NDIS participants should specify the services, pricing, and frequency of support.
Use the correct line item codes. Entering incorrect codes can lead to claim rejections and payment delays.
How Blueset Simplifies NDIS Billing for Independent Therapists
Handling invoicing, payments, and financial tracking can be time-consuming for independent therapists. Blueset offers a seamless solution, integrating NDIS line item codes directly into its practice management system.
With Blueset, you can:
✅ Automatically apply the correct NDIS line item codes to your invoices.
✅ Ensure compliance with NDIS pricing rules to avoid claim rejections.
✅ Generate professional invoices in just a few clicks.
✅ Track payments and outstanding invoices effortlessly.
✅ Simplify record-keeping for end-of-year tax and compliance reporting.
Final Thoughts
As an independent therapist under the NDIS, using the correct line item codes and staying on top of billing requirements is essential for a successful practice. Blueset takes the hassle out of invoicing, helping you focus on what you do best—providing quality care to your clients.
Ready to streamline your practice? Join Blueset today and take control of your NDIS billing with ease!