Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2023

Dental Care Gazette 2023

Dental Services Tariff of Fees as from 1 April 2023 (Practice Type 54, 62 & 94)

I. General Dental Practitioners

D. Endodontics

Purchase

D. ENDODONTICS

* Preamble:

The Health Professions Council of SA has ruled that, with the exception of diagnostic intra-oral radiographs, fees for only three further intra-oral radiographs may be charged for each completed root canal therapy on a single-canal tooth; or a further five intra-oral radiographs for each completed root canal therapy on a multi-canal tooth

2.	The fee for the application of a rubber dam (See tariff code 8304 in the category "Adjunctive General Services") may only be charged concurrent with the following procedures:

-	Gross pulpal debridement, primary and permanent teeth, for the relief of pain (tariff code 8132)

-	Apexification of a root canal (tariff code 8305)

-	Ceramic and or resin inlays (tariff codes 8371 to 8374)

-	Pulpotomy (tariff code 8307)- Complete root canal therapy (tariff codes 8328, 8329 and 8332 to 8340)

-	Removal or bypass of a fractured post or instrument (tariff code 8330).

-	Bleaching of non vital teeth (tariff codes 8325 and 8327) and

-	Ceramic and or resin inlays (tariff codes 8371 to 8374)

3.	After endodontic preparatory visits (tariff codes 8332, 8333 and 8334) have been charged, fees for endodontic treatment completed at a single visit (tariff codes 8329, 8338, 8339 and 8340) may not be levied

4.	Where tariff code 8132 is charged, no other endodontic procedures may be charged at the same visit on the same tooth. Tariff codes 8338, 8329, 8339 and 8340 (single visit) may be charged at the subsequent visit, even if tariff code 8132 was used for the initial relief of pain.

5.	No other endodontic procedure may, in respect of the same tooth, be charged concurrent to tariff code 8307 and a completed root canal therapy should not be envisaged (tariff code 8304 excluded)

Code	Procedure description	DM/+L	MP	TC	General Dental Practice (054)	Maxillo-facial and Oral Surgery (062)	Prosthodontics (094)
PULP CAPPING
8301	Direct pulp capping		T	B	240.67	-	-
	This procedure involves the covering of the exposed dental pulp with a pretective material to stimulate repair of the injured pulpal tissue. Excludes the final restoration.
8303	Indirect pulp capping The permanent filling is not completed at the same visit		T	B	240.67	-	-
	This procedure involves the covering of the nearly exposed pulp with a protective material to protect it from external irritants and to promote healing. Excludes the final restoration.
PULPOTOMY
8307	Amputation of pulp (pulpotomy)		T	B	154.88	-	154.88
	This procedure involves the removal of a portion of the tooth's pulp and the placement of a medicament to fix or modify the superficial pulp tissue. Excludes the final restoration. This tariff code should not be used as the first stage of root canal therapy and may not be reported with other root canal therapy tariff codes on the same tooth. Report tariff code 8304 (application of a rubber dam) in addition to this code
8132	Pulp removal (pulpectomy)		T	B	320.24	-	320.24
	This procedure involves the removal of the complete pulp from the pulp chamber and root canal(s) for the relief of acute pain prior to root canal therapy. The tariff code is intended to be used for the emergency treatment of acute pain and should not be reported as the first stage of scheduled endodontic treatment. The practitioner reappoints the patient for complete root canal therapy at a later date. Report tariff code 8304 (application of a rubber dam) in addition to this tariff code.
ENDODONTIC THERAPY (including the treatment plan, clinical procedures and follow-up care)
	Does not include diagnostic evaluation and necessary radiographs/diagnostic images. Limitation: Intra-operative radiographs/diagnostic images are limited to three on a single canal tooth and five on a multi-canal tooth for each completed endodontic therapy. Report tariff code 8304 (application of a rubber dam) in addition to these tariff codes
Preparatory Visits (Obturation not done at same visit)
8332	Root canal preparatory visit - single canal tooth		T	B	198.24	-	198.24
	Limitation: A maximum of four visits per tooth may be charged.
8333	Root canal preparatory visit - multi canal tooth		T	B	483.37	-	483.37
	Limitation: A maximum of four visits per tooth may be charged.
Obturation of canals at a subsequent visit
	Tariff codes 8328, 8335, 8336 and 8337 (obturation of root canals at a subsequent visit) are intended to be used in conjunction with tariff codes 8332, 8333 and 8334 (endodontic preparatory visits and re-preparation of previously obturated canal).
8335	Root canal obturation - anteriors and premolars - first canal		T	B	903.23	-	903.23
8328	Root canal obturation - anteriors and premolars - each additional canal		T	B	347.66	-	347.66
8336	Root canal obturation - posteriors - first canal		T	B	1241.00	-	1241.00
8337	Root canal obturation - posteriors - each additional canal		T	B	367.64	-	367.64
Complete Therapy (Preparation and obturation of root canals completed at a single visit)
	Tariff codes 8329, 8338, 8339 and 8340 (endodontic treatment completed at a single visit) may not be used with tariff codes 8332, 8333 and 8334 (endodontic preparatory visits and re-preparation of previously obturated canal).
8338	Root canal therapy - anteriors and premolars - first canal		T	B	1378.12	-	1378.12
8329	Root canal therapy - anteriors and premolars - each additional canal		T	B	438.01	-	438.01
8339	Root canal therapy - posteriors - first canal		T	B	1892.94	-	1892.94
8340	Root canal therapy - posteriors - each additional canal		T	B	461.60	-	461.60
ENDODONTIC RETREATMENT
8334	Re-preparation of previously obturated canal, per canal		T	B	293.22	-	439.83
	This procedure includes the removal of old root canal filling material and the procedures necessary to prepare the canals to place the canal filling. Report 8334 per canal. See tariff codes 8328, 8335, 8336 and 8337 for the obturation of root canals. This procedure excludes the removal of endodontic posts (tariff code 8330). Report tariff code 8304 (application of a rubber dam) in addition to this code. Note (Applicable to prosthodontist only): Procedure tariff codes 8631, 8633 and 8334 include all X-rays and repeat visits.
PERIRADICULAR PROCEDURES
9015	Apicectomy including retrograde root filling where necessary anterior tooth		T	S	968.94	1453.34	1453.34
9016	Apicectomy including retrograde root filling where necessary posterior tooth		T	S	1447.44	2909.91	2171.05
Other endodontic procesures
8136	Access through a prosthetic crown or inlay to facilitate root canal treatment		T	B	154.48	-	154.48
8325	Bleaching of non-vital teeth, per tooth as a separate procedure		T	A	446.89	-	446.89
8327	Each additional visit for bleaching of non-vital tooth as a separate procedure		T	A	212.36	-	212.36