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

Ambulance Gazette 2023

Ambulance Tariff of Fees as from 1 April 2023 (Practice Type 09)

Tariffs and Codes

Purchase

CODE

DESCRIPTION OF SERVICE

BASIC LIFE SUPPORT

(Rule 001: Metropolitan area and long distance codes may not be claimed simultaneously)

Metropolitan area (less than 100 kilometres)

No invoice may be levied for distance back to the base in the metropolitan area

*102

Up to 60 minutes

2596.49

*103

Every 15 minutes (or part thereof) thereafter, where specially motivated

649.90

Long distance (more than 100km)

*111

Per km DISTANCE TRAVELLED WITH PATIENT

32.35

112

Per km NON PATIENT CARRYING KILOMETRES (With maximum of 400 km)

14.54

INTERMEDIATE LIFE SUPPORT

(Rule 001: metropolitan area and long distance codes may not be claimed simultaneously)

Metropolitan area (less than 100 kilometres)

No invoice may be billed for the distance back to the base in the metropolitan area

*125

Up to 60 minutes

3431.41

*127

Every 15 minutes (or part thereof) thereafter, where specially motivated

877.10

Long distance (more than 100 km)

*129

Per km DISTANCE TRAVELLED WITH PATIENT

43.81

130

Per km NON PATIENT CARRYING KILOMETRES (With maximum of 400 km)

14.54

* VAT Exempted codes

ADVANCED LIFE SUPPORT/INTENSIVE CARE UNIT

(Rule 001: Metropolitan area and long distance codes may not be claimed simultaneously)

Metropolitan area (less than 100 kilometres)

No invoice may be billed for the distance back to the base in the metropolitan area

*131

Up to 60 minutes

5445.76

*133

Every 15 minutes (or part thereof) thereafter, where specially motivated

1777.73

Long distance (more than 100 km)

*141

Per km DISTANCE TRAVELLED WITH PATIENT

78.81

142

Per km NON PATIENT CARRYING KILOMETRES (With maximum of 400 km)

14.54

* Vat Exempted codes

ADDITIONAL VEHICLE OR STAFF FOR INTERMEDIATE LIFE SUPPORT, ADVANCED LIFE SUPPORT AND INTENSIVE CARE UNIT

151

Resuscitation fee, per incident, for a second vehicle with paramedic and/or other staff (all materials and skills included)

Note: A resuscitation fee may only be billed for when a second vehicle (response vehicle or ambulance) with staff (including a paramedic) attempt to resuscitate the patient using full ALS interventions. These interventions must include one or more of the following:

•	Administration of advanced cardiac life support drugs

•	Cardioversion - synchronised or unsynchronised (defibrillation)

•	External cardiac pacing

•	Endotracheal intubation (oral or nasal) with assisted ventilation

Note applies to both resuscitation by ALS provider and Doctor

5975.90

153

Doctor per hour

Note: Where a doctor callout fee is charged the name, HPCSA registration number and BHF practice number of the doctor must appear on the bill. Medical motivation for the callout must be supplied.

Note applies to both resuscitation by ALS provider and Doctor

1717.32

AEROMEDICAL TRANSFERS

ROTOR WING RATES

Definitions:

1.	Helicopter rates are determined according to the aircraft type.

2.	Daylight operations are defined from sunrise to sunset (and night operations from sunset to sunrise).

3.	If flying time is mostly in night time (as per definition above), then night time operation rates (type C) should be billed.

4.	The call out charge includes the basic call cost plus other flying time incurred. Staff and consumables cost can only be charged if a patient were treated.

5.	Should a response aircraft respond to a scene (at own risk) and not render any treatment, a bill may not be levied for the said response.

6.	Flying time is billed per minute but a minimum of 30 minutes applies to the payment.

7.	A second patient is transferred at 50% reduction of the basic call and flight costs, but staff and consumables costs remain billed per patient, only if the aircraft capability allows for multiple patients. Rule 005 must be quoted on the invoice.

8.	Rates are calculated according to time; from throttle open, to throttle closed.

9.	Group A - C must fall within the Cat 138 Ops as determined by the Civil Aviation Authority.

10.	Hot loads are restricted to 8 minutes ground time and must be indicated and billed for separately with the indicated code (time NOT to be included in actual flying time).

All published tariffs exclude VAT. VAT can be charged on air ambulances if a VAT registration number is supplied.

AIRCRAFT TYPE A: (typically a single engine aircraft)

HB206L, HB204/205, HB407, AS360, EC120, MD600, AS350, A119

AIRCRAFT TYPE B & Ca (DAY OPERATIONS): (typically a twin engine aircraft)

BO105, 206CT, AS355, A109

AIRCRAFT TYPE Cb (NIGHT OPERATIONS): (typically a specially equipped craft for night flying)

HB222, HB212/412, AS365, S76, HB427, MD900, BK117, EC135, BO105

AIRCRAFT TYPE D (RESCUE)

H500, HB206B, AS350, AS315, FH1100, EC130, S316

Hot load codes 303, 313, 318 and 333 are included in codes 500, 531, 533, 537, 539, 541 and 543, 581, 583 and 591; therefore not separately reported.

CODE

DESCRIPTION OF SERVICE

Practice Code

AMOUNT PAYABLE

AIR AMBULANCE: ROTORWING

Rotorwing Type A: Transport

300

Basic call cost

12427.92

PLUS

Flying time

301

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R5932.35) applicable

197.74

302

> 120 minutes

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

197.74

303

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R1581.96)

197.74

Rotorwing Type B and C (day operations): Transport

310

Basic call cost

21842.80

PLUS

Flying time

311

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R10236.56) applicable

341.22

312

> 120 minutes

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

341.22

313

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R2729.75)

341.22

Rotorwing Type C (night operations): Transport

315

Basic call cost

31069.15

PLUS

Flying time

316

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R10236.56) applicable

341.22

317

> 120 minutes

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

341.22

318

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R2729.75)

341.22

Rotorwing Type A, B and C: Staff and consumables

320

0 - 30 minutes

1927.05

321

31 - 60 minutes

3854.07

322

61 - 90 minutes

5781.31

323

91 minutes or more

7708.13

Rotorwing Type D: Transport

330

Basic call cost

26211.07

PLUS

Flying time

331

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R12207.89) applicable

406.93

332

> 120 minutes

406.93

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

333

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R3255.44)

406.93

OTHER COSTS

340

Winching (per lift)

3360.62

AIR AMBULANCE: FIXED WING

Definitions: Fixed wing group A

1.	Group A must fall within the Cat 138 Ops as determined by the Civil Aviation Authority.

Please note that no fee structure has been provided for Group B, as emergency charters could include any form of aircraft. It would be impossible to specify costs over such a broad range. As these would only be used during emergencies when no Group A aircraft are available, no staff or equipment fee should be charged.

3.	All published tariffs exclude VAT. VAT can be charged on air ambulances only if a VAT registration number is supplied on the invoice.

4.	Staff and consumables cost can only be charged if a patient has been treated.

5.	A second patient is transferred at 50% reduction of the basic call and flight cost, but staff and consumables costs remain billed per patient, only if the aircraft capability allows for multiple patients. Rule 005 must be quoted on the invoice.

Fixed wing Group A

(Tariff is composed of flying cost per kilometre and staff and equipment cost per minute).

Fixed wing Group A: Aircraft cost

400

Beechcraft Duke

68.05

401

Lear 24F

77.25

402

Lear 35

77.25

403

Falcon 10

89.35

404

King Air 200

70.79

405

Mitsubishi MU2

77.25

406

Cessna 402

42.97

407

Beechcraft Baron

37.11

408

Citation 2

58.69

409

Pilatus PC12

58.69

Fixed wing Group A: Staff cost

420

Doctor - cost per minute spent with the patient

Minimum cost for 30 minutes (R2782.86) applicable

92.76

421

ICU Sister - cost per minute spent with the patient

Minimum cost for 30 minutes (R1016.58) applicable

33.89

422

Paramedic - cost per minute spent with the patient

Minimum cost for 30 minutes (R1016.58) applicable

33.89

Fixed wing Group A: Equipment cost

430

Per patient - cost per minute

Minimum cost for 30 minutes (R828.87) applicable

27.63

Fixed wing Group B: Emergency charters

1.	No staff and equipment fee are allowed.

2.	Cost will be reviewed per case.

3.	Payment of emergency transport will only be allowed if a Group A aircraft is not available within an optimal time period for transportation and stabilisation of the patient.

450

Services rendered should be clearly specified with cost included.

Each case will be reviewed and assessed on merit.

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

Ambulance Gazette 2023

Ambulance Tariff of Fees as from 1 April 2023 (Practice Type 09)

Tariffs and Codes

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