Copyright Act, 1978
R 385
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2023Doctors Gazette 2023General Practitioner and Specialist Tariff of Fees as from 1 April 2023Part lll : Procedures3. Musculo-Skeletal System3.4 Muscles, tendons and fascias |
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Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
U |
R T/M |
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3.4.1 |
Investigations |
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|
0713 |
Electromyography |
75 |
2 212.50 |
75 |
2 212.50 |
3 |
413.58 +T |
|
0714 |
Electro-myographic neuro-muscular junctional study, including edrophonium response (cannot be used with tariff code 2730) |
57 |
1 681.50 |
57 |
1 681.50 |
3 |
413.58 +T |
|
0715 |
Strength duration curve per session |
10.5 |
309.75 |
10.5 |
309.75 |
3 |
413.58 +T |
|
0717 |
Electrical examination of single nerve or muscle |
9 |
265.50 |
9 |
265.50 |
3 |
413.58 +T |
|
0721 |
Voltage integration during Isometric contraction |
12 |
354.00 |
12 |
354.00 |
3 |
413.58 +T |
|
0723 |
Tonometry with edrophonium |
8 |
236.00 |
8 |
236.00 |
3 |
413.58 +T |
|
0725 |
Isometric tension studies with edrophonium |
10 |
295.00 |
10 |
295.00 |
3 |
413.58 +T |
|
0727 |
Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial: Unilateral |
8 |
236.00 |
8 |
236.00 |
3 |
413.58 +T |
|
0728 |
Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial : Bilateral |
14 |
413.00 |
14 |
413.00 |
3 |
413.58 +T |
|
0729 |
Tendon reflex time |
7 |
206.50 |
7 |
206.50 |
3 |
413.58 +T |
|
0730 |
Limb-brain somatosensory studies (per limb) |
49 |
1 445.50 |
49 |
1 445.50 |
3 |
413.58 +T |
|
0731 |
Vision and audiosensory studies |
49 |
1 445.50 |
49 |
1 445.50 |
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|
|
0733 |
Motor nerve conduction studies (single nerve) |
26 |
767.00 |
26 |
767.00 |
|
|
|
0735 |
Examinations of sensory nerve conduction by sweep averages (single nerve) |
31 |
914.50 |
31 |
914.50 |
3 |
413.58 +T |
|
0737 |
Biopsy for motor nerve terminals and end plates |
20 |
590.00 |
20 |
590.00 |
3 |
413.58 +T |
|
0739 |
Combined muscle biopsy with end plates and nerve terminal biopsy |
34 |
1 003.00 |
34 |
1 003.00 |
8 |
1102.88 +T |
|
0740 |
Muscle fatigue studies |
20 |
590.00 |
20 |
590.00 |
3 |
413.58 +T |
|
0741 |
Muscle biopsy |
20 |
590.00 |
20 |
590.00 |
8 |
1102.88 +T |
|
0742 |
Global fee for all muscle studies, including histochemical studies |
262 |
7 729.00 |
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|
|
|
4701 |
Biochemical estimations on muscle biopsy specimens: Creatine Kinase |
20.25 |
597.38 |
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|
|
|
4703 |
Biochemical estimations on muscle biopsy specimens: Adenylate Kinase |
33.3 |
982.35 |
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|
|
4705 |
Biochemical estimations on muscle biopsy specimens: Pyruvate Kinase |
5.7 |
168.15 |
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|
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|
4707 |
Biochemical estimations on muscle biopsy specimens: Lactatye dehydrogenase |
1.6 |
47.20 |
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|
4709 |
Biochemical estimations on muscle biopsy specimens: Adenylate deaminase |
9.9 |
292.05 |
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|
4711 |
Biochemical estimations on muscle biopsy specimens: Phosphoglycerate Kinase |
13.7 |
404.15 |
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|
4713 |
Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase |
25.9 |
764.05 |
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|
4715 |
Biochemical estimations on muscle biopsy specimens: Enolase |
32.7 |
964.65 |
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|
4717 |
Biochemical estimations on muscle biopsy specimens: Phosphofructokinase |
37.7 |
1 112.15 |
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|
4719 |
Biochemical estimations on muscle biopsy specimens: Aldolase |
15.75 |
464.63 |
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|
4721 |
Biochemical estimations on muscle biopsy specimens: Glyceraldehyde 3 Phosphate Dehydrogenase |
11.06 |
326.27 |
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|
4723 |
Biochemical estimations on muscle biopsy specimens: Phosphorylase |
34.7 |
1 023.65 |
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|
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|
|
4725 |
Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase |
40.3 |
1 188.85 |
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|
4727 |
Biochemical estimations on muscle biopsy specimens: Phosphohexose Isomerase |
28.8 |
849.60 |
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3.4.2 |
Decompression Operations |
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|
5550 |
Decompression fasciotomy: Buttock compartment(s): Unilateral |
243 |
7 168.50 |
194.4 |
5 734.80 |
5 |
689.30 +T+M |
|
5551 |
Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). EXCLUDES debridement of nonviable muscle and/or nerve |
151.9 |
4 481.05 |
121.52 |
3 584.84 |
3 |
413.58 +T+M |
|
5552 |
Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). INCLUDES debridement of nonviable muscle and/or nerve |
253.1 |
7 466.45 |
202.48 |
5 973.16 |
3 |
413.58 +T+M |
|
5553 |
Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. EXCLUDES debridement of nonviable muscle and/or nerve |
123.7 |
3 649.15 |
120 |
3 540.00 |
3 |
413.58 +T+M |
|
5554 |
Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. INCLUDES debridement of nonviable muscle and/or nerves |
162.1 |
4 781.95 |
129.68 |
3 825.56 |
3 |
413.58 +T+M |
|
5555 |
Decompression fasciotomy: Leg: Posterior compartment only. EXCLUDES debridement of nonviable muscle an/or nerve |
130.8 |
3 858.60 |
120 |
3 540.00 |
3 |
413.58 +T+M |
|
5556 |
Decompression fasciotomy: Leg: Posterior compartment only. INCLUDES debridement of nameable muscle and/or nerve |
171.5 |
5 059.25 |
137.2 |
4 047.40 |
3 |
413.58 +T+M |
|
5557 |
Decompression fasciotomy: fasciotomy/tenotomy, iliotibial |
137.3 |
4 050.35 |
120 |
3 540.00 |
4 |
551.44 +T+M |
|
5558 |
Decompression fasciotomy: Fasciotomy: Foot and/or toe |
86.6 |
2 554.70 |
86.6 |
2 554.70 |
3 |
413.58 +T+M |
|
5559 |
Decompression fasciotomy: Forearm and/or wrist: Flexor and extensor compartment. EXCLUDES debridement of nonviable muscle or nerve |
226.3 |
6 675.85 |
181.04 |
5 340.68 |
3 |
413.58 +T+M |
|
5560 |
Decompresson fasclotomy: Forearm and/or wrist: Flexor and extensor compartment, INCLUDES debridement of nonviable muscle or nerve |
354.5 |
10 457.75 |
283.6 |
8 366.20 |
3 |
413.58 +T+M |
|
5561 |
Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. EXCLUDES debridement of nonviable muscle or nerve |
166.8 |
4 920.60 |
133.44 |
3 936.48 |
3 |
413.58 +T+M |
|
5562 |
Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. INCLUDES debridement of nonviable muscle or nerve |
321.1 |
9 472.45 |
256.88 |
7 577.96 |
3 |
413.58 +T+M |
|
5563 |
Decompression fasciotomy: Fingers and/or hand |
165.6 |
4 885.20 |
132.48 |
3 908.16 |
3 |
413.58 +T+M |
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3.4.3 |
Muscle and tendon repair |
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|
0745 |
Muscle and tendon repair: Biceps humeri |
109 |
3 215.50 |
109 |
3 215.50 |
3 |
413.58 +T |
|
0746 |
Muscle and tendon repair: Removal of calcification in Rotator cuff |
96 |
2 832.00 |
96 |
2 832.00 |
3 |
413.58 +T+M |
|
0747 |
Muscle and tendon repair: Rotator cuff |
134 |
3 953.00 |
120 |
3 540.00 |
4 |
551.44 +T |
|
0748 |
Muscle and tendon repair: Debridement rotator cuff |
139.7 |
4 121.15 |
120 |
3 540.00 |
4 |
551.44 +T |
|
0749 |
Muscle and tendon repair. Scapulopexy - stand alone procedure |
271.9 |
8 021.05 |
217.52 |
6 416.84 |
4 |
551.44 +T |
|
0755 |
Muscle and tendon repair: Intrapatellar or quadriceps tendon |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0757 |
Muscle and tendon repair. Achilles tendon repair |
197.6 |
5 829.20 |
158.08 |
4 663.36 |
4 |
551.44 +T |
|
0759 |
Muscle and tendon repair. Other single tendon |
77 |
2 271.50 |
77 |
2 271.50 |
3 |
413.58 +T |
|
0760 |
Hand: Flexor tendon suture: Primary, zone 1 (each) (modifier 0005 applicable) |
220.3 |
6 498.85 |
176.24 |
5 199.08 |
3 |
413.58 +T |
|
0761 |
Hand: Flexor tendon repair: Primary, zone 2 (no mans land) (each) (modifier 0005 applicable) |
249.6 |
7 363.20 |
199.68 |
5 890.56 |
3 |
413.58 +T |
|
0762 |
Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm)(each)(modifier 0005 applicable) |
191.3 |
5 643.35 |
153.04 |
4 514.68 |
3 |
413.58 +T |
|
0763 |
Muscle and tendon repair: tendon or ligament injection |
9 |
265.50 |
9 |
265.50 |
3 |
413.58 +T |
|
0764 |
Hand: Flexor tendon repair: Secondary, zone 1 |
243.9 |
7 195.05 |
195.12 |
5 756.04 |
3 |
413.58 +T |
|
0765 |
Hand: Flexor tendon repair Secondary, zone 2 (no mans land) |
249.6 |
7 363.20 |
199.68 |
5 890.56 |
3 |
413.58 +T |
|
0766 |
Hand: Flexor tendon repair: Secondary, zone 3 and 4 (wrist and forearm) |
190.6 |
5 622.70 |
152.48 |
4 498.16 |
3 |
413.58 +T |
|
0768 |
Repair: Intrinsic muscles of hand (each) (modifier 0005 applicable) |
125.3 |
3 696.35 |
100.24 |
2 957.08 |
3 |
413.58 +T |
|
0771 |
Extensor tendon suture: Primary (per tendon, Modifier 0005 not applicable) |
129.7 |
3 826.15 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0773 |
Extensor tendon suture: Secondary (per tendon, Modifier 0005 not applicable) |
170.00 |
5 015.00 |
136 |
4 012.00 |
3 |
413.58 +T |
|
0774 |
Repair of Boutonniére deformity or Mallet Finger with graft |
216.60 |
6 389.70 |
216.60 |
6 389.70 |
3 |
413.58 +T |
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3.4.4 |
Tendon graft |
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|
0775 |
Free tendon graft |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T |
|
0776 |
Reconstruction of pulley for flexor tendon |
180.20 |
5 315.90 |
144.16 |
4 252.72 |
3 |
413.58 +T |
|
0777 |
Tendon graft: Finger: Flexor |
192 |
5 664.00 |
153.6 |
4 531.20 |
3 |
413.58 +T |
|
0779 |
Tendon graft: Finger: Extensor |
122 |
3 599.00 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0780 |
Two stage flexor tendon graft using silastic rod |
240 |
7 080.00 |
192 |
5 664.00 |
3 |
413.58 +T |
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3.4.5 |
Tenolysis |
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|
0781 |
Tendon freeing operation, except where specified elsewhere |
64 |
1 888.00 |
64 |
1 888.00 |
3 |
413.58 +T |
|
0782 |
Carpal tunnel syndrome |
123 |
3 628.50 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0783 |
Tenolysis: De Quervain |
38 |
1 121.00 |
38 |
1 121.00 |
3 |
413.58 +T |
|
0784 |
Trigger finger |
38 |
1 121.00 |
38 |
1 121.00 |
3 |
413.58 +T |
|
0785 |
Flexor tendon freeing operation following free tendon graft or suture |
276.1 |
8 144.95 |
220.88 |
6 515.96 |
3 |
413.58 +T |
|
0787 |
Extensor tendon freeing operation following graft or suture in finger, hand or forearm |
212.2 |
6 259.90 |
170 |
5 015.00 |
3 |
413.58 +T |
|
0788 |
Intrinsic tendon release per finger |
64 |
1 888.00 |
64 |
1 888.00 |
3 |
413.58 +T |
|
0789 |
Central tendon tenotomy for Boutonniére deformity |
64 |
1 888.00 |
64 |
1 888.00 |
3 |
413.58 +T |
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3.4.6 |
Tenodesis |
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|
0790 |
Tenodesis: Digital joint (each) (modifier 0005 applicable) |
176.2 |
5 197.90 |
140.96 |
4 158.32 |
3 |
413.58 +T |
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3.4.7 |
Muscle, tendon and fascia transfer |
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|
0791 |
Single tendon transfer |
96 |
2 832.00 |
96 |
2 832.00 |
3 |
413.58 +T |
|
0792 |
Multiple tendon transfer |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0793 |
Hamstring to quadriceps transfer |
141 |
4 159.50 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0794 |
Pectoralis major or Latissimus dorsi transfer to biceps tendon |
320 |
9 440.00 |
256 |
7 552.00 |
5 |
689.30 +T |
|
0795 |
Tendon transfer at elbow |
116 |
3 422.00 |
116 |
3 422.00 |
3 |
413.58 +T |
|
0803 |
Hand tendons: Single transfer (each) (modifier 0005 applicable) |
216.20 |
6 377.90 |
172.96 |
5 102.32 |
3 |
413.58 +T |
|
0809 |
Hand tendons: Substitution for intrinsic paralysis of hand tendon (all four fingers) |
330.60 |
9 752.70 |
264.48 |
7 802.16 |
3 |
413.58 +T |
|
0811 |
Hand tendons: Opponens tendon transfer (including obtaining of graft) |
220.6 |
6 507.70 |
176.48 |
5 206.16 |
3 |
413.58 +T |
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3.4.8 |
Muscle slide operations and tendon lengthening |
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|
0812 |
Percutaneous Tenotomy: All sites |
140.50 |
4 144.75 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0813 |
Torticollis |
96 |
2 832.00 |
96 |
2 832.00 |
5 |
689.30 +T |
|
0815 |
Scalenotomy |
132 |
3 894.00 |
120 |
3 540.00 |
5 |
689.30 +T |
|
0817 |
Scalenotomy with excision of first rib |
190 |
5 605.00 |
152 |
4 484.00 |
3 |
413.58 +T +M |
|
0822 |
Open release elbow (Mitals) - stand alone procedure |
278.20 |
8 206.90 |
222.56 |
6 565.52 |
3 |
413.58 +T +M |
|
0823 |
Excision or slide for Volksmann's Contracture |
192 |
5 664.00 |
153.6 |
4 531.20 |
3 |
413.58 +T |
|
0825 |
Hip: Open muscle release |
116 |
3 422.00 |
116 |
3 422.00 |
7 |
965.02 +T |
|
0829 |
Knee: Quadriceps plasty |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T |
|
0831 |
Knee: Open tenotomy |
141 |
4 159.50 |
120 |
3 540.00 |
3 |
413.58 +T |
|
0835 |
Calf |
96 |
2 832.00 |
96 |
2 832.00 |
4 |
551.44 +T |
|
0837 |
Open Elongation Tendon Achilles |
96 |
2 832.00 |
96 |
2 832.00 |
4 |
551.44 +T |
|
0838 |
Percutaneous " Hoke" elongation tendoachilles - stand alone procedure |
79.3 |
2 339.35 |
79.3 |
2 339.35 |
4 |
551.44 +T |
|
0845 |
Foot: Plantar fasciotomy |
70 |
2 065.00 |
70 |
2 065.00 |
3 |
413.58 +T |
