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 : Procedures4. Respiratory System4.1 Nose and sinuses |
|
|
Specialist |
General Practitioner |
Anaesthetic |
|||
U |
R |
U |
R |
U |
R T/M |
||
1018 |
Flexible nasopharyrgolaryngoscope examination |
51.94 |
1 532.23 |
|
|
|
|
1019 |
ENT endoscopy in rooms with rigid endoscope |
12 |
354.00 |
|
|
|
|
1020 |
Repair of perforated septum: Any method |
141.9 |
4 186.05 |
120 |
3 540.00 |
4 |
551.44 +T |
1022 |
Functional reconstruction of nasal septum Procedures of the septum including correction of caudal septal deflection is included Tariff code 1087 may apply if a tip deformity and valve obstruction is present |
121.2 |
3 575.40 |
120 |
3 540.00 |
4 |
551.44 +T |
1023 |
Harvesting of graft: Cartilage graft of nasal septum May not be used with tariff code 1034 |
124.8 |
3 681.60 |
120 |
3 540.00 |
5 |
689.30 +T |
1024 |
Insertion of silastic obturator into nasal septum perforation (excluding material) |
30 |
885.00 |
30 |
885.00 |
4 |
551.44 +T |
1025 |
Intranasal antrostomy (modifier 0005 to apply to opposite side of nose) |
64.6 |
1 905.70 |
64.6 |
1 905.70 |
4 |
551.44 +T |
1027 |
Dacrocystorhinostomy |
210 |
6 195.00 |
168 |
4 956.00 |
5 |
689.30 +T |
1029 |
Turbinectomy (modifier 0005 to apply to opposite side of nose) |
62.6 |
1 846.70 |
62.6 |
1 846.70 |
4 |
551.44 +T |
1030 |
Endoscopic turbinectomy: laser or microdebrider |
90 |
2 655.00 |
90 |
2 655.00 |
5 |
689.30 +T |
1034 |
Autogenous nasal bone transplant: Bone removal included |
100 |
2 950.00 |
100 |
2 950.00 |
4 |
551.44 +T |
1035 |
Unilateral functional endoscope sinus surgery (unilateral) |
140 |
4 130.00 |
120 |
3 540.00 |
4 |
551.44 +T |
1036 |
Bilateral functional endoscopic sinus surgery May not be used with tariff code 1035 |
245 |
7 227.50 |
196 |
5 782.00 |
4 |
551.44 +T |
1037 |
Diathermy to nose or pharynx exclusive of consultation fee, uni- or bilateral: Under local anaesthetic |
8 |
236.00 |
8 |
236.00 |
|
|
1039 |
Diathermy to nose or pharynx exclusive of consultation fee, uni- or bilateral: Under general anaesthetic May not be used with tariff code 1037 |
35 |
1 032.50 |
35 |
1 032.50 |
4 |
551.44 +T |
1041 |
Control severe epistaxis requiring hospitalisation: Anterior plugging (unilateral) |
40 |
1 180.00 |
40 |
1 180.00 |
6 |
827.16 +T |
1042 |
Repair of CSF leak: Sphenoid region, transnasal endoscopic approach (modifier 0069 is not applicable) |
365.5 |
10 782.25 |
292.4 |
8 625.80 |
5 |
689.30 +T+M |
1043 |
Control severe epistaxis requiring hospitalisation: Anterior and posterior plugging (unilateral) |
60 |
1 770.00 |
60 |
1 770.00 |
6 |
827.16 +T |
1045 |
Ligation anterior ethmoidal artery |
135.4 |
3 994.30 |
120 |
3 540.00 |
6 |
827.16 +T |
1047 |
Cladwell-Luc operation (unilateral) |
137.3 |
4 050.35 |
120 |
3 540.00 |
4 |
551.44 +T |
1049 |
Ligation internal maxillary artery |
196 |
5 782.00 |
156.8 |
4 625.60 |
6 |
827.16 +T |
1050 |
Vidian neurectomy (transantral or transnasal) |
113 |
3 333.50 |
113 |
3 333.50 |
4 |
551.44 +T |
1054 |
Antroscopy through the canine fossa (modifier 0005 to apply to opposite side of nose) |
37.3 |
1 100.35 |
— |
|
— |
|
1055 |
External frontal ethmoidectomy |
190.7 |
5 625.65 |
152.56 |
4 500.52 |
4 |
551.44 +T |
1057 |
External ethmoidectomy and/or sphenoidectomy (unilateral) |
199.4 |
5 882.30 |
159.52 |
4 705.84 |
4 |
551.44 +T |
1059 |
Craniectomy: For osteomyelitis (total procedure) |
341.60 |
10 077.20 |
273.28 |
8 061.76 |
4 |
551.44 +T |
1061 |
Lateral rhinotomy |
164 |
4 838.00 |
131.2 |
3 870.40 |
4 |
551.44 +T |
1063 |
Removal of foreign bodies from nose at rooms |
10 |
295.00 |
10 |
295.00 |
|
|
1065 |
Removal of foreign body from nose under general anaesthetic |
38.6 |
1 138.70 |
38.6 |
1 138.70 |
4 |
551.44 +T |
1067 |
Proof puncture, unilateral at rooms |
10 |
295.00 |
10 |
295.00 |
4 |
551.44 +T |
1069 |
Proof puncture, uni- or bilateral under general anaesthetic |
35 |
1 032.50 |
35 |
1 032.50 |
4 |
551.44 +T |
1075 |
Multiple intranasal procedures: Not to exceed (see Modifier 0068) |
194 |
5 723.00 |
155.2 |
4 578.40 |
4 |
551.44 +T |
1077 |
Septum abscess, at room, including after-care |
8 |
236.00 |
8 |
236.00 |
|
|
1079 |
Septum abscess, under general anaesthetic |
35 |
1 032.50 |
35 |
1 032.50 |
4 |
551.44 +T |
1081 |
Oro-antral fistula (without Caldwell-Luc) |
111.8 |
3 298.10 |
111.8 |
3 298.10 |
4 |
551.44 +T |
1083 |
Choanal atresia: Intranasal approach |
113 |
3 333.50 |
113 |
3 333.50 |
5 |
689.30 +T |
1084 |
Choanal atresia: Transpalatal approach |
194 |
5 723.00 |
155.2 |
4 578.40 |
7 |
965.02 +T |
1085 |
Total reconstruction of the nose: Including reconstruction of nasal septum (septumplasty) nasal pyramid (osteotomy) and nasal tip |
350 |
10 325.00 |
280 |
8 260.00 |
5 |
689.30 +T |
1087 |
Subtotal reconstruction consisting of any two of the following: Septumplasty, osteotomy, nasal tip reconstruction |
210 |
6 195.00 |
168 |
4 956.00 |
5 |
689.30 +T |
1089 |
Forehead rhinoplasty (all stages): Total |
552 |
16 284.00 |
441.6 |
13 027.20 |
5 |
689.30 +T |
1091 |
Forehead rhinoplasty (all stages): Partial |
414 |
12 213.00 |
331.2 |
9 770.40 |
5 |
689.30 +T |