Specialist

General

Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

MODIFIER GOVERNING FEES FOR AN ANAESTHESIOLOGIST OPERATING INTRA- AORTIC BALLOON PUMP (CARDIOVASCULAR SYSTEM)

0100

Where an anaesthesiologist would be responsible for operating an intra-aortic balloon pump, a fee of 75,00 clinical procedure units is applicable

75

2 127.75

6.1

General

General practitioner's fee for the taking of an ECG only

Where an ECG is done by a general practitioner and interpreted by a physician, the general practitioner is entitled to his full consultation tee, plus half of fee determined for ECG

1228

General Practitioners fee for the taking of an ECG only: Without effort: (1232)

4.5

127.67

1229

General Practitioners fee for the taking of an ECG only: Without and with effort: 1/2 (item 1233)

6.5

184.41

Note: Items 1228 and 1229 deal only with the fees for taking of the ECG, the consultation fee must still be added

Physician's fee for interpreting an ECG

A specialist physician is entitled to the following fees for interpretation of an ECG tracing referred for interpretation

1230

Physician's fee for interpreting an ECG: Without effort

6

170.22

1231

Physician's fee for interpreting an ECG: With and without effort

10

283.70

1232

Electrocardiogram: Without effort

9

255.33

9

255.33

1233

Electrocardiogram: With and without effort

13

368.81

13

368.81

1234

Effort electrocardiogram with the aid of a special bicycle ergometer, monitoring apparatus and availability of associated apparatus

40

1 134.80

40

1 134.80

1235

Multi-stage treadmill

60

1 702.20

60

1 702.20

1241

X-ray screening (Chest)

4

113.48

4

113.48

1245

Angiography cerebral: First two series

34.3

973.09

34.3

973.09

4

530.24  +T

1246

Angiography peripheral: Per limb

25

709.25

25

709.25

4

530.24  +T

1248

Paracentesis of pericardium

50

1 418.50

50

1 418.50

9

1 193.04 +T

6.3

Cardiac surgery

1311

Pericardial drainage

140

3 971.80

120

3 404.40

13

1 723.28 +T

6.3.1

Open heart surgery

1322

Attendance at other operations for monitoring at bedside, by physician heart block, etc: Per hour

20

567.40

6.4

Peripheral vascular system

6.4.2

Arterio-venous-abnormalities

1369

Fistula or aneurysm (as for grafting of various arteries)

6.4.3

Arteries

6.4.3.1

Aorta-iliac and major branches

1373

Abdominal aorta and iliac artery: Ruptured

600

17 022.00

480

13 617.60

15

1 988.40 +T

6.4.3.2

Iliac artery

1379

Prosthetic grafting and/or Thrombo- endarterectomy

300

8 511.00

240

6 808.80

13

1 723.28 +T

6.4.3.3

Peripheral

1385

Prosthetic grafting

255

7 234.35

204

5 787.48

5

662.80 +T

1387

Vein grafting proximal to knee joint

300

8 511,00

240

6 808.80

5

662.80 +T

1388

Vein grafting distal to knee joint

444

12 596.28

355.2

10 077.02

5

662.80 +T

1389

Endarterectomy when not part of another specified procedure

264

7 489.68

211.2

5 991.74

5

662.80 +T

1393

Embolectomy: Peripheral embolectomy transfemoral

168

4 766.16

134.4

3 812.93

5

662.80 +T

1395

Miscellaneous arterial procedures: Arterial suture: Trauma

125

3 546.25

100

2 837.00

5

662.80 +T

1396

Suture major blood vessel (artery or vein) - trauma (major blood vessels are defined as aorta, innominate artery, carotid artery and vertebral artery, subclavian artery, axillary artery, illiac artery, common femoral and popliteal artery. The vertebral and popliteal arteries are included because of the relevant Inaccessibility of the arteries and difficult surgical exposure)

264

7 489.68

211.2

5 991.74

15

1 988.40 +T

1397

Profundoplasty

210

5 957.70

168

4 766.16

5

662.80 +T

1399

Distal tibial (ankle region)

456

12 936.72

364.8

10 349.38

5

662.80 +T

1401

Femoro-femoral

254

7 205.98

203.2

5 764.78

5

662.80 +T

1402

Carotid-subclavian

288

8 170.56

230.4

6 536.45

8

1 060.48 +T

1403

Axillo-femoral (Bifemoral +50% of the fee)

288

8 170.56

230.4

6 536.45

8

1 060.48 +T

6.4.4

Veins

1407

Ligation of saphenous vein

50

1 418.50

50

1 418.50

3

397.68 +T

1408

Placement of Hickman catheter or similar

91

2 581.67

91

2 581.67

4

530 24 +T

1410

Litigation of inferior vena cava: Abdominal

180

5 106.60

144

4 085.28

8

1 060.48 +T

1412

Umbrella operation on inferior vena cava: Abdominal

100

2 837.00

100

2 837.00

8

1 060.48 +T

1413

Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including of perforating veins as indicated: Unilateral

141

4 000.17

120

3 404.40

3

397.68 +T

1415

Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including of perforating veins as indicated: Bilateral

247

7 007.39

197.6

5 605.91

3

397.68 +T

1417

Extensive sub-fascial ligation of perforating veins

125

3 54625

120

3 404.40

3

397.68 +T

1419

Lesser varicose vein procedure

31

879.47

31

879.47

3

397.68 +T

1421

Compression sclerotherapy of varicose veins: Per injection to a maximum of nine injections per leg (excluding cost of material)

9

255.33

9

255.33

1425

Thrombectomy: Inferior vena cava (Trans-abdominal)

240

6 808.80

192

5 447.04

11

1 458.16 +T

1427

Thrombectomy: Ilio-femoral

175

4 964.75

140

3 971.80

6

795.36 +T