Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Consultation fees in accordance with the Consultation Services UnitPart III : Procedures14. Nervous system |
|
Specialist |
General Practitioner |
Anaesthetic
|
||||||
U/E |
R |
U/E |
R |
U/E |
R T/M |
||||
14.1 |
Diagnostic procedures |
||||||||
2709 |
Full spinogram including bilateral median and posterior-tibial studies |
140 |
2,301.60 |
|
|
||||
2711 |
Electro-encephalography: Taking of record |
36.10 |
593.48 |
36.10 |
593.48 |
||||
2712 |
Electro-encaphalography: interpretation |
24 |
394.56 |
24 |
394.56 |
||||
2713 |
Spinal (lumbar) puncture, For diagnosis, for drainage of spinal fluid or for therapeutic indications |
18.4 |
302.50 |
18.4 |
302.50 |
||||
2714 |
Cisternal puncture and/or intrathecal injections |
15 |
246.60 |
15 |
246.60 |
|
|
||
2717 |
Electromyography: First |
75 |
1,233.00 |
75 |
1,233.00 |
|
|
||
2718 |
Electromyography: Subsequent |
75 |
1,233.00 |
75 |
1,233.00 |
|
|
||
2725 |
Angiography carotis: Unilateral |
25 |
411.00 |
25 |
411.00 |
4 |
307.24 +T |
||
2726 |
Angiography carotis: Bilateral |
44 |
723.36 |
44 |
723.36 |
4 |
307,24 +T |
||
2727 |
Vertebral artery: Direct needling |
50 |
822.00 |
50 |
822.00 |
4 |
307.24 +T |
||
2729 |
Vertebral catheterisation |
50 |
822.00 |
50 |
822.00 |
4 |
307.24 +T |
||
2731 |
Air encephalography and posterior fossa tomograpy: Injection of air (independent procedure) |
14.5 |
238.38 |
|
|
4 |
307.24 +T |
||
2737 |
All encephalography and posterior fossa tomography: Visual field charting on Bjerrum Screen |
7 |
115.08 |
7 |
115.08 |
|
|
||
2739 |
Ventricular needling without burring: Tapping only |
16 |
263.04 |
16 |
263.04 |
4 |
307.24 +T |
||
2741 |
Ventricular needling without burring: Plus introduction of air and/or contrast dye for ventriculography |
43 |
706.92 |
43 |
706.92 |
4 |
307.24 +T |
||
2743 |
Subdural tapping· First sitting |
15 |
246.60 |
15 |
246.60 |
4 |
307.24 +T |
||
2745 |
Subdural tapping: Subsequent |
10 |
164.40 |
10 |
164.40 |
4 |
307.24 +T |
||
14.2 |
Introduction of burr holes for |
||||||||
2747 |
Ventriculography |
150 |
2,466.00 |
120 |
1,972.80 |
8 |
614.48 +T |
||
2749 |
Catheterisation for ventriculography and/or drainage |
150 |
2,466.00 |
120 |
1,972.80 |
8 |
614.48 +T |
||
2753 |
Subdural haematoma |
150 |
2,466.00 |
120 |
1,972.80 |
8 |
614.46 T |
||
2755 |
Subdural empyema |
150 |
2,466.00 |
120 |
1,972.80 |
8 |
614.48 +T |
||
2757 |
Brain abscess |
150 |
2,466.00 |
120 |
1,972.80 |
8 |
614.48 +T |
||
14.3 |
Nerve procedures |
||||||||
2765 |
Nerve conduction studies (see items 0733 and 3285) |
26 |
427.44 |
25 |
427.44 |
4 |
307.24 +T |
||
14.3.1 |
Nerve repair of suture |
||||||||
2767 |
Suture Brachial Plexus (see also items 2837 and 2839) |
300 |
4,932.00 |
240 |
3,945.60 |
6 |
460.86 +T |
||
2769 |
Suture, Large nerve: Primary |
134 |
2,202.96 |
120 |
1,972.80 |
5 |
384.05 +T |
||
2771 |
Suture, Large nerve: Secondary |
202 |
3,320.88 |
161 |
2,646.84 |
5 |
384.05 +T |
||
2773 |
Suture Digital nerve: Primary |
65 |
1,068.60 |
65 |
1,068.60 |
3 |
230.43 +T |
||
2775 |
Suture Digital nerve: Secondary |
96 |
1,578.24 |
96 |
1,578.24 |
3 |
230.43 +T |
||
2777 |
Nerve graft: Simple |
202 |
3,320.88 |
161.6 |
2,656.70 |
4 |
307.24 +T |
||
2779 |
Fascicular: First fasciculus |
202 |
3,320.88 |
161.6 |
2,656.70 |
4 |
307.24 +T |
||
2781 |
Fascicular: Each additional fasciculus |
50 |
822.00 |
50 |
822.00 |
4 |
307.24 +T |
||
2783 |
Fascicular: Nerve flap: To include all stages |
224 |
3,682.56 |
179.2 |
2,946.05 |
4 |
307.24 +T |
||
2787 |
Fascicular: Grafting of facial nerve |
215 |
3,534.60 |
172 |
2,827,68 |
5 |
384.05 +T |
||
14.3.2 |
Neurectomy |
||||||||
2799 |
Intrathecal injections for pain |
36 |
591.84 |
36 |
591.84 |
4 |
307.24 +T |
||
2800 |
Plexus nerve block - as part of treatment refer to annexure c on the back of this gazette (motivation to be supplied by treating doctor) |
36 |
591.84 |
36 |
591.84 |
|
Fees as for specialist |
||
2801 |
Epidural injection. plexus nerve block or peripheral nerve block for pain refer to annexure c on the back of this gazette, motivation to be supplied by treating doctor (see modifier 0045 for post-operative pain relief) (refer to modifier 0021 for epidural anaesthetic) |
36 |
591.84 |
36 |
591.84 |
|
|||
2802 |
Peripheral nerve block - as part of treatment (motivation to be supplied) |
25 |
411.00 |
25 |
411.00 |
|
Fees as for specialist |
||
2803 |
Alcohol injection in peripheral nerves for pain: Unilateral |
20 |
328.80 |
20 |
328.80 |
3 |
230.43 +T |
||
2804 |
Inserting an indwelling nerve catheter (includes removal of catheter) (not for bolus technique). To be used only with items 2799, 2800, 2801 or 2802 |
+ 10 |
164.40 |
10 |
164.40 |
|
Fees as for specialist |
||
2805 |
Alcohol injection in peripheral nerves for pain: Bilateral |
35 |
575.40 |
35 |
575.40 |
3 |
230.43 +T |
||
2809 |
Peripheral nerve section for pain |
45 |
739.80 |
45 |
739.80 |
3 |
230.43 +T |
||
2815 |
Excision interdigital neuroma - Morton |
82.3 |
1,353.01 |
82.3 |
1,353.01 |
3 |
230.43 +T |
||
2825 |
Excision: Neuroma: Peripheral |
109.5 |
1,800.18 |
109.5 |
1,800.18 |
3 |
230.43 +T |
||
14.3.3 |
Other nerve procedures |
||||||||
2827 |
Transposition of ulnar nerve |
100 |
1,644.00 |
100 |
1,644.00 |
3 |
230.43 +T |
||
2829 |
Neurolysis: Minor |
51 |
838.44 |
51 |
838.44 |
3 |
230.43 +T |
||
2831 |
Neurolysis: Major |
132 |
2,170.08 |
120 |
1,972.80 |
3 |
230.43 +T |
||
2833 |
Neurolysis Digital |
96 |
1,578.24 |
96 |
1,578.24 |
3 |
230.43 +T |
||
2835 |
Scalenotomy |
132 |
2,170.08 |
120 |
1,972.80 |
6 |
460.86 +T |
||
2837 |
Brachial plexus, suture or neurolysis (item 2767) |
300 |
4,932.00 |
240 |
3,945.60 |
6 |
460.86 +T |
||
2839 |
Total brachial plexus exposure with graft, neurolysis and transplantation |
895.2 |
14,717.09 |
716.16 |
11,773.67 |
6 |
460.86 +T |
||
2841 |
Carpal Tunnel |
64 |
1,052.16 |
64 |
1,052.16 |
3 |
230.43 +T |
||
2843 |
Lumbar sympathectomy: Unilateral |
153 |
2,515.32 |
122.4 |
2,012.28 |
4 |
307.24 +T |
||
2845 |
Lumbar sympathectomy: Bilateral |
268 |
4,405.92 |
214.4 |
3,524.74 |
6 |
460.86 +T |
||
2849 |
Sympathetic block: Other levels. Unilateral |
20 |
328.80 |
20 |
328.80 |
3 |
230.43 +T |
||
2851 |
Sympathetic block: Other levels: Bilateral |
35 |
575.40 |
35 |
575.40 |
3 |
230.43 +T |
||
14.4 |
Skull procedures |
||||||||
2859 |
Repair of depressed fracture of skull: Without brain laceration: Major |
200 |
3,288.00 |
160 |
2,630.40 |
8 |
614.48 +T |
||
2860 |
Repair of depressed fracture of skull: Without brain laceration: Small |
170 |
2,794.80 |
136 |
2,235.84 |
8 |
614.48 +T |
||
2861 |
Repair of depressed fracture of skull: With brain lacerations: Small |
200 |
3,288.00 |
160 |
2,630.40 |
8 |
614.48 +T |
||
2862 |
Repair of depressed fracture of skull: With brain lacerations: Major |
375 |
6,165.00 |
300 |
4,932.00 |
8 |
614.48 +T |
||
2863 |
Cranioplasty |
280 |
4,603.20 |
224 |
3,682.56 |
8 |
614.48 +T |
||
2875 |
Theco-peritoneal C S F shunt |
280 |
4,603.20 |
224 |
3,682.56 |
8 |
614.48 +T |
||
14.6 |
Aneurysm repair |
||||||||
2676 |
Repair of aneurysm or arterior-venous anomalies (intracranial) |
700 |
11,508.00 |
560 |
9,206.40 |
15 |
1,152.15 +T |
||
14.7 |
Posterior fossa surgery |
||||||||
2879 |
Glosso-pharyngeal nerve |
480 |
7,891.20 |
384 |
6,312.96 |
6 |
460.86 +T |
||
2881 |
Eighth nerve: Intracranial |
480 |
7,891.20 |
384 |
6,312.96 |
8 |
614.48 +T |
||
2887 |
Eighth nerve: Vestibular nerve |
480 |
7,891.20 |
384 |
6,312.96 |
9 |
691.29 +T |
||
14.7.1 |
Supratentorial procedures |
||||||||
2899 |
Craniectomy for extra-dural haematoma or empyema |
375 |
6,165.00 |
300 |
4,932.00 |
11 |
844.91 +T |
||
14.8 |
Craniotomy for |
||||||||
2900 |
Extra-dural orbital decompression |
700 |
11,508.00 |
560 |
9,206.40 |
11 |
844.91 +T |
||
2903 |
Abscess, glioma |
450 |
7,398.00 |
360 |
5,918.40 |
11 |
844.91 +T |
||
2904 |
Haematoma, foreign body: Cerebral or cerebellar |
450 |
7,398.00 |
360 |
5,918.40 |
11 |
844.91 +T |
||
2905 |
Focal epilepsy: Excision of cortical scar |
450 |
7,398.00 |
360 |
5,918.40 |
11 |
844.91 +T |
||
2906 |
With anterior fossa meningocele and repair of bony skull defect |
375 |
6,165.00 |
300 |
4,932.00 |
11 |
844.91 +T |
||
2909 |
CSF-Ieaks |
450 |
7,398.00 |
360 |
5,918.40 |
11 |
844.91 +T |
||
14.8.1 |
Stereo-tactic cerebral and spinal cord procedures |
||||||||
2918 |
(code moved to consultation section) |
||||||||
14.9 |
Spinal operations |
||||||||
2923 |
Chordotomy: Unilateral |
178 |
2,926.32 |
142.4 |
2,341.06 |
3 |
230,43 +T+M |
||
2925 |
Chordotomy: Open |
350 |
5,754.00 |
280 |
4,603.20 |
3 |
230.43 +T+M |
||
2927 |
Rhizotomy: Extradural, but intraspinal |
320 |
5 260.80 |
256 |
4,208.64 |
3 |
230.43 +T+M |
||
2928 |
Rhizotomy: lntradural |
350 |
5,754.00 |
280 |
4.603.20 |
3 |
230.43 +T+M |
||
2940 |
Lumbar osteophyte removal |
187 |
3.074.28 |
149.6 |
2,459.42 |
3 |
230.43 +T+M |
||
2941 |
Cervical or thoracic osteophyte removal |
285 |
4,685.40 |
228 |
3,748.32 |
3 |
230.43 T+M |
||
14.10 |
Arterial ligations |
||||||||
2957 |
Carotis: Trauma |
120 |
1,972.80 |
120 |
1,972.80 |
8 |
614.48 +T |
||
Psychiatrist |
Other Specialists and General Practitioner |
Anaesthetic |
|||||||
14.11 |
Medical Psychotherapy |
||||||||
2957 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) - per short session (20 minutes) |
20 |
328.80 |
16 |
263.04 |
||||
2974 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) per intermediate session (40 minutes) |
40 |
657.60 |
32 |
526.08 |
||||
2975 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) - per extended session (60 minutes or longer) |
60 |
986.40 |
48 |
789.12 |
||||
2958 |
DELETED 2009: Psychoanalytic therapy - per 60-minute session |
||||||||
14.12 |
Physical treatment methods |
||||||||
2970 |
Electro-convulsive treatment (ECT) - each time (see rule Va) |
17 |
279.48 |
17 |
279.48 |
3 |
230.43 +T |
||
2971 |
Intravenous anti-depressive medication through infusion - per push in (maximum 1 push in per 24 hours) |
6 |
98.64 |
|
|
|
|
||
14.13 |
Psychiatric examination methods |
||||||||
2972 |
Narco-analysis (maximum of 3 sessions per treatment) – per session |
24 |
394.56 |
|
|||||
2973 |
Psychometry by Psychiatrist (specify examination) - per session (maximum of 3 sessions per examination) |
24 |
394.56 |
|