Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

2.1

Allergy

0217

Allergy Patch tests: First patch

4

65.76

4

65.76

0219

Allergy Patch tests: Each additional patch

2

32.88

2

32.88

0218

Allergy: Skin-prick tests: Skin-prick testing: Insect venom, latex and drugs

2.9

46.03

2.8

46.03

0220

Allergy: Skin-prick tests: lmmediate hypersensitivity testing (Type I reaction). per antigen: Inhalant and food allergens

1.9

31.24

1.9

31.24

0221

Allergy: Skin-prick tests: Delayed hypersensitivity testing (Type IV reaction) per antigen

2.8

46.03

2.8

46.03

2.2

Skin (general)

0255

Drainage of subcutaneous abscess, onychia, paronychia, pulp space or avulsion of nail

20

328.80

20

328.80

3

230.43 +T

0257

Drainage of major hand or foot infection: drainage of major abscess with necrosis of tissue, involving deep fascia or requiring debridement complete excision of pilonidal cyst or sinus

87

1,430.28

87

1,430.28

3

230.43 +T

0259

Removal of foreign body superficial to deep fascia (except hands)

20

328.80

20

328.80

3

230.43 +T

0261

Removal of foreign body deep to deep fascia (except hands)

31

509.64

31

509.64

3

230.43 +T

Note: See item 0922 and 0923 for removal of foreign bodies in hands.

2.3

Major plastic repair

Note: The tariff does not cover elective or cosmetic operations, since these procedures may not have the effect of reducing the percentage of permanent disablement as laid down in the Second Schedule to the Act. It is encumbent upon the treating doctor to obtain the prior consent of the Commissioner before embarking upon such treatment.

0289

Large skin graft. composite skin graft, large full thickness free skin graft

234

3,846.96

187.20

3 077.57

4

307.24 +T

0290

Reconstructive procedures (including all stages) and skingraft by myo-cutaneous or fascio-cutaneous flap

410

6 740.40

328

5 392.32

4

307.24 +T

0291

Reconstructive procedures (including all stages) grafting by microvascular re-anastomosis

800

13,152.00

640

10,521.60

4

307.24 +T

0292

Distant flaps: First stage

206

3 386.64

164.8

2,709.31

4

307.24 +T

0293

Contour grafts (excluding cost of material)

206

3,386.64

164.8

2,709.31

4

307.24 +T

0294

Vascularised bone graft with or without soft tissue with one or more sets micro-vascular anastomoses

1200

19,728.00

960

15,782.40

6

460.86 +T

0295

Local skin flaps (large complicated)

206

3,386.64

164.8

2,709.31

4

307.24 +T

0296

Other procedures of major technical nature

206

3,386.64

164.8

2,709.31

4

307.24 +T

0297

Subsequent major procedures for repair of same lesion (Modifier 0006 not applicable)

104

1,709.76

104

1,709.76

4

307.24 +T

4862

Full thickness graft of the trunk, free grafting including closure of donor site <=20cm²

136.50

2 244.06

120.00

1,972.80

5

384.05 +T

4863

Full thickness graft of the trunk, free grafting including closure of donor site, each additional 20cm² (modifier 0005 not applicable)

25.60

420.86

25.60

420.86

5

384.05 +T

4864

Full thickness graft of the scalp, arms and /legs free grafting, including direct closure of donor site <=20cm²

140.30

2,306.53

120.00

1,972.80

5

384.05 +T

4865

Full thickness graft of the scalp, arms and /legs free grafting including direct closure of donor site, each additional 20cm² (modifier 0005 not applicable)

23.00

378.12

23.00

378.12

5

384.05 +T

4866

Full thickness graft of the face, neck, axilla, genitalia, hands and/or feet, free grafting including donor site <=20cm²

163.40

2,686.30

130.00

2,137.20

5

384.05 +T

4867

Full thickness graft of the face, neck, axilla, genitalia, hands and/or feet, free grafting including direct closure of donor site, each additional 20cm² (modifier 0005 not applicable)

36.20

595.13

36.20

595.13

5

384.05 +T

4868

Full thickness graft of the nose, ears, eyelids, and /or lips free grafting including direct closure of donor site <=20cm²

183.50

3,016.74

146.80

2,413.39

5

384.05 +T

4869

Full thickness graft of the nose, ears, eyelids, and/or lips free grafting including direct closure of donor site; each additional 20cm² (modifier 0005 not applicable)

43.10

708.56

43.10

708.56

5

384.05 +T

2.4

Lacerations, scans, cysts and other skin lesions

0300

Stitching of soft-tissue injuries: Stitching of wound (with or without local anaesthesia), including normal after-care

14

230.16

14

230.16

3

230.43 +T

0301

Stitching of soft-tissue injuries: Additional wounds stitched at same session (each)

7

115.06

7

115.06

3

230.43 +T

0302

Stitching of soft-tissue injuries: Deep laceration involving limited muscle damage

64

1,052.16

64

1,052.16

4

307.24 +T

0303

Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage

128

2,104.32

120

1,972.80

4

307.24 +T

0304

Major debridement of wound. sloughectomy or secondary suture

50

822.00

50

822.00

3

230.43 +T

0305

Needle biopsy - soft tissue

25

411.00

25

411.00

3

230.43 +T

0307

Excision and repair by direct suture, exclusion nail fold or other minor procedures of similar magnitude

27

443.86

27

443.88

3

230.43 +T

0308

Each additional small procedure done at the same time

14

230.16

14

230.16

3

230.43 +T

0310

Radical exclusion of nail bed

38

624.72

38

624.72

3

230.43 +T

0314

Requiring repair by large skin graft or large local flap or other

104

1,709.76

104

1,709.76

4

307.24 +T

0315

Requiring repair by small skin graft or small local flap or other procedures of similar magnitude

55

904.20

55

904.20

3

230.43 +T

2.6

Burns

0345

Minor burns

0347

Moderate burns

0351

Major burns. Resuscitation (including supervision and intravenous therapy· first 48 hours)

276

4,537.44

220.8

3,629.95

5

364.05 +T

0353

Tangential excision and grafting: Small

100

1,644.00

100

1 644.00

5

384.05 +T

0354

Tangential excision and grafting: Large

200

3,288.00

160

2,630.40

5

384.05 +T

2.7

Hands (skin)

0355

Skin flap in acute hand injuries where a flap is taken from a site remote from the injured finger or in cases of advancement flap e g. Cutler

147,40

2,423.26

120

1,972.80

4

307.24 +T

0357

Small skin graft in acute hand injury

45

739.80

45

739.80

3

230.43 +T

0359

Release of extensive skin contracture and/or excision of scar tissue with major skin graft resurfacing

192

3,156.48

153.6

2,525.18

3

230.43 +T

0361

Z·plasty

220.1

3,618.44

176.08

2,894.76

3

230.43 +T

0363

Local flap and skin graft

150

2,466.00

120

1,972.80

3

230.43 +T

0365

Cross finger flap (all stages)

192

3,158.48

153.6

2,525.18

3

230.43 +T

0367

Palmarflap (all stages)

192

3,156.48

153.6

2,525.18

3

230.43 +T

0369

Distant flap: First stage

158

2,597.52

126.4

2,078.02

3

230.43 +T

0371

Distant flap: Subsequent stage (not subject to General Modifier 0006)

77

1,265.88

77

1,265.88

3

230.43 +T

0373

Transfer neurovascular island flap

230.5

3789.42

184.40

3,031.54

3

230.43

0374

Syndactyly: Separation of, including skin graft for one web (with skin flap and graft)

242.4

3,985,06

193.92

3,188.04

3

230.43 +T

0375

Dupuytren's contracture: Fasciotomy

51

838.44

51

838.44

3

230.43 +T

0376

Dupuytren's contracture Fasciectomy

218

3,583.92

174. 4

2,867.14

3

230.43 +T