1.

PROCEDURES OF INTERVIEWING, GUIDANCE AND CONSULTATION

Code

Description

RVU

RAND

66101

First consultation (5-15 min). Charged once.

60

725.21

66108

Follow-up consultation (15-30 min). May be charged twice only per week.

15

181.35

66109

Follow-up consultation (30-60 min). May be charged up to four times per week

30

362.61

2.

PROCEDURES OF INITIAL EVALUATION TO DETERMINE THE TREATMENT

CODE

DESCRIPTION

RVU

RAND

66201

Observation and screening. May be charged at every treatment session as clinically appropriate

10,000

120.87

66203

Specific evaluation for a single aspect of dysfunction (Specify which aspect). May be charged once per week as clinically appropriate

7,500

90.65

66205

Specific evaluation of dysfunction involving one part of the body for a specific functional problem (Specify part and aspects evaluated). May be charged once per week as clinically appropriate

22,500

271.95

66207

Specific evaluation for dysfunction involving the whole body (Specify condition and which aspects evaluated). May be charged once per three months as clinically appropriate

45,000

543.91

66209

Specific in depth evaluation of certain functions affecting the total person (Specify the aspect assessed). May be charged once per three months as clinically appropriate

75,000

906.51

66211

Comprehensive in depth evaluation of the total person (Specify aspects assessed)

Item 66211 cannot be charged together with item 66136

105,000

1269.45

66136

In depth evaluation of the total person to enable the vocational rehabilitation specialist to complete a comprehensive assessment of certain functions affecting the total person   (This code can only be requested by the Compensation Fund for Section 42 Case reviews) Item 66136 cannot be charged together with item 66211.

206.80

2500.00

3.

Measurement for designing

CODE

DESCRIPTION

RVU

RAND

66213

Measurement for designing a static orthosis.

10,000

120.87

66215

Measurement for designing a dynamic orthosis

10,000

120.87

66217

Measurement for designing a pressure garment for one limb orthosis

10,000

120.87

66219

Measurement for designing a pressure garment for one hand orthosis

10,000

120.87

66221

Measurement for designing a pressure garment for the trunk orthosis

10,000

120.87

66223

Measurement for designing a pressure garment for the face (chin strap only)

10,000

120.87

66225

Measurement for designing a pressure garment for the face (full face mask) orthosis

10,000

120.87

4.

PROCEDURES FOR THERAPY

CODE

DESCRIPTION

RVU

RAND

66301

Group treatment in a task-cantered activity, per patient (Treatment time 60 minutes or more).

10,000

120.87

66303

Placement of a patient in an appropriate treatment situation requiring structuring the environment, adapting equipment and positioning the patient. This does not require individual attention for the whole treatment session

20,000

241.74

66305

Groups directed to achieve common goals per person

20,000

241.74

66307

Simultaneous treatment of two to four patients, each with specific problems utilising individual activities, per patient (treatment time 60 minutes or more)

48,000

540.17

66308

Simultaneous treatment with two to four neuro-behavioural and stress related conditions or severe head injury patients, each with specific problems, utilising individual activities, per patient (Treatment time 90 minutes or more)

30,000

362.61

5.

INDIVIDUAL AND UNDIVIDED ATTENTION DURING TREATMENT SESSIONS UTILISING SPECIFIC ACTIVITY OR TECHNIQUES IN AN INTEGRATED TREATMENT SESSION (TIME OF TREATMENT MUST BE SPECIFIED)

CODE

DESCRIPTION

RVU

RAND

66309

On level one (15 min)

12,000

145.04

66311

On level two (30 min)

24,000

290.08

66313

On level three (45 min)

36,000

435.13

66315

One level four (60 min)

48,000

580.17

66317

On level five (90 min)

72,000

870.25

66319

On level six (120 min)

96,000

1160.34

6.

PROCEDURES FOR WORK REHABILITATION

CODE

DESCRIPTION

RVU

RAND

66321

Work evaluation - This includes an assessment of the inherent demands of the job and the patient's ability to perform these. A detailed report is not included in this code (charged for under 325), but must be submitted with the referral from the medical practitioner.)

Item 66321 cannot be charged together with item 66211 or 66136

80,0

966.95

66323

Work Visit Evaluation of the job tasks by observing while the patient or a colleague in the same role performs the job tasks. May include discussing possible adaptations to the process or the work station and making the necessary recommendations to enable a patient to return to work.Rule: A maximum of two work visits are allowed per patient However, in extenuating circumstances, further motivation may be made to the CC.

Item 66323 cannot be charged together with item 66211 or 66136 or 66321

40,0

483.47

66325

CF Reports - To be used only when reporting on work assessments.

Use once per day and per claim only

22.14

267.60

7.

PROCEDURES REQUIRED TO PROMOTE TREATMENT

CODE

DESCRIPTION

RVU

RAND

66401

Work Workplace assessment (Recommendation as regards to assistive device and environmental adaptations.)

Item  66401 cannot be charged together with item 66211 or 66136 or 66321 or 66323

Evaluation codes should be pre-authorised with the physical rehabilitation

15,000

181.30

8.

DESIGNING AND CONSTRUCTING A CUSTOM MADE ADAPTATION OR ASSISTIVE DEVICE, SPLINT OR SIMPLE PRESSURE GARMENT

CODE

DESCRIPTION

RVU

RAND

66403

On level one

12,000

145.04

66405

On level two

24,000

290.08

66407

On level three

36,000

435.13

66409

On level four

48,000

580.17

66411

On level five

60,000

725.21

66413

On level six

72,000

870.25

66415

Designing and constructing a static orthosis

60,000

725.21

66417

Designing and constructing a dynamic orthosis

120,000

1450.42

9.

Designing and making/constructing pressure garment for:

CODE

DESCRIPTION

RVU

RAND

66419

Per limb

60,000

725.21

66421

Face (chin strap only)

45,000

543.91

66423

Face (full face mask)

60,000

725.21

66425

Trunk

90,000

1087.82

66427

Per hand

90,000

1087.82

The whole body or part thereof will be the subtotal of the parts for the first garment and 75% of the fee for any additional garments on the same pattern

66431

Planning and preparing in depth home programme on a monthly basis.

90,000

1087.82