GENERAL RULES

RULE

DESCRIPTION

001

AM: The specified call-out fee may be charged for any bona-fide, justifiable emergency occurring at any hour which requires the practitioner to travel to the patient.

The Compensation Fund requires a motivation to accompany the claim.

An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment/therapy and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.

002

Radiographer invoices will only be paid on condition that there is a referral letter from a treating practitioner.

MODIFIERS

Modifier

Description

Rand

0001

Emergency fee

75.80

0084

Film Cost: the cost of film is included in the comprehensive procedure codes and is not billed separately