Specialist

General Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

2.1

Allergy

0217

Allergy Patch tests: First patch

4

113.48

4

113.48

0219

Allergy Patch tests: Each additional patch.

Add to code 0217, code cannot be billed alone

2

56.74

2

56.74

0218

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

2.8

79.44

2.8

79.44

0220

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

1.9

53.90

1.9

53.90

0221

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

2.8

79.44

2.8

79.44

2.2

Skin (general)

0255

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

20

567.40

20

567.40

3

397.68 +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

2 468.19

87

2 468.19

3

397.68 +T

0259

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

20

567.40

20

567.40

3

397.68 +T

0260

Incision/removal of foreign body: Subcutaneous tissue, complicated

55.50

1 574.54

55.50

1 574.54

3

397.68 +T

0261

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

31

879.47

31

879.47

3

397.68 +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.

0288

Harvesting of graft: Fascia lata graft, complex or sheet

127.40

3 614.34

120

3 404.40

4

530.24 +T

0289

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

234

6 638.58

187.2

5 310.80

4

530.24 +T

0290

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

410

11 631.70

328

9 305.36

4

530.24 +T

0291

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

800

22 696.00

640

18 156.80

4

530.24 +T

0292

Distant flaps: First stage

206

5 844.22

164.8

4 675.38

4

530.24 +T

0293

Contour grafts (excluding cost of material)

206

5 844.22

164.8

4 675.38

4

530.24 +T

0294

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

1200

34 044.00

960

27 235.20

6

795.36 +T

0295

Local skin flaps (large complicated)

206

5 844.22

164.8

4 675.38

4

530.24 +T

0296

Other procedures of major technical nature

206

5 844.22

164.8

4 675.38

4

530.24 +T

4862

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

136.50

3 872.51

120.00

3 404.40

5

 662.80 +T

4863

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

25.60

726.27

25.60

726.27

5

662.80 +T

4864

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

140.30

3 980.31

120.00

3 404.40

5

662.80 +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

652.51

23.00

652.51

5

662.80 +T

4866

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

163.40

4 635.66

130.72

3 708.53

5

662.80 +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

1 026.99

36.20

1 026.99

5

662.80 +T

4868

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

183.50

5 205.90

146.80

4 164.72

5

662.80 +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

1 222.75

43.10

1 222.75

5

662.80 +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

397.18

14

397.18

3

397.68 +T

0301

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

7

198.59

7

198.59

3

397.68 +T

0302

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

64

1 815.68

64

1 815.68

4

530.24 +T

0303

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

128

3 631.36

120

3 404.40

4

530.24 +T

0304

Major debridement of wound, sloughectomy or secondary suture

50

1 418.50

50

1 418.50

3

397.68 +T

4830

Debridement of subcutaneous tissue: INCLUDES epidermis and dermis; <= 20 square cm

13.9

394.34

13.9

394.34

3

397.68 +T

4831

Debridement of subcutaneous tissue: INCLUDES epidermis and dermis; ADD for every additional 20 square cm or part thereof

+      5.3

150.36

5.3

150.36

3

397.68 +T

4832

Debridement of muscle and/or fascia: INCLUDES epidermis, dermis and subcutaneous tissue; <= 20 square cm

36

1 021.32

36

1 021.32

5

662.80 +T

4833

Debridement of muscle and/or fascia: INCLUDES epidermis, dermis and subcutaneous tissue; ADD for every additional 20 square cm or part thereof

+    11.2

317.74

11.2

317.74

5

662.80 +T

4834

Debridement, bone: INCLUDES epidermis, dermis, subcutaneous tissue, muscle and/or fascia; <= 20 square cm

62.5

1 773.13

62.5

1 773.13

6

795.36 +T+M

4835

Debridement, bone: INCLUDES epidermis, subcutaneous tissue, muscle and/or fascia; ADD for every additional 20 square cm or part thereof

+    19.5

553.22

19.5

553.22

6

795.36 +T+M

0307

Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude

27

765.99

27

765.99

3

397.68 +T

0308

Each additional small procedure done at the same time

14

397.18

14

397.18

3

397.68 +T

0310

Radical excision of nailbed

38

1 078.06

38

1 078.06

3

397.68 +T

0314

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

104

2 950.48

104

2 950.48

4

530.24 +T

0315

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

55

1 560.35

55

1 560.35

3

397.68 +T

4856

Split thickness autograft of the trunk, arms and/or legs <=1002 cm

153.6

4 357.63

122.88

3 486.11

5

662.80 +T

4857

Split thickness autograft of the trunk arms and/or legs; each additional 1002 cm or part thereof (modifier 0005 not applicable)

+     31.5

893.66

31.5

893.66

5

662.80 +T

4858

Split thickness autograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits <=1002 cm

172

4 879.64

137.6

3 903.71

5

662.80 +T

4859

Split thickness autograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits; each additional 1002 cm or part thereof (modifier 0005 not applicable) vingers of tone

+  51.6

1 463.89

51.6

1 463.89

5

662.80 +T

4872

Acellular dermal allograft of the trunk, arms and/or legs <=1002 cm

66.3

1 880.93

66.3

1 880.93

5

662.80 +T

4873

Acellular dermal allograft of the tank, arms and/or legs, each additional 1002 cm or part thereof (modifier 0005 not applicable)

+     15.3

434.06

15.3

434.06

5

662.80 +T

4874

Acellular dermal allograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits <=1002 cm

74

2 099.38

74

2 099.38

5

662.80 +T

4875

Acellular dermal allograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits; each additional 1002 cm or part thereof (modifier 0005 not applicable)

+     21.8

618.47

21.8

618.47

5

662.80+T

2.6

Burns

0345

Minor burns (Discontinued)

0347

Moderate burns (Discontinued)

0351

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

276

7 830.12

220.8

6 264.10

5

662.80  +T

0353

Tangential excision and grafting: Small

100

2 837.00

100

2 837.00

5

662.80 +T

0354

Tangential excision and grafting: Large

200

5 674.00

160

4 539.20

5

662.80 +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

4 181.74

120

3 404.40

4

530.24 +T

0357

Small skin graft in acute hand injury

45

1 276.65

45

1 276.65

3

397.68 +T

0359

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

192

5 447.04

153.6

4 357.63

3

397.68 +T

0361

Z·plasty

220.1

6 244.24

176.08

4 995.39

3

397.68 +T

0363

Local flap and skin graft

150

4 255.50

120

3 404.40

3

397.68 +T

0365

Cross finger flap (all stages)

192

5 447.04

153.6

4 357.63

3

397.68 +T

0367

Palmarflap (all stages)

192

5 447.04

153.6

4 357.63

3

397.68 +T

0369

Distant flap: First stage

158

4 482.46

126.4

3 585.97

3

397.68 +T

0371

Distant flap: Subsequent stage (not subject to General Modifier 0005)

77

2 184.49

77

2 184.49

3

397.68 +T

0373

Transfer neurovascular island flap

230.5

6 539.29

184.4

5 231.43

3

397.68 +T