Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2022Doctors Gazette 2022Part lll : Procedures3. Musculo-Skeletal System3.2 Joints |
|
|
Specialist |
General Practitioner |
Anaesthetic |
|||
U/E |
R |
U/E |
R |
U/E |
R T/M |
||
3.2.1 |
Dislocations |
|
|
|
|
|
|
0547 |
Dislocation: Clavicle: either end |
96.5 |
2 737.71 |
96.5 |
2 737.71 |
3 |
397.68 +T+M |
0549 |
Dislocation: Shoulder |
112.10 |
3 180.28 |
112.10 |
3 180.28 |
3 |
397.68 +T+M |
0551 |
Dislocation: Elbow |
133.60 |
3 790.23 |
120 |
3 404.40 |
3 |
397.68 +T+M |
0552 |
Dislocation: Wrist |
115.50 |
3 276.74 |
115.50 |
3 276.74 |
3 |
397.68 +T+M |
0553 |
Dislocation: Perilunar transscaphoid fracture dislocation |
130 |
3 688.10 |
120 |
3 404.40 |
3 |
397.68+T+M |
0555 |
Dislocation: Lunate |
136.30 |
3 866.83 |
120.00 |
3 404.40 |
3 |
397.68 +T+M |
0556 |
Dislocation: Carpo-metacarpo dislocation |
117.20 |
3 324.96 |
117.20 |
3 324.96 |
3 |
397.68 +T+M |
0557 |
Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand) |
107.30 |
3 044.10 |
107.30 |
3 044.10 |
3 |
397.68 +T+M |
0559 |
Dislocation: Hip |
220.50 |
6 255.59 |
176.40 |
5 004.47 |
3 |
397.68 +T+M |
0561 |
Dislocation: Knee, with manipulation |
181.20 |
5 140.64 |
144.96 |
4 112.52 |
3 |
397.68 +T+M |
0563 |
Dislocation: Patella |
136.90 |
3 883.85 |
120 |
3 404.40 |
3 |
397.68 +T+M |
0565 |
Dislocation: Ankle |
98.60 |
2 797.28 |
98.60 |
2 797.28 |
3 |
397.68 +T+M |
0567 |
Dislocation: Sub-Talar dislocation |
92 |
2 610.04 |
92 |
2 610.04 |
3 |
397.68 +T+M |
0569 |
Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal |
77 |
2 184.49 |
77 |
2 184.49 |
3 |
397.68 +T+M |
0571 |
Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot) |
39.40 |
1 117.78 |
39.40 |
1 117.78 |
3 |
397.68 +T+M |
|
|
|
|
|
|
|
|
3.2.2 |
Operations for dislocations |
|
|
|
|
|
|
0578 |
Recurrent dislocation of shoulder |
200 |
5 674.00 |
160 |
4 539.20 |
3 |
397.68 +T+M |
0579 |
Recurrent dislocation of large joints |
161 |
4 567.57 |
128.8 |
3 654.06 |
3 |
397.68 +T+M |
|
|
|
|
|
|
|
|
3.2.3 |
Capsular operations |
|
|
|
|
|
|
0582 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care) |
51 |
1 446.87 |
51 |
1 446.87 |
3 |
397.68 +T+M |
0583 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care) |
96 |
2 723.52 |
96 |
2 723.52 |
3 |
397.68 +T+M |
0585 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy digital joint |
64 |
1 815.68 |
64 |
1 815.68 |
3 |
397.68 +T+M |
0586 |
Multiple percutaneous capsulotomies of metacarpo-phalangeal joints |
90 |
2 553.30 |
90 |
2 553.30 |
3 |
397.68 +T+M |
0587 |
Release of digital joint contracture |
128 |
3 631.36 |
120 |
3 404.40 |
3 |
397.68 +T+M |
|
|
|
|
|
|
|
|
3.2.4 |
Synovectomy |
|
|
|
|
|
|
0589 |
Synovectomy: Digital joint |
77 |
2 184.49 i |
77 |
2 184.49 i |
3 |
397.68 +T+M |
0592 |
Synovectomy: Large joint |
160 |
4 539.20 |
128 |
3 631.36 |
3 |
397.68 +T+M |
0593 |
Tendon synovectomy |
203.7 |
5 778.97 |
162.96 |
4 623.18 |
3 |
397.68 +T+M |
|
|
|
|
|
|
|
|
3.2.5 |
Arthrodesis |
|
|
|
|
|
|
0597 |
Arthrodesis: Shoulder |
224 |
6 354.88 |
179.2 |
5 083,90 |
3 |
397.68 +T+M |
0598 |
Arthrodesis: Elbow |
180 |
5 106.60 |
144 |
4 085.28 |
3 |
397.68 +T+M |
0599 |
Arthrodesis: Wrist |
180 |
5 106.60 |
144 |
4 085.28 |
3 |
397.68 +T+M |
0600 |
Arthrodesis: Digital joint |
128 |
3 631.36 |
120 |
3 404.40 |
3 |
397.68+T+M |
0601 |
Arthrodesis: Hip |
320 |
9 078.40 |
256 |
7 262.72 |
3 |
397.68 +T+M |
0602 |
Arthrodesis: Knee |
180 |
5 106.60 |
144 |
4 085.28 |
3 |
397.68 +T+M |
0603 |
Arthrodesis: Ankle |
180 |
5 106.60 |
144 |
4 085.28 |
3 |
397.68 +T+M |
0604 |
Arthrodesis: Sub-talar |
130 |
3 688.10 |
120 |
3 404.40 |
3 |
397.68 +T+M |
0605 |
Arthrodesis: Stabilization of foot (triple-arthrodeses) |
180 |
5 106.60 |
144 |
4 085.28 |
3 |
397.68 +T+M |
0607 |
Arthrodesis: Mid-tarsal wedge resection |
180 |
5 106.60 |
144 |
4 085.28 |
3 |
397.68 +T+M |
|
|
|
|
|
|
|
|
3.2.6 |
Arthroplasty |
|
|
|
|
|
|
0614 |
Arthroplasty: Debridement large joints |
160 |
4 539.20 |
128 |
3 631.36 |
3 |
397.68 +T+M |
0615 |
Arthroplasty: Excision medial or lateranl end of clavicle |
116 |
3 290.92 |
116 |
3 290.92 |
3 |
397.68 +T+M |
0617 |
Shoulder. Acromioplasty |
192 |
5 447.04 |
153.6 |
4 357.63 |
3 |
397.68 +T+M |
0619 |
Shoulder: Partial replacement |
277 |
7 858.49 |
221.6 |
6 286.79 |
5 |
662.80 +T+M |
0620 |
Shoulder: Total replacement |
416 |
11 801.92 |
332.8 |
9 441.54 |
5 |
662.80 +T+M |
0621 |
Elbow: Excision head of radius |
96 |
2 723.52 |
96 |
2 723.52 |
3 |
397.68 +T+M |
0622 |
Elbow: Excision |
192 |
5 447.04 |
153.6 |
4 357.63 |
3 |
397.68 +T+M |
0623 |
Elbow: Partial replacement |
188 |
5 333.56 |
150.4 |
4 266.85 |
3 |
397.68 +T+M |
0624 |
Elbow: Total replacement |
282 |
8 000.34 |
225.6 |
6 400.27 |
3 |
397.68 +T+M |
0625 |
Wrist: Excision distal end of ulna |
96 |
2 723.52 |
96 |
2 723.52 |
3 |
397.68 +T+M |
0626 |
Wrist: Excision single bone |
110 |
3 120.70 |
110 |
3 120.70 |
3 |
397.68 +T+M |
0627 |
Wrist: Excision proximal row |
166 |
4 709.42 |
132.8 |
3 767.54 |
3 |
397.68 +T+M |
0631 |
Wrist: Total replacement |
249 |
7 064.13 |
199.2 |
5 651.30 |
3 |
397.68 +T+M |
0635 |
Digital joint: Total replacement |
192 |
5 447.04 |
153.6 |
4 357.63 |
3 |
397.68 +T+M |
0637 |
Hip: Total replacement |
416 |
11 801.92 |
332.8 |
9 441.54 |
3 |
397.68 +T+M |
0641 |
Hip: Prosthetic replacement of femoral head |
288 |
8 170.56 |
230.4 |
6 536.45 |
3 |
397.68 +T+M |
0643 |
Hip: Girdlestone |
320 |
9 078.49 |
256 |
7 262.72 |
3 |
397.68 +T+M |
0645 |
Knee: Partial replacement |
277 |
7 858.49 |
221.6 |
6 286.79 |
3 |
397.68 +T+M |
0646 |
Knee: Total replacement |
416 |
11 801.92 |
332.8 |
9 441.54 |
3 |
397.68+T+M |
0649 |
Ankle: Total replacement |
290.4 |
8 238.65 |
232.32 |
6 590.92 |
3 |
397.68 +T+M |
0650 |
Ankle: Astragalectomy |
154 |
4 368.98 |
123.2 |
3 495.18 |
3 |
397.68 +T+M |
|
|
|
|
|
|
|
|
3.2.7 |
Miscellaneous (Joints) |
|
|
|
|
|
|
0658 |
Aspiration and/or injection: Small joint, bursa (e.g. fingers, toes) (excluding aftercare, modifier 0005 not applicable) |
11.40 |
323.42 |
11.40 |
323.42 |
3 |
397.68 +T+M |
0659 |
Aspiration and/or injection: Intermediate joint, bursa (e.g. temporaomandibular, acromioclavivular,wrist, elbow or ankle, olecranon bursa) (excluding aftercare, modifier 0005 not applicable) |
12 |
340.44 |
12 |
340.44 |
3 |
397.68 +T+M |
0660 |
Aspiration and/or injection: Major joint, bursa (e.g. shoulder, hip, knee, joint, subacromial bursa) (excluding aftercare, modifier 0005 not applicable) |
14.60 |
414.20 |
14.60 |
414.20 |
3 |
397.68 +T+M |
0661 |
Aspiration of joint or intra-articular injection (not subject to rule G) (Modifier 0005 not applicable) |
9 |
255.33 |
9 |
255.33 |
3 |
397.68 +T |
0668 |
Manipulation of knee joint under general anaethesia (includes application of traction or other fixation devices) (excluding aftercare) (modifier 0005 is not applicable) |
43.10 |
1 222.75 |
43.10 |
1 222.75 |
3 |
397.68 +T |
0667 |
Arthroscopy (excluding after-care), modifiers 0005 and 0013 not applicable |
60 |
1 702.20 |
60 |
1 702.20 |
3 |
397.68 +T |
0669 |
Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable) |
14 |
397.18 |
14 |
397.18 |
4 |
530.24 Hip +T 397.68 Knee/ Shoulder +T |
0673 |
Menisectomy or operation for other internal derangement of knee: Medial OR Lateral |
185.70 |
5 268.31 |
148.56 |
4 214.65 |
3 |
397.68 +T+M |
|
|
|
|
|
|
|
|
3.2.8 |
Joint ligament reconstruction or suture |
|
|
|
|
|
|
0675 |
Joint ligament reconstruction or suture: Ankle: Collateral |
160 |
4 53920 |
128 |
3 631.36 |
3 |
397.68 +T+M |
0676 |
Joint ligament reconstruction or suture: Ankle (e.g. Watson-Jones type) |
191.50 |
5 432.86 |
153.20 |
4 346.28 |
3 |
397.68 +T+M |
0677 |
Joint ligament reconstruction or suture: Knee: Collateral |
196.80 |
5 583.22 |
157.44 |
4 466.57 |
3 |
397.68 +T+M |
0678 |
Joint ligament reconstruction: Knee: Cruciate |
227.60 |
6 457.01 |
182.08 |
5 165.61 |
3 |
397.68 +T+M |
0679 |
Joint ligament reconstruction or suture: Ligament augmentation procedure of knee |
324.40 |
9 203.23 |
259.52 |
7 362.58 |
3 |
397.68 +T+M |
0680 |
Joint ligament reconstruction or suture: Digital joint ligament |
229.80 |
6 519.43 |
183.84 |
5 215.54 |
3 |
397.68 +T+M |