Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2020DoctorsPart lll : Procedures8. Digestive System |
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Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
U |
R T/M |
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8.1 |
Oral cavity |
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1467 |
Drainage of intra-oral abscess |
31 |
833.90 |
31 |
833.90 |
4 |
502.76 +T |
1483 |
Alveolar periosteal or other flaps for arch closure |
138 |
3 712.20 |
120 |
3 228.00 |
4 |
502.76 +T |
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8.2 |
Lips |
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1485 |
Local excision of benign lesion of lip |
27 |
726.30 |
27 |
726.30 |
4 |
502.76 +T |
1499 |
Lip reconstruction following an injury: Directed repair |
105.6 |
2 840.64 |
105.6 |
2 840.64 |
4 |
502.76 +T |
1501 |
Lip reconstruction following an injury: Flap repair |
206 |
5 541.40 |
164.8 |
4 433.12 |
4 |
502.76 +T |
1503 |
Lip reconstruction following an injury only: Total reconstruction (first stage) |
206 |
5 541.40 |
164.8 |
4 433.12 |
4 |
502.76 +T |
1504 |
Lip reconstruction following an injury only: Subsequent stages (see item 0297) |
104 |
2 797.60 |
104 |
2 797.60 |
4 |
502.76 +T |
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8.3 |
Tongue |
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1505 |
Partial glossectomy |
225 |
6 052.50 |
180 |
4 842.00 |
6 |
754.14 +T |
1507 |
Local excision of lesion of tongue |
27 |
726.30 |
27 |
726.30 |
4 |
502.76 +T |
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8.4 |
Palate, uvula and salivary gland |
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1526 |
Total parotidectomy with preservation of facial nerve |
358.5 |
9 643.65 |
286.8 |
7 714.92 |
5 |
628.45 +T |
1531 |
Drainage of parotid abscess |
25 |
672.50 |
25 |
672.50 |
4 |
502.76 +T |
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8.5 |
Oesophagus |
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1545 |
Oesophagoscopy with rigid instrument: First and subsequent |
47 |
1 264.30 |
47 |
1 264.30 |
4 |
502.76 +T |
1550 |
Oesophagoscopy with removal of foreign body |
70 |
1 883.00 |
70 |
1 883.00 |
4 |
502.76 +T |
1563 |
Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure |
300 |
8 070.00 |
240 |
6 456.00 |
11 |
1 382.59 +T |
1565 |
Hiatus hernia and diaphragmatic hernia repair: with Collins Nissen oesophageal lengthening procedure |
350 |
9 415.00 |
280 |
7 532.00 |
11 |
1 382.59 +T |
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8.6 |
Stomach |
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1587 |
Upper gastro-intestinal endoscopy: Using hospital equipment |
48.75 |
1 311.38 |
48.75 |
1 311.38 |
4 |
502.76 +T |
1589 |
Endoscopio control of gastrointestinal haemorrhage from upper gastrointestinal tract, intestines or large bowel by injection of vasoconstrictor and/or schlerosis (endoscopic haemostasis) to be added to gastroscopy (item 1587) or colonoscopy (item 1653) |
+ 34 |
914.60 |
34 |
914.60 |
6 |
754.14 +T |
1591 |
Plus removal of foreign bodies (stomach): ADD to gastro-intestinal endoscopy (item 1587) |
+ 25 |
672.50 |
+ 25 |
672.50 |
4 |
502.76 +t |
1597 |
Gastrostomy or Gastrotomy |
147.5 |
3 967.75 |
120 |
3 228.00 |
6 |
754.14 +T |
1615 |
Suture of perforated gastric or duodenal ulcer or wound or injury |
200 |
5 380,00 |
160 |
4 304.00 |
7 |
879.83 +T |
1617 |
Partial gastrectomy |
328.3 |
8 831.27 |
262.64 |
7 065.02 |
7 |
879.83 +T |
1619 |
Total gastrectomy |
384.43 |
10 341.17 |
307.54 |
8 272.83 |
7 |
879.83 +T |
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8.7 |
Duodenum |
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1626 |
Endoscopic examination of the small bowel beyond the duodenojejunal flexure with biopsy with or without polypectomy with or without arrest of haemorrhage (enteroscopy) |
120 |
3 228.00 |
120 |
3 228.00 |
6 |
754.14 +T |
1627 |
Duodenal intubation (under X-ray screening) |
8 |
215.20 |
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8.8 |
Intestines |
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1634 |
Enterotomy or Enterostomy |
202.6 |
5 449.94 |
162.08 |
4 359.95 |
6 |
754.14 +T |
1637 |
Operation for relief of intestinal obstruction |
240 |
6 456.00 |
192 |
5 164.80 |
7 |
879.83 +T |
1639 |
Resection of small bowel with enterostomy or ananstomosis |
244.9 |
6 587.81 |
195.92 |
5 270.25 |
6 |
754.14 +T |
1642 |
Gastrointestinal tract imaging, intraluminal(e.g. video capsule endoscopy): Hire fee (Item 0201 applicable for video capsule - disposable single patient use) - (Please note: All patients should have had a normal gastroscopy and colonoscopy) |
150 |
4 035.00 |
120 |
3 228.00 |
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1643 |
Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy), oesophagus through ileum: Doctor interpretation and report |
90 |
2 421.00 |
90 |
2 421.00 |
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1645 |
Suture of intestine (small or large): Wound or injury |
185.2 |
4 981.88 |
148.16 |
3 985.50 |
6 |
754.14 +T |
1647 |
Closure of Intestinal fistula |
258 |
6 940.20 |
206.4 |
5 552.16 |
6 |
754.14 +T |
1657 |
Right or left hemicolectomy or segmental colectomy |
325 |
8 742.50 |
260 |
6 994.00 |
6 |
754.14 +T |
1661 |
Colotomy: Including removal of foreign body |
205.7 |
5 533.33 |
164.56 |
4 426.66 |
6 |
754.14 +T |
1663 |
Total colectomy |
390 |
10 491.00 |
312 |
8 392.80 |
6 |
754.14 +T |
1665 |
Colostomy or ileostomy isolated procedure |
233.8 |
6 289.22 |
187.04 |
5 031.38 |
6 |
754.14 +T |
1667 |
Colostomy: Closure |
179.1 |
4 817.79 |
143.28 |
3 854.23 |
5 |
628.45 +T |
1668 |
Revision of ileostomy pouch |
375 |
10 087.50 |
300 |
8 070.00 |
6 |
754.14 +T |
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8.10 |
Rectum and anus |
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1677 |
Sigmoidoscopy: First and subsequent, with or without biopsy |
13 |
349.70 |
13 |
349.70 |
3 |
377.07 +T |
1688 |
Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy |
445 |
11 970.50 |
356 |
9 576.40 |
8 |
1 005.52 +T |
1705 |
Incision and drainage of submucous abscess |
40 |
1 076.00 |
40 |
1 076.00 |
3 |
377.07 +T |
1707 |
Drainage of submucous abscess |
40 |
1 076.00 |
40 |
1 076.00 |
3 |
377.07 +T |
1737 |
Dilation of ano-rectal structure |
12.5 |
336.25 |
12.5 |
336.25 |
3 |
377.07 +T |
1742 |
Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor |
27 |
726.30 |
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8.11 |
Liver |
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1743 |
Needle biopsy of liver |
30.3 |
815.07 |
30.3 |
815.07 |
3 |
377.07 +T |
1745 |
Biopsy of liver by laparotomy |
125 |
3 362.50 |
120 |
3 228.00 |
4 |
502.76 +T |
1747 |
Drainage of liver abscess |
179.1 |
4 817.79 |
143.28 |
3 854.23 |
7 |
879.83 +T |
1748 |
Body composition measured by bio-electrical impedance |
3 |
80.70 |
3 |
80.70 |
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1749 |
Hemi-hepatectomy: Right |
564 |
15 171.60 |
451.2 |
12 137.28 |
9 |
1 131.21 +T |
1751 |
Hemi-hepatectomy: Left |
521.1 |
14 017.59 |
416.88 |
11 214.07 |
9 |
1 131.21 +T |
1752 |
Extended right or left hepatectomy |
570.9 |
15 357.21 |
456.72 |
12 285.77 |
9 |
1 131.21 +T |
1753 |
Partial or semental hepatectomy |
378 |
10 168.20 |
302.4 |
8 134.56 |
9 |
1 131.21 +T |
1757 |
Suture of liver wound or injury |
214.2 |
5 761.98 |
171.36 |
4 609.58 |
9 |
1 131.21 +T |
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8.12 |
Biliary tract |
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1763 |
With exploration of common bile duct |
264.5 |
7 115.05 |
211.6 |
5 692.04 |
6 |
754.14 +T |
1765 |
Exploration of common bile duct: Secondary operation |
327.7 |
8 815.13 |
262.16 |
7 052.10 |
6 |
754.14 +T |
1767 |
Reconstruction of common bile duct |
371.7 |
9 998.73 |
297.36 |
7 998.98 |
6 |
754.14 +T |
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8.13 |
Pancreas |
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1778 |
Endoscopic Retrograde Cholangiopancreatograph (ERCP): Endoscopy + Catheterisation of pancreas duct or choledochus |
105.9 |
2 848.71 |
105.9 |
2 848.71 |
4 |
502.76 +T |
1779 |
Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (item 1778) |
+ 15.82 |
425.56 |
15.82 |
425.56 |
4 |
502.76 +T |
1791 |
Local, partial or subtotal pancreatectomy |
351.3 |
9 449.97 |
281.04 |
7 559.98 |
8 |
1 005.5 +T |
1793 |
Distal pancreatectomy with internal drainage |
377.4 |
10 152.06 |
301.92 |
8 121.65 |
8 |
1 005.5 +T |
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8.14 |
Peritoneal cavity |
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1797 |
Pneumo-peritoneum: First |
13 |
349.70 |
13 |
349.70 |
4 |
502.76 +T |
1799 |
Pneumo-Peritoneum: Repeat |
6 |
161.40 |
6 |
161.40 |
4 |
502.76 +T |
1800 |
Peritoneal lavage |
20 |
538.00 |
20 |
538.00 |
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1801 |
Diagnostic paracentesis: Abdomen |
8 |
215.20 |
8 |
215.20 |
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|
1803 |
Therapeutic paracentesis: Abdomen |
13 |
349.70 |
13 |
349.70 |
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1807 |
Add to open procedure where procedure was performed through a laparoscope (for anaesthetic refer to modifier 0027) |
+ 45 |
1 210.50 |
45 |
1 210.50 |
5 |
628.45 +T |
1809 |
Laparotomy |
196 |
5 272.40 |
156.8 |
4 217.92 |
4 |
502.76 +T |
1811 |
Suture of burst abdomen |
188.3 |
5 065.27 |
150.64 |
4 052.22 |
7 |
879.83 +T |
1812 |
Laparatomy for control of surgical haemorrhage |
105 |
2 824.50 |
105 |
2 824.50 |
9 |
1 131.21 +T |
1813 |
Drainage sub-phrenic abscess |
180 |
4 842.00 |
144 |
3 873.60 |
7 |
879.83 +T |
1815 |
Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal |
248.4 |
6 681.96 |
198.72 |
5 345.57 |
5 |
628.45 +T |
1817 |
Transrectal drainage of pelvic abscess |
75 |
2 017.50 |
75 |
2 017.50 |
4 |
502.76 +T |