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Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers, Pharmacies and Hospital Groups - 2012

Part I : Consultations

Consultations

 

Specialist

General Practitioner

Anaesthetic

 

U/E

R

U/E

R

U/ER T/M  

The amounts in this section are calculated according to the Consultation Services unit values, except for items 0181, 0182, 0183, 0184, 0186 and 0151.

GENERAL PRACTITIONERS AND ALL SPECIALISTS

 

a) Only one of items 0181-0186 as appropriate may be charged for a single service and not combinations thereof.
b) These services must be face-to-face with the patient and excludes the time spent doing special Investigations which receive additional remuneration.
c) Only item 0146 may be charged as appropriate thereof.
d) A subsequent visit refers to a voluntarily scheduled visit performed for the same condition within four (4) months after the first visit (although the symptoms or complaints may differ from those presented during the first visit).
e) Items 0181, 0182, 0183, 0184 and 0186 include remuneration for the completion of the first, progress and final medical reports. Item 0186 may be charged for a visit to complete a final medical report.


NEW PATIENT (NB: Indicate time in minutes):

0181

Visit for a new problem / new patient with problem focused history, examination and management up 20 minutes

16.5

276.21

15

251.10

 

 

0182

Visit for a new problem/new patient with problem focused history, examination and management up 30 minutes

31.5

527.31

30

502.20

 

 

0183

Visit for a new problem/new patient with problem focused history, examination and management up 45 minutes

36

602.64

33

552.42

 

 

FOLLOW-UP VISIT

 

0184

 

Follow-up visit for the evaluation and management of a patient.

 

16.5

276.21

15

251.10

 

 

FINAL VISIT

 

0186

Follow-up visit for the evaluation and management of a patient with a Final Medical Report (Rule G not applicable)

31.5

527.31

30

502.20

 

 

CONSULTATIONS:
SPECIALISTS AND GENERAL
PRACTITIONERS

 

0145

For consultation / visit away from the doctors home or rooms: ADD to items 0181 or 0186 as appropriate. Confirm where visit took place. Please note that item 0145 is not applicable for pre-anaesthetic assessments and may not be added to items 0151

+            6

98.64

6

98.64

 

 

0146

Emergency or unscheduled consultation/visit at the doctors home or rooms.ADD to items 082 and appropGeneral Rule B refers)

+            8

131.52

8

131.52

 

 

0147

For after hours emergency or unscheduled consultation/ visit away from the doctors home or rooms.ADD to items 0181, 0182 and 0183 as appropriate (General Rule B refers)

+          14

230.16

14

230.16

 

 

0109

Hospital follow-up visit to patient in ward or nursing facility - Refer to General Rule G(a) for post-operative care) (may only be charged once per day) (not to be used with items 0111.0146 or ICU items 1204-1214)

15

246.60

15

246.60

 

 

PRE-ANAESTHETIC

ASSESSMENT

 

a) Pre-anaesthetic consultations for all major vascular, cardio-thoracic and orthopaedic cases will attract a unit value of at least 32.00 units.
b) Only item 0146 may be charged

 

 

 

 

 

 

0151

Pre-anaesthetic assessment of patient(all hours). Problem focused history, clinical examination and decision making

32

535.68

32

535.68

 

 

AUDIOLOGY & SPEECH THERAPHY CONSULTATIONS

 

1011

Consultation 5 – 30 min

22.5

160.88

 

 

 

 

1012

Consultation 31 – 45 min

37.5

268.13

 

 

 

 

1013

Consultation 46 – 60 min

52.5

375.38

 

 

 

 

GENERAL

 

0136

Special medical examination requested by the Compensation Commissioner.

 

- Amount applicable from 2003/03/03 until 2005/01/27 (VAT inclusive)

 

- Amount applicable from 2005/01/28 until further notice (VAT inclusive)

 

 

 

 

 

 

 

 

1 100.00

 

 

 

1 860.00

 

 

 

 

 

2918

Non-operative supervision of head/brain injuries, spinal injuries (including paraplegics) or burns for all disciplines, except urologists

244

4,011.36

195.2

3,209.09

 

 

2058

Urologist: Non-surgical supervision of head/brain injuries, spinal injuries (including paraplegics) or burns. All urodynamic studies excluded and charged for separately under items 1979, 1981, 1991 and 1992 of the Tariff.

 

Note: These codes are applicable to non-operational supervision of head/brain injuries, spinal injuries or burns for all disciplines if patient is in a hospital or step-down facility. This code must be claimed where the occurrence of code 0109 exceeds 20 within a period of 4 calendar months (General Rule G and N(c) refers)

117

1 923.48

93.6

1 538.78