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R 385
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2023Doctors Gazette 2023General Practitioner and Specialist Tariff of Fees as from 1 April 2023Part lll : Procedures17. Ear |
Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
U |
R T/M |
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17.1 |
External Ear (Pinna) |
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3267 |
Partial or total reconstruction for traumatic absence of external ear: Unilateral |
138 |
4 071.00 |
120 |
3 540.00 |
5 |
689.30 +T |
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3269 |
Partial or total reconstruction for traumatic absence of external ear: Bilateral |
242 |
7 139.00 |
193.6 |
5 711.20 |
5 |
689.30 +T |
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5170 |
Drainage: Haematoma or abscess of external ear |
34.8 |
1 026.60 |
34.8 |
1 026.60 |
5 |
689.30 +T |
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5171 |
Drainage: Abscess of external auditory canal |
21 |
619.50 |
21 |
619.50 |
5 |
689.30 +T |
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17.2 |
External ear canal |
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3204 |
Removal of foreign body at rooms with the use of a microscope (excludes loupe) - not to be used combined with tariff code 3206 |
21.58 |
636.61 |
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3205 |
External ear canal: Removal of foreign body: Under general anaesthetic |
21 |
619.50 |
21 |
619.50 |
4 |
551.44 +T |
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3215 |
Meatus atresia: Repair of stenosis of cartileginous portion |
164 |
4 838.00 |
131.2 |
3 870.40 |
4 |
551.44 +T |
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3219 |
Meatus atresia: Removal of osteoma from meatus: Solitary |
77 |
2 271.50 |
77 |
2 271.50 |
4 |
551.44 +T |
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3220 |
Debridement mastoidectomy cavity with the use of a microscope (excludes loupe) - not to be used combined with tariff code 3206 |
23.14 |
682.63 |
23.14 |
682.63 |
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3221 |
Removal of osteoma from meatus: Multiple |
215 |
6 342.50 |
172 |
5 074.00 |
4 |
551.44 +T |
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17.3 |
Middle ear |
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3209 |
Bilateral myringotomy |
46 |
1 357.00 |
46 |
1 357.00 |
4 |
551.44 +T |
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3211 |
Unilateral myringotomy with insertion ventrilation tube |
38 |
1 121.00 |
38 |
1 121.00 |
4 |
551.44 +T |
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3212 |
Bilateral myringotomy with insertion ventrilation tube |
57 |
1 681.50 |
57 |
1 681.50 |
4 |
551.44 +T |
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3214 |
Reconstruction of middle ear ossicles (ossiculoplasty) |
255 |
7 522.50 |
204 |
6 018.00 |
5 |
689.30 +T |
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3237 |
Explanatory tympanotomy |
158.9 |
4 687.55 |
127.12 |
3 750.04 |
5 |
689.30 +T |
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3243 |
Myringoplasty |
138 |
4 071.00 |
120 |
3 540.00 |
5 |
689.30 +T |
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3245 |
Functional reconstruction of tympanic membrane |
277 |
8 171.50 |
221.6 |
6 537.20 |
5 |
689.30 +T |
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3264 |
Tympanomastoidectomy |
375 |
11 062.50 |
300 |
8 850.00 |
5 |
689.30 +T |
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3265 |
Reconstruction of posterior canal wall, following radical mastoidectomy |
320 |
9 400.00 |
256 |
7 552.00 |
5 |
689.30 +T |
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17.4 |
Facial nerve |
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17.4.1 |
Facial nerve tests |
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3223 |
Percutaneous stimulation of the facial nerve |
9 |
265.50 |
9 |
265.50 |
4 |
551.44 +T |
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3224 |
Electroneurography (ENOG) |
75 |
2 212.50 |
75 |
2 212.50 |
4 |
551.44 +T |
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17.4.2 |
Facial nerve surgery |
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3227 |
Exploration of facial nerve: Exploration of tympano mastoid segment |
297 |
8 761.50 |
237.6 |
7 009.20 |
5 |
689.30 +T |
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3228 |
Exploration of facial nerve: Grafting of the tympano mastoid segment (including tariff code 3227) |
436 |
12 862.00 |
348.8 |
10 289.60 |
5 |
689.30 +T |
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3230 |
Exploration of facial nerve: Extratemporal grafting of the facial nerve |
436 |
12 862.00 |
348.8 |
10 289.60 |
5 |
689.30 +T |
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3232 |
Exploration of facial nerve: Facio-assessory or facio-hypoglossal anastomosis |
124 |
3 658.00 |
120 |
3 540.00 |
6 |
827.16 +T |
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17.5 |
Inner ear |
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17.5.1 |
Audiometry |
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3273 |
Pure tone audiometry (air conduction) |
6.5 |
191.75 |
6.5 |
191.75 |
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3274 |
Pure tone audiometry (bone conduction with masking) |
6.5 |
191.75 |
6.5 |
191.75 |
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3275 |
Impedance audiometry (tympanometry) |
6.5 |
191.75 |
6.5 |
191.75 |
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3276 |
Impedance audiometry (stapedial reflex) - no code for volume, compliance etc. |
6.5 |
191.75 |
6.5 |
191.75 |
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3277 |
Speech audiometry: Fee includes speech audiogram, speech reception threshold, discrimination score |
10 |
295.00 |
10 |
295.00 |
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17.5.2 |
Inner Ear: Balance tests |
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3260 |
Computerized static posturography consists of standing a patient on a Piezo-electric platform which tests the vestibular and proprioceptive systems |
71.48 |
2 108.66 |
71.48 |
2 108.66 |
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3251 |
Minimal caloric test (excluding consultation fee) |
10 |
295.00 |
10 |
295.00 |
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3256 |
Video nystagmoscopy (binocular) |
50 |
1 475.00 |
50 |
1 475.00 |
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3258 |
Otolith repositioning manoeuvre |
14 |
413.00 |
14 |
413.00 |
4 |
551.44 +T |
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2691 |
Short latency brainstem evoked potentials (AEP) neurological examination, single decibel: Unilateral |
50.00 |
1 475.00 |
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2692 |
Short latency brainstem evoked potentials (AEP) neurological examination, single decibel: Bilateral May not be used with tariff code 2691 |
88.00 |
2 596.00 |
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2693 |
AEP: Audiological examination: Unilateral at a minimum of 4 decibels |
60.00 |
1 770.00 |
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2694 |
AEP: Audiological examination: Bilateral at a minimum of 4 decibels May not be used with tariff code 2693 |
105.00 |
3 097.50 |
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2695 |
Audiology: 40Hz response: Unilateral |
30.00 |
885.00 |
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2696 |
Audiology: 40Hz response: Bilateral |
53.00 |
1 563.50 |
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2697 |
Mid- and long latency auditory evoked potentials: Unilateral |
30.00 |
885.00 |
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2698 |
Mid- and long latency auditory evoked potentials: Bilateral |
53.00 |
1 563.50 |
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2702 |
Total code for audiological evaluation including bilateral AEP and bilateral electro-cochleography |
140.00 |
4 130.00 |
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4 |
551.44 +T |
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3273 |
Pure tone audiometry (air conduction) |
6.50 |
191.75 |
6.50 |
191.75 |
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17.6 |
Microsurgery of the skull base |
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Note: Skull base surgery, used for the management of lesions, often requires the skills of medical doctors of different disciplines working together during the operation. The procedures are categorised in three parts:
Note codes for repair and closure with local, pedicled or free flaps and grafts can be found in the relevant sections of the coding structure |
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17.6.1 |
Middle fossa approach (i.e. transtemporal or supralabyrinthine) |
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3229 |
Facial nerve: Exploration of the labyrinthine segment |
420 |
12 390.00 |
336 |
9 912.00 |
5 |
689.30 +T |
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5221 |
Facial nerve: Grafting of labyrinthine segment (graft removal and exploration of labyrinthine segment are included) |
510 |
15 045.00 |
408 |
12 036.00 |
11 |
1516.46 +T |
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5222 |
Facial nerve surgery inside the internal auditory canal (if grafting is required, the grafting and harvesting of graft are included) |
620 |
18 290.00 |
496 |
14 632.00 |
11 |
1516.46 +T |
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17.6.2 |
Subtotal petrosectomy |
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5247 |
Subtotal petrosectomy for CSF leak and/or total obliteration of the mestoid cavity |
480 |
14 160.00 |
384 |
11 328.00 |
11 |
1516.46 +T |