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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 : Procedures20. Radiation Oncology |
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Specialist Medical or Radiation Oncologist |
Other Specialists and General Practitioner |
Anaesthetic |
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R |
U |
R |
U |
R T/M |
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The amounts in this section are calculated according to the Radiation Oncology unit values (unless otherwise specified) |
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20.10 |
Chemotherapy |
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Chemotherapy treatment (not in chemotherapy facilities) |
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Note: When patients are not treated in chemotherapy facilities, items 0213, 0214 and 0215 are used instead of items 5790 -5795
The amounts in this section are calculated according to the Clinical Procedure unit values.
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0213 |
Treatment with cytostatic agents:Administering of chemotherapy: Intramuscular or subcutaneous: Per injection. For use by providers who do not make use of recognised chemotherapy facilities and/or who are not primarily responsible for managing the chemotherapy treatment For use by medical practitioners who do not make use of recognised chemotherapy facilities or are not responsible for managing the chemotherapy treatment (Applicable for RMA clients)
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5 |
162.30 |
5 |
162.30 |
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0214 |
Intravenous treatment with cytostatic agents:Administering of chemotherapy: Intravenous bolus technique: Per injection. For use by providers who do not make use of recognised chemotherapy facilities and/or who are not primarily responsible for managing the chemotherapy treatment For use by medical practitioners who do not make use of recognised chemotherapy facilities or are not responsible for managing the chemotherapy treatment (Applicable for RMA clients)
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9 |
292.14 |
9 |
292.14 |
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0215 |
Intravenous treatment with cytostatic agents:Administering of chemotherapy: Intravenous infusion technique: Per injection. For use by providers who do not make use of recognised chemotherapy facilities and/or who are not primarily responsible for managing the chemotherapy treatment For use by medical practitioners who do not make use of recognised chemotherapy facilities or are not responsible for managing the chemotherapy treatment (Applicable for RMA clients)
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14 |
454.44 |
14 |
454.44 |
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5782 |
Isotope therapy: Adminstration of low dose surface applicator up to five applications.Typically an out patient procedure. MateriaI is not included
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77.81 |
2 525.71 |
62.25 |
2 020.57 |
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5783 |
lnfusional pharmacotherapy: Item to be used for the treatment of non cancerous conditions with bolus or infusional pharmacotherapy per treatment day (consultations to be coded separately)
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42.65 |
1 384.42 |
42.65 |
1 384.42 |
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5790 |
Non Infusional Chemotherapy: Global Fee for the management of and for related services delivered in the treatment of cancer with oral chemotherapy or hormonal therapy (per cycle), intramuscular (IMI), subcutaneous, intrathecal or bolus chemotherapy or oncology related drug administration per treatment day - for exclusive use by doctors with appropriate oncology training (consultations to be charged separately)
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42.95 |
1 394.16 |
42.95 |
1 394.16 |
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5791 |
Non Infusional Chemotherapy Facility Fee: A facility where oncology medicines are procured or scripted for oral chemotherapy, intramuscular (IMI), subcutaneous, intrathecal or bolus chemotherapy, per treatment day. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. Said facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5790) - only one of the parties are to charge this fee
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24.49 |
794.95 |
24.49 |
794.95 |
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5792 |
Non Infusional Chemotherapy Facility Fee: A facility where oncology medicines are purchased, stored and dispensed during oral chemotherapy or hormonal therapy (per cycle), intramuscular (IMI), subcutaneous, intrathecal or bolus chemotherapy per treatment day. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. These facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5790) - only one of the parties are to charge this fee
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30.61 |
993.60 |
30.61 |
993.60 |
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5793 |
Infusional Chemotherapy: Global fee for the management of and for services delivered during infusional chemotherapy per treatment day - for exclusive use by doctors with appropriate oncology training using recognised chemotherapy facilities (consultations to be charged separately)
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159.47 |
5 176.40 |
127.58 |
4 141.25 |
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5794 |
Infusional Chemotherapy Facility Fee: A facility where oncology medicines are procured, stored, admixed and administered, and in which appropriately-trained medical, nursing and support staff are in attendance. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. Said facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5793) - only one of the parties are to charge this fee
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90.03 |
2 922.37 |
90.03 |
2 922.37 |
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5795 |
Infusional Chemotherapy Facility Fee: A facility where oncology medicines are purchased, stored, dispensed, admixed and administered and in which appropriately- trained medical, nursing and support staff are in attendance. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. These facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5793) - only one of the parties are to charge this fee |
112.54 |
3 653.05 |
112.54 |
3 653.05 |
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20.11 |
Radiation therapy |
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20.11.1 |
Manual Radiotherapy Planning Procedures |
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5801 |
Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Single Volume of Interest - PROFESSIONAL COMPONENT. |
42.56 |
1 381.50 |
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5601 |
Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Single Volume of Interest -TECHNICAL COMPONENT |
99.32 |
3 223.93 |
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5802 |
Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Multiple Volumes of Interest - PROFESSIONAL COMPONENT |
56.18 |
1 823.60 |
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5602 |
Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Multiple Volumes of Interest - TECHNICAL COMPONENT |
131.10 |
4 255.51 |
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5803 |
Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Special Technique - PROFESSIONAL COMPONENT |
76.62 |
2 487.09 |
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5603 |
Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Special Technique - TECHNICAL COMPONENT |
178.77 |
5 802.87 |
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20.11.2 |
Conventional Radiotherapy Planning Procedures |
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5808 |
Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Single Volume of Interest - PROFESSIONAL COMPONENT |
170.26 |
5 526.64 |
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5809 |
Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Multiple Volumes of Interest - PROFESSIONAL COMPONENT |
238.36 |
7 737.17 |
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5810 |
Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Special Technique - PROFESSIONAL COMPONENT |
297.95 |
9 671.46 |
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5608 |
Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Multiple Volumes of Interest - TECHNICAL COMPONENT. |
397.27 |
12 895.38 |
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5609 |
Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Special Technique - TECHNICAL COMPONENT |
556.18 |
18 053.60 |
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5610 |
Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Special Technique - TECHNICAL COMPONENT |
695.22 |
22 566.84 |
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20.11.3 |
Three Dimensional Radiotherapy Planning Procedures |
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5820 |
Three Dimensional Radiotherapy Planning Procedures: 3-Dimensional Simulation and Graphic Planning, Single Volume of Interest - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI) |
240.23 |
7 797.87 |
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5620 |
Three dimensional radiotherapy planning procedures: 3-dimensional simulation and graphic planning, single volume of interest - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI) |
977.20 |
31 719.91 |
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5821 |
Three Dimensional Radiotherapy Planning Procedures: 3-Dimensional Simulation and Graphic Planning, Multiple Volumes of Interest - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI) |
407.75 |
13 235.57 |
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5621 |
Three dimensional radiotherapy planning procedures: 3-dimensional simulation and graphic planning, multiple volumes of interest - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI) |
1 368.07 |
44 407.55 |
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5822 |
Three Dimensional Radiotherapy Planning Procedures: 3-Dimensional Simulation and Graphic Planning, Special Technique - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI) |
554.33
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17 993.55 |
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5622 |
Three dimensional radiotherapy planning procedures: 3-dimensional simulation and graphic planning, special technique - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI) |
1 710.09 |
55 509.52 |
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20.11.4 |
Intensity Modulated Radiotherapy Planning Procedures |
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5823 |
Intensity Modulated Radiotherapy Planning Procedures: Intensity Modulated Radiotherapy Simulation, Inverse Planning, Radical Course - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI) |
642.92 |
20 869.18 |
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5623 |
Intensity modulated radiotherapy (IMRT) planning procedures: Intensity modulated radiotherapy simulation, inverse planning, radical course - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI) |
1 916.81 |
62 219.65 |
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5825 |
Intensity Modulated Radiotherapy Planning Procedures: Intensity Modulated Radiotherapy Simulation, Inverse Planning, Booster Volumes (not for use with other IMRT planning codes) - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI) |
232.18 |
7 536.56 |
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5625 |
Intensity modulated radiotherapy (IMRT) planning procedures: Intensity modulated radiotherapy simulation, inverse planning, booster volumes (not for use with other IMRT planning codes) - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI) |
958.40 |
31 109.66 |
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5826 |
Intensity Modulated Radiotherapy Planning Procedures: Intensity Modulated Radiotherapy Simulation, Inverse Planning, CT Scan with Magnetic Resonance Imaging or other Similar Imaging Fusion Techniques - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI) |
753.35 |
24 453.74 |
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5626 |
Intensity modulated radiotherapy (IMRT) planning procedures: Intensity modulated radiotherapy simulation, inverse planning, CT scan with magnetic resonance imaging or other similar imaging fusion techniques - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI) |
2 174.48 |
70 583.62 |
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20.11.5 |
Kilovolt Radiation Treatment |
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5834 |
Kilovoltage Radiation Treatment: Weekly Treatment, Kilovolt or Similar, per week or part thereof - PROFESSIONAL COMPONENT |
49.08 |
1 593.14 |
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5634 |
Kilovoltage Radiation Treatment: Weekly Treatment, Kilovolt or Similar, per week or part thereof - TECHNICAL COMPONENT |
114.52 |
3 717.32 |
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20.11.6 |
Short course radiation treatment |
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5835 |
Short Course Radiation Treatment: Short course treatment, Single Volume of Interest - PROFESSIONAL COMPONENT |
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5635 |
Short Course Radiation Treatment: Short course treatment, Single Volume of Interest - TECHNICAL COMPONENT |
246.73 |
8 008.86 |
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5836 |
Short Course Radiation Treatment: Short course treatment, Multiple Volumes of Interest - PROFESSIONAL COMPONENT |
148.04 |
4 805.38 |
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5636 |
Short Course Radiation Treatment: Short course treatment, Multiple Volumes of Interest - TECHNICAL COMPONENT |
345.41 |
11 212.01 |
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5837 |
Short Course Radiation Treatment: Short course Treatment, Special Technique - PROFESSIONAL COMPONENT |
190.33 |
6 178.11 |
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5637 |
Short Course Radiation Treatment: Short course Treatment, Special Technique - TECHNICAL COMPONENT |
444.11 |
14 415.81 |
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20.11.7 |
Weekly radiation treatment sessions |
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20.11.7.1 |
Conventional Techniques |
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5839 |
Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Single Volume of Interest - PROFESSIONAL COMPONENT. |
193.86 |
6 292.70 |
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5639 |
Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Single Volume of Interest - TECHNICAL COMPONENT. |
452.33 |
14 682.63 |
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5840 |
Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Multiple Volumes of Interest - PROFESSIONAL COMPONENT |
246.73 |
8 008.86 |
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5640 |
Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Multiple Volumes of Interest - TECHNICAL COMPONENT |
575.69 |
18 686.90 |
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5841 |
Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Special Technique - PROFESSIONAL COMPONENT |
317.22 |
10 296.96 |
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5641 |
Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Special Technique - TECHNICAL COMPONENT |
740.18 |
24 026.24 |
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20.11.7.2 |
Advanced Techniques |
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5849 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Single Volume of Interest - PROFESSIONAL COMPONENT |
236.24 |
7 668.35 |
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5649 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Single Volume of Interest - TECHNICAL COMPONENT. |
551.21 |
17 892.28 |
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5850 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Multiple Volumes of Interest - PROFESSIONAL COMPONENT |
330.73 |
10 735.50 |
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5650 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Multiple Volumes of Interest - TECHNICAL COMPONENT |
771.71 |
25 049.71 |
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5851 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leal Collimators, Special Technique - PROFESSIONAL COMPONENT |
425.23 |
13 802.97 |
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5651 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Special Technique - TECHNICAL COMPONENTS |
992.19 |
32 206.49 |
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5854 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Intensity Modulated Radiotherapy - PROFESSIONAL COMPONENT |
348.87 |
11 324.32 |
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5654 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Intensity Modulated Radiotherapy - TECHNICAL COMPONENT |
814.03 |
26 423.41 |
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5855 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Total Body Radiotherapy or Similar - PROFESSIONAL COMPONENTS |
826.83 |
26 838.90 |
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5655 |
Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Total Body Radiotherapy or Similar - TECHNICAL COMPONENT |
1 929.26 |
62 623.78 |
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20.11.8 |
Stereotactic Radiation |
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5860 |
Stereotactic Radiation: Stereotactic Radiation, Single or up to 4 (four) Fractions, Global Fee - PROFESSIONAL COMPONENT |
3 719.34 |
120 729.78 |
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5660 |
Stereotactic Radiation: Stereotactic Radiation, Single Fraction, Global Fee - TECHNICAL COMPONENT |
8 678.46 |
281 207.81 |
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5861 |
Stereotactic Radiation: Stereotactic Radiation, 5 (five) or more Fractions, Full course, Global Fee - PROFESSIONAL COMPONENT |
4 277.24 |
138 839.21 |
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5661 |
Stereotactic Radiation: Stereotactic Radiation, Fractionated, Full course, Global Fee - TECHNICAL COMPONENT |
9 980.23 |
323 958.27 |
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20.12 |
Brachytherapy |
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20.12.1 |
Isotope / Applicator Therapy |
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5870 |
Isotope / Applicator Therapy: Isotopes - Low Complexity, administration of low dose oral isotopes or use of surface applicators, up to five applications. Typically an out patient procedure. The cost of any isotopes and materials are not included |
108.40 |
3 518.66 |
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5872 |
Isotope / Applicator Therapy: Isotopes - Intermediate Complexity, administration of isotopes requiring invasive techniques such as intravenous, intracavitary or intra-articular radioactive isotopes. Typical out patient procedure or admission and monitoring less than 48 hours. The cost of any isotopes and materials are not included |
216.80 |
7 037.33 |
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5873 |
Isotope / Applicator Therapy: Isotopes - High Complexity, surface application of seed arrays requiring dosimetric assessment and/or high dose radio-active isotopes requiring admission and monitoring. Typically requires the patient admission and monitoring for more than 48 hours. The cost of any isotopes and materials are not included |
601.16 |
19 513.65 |
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20.12.2 |
Brachytherapy Implants |
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5882 |
Brachytherapy Implants: Implants - Low Complexity, placement of a single guide tube for the administration of brachytherapy requiring <8 dwell points. The cost of materials are not included |
216.80 |
7 037.33 |
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5883 |
Brachytherapy Implants: Implants - Intermediate Complexity, planar implants requiring >1 guide tube for the administration of brachytherapy, or the use of >8 dwell points in a single guide tube, or any procedure requiring <8 dwell points but which requires general anaesthesia for insertion. The cost of materials are not included |
786.80 |
25 539.53 |
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5885 |
Brachytherapy Implants: Implants - High Complexity requiring complex volumetric studies. Inclusive fee for implant under local or general anaesthetic. The cost of materials are not included |
1 049.07 |
34 052.81 |
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20.12.3 |
Brachytherapy Treatment |
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5890 |
Brachytherapy Treatment: Global fee for manual afterloading - includes storage, handling, calibration, planning (manual for computerized), manual loading, daily treatment, monitoring, removal and disposal of the isotopes. The cost of any isotopes and materials are not included |
613.04 |
19 899.28 |
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5892 |
Brachytherapy Treatment: Global fee for remote afterloading - includes input in calibration, graphic planning, daily treatment, monitoring, removal and disposal of implant materials on completion. The cost of any isotopes and materials are not included - PROFESSIONAL COMPONENT |
415.96 |
13 502 06 |
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5893 |
Global fee for remote afterloading - includes input in calibration, graphic planning, daily treatment, monitoring, removal and disposal of implant materials on completion. The cost of any isotopes and materials are not included - TECHNICAL COMPONENT |
970.56 |
31 504.38 |
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20.12.4 |
Brachytherapy Imaging |
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5895 |
Brachytherapy Imaging: Brachytherapy: Special imaging where needed and if used, unusual to be added to any code other than items 5883 or 5885 |
156.77 |
5 088.78 |
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