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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 : Procedures3. Musculo-Skeletal System3.1 Bones |
Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
U |
R T |
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3.1.1 |
Fractures |
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0383 |
Fracture (reduction under general anaesthetic): Scapula |
112.30 |
3 312.85 |
112.30 |
3 312.85 |
3 |
413.58 +T+M |
0384 |
Fracture: Scapula: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
284.2 |
8 383.90 |
227.36 |
6 707.12 |
3 |
413.58 +T+M |
0386 |
Fracture: Clavicle: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
209.4 |
6 177.30 |
167.52 |
4 941.84 |
3 |
413.58 +T+M |
0387 |
Fracture (reduction under general anaesthetic): Clavicle |
93.80 |
2 767.10 |
93.80 |
2 767.10 |
3 |
413.58 +T+M |
0388 |
Percutaneous pinning supracondylar fracture elbow - stand alone procedure |
175.70 |
5 183.15 |
140.56 |
4 146.52 |
3 |
413.58 +T+M |
0389 |
Fracture (reduction under general anaesthetic): Humerus |
129.60 |
3 823.20 |
129.60 |
3 823.20 |
3 |
413.58 +T+M |
0390 |
Fracture: Humerus: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
255.3 |
7 531.35 |
204.24 |
6 025.08 |
3 |
413.58 +T+M |
0391 |
Fracture (reduction under general anaesthetic): Radius and/or Ulna |
135.7 |
4 003.15 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0392 |
Open reduction of both radius and ulna (Modifier 0051 not applicable) |
193.50 |
5 708.25 |
154.80 |
4 566.60 |
3 |
413.58 +T+M |
0401 |
Fracture: Carpal bone: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
208.7 |
6 156.65 |
166.96 |
4 925.32 |
3 |
413.58 +T+M |
0402 |
Fracture (reduction under general anaesthetic): Carpal bone |
64 |
1 888.00 |
64 |
1 888.00 |
3 |
413.58 +T+M |
0403 |
Bennett's fracture-dislocation |
84.50 |
2 492.75 |
84.50 |
2 492.75 |
3 |
413.58 +T+M |
0404 |
Fracture: Bennett fracture/dislocation: Open reduction and internal fixation (modifiers 0051, 0052, 0055 not applicable) |
179.80 |
5 304.10 |
143.84 |
4 243.28 |
3 |
413.58 +T+M |
0405 |
Fracture reduction under general anaesthetic: Open treatment of Metacarpal: Simple |
75.40 |
2 224.30 |
75.40 |
2 224.30 |
3 |
413.58 +T+M |
0406 |
Fracture: Metacarpal bone: Open reduction and internal fixation (modifier 0052 not applicable) |
163.60 |
4 826.20 |
130.88 |
3 860.96 |
3 |
413.58 +T+M |
0409 |
Fracture (reduction under general anaesthetic): Finger phalanx: Distal: Simple |
77 |
2 271.50 |
77 |
2 271.50 |
3 |
413.58 +T+M |
0410 |
Fracture: Finger phalanx, distal, simple: Open reduction and internal fixation (modifier 0052 not applicable) |
141.10 |
4 162.45 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0413 |
Fracture (reduction under general anaesthetic): Finger phalanx: Proximal or middle Replaces tariff code 0415 |
50.50 |
1 489.75 |
50.50 |
1 489.75 |
3 |
413.58 +T |
0414 |
Fracture: Finger phalanx, proximal or middle: Open reduction and internal fixation (modifier 0052 not applicable) Replaces tariff code 0411 |
169.90 |
5 012.05 |
135.92 |
4 009.64 |
3 |
413.58 +T |
0417 |
Fracture (reduction under general anaesthetic): Pelvis fracture: Closed (modifier 0051 is applicable_ |
137.20 |
4 047.40 |
120 |
3 540.00 |
3 |
413.58 +T |
0419 |
Fracture (reduction under general anaesthetic): Pelvis:Open reduction and internal fixation (modifier 0051 not applicable) |
354.49 |
10 457.46 |
283.59 |
8 365.91 |
3 |
413.58 +T+M |
0420 |
Fracture: Acetabulum: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
560 |
16 520.00 |
448 |
13 216.00 |
3 |
413.58 +T+M |
0421 |
Fracture (reduction under general anaesthetic): Femur: Neck or Shaft |
279.10 |
8 233.45 |
223.28 |
6 586.76 |
3 |
413.58 +T+M |
0422 |
Fracture: Femur neck or shaft: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
392.3 |
11 572.85 |
313.84 |
9 258.28 |
3 |
413.58 +T+M |
0425 |
Fracture (reduction under general anaesthetic) Patella |
82.50 |
2 433.75 |
82.50 |
2 433.75 |
3 |
413.58 +T+M |
0426 |
Fracture: Patella: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
219.5 |
6 475.25 |
175.6 |
5 180.20 |
3 |
413.58 +T+M |
0429 |
Fracture (reduction under general anaesthetic) Tibia with or without Fibula |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0430 |
Fracture: Tibia, with or without fibula: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
293.2 |
8 649.40 |
234.56 |
6 919.52 |
3 |
413.58 +T+M |
0433 |
Fracture (reduction under general anaesthetic) Fibula shaft |
112.40 |
3 315.80 |
112.40 |
3 315.80 |
3 |
413.58 +T+M |
0434 |
Fracture: Fibula shaft: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
207 |
6 106.50 |
165.6 |
4 885.20 |
3 |
413.58 +T+M |
0435 |
Fracture (reduction under general anaesthetic): Malleolus of ankle |
126.80 |
3 740.60 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0436 |
Fracture: Ankle malleolus: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
207.1 |
6 109.45 |
165.68 |
4 887.56 |
3 |
413.58 +T+M |
0437 |
Fracture-dislocation of ankle |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0438 |
Open reduction Talus fracture (Modifier 0051 not applicable) |
311.60 |
9 192.20 |
249.28 |
7 353.76 |
3 |
413.58 +T+M |
0439 |
Fracture (reduction under general anaesthetic): Tarsal bones (excluding talus and calcaneus) |
76.60 |
2 259.70 |
76.60 |
2 259.70 |
3 |
413.58 +T+M |
0440 |
Open reduction: Calcaneus fracture (Modifiers 0051, 0052 not applicable) |
403.50 |
11 903.25 |
322.5 |
9 513.75 |
3 |
|
0441 |
Fracture (reduction under general anaesthetic): Metatarsal |
66.80 |
1 970.60 |
66.80 |
1 970.60 |
3 |
413.58 +T+M |
0442 |
Fracture: Metatarsal bones: Open reduction with internal fixation (modifiers 0051, 0052 not applicable) |
154.7 |
4 563.65 |
123.76 |
3 650.92 |
3 |
413.58 +T+M |
0443 |
Fracture (reduction under general anaesthetic): Toe phalanx: Distal: Simple |
66.8 |
1 970.60 |
66.80 |
1 970.60 |
3 |
413.58 +T |
0444 |
Fracture: Toe phalanx, distal: Open reduction with internal fixation (modifier 0052 not applicable) Replaces tariff code 0445 |
144.5 |
4 262.75 |
120 |
3 540.00 |
3 |
413.58 +T |
0446 |
Fracture: Tarsal bones (excluding talus and calcaneus): Open reduction with internal fixation (modifiers 0051, 0052 not applicable) |
178.2 |
5 256.90 |
142.56 |
4 205.52 |
3 |
413.58 +T+M |
0447 |
Fracture (reduction under general anaesthetic): Other: Simple |
26 |
767.00 |
26 |
767.00 |
3 |
413.58 +T |
0448 |
Fracture: Calcaneus (reduction under general anaesthetic) |
103.3 |
3 047.35 |
103.3 |
3 047.35 |
3 |
413.58 +T+M |
0452 |
Fracture (reduction under general anaesthetic): Sternum and/or ribs: Open reduction and fixation of multiple fractured ribs for flail chest Replaces tariff code 0451 |
230 |
6 785.00 |
184 |
5 428.00 |
3 |
413.58 +T+M |
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3.1.1.1 |
Operations for fractures |
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0465 |
Fractures involving large joints (includes the item for the relative bone). This item may not be used as a modifier |
288 |
8 496.00 |
230.4 |
6 796.80 |
3 |
413.58 +T+M |
0466 |
Fratures involving digital joints: Includes the metaphysis of the relative bone. Open reduction and internal fixation (modifier 0052 not applicable) |
210.90 |
6 221.55 |
168.72 |
4 977.24 |
3 |
413.58 +T+M |
0473 |
Percutaneous insertion plus subsequent removal of Kirschner wires or Steinmann pin (Not subject to rite G) (Modifier 0005 not applicable) |
43 |
1 268.50 |
43 |
1 268.50 |
3 |
413.58 +T |
0475 |
Bonegrafting or internal fixation for malunion or non-union: Femur, Tibia, Humerus, Radius and Ulna |
328.20 |
9 681.90 |
262.56 |
7 745,52 |
3 |
413.58 +T+M |
0479 |
Bonegrafting or internal fixation for malunion or non-union: Other bones (not applicable to fingers and toes) |
154 |
4 543.00 |
123.2 |
3 634.40 |
3 |
413.58 +T+M |
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3.1.2 |
Bony operations |
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3.1.2.1 |
Bone grafting |
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0497 |
Resection of bone with or without grafting |
282 |
8 319.00 |
225.6 |
6 655.20 |
3 |
413.58 +T+M |
0498 |
Resection of bone or tumour (malignant) with or without grafting (does not include digits) |
340 |
10 030.00 |
272 |
8 024.00 |
3 |
413.58 +T+M |
0499 |
Grafts to cysts: Large bones |
192 |
5 664.00 |
153.6 |
4 531.20 |
3 |
413.58 +T+M |
0501 |
Grafts to cysts: Small bones |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0503 |
Grafts to cysts: Cartilage graft |
206 |
6 077.00 |
164.8 |
4 861.60 |
3 |
413.58 +T+M |
0505 |
Grafts to cysts: Inter-metacarpal bone graft |
147 |
4 336.50 |
120 |
3 640.00 |
3 |
413.58 +T+M |
0506 |
Harvesting of graft: Cartilage graft, costochondral |
91.1 |
2 687.45 |
91.1 |
2 687.45 |
6 |
827.16 +T |
0507 |
Removal of autogenous bone for grafting (not subject to modifier 0005) |
50 |
1 475.00 |
50 |
1 475.00 |
3 |
413.58 +T+M |
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3.1.2.2 |
Acute/chronic osteomyelitis |
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0512 |
Sternum sequestrectomy and drainage: Including FOUR weeks after care |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
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3.1.2.3 |
Osteotomy |
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0514 |
Osteotomy: Sternum: Repair of pectus-excavatum |
330 |
9 735.00 |
264 |
7 788.00 |
3 |
413.58 +T+M |
0515 |
Osteotomy: Sternum: Repair of pectus carinatum |
330 |
9 735.00 |
264 |
7 788.00 |
3 |
413.58 +T+M |
0516 |
Osteotomy: Pelvic |
320 |
9 440.00 |
256 |
7 552.00 |
3 |
413.58 +T+M |
0521 |
Osteotomy: Femoral: Proximal (Modifier 0051 is applicable) |
320 |
9 440.00 |
256 |
7 552.00 |
3 |
413.58 +T+M |
0527 |
Osteotomy: Knee region (Modifier 0051 is applicable) |
320 |
9 440.00 |
256 |
7 552.00 |
3 |
413.58 +T+M |
0528 |
Osteotomy: Os Calcis (Dwyer operation) (Modifier 0051 is applicable) |
115 |
3 392.50 |
115 |
3 392.50 |
3 |
413.58 +T+M |
0530 |
Osteotomy: Metacarpal and phalanx: Corrective for mal-union or rotation (Modifier 0051 is applicable) |
120 |
3 540.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0531 |
Rotational osteotomy tibia and fibula - stand alone procedure |
278.90 |
8 227.55 |
223.12 |
6 582.04 |
3 |
413.58 +T+M |
0532 |
Rotation osteotomy of the Radius. Ulna or Humerus (modifier 0051 is applicable) |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T+M |
0533 |
Osteotomy single metatarsal (modifier 0051 Is applicable) |
60 |
1 770.00 |
60 |
1 770.00 |
3 |
413.58 +T+M |
0534 |
Multiple metatarsal osteotomies (modifier 0051 is applicable |
150 |
4 425.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
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3.1.2.4 |
Exostosis |
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0535 |
Exostosis: Excision: Readily accessible sites |
60 |
1 770.00 |
60 |
1 770.00 |
3 |
551.44 +T |
0537 |
Exostosis: Excision: Less accessible sites |
96 |
2 832.00 |
96 |
2 832.00 |
3 |
551.44 +T |
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3.1.2.5 |
Biopsy |
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0539 |
Needle Biopsy: Spine (no after-care), Modifier 0005 not applicable |
50 |
1 475.00 |
50 |
1 475.00 |
4 |
As per bone |
0541 |
Needle Biopsy: Other sites (no after-care), Modifier 0005 not applicable |
32 |
944.00 |
32 |
944.00 |
4 |
As per bone |
0543 |
Biopsy: Open (modifier 0005 is not applicable): Readily accessible site |
64 |
1 888.00 |
64 |
1 888.00 |
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0545 |
Biopsy: Open (modifier 0005 is not applicable): Less accessible site |
96 |
2 832.00 |
96 |
2 832.00 |
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