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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 System3.2 Joints |
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Specialist |
General Practitioner |
Anaesthetic |
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U/E |
R |
U/E |
R |
U/E |
R T/M |
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3.2.1 |
Dislocations |
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|
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|
0547 |
Dislocation: Clavicle: either end |
96.5 |
2 846.75 |
96.5 |
2 846.75 |
3 |
413.58 +T+M |
0549 |
Dislocation: Shoulder |
112.1 |
3 306.95 |
112.1 |
3 306.95 |
3 |
413.58 +T+M |
0551 |
Dislocation: Elbow |
133.60 |
3 941.20 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0552 |
Dislocation: Wrist |
115.50 |
3 407.25 |
115.50 |
3 407.25 |
3 |
413.58 +T+M |
0553 |
Dislocation: Perilunar transscaphoid fracture dislocation |
130 |
3 835.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0555 |
Dislocation: Lunate |
136.30 |
4 020.85 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0556 |
Dislocation: Carpo-metacarpo dislocation |
117.20 |
3 457.40 |
117.20 |
3 457.40 |
3 |
413.58 +T+M |
0557 |
Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand) |
107.30 |
3 165.35 |
107.30 |
3 165.35 |
3 |
413.58 +T+M |
0559 |
Dislocation: Hip |
220.50 |
6 504.75 |
176.40 |
5 203.80 |
3 |
413.58 +T+M |
0561 |
Dislocation: Knee, with manipulation |
181.20 |
5 345.40 |
144.96 |
4 276.32 |
3 |
413.58 +T+M |
0563 |
Dislocation: Patella |
136.90 |
4 038.55 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0565 |
Dislocation: Ankle |
98.60 |
2 908.70 |
98.60 |
2 908.70 |
3 |
413.58 +T+M |
0567 |
Dislocation: Sub-Talar dislocation |
92 |
2 714.00 |
92 |
2 714.00 |
3 |
413.58 +T+M |
0569 |
Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal |
77 |
2 271.50 |
77 |
2 271.50 |
3 |
413.58 +T+M |
0571 |
Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot) |
39.40 |
1 162.30 |
39.40 |
1 162.30 |
3 |
413.58 +T+M |
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3.2.2 |
Operations for dislocations |
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|
0578 |
Recurrent dislocation of shoulder |
200 |
5 900.00 |
160 |
4 720.00 |
3 |
413.58 +T+M |
0579 |
Recurrent dislocation of large joints |
161 |
4 749.50 |
128.8 |
3 799.60 |
3 |
413.58 +T+M |
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3.2.3 |
Capsular operations |
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|
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|
0582 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care) |
51 |
1 504.50 |
51 |
1 504.50 |
3 |
413.58 +T+M |
0583 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care) |
96 |
2 832.00 |
96 |
2 832.00 |
3 |
413.58 +T+M |
0585 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy digital joint |
64 |
1 888.00 |
64 |
1 888.00 |
3 |
413.58 +T+M |
0586 |
Multiple percutaneous capsulotomies of metacarpo-phalangeal joints |
90 |
2 655.00 |
90 |
2 655.00 |
3 |
413.58 +T+M |
0587 |
Release of digital joint contracture |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
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|
3.2.4 |
Synovectomy |
|
|
|
|
|
|
0589 |
Synovectomy: Digital joint |
77 |
2 271.50 |
77 |
2 271.50 |
3 |
413.58 +T+M |
0592 |
Synovectomy: Large joint |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T+M |
0593 |
Tendon synovectomy |
203.7 |
6 009.15 |
162.96 |
4 807.32 |
3 |
413.58 +T+M |
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3.2.5 |
Arthrodesis |
|
|
|
|
|
|
0597 |
Arthrodesis: Shoulder |
224 |
6 608.00 |
179.2 |
5 286.00 |
3 |
413.58 +T+M |
0598 |
Arthrodesis: Elbow |
180 |
5 310.00 |
144 |
4 248.00 |
3 |
413.58 +T+M |
0599 |
Arthrodesis: Wrist |
180 |
5 310.00 |
144 |
4 248.00 |
3 |
413.58 +T+M |
0600 |
Arthrodesis: Digital joint |
128 |
3 776.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0601 |
Arthrodesis: Hip |
320 |
9 440.00 |
256 |
7 552.00 |
3 |
413.58 +T+M |
0602 |
Arthrodesis: Knee |
180 |
5 310.00 |
144 |
4 248.00 |
3 |
413.58 +T+M |
0603 |
Arthrodesis: Ankle |
180 |
5 310.00 |
144 |
4 248.00 |
3 |
413.58 +T+M |
0604 |
Arthrodesis: Sub-talar |
130 |
3 835.00 |
120 |
3 540.00 |
3 |
413.58 +T+M |
0605 |
Arthrodesis: Stabilization of foot (triple-arthrodeses) |
180 |
5 310.00 |
144 |
4 248.00 |
3 |
413.58 +T+M |
0607 |
Arthrodesis: Mid-tarsal wedge resection |
180 |
5 310.00 |
144 |
4 248.00 |
3 |
413.58 +T+M |
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3.2.6 |
Arthroplasty |
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|
0614 |
Arthroplasty: Debridement large joints |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T+M |
0615 |
Arthroplasty: Excision medial or lateranl end of clavicle |
116 |
3 422.00 |
116 |
3 422.00 |
3 |
413.58 +T+M |
0617 |
Shoulder. Acromioplasty |
192 |
5 644.00 |
153.6 |
4 531.20 |
3 |
413.58 +T+M |
0619 |
Shoulder: Partial replacement |
277 |
8 171.50 |
221.6 |
6 537.20 |
5 |
689.30 +T+M |
0620 |
Shoulder: Total replacement |
416 |
12 272.00 |
332.8 |
9 817.60 |
5 |
689.30 +T+M |
0621 |
Elbow: Excision head of radius |
96 |
2 832.00 |
96 |
2 832.00 |
3 |
413.58 +T+M |
0622 |
Elbow: Excision |
192 |
5 664.00 |
153.6 |
4 531.20 |
3 |
413.58 +T+M |
0623 |
Elbow: Partial replacement |
188 |
5 546.00 |
150.4 |
4 436.60 |
3 |
413.58 +T+M |
0624 |
Elbow: Total replacement |
282 |
8 319.00 |
225.6 |
6 655.20 |
3 |
413.58 +T+M |
0625 |
Wrist: Excision distal end of ulna |
96 |
2 832.00 |
96 |
2 832.00 |
3 |
413.58 +T+M |
0626 |
Wrist: Excision single bone |
110 |
3 245.00 |
110 |
3 245.00 |
3 |
413.58 +T+M |
0627 |
Wrist: Excision proximal row |
166 |
4 897.00 |
132.8 |
3 917.60 |
3 |
413.58 +T+M |
0631 |
Wrist: Total replacement |
249 |
7 345.50 |
199.2 |
5 876.40 |
3 |
413.58 +T+M |
0635 |
Digital joint: Total replacement |
192 |
5 664.00 |
153.6 |
4 531.20 |
3 |
413.58 +T+M |
0637 |
Hip: Total replacement |
416 |
12 272.00 |
332.8 |
9 817.60 |
3 |
413.58 +T+M |
0641 |
Hip: Prosthetic replacement of femoral head |
288 |
8 496.00 |
230.4 |
6 796.80 |
3 |
413.58 +T+M |
0643 |
Hip: Girdlestone |
320 |
9 440.00 |
256 |
7 552.00 |
3 |
413.58 +T+M |
0645 |
Knee: Partial replacement |
277 |
8 171.50 |
221.6 |
6 537.20 |
3 |
413.58 +T+M |
0646 |
Knee: Total replacement |
416 |
12 272.00 |
332.8 |
9 817.60 |
3 |
413.58 +T+M |
0649 |
Ankle: Total replacement |
290.4 |
8 586.80 |
232.32 |
6 863.44 |
3 |
413.58 +T+M |
0650 |
Ankle: Astragalectomy |
154 |
4 543.00 |
123.2 |
3 634.40 |
3 |
413.58 +T+M |
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3.2.7 |
Miscellaneous (Joints) |
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|
0658 |
Aspiration and/or injection: Small joint, bursa (e.g. fingers, toes) (excluding aftercare, modifier 0005 not applicable) |
11.40 |
336.30 |
11.40 |
336.30 |
3 |
413.58 +T+M |
0659 |
Aspiration and/or injection: Intermediate joint, bursa (e.g. temporaomandibular, acromioclavivular,wrist, elbow or ankle, olecranon bursa) (excluding aftercare, modifier 0005 not applicable) |
12 |
354.00 |
12 |
354.00 |
3 |
413.58 +T+M |
0660 |
Aspiration and/or injection: Major joint, bursa (e.g. shoulder, hip, knee, joint, subacromial bursa) (excluding aftercare, modifier 0005 not applicable) |
14.60 |
430.70 |
14.60 |
430.70 |
3 |
413.58 +T+M |
0661 |
Aspiration of joint or intra-articular injection (not subject to rule G) (Modifier 0005 not applicable) |
9 |
265.50 |
9 |
265.50 |
3 |
413.58 +T |
0668 |
Manipulation of knee joint under general anaethesia (includes application of traction or other fixation devices) (excluding aftercare) (modifier 0005 is not applicable) |
43.10 |
1 271.45 |
43.10 |
1 271.45 |
3 |
413.58 +T |
0667 |
Arthroscopy (excluding after-care), modifiers 0005 and 0013 not applicable |
60 |
1 770.00 |
60 |
1 770.00 |
3 |
413.58 +T |
0669 |
Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable) |
14 |
413.00 |
14 |
413.00 |
4 |
551.44 Hip +T 413.58 Knee/ Shoulder +T |
0673 |
Menisectomy or operation for other internal derangement of knee: Medial OR Lateral |
185.70 |
5 478.15 |
148.56 |
4 382.52 |
3 |
413.58 +T+M |
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3.2.8 |
Joint ligament reconstruction or suture |
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|
0675 |
Joint ligament reconstruction or suture: Ankle: Collateral |
160 |
4 720.00 |
128 |
3 776.00 |
3 |
413.58 +T+M |
0676 |
Joint ligament reconstruction or suture: Ankle (e.g. Watson-Jones type) |
191.50 |
5 649.25 |
153.20 |
4 519.40 |
3 |
413.58 +T+M |
0677 |
Joint ligament reconstruction or suture: Knee: Collateral |
196.80 |
5 805.60 |
157.44 |
4 644.48 |
3 |
413.58 +T+M |
0678 |
Joint ligament reconstruction: Knee: Cruciate |
227.60 |
6 714.20 |
182.08 |
5 371.36 |
3 |
413.58 +T+M |
0679 |
Joint ligament reconstruction or suture: Ligament augmentation procedure of knee |
324.40 |
9 569.80 |
259.52 |
7 655.83 |
3 |
413.58 +T+M |
0680 |
Joint ligament reconstruction or suture: Digital joint ligament |
229.80 |
6 779.10 |
183.84 |
5 423.28 |
3 |
413.58 +T+M |
[Part III Rule 3(3.2) substituted correct pricing on Doctors by N1713, G48477, dated 28 April 2023]