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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 : Procedures8. Digestive System |
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Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
U |
R T/M |
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8.1 |
Oral cavity |
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|
1462 |
Removal of embedded foreign body: vestibule of mouth, simple |
41.1 |
1 212.45 |
41.1 |
1 212.45 |
5 |
689.30 +T |
1464 |
Removal of embedded foreign body: vestibule of mouth, complicated |
73.1 |
2 156.45 |
73.1 |
2 156.45 |
5 |
689.30 +T |
1466 |
Removal of embedded foreign body: Dentoalveolar structures, soft tissues |
52.8 |
1 557.60 |
52.8 |
1 557.60 |
5 |
689.30 +T |
1467 |
Drainage of intra-oral abscess |
31 |
914.50 |
31 |
914.50 |
4 |
551.44 +T |
1469 |
Local excision of mucosal lesion of oral cavity |
23 |
678.50 |
23 |
678.50 |
4 |
551.44 +T |
1471 |
Resection of malignant lesion of buccal mucosa including radical neck dissection (Commando operation), but not including reconstructive plastic procedure |
549 |
16 195.50 |
439.2 |
12 956.40 |
7 |
965.02 +T |
1478 |
Velopharyngeal reconstruction with myoneuro-vascular transfer (dynamic repair) Pre-authorisation and motivation letter required |
240 |
7 080.00 |
192 |
5 664.00 |
6 |
827.16 +T |
1479 |
Velopharyngeal reconstruction with or without pharyngeal flap (static repair) |
227 |
6 696.50 |
181.6 |
5 357.20 |
6 |
827.16 +T |
1480 |
Repair of oronasal fistula (large), e.g. distant flap tariff code 1480 cannot be used with tariff codes 1481 and 1482 |
227 |
6 696.50 |
181.6 |
5 357.20 |
6 |
827.16 +T |
1481 |
Repair of oronasal fistula (small), e.g. trapdoor: One stage or first stage tariff code 1481 cannot be used with tariff codes 1480 and 1482 |
138 |
4 071.00 |
120 |
3 540.00 |
5 |
689.30 +T |
1482 |
Repair of oronasal fistula (large), Second stage tariff code 1482 cannot be used with tariff codes 1480 and 1481 |
138 |
4 071.00 |
120 |
3 540.00 |
5 |
689.30 +T |
1483 |
Alveolar periosteal or other flaps for arch closure |
138 |
4 071.00 |
120 |
3 540.00 |
4 |
551.44 +T |
1486 |
Closure of anterior nasal floor |
138 |
4 071.00 |
120 |
3 540.00 |
5 |
689.30 +T |
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8.2 |
Lips |
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|
|
1485 |
Local excision of benign lesion of lip |
27 |
796.50 |
27 |
796.50 |
4 |
551.44 +T |
1499 |
Lip reconstruction following an injury: Directed repair May not be used with tariff codes 1501 and 1503 to 1504 |
105.6 |
3 115.20 |
105.6 |
3 115.20 |
4 |
551.44 +T |
1501 |
Lip reconstruction following an injury: Flap repair May not be used with tariff codes 1499 and 1503 to 1504 |
206 |
6 077.00 |
164.8 |
4 861.60 |
4 |
551.44 +T |
1503 |
Lip reconstruction following an injury only: Total reconstruction (first stage) May not be used with tariff codes 1499 and 1501 to 1503 |
206 |
6 077.00 |
164.8 |
4 861.60 |
4 |
551.44 +T |
1504 |
Lip reconstruction following an injury only: Subsequent stages (see item 0297) May not be used with tariff codes 1499 and 1501 to 1503 |
104 |
3 068.00 |
104 |
3 068.00 |
4 |
551.44 +T |
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8.3 |
Tongue |
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|
1505 |
Partial glossectomy |
225 |
6 637.50 |
180 |
5 310.00 |
6 |
827.16 +T |
1507 |
Local excision of lesion of tongue |
27 |
796.50 |
27 |
796.50 |
4 |
551.44 +T |
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8.4 |
Palate, uvula and salivary gland |
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|
1526 |
Total parotidectomy with preservation of facial nerve |
359 |
10 575.75 |
287 |
8 460.60 |
5 |
682.30 +T |
1527 |
Total parotidectomy |
359 |
10 575.75 |
287 |
8 460.60 |
5 |
689.30 +T |
1531 |
Drainage of parotid abscess |
25 |
737.50 |
25 |
737.50 |
4 |
551.44 +T |
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8.5 |
Oesophagus |
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|
|
1545 |
Oesophagoscopy with rigid instrument: First and subsequent |
47 |
1 386.50 |
47 |
1 386.50 |
4 |
551.44 +T |
1550 |
Oesophagoscopy with removal of foreign body May not be used with tariff code 1545 |
70 |
2 065.00 |
70 |
2 065.00 |
4 |
551.44 +T |
1557 |
Oesophageal dilatation Can be used with tariff code 1587 |
40 |
1 180.00 |
40 |
1 180.00 |
4 |
551.44 +T |
1563 |
Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure |
300 |
8 850.00 |
240 |
7 080.00 |
11 |
1516.46 +T |
1565 |
Hiatus hernia and diaphragmatic hernia repair: With Collins Nissen oesophageal lengthening procedure |
350 |
10 325.00 |
280 |
8 260.00 |
11 |
1516.46 +T |
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8.6 |
Stomach |
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|
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|
|
|
1587 |
Upper gastro-intestinal endoscopy: Using hospital equipment |
48.75 |
1 438.13 |
48.75 |
1 438.13 |
4 |
551.44 +T |
1589 |
Endoscopio control of gastro-intestinal haemorrhage from upper gastro-intestinal tract, intestine or large bowel, by injection, ligation or application of energy devices (endoscopic haemostasis): ADD to gastroscopy (tariff code 1587), small bowel endocopy (tariff code 1626) or colonoscopy (tariff code 1653 or tariff code 1656) |
+ 34 |
1 003.00 |
34 |
1 003.00 |
6 |
827.16 +T |
1591 |
Plus removal of foreign body (stomach or small bowel): ADD to gastro-intestinal endoscopy (tariff code 1587) or small bowel endoscopy (tariff code 1626) |
+ 25 |
737.50 |
+ 25 |
737.50 |
4 |
551.44 +T |
1597 |
Gastrostomy or Gastrotomy For Percutaneous Endoscopic Gastrostomy (PEG), use tariff codes 1597 plus 1587 and 1780 |
147.5 |
4 351.25 |
120 |
3 540.00 |
6 |
827.16 +T |
1613 |
Gastroenterostomy |
203.6 |
6 006.20 |
162.88 |
4 804.96 |
6 |
827.16 +T |
1615 |
Suture of perforated gastric wound or injury Use tariff code for suturing of the duodenum |
200 |
5 900.00 |
160 |
4 720.00 |
7 |
965.02 +T |
1617 |
Partial gastrectomy |
328.3 |
9 684.85 |
262.64 |
7 747.88 |
7 |
965.02 +T |
1619 |
Total gastrectomy |
384.43 |
11 340.69 |
307.54 |
9 072.43 |
7 |
965.02 +T |
1621 |
Revision of gastrectomy or gastro-enterostomy |
375 |
11 062.50 |
300 |
8 850.00 |
7 |
965.02 +T |
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8.7 |
Duodenum |
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|
|
1626 |
Endoscopic examination of the small bowel beyond the duodenojejunal flexure (enteroscopy), with or without biopsy: Hospital equipment used (refer to modifier 0074 for the use of own equipment) |
120 |
3 540.00 |
120 |
3 540.00 |
6 |
827.16 +T |
1627 |
Duodenal intubation (under X-ray screening) |
8 |
236.00 |
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|
8.8 |
Intestines |
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|
1634 |
Enterotomy or Enterostomy |
202.6 |
5 976.70 |
162.08 |
4 781.36 |
6 |
827.16 +T |
1637 |
Operation for relief of intestinal obstruction |
240 |
7 080.00 |
192 |
5 664.00 |
7 |
965.02 +T |
1639 |
Resection of small bowel with enterostomy or ananstomosis May not be used with tariff code 1634 |
244.9 |
7 224.55 |
195.92 |
5 779.64 |
6 |
827.16 +T |
1642 |
Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy): Hire fee (tariff code 0201 applicable for video capsule - disposable single patient use) - (Please note: All patients should have had a normal gastroscopy and colonoscopy) |
150 |
4 425.00 |
120 |
3 540.00 |
|
|
1643 |
Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy), oesophagus through ileum: Doctor interpretation and report |
90 |
2 655.00 |
90 |
2 655.00 |
|
|
1645 |
Suture of intestine (small or large): Wound or injury Appropriate for the suturing of small or large intestines and post operative repair of perforation |
185.2 |
5 463.40 |
148.16 |
4 370.72 |
6 |
827.16 +T |
1647 |
Closure of intestinal fistula |
258 |
7 611.00 |
206.4 |
6 088.80 |
6 |
827.16 +T |
1653 |
Total colonoscopy with hospital equipment |
90 |
2 655.00 |
90 |
2 655.00 |
4 |
551.44 +T |
1656 |
Left-sided colonoscopy |
60 |
1 770.00 |
60 |
1 770.00 |
4 |
551.44 +T |
1657 |
Right or left hemicolectomy or segmental colectomy |
325 |
9 587.50 |
260 |
7 670.00 |
6 |
827.16 +T |
1661 |
Colotomy: Including removal of foreign body |
205.7 |
6 068.15 |
164.56 |
4 854.52 |
6 |
827.16 +T |
1663 |
Total colectomy |
390 |
11 505.00 |
312 |
9 204.00 |
6 |
827.16 +T |
1665 |
Colostomy or ileostomy isolated procedure |
233.8 |
6 897.10 |
187.04 |
5 517.68 |
6 |
827.16 +T |
1666 |
Continent ileostomy pouch (all types) |
300 |
8 850.00 |
240 |
7 080.00 |
6 |
827.16 +T |
1667 |
Colostomy: Closure |
179.1 |
5 283.45 |
143.28 |
4 226.76 |
5 |
689.30 +T |
1668 |
Revision of ileostomy pouch |
375 |
11 062.50 |
300 |
8 850.00 |
6 |
827.16 +T |
1676 |
Flexible sigmoidoscopy (including rectum and anus): Using hospital equipment |
48.75 |
1 438.13 |
48.75 |
1 438.13 |
3 |
413.58 +T |
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|
|
8.9 |
Rectum and anus |
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|
|
|
|
|
1677 |
Sigmoidoscopy: First and subsequent, with or without biopsy |
13 |
383.50 |
13 |
383.50 |
3 |
413.58 +T |
1688 |
Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy |
445 |
13 127.50 |
356 |
10 502.00 |
8 |
1102.88 +T |
1705 |
Incision and drainage of submucous abscess |
40 |
1 180.00 |
40 |
1 180.00 |
3 |
413.58 +T |
1707 |
Drainage of submucous abscess |
40 |
1 180.00 |
40 |
1 180.00 |
3 |
413.58 +T |
1737 |
Dilatation of ano-rectal structure |
12.5 |
368.75 |
12.5 |
368.75 |
3 |
413.58 +T |
1742 |
Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor |
27 |
796.50 |
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|
8.10 |
Liver |
|
|
|
|
|
|
1743 |
Needle biopsy of liver |
30.3 |
893.85 |
30.3 |
893.85 |
3 |
413.58 +T |
1744 |
Extensive debridement, haemostasis and packing of liver wound or injury |
483.8 |
14 272.10 |
387.04 |
11 417.68 |
13 |
1792.18 +T |
1745 |
Biopsy of liver by laparotomy |
125 |
3 867.50 |
120 |
3 540.00 |
4 |
551.44 +T |
1747 |
Drainage of liver abscess |
179.1 |
5 283.45 |
143.28 |
4 226.76 |
7 |
965.02 +T |
1748 |
Body composition measured by bio-electrical impedance |
3 |
88.50 |
3 |
88.50 |
|
|
1749 |
Hemi-hepatectomy: Right |
564 |
16 638.00 |
451.2 |
13 310.40 |
9 |
1240.74 +T |
1751 |
Hemi-hepatectomy: Left |
521.1 |
15 372.45 |
416.88 |
12 297.96 |
9 |
1240.74 +T |
1752 |
Extended right or left hepatectomy |
570.9 |
16 841.55 |
456.72 |
13 473.24 |
9 |
1240.74 +T |
1753 |
Partial or semental hepatectomy |
378 |
11 151.00 |
302.4 |
8 920.80 |
9 |
1240.74 +T |
1757 |
Suture of liver wound or injury |
214.2 |
6 318.90 |
171.36 |
5 055.12 |
9 |
1240.74 +T |
1758 |
Complex suture of liver wound or injury, including hepatic artery ligation May not be used with tariff code 1757 |
296.6 |
8 749.70 |
237.28 |
6 999.76 |
13 |
1792.18 +T |
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|
8.11 |
Billary tract |
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|
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|
|
1763 |
With exploration of common bile duct |
264.5 |
7 802.75 |
211.6 |
6 242.20 |
6 |
827.16 +T |
1765 |
Exploration of common bile duct: Secondary operation |
327.7 |
9 667.15 |
262.16 |
7 733.72 |
6 |
827.16 +T |
1767 |
Reconstruction of common bile duct |
371.7 |
10 965.15 |
297.36 |
8 772.12 |
6 |
827.16 +T |
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|
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|
|
8.12 |
Pancreas |
|
|
|
|
|
|
1778 |
Endoscopic Retrograde Cholangiopancreatography (ERCP: Endoscopy + Catheterisation of pancreas duct or choledochus |
106 |
3 124.05 |
106 |
3 124.05 |
4 |
551.44 +T |
1779 |
Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (tariff code 1778) |
16 |
466.69 |
16 |
466.69 |
4 |
551.44 +T |
1780 |
Gastric and duodenal intubation Code is not appropriate if gastric intubation forms part of anaesthetic indications |
8 |
236.00 |
8 |
236.00 |
|
|
1791 |
Local, partial or subtotal pancreatectomy |
351 |
10 363.35 |
281 |
8 290.68 |
8 |
1102.88 +T |
1793 |
Distal pancreatectomy with internal drainage |
377 |
11 133.30 |
302 |
8 906.64 |
8 |
1102.88 +T |
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|
8.13 |
Peritoneal cavity |
|
|
|
|
|
|
1797 |
Pneumo-peritoneum: First May not be used with tariff codes 1807 and 1797 |
13 |
383.50 |
13 |
383.50 |
4 |
551.44 +T |
1799 |
Pneumo-Peritoneum: Repeat May not be used with tariff codes 1807 and 1799 |
6 |
177.00 |
6 |
177.00 |
4 |
551.44 +T |
1800 |
Peritoneal lavage Appropriate when washing peritoneal cavity in cases of severe contamination |
20 |
590.00 |
20 |
590.00 |
|
|
1801 |
Diagnostic paracentesis: Abdomen |
8 |
236.00 |
8 |
236.00 |
|
|
1803 |
Therapeutic paracentesis: Abdomen Appropriate for draining ascitic fluid from abdomen |
13 |
383.50 |
13 |
383.50 |
|
|
1807 |
Add to open procedure where procedure was performed through a laparoscope (for anaesthetic refer to modifier 0027) |
+ 45 |
1 327.50 |
45 |
1 327.50 |
5 |
689.30 +T |
1809 |
Laparotomy If laparotomy is followed by an indicated intra-abdominal procedure, the tariff code with more RVUs should be used, and not both. Includes peritoneal lavage. No extra charge will be levied for the incision and closure of the abdomen for all intra-abdominal procedure. |
196 |
5 782.00 |
156.8 |
4 625.60 |
4 |
551.44 +T |
1811 |
Suture of burst abdomen Includes peritoneal lavage. |
188.3 |
5 554.85 |
150.64 |
4 443.88 |
7 |
965.02 +T |
1812 |
Laparotomy for control of surgical haemorrhage Includes peritoneal lavage. |
105 |
3 097.50 |
105 |
3 097.50 |
9 |
1240.74 +T |
1813 |
Drainage sub-phrenic abscess |
180 |
5 310.00 |
144 |
4 248.00 |
7 |
965.02 +T |
1815 |
Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal May be used with tariff code 1637 if appropriate. |
248.4 |
7 327.80 |
198.72 |
5 862.24 |
5 |
689.30 +T |
1817 |
Drainage of intraperitoneal abscess (excluding appendix abscess) Transrectal drainage of a pelvic abscess |
75 |
2 212.50 |
75 |
2 212.50 |
4 |
551.44 +T |
[Part III Rule 8 substituted correct pricing on Doctors by N1713, G48477, dated 28 April 2023]