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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 - 2021Doctors Gazette 2021Part lll : Procedures3. Musculo-Skeletal System3.4 Muscles, tendons and fascias |
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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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3.4 |
Muscles, tendons and fascias |
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3.4.1 |
Investigations |
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0713 |
Electromyography |
75 |
2 127.75 |
75 |
2 127.75 |
3 |
397.68 +T |
0714 |
Electro-myographic neuro-muscular junctional study, including edrophonium response (not to be used with item 2730) |
57 |
1 617.09 |
57 |
1 617.09 |
3 |
397.68 +T |
0715 |
Strength duration curve per session |
10.5 |
297.89 |
10.5 |
297.89 |
3 |
397.68 +T |
0717 |
Electrical examination of single nerve or muscle |
9 |
255.33 |
9 |
255.33 |
3 |
397.68 +T |
0721 |
Voltage integration during isometric contraction |
12 |
340.44 |
12 |
340.44 |
3 |
397.68 +T |
0723 |
Tonometry with edrophonium |
8 |
226.96 |
8 |
226.96 |
3 |
397.68 +T |
0725 |
Isometric tension studies with edrophonium |
10 |
283.70 |
10 |
283.70 |
3 |
397.68 +T |
0727 |
Cranial reflex study (both early and late responses) supra occulofacial, comefacial or flabellofacial: Unilateral |
8 |
226.96 |
8 |
226.96 |
3 |
397.68 +T |
0728 |
Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial : Bilateral |
14 |
397.18 |
14 |
397.18 |
3 |
397.68 +T |
0729 |
Tendon reflex time |
7 |
198.59 |
7 |
198.59 |
3 |
397.68 +T |
0730 |
Limb-brain somatosensory studies (per limb) |
49 |
1 390.13 |
49 |
1 390.13 |
3 |
397.68 +T |
0731 |
Vision and audiosensory studies |
49 |
1 390.13 |
49 |
1 390.13 |
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0733 |
Motor nerve conduction studies (single nerve) |
26 |
737.62 |
26 |
737.62 |
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0735 |
Examinations of sensory nerve conduction by sweep averages (single nerve) |
31 |
879.47 |
31 |
879.47 |
3 |
397.68 +T |
0737 |
Biopsy for motor nerve terminals and end plates |
20 |
567.40 |
20 |
567.40 |
3 |
397.68 +T |
0739 |
Combined muscle biopsy with end plates and nerve terminal biopsy |
34 |
964.58 |
34 |
964.58 |
8 |
1060.48 +T |
0740 |
Muscle fatigue studies |
20 |
567.40 |
20 |
567.40 |
3 |
397.68 +T |
0741 |
Muscle biopsy |
20 |
567.40 |
20 |
567.40 |
8 |
1060.48 +T |
0742 |
Global fee for all muscle studies, including histochemical studies |
262 |
7 432.94 |
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4701 |
Biochemical estimations on muscle biopsy specimens: Creatine kinase |
20.25 |
574.49 |
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4703 |
Biochemical estimations on muscle biopsy specimens: Adenylale kinase |
33.3 |
944.72 |
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4705 |
Biochemical estimations on muscle biopsy specimens: Pyruvate kinase |
5.7 |
161.71 |
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4707 |
Biochemical estimations on muscle biopsy specimens: Lactate dehydrogenase |
1.6 |
45.39 |
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4709 |
Biochemical estimations on muscle biopsy specimens: Adenylate deaminase |
9.9 |
280.86 |
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4711 |
Biochemical estimations on muscle biopsy specimens: Phosplagycerate kinase |
13.7 |
388.67 |
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4713 |
Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase |
25.9 |
734.78 |
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4715 |
Biochemical estimations on muscle biopsy specimens: Enolase |
32.7 |
927.70 |
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4717 |
Biochemical estimations on muscle biopsy specimens: Phospholructokinase |
37.7 |
1 069.55 |
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4719 |
Biochemical estimations on muscle biopsy specimens: Aldolase |
15.75 |
446.83 |
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4721 |
Biochemical estimations on muscle biopsy specimens: Gyceraldehyde 3 Phosphate Dehydrogenase |
11.06 |
313.77 |
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4723 |
Biochemical estimations on muscle biopsy specimens: Phosphorylase |
34.7 |
984.44 |
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4725 |
Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase |
40.3 |
1 143.31 |
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4727 |
Biochemical estimations on muscle biopsy specimens: Phosphohexose Isomerase |
28.8 |
817.06 |
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3.4.2 |
Decompression Operations |
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0743 |
[DELETED 2015] Refer to items 5550-5563: Major Compartemental Decompression |
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0744 |
[DELETED 2015] Refer to items 5550-5563: Decompression operation: Fasciotomy only |
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5550 |
Decompression fasciotomy: Buttock compartment(s): Unilateral |
243 |
6 893.91 |
194.4 |
5 515.13 |
5 |
662.80 +T=M |
5551 |
Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). EXCLUDES debridement of nonviable muscle and/or nerve |
151.9 |
4 309.40 |
121.52 |
3 447.52 |
3 |
397.68 +T+M |
5552 |
Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). INCLUDES debridement of nonviable muscle and/or nerve |
253.1 |
7 180.45 |
202.48 |
5 744.36 |
3 |
397.68 +T+M |
5553 |
Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. EXCLUDES debridement of nonviable muscle and/or nerve |
123.7 |
3 509.37 |
120 |
3 404.40 |
3 |
397.68 +T+M |
5554 |
Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. INCLUDES debridement of nonviable muscle and/or nerves |
162.1 |
4 598.78 |
129.68 |
3 679.02 |
3 |
397.68 +T+M |
5555 |
Decompression fasciotomy: Leg: Posterior compartment only. EXCLUDES debridement of nonviable muscle an/or nerve |
130.8 |
3 710.80 |
120 |
3 404.40 |
3 |
397.68 +T+M |
5556 |
Decompression fasciotomy: Leg: Posterior compartment only. INCLUDES debridement of nameable muscle and/or nerve |
171.5 |
4 865.46 |
137.2 |
3 892.36 |
3 |
397.68 +T+M |
5557 |
Decompression fasciotomy: fasciotomy/tenotomy, iliotibial |
137.3 |
3 895.20 |
120 |
3 404.40 |
4 |
530.24 +T+M |
5558 |
Decompression fasciotomy: Fasciotomy: Foot and/or toe |
86.6 |
2 456.84 |
86.6 |
2 456.84 |
3 |
397.68 +T+M |
5559 |
Decompression fasciotomy: Forearm and/or wrist: Flexor and extensor compartment. EXCLUDES debridement of nonviable muscle or nerve |
226.3 |
6 420.13 |
181.04 |
5 136.10 |
3 |
397.68 +T+M |
5560 |
Decompresson fasclotomy: Forearm and/or wrist: Flexor and extensor compartment, INCLUDES debridement of nonviable muscle or nerve |
354.5 |
10 057.17 |
283.6 |
8 045.73 |
3 |
397.68 +T+M |
5561 |
Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. EXCLUDES debridement of nonviable muscle or nerve |
166.8 |
4 732.12 |
133.44 |
3 785.69 |
3 |
397.68 +T+M |
5562 |
Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. INCLUDES debridement of nonviable muscle or nerve |
321.1 |
9 109.61 |
256.88 |
7 287.69 |
3 |
397.68 +T+M |
5563 |
Decompression fasciotomy: Fingers and/or hand |
165.6 |
4 698,07 |
132.48 |
3 758.46 |
3 |
397.68 +T+M |
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3.4.3 |
Muscle and tendon repair |
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0745 |
Muscle and tendon repair: Biceps humeri |
109 |
3 092.33 |
109 |
3 092.33 |
3 |
397.68 +T |
0746 |
Muscle and tendon repair: Removal of calcification in Rotator cuff |
96 |
2 723.52 |
96 |
2 723.52 |
3 |
397.68 +T+M |
0747 |
Muscle and tendon repair: Rotator cuff |
134 |
3 801.58 |
120 |
3 404.40 |
4 |
530.24 +T |
0748 |
Muscle and tendon repair: Debridement rotator cuff |
139.7 |
3 963.29 |
120 |
3 404.40 |
4 |
530.24 +T |
0749 |
Muscle and tendon repair. Scapulopexy - stand alone procedure |
271.90 |
7 713.80 |
217.52 |
6 171.04 |
4 |
530.24 +T |
0755 |
Muscle and tendon repair: Intrapatellar or quadriceps tendon |
128 |
3 631.36 |
120 |
3 404.40 |
3 |
397.68 +T |
0757 |
Muscle and tendon repair. Achilles tendon repair |
197.6 |
5 605.91 |
158.08 |
4 484.73 |
4 |
530.24 +T |
0759 |
Muscle and tendon repair. Other single tendon |
77 |
2 184.49 |
77 |
2 184.49 |
3 |
397.68 +T |
0767 |
Muscle and tendon repair. Tendon or ligament injection [Discontinued] Refer to item 0760, 0761, 0762 |
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3 |
397.68 +T |
0760 |
Hand: Flexor tendon suture: Primary, zone 1 (each) (modifier 0005 applicable) |
220.3 |
6 249.91 |
176.24 |
4 999.93 |
3 |
397.68 +T |
0761 |
Hand: Flexor tendon repair: Primary, zone 2 (no mans land) (each) (modifier 0005 applicable) |
249.6 |
7 081.15 |
199.68 |
5 664.92 |
3 |
397.68 +T |
0762 |
Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm)(each)(modifier 0005 applicable) |
191.30 |
5 427.18 |
153.04 |
4 341.74 |
3 |
397.68 +T |
0769 |
Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm) (each) (modifier 0005 applicable) [Discontinued] Refer to item 0764, 0765, 0766 |
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0764 |
Hand: Flexor tendon repair: Secondary, zone 1 |
243.9 |
6 919.44 |
195.12 |
5 535.55 |
3 |
397.68 +T |
0765 |
Hand: Flexor tendon repair Secondary, zone 2 (no mans land) |
249.6 |
7 081.15 |
199.68 |
5 664.92 |
3 |
397.68 +T |
0766 |
Hand: Flexor tendon repair: Secondary, zone 3 and 4 (wrist and forearm) |
190.6 |
5 407.32 |
152.48 |
4 325.86 |
3 |
397.68 +T |
0768 |
Repair: Intrinsic muscles of hand (each) (modifier 0005 applicable) |
125.3 |
3 554.76 |
100.24 |
2 843.81 |
3 |
397.68 +T |
0771 |
Extensor tendon suture: Primary (per tendon, Modifier 0005 not applicable) |
129.7 |
3 679.59 |
120 |
3 404.40 |
3 |
397.68 +T |
0773 |
Extensor tendon suture: Secondary (per tendon, Modifier 0005 not applicable) |
170.00 |
4 822.90 |
136 |
3 858.32 |
3 |
397.68 +T |
0774 |
Repair of Boutonniére deformity or Mallet Finger with graft |
216.60 |
6 144.94 |
216.60 |
6 144.94 |
3 |
397.68 +T |
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3.4.4 |
Tendon graft |
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0775 |
Free tendon graft |
160 |
4 539.20 |
128 |
3 631.36 |
3 |
397.68 +T |
0776 |
Reconstruction of pulley for flexor tendon |
180.20 |
5 112.27 |
144.16 |
4 089.82 |
3 |
397.68 +T |
0777 |
Tendon graft: Finger: Flexor |
192 |
5 447.04 |
153.6 |
4 357.63 |
3 |
397.68 +T |
0779 |
Tendon graft: Finger: Extensor |
122 |
3 461.14 |
120 |
3 404.40 |
3 |
397.68 +T |
0780 |
Two stage flexor tendon graft using silastic rod |
240 |
6 808.80 |
192 |
5 447.04 |
3 |
397.68 +T |
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3.4.5 |
Tenolysis |
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0781 |
Tendon freeing operation, except where specified elsewhere |
64 |
1 815.68 |
64 |
1 815.68 |
3 |
397.68 +T |
0782 |
Carpal tunnel syndrome |
123 |
3 489.51 |
120 |
3 404.40 |
3 |
397.68 +T |
0783 |
Tenolysis: De Quervain |
38 |
1 078.06 |
38 |
1 078.06 |
3 |
397.68 +T |
0784 |
Trigger finger |
38 |
1 078.06 |
38 |
1 078.06 |
3 |
397.68 +T |
0785 |
Flexor tendon freeing operation following free tendon graft or suture |
276.10 |
7 832.96 |
220.88 |
6 266.37 |
3 |
397.68 +T |
0787 |
Extensor tendon freeing operation following graft or suture in finger, hand or forearm |
212.20 |
6 020.11 |
170 |
4 822.90 |
3 |
397.68 +T |
0788 |
Intrinsic tendon release per finger |
64 |
1 815.68 |
64 |
1 815.68 |
3 |
397.68 +T |
0789 |
Central tendon tenotomy for Boutonniérre deformity |
64 |
1 815.68 |
64 |
1 815.68 |
3 |
397.68 +T |
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3.4.6 |
Tenodesis |
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0790 |
Tenodesis: Digital joint (each) (modifier 0005 applicable) |
176.20 |
4 998.79 |
140.96 |
3 999.04 |
3 |
397.68 +T |
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3.4.7 |
Muscle, tendon and fascia transfer |
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0791 |
Single tendon transfer |
96 |
2 723.52 |
96 |
2 723.52 |
3 |
397.68 +T |
0792 |
Multiple tendon transfer |
128 |
3 631.36 |
120 |
3 404.40 |
3 |
397.68 +T |
0793 |
Hamstring to quadriceps transfer |
141 |
4 000.17 |
120 |
3 404.40 |
3 |
397.68 +T |
0794 |
Pectoralis major or Latissimus dorsi transfer to biceps tendon |
320 |
9 078.40 |
256 |
7 26272 |
5 |
662.80 +T |
0795 |
Tendon transfer at elbow |
116 |
3 290.92 |
116 |
3 290.92 |
3 |
397.68 +T |
0803 |
Hand tendons: Single transfer (each) (modifier 0005 applicable) |
216.20 |
6 133.59 |
172.96 |
4 906.88 |
3 |
397.68 +T |
0809 |
Hand tendons: Substitution for intrinsic paralysis of hand tendon (all four fingers) |
330.60 |
9 379.12 |
264.48 |
7 503.30 |
3 |
397.68 +T |
0811 |
Hand tendons: Opponens tendon transfer (including obtaining of graft) |
220.6 |
6 258.42 |
176.48 |
5 006.74 |
3 |
397.68 +T |
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3.4.8 |
Muscle slide operations and tendon lengthening |
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0812 |
Percutaneous Tenotomy: All sites |
140.50 |
3 985.99 |
120 |
3 404.40 |
3 |
397.68 +T |
0813 |
Torticollis |
96 |
2 723.52 |
96 |
2 723.52 |
5 |
662.80 +T |
0815 |
Scalenotomy |
132 |
3 744.84 |
120 |
3 404.40 |
5 |
662.80 +T |
0817 |
Scalenotomy with excision of first rib |
190 |
5 390.30 |
152 |
4 312,24 |
3 |
397.68 +T +M |
0822 |
Open release elbow (Mitals) - stand alone procedure |
278.20 |
7 892.53 |
222.56 |
6 314.03 |
3 |
397.68 +T +M |
0823 |
Excision or slide for Volksmann's Contracture |
192 |
5 447.04 |
153.6 |
4 357.63 |
3 |
397.68 +T |
0825 |
Hip: Open muscle release |
116 |
3 290.92 |
116 |
3 290.92 |
7 |
927.92 +T |
0829 |
Knee: Quadriceps plasty |
160 |
4 539.20 |
128 |
3 631.36 |
3 |
397.68 +T |
0831 |
Knee: Open tenotomy |
141 |
4 000.17 |
120 |
3 404.40 |
3 |
397.68 +T |
0835 |
Calf |
96 |
2 723.52 |
96 |
2 723.52 |
4 |
530.24 +T |
0837 |
Open Elongation Tendon Achilles |
96 |
2 723.52 |
96 |
2 723.52 |
4 |
530.24 +T |
0838 |
Percutaneous " Hoke" elongation tendoachilles - stand alone procedure |
79.30 |
2 249.74 |
79.30 |
2 249.74 |
4 |
530.24 +T |
0845 |
Foot: Plantar fasciotomy |
70 |
1 985.90 |
70 |
1 985.90 |
3 |
397.68 +T |