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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 : Procedures6. Cardiovascular System |
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Specialist |
General Practitioner |
Anaesthetic |
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R |
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R T/M |
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MODIFIER GOVERNING FEES FOR AN ANAESTHESIOLOGIST OPERATING INTRA- AORTIC BALLOON PUMP (CARDIOVASCULAR SYSTEM) |
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0100 |
Where an anaesthesiologist would be responsible for operating an intra-aortic balloon pump, a fee of 75,00 clinical procedure units is applicable |
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75 |
2 127.75 |
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6.1 |
General |
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General practitioner's fee for the taking of an ECG only |
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Where an ECG is done by a general practitioner and interpreted by a physician, the general practitioner is entitled to his full consultation tee, plus half of fee determined for ECG |
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1228 |
General Practitioners fee for the taking of an ECG only: Without effort: (1232) |
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4.5 |
127.67 |
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1229 |
General Practitioners fee for the taking of an ECG only: Without and with effort: 1/2 (item 1233) |
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6.5 |
184.41 |
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Note: Items 1228 and 1229 deal only with the fees for taking of the ECG, the consultation fee must still be added |
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Physician's fee for interpreting an ECG |
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A specialist physician is entitled to the following fees for interpretation of an ECG tracing referred for interpretation |
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1230 |
Physician's fee for interpreting an ECG: Without effort |
6 |
170.22 |
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1231 |
Physician's fee for interpreting an ECG: With and without effort |
10 |
283.70 |
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1232 |
Electrocardiogram: Without effort |
9 |
255.33 |
9 |
255.33 |
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1233 |
Electrocardiogram: With and without effort |
13 |
368.81 |
13 |
368.81 |
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1234 |
Effort electrocardiogram with the aid of a special bicycle ergometer, monitoring apparatus and availability of associated apparatus |
40 |
1 134.80 |
40 |
1 134.80 |
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1235 |
Multi-stage treadmill |
60 |
1 702.20 |
60 |
1 702.20 |
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1241 |
X-ray screening (Chest) |
4 |
113.48 |
4 |
113.48 |
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1245 |
Angiography cerebral: First two series |
34.3 |
973.09 |
34.3 |
973.09 |
4 |
530.24 +T |
1246 |
Angiography peripheral: Per limb |
25 |
709.25 |
25 |
709.25 |
4 |
530.24 +T |
1248 |
Paracentesis of pericardium |
50 |
1 418.50 |
50 |
1 418.50 |
9 |
1 193.04 +T |
6.3 |
Cardiac surgery |
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1311 |
Pericardial drainage |
140 |
3 971.80 |
120 |
3 404.40 |
13 |
1 723.28 +T |
6.3.1 |
Open heart surgery |
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1322 |
Attendance at other operations for monitoring at bedside, by physician heart block, etc: Per hour |
20 |
567.40 |
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6.4 |
Peripheral vascular system |
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6.4.2 |
Arterio-venous-abnormalities |
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1369 |
Fistula or aneurysm (as for grafting of various arteries) |
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6.4.3 |
Arteries |
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6.4.3.1 |
Aorta-iliac and major branches |
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1373 |
Abdominal aorta and iliac artery: Ruptured |
600 |
17 022.00 |
480 |
13 617.60 |
15 |
1 988.40 +T |
6.4.3.2 |
Iliac artery |
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1379 |
Prosthetic grafting and/or Thrombo- endarterectomy |
300 |
8 511.00 |
240 |
6 808.80 |
13 |
1 723.28 +T |
6.4.3.3 |
Peripheral |
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1385 |
Prosthetic grafting |
255 |
7 234.35 |
204 |
5 787.48 |
5 |
662.80 +T |
1387 |
Vein grafting proximal to knee joint |
300 |
8 511,00 |
240 |
6 808.80 |
5 |
662.80 +T |
1388 |
Vein grafting distal to knee joint |
444 |
12 596.28 |
355.2 |
10 077.02 |
5 |
662.80 +T |
1389 |
Endarterectomy when not part of another specified procedure |
264 |
7 489.68 |
211.2 |
5 991.74 |
5 |
662.80 +T |
1393 |
Embolectomy: Peripheral embolectomy transfemoral |
168 |
4 766.16 |
134.4 |
3 812.93 |
5 |
662.80 +T |
1395 |
Miscellaneous arterial procedures: Arterial suture: Trauma |
125 |
3 546.25 |
100 |
2 837.00 |
5 |
662.80 +T |
1396 |
Suture major blood vessel (artery or vein) - trauma (major blood vessels are defined as aorta, innominate artery, carotid artery and vertebral artery, subclavian artery, axillary artery, illiac artery, common femoral and popliteal artery. The vertebral and popliteal arteries are included because of the relevant Inaccessibility of the arteries and difficult surgical exposure) |
264 |
7 489.68 |
211.2 |
5 991.74 |
15 |
1 988.40 +T |
1397 |
Profundoplasty |
210 |
5 957.70 |
168 |
4 766.16 |
5 |
662.80 +T |
1399 |
Distal tibial (ankle region) |
456 |
12 936.72 |
364.8 |
10 349.38 |
5 |
662.80 +T |
1401 |
Femoro-femoral |
254 |
7 205.98 |
203.2 |
5 764.78 |
5 |
662.80 +T |
1402 |
Carotid-subclavian |
288 |
8 170.56 |
230.4 |
6 536.45 |
8 |
1 060.48 +T |
1403 |
Axillo-femoral (Bifemoral +50% of the fee) |
288 |
8 170.56 |
230.4 |
6 536.45 |
8 |
1 060.48 +T |
6.4.4 |
Veins |
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1407 |
Ligation of saphenous vein |
50 |
1 418.50 |
50 |
1 418.50 |
3 |
397.68 +T |
1408 |
Placement of Hickman catheter or similar |
91 |
2 581.67 |
91 |
2 581.67 |
4 |
530 24 +T |
1410 |
Litigation of inferior vena cava: Abdominal |
180 |
5 106.60 |
144 |
4 085.28 |
8 |
1 060.48 +T |
1412 |
Umbrella operation on inferior vena cava: Abdominal |
100 |
2 837.00 |
100 |
2 837.00 |
8 |
1 060.48 +T |
1413 |
Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including of perforating veins as indicated: Unilateral |
141 |
4 000.17 |
120 |
3 404.40 |
3 |
397.68 +T |
1415 |
Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including of perforating veins as indicated: Bilateral |
247 |
7 007.39 |
197.6 |
5 605.91 |
3 |
397.68 +T |
1417 |
Extensive sub-fascial ligation of perforating veins |
125 |
3 54625 |
120 |
3 404.40 |
3 |
397.68 +T |
1419 |
Lesser varicose vein procedure |
31 |
879.47 |
31 |
879.47 |
3 |
397.68 +T |
1421 |
Compression sclerotherapy of varicose veins: Per injection to a maximum of nine injections per leg (excluding cost of material) |
9 |
255.33 |
9 |
255.33 |
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1425 |
Thrombectomy: Inferior vena cava (Trans-abdominal) |
240 |
6 808.80 |
192 |
5 447.04 |
11 |
1 458.16 +T |
1427 |
Thrombectomy: Ilio-femoral |
175 |
4 964.75 |
140 |
3 971.80 |
6 |
795.36 +T |