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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 - 2020DoctorsPart lll : Procedures3. Musculo-Skeletal System3.3 Amputations |
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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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3.3.1 |
Specific amputations |
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|
0681 |
Amputation: Humerus, includes primary closure |
211.6 |
5 692.04 |
169.28 |
4 553.63 |
4 |
502.76 +T+M |
0682 |
Amputation: Fore-quarter amputation |
397.80 |
10 700.82 |
318.24 |
8 560.66 |
9 |
1131.21 +T+M |
0683 |
Amputation: Through shoulder |
323 |
8 688.70 |
258.40 |
6 950.96 |
5 |
628.56 +T+M |
0684 |
Amputation: Forearm |
213.5 |
5 743.15 |
170.48 |
4 585.91 |
3 |
377.07 +T+M |
0685 |
DELETED 2015: Amputation: Upper arm or fore-arm |
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|
0686 |
Amputation: Ankle (eg., Syme, Pirogoff type) |
204.1 |
5 490.29 |
163.28 |
4 392.23 |
4 |
502.76 +T+M |
0687 |
Amputation: Metacarpal: One ray |
206.10 |
5 544.09 |
164.88 |
4 435.27 |
3 |
377.07 +T+M |
0688 |
Amputation: Foot, midtarsal (Chopart type) |
165.7 |
4 457.33 |
132 |
3 550.80 |
3 |
377.07 +T+M |
0691 |
Amputation: Finger or thumb |
183.90 |
4 946.91 |
146.40 |
3 938.16 |
3 |
377.07 +T+M |
0692 |
Scar revision/secondary closure: amputated thigh, through femur, any level |
150.7 |
4 053.83 |
120.6 |
3 243.06 |
3 |
377.07 +T+M |
0693 |
Hindquarter amputation |
470.70 |
12 661.83 |
376.56 |
10 129.46 |
6 |
754.14 +T+M |
0694 |
Scar revision/secondary closure: amputated leg, through tibia and fibula, any level |
173.9 |
4 677.91 |
139.1 |
3 742.33 |
3 |
377.07 +T+M |
0695 |
Amputation: through hip joint region |
373.10 |
10 036.39 |
298.48 |
8 029.11 |
6 |
754.14 +T+M |
0696 |
Re-amputation: Thigh, through femur, any level |
217.3 |
5 845.37 |
173.8 |
4 676.30 |
3 |
377.07 +T+M |
0697 |
Amputation: Through thigh |
245 |
6 590.50 |
196 |
5 272.40 |
6 |
754.14 +T+M |
0698 |
Re-amputation: Leg, through tibia and fibula |
198.2 |
5 331.58 |
158.6 |
4 265.26 |
3 |
377.07 +T+M |
0699 |
Amputation: Below knee, through knee/Syme |
277.20 |
7 456.68 |
221.76 |
5 965.34 |
5 |
628.45+T+M |
0701 |
Amputation: Trans-metatarsal or trans-tarsal |
223.80 |
6 020.22 |
179.04 |
4 816.18 |
3 |
377.07 +T+M |
0703 |
DELETED 2015 Refer to item 0688 and item 0701: Amputation: Foot: One ray |
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0705 |
Amputation: Toe (skin flap included) |
167.10 |
4 494.99 |
133.68 |
3 595.99 |
3 |
377.07 +T+M |
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3.3.2 |
Post-amputation reconstruction |
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|
0706 |
Post-amputation reconstruction: Skin flap taken from a site remote from the injured finger or in cases of an advanced flap e.g. Cutler Note: If not performed on thumb or index linger it must be motivated |
186.30 |
5 011.47 |
149.04 |
4 009.18 |
3 |
377.07 +T+M |
0709 |
DELETED 2015: Post-amputation reconstruction: Metacarpal transfer |
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|
0707 |
Post-amputation reconstruction: Krukenberg reconstruction |
331.70 |
8 922.73 |
265.36 |
7 138.18 |
3 |
377.07 +T+m |
0711 |
Post-amputation reconstruction: Pollicization of the finger (Prior permission must be obtained from the Commissioner at all times) |
455.90 |
12 263.71 |
364.72 |
9 810.97 |
3 |
377.07 +T+M |
0712 |
Post-amputation reconstruction: Toe to thumb transfer (Prior permission must be obtained from the Commissioner at all times) |
800 |
21 520.00 |
640 |
17 216.00 |
3 |
377.07 +T+M |
0700 |
Scar revision/secondary closure: Amputated shoulder |
128.1 |
3 445.89 |
120 |
3 228.00 |
3 |
377.07 +T |
0702 |
Scar revision/secondary closure: Amputated humerus |
163.1 |
4 387.39 |
130.5 |
3 509.91 |
3 |
377.07 +T |
0704 |
Scar revision/secondary closure: Amputated forearm |
184.1 |
4 952.29 |
147.3 |
3 961.83 |
3 |
377.07 +T |
0708 |
Re-amputation: Humerus |
223.1 |
6 001.39 |
178.5 |
4 801.11 |
6 |
377.07 +T+M |
0710 |
Re-amputation: Through forearm |
206 |
5 541.40 |
164.8 |
4 433.12 |
3 |
377.07 +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 |
2 017.50 |
75 |
2 017.50 |
3 |
377.07 +T |
0714 |
Electro-myographic neuro-muscular junctional study, including edrophonium response (not to be used with item 2730) |
57 |
1 533.30 |
57 |
1 533.30 |
3 |
377.07 +T |
0715 |
Strength duration curve per session |
10.5 |
282.45 |
10.5 |
282.45 |
3 |
377.07 +T |
0717 |
Electrical examination of single nerve or muscle |
9 |
242.10 |
9 |
242.10 |
3 |
377.07 +T |
0721 |
Voltage integration during isometric contraction |
12 |
322.80 |
12 |
322.80 |
3 |
377.07 +T |
0723 |
Tonometry with edrophonium |
8 |
215.20 |
8 |
215.20 |
3 |
377.07 +T |
0725 |
Isometric tension studies with edrophonium |
10 |
269.00 |
10 |
269.00 |
3 |
377.07 +T |
0727 |
Cranial reflex study (both early and late responses) supra occulofacial, comefacial or flabellofacial: Unilateral |
8 |
215.20 |
8 |
215.20 |
3 |
377.07 +T |
0728 |
Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial : Bilateral |
14 |
376.60 |
14 |
376.60 |
3 |
377.07 +T |
0729 |
Tendon reflex time |
7 |
188.30 |
7 |
188.30 |
3 |
377.07 +T |
0730 |
Limb-brain somatosensory studies (per limb) |
49 |
1 318.10 |
49 |
1 318.10 |
3 |
377.07 +T |
0731 |
Vision and audiosensory studies |
49 |
1 318.10 |
49 |
1 318.10 |
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|
0733 |
Motor nerve conduction studies (single nerve) |
26 |
699.40 |
26 |
699.40 |
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|
0735 |
Examinations of sensory nerve conduction by sweep averages (single nerve) |
31 |
833.90 |
31 |
833.90 |
3 |
377.07 +T |
0737 |
Biopsy for motor nerve terminals and end plates |
20 |
538.00 |
20 |
538.00 |
3 |
377.07 +T |
0739 |
Combined muscle biopsy with end plates and nerve terminal biopsy |
34 |
914.60 |
34 |
914.60 |
8 |
1005.52 +T |
0740 |
Muscle fatigue studies |
20 |
538.00 |
20 |
538.00 |
3 |
377.07 +T |
0741 |
Muscle biopsy |
20 |
538.00 |
20 |
538.00 |
8 |
1005.52 +T |
0742 |
Global fee for all muscle studies, including histochemical studies |
262 |
7 047.80 |
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|
4701 |
Biochemical estimations on muscle biopsy specimens: Creatine kinase |
20.25 |
544.73 |
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|
4703 |
Biochemical estimations on muscle biopsy specimens: Adenylale kinase |
33.3 |
895.77 |
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|
4705 |
Biochemical estimations on muscle biopsy specimens: Pyruvate kinase |
5.7 |
153.33 |
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|
4707 |
Biochemical estimations on muscle biopsy specimens: Lactate dehydrogenase |
1.6 |
43.04 |
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|
4709 |
Biochemical estimations on muscle biopsy specimens: Adenylate deaminase |
9.9 |
266.31 |
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|
4711 |
Biochemical estimations on muscle biopsy specimens: Phosplagycerate kinase |
13.7 |
368.53 |
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|
4713 |
Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase |
25.9 |
696.71 |
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4715 |
Biochemical estimations on muscle biopsy specimens: Enolase |
32.7 |
879.63 |
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4717 |
Biochemical estimations on muscle biopsy specimens: Phospholructokinase |
37.7 |
1 014.13 |
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4719 |
Biochemical estimations on muscle biopsy specimens: Aldolase |
15.75 |
423.68 |
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|
4721 |
Biochemical estimations on muscle biopsy specimens: Gyceraldehyde 3 Phosphate Dehydrogenase |
11.06 |
297.51 |
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4723 |
Biochemical estimations on muscle biopsy specimens: Phosphorylase |
34.7 |
933.43 |
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|
4725 |
Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase |
40.3 |
1 084.07 |
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|
4727 |
Biochemical estimations on muscle biopsy specimens: Phosphohexose Isomerase |
28.8 |
774.72 |
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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 |
6 536.70 |
194.4 |
5 229.36 |
5 |
628.45 +T=M |
5551 |
Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). EXCLUDES debridement of nonviable muscle and/or nerve |
151.9 |
4 086.11 |
121.5 |
3 268.89 |
3 |
377.07 +T+M |
5552 |
Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). INCLUDES debridement of nonviable muscle and/or nerve |
253.1 |
6 808.39 |
202.5 |
5 446.71 |
3 |
377.07 +T+M |
5553 |
Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. EXCLUDES debridement of nonviable muscle and/or nerve |
123.7 |
3 327.53 |
120 |
3 228.00 |
3 |
377.07 +T+M |
5554 |
Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. INCLUDES debridement of nonviable muscle and/or nerves |
162.1 |
4 360.49 |
129.7 |
3 488.39 |
3 |
377.07 +T+M |
5555 |
Decompression fasciotomy: Leg: Posterior compartment only. EXCLUDES debridement of nonviable muscle an/or nerve |
130.8 |
3 518.52 |
120 |
3 228.00 |
3 |
377.07 +T+M |
5556 |
Decompression fasciotomy: Leg: Posterior compartment only. INCLUDES debridement of nameable muscle and/or nerve |
171.5 |
4 613.35 |
137.2 |
3 690.68 |
3 |
377.07 +T+M |
5557 |
Decompression fasciotomy: fasciotomy/tenotomy, iliotibial |
137.3 |
3 693.37 |
120 |
3 228.00 |
4 |
502.76 +T+M |
5558 |
Decompression fasciotomy: Fasciotomy: Foot and/or toe |
86.6 |
2 329.54 |
86.6 |
2 329.54 |
3 |
377.07 +T+M |
5559 |
Decompression fasciotomy: Forearm and/or wrist: Flexor and extensor compartment. EXCLUDES debridement of nonviable muscle or nerve |
226.3 |
6 087.47 |
181 |
4 869.98 |
4 |
377.07 +T+M |
5560 |
Decompresson fasclotomy: Forearm and/or wrist: Flexor and extensor compartment, INCLUDES debridement of nonviable muscle or nerve |
354.5 |
9 536.05 |
283.6 |
7 628.84 |
3 |
377.07 +T+M |
5561 |
Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. EXCLUDES debridement of nonviable muscle or nerve |
166.8 |
4 486.92 |
133.4 |
3 589.54 |
4 |
377.07 +T+M |
5562 |
Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. INCLUDES debridement of nonviable muscle or nerve |
321.1 |
8 637.59 |
256.9 |
6 910.07 |
3 |
377.07 +T+M |
5563 |
Decompression fasciotomy: Fingers and/or hand |
165.6 |
4 454.64 |
132.5 |
3 563.71 |
3 |
377.07 +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 |
2 932.10 |
109 |
2 932.10 |
3 |
377.07 +T |
0746 |
Muscle and tendon repair: Removal of calcification in Rotator cuff |
96 |
2 582.40 |
96 |
2 582.40 |
3 |
377.07 +T+M |
0747 |
Muscle and tendon repair: Rotator cuff |
134 |
3 604.60 |
120 |
3 228.00 |
4 |
502.76 +T |
0748 |
Muscle and tendon repair: Debridement rotator cuff |
139.7 |
3 757.93 |
120 |
3 228.00 |
4 |
502.76 +T |
0749 |
Muscle and tendon repair. Scapulopexy - stand alone procedure |
271.90 |
7 314.11 |
217.52 |
5 851.29 |
4 |
502.76 +T |
0755 |
Muscle and tendon repair: Intrapatellar or quadriceps tendon |
128 |
3 443.20 |
120 |
3 228.00 |
3 |
377.07 +T |
0757 |
Muscle and tendon repair. Achilles tendon repair |
197.6 |
5 315.44 |
158.08 |
4 252.35 |
4 |
502.76 +T |
0759 |
Muscle and tendon repair. Other single tendon |
77 |
2 071.30 |
77 |
2 071.30 |
3 |
377.07 +T |
0767 |
Muscle and tendon repair. Tendon or ligament injection [Discontinued] Refer to item 0760, 0761, 0762 |
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3 |
377.07 +T |
0760 |
Hand: Flexor tendon suture: Primary, zone 1 (each) (modifier 0005 applicable) |
220.3 |
5 926.07 |
176.24 |
4 740.86 |
3 |
377.07 +T |
0761 |
Hand: Flexor tendon repair: Primary, zone 2 (no mans land) (each) (modifier 0005 applicable) |
249.6 |
6 714.24 |
199.68 |
5 371.39 |
3 |
377.07 +T |
0762 |
Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm)(each)(modifier 0005 applicable) |
191.30 |
5 145.97 |
153.04 |
4 116.78 |
3 |
377.07 +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 |
6 560.91 |
195.12 |
5 248.73 |
3 |
377.07 +T |
0765 |
Hand: Flexor tendon repair Secondary, zone 2 (no mans land) |
249.6 |
6 714.24 |
199.68 |
5 371.39 |
3 |
377.07 +T |
0766 |
Hand: Flexor tendon repair: Secondary, zone 3 and 4 (wrist and forearm) |
190.6 |
5 127.14
|
152.48 |
4 101.71 |
3 |
377.07 +T |
0768 |
Repair: Intrinsic muscles of hand (each) (modifier 0005 applicable) |
125.3 |
3 370.57 |
100.24 |
2 696.46 |
3 |
377.07 +T |
0771 |
Extensor tendon suture: Primary (per tendon, Modifier 0005 not applicable) |
129.7 |
3 488.93 |
120 |
3 228.00 |
3 |
377.07 +T |
0773 |
Extensor tendon suture: Secondary (per tendon, Modifier 0005 not applicable) |
170.00 |
4 573.00 |
136 |
3 658.40 |
3 |
377.07 +T |
0774 |
Repair of Boutonniére deformity or Mallet Finger with graft |
216.60 |
5 826.54 |
216.60 |
5 826.54 |
3 |
377.07 +T |
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3.4.4 |
Tendon graft |
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|
0775 |
Free tendon graft |
160 |
4 304.00 |
128 |
3 443.20 |
3 |
377.07 +T |
0776 |
Reconstruction of pulley for flexor tendon |
180.20 |
4 847.38 |
144.16 |
3 877.90 |
3 |
377.07 +T |
0777 |
Tendon graft: Finger: Flexor |
192 |
5 164.80 |
153.6 |
4 131.84 |
3 |
377.07 +T |
0779 |
Tendon graft: Finger: Extensor |
122 |
3 281.80 |
120 |
3 228.00 |
3 |
377.07 +T |
0780 |
Two stage flexor tendon graft using silastic rod |
240 |
6 456.00 |
192 |
5 164.80 |
3 |
377.07 +T |
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3.4.5 |
Tenolysis |
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|
0781 |
Tendon freeing operation, except where specified elsewhere |
64 |
1 721.60 |
64 |
1 721.60 |
3 |
377.07 +T |
0782 |
Carpal tunnel syndrome |
123 |
3 308.70 |
120 |
3 228.00 |
3 |
377.07 +T |
0783 |
Tenolysis: De Quervain |
38 |
1 022.20 |
38 |
1 022.20 |
3 |
377.07 +T |
0784 |
Trigger finger |
38 |
1 022.20 |
38 |
1 022.20 |
3 |
377.07 +T |
0785 |
Flexor tendon freeing operation following free tendon graft or suture |
276.10 |
7 427.09 |
220.88 |
5 941.67 |
3 |
377.07 +T |
0787 |
Extensor tendon freeing operation following graft or suture in finger, hand or forearm |
212.20 |
5 708.18 |
170 |
4 573.00 |
3 |
377.07 +T |
0788 |
Intrinsic tendon release per finger |
64 |
1 721.60 |
64 |
1 721.60 |
3 |
377.07 +T |
0789 |
Central tendon tenotomy for Boutonniérre deformity |
64 |
1 721.60 |
64 |
1 721.60 |
3 |
377.07 +T |
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3.4.6 |
Tenodesis |
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|
0790 |
Tenodesis: Digital joint (each) (modifier 0005 applicable) |
176.20 |
4 739.78 |
140.96 |
3 791.82 |
3 |
377.07 +T |
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3.4.7 |
Muscle, tendon and fascia transfer |
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|
0791 |
Single tendon transfer |
96 |
2 582.40 |
96 |
2 582.40 |
3 |
377.07 +T |
0792 |
Multiple tendon transfer |
128 |
3 443.20 |
120 |
3 228.00 |
3 |
377.07 +T |
0793 |
Hamstring to quadriceps transfer |
141 |
3 792.90 |
120 |
3 228.00 |
3 |
377.07 +T |
0794 |
Pectoralis major or Latissimus dorsi transfer to biceps tendon |
320 |
8 608.00 |
256 |
6 886.40 |
5 |
628.45 +T |
0795 |
Tendon transfer at elbow |
116 |
3 120.40 |
116 |
3 120.40 |
3 |
377.07 +T |
0803 |
Hand tendons: Single transfer (each) (modifier 0005 applicable) |
216.20 |
5 815.78 |
172.96 |
4 652.62 |
3 |
377.07 +T |
0809 |
Hand tendons: Substitution for intrinsic paralysis of hand tendon (all four fingers) |
330.60 |
8 893.14 |
264.48 |
7 114.51 |
3 |
377.07 +T |
0811 |
Hand tendons: Opponens tendon transfer (including obtaining of graft) |
220.6 |
5 934.14 |
176.48 |
4 747.31 |
3 |
377.07 +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 |
3 779.45 |
120 |
3 228.00 |
3 |
377.07 +T |
0813 |
Torticollis |
96 |
2 582.40 |
96 |
2 582.40 |
5 |
628.45 +T |
0815 |
Scalenotomy |
132 |
3 550.80 |
120 |
3 228.00 |
5 |
628.45 +T |
0817 |
Scalenotomy with excision of first rib |
190 |
5 111.00 |
152 |
4 088.80 |
3 |
377.07 +T+M |
0822 |
Open release elbow (Mitals) - stand alone procedure |
278.20 |
7 483.58 |
222.56 |
5 986.86 |
3 |
377.07 +T+M |
0823 |
Excision or slide for Volksmann's Contracture |
192 |
5 164.80 |
153.6 |
4 131.84 |
3 |
377.07 +T |
0825 |
Hip: Open muscle release |
116 |
3 120.40 |
116 |
3 120.40 |
7 |
879.93 +T |
0829 |
Knee: Quadriceps plasty |
160 |
4 304.00 |
128 |
3 443.20 |
3 |
377.07 +T |
0831 |
Knee: Open tenotomy |
141 |
3 792.90 |
120 |
3 228.00 |
3 |
377.07 +T |
0835 |
Calf |
96 |
2 582.40 |
96 |
2 582.40 |
4 |
502.76 +T |
0837 |
Open Elongation Tendon Achilles |
96 |
2 582.40 |
96 |
2 582.40 |
4 |
502.76 +T |
0838 |
Percutaneous " Hoke" elongation tendoachilles - stand alone procedure |
79.30 |
2 133.17 |
79.30 |
2 1337 |
4 |
502.76 +T |
0845 |
Foot: Plantar fasciotomy |
70 |
1 883.00 |
70 |
1 883.00 |
3 |
377.07 +T |
|
|
|
|
|
|
|
|
3.5 |
Bursae and ganglia |
|
|
|
|
|
|
0847 |
Excision: Semi-membranosus |
90 |
2 421.00 |
90 |
2 421.00 |
4 |
502.76 +T |
0849 |
Excision: Prepatellar |
45 |
1 210.50 |
45 |
1 210.50 |
3 |
377.07 +T |
0851 |
Excision: Olecranon |
81.8 |
2 200.42 |
81.8 |
2 200.42 |
3 |
377.07 +T |
0853 |
Excision: Small bursa or ganglion |
80.9 |
2 176.21 |
80.9 |
2 176.21 |
3 |
377.07 +T |
0855 |
Excision: Compound palmar ganglion or synovectomy |
128 |
3 443.20 |
120 |
3 228.00 |
3 |
377.07 +T |
0857 |
Bursae and ganglia: Aspiration or injection (not subject to rule G) (Modifier 0005 not applicable) |
9 |
242.10 |
9 |
242.10 |
3 |
377.07 +T |