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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 System3.8 Specific areas |
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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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3.8.1 |
Foot and ankle |
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|
0900 |
Excision tarsal coalition - stand alone procedure |
141.5 |
3 806.35 |
120.00 |
3 228.00 |
3 |
377.07 +T+M |
0901 |
Tenotomy single tendon |
63.3 |
1 702.77 |
63.3 |
1 702.77 |
3 |
377.07 +T+M |
0903 |
Hammertoe: one toe |
99.5 |
2 676.55 |
99.5 |
2 676.55 |
3 |
377.07 +T+M |
0905 |
Fillet of toe or Ruiz-Mora procedure |
99.5 |
2 676.55 |
99.5 |
2 676.55 |
3 |
377.07 +T+M |
0906 |
Arthodesis Hallux |
148 |
3 981.20 |
120 |
3 228.00 |
3 |
377.07 +T+M |
0909 |
Excision arthorplasty |
145.2 |
3 905.88 |
120 |
3 228.00 |
3 |
377.07 +T+M |
0910 |
Cheilectomy or metatarsopfangeal Implant Hallux |
183 |
4 922.70 |
146.4 |
3 938.16 |
3 |
377.07 +T+M |
0911 |
Metatarsal osteotomy or Lapidus or similar or Chevron - stand alone procedure |
189.2 |
5 089.48 |
151.36 |
4 071.58 |
3 |
377.07 +T+M |
5730 |
Hallux valgus double osteotomy etc |
182.60 |
4 911.94 |
146.08 |
3 929.55 |
3 |
377.07 +T+M |
5731 |
Distal soft tissue procedure for Hallux Valgus |
173.6 |
4 669.84 |
138.88 |
3 735.87 |
3 |
377.07 +T+M |
5732 |
Atkin procedure or similar |
166.8 |
4 486.92 |
133.44 |
3 589.54 |
3 |
377.07 +T+M |
5734 |
Removal bony prominence foot (bunionette not applicable to COID) |
91 |
2 447.90 |
91 |
2 447.90 |
3 |
377.07 +T+M |
5735 |
Repair angular deformity toe (lesser toes) |
97.2 |
2 614.68 |
97.2 |
2 614.68 |
3 |
377.07 +T+M |
5736 |
Sesamoidectomy |
97.8 |
2 630.82 |
97.8 |
2 630.82 |
3 |
377.07 +T+M |
5737 |
Repair major foot tendons e.g. Tib Post |
147.30 |
3 962.37 |
120 |
3 228.00 |
3 |
377.07 +T |
5738 |
Repair of dislocating peronsal tendons |
173.2 |
4 659.08 |
138.56 |
3 727.26 |
3 |
377.07 +T |
5740 |
Steindler strip - plantar fascia |
97.2 |
2 614.68 |
97.2 |
2 614.68 |
3 |
377.07 +T |
5742 |
Tendon transfer foot |
172 |
4 626.80 |
137.6 |
3 701.44 |
3 |
377.07 +T |
5743 |
Capsulotomy metatarsophalargeal joints - foot |
86.8 |
2 334.92 |
86.8 |
2 334.92 |
3 |
377.07 +T |
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3.8.3 |
Replantation |
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|
0912 |
Replantation of amputated upper limb proximal to wrist joint |
730 |
19 637.00 |
584 |
15 709.60 |
3 |
377.07 +T+M |
0913 |
Replantation of thumb |
670 |
18 023.00 |
536 |
14 418.40 |
3 |
377.07 +T+M |
0914 |
Replantation of a single digit (to be motivated), for multiple digits, modifier 0005 applicable |
580 |
15 602.00 |
464 |
12 481.50 |
3 |
377.07 +T+M |
0915 |
Replantation operation through the palm |
1270 |
34 163.00 |
1016 |
27 330.40 |
3 |
377.07 +T+M |
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3.8.4 |
Hands: (Note: Skin: See Integumentary system) |
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|
|
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|
0919 |
Tumours: Epidermiod cysts |
35 |
941.50 |
35 |
941.50 |
3 |
377.07 +T+M |
0922 |
Removal of foreign bodies requiring incision: Under local anaesthetic |
19 |
511.10 |
19 |
511.10 |
3 |
377.07 +T+M |
0923 |
Removal of foreign bodies requiring incision: Under general or regional anaesthetic |
32 |
860.80 |
32 |
860.30 |
3 |
377.07 +T+M |
0924 |
Crushed hand injuries: Initial extensive soft tissue toilet under general anaesthetic (sliding scale) |
37 to 110 |
995.30
2 959.00 |
37 to 110 |
995.30
2 959.00 |
3 |
377.07 +T+M |
0925 |
Crushed hand injuries: Subsequent dressing charges under general anaesthetic |
16 |
430.40 |
16 |
430.40 |
3 |
377.07 +T+M |
0926 |
Initial treatment of fractures, tendons, nerves, loss of skin and blood vessels,including removal of dead tissue under general anaesthesia and six weeks alter-care |
269 |
7 236.10 |
215.2 |
5 788.88 |
3 |
377.07 +T+M |
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3.8.5 |
Spine |
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|
0927 |
Excision of one vertebral body, for a lesion within the body (no decompression) |
207 |
5 568.30 |
165.6 |
4 454.64 |
3 |
377.07 +T+M |
0928 |
Excision of each additional vertebral segment for a lesion within the body (no decompression) |
+ 42 |
1 129.80 |
42 |
1 129.80 |
3 |
377.07 +T+M |
0929 |
Manipulation of spine with anaesthetic (no after -care), modifier 0005 not applicable |
14 |
375.60 |
14 |
376.60 |
5 |
628.45 +T+M |
0930 |
Posterior osteotomy of spine: One vertebral segment |
339 |
9 119.10 |
271.2 |
7 295.28 |
3 |
377.07 +T+M |
0931 |
Posterior spinal fusion: One level |
385 |
10 356.50 |
308 |
8 285.20 |
3 |
377.07 +T+M |
0932 |
Posterior osteotomy of spine: Each additional vertebral segment |
+ 103 |
2 770.70 |
103 |
2 770.70 |
3 |
377.07 +T+M |
0933 |
Anterior spinal osteotomy with disc removal: One vertebral segment |
315 |
8 473.50 |
252 |
6 778.80 |
3 |
377.07 +T+M |
0936 |
Anterior spinal osteotomy with disc removal: Each additional vertebral segment |
+ 103 |
2 770.70 |
+ 103 |
2 770.70 |
3 |
377.07 +T+M |
0938 |
Anterior fusion base of skull to C2 |
449 |
12 078.10 |
359.2 |
9 662.48 |
4 |
502.76 +T+M |
0939 |
Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon |
160 |
4 304.00 |
128 |
3 443.20 |
3 |
377.07 +T+M |
0940 |
Transthoracic anterior exposure of the spine if done by a second surgeon |
160 |
4 304.00 |
128 |
3 443.20 |
3 |
377.07 +T+M |
0941 |
Anterior interbody fusion: One level |
360 |
9 684.00 |
288 |
7 747.20 |
3 |
377.07 +T+M |
0942 |
Anterior interbody fusion: Each additional level |
+ 102 |
2 743.80 |
+ 102 |
2 743.80 |
3 |
377.07 +T+M |
0943 |
Laminectomy with decompression of nerve mots and disc removal: One level |
240 |
6 456.00 |
192 |
5 164.80 |
3 |
377.07 +T+M |
0944 |
Posterior fusion: Occiput to C2 |
390 |
10 491.00 |
312 |
8 392.80 |
4 |
502.76 +T+M |
0946 |
Posterior spinal fusion: Each additional level |
+ 111 |
2 985.90 |
+ 111 |
2 985.90 |
3 |
377.07 +T+M |
0948 |
Posterior interbody lumbar fusion: One level |
364 |
9 791.50 |
291.2 |
7 833.28 |
3 |
377.07 +T+M |
0950 |
Posterior interbody lumbar fusion: Each additional interspace |
+ 95 |
2 555.50 |
+ 95 |
2 555.50 |
3 |
377.07 +T+M |
0959 |
Excision of coccyx |
96 |
2 582.40 |
96 |
2 582.40 |
3 |
377.07 +T+M |
0960 |
Posterior non-segmental instrumentation |
167 |
4 492.30 |
133.6 |
3 593.84 |
5 |
628.45 +T+M |
0961 |
Costo-transversectomy |
198 |
5 326.20 |
158.4 |
4 260.96 |
3 |
377.07 +T+M |
0962 |
Posterior segmental Instrumentation: 2 to 6 vertebrae |
176 |
4 734.40 |
140.8 |
3 787.52 |
5 |
628.45 +T+M |
0963 |
Antero-lateral decompression of spinal cord or anterior debridement |
326 |
8 769.40 |
260.8 |
7 015.52 |
3 |
377.07 +T+M |
0964 |
Posterior segmental instrumentation: 7 to 12 vertebrae |
201 |
5 406.90 |
160.8 |
4 325.52 |
5 |
628.45 +T+M |
0966 |
Posterior segmental instrumentation: 13 or more vertebrae |
245 |
6 590.50 |
196 |
5 272.40 |
5 |
628.45 +T+M |
0968 |
Anterior instrumentation: 2 to 3 vertebrae |
159 |
4 277.10 |
127.2 |
3 421.68 |
5 |
628.45 +T+M |
0969 |
Skull or skull-femoral traction including two weeks after-care |
64 |
1 721.60 |
64 |
1 721.60 |
-- |
|
0970 |
Anterior instrumentation: 4 to 7 vertebrae |
185 |
4 976.50 |
148 |
3 981.20 |
5 |
628.45 +T+M |
0972 |
Anterior instrumentation : 8 or more vertebrae |
206 |
5 541.40 |
164.8 |
4 433.12 |
5 |
628.45 +T+M |
0974 |
Additional pelvic fixation of instrumentation other than sacrum |
108 |
2 905.20 |
108 |
2 905.20 |
5 |
628.45 +T+M |
5750 |
Reinsertion of instrumentation |
276 |
7 424.40 |
220.8 |
5 939.52 |
6 |
754.14 +T +M |
5751 |
Removal of posterior non-segmental instrumentation |
173 |
4 653.70 |
138.4 |
3 722.96 |
6 |
754.14 +T +M |
5752 |
Removal of posterior segmental instrumentation |
175 |
4 707.50 |
140 |
3 766.00 |
6 |
754.14 +T+M |
5753 |
Removal of anterior instrumentation |
204 |
5 487.60 |
163.2 |
4 390.08 |
6 |
754.14 +T+M |
5755 |
Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels |
295 |
7 935.50 |
236 |
6 348.40 |
3 |
377.07 +T+M |
5756 |
Laminectomy with full decompression for spondylolisthesis (Gill procedure) |
304 |
8 177.60 |
243.2 |
6 542.08 |
3 |
377.07 +T+M |
5757 |
Laminectomy for decompression without foraminotomy or diskectomy more than two levels |
321 |
8 634.90 |
256.8 |
6 907.92 |
3 |
377.07 +T+M |
5758 |
Laminectomy with decompression of nerve roots and disc removal: Each additional level |
63 |
1 694.70 |
63 |
1 694.70 |
3 |
377.07 +T+M |
5759 |
Laminectomy for decompression diskectomy etc., revision operation |
352 |
9 468.80 |
281.6 |
7 575.04 |
4 |
502.75 +T+M |
5760 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spiral stenosis: One level |
301 |
8 096.20 |
240.8 |
6 477.52 |
3 |
377.07 +T+M |
5761 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: Each additional level |
68 |
1 829.20 |
68 |
1 829.20 |
3 |
377.07 +T+M |
5763 |
Anterior disc removal and spinal decompression cervical: One level |
344 |
9 253.60 |
275.2 |
7 402.88 |
3 |
377.07 +T+M |
5764 |
Anterior disc removal and spinal decompression cervical: Each additional level |
81 |
2 178.90 |
81 |
2 178.90 |
3 |
377.07 +T+M |
5765 |
Vertebral corpectomy for spinal decompression: One level |
466 |
12 535.40 |
372.8 |
10 028.32 |
3 |
377.07 +T+M |
5766 |
Vertebral corpectomy for spinal decompression: Each additional level |
88 |
2 367.20 |
88 |
2 367.20 |
3 |
377.07 +T+M |
5770 |
Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable) |
71 |
1 909.90 |
71 |
1 909.90 |
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