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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 - 2020PhysiotherapistTariff of fees as from 1 April 2020 |
Please note that only one treatment code may be charged per treatment. The only exceptions are one relevant evaluation code (72701 or 72702 or 72703, treatment code 72509 (extra treatment time), one visiting code (72901 or 72903) and cost of material code (72939)
Code |
Service type |
Service description |
Rand Value |
72701 |
Evaluation level 1 (to be fully documented) |
Applies to simple evaluation once at first visit only. It should not be used for each condition. A treatment plan/rehabilitation progress report must be submitted at the initiation of treatment. |
278.72 |
72702 |
Complex evaluation (to be fully documented) |
Complex evaluation once at first visit only. Applies to complex evaluation once at first visit only. Applies to complex injuries only. lt should not be used for each condition. A treatment plan/rehabilitation progress report describing what makes the evaluation complex, must be submitted at the initiation of treatment. |
417.70 |
72703 |
Re-assessment |
Complete re-assessment or one physical performance test during the course of treatment. This should be fully documented and a rehabilitation progress report provided to the CF. This code will only apply to patients that have been discharged and are now re-admitted, if there has been a gap in treatment or during the course of his treatment to ensure treatment goals and outcomes are aligned. |
139.00 |
72901 |
Treatment at nursing home |
Relevant fee plus (to be charged only once per day and not with every hospital visit) |
101.85 |
72305 |
Very Simple treatment |
Simple treatment for one condition/injury of one treatment technique. |
101.85 |
72509 |
Extra treatment time |
There should be a clear indication and motivation and should be medically motivated for e.g. complicated condition. This code can only be claimed once per treatment session. |
154.81 |
72903 |
Domiciliary treatments |
Apply only when medically motivated: relevant fee plus. |
185.32 |
72925 |
Level 1 chest pathology |
Applies to simple chest conditions/injuries. Multiple treatment techniques to be used. |
456.31 |
72926 |
Level 2 chest pathology |
Applies only to complex chest conditions/injuries that require undivided attention of the physiotherapist. Multiple treatment techniques to be used. |
753.95 |
72921 |
Simple spinal treatment |
Applies to simple spinal injuries/conditions. Multiple treatment techniques to be used. |
670.12 |
72923 |
Complex spinal treatment |
Applies to complex spinal injuries/conditions. Multiple treatment techniques to be used. Rehabilitation reports must clearly indicate the reasons for choosing complex as apposed to simple. |
967.95 |
72928 |
Simple soft tissue/peripheral joint injuries or other general treatment |
Apply to all soft tissue/peripheral injuries or other general treatment. |
670.12 |
72927 |
Complex soft tissue/peripheral joint injuries or other general treatment |
Applies to complex soft tissue/peripheral joint injuries/conditions. Multiple treatment techniques to be used. Rehabilitation reports must clearly indicate the reasons for choosing complex as opposed to simple. |
875.29 |
72501 |
Rehabilitation |
Rehabilitation first 30 minutes, where the pathology requires the undivided attention of the physiotherapist |
483.89 |
72503 |
Rehabilitation central nervous system |
Also includes spinal rehabilitation (cannot be charged for bed exercises/passive movements only) |
967.95 |
72939 |
Cost of material |
Single items below R1733.90 (VAT excl) may be charged for at cost price plus 20% storage and handling fees. The invoice must be attached to the account. |
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Cost of materials does not cover consumables |
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See the attached Annexure A for consumables and Annexure B for equipment and or appliances that are considered reasonable to be used with code 72939 |
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