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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 - 2019DoctorsPart III : Procedures17. Ear |
Specialist |
General Practitioner |
Anaesthetic |
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U/E |
R |
U/E |
R |
U/E |
R T/M |
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17.1 |
External Ear (Pinna) |
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3271 |
Partial or total reconstruction for traumatic absence or following tumour excision of external ear (fee according to arrangement) |
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17.2 |
External ear canal |
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3204 |
Removal of foreign body at rooms with the use of a microscope (excludes loupe) - not to be used combined with item 3206 |
21.58 |
549.54 |
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3205 |
External ear canal: Removal of foreign body: Under general anaesthetic |
21 |
535.87 |
21 |
534.87 |
4 |
476.08 +T |
3215 |
Meatus atresia: Repair of stenosis of cartilaginous portion |
164 |
4 177.08 |
131.2 |
3 341.66 |
4 |
476.08 +T |
3219 |
Meatus atresia: Removal of osteoma from meatus: Solitary |
77 |
1 961.19 |
77 |
1 961.19 |
4 |
476.08 +T |
3220 |
Debridement mastoidectomy cavity with the use of a microscope (excludes loupe) - not to be used combined with item 3206 |
23.14 |
589.38 |
23.14 |
589.38 |
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3221 |
Removal of osteoma from meatus: Multiple |
215 |
5 476.05 |
172 |
4 380.84 |
4 |
476.08 +T |
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17.3 |
Middle ear |
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3209 |
Bilateral myringotomy |
46 |
1 171.62 |
46 |
1 171.62 |
4 |
476.08 +T |
3211 |
Unilateral myringotomy with insertion ventilation tube |
38 |
967.86 |
38 |
967.86 |
4 |
476.08 +T |
3212 |
Bilateral myringotomy with insertion ventilation tube |
57 |
1 451.79 |
57 |
1 451.79 |
4 |
476.08 +T |
3214 |
Reconstruction of middle ear ossicles (ossiculoplasty) |
255 |
6 494.85 |
204 |
5 195.88 |
5 |
595.10 +T |
3237 |
Explanatory tympanotomy |
158.9 |
4 047.18 |
127.12 |
3 237.75 |
5 |
595.10 +T |
3243 |
Myringoplasty |
138 |
3 514.86 |
120 |
3 056.40 |
5 |
595.10 +T |
3245 |
Functional reconstruction of tympanic membrane |
277 |
7 055.19 |
221.6 |
5 644.15 |
5 |
595.10 +T |
3254 |
Tympanomastoidectomy |
375 |
9 551.25 |
300 |
7 541.00 |
5 |
595.10 +T |
3265 |
Reconstruction of posterior canal wall, following radical mastoidectomy |
320 |
8 150.40 |
256 |
6 520.32 |
5 |
595.10 +T |
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5 |
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17.4 |
Facial nerve |
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17.4.1 |
Facial nerve tests |
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3223 |
Percutaneous stimulation of the facial nerve |
9 |
229.23 |
9 |
229.23 |
4 |
476.08 +T |
3224 |
Electroneurography (ENOG) |
75 |
1 910.25 |
75 |
1 910.25 |
4 |
476.08 +T |
17.4.2 |
Facial nerve surgery |
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3227 |
Exploration of facial nerve: Exploration of tympano mastoid segment |
297 |
7 564.59 |
237.6 |
6 051.87 |
5 |
595.10 +T |
3228 |
Exploration of facial nerve: Grafting of the tympano mastoid segment (including item 3227) |
436 |
11 104.92 |
348.8 |
8 883.94 |
5 |
595.10 +T |
3230 |
Exploration of facial nerve: Extratemporal grafting of the facial nerve |
436 |
11 104.92 |
348.8 |
8 883.94 |
5 |
595.10 +T |
3232 |
Exploration of facial nerve: Facio-assessory or facio-hypoglossal anastomosis |
124 |
3 158.28 |
120 |
3 056.40 |
6 |
714.12 +T |
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17.5 |
Inner ear |
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17.5.1 |
Audiometry |
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3273 |
Pure tone audiometry (air conduction) |
6.5 |
165.56 |
6.5 |
165.56 |
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3274 |
Pure tone audiometry (bone conduction with masking) |
6.5 |
165.56 |
6.5 |
165.56 |
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3275 |
Impedance audiometry (tympanometry) |
6.5 |
165.56 |
6.5 |
165.56 |
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3277 |
Speech audiometry: Fee includes speech audiogram, speech reception threshold, discrimination score |
10 |
254.70 |
10 |
254.70 |
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17.5.2 |
Balance tests |
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3260 |
Computerized static posturography consists of standing a patient on a Piezo-electric platform which tests the vestibular and proprioceptive systems |
71.48 |
1 820.60 |
71.48 |
1 820.60 |
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3251 |
Minimal caloric test (excluding consultation fee) |
10 |
254.70 |
10 |
254.70 |
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3253 |
Electro-nystagmography for spontaneous and positional nystagmus |
25 |
636.75 |
25 |
636.75 |
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3255 |
Caloric test done with electro-nystagmography |
70 |
1 782.90 |
70 |
1 782.90 |
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3256 |
Video nystagmoscopy (binocular) |
50 |
1 273.50 |
50 |
1 273.50 |
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3258 |
Otolith repositioning manoeuvre |
14 |
356.58 |
14 |
356.58 |
4 |
476.08 +T |
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17.6 |
Microsurgery of the skull base |
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17.6.1 |
Middle fossa approach (i.e. transtemporal or supralabyrinthine) |
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3229 |
Facial nerve: Exploration of the labyrinthine segment |
420 |
10 697.40 |
336 |
8 557.92 |
5 |
595.10 +T |
5221 |
Facial nerve: Grafting of labyrinthine segment (graft removal and exploration of labyrinthine segment are included) |
510 |
12 989.70 |
408 |
10 391.76 |
11 |
1 309.22 +T |
5222 |
Facial nerve surgery inside the internal auditory canal (if grafting is required, the grafting and harvesting of graft are included) |
620 |
15 791.40 |
496 |
12 633.12 |
11 |
1 309.22 +T |
17.6.2 |
Translabyrinthine approach |
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5229 |
Facial nerve surgery in the internal auditory canal, translabyrinthine (if grafting is required, the grafting and harvesting are included) |
660 |
16 810.20 |
528 |
13 448.16 |
11 |
1 309.22 +T |
17.6.7 |
Subtotal petrosectomy |
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5247 |
Subtotal petrosectomy for CSF leak and/or total obliteration of the mastoid cavity |
480 |
12 225.60 |
384 |
9 780.48 |
11 |
1 309.22 +T |