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Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2019

Doctors

Part III : Procedures

17. Ear

 



Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

17.1

External Ear (Pinna)

 

 

 

 

 

 

3271

Partial or total reconstruction for traumatic absence or following tumour excision of external ear (fee according to arrangement)

 

 

 

 

 

 



 

 

 

 

 

 

17.2

External ear canal

 

 

 

 

 

 

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

 

 

 

 

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

 

 

3221

Removal of osteoma from meatus: Multiple

215

5 476.05

172

4 380.84

4

476.08 +T



 

 

 

 

 

 

17.3

Middle ear

 

 

 

 

 

 

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



 

 

 

 

5

 

17.4

Facial nerve

 

 

 

 

 

 

17.4.1

Facial nerve tests

 

 

 

 

 

 

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

 

 

 

 

 

 

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



 

 

 

 

 

 

17.5

Inner ear

 

 

 

 

 

 

17.5.1

Audiometry

 

 

 

 

 

 

3273

Pure tone audiometry (air conduction)

6.5

165.56

6.5

165.56

 

 

3274

Pure tone audiometry (bone conduction with masking)

6.5

165.56

6.5

165.56

 

 

3275

Impedance audiometry (tympanometry)

6.5

165.56

6.5

165.56

 

 

3277

Speech audiometry: Fee includes speech audiogram, speech reception threshold, discrimination score

10

254.70

10

254.70

 

 

17.5.2

Balance tests

 

 

 

 

 

 

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

 

 

3251

Minimal caloric test (excluding consultation fee)

10

254.70

10

254.70

 

 

3253

Electro-nystagmography for spontaneous and positional nystagmus

25

636.75

25

636.75

 

 

3255

Caloric test done with electro-nystagmography

70

1 782.90

70

1 782.90

 

 

3256

Video nystagmoscopy (binocular)

50

1 273.50

50

1 273.50

 

 

3258

Otolith repositioning manoeuvre

14

356.58

14

356.58

4

476.08 +T



 

 

 

 

 

 

17.6

Microsurgery of the skull base

 

 

 

 

 

 

17.6.1

Middle fossa approach (i.e. transtemporal or supralabyrinthine)

 

 

 

 

 

 

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

 

 

 

 

 

 

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

 

 

 

 

 

 

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