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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 : 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 |
3 604.01 |
120.00 |
3 056.40 |
3 |
357.06 +T+M |
0901 |
Tenotomy single tendon |
63.3 |
1 612.25 |
63.3 |
1 612.25 |
3 |
357.06 +T+M |
0903 |
Hammertoe: one toe |
99.5 |
2 534.27 |
99.5 |
2 534.27 |
3 |
357.06 +T+M |
0905 |
Fillet of toe or Ruiz-Mora procedure |
99.5 |
2 534.27 |
99.5 |
2 534.27 |
3 |
357.06 +T+M |
0906 |
Arthodesis Hallux |
148 |
3 769.56 |
120 |
3 056.40 |
3 |
357.06 +T+M |
0909 |
Excision arthorplasty |
145.2 |
3 698.24 |
120 |
3 056.40 |
3 |
357.06 +T+M |
0910 |
Cheilectomy or metatarsopfangeal Implant Hallux |
183 |
4 661.01 |
146.4 |
3 728.81 |
3 |
357.06 +T+M |
0911 |
Metatarsal osteotomy or Lapidus or similar or Chevron - stand alone procedure |
189.2 |
4 818.92 |
151.36 |
3 855.14 |
3 |
357.06 +T+M |
5730 |
Hallux valgus double osteotomy etc |
182.60 |
4 650.82 |
146.08 |
3 720.66 |
3 |
357.06 +T+M |
5731 |
Distal soft tissue procedure for Hallux Valgus |
173.6 |
4 421.59 |
138.88 |
3 537.27 |
3 |
357.06 +T+M |
5732 |
Atkin procedure or similar |
166.8 |
4 248.40 |
133.44 |
3 398.72 |
3 |
357.06 +T+M |
5734 |
Removal bony prominence foot (bunionette not applicable to COID) |
91 |
2 317.77 |
91 |
2 317.77 |
3 |
357.06 +T+M |
5735 |
Repair angular deformity toe (lesser toes) |
97.2 |
2 475.68 |
97.2 |
2 475.68 |
3 |
357.06 +T+M |
5736 |
Sesamoidectomy |
97.8 |
2 490.97 |
97.8 |
2 490.97 |
3 |
357.06 +T+M |
5737 |
Repair major foot tendons e.g. Tib Post |
147.30 |
3 751.73 |
120 |
3 056.40 |
3 |
357.06 +T |
5738 |
Repair of dislocating peronsal tendons |
173.2 |
4 411.40 |
138.56 |
3 529.12 |
3 |
357.06 +T |
5740 |
Steindler strip - plantar fascia |
97.2 |
2 475.68 |
97.2 |
2 475.68 |
3 |
357.06 +T |
5742 |
Tendon transfer foot |
172 |
4 380.84 |
137.6 |
3 504.67 |
3 |
357.06 +T |
5743 |
Capsulotomy metatarsophalargeal joints -foot |
86.8 |
2 210.80 |
86.8 |
2 210.80 |
3 |
357.06 +T |
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3.8.3 |
Replantation |
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|
0912 |
Replantation of amputated upper limb proximal to wrist joint |
730 |
18 593.10 |
584 |
14 874.48 |
3 |
357.06 +T+M |
0913 |
Replantation of thumb |
670 |
17 064.90 |
536 |
13 651.92 |
3 |
357.06 +T+M |
0914 |
Replantation of a single digit (to be motivated), for multiple digits, modifier 0005 applicable |
580 |
14 772.60 |
464 |
11 818.08 |
3 |
357.06 +T+M |
0915 |
Replantation operation through the palm |
1270 |
32 346.90 |
1016 |
25 877.52 |
3 |
357.06 +T+M |
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3.8.4 |
Hands: (Note: Skin: See Integumentary system) |
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|
0919 |
Tumours: Epidermiod cysts |
35 |
891.45 |
35 |
891.45 |
3 |
357.06 +T+M |
0922 |
Removal of foreign bodies requiring incision: Under local anaesthetic |
19 |
483.93 |
19 |
483.93 |
3 |
357.06 +T+M |
0923 |
Removal of foreign bodies requiring incision: Under general or regional anaesthetic |
32 |
815.04 |
32 |
815.04 |
3 |
357.06 +T+M |
0924 |
Crushed hand injuries: Initial extensive soft tissue toilet under general anaesthetic (sliding scale) |
37 to 110 |
942.39
2 801.70 |
37 to 110 |
942.39
2 801.70 |
3 |
357.06 +T+M |
0925 |
Crushed hand injuries: Subsequent dressing charges under general anaesthetic |
16 |
407.52 |
16 |
407.52 |
3 |
357.06 +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 |
6 851.43 |
215.2 |
5 481.14 |
3 |
357.06 +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 |
5 272.29 |
165.6 |
4 217.83 |
3 |
357.06 +T+M |
0928 |
Excision of each additional vertebral segment for a lesion within the body (no decompression) |
+ 42 |
1 069.74 |
42 |
1 069.74 |
3 |
357.06 +T+M |
0929 |
Manipulation of spine with anaesthetic (no after -care), modifier 0005 not applicable |
14 |
356.58 |
14 |
356.58 |
3 |
595.10 +T+M |
0930 |
Posterior osteotomy of spine: One vertebral segment |
339 |
8 634.33 |
271.2 |
6 907.46 |
3 |
357.06 +T+M |
0931 |
Posterior spinal fusion: One level |
385 |
9 805.95 |
308 |
7 844.76 |
3 |
357.06 +T+M |
0932 |
Posterior osteotomy of spine: Each additional vertebral segment |
+ 103 |
2 623.41 |
103 |
2 623.41 |
3 |
357.06 +T+M |
0933 |
Anterior spinal osteotomy with disc removal: One vertebral segment |
315 |
8 023.05 |
252 |
6 418.44 |
3 |
357.06 +T+M |
0936 |
Anterior spinal osteotomy with disc removal: Each additional vertebral segment |
+ 103 |
2 623.41 |
+ 103 |
2 623.41 |
3 |
357.06 +T+M |
0938 |
Anterior fusion base of skull to C2 |
449 |
11 436.03 |
359.2 |
9 148.82 |
4 |
476.08 +T+M |
0939 |
Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon |
160 |
4 075.20 |
128 |
3 260.16 |
3 |
357.06 +T+M |
0940 |
Transthoracic anterior exposure of the spine if done by a second surgeon |
160 |
4 075.20 |
128 |
3 260.16 |
3 |
357.06 +T+M |
0941 |
Anterior interbody fusion: One level |
360 |
9 169.20 |
288 |
7 335.36 |
3 |
357.06 +T+M |
0942 |
Anterior interbody fusion: Each additional level |
+ 102 |
2 597.94 |
+ 102 |
2 597.94 |
3 |
357.06 +T+M |
0943 |
Laminectomy with decompression of nerve mots and disc removal: One level |
240 |
6 112.80 |
192 |
4 890.24 |
3 |
357.06 +T+M |
0944 |
Posterior fusion: Occiput to C2 |
390 |
9 933.30 |
312 |
7 946.64 |
4 |
476.08 +T+M |
0946 |
Posterior spinal fusion: Each additional level |
+ 111 |
2 827.17 |
+ 111 |
2 827.17 |
3 |
357.06 +T+M |
0948 |
Posterior interbody lumbar fusion: One level |
364 |
9 271.08 |
291.2 |
7 416.86 |
3 |
357.06 +T+M |
0950 |
Posterior interbody lumbar fusion: Each additional interspace |
+ 95 |
2 419.65 |
+ 95 |
2 419.65 |
3 |
357.06 +T+M |
0959 |
Excision of coccyx |
96 |
2 445.12 |
96 |
2 445.12 |
3 |
357.06 +T+M |
0960 |
Posterior non-segmental instrumentation |
167 |
4 254.49 |
133.6 |
3 402.79 |
5 |
595.10 +T+M |
0961 |
Costo-transversectomy |
198 |
5 043.06 |
158.4 |
4 034.45 |
3 |
357.06 +T+M |
0962 |
Posterior segmental Instrumentation: 2 to 6 vertebrae |
176 |
4 482.72 |
140.8 |
3 586.18 |
5 |
595.10 +T+M |
0963 |
Antero-lateral decompression of spinal cord or anterior debridement |
326 |
8 303.22 |
260.8 |
6 642.58 |
3 |
357.06 +T+M |
0964 |
Posterior segmental instrumentation: 7 to 12 vertebrae |
201 |
5 119.47 |
160.8 |
4 095.58 |
5 |
595.10 +T+M |
0966 |
Posterior segmental instrumentation: 13 or more vertebrae |
245 |
6 240.15 |
196 |
4 992.12 |
5 |
595.10 +T+M |
0968 |
Anterior instrumentation: 2 to 3 vertebrae |
159 |
4 049.73 |
127.2 |
3 239.78 |
5 |
595.10 +T+M |
0969 |
Skull or skull-femoral traction including two weeks after-care |
64 |
1 630.08 |
64 |
1 630.08 |
-- |
|
0970 |
Anterior instrumentation: 4 to 7 vertebrae |
185 |
4 711.95 |
148 |
3 769.55 |
5 |
595.10 +T+M |
0972 |
Anterior instrumentation : 8 or more vertebrae |
206 |
5 246.82 |
164.8 |
4 197.46 |
5 |
595.10 +T+M |
0974 |
Additional pelvic fixation of instrumentation other than sacrum |
108 |
2 750.76 |
108 |
2 750.76 |
5 |
595.10 +T+M |
5750 |
Reinsertion of instrumentation |
276 |
7 029.72 |
220.8 |
5 623.78 |
6 |
714.12 +T +M |
5751 |
Removal of posterior non-segmental instrumentation |
173 |
4 406.31 |
138.4 |
3 525.05 |
6 |
714.12 +T +M |
5752 |
Removal of posterior segmental instrumentation |
175 |
4 457.25 |
140 |
3 565.80 |
6 |
714.12 +T+M |
5753 |
Removal of anterior instrumentation |
204 |
5 195.88 |
163.2 |
4 156.70 |
6 |
714.12 +T+M |
5755 |
Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels |
295 |
7 513.65 |
236 |
6 010.92 |
3 |
357.06 +T+M |
5756 |
Laminectomy with full decompression for spondylolisthesis (Gill procedure) |
304 |
7 742.88 |
243.2 |
6 194.30 |
3 |
357.06 +T+M |
5757 |
Laminectomy for decompression without foraminotomy or diskectomy more than two levels |
321 |
8 175.87 |
256.8 |
6 540.70 |
3 |
357.06 +T+M |
5758 |
Laminectomy with decompression of nerve roots and disc removal: Each additional level |
63 |
1 604.61 |
63 |
1 604.61 |
3 |
357.06 +T+M |
5759 |
Laminectomy for decompression diskectomy etc., revision operation |
352 |
8 965.44 |
281.6 |
7 172.35 |
4 |
476.08 +T+M |
5760 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spiral stenosis: One level |
301 |
7 666.47 |
240.8 |
6 133.18 |
3 |
357.06 +T+M |
5761 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis Each additional level |
68 |
1 731.96 |
68 |
1 731.96 |
3 |
357.06 +T+M |
5763 |
Anterior disc removal and spinal decompression cervical: One level |
344 |
8 761.68 |
275.2 |
7 009.34 |
3 |
357.06 +T+M |
5764 |
Anterior disc removal and spinal decompression cervical: Each additional level |
81 |
2 063.07 |
81 |
2 063.07 |
3 |
357.06 +T+M |
5765 |
Vertebral corpectomy for spinal decompression: One level |
466 |
11 869.02 |
372.8 |
9 495.22 |
3 |
357.06 +T+M |
5766 |
Vertebral corpectomy for spinal decompression: Each additional level |
88 |
2 241.36 |
88 |
2 241.36 |
3 |
357.06 +T+M |
5770 |
Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable) |
71 |
1 808.37 |
71 |
1 808.37 |
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