![](http://www.acts.co.za/resources/images/filetype_pdf.png)
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 : Procedures8. Digestive System |
|
|
Specialist |
General Practitioner |
Anaesthetic |
|||
U/E |
R |
U/E |
R |
U/E |
R T/M |
||
8.1 |
Oral cavity |
|
|
|
|
|
|
1467 |
Drainage of intra-oral abscess |
31 |
789.57 |
31 |
789.57 |
4 |
476.08 +T |
1483 |
Alveolar periosteal or other flaps for arch closure |
138 |
3 514.86 |
120 |
3 056.40 |
4 |
476.08 +T |
|
|
|
|
|
|
|
|
8.2 |
Lips |
|
|
|
|
|
|
1485 |
Local excision of benign lesion of lip |
27 |
687.69 |
27 |
687.69 |
4 |
476.08 +T |
1499 |
Lip reconstruction following an injury: Directed repair |
105.6 |
2 689.63 |
105.6 |
2 689.63 |
4 |
476.06 +T |
1501 |
Lip reconstruction following an injury: Flap repair |
206 |
5 246.82 |
164.8 |
4 197.46 |
4 |
476.08 +T |
1503 |
Lip reconstruction following an injury only: total reconstruction (first stage) |
206 |
5 246.82 |
164.8 |
4 197.46 |
4 |
476.08 +T |
1504 |
Lip reconstruction following an injury only: Subsequent stages (see item 0297) |
104 |
2 648.88 |
104 |
2 648.88 |
4 |
476.08 +T |
|
|
|
|
|
|
|
|
8.3 |
Tongue |
|
|
|
|
|
|
1505 |
Partial glossectomy |
225 |
5 730.75 |
180 |
4 584.60 |
6 |
714.12 +T |
1507 |
Local excision of lesion of tongue |
27 |
687.69 |
27 |
687.69 |
4 |
476.08 +T |
|
|
|
|
|
|
|
|
8.4 |
Palate, uvula and salivary gland |
|
|
|
|
|
|
1526 |
Total parotidectomy with preservation of facial nerve |
358.5 |
9 131.00 |
286.8 |
7 304.80 |
5 |
595.10 +T |
1531 |
Drainage of parotid abscess |
25 |
636.75 |
25 |
636.75 |
4 |
476.08 +T |
|
|
|
|
|
|
|
|
8.5 |
Oesophagus |
|
|
|
|
|
|
1545 |
Oesophagoscopy with rigid instrument: First and subsequent |
47 |
1 197.09 |
47 |
1 197.09 |
4 |
476.08 +T |
1550 |
Oesophagoscopy with removal of foreign body |
70 |
1 782.90 |
70 |
1 782.90 |
4 |
476.08 +T |
1563 |
Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure |
300 |
7 641.00 |
240 |
6 112.80 |
11 |
1 309.22 +T |
1565 |
Hiatus hernia and diaphragmatic hernia repair: with Collins Nissen oesophageal lengthening procedure |
350 |
8 914.50 |
280 |
7 131.60 |
11 |
1309.22 +T |
|
|
|
|
|
|
|
|
8.6 |
Stomach |
|
|
|
|
|
|
1587 |
Upper gastro-intestinal endoscopy: Using hospital equipment |
48.75 |
1 241.66 |
48.75 |
1 241.66 |
4 |
476.08 +T |
1589 |
Endoscopio control of gastrointestinal haemorrhage from upper gastrointestinal tract, intestines or large bowel by injection of vasoconstrictor and/or schlerosis (endoscopic haemostasis) to be added to gastroscopy (item 1587) or colonoscopy (item 1653) |
+ 34 |
865.98 |
34 |
865.98 |
6 |
714.12 +T |
1591 |
Plus removal of foreign bodies (stomach): ADD to gastro-intestinal endoscopy (item 1587) |
+ 25 |
636.75 |
+ 25 |
636.75 |
4 |
476.08 +t |
1597 |
Gastrostomy or Gastrotomy |
147.5 |
3 756.83 |
120 |
3 056.40 |
6 |
714.12 +T |
1615 |
Suture of perforated gastric or duodenal ulcer or wound or injury |
200 |
5 094.00 |
160 |
4 075.20 |
7 |
833.14 +T |
1617 |
Partial gastrectomy |
328.3 |
8 361.80 |
262.64 |
6 689.44 |
7 |
833.14 +T |
1619 |
Total gastrectomy |
384.43 |
9 791.43 |
307.54 |
7 833.04 |
7 |
833.14 +T |
|
|
|
|
|
|
|
|
8.7 |
Duodenum |
|
|
|
|
|
|
1626 |
Endoscopic examination of the small bowel beyond the duodenojejunal flexure with biopsy with or without polypectomy with or without arrest of haemorrhage (enteroscopy) |
120 |
3 056.40 |
120 |
3 056.40 |
6 |
714.12 +T |
1627 |
Duodenal intubation (under X-ray screening) |
8 |
203.76 |
|
|
|
|
|
|
|
|
|
|
|
|
8.8 |
Intestines |
|
|
|
|
|
|
1634 |
Enterotomy or Enterostomy |
202.6 |
5 160.22 |
162.08 |
4 128.18 |
6 |
714.12 +T |
1637 |
Operation for relief of intestinal obstruction |
240 |
6 112.80 |
192 |
4 890.24 |
7 |
833.14 +T |
1639 |
Resection of small bowel with enterostomy or ananstomosis |
244.9 |
6 237.60 |
195.92 |
4 990.08 |
6 |
714.12 +T |
1642 |
Gastrointestinal tract imaging, intraluminal(e.g. video capsule endoscopy): Hire fee (Item 0201 applicable for video capsule - disposable single patient use) - (Please note: All patients should have had a normal gastroscopy and colonoscopy) |
150 |
3 820.50 |
120 |
3 056.40 |
|
|
1643 |
Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy), oesophagus through ileum: Doctor interpretation and report |
90 |
2 292.30 |
90 |
2 292.30 |
|
|
1645 |
Suture of intestine (small or large): Wound or injury |
185.2 |
4 717.04 |
148.16 |
3 773.64 |
6 |
714.12 +T |
1647 |
Closure of Intestinal fistula |
258 |
6 571.26 |
206.4 |
5 257.01 |
6 |
714.12 +T |
1657 |
Right or left hemicolectomy or segmental colectomy |
325 |
8 277.75 |
260 |
6 622.20 |
6 |
714.12 +T |
1661 |
Colotomy: Including removal of foreign body |
205.7 |
5 239.18 |
164.56 |
4 191.34 |
6 |
714.12 +T |
1663 |
Total colectomy |
390 |
9 933.30 |
312 |
7 946.64 |
6 |
714.12 +T |
1665 |
Colostomy or ileostomy isolated procedure |
233.8 |
8 954.89 |
187.04 |
4 763.91 |
6 |
714.12 +T |
1667 |
Colostomy: Closure |
179.1 |
4 561.68 |
143.28 |
3 649.34 |
5 |
595.10 +T |
1668 |
Revision of ileostomy pouch |
375 |
9 551.25 |
300 |
7 641.00 |
6 |
714.12 +T |
|
|
|
|
|
|
|
|
8.10 |
Rectum and anus |
|
|
|
|
|
|
1677 |
Sigmoidoscopy: First and subsequent, with or without biopsy |
13 |
331.11 |
13 |
331.11 |
3 |
357.06 +T |
1688 |
Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy |
445 |
11 334.15 |
356 |
9 067.32 |
8 |
952.16 +T |
1705 |
Incision and drainage of submucous abscess |
40 |
1 018.80 |
40 |
1 018.80 |
3 |
357.06 +T |
1707 |
Drainage of submucous abscess |
40 |
1 018.80 |
40 |
1 018.80 |
3 |
357.06 +T |
1737 |
Dilation of ano-rectal structure |
12.5 |
318.38 |
12.5 |
318.38 |
3 |
357.06 +T |
1742 |
Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor |
27 |
687.69 |
|
|
|
|
|
|
|
|
|
|
|
|
8.11 |
Liver |
|
|
|
|
|
|
1743 |
Needle biopsy of liver |
30.3 |
771.74 |
30.3 |
771.74 |
3 |
357.06 +T |
1745 |
Biopsy of liver by laparotomy |
125 |
3 183.76 |
120 |
3 056.40 |
4 |
476.08 |
1747 |
Drainage of liver abscess |
179.1 |
4 561.68 |
143.28 |
3 649.34 |
7 |
833.14 |
1748 |
Body composition measured by bio-electrical impedance |
3 |
76.41 |
3 |
76.41 |
|
|
1749 |
Hemi-hepatectomy: Right |
564 |
14 365.08 |
451.2 |
11 492.06 |
9 |
1 071.18 +T |
1751 |
Hemi-hepatectomy: Left |
521.1 |
13 272.42 |
416.88 |
10 617.93 |
9 |
1 071.18 +T |
1752 |
Extended right or left hepatectomy |
570.9 |
14 540.82 |
456.72 |
11 632.66 |
9 |
1 071.18 +T |
1753 |
Partial or semental hepatectomy |
378 |
9 627.66 |
302.4 |
7 702.13 |
9 |
1 071.18 +T |
1757 |
Suture of liver wound or injury |
214.2 |
5 455.67 |
171.36 |
4 364.54 |
9 |
1 071.18 +T |
|
|
|
|
|
|
|
|
8.12 |
Biliary tract |
|
|
|
|
|
|
1763 |
With exploration of common bile duct |
264..5 |
6 738.82 |
211.6 |
5 389.45 |
6 |
714.12 +T |
1765 |
Exploration of common bile duct: Secondary operation |
327.7 |
8 346.62 |
262.16 |
6 677.22 |
6 |
714.12 +T |
1767 |
Reconstruction of common bile duct |
371.7 |
9 467.20 |
297.36 |
7 573.76 |
6 |
714.12 +T |
|
|
|
|
|
|
|
|
8.13 |
Pancreas |
|
|
|
|
|
|
1778 |
Endoscopic Retrograde Cholangiopancreatograph(ERCP): Endoscopy + Catheterisation of pancreas duct or choledochus |
105.9 |
2 697.27 |
105.9 |
2 697.27 |
4 |
476.08 +T |
1779 |
Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (item 1778) |
+ 15.82 |
402.94 |
15.82 |
402.94 |
4 |
476.08 +T |
1791 |
Local, partial or subtotal pancreatectomy |
351.3 |
8 947.61 |
281.04 |
7 158.09 |
8 |
952.16 +T |
1793 |
Distal pancreatectomy with internal drainage |
377.4 |
9 612.38 |
301.92 |
7 589.90 |
8 |
952.16 +T |
|
|
|
|
|
|
|
|
8.14 |
Peritoneal cavity |
|
|
|
|
|
|
1797 |
Pneumo-peritoneum: First |
13 |
331.11 |
13 |
331.11 |
4 |
476.08 +T |
1799 |
Pneumo-Peritoneum: Repeat |
6 |
152.82 |
6 |
152.82 |
4 |
476.08 |
1800 |
Peritoneal lavage |
20 |
509.40 |
20 |
509.40 |
|
|
1801 |
Diagnostic paracentesis: Abdomen |
8 |
203.76 |
8 |
203.76 |
|
|
1803 |
Therapeutic paracentesis: Abdomen |
13 |
331.11 |
13 |
331.11 |
|
|
1807 |
Add to open procedure where procedure was performed through a laparoscope (for anaesthetic refer to modifier 0027) |
+ 45 |
1 146.15 |
45 |
1 146.15 |
5 |
595.10 +T |
1809 |
Laparotomy |
196 |
4 992.12 |
156.8 |
3 993.70 |
4 |
476.08 +T |
1811 |
Suture of burst abdomen |
188.3 |
4 796.00 |
150.64 |
3 836.80 |
7 |
833.14 +T |
1812 |
Laparatomy for control of surgical haemorrhage |
105 |
2 674.35 |
105 |
2 674.35 |
9 |
1 071.18 +T |
1813 |
Drainage sub-phrenic abscess |
180 |
4 584.60 |
144 |
3 667.68 |
7 |
833.14 +T |
1815 |
Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal |
248.4 |
6 326.75 |
198.72 |
5 061.40 |
5 |
595.10 +T |
1817 |
Transrectal drainage of pelvic abscess |
75 |
1 910.25 |
75 |
1 910.25 |
4 |
476.08 +T |