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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 - 2018SpecialistsIII. Procedures3. Musculo-skeletal system3.1 Bones3.1.1 Fractures |
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Specialist |
General Practitioner |
Anaesthetic |
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3. |
Musculo-Skeletal System |
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3.1 |
Bones |
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3.1.1 |
Fractures |
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0383 |
Fracture (reduction under general anaesthetic): Scapula |
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® |
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® |
3 |
335.58 |
+T+M |
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0384 |
Fracture: Scapula: Open reduction and internal fixation (modifiers 0051 and 0052 not applicable) |
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284.2 |
6803.75 |
227.36 |
5443.00 |
3 |
335.58 |
+T+M |
|
0386 |
Fracture: Clavicle: Open reduction and Internal fixation (modifiers 0051 and 0052 not applicable) |
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209.4 |
5013.04 |
167.52 |
4010.43 |
3 |
335.58 |
+T+M |
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0387 |
Fracture (reduction under general anaesthetic): Clavicle |
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77 |
1843.38 |
77 |
1843.38 |
3 |
335.58 |
+T+M |
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0388 |
Percutaneous pinning supracondylar fracture elbow - stand alone procedure |
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175.70 |
4206.26 |
140. |
3365.01 |
3 |
335.58 |
+T+M |
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0381 |
Fracture (reduction general anaesthetic): Humerus |
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111.60 |
2671.70 |
111.60 |
2671.70 |
3 |
335.58 |
+T+M |
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0390 |
Fracture: Humerus: Open reduction and internal fixation (modifiers 0052 not applicable) |
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255.30 |
6111.88 |
204.24 |
4889.51 |
3 |
335.58 |
+T+M |
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0391 |
Fracture (reduction under general anaesthetic): Radius and/or Ulna |
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77 |
1843.38 |
77 |
1843.38 |
3 |
335.58 |
+T+M |
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0392 |
Open reduction of both radius and ulna (Modifier 0051 not applicable) |
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210 |
5027.40 |
168 |
4021.92 |
3 |
335.58 |
+T+M |
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0401 |
Fracture: Carpal bone: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
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208.70 |
4996.28 |
166.96 |
3997.02 |
3 |
335.58 |
+T+M |
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0402 |
Fracture (reduction under general anaesthetic): Carpal bone |
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64 |
1532.16 |
64 |
1532.16 |
3 |
335.58 |
+T+M |
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0403 |
Bennett;s fracture-dislocation |
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51 |
1220.94 |
51 |
1220.94 |
3 |
335.58 |
+T+M |
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0405 |
Fracture reduction under general anaesthetic: Open treatment of Metacarpal: Simple |
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118.3 |
2832.10 |
118.3 |
2832.10 |
3 |
335.58 |
+T+M |
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0409 |
Fracture (reduction under general anaesthetic): Finger phalanx: Distal: Simple |
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ß |
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ß |
33 |
335.58 |
+T+M |
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0411 |
Fracture (reduction under general anaesthetic): Finger phalanx: Distal: Compound (open) |
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52 |
1 244.88 |
52 |
1244.88 |
3 |
335.58 |
+T+M |
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4013 |
Fracture (reduction under general anaesthetic): Finger phalanx: Proximal or middle: Simple |
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48 |
1149.12 |
48 |
1149.12 |
3 |
335.58 |
+T |
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0415 |
Fracture (reduction under general anaesthetic): Finger phalanx: Proximal or middle: Compound (open) |
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102 |
2441.88 |
102 |
2441.88 |
3 |
335.58 |
+T+M |
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0417 |
Fracture (reduction under general anaesthetic): Pelvis fracture: Closed (modifier 0051 is applicable) |
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ß |
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ß |
3 |
335.58 |
+T+M |
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0419 |
Fracture (reduction under general anaesthetic): Pelvis: Operative reduction and fixation |
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320 |
7660.80 |
256 |
6128.64 |
3 |
335.58 |
+T+M |
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0420 |
Fracture: Acetabulum: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
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560 |
13406.40 |
448 |
10725.12 |
3 |
335.58 |
+T+M |
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0421 |
Fracture (reduction under general anaesthetic): Femur: Neck or Shaft |
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237 |
5673.78 |
189.6 |
4539.02 |
3 |
335.58 |
+T+M |
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0422 |
Fracture: Femur: neck or shaft: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
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392.3 |
9391.66 |
313.84 |
7513.33 |
3 |
335.58 |
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0425 |
Fracture (reduction under general anaesthetic): Patella |
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51 |
1220.94 |
51 |
1220.94 |
3 |
335.58 |
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0426 |
Fracture: Patella: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
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219.5 |
5254.83 |
175.6 |
4203.86 |
3 |
335.58 |
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0429 |
Fracture (reduction under general anaesthetic Tibia with or without Fibula |
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128 |
3064.32 |
120 |
2872,80 |
3 |
335.58 |
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0430 |
Fracture: Tibia, with or without fibula: Open reduction and internal fixation (modifiers 005, 0052 not applicable) |
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293.2 |
7019.21 |
234.56 |
5616.37 |
3 |
335.58 |
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0433 |
Fracture (reduction under general anaesthetic) |
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ß |
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ß |
3 |
335.58 |
+T+M |
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0434 |
Fracture: Fibula shaft: Open reduction and internal fixation (modifiers 0051, 0052 not applicable) |
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207 |
4955.58 |
165.6 |
3964.48 |
3 |
335.58 |
+T+M |
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0435 |
Fracture (reduction under general anaesthetic: Malleolus |
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58 |
1388.52 |
58 |
1388.52 |
3 |
335.58 |
+T+M |
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0436 |
Fracture: ankle malleolus: Open reduction and internal fixation (modifier 0051, 0052 not applicable) |
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207.1 |
4957.97 |
165.88 |
1388.52 |
3 |
335.58 |
+T+M |
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0437 |
Fracture-dislocation of ankle |
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128 |
3064.32 |
120 |
2872.80 |
3 |
335.58 |
+T+M |
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0438 |
Open reduction Talus fracture (Modifier 0051 not applicble) |
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198.70 |
4756.88 |
158.96 |
3805.50 |
3 |
335.58 |
+T+M |
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0439 |
Fracture (reduction under general anaesthetic): tarsal bones (excluding talus and calcaneus) |
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64 |
1532.18 |
64 |
1532.18 |
3 |
335.58 |
+T+M |
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0440 |
Open reduction Calcaneus fracture (Modifier 0051 not applicable) |
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403.50 |
9659.79 |
322.5 |
7720.65 |
3 |
335.58 |
+T+M |
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0441 |
Fracture (reduction under general anaesthetic: Metatarsal |
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41.8 |
1000.69 |
41.8 |
1000.88 |
3 |
335.58 |
+T+M |
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0442 |
Fracture: Metatarsal bones: Open reduction with internal fixation (modifiers 0051, 0052 not applicable) |
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154.70 |
3703.52 |
123.7 |
2962.81 |
3 |
335.58 |
+T+M |
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0443 |
Fracture (reduction under general anaesthetic): Toe phalanx: Distal: Simple |
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ß |
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ß |
3 |
335.58 |
+T |
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0444 |
Fracture: toe phalanx, distal: Open reduction with internal fixation (modifiers 0051, 0052 not applicable) |
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144.5 |
3459.33 |
120 |
2872.80 |
3 |
335.58 |
+T |
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0445 |
Fracture (reduction under general anaesthetic): Toe phalanx |
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32 |
766.08 |
32 |
766.08 |
3 |
335.58 |
+T+M |
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0446 |
Fracture: tarsal bones (excluding talus and calcaneus): Open reduction with internal fixation (modifiers 0051, 0052 not applicable) |
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178.2 |
4266.11 |
142.56 |
3412.89 |
3 |
335.58 |
+T+M |
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0447 |
Fracture (reduction under general anaesthetic): Other: Simple |
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26 |
622.44 |
26 |
622.44 |
3 |
335.58 |
+T |
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0448 |
Fracture: Calcaneus (reduction under general anaesthetic) |
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103.3 |
2473.00 |
103.3 |
2473.00 |
3 |
335.58 |
+T+M |
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0449 |
Fracture (reduction under general anaesthetic): Other: Compound |
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52 |
1244.88 |
52 |
1244.88 |
3 |
335.58 |
+T+M |
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0451 |
Fracture (reduction under general anaesthetic): Sternum and/or ribs: closed |
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ß |
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ß |
3 |
335.58 |
+T |
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0452 |
Fracture (reduction under general anaesthetic): Sternum and/or ribs: Open reduction and fixation of multiple fractured ribs for flail chest |
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230 |
5506.20 |
184 |
4404.96 |
3 |
335.58 |
+T+M |
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0455 |
Fracture (reduction under general anaesthetic): Spine: With or without paralysis: Cervical |
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ß |
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ß |
3 |
335.58 |
+T+M |
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0456 |
Fracture (reduction under general anaesthetic): Spine: With or without paralysis: Rest |
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ß |
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ß |
3 |
335.58 |
+T+M |
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0459 |
DELETED 2009: Open reduction and internal fixation for fracture and/or dislocation of spine |
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0461 |
Fracture (reduction under general anaesthetic): Compression fracture: Cervical |
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® |
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® |
3 |
335.58 |
+T+M |
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0462 |
Fracture (reduction under general anaesthetic): Compression fracture:P Rest |
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® |
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® |
3 |
335.58 |
+T+M |
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0463 |
Fracture (reduction under general anaesthetic): Spinous or transverse processes: Cervical |
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® |
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® |
3 |
335.58 |
+T+M |
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0464 |
Fracture (reduction under general anaesthetic): Spinous or transverse processes: Rest |
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® |
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® |
3 |
335.58 |
+T+M |
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3.1.1.1 |
Operations for fractures |
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0465 |
Fractures involving large joints (includes the item for the relative bone). this item may ot be used as a modifier |
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268 |
6894.72 |
230.4 |
5515.76 |
3 |
335.58 |
+T+M |
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0473 |
Percutaneous insertion plus subsequent removal of Kirschner wires or Steinmann pin (Not subject to rule G) (Modifier 0005 not applicable) |
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43 |
1029.42 |
43 |
1029.42 |
3 |
335.58 |
+T |
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0475 |
Bonegrafting or internal fixation for malunion or non-union: Femur, tibia, Humerus, Radius and Ulna |
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282 |
6751.08 |
225.6 |
5400.86 |
3 |
335.58 |
+T+M |
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0479 |
Bonegrafting or internal fixation for malunion or non-union: Other bones (not applicable to fingers and toes) |
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154 |
3686.76 |
123.2 |
2949.41 |
3 |
335.58 |
+T+M |