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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 system3.2 Joints |
Specialist |
General Practitioner |
Anaesthetic |
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3. |
Musculo-Skeletal System |
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3.2 |
Joints |
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3.2.1 |
Dislocations |
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0547 |
Joint: Dislocation: Clavicle: either end |
38 |
909.72 |
38 |
909.72 |
3 |
335.58 |
+T+M |
0549 |
Joint: Dislocation: Shoulder |
51 |
1220.94 |
51 |
1220.94 |
3 |
335.58 |
+T+M |
0551 |
Joint: Dislocation: Elbow |
51 |
1220.94 |
51 |
1220.94 |
3 |
335.58 |
+T+M |
0552 |
Joint: Dislocation: Wrist |
77 |
1843.38 |
77 |
1843.38 |
3 |
335.58 |
+T+M |
0553 |
Joint: Dislocation: Perilunar transscaphoid fracture dislocation |
130 |
3112.20 |
120 |
2872.80 |
3 |
335.58 |
+T+M |
0555 |
Joint: Dislocation: Lunate |
77 |
1643.38 |
77 |
1843.38 |
3 |
335.58 |
+T+M |
0556 |
Joint: Dislocation: Carpo-metacarpo dislocation |
51 |
1220.94 |
51 |
1220.94 |
3 |
335.58 |
+T+M |
0557 |
Joint: Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand) |
26 |
622.44 |
26 |
622.44 |
3 |
335.58 |
+T+M |
0559 |
Joint: Dislocation: Hip |
109 |
2609.46 |
109 |
2609.46 |
3 |
335.58 |
+T+M |
0561 |
Joint: Dislocation: Knee |
96 |
2298.24 |
96 |
2298.24 |
3 |
335.58 |
+T+M |
0563 |
Joint: Dislocation: Patella |
32 |
766.08 |
32 |
766.08 |
3 |
335.58 |
+T+M |
0566 |
Joint: Dislocation: Ankle |
90 |
2154.60 |
90 |
2154.60 |
3 |
335.58 |
+T+M |
0567 |
Joint: Dislocation: sub-talar dislocation |
90 |
2154.60 |
90 |
2154.60 |
3 |
335.58 |
+T+M |
0569 |
Joint: Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal |
77 |
1843.38 |
77 |
1843.38 |
3 |
335.58 |
+T+M |
0571 |
Joint: Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot) |
14 |
335.16 |
14 |
335.16 |
3 |
335.58 |
+T+M |
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3.2.2 |
Operations for dislocations |
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0578 |
Recurrent dislocation of shoulder |
200 |
4788.00 |
160 |
3830.40 |
3 |
335.58 |
+T+M |
0579 |
Recurrent dislocation of large joints |
161 |
3854.34 |
128.8 |
3083.47 |
3 |
335.58 |
+T+M |
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3.2.3 |
Capsular operations |
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0582 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care) |
51 |
1220.94 |
51 |
1220.94 |
3 |
335.58 |
+T+M |
0583 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care) |
96 |
2288.24 |
96 |
2298.24 |
3 |
335.58 |
+T+M |
0585 |
Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy |
64 |
1532.16 |
64 |
1532.16 |
3 |
335.58 |
+T+M |
0586 |
Multiple percutaneous capsulotomies of metacarpo-phalangeal joints |
90 |
2154.60 |
90 |
2154.80 |
3 |
335.58 |
+T+M |
0587 |
Release of digital joint contracture |
128 |
3064.32 |
120 |
2872.80 |
3 |
335.58 |
+T+M |
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3.2.4 |
Synovactomy |
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0589 |
Synovectomy: Digital joint |
77 |
1843.38 |
77 |
1843.38 |
3 |
335.58 |
+T+M |
0592 |
Synovectomy: Large joint |
160 |
3830.40 |
160 |
3830.40 |
3 |
335.58 |
+T+M |
0593 |
Tendon synovectomy |
203.7 |
4876.58 |
162.96 |
3901.26 |
3 |
335.58 |
+T+M |
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3.2.5 |
Arthrodesis |
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0597 |
Arthrodesis: Shoulder |
224 |
5362.56 |
179.2 |
4290.05 |
3 |
335.58 |
+T+M |
0598 |
Arthrodesis: Elbow |
180 |
4309.20 |
144 |
3447.36 |
3 |
335.58 |
+T+M |
0599 |
Arthrodesis: Wrist |
180 |
4309.20 |
144 |
3447.36 |
3 |
335.58 |
+T+M |
0600 |
Arthrodesis: Digital joint |
128 |
3064.32 |
120 |
2872.80 |
3 |
335.58 |
+T+M |
0601 |
Arthrodesis: Hip |
320 |
7660.80 |
256 |
6128.64 |
3 |
335.58 |
+T+M |
0602 |
Arthrodesis: Knee |
180 |
4309.20 |
144 |
3447.36 |
3 |
335.58 |
+T+M |
0603 |
Arthrodesis: Ankle |
180 |
4309.20 |
144 |
3447.36 |
3 |
335.58 |
+T+M |
0604 |
Arthrodesis:Subtalar |
130 |
3112.20 |
120 |
2872.80 |
3 |
335.58 |
+T+M |
0605 |
Arthrodesis: Stabilization of foot (triple arthrodeses) |
180 |
4309.20 |
144 |
3447.36 |
3 |
335.58 |
+T+M |
0607 |
Arthrodesis: Mid-tarsal wedge resection |
180 |
4309.20 |
144 |
3447.36 |
3 |
335.58 |
+T+M |
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3.2.6 |
Arthroplasty |
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0614 |
Arthroplasy: Debridement large joints |
160 |
3830.40 |
128 |
3064.32 |
3 |
335.58 |
+T+M |
0615 |
Arthroplasy: Excision medial or lateral end of clavicle |
116 |
2777.04 |
116 |
2777.04 |
3 |
335.58 |
+T+M |
0617 |
Shoulder: Acromloplasty |
192 |
4596.04 |
153.6 |
3677.18 |
3 |
335.58 |
+T+M |
0619 |
Shoulder: Partial replacement |
277 |
6631.38 |
221.6 |
5305.10 |
5 |
559.30 |
+T+M |
0620 |
Shoulder: Total replacement |
416 |
9959.04 |
332.8 |
7967.23 |
5 |
559.30 |
+T+M |
0621 |
Elbow: Excision head of radius |
96 |
2298.24 |
96 |
2298.24 |
3 |
335.58 |
+T+M |
0622 |
Elbow: Excision |
192 |
4596.48 |
153.6 |
3677.18 |
3 |
335.58 |
+T+M |
0623 |
Elbow: Partial replacement |
188 |
4500.72 |
150.4 |
3600.58 |
3 |
335.58 |
+T+M |
0624 |
Elbow: Total replacement |
282 |
6751.08 |
225.6 |
5400.86 |
3 |
335.58 |
+T+M |
0625 |
Wrist: excision distal end of ulna |
96 |
2298.24 |
96 |
2298.24 |
3 |
335.58 |
+T+M |
0626 |
Wrist: Excision single bone |
110 |
2633.40 |
110 |
2633.40 |
3 |
335.58 |
+T+M |
0627 |
Wrist: Excision single bone |
166 |
3974.04 |
132.80 |
3179.23 |
3 |
335.58 |
+T+M |
0631 |
Wrist: total replacement |
249 |
5961.06 |
199.2 |
4768.85 |
3 |
335.58 |
+T+M |
0635 |
Digital joint: total replacement |
192 |
4596.48 |
153.6 |
3677.18 |
3 |
335.58 |
+T+M |
0637 |
Hip: total replacement |
416 |
9959.04 |
332.8 |
7967.23 |
3 |
335.58 |
+T+M |
0641 |
Hip: Prosthetic replacement of femoral head |
288 |
6894.72 |
230.4 |
5515.78 |
3 |
335.58 |
+T+M |
0643 |
Hip: Girdlestone |
320 |
7660.80 |
256 |
6128.64 |
3 |
335.58 |
+T+M |
0645 |
Knee: Partial replacement |
277 |
6631.38 |
221.6 |
5305.10 |
3 |
335.58 |
+T+M |
0646 |
Ankle: Total replacement |
416 |
9959.04 |
332.8 |
7967.23 |
3 |
335.58 |
+T+M |
0650 |
Ankle: Astragalectomy |
290.4 |
6952.18 |
232.32 |
5561.74 |
3 |
335.58 |
+T+M |
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3.2.7 |
Miscellaneous (Joints) |
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0661 |
Aspiration of joint or intra-articular injection (not subject to rule G) (Modifier 0005 not applicable) |
9 |
215.46 |
9 |
215.46 |
3 |
335.58 |
+T |
0667 |
Arthroscopy (excluding after-care), modifiers 0005 and 0013 not applicable |
60 |
1436.40 |
60 |
1436.40 |
3 |
335.58 |
+T |
0669 |
Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable) |
14 |
335.16 |
14 |
335.16 |
4 |
447.44 |
Hip+T |
3 |
335.58 |
Knee/ Shoulder +T |
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0670 |
Only the consultation fee should be charged when manipulation of a large joint is performed with or without local anaesthetic |
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Փ |
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0673 |
Menisectomy or operation for other internal derangement of knee |
109 |
2609.46 |
109 |
2609.46 |
3 |
335.58 |
+T+M |
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3.2.6 |
Joint ligament reconstruction or suture |
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0675 |
Joint ligament reconstruction or suture: Ankle: Collateral |
160 |
3830.40 |
128 |
3064.32 |
3 |
335.58 |
+T+M |
0677 |
Joint ligament reconstruction or suture: Knee: Collateral |
160 |
3830.40 |
128 |
3064.32 |
3 |
335.58 |
+T+M |
0678 |
Joint ligament reconstruction or suture: Knee: Crucial |
160 |
3830.40 |
128 |
3084.32 |
3 |
335.58 |
+T+M |
0679 |
Joint ligament reconstruction or suture: Ligament augmentation procedure of knee |
280 |
6703.20 |
224 |
5362.56 |
3 |
335.58 |
+T+M |
0680 |
Joint ligament reconstruction or suture: Digital joint ligament |
165 |
3950.10 |
132 |
3160.08 |
3 |
335.58 |
+T+M |