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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 system3.8 Specific areas3.8.5 Spine |
Specialist |
General Practitioner |
Anaesthetic |
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T |
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3. |
Musculo-Skeletal System |
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3.8 |
Specific areas |
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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) |
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207 |
4955.58 |
165.6 |
3964.45 |
3 |
335.58 |
+T+M |
0928 |
Excisionn of each additional vertebral segment for a lesion within the body (no decompression) |
+ |
42 |
1005.48 |
42 |
1005.48 |
3 |
335.58 |
+T+M |
0929 |
Manipulation of spine with anaesthetic (no after-care), modifier 0005 not applicable |
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14 |
335.16 |
14 |
335.16 |
5 |
559.30 |
+T+M |
0930 |
Posterior osteotomy of spine: One vertebral segment: |
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339 |
8115.66 |
271.2 |
6492.53 |
3 |
335.58 |
+T+M |
0931 |
Posterior spinal fusion: One level |
|
385 |
9216.90 |
308 |
7373.52 |
3 |
335.58 |
+T+M |
0932 |
Posterior osteotomy of spine: Each additional segment |
+ |
103 |
2485.82 |
103 |
2485.82 |
3 |
335.58 |
+T+M |
0933 |
Anterior spinal osteotomy with disc removal: One vertebral segment |
|
315 |
7541.10 |
252 |
6032.88 |
3 |
335.58 |
+T+M |
0936 |
Anterior spinal osteotomy with disc removal: Each additional vertebra segment |
+ |
+103 |
2465.82 |
+103 |
2465.82 |
3 |
335.58 |
+T+M |
0938 |
Anterior fusion base of skull to C2 |
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449 |
10749.06 |
359.2 |
8599.25 |
4 |
447.44 |
+T+M |
0939 |
Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon |
|
160 |
3830.40 |
128 |
3064.32 |
3 |
335.58 |
+T+M |
0940 |
Transthoracic anterior exposure of the spine if done by a second surgeon |
|
160 |
3830.,40 |
128 |
3064.32 |
3 |
335.58 |
+T+M |
0941 |
Anterior interbody fusion: One level |
|
360 |
8818.40 |
288 |
6894.72 |
3 |
335.58 |
+T+M |
0942 |
Anterior interbody fusion: Each additional level |
+ |
+102 |
2441.88 |
+102 |
2441.88 |
3 |
335.58 |
+T+M |
0943 |
Laminectomy with decompression of nerve roots and disc removal: One level |
|
240 |
5745.60 |
192 |
4596.48 |
3 |
335.58 |
+T+M |
0944 |
Posterior fusion: Occiput to C2 |
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390 |
9336.60 |
312 |
7469.28 |
4 |
447.44 |
+T+M |
0946 |
Posterior spinal fusion: Each additional level |
+ |
+111 |
2657.34 |
+111 |
2657.34 |
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335.58 |
+T+M |
0948 |
Posterior interbody lumbar fusion: One level |
|
364 |
8714.16 |
291.2 |
6971.33 |
3 |
335.58 |
+T+M |
0950 |
Posterior interbody lumbar fusion: Each additional interspace |
+ |
+95 |
2 274.30 |
+95 |
2274.30 |
3 |
335.58 |
+T+M |
0959 |
Excision of cocyx |
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96 |
2298.24 |
96 |
2298.24 |
3 |
335.58 |
+T+M |
0960 |
Posterior non-segmental instrumentation |
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167 |
3987.98 |
133.6 |
3198.38 |
5 |
559.30 |
+T+M |
0961 |
Costo-transversectomy |
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198 |
4740.12 |
158.4 |
3792.10 |
3 |
335.58 |
+T+M |
0962 |
Posterior segmental instrumentation: 2 to 6 vertebrae |
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176 |
4213.44 |
140.8 |
3370.75 |
5 |
559.30 |
+T+M |
0963 |
Antero-lateral decompression of spinal cord or anterior debridement |
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326 |
7804.44 |
260.8 |
6243.55 |
3 |
335.58 |
+T+M |
0964 |
Posterior segmental instrumentation: 7 to 12 vertebrae |
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201 |
4811.94 |
160.8 |
3849.53 |
5 |
559.30 |
+T+M |
0966 |
Posterior segmental instrumentation: 13 or more vertebrae |
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245 |
5865.30 |
196 |
4692.24 |
5 |
559.30 |
+T+M |
0968 |
Anterior instrumentation: 2 too 3 vertebrae |
|
159 |
3806.46 |
127.2 |
3045.17 |
5 |
559.30 |
+T+M |
0969 |
Skull or skull-femoral traction including two weeks after-care |
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64 |
1532.16 |
64 |
1532.16 |
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0970 |
Anterior instrumentation: 4 to 7 vertebrae |
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185 |
4428.90 |
148 |
3543.12 |
5 |
559.30 |
+T+M |
0972 |
Anterior instrumentation: 8 or more vertebrae |
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206 |
4931.64 |
164.8 |
3945.31 |
5 |
559.30 |
+T+M |
0974 |
Additional pelvic fixation of instrumentation other than sacrum |
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108 |
2585.52 |
108 |
2585.52 |
5 |
559.30 |
+T+M |
5750 |
Reinsertion of instrumentation |
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276 |
6607.44 |
220.8 |
5285.95 |
6 |
671.16 |
+T+M |
5751 |
Removal of posterior non-segmental instrumentation |
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173 |
4141.62 |
138.4 |
3313.30 |
6 |
671.16 |
+T+M |
5752 |
Removal of posterior segmental instrumentation |
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175 |
4189.50 |
140 |
3351.60 |
6 |
671.16 |
+T+M |
5753 |
Removal of anterior instrumentation |
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204 |
4883.76 |
163.2 |
3907.01 |
6 |
671.18 |
+T+M |
5755 |
Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels |
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295 |
7062.30 |
236 |
5649.84 |
3 |
335.58 |
+T+M |
5756 |
Laminectomy with full decompression for spondylolisthesis (Gill procedure) |
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304 |
7277.76 |
243.2 |
5822.21 |
3 |
335.58 |
+T+M |
5757 |
Laminectomy for decompression without foraminotomy or diskectomy more than two levels |
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321 |
7684.74 |
256.8 |
6147.79 |
3 |
335.58 |
+T+M |
5758 |
Laminectomy with decompression diskectomy etc., revision operation |
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63 |
1508.22 |
63 |
1508.22 |
3 |
335.58 |
+T+M |
5759 |
Laminectomy for decompression diskectomy etc. revision operation |
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352 |
8426.88 |
281.6 |
6741.50 |
4 |
447.44 |
+T+M |
5760 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: One level |
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301 |
7205.94 |
240.8 |
5764.75 |
3 |
335.58 |
+T+M |
5761 |
Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: Each additional level |
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68 |
1627.92 |
68 |
1627.92 |
3 |
335.58 |
+T+M |
5763 |
Anterior disc removal and spinal decompression cervical: One level |
|
344 |
8235.36 |
275.2 |
6588.29 |
3 |
335.58 |
+T+M |
5764 |
Anterior disc removal and spinal decompression cervical: Each additional level |
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81 |
1939.14 |
81 |
1939.14 |
3 |
335.58 |
+T+M |
5765 |
Vertebral corpectomy for spinal decompression: One level |
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466 |
11156.04 |
372.8 |
8924.83 |
3 |
335.58 |
+T+M |
5766 |
Vertebral corpectomy for spinal decompression: Each additional level |
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88 |
2106.72 |
88 |
2106.72 |
3 |
335.58 |
+T+M |
5770 |
Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable |
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71 |
1699.74 |
71 |
1699.74 |
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