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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. Procedures2. Integumentary system |
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Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
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R |
T |
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2. |
Integumentary system |
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2.1 |
Allergy |
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0217 |
Allergy: Patch tests: First patch |
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4 |
95.76 |
4 |
95.76 |
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0219 |
Allergy: Patch tests: Each additional patch |
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2 |
47.88 |
2 |
47.88 |
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0218 |
Allergy: Skin-prick tests: Skin-prick testing: Insect venom, latex and drugs |
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2.8 |
67.03 |
2.8 |
67.03 |
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0220 |
Allergy: Skin-prick tests: Immediate hypersensitivity testing (Type I reaction): per antigen: Inhalant and food allergen |
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1.9 |
45.49 |
1.9 |
45.59 |
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0221 |
Allergy: Skin -prick tests: Delayed hypersensitivity testing (Type IV reaction): per antigen |
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2.8 |
67.03 |
2.8 |
67.03 |
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2.2 |
Skin (general) |
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0255 |
Drainage of subcutaneous abscess, onychia, paronchia, pulp space or avulsion of nail |
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20 |
478,.80 |
20 |
478.80 |
3 |
335.58 |
+T |
0257 |
Drainage of major hand or foot infection; drainage of major abscess with necrosis of tissue, Involving deep fascia or requiring debridement; complete excision of pilonidal cyst or sinus |
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87 |
2082.78 |
87 |
2 082.78 |
3 |
335.58 |
+T |
0259 |
Removal of foreign body superficial to deep fascia (except hands) |
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20 |
478.80 |
20 |
478.80 |
3 |
335.58 |
+T |
0261 |
Removal of foreign body deep to deep fascia (except hands) |
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31 |
742.14 |
31 |
742.14 |
3 |
335.58 |
+T |
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Note: See item 0922 and 0923 for removal of foreign bodies In hand |
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2.3 |
Major plastic repair |
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Note: The tariff does not cover elective or cosmetic operations, since these procedures may not have the effect of reducing the percentage of permanent disablement as laid down In the Second Schedule to the Act. It Is Incumbent upon the treating doctor to obtain the prior consent of the Commissioner before embarking upon such treatment |
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0289 |
Large skin graft, composite skin graft, large full thickness free skin graft |
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234 |
5601.96 |
187.2 |
4481.57 |
4 |
447.44 |
+T |
0290 |
Reconstructive procedures (including all stages) and skin graft by myocutaneous or fascio-cutaneous flap |
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410 |
9815.40 |
328 |
7852.32 |
4 |
447.44 |
+T |
0291 |
Reconstructive procedures (including all stages) grafting by microvascular re-anastomosis |
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800 |
19152.00 |
640 |
15321.60 |
4 |
447.44 |
+T |
0292 |
Distant flaps: First stages |
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206 |
4931.64 |
164.8 |
3945.31 |
4 |
447.44 |
+T |
0293 |
Contour grafts (excluding cost of material) |
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206 |
4931.64 |
164.8 |
3945.31 |
4 |
447.44 |
+T |
0294 |
Vascularised bone graft with or without soft tissue with one or more sets micro-vascular anastomoses |
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1200 |
28728.00 |
960 |
22982.40 |
6 |
671.16 |
+T |
0295 |
Local skin flaps (large, complicated) |
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206 |
4931.64 |
164.8 |
3945.31 |
4 |
447.44 |
+T |
0296 |
Other procedures of major technical nature |
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206 |
4931.64 |
164.8 |
3945.31 |
4 |
447.44 |
+T |
0297 |
Subsequent major procedures for repair of same lesion (Modifier 0006 not applicable) |
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104 |
2489.76 |
104 |
2489.76 |
4 |
447.44 |
+T |
4862 |
Full thickness graft of the trunk, freegrafting including direct closure of donor site <= 20cm2 |
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136.50 |
3267.91 |
120.00 |
2872.80 |
5 |
559.30 |
+T |
4863 |
Full thickness graft of the trunk, freegrafting Including closure of donor site, each additional 20cm2 (modifier 0005 not applicable) |
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25.60 |
612.86 |
25.60 |
612.86 |
5 |
559.30 |
+T |
4864 |
Full thickness graft of the scalp, arms and legs free grafting including direct closure of donor site <= 20cm2 |
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140.30 |
3358.78 |
120.00 |
2872.80 |
5 |
559.30 |
+T |
4865 |
Full thickness graft of the scalp, arms and legs free grafting Including direct closure of donor site, each additional 20cm2 (modifier 0005 not applicable) |
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23.00 |
550.82 |
23.00 |
550.82 |
5 |
559.30 |
+T |
4886 |
Full thickness graft of the face, neck, axilla, genitalia,hands and/or feet , free grating including donor site <= 20cm2 |
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103.40 |
3911.80 |
130 |
3112.20 |
5 |
559.30 |
+T |
4867 |
Full thickness graft of the face, neck, axilla, genitalia,hands and/or feet , free grating including direct closure of donor site, each additional 20cm² (modifier 0005 not applicable) |
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36.20 |
866.63 |
36.20 |
886.63 |
5 |
559.30 |
+T |
4868 |
Full thickness graft of the nose, ears, eyelids, and /or lips free grafting including direct closure of donor site <=20cm² |
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183.50 |
4392.99 |
146.8 |
3514.39 |
5 |
559.30 |
+T |
4869 |
Full thickness graft of the nose, ears, eyelids, and/or lips free grafting including direct closure of donor site; each additional 20cm² (modifier 0005 not applicable) |
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36.20 |
886.63 |
36.20 |
866.63 |
5 |
559.30 |
+T |
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2.4 |
Lacerations, scan, cysts and outer skin lesion |
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0300 |
Stitching of soft-tissue injuries: stitching of wound (with or without local anaesthesia): including normal after-care |
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14 |
335.16 |
14 |
335.16 |
3 |
335.58 |
+T |
0301 |
Stitching of soft-tissue injuries: Additional wounds at same session (each) |
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7 |
167.58 |
7 |
167.58 |
3 |
335.58 |
+T |
0302 |
Stitching of soft tissue injuries; Deep laceration Involving limited muscle damage |
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64 |
1532.16 |
64 |
1532.16 |
4 |
447.44 |
+T |
0303 |
Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage |
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128 |
3064.32 |
120 |
2872.80 |
4 |
447.44 |
+T |
0304 |
Major debrldement of wound, sloughectomy or secondary suture |
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50 |
1197.00 |
50 |
1197.00 |
3 |
336.58 |
+T |
4830 |
Debridement of subcutaneous tissue: INCLUDES epidermis and dermis <= 20cm2 |
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13.9 |
332.77 |
13.9 |
332.77 |
3 |
336.58 |
+T |
4831 |
Debridement of subcutaneous tissue: INCLUDES epidermis and dermis ADD for every additional 20 square cm or part thereof |
+ |
5.3 |
126.88 |
5.3 |
126.88 |
3 |
335.58 |
+T |
4832 |
Debridement of muscle and/or fascia: INCLUDES epidermis, dermis and subcutaneous tissue; <= 20 square cm |
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38 |
861.84 |
36 |
861.34 |
5 |
559.30 |
+T |
4833 |
Debridement of muscle and/or fascia: INCLUDES epidermis, dermis and subcutaneous tissue: ADD for every additional 20 square cm or part thereof |
+ |
11.2 |
268.13 |
11.2 |
268.13 |
5 |
559.30 |
+T |
4834 |
Debridement bone: INCLUDES epidermis, dermis, subcutaneous tissue muscle and/or fascia; <= 20 square cm |
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62.50 |
1496.25 |
62.50 |
1496.25 |
6 |
671.18 |
+T+M |
4835 |
Debridement bone: INCLUDES epidermis, dermis, subcutaneous tissue muscle and/or fascia: ADD for every additional 20 square cm or part thereof |
+ |
19.5 |
466.83 |
19.5 |
466.83 |
6 |
671.18 |
+T+M |
0305 |
Needle biopsy - soft tissue |
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25 |
598.50 |
25 |
598.50 |
3 |
335.58 |
+T |
0307 |
Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude |
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27 |
646.38 |
27 |
646.38 |
3 |
335.58 |
+T |
0308 |
Each additional small procedure done at the same time |
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14 |
335.16 |
14 |
335.16 |
3 |
335.58 |
+T |
0310 |
Radical excision of nailbed |
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38 |
909.72 |
38 |
909.72 |
3 |
335.58 |
+T |
0314 |
Requiring repair by large skin graft or large local flap or other procedures of similar magnitude |
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104 |
2489.76 |
104 |
2489.76 |
4 |
447.44 |
+T |
0315 |
Requiring repair by small skin graft or small local flap or other procedures of similar magnitude |
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55 |
1316.70 |
55 |
1316.70 |
3 |
335.58 |
+T |
4856 |
Split thickness autograft of the trunk, arms and/or legs <= 100 square cm |
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153.6 |
3677.18 |
122.88 |
2941.75 |
5 |
559.30 |
+T |
4857 |
Split thickness autograft of the trunk, arms and/or legs; each additional 1002 cm or part thereof (modifier 0005 not applicable) |
+ |
31.5 |
754.11 |
31.5 |
754.11 |
5 |
559.30 |
+T |
4858 |
Split thickness autograft of the face, scalp, neck ears, genitalia, feet and/or multiple digits <= 1002 cm |
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172 |
4117. |
137.6 |
3294.14 |
5 |
559.30 |
+T |
4859 |
Split thickness autograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits; each additional 1002 cm or part thereof (1% body area for infants and children) (modifier 0005 not applicable). |
+ |
51.8 |
1 235.30 |
51.8 |
1235.30 |
5 |
559.30 |
+T |
4872 |
Acellular dermal allograft of the trunk, arms and/or legs <= 1002 cm (1% body area for infants and children) |
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66.3 |
1587.22 |
66.3 |
1587.22 |
5 |
559.30 |
+T |
4873 |
Acellular dermal allograft of the trunk, arms and/or legs; each additional 1002 cm or part thereof (1% of body area for infants and children (modifier 0005 not applicable) |
+ |
15.3 |
366.28 |
15.3 |
366.28 |
5 |
559.30 |
+T |
4874 |
Acellular dermal allograft of the face, scalp, neck, ears, genitalia, feet and/or multiple digits <= 1002 cm |
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74 |
1771.56 |
74 |
1771.56 |
5 |
559.30 |
+T |
4875 |
Acellular dermal allograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits: each additional 1002 cm or part thereof |
+ |
21.8 |
521.89 |
21.8 |
521.89 |
5 |
559.30 |
+T |
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2.6 |
Burns |
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0345 |
Minor burns |
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0347 |
Moderate burns |
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0351 |
Major burns: resuscitation (including supervision and intravenous therapy - first 48 hours) |
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276 |
6607.44 |
220.8 |
5285.95 |
5 |
559.30 |
+T |
0353 |
Tangential excision and grafting: Small |
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100 |
2394.00 |
100 |
2394.00 |
5 |
559.30 |
+T |
0354 |
Tangential excision and grafting: Large |
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200 |
4788.00 |
160 |
3830.40 |
5 |
559.30 |
+T |
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2.7 |
Hands (skin) |
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0355 |
Skin flap in acute hand injuries where a flap is taken for a site remorte from the injured finger or in cases of advancement flap e.g. Cutler Ve |
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147.40 |
3528.76 |
120 |
2872.80 |
4 |
447.44 |
+T |
0357 |
Small skin graft in acute hand Injury |
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45 |
1077.30 |
45 |
1077.30 |
3 |
335.58 |
+T |
0359 |
Release of extensive skin contracture and/or excision of scar tissue |
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192 |
4596.48 |
153.6 |
3677.18 |
3 |
335.58 |
+T |
0361 |
Z-plasty |
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220.1 |
5269.19 |
176.08 |
4215.36 |
3 |
335.58 |
+T |
0363 |
Local flap and skin graft |
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150 |
3591.00 |
120 |
2872.80 |
3 |
335.58 |
+T |
0365 |
Cross finger flap (all stages) |
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192 |
4596.48 |
153.6 |
3677.18 |
3 |
335.58 |
+T |
0367 |
Palmar flap (all stages) |
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192 |
4596.48 |
153.6 |
3677.18 |
3 |
335.58 |
+T |
0369 |
Distant flap: First stage |
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158 |
3782.52 |
126.4 |
3026.02 |
3 |
335.58 |
+T |
0371 |
Distant flap: Subsequent stage (not subject to General Modifier 0006) |
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77 |
1843.38 |
77 |
1843.38 |
3 |
335.58 |
+T |
0373 |
Transfer neurovascular island flaps |
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230.5 |
5518.17 |
184.4 |
4414.54 |
3 |
335.58 |
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0374 |
Syndactyly: Separation of, including skin graft for one web (with skin flap and graft) |
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242.4 |
5803,06 |
193.92 |
4642.44 |
3 |
335.58 |
+T |
0375 |
Dupuytren's contracture: Fasciotomy |
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51 |
1220.94 |
51 |
1220.94 |
3 |
335.58 |
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0376 |
Dupuytren's contracture: Fasciectomy |
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218 |
5218.92 |
174.4 |
4175.14 |
3 |
335.58 |
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