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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, Pharmacies and Hospital Groups - 2012Part III : Procedures2. Integumentary system |
Specialist |
General Practitioner |
Anaesthetic |
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U/E |
R |
U/E |
R |
U/E |
R T/M |
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2.1 |
Allergy |
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0217 |
Allergy Patch tests: First patch |
4 |
65.76 |
4 |
65.76 |
|
|
0219 |
Allergy Patch tests: Each additional patch |
2 |
32.88 |
2 |
32.88 |
|
|
0218 |
Allergy: Skin-prick tests: Skin-prick testing: Insect venom, latex and drugs |
2.9 |
46.03 |
2.8 |
46.03 |
|
|
0220 |
Allergy: Skin-prick tests: lmmediate hypersensitivity testing (Type I reaction). per antigen: Inhalant and food allergens |
1.9 |
31.24 |
1.9 |
31.24 |
|
|
0221 |
Allergy: Skin-prick tests: Delayed hypersensitivity testing (Type IV reaction) per antigen |
2.8 |
46.03 |
2.8 |
46.03 |
|
|
2.2 |
Skin (general) |
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|
0255 |
Drainage of subcutaneous abscess, onychia, paronychia, pulp space or avulsion of nail |
20 |
328.80 |
20 |
328.80 |
3 |
230.43 +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 |
87 |
1,430.28 |
87 |
1,430.28 |
3 |
230.43 +T |
0259 |
Removal of foreign body superficial to deep fascia (except hands) |
20 |
328.80 |
20 |
328.80 |
3 |
230.43 +T |
0261 |
Removal of foreign body deep to deep fascia (except hands) |
31 |
509.64 |
31 |
509.64 |
3 |
230.43 +T |
Note: See item 0922 and 0923 for removal of foreign bodies in hands. |
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2.3 |
Major plastic repair 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 encumbent upon the treating doctor to obtain the prior consent of the Commissioner before embarking upon such treatment. |
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|
|
|
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|
0289 |
Large skin graft. composite skin graft, large full thickness free skin graft |
234 |
3,846.96 |
187.20 |
3 077.57 |
4 |
307.24 +T |
0290 |
Reconstructive procedures (including all stages) and skingraft by myo-cutaneous or fascio-cutaneous flap |
410 |
6 740.40 |
328 |
5 392.32 |
4 |
307.24 +T |
0291 |
Reconstructive procedures (including all stages) grafting by microvascular re-anastomosis |
800 |
13,152.00 |
640 |
10,521.60 |
4 |
307.24 +T |
0292 |
Distant flaps: First stage |
206 |
3 386.64 |
164.8 |
2,709.31 |
4 |
307.24 +T |
0293 |
Contour grafts (excluding cost of material) |
206 |
3,386.64 |
164.8 |
2,709.31 |
4 |
307.24 +T |
0294 |
Vascularised bone graft with or without soft tissue with one or more sets micro-vascular anastomoses |
1200 |
19,728.00 |
960 |
15,782.40 |
6 |
460.86 +T |
0295 |
Local skin flaps (large complicated) |
206 |
3,386.64 |
164.8 |
2,709.31 |
4 |
307.24 +T |
0296 |
Other procedures of major technical nature |
206 |
3,386.64 |
164.8 |
2,709.31 |
4 |
307.24 +T |
0297 |
Subsequent major procedures for repair of same lesion (Modifier 0006 not applicable) |
104 |
1,709.76 |
104 |
1,709.76 |
4 |
307.24 +T |
4862 |
Full thickness graft of the trunk, free grafting including closure of donor site <=20cm² |
136.50 |
2 244.06 |
120.00 |
1,972.80 |
5 |
384.05 +T |
4863 |
Full thickness graft of the trunk, free grafting including closure of donor site, each additional 20cm² (modifier 0005 not applicable) |
25.60 |
420.86 |
25.60 |
420.86 |
5 |
384.05 +T |
4864 |
Full thickness graft of the scalp, arms and /legs free grafting, including direct closure of donor site <=20cm² |
140.30 |
2,306.53 |
120.00 |
1,972.80 |
5 |
384.05 +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) |
23.00 |
378.12 |
23.00 |
378.12 |
5 |
384.05 +T |
4866 |
Full thickness graft of the face, neck, axilla, genitalia, hands and/or feet, free grafting including donor site <=20cm² |
163.40 |
2,686.30 |
130.00 |
2,137.20 |
5 |
384.05 +T
|
4867 |
Full thickness graft of the face, neck, axilla, genitalia, hands and/or feet, free grafting including direct closure of donor site, each additional 20cm² (modifier 0005 not applicable) |
36.20 |
595.13 |
36.20 |
595.13 |
5 |
384.05 +T |
4868 |
Full thickness graft of the nose, ears, eyelids, and /or lips free grafting including direct closure of donor site <=20cm² |
183.50 |
3,016.74 |
146.80 |
2,413.39 |
5 |
384.05 +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) |
43.10 |
708.56 |
43.10 |
708.56 |
5 |
384.05 +T |
2.4 |
Lacerations, scans, cysts and other skin lesions |
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0300 |
Stitching of soft-tissue injuries: Stitching of wound (with or without local anaesthesia), including normal after-care |
14 |
230.16 |
14 |
230.16 |
3 |
230.43 +T |
0301 |
Stitching of soft-tissue injuries: Additional wounds stitched at same session (each) |
7 |
115.06 |
7 |
115.06 |
3 |
230.43 +T |
0302 |
Stitching of soft-tissue injuries: Deep laceration involving limited muscle damage |
64 |
1,052.16 |
64 |
1,052.16 |
4 |
307.24 +T |
0303 |
Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage |
128 |
2,104.32 |
120 |
1,972.80 |
4 |
307.24 +T |
0304 |
Major debridement of wound. sloughectomy or secondary suture |
50 |
822.00 |
50 |
822.00 |
3 |
230.43 +T |
0305 |
Needle biopsy - soft tissue |
25 |
411.00 |
25 |
411.00 |
3 |
230.43 +T |
0307 |
Excision and repair by direct suture, exclusion nail fold or other minor procedures of similar magnitude |
27 |
443.86 |
27 |
443.88 |
3 |
230.43 +T |
0308 |
Each additional small procedure done at the same time |
14 |
230.16 |
14 |
230.16 |
3 |
230.43 +T |
0310 |
Radical exclusion of nail bed |
38 |
624.72 |
38 |
624.72 |
3 |
230.43 +T |
0314 |
Requiring repair by large skin graft or large local flap or other |
104 |
1,709.76 |
104 |
1,709.76 |
4 |
307.24 +T |
0315 |
Requiring repair by small skin graft or small local flap or other procedures of similar magnitude |
55 |
904.20 |
55 |
904.20 |
3 |
230.43 +T |
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) |
276 |
4,537.44 |
220.8 |
3,629.95 |
5 |
364.05 +T |
0353 |
Tangential excision and grafting: Small |
100 |
1,644.00 |
100 |
1 644.00 |
5 |
384.05 +T |
0354 |
Tangential excision and grafting: Large |
200 |
3,288.00 |
160 |
2,630.40 |
5 |
384.05 +T |
2.7 |
Hands (skin) |
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0355 |
Skin flap in acute hand injuries where a flap is taken from a site remote from the injured finger or in cases of advancement flap e g. Cutler |
147,40 |
2,423.26 |
120 |
1,972.80 |
4 |
307.24 +T |
0357 |
Small skin graft in acute hand injury |
45 |
739.80 |
45 |
739.80 |
3 |
230.43 +T |
0359 |
Release of extensive skin contracture and/or excision of scar tissue with major skin graft resurfacing |
192 |
3,156.48 |
153.6 |
2,525.18 |
3 |
230.43 +T |
0361 |
Z·plasty |
220.1 |
3,618.44 |
176.08 |
2,894.76 |
3 |
230.43 +T |
0363 |
Local flap and skin graft |
150 |
2,466.00 |
120 |
1,972.80 |
3 |
230.43 +T |
0365 |
Cross finger flap (all stages) |
192 |
3,158.48 |
153.6 |
2,525.18 |
3 |
230.43 +T |
0367 |
Palmarflap (all stages) |
192 |
3,156.48 |
153.6 |
2,525.18 |
3 |
230.43 +T |
0369 |
Distant flap: First stage |
158 |
2,597.52 |
126.4 |
2,078.02 |
3 |
230.43 +T |
0371 |
Distant flap: Subsequent stage (not subject to General Modifier 0006) |
77 |
1,265.88 |
77 |
1,265.88 |
3 |
230.43 +T |
0373 |
Transfer neurovascular island flap |
230.5 |
3789.42 |
184.40 |
3,031.54 |
3 |
230.43 |
0374 |
Syndactyly: Separation of, including skin graft for one web (with skin flap and graft) |
242.4 |
3,985,06 |
193.92 |
3,188.04 |
3 |
230.43 +T |
0375 |
Dupuytren's contracture: Fasciotomy |
51 |
838.44 |
51 |
838.44 |
3 |
230.43 +T |
0376 |
Dupuytren's contracture Fasciectomy |
218 |
3,583.92 |
174. 4 |
2,867.14 |
3 |
230.43 +T |