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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 : Procedures4. Respiratory system |
Specialist |
General Practitioner |
Anaesthetic |
|||||
U/E |
R |
U/E |
R |
U/E |
R T/M |
||
4.1 |
Nose and sinuses |
||||||
1018 |
Flexible nasopharyngolaryngoscope examination |
51.94 |
853.89 |
|
|
|
|
1019 |
ENT endoscopy in rooms with rigid endoscope |
12 |
197.28 |
|
|
|
|
1020 |
Repair of perforated septum: Any method |
141.9 |
2,332.84 |
120 |
1,972.80 |
4 |
307.24 +T |
1022 |
Functional reconstruction of nasal septum |
121.2 |
1,992.53 |
120 |
1,972.80 |
4 |
307.24 +T |
1024 |
lnsertion of silastic obturator into nasal septum perforation (excluding material) |
30 |
493.20 |
30 |
493.20 |
4 |
307.24 +T |
1025 |
Intranasal antrostomy (modifier 0005 to apply to opposite side of nose) |
64.6 |
1,082.02 |
64.6 |
1,062.02 |
4 |
307.24 +T |
1027 |
Dacrocystorinostomy |
210 |
3,452.40 |
168 |
2,761.92 |
5 |
384.05 +T |
1029 |
Turbinectomy (modifier 0005 to apply to opposite side of nose) |
62.6 |
1,029,14 |
62.6 |
1,029.14 |
4 |
307.24 +T |
1030 |
Endoscopic turbinectomy: laser or microdebrider |
90 |
1,479.60 |
90 |
1,479.60 |
5 |
384.05 |
1034 |
Autogenous nasal bone transplant: Bone removal included |
100 |
1,644.00 |
100 |
1,644.00 |
4 |
307.24 +T |
1035 |
Unilateral functional endoscopic sinus surgery (unilateral) |
140 |
2,301.60 |
120 |
1,972.80 |
4 |
307.24 +T |
1036 |
Bilateral functional endoscopic sinus surgery |
245 |
4,027.80 |
196 |
3,222.24 |
4 |
307.24 +T |
1037 |
Diathermy to nose or pharynx exclusive of consultation fee, uni- or bilateral: Under local anaesthetic |
8 |
131.528 |
8 |
131.52 |
|
|
1039 |
Diathermy to nose or pharynx exclusive of consultation fee, uni- or bilateral: Under general anaesthetic |
35 |
575.40 |
35 |
575.404 |
4 |
307.24 +T |
1041 |
Control severe epistaxis requiring hospitalisation: Anterior plugging (unilateral) |
40 |
657.60 |
40 |
657.60 |
6 |
460.86 +T |
1043 |
Control severe epistaxis requiring hospitalisation: Anterior and posterior plugging (unilateral) |
60 |
986.40 |
60 |
986.40 |
6 |
460.86 +T |
1045 |
Ligation anterior ethmoidal artery |
135.4 |
2,225.98 |
120 |
1,972.80 |
6 |
460.86 +T |
1047 |
Cladwell-Luc operation (unilateral) |
137 3 |
2,257.21 |
120 |
1,972.80 |
4 |
307.24 +T |
1049 |
Ligation internal maxillary artery |
196 |
3,222.24 |
156.8 |
2,577.79 |
6 |
460.86 +T |
1050 |
Vidian neurectomy (transantral or transnasal) |
113 |
1,857.72 |
113 |
1,857.72 |
4 |
307.24 +T |
1054 |
Antroscopy through the canine fossa (modifier 0005 to apply to opposite side of nose) |
37.3 |
613.21 |
- |
#VALUE! |
- |
#VALUE! |
1055 |
External frontal ethmoidectomy |
190.7 |
3,135.11 |
152.56 |
2,508.09 |
4 |
307.24 +T |
1057 |
External ethmoidectomy and/or sphenoidectomy (unilateral) |
199.4 |
3,278.14 |
159.52 |
2,622.51 |
4 |
307.24 +T |
1059 |
Frontal osteomyelitis |
194 |
3,189.36 |
155.2 |
2,551.49 |
4 |
307.24 +T |
1061 |
Lateral rhinotomy |
154 |
2,696.16 |
131.2 |
2,156.93 |
4 |
307.24 +T |
1063 |
Removal of foreign bodies from nose at rooms |
10 |
164.40 |
10 |
164.40 |
|
|
1065 |
Removal of foreign body from nose under general anaesthetic |
38.6 |
634.58 |
38.6 |
634.58 |
4 |
307.24 +T |
1067 |
Proof puncture: unilateral at rooms |
10 |
164.40 |
10 |
164.40 |
4 |
307.24 +T |
1069 |
Proof puncture, uni- or bilateral under general anaesthetic |
35 |
575.40 |
35 |
575.40 |
4 |
307.24 +T |
1075 |
Multiple intranasal procedures: Not to exceed (see Modifier 0068) |
194 |
3,189.36 |
155.2 |
2,551.49 |
4 |
307.24 +T |
1077 |
Septum abscess, at room, including after-care |
8 |
131.52 |
8 |
131.52 |
|
|
1079 |
Septum abscess under general anaesthetic |
35 |
575.40 |
35 |
575.40 |
4 |
307.24 +T |
1081 |
Oro-antral fistula (without Caldwell-Luc) |
111.8 |
1,837.99 |
111.8 |
1,837.99 |
4 |
307.24 +T |
1083 |
Choanal atresia: Intranasal approach |
113 |
1,857.72 |
113 |
1,857.72 |
5 |
384.05 +T |
1084 |
Choanal atresia: Transpalatal approach |
194 |
3,189.36 |
155.2 |
2,551.49 |
7 |
537.67 +T |
1085 |
Total reconstruction of the nose: Including reconstruction of nasal septum (septumplasty) nasal pyramid (osteotomy) and nasal lip |
350 |
5,754.00 |
280 |
4,603.20 |
5 |
384.05 +T |
1087 |
Subtotal reconstruction consisting of any two of the following: Septumplasty, osteotomy, nasal tip reconstruction |
210 |
3,452.40 |
168 |
2,761.92 |
5 |
384.05 +T |
1089 |
Forehead rhinoplasty (all stages): Total |
552 |
9,074.88 |
441.6 |
7,259.90 |
5 |
384.05 +T |
1091 |
Forehead rhinoplasty (all stages): Partial |
414 |
6,806.16 |
331.2 |
5,444.93 |
5 |
384.05 +T |
4.3 |
Larynx |
|
|
|
|
|
|
1117 |
Laryngeal intubation |
100 |
164.40 |
10 |
164.40 |
|
|
1118 |
Laryngeal stroboscopy with video capture |
39 |
641.16 |
39 |
641.16 |
6 |
460.88 +T |
1119 |
Laryngectomy without block dissection of the neck |
430 |
7,069.20 |
344 |
5,655.38 |
7 |
537.67 +T |
1127 |
Tracheostomy |
90 |
1,479.60 |
90 |
1,479.60 |
9 |
691.29 +T |
1129 |
External laryngeal operation, e.g. laryngeal stenosis, laryngocele, abductor, paralysis, laryngofissure |
294.4 |
4,839.84 |
235.52 |
3,871.95 |
8 |
614.46 +T |
1130 |
Diagnostic laryngoscopy |
41.4 |
680.62 |
41.4 |
680.62 |
6 |
460.86 +T |
1131 |
Direct laryngoscopy plus |
64.6 |
1,062.02 |
64.6 |
1,062.02 |
6 |
460.8 +T |
4.4 |
Bronchial procedure |
|
|
|
|
|
|
1132 |
Bronchoscopy: Diagnostic broncoscopy without removal of foreign object |
65 |
1,065.80 |
65 |
1,068.50 |
6 |
460.86 +T |
1133 |
Bronchoscopy: With removal of foreign body |
80 |
1,315.20 |
80 |
1,315.20 |
8 |
614.48 +T |
1134 |
Bronchoscopy: Bronchoscopy with laser |
75 |
1,233.00 |
- |
#VALUE! |
8 |
614.48 +T |
1136 |
Nebulisation (in rooms) |
12 |
197.28 |
12 |
197.28 |
|
Fees as for specialist |
1137 |
Bronchial lavage |
- |
#VALUE! |
- |
#VALUE! |
8 |
614.48 +T |
1138 |
Thoracotomy: for bronchopleural fistual (including ruptured bronchus, any cause) |
350 |
5,754.00 |
280 |
4,603.20 |
12 |
921.72 +T |
4.5 |
Pleura |
|
|
|
|
|
|
1139 |
Pleural needle biopsy (not including aftercare): modifier 0005 not applicable |
50 |
822.00 |
50 |
822.00 |
3 |
230.43 +T |
1141 |
Insertion of intercostal catheter (under water drainage) |
50 |
822.00 |
50 |
822.00 |
6 |
460.85 +T |
1143 |
Paracentesis chest: Diagnostic |
8 |
131.52 |
8 |
131.52 |
3 |
230.43 +T |
1145 |
Paracentesis chest: Therapeutic |
13 |
213.72 |
13 |
213.72 |
3 |
230.43 +T |
1147 |
Pneumothorax: Induction (diagnostic) |
25 |
411.00 |
25 |
411.00 |
|
|
1149 |
Pleurectomy |
250 |
4,111.00 |
200 |
3,288.00 |
11 |
844.91 +T |
1151 |
Decortication of lung |
350 |
5,754.00 |
280 |
4,603.20 |
11 |
844.91 +T |
1153 |
Chemical pleurodesis (instillation silver) |
55 |
904.20 |
55 |
904.20 |
3 |
230.43 +T |
4.6 |
Pulmonary procedures |
|
|
|
|
|
|
4.6.1 |
Surgical |
|
|
|
|
|
|
1155 |
Needle biopsy lung (not including after- care): modifier 0005 not applicable |
32 |
526.08 |
32 |
526.08 |
5 |
3840.5 +T |
1157 |
Pheumonectomy |
350 |
5,754.00 |
280 |
4,603.20 |
11 |
844.91 +T |
1159 |
Pulmonary lobectomy |
389.50 |
6.403.38 |
311.6 |
5,122.70 |
11 |
844.91 +T |
1161 |
Segmental lobectomy |
365 |
6,000.60 |
292 |
4,800.48 |
11 |
844.91 +T |
1163 |
Excision traceheal stenosis: Cervical |
375 |
6,165.00 |
300 |
4,932.00 |
8 |
614.48 +T |
1164 |
Excision tracheal stenosis: Intro-thoracic |
350 |
5,754.00 |
280 |
4,603.20 |
12 |
921.72 +T |
1171 |
Drainage empyema (including six weeks after-treatment)q |
170 |
2,794.80 |
136 |
2,235.84 |
11 |
844.91 +T |
1173 |
Drainage of lung abscess (including six weeks after-treatment) |
170 |
2,794.80 |
136 |
2,235.84 |
11 |
844.91 +T |
1175 |
Thoracotomy (limited): Limited: for lung or pleural biopsy |
115 |
1,890.60 |
115 |
1,890.60 |
11 |
844.92 +T |
1177 |
Thoracotomy: Major: Diagnostic |
215 |
3,534.60 |
172 |
2,827.68 |
11 |
844.91 +T |
1179 |
Thoracoscopy |
89 |
1,463.16 |
89 |
1,463.16 |
11 |
844.91 +T |
4.6.2 |
Pulmonary function test |
|
|
|
|
|
|
1186 |
Flow volume test: Inspiration/expiration |
30 |
493.20 |
30 |
493.20 |
|
Fees as for specialist |
1188 |
Flow volume test: Inspiration/expiration pre- and post- bronchodilator (to be charged for only with first consultation - thereafter item 1186 applies) |
50 |
822.00 |
50 |
822.00 |
|
Fees as for specialist |
1189 |
Forced expirogram only |
10 |
164.40 |
10 |
164.40 |
|
|
1191 |
N2 single breath distribution |
10 |
164.40 |
10 |
164.40 |
|
|
1197 |
Compliance and resistance, using oesophageal balloon |
24 |
394.56 |
24 |
394.56 |
|
Fees as for specialist |
1198 |
Prolonged post exposure evaluation of brochospasm with multiple spirometric determinations after antigen, cold air, methacholine or other chemical agent or after exercise, with subsequent spirometry |
55.89 |
918.83 |
55.89 |
918.83 |
|
|
1199 |
Pulmonary stress testing: For determination of VO2 max |
96.5 |
1,588.46 |
96.5 |
1,586.56 |
|
|
1201 |
Maximum inspiratory/expiratory pressure |
5 |
82.20 |
5 |
82.20 |
|
Fees as for specialist |
Pulmonologists and Practitioners accredited to SATS |
Other specialists and General Practitioner |
Anaesthetic |
|||||
1193 |
Functional residual capacity or residual volume: helium method, nitrogen open circuit method, or other method |
37.76 |
620.77 |
|
|
|
|
1195 |
Thoracic gas volume |
37.93 |
623.57 |
|
|
|
|
1196 |
Determination of resistance to airflow, oscillatory or plethysmographic methods |
45.31 |
744.90 |
|
|
|
|
1200 |
Carbon monoxide diffusing capacity, any method |
38.06 |
625.71 |
|
|
|
|
4.7 |
Intensive care (in intensive care of high care unit): Respiratory, cardiac, general |
|
|
|
|
|
|
4.7.1 |
Tariff items for intensive care |
|
|
|
|
|
|
Category 1: Cases requiring intensive monitoring (to include cases where physiological instability is anticipated, e.g. diabetic pre-coma, asthma, gastro-intestinal haemorrhage, etc). Please note that item 1204 may not be charged by the responsible surgeon for monitoring a patient post-operatively in ICU or in the high-care unit since post-operative monitoring is included in the fee for the procedure. |
|
|
|
|
|
|
|
1204 |
Category 1: Per day |
30 |
493.20 |
30 |
493.20 |
|
Fees as for specialist |
Category 2: Cases requiring active system support (where active specialised intervention is required in cases such as acute myocardial infarction; diabetic coma, head injury, severe asthma, acute pancreatus, eclampsia, flail chest, etc.) Ventilation may or may not be part of the active system support. |
|
|
|
|
|
|
|
1205 |
Category 2: First day |
100 |
1,644.00 |
100 |
1,644.00 |
|
Fees as for specialist |
1206 |
Category 2: Subsequent days, per day |
50 |
822.00 |
50 |
822.00 |
|
Fees as for specialist |
1207 |
Category 2: After two weeks, per day |
30 |
493.20 |
30 |
493.20 |
|
Fees as for specialist |
Category 3: Cases with multiple organ failure or Category 2 patients that may require multidisciplinary intervention |
|
||||||
1208 |
Category 3: First day (principal practitioner) |
137 |
2,252.28 |
120 |
1,972.80 |
|
Fees as for specialist |
1209 |
Category 3: First day (per involved practitioner) |
58 |
953.52 |
58 |
953.52 |
|
Fees as for specialist |
Specialist |
General Practitioner |
Anaesthetic
|
|||||
U/E |
R |
U/E |
R |
U/E |
R T/M |
||
1210 |
Category 3: Subsequent days (per involved practitioner) |
50 |
822.00 |
50 |
822.00 |
|
Fees as for specialist |
1211 |
Cardio-respiratory resuscitation: Prolonged attendance in cases of emergency (not necessarily in ICU). 50.00 clinical procedure units (R822.00) per half hour or part thereof for the first hour per practitioner, thereafter 25.00 clinical procedure units (R411.00) per half hour up to a maximum of 150.00 clinical procedure units (R2,466.00) per practitioner |
50 |
822.00 |
|
|
|
|
25 |
411.00 |
|
|
|
|
||
150 |
2,466.00 |
|
|
|
|
||
1212 |
Ventilation: First day |
75 |
1,233.00 |
75 |
1,233.00 |
|
Fees as for specialist |
1213 |
Ventilation: Subsequent days |
50 |
822.00 |
50 |
822.00 |
|
Fees as for specialist |
1214 |
Ventilation: After two weeks, per day |
25 |
411.00 |
25 |
411.00 |
|
Fees as for specialist |
1215 |
Insertion of arterial pressure cannula |
25 |
411.00 |
25 |
411.00 |
|
Fees as for specialist |
1216 |
Insertion of Swan Ganz catheter for haemodynamics monitoring |
50 |
822.00 |
50 |
822.00 |
|
Fees as for specialist |
1217 |
Insertion of central venous line via peripheral vein |
10 |
164.40 |
10 |
164.40 |
|
Fees as for specialist |
1218 |
Insertion of central venous line via subclavian or jugular veins |
25 |
411.00 |
25 |
411.00 |
|
Fees as for specialist |
1219 |
Hyperalimentation (daily fee) |
15 |
246.60 |
15 |
246.60 |
|
Fees as for specialist |
1220 |
Patient-controlled analgesic pump: Hire fee: Per 24 hours (cassette to be charged for according to item 0201 per patient) |
30 |
493.20 |
30 |
493.20 |
|
Fees as for specialist |
1221 |
Professional fee for managing a patient-controlled analgesic pump: First 24 hours (for subsequent days charge appropriate hospital follow-up consultation) |
30 |
493.20 |
30 |
493.20 |
|
Fees as for specialist |
4.8 |
Hyperbaric Oxygen Treatment |
|
|||||
4804 |
Monitoring of a patient at the hyperbaric chamber during treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation). Low pressure table 1,5 - 1,8 ATA x 45-80 min) PROFESSIONAL COMPONENT |
30 |
493.20 |
30 |
493.20 |
|
|
4820 |
Low pressure table (1,5 - 1,8 ATA X 45 – 60 min): TECHNICAL COMPONENT |
101.13 |
1,622.58 |
101.13 |
1 662.58 |
|
|
4805 |
Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation), Routine HBO table (2-2.5 ATA x 90-120 min) PROFESSIONAL COMPONENT |
60 |
986.40 |
60 |
986.40 |
|
|
4821 |
Routine HBO table (2-2,5 ATA x 90-120 min). TECHNICAL COMPONENT |
131.26 |
2,157.91 |
131.26 |
2,157.91 |
|
|
4806 |
Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment monitoring during treatment and post treatment evaluation): Emergency HBO table (2.5-3 ATA x 90-120 min. PROFESSIONAL COMPONENT |
80 |
1,315.20 |
80 |
1,315.20 |
|
|
4822 |
Emergency HBO table (2.5-3 ATA x 90-120 min): TECHNICAL COMPONENT |
131.26 |
2,157.91 |
131.26 |
2,157.91 |
|
|
4809 |
Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment treatment evaluation). USN TT5 (2,8 ATA X 135 min) PROFESSIONAL COMPONENT |
90 |
1,479.60 |
90 |
1,479.60 |
|
|
4825 |
USN TT5 (2,8 ATA x 135 min) TECHNICAL COMPONENT |
214.18 |
3,521.12 |
214.18 |
3,521.12 |
|
|
4810 |
Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation): USN TT6 (2.8 ATA x 285 min) PROFESSIONAL COMPONENT |
190 |
3,123,60 |
190 |
3,123.60 |
|
|
4826 |
USN TT6 (2.8 ATA x 285 min): TECHNICAL COMPONENT |
386.42 |
6,352.74 |
386.42 |
6,352.74 |
|
|
4811 |
Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation) USN TT6Ext/6A or Cx 30 (2.8-6 ATA x 305-490 min) PROFESSIONAL COMPONENT |
327 |
5,375.88 |
327 |
5,375.88 |
|
|
4827 |
USN TT6ext (2.8-6 ATA x 305-490 min) TECHNICAL COMPONENT |
680.55 |
11,193.17 |
680.85 |
11,193.17 |
|
|
4828 |
USN 6A (2.8-6 ATA x 305-490 min): TECHNICAL COMPONENT |
678.28 |
11,150.92 |
678.28 |
11,150.92 |
|
|
4829 |
USN Cx 30 (2,8-6 ATA x 305-490 min): TECHNICAL COMPONENT |
671.85 |
11,045.21 |
671.85 |
11,045.21 |
|
|
4815 |
Prolonged attendance inside a hyperbaric chamber: 40 clinical procedure units per half hour or part thereof for the first hour. Thereafter 20 clinical procedure units per half hour; minimum 40 clinical procedure units; maximum 320 clinical procedure units (Please indicate time in minutes and not per half hour) |
|
|
|
|
|
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