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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 : Procedures8. Digestive system |
|
Specialist |
General Practitioner |
Anaesthetic
|
||||
U/E |
R |
U/E |
R |
U/E |
R T/M |
||
8.1 |
Oral cavity |
||||||
1467 |
Drainage of intro-oral abscess |
31 |
509.64 |
31 |
509.64 |
4 |
307.24 +T |
1483 |
Alveolar periosteal or other flaps for arch closure |
138 |
2,268.72 |
120 |
1,972.80 |
4 |
307.24 +T |
8.2 |
Lips |
|
|||||
1485 |
Local excision of benign lesion of lip |
27 |
443.88 |
27 |
443.88 |
4 |
307.24 +T |
1499 |
Lip reconstruction following an injury: Directed repair |
105.6 |
1,736.06 |
105.6 |
1,736.06 |
4 |
307.24 +T |
1501 |
Lip reconstruction following an injury only: Flap repair |
206 |
3,386.64 |
164.8 |
2,709.31 |
4 |
307.24 +T |
1503 |
Lip reconstruction following an injury only: Total reconstruction (first stage) |
206 |
3,386.64 |
164.8 |
2,709.31 |
4 |
307.24 +T |
1504 |
Lip reconstruction following an injury only: Subsequent stages (see item 0297) |
104 |
1,709.76 |
104 |
1,709.76 |
4 |
307.24 +T |
8.3 |
Tongue |
|
|||||
1505 |
Partial glossectomy |
225 |
3,899.00 |
180 |
2,959.20 |
6 |
460.88 +T |
1507 |
Local excision of lesion of tongue |
27 |
443.88 |
27 |
443.88 |
4 |
307.24 +T |
8.4 |
Palate, uvula and salivary gland |
|
|||||
1526 |
Total parotidectomy with preservation of facial nerve |
358.5 |
5,693.74 |
286.8 |
4,714.99 |
5 |
384.05 +T |
1531 |
Drainage of parotid abscess |
25 |
411.00 |
25 |
411.00 |
4 |
307.24 +T |
8.5 |
Oesophagus |
|
|||||
1545 |
Oesophagoscopy with rigid instrument: First and subsequent |
47 |
772.68 |
47 |
772.68 |
4 |
307.24 +T |
1550 |
Oesophagoscopy with removal of foreign body |
70 |
1,150.80 |
70 |
1,150.80 |
4 |
307.24 +T |
1563 |
Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure |
300 |
4,932.00 |
240 |
3,945.80 |
11 |
844.91 +T |
1565 |
Hiatus hernia and diaphragmatic hernia repair: With Collins Nissen oesophageal lengthening procedure |
350 |
5,754.00 |
280 |
4,603.20 |
11 |
844.91 +T |
8.6 |
Stomach |
|
|||||
1587 |
Upper gastro-intestinal endoscopv: Using hospital equipment |
48.75 |
801.45 |
48.75 |
801.45 |
4 |
307.24 +T |
1589 |
Endoscopic control of gastrointestinal haemorrhage from upper gastrointestinal tract, intestines or large bowel by injection of vascoconstrictor and/or schlerosis (endoscopic haemostasis) to be added to gastroscopy (item 1587) or colonoscopy (item 1653) |
+ 34 |
558.96 |
34 |
558.96 |
6 |
460.86 +T |
1591 |
Plus removal of foreign bodies (stomach): ADD to gastro-intestinal endoscopy (item 1587) |
+ +25 |
411.00 |
+25 |
411.00 |
4 |
307.24 +T |
1597 |
Gastrostomy or Gastrotomy |
147.5 |
2,424.90 |
120 |
1,972.80 |
6 |
460.88 +T |
1615 |
Suture of perforated gastric or duodenal ulcer or wound or injury |
200 |
3,288.00 |
160 |
2,630.40 |
7 |
537.67 +T |
1617 |
Partial gastrectomy |
328.3 |
5,397.25 |
262.64 |
4,317.80 |
7 |
537.67 +T |
1619 |
Total gastrectomy |
384.43 |
6,320.03 |
307.54 |
5,055.96 |
7 |
537.67 +T |
8.7 |
Duodenum |
|
|||||
1626 |
Endoscopic examination of the small bowel beyond the duodenojejunal flexure with biopsy with or without polypectomy with or without arrest of haemorrhage (enteroscopy) |
120 |
1,972.80 |
120 |
1,972.80 |
6 |
460.86 +T |
1627 |
Duodenal intubation (under X-ray screening) |
8 |
131.52 |
|
|
|
|
8.8 |
Intestines |
|
|||||
1634 |
Enterotomy or Enterostomy |
202.6 |
3,330.74 |
162.08 |
2,664.60 |
6 |
460.86 +T |
1637 |
Operation for relief of intestinal obstruction |
240 |
3,945.60 |
192 |
3,156.48 |
7 |
537.67 +T |
1639 |
Resection of small bowel with enterostomy or ananstomosis |
244.9 |
4,026.16 |
195.92 |
3,220.92 |
6 |
460.86 +T |
1642 |
Gastrointestinal tract imaging, intraluminal (e. g. video capsule endoscopy): Hire fee (item 0201 applicable for video capsule - disposable single patient use). - (Please note: All patients should have had a normal gastroscopy and colonoscopy) |
150 |
2,466.00 |
120 |
1,972.80 |
|
|
1643 |
Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy), oesophagus through ileum: Doctor interpretation and report |
90 |
1,479.60 |
90 |
1,479.60 |
|
|
1645 |
Suture of intestine (small or large): Wound or injury |
185.2 |
3,044.69 |
148.16 |
2,435.75 |
6 |
460.86 +T |
1647 |
Closure of intestinal fistula |
258 |
4,241.52 |
206.4 |
3,393.22 |
6 |
460.86 +T |
1657 |
Right or left hemicolectomy or segmental colectomy |
325 |
5,343.00 |
260 |
4,274.40 |
6 |
460.86 +T |
1661 |
Colotomy: Including removal of foreign body |
205.7 |
3,381.71 |
164.56 |
2,705.37 |
6 |
460.86 +T |
1663 |
Total colectomy |
390 |
6,411.60 |
312 |
5,129.28 |
6 |
460.86 +T |
1665 |
Colostomy or ileostomy isolated procedure |
233.8 |
3,843.67 |
187.04 |
3,074.94 |
6 |
460.86 +T |
1667 |
Colostomy: Closure |
179.1 |
2,944.40 |
143.28 |
2,355.52 |
5 |
384.05 +T |
1668 |
Revision of ileostomy pouch |
375 |
6,165.00 |
300 |
4,932.00 |
6 |
460.86 +T |
8.10 |
Rectum and anus |
|
|||||
1677 |
Sigmoidoscopy: First and subsequent, with or without biopsy |
13 |
213.72 |
13 |
213.72 |
3 |
230.43 +T |
1688 |
Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy |
445 |
7,315.80 |
356 |
5,852.64 |
8 |
614.46 +T |
1705 |
Incision and drainage of submucous abscess |
40 |
657.60 |
40 |
657.60 |
3 |
230.43 +T |
1707 |
Drainage of submucous abscess |
40 |
657.60 |
40 |
657.60 |
3 |
230.43 +T |
1737 |
Dilatation of ano-rectal structure |
12.5 |
205.50 |
12.5 |
205.50 |
3 |
230.43 +T |
1742 |
Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor |
27 |
443.68 |
|
|
|
|
8.11 |
Liver |
|
|||||
1743 |
Needle biopsy of liver |
30.3 |
498.13 |
30.3 |
498.13 |
3 |
230.43 +T |
1745 |
Biopsy of liver by laparotomy |
125 |
2,055.00 |
120 |
1,972.80 |
4 |
307.24 +T |
1747 |
Drainage of liver abscess |
179.1 |
2,944.40 |
143.28 |
2,355.52 |
7 |
537.67 +T |
1748 |
Body composition measured by bio-electrical impedance |
3 |
49.32 |
3 |
49.32 |
|
|
1749 |
Hemi-hepatectomy: Right |
564 |
9,272.16 |
451.2 |
7,417.73 |
9 |
691.29 +T |
1751 |
Hemi-hepatectomy: Left |
521.1 |
8,566.88 |
416.88 |
6,853.51 |
9 |
691.29 +T |
1752 |
Extended right or left hepatectomy |
570.9 |
9,385.60 |
456.72 |
7,508.48 |
9 |
691.29 +T |
1753 |
Partial or segmental hepatectomy |
378 |
6,214.32 |
302.4 |
4,971.46 |
9 |
691.29 +T |
1757 |
Suture of liver wound or injury |
214.2 |
3,521.45 |
171.36 |
2,817.16 |
9 |
691.29 +T |
8.12 |
Biliary tract |
|
|||||
1763 |
With exploration of common bile duct |
264 5 |
4,348.38 |
211.6 |
3,478.70 |
6 |
460.86 +T |
1765 |
Exploration of common bile duct:· Secondary operation |
327.7 |
5,387.39 |
262.16 |
4,309.91 |
6 |
460.86 +T |
1767 |
Reconstruction of common bile duct |
371.7 |
6,110.75 |
297.36 |
4,888.60 |
6 |
460.86 +T |
8.13 |
Pancreas |
|
|||||
1778 |
Endoscopic Retrograde Cholangiopanc reatography (ERCP): Endoscopy + Catheterisation of pancreas duct or choledochus |
105.9 |
1,741.00 |
105.9 |
1,741.00 |
4 |
307.24 +T |
1779 |
Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (item 1778) |
+ 15.82 |
260.08 |
15.82 |
260.08 |
4 |
307.24 +T |
1791 |
Local, partial or subtotal pancreatectomy |
351.3 |
5,775.37 |
281.04 |
4,620.30 |
8 |
614.48 +T |
1793 |
Distal pancreatectomy with internal drainage |
377.4 |
6,204.46 |
301.92 |
4,963.56 |
8 |
614.48 +T |
8.14 |
Peritoneal cavity |
|
|||||
1797 |
Pneumo-peritoneum: First |
13 |
213.72 |
13 |
213.72 |
4 |
307.24 +T |
1799 |
Pneumo-peritoneum: Repeat |
6 |
98.64 |
6 |
98.64 |
4 |
307.24 +T |
1800 |
Peritoneal lavage |
20 |
328.80 |
20 |
328.80 |
|
|
1801 |
Diagnostic paracentesis: Abdomen |
8 |
131.52 |
8 |
131.52 |
|
|
1803 |
Therapeutic paracentesis: Abdomen |
13 |
213.72 |
13 |
213.72 |
|
|
1807 |
Add to open procedure where procedure was performed through a laparoscope (for anaesthetic refer to modifier 0027) |
+ 45 |
739.80 |
45 |
739.80 |
5 |
384.05 +t |
1809 |
Laparotomy |
196 |
3,222.24 |
156.8 |
2,577.79 |
4 |
307.24 +T |
1811 |
Suture of burst abdomen |
188 3 |
3,095.65 |
150.64 |
2,476.52 |
7 |
537.67 +T |
1812 |
Laparotomy for control of surgical haemorrhage |
105 |
1,726.20 |
105 |
1,726.20 |
9 |
691.29 +T |
1813 |
Drainage of sub-phrenic abscess |
180 |
2,959.20 |
144 |
2,387.36 |
7 |
537.67 +T |
1815 |
Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal |
248.4 |
4,083.70 |
198.72 |
3,266.98 |
5 |
384.05 +T |
1817 |
Transrectal drainage of pelvic abscess |
75 |
1,233.00 |
75 |
1,233.00 |
4 |
307.24 +T |