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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 - 2024Prosthetic and Orthotics Gazette 2024Prosthetics Tariff of Fees as from 1 April 2024 (Practice 87 & 90)ProstheticsUpper Limb Prosthetics |
Upper Limb Prosthetics |
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Rules: Fee includes all materials to manufacture final prosthesis No repairs may be charged to CF within 24 months of manufacturing All definitive sockets needs to be reinforced with carbon fiber
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Item |
Code |
Cat |
Code Description |
|
Rand |
Partial Hand Prosthesis |
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PH010 |
A30010 |
0 |
Partial hand passive |
ea |
29321.39 |
PH030 |
A30030 |
0 |
Partial opposition post |
ea |
20454.77 |
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Partial Hand Repairs |
|
||||
PH050 |
A30050 |
0 |
Partial new silicone socket |
ea |
9367.01 |
PH060 |
A30060 |
0 |
Partial hand - cosmetic glove replaced |
ea |
7052.38 |
|
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Wrist Disarticulation Prosthesis |
|
||||
WD010 |
A30510 |
0 |
Wrist disarticulation - passive (hand & cosmetic glove incl) |
ea |
57073.24 |
WD020 |
A30520 |
0 |
Wrist disarticulation - functional (hand & cosmetic glove incl) |
ea |
75318.07 |
WD021 |
A30521 |
0 |
Refit Wrist Disarticulation |
ea |
17044.67 |
|
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Below Elbow Prosthesis |
|
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BE010 |
A31010 |
0 |
Below elbow prosthesis - passive (hand & cosmetic cover incl) |
ea |
57073.24 |
BE020 |
A31020 |
Below elbow prosthesis - functional (hand & cosmetic cover incl) |
ea |
75318.07 |
|
BE040 |
A31040 |
0 |
Below Elbow test socket - diagnostic |
ea |
3201.58 |
AA150 |
A33150 |
0 |
Refit Below Elbow |
ea |
16217.02 |
|
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Elbow Disarticulation Prosthesis |
|
||||
ED010 |
A31510 |
0 |
Elbow disarticulation prosthesis - passive (hand & cosmetic cover Incl) |
ea |
85038.44 |
ED020 |
A31520 |
0 |
Elbow disarticulation prosthesis - functional (hand & cosmetic cover incl) |
ea |
110827.04 |
ED030 |
A31530 |
0 |
Elbow disarticulation test socket - diagnostic |
ea |
3201.58 |
ED031 |
A31531 |
0 |
Refit Elbow disarticulation |
ea |
34910.51 |
|
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Above Elbow Prosthesis |
|
||||
AE010 |
A32010 |
0 |
Above elbow prosthesis - passive (hand & cosmetic cover incl) |
ea |
66898.31 |
AE020 |
A32020 |
0 |
Above elbow prosthesis - functional (hand & cosmetic cover incl) |
ea |
88420.20 |
AE040 |
A32040 |
0 |
Above elbow test socket - diagnostic |
ea |
3201.58 |
AA140 |
A33140 |
0 |
Refit Above elbow |
ea |
25990.98 |
|
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Shoulder disarticulation Prosthesis |
|
||||
SD010 |
A32510/1 |
0 |
Shoulder disarticulation prosthesis manual elbow - elbow, hand & cosmetic cover incl |
ea |
92628.98 |
SD010 |
A32510/2 |
0 |
Shoulder disarticulation prosthesis electric elbow (incl, passive hand & cosmetic cover) |
ea |
112434.52 |
SD020 |
A32520 |
Shoulder disarticulation prosthesis electric elbow (incl, functional hand & cosmetic cover) |
ea |
114148.68 |
|
A33155 |
0 |
Refit Shoulder disarticulatlon |
ea |
39952.03 |
|
|
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SD012 |
A33156 |
Flexible inner socket for upper limb prosthesis |
4900.21 |
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Upper Limb suspension |
|
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UP100 |
A25042 |
Upper limb Shuttle lock (inclusive of pin) |
ea |
11529.20 |
|
UP101 |
A25004 |
Upper limb liner |
ea |
13186.48 |
|
UP102 |
A25005 |
Pull in tube for suction suspension |
ea |
406.40 |
|
UP103 |
A25006 |
Donning sheath for suction suspension |
ea |
1375.33 |
|
|
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Prosthetic Hands |
|
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Functional |
|
||||
AA060 |
A33060 |
Mechanical cable operated hand (open/closing) |
17255.39 |
||
AA120 |
A33120 |
Prosthetic hook - aluminium |
20067.82 |
||
AA130 |
A33130 |
Prosthetic hook - steel |
25677.35 |
||
|
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Passive |
|
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AA040 |
A33040 |
Passive cosmetic hand |
13744.78 |
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|
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Cosmetic Gloves |
|
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AA100 |
A33100 |
Prosthetic glove - cosmetic |
ea |
6996.86 |
|
AA110 |
A33110 |
Prosthetic glove - leather |
ea |
1463.06 |
|
|
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Elbows |
|
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AE060 |
A32060 |
Automatic locking elbow |
ea |
31140.21 |
|
AE065 |
A32065 |
Manual locking elbow |
ea |
21848.89 |
|
AE065 |
A32065 |
Step-upjoints for short BE or TE |
ea |
24579.06 |
|
AE065 |
A32065 |
AE modular kit |
ea |
9720.97 |
|
AE065 |
A32065 |
Replacement forearm |
ea |
29243.11 |
|
AE065 |
A32065 |
Replacement elbow cable |
ea |
1238.27 |
|
|
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Shoulders |
|
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AS100 |
A32066 |
Standard |
ea |
9849.96 |
|
AS102 |
A32068 |
Modular |
ea |
8513.22 |
|
|
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Harness |
|
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AA808 |
A33080 |
BE harness |
ea |
2930.30 |
|
AA070 |
A33070 |
Discontinued |
|
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AA071 |
A33071 |
AE Figure 8 harness kit |
ea |
3535.62 |
|
|
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Accessories |
|
||||
AA010 |
A33010 |
Cable - AE |
ea |
3205.96 |
|
AA020 |
A33020 |
0 |
Cable - BE |
ea |
2930.26 |
AA030 |
A33030 |
0 |
Corset -BE |
ea |
2921.52 |
AA070 |
A33070 |
Harness - AE |
ea |
2930.31 |
|
AA185 |
A33185 |
0 |
Axilla Loop |
ea |
959.75 |
AA186 |
A33186 |
Axilla pad |
943.82 |
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AA090 |
A33090 |
0 |
Hook elastics |
ea |
77.91 |
AA160 |
A33160 |
0 |
Wrist Insert-Only with repairs |
ea |
1887.53 |
AA165 |
A33165 |
0 |
Wrist Unit inclusive of wrist insert |
ea |
7341.44 |
AA170 |
A33170 |
0 |
Manual locking elbow 12K5 (Only charged separate with repairs) |
ea |
11334.66 |
AA180 |
A33180 |
0 |
Harness Base Plate |
ea |
125.10 |
AA190 |
A33190 |
0 |
Cable Hanger |
ea |
253.62 |
AA195 |
A33195 |
0 |
Standard Hanger |
ea |
203.86 |
AA196 |
A33196 |
0 |
Harness Ball Receiver |
ea |
383.78 |
AA198 |
A33198 |
0 |
Harness Ball Terminal |
ea |
130.69 |
AA200 |
A33200 |
0 |
C701HD Triple Swivel |
ea |
377.85 |
AA201 |
A33201 |
0 |
C703 Standard Triple Swivel |
377.85 |
|
AA202 |
A33202 |
0 |
C709HD Retainer |
ea |
214.32 |
AA203 |
A33203 |
0 |
C709 Standard Retainer |
ea |
183.62 |
AA204 |
A33204 |
0 |
C710HD Cross Bar |
ea |
339.78 |
AA205 |
A33205 |
0 |
C710 Standard Cross Bar |
ea |
328.35 |
AA206 |
A33206 |
Ball shaft adapter |
529.28 |
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AA208 |
A33208 |
BE harness strap |
148.52 |
||
AA209 |
A33209 |
BE strap connector |
731.57 |
||
AA210 |
A33210 |
Cable housing |
461.00 |
||
AA211 |
A33211 |
Harness anchor plate |
79.59 |
||
|
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Prosthetic Socks |
|
||||
SS010 |
A35010 |
0 |
Stump sock - BK 3ply |
ea |
524.78 |
SS020 |
A35020 |
0 |
Stump sock - AK 3ply |
ea |
586.91 |
SS030 |
A35030 |
0 |
Stump sock - Arm 3ply |
ea |
377.94 |
SS040 |
A35040 |
0 |
Stump sock - Symes 3ply |
ea |
973.83 |
SS090 |
A35090 |
0 |
Prosthetic sheath - imported |
ea |
589.09 |
SS100 |
A35100 |
0 |
Protective sheath - American |
2912.52 |
|
SS105 |
A35105 |
0 |
Protective sheath - European (Derma seal) |
4911.33 |
|
SS106 |
A35106 |
0 |
Dermaseal residual limb sock 453D7 |
ea |
2640.92 |
SS110 |
A35110 |
0 |
Fix Prosthesis - European (Daw) |
ea |
1398.53 |
SS120 |
A35120 |
0 |
Fix Prosthesis - American (silicone suspension liner) |
ea |
689.18 |
SS121 |
A35121 |
0 |
Fix prosthesis local 601 knee brace |
ea |
538.35 |
SS130 |
A35130 |
0 |
Stump shrinker BK |
ea |
1111.25 |
SS140 |
A35140 |
0 |
Stump shrinker AK |
ea |
1476.91 |
|
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Suspension Systems |
|
||||
AK150 |
A21650 |
0 |
AK - hip-joint and pelvic band to prosthesis |
ea |
12664.07 |
AK700 |
A21700 |
0 |
AK - shoulder belt |
ea |
1282.81 |
AK701 |
A21701 |
0 |
AK - silesion belt |
ea |
1174.90 |
AK704 |
A21704 |
0 |
AK - silesion strap |
ea |
356.21 |
AK708 |
A21708 |
0 |
AK - waist belt |
ea |
1235.39 |
AK712 |
A21712 |
0 |
AK - neoprene suspension belt |
ea |
3248.65 |
BK132 |
A20632 |
0 |
BK joints including thigh corset |
ea |
22759.07 |
BK133 |
A20633 |
0 |
Bk joints including weightbearing corset |
ea |
25544.12 |
BK192 |
A20692 |
0 |
BK back check strap |
ea |
712.53 |
BK193 |
A20693 |
0 |
BK backlift |
ea |
738.66 |
BK194 |
A20694 |
0 |
BK crutch strap |
ea |
797.41 |
BK197 |
A20697 |
0 |
BK ptb strap |
ea |
1380.87 |
BK198 |
A20698 |
0 |
Front Control strap |
ea |
880.94 |
BK200 |
A20700 |
0 |
BK thigh corset |
ea |
3828.90 |
BK201 |
A20701 |
0 |
BK waistbelt leather |
ea |
1482.20 |
BK202 |
A20702 |
0 |
BK waistbelt webbing |
ea |
970.66 |
|
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Ocular Prosthesis |
|
||||
OCU |
A53015 |
0 |
Prosthesis Consultation( Not payable with A56000) |
856.92 |
|
OCU |
A53115 |
0 |
Impression for Ocular Prosthesis |
3459.42 |
|
OCU |
A53215 |
0 |
Iris Colour |
1430.07 |
|
OCU |
A53315 |
0 |
Model Fitting |
7034.71 |
|
OCU |
A53415 |
Prosthetic manufacture and moulding |
8126.49 |
||
OCU |
A53515 |
Follow-up (Within 6 months of new or replacement prosthesis but included in item 56000 |
474.21 |
||
OCU |
A53715 |
Glass eye complete with consultation and fitting (attached motivation) |
6422.23 |
||
OCU |
A53815 |
0 |
Drill balland socket (pegging to coral) "attached motivation" |
1387.13 |
|
OCU |
A53915 |
0 |
Trimming and Reshaping |
694.50 |
|
OCU |
A54015 |
0 |
Build up |
2055.49 |
|
OCU |
A54115 |
0 |
Veining |
968.93 |
|
OCU |
A54215 |
0 |
Polishing |
429.39 |
|
OCU |
A54315 |
0 |
Materials for custom eye |
2699.58 |
|
OCU |
A54415 |
0 |
Stock eye (every 5 years) |
1928.54 |
|
OCU |
A54515 |
0 |
Haptic Lens (every 5 years) |
4247.26 |
|
OCU |
A56000 |
0 |
Complete eye (includes consultation A53015) |
26941.65 |
[Amendments made to Table (items A33080 and A32010) substituted by Amendment Gazette, Notice No. 2487, GG50645, dated 10 May 2024]
Discontinued Tariff Codes [per Amendment Gazette, Notice No. 2487, GG50645, dated 10 May 2024]
AA070 |
A33070 |
AE triple centre harness complete |
ea |
6959.98 |