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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 - 2022Doctors Gazette 2022Part lll : Procedures14. Nervous System |
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Specialist |
General Practitioner |
Anaesthetic |
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U |
R |
U |
R |
U |
R T/M |
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14.1 |
Diagnostic procedures |
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2685 |
Electro-oculography: Unilateral |
30 |
851.10 |
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2686 |
Electro-oculography: Bilateral |
53 |
1 503.61 |
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2708 |
Evaluation of cognitive evoked potential with visual or audiology stimulus |
80 |
2 269.60 |
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2709 |
Full spinogram including bilateral median and posterior-tibial studies |
140 |
3 971.80 |
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2711 |
Electro- encephalogram (EEG): 20-40 minutes record:Equipment cost for taking of record (Technical component)(refer to item 2712 for interpretation and report) |
105.60 |
2 995.87 |
105.60 |
2 995.87 |
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2712 |
Clinical interpretation and report of item 2711: Electroencephalogram (EEG): 20-40 minutes record (Professional component) |
16.60 |
470.94 |
16.60 |
470.94 |
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2713 |
Spinal (lumbar) puncture. For diagnosis, for drainage of spinal fluid or for therapeutic indications |
18.4 |
522.01 |
18.4 |
522.01 |
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2714 |
Cisternal or lateral cervical (C1-C2) puncture: Without injection - stand -alone procedure |
32 |
907.84 |
32 |
907.84 |
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2735 |
Air encephalography and posterior fossa tomography: Posterior fossa tomography attendance by clinician |
31.50 |
893.66 |
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2737 |
Air encephalography and posterior fossa tomography: Visual field charting on Bjerrum Screen |
7 |
198.59 |
7 |
198.59 |
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2739 |
Ventricular needling without burring: Tapping only |
16 |
453.92 |
16 |
453.92 |
4 |
530.24 +T |
2741 |
Ventricular needling without burring: Plus introduction of air and/or contrast dye for ventriculography |
43 |
1 219.91 |
43 |
1 219.91 |
4 |
530.24 +T |
2743 |
Subdural tapping: First sitting |
15 |
425.55 |
15 |
425.55 |
4 |
530.24 +T |
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14.2 |
Introduction of burr holes for |
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2747 |
Burr hole(s): Ventricular puncture. Includes injection of gas, contrast media, dye or radioactive material |
223.80 |
6 349.21 |
179.04 |
5 079.36 |
8 |
1060.48 +T |
2749 |
Catheterisation for ventriculography and/or drainage |
150 |
4 255.50 |
120 |
3 404.40 |
8 |
1060.48 +T |
2752 |
Twist drill hole(s): Includes subdural, intracerebral or ventricular puncture for evacuation and/or drainage of subdural haematoma |
272.20 |
7 722.31 |
217.76 |
6 177.85 |
9 |
1193.04 +T |
2753 |
Burr hole(s). Includes evacuation and/or drainage of haematoma: Extradural or subdural |
379.40 |
10 763.58 |
303.52 |
8 610.86 |
9 |
1193.04 +T |
2754 |
Burr hole(s) or trephine: Includes subsequent tapping (aspiration) of intracranial abscess |
296.40 |
8 408.87 |
237.12 |
6 727.09 |
9 |
1193.04 +T |
2755 |
Burr hole(s): Includes aspiration of haematoma or cyst, intracerebral (total procedure) |
369.90 |
10 494.06 |
295.92 |
8 395.25 |
9 |
1193.04 +T |
2757 |
Burr hole(s) or trephine: Includes drainage of brain abscess or cyst (total procedure) |
402.80 |
11 427.44 |
322.24 |
9 141.95 |
9 |
1193.04 +T |
2760 |
Burr hole(s) or trephine: Supratentorial, exploratory, not followed by other surgery |
255.90 |
7 259.88 |
204.72 |
5 807.91 |
9 |
1193.04 +T |
2761 |
Burr hole(s) or trephine: Infratentorial, unilateral or bilateral Use once per service |
218.90 |
6 210.19 |
175.12 |
4 968.15 |
9 |
1193.04 +T |
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14.3 |
Nerve procedures |
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2765 |
Nerve conduction studies (see items 0733 and 3285) |
26 |
737.62 |
26 |
737.62 |
4 |
530.24 +T |
14.3.1 |
Nerve repair of suture |
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2767 |
Suture Brachial Plexos (see also items 2837 and 2839) |
379 |
10 752.23 |
303.20 |
8 601.78 |
6 |
795.36 +T |
2769 |
Suture: Large nerve: Primary |
297.70 |
8 445.75 |
238.16 |
6 756.60 |
5 |
662.80 +T |
2771 |
Suture: Large nerve: Secondary |
202 |
5 730.74 |
161.60 |
4 584.59 |
5 |
662.80+T |
2773 |
Suture: Digital nerve: Primary |
199 |
5 645.63 |
159.20 |
4 516.50 |
3 |
397.68 +T |
2775 |
Suture: Digital nerve: Secondary |
96 |
2 723.52 |
96 |
2 723.52 |
3 |
397.68 +T |
2777 |
Nerve graft: Simple |
309 |
8 766.33 |
247.20 |
7 013.06 |
4 |
530.24 +T |
2779 |
Fascicular: First fasciculus |
202 |
5 730.74 |
161.6 |
4 584.59 |
4 |
530.24 +T |
2781 |
Fascicular: Each additional fasciculus |
50 |
1 418.50 |
50 |
1 418.50 |
4 |
530.24 +T |
2782 |
Nerve pedicle transfer: First stage (not to be used together with item 2783) |
309.10 |
8 769.17 |
247.28 |
7 015.33 |
4 |
530.24 +T |
2783 |
Fascicular: Nerve flap: To include all stages |
224 |
6 354.88 |
179.2 |
5 083.90 |
4 |
530.24 +T |
2784 |
Nerve pedicle transfer: Second stage (not to be used together with item 2783) |
338.30 |
9 597.57 |
270.64 |
7 678.06 |
4 |
530.24 +T |
2785 |
Fascicular: Facio-accessory or facio-hypoglossal anastomosis |
124 |
3 517.88 |
120 |
3 404.40 |
6 |
795.36 +T |
2787 |
Fascicular: Grafting of facial nerve |
215 |
6 099.55 |
172 |
4 879.64 |
5 |
662.80 +T |
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14.3.2 |
Neurectomy |
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2795 |
Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, one level (unilateral or bilateral) |
45.4 |
1 288.00 |
45.4 |
1 288.00 |
5 |
662.80 +T |
2796 |
Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, each additional level each additional level (unilateral or bilateral) |
+ 16.3 |
462.43 |
16.3 |
462.43 |
5 |
662.80 +T |
2797 |
Procedures for pain relef: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica/thoracic, one level (unilateral or bilateral) |
44 |
1 248.28 |
44 |
1 248.28 |
5 |
662.80 +T |
2798 |
Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica/thoracic, each additional level (unilateral or bilateral) |
+ 15 |
425.55 |
15 |
425.55 |
5 |
662.80 +T |
2799 |
Intrathecal injections for pain |
36 |
1 021.32 |
36 |
1 021.32 |
4 |
530.24 +T |
2800 |
Plexus nerve block - as part of treatment refer to annexure C on the back of this gazette (motivation to be supplied by treating doctor) |
36 |
1 021.32 |
36 |
1 021.32 |
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Fees as for specialist |
2801 |
Epidural injection, plexus nerve block or peripheral nerve block for pain refer to annexure C on the back of this gazette, motivation to be supplied by treating doctor (see modifier 0045 for post-operative pain relief) (refer to modifier 0021 for epidural anaesthetic) |
36 |
1 021.32 |
36 |
1 021.32 |
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Fees as for specialist |
2802 |
Peripheral nerve block - as part of treatment (motivation to be supplied) |
25 |
709.25 |
25 |
709.25 |
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Fees as for specialist |
2803 |
Alcohol injection in peripheral nerves for pain: Unilateral |
20 |
567.40 |
20 |
567.40 |
3 |
397.68 +T |
2804 |
Inserting an indwelling nerve catheter (includes removal of catheter) (not for bolus technique) To be used only with items 2799, 2800, 2801 or 2802 |
+ 10 |
283.70 |
10 |
283.70 |
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Fees as for specialist |
2805 |
Alcohol injection in peripheral nerves for pain: Bilateral |
35 |
992.95 |
35 |
992.95 |
3 |
397.68 +T |
2809 |
Peripheral nerve section for pain |
45 |
1 276.65 |
45 |
1 276.65 |
3 |
397.68 +T |
2913 |
Obturator or Stoffels |
96 |
2 723.52 |
96 |
2 723.52 |
3 |
397.68 +T |
2815 |
Excision interdigital neuroma - Morton |
82.3 |
2 334.85 |
82.3 |
2 334.85 |
3 |
397.68 +T |
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14.3.3 |
Other nerve procedures |
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2827 |
Transposition of ulnar nerve |
170 |
4 822.90 |
136 |
3 858.32 |
3 |
397.68 +T |
2829 |
Neurolysis: Minor |
51 |
1 446.87 |
51 |
1 446.87 |
3 |
397.68 +T |
2831 |
Neurolysis: Major |
141 |
4 000.17 |
120 |
3 404.40 |
3 |
397.68 +T |
2833 |
Neurolysis: Digital |
141 |
4 000.17 |
120 |
3 404.40 |
3 |
397.68 +T |
2837 |
Brachial plexus, suture or neurolysis (item 2767) |
300 |
8 511.00 |
240 |
6 808.80 |
6 |
795.36 +T |
2839 |
Total brachial plexus exposure with graft, neurolysis and transplantation |
895.2 |
25 396.82 |
716.16 |
20 317.46 |
6 |
795.36 +T |
2849 |
Sympathetic block Other levels: Unilateral |
20 |
567.40 |
20 |
567.40 |
3 |
397.68 +T |
2851 |
Sympathetic block: Other levels: Bilateral |
35 |
992.95 |
35 |
992.95 |
3 |
397.68 +T |
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14.4 |
Skull procedures |
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2859 |
Depressed skull fracture: Elevation of fracture, compound or comminuted, extradural (total procedure) |
377.90 |
10 721.02 |
302.32 |
8 576.82 |
9 |
1 193.04 +T |
2860 |
Depressed skull fracture: Elevation of fracture, simple, extradural (total procedure) |
307.10 |
8 712.43 |
245.68 |
6 969.94 |
9 |
1 193.04 +T |
2862 |
Depressed skull fracture: Elevation of fracture with repair of dura and/or debridement of brain (total procedure) |
455.10 |
12 911.19 |
364.08 |
10 328.95 |
11 |
1 458.16 +T |
2863 |
Cranioplasty: Skull defect = <5 cm diameter: With/without prosthesis |
309.10 |
8 769.17 |
247.28 |
7 015.33 |
9 |
1 193.04 +T |
2875 |
Theco-peritorteal C.S.F. shunt |
280 |
7 943.60 |
224 |
6 354.88 |
8 |
1 060.48 +T |
6043 |
Cranioplasty: Skull defect: >5 cm diameter |
340.80 |
9 668.50 |
272.64 |
7 734.80 |
9 |
1 193.04 +T |
6044 |
Removal of bone flap or prosthetic plate of skull: For malignancy/acquired deformity of head/infection or inflammatory reaction due to device, implant and/or graft |
264.90 |
7 515.21 |
211.92 |
6 012.17 |
9 |
1 193.04 +T |
6045 |
Replacement of bone flap or prosthetic plate of skull: For malignancy/acquired deformity of head/open fracture/late effect of fracture/infection or inflammatory reaction due to device, implant and/or graft (total procedure) |
311.40 |
8 834.42 |
249.12 |
7 067.53 |
9 |
1 193.04 +T |
6046 |
Cranioplasty: Skull defect, with reparative brain surgery: with/without prosthesis Cannot be used with items 6047 to 6048 |
421.70 |
11 963.63 |
337.36 |
9 570.90 |
11 |
1 458.16 +T |
6047 |
Cranioplasty: Includes autograft and obtaining bone grafts: =<5 cm diameter (total procedure) Cannot be used with items 6046 and 6048 |
371.40 |
10.536.62 |
297.12 |
8 429.29 |
9 |
1 193.04 +T |
6048 |
Cranioplasty: Includes autograft and obtaining bone grafts: >5 cm diameter (total procedure) Cannot be used with items 6046 to 6047 |
432.70 |
12 275.70 |
346.16 |
9 820.56 |
9 |
1 193.04 +T |
6049 |
Incision and retrieval: Cranial bone graft for cranioplasty, subcutaneous. ADD to primary procedure 6046 to 6048 |
37.30 |
1 058.20 |
37.30 |
1 058.20 |
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+T |
6061 |
Creationk of subarachnoid/subdural-peritoneal shunt: Pleural or peritoneal space or other terminus, through burr hole and directing and tunneling the distal end of the shunt subcutaneously towards the draining site (non-neuroendoscopic procedure) (total procedure) |
290.80 |
8 250.00 |
232.64 |
6 600.00 |
10 |
1 325.60 +T |
6062 |
Replacement or irrigation: Subarachnoid or subdural catheter, non-neuroendoscopic procedure (total procedure) |
111.40 |
3 160.42 |
111.40 |
3 160.42 |
10 |
1 325.60 +T |
6063 |
Ventriculocisternostomy of the third ventricle: Stereotactic, neuroendoscopic method (under CT guidance for stereotactic positioning) (items 6055 and 6148 may not be added) |
358.80 |
10 179.16 |
287.04 |
8 143.32 |
10 |
1 325.60 +T |
6064 |
Replacement/irrigation: Previously placed intraoperative ventricular catheter |
158.30 |
4 490.97 |
126.64 |
3 592.78 |
10 |
1 325.60 +T |
6065 |
Replacement/revision: Cerebrospinal fluid (CSF) shunt/obstructed valve/distal catheter in shunt system |
252.30 |
7 157.75 |
201.84 |
5 726.20 |
10 |
1 325.60 +T |
6066 |
Reprogramming of programmable cerebrospinal shunt, at the time of a routine office visit |
26.00 |
737.62 |
26.00 |
737.62 |
10 |
1 325.60 +T |
6067 |
Removal: Complete cerebrospinal fluid shunt system only (non-neuroendoscopic procedure) |
180.00 |
5 106.60 |
144.00 |
4 085.28 |
10 |
1 325.60 +T |
6068 |
Cerebrospinal fluid (CSF) shunt system: Complete removal, with replacement by similar or other shunt at same operation |
335.50 |
9 518.14 |
268.40 |
7 614.51 |
10 |
1 325.60 +T |
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14.6 |
Shunt procedures and neuroendoscopy |
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2869 |
Ventriculocisternostomy: From the third ventricle to the cisterna magna (total procedure) |
409.00 |
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327.20 |
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2871 |
Creation of shunt: ventriculo-atrial, -jugular, -auricular Cannot be used with item 2873 |
307.20 |
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245.76 |
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2873 |
Creation of shunt: ventriculo-peritoneal, -pleural, other terminus Cannot be used with item 2871 |
315.40 |
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252.32 |
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6055 |
Neuroendoscopy: Intracranial placement or replacement of ventricular catheter and attachment to shunt system or external drainage. ADD to main procedure |
56.00 |
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56.00 |
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6058 |
Neuroendoscopy: Intracranial, with retrieval of foreign body |
364.80 |
10 349.38 |
291.84 |
8 279.50 |
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14.7 |
Posterior fossa surgery |
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2879 |
Glosso-pharyngeal nerve |
480 |
13 617.6D |
384 |
10 894.08 |
6 |
795.36 +T |
2881 |
Eighth nerve: Intracranial |
480 |
13 617.6D |
384 |
10 894.08 |
8 |
1 060.48 +T |
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14.7.1 |
Supratentorial procedures |
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2892 |
Micro vascular decompression of cranial nerve (suboccipital) |
553 |
15 688.61 |
442 |
12 539.54 |
6 |
795.36 +T |
2893 |
Craniectomy for excision of brain abscess: Infratentorial or posterior fossa for excision of brain abscess |
648.30 |
18 392.27 |
518.64 |
14 713.82 |
13 |
1 723.28 +T |
2899 |
Craniectomy for extra-dural haematoma or empyema |
375 |
10 638.75 |
300 |
8 511.00 |
11 |
1 458.16 +T |
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14.8 |
Craniotomy for |
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6085 |
Craniectomy/craniotomy: With exploration of the infratentorial area (below the tentorium of the cerebellum), posterior fossa (total procedure) |
596.40 |
16 919.87 |
477.12 |
13 535.89 |
13 |
1 723.28 +T |
6086 |
Craniectomy/craniotomy: With evacuation of infratentorial, intracerebellar haematoma (total procedure) |
614.30 |
17 427.69 |
491.44 |
13 942.15 |
13 |
1 723.28 +T |
6087 |
Craniectomy/craniotomy: With drainage of intracranial abscess in the infratentorial region with suction and irrigating the area while monitoring for haemorrhage (total procedure) |
631.80 |
17 924.17 |
505.44 |
14 339.33 |
13 |
1 723.28 +T |
6088 |
Cranial decompression caused by excess fluid (e.g. blood and pathological tissue), using posterior fossa approach by drilling/sawing through the occipital bone (total procedure) |
605.10 |
17 166.69 |
484.08 |
13 733.35 |
13 |
1 723.28 +T |
6090 |
Craniectomy at base of skull (suboccipitat): With freeing and section of one or more cranial nerves (total procedure) |
624 |
17 702.88 |
499.20 |
14 162.30 |
11 |
1 458.16 +T |
6115 |
Craniectomy/craniotomy: Supratentorial exploration |
487.1 |
13 819.03 |
389.68 |
11 055.22 |
11 |
1 458.16 +T |
6116 |
Incision and subcutaneous placement of cranial bone graft (e.g. split-or full thickness): shaving graft or bone dust: with donor site already exposed for the main procedure |
25.9 |
734.78 |
25.9 |
734.78 |
11 |
1 458.16 +T |
6117 |
Craniectomy/craniotomy: Drainage of intracranial abscess in the supratentorial region (total procedure) |
564.7 |
16 020.54 |
451.76 |
12 816.43 |
11 |
1 458.16 +T |
6118 |
Decompression craniectomy/craniotomy: With or without duraplasty, for treating intracranial hypertension (most commonly caused by severe closed-head trauma) without evacuation of associated intraparenchymal haematoma or lobectomy |
705.1 |
20 003.69 |
564.08 |
16 002.95 |
11 |
1 458.16 +T |
6120 |
Decompression of (roof of) orbit only: Transcranial approach (total procedure) |
548.6 |
15 563.78 |
438.88 |
12 451.03 |
11 |
1 458.16 +T |
6125 |
Craniectomy/trephination (bone flap craniotomy): Supratentorial excision of brain abscess |
566.2 |
16 063.09 |
452.96 |
12 850.48 |
11 |
1 458.16 +T |
6141 |
Craniectomy/craniotomy: |
554.3 |
15 725.49 |
442.44 |
12 580.39 |
11 |
1 458.16 +T |
6142 |
Craniectomy/craniotomy: |
589.9 |
16 735.46 |
471.92 |
13 388.37 |
11 |
1 458.16 +T |
2904 |
Craniectomy/craniotomy: With evacuation of supratentiorial, intracerebral haematoma |
590.20 |
16 743.97 |
472.16 |
13 395.18 |
11 |
1 458.16 +T |
2905 |
Craniotomy with elevation of bone flap: Excision of epileptogenic focus without electrocorticography during surgery |
489 |
13 872.93 |
391.20 |
11 098.34 |
11 |
1 458.16 +T |
2909 |
CSF-leaks |
450 |
12 766.50 |
360 |
10 213.20 |
11 |
1 458.16 +T |
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14.8.1 |
Stereo-tactic cerebral and spinal cord procedures |
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2918 |
(code moved to consultation section) |
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14.8.2 |
Repair and/or Reconstruction of Surgical Defects of Skull Base |
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6196 |
Repair of dura or cerebrospinal fluid (CSF) leak: Secondary repair, anterior, middle or posterior cranial fossa following surgery of the skull base, by free tissue graft 9e.g. pericranium, fascia, tensor fascia lata, adipose tissue, homologous or sythetic grafts) Cannot be used with item 6197 |
388.7 |
11 027.42 |
310.96 |
8 821.94 |
11 |
1 458.16 +T |
6197 |
Repair of dura or cerebrospinal fluid (CSF) leak: Secondary anterior, middle or posterior cranial fossa following surgery of the skull base, by local or regionalised vascularised pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis muscle) Cannot be used with item 6196 |
437.8 |
12 420.39 |
350.24 |
9 936.31 |
11 |
1 458.16 +T |
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14.9 |
Spinal operations |
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2923 |
Chordotomy: Unilateral |
178 |
5 049.86 |
142.4 |
4 039.89 |
3 |
397.68 +T+M |
2925 |
Chordotomy: Open |
350 |
9 929.50 |
280 |
7 943.60 |
3 |
397.68 +T+M |
2927 |
Rhizotomy: Extradural, but intraspinal |
320 |
9 078.40 |
256 |
7 262.72 |
3 |
397.68 +T+M |
2928 |
Rhizotomy: Intradural |
350 |
9 929.50 |
280 |
7 943.60 |
3 |
397.68 +T+M |
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14.10 |
Arterial ligations |
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2951 |
Carotis: Trauma |
120 |
3 404.40 |
120 |
3 404.40 |
8 |
1 060.48 +T |
|
|
|
|
|
|
|
|
14.11 |
Medical Psychotherapy |
|
|
|
|
|
|
2957 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) - per short session (10-20 minutes) |
20 |
567.40 |
16 |
453.92 |
|
|
2968 |
Group therapy: Adults 95 per group): Code per person per 80-minuted session Use once per day only. |
8 |
226.96 |
8 |
226.96 |
|
|
2974 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) - per intermediate session (21-40 minutes) |
40 |
1 134.80 |
32 |
907.84 |
|
|
2975 |
Individual psychotherapy (specific psychotherapy with approved evidence based method) - per extended session (41 minutes or longer) |
60 |
1 702.20 |
48 |
1 361.76 |
|
|
|
|
|
|
|
|
|
|
14.12 |
Physical treatment methods |
|
|
|
|
|
|
2970 |
Electro-convulsive treatment (ECT) - each time (see rule (Va) |
17 |
482.29 |
17 |
482.29 |
3 |
397.68 +T |