Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Code

Procedure description

DM/+L

MP

TC

General Dental Practice

(054)

Maxillo-facial and Oral Surgery

(062)

Prosthodontics

(094)

J.  ADJUNCTIVE GENERAL SERVICES

MISCELLANEOUS SERVICES

8131

Palliative [emergency] treatment for dental pain. This is typically reported on a "per visit" basis for emergency treatment of dental pain where no other treatment item is applicable or applied for treatment of the same tooth

T

B

198.24

198.24

297.37

This tariff code is intended to be used for emergency treatment to alleviate dental pain but is not curative -report per visit. This tariff code should not be used when more adequately described procedures exists and may not be reported with other procedure tariff codes (diagnostic procedures and professional visits excluded).

ANAESTHESIA

8141

Inhalation sedation - first 15 minutes or part thereof

B

175.65

175.65

175.65

8143

Inhalation sedation - each additional 15 minutes

B

94.98

94.98

94.98

No additional fee/benefit to be charged for gases used in the case of tariff codes 8141 and 8143.

8144

Intravenous sedation

B

92.36

92.36

92.36

8145

Local anaesthetic, per visit.

Tariff code 8145 includes the use of the wand

B

43.37

43.37

43.37

Use for infiltrative anaesthesia (anaesthetic agent is infiltrated directly into the surgical site by means of an injection). Excludes topical anaesthesia (anaesthetic agent is applied topically to the mucosa/skin). Report per visit.

Comment: The fee for topical anaesthesia are considered to be part of, and included in the fee for the local anaesthesia (injection). Tariff code 8145 includes the use of the Wand.

8471

Procedural sedationor General anaesthesia- Assessment

B

350.80

-

-

8472

Procedural sedation- first 30 minutes

B

247.40

-

-

8473

Procedural sedation- each additional 15 minutes or part thereof

B

63.80

-

-

8474

Procedure room for Sedation

1458.30

1458.30

-

8499

General anaesthetic

B

The relevant codes published in the Government Gazette for Medical Practitioners shall apply to general anaesthetics for dental procedures

8895

Examination under general anaesthesia

M

B

307.40

-

-

PROFESSIONAL VISITS

8129

Office/hospital visit - after regularly scheduled hours

B

479.54

-

-

Includes visits to nursing homes, long-term care facilities, hospice sites, institutions, etc. Report in addition to appropriate code numbers for actual services rendered. After regularly scheduled hours is defined as weekends and night visits between 18h00 and 07h00 the following day. Limitation: tariff code 8129 may only be reported for emergency treatment rendered outside normal working hours. Not applicable where a practice offers an extended hours service as the norm.

8140

House/extended care facility/hospital call

B

305.92

-

-

Includes visits to nursing homes, long-term care facilities, hospice sites, institutions. etc. Report per visit in addition to reporting appropriate tariff code numbers for actual services performed. Limitation: The fee/benefit for house/extended care facility/hospital calls are limited to five calls per treatment plan

Drugs, medication and materials

8183

Intra-muscular or sub-cutaneous injection therapy, per injection (Not applicable to local anaesthetic)

B

82.68

-

-

8220

Use of suture material provided by practitioner

B

Rule 013

Rule 013

8109

Infection control, per dentist, per hygienist, per dental assistant, per visit tariff code 8109 includes the provision by the dentist of new rubber gloves, masks, etc. for each patient

29.24

29.24

29.24

8110

Provision of sterilized and wrapped instrumentation in consulting rooms. The use of this tariff code is limited to heat, autoclave or vapour sterilised and wrapped instruments

82.49

82.49

82.49

8304

Rubber dam, per arch

(Refer to the guidelines for the application of a rubber dam in the preamble to the category D "Endodontics")

145.61

-

145.61

8306

Cost of Mineral Trioxide Aggregate

B

Rule 013

-

Rule 013