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

Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.2.1

Dislocations

0547

Dislocation: Clavicle: either end

96.5

2 846.75

96.5

2 846.75

3

413.58 +T+M

0549

Dislocation: Shoulder

112.1

3 306.95

112.1

3 306.95

3

413.58 +T+M

0551

Dislocation: Elbow

133.60

3 941.20

120

3 540.00

3

413.58 +T+M

0552

Dislocation: Wrist

115.50

3 407.25

115.50

3 407.25

3

413.58 +T+M

0553

Dislocation: Perilunar transscaphoid fracture dislocation

130

3 835.00

120

3 540.00

3

413.58 +T+M

0555

Dislocation: Lunate

136.30

4 020.85

120

3 540.00

3

413.58 +T+M

0556

Dislocation: Carpo-metacarpo dislocation

117.20

3 457.40

117.20

3 457.40

3

413.58 +T+M

0557

Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand)

107.30

3 165.35

107.30

3 165.35

3

413.58 +T+M

0559

Dislocation: Hip

220.50

6 504.75

176.40

5 203.80

3

413.58 +T+M

0561

Dislocation: Knee, with manipulation

181.20

5 345.40

144.96

4 276.32

3

413.58 +T+M

0563

Dislocation: Patella

136.90

4 038.55

120

3 540.00

3

413.58 +T+M

0565

Dislocation: Ankle

98.60

2 908.70

98.60

2 908.70

3

413.58 +T+M

0567

Dislocation: Sub-Talar dislocation

92

2 714.00

92

2 714.00

3

413.58 +T+M

0569

Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal

77

2 271.50

77

2 271.50

3

413.58 +T+M

0571

Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot)

39.40

1 162.30

39.40

1 162.30

3

413.58 +T+M

3.2.2

Operations for dislocations

0578

Recurrent dislocation of shoulder

200

5 900.00

160

4 720.00

3

413.58 +T+M

0579

Recurrent dislocation of large joints

161

4 749.50

128.8

3 799.60

3

413.58 +T+M

3.2.3

Capsular operations

0582

Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care)

51

1 504.50

51

1 504.50

3

413.58 +T+M

0583

Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care)

96

2 832.00

96

2 832.00

3

413.58 +T+M

0585

Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy digital joint

64

1 888.00

64

1 888.00

3

413.58 +T+M

0586

Multiple percutaneous capsulotomies of metacarpo-phalangeal joints

90

2 655.00

90

2 655.00

3

413.58 +T+M

0587

Release of digital joint contracture

128

3 776.00

120

3 540.00

3

413.58 +T+M

3.2.4

Synovectomy

0589

Synovectomy: Digital joint

77

2 271.50

77

2 271.50

3

413.58 +T+M

0592

Synovectomy: Large joint

160

4 720.00

128

3 776.00

3

413.58 +T+M

0593

Tendon synovectomy

203.7

6 009.15

162.96

4 807.32

3

413.58 +T+M

3.2.5

Arthrodesis

0597

Arthrodesis: Shoulder

224

6 608.00

179.2

5 286.00

3

413.58 +T+M

0598

Arthrodesis: Elbow

180

5 310.00

144

4 248.00

3

413.58 +T+M

0599

Arthrodesis: Wrist

180

5 310.00

144

4 248.00

3

413.58 +T+M

0600

Arthrodesis: Digital joint

128

3 776.00

120

3 540.00

3

413.58 +T+M

0601

Arthrodesis: Hip

320

9 440.00

256

7 552.00

3

413.58 +T+M

0602

Arthrodesis: Knee

180

5 310.00

144

4 248.00

3

413.58 +T+M

0603

Arthrodesis: Ankle

180

5 310.00

144

4 248.00

3

413.58 +T+M

0604

Arthrodesis: Sub-talar

130

3 835.00

120

3 540.00

3

413.58 +T+M

0605

Arthrodesis: Stabilization of foot (triple-arthrodeses)

180

5 310.00

144

4 248.00

3

413.58 +T+M

0607

Arthrodesis: Mid-tarsal wedge resection

180

5 310.00

144

4 248.00

3

413.58 +T+M

3.2.6

Arthroplasty

0614

Arthroplasty: Debridement large joints

160

4 720.00

128

3 776.00

3

413.58 +T+M

0615

Arthroplasty: Excision medial or lateranl end of clavicle

116

3 422.00

116

3 422.00

3

413.58 +T+M

0617

Shoulder. Acromioplasty

192

5 644.00

153.6

4 531.20

3

413.58 +T+M

0619

Shoulder: Partial replacement

277

8 171.50

221.6

6 537.20

5

689.30 +T+M

0620

Shoulder: Total replacement

416

12 272.00

332.8

9 817.60

5

689.30 +T+M

0621

Elbow: Excision head of radius

96

2 832.00

96

2 832.00

3

413.58 +T+M

0622

Elbow: Excision

192

5 664.00

153.6

4 531.20

3

413.58 +T+M

0623

Elbow: Partial replacement

188

5 546.00

150.4

4 436.60

3

413.58 +T+M

0624

Elbow: Total replacement

282

8 319.00

225.6

6 655.20

3

413.58 +T+M

0625

Wrist: Excision distal end of ulna

96

2 832.00

96

2 832.00

3

413.58 +T+M

0626

Wrist: Excision single bone

110

3 245.00

110

3 245.00

3

413.58 +T+M

0627

Wrist: Excision proximal row

166

4 897.00

132.8

3 917.60

3

413.58 +T+M

0631

Wrist: Total replacement

249

7 345.50

199.2

5 876.40

3

413.58 +T+M

0635

Digital joint: Total replacement

192

5 664.00

153.6

4 531.20

3

413.58 +T+M

0637

Hip: Total replacement

416

12 272.00

332.8

9 817.60

3

413.58 +T+M

0641

Hip: Prosthetic replacement of femoral head

288

8 496.00

230.4

6 796.80

3

413.58 +T+M

0643

Hip: Girdlestone

320

9 440.00

256

7 552.00

3

413.58 +T+M

0645

Knee: Partial replacement

277

8 171.50

221.6

6 537.20

3

413.58 +T+M

0646

Knee: Total replacement

416

12 272.00

332.8

9 817.60

3

413.58 +T+M

0649

Ankle: Total replacement

290.4

8 586.80

232.32

6 863.44

3

413.58 +T+M

0650

Ankle: Astragalectomy

154

4 543.00

123.2

3 634.40

3

413.58 +T+M

3.2.7

Miscellaneous (Joints)

0658

Aspiration and/or injection: Small joint, bursa (e.g. fingers, toes) (excluding aftercare, modifier 0005 not applicable)

11.40

336.30

11.40

336.30

3

413.58 +T+M

0659

Aspiration and/or injection: Intermediate joint, bursa (e.g. temporaomandibular, acromioclavivular,wrist, elbow or ankle, olecranon bursa) (excluding aftercare, modifier 0005 not applicable)

12

354.00

12

354.00

3

413.58 +T+M

0660

Aspiration and/or injection: Major joint, bursa (e.g. shoulder, hip, knee, joint, subacromial bursa) (excluding aftercare, modifier 0005 not applicable)

14.60

430.70

14.60

430.70

3

413.58 +T+M

0661

Aspiration of joint or intra-articular injection (not subject to rule G) (Modifier 0005 not applicable)

9

265.50

9

265.50

3

413.58 +T

0668

Manipulation of knee joint under general anaethesia (includes application of traction or other fixation devices) (excluding aftercare) (modifier 0005 is not applicable)

43.10

1 271.45

43.10

1 271.45

3

413.58 +T

0667

Arthroscopy (excluding after-care), modifiers 0005 and 0013 not applicable

60

1 770.00

60

1 770.00

3

413.58 +T

0669

Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable)

14

413.00

14

413.00

4

551.44 Hip +T

413.58 Knee/

Shoulder +T

0673

Menisectomy or operation for other internal derangement of knee: Medial OR Lateral

185.70

5 478.15

148.56

4 382.52

3

413.58 +T+M

3.2.8

Joint ligament reconstruction or suture

0675

Joint ligament reconstruction or suture: Ankle: Collateral

160

4 720.00

128

3 776.00

3

413.58 +T+M

0676

Joint ligament reconstruction or suture: Ankle (e.g. Watson-Jones type)

191.50

5 649.25

153.20

4 519.40

3

413.58 +T+M

0677

Joint ligament reconstruction or suture: Knee: Collateral

196.80

5 805.60

157.44

4 644.48

3

413.58 +T+M

0678

Joint ligament reconstruction: Knee: Cruciate

227.60

6 714.20

182.08

5 371.36

3

413.58 +T+M

0679

Joint ligament reconstruction or suture: Ligament augmentation procedure of knee

324.40

9 569.80

259.52

7 655.83

3

413.58 +T+M

0680

Joint ligament reconstruction or suture: Digital joint ligament

229.80

6 779.10

183.84

5 423.28

3

413.58 +T+M