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

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2023

Doctors Gazette 2023

General Practitioner and Specialist Tariff of Fees as from 1 April 2023

Part lll : Procedures

3. Musculo-Skeletal System

3.4 Muscles, tendons and fascias

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Specialist

General Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

3.4.1

Investigations

 

 

 

 

 

 

0713

Electromyography

75

2 212.50

75

2 212.50

3

413.58 +T

0714

Electro-myographic neuro-muscular junctional study, including edrophonium response (cannot be used with tariff code 2730)

57

1 681.50

57

1 681.50

3

413.58 +T

0715

Strength duration curve per session

10.5

309.75

10.5

309.75

3

413.58 +T

0717

Electrical examination of single nerve or muscle

9

265.50

9

265.50

3

413.58 +T

0721

Voltage integration during Isometric contraction

12

354.00

12

354.00

3

413.58 +T

0723

Tonometry with edrophonium

8

236.00

8

236.00

3

413.58 +T

0725

Isometric tension studies with edrophonium

10

295.00

10

295.00

3

413.58 +T

0727

Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial: Unilateral

8

236.00

8

236.00

3

413.58 +T

0728

Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial : Bilateral

14

413.00

14

413.00

3

413.58 +T

0729

Tendon reflex time

7

206.50

7

206.50

3

413.58 +T

0730

Limb-brain somatosensory studies (per limb)

49

1 445.50

49

1 445.50

3

 413.58 +T

0731

Vision and audiosensory studies

49

1 445.50

49

1 445.50

 

 

0733

Motor nerve conduction studies (single nerve)

26

767.00

26

767.00

 

 

0735

Examinations of sensory nerve conduction by sweep averages (single nerve)

31

914.50

31

914.50

3

413.58 +T

0737

Biopsy for motor nerve terminals and end plates

20

590.00

20

590.00

3

413.58 +T

0739

Combined muscle biopsy with end plates and nerve terminal biopsy

34

1 003.00

34

1 003.00

8

1102.88 +T

0740

Muscle fatigue studies

20

590.00

20

590.00

3

413.58 +T

0741

Muscle biopsy

20

590.00

20

590.00

8

1102.88 +T

0742

Global fee for all muscle studies, including histochemical studies

262

7 729.00

 

 

 

 

4701

Biochemical estimations on muscle biopsy specimens: Creatine Kinase

20.25

597.38

 

 

 

 

4703

Biochemical estimations on muscle biopsy specimens: Adenylate Kinase

33.3

982.35

 

 

 

 

4705

Biochemical estimations on muscle biopsy specimens: Pyruvate Kinase

5.7

168.15

 

 

 

 

4707

Biochemical estimations on muscle biopsy specimens: Lactatye dehydrogenase

1.6

47.20

 

 

 

 

4709

Biochemical estimations on muscle biopsy specimens: Adenylate deaminase

9.9

292.05

 

 

 

 

4711

Biochemical estimations on muscle biopsy specimens: Phosphoglycerate Kinase

13.7

404.15

 

 

 

 

4713

Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase

25.9

764.05

 

 

 

 

4715

Biochemical estimations on muscle biopsy specimens: Enolase

32.7

964.65

 

 

 

 

4717

Biochemical estimations on muscle biopsy specimens: Phosphofructokinase

37.7

1 112.15

 

 

 

 

4719

Biochemical estimations on muscle biopsy specimens: Aldolase

15.75

464.63

 

 

 

 

4721

Biochemical estimations on muscle biopsy specimens: Glyceraldehyde 3 Phosphate Dehydrogenase

11.06

326.27

 

 

 

 

4723

Biochemical estimations on muscle biopsy specimens: Phosphorylase

34.7

1 023.65

 

 

 

 

4725

Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase

40.3

1 188.85

 

 

 

 

4727

Biochemical estimations on muscle biopsy specimens: Phosphohexose Isomerase

28.8

849.60

 

 

 

 

 

 

 

 

 

 

 

 

3.4.2

Decompression Operations

 

 

 

 

 

 

5550

Decompression fasciotomy: Buttock compartment(s): Unilateral

243

7 168.50

194.4

5 734.80

5

689.30 +T+M

5551

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). EXCLUDES debridement of nonviable muscle and/or nerve

151.9

4 481.05

121.52

3 584.84

3

413.58 +T+M

5552

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). INCLUDES debridement of nonviable muscle and/or nerve

253.1

7 466.45

202.48

5 973.16

3

413.58 +T+M

5553

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. EXCLUDES debridement of nonviable muscle and/or nerve

123.7

3 649.15

120

3 540.00

3

413.58 +T+M

5554

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. INCLUDES debridement of nonviable muscle and/or nerves

162.1

4 781.95

129.68

3 825.56

3

413.58 +T+M

5555

Decompression fasciotomy: Leg: Posterior compartment only. EXCLUDES debridement of nonviable muscle an/or nerve

130.8

3 858.60

120

3 540.00

3

413.58 +T+M

5556

Decompression fasciotomy: Leg: Posterior compartment only. INCLUDES debridement of nameable muscle and/or nerve

171.5

5 059.25

137.2

4 047.40

3

413.58 +T+M

5557

Decompression fasciotomy: fasciotomy/tenotomy, iliotibial

137.3

4 050.35

120

3 540.00

4

551.44 +T+M

5558

Decompression fasciotomy: Fasciotomy: Foot and/or toe

86.6

2 554.70

86.6

2 554.70

3

413.58 +T+M

5559

Decompression fasciotomy: Forearm and/or wrist: Flexor and extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

226.3

6 675.85

181.04

5 340.68

3

413.58 +T+M

5560

Decompresson fasclotomy: Forearm and/or wrist: Flexor and extensor compartment, INCLUDES debridement of nonviable muscle or nerve

354.5

10 457.75

283.6

8 366.20

3

413.58 +T+M

5561

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

166.8

4 920.60

133.44

3 936.48

3

413.58 +T+M

5562

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. INCLUDES debridement of nonviable muscle or nerve

321.1

9 472.45

256.88

7 577.96

3

413.58 +T+M

5563

Decompression fasciotomy: Fingers and/or hand

165.6

4 885.20

132.48

3 908.16

3

413.58 +T+M

 

 

 

 

 

 

 

 

3.4.3

Muscle and tendon repair

 

 

 

 

 

 

0745

Muscle and tendon repair: Biceps humeri

109

3 215.50

109

3 215.50

3

413.58 +T    

0746

Muscle and tendon repair: Removal of calcification in Rotator cuff

96

2 832.00

96

2 832.00

3

413.58 +T+M

0747

Muscle and tendon repair: Rotator cuff

134

3 953.00

120

3 540.00

4

551.44 +T    

0748

Muscle and tendon repair: Debridement rotator cuff

139.7

4 121.15

120

3 540.00

4

551.44 +T    

0749

Muscle and tendon repair. Scapulopexy - stand alone procedure

271.9

8 021.05

217.52

6 416.84

4

551.44 +T    

0755

Muscle and tendon repair: Intrapatellar or quadriceps tendon

128

3 776.00

120

3 540.00

3

413.58 +T    

0757

Muscle and tendon repair. Achilles tendon repair

197.6

5 829.20

158.08

4 663.36

4

551.44 +T    

0759

Muscle and tendon repair. Other single tendon

77

2 271.50

77

2 271.50

3

413.58 +T    

0760

Hand: Flexor tendon suture: Primary, zone 1 (each) (modifier 0005 applicable)

220.3

6 498.85

176.24

5 199.08

3

413.58 +T    

0761

Hand: Flexor tendon repair: Primary, zone 2 (no mans land) (each) (modifier 0005 applicable)

249.6

7 363.20

199.68

5 890.56

3

413.58 +T    

0762

Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm)(each)(modifier 0005 applicable)

191.3

5 643.35

153.04

4 514.68

3

413.58 +T    

0763

Muscle and tendon repair: tendon or ligament injection

9

265.50

9

265.50

3

413.58 +T    

0764

Hand: Flexor tendon repair: Secondary, zone 1

243.9

7 195.05

195.12

5 756.04

3

413.58 +T    

0765

Hand: Flexor tendon repair Secondary, zone 2 (no mans land)

249.6

7 363.20

199.68

5 890.56

3

413.58 +T    

0766

Hand: Flexor tendon repair: Secondary, zone 3 and 4 (wrist and forearm)

190.6

5 622.70

152.48

4 498.16

3

413.58 +T    

0768

Repair: Intrinsic muscles of hand (each) (modifier 0005 applicable)

125.3

3 696.35

100.24

2 957.08

3

413.58 +T    

0771

Extensor tendon suture: Primary (per tendon, Modifier 0005 not applicable)

129.7

3 826.15

120

3 540.00

3

413.58 +T    

0773

Extensor tendon suture: Secondary (per tendon, Modifier 0005 not applicable)

170.00

5 015.00

136

4 012.00

3

413.58 +T    

0774

Repair of Boutonniére deformity or Mallet Finger with graft

216.60

6 389.70

216.60

6 389.70

3

413.58 +T    

 

 

 

 

 

 

 

 

3.4.4

Tendon graft

 

 

 

 

 

 

0775

Free tendon graft

160

4 720.00

128

3 776.00

3

413.58 +T    

0776

Reconstruction of pulley for flexor tendon

180.20

5 315.90

144.16

4 252.72

3

413.58 +T    

0777

Tendon graft: Finger: Flexor

192

5 664.00

153.6

4 531.20

3

413.58 +T    

0779

Tendon graft: Finger: Extensor

122

3 599.00

120

3 540.00

3

413.58 +T    

0780

Two stage flexor tendon graft using silastic rod

240

7 080.00

192

5 664.00

3

413.58 +T    

 

 

 

 

 

 

 

 

3.4.5

Tenolysis

 

 

 

 

 

 

0781

Tendon freeing operation, except where specified elsewhere

64

1 888.00

64

1 888.00

3

413.58 +T    

0782

Carpal tunnel syndrome

123

3 628.50

120

3 540.00

3

413.58 +T    

0783

Tenolysis: De Quervain

38

1 121.00

38

1 121.00

3

413.58 +T    

0784

Trigger finger

38

1 121.00

38

1 121.00

3

413.58 +T    

0785

Flexor tendon freeing operation following free tendon graft or suture

276.1

8 144.95

220.88

6 515.96

3

413.58 +T    

0787

Extensor tendon freeing operation following graft or suture in finger, hand or forearm

212.2

6 259.90

170

5 015.00

3

413.58 +T    

0788

Intrinsic tendon release per finger

64

1 888.00

64

1 888.00

3

413.58 +T

0789

Central tendon tenotomy for Boutonniére deformity

64

1 888.00

64

1 888.00

3

413.58 +T

 

 

 

 

 

 

 

 

3.4.6

Tenodesis

 

 

 

 

 

 

0790

Tenodesis: Digital joint (each) (modifier 0005 applicable)

176.2

5 197.90

140.96

4 158.32

3

413.58 +T

 

 

 

 

 

 

 

 

3.4.7

Muscle, tendon and fascia transfer

 

 

 

 

 

 

0791

Single tendon transfer

96

2 832.00

96

2 832.00

3

413.58 +T

0792

Multiple tendon transfer

128

3 776.00

120

3 540.00

3

413.58 +T

0793

Hamstring to quadriceps transfer

141

4 159.50

120

3 540.00

3

413.58 +T

0794

Pectoralis major or Latissimus dorsi transfer to biceps tendon

320

9 440.00

256

7 552.00

5

689.30 +T

0795

Tendon transfer at elbow

116

3 422.00

116

3 422.00

3

413.58 +T

0803

Hand tendons: Single transfer (each) (modifier 0005 applicable)

216.20

6 377.90

172.96

5 102.32

3

413.58 +T

0809

Hand tendons: Substitution for intrinsic paralysis of hand tendon (all four fingers)

330.60

9 752.70

264.48

7 802.16

3

413.58 +T

0811

Hand tendons: Opponens tendon transfer (including obtaining of graft)

220.6

6 507.70

176.48

5 206.16

3

413.58 +T

 

 

 

 

 

 

 

 

3.4.8

Muscle slide operations and tendon lengthening

 

 

 

 

 

 

0812

Percutaneous Tenotomy: All sites

140.50

4 144.75

120

3 540.00

3

413.58 +T

0813

Torticollis

96

2 832.00

96

2 832.00

5

689.30 +T

0815

Scalenotomy

132

3 894.00

120

3 540.00

5

689.30 +T

0817

Scalenotomy with excision of first rib

190

5 605.00

152

4 484.00

3

413.58 +T +M

0822

Open release elbow (Mitals) - stand alone procedure

278.20

8 206.90

222.56

6 565.52

3

 413.58 +T +M

0823

Excision or slide for Volksmann's Contracture

192

5 664.00

153.6

4 531.20

3

413.58 +T

0825

Hip: Open muscle release

116

3 422.00

116

3 422.00

7

965.02 +T

0829

Knee: Quadriceps plasty

160

4 720.00

128

3 776.00

3

413.58 +T

0831

Knee: Open tenotomy

141

4 159.50

120

3 540.00

3

413.58 +T

0835

Calf

96

2 832.00

96

2 832.00

4

551.44 +T

0837

Open Elongation Tendon Achilles

96

2 832.00

96

2 832.00

4

551.44 +T

0838

Percutaneous " Hoke" elongation tendoachilles - stand alone procedure

79.3

2 339.35

79.3

2 339.35

4

551.44 +T

0845

Foot: Plantar fasciotomy

70

2 065.00

70

2 065.00

3

413.58 +T