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

Specialist

General Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

3.8.1

Foot and ankle

0900

Excision tarsal coalition - stand alone procedure

141.5

4 174.25

120

3 540.00

3

413.58 +T+M

0901

Tenotomy single tendon

63.3

1 867.35

63.3

1 867.35

3

413.58 +T+M

0903

Hammertoe: one toe

99.5

2 935.25

99.5

2 935.25

3

413.58 +T+M

0905

Fillet of toe or Ruiz-Mora procedure

99.5

2 935.25

99.5

2 935.25

3

413.58 +T+M

0906

Arthrodesis Hallux

148

4 366.00

120

3 540.00

3

413.58 +T+M

0909

Excision arthroplasty

145.2

4 283.40

120

3 540.00

3

413.58 +T+M

0910

Cheilectomy or metatarsophangeal implant Hallux

183

5 398.50

146.4

4 318.80

3

413.58 +T+M

0911

Metatarsal osteotomy or Lapidus or similar or Chevron - stand alone procedure

189.2

5 581.40

151.36

4 465.12

3

413.58 +T+M

5730

Hallux valgus double osteotomy etc

182.6

5 386.70

146.08

4 309.36

3

413.58 +T+M

5731

Distal soft tissue procedure for Hallux Valgus

173.6

5 121.20

138.88

4 096.96

3

413.58 +T+M

5732

Aitkin procedure or similar

166.8

4 920.60

133.44

3 936.48

3

413.58 +T+M

5734

Removal bony prominence foot (bunionette not applicable to COID)

91

2 684.50

91

2 684.50

3

413.58 +T+M

5735

Repair angular deformity toe (lesser toes)

97.2

2 867.40

97.2

2 867.40

3

413.58 +T+M

5736

Sesamoidectomy

97.8

2 885.10

97.8

2 885.10

3

413.58 +T+M

5737

Repair major foot tendons e.g. Tib Post

147.3

4 345.35

120

3 540.00

3

413.58 +T+M

5738

Repair of dislocating peroneal tendons

173.2

5 109.40

138.56

4 087.52

3

413.58 +T+M

5740

Steindler strip - plantar fascia

97.2

2 867.40

97.2

2 867.40

3

413.58 +T+M

5742

Tendon transfer foot

172

5 074.00

137.6

4 059.20

3

413.58 +T+M

5743

Capsulotomy metatarsophalangeal joints - foot

86.8

2 560.60

86.8

2 560.60

3

413.58 +T+M

3.8.2

Replantation

0912

Replantation of amputated upper limb proximal to wrist joint

730

21 535.00

584

17 228.00

3

413.58 +T+M

0913

Replantation of thumb

670

19 765.00

536

15 812.00

3

413.58 +T+M

0914

Replantation of a single digit (to be motivated), for multiple digits, modifier 0005 applicable

580

17 110.00

464

13 688.00

3

413.58 +T+M

0915

Replantation operation through the palm

1270

37 465.00

1016

29 972.00

3

413.58 +T+M

3.8.3

Hands: (Note: Skin: See Integumentary system)

0919

Tumours: Epidermiod cysts

35

1 032.50

35

1 032.50

3

397.68 +T+M

0922

Removal of foreign bodies requiring incision: Under local anaesthetic

19

560.50

19

560.50

3

397.68 +T+M

0923

Removal of foreign bodies requiring incision: Under general or regional anaesthetic

32

944.00

32

944.00

3

397.68 +T+M

0924

Crushed hand injuries: Initial extensive soft tissue toilet under general anaesthetic (sliding scale)

37

to

110

1 091.50

3 245.00

37

to

110

1 091.50

3 245.00

3

413.58 +T+M

0925

Crushed hand injuries: Subsequent dressing charges under general anaesthetic

16

472.00

16

472.00

3

413.58 +T+M

0926

Initial treatment of fractures, tendons, nerves, loss of skin and blood vessels,including removal of dead tissue under general anaesthesia and six weeks alter-care

269

7 935.50

215.2

6 348.40

3

413.58 +T+M

3.8.4

Spine

0927

Excision of one vertebral body, for a lesion within the body (no decompression)

207

6 106.50

165.6

4 885.20

3

413.58 +T+M

0928

Excision of each additional vertebral segment for a lesion within the body (no decompression)

+      42

1 239.00

42

1 239.00

3

413.58 +T+M

0929

Manipulation of spine with anaesthetic (no aftercare),

(modifier 0005 is not applicable)

Tariff code may not be used with spinal manipulation done in rooms because such manipulation is considered part of visit/consultation

14

413.00

14

413.00

5

689.30 +T+M

0930

Posterior osteotomy of spine: One vertebral segment

Appropriate tariff codes for instrumentation and bone graft may be added

339

10 000.50

271.2

8 000.40

3

413.58 +T+M

0931

Posterior spinal fusion: One level

Tariff code 0946 can be added

385

11 357.50

308

9 086.00

3

413.58 +T+M

0932

Posterior osteotomy of spine: Each additional vertebral segment

Appropriate tariff codes for instrumentation and bone graft may be added

Modifier 0005 does not apply

Add to tariff code 0930

+     103

3 038.50

103

3 038.50

3

413.58 +T+M

0933

Anterior spinal osteotomy with disc removal: One vertebral segment

Tariff code 0936 can be added

Appropriate tariff codes for instrumentation and bone graft may be added

315

9 292.50

252

7 434.00

3

413.58 +T+M

0936

Anterior spinal osteotomy with disc removal: Each additional vertebral segment

Modifier 0005 does not apply

Appropriate tariff codes for instrumentation and bone graft may be added

+     103

3 038.50

+      103

3 038.50

3

413.58 +T+M

0938

Anterior fusion base of skull to C2

449

13 245.50

359.2

10 596.40

4

551.44 +T+M

0939

Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon

160

4 720.00

128

3 776.00

3

413.58 +T+M

0940

Transthoracic anterior exposure of the spine if done by a second surgeon

160

4 720.00

128

3 776.00

3

413.58 +T+M

0941

Anterior interbody fusion: One level

Tariff code 0942 can be added

360

10 620.00

288

8 496.00

3

413.58 +T+M

0942

Anterior interbody fusion: Each additional level

Modifier 0005 does not apply

+     102

3 009.00

+     102

3 009.00

3

413.58 +T+M

0943

Laminectomy with decompression of nerve roots and disc removal: One level

240

7 0890.00

192

5 664.00

3

413.58 +T+M

0944

Posterior fusion: Occiput to C2

390

11 505.00

312

9 204.00

4

551.44 +T+M

0946

Posterior spinal fusion: Each additional level

+     111

3 274.50

+     111

3 274.50

3

413.58 +T+M

0948

Posterior interbody lumbar fusion: One level

Tariff code 0950 can be added

364

10 738.00

291.2

8 590.40

3

413.58 +T+M

0950

Posterior interbody lumbar fusion: Each additional interspace

+       95

2 802.50

+        95

2 802.50

3

413.58 +T+M

0959

Excision of coccyx

96

2 832.00

 96

2 832.00

3

413.58 +T+M

0960

Posterior non-segmental instrumentation

167

4 926.50

133.6

3 941.20

5

689.30 +T+M

0961

Costo-transversectomy

198

S 841.00

158.4

4 672.80

3

413.58 +T+M

0962

Posterior segmental Instrumentation: 2 to 6 vertebrae

176

5 192.00

140.8

4 153.60

5

689.30 +T+M

0963

Antero-lateral decompression of spinal cord or anterior debridement

326

9 617.00

260.8

7 693.60

3

413.58 +T+M

0964

Posterior segmental instrumentation: 7 to 12 vertebrae

Not to use with tariff code 0962

Modifier 0005 not applicable

201

5 929.50

160.8

4 743.60

5

689.30 +T+M

0966

Posterior segmental instrumentation: 13 or more vertebrae

Not to use with tariff code 0962 and 0964

Modifier 0005 not applicable

245

7 227.50

196

5 782.00

5

689.30 +T+M

0968

Anterior instrumentation: 2 to 3 vertebrae

159

4 690.50

127.2

3 752.40

5

689.30 +T+M

0969

Skull or skull-femoral traction including two weeks after-care

64

1 888.00

64

1 888.00

--

0970

Anterior instrumentation: 4 to 7 vertebrae

Not to use with tariff code 0968

Modifier 0005 not applicable

185

5 457.50

148

4 366.00

5

689.30 +T+M

0972

Anterior instrumentation : 8 or more vertebrae

Not to use with tariff code 0968 and 0970

Modifier 0005 not applicable

206

6 077.00

164.8

4 861.60

5

689.30 +T+M

0974

Additional pelvic fixation of instrumentation other than sacrum

Modifier 0005 not applicable

108

3 186.00

108

3 186.00

5

689.30 +T+M

5750

Reinsertion of instrumentation

Add appropriate instrumentation codes

276

8 142.00

220.8

6 513.60

6

827.16 +T +M

5751

Removal of posterior non-segmental instrumentation

Add instrumentation codes if appropriate

173

5 103.50

138.4

4 082.80

6

827.16 +T +M

5752

Removal of posterior segmental instrumentation

Add instrumentation codes if appropriate

175

5 162.50

140

4 130.00

6

827.16 +T +M

5753

Removal of anterior instrumentation

Add instrumentation codes if appropriate

204

6 018.00

163.2

4 814.40

6

827.16 +T +M

5755

Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels

295

8 702.50

236

6 962.00

3

413.58 +T+M

5756

Laminectomy with full decompression for spondylolisthesis (Gill procedure)

304

8 968.00

243.2

7 174.40

3

413.58 +T+M

5757

Laminectomy for decompression without  foraminotomy or diskectomy more than two levels

321

9 469.50

256.8

7 575.60

3

413.58 +T+M

5758

Laminectomy with decompression of nerve roots and disc removal: Each additional level

63

1 858.50

63

1 858.50

3

413.58 +T+M

5759

Laminectomy for decompression diskectomy etc., revision operation

352

10 384.00

281.6

8 307.20

4

551.44+T+M

5760

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: One level

301

8 879.50

240.8

7 103.60

3

413.58 +T+M

5761

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: Each additional level

68

2 006.00

68

2 006.00

3

413.58 +T+M

5763

Anterior disc removal and spinal decompression cervical: One level

Tariff code 5764 can be added

344

10 148.00

275.2

8 118.40

3

413.58 +T+M

5764

Anterior disc removal and spinal decompression cervical: Each additional level

81

2 389.50

81

2 389.50

3

413.58 +T+M

5765

Vertebral corpectomy for spinal decompression: One level

466

13 747.00

372.8

10 997.60

3

413.58 +T+M

5766

Vertebral corpectomy for spinal decompression: Each additional level

Tariff code 5766 can be added

88

2 596.00

88

2 596.00

3

413.58 +T+M

5770

Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable)

71

2 094.50

71

2 094.50