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

6. Cardiovascular System

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Specialist

General

Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

6.1

General

 

 

 

 

 

 

 

General practitioner's fee for the taking of an ECG only

 

 

 

 

 

 

 

Where an ECG is done by a general practitioner and interpreted by a physician, the general practitioner is entitled to his full consultation tee, plus half of fee determined for ECG

 

 

 

 

 

 

1228

General Practitioners fee for the taking of an ECG only: Without effort: (1232)

 

 

4.5

132.75

 

 

1229

General Practitioners fee for the taking of an ECG only: Without and with effort: 1/2 (tariff code 1233)

 

 

6.5

191.75

 

 

 

Note: Tariff codes 1228 and 1229 deal only with the fees for taking of the ECG, the consultation fee must still be added

 

 

 

 

 

 

 

Physician's fee for interpreting an ECG

 

 

 

 

 

 

 

A specialist physician is entitled to the following fees for interpretation of an ECG tracing referred for interpretation

 

 

 

 

 

 

1230

Physician's fee for interpreting an ECG: Without effort

6

177.00

 

 

 

 

1231

Physician's fee for interpreting an ECG: With and without effort

10

295.00

 

 

 

 

1232

Electrocardiogram: Without effort (interpretation included)

9

265.50

9

265.50

 

 

1233

Electrocardiogram: With and without effort (interpretation included)

13

383.50

13

383.50

 

 

1234

Effort electrocardiogram with the aid of a special bicycle ergometer, monitoring apparatus and availability of associated apparatus (interpretation included)

40

1 180.00

40

1 180.00

 

 

1235

Multi-stage treadmill

60

1 770.00

60

1 770.00

 

 

1241

X-ray screening (Chest)

4

118.00

4

118.00

 

 

1245

Angiography cerebral: First two series (Replaces tariff code 2725 and 2729)

34.3

1 011.85

34.3

1 011.85

4

551.44  +T

1246

Angiography peripheral: Per limb

25

737.50

25

737.50

4

551.44+T

1248

Paracentesis of pericardium

50

1 475.00

50

1 475.00

9

1240.74 +T

6.3

Cardiac surgery

 

 

 

 

 

 

1311

Pericardial drainage

140

4 130.00

120

3 540.00

13

1792.18 +T

6.3.1

Open heart surgery

 

 

 

 

 

 

1322

Attendance at other operations for monitoring at bedside, by physician heart block, etc: Per hour

20

590.00

 

 

 

 

6.4

Peripheral vascular system

 

 

 

 

 

 

6.4.1

Peripheral vascular system: Investigations

 

 

 

 

 

 

1357

Skin temperature test: Response to reflex heating

15

442.50

15

442.50

 

 

1359

Skin temperature test: Response to reflex cooling

15

442.50

15

442.50

 

 

1366

Transcutaneous oximetry: Transcutaneous oximetry - single site

26.3

775.85

26.3

775.85

 

 

1367

Doppler blood tests

6

177.00

6

177.00

 

 

5369

Doppler arterial pressures

6

177.00

6

177.00

 

 

5371

Doppler arterial pressures with exercise

10

295.00

10

295.00

 

 

5373

Doppler segmental pressures and wave forms

12

354.00

12

354.00

 

 

5375

Venous doppler examination (both limbs)

9

265.50

9

265.50

 

 

1376

Aorta bi-femoral graft, including proximal and distal endarterectomy and preparations for anastomosis

594

17 523.00

475.2

14 018.40

 

 

6.4.2

Peripheral vascular system: Arterio-venous-abnormalities

 

 

 

 

 

 

1369

Fistula or aneurysm (as for grafting of various arteries)

 

 

 

 

 

 

6.4.3

Arteries

 

 

 

 

 

 

6.4.3.1

Peripheral vascular system: Arteries: Aorta-iliac and major branches

 

 

 

 

 

 

1373

Abdominal aorta and iliac artery: Ruptured

600

17 700.00

480

14 160.00

15

2067.90 +T

6.4.3.2

Illiac artery

 

 

 

 

 

 

1379

Prosthetic grafting and/or Thrombo-endarterectomy

300

8 850.00

240

7 080.00

13

1792.18 +T

6.4.3.3

Peripheral

 

 

 

 

 

 

1385

Prosthetic grafting

255

7 522.50

204

6 018.00

5

689.30 +T

1387

Vein grafting proximal to knee joint

300

8 850.00

240

7 080.00

5

689.30 +T

1388

Vein grafting distal to knee joint

444

13 098.00

355.2

10 478.40

5

689.30 +T

1389

Endarterectomy when not part of another specified procedure

264

7 788.00

211.2

6 230.40

5

689.30 +T

1393

Embolectomy: Peripheral embolectomy transfemoral

168

4 956.00

134.4

3 964.80

5

689.30 +T

1395

Miscellaneous arterial procedures: Arterial suture: Trauma

125

3 687.50

100

2 950.00

5

689.30 +T

1396

Suture major blood vessel (artery or vein) - trauma (major blood vessels are defined as aorta, innominate artery, carotid artery and vertebral artery, subclavian artery, axillary artery, illiac artery, common femoral and popliteal artery. The vertebral and popliteal arteries are included because of the relevant Inaccessibility of the arteries and difficult surgical exposure)

264

7 788.00

211.2

6 230.40

15

2067.90 +T

1397

Profundoplasty

210

6 195.00

168

4 956.00

5

689.30 +T

1399

Distal tibial (ankle region)

456

13 452.00

364.8

10 761.60

5

689.30 +T

1401

Femoro-femoral

254

7 493.00

203.2

5 994.40

5

689.30 +T

1402

Carotid-subclavian

288

8 496.00

230.4

6 796.80

8

1102.88 +T

1403

Axillo-femoral (Bifemoral +50% of the fee)

288

8 496.00

230.4

6 796.80

8

1102.88 +T

6.4.4

Veins

 

 

 

 

 

 

1407

Ligation of saphenous vein

50

1 475.00

50

1 475.00

3

413.58 +T

1408

Placement of Hickman catheter or similar

May not be used for insertion or placement of a Quinton line or haemodialysis catheter

91

2 684.50

91

2 684.50

4

551.44 +T

1410

Litigation of inferior vena cava: Abdominal

180

5 310.00

144

4 248.00

8

1102.88 +T

1412

Umbrella operation on inferior vena cava: Abdominal

100

2 950.00

100

2 950.00

8

1102.88 +T

1413

Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including of perforating veins as indicated: Unilateral

141

4 159.50

120

3 540.00

3

413.58 +T

1415

Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including of perforating veins as indicated: Bilateral

247

7 286.50

198

5 829.20

3

413.58 +T

1417

Extensive sub-fascial ligation of perforating veins

125

3 687.50

120

3 540.00

3

413.58 +T

1419

Lesser varicose vein procedure

31

914.50

31

914.50

3

413.58 +T

1421

Compression sclerotherapy of varicose veins: Per injection to a maximum of nine injections per leg (excluding cost of material)

9

265.50

9

265.50

 

 

1425

Thrombectomy: Inferior vena cava (Trans-abdominal)

240

7 080.00

192

5 664.00

11

1516.46 +T

1427

Thrombectomy: Ilio-femoral

175

5 162.50

140

4 130.00

6

827.16 +T

 

[Part III Rule 6 substituted correct pricing on Doctors by N1713, G48477, dated 28 April 2023]