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 - 2021

Chiropractor Gazette 2021

Tariff of fees from 1 April 2021

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2021

1        CONSULTATIONS

04301

Initial consultation - including the taking of a full case history or pertinent history, but excluding remedies, immobilisation and manipulation procedures.

Consultation includes history taking, guidance, education, health promotion and/or consultation.

The consultation code may be charged only once at the consultation or Visit.

R324.01

 

2        DIAGNOSTIC PROCEDURES


Only a single item from this section may be charged per patient encounter. Diagnostic procedures included in the scope of practice are; physical examination, neurological examination

Initial consultation - charge 04313 (may only be used once per episode of injury )

Follow up consultation- use 04311 or 04312 only

When using 04312 at a subsequent consultation, a motivation detailing why two diagnostic are required a follow up treatment.

Use form WCL5 to submit your motivation.

 

04311

Single diagnostic procedure (May be used with up to three treatment/therapeutic codes)

R 210.03

04312

Two diagnostic procedures (Attach Motivation)

R 319.12

04313

Three diagnostic procedures (May only be used on an initial Consultation)

R 420.07

 

TREATMENT (THERAPEUTIC PROCEDURES)

Only a single item from this section may be charged per patient encounter

04331

Single treatment procedure

R 446.12

04332

Two treatment procedures

R 540.55

04333

Three treatment procedures

R 634.99

04334

Four treatment procedures

R 729.42

04335

Five treatment procedures

R 823.86

04336

Six treatment procedures

R 916.66

 

 

IMMOBILISATION OR THERAPEUTIC EXERCISE IN RELATION TO PREPARATION OR FITTING OF APPLIANCES

Only a single item from this section may be charged per patient encounter

04321

Single instance of immobilization or therapeutic exercises

R 634.99

04322

Two instances of immobilization or therapeutic exercises (Attach Motivation)

R 797.80

 

RADIOLOGY

Only a single item from this section may be charged per patient encounter

04049

Ankle - AP/LAT

R 259.36

04050

Ankle - Complete Study - 3 views

R 388.29

04051

Cervical - AP/LAT

R 259.12

04052

Cervical - AP/LAT/OBL

R 388.29

04053

Cervical study - 6 views

R 776.62

04054

Cervical - Davis Series -7 views

R 905.52

04055

Elbow -AP/LAT

R 254.28

04056

Elbow - 3 views

R 388.29

04057

Foot - AP/LAT

R 259.12

04058

Foot - 3 views

R 388.29

04059

Femur - AP/LAT

R 517.71

04060

Hand - AP/LAT

R 259.12

04061

Hand - 3 views

R 388.29

04062

Hip unilateral - 1 view

R 181.27

04063

Hip - 2 views

R 362.27

04064

Knee - AP/LAT

R 259.12

04065

Knee - 3 views

R 388.29

04066

Lumbo-Sacral - 3 views

R 621.13

04067

Lumbar spine & pelvis - 5 views

R 931.32

04068

Pelvis AP

R 259.12

04069

Pelvis - 3 views

R 569.52

04070

Ribs -Unilateral - 2 views

R 310.44

04071

Ribs -Bilateral - 3 views

R 465.65

04072

Radius/Ulna

R 259.12

04073

Spine -Full spine study - AP/LAT

R 931.32

04074

Spine - 8 X 10- Single study

R 153.31

04075

Spine - 10 X 12- Single study

R 155.48

04076

Spine - 14 X 17- Single study

R 259.12

04077

Shoulder - 1 view

R 155.48

04078

Shoulder - 2 views

R 310.44

04079

Thoraco - Lumbar - AP/LAT

R 517.71

04080

Thoracic - AP/LAT

R 517.71

04081

Tibia/Fibula - AP/LAT

R 517.71

04082

Wrist - AP/LAT

R 259.12

04083

Wrist - 3 views

R 388.29

04084

Stress views - Lumbar

R 324.67

04100

Consumable (claim using Nappi codes)

 

 

Radiation Control Council Certificate number to be on account if X-Rays charged