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

14.1

Diagnostic procedures

2709

Full spinogram including bilateral median and posterior-tibial studies

140

3 971.80

2711

Electro- encephalogram (EEG): 20-40 minutes record:Equipment cost for taking of record (Technical component)(refer to item 2712 for interpretation and report)

105.60

2 995.87

105.60

2 995.87

2712

Clinical interpretation and report of item 2711: Electroencephalogram (EEG): 20-40 minutes record (Professional component)

16.60

470.94

16.60

470.94

2713

Spinal (lumbar) puncture. For diagnosis, for drainage of spinal fluid or for therapeutic indications

18.4

522.01

18.4

522.01

2714

Cisternal or lateral cervical (C1-C2) puncture: Without injection - stand -alone procedure

32

907.84

32

907.84

2717

Electromyography: First [Discontinued 2020] Refer to item 0713

2718

Electromyography: Subsequent [Discontinued 2020] Refer to item 0713]

2725

Angiograply carotis: Unilateral [Discontinued 2020] Refer to item 1245

2726

Angiography carotis: Bilateral [Discontinued 2020] Refer to item 1245

2727

Vertebral artery: Direct needling [Discontinued 2020] Obsolete procedure

2729

Vertebral catheterisation [Discontinued 2020] Refer to item 1245

2731

Air encephalography and posterior fossa tomography: Injection of air (independent procedure) [Discontinued 2020] Refer to item 2714

2737

Air encephalography and posterior fossa tomography: Visual field charting on Bjerrum Screen

7

198.59

7

198.59

2739

Ventricular needling without burring: Tapping only

16

453.92

16

453.92

4

530.24 +T

2741

Ventricular needling without burring: Plus introduction of air and/or contrast dye for ventriculography

43

1 219.91

43

1 219.91

4

530.24 +T

2743

Subdural tapping: First sitting

15

425.55

15

425.55

4

530.24 +T

2745

Subdural tapping: Subsequent

10

283.70

10

283.70

4

530.24 +T

14.2

Introduction of burr holes for

2747

Burr hole(s): Ventricular puncture. Includes injection of gas, contrast media, dye or radioactive material

223.80

6 349.21

179.04

5 079.36

8

1060.48 +T

2749

Catheterisation for ventriculography and/or drainage

150

4 255.50

120

3 404.40

8

1060.48 +T

2753

Burr hole(s). Includes evacuation and/or drainage of haematoma: Extradural or subdural

379.40

10 763.58

303.52

8 610.86

8

1060.48 +T

2755

Burr hole(s): Includes aspiration of haematoma or cyst, intracerebral (total procedure)

369.90

10 494.06

295.92

8 395.25

8

1060.48 +T

2757

Burr hole(s) or trephine: Includes drainage of brain abscess or cyst (total procedure)

402.80

11 427.44

322.24

9 141.95

8

1060.48 +T

14.3

Nerve procedures

2765

Nerve conduction studies (see items 0733 and 3285)

26

737.62

26

737.62

4

530.24 +T

14.3.1

Nerve repair of suture

2767

Suture Brachial Plexos (see also items 2837 and 2839)

379

10 752.23

303.20

8 601.78

6

795.36 +T

2769

Suture: Large nerve: Primary

297.70

8 445.75

238.16

6 756.60

5

662.80 +T

2771

Suture: Large nerve: Secondary

202

5 730.74

161.60

4 584.59

5

662.80+T

2773

Suture: Digital nerve: Primary

199

5 645.63

159.20

4 516.50

3

397.68 +T

2775

Suture: Digital nerve: Secondary

96

2 723.52

96

2 723.52

3

397.68 +T

2777

Nerve graft: Simple

309

8 766.33

247.20

7 013.06

4

530.24 +T

2779

Fascicular: First fasciculus

202

5 730.74

161.6

4 584.59

4

530.24 +T

2781

Fascicular: Each additional fasciculus

50

1 418.50

50

1 418.50

4

530.24 +T

2783

Fascicular: Nerve flap: To include all stages

224

6 354.88

179.2

5 083.90

4

530.24 +T

2787

Fascicular: Grafting of facial nerve

215

6 099.55

172

4 879.54

5

662.80 +T

14.3.2

Neurectomy

2795

Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, one level (unilateral or bilateral)

45.4

1 288.00

45.4

1 288.00

5

662.80 +T

2796

Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, each additional level each additional level (unilateral or bilateral)

+    16.3

462.43

16.3

462.43

5

662.80 +T

2797

Procedures for pain relef: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica/thoracic, one level (unilateral or bilateral)

44

1 248.28

44

1 248.28

5

662.80 +T

2798

Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica/thoracic, each additional level (unilateral or bilateral)

+       15

425.55

15

425.55

5

662.80 +T

2799

Intrathecal injections for pain

36

1 021.32

36

1 021.32

4

530.24 +T

2800

Plexus nerve block - as part of treatment refer to annexure C on the back of this gazette (motivation to be supplied by treating doctor)

36

1 021.32

36

1 021.32

Fees as for specialist

2801

Epidural injection, plexus nerve block or peripheral nerve block for pain refer to annexure C on the back of this gazette, motivation to be supplied by treating doctor (see modifier 0045 for post-operative pain relief) (refer to modifier 0021 for epidural anaesthetic)

36

1 021.32

36

1 021.32

Fees as for specialist

2802

Peripheral nerve block - as part of treatment (motivation to be supplied)

25

709.25

25

709.25

Fees as for specialist

2803

Alcohol injection in peripheral nerves for pain: Unilateral

20

567.40

20

567.40

3

397.68 +T

2804

Inserting an indwelling nerve catheter (includes removal of catheter) (not for bolus technique) To be used only with items 2799, 2800, 2801 or 2802

+ 10

283.70

10

283.70

Fees as for specialist

2805

Alcohol injection in peripheral nerves for pain: Bilateral

35

992.95

35

992.95

3

397.68 +T

2809

Peripheral nerve section for pain

45

1 276.65

45

1 276.65

3

397.68 +T

2815

Excision interdigital neuroma - Morton

82.3

2 334.85

82.3

2 334.85

3

397.68 +T

2825

Excision: Neuroma: Peripheral

213

6 042.81

170.40

4 834.25

3

397.68 +T

14.3.3

Other nerve procedures

2827

Transposition of ulnar nerve

170

4 822.90

136

3 858.32

3

397.68 +T

2829

Neurolysis: Minor

51

1 446.87

51

1 446.87

3

397.68 +T

2831

Neurolysis: Major

141

4 000.17

120

3 404.40

3

397.68 +T

2833

Neurolysis: Digital

141

4 000.17

120

3 404.40

3

397.68 +T

2835

Scalenotomy

132

3 744.84

120

3 404.40

6

795.36 +T

2837

Brachial plexus, suture or neurolysis (item 2767)

300

8 511.00

240

6 808.80

6

795.36 +T

2839

Total brachial plexus exposure with graft, neurolysis and transplantation

895.2

25 396.82

716.16

20 317.46

6

795.36 +T

2841

Carpal Tunnel [Discontinued 2020], refer to item 0782

2843

Lumbar sympathectomy: Unilateral

153

4 340.61

122.4

3 472.49

4

530.24 +T

2845

Lumbar sympathectomy: Bilateral

268

7 603.16

214.4

6 082.53

6

795.36 +T

2849

Sympathetic block Other levels: Unilateral

20

567.40

20

567.40

3

397.68 +T

2851

Sympathetic block: Other levels: Bilateral

35

992.95

35

992.95

3

397.68 +T

14.4

Skull procedures

2855

Craniectcomy: Includes excision of tumour or other bone lesion of skull (total procdure)

396

11 234.52

317.20

8 998.96

11

1 458.16 +T

2859

Depressed skull fracture: Elevation of fracture, compound or comminuted, extradural (total procedure)

377.90

10 721.02

302.32

8 576.82

9

1 193.04 +T

2860

Depressed skull fracture: Elevation of fracture, simple,  extradural (total procedure)

307.10

8 712.43

245.68

6 969.94

9

1 193.04 +T

2861

Repair of depressed fracture of skull: With brain lacerations: Small [Discontinued 2020], Refer to item 2862

2862

Depressed skull fracture: Elevation of fracture with repair of dura and/or debridement of brain (total procedure)

455.10

12 911.19

364.08

10 328.95

11

1 458.16 +T

2863

Cranioplasty: Skull defect = <5 cm diameter: With/without prosthesis

309.10

8 769.17

247.28

7 015.33

9

1 193.04 +T

2875

Theco-peritorteal C.S.F. shunt

280

7 943.60

224

6 354.88

8

1 060.48 +T

14.6

Aneurysm repair

2876

Repair of aneurysm or arterior-venous anomalies (intracranial)

700

19 859.00

560

15 887.20

15

1 988.40 +T

14.7

Posterior fossa surgery

2879

Glosso-pharyngeal nerve

480

13 617.6D

384

10 894.08

6

795.36 +T

2881

Eighth nerve: Intracranial

480

13 617.6D

384

10 894.08

8

1 060.48 +T

2887

Eighth nerve: Vestibular nerve

480

13 617.6D

384

10 894.08

9

1 193.04 +T

14.7.1

Supratentorial procedures

2891

Craniectomy for excision of brain tumour: Infratentorial or posterior fossa for excision of brain tumour. Excludes meningioma, cerebellopontine angle tumour or midline tumour at base of skull

819

23 235.03

655.76

18 603.91

13

1723.28 +T

2893

Craniectomy for excision of brain abscess: Infratentorial or posterior fossa for excision of brain abscess

648.30

18 392.27

518.64

14 713.82

13

1 723.28 +T

2899

Craniectomy for extra-dural haematoma or empyema

375

10 638.75

300

8 511.00

11

1 458.16 +T

14.8

Craniotomy for

6085

Craniectomy/craniotomy: With exploration of the infratentorial area (below the tentorium of the cerebellum), posterior fossa (total procedure)

596.40

16 919.87

411.12

11 663.47

13

1 723.28 +T

6086

Craniectomy/craniotomy: With evacuation of infratentorial, intracerebellar haematoma (total procedure)

614.30

17 427.69

491.44

13 942.15

13

1 723.28 +T

6087

Craniectomy/craniotomy: With drainage of intracranial abscess in the infratentorial region with suction and irrigating the area while monitoring for haemorrhage (total procedure)

631.80

17 924.17

505.44

14 339.33

13

1 723.28 +T

6088

Cranial decompression caused by excess fluid (e.g. blood and pathological tissue), using posterior fossa approach by drilling/sawing through the occipital bone (total procedure)

605.10

17 166.69

484.08

13 733.35

13

1 723.28 +T

6090

Craniectomy at base of skull (suboccipitat): With freeing and section of one or more cranial nerves (total procedure)

624

17 702.88

499.20

14 162.30

11

1 458.16 +T

2900

Extra-dural orbital decompression

700

19 859.00

560

15 887.20

11

1 458.16 +T

2903

Abscess, glioma

450

12 766.50

360

10 213.20

11

1 458.16 +T

2904

Craniectomy/craniotomy: With evacuation of supratentiorial, intracerebral haematoma

590.20

16 743.97

472.16

13 395.18

11

1 458.16 +T

2905

Craniotomy with elevation of bone flap: Excision of epileptogenic focus without electrocorticography during surgery

489

13 872.93

391.20

11 098.34

11

1 458.16 +T

2906

Craniotomy: Skull based repair of encephalocele (total procedure)

493.50

14 000.60

394.80

11 200.48

11

1 458.16 +T

2909

CSF-leaks

450

12 766.50

360

10 213.20

11

1 458.16 +T

14.8.1

Stereo-tactic cerebral and spinal cord procedures

2918

(code moved to consultation section)

14.9

Spinal operations

2923

Chordotomy: Unilateral

178

5 049.86

142.4

4 039.89

3

397.68 +T+M

2925

Chordotomy: Open

350

9 929.50

280

7 943.60

3

397.68 +T+M

2927

Rhizotomy: Extradural, but intraspinal

320

9 078.40

256

7 262.72

3

397.68 +T+M

2928

Rhizotomy: Intradural

350

9 929.50

280

7 943.60

3

397.68 +T+M

2940

Lumbar osteophyte removal

187

5 305.19

149.6

4 244.15

3

397.68 +T+M

2941

Cervical or thoracic osteophyte removal

285

8 085.45

228

6 468.36

3

397.68 +T+M

14.10

Arterial ligations

2951

Carotis: Trauma

120

3 404.40

120

3 404.40

8

1 060.48 +T    

14.11

Medical Psychotherapy

2957

Individual psychotherapy (specific psychotherapy with approved evidence based method) - per short session (10-20 minutes)

20

567.40

16

453.92

2974

Individual psychotherapy (specific psychotherapy with approved evidence based method) - per intermediate session (21-40 minutes)

40

1 134.80

32

907.84

2975

Individual psychotherapy (specific psychotherapy with approved evidence based method) - per extended session (41 minutes or longer)

60

1 702.20

48

1 361.76

2958

DELETED 2009: Psychoanalytic therapy - per 60 minute session

14.12

Physical treatment methods

2970

Electro-convulsive treatment (ECT) - each time (see rule (Va)

17

482.29

17

482.29

3

397.68 +T

2971

Intravenous anti-depressive medication through infusion - per push in (maximum 1 push in per 24 hours) [Discontinued] Refer to item 0206

14.13

Psychiatric examination methods

2972

Narco-analysis (maximum of 3 sessions per treatment) - per session

24

680.88

2973

Psychometry by Psychiatrist (specify examination) - per session (maximum of 3 sessions per examination)

24

680.88