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

Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.2.1

Dislocations

0547

Dislocation: Clavicle: either end

96.5

2 737.71

96.5

2 737.71

3

397.68 +T+M

0549

Dislocation: Shoulder

112.10

3 180.28

112.10

3 180.28

3

397.68 +T+M

0551

Dislocation: Elbow

133.60

3 790.23

120

3 404.40

3

397.68 +T+M

0552

Dislocation: Wrist

115.50

3 276.74

115.50

3 276.74

3

397.68 +T+M

0553

Dislocation: Perilunar transscaphoid fracture dislocation

130

3 688.10

120

3 404.40

3

397.68+T+M

0555

Dislocation: Lunate

136.30

3 866.83

120.00

3 404.40

3

397.68 +T+M

0556

Dislocation: Carpo-metacarpo dislocation

117.20

3 324.96

117.20

3 324.96

3

397.68 +T+M

0557

Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand)

107.30

3 044.10

107.30

3 044.10

3

397.68 +T+M

0559

Dislocation: Hip

220.50

6 255.59

176.40

5 004.47

3

397.68 +T+M

0561

Dislocation: Knee, with manipulation

181.20

5 140.64

144.96

4 112.52

3

397.68 +T+M

0563

Dislocation: Patella

136.90

3 883.85

120

3 404.40

3

397.68 +T+M

0565

Dislocation: Ankle

98.60

2 797.28

98.60

2 797.28

3

397.68 +T+M

0567

Dislocation: Sub-Talar dislocation

92

2 610.04

92

2 610.04

3

397.68 +T+M

0569

Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal

77

2 184.49

77

2 184.49

3

397.68 +T+M

0571

Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot)

39.40

1 117.78

39.40

1 117.78

3

397.68 +T+M

3.2.2

Operations for dislocations

0578

Recurrent dislocation of shoulder

200

5 674.00

160

4 539.20

3

397.68 +T+M

0579

Recurrent dislocation of large joints

161

4 567.57

128.8

3 654.06

3

397.68 +T+M

3.2.3

Capsular operations

0582

Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care)

51

1 446.87

51

1 446.87

3

397.68 +T+M

0583

Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care)

96

2 723.52

96

2 723.52

3

397.68 +T+M

0585

Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy digital joint

64

1 815.68

64

1 815.68

3

397.68 +T+M

0586

Multiple percutaneous capsulotomies of metacarpo-phalangeal joints

90

2 553.30

90

2 553.30

3

397.68 +T+M

0587

Release of digital joint contracture

128

3 631.36

120

3 404.40

3

397.68 +T+M

3.2.4

Synovectomy

0589

Synovectomy: Digital joint

77

2 184.49 i

77

2 184.49 i

3

397.68 +T+M

0592

Synovectomy: Large joint

160

4 539.20

128

3 631.36

3

397.68 +T+M

0593

Tendon synovectomy

203.7

5 778.97

162.96

4 623.18

3

397.68 +T+M

3.2.5

Arthodesis

0597

Arthrodesis: Shoulder

224

6 354.88

179.2

5 083,90

3

397.68 +T+M

0598

Arthrodesis: Elbow

180

5 106.60

144

4 085.28

3

397.68 +T+M

0599

Arthrodesis: Wrist

180

5 106.60

144

4 085.28

3

397.68 +T+M

0600

Arthrodesis: Digital joint

128

3 631.36

120

3 404.40

3

397.68+T+M

0601

Arthrodesis: Hip

320

9 078.40

256

7 262.72

3

397.68 +T+M

0602

Arthrodesis: Knee

180

5 106.60

144

4 085.28

3

397.68 +T+M

0603

Arthrodesis: Ankle

180

5 106.60

144

4 085.28

3

397.68 +T+M

0604

Arthrodesis: Sub-talar

130

3 688.10

120

3 404.40

3

397.68 +T+M

0605

Arthrodesis: Stabilization of foot (triple-arthrodeses)

180

5 106.60

144

4 085.28

3

397.68 +T+M

0607

Arthrodesis: Mid-tarsal wedge resection

180

5 106.60

144

4 085.28

3

397.68 +T+M

3.2.6

Arthroplasty

0614

Arthroplasty: Debridement large joints

160

4 539.20

128

3 631.36

3

397.68  +T+M

0615

Arthroplasty: Excision medial or lateranl end of clavicle

116

3 290.92

116

3 290.92

3

397.68 +T+M

0617

Shoulder. Acromioplasty

192

5 447.04

153.6

4 357.63

3

397.68 +T+M

0619

Shoulder: Partial replacement

277

7 858.49

221.6

6 286.79

5

662.80 +T+M

0620

Shoulder: Total replacement

416

11 801.92

332.8

9 441.54

5

662.80 +T+M

0621

Elbow: Excision head of radius

96

2 723.52

96

2 723.52

3

397.68 +T+M

0622

Elbow: Excision

192

5 447.04

153.6

4 357.63

3

397.68 +T+M

0623

Elbow: Partial replacement

188

5 333.56

150.4

4 266.85

3

397.68 +T+M

0624

Elbow: Total replacement

282

8 000.34

225.6

6 400.27

3

397.68 +T+M

0625

Wrist: Excision distal end of ulna

96

2 723.52

96

2 723.52

3

397.68 +T+M

0626

Wrist: Excision single bone

110

3 120.70

110

3 120.70

3

397.68 +T+M

0627

Wrist: Excision proximal row

166

4 709.42

132.8

3 767.54

3

397.68 +T+M

0631

Wrist: Total replacement

249

7 064.13

199.2

5 651.30

3

397.68 +T+M

0635

Digital joint: Total replacement

192

5 447.04

153.6

4 357.63

3

397.68 +T+M

0637

Hip: Total replacement

416

11 801.92

332.8

9 441.54

3

397.68 +T+M

0641

Hip: Prosthetic replacement of femoral head

288

8 170.56

230.4

6 536.45

3

397.68 +T+M

0643

Hip: Girdlestone

320

9 078.49

256

7 262.72

3

397.68 +T+M

0645

Knee: Partial replacement

277

7 858.49

221.6

6 286.79

3

397.68 +T+M

0646

Knee: Total replacement

416

11 801.92

332.8

9 441.54

3

397.68+T+M

0649

Ankle: Total replacement

290.4

8 238.65

232.32

6 590.92

3

397.68 +T+M

0650

Ankle: Astragalectomy

154

4 368.98

123.2

3 495.18

3

397.68 +T+M

3.2.7

Miscellaneous (Joints)

0658

Aspiration and/or injection: Small joint, bursa (e.g. fingers, toes) (excluding aftercare, modifier 0005 not applicable)

11.40

323.42

11.40

323.42

3

397.68 +T+M

0659

Aspiration and/or injection: Intermediate joint, bursa (e.g. temporaomandibular, acromioclavivular,wrist, elbow or ankle, olecranon bursa) (excluding aftercare, modifier 0005 not applicable)

12

340.44

12

340.44

3

397.68 +T+M

0660

Aspiration and/or injection: Major joint, bursa (e.g. shoulder, hip, knee, joint, subacromial bursa) (excluding aftercare, modifier 0005 not applicable)

14.60

414.20

14.60

414.20

3

397.68 +T+M

0661

Aspiration of joint or intra-articular injection (not subject to rule G) (Modifier 0005 not applicable)

9

255.33

9

255.33

3

397.68 +T

0668

Manipulation of knee joint under general anaethesia (includes application of traction or other fixation devices) (excluding aftercare) (modifier 0005 is not applicable)

43.10

1 222.75

43.10

1 222.75

3

397.68 +T

0667

Arthroscopy (excluding after-care), modifiers 0005 and 0013 not applicable

60

1 702.20

60

1 702.20

3

397.68 +T    

0669

Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable)

14

397.18

14

397.18

4

530.24 Hip +T

397.68 Knee/

Shoulder +T

0670

Only the consultation fee should be charged when manipulation of a large joint is performed with or without local anaesthetic [Discontinued 2020]

0673

Menisectomy or operation for other internal derangement of knee: Medial OR Lateral

185.70

5 268.31

148.56

4 214.65

3

397.68 +T+M

3.2.8

Joint ligament reconstruction or suture

0675

Joint ligament reconstruction or suture: Ankle: Collateral

160

4 53920

128

3 631.36

3

397.68 +T+M

0676

Joint ligament reconstruction or suture: Ankle (e.g. Watson-Jones type)

191.50

5 432.86

153.20

4 346.28

3

397.68 +T+M

0677

Joint ligament reconstruction or suture: Knee: Collateral

196.80

5 583.22

157.44

4 466.57

3

397.68 +T+M

0678

Joint ligament reconstruction: Knee: Cruciate

227.60

6 457.01

182.08

5 165.61

3

397.68 +T+M

0679

Joint ligament reconstruction or suture: Ligament augmentation procedure of knee

324.40

9 203.23

259.52

7 362.58

3

397.68 +T+M

0680

Joint ligament reconstruction or suture: Digital joint ligament

229.80

6 519.43

183.84

5 215.54

3

397.68 +T+M