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

CODE

DESCRIPTION

RAND

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.

Code may be charged only once per visit per claim.

Refer to rule 003

R 336.97

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 at a follow up treatment. Use form WCL5 to submit your motivation.

Only one of items 311, 312 or 313 can be used per visit

Refer to rule 004

04311

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

R 218.44

04312

Two diagnostic procedures (Attach Motivation)

R 331.89

04313

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

R 436.87

3.         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

Only one of items 321 or 322 can be used per visit

04321

Single instance of immobilization or therapeutic exercises

R 660.39

04322

Two instances of immobilization or therapeutic exercises (Attach Motivation)

R 829.72

4.        TREATMENT (THERAPEUTIC PROCEDURES)

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

Only one of items 331, 332, 333, 334, 335 or 336 can be used per visit

04331

Single treatment procedure

R 463.96

04332

Two treatment procedures

R 562.18

04333

Three treatment procedures

R 660.39

04334

Four treatment procedures

R 758.60

04335

Five treatment procedures

R 856.81

04336

Six treatment procedures

R 953.33

RADIOLOGY

04049

Ankle - AP/LAT

R 269.73

04050

Ankle - Complete Study - 3 views

R 403.82

04051

Cervical - AP/LAT

R 269.48

04052

Cervical - AP/LAT/OBL

R 403.82

04053

Cervical study - 6 views

R 807.68

04054

Cervical - Davis Series -7 views

R 941.74

04055

Elbow -AP/LAT

R 264.45

04056

Elbow - 3 views

R 403.82

04057

Foot - AP/LAT

R 269.48

04058

Foot - 3 views

R 403.82

04059

Femur - AP/LAT

R 538.42

04060

Hand - AP/LAT

R 269.48

04061

Hand - 3 views

R 403.82

04062

Hip unilateral - 1 view

R 188.52

04063

Hip - 2 views

R 376.76

04064

Knee - AP/LAT

R 269.48

04065

Knee - 3 views

R 403.82

04066

Lumbo-Sacral - 3 views

R 645.98

04067

Lumbar spine & pelvis - 5 views

R 968.57

04068

Pelvis AP

R 269.48

04069

Pelvis - 3 views

R 592.31

04070

Ribs -Unilateral - 2 views

R 322.86

04071

Ribs -Bilateral - 3 views

R 484.28

04072

Radius/Ulna

R 269.48

04073

Spine -Full spine study - AP/LAT

R 968.57

04074

Spine - 8 X 10- Single study

R 159.44

04075

Spine - 10 X 12- Single study

R 161.70

04076

Spine - 14 X 17- Single study

R 269.48

04077

Shoulder - 1 view

R 161.70

04078

Shoulder - 2 views

R 322.86

04079

Thoraco - Lumbar - AP/LAT

R 538.42

04080

Thoracic - AP

R  538.42

04081

Tibia/Fibula - AP/LAT

R  538.42

04082

Wrist - AP/LAT

R 269.48

04083

Wrist - 3 views

R 403.82

04084

Stress views - Lumbar

R 337.65

04100

Consumables

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