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

Code

Service type

Service description

Rand Value

72701

Evaluation level 1

(to be fully documented)

Applies to simple evaluation once at first visit only. It should not be used for each condition. A treatment plan/rehabilitation progress report must be submitted at the initiation of treatment.

293.97

72702

Complex evaluation

(to be fully documented)

Complex evaluation once at first visit only. Applies to complex evaluation once at first visit only. Applies to complex injuries only. lt should not be used for each condition. A treatment plan/rehabilitation progress report describing what makes the evaluation complex, must be submitted at the initiation of treatment.

440.55

72703

Re-assessment

Complete re-assessment or one physical performance test during the course of treatment. This should be fully documented and a rehabilitation progress report provided to the CF.

This code will only apply to patients that have been discharged and are now re-admitted, if there has been a gap in treatment or during the course of his treatment to ensure treatment goals and outcomes are aligned.

146.60

72901

Treatment at nursing home

Relevant fee plus (to be charged only once per day and not with every hospital visit)

107.42

72305

Very Simple treatment

Simple treatment for one condition/injury of one treatment technique.

107.42

72509

Extra treatment time

There should be a clear indication and motivation and should be medically motivated for e.g. complicated condition. This code can only be claimed once per treatment session.

163.28

72903

Domiciliary treatments

Apply only when medically motivated: relevant fee plus.

195.46

72925

Level 1 chest pathology

Applies to simple chest conditions/injuries. Multiple treatment techniques to be used.

481.27

72926

Level 2 chest pathology

Applies only to complex chest conditions/injuries that require undivided attention of the physiotherapist.

Multiple treatment techniques to be used.

795.19

72921

Simple spinal treatment

Applies to simple spinal injuries/conditions.

Multiple treatment techniques to be used.

706.78

72923

Complex spinal treatment

Applies to complex spinal injuries/conditions.

Multiple treatment techniques to be used.

Rehabilitation reports must clearly indicate the reasons for choosing complex as apposed to simple.

1 020.90

72928

Simple soft tissue/peripheral joint injuries or other general treatment

Apply to all soft tissue/peripheral injuries or other general treatment.

706.78

72927

Complex soft tissue/peripheral joint injuries or other general treatment

Applies to complex soft tissue/peripheral joint injuries/conditions. Multiple treatment techniques to be used. Rehabilitation reports must clearly indicate the reasons for choosing complex as opposed to simple.

923.17

72501

Rehabilitation

Rehabilitation first 30 minutes, where the pathology requires the undivided attention of the physiotherapist

510.36

72503

Rehabilitation central nervous system

Also includes spinal rehabilitation (cannot be charged for bed exercises/passive movements only)

1 020.90

72939

Cost of material

Single items below R 1 733.90 (VAT excl) may be charged for at cost price plus 20% storage and handling fees. The invoice must be attached to the account.

Cost of materials does not cover consumables

See the attached Annexure A for consumables and Annexure B for equipment and or appliances that are considered reasonable to be used with code 72939