Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2021Occupational Therapy Gazette 20212021 Tariff excluding VAT |
PLEASE TAKE NOTE OF GENERAL RULE 005
CONSULTATION PROCEDURES
CODE |
DESCRIPTION |
U |
RAND |
|
|
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66101 |
First consultation (5-15 min). Charged once. |
60 |
725.21 |
66108 |
Follow-up consultation (15-30 min). May be charged twice only per week. |
15 |
181.30 |
66109 |
Follow-up consultation (30-60 min). May be charged up to four times per week |
30 |
362.61 |
EVALUATION PROCEDURES
CODE |
DESCRIPTION |
U |
RAND |
66201 |
Observation and screening. May be charged at every treatment session as clinically appropriate |
10 |
120.87 |
66203 |
Specific evaluation for a single aspect of dysfunction (Specify which aspect). May be charged once per week as clinically appropriate |
7.5 |
90.65 |
66205 |
Specific evaluation of dysfunction involving one part of the body for a specific functional problem (Specify part and aspects evaluated). May be charged once per week as clinically appropriate |
22.5 |
271.95 |
66207 |
Specific evaluation for dysfunction involving the whole body (Specify condition and which aspects evaluated). May be charged once per three months as clinically appropriate |
45 |
543.91 |
66209 |
Specific in depth evaluation of certain functions affecting the total person (Specify the aspect assessed). May be charged once per three months as clinically appropriate |
75 |
906.51 |
66136 |
In depth evaluation of the total person to enable the vocational rehabilitation specialist to complete a comprehensive assessment of certain functions affecting the total person. (This code can only be requested by the Compensation Fund for Section 42 Cases reviews) |
218.15 |
2500.00 |
MEASUREMENT FOR DESIGNING
CODE |
DESCRIPTION |
U |
RAND |
66213 |
Measurement for designing a static orthosis. |
10 |
120.87 |
66215 |
Measurement for designing a dynamic orthosis |
10 |
120.87 |
66217 |
Measurement for designing a pressure garment for one limb orthosis |
10 |
120.87 |
66219 |
Measurement for designing a pressure garment for one hand orthosis |
10 |
120.87 |
66221 |
Measurement for designing a pressure garment for the trunk orthosis |
10 |
120.87 |
66223 |
Measurement for designing a pressure garment for the face (chin strap only) |
10 |
120.87 |
66225 |
Measurement for designing a pressure garment for the face (full face mask) orthosis |
10 |
120.87 |
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PROCEDURES FOR THERAPY
CODE |
DESCRIPTION |
U |
RAND |
66303 |
Placement of a patient in an appropriate treatment situation requiring structuring the environment, adapting equipment and positioning the patient. This does not require individual attention for the whole treatment session |
20 |
241.74 |
66305 |
Groups directed to achieve common goals per person |
20 |
241.74 |
66307 |
Simultaneous treatment of two to four patients, each with specific problems utilising individual activities, per patient (treatment time 60 minutes or more) |
48 |
580.17 |
INDIVIDUAL AND UNDIVIDED ATTENTION DURING TREATMENT SESSIONS UTILISING SPECIFIC ACTIVITY OR TECHNIQUES IN AN INTEGRATED TREATMENT SESSION (TIME OF TREATMENT MUST BE SPECIFIED)
CODE |
DESCRIPTION |
U |
RAND |
66309 |
On level one (15 min) |
12 |
145.04 |
66311 |
On level two (30 min) |
24 |
290.08 |
66313 |
On level three (45 min) |
36 |
435.13 |
66315 |
One level four (60 min) |
48 |
580.17 |
66317 |
On level five (90 min) |
72 |
870.25 |
66319 |
On level six (120 min) |
96 |
1160.34 |
PROCEDURES FOR WORK REHABILITATION
CODE |
DESCRIPTION |
U |
RAND |
66321 |
Work evaluation - This includes an assessment of the inherent demands of the job and the patient's ability to perform these. A detailed report is not included in this code (charged for under 325), but must be submitted with the referral from the medical practitioner.) |
80 |
966.95 |
66323 |
Work Visit Evaluation of the job tasks by observing while the patient or a colleague in the same role performs the job tasks. May include discussing possible adaptations to the process or the work station and making the necessary recommendations to enable a patient to return to work. Rule: A maximum of two work visits are allowed per patient. However, in extenuating circumstances, further motivation may be made to the CC. |
40 |
483.47 |
66325 |
Reports - To be used only when reporting on work assessments. |
22.14 |
267.60 |
66327 |
Work hardening. Must include a graded return to work plan. Refer to Rule 020 |
80 |
966.95 |
DESIGNING AND CONSTRUCTING A CUSTOM MADE ADAPTATION OR ASSISTIVE DEVICE, SPLINT OR SIMPLE PRESSURE GARMENT FOR TREATMENT IN TASK-CENTERED ACTIVITY (SPECIFY THE ADAPTATION, DEVICE, SPLINT OR PRESSURE GARMENT)
CODE |
DESCRIPTION |
U |
RAND |
66403 |
On level one |
12 |
145.04 |
66405 |
On level two |
24 |
290.08 |
66407 |
On level three |
36 |
435.13 |
66409 |
On level four |
48 |
580.17 |
66411 |
On level five |
60 |
725.21 |
66413 |
On level six |
72 |
870.25 |
66415 |
Designing and constructing a static orthosis |
60 |
725.21 |
66417 |
Designing and constructing a dynamic orthosis |
120 |
1450.42 |
66401 |
Workplace assessment (Recommendation as regards to assistive device and environmental adaptations and alternative/compensatory methods.) |
15 |
181.30 |
DESIGNING AND MAKING A PRESSURE GARMENT
CODE |
DESCRIPTION |
U |
RAND |
66419 |
Per limb |
60 |
725.21 |
66421 |
Face (chin strap only) |
45 |
543.91 |
66423 |
Face (full face mask) |
60 |
725.21 |
66425 |
Trunk |
90 |
1087.82 |
66427 |
Per hand |
90 |
1087.82 |
The whole body or part thereof will be the subtotal of the parts for the first garment and 75% the fee for any additional garments on the same pattern |
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