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

2 595.85

96.5

2 595.85

3

377.07 +T+M

0549

Dislocation: Shoulder

112.10

3 015.49

112.10

3 015.49

3

377.07 +T+M

0551

Dislocation: Elbow

133.60

3 593.84

120

3 228.00

3

377.07 +T+M

0552

Dislocation: Wrist

115.50

3 106.95

115.50

3 106.95

3

377.07 +T+M

0553

Dislocation: Perilunar transscaphoid fracture dislocation

130

3 497.00

120

3 228.00

3

377.07 +T+M

0555

Dislocation: Lunate

136.30

3 666.47

120.00

3 228.00

3

377.07 +T+M

0556

Dislocation: Carpo-metacarpo dislocation

117.20

3 152.68

117.20

3 152.68

3

377.07 +T+M

0557

Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand)

107.30

2 886.37

107.30

2 886.37

3

377.07 +T+M

0559

Dislocation: Hip

220.50

5 931.45

176.40

4 745.16

3

377.07 +T+M

0561

Dislocation: Knee, with manipulation

181.20

4 874.28

144.96

3 899.42

3

377.07 +T+M

0563

Dislocation: Patella

136.90

3 682.61

120

3 228.00

3

377.07 +T+M

0565

Dislocation: Ankle

98.60

2 652.34

98.60

2 652.34

3

377.07 +T+M

0567

Dislocation: Sub-Talar dislocation

92

2 474.80

92

2 474.80

3

377.07 +T+M

0569

Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal

77

2 071.30

77

2 071.30

3

377.07 +T+M

0571

Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot)

39.40

1 059.86

39.40

1 059.86

3

377.07 +T+M

3.2.2

Operations for dislocations

0578

Recurrent dislocation of shoulder

200

5 380.00

160

4 304.00

3

377.07 +T+M

0579

Recurrent dislocation of large joints

161

4 330.90

128.8

3 464.72

3

377.07 +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

1 371.90

51

1 371.90

3

377.07 +T+M

0583

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

96

2 582.40

96

2 582.40

3

377.07 +T+M

0585

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

64

1 721.60

64

1 721.60

3

377.07 +T+M

0586

Multiple percutaneous capsulotomies of metacarpo-phalangeal joints

90

2 421.00

90

2 421.00

3

377.07 +T+M

0587

Release of digital joint contracture

128

3 443.20

120

3 228.00

3

377.07 +T+M

3.2.4

Synovectomy

0589

Synovectomy: Digital joint

77

2 071.30

77

2 071.30

3

377.07 +T+M

0592

Synovectomy: Large joint

160

4 304.00

128

3 443.20

3

377.07 +T+M

0593

Tendon synovectomy

203.7

5 479.53

162.96

4 383.62

3

377.07 +T+M

3.2.5

Arthodesis

0597

Arthrodesis: Shoulder

224

6 025.60

179.2

4 820.48

3

377.07 +T+M

0598

Arthrodesis: Elbow

180

4 842.00

144

3 873.60

3

377.07 +T+M

0599

Arthrodesis: Wrist

180

4 842.00

144

3 873.60

3

377.07 +T+M

0600

Arthrodesis: Digital joint

128

3 443.20

120

3 228.00

3

377.07+T+M

0601

Arthrodesis: Hip

320

8 608.00

256

6 886.40

3

377.07 +T+M

0602

Arthrodesis: Knee

180

4 842.00

144

3 873.60

3

377.07 +T+M

0603

Arthrodesis: Ankle

180

4 842.00

144

3 873.60

3

377.07 +T+M

0604

Arthrodesis: Sub-talar

130

3 497.00

120

3 228.00

3

377.07 +T+M

0605

Arthrodesis: Stabilization of foot (triple-arthrodeses)

180

4 842.00

144

3 873.60

3

377.07 +T+M

0607

Arthrodesis: Mid-tarsal wedge resection

180

4 842.00

144

3 873.60

3

377.07 +T+M

3.2.6

Arthroplasty

0614

Arthroplasty: Debridement large joints

160

4 304.00

128

3 443.20

3

377.07  +T+M

0615

Arthroplasty: Excision medial or lateranl end of clavicle

116

3 120.40

116

3 120.40

3

377.07 +T+M

0617

Shoulder. Acromioplasty

192

5 164.80

153.6

4 131.84

3

377.07 +T+M

0619

Shoulder: Partial replacement

277

7 451.30

221.6

5 961.04

5

377.07 +T+M

0620

Shoulder: Total replacement

416

11 190.40

332.8

8 952.32

5

377.07 +T+M

0621

Elbow: Excision head of radius

96

2 582.40

96

2 582.40

3

377.07 +T+M

0622

Elbow: Excision

192

5 164.80

153.6

4 131.84

3

377.07 +T+M

0623

Elbow: Partial replacement

188

5 057.20

150.4

4 045.76

3

377.07 +T+M

0624

Elbow: Total replacement

282

7 585.80

225.6

6 068.64

3

377.07 +T+M

0625

Wrist: Excision distal end of ulna

96

2 582.40

96

2 582.40

3

377.07 +T+M

0626

Wrist: Excision single bone

110

2 959.00

110

2 959.00

3

377.07 +T+M

0627

Wrist: Excision proximal row

166

4 465.40

132.8

3 572.32

3

377.07 +T+M

0631

Wrist: Total replacement

249

6 698.10

199.2

5 358.48

3

377.07 +T+M

0635

Digital joint: Total replacement

192

5 164.80

153.6

4 131.84

3

377.07 +T+M

0637

Hip: Total replacement

416

11 190.40

332.8

8 952.32

3

377.07 +T+M

0641

Hip: Prosthetic replacement of femoral head

288

7 747.20

230.4

6 197.76

3

377.07 +T+M

0643

Hip: Girdlestone

320

8 608.00

256

6 886.40

3

377.07 +T+M

0645

Knee: Partial replacement

277

7 451.30

221.6

5 961.04

3

377.07 +T+M

0646

Knee: Total replacement

416

11 190.40

332.8

8 952.32

3

377.07 +T+M

0649

Ankle: Total replacement

290.4

7 811.76

232.32

6 249.41

3

377.07 +T+M

0650

Ankle: Astragalectomy

154

4 142.60

123.2

3 314.08

3

377.07 +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

306.66

11.40

306.66

3

+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

322.80

12

322.80

3

+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

392.74

14.60

392.74

3

+T+M

0661

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

9

242.10

9

242.10

3

377.07 +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

1 159.39

43.10

1 159.39

3

377.07 +T

0667

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

60

1 614.00

60

1 614.00

3

377.07 +T    

0669

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

14

376.60

14

376.60

4

502.76 Hip +T

377.07 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]

Φ

Φ

0673

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

185.70

4 995.33

148.56

3 996.26

3

377.07 +T+M

3.2.8

Joint ligament reconstruction or suture

0675

Joint ligament reconstruction or suture: Ankle: Collateral

160

4 304.00

128

3 443.20

3

377.07 +T+M

0676

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

191.50

5 151.35

153.20

4 121.08

3

377.07 +T+M

0677

Joint ligament reconstruction or suture: Knee: Collateral

196.80

5 293.92

157.44

4 235.14

3

377.07 +T+M

0678

Joint ligament reconstruction: Knee: Cruciate

227.60

6 122.44

182.08

4 897.95

3

377.07 +T+M

0679

Joint ligament reconstruction or suture: Ligament augmentation procedure of knee

324.40

8 726.36

259.52

6 981.09

3

377.07 +T+M

0680

Joint ligament reconstruction or suture: Digital joint ligament

229.80

6 181.62

183.84

4 945.30

3

377.07 +T+M