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

3.3.1

Specific amputations

0681

Amputation: Humerus, includes primary closure

211.6

5 692.04

169.28

4 553.63

4

502.76 +T+M

0682

Amputation: Fore-quarter amputation

397.80

10 700.82

318.24

8 560.66

9

1131.21 +T+M

0683

Amputation: Through shoulder

323

8 688.70

258.40

6 950.96

5

628.56 +T+M

0684

Amputation: Forearm

213.5

5 743.15

170.48

4 585.91

3

377.07 +T+M

0685

DELETED 2015: Amputation: Upper arm or fore-arm

0686

Amputation: Ankle (eg., Syme, Pirogoff type)

204.1

5 490.29

163.28

4 392.23

4

502.76 +T+M

0687

Amputation:  Metacarpal: One ray

206.10

5 544.09

164.88

4 435.27

3

377.07 +T+M

0688

Amputation: Foot, midtarsal (Chopart type)

165.7

4 457.33

132

3 550.80

3

377.07 +T+M

0691

Amputation: Finger or thumb

183.90

4 946.91

146.40

3 938.16

3

377.07 +T+M

0692

Scar revision/secondary closure: amputated thigh, through femur, any level

150.7

4 053.83

120.6

3 243.06

3

377.07 +T+M

0693

Hindquarter amputation

470.70

12 661.83

376.56

10 129.46

6

754.14 +T+M

0694

Scar revision/secondary closure: amputated leg, through tibia and fibula, any level

173.9

4 677.91

139.1

3 742.33

3

377.07 +T+M

0695

Amputation: through hip joint region

373.10

10 036.39

298.48

8 029.11

6

754.14 +T+M

0696

Re-amputation: Thigh, through femur, any level

217.3

5 845.37

173.8

4 676.30

3

377.07 +T+M

0697

Amputation: Through thigh

245

6 590.50

196

5 272.40

6

754.14 +T+M

0698

Re-amputation: Leg, through tibia and fibula

198.2

5 331.58

158.6

4 265.26

3

377.07 +T+M

0699

Amputation: Below knee, through knee/Syme

277.20

7 456.68

221.76

5 965.34

5

628.45+T+M

0701

Amputation: Trans-metatarsal or trans-tarsal

223.80

6 020.22

179.04

4 816.18

3

377.07 +T+M

0703

DELETED 2015 Refer to item 0688 and item 0701: Amputation: Foot: One ray

0705

Amputation: Toe (skin flap included)

167.10

4 494.99

133.68

3 595.99

3

377.07 +T+M

3.3.2

Post-amputation reconstruction

0706

Post-amputation reconstruction: Skin flap taken from a site remote from the injured finger or in cases of an advanced flap e.g. Cutler

Note:  If not performed on thumb or index linger it must be motivated

186.30

5 011.47

149.04

4 009.18

3

377.07 +T+M

0709

DELETED 2015: Post-amputation reconstruction: Metacarpal transfer

0707

Post-amputation reconstruction: Krukenberg reconstruction

331.70

8 922.73

265.36

7 138.18

3

377.07 +T+m

0711

Post-amputation reconstruction: Pollicization of the finger (Prior permission must be obtained from the Commissioner at all times)

455.90

12 263.71

364.72

9 810.97

3

377.07 +T+M

0712

Post-amputation reconstruction: Toe to thumb transfer (Prior permission must be obtained from the Commissioner at all times)

800

21 520.00

640

17 216.00

3

377.07 +T+M

0700

Scar revision/secondary closure: Amputated shoulder

128.1

3 445.89

120

3 228.00

3

377.07 +T    

0702

Scar revision/secondary closure: Amputated humerus

163.1

4 387.39

130.5

3 509.91

3

377.07 +T    

0704

Scar revision/secondary closure: Amputated forearm

184.1

4 952.29

147.3

3 961.83

3

377.07 +T    

0708

Re-amputation: Humerus

223.1

6 001.39

178.5

4 801.11

6

377.07 +T+M

0710

Re-amputation: Through forearm

206

5 541.40

164.8

4 433.12

3

377.07 +T+M

3.4

Muscles, tendons and fascias

3.4.1

Investigations

0713

Electromyography

75

2 017.50

75

2 017.50

3

377.07 +T    

0714

Electro-myographic neuro-muscular junctional study, including edrophonium response (not to be used with item 2730)

57

1 533.30

57

1 533.30

3

377.07 +T    

0715

Strength duration curve per session

10.5

282.45

10.5

282.45

3

377.07 +T    

0717

Electrical examination of single nerve or muscle

9

242.10

9

242.10

3

377.07 +T    

0721

Voltage integration during isometric contraction

12

322.80

12

322.80

3

377.07 +T    

0723

Tonometry with edrophonium

8

215.20

8

215.20

3

377.07 +T    

0725

Isometric tension studies with edrophonium

10

269.00

10

269.00

3

377.07 +T    

0727

Cranial reflex study (both early and late responses) supra occulofacial, comefacial or flabellofacial: Unilateral

8

215.20

8

215.20

3

377.07 +T    

0728

Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial : Bilateral

14

376.60

14

376.60

3

377.07 +T    

0729

Tendon reflex time

7

188.30

7

188.30

3

377.07 +T    

0730

Limb-brain somatosensory studies (per limb)

49

1 318.10

49

1 318.10

3

 377.07 +T    

0731

Vision and audiosensory studies

49

1 318.10

49

1 318.10

0733

Motor nerve conduction studies (single nerve)

26

699.40

26

699.40

0735

Examinations of sensory nerve conduction by sweep averages (single nerve)

31

833.90

31

833.90

3

377.07 +T    

0737

Biopsy for motor nerve terminals and end plates

20

538.00

20

538.00

3

377.07 +T  

0739

Combined muscle biopsy with end plates and nerve terminal biopsy

34

914.60

34

914.60

8

1005.52 +T    

0740

Muscle fatigue studies

20

538.00

20

538.00

3

377.07 +T    

0741

Muscle biopsy

20

538.00

20

538.00

8

1005.52 +T    

0742

Global fee for all muscle studies, including histochemical studies

262

7 047.80

4701

Biochemical estimations on muscle biopsy specimens: Creatine kinase

20.25

544.73

4703

Biochemical estimations on muscle biopsy specimens: Adenylale kinase

33.3

895.77

4705

Biochemical estimations on muscle biopsy specimens: Pyruvate kinase

5.7

153.33

4707

Biochemical estimations on muscle biopsy specimens: Lactate dehydrogenase

1.6

43.04

4709

Biochemical estimations on muscle biopsy specimens: Adenylate deaminase

9.9

266.31

4711

Biochemical estimations on muscle biopsy specimens:  Phosplagycerate kinase

13.7

368.53

4713

Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase

25.9

696.71

4715

Biochemical estimations on muscle biopsy specimens: Enolase

32.7

879.63

4717

Biochemical estimations on muscle biopsy specimens: Phospholructokinase

37.7

1 014.13

4719

Biochemical estimations on muscle biopsy specimens: Aldolase

15.75

423.68

4721

Biochemical estimations on muscle biopsy specimens: Gyceraldehyde 3 Phosphate Dehydrogenase

11.06

297.51

4723

Biochemical estimations on muscle biopsy specimens: Phosphorylase

34.7

933.43

4725

Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase

40.3

1 084.07

4727

Biochemical estimations on muscle biopsy specimens: Phosphohexose Isomerase

28.8

774.72

3.4.2

Decompression Operations

0743

[DELETED 2015] Refer to items 5550-5563: Major Compartemental Decompression

0744

[DELETED 2015] Refer to items 5550-5563: Decompression operation: Fasciotomy only

5550

Decompression fasciotomy: Buttock compartment(s): Unilateral

243

6 536.70

194.4

5 229.36

5

628.45 +T=M

5551

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). EXCLUDES debridement of nonviable muscle and/or nerve

151.9

4 086.11

121.5

3 268.89

3

377.07 +T+M

5552

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). INCLUDES debridement of nonviable muscle and/or nerve

253.1

6 808.39

202.5

5 446.71

3

377.07 +T+M

5553

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. EXCLUDES debridement of nonviable muscle and/or nerve

123.7

3 327.53

120

3 228.00

3

377.07 +T+M

5554

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. INCLUDES debridement of nonviable muscle and/or nerves

162.1

4 360.49

129.7

3 488.39

3

377.07 +T+M

5555

Decompression fasciotomy: Leg: Posterior compartment only. EXCLUDES debridement of nonviable muscle an/or nerve

130.8

3 518.52

120

3 228.00

3

377.07 +T+M

5556

Decompression fasciotomy: Leg: Posterior compartment only. INCLUDES debridement of nameable muscle and/or nerve

171.5

4 613.35

137.2

3 690.68

3

377.07 +T+M

5557

Decompression fasciotomy: fasciotomy/tenotomy, iliotibial

137.3

3 693.37

120

3 228.00

4

502.76 +T+M

5558

Decompression fasciotomy: Fasciotomy: Foot and/or toe

86.6

2 329.54

86.6

2 329.54

3

377.07 +T+M

5559

Decompression fasciotomy: Forearm and/or wrist: Flexor and extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

226.3

6 087.47

181

4 869.98

4

377.07 +T+M

5560

Decompresson fasclotomy: Forearm and/or wrist: Flexor and extensor compartment, INCLUDES debridement of nonviable muscle or nerve

354.5

9 536.05

283.6

7 628.84

3

377.07 +T+M

5561

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

166.8

4 486.92

133.4

3 589.54

4

377.07 +T+M

5562

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. INCLUDES debridement of nonviable muscle or nerve

321.1

8 637.59

256.9

6 910.07

3

377.07 +T+M

5563

Decompression fasciotomy: Fingers and/or hand

165.6

4 454.64

132.5

3 563.71

3

377.07 +T+M

3.4.3

Muscle and tendon repair

0745

Muscle and tendon repair: Biceps humeri

109

2 932.10

109

2 932.10

3

377.07 +T    

0746

Muscle and tendon repair: Removal of calcification in Rotator cuff

96

2 582.40

96

2 582.40

3

377.07 +T+M

0747

Muscle and tendon repair: Rotator cuff

134

3 604.60

120

3 228.00

4

502.76 +T    

0748

Muscle and tendon repair: Debridement rotator cuff

139.7

3 757.93

120

3 228.00

4

502.76 +T    

0749

Muscle and tendon repair. Scapulopexy - stand alone procedure

271.90

7 314.11

217.52

5 851.29

4

502.76 +T    

0755

Muscle and tendon repair: Intrapatellar or quadriceps tendon

128

3 443.20

120

3 228.00

3

377.07 +T    

0757

Muscle and tendon repair. Achilles tendon repair

197.6

5 315.44

158.08

4 252.35

4

502.76 +T    

0759

Muscle and tendon repair. Other single tendon

77

2 071.30

77

2 071.30

3

377.07 +T    

0767

Muscle and tendon repair. Tendon or ligament injection [Discontinued] Refer to item 0760, 0761, 0762

3

377.07 +T    

0760

Hand: Flexor tendon suture: Primary, zone 1 (each) (modifier 0005 applicable)

220.3

5 926.07

176.24

4 740.86

3

377.07 +T    

0761

Hand: Flexor tendon repair: Primary, zone 2 (no mans land) (each) (modifier 0005 applicable)

249.6

6 714.24

199.68

5 371.39

3

377.07 +T    

0762

Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm)(each)(modifier 0005 applicable)

191.30

5 145.97

153.04

4 116.78

3

377.07 +T    

0769

Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm) (each) (modifier 0005 applicable)

[Discontinued] Refer to item 0764, 0765, 0766

0764

Hand: Flexor tendon repair: Secondary, zone 1

243.9

6 560.91

195.12

5 248.73

3

377.07 +T    

0765

Hand: Flexor tendon repair Secondary, zone 2 (no mans land)

249.6

6 714.24

199.68

5 371.39

3

377.07 +T    

0766

Hand: Flexor tendon repair: Secondary, zone 3 and 4 (wrist and forearm)

190.6

5 127.14

152.48

4 101.71

3

377.07 +T    

0768

Repair: Intrinsic muscles of hand (each) (modifier 0005 applicable)

125.3

3 370.57

100.24

2 696.46

3

377.07 +T    

0771

Extensor tendon suture: Primary (per tendon, Modifier 0005 not applicable)

129.7

3 488.93

120

3 228.00

3

377.07 +T    

0773

Extensor tendon suture: Secondary (per tendon, Modifier 0005 not applicable)

170.00

4 573.00

136

3 658.40

3

377.07 +T    

0774

Repair of Boutonniére deformity or Mallet Finger with graft

216.60

5 826.54

216.60

5 826.54

3

377.07 +T    

3.4.4

Tendon graft

0775

Free tendon graft

160

4 304.00

128

3 443.20

3

377.07 +T    

0776

Reconstruction of pulley for flexor tendon

180.20

4 847.38

144.16

3 877.90

3

377.07 +T    

0777

Tendon graft: Finger: Flexor

192

5 164.80

153.6

4 131.84

3

377.07 +T    

0779

Tendon graft: Finger: Extensor

122

3 281.80

120

3 228.00

3

377.07 +T    

0780

Two stage flexor tendon graft using silastic rod

240

6 456.00

192

5 164.80

3

377.07 +T    

3.4.5

Tenolysis

0781

Tendon freeing operation, except where specified elsewhere

64

1 721.60

64

1 721.60

3

377.07 +T    

0782

Carpal tunnel syndrome

123

3 308.70

120

3 228.00

3

377.07 +T    

0783

Tenolysis: De Quervain

38

1 022.20

38

1 022.20

3

377.07 +T    

0784

Trigger finger

38

1 022.20

38

1 022.20

3

377.07 +T    

0785

Flexor tendon freeing operation following free tendon graft or suture

276.10

7 427.09

220.88

5 941.67

3

377.07 +T    

0787

Extensor tendon freeing operation following graft or suture in finger, hand or forearm

212.20

5 708.18

170

4 573.00

3

377.07 +T    

0788

Intrinsic tendon release per finger

64

1 721.60

64

1 721.60

3

377.07 +T    

0789

Central tendon tenotomy for Boutonniérre deformity

64

1 721.60

64

1 721.60

3

377.07 +T    

3.4.6

Tenodesis

0790

Tenodesis: Digital joint (each) (modifier 0005 applicable)

176.20

4 739.78

140.96

3 791.82

3

377.07 +T    

3.4.7

Muscle, tendon and fascia transfer

0791

Single tendon transfer

96

2 582.40

96

2 582.40

3

377.07 +T    

0792

Multiple tendon transfer

128

3 443.20

120

3 228.00

3

377.07 +T    

0793

Hamstring to quadriceps transfer

141

3 792.90

120

3 228.00

3

377.07 +T    

0794

Pectoralis major or Latissimus dorsi transfer to biceps tendon

320

8 608.00

256

6 886.40

5

628.45 +T    

0795

Tendon transfer at elbow

116

3 120.40

116

3 120.40

3

377.07 +T    

0803

Hand tendons: Single transfer (each) (modifier 0005 applicable)

216.20

5 815.78

172.96

4 652.62

3

377.07 +T    

0809

Hand tendons: Substitution for intrinsic paralysis of hand tendon (all four fingers)

330.60

8 893.14

264.48

7 114.51

3

377.07 +T    

0811

Hand tendons: Opponens tendon transfer (including obtaining of graft)

220.6

5 934.14

176.48

4 747.31

3

377.07 +T    

3.4.8

Muscle slide operations and tendon lengthening

0812

Percutaneous Tenotomy: All sites

140.50

3 779.45

120

3 228.00

3

377.07 +T    

0813

Torticollis

96

2 582.40

96

2 582.40

5

628.45 +T    

0815

Scalenotomy

132

3 550.80

120

3 228.00

5

628.45 +T    

0817

Scalenotomy with excision of first rib

190

5 111.00

152

4 088.80

3

377.07 +T+M  

0822

Open release elbow (Mitals) - stand alone procedure

278.20

7 483.58

222.56

5 986.86

3

 377.07 +T+M  

0823

Excision or slide for Volksmann's Contracture

192

5 164.80

153.6

4 131.84

3

377.07 +T    

0825

Hip: Open muscle release

116

3 120.40

116

3 120.40

7

879.93 +T    

0829

Knee: Quadriceps plasty

160

4 304.00

128

3 443.20

3

377.07 +T    

0831

Knee: Open tenotomy

141

3 792.90

120

3 228.00

3

377.07 +T    

0835

Calf

96

2 582.40

96

2 582.40

4

502.76 +T    

0837

Open Elongation Tendon Achilles

96

2 582.40

96

2 582.40

4

502.76 +T    

0838

Percutaneous " Hoke" elongation tendoachilles - stand alone procedure

79.30

2 133.17

79.30

2 1337

4

502.76 +T    

0845

Foot: Plantar fasciotomy

70

1 883.00

70

1 883.00

3

377.07 +T    

3.5

Bursae and ganglia

0847

Excision: Semi-membranosus

90

2 421.00

90

2 421.00

4

502.76 +T    

0849

Excision: Prepatellar

45

1 210.50

45

1 210.50

3

377.07 +T    

0851

Excision: Olecranon

81.8

2 200.42

81.8

2 200.42

3

377.07 +T    

0853

Excision: Small bursa or ganglion

80.9

2 176.21

80.9

2 176.21

3

377.07 +T    

0855

Excision: Compound palmar ganglion or synovectomy

128

3 443.20

120

3 228.00

3

377.07 +T    

0857

Bursae and ganglia: Aspiration or injection (not subject to rule G) (Modifier 0005 not applicable)

9

242.10

9

242.10

3

377.07 +T