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

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2020

Doctors

Part lll : Procedures

3. Musculo-Skeletal System

3.8 Specific areas

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Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.8.1

Foot and ankle

 

 

 

 

 

 

0900

Excision tarsal coalition - stand alone procedure

141.5

3 806.35

120.00

3 228.00

3

377.07 +T+M

0901

Tenotomy single tendon

63.3

1 702.77

63.3

1 702.77

3

377.07 +T+M

0903

Hammertoe: one toe

99.5

2 676.55

99.5

2 676.55

3

377.07 +T+M

0905

Fillet of toe or Ruiz-Mora procedure

99.5

2 676.55

99.5

2 676.55

3

377.07 +T+M

0906

Arthodesis Hallux

148

3 981.20

120

3 228.00

3

377.07 +T+M

0909

Excision arthorplasty

145.2

3 905.88

120

3 228.00

3

377.07 +T+M

0910

Cheilectomy or metatarsopfangeal Implant Hallux

183

4 922.70

146.4

3 938.16

3

377.07 +T+M

0911

Metatarsal osteotomy or Lapidus or similar or Chevron - stand alone procedure

189.2

5 089.48

151.36

4 071.58

3

377.07 +T+M

5730

Hallux valgus double osteotomy etc

182.60

4 911.94

146.08

3 929.55

3

377.07 +T+M

5731

Distal soft tissue procedure for Hallux Valgus

173.6

4 669.84

138.88

3 735.87

3

377.07 +T+M

5732

Atkin procedure or similar

166.8

4 486.92

133.44

3 589.54

3

377.07 +T+M

5734

Removal bony prominence foot (bunionette not applicable to COID)

91

2 447.90

91

2 447.90

3

377.07 +T+M

5735

Repair angular deformity toe (lesser toes)

97.2

2 614.68

97.2

2 614.68

3

377.07 +T+M

5736

Sesamoidectomy

97.8

2 630.82

97.8

2 630.82

3

377.07 +T+M

5737

Repair major foot tendons e.g. Tib Post

147.30

3 962.37

120

3 228.00

3

377.07 +T    

5738

Repair of dislocating peronsal tendons

173.2

4 659.08

138.56

3 727.26

3

377.07 +T    

5740

Steindler strip - plantar fascia

97.2

2 614.68

97.2

2 614.68

3

377.07 +T    

5742

Tendon transfer foot

172

4 626.80

137.6

3 701.44

3

377.07 +T    

5743

Capsulotomy metatarsophalargeal joints - foot

86.8

2 334.92

86.8

2 334.92

3

377.07 +T    

 

 

 

 

 

 

 

 

3.8.3

Replantation

 

 

 

 

 

 

0912

Replantation of amputated upper limb proximal to wrist joint

730

19 637.00

584

15 709.60

3

377.07 +T+M

0913

Replantation of thumb

670

18 023.00

536

14 418.40

3

377.07 +T+M

0914

Replantation of a single digit (to be motivated), for multiple digits, modifier 0005 applicable

580

15 602.00

464

12 481.50

3

377.07 +T+M

0915

Replantation operation through the palm

1270

34 163.00

1016

27 330.40

3

377.07 +T+M

 

 

 

 

 

 

 

 

3.8.4

Hands: (Note: Skin: See Integumentary system)

 

 

 

 

 

 

0919

Tumours: Epidermiod cysts

35

941.50

35

941.50

3

377.07 +T+M

0922

Removal of foreign bodies requiring incision: Under local anaesthetic

19

511.10

19

511.10

3

377.07 +T+M

0923

Removal of foreign bodies requiring incision: Under general or regional anaesthetic

32

860.80

32

860.30

3

377.07 +T+M

0924

Crushed hand injuries: Initial extensive soft tissue toilet under general anaesthetic (sliding scale)

37

to

110

995.30

 

2 959.00

37

to

110

995.30

 

2 959.00

3

377.07 +T+M

0925

Crushed hand injuries: Subsequent dressing charges under general anaesthetic

16

430.40

16

430.40

3

377.07 +T+M

0926

Initial treatment of fractures, tendons, nerves, loss of skin and blood vessels,including removal of dead tissue under general anaesthesia and six weeks alter-care

269

7 236.10

215.2

5 788.88

3

377.07 +T+M

 

 

 

 

 

 

 

 

3.8.5

Spine

 

 

 

 

 

 

0927

Excision of one vertebral body, for a lesion within the body (no decompression)

207

5 568.30

165.6

4 454.64

3

377.07 +T+M

0928

Excision of each additional vertebral segment for a lesion within the body (no decompression)

+       42

1 129.80

42

1 129.80

3

377.07 +T+M

0929

Manipulation of spine with anaesthetic (no after -care), modifier 0005 not applicable

14

375.60

14

376.60

5

628.45 +T+M

0930

Posterior osteotomy of spine: One vertebral segment

339

9 119.10

271.2

7 295.28

3

377.07 +T+M

0931

Posterior spinal fusion: One level

385

10 356.50

308

8 285.20

3

377.07 +T+M

0932

Posterior osteotomy of spine: Each additional vertebral segment

+     103

2 770.70

103

2 770.70

3

377.07 +T+M

0933

Anterior spinal osteotomy with disc removal: One vertebral segment

315

8 473.50

252

6  778.80

3

377.07 +T+M

0936

Anterior spinal osteotomy with disc removal: Each additional vertebral segment

+     103

2 770.70

+      103

2 770.70

3

377.07 +T+M

0938

Anterior fusion base of skull to C2

449

12 078.10

359.2

9 662.48

4

502.76 +T+M

0939

Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon

160

4 304.00

128

3 443.20

3

377.07 +T+M

0940

Transthoracic anterior exposure of the spine if done by a second surgeon

160

4 304.00

128

3 443.20

3

377.07 +T+M

0941

Anterior interbody fusion: One level

360

9 684.00

288

7 747.20

3

377.07 +T+M

0942

Anterior interbody fusion: Each additional level

+     102

2 743.80

+     102

2 743.80

3

377.07 +T+M

0943

Laminectomy with decompression of nerve mots and disc removal: One level

240

6 456.00

192

5 164.80

3

377.07 +T+M

0944

Posterior fusion: Occiput to C2

390

10 491.00

312

8 392.80

4

502.76 +T+M

0946

Posterior spinal fusion: Each additional level

+     111

2 985.90

+     111

2 985.90

3

377.07 +T+M

0948

Posterior interbody lumbar fusion: One level

364

9 791.50

291.2

7 833.28

3

377.07 +T+M

0950

Posterior interbody lumbar fusion: Each additional interspace

+       95

2 555.50

+        95

2 555.50

3

377.07 +T+M

0959

Excision of coccyx

96

2 582.40

 96

2 582.40

3

377.07 +T+M

0960

Posterior non-segmental instrumentation

167

4 492.30

133.6

3 593.84

5

628.45 +T+M

0961

Costo-transversectomy

198

5 326.20

158.4

4 260.96

3

377.07 +T+M

0962

Posterior segmental Instrumentation: 2 to 6 vertebrae

176

4 734.40

140.8

3 787.52

5

628.45 +T+M

0963

Antero-lateral decompression of spinal cord or anterior debridement

326

8 769.40

260.8

7 015.52

3

377.07 +T+M

0964

Posterior segmental instrumentation: 7 to 12 vertebrae

201

5 406.90

160.8

4 325.52

5

628.45 +T+M

0966

Posterior segmental instrumentation: 13 or more vertebrae

245

6 590.50

196

5 272.40

5

628.45 +T+M

0968

Anterior instrumentation: 2 to 3 vertebrae

159

4 277.10

127.2

3 421.68

5

628.45 +T+M

0969

Skull or skull-femoral traction including two weeks after-care

64

1 721.60

64

1 721.60

--

 

0970

Anterior instrumentation: 4 to 7 vertebrae

185

4 976.50

148

3 981.20

5

628.45 +T+M

0972

Anterior instrumentation : 8 or more vertebrae

206

5 541.40

164.8

4 433.12

5

628.45 +T+M

0974

Additional pelvic fixation of instrumentation other than sacrum

108

2 905.20

108

2 905.20

5

628.45 +T+M

5750

Reinsertion of instrumentation

276

7 424.40

220.8

5 939.52

6

754.14 +T +M

5751

Removal of posterior non-segmental instrumentation

173

4 653.70

138.4

3 722.96

6

754.14 +T +M

5752

Removal of posterior segmental instrumentation

175

4 707.50

140

3 766.00

6

754.14 +T+M

5753

Removal of anterior instrumentation

204

5 487.60

163.2

4 390.08

6

754.14 +T+M

5755

Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels

295

7 935.50

236

6 348.40

3

377.07 +T+M

5756

Laminectomy with full decompression for spondylolisthesis (Gill procedure)

304

8 177.60

243.2

6 542.08

3

377.07 +T+M

5757

Laminectomy for decompression without  foraminotomy or diskectomy more than two levels

321

8 634.90

256.8

6 907.92

3

377.07 +T+M

5758

Laminectomy with decompression of nerve roots and disc removal: Each additional level

63

1 694.70

63

1 694.70

3

377.07 +T+M

5759

Laminectomy for decompression diskectomy etc., revision operation

352

9 468.80

281.6

7 575.04

4

502.75 +T+M

5760

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spiral stenosis: One level

301

8 096.20

240.8

6 477.52

3

377.07 +T+M

5761

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis: Each additional level

68

1 829.20

68

1 829.20

3

377.07 +T+M

5763

Anterior disc removal and spinal decompression cervical: One level

344

9 253.60

275.2

7 402.88

3

377.07 +T+M

5764

Anterior disc removal and spinal decompression cervical: Each additional level

81

2 178.90

81

2 178.90

3

377.07 +T+M

5765

Vertebral corpectomy for spinal decompression: One level

466

12 535.40

372.8

10 028.32

3

377.07 +T+M

5766

Vertebral corpectomy for spinal decompression: Each additional level

88

2 367.20

88

2 367.20

3

377.07 +T+M

5770

Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable)

71

1 909.90

71

1 909.90