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

Occupational Therapy

2020 Tariff excluding VAT

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PLEASE TAKE NOTE OF GENERAL RULE 005

 

CONSULTATION PROCEDURES

CODE

DESCRIPTION

U

RAND



 

2020

66101

First consultation (5-15 min). Charged once.

60

687.46

66108

Follow-up consultation (15-30 min). May be charged twice only per week.

15

171.86

66109

Follow-up consultation (30-60 min). May be charged up to four times per week

30

343.73

 

EVALUATION PROCEDURES

CODE

DESCRIPTION

U

RAND

66201

Observation and screening. May be charged at every treatment session as clinically appropriate

10

114.58

66203

Specific evaluation for a single aspect of dysfunction (Specify which aspect). May be charged once per week as clinically appropriate

7.5

85.93

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

257.80

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

515.59

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

859.32

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

114.58

66215

Measurement for designing a dynamic orthosis

10

114.58

66217

Measurement for designing a pressure garment for one limb orthosis

10

114.58

66219

Measurement for designing a pressure garment for one hand orthosis

10

114.58

66221

Measurement for designing a pressure garment for the trunk orthosis

10

114.58

66223

Measurement for designing a pressure garment for the face (chin strap only)

10

114.58

66225

Measurement for designing a pressure garment for the face (full face mask) orthosis

10

114.58



 

 

 

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

229.15

66305

Groups directed to achieve common goals per person

20

229.15

66307

Simultaneous treatment of two to four patients, each with specific problems utilising individual activities, per patient (treatment time 60 minutes or more)

48

549.96

 

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

137.49

66311

On level two (30 min)

24

274.98

66313

On level three (45 min)

36

412.47

66315

One level four (60 min)

48

549.96

66317

On level five (90 min)

72

824.95

66319

On level six (120 min)

96

1099.93

 

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

916.61

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

458.30

66325

Reports - To be used only when reporting on work assessments.

22.14

253.67

 

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

137.49

66405

On level two

24

274.98

66407

On level three

36

412.47

66409

On level four

48

549.96

66411

On level five

60

687.46

66413

On level six

72

824.95

66415

Designing and constructing a static orthosis

60

687.46

66417

Designing and constructing a dynamic orthosis

120

1374.91

66401

Workplace assessment (Recommendation as regards to assistive device and environmental adaptations.)

15

171.86

 

DESIGNING AND MAKING A PRESSURE GARMENT

CODE

DESCRIPTION

U

RAND

66419

Per limb

60

687.46

66421

Face (chin strap only)

45

515.59

66423

Face (full face mask)

60

687.46

66425

Trunk

90

1031.18

66427

Per hand

90

1031.18


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