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 - 2019

Orthotists/Prosthetists

Guide to Fees for Orthotists/Prosthetists 2019

Prosthetists

Prosthetic Components and Accessories

General Prosthetic Accessories

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Item

Code

Cat

Description

 

COIDA 2019






 

GPA



GENERAL PROSTHETIC ACCESSORIES


 






 

LA230

A22730


Patella buttons replaced

ea

240.37

LA235

A22735


Re-alignment (dynamic) of AK/TK modular prosthesis

ea

1092.68

LA236

A22736


Re-alignment (dynamic) of BK modular prosthesis

ea

1034.42

LA440

A22940


Stump care - Cleani-stump

box

1027.06

LA450

A22950


Stump care - Ampu-aid

tube

205.84

LA460

A22960


Stump care - talc

tin

278.65

LA461

A22961


Stump/skin lotion

ea

537.57

LA462

A22962


Stump lubricant

ea

426.08

LA463

A22963


Stump cleaner

ea

493.50

LA464

A22964


Stump moisturiser

ea

493.50

LA465

A22965


Stump ointment

ea

610.15

LA466

A22966


Stump moisturiser derma clean

ea

419.47

LA470

A22970


Stump care - balm

tin

493.48

LA480

A22980


Stump coning bandage 6cm

ea

402.51

LA481

A22981


Stump coning bandage 8cm

ea

508.04

LA482

A22982


Stump coning bandage 10cm

ea

681.16

LA483

A22983


Prosthetic sheath albert andre per pair

ea

743.02

LA484

A22984


Prosthetic sheath merit

ea

105.94

LA485

A22985


Fix prosthetic local 601 kneebrace

ea

440.96

LA486

A22986


Stump sock with hole for pin local

ea

317.43

LA487

A22987


Stump sock with pin imported

ea

425.42

LA488

A22988


Dermaseal residual limb stock 453D7

ea

2057.42

LA490

A22990


Stump coning bandage 15cm

ea

743.02






 




ADAPTORS


 






 

AD001

A24001


2R2 tube adaptor stainless steel

ea

1965.79

AD002

A24002


Bibr-003 hawk tube adaptor short E05S-BOSS

ea

895.95

AD003

A24003


2R3 tube adaptor stainless steel

ea

2086.35

AD004

A24004


Tube with adaptor 1907-13

ea

1412.08

AD005

A24005


2R38 tube adaptor titanium

ea

4140.89

AD006

A24006


A-712010 tube adaptor aluminium short

ea

541.84

AD007

A24007


S-712020 tube adaptor aluminium long

ea

684.14

AD008

A24008


Bibr-004 hawk tube adaptor E05S-A SS

ea

1131.98






 




FOOT ADAPTORS


 






 

AD009

A24009


2R8=10 sach foot adaptor 1907-14

ea

1190.87

AD010

A24010


Sach foot adaptor 1907-14

ea

1276.96

AD011

A24011


2R8=8 sach foot adaptor stainless

ea

1190.87

AD012

A24012


2R31 sach foot adaptor titanium

ea

2749.99

AD013

A24013


2R54 sach foot adaptor aluminium

ea

2265.17

AD014

A24014


Bibr-001 hawk sach foot adaptor E01S-M10SS

ea

534.68

AD015

A24015


2R10 single axis foot adaptor stainless steel

ea

2960.62

AD016

A24016


2R51 single axis foot adaptor titanium

ea

6489.51

AD017

A24017


2R33 single axis foot adaptor titanium

ea

8618.23

AD018

A24018


2R14 connection plate for each foot

ea

161.60

AD019

A24019


Sach foam connector

ea

161.60

AD020

A24020


2R22 connection cap for single axis foot

ea

337.78






 




TUBE CLAMP ADAPTORS


 






 

AD021

A24021


4R21 tube clamp adaptor stainless

ea

1854.52

AD022

A24022


Tube clamp connector 1907-22

ea

1291.55

AD023

A24023


4R82 tube clamp adaptor titanium

ea

5052.26

AD024

A24024


A-342100 tube clamp adaptor female pyramid

ea

1364.10

AD025

A24025


409054-BI tube clamp adaptor

ea

1981.03






 




SOCKET ADAPTORS


 






 

AD026

A24026


Bibr-005 hawk clamp adaptor EO7S SS

ea

1004.34

AD027

A24027


4G70 TK lamination anchor

ea

5085.41

AD028

A24028


4R116 lamination anchor

ea

4193.88

AD029

A24029


4R41 lamination anchor/socket with rotate

ea

4024.32

AD030

A24030


4R43 lamination anchor

ea

2344.64

AD031

A24031


Rotating socket adaptor 1907-40

ea

3469.29

AD032

A24032


4R51 socket adaptor with rotation

ea

4845.60

AD033

A24033


4R37 socket adaptor with rotation

ea

2466.52

AD034

A24034


4R89 socket adaptor with rotation

ea

3946.16

AD035

A24035


Bibr-006 hawk 3 prong socket adaptor with rotation

ea

1423.40

AD036

A24036


Bibr-007 hawk 3 pyramid adaptor with rotation

ea

1327.06

AD037

A24037


4R100 socket adaptor titanium Bk

ea

3772.63

AD038

A24038


4R68 socket adaptor titanium Bk

ea

2592.36

AD039

A24039


4R55 socket adaptor titanium

ea

3218.93

AD040

A24040


4R95 socket adaptor aluminium

ea

1865.12

AD041

A24041


4R22 socket adaptor stainless steel

ea

1376.33

AD042

A24042


2R63 socket adaptor stainless

ea

1675.68

AD043

A24043


BK socket adaptor with pyramid

ea

1453.14

AD044

A24044


4R42 socket adaptor stainless

ea

2302.25

AD045

A24045


3 prong socket adaptor

ea

1870.29

AD046

A24046


A-1104040 4 prong socket adaptor

ea

2047.92

AD047

A24047


Bibr-008 3 prong fixed pyramid adaptor E11S SS

ea

1391.94

AD048

A24048


Bibr-009 4 prong socket adaptor E12S SS

ea

818.88

AD249

A24049


5R1 socket attachment block

ea

1659.80

AD250

A24050


6PC599 socket lamination platform

ea

5023.32

AD251

A24051


Boww-037 laminating socket attachment Block 70020

ea

1071.78

AD252

A24052


Boww-240 laminating socket attachment block

ea

1119.95

AD253

A24053


4R98 Sliding adaptor

ea

4646.91

AD254

A24054


Boww-200 pyramid sliding adaptor

ea

5975.43






 




SILICONE SLEEVE


 






 

SS001

A24001


6Y42 silicone sleeve without pin

ea

5936.50

SS002

A25002


6Y70 silicone gel liner

ea

8551.50

SS003

A25003


6Y80 sleeve transfemoral

ea

9622.83

SS004

A25004


14Y1 silicone arm liner

ea

10800.95

SS006

A25006


I-0104 original icecross sleeve without cover

ea

6723.46

SS008

A25008


I-4013 derma lock in sleeve

ea

9121.39

SS009

A25009


I-5006 icecross comfort locking/Cushion liner

ea

8690.76

SS010

A25010


I-6003 icecross synergy locking

ea

10407.03

SS011

A25011


I-7132 icecross transfemoral locking/cushion liner

ea

11510.42

SS014

A25014


GPDT general purpose liner

ea

12106.40

SS015

A25015


GPFR general purpose liner

ea

12106.40

SS016

A25016


AKDT alps locking liner

ea

12133.61

SS017

A25017


AKFR alps cushion liner

ea

12133.61

SS018

A25018


Boww-016 alpha spirit cushion liner SP ALC5366

ea

9706.14

SS019

A25019


Boww-006 alpha original lock liner

ea

11681.09

SS020

A25020


Boww-221 alpha AK Lock in liner

ea

11909.90

SS021

A25021


Boww 225 alpha AK cushion AKL

ea

9706.14






 




SEAL IN SLEEVES


 






 

SS022

A25022


I-4613 icecross dermo seal in sleeve

ea

10243.63

SS023

A25023


I-7532 icecross transfemoral seal in sleeve

ea

13033.54

SS024

A25024


I-7632 icecross transfemoral seal in conical

ea

13033.54






 




SEAL IN SOCKS


 






 

SS025

A25025


K5313 seal in liner socks 3 ply

ea

307.76

SS026

A25026


K5311 seal in liner sock 1 ply

ea

204.30






 




KNEE SLEEVES


 






 

SS027

A25027


453A2=1-4 derma comfort ORT knee sleeve

ea

2769.71

SS028

A25028


453A3=1-3 profelex knee sleeve

ea

3359.34

SS029

A25029


453A-4=1-3 profelex knee sleeve short

ea

2986.08

SS030

A25030


F-2011 icecross knee sleeve = 35-62

ea

2754.68

SS031

A25031


BDAW-301 daw G-sleeve

ea

1546.24

SS032

A25032


BDMI-182 medi genu sleeve Mk00203000

ea

1890.66






 




DISTAL CUPS


 






 

SS033

A25033


I-3000 distal cup

ea

2441.47

SS034

A25034


Boww-042 gel cups

ea

1168.12






 




VOLUME MANAGE PADS


 






 

SS035

A25035


Boww-045 volume manage pads X3

ea

826.45

SS036

A25036


BPRO-002 1K10 protector pad

ea

4400.27






 




PINS


 






 

SS037

A25037


6Y13=3 long pin only

ea

1749.87

SS038

A25038


L-192000 attachment pin standard

ea

783.95

SS039

A25039


Boww-074 alpha lock pin

ea

903.18






 




SHUTTLE LOCKS


 






 

SL651

A36651


Shuttle lock fit

ea

3318.11

SL040

A25040


6A20 shuttle lock with distal adjustment pyramid

ea

12166.01

SL041

A25041


6A30=20 and 10 shuttle lock

ea

9961.44

SL042

A25042


14A1 shuttle lock to attach 14Y1 Silicone liner

ea

9443.49

SL043

A25043


L-621000 ice ratchet

ea

2826.72

SL044

A25044


109108 blatchfordshuttle lock

ea

9012.98

SL045

A25045


Alps shuttle lock with pyramid S498-P

ea

7049.64

SL047

A25047


Boww-061 alpha lock kit

ea

5977.83

SL048

A25048


Boww-062 lanyard lock kit

ea

6358.37

SL049

A25049


Bibr-040 hawk shuttle lock E70

ea

5539.49






 




VALVES


 






 

VL050

A25050


21Y12 screw valve kit

ea

3963.38

VL051

A25051


21Y40 suction valve

ea

573.57

VL052

A25052


21Y41 seat ring for 21Y40 valve

ea

164.25

VL053

A25053


21Y105 valve kit for flexible sockets

ea

2055.87

VL054

A25054


4R140 one way valve for knee sleeves

ea

1649.20

VL055

A25055


L-552000 ice lock expulsion valve TF AK valve

ea

1653.04

VL056

A25056


L-551002 ice lock expulsion valve TF BK valve

ea

1483.94

VL057

A25057


BMDI-240 medi vacu valve-1810723000

ea

696.06

VL058

A25058


BUSN-001 green dot valve plastic

ea

1507.29

VL059

A25059


BUSN-002 green dot valve stainless steel

ea

1111.00

LA510

A25060


Suction valve standard

ea

786.19

LA520

A25061


Suction valve total contact

ea

1438.20

LA530

A25062


Suction valve Green dot standard

ea

1438.20

LA540

A25063


Suction valve Green dot total contact

ea

1438.20






 




REPAIR KITS


 






 

RK001

A26001


2D2 single component pack for 1A6 and 1A29

ea

1250.97

RK002

A26002


2D3 for 1A20 foot

ea

764.87

RK003

A26003


2D5 service pack for 2R10 ankle

ea

392.18

RK004

A26004


3D4 service kit for 3P23 knee

ea

1861.89

RK005

A26005


2D1 Service for 3R15/3R46/3R42 knees

ea

883.31

RK006

A26006


4D13 service kit for 3R36/R20

ea

1534.79

RK007

A26007


4D18 service kit for 3R46 knee

ea

1328.62

RK008

A26008


4D19 repair kit for 3R55

ea

1114.21

RK009

A26009


4V34 declaration bumper

ea

516.79

RK010

A26010


4H5=26 knee extension stop rubber

ea

125.78

RK011

A26011


4H21 shin extension stop rubber

ea

104.37

RK012

A26012


7U25 joint bearing 509K 11X5X16X5

ea

215.33

RK013

A26013


7U25 joint big screw 501A22

ea

109.95

RK014

A26014


7U25 small joint screw 501S6X8XM3.5

ea

33.67

RK015

A26015


4B52 swinging block

ea

1874.04

RK016

A26016


4D7 repair kit for 3R21/3R30

ea

3038.42

RK017

A26017


4F34 lock control unit AK (3R17/3R33/3R40/3R41) KNEE

ea

1119.73






 




PARTIAL HAND PROSTHESIS


 






 

PH010

A30010


Partial hand passive

ea

24016.95

PH020

A30020


Partial hand functional

ea

33973.08

PH030

A30030


Partial opposition post

ea

16754.36






 




PARTIAL HAND REPAIRS


 






 

PH050

A30050


Partial new silicone socket

ea

7672.46

PH060

A30060


Partial hand - cosmetic glove replaced

ea

5776.56

PH070

A30070


Partial hand - replace zip to glove

ea

5 339.51






 

WD



WRIST DISARTICULATION PROSTHESIS


 






 

WD010

A30510


Wrist disarticulation - passive

ea

46748.29

WD020

A30520


Wrist disarticulation - functional

ea

61692.50

WD021

A30521


Refit Wrist Disarticulation

ea

13961.17






 

BE



BELOW ELBOW PROSTHESIS


 






 

BE010

A31010


Below elbow prosthesis - passive hand & cosmetic cover

ea

46748.29

BE020

A31020


Below elbow prosthesis - functional hand & cosmetic cover

ea

61692.50

BE040

A31040


BE test socket - diagnostic

ea

2622.39






 

ED



ELBOW DISARTICULATION PROSTHESIS


 






 

ED010

A31510


Elbow disarticulation prosthesis - passive hand and cosmetic cover

ea

69654.38

ED020

A31520


Elbow disarticulation prosthesis - functional hand and cosmetic cover

ea

90777.65

ED030

A31530


ED test socket - diagnostic

ea

2622.39

ED031

A31531


Refit ED

ea

28594.95






 




ABOVE ELBOW PROSTHESIS


 






 

AE010

A32010


Above elbow prosthesis - passive hand & cosmetic cover incl


54795.93

AE020

A32020


Above elbow prosthesis - functional hand & cosmetic cover incl


72424.36

AE040

A32040


AE test socket - diagnostic


2622.39






 




ADDITIONAL CHARGES


 






 

AE060

A32060


Automatic locking elbow 12K4

ea

25506.73

AE065

A32065


Elbow joint with cable lock

ea

17896.28

AE067

A32067


Step-up joints for short BE or TE

ea

20132.53






 




Notes

 

Manual locking elbows 12K5 are supplied as standard. Prosthetist may supply an automatic elbow on request and adjust the fee accordingly.

 

The cost of the standard elbow must be deducted and the automatic elbow added.

 

Prosthetic hooks are not included with upper extremity prosthesis as standard.


 




 


 

SD



SHOULDER DISARTICULATION PROSTHESIS


 






 

SD010

A32510/1


Shoulder disarticulation prosthesis manual elbow (incl. passive hand & cosmetic cover)

ea

75871.74


A32510/2


Shoulder disarticulation prosthesis electric elbow (incl. passive hand & cosmetic cover)

ea

92094.33

SD020

A32520


Shoulder disarticulation - with electric elbow functional hand & cosmetic cover incl

ea

93498.38


A33155


Refit Shoulder disarticulation

ea

32724.42






 

AA



ACCESSORIES


 






 

AA010

A33010


Cable - AE

ea

2625.98

AA020

A33020


Cable - BE

ea

2400.15

AA030

A33030


Corset - BE

ea

2393.00

AA040

A33040


Passive hand

ea

11258.25

AA050

A33050


Felt hand

ea

11258.25

AA060

A33060


Functional hand

ea

14133.77

AA070

A33070


Harness - AE

ea

2400.20

AA080

A33080


Harness - BE

ea

2400.18

AA090

A33090


Hook elastics

ea

63.81

AA100

A33100


Prosthetic glove - cosmetic

ea

5731.08

AA110

A33110


Prosthetic glove - leather

ea

1198.38

AA120

A33120


Prosthetic hook - aluminium

ea

16437.42

AA130

A33130


Prosthetic hook - steel

ea

21032.14

AA140

A33140


Refit AE

ea

21289.03

AA150

A33150


Refit BE

ea

13283.25

AA160

A33160


Wrist insert - Only with repairs or when hook is required

ea

1546.07

AA165

A33165


Wrist Unit inclusive of wrist insert

ea

6013.32

AA170

A33170


Manual locking elbow 12K5 inclusive with new. Only charge separate with repairs

ea

9284.15

AA175

A33175


Re laminate BE

ea

1898.06

AA180

A33180


C708 Base Plate

ea

102.47

AA185

133185


21A29=25 Auxila Loop

ea

786.13

AA190

A33190


C711HD Hanger

ea

207.74

AA195

A33195


C711 Standard Hanger

ea

166.99

AA196

A33196


C713HD Ball Receiver

ea

314.36

AA197

A33197


C713 Standard Ball Receiver

ea

269.75

AA198

A33198


C703HD Ball Terminal

ea

107.04

AA199

A33199


C703 Standard Ball Terminal

ea

139.16

AA200

A33200


C701HD Triple Swivel

ea

309.49

AA201

A33201


C703 Standard Triple Swivel


309.49

AA202

A33202


C709HD Retainer

ea

175.55

AA203

A33203


C709 Standard Retainer

ea

150.40

AA204

A33204


C710HD Cross Bar

ea

278.31

AA205

A33205


C710 Standard Cross Bar

ea

268.95






 

SS



PROSTHETIC SOCKS


 






 

SS010

A35010


Stump sock - BK local

ea

429.84

SS020

A35020


Stump sock - AK local

ea

480.73

SS030

A35030


Stump sock - Arm local

ea

309.57

SS040

A35040


Stump sock - Symes local

ea

797.66

SS050

A35050


Stump sock - BK 5 ply - imported

ea

850.52

SS055

A35055


Stump sock - BK 3 ply - imported

ea

797.66

SS060

A35060


Stump sock - AK 5 ply - imported

ea

850.52

SS065

A35065


Stump sock AK 3 ply - imported

ea

797.67

SS070

A35070


Stump sock Arm 3 ply - imported

ea

429.84

SS075

A35075


Stump sock Arm 5 ply - imported

ea

509.85

SS080

A35080


Stump sock - Symes 3 ply - imported

ea

1178.26

SS085

A35085


Stump sock - Symes 5 ply - imported

ea

1283.95

SS090

A35090


Prosthetic sheath - imported

ea

482.52

SS096

A35096


Prosthetic sheath - Local

ea

105.94

SS093

A35093


Prosthetic sheath with hole for pin - local

ea

109.31

SS097

A35097


Stump sock with hole for pin - local

ea

317.43

SS095

A35095


Stump sock with hole for pin imported

ea

425.42

SS100

A35100


Protective sheath - American


2385.63

SS105

A35105


Protective sheath - European (Derma seal)


4022.84

SS106

A35106


Dermaseal residual limb sock 453D7

ea

2163.16

SS110

A35110


Fix Prosthesis - European (Daw)

ea

1145.53

SS120

A35120


Fix Prosthesis - American (silicone suspension liner)

ea

564.50

SS121

A35121


Fix prosthesis local 601 kneebrace

ea

440.96

SS130

A35130


Stump shrinker BK

ea

910.22

SS140

A35140


Stump shrinker AK

ea

1209.73






 




SUSPENSION SYSTEMS


 






 

AK150

A21650


AK - hip-joint and pelvic band to prosthesis

ea

10373.05

AK700

A21700


AK - shoulder belt

ea

1050.74

AK701

A21701


AK - silesion belt

ea

962.35

AK704

A21704


AK - silesion strap

ea

291.77

AK708

A21708


AK - waist belt

ea

1011.90

AK712

A21712


AK - neoprene suspension belt

ea

2660.95

BK132

A20632


BK joints and thigh corset

ea

18641.80

BK133

A20633


BK joints and weightbearing corset

ea

20923.01

BK192

A20692


BK back check strap

ea

583.63

BK193

A20693


BK backlift

ea

605.03

BK194

A20694


BK crutch strap

ea

653.15

BK197

A20697


BK ptb strap

ea

1131.06

BK198

A20698


Front Control strap

ea

721.57

BK200

A20700


BK thigh corset

ea

3136.22

BK201

A20701


BK waistbelt leather

ea

1214.06

BK202

A20702


BK waistbelt webbing

ea

795.06

 

 

 

 

 

 




OCULAR PROSTHESIS


 






 

OCU

A53015


Prosthesis Consultation (Not payable with A56000)


701.90

OCU

A53115


Impression for Ocular Prosthesis


2833.59

OCU

A53215


Iris Colour


1171.36

OCU

A53315


Model fitting


5762.09

OCU

A53415


Prosthetic manufacture and moulding


6656.35

OCU

A53515


Follow-up (Within 6 months of new or replacement prosthesis but included in item 56000)


388.41

OCU

A53715


Glass eye complete with consultation and fitting (attached motivation)


5260.41

OCU

A53815


Drill ball and socket (pegging to coral) "attached motivation"


1136.19

OCU

A53915


Trimming and Reshaping


568.86

OCU

A54015


Build up


1683.64

OCU

A54115


Veining


793.65

OCU

A54215


Polishing


351.71

OCU

A54315


Materials for custom eye


2211.21

OCU

A54415


Stock eye (every 5 years)


1579.65

OCU

A54515


Haptic Lens (every 5 years)


3478.90

OCU

A56000


Complete eye (includes consultation A53015)


22067.72