Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2019Physiotherapist, Occupational Therapy and Chiropractor 2019Chiropractic ServicesTariff of Fees from 1 April 2019 |
2019 |
1 CONSULTATIONS
04301 |
Initial consultation - including the taking of a full case history or pertinent history, but excluding remedies, immobilisation and manipulation procedures. Consultation includes history taking, guidance, education, health promotion and/or consultation. The consultation code may be charged only once at the consultation or Visit. |
R273.41 |
2 DIAGNOSTIC PROCEDURES
Only a single item from this section may be charged per patient encounter. Diagnostic procedures included in the scope of practice are; physical examination, neurological examination Initial consultation - charge 04313 (may only be used once per episode of injury ) Follow up consultation- use 04311 or 04312 only When using 04312 at a subsequent consultation, a motivation detailing why two diagnostic are required a follow up treatment. Use form WCL5 to submit your motivation. |
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|
04311 |
Single diagnostic procedure (May be used with up to three treatment/therapeutic codes) |
R 177.24 |
04312 |
Two diagnostic procedures (Attach Motivation) |
R 269.29 |
04313 |
Three diagnostic procedures (May only be used on an initial Consultation) |
R 354.47 |
TREATMENT (THERAPEUTIC PROCEDURES)
Only a single item from this section may be charged per patient encounter
04331 |
Single treatment procedure |
R 376.46 |
04332 |
Two treatment procedures |
R 456.15 |
04333 |
Three treatment procedures |
R 535.83 |
04334 |
Four treatment procedures |
R 615.52 |
04335 |
Five treatment procedures |
R 695.21 |
04336 |
Six treatment procedures |
R 773.52 |
IMMOBILISATION OR THERAPEUTIC EXERCISE IN RELATION TO PREPARATION OR FITTING OF APPLIANCES
Only a single item from this section may be charged per patient encounter
04321 |
Single instance of immobilization or therapeutic exercises |
R 535.83 |
04322 |
Two instances of immobilization or therapeutic exercises (Attach Motivation) |
R 673.23 |
RADIOLOGY
Only a single item from this section may be charged per patient encounter
04049 |
Ankle - AP/LAT |
R 218.86 |
04050 |
Ankle - Complete Study - 3 views |
R 327.66 |
04051 |
Cervical - AP/LAT |
R 218.66 |
04052 |
Cervical - AP/LAT/OBL |
R 327.66 |
04053 |
Cervical study - 6 views |
R 655.35 |
04054 |
Cervical - Davis Series -7 views |
R 764.12 |
04055 |
Elbow -AP/LAT |
R 214.58 |
04056 |
Elbow - 3 views |
R 327.66 |
04057 |
Foot - AP/LAT |
R 218.66 |
04058 |
Foot - 3 views |
R 327.66 |
04059 |
Femur - AP/LAT |
R 436.87 |
04060 |
Hand - AP/LAT |
R 218.66 |
04061 |
Hand - 3 views |
R 327.66 |
04062 |
Hip unilateral - 1 view |
R 152.96 |
04063 |
Hip - 2 views |
R 305.70 |
04064 |
Knee - AP/LAT |
R 218.66 |
04065 |
Knee - 3 views |
R 327.66 |
04066 |
Lumbo-Sacral - 3 views |
R 524.14 |
04067 |
Lumbar spine & pelvis - 5 views |
R 785.90 |
04068 |
Pelvis AP |
R 218.66 |
04069 |
Pelvis - 3 views |
R 480.59 |
04070 |
Ribs -Unilateral - 2 views |
R 261.97 |
04071 |
Ribs -Bilateral - 3 views |
R 392.94 |
04072 |
Radius/Ulna |
R 218.66 |
04073 |
Spine -Full spine study - AP/LAT |
R 785.90 |
04074 |
Spine - 8 X 10- Single study |
R 129.37 |
04075 |
Spine - 10 X 12- Single study |
R 131.20 |
04076 |
Spine - 14 X 17- Single study |
R 218.66 |
04077 |
Shoulder - 1 view |
R 131.20 |
04078 |
Shoulder - 2 views |
R 261.97 |
04079 |
Thoraco - Lumbar - AP/LAT |
R 436.87 |
04080 |
Thoracic - AP/LAT |
R 436.87 |
04081 |
Tibia/Fibula - AP/LAT |
R 436.87 |
04082 |
Wrist - AP/LAT |
R 218.66 |
04083 |
Wrist - 3 views |
R 327.66 |
04084 |
Stress views - Lumbar |
R 273.97 |
04100 |
Consumable (claim using Nappi codes) |
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Radiation Control Council Certificate number to be on account if X-Rays charged