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

14.1

Diagnostic procedures

2709

Full spinogram Including bilateral median and posterior-tibial studies

140

3 565.80

2711

Electro-encephalography: Taking of record

36.10

919.47

36.10

919.47

2712

Electro-encephalagraplry - Interpretation

24

611.28

24

611.28

2713

Spinal (lumbar) puncture. For diagnosis, tar drainage of spinal fluid or for therapeutic indications

18.4

468.65

18.4

468.65

2714

Cistenal puncture and/or intrathecal injections

15

382.05

15

382.05

2717

Electromyography: First

75

1 910.25

75

1 910.25

2718

Electromyography: Subsequent

75

1 910.25

75

1 910.25

2725

Angiograply carotis: Unilateral

25

636.75

25

636.75

4

476.08 +T

2726

Angiography carotis: Bilateral

44

1 120.68

44

1 120.68

4

476.08 +T

2727

Vertebral artery: Direct needling

50

1 273.50

50

1 273.50

4

476.08 +T

2729

Vertebral catheterisation

50

1 273.50

50

1 273.50

4

476.08 +T

2731

Air encephalography and posterior fossa tomography: Injection of air (independent procedure)

14.5

369.32

4

476.08 +T

2737

Air encephalography and posterior fossa tomography: Visual field charting on Bjerrum Screen

7

178.29

7

178.29

2739

Ventricular needling without burring: Tapping only

16

407.62

16

407.62

4

476.08 +T

2741

Ventricular needling without burring: Plus introduction of air and/or contrast dye for ventriculography

43

1 095.21

43

1 095.21

4

476.08 +T

2743

Subdural tapping: First sitting

15

382.05

15

382.05

4

476.08 +T

2745

Subdural tapping: Subsequent

10

254.70

10

254.70

4

476.08 +T

14.2

Introduction of burr holes for

2747

Ventriculography

150

3 820.50

120

3 056.40

8

952.16 +T

2749

Catheterisation for ventriculography and/or drainage

150

3 820.50

120

3 056.40

8

952.16 +T

2753

Subdural haematoma

150

3 820.50

120

3 056.40

8

952.16 +T

2755

Subdural empyema

150

3 820.50

120

3 056.40

8

952.16 +T

2757

Brain abscess

150

3 820.50

120

3 056.40

8

952.16 +T

3 820.50

14.3

Nerve procedures

2765

Nerve conduction studies (seeitems 0733 and 3285)

26

662.22

26

662.22

4

476.08 +T

14.3.1

Nerve repair of suture

2767

Suture Brachial Plexos (see also gems 2837 and 2839)

300

7 641.00

240

6 112.80

6

714.12 +T

2769

Suture: Large nerve: Primary

134

3 412.98

120

3 056.40

5

595.10 +T

2771

Suture: Large nerve: Secondary

202

5 144.94

161.60

4 115.95

5

595.10 +T

2773

Suture: Digital nerve: Primary

65

1 655.55

65

1 655.55

3

357.06 +T

2775

Suture: Digital nerve: Secondary

96

2 445.12

96

2 445.12

3

357.06 +T

2777

Nerve graft: Simple

202

5 144.94

161.6

4 115.95

4

476.08 +T

2779

Fascicular: First fasciculus

202

5 144.94

161.6

4 115.95

4

476.08 +T

2781

Fascicular: Each additional fasciculus

50

1 273.50

50

1 273.50

4

476.08 +T

2783

Fascicular: Nerve flap: To include all stages

224

5 705.26

179.2

4 554.22

4

476.08+T

2787

Fascicular: Grafting of facial nerve

215

5 476.05

172

4 380.84

5

595.10 +T

14.3.2

Neurectomy

2795

Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, one level (unilateral or bilateral)

45.4

1 156.34

45.4

1 156.34

5

595.10 +T

2796

Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, lumbar spine/sacral, each additional level each additional level (unilateral or bilateral)

+    16.3

415.16

16.3

415.16

5

595.10 +T

2797

Procedures for pain relef: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica/thoracic, one level (unilateral or bilateral)

44

1 120.68

44

1 120.68

5

595.10 +T

2798

Procedures for pain relief: Paravertebral facet joint nerve: Destruction by neurolytic agent, cervica//thoracic, each additional level (unilateral or bilateral)

+       15

382.05

15

382.05

5

595.10 +T

2799

Intrathecal injections for pain

36

916.92

36

916.92

4

476.08 +T

2800

Plexus nerve block - as part of treatment refer to annexure C on the back of this gazette (motivation to be supplied by treating doctor)

36

916.92

36

916.92

Fees as for specialist

2801

Epidural injection, plexus nerve block or peripheral nerve block for pain refer to annexure C on the back of this gazette, motivation to be supplied by treating doctor (see modifier 0045 for post-operative pain relief) (refer to modifier 0021 for epidural anaesthetic)

36

916.92

36

916.92

Fees as for specialist

2802

Peripheral nerve block - as part of treatment (motivation to be supplied)

25

636.75

25

636.75

Fees as for specialist

2803

Alcohol injection in peripheral nerves for pain: Unilateral

20

509.40

20

509.40

3

357.06 +T

2804

Inserting an indwelling nerve catheter (includes removal of catheter) (not for bolus technique) To be used only with items 2799, 2800, 2801 or 2802

+       10

254.70

10

254.70

Fees as for specialist

2805

Alcohol injection in peripheral nerves for pain: Bilateral

35

891.45

35

891.45

3

357.06 +T

2809

Peripheral nerve section for pain

45

1 146.15

45

1 146.15

3

357.06 +T

2815

Excision interdigital neuroma - Morton

82.3

2 096.18

82.3

2 096.18

3

357.06 +T

2825

Excision: Neuroma: Peripheral

109.5

2 788.97

109.5

2 788.97

3

357.06 +T

14.3.3

Other nerve procedures

2827

Transposition of ulnar nerve

100

2 547.00

100

2 547.00

3

357.06 +T

2829

Neuroysis: Minor

51

1 298.97

51

1 298.97

3

357.06 +T

2831

Neurolysis: Major

132

3 362.04

120

3 056.40

3

357.06 +T

2833

Neuroysls: Digital

96

2 445.12

96

2 445.12

3

357.06 +T

2835

Scalenotomy

132

3 362.04

120

3 056.40

6

714.12 +T

2837

Brachial plexus, suture or neuroysis (item 2767)

300

7 641.00

240

6 112.80

6

714.12 +T

2839

Total brachial plexus exposure with graft, neuroysis and transplantation

895.2

22 800.74

716.16

18 240.60

6

714.12 +T

2841

Carpal Tunnel

64

1 630.08

64

1 630.08

3

357.06 +T

2843

Lumbar sympathectomy: Unilateral

153

3 896.91

122.4

3 117.53

4

476.08 +T

2845

Lurnbarsympathectomy: Bilateral

268

6 825.96

214.4

5 460.77

6

714.12 +T

2849

Sympathetic block Other levels: Unilateral

20

509.40

20

509.40

3

357.06 +T

2851

Sympathetic block: Other levels: Bilateral

35

891.45

35

891.45

3

357.06 +T

14.4

Skull procedures

2859

Repair of depressed fracture of skull: Without brain laceration: Major

200

5 094.00

160

4 075.20

8

952.16 +T

2860

Repair of depressed fracture of skull: Without brain laceration: Small

170

4 329.90

136

3 463.92

8

952.16 +T

2861

Repair of depressed fracture of skull: With brain lacerations: Small

200

5 094.00

160

4 075.20

8

952.16 +T

2862

Repair of depressed fracture of skull: With brain lacerations: Major

375

9 551.25

300

7 641.00

8

952.16 +T

2863

Cranioptasty

280

7 131.60

224

5 705.28

8

952.16 +T

2875

Theco-peritorteal C.S.F. shunt

280

7 131.60

224

5 705.28

8

952.16 +T

14.6

Aneurysm repair

2876

Repair of aneurysm or arterlor-venous anomalies (intracranial)

700

17 829.00

560

14 263.20

15

1 785.30 +T

14.7

Posterior fossa surgery

2879

Glosso-pharyngeal nerve

480

12 225.60

384

9 780.48

6

714.12 +T

2881

Eighth nerve: Intracranial

480

12 225.60

384

9 780.48

8

952.16 +T

2887

Eighth nerve: Vestibular nerve

480

12 225.60

384

9 780.48

9

1 071.18 +T

14.7.1

Supratentorial procedures

2899

Cranjectomy for extra-dural haematoma or empyema

375

9 551.25

300

7 641.00

11

1 309.22 +T

14.8

Craniotomy for

2900

Extra-dural orbital decompression

700

17 829.00

560

14 263.20

11

1 309.22 +T

2903

Abscess, glloma

450

11 461.50

360

9 1 69.20

11

1 309.22 +T

2904

Haematoma, foreign body: Cerebral or cerebellar

450

11 461.50

360

9 169.20

11

1 309.22 +T

2905

Focal epilepsy: Excision of cortical scar

450

11 461.50

360

9 169.20

11

1 309.22 +T

2906

With anterior fossa meningocele and repair of bony skull defect

375

9 551.25

300

7 641.00

11

1 309.22 +T

2909

CSF-leaks

450

11 461.50

360

9 169.20

11

1 309.22 +T

14.8.1

Stereo-tactic cerebral and spinal cord procedures

2918

(code moved to consultation section)

14.9

Spinal operations

2923

Chordotomy: Unilateral

178

4 533.66

142.4

3 626.93

3

357.06 +T+M

2925

Chordotomy: Open

350

8 914.60

280

7 131.60

3

357.06 +T+M

2927

Rhizotomy: Extradural, but intraspinal

320

8 150.40

256

6 520.32

3

357.06 +T+M

2928

Rhizotomy: Intradural

350

8 914.60

280

7 131.60

3

357.06 +T+M

2940

Lumbar osteophyte removal

187

4 762.89

149.6

3 810.31

3

357.06 +T+M

2941

Cervical or thoracic osteophyte removal

285

7 258.95

228

5 807.16

3

357.06 +T+M

14.10

Arterial ligations

2951

Carotis: Trauma

120

3 056.40

120

3 056.40

8

952.16 +T    

14.11

Medical Psychotherapy

2957

Indvidual psychotherapy (specific psychotherapy with approved evidence based method) - per short session (20 minutes)

20

509.40

16

407.52

2974

Individual psychotherapy (specific psychotherapy with approved evidence based method) - per intermediate session (40 minutes)

40

1 018.80

32

815.04

2975

Individual psychotherapy (specific psychotherapy with approved evidence based method) - per extended session (60 minutes or longer)

60

1 528.20

48

1 222.56

2958

DELETED 2009: Psychoanalytic therapy - per 60 minute session

14.12

Physical treatment methods

2970

Electro-convulsive treatment (ECT) - each time (see rule (Va)

17

432.99

17

432.99

3

357.06 +T    

2971

Intravenous anti-depressive medication through infusion - per push in (maximum 1 push in per 24 hours)

6

152.82

14.13

Psychiatric examination methods

2972

Narco-analysis (maximum of 3 sessions per treatment) - per session

24

611.28

2973

Psychometry by Psychiatrist (specify examination) - per session (maximum of 3 sessions per examination)

24

611.28