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

3.2.1

Dislocations

0547

Joint: Dislocation: Clavicle: either end

38

967.86

38

967.86

3

357.06 +T+M

0549

Joint: Dislocation: Shoulder

51

1 298.97

51

1 298.97

3

357.06 +T+M

0551

Joint: Dislocation: Elbow

51

1 298.97

51

1 298.97

3

357.06 +T+M

0552

Joint: Dislocation: Wrist

77

1 961.19

77

1 961.19

3

357.06 +T+M

0553

Joint: Dislocation: Perilunar transscaphoid fracture dislocation

130

3 311.10

120

3 056.40

3

357.06 +T+M

0555

Joint: Dislocation: Lunate

77

1 961.19

77

1 961.19

3

357.06 +T+M

0556

Joint: Dislocation: Carpo-metacarpo dislocation

51

1 298.97

51

1 298.97

3

357.06 +T+M

0557

Joint: Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand)

26

662.22

26

662.22

3

357.06 +T+M

0559

Joint: dislocation: Hip

109

2 776.23

109

2 776.23

3

357.06 +T+M

0561

Joint: Dislocation: Knee

96

2 445.12

96

2 445.12

3

357.06 +T+M

0563

Joint: Dislocation: Patella

32

815.04

32

815.04

3

357.06 +T+M

0565

Joint: Dislocation: Ankle

90

2 292.30

90

2 292.30

3

357.06 +T+M

0567

Joint: Dislocation: Sub-Talar dislocation

90

2 292.30

90

2 292.30

3

357.06 +T+M

0569

Joint: dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal

77

1 951.19

77

1 961.19

3

357.06 +T+M

0571

Joint: Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot)

14

356.58

14

356.58

3

357.06 +T+M

3.2.2

Operations for dislocations

0578

Recurrent dislocation of shoulder

200

5 094.00

160

4 075.20

3

357.06 +T+M

0579

Recurrent dislocation of large joints

161

4 100.57

128.8

3 280.54

3

357.06 +T+M

3.2.3

Capsular operations

0582

Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care)

51

1 298.97

51

1 298.97

3

357.06 +T+M

0583

Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care)

96

2 445.12

96

2 445.12

3

357.06 +T+M

0585

Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy digital joint

64

1 630.08

64

1 630.08

3

357.06 +T+M

0586

Multiple percutaneous capsulotomies of metacarpo-phalangeal joints

90

2 292.30

90

2 292.30

3

357.06 +T+M

0587

Release of digital joint contracture

128

3 260.16

120

3 056.40

3

357.06 +T+M

3.2.4

Synovectomy

0589

Synovectomy: Digital joint

77

1 961.19

77

1 961.19

3

357.06 +T+M

0592

Synovectomy: Large joint

160

4 075.20

128

3 260.16

3

357.06 +T+M

0593

Tendon synovectomy

203.7

5 188.24

162.96

4 150.59

3

357.06 +T+M

3.2.5

Arthodesis

0597

Arthrodesis: Shoulder

224

5 705.28

179.2

4 564.22

3

357.06 +T+M

0598

Arthrodesis: Elbow

180

4 584.60

144

3 667.68

3

357.06 +T+M

0599

Arthrodesis: Wrist

180

4 584.60

144

3 667.68

3

357.06 +T+M

0600

Arthrodesis: Digital joint

128

3 260.16

120

3 056.40

3

357.06 +T+M

0601

Arthrodesis: Hip

320

8 150.40

256

6 520.32

3

357.06 +T+M

0602

Arthrodesis: Knee

180

4 584.60

144

3 667.68

3

357.06 +T+M

0603

Arthrodesis: Ankle

180

4 584.60

144

3 667.68

3

357.06 +T+M

0604

Arthrodesis: Sub-talar

130

3 311.10

120

3 056.40

3

357.06 +T+M

0605

Arthrodesis: Stabilization of foot (triple-arthrodeses)

180

4 584.60

144

3 667.68

3

357.06 +T+M

0607

Arthrodesis: Mid-tarsal wedge resection

180

4 584.60

144

3 667.68

3

357.06 +T+M

3.2.6

Arthroplasty

0614

Arthroplasty: Debridement large joints

160

4 075.20

128

3 260.16

3

357.06  +T+M

0615

Arthroplasty: Excision medial or lateranl end of clavicle

116

2 954.52

116

2 954.52

3

357.06 +T+M

0617

Shoulder. Acromioplasty

192

4 890.24

153.6

3 912.19

3

357.06 +T+M

0619

Shoulder: Partial replacement

277

7 055.19

221.6

5 644.15

5

595.10 +T+M

0620

Shoulder: Total replacement

416

10 595.52

332.8

8 476.42

5

595.10 +T+M

0621

Elbow: Excision head of radius

96

2 445.12

96

2 445.12

3

357.06 +T+M

0622

Elbow: Excision

192

4 890.24

153.6

3 912.19

3

357.06 +T+M

0623

Elbow: Partial replacement

188

4 788.36

150.4

3 830.69

3

357.06 +T+M

0624

Elbow: Total replacement

282

7 182.54

225.6

5 745.03

3

357.06 +T+M

0625

Wrist: Excision distal end of ulna

96

2 445.12

96

2 445.12

3

357.06 +T+M

0626

Wrist: Excision single bone

110

2 801.70

110

2 801.70

3

357.06 +T+M

0627

Wrist: Excision proximal row

166

4 228.02

132.8

3 382.42

3

357.06 +T+M

0631

Wrist: Total replacement

249

6 342.03

199.2

5 073.62

3

357.06 +T+M

0635

Digital joint: total replacement

192

4 890.24

153.6

3 912.19

3

357.06 +T+M

0637

Hip: Total replacement

416

10 595.52

332.8

8 476.42

3

357.06 +T+M

0641

Hip: Prosthetic replacement of femoral head

288

7 335.36

230.4

5 868.29

3

357.06 +T+M

0643

HipL Girdlestone

320

8 150.40

256

6 520.32

3

357.06 +T+M

0645

Knee: Partial replacement

277

7 055.19

221.6

5 644.15

3

357.06 +T+M

0646

Knee: Total replacement

416

10 595.52

332.8

8 476.42

3

357.06 +T+M

0649

Ankle: Total replacement

290.4

7 396.49

232.32

5 917.19

3

357.06 +T+M

0650

Ankle: Astragalectomy

154

3 922.38

123.2

3 137.90

3

357.06 +T+M

3.2.7

Miscellaneous (Joints)

0661

Aspiration of joint or intra-articular injection (not subject to rule G) (Modifier 0005 not applicable)

9

229.23

9

229.23

3

357.06 +T    

0667

Arthroscopy (excluding after-care), modifiers 005 and 0013 not applicble

60

1 528.20

60

1 528.20

3

357.06 +T    

0669

Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable)

14

356.58

14

356.58

4

476.08 Hip +T

357.06 Knee/

Shoulder +T

0670

Only the consultation fee should be charged when manipulation of a large joint is performed with or without local anaesthetic

Φ

Φ

4

476.08 Hip +T

357.06 Knee/

Shoulder +T

0673

Menisectomy or operation for other internal derangement of knee

109

2 776.23

109

2 776.23

3

357.06 +T+M

3.2.8

Joint ligament reconstruction or suture

0675

Joint ligament reconstruction or suture: Ankle

160

4 075.20

128

3 260.16

3

357.06 +T+M

0677

Joint ligament reconstruction or suture: Knee

160

4 075.20

128

3 260.16

3

357.06 +T+M

0678

Joint ligament reconstruction: Knee: Cruciate

160

4 075.20

128

3 260.16

3

357.06 +T+M

0679

Joint ligament reconstruction or suture: Ligament augmentation

280

7 131.60

224

5 705.28

3

357.06 +T+M

0680

Joint ligament reconstruction or suture: Digital joint ligament

165

4 202.55

132

3 352.04

3

357.06 +T+M