Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

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Doctors

Part III : Procedures

3. Musculo-Skeletal System

3.4 Muscles, tendons and fascias

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Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.4.1

Investigations

 

 

 

 

 

 

0713

Electromyography

75

1 910.25

75

1 910.25

3

357.06 +T    

0714

Electro-myographic neuro-muscular junctional study, including edrophonium response (not to be used with item 2730)

57

1 451.79

57

1 451.79

3

357.06 +T    

0715

Strength duration curve per session

10.5

267.44

10.5

267.44

3

357.06 +T    

0717

Electrical examination of single nerve or muscle

9

229.23

9

229.23

3

357.06 +T    

0721

Voltage integration during isometric cons

12

305.64

12

305.64

3

357.06 +T    

0723

Tonometry with edrophonium

8

203.76

8

203.76

3

357.06 +T    

0725

Isometric tension studies with edrophonium

10

254.70

10

254.70

3

357.06 +T    

0727

Cranial reflex study (both early and late responses) supra occulofacial, comefacial or flabellofacial: Unilateral

8

203.76

8

203.76

3

357.06 +T    

0728

Cranial reflex study (both early and late responses) supra occulofacial, corneofacial or flabellofacial : Bilateral

14

356.58

14

356.58

3

357.06 +T    

0729

Tendon reflex time

7

178.29

7

178.29

3

357.06 +T  

0730

Limb-brain somatosensory studies (per limb)

49

1 248.03

49

1 248.03

3

 357.06 +T    

0731

Vision and audiosensory studies

49

1 248.03

49

1 248.03

 

 

0733

Motor nerve conduction studies (single nerve)

26

662.22

26

662.22

 

 

0735

Examinations of sensory nerve conduction by sweep averages (single nerve)

31

789.67

31

789.57

3

357.06 +T    

0737

Biopsy for motor nerve terminals and end plates

20

509.40

20

509.40

3

357.06 +T    

0739

Combined muscle biopsy with end plates and nerve terminal biopsy

34

865.98

34

865.98

8

952.16 +T    

0740

Muscle fatigue studies

20

509.40

20

509.40

3

357.06 +T    

0741

Muscle biopsy

20

509.40

20

509.40

3

952.16 +T    

0742

Global fee for all muscle studies, including histochemical studies

262

6 673.14

 

 

 

 

4701

Biochemical estimations on muscle biopsy specimens: Creatine kinase

20.25

515.77

 

 

 

 

4703

Biochemical estimations on muscle biopsy specimens: Adenylale kinase

33.3

848.15

 

 

 

 

4705

Biochemical estimations on muscle biopsy specimens: Pyruvate kinase

5.7

145.18

 

 

 

 

4707

Biochemical estimations on muscle biopsy specimens: Lactate dehydrogenase

1.6

40.75

 

 

 

 

4709

Biochemical estimations on muscle biopsy specimens: Adenylate deaminase

9.9

252.15

 

 

 

 

4711

Biochemical estimations on muscle biopsy specimens:  Phosplagycerate kinase

13.7

348.94

 

 

 

 

4713

Biochemical estimations on muscle biopsy specimens: Phosphoglycerate mutase

25.9

659.67

 

 

 

 

4715

Biochemical estimations on muscle biopsy specimens: Enolase

32.7

832.87

 

 

 

 

4717

Biochemical estimations on muscle biopsy specimens:

Phospholructokinase

37.7

960.22

 

 

 

 

4719

Biochemical estimations on muscle biopsy specimens: Aldolase

15.75

401.15

 

 

 

 

4721

Biochemical estimations on muscle biopsy specimens: Gyceraldehyde 3 Phosphate Dehydrogenase

11.06

281.70

 

 

 

 

4723

Biochemical estimations on muscle biopsy specimens: Phosphorylase

34.7

883.81

 

 

 

 

4725

Biochemical estimations on muscle biopsy specimens: Phosphoglucomutase

40.3

1 026.44

 

 

 

 

4727

Biochemical estimations on muscle biopsy specimens: Phosphohexose isomerase

28.8

733.54

 

 

 

 

 

 

 

 

 

 

 

 

3.4.2

Decompression Operations

 

 

 

 

 

 

0743

DELETED 2015 Refer to items 5550-5563: Major Compartemental Decompression

 

 

 

 

 

 

0744

DELETED 2015 Refer to items 5550-5563: Decompression operation: Fasciotomy only

 

 

 

 

 

 

5550

Decompression fasciotomy: Buttock compartment(s): Unilateral

243

6 189.21

194.4

4 951.37

5

595.10 +T=M

5551

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). EXCLUDES debridement of nonviable muscle and/or nerve

151.9

3 868.89

121.52

3 095.11

3

357.06 +T+M

5552

Decompression fasciotomy: Leg: Anterior and/or lateral and posterior compartment(s). INCLUDES debridement of nonviable muscle and/or nerve

253.1

6 446.46

202.48

5 157.17

3

357.06 +T+M

5553

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. EXCLUDES debridement of nonviable muscle and/or nerve

123.7

3 150.64

120

3 056.40

3

357.06 +T+M

5554

Decompression fasciotomy: Leg: Anterior and/or lateral compartment(s) only. INCLUDES debridement of nonviable muscle and/or nerve

162.1

4 128.69

129.68

3 302.95

3

357.06 +T+M

5555

Decompression fasciotomy: Leg: Posterior compartment only. EXCLUDES debridement of nonviable muscle an/or nerve

130.8

3 331.48

120

3 056.40

3

357.06 +T+M

5556

Decompression fasciotomy: Leg: Posterior compartment only. INCLUDES debridement of nameable muscle and/or nerve

171.5

4 368.11

137.2

3 494.48

3

357.06 +T+M

5557

Decompression fasciotomy: fasciotomy/tenotomy, iliotibial

137.3

3 497.03

120

3 056.40

4

476.08 +T+M

5558

Decompression fasciotomy: Fasciotomy: Foot and/or toe

86.6

2 205.70

86.6

2 205.70

3

357.06 +T+M

5559

Decompression fasciotomy: Forearm and/or wrist: Flexor and extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

226.3

5 763.86

181.04

4611.09

3

357.06 +T+M

5560

Decompresson fasclotomy: Forearm and/or wrist: Flexor and extensor compartment, INCLUDES debridement of nonviable muscle or nerve

354.5

9 029.12

283.6

7 223.29

3

357.06 +T+M

5561

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. EXCLUDES debridement of nonviable muscle or nerve

166.8

4 248.40

133.44

3 398.72

3

357.06 +T+M

5562

Decompression fasciotomy: Forearm and/or wrist: Flexor or extensor compartment. INCLUDES debridement of nonviable muscle or nerve

321.1

8 178.42

256.88

6 542.73

3

357.06 +T+M

5563

Decompression fasciotomy: Fingers and/or hand

165.6

4 217.83

132.48

3 374.27

3

357.06 +T+M

 

 

 

 

 

 

 

 

3.4.3

Muscle and tendon repair

 

 

 

 

 

 

0745

Muscle and tendon repair: Biceps humeri

109

2 776.23

109

2 776.23

3

357.06 +T    

0746

Muscle and tendon repair: Removal of calcification in Rotator cuff

96

2 445.12

96

2 445.12

3

357.06 +T+M

0747

Muscle and tendon repair: Rotator cuff

134

3 412.98

120

3 056.40

4

476.08 +T    

0748

Muscle and tendon repair: Debridement rotator cuff

139.7

3 558.16

120

3 056.40

4

476.08 +T    

0749

Muscle and tendon repair. Scapulopexy - stand alone procedure

271.90

6 925.29

217.52

5 540.23

4

476.08 +T    

0755

Muscle and tendon repair: Intrapatellar or quadriceps tendon

128

3 260.16

120

3 056.40

3

357.06 +T    

0757

Muscle and tendon repair. Achilles tendon repair

197.6

5 032.87

158.08

4 026.30

4

476.08 +T    

0759

Muscle and tendon repair. Other single tendon

77

1 961.19

77

1 961.19

3

357.06 +T    

0767

Muscle and tendon repair. Tendon or ligament infection

128

3 260.16

120

3 056.40

3

357.06 +T    

0760

Hand: Flexor tendon suture: Primary, zone 1 (each) (modifier 0005 applicable)

220.3

5 611.04

176.24

4 488.83

3

357.06 +T    

0761

Hand: Flexor tendon repair: Primary, zone 2 (no mans land) (each) (modifier 0005 applicable)

249.6

6 357.31

199.68

5 085.85

3

357.06 +T    

0769

Hand: Flexor tendon suture: Primary, zone 3 and 4 (wrist and forearm) (each) (modifier 0005 applicable)

160

4 075.20

126

3 260.16

3

357.06 +T    

0764

Hand: Flexor tendon repair: Secondary, zone 1

243.9

6 212.13

195.12

4 969.71

3

357.06 +T    

0765

Hand: Flexor tendon repair Secondary, zone 2 (no mans land)

249.6

6 357.31

199.68

5 085.85

3

357.06 +T    

0766

Hand: Flexor tendon repair: Secondary, zone 2 (no mans land)

190.6

4 854.58

 

152.8

3 883.67

3

357.06 +T    

0768

Repair: Intrinsic muscles of hand (each) (modifier 0005 applicable)

125.3

3 191.39

100.24

2 553.11

3

357.06 +T    

0771

Extensor tendon suture: Primary (per tendon, Modifier 0005 not

129.7

3 303.46

120

3 056.40

3

357.06 +T    

0773

Extensor tendon suture: Secondary (per tendon, Modifier 0005 not applicable)

80

2 037.60

80

2037.60

3

357.06 +T    

0774

Repair of Boutonniére deformity or Mallet Finger with graft

183.7

4 678.84

146.96

3 743.07

3

357.06 +T    

 

 

 

 

 

 

 

 

3.4.4

Tendon graft

 

 

 

 

 

 

0775

Free tendon graft

160

4 075.20

128

3 260.16

3

357.06 +T    

0776

Reconstruction of pulley for flexor tendon

50

1 273.50

50

1 273.50

3

357.06 +T    

0777

Tendon graft: Finger: Flexor

192

4 890.24

153.6

3 912.19

3

357.06 +T    

0779

Tendon graft: Finger: Extensor

122

3 107.34

120

3 056.40

3

357.06 +T    

0780

Two stage flexor tendon graft using silastic rod

240

6 112.80

 

 

 

 

 

 

 

 

 

 

 

 

3.4.5

Tenolysis

 

 

 

 

 

 

0781

Tendon freeing operation, except where specified elsewhere

64

1 630.08

64

1 630.08

3

357.06 +T    

0782

Carpal tunnel syndrome

98.7

2 513.89

98.7

2 513.89

3

357.06 +T    

0783

Tenolysis: De Quervain

38

967.86

38

967.86

3

357.06 +T    

0784

Trigger finger

38

967.86

38

967.86

3

357.06 +T    

0785

Flexor tendon freeing operation following free tendon graft or suture

186.8

4 757.80

149.44

3 806.24

3

357.06 +T    

0787

Extensor tendon freeing operation following graft or suture in finger, hand or forearm

180.9

4 607.52

144.72

3 686.02

3

357.06 +T    

0788

Intrinsic tendon release per finger

64

1 630.08

64

1 630.08

3

357.06 +T    

0789

Central tendon tenotomy for Boutonniérre deformity

64

 

 

 

 

 

 

 

 

 

 

 

 

 

3.4.6

Tenodesis

 

 

 

 

 

 

0790

Tenodesis: Digital joint

90

2 292.30

90

2 292.30

3

357.06 +T    

 

 

 

 

 

 

 

 

3.4.7

Muscle, tendon and fascia transfer

 

 

 

 

 

 

0791

Single tendon transfer

96

2 445.12

96

2 445.12

3

357.06 +T    

0792

Multiple tendon transfer

128

3 260.16

120

3 056.40

3

357.06 +T    

0793

Hamstring to quadriceps transfer

141

3 591.27

120

3 056.40

3

357.06 +T    

0794

Pectoralis major or Latissimus dorsi transfer to biceps tendon

320

8 150.40

256

6 520.32

5

595.10 +T    

0795

Tendon transfer at elbow

116

2 954.52

116

2 954.62

3

357.06 +T    

0803

Hand tendons: Single tendon transfer

96

2 445.12

96

2 445.12

3

357.06 +T    

0809

Hand tendons: Substitution for intrinsic paralysis of hand

224

5 705.28

179.2

4 564.22

3

3576.06 +T  

0811

Hand tendons: Opponens tendon transfer (including obtaining of graft)

220.6

5 618.68

176.48

4 494.95

3

357.06 +T    

 

 

 

 

 

 

 

 

3.4.8

Muscle slide operations and tendon lengthening

 

 

 

 

 

 

0812

Percutaneous Tenotomy: All sites

38

967.86

38

967.86

3

357.06 +T    

0813

Torticollis

96

2 445.12

96

2 445.12

5

595.10 +T    

0815

Scalenotomy

132

3 362.04

120

3 056.40

5

595.10 +T    

0817

Scalenotomy with excision of first rib

190

4 839.30

152

3 871.44

3

357.06 +T+M

0822

Open release elbow (Mitals) - stand alone procedure

278.20

7 085.75

222.56

5 668.60

3

357.06 +T    

0823

Excision or slide for Volksmann's Contracture

192

4 890.24

153.6

3 912.19

3

357.06 +T    

0825

Hip: Open muscle release

116

2 954.52

116

2 954.52

7

833.14 +T    

0829

Knee: quadriceps plasty

160

4 075.20

128

3 260.16

3

357.06 +T    

0831

Knee: Open tenotomy

141

3 591.27

120

3 056.40

3

357.06 +T    

0835

Calf

96

2 445.12

96

2 445.12

4

476.08 +T    

0837

Open Elongation Tendon Achilles

96

2 445.12

96

2 445.12

4

476.08 +T    

0838

Percutaneous " Hoke" elongation tendoachilles - stand alone procedure

79.30

2 019.77

79.30

2 019.77

4

476.08 +T    

0845

Foot: Plantar fasciotomy

70

1 782.90

70

1 782.90

3

357.06 +T