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

3.8 Specific areas

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Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

3.8.1

Foot and ankle

 

 

 

 

 

 

0900

Excision tarsal coalition - stand alone procedure

141.5

3 604.01

120.00

3 056.40

3

357.06 +T+M

0901

Tenotomy single tendon

63.3

1 612.25

63.3

1 612.25

3

357.06 +T+M

0903

Hammertoe: one toe

99.5

2 534.27

99.5

2 534.27

3

357.06 +T+M

0905

Fillet of toe or Ruiz-Mora procedure

99.5

2 534.27

99.5

2 534.27

3

357.06 +T+M

0906

Arthodesis Hallux

148

3 769.56

120

3 056.40

3

357.06 +T+M

0909

Excision arthorplasty

145.2

3 698.24

120

3 056.40

3

357.06 +T+M

0910

Cheilectomy or metatarsopfangeal Implant Hallux

183

4 661.01

146.4

3 728.81

3

357.06 +T+M

0911

Metatarsal osteotomy or Lapidus or similar or Chevron - stand alone procedure

189.2

4 818.92

151.36

3 855.14

3

357.06 +T+M

5730

Hallux valgus double osteotomy etc

182.60

4 650.82

146.08

3 720.66

3

357.06 +T+M

5731

Distal soft tissue procedure for Hallux Valgus

173.6

4 421.59

138.88

3 537.27

3

357.06 +T+M

5732

Atkin procedure or similar

166.8

4 248.40

133.44

3 398.72

3

357.06 +T+M

5734

Removal bony prominence foot (bunionette not applicable to COID)

91

2 317.77

91

2 317.77

3

357.06 +T+M

5735

Repair angular deformity toe (lesser toes)

97.2

2 475.68

97.2

2 475.68

3

357.06 +T+M

5736

Sesamoidectomy

97.8

2 490.97

97.8

2 490.97

3

357.06 +T+M

5737

Repair major foot tendons e.g. Tib Post

147.30

3 751.73

120

3 056.40

3

357.06 +T    

5738

Repair of dislocating peronsal tendons

173.2

4 411.40

138.56

3 529.12

3

357.06 +T    

5740

Steindler strip - plantar fascia

97.2

2 475.68

97.2

2 475.68

3

357.06 +T    

5742

Tendon transfer foot

172

4 380.84

137.6

3 504.67

3

357.06 +T    

5743

Capsulotomy metatarsophalargeal joints -foot

86.8

2 210.80

86.8

2 210.80

3

357.06 +T    

 

 

 

 

 

 

 

 

3.8.3

Replantation

 

 

 

 

 

 

0912

Replantation of amputated upper limb proximal to wrist joint

730

18 593.10

584

14 874.48

3

357.06 +T+M

0913

Replantation of thumb

670

17 064.90

536

13 651.92

3

357.06 +T+M

0914

Replantation of a single digit (to be motivated), for multiple digits, modifier 0005 applicable

580

14 772.60

464

11 818.08

3

357.06 +T+M

0915

Replantation operation through the palm

1270

32 346.90

1016

25 877.52

3

357.06 +T+M

 

 

 

 

 

 

 

 

3.8.4

Hands: (Note: Skin: See Integumentary system)

 

 

 

 

 

 

0919

Tumours: Epidermiod cysts

35

891.45

35

891.45

3

357.06 +T+M

0922

Removal of foreign bodies requiring incision: Under local anaesthetic

19

483.93

19

483.93

3

357.06 +T+M

0923

Removal of foreign bodies requiring incision: Under general or regional anaesthetic

32

815.04

32

815.04

3

357.06 +T+M

0924

Crushed hand injuries: Initial extensive soft tissue toilet under general anaesthetic (sliding scale)

37

to

110

942.39

 

2 801.70

37

to

110

942.39

 

2 801.70

3

357.06 +T+M

0925

Crushed hand injuries: Subsequent dressing charges under general anaesthetic

16

407.52

16

407.52

3

357.06 +T+M

0926

Initial treatment of fractures, tendons, nerves, loss of skin and blood vessels,including removal of dead tissue under general anaesthesia and six weeks alter-care

269

6 851.43

215.2

5 481.14

3

357.06 +T+M

 

 

 

 

 

 

 

 

3.8.5

Spine

 

 

 

 

 

 

0927

Excision of one vertebral body, for a lesion within the body (no decompression)

207

5 272.29

165.6

4 217.83

3

357.06 +T+M

0928

Excision of each additional vertebral segment for a lesion within the body (no decompression)

+       42

1 069.74

42

1 069.74

3

357.06 +T+M

0929

Manipulation of spine with anaesthetic (no after -care), modifier 0005 not applicable

14

356.58

14

356.58

3

595.10 +T+M

0930

Posterior osteotomy of spine: One vertebral segment

339

8 634.33

271.2

6 907.46

3

357.06 +T+M

0931

Posterior spinal fusion: One level

385

9 805.95

308

7 844.76

3

357.06 +T+M

0932

Posterior osteotomy of spine: Each additional vertebral segment

+     103

2 623.41

103

2 623.41

3

357.06 +T+M

0933

Anterior spinal osteotomy with disc removal: One vertebral segment

315

8 023.05

252

6 418.44

3

357.06 +T+M

0936

Anterior spinal osteotomy with disc removal: Each additional vertebral segment

+     103

2 623.41

+      103

2 623.41

3

357.06 +T+M

0938

Anterior fusion base of skull to C2

449

11 436.03

359.2

9 148.82

4

476.08 +T+M

0939

Trans-abdominal anterior exposure of the spine for spinal-fusion only if done by a second surgeon

160

4 075.20

128

3 260.16

3

357.06 +T+M

0940

Transthoracic anterior exposure of the spine if done by a second surgeon

160

4 075.20

128

3 260.16

3

357.06 +T+M

0941

Anterior interbody fusion: One level

360

9 169.20

288

7 335.36

3

357.06 +T+M

0942

Anterior interbody fusion: Each additional level

+     102

2 597.94

+     102

2 597.94

3

357.06 +T+M

0943

Laminectomy with decompression of nerve mots and disc removal: One level

240

6 112.80

192

4 890.24

3

357.06 +T+M

0944

Posterior fusion: Occiput to C2

390

9 933.30

312

7 946.64

4

476.08 +T+M

0946

Posterior spinal fusion: Each additional level

+     111

2 827.17

+     111

2 827.17

3

357.06 +T+M

0948

Posterior interbody lumbar fusion: One level

364

9 271.08

291.2

7 416.86

3

357.06 +T+M

0950

Posterior interbody lumbar fusion: Each additional interspace

+       95

2 419.65

+        95

2 419.65

3

357.06 +T+M

0959

Excision of coccyx

96

2 445.12

 96

2 445.12

3

357.06 +T+M

0960

Posterior non-segmental instrumentation

167

4 254.49

133.6

3 402.79

5

595.10 +T+M

0961

Costo-transversectomy

198

5 043.06

158.4

4 034.45

3

357.06  +T+M

0962

Posterior segmental Instrumentation: 2 to 6 vertebrae

176

4 482.72

140.8

3 586.18

5

595.10 +T+M

0963

Antero-lateral decompression of spinal cord or anterior debridement

326

8 303.22

260.8

6 642.58

3

357.06 +T+M

0964

Posterior segmental instrumentation: 7 to 12 vertebrae

201

5 119.47

160.8

4 095.58

5

595.10 +T+M

0966

Posterior segmental instrumentation: 13 or more vertebrae

245

6 240.15

196

4 992.12

5

595.10 +T+M

0968

Anterior instrumentation: 2 to 3 vertebrae

159

4 049.73

127.2

3 239.78

5

595.10 +T+M

0969

Skull or skull-femoral traction including two weeks after-care

64

1 630.08

64

1 630.08

--

 

0970

Anterior instrumentation: 4 to 7 vertebrae

185

4 711.95

148

3 769.55

5

595.10 +T+M

0972

Anterior instrumentation : 8 or more vertebrae

206

5 246.82

164.8

4 197.46

5

595.10 +T+M

0974

Additional pelvic fixation of instrumentation other than sacrum

108

2 750.76

108

2 750.76

5

595.10 +T+M

5750

Reinsertion of instrumentation

276

7 029.72

220.8

5 623.78

6

714.12 +T +M

5751

Removal of posterior non-segmental instrumentation

173

4 406.31

138.4

3 525.05

6

714.12 +T +M

5752

Removal of posterior segmental instrumentation

175

4 457.25

140

3 565.80

6

714.12 +T+M

5753

Removal of anterior instrumentation

204

5 195.88

163.2

4 156.70

6

714.12 +T+M

5755

Laminectomy for spinal stenosis (exclude diskectomy, foraminotomy and spondylolisthesis): One or two levels

295

7 513.65

236

6 010.92

3

357.06 +T+M

5756

Laminectomy with full decompression for spondylolisthesis (Gill procedure)

304

7 742.88

243.2

6 194.30

3

357.06 +T+M

5757

Laminectomy for decompression without  foraminotomy or diskectomy more than two levels

321

8 175.87

256.8

6 540.70

3

357.06 +T+M

5758

Laminectomy with decompression of nerve roots and disc removal: Each additional level

63

1 604.61

63

1 604.61

3

357.06 +T+M

5759

Laminectomy for decompression diskectomy etc., revision operation

352

8 965.44

281.6

7 172.35

4

476.08 +T+M

5760

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spiral stenosis: One level

301

7 666.47

240.8

6 133.18

3

357.06 +T+M

5761

Laminectomy, facetectomy, decompression for lateral recess stenosis plus spinal stenosis Each additional level

68

1 731.96

68

1 731.96

3

357.06 +T+M

5763

Anterior disc removal and spinal decompression cervical: One level

344

8 761.68

275.2

7 009.34

3

357.06 +T+M

5764

Anterior disc removal and spinal decompression cervical: Each additional level

81

2 063.07

81

2 063.07

3

357.06 +T+M

5765

Vertebral corpectomy for spinal decompression: One level

466

11 869.02

372.8

9 495.22

3

357.06 +T+M

5766

Vertebral corpectomy for spinal decompression: Each additional level

88

2 241.36

88

2 241.36

3

357.06 +T+M

5770

Use of microscope in spinal and intercranial procedures (modifier 0005 not applicable)

71

1 808.37

71

1 808.37