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

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2020

Chiropractor

Tariff of fees from 1 April 2020

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2020

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.

R307.20

 

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.

 

04311

Single diagnostic procedure (May be used with up to three treatment/therapeutic codes)

R 199.14

04312

Two diagnostic procedures (Attach Motivation)

R 302.57

04313

Three diagnostic procedures (May only be used on an initial Consultation)

R 398.28

 

TREATMENT (THERAPEUTIC PROCEDURES)

Only a single item from this section may be charged per patient encounter

04331

Single treatment procedure

R 422.98

04332

Two treatment procedures

R 512.52

04333

Three treatment procedures

R 602.05

04334

Four treatment procedures

R 691.59

04335

Five treatment procedures

R 781.13

04336

Six treatment procedures

R 869.12

 

 

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 602.05

04322

Two instances of immobilization or therapeutic exercises (Attach Motivation)

R 756.43

 

RADIOLOGY

Only a single item from this section may be charged per patient encounter

04049

Ankle - AP/LAT

R 245.90

04050

Ankle - Complete Study - 3 views

R 368.15

04051

Cervical - AP/LAT

R 245.68

04052

Cervical - AP/LAT/OBL

R 368.15

04053

Cervical study - 6 views

R 736.34

04054

Cervical - Davis Series -7 views

R 858.55

04055

Elbow -AP/LAT

R 241.09

04056

Elbow - 3 views

R 368.15

04057

Foot - AP/LAT

R 245.68

04058

Foot - 3 views

R 368.15

04059

Femur - AP/LAT

R 490.86

04060

Hand - AP/LAT

R 245.68

04061

Hand - 3 views

R 368.15

04062

Hip unilateral - 1 view

R 171.87

04063

Hip - 2 views

R 343.48

04064

Knee - AP/LAT

R 245.68

04065

Knee - 3 views

R 368.15

04066

Lumbo-Sacral - 3 views

R 588.91

04067

Lumbar spine & pelvis - 5 views

R 883.02

04068

Pelvis AP

R 245.68

04069

Pelvis - 3 views

R 539.99

04070

Ribs -Unilateral - 2 views

R 294.34

04071

Ribs -Bilateral - 3 views

R 441.50

04072

Radius/Ulna

R 245.68

04073

Spine -Full spine study - AP/LAT

R 883.02

04074

Spine - 8 X 10- Single study

R 145.36

04075

Spine - 10 X 12- Single study

R 147.42

04076

Spine - 14 X 17- Single study

R 245.68

04077

Shoulder - 1 view

R 147.42

04078

Shoulder - 2 views

R 294.34

04079

Thoraco - Lumbar - AP/LAT

R  490.86

04080

Thoracic - AP/LAT

R  490.86

04081

Tibia/Fibula - AP/LAT

R 490.86

04082

Wrist - AP/LAT

R 245.68

04083

Wrist - 3 views

R 368.15

04084

Stress views - Lumbar

R 307.83

04100

Consumable (claim using Nappi codes)

 

 

Radiation Control Council Certificate number to be on account if X-Rays charged