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 - 2018

Specialists

III. Procedures

3. Musculo-skeletal system

3.1 Bones

3.1.2 Bone operations

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Specialist

General

Practitioner

Anaesthetic

U

R

U

R

U

R

T

3.

Musculo-Skeletal System

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

3.1

Bones

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

3.1.2

Bony operations

 

 

 

 

 

 

 

 


 

 

 

 

 

 

 

 

 

3.1.2.1

Bone grafting

 

 

 

 

 

 

 

 

0497

Resection of bone with or without grafting (benign)

 

282

6751.08

225.6

5400.86

3

335.58

+T+M

0498

Resection of bone or tumour (malignant) with or without grafting (does not include digits)

 

340

8139.60

272

6511.68

3

335.58

+T+M

0499

Grafts to cysts: Large bones

 

192

4596.48

153.6

3877.18

3

335.58

+T+M

0501

Grafts to cysts: Small bones

 

128

3064.32

164.8

2672.60

 

 

 

0503

Grafts to cysts: Cartilage graft

 

206

4931.64

 

3945.31

 

 

 

0555

Grafts to cysts: Inter-metacarpal bone graft

 

147

3519.18

120

2872.80

 

 

 

0506

Harvesting of graft: Cartilage graft, costochondral

 

91.1

2180.93

91.1

2180.93

 

 

 

0507

Removalof autogenous bone for grafting (not subject to modifier 0005)

 

50

1197.00

50

1197.00

 

 

 


 

 

 

 

 

 

 

 

 

3.1.2.2

Acute/chronic osteomyelitis

 

 

 

 

 

 

 

 

0509

Conservative treatment

 

 

 

 

 

 

 

 

0511

Operation: Tariff which would be applicable for compound (open) fracture of the bone involved, including six weeks post-operative care

 

 

 

 

 

 

 

 

0512

Sternum sequestrectomy and drainage: Including six weeks after-care

 

128

3 064.32

120

2872.80

3

335.58

+T+M


 

 

 

 

 

 

 

 

 

3.1.2.3

Osteotomy

 

 

 

 

 

 

 

 

0514

Osteotomy: Sternum: Repair of pectus-excavatum

 

330

7900.20

264

6320.16

3

335.58

+T+M

0515

Osteotomy: Sternum: Repair of pectus carinatum

 

330

7900.20

264

6320.16

3

335.58

+T+M

0516

Osteotomy: Pelvic

 

320

7660.80

256

6126.64

3

335.58

+T+M

0521

Osteotomy: Femoral: Proximal (Modifier 0051 is applicable)

 

320

7660.80

256

6126.64

3

335.58

+T+M

0527

Osteotomy: Knee region (Modifier 0051 is applicable)

 

320

7660.80

256

6126.64

3

335.58

+T+M

0528

Osteotomy: Os Calcis (Dwyer operation) (Modifier 0051 is applicable)

 

115

2753.10

115

2753.10

3

335.58

+T+M

0530

Osteotomy: Metacarpal and phalanx: corrective for mal-union or rotation (Modifier 0051 is applicable)

 

120

2872.80

120

2872.80

3

335.58

+T+M

0531

Rotational osteotomy tibia and fibula - stand alone procedure

 

278.90

6676.87

223.12

5341.49

3

335.58

+T+M

0532

Rotatio osteotomy of the radius, Ulna or Humerus (modifier 0051 is applicable)

 

160

3830.40

128

3064.32

3

335.58

+T+M

0533

Osteotomy single metatarsal (modifier 0051 is applicable)

 

60

1436.40

60

1436.40

3

335.58

+T+M

0534

Multiple metatarsal osteotomies (modifier 0051 is applicable)

 

150

3591.00

120

2872.80

3

335.58

+T+M


 

 

 

 

 

 

 

 

 

3.1.2.4

Exostosis

 

 

 

 

 

 

 

 

0535

Exostosis: Excision: Readily accessible sites

 

60

1436.40

60

1436.40

3

335.58

+T+M

0537

Exostosis: Excision: Less accessible sites

 

96

2298.24

96

2298.24

3

335.58

+T+M


 

 

 

 

 

 

 

 

 

3.1.2.5

Biopsy

 

 

 

 

 

 

 

 

0539

Needle Biopsy: Spine (no after-care), Modifier 0005 not applicable

 

50

1197.00

50

1197.00

4

447.44

+T

0541

Needle Biopsy: Other sites (no after-care), Modifier 0005 not applicable

 

32

766.08

32

766.08

4

447.44

+T

0543

Biopsy: Open (modifier 0005 is not applicable): Readily accessible site

 

64

1532.16

64

1532.16

 

As per bone

0545

Biopsy: Open (modifier 0005 is not applicable): Less accessible site

 

96

2298.24

96

2298.24

 

As per bone