Scale of Fees > Annual Increase in Medical Tariffs for Medical Service Providers - 2018 > Specialists > III. Procedures > 3. Musculo-skeletal system

		Specialist		General Practitioner		Anaesthetic
		U	R	U	R	U	R	T
3.	Musculo-Skeletal System

3.2	Joints

3.2.1	Dislocations
0547	Joint: Dislocation: Clavicle: either end	38	909.72	38	909.72	3	335.58	+T+M
0549	Joint: Dislocation: Shoulder	51	1220.94	51	1220.94	3	335.58	+T+M
0551	Joint: Dislocation: Elbow	51	1220.94	51	1220.94	3	335.58	+T+M
0552	Joint: Dislocation: Wrist	77	1843.38	77	1843.38	3	335.58	+T+M
0553	Joint: Dislocation: Perilunar transscaphoid fracture dislocation	130	3112.20	120	2872.80	3	335.58	+T+M
0555	Joint: Dislocation: Lunate	77	1643.38	77	1843.38	3	335.58	+T+M
0556	Joint: Dislocation: Carpo-metacarpo dislocation	51	1220.94	51	1220.94	3	335.58	+T+M
0557	Joint: Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand)	26	622.44	26	622.44	3	335.58	+T+M
0559	Joint: Dislocation: Hip	109	2609.46	109	2609.46	3	335.58	+T+M
0561	Joint: Dislocation: Knee	96	2298.24	96	2298.24	3	335.58	+T+M
0563	Joint: Dislocation: Patella	32	766.08	32	766.08	3	335.58	+T+M
0566	Joint: Dislocation: Ankle	90	2154.60	90	2154.60	3	335.58	+T+M
0567	Joint: Dislocation: sub-talar dislocation	90	2154.60	90	2154.60	3	335.58	+T+M
0569	Joint: Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal	77	1843.38	77	1843.38	3	335.58	+T+M
0571	Joint: Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot)	14	335.16	14	335.16	3	335.58	+T+M

3.2.2	Operations for dislocations
0578	Recurrent dislocation of shoulder	200	4788.00	160	3830.40	3	335.58	+T+M
0579	Recurrent dislocation of large joints	161	3854.34	128.8	3083.47	3	335.58	+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	1220.94	51	1220.94	3	335.58	+T+M
0583	Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care)	96	2288.24	96	2298.24	3	335.58	+T+M
0585	Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy	64	1532.16	64	1532.16	3	335.58	+T+M
0586	Multiple percutaneous capsulotomies of metacarpo-phalangeal joints	90	2154.60	90	2154.80	3	335.58	+T+M
0587	Release of digital joint contracture	128	3064.32	120	2872.80	3	335.58	+T+M

3.2.4	Synovactomy
0589	Synovectomy: Digital joint	77	1843.38	77	1843.38	3	335.58	+T+M
0592	Synovectomy: Large joint	160	3830.40	160	3830.40	3	335.58	+T+M
0593	Tendon synovectomy	203.7	4876.58	162.96	3901.26	3	335.58	+T+M

3.2.5	Arthrodesis
0597	Arthrodesis: Shoulder	224	5362.56	179.2	4290.05	3	335.58	+T+M
0598	Arthrodesis: Elbow	180	4309.20	144	3447.36	3	335.58	+T+M
0599	Arthrodesis: Wrist	180	4309.20	144	3447.36	3	335.58	+T+M
0600	Arthrodesis: Digital joint	128	3064.32	120	2872.80	3	335.58	+T+M
0601	Arthrodesis: Hip	320	7660.80	256	6128.64	3	335.58	+T+M
0602	Arthrodesis: Knee	180	4309.20	144	3447.36	3	335.58	+T+M
0603	Arthrodesis: Ankle	180	4309.20	144	3447.36	3	335.58	+T+M
0604	Arthrodesis:Subtalar	130	3112.20	120	2872.80	3	335.58	+T+M
0605	Arthrodesis: Stabilization of foot (triple arthrodeses)	180	4309.20	144	3447.36	3	335.58	+T+M
0607	Arthrodesis: Mid-tarsal wedge resection	180	4309.20	144	3447.36	3	335.58	+T+M

3.2.6	Arthroplasty
0614	Arthroplasy: Debridement large joints	160	3830.40	128	3064.32	3	335.58	+T+M
0615	Arthroplasy: Excision medial or lateral end of clavicle	116	2777.04	116	2777.04	3	335.58	+T+M
0617	Shoulder: Acromloplasty	192	4596.04	153.6	3677.18	3	335.58	+T+M
0619	Shoulder: Partial replacement	277	6631.38	221.6	5305.10	5	559.30	+T+M
0620	Shoulder: Total replacement	416	9959.04	332.8	7967.23	5	559.30	+T+M
0621	Elbow: Excision head of radius	96	2298.24	96	2298.24	3	335.58	+T+M
0622	Elbow: Excision	192	4596.48	153.6	3677.18	3	335.58	+T+M
0623	Elbow: Partial replacement	188	4500.72	150.4	3600.58	3	335.58	+T+M
0624	Elbow: Total replacement	282	6751.08	225.6	5400.86	3	335.58	+T+M
0625	Wrist: excision distal end of ulna	96	2298.24	96	2298.24	3	335.58	+T+M
0626	Wrist: Excision single bone	110	2633.40	110	2633.40	3	335.58	+T+M
0627	Wrist: Excision single bone	166	3974.04	132.80	3179.23	3	335.58	+T+M
0631	Wrist: total replacement	249	5961.06	199.2	4768.85	3	335.58	+T+M
0635	Digital joint: total replacement	192	4596.48	153.6	3677.18	3	335.58	+T+M
0637	Hip: total replacement	416	9959.04	332.8	7967.23	3	335.58	+T+M
0641	Hip: Prosthetic replacement of femoral head	288	6894.72	230.4	5515.78	3	335.58	+T+M
0643	Hip: Girdlestone	320	7660.80	256	6128.64	3	335.58	+T+M
0645	Knee: Partial replacement	277	6631.38	221.6	5305.10	3	335.58	+T+M
0646	Ankle: Total replacement	416	9959.04	332.8	7967.23	3	335.58	+T+M
0650	Ankle: Astragalectomy	290.4	6952.18	232.32	5561.74	3	335.58	+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	215.46	9	215.46	3	335.58	+T
0667	Arthroscopy (excluding after-care), modifiers 0005 and 0013 not applicable	60	1436.40	60	1436.40	3	335.58	+T
0669	Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable)	14	335.16	14	335.16	4	447.44	Hip+T
0669		14	335.16	14	335.16	3	335.58	Knee/ Shoulder +T
0670	Only the consultation fee should be charged when manipulation of a large joint is performed with or without local anaesthetic		Փ		Փ
0673	Menisectomy or operation for other internal derangement of knee	109	2609.46	109	2609.46	3	335.58	+T+M

3.2.6	Joint ligament reconstruction or suture
0675	Joint ligament reconstruction or suture: Ankle: Collateral	160	3830.40	128	3064.32	3	335.58	+T+M
0677	Joint ligament reconstruction or suture: Knee: Collateral	160	3830.40	128	3064.32	3	335.58	+T+M
0678	Joint ligament reconstruction or suture: Knee: Crucial	160	3830.40	128	3084.32	3	335.58	+T+M
0679	Joint ligament reconstruction or suture: Ligament augmentation procedure of knee	280	6703.20	224	5362.56	3	335.58	+T+M
0680	Joint ligament reconstruction or suture: Digital joint ligament	165	3950.10	132	3160.08	3	335.58	+T+M

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

3.2 Joints