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

3.8 Specific areas

3.8.5 Spine

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Specialist

General

Practitioner

Anaesthetic

U

R

U

R

U

R

T

3.

Musculo-Skeletal System

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

3.8

Specific areas

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

3.8.5

Spine

 

 

 

 

 

 

 

 

0927

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

 

207

4955.58

165.6

3964.45

3

335.58

+T+M

0928

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

+

42

1005.48

42

1005.48

3

335.58

+T+M

0929

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

 

14

335.16

14

335.16

5

559.30

+T+M

0930

Posterior osteotomy of spine: One vertebral segment:

 

339

8115.66

271.2

6492.53

3

335.58

+T+M

0931

Posterior spinal fusion: One level

 

385

9216.90

308

7373.52

3

335.58

+T+M

0932

Posterior osteotomy of spine: Each additional segment

+

103

2485.82

103

2485.82

3

335.58

+T+M

0933

Anterior spinal osteotomy with disc removal: One vertebral segment

 

315

7541.10

252

6032.88

3

335.58

+T+M

0936

Anterior spinal osteotomy with disc removal: Each additional vertebra segment

+

+103

2465.82

+103

2465.82

3

335.58

+T+M

0938

Anterior fusion base of skull to C2

 

449

10749.06

359.2

8599.25

4

447.44

+T+M

0939

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

 

160

3830.40

128

3064.32

3

335.58

+T+M

0940

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

 

160

3830.,40

128

3064.32

3

335.58

+T+M

0941

Anterior interbody fusion: One level

 

360

8818.40

288

6894.72

3

335.58

+T+M

0942

Anterior interbody fusion: Each additional level

+

+102

2441.88

+102

2441.88

3

335.58

+T+M

0943

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

 

240

5745.60

192

4596.48

3

335.58

+T+M

0944

Posterior fusion: Occiput to C2

 

390

9336.60

312

7469.28

4

447.44

+T+M

0946

Posterior spinal fusion: Each additional level

+

+111

2657.34

+111

2657.34

 

335.58

+T+M

0948

Posterior interbody lumbar fusion: One level

 

364

8714.16

291.2

6971.33

3

335.58

+T+M

0950

Posterior interbody lumbar fusion: Each additional interspace

+

+95

2 274.30

+95

2274.30

3

335.58

+T+M

0959

Excision of cocyx

 

96

2298.24

96

2298.24

3

335.58

+T+M

0960

Posterior non-segmental instrumentation

 

167

3987.98

133.6

3198.38

5

559.30

+T+M

0961

Costo-transversectomy

 

198

4740.12

158.4

3792.10

3

335.58

+T+M

0962

Posterior segmental instrumentation: 2 to 6 vertebrae

 

176

4213.44

140.8

3370.75

5

559.30

+T+M

0963

Antero-lateral decompression of spinal cord or anterior debridement

 

326

7804.44

260.8

6243.55

3

335.58

+T+M

0964

Posterior segmental instrumentation: 7 to 12 vertebrae

 

201

4811.94

160.8

3849.53

5

559.30

+T+M

0966

Posterior segmental instrumentation: 13 or more vertebrae

 

245

5865.30

196

4692.24

5

559.30

+T+M

0968

Anterior instrumentation: 2 too 3 vertebrae

 

159

3806.46

127.2

3045.17

5

559.30

+T+M

0969

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

 

64

1532.16

64

1532.16

 

 

 

0970

Anterior instrumentation: 4 to 7 vertebrae

 

185

4428.90

148

3543.12

5

559.30

+T+M

0972

Anterior instrumentation: 8 or more vertebrae

 

206

4931.64

164.8

3945.31

5

559.30

+T+M

0974

Additional pelvic fixation of instrumentation other than sacrum

 

108

2585.52

108

2585.52

5

559.30

+T+M

5750

Reinsertion of instrumentation

 

276

6607.44

220.8

5285.95

6

671.16

+T+M

5751

Removal of posterior non-segmental instrumentation

 

173

4141.62

138.4

3313.30

6

671.16

+T+M

5752

Removal of posterior segmental instrumentation

 

175

4189.50

140

3351.60

6

671.16

+T+M

5753

Removal of anterior instrumentation

 

204

4883.76

163.2

3907.01

6

671.18

+T+M

5755

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

 

295

7062.30

236

5649.84

3

335.58

+T+M

5756

Laminectomy with full decompression for spondylolisthesis (Gill procedure)

 

304

7277.76

243.2

5822.21

3

335.58

+T+M

5757

Laminectomy for decompression without foraminotomy or diskectomy more than two levels

 

321

7684.74

256.8

6147.79

3

335.58

+T+M

5758

Laminectomy with decompression diskectomy etc., revision operation

 

63

1508.22

63

1508.22

3

335.58

+T+M

5759

Laminectomy for decompression diskectomy etc. revision operation

 

352

8426.88

281.6

6741.50

4

447.44

+T+M

5760

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

 

301

7205.94

240.8

5764.75

3

335.58

+T+M

5761

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

 

68

1627.92

68

1627.92

3

335.58

+T+M

5763

Anterior disc removal and spinal decompression cervical: One level

 

344

8235.36

275.2

6588.29

3

335.58

+T+M

5764

Anterior disc removal and spinal decompression cervical: Each additional level

 

81

1939.14

81

1939.14

3

335.58

+T+M

5765

Vertebral corpectomy for spinal decompression: One level

 

466

11156.04

372.8

8924.83

3

335.58

+T+M

5766

Vertebral corpectomy for spinal decompression: Each additional level

 

88

2106.72

88

2106.72

3

335.58

+T+M

5770

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

 

71

1699.74

71

1699.74