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

4. Respiratory system

4.7 Intensive care

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Specialist

General

Practitioner

Anaesthetic

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4.

Respiratory system

 

 

 

 

 

 

 



 

 

 

 

 

 

 

4.7

Intensive care

 

 

 

 

 

 

 


(in intensive care or high care unit): Respiratory, cardiac, general )

 

 

 

 

 

 

 



 

 

 

 

 

 

 

4.7.1

Tariff items for intensive care

 

 

 

 

 

 

 



 

 

 

 

 

 

 


Category 1: Cases requiring intensive monitoring (to include cases where physiological instability is anticipated, e.g. diabetic pre-coma, asthma, gastro-intestinal haemorrhage, etc.) Please note that item 1204 may not be charged by the responsible surgeon for monitoring a patient post-operatively in ICU or in the high-care unit since post-operative monitoring is included in the fee for the procedure

 

 

 

 

 

 

 



 

 

 

 

 

 

 

1204

Category 1: Per day

30

718.20

30

718.20

 

Fees as for specialist



 

 

 

 

 

 

 


Category 2: Cases requring active system support (wehere active specialised intervention is required in cases such as acute myocardial infarction; diabetic coma, head injury, severe asthma, acute pancreatic eclampsia, flail chest, etc.) Ventilation may or may not be part of the active system support

 

 

 

 

 

 

 



 

 

 

 

 

 

 

1205

Category 2: First day

 

 

 

 

 

 

 

1206

Category 2: subsequent days, per day

 

 

 

 

 

 

 

1207

Category 2: After two weeks, per day

 

 

 

 

 

 

 



 

 

 

 

 

 

 


Category 3: Cases with multiple organ failure or Category 2 patients that may require multidisciplinary intervention

 

 

 

 

 

 

 



 

 

 

 

 

 

 

1208

Category 3: first day (principal practitioner)

 

 

 

 

 

 

 

1209

Category 3: First day (per involved practitioner)

 

 

 

 

 

 

 

1210

Category 3: Subsequent days (per involved practitioner)

 

 

 

 

 

 

 

1211

Cardio-respiratory resuscitation: Prolonged attendance in cases of emergency (not necessarily in ICU) 50,00 clinical procedure units per half hour or part thereof for the first hour per practitioner, thereafter 25,00 clinical procedure units per half hour up to a maximum of 150,00 clinical procedure units per practitioner. Resuscitation fee includes necessary additional procedures e.g. infusion, intubation, etc.

 

 

 

 

 

 

 

1212

Ventilation: first day

75

1795.50

75

1795.50

 

 

1213

Ventilation: Subsequent days

50

1197.00

50

1197.00

 

Fees as for specialist

1214

Ventilation: After two weeks, per day

25

598.50

25

598.50

 

Fees as for specialist

1215

Insertion of arterial pressure cannual

25

598.50

25

598.50

 

Fees as for specialist

1216

Insertion of Swan Ganz catheter for haemodynamics monitoring

50

1197.00

50

1197.00

 

Fees as for specialist

1217

Insertion of central venous line via peripheral vein

10

239.40

10

239.40

 

Fees as for specialist

1218

Insertion of central venous line via subclavia or jugular vein

25

598.50

25

598.50

 

Fees as for specialist

1219

Hyperalimentation (daily fee)

15

359.10

15

359.10

 

Fees as for specialist

1220

Patient-controlled analgesic pump: Hire fee: Per 24 hours (Cassette to be charged for according to item 0201 per patient)

30

718.20

30

718.20

 

Fees as for specialist

1221

Professional fee for managing a patient-controlled analgesic pump: First 24 hours

30

718.20

30

718.20

 

Fees as for specialist