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

Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R        T/M

4.1

Nose and sinuses

1018

Flexible nasopharyngolaryngoscope examination

51.94

853.89

1019

ENT endoscopy in rooms with rigid endoscope

12

197.28

1020

Repair of perforated septum: Any method

141.9

2,332.84

120

1,972.80

4

307.24

+T

1022

Functional reconstruction of nasal septum

121.2

1,992.53

120

1,972.80

4

307.24

+T

1024

lnsertion of silastic obturator into nasal septum perforation (excluding material)

30

493.20

30

493.20

4

307.24

+T

1025

Intranasal antrostomy (modifier 0005 to apply to opposite side of nose)

64.6

1,082.02

64.6

1,062.02

4

307.24

+T

1027

Dacrocystorinostomy

210

3,452.40

168

2,761.92

5

384.05

+T

1029

Turbinectomy (modifier 0005 to apply to opposite side of nose)

62.6

1,029,14

62.6

1,029.14

4

307.24

+T

1030

Endoscopic turbinectomy: laser or microdebrider

90

1,479.60

90

1,479.60

5

384.05

1034

Autogenous nasal bone transplant: Bone removal included

100

1,644.00

100

1,644.00

4

307.24

+T

1035

Unilateral functional endoscopic sinus surgery (unilateral)

140

2,301.60

120

1,972.80

4

307.24

+T

1036

Bilateral functional endoscopic sinus surgery

245

4,027.80

196

3,222.24

4

307.24

+T

1037

Diathermy to nose or pharynx exclusive of consultation fee, uni- or bilateral: Under local anaesthetic

8

131.528

8

131.52

1039

Diathermy to nose or pharynx exclusive of consultation fee, uni- or bilateral: Under general anaesthetic

35

575.40

35

575.404

4

307.24

+T

1041

Control severe epistaxis requiring hospitalisation: Anterior plugging (unilateral)

40

657.60

40

657.60

6

460.86

+T

1043

Control severe epistaxis requiring hospitalisation: Anterior and posterior plugging (unilateral)

60

986.40

60

986.40

6

460.86

+T

1045

Ligation anterior ethmoidal artery

135.4

2,225.98

120

1,972.80

6

460.86

+T

1047

Cladwell-Luc operation (unilateral)

137 3

2,257.21

120

1,972.80

4

307.24

+T

1049

Ligation internal maxillary artery

196

3,222.24

156.8

2,577.79

6

460.86

+T

1050

Vidian neurectomy (transantral or transnasal)

113

1,857.72

113

1,857.72

4

307.24

+T

1054

Antroscopy through the canine fossa (modifier 0005 to apply to opposite side of nose)

37.3

613.21

-

#VALUE!

-

#VALUE!

1055

External frontal ethmoidectomy

190.7

3,135.11

152.56

2,508.09

4

307.24 +T

1057

External ethmoidectomy and/or sphenoidectomy (unilateral)

199.4

3,278.14

159.52

2,622.51

4

307.24 +T

1059

Frontal osteomyelitis

194

3,189.36

155.2

2,551.49

4

307.24 +T

1061

Lateral rhinotomy

154

2,696.16

131.2

2,156.93

4

307.24 +T

1063

Removal of foreign bodies from nose at rooms

10

164.40

10

164.40

1065

Removal of foreign body from nose under general anaesthetic

38.6

634.58

38.6

634.58

4

307.24 +T

1067

Proof puncture: unilateral at rooms

10

164.40

10

164.40

4

307.24 +T

1069

Proof puncture, uni- or bilateral under general anaesthetic

35

575.40

35

575.40

4

307.24 +T

1075

Multiple intranasal procedures: Not to exceed (see Modifier 0068)

194

3,189.36

155.2

2,551.49

4

307.24 +T

1077

Septum abscess, at room, including after-care

8

131.52

8

131.52

1079

Septum abscess under general anaesthetic

35

575.40

35

575.40

4

307.24 +T

1081

Oro-antral fistula (without Caldwell-Luc)

111.8

1,837.99

111.8

1,837.99

4

307.24 +T

1083

Choanal atresia: Intranasal approach

113

1,857.72

113

1,857.72

5

384.05 +T

1084

Choanal atresia: Transpalatal approach

194

3,189.36

155.2

2,551.49

7

537.67 +T

1085

Total reconstruction of the nose: Including reconstruction of nasal septum (septumplasty) nasal pyramid (osteotomy) and nasal lip

350

5,754.00

280

4,603.20

5

384.05 +T

1087

Subtotal reconstruction consisting of any two of the following: Septumplasty, osteotomy, nasal tip reconstruction

210

3,452.40

168

2,761.92

5

384.05 +T

1089

Forehead rhinoplasty (all stages): Total

552

9,074.88

441.6

7,259.90

5

384.05 +T

1091

Forehead rhinoplasty (all stages): Partial

414

6,806.16

331.2

5,444.93

5

384.05 +T

4.3

Larynx

1117

Laryngeal intubation

100

164.40

10

164.40

1118

Laryngeal stroboscopy with video capture

39

641.16

39

641.16

6

460.88

+T

1119

Laryngectomy without block dissection of the neck

430

7,069.20

344

5,655.38

7

537.67

+T

1127

Tracheostomy

90

1,479.60

90

1,479.60

9

691.29

+T

1129

External laryngeal operation, e.g. laryngeal stenosis, laryngocele, abductor, paralysis, laryngofissure

294.4

4,839.84

235.52

3,871.95

8

614.46

+T

1130

Diagnostic laryngoscopy

41.4

680.62

41.4

680.62

6

460.86

+T

1131

Direct laryngoscopy plus

64.6

1,062.02

64.6

1,062.02

6

460.8

+T

4.4

Bronchial procedure

1132

Bronchoscopy: Diagnostic broncoscopy without removal of foreign object

65

1,065.80

65

1,068.50

6

460.86

+T

1133

Bronchoscopy: With removal of foreign body

80

1,315.20

80

1,315.20

8

614.48

+T

1134

Bronchoscopy: Bronchoscopy with laser

75

1,233.00

-

#VALUE!

8

614.48

+T

1136

Nebulisation (in rooms)

12

197.28

12

197.28

Fees as for specialist

1137

Bronchial lavage

-

#VALUE!

-

#VALUE!

8

614.48

+T

1138

Thoracotomy: for bronchopleural fistual (including ruptured bronchus, any cause)

350

5,754.00

280

4,603.20

12

921.72

+T

4.5

Pleura

1139

Pleural needle biopsy (not including aftercare): modifier 0005 not applicable

50

822.00

50

822.00

3

230.43

+T

1141

Insertion of intercostal catheter (under water drainage)

50

822.00

50

822.00

6

460.85

+T

1143

Paracentesis chest: Diagnostic

8

131.52

8

131.52

3

230.43

+T

1145

Paracentesis chest: Therapeutic

13

213.72

13

213.72

3

230.43

+T

1147

Pneumothorax: Induction (diagnostic)

25

411.00

25

411.00

1149

Pleurectomy

250

4,111.00

200

3,288.00

11

844.91

+T

1151

Decortication of lung

350

5,754.00

280

4,603.20

11

844.91

+T

1153

Chemical pleurodesis (instillation silver)

55

904.20

55

904.20

3

230.43

+T

4.6

Pulmonary procedures

4.6.1

Surgical

1155

Needle biopsy lung (not including after- care): modifier 0005 not applicable

32

526.08

32

526.08

5

3840.5

+T

1157

Pheumonectomy

350

5,754.00

280

4,603.20

11

844.91

+T

1159

Pulmonary lobectomy

389.50

6.403.38

311.6

5,122.70

11

844.91

+T

1161

Segmental lobectomy

365

6,000.60

292

4,800.48

11

844.91

+T

1163

Excision traceheal stenosis: Cervical

375

6,165.00

300

4,932.00

8

614.48

+T

1164

Excision tracheal stenosis: Intro-thoracic

350

5,754.00

280

4,603.20

12

921.72

+T

1171

Drainage empyema (including six weeks after-treatment)q

170

2,794.80

136

2,235.84

11

844.91

+T

1173

Drainage of lung abscess (including six weeks after-treatment)

170

2,794.80

136

2,235.84

11

844.91

+T

1175

Thoracotomy (limited): Limited: for lung or pleural biopsy

115

1,890.60

115

1,890.60

11

844.92

+T

1177

Thoracotomy: Major: Diagnostic

215

3,534.60

172

2,827.68

11

844.91

+T

1179

Thoracoscopy

89

1,463.16

89

1,463.16

11

844.91

+T

4.6.2

Pulmonary function test

1186

Flow volume test: Inspiration/expiration

30

493.20

30

493.20

Fees as for specialist

1188

Flow volume test: Inspiration/expiration pre- and post- bronchodilator (to be charged for only with first consultation - thereafter item 1186 applies)

50

822.00

50

822.00

Fees as for specialist

1189

Forced expirogram only

10

164.40

10

164.40

1191

N2 single breath distribution

10

164.40

10

164.40

1197

Compliance and resistance, using oesophageal balloon

24

394.56

24

394.56

Fees as for specialist

1198

Prolonged post exposure evaluation of brochospasm with multiple spirometric determinations after antigen, cold air, methacholine or other chemical agent or after exercise, with subsequent spirometry

55.89

918.83

55.89

918.83

1199

Pulmonary stress testing: For determination of VO2 max

96.5

1,588.46

96.5

1,586.56

1201

Maximum inspiratory/expiratory pressure

5

82.20

5

82.20

Fees as for specialist

Pulmonologists and Practitioners accredited to SATS

Other specialists and General Practitioner

Anaesthetic

1193

Functional residual capacity or residual volume: helium method, nitrogen open circuit method, or other method

37.76

620.77

1195

Thoracic gas volume

37.93

623.57

1196

Determination of resistance to airflow, oscillatory or plethysmographic methods

45.31

744.90

1200

Carbon monoxide diffusing capacity, any method

38.06

625.71

4.7

Intensive care (in intensive care of 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

493.20

30

493.20

Fees as for specialist

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

1205

Category 2: First day

100

1,644.00

100

1,644.00

Fees as for specialist

1206

Category 2: Subsequent days, per day

50

822.00

50

822.00

Fees as for specialist

1207

Category 2: After two weeks, per day

30

493.20

30

493.20

Fees as for specialist

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

1208

Category 3: First day (principal practitioner)

137

2,252.28

120

1,972.80

Fees as for specialist

1209

Category 3: First day (per involved practitioner)

58

953.52

58

953.52

Fees as for specialist

Specialist

General Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R T/M

1210

Category 3: Subsequent days (per involved practitioner)

50

822.00

50

822.00

Fees as for specialist

1211

Cardio-respiratory resuscitation: Prolonged attendance in cases of emergency (not necessarily in ICU). 50.00 clinical procedure units (R822.00) per half hour or part thereof for the first hour per practitioner, thereafter 25.00 clinical procedure units (R411.00) per half hour up to a maximum of 150.00 clinical procedure units (R2,466.00) per practitioner

50

822.00

25

411.00

150

2,466.00

1212

Ventilation: First day

75

1,233.00

75

1,233.00

Fees as for specialist

1213

Ventilation: Subsequent days

50

822.00

50

822.00

Fees as for specialist

1214

Ventilation: After two weeks, per day

25

411.00

25

411.00

Fees as for specialist

1215

Insertion of arterial pressure cannula

25

411.00

25

411.00

Fees as for specialist

1216

Insertion of Swan Ganz catheter for haemodynamics monitoring

50

822.00

50

822.00

Fees as for specialist

1217

Insertion of central venous line via peripheral vein

10

164.40

10

164.40

Fees as for specialist

1218

Insertion of central venous line via subclavian or jugular veins

25

411.00

25

411.00

Fees as for specialist

1219

Hyperalimentation (daily fee)

15

246.60

15

246.60

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

493.20

30

493.20

Fees as for specialist

1221

Professional fee for managing a patient-controlled analgesic pump: First 24 hours (for subsequent days charge appropriate hospital follow-up consultation)

30

493.20

30

493.20

Fees as for specialist

4.8

Hyperbaric Oxygen Treatment

4804

Monitoring of a patient at the hyperbaric chamber during treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation). Low pressure table 1,5 - 1,8 ATA x 45-80 min) PROFESSIONAL COMPONENT

30

493.20

30

493.20

4820

Low pressure table (1,5 - 1,8 ATA X 45 – 60 min): TECHNICAL COMPONENT

101.13

1,622.58

101.13

1 662.58

4805

Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation), Routine HBO table (2-2.5 ATA x 90-120 min) PROFESSIONAL COMPONENT

60

986.40

60

986.40

4821

Routine HBO table (2-2,5 ATA x 90-120 min). TECHNICAL COMPONENT

131.26

2,157.91

131.26

2,157.91

4806

Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment monitoring during treatment and post treatment evaluation): Emergency HBO table (2.5-3 ATA x 90-120 min. PROFESSIONAL COMPONENT

80

1,315.20

80

1,315.20

4822

Emergency HBO table (2.5-3 ATA x 90-120 min): TECHNICAL COMPONENT

131.26

2,157.91

131.26

2,157.91

4809

Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment treatment evaluation). USN TT5 (2,8 ATA X 135 min) PROFESSIONAL COMPONENT

90

1,479.60

90

1,479.60

4825

USN TT5 (2,8 ATA x 135 min) TECHNICAL COMPONENT

214.18

3,521.12

214.18

3,521.12

4810

Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation): USN TT6 (2.8 ATA x 285 min) PROFESSIONAL COMPONENT

190

3,123,60

190

3,123.60

4826

USN TT6 (2.8 ATA x 285 min): TECHNICAL COMPONENT

386.42

6,352.74

386.42

6,352.74

4811

Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation) USN TT6Ext/6A or Cx 30 (2.8-6 ATA x 305-490 min) PROFESSIONAL COMPONENT

327

5,375.88

327

5,375.88

4827

USN TT6ext (2.8-6 ATA x 305-490 min) TECHNICAL COMPONENT

680.55

11,193.17

680.85

11,193.17

4828

USN 6A (2.8-6 ATA x 305-490 min): TECHNICAL COMPONENT

678.28

11,150.92

678.28

11,150.92

4829

USN Cx 30 (2,8-6 ATA x 305-490 min): TECHNICAL COMPONENT

671.85

11,045.21

671.85

11,045.21

4815

Prolonged attendance inside a hyperbaric chamber: 40 clinical procedure units per half hour or part thereof for the first hour. Thereafter 20 clinical procedure units per half hour; minimum 40 clinical procedure units; maximum 320 clinical procedure units (Please indicate time in minutes and not per half hour)