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

MODIFIER GOVERNING FEES FOR AN ANAESTHESIOLOGIST OPERATING INTRA-AORTIC BALLOON PUMP (CARDIOVASCULAR SYSTEM)

0100

Where an anaesthesiologist would be responsible for operating an intra-aortic balloon pump, a fee of 75 00 clinical procedure units is applicable

75

1,233.00

75

1,233.00

6.1

General

General practitioner's fee for the taking of an ECG only

Where an ECG is done by a general practitioner and interpreted by a physician, the general practitioner is entitled to his full consultation fee, plus half of fee determined for ECG

1228

General Practitioner's fee for the taking of an ECG only: Without effort. (1232)

4.5

73.98

1229

General Practitioner's fee for the taking of an EGG only: Without and with effort: 1/2 (item 1233).

Note: Items 1228 and 1229 deal only with the fees for taking of the ECG, the consultation fee must still be added.

6.5

106.86

6.2

Physician’s fee for interpreting an ECG

A specialist physician is entitled to the following fees for interpretation of an ECG tracing referred for interpretation.

1230

Physician's fee for interpreting an ECG: Without effort

6

98.64

1231

Physician’s fee for interpreting an ECG: With and without effort

10

164.40

1232

Electrocardiogram: Without effort

9

147.96

9

147.96

1233

Electrocardiogram: With and without effort

13

213.72

13

213.72

1234

Effort electrocardiogram with the aid of a special bicycle ergometer, monitoring apparatus and availability of associated apparatus

40

657.60

40

657.60

1235

Multi-stage treadmill

60

986.40

60

986.40

1241

X-ray screening (Chest)

4

65.76

4

65.76

1245

Angiography cerebral: First two series

34.3

563.89

34.3

563.89

4

307.24 +T

1246

Angiography peripheral· Per limb

25

411.00

25

411.00

4

307.24 +T

1248

Paracentesis of pericardium

50

822.00

50

822.00

9

691.29 +T

6.3

Cardiac surgery

1311

Pencardial drainage

140

2,301.60

120

1,972.80

13

998.53 +T

6.3.1

Open heart surgery

1322

Attendance at other operations for monitoring at bedside, by physician heart block. etc: Per hour

20

328.80

6.4

Peripheral vascular system

6.4.2

Arterio-venous abnormalities

1369

Fistula or aneurysm (as for grafting of various arteries)

6.4.3

Arteries

6.4.3.1

Aorta-iliac and major branches

1373

Abdominal aorta and iliac artery: Ruptured

600

9,864.00

480

7,891.20

15

1,152.15

+T

6.4.3.2

Iliac artery

1379

Prosthetic grafting and/or Thrombo-endarterectomy

300

4,932.00

240

3,945.60

13

998.53

+T

6.4.3.3

Peripheral

1385

Prosthetic grafting

255

4,192.20

204

3,353.76

5

384.05 +T

1387

Vein grafting proximal to knee joint

300

4,932.00

240

3,945.60

5

384.05 +T

1388

Vein grafting distal to knee joint

444

7,299.38

355.2

5,839.49

5

384.05 +T

1389

Endarterectomy when not part of another specified procedure

264

4,340.16

211.2

3,472.13

5

384.05 +T

1393

Embolectomy: Peripheral embolectomy transfemoral

168

2,761.92

134.4

2,209.54

5

384.05 +T

1395

Miscellaneous arterial procedures: Arterial suture: Trauma

125

2,055.00

100

1,644.00

5

384.05 +T

1396

Suture major blood vessel (artery or vein)- trauma (major blood vessels are defined as aorta, innominate artery, carotid artery and vertebral artery, subclavian artery, axillary artery, iliac artery, common femoral and popliteal artery. The vertebral and poplitea arteries are included because of the relevant inaccessibility of the arteries and difficult surgical exposure)

264

4,340.16

211.2

3,472.13

5

1152.15

+T

1397

Profundoplasty

210

3,452.40

168

2,761.92

5

384.05

+T

1399

Distal tibial (ankle region)

456

7,496.64

364.8

5,997.31

5

384.05

+T

1401

Femora-femoral

254

4,175.76

203.2

3,340.61

5

384.05

+T

1402

Carotid-subclavian

288

4,734.72

230.4

3,787.78

8

614.48

+T

1403

Axillo-femoral (Bifemoral + 50% of the fee)

288

4,734.72

230.4

3,787.78

8

614.48

+T

6.4.4

Veins

1407

Ligation of saphenous vein

50

822.00

50

822.00

3

230.43

+T

1408

Placement of Hickman catheter or similar

91

1,496.04

91

1,496.04

4

307.24

+T

1410

Ligation of inferior vena cava: Abdominal

180

2,959.20

144

2,367.38

8

614.48

+T

1412

Umbrella operation on inferior vena cava: Abdominal

100

1,644.00

100

1,644.00

8

614.48

+T

1413

Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including of perforating veins as indicated: Unilateral

141

2,318.04

120

1,972.80

3

230.43

+T

1415

Combined procedure for varicose veins: Ligation of saphenous vein stripping, multiple ligation including perforating of veins as indicated: Bilateral

247

4,060.68

197.6

3,248.54

3

230.43

+T

1417

Extensive sub-fascial ligation of perforating veins

125

2,055.00

120

1,972.80

3

230.43

+T

1419

Lesser varicose vein procedure

31

509.64

31

509.64

3

230.43

+T

1421

Compression sclerotherapy of varicose veins: Per injection to a maximum of nine injections per leg (excluding cost of material)

9

147.96

9

147.96

1425

Thrombectomy: Inferior vena cava (Trans-abdominal)

240

3,945.60

192

3,156.48

11

844.91

+T

1427

Thrombectomy: Ilio-femoral

175

2,877.00

140

2,301.60

6

460.86

+T