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, Pharmacies and Hospital Groups - 2012

Part III : Procedures

8. Digestive system

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Specialist

General Practitioner

Anaesthetic

 

U/E

R

U/E

R

U/E

R T/M

8.1

Oral cavity


1467

Drainage of intro-oral abscess

31

509.64

31

509.64

4

307.24

+T

1483

Alveolar periosteal or other flaps for arch closure

138

2,268.72

120

1,972.80

4

307.24

+T

8.2

Lips

 

1485

Local excision of benign lesion of lip

27

443.88

27

443.88

4

307.24

+T

1499

Lip reconstruction following an injury: Directed repair

105.6

1,736.06

105.6

1,736.06

4

307.24

+T

1501

Lip reconstruction following an injury only: Flap repair

206

3,386.64

164.8

2,709.31

4

307.24

+T

1503

Lip reconstruction following an injury only: Total reconstruction (first stage)

206

3,386.64

164.8

2,709.31

4

307.24

+T

1504

Lip reconstruction following an injury only: Subsequent stages (see item 0297)

104

1,709.76

104

1,709.76

4

307.24

+T

8.3

Tongue

 

1505

Partial glossectomy

225

3,899.00

180

2,959.20

6

460.88

+T

1507

Local excision of lesion of tongue

27

443.88

27

443.88

4

307.24

+T

8.4

Palate, uvula and salivary gland

 

1526

Total parotidectomy with preservation of facial nerve

358.5

5,693.74

286.8

4,714.99

5

384.05

+T

1531

Drainage of parotid abscess

25

411.00

25

411.00

4

307.24

+T

8.5

Oesophagus

 

1545

Oesophagoscopy with rigid instrument: First and subsequent

47

772.68

47

772.68

4

307.24

+T

1550

Oesophagoscopy with removal of foreign body

70

1,150.80

70

1,150.80

4

307.24

+T

1563

Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure

300

4,932.00

240

3,945.80

11

844.91

+T

1565

Hiatus hernia and diaphragmatic hernia repair: With Collins Nissen oesophageal lengthening procedure

350

5,754.00

280

4,603.20

11

844.91

+T

8.6

Stomach

 

1587

Upper gastro-intestinal endoscopv: Using hospital equipment

48.75

801.45

48.75

801.45

4

307.24

+T

1589

Endoscopic control of gastrointestinal haemorrhage from upper gastrointestinal tract, intestines or large bowel by injection of vascoconstrictor and/or schlerosis (endoscopic haemostasis) to be added to gastroscopy (item 1587) or colonoscopy (item 1653)

+              34

558.96

34

558.96

6

460.86

+T

1591

Plus removal of foreign bodies (stomach): ADD to gastro-intestinal endoscopy (item 1587)

+            +25

411.00

+25

411.00

4

307.24

+T

1597

Gastrostomy or Gastrotomy

147.5

2,424.90

120

1,972.80

6

460.88

+T

1615

Suture of perforated gastric or duodenal ulcer or wound or injury

200

3,288.00

160

2,630.40

7

537.67

+T

1617

Partial gastrectomy

328.3

5,397.25

262.64

4,317.80

7

537.67

+T

1619

Total gastrectomy

384.43

6,320.03

307.54

5,055.96

7

537.67

+T

8.7

Duodenum

 

1626

Endoscopic examination of the small bowel beyond the duodenojejunal flexure with biopsy with or without polypectomy with or without arrest of haemorrhage (enteroscopy)

120

1,972.80

120

1,972.80

6

460.86

+T

1627

Duodenal intubation (under X-ray screening)

8

131.52

 

 

 

 

8.8

Intestines

 

1634

Enterotomy or Enterostomy

202.6

3,330.74

162.08

2,664.60

6

460.86

+T

1637

Operation for relief of intestinal obstruction

240

3,945.60

192

3,156.48

7

537.67

+T

1639

Resection of small bowel with enterostomy or ananstomosis

244.9

4,026.16

195.92

3,220.92

6

460.86

+T

1642

Gastrointestinal tract imaging, intraluminal (e. g. video capsule endoscopy): Hire fee (item 0201 applicable for video capsule - disposable single patient use). - (Please note: All patients should have had a normal gastroscopy and colonoscopy)

150

2,466.00

120

1,972.80

 

 

1643

Gastrointestinal tract imaging, intraluminal (e.g. video capsule endoscopy), oesophagus through ileum: Doctor interpretation and report

90

1,479.60

90

1,479.60

 

 

1645

Suture of intestine (small or large): Wound or injury

185.2

3,044.69

148.16

2,435.75

6

460.86 +T

1647

Closure of intestinal fistula

258

4,241.52

206.4

3,393.22

6

460.86

+T

1657

Right or left hemicolectomy or segmental colectomy

325

5,343.00

260

4,274.40

6

460.86

+T

1661

Colotomy: Including removal of foreign body

205.7

3,381.71

164.56

2,705.37

6

460.86

+T

1663

Total colectomy

390

6,411.60

312

5,129.28

6

460.86

+T

1665

Colostomy or ileostomy isolated procedure

233.8

3,843.67

187.04

3,074.94

6

460.86

+T

1667

Colostomy: Closure

179.1

2,944.40

143.28

2,355.52

5

384.05

+T

1668

Revision of ileostomy pouch

375

6,165.00

300

4,932.00

6

460.86

+T

8.10

Rectum and anus

 

1677

Sigmoidoscopy: First and subsequent, with or without biopsy

13

213.72

13

213.72

3

230.43

+T

1688

Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy

445

7,315.80

356

5,852.64

8

614.46

+T

1705

Incision and drainage of submucous abscess

40

657.60

40

657.60

3

230.43

+T

1707

Drainage of submucous abscess

40

657.60

40

657.60

3

230.43

+T

1737

Dilatation of ano-rectal structure

12.5

205.50

12.5

205.50

3

230.43

+T

1742

Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor

27

443.68

 

 

 

 

8.11

Liver

 

1743

Needle biopsy of liver

30.3

498.13

30.3

498.13

3

230.43

+T

1745

Biopsy of liver by laparotomy

125

2,055.00

120

1,972.80

4

307.24

+T

1747

Drainage of liver abscess

179.1

2,944.40

143.28

2,355.52

7

537.67

+T

1748

Body composition measured by bio-electrical impedance

3

49.32

3

49.32

 

 

1749

Hemi-hepatectomy: Right

564

9,272.16

451.2

7,417.73

9

691.29

+T

1751

Hemi-hepatectomy: Left

521.1

8,566.88

416.88

6,853.51

9

691.29

+T

1752

Extended right or left hepatectomy

570.9

9,385.60

456.72

7,508.48

9

691.29

+T

1753

Partial or segmental hepatectomy

378

6,214.32

302.4

4,971.46

9

691.29

+T

1757

Suture of liver wound or injury

214.2

3,521.45

171.36

2,817.16

9

691.29

+T

8.12

Biliary tract

 

1763

With exploration of common bile duct

264 5

4,348.38

211.6

3,478.70

6

460.86

+T

1765

Exploration of common bile duct:· Secondary operation

327.7

5,387.39

262.16

4,309.91

6

460.86

+T

1767

Reconstruction of common bile duct

371.7

6,110.75

297.36

4,888.60

6

460.86

+T

8.13

Pancreas

 

1778

Endoscopic Retrograde Cholangiopanc reatography (ERCP): Endoscopy + Catheterisation of pancreas duct or choledochus

105.9

1,741.00

105.9

1,741.00

4

307.24

+T

1779

Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (item 1778)

+         15.82

260.08

15.82

260.08

4

307.24

+T

1791

Local, partial or subtotal pancreatectomy

351.3

5,775.37

281.04

4,620.30

8

614.48

+T

1793

Distal pancreatectomy with internal drainage

377.4

6,204.46

301.92

4,963.56

8

614.48

+T

8.14

Peritoneal cavity

 

1797

Pneumo-peritoneum: First

13

213.72

13

213.72

4

307.24

+T

1799

Pneumo-peritoneum: Repeat

6

98.64

6

98.64

4

307.24

+T

1800

Peritoneal lavage

20

328.80

20

328.80

 

 

1801

Diagnostic paracentesis: Abdomen

8

131.52

8

131.52

 

 

1803

Therapeutic paracentesis: Abdomen

13

213.72

13

213.72

 

 

1807

Add to open procedure where procedure was performed through a laparoscope (for anaesthetic refer to modifier 0027)

+             45

739.80

45

739.80

5

384.05

+t

1809

Laparotomy

196

3,222.24

156.8

2,577.79

4

307.24

+T

1811

Suture of burst abdomen

188 3

3,095.65

150.64

2,476.52

7

537.67

+T

1812

Laparotomy for control of surgical haemorrhage

105

1,726.20

105

1,726.20

9

691.29

+T

1813

Drainage of sub-phrenic abscess

180

2,959.20

144

2,387.36

7

537.67

+T

1815

Drainage of other intraperitoneal abscess (excluding appendix abscess): Transabdominal

248.4

4,083.70

198.72

3,266.98

5

384.05

+T

1817

Transrectal drainage of pelvic abscess

75

1,233.00

75

1,233.00

4

307.24

+T