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 - 2024

Social Worker & Psychology Gazette 2024

Social Worker Services Tariff of Fees as from 1 April 2024 (Practice Type 089)

General Rules
Purchase cart Previous page Return to chapter overview Next page

 

General Rules

 

Rule

Rule Description

001

Social Workers services account must be accompanied by a referral letter from the treating principal doctor indicating the condition of the employee and the need for such services.

An overall event limit of ten (10) social worker consultations including group therapy is allowed and only one session /visit is allowed per day.

More than 10 social worker consultations sessions will require pre-authorisation.

 

 

007
a.An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment/therapy and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.
b."Emergency treatment" means a bona fide, justifiable emergency social work service, where failure to provide the service immediately would result in serious or irreparable psychological or functional impairment.
c."working hours" means 8h00 to 17h00, Monday to Friday.

Modifier 0003 must be quoted after the appropriate code number(s) to indicate that this rule is applicable.

Where emergency treatment is provided:

a.during working hours, and the provision of such treatment requires the practitioner to leave her or his practice to attend to the patient at another venue; or
b.After working hours; the fee for such visits shall be the total fee plus 50%.

 

 

008

Compilation of reports: Reports are required after every consultation, counselling and/or therapy including group therapy.

 

022

When the Social Worker administers treatment away from their premises, travelling costs shall be charged at R4,84 per km for each kilometre travelled in own car e.g. 5km total = 5 x R4,84 = R24,20

Refer to Modifier 0022

 

009

Where a practioner performs treatment away from the treatment rooms, travelling costs being more than 16 km in total to be charged at R4,84 per km for each kilometre travelled in own car e.g. 19 km total= 19 X R4,84 = R91.96.

If more than one employee is attended to during the course of a trip,the full travelling expenses must be pro-rata between the relevant employees (the practitioner will charge for one trip).

A practitioner is not entitled to charge any travelling expenses or travelling time to his/her treatment rooms.

Refer to Modifier 0009

 

 

 

[Correction of Rule Description (Rule 001) substituted by the Amendment Gazette, Notice No. 2487, GG50645, dated 10 May 2024]