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

Note

Only one of the following codes can be claimed per session/consultation: 72925, 72926, 72327, 72921, 72923, 72928, 72927, 72501 and 72503

1

REHABILITATION

RAND

72501

Rehabilitation where the pathology requires the undivided attention of the Physiotherapist. Duration: 30min.

This code can only be claimed once per treatment session

559.44

72503

Rehabilitation for Central Nervous System disorders - condition to be clearly stated and fully documented (No other treatment modality may be charged in conjunction with this). Duration: 60min.

This code can only be claimed once per treatment session

1119.07

72509

Rehabilitation. Each additional full 15 mins needs to be medically motivated with a clear indication where pathology requires the undivided attention of the Physiotherapist. This code 72509 can be added to 72501 and 72503.

178.98

2

EVALUATION

Rand

72701

Applies to simple evaluation once at first visit only. It should not be used for each condition.

A treatment plan / rehabilitation progress report must be fully documented and submitted at the initiation of treatment.

Tariff code 72701 cannot be used with 71701

322.24

72702

Complex evaluation once at first visit only.

Applies to complex injuries only.

It should not be used for each condition.

A treatment plan / rehabilitation progress report describing what makes the evaluation complex, must be fully documented and submitted at the initiation of treatment.

Item 72702 cannot be used with 72701

482.91

72703

One complete re-assessment or one physical performance test during the course of treatment. To be used only once per episode of care. This should be fully documented and a rehabilitation progress report provided to the Compensation Fund. This tariff code will apply to patients that have been discharged and are now re-admitted if there has been a gap in treatment or during the course of his treatment to ensure treatment goals and outcomes are aligned.

160.70

3

VISITING

Rand

72901

Consultation: Treatment at a hospital: Relevant fee plus (to be charged only once per day).

111.72

72903

Consultation: Domiciliary treatments: Apply only when medically motivated and pre-authorised: relevant fee plus.

214.26

4

OTHER

72939

Cost of material:Items to be charged (exclusive of VAT) as per attached Annexure A for consumables and Annexure B for equipment.

When claiming 72939 a list of materials used must be quoted in an accompanying report

NOTE:

Where the net acquisition price in under a hundred rand 26% has been applied.

Where the net acquisition price is equal or above one hundred rand a maximum of R26.00 has been added.

72925

Level 1 chest pathology, which includes either or / and:

> Vibration

> Percussion

> Nebulisation

> Suction: Level 1 (including sputum specimen taken by suction)

Applies to non-ventilated patients only

527.55

72926

Level 2 chest pathology which includes either or / and:

> Vibration

> Percussion

> Postural drainage

> Upper respiratory nebulisation and/or lavage

> Suction: Level 2 (Suction with involvement of lavage as a treatment in a special unit situation or in the respiratory compromised patient) e.g. Tracheostomy

> Pre- and post-operative exercises and/or breathing

Applies to High Care and non-ventilated patients

871.66

72327

Level 3 chest pathology which includes either or / and:

> Vibration

> Percussion

> Postural drainage

> Upper respiratory nebulisation and/or lavage

> Intermittent positive pressure ventilation

> Suction: Level 2 (Suction with involvement of lavage as a treatment in a special unit situation or in the respiratory compromised patient

> Bagging (used on the intubated unconscious patient or in the severely respiratory distressed patient)

> Pre- and post-operative exercises and/or breathing exercises applies for ventilated patients only

1106.54

72921

Simple spinal treatment which includes either or / and:

MANIPULATION/MOBILISATION OF JOINTS OR IMMOBILISATION which includes either or / and:

> Spinal (Manual spinal mobilisation)

> Pre meditated manipulation

> Immobilisation (excluding materials)

> Pre- and post-operative exercises and/or breathing exercises

774.74

72923

Complex spinal treatment which includes either or / and:

MANIPULATION/MOBILISATION OF JOINTS OR IMMOBILISATION which includes either or / and:

> Spinal (Manual spinal mobilisation)

> Pre meditated manipulation

> Immobilisation (excluding materials)

> Rehabilitation for Central Nervous System disorders - condition to be clearly stated and fully documented (No other treatment modality may be charged in conjunction with this

> Traction

> Pre- and post-operative exercises and/or breathing exercises

1119.07

72928

Simple soft tissue / peripheral joint injuries or other general treatment which includes either or / and:

> Massage

> Neural tissue mobilisation

> Pre- and post-operative exercises and/or breathing exercises

774.74

72927

Complex soft tissue / peripheral joint injuries or other general treatment

> Massage

> Myofacial release/soft tissue mobilisation, one or more body parts

> Neural tissue mobilisation

> Pre- and cost-operative exercises and/or breathing exercises

1011.94