Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2022Occupational Therapy Gazette 2022Occupational Therapy Tariff of Fees as from 1 April 2022Tariffs and Codes |
1. |
PROCEDURES OF INTERVIEWING, GUIDANCE AND CONSULTATION |
|
|
Code |
Description |
RVU |
RAND |
66101 |
First consultation (5-15 min). Charged once. |
60 |
725.21 |
66108 |
Follow-up consultation (15-30 min). May be charged twice only per week. |
15 |
181.35 |
66109 |
Follow-up consultation (30-60 min). May be charged up to four times per week |
30 |
362.61 |
2. |
PROCEDURES OF INITIAL EVALUATION TO DETERMINE THE TREATMENT |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66201 |
Observation and screening. May be charged at every treatment session as clinically appropriate |
10,000 |
120.87 |
66203 |
Specific evaluation for a single aspect of dysfunction (Specify which aspect). May be charged once per week as clinically appropriate |
7,500 |
90.65 |
66205 |
Specific evaluation of dysfunction involving one part of the body for a specific functional problem (Specify part and aspects evaluated). May be charged once per week as clinically appropriate |
22,500 |
271.95 |
66207 |
Specific evaluation for dysfunction involving the whole body (Specify condition and which aspects evaluated). May be charged once per three months as clinically appropriate |
45,000 |
543.91 |
66209 |
Specific in depth evaluation of certain functions affecting the total person (Specify the aspect assessed). May be charged once per three months as clinically appropriate |
75,000 |
906.51 |
66211 |
Comprehensive in depth evaluation of the total person (Specify aspects assessed) Item 66211 cannot be charged together with item 66136 |
105,000 |
1269.45 |
66136 |
In depth evaluation of the total person to enable the vocational rehabilitation specialist to complete a comprehensive assessment of certain functions affecting the total person (This code can only be requested by the Compensation Fund for Section 42 Case reviews) Item 66136 cannot be charged together with item 66211. |
206.80 |
2500.00 |
3. |
Measurement for designing |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66213 |
Measurement for designing a static orthosis. |
10,000 |
120.87 |
66215 |
Measurement for designing a dynamic orthosis |
10,000 |
120.87 |
66217 |
Measurement for designing a pressure garment for one limb orthosis |
10,000 |
120.87 |
66219 |
Measurement for designing a pressure garment for one hand orthosis |
10,000 |
120.87 |
66221 |
Measurement for designing a pressure garment for the trunk orthosis |
10,000 |
120.87 |
66223 |
Measurement for designing a pressure garment for the face (chin strap only) |
10,000 |
120.87 |
66225 |
Measurement for designing a pressure garment for the face (full face mask) orthosis |
10,000 |
120.87 |
4. |
PROCEDURES FOR THERAPY |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66301 |
Group treatment in a task-cantered activity, per patient (Treatment time 60 minutes or more). |
10,000 |
120.87 |
66303 |
Placement of a patient in an appropriate treatment situation requiring structuring the environment, adapting equipment and positioning the patient. This does not require individual attention for the whole treatment session |
20,000 |
241.74 |
66305 |
Groups directed to achieve common goals per person |
20,000 |
241.74 |
66307 |
Simultaneous treatment of two to four patients, each with specific problems utilising individual activities, per patient (treatment time 60 minutes or more) |
48,000 |
540.17 |
66308 |
Simultaneous treatment with two to four neuro-behavioural and stress related conditions or severe head injury patients, each with specific problems, utilising individual activities, per patient (Treatment time 90 minutes or more) |
30,000 |
362.61 |
5. |
INDIVIDUAL AND UNDIVIDED ATTENTION DURING TREATMENT SESSIONS UTILISING SPECIFIC ACTIVITY OR TECHNIQUES IN AN INTEGRATED TREATMENT SESSION (TIME OF TREATMENT MUST BE SPECIFIED) |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66309 |
On level one (15 min) |
12,000 |
145.04 |
66311 |
On level two (30 min) |
24,000 |
290.08 |
66313 |
On level three (45 min) |
36,000 |
435.13 |
66315 |
One level four (60 min) |
48,000 |
580.17 |
66317 |
On level five (90 min) |
72,000 |
870.25 |
66319 |
On level six (120 min) |
96,000 |
1160.34 |
6. |
PROCEDURES FOR WORK REHABILITATION |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66321 |
Work evaluation - This includes an assessment of the inherent demands of the job and the patient's ability to perform these. A detailed report is not included in this code (charged for under 325), but must be submitted with the referral from the medical practitioner.) Item 66321 cannot be charged together with item 66211 or 66136 |
80,0 |
966.95 |
66323 |
Work Visit Evaluation of the job tasks by observing while the patient or a colleague in the same role performs the job tasks. May include discussing possible adaptations to the process or the work station and making the necessary recommendations to enable a patient to return to work.Rule: A maximum of two work visits are allowed per patient However, in extenuating circumstances, further motivation may be made to the CC. Item 66323 cannot be charged together with item 66211 or 66136 or 66321 |
40,0 |
483.47 |
66325 |
CF Reports - To be used only when reporting on work assessments. Use once per day and per claim only |
22.14 |
267.60 |
7. |
PROCEDURES REQUIRED TO PROMOTE TREATMENT |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66401 |
Work Workplace assessment (Recommendation as regards to assistive device and environmental adaptations.) Item 66401 cannot be charged together with item 66211 or 66136 or 66321 or 66323 Evaluation codes should be pre-authorised with the physical rehabilitation |
15,000 |
181.30 |
8. |
DESIGNING AND CONSTRUCTING A CUSTOM MADE ADAPTATION OR ASSISTIVE DEVICE, SPLINT OR SIMPLE PRESSURE GARMENT |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66403 |
On level one |
12,000 |
145.04 |
66405 |
On level two |
24,000 |
290.08 |
66407 |
On level three |
36,000 |
435.13 |
66409 |
On level four |
48,000 |
580.17 |
66411 |
On level five |
60,000 |
725.21 |
66413 |
On level six |
72,000 |
870.25 |
66415 |
Designing and constructing a static orthosis |
60,000 |
725.21 |
66417 |
Designing and constructing a dynamic orthosis |
120,000 |
1450.42 |
9. |
Designing and making/constructing pressure garment for: |
|
|
CODE |
DESCRIPTION |
RVU |
RAND |
66419 |
Per limb |
60,000 |
725.21 |
66421 |
Face (chin strap only) |
45,000 |
543.91 |
66423 |
Face (full face mask) |
60,000 |
725.21 |
66425 |
Trunk |
90,000 |
1087.82 |
66427 |
Per hand |
90,000 |
1087.82 |
The whole body or part thereof will be the subtotal of the parts for the first garment and 75% of the fee for any additional garments on the same pattern |
|
||
66431 |
Planning and preparing in depth home programme on a monthly basis. |
90,000 |
1087.82 |