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 - 2022

Doctors Gazette 2022

Part lll : Procedures

17. Ear
Purchase cart Previous page Return to chapter overview Next page

 

Specialist

General Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

17.1

External Ear (Pinna)

 

 

 

 

 

 

5170

Drainage: Haematoma or abscess of external ear

34.80

987.28

34.80

987.28

5

662.80 +T

5171

Drainage: Abscess of external auditory canal

21

595.77

21

595.77

5

662.80 +T


 

 

 

 

 

 

17.2

External ear canal

 

 

 

 

 

 

3204

Removal of foreign body at rooms with the use of a microscope (excludes loupe) - not to be used combined with item 3206

21.58

612.22

 

 

 

 

3205

External ear canal: Removal of foreign body: Under general anaesthetic

21

595.77

21

595.77

4

530.24 +T


 

 

 

 

 

 

17.3

Middle ear

 

 

 

 

 

 

3214

Reconstruction of middle ear ossicles (ossiculoplasty)

255

7 234.35

204

5 787.48

5

662.80 +T

3237

Explanatory tympanotomy

158.9

4 507.99

127.12

3 606.39

5

662.80 +T

3245

Functional reconstruction of tympanic membrane

277

7 858.49

221.6

6 286.79

5

662.80 +T


 

 

 

 

5

 

17.4

Facial nerve

 

 

 

 

 

 

17.4.1

Facial nerve tests

 

 

 

 

 

 

3223

Percutaneous stimulation of the facial nerve

9

255.33

9

255.33

4

530.24 +T

3224

Electroneurography (ENOG)

75

2 127.75

75

2 127.75

4

530.24 +T

17.4.2

Facial nerve surgery

 

 

 

 

 

 

3227

Exploration of facial nerve: Exploration of tympano mastoid segment

297

8 425.89

237.6

6 740.71

5

662.80 +T

3228

Exploration of facial nerve: Grafting of the tympano mastoid segment (including item 3227)

436

12 369.32

348.8

9 895.46

5

662.80 +T

3230

Exploration of facial nerve: Extratemporal grafting of the facial nerve

436

12 369.32

348.8

9 895.46

5

662.80+T

3232

Exploration of facial nerve: Facio-assessory or facio-hypoglossal anastomosis

124

3 517.88

120

3 404.40

6

795.36 +T


 

 

 

 

 

 

17.5

Inner ear

 

 

 

 

 

 

17.5.1

Audiometry

 

 

 

 

 

 

3273

Pure tone audiometry (air conduction)

6.5

184.41

6.5

184.41

 

 

3274

Pure tone audiometry (bone conduction with masking)

6.5

184.41

6.5

184.41

 

 

3275

Impedance audiometry (tympanometry)

6.5

184.41

6.5

184.41

 

 

3276

Impedance audiometry (stapedial reflex) - no code for volume, compliance etc.

6.5

184.41

6.5

184.41

 

 

3277

Speech audiometry: Fee includes speech audiogram, speech reception threshold, discrimination score

10

283.70

10

283.70

 

 

17.5.2

Inner Ear: Balance tests

 

 

 

 

 

 

2691

Short latency brainstem evoked potentials (AEP) neurological examination, single decibel: Unilateral

50.00

1 418.50

 

 

 

 

2692

Short latency brainstem evoked potentials (AEP) neurological examination, single decibel: Bilateral

Cannot be used with item 2691

88.00

2 496.56

 

 

 

 

2693

AEP: Audiological examination: Unilateral at a minimum of 4 decibels

60.00

1 702.20

 

 

 

 

2694

AEP: Audiological examination: Bilateral at a minimum of 4 decibels

Cannot be used with item 2693

105.00

2 978.85

 

 

 

 

2695

Audiology: 40Hz response: Unilateral

30.00

851.10

 

 

 

 

2696

Audiology: 40Hz response: Bilateral

53.00

1 503.61

 

 

 

 

2697

Mid- and long latency auditory evoked potentials: Unilateral

30.00

851.10

 

 

 

 

2698

Mid- and long latency auditory evoked potentials: Bilateral

53.00

1 503.61

 

 

 

 

2702

Total code for audiological evaluation including bilateral AEP and bilateral electro-cochleography

140.00

3 971.80

 

 

4

530.24 +T

3273

Pure tone audiometry (air conduction)

6.50

184.41

6.50

184.41

 

 


 

 

 

 

 

 

17.6

Microsurgery of the skull base

 

 

 

 

 

 

Note: Skull base surgery, used for the management of lesions, often requires the skills of medical doctors of different disciplines working together during the operation.

The procedures are categorised in three parts:

1. The approach in order to expose the area in which the lesion is situated.
2. The definitive procedure which involves the repair, biopsy, resection or excision of the lesion. It also involves the primary closure of the dura, mucous membranes and skin.
3. Repair/reconstruction procedure: Is coded separately if extensive dural grafting cranioplasty, local or regional myocutaneous pedical flaps, or extensive skin grafts are performed.

Note codes for repair and closure with local, pedicled or free flaps and grafts can be found in the relevant sections of the coding structure

 

 

 

 

 

 

17.6.1

Middle fossa approach (i.e. transtemporal or supralabyrinthine)

 

 

 

 

 

 

3229

Facial nerve: Exploration of the labyrinthine segment

420

11 915.45

336

9 532.32

5

662.80 +T

5221

Facial nerve: Grafting of labyrinthine segment (graft removal and exploration of labyrinthine segment are included)

510

14 468.70

408

11 574.96

11

1458.16 +T

5222

Facial nerve surgery inside the internal auditory canal (if grafting is required, the grafting and harvesting of graft are included)

620

17 589.40

496

14 071.52

11

1458.16 +T

17.6.2

Subtotal petrosectomy

 

 

 

 

 

 

5247

Subtotal petrosectomy for CSF leak and/or total obliteration of the mestoid cavity

480

13 617.60

384

10 894.08

11

1458.16 +T