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

Specialist

General  Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

8.1

Oral cavity

1462

Removal of embedded foreign body: vestibule of mouth, simple

41.1

1 166.01

41.1

1 166.01

5

662.80 +T

1464

Removal of embedded foreign body: vestibule of mouth, complicated

73.1

2 073.85

73.1

2 073.85

5

662.80 +T

1466

Removal of embedded foreign body: Dentoalveolar structures, soft tissues

52.8

1 497.94

52.8

1 497.94

5

662.80 +T

1467

Drainage of intra-oral abscess

31

879.47

31

879.47

4

530.24 +T

1469

Local excision of mucosal lesion of oral cavity

23

652.21

23

652.21

4

530.24 +T

1471

Resection of malignant lesion of buccal mucosa including radical neck dissection (Commando operation), but not including reconstructive plastic procedure

549

15 575.13

439.2

12 460.10

7

927.92 +T

1478

Velopharyngeal reconstruction with myoneuro-vacular transfer (dynamic repair)

240

6 808.80

192

5 447.04

6

795.36 +T

1479

Velopharyngeal reconstruction with or without pharyngeal flap (static repair)

227

6 439.99

181.6

5 151.99

6

795.36 +T

1480

Repair of oronasal fistula (large), e.g. distant flap

Item 1480 cannot be used with items 1481 and 1482

227

6 439.99

181.6

5 151.99

6

795.36 +T

1481

Repair of oronasal fistula (small), e.g. trapdoor: One stage or first stage

Item 1481 cannot be used with items 1480 and 1482

138

3 915.06

120

3 404.40

5

662.80 +T

1482

Repair of oronasal fistula (large), Second stage

Item 1482 cannot be used with items 1480 and 1481

138

3 915.06

120

3 404.40

5

662.80 +T

1483

Alveolar periosteal or other flaps for arch closure

138

3 915.06

120

3 404.40

4

530.24 +T

1486

Closure of anterior nasal floor

138

3 915.06

120

3 404.40

5

662.80 +T

8.2

Lips

1485

Local excision of benign lesion of lip

27

765.99

27

765.99

4

530.24 +T

1499

Lip reconstruction following an injury: Directed repair

105.6

2 995.87

105.6

2 995.07

4

530.24 +T

1501

Lip reconstruction following an injury: Flap repair

206

5 844.22

164.8

4 675.38

4

530.24 +T

1503

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

206

5 844.22

164.8

4 675.38

4

530.24 +T

1504

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

104

2 950.48

104

2 950.48

4

530.24 +T

8.3

Tongue

1505

Partial glossectomy

225

6 383.25

180

5106.60

6

795.36 +T

1507

Local excision of lesion of tongue

27

765.99

27

765.99

4

530.24 +T

8.4

Palate, uvula and salivary gland

1531

Drainage of parotid abscess

25

709.25

25

709.25

4

530.24 +T

8.5

Oesophagus

1545

Oesophagoscopy with rigid instrument: First and subsequent

47

1 333.39

47

1 333.39

4

530.24 +T

1550

Oesophagoscopy with removal of foreign body

Oesophageal dilatation

70

40

1 985.90

1 134.80

70

40

1 985.90

1 134.80

4

4

530.24 +T

530.24 +T

1557

Can be used with item 1587

8.6

Stomach

1587

Upper gastro-intestinal endoscopy: Using hospital equipment

48.75

1 383.04

48.75

1 383.04

4

530.24 +T

1589

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

+    34

964.58

34

964.58

6

795.36 +T

1591

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

+    25

709.25

+    25

709.25

4

530.24 +t

1597

Gastrostomy or Gastrotomy

147.5

4 184.58

120

3 404.40

6

795.36 +T

1613

Gastroenterostomy

203.60

5 776.13

162.88

4 620.91

6

795.36 +T

1615

Suture of perforated gastric or duodenal ulcer or wound or injury

200

5 674.00

160

4 539.20

7

927.92 +T

1617

Partial gastrectomy

328.3

9 313.87

262.64

7 451.10

7

927.92 +T

1619

Total gastrectomy

384.43

10 906.28

307.54

8 724.91

7

927.92 +T

1621

Revision of gastrectomy or gastro-enterostomy

375

10 638.75

300

8 511.00

7

927.92 +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

3 404.40

120

3 404.40

6

795.36 +T

1627

Duodenal intubation (under X-ray screening)

8

226.96

8.8

Intestines

1634

Enterotomy or Enterostomy

202.6

5 747.76

162.08

4 598.21

6

795.36 +T

1637

Operation for relief of intestinal obstruction

240

6 808.80

192

5 447.04

7

927.92 +T

1639

Resection of small bowel with enterostomy or ananstomosis

244.9

6 947.81

195.92

5 558.25

6

795.36 +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

4 255.50

120

3 404.40

1643

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

90

2 553.30

90

2 553.30

1645

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

185.2

5 254.12

148.16

4 203.30

6

795.36 +T

1647

Closure of Intestinal fistula

258

7 319.46

206.4

5 855.57

6

795.36 +T

1653

Total colonoscopy with hospital equipment

90

2 553.30

90

2 553.30

4

530.24 +T

1656

Left-sided colonoscopy

60

1 702.20

60

1 702.20

4

530.24 +T

1657

Right or left hemicolectomy or segmental colectomy

325

9 220.25

260

7 376.20

6

795.36 +T

1661

Colotomy: Including removal of foreign body

205.7

5 835.71

164.56

4 668.57

6

795.36 +T

1663

Total colectomy

390

11 064.30

312

8 851.44

6

795.36 +T

1665

Colostomy or ileostomy isolated procedure

233.8

6 632.91

187.04

5 306.32

6

795.36 +T

1666

Continent ileostomy pouch (all types)

300

8 511.00

240

6 808.80

6

795.36 +T

1667

Colostomy: Closure

179.1

5 081.07

143.28

4 064.85

5

662.80 +T

1668

Revision of ileostomy pouch

375

10 638.75

300

8 511.00

6

795.36 +T

1676

Flexible sigmoidoscopy (including rectum and anus): Using hospital equipment

48.75

1 383.04

48.75

1 383.04

3

397.68 +T

8.9

Rectum and anus

1705

Incision and drainage of submucous abscess

40

1 134.60

40

1 134.60

3

397.68 +T

1707

Drainage of submucous abscess

40

1 134.60

40

1 134.60

3

397.68 +T

8.10

Liver

1744

Extensive debridement, haemostasis and packing of liver wound or injury

483.80

13 725.41

387.04

10 980.32

13

1 723.28 +T

1747

Drainage of liver abscess

179.1

5 081.67

143.28

4 064.85

7

927.92 +T

1749

Hemi-hepatectomy: Right

564

16 000.68

451.2

12 800.54

9

1 193.04 +T

1751

Hemi-hepatectomy: Left

521.1

14 783.61

416.88

11 826.89

9

1 193.04 +T

1752

Extended right or left hepatectomy

570.9

16 196.43

456.72

12 957.15

9

1 193.04 +T

1753

Partial or semental hepatectomy

378

10 723.86

302.4

8 579.09

9

1 193.04 +T

1757

Suture of liver wound or injury

214.2

6 076.85

171.36

4 861.48

9

1 193.04 +T

1758

Complex suture of liver wound or injury, including hepatic artery ligation

Cannot be used with item 1757

296.60

8 414.54

237.28

6 731.63

13

1 723.28 +T

8.11

Pancreas

1780

Gastric and duodenal intubation

Code is not appropriate if gastric intubation forms part of anaesthetic indications

8

226.96

8

226.96

8.12

Peritoneal cavity

1797

Pneumo-peritoneum: First

13

368.81

13

368.81

4

530.24 +T

1799

Pneumo-Peritoneum: Repeat

6

170.22

6

170.22

4

530.24 +T

1800

Peritoneal lavage

20

567.40

20

567.40

1801

Diagnostic paracentesis: Abdomen

8

226.96

8

226.96

1803

Therapeutic paracentesis: Abdomen

13

368.81

13

368.81

1807

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

+     45

1 276.65

45

1 276.65

5

662.80 +T

1809

Laparotomy

196

5 560.52

156.8

4 448.42

4

530.24 +T

1811

Suture of burst abdomen

188.3

5 342.07

150.64

4 273.66

7

927.92 +T

1812

Laparatomy for control of surgical haemorrhage

105

2 978.85

105

2 978.85

9

1 193.04 +T

1813

Drainage sub-phrenic abscess

180

5 106.60

144

4 085.28

7

927.92 +T

1815

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

248.4

7 047.11

198.72

5 637.69

5

662.80 +T

1817

Transrectal drainage of pelvic abscess

75

2 127.75

75

2 127.75

4

530.24 +T