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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 - 2023

Doctors Gazette 2023

General Practitioner and Specialist Tariff of Fees as from 1 April 2023

Part lll : Procedures

4. Respiratory System

4.6 Pulmonary procedures

 

 

 

Specialist

General Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

4.6.1

Surgical

 

 

 

 

 

 

1155

Needle biopsy lung (not including after-care): modifier 0005 not applicable

32

944.00

32

944.00

5

689.30 +T

1157

Pheumonectomy

350

10 325.00

280

8 260.00

11

1516.46 +T

1159

Pulmonary lobectomy

389.5

11 490.25

311.6

9 192.20

11

1516.46 +T

1161

Segmental lobectomy

365

10 767.50

292

8 614.00

11

1516.46 +T

1163

Excision tracheal stenosis: Cervical

375

11 062.50

300

8 850.00

8

1102.88 +T

1164

Excision tracheal stenosis: Intra-thoracic

May not be used with tariff code 1163

350

10 325.00

280

8 260.00

12

1654.32 +T

1167

Thoracoplasty: associated with lung resection or done by the same surgeon within FOUR weeks

215

6 342.50

172

5 074.00

12

1654.32 +T

1168

Thoracoplasty: Complete

May not be used with tariff code 1167 and 1169

250

7 375.00

200

5 900.00

11

1516.46 +T

1169

Thoracoplasty: Limited (osteoplastic)

May not be used with tariff code 1167

200

5 900.00

160

4 720.00

11

1516.46 +T

1171

Drainage empyema (including six weeks after-treatment)

170

5 015.00

136

4 012.00

11

1516.46 +T

1173

Drainage of lung abscess (including six weeks after-treatment)

170

5 015.00

136

4 012.00

11

1516.46 +T

1175

Thoracotomy (limited): Limited: For lung or pleural biopsy

115

3 392.50

115

3 392.50

11

1516.46 +T

1177

Thoracotomy: Major: Diagnostic

215

6 342.50

172

5 074.00

11

1516.46 +T

1179

Thoracoscopy

89

2 625.50

89

2 625.50

11

1516.46 +T

 

 

 

 

 

 

 

 

4.6.2

Pulmonary function tests

 

 

 

 

 

 

1186

Flow volume test: Inspiration/expiration

May not be used with tariff codes 1189 and 1192

30

885.00

30

885.00

 

Fees as for specialist

1188

Flow volume test: Inspiration/expiration pre- and post-bronchodilator (to be charged for only with first consulation - thereafter item 1186 applies)

50

1 475.00

50

1 475.00

 

Fees as for specialist

1189

Forced expirogram only

10

295.00

10

295.00

 

 

1191

N2 single breath distribution

10

295.00

10

295.00

 

 

1192

Peak expiratory flow only

5

147.50

5

147.50

 

 

1197

Compliance and resistance, using oesophageal balloon

24

708.00

24

708.00

 

Fees as for specialist

1198

Prolonged post exposure evaluation of bronchospasm with multiple spirometric determinations after antigen, cold air, methacholine or other chemical agent or after excercise, with subsequent spirometry

55.89

1 648.76

55.89

1 648.76

 

 

1199

Pulmonary stress testing: For determination of VO2 max

96.5

2 846.75

96.5

2 846.75

 

 

1201

Maximum inspiratory/expiratory pressure

5

147.50

5

147.50

 

Fees as for specialist

 

 

Pulmonologists and Practitioners accredited to SATS

Other Specialists and General practitioner

Anaesthetic

 

 

U

R

U

R

U

R          T/M

1193

Functional residual capacity or residual volume: helium method, nitrogen open circuit method, or other method

37.76

1 113.92

 

 

 

 

1195

Thoracic gas volume

37.93

1 118.94

 

 

 

 

1196

Determination of resistance to airflow, oscillatory or plethysmographic methods

45.31

1 336.65

 

 

 

 

1200

Carbon monoxide diffusing capacity, any method

38.06

1 122.77