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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 - 2020

Doctors

Part lll : Procedures

8. Digestive System

 

 

 

Specialist

General  Practitioner

Anaesthetic

U

R

U

R

U

R          T/M

8.1

Oral cavity

 

 

 

 

 

 

1467

Drainage of intra-oral abscess

31

833.90

31

833.90

4

502.76 +T

1483

Alveolar periosteal or other flaps for arch closure

138

3 712.20

120

3 228.00

4

502.76 +T

 

 

 

 

 

 

 

 

8.2

Lips

 

 

 

 

 

 

1485

Local excision of benign lesion of lip

27

726.30

27

726.30

4

502.76 +T

1499

Lip reconstruction following an injury: Directed repair

105.6

2 840.64

105.6

2 840.64

4

502.76 +T

1501

Lip reconstruction following an injury: Flap repair

206

5 541.40

164.8

4 433.12

4

502.76 +T

1503

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

206

5 541.40

164.8

4 433.12

4

502.76 +T

1504

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

104

2 797.60

104

2 797.60

4

502.76 +T

 

 

 

 

 

 

 

 

8.3

Tongue

 

 

 

 

 

 

1505

Partial glossectomy

225

6 052.50

180

4 842.00

6

754.14 +T

1507

Local excision of lesion of tongue

27

726.30

27

726.30

4

502.76 +T

 

 

 

 

 

 

 

 

8.4

Palate, uvula and salivary gland

 

 

 

 

 

 

1526

Total parotidectomy with preservation of facial nerve

358.5

9 643.65

286.8

7 714.92

5

628.45 +T

1531

Drainage of parotid abscess

25

672.50

25

672.50

4

502.76 +T

 

 

 

 

 

 

 

 

8.5

Oesophagus

 

 

 

 

 

 

1545

Oesophagoscopy with rigid instrument: First and subsequent

47

1 264.30

47

1 264.30

4

502.76 +T

1550

Oesophagoscopy with removal of foreign body

70

1 883.00

70

1 883.00

4

502.76 +T

1563

Hiatus hernia and diaphragmatic hernia repair: With anti-reflux procedure

300

8 070.00

240

6 456.00

11

1 382.59 +T

1565

Hiatus hernia and diaphragmatic hernia repair: with Collins Nissen oesophageal lengthening procedure

350

9 415.00

280

7 532.00

11

1 382.59 +T

 

 

 

 

 

 

 

 

8.6

Stomach

 

 

 

 

 

 

1587

Upper gastro-intestinal endoscopy: Using hospital equipment

48.75

1 311.38

48.75

1 311.38

4

502.76 +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

914.60

34

914.60

6

754.14 +T

1591

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

+    25

672.50

+    25

672.50

4

502.76 +t

1597

Gastrostomy or Gastrotomy

147.5

3 967.75

120

3 228.00

6

754.14 +T

1615

Suture of perforated gastric or duodenal ulcer or wound or injury

200

5 380,00

160

4 304.00

7

879.83 +T

1617

Partial gastrectomy

328.3

8 831.27

262.64

7 065.02

7

879.83 +T

1619

Total gastrectomy

384.43

10 341.17

307.54

8 272.83

7

879.83 +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

3 228.00

120

3 228.00

6

754.14 +T

1627

Duodenal intubation (under X-ray screening)

8

215.20

 

 

 

 

 

 

 

 

 

 

 

 

8.8

Intestines

 

 

 

 

 

 

1634

Enterotomy or Enterostomy

202.6

5 449.94

162.08

4 359.95

6

754.14 +T

1637

Operation for relief of intestinal obstruction

240

6 456.00

192

5 164.80

7

879.83 +T

1639

Resection of small bowel with enterostomy or ananstomosis

244.9

6 587.81

195.92

5 270.25

6

754.14 +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

4 035.00

120

3 228.00

 

 

1643

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

90

2 421.00

90

2 421.00

 

 

1645

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

185.2

4 981.88

148.16

3 985.50

6

754.14 +T

1647

Closure of Intestinal fistula

258

6 940.20

206.4

5 552.16

6

754.14 +T

1657

Right or left hemicolectomy or segmental colectomy

325

8 742.50

260

6 994.00

6

754.14 +T

1661

Colotomy: Including removal of foreign body

205.7

5 533.33

164.56

4 426.66

6

754.14 +T

1663

Total colectomy

390

10 491.00

312

8 392.80

6

754.14 +T

1665

Colostomy or ileostomy isolated procedure

233.8

6 289.22

187.04

5 031.38

6

754.14 +T

1667

Colostomy: Closure

179.1

4 817.79

143.28

3 854.23

5

628.45 +T

1668

Revision of ileostomy pouch

375

10 087.50

300

8 070.00

6

754.14 +T

 

 

 

 

 

 

 

 

8.10

Rectum and anus

 

 

 

 

 

 

1677

Sigmoidoscopy: First and subsequent, with or without biopsy

13

349.70

13

349.70

3

377.07 +T

1688

Total mesorectal excision with colo-anal anastomosis and defunctioning enterostomy or colostomy

445

11 970.50

356

9 576.40

8

1 005.52 +T

1705

Incision and drainage of submucous abscess

40

1 076.00

40

1 076.00

3

377.07 +T

1707

Drainage of submucous abscess

40

1 076.00

40

1 076.00

3

377.07 +T

1737

Dilation of ano-rectal structure

12.5

336.25

12.5

336.25

3

377.07 +T

1742

Bio-feedback training for faecal incontinence during anorectal manometry performed by doctor

27

726.30

 

 

 

 

 

 

 

 

 

 

 

 

8.11

Liver

 

 

 

 

 

 

1743

Needle biopsy of liver

30.3

815.07

30.3

815.07

3

377.07 +T

1745

Biopsy of liver by laparotomy

125

3 362.50

120

3 228.00

4

502.76 +T

1747

Drainage of liver abscess

179.1

4 817.79

143.28

3 854.23

7

879.83 +T

1748

Body composition measured by bio-electrical impedance

3

80.70

3

80.70

 

 

1749

Hemi-hepatectomy: Right

564

15 171.60

451.2

12 137.28

9

1 131.21 +T

1751

Hemi-hepatectomy: Left

521.1

14 017.59

416.88

11 214.07

9

1 131.21 +T

1752

Extended right or left hepatectomy

570.9

15 357.21

456.72

12 285.77

9

1 131.21 +T

1753

Partial or semental hepatectomy

378

10 168.20

302.4

8 134.56

9

1 131.21 +T

1757

Suture of liver wound or injury

214.2

5 761.98

171.36

4 609.58

9

1 131.21 +T

 

 

 

 

 

 

 

 

8.12

Biliary tract

 

 

 

 

 

 

1763

With exploration of common bile duct

264.5

7 115.05

211.6

5 692.04

6

754.14 +T

1765

Exploration of common bile duct: Secondary operation

327.7

8 815.13

262.16

7 052.10

6

754.14 +T

1767

Reconstruction of common bile duct

371.7

9 998.73

297.36

7 998.98

6

754.14 +T

 

 

 

 

 

 

 

 

8.13

Pancreas

 

 

 

 

 

 

1778

Endoscopic Retrograde Cholangiopancreatograph (ERCP): Endoscopy + Catheterisation of pancreas duct or choledochus

105.9

2 848.71

105.9

2 848.71

4

502.76 +T

1779

Endoscopic retrograde removal of stone(s) as for biliary and/or pancreatic duct. ADD to ERCP (item 1778)

+  15.82

425.56

15.82

425.56

4

502.76 +T

1791

Local, partial or subtotal pancreatectomy

351.3

9 449.97

281.04

7 559.98

8

1 005.5 +T

1793

Distal pancreatectomy with internal drainage

377.4

10 152.06

301.92

8 121.65

8

1 005.5 +T

 

 

 

 

 

 

 

 

8.14

Peritoneal cavity

 

 

 

 

 

 

1797

Pneumo-peritoneum: First

13

349.70

13

349.70

4

502.76 +T

1799

Pneumo-Peritoneum: Repeat

6

161.40

6

161.40

4

502.76 +T

1800

Peritoneal lavage

20

538.00

20

538.00

 

 

1801

Diagnostic paracentesis: Abdomen

8

215.20

8

215.20

 

 

1803

Therapeutic paracentesis: Abdomen

13

349.70

13

349.70

 

 

1807

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

+     45

1 210.50

45

1 210.50

5

628.45 +T

1809

Laparotomy

196

5 272.40

156.8

4 217.92

4

502.76 +T

1811

Suture of burst abdomen

188.3

5 065.27

150.64

4 052.22

7

879.83 +T

1812

Laparatomy for control of surgical haemorrhage

105

2 824.50

105

2 824.50

9

1 131.21 +T

1813

Drainage sub-phrenic abscess

180

4 842.00

144

3 873.60

7

879.83 +T

1815

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

248.4

6 681.96

198.72

5 345.57

5

628.45 +T

1817

Transrectal drainage of pelvic abscess

75

2 017.50

75

2 017.50

4

502.76 +T