General Rules

Rule

Rule Description

001

Referral by the principal doctor with a copy of the referral letter is required. Only one visit per day and a maximum of 7 (seven) visits per event are allowed. Motivation letter is required if more than seven visits are required.

003

Dietary services are per individual patient.

011

Compilation of reports: To be used to motivate for therapy and give a progress report, where such a report is specifically required by the Compensation Fund.

Modifiers

Modifier

Modifier Description

0021

IM: Services to hospital inpatients: Quote modifier 0021 on all invoices for services performed on hospital inpatients.

Tariff Codes

Code

Code Description

1.

Individual Assessment, Counselling and/or Treatment

Rand

84206

Initial hospital visit: Nutritional assessment, counselling and/or treatment. Duration: 61-70min.

Report is required and item includes compilation of report. The relevant modifier applies.

827.16

84201

Follow up hospital visit in the ward: Nutritional assessment, counselling and/or treatment. Duration: 11-20min.

Report is required and item includes compilation of report. The relevant modifier applies.

177.14

84203

Hospital follow up visit in ICU and High Care Unit: Nutritional assessment, counselling and/or treatment. Duration: 31-40min.

Report is required and item includes compilation of report. The relevant modifier applies.

531.86

84205

Final hospital visit: Nutritional assessment, counselling and/or treatment. Duration: 51-60min.

For discharge menu planning and counselling.

Final report is required and item includes compilation of report. The relevant modifier applies.

649.69