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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 - 2019

Doctors

Part III : Procedures

8. Digestive System

 

 

 

Specialist

General  Practitioner

Anaesthetic

U/E

R

U/E

R

U/E

R          T/M

8.1

Oral cavity

 

 

 

 

 

 

1467

Drainage of intra-oral abscess

31

789.57

31

789.57

4

476.08 +T

1483

Alveolar periosteal or other flaps for arch closure

138

3 514.86

120

3 056.40

4

476.08 +T

 

 

 

 

 

 

 

 

8.2

Lips

 

 

 

 

 

 

1485

Local excision of benign lesion of lip

27

687.69

27

687.69

4

476.08 +T

1499

Lip reconstruction following an injury: Directed repair

105.6

2 689.63

105.6

2 689.63

4

476.06 +T

1501

Lip reconstruction following an injury: Flap repair

206

5 246.82

164.8

4 197.46

4

476.08 +T

1503

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

206

5 246.82

164.8

4 197.46

4

476.08 +T

1504

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

104

2 648.88

104

2 648.88

4

476.08 +T

 

 

 

 

 

 

 

 

8.3

Tongue

 

 

 

 

 

 

1505

Partial glossectomy

225

5 730.75

180

4 584.60

6

714.12 +T

1507

Local excision of lesion of tongue

27

687.69

27

687.69

4

476.08 +T

 

 

 

 

 

 

 

 

8.4

Palate, uvula and salivary gland

 

 

 

 

 

 

1526

Total parotidectomy with preservation of facial nerve

358.5

9 131.00

286.8

7 304.80

5

595.10 +T

1531

Drainage of parotid abscess

25

636.75

25

636.75

4

476.08 +T

 

 

 

 

 

 

 

 

8.5

Oesophagus

 

 

 

 

 

 

1545

Oesophagoscopy with rigid instrument: First and subsequent

47

1 197.09

47

1 197.09

4

476.08 +T

1550

Oesophagoscopy with removal of foreign body

70

1 782.90

70

1 782.90

4

476.08 +T

1563

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

300

7 641.00

240

6 112.80

11

1 309.22 +T

1565

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

350

8 914.50

280

7 131.60

11

1309.22 +T

 

 

 

 

 

 

 

 

8.6

Stomach

 

 

 

 

 

 

1587

Upper gastro-intestinal endoscopy: Using hospital equipment

48.75

1 241.66

48.75

1 241.66

4

476.08 +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

865.98

34

865.98

6

714.12 +T

1591

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

+    25

636.75

+    25

636.75

4

476.08 +t

1597

Gastrostomy or Gastrotomy

147.5

3 756.83

120

3 056.40

6

714.12 +T

1615

Suture of perforated gastric or duodenal ulcer or wound or injury

200

5 094.00

160

4 075.20

7

833.14 +T

1617

Partial gastrectomy

328.3

8 361.80

262.64

6 689.44

7

833.14 +T

1619

Total gastrectomy

384.43

9 791.43

307.54

7 833.04

7

833.14 +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

3 056.40

120

3 056.40

6

714.12 +T

1627

Duodenal intubation (under X-ray screening)

8

203.76

 

 

 

 

 

 

 

 

 

 

 

 

8.8

Intestines

 

 

 

 

 

 

1634

Enterotomy or Enterostomy

202.6

5 160.22

162.08

4 128.18

6

714.12 +T

1637

Operation for relief of intestinal obstruction

240

6 112.80

192

4 890.24

7

833.14 +T

1639

Resection of small bowel with enterostomy or ananstomosis

244.9

6 237.60

195.92

4 990.08

6

714.12 +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

3 820.50

120

3 056.40

 

 

1643

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

90

2 292.30

90

2 292.30

 

 

1645

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

185.2

4 717.04

148.16

3 773.64

6

714.12 +T

1647

Closure of Intestinal fistula

258

6 571.26

206.4

5 257.01

6

714.12 +T

1657

Right or left hemicolectomy or segmental colectomy

325

8 277.75

260

6 622.20

6

714.12 +T

1661

Colotomy: Including removal of foreign body

205.7

5 239.18

164.56

4 191.34

6

714.12 +T

1663

Total colectomy

390

9 933.30

312

7 946.64

6

714.12 +T

1665

Colostomy or ileostomy isolated procedure

233.8

8 954.89

187.04

4 763.91

6

714.12 +T

1667

Colostomy: Closure

179.1

4 561.68

143.28

3 649.34

5

595.10 +T

1668

Revision of ileostomy pouch

375

9 551.25

300

7 641.00

6

714.12 +T

 

 

 

 

 

 

 

 

8.10

Rectum and anus

 

 

 

 

 

 

1677

Sigmoidoscopy: First and subsequent, with or without biopsy

13

331.11

13

331.11

3

357.06 +T

1688

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

445

11 334.15

356

9 067.32

8

952.16 +T

1705

Incision and drainage of submucous abscess

40

1 018.80

40

1 018.80

3

357.06 +T

1707

Drainage of submucous abscess

40

1 018.80

40

1 018.80

3

357.06 +T

1737

Dilation of ano-rectal structure

12.5

318.38

12.5

318.38

3

357.06 +T

1742

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

27

687.69

 

 

 

 

 

 

 

 

 

 

 

 

8.11

Liver

 

 

 

 

 

 

1743

Needle biopsy of liver

30.3

771.74

30.3

771.74

3

357.06 +T

1745

Biopsy of liver by laparotomy

125

3 183.76

120

3 056.40

4

476.08

1747

Drainage of liver abscess

179.1

4 561.68

143.28

3 649.34

7

833.14

1748

Body composition measured by bio-electrical impedance

3

76.41

3

76.41

 

 

1749

Hemi-hepatectomy: Right

564

14 365.08

451.2

11 492.06

9

1 071.18 +T

1751

Hemi-hepatectomy: Left

521.1

13 272.42

416.88

10 617.93

9

1 071.18 +T

1752

Extended right or left hepatectomy

570.9

14 540.82

456.72

11 632.66

9

1 071.18 +T

1753

Partial or semental hepatectomy

378

9 627.66

302.4

7 702.13

9

1 071.18 +T

1757

Suture of liver wound or injury

214.2

5 455.67

171.36

4 364.54

9

1 071.18 +T

 

 

 

 

 

 

 

 

8.12

Biliary tract

 

 

 

 

 

 

1763

With exploration of common bile duct

264..5

6 738.82

211.6

5 389.45

6

714.12 +T

1765

Exploration of common bile duct: Secondary operation

327.7

8 346.62

262.16

6 677.22

6

714.12 +T

1767

Reconstruction of common bile duct

371.7

9 467.20

297.36

7 573.76

6

714.12 +T

 

 

 

 

 

 

 

 

8.13

Pancreas

 

 

 

 

 

 

1778

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

105.9

2 697.27

105.9

2 697.27

4

476.08 +T

1779

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

+  15.82

402.94

15.82

402.94

4

476.08 +T

1791

Local, partial or subtotal pancreatectomy

351.3

8 947.61

281.04

7 158.09

8

952.16 +T

1793

Distal pancreatectomy with internal drainage

377.4

9 612.38

301.92

7 589.90

8

952.16 +T

 

 

 

 

 

 

 

 

8.14

Peritoneal cavity

 

 

 

 

 

 

1797

Pneumo-peritoneum: First

13

331.11

13

331.11

4

476.08 +T

1799

Pneumo-Peritoneum: Repeat

6

152.82

6

152.82

4

476.08

1800

Peritoneal lavage

20

509.40

20

509.40

 

 

1801

Diagnostic paracentesis: Abdomen

8

203.76

8

203.76

 

 

1803

Therapeutic paracentesis: Abdomen

13

331.11

13

331.11

 

 

1807

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

+     45

1 146.15

45

1 146.15

5

595.10 +T

1809

Laparotomy

196

4 992.12

156.8

3 993.70

4

476.08 +T

1811

Suture of burst abdomen

188.3

4 796.00

150.64

3 836.80

7

833.14 +T

1812

Laparatomy for control of surgical haemorrhage

105

2 674.35

105

2 674.35

9

1 071.18 +T

1813

Drainage sub-phrenic abscess

180

4 584.60

144

3 667.68

7

833.14 +T

1815

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

248.4

6 326.75

198.72

5 061.40

5

595.10 +T

1817

Transrectal drainage of pelvic abscess

75

1 910.25

75

1 910.25

4

476.08 +T