Specialist

General

Practitioner

Anaesthetic

U

R

U

R

U

R

T

2.

Integumentary system

2.1

Allergy

0217

Allergy: Patch tests: First patch

4

95.76

4

95.76

0219

Allergy: Patch tests: Each additional patch

2

47.88

2

47.88

0218

Allergy: Skin-prick tests: Skin-prick testing: Insect venom, latex and drugs

2.8

67.03

2.8

67.03

0220

Allergy: Skin-prick tests: Immediate hypersensitivity testing (Type I reaction): per antigen: Inhalant and food allergen

1.9

45.49

1.9

45.59

0221

Allergy: Skin -prick tests: Delayed hypersensitivity testing (Type IV reaction): per antigen

2.8

67.03

2.8

67.03

2.2

Skin (general)

0255

Drainage of subcutaneous abscess, onychia, paronchia, pulp space or avulsion of nail

20

478,.80

20

478.80

3

335.58

+T

0257

Drainage of major hand or foot infection; drainage of major abscess with necrosis of tissue, Involving deep fascia or requiring debridement; complete excision of pilonidal cyst or sinus

87

2082.78

87

2 082.78

3

335.58

+T

0259

Removal of foreign body superficial to deep fascia (except hands)

20

478.80

20

478.80

3

335.58

+T

0261

Removal of foreign body deep to deep fascia (except hands)

31

742.14

31

742.14

3

335.58

+T

Note: See item 0922 and 0923 for removal of foreign bodies In hand

2.3

Major plastic repair

Note: The tariff does not cover elective or cosmetic operations, since these procedures may not have the effect of reducing the percentage of permanent disablement as laid down In the Second Schedule to the Act. It Is Incumbent upon the treating doctor to obtain the prior consent of the Commissioner before embarking upon such treatment

0289

Large skin graft, composite skin graft, large full thickness free skin graft

234

5601.96

187.2

4481.57

4

447.44

+T

0290

Reconstructive procedures (including all stages) and skin graft by myocutaneous or fascio-cutaneous flap

410

9815.40

328

7852.32

4

447.44

+T

0291

Reconstructive procedures (including all stages) grafting by microvascular re-anastomosis

800

19152.00

640

15321.60

4

447.44

+T

0292

Distant flaps: First stages

206

4931.64

164.8

3945.31

4

447.44

+T

0293

Contour grafts (excluding cost of material)

206

4931.64

164.8

3945.31

4

447.44

+T

0294

Vascularised bone graft with or without soft tissue with one or more sets micro-vascular anastomoses

1200

28728.00

960

22982.40

6

671.16

+T

0295

Local skin flaps (large, complicated)

206

4931.64

164.8

3945.31

4

447.44

+T

0296

Other procedures of major technical nature

206

4931.64

164.8

3945.31

4

447.44

+T

0297

Subsequent major procedures for repair of same lesion (Modifier 0006 not applicable)

104

2489.76

104

2489.76

4

447.44

+T

4862

Full thickness graft of the trunk, freegrafting including direct closure of donor site <= 20cm2

136.50

3267.91

120.00

2872.80

5

559.30

+T

4863

Full thickness graft of the trunk, freegrafting Including closure of donor site, each additional 20cm2 (modifier 0005 not applicable)

25.60

612.86

25.60

612.86

5

559.30

+T

4864

Full thickness graft of the scalp, arms and legs free grafting including direct closure of donor site <= 20cm2

140.30

3358.78

120.00

2872.80

5

559.30

+T

4865

Full thickness graft of the scalp, arms and legs free grafting Including direct closure of donor site, each additional 20cm2 (modifier 0005 not applicable)

23.00

550.82

23.00

550.82

5

559.30

+T

4886

Full thickness graft of the face, neck, axilla, genitalia,hands and/or feet , free grating including donor site <= 20cm2

103.40

3911.80

130

3112.20

5

559.30

+T

4867

Full thickness graft of the face, neck, axilla, genitalia,hands and/or feet , free grating including direct closure of donor site, each additional 20cm² (modifier 0005 not applicable)

36.20

866.63

36.20

886.63

5

559.30

+T

4868

Full thickness graft of the nose, ears, eyelids, and /or lips free grafting including direct closure of donor site <=20cm²

183.50

4392.99

146.8

3514.39

5

559.30

+T

4869

Full thickness graft of the nose, ears, eyelids, and/or lips free grafting including direct closure of donor site; each additional 20cm² (modifier 0005 not applicable)

36.20

886.63

36.20

866.63

5

559.30

+T

2.4

Lacerations, scan, cysts and outer skin lesion

0300

Stitching of soft-tissue injuries: stitching of wound (with or without local anaesthesia): including normal after-care

14

335.16

14

335.16

3

335.58

+T

0301

Stitching of soft-tissue injuries: Additional wounds at same session (each)

7

167.58

7

167.58

3

335.58

+T

0302

Stitching of soft tissue injuries; Deep laceration Involving limited muscle damage

64

1532.16

64

1532.16

4

447.44

+T

0303

Stitching of soft-tissue injuries: Deep laceration involving extensive muscle damage

128

3064.32

120

2872.80

4

447.44

+T

0304

Major debrldement of wound, sloughectomy or secondary suture

50

1197.00

50

1197.00

3

336.58

+T

4830

Debridement of subcutaneous tissue: INCLUDES epidermis and dermis <= 20cm2

13.9

332.77

13.9

332.77

3

336.58

+T

4831

Debridement of subcutaneous tissue: INCLUDES epidermis and dermis ADD for every additional 20 square cm or part thereof

+

5.3

126.88

5.3

126.88

3

335.58

+T

4832

Debridement of muscle and/or fascia: INCLUDES epidermis, dermis and subcutaneous tissue; <= 20 square cm

38

861.84

36

861.34

5

559.30

+T

4833

Debridement of muscle and/or fascia: INCLUDES epidermis, dermis and subcutaneous tissue: ADD for every additional 20 square cm or part thereof

+

11.2

268.13

11.2

268.13

5

559.30

+T

4834

Debridement bone: INCLUDES epidermis, dermis, subcutaneous tissue muscle and/or fascia;  <= 20 square cm

62.50

1496.25

62.50

1496.25

6

671.18

+T+M

4835

Debridement bone: INCLUDES epidermis, dermis,  subcutaneous tissue muscle and/or fascia: ADD for every additional 20 square cm or part thereof

+

19.5

466.83

19.5

466.83

6

671.18

+T+M

0305

Needle biopsy - soft tissue

25

598.50

25

598.50

3

335.58

+T

0307

Excision and repair by direct suture; excision nail fold or other minor procedures of similar magnitude

27

646.38

27

646.38

3

335.58

+T

0308

Each additional small procedure done at the same time

14

335.16

14

335.16

3

335.58

+T

0310

Radical excision of nailbed

38

909.72

38

909.72

3

335.58

+T

0314

Requiring repair by large skin graft or large local flap or other procedures of similar magnitude

104

2489.76

104

2489.76

4

447.44

+T

0315

Requiring repair by small skin graft or small local flap or other procedures of similar magnitude

55

1316.70

55

1316.70

3

335.58

+T

4856

Split thickness autograft of the trunk, arms and/or legs <= 100 square cm

153.6

3677.18

122.88

2941.75

5

559.30

+T

4857

Split thickness autograft of the trunk, arms and/or legs; each additional 1002 cm or part thereof (modifier 0005 not applicable)

+

31.5

754.11

31.5

754.11

5

559.30

+T

4858

Split thickness autograft of the face, scalp, neck ears, genitalia, feet and/or multiple digits <= 1002  cm

172

4117.

137.6

3294.14

5

559.30

+T

4859

Split thickness autograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits; each additional 1002 cm or part thereof (1% body area for infants and children) (modifier 0005 not applicable).

+

51.8

1 235.30

51.8

1235.30

5

559.30

+T

4872

Acellular dermal allograft of the trunk, arms and/or legs <= 1002 cm (1% body area for infants and children)

66.3

1587.22

66.3

1587.22

5

559.30

+T

4873

Acellular dermal allograft of the trunk, arms and/or legs; each additional 1002 cm or part thereof (1% of body area for infants and children (modifier 0005 not applicable)

+

15.3

366.28

15.3

366.28

5

559.30

+T

4874

Acellular dermal allograft of the face, scalp, neck, ears, genitalia, feet and/or multiple digits <= 1002 cm

74

1771.56

74

1771.56

5

559.30

+T

4875

Acellular dermal allograft of the face, scalp, neck, ears, genitalia, hands, feet and/or multiple digits: each additional 1002  cm or part thereof

+

21.8

521.89

21.8

521.89

5

559.30

+T

2.6

Burns

0345

Minor burns

0347

Moderate burns

0351

Major burns: resuscitation (including supervision and intravenous therapy - first 48 hours)

276

6607.44

220.8

5285.95

5

559.30

+T

0353

Tangential excision and grafting: Small

100

2394.00

100

2394.00

5

559.30

+T

0354

Tangential excision and grafting: Large

200

4788.00

160

3830.40

5

559.30

+T

2.7

Hands (skin)

0355

Skin flap in acute hand injuries where a flap is taken for a site remorte from the injured finger or in cases of advancement flap e.g. Cutler Ve

147.40

3528.76

120

2872.80

4

447.44

+T

0357

Small skin graft in acute hand Injury

45

1077.30

45

1077.30

3

335.58

+T

0359

Release of extensive skin contracture and/or excision of scar tissue

192

4596.48

153.6

3677.18

3

335.58

+T

0361

Z-plasty

220.1

5269.19

176.08

4215.36

3

335.58

+T

0363

Local flap and skin graft

150

3591.00

120

2872.80

3

335.58

+T

0365

Cross finger flap (all stages)

192

4596.48

153.6

3677.18

3

335.58

+T

0367

Palmar flap (all stages)

192

4596.48

153.6

3677.18

3

335.58

+T

0369

Distant flap: First stage

158

3782.52

126.4

3026.02

3

335.58

+T

0371

Distant flap: Subsequent stage (not subject to General Modifier 0006)

77

1843.38

77

1843.38

3

335.58

+T

0373

Transfer neurovascular island flaps

230.5

5518.17

184.4

4414.54

3

335.58

0374

Syndactyly: Separation of, including skin graft for one web (with skin flap and graft)

242.4

5803,06

193.92

4642.44

3

335.58

+T

0375

Dupuytren's contracture: Fasciotomy

51

1220.94

51

1220.94

3

335.58

0376

Dupuytren's contracture: Fasciectomy

218

5218.92

174.4

4175.14

3

335.58