General Rules

Rule

Rule Description

001

CONSULTATION, COUNSELLING, PLANNING AND/OR ASSESSMENT:

A consultation may not be charged where the sole purpose of the visit was to perform a procedure.

002

EMERGENCY VISITS:

For purposes of this rule:

a. An emergency medical condition means the sudden and, at the time, unexpected onset of health condition that requires immediate medical treatment and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs or other body parts, or even death.

These specifically relate to home visits for procedures which become necessary outside those which have been pre-arranged. These should be accompanied by a written motivation.

003

TRAVEL FEE:

Please note that generally the Fund does not accept the responsibility for transport expenses, as they are deemed to be included in the fee.

Tariff Codes

Code

Code Description

Units

Rand

RENAL DIALYSIS

88092

Peritoneal dialysis per day

16.90

336.97

88608

Home dialysis training in centre per 30 minutes

16.00

319.37

88610

Home dialysis training or follow up at patient's home per 30 minutes (to maximum of 24 hours)

28.20

562.12

88612

Home dialysis

64.00

1,275.71