CLINICAL TECHNOLOGIST (PRACTICE TYPE 075)

General Information

Dialysis is always performed in accordance to a dialysis prescrition.

Dialysis prescription and supervision can be provided by a nephrologist or a medical practitioner with appropriate training in nephrology.

Haemodialysis provided in a dialysis unit, applies to both outpatient and stablised patients in a general ward.

Services and authorisation for renal dialysis should only be provided or issued for either a clinical technologist.

General Rules for processing of Renal Care invoices in terms of COIDA

General Rules

Rule

Rule Description

001

Travel Fee

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

Tariff Codes

Code

Code Description

Rand

Note

In the case of tariff codes 75146 and 75148, routine outpatient dialysis includes dialyser, bloodlines, acetate dialysate, priming set, sodium heparin anticoagulant, saline infusion, dressing pack, fistula needles/catheter dressing, syringes and needles, cleaning materials, equipment set-up, up to 5 hours treatment time, equipment rental.

When a dialyisate is changed from acetate to bicarbonate haemodialysis solution, only one of the codes can be used.

75146

Chronic haemodialysis (acetate dialysate).

Use tariff code once per treatment day only.

2274.75

75147

Peritoneal dialysis, once per treatment day only.

308.57

75148

Chronic Haemodialysis (Bicarbonate Dialysate) for inpatient and outpatient in dialysis unit.

Use tariff code once per treatment day.

3294.33

The global fees for Continuous Ambulatory Peritoneal Dialysis (CAPD) (tariff code 75176) and Automated Peritoneal Dialysis (APD) (tariff code 75177) include: consumables; cost of machine and machine disposables; professional fee; initial training; in-centre follow-up visits; and home visits.

However, they exclude Tenchkhoff catheter and insertion thereof; and disposables required for a transfer set change (usually 6 monthly).

These fees are chargeable for each 30 day cycle in which CAPD or APD is provided.

If CAPD or APD is provided for less than a 30 days in any one cycle (for example due to complications or death of the patient):

75150

Acute Haemodialysis inpatient. Use tariff code once per treatment day only. This tariff code applies to all acute dialysis including haemodiafiltration, intermittent and continuous modalities.

6547.65

Emergency dialysis treatment in hospital; includes dialyser, bloodlines, acetate/bicarbonate dialysate, primary set, equipment set-up, up to 5 hours treatment time, equipment rental.

Applicable tariff codes 75150, 75151, 75152, 75154, and 75156.

75151

Treatment procedures for CRRT (Continous Renal Replacement Therapy) for up to 6 hours or part thereof. Tariff code to be charged in ICU general ward or high care only.

473.90

75152

Treatment procedure for CRRT up to 12 hours or part thereof provided that such part comprises more than 6 hours of the time.

Tariff code to be charged in ICU or high care only

949.85

75153

Patient training in centre for dialysis, CPAP training and problem-solving, home ventilators and nebulisers, per 30 minutes (to maximum of 24 hours)

290.59

75154

Treatment procedure for CRRT up to 18 hours or part thereof provided that such part comprises more than 12 hours of the time.

Tariff code to be charged in ICU or high care only.

1423.97

75155

Patient training or follow-up at patient's home for dialysis, home ventilators and neubilisers, per 30 minutes (to maximum of 24 hours).

509.06

75156

Treatment procedure for CRRT up to 24 hours or part thereof provided that such part comprises more than 18 hours of the time.

Tariff code to be charged in ICU or high care only.

1897.89

75176

Global Fee for Continuous Ambulatory Peritoneal (CAPD) charged per for 30 day period.

1169.71

75177

Global Fee for Automated Peritoneal Dialysis (APD) charged per for 30 day period.

1623.85