Note

Note that only one treatment code may be charged per treatment session (72925 / 72926 /

72327 / 72921 / 72923 / 72928 / 72927). The only exceptions are one relevant evaluation code (72701 or 72702 or 72703), treatment code 72509 (extra treatment time), one visiting code (72901 or 72903), one relevant rehabilitation code and cost of material code (72939).

1

REHABILITATION

RAND

72107

Electro / Cryo / Moist-therapy modality usage for treatment

170.00

72501

Rehabilitation where the pathology requires the undivided attention of the Physiotherapist. Duration: 30min.

This code can only be claimed once per treatment session

593.00

72503

Rehabilitation for Central Nervous System disorders - condition to be clearly stated and fully documented (No other treatment modality may be charged in conjunction with this). Duration: 60min.

This code can only be claimed once per treatment session

1186.21

72505

Group rehabilitation. Treatment of a patient with disabling pathology in an appropriate facility requiring specific equipment and supervision, without individual attention for the whole treatment session

400.00

72606

Physiotherapeutic group rehabilitation (<45 min). Requires the undivided attention of the physiotherapist.

750.00

72509

Rehabilitation. Each additional full 15 mins. Where the pathology required the undivided attention of the physiotherapist. A maximum of two instances of this code may be charged per session. This code 72509 can be added to 72501 and 72503.

189.72

2

EVALUATION

Rand

72701

Basic assessment at commencement of care, once per episode of care. It should not be used for each condition.

A treatment plan / rehabilitation progress report must be fully documented and submitted at the initiation of treatment.

Tariff code 72701 cannot be used with 72702

341.57

72702

Comprehensive assessment at commencement of care, once per episode of care. It should not be used for each condition.

A treatment plan I rehabilitation progress report describing what makes the evaluation complex, must be fully documented and submitted at the initiation of treatment.

Tariff code 72702 cannot be used with 72701

511.89

72703

One complete re-assessment of a patient's condition during the course of treatment. To be used only once per single Doctor referral. This should be fully documented, and a rehabilitation progress report provided to the Compensation Fund.

Rule 015 applies.

170.34

72706

Report Writing. To be used to motivate for therapy and/or give a progress report.

204.12

3

VISITING

Rand

72901

Consultation: Treatment at a hospital: Relevant fee plus (to be charged only once per day).

124.81

72903

Consultation: Domiciliary treatments: Apply only when medically motivated and pre-authorised: relevant fee plus.

227.11

4

OTHER

72939

Cost of material:Items to be charged (exclusive of VAT) as per attached Annexure A for consumables and Annexure B for equipment.

When claiming 72939 a list of materials used must be quoted in an accompanying report

NOTE:

Where the net acquisition price in under a hundred rand 26% has been applied.

Where the net acquisition price is equal or above one hundred rand a maximum of R26.00 has been added.

72925

Level 1 chest pathology, which includes either or / and:

> Vibration

> Percussion

> Nebulisation

> Suction: Level 1 (including sputum specimen taken by suction)

Applies to non-ventilated patients only

559.20

72926

Level 2 chest pathology which includes either or / and:

> Vibration

> Percussion

> Postural drainage

> Upper respiratory nebulisation and/or lavage

> Suction: Level 2 (Suction with involvement of lavage as a treatment in a special unit situation or in the respiratory compromised patient) e.g. Tracheostomy

> Pre- and post-operative exercises and/or breathing

Applies to High Care and non-ventilated patients

923.95

72327

Level 3 chest pathology which includes either or / and:

> Vibration

> Percussion

> Postural drainage

> Upper respiratory nebulisation and/or lavage

> Intermittent positive pressure ventilation

> Suction: Level 2 (Suction with involvement of lavage as a treatment in a special unit situation or in the respiratory compromised patient

> Bagging (used on the intubated unconscious patient or in the severely respiratory distressed patient)

> Pre- and post-operative exercises and/or breathing exercises applies for ventilated patients only

1172.93

72921

Simple spinal treatment which includes either or / and:

MANIPULATION/MOBILISATION OF JOINTS OR IMMOBILISATION which includes either or / and:

> Spinal (Manual spinal mobilisation)

> Pre meditated manipulation

> Immobilisation (excluding materials)

> Pre- and post-operative exercises and/or breathing exercises

821.23

72923

Complex spinal treatment which includes either or / and:

MANIPULATION/MOBILISATION OF JOINTS OR IMMOBILISATION which includes either or / and:

> Spinal (Manual spinal mobilisation)

> Pre meditated manipulation

> Immobilisation (excluding materials)

> Rehabilitation for Central Nervous System disorders - condition to be clearly stated and fully documented (No other treatment modality may be charged in conjunction with this

> Traction

> Pre- and post-operative exercises and/or breathing exercises

1186.21

72928

Simple soft tissue / peripheral joint injuries or other general treatment which includes either or / and:

> Massage

> Neural tissue mobilisation

> Pre- and post-operative exercises and/or breathing exercises

821.23

72927

Complex soft tissue / peripheral joint injuries or other general treatment

> Massage

> Myofacial release/soft tissue mobilisation, one or more body parts

> Neural tissue mobilisation

> Pre- and cost-operative exercises and/or breathing exercises

1072.66