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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

Physiotherapist, Occupational Therapy and Chiropractor 2019

Chiropractic Services

General Rules governing the tariff


001 "After hours treatment" shall mean those performed by arrangement at night between 18:00 and 07:00 on the following day or during weekends between 13:00 Saturday and 07:00 on Monday. Public holidays are regarded as Sundays. This rule shall apply for all treatment whether administered in the practitioner's rooms, or at a nursing home or private residence (only by arrangement when the employee's condition necessitates it). The fee for all treatment under this rule shall be the total fee for treatment + 50%. In cases where the chiropractor's scheduled working hours extend after 18:00 during the week or 13:00 on a Saturday the above rule shall not apply and the treatment fee shall be that of the normal listed tariff.


002 Travelling fees


(a) Where, in the case of emergency, a chiropractor is called out from his residence or rooms to an employee's home or the hospital, travelling fees can be charged if more than 16 kilometres in total have to be travelled.
(b) If more than one employee is attended to during the course of a trip, the full travelling expenses must be divided pro rata between the relevant employees.
(c) A practitioner is not entitled to charge for any travelling expenses to his rooms.


When a chiropractor has to travel to visit an employee, the fees shall be calculated as follows:

R3.30.00 per km for each kilometre travelled in own car.


003 If, after a series of 20 treatment sessions for the same condition, further treatment is required, the practitioner must submit a progress report to the Compensation Commissioner indicating the necessity for further treatment and the number of further treatment sessions required. Without such a report payment for treatment sessions in excess of 20 shall not be considered.


004 The reports for completion by the practitioner:


(a) The First Medical Report (W.C1.4)

The form is used for all injured employees. The practitioner should note that the form is in the nature of a signed medical certificate and he should, therefore, observe due care in completing, dating and signing the form.

(b) The Progress or Final Medical Report (W.C1.5)

This form is used either for progress reports or the final report; the appropriate descriptive title being retained as the case may be. Most of the items in the report are self-explanatory and require no special amplification.


006 Un-cancelled appointments — Appointments not cancelled at least four hours before the relevant appointment time — relevant practitioner's fees shall be payable by the employee.


007 Reports:


Not applicable in respect of injured workmen covered under the COMA.


008        Change of chiropractor/medical practitioner ("supersession"):


In the event of a change of chiropractor/medical practitioner consulted, the first chiropractor/medical practitioner in attendance will, except where the case is handed over to a specialist, be regarded as the principal, and payment will normally be made to him/her. To avoid disputes, chiropractors/medical practitioners should refrain from treating a case already under treatment without first discussing it with the first chiropractor/medical practitioner. As a general rule, changes of chiropractor/medical practitioner are not favoured, unless sufficient reasons exist.