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Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

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Annual Increase in Medical Tariffs for Medical Service Providers - 2018

Specialists

III. Procedures

3. Musculo-skeletal system

3.2 Joints

 


Specialist

General

Practitioner

Anaesthetic

U

R

U

R

U

R

T

3.

Musculo-Skeletal System

 

 

 

 

 

 

 



 

 

 

 

 

 

 

3.2

Joints

 

 

 

 

 

 

 



 

 

 

 

 

 

 

3.2.1

Dislocations

 

 

 

 

 

 

 

0547

Joint: Dislocation: Clavicle: either end

38

909.72

38

909.72

3

335.58

+T+M

0549

Joint: Dislocation: Shoulder

51

1220.94

51

1220.94

3

335.58

+T+M

0551

Joint: Dislocation: Elbow

51

1220.94

51

1220.94

3

335.58

+T+M

0552

Joint: Dislocation: Wrist

77

1843.38

77

1843.38

3

335.58

+T+M

0553

Joint: Dislocation: Perilunar transscaphoid fracture dislocation

130

3112.20

120

2872.80

3

335.58

+T+M

0555

Joint: Dislocation: Lunate

77

1643.38

77

1843.38

3

335.58

+T+M

0556

Joint: Dislocation: Carpo-metacarpo dislocation

51

1220.94

51

1220.94

3

335.58

+T+M

0557

Joint: Dislocation: Metacarpo-phalangeal or interphalangeal joints (hand)

26

622.44

26

622.44

3

335.58

+T+M

0559

Joint: Dislocation: Hip

109

2609.46

109

2609.46

3

335.58

+T+M

0561

Joint: Dislocation: Knee

96

2298.24

96

2298.24

3

335.58

+T+M

0563

Joint: Dislocation: Patella

32

766.08

32

766.08

3

335.58

+T+M

0566

Joint: Dislocation: Ankle

90

2154.60

90

2154.60

3

335.58

+T+M

0567

Joint: Dislocation: sub-talar dislocation

90

2154.60

90

2154.60

3

335.58

+T+M

0569

Joint: Dislocation: Intertarsal or Tarsometatarsal or Mid-tarsal

77

1843.38

77

1843.38

3

335.58

+T+M

0571

Joint: Dislocation: Meta-tarsophalangeal or interphalangeal joints (foot)

14

335.16

14

335.16

3

335.58

+T+M


 

 

 

 

 

 

 

 

3.2.2

Operations for dislocations

 

 

 

 

 

 

 

0578

Recurrent dislocation of shoulder

200

4788.00

160

3830.40

3

335.58

+T+M

0579

Recurrent dislocation of large joints

161

3854.34

128.8

3083.47

3

335.58

+T+M


 

 

 

 

 

 

 

 

3.2.3

Capsular operations

 

 

 

 

 

 

 

0582

Capsulotomy or arthrotomy or biopsy or drainage of joint: Small joint (including three weeks after-care)

51

1220.94

51

1220.94

3

335.58

+T+M

0583

Capsulotomy or arthrotomy or biopsy or drainage of joint: Large joint (including three weeks after-care)

96

2288.24

96

2298.24

3

335.58

+T+M

0585

Capsulotomy or arthrotomy or biopsy or drainage of joint: Capsulectomy

64

1532.16

64

1532.16

3

335.58

+T+M

0586

Multiple percutaneous capsulotomies of metacarpo-phalangeal joints

90

2154.60

90

2154.80

3

335.58

+T+M

0587

Release of digital joint contracture

128

3064.32

120

2872.80

3

335.58

+T+M


 

 

 

 

 

 

 

 

3.2.4

Synovactomy

 

 

 

 

 

 

 

0589

Synovectomy: Digital joint

77

1843.38

77

1843.38

3

335.58

+T+M

0592

Synovectomy: Large joint

160

3830.40

160

3830.40

3

335.58

+T+M

0593

Tendon synovectomy

203.7

4876.58

162.96

3901.26

3

335.58

+T+M


 

 

 

 

 

 

 

 

3.2.5

Arthrodesis

 

 

 

 

 

 

 

0597

Arthrodesis: Shoulder

224

5362.56

179.2

4290.05

3

335.58

+T+M

0598

Arthrodesis: Elbow

180

4309.20

144

3447.36

3

335.58

+T+M

0599

Arthrodesis: Wrist

180

4309.20

144

3447.36

3

335.58

+T+M

0600

Arthrodesis: Digital joint

128

3064.32

120

2872.80

3

335.58

+T+M

0601

Arthrodesis: Hip

320

7660.80

256

6128.64

3

335.58

+T+M

0602

Arthrodesis: Knee

180

4309.20

144

3447.36

3

335.58

+T+M

0603

Arthrodesis: Ankle

180

4309.20

144

3447.36

3

335.58

+T+M

0604

Arthrodesis:Subtalar

130

3112.20

120

2872.80

3

335.58

+T+M

0605

Arthrodesis: Stabilization of foot (triple arthrodeses)

180

4309.20

144

3447.36

3

335.58

+T+M

0607

Arthrodesis: Mid-tarsal wedge resection

180

4309.20

144

3447.36

3

335.58

+T+M


 

 

 

 

 

 

 

 

3.2.6

Arthroplasty

 

 

 

 

 

 

 

0614

Arthroplasy: Debridement large joints

160

3830.40

128

3064.32

3

335.58

+T+M

0615

Arthroplasy: Excision medial or lateral end of clavicle

116

2777.04

116

2777.04

3

335.58

+T+M

0617

Shoulder: Acromloplasty

192

4596.04

153.6

3677.18

3

335.58

+T+M

0619

Shoulder: Partial replacement

277

6631.38

221.6

5305.10

5

559.30

+T+M

0620

Shoulder: Total replacement

416

9959.04

332.8

7967.23

5

559.30

+T+M

0621

Elbow: Excision head of radius

96

2298.24

96

2298.24

3

335.58

+T+M

0622

Elbow: Excision

192

4596.48

153.6

3677.18

3

335.58

+T+M

0623

Elbow: Partial replacement

188

4500.72

150.4

3600.58

3

335.58

+T+M

0624

Elbow: Total replacement

282

6751.08

225.6

5400.86

3

335.58

+T+M

0625

Wrist: excision distal end of ulna

96

2298.24

96

2298.24

3

335.58

+T+M

0626

Wrist: Excision single bone

110

2633.40

110

2633.40

3

335.58

+T+M

0627

Wrist: Excision single bone

166

3974.04

132.80

3179.23

3

335.58

+T+M

0631

Wrist: total replacement

249

5961.06

199.2

4768.85

3

335.58

+T+M

0635

Digital joint: total replacement

192

4596.48

153.6

3677.18

3

335.58

+T+M

0637

Hip: total replacement

416

9959.04

332.8

7967.23

3

335.58

+T+M

0641

Hip: Prosthetic replacement of femoral head

288

6894.72

230.4

5515.78

3

335.58

+T+M

0643

Hip: Girdlestone

320

7660.80

256

6128.64

3

335.58

+T+M

0645

Knee: Partial replacement

277

6631.38

221.6

5305.10

3

335.58

+T+M

0646

Ankle: Total replacement

416

9959.04

332.8

7967.23

3

335.58

+T+M

0650

Ankle: Astragalectomy

290.4

6952.18

232.32

5561.74

3

335.58

+T+M


 

 

 

 

 

 

 

 

3.2.7

Miscellaneous (Joints)

 

 

 

 

 

 

 

0661

Aspiration of joint or intra-articular injection (not subject to rule G) (Modifier 0005 not applicable)

9

215.46

9

215.46

3

335.58

+T

0667

Arthroscopy (excluding after-care), modifiers 0005 and 0013 not applicable

60

1436.40

60

1436.40

3

335.58

+T

0669

Manipulation large joint under general anaesthetic (not subject to rule G) (Modifier 0005 not applicable)

14

335.16

14

335.16

4

447.44

Hip+T

3

335.58

Knee/ Shoulder +T

0670

Only the consultation fee should be charged when manipulation of a large joint is performed with or without local anaesthetic

 

Փ

 

Փ

 

 

 

0673

Menisectomy or operation for other internal derangement of knee

109

2609.46

109

2609.46

3

335.58

+T+M


 

 

 

 

 

 

 

 

3.2.6

Joint ligament reconstruction or suture

 

 

 

 

 

 

 

0675

Joint ligament reconstruction or suture: Ankle: Collateral

160

3830.40

128

3064.32

3

335.58

+T+M

0677

Joint ligament reconstruction or suture: Knee: Collateral

160

3830.40

128

3064.32

3

335.58

+T+M

0678

Joint ligament reconstruction or suture: Knee: Crucial

160

3830.40

128

3084.32

3

335.58

+T+M

0679

Joint ligament reconstruction or suture: Ligament augmentation procedure of knee

280

6703.20

224

5362.56

3

335.58

+T+M

0680

Joint ligament reconstruction or suture: Digital joint ligament

165

3950.10

132

3160.08

3

335.58

+T+M