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Table of Contents
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)
Notice No. 1850 of 1993
Act
Chapter I : Interpretation of Act
1. Definitions
Chapter II : Administration of Act
2. Staff to assist Director-General
3. Delegation of powers and assignment of duties by Director-General
4. Functions of Director-General
5. Power of Director-General to acquire and alienate Immovable property and to raise money
6. Powers of Director-General regarding witnesses and subpoenas
6A. Functions of commissioner
7. Powers of authorised person
8. Assessors
9. Compensation payable to assessors
10. Compensation Board
11. Composition of Board
12. Functions of Board
13. Term of office and remuneration of members of Board
14. Meetings of Board
Chapter III : Compensation Fund and Reserve Fund
15. Compensation fund
16. Application of compensation fund
17. Valuation of compensation fund
18. Accounting
19. Reserve fund
20. Accounts and audit
21. Income of funds exempt from tax
Chapter IV : Compensation for occupational injuries
22. Right of employee to compensation
23. Accidents outside Republic
24. Application of Act to seamen and airmen
25. Accidents during training for or performance of emergency services
26. Special circumstances in which Director-General may refuse award
27. Special circumstances in which Director-General may make award
28. Employee requiring constant help
29 Liability for payment of compensation
30. Mutual associations
31. Security for payment of compensation and cost of medical aid...
32. Compensation may not be alienated or reduced
33. Cession or relinquishment of benefits void
34. Compensation not to form part of deceased employee's estate
35. Substitution of compensation for other legal remedies
36. Recovery of damages and compensation paid from third parties
37. Threats and compulsion
Chapter V : Claims for compensation
38. Notice of accident by employee to employer
39. Notice of accident by employer to commissioner
40. Inquiry by Director-General into accident
41. Particulars in support of claim
42. Employee to submit to medical examination
43. Claim for compensation
44. Prescription
45. Consideration of claim
46. Appearance of parties
Chapter VI : Determination and calculation of compensation
47. Compensation for temporary total or partial disablement
48. Expiry of compensation for temporary total or partial disablement
49. Compensation for permanent disablement
50. Amendment of Schedule 2
51. Compensation for permanent disablement of employee in training or under 26 years of age
52. Payment of lump sum in lieu of pension
53. Compensation to employee previously in receipt of compensation
54. Amount of compensation if employee dies
55. Amendment of Schedule 4
56. Increased compensation due to negligence of employer
57. Increase of monthly pensions
58. Advances on compensation
59. Control over payment of compensation
60. Pensioner resident outside Republic
61. Recovery of compensation or other benefits
62. Provisional settlements
63. Manner of calculating earnings
64. Certain compensation to employers prohibited
Chapter VII : Occupational diseases
65. Compensation for occupational diseases
66. Presumption regarding cause of occupational disease
67. Calculation of compensation
68. Notice of occupational disease by employee and employer
69. Amendment of Schedule 3
70. Appointment of medical advisory panels
Chapter VIII : Medical aid
71. [Repealed] First aid
72. Conveyance of injured employee
73. Medical expenses
74. Submission of medical report
75. Director-General to decide on need for, and nature and sufficiency of, medical aid
76. Fees for medical aid
77. Contributions by employees towards cost of medical aid prohibited
78. Medical aid provided by employers
79. Consultation of representative medical authorities by Director-General
Chapter IX : Obligations of employers
80. Employer to register with commissioner and to furnish him with particulars
81. Employer to keep record
82. Employer to furnish returns of earnings
83. Assessment of employer
84. Certain employers exempt from assessment
85. Variation of tariff of assessment
86. Assessment to be paid by employer to commissioner
87. Failure to pay assessment or other moneys
88. Contributions by employers individually liable and mutual associations
89. Mandators and contractors
Chapter X : Legal procedures
90. Review of decisions by Director-General
91. Objections and appeal against decisions of Director-General
92. Director-General may state case for Supreme Court
93. Evidence
Chapter XI : General
94. Arrangements with foreign states regarding compensation
95. Certain documents exempt from stamp duty
96. Disclosure of information
97. Regulations
98. False statements
99. Penalties
100. Repeal of laws
101. Short title and commencement
Schedules
Schedule 1: Laws Repealed
Schedule 2: Injury
Schedule 3: Diseases
Schedule 4: Manner of calculating compensation
Regulations
Regulations under the Compensation for Occupational Injuries and Diseases Act, 1993
Notice No. 16 of 2008
1. Calculation of earnings [section 83(4)]
2. Percentage fine [section 87(1)]
3. Allowances payable under section 6(6)
4. Remuneration travelling subsistence allowances
5. Compensation payable to assessors [section 9(1)]
6. Remuneration and travelling and subsistence allowance of members of Compensation Board [Section 13(3)]
7. Commutation of pension [section 52]
8. Copy of record [section 45(7)]
9. Disposal of unclaimed moneys [section 97(1)(f)]
10. Moneys payable to medical practitioners [Section 42(2), 8(4), 52 and 97(1)(b)]
11. Remuneration and travelling and subsistence allowances of members of medical advisory panels [section 70]
12. Remuneration and travelling and subsistence allowances of presiding officers:
13. Remuneration and travelling and subsistence allowances of interpreters [Section 2(b))]
Regulations of Payment of Funeral Expenses to Dependants of Deceased Employees
Notice No. 82 of 2018
Regulations on Compensation Fund's Tariffs of Assessment made by the Minister under Compensation for Occupational Injuries and Diseases Act, 1993
Notice No. 1282 of 2020
1. Regulation
2. Definition
3. Implementation of the New Employer Assessment Model
Schedules
Schedule A : Tariffs of Assessment
Notices
Notice on Documents required to be provided by Employers to the Compensation Fund to support Injury on Duty and Occupational Disease Claims
Notice No. 1217 of 2018
Definition of Injury on Duty/Occupational Disease (IOD/OD)
1. Registration of a claim
2. Adjudication Process
3. Benefits management
4. Medical aid
5. Re-opening of claims
6. Awarding a Claim and different types of benefits
Maximum amount of Earnings and Minimum Assessment on which the Assessment of an Employer shall be calculated
Notice No. 2390 of 2024
Explanation Note on the 2023 ROE Season
CF-2A Form : Return of Earnings
Rules
Rules, Forms and Particulars which shall be Furnished in Terms of the Compensation for Occupational Injuries and Diseases Act, 1993
Notice No. 983 of 1994
1. Application for increased compensation [section 56]
2. Registration of employers [section 80]
3. Return of earnings [section 82(1)]
4. Notice of accident by the employer [section 39(1) and (5)]
5. Notice of accident and claim for compensation [sections 38(1) and 43(1)]
6. Notice of an occupational disease and claim for compensation [section 65(6) and 68(1)]
7. Notice of an occupational disease by the employer [section 68(2)]
8. Witnesses [sections 6 and 45]
9. Objection against decision of Commissioner [section 91]
10. Submission of medical reports [section 74]
11. Orders by Commissioner [sections 61(1), 77(2) and 87(4)]
Other particulars
Notice of formal hearing [section 45(2)]
Scale of Fees
Annual Increase in Medical Tariffs for Medical Service Providers, Pharmacies and Hospital Groups - 2012
Notice No. 352 of 2012
General Information
Rules Governing the Tariff
Modifiers Governing the Tariff Codes
Part I : Consultations
Consultations
Part II : Medicine, Material and Supplies
Medicine, Material and Supplies
Part III : Procedures
Procedures
1. Intravenous treatment
2. Integumentary system
3. Musculo-skeletal system
4. Respiratory system
5. Mediastinal procedures
6. Cardiovascular system
7. Lympho reticular system
8. Digestive system
9. Herniae
10. Urinary system
11. Male Genital System
14. Nervous System
15. General
16. Eye
17. Ear
18. Physical treatment
19. Radiology
20. Radiation Oncology
21. Pathology
22. Anatomical Pathology
Part IV : Travelling Expenses
P. Travelling fees
COIDA tariff for Medical Practitioners
COIDA & RSSA Indications for MRI and CT imaging of injury on duty - Patients
Annexures
Annexure A
MRI Motivation Form for Employee's Injured on Duty
Annexure B
COIDA & RSSA-Indications for MRI and CT Imaging of Injury on Duty Patients
Annexure C
Indications for plexus and peripheral nerve block
Anaesthesia Guidelines to Billing 2012
Annual Increase in Medical Tariffs for Medical Service Providers - 2018
Physiotherapy Services, Occupational Therapy Services and Chiropractor Services
Notice 212 of 2018
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund
Billing Procedure
Minimum requirements for accounts rendered
Physiotherapy Services
General Rules governing the tariff
Modifiers governing the tariff
Tariff of Fees as from 1 April 2018
Annexure A : List of consumables
Annexure B : List of equipment/appliances
Physiotherapy Rehabilitation progress report
Occupational Therapy Services
General Rules governing the tariff
Modifiers governing the tariff
2018 Tariff excluding VAT
Annexure A : Material costs for splints
Annexure B : Material costs for pressure garments
Annexure B : Occupational Therapy request for wheelchairs and assistive devices
Annexure C : Work site assessment report
Rehabilitation Progress Report
Chiropractor Services
Tariff of fees for 2018
Rehabilitation Progress Report
Private Ambulance Services, Private Hospitals, Psychiatric and Private Rehabilitation Hospitals, Blood Services 2018
Notice 213 of 2018
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund
Billing Procedure
Minimum requirements for accounts rendered
Private Ambulance Services
General Rules governing the tariff
Definitions of Ambulance Patient Transfer
Response Vehicles
Response vehicles only - Advance Life Support (ILS)
Response vehicle only - Intermediate Life Support (ILS)
Tariff schedule effective 1 April 2018
Private Hospitals (57/58), Psychiatric and Private Rehabilitation Hospitals (55/59)
Scale of Fees with effect from 1 April 2018
Blood Services
Guide to fees
Dental Practitioners Services
Notice 214 of 2018
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund
Billing Procedure
Minimum requirements for accounts rendered
General rules governing the tariff
Preamble
Tariff Schedule
I. General Dental Practitioners
A. Diagnostic
B. Preventive
C. Restorative
D. Endodontics
E. Periodontics
F. Prosthodontics (Removable)
G. Maxillofacial Prosthetics
H. Implant Services
I. Prothodontics, Fixed
J. Oral and Maxillofacial Surgery
K. Orthodontics
L. Adjunctive General Services
II. Specialist Prosthodontists
A. Diagnostic procedures
B. Preventive procedures
C. Treatment procedures
III. Specialist Maxillo-Facial and Oral Surgeons
Preamble
Consultations and visits
Investigations and records
Orthognathic surgery and treatment planning
Removal of teeth
Diverse procedures
Surgical preparation of jaws for prosthetics
Sepsis
Trauma
Functional correction of malocclusions
Temporo-Mandibular joint procedures
Salivary glands
Implants
Specialists
Notice 215 of 2018
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Rules governing the tariff
Modifiers governing the tariff codes
I. Consultations
II. Medicine, Material, and Supplies
III. Procedures
1. Intravenous treatments
2. Integumentary system
3. Musculo-skeletal system
3.1 Bones
3.1.1 Fractures
3.1.2 Bone operations
3.2 Joints
3.3 Amputations
3.4 Muscles, tendona and fascias
3.4.1 Investigations
3.4.2 Decompression operations
3.4.3 Muscle and tendon repair
3.4.4 Tendon graft
3.4.5 Tenolysis
3.4.6 Tenodesis
3.4.7 Muscle, tendon and fascia transfer
3.4.8 Muscle slide operations and tendon lengthening
3.5 Bursae and ganglia
3.6 Musculo-skeletal system: Miscellaneous
3.7 Plasters (not subject to rule G)
3.8 Specific areas
3.8.1 Foot and ankle
3.8.3 Replantation
3.8.4 Hands
3.8.5 Spine
3.9 Facial bone procedures
4. Respiratory system
4.1 Nose and sinuses
4.3 Larynx
4.4 Bronchial procedure
4.5 Pleura
4.6 Pulmonary procedures
4.6.1 Surgical
4.6.2 Pulmonary function tests
4.7 Intensive care
4.8 Hyberbaric Oxygen Treatment
5. Mediastinal procedures
6. Cardiovascular System
6.1. General
6.3 Cardiac surgery
6.4 Peripheral vascular system
7. Lympho reticular system
8. Digestive system
8.1 Oral cavity
8.2 Lips
8.3 Tongue
8.4 Palate, uvula and salivary gland
8.5 Oesophagus
8.6 Stomach
8.7 Duodenum
8.8 Intestines
8.10 Rectum and anus
8.11 Liver
8.12 Biliary tract
8.13 Pancreas
8.14 Peritoneal cavity
9. Herniae
10. Urinary system
10.1 Kidney
10.2 Ureter
10.3 Bladder
10.4 Urethra
11. Male genital system
14. Nervous system
14.1 Diagnostic procedures
14.2 Introduction of burr holes for
14.3 Nerve procedures
14.4 Skull procedures
14.6 Aneurysm repair
14.7 Posterior fossa surgery
14.8 Craniotomy for
14.9 Spinal operations
14.10 Arterial ligations
14.11 Medical Psychotherapy
14.12 Physical treatment methods
14.13 Psychiatric examination methods
15. General
16. Eye
16.1 Procedures performed in rooms
16.2 Retina
16.3 Cataract
16.4 Glaucoma
16.5 Intra-ocular foreign body
16.6 Strabismus
16.7 Globe
16.8 Orbit
16.9 Cornea
16.10 Ducts
16.11 Iris
16.12 Lids
16.13 Conjunctiva
16.14 General
17. Ear
17.1 External Ear (Pinna)
17.2 External ear canal
17.3 Middle ear
17.4 Facial nerve
17.5 Inner ear
17.6 Microsurgery of the skull base
18. Physical treatment
19. Radiology
19.1 Skeleton
19.2 Alimentary tract
19.3 Biliary tract
19.4 Chest
19.5 Abdomen
19.6 Urinary tract
19.8.1 Vascular Studies
19.10 Miscellaneous
19.11 Ultrasonic investigations
19.12 Portable unit examinations
19.14 Interventional radiological procedures
20. Radiation oncology
20.10 Chemotherapy
20.11 Radiation therapy
20.11.1 Manual Radio Therapy Planning Procedures
20.11.2 Conventional Radiotherapy Planning Procedures
20.11.3 Three Dimensional Radiotherapy Procedures
20.11.4 Intensity Modulated Radiotherapy Planning Procedures
20.11.5 Kilovolt Radiation Treatment
20.11.6 Short course radiation treatment
20.11.7 Weekly radiation treatment sessions
20.11.8 Stereotactic Radiation
20.12 Brachytherapy
21. Pathology
21.1 Haematology
21.2 Microscopic examinations
21.3 Bacteriology (culture and biological examinations)
21.4 Serology
21.5 Skin tests
21.6 Biochemical tests: Blood
21.7 Biochemical tests: Urine
21.8 Biochemical tests: Faeces
21.9 Biochemical tests: Miscellaneous
21.10 Cerebrospinal fluid
21.12 Isotopes
21.13 After hour service and travelling fees (applicable to pathologists only)
22. Anatomical pathology
IV. Travelling expenses
COIDA Tariff for Medical Practitioners
Annexures
COIDA & RSSA Indications for MRI of Injury on Duty Patients
Annexure A : MRI Motivation Form for Employee's Injured on Duty
Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patient
Annexure C : Indications for plexus and peripheral nerve block
Orthotists/Prosthetists
Notice 216 of 2018
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund
Billing Procedure
Minimum requirements for accounts rendered
Guide to Fees for Orthotists/Prosthetists 2018
Orthotists
Orthotic consultation
Ankle Foot Orthotics
Foot Orthotics
Footwear
Footwear Modifications
Knee Orthotics
Leg Orthotics
Orthotic Repairs
Cervical Orthotics
Spinal Orthotics
Arm Orthotics
Hand Orthotics
Graduated Compression Hose
Cushions
J Cushions
Roho Cushions
Sundry Cushions
Mattresses and Accessories
Hospital and Home Nursing Equipment
Professional Services
Traction Equipment
Walking Aids
Wheelchairs
Wheelchair Parts
Front Wheels: Castors
Footrests
Arm Rests
Upholstery
Sideframes
Medop Wheelchair Parts
Rear Wheels
Footrests
Arm Rests
Front Wheels: Castors
Sideframes
Upholstery
Fees
Prosthetists
Prosthetic Consultation
Prosthetics
Foot prosthesis
Below knee prosthesis
Through knee prosthesis
Above knee prosthesis
Hip disarticulation prosthesis
Prosthetic Components and Accessories
Prosthetic Ankles
Prosthetic Feet
Prosthetic Knees
General Prosthetic Accessories
Ocular Prosthesis
Orthotic & Prosthetic Supply Protocol
Renal Care, Social Worker Services, Psychologists and Wound Care 2018
Notice 217 of 2018
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Rules for payment of renal care accounts in terms of COIDA
Guide to fees for Renal Care 2018
Rules for payments of Social Worker services and Psychologists
Tariff of fees in respect of Social Workers Effective 1 April 2018
Tariff of fees in respect of Psychologists Services Effective 1 April 2018
Rules for payment of wound care accounts in terms of COIDA
Guide to fees for Wound Care 2018
Annual Increase in Medical Tariffs for Medical Service Providers - 2019
Renal Care, Wound Care and Social Workers
Notice 188 of 2019
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Rules for payment of renal care accounts in terms of COIDA
Guide to Fees for Renal Care 2019
Rules for payments of Social Worker services and Psychologists
Tariff of fees in respect of Social Workers Effective 1 April 2019
Tariff of fees in respect of Psychologists Services Effective 1 April 2019
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Umehluko Electronic Invoicing File Layout
Ambulance, Private Hospital and Blood Services
Notice 189 of 2019
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Private Ambulance Services
General Rules
Response Vehicles
Response vehicles only - Advance Life Support (ALS)
Response vehicles only - Intermediate Life Support (ILS)
Tariff Schedule effective 1 April 2019
Private Hospitals (57/58), Psychiatric and Private Rehabiltation Hospitals (55/59)
Scale of Fees with effect from 1 April 2019
Blood Services
Guide to fees
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Umehluko Electronic Invoicing File Layout
Orthotists/Prosthetists
Notice 190 of 2019
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Guide to Fees for Orthotists/Prosthetists 2019
Orthotists
Orthotic Consultation
Ankle Foot Orthotics
Foot Orthotics
Footwear
Footwear Modifications
Knee Orthotics
Leg Orthotics
Orthotic Repairs
Cervical Orthotics
Spinal Orthotics
Arm Orthotics
Hand Orthotics
Graduated Compression Hose
Cushions
J Cushions
Roho Cushions
Sundry Cushions
Mattresses and Accessories
Hospital and Home Nursing Equipment
Professional Services
Traction Equipment
Walking Aids
Wheelchairs
Wheelchair Parts
Front Wheels: Castors
Footrests
Arm Rests
Upholstery
Sideframes
Medop Wheelchair Parts
Rear Wheels
Footrests
Arm Rests
Front Wheels: Castors
Sideframes
Upholstery
Fees
Prosthetists
Prosthetic Consultation
Prosthetics
Foot Prosthesis
Below Knee Prosthesis
Through Knee Prosthesis
Above Knee Prosthesis
Hip Disarticulation Prosthesis
Prosthetic Components and Accessories
Prosthetic Ankles
Prosthetic Feet
Prosthetic Knees
General Prosthetic Accessories
Orthotic & Prosthetic Supply Protocol
Requirements for switching medical invoices with the Compensation Fund
MSP'S Paid by the Compensation Fund
Umehluko Electronic Invoicing File Layout
Dental Services
Notice 191 of 2019
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
General Guidelines
Rules
Preamble
Tariff Schedule
I. General Dental Practitioners
A. Diagnostic
B. Preventive
C. Restorative
D. Endodontics
E. Periodontics
F. Prosthodontics (Removable)
G. Maxillofacial Prosthetics
H. Implant Services
I. Prosthodontics, Fixed
J. Oral and Maxillofacial Surgery
K. Orthodontics
L. Adjunctive General Services
II. Specialist Prosthodontists
A. Diagnostic Procedures
B. Preventive Procedures
C. Treatment procedures
III. Specialist Maxillo-Facial and Oral Surgeons
Preamble
Consultations and visits
Investigations and records
Orthognathic surgery and treatment planning
Removal of teeth
Diverse procedures
Surgical preparation of jaws for prosthetics
Sepsis
Trauma
Functional correction of malocclusions
Temporo-Mandibular joint procedures
Salivary glands
Implants
Requirements for switching medical invoices with the Compensation Fund
MSP'S Paid by the Compensation Fund
Umehluko Electronic Invoicing File Layout
Physiotherapist, Occupational Therapy and Chiropractor 2019
Notice 192 of 2019
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Physiotherapy Services
General Rules governing the tariff
Modifiers governing the tariff
Tariff of Fees as from 1 April 2019
Annexure A : List of Consumables
Annexure B : List of equipment/appliances
Physiotherapy Rehabilitation progress report
Occupational Therapy
General Rules governing the tariff
Modifiers governing the tariff
2019 Tariff excluding VAT
Annexure A : Material costs for splints
Annexure B : Material costs for pressure garments
Rehabilitation Progress Report
Chiropractic Services
General Rules governing the tariff
Tariff of Fees from 1 April 2019
Rehabilitation Progress Report
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Umehluko Electronic Invoicing File Layout
Doctors
Notice 193 of 2019
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Rules Governing the Tariff
Modifiers Governing the Tariff Codes
Part I : Consultations
Part II : Medicine, Material, and Supplies
Part III : Procedures
1. Intravenous treatment
2. Integumentary system
3. Musculo-Skeletal System
3.1 Bones
3.2 Joints
3.3 Amputations
3.4 Muscles, tendons and fascias
3.5 Bursae and ganglia
3.6 Musculo-skeletal system: Miscellaneous
3.7 Plasters (not subject to rule G)
3.8 Specific areas
3.9 Facial bone procedures
4. Respiratory System
4.1 Nose and sinuses
4.3 Larynx
4.4 Bronchial procedure
4.5 Pleura
4.6 Pulmonary procedures
4.7 Intensive care (in intensive care or high care unit): Respiratory, cardiac, general
4.8 Hyperbaric Oxygen Treatment
5. Mediastinal Procedures
6. Cardiovascular system
7. Lympho Reticular System
8. Digestive System
9. Herniae
10. Urinary System
11. Male Genital System
14. Nervous System
15. General
16. Eye
16.1 Procedures performed in rooms
16.2 Retina
16.3 Cataract
16.4 Glaucoma
16.5 Intra-ocular foreign body
16.6 Strabismus
16.7 Globe
16.8 Orbit
16.9 Cornea
16.10 Ducts
16.11 Iris
16.12 Lids
16.13 Conjunctive
16.14 General
17. Ear
18. Physical treatment
19. Radiology
19.1 Skeleton
19.2 Alimentary tract
19.3 Biliary tract
19.4 Chest
19.5 Abdomen
19.6 Urinary tract
19.8
19.10 Miscellaneous
19.11 Ultrasonic Investigations
19.12 Portable unit examinations
19.14 Interventional radiological procedures
Schedule
20. Radiation Oncology
21. Pathology
21.1 Haematology
21.2 Microscopic examinations
21.3 Bacteriology (culture and biological examination)
21.4 Serology
21.5 Skin tests
21.6 Biochemical tests: Blood
21.7 Biochemical tests: Urine
21.8 Biochemical tests: Faeces
21.9 Biochemical tests: Miscellaneous
21.10 Cerebrospinal fluid
21.12 Isotopes
21.13 After hour service and travelling fees (applicable to pathologists only)
22. Anatomical pathology
Part IV : Travelling Expenses
COIDA Tariff for Medical Practitioners
Symbols Used in this Publication
COIDA & RSSA Indications for MRI or Injury On Duty Patients
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Annexures
Annexure A : MRI Motivation Form for Employee's Injured on Duty
Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patients
Annexure C
Umehluko Electronic Invoicing File Layout
Optometrist and Speech/Audiologist 2019
Notice No. 353 of 2019
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Guide to Fees for Optometrist and Speech/Audiologist 2019
Optometrist
Speech/Audiologist
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Umehluko Electronic Invoicing File Layout
Annual Increase in Medical Tariffs for Medical Service Providers - 2020
Doctors
Notice No. 184 of 2020
General Information
The Employee and the Medical Service Provider
Claims and the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for accounts rendered
Rules Governing the Tariff
Modifiers Governing the Tariff Codes
Part l : Consultations
Part ll : Medicine, Material and Supplies
Part lll : Procedures
1. Intravenous Treatment
2. Integumentary System
3. Musculo-Skeletal System
3.1 Bones
3.2 Joints
3.3 Amputations
3.4 Muscles, tendons and fascias
3.5 Bursae and ganglia
3.6 Musculo-skeletal system: Miscellaneous
3.7 Plasters (not subject to rule G)
3.8 Specific areas
3.9 Facial bone procedures
4. Respiratory System
4.1 Nose and sinuses
4.3 Larynx
4.4 Bronchial procedure
4.5 Pleura
4.6 Pulmonary procedures
4.7 Intensive Care (in intensive care or high care unit) Respiratory, Cardiac, General
4.8 Hyperbaric Oxygen Treatment
5. Mediastinal Procedures
6. Cardiovascular System
7. Lympho Reticular System
8. Digestive System
9. Hernia
10. Urinary System
11. Male Genital System
14. Nervous System
15. General
16. Eye
16.1 Procedures performed in rooms
16.2 Retina
16.3 Cataract
16.4 Glaucoma
16.5 Intra-ocular foreign body
16.6 Strabismus
16.7 Globe
16.8 Orbit
16.9 Cornea
16.10 Ducts
16.11 Iris
16.12 Lids
16.13 Conjunctiva
16.14 General
17. Ear
18. Physical Treatment
19. Radiology
19.1 Skeleton
19.2 Alimentary Tract
19.3 Biliary Tract
19.4 Chest
19.5 Abdomen
19.6 Urinary Tract
19.8
19.11 Ultrasonic investigations
19.12 Portable unit examinations
19.14 Interventional radiological procedures
Schedule
20. Radiation Oncology
21. Pathology
21.1 Haematology
21.2 Microscopic Examinations
21.3 Bacteriology (culture and biological examination)
21.4 Serology
21.5 Skin tests
21.6 Biochemical Tests: Blood
21.7 Biochemical Tests: Urine
21.8 Biochemical Tests: Faeces
21.9 Biochemical Tests: Miscellaneous
21.10 Cerebrospinal Fluid
21.12 Isotopes
21.13 After hour service and travelling fees (applicable to pathologists only)
22. Anatomical pathology
Part IV : Travelling Expenses
COIDA Tariff for Medical Practioners
Symbols Used in this Publication
COIDA & RSSA Indications for MRI or Injury On Duty Patients
Compensation Fund Medical Services Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Annexures
Annexure A : MRI Motivation Form for Employee's Injured on Duty
Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patients
Annexure C
Electronic Invoicing File Layout
Orthotists/Prosthetists
Notice No. 185 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Guide to Fees for Orthotists/Prosthetists 2020
Orthotists
Orthotic Consultation
Ankle Foot Orthotics
Foot Orthotics
Footwear
Footwear Modifications
Knee Orthotics
Leg Orthotics
Orthotic Repairs
Cervical Orthotics
Spinal Orthotics
Arm Orthotics
Hand Orthotics
Graduated Compression Hose
Cushions
J Cushions
Roho Cushions
Sundry Cushions
Mattresses and Accessories
Hospital and Home Nursing Equipment
Professional Services
Traction Equipment
Walking Aids
Wheelchairs
Wheelchair Parts
Front Wheels: Castors
Footrests
Arm Rests
Upholstery
Sideframes
Medop Wheelchair Parts
Rear Wheels
Footrests
Arm Rests
Front Wheels: Castors
Sideframes
Upholstery
Fees
Prosthetists
Prosthetic Consultation
Prosthetics
Foot Prosthesis
Below Knee Prosthesis
Through Knee Prosthesis
Above Knee Prosthesis
Hip Disarticulation Prosthesis
Prosthetic Components and Accessories
Prosthetic Ankles
Prosthetic Feet
Prosthetic Knees
General Prosthetic Accessories
Orthotic & Prosthetic Supply Protocol
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP'S Paid by the Compensation Fund
Electronic Invoicing File Layout
Ambulance, Private Hospital and Blood Services
Notice No. 188 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Private Ambulance Services
General Rules
Response Vehicles
Response vehicles only - Advanced Life Support (ALS)
Response vehicles only - Intermediate Life Support (ILS)
Tariff Schedule effective 1 April 2020
Private Hospitals (57/58), Psychiatric and Private Rehabilitation Hospitals (55/59)
Scale of Fees with effect from 1 April 2020
Blood Services
Guide to Fees
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Occupational Therapy
Notice No. 189 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
General Rules governing the tariff
Modifiers governing the tariff
2020 Tariff excluding VAT
Annexure A : Material costs for splints
Annexure B : Material costs for pressure garments
Rehabilitation Progress Report
Annexures
Annexure A : Proposed First Rehabilitation/Authorisation Report
Annexure B : Occupational Therapy request for wheelchairs and assistive devices
Annexure C : Work Site Assessment Report
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Physiotherapist
Notice No. 190 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirement for invoice rendered
Tariff of fees from 1 April 2020
Tariff of fees as from 1 April 2020
Annexure A : List of Consumables
Annexure B : List of equipment/appliances
Physiotherapy Rehabilitation progress report
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Renal Care, Wound Care and Social Workers Psychology
Notice No. 191 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Rules for payment of renal care accounts in terms of COIDA
Guide to Fees for Renal Care 2020
Rules for payment of wound care accounts in terms of COIDA
Guide to Fees for Wound Care 2020
Rules for payment of renal care accounts in terms of COIDA from 1 April 2020
Tariff of Fees in respect of Social Workers services effective 1 April 2020
Tariff of Fees in respect of Psychologists services effective 1 April 2020
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Chiropractor
Notice No. 200 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Tariff of fees from 1 April 2020 : General Rules Governing the Tariff
Tariff of fees from 1 April 2020
Rehabilitation progress report
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Dental Services
Notice No. 201 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
General Guidelines
Rules
Preamble
Tariff Schedule
i. General Dental Practitioners
A. Diagnostic
B. Preventative
C. Restorative
D. Endodontics
E. Periodontics
F. Prosthodontics (Removable)
G. Maxillo-facial Prosthetics
H. Implant Services
I. Prosthodontics, Fixed
J. Oral and Maxillo-facial Surgery
K. Orthodontics
L. Adjunctive General Services
ii. Specialist Prosthodontists
A. Diagnostic Procedures
B. Preventative Procedures
C. Treatment Procedures
iii. Specialist Maxillo-Facial and Oral Surgeons
Preamble
Consultations and visits
Investigations and records
Orthognathic surgery and treatment planning
Removal of teeth
Diverse Procedures
Surgical preparation of jaws for prosthetics
Sepsis
Trauma
Functional correction of malocclusions
Temporo-Mandibular joint procedures
Salivary glands
Implants
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Optometrist and Speech/Audiologist
Notice No. 202 of 2020
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Guide to Fees for Optometrist and Speech/Audiologist
Optometrist
Speech/Audiologist
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Annual Increase in Medical Tariffs for Medical Service Providers - 2021
Ambulance Gazette 2021
Notice No. 146 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Private Ambulance Services
General Rules
Response Vehicles
Response vehicles only - Advance Life Support (ALS)
Response vehicle only - Intermediate Life Support (ILS)
Tariff Schedule effective 1 April 2021
Electronic Invoicing File Layout
Dental Gazette 2021
Notice No. 147 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
General Guidelines
Rules
Preamble
Tariff Schedule
i. General Dental Practitioners
A. Diagnostic
B. Preventative
C. Restorative
D. Endodontics
E. Periodontics
F. Prosthodontics (Removable)
G. Maxillo-facial Prosthetics
H. Implant Services
I. Prosthodontics, Fixed
J. Oral and Maxillo-facial Surgery
K. Orthodontics
L. Adjunctive General Services
ii. Specialist Prosthodontists
A. Diagnostic Procedures
B. Preventative Procedures
C. Treatment Procedures
iii. Specialist Maxillo-Facial and Oral Surgeons
Preamble
Consultations and visits
Investigations and records
Orthognathic surgery and treatment planning
Removal of teeth
Diverse Procedures
Surgical preparation of jaws for prosthetics
Sepsis
Trauma
Functional correction of malocclusions
Temporo-Mandibular joint procedures
Salivary glands
Implants
Pathology
Bacteriology
21.4 Serology
21.5 Skin tests
21.6 Biochemical tests: Blood
21.7 Biochemical tests: Urine
21.8 Biochemical tests: Faeces
21.9 Biochemical tests: Miscellaneous
21.10 Cerebrospinal fluid
21.12 Isotopes
21.13 After hour service and travelling fees (applicable to pathologists only)
Anatomical Pathology
Part IV : Travelling Expenses
COIDA Tariff for Medical Practitioners
Symbols used in this Publication
COIDA & RSSA Indications for MRI or Injury on Duty Patients
Annexures
Annexure A : MRI Motivation Form for Employee's Injured on Duty
Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patients
Annexure C
Electronic Invoicing File Layout
Orthotists/Prosthetists Gazette 2021
Notice No. 149 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Guide to Fees for Orthotists/Prosthetists 2021
Orthotists
Orthotic Consultation
Ankle Foot Orthotics
Foot Orthotics
Footwear
Footwear Modifications
Knee Orthotics
Leg Orthotics
Orthotic Repairs
Cervical Orthotics
Spinal Orthotics
Arm Orthotics
Hand Orthotics
Graduated Compression Hose
Cushions
J Cushions
Roho Cushions
Sundry Cushions
Mattresses and Accessories
Hospital and Home Nursing Equipment
Professional Services
Traction Equipment
Walking Aids
Wheel Chairs
Wheel Chair Parts
Front Wheels: Castors
Footrests
Arm Rests
Upholstery
Sideframes
Medop Wheelchair Parts
Rear Wheels
Footrests
Arm Rests
Front Wheels: Castors
Sideframes
Upholstery
Fees
Prosthetists
Prosthetic Consultation
Prosthetics
Foot Prosthesis
Below Knee Prosthesis
Through Knee Prosthesis
Above Knee Prosthesis
Hip Disarticulation Prosthesis
Prosthetic Components and Accessories
Prosthetic Ankles
Prosthetic Feet
Prosthetic Knees
General Prosthetic Accessories
Orthotic & Prosthetic Supply Protocol
General patient information request form
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Electronic Invoicing File Layout
Chiropractor Gazette 2021
Notice No. 151 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Tariff of fees from 1 April 2021 : General Rules Governing the Tariff
Tariff of fees from 1 April 2021
Rehabilitation progress report
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation fund
Electronic Invoicing File Layout
Renal Care Gazette 2021
Notice No. 152 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Rules for payment of renal care accounts in terms of COIDA
Guide to Fees for Renal Care 2021
Electronic Invoicing File Layout
Wound Care and Blood Services Gazette 2021
Notice No. 153 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation fund
Guide to Fees for Wound Care 2021
Guide to Fees for Blood Services 2021
Electronic Invoicing File Layout
Social Worker Psychology Gazette 2021
Notice No. 154 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Reguirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Conpensation Fund
Rules for payments of Social Worker services and Pschologists in terms of COIDA from 1 April 2021
Tariff of Fees in respect of Psychologists Services effective 1 April 2021
Tariff of Fees in respect of Social Workers Services effective 1 April 2021
Electronic Invoicing File Layout
Private Hospital Gazette 2021
Notice No. 155 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Requirements for Switching Medical Invoices with the Compensation Fund
Compensation Fund Medical Service Providers Registration Requirements
MSP's Paid by the Compensation Fund
Private Hospitals (57/58), Psychiatric and Private Rehabilitation Hospitals (55/59)
Scale of Fees with effect from 1 April 2021
Electronic Invoicing File Layout
Doctors Gazette 2021
Notice No. 158 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Minimum Requirements for invoice rendered
Billing Procedure
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Rules Governing the Tariff
Modifiers Governing the Tariff Codes
Part l : Consultations
Part ll : Medicine, Material and Supplies
Part lll : Procedures
1. Intravenous Treatment
2. Integumentary System
3. Musculo-Skeletal System
3.1 Bones
3.2 Joints
3.3 Amputations
3.4 Muscles, tendons and fascias
3.5 Bursae and ganglia
3.6 Musculo-skeletal system: Miscellaneous
3.7 Plasters (not subject to rule G)
3.8 Specific areas
3.9 Facial bone procedures
4. Respiratory System
4.1 Nose and sinuses
4.3 Larynx
4.4 Bronchial procedure
4.5 Pleura
4.6 Pulmonary procedures
4.7 Intensive Care (in intensive care or high care unit) Respiratory, Cardiac, General
4.8 Hyperbaric Oxygen Treatment
5. Mediastinal Procedures
6. Cardiovascular System
7. Lympho Reticular System
8. Digestive System
9. Hernia
10. Urinary System
11. Male Genital System
14. Nervous System
15. General
16. Eye
16.1 Procedures performed in rooms
16.2 Retina
16.3 Cataract
16.4 Glaucoma
16.5 Intra-ocular foreign body
16.6 Strabismus
16.7 Globe
16.8 Orbit
16.9 Cornea
16.10 Ducts
16.11 Iris
16.12 Lids
16.13 Conjunctiva
16.14 General
17. Ear
18. Physical Treatment
19. Radiology
19.1 Skeleton
19.2 Alimentary Tract
19.3 Biliary Tract
19.4 Chest
19.5 Abdomen
19.6 Urinary Tract
19.8
19.11 Ultrasonic investigations
19.12 Portable unit examinations
19.14 Interventional radiological procedures
Schedule
20. Radiation Oncology
21. Pathology
21.1 Haematology
21.2 Microscopic Examinations
21.3 Bacteriology (culture and biological examination)
21.4 Serology
21.5 Skin tests
21.6 Biochemical Tests: Blood
21.7 Biochemical Tests: Urine
21.8 Biochemical Tests: Faeces
21.9 Biochemical Tests: Miscellaneous
21.10 Cerebrospinal Fluid
21.12 Isotopes
21.13 After hour service and travelling fees (applicable to pathologists only)
22. Anatomical pathology
Part IV : Travelling Expenses
COIDA Tariff for Medical Practioners
Symbols Used in this Publication
COIDA & RSSA Indications for MRI or Injury On Duty Patients
Annexures
Annexure A : MRI Motivation Form for Employee's Injured on Duty
Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patients
Annexure C
Electronic Invoicing File Layout
Optometrist and Speech/Audiologist Gazette 2021
Notice No. 179 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Tariff of fees in respect of Optometrist effective 1 April 2021
Tariff of fees in respect of Speech/Audiologist effective 1 April 2021
Annexures
Annexure A : First Speech Therapy Report
Annexure B : Monthly/Interim Speech Therapy Rehabilitation Report
Annexure C : Final Speech Therapy Rehabilitation Report
Electronic Invoicing File Layout
Physiotherapist Gazette 2021
Notice No. 180 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Tariff of Fees in respect of Physiotherapy Services from 1 April 2021
Physiotherapy Tariff of Fees as from 1 April 2021
Annexure A : List of Consumables
Annexure B : List of equipment/appliances
Form - Physiotherapy Rehabilitation progress report
Form - Physiotherapists motivation for more than one physiotherapy treatment per day
Electronic Invoicing File Layout
Occupational Therapy Gazette 2021
Notice No. 181 of 2021
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
General Rules governing the tariff
Modifiers governing the tariff
2021 Tariff excluding VAT
Annexures
Annexure A : Material Costs for Splints 2021
Annexure B : Material costs for Pressure Garments
Annexure C : First Rehabilitation / Authorisation Report
Annexure D : Monthly/Interim Rehab Report
Annexure E : Final Rehab Report
Annexure F : Occupational Therapy request for Wheelchairs & Assistive Devices
Annexure G : Work Site Assessment Report
Electronic Invoicing File Layout
Annual Increase in Medical Tariffs for Medical Service Providers - 2022
Private Hospitals Gazette 2022
Notice No. 921 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Private Hospitals Tariff of Fees from 1 April 2022
Private Acute Hospitals (57/58) and Psychiatric (55) (Per Diem Tariff)
Acute (59) and Sub-Acute (49) Rehabilitation (Per Diem Tariff)
Frail Care / Palliative / Hospice (79) (Per Diem Tariff)
CompEasy Electronic Invoicing File Layout
Ambulance Gazette 2022
Notice No. 922 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Ambulance Tariff of Fees as from 1 April 2022
General Rules
Response Vehicles
Tariffs and Codes
CompEasy Electronic Invoicing File Layout
Renal Care Gazette 2022
Notice No. 923 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
General Rules for processing of Renal Care invoices in terms of COIDA
Compensation Fund Guide to Fees for Renal Care 2022
CompEasy Electronic Invoicing File Layout
Physiotherapy Gazette 2022
Notice No. 924 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Physiotherapy Tariff of Fees as from 1 April 2022
General Rules
Modifiers
Tariffs and Codes
Annexure A : List of Consumables
Annexure B : List of equipment/appliances
Form - Physiotherapy Rehabilitation progress report
Form - Physiotherapists motivation for more than one physiotherapy treatment per day
CompEasy Electronic Invoicing File Layout
Chiropractor Gazette 2022
Notice No 925 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Chiropractor Tariff of Fees as from 1 April 2022
General Rules
Tariffs and Codes
Rehabilitation progress report
CompEasy Electronic Invoicing File Layout
Social Worker and Psychology Gazette 2022
Notice No. 926 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Social Worker Services Tariff of Fees as from 1 April 2022
General Rules
Modifiers
Tariffs and Codes
Psychology Tariff of Fees as from 1 April 2022
General Rules
Modifiers
Tariffs and Codes
CompEasy Electronic Invoicing File Layout
Dental Gazette 2022
Notice No. 927 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Dental Services Tariff of Fees as from 1 April 2022
General Rules
Preamble
I. General Dental Practitioners
A. Diagnostic
B. Preventative
C. Restorative
D. Endodontics
E. Periodontics
F. Prosthodontics (Removable)
G. Maxillo-facial Prosthetics
H. Implant Services
J. Oral and Maxillo-facial Surgery
K. Orthodontics
L. Adjunctive General Services
II. Specialist Prosthodontist
A. Diagnostic Procedures
B. Preventative Procedures
C. Treatment Procedures
III. Specialist Maxillo-Facial and Oral Surgeons
Preamble
Consultations and visits
Removal of teeth
Other Surgical Procedures
Surgical preparation of jaws for prosthetics
Excision of Bone Tissue
Surgical Incision
Repair of Traumatic Wounds
Complicated Suturing
Treatment of Fractures
Functional correction of malocclusions
Temporo-Mandibular joint procedures
Salivary glands
Implants
Administrative and Laboratory Services
CompEasy Electronic Invoicing File Layout
Occupational Therapy Gazette 2022
Notice No. 934 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Occupational Therapy Tariff of Fees as from 1 April 2022
General Rules
Modifiers
Tariffs and Codes
Annexures
Annexure A : Material Costs for Splints
Annexure B : Material costs for Pressure Garments
Annexure C : First Rehabilitation / Authorisation Report
Annexure D : Monthly/Interim Rehab Report
Annexure E : Final Rehab Report
Annexure F : Occupational Therapy request for Wheelchairs & Assistive Devices
Annexure G : Work Site Assessment Report
CompEasy Electronic Invoicing File Layout
Wound Care and Blood Services Gazette 2022
Notice No. 935 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Wound Care Tariff of Fees as from 1 April 2022
Blood Services Tariff of Fees as from 1 April 2022
CompEasy Electronic Invoicing File Layout
Dietician and Radiography Gazette 2022
Notice No. 936 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Compensation Fund Medical Service Providers Registration Requirements
Requirements for switching medical invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Dietician Tariff of Fees as from 01 April 2022
Radiography Tariff of Fees as from 1 April 2022
1. Skeleton
2. Alimentary Tract
3. Chest
4. Abdomen
5. Urinary Tract
6. Tomography and Cinematography
7. Computed Tomography
8. Miscellaneous
9. Portable Unit Examinations
CompEasy Electronic Invoicing File Layout
Prosthetics and Orthotics Gazette 2022
Notice No. 938 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Prosthetists Tariff of Fees as from 1 April 2022
Prosthetic Consultation
Prosthetics
Foot Prosthesis
Below Knee Prosthesis
Through Knee Prosthesis
Above Knee Prosthesis
Hip Disarticulation Prosthesis
Prosthetic Components and Accessories
Prosthetic Ankles
Prosthetic Feet
Prosthetic Knees
General Prosthetic Accessories
Orthotics Tariff of Fees as from 1 April 2022
Orthotic Consultation
Ankle Foot Orthotics
Foot Orthotics
Footwear
Footwear Modifications
Knee Orthotics
Leg Orthotics
Orthotic Repairs
Cervical Orthotics
Spinal Orthotics
Arm Orthotics
Hand Orthotics
Graduated Compression Hose
Cushions
J Cushions
Roho Cushions
Sundry Cushions
Mattresses and Accessories
Hospital and Home Nursing Equipment
Professional Services
Traction Equipment
Walking Aids
Wheel Chairs
Wheel Chair Parts
Front Wheels: Castors
Footrests
Arm Rests
Upholstery
Sideframes
Medop Wheelchair Parts
Rear Wheels
Footrests
Arm Rests
Front Wheels: Castors
Sideframes
Upholstery
Fees
Orthotic & Prosthetic Supply Protocol
CompEasy Electronic Invoicing File Layout
General patient information request form
Doctors Gazette 2022
Notice No. 939 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Rules Governing the Tariff
Modifiers Governing the Tariff Codes
Part l : Consultations
Part ll : Medicine, Material and Supplies
Part lll : Procedures
1. Intravenous Treatment
2. Integumentary System
3. Musculo-Skeletal System
3.1 Bones
3.2 Joints
3.3 Amputations
3.4 Muscles, tendons and fascias
3.6 Musculo-skeletal system: Miscellaneous
3.7 Plasters (not subject to rule G)
3.8 Specific areas
3.9 Facial bone procedures
4. Respiratory System
4.1 Nose and sinuses
4.3 Larynx
4.4 Bronchial procedure
4.5 Pleura
4.6 Pulmonary procedures
4.7 Intensive Care (in intensive care or high care unit) Respiratory, Cardiac, General
4.8 Hyperbaric Oxygen Treatment
5. Mediastinal Procedures
6. Cardiovascular System
7. Lympho Reticular System
8. Digestive System
9. Hernia
10. Urinary System
11. Male Genital System
14. Nervous System
15. General
16. Eye
16.1 Procedures performed in rooms
16.2 Retina
16.3 Cataract
16.4 Intra-ocular foreign body
16.5 Globe
16.6 Orbit
16.7 Cornea
16.8 Ducts
16.9 Iris
16.10 Lids
16.11 Conjunctiva
16.12 General
17. Ear
18. Physical Treatment
19. Radiology
19.1 Skeleton
19.2 Alimentary Tract
19.4 Chest
19.5 Abdomen
19.6 Urinary Tract
19.8 Vascular
19.11 Ultrasonic investigations
19.12 Portable unit examinations
19.14 Interventional radiological procedures
Schedule
20. Radiation Oncology
21. Pathology
21.1 Haematology
21.2 Microscopic Examinations
21.3 Bacteriology (culture and biological examination)
21.4 Serology
21.5 Skin tests
21.6 Biochemical Tests: Blood
21.7 Biochemical Tests: Urine
21.8 Biochemical Tests: Faeces
21.9 Biochemical Tests: Miscellaneous
21.10 Cerebrospinal Fluid
21.12 Isotopes
21.13 After hour service and travelling fees (applicable to pathologists only)
22. Anatomical pathology
Part IV : Travelling Expenses
COIDA Tariff for Medical Practitioners
Symbols Used in this Publication
COIDA & RSSA Indications for MRI or Injury On Duty Patients
Annexures
Annexure A : MRI Motivation Form for Employee's Injured on Duty
Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patients
Annexure C
CompEasy Electronic Invoicing File Layout
Speech Therapy, Audiology & Optometry Gazette 2022
Notice No. 940 of 2022
General Information
The Employee and the Medical Service Provider
Claims with the Compensation Fund are processed as follows
Billing Procedure
Minimum Requirements for invoice rendered
Compensation Fund Medical Service Providers Registration Requirements
Requirements for Switching Medical Invoices with the Compensation Fund
MSP's Paid by the Compensation Fund
Speech Therapy Tariff of Fees as from 1 April 2022
Audiology Tariffs
Annexures
Annexure A : First Speech Therapy Report
Annexure B : Monthly/Interim Speech Therapy Rehabilitation Report
Annexure C : Final Speech Therapy Rehabilitation Report
Optometrist Tariff of Fees as from 1 April 2022
CompEasy Electronic Invoicing File Layout
Annual Increase in Medical Tariffs for Medical Service Providers - 2023
Speech, Audio and Acousticians Gazette 2023
General Notice 1698 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process within the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating injured/diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to injured/diseased Employees
Minimum of Information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Speech Therapy (82), Audiology (82) and Acousticians (83) Tariff of Fees as from 1 April 2023
Speech Therapy and Audiology
Hearing Aid Acousticians
Annexures
Annexure A : First Speech Therapy Report
Annexure B : Monthly/Interim Speech Therapy Rehabilitation Report
Annexure C : Final Speech Therapy Rehabilitation Report
Occupational Therapy Gazette 2023
General Notice 1699 of 2023
General Information about the Compensation Fund and its Medical Service Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process within the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating Injured/Diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to Injured/Diseased Employees
Minimum of Information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Occupational Therapy Tariff of Fees as from 1 April 2023 (Practice Type 66)
General Rules
Modifiers
Tariffs and Codes
Annexures
Annexure A : Material Cost for Splints
Annexure B : Material Cost for Pressure Garments
Annexure C : First Rehabilitation / Authorisation Report
Annexure D : Monthly / Interim Rehab Report
Annexure E : Final Rehabilitation Report
Annexure F : Occupational Therapy Request for Wheelchairs & Assistive Devices
Annexure G : Work Site Assessment Report
Orthotics and Prosthetics Gazette 2023
General Notice 1700 of 2023
General Information about the Compensation Fund and its Medical Service Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process within the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating Injured/Diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to Injured/Diseased Employees
Minimum of Information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Orthotic and Prosthetic Supply Protocol
Forms
Form 6 : Orthotic / Prosthetic Service Request Form
Form 7 : Prosthetic / Orthotic Device Quotations
Diagnosis Specific Forms
Form 8 : Confirmation of Receipt of Orthotic/Prosthetic Device
Prosthetics Tariff of Fees as from 1 April 2023 (Practice 87 & 90)
Prosthetic Consultation
Prosthetics
Foot Prosthesis
Below Knee Prosthesis
Through Knee Prosthesis
Above Knee Prosthesis
Hip Disarticulation Prosthesis
Prosthetics Components and Accessories
General Prosthetic Accessories
Prosthetic Feet
Prosthetic Knees
Prosthetic Hips
Orthotics Tariff of Fees as from 1 April 2023 (Practice Type 87 & 90)
Orthotics Consultation
Ankle Foot Orthotics
Foot Orthotics
Footwear
Footwear Modifications
Knee Orthotics
Leg Orthotics
Orthotic Repairs
Cervical Orthotics
Spinal Orthotics
Arm Orthotics
Hand Orthotics
Graduated Compression Hose
Cushions
J Cushions
Roho Cushions
Sundry Cushions
Mattresses and Accessories
Hospital and Home Nursing Equipment
Professional Services
Traction Equipment
Walking Aids
Wheelchairs
Wheelchair Parts
Front Wheels: Castors
Footrests
Armrests
Upholstery
Sideframes
Medop Wheelchair Parts
Rear Wheels
Footrests
Arm Rests
Front Wheels: Castors
Sideframes
Upholstery
Fees
Physiotherapy Gazette 2023
General Notice 1701 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of Claims Process within the Compensation Fund
Medical Service Providers Registration Requirements with the Compensation Fund
Registering within the Compensation Fund as a Medical Service Provider Treating Injured/Diseased Employees
Registering within the Compensation Fund as a Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to injured/diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Physiotherapy Tariff of Fees as from 1 April 2023 (Practice Type 72)
General Rules
Modifiers
Tariffs and Codes
Annexures
Annexure A : List of Consumables
Annexure B : List of equipment/appliances
Annexure C : Part 1-Initial Evaluation and Plan
Annexure D : Part 2-Treatment and Progress (Monthly)
Annexure E : Part 3-Final Progress Report
Annexure F : Physiotherapists motivation for more than one physiotherapy treatment per day
Renal Care Gazette 2023
General Notice 1702 of 2023
General Information about the Compensation Fund in its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of Claims Process within the Compensation Fund
Medical Service Providers Registration Requirements with the Compensation Fund
Registering within the Compensation Fund as a Medical Service Provider Treating Injured/Diseased Employees
Registering within the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to Injured/Diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Renal care Tariffs of Fees as from 1 April 2023 (Practice Type 75)
General Rules for processing of Renal Care invoices in terms of COIDA
Wound Care and Blood Services Gazette 2023
General Notice 1703 of 2023
General Information about the Compensation Fund in its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of Claims Process within the Compensation Fund
Medical Service Providers Registration Requirements with the Compensation Fund
Registering within the Compensation Fund as a Medical Service Provider Treating Injured/Diseased Employees
Registering within the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to Injured/Diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Wound Care Tariff of Fees as from 1 April 2023 (Practice Type 88)
Blood Services Tariff of Fees as from 1 April 2023 (Practice Type 78)
Private Hospital Gazette 2023
General Notice 1704 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of Claims Process within the Compensation Fund
Medical Service Providers Registration Requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider Treating Injured/Diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to Injured/Diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Private Hospitals Tariff of Fees as from 1 April 2023
Private Acute Hospitals (Per Diem Tariffs)
Acute and Sub-Acute Rehabilitation
Frail Care/Palliative/Hospice Practice 79
Dieticians and Radiography Gazette 2023
General Notice 1705 of 2023
General Information about the Compensation Fund in its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of Claims Process within the Compensation Fund
Medical Service Providers Registration Requirements with the Compensation Fund
Registering within the Compensation Fund as a Medical Service Provider Treating Injured/Diseased Employees
Registering within the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to Injured/Diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Dietician Tariff of Fees as from 01 April 2023 (Practice Type 84)
Radiography Tariff of Fees as from 1 April 2023 (Practice Type 39)
1. Skeleton
Optometry Gazette 2023
General Notice 1707 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process within the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating injured/diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to injured/diseased Employees
Minimum of Information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Optometry Tariff of Fees as from 1 April 2023 (Practice Type 70)
Dental Care Gazette 2023
General Notice 1708 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process within the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating injured/diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to injured/diseased Employees
Minimum of Information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Dental Services Tariff of Fees as from 1 April 2023 (Practice Type 54, 62 & 94)
General Rules
I. General Dental Practitioners
A. Diagnostic
B. Preventative
C. Restorative
D. Endodontics
E. Periodontics
F. Prosthodontics (Removable)
G. Maxillo-facial Prosthetics
H. Implant Services
J. Oral and Maxillo-facial Surgery
K. Orthodontics
L. Adjunctive General Services
II. Specialist Prosthodontist
A. Diagnostic Procedures
B. Preventative Procedures
C. Treatment Procedures
III. Specialist Maxillo-Facial and Oral Surgeons
Preamble
Consultations and visits
Removal of teeth
Other Surgical Procedures
Surgical preparation of jaws for prosthetics
Excision of Bone Tissue
Surgical Incision
Repair of Traumatic Wounds
Complicated Suturing
Treatment of Fractures
Functional correction of malocclusions
Temporo-Mandibular joint procedures
Salivary glands
Implants
Administrative and Laboratory Services
Chiropractor Gazette 2023
General Notice 1709 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process with the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating injured/diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to injured/diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Chiropractor Tariff of Fees as from 1 April 2023 (Practice 04)
General Rules
Tariff and Codes
Annexure 2023 - Rehabilitation Progress Report
Ambulance Gazette 2023
General Notice 1710 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process within the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating injured/diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to injured/diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
Ambulance Tariff of Fees as from 1 April 2023 (Practice Type 09)
General Rules
Response Vehicles
Tariffs and Codes
Doctors and Pathology Gazette 2023
General Notice No. 1713 of 2023
General Information about the Compensation Fund and its Medical Services Benefits Directorate
The Employee and the Medical Service Provider
POPI Compliance
Overview of claims process within the Compensation Fund
Medical Service Providers Registration requirements with the Compensation Fund
Registering with the Compensation Fund as a Medical Service Provider treating Injured/Diseased Employees
Registering with the Compensation Fund as an Online System User for Medical Service Provider
Billing Procedure to be adhered to when billing for Medical Services provided to Injured/Diseased Employees
Minimum of information to be included on Medical Invoices submitted to the Compensation Fund
Requirements for Switching Medical Invoices with the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs paid by the Compensation Fund
General Practitioner and Specialist Tariff of Fees as from 1 April 2023
General Rules
Modifier Descriptions and Standards
Part I : Consultations
Part II : Medicine, Material and Supplies
Part III : Procedures
1. Intravenous Treatment
2. Integumentary System
3. Musculo-Skeletal System
3.1 Bones
3.2 Joints
3.3 Amputations
3.4 Muscles, tendons and fascias
3.5 Bursae and ganglia
3.6 Musculo-skeletal system: Miscellaneous
3.7 Plasters (not subject to rule G)
3.8 Specific areas
3.9 Facial bone procedures
4. Respiratory System
4.1 Nose and sinuses
4.3 Larynx
4.4 Bronchial procedure
4.5 Pleura
4.6 Pulmonary procedures
4.7 Intensive Care (in intensive care or high care unit) Respiratory, Cardiac, General
4.8 Hyperbaric Oxygen Treatment
5. Mediastinal Procedures
6. Cardiovascular System
7. Lympho Reticular System
8. Digestive System
9. Hernia
10. Urinary System
11. Male Genital System
14. Nervous System
15. General
16. Eye
16.1 Procedures performed in rooms
16.2 Retina
16.3 Cataract
16.4 Glaucoma
16.5 Intra-ocular foreign body
16.6 Strabismus
16.7 Globe
16.8 Orbit
16.9 Cornea
16.10 Ducts
16.11 Iris
16.12 Lids
16.13 Conjunctiva
16.14 General
17. Ear
18. Physical Treatment
19. Radiology
19.1 Skeleton
19.2 Alimentary Tract
19.4 Chest
19.5 Abdomen
19.6 Urinary Tract
19.8 Vascular
19.10 Radiology: Miscellaneous
19.11 Ultrasonic investigations
19.12 Portable unit examinations
19.14 Interventional radiological procedures
Schedule
20. Radiation Oncology
COIDA & RSSA Indications for MRI or Injury On Duty Patients
Annexures
Annexure A : MRI Motivation Form for Employee's Injured on Duty
Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patients
Annexure C
21. Pathology
21.1 Haematology
21.2 Microscopic Examinations
21.3 Bacteriology (culture and biological examination)
21.4 Serology
21.5 Skin tests
21.6 Biochemical Tests: Blood
21.7 Biochemical Tests: Urine
21.8 Biochemical Tests: Faeces
21.9 Biochemical Tests: Miscellaneous
21.10 Cerebrospinal Fluid
21.12 Isotopes
21.13 After hour service and travelling fees (applicable to pathologists only)
22. Anatomical pathology
Part IV : Travelling Expenses
COIDA Tariff for Medical Practitioners
Symbols Used in this Publication
Annual Increase in Medical Tariffs for Medical Service Providers - 2024
Ambulance Gazette 2024
Notice No. 4569 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Ambulance Tariff of Fees as from 1 April 2024 (Practice Type 009)
General Rules
Response Vehicles
Tariffs and Codes
Social Worker & Psychology Gazette 2024
Notice No. 4570 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Social Worker Services Tariff of Fees as from 1 April 2024 (Practice Type 089)
General Rules
Modifiers
Tariffs and Codes
Psychology Tariff of Fees as from 1 April 2024 (Practice Type 086)
General Rules
Modifiers
Tariffs and Codes
Private Hospital Gazette 2024
Notice No. 4571 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Private Hospitals Tariff of Fees as from 1 April 2024
Private Hospitals Per Diem Tariffs
Private Acute Hospitals (Practice Type 057 and 058)
Wound Care & Blood Services Gazette 2024
Notice No. 4572 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Wound Care Tariff of Fees as from 1 April 2024 (Practice Type 088)
Blood Services Tariff of Fees as from 1 April 2024 (Practice Type 078)
Dental Services Gazette 2024
Notice No. 4573 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Dental Services Tariff of Fees as from 1 April 2024 Practice Type 054 (General Dental), Practice Type 062 (Maxillo-Facial and Oral Surgery), & Practice Type 094 (Prosthodontist)
General Rules
I. General Dental Practitioners
A. Diagnostic
B. Preventative
C. Restorative
D. Endodontics
E. Prosthodontics (Removable)
F. Maxillo-facial Prosthetics
G. Implant Services
H. Oral and Maxillo-facial Surgery
I. Adjunctive General Services
II. Specialist Prosthodontist
A. Diagnostic Procedures
B. Preventive Procedures
C. Treatment Procedures
III. Specialist Maxillo-Facial and Oral Surgeons
Preamble
Consultations and visits
Surgical preparation of mouth for dentures
Other Surgical Procedures
Surgical preparation of jaws for prosthetics
Excision of Bone Tissue
Surgical Incision
Repair of Traumatic Wounds
Complicated Suturing
Treatment of Fractures
Functional correction of malocclusions
Temporo-Mandibular joint procedures
Salivary glands
Implants
Administrative and Laboratory Services
Dental Technology Services Codes (may only be billed with code 8099)
Section 1 - Preparatory Work
Section 2 - Prosthetic Services using Acrylic
Section 3 - Cobalt Chrome / Gold Prosthetic Services
Section 4 - Crown and Bridge Prosthetic Services
Section 5 - Orthodontic Appliances - Not a Funded Treatment
Section 6 - Materials
Renal Care Gazette 2024
Notice No. 4578 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Renal care Tariffs of Fees as from 1 April 2024
Radiography and Dietician Gazette 2024
Notice No. 4579 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Radiography Tariff of Fees as from 1 April 2024 (Practice Type 039)
Dietician Tariff of Fees as from 01 April 2024 (Practice Type 084)
Chiropractor Gazette 2024
Notice No. 4581 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Chiropractor Tariff of Fees as from 1 April 2024 (Practice 004)
Rehabilitation Progress Report
Optometry Gazette 2024
Notice No. 4582 of 2024
COID Medical Tariffs General Information
1. POPI Act Compliance
2. The Employee and the Medical Service Provider
3. Overview of COID Claims Process
4. COID Registration requirements for Medical Service Providers
5. Registration Process: To Become COID Online System User for Medical Service Providers
6. Requirements for Third Parties Transacting with the Compensation Fund on behalf of Medical Service Providers
7. COID Requirements with Billing for Medical Services provided to Injured/Diseased Employees
8. Minimum information required for Medical Invoices submitted to the Compensation Fund
9. Requirements for Switching Medical Invoices to the Compensation Fund
CompEasy Electronic Invoicing File Layout
MSPs Paid by the Compensation Fund
Optometry Tariff of Fees as from 1 April 2024 (Practice Type 070)
Monthly Pensions
Increase in Monthly Pensions (February 2004)
Notice No. 87 of 2004
Increase in Monthly Pensions (March 2005)
Notice No. 200 of 2005
Increase In Monthly Pensions (May 2006)
Notice No. 421 of 2006
Increase in Monthly Pensions (October 2007)
Notice No. 989 of 2007
Increase in Monthly Pensions (June 2009)
Notice No. 693 of 2009
Increase in Monthly Pensions (April 2010)
Notice No. 305 of 2010
Increase in Monthly Pensions (April 2011)
Notice No. 383 of 2011
Increase in Monthly Pensions - June 2012
Notice No. 447 of 2012
Increase in Monthly Pensions (1 April 2015)
Notice No. 273 of 2015
Minimum Level of Pension of the Compensation Fund (April 2015)
Notice No. 658 of 2015
Increase in Monthly Pensions (1 April 2016)
Notice No. 447 of 2016
Increase in Monthly Pensions (1 April 2017)
Notice No. 815 of 2017
Increase in Monthly Pensions (1 April 2018)
Notice No. 335 of 2018
Increase in Monthly Pensions (1 April 2019)
Notice No. 627 of 2019
Increase in Monthly Pensions (1 April 2020)
Notice No. R. 823 of 2020
Increase in Monthly Pensions (1 April 2021)
Notice No. 1494 of 2021
Increase in Monthly Pensions (1 April 2022)
Notice No. 1264 of 2022
Increase in Monthly Pensions (1 April 2023)
Notice No. 2079 of 2023
Circular Instructions
Circular Instruction No. 171 - Determination of Permanent Disablement resulting from Exposure to Excessive Noise and Trauma in Industry
Notice No. 422 of 2001
1. Claims
2. Binaural Hearing Impairment
3. Monaural Hearing Impairment
4. Documentation to Accompany a Claim for Compensation
5. Calculation of Permanent Disablement
Annexure A
Circular Instruction No. 172 - Compensation for Post Traumatic Stress Disorder (PTSD)
Notice No. 936 of 2003
1. Definition
2. How diagnosis is made
3. Impairment
4. Benefits
5. Reporting
6. Claim processing
Circular Instruction No. 173 - Compensation for Mesothelioma due to Occupational Asbestos Exposure
Notice No. 1323 of 2002
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims processing
Circular Instruction No. 174 - Compensation for Occupational Lung Cancer
Notice No. 1324 of 2002
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims processing
Circular Instruction No. 175 - Compensation for Byssinosis
Notice No. 1325 of 2002
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims processing
Circular Instruction No. 178 - Pulmonary Tuberculosis in Health Care Workers
Notice No. 81 of 2003
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims processing
Circular Instruction No. 179 - Compensation for Pulmonary Tuberculosis Associated with Silica Dust Exposure
Notice No. 852 of 2004
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims Processing
Circular Instruction No. 180 - Compensation of Work-related Upper Limb Disorders (WRULDs)
Notice No. 498 of 2004
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claim processing
Circular Instruction No. 181 - Compensation for Occupational Contact Dermatitis
Notice No. 499 of 2004
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims processing
Circular Instruction No. 184 - Compensation for Work Aggravated Asthma
Notice No. 118 of 2005
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims processing
Circular Instruction No. 187 - Compensation for Work-related Upper Respiratory Tract Disorders
Notice No. 119 of 2005
1. Definition
2. Diagnosis
3. Impairment
4. Benefits
5. Reporting
6. Claims processing
10. Urinary system
Purchase
10.1 Kidney
10.2 Ureter
10.3 Bladder
10.4 Urethra
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