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

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Annexures

Annexure B : COIDA & RSSA - Indications for MR Imaging of Injury on Duty Patients

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ANNEXURE B

COIDA & RSSA - INDICATIONS FOR MR IMAGING OF INJURY ON DUTY PATIENTS

Select the appropriate injury, modality and indication. To be used in conjunction with a MRI/CT motivation. Refer also to the document "Guidelines for Imaging of MRI and other studies for Injury on Duty Patients".

❑	Head Injury - Acute (1) (Acute regarded as within first week of date of injury)

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❑	Reduced level of consciousness (1.i.a)

❑	Seizures (1.i.b)

❑	Neurological deficit (1.i.c)

❑	Skull or facial bone fractures (1.i.d)

❑	Head + Cervical Spine Injury – Acute (2)

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❑	Head as above (2.i)

❑	CT Spine (bone or joint injury) depending on result spine x-ray (2.ii)

❑	MRI – in selected cases following a CT (2.iii)

❑	Head Injury – Sub a cute

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MRI

❑	Rotational axonal injury (2.d)

❑	Chronic subdural haemorrhage

❑	Head Injury – long-term sequela (3)

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❑	If convulsions present in semi acute phase, do CT first (3.b)

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MRI

❑	Epilepsy (contrast and additional sequences often required) (3.a)

❑	Long-term structural changes (3.c)

❑	Spine – Acute

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❑	Bone or joint injury (4.i)

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MRI

❑	Cord compression (5.i)

❑	Neurological signs (nerve root) (5.ii)

❑	Vertebral body fracture (selected cases) (5.iii)

❑	Spine – sub acute and long term sequela

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MRI

❑	Cord injury (6.i)

❑	Disc herniation (6.ii)

❑	Post-operative assessment (selected cases) (6iii)

❑	Chest/Body Injury (7)

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❑	Sternal fracture

❑	Vascular of lung

❑	Other organs / soft tissue

❑	Extremities

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❑	Complicated fractures and dislocations (10)

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MRI

❑	Muscle distal biceps insertion (9)

❑	Cartilage, tendons, labrum, soft tissue of joints (8.iii.a)

❑	Planning repair of joints (8.iii.b)

❑	Knee, elbow, ankle (usually no contrast) (8.iii.d)

❑	Shoulder, writ, hip (usually with contrast) (8.iii.c)