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National Gazette No. 43139, 25 March 2020, Vol 657, Page 31

20200325 - National Gazette No 43139 of 25-March-2020, Volume 657, page 31

Page	31 of 40
Gazette	National Gazettes, No 43139, from 25 March, 2020
Department	Labour
Notice	Page No. 29 of 38, Notice No. 201, Compensation for Occupational Injuries and Diseases Act (130/1993), as amended » Annual increase in medical tariffs for medical services providers » Dental Gazette

STAATSKOERANT, 25 MAART 2020                        No. 43139    31

PREAMBLE
                       (See Rule 011)
                1.     If extractions (codes 8201 and 8202) are carried out by specialists in maxillo-facial and oral surgery, the
               (Mm)    fees shall be equal to the appropriate tariff fee plus 50 per cent (See Modifier 8002).
                2.     The fee for more than one operation or procedure performed through the same incision shall be calculated
               (MM)    as the fee for the major operation plus the tariff fee for the subsidiary operation to the indicated maximum for
                       each such subsidiary operation or procedure (See Modifier 8005).
                3.     The fee for more than one operation or procedure performed under the same anaesthetic but through
               (MM)    another incision shall be calculated on the tariff fee for the major operation plus:
                              75% for the second procedure / operation (Modifier 8009)
                              50% for the third and subsequent procedures / operations (Modifier 8006).
                       This rule shall not apply where two or more unrelated operations are performed by practitioners in different
                       specialities, in which case each practitioner shall be entitled to the full fee for his operation.
                       If, within four months, a second operation for the same condition or injury is performed, the fee for the
                       second operation shall be half of that for the first operation.
                       The fee for an operation shall, unless otherwise stated, include normal post-operative care for a period not
                       exceeding four months. If a practitioner does not himself complete the post-operative care, he shall arrange
                       for it to be completed without extra charge: provided that in the case of post-operative treatment of a
                       prolonged or specialised nature, such fee as may be agreed upon between the practitioner and the
                       Compensation Fund may be charged.
                4.    The fee payable to a general practitioner assistant shall be calculated as 15% of the fee of the practitioner
              (MM)     performing the operation, with the indicated minimum (See Modifier 8007). The assistant's fee payable to a
                       maxillo-facial and oral surgeon shall be calculated at 33,33% of the appropriate scheduled fee (Modifier
                      8001). The assistant's name must appear on the invoice rendered to the Compensation Fund.
                5.    The additional fee to all members of the surgical team for after hours emergency surgery shall be calculated
                       by adding 25% to the fee for the procedure or procedures performed (8008).
              (MM)
                6.     In cases where treatment is not listed in this schedule for general practitioners or specialists, the appropriate
                      fee listed in the medical schedule(s) shall be charged, and the relevant medical tariff code must be indicated
                       See Rule 012

SPECIALIST MAXILLO-FACIAL AND ORAL SURGEONS
               III                                       M See Rule 009
                                                                                          Rc
              Code                         Procedure description                          FEE           MP

CONSULTATIONS AND VISITS

8901  Consultation at consulting rooms                                     331.66
              8902   Detailed  clinical  examination,  radiographic  interpretation,  diagnosis,  929.89
                     treatment planning and case presentation
                     Code 8902 is a separate procedure from code 8901 and is applicable to craniomandibular
                     disorders, implant placement and orthognathic and maxillofacial reconstruction
              8903   Consultation at hospital, nursing home or house                      370.27
              8904   Subsequent consultation at consulting rooms, hospital, nursing home or  180.73
                     house
              8905   Weekend visits and night visits between 18h00 - 07h00 the following day  533.15
              8907   Subsequent consultations, per week, to a maximum of                  612.20
                     "Subsequent consultation" shall mean,  in connection with items 8904 and 8907, a
                     consultation for the same pathological condition provided that such consultation occurs
                     within six months of the first consultation."

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