STAATSKOERANT, 26 MEl 2010 No.33222 33 BILLING PROCEDURE EISPROSEDURE 1. The fil'st account for services rendered for an injured employee (INCLUDING the First Medical Report) must be submitted to the employer who will collate all the necessary documents and submit them to the Compensation Commis sioner Die eerste rekening (INSLUITEND die Eerste Mediese Verslag) vir diens te gelewer aan 'n beseerde werknemer moet aan die lverkgewer gestuur word, wat die nodige dokumentasie sal versamel en dit aan die Vergoedingskommissaris sal voorle 2, Subsequent accounts must be submitted or posted to the closest Labour Centre, It is important that all requirements for the submission of accounts, including supporting information, are met Daaropvolgende rekeninge moet ingedien of gepos word aan die naaste Arbeidsentrum, Dit is belangrik dat al die voorskrifte vir die indien van rekeninge nagekom word, insl uitend die voorsien ing van stawende dokumentasie 3. If accounts are still outstanding after 60 days following sub mission, the service provider should complete an en quii)' form, W. CI 20, and submit it ONCE to the Labour Centre, All relevant details regarding Labour Centres are available on the websi te www:.j~j?q.ljr:gqy::?;fl: Indien rekenings nog uitstaande is na 60 dae vanaf indiening en ontvangserkenning deur die Vergoedingskommissaris, moet die diensverskaffer 'n navraag vorm, W. C 1 20 voltooi en EENMALlG indien by die Arbeidsentrum, ABe inligting oor Arbeidsentrums is beskikbaar op die webblad www.l(lbour.gov.za_ 4, If an account has been partially paid with no reason indicated on the remittance advice, a duplicate account with the unpaid services clearly marked can be submitted to the Labour Centre, accompanied by a WCI 20 form (*see website for example of the form),.lndien 'n rekening gedeeltelik betaal is met geen rede voorsien op die betaaladvies nie, kan 'n duplikaatrekening met die wanbetaling duidelik aangedui, vergesel van 'n WCl 20 vorm by die Arbeidsentrum ingedien word (*sien webb lad vir 'n voorbeeld van die voml) S, Information NOT to be I'eflected on the account: Details of the employee's medical aid and the practice number of the @ferring practitioner. Inligting wat NIE aangedui I1wet word op die rekening nie: Besonderhede van die werknemer se mediese fonds en die verwysende geneesheer se praktyknommer 6, Service providers should not generate Diensverskaffers flujenie die vofgende fewer nie: a, Multiple acco unts for services rendered on the same date i,e. one account for medication and a second account for other services Meer as een rekening vir dienste gelewer op dieselfde datum, bv, medikasie op een rekening en ander dienste op 'n tweede rekening b. Accumulative acco unts - submi t a separate account for evei)' month Aaneenlopende rekeninge ~lewer 'n aparte rekening vir elke maand c. Accounts on the old documents (W.CI4/W.Cl 51 W.CI 5F) New *First Medical Report (W.C I 4) and Progress / Final Medical Report (W.C I 5 I W.Cl SF) forms G10-052933-C
STAATSKOERANT, 28 MEl 2010 No.33222 63 ;::~:i:t -~-I-.-pr::;::!er i Aigemene Praktisyn Narkose Anaesthe~ _~..... _~.~...~_+ +--_._---_+_--.~.~---I'--_= ;_-~ ---:=---1..._~. I_yll..j_-~R~-I_~UI:::E' t----.:r.:.-.--+_'u:::/"'e+-.:.:r:..--!,~ I 4810 Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation): USN TIS (2.8ATAx 285 min) PROFESSIONAL COMPONENT. Monitering van 'n pasil!nt by die hiperbariese kamer tydens hiperbariese terapie (sluit pre-hiperbariese evaluering, monitering tydens behandeling en opvolg ondersoek na behandeling in): USN TI6 (2.8 ATA x 285 min) PROFESSIONELE KOMPONENT 190 2,779.70 190 2,779.70 4826 4811 USN TI6 (2,8 ATA x 285 min): TECHNICAL COMPONENT. USN TIS (2,8 ATA x 285 min): TEGNIESE KOMPONENT Monitoring of a patient at the hyperbaric chamber during hyperbaric treatment (includes pre-hyperbaric assessment, monitoring during treatment and post treatment evaluation): USN TI6exUSA or Cx 30 (2.8-6 ATA x 305-490 min) PROFESSIONAL COMPONENT. Monitering van 'n pasient by die hiperbariese kamer tydens hiperbariese terapie (sluit pre-hiperbariese evaluering, monitering tydens bahandeling en opvolg ondersoek na behandeling in): USN TI6vlg/6A or Cx 30 (2.8-6 ATA x 305 490 min) PROFESSIONELE KOMPONENT 386.42 327 5,653.30 386.42 5,653.30 4,784.00 327 4,784.00 4827 4828 4829 4815 USN TI6ext (2,8-6 ATA x 305-490 min): TECHNICAL COMPONENT. USNTI6vlg (2,8-6 ATA x 305-490 min): TEGNIESE KOMPONENT USN 6A (2,8-6 ATA x 305-490 min): TECHNICAL COMPONENT USN 6A (2,8-6 ATA x 305-490 min): TEGNIESE KOMPONENT USN Cx 30 (2,8-6 ATA x 305-490 min): TECHNICAL COMPONENT. USN Cx 30 (2,8-6 ATA x 305-490 min): TEGNIESE KOMPONENT Prolonged attendance inside a hyperbaric chamber: 40 clinical procedure units per half hour or part thereof for the first hour. Thereafter 20 clinical procedure units per half hour; minimum 40 clinical procedure units; maximum 320 Clinical procedure units (Please indicate time in minutes and not per half hour) Verlengde bystand binne 'n hiperbariese kamer: 40 kliniese prosedure eenhede per halfuur of gedeelte daarvan vir die eerste uur. Daarna 20 kliniese prosedure eenhede per half uur; minimum 40 kliniese prosedure eenhede; maksimum 320 kliniese prosedure eenhede (dui asseblief tyd aan in minute en nie per halfuur) 680.85 678.28 671.85 9,960.80 680.85 9,960.80 9,923.20 67B.28 9,923.20 9,829.20 671.85 9,829.20 5. MEDIASTINAL PROCEDURES. MEDIASTINALE PROSEDURES 1223 Mediastinoscopy. Mediastinoskopie 95 1,389.90 95 1,389.90 5 341.80 +T 6. CARDIOVASCULAR SYSTEM. KARDIO-VASKULeRE SISTEEM MODIFIER GOVERNING FEES FORAN ANAESTHESIOLOGIST OPERATING INTRA AORTIC BALLOON PUMP (CARDIOVASCULAR SYSTEM) WYSIGER VAN TOEPASSING OP GELDE VIR 'N ANESTESIOLOOG VIR BEHEER VAN INTRA AORTIESE BALLONPOMP (KARDlO VASKULElRE SISTEEM) 0100 Where an anaeslhesiologist would be responsible for operating an intra-aortic balloon pump, a fee of 75,00 clinical procedure units is applicable. Waar 'n anestesioloog verantnoordelik is vir beheer van 'n intra-aortiese ballonpcmp is 'n tarief van 75,00 kliniese prosedure eenhede van toepassing 75 971.30 75 971.30
STAATSKOERANT, 28 MEl 2010 No.33222 93 3597 Contrast media: General Rule Y applies (Please note: item 0201 is not applicable for contrast media) _ Kontrasmiddels: Aigemene Re~1 Y geld (Let wei: item 0201 is nle toepaslike vir kontrasmiddels nie) I Anaesthetic i Specialist I Other Radiologist Specialists and Narkose i Spesiafis Radiofoog General Practitioner Ander Spesiafiste en Algemene Praktisvns u/e R u/e R u/e R TIM 19.10 Miscellaneous _ Diverse 3601 Fluoroscopy: Per half hour: Add (not applicable for items 3445 + 11.6 177.50 7.7 117.80 and 3447) - Fluoroskopie: Per halfuur: Voeg by (nie van toepassing op items 3445 en 3447) 3602 Where a C-arm portable X -ray unit is used in hospital or theatre: + 16 244.80 10.7 163.70 Per half hour: Add _ Waar 'n C arm mobiele rentgeneenheid in die hospitaal of teater gebruik word: Per half-uur: Voeg by 3603 Sinography _ Sinografie 27.7 423.80 18.4 281.50 3600 Peripheral bone densitometry utilizing ionizing radiation - Perifere 13 198.90 13 198.90 been digtheidstoeting met gebruik van ioniserende bestraling I 3604 Bone densitometry (to be charged once only for one or more 77 1,178.10 77 1,178.10 levels done at the same session) - Beendigtheidsmeting (word slegs eenmalig ge~is vir een of meer vlakke gedoen tydens dieselfde sessle) 3607 Attendance at operation In theatre or at radiological procedure 84 128.50 5.6 85.70 performed by a surgeon or physician in X-ray department (except Item 3309): Per half hour: Plus fee for examination performed (Only 10 be used by radiological technical staff) - Teenwoordigheid by operasie in teater of by radiologiese prosedure uilgevoer duer 'n chirurg of internis in X-straal afdeling (behalwe item 3309): Per halfuur: Plus gelde vir ondersoek gedoen (Mag slegs deur die radiologiese tegniese personeel gehefword) 3609 Foreign body localisation: Fee for part examined plus two-thirds for every additional series and add fluoroscopy fee if this is done _ Bepaling van Ilgging van vreemde voorwerp: Tarief vir deel wat ondersoek is, plus!wee derdes vir elke bykomstige reeks, voeg by tarief vir fluoroskopie Indien dit uitgevoer word 3611 Foreign body localisation: Introduction of sterile needle markers: + 16.5 252.50 11 168.30 Add _ Bepaling van Ilgging: Vreemde voorwerp, met inplasing van steriele naaldmerkers: Voeg by 3613 Setting of sterile trays _ Stel van steriele blaaie 3.3 50.50 3.3 50.50 5034 Fine needle aspiration or biopsy _ Aspirasie of blopsie deur 25 382.50 25 203.90 6 363.00 +T middel van 'n!yn naald 19.11 Ultrasonic investigations _ Ultrasoniese ondersoeke The amounts in this section are calculated according to the Ultrasound unit values (unless otherwise specified) _ Die bedrae in hierdie afdeling word volgens die Ultraklank eenheidswaardes bereken (tensy anders gespesiflseer) 3612 Ultrasonic bone densitometry _ Ultrasoniese beendigtheidsmeting 19 290.70 13 198.90 3619 Intravascular ultrasound imaging assesses the atheroschlerotic 30 433.50 30 433.50 9 544.50 +T process to guide the placement of an intracoronary stent. This item may be applied once pe~ vessel (left anterior descending territory, circumflex territory and/or right coronary territory) in which a stent or multiple stents are deployed _ Intravaskulere ultrasoniese beelding evalueer die aterosklerotiese proses om die terapeutiese intervensies te lei. Hierdie item mag eenmaal toegepas word per vaat (linker voorafdalende tak,,,.~,,,,,.v.ng, sirkumfieks verspreiding en/of regter koronere.~, ~"",Y,..ng) waarln 'n stent of veelvuldige stents geplaas word. I i I i I
STAATSKOERANT, 28 MEl 2010 No. 33222 123 COIDA tariff for Medical Practitioners THE UNIT VALUES FOR THE VARIOUS GROUPS AND SECTIONS AS FROM 1 APRIL 2009 ARE AS FOLLOWS: EENHEIDSWAARDES TEN OPSIGTE VAN DIE VERSKEIE GROEPE EN AFDELINGS SOOS VANAF 1 APRIL 2010: Groups and Sections I Groepe en Afdelings Unit Value I Eenheidswaarde 1. Consultation Services 1Konsultasiedienste R 14.63 2. Consultation Services: codes 0181; 0186; 01511 R 14.90 Konsultasiedienste: kodes0181; 0186; 0151 Clinical procedures I Kliniese prosedures R 14.63 3. Anaesthetics I Narkose R68.37 4. Radiology & MRII Radiologie & MRB R 15.30 5. Radiation Oncology I Stralingsonkologie R 16.10 6. Ultrasound I Ultraklank R 14.45 7. Computed Tomography I Rekenaartomografie 8. Clinical Pathology I Kliniese Patologie 9. Anatomical Pathology I Anatomiese Patologie R 14.70 R 15.23 R 15.03 Note: The unit value and amounts published in the tariff is VAT Exclusive Neem kennis : Die eenheidswaarde en bed rae gepubliseer in die tarief is 8TW Uitgesluit