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G12-101696—A 35684—1
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Government GazetteStaatskoerant
REPUBLIC OF SOUTH AFRICA
REPUBLIEK VAN SUID-AFRIKA
Vol. 567 Pretoria, 14 September 2012 No. 35684
N.B. The Government Printing Works willnot be held responsible for the quality of“Hard Copies” or “Electronic Files”submitted for publication purposes
2 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
IMPORTANT NOTICE
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CONTENTS • INHOUD
BOARD NOTICE
152 Health Professions Act (56/1974): Proposed guideline tariffs for Medical Practitioners and Dentists .......................... 3 35684
GazetteNo.
PageNo.No.
MEDICAL AND DENTAL PROFESSIONS BOARD
HEALTH PROFESSIONS ACT, 1974 (ACT NO.56 OF 1974)
PROPOSED GUIDELINE TARIFFS FOR MEDICAL PRACTITIONERS AND DENTISTS
The Medical and Dental Professions Board intends, under section 53 (3) (d) of the
Health Professions Act, 1974 (Act No. 56 of 1974), to determine and publish a fee
("Guideline Tariffs") to be used as a norm in the adjudication of complaints of
overcharging.
Interested persons are invited to submit any substantiated comments or
representations in writing on the proposed Guideline Tariffs to the Registrar, Health
Professions Council of South Africa (for the attention of the General Manager:
Professional Boards) on or before 16h00 of the 19th of October 2012 by:-
(a) posting them to P 0 Box 205, Pretoria, 0001;
(b) delivering them by hand at 553 Madiba Street (previously Vermeulen Street),
Arcadia, Pretoria, 0002; or
(c) e-mailing them to bhekiM@hpcsa.co.za.
Benefits of the guideline tariffs
To guide the professions and protect the public.
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 3
BOARD NOTICE
BOARD NOTICE 152 OF 2012
Minimising complaints of 'overcharging' and fair determination of these
complaints.
The impact of the Guideline tariffs for registered practitioners
Permit practitioners to set individual fee schedules.
Keep record of written informed consent given by patients.
The impact of the Guideline tariffs for members of the public
Patients will be billed only in accordance with the written informed consent
they have given to a practitioner for services received in the event that the
fee charged is more than the Guideline tariff.
Patients must familiarise themselves with the benefits their medical aid
scheme cover for services received from practitioners.
SCHEDULE
Definitions
1. In this notice, "the Act" means the Health Professions Act, 1974 (Act No. 56
of 1974) and any word or phrase to which a meaning has been assigned in
the Notice shall have that meaning, unless the context otherwise indicates;
"Board" means Medical and Dental Professions Board as established in
terms of section 15 of the Act.
MJAMBA-MATSHOBA
REGISTRAR
DATE: 7 I 3`1-",-1:;)(`7.,./
4 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y M
ED
ICA
L P
RA
CT
ITIO
NE
RS
1000
011
400
1100
0
Pub
lishe
d in
term
s of
Sec
tion
53 (
3) (
d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Not
e th
at th
is s
ched
ule
is b
ased
on
the
2006
NH
RP
L w
hich
was
infla
ted
by 4
6.66
%.
Ver
sion
Add
CF
Uni
ts B
FV
alue
Fla
g C
FU
nits
BF
Val
ue F
lag
CF
Uni
ts B
FV
alue
Fla
gT
he 2
006
NH
RP
L is
ava
ilabl
e in
dat
abas
e fo
rmat
at h
ttp://
ww
w.h
pcsa
.co.
za
In te
rms
of s
ectio
n 53
(1)
of th
e H
ealth
Pro
fess
ions
Act
, 197
4 (A
ct N
o. 5
6 of
197
4) e
very
per
son
regi
ster
ed u
nder
the
Act
(in
this
sec
tion
refe
rred
to a
s th
epr
actit
ione
r) s
hall,
unl
ess
the
circ
umst
ance
s re
nder
it im
poss
ible
for
him
or
her
to d
o so
, bef
ore
rend
erin
g an
y pr
ofes
sion
al s
ervi
ces
info
rm th
e pe
rson
to w
hom
the
serv
ices
are
to b
e re
nder
ed o
r an
y pe
rson
res
pons
ible
for
the
mai
nten
ance
of s
uch
pers
on, o
f the
fee
whi
ch h
e or
she
inte
nds
to c
harg
e fo
rsu
ch s
ervi
ces
-
(a)
whe
n so
req
uest
ed b
y th
e pe
rson
con
cern
ed; o
r
(b)
whe
n su
ch fe
e ex
ceed
s th
e G
uide
line
Tar
iffs
for
such
ser
vice
s,
and
shal
l in
a ca
se to
whi
ch p
arag
raph
(b)
rel
ates
, als
o in
form
the
pers
on c
once
rned
of t
he u
sual
fee.
Eve
ry p
erso
n re
gist
ered
und
er th
e A
ct s
hall,
unl
ess
the
circ
umst
ance
s re
nder
it im
poss
ible
for
him
or
her
to d
o so
, bef
ore
rend
erin
g an
y pr
ofes
sion
alse
rvic
es a
lso
info
rm th
e pe
rson
to w
hom
the
serv
ices
are
to b
e re
nder
ed o
r an
y pe
rson
res
pons
ible
for
the
mai
nten
ance
of s
uch
pers
on, o
f the
fee
whi
ch h
e or
she
inte
nds
to c
harg
e fo
r su
ch s
ervi
ces
if su
ch fe
e ex
ceed
s th
e m
edic
al a
id r
ates
.
RU
LES
GO
VE
RN
ING
TH
E S
TR
UC
TU
RE
A.
Con
sulta
tions
: Def
initi
ons:
(a)
New
and
est
ablis
hed
patie
nts:
A c
onsu
ltatio
n/vi
sit r
efer
s to
a20
04.0
0cl
inic
al s
ituat
ion
whe
re a
med
ical
pra
ctiti
oner
per
sona
lly o
btai
ns a
pat
ient
's m
edic
al h
isto
ry,
perf
orm
s an
app
ropr
iate
clin
ical
exa
min
atio
n an
d, if
indi
cate
d, a
dmin
iste
rs tr
eatm
ent,
pres
crib
esor
ass
ists
with
adv
ice.
The
se s
ervi
ces
mus
t be
face
-to-
face
with
the
patie
nt a
nd e
xclu
des
the
time
spen
t doi
ng s
peci
al in
vest
igat
ions
whi
ch r
ecei
ve a
dditi
onal
rem
uner
atio
n. (
b) S
ubse
quen
tvi
sits
: Ref
ers
to a
vol
unta
rily
sche
dule
d vi
sit p
erfo
rmed
with
in fo
ur (
4) m
onth
s af
ter
the
first
vis
it. It
may
impl
y ta
king
dow
n a
med
ical
his
tory
and
/or
a cl
inic
al e
xam
inat
ion
and/
or p
resc
ribin
g or
adm
inis
terin
g of
trea
tmen
t and
/or
coun
selin
g. (
c) H
ospi
tal v
isits
: Whe
re a
pro
cedu
re o
rop
erat
ion
was
don
e, h
ospi
tal v
isits
are
reg
arde
d as
par
t of t
he n
orm
al a
fter-
care
and
no
fees
may
be le
vied
(un
less
oth
erw
ise
indi
cate
d). W
here
no
proc
edur
e or
ope
ratio
n w
as c
arrie
d ou
t, fe
esm
ay b
e ch
arge
d fo
r ho
spita
l vis
its a
ccor
ding
to th
e ap
prop
riate
hos
pita
l or
inpa
tient
follo
w-u
p vi
sit
code
.
B.
Nor
mal
hou
rs a
nd a
fter
hour
s: A
fter-
hour
s se
rvic
es a
re p
aid
at th
e sa
me
rate
as
bene
fits
for
2006
.04
norm
al h
ours
ser
vice
s. B
ona
fide
emer
genc
y m
edic
al s
ervi
ces
rend
ered
to a
pat
ient
, at a
ny ti
me,
may
attr
act a
fee
as s
peci
fied
in m
odifi
er 0
011
and
item
s 01
46 o
r 01
47 (
whi
ch s
houl
d be
add
ed to
the
appr
opria
te c
onsu
ltativ
e se
rvic
es c
ode
sele
cted
from
item
s 01
90-0
192,
017
3-01
75, 0
161-
0164
, 016
6-01
69)
C.
Com
para
ble
serv
ices
: A s
ervi
ce m
ay b
e re
nder
ed th
at is
not
list
ed in
this
edi
tion
of th
e co
ding
2005
.02
stru
ctur
e. T
he fe
e th
at m
ay b
e ch
arge
d in
res
pect
of t
he r
ende
ring
of a
ser
vice
not
list
ed in
this
codi
ng s
truc
ture
sha
ll be
bas
ed o
n th
e fe
e in
res
pect
of a
com
para
ble
serv
ice.
For
thes
epr
oced
ure(
s)/s
ervi
ce(s
), it
em 6
999:
Unl
iste
d pr
oced
ure
or s
ervi
ce c
ode,
sho
uld
be u
sed.
Ple
ase
cont
act t
he S
A M
edic
al A
ssoc
iatio
n (S
AM
A)
Priv
ate
Pra
ctic
e U
nit v
ia e
-mai
l on
codi
ng@
sam
edic
al.o
rg to
obt
ain
a co
mpa
rabl
e co
de fo
r th
e un
liste
d pr
oced
ure/
serv
ice
whi
ch w
illbe
bas
ed o
n th
e fe
e fo
r a
com
para
ble
serv
ice
in th
e co
ding
str
uctu
re. W
hen
item
699
9 is
use
d to
indi
cate
that
an
unlis
ted
serv
ice
was
ren
dere
d, th
e us
e of
the
item
mus
t be
supp
orte
d by
a s
peci
alre
port
. Thi
s re
port
mus
t inc
lude
: (1)
An
adeq
uate
def
initi
on o
r de
scrip
tion
of th
e na
ture
, ext
ent a
ndne
ed fo
r th
e pr
oced
ure/
serv
ice
or "
med
ical
nec
essi
br; (
2) In
whi
ch r
espe
ct is
this
ser
vice
unu
sual
or d
iffer
ent i
n te
chni
que,
com
pare
d to
ava
ilabl
e pr
oced
ures
/ser
vice
s lis
ted
in th
e co
ding
stru
ctur
e? In
form
atio
n re
gard
ing
the
natu
re a
nd e
xten
t of t
he p
roce
dure
/ser
vice
, tim
e an
d ef
fort
,sp
ecia
l/ded
icat
ed e
quip
men
t nee
ded
to p
rovi
de th
is s
ervi
ce, m
ust b
e in
clud
ed in
the
repo
rt; (
3) Is
Pag
e 1
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 5
D.
Can
cella
tion
of a
ppoi
ntm
ents
: Unl
ess
timel
y st
eps
are
take
n to
can
cel a
n ap
poin
tmen
t for
a20
04.0
0
cons
ulta
tion,
the
rele
vant
con
sulta
tion
fee
may
be
char
ged.
In th
e ca
se o
f a g
ener
al p
ract
ition
er"t
imel
y" s
hall
mea
n tw
o ho
urs
and
in th
e ca
se o
f a s
peci
alis
t 24
hour
s pr
ior
to th
e ap
poin
tmen
t.E
ach
case
sha
ll, h
owev
er, b
e co
nsid
ered
on
mer
it an
d, if
circ
umst
ance
s w
arra
nt, n
o fe
e sh
all b
ech
arge
d. If
a p
atie
nt h
as n
ot tu
rned
up
for
a pr
oced
ure,
eac
h m
embe
r of
the
surg
ical
team
isen
title
d to
cha
rge
for
a vi
sit a
t or
away
from
doc
tor's
roo
ms
as th
e ca
se m
ay b
e
E.
Pre
-ope
rativ
e vi
sits
: The
app
ropr
iate
fee
may
be
char
ged
for
all p
re-o
pera
tive
visi
ts w
ith th
e20
04.0
0
exce
ptio
n of
a r
outin
e pr
e-op
erat
ive
visi
t at t
he h
ospi
tal
F.
Adm
inis
terin
g of
inje
ctio
ns a
nd/o
r in
fusi
ons:
Whe
re a
pplic
able
, fee
s fo
r ad
min
iste
ring
inje
ctio
ns20
04.0
0an
d/or
infu
sion
s m
ay o
nly
be c
harg
ed w
hen
done
by
the
prac
titio
ner
him
self
G.
Pos
t-op
erat
ive
care
: (a)
Unl
ess
othe
rwis
e st
ated
, the
fee
in r
espe
ct o
f an
oper
atio
n or
pro
cedu
re 2
004.
00sh
all i
nclu
de n
orm
al a
fter-
care
for
a pe
riod
not e
xcee
ding
ON
E m
onth
(af
ter-
care
is e
xclu
ded
from
pur
e di
agno
stic
pro
cedu
res
durin
g w
hich
no
ther
apeu
tic p
roce
dure
s w
ere
perf
orm
ed).
(b)
Ifth
e no
rmal
afte
r-ca
re is
del
egat
ed to
any
oth
er r
egis
tere
d he
alth
pro
fess
iona
l and
not
com
plet
edby
the
surg
eon,
it s
hall
be h
is/h
er o
wn
resp
onsi
bilit
y to
arr
ange
for
this
to b
e do
ne w
ithou
t ext
rach
arge
. (c)
Whe
n po
st-o
pera
tive
care
/trea
tmen
t of a
pro
long
ed o
r sp
ecia
lised
nat
ure
is r
equi
red,
such
fee
as m
ay b
e ag
reed
upo
n be
twee
n th
e su
rgeo
n an
d th
e sc
hem
e or
the
patie
nt (
in c
ase
of a
priv
ate
acco
unt)
may
be
char
ged.
(d)
Nor
mal
afte
r-ca
re r
efer
s to
an
unco
mpl
icat
ed p
ost-
oper
ativ
e pe
riod
not r
equi
ring
any
furt
her
inci
sion
s
H.
Rem
oval
of l
esio
ns: I
tem
s in
volv
ing
rem
oval
of l
esio
ns in
clud
e fo
llow
-up
trea
tmen
t for
10
days
2004
.00
J.D
ispr
opor
tiona
tely
low
fees
,In
exc
eptio
nal c
ases
whe
re th
e fe
e is
dis
prop
ortio
nate
ly lo
w in
2004
.00
rela
tion
to th
e ac
tual
ser
vice
s re
nder
ed b
y a
med
ical
pra
ctiti
oner
, a h
ighe
r fe
e m
ay b
e ne
gotia
ted.
The
use
of t
his
rule
is n
ot in
tend
ed m
erel
y to
incr
ease
the
Med
ical
Sch
emes
Ben
efits
.
KP
ract
ice
of s
peci
alis
ts:
In te
rms
of th
e co
nditi
ons
in r
espe
ct o
f the
pra
ctic
e of
spe
cial
ists
as
2004
.00
publ
ishe
d in
Gov
ernm
ent G
azet
te N
o. 1
2958
of 1
1 Ja
nuar
y 19
91, a
spe
cial
ist m
ay tr
eat a
nype
rson
who
com
es to
him
dire
ct fo
r co
nsul
tatio
n. A
spe
cial
ist w
ho is
con
sulte
d by
a p
atie
nt o
rw
ho tr
eats
a p
atie
nt, s
hall
take
all
reas
onab
le s
teps
to e
nsur
e th
e co
llabo
ratio
n of
the
patie
nt's
gene
ral p
ract
ition
er. M
edic
al p
ract
ition
ers
refe
rrin
g ca
ses
to o
ther
med
ical
pra
ctiti
oner
s sh
all
indi
cate
in th
e re
fere
nce
whe
ther
the
patie
nt is
a m
embe
r of
a m
edic
al s
chem
e or
a d
epen
dant
of
such
mem
ber.
Thi
s al
so a
pplie
s in
res
pect
of s
peci
men
s se
nt to
pat
holo
gist
s
L.P
roce
dure
s pe
rfor
med
at t
ime
of v
isits
:If
a pr
oced
ure
is p
erfo
rmed
at t
he ti
me
of a
2004
.00
cons
ulta
tion/
visi
t, th
e fe
e fo
r th
e vi
sit P
LUS
the
fee
for
the
proc
edur
e is
cha
rged
M.
Pro
cedu
re p
lann
ed to
be
perf
orm
ed la
ter:
In c
ases
whe
re, d
urin
g a
cons
ulta
tion/
visi
t, a
2004
.00
proc
edur
e is
pla
nned
to b
e pe
rfor
med
at a
late
r oc
casi
on, a
vis
it m
ay n
ot b
e ch
arge
d fo
r ag
ain,
at
such
a la
ter
occa
sion
N.
"Per
con
sulta
tion"
: No
addi
tiona
l fee
may
be
char
ged
for
a se
rvic
e fo
r w
hich
the
fee
is in
dica
ted
2004
.00
as "
per
cons
ulta
tion"
. Suc
h se
rvic
es a
re r
egar
ded
as p
art o
f the
con
sulta
tionN
isit
perf
orm
ed a
tth
e tim
e th
e co
nditi
on is
bro
ught
to th
e do
ctor
s at
tent
ion
0.C
ostly
or
prol
onge
d m
edic
al s
ervi
ces
or p
roce
dure
s: In
the
case
of c
ostly
or
prol
onge
d m
edic
al20
04.0
0se
rvic
es o
r pr
oced
ures
, the
med
ical
pra
ctiti
oner
sha
ll fir
st a
scer
tain
from
the
med
ical
sch
eme
for
wha
t am
ount
the
med
ical
sch
eme
will
acc
ept r
espo
nsib
ility
in r
espe
ct o
f suc
h tr
eatm
ent,
shou
ldth
e pr
actit
ione
r w
ish
any
dire
ct p
aym
ent f
rom
the
sche
me
P.
Tra
velli
ng fe
es: (
a) W
here
, in
case
s of
em
erge
ncy,
a p
ract
ition
er w
as c
alle
d ou
t fro
m h
is20
04.0
0
resi
denc
e or
roo
ms
to a
pat
ient
's h
ome
or th
e ho
spita
l, tr
avel
ling
fees
can
be
char
ged
acco
rdin
gto
the
sect
ion
on tr
avel
ling
expe
nses
(se
ctio
n IV
) if
he h
ad to
trav
el m
ore
than
16
kilo
met
res
into
tal.
(b)
If m
ore
than
one
pat
ient
wou
ld b
e at
tend
ed to
dur
ing
the
cour
se o
f a tr
ip, t
he fu
lltr
avel
ling
expe
nses
mus
t be
divi
ded
betw
een
the
rele
vant
pat
ient
s. (
c) A
pra
ctiti
oner
is n
oten
title
d to
cha
rge
for
any
trav
ellin
g ex
pens
es o
r tr
avel
ling
time
to h
is r
oom
s. (
d) W
here
apr
actit
ione
r's r
esid
ence
wou
ld b
e m
ore
than
8 k
ilom
etre
s aw
ay fr
om a
hos
pita
l, no
trav
ellin
g fe
esm
ay b
e ch
arge
d fo
r se
rvic
es r
ende
red
at s
uch
hosp
itals
, exc
ept i
n ca
ses
of e
mer
genc
y (s
ervi
ces
not v
olun
taril
y sc
hedu
led)
. (e)
Whe
re a
pra
ctiti
oner
con
duct
s an
itin
eran
t pra
ctic
e, h
e is
not
entit
led
to c
harg
e fe
es fo
r tr
avel
ling
expe
nses
exc
ept i
n ca
ses
of e
mer
genc
y (s
ervi
ces
not
volu
ntar
ily s
ched
uled
). (
f) F
or v
olun
taril
y sc
hedu
led
serv
ices
, fee
s fo
r tr
avel
ling
expe
nses
may
only
be
char
ged
whe
re th
e pa
tient
and
the
prac
titio
ner
have
ent
ered
into
an
agre
emen
t to
this
Pag
e 2
of 8
7
6 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
Q.
Inte
nsiv
e ca
re/H
igh
Car
e: U
nits
in r
espe
ct o
f ite
ms
1204
to 1
210
(Cat
egor
ies
1 to
3)
EX
CLU
DE
2006
.05
the
follo
win
g: (
a) A
naes
thet
ic a
nd/o
r su
rgic
al fe
es fo
r an
y co
nditi
on o
r pr
oced
ure,
as
wel
l as
afir
st c
onsu
ltatio
n/vi
sit,
whi
ch is
. reg
arde
d as
the
asse
ssm
ent o
f the
pat
ient
, whi
le th
e da
ilyin
tens
ive
care
/hig
h ca
re fe
e co
vers
the
daily
car
e in
the
inte
nsiv
e/hi
gh c
are
unit.
(b)
Cos
t of a
nydr
ugs
and/
or m
ater
ials
. (c)
Any
oth
er c
ost w
hich
may
be
incu
rred
bef
ore,
dur
ing
or a
fter
the
cons
ulta
tion/
visi
t and
/or
the
ther
apy.
(d)
Blo
od g
ases
and
che
mis
try
test
s, in
clud
ing
the
arte
rial
punc
ture
to o
btai
n th
e sp
ecim
en. (
e) P
roce
dura
l ite
ms
1202
and
121
2 to
122
1. b
ut IN
CLU
DE
the
follo
win
g: (
f) P
erfo
rmin
g an
d in
terp
reta
tion
of a
res
ting
EC
G. (
g) In
terp
reta
tion
of c
hem
istr
y te
sts
and
x-ra
ys. (
h) In
trav
enou
s tr
eatm
ent (
item
s 02
06 a
nd 0
207)
, exc
ept i
ntra
veno
us in
fusi
on in
patie
nts
unde
r th
e ag
e of
thre
e ye
ars
(item
020
5) th
at d
oes
not f
orm
a p
art o
f the
dai
ly IC
U/H
igh
Car
e fe
e an
d m
ay b
e ch
arge
d fo
r se
para
tely
on
a da
ily b
asis
(fe
e in
clud
es th
e in
trod
uctio
n of
the
cann
ula
as w
ell a
s th
e da
ily m
anag
emen
t)R
.M
ultip
le o
rgan
failu
re: U
nits
for
item
s 12
08, 1
209
and
1210
(C
ateg
ory
3: C
ases
with
mul
tiple
2004
.00
orga
n fa
ilure
) in
clud
e re
susc
itatio
n (i.
e. it
em 1
211.
Car
dio-
resp
irato
ry r
esus
cita
tion)
S.
Ven
tilat
ion:
Uni
ts fo
r ite
ms
1212
, 121
3 an
d 12
14 (
vent
ilatio
n) in
clud
e th
e fo
llow
ing:
(a)
2004
.00
Mea
sure
men
t of m
inut
e vo
lum
e, v
ital c
apac
ity, t
ime-
and
vita
l cap
acity
stu
dies
. (b)
Tes
ting
and
conn
ectin
g th
e m
achi
ne. (
c) P
uttin
g pa
tient
on
mac
hine
: set
ting
mac
hine
, syn
chro
nisi
ng p
atie
ntw
ith m
achi
ne. (
d) In
stru
ctio
n to
nur
sing
sta
ff.(e
) A
ll su
bseq
uent
vis
its fo
r 24
hou
rs.
T.
Ven
tilat
ion
(item
s 12
12 to
121
4) d
oes
not f
orm
a p
art o
f nor
mal
pos
t-op
erat
ive
care
, but
may
not
2004
.00
be a
dded
to it
em 1
204:
Cat
egor
y 1:
Cas
es r
equi
ring
inte
nsiv
e m
onito
ring
U.
Obs
tetr
ic p
roce
dure
s: (
a) W
hen
a ge
nera
l pra
ctiti
oner
trea
ts a
pat
ient
in th
e an
te-n
atal
per
iod
2004
.00
and,
afte
r st
artin
g th
e co
nfin
emen
t, re
ques
ts a
n ob
stet
ricia
n to
take
ove
r th
e ca
se, t
he g
ener
alpr
actit
ione
r sh
all b
e en
title
d to
cha
rge
for
all t
he a
nte-
nata
l con
sulta
tions
he/
she
has
perf
orm
ed.
(i)If
the
patie
nt h
as b
een
in la
bour
for
less
than
6 h
ours
, the
gen
eral
pra
ctiti
oner
sha
ll ch
arge
50,0
0 cl
inic
al p
roce
dure
uni
ts a
ccor
ding
to it
em 2
6141
Glo
bal o
bste
tric
car
e.(ii
)If
the
patie
nt h
asbe
en in
labo
ur fo
r m
ore
than
6 h
ours
, the
gen
eral
pra
ctiti
oner
sha
ll ch
arge
80,
00 c
linic
alpr
oced
ure
units
acc
ordi
ng to
item
261
4: G
loba
l obs
tetr
ic c
are.
(b)
Whe
n a
gene
ral p
ract
ition
erca
lls a
n ob
stet
ricia
n to
hel
p w
ith a
con
finem
ent,
take
ove
r th
e m
anag
emen
t of a
con
finem
ent,
and
trea
ts th
e pa
tient
unt
il af
ter
the
post
-par
tum
vis
it, th
e ob
stet
ricia
n sh
all c
harg
e ac
cord
ing
to it
em26
14: G
loba
l obs
tetr
ic c
are.
(c)
Whe
n a
gene
ral p
ract
ition
er c
alls
an
obst
etric
ian
(spe
cial
ist o
rge
nera
l pra
ctiti
oner
) to
hel
p w
ith a
con
finem
ent,
or ta
ke o
ver
the
man
agem
ent o
f a c
onfin
emen
t,bu
t the
gen
eral
pra
ctiti
oner
trea
ts th
e pa
tient
unt
il af
ter
the
post
-par
tum
vis
it, th
e ob
stet
ricia
n sh
all
V.
(a)
Ele
ctro
-con
vuls
ive
trea
tmen
t: V
isits
at h
ospi
tal o
r nu
rsin
g ho
me
durin
g a
cour
se o
f ele
ctro
-20
04.0
0co
nvul
sive
trea
tmen
t are
just
ified
and
may
be
char
ged
for
in a
dditi
on to
the
fees
for
the
proc
edur
e. (
b) E
xcep
t whe
re o
ther
wis
e in
dica
ted,
the
dura
tion
of a
med
ical
psy
chot
hera
peut
icse
ssio
n is
set
at 2
0 m
inut
es o
r pa
rt th
ereo
f, pr
ovid
ed th
at s
uch
a pa
rt c
ompr
ises
50%
or
mor
e of
the
time
of a
ses
sion
. Thi
s se
t dur
atio
n is
als
o ap
plic
able
for
psyc
hiat
ric e
xam
inat
ion
met
hods
Y.
Exc
ept w
here
oth
erw
ise
indi
cate
d, r
adio
logi
sts
are
entit
led
to c
harg
e fo
r co
ntra
st m
ater
ial u
sed
2004
.00
Z.
No
fee
is s
ubje
ct to
mor
e th
an o
ne r
educ
tion
2004
.00
AA
.P
roce
dure
s to
exc
lude
cos
t of i
soto
pe20
04.0
0B
B.
The
fees
in th
is s
ectio
n (r
adia
tion
onco
logy
) do
NO
T in
clud
e th
e co
st o
f rad
ium
or
isot
opes
2004
.00
CC
.A
cupu
nctu
re:
(a)
Whe
n tw
o se
para
te a
cupu
nctu
re te
chni
ques
are
use
d, e
ach
trea
tmen
t sha
ll be
200
4.00
rega
rded
as
a se
para
te tr
eatm
ent f
or w
hich
fees
may
be
char
ged
for
sepa
rate
ly. (
b) N
ot m
ore
than
two
sepa
rate
tech
niqu
es m
ay b
e ch
arge
d fo
r at
eac
h se
ssio
n. (
c) T
he m
axim
um n
umbe
r of
acup
unct
ure
trea
tmen
ts p
er c
ours
e to
be
char
ged
for
is li
mite
d to
20.
If fu
rthe
r tr
eatm
ent i
sre
quire
d at
the
end
of th
is p
erio
d of
trea
tmen
t, it
shou
ld b
e ne
gotia
ted
with
the
patie
nt (
d) It
em03
80 r
efer
s to
sca
lp a
cupu
nctu
re a
s a
trea
tmen
t in
its o
wn
right
and
not
to th
e us
e of
acu
punc
ture
poin
ts o
n th
e sc
alp
Pag
e 3
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 7
EE
.U
ltras
ound
exa
min
atio
ns: T
he in
tern
atio
nal n
orm
app
rove
d fo
r us
e in
Sou
th A
fric
a fo
r N
OR
MA
L20
04.0
0
PR
EG
NA
NC
Y is
two
ultr
asou
nd e
xam
s: (
a) T
he fi
rst s
can
shou
ld p
refe
rabl
y in
clud
e a
nuch
alth
ickn
ess
estim
atio
n an
d be
per
form
ed b
etw
een
10 a
nd 1
4 w
eeks
ges
tatio
n. T
he s
econ
d sc
ansh
ould
be
perf
orm
ed b
etw
een
20 a
nd 2
4 w
eeks
and
sho
uld
incl
ude
a fu
ll an
atom
ical
rep
ort.
All
subs
eque
nt u
ltras
ound
sca
ns a
re e
xclu
ded
from
the
bene
fits
of m
edic
al s
chem
es u
nles
sac
com
pani
ed b
y pr
oper
mot
ivat
ion.
An
ultr
asou
nd s
can
to a
sses
s an
abn
orm
al e
arly
pre
gnan
cym
ay b
e fo
rmed
bef
ore
10 w
eeks
but
this
sca
n m
ay n
ot b
e us
ed to
dia
gnos
e a
norm
alun
com
plic
ated
pre
gnan
cy. I
tem
361
8 is
a g
ynae
colo
gica
l sca
n an
d its
use
is n
ot a
ppro
ved
for
use
in p
regn
ancy
. (b)
In c
ases
whe
re th
e sc
an is
per
form
ed b
y th
e at
tend
ing
prac
titio
ner,
a c
lear
indi
catio
n fo
r su
ch a
sca
n m
ust b
e en
tere
d on
the
acco
unt r
ende
red,
or
a le
tter
of m
otiv
atio
n m
ust
be a
ttach
ed to
the
acco
unt (
the
prac
titio
ner
mus
t ele
ct o
ne o
f the
two
optio
ns).
(c)
In c
ase
of a
refe
rral
, the
ref
errin
g do
ctor
mus
t sub
mit
a le
tter
of m
otiv
atio
n to
the
radi
olog
ist o
r ot
her
prac
titio
ner
doin
g th
e sc
an. A
cop
y of
the
lette
r of
mot
ivat
ion
mus
t be
atta
ched
to th
e fir
st a
ccou
ntF
F.
(a)
Whe
n a
cyst
osco
py p
rece
des
a re
late
d op
erat
ion,
Mod
ifier
001
3: E
ndos
copi
c ex
amin
atio
n20
04.0
0
done
at a
n op
erat
ion,
app
lies,
e.g
. cys
tosc
opy
follo
wed
by
tran
sure
thra
l (T
UR
) pr
osta
tect
omy.
(b)
Whe
n a
cyst
osco
py p
rece
des
an u
nrel
ated
ope
ratio
n, M
odifi
er 0
005:
Mul
tiple
proc
edur
es/o
pera
tions
und
er th
e sa
me
anae
sthe
tic, a
pplie
s, e
.g. c
ysto
scop
y fo
r ur
inar
y tr
act
infe
ctio
n fo
llow
ed b
y in
guin
al h
erni
a re
pair.
(c)
No
mod
ifier
app
lies
to it
em 1
949:
Cys
tosc
opy,
whe
n pe
rfor
med
toge
ther
with
any
of i
tem
s 19
51 to
197
3.G
G.
Cap
turin
g an
d re
cord
ing
of e
xam
inat
ions
: Im
ages
from
all
radi
olog
ical
, ultr
asou
nd a
nd m
agne
tic20
04.0
0
reso
nanc
e im
agin
g pr
oced
ures
mus
t be
capt
ured
dur
ing
ever
y ex
amin
atio
n an
d a
perm
anen
tre
cord
gen
erat
ed b
y m
eans
of f
ilm, p
aper
, or
mag
netic
med
ia. A
rep
ort o
f the
exa
min
atio
n,in
clud
ing
the
findi
ngs
and
diag
nost
ic c
omm
ent,
mus
t be
writ
ten
and
stor
ed fo
r fiv
e ye
ars
RR
.T
he r
adio
logy
sec
tion
in th
is p
rice
list i
s no
t for
use
by
regi
ster
ed s
peci
alis
t rad
iolo
gy p
ract
ices
(P
r 20
04.0
0N
o "0
38")
or
nucl
ear
med
icin
e pr
actic
es (
Pr
No
"025
"), b
ut o
nly
for
use
by o
ther
spe
cial
ist
prac
tices
or
gene
ral p
ract
ition
ers.
A s
epar
ate
radi
olog
y sc
hedu
le is
for
the
excl
usiv
e us
e of
reg
iste
red
spec
ialis
t rad
iolo
gy p
ract
ices
(Pr
No
"038
") a
nd n
ucle
ar m
edic
ine
prac
tices
(P
r N
o "0
25")
.X
X.
Dia
gnos
tic s
ervi
ces
rend
ered
to h
ospi
tal i
npat
ient
s: Q
uote
Mod
ifier
009
1 on
all
acco
unts
for
2004
.00
diag
nost
ic s
ervi
ces
(e.g
. MR
I, X
-ray
s, p
atho
logy
test
s) p
erfo
rmed
on
patie
nts
offic
ially
adm
itted
toho
spita
l or
day
clin
icV
Y.
Dia
gnos
tic s
ervi
ces
rend
ered
to o
utpa
tient
s: Q
uote
Mod
ifier
009
2 on
all
acco
unts
for
diag
nost
ic20
04.0
0se
rvic
es (
e.g.
MR
I, X
-ray
s, p
atho
logy
test
s) p
erfo
rmed
on
patie
nts
NO
T o
ffici
ally
adm
itted
toho
spita
l or
day
clin
ic (
coul
d be
with
in th
e co
nfin
es o
f a h
ospi
tal)
MO
DIF
IER
S G
OV
ER
NIN
G T
HE
ST
RU
CT
UR
E00
02W
ritte
n re
port
on
X-r
ays:
The
low
est l
evel
cod
e fo
r a
new
pat
ient
offi
ce (
cons
ultin
g ro
oms)
vis
it, is
200
4.00
appl
icab
le o
nly
whe
re a
rad
iolo
gist
is r
eque
sted
to g
ive
a w
ritte
n re
port
on
X-r
ays
take
nel
sew
here
and
sub
mitt
ed to
him
. The
abo
ve m
entio
ned
item
and
the
low
est l
evel
initi
al h
ospi
tal
visi
t cod
e, a
s ap
prop
riate
are
not
to b
e us
ed fo
r ro
utin
e re
port
ing
of X
-ray
s ta
ken
else
whe
re
0004
Pro
cedu
res
perf
orm
ed in
ow
n pr
oced
ure
room
s: P
roce
dure
s pe
rfor
med
in d
octo
rs' o
wn
2006
.05
proc
edur
e ro
oms
inst
ead
of in
a h
ospi
tal t
heat
re o
r un
atta
ched
thea
tre
unit:
as
per
fee
for
proc
edur
e +
100
% (
the
valu
e of
mod
ifier
000
4 eq
uals
100
% o
f the
val
ue o
f the
pro
cedu
repe
rfor
med
). S
ee S
ectio
n V
(S
ectio
n G
in S
AM
A's
DU
) fo
r a
list o
f pro
cedu
res,
whi
ch a
re o
ften
done
in r
oom
s to
whi
ch M
odifi
er 0
004
shou
ld n
ot b
e ap
plie
d. P
leas
e no
te: O
nly
the
med
ical
prac
titio
ner
who
ow
ns th
e fa
cilit
y an
d th
e eq
uipm
ent m
ay c
harg
e m
odifi
er 0
004.
Onl
y on
e pe
rson
may
cla
im th
is m
odifi
er fo
r pr
oced
ures
per
form
ed in
doc
tors
' ow
n pr
oced
ure
room
s
Pag
e 4
of 8
7
8 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
0005
Mul
tiple
ther
apeu
tic p
roce
dure
s/op
erat
ions
und
er th
e sa
me
anae
sthe
tic:
2004
.00
a) U
nles
s ot
herw
ise
iden
tifie
d in
the
tarif
f whe
n m
ultip
le th
erap
eutic
pro
cedu
res/
oper
atio
ns a
ddsi
gnifi
cant
tim
e an
d/or
com
plex
ity, a
nd w
hen
each
pro
cedu
re/o
pera
tion
is c
lear
ly id
entif
ied
and
defin
ed, t
he fo
llow
ing
valu
es s
hall
prev
ail:
100%
(fu
ll va
lue)
for
the
first
or
maj
orpr
oced
ure/
oper
atio
n, 7
5% fo
r th
e se
cond
pro
cedu
re/o
pera
tion,
50%
for
the
third
proc
edur
e/op
erat
ion,
25%
for
the
four
th a
nd s
ubse
quen
t pro
cedu
res/
oper
atio
ns. T
his
mod
ifier
does
not
app
ly to
pur
ely
diag
nost
ic p
roce
dure
s.
b) In
the
case
of m
ultip
le fr
actu
res
and/
or d
islo
catio
ns th
e ab
ove
valu
es s
hall
prev
ail.
c) W
hen
pure
ly d
iagn
ostic
end
osco
pic
proc
edur
es o
r di
agno
stic
end
osco
pic
proc
edur
esun
rela
ted
to a
ny th
erap
eutic
pro
cedu
res
perf
orm
ed, a
re p
erfo
rmed
und
er th
e sa
me
gene
ral
anae
sthe
tic, M
odifi
er 0
005
is n
ot a
pplic
able
to th
e fe
es fo
r su
ch d
iagn
ostic
end
osco
pic
proc
edur
es a
s th
e fe
es fo
r en
dosc
opic
pro
cedu
res
do n
ot p
rovi
de fo
r af
ter-
care
. Spe
cify
unr
elat
eden
dosc
opic
pro
cedu
re a
nd p
rovi
de d
iagn
osis
to in
dica
te d
iagn
ostic
end
osco
pic
proc
edur
e(s)
unre
late
d to
oth
er (
ther
apeu
tic)
proc
edur
es p
erfo
rmed
und
er th
e sa
me
anae
sthe
tic.
d) P
leas
e no
te: W
hen
mor
e th
an o
ne s
mal
l pro
cedu
re is
per
form
ed a
nd th
e ta
riff m
akes
prov
isio
n fo
r ite
ms
for
"sub
sequ
ent'
or "
max
imum
for
mul
tiple
add
ition
al p
roce
dure
s" (
see
Sec
tion
2. In
tegu
men
tary
Sys
tem
) M
odifi
er 0
005
is n
ot a
pplic
able
as
the
fee
is a
lread
y a
redu
ced
fee.
0006
Vis
iting
spe
cial
ists
per
form
ing
proc
edur
es: W
here
spe
cial
ists
vis
it sm
alle
r ce
ntre
s to
per
form
2004
.00
proc
edur
es, f
ees
for
thes
e pa
rtic
ular
pro
cedu
res
are
excl
usiv
e of
afte
r-ca
re. T
he r
efer
ring
prac
titio
ner
will
then
be
entit
led
to s
ubse
quen
t hos
pita
l vis
its fo
r af
ter-
care
. If t
he r
efer
ring
prac
titio
ner
is n
ot a
vaila
ble,
the
spec
ialis
t sha
ll, o
n co
nsul
tatio
n w
ith th
e pa
tient
, cho
ose
anap
prop
riate
locu
m te
nens
. Bot
h th
e su
rgeo
n an
d th
e pr
actit
ione
r w
ho h
andl
ed th
e af
ter-
care
, mus
tin
suc
h in
stan
ces
quot
e M
odifi
er 0
006
with
the
part
icul
ar it
ems
whi
ch th
ey u
se00
07a)
Use
of o
wn
mon
itorin
g eq
uipm
ent i
n th
e ro
oms:
Rem
uner
atio
n fo
r th
e us
e of
any
type
of o
wn
2004
.00
2015
.000
1.0
R13
9.85
2015
.000
1.0
R13
9.85
mon
itorin
g eq
uipm
ent i
n th
e ro
oms
for
proc
edur
es p
erfo
rmed
und
er in
trav
enou
s se
datio
n -
15,0
0cl
inic
al p
roce
dure
uni
ts ir
resp
ectiv
e of
the
num
ber
of it
ems
of e
quip
men
t pro
vide
d.
b) U
se o
f ow
n eq
uipm
ent i
n ho
spita
l the
atre
or
unat
tach
ed th
eatr
e un
it R
emun
erat
ion
for
the
use
of a
ny ty
pe o
f ow
n eq
uipm
ent f
or p
roce
dure
s pe
rfor
med
in a
hos
pita
l the
atre
or
unat
tach
edth
eatr
e un
it w
hen
appr
opria
te e
quip
men
t is
not p
rovi
ded
by th
e ho
spita
l - 1
5,00
clin
ical
pro
cedu
reun
its ir
resp
ectiv
e of
the
num
ber
of it
ems
of e
quip
men
t pro
vide
d.00
08S
peci
alis
t sur
geon
ass
ista
nt: W
here
a p
roce
dure
req
uire
s a
regi
ster
ed s
peci
alis
t sur
geon
2004
.00
assi
stan
t, th
e fe
e is
33,
33%
(1/
3) o
f the
fee
for
the
spec
ialis
t sur
geon
0009
Ass
ista
nt: T
he fe
e fo
r an
ass
ista
nt is
20%
of t
he fe
e fo
r th
e sp
ecia
list s
urge
on, w
ith a
min
imum
of
2004
.00
36,0
0 cl
inic
al p
roce
dure
uni
ts. T
he m
inim
um fe
e pa
yabl
e m
ay n
ot b
e le
ss th
an 3
6,00
clin
ical
proc
edur
es u
nits
0010
Loca
l ana
esth
etic
: (a)
A fe
e fo
r a
loca
l ana
esth
etic
adm
inis
tere
d by
the
oper
ator
may
onl
y be
2004
.00
char
ged
for
(1)
an o
pera
tion
or p
roce
dure
hav
ing
a va
lue
grea
ter
than
30,
00 c
linic
al p
roce
dure
units
(i.e
. 31,
00 o
r m
ore
clin
ical
pro
cedu
re u
nits
allo
cate
d to
a s
ingl
e ite
m)
or (
2) w
here
mor
e th
anon
e op
erat
ion
or p
roce
dure
is d
one
at th
e sa
me
time
with
a c
ombi
ned
valu
e gr
eate
r th
an 5
0,00
clin
ical
pro
cedu
re u
nits
. (b)
The
fee
shal
l be
calc
ulat
ed a
ccor
ding
to th
e ba
sic
anae
sthe
tic u
nits
for
the
spec
ific
oper
atio
n. A
naes
thet
ic ti
me
may
not
be
char
ged
for,
but
the
min
imum
fee
as p
erM
odifi
er 0
036:
Ana
esth
etic
adm
inis
tere
d by
a g
ener
al p
ract
ition
er, s
hall
be a
pplic
able
in s
uch
aca
se. (
c) N
ot a
pplic
able
to r
adio
logi
cal p
roce
dure
s (s
uch
as a
ngio
grap
hy a
nd m
yelo
grap
hy. (
d)N
o fe
e m
ay b
e le
vied
for
topi
cal a
pplic
atio
n of
loca
l ana
esth
etic
. (e)
Ple
ase
note
: Mod
ifier
001
0:Lo
cal a
naes
thet
ic a
dmin
iste
red
by th
e op
erat
or, m
ay n
ot b
e ad
ded
on th
e su
rgeo
n's
acco
unt f
orpr
oced
ures
that
wer
e pe
rfor
med
und
er g
ener
al a
naes
thet
ic.
0011
Em
erge
ncy
proc
edur
es: A
ny b
ona
fide,
just
ifiab
le e
mer
genc
y pr
oced
ure
(all
hour
s) u
nder
take
n in
200
6.04
an o
pera
ting
thea
tre
and/
or in
ano
ther
set
ting
in li
eu o
f an
oper
atin
g th
eatr
e, w
ill a
ttrac
t an
addi
tiona
l 12,
00 c
linic
al p
roce
dure
uni
ts p
er h
alf-
hour
or
part
ther
eof o
f the
ope
ratin
g tim
e fo
r al
lm
embe
rs o
f the
sur
gica
l tea
m. M
odifi
er 0
011
does
not
app
ly in
res
pect
of p
atie
nts
on s
ched
uled
lists
. (A
med
ical
em
erge
ncy
is a
ny c
ondi
tion
whe
re d
eath
or
irrep
arab
le h
arm
to th
e pa
tient
will
resu
lt if
ther
e ar
e un
due
dela
ys in
rec
eivi
ng a
ppro
pria
te m
edic
al tr
eatm
ent)
Pag
e 5
of
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 9
0013
End
osco
pic
exam
inat
ions
don
e at
ope
ratio
ns: W
here
a r
elat
ed e
ndos
copi
c ex
amin
atio
n is
don
e at
200
4.00
an o
pera
tion
by th
e op
erat
ing
surg
eon
or th
e at
tend
ing
anae
sthe
siol
ogis
t, on
ly 5
0% o
f the
fee
for
the
endo
scop
ic e
xam
inat
ion
may
be
char
ged
0014
Ope
ratio
ns p
revi
ousl
y pe
rfor
med
by
othe
r su
rgeo
ns: W
here
an
oper
atio
n is
per
form
ed w
hich
has
200
4.00
been
pre
viou
sly
perf
orm
ed b
y an
othe
r su
rgeo
n, e
.g. a
rev
isio
n or
rep
eat o
pera
tion,
the
fee
shal
lbe
cal
cula
ted
acco
rdin
g to
the
tarif
f for
the
full
oper
atio
n pl
us a
n ad
ditio
nal f
ee to
be
nego
tiate
dun
der
gene
ral R
ule
J: In
exc
eptio
nal c
ases
whe
re th
e fe
e is
dis
prop
ortio
nate
ly lo
w in
rel
atio
n to
actu
al s
ervi
ce r
ende
red,
exc
ept w
here
alre
ady
spec
ified
in th
e ta
riff
0015
Intr
aven
ous
infu
sion
s: W
here
intr
aven
ous
infu
sion
s (in
clud
ing
bloo
d an
d bl
ood
cellu
lar
prod
ucts
)20
04.0
0ar
e ad
min
iste
red
as p
art o
f the
afte
r-tr
eatm
ent a
fter
the
oper
atio
n or
con
finem
ent,
no e
xtra
fees
shal
l be
char
ged
as th
is is
incl
uded
in th
e gl
obal
ope
rativ
e or
mat
erni
ty fe
es. S
houl
d th
epr
actit
ione
r do
ing
the
oper
atio
n or
atte
ndin
g to
the
mat
erni
ty c
ase
pref
er to
ask
ano
ther
prac
titio
ner
to p
erfo
rm p
ost-
oper
ativ
e or
pos
t-co
nfin
emen
t int
rave
nous
infu
sion
s, th
en th
epr
actit
ione
r hi
mse
lf (a
nd n
ot th
e pa
tient
) sh
all b
e re
spon
sibl
e fo
r re
mun
erat
ing
such
pra
ctiti
oner
for
the
infu
sion
s00
17In
ject
ions
adm
inis
tere
d by
pra
ctiti
oner
s: W
hen
dese
nsiti
satio
n, in
trav
enou
s, in
tram
uscu
lar
or20
05.0
610
7.50
01.
0R
112.
9110
7.50
01.
0 R
112.
91
subc
utan
eous
inje
ctio
ns a
re a
dmin
iste
red
by th
e pr
actit
ione
r hi
m-/
hers
elf t
o pa
tient
s w
ho a
ttend
the
cons
ultin
g ro
oms,
a fi
rst i
njec
tion
form
s pa
rt o
f the
con
sulta
tion/
visi
t and
onl
y al
l sub
sequ
ent
inje
ctio
ns fo
r th
e sa
me
cond
ition
sho
uld
be c
harg
ed a
t 7.5
0 co
nsul
tativ
e se
rvic
es u
nits
usi
ngm
odifi
er 0
017
to r
efle
ct th
e am
ount
(no
t cha
rgea
ble
toge
ther
with
a c
onsu
ltatio
n ite
m)
0018
Sur
gica
l mod
ifier
for
pers
ons
with
a B
MI o
f 35>
(ca
lcul
ated
acc
ordi
ng to
kg/
m2)
: Fee
for
2004
.00
proc
edur
e +
50%
for
surg
eons
and
a 5
0% in
crea
se in
ana
esth
etic
tim
e un
its fo
r an
aest
hesi
olog
ists
0019
Sur
gery
on
neon
ates
(up
to a
nd in
clud
ing
28 d
ays
afte
r bi
rth)
and
low
birt
h w
eigh
t inf
ants
(le
ss20
04.0
0th
an 2
500g
) un
der
gene
ral a
naes
thes
ia (
excl
udin
g ci
rcum
cisi
on):
per
fee
for
proc
edur
e +
50%
for
surg
eons
and
a 5
0% in
crea
se in
ana
esth
etic
tim
e un
its fo
r an
aest
hesi
olog
ists
0046
Whe
re in
the
trea
tmen
t of a
spe
cific
frac
ture
or
disl
ocat
ion
(com
poun
d or
dos
ed)
an in
itial
2004
.00
proc
edur
e is
follo
wed
with
in o
ne m
onth
by
an o
pen
redu
ctio
n, in
tern
al fi
xatio
n, e
xtem
al s
kele
tal
fixat
ion
or b
one
graf
ting
on th
e sa
me
bone
, the
fee
for
the
initi
al tr
eatm
ent o
f tha
t fra
ctur
e or
disl
ocat
ion
shal
l be
redu
ced
by 5
0%. P
leas
e no
te: T
his
redu
ctio
n do
es n
ot in
clud
e th
eas
sist
ant's
fee
whe
re a
pplic
able
. Afte
r on
e m
onth
, a fu
ll fe
e as
for
the
initi
al tr
eatm
ent,
isap
plic
able
0047
A fr
actu
re N
OT
req
uirin
g re
duct
ion
shal
l be
char
ged
on a
fee
per
serv
ice
basi
s20
04.0
000
48W
here
in th
e tr
eatm
ent o
f a fr
actu
re o
r di
sloc
atio
n, a
n in
itial
dos
ed r
educ
tion
is fo
llow
ed w
ithin
2004
.00
one
mon
th b
y fu
rthe
r do
sed
redu
ctio
ns u
nder
gen
eral
ana
esth
esia
, the
fee
for
such
sub
sequ
ent
redu
ctio
ns w
ill b
e 27
,00
clin
ical
pro
cedu
re u
nits
(no
t inc
ludi
ng a
fter-
care
)00
49E
xcep
t whe
re o
ther
wis
e sp
ecifi
ed, i
n ca
ses
of c
ompo
und
frac
ture
s, 7
7,00
clin
ical
pro
cedu
re u
nits
200
4.11
(spe
cial
ists
) an
d 77
,00
clin
ical
pro
cedu
re u
nits
(ge
nera
l pra
ctiti
oner
s) a
re to
be
adde
d to
the
units
for
the
frac
ture
s in
clud
ing
debr
idem
ent
0050
In c
ases
of a
com
poun
d fr
actu
re w
here
a d
ebrid
emen
t is
follo
wed
by
inte
rnal
fixa
tion
(exc
ludi
ng20
04.0
0fix
atio
n w
ith K
irsch
ner
wire
s, a
s w
ell a
s fr
actu
res
of h
ands
and
feet
), th
e fu
ll am
ount
acc
ordi
ng to
eith
er M
odifi
er 0
049:
Cas
es o
f com
poun
d fr
actu
res,
or
Mod
ifier
005
1: F
ract
ures
req
uirin
g op
enre
duct
ion,
inte
rnal
fixa
tion,
ext
emal
ske
leta
l fix
atio
n an
d/or
bon
e gr
aftin
g, m
ay b
e ad
ded
to th
e fe
efo
r th
e pr
oced
ure
invo
lved
, plu
s ha
lf of
the
amou
nt a
ccor
ding
to th
e se
cond
mod
ifier
(ei
ther
Mod
ifier
004
9: C
ases
of c
ompo
und
frac
ture
s or
Mod
ifier
005
1: F
ract
ures
req
uirin
g op
enre
duct
ion,
inte
rnal
fixa
tion,
ext
erna
l ske
leta
l fix
atio
n an
d/or
bon
e gr
aftin
g, a
s ap
plic
able
)
0051
Fra
ctur
es r
equi
ring
open
red
uctio
n, in
tern
al fi
xatio
n, e
xter
nal s
kele
tal f
ixat
ion
and/
or b
one
graf
ting:
200
4.11
Spe
cial
ists
add
77,
00 c
linic
al p
roce
dure
uni
ts. G
ener
al p
ract
ition
ers
add
77,0
0 cl
inic
al p
roce
dure
units
0053
Fra
ctur
e re
quiri
ng p
ercu
tane
ous
inte
rnal
fixa
tion
(inse
rtio
n an
d re
mov
al o
f fix
ativ
es (
wire
s) in
2004
.00
resp
ect o
f fin
gers
and
toes
incl
uded
]: S
peci
alis
ts a
nd g
ener
al p
ract
ition
ers
add
32,0
0 cl
inic
alpr
oced
ure
units
0055
Dis
loca
tion
requ
iring
ope
n re
duct
ion:
Uni
ts fo
r th
e sp
ecifi
c jo
int p
lus
77,0
0 cl
inic
al p
roce
dure
uni
ts 2
004.
11fo
r sp
ecia
lists
. Gen
eral
pra
ctiti
oner
s ad
d 77
,00
clin
ical
pro
cedu
re u
nits
2027
.000
1.0
R25
1.72
2027
.000
1.0
R25
1.72
2077
.000
1.0
R71
7.87
2077
.000
1.0
R71
7.87
20 1
15.5
001.
0R
107
6.79
2011
5.50
01.
0R
107
6.79
2077
.000
1.0
R71
7.87
2077
.000
1.0
R71
7.87
2032
.000
1.0
R29
8.33
2032
.000
1.0
R29
8.33
2077
.000
1.0
R71
7.87
2077
.000
1.0
R71
7.87
Pag
e 6
of 8
7
10 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
0057
Mul
tiple
pro
cedu
res
on fe
et: I
n m
ultip
le p
roce
dure
s on
feet
, fee
s fo
r th
e fir
st fo
ot a
re c
alcu
late
d20
04.0
0ac
cord
ing
to M
odifi
er 0
005:
Mul
tiple
pro
cedu
res/
oper
atio
ns u
nder
the
sam
e an
aest
hetic
.C
alcu
late
fees
for
the
seco
nd fo
ot in
the
sam
e w
ay, r
educ
e th
e to
tal t
o 75
% a
nd a
dd to
the
tota
l for
the
first
foot
0058
Rev
isio
n op
erat
ion
for
tota
l joi
nt r
epla
cem
ent a
nd im
med
iate
re-
subs
titut
ion
(infe
cted
or
non-
2004
.00
infe
cted
): p
er fe
e fo
r to
tal j
oint
rep
lace
men
t + 1
00%
0061
Com
bine
d pr
oced
ures
on
the
spin
e: In
cas
es o
f com
bine
d pr
oced
ures
on
the
spin
e, b
oth
the
2004
.00
orth
opae
dic
surg
eon
and
the
neur
osur
geon
are
ent
itled
to th
e fu
ll fe
e fo
r th
e re
leva
nt p
art o
f the
oper
atio
n pe
rfor
med
0063
Whe
re tw
o sp
ecia
lists
wor
k to
geth
er o
n a
repl
anta
tion
proc
edur
e, e
ach
shal
l be
entit
led
to tw
o-20
04.0
0th
irds
of th
e fe
e fo
r th
e pr
oced
ure
0064
Whe
re th
e re
plan
tatio
n is
uns
ucce
ssfu
l, no
furt
her
surg
ical
fee
is p
ayab
le fo
r am
puta
tion
of th
e20
04.0
0no
n-vi
able
par
ts00
65A
dditi
onal
ope
rativ
e pr
oced
ures
by
sam
e su
rgeo
n, u
nder
sec
tion
3.8.
6: S
pina
l def
orm
ities
, with
in 2
004.
00a
perio
d of
12
mon
ths:
75%
of s
ched
uled
fee
for
the
less
er p
roce
dure
, exc
ept w
here
oth
erw
ise
spec
ified
els
ewhe
re00
66M
icro
surg
ery
of th
e fa
llopi
an-t
ubes
and
ova
ries:
Whe
re m
icro
-sur
gica
l tec
hniq
ues
are
used
, with
2004
.00
the
aid
of a
mic
rosc
ope,
25%
may
be
adde
d to
the
fee
0067
Mic
rosu
rger
y of
the
lary
nx: A
dd 2
5% to
the
fee
of th
e op
erat
ion
perf
orm
ed (
for
othe
r op
erat
ions
2004
.00
requ
iring
the
use
of a
n op
erat
ion
mic
rosc
ope,
the
fee
incl
ude
the
use
of th
e m
icro
scop
e, e
xcep
tw
here
oth
erw
ise
spec
ified
els
ewhe
re In
the
Tar
iff)
0069
Whe
n en
dosc
opic
inst
rum
ents
are
use
d du
ring
intr
anas
al s
urge
ry: A
dd 1
0% o
f the
fee
of th
e20
04.0
0pr
oced
ure
perf
orm
ed. O
nly
appl
icab
le to
item
s 10
25, 1
027,
103
0, 1
033,
103
5, 1
036,
103
9, 1
047,
1054
and
108
300
70A
dd 4
5,00
clin
ical
pro
cedu
re u
nits
to p
roce
dure
(s)
perf
orm
ed th
roug
h a
thor
asco
pe20
04.0
000
72N
on in
vasi
ve p
erip
hera
l vas
cula
r te
sts:
The
num
ber
of te
sts
in a
sin
gle
case
is r
estr
icte
d to
two
2004
.00
(2)
per
diag
nosi
s. T
ests
are
not
just
ified
in c
ases
of u
ncom
plic
ated
var
icos
e ve
ins
0073
Whe
n ite
m 1
288
(Car
diac
cat
hete
risat
ion
for
cong
enita
l hea
rt d
isea
se: A
ll ag
es a
bove
1 y
ear
old)
200
4.00
or it
em 1
289
(Pae
diat
ric c
ardi
ac c
athe
teris
atio
n: In
fant
s be
low
the
age
of o
ne y
ear)
is p
erfo
rmed
by p
aedi
atric
car
diol
ogis
ts c
331:
fee
for
proc
edur
e +
100
%00
74E
ndos
copi
c pr
oced
ures
per
form
ed w
ith o
wn
equi
pmen
t: T
he b
asic
pro
cedu
re fe
e pl
us 3
3.33
%20
04.0
0(1
/3)
of th
at fe
e ("
+"
code
s ex
clud
ed)
will
app
ly w
here
end
osco
pic
proc
edur
es a
re p
erfo
rmed
with
own
equi
pmen
t.00
75E
ndos
copi
c pr
oced
ures
per
form
ed in
ow
n pr
oced
ure
room
: The
fee
plus
21,
00 c
linic
al p
roce
dure
200
4.00
units
will
app
ly w
here
end
osco
pic
proc
edur
es a
re p
erfo
rmed
in r
oom
s w
ith o
wn
equi
pmen
t Thi
sfe
e is
cha
rgea
ble
by m
edic
al p
ract
ition
ers
who
ow
n or
ren
t the
faci
lity.
Ple
ase
note
: Mod
ifier
007
5is
not
app
licab
le to
any
of t
he it
ems
for
diag
nost
ic p
roce
dure
s in
the
otor
hino
lary
ngol
ogy
sect
ions
of th
e ta
riff.
0077
Phy
sica
l tre
atm
ent:
Whe
n tw
o se
para
te a
reas
are
trea
ted
sim
ulta
neou
sly
for
tota
lly d
iffer
ent
2004
.00
cond
ition
s, s
uch
trea
tmen
t sha
ll be
reg
arde
d as
two
trea
tmen
ts fo
r w
hich
sep
arat
e fe
es m
ay b
ech
arge
d. (
Onl
y ap
plic
able
if s
ervi
ces
are
prov
ided
by
a sp
ecia
list i
n ph
ysic
al m
edic
ine)
0078
Whe
n a
test
is b
iops
y is
don
e co
mbi
ned
with
vas
ogra
m o
r se
min
al v
esic
ulog
ram
or
2004
.00
epid
idym
ogra
m, a
dd 5
0% o
f the
uni
ts fo
r th
e ap
prop
riate
pro
cedu
re00
79 W
hen
a fir
st c
onsu
ltatio
nNis
it pr
ocee
ds in
to, o
r is
imm
edia
tely
follo
wed
by
a m
edic
al20
04.0
0ps
ycho
ther
apeu
tic p
roce
dure
, fee
s fo
r th
e pr
oced
ure
are
calc
ulat
ed a
ccor
ding
to th
e ap
prop
riate
indi
vidu
al p
sych
othe
rapy
cod
e (it
ems
2957
, 297
4 or
297
5)00
80M
ultip
le e
xam
inat
ions
: Ful
l Fee
2004
.00
0081
Rep
eat e
xam
inat
ions
: No
redu
ctio
n20
04.0
0
0082
"+"
Mea
ns th
at th
is it
em is
com
plem
enta
ry to
a p
rece
ding
item
and
is th
eref
ore
not s
ubje
ct to
2004
.00
redu
ctio
n00
83A
red
uctio
n of
33,
33%
(1/
3) in
the
fee
will
app
ly to
rad
iolo
gica
l exa
min
atio
ns a
s in
dica
ted
in20
04.0
0se
ctio
n 19
: Rad
iolo
gy w
here
hos
pita
l equ
ipm
ent i
s us
ed00
84F
ilm c
osts
: In
the
case
of r
adio
logi
cal i
tem
s w
here
film
s ar
e us
ed, p
ract
ition
ers
shou
ld a
djus
t the
2004
.00
fee
upw
ards
or
dow
nwar
ds in
acc
orda
nce
with
cha
nges
in th
e pr
ice
of fi
lms
in c
ompa
rison
with
Nov
embe
r 19
79; t
he c
alcu
latio
n m
ust b
e do
ne o
n th
e ba
sis
that
film
cos
ts c
ompr
ise
10%
of t
hem
onet
ary
valu
e of
the
unit
(Thi
s in
form
atio
n is
obt
aina
ble
from
the
Rad
iolo
gica
l Soc
iety
of S
A)
2045
.000
1.0
R41
9.54
2045
.000
1.0
R41
9.54
2021
.000
1.0
R19
5.79
2021
.000
1.0
R19
5.79
Pag
e 7
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 11
0085
Left
Sid
e' m
odifi
er to
be
adde
d to
whe
n ite
ms
6500
to 6
519
are
used
whe
n th
e le
ft si
de is
2004
.00
exam
ined
. Ple
ase
note
that
the
abse
nce
of th
is m
odifi
er in
dica
tes
that
the
right
sid
e w
asex
amin
ed00
86V
ascu
lar
grou
ps: "
Film
ser
ies"
and
"In
trod
uctio
n of
Con
tras
t Med
ia"
are
com
plem
enta
ry a
nd20
04.0
0to
geth
er c
onst
itute
a s
ingl
e ex
amin
atio
n: n
eith
er fe
e is
ther
efor
e su
bjec
t to
incr
ease
in te
rms
ofM
odifi
er 0
080:
Mul
tiple
exa
min
atio
ns00
90R
adio
logi
st's
fee
for
part
icip
atio
n in
a te
am: 3
0,00
rad
iolo
gy u
nits
per
% h
our
or p
art t
here
of fo
r al
l 200
4.00
inte
rven
tiona
l rad
iolo
gica
l pro
cedu
res,
exc
ludi
ng a
ny p
re-
or p
ost-
oper
ativ
e an
giog
raph
y,ca
thet
eris
atio
n, C
T-s
cann
ing,
ultr
asou
nd-s
cann
ing
or x
-ray
pro
cedu
res.
(O
nly
to b
e ch
arge
d if
radi
olog
ist i
s ha
nds-
on, a
nd n
ot fo
r in
terp
reta
tion
of im
ages
onl
y)00
91D
iagn
ostic
ser
vice
s re
nder
ed to
hos
pita
l inp
atie
nts:
Quo
te M
odifi
er 0
091
on a
ll ac
coun
ts fo
rdi
agno
stic
ser
vice
s (e
.g. M
RI,
X-r
ays,
pat
holo
gy te
sts)
per
form
ed o
n pa
tient
s of
ficia
lly a
dmitt
ed to
hosp
ital o
r da
y cl
inic
(re
fer
to R
ule
XX
)00
92D
iagn
ostic
ser
vice
s re
nder
ed to
out
patie
nts:
Quo
te M
odifi
er 0
092
on a
ll ac
coun
ts fo
r di
agno
stic
serv
ices
(e.
g. M
RI,
X-r
ays,
pat
holo
gy te
sts)
per
form
ed o
n pa
tient
s N
OT
offi
cial
ly a
dmitt
ed to
hosp
ital o
r da
y cl
inic
(co
uld
be w
ithin
the
conf
ines
of a
hos
pita
l) (r
efer
to R
ule
YY
)00
95R
adia
tion
mat
eria
ls: E
xclu
sive
ly fo
r us
e w
here
rad
iatio
n m
ater
ials
sup
plie
d by
the
prac
tice
are
used
by
clin
ical
and
rad
iatio
n on
colo
gist
s, m
odifi
er 0
095
shou
ld b
e us
ed to
iden
tify
thes
em
ater
ials
. A m
ater
ial c
ode
list w
ith d
escr
iptio
ns a
nd g
uide
line
cost
s fo
r th
ese
mat
eria
ls,
mai
ntai
ned
and
upda
ted
on a
reg
ular
bas
is, w
ill b
e su
pplie
d by
the
Soc
iety
of C
linic
al a
ndR
adia
tion
Onc
olog
y. T
his
mod
ifier
is o
nly
char
geab
le b
y th
e pr
actic
e re
spon
sibl
e fo
r th
e co
st o
fth
is m
ater
ial a
nd w
here
the
hosp
ital d
id n
ot c
harg
e th
eref
ore.
Ple
ase
note
that
item
020
1 sh
ould
not b
e us
ed fo
r th
ese
mat
eria
ls00
96R
adio
-isot
ope
ther
apy
patie
nts
who
fail
to k
eep
thei
r ap
poin
tmen
ts: F
ee w
ill in
clud
e co
st o
fis
otop
e00
97P
atho
logy
test
s pe
rfor
med
by
non-
path
olog
ists
: Whe
re it
ems
unde
r C
linic
al P
atho
logy
(se
ctio
n21
) an
d A
nato
mic
al P
atho
logy
(se
ctio
n 22
) fa
ll w
ithin
the
prov
ince
of o
ther
spe
cial
ists
or
gene
ral
prac
titio
ners
, the
fee
is to
be
char
ged
at tw
o-th
irds
of th
e pa
thol
ogis
ts fe
e01
60A
spira
tion
of b
iops
y pr
oced
ure
perf
orm
ed u
nder
dire
ct u
ltras
ound
con
trol
by
an u
ltras
ound
aspi
ratio
n bi
opsy
tran
sduc
er (
Sta
tic R
ealti
me)
: Fee
for
part
exa
min
ed p
lus
30%
of t
he u
nits
0165
Use
of c
ontr
ast d
urin
g ul
tras
ound
stu
dy: a
dd 6
.00
ultr
asou
nd u
nits
5104
Ultr
asou
nd in
pre
gnan
cy, m
ultip
le g
esta
tion,
afte
r tw
enty
wee
ks: p
lus
30%
6100
In o
rder
to c
harg
e th
e fu
ll fe
e (6
00,0
0 m
agne
tic r
eson
ance
uni
ts)
for
an e
xam
inat
ion
of a
spe
cific
sing
le a
nato
mic
al r
egio
n, it
sho
uld
be p
erfo
rmed
with
the
appl
icab
le r
adio
freq
uenc
y co
il in
clud
ing
T1
and
T2
wei
ghte
d im
ages
on
at le
ast t
wo
plan
es61
01W
here
a li
mite
d se
ries
of a
spe
cific
ana
tom
ical
reg
ion
is p
erfo
rmed
(ex
cept
bon
e tu
mou
r), e
.g. a
T2
wei
ghte
d im
age
of a
bon
e fo
r an
occ
ult s
tres
s fr
actu
re, n
ot m
ore
than
two-
third
s (2
/3)
of th
efe
e m
ay b
e ch
arge
d. A
lso
appl
icab
le to
all
radi
othe
rapy
pla
nnin
g st
udie
s, p
er r
egio
n61
02A
ll po
st-c
ontr
ast s
tudi
es (
exce
pt b
one
tum
our)
, inc
ludi
ng p
erfu
sion
stu
dies
, to
be c
harg
es a
t 50%
of th
e fe
e61
03P
ost-
cont
rast
stu
dy: B
one
tum
our
100%
of t
he fe
e61
04Li
mite
d ex
amin
atio
n of
the
hypo
phys
is e
.g. w
here
a c
oron
a! T
1 an
d sa
gitta
l T1
serie
s ar
epe
rfor
med
, tw
o-th
irds
(2/3
) of
the
fee
is a
pplic
able
6105
Whe
re, i
n a
limite
d hy
poph
ysis
exa
min
atio
n, G
adol
iniu
m is
adm
inis
tere
d an
d co
rona
! T1
and
sagi
ttal T
1 se
ries
are
repe
ated
, a s
ingl
e fu
ll fe
e fo
r th
e en
tire
exam
inat
ion
is a
pplic
able
+ c
ost o
fG
adol
iniu
m +
dis
posa
ble
item
s61
06W
here
a m
agne
tic r
eson
ance
ang
iogr
aphy
(M
RA
) of
larg
e ve
ssel
s is
per
form
ed a
s pr
imar
yex
amin
atio
n, 1
00%
of t
he fe
e is
app
licab
le. T
his
mod
ifier
is o
nly
appl
icab
le if
the
serie
s is
perf
orm
ed b
y us
e of
a r
ecog
nise
d an
giog
raph
ic s
oftw
are
pack
age
with
rec
onst
ruct
ion
capa
bilit
y
6107
Whe
re a
mag
netic
res
onan
ce a
ngio
grap
hy (
MR
A)
of th
e ve
ssel
s is
per
form
ed a
dditi
onal
to a
nex
amin
atio
n of
a p
artic
ular
reg
ion,
50%
of t
he fe
e is
app
licab
le fo
r th
e an
giog
raph
y. T
his
mod
ifier
is o
nly
appl
icab
le if
the
serie
s is
per
form
ed b
y us
e of
a r
ecog
nise
d an
giog
raph
ic s
oftw
are
pack
age
with
rec
onst
ruct
ion
capa
bilit
y61
08W
here
onl
y a
grad
ient
ech
o se
ries
is p
erfo
rmed
with
a m
achi
ne w
ithou
t a r
ecog
nise
dan
giog
raph
ic s
oftw
are
pack
age
with
rec
onst
ruct
ion
abili
ty, 2
0% o
f the
full
fee
is a
pplic
able
spec
ifyin
g th
at it
is a
"flo
w s
ensi
tive
serie
s"61
09V
ery
limite
d st
udie
s to
be
char
ged
at 3
3,33
% o
f the
full
fee
e.g.
MR
uro
grap
hy fo
r re
nal c
olic
,di
ffusi
on s
tudi
es o
f the
bra
in a
dditi
onal
to r
outin
e br
ain
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
606.
000
1.0
R53
.31
606.
000
1.0
R
Pag
e 8
of 8
7
53.3
1
12 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
6110
MR
1spe
ctro
scop
y 50
% o
f fee
2004
.00
6300
If a
proc
edur
e la
sts
less
than
30
min
utes
, onl
y 50
% o
f the
mac
hine
fees
for
item
s 35
36-3
550
will
2004
.00
be a
llow
ed (
spec
ify ti
me
of p
roce
dure
on
acco
unt)
6301
If a
proc
edur
e is
per
form
ed b
y a
radi
olog
ist i
n a
faci
lity
not o
wne
d by
him
self,
the
fee
will
be
2004
.00
redu
ced
by 4
0% (
i.e. 6
0% o
f the
fee
will
be
char
ged)
6302
Whe
n th
e pr
oced
ure
is p
erfo
rmed
by
a no
n-ra
diol
ogis
t, th
e fe
e w
ill b
e re
duce
d by
40%
(i.e
. 60%
2004
.00
of th
e fe
e w
ill b
e ch
arge
d)63
03W
hen
a pr
oced
ure
is p
erfo
rmed
ent
irely
by
a no
n-ra
diol
ogis
t in
a fa
cilit
y ow
ned
by a
rad
iolo
gist
,20
04.0
0
the
radi
olog
ist o
wni
ng th
e fa
cilit
y m
ay c
harg
e 55
% o
f the
pro
cedu
re u
nits
use
d. M
odifi
er 6
302
appl
ies
to th
e no
n ra
diol
ogis
t per
form
ing
the
proc
edur
e63
05 W
hen
mul
tiple
cat
hete
risat
ion
proc
edur
es a
re u
sed
(item
s 35
57, 3
559,
356
0, 3
562)
and
an
2004
.00
angi
ogra
m in
vest
igat
ion
is p
erfo
rmed
at e
ach
leve
l, th
e un
it va
lue
of e
ach
such
mul
tiple
proc
edur
e w
ill b
e re
duce
d by
20,
00 r
adio
logi
cal u
nits
for
each
pro
cedu
re a
fter
the
initi
alca
thet
eris
atio
n. T
he fi
rst c
athe
teris
atio
n is
cha
rged
at 1
00%
of t
he u
nit v
alue
I.C
onsu
ltativ
e S
ervi
ces
I.aG
ener
al P
ract
ition
er v
isits
I.bS
peci
alis
ts ti
ered
con
sulta
tion
stru
ctur
eI.b
.1N
ew a
nd e
stab
lishe
d pa
tient
s: C
onsu
ltatio
ns/v
isits
by
psyc
hiat
rists
(22
) on
ly01
61P
sych
iatr
y ('2
2'):
New
and
est
ablis
hed
patie
nts:
Con
sulta
tion/
visi
t of n
ew o
r es
tabl
ishe
d pa
tient
2006
.02
with
pro
blem
focu
sed
hist
ory,
clin
ical
exa
min
atio
n an
d st
raig
htfo
rwar
d de
cisi
on m
akin
g fo
r m
inor
prob
lem
. Typ
ical
ly o
ccup
ies
the
doct
or p
erso
nally
with
the
patie
nt b
etw
een
10 a
nd 2
0 m
inut
es (
for
hosp
ital c
onsu
ltatio
Nvi
sit b
y ps
ychi
atris
t - r
efer
to it
ems
0166
-016
9)01
62P
sych
iatr
y ('2
2'):
New
and
est
ablis
hed
patie
nts:
Con
sulta
tion/
visi
t of n
ew o
r es
tabl
ishe
d pa
tient
2006
.02
with
det
aile
d hi
stor
y, c
linic
al e
xam
inat
ion
and
stra
ight
forw
ard
deci
sion
mak
ing
and
coun
selli
ng.
Typ
ical
ly o
ccup
ies
the
doct
or p
erso
nally
with
the
patie
nt b
etw
een
21 a
nd 3
5 m
inut
es (
for
hosp
ital
cons
ulta
tion/
visi
t by
psyc
hiat
rist -
ref
er to
item
s 01
66-0
169)
0163
Psy
chia
try
('22'
): N
ew a
nd e
stab
lishe
d pa
tient
s: C
onsu
ltatio
Nvi
sit o
f new
or
esta
blis
hed
patie
nt20
06.0
2w
ith d
etai
led
hist
ory,
com
plet
e cl
inic
al e
xam
inat
ion
and
mod
erat
ely
com
plex
dec
isio
n m
akin
g an
dco
unse
lling
. Typ
ical
ly o
ccup
ies
the
doct
or p
erso
nally
with
the
patie
nt b
etw
een
36 a
nd 4
5 m
inut
es(f
or h
ospi
tal c
onsu
ltatio
n/vi
sit b
y ps
ychi
atris
t - r
efer
to it
ems
0166
-016
9)01
64P
sych
iatr
y ('2
2'):
New
and
est
ablis
hed
patie
nts:
Con
sulta
tioN
visi
t of n
ew o
r es
tabl
ishe
d pa
tient
2006
.02
with
com
preh
ensi
ve h
isto
ry a
nd c
linic
al e
xam
inat
ion
for
com
plex
pro
blem
req
uirin
g co
mpl
exde
cisi
on m
akin
g an
d co
unse
lling
. Typ
ical
ly o
ccup
ies
a do
ctor
per
sona
lly w
ith th
e pa
tient
bet
wee
n46
and
60
min
utes
(fo
r ho
spita
l con
sulta
tioN
visi
t by
psyc
hiat
rist -
ref
er to
item
s 01
66-0
169)
0166
Psy
chia
try
(22)
: Firs
t hos
pita
l con
sulta
tioN
visi
t with
pro
blem
focu
sed
hist
ory,
clin
ical
exa
min
atio
n 20
06.0
6an
d st
raig
htfo
rwar
d de
cisi
on m
akin
g fo
r m
inor
pro
blem
. Typ
ical
ly o
ccup
ies
the
doct
or p
erso
nally
with
the
patie
nt fo
r be
twee
n 10
and
20
min
utes
0167
Psy
chia
try
(22)
: Firs
t hos
pita
l con
sulta
tion/
visi
t with
det
aile
d hi
stor
y, c
linic
al e
xam
inat
ion
and
2006
.06
stra
ight
forw
ard
deci
sion
mak
ing
and
coun
selli
ng. T
ypic
ally
occ
upie
s th
e do
ctor
per
sona
lly w
ithth
e pa
tient
for
betw
een
21 a
nd 3
5 m
inut
es01
68P
sych
iatr
y (2
2): F
irst h
ospi
tal c
onsu
ltatio
nNis
it w
ith d
etai
led
hist
ory,
com
plet
e cl
inic
al e
xam
inat
ion
2006
.06
and
mod
erat
ely
com
plex
dec
isio
n m
akin
g an
d co
unse
lling
. Typ
ical
ly o
ccup
ies
the
doct
orpe
rson
ally
with
the
patie
nt fo
r be
twee
n 36
and
45
min
utes
0169
Psy
chia
try
(22)
: Firs
t hos
pita
l con
sulta
tion/
visi
t with
com
preh
ensi
ve h
isto
ry a
nd c
linic
al20
06.0
6ex
amin
atio
n fo
r co
mpl
ex p
robl
em r
equi
ring
com
plex
dec
isio
n m
akin
g an
d co
unse
lling
. Typ
ical
lyoc
cupi
es a
doc
tor
pers
onal
ly w
ith th
e pa
tient
for
betw
een
46 a
nd 6
0 m
inut
esI.c
Gen
eral
pra
ctiti
oner
and
spe
cial
ist s
ervi
ces
0190
New
and
est
ablis
hed
patie
nt: C
onsu
ltatio
nNis
it of
new
or
esta
blis
hed
patie
nt o
f an
aver
age
2006
.02
dura
tion
and/
or c
ompl
exity
. Inc
lude
s co
unse
lling
with
the
patie
nt a
nd/o
r fa
mily
and
co-
ordi
natio
nw
ith o
ther
hea
lth c
are
prov
ider
s or
liai
son
with
third
par
ties
on b
ehal
f of t
he p
atie
nt (
for
hosp
ital
cons
ulta
tionN
isit
- re
fer
to it
em 0
173-
0175
or
item
010
9) -
not
app
ropr
iate
for
pre-
anae
sthe
ticas
sess
men
t fol
low
ed b
y th
e ap
prop
riate
ana
esth
etic
s -
refe
r to
new
ana
esth
etic
str
uctu
re
Pag
e 9
of 8
7
130
15.0
001.
0 R
253.
1310
17.0
001.
0R
255.
91
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 13
0191
New
and
est
ablis
hed
patie
nt: C
onsu
ltatio
n /v
isit
of n
ew o
r es
tabl
ishe
d pa
tient
of a
mod
erat
ely
2006
.02
abov
e av
erag
e du
ratio
n an
d/or
com
plex
ity. I
nclu
des
coun
selli
ng w
ith th
e pa
tient
and
/or
fam
ilyan
d co
-ord
inat
ion
with
oth
er h
ealth
car
e pr
ovid
ers
or li
aiso
n w
ith th
ird p
artie
s on
beh
alf o
f the
patie
nt (
for
hosp
ital c
onsu
ltatio
n/vi
sit -
ref
er to
item
017
3-01
75 o
r ite
m 0
109)
- n
ot a
ppro
pria
te fo
rpr
e-an
aest
hetic
ass
essm
ent f
ollo
wed
by
the
appr
opria
te a
naes
thet
ics
- re
fer
to n
ew a
naes
thet
icst
ruct
ure
0192
New
and
est
ablis
hed
patie
nt C
onsu
ltatio
n/vi
sit o
f new
or
esta
blis
hed
patie
nt o
f lon
g du
ratio
n20
06.0
2an
d/or
hig
h co
mpl
exity
. Inc
lude
s co
unse
lling
with
the
patie
nt a
nd/o
r fa
mily
and
co-
ordi
natio
n w
ithot
her
heal
th c
are
prov
ider
s or
liai
son
with
third
par
ties
on b
ehal
f of t
he p
atie
nt (
for
hosp
ital
cons
ulta
tion/
visi
t - r
efer
to it
em 0
173-
0175
or
item
010
9) -
not
app
ropr
iate
for
pre-
anae
sthe
ticas
sess
men
t fol
low
ed b
y th
e ap
prop
riate
ana
esth
etic
s -
refe
r to
new
ana
esth
etic
str
uctu
re
0173
Firs
t hos
pita
l con
sulta
tion/
visi
t of a
n av
erag
e du
ratio
n an
d/or
com
plex
ity. I
nclu
des
coun
selli
ng20
06.0
2
with
the
patie
nt a
nd/o
r fa
mily
and
co-
ordi
natio
n w
ith o
ther
hea
lth c
are
prov
ider
s or
liai
son
with
third
par
ties
on b
ehal
f of t
he p
atie
nt (
not a
ppro
pria
te fo
r pr
e-an
aest
hetic
ass
essm
ent f
ollo
wed
by
the
appr
opria
te a
naes
thet
ics
- re
fer
to n
ew a
naes
thet
ic s
truc
ture
)01
74F
irst h
ospi
tal c
onsu
ltatio
n/vi
sit o
f a m
oder
atel
y ab
ove
aver
age
dura
tion
and/
or c
ompl
exity
.20
06.0
2In
clud
es c
ouns
ellin
g w
ith th
e pa
tient
and
/or
fam
ily a
nd c
o-or
dina
tion
with
oth
er h
ealth
car
epr
ovid
ers
or li
aiso
n w
ith th
ird p
artie
s on
beh
alf o
f the
pat
ient
(no
t app
ropr
iate
for
pre-
anae
sthe
ticas
sess
men
t fol
low
ed b
y th
e ap
prop
riate
ana
esth
etic
s -
refe
r to
new
ana
esth
etic
str
uctu
re)
0175
Firs
t hos
pita
l con
sulta
tion/
visi
t of l
ong
dura
tion
and/
or h
igh
com
plex
ity. I
nclu
des
coun
selli
ng w
ith20
06.0
2th
e pa
tient
and
/or
fam
ily a
nd c
o-or
dina
tion
with
oth
er h
ealth
car
e pr
ovid
ers
or li
aiso
n w
ith th
irdpa
rtie
s on
beh
alf o
f the
pat
ient
(no
t app
ropr
iate
for
pre-
anae
sthe
tic a
sses
smen
t fol
low
ed b
y th
eap
prop
riate
ana
esth
etic
s -
refe
r to
new
ana
esth
etic
str
uctu
re)
0109
Hos
pita
l fol
low
-up
visi
t to
patie
nt in
war
d or
nur
sing
faci
lity
- R
efer
to g
ener
al r
ule
G(a
) fo
r po
st-
2006
.04
oper
ativ
e ca
re)
(may
onl
y be
cha
rged
onc
e pe
r da
y) (
not t
o be
use
d w
ith it
ems
0111
, 014
5, 0
146,
0147
or
ICU
item
s 12
04-1
214)
0111
Pae
diat
ric h
ospi
tal f
ollo
w-u
p vi
sits
(ex
clud
ing
neon
ates
) by
pae
diat
ricia
ns o
r pa
edia
tric
2006
.04
card
iolo
gist
s (m
ay o
nly
be c
harg
ed o
nce
per
day)
(no
t to
be u
sed
with
item
s 01
09 o
r IC
U it
ems
1204
-121
4). F
or a
hea
lthy
neon
ate
plea
se u
se it
em 0
109
for
a ho
spita
l fol
low
-up
visi
t01
29P
rolo
nged
face
-to-
face
atte
ndan
ce to
a p
atie
nt: A
DD
to e
ither
item
019
2, it
em 0
175,
item
016
4 or
200
6.06
item
016
9 as
app
ropr
iate
, for
eac
h 15
-min
ute
perio
d on
ly if
ser
vice
ext
ends
10
min
utes
or
mor
ein
to th
e ne
xt 1
5-m
inut
e pe
riod
follo
win
g on
the
first
60
min
utes
0145
For
con
sulta
tion/
visi
t aw
ay fr
om th
e do
ctor
's h
ome
or r
oom
s (n
on-e
mer
genc
y): A
DD
onl
y to
the
2006
.04
cons
ulta
tion/
visi
t ite
ms
0190
-019
2, it
ems
0173
-017
5, it
ems
0161
-016
4 or
item
s 01
66-0
169,
as
appr
opria
te. N
ote:
Onl
y on
e of
item
s 01
45, 0
146
or 0
147
may
be
char
ged
and
not c
ombi
natio
nsth
ereo
f01
46F
or a
n un
sche
dule
d em
erge
ncy
cons
ulta
tion/
visi
t at t
he d
octo
rs' h
ome
or r
oom
s, a
ll ho
urs:
AD
D20
06.0
5on
ly to
the
cons
ulta
tion/
visi
t ite
ms
0190
-019
2, it
ems
0161
-016
4 or
item
s 01
51-0
153,
as
appr
opria
te (
refe
r to
gen
eral
rul
e B
). N
ote:
Onl
y on
e of
item
s 01
45, 0
146
or 0
147
may
be
char
ged
and
not c
ombi
natio
ns th
ereo
f01
47F
or a
n un
sche
dule
d em
erge
ncy
cons
ulta
tion/
visi
t aw
ay fr
om th
e do
ctor
's h
ome
or r
oom
s, a
ll20
06.0
5ho
urs:
AD
D o
nly
to th
e co
nsul
tatio
n/vi
sit i
tem
s 01
90-0
192,
item
s 01
73-0
175,
item
s 01
61-0
164,
item
s 01
66-0
169
or it
ems
0151
-015
3, a
s ap
prop
riate
. Not
e: O
nly
one
of it
ems
0145
, 014
6 or
014
7m
ay b
e ch
arge
d an
d no
t com
bina
tions
ther
eof
0148
For
ele
ctiv
e af
ter-
hour
s se
rvic
es o
n re
ques
t of t
he p
atie
nt o
r fa
mily
(no
n em
erge
ncy)
(re
fer
to20
06.0
5
gene
ral r
ule
B):
AD
D 5
0% o
f the
fee
for
the
appr
opria
te c
onsu
ltatio
n/vi
sit i
tem
(on
ly to
be
used
with
item
s 01
90-0
192,
item
s 01
73-0
175,
item
s 01
61-0
164,
item
s 01
66-0
169
or it
ems
0151
-015
3)an
d re
flect
this
as
a se
para
te it
em 0
148.
Usa
ge: T
his
item
is u
sed
whe
n, fo
r ex
ampl
e, a
pat
ient
or
the
fam
ily r
eque
st th
e do
ctor
for
a no
n-em
erge
ncy
cons
ulta
tion/
visi
t out
side
of t
he n
orm
al h
ours
perio
d as
ref
lect
ed in
gen
eral
rul
e B
.01
49A
fter-
hour
s bo
na fi
de e
mer
genc
y co
nsul
tatio
n/vi
sit (
21:0
0-6:
00 d
aily
): A
DD
25%
of t
he fe
e fo
r th
e20
06.0
5ap
prop
riate
con
sulta
tion/
visi
t ite
m (
only
to b
e us
ed w
ith it
ems
0190
-019
2, it
ems
0173
-017
5, it
ems
0161
-016
4, it
ems
0166
-016
9 or
item
s 01
51-0
153)
and
ref
lect
this
as
a se
para
te it
em 0
149.
Not
e:T
he a
fter-
hour
per
iod
appl
icab
le to
this
item
is fr
om M
onda
y to
Sun
day
21:0
0-6:
00le
Pre
-ana
esth
etic
ass
essm
ent
130
15.0
001.
0R
253.
1310
17.0
001.
0R
255.
91
130
15.0
001.
0R
253.
1310
17.0
001.
0R
255.
91
130
15.0
001.
0R
253.
1310
17.0
001.
0R
255.
91
130
15.0
001.
0R
253.
1310
17.0
001.
0R
255.
91
130
15.0
001.
0R
253.
1310
17.0
001.
0R
255.
91
1015
.000
1.0
R22
5.85
1015
.000
1.0
R22
5.85
+10
15.0
00 1
.0R
225.
8510
15.0
001.
0R
225.
85
+10
6.00
01.
0R
90.3
410
6.00
01.
0R
90.3
4
+10
8.00
01.
0R
120.
4010
8.00
01.
0R
120.
40
+10
14.0
001.
0R
210.
7410
14,0
001.
0R
210.
74
+10
-1.
010
-1.
0
10-
1,0
10-
1.0
Pag
e 10
of 8
7
14 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
0151
Pre
-ana
esth
etic
ass
essm
ent P
re-a
naes
thet
ic a
sses
smen
t of p
atie
nt (
all h
ours
). P
robl
em fo
cuse
d 20
06.0
4hi
stor
y an
d cl
inic
al e
xam
inat
ion
and
stra
ight
forw
ard
deci
sion
mak
ing
for
min
or p
robl
em. T
ypic
ally
occu
pies
the
doct
or fa
ce-t
o-fa
ce w
ith th
e pa
tient
for
betw
een
10 a
nd 2
0 m
inut
es
0152
Pre
-ana
esth
etic
ass
essm
ent:
Pre
-ana
esth
etic
ass
essm
ent o
f pat
ient
(al
l hou
rs).
Det
aile
d hi
stor
y20
06.0
4an
d cl
inic
al e
xam
inat
ion
and
stra
ight
forw
ard
deci
sion
mak
ing
and
coun
selli
ng. T
ypic
ally
occ
upie
sth
e do
ctor
face
-to-
face
with
the
patie
nt fo
r be
twee
n 20
and
35
min
utes
0153
Pre
-ana
esth
etic
ass
essm
ent:
Pre
-ana
esth
etic
ass
essm
ent o
f pat
ient
or
othe
r co
nsul
tativ
e se
rvic
e. 2
006.
04C
onsu
ltatio
n w
ith d
etai
led
hist
ory,
com
plet
e ex
amin
atio
n an
d m
oder
ate
com
plex
dec
isio
n m
akin
gan
d co
unse
lling
. Typ
ical
ly o
ccup
ies
the
doct
or fa
ce-t
o-fa
ce fo
r be
twee
n 30
and
45
min
utes
I.fP
rena
tal v
isits
and
new
bor
n at
tend
ance
0107
New
bor
n at
tend
ance
: Exc
lusi
ve a
ttend
ance
to b
aby
at C
aesa
rean
sec
tion,
nor
mal
del
iver
y or
vis
it 20
06.0
2in
the
war
d (o
nce
per
patie
nt)
(item
s 01
09, 0
111,
011
3, 0
145,
014
6 an
d/or
014
7 m
ay n
ot b
ead
ded
to it
em 0
107)
Item
010
7 ca
n be
use
d on
ce o
nly
for
give
n co
nfin
emen
t20
04.0
001
13N
ew b
orn
atte
ndan
ce: E
mer
genc
y at
tend
ance
to n
ewbo
rn a
t all
hour
s (o
nce
per
patie
nt)
(item
s20
06.0
201
07, 0
109,
011
1, 0
145,
014
6 an
d/or
014
7 m
ay n
ot b
e ad
ded
to it
em 0
113)
1.9
Con
sulta
tive
serv
ices
: Mis
cella
neou
s01
30T
elep
hone
con
sulta
tion
(all
hour
s)20
04.0
001
32C
onsu
lting
ser
vice
e.g
. writ
ing
of r
epea
t scr
ipts
or
requ
estin
g ro
utin
e pr
e-au
thor
isat
ion
with
out t
he 2
004.
00ph
ysic
al p
rese
nce
of th
e pa
tient
(ne
eds
not b
e fa
ce-t
o-fa
ce c
onta
ct)
("C
onsu
ltatio
n" v
ia S
MS
or
elec
tron
ic m
edia
incl
uded
)01
33W
ritin
g of
spe
cial
mot
ivat
ions
for
proc
edur
es a
nd tr
eatm
ent w
ithou
t the
phy
sica
l pre
senc
e of
a20
04.0
0
patie
nt (
incl
udes
rep
ort o
n th
e cl
inic
al c
ondi
tion
of a
pat
ient
) re
ques
ted
by o
r on
beh
alf o
f a th
irdpa
rty
fund
er o
r its
age
nt01
99C
ompl
etio
n of
chr
onic
med
icat
ion
form
s by
med
ical
pra
ctiti
oner
s w
ith o
r w
ithou
t the
phy
sica
l20
04.0
0pr
esen
ce o
f the
pat
ient
req
uest
ed b
y or
on
beha
lf of
a th
ird p
arty
fund
er o
r its
age
ntII.
Med
icin
e, m
ater
ial,
supp
lies
and
use
of o
wn
equi
pmen
tII.
aM
edic
ine
code
sII.
a.1
Dis
pens
ing
of m
edic
ine
by li
cens
ed d
ispe
nsin
g m
edic
al p
ract
ition
ers
0197
Lice
nsed
dis
pens
ing
med
ical
pra
ctiti
oner
s: D
ispe
nsin
g co
st -
R16
.00
for
med
icin
e w
ith a
cos
t of
2006
.02
R10
0,00
or
mor
e (V
AT
incl
usiv
e), o
r 16
% fo
r m
edic
ine
cost
ing
less
than
R10
0,00
(V
AT
incl
usiv
e).
Add
to e
ach
Nap
pi c
ode
to p
rovi
de fo
r th
e di
spen
sing
cos
tII.
a.2
Onc
e-of
f adm
inis
trat
ion
of m
edid
ne u
sed
durin
g a
cons
ulta
tion
0198
Onc
e-of
f adm
inis
trat
ion
of m
edic
ines
: Thi
s ite
m p
rovi
des
for
med
icin
es u
sed
at a
con
sulta
tion,
2006
.02
viz,
onc
e of
f adm
inis
trat
ion
of m
edic
ine,
spe
cial
med
icin
e us
ed in
trea
tmen
t, or
em
erge
ncy
disp
ensi
ng. C
harg
e fo
r m
edic
ine
used
acc
ordi
ng to
the
Sin
gle
Exi
t Pric
e (S
EP
) P
LUS
R16
,00
for
med
icin
e w
ith a
cos
t of R
100,
00 o
r m
ore,
or
16%
for
med
icin
e co
stin
g le
ss th
an R
100,
00 P
LUS
VA
T o
n th
e 16
% /R
16,0
0. (
Whe
re a
pplic
able
, VA
T s
houl
d be
add
ed to
the
16%
/R 1
6,00
onl
y an
dno
t to
the
SE
P, s
ince
the
SE
P is
VA
T in
clus
ive)
. [A
ccor
ding
to S
ectio
n 18
(8)
of th
e M
edic
ines
and
Rel
ated
Sub
stan
ces
Act
(A
ct 1
01 o
f 196
5) c
ompo
undi
ng a
nd d
ispe
nsin
g do
es n
ot r
efer
to a
med
icin
e re
quiri
ng p
repa
ratio
n fo
r a
once
-off
adm
inis
trat
ion
to a
pat
ient
dur
ing
a co
nsul
tatio
n].
The
app
ropr
iate
Eth
ical
Med
icin
e N
appi
cod
e(s)
, sel
ecte
d fr
om th
ose
code
s co
mm
enci
ng w
ith 7
,8
or 9
(pr
ovid
ed th
at it
is n
ot a
ref
eren
ce c
ode)
, sho
uld
be a
dded
app
licab
le to
the
med
icin
e us
ed.
Ple
ase
note
: Ref
er to
item
020
1 fo
r co
st o
f mat
eria
l use
d in
trea
tmen
t.
II.a.
3C
ost o
f che
mot
hera
py d
rugs
0212
Cos
t of c
hem
othe
rapy
dru
gs: T
his
item
pro
vide
s fo
r a
char
ge fo
r ch
emot
hera
py d
rugs
use
d in
2006
.02
trea
tmen
t Cha
rge
for
chem
othe
rapy
dru
gs u
sed
in tr
eatm
ent a
t cos
t pric
e P
LUS
16%
(w
ith a
max
imum
of R
16,0
0). (
Whe
re a
pplic
able
, VA
T s
houl
d be
add
ed to
the
abov
e). T
he a
ppro
pria
teE
thic
al M
edic
ine
Nap
pi c
ode(
s), s
elec
ted
from
thos
e co
des
com
men
cing
with
7, 8
or
9 (p
rovi
ded
that
it is
not
a r
efer
ence
cod
e), s
houl
d be
add
ed a
pplic
able
to th
e ch
emot
hera
py d
rugs
use
d.
!Lb
Mat
eria
l cod
esII.
b.1
Pro
sthe
sis
and/
or in
tern
al fi
xatio
n
1016
.000
1.0
R24
0.81
1016
.000
1.0
R24
0.81
1016
.000
1.0
R24
0.81
1016
.000
1.0
R24
0.81
1016
.000
1.0
R24
0.81
1016
.000
1.0
R24
0.81
1233
.000
1.0
R49
6.72
1233
.000
1.0
R49
6.72
1245
.000
1.0
R67
7.40
1245
.000
1.0
R67
7.40
1012
.000
1.0
R18
0.68
1012
.000
1.0
R18
0.68
105.
000
1.0
R75
.23
105.
000
1.0
R75
.23
109.
000
1.0
R13
5.51
109.
000
1.0
R13
5.51
1021
.430
1.0
R32
2.64
1021
.430
1.0
R32
2.64
Pag
e 11
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 15
0200
Pro
sthe
sis
and/
or in
tern
al fi
xatio
n: T
his
item
pro
vide
s fo
r a
char
ge fo
r pr
osth
esis
and
/or
inte
rnal
2006
.02
fixat
ion.
Cha
rge
for
pros
thes
is a
nd/o
r in
tern
al fi
xatio
n at
cos
t pric
e P
LUS
26%
(up
to a
max
imum
of R
26,
00).
(W
here
app
licab
le, V
AT
sho
uld
be a
dded
to th
e ab
ove)
. The
app
ropr
iate
Nap
pico
de(s
), w
here
app
licab
le, f
or th
e pr
osth
esis
and
/or
inte
rnal
fixa
tion
used
, mus
t be
prov
ided
.
II.b.
2M
ater
ial u
sed
durin
g a
cons
ulta
tion
0201
Cos
t of m
ater
ial i
n tr
eatm
ent T
his
item
pro
vide
s fo
r a
char
ge fo
r m
ater
ial u
sed
in tr
eatm
ent
2006
.02
Cha
rge
for
mat
eria
l at c
ost p
rice
PLU
S 2
6% (
up to
a m
axim
um o
f R26
,00)
. (W
here
app
licab
le,
VA
T s
houl
d be
add
ed to
the
abov
e). T
he a
ppro
pria
te S
urgi
cal a
nd M
ater
ial N
appi
cod
e(s)
,se
lect
ed fr
om th
ose
code
s co
mm
enci
ng w
ith 4
, 5, 6
, whe
re a
pplic
able
, for
the
mat
eria
l use
d,m
ust b
e pr
ovid
ed. P
leas
e no
te: R
efer
to it
em 0
198
for
once
off
adm
inis
trat
ion
of m
edic
ine.
ll.c
Set
ting
of s
teril
e tr
ay02
02S
ettin
g of
ste
rile
tray
: A fe
e of
10,
00 c
linic
al p
roce
dure
uni
ts m
ay b
e ch
arge
d fo
r th
e se
tting
of a
2005
.06
ster
ile tr
ay w
here
a s
teril
e pr
oced
ure
is p
erfo
rmed
in th
e ro
oms.
Cos
t of s
titch
ing
mat
eria
l, if
appl
icab
le, s
hall
be c
harg
ed fo
r ac
cord
ing
to it
em 0
201,
as
appr
opria
teII.
dO
wn
equi
pmen
t use
d in
trea
tmen
t59
30S
urgi
cal l
aser
app
arat
us: H
ire fe
e fo
r ow
n eq
uipm
ent
2004
.00
5932
Can
della
lase
r ap
para
tus:
Hire
fee
for
own
equi
pmen
t (R
ates
by
arra
ngem
ent w
ith th
e sc
hem
e20
04.0
0
conc
erne
d)III
.P
RO
CE
DU
RE
S69
99U
nlis
ted
proc
edur
e/se
rvic
e: A
pro
cedu
re/s
ervi
ce m
ay b
e pr
ovid
ed th
at is
not
list
ed in
this
edi
tion
2005
.03
of th
e co
ding
str
uctu
re. R
efer
to G
ener
al R
ule
C fo
r th
e cr
iteria
to u
se it
em 6
999
GE
NE
RA
L M
OD
IFIE
RS
GO
VE
RN
ING
TH
IS S
EC
TIO
N00
11E
mer
genc
y pr
oced
ures
: Any
bon
a fid
e, ju
stifi
able
em
erge
ncy
proc
edur
e (a
ll ho
urs)
und
erta
ken
in 2
006.
04an
ope
ratin
g th
eatr
e an
d/or
in a
noth
er s
ettin
g in
lieu
of a
n op
erat
ing
thea
tre,
will
attr
act a
nad
ditio
nal 1
2,00
clin
ical
pro
cedu
re u
nits
per
hal
f-ho
ur o
r pa
rt th
ereo
f of t
he o
pera
ting
time
for
all
mem
bers
of t
he s
urgi
cal t
eam
. Mod
ifier
001
1 do
es n
ot a
pply
in r
espe
ct o
f pat
ient
s on
sch
edul
edlis
ts. (
A m
edic
al e
mer
genc
y is
any
con
ditio
n w
here
dea
th o
r irr
epar
able
har
m to
the
patie
nt w
illre
sult
if th
ere
are
undu
e de
lays
in r
ecei
ving
app
ropr
iate
med
ical
trea
tmen
t)00
13E
ndos
copi
c ex
amin
atio
ns d
one
at o
pera
tions
: Whe
re a
rel
ated
end
osco
pic
exam
inat
ion
is d
one
at 2
004.
00an
ope
ratio
n by
the
oper
atin
g su
rgeo
n or
the
atte
ndin
g an
aest
hesi
olog
ist,
only
50%
of t
he fe
e fo
rth
e en
dosc
opic
exa
min
atio
n m
ay b
e ch
arge
d00
14O
pera
tions
pre
viou
sly
perf
orm
ed b
y ot
her
surg
eons
: Whe
re a
n op
erat
ion
is p
erfo
rmed
whi
ch h
as 2
004.
00be
en p
revi
ousl
y pe
rfor
med
by
anot
her
surg
eon,
e.g
. a r
evis
ion
or r
epea
t ope
ratio
n, th
e fe
e sh
all
be c
alcu
late
d ac
cord
ing
to th
e ta
riff f
or th
e fu
ll op
erat
ion
plus
an
addi
tiona
l fee
to b
e ne
gotia
ted
unde
r ge
nera
l Rul
e J:
In e
xcep
tiona
l cas
es w
here
the
fee
is d
ispr
opor
tiona
tely
low
in r
elat
ion
toac
tual
ser
vice
ren
dere
d, e
xcep
t whe
re a
lread
y sp
ecifi
ed in
the
tarif
fM
OD
IFIE
RS
GO
VE
RN
ING
SE
CT
ION
100
15In
trav
enou
s in
fusi
ons:
Whe
re in
trav
enou
s in
fusi
ons
(incl
udin
g bl
ood
and
bloo
d ce
llula
r pr
oduc
ts)
2004
.00
are
adm
inis
tere
d as
par
t of t
he a
fter-
trea
tmen
t afte
r th
e op
erat
ion
or c
onfin
emen
t, no
ext
ra fe
essh
all b
e ch
arge
d as
this
is in
clud
ed in
the
glob
al o
pera
tive
or m
ater
nity
fees
. Sho
uld
the
prac
titio
ner
doin
g th
e op
erat
ion
or a
ttend
ing
to th
e m
ater
nity
cas
e pr
efer
to a
sk a
noth
erpr
actit
ione
r to
per
form
pos
t-op
erat
ive
or p
ost-
conf
inem
ent i
ntra
veno
us in
fusi
ons,
then
the
prac
titio
ner
him
self
(and
not
the
patie
nt)
shal
l be
resp
onsi
ble
for
rem
uner
atin
g su
ch p
ract
ition
erfo
r th
e in
fusi
ons
0017
Inje
ctio
ns a
dmin
iste
red
by p
ract
ition
ers:
Whe
n de
sens
itisa
tion,
intr
aven
ous,
intr
amus
cula
r or
2005
,06
subc
utan
eous
inje
ctio
ns a
re a
dmin
iste
red
by th
e pr
actit
ione
r hi
m-/
hers
elf t
o pa
tient
s w
ho a
ttend
the
cons
ultin
g ro
oms,
a fi
rst i
njec
tion
form
s pa
rt o
f the
con
sulta
tion/
visi
t and
onl
y al
l sub
sequ
ent
inje
ctio
ns fo
r th
e sa
me
cond
ition
sho
uld
be c
harg
ed a
t 7.5
0 co
nsul
tativ
e se
rvic
es u
nits
usi
ngm
odifi
er 0
017
to r
efle
ct th
e am
ount
(no
t cha
rgea
ble
toge
ther
with
a c
onsu
ltatio
n ite
m)
1G
ener
al1.
1In
ject
ions
, Inf
usio
ns a
nd In
hala
tion
Sed
atio
n T
reat
men
t02
03In
hala
tion
seda
tion:
Use
of a
nalg
esic
nitr
ous
oxid
e fo
r al
coho
l and
oth
er w
ithdr
awal
sta
tes:
Firs
t20
04.0
0qu
arte
r-ho
ur o
r pa
rt th
ereo
f02
04In
hala
tion
seda
tion:
Per
add
ition
al q
uart
er-h
our
or p
art t
here
of20
04.0
002
05In
trav
enou
s tr
eatm
ent I
ntra
veno
us in
fusi
ons
(cut
-dow
n or
pus
h-in
) (p
atie
nts
unde
r th
ree
year
s):
2004
.00
Cut
-dow
n an
d/or
inse
rtio
n of
can
nula
- c
harg
eabl
e on
ce p
er 2
4 ho
urs
2010
.000
1.0
R93
.27
2010
.000
1.0
R93
.27
2010
9.00
01.
0R
101
6.18
2010
9.00
01.
0R
101
6.18
107.
500
1.0
R11
2.91
107.
500
1.0
R11
2.91
206.
000
1.0
R55
.88
206.
000
1.0
R55
.88
203.
000
1.0
R28
.01
203.
000
1.0
R28
.01
2012
.000
1.0
R11
1.90
2012
.000
1.0
R11
1.90
Pag
e 12
of 8
7
16 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
0206
Intr
aven
ous
trea
tmen
t: In
trav
enou
s in
fusi
ons
(pus
h-in
) (p
atie
nts
over
thre
e ye
ars)
: Ins
ertio
n of
2004
.00
cann
ula
- ch
arge
able
onc
e pe
r 24
hou
rs02
07In
trav
enou
s tr
eatm
ent:
Intr
aven
ous
infu
sion
s (c
ut-d
own)
(pa
tient
s ov
er th
ree
year
s): C
ut-d
own
2004
.00
and
inse
rtio
n of
can
nula
- c
harg
eabl
e on
ce p
er 2
4 ho
urs
0208
Ven
esec
tionl
The
rape
utic
ven
esec
tion
(Not
to b
e us
ed w
hen
bloo
d is
dra
wn
for
the
purp
ose
of20
04.0
0la
bora
tory
inve
stig
atio
ns)
0209
Um
bilic
al a
rter
y ca
nnul
atio
n at
birt
h02
10C
olle
ctio
n of
blo
od s
peci
men
(s)
by m
edic
al p
ract
ition
er fo
r pa
thol
ogy
exam
inat
ion,
per
vene
sect
ion
(not
to b
e us
ed b
y pa
thol
ogis
ts)
0211
Exc
hang
e tr
ansf
usio
n: F
irst a
nd s
ubse
quen
t (in
clud
ing
afte
r-ca
re)
Not
e: H
OW
TO
CH
AR
GE
FO
R IN
TR
AV
EN
OU
S IN
FU
SIO
NS
:20
04.0
0P
ract
ition
ers
are
entit
led
to c
harg
e ac
cord
ing
to th
e ap
prop
riate
item
whe
neve
r th
ey p
erso
nally
inse
rt th
e ca
nnul
a (b
ut m
ay o
nly
char
ge fo
r th
is s
ervi
ce o
nce
ever
y 24
hou
rs).
For
man
agin
g th
ein
fusi
on a
s su
ch, e
.g. c
heck
ing
it w
hen
visi
ting
the
patie
nt o
r pr
escr
ibin
g th
e su
bsta
nce,
no
fee
may
be
char
ged
sinc
e th
is s
ervi
ce is
reg
arde
d as
par
t of t
he s
ervi
ces
the
doct
or r
ende
rs d
urin
gco
nsul
tatio
ns (
not a
pplic
able
to it
em 0
205)
1.2
Che
mot
hera
py tr
eatm
ent (
not i
n ch
emot
hera
py fa
cilit
ies)
0213
Tre
atm
ent w
ith c
ytos
tatic
age
nts:
Adm
inis
terin
g of
Che
mot
hera
py: I
ntra
mus
cula
r or
subc
utan
eous
: Per
inje
ctio
n. F
or u
se b
y pr
ovid
ers
who
do
not m
ake
use
of r
ecog
nise
dch
emot
hera
py fa
cilit
ies
and/
or w
ho a
re n
ot p
rimar
ily r
espo
nsib
le fo
r m
anag
ing
the
chem
othe
rapy
trea
tmen
t02
14In
trav
enou
s tr
eatm
ent w
ith c
ytos
tatic
age
nts:
Adm
inis
terin
g of
Che
mot
hera
py: I
ntra
veno
us b
olus
2004
.00
tech
niqu
e: P
er in
ject
ion.
For
use
by
prov
ider
s w
ho d
o no
t mak
e us
e of
rec
ogni
sed
chem
othe
rapy
faci
litie
s an
d/or
who
are
not
prim
arily
res
pons
ible
for
man
agin
g th
e ch
emot
hera
py tr
eatm
ent
2004
.00
2004
.00
2004
.00
2004
.00
0215
Intr
aven
ous
trea
tmen
t with
cyt
osta
tic a
gent
s: A
dmin
iste
ring
of C
hem
othe
rapy
: Int
rave
nous
infu
sion
tech
niqu
e: P
er in
ject
ion.
For
use
by
prov
ider
s w
ho d
o no
t mak
e us
e of
rec
ogni
sed
chem
othe
rapy
faci
litie
s an
d/or
who
are
not
prim
arily
res
pons
ible
for
man
agin
g th
e ch
emot
hera
pytr
eatm
ent
1.3
Onc
olog
y re
late
d se
rvic
es in
non
-onc
olog
y fa
cilit
ies
5780
Inte
rstit
ial i
mpl
ants
: Pla
ting
of g
uide
tube
s fo
r in
ters
titia
l im
plan
ts u
nder
loca
l or
gene
ral
anae
sthe
tic. T
he c
ost o
f mat
eria
ls is
not
incl
uded
5781
Intr
acav
itary
app
licat
ions
: Pla
cing
of g
uide
tube
s un
der
loca
l or
gene
ral a
naes
thet
ic fo
r m
anua
l or
2006
.02
rem
ote
afte
rload
ing
brac
hyth
erap
y. T
he c
ost o
f mat
eria
ls is
not
incl
uded
5782
Isot
ope
The
rapy
: Adm
inis
trat
ion
of lo
w d
ose
surf
ace
appl
icat
ors,
up
to fi
ve a
pplic
atio
ns. T
ypic
ally
200
6.02
an o
ut p
atie
nt p
roce
dure
. The
cos
t of m
ater
ials
is n
ot in
clud
ed57
83In
fusi
onal
pha
rmac
othe
rapy
: Fee
for
the
trea
tmen
t of n
on c
ance
rous
con
ditio
ns w
ith b
olus
or
2006
.02
infu
sion
al p
harm
acot
hera
py p
er tr
eatm
ent d
ay (
cons
ulta
tions
to b
e ch
arge
d se
para
tely
)M
OD
IFIE
RS
GO
VE
RN
ING
TH
E A
DM
INIS
TR
AT
ION
OF
AN
AE
ST
HE
TIC
S F
OR
ALL
PR
OC
ED
UR
ES
AN
D O
PE
RA
TIO
NS
0020
Con
scio
us s
edat
ion:
Any
cas
e th
at is
con
duct
ed o
utsi
de o
f a h
ospi
tal t
heat
re s
hall
be c
oded
with
2006
.06
the
rele
vant
pro
cedu
re c
ode.
To
iden
tify
thes
e ca
ses
the
abov
e m
odifi
er s
houl
d be
use
d to
indi
cate
to th
e m
edic
al s
chem
e th
at th
ere
will
be
no h
ospi
tal/t
heat
re a
ccou
nt.
0021
Det
erm
inat
ion
of a
naes
thet
ic fe
es: A
naes
thet
ic fe
es a
re d
eter
min
ed b
y ob
tain
ing
the
sum
of t
he20
06.0
4ba
sic
anae
sthe
tic u
nits
(al
loca
ted
to e
ach
proc
edur
e th
at m
ight
be
perf
orm
ed u
nder
ana
esth
etic
as in
dica
ted
in th
e "A
naes
thet
ic P
erfo
rmed
" co
lum
n) p
lus
the
time
units
(ca
lcul
ated
acc
ordi
ng to
the
form
ula
in M
odifi
er 0
023)
and
the
appr
opria
te m
odifi
ers
(see
Mod
ifier
s 00
37-0
044)
. In
case
sof
ope
rativ
e pr
oced
ures
on
the
mus
culo
skel
etal
sys
tem
, ope
n fr
actu
res
and
open
red
uctio
n of
frac
ture
s or
dis
loca
tions
add
uni
ts a
s la
id d
own
by M
odifi
ers
5441
to 5
448
0023
The
bas
ic a
naes
thet
ic u
nits
are
laid
dow
n in
the
tarif
f and
are
ref
lect
ed in
the
anae
sthe
tic c
olum
n. 2
006.
05T
hese
bas
ic a
naes
thet
ic u
nits
ref
lect
the
addi
tiona
l ana
esth
etic
ris
k, th
e te
chni
cal s
kill
requ
ired
ofth
e an
aest
hesi
olog
ist/a
naes
thet
ist a
nd th
e sc
ope
of th
e su
rgic
al p
roce
dure
, but
exc
lude
the
valu
eof
the
actu
al ti
me
spen
t adm
inis
terin
g th
e an
aest
hetic
. The
tim
e un
its (
indi
cate
d by
"T
) w
ill b
ead
ded
to th
e lis
ted
basi
c an
aest
hetic
uni
ts in
all
case
s on
the
follo
win
g ba
sis:
Ana
esth
etic
tim
e:T
he r
emun
erat
ion
for
anae
sthe
tic ti
me
shal
l be
per
15 m
inut
e pe
riod
or p
art t
here
of, c
alcu
late
dfr
om th
e co
mm
ence
men
t of t
he a
naes
thet
ic, i
.e. 2
,00
anae
sthe
tic u
nits
per
15
min
ute
perio
d or
part
ther
eof,
prov
ided
that
sho
uld
the
dura
tion
of th
e an
aest
hetic
be
long
er th
an o
ne (
1) h
our
the
num
ber
of u
nits
sha
ll, a
fter
one
(1)
hour
, be
3,00
ana
esth
etic
uni
ts p
er 1
5 m
inut
e pe
riod
or p
art
ther
eof.
2004
.00
2006
.06
206.
000
1.0
R55
.88
206.
000
1.0
R55
.88
208.
000
1.0
R74
.65
208.
000
1.0
R74
.65
206.
000
1.0
R55
.88
206.
000
1.0
R55
.88
2018
.000
1.0
R16
7.77
2018
.000
1.0
R16
7.77
203.
250
1.0
R30
.36
203.
250
1.0
R30
.36
2080
.000
1.0
R74
5.89
2080
.000
1.0
R74
5.89
205.
000
1.0
R46
.64
205.
000
1.0
R46
.64
209.
000
1.0
R83
.89
209.
000
1.0
R83
.89
2014
.000
1.0
R13
0.52
2014
.000
1.0
R13
0.52
20 3
94.8
601.
0R
368
1.21
Z20
315.
890
1.0
R 2
945.
00Z
20 2
62.4
101.
0R
244
6.37
Z20
209.
930
1.0
R1
957.
12Z
2077
.810
1.0
R72
5.36
Z20
77.8
101.
0R
725.
36Z
2042
.650
1.0
R39
7.58
Z20
42.6
501.
0R
397.
58Z
Pag
e 13
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 17
G12-101696—B
0024
Pre
-ope
rativ
e as
sess
men
ts n
ot fo
llow
ed b
y pr
oced
ures
: If a
pre
-ope
rativ
e as
sess
men
t of a
2006
.05
patie
nt b
y th
e an
aest
hesi
olog
ist/a
naes
thet
ist i
s no
t fol
low
ed b
y an
ope
ratio
n, it
will
be
rega
rded
as
a vi
sit a
t hos
pita
l or
nurs
ing
hom
e an
d th
e ap
prop
riate
hos
pita
l vis
it ite
m s
houl
d be
cha
rged
.
0025
Cal
cula
tion
of a
naes
thet
ic ti
me:
Ana
esth
etic
tim
e is
cal
cula
ted
from
the
time
the
2006
.05
anae
sthe
siol
ogis
t/ana
esth
etis
t beg
ins
to p
repa
re th
e pa
tient
for
the
indu
ctio
n of
ana
esth
esia
in th
eop
erat
ing
thea
tre
or in
a s
imila
r eq
uiva
lent
are
a an
d en
ds w
hen
the
anae
sthe
siol
ogis
t/ana
esth
etis
tis
no
long
er r
equi
red
to g
ive
his/
her
pers
onal
pro
fess
iona
l atte
ntio
n to
the
patie
nt, i
.e. w
hen
the
patie
nt m
ay, w
ith r
easo
nabl
e sa
fety
, be
plac
ed u
nder
the
cust
omar
y po
st-o
pera
tive
supe
rvis
ion.
Whe
re p
rolo
nged
per
sona
l pro
fess
iona
l atte
ntio
n is
nec
essa
ry fo
r th
e w
ell-b
eing
and
saf
ety
ofsu
ch p
atie
nt, t
he n
eces
sary
tim
e w
ill b
e va
lued
on
the
sam
e ba
sis
as in
dica
ted
abov
e fo
r th
ean
aest
hetic
tim
e. T
he a
naes
thes
iolo
gist
/ana
esth
etis
t mus
t sho
w o
n hi
s/he
r ac
coun
t the
exa
ctan
aest
hetic
tim
e, in
clud
ing
the
supe
rvis
ion
time
spen
t with
the
patie
nt.
0027
Mor
e th
an o
ne p
roce
dure
und
er th
e sa
me
anae
sthe
tic: W
here
mor
e th
an o
ne o
pera
tion
is20
06.0
4
perf
orm
ed u
nder
the
sam
e an
aest
hetic
, the
bas
ic a
naes
thet
ic u
nits
will
be
that
of t
he m
ajor
oper
atio
n w
ith th
e hi
ghes
t num
ber
of u
nits
0028
Indi
cato
r fo
r us
e of
low
flow
ana
esth
etic
tech
niqu
e le
ss th
an ll
itre/
min
ute:
Fre
sh g
as fl
ow o
f les
s20
06.0
6
than
1 li
tre/
min
ute
0029
Ass
ista
nt a
naes
thes
iolo
gist
s: W
hen
rend
ered
nec
essa
ry b
y th
e sc
ope
of th
e an
aest
hetic
, an
2006
.04
assi
stan
t ana
esth
esio
logi
st m
ay b
e em
ploy
ed. T
he r
emun
erat
ion
of th
e as
sist
ant
anae
sthe
siol
ogis
t sha
ll be
cal
cula
ted
on th
e sa
me
basi
s as
in th
e ca
se w
here
a g
ener
alpr
actit
ione
r ad
min
iste
rs th
e an
aest
hetic
0030
Indi
cato
r fo
r us
e of
low
flow
ana
esth
etic
tech
niqu
e 1-
2 lit
re/m
inut
e: F
resh
gas
flow
of 1
to 2
2006
.06
litre
/min
ute
0031
Intr
aven
ous
drip
s an
d tr
ansf
usio
ns: T
reat
men
t with
intr
aven
ous
drip
s an
d tr
ansf
usio
ns is
2006
.04
cons
ider
ed p
art o
f the
nor
mal
trea
tmen
t in
adm
inis
terin
g an
ana
esth
etic
. No
addi
tiona
l fee
s m
aybe
cha
rged
for
such
ser
vice
s w
hen
rend
ered
eith
er p
rior
to, o
r du
ring
actu
al th
eatr
e or
ope
ratin
gtim
e00
32P
atie
nts
in p
rone
pos
ition
: Ana
esth
esia
adm
inis
tere
d to
pat
ient
s in
the
pron
e po
sitio
n sh
all h
ave
a 20
06.0
4m
inim
um o
f 4,0
0 ba
sic
anae
sthe
tic u
nits
. Whe
n th
e ba
sic
anae
sthe
tic u
nits
for
the
proc
edur
e is
3,00
, one
ext
ra a
naes
thet
ic u
nit s
houl
d be
add
ed. I
f the
bas
ic a
naes
thet
ic u
nits
for
the
proc
edur
eis
4,0
0 or
mor
e, n
o ex
tra
units
sho
uld
be a
dded
0033
Par
ticip
atin
g in
gen
eral
car
e of
pat
ient
s. W
hen
an a
naes
thes
iolo
gist
/ana
esth
etis
t is
requ
ired
to20
06.0
5pa
rtic
ipat
e in
the
gene
ral c
are
of a
pat
ient
dur
ing
a su
rgic
al p
roce
dure
, but
doe
s no
t adm
inis
ter
the
anae
sthe
tic, s
uch
serv
ices
may
be
rem
uner
ated
at f
ull a
naes
thet
ic r
ate.
sub
ject
to th
epr
ovis
os o
f mod
ifier
003
5: A
naes
thet
ic a
dmin
iste
red
by a
n an
aest
hesi
olog
ist/a
naes
thet
ist a
ndm
odifi
er 0
036:
Ana
esth
etic
adm
inis
tere
d by
gen
eral
pra
ctiti
oner
s.00
34H
ead
and
neck
pro
cedu
res:
All
anae
sthe
tics
adm
inis
tere
d fo
r di
agno
stic
, sur
gica
l or
X-r
ay20
06.0
4pr
oced
ures
on
the
head
and
nec
k sh
all h
ave
a m
inim
um o
f 4,0
0 ba
sic
anae
sthe
tic u
nits
. Whe
nth
e ba
sic
anae
sthe
tic u
nits
for
the
proc
edur
e is
3,0
0, o
ne e
xtra
ana
esth
etic
uni
t sho
uld
be a
dded
.If
the
basi
c an
aest
hetic
uni
ts fo
r th
e pr
oced
ure
is 4
,00
or m
ore.
no
extr
a un
its s
houl
d be
add
ed
0035
Ana
esth
etic
adm
inis
tere
d by
an
anae
sthe
siol
ogis
t/ana
esth
etis
t: N
o an
aest
hetic
adm
inis
tere
d sh
all 2
006.
05ha
ve a
tota
l val
ue o
f les
s th
an 7
,00
anae
sthe
tic u
nits
(ba
sic
units
, tim
e un
its p
lus
appr
opria
tem
odifi
ers)
.00
36A
naes
thet
ic a
dmin
iste
red
by g
ener
al p
ract
ition
ers:
The
uni
ts (
basi
c un
its p
lus
time
plus
the
2006
.05
appr
opria
te m
odifi
ers)
use
d to
cal
cula
te th
e fe
e fo
r an
ana
esth
etic
adm
inis
tere
d by
a g
ener
alpr
actit
ione
r la
stin
g on
e ho
ur o
r le
ss, s
hall
be th
e sa
me
as th
at fo
r an
ana
esth
esio
logi
st. F
oran
aest
hetic
last
ing
mor
e th
an o
ne h
our,
the
units
use
d to
cal
cula
te th
e fe
e fo
r an
ana
esth
etic
adm
inis
tere
d by
a g
ener
al p
ract
ition
er w
ill b
e 4/
5 (8
0%)
of th
e to
tal n
umbe
r of
uni
ts (
basi
c un
itspl
us ti
me
[ref
er to
mod
ifier
002
3] p
lus
the
appr
opria
te m
odifi
ers)
app
licab
le to
an
anae
sthe
siol
ogis
t. P
leas
e no
te th
at th
e 4/
5 (8
0%)
prin
cipl
e w
ill b
e ap
plie
d to
all
anae
sthe
tics
adm
inis
tere
d by
gen
eral
pra
ctiti
oner
s w
ith th
e pr
ovis
o th
at n
o an
aest
hetic
with
a to
tal n
umbe
r of
units
hig
her
than
11.
00 w
ill b
e re
duce
d to
less
than
11,
00 u
nits
in to
tal.
The
mon
etar
y va
lue
of th
eun
it is
the
sam
e fo
r bo
th a
n an
aest
hesi
olog
ist/a
naes
thet
ist.
0037
Bod
y hy
poth
erm
ia: U
tilis
atio
n of
tota
l bod
y hy
poth
erm
ia: A
dd 3
,00
anae
sthe
tic u
nits
2006
.04
0038
Per
i-ope
rativ
e bl
ood
salv
age:
Add
4,0
0 an
aest
hetic
uni
ts fo
r in
tra-
oper
ativ
e bl
ood
salv
age
and
2006
.04
4,00
ana
esth
etic
uni
ts fo
r po
st-o
pera
tive
bloo
d sa
lvag
e
Pag
e 14
of 8
7
303.
000
1.0
R17
5.53
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50 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
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Tee
th: T
omog
raph
y: P
er s
ide
2004
.00
4011
.000
1.0
R14
5.34
3371
Loca
lisat
ion
of fo
reig
n bo
dy in
the
eye
2004
.00
4015
.700
1.0
R20
7.37
-
3381
Ven
tric
ulog
raph
y20
04.0
040
27.3
001.
0R
360.
4830
4.00
01.
0R
234.
06T
3385
Pos
t-na
sal s
tudi
es: L
ater
al n
eck
2004
.00
406.
300
1.0
R83
.15
3387
Max
illo-
faci
al c
epha
lom
etry
2004
.00
408.
800
1.0
R11
6.15
3389
Dac
rocy
stog
raph
y20
04.0
040
11.0
001.
0R
145.
3430
4.00
01.
0R
234.
06T
3391
For
intr
oduc
tion
of c
ontr
ast m
ediu
m: A
DD
2004
.00
+40
11.0
001.
0R
145.
34-
19.2
Alim
enta
ry tr
act
-
3393
Bow
el w
asho
ut: A
DD
2004
.00
+40
4.80
01.
0R
63.3
6
3395
Sia
logr
aphy
(pl
us 8
0% fo
r ea
ch a
dditi
onal
gla
nd)
2004
,00
4012
.700
1.0
R16
7.77
304.
000
1.0
R23
4.06
T
3397
Intr
oduc
tion
of c
ontr
ast m
ediu
m (
plus
80%
for
each
add
ition
al g
land
: AD
D)
2004
.00
+40
11.0
001.
0R
145.
34
3399
Pha
rynx
and
oes
opha
gus
2004
.00
4012
.700
1.0
R16
7.77
Pag
e 61
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 65
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66 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
The
follo
win
g ru
les
are
appl
icab
le to
Sec
tion
19.8
(V
ascu
lar
stud
ies)
and
Sec
tion
19.1
420
04.0
0(I
nter
vent
iona
l Rad
iolo
gica
l Pro
cedu
res)
:
a.T
he m
achi
ne fe
e (it
ems
3536
to 3
550
incl
udes
the
cost
of t
he fo
llow
ing
i.A
ll ru
ns (
runs
may
not
be
bille
d fo
r se
para
tely
).ii.
All
him
cos
ts (
mod
ifier
008
4 is
not
app
licab
le).
iiiA
ll flu
oros
copy
(ite
m 3
601
does
not
app
ly).
iv A
ll m
inor
con
sum
able
s (d
efin
ed a
s an
y ite
m o
ther
than
cat
hete
rs, g
uide
wire
s, in
trod
ucer
set
s,sp
ecia
lised
cat
hete
rs, b
allo
on c
athe
ters
, ste
nts,
em
bolic
age
nts,
dru
gs a
nd c
ontr
ast m
edia
).
b. T
he m
achi
ne fe
e (it
ems
3536
to 3
550)
may
onl
y be
bill
ed fo
r as
a o
nce
off f
ee p
er c
ase
per
day
by th
e ow
ner
of th
e eq
uipm
ent a
nd is
onl
y ap
plic
able
to r
adio
logy
pra
ctic
es.
c.If
a pr
oced
ure
is p
erfo
rmed
by
a no
n-ra
diol
ogis
t tog
ethe
r w
ith a
rad
iolo
gist
as
a te
am, i
n a
faci
lity
owne
d by
the
radi
olog
ist,
each
mem
ber
of th
e te
am w
ill fe
e at
thei
r re
spec
tive
full
rate
s as
per
mod
ifier
s an
d th
e ap
plic
able
item
s.
d.If
a pr
oced
ure
is p
erfo
rmed
by
a no
n-ra
diol
ogis
ts a
nd a
rad
iolo
gist
as
a te
am, i
n a
faci
lity
not
owne
d by
the
radi
olog
ist,
mod
ifier
s 63
01 a
nd 6
302
appl
ies.
Ple
ase
note
: M
odifi
er 0
083
is n
ot a
pplic
able
to s
ectio
n 19
.8 (
Vas
cula
r S
tudi
es)
and
sect
ion
19.1
4(I
nter
vent
iona
l Rad
iolo
gica
l Pro
cedu
res)
MO
DIF
IER
GO
VE
RN
ING
VA
SC
ULA
R S
TU
DIE
S00
86V
ascu
lar
grou
ps: "
Film
ser
ies"
and
"In
trod
uctio
n of
Con
tras
t Med
ia"
are
com
plem
enta
ry a
ndto
geth
er c
onst
itute
a s
ingl
e ex
amin
atio
n: n
eith
er fe
e is
ther
efor
e su
bjec
t to
incr
ease
in te
rms
ofM
odifi
er 0
080:
Mul
tiple
exa
min
atio
ns63
00If
a pr
oced
ure
last
s le
ss th
an 3
0 m
inut
es, o
nly
50%
of t
he m
achi
ne fe
es fo
r ite
ms
3536
-355
0 w
illbe
allo
wed
(sp
ecify
tim
e of
pro
cedu
re o
n ac
coun
t)63
01If
a pr
oced
ure
is p
erfo
rmed
by
a ra
diol
ogis
t in
a fa
cilit
y no
t ow
ned
by h
imse
lf, th
e fe
e w
ill b
ere
duce
d by
40%
(i.e
. 60%
of t
he fe
e w
ill b
e ch
arge
d)63
02W
hen
the
proc
edur
e is
per
form
ed b
y a
non-
radi
olog
ist,
the
fee
will
be
redu
ced
by 4
0% (
i.e. 6
0%of
the
fee
will
be
char
ged)
6303
Whe
n a
proc
edur
e is
per
form
ed e
ntire
ly b
y a
non-
radi
olog
ist i
n a
faci
lity
owne
d by
a r
adio
logi
st,
the
radi
olog
ist o
wni
ng th
e fa
cilit
y m
ay c
harg
e 55
% o
f the
pro
cedu
re u
nits
use
d. M
odifi
er 6
302
appl
ies
to th
e no
n ra
diol
ogis
t per
form
ing
the
proc
edur
e63
05W
hen
mul
tiple
cat
hete
risat
ion
proc
edur
es a
re u
sed
(item
s 35
57, 3
559,
356
0, 3
562)
and
an
angi
ogra
m in
vest
igat
ion
is p
erfo
rmed
at e
ach
leve
l, th
e un
it va
lue
of e
ach
such
mul
tiple
proc
edur
e w
ill b
e re
duce
d by
20,
00 r
adio
logi
cal u
nits
for
each
pro
cedu
re a
fter
the
initi
alca
thet
eris
atio
n. T
he fi
rst c
athe
teris
atio
n is
cha
rged
at 1
00%
of t
he u
nit v
alue
19.8
.1 V
ascu
lar
stud
ies:
Film
Ser
ies
Not
e: In
the
case
of s
elec
tive
cath
eter
isat
ion
of a
bra
nch
of th
e ao
rta,
the
fee
for
cath
eter
isat
ion
ofth
e ao
rta
is n
ot a
dded
.35
36D
edic
ated
ang
iogr
aphy
sui
te: A
nalo
gue
mon
opla
ne u
nit.
Onc
e of
f cha
rge
per
patie
nt b
y ow
ner
ofeq
uipm
ent
3537
Ded
icat
ed a
ngio
grap
hy s
uite
: Dig
ital m
onop
lane
uni
t. O
nce
off c
harg
e pe
r pa
tient
by
owne
r of
equi
pmen
t35
38A
nalo
gue
mon
opla
ne ta
ble
with
GS
A a
ttach
men
t35
39D
edic
ated
ang
iogr
aphy
sui
te: D
igita
l bi-p
lane
uni
t Onc
e of
f cha
rge
per
patie
nt b
y ow
ner
ofeq
uipm
ent
3540
Rad
iogr
aphy
fee
for
coro
nary
cat
hete
risat
ion
labo
rato
ry, p
er r
adio
grap
her,
per
hal
f hou
r or
par
tth
ereo
f35
45V
enog
raph
y: P
er li
mb
3548
Ana
logu
e m
onop
lane
scr
eeni
ng ta
ble
3550
Dig
ital m
onop
lane
scr
eeni
ng ta
ble
3551
Lym
phan
giog
ram
per
lim
b (g
loba
l fee
) in
clud
ing
lym
phat
ic c
athe
teris
atio
n (n
o m
achi
ne fe
eap
plic
able
)35
57C
athe
teris
atio
n ao
rta
or v
ena
cava
, any
leve
l, an
y ro
ute,
with
aor
togr
am/c
avog
ram
3558
Tra
nslu
mba
r ao
rtic
pun
ctur
e, w
ith fu
ll st
udy
2004
.00
2004
.00
2004
.00
2004
.00
2004
,00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
2004
.00
4016
.500
1.0
R21
7.93
2004
.00
2004
.00
2004
.00
4016
6.80
01.
0 R
2 20
2.77
2004
.00
4048
.600
1.0
R64
1.77
304.
000
1.0
R23
4.06
T
2004
.00
4069
.600
1.0
R91
9.09
305.
000
1.0
R29
2.58
T
Pag
e 63
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 67
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74 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
20R
adia
tion
Onc
olog
yG
EN
ER
AL
RU
LES
RE
GA
RD
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TH
IS S
EC
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L R
EF
ER
EN
CE
PR
ICE
LIS
T
(a)
Unl
ess
spec
ifica
lly s
tate
d in
this
sec
tion
of th
e N
RP
L-H
S, t
he g
ener
al d
escr
ipto
rs b
etw
een
the
prof
essi
onal
and
tech
nica
l com
pone
nt a
pply
to b
oth
com
pone
nts
of th
e se
rvic
es.
(b)
The
item
s re
flect
ing
the
tech
nica
l com
pone
nt in
this
sec
tion
of th
e N
RP
L-H
S m
ay o
nly
bech
arge
d by
the
owne
r of
the
equi
pmen
t.B
B.
The
fees
in th
is s
ectio
n (r
adia
tion
onco
logy
) do
NO
T in
clud
e th
e co
st o
f rad
ium
or
isot
opes
Ple
ase
note
: The
cal
cula
ted
amou
nts
in th
is s
ectio
n ar
e ca
lcul
ated
acc
ordi
ng to
the
radi
othe
rapy
unit
valu
es20
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ilovo
lt th
erap
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adiu
m th
erap
y20
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otop
e th
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ope
ther
apy
patie
nts
who
fail
to k
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thei
r ap
poin
tmen
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ee w
ill in
clud
e co
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ater
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er 0
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sur
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l pro
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Spe
cial
pro
cedu
res
20.1
0 C
hem
othe
rapy
Whe
re p
atie
nts
are
not t
reat
ed in
che
mot
hera
py fa
cilit
ies,
item
s 02
13, 0
214
and
0215
are
use
din
stea
d of
item
s 57
90, 5
793
and
5795
. Cod
es 0
213,
021
4 an
d 02
15 a
re a
pplic
able
to p
rovi
ders
who
onl
y ad
min
iste
r th
e dr
ugs
i.e. d
on't
own
or r
ent a
faci
lity
and
do n
ot m
anag
e th
e pa
tient
.
Cod
es 5
790
to 5
795
are
for
excl
usiv
e us
e by
onc
olog
y tr
aine
d do
ctor
s w
orki
ng w
ithin
chem
othe
rapy
faci
litie
s57
90N
on In
fusi
onal
Che
mot
hera
py: G
loba
l Fee
for
the
man
agem
ent o
f and
for
rela
ted
serv
ices
deliv
ered
in th
e tr
eatm
ent o
f can
cer
with
ora
l che
mot
hera
py (
per
cycl
e), i
ntra
mus
cula
r (I
MI)
,su
bcut
aneo
us, i
ntra
thec
al o
r bo
lus
chem
othe
rapy
or
onco
logy
spe
cific
dru
g ad
min
istr
atio
n pe
rtr
eatm
ent d
ay -
for
excl
usiv
e us
e by
doc
tors
with
app
ropr
iate
onc
olog
y tr
aini
ng (
cons
ulta
tions
tobe
cha
rged
sep
arat
ely)
(not
app
licab
le to
ora
l hor
mon
al th
erap
y)57
91N
on In
fusi
onal
Che
mot
hera
py F
acili
ty F
ee: A
faci
lity
whe
re o
ncol
ogy
med
icin
es a
re p
rocu
red
orsc
ripte
d fo
r or
al c
hem
othe
rapy
, int
ram
uscu
lar
(IM
O, s
ubcu
tane
ous,
intr
athe
cal o
r bo
lus
chem
othe
rapy
or
onco
logy
spe
cific
dru
g ad
min
istr
atio
n pe
r tr
eatm
ent d
ay. T
his
fee
is c
harg
eabl
eby
doc
tors
with
app
ropr
iate
onc
olog
y tr
aini
ng w
ho o
wns
or
rent
s th
e fa
cilit
y, a
nd b
y ot
hers
e.g
.ho
spita
ls o
r cl
inic
s th
at p
rovi
de th
e se
rvic
es a
s pe
r th
e ap
prop
riate
bill
ing
stru
ctur
e. S
aid
faci
litie
sar
e to
be
accr
edite
d un
der
the
ausp
ices
of S
AS
MO
and
/or
SA
SC
RO
(to
be
used
in c
onju
nctio
nw
ith it
em 5
790)
- (
not a
pplic
able
to o
ral h
orm
onal
ther
apy)
- o
nly
one
of th
e pa
rtie
s ar
e to
cha
rge
this
fee
5792
Non
Infu
sion
al C
hem
othe
rapy
Fac
ility
Fee
: A fa
cilit
y w
here
onc
olog
y m
edic
ines
are
pur
chas
ed,
stor
ed a
nd d
ispe
nsed
dur
ing
oral
che
mot
hera
py (
per
cycl
e), i
ntra
mus
cula
r (I
MI)
, sub
cuta
neou
s,in
trat
heca
l or
bolu
s ch
emot
hera
py o
r on
colo
gy s
peci
fic d
rug
adm
inis
trat
ion
per
trea
tmen
t day
.T
his
fee
is c
harg
eabl
e by
doc
tors
with
app
ropr
iate
onc
olog
y tr
aini
ng w
ho o
wns
or
rent
s th
efa
cilit
y, a
nd b
y ot
hers
e.g
. hos
pita
ls o
r cl
inic
s th
at p
rovi
de th
e se
rvic
es a
s pe
r th
e ap
prop
riate
billi
ng s
truc
ture
. Sai
d fa
cilit
ies
are
to b
e ac
cred
ited
unde
r th
e au
spic
es o
f SA
SM
O a
nd/o
rS
AS
CR
O (
to b
e us
ed in
con
junc
tion
with
item
579
0) -
(no
t app
licab
le to
ora
l hor
mon
al th
erap
y) -
only
one
of t
he p
artie
s ar
e to
cha
rge
this
fee
Non
-infu
sion
al c
hem
othe
rapy
: Con
sulta
tions
are
cha
rged
sep
arat
ely.
Non
-infu
sion
al c
hem
othe
rapy
: In
the
case
of i
ntra
mus
cula
r (I
MO
, sub
cuta
neou
s, in
trat
heca
l or
bolu
s ch
emot
hera
py a
dmin
istr
atio
n th
e m
anag
emen
t fee
can
onl
y be
cha
rged
onc
e pe
r tr
eatm
ent
day.
Con
sulta
tions
are
cha
rged
sep
arat
ely.
2004
.00
2004
.00
2004
.00
2004
.00
2005
.03
2004
.11
2004
.11
2004
.11
2042
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1.0
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0.37
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42.9
501.
0R
400.
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2005
.03
2024
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1,0
R22
8.34
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24.4
901.
0R
228.
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2005
.03
2030
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5.39
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101.
0R
285.
39Z
2005
.05
2004
.11
Pag
e 71
of 8
7
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 75
5793
Infu
sion
al C
hem
othe
rapy
: Glo
bal f
ee fo
r th
e m
anag
emen
t of a
nd fo
r se
rvic
es d
eliv
ered
dur
ing
2004
.11
infu
sion
al c
hem
othe
rapy
per
trea
tmen
t day
- fo
r ex
clus
ive
use
by d
octo
rs w
ith a
ppro
pria
teon
colo
gy tr
aini
ng u
sing
rec
ogni
sed
chem
othe
rapy
faci
litie
s(co
nsul
tatio
ns to
be
char
ged
sepa
rate
ly)
5794
Infu
sion
al C
hem
othe
rapy
Fac
ility
Fee
: A fa
cilit
y w
here
onc
olog
y m
edic
ines
are
pro
cure
d, s
tore
d,20
05.0
3
adm
ixed
and
adm
inis
tere
d, a
nd in
whi
ch a
ppro
pria
tely
-tra
ined
med
ical
, nur
sing
and
sup
port
sta
ffar
e in
atte
ndan
ce. T
his
fee
is c
harg
eabl
e by
doc
tors
with
app
ropr
iate
onc
olog
y tr
aini
ng w
ho o
wns
or r
ents
the
faci
lity,
and
by
othe
rs e
.g. h
ospi
tals
or
clin
ics
that
pro
vide
the
serv
ices
as
per
the
appr
opria
te b
illin
g st
ruct
ure.
Sai
d fa
cilit
ies
are
to b
e ac
cred
ited
unde
r th
e au
spic
es o
f SA
SM
Oan
d/or
SA
SC
RO
(to
be
used
in c
onju
nctio
n w
ith it
em 5
793)
- o
nly
one
of th
e pa
rtie
s ar
e to
cha
rge
this
fee
5795
Infu
sion
al C
hem
othe
rapy
Fac
ility
Fee
: A fa
cilit
y w
here
onc
olog
y m
edic
ines
are
pur
chas
ed, s
tore
d, 2
004.
11di
spen
sed,
adm
ixed
and
adm
inis
tere
d an
d in
whi
ch a
ppro
pria
tely
-tra
ined
med
ical
, nur
sing
and
supp
ort s
taff
are
in a
ttend
ance
. Thi
s fe
e is
cha
rgea
ble
by d
octo
rs w
ith a
ppro
pria
te o
ncol
ogy
trai
ning
who
ow
ns o
r re
nts
the
faci
lity,
and
by
othe
rs e
.g. h
ospi
tals
or
clin
ics
that
pro
vide
the
serv
ices
as
per
the
appr
opria
te b
illin
g st
ruct
ure.
Sai
d fa
cilit
ies
are
to b
e ac
cred
ited
unde
r th
eau
spic
es o
f SA
SM
O a
nd/o
r S
AS
CR
O (
to b
e us
ed in
con
junc
tion
with
item
579
3) -
onl
y on
e of
the
part
ies
are
to c
harg
e th
is fe
eIte
m 5
795
is c
harg
eabl
e in
add
ition
to it
em 5
793
by th
e O
ncol
ogis
t who
ow
ns o
r re
nts
the
2004
.11
chem
othe
rapy
faci
lity,
and
by
othe
rs e
.g. h
ospi
tals
or
clin
ics
that
pro
vide
the
serv
ices
as
per
the
appr
opria
te b
illin
g st
ruct
ure.
Sai
d fa
cilit
ies
are
to b
e ac
cred
ited
unde
r th
e au
spic
es o
f SA
SM
Oan
d/or
SA
SC
RO
(on
ly to
be
adde
d to
item
579
3 if
own
or r
ente
d fa
cilit
y is
use
d).
20.1
1R
adia
tion
The
rapy
Pla
nnin
g20
.11.
' Man
ual R
adio
ther
apy
Pla
nnin
g P
roce
dure
s58
01M
anua
l Rad
ioth
erap
y P
lann
ing
Pro
cedu
res,
No
Sim
ulat
ion,
Lim
ited
Gra
phic
Pla
nnin
g, S
ingl
e20
05.0
3
Vol
ume
of In
tere
st -
PR
OF
ES
SIO
NA
L C
OM
PO
NE
NT
5601
Man
ual R
adio
ther
apy
Pla
nnin
g P
roce
dure
s, N
o S
imul
atio
n, L
imite
d G
raph
ic P
lann
ing,
Sin
gle
2005
.01
Vol
ume
of In
tere
st -
TE
CH
NIC
AL
CO
MP
ON
EN
T58
02M
anua
l Rad
ioth
erap
y P
lann
ing
Pro
cedu
res:
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Sim
ulat
ion,
Lim
ited
Gra
phic
Pla
nnin
g, M
ultip
le20
05.0
3
Vol
umes
of I
nter
est -
PR
OF
ES
SIO
NA
L C
OM
PO
NE
NT
5602
Man
ual R
adio
ther
apy
Pla
nnin
g P
roce
dure
s: N
o S
imul
atio
n, L
imite
d G
raph
ic P
lann
ing,
Mul
tiple
2005
.01
Vol
umes
of I
nter
est -
TE
CH
NIC
AL
CO
MP
ON
EN
T58
03M
anua
l Rad
ioth
erap
y P
lann
ing
Pro
cedu
res:
No
Sim
ulat
ion,
Lim
ited
Gra
phic
Pla
nnin
g, S
peci
al20
05.0
3
Tec
hniq
ue P
RO
FE
SS
ION
AL
CO
MP
ON
EN
T56
03M
anua
l Rad
ioth
erap
y P
lann
ing
Pro
cedu
res:
No
Sim
ulat
ion,
Lim
ited
Gra
phic
Pla
nnin
g, S
peci
al20
05.0
1
Tec
hniq
ue -
TE
CH
NIC
AL
CO
MP
ON
EN
T20
.11.
: Con
vent
iona
l Rad
ioth
erap
y P
lann
ing
Pro
cedu
res
5808
Con
vent
iona
l Rad
ioth
erap
y P
lann
ing:
Sim
ulat
ion,
Lim
ited
Gra
phic
Pla
nnin
g, S
ingl
e V
olum
e of
2005
.03
Inte
rest
- P
RO
FE
SS
ION
AL
CO
MP
ON
EN
T56
08C
onve
ntio
nal R
adio
ther
apy
Pla
nnin
g: S
imul
atio
n, L
imite
d G
raph
ic P
lann
ing,
Sin
gle
Vol
ume
of20
05.0
1
Inte
rest
- T
EC
HN
ICA
L C
OM
PO
NE
NT
5809
Con
vent
iona
l Rad
ioth
erap
y P
lann
ing:
Sim
ulat
ion,
Lim
ited
Gra
phic
Pla
nnin
g, M
ultip
le V
olum
es o
f 200
5.03
Inte
rest
- P
RO
FE
SS
ION
AL
CO
MP
ON
EN
T56
09C
onve
ntio
nal R
adio
ther
apy
Pla
nnin
g: S
imul
atio
n, L
imite
d G
raph
ic P
lann
ing,
Mul
tiple
Vol
umes
of 2
005.
01In
tere
st -
TE
CH
NIC
AL
CO
MP
ON
EN
T58
10C
onve
ntio
nal R
adio
ther
apy
Pla
nnin
g: S
imul
atio
n, L
imite
d G
raph
ic P
lann
ing,
Spe
cial
Tec
hniq
ue -
2005
.03
PR
OF
ES
SIO
NA
L C
OM
PO
NE
NT
5610
Con
vent
iona
l Rad
ioth
erap
y P
lann
ing:
Sim
ulat
ion,
Lim
ited
Gra
phic
Pla
nnin
g, S
peci
al T
echn
ique
-20
05.0
1
TE
CH
NIC
AL
CO
MP
ON
EN
T20
.11.
: Thr
ee D
imen
sion
al R
adio
ther
apy
Pla
nnin
g P
roce
dure
s58
20T
hree
Dim
ensi
onal
Rad
ioth
erap
y P
lann
ing
Pro
cedu
res:
3-D
imen
sion
al S
imul
atio
n an
d G
raph
ic20
06.0
2
Pla
nnin
g, S
ingl
e V
olum
e of
Inte
rest
- P
RO
FE
SS
ION
AL
CO
MP
ON
EN
T (
excl
udes
imag
ing
cost
sfo
r C
T a
nd M
RI)
5620
Thr
ee D
imen
sion
al R
adio
ther
apy
Pla
nnin
g P
roce
dure
s: 3
-Dim
ensi
onal
Sim
ulat
ion
and
Gra
phic
2006
.02
Pla
nnin
g, S
ingl
e V
olum
e of
Inte
rest
- T
EC
HN
ICA
L C
OM
PO
NE
NT
(ex
clud
es im
agin
g co
sts
for
CT
and
MR
I)58
21T
hree
Dim
ensi
onal
Rad
ioth
erap
y P
lann
ing
Pro
cedu
res:
3-D
imen
sion
al S
imul
atio
n an
d G
raph
ic20
06.0
2
Pla
nnin
g, M
ultip
le V
olum
es o
f Int
eres
t - P
RO
FE
SS
ION
AL
CO
MP
ON
EN
T (
excl
udes
imag
ing
cost
sfo
r C
T a
nd M
RI)
2015
9.47
01.
0R
148
6.80
Z20
127.
580
1.0
R1
189.
38Z
2090
.030
1.0
R83
9.31
Z20
90.0
301.
0R
839.
31Z
2011
2.54
01.
0R
104
9.18
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112.
540
1.0
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049.
18Z
5042
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1.0
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2.20
Z
5099
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1.0
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125.
14Z
5056
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1.0
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6.49
Z
50 1
31.1
001.
0R
1 48
5.18
Z
5076
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8.06
Z
50 1
78.7
701.
0R
2 0
25.3
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1 92
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50 3
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701.
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601.
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t2
700.
37Z
50 5
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801.
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501.
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75.5
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50 9
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001.
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90Z
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501.
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19.5
1Z
Pag
e 72
of 8
7
76 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
5621
Thr
ee D
imen
sion
al R
adio
ther
apy
Pla
nnin
g P
roce
dure
s: 3
-Dim
ensi
onal
Sim
ulat
ion
and
Gra
phic
2006
.02
50 #
$###
/#1#
1.0
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9.03
Z
Pla
nnin
g, M
ultip
le V
olum
es o
f Int
eres
t - T
EC
HN
ICA
L C
OM
PO
NE
NT
(ex
clud
es im
agin
g co
sts
for
CT
and
MR
I)58
22T
hree
Dim
ensi
onal
Rad
ioth
erap
y P
lann
ing
Pro
cedu
res:
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sion
al S
imul
atio
n an
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raph
ic20
06.0
250
554
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1.0
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280
.10
Z
Pla
nnin
g, S
peci
al T
echn
ique
- P
RO
FE
SS
ION
AL
CO
MP
ON
EN
T (
excl
udes
imag
ing
cost
s fo
r C
Tan
d M
RI)
5622
Thr
ee D
imen
sion
al R
adio
ther
apy
Pla
nnin
g P
roce
dure
s: 3
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onal
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ulat
ion
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phic
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Pla
nnin
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al T
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ique
- T
EC
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ICA
L C
OM
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NE
NT
(ex
clud
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agin
g co
sts
for
CT
and
MR
I)20
.11.
, Int
ensi
ty M
odul
ated
Rad
ioth
erap
y P
lann
ing
Pro
cedu
res
5823
Inte
nsity
Mod
ulat
ed R
adio
ther
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nnin
g P
roce
dure
s: In
tens
ity M
odul
ated
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erap
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06.0
250
642
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1.0
R 7
283
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Z
Sim
ulat
ion,
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rse
Pla
nnin
g, R
adic
al C
ours
e -
PR
OF
ES
SIO
NA
L C
OM
PO
NE
NT
(ex
clud
esim
agin
g co
sts
for
CT
and
MR
I)56
23In
tens
ity M
odul
ated
Rad
ioth
erap
y P
lann
ing
Pro
cedu
res:
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nsity
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ulat
ed R
adio
ther
apy
2006
.02
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5656
418
1.0
R 2
1 71
5.92
Z
Sim
ulat
ion,
Inve
rse
Pla
nnin
g, R
adic
al C
ours
e -
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CH
NIC
AL
CO
MP
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EN
T (
excl
udes
imag
ing
cost
s fo
r C
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RI)
5825
Inte
nsity
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ulat
ed R
adio
ther
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g P
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ity M
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ated
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06.0
250
232
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ulat
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rse
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nnin
g, B
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olum
es (
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or u
se w
ith o
ther
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T p
lann
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code
s) -
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OF
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SIO
NA
L C
OM
PO
NE
NT
(ex
clud
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CH
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AL
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MP
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EN
T (
excl
udes
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ing
cost
s fo
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I)20
.11.
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volt
Rad
iatio
n T
reat
men
t58
34K
ilovo
lt R
adia
tion
Tre
atm
ent:
Wee
kly
Tre
atm
ent,
Kilo
volt
or S
imila
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er w
eek
or p
art t
here
of -
2005
.03
5049
.080
1.0
R55
5.97
Z
PR
OF
ES
SIO
NA
L C
OM
PO
NE
NT
5634
Kilo
volt
Rad
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n T
reat
men
t: W
eekl
y T
reat
men
t. K
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Sim
ilar,
per
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par
t the
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-20
05.0
150
114
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1.0
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297.
46Z
TE
CH
NIC
AL
CO
MP
ON
EN
T20
.11.
1 S
hort
Cou
rse
Rad
iatio
n T
reat
men
t58
35S
hort
Cou
rse
Rad
iatio
n T
reat
men
t: S
hort
cou
rse
trea
tmen
t, S
ingl
e V
olum
e of
Inte
rest
-20
05.0
350
105.
740
1.0
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197.
88Z
PR
OF
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SIO
NA
L C
OM
PO
NE
NT
5635
Sho
rt C
ours
e R
adia
tion
Tre
atm
ent:
Sho
rt c
ours
e tr
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ent,
Sin
gle
Vol
ume
of In
tere
st -
2005
.01
50 2
46.7
301.
0R
2 7
95.2
6Z
TE
CH
NIC
AL
CO
MP
ON
EN
T58
36S
hort
Cou
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iatio
n T
reat
men
t Sho
rt c
ours
e tr
eatm
ent,
Mul
tiple
Vol
umes
of I
nter
est -
2005
.03
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STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 77
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20.1
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Pag
e 74
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7
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90 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
P.
Tra
velli
ng fe
es: (
a) W
here
, in
case
s of
em
erge
ncy,
a p
ract
ition
er w
as c
alle
d ou
t fro
m h
is20
04.0
0re
side
nce
or r
oom
s to
a p
atie
nts
hom
e or
the
hosp
ital,
trav
ellin
g fe
es c
an b
e ch
arge
d ac
cord
ing
to th
e se
ctio
n on
trav
ellin
g ex
pens
es (
sect
ion
IV)
if he
had
to tr
avel
mor
e th
an 1
6 ki
lom
etre
s in
tota
l. (b
) If
mor
e th
an o
ne p
atie
nt w
ould
be
atte
nded
to d
urin
g th
e co
urse
of a
trip
, the
full
trav
ellin
g ex
pens
es m
ust b
e di
vide
d be
twee
n th
e re
leva
nt p
atie
nts.
(c)
A p
ract
ition
er is
not
entit
led
to c
harg
e fo
r an
y tr
avel
ling
expe
nses
or
trav
ellin
g tim
e to
his
roo
ms.
(d)
Whe
re a
prac
titio
ner's
res
iden
ce w
ould
be
mor
e th
an 8
kilo
met
res
away
from
a h
ospi
tal,
no tr
avel
ling
fees
may
be
char
ged
for
serv
ices
ren
dere
d at
suc
h ho
spita
ls, e
xcep
t in
case
s of
em
erge
ncy
(ser
vice
sno
t vol
unta
rily
sche
dule
d). (
e) W
here
a p
ract
ition
er c
ondu
cts
an it
iner
ant p
ract
ice,
he
is n
oten
title
d to
cha
rge
fees
for
trav
ellin
g ex
pens
es e
xcep
t in
case
s of
em
erge
ncy
(ser
vice
s no
tvo
lunt
arily
sch
edul
ed).
(f)
For
vol
unta
rily
sche
dule
d se
rvic
es, f
ees
for
trav
ellin
g ex
pens
es m
ayon
ly b
e ch
arge
d w
here
the
patie
nt a
nd th
e pr
actit
ione
r ha
ve e
nter
ed in
to a
n ag
reem
ent t
o th
is50
03R
6,67
for
each
kilo
met
re in
exc
ess
of 1
6 ki
lom
etre
s tr
avel
led
in o
wn
car
e.g.
whe
re a
pra
ctiti
oner
2004
.00
has
to tr
avel
19
kilo
met
res
in to
tal t
o vi
sit a
pat
ient
, the
fees
sha
ll be
cal
cula
ted
as fo
llow
s: 1
9-16
=3
X R
6,67
= R
20,0
150
05N
orm
al h
ours
: Spe
cial
ist:
1800
clin
ical
pro
cedu
re u
nits
per
hou
r or
par
t the
reof
2004
.00
2018
.000
1.0
R16
7.77
5007
Nor
mal
hou
rs: G
ener
al p
ract
ition
er: 1
8,00
clin
ical
pro
cedu
re u
nits
per
hou
r or
par
t the
reof
2004
.00
5013
Tra
velli
ng fe
es a
re n
ot p
ayab
le to
pra
ctiti
oner
s w
ho a
ssis
ted
at o
pera
tions
on
case
s re
ferr
ed to
2004
.00
surg
eons
by
them
V.
LIS
T O
F P
RO
CE
DU
RE
S W
HIC
H A
RE
OF
TE
N D
ON
E IN
TH
E D
OC
TO
RS
' RO
OM
S T
O W
HIC
HM
OD
IFIE
R 0
004
SH
OU
LD N
OT
BE
AP
PLI
ED
Mod
ifier
000
4 is
not
app
licab
le to
the
follo
win
g se
ctio
ns:
2004
.00
All
anae
sthe
tic s
ervi
ces
Sec
tion
19: R
adio
logy
Sec
tion
20: R
adia
tion
Onc
olog
yS
ectio
n 21
: Clin
ical
Pat
holo
gy (
exce
pt fo
r ite
ms
3719
, 372
0 an
d 37
21 w
here
mod
ifier
000
4 m
aybe
app
lied)
Sec
tion
22: A
nato
mic
al P
atho
logy
Sec
tion
23: H
uman
Gen
etic
Ple
ase
note
: T
his
is n
ot a
con
clus
ive
list a
nd p
ract
ition
ers
shou
ld n
ot b
e pe
nalis
ed w
hen
patie
nts
need
to b
e ad
mitt
ed to
hos
pita
l for
thes
e pr
oced
ures
.
Pag
e 87
of 8
7
2018
.000
1.0
R16
7.77
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 91
Medical Practitioners 2006
GUIDELINE TARIFFS FOR SERVICES BY MEDICAL PRACTITIONERS
Published in terms of Section 53 (3) (d) of the HEALTH PROFESSIONS ACT (56 OF 1974)
Note that this schedule is based on the 2006 NHRPL which was inflated by 46.66%.The 2006 NHRPL is available in database format at http://www.hpcsa.co.za
Rand Conversion FactorsCode Description RCF
10 Consultative Services 15.0542211 Psychiatrists 17.9536112 Consultative Services (Paediatrics and Paediatric Cardiologists) 15.0542220 Clinical Procedures 9.32291130 Anaesthesiologists 58.5083540 Radiology 13.2063650 Radiation Oncology 11.3291660 Ultrasound 8.88587770 Computed Tomography 10.4873675 Magnetic Resonance Imaging 10.0503280 Clinical Pathology 10.7777490 Anatomical Pathology - Cytology 12.4290895 Anatomical Pathology - Histology 11.7662
100 Human Genetics 11.03878130 GP Consultative Services (items 0190 - 0192, 0173-0175) 16.87569
20 Feb 2006 Page 1 of 1 Version 2006,06
92 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
Medical Practitioners 2006
Code Description10000 Specialists10008 Specialist Radiologist/Nuclear Physicians10099 General Practitioners / non-designated Specialists11000 Anaesthesiology11200 Dermatology11400 General Medical Practice11600 Obstetrics and Gynaecology11700 Pulmonology11800 Medicine (Specialist Physician)11900 Gastroenterology12000 Neurology12100 Cardiology12200 Psychiatry12300 Medical Oncology12400 Neurosurgery12500 Nuclear Medicine12600 Opthalmology12800 Orthopaedics13000 Otorhinolaryngology13100 Rheumatology13200 Paediatrics13300 Paediatric Cardiology13400 Physical Medicine13600 Plastic and Reconstructive Surgery13800 Radiology14000 Radiation Oncology14200 Surgery14400 Cardiothoracic Surgery14600 Urology15200 Pathology (Clinical)15300 Pathology (Anatomical)
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 93
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y D
EN
TA
L P
RA
CT
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lishe
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term
s of
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tion
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d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Not
e th
at th
is s
ched
ule
is b
ased
on
the
2006
NH
RP
L w
hich
was
infla
ted
by 4
6.66
%.
Ver
sion
Add
Val
ueV
alue
Val
ueV
alue
Val
ueV
alue
MP
Lab
TC
The
200
6 N
HR
PL
is a
vaila
ble
in d
atab
ase
form
at a
t http
://w
ww
.hpc
sa.c
o.za
In te
rms
of s
ectio
n 53
(1)
of th
e H
ealth
Pro
fess
ions
Act
, 197
4 (A
ct N
o. 5
6 of
197
4) e
very
per
son
regi
ster
ed u
nder
the
Act
(in
this
sec
tion
refe
rred
to a
s th
e pr
actit
ione
r) s
hall,
unl
ess
the
circ
umst
ance
s re
nder
it im
poss
ible
for
him
or
her
to d
o so
, bef
ore
rend
erin
g an
y pr
ofes
sion
al s
ervi
ces
info
rm th
e pe
rson
to w
hom
the
serv
ices
are
to b
e re
nder
ed o
r an
y pe
rson
resp
onsi
ble
for
the
mai
nten
ance
of s
uch
pers
on, o
f the
fee
whi
ch h
e or
she
inte
nds
to c
harg
e fo
r su
ch s
ervi
ces
-
(a)
whe
n so
req
uest
ed b
y th
e pe
rson
con
cern
ed; o
r
(b)
whe
n su
ch fe
e ex
ceed
s th
e G
uide
line
Tar
iffs
for
such
ser
vice
s,
and
shal
l in
a ca
se to
whi
ch p
arag
raph
(b)
rel
ates
, als
o in
form
the
pers
on c
once
rned
of t
he u
sual
fee.
Eve
ry p
erso
n re
gist
ered
und
er th
e A
ct s
hall,
unl
ess
the
circ
umst
ance
s re
nder
it im
poss
ible
for
him
or
her
to d
o so
, bef
ore
rend
erin
g an
y pr
ofes
sion
al s
ervi
ces
also
info
rm th
epe
rson
to w
hom
the
serv
ices
are
to b
e re
nder
ed o
r an
y pe
rson
res
pons
ible
for
the
mai
nten
ance
of s
uch
pers
on, o
f the
fee
whi
ch h
e or
she
inte
nds
to c
harg
e fo
r su
ch s
ervi
ces
ifsu
ch fe
e ex
ceed
s th
e m
edic
al a
id r
ates
.
The
follo
win
g gu
idel
ine
tarif
f lis
t is
not a
set
of t
ariff
s th
at m
ust b
e ap
plie
d by
med
ical
sch
emes
2005
.02
and/
or p
rovi
ders
. It i
s ra
ther
inte
nded
to s
erve
as
a no
rm fo
r th
e de
term
inat
ion
of th
e et
hica
l fee
sch
arge
d by
med
ical
pra
ctiti
oner
s. T
hese
tarif
fs r
efle
cts
the
opin
ion
of th
e M
edic
al a
nd D
enta
lB
oard
on
the
amou
nts
that
sho
uld
be c
harg
ed fo
r th
e re
spec
tive
serv
ices
in in
stan
ces
whe
re a
prac
titio
ner
and
a pa
tient
hav
e no
t agr
eed
to a
n al
tern
ativ
e fe
e.T
he e
xist
ence
of a
cod
e in
this
pub
licat
ion
does
not
mea
n th
at th
e pr
oced
ure
will
be
reim
burs
ed b
y 20
05.0
2m
edic
al s
chem
es. M
edic
al s
chem
es h
ave
the
right
to li
mit
the
scop
e, th
e fr
eque
ncy
and/
orco
mbi
natio
ns o
f den
tal p
roce
dure
s th
at is
cov
ered
or
reim
burs
ed. I
t is
the
resp
onsi
bilit
y of
the
patie
nt to
kno
w w
hat p
roce
dure
s ar
e co
vere
d an
d w
hat a
re e
xclu
ded
from
his
/her
den
tal b
enef
itpl
an, a
nd n
ot th
at o
f the
den
tal o
ffice
. Cer
tain
med
ical
sch
emes
may
req
uire
pre
dete
rmin
atio
n fo
rpa
rtic
ular
pro
cedu
res
and/
or w
hen
char
ges
are
expe
cted
to e
xcee
d a
cert
ain
amou
nt,
The
sch
edul
e in
clud
es p
roce
dure
s an
d se
rvic
es fo
r us
e by
Ora
l Hea
lth C
are
Pro
vide
rs fo
rpu
rpos
es o
f kee
ping
acc
urat
e pa
tient
rec
ords
, rep
ortin
g pr
oced
ures
on
patie
nts,
and
pro
cess
ing
oral
hea
lth c
are
rela
ted
insu
ranc
e cl
aim
s. T
he p
roce
dure
s ar
e th
ose
perf
orm
ed b
y ge
nera
l den
tal
prac
titio
ners
, ora
l pat
holo
gist
s, p
rost
hodo
ntis
ts, p
erio
dont
ists
, ort
hodo
ntis
ts, m
axilt
o -f
acia
l and
ora
lsu
rgeo
ns a
nd d
enta
l the
rapi
sts.
The
pro
cedu
res
code
s lis
ted
in th
e sc
hedu
le h
ave,
for
the
conv
enie
nce
in u
sing
the
sche
dule
, bee
ndi
vide
d in
to c
ateg
orie
s of
ser
vice
s, b
ased
on
the
bran
ches
of c
linic
al d
enta
l pra
ctic
e. T
hepr
oced
ures
are
gro
uped
und
er th
e ca
tego
ry o
f ser
vice
with
whi
ch th
e pr
oced
ures
are
mos
tfr
eque
ntly
iden
tifie
d an
d sh
ould
not
be
inte
rpre
ted
as e
xclu
ding
cer
tain
cat
egor
ies
of O
ral H
ealth
Car
e P
rovi
ders
from
per
form
ing
such
pro
cedu
res.
Indi
vidu
al p
roce
dure
cod
es c
onsi
st o
f apr
oced
ure
code
, pro
cedu
re d
escr
iptio
n (n
omen
clat
ure)
, and
whe
n ne
cess
ary,
a d
escr
ipto
r, th
atpr
ovid
es fu
rthe
r de
finiti
on a
nd/o
r gu
idel
ines
to c
larif
y th
e in
tend
ed u
se o
f the
pro
cedu
re c
ode.
I.IN
TR
OD
UC
TIO
NA
.A
dmin
istr
ativ
e an
d in
voic
ing
nile
s00
1In
voic
es:
a.A
pra
ctiti
oner
sha
ll re
nder
a m
onth
ly in
voic
e fo
r ev
ery
proc
edur
e w
hich
has
bee
n co
mpl
eted
irres
pect
ive
of w
heth
er th
e to
tal t
reat
men
t pla
n ha
s be
en c
oncl
uded
.
2006
.03
2005
.02
2005
.02
b.A
n in
voic
e sh
all c
onta
in th
e fo
llow
ing
part
icul
ars:
2005
.02
Pag
e 1
of 2
6
94 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y D
EN
TA
L P
RA
CT
ITIO
NE
RS
2540
026
200
2640
029
200
2940
029
800
Pub
lishe
d in
term
s of
Sec
tion
53 (
3) (
d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Not
e th
at th
is s
ched
ule
is b
ased
on
the
2006
NH
RP
L w
hich
was
infla
ted
by 4
6.66
%.
Ver
sion
Add
Val
ueV
alue
Val
ueV
alue
Val
ueT
he 2
006
NH
RP
L is
ava
ilabl
e in
dat
abas
e fo
rmat
at h
ttp://
ww
w.h
pcsa
.co.
zai.
The
sur
nam
e an
d in
itial
s of
the
mem
ber;
2006
.03
-
ii. T
he fi
rst n
ame
of th
e pa
tient
;iii
. The
nam
e of
the
sche
me;
iv. T
he m
embe
rshi
p nu
mbe
r of
the
mem
ber;
v. T
he p
ract
ice
num
ber;
vi. T
he d
ate
on w
hich
eve
ry s
ervi
ce w
as r
ende
red;
vii.
The
cod
e nu
mbe
r, d
escr
iptio
n an
d fe
e/be
nefit
of t
he p
roce
dure
or
serv
ice;
viii.
The
nam
e of
the
dent
ist r
ende
ring
the
serv
ice;
ix. T
he n
ame
of th
e ge
nera
l den
tal p
ract
ition
er/s
peci
alis
t ass
ista
nt (
whe
n ap
plic
able
);x.
The
app
ropr
iate
ICD
-10
code
(s)
for
the
proc
edur
es p
erfo
rmed
.N
ote:
Pho
toco
pies
of o
rigin
al in
voic
es s
hall
be c
ertif
ied
by w
ay o
f a r
ubbe
r st
amp
or th
e si
gnat
ure
2005
.02
of th
e de
ntis
t.00
2C
ost o
f dire
ct m
ater
ials
:20
05.0
2
The
exp
ense
s in
curr
ed fo
r di
rect
mat
eria
ls id
entif
ied
in th
e S
ched
ule
may
be
bille
d in
add
ition
toth
e pr
oced
ure
code
. The
se e
xpen
ses
are
limite
d to
the
net a
cqui
sitio
n co
st o
f the
mat
eria
ls a
nd a
hand
ling
fee.
The
pric
e of
the
mat
eria
ls s
houl
d be
VA
T in
clus
ive.
Use
Mod
ifier
802
5 fo
r ha
ndlin
gfe
e.00
3D
enta
l lab
orat
ory
serv
ices
:20
05.0
2
Man
ual s
ubm
issi
on o
f inv
oice
s. F
ees
char
ged
by d
enta
l tec
hnic
ians
for
labo
rato
ry s
ervi
ces
(PLU
S20
05.0
2
L) s
hall
be in
dica
ted
on th
e de
ntis
t's in
voic
e by
rep
ortin
g co
de 8
099
- D
enta
l lab
orat
ory
serv
ice
with
the
appr
opria
te la
bora
tory
fee
on th
e lin
e fo
llow
ing
the
rele
vant
den
tal p
roce
dure
cod
e.T
he te
chni
cian
's in
voic
e sh
all b
e ce
rtifi
ed b
y th
e de
ntis
t (or
a p
erso
n ap
poin
ted
by th
e de
ntis
t) fo
rco
rrec
tnes
s by
mea
ns o
f a s
igna
ture
. The
orig
inal
invo
ice
of th
e de
ntal
tech
nici
an (
or a
cop
yth
ereo
f) s
hall
acco
mpa
ny th
e in
voic
e of
the
dent
ist a
nd a
cop
y (o
r th
e or
igin
al)
shal
l be
filed
by
the
dent
ist f
or r
ecor
d pu
rpos
es.
Ele
ctro
nic
subm
issi
on o
f inv
oice
s. F
ees
char
ged
by d
enta
l tec
hnic
ians
for
labo
rato
ry s
ervi
ces
2005
.02
(PLU
S L
) sh
all b
e in
dica
ted
on th
e de
ntis
t's in
voic
e by
sub
mitt
ing
code
809
9 -
Den
tal l
abor
ator
yse
rvic
e w
ith th
e ap
prop
riate
labo
rato
ry fe
e on
the
line
follo
win
g th
e re
leva
nt d
enta
l pro
cedu
re c
ode
on th
e da
te o
n w
hich
the
dent
al p
roce
dure
was
ren
dere
d. T
he la
bora
tory
fee
shal
l be
subm
itted
for
paym
ent o
n th
e da
te o
n w
hich
the
proc
edur
e co
de is
sub
mitt
ed fo
r pa
ymen
t, an
d th
e ap
prop
riate
dent
al la
bora
tory
ser
vice
cod
es s
hall
be r
epor
ted
on th
e lin
es fo
llow
ing
code
809
9.T
he te
chni
cian
's in
voic
e sh
all b
e ce
rtifi
ed b
y th
e de
ntis
t (or
a p
erso
n ap
poin
ted
by th
e de
ntis
t) fo
rco
rrec
tnes
s by
mea
ns o
f a s
igna
ture
. The
orig
inal
invo
ice
of th
e de
ntal
tech
nici
an s
hall
be fi
led
byth
e de
ntis
t for
rec
ord
purp
oses
.
005
Pro
cedu
re a
ccom
pani
ed b
y un
usua
l circ
umst
ance
s:In
exc
eptio
nal c
ases
whe
re th
e pr
opos
ed fe
e/be
nefit
is d
ispr
opor
tiona
tely
low
in r
elat
ion
to th
eac
tual
ser
vice
s re
nder
ed b
y a
prac
titio
ner,
suc
h hi
gher
fee
as m
ay b
e m
utua
lly a
gree
d up
onbe
twee
n th
e de
ntal
pra
ctiti
oner
and
the
patie
nt/m
edic
al s
chem
e m
ay b
e bi
lled.
Use
Mod
ifier
801
1w
ith a
nar
rativ
e de
scrip
tion.
Und
er c
erta
in c
ircum
stan
ces
a se
rvic
e or
pro
cedu
re is
par
tially
red
uced
or
elim
inat
ed a
t the
prac
titio
ner's
ele
ctio
n. U
nder
thes
e ci
rcum
stan
ces
a lo
wer
fee
may
be
bille
d. T
he s
ervi
ce p
rovi
ded
can
be id
entif
ied
by it
s us
ual p
roce
dure
cod
e an
d th
e ad
ditio
n of
Mod
ifier
801
2, s
igni
fyin
g th
ese
rvic
e is
red
uced
.
B.
Gen
eral
cod
ing
rule
s
2005
.02
Pag
e 2
of 2
6
Val
ueM
P L
ab T
C
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 95
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y D
EN
TA
L P
RA
CT
ITIO
NE
RS
2540
026
200
2640
029
200
2940
029
800
Pub
lishe
d in
term
s of
Sec
tion
53 (
3) (
d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Not
e th
at th
is s
ched
ule
is b
ased
on
the
2006
NH
RP
L w
hich
was
infla
ted
by 4
6.66
%.
Ver
sion
Add
Val
ueV
alue
Val
ueV
alue
Val
ueT
he 2
006
NH
RP
L is
ava
ilabl
e in
dat
abas
e fo
rmat
at h
ttp://
ww
w.h
pcsa
.co.
za00
6T
he s
ched
ule
does
not
pre
scrib
e th
e sc
ope
of p
ract
ice
of a
par
ticul
ar c
ateg
ory
of O
ral H
ealth
Car
e 20
06.0
3P
rovi
der;
nei
ther
doe
s it
conf
ine
the
perf
orm
ing
of p
roce
dure
s or
ser
vice
s to
a r
egis
tere
d sp
ecia
lity.
Fee
s lis
ted
with
in a
col
umn
of a
par
ticul
ar c
ateg
ory
of O
ral H
ealth
Car
e P
rovi
der
are
cust
omar
yfe
es, s
houl
d th
e pr
oced
ure
or s
ervi
ce b
e re
nder
ed b
y th
at p
rovi
der
cate
gory
.S
peci
alis
ts a
re h
owev
er e
ncou
rage
d to
con
fine
thei
r pr
actic
e to
the
spec
ialit
y or
rel
ated
spe
cial
ities
in w
hich
they
are
reg
iste
red.
Spe
cial
ist m
ay c
harg
e fe
es fo
r pr
oced
ures
or
serv
ices
whi
ch u
sual
lype
rtai
n to
som
e ot
her
spec
ialit
y, if
suc
h pr
oced
ures
or
serv
ices
are
als
o re
cogn
ised
in th
eir
spec
ialit
y, a
nd if
it is
car
ried
out o
nly
for
thei
r bo
na fi
de p
atie
nts.
Suc
h fe
es s
hall
not b
e hi
gher
than
thos
e ch
arge
d by
gen
eral
pra
ctiti
oner
s fo
r th
e sa
me
proc
edur
es o
r se
rvic
es (
HP
CS
A, R
ule
25).
Fee
s fo
r pr
oced
ures
or
serv
ices
not
list
ed w
ithin
the
colu
mn
of d
enta
l the
rapi
sts
that
do
fall
with
inth
e fie
ld o
f den
tal t
hera
py in
term
s of
thei
r sc
ope
of p
ract
ice
are
rega
rded
as
bein
g "b
yar
rang
emen
t" u
ntil
such
fees
are
list
ed.
007
Pro
cedu
res
not l
iste
d in
the
Den
tal S
ched
ule
2005
.02
Whe
n a
proc
edur
e is
per
form
ed th
at is
not
list
ed in
the
sche
dule
, an
appr
opria
te p
roce
dure
cod
e,20
06.0
3lis
ted
in th
e N
HR
PL
for
med
ical
pra
ctiti
oner
s m
ay b
e re
port
ed.
Unl
iste
d pr
oced
ures
. Any
pro
cedu
re th
at is
nei
ther
des
crib
ed in
the
sche
dule
, nor
in th
e m
edic
al20
06.0
3sc
hedu
le, s
houl
d be
rep
orte
d us
ing
code
909
9 -
Unl
iste
d de
ntal
pro
cedu
re o
r se
rvic
e. T
he fe
e fo
ran
unl
iste
d de
ntal
pro
cedu
re o
r se
rvic
e sh
ould
be
base
d on
the
fee
of a
com
para
ble
proc
edur
e.C
ode
9099
cod
es s
houl
d no
t be
used
to r
epor
t pro
cedu
res
whe
re th
e fe
e is
det
erm
ined
"by
arra
ngem
ent"
with
the
patie
nt a
nd/o
r m
edic
al s
chem
e.C
.S
ervi
ces
rule
s00
8O
ral e
valu
atio
ns a
nd c
ompl
etio
n of
trea
tmen
t pla
ns:
2006
.03
Ora
l exa
min
atio
ns in
clud
e an
exa
min
atio
n, d
iagn
osis
and
trea
tmen
t pla
nnin
g (w
hen
trea
tmen
t is
requ
ired)
. No
furt
her
fees
/ben
efits
sha
ll be
levi
ed fo
r an
ora
l exa
min
atio
n (c
ode
8101
) or
com
preh
ensi
ve e
xam
inat
ion
(cod
e 81
02)
until
the
trea
tmen
t pla
n re
sulti
ng fr
om th
ese
type
of
exam
inat
ions
is c
ompl
eted
.T
he c
ompl
etio
n of
a tr
eatm
ent p
lan
effe
cted
from
an
oral
exa
min
atio
n an
d/or
com
preh
ensi
veex
amin
atio
n sh
ould
be
indi
cate
d by
rep
ortin
g co
de 8
120
- T
reat
men
t pla
n co
mpl
eted
.
Ora
l dia
gnos
is d
efin
ed. T
he d
eter
min
atio
n by
the
dent
ist o
f the
ora
l hea
lth c
ondi
tion
of a
nin
divi
dual
pat
ient
ach
ieve
d th
roug
h th
e ev
alua
tion
of d
ata
gath
ered
by
mea
ns o
f his
tory
taki
ng,
dire
ct e
xam
inat
ion,
pat
ient
con
fere
nce,
and
suc
h cl
inic
al a
ids
and
test
s as
may
be
nece
ssar
y in
the
judg
emen
t of t
he d
entis
t.
Tre
atm
ent p
lan
defin
ed. T
he tr
eatm
ent p
lan
is th
e se
quen
tial g
uide
for
the
patie
nt's
car
e as
dete
rmin
ed b
y th
e de
ntis
t's d
iagn
osis
and
is u
sed
by th
e de
ntis
ts fo
r th
e re
stor
atio
n an
d/or
mai
nten
ance
of o
ptim
al o
ral h
ealth
009
Sur
gery
gui
delin
es:
1.F
ollo
w-u
p ca
re fo
r th
erap
eutic
sur
gica
l pro
cedu
res:
The
fee/
bene
fit fo
r an
ope
ratio
n sh
all,
unle
ss o
ther
wis
e st
ated
, inc
lude
nor
mal
pos
t-op
erat
ive
care
for
a pe
riod
not e
xcee
ding
four
mon
ths.
If a
pra
ctiti
oner
doe
s no
t him
/her
self
com
plet
e th
e po
st-o
pera
tive
care
, he/
she
shal
lar
rang
e fo
r po
st-o
pera
tive
care
with
out a
dditi
onal
cha
rges
. A fe
e/be
nefit
for
post
-ope
rativ
etr
eatm
ent o
f a p
rolo
nged
or
spec
ialis
ed n
atur
e m
ay b
e ch
arge
d as
agr
eed
upon
bet
wee
n th
epr
actit
ione
r an
d th
e sc
hem
e.
2005
.02
2005
.02
Pag
e 3
of 2
6
Val
ueM
P L
ab T
C
96 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y D
EN
TA
L P
RA
CT
ITIO
NE
RS
2540
026
200
2640
029
200
2940
029
800
Pub
lishe
d in
term
s of
Sec
tion
53 (
3) (
d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Not
e th
at th
is s
ched
ule
is b
ased
on
the
2006
NH
RP
L w
hich
was
infla
ted
by 4
6.66
%.
The
200
6 N
HR
PL
is a
vaila
ble
in d
atab
ase
form
at a
t http
://w
ww
.hpc
sa.c
o.za
2.M
ultip
le P
roce
dure
s (M
axill
o -f
acia
l and
ora
l sur
gery
): T
he fe
e/be
nefit
for
mor
e th
an o
neop
erat
ion
or p
roce
dure
per
form
ed th
roug
h th
e sa
me
inci
sion
sha
ll be
det
erm
ined
as
the
fee
for
the
maj
or o
pera
tion
plus
fee/
bene
fit fo
r th
e su
bsid
iary
ope
ratio
n to
the
indi
cate
d m
axim
um fo
r ea
chsu
ch s
ubsi
diar
y op
erat
ion
or p
roce
dure
(M
odifi
er 8
005)
. The
fee/
bene
fit fo
r m
ore
than
one
oper
atio
n or
pro
cedu
re p
erfo
rmed
und
er th
e sa
me
anae
sthe
tic b
ut th
roug
h an
othe
r in
cisi
on s
hall
be d
eter
min
ed o
n th
e fe
e/be
nefit
for
the
maj
or o
pera
tion
plus
: 75%
for
the
seco
ndpr
oced
ure/
oper
atio
n (M
odifi
er 8
009)
. 50%
for
the
third
and
sub
sequ
ent p
roce
dure
s/op
erat
ions
(Mod
ifier
800
6). T
his
rule
sha
ll no
t app
ly w
here
two
or m
ore
unre
late
d op
erat
ions
are
per
form
ed b
ypr
actit
ione
rs in
diff
eren
t spe
cial
ities
, in
whi
ch c
ase
each
pra
ctiti
oner
sha
ll be
ent
itled
to th
e fu
llfe
e/be
nefit
of t
he o
pera
tion.
If, w
ithin
four
mon
ths,
a s
econ
d op
erat
ion
for
the
sam
e co
nditi
on o
rin
jury
is p
erfo
rmed
, the
fee/
bene
fit fo
r th
e se
cond
ope
ratio
n sh
all b
e 50
% o
f tha
t of t
he fi
rst
oper
atio
n (M
odifi
er 8
006)
.3.
Ass
ista
nt S
urge
on (
Max
illo-
faci
al a
nd p
erio
dont
al s
urge
ry):
The
fee
paya
ble
to a
spe
cial
ist
assi
stan
t is
dete
rmin
ed a
s 1/
3 (o
f the
fee
of th
e pr
actit
ione
r pe
rfor
min
g th
e pr
oced
ure
(Mod
ifier
8001
). T
he fe
e pa
yabl
e to
a g
ener
al d
enta
l pra
ctiti
oner
ass
ista
nt is
det
erm
ined
as
15%
(of
the
fee
of th
e pr
actit
ione
r pe
rfor
min
g th
e pr
oced
ure
(Mod
ifier
800
7). T
he p
atie
nt m
ust b
e in
form
edbe
fore
hand
that
ano
ther
den
tist/s
peci
alis
t will
be
assi
stin
g at
the
oper
atio
n an
d th
at a
fee
will
be
paya
ble
to th
e as
sist
ant.
The
ass
ista
nt's
nam
e m
ust a
ppea
r on
the
invo
ice
rend
ered
to th
e pa
tient
.
Ver
sion
Add
Val
ueV
alue
Val
ueV
alue
Val
ue
2005
.02
2005
,02
4.S
urgi
cal t
eam
(M
axi l
lo-f
acia
l and
ora
l sur
gery
): T
he a
dditi
onal
fee
to a
ll m
embe
rs o
f the
sur
gica
l20
05.0
2te
am fo
r af
ter
hour
s em
erge
ncy
surg
ery
shal
l be
calc
ulat
ed b
y ad
ding
25%
to th
e fe
e fo
r th
epr
oced
ure
or p
roce
dure
s pe
rfor
med
(M
odifi
er 8
008)
.01
0O
rtho
dont
ic g
uide
lines
:20
05.0
2T
he d
ocum
enta
tion
and
first
invo
ice
to th
e pa
tient
/med
ical
sch
eme
rega
rdin
g or
thod
ontic
ser
vice
s20
06.0
3w
ill in
clud
e th
e fo
llow
ing
info
rmat
ion:
a. T
he tr
eatm
ent p
lan
and
type
of t
reat
men
t (tr
eatm
ent c
ode
num
ber)
;b.
A d
iagn
ostic
cod
e (I
CD
-10)
and
c. A
n or
thod
ontic
pay
men
t pla
n in
dica
ting
the
follo
win
g:i.
The
tota
l fee
that
will
be
levi
ed fo
r th
e tr
eatm
ent;
ii. T
he to
tal m
onth
s of
ort
hodo
ntic
trea
tmen
t (re
tent
ion
perio
d ex
clud
ed);
iii. T
he in
itial
fee
paya
ble
by th
e pa
tient
(ap
prox
imat
ely
20%
of t
he to
tal f
ee);
and
iv. T
he m
onth
ly p
aym
ents
of t
he b
alan
ce o
f the
fee.
2,T
he fe
e fo
r or
thod
ontic
trea
tmen
t doe
s no
t inc
lude
a c
linic
al o
ral e
valu
atio
n an
d ne
cess
ary
2005
.02
diag
nost
ic s
ervi
ces.
The
fee
for
corr
ectiv
e th
erap
y (i.
e. c
odes
886
1 to
888
8) is
an
incl
usiv
e fe
ean
d no
add
ition
al fe
es m
ay b
e le
vied
for
intr
a-op
erat
ive
oral
eva
luat
ions
and
pre
vent
ive
serv
ices
.A
pre
-ort
hodo
ntic
trea
tmen
t vis
it, a
n or
thod
ontic
ret
entio
n, a
nd a
n or
al e
valu
atio
n on
com
plet
ion
ofth
e tr
eatm
ent p
lan
(ret
entio
n ph
ase
incl
uded
) ar
e ex
clud
ed a
nd s
houl
d be
rep
orte
d in
add
ition
toco
rrec
tive
orth
odon
tic tr
eatm
ent a
s se
para
te p
roce
dure
s (C
ode
8803
x3)
. Inf
ra/p
ost o
rtho
dont
ictr
eatm
ent r
ecor
ds c
onsi
stin
g of
rad
iogr
aphs
/dia
gnos
tic im
ages
(lim
ited
to a
cep
halo
met
ric fi
lm a
nd5
oral
/faci
al im
ages
) an
d di
agno
stic
cas
ts m
ay b
e le
vied
whe
n a
corr
ectiv
e or
thod
ontic
trea
tmen
tpl
an is
com
plet
ed (
rete
ntio
n ph
ase
incl
uded
).3.
The
fee
for
'Fix
ed a
pplia
nce
ther
apy'
(co
des
8861
and
886
5 to
888
8), a
s de
term
ined
by
the
2005
.02
indi
vidu
al p
ract
ition
er, w
ill b
e le
vied
on
a m
onth
ly m
anne
r ov
er th
e tr
eatm
ent p
erio
d (r
eten
tion
phas
e ex
clud
ed).
4.W
hen
part
ial f
ixed
app
lianc
e or
pre
limin
ary
orth
odon
tic tr
eatm
ent (
code
s 88
58, 8
861,
886
5 or
2005
.02
8866
) is
follo
wed
by
full
fixed
app
lianc
e or
thod
ontic
trea
tmen
t (co
des
8873
to 8
888)
pro
vide
d by
the
sam
e or
thod
ontis
t, th
e fe
es le
vied
for
the
part
ial f
ixed
app
lianc
e th
erap
y or
pre
limin
ary
trea
tmen
tw
ill b
e de
duct
ed fr
om th
e fe
e qu
oted
for
the
full
fixed
app
lianc
e or
thod
ontic
trea
tmen
t.
Pag
e 4
of 2
6
Val
ueM
P L
ab T
C
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 97
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y D
EN
TA
L P
RA
CT
ITIO
NE
RS
2540
026
200
2640
029
200
2940
029
800
Pub
lishe
d in
term
s of
Sec
tion
53 (
3) (
d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Not
e th
at th
is s
ched
ule
is b
ased
on
the
2006
NH
RP
L w
hich
was
infla
ted
by 4
6.66
%.
Ver
sion
Add
Val
ueV
alue
Val
ueV
alue
Val
ueT
he 2
006
NH
RP
L is
ava
ilabl
e in
dat
abas
e fo
rmat
at h
ttp://
ww
w.h
pcsa
.co.
za5.
The
tota
l fee
for
mul
tiple
pha
ses
of fu
ll fix
ed a
pplia
nce
orth
odon
tic tr
eatm
ent p
rovi
ded
by th
e20
05.0
2sa
me
orth
odon
tist m
ay n
ot e
xcee
d th
e m
ost r
ecen
t fee
(de
term
ined
on
com
men
cem
ent d
ate
of th
efin
al s
tage
of f
ull f
ixed
app
lianc
e tr
eatm
ent)
for
the
appr
opria
te fu
ll fix
ed o
rtho
dont
ic p
roce
dure
.
6.W
hen
the
patie
nt tr
ansf
ers
to a
noth
er p
ract
ition
er d
urin
g tr
eatm
ent,
or tr
eatm
ent i
s te
rmin
ated
2005
.02
for
any
reas
on, t
he o
rigin
al tr
eatin
g pr
actit
ione
r m
ust r
epor
t the
num
ber
of tr
eatm
ent m
onth
sre
mai
ning
and
det
erm
ine
the
bala
nce
of th
e fe
e by
app
lyin
g th
e fo
llow
ing
form
ula:
Tot
al p
aym
ent
(for
trea
tmen
t onl
y) m
inus
20%
of t
he to
tal f
ee (
for
band
ing
- w
hen
appl
icab
le)
mul
tiplie
d by
the
perc
enta
ge o
f tre
atm
ent r
emai
ning
. For
exa
mpl
e, if
the
prac
titio
ner
was
pai
d R
10,
000.
00 fo
r a
24-
mon
th tr
eatm
ent p
lan
and
18 m
onth
s of
trea
tmen
t wer
e co
mpl
eted
. The
bal
ance
wou
ld b
e R
2,00
0.00
(or
R 1
0,00
0.00
- R
2,0
00.0
0 x
6/24
). T
he le
ngth
of t
he tr
eatm
ent p
lan
from
the
orig
inal
requ
est f
or a
utho
risat
ion
will
be
used
to d
eter
min
e th
e nu
mbe
r of
trea
tmen
t mon
ths
rem
aini
ng. T
hepr
actit
ione
r co
ntin
uing
trea
tmen
t will
pro
vide
the
info
rmat
ion
stip
ulat
ed in
par
agra
ph 1
abo
ve.
Rep
ort c
ode
8891
(O
rtho
dont
ic tr
ansf
er)
with
the
fee
that
will
be
levi
ed fo
r co
ntin
uatio
n of
the
trea
tmen
t in
addi
tion
to th
e ap
prop
riate
ort
hodo
ntic
trea
tmen
t cod
e. T
he fe
e fo
r co
ntin
uous
trea
tmen
t is
subj
ect t
o pr
ior
auth
oris
atio
n by
the
patie
nt's
med
ical
sch
eme.
7.W
hen
an e
stab
lishe
d or
thod
ontic
pat
ient
req
uire
s re
-tre
atm
ent,
the
info
rmat
ion
stip
ulat
ed in
2005
.02
para
grap
h 1
abov
e an
d th
e ca
use(
s) fo
r re
-tre
atm
ent w
ill b
e pr
ovid
ed. R
epor
t cod
e 88
92(O
rtho
dont
ic r
e-tr
eatm
ent)
with
the
fee
that
will
be
levi
ed fo
r re
-tre
atm
ent i
n ad
ditio
n to
the
appr
opria
te o
rtho
dont
ic tr
eatm
ent c
ode.
Ort
hodo
ntic
re-
trea
tmen
t is
subj
ect t
o pr
ior
auth
oris
atio
nby
the
patie
nt's
med
ical
sch
eme.
011
Den
to-le
gal f
ees:
2005
.02
Pra
ctiti
oner
s ar
e en
title
d to
rem
uner
atio
n if
they
are
pre
sent
at C
ourt
at t
he r
eque
st o
f an
advo
cate
or a
ttorn
ey. U
se c
ode
8111
(D
enta
l tes
timon
y) to
rep
ort d
ento
-lega
l wor
k. T
he c
ode
is li
sted
in th
ead
junc
tive
gene
ral s
ervi
ces
sect
ions
in th
e co
de li
sts.
D.
Mod
ifier
s01
2M
odifi
ers:
2006
.03
Mod
ifier
s sh
ould
be
used
with
pro
cedu
res
iden
tifie
d th
roug
hout
the
NH
RP
L.M
odifi
ers
prov
ide
the
mea
ns b
y w
hich
the
repo
rtin
g pr
actit
ione
r ca
n in
dica
te th
at a
ser
vice
or
proc
edur
e th
at h
as b
een
perf
orm
ed h
as b
een
alte
red
by s
ome
spec
ific
circ
umst
ance
but
not
chan
ged
it its
def
initi
on o
r co
de. T
he s
ensi
ble
appl
icat
ion
of m
odifi
ers
obvi
ates
the
nece
ssity
for
sepa
rate
pro
cedu
re li
stin
gs th
at m
ay d
escr
ibe
the
mod
ifyin
g ci
rcum
stan
ce. M
odifi
ers
may
be
used
to in
dica
te to
the
reci
pien
t of t
he r
epor
t tha
t:a.
A s
ervi
ce o
r pr
oced
ure
was
per
form
ed b
y m
ore
than
one
pra
ctiti
oner
.b.
A s
ervi
ce o
r pr
oced
ure
has
been
incr
ease
d or
red
uced
.c.
Onl
y pa
rt o
f a s
ervi
ce w
as p
erfo
rmed
.cl
.An
adju
nctiv
e se
rvic
e w
as p
erfo
rmed
.e.
A s
ervi
ce o
r pr
oced
ure
was
pro
vide
d m
ore
than
onc
e.f.T
he fe
e/be
nefit
was
alte
red
due
to a
fina
ncia
l agr
eem
ent.
8001
Ass
ista
nt s
urge
on -
spe
cial
ist (
1/3
of th
e ap
prop
riate
ben
efit)
8003
Min
imum
ass
ista
nt s
urge
on80
05 M
axim
um m
ultip
le p
roce
dure
s (s
ame
inci
sion
) -
MF
O s
urge
on80
06 M
ultip
le s
urgi
cal p
roce
dure
s -
third
and
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ent p
roce
dure
s (5
0% o
f the
app
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iate
ben
efit)
8007
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ista
nt s
urge
on -
gen
eral
den
tal p
ract
ition
er (
15%
of t
he a
ppro
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enef
it)80
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mer
genc
y su
rger
y -
afte
r ho
urs
(PLU
S 2
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f the
app
ropr
iate
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efit)
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tiple
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gica
l pro
cedu
res
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cond
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cedu
re (
75%
of t
he a
ppro
pria
te b
enef
it)80
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pen
redu
ctio
n (P
LUS
75%
of t
he a
ppro
pria
te b
enef
it)80
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roce
dure
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ompa
nied
by
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ual c
ircum
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ces
(Ben
efit
PLU
S X
% a
s de
term
ined
by
the
prac
titio
ner
and
agre
ed u
pon
by p
atie
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e)
2006
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2006
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2006
.03
2006
.03
2006
.03
2006
.03
2006
.03
Pag
e 5
of 2
6
Val
ueM
P L
ab T
C
98 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y D
EN
TA
L P
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CT
ITIO
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RS
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200
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Pub
lishe
d in
term
s of
Sec
tion
53 (
3) (
d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Not
e th
at th
is s
ched
ule
is b
ased
on
the
2006
NH
RP
L w
hich
was
infla
ted
by 4
6.66
%.
Ver
sion
Add
Val
ueV
alue
Val
ueV
alue
Val
ueT
he 2
006
NH
RP
L is
ava
ilabl
e in
dat
abas
e fo
rmat
at h
ttp://
ww
w.h
pcsa
.co.
za80
12 R
educ
ed s
ervi
ces
(ben
efit
MIN
US
X %
as
dete
rmin
ed b
y th
e pr
actit
ione
r)20
06.0
380
13 M
ultip
le m
odifi
ers
2006
.03
8023
Fab
ricat
ion
of in
lay/
onla
y (P
LUS
25%
of t
he a
ppro
pria
te b
enef
it)20
06.0
380
25 H
andl
ing
fee
- di
rect
mat
eria
ls (
26%
of m
ater
ial c
ost t
o a
max
imum
of R
26.0
0)20
06.0
3E
.E
xpla
natio
nsT
ooth
iden
tific
atio
n an
d de
sign
atio
n of
are
as o
f the
ora
l cav
ity:
Too
th id
entif
icat
ion
and
desi
gnat
ion
of a
reas
of t
he o
ral c
avity
is c
ompu
lsor
y fo
r al
l inv
oice
s20
04.0
0
rend
ered
. Too
th id
entif
icat
ion
is a
pplic
able
to p
roce
dure
s id
entif
ied
with
the
lette
r (
T )
, and
oth
erde
sign
atio
n of
are
as o
f the
ora
l cav
ity w
ith th
e le
tter
( Q
) fo
r a
quad
rant
and
the
lette
r (
M )
for
the
max
illar
y or
man
dibu
lar
area
in th
e m
outh
par
t ( M
P )
col
umn
of th
e D
enta
l Cod
ing.
The
Inte
rnat
iona
l Sta
ndar
ds O
rgan
isat
ion
(IS
O)
in c
olla
bora
tion
with
the
FD
I des
igna
ted
syst
em fo
rte
eth
and
area
s of
the
oral
cav
ity s
houl
d be
use
d. F
or s
uper
num
erar
ies,
the
abbr
evia
tion
SU
Psh
ould
be
used
.T
reat
men
t cat
egor
ies:
Tre
atm
ent c
ateg
orie
s (T
C)
of d
enta
l pro
cedu
res
are
iden
tifie
d in
the
TC
col
umn
of th
e D
enta
l20
04.0
0C
odin
g as
follo
ws:
Bas
ic d
entis
try-
des
igna
ted
as (
B )
in th
e tr
eatm
ent c
ateg
ory
colu
mn
Adv
ance
d de
ntis
try-
des
igna
ted
as (
A)
in th
e tr
eatm
ent c
ateg
ory
colu
mn
Sur
gery
- de
sign
ated
as
( S
) in
the
trea
tmen
t cat
egor
y co
lum
nA
bbre
viat
ions
use
d in
Den
tal C
odin
gD
MD
irect
Mat
eria
l Col
umn
2005
.02
+D
Add
fee/
bene
fit fo
r de
ntur
e+
LAdd
labo
rato
ry fe
e+
MA
dd m
ater
ial f
eeM
PM
outh
Par
t Col
umn
2005
.02
MM
axill
a/M
andi
ble
uadr
ant
SS
exta
ntT
Too
thT
CT
reat
men
t Cat
egor
y C
olum
n20
05.0
2A
Adv
ance
d de
ntis
try
BB
asic
den
tistr
yS
Sur
gery
Pra
ctic
e ty
pe c
odes
:20
06.0
325
400
Gen
eral
Den
tal P
ract
ition
er26
200
Spe
cial
ist M
axill
o F
acia
l and
Ora
l Sur
geon
2640
0 S
peci
alis
t Ort
hodo
ntis
t29
200
Spe
cial
ist i
n O
ral M
edic
ine
and
Per
iodo
ntic
s29
400
Spe
cial
ist P
rost
hodo
ntis
t29
800
Spe
cial
ist O
ral P
atho
logi
st39
500
Den
tal T
hera
pist
F.
Gui
delin
es to
med
ical
sch
emes
Age
of a
Chi
ld.
2005
.02
The
det
erm
inat
ion
of a
chi
ld o
r ad
ult s
tatu
s of
the
patie
nt s
houl
d be
bas
ed o
n th
e cl
inic
alde
velo
pmen
t of t
he p
atie
nt's
den
titio
n. W
here
adm
inis
trat
ive
cons
trai
nts
prec
lude
the
use
of c
linic
alde
velo
pmen
t so
that
the
chro
nolo
gica
l age
mus
t be
used
to d
eter
min
e th
e ch
ild o
r ad
ult s
tatu
s, th
epa
tient
is d
efin
ed a
s an
adu
lt be
ginn
ing
at a
ge 1
2 w
ith th
e ex
clus
ion
of tr
eatm
ent f
or o
rtho
dont
ics
or s
eala
nts.
Pag
e 6
of 2
6
Val
ueM
PLa
b T
C
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Pag
e 26
of 2
6
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 119
GU
IDE
LIN
E T
AR
IFF
S F
OR
SE
RV
ICE
S B
Y D
EN
TA
L P
RA
CT
ITIO
NE
RS
Pub
lishe
d in
term
s of
Sec
tion
53 (
3) (
d) o
f the
HE
ALT
H P
RO
FE
SS
ION
S A
CT
(56
OF
197
4)
Den
tal p
arct
ition
ers
2012
Con
vers
ion
Fac
tors
Cod
eD
escr
iptio
nR
CF
150
Den
tal
11.3
78
152
Den
tal -
Mod
elle
d15
.179
120 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
Code
Dental Practitioners 2006
Description25400 General Dental Practice26200 Maxillo- facial and Oral Surgery26400 Orthodontics29200 Oral Medicine and Periodontics29400 Prosthodontics29800 Oral Pathology
20 Feb 2006 Page 1 of 1 Version 2006.06
STAATSKOERANT, 14 SEPTEMBER 2012 No. 35684 121
128 No. 35684 GOVERNMENT GAZETTE, 14 SEPTEMBER 2012
35684—1
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