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					                               General Practitioner: RATES: Various and COIDA Fees 2007
E.& O.E. * This document is for information purposes only .It has been compiled from fee reports received from CPC members.                          E.& O.E.
               It is neither a CPC directive, nor binding on members. Every GP is advised & requested to act independantly in deciding
               the fees fees to be charged.
            * Please note the 0181 series is still being used by COIDA and Primecure
            * As this is a living document, doctors & receptionists are invited to contact their IPA's or QCC if further info is required
              on tariffs or codes: Tel: 021 4264777 Fax: 021 4265502


                         ***    Where no monetary value is quoted, no info has been made available to CPC


  Code                                  Description                                 Units       BHF            Discovery      COIDA HPCMP
                                                                                            Suggested rates
  0017    Subsequent injections ( not chargeable with a consultation item)           7.50        80.76             80.80         ***        156.52
  0109    Routine hospital follow up visit + Travel 0145 / 0147                     15.00       161.50            115.80         ***          ***
          (where applicable)
          NB:If 0182/3/4 or follow up 0187/8 charged, motivation
          for extended visit must be supplied (COIDA only)
   0129   Prolonged visit- ADD to item 0192, 0175 or item 0169                      15.00       161.50            173.70       191.68       313.05
   0130   Telephonic consultation-if covered by medical aid                         12.00       129.20            129.20         ***        250.44
   0132   Consulting service- repeat scripts/sms                                     5.00        53.80             61.40         ***        104.35
   0133   Writing of Special Motivation                                              9.00        96.90            110.50         ***        187.83
   0145   Visit away from rooms(non-emergency) Add to 0190/1/2                       6.00        64.60             69.50        76.67       125.22
   0146   Unscheduled emergency visit -no travel- Add to 0190/1/2                    8.00        86.10             92.60       102.23       166.96
   0147   Unscheduled emergency visit- travel-Add to 0190                           14.00       150.80            162.10       178.90       292.18
   0148   For elective after-hrs service on request of the patient or family
          (non-emergency) Add 50% of your fee:items 0190 - 0192,
          items 0173 - 0175 -reflect this as a separate item 0148
   0173   First hospital cons.- average duration                                    15.00       181.10            181.10         ***
   0174   First hospital cons.- above average duration                              15.00       181.10            181.10         ***
   0175   First hospital cons.- long duration/or high complexity                    15.00       181.10            181.10         ***
0181-0188 See Workmens Compensation (COIDA)
   0190   New or established patient - average duration                             15.00       181.10            190.00         ***
   0191   Above "average" duration - no adequate definition                         15.00       181.10            190.00         ***
   0192   "Long" duration and/or high complexity-no adequate definition             15.00       181.10            190.00         ***
  0193/4 Discontinued



                                                                           Page 1
Code                              Description                               Units       BHF           Discovery   COIDA HPCMP
                                                                                    Suggested rates
                                                                                                                                E.& O.E.
       Schemes apparently paying more than 4.9% over 2006 NHRPL
       Alliance Midmed Medical Scheme - NHRPl 2006 + 22.83%                             212.00
       Anglovaal Group Medical Scheme - NHRPL 2006 + 5.2%                               190.00
       Bankmed Traditional Option - 110.46% of NHRPL 2006 + 4.9%                        200.00
       Bankmed Comprehensive Option-125%of NHRPL 2006 + 4.9%                            226.00
       Bankmed Plus Option - 300% of NHRPL 2006+4.9%                                    543.00
       Bestmed Medical Scheme - NHRPL 2006 + 5.5%                                       182.10
       BEPMED - NHRPL 2006 + 8%                                                         186.41
       CAMAF - NHRPL 2006 + 6.5%                                                        183.80
       COMMED - NHRPL 2006 + 6 %                                                        183.00
       Discovery Health Medical Scheme                                                  190.00
       Edcon Medical Scheme - NHRPL 2006 + 5.2%                                         190.00
       Genesis Medical Scheme - NHRPL 2006 + 15.87% - From savings                      200.00
       depending on scheme
       IBM (SA) Medical Society - NHRPL 2006 + 5.2%                                     190.00
       Lonmin Medical Scheme - NHRPl 2006 + 5.2%                                        190.00
       Medcor - DSP: Basket A                                                           200.00
       Meridian Health - NHRPL 2006 +8.5%                                               187.27
       Momentum Health Medical Scheme - NHRPL 2006 + 7.18%                              185.00
       Moto Health - DSP: Basket A                                                      200.00
       Mutual & Federal Medical Aid Fund- NHRPL 2006 + 5.5%                             182.09
       Nedgroup Medical Aid Scheme - NHRPL 2006 + 5.5%                                  182.09
       Oxygen Medical Scheme - NHRPL 2006 + 5.5%                                        182.09
       PG Group Medical Scheme - NHRPL 2006 + 5.5%                                      182.09
       Pick & Pay Medical Scheme-NHRPL 2006+ 5% + 50%-from savings                      271.84
       Profmed: Proactive plans are savings only. Prosecure plans
              NHRPL 2006 + 12.98% for consults and NHRPL 2006 +20%
              for procedures. Propinnacle will pay NHRPL 2006 + 300% for
              consults and procedures.
       Quantum Medical Aid Society - NHRPL 2006 + 5.2%                                  190.00
       Retail Medical Scheme - NHRPl 2006 + 5.2%                                        190.00
       Tsogo Sun Group Medical Scheme -NHRPL 2006 + 5.2%                                190.00
       Umed - NHRPL 2006 + 5.2%                                                         190.00

       ALL OTHER SCHEMES APPARENTLY PAY 2006 NHRPL + 4.9%                                                                       E.& O.E.



                                                                   Page 2
Code                               Description                                 Units       BHF           Discovery   COIDA HPCMP
                                                                                       Suggested rates

0199   Completion of chronic medication forms by GP with or                    21.43         ***          263.10       ***     447.24
       without the presence of the patient.Fees vary between medical
       Schemes. Some schemes only pay as a cons. (0190) or
       motivational letter (0133) & some refuse to accept charge
                             16 - 50% at discretion of doctor
0201   Material used during a cons-cost price +26% maxR26.00
0202   Setting Sterile Tray (for sterile procedures ) infection control        10.00        66.70           66.70     127.79    208.70
0205   IVFcut-down/insertion of cannula- patients under 3 yrs                  12.00        80.00           80.00       ***     250.44
0206   IVFinsertion of cannula - patients over 3 yrs                            6.00        40.00           40.00      76.67    125.22
0207   IVF cut-down & insertion of cannula-patients over 3yrs                   8.00        53.30           53.30     102.23    166.96
0210   Collection of blood specimen for pathology examination                   3.25        21.70           21.70      41.53     67.82
0217   Allergy Test - First Patch                                               4.00        26.70           26.70      51.11     83.48
0218   Skin Prick Test- insect venom, latex, drugs                              2.80        18.70           18.70      35.78     58.43
0219   Allergy:Patch tests: Each additional patch                               2.00        13.30           13.30      25.55     41.74
0220   SPT- Type 1: inhalant and food allergens                                 1.90        12.70           12.70      24.28     39.65
0221   SPT-Delayed hypersensitivity Type IV Per antigen                         2.80        18.70           18.70      35.78     58.43
0222   Intralesional injections e.g. Keloid: Single                             4.00        26.70           26.70       ***      83.48
0223   Intralesional injections e.g. Keloids:Multiple                           8.00        53.30           53.30       ***     166.96
0225   Skin (general) Epilation: Per session                                    8.00        53.30           53.30       ***     166.96
0227   Special treatment of severe acne cases.e.g.draining                      8.00        53.30           53.30       ***     166.96
0228   PUVA treatment: Max of 21 treatments                                    20.00       133.40          133.40       ***     417.40
0229   PUVA: Follow-up or maintenance therapy 1 a week                         20.00       133.40          133.40       ***     417.40
0230   UVR-treatment                                                           20.00       133.40          133.40       ***     417.40
0231   UVR follow-up for use of UV lamp                                         5.50        36.70           36.70       ***     114.78
0233   Biopsy without suturing- first lesion                                    6.00        40.00           40.00       ***     125.22
0234   Biopsy - subsequent lesions, each                                        3.00        20.00           20.00       ***      62.61
0235   Biopsy - maximum for multiple                                           18.00       120.00          120.00       ***     375.66
0237   Deep skin biopsy by surg. incision with local anaesthetic & suturing    12.00        80.00           80.00       ***     250.44
0241   Benign skin lesion by chemo-cryotherapy-first lesion                     6.00        40.00           40.00       ***     125.22
0242   Skin lesion by chemo-cryotherapy-subsequent lesion                       3.00        20.00           20.00       ***      62.61
0243   Skinlesion by chemo-cryotherapy-multiple lesions                        42.00       280.10          280.10       ***     876.54
0244   Repair of nail bed                                                      30.00       200.00          200.00       ***     626.10
0245   Removal of benign lesion by curretting-local-1st lesion                 14.00        93.40           93.40       ***     292.18
0246   Removal of benign lesion by curretting-local-subs.les                    7.00        46.70           46.70       ***     146.09
0255   Drainage of subcut abscess/onychia,paronychia                           20.00       133.40          133.40     255.58    417.40
0257   Drainage of major hand/foot infection:abscess with necrosis of tissue   87.00       580.10          580.10    1111.77   1815.69
0259   Removal of foreign body superficial to deep fascia                      20.00       133.40          133.40     255.58    417.40
0261   Removal of foreign body deep to deep fascia (except hands)              31.00       206.70          206.70     396.14    646.97   E.& O.E.
                                                                      Page 3
Code                                Description                                  Units        BHF           Discovery   COIDA HPCMP
                                                                                          Suggested rates
0300   Stitching of wound-with/without local anaesthesia                          14.00        93.40           93.40     178.90    292.18
0301   Stitching of soft-tissue-additional wounds - same sess                      7.00        46.70           46.70      89.45    146.09
0302   Deep Laceration- limited muscle damage                                     64.00       426.80          426.80     817.85   1335.68
0303   Stitch Soft-tissue injuries:Deep laceration/extensive muscle damage       128.00       853.50          800.20    1533.47   2504.40
0304   Major debridement of wound,sloughectomy or secondary suture                50.00       333.40          333.40     638.95   1043.50
0305   Needle biopsy - soft tissue                                                25.00       166.70          166.70     319.74    521.75
0307   Excision & repair by direct suture                                         27.00       180.00          180.00     345.03    563.49
0308   Each additional small procedure done at same time                          14.00        93.40           93.40     178.90    292.18
0310   Radical excision of nail bed                                               38.00       253.40          253.40     485.60    793.06
0316   Fine needle aspiration of soft tissue-all areas                            15.00       100.00          100.00       ***     313.05
0317   Aspiration of cyst or tumour                                                9.00        60.00           60.00       ***     187.83
0549   Joint:Discolation:Shoulder                                                 51.00       340.10          340.10     651.72   1064.36
0557   Dislocation:Metacarpo-phalangeal/interphalang(hand)                        26.00       173.40          173.40     332.25    542.61
0571   Joint :Dislocation:Meta-tarsophalangeal or interphalangeal joints(foot)    14.00        93.40           93.40     178.90    292.18
0661   Aspiration of joint/Intra-articular inj. (excl after-care)                  9.00        60.00           60.00       ***     187.83
0663   Multiple intra-articular inj. RA - ist joint                                7.50        50.00           50.00       ***     156.52
0665   Multiple intra-articular inj. RA - additional (each)                        4.00        26.70           26.70       ***      83.48
0857   Bursae & ganglia:Aspiration or injection (no after-care)                    9.00        60.00           60.00     115.01    187.83
0887   Limb cast ( excluding after-care)                                          13.00        86.70           86.70       ***     271.30
0922   Removal of foreign body requiring incision-LA                              19.00       126.70          126.70     242.80    396.53
1037   Diathermy to nose or pharynx-excl.consultation-LA                           8.00        53.30           53.30     102.23    166.96
1063   Removal of foreign bodies from nose - At rooms                             10.00        66.70           66.70     127.79    208.70
1136   Nebulisation (in rooms )                                                   12.00        80.00           80.00     153.34    250.44
1186   Flow Volume Test- Inspiration/expiration                                   30.00       200.00          200.00     383.36    626.10
1188   FVT -pre/post br.dilator(charged only with 1st cons.)                      50.00       333.40          333.40     638.95   1043.50
1192   Peak expiratory flow only                                                   5.00        33.30           33.30       ***     104.35
1228   ECG only: Without effort:1/2 (item 1232 )                                   4.50        30.00           30.00      57.50     93.91
1229   ECG only: Without & with effort: 1/2 ( item 1233 )                          6.50        43.30           43.30      83.06    135.65
1232   Electrocardiogram: Without effort                                           9.00        60.00           60.00     115.01    187.83
1233   Electrocardiogram: With and without effort                                 13.00        86.70           86.70     166.12    271.30
1234   ECG with the aid of a special bicycle ergometer                            40.00       266.70          266.70     511.16    834.80
1235   Multi-stage treadmill test                                                 60.00       400.10          400.10     766.73   1252.20
1237   24hr Ambulatory blood pressure: Hire fee                                   30.00       200.10          200.00       ***     626.10
1238   24hr Ambulatory ECG monitoring (holter) Hire fee                           55.00       366.70          366.70       ***    1147.85
1705   Incision and drainage of peri-anal abscess                                 40.00       266.70          266.70     511.16    834.80
1725   Drainage of external thrombosed pile                                      12.50         83.40          83.40       ***     260.87
1996   Bladder catheterisation: Male ( not at operation )                         6.00         40.00          40.00      76.67    125.22
1997   Bladder catheterisation: Female ( not at operation )                       3.00         20.00          20.00      38.33     62.61    E.& O.E.

                                                                        Page 4
Code                                Description                                  Units       BHF           Discovery   COIDA HPCMP
                                                                                         Suggested rates
2133   Circumcision - clamp procedure                                            42.30       282.10          282.10      ***     882.80
2137   Circumcision- surgical excision other than by clamp                       60.00       400.10          400.10      ***    1252.20
2207   Vasectomy:Unilateral or bilateral                                         55.90       372.70          372.70      ***    1166.63
2271   Female genital: removal of tag or polyp                                    6.00        40.00           40.00      ***     125.22
2272   Female genital: removal of small superficial benign lesion                23.00       153.40          153.40      ***     480.01
2295   Bartholin gland:Bartholin abscess marsupialisation                        36.00       240.00          240.00      ***     751.32
2316   Destruction of Condylomata by chemo, cryo,electro                         14.00        93.40           93.40      ***     292.18
2317   As above: Repeat - Limited                                                 7.00        46.70           46.70      ***     146.09
2318   As above:Widespread                                                       56.00       373.40          373.40      ***    1168.72
2442   IUCD:excluding after-care                                                 18.00       120.00          120.00      ***     375.66
2565   Implantation hormone pellets(excluding after-care)                         3.00        20.00           20.00      ***      62.61
2705   Transcutaneous nerve stim./post op & chronic pain                          6.00        40.00           40.00      ***     125.22
2957   Individual psychotherapy ( 20 mins )                                      16.00       106.70          128.10      ***     333.92
2958   Psychoanalytic therapy per 60-minute session                              48.00       320.10          384.10      ***    1001.76
2962   Directive therapy to family,parents,spouse (20 mins)                      16.00       106.70          128.10      ***     333.92
2963   Pairs, marriage or sex therapy (20 mins)                                  16.00       106.70          128.10      ***     333.92
2968   Group therapy:Adults/children -specify (80 mins)                           8.00        53.30           64.00      ***     166.96
2974   Individual psychotherapy (specify type) (40 mins)                         32.00       213.40          256.00    408.92    667.84
2975   Individual psychotherapy(specify type) (longer 60mins)                    48.00       320.10          384.10    613.39   1001.76
2976   Intermediate treatment - per 40 minute session                            32.00       213.40          256.00      ***     667.84
2977   Extended treatment - per 60 minute session                                48.00       320.10          384.10      ***    1001.76
3004   Peripheral fundus examination                                              7.00        46.70           46.70     89.45    146.09
3014   Tonometry per test with max. of 2 tests(1or both eyes)                     7.00        46.70           46.70     89.45    146.09
3118   Curretage of cornea after removal of foreign body (after-care excl. )     10.00        66.70           66.70    127.79    208.70
3171   Excision of Meibomian cyst.Add.fee for sterile tray                       20.40       136.00          136.00      ***     425.74
3204   External ear canal:removal of foreign body at rooms(Incl. in cons )       21.58         0.00           00.00    275.77    450.37
3275   Impedance audiometry (tympanometry)                                        6.50        43.30           43.30     83.06    135.65
3615   Ultra Sound - Foetal Maturity 10 - 20 weeks                               50.00       317.80          317.80      ***    1031.00
3617   Ultra Sound - Foetal Maturity 20 - 24 weeks                               50.00       317.80          317.80      ***    1031.00
3618   Pelvic organs ultrasound transabdominal probe                             40.00       254.20          254.20      ***     824.80
3627   Ultrasound examination-abdomen & pelvic organs                            60.00       381.40          381.40    757.85   1237.20

                                                                                                                                          E.& O.E.
            PATHOLOGY TESTS - Generally performed in GP rooms
3762   Haemoglobin estimation                                                     1.20         9.25           8.41      15.96    25.70
3867   Miscellaneous(body fluids,urine,exudate,fungi,etc)                         3.30        25.40          23.10      43.90    70.68
4027   Cholesterol test                                                           3.56        27.40          24.90       ***     76.25
4050   Glucose strip-test with photometric reading                                1.20         9.25           8.41      15.96    25.70

                                                                        Page 5
Code                                  Description                              Units       BHF           Discovery   COIDA HPCMP
                                                                                       Suggested rates
4057    Glucose quantative test (Incl. material)                                2.41        18.60          16.90      32.06    51.62
4161    Troponin isoforms: each                                                13.33       102.80          93.40       ***    285.52
4172    ELISA/EMIT technique                                                    8.28        63.80          58.00     110.15   177.35
4188    Urine d/stick,per stick(irrespective no.of tests on stick)              1.00         7.71           7.01      13.30    21.42
4189    Abnormal pigments                                                       3.00        23.10          21.00      39.91    64.26
4262    Micro Albumin: Qualitative                                              3.00        23.10          21.00      39.91    64.26
4448    HCG:Latex agglutination:Qualitative (side room)                         2.67        20.60          18.70       ***     57.19
4450    HCG - Pregnancy test                                                    6.67        51.40          46.70       ***    142.87

              INSURANCE MEDICAL EXAMINATIONS ( L O A Rates )                              ***2007***
A1101   Std Medical Report(incl.specialist report)                             20.00        379.40
A1102   Std Medical Report (without copies of specialist rep.)                 16.00        303.50
A1103   Short Medical Report (length,weight,chest,etc)                          7.00        132.80
A1104   Limited Health Review Form (length,weight,chest,etc)                    6.38        121.00
A1105   Cardiovascular Examination & Report only                                7.70        146.10
A1106   Three blood pressure recordings during one visit                        5.50        104.30
A1202   Collection of blood sample for pathological exams.                      3.25         61.70
A1208   Travelling venesection:Lab.employed nursing sister                      7.31        138.70
A1301   ECG Resting only - 12 leads                                             9.00        170.70
A1302   ECG effort (incl. Resting,immediately post-effort)                     13.00        246.60
A1306   Lung Function Test with vitallometer (no inter.or report)               8.40        159.30
A1307   Peak expiratory flow only(Wright peak flow meter)                       3.00         56.90
A1401   Extracts from clinical records                                          9.00        170.70
A1402   Personal Medical Attendant report                                       8.40        159.30
A1403   Completion of other special reports e.g.Diabetes,etc                    8.40        159.30
A1404   Loan of one or more ECG's                                               2.60         49.30
A1405   Report for deceased estate                                              8.40        159.30
A1501   HIV Post Test Counselling                                               9.80        185.90
A1601   PA & lateral views,without report or interpretation                     9.54        194.00
A1602   X-ray screen of heart                                                   4.00         82.60

                                                                                                                                       E.& O.E.

                      WORKMENS COMPENSATION (COIDA)
                 ( Rates remain the same on 2006 until April 2007 )

0181    New & follow-up patient with problem focused                           15.00       191.68
        history ( up to 10 mins.)
0182    New/ follow-up patient with expanded problem                           22.00       281.13
                                                                      Page 6
Code                            Description                             Units        BHF            Discovery   COIDA HPCMP
                                                                                Suggested rates
       focused history (10 - 20 mins )
0183   New/follow-up patient with comprehensive                         29.00        370.59
       history ( 20 - 30 mins )
0184   New/follow-up patient with comprehensive                         36.00        460.04
       history ( 30 - 45 mins )
0185   New/follow-up patient with comprehensive                         43.00        549.49
       history (45 - 60 mins )
0186   Follow-up visit for evaluation & management of                   12.00        153.34
       a patient ( up to 10 mins )
0187   Follow-up visit for evaluation & management of                   18.00        230.02
       a patient ( 10 - 20 mins)
0188   Follow-up visit for evaluation & management of                   24.00        306.69
       a patient (longer than 20 mins )

                 THIRD PARTY MOTOR VEHICLE INSURANCE
EIII   (RAF) Previously Form MMF1                                               R250.00 - R400.00
       Depending on complexity & time spent - by negotiation with
       attorney

              COMPLETION OF MEDICAL CERTIFICATES FOR:

       DEATH CERTIFICATE (BI 1663 Form)
       Obtainable from Home Affairs                                                No charge


       CREMATION FORMS ( B Form )
       Hospital charge                                                          R94.00 - R107.00
       Doctor charge                                                            R140.00 - R150.00


                                                                                                                              E.& O.E.




                                                               Page 7
Code   Description            Units       BHF           Discovery   COIDA HPCMP
                                      Suggested rates




                     Page 8

				
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