Sub-Acute Facilities 003

Transcription

1 DISCIPLINE_DESCRIPTION TREATMENT_CODE TREATMENT_DESCRIPTION TREATMENT_PRICE_NEW EFFECTIVE_START_DATE Status) 001 Surgical cases: per day. 1961,79 04/01/ :00:00 Drug & Alcohol Rehabilitation 001 Ward fee, per day 1039,29 04/01/ :00:00 Status) 001 Surgical cases: per day. 1961,79 04/01/ :00:00 Sub-Acute Facilities 001 Ward fee, per day 1451,04 04/01/ :00:00 Status) 002 Thoracic and neurosurgical cases (including laminectomies and spinal fusion): per day 2061,20 04/01/ :00:00 Status) 002 Thoracic and neurosurgical cases (including laminectomies and spinal fusion): per day 2061,20 04/01/ :00:00 Status) 003 Psychiatric general ward fee, per day 1624,07 04/01/ :00:00 Status) 003 Psychiatric general ward fee, per day 1624,07 04/01/ :00:00 Sub-Acute Facilities 003 Ward fee: with overnight stay (specific motivation from the doctor-in-charge) (ward/supporting facilities and equipment) 1513,44 04/01/ :00:00 Status) 004 Medical and neurological cases: per day. 1961,79 04/01/ :00:00 Mental Health Institutions 004 General ward fee: with overnight stay 1639,07 04/01/ :00:00 Status) 004 Medical and neurological cases: per day. 1961,79 04/01/ :00:00 theatres / Day clinics 005 Local anaesthetic theatre, Per minute 15,74 04/01/ :00:00 Status) 005 Paediatric cases (under 14 years of age) 2421,55 04/01/ :00:00 Sub-Acute Facilities 005 General ward fee: under 5 hours stay 328,82 04/01/ :00:00 Mental Health Institutions 005 General ward fee: without overnight stay 1205,47 04/01/ :00:00 Status) 005 Paediatric cases (under 14 years of age) 2421,55 04/01/ :00:00 Mental Health Institutions 006 General ward fee: under 5 hours stay 624,10 04/01/ :00:00 Status) 007 Day admission which includes all patients discharged by 23h00 on date of admission 1255,59 04/01/ :00:00 Status) 007 Day admission which includes all patients discharged by 23h00 on date of admission 1255,59 04/01/ :00:00

2 clinics 007 Day admission which includes all patients discharged by 23h00 on date of admission 1073,06 04/01/ :00:00 Sub-Acute Facilities 007 General ward fee: without overnight stay 782,41 04/01/ :00:00 Status) 009 First day (Day of confinement). 9490,68 04/01/ :00:00 Status) 009 First day (Day of confinement). 9490,68 04/01/ :00:00 theatres / Day clinics 010 General anaesthetic theatre, Per minute 49,43 04/01/ :00:00 Status) 010 Subsequent day(s).per day 3269,32 04/01/ :00:00 Status) 010 Subsequent day(s).per day 3269,32 04/01/ :00:00 Status) 011 Use of epidural anaesthesia for MATERNITY CASES ONLY. (Note: This item includes all surgicals and nursing but no ethicals) 1441,70 04/01/ :00:00 Use of epidural anaesthesia for MATERNITY CASES ONLY. (Note: This item includes all surgicals and nursing but no ethicals) 1441,70 04/01/ :00:00 Status) 011 Status) 012 First day (Day of confinement) ,25 04/01/ :00:00 Status) 012 First day (Day of confinement) ,25 04/01/ :00:00 Status) 013 Subsequent day(s). Per day 3241,40 04/01/ :00:00 Status) 013 Subsequent day(s). Per day 3241,40 04/01/ :00:00 clinics 014 Overnight fee - Medical practitioner to preauthorise all overnight admissions 472,81 04/01/ :00:00 Status) 015 Nursery fee. 920,70 04/01/ :00:00 Status) 015 Nursery fee. 920,70 04/01/ :00:00 theatres / Day clinics 015 Dental anaesthetic theatre (Applicable to units registered for dental procedures only), Per minute 33,38 04/01/ :00:00

3 Status) 016 Delivery room. This item is not applicable for deliveries by registered midwifes in private practice. 3957,51 04/01/ :00:00 Status) 016 Delivery room. This item is not applicable for deliveries by registered midwifes in private practice. 3957,51 04/01/ :00:00 Status) 017 Subsequent day(s) excluding nursery fee. 2378,28 04/01/ :00:00 Status) 017 Subsequent day(s) excluding nursery fee. 2378,28 04/01/ :00:00 Status) 018 Subsequent day(s) excluding nursery fee 2337,32 04/01/ :00:00 Status) 018 Subsequent day(s) excluding nursery fee 2337,32 04/01/ :00:00 theatres / Day clinics 019 Status) 019 clinics 019 Status) 019 Status) 020 Out-patients facility fee for ambulatory admission, chargeable for patients admitted for local anaesthetic procedures 581,04 04/01/ :00:00 Out-patients facility fee for ambulatory admission, chargeable for patients admitted for local anaesthetic procedures 581,04 04/01/ :00:00 Out-patients facility fee for ambulatory admission, chargeable for patients admitted for local anaesthetic procedures 581,04 04/01/ :00:00 Out-patients facility fee for ambulatory admission, chargeable for patients admitted for local anaesthetic procedures 581,04 04/01/ :00:00 No consultation performed, sole purpose to obtain specimen and dispatch to laboratory / using own machine. State specimen type, machine and test performed. 2535,57 04/01/ :00:00 No consultation performed, sole purpose to obtain specimen and dispatch to laboratory / using own machine. State specimen type, machine and test performed. 2535,57 04/01/ :00:00 Status) 020 Status) 022 Out-patient wound care facility 286,37 04/01/ :00:00

4 Status) 022 Out-patient wound care facility 286,37 04/01/ :00:00 clinics 022 Out-patient wound care facility 286,37 04/01/ :00:00 theatres / Day clinics 025 Day rate. 666,29 04/01/ :00:00 Status) 030 Status) 030 Where consultation was not performed, nurse attended to or visited patient with the sole purpose of administering intramuscular or intravenous medication 5929,89 04/01/ :00:00 Where consultation was not performed, nurse attended to or visited patient with the sole purpose of administering intramuscular or intravenous medication 5929,89 04/01/ :00:00 Status) 031 Status) 031 Status) 032 Status) 032 Status) 052 Status) 052 clinics 052 Global fee for Birthing Unit. Chargeable when nurse in private practice uses the labour ward in hospital, patient discharged within 24 hours from birth 9199,20 04/01/ :00:00 Global fee for Birthing Unit. Chargeable when nurse in private practice uses the labour ward in hospital, patient discharged within 24 hours from birth 9199,20 04/01/ :00:00 Additional Birthing Unit fee chargeable for every additional 12 hours of patient stay beyond the 24 hours contemplated in code ,43 04/01/ :00:00 Additional Birthing Unit fee chargeable for every additional 12 hours of patient stay beyond the 24 hours contemplated in code ,43 04/01/ :00:00 Procedures carried out in X-ray department using hospital owned equipment under general anaesthetic. 780,17 04/01/ :00:00 Procedures carried out in X-ray department using hospital owned equipment under general anaesthetic. 780,17 04/01/ :00:00 Procedures carried out in X-ray department using hospital owned equipment under general anaesthetic. 780,17 04/01/ :00:00

5 Status) 053 Angiograms. 780,17 04/01/ :00:00 Status) 053 Angiograms. 780,17 04/01/ :00:00 Status) 054 Cardiac angiography and catheterisation, and other intravascular procedures 2798,81 04/01/ :00:00 Status) 054 Cardiac angiography and catheterisation, and other intravascular procedures 2798,81 04/01/ :00:00 Status) 055 Electroconvulsive therapy (ECT) 780,17 04/01/ :00:00 clinics 055 Electroconvulsive therapy (ECT) 780,17 04/01/ :00:00 Mental Health Institutions 055 Electroconvulsive therapy (ECT) (No theatre fee chargeable) 819,02 04/01/ :00:00 Status) 055 Electroconvulsive therapy (ECT) 780,17 04/01/ :00:00 Status) 056 Cardiac angiography and catheterisation, and other intravascular procedures 5273,13 04/01/ :00:00 Status) 056 Cardiac angiography and catheterisation, and other intravascular procedures 5273,13 04/01/ :00:00 Status) 061 Excimer Laser Theatre fee, per minute 35,33 04/01/ :00:00 Status) 061 Excimer Laser Theatre fee, per minute 35,33 04/01/ :00:00 clinics 061 Excimer Laser Theatre fee, per minute 35,33 04/01/ :00:00 theatres / Day clinics 061 Excimer laser theatre fee, per minute 35,51 04/01/ :00:00 Status) 070 Cardiac angiography and catheterisation, and other intravascular procedures 13698,52 04/01/ :00:00 Status) 070 Cardiac angiography and catheterisation, and other intravascular procedures 13698,52 04/01/ :00:00 Status) 071 Charge per minute (which includes 0.16c per minute for those items in the surgical basket). 27,19 04/01/ :00:00 Status) 071 Charge per minute (which includes 0.16c per minute for those items in the surgical basket). 27,19 04/01/ :00:00

6 clinics 071 Charge per minute (which includes 0.16c per minute for those items in the surgical basket). 23,33 04/01/ :00:00 Status) 073 Cardiac angiography and catheterisation, and other intravascular procedures 10131,38 04/01/ :00:00 Status) 073 Cardiac angiography and catheterisation, and other intravascular procedures 10131,38 04/01/ :00:00 Status) 075 Catheterisation laboratory film price (once per procedure) 301,72 04/01/ :00:00 Status) 075 Catheterisation laboratory film price (once per procedure) 301,72 04/01/ :00:00 clinics 081 Charge per minute (which includes 0.16c per minute for those items in the surgical basket). 72,39 04/01/ :00:00 Status) 081 Charge per minute (which includes 0.16c per minute for those items in the surgical basket). 84,56 04/01/ :00:00 Status) 081 Charge per minute (which includes 0.16c per minute for those items in the surgical basket). 84,56 04/01/ :00:00 Physical Rehabilitation Hospitals 100 Out patients, 3 hours per day (maximum 18 days) 801,18 04/01/ :00:00 Physical Rehabilitation Hospitals 101 Out patients, 6 hours per day (maximum 18 days) 1690,63 04/01/ :00:00 Sub-Acute Facilities 101 General ward/facility fee: under 5 hours stay 323,06 04/01/ :00:00 Status) 105 Resuscitation fee charged only if patient has been resuscitated and intubated in a trauma unit which has been approved by BHF 2494,79 04/01/ :00:00 General care (ward/supporting facilities and equipment) 1492,51 04/01/ :00:00 Sub-Acute Facilities 105 Physical Rehabilitation Hospitals 105 General care (maximum 27 days) 3365,70 04/01/ :00:00 Resuscitation fee charged only if patient has been resuscitated and intubated in a trauma unit which Status) 105 has been approved by BHF 2494,79 04/01/ :00:00 Physical Rehabilitation Hospitals 107 High care (maximum 36 days) 3967,21 04/01/ :00:00 Physical Rehabilitation Hospitals 109 Rehabilitation ICU (maximum 7 days) 7130,23 04/01/ :00:00 Status) 200 Specialised ICU (As approved by BHF according to General Rule E.1.1) Per day 10612,98 04/01/ :00:00

7 Status) 200 Specialised ICU (As approved by BHF according to General Rule E.1.1) Per day 10612,98 04/01/ :00:00 Status) 201 Intensive Care Unit: Per day. 8077,40 04/01/ :00:00 Status) 201 Intensive Care Unit: Per day. 8077,40 04/01/ :00:00 Status) 202 Neonatal Intensive Care Unit: Per day ,86 04/01/ :00:00 Status) 202 Neonatal Intensive Care Unit: Per day ,86 04/01/ :00:00 Status) 215 High Care Ward, Per day. 5174,10 04/01/ :00:00 Status) 215 High Care Ward, Per day. 5174,10 04/01/ :00:00 Status) 216 Neonatal High Care Ward A (Intensive nursing and monitoring) 5620,04 04/01/ :00:00 Status) 216 Neonatal High Care Ward A (Intensive nursing and monitoring) 5620,04 04/01/ :00:00 Status) 217 Neonatal High Care Ward B (Standard nursing and monitoring) 3674,13 04/01/ :00:00 Status) 217 Neonatal High Care Ward B (Standard nursing and monitoring) 3674,13 04/01/ :00:00 Status) 218 Status) 218 Status) 220 Status) 220 clinics 220 Neonatal ward fee (Pre-discharge - This fee may not be charged for routine post-natal nursery care). 2421,55 04/01/ :00:00 Neonatal ward fee (Pre-discharge - This fee may not be charged for routine post-natal nursery care). 2421,55 04/01/ :00:00 Ballistic Lithotripsy/Lithoclast: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 1017,28 04/01/ :00:00 Ballistic Lithotripsy/Lithoclast: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 1017,28 04/01/ :00:00 Ballistic Lithotripsy/Lithoclast: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 1017,28 04/01/ :00:00

8 Status) 221 Ballistic Lithotripsy/Lithoclast: Second lithotripsy treatment on same kidney 677,59 04/01/ :00:00 Status) 221 Ballistic Lithotripsy/Lithoclast: Second lithotripsy treatment on same kidney 677,59 04/01/ :00:00 clinics 221 Ballistic Lithotripsy/Lithoclast: Second lithotripsy treatment on same kidney 677,59 04/01/ :00:00 Status) 222 Laser Lithotripsy: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 6780,51 04/01/ :00:00 clinics 222 Laser Lithotripsy: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 6780,51 04/01/ :00:00 Status) 222 Laser Lithotripsy: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 6780,51 04/01/ :00:00 clinics 223 Laser Lithotripsy: Second lithotripsy treatment on same kidney 4516,45 04/01/ :00:00 Status) 223 Laser Lithotripsy: Second lithotripsy treatment on same kidney 4516,45 04/01/ :00:00 Status) 223 Laser Lithotripsy: Second lithotripsy treatment on same kidney 4516,45 04/01/ :00:00 clinics 224 Stone basket (reusable) for the removal of kidney-, bladder- or gallstones: Per case 2734,38 04/01/ :00:00 Status) 224 Stone basket (reusable) for the removal of kidney-, bladder- or gallstones: Per case 2734,38 04/01/ :00:00 Status) 224 Stone basket (reusable) for the removal of kidney-, bladder- or gallstones: Per case 2734,38 04/01/ :00:00 Status) 225 Stereotactic equipment for use in neuro-surgical procedures, when used in conjunction with x-rays, MRI scans or CAT scans: Per case 2613,08 04/01/ :00:00 Status) 225 Stereotactic equipment for use in neuro-surgical procedures, when used in conjunction with x-rays, MRI scans or CAT scans: Per case 2613,08 04/01/ :00:00 Status) 226 Continuous Passive Exerciser: Per day. 207,11 04/01/ :00:00 Status) 226 Continuous Passive Exerciser: Per day. 207,11 04/01/ :00:00

9 clinics 226 Continuous Passive Exerciser: Per day. 207,11 04/01/ :00:00 clinics 227 Operating microscope - motorised: Per case 576,97 04/01/ :00:00 theatres / Day clinics 227 Operating microscope - motorised: Per case 576,97 04/01/ :00:00 Status) 227 Operating microscope - motorised: Per case 576,97 04/01/ :00:00 Status) 227 Operating microscope - motorised: Per case 576,97 04/01/ :00:00 Status) 228 Operating microscope - manually operated: Per case 285,13 04/01/ :00:00 clinics 228 Operating microscope - manually operated: Per case 285,13 04/01/ :00:00 theatres / Day clinics 228 Operating microscope - manually operated: Per case 285,32 04/01/ :00:00 Status) 228 Operating microscope - manually operated: Per case 285,13 04/01/ :00:00 Status) 230 Patient-controlled analgesia pump. Applicable only to administration of analgesics: Per day 218,77 04/01/ :00:00 Status) 230 Patient-controlled analgesia pump. Applicable only to administration of analgesics: Per day 218,77 04/01/ :00:00 clinics 230 Patient-controlled analgesia pump. Applicable only to administration of analgesics: Per day 218,77 04/01/ :00:00 Mental Health Institutions 231 Monitors 239,76 04/01/ :00:00 Status) 231 Status) 231 clinics 232 Status) 232 Status) 232 Cardiac monitors - in private, general and high care wards only - not to be charged for routine ECG s: Per day or part thereof 237,82 04/01/ :00:00 Cardiac monitors - in private, general and high care wards only - not to be charged for routine ECG s: Per day or part thereof 237,82 04/01/ :00:00 Bird or equivalent free standing nebuliser (excluding oxygen): Per day 170,18 04/01/ :00:00 Bird or equivalent free standing nebuliser (excluding oxygen): Per day 170,18 04/01/ :00:00 Bird or equivalent free standing nebuliser (excluding oxygen): Per day 170,18 04/01/ :00:00

10 Status) 233 Croupettes (excluding oxygen): Per day or part thereof 48,73 04/01/ :00:00 Status) 233 Croupettes (excluding oxygen): Per day or part thereof 48,73 04/01/ :00:00 Status) 234 Incubators (excluding oxygen) (not chargeable together with items 215 to 218: Per day or part thereof 91,10 04/01/ :00:00 Status) 234 Incubators (excluding oxygen) (not chargeable together with items 215 to 218: Per day or part thereof 91,10 04/01/ :00:00 Status) 235 Oxygen tents (excluding oxygen): Per day or part thereof 79,28 04/01/ :00:00 Status) 235 Oxygen tents (excluding oxygen): Per day or part thereof 79,28 04/01/ :00:00 Status) 236 Mechanical ventilator or equivalent (only in ICU and high care ward where no ICU is available) (excluding oxygen): Per day or part thereof 759,67 04/01/ :00:00 Status) 236 Mechanical ventilator or equivalent (only in ICU and high care ward where no ICU is available) (excluding oxygen): Per day or part thereof 759,67 04/01/ :00:00 Status) 237 CUSA (plus CUSA pack as per section 5). 3688,60 04/01/ :00:00 Status) 237 CUSA (plus CUSA pack as per section 5). 3688,60 04/01/ :00:00 Status) 238 Lasers - Argon or Holium (ophthalmic). 1142,63 04/01/ :00:00 Status) 238 Lasers - Argon or Holium (ophthalmic). 1142,63 04/01/ :00:00 clinics 238 Lasers - Argon or Holium (ophthalmic). 1142,63 04/01/ :00:00 Status) 239 Lasers - CO2 (surgical). 1476,29 04/01/ :00:00 Status) 239 Lasers - CO2 (surgical). 1476,29 04/01/ :00:00 clinics 239 Lasers - CO2 (surgical). 1476,29 04/01/ :00:00

11 Status) 242 Occutomes. 486,03 04/01/ :00:00 Status) 242 Occutomes. 486,03 04/01/ :00:00 clinics 242 Occutomes. 486,03 04/01/ :00:00 Status) 243 Lasers - YAG (ophthalmic). 1288,45 04/01/ :00:00 Status) 243 Lasers - YAG (ophthalmic). 1288,45 04/01/ :00:00 clinics 243 Lasers - YAG (ophthalmic). 1288,45 04/01/ :00:00 Status) 244 Lasers - YAG (surgical). 1604,48 04/01/ :00:00 Status) 244 Lasers - YAG (surgical). 1604,48 04/01/ :00:00 clinics 244 Lasers - YAG (surgical). 1604,48 04/01/ :00:00 Status) 245 clinics 245 Status) 245 Status) 246 Status) 246 clinics 246 Status) 249 Status) 249 First Extra Corporeal Shock Wave Lithotripsy (ESWL) treatment for one or more stones in same kidney which are eliminated in one treatment ,11 04/01/ :00:00 First Extra Corporeal Shock Wave Lithotripsy (ESWL) treatment for one or more stones in same kidney which are eliminated in one treatment ,11 04/01/ :00:00 First Extra Corporeal Shock Wave Lithotripsy (ESWL) treatment for one or more stones in same kidney which are eliminated in one treatment ,11 04/01/ :00:00 Second Extra Corporeal Shock Wave Lithotripsy (ESWL) treatment on same kidney 9886,48 04/01/ :00:00 Second Extra Corporeal Shock Wave Lithotripsy (ESWL) treatment on same kidney 9886,48 04/01/ :00:00 Second Extra Corporeal Shock Wave Lithotripsy (ESWL) treatment on same kidney 9886,48 04/01/ :00:00 C Arm (not chargeable when Modifiers 0002, 0003 or item 251 applies). 479,67 04/01/ :00:00 C Arm (not chargeable when Modifiers 0002, 0003 or item 251 applies). 479,67 04/01/ :00:00

12 clinics 249 C Arm (not chargeable when Modifiers 0002, 0003 or item 251 applies). 479,67 04/01/ :00:00 Status) 250 Ultrasonic imaging equipment. 801,69 04/01/ :00:00 Status) 250 Ultrasonic imaging equipment. 801,69 04/01/ :00:00 clinics 250 Ultrasonic imaging equipment. 801,69 04/01/ :00:00 Status) 251 Screening table - fixed base urology table (including all radiographic equipment) 1081,72 04/01/ :00:00 clinics 251 Screening table - fixed base urology table (including all radiographic equipment) 1081,72 04/01/ :00:00 Status) 251 Screening table - fixed base urology table (including all radiographic equipment) 1081,72 04/01/ :00:00 clinics 252 Gastroscope (fibre optic/flexible only). 632,06 04/01/ :00:00 Status) 252 Gastroscope (fibre optic/flexible only). 632,06 04/01/ :00:00 Status) 252 Gastroscope (fibre optic/flexible only). 632,06 04/01/ :00:00 Status) 253 Colonoscope (fibre optic/flexible only) 706,71 04/01/ :00:00 Status) 253 Colonoscope (fibre optic/flexible only) 706,71 04/01/ :00:00 clinics 253 Colonoscope (fibre optic/flexible only) 706,71 04/01/ :00:00 Status) 254 Duodenoscope (fibre optic/flexible only). 669,65 04/01/ :00:00 Status) 254 Duodenoscope (fibre optic/flexible only). 669,65 04/01/ :00:00 clinics 254 Duodenoscope (fibre optic/flexible only). 669,65 04/01/ :00:00 Status) 255 Sigmoidoscope (fibre optic). 542,90 04/01/ :00:00 Status) 255 Sigmoidoscope (fibre optic). 542,90 04/01/ :00:00

13 clinics 255 Sigmoidoscope (fibre optic). 542,90 04/01/ :00:00 Status) 256 Bronchoscope (flexible/fibre optic, adults). 446,12 04/01/ :00:00 Status) 256 Bronchoscope (flexible/fibre optic, adults). 446,12 04/01/ :00:00 clinics 256 Bronchoscope (flexible/fibre optic, adults). 446,12 04/01/ :00:00 Status) 257 Laryngoscope (fibre optic/flexible excluding intubation) 260,41 04/01/ :00:00 Status) 257 Laryngoscope (fibre optic/flexible excluding intubation) 260,41 04/01/ :00:00 clinics 257 Laryngoscope (fibre optic/flexible excluding intubation) 260,41 04/01/ :00:00 Status) 258 Sinoscope (rigid only) 297,15 04/01/ :00:00 Status) 258 Sinoscope (rigid only) 297,15 04/01/ :00:00 clinics 258 Sinoscope (rigid only) 297,15 04/01/ :00:00 clinics 259 Oesophagoscope (rigid only) 148,31 04/01/ :00:00 Status) 259 Oesophagoscope (rigid only) 148,31 04/01/ :00:00 Status) 259 Oesophagoscope (rigid only) 148,31 04/01/ :00:00 Status) 261 Hysteroscope 186,60 04/01/ :00:00 Status) 261 Hysteroscope 186,60 04/01/ :00:00 clinics 261 Hysteroscope 186,60 04/01/ :00:00 Status) 262 Colposcope (Not chargeable when item 239 applies) 260,41 04/01/ :00:00 clinics 262 Colposcope (Not chargeable when item 239 applies) 260,41 04/01/ :00:00

14 Status) 262 Colposcope (Not chargeable when item 239 applies) 260,41 04/01/ :00:00 Status) 263 Cysto Urethroscope 223,50 04/01/ :00:00 Status) 263 Cysto Urethroscope 223,50 04/01/ :00:00 clinics 263 Cysto Urethroscope 223,50 04/01/ :00:00 Status) 264 Arthroscope (including basic reusable instruments and equipment) 609,27 04/01/ :00:00 Status) 264 Arthroscope (including basic reusable instruments and equipment) 609,27 04/01/ :00:00 clinics 264 Arthroscope (including basic reusable instruments and equipment) 609,27 04/01/ :00:00 clinics 283 PWV area 5,99 04/01/ :00:00 Status) 283 PWV area 5,99 04/01/ :00:00 Status) 283 PWV area 5,99 04/01/ :00:00 theatres / Day clinics 283 PWV area 6,00 04/01/ :00:00 Status) 284 PWV area 8,81 04/01/ :00:00 clinics 284 PWV area 8,81 04/01/ :00:00 Status) 284 PWV area 8,81 04/01/ :00:00 theatres / Day clinics 284 PWV area 8,80 04/01/ :00:00 Status) 291 Per minute 1,10 04/01/ :00:00 Status) 291 Per minute 1,10 04/01/ :00:00 clinics 291 Per minute 1,10 04/01/ :00:00

15 theatres / Day clinics 291 Per minute 1,09 04/01/ :00:00 Status) 292 Per minute 21,02 04/01/ :00:00 clinics 292 Per minute 21,02 04/01/ :00:00 Status) 292 Per minute 21,02 04/01/ :00:00 theatres / Day clinics 292 Per minute 21,02 04/01/ :00:00 Status) 293 Per 30 minutes 199,85 04/01/ :00:00 Status) 293 Per 30 minutes 199,85 04/01/ :00:00 clinics 293 Per 30 minutes 199,85 04/01/ :00:00 theatres / Day clinics 293 Per 30 minutes 199,85 04/01/ :00:00 Status) 294 Transcranial Doppler 1328,37 04/01/ :00:00 Status) 294 Transcranial Doppler 1328,37 04/01/ :00:00 Status) 295 Ultrasonic Cutting and Coagulating Devices (See section 5.3.3) 365,64 04/01/ :00:00 Status) 295 Ultrasonic Cutting and Coagulating Devices (See section 5.3.3) 365,64 04/01/ :00:00 clinics 295 Ultrasonic Cutting and Coagulating Devices (See section 5.3.3) 365,64 04/01/ :00:00 Status) 297 Status) 297 Status) 302 Emergency blood collection. Claims for this item code must be supported by documentary evidence of the patient s condition 1054,70 04/01/ :00:00 Emergency blood collection. Claims for this item code must be supported by documentary evidence of the patient s condition 1054,70 04/01/ :00:00 For all consultations which require the use of a procedure room or nursing input. Includes the use of the procedure room. 573,09 04/01/ :00:00

16 Status) 302 clinics 302 For all consultations which require the use of a procedure room or nursing input. Includes the use of the procedure room. 573,09 04/01/ :00:00 For all consultations which require the use of a procedure room or nursing input. Includes the use of the procedure room. 573,09 04/01/ :00:00 For all consultations which require the use of a procedure room or nursing input. Includes the use of the procedure room. 573,09 04/01/ :00:00 theatres / Day clinics 302 Status) 335 Excimer laser: Hire fee per eye 4030,74 04/01/ :00:00 Status) 335 Excimer laser: Hire fee per eye 4030,74 04/01/ :00:00 clinics 335 Excimer laser: Hire fee per eye 4030,74 04/01/ :00:00 theatres / Day clinics 335 Excimer laser: Hire fee per eye 4030,58 04/01/ :00:00 Status) 337 Status) 337 clinics 337 theatres / Day clinics 337 Status) 339 Status) 339 clinics 339 Status) 341 Microkeratome used with an excimer laser, per operation. 740,25 04/01/ :00:00 Microkeratome used with an excimer laser, per operation. 740,25 04/01/ :00:00 Microkeratome used with an excimer laser, per operation. 740,25 04/01/ :00:00 Microkeratome used with an excimer laser, per operation 740,25 04/01/ :00:00 Ballistic lithotripsy magnetic: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 450,37 04/01/ :00:00 Ballistic lithotripsy magnetic: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 450,37 04/01/ :00:00 Ballistic lithotripsy magnetic: First lithotripsy treatment for one or more stones in same kidney which are eliminated in one treatment 450,37 04/01/ :00:00 Ballistic lithotripsy magnetic: Second lithotripsy treatment on same kidney 300,49 04/01/ :00:00

17 clinics 341 Ballistic lithotripsy magnetic: Second lithotripsy treatment on same kidney 300,49 04/01/ :00:00 Status) 341 Ballistic lithotripsy magnetic: Second lithotripsy treatment on same kidney 300,49 04/01/ :00:00 Status) 343 Sigmoidoscope (rigid, adults) 111,59 04/01/ :00:00 clinics 343 Sigmoidoscope (rigid, adults) 111,59 04/01/ :00:00 Status) 343 Sigmoidoscope (rigid, adults) 111,59 04/01/ :00:00 Status) 345 Sigmoidoscope (rigid, paediatrics) 90,23 04/01/ :00:00 Status) 345 Sigmoidoscope (rigid, paediatrics) 90,23 04/01/ :00:00 clinics 345 Sigmoidoscope (rigid, paediatrics) 90,23 04/01/ :00:00 Status) 347 Bronchoscope (flexible/fibre optic, paediatrics) 446,12 04/01/ :00:00 Status) 347 Bronchoscope (flexible/fibre optic, paediatrics) 446,12 04/01/ :00:00 clinics 347 Bronchoscope (flexible/fibre optic, paediatrics) 446,12 04/01/ :00:00 Status) 348 Bronchoscope (rigid, adults) 178,68 04/01/ :00:00 Status) 348 Bronchoscope (rigid, adults) 178,68 04/01/ :00:00 clinics 348 Bronchoscope (rigid, adults) 178,68 04/01/ :00:00 clinics 349 Bronchoscope (rigid, paediatrics) 260,41 04/01/ :00:00 Status) 349 Bronchoscope (rigid, paediatrics) 260,41 04/01/ :00:00 Status) 349 Bronchoscope (rigid, paediatrics) 260,41 04/01/ :00:00 Status) 360 Category 1 - Laparoscopy and thoracoscopy, per case. See Annexure A 1459,34 04/01/ :00:00

18 clinics 360 Category 1 - Laparoscopy and thoracoscopy, per case. See Annexure A 1459,34 04/01/ :00:00 Status) 360 Category 1 - Laparoscopy and thoracoscopy, per case. See Annexure A 1459,34 04/01/ :00:00 Status) 364 Category 2 - Interventional Laparoscopic and Thorascopic procedures, per case. See Annexure A 1733,52 04/01/ :00:00 Status) 364 Category 2 - Interventional Laparoscopic and Thorascopic procedures, per case. See Annexure A 1733,52 04/01/ :00:00 clinics 364 Category 2 - Interventional Laparoscopic and Thorascopic procedures, per case. See Annexure A 1733,52 04/01/ :00:00 Status) 399 Linear Accelerator radiosurgery - Global Fee ,18 04/01/ :00:00 Status) 399 Linear Accelerator radiosurgery - Global Fee ,18 04/01/ :00:00 Status) 430 Global fee for stereotactic radiosurgery ,14 04/01/ :00:00 Status) 430 Global fee for stereotactic radiosurgery ,14 04/01/ :00:00 Status) 507 Argon Beamer (See section 5.3.2) 147,93 04/01/ :00:00 Status) 507 Argon Beamer (See section 5.3.2) 147,93 04/01/ :00:00 clinics 507 Argon Beamer (See section 5.3.2) 147,93 04/01/ :00:00 Status) 509 Endometrial Resection (Radio frequency) 893,51 04/01/ :00:00 Status) 509 Endometrial Resection (Radio frequency) 893,51 04/01/ :00:00 clinics 509 Endometrial Resection (Radio frequency) 893,51 04/01/ :00:00 Status) 511 Colour Doppler (external) 2674,71 04/01/ :00:00 Status) 511 Colour Doppler (external) 2674,71 04/01/ :00:00 clinics 511 Colour Doppler (external) 2674,71 04/01/ :00:00

19 Status) 513 Transoesphageal Colour Doppler. (May be charged together with Modifier 0003) 3227,28 04/01/ :00:00 Status) 513 Transoesphageal Colour Doppler. (May be charged together with Modifier 0003) 3227,28 04/01/ :00:00 clinics 513 Transoesphageal Colour Doppler. (May be charged together with Modifier 0003) 3227,28 04/01/ :00:00 Status) 515 Cardiorhythm Ablater. (May be charged in addition to the catheterisation Laboratory). 1757,89 04/01/ :00:00 Status) 515 Cardiorhythm Ablater. (May be charged in addition to the catheterisation Laboratory). 1757,89 04/01/ :00:00 clinics 515 Cardiorhythm Ablater. (May be charged in addition to the catheterisation Laboratory). 1757,89 04/01/ :00:00 Status) 517 Phaco emulsifier 946,65 04/01/ :00:00 Status) 517 Phaco emulsifier 946,65 04/01/ :00:00 clinics 517 Phaco emulsifier 946,65 04/01/ :00:00 Status) 519 Uretho Reno Fibroscope, per case 797,64 04/01/ :00:00 Status) 519 Uretho Reno Fibroscope, per case 797,64 04/01/ :00:00 clinics 519 Uretho Reno Fibroscope, per case 797,64 04/01/ :00:00 Status) 521 OAS Frameless Stereotaxy 9406,46 04/01/ :00:00 Status) 521 OAS Frameless Stereotaxy 9406,46 04/01/ :00:00 Status) 523 OPD Tacography (Includes paper) 152,37 04/01/ :00:00 Status) 523 OPD Tacography (Includes paper) 152,37 04/01/ :00:00 Status) 525 RFG3C Lesion Generator (Rhizotomy) 3045,28 04/01/ :00:00 Status) 525 RFG3C Lesion Generator (Rhizotomy) 3045,28 04/01/ :00:00

20 Status) 527 Swift Lase Kit (Tonsillectomy) 593,38 04/01/ :00:00 Status) 527 Swift Lase Kit (Tonsillectomy) 593,38 04/01/ :00:00 Status) 529 Bard Apparatus for use in EPS studies 2278,35 04/01/ :00:00 Status) 529 Bard Apparatus for use in EPS studies 2278,35 04/01/ :00:00 Status) 531 Densitometer 1404,44 04/01/ :00:00 Status) 531 Densitometer 1404,44 04/01/ :00:00 Status) 533 Status) 533 Status) 535 Status) 535 Status) 537 Status) 537 Status) 540 Status) 540 Status) 541 Civus (Cardiac Intra-vascular Ultrasound) (This may be charged in addition to the catheterisation laboratory). 3814,48 04/01/ :00:00 Civus (Cardiac Intra-vascular Ultrasound) (This may be charged in addition to the catheterisation laboratory). 3814,48 04/01/ :00:00 Ivus (Intra-vascular Ultrasound) (This may be charged in addition to the catheterisation laboratory). 8378,78 04/01/ :00:00 Ivus (Intra-vascular Ultrasound) (This may be charged in addition to the catheterisation laboratory). 8378,78 04/01/ :00:00 Reusable patient return electrode/grounding pad using a capacitive coupling technique for use in electrosurgery. 35,14 04/01/ :00:00 Reusable patient return electrode/grounding pad using a capacitive coupling technique for use in electrosurgery. 35,14 04/01/ :00:00 Stereotactic guided digital imaged breast biopsy procedure 15380,84 04/01/ :00:00 Stereotactic guided digital imaged breast biopsy procedure 15380,84 04/01/ :00:00 Stereotactic guided digital imaged cover needle biopsy 9048,05 04/01/ :00:00

21 Status) 541 Stereotactic guided digital imaged cover needle biopsy 9048,05 04/01/ :00:00 Status) 542 Stereotactic guided digital imaged vacuum assisted core needle biopsy. 9048,05 04/01/ :00:00 Status) 542 Stereotactic guided digital imaged vacuum assisted core needle biopsy. 9048,05 04/01/ :00:00 Status) 543 Stereotactic guided digital imaged fine needle aspiration 6336,11 04/01/ :00:00 Status) 543 Stereotactic guided digital imaged fine needle aspiration 6336,11 04/01/ :00:00 Status) 550 Dynamic (non-frame based - StealthStation) stereotactic image guided equipment and treatment planning together with CT or MRI imaging 9834,41 04/01/ :00:00 Status) 550 Dynamic (non-frame based - StealthStation) stereotactic image guided equipment and treatment planning together with CT or MRI imaging 9834,41 04/01/ :00:00 Status) 578 Prostatic hyperthemia and thermotherapy: per case 13944,45 04/01/ :00:00 Status) 578 Prostatic hyperthemia and thermotherapy: per case 13944,45 04/01/ :00:00 Status) 701 Cape Town 8,22 04/01/ :00:00 Status) 701 Cape Town 8,22 04/01/ :00:00 clinics 701 Cape Town 8,22 04/01/ :00:00 theatres / Day clinics 701 Cape Town 8,25 04/01/ :00:00 Status) 702 Port Elizabeth 7,30 04/01/ :00:00 Status) 702 Port Elizabeth 7,30 04/01/ :00:00 clinics 702 Port Elizabeth 7,30 04/01/ :00:00

22 theatres / Day clinics 702 Port Elizabeth 7,34 04/01/ :00:00 Status) 703 East London 8,11 04/01/ :00:00 Status) 703 East London 8,11 04/01/ :00:00 clinics 703 East London 8,11 04/01/ :00:00 theatres / Day clinics 703 East London 8,10 04/01/ :00:00 Status) 704 Durban 7,51 04/01/ :00:00 Status) 704 Durban 7,51 04/01/ :00:00 clinics 704 Durban 7,51 04/01/ :00:00 theatres / Day clinics 704 Durban 7,51 04/01/ :00:00 Status) 705 Other areas 6,70 04/01/ :00:00 Status) 705 Other areas 6,70 04/01/ :00:00 clinics 705 Other areas 6,70 04/01/ :00:00 theatres / Day clinics 705 Other areas 6,70 04/01/ :00:00 Status) 710 Cape Town 14,58 04/01/ :00:00 Status) 710 Cape Town 14,58 04/01/ :00:00 clinics 710 Cape Town 14,58 04/01/ :00:00 theatres / Day clinics 710 Cape Town 14,60 04/01/ :00:00 theatres / Day clinics 711 Port Elizabeth 14,05 04/01/ :00:00

23 Status) 711 Port Elizabeth 14,05 04/01/ :00:00 Status) 711 Port Elizabeth 14,05 04/01/ :00:00 clinics 711 Port Elizabeth 14,05 04/01/ :00:00 theatres / Day clinics 712 East London 13,49 04/01/ :00:00 Status) 712 East London 13,49 04/01/ :00:00 Status) 712 East London 13,49 04/01/ :00:00 clinics 712 East London 13,49 04/01/ :00:00 theatres / Day clinics 713 Durban 11,41 04/01/ :00:00 Status) 713 Durban 11,44 04/01/ :00:00 Status) 713 Durban 11,44 04/01/ :00:00 clinics 713 Durban 11,44 04/01/ :00:00 theatres / Day clinics 714 Other areas 10,88 04/01/ :00:00 Status) 714 Other areas 10,88 04/01/ :00:00 Status) 714 Other areas 10,88 04/01/ :00:00 clinics 714 Other areas 10,88 04/01/ :00:00 clinics 720 PWV area 17,52 04/01/ :00:00 theatres / Day clinics 720 PWV area 17,52 04/01/ :00:00 Status) 720 PWV area 17,52 04/01/ :00:00

24 Status) 720 PWV area 17,52 04/01/ :00:00 Status) 721 Cape Town 28,98 04/01/ :00:00 Status) 721 Cape Town 28,98 04/01/ :00:00 clinics 721 Cape Town 28,98 04/01/ :00:00 theatres / Day clinics 721 Cape Town 28,98 04/01/ :00:00 Status) 722 Port Elizabeth 27,89 04/01/ :00:00 Status) 722 Port Elizabeth 27,89 04/01/ :00:00 clinics 722 Port Elizabeth 27,89 04/01/ :00:00 theatres / Day clinics 722 Port Elizabeth 27,75 04/01/ :00:00 Status) 723 East London 26,85 04/01/ :00:00 Status) 723 East London 26,85 04/01/ :00:00 clinics 723 East London 26,85 04/01/ :00:00 theatres / Day clinics 723 East London 26,85 04/01/ :00:00 clinics 724 Durban 22,95 04/01/ :00:00 Status) 724 Durban 22,95 04/01/ :00:00 Status) 724 Durban 22,95 04/01/ :00:00 theatres / Day clinics 724 Durban 22,95 04/01/ :00:00 Status) 725 Other areas 21,70 04/01/ :00:00

25 Status) 725 Other areas 21,70 04/01/ :00:00 clinics 725 Other areas 21,70 04/01/ :00:00 theatres / Day clinics 725 Other areas 21,70 04/01/ :00:00 Status) 730 PWV area 0,55 04/01/ :00:00 clinics 730 PWV area 0,55 04/01/ :00:00 Status) 730 PWV area 0,55 04/01/ :00:00 theatres / Day clinics 730 PWV area 0,54 04/01/ :00:00 theatres / Day clinics 731 Cape Town 0,97 04/01/ :00:00 Status) 731 Cape Town 0,97 04/01/ :00:00 Status) 731 Cape Town 0,97 04/01/ :00:00 clinics 731 Cape Town 0,97 04/01/ :00:00 theatres / Day clinics 732 Port Elizabeth 0,91 04/01/ :00:00 Status) 732 Port Elizabeth 0,91 04/01/ :00:00 Status) 732 Port Elizabeth 0,91 04/01/ :00:00 clinics 732 Port Elizabeth 0,91 04/01/ :00:00 Status) 733 East London 0,91 04/01/ :00:00 Status) 733 East London 0,91 04/01/ :00:00 clinics 733 East London 0,91 04/01/ :00:00

26 theatres / Day clinics 733 East London 0,91 04/01/ :00:00 Status) 734 Durban 0,70 04/01/ :00:00 Status) 734 Durban 0,70 04/01/ :00:00 clinics 734 Durban 0,70 04/01/ :00:00 theatres / Day clinics 734 Durban 0,75 04/01/ :00:00 Status) 735 Other areas 0,70 04/01/ :00:00 Status) 735 Other areas 0,70 04/01/ :00:00 clinics 735 Other areas 0,70 04/01/ :00:00 theatres / Day clinics 735 Other areas 0,69 04/01/ :00:00 Status) 902 Status) 902 Status) 903 Simple - Simulation of a single area with either a single port or parallel opposed ports. Simple or no blocking or use of custom/home made simulation 830,33 04/01/ :00:00 Simple - Simulation of a single area with either a single port or parallel opposed ports. Simple or no blocking or use of custom/home made simulation 830,33 04/01/ :00:00 Intermediate - Simulation of three or more converging ports, two separate treatment areas or multiple blocks. 1266,55 04/01/ :00:00 Intermediate - Simulation of three or more converging ports, two separate treatment areas or multiple blocks. 1266,55 04/01/ :00:00 Complex - Simulation of tangential portals, three or more treatment areas 1660,60 04/01/ :00:00 Complex - Simulation of tangential portals, three or more treatment areas 1660,60 04/01/ :00:00 Status) 903 Status) 904 Status) 904 Status) 905 Computerised Tomographic. 1660,60 04/01/ :00:00

27 Status) 905 Computerised Tomographic. 1660,60 04/01/ :00:00 Status) 907 Simple - Planning requiring single treatment area of interest in a single port or simple parallel opposed ports with simple or no blocking 782,47 04/01/ :00:00 Status) 907 Simple - Planning requiring single treatment area of interest in a single port or simple parallel opposed ports with simple or no blocking 782,47 04/01/ :00:00 Status) 908 Computerised (intermediate) - Planning requiring three or more ports, two separate treatment areas, multiple blocks or special time dose constraints 1193,65 04/01/ :00:00 Computerised (intermediate) - Planning requiring Status) 908 three or more ports, two separate treatment areas, multiple blocks or special time dose constraints 1193,65 04/01/ :00:00 Status) 909 Computerised (complex) - Planning three or more separate treatment areas 1563,68 04/01/ :00:00 Status) 909 Computerised (complex) - Planning three or more separate treatment areas 1563,68 04/01/ :00:00 Status) 911 Dosimetric procedures. 45,56 04/01/ :00:00 Status) 911 Dosimetric procedures. 45,56 04/01/ :00:00 Status) 912 Artefacts: Simple - design and construction (simple block or bolus) 114,07 04/01/ :00:00 Status) 912 Artefacts: Simple - design and construction (simple block or bolus) 114,07 04/01/ :00:00 Status) 913 Artefacts: intermediate - design and construction (multiple blocks, stents, bite blocks, special bolus). 310,37 04/01/ :00:00 Status) 913 Artefacts: intermediate - design and construction (multiple blocks, stents, bite blocks, special bolus). 310,37 04/01/ :00:00 Status) 914 Artefacts: complex (specify) - design and construction (irregular blocks, special shields, compensators, wedges, molds or casts) 620,39 04/01/ :00:00

28 Artefacts: complex (specify) - design and Status) 914 construction (irregular blocks, special shields, compensators, wedges, molds or casts) 620,39 04/01/ :00:00 Status) 915 Photon treatment, single field. 1212,54 04/01/ :00:00 Status) 915 Photon treatment, single field. 1212,54 04/01/ :00:00 Status) 916 Photon treatment, multiple fields 1746,24 04/01/ :00:00 Status) 916 Photon treatment, multiple fields 1746,24 04/01/ :00:00 Status) 917 Electron treatment. 1212,54 04/01/ :00:00 Status) 917 Electron treatment. 1212,54 04/01/ :00:00 Status) 919 Brachytherapy - global fee per patient. 9214,90 04/01/ :00:00 Status) 919 Brachytherapy - global fee per patient. 9214,90 04/01/ :00:00 Hospices 950 Ward fee, per day (Inclusive of professional fees and disposables, except for pharmacy dispensed medication). 1294,57 04/01/ :00:00 Hospices 955 Home health care, per visit 423,80 04/01/ :00:00