2 No.35212 GOVERNMENT GAZt:: 1 IE, 5 APRIL 2012 For purposes of reference, all Proclamations, Government Notices, General Notices and Board Notices published are Included In the following table of contents which thus forms a· weekly Index. Let yourself be guided by the Gazette numbers In the rlghthand column: CONTENTS and weekly Index No. Page Gazette No. No. PROCLAMATIONS 19 Revenue Laws Amendment Act (35/2007): Fixing of a date on which sec- tions 90 (1) (a) to (c); 91 (1) (a); 93 (1) (a), 93 (1) (b), 93 (1) (g), 93 (1) (h) and 93 (1) (i); 94 (1) (a) to (d) and 95 (1) (a) shall come into operation........................ 3 35133 R. 21 Special Investigating Units and Special Tribunals Act (74/1996): Referral of mat- ters to existing Special Investigating Unit and Special Tribunal............................... 3 35179 23 Civil Aviation Act (13/2009): Proclamation of sections 117 to 121 and sections 125 to 127 of the Act ............. ... 3 35183 24 Protection of Constitutional Democracy against Terrorist and Related Activities Act (33/2004): Notification by President in respect of entities identified by the United Nations Security Council............. 3 35187 GOVERNMENT AND GENERAL NOTICES Environmental Affairs, Department of General Notices 233 ·National Environmental Management; Waste Act (59/2008): Draft national norms and standards for the remediation of contaminated land and soil quality: For public comments ............................... 234 National Environmental Management: Waste Act (59/2008): Regulations for site assessments and reports: For public comments ... · ............................................. Higher Education and Training, Department of Government Notices 210 Skills Development Act (97/1998): Extension notice on the appointment of the Construction Education and Training Authority (CETA) Administrator .............. . R. 230 Skills Development Act (97/1998): Amendment: Establishment of Public Sector Education and Training Authority (PSETA) .................................................. R. 231 do.: do.: do .............................................. 273 Skills Development Act (97/1998): Amendment: Replacement of Accounting Authority Member for the Banking Sector Education and Training Authority (BANKSETA) ......................................... .. General Notice 257 National Qualification Framework Act (67/2008): National Senior Certificate for Adults (NASCA): A qualification at Level 4 on the National Qualifications Frame- work (NQF): Call for comments ............. . Home Affairs, Department of Government Notices 274 Births and Deaths Registration Act (51/1992): Alteration of forenames ........ .. 275 do.: Alteration of surnames .................... . 3 3 3 2 3 8 3 9 14 35160 35161 35169 35162 35162 35212 35172 . 35212 35212 Aile Proklamasles, Goewermentskennlsgewlngs, Algemene Kennlsgewlngs en Raadskennlsgewlngs gepubllseer, word vir verwyslngsdoelelndes In die volgende lnhoudsopgawe lnge- slult wat dus 'n weekllkse lndeks voorstel. Laat uself deur die Koerantnommers In die regterhandse kolom lei: INHOUD en weekllkse lndeks No. Bladsy Koerant No. No. PROKLAMASIES 19 . Wysigingswet op lnkomstewette (35/2007): Bepaling van 'n datum waarop artikels 90 (1) (a) tot (c); 91 (1) (a); 93 (1) (a), 93 (1) (b), 93 (1) (g), 93 (1) (h) en 93 (1) (i); 94 (1) (a) tot (d) en 95 (1) (a) in werking tree .............................. R. 21 Wet op Spesiale Ondersoekeenhede en Spesiale Tribunale (74/1996): Verwysing van aangeleenthede na bestaande Spesiale Ondersoekeenheid en Spesiale Tribunaal ................................................. 23 Wet op Burgerlike Lugvaart (13/2009): Proklamasie van artikels 117 tot 121 en artikels 125 tot 127, Hoofstuk 8 van die Wet .......................................................... 24 Beskerming van Konstitusionele Demokrasie teen Terroriste- en verwante Aktiwiteite Wet (33/2004): Kennisgewing deur President ten opsigte van entiteite deur veiligsheidsraad van Verenigde Nasies Geidentifiseer .............................. 4 35133 5 ·35179 3 35183 5 35187 GOEWERMENT5- EN ALGEMENE KENNISGEWINGS Arbeld, Oepartement van Goewennentskennisgewings R. 216 Labour !=!elations Act (66/1995): Commission for Conciliation, Mediation and Arbitration: Tariff of Fees.................. 4 R. 233 Wet op Arbeidsverhoudinge (66/1995): Bedingingsraad vir die Was-, Skoon- maak- en Kleurnywerheid (Kaap): Hemuwing van tydperk van Siekte Bystandfonds Kollektiewe Ooreenkorns . 3 276 Compensation for Occupational Injuries and Diseases Act (130/1993): Annual increase in medical tariffs for Medical Service Providers, Pharmacies and Hospital Groups ......... :............................ 19 2n do.: do..................................................... 51 278 do.: do..................................................... 48 279 do.: do..................................................... 90 280 do.: do..................................................... 106 281 do.: do..................................................... 124 Algemene Kennisgewings 235 Compensation for Occupational Injuries and Diseases Act (130/1993): Amend- ment of Schedule 3 of the Act................. 3 252 Compensation for Occupational Injuries and Diseases Act (130/1993): Increase of maximum amount of earnings on which the assessment of an employer shall be calculated ..... .................... ......... 3 253 do.: Increase in monthly pensions.......... 4 254 do.: Amendment of Schedule 4 of the Act........................................................... 18 258 Occupational Health and Safety Act, 1993: Explanatory notes on the Electrical Installation Regulations, 2009 ................. 3 281 Labour Relalions Amendment Bill, 2012: Labour Relations Act (66/1995): Publication of Rules .... ............ ...... .. .... .... 141 35156 35156 35212 35212 35212 35212 35212 35212 35164 35168 35168 35168 35180 35212
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2 No.35212 GOVERNMENT GAZt:: 1 IE, 5 APRIL 2012
For purposes of reference, all Proclamations, Government Notices, General Notices and Board Notices published are Included In the following table of contents which thus forms a· weekly Index. Let yourself be guided by the Gazette numbers In the rlghthand column:
CONTENTS and weekly Index
No. Page Gazette No. No.
PROCLAMATIONS
19 Revenue Laws Amendment Act (35/2007): Fixing of a date on which sections 90 (1) (a) to (c); 91 (1) (a); 93 (1) (a), 93 (1) (b), 93 (1) (g), 93 (1) (h) and 93 (1) (i); 94 (1) (a) to (d) and 95 (1) (a) shall come into operation........................ 3 35133
R. 21 Special Investigating Units and Special Tribunals Act (74/1996): Referral of matters to existing Special Investigating Unit and Special Tribunal............................... 3 35179
23 Civil Aviation Act (13/2009): Proclamation of sections 117 to 121 and sections 125 to 127 of the Act ............. ... 3 35183
24 Protection of Constitutional Democracy against Terrorist and Related Activities Act (33/2004): Notification by President in respect of entities identified by the United Nations Security Council............. 3 35187
GOVERNMENT AND GENERAL NOTICES
Environmental Affairs, Department of
General Notices
233 ·National Environmental Management; Waste Act (59/2008): Draft national norms and standards for the remediation of contaminated land and soil quality: For public comments ............................. ..
234 National Environmental Management: Waste Act (59/2008): Regulations for site assessments and reports: For public comments ... · ............................................ .
Higher Education and Training, Department of
Government Notices
210 Skills Development Act (97/1998): Extension notice on the appointment of the Construction Education and Training Authority (CETA) Administrator .............. .
R. 230 Skills Development Act (97/1998): Amendment: Establishment of Public Sector Education and Training Authority (PSETA) ................................................. .
R. 231 do.: do.: do ............................................ .. 273 Skills Development Act (97/1998):
Amendment: Replacement of Accounting Authority Member for the Banking Sector Education and Training Authority (BANKSETA) ......................................... ..
General Notice
257 National Qualification Framework Act (67/2008): National Senior Certificate for Adults (NASCA): A qualification at Level 4 on the National Qualifications Frame-work (NQF): Call for comments ............. .
Home Affairs, Department of
Government Notices
274 Births and Deaths Registration Act (51/1992): Alteration of forenames ........ ..
275 do.: Alteration of surnames .................... .
3
3
3
2 3
8
3
9 14
35160
35161
35169
35162 35162
35212
35172 .
35212 35212
Aile Proklamasles, Goewermentskennlsgewlngs, Algemene Kennlsgewlngs en Raadskennlsgewlngs gepubllseer, word vir verwyslngsdoelelndes In die volgende lnhoudsopgawe lngeslult wat dus 'n weekllkse lndeks voorstel. Laat uself deur die Koerantnommers In die regterhandse kolom lei:
INHOUD en weekllkse lndeks
No. Bladsy Koerant No. No.
PROKLAMASIES
19 . Wysigingswet op lnkomstewette (35/2007): Bepaling van 'n datum waarop artikels 90 (1) (a) tot (c); 91 (1) (a); 93 (1) (a), 93 (1) (b), 93 (1) (g), 93 (1) (h) en 93 (1) (i); 94 (1) (a) tot (d) en 95 (1) (a) in werking tree ............................. .
R. 21 Wet op Spesiale Ondersoekeenhede en Spesiale Tribunale (74/1996): Verwysing van aangeleenthede na bestaande Spesiale Ondersoekeenheid en Spesiale Tribunaal ................................................ .
23 Wet op Burgerlike Lugvaart (13/2009): Proklamasie van artikels 117 tot 121 en artikels 125 tot 127, Hoofstuk 8 van die Wet ......................................................... .
24 Beskerming van Konstitusionele Demokrasie teen Terroriste- en verwante Aktiwiteite Wet (33/2004): Kennisgewing deur President ten opsigte van entiteite deur veiligsheidsraad van Verenigde Nasies Geidentifiseer ............................. .
4 35133
5 ·35179
3 35183
5 35187
GOEWERMENT5- EN ALGEMENE KENNISGEWINGS
Arbeld, Oepartement van
Goewennentskennisgewings
R. 216 Labour !=!elations Act (66/1995): Commission for Conciliation, Mediation and Arbitration: Tariff of Fees.................. 4
R. 233 Wet op Arbeidsverhoudinge (66/1995): Bedingingsraad vir die Was-, Skoonmaak- en Kleurnywerheid (Kaap): Hemuwing van tydperk van Siekte Bystandfonds Kollektiewe Ooreenkorns . 3
276 Compensation for Occupational Injuries and Diseases Act (130/1993): Annual increase in medical tariffs for Medical Service Providers, Pharmacies and Hospital Groups ......... :............................ 19
235 Compensation for Occupational Injuries and Diseases Act (130/1993): Amend-ment of Schedule 3 of the Act................. 3
252 Compensation for Occupational Injuries and Diseases Act (130/1993): Increase of maximum amount of earnings on which the assessment of an employer shall be calculated ..... .................... ......... 3
253 do.: Increase in monthly pensions.......... 4 254 do.: Amendment of Schedule 4 of the
Act........................................................... 18 258 Occupational Health and Safety Act,
1993: Explanatory notes on the Electrical Installation Regulations, 2009 ................. 3
281 Labour Relalions Amendment Bill, 2012: Labour Relations Act (66/1995): Publication of Rules .... ............ ...... .. .... .... 141
259 Nursing Act (33/2005): Nominations of a member of South African Nursing Council ................................................... .
Independent Electoral Commission
General Notices
236 Electoral Commission Act (51/1996): Registration of Political Parties ............... .
256 Electronic Communications · Act (3612005): Registration for a class community satellite television broadcasting service licence by Mzansi Community Satellite Television ............................ : .. ,,,: ..
Labour, Department of
Government Notices
R. 216 Labour Relations Act (66/1995): Commission for Conciliation, Mediation and Arbitration: Tariff of Fees .......... : ... : ... ·
R. 233 Labour Relations ··Act (66/1995): Bargaining Council for the Laundry, Cleaning and Dyeing Industry (Cape): Renewal of period of operation of the Sick Benefit Fund Collective Agreement.·
276 Compensation for Occupational Injuries · and Diseases Act (130/1993): Annual Increase In medical tariffs for Medical Service Providers, Pharmacies and Hospital Groups .................................... ..
2n do.: do ............................................. ;:::.: .. 278 do.: do .................................................... . 279 do.: do .................................................... . 280 do.: do .................................................... . 281 do.: do .................................................... .
General Notices
235 Compensation for Occupational Injuries and Diseases Act (130/1993): Amend-· men! of Schedule 3 of the Act .......... _. __
252 Compensation for Occupational Injuries and Diseases Act (130/1993): Increase of maximum amount of earnings on which the assessment of an employer shall be calculated ................................ ..
253 do.: Increase In monthly pensions ... ; .... .. 254 do.: Amendment of Schedule 4 of the
Act .......................................................... . 258 Occupational Health and Safety Act,
1993: Explanatory notes on the Electrical Installation Regulations, 2009 ................. .
281 Labour Relations Act (66/1995): Labour Relations Amendment Bill, 2012: Publication of Rules .............................. ..
282 Basic Conditions of Employment Act (75/1997): Basic Conditions of Employment Amendment Bill, 2012: Publication of Rules .............................. ..
National Treasury
Government Notice
R. 255 Income Tax Act (58/1962): National Treasury: Regulations prescribing the_ circumstances under which section 23k(2) of the Income Tax Act, 1962, does not apply ...................... ; .......................... .
3
3
3
4
3
19 31 48 90
106 124
3
3 4
18
3
141
142
3
35181
35165
35171
35156
35156
35212 35212 35212 35212 35212 35212
35164
35168 35168
35168
35180
35212
35212
35188
No. Bladsy Koerant
No. ·No.
282 Basic Conditions of Employment Act (75/1997): Basic Conditions of Employment Amendment Bill, 2012: Publication of Rules .............................. ..
Blnnelandse Sake, Departement van
Goewermentskennisgewings
274 Births and Deaths Registration Act (5111992): Alteration of forenames ........ ..
275 do.: Alteration of surnames .................... .
Die Presldensle
Algemene Kennisgewing 215 The Public to make Input on the draft
integrated Youth Development Strategy: National Youth Convention ..................... .
Gesondheld, Departement van
Algemene Kennisgewing 259 Nursing Act (33/2005): Nominations of a
member of South African Nursing Council .................................................. ..
Handel en Nywerheld, Departement van
Algemene Kennisgewing
237 Competition Commission: Notification to conditionally approve the transaction involving: Fruit and Veg City Holdings (Pty) Ltd and the distribution centre of Everfresh Wholesale (Pty) Ltd and the Everfresh Stores .................................... .
241 do.: Notification to prohibit the transac-. tion Involving: Senmin International (Proprietary) Limited and Cellulose Derivatives (Proprietary) Limited ............ .
242 do.: Notification to conditionally approve the ·transaction Involving: Synergy Income Fund ltd and letting enterpriseknown as Kwa-Mashu Shopping Centre held by Sip an I (Ply) ltd ........................ .
243 do.: do.: Johnson and Johnson and Synthes Inc ............................................ .
244 do.: do.: Synergy Income Fund Uml!ed and Khuthala Alliance (Proprietary) Limited ................................................... ..
245 do.: do.: Senwes Limited and Bunge Senwes Africa (Pty) Limited .................. ..
246 do.: do.: Marsh (Proprietary) Limited and Marsh Holdings (Proprietary) Limited and the business of Alexander Forbes Risk Services (Proprietary) Limited, Alexander Forbes Compensation Technologies Administration (Proprle· tary) Limited and Alexander Forbes !·Connect (Proprietary) Limited .............. .
247 do.: Notification to prohibit the transaction Involving: Paarl Media (Proprietary) Limited and Primedla (Proprleatary) · Limited .................................................... .
248 do.: Notification to conditionally approve the transaction Involving: Bldserv Industrial Products (Proprietary) Limited Ua G Fox & . Co ("G Foxj and Alsafe (Proprietary) Limited .............................. ..
255 South African Geographical Names Council Act (118/1998): Public Notice:
· Renaming of State residences................ 3
Rural Development and Land Reform, Department of
General Notices
283 Land Survey Act (8/1997): Scale of fees to be ctiarged in the office of the Chief Director of Surveys and Mapping ........... 143
.284 Restitutionof Land Rights Act (2211994): Amendment of Notice 510 of 2007 as contained in Government Gazette No. 29839 in respect of Roka Motshana Tribe Land Claim..................................... 149
Social Development, Department of
Government Notice
256 Social Assistance Act (13/2004): Social Development: Increase in respect of social grants ................ :........................... '3
South African Reserve Bank
General Notice
275 Currency and Exchanges Act (9/1933): Notice and Order of forfeiture: Fast One Import and Export Close Corporation ....... · 3
South African Revenue Service
Government Notice
211 Income Tax Act (58/1962): Protocol amending the convention between the Government of the Republic of South Africa and the Government of Ireland for the avoidance of double taxation and the prevention of fiscal evasion with respect to taxes on income and capital gains,
35170
35212
35212
35189
35186
with protocol ............................................ · 2 35134 212 Income Tax Act, 1962: Agreement
between the Government of the Republic of South Africa and the Government of the Republic of San Marino for the exchange of information relating to tax matters ... : ............................................... .
R. 232 Customs and Excise Act (91/1964): Amendment of Rules (DAR/102) .......... ..
257 Income Tax Act (58/1962): Protocol amending the Agreement between the Government of the Republic of South Africa and the Government of Malaysia for the avoidance of double taxation and the prevention of fiscal evasion with respect to taxes on income, signed at Pretoria on 26 July 2005 ........................ .
The Presidency
General Notice
215 The Public to make input on the draft integrated Youth Development Strategy: National Youth Convention ..................... .
Trade and Industry, Department of
General Notices
237 Competition Commission: Notification to conditionally approve the transaction involving: Fruit and Veg City Holdings (Pty) Ltd and the distribution centre of Everfresh Wholesale (Pty) Ltd and the Everfresh Stores ................................... ..
3 35135
3 35178
2 35190
3 35146
·,: :~ .'·''
3 35166
·No. Bladsy Koerant No. No.
249 Competition Commission: Notification-to---·-: .. prohibit the transaction involving: Sunset · Bay Trading 368 (Proprietary) Limited :. '. · and Jobling Investments . (Proprietary) ..• Limited..................................................... 37 35166
250 do.: Notification to conditionally approve the Transaction involving: The Industrial Development Corporation of SouthAfrica Limited and Eerste Flambeau Huur (Proprietary) Limited................................ 40 35166
251 Broad-Based Black Economic Empowerment Act (53/2003): Codes of Good Practice on Broad-Based Black Economic Empowerment: · For public comments ............................................. :.. · 3 35167
Hoer Onderwys en Opleldlng, Departement van
Goewermentskennisgewings ·
210 Skills Development Act (97/1998): · . Extension notice on the appointment of the Construction Education and Training · Authority (CETA) Administrator............... 3 35169
R. 230 Skills Development Act (97/1998): Amendment: Establishment of Public Sector Education and Training Authority (PSETA) ..................................... : ............ : 2 35162
R. 231 do.: do.: do.............................................. 3 35162 273 Skills Development Act (97/1998):
Amendment: Replacement of Accounting Authority Member for the Banking Sector Education and Training Authority (BANKSETA)........................................... 8 35212
Algemene Kennisgewing
257 National Qualification Framework Act (67/2008): National Senior Certificate for Adults (NASCA): A qualification at Level 4 on the National Qualifications Frame-work (NQF): Call for comments ............ .. 3 35172
Landelike Ontwlkkellng en Grondhervormlng, Departement van
Algemene Kennisgewings
283 Land Survey Act (8/1997): Scale of fees to be charged in the office of the Chief Director of Surveys and Mapping........... 143 35212
284 Restitution of Land Rights Act (2211994): Amendment of Notice· 51 o of 2007 as contained in Government Gazette No. 29839 in respect of· Roka Motshana Tribe Land Claim ............................... :.~· .. .-·: 149 35212
Maatskapllke Ontwlkkellng, Departement van
Goewermentskennisgewing 256 Social Assistance Act (1312004):. Social_
Development: Increase In respect of social grants............................................ ·· 3 35189
Naslonale Tesourle
Goewermentskennisgewing
R. 255 Income Tax Act (58/1962): National Treasury: Regulations prescribing the circumstances under which section 23k(2) of the Income Tax Act, 1962, does not apply.................................................. 3
Omgewlngsake, Departement van
~lgemene_ Kennisgewings
233 National Environmental Management: -Waste Act (59/2008): Draft national norms arid standai'ds for the remediation of contaminated land and soil quality: For ' · public comments .... :: ........ : ..................... .- .. ·· 3
Limited and Sammeg Satellite (Proprietary) Limited, Samsat (Cape) Proprietary Umited and Samsam (KZN) (Proprietary) Limited................................ 9 35166
241 do.: Notification to prohibit the transaction Involving: Senmin International (Proprietary) . Limited and Cellulose Derivatives (Proprietary) Umited............. 11 35166
242 do.: Notification to conditionally approve the transaction Involving: Synergy Income Fund Ltd and letting enterprise known as Kwa-Mashu Shopping Centre held by Sipan I (Pty) Ltd......................... 13 35166
243 do.: do.: Johnson and Johnson and · Synthes Inc............................................. 15 35166
244 do.: do.: Synergy Income Fund Limited and Khuthala Alliance (Proprietary) Limited...................................................... 19 35166
245 do.: do.: Senwes Limited and Bunge Senwes Africa (Pty) Limited.................... 22 35166
246 do.: do.: Marsh (Proprietary) Umited and Marsh Holdings (Proprietary) Limited and the business of Alexander Forbes Risk Services (Proprietary) Limited, Alexander Forbes Compensation Technologies Administration (Proprietary) Umlted and Alexander Forbes !·Connect (Proprietary) Umlted................................ 26 35166
247 do.: Notincatlon to prohibit the transaction Involving: Paarl Media (Proprietary) Limited and Prlmedia (Proprieatary) Limited..................................................... 30 35166
248 do.: Notification to conditionally approve the transaction Involving: Bldserv Industrial Products (Proprietary) Umited Ua G Fox & Co ("G Fox1 and Alsafe (Proprietary) Limited................................ 34 35166
249 do.: Notification to prohibit the transaction Involving: Sunset Bay Trading 368 (Proprietary) Limited . · and Jobllng Investments (Proprietary) Limited........... 37 35166
250 do.: Notification to conditionally approve the Transaction Involving: The Industrial Development Corporation of South Africa Limited · and Eerste Flambeau
, Huur (Proprietary) Limited....................... 40 35166 251 Broad-Based Black Economic
Empowerment Act (5312003): Codes of Good Practice on Broad-Based Black Economic Empowerment: For public comments................................................ 3 35167
Tmnsport, Department of
Government Notice
R. 252 South African National Roads Agency Limited and National Roads Act (7/1998): Regulations, 2012.................... 3 35182
General Notices
285 International Air Service Act (60/1993): GranUamendment of International Air Service License ................................. :...... 152 35212
286 Air Service Licensing Act (115/1990): Application for the grant or amendment of Domestic Air Service Licence .............. 153 35212
No. Bladsy Koerant
234 National Environmental Management: Waste Act (5912008): Regulations for site assessments and reports: For public
Registration of Political Parties .......... ~..... 3 35165 256 Electronic Communications Act
(36/2005): Registration lor a class com-· . munlty satellite television broadcasting service licence by Mzansl Community Satellite Television................................... 3 35171
Openbare Werke, Departement van
Algemene Kennisgewlng
255 South African Geographical Names Council Act (118/1998): Public Notice: Renaming of State residences................ 3 35170
Suld-Afrlkaanse lnkomstedlens
Goewermentskennisgewings
211 lnkomstebelastingwet (5811962): Protokol ter wyslglng van die konvensle tussen die Regering van die Republiek van Suld-Afrika en die Regering van leriand vir die vermyding van dubbele belasting en die voorkomlng van Flskale ontduiklng met betrekklng tot belastlngs op Inkom~ steen kapitaalwinste, met protokol......... 3 35134
212 lnkomstebelastlngwet, 1962: Ooreenkoms tussen die Regerlng van die· Republlek van Suid-Afrika en die Regering van die Republiek van San Marino vir die uitruil van lnligting ten opslgte van belastingaangeleenthede .... 3 35135
R. 232 Customs and Excise Act (91/1964): Amendment of Rules (DAR/102) ............ 3 35178
257 lnkomstebelastingwet (58/1962): Protokol tot wysiging van die Ooreenkoms tussen die Regering van die Republiek van Suld-Afrika en die Regering van Maleisi~ vir die vermyding van dubbele belasting en die voorkoming van fiskale ontdulklng met betrekking tot belastings op lnkomste, onderteken te Pretoria op 26 Julie 2005........................................... 3 35190
Suld-Afrlkaanse Reserwebank
Algemene Kennlsgewing 275 Currency and Exchanges Act (9/1933):
Notice and Order of forfeiture: Fast One Import and Export Close Corporation....... 3 35186
Vervoer, Departement van
Goewermentskennlsgewlng R. 252 South African National Roads Agency
Limited. and National Roads Act (7/1998): Regulations, 2012.................... 3 35182
Algemene Kennisgewings
285 International Air Service Act (60/1993): GranUamendment of International Air Service License....................................... 152 35212
286 Air Service Licensing Act (115/1990): Application for the grant or amendment of Domestic Air Service Licence ............. 153 35212
South African Council for the ·Architectural Profession: Annual Fees for the Financial year 1 April2012-31 March 2013 ........................................................ 155 35212
· 53 Natural Scientific Professions ·Act (2712003): South African Council for Natural Scientific Professions: Recommended consultation fees ........ ;... 158 35212
No:·· Bladsy Koerant No. ·No.
RAADSKENNISGEWINGS
51 South --African Council for Natural Scientific Professions: Fee structure for ;· ,. •. ~-201212013 ............ : ................................ ~. 154 ·' 35212
52 Architectural Profession Act (4412000): South · · African Council for · · the · Architectural Profession: Annual Fees for the Financial year 1 April2012-31 March· 2013 .............. :......................................... 155 35212
53 Natural Scientific Professions Act · (27/2003): South African Council for · Natural ... Scientific Professions: Recommended consultation fees............ 158 35212
REGULATION NOTICES AND PROCLAMATIONS The closing time is 15:00 sharp on the following days:
29 March, Thursday, for the issue of Thursday 5 April 2012 4 April, Wednesday, for the issue of Friday 13 April 2012 19 April, Thursday, for the issue of Thursday 26 April 2012 25 April, Wednesday, for the issue of Friday 4 May 2012 _ 2 August, Thursday, for the issue of Friday 10 August 2012
for
20 September, Thursday, for the issue of Friday 28 September 2012 13 December, Thursday, for the issue of Friday 21 December 2012 18 December, Tuesday, for the issue of Friday 28 December 2012
_ 21 December, Friday, for the issue of Friday 4 January 2013
BELANGRIKE AANKONDIG/NG
Sluitingstye i¢•l•fiJO~tlf'~t.'L4/::t.J~fbf vir GOEWERMENTS-, ALGEMENE- & REGULASIE
KENNISGEWINGS ASOOK PROKLAMASIES Die sluitingstyd is stiptelik 15:00 op die volgende dae:
~ -29 Maart, Donderdag, vir die uitgawe van Donderdag 5 April 2012 ~ 4 April, Woensdag, vir die uitgawe van Vrydag 13 April 2012
_ ~ 19 April, Donderdag, vir die uitgawe van Donderdag 26 April 2012 ~ 25 April, Woensdag, vir die uitgawe van Vr)ldag 4 Mei 2012 ~- - 2 Augustus, Donderdag, vir die uitgawe van Vrydag 10 Augustus 2012 ~ . 20 September, Donderdag, vir die uitgawe van Vrydag 28 Desember 2012 ~- 13 Desember, Donderdag, vir die uitgawe van Vrydag 21 Desember 2012 ~ 18 Desember,- Dinsdag, vir die uitgawe van Vrydag 28 Desember 2012 ~ 21 Desember, Vrydag, vir die uitgawe van Vrydag 4 Januarie 2013
The employee is permitted to freely choose his own service provider e.g. doctor, phannacy, physiotherapist, hospital, etc. and no interference with this privilege is petJnitted, as long as it is exercised reasonably and without prejudice to the employee or to the Compensation Fund. The only exception to this rule is in case where an employer, with the approval of the Compensation Fund, provides comprehensive medical aid facilities to his employees, i.e. including hospital, nursing and other services section 78 of the Compensation for Occupational Injuries and Diseases Act refers.
In terms of ·section 42 of the Compensation for Occupational Injtiries- andDiseases Act the Compensation Fund may refer an injured employee to a specialist medical practitioner of his choice for a medical examination and report. Special fees are payable when this service is requested.
In the event of a change of medical practitioner attending to a case, the firs~ doctor in attendance will, except where the case is transferred to a specialist, be regarded _as the principal. To avoid disputes regarding the payment for services rendered, medical practitioners should refrain from treating an employee already under treatment by another doctor without consulting I inforwing the first doctor. As a general rule, changes of doctor are not favoured by the Compensation Fund,·unless sufficient reasons exist.
According to the National Health Act no 61 of 2003, Section 5, a health care provider may not refuse a person emergency medical treatment. Such a medical service provider should not request the Compensation Fund to authorise such treatment before the claim has been submitted to and accepted by the Compensation Fund. Pre-authorisation of treatment is not possible and no medical expense will be approved if liability for the claim has not been accepted by the Compensation Fund. · - ·· ·
An employee seeks medical advice at his own risk. If an er'npl.<?yee represented to a medical service provider that he is entitled to treatment in tewts of the Compensation for Occupational Injuries and Diseases Act, and yet failed to inform the Compensation Commissioner or his employer of any possible grounds for a claim, the Compensation Fund cannot accept responsibility for medical expenses incurred. The Compensation Commissioner could also have reasons not to accept a claim lodged against the Compensation Fund. In such circumstances the employee would be in the same position as any other member of the public regarding payment of his
·medical expenses.
Please note that from 1 January 2004 a certified copy of an employee's identity document will be required in order for a claim to be registered with the Compensation Fund.'If a-copy of the identity document is not submitted the claim will not be registered but will be retu:ffied to the employer for attachment of a certified copy of the employee's identity document: Furthermore, all supporting documentation submi~ed to the Compensation Fund m~sFreflect the identity number of_ the employee. If the identity number is not included such documents can not be processed but will be returned to the sender to add the ID munber.
The tariff amounts published in the tariff guides to medical services rendered in . terms of the Compensation for Occupational Injuries and Diseases Act do .not include VAT. All accounts for services rendered will be assessed without VAT. Only if it is indicated that the service provider is registered as a VAT .. vendor and . a VAT registration number is provided, will VAT be calculated and added to the payment, without being rounded off. ·
The only exception is the "per diem" tariffs for Private Hospitals that already include VAT.
Please note that ~here are VAT exempted codes in the pri~ate ambulance tariff structure.
DIE WERKNEMER EN DIE MEDIESE DIENSVERSKAFFER . .
Die werknemer het 'n vrye keuse van diensverskaffer bv. dokter, apteek, jlSioterapeut, hospitaal ens. en geen inmenging met hierdie voorreg word toege/aat nie, so/ank dit redelik en sonder benadeling van die werknemer self of die Vergoedingsfonds uitgeoefen word. Die enigste uitsondering op hierdie reel is in geval waar die werkgewer met die goedkeuring van die Vergoedingskommissaris omvattende geneeskundige dienste aan sy werknemers voorsien, d.i. insluitende hospitaal-, verp/egings- en ander dienste - artikel 78 van die Wet op Vergoeding vir Beroepsbeserings en Siektes venvys. ·
Kragtens die bepalings van artikel 42; van die Wet op Vergoeding vir Beroepsbeserings en Siektes mag die Vergoedingskommissaris 'n beseerde werknemer na 'n ander geneesheer deur homself aangewys verwys vir 'n mediese ondersoek en vers/ag. Spesia/e fooie is betaa/baar vir hierdie diens .. wat feitlik uitsluitlik deur spesia/iste gelewer word. ·
In die geval van 'n verandering in geneesheer wat 'n werknemer behandel, sal die eerste geneesheer wat behande/ing toegedien het, behalwe waar die werknemer na 'n spesia/is verwys is, as die /asgewer beskou word Ten einde geskille rakende die betaling vir dienste gelewer te voorkom, moet geneeshere hul daarvan weerlwu om 'n werknemer wat reeds onder behandeling is te behandel sonder om die eerste geneesheer in te 'lig. Oor die algemeen word verandering van geneesheer, tensy voldoende redes daarvoor bestaan, nie aangemoedig nie.
Volgens die Nasiona/e Gesondheidswet no 61 van 2003 Afde/ing 5, mag 'n gesondheidswerker of diensverskaffer nie weier om noodbehandeling te verskaf nie. Die Vergoedingskommissaris kan egter nie sulke behandeling goedkeur alvorens aanspreeklikheid vir die eis kragtens die Wet op Vergoeding vir Beroepsbeserings en Siektes aanvaar is nie. Vooraf goedkeuring vir behandeling is nie moontlik nie en geen mediese onkoste sal betaal word as die eis nie deur die Vergoedingsfonds aanvaar word nie.
Dit moet in gedagte gehou word dat 'n werknemer geneeskundige behande/ing op sy eie risiko aanvra. As 'n werknemer dus aan 'n geneesheer voorgee dat hy geregtig is op behandeling in terme van die Wet op .. l(ergoeding vir Beroepsbeserings en Siektes en tog versuim om die Vergoedings~ommissaris of sy werkgewer in te lig oor enige moontlike gronde vir 'n ~is, .kcm die Vergoedingsfonds geen aanspreek/ikheid aanvaar vir genee.skurz.dige : . onkoste wat · aangegaan is nie. Die
Vergoedingskommissaris kan ook rede. he om 'n eis teen die Vergoedingsfonds nie te aanvaar nie. Onder sulke omstandighede sou die werknerner in dieselfde posisie verkeer as enige lid van die publiek wat betaling van sy geneeskundige onkoste betref
Neem asseblief kennis dat 'n geserliftseerde afskrif van · die werknemer se identiteitsdokunient benodig word vanaf 1 Januarie 2004 om . 'n eis' by die Vergoedingsfonds aan te meld Indien 'n afskrif van die identiteitsdokument nie · aangeheg is nie, .. sal die eis nie geregistreer · word nie · en die . dokumente sal teruggestuur word aan die werkgewer vir die aanheg van die ID dokument. Aile ander
· dokumentasie wat aan die kantoor gestuur word moet ook die identiteitsnomrner aandui. Jndien nie aangedui nie, sal die dokumentasie nie'".verwerk word nie, maar teruggestuur word vir die aanbring van die identiteitsnommer.
Die bedrae gepubliseer in die handleiding tot tariewe vir dienste gelewer in terme van die Wet op Vergoeding vir Beroepsbeserings en Siek(es, sluit BTW uit. Die rekenings vir dienste gel ewer word aangeslaan en bereken sonder BTW.
Jndien BTW van toe passing is en 'n BTW registrasienommer voorsien is, word· BTW bereken en by die betalingsbedrag gevoeg sonder om afgerond te word . .
Die enigste uitsondering is die "per diem" tarief vir Privaat Hospital e. wat BTW insluit. · · · ·
Neem asseblief kennis dat daar tariewe in die k~destruktuur ·vir privaat ambulanse is waarop BTW nie betaalbaar is nie.
STAATSKOERANT, 5 APRIL 2012 .No.35212 23
CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS FOLLOWS•
ElSE TEEN DIE VERGOEDINGSFONDS WORD AS VOLG GEHANTEER
1. New claims are registered by the· Compensation Fund and the. employer is notified of the claim number allocated to the claim. The allocation of a claim number by the Compensation Fund, does not constitute acceptance of liability for a claim, but means that the injury on duty has ·been reported to and registered by the Compensation Commissioner. Enquiries regarding chum numbers should be directed to the employer and not to the Compensation ·· Fund. The employer will be in the position to provide the claim number for the
. employee as well as indicate . whether. the claim has been accepted by the Compensation F:und • Nuwe eise word geregistreer deur die · Vergoedingsfonds en die· werkgewer word in · kennis gestel van die eisnommer. Navrae aangaande eisnommers moet aan die werkgewer gerig word en nie aan die Vergoedingskommissaris nie. Die werkgewer kan die eisnommer verskaf en ook aandui of die Vergoedingsfonds die eis aanvaar lief 'of nie
· 2. · If a claim is accepted as a CO IDA claim, reasonable medical expenses will be paid by the Compensation . Commissioner • As 'n eis deur ·die Vergoedingsfonds aanvaar is, sal redelike niediese koste betaal word deur die Vergoedingsfonds. . . . . . · .
. 3. If a 'claim is rejected (~epudiated), acco~ts for se~ces rendered will n~t be paid by the Compensation Commissioner. : The employer and the employee will be informed of this decision and the injured employee will be liable for
. payment. • As 'n eis deur die Vergoedingsfonds afgekeur (gerepudieer) word, word rekenings vir dienste gelewer nie,deur die Vergoedingsfonds betaal nie. Die betrokke partye insluitend die diensverskaffers word in kennis gestel van die besluit. Die beseerde werknemer is.dan aan~preeklik vir betaling van die rekenings ...
4. If no decision can be made regarding acceptance of a claim due to inadequate infounation, the outstanding information will be requested and upon receipt, the claim will again . be adjudicated on. Depending on the outcome, the accounts from the service provider will be dealt with as set out in 2 and 3. Please note that there are claims on which a decision might never be taken due to lack of forthcoming information ., Indien geen besluit oor die aanvaarding van 'n eis weens 'n gebrek aan inligting geneem kan word nie, sal die uitstaande inligting aangevra word. Met ontvangs van sulke inligting sal die eis heroorweeg word. A.fhangende van die uitslag, sal die rekening gehanteer word soos uiteengeset in punte 1 en2. Ongelukkig bestaan daar eise waaroor 'n besluit nooit geneem kan word nie aangesien die uitstaande inligting nooit
-verskafword nie:
24 No. 35212 GOVERNMENT GAZ~ 1 1 E, 5 APRIL 2012
BILLING PROCEDURE • EISPROSEDURE
I. The first account for services rendered for an injured employee (INCLUDING the First Medical Report) must be submitted to the employer who will collate all the necessary documents and submit them to the Compensation Co mmissioner • Die eerste rekening (JNSLUII'END die Eerste Mediese Yerslag) vir dienste gelewer aan 'n beseerde werknemer moet aan die werkgewer gestuur word, wat die nodige dokumentasie sal versamel en dit aan die Vergoedingskommissaris sal voor/e
2. Subsequent accounts must be submitted or posted to the closest Labour Centre. It is important that all requirements for the submission of accounts,. including. ·supporting information, are met • Daaropvolgende rekeninge moet ingedien of gepos word aan die naaste Arbeidsentrum. Dit is belangrik datal die voorskrifte vir die indien van rekeninge nagekom word, insluitend die voorsiening van stawende dokumentasie
3 .. If accoWlts are still outstanding after 60 days following submission , the service provider should complete an enquiry form, W.Cl 20, and submit it ONCE to the Labour Centre. All relevant details regarding Labour Centres are available on the website www.labour.gov.za ~ lndien rekenings nog uitstaande is na 60 dae vanaf indiening en ontvm1gserkenning deur die Vergoedingskommissaris, moet die diensverskaffer 'n navraag vorm, W.C l 20 voltooi en EENMALIG indien by die Arbeidsentrum. Aile inligting oor Arbeidsentrums is beskikbaar op die webbla d www.labour.gov.za
4. If an account has been partially paid with no reason indicated on the remittance advice, a duplicate account with the unpaid services clearly marked can be submitted ·to the Labour Centre, accompanied by a WCI 20 fonn. (*see website for example of the form). • Jndien 'n rekenirig gedeeltelik betaal is met geen rede voorsien op die betaaladvies nie, kan 'n dup/ikaatrekening met die wanbeta/ing duidelik aangedui, vergesel van 'n WCI 20 vorm by die Arbeidsentrum ingedien word (*sien webbladvir 'n voorbee/d van die vorm)
5. Infor!uation NOT to be reflected on the account: Details of the employee'~ medical aid and the practice number of the referring practitioner • Inligting wat NIE aangedui moet word op die rekening nie: Besonderhede van die werknemer se mediese fonds en die verwysende geneesheer se praktyknommer
6. Ser\tice providers should not generate • Diensverskaffers moenie die volgende fewer nie:
a; Multiple accounts for services rendered· on the same date i.e. one account for medication and a second account for other services • Meer' as een rekening vir dienste ge/ewer op dieselfde datum, bv. medikasie op een rekening en ander dienste op 'n tweede rekening
b. Accumulative accounts - submit a separate account for every month • Aaneenlopende rekeninge -/ewer 'n aparte rekening vir e/ke maand
c. Accounts on the old documents (W.CI4 I W.Cl 51 W.CISF) New *First Medical Report (W.CI4) and Progress l Final Medical Report (W.CI 5 I W.Cl SF) forms
STAATSKOE:RANT, 5 APRIL 2012 No. 35212 25
are available. The use of the old reporting forms combined with an- account (W.CLll) has been discontinued. Accounts on the old medical reports will not be processed • Rekeninge op die ou voorgeskrewe dokumente van die Vergoedingskommissaris. Nuwe *Eerste Mediese Verslag (W.C/4) en Vorderings I Finale Mediese Verslag (W.Cl 5) vorms is beskikbaar. Die vorige verslagvorms gekombineer met die rekening (W.CLJJ) is vervang. Rekeninge op die ou vorms word nie verwerk nie.
• Examples of the new forms (W.C 14 I W.CI 5 I W.CI SF) are available on the website www.labour.gov.za •
• Voorbeelde van die nuwe vorms (W.CI4 I W.CI 5 I W.CISF) is beskikbaar op die webb/ad www.labour.gov.za
/ /
26 No. 35212 GOVERNMENT GAZETTE, 5 APRIL 2012
MINIMUM REQUIREMENTS FOR ACCOUNTS RENDERED • MINIMUM VEREISTES VIR REKENINGE GELEWER
. . . :
. Minimum information to be indicated on accounts submitted to the Compensation Fund • Minimum beso11derhede wat aangedui moe/ word op
rekeninge gelewer aan die Vergoedingsfonds
)> Name of employee and ID number • Naam van werknemer en ID nommer . .
J> Name of employer and registration number if available • Naam van werkgewer en registrasienommer indien beskikbaar
)> Compensation Fund claim number • Vergoedingsfonds eisnommer J> DATE OF ACCIDENT (not only the service date) • DATUM VAN
BESERING ( nie slegs die diensdatum nie) )> Service provider's reference and invoice number • Diensverskaffer se
venvysing of faktuur nommer )> The practice number (changes of address should be reported to BHF) •
Die praktyknommer (adresveranderings moe/ by BHF aangemeld word) .
)> VAT registration nwnber (VAT will not be paid if a VAT registration number is not supplied on the account) •. BTW registrasienommer (BTW sal nie betaal word as die BTW registrasienommer nie voorsien wordnie)
)> Date of service (the actual service date must be indicated: the invoice date is not acceptable) • Diensdatum (die werklike diensdatum moe/ aangedui word: die datum van lewering van die rekening is nie aanvaarbaar nie)
· )> Item codes according to the officially published tariff guides • Item kodes soos aangedui in die amptelik gepubliseerde handleidings tot tariewe
)> Amount claimed per item code and total of account • Bedrag gee is per itemkode en totaal van rekening.
)> It is important that all requirements for the· submission of accounts are met, including supporting information, e.g • Dit is belangrik dat aile voorskrifte vir die indien van rekeninge insluitend dokumentasie nagekom word bv.
o All pharntacy or medication accounts must be accompanied by the original scripts • Aile apteekrekenings vir medikasie moe/ vergesel word van die oorspronklike voorskrifte
o The referral . notes from the treating ·practitioner must accompany all other medical service providers' accounts .• Die venvysingsbriewe van die behandelende geneesheer moe/ rekeninge van ander mediese diensverskaffers vergesel
STAATSKOERANT, 5 APRIL 2012 No.35212 27
COMPENSATION FUND .. ;._,,
_,I·
-·
SCALE OF FEES FOR PRIVATE HOSPITALS (57/58) (PERDIEM~ARIFF) WITH EFFECT FROM 1 APRIL 2012 ·. .
SCALE OF FEES FOR PSYCHIATRIC AND REHABILITATION HOSPITALS (55) (PERDIEMTARIFF) .
WITH E14'14'ECT FROM 1 APRIL 2012
ACCOMMODATION
The day admission fee shall be charged in respect of all patients admitted as day patients and discharged before 23:00 ori the same date.
Ward fees shall be charged at the full day rate if ~nmission takes place before 12:00 and at the half daily rate if admission takes place after 12:00. ·At discharge, ward fees shall be charged at half the daily rate if the discharge takes place before 12:00 and the full daily rate if the discharge takes place after 12:00. ·
Ward fees are inclusive of all phnrmaceuticals and equipment that are provided in the accommodation, theatre, emergency room and procedure rooms.
Note: Fees Include VAT
DESCRIPTION
1.1 General Wards
HOOl
H002
H004
H007
H008
1.2 H010
H020
Surgical cases: per day . ' '
Thoracic' and neurosurgical cases (including laminectomies and spinal fusion): per day
Medical and neurological cases: per day
Day admission which includes· all patients discharged by 23:00 on date of admission
General Ward for Psychiatric Hospitals Onclusive fee: Ward fee, Pharmaceuticals, Occupational Therapy)
'. i '.
Private Wards General Rehabilitation ward: per day
Private ward accommodation will be payable at the same rate as for a General Ward: per day
PRACTICE CODE
(57/58)
2195.10
'2195.10
2195.10
939.48
PRACTICE CODE
(55) 1710.08
2195.10
2195.10
28 No.35212 GOVERNMENT GAZETIE, 5 APRIL 2012
H071
2.3
DESCRIPTION
The ·exact time of admission to and discharge from the minor theatre shall be stated, upon which the minor theatre charge shall be calculated as follows:
Charge per minute
Major Theatre
The exact time of admission to and discharge from the theatre shall be stated, upon which the theatre charge shall be calculated as follows:
H081 · · Charge per minute · ·
5.9 Prosthesis
Prosthesis Pricing:
Note: A ceiling price ofR1035.76 per prosthesis is included in the theatre tariff. The combined value of all the components including cement in excess of Rl035.76 should be charged separately.
A prosthesis is a fabricated or artificial substitute for a diseased or missing part of the body, surgically implanted, and shall be deemed to include all components such as pins, rods, screws, plates or similar items, forming an integral part of the device so implanted, and shall be charged as a single unit.
Reimbursement will be at the lowest available manufacturer's price (inclusive of VAT).
H286 Internal Fixators (surgically implanted)
Reimbursement will be at the lowest available manufacturer's price inclusive of VAT.
Hospitals I unattached operating theatre units shall show the name and reference number of each item. The suppliersoo invoices, each containing the manufacturer's name, should be attached to the account and the components specified on the account should appear on the invoice. ·
External Fixators ·.' ''
PRACTICE CODE
57158
63.48
187.86
Reimbursement will be at 33%. 'of the lowest available . manufacturer's price inclusive ofV AT.
5.10
H287.
STAATSKOERANT, 5 APRIL 2012
DESCRIPTION
Hospitals I unattached operating theatre units shall show the name and reference number of each item. The suppliersoo invoices, each containing the manufacturer's name, should be attached to the account and the components specified on the account should appear on the invoice.
Medical artificial items (non-prosthesis)
Examples of items included hereunder shall be artificial limbs, wheelchairs, crutches and excretion bags. Copies of invoices shall be supplied to the Commissioner .. Reimbursement will be at the lowest available manufacturer's price inclusive of VAT.
Further Non-Prosthetic Medical Artificial items: Sheepskins Abdominal Binders
·Orthopaedic Braces (ankle, ~I_l~e,_wrist, arm) Anti-Embolism Stockings·· Futuro Supports Corsets Crutches Clavicle Braces Toilet Seat Raisers Walking Aids Walking Sticks Back Supports Elbow I Hand Cradles
5.11 Serious Burns
Billed at normal fee for- service. The following items are applicable and must be accompanied by a written motivation from the treating doctor.
H289 Serious Burns: Fee for service (Inclusive of all services e.g. accommodation, theatre, etc.) except medication whilst hospitalised.
H290 Serious Bums: Item for medication used during hospitalisation excluding the T i"Oos. Note: no~ should be charged according to item H288
5.12 TTO
H288 ITO scripts . will be reimbursed by the Commissioner for a period of two (2) weeks. A script that covers a period of more than two (2) weeks must have adoctoros motivation attached .
.. ,_-,-;
No.35212 29
PRACTICE CODE 57/58
.30 No. 35212 GOVERNMENT GAZETTE, 5 APRIL 2012
DESCRIPTION
1.3 Special Care Units
H201
H215
Hospitals shall obtain a doctoros report stating the reason for accommodation in an intensive care unit or a high··care ward from the attending medical practitioner, and such report including the date and time of admission and discharge from the unit shall be forwarded to the Commissioner together with the account. Pre-drafted and standard certificates of authorisation will not be acceptable.
Intensive Care Unit: per day
High Care Ward: per day
2. Theatres and Emergency Unit
2.1 Theatre and Emergency fees are inclusive of all consumables and equipment. The after hours fee are included in the
H301
H302
H303
H105
normal theatre fee. · · ·
Emergency fee
Rule: Emergency fee· excluding follow-up visits.
For all emergencies including those requiring basic nursing input, e.g. BP measurement, urine testing, application of simple bandages, administration of injections. ·
For all emergencies which require the use of a procedure room, e.g. for application of plaster, stitching of wounds.
Follow-up visits:
The Compensation Fund. will imburse hospitals for all materials used during follow-up visits. No consultation or facility fee is chargeable. The account is to be billed as for fee for service.
Resuscitation fee charged only if patient has been. resuscitated and intubated in a trawna unit which has been approved by the Board of Healthcare Funders. · · ·
2.2 Minor Theatre Fee
A facility where simple procedures which require limited instrumentation and drapery' minimum nursing input and local anaesthetic procedures are carried out. No sophisticated monitoring is required but resuscitation equipment must be available.
• "':11-o- .. 11
PRACTICE CODE
57/58
. ' .
14714.14
7593.18
526.92 .
1069.02
4183.24
No.277
STAATSKOERANT, 5 APRIL 2012 No. 35212 31
5 April 2012
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT,
1993
(ACT NO. 130 OF· 1993), AS AMENDED
ANNUAL INCREASE-IN MEDICAL TARIFFS FOR MEDICAL SERVICE
PROVIDERS, PHARMACIES AND HOSPITAL GROUPS
1. I, Nelisiwe Mildred Oliphant, Minister of Labour, hereby give notice that, after·
consultation with the Compensation Board and acting under the powers vested in
me by section 97 of the Compensation for Occupational Injuries and Diseases
. · Act, 1993 (Act No. I )o of 1993), I prescribe the scale of"Fees for Medical Aid" - - . .
payable under section 76, inclusive of the General Rules applicable thereto,
· appearing in the Schedule to this notice, with effect from the 1 April2012.
2. The fees appearing in the Schedule are applicable in respect of services rendered
The employee is permitted to freely choose his own service provider e.g. doctor, pharmacy, physiotherapist, hospital, etc. and no interference with this privilege is permitted, as long as it is exercised reasonably and without prejudice to the employee or to the Compensation Fund. The only exception to this IUle is in case where an employer, with the approval of the Compensation Fw1el, provides comprehensive medical aid facilities to his employees, i.e. including hospital, nursing and other services section 78 of the Compensation for Occupational Injuries and Diseases Act refers.
In terms of section 42 of the Compensation for Occupational· Injuries and Diseases: Act the Compensation Fund may refer an injured employee to a specialist medical practitioner of his choice for a medical examination and report. Special fees. are payable when this service is requested.
· In the event of a change of medical practitioner attending to a case, the Jrrst . doctor in attendance will, except where the case is transferred to a: specialist; be , regarded as the principal. To avoid disputes regarding the payment.for services· rendered, medical practitioners should refrain from treating. ari employee already under treatment by another doctor without consulting /informing the first doctor. As a general rule, changes of doctor are riof favoured . by the Compensation Fun~ unless sufficient reasons exist.
. According to the National Health Act no 61 of 2003, Section5; a ·health care provider· may not refuse a person emergency medical treauiient .. _Such·a rried.ical' service provider should not request the· Compensation Fund ·to authorise such treatment before the claim has been submitted to and accepted by the Compensation Fund. Pre-authorisation of treatment is not possible and-no medical expense will be approved if liability for the claim has not been accepted by the Compensation Fund. · ··
An employee seeks medical advice at his own risk. If an employee represent~d to . a medical service provider that he ·is entitled to treatment ·. in tenns . of the Compensation for Occupational Injuries and Diseases Act, and yet failed to irifonn the Compensation Commissioner or his employer of any possible grounds for a claim, the Compensation Fund cannot accept responsibility for medic~l expenses incvrred. The Compensation Commissioner could also have reasons not to accept a .claim lodged against the Compensation Fund. In such circumstances the employee would be in the same position as any other member of the public regarding payment of· his medical expenses.
Please note that from 1 January 2004 a certified copy of an employee's identity document will be required in order for a claim to be registeredwith the .. Compensation Fund. If a copy of the identity document is not submitted the claim· will not be registered but will be returned to the employer for attachment of a certified· copy of the employee's identity document. Furthermore, all supporting documentation submitted to the Compensation Fund must reflect t~e identity . number of the · employee. If the identity number is not included such documents can nqt be processed but will be returned to the sender to add the ID nwnber. --- · .. ·
The tariff amounts published in the tariff guides to medical services rendered in terms of the Compensation for Occupational Injuries and Diseases Act do not include VAT. All accounts for services rendered will be assessed without VAT. Only if it is indicated that the service provider is registered as a VAT vendor and a VAT registration number is provided, will VAT be calculated and added to the payment, without being rounded off. . ·
The only exception is the "per diem" tariffs for Private· Hospitals that already include VAT. ·
Please note that there are VAT exempted codes in the private ~bulance tariff structure.
DIE WERKNEMEREN DIE MEDIESE DIENSVERSKAFFER
Die werknemer het 'n vrye keuse van diensverskaffer bv. dokter,' apteek, fzsioterapeut, hospitaal ens. en geen inmenging met hierdie voorreg word toegelaat nie, solank dit redelik en sonder benadeling van die werknemer self of die Vergoedingsfonds uitgeoefen word. Die enigste uitsondering op hierdie reel is in geval waar die werkgewer met die goedkeuring van die Vergoedingskommissaris omvattende geneeskundige dienste aan sy werknemers voorsien, d.i.:· insluitende hospitaal-, verplegings- en ander dienste- artikel 78 van die Wet op Vergoeding vir Beroepsbeserings en Siektes verwys. . · · , ,
Kragtens die bepalings van artikel 42 van die Wet op Vergoeding vir Beroepsbeserings en Siektes mag die Vergoedingskommissaris 'n beseerde werknemer na 'n ander geneesheer deur homself aangewys venvys vir 'n mediese ondersoek en verslag. Spesiale fooie is betaalbaar vir hierdie diens wat feitlik uitsluitlik deur spesialiste gelewer word
In die geval van 'n verandering in geneesheer wat 'n werknemer behandel, sal die eerste geneesheer wat behandeling toegedien het, behalwe waar die werknemer na 'n spesialis venvys is, as die ·lasgewer beskou word. Ten einde geskille rakende die betaling vir dienste gelewer te voorkom, moet geneeshere hul daarvan weerhou om 'n werknemer wat reeds onder behandeling is te behandel sonder om die eerste geneesheer in te lig. Oor die algemeen word verandering van geneesheer, tensy voldoende redes daarvoor bestaan, nie aangemoedig nie.
Volgens die Nasionale Gesondheidswet no 61 van 2003 Afdeling 5, mag 'n gesondheidswerker of diensverskaffer nie weier om noodbehandeling te verskaf nie. Die Vergoedingskommissaris kan egter nie sulke behandeling goedkeur alvorens aanspreeklikheid vir die eis kragtens die Wet op Vergoeding vir Beroepsbeserings en Siektes aanvaar is nie. Vooraf goedkeuring vir behandeling is nie moontlik nie en geen mediese onkoste sal betaal word as die eis nie deur die Vergoedingsfonds aanvaar word nie.
Dit moet in gedagte gehou word dat 'n werknemer geneeskundige behandeling op sy eie risiko aanvra. As 'n werknemer dus aan 'n geneesheer voorgee dat hy geregtig is op behandeling in terme van die Wet op Vergoeding vir Beroepsbeserings en Siektes en tog versuim om die Vergoedingskommissaris of sy werkgewer in te fig oor enige moontlike gronde vir 'n eis, kan die Vergoedingsfonds geen aanspreeklikheid aanvaar vir geneeskundige onkoste wat aangegaan is nie. Die
. Vergoedingskommissaris kan ook rede he om 'n eis teen die Vergoedingsfonds nie te aanvaar nie: Onder sulke omstandighede sou die werknemer in dieselfde. posisie verkeer as enige lid van die publiek wat betaling van sy geneeskundige onkoste betrej
Neem asseblief kennis dat 'n gesertiftSeerde afskrif van die werknemer se identiteitsdokument betiodig word vanaf 1 Januarie, 2004 om 'n eis by die Vergoedingsfonds aan te meld. Indien 'n afskrif van die identiteitsdokument nie aangeheg is nie, sal die eis nie geregistreer word nie en die dokumente sal teruggestuur word aan die werkgewer vir die aanheg van die ID dokument. Aile ander dokumentasie wat aan die kantoor gestuur word moet ook die identiteitsnommer aandui. Indien nie aangedui nie, sal die dokumentasie nie verwerk word nie, maar teruggestuur word vir die aanbring van die identiteitsnommer.
Die bedrae gepub/iseer in die handleiding tot tariewe vir dienste gelewer in terme van die Wet op Vergoeding vir Beroepsbeserings en Siektes, sluit BTW uit. Die rekenings vir dienste gelewer word aangeslaan en bereken sander BTW.
Indien BTW.van toepassing is en 'n BTW registrasienommer voorsien is, word BTW bereken en by die betalingsbedrag gevoeg sander om afgerondte word. .
Die enigste uitsondering is die ''per diem" tarief vir Privaat Hospitale, wat BTW insluit. · .
Neem asseblief kennis dat daar tariewe in die kodestruktuur vir privaat ambulanse is waarop BTW nie betaalbaar is nie.
STAATSKOERANT, 5 APRIL 2012 No. 35212 35
CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS FOLLOWS •
ElSE TEEN DIE VERGOEDINGSFONDS WORD AS VOLG GEHANTEER
1. New claims are registered by the Compensation Fund and the employer is notified of the ch'lhn number allocated to the claim. The allocation of a claim number by the Compensation Fund, does not constitute acceptance of liability for a claim, but means that the injury on duty has been reported to and registered by the Compensation Commissioner. Enquiries regarding claim numbers ·should be directed to the employer and not to the Compensation Fund. The employer will be in the position to provide the claim nuinber for the employee as well as indicate whether the claim has been accepted by the Compensation F,u.nd • Nuwe eise word geregistreer deur die Vergoedingsfonds en die werkgewer word in kennis gestel win die eisnommer. Navrae aangaande eisnoinmers moet aan die werkgewer gerig word en nie aan die Vergoedingskommissaris nie. Die werkgewer lean die eisnommer verskaf en ook aandui of die Vergoedingsfonds die eis aanvaar het of nie
''. ·,.. . .
2. If a claim is accepted as a CO IDA claim, reasonable medical expenses will be paid by the Compensation Commissioner • As 'n eis deur die Vergoedingsfonds aanvaar is, sal redelike mediese koste betaalword deur die Vergoedingsfonds~ ·. · · ·
3. If a claim is rejected (repudiated), accounts for services rendered will not be paid by the Compensation Commissioner~ The employer and the employee will be informed of this· decision and the injured employee will be liable for ·payment. • As 'n eis deur die Vergoedingsfonds afgekeur (gerepudieer) word, word rekenings vir dienste gelewer nie deur die Vergoedingsfonds betaal nie. Die betrokke partye' insluitend die diensverskaffers word in kennis gestel van die besluit. Die beseerde werknemer is dan aanspreeklik vir betaling van die rekenings.. · ·
4. If no decision can be made regarding acceptance of a claim due to inadequate infonnation, the outstanding information will be requested and upon receipt, the claim will again be adjudicated on. Depending on the outcome, the accounts from the service· provider will be dealt with as set out in 2 and 3. Please note that there are claims on which a decision might never be taken due to lack of forthcoming infouuation • Indien geen besluit oor die aanvaarding van 'n eis weens 'n gebrek aan inligting geneem lean word nie, sal die uitstaande inligting" aangevra word. Met ontvangs van sulke inligting sal die eis heroorweeg word. Ajhangende van die uitslag, sal die rekening gehanteer
. word soos uiteengeset in punte 1 en 2. Ongelukkig bestaan daar eise waaroor 'n bes/uit nooit geneem kan word nie aangesien die uitstaande in/igting nooit verskaf word nie. · · · ·
36 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
BILLING PROCEDURE • EISPROSEDURE
· I. The first accmint for services rendered for ari injured employee (INCLUDING the First Medical Report) must be submitted to the employer who will collate all the necessary documents and submit them to the Compensation Co mmissioner • Die eerste rekening (JNSLUITEND die Eerste Mediese Verslag) vir dienste gelewer aan 'n beseerde werknemer moet aan die werkgewer gestuur word, wat die nodige dokumentasie sal versamel en dit aan die Vergoedingskommissaris sal voorle
2. Subsequent accounts must be submitted or posted to the closest Labour Centre. It is important that all requirements for the submission of accounts, including supporting
I
information, are met • Daaropvolgende rekeninge moet ingedien of gepos word aan die naaste Arbeidsentrum. Dit is belangrik datal die voorskrifte vir die indien van rekeninge nagekom word, insluitend die voorsiening van stawende dokumentasie .
'.
3. If accounts are still outstanding after 60 days following submission , the service provider should complete an enquiry form, W .CI 20, and submit it ONCE to the Labour Centre. All relevant details regarding Labour Centres are available· on the website www.labour.gov.za •Jndien rekenings nog.uitstaande is na 60 dae vanaf indiening en ontvangserkenning deur die Vergoedingskommissaris, . moet. die diensverskaffer 'n navraag vorm, W.C I 20 voltooi en EENMALJG. indien by die Arbeidsentrum. Aile .inligting oor Arbeidsentrums is beskikbaar op die webblad \VWw.labour.gov.za. . . .
4. If an account has been partially paid with no reason indicated on the remittance advice, a duplicate account with the unpaid services clearly marked can be submitted to the Labour Centre, accompanied by a WCI 20 form. (*see website for example of the fonn). • Indien 'n rekening gedeeltelik betatil is met geen rede voorsien op die betaaladvies nie, kan 'n duplikaatrekening met die wanbetaling duidelik aangedui, vergesel van 'n WCI 20 vorm by die Arbeidsentrum ingedien word (*sien webb/ad vir 'n voorbeeld van die vorm)
5. Information NOT to be reflected on the account: Details of the employee's medical aid and the practice number of the referring practitioner • Inligting wat NIE aangedui moet word op die rekening nie: Besonderhede van die werknemer se mediese fonds en die
6. Service providers should not generate • Diensverskaffers moenie die volgende fewer nie:
a. Multiple accounts for services rendered on the same date i.e. one account for medication and a second account for other services • Meer as een rekening vir dienste gelewer op dieselfde datum, bv. medikasie op een rekening en ander dienste op 'n tweede rekening ·
b. Accumulative accounts - submit a separate account for ·every month • Aaneen/opende rek eninge -/ewer 'n aparte rekening vir elke maand
c. Accounts on the old documents (W.C 14 I W.CI 51 W.C I SF) New *First Medical Report (W.CI 4) an~ Progress I Final Medical Report (W.CI 5 I W.CI SF) forms
STAATSKOERANT, 5 APRIL 2012 No.35212 37
are available. The use of the old reporting forms combined with an account (W.CLll) has been discontinued. Accounts on the old medical reports will not be processed • Rekeninge op die ou voorgeskrewe dokumente van die Vergoedingskommissaris. Nuwe *Eerste Mediese Verslag (W.C/4) en Vorderings I Finale Mediese Verslag (W.CI 5) vorms is beskikbaar. Die vorige verslagvorms . gekombineer met die rekening (W. CLII) is vervang. Rekeninge op die ou. vorms word nie verwerk nle.
*Examples of the new forms (W.CI41 W.CI S I W.CI SF) are available on the website www .I abour.gov .za • ·
* Voorbeelde van die nuwe vorms (W.CI4/ W.CI S I W.CI SF) isbeskikbaar op die webb/ad www.labour.gov.za
38 No.35212 GOVERNMENT GAZt: 1 1 E, 5 APRIL 2012
~-MINIMUM REQUIREMENTS FOR ACCOUNTS RENDERED • . MINIMUM VEREISTES VIR REKENINGE GELEWER ..
Minimum information to be indicated on accoWlts submitted to the Compensation Fund • Minimum besonderhede wat aa1igedui moe/ word op
rekeninge gelewer aan die Vergoedingsfonds
~ Name of employee and ID number • Naam van werknemer en ID nommer
~ Name of employer and registration number if available ~ Naam van . werkgewer en registrasienommer indien beskikbaar
~ ·Compensation Fund claim number •. Vergoedingsfonds eisnommer ~ DATE OF ACCIDENT (not only the service date) • DATUM VAN
BESERING { nie slegs die diensdatum nie) ~ Service provider's reference and invoice number • Diensverskaffer se
verwysing of faktuur nommer ~ The practice number (changes of address should be reported to BHF) •
Die praktyknommer {adresveranderings moet by BHF aangemeld word) ·
~ VAT registration number (VAT will not be paid if a VAT registration ·number is not supplied on the accoWlt) • BTW registrasienommer {BTW sal nie betaal word as die BTW registrasienommer nie voorsien wordnie)
~ Date of service (the actual service date must be indicated: the invoice date is not acceptable) • Diensdatum {die werklike diensdatum moe/ aangedui word: die datum van lewering van die rekening is nie aanvaarbaar nie) ·
~ Item codes according to the officially published tariff guides • Item kodes soos aangedui in die amptelik gepubliseerde handleidings tot tariewe
~ Amount claimed per item code and total of account • Bedrag gee is per itemkode en totaal van rekening.
~ It is important that all requirements for the submission of accounts are met, including supporting information, e.g • Dit is belangrik dat aile voorskrifte vir die indien van rekeninge lnsluitend dokumentasie nagekom word bv.
o All pharmacy or medication accounts must be accompanied by the original scripts • Aile apteekrekenings vir medikasie moe/ vergesel word van die oorspronklike voorskrifte
o The . referral notes from the treating practitioner must accompany all other medical service providers' accounts. • Die verwysingsbriewe van die behandelende geneesheer moe/
· iekeninge van ander mediese diensverskaffers vergesel
STAATSKOERANT, 5 APRIL 2012 No.35212 39
TARIFF OF 11'KES IN RESPECT OF CHIROPRACTI(: SERVICES FROM 1 APRIL 2012 TARIEWE TEN OPSIGTK VAN CHIROPRAKTISYN DIENSTE V ANAF 1 APRIL 2012
GENERAL RULES GOVERNING THE TARIFF . .
ALGEMENE REeLS VAN TOEP ASSING OP DIE TARIEF
001 "After hours treatment" shall mean those perfonned· by amingenient at night between
18:00 and 07:00 on the following day or during weekends between 13:00 Saturday and
07:00 on Monday. Public holidays are regarded as Sundays. This rule shall apply for all
,treatment whether administered in the. pra~titione.r's rooms, or at a nursing home or.
private residence (only by arrangement when the employee's condition necessitates it).
The fee for all treatment W1der this rule shall be the total fee for treatment + 50%.
In 'ca·ses where the chiropractor's scheduled working hours extend after 18:00 during the
week or 13:00 on a Saturday the above rule shall notapply and the treatment fee shall be
. that of the normal listed tariff ..
"Na-uurse behandeling" beteken die behandeling wat geskied in die riag tussen 18:00 en
07:00 van die volgerxie dag of gedurende naweke tussen 13:00 Saterdag en 07:00
Maandag. Openbare vakansiedae word beskou as Sondae.
Hierdie reeling sal geld vir aile behandeling, betsy dit in die praktisyn se kamers verskaf
word of by 'n verpleeginrigting, of by 'n private waning (lg alleenlik indien vooraf gereel
wanneer die werknemerse toestand dit vereis).
Vir aile behandeling ooreenkomstig hierdie reel geld die voile tarief vir die behandeling
plus 50 persent.
In gevalle waar die chiropraktisyn se vaste werksure gedurende die week strek tot na
18:00 of op 'n Saterdag tot na 13:00 geld bogenoemde reel nie en die tarief vir
· behandeling is die noi-male gelyste tarief.
002 Travelling fees I Reisgelde
(a) Where, in the case of emergency, a chiropractor is called out from his residence or
rooms to an e~ployee's home or the hospital, travelling fees can be charged if more
than 16 kilometres in total have to be travelled
40 No. 35212 GOVERNMENT GAZt:.l IE, 5 APRIL 2012
• (b) If more than one employee is attended to during the course of a trip, the full .
travelling expenses must be divided pro rata between the relevant employees.
(c) A practitioner is not entitled to charge for any travelling expenses to his rooms.
When a chirop~actorhas to travel more that 16 kilometres in total to visit an employee, the
. fees shall be calculated as follows:
R5.00 per km for each kilometre in excess. of 16 kilometres total travelled in own
car: 19 km total= 3X R5.00 = R15.00.
(a) Wcmr 'n chiropraktisyn in 'n noodgeval vanaf sy huis_ of kamers na 'n werknemer se
woning of 'n hospit::~:~l uitgeroep word, kan reisgelde gehefword indien hy treer as , . I •
16 kilometer in totaal moet reis.
(b) Indien meer as een werknemer tydens 'n reis ::~~ndag geniet, moet die voile reisgeld
pro rata tussen die werknemers verdeel word.
(c) . 'n Praktisyn is nie geregtig om gelde te hefvirenige reiskoste na sy kamers nie.
WaCir 'n chiropraktisyn meer as 16 kilometer in tota~l moet reis om 'n werknemer te
besoek, word sy·gelde as ~olg bereken:
R5~00 per km vir elke kilometer verder as 16 kilometer in tot::~:~ I, afgele in eie
motor: 19 krn tot::~~l =3 X RS.OO = Rl5.00.
003 If, after a series of 20 treatment sessions for the same condition, further treatment is
required, the practitioner must submit a progress report to the Compensation
· Commissioner indicating the necessity fur further treatment and the number of further
treatment sessions required. Without such a report payment for treatment sessions in
. excess of 20 shall not be considered.
Indien verdere behandeling vir dieselfde toestand na 'n. reeks van 20 behandelingsessies
benodig word moet die praktisyn die Vergoedingsommissaris van 'n vorderingsverslag
voorsien waCirin die noodsaaklikheid vir verdere behandeling en die a:~ntal
. behandelingsessies wat nog benodig word, duidelik ~::~ngedui word. Sonder so 'n verslag
sal betaling vir meer as 20 behandelingsessies nie oorweeg word nie.
STMTSKOERANT, 5 APRIL 2012 No. 35212 41
004 The reports for completion by the practitioner:
(a) The First Medical Report (W.C1.4)
The form is used for all injured employees. The practitioner should note that the
form is in the nature of a signed medical certifiCate and he should, therefore, observe
due care in comple.ting, dating and signing the form.
(b) The Progress·or Final Medical ~eport (W.CI.S) .
This form is used either for progress· reports or the fmal report; the appropriate
descriptive title being retained as the case may re. Most of the items in the report
are self-explanatory and require no special amplification.
Die verslae wat deur die prak.tisyn-ingevul meet word:
(a) Die Eerste Medie5e Verslag (W.CI.4)
Hierdie vormword vir al1e beseerde werknemers. Die praktisyn meet daarop let dat
~ie vorm ooreenstem met 'n getekende geneeskundige sertifikaHt en hy meet
derhalwe behoorlik sorg dra wanneer hy dit invul, dateer en onderteken.
(b) Die Vorderings- of Finale Mediese Verslag (W.CI;S)
Hierdie vorm word 6f as 'n vorderings- of as die finale verslag gebruik en na gelang
van omstandighede word die toepaslike opskrif behou. Die meerderheid van die
items in die verslag is selfverduidelikend en het geen verdere omskrywing nodig nie.
005 No more than four physical procedures and modalities in one session will re reimbursed.
Multiple physical procedures and modalities shall be reimblrsed as follows:
Major:
(highest valued procedure or modality)
Second:
(second-highest or eq~val~nt valued procedure or modality)
Third:
(third-highest equivalent valued procedure or modality) ·
Fourth: .
(fourth-highest or equivalent valued procedure or modality
100% of listed value
50% of listed value
50% of listed value
50% of listed value
All treatment must be justified by the condition of· the employee and the goals and
. objectives of the treatment plan ..
009
STMTSKOERANT, 5 APRIL 2012 No.35212 43
Wf!Ar die geval aan 'n spesialis oorhandig is,~ as die lasgewer beskou word en betaling sal·
normaalweg aan hom I haar gem1111k word. Ten einde gesk.ille te voorkom moet die
chiropraktisyns I geneeshere hul daarvan weerhou om 'n geval wat ··reeds onder . ' . '
behandeling is, te behandel sonder om dit eers met die eerste chiropra.ktisyn I geneesheer
te bespreek. Oor die algemeen word verandering van chiropraktisyn, tensy voldoende
redes d11~rvoor best~::~n, nie aangemoedig nie.
Consultations I Konsultasies:
No fees may be charged for follow-up consultations within the :firstfour months from the
date of the first procedure or treatment except as is provided for under item 04002.
Geen fooie mag gehefword vir opvolgkonsultasies binne vier maande vanaf die datum van
die eerste prosedure ofbehandeling nie behalwe soos voorsien d::t~rvoor in item 04002.
44 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
CHIROPRACTOR I CHIROPRAKTISYN Tariff of fees for 20121 Tarlewe vir 2012 ..
1 CONSULTATIONS I KONSUL TASIES 04001 Initial consultation - including the taking of a full case history, physical examination and the
. use. of diagnostic equipment permitted by the relevant practitioner's scope of practice, but excluding remedies, immobilisation and manipulation procedures and X-rays. • Eerste
. konsultasie r- sluit in die neem van 'n volledige gesondheidsgeskiedenis, fisiese ondersoek en die gebruik van goedgekeurde diagnostiese apparate. Dif sluit nie enige voorgeskrewe middels, lmmobilisasie, manipulasies of X-straal-foto's in nie
04090 A subsequent consultation not requiring any treatment. In such an event a final medical report must be issued. • 'n Opvolgkonsultasie wat nie behandeling regverdig nie. Onder sulke omstadighede moet 'n finale geneeskundige verslag uitgereik word
04002 A subsequent consultation in conjunction with treatment • 'n Opvolg konsultasie met behandelin~
2 MANIPULATIVE PROCEDURES I MANIPULATIEWE PROSEDURES 04003 Spinal manipulation and I or extra spinal joint manipulation • Spinale manipulasle en I of
ekstrasplnale gewrigsmanipulasie
3 ADJUNCTIVE THERAPY I MODALITEITE '
(a) SOFT TISSUE MAN/PULA TION I SAGTEWEEFSEL MANIPULASIE 04004 Massage - includes effleurage, petrisage, crossfibre friction, lapolment and deep tissue
techniques (rolfing) • Massering - sluit streelmassering, weefsel-breiing. kruiswrywing, klopmassering en diep-weefseltegnieke (rolfing) in.
04005 Myofascial pain therapy • Spier en senin~vliesterapie
(b) DEEP HEATING RADIATION THERAPY I BESTRAUNGSTERAPIE 04006 Short wave diathermy • Kort.qolf diatermie 04007 Microwave diathermy • Mikro~olf diatermie 04006 Ultra sound • Ultraklank
(f) DRYNEEDUNGIDRYNEEDUNG 04031 Utilising no more than 10 needles per treatment session • Gebruik nie meer
as 10 naalde per behandelingsessie nie
(g) EXERCISE AND REHABIUTATION I OEFENING EN REHABILITASIE 04032 Therapeutic exercises • Terapeu!iese oefeninQe 04033 Proprioceptive neuromuscular facilitation • Proprioseptiewe neuromuskuh~re fasilitering-
04034 04035
Gait traininQ • StaphoudinQsterapie Prosthetic and orthotic training • Prostetiese en ortotiese oplei~ing
(h) . IMMOBIUSA TION- cost+ 50% I IMMOBILISASIE- koste + 50% 04036 Hard and soft immobilisation I castinQ • Harde en saQte immobilisasie I Qietsels 04037 Supportive strapping, bracing, splinting and tapping • Gording, stutting, spalking en verbinding
Cervicai-AP I LAT • Servikaai-AP I LA T Cervicai-AP I LA T I OBL • Servikaal AP I LA T I SkuinsaansiQte Cervical study-6 views • Servikaal-6 aansiQte Cervical-Davis Series-7 views • Servikaai-Davis Series-7 aansigte Elbow-AP I LA T • ElmbooQ-AP I LA T Elbow-3 views • Elmboot:~-3 aansiQte Foot /\PILAT • Voet-AP I LAT Foot-3 views • Voet-3 aansiQte Femur API LAT • Dybeen-AP I LAT Hand API LAT • Hand-AP I LAT Hand-3 views • Hand-3 aansit:~te Hip unilateral-1 view • Heup-1 aansiQ Hip-2 views • Heup-2 aansit:~te Knee API LAT • Knic API LAT Knee 3 views • Knic 3 aansit:~te Lumbo-Sacral-3 views • Lumbo-Sakraal-3 aansiQte Lumbar spine & pelvis-5 views • Lumbale werwels & pelvis-5 aansigte Pelvis AP• Pelvis AP . _ . Pelvis-3 views • Pelvis-3 aansiQte Ribs-Unilateral-2 views • Ribbes-Unilateraal-2 aansit:~te Ribs-Bilateral-3 views • Ribbes-Bilateraal-3 aansi!=lte Radius I Ulna • Radius I Ulna Spine Full spine study-AP I LA T • Werwelkolom-hele werwelkolom plus pelvis-AP I LA T
Spino 8 X 1 0-Single study • Spinaal-8 X 1 D-Enkele aansig
Splne-10 X 12-Single study • Splnaal-10 X 12-Enkele studie Spine-14 X 17-Sint:~le study • Spinaal-14 X 17-Enkele studie Shoulder-1 view • Skouer-1 aansig Shoulder....:.2 views • Skouer-2 aansiQte Thoraco-Lumbar-AP I LAT • Torako-Lumbaai-AP I LAT Thoracic-AP I LAT Torakaal API LAT TiblaiFibula-AP I LAT • Tibla/Fibula-AP I LAT Wrist API LAT • Gewrit:~-AP I LAT Wrist-3 views • GewriQ-3 aansiQte Stress views-Lumbar • SpanninQsopnames-Lumbaal
No.35212 45
R 59.92
R 105.03 R 105.03
R 105.03 R 105.03
R 150.28 R 224.98.
.R150.14 R 224.98 R 449.99 R 524.67 R 147.34 R 224.98 R 150.14 R 224.98 R 299.97 R 150.14
. R 224.98 R 105.03 R 209.91 R 150.14 R 224.98 R 359.90 R 539.63 R 150.14 R 329.99 R 179.88 R 269.81 R 150.14
R 539.63
R 88.83 R 90.09_
R150.14 R90.09
R 179.88 R 299.97 R 299.97
·. R 299.97 R150.14 R 224.98 R 188.12
48 No. 35212 GOVERNMENT GAZETTE, 5 APRIL 2012
Claim Number:
REHABTI.ITATION PROGRESS REPORT
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASE ACT
Names and Surname of Employee
Identity Number
Name of Employer
Address
Date of Accident
Address
Postal Code
.J'~~· ... .-
Postal Code
1. Date of first treatment Provider who provided first treatment
2. Initial clinical presentation and functional status
J. '""
3. Name of referring medical practitioner p_~t~ of referral
· · . 4. Describe patientos current symptoms and functional status
S. Are there any complicating factors that may prolong rehabilitation or delay
recovery (specify)?
6. Overall goal of treatment:
... ,_,,.,.
7. Number of sessions already delivered Progress achieved
' ..... ,-.
STAATSKOERANT, 5 APRIL 2012·
8. Number of sessions required
sessions
Claim Number:
Treatment plan for proposed treatment .
9. From what date has the employee been fit for his/her normal work?
No.35212 47
10. Is the employee fully rehabilitated I has the employee obtained the highest level
of function?
1 L If so, describe in detail any present 'permanent anatomical defect and I or
impairment of function as a result of the accident ( R.O.M, if any must be
indicated in degrees at each specific joint)
I certify that I have by examination, satisfied myself that the injury(ies) are as a
result of the accident.
Signature of rehabilitation service provider
Name( Printed)
Address
Practice number
Date( Important)
NB: Rehabilitation progress reports must be submitted on a monthly basis and
attached to the submitted accounts.
48 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
No. 278 5 April 2012
. COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT,
1993
(ACT N0.130 OF 1993), AS AMENDED
ANNUAL INCREASE IN MEDICAL TARIFFS FOR MEDICAL SERVICE
PROVIDERS, PHARMACIES AND HOSPITAL GROUPS
' ' '
I. I, Nelisiwe Mildred Oliphant, Minister of Labour, hereby give notice that, after
consultation with the Compensation Board and acting ~ndcr the powers vested in
me by section 97 of the Compensation ~or Occupational Injuries and Diseases
Act, 1993 (Act No. 130 of 1993), I prescribe the scale of"Fees for Medical Aid"
payable under section 76, inclusive of the General Rules applicable thereto,
appearing in the Schedule to this notice, with effect from the I April 2012.
2. The fees appearing in the Schedule are applicable in respect of services rendered
The employee is permitted to freely choose his own service provider e.g. doctor, phannacy, .physiotherapist, hospital, etc. and no interference with this privilege is permitted, as long as it is exercised reasonably and without prejudice to the employee or to the Compensation Fund. The _only exception to this rule is in case where an employer, with the approval of the Compensation Fund, provides comprehensive medical aid facilities to his employees, i.e. including hospital, nursing and other services - section 78 of the Compensation for Occupational Injuries and Diseases Act refers.
In tenns of section 42 of the Compensation for Occupational Injuries and Diseases Act the Compensation Fund may refer an injured employee to a specialist medical practitioner of his choice for a medical examination and report. Special fees are payable when this service is requested.
In· the. event of a change of medical practitioner attending to a case, the first doctor in attendance will, except where the case is transferred to a specialist, be regarded as the principal. To avoid disputes regarding the payment for services rendered, medical practitioners should refrain from treating an employee already under treatment by another doctor without consulting I informing the first doctor. As a ·general rule, changes of doctor are not favoured by the Compensation Fund, unless sufficient reasons exist.
According to the National Health Act no 61 of 2003, Section 5, a health care provider may· not refuse a person emergency medical treatment. Such a medical service provider should not request the Compensation Fund to authorise such treatment before the claim has been submitted to and accepted by the Compensation Fund. Pre-authorisation of treatment is not possible and no medica) expense wiJI be approved if liability for the claim has not been accepted by the Compensation Fund. · ·
An employee seeks medical advice at his own risk. If an _employee represented to a medical service provider that he is entitled to treatment in tenns of the Compensation for Occupational Injuries and Diseases Act, and yet failed to infonn the Compensation Commissioner or his employer of any possible grounds for a claim, the Compensation Fund cannot accept responsibility for medical expenses incurred. The Compensation Commissioner could also have reasons not to accept a clairrt lodged against the Compensation Fund. In such circumstances the employee would be in the same position as any other member of the public regarding payment of his medical expenses.
Please note that from 1 January 2004 a certified copy of an employee's identity document will be required in order for a claim to be registered with the Compensation Fund. If a copy of the identity document is not submitted the claim will not be registered but will be returned to the employer for attachment of a certified copy ofthe employee's identity document. Furthennore, all supporting documentation submitted to the Compensation Fund must reflect the identity number of the employee. If the identity number is not included such documents can not be processed but will be returned to the sender to add the ID number.
The tariff amounts published in the tariff guides to medical services rendered in terms of the Compensation for Occupational Injuries and Di~eases Act do not include VAT. All accounts for services rendered will be assessed without VAT. Only if it is indicated that the service provider is registered as a VAT vendor and a VAT registration number is provided, will VAT be calculated and added to the payment, without being rounded off.
The o.nly exception is the "per diem" tariffs for Private Hospitals that already include VAT.
Please note that there are VAT exempted codes in the private ambulance tariff structure.
DIE WERKNEMER EN DIE MEDIESE DIENSVERSKAFFER
Die werknemer lzet 'n vrye keuse van diensverskaffer bv . . dokterJ apteekJ fisioterapeutJ lwspitaal ens. en geen inmenging ?1let hierdie ·voorreg word toegelaat nie, solank dit redelik en sonder benadeling van die werknemer self of die Vergoedingsfonds uitgeoefen word Die enigste uitsondering op hierdie reel is in geval waar die werkgewer met die · goedkeuring van die· Vergoedingskommissaris omvattende geneeskundige dienste aan sy werknemers voorsien, d i. insluitende hospitaa/-, verplegings- en ander dienste ---:- artikel 78 van die Wet op Vergoeding vir Beroepsbeserings.en Siektes verwys. ,
Kragtens die bepalings van artikel 42 van die Wet op Vergoeding vir Beroepsbeserings en Siektes mag die Vergoedingskommissaris · 'n beseerde werknemer na 'n ander geneesheer deur homself aangewys verwys vir 'n mediese ondersoek en verslag. Spesiale fooie is betaalbaar vir hierdie diens. wat feitlik uitsluitlik deur spesialiste ge/ewer word.
In die geval van 'n verandering in geneesheer wat 'n werknemer behandel, sal die eerste geneesheer wat behandeling toegedien het, behalwe waar die werknemer na 'n spesialis verwys is, as die lasgewer beskou word. Ten einde geskille rake~~;de die betaling vir dienste gelewer te voorkomJ moet geneeshere hut daarvan weerhou om 'n werknemer wat reeds onder behandeling is te behandel sonder om die eerste geneesheer in te fig. Dor die algemeen word verandering van geneesheer, tensy voldoende redes daarvoorbestaan, nie aangemoedig nie. .
Volgens die Nasionale Gesondheidswet no 61 van 2003 Afdeling 5, mag 'n gesondheidswerker of diensverskaffer nie weier om noodbehandeling te verskafnie. Die Yergoedingskommissaris kan egter nie sulke behandeling goedkeur alvorens aanspreeklikheid vir die eis kragtens die Wet op Vergoeding vir Beroepsbeserings en Siektes aanvaar is nie. Vooraf goedkeuring vir belzandeling is nie moontlik nie en geen mediese onkoste sal betaal word as die eis nie deur die Vergoedingsfonds aanvaar word nie.
Dit moet in gedagte gehou word dat 'n werknemer geneeskundige behandeling op sy eie ,risiko aanvra. As 'n werknemer dus aan 'n geneesheer voorgee dat hy geregtig is . op behandeling in terme van die Wet op Vergoeding vir Beroepsbeserings en Siekt,es en tog versuim om die Vergoedingskommissaris of sy werkgewer in te lig oor enige moontlike gronde vir 'n eis, kan die Vergoedingsfonds geen aanspreeklikheid aanvaar vir geneeskundige onkoste wat aangegaan is nie. Die·
----· STAATSKOERANT, 5 APRIL 2012 No.35212 51
Vergoedingskommissaris lean ook rede he om 'n eis teen die Vergoedingsfonds nie te aanvaaf nie. Onder· sulke omstandighede sou die werknemer in dieselfde posisie
. verkeer as enige lid van diepubliek wat betaling van sy geneeskundige onkoste betrej
Neem asseb/ief kennis dat · 'n gesertlftSeerde afskrif van die werknemer se identiteitsdokument bef!pdig word vanaf 1 Januarie 2004 om 'n eis ·by die Vergoedingsfonds aan te meld. Indien 'n afskrif van die identiteitsdokument nie aangeheg is nie, sal die eis nie geregistreer word nie en die dokumente sal teruggestuur word aan die werkgewer vir die aanheg van die ID dokument. Aile ander dokumentasie wat aan die Tcantoor gestuur word moet ook die identiteitsnommer aandui. Indien nie aangedui nie, sal die dokumentasie nie verwerk word nie, maar teruggestuur word vir die aanbring van die identiteitsnommer.
Die bedrae gepub/iseer in die handleiding tot tariewe vir dienste gelewer in terme van die Wet op Vergoeding vir Beroepsbeserings en Siektes, sluit BTW uit. Die rekenings vir dienste gel ewer word aangeslaan en bereken sonder Bl'W. ·
Indien BTW van toepassing is en 'n BTW registrasienommer voorsien is, word BTW bereken en by die betalingsbedrag gevoeg sonder om afgerondte word.
Die enigste uitsondering is die "per diem" tarief vir Privaat Hospitale, wat BTW · insluit.
Neem asseblief ·kiirinis dat daar tariewe in die kodestruktuur vir privaat ambulanse is waarop BTW nie betaa/baar is nie.
52 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS .. FOLLOWS• .
ElSE TEEN DIE VERGOEDINGSFONDS WORD AS VOLG GEHANTEER
1. New claims are registered by the Compensation Fund and the employer is· notified of the claim number allocated to the claim. The allocation of a claim· number by the Compensation Fund, does not constitute acceptflnce of liability for a claim, but means that the injury on duty has been reported to and registered by the Compensation Commissioner. Enquiries. regarding claim numbers should be directed to the employer and not to the . Compensation FW1d. The employer will be in the position to provide the claim number for the employee as well as indicate whether the claim has been accepted by the Compensation FW1d • Nuwe eise word geregistreer deur die Vergo~dingsfonds en die werkgewer word in kennis gestel van · die eisnommer. Navrae aangaande eisnommers moet aan die werkgewer gerig word en nie aan die
· Vergoedingskommissaris nie. Die werkgewer kan die eisnommer verskaf en ook aandui of die Vergoedingsfonds die eis aanvaar het of nie
2. If a claim is accepted as a CO IDA claim, reasonable medical expenses will be paid by the Compensation Commissioner • As 'n eis deur die Vergoedingsfonds aanvaar is, sal redelike mediese koste betaal word deur die Vergoedingsfonds. ·
3. If a claim is rejected (repudiated), accounts for services rendered will not be paid by the Compensation Commissioner. The employer and the employee will be informed of this decision and the injured employee will be liable for payment. • As 'n eis deur die Vergoedingsfonds afgekeur (gerepudieer) word, word rekenings vir dienste gelewer nie deur die Vergoedingsfonds betaal nie. Die betrokke partye insluitend die diensverska.ffers word in kennis gestel van die besluit. Die beseerde werknemer is dan aanspreeklik vir betaling van die rekenings.
4. If no decision can be made regarding acceptance of a claim due to inadequate information, the outstanding information will be requested and upon receipt, the claim will again be adjudicated on. Depending on the outcome, the accoW1ts from the service provider will be dealt with as set out in 2 and 3. Please note that there are claims on which a decision might never be taken due to lack of forthcoming information • Indien geen besluit oor die aanvaarding van 'n eis weens 'n gebrek aan inligting geneem lean word nie, sal die uitstaande inligting aangevra word. Met ontvangs van sulke inligting sal die eis heroorweeg word. Ajhangende van die uitslag, sal die rekening gehanteer word soos uiteengeset in punte 1 en 2. Ongelukkig bestaan daar eise waaroor 'n besluit nooit geneem kan word nie aangesien die uitstaande inligting nooit verskaf word nie.
STAATSKOERANT, 5 APRIL 2012 No.35212 53
BILLING PROCEDURE • EISPROSEDURE
1. The first account for services rendered for an injured employee (INCLUDING the First Medical Report) must be submitted to. the employer who will collate all the necessary documents and submit them to the Compensation Commissioner • Die eerste rekening (INSLUITEND die Eerste Mediese Verslag) vir dienste gelewer aan 'n beseerde werknemer moet aan die werkgewer gesluur word, wat die nodige dokumentasie sal versamel en dit aan die Vergoedingskommissaris sal voorle
2. Subsequent accounts must be submitted or posted to the closest Labour Centre. It is important that all requirements for the submission of accounts, including supporting infonnation, are met • Daaropvolgende rekeninge moet ingedlen of gepos word aan die naaste Arbeidsentrum. Dit is belangrik dat at die voorskrifte vir die indien van rekeninge nagekom word, insluitend die voorsiening van stawende dokumentasie
3. If accounts are still outstanding after 60 days following submission, the service provider should complete an enquiry form, W .CI 20, and submit it ONCE to the Labour Centre. All relevant details regarding Labour Centres are available on the website www.labour.gov.za • Indien rekenings nog uitstaande is na 60 dae vanaf indiening en ontvangserkenning deur die Vergoedingskommissaris, moe/ die diensverska.ffer 'n navraag vorm, W.Cl 20 voltooi en EENMALIG indien by die Arbeidsentrum. Aile inligting oar Arbeidsentrums is beskikbaar op die webblad www.labour.gov.za
4. If an account has been partially paid with no reason indicated on the remittance advice, a duplicate account with the unpaid services clearly marked can be submitted to the Labour Centre, accompanied by a WCI20 form. ("'see website for example ofthe form). • Indien 'n rekening gedeeltellk betaal is met geen rede voorsien op die betaaladvies nie, kan 'n duplikaatrekening met die wanbetaling duidelik aangedui, vergesel van 'n WC! 20 vorm by die Arbeidsentrum ingedien word (*sien webb/ad vir 'n voorbeeld van die vorm)
5. Information NOT to be reflected on the account: Details of the employee's medical aid and the practice number of the referring practitioner • Inligting wat NIE aangedui moet word op die rekening nie: Besonderhede van die werknemer se mediese fonds en die verwvsende geneesheer se praktyknommer
6. Service providers should not generate • Diensverskaffers moenie die volgende fewer nie:
a. Multiple accounts for services rendered on the same date i.e. one account for medication and a second account for other services • Meer as een rekening vir dienste gelewer op dleselfde datum, bv. medikasie op een ridrening en ander dienste op 'n tweede rekening
b. Accumulative accounts - submit a separate account for every month • Aaneenlopende rekeninge -/ewer 'n aparte rekening vir elke maand
c. Accounts on the old documents (W.CI4 I W.Cl 51 W.CISF) New *First Medical Report (W.CI 4) and Progress I Final Medical Report (W.CI 5 I W.Cl SF) forms
54 No.35212 GOVERNMENT GAZt: 1 1 E, 5 APRIL 2012
are available. The use of the old reporting forms combined with an account (W.CLII) has been discontinued. Accounts on the old m.edical reports will not
. be processed • Rekeninge op die ou voorgeskrewe dokumente van die· Vergoedingskommissaris. Nuwe *Eerste Mediese Verslag (W.C/4) en Vorderings I Finale Mediese Verslag (WCI 5) vorms is beskikbaar. Die vorige verslagvorms gekombineer met die rekening (WCLJJ) is vervang. Rekeninge op die ou vorms word nie verwerk nle. · ·
·,
*Examples of the new forms (W.CI4/ W.CIS/ W.C1.5F) are available on the website www.labour.gov.za •
* Voorbeelde van die nuwe vorms (W.CI4/ W.CIS/ W.CISF) is beskikbaar op die webb/ad www.labour.gov.za
STAATSKOERANT, 5 APRIL 2012
MINIMUM REQUIREMENTS FOR ACCOUNTS RENDERED • MINIMUM VEREISTES VIR REKENINGE GET .F.WER
Minimum information to be indicated on accounts submitted to the Compensation Fund • Minimum besonderhede wat aangedui moet word op .
rekeninge gelewer aan die Vergoedingsfonds
No. 35212 55
)> Name of employee and ID number • Naarn van werknemer en ID . nomrner
)> Name of employer and registration number if available • Naam van werkgewer en registrasienomrner indien beskikbaar .
)> Compensation Fund claim number • Vergoedingsfonds eisnommer )> DATE OF ACCIDENT (not only the service date) • DATUM VAN
BESERING ( nie slegs die diensdatum nie) )> Service provider~ reference and invoice number • Diensverskaffer se
verwysing of faktuur nommer )> The practice number (changes of address shouJd be reported to BHF) •
Die praktyknommer (adresveranderings moet by BHF aangemeld word)
)> VAT registration number (VAT wiii not be paid if a VAT registration number is not supplied on the account) • BTW registrasienommer (BTW sal nie betaal word as die BTW registrasienommer nie voorsien
. wordnie) )> Date of service (the actual service date must be indicated: the invoice
date is not acceptable) • Diensdatum (die werklike diensdatum moet aangedui word: die datum van lewering van die rekening is nie aanvaarbaar nie)
)> Item codes according to the officiaiiy published tariff guides • Item kodes soos aangedui in die amptelik gepubliseerde handleidings tot tariewe
)> Amount claimed per item code and total of account • Bedrag gei!is per itemkode en totaal van rekening.
);:..-. It is important that all requirements for the· submission of accounts are met, including supporting information; e.g • Dit is belangrik dat aile voorskrifte vir die indien van rekeninge insluitend dokumentasie nagekom word bv.
o All pharmacy or medication accounts must be accompanied by the original scripts • Aile apteekrekenings vir medikasie rnoet vergesel word van die oorspronklike voorskrifte
o The referral notes from the treating practitioner must accompany ail other medical service providersooaccounts. • Die verwysingsbriewe van die behandelende geneesheer moet rekeninge van ander mediese diensverskaffers vergesel
56 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
GENERAL GUIDELINES I ALGEMENE RIGL YNE
COIDA FEES FOR DENTAL SERVICES FROM 1 APRIL 20121 COIDA TARIEWE VIR TANDHEELKUNDIGE DIENSTE VANAF 1 APRIL 2012
RULES I RE~LS
1. The following Rules apply to all practitioners I Die volgende reels is van toepassing op aile praktisyns: 001 Code 8101 refers to a Full Mouth Examination, charting and treatment planning and no
further examination fees shall be chargeable until the treatment plan resulting from this consultation is completed with the exception of .code 8102. This includes the issuing of a prescription where only medication is prescribed I Kode 8101 ve!Wys na 'n volmondondersoek, kartering en behandelingsbeplanning en geen bykomende fooie sal hefbaar wees totdat die behandelingsplan voortspruitend uit hierdie konsu/tasie voltooi is nie inet die uitsondering van kode 8102. Dit sluit in die uitreiking van 'n voorskrif, waar slags medikasie voorgeskryf is. Item code 8104 refers to a consultation .for a specific problem and not to a full mouth examination, charting and treatment planning. This includes the issuing of a prescription where only medication is prescribed 1/temkode 8104 ve!Wys na 'n konsultasie vir 'n spesifieke probleem en nie na 'n volmond-ondersoek, kartering en behandelingsbeplanning nie. Dit sluit in die uitreiking van 'n voorskrif, waar slegs medikasie voorgeskryf is.
002: Except in those cases where the fee is determined "by arrangemenr', the fee for the rendering of a service which is not listed in this schedule shall be based on the fee in respect of a comparable service that is listed therein and Rule 002 must be indicated together with the tariff code I Met uitsondering van die gevalle waar die bedrag vasgestel word "volgens ooreenkomsH moet die bedrag vir die lewering van 'n diens wat nie in hierdie skedule vermeld word nie, gebaseer word op die bedrag vir 'n vergelykbare diens wat daarin vermeld word en reiJI 002 moet tesame met die tariefkode aangedui word.
003 In the case of a prolonged or costly dental service or procedure, the dental practitioner shall ascertain beforehand from the Commissioner whether financial responsibility in respect of such treatment will be accepted I · ·
In die geval van 'n langdurige of duur tandheelkundige diens of prosedure, moet die tandarts vooraf by die Kommissaris vasstel of hy geldige aanspreeklikheid vir sodanige behandeling sal aanvaar. ·
004 In exceptional cases where the tariff fee is disproportionately low in relation to the actual services rendered by a practitioner, such higher fee as may be mutually agreed upon between the dental practitioner and the Commissioner may be charged and Rule 004 must be indicated together with the tariff code I In uitsonderlike geval/e waar die tariefgelde buite verhouding laag is in vergelyking met die dienste werklik deur 'n praktisyn gelewer, kan sodanige hoar fooi waarop die tandarts en die Kommissaris onderling ooreenkom gehef word en reel 004 moet tesame met die tariefkode aangedui word.
005 Except in exceptional cases the service of a specialist shall be available only on the recommendation of the attending dental or medical practitioner. Referring practitioners shall indicate to the specialist that the patient is being treated in terms of the Compensation for Occupational Injuries and Diseases Act I Behalwe in uitsonderlike geval/e moet die dienste van 'n spesialis slegs op die aanbeveling van die tandarts of mediese praktisyn wat die geval hanteer, beskikbaar wees. Praktisyns wat gevalle ve!Wys, moet die spesialis in/ig dat die pasient kragtens die Wet op Vergoeding vir Beroepsbeserings en -siektes be handel word.
007 "Normal consulting hours" are between 08:00 and 17:00 on weekdays, and between 08:00 and 13:00 on Saturdays I
·Gewone spreekuren is tussen 08:00 en 17:00 op weeksdae en tussen 08:00 en 13:00 op Saterdae.
008 A dental practitioner shall submit his account for treatment to the employer of the employee
concerned I 'n Tandarts moet sy rekening ten opsigte van behandeling aan die betrokke werknemer se werkgewer stuur. Dentists in general practice shall be entitled to charge two-thirds of the fees of specialists only for treatment that is not listed in the schedule for dentists in general practice and Modifier 8004 must be shown against any such item code I Tandartse in algemene praktyk is daarop geregtig om twee-derdes van die ge/de van spesialiste te hef s/egs vir behande/ing wat nie in die skedule vir tandartse in a/gemene praktyk aangegee word nie en Wysiger 8004 moat teenoor sodanige itemkode getoon word. Benefits in respect of specialists charging treatment procedures not listed in the schedule for that specialty, shall be allocated as follows/ Voorde/e ten opsigte van spesia/iste wat gelde hef vir behande/ingsprosedures wat nie gelys is in die skedule van die betrokke spesialiteit nie, sal as volg toegeken word:
· General Dental Practitioners Schedule I A/gemene Tandheelkunde Praktisyns Skedule 100%
Other Dental Specialists Schedules I Ander Tandhee/kunde Spesia/is Skedu/es 213
010 Fees charged by dental technicians for their services (PlUS l) shall be indicated on the dentist's invoice against the code 8099. Such dentist's invoice shall be accompanied by the actual invoice of the dental technician (or a copy thereof) and the invoice of the dental technician shall bear the signature of the dentist (or the person authorised by him) as proof that it has been compiled correctly. "l" comprises the fee charged by the dental technician for his services as well as the cost of gold and of teeth. For example, code 8231 is specified as follows (gold only applicable with prior authorization) Die fooi wat 'n tandtegnikus hef (PLUS L), rrioet op die tandarts se rekening aangedui word teenoor die kode 8099. Sodanige rekening van die tandarts moat vergesel wees van die werklike rekening van die tandtegnikus (of 'n afskrif daarvan), en die· rekening van die tandtegnikus moat die handtekening van die tandarts (of sy gevolmagtigde) dra as bewys dat dit korrek saamgestel is. "L" s/uit die fooi wat die tandtegnikus vir sy dienste hef, asook die koste van goud en van tande in. Byvoorbeeld, kode 8231 word soos volg gespesffiseer. (goud slags van toepassing met vooraf goedkeuring) ·
Rc 8231 X
8099 (8231)
Total I Totaal
y
R(X+Y)
011 Modifiers may only be used where (Mf\N) appears against the item code in the schedule I lt\tsigers mag stegs gebruik word waar (WIM) teenoor die itemkode in die skedule verskyn. ·
8001 33 1/3% of the appropriate scheduled fee (see Note 4- preamble to maxillo-facial and oral surgery schedule) I 33 113% van die toepas/ike skedule fooie (sian Nota 4- in/aiding tot die kaakgesigs- en mondchirurgie skedule)
8002 The appropriate scheduled fee + 50% (see Note 1 - preamble to maxillo-facial and oral surgery schedule) I Die toepaslike skedu/e fooie plus 50% (sian Nota 1 - in/aiding tot die kaak-gesigsen mondchirurgie skedule)
8003 The appropriate scheduled fee + 10% (see Note 5 - preamble to periodontal schedule)/
_ Die toepaslike skedule fooie plus 10% (sian Nota 5 - in/aiding tot periodentale skedule)
8004 Two-thirds of appropriate scheduled fee (see Rule 009) I Twee-derdes van die toepaslike skedu/e fooie (Sian ReiJI 009)
58 No. 35212 GOVERNMENT GAZt:. I I E, 5 APRIL 2012
GENERAL GUIDELINES I ALGEMENE RIGLYNE
8005 The appropriate scheduled fee up to a maximum of R355.71(see Note 2 -preamble to maxillo-facial and oral surgery schedule) I
Die toepaslike skedule fooie tot 'n maksimum van R355.71 (sien Nota 2 -· inleiding tot die kaak-gesigs- en mondchirurgie skedule) ·
8006 50% of the appropriate scheduled fee (see Note 3 - preample to maxillo-facial and oral surgery schedule)/ 50% van die toepaslike skedule fooie (sien Nota 3 - inleiding tot die kaak-gesigsen mondchirurgie skedule)
8007 15% of the appropriate scheduled fee with a minimum of R180.88 (See · preamble(s) under "oral surgery", in the schedule for GPs and the schedule for specialists in maxillo~facial and oral surgery I ·
15% van die toepas/ike skedule fooie met 'n minimum van R180.88 (Sien inleiding(s) onder "mondchirurgie" in die skedule vir APs en die skedule vir spesialiste in kaak-gesigs- en mondchirurgie)
8008 The appropriate scheduled fee + 25% (see Note 5 - preamble to maxillo-facial and oral surgery schedule, GPs' schedule) I ·
Die toepaslike skedule fooie plus 25% (sien Nota 5- inleiding tot kaak-gesigs- en mondchirurgie, AP skedule)
8009 75% of the appropriate scheduled fee (see Note 3 under the preamble of the maxillo-facial and oral surgery schedule I · .. 75% van die toepaslike skedule fooie (sien Nota 3 onder die inleiding van die kaak-gesigs- en mondchirurgie skedule)
8010 The appropriate shedule fee plus 75%/ Die toepaslike skedule fooie plus 75%
012 In cases where treatment is not listed in the schedule for dentists in general practice or specialists, the appropriate fee listed in the medical schedules shall be charged and the relevant code in the medical schedules indicated I In geval/e. waar behandeling nie in die skedule vir tandartse in algemene praktyk of spesialiste gelys is nie, word die toepaslike fooie soos gelys in die mediese skedule gehef, en die betrokke kode in die mediese skedules aangedui
013 Cost of material (VAT inclusive): This item provides for the charging of material costs where indicated against the relative item codes by the words "(See Rule 013)". Material should be charged for at cost plus a handling fee not exceeding 35%, up to R2980.20. A maximum handling fee of 10% shall apply above a cost of R2980.20. A maximum handling fee of R4470.19 will apply I Koste van materiaal (BTW ingesluit): Hierdie item maak voorsiening vir die hef van fooie vir materiaal waar spesifiek aangedui deur die woorde 4 (Sien Reel 013)". Kosprys plus 'n maksimum van 35% kan gehef word vir materiaal, waar die koste R2980.20of minder is. 'n Maksimum hanteringsfooi van 10% sal van toe passing wees vir koste bo R2980.20. Die maksimum hanteringsfooi sal R4470.19 beloop
Note/Nota: Item 8220 (suture) is applicable to all registered practitioners I Item 8220 (hegting) is toepaslik op aile geregistreerde praktisyns
. EXPLANATIONS I VERDUIDELIKINGS
2. Additions, deletions and revisions I Toevoegings, weglatings en wysigings
A summary listing all additions, deletions and revisions applicable to this Schedule is found in Appendix A I 'n Opsomming van toevoegings, weglatings en wysigings tot die Skedule is gelys in BylaeA
New codes added to the Schedule are identified with the symbol • placed before the code 1 Nuwe kodes wat tot die Skedule bygevoeg is word deur die • simbool voor die kode aangedui
STAATSKOERANT, 5 APRIL 2012 No.35212 59
GENERAL GUIDELINES I ALGEMENE RIGL YNE
In instances where a code has been revised, the symbol .. is placed before the code I In gevalle waar 'n kode gewysig is, word die simbool * voor die kode geplaas.
3. Tooth Identification I Tandldentlflkasle
4.
6.
~ .. . .
Tooth Identification is compulsory for all Invoices rendered. Tooth Identification is only applicable to procedures Identified with the letter "(T)" in the mouth part (MP) column. The designated system for teeth and areas of the oral cavity of the International Standards Organisation (ISO) in collaboration with the FDI, should be used I . Tandidentifikasie is verpligtend vir alle rekeninge wat gelewer word. Tandidentifikasie is slegs van toepassing op prosedures wat met die letter •(T)" in die monddeel-kolom (MD) aangedui word. Die 1ntemational Standards Organisation" (ISO), in samewerking met die FDI, se aanwysingstelsel vir
.. tande en areas van die mondholte moet gebruik word. ·
Abbreviations used In the Schedule I Afkortlngs gebrulk In die Skedule
+D Add fee for denture +D . Voeg fooie van kunsgebit by
.+L , Add laboratory fee +L Voeg laboratoriumfooie by
The dental procedure codes for general dental practitioners are divided into twelve (12) categories of services. The procedures have been grouped according to the category with which the p~ocedures are most frequently identified. The categories are created so_lely for convenience in using the Schedule and should not be interpreted as excluding certain types of Oral Care Providers from performing or reporting such procedures. · These categories are similar to that in the "Current Dental Terminology" Third Edition (CDT-3) Die tandheelkunde prosedurekodes vir algemene tandheelkundige praktisyns is in twaalf (12) kategoriee verdeel. · Elke . prosedure is . in die kategorie waar dit die algemeensta voorkom gegroepeer. Die kategoriee is uitsluitlik vir doeleindes van gerief in die gebruik van die Skedule geskep en moet nie gernterpreteer word as synde sekere groepe van Mondgesondheidswerkers in die uitvoer of varmelding van sekere prosedures te weerhou nie. Hierdie kategorieS is soortgelyk aan die in die "Curren.t Dental Tenninology" Third Edition (COT -3)
Procedures not described in the general practitioner's schedule should be reported by referring to the relevant specialist's schedule. Dentists in general practice shall be entitled to charge two-thirds of the fees of specialists only for treatment codes that are not listed in the schedule for dentists in general practice and Modifier 8004 must be shown against any such item code (See Rules 009 and 011 ). There are no specific codes for orthodontic treatment in the current general practitioner's schedule, and the general practitioner must refer to the specialist orthodontisfs schedule.
Prosedures wat nie in die algemene praktisyn se skedule beskryf word nie, moet vermeld word deur na die toepaslike spesialisskedule te verwys. Tandartse in algemene praktyk is daarop geregtig om twee-derdes van die fooie van spesialiste te hef s/egs vir behandelingkodes wat nie in die skedule vir tandartse in a/gemene praktyk aangegee word nie en Wysiger 8004 moet teenoor sodanige itemkode getoon word (Sien Reels 009, 011). Daar is geen spesifieke ortodonsie kodes in die huidige a/gemene praktisynskedule nie, en die algemene praktisyn moet na die spesialis ortodontisskedule verwr~- ·
Oral and maxillofacial surgery (Section J of the Schedule): The fee payable to a general practitioner assistant shall be calculated as 15% of the fee of the practitioner performing the operation, with the indicated minimum (see Modifier 8007). The Compensation Fund must be informed beforehand that another dentist will be assisting at the operation and that a fee will be payable to the assistant. The assistant's name must appear on the invoice rendered to the Compensation Fund.
Kaak-, gesig- en mondchirurgie (Seksie J van die Skedule): Die fooie aan 'n algemena praktisyn assistant betaalbaar word bereken op 15% van die fooie van die praktisyn wat die operasie uitvoer, met die aangeduide minimum (sien Wysiger 8007). Die Vergoedingsfonds moat vooraf in kennis gestel word dat 'n tweede tandarts by die operasie teenwoordig sa/ wees en dat fooie aan die tandarts betaalbaar sa/ wees. Die naam van die assistant moet op die rekening wat aan die Vergoedingsfonds gelewer word, verskyn.
'I
Code
Kode·
STAATSKOERANT, 5 APRIL2012
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywlng
; A. DIAGNOSTIC I DIAGNOSTIES
,Clinical oral evaluation I Kllnlese evaluerlng van die mond
8101 Full mouth examination, charting and treatment planning (see Rule 001) / Volmond-ondersoek, kartering en behandelingsbeplanning (sien Relll 001) ·
8102 Comprehensive consultation I Omvattende konsultasie
A comprehensive consultation shall Include treatment planning at a separate appointment where a diagnosis Is made with the help of study models, full-mouth x-rays and other relevant diagnostic aids. Following on such a consultation, the patient must be supplied with a comprehensive written treatment plan which must also be recorded on the patient's file and which must Include the following: ·
• · Soft tissue examination
• Hard tissue examination
• Screening I probing of periodontal pockets
• Mucoglnglval examination
• Plaque Index
• Bleeding Index
• Occlusal Analysis
• TMJ examination
• Vitality screening of complete dentition
'n Omvattende konsultasia behels behandelingsbeplanning tydens 'n afsonderlike afspraak, waar 'n diagnose gemaak word met behulp van s/udiemodelle, volmond X-strala en ander toepaslike diagnostiese hulpmiddels. So 'n omvattende konsultasie sluit in dat die pasient voorsien word van 'n geskrewe behandelingsplan waarin a/ die volgende vermeld word, en ook op die paslent sa kaart aangedui word: ·
• Sagteweefselondersoek
• Hardeweefse/ondersoek
• Siftingsondersoek van periodonta/e sakkies
• Mukogingivale ondersoek ·
• P/aakindeks
• Bloedingslndeks .
• Okk/usala ontieding
• TMG ondersoek
• Vitalitel/sondersoek van aile tande
8104 Examination or consultation for a specific problem not requiring a full mouth examination, charting and treatment planning I Ondersoek of konsultasie vir 'n spesifieke probleem wat nie 'n volmond-ondersoek, kartering en behandelingsbeplanning benodig nie
Radiographs I Diagnostic Imaging I Rontgenfoto's I Dlagnostlese afbeeldlng
8107 lntra~oral radiographs, per film I Binnemondse rontgen-foto's,per film 8108 Maximum for 8107/ Maksimum vir 8107
8113 Occlusal radiographs I Okklusale rontgenfoto's 8115 Extra-oral radiograph, per film I Buitemondse rOntgenfoto, per film
(i.e. panoramic, cephalometric, PA I f. e. panoramies, kefalometries, PA)
Rc
FEE TARIEF
185.83
242.57
73.37
.71.01 533.22 110.45 291.89
No.35212 61
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62 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
Code
Kode
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywlng
The fee Is chargeable to a maximum of two films per treatment plan 1 Die tarie; ~ag tot 'n makslmum van twee films per behandelingsplan gehef word. · ·
Tests and laboratory examinations I Toetse en laboratoriumondersoeke
Rc
FEE
TARIEF
8117 Study model - unmounted or mounted on a hinge articulator I 79.66 +L Studiemodel ongemonteer of gemonteer op 'n skarnier artikulator
8119 Study model- mounted on a movable condyle articulator I Studiemodel 204.82 +L gemonteer op artikulator met verste/bare. kondiele ·
8121 Photograph (for diagnostic, treatment or dento-legal pu;oses) per 79.66 photograph I Foto (vir diagnostiese-, behande/ings- of geregtelike doeleindes) per foto
8122 Bacteriological studies for determination of pathologic. ·agents/ Bakteriologies studies vir die bepating van patologies agense
May inlcude, but Is not limited to tests for susceptability to periodontal disease I Sluit In maar Is nle beperk tot die toets van vatbaarheld vir perlodontale siektes nie
If requested, a periodontal risk assessment must be made available at !10 charge I 'n Perlodontale rtsllo-bepaling moat op versoek gratis baskikbaar gas tal word ..,.
(The use of this code Is limited to general dental prectltlones and specialist In community dentistry I Dla gebrulk van hlerdle kode Is baperk lot algemene tandhaa/undlga prakl/syns an spaslallsta In gemaenskapstandhealkunda)
B. . PREVENTIVE I VOORKOMEND
This schedule, applicable to occupational Injuries and diseases, excludes preventive services I Hlardla skadu/a, van toapass/ng op baroapbasarings an -s/aktas, sluit nia voorkomanda dlanstaln nla.
C. RESTORATIVE I HERSTELLEND
Amalgam restorations (Including polishing) I Amalgaam herstelllngs (pole ring lngeslult) • · ' ·
All adhesives, liners and bases are included as part of the restoration. If pins are used, they should be reported separately I Alta bindingsmatariala, ondarlaa en baslslae word as dee/ van die harstelling ingesluit. lndien penna gebruik word, moat dil afsondarlik vanneld word. See Codes 8345, 8347. end 8348 for post and I or pin retention I Slen Kodes 8345, 8347 en 8348 v/r slif en I of panratensie
8346 Restorative material factor/ Herstellingsmateriaal faktor Note I Nota: Restorative material factor- an addiUonal10% can be added to codes 8341, 8342, 8343, 8344, 8351, 8352, 8353, 8354, 8355, 8367, 8368, 8369 and 6370 by general dental practitioners only I Herstallingsmaterlaal faktor - 'n bykomende 10% ksn by kodes 8341, 8342, 8343, 8344, 8351, 8352, 8353, 8354, 8355, 8367, 8368, 8369, en 8370 deur s/egs algemene landhee/kundige praktisyns bygavoeg word.
8341 Amalgam - one surface I Amalgaam - een vlak 8342 Amalgam - two surfaces I Amatgaam - twee vlakke 8343 Amalgam - three surfaces I Amalgaam - drie vtakke 8344 Amalgam - four or more surfaces I Ama/gaam - vier of meer vlakke
75.17
M/W800 3
+10%
189.65 237.41 285.26 284.48
MP
MD
T
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Code
Kode
STAATSKOERANT, 5 APRIL 2012 ·
... GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywing
Resin restorations I Harsherstelllngs
Resin refers to a broad category of materials Including but not limited to composites and may include bonded composite, light-cured composite, etc. Lightcuring, acid etching and adhesives (including resin bonding agents) are included as part of the restoration. Glass ionomers I compomers, when used as restorations should be reported with these codes. If pins are used, they should be reported separately. Harse veiW}'s na 'n wye kategorie van materiaal wat komposiefe insluif en mag gebonde, /igverhardende komposiefe, ens. insluit. Ligverharding, suur-efs en bindingsmateriale (insluifend hars bindingsagenfe) is dee/ van die hersfelling. Wanneer glasionomere I kompomere as herste/lings gebruik word, moef hlerdie kodes gebruik word. Indian penna gebruik word, moef dif afsonderlik vermeld word. · See codes 8345, 8347 and 8348 for post and I or pin retention I Sian kodes 8345, 8347 en 8348 vir stif en I of penretensie The fees are Inclusive of direct pulp capping (code 8301) and rubber dam application (code 8304) I Die tan'ewe s/uit direkte pulpa-oorkapping (kode 8301) en die aanwending van 'n kofferdam (kode 8304) in
8351 Resin - one surface, anterior I Hars - een vtak, anterior 8352 Resin - two surfaces, anteri~r I Hars - twee vlakke, anterior 8353 Resin - three surfaces, anterior I Hars- drie vlakke, anterior 8354 Resin - four or more surfaces, anterior I Hars - vier of meer vlakke,
anterior 8367 Resin - one surface, posterior I Hars - een vlak, posterior 8368 Resin - two surfaces, posterior I Hars - twee vlakke, posterior 8369 Resin - three surfaces, posterior I Hars - drie vlakke, posterior 8370 Resin - four or more surfaces, ·posterior I Hars - vier of meer vlakke,
posterior
Inlay I Onlay restorations I lnlegsel I Oplegsel herstellings
METAL INLAYS I METAALINLEGSELS
The fee for metal inlays on anterior teeth (incisors and canines) are determined 'by arrangement' with the Compensation Commissioner I Die fooie vir metealinlegse/s op anterior Iande (snytande en hoektande) word 'volgens ooreenkoms' met die Voergoedingskommissaris bepaa/
Rc
FEE TARIEF
185.49 236.95 313.35 347.95
224.26 307.28 335.15 355.48
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8358 Inlay, metallic- one surface, anterior 1/nlegsel, metaal- een vlak, anterior · na/ nvt +L T 8359 Inlay, metallic - two surfaces, anterior I tnlegsel, metaal - twee vlakke, na 1 nvt +L T
anterior 8360 Inlay, metallic - three surfaces, anterior I lnlegsel, metaal - drie vlakke, na 1 nvt · +L T
anterior
8365 Inlay, metallic - four or more surfaces, anterior I tnlegsel, metaal - vier of na 1 nvt +L T meer vlakke, anterior
8361 Inlay, metallic - one surface, posterior I lnlegsel, metaal - een vlak, 380.31 +L T posterior
8362 Inlay, metallic - two surfaces, posterior I lnlegsel, metaal - twee vlakke, 491.99 +L T posterior
8363 Inlay, metallic - three surfaces, posterior I lnlegse/, metaal- drie vlakke, 1014.64 +L T posterior
8364 Inlay, metallic - four or more surfaces, posterior I In leg set, meta a/ - vier of 1014.75 +L T meer vlakke, posterior ·
64 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
·: i .. _.;
Code
Kode
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywing
CERAMIC AND I OR RESIN INLAYS I KERAMIEK EN I OF HARS INLEGSELS
Porcelain I ceramic inlays include either all ceramic or porcelain Inlays. Composite I resin inlays must be laboratory processed I
Porselein I keramiek inlegsels s/uit aile keramiek of porselein inlegsels in. Komposiet I hars in/agse/s moat in 'n /aboratorium vervierk worri
NOTE: The fees exclude the application of a rubber dam (code 8304) I NOTA: Die tariewe sluit die aanwending van 'n kofferdam (kode B304) uit.
Rc
FEE
TARIEF
8371 Inlay, ceramic I resin- one surface I fnfegsef, keramiek I hars- een v/ak 344.36
8372 Inlay, ceramic I resin - two surfaces I fnfegsef, keramiek/hars - twee 503.11 vfakke
8373 Inlay, ceramic I resin - three surfaces I fnfegsef, keramiek I hars - dn'e 839.60 vfakke ·
8374 Inlay, ceramic I resin- four or more surfaces I /nfegsef, keramiek I hars- 1014.75 vier of meer vfakke
NOTES I NOT AS
(MIW) 1. In some of the above cases (e.g. direct hybrid inlays) +L may not necessarily apply
8401
8403 8405
8407
8409 8411
In· sommige van bg geval/e (bv. direkte gemengde hars inlegse/s) mag +L nie noodwendig van toepassing wees nie.
2. In cases where direct hybrid inlays are used and +L does not apply, Modifier BOOS may be used
In geval/e waar dire/de gemengde hars in/egse/s gebruik worri en +L nie van toepassing is nie, mag Wysiger BOOB gebruik word.
3. See the General Practitioner's Guideline to the correct use of treatment codes for computer generated inlays.
Sien die Algemene Praklisyn sa Riglyne vir die korrekte gebruik van behandelingskodes tov rekenaar gegenereerde inlegsels
Crowns- single restorations I Krone- enkel herstelllngs
The fees include the cost or temporary and I or intermediate crowns. See code 8193 (osseo Integrated abutment restoration) In the 'fixed prosthodontic' category for crowns on ossaolntegrated Implants
Die fooie sluit die koste van voorlopige en I of tussentydse krone in. Sien kode B193 (beengel'ntegreerde ankertand herstel/ing) in die kategorie 'vaste prostodonsie' vir krone op beengel'ntegreerde implantate.
Other restorative services I Ander herstellende dlenste
8133 Re-cementing of inlays, crowns or bridges - per abutment 1 Hersementering van infegsels, krone of brOe - per ankerland In some cases where item code 8133 is used +L may not apply lin sommige geval/e waar itemkode B133 gebruik word mag +L nie van toepassing weas nie.
8135 Removal of inlays and crowns (per unit) and bridges (per abutment) or sectioning of a bridge, part of which is to be retained as a crown following the failure of a bridge I Verwydering van infegsefs en krone (per eenheid) en brae (per ankerland) of per seksie van 'n brug, waarvan 'n deaf behou moet word as 'n kroon as gevofg van die fafing van 'n brug
1205.18
1205.18
Com Fee
1286.35
1286.35
1286.35
110.45
216.95
I 'I
I
! i
+L +L
+L
+L
+L +L +L
+L +L +L
+L
+L
MP
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Code
. Kode . , ••
STAATSKOERANT, 5 APRIL 2012
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywing
8137- Temporary:crow·n placed as an_ emergency procedure I Tydelike kroon, geplaas as 'n ndodprosedure · Not applicable to temporary crowns placed during routine crown and bridge preparations I.e. where the impression for the final crown is taken at the same visit I Nie van toepassing op tydelike krone wat tydens roetine kroon- en brugwerk gep/aas word nie, waar die afdruk vir die finale kroon tydens diese/fde besoek geneem word nie
· 8330 Removal of fractured post or instrument and I or bypassing fractured endodontic instrument I Verwydering van gefraktuurde stif of instrument en
-/of omleiding·om· 'n gefraktui.Jrde endodontiese instrument NOTE: 'The fee excludes ttie application of a rubber dam (code 8304) I NOTA: Die tarief s/ult die aanwending van 'n kofferdam (kode 8304) uit.
8345 Preformed post retention; per post I Vooraf-vervaardigde stifversterking, ~~ ' . ' '
Rc
FEE
TARIEF
371.10
145.28
160.44
834 7 Pin retention for restoration, first pin I Penversterking vir herstelling, eerste 110.45 pen
8348
·-.·: . ,.,
. 8355
. "8357
8366
8376
8391 8393
Pin retention for restoration; each additional pin I Penversterking vir herstelling, elke bykomende pen A maximum of, two_ additional pins may be charged I 'n Maksimuin van twea bykomende penna mag gehef word > · : · .. · - - --Co~posite' v~nee~~- (direct) I Harsfinere. (direkte) · . Preforme-d :me~t crown I Voorafgevormde metaalkroon
Pin retention as part of cast restoration, irrespective of number of pins I Penretensie a~ dee/ van gegote herstelling, ongeag aantal penne Prefabricated post and core in addition to crown I Vooraf vervaardigde stif en kern bykom~nd tot kroon . The core is built around a prefabricated post(s) I Die kem word rondom 'n voorafvervaardigde stif (we) opgel:Jou
Cast post and core - single I Gegote stif en kern - en kef Cast post and core-- double I Gegote stif en kern - tweeledig
8395 Cast post and core - triple I Gegote stif en kern - drieledig . 8396 Cast coping l Gegote vingerhoed 8397 Cast core with pins I Gegote kem met penne
This service is usually provided on grossly broken down vital teeth, and may not be charged when a post has been Inserted In the tooth in question I Hierdie prosedure word gewoonlik toegepas op erg vemietigde vita/a tande, . en mag nie gehef word wanneer 'n stif in die betrokke tend geplaas Is nie.
8398 Core build-up, including any pins I Opbou van kern, aile penne ingesluit Refers to the building ;up of an anatomical crown when a restorative crown will be placed, Irrespective of the number of pins used I Verwys na die opbou van 'n anatomlese kroon as- 'n herste/lende kroon geplaas gaan word, met of sander die gebruik van penna
8413 Facing replacement 1 Vervanging van geslgstuk 8414 Additional fee for provision of a crown within an existing clasp or rest I
Bykomende gelde . vir voorsiening van . 'n kroon binne · 'n bestaande klammer of ius ·
G12-044429-E
95.39
351.77 233.58 170.55
569.28
258.52 413.79 596.47 168.61 413.79
413.79
252.64 79.22
No~35212 65
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+L +L
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66 No.35212 GOVERNMENT GAZETTE, 5 APRIL2012
.. Code
Kode
GENERAL DENTAL PRACTITIONERS ALGEMENETANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure bes~rywlng
D. · ENDODONTICS I ENDODONSIE
* Preamble /lnleiding: 1. The Health Professions Council of SA has ruled that, with the
exception of diagnostic intra-oral radiographs, fees for only three further intra-oral radiographs may be charged for each completed root canal therapy on a single-canal tooth; or a further five intra-oral radiographs for each completed root canal therapy on a multi-canal tooth I Die HPCSA het beslis dat, met uitsondering van diagnostiese binnemond r6ntgenfoto's, fooie vir slags drie verdere binnemond rtJntgenfoto's gehef mag word vir elke voltooide wortelkanaalterapie op 'n enkelkanaa/ tand en 'n verdere vyf r6ntgenfoto's vir elke voltooide wortelkanaalterapie op, 'n veelkanaaltand.
2. The fee for the application of a. rubber dam (See code 8304. in the category "Adjunctive General Services") may only be charged concurrent with the following procedures I Die tarief vir die aanwending van 'n kofferdam (Sien kode 8304 in die·_ kategorie "Bygevoegde Algemene Dienste") mag s/egs tesame met die volgende prosedures gehef word:
• Gross pulpal debridement, primary and permanent teeth, for the relief of pain (code 8132)1 Verwydering vim die pupaholte inhoud, primere en. permanente tande, vir die· verligting van pyn (kode 8132);
• Apexification of a root canal (code 8305) I Apeksifikasie van 'n wortelkanaal (kode 8305);
• Pulpotomy (code 8307) I Pulpotomie (kode 8307);. • Complete root canal therapy (codes 8328, 8329 and 8332 to 8340)
I : Voltooide wortelkanaalbehandeling (kodes 8328, 8329 en 8332 tot 8340); ,
• Removal or bypass of a fractured post or instrument (code 8330) I Verwydering of omleiding van 'n gefraktuurde stif of instrument (kode 8330);
• Bleaching of non vital teeth (codes 8325 and 8327) and I Bleiking van nie-vitale tande (kodes 8325 en 8327) en
• Ceramic and or resin inlays (codes 8371 to 8374) I Keramiek en of . hars in/egsels (kodes 8371 tot 8374)
3. After endodontic preparatory visits (codes 8332, 8333 and 8334) have been charged, fees for endodontic treatment completed at a single visit (codes 8329, 8338, 8339 and 8340) may not be levied !Nadat endodontiese voorbereidingsbesoeke (kodes 8332, 8333 en 8334) toegepas is, mag geen fooie vir endodontiese behandeling wat tydens 'n enkel besoek voltooi word (kodes 8329, 8338, 8339 en 8340) gehef ~~ ' . ' . . -
Pulp capping I Pulpa-oorkapping
8301 Direct pulp capping I Direkte pulpa oorkapping
8303 Indirect pulp capping 1/ndirekte pu/pa-oorkapping The permanent filling is not completed at the same visit I Die permanents herstel/ing word nie gedurende dieseffde besoek voltooi nie
Rc
FEE
TARIEF
Com Fee
134.09
MP
MD
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Kode
-":•.STAATSKOERANT, 5 APRIL 2012
· GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywlng
Pulpotomy I Pulpotomle
8307 Amputation of pulp (pulpotomy) I Amputasie van pulpa (pulpotomie) No other endodontic procedure may, In respect of the same tooth, be charged concurrent to code 8307 and a completed root canal therapy should not be envisaged (code 8304 excluded) I Geen ander endodonliese prosedure mag leseme mel kode 8307 gehef word nie en 'n vol/edige wortelkanealbehandeling behoort nie beoog te word nie (kode 8304 uitgesluit) ·
Endodontic therapy (including the treatment plan, clinical procedures and follow-up care) I Endodontlese behandellng (behandellngsbeplanning, kliniese prosedures en nasorg ingesluit)
PREPARATORY VISITS (OBTURATION NOT DONE AT SAME VISin I VOORBEREIDINGSBESOEKE (VULLING NIE TYDENS DIESELFDE BESOEK GEDOEN NIE) . .
8332 Single-canal tooth, per visit I Enkelkanaal tand, per besoek A maximum of four visits per tooth may be charged I 'n Maksimum van vier besoeke mag pertandgehefword ·· .>! ·
8333 Multi-canal tooth, per visit I Meerkanaal tand, per besoak A maximum or four visits per tooth·may be charged I 'n Maksimum van vier besoeke mag per land gehef word
OBTURATION OF ROOT CANALS AT A SUBSEQUENT VISIT I VULLING VAN WORTELKANALE TYDENS 'N DAAROPVOLGENDE BESOEK
8335 First canal - anteriors and premolars I Earste kanaal - anterior en premolars tande
8328 Each additional canal-·anteriors and premolars I Elke bykomenda kanaalanterior en premolare tande ·
8336 First canal - molars I Eer5te kanaal- molare tande 8337 Each additional canal - molars I Elke bykomende kanaal- molare tande
PREPARATION AND OBTURATION OF ROOT CANALS COMPLETED AT A SINGLE VISIT I VOORBEREIDING EN .. VULLING VAN WORTELKANALE GEDURENDE EEN BESOEK VOL TOOl
Rc
FEE TARIEF
86.29
110.45
269.30
503.22
193.69
691.40 204.82
8338 First canal - anteriors and premolars I Eerste kanaal - anterior en 767.60 premolars tande
8329 Each additional canal - anteriors and premolars I Elke bykomende kanaa/- 244.03 anterior en premolare tande
8339 First canal- molars I Eerste kanaat- molare tande 1054.62 8340 Each additional canal- mOlars I Elke bykomende kanaal- molare tande 257.18
8334 Re-preparation of previously obturated canal, per canal Hervoorbereiding van kana a/ wat voorheen gevul was
Apexlflcatlon I recalcification procedures I Apokslflkasle I herkalslfl-kasle prosedures ~-
8305 Apexification of root canal, per visit I Apeksifikasle van wortelkanaal, per besoek No other endodontic procedures may, In respect of the same tooth, be charged concurrent with code 8305 at the same visit (code 8304 excluded) I Geen ander endodonllese prosedure mag tesame mel kode 8305 tydens dleselfde besoek ten opslgte van diese/fde tend gehef word nle (kode 8304 u/tgesluit)
. 163.36
138.54
No.35212 67
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68 No.35212 GOVERNMENT GAZI:: I IE, 5 APRIL 2012
Code
Kode
GENERAL DENTAL PRACTITIONERS ALGEMENE.TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywing
Apicoectomy I Perlradicular services /Aplsektomle I Periradlkulere dlenste
8229 Apicoectomy including retrograde filling where necessary - incisors and canines 1 Apisektomie insluitend retrograde herstelling waar nodig -snytande en oogtande
Other endodontic procedures I Ander endodontiese prosedures
8132 Gross pulpal debridement, primary and permanent teeth I Verwydering van die pulpaholte inhoud, primare en permanent tande · · ·
• Where code 8132 is charged, no other endodontic procedures may be charged at the same visit on the same tooth. Codes 8338, 8329, 8339 and 8340 (single visit) may be charged at the subsequent visit, even if code 8132 was used for the initial relief of pain I Wanneer kode 8132 gehef word, mag geen ander endodonliese prosedure tydens dieselfde besoek vir dieseffde tand gehef word nie. Kodes 8338, 8329, 8339 en 8340 (enkel besoek) mag tydens die daaropvolgenda besoek gehef word, selfs wanneer kode 8132 tydens die aanvanklike besoek vir die verligling van pyn gehef was (See note 2 in the preamble above I Sien nota 2 in die inleiding hierbo)
8136 Access through a prosthetic crown or inlay to facilitate root canal treatment I Toegang deur 'n prostetiese · kroon of inlegsel om wortelkanaalbehandeling te vergemaklik
8306 Cost of' Mineral Trioxide Aggregate I Koste van Mineraal Trioksied Aggregaat
8325 Bleaching of non-vital teeth, per tooth as a separate procedure I Bleiking van nie-vitale tande, per tand as 'n afsonderlike prosedure
8327 Each additional visit for bleaching of non-vital tooth as· a· separate procedure I Elke bykomende besoek vir b/eiking van nie-vitale tande as 'n afsonderlike prosedure A maximum of two additional visits may be charged I 'n Maksimum van twee bykomende besoeke mag gehef word ·
t;~"~ .. ,,ei;BIQQQNTJ~SJPERIOPQ.NSIE
tj{;&·:SCJ1eau1Ei/~applicable to occupational· Injuries and diseases, do no~ include periodontic services I Hierdie skedu/e, van toepassing op beroepsbeserings en -siektes, sluit nie periodontiese dienste in nie.
F. PROSTHODONTICS (REMOVABLE) I PROSTODONSIE (VERWYDERBAAR)
8231 F="i.iil.upper.arid lower dentures inclusive of soft base or metal base, where 1757.39 +L applicable I Volledige bo- en onderkunsgebit, insluitend sagte basis of metaaf basis, waar van toepassing
8232 Full upper or lower dentures inclusive of soft base or metal base, where 1083.17 +L applicable I Volledige bo- of onderkunsgebit, insluitend sagte basis of metaa/basis,. waar van toe passing
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STAATSKOERANT, 5 APRIL 2012 No.35212 69
Code
Kode
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
8233 Partial denture, one tooth I Gedeeltelike kunsgebit met een land
8234 Partial denture, two teeth I Gedeeltelike kuhsgebit met twee Iande
8235 Partial denture, three teeth I Gedeeltelike kunsgebit met drie Iande
8236 Partial denture, four teeth I Gedeeltelike kunsgebit met vier Iande
8237 Partial denture, five teeth I Gedeeltelike kunsgebit met vyf tande
8238 Partial denture, six teeth I Gedeeltelike kunsgebit met ses Iande
8239 Partial denture, seven teeth I Gedeeltelike kunsgebit met sewe tande
8240 Partial denture, eight teeth I Gedeeltelike kunsgebit met agt tande
8241 Partial denture, nine or more teeth I Gedeeltelike kunsgebit met nege of meer Iande
8281 Metal (e.g. chrome cobalt, etc.) base to partial denture, per denture I Metaal (bv. chroomkobalt) basis vir gedeeltelike kunsgebit, per gebit The procedure refer.J to the metal framewor1< only, and Includes all clasps, rests and bars (I.e., 8251, 8253, 8255 and 8257). See codes 8233 to 8241 for the resin denture base required concurrent to 8281/ Die prosedure verwys a/leenlik na die metaalraam, en sluit aile
klammers, ruste en stange (I.e. 8251, 8253, 8255 en 8257) ln .. Sian kodes 8233 to 8241 vir '· · akrlel kunsgeblt basis wat tesame met 8281 benodig word
Adjustments to dentures I Verstelllngs aan kunsgebltte
8275 Adjustment of denture I Verstelling van kunsgebit
Repairs to complete or partial dentures I Herstel van vol- of gedeeltellke kunsgebitte ·
75.96 +L
8269 Repair of denture or other Intra-oral appliance I Herstel van kunsgebit of · 144.10 · +L ander binnemond toestel A dentist may not charge professional fees for the repair of dentures If the patient was not ; personally examined; laboratory fees, however, may be recovered I 'n Tandarts mag nie profess/one/a foole vir die herstel van kunsgebine hef indian die pasient nie persoonlik ondersoek was nle; laboratoriumfoole mag egter gevorder Word.
8270 Add clasp to existing partial denture I Byvoeging van 'n klammer tot bestaande gedeeltelike gebit (One or more clasps/ Een of meer klammers)
Code 8270 Is In addition to code 8~69/ Kode 8270 Is bykomend tot koda 8269.
8271 Add tooth to existing partial denture I Byvoeging van 'n land tot bestaande gedeeltelike gebit (One or more teeth I Een of meer Iande)
Code 8271 Is In addition to code 8269/ Kode 8271 Is bykomend tot kode 8269.
8273 Additional fee where one or niore impressions are required for 8269, 8270 and 8271 I Bykomende fooi waar een of meer afdrukke nodig is vir kodes 8269, 8270 en 8271
Denture rebase procedures I Herbaseringprosedures vir kunsgebltte
8259 Re-base of denture (laboratory) I Herbasering van kunsgebit (laboratorium)
8261 Re-model of denture I Hermodelering van kunsgebit
95.39 +L
95.39
75.94 +L
413.79 · +L
679.50 +L
MP
MD
STAATSKOERANT, 5 APRIL 2012
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Code Procedure description
Kode Prosedure beskrywing
8196 Placement of a third and subsequent osseo-integrated implant in the same jaw, per implant I Plasing van 'n derde en daaropvolgende osseointegrerende inplantaat in dieselfde kaak, per inplantaat
8197 Cost of implants I Koste van inplantaat
8198 Exposure of a single osseo-integrated implant and placement of_ a transmucosal element I Blootlegging van een osseo-integrerende inplantaat en plasing van 'n transmukosale element _ ·
8199 ·Exposure of a second osseo-integrated implant and placement of a transmucosal element in the same jaw I Bloot/egging van 'n tweede osseointegrerende inplantaat en plasing _van 'n transmukosale element in dieselfde kaak - ·
8200 Exposure of a third and subsequent osseo-integrated implant in the same jaw, per implant I Bloot/egging van 'n derde en daaropvolgende osseointegrerende inplantaatin diese/fde kaak, per inplantaat , _
8420 8422 8424
8356
Eposteal implants I Eposteale lnplantate
Eposteal (subperiosteal) dental implants receive its primary bone support by means of resting on the alveolar bone I Eposteale (subperiostea/e) tandhee/kundige inplantate rus op die alveolere been vir primere ondersteuning. Refer to the specialist maxillo-facial and oral surgeons schedule I Verwys asb na die spesialis kaak·, gesigs· en mondchirurg skedule
Transosteallmplants I Transosteale inplantate
Transosteal dental implants penetrate both cortical plates and pass through the full thickness of the alveolar bone I Transosteale tandheelkundife inplantate penetreer beide die kortikale beenplate en strek deur die vo/ledige dikte van die alveolere been. Refer to the specialist maxillo-facial and oral surgeons schedule I Verwys asb na die spesialis kaak·, gesigs- en mondchirurg skedule
I. PROSTHODONTICS, FIXED I PROSTODONSIE, VAS
The words 'bridge' and 'bridgework' have been replaced by the term 'fixed partial denture' I Die woorde 'brug' en 'brugwerk' word deur die term 'vaste gedeeltelike gebit' vervang · _ _ Each abutment and pontic constitute a unit in a fixed partial den'ture I Elke anker en foptand vorm 'n eenheid in 'n vaste gedeeltelike kunsge~it. ·
Fixed partial denture pontlcs I Vaste gedecltellke kunsgebit foptande
Fixed partial denture retainers- Inlays I onlays I Ankers vir vaste gedeeltelike gebltte- inlegsels I oplegsels
Refer to inlay I onlay restorations for Inlay I onlay retainers I etWys asb na inlegse/ I oorlegsel herstellings vir inlegsels I oorlegsels as ankers
Bridge per abutment - only applicable to Maryland type bridges 1 Brug anker, per anker- slegs van toepassing op Maryland tipe brOe
Rc
FEE
TARIEF
537.60
Reel 013
406.37
304.82
203.25
628.27 839.60
1051.16
466.03
No.35212 71
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·~ ........
Code
Kode
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywlng
Only applicable to Maryland type bridges. Report per abutment. Report pontics seperately (see codes 8420. 8422 and 8424) I S/egs op Maryland tipe brQe van toepassing Rapporteer per anker. Rapporteer foplande afsonder/ik (sian kodes 8420, 8422 en 8424)
Fixed partial denture retainers- crowns I Ankers vir vaste gedeeltell -_ ke gebltte - krone_ -
Refer to crowns. single restorations for crown retainers I Verwys na krone, enkel hers telling vir krone as ankers
Rc
FEE
TARIEF
8193 Osseo-integrated abutment restoration, per abutment Been- 1704.92 gerntegreerde ankertand herstelling, per ankertand Refer to the DASA"s "General Practioner"s Guidelines to the correct use of treatment codes' for the application(s) of this code I Verwys na die TVSA se "Atgemene Praktisyn se Riglyne vir die korrekte gebruik van behandelingskodes" vir die aanwending(s) van die kode.
J. ORAL AND MAXILLOFACIAL SURGERY I KAAK-, GESIG- EN MONDCHIRURGIE .
Refer to the specialist maxillo-facial and oral surgeon schedule for surgical services not listed in this schedule I Verwys asb na die spesialis kaak-, gesigs- en mondchirurg skedule vir chirurgiese dienste wat nie in die skedule voorl<om nie.
Extractions I Ekstraksles
-- 8201 Single tooth I Enkel tand Code 8201 is charged for the first extraction in a quadrant/ Kode 8201 word vir die eerste ekstraksie in 'n kwadrant gehef. -
8202 Each additional tooth in the same quadrant I Elke bykomende tand in dieselfde kwadrant -Code 8202 is charged for each additional extraction in the same quadran I Kode 8202 word virelke bykomende ekstraksie in diesetfde kwadrant gehef.
8209 Surgical removal of a tooth requiring elevation of mucoperiosteal flap, 339.53 removal of bone and I or section of tooth l Chirurgiese verwydering van -geljrupteerde tand wat die fig van 'n mukoperiosteale flap, verwydering van been en I of gedeelte van tand benodig Includes cutting of gingiva and bone, removal of tooth structure and closure I 5/uit die sny van gingiva, been. veiwydering van tandstruktuur en thegting van wond in.
8210 Removal of unerupted or impacted tooth -first tooth I Verwydering van 8144.55 ongeerupteerde ofbeklemde land- eerste tand
8211 Removal of unerupted or impacted tooth -second tooth I Verwydering van - 426.49 ongeerupteerde of beklemde tand- tweede tand
8212 Removal of unerupted or impacted tooth - each additional tooth I 242.79 Verwydering van ongeerupteerde of beklemde tand - elke bykomende tand
8213 Surgical removal of residual tooth roots (cutting procedure) l Chirurgiese 489.85 verwydering van wortelreste (snyprosedure) · Includes cutting of gingiva and bone, removal of tooth structure and closure I 5/uit die sny van gingiva, been, verwydering van tandstruktuur en hegting van wond in.
8214 Surgical removal of residual tooth roots(cutting prcedure), each subse- 347.16 quent tooth I Chirurgiese VEJrwydering van wortelreste (snyprosedure), elke daaropvolgende tand Includes cutting of gingiva and bone, removal of tooth structure and closure I Stuit die sny van gingiva, been. verwydering van tandstruktuur en hegting van wond in.
+L
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Code
-Kode
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STAATSKOERANT, 5 APRIL 2012
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywlng
Other surgical procedures I Ander chlrurglese prosedures
8188 Biopsy - intra-oral/ Biopsie- binne mond This item does IlQ! Include the cost of the essential pathological evaluations I Hierdie item sluit ~ die koste van die noodsssklike patologlese evslussies In nie.
Repair of traumatic wounds I Hers tel van traumatiese wonde_.
8192 Appositioning (i.e., suturing) of soft tissue· injuries I Hegting van sagte weefselbeserings .
K. ORTHODONTICS I ORTODONSIE
This· schedule, applicable to occupational inJunes · and diseases, excludes orthodontic se!Vices I Hierdie skedu/e, van toepassing op beroepbeserings en -siektes,. sluit nie ortodontiese dienste in nfe.
L. ADJUNCTIVE GENERAL SERVICES I BYGEVOEGDE ALGEMENE DIENSTE
Unciasslfled treatment I Ongeklasslflseerde_ behandellng
8131 Palliative [emergency] treatment for dental pain I Noodbehandeling vir tandheelkundige pyn · This Is typically reported on a "per visit" basis for emerency treatment of dental pain where no other treatment Item Is applicable or applied for treatment of the same tooth I Hierdie
. word tiples verrneld op 'n "per besoek" grondslsg vir die noodbehsndellng van tsndheelkundlge pyn wear geen snder tsn"ef item van toepssslng Is, of toegepss word ten opsigte van dieselfde land nle
8221 Local ·treatment· of post-extraction haemorrhage - initial visit I Lokale behande/ing van post-ekstraksle bloeding - aanvanklike besoek (Excluding treatment of bleeding In the case of blood dyscraslas, e.g. haemophilla I Sluit die behandeling van bloeding in die geval van stollingsiektes bv. hemofille uit)
8223 Local treatment· of post-extraction haemorrhage - each additional visit I Lokele behandeling van post-ekstraksie bloeding - elke bykomende besoek
. 8225 Treatment of septic socket - Initial visit I Behendeling van sepfiese tandkas- aanvanklike besoek ·
8227 Treatment of septic socket - each additional visit I Behandeling van septlese tandkas - elke bykomende besoek
Anaesthesia I Verdowlng
8141 Inhalation sedation- first quarter-hour or part thereof I lnhaleringsedasieeerste kwartier of gedeelte daarvan
8143 Inhalation sedation - each additional quarter-hour or part thereof 1 lnhaleringsedes/e - elke bykomende kwartier of gedeelte daarvan No additional fee can be charged for gases used In the case of Items 8141 and 81431 Geen sddlslonsle fools meg gshef word ten opslgte van gasss gebrolk In die gsval van /tams 8141 en 8143 n/e · · . .
8144 Intravenous sedation 1/ntravenause sedasie 8145 Local anaesthetic, per visit I Plaaslike verdowlng, per besoek
Rc
FEE -TARIEF
267.17
553.44
110.45
77.52
49.78
77.52
49.78
97.86
52.92
51.46 24.16
No.35212 73
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74 No. 35212 GOVERNMENT GAZETTE, 5 APRIL 2012
Code
Kode
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISYNS
Procedure description
Prosedure beskrywing
• Code 8145 includes the use of the wand I Kode 8145 sluit die gebruik van die stafie in ·<·
8499 The relevant codes published in· the Government Gazette for Medical Practitioners shall apply to general anaesthetics for dental procedures I Die toepaslike kodes gepubliseer ·in die Staatskoerant vir Mediese Praktisyns is op a/gemene narkose vir tandheelkundige prosedures van toe passing
Professional visits I Professionele besoeke
8129 Additional fee for emergency treatment rendered outside normal working hours (including emergency treatment carried out at hospital) Not applicable where a practice offers extended service hours as the norm I Bykomende fooi vir noodgevalle, wanneer die behandeting buite die norma/a spreekur.a uitgevoer is (ins/uitende noodbehandeling wat by 'n hospitaa/ uitgavoer is). Nie van toepassing waar 'n praktyk uitgebreide diensure as die reel aanbied nie
8140 Fee for treatment at a venue other than the surgery, inclusive of hospital visits, treatment under general anaesthetic and home visits; per visit I Fooi vir behande/ing op 'n plek anders as die spreekkamer, met inbegrip van hospitaalbesoeke. behandeling onder a/gemene narkose en tuisbesoeke; perbesoek Code 8140 may be applied concurrent with codes 8101 or 8104, but in accordance with rule 001 I Kode 8140 kan gelyktydig met kodes 8101 of 8104 geeis word, maar ooreenkomstig reel 001
Drugs, medication and materials I Geneesmiddels, medikasie en materiale
8183 Intra-muscular or sub-cutaneous injection therapy, per injection lntramusku/~re of subkutane inpuitingsterapie, per inspuiting · (Not applicable to local anaesthetic l Nie van toepassing op plaaslike verdowing nie)
Rc
FEE
TARIEF
267.17
170.44
46.06
8220 Use of suture material provided by practitioner I Gebruik . van Reel hegtingmateriaal wat deur praktisyn verskaf is · · · 013
Miscellaneous services I Diverse dienste
8109 Infection control, per dentist, per hygienist, per dental assistant, per visit I 16.30 lnfeksiebeheer, per tandarts, per mondhigienis, per assistent, per besoek Code 8109 includes the provision by the dentist of new rubber gloves, masks, etc. for each patient I Kode 8109 sluit die verskaffing, deur die tandarts, van nuwe rubberhandsl<oene, maskers ens. in · ·
8110 Provision of sterilized and wrapped instrumentation in consulting rooms I Verskaffing van gesteriliseerde en verpakte instrumentasie in die spreekkamer The use of this code is limited to heat, autoclave or vapour sterilised and wrapped instruments I Die gebruik van hierdie kode is beperk tot hitte-, vogtige hitte- en stoom gestetiliseerde ins!rumente
6168 Behaviour management, by report I Gedragsbeheer, deur verslagdoening
45.96
105.17
MP
MD
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Code
Kode
STAATSKOERANT, 6 APRIL 2012
GENERAL DENTAL PRACTITIONERS ALGEMENE TANDHEELKUNDIGE PRAKTISVNS
Procedure description
Prosedure beskrywlng
May be reported In addition to treatment provided. Should be reported In 15 minute Increments I Mag bykomend lot behandellng gehef word. Behoorl in tydinleNalle van 15 minute gerapporleer te word ·
Notes/ Noles:
If requested, the report must be made available at no· charge I Die verslag moet op versoek gratis besklkbaar gestel word
The use of this code Is limited to general dental practitioners and specialists In community dentistry I Die gebruik van hierdie kode is beperk tot aigemene tandheeikundige praklisyns en spesialiste In gemeenskapstandheelkunde
Limitation I Beperking
May be reported In addition to treatment provided, when the patient Is developmentally disabled, mentally Ill, or Is especially uncooperative and difficult to manage, resulting In the dental staff utilising additional time, skill and I or assistance to render treatment.
The code can only be billed where treatment requires extraordinary effort and Is the only altematlve to general anaesthesia. The fee Includes all pharmacological, psychological and physical management adjuncts required or utilized.
Notation end justification must be recorded In the pallent record Identifying the specific behavior problem end the technique used to manage it.
Billed In 15-mlnute units. (maximum 4 units per visit and allowed once per patient per day). Limited to 12 units per year.
8304 Rubber dam, per arch I Kofferdam, per tandboog
(Refer to the guidelines for the application of a rubber dam In the preamble to the category "Endodontics" I Vetwy5 asb na die rlg/yne vir die aanwendlng van 'n kofferdam In dla In/aiding tot die kategorle "Endodonsle?
Rc FEE
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81.12
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76 No. 35212 GOVERNMENT GAZt::: 1 1 E, 5 APRIL 2012
II SPECIALIST PROSTHODONTISTS I SPESIALIS PROSTODONTISTE
(M) See Rule 0091 (W) Sien Re~l 009
Code
Kode
Procedure description
Prosedure beskrywlng
A. DIAGNOSTIC PROCEDURES I DIAGNOSTIESE PROSEDURES
8501 Consultation I Konsu/tasie
8107 Intra-oral radiographs, per film I Binnemond rontgen-foto's, per film
8108 Maximum for 6107 I Maksimum vir 8107
8113 Occlusal radiographs I Okktusate rontgenfoto's
6115 Extra-oral radiograph, per film I Bu/temond rontgenfoto, per film (I.e. Panoramic. cephalometric, PA I I.e. Panoramies. kefalomelries. PA)
The fee Is chargeable to e maximum of two films per treatment plan I Dis tarief mag tot "n makslmum van twes films per behandelingsplen gehef word. · ·
6117 Study models- unmounted I Studiemode/le- ongemonteer
6119 Study models - mounted on adjustable articulator I Studiemodelle - op verstelbare artikulator gemonteer ·
8121 Diagnostic photographs, per photograph I Diagnostiese fotos, per.foto
6503 · Occlusal analysis on adjustable articulator I Okkfusale analise op verstelbare arlikulator
6505 Pantographic recording I Pantograafopnames
6506 Detailed clinical examination, recording, radiographic interpretation, diagnosis, . treatment planning and case presentation I Gedetailleerde kliniese ondersoek, rekordhouding, radiografiese interpretasie, diagnose, beplanning van behandeling en uiteensetting van geval. Note: Code 8506 is a separate procedure from 8507 and Is applicable to craniomandibular disorders, Implant placement or orthognatic surgery where extensive restorative procedures will be required I Kods 8506 is 'n afsondertike prosedura van kode 8507 en Is van toepassing op kraniomandibu/~18 afwykings. plasing van implantale en ortognatiese chirurgia wear uilgebreide herstelprosedures benodig word
Rc
FEE
TARIEF
204.82 71.01
570.63 110.45
. 292.66
79.66 204.82
79.66 416.96
611.16 679.61
6507 Examination, diagnosis and treatment planning I Ondersoek, diagnose. en 416.96 behandelingsbeplanning ·
6506 Electrognathographic recording I Elektrognatografiese opname 679.95 6509 Electrognathographic recording with computer · analysis I 1090.03
Elektrognatografiese opname met rekenaaranalise.
B. PREVENTIVE PROCEDURES I VOORKOMENDE PROSEDURES
This schedule, applicable to occupational injuries and diseases, excludes preventive services I Hierdie skedule, van toepassing op beroepbeserings en -siektes, sluit nie voorkomende dienste in nie. ·
C. TREATMENT PROCEDURES I BEHANDELINGSPROSEDURES
Emergency treatment I Noodbehandellng
6511 Emergency treatment for relief of pain (where no other tariff code is applicable) I Noodbehandefing vir pyn-vertigting (as geen ander tariefkode van toepassing is nie)
252.66
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STAATSKOERANT, 5 APRIL 2012 No.35212 77
II SPECIALIST PROSTHODONTISTS I SPESIALIS PROSTODONTISTE
(M) See Rule 009 I (W) Sien Reel 009.
Code Procedure description
Kode Prosedure beskrywing
8513 Emergency crown I Noodkroon (Not applicable to temporary crowns placed during ,.routine crown and bridge preparation I Nie van toepasslng op die plasing van tydelike krone gedurende roe tine kroon en brug voorberelding
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413.79 +L T
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8515 Re-cementlng of Inlay, crown or bridge, per abutment I Hersementering van 1 160.44 · · · T inlegsels, kroon of brug, per ankertand
8517 Re-lmplantation of an avulsed tooth, including . fixation as required I 428.28 +L T Herinplantering van 'n uitgestampte tand, insluitende fiksasie soos benodig
Provisional treatment I Tydelike behandeling
8521 Provisional splinting - extracoronal wire, per sextant I Tydelike spa/king -ekstrakoronale draad, per sekstant.
8523 Provisional splinting - extracoronal wire plus resin, per sextant I Tydelike spa/king- ekstrakoronale qraad plushars, per sekstant
8527 Provisional splinting - intercoronal wire or pins or cast bar, plus amalgam or resin, per dental unit included in the splint I Tyde/ike spa/king - interkorona/e draad of penne of gegote stang plus amalgaam of hars, per tandeenheid in die spalk ingesluit · ·
8529 Provisional crown/ Voor/opige kroon Crown utilized as an Interim restoration for at least six weeks during restorative treatment to allow adequate time for healing or completion of other procedures. This Includes, but Is not limited to, changing vertical dimension, completing periodontal therapy or cracked tooth syndrome. This code should not be utilised for a temporary crown In a routine prosthetic restoration I Kroon gebruik as 'n voorfopige herstelling vir ten minste ses weke gedurende herstel/ende behandeling om voorsiening te maak vir voldoende tydsverfoop vir gene sing, of die voltoo/ing van ander prosedures. Dit sluit in maar is nie beperk tot die verandering van die vertikale dimensie, voltooing van perdiodontale behandeling of gefraktuurde tandsindroom nie. Die prosedurekode word nie gebruik vir 'n tydelike kroon in 'n alledaagse prostetiese herste/ling nie.
8530 Preformed metal crown I Voorafvervaardigde metaalkroon
Occlusal adjustment I Okklusale verstelllng
8551 Major occlusal adjustment I Volledige okklusa/e verstel/ing This procedure can not be carried out without study models mounted on an adjustable articulator I Hierdie prosedure mag nie uitgevoer word sander studiemodelle op verstelbare artikulator gemonteer nie.
8553 Minor occlusal adjustment I Geringe okklusa/e verstelling
Ceramic and I or resin bonded Inlays and veneers I Kcramlek en 1 of harsgebonde lnlegsels en flneer5els :
In some of the procedures below (e.g. Direct hybrid Inlays) +L may not apply I In sommige van die ondergenoemde prosedures (bv. Direkte gemengde harsinlegsels) mag +L. nie van toepassing wees nle. '
8554 Bonded veneers I Gebonde fineerse/s 8555 One surface I Een v/ak 8556 Two surfaces I Twee vlakke 8557 Three surfaces I Drie v/akke 8558 Four or more surfaces I Vier of meer vlakke
Gold restorations (only applicable with prior authorization) I Goudherstelllngs (vooraf goedkeurlrig benodig)
344.36
504.23
160.44 +L
413.79 +L T
351.32 T
478.84
371.10
1206.87 +L T 1555.61 +L . T 2245.99 +L T
3619.48 +L T: 3619.48 +L T
78 No. 36212 GOVERNMENT GAZETTE, 6 APRIL 2012 ;· .. -..
II SPECIALIST PROSTHODONTISTS I SPESIALIS PROSTODONTISTE
(M) See Rule 0091 (W) Slen Real 009
Code
Kode
Procedure description
Prosedure beskryw/ng ·
8571 One surface I Een vlak 8572 Two surfaces I Twee vlakke 8573 Three surfaces I Drie vlakke 857 4 Four or more surfaces I Vier of meer vlakke 8577 Pin retention I Penretensie
PostS and copings I Stiwwe en vingerhoede
8581 Single post I Enkelstif 8582 Double post I Tweeledige stif 8583 Triple post I Drieledige stif 8587 Copings I Vingerhoede 8589 Cast core with pins I Gegote kem met penne
Preformed posts and cores I Voorafvervaardigde stiwwe en kern
8591 Core build-up, Including all pins I Opbou van kern, aile penna ingesluit Refers to the building up of an anatomical crown when a restorative crown will be placed, whether or not pins are uaed I Verwya na die opbou van 'n anatomleae kroon wanneer 'n heratellende kroon geplaas gaan word, met of a onder die gobrulk van penna
8593 Prefabricated post and core In addition to crown I Vooraf vervaardlgde stlf en kam bykomend tot kroon · Core 11 built around a prefabricated poat(a). Olo kem word random 'n voorafvervurdlgde pen(ne) opg1bou
lmplantsllnplantote
Rc
FEE TARIEF
MP:
M. D
747.02 +L T 1080.03 +L T 1671.88 +L T 1671.88 +L T 249.53 T
414.67 +L T 596.47 +L T 747.69 +L T 357.05 +L T 589.17 +L T
413.79 T
767.13 T
8592 Osseo-Integrated abutment restoration, per abutment I Been-gerntegreercte 2555.41 +L T ankertand herstel/lng, per ankertand
8600 Cost of Implant components I Kosta van lnplantaat komponente Reel 013 9190 Exposure of a single osseo-Integrated Implant and placement of a 607.14
transmucosal element I Blootlegglng van een ossao-gelntegreerde lnplantaat en plaslng van 'n transmukosale element ·
9191 Exposure of a second osseo-Integrated implant and placement of a 455.25 transmucosal element In the same jaw I Blootlegglng van 'n .tweede osseogelntegreercte lnplantaat en plaslng van 'n transmukosale element In dleselfde kaak
9192 Exposure of a third and subsequent osseo-integrated Implant In the same jaw, per Implant I Blootlegglng van 'n dercle en daaropvolgende osseogelntegreerde lnplantaat in diese/fde kaak, per lnplantaat.
Connectors I Verblnders
8597 Locks and milled rests I Slotte en gemasjineercle ruste 8599 Precision attachments I Slothegtings
Crowns I Krona
303.12
169.31 +L T 413.79 +L T
8601 Cast three-quarter crown I Gegote driekwartkroon · 1671.88 +L T
8603 Cast gold crown (authorization needed) I Gegote goue kroon _(goedkeuring 1671.88 +L T benodig)
STAATSKOERANT, 5 APRIL 2012 No. 35212 79
SPECIALIST PROSTHODONTISTS I SPESIALIS PROSTODONTISTE (M) See Rule 009 I (W) Sien Re~l 009
Code I
Koae
Procedure description
Prosedure beskrywing
8605 Acrylic veneered gold crown I Akrielgefineerde goue kroon 8607 Porcelain jacket crown I Porse/elndopkroon 8609 Porcelain veneered metal crown I Porseleingefineerde metaalkroon
Bridges I Brugwerk
(Retainers as above.! Ankers soos bo)
8611 Sanitary pontic I Sanitt§re foptand 8613 Posterior pontic I Posterior foptand 8615 Anterior pontic I Anterior foptand
Resin bonded retainers I Harsgebonde ankers
8617 Per abutment I Per ankertand Per pontic (see 8611, 8613, 8615) I Perfoptand (sien 8611, 8613, 8615)
Conservative treatment for; temporo-mandibular joint dysfunction I Konserwatlewe behandellng vir temporo-mandibulere gewrig disfunksle
8625 Bite plate for TMJ dysfunction I Bytplaat vir TMG-disfunksie 8621 First visit for treatment of TMJ dysfunction I Eerste besoek vir behandeling
van TMG-disfunksie 8623 Follow~up visit for TMJ dysfunction I Opvo/gbesoek vir TMG-disfunksie
The number of visits and fees therefore depend on the relationship between the practitioner and the patient, and the problems Involved In the case I Die aantal besoeke en koste daaraan verbonde Is afhanklik van die ooreenkoms tussen die pasi~nt en die tandarts sowe/ as die aard en omvang van die geval.
Endodontic procedures I Endodontlese prosedures
ROOT CANAL THERAPY I WORTELKANAALBEHANDELING
Procedure codes 8631, 8633 and 8636 Include all X-rays and repeat visits I Prosedurekodes 8631, 8633 en 8636 sluit aile X-straaffoto's en opvolgbesoeke in
8631 Root canal therapy, first canal/ Wortelkanaalterapie, eerste kanaal 8633 Each additional canal/ Elke bykomende kanaa/ 8636 Re-preparation of previously obturated canal, per canal I Hervoorbereiding
van kanaal wat voorheen geobtureer was
OTHER ENDODONTIC PROCEDURES I ANDER ENDODONTIESE PROSEDURES
8635 Apexification of root canal,. per visit I Apeksifikasie van wortelkanaa/, per besoek
8637 Hemisection of a tooth, resection of a root or tunnel preparation (as an isolated procedure) I Hemiseksie van 'n tand, wortelreseksie of tonnelvoorbereiding (as 'n geTsoleerde prosedure)
9015 Apicectomy including retrograde root filling where necessary - anterior tooth I Apisektomie insluitend retrograde wortel herstel indien aangedui - anterior tand
Rc
FEE MP·
TARIEF M D
1860.97 +L T 1671.88 +L T
2087.58 +L T
1261.35 +L T 1554.418 +L T
1671.88 +L T
515.01 +L T
638.31 +L
145.50
108.54
1463.14 365.59
244.25
244.37.
682.42
809.71
T T T
T
T
T
9016 Aplcectomy including retrograde root filling where necessary- posterior tooth I 1209.57 T Aplsektomle lnsluitend retrograde wortel herstel indien aangedul - posterior tand
80 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
II·
Code
Kode
SPECIALIST PROSTHODONTISTS I SPESIALIS PROSTODONTISTE (M) See Rule 009 I (W) Sien RMI 009
Procedure description
Prosedure beskrywlng
Rc
FEE
TARIEF
8640 Removal of fractured ·past or instrument from root canall Verwydering van gebreekte stif of instrument vanuit die wortelkanaal · ·. · ··
.428.05
Prosthetics (Removable) I Prostetlka (Verwyderbaar)
8641 Complete upper and lower dentures without primary complications I Voila 4178.86 +L kunsgebit - bo en onder sonder pn"mere komplikasies
8643 Complete upper ·and lower dentures without major complications I Valle 5423.82 +L kunsgebit - bo en onder sonder groot komplikasies ·
8645 Complete upper and lower dentures with major complications I Volle 6671.01 +L kunsgebit- bo en onder met groot komplikasies
8647 Complete upper or lower denture without primary complications .I Voila 2923.46 +L kunsgebit - bo of onder sander primflre komplikasies .•. ~ .. '
8649 Complete· upper or lower denture without major complications I · Voila 3339.95 +L
8651
8661
8662
8663
8664
8665 8667
. 8668 8669
8671
8672
8674 8679 8273
8275
kunsgebit bo of onder sonder groat komplikasies
Complete upper or lower denture with major complications I Volfe kunsgebit -bo of onder met groot komp/ikasies · , .. · Diagnostic dentures (inclusive of tissue conditioning treatment)' I Diagnostiese kunsgebit (met inbegrip van weefselopknappingsbehandeling) · ·
Remounting and occlusal adjustment of dentures I Hermontering en okklusale vet'Stelfing van kunsgebit · ·
Chrome cobalt base base for full denture (extra charge) I Ch.room- koba/t basis vir valle kunsgebit (ekstra koste) Remount of crown or bridge for extensive prosthetics I Hermontering van kroon of brug vir omvattende prostetika Re-base, per denture I Herbasering, per kunsgebit Soft base, per denture (heat cured) I Sagle basis, per kunsgebit (hitte verhardend) Tissue conditioner, per denture I Weefselopknapper, per kunsgebit Intra-oral reline of complete or partial denture I Binne-mondse opvulling van voila- of gedeelte/ike kunsgebit. Metal (e.g. Chrome cobalt or gold) partial denture I Metaal (bv Chroom-kobalt of goud) gedeeltelike kunsgebit · ·
Additional fee for altered cast technique for partial denture I Bykomende fool vir veranderde giettegniek, gedeeltelike kunsgebit Additive partial denture I Aanlasbare gedeeltelike kunsgebit Repairs I Herstelwerk Additional fee where impression is required for 8679 I Bykomende fool waar 'n afdruk vir 8679 benodig word Adjustment of denture I Verstelling van kunsgebit (After six months or for a patient of another practitioner INa sas maanda of vir 'n pasiSntvan 'n andar tandarts) · ·
· 3756.21 +L
3339.95 +L
:480.75 +L
1006.32 +L
489.85
674.10 +L 1005.53 +L
249.42 371.10
3339.95 +L
130.78 +L
1513.47 +L 169.31 +L
77.52 +L
77.52 +L
..... ':' .. ., •. -r ... , ', -,., .. ~ .--~ ~
. ·'" · ... _ '
· ..
I I I
I MP I M D i
===-=-
I'
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STAATSKOERANT, 5 APRIL 2012 No.35212 81
. . .. 111. . SPECIALIST MAXILLO· FACIAL AND ORAL SURGEONS I SPESIALIS KAAK~, GESIGS-
If extractions (codes 8201 and 8202) are carried out by specialists In maxillo- facial and oral surgery, the fees shall be equal to the appropriate tariff fee plus 50 per cent (See Modifier 8002) I lndien ekstraksies (kodes 8201 en 8202) deur spesialiste in kaak·, geslgs- en mondchlrurgie uitgevoer word, Is die fooie gelyk san die toepaslike tarief plus 50 persent (Sien Wysiger 8002).
The fee for more than one operation or procedure performed through the same Incision shalf be calculated as the fee for the major operation plus the tariff fee for the subsidiary operation to the Indicated maximum for each such subsidiary operation or procedure (See Modifier 8005)/ Die fooi vir meer as een operasie of prosedure via dieselfde insnyding uitgevoer. word bereken as die fooi vir die hoofoperasle plus die tariefgelde van die bykomende operasie tot die aangeduide maksimum vir elke sodanige operasie of prosedure (Sien Wysiger 8005).
The fee for more than one operation or procedure performed under the same anaesthetic but through another Incision shall be calculated on the tariff fee for the major operation plus:
75% for the second procedure I operation (Modifier 8009) .
50% for the third and subsequent procedures I operations (Modifier 8006) I Die fooi vir meer as een operasle of ingieep onder dieselfde narkose maar via 'n ander insnyding uitgevoer, word bereken as die fooi vir die hoofoperasie plus: ·
75% vir die tweede procedure I operasie (Wysiger 8009)
500~ vir die derde endaaropvolgendeprosedures I operasies (Wysiger 8006). '
This rule shall not apply where two or more unrelated operations are performed by practitioners in different specialities, In which case each practitioner shalf be entitled to the full fee for his operation I · Hierdie rei31 is nle van toepassing waar twee of meer onver.vante operasies deur praktisyns van verskillende spesialiteite uitgevoer word nle, In welke geval elke praktisyn geregtig is op die volle fooi vir sy operasie.
If, within four months, a second operation for the same condition or injury Is performed, the fee for the second operation shall be half of that for the first operation I · · Indian daar binne vier maande 'n tweede operasle vir dieselfde toestand of besering uitgevoer word, is die fool vir die tweede operasie die helfte van die vir die eerste.
The fee for an operation shall, unless otherwise stated, Include normal post-operative eare for a period not exceeding four months. If a practitioner does not himself complete the post-operative care, he shall arrange for it to be completed without extra charge: provided that in the case of post-operative treatment of a prolonged or specialised nature, such fee as may be agreed upon between the practitioner and the Compensation Fund may be charged I Die fool vir 'n operasie sluit in, tensy daar enders vermeld word, die normale na-operatiewe versorging vir 'n tydperk van hoogstens vier maande. lndien 'n praktlsyn nle self die na-operatiewe versorglng voltool nle, moet hy retJI dat dit voltooi word sonder bykomende hefflng: met dlen verstande dat, In die gavel van naoperatiewe behandeling van 'n langdurige of gespesialiseerde aard, sodanlge fool gehef kan word as waarop die praktlsyn en die Vergoedingsfonds ooreengekom het.
The fee payable to a general practitioner assistant shall be calculated as 15% of the fee of the practitioner performing the operation, with the Indicated minimum (See Modifier 8007). The assistant's fee payable to a maxilla- facial and oral surgeon shalf be calculated at 33,33% of the appropriate scheduled fee (Modifier 8001). The assistant's name must appear on the Invoice rendered to the Compensation Fund I Die bedrag san 'n algemene praktlsyn assistant betaalbaar word bereken op 15% van die fool van die praktisyn wat die operas/a ultvoer, met die aangedulde minimum {Sien Wyslger 8007). Die bedrag san 'n kaak·, geslgs- en mondchlrurg assistant betaalbaar word bereken op 33,33% van die toepaslike foote (Wysiger 8001). Die assistant se naam moet op.dle rekenlng wat san die Vergoedlngsfonds gelewerword verskyn.
The additional fee to all members of the surgical team for after hours emergency surgery shall be calculated by adding 25% to the fee for the procedure or procedures performed (8008) I · Die bykomende fooie vir aile lade van die snykundige span vir na-ure noodoperasles sal bare ken word deur 25% by die fool vir die prosedure of prosedures uitgevoer byte voeg (8008).
In cases where treatment Is not listed In this schedule for general practitioners or specialists, the appropriate fee listed In the medical schedule(s) shall be charged, and the relevant medical tariff code must be indicated (See Rule 012) I In gevalle waar behandeling nie In hlerdle skedule vir a/gemene praktisyns of speslallste gelys is nle, sal die toepaslike fool, gelys In die mediese skedule(s) gevra word, en die betrokke medlese tariefkode ·moat· aangedui word (Sian Rei31 012).
82 No. 35212 GOVERNMENT GAZt:: I I E, 5 APRIL 2012
Ill SPECIALIST. MAXILLO- FACIAL AND ORAL SURGEONS I
SPESIALIS KAAK-, GESIGS- EN MONDCHIRURGE
Code
Kode
(M) See Rule 009/ (W) Sien Rear 009
Procedure description
Prosedure beskrywing
CONSULTATIONS AND VISITS I KONSULTASIES EN BESOEKE
· 8901 Consultation at consulting rooms I Konsultasie by spreekkamers 8902 Detailed clinical examination, radiographic interpretation, diagnosis,
treatment planning and case presentation I Gedetai/leerde kliniese ondersoek, radiografiese interpretasie, diagnose, behandelings-beplanning en uiteensetting van geval Code 8902 is a separate procedure from code 8901 and is applicable to craniomandibular disorders, implant placement and orthognathic and maxillofacial reconstruction I Kode 8902 is 'n afsonderfike prosedure van kode 8901 en is van toepassing op kraniomandibulere afwykings, plasing van implantate en ortognatie~e- en kaak-en.gesig herkonstruksie
8903 Consultation . at hospital, nursing home or house I Konsu/tasie by hospitaal, verpleeginrigting of tuis
8904 Subsequent consultation at consulting rooms, hospital, nursing home or house I Daaropvolgende konsultasie. by spreekkamer, ·. hospitaal, verpleeginrigting of luis
8905 Weekend visits and night visits between 18h00- 07h00 the following day I Naweek- en nagbesoeke tussen 18h00 en 07h00 die volgende dag
8907 Subsequent consultations, per week, to a maximum of I Daaropvolgende konsultasies per week, tot 'n maksimum van ·subsequent consultation• ·shall· mean,· in · connection with items 8904 and 8907, a consultation for the same pathological condition provided that such consultation occurs within six months of the first consultation I
"Daaropvolgende konsultasie" betaken, in terme van items 8904 en 8907, 'n konsu/tasie vir dieselfde siektetoestand mits sodanige konsu/tasie plaasvind binne ses maande vanaf die eersle konsultasie."
·•
INVESTIGATIONS AND RECORDS I ONDERSOEKE EN REKORDS .
8107 Intra-Oral radiographs, per film I Binnemond rontgen~foto's, per film 8108 Maximum for 8107/ Maksimum vir8107 -· 8113 Occlusal radiographs I Okklusa/e rontgenfoto's 8115 Extra-oral radiograph, per film I Buitemond rontgeryfoto, per film
(i.e. panoramic, cephalometric, PA I i.e. panoramies, kefalometries, PA)
A maximum of two films per treatment plan may be charged for I 'n Maksimum van twee films per behandelingsplan mag geeis word.
8117 Study models- unmounted I Studiemodelle - ongemonteer 8119 Study models -mounted on adjustable articulator/ Studiemodelle- op
verstelbare artikulator gemonteer. 8121 Diagnostic photographs- per photograph I Diagnostiese foto's- per foto 8917 Biopsies - intra-oral/ Biopsies- binnemond · 8919 Biopsy of bone- needle I Beenbiopsie- naald 8921 Biopsy of bone- open I Beenbiopsie- oop ·.
'!' • •
ORTHOGNATHIC SURGERY AND TREATMENT PLANNING I ORTOGNATIESE CHIRURGIE EN BEHANDELINGSBEPLANNING
Rc
FEE
TARIEF
202.68 568.27
226.28
110.45
325.82
374.13
70.90 565.47 110.45 291.89
79.77 +L 204.82 +L
79.77 390.98 718.94 765.22
NP I
NO I
84 No.35212 GOVERNMENT GAZt:. 1 1 E, 5 APRIL 2012
Ill SPECIALIST MAXILLO-FACIAL AND.ORAL SURGEONS I
SPESIALIS KAAK-, GESIGS-EN MONDCHIRURGE
Code
Kode
(M) See Rule 0091 (W) Sian Reel 009 ··
Procedure description
Prosedure beskrywlng
8953 Surgical removal of residual roots roots (cutting procedure) I Chirurgiese verwydering van wortelreste (snyprosedure) Includes cutting of gingiva and bone, removal of tooth structure and closure I Sluit die sny van gingiva, been, verwydering van tandstruktuur en hegting van wond ln.
8955 Surgical removal ofresidual tooth roots (cutting procedure), each (MIW) subsequent tooth I Chirurgiese verwydering van wortelreste (snyprosedu-
re), e/ke daaropvolgende tand · Includes cutting or gingiva and bona, removal of tooth structure and closure I Sluit die sny van gingiva. been. verwyderlng van tandstruktuur en hegting van wond ln.
(See Rule 011 and Notes 2 and 3 I Sian Re~l 011 en Notas 2 en 3)
Unerupted or Impacted teeth I Ongetirupteerde of beklemde tande
8941 First tooth I Eerste tand 8943 Second tooth I Tweede tand 8945 Third tooth I Derde tand 8947 Fourth and subsequent tooth I Vierde en daaropvolgende tand
DIVERSE PROCEDURES I DIVERSE PROSEDURES
8908 Removal of roots from maxillary antrum involving Caldweii-Luc procedure and closure of oral-antral communication I Verwydering van tandwortels van die maksiltJre antrum insluitend Caldwe/1-Luc operasie en herstel van antra-orale fistel ·
8909 Closure of oral-antral fistula - acute or chronic I Sluiting van antra-orale fistel - ak~ut of chranies
8911 Caldwell-Luc procedure I Ca/dwe/1-Luc prosedure 8965 Peripheral neurectomy I Perifere neurektomie 8966 Functional repair of oronasal fistula (local flaps) I Funksionele herstel van
oronasale fistula (lokale flappe) 8977 Major repairs of upper or lower jaw (i.e. by means of bone grafts or
prosthesis, with jaw splintage) I Major herstelwerk aan bo- of onderkaak (bv. deur middel van beenoorp/anting of prostese. met kaakspalking) (Modifiers 8005 and 8006 are not applicable In this Instance. The full fee may be charged Irrespective or whether this procedure Is carried out concomitantly with procedure 8975 or as a separate procedure I "WsigetS 8005 en 8006 Is nie van toepassing In hierdie geval nie. Die voile fool kan gehef word ongeag of hierrlie prosedure gelyktydig met prosedure 8975 of as 'n afsonderlike prosedure uitgevoer word)
8962 Harvest illiac crest graft /lnsameling van heupbeen 8963 Harvest rib graft llnsameling van ribbebeen 8964 Harvest cranium graft llnsameling van skedelbeen 8979 Harvesting of autogenous grafts (intra-oral) I lnsameling van outogene
been (binnemond)
9048 Removal of internal fixation devices, per site I Verwydering van interne fiksasietoestel/e, per area ·
SURGICAL PREPARATION OF JAWS FOR PROSTHETICS I CHIRURGIESE VOORBEREIDING VAN KAKEBEEN VIR PROSTETIEK
8987 Reduction of mylohyoid ridges, per side I Reduksie van tongriwwe, per kant
Rc
FEE
TARIEF
719.27
na/nvt
1191.48 639.95 365.59 365.59
2456.32
1886.59
740.17 1618.07 2291.16
3846.76
1631.32 1876.81 1467.19 264.71
850.05
1656.39. ·+L
r /" MP I MD
I
T
T
T T T T
STAATSKOERANT, 5 APRIL 2012 No.35212 8S
Ill . SPECIALIST MAXILLO- FACIAL AND ORAL SURGEONS I
SPESIALIS KAAK-, GESIGS- EN MONDCHIRURGE (M) See Rule 009/ (W) Sien Reel 009
Code Procedure description
Kode Prosedure beskrywlng
8989 Torus mandibularis reduction, per side I Raduksia van torus mandibularis, per kant
8991 Torus palatinus reduction I Raduksia van torus palatinus
8993 Reduction of hypertrophic tuberosity, per side I Reduksia van hipertrofiesa tuberositeite, per kant · · · · - · · ·
See procedure code 8971 for excision of denture granuloma I Slen prosedure kode 8971 vir die verwyderlng van kunsgebltgrsnuloom
8995 Gingivectomy, per jaw I Gingivektomla, per kaak 8997 Sulcoplasty I Vestibuloplasty I Su/kop/astiek I Vestibulo-plastiek
9003 Repositioning mental foramen and nerve, per side I Herplasing van formen menta/a en sanuwee, per kant
9004 Lateralization of inferior dental nerve (including bone grafting) I Lateralisasie van inferior alveo/ere senuwea (ins/uitend beenoorplanting)
9005 Total alveolar ridge augmentation by bone graft I Verstarking van totale a/veo/~re rif daur beenoorp/anting
9007 Total alveolar ridge augmentation by alloplastic material/ Versterking van totala a/veol~ra rif met al/op/astiesa materiaal
9008 Alveolar ridge augmentation across 1 to 2 adjacent tooth sites I Varsterking van a/veo/ere rifwat strek oor 1 tot 2 naas/igganda tand areas.
9009 Alveolar ridge augmentation across 3 or more tooth sites I Versterking van a/veo/~re rifwat strek oor 3 of meer naas/iggande land areas
9010 Sinus lift procedure I Sinus Jig prosedure
SEPSIS I SEPSIS
9011 Incision and drainage of pyogenic abscesses (intra-oral approach) I lnsnyding en dreinering van piogene absesse (intra-ora/a toegang)
9013 Extra-oral approach, e.g. Ludwig's angina I Ekstra-ora/e toagang, bv. Ludwigangina
9015 Apicectomy including retrograde filling where necessary - anterior teeth I Apisektomie ins/uitend retrograde hers tel waar nodig - anterior tanda
9016 Apicectomy including retrograde filling where necessary, posterior teeth I Apisektomie insluitend retrograde hersta/ waar nodig, posterior tanda
9017 Decortication, saucerisation and sequestrectomy for osteomyelitis of the mandible I Dekortikasia, uitholling an sakwestrektomla vir osteomie/itis van die mandibu/a
9019 Sequestrectomy - Intra-oral, per sextant and I or per ramus I Sekwestrektomie- intra-orale toegang, per sekstant an I of per ramus
TRAUMAITROUMA
Treatment of associated soft tissue Injuries I Behandellng van gepaardgaande sagteweefselbeserlngs - ·
9021 Minor I Gering
9023 Major I Uitgabreld
9024 Dento-alveolar fracture, per sextant sekstant
Dento-alveo/Gre fraktuur, per
Rc
FEE MP
TARIEF MD
1656.39 +L
1656.39 +L 736.34 +L
1469.10 +L 3708.90 +L 2248.12 +L
4457.38
3774.29 +L
2433.73 +L
1555.61 +L
1734.92 +L
2456.32 +L
461.76
- 628.27
809.71
1621.21
3333.77
718.37
809.71 1709.53 809.71 +L
T
T
a a No.36212 GOVERNMENT GAZETTE, 6 APRil. 2012
SPECIALIST MAXILLO- FACIAL AND ORAL SURGEONS I Ill SPESIALIS KAAK-, GESIGS- EN MONDCHIRURGE
(M) See Rule 009/ (W) Slen Reel 009
Rc
Code Procedure description FEE MP
Kode Prosedure beskrywlng TARIEF MD
Mandibular fractures I Frakture van die mandlbula
9025 Treatment by closed reduction, with Intermaxillary fixation I Behandeling 1796.71 deur middel van toe reduksie, met intermaksil~re fiksering
9027 Treatment of compound fracture, involving eyelet wiring I Behandeling van 2521.82 oop fraktuur deur middel van ogies en kruisbedrading
9029 Treatment by metal cap splintage or Gunning's splints I Behandelingdeur 2795.72 +L middel van metaaldopspalke of Gunningspalke
9031 Treatment by open reduction with restoration of occlusion by splintage/ 4140.10 +L Behandeling deur middel van oop reduksie en herstel van okklusie met spalke
Maxillary fractures with special attention to occlusion I Frakture van die maksllla met speslale aandag aan okklusle
• When open reduction is required for Items 9035 and 9037, Modifier 8010 may be applied I Wanneer oop reduksie vir Items 9035 en 9037 benodig is, mag ~siger 8010 ge~ls word
9035 Le Fort I or Guerin fracture I Le Fort 1-fraktuur of Guerln-fraktuur 2527.88 +L 9037 Le Fort II or middle third of face fracture I Le Fort 11-fraktuur of mlddelste 4139.99 +L
derde van geslg fraktuur 9039 Le Fort Ill or craniofacial dislocation or comminuted mid-facial fractures 6935.11 +L
requiring open reduction and splintage I Le Fort 11/.fraktuur of kranlofaslale ontwrlgtlng of verbrokke/de fraktuur van m/d-ges/g wat oop reduksle en spa/king vere/s
Zygoma I Orbit I Antral • complex fractures/ Wangbeon I Oogkaol Antrum • oop frakture
9041 Gillies or temporal elevation I Gillies of temporal& elevasle 1796.48 9043 Unstable and I or comminuted zygoma fractures, treatment by open 3598.47
reduction or Caldweii-Luc operation I Onstab/ele en I of verbrokkelde wangbeen frakture, behandellng deur m/ddel van oop reduksle of Ca/dwe/1-Luc operesle
9045 Requiring multiple osteosynthesis and I or grafting I Verels veetvuldige 5394.71 osteoslntese en I of beenoorplanting
FUNCTIONAL CORRECTION OF PMLOCCLUSIONS I FUNKSIONELE HERSTEL VAN WANOKKLUSIES
For Item• 9047 to 9072 the full fee may be charged I.e. notea 2 end 3 (re Rule 011) wlll not apply I Die voile fool ken gehef word vir prosedures 9047 tot 9072 d.w.s. notes 2 en 3 (l.s. Reil/ 011) Is n/e van toepasslnQ nie.
9047 Operation for the Improvement or restoration of occlusal and masticatory 7553.19 +L function, e.g. bilateral osteotomy, open operation (with lmmobilisation) I Operas/a ter verbetering of herstel van okklusie- en koufunksie, bv. bilaterale osteotomie, oop operasie (met immobilisering)
9049 Anterior segmental osteotomy of mandible (KOie) I Anterior segmentele 6292.95 +L osteotomie van die mandibel (Kole)
9050 Total subapical osteotomy I Totale subapikale osteotomie 12707.91 9051 Genioplasty I Kenplastiek 3598.47
' STAATSKOERANT, 5 APRIL2012 No.35212 87
Ill ·SPECIALIST MAXILLO- FACIAL AND ORAL SURGEONS I
SPESIALIS KAAK-, GESIGS· EN MONDCHIRURGE
Code
Kode
(M) See Ruh~ 0091 . (W) Sien Re~l 009
Procedure description
Prosedure besluywing
9052 Midfacial exposure (for maxillary and ria sal augmentation or pyramidal Le Fort II osteotomy) I Midfasiale ontbloting (vir maksillere en nasale augmentasie of piramidale Le Fort 11-osteotomie) ·
9055 Maxillary posterior segment osteotomy (Schukardt) · - 1 or 2 ·stage procedure 1 Posterior segmentele osteotomie van die maksH/a (Schukardt) - 1-stadium of 2-stadium prosedure
9057 Maxillary anterior segment osteotomy (Wassmund) • 1 or 2 stage procedure I Anterior segmentele osteotomie van die maksilla (Wassmund) - 1-stadium of 2-stadium prosedure
9059 Le Fort I osteotomy - one piece I Le Fort 1-osteotomie - een stuk 9062 Le Fort I osteotomy - multiple segments I Le ·Fort 1-osteotomie -
veelvuldige segmente 9060 Le Fort I osteotomy with inferior repositioning and inter-positional grafting I
Le Fort 1-osteotomie met inferior herposisionering en inter-posisionele transplantaat
9061 Palatal osteotomy I Palatale osteotomie ·. 9063 Le Fort II osteotomy for the correction of facial deformities or faciostenosis
and post-traumatic deformities I Le Fort 11-osteotomie . ter korreksie van gesigsdeformiteite of fasiostenose en post traumatise deformiteite ·
9071 Geniohyoidotomy I Geniohioredotomie 1618.07 . 9072 Functional closure of a secondary oro-nasal fistula and associated
structures with bone grafting (complete procedure) I Funksionele herstel . van sekondere oro-nasale fistel en verwante strukture met been transplantaat (vol/edige prosedure)
TEMPORO-MANDIBULAR JOINT PROCEDURES I PROSEDURES VIR : TEMPORO-MANDIBULERE GEWRIGTE
For Items 9081, 9083 and9092 the full fee may be charged per side 1 Vir lte~s S081,' 90B3 en 9092 mag vo/ledige fooi per kant gehef word · ·
9073 Bite plate for TMJ dysfunction I Bytplaat vir TMG-disfunksie 9074 Diagnostic arthroscopy I Diagnostiese artroskopie 9075 Condylectomy or coronoidectomy or both (extra-oral approach) j
Kondilektomie of koronoi"dektomie of beide (ekstra-orale toegang) 9076 Arthrocentesis TMJ I Artrosintese TMG 9053 Coronoidectomy (intra-oral approach) I Koronoi'dektomie . (intra-orale
toegang) 9077 Intra-articular injection, per injection I . lntra-artikulere ·· inspuiting, per
inspuiting 9079 Trigger point injection, per injection t Sneller-punt inspuiting, per inspuitirig 9081 Condyle neck osteotomy (Ward I Kostecka) I Kondielnek osteotomie
(Ward I Kostecka) 9083 Temporo-mandibular joint arthroplasty I Temporo-mandibulfJ/'9
gewrigsartroplastie 9085 Reduction of temporomandibular joint dislocation without anaesthetic ·I ·
Reduksie van temporo-mandibulere ontwrigting sander narkose
11866.52
636.13 1820.52 3716.'43
1088.90 2248.12
270.54
I
213.02 1796.71
4497.03
357.39
+L
+L
·+L
+L
+L
+L
+L:
MP
MD
. .
88 No.35212 GOVERNMENT GAZt:: 1 1 E, 5 APRIL 2012
.JII · ·.SPECIALIST MAXILLO· FACIAL AND ORAL SURGEONS I
-, ·sPESIALIS KAAK-, GESIGS- EN MONDCHIRURGE (M) See Rule 009/ (W) Sien Reel 009
Code Procedure description
Kode Prosedure beskrywlng
9087 Reduction of temporo-mandibular joint dislocation, with anaesthetic I Reduksie van temporo-mandibulflre ontwrigting, onder narkose
- . 9089 Reduction of temporo-mandibular joint dislocation, with anaesthetic and immobilisation I Reduksie van temporo-mandibulflre ontwrigting, onder narkose en met immobilisasie
- 9091 Reduction of temporo-mandibular joint dislocation requiring open reduction I Reduksie van temporo-mandibulflre ontwrigting wat oop reduksie vereis -
9092 Total joint recOnstruction with alloplastic material or bone (includes condylectomy and coronoidectomy} I ·rota/a gewrigsrekonstruksie met alfoplastiese materiaal of ·been· (insluitend kondifektomie en koronordektomie)
SALIVARY GlANDS /SPEEKSELKLIERE
9095 Removal of sublingual salivary gland · I Verwyden·ng van sublinguale speeksefklier :.-- · ·. _ ·· · · -· ·
9096 Removal of salivary gland (extra~ralf I Verwydering van speekselklier (ekstra-oraal) · :-
IMPLANTS /INPLANTATE
For codes 9180 to 9192 the full fee may be charged; I.e. note 2 of Rule 011 will not apply/ Vir kodes 9180 tot 9192 mag die valle fooie gehef word, d.w.s. nota 2 van Reel 011 is nie van toepassing nte · _
. 9180 Placement of sub-periosteal implant - Preparatory procedure I operation I Pia sing van sub-periosteale inplantaat _- voorbereidingsprosedure I operasie ·
9181 Placement of sub-periosteal implant prosthesis I operation I Plasing van sub-periostea/a inplantaat prostese I operasie
9182 . Placement of endosteal implant, per implant I Plasing van endostea/a inplantaa·t, per inplantaat
9183 Placement of a single osseo-integrated implant, per jaw I Plasing van een osseo-gelntegreerde lnplantaat, per kaak
9184 Placement of a second osseo-integrated implant In the same jaw I Plasing van 'n tweede osseo-geintegreerde inplantaat in dieselfde kaak
9185 Placement of a third and subsequent osseo-Integrated Implant In the same jaw, per Implant I P/aslng van 'n derde en daaropvolgende osseogeintegreerde inp/antaat in dieselfde kaak, per lnplantaat
9189 Cost of Implants I Kosta van lnp/antate 9190 Exposure of a single osseo-Integrated Implant and placement of a
transmucosal -element I Blootlegging van een osseo-geintegreerde lnplantaat en plaslng van 'n transmukosale element
9191 Exposure of a second osseo-integrated Implant and placement of a transmucosal element in the same jaw I Blootlegging van 'n tweede osseogeintegreerde lnplantaat en plasing van 'n. transmukosale element in dieselfde kaak · ·
9192 Exposure of a third and subsequent osseo-Integrated implant in the same jaw, per implant I Blootlegging van 'n derde en daaropvolgende osseogeintegreerde inplantaat in dieselfde kaak, per inplantaat
9046 Placement of zygomaticus fixture, per fixture I Plasing van wangbee~ hegstuk, per hegstuk
9198 Implant removal/ lnplantaat verwydering This procedure Involves the surgical removal of an Implant, I.e. cutting of soft tissue and bone, removal of Implant, and closure I Hierdie . prosedure behels die sjirurgiese verwydering van 'n lnplantaat, i.e. die sny van sagteweefsel ·en ·been, verwydenng. van inplantaat en thegt/ng van die snit ·
Rc
FEE
TARIEF
4511.98
1009.30
8761 Masticatory mucosal autograft extending ·across not more th~u1 four teeth 1097.89 (isolated procedure} I Autoransplantaat. van kou~mukosa en subepiteel bindweefsel wat oor nie meer as vier tande strek nie (enkel prosedure) _
. 8767 ·Bone regenerative I repair procedure at a single site l Been regeneratiewe · 1338.44 I herstelprosedure by 'n enkele area Excluding cost of regenerative material- see code 8770 I Kosta van regeneratiewe material uitgesluit- sian kode 8770 _ _
. 8769 Subsequent removal of membraneused for guided tissue.regeneratio'n 533.22 ·procedure_/ Daaropvolgende verwydering van mem,braan·_gebruik vir- 'n gerigte weefselregenerasie prosedure - · ·. · · ··
·Codes 8761, 8767 and 8769 should be claimed only as part of lmplani surgery 1 KOdes 8761, 8767 en·8769 mag net tesame met lnplantaatchlrurgle gef!Jis word
MP
MD
90 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
No. 279 5 April 2012
COMPENSATION FOR OCCUPATIONAL IN,;ruRIES AND DISEASES ACT,
1993
(ACT NO. 130 OF 1993), AS AMENDED
· ANNUAL INCREASE IN MEDICAL TARIFFS FOR MEDICAL SERVICE
PROVIDERS, PHARMACIES AND HOSPITAL GROUPS . . . . . . ~ . ' . . : ' .
I. I, Nelisiwe Mildred Oliphant, Minister of Labour, hereby give notice that, after .
consultation with the Compensation Board and acting under the powers vested in
me by section 97 ofthe Compensation for Occupational Injuries an_d Diseases
Act, 1993 (Act No. 130 of 1993), I prescribe the scale of"Fees for Medical Aid"
payable under section 76, inclusive of the General Rules applicable thereto, ·
appearing in the Schedule to this notice, with effect from the 1 Aprii2012: • I- .
2. The fees appearing in the Schedule are applicable in respect ·of services rendered
on or after 1 April 2012 and Exclude VAT.
-~: /.f'Laj, NMOLIPHANT
MINISTER OF LABOUR 07/02/2012
STAATSKOERANT, 6 APRIL 2012 No.35212 91
GENERAL INFORMATION I ALGEMENE INLIGTJNG
THE EMPLOYEE AND THE MEDICAL SERVICE PROVIDER
The employee is permitted to freely choose his own service provider e.g. doctor, phac.wacy, physiotherapist, hospital, etc. and no interference with this privilege is permitted, as long as it is exercised reasonably and without prejudice to the employee or to the Compensation Fund. The only exception to this rule is in case where an employer, with the approval ·of the Compensation Fund, provides comprehensive medical aid facilities to his employees, i.e. including hospital, nursing and other services section· 78 of the Compensation for Occupational Injuries and Diseases Act refers.
In terms of section 42 of · the Compensation for Occupational Injuries and Diseases Act the Compensation Fund may refer an injured employee to a specialist medical practitioner of his choice for a medical examination and report. Special fees . are payable when this service is requested. . ·
In the event of a change of medical practitioner attending · to a case, the first doctor in attendance will, except where the case is transferred to a specialist, be regarded as the principal. To avoid disputes regarding the payment for services rendered, medical practitioners should refrain from treating . an . employee already under treatment by another doctor without consulting I informing the first doctor. As a general rule, changes of doctor are not favoured by the Compensation Fund," unless sufficient reasons exist. ·
According to the National Health Act no 61 of 2003, Section 5, a health . care provider may not refuse a person emergency medical treatment. Such a medical service provider should not request the Compensation Fund to authorise such treatment before the claim has been submitted to and accepted by the Compensation Fund. Pre-authorisation of treatment is not possible and no medical expense will be approved if liability for the claim has not been accepted by the Compensation Fund.
An employee seeks medical advice at his own risk. If an employee represented to a medical service provider that he is entitled · to treatment in teruts of the Compensation for Occupational Injuries and Diseases Act, and yet failed to inform the Compensation Commissioner or his employer of any possible grounds for a claim, the Compensation Fund cannot accept responsibility for medical expenses incurred. The Compensation Commissioner could also have reasons not to accept a claim lodged against the Compensation Fund. In such circumstances the employee would be in the same position as any other member of the public regarding · payment of his medical expenses.
Please note that from 1 January 2004 a certified copy · of an employee's identity document will be required in order for a claim to be registered with the Compensation Fund. If a copy of the identity document is not submitted the claim will not be registered but will be returned to the employer for attachment of a certified copy of the employee's identity document. Furthermore, all supporting documentation submitted to the Compensation Fund must reflect the identity number of the employee. If the identity number is not included such documents can not be processed but will be returned to the sender to add the ID number.
The tariff amounts published in the tariff guides to medical services rendered in teuJ1S of the Compensation for Occupational Injuries and Diseases Act do not include VAT. All accounts for services rendered will be assessed without VAT. Only if it is indicated that the service provider is registered as a VAT vendor and a VAT registration number is provided, will VAT be calculated and added to the payment, without being rounde~ off.
The only exception is the "per diem" tariffs for Private· Hospitals that already include VAT.· ·
Please note that there are VAT exempted codes in the private ambulance tariff structure.
DIE WERKNEMER EN DIE MEDIESE DIENSVERSKAFFER
Die werknemer het 'n vrye keuse van diensverskaffer bv. dokter, apteek, · fzsioterapeut, hospitaal ens. en geen inmenging met hierdie voorreg word toegelaat nie, solank dit redelik en sonder benadeling van die werknemer self of die Vergoedingsfonds uitgeoefen word Die enigste uitsondering op hierdie reel is in geval waar die werkgewer met die goedkeuring van die Vergoedingskommissaris omvattende geneeskundige dienste aan sy werknemers voorsien, d. i. insluitende hospitaal-, verplegings- en ander dienste - artikel 78 van die Wet op Vergoeding vir Beroepsbeserings en Siektes verwys.
Kragtens die bepalings van artikel 42 van die Wet op Vergoeding vir Beroepsbeserings en Siektes mag die Vergoedingskommissaris .'n beseerde werknemer na 'n ander geneesheer deur homself aangewys verwys vir 'n mediese ondersoek en verslag. Spesiale fooie is betaa/baar vir hierdie diens wat feitlik uitsluitlik deur spesialiste gelewer word. . '
In die geval van 'n verandering in geneesheer wat 'n werknemer behandel, sal die eerste geneesheer wat behandeling toegedien het, behalwe waar die werknemer na 'n spesialis verwys is, asdie lasgewer beskou word. Tell ei11de geskille rakende die betaling vir die11ste gelewer te voorkom, moet geneeshere hut daarvan weerlwu om 'n werknemer wat reeds onder beltandeling is te beltandel sonder om die eerste geneesheer in te lig. Oor die algemeen word verandering van geneesheer, tensy voldoende redes daarvoor bestaan, nie aangemoedig nie.
Volgens die Nasionale. Gesondheidswet no 61 van 2003 Afdeling 5, mag 'n gesondheidswerker of diensverska.ffer nie weier om noodbehandeling te verskaf nie. Die Vergoedingskommissaris kan egter nie sulke behandeling goedkeur alvorens aanspreeklikheid vir die, eis kragteris die Wetop Vergoeding vir Beroepsbeserings en Siektes aanvaar is nie. Vooraf goedkeuring vir behandeling is nie moontlik nie en geen mediese onkoste sal betaal word as die eis nie deur die Vergoedi11gsjonds aanvaar word nie.
Dit moet in gedagte gehou word dat 'n werknemer geneeskundige behandeling op sy eie risiko aanvra_. As 'n werknemer dus aan 'n geneesheer voorgee dat hy geregtig is op behandeling in terme van· die W~t op Vergoeding vir Beroepsbeserings en Siektes en tog versuim om die Vergoedingskommissaris of sy werkgewer in te Zig oor enige moontlike gronde vir 'n eis, kan die Vergoedingsfonds geen aanspreeklikheid aanvaar vir geneeskundige onkoste wat aangegaan is nie. Die
Vergoedingskommissaris lean ook rede he om 'n eis teen di~ · V~rg~~dingsfonds nie te aanvaar nie. Onder sulke omstandighede sou die werknemer ·in dieselfde posisie verkeer as enige lid van die pub/iek wat beta/ing van .sy geneeskundige onkoste betref
Neem asseblief kennls ·dar 'n. gesertijiseerde afskrif van dle werknemer se identiteitsdokument benodig word vanaf I Januarie 2004 om 'n eis by die Vergoedingsfonds aan re meld lndien 'n afskrif van die identiteitsdokument nie aangeheg is nie, sal die eis nie geregistreer word nie en die dokumente sal teruggestuur word aan die werkgewer vir die aanheg van die ID dokument. Aile ander dokumentasie war aan die kantoor gestuur word moet ook die identiteitsnommer aandui. Jndien nie aangedui nie, sal die dokumentasie nie verwerk word nie, maar reruggestuur word vir die danbring van die identiteitsnommer.
Die bedrae gepub/iseer in die handleiding tot tariewe vir dienste gelewer in terme van die Wet op Vergoeding vir Beroepsbeserings en Siektes, sluit BTW uit. Die rekenings vir dienste gel ewer word aangeslaan en bereken sander BTW.
. lndien BTW van roepassing is en 'n BTW registrasienommer voorsien is, word BTW bereken en by die betalingsbedrag gevoeg sonder om afgerond te word.
Die enigsre uitsondering is die ''per diem'' tariefvir Privaat Hospitale, wat BTW insluir.
Neem asseb/ief kennis dat daar tariewe in die kodestruktuur vir privaat ambulanse is waarop BTW nie.betaalbaar is nie.
94 No. 35212 GOVERNMENT GAZETTE, 5 APRIL 2012
CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS FOLLOWS • .
ElSE TEEN DIE VERGOEDINGSFONDS WORD AS VOLG GEHANTEER.·.'
1. New claims are registered by the Compensation Fund and the employer ·is . notified of the claim number allocated to the claim. The allocation of a claim · nuinber by the Compensation Fund, does not constitute acceptance of liability for a claim, but means that the injury on duty has been reported to ·and registered by the Compensation Commissioner. Enquiries regarding claim numbers should be directed to the employer and not to the Compensation Fund. The employer will be in the position to provide the claim number for the employee as well as indicate whether the claim has been accepted by· the ·Compensation Fund • Nuwe eise word geregistreer deur die Vergoedingsfonds en· die werkgewer word in kennis gestel van die eisnommer. Navrae aangaande eisnommers moet aan die werkgewer gerig word en nie aan die Vergoedingskommissaris nie. Die werkgewer kan die eisnommer verskaf en ook aandui of die Vergoedingsfonds die eis aanvaar het of nie
2. If a claim is accepted as a COIDA claim, reasonable medical expenses will be paid by the Compensation Commissioner • As 'n eis deur die Vergoedingsfonds aanvaar is, sal redelike mediese koste betaal word deur die
. Vergoedingsfonds.
3. If a claim is rejected (repudiated), accounts for services rendered will not be paid by the Compensation Commissioner. The employer and the employee will be informed of this decision and the injured employee will be liable for payment. • As 'n eis deur die Vergoedingsfonds afgekeur (gerepudieer) word, word rekenings vir dienste gelewer nie deur die Vergoedingsfonds betaal nie. Die betrokke partye insluitend die diensverskaffers word in kennis gestel van die besluit. Die beseerde werknemer is dan aanspreeklik vir betaling van die rekenings.
4. If no decision can be made regarding acc.eptance of a claim due to inadequate information, the outstanding information will be requested and upon receipt, the claim will again be adjudicated on. Depending on the outcome, the accounts from the service provider will be dealt with as set out in 2 and 3. Please note that there are claims on which a decision might never be taken due to lack of forthcoming information • Indien geen besluit oor die aanvaarding van 'n eis weens 'n gebrek aan inligting geneem kan word nie, sal die uitstaande inligting aangevra word Met ontvangs van sulke inligting sal die eis heroorweeg word Ajhangende van die uitslag, sal die rekening gehanteer
. word soos uiteengeset in punte 1 en 2. Ongelukldg bestaan daar eise waaroor 'n besluit nooit geneem kan word nie aangesien die uitstaande inligting nooit verskafword nie.
. STAATSKOERANT, 5 APRIL 2012 . No.35212 95
BILLING PROCEDURE • EISPROSEDURE :
1. The first account for services rendered for an injured employee (INCLUDING the First Medical Report) must be submitted to the employer who will collate all the necessary documents and submit them to the Compensation Co mmissioner • Die eerste rekening (JNSLUfiEND die Eerste Mediese Verslag) vir dienste gelewer · aan 'n beseerde werknemer moet aan die werkgewer gestuur word, wat die nodige dokumentasie sal versamel en dit aan die Vergoedingskommissaris sal voorle
2. Subsequent accounts must be submitted or posted to the closest Labour Centre. It is important that all requirements for the submission of accounts, including . supporting information, are met • Daaropvolgende rekeninge moet ingedien of gepos word aan die naaste Arbeidsentrum. Dit is belangrik datal die voorskrifte vir die indien van rekeninge nagekom word, insluitend die voorsiening van stawende dokumentasie
3. If accounts are still outstanding after 60 days following submission , the service provider should complete an enquiry form, W.CI 20, and submit it ONCE to the Labour Centre. All relevant details regarding Labour Centres are available on the website www.labour.gov.za • Jndien rekenings nog uitstaande is na 60 dae vanaf indiening en ontvangserkenning deur die Vergoedingskommissaris, moet die diensverskaffer 'n navraag vorm, · W.C l 20 voltooi en EENMALJG indien by die Arbeidsentrum. Aile inligting oor Arbeidsentrums is beskikbaar op die webbla d www.labour.gov.za
4. If an account has been partially paid with no reason indicated on the remittance advice, a duplicate accountwith the unpaid services clearly marked can be submitted to the Labour Ceritre, accompanied by a WCI 20 form. (*see website for example of the form). • Jndien 'n rekening gedeeltelik betaal i'i met geen rede voorsien op die betaaladvies nie, lean 'n duplikaatrekening met die wanbetaling duidelik aangedui, vergesel van 'n WC! 20 vorm by die Arbeidsentrum ingedien word (*sien webb/ad vir 'n voorbeeld van die vorm)
5. Information NOT to be reflected on the account: Details of the employee's medical aid .. and the practice number of the referring practitioner •lnligting wat NIB aangedui moet
word op die rekening nie: Besonderhede van die werknemer se mediese fonds en die verwysende geneesheer se praktyknommer
6. Service providers should not generate • Diensverskaffers moenie die volgende /ewer nie:
a. Multiple accounts for ser-Vices rendered on the same date i.e. one account for medication and a second account for other services • Meer as een rekening vir dienste gelewer op dieselfde datum, bv. medikasie op een rekening en ander dienste op 'n tweede rekening
b. Accumulative accounts - submit a separate account for every month • Aaneenlopende rekeninge -!ewer 'n aparte rekening vir elke maand
c. Accounts on the old documents (W.CI4 I W.CI 51 W.CISF) New *First Medical Report (W.Cl4) and Progress I Final Medical Report (W.CI 5 I W.CI SF) forms
96 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
are available. The use of the old reporting forms combined with an account . (W.CLII) has been discontinued. Accounts on the old medical reports will not . be processed • Rekeninge op die · ou voorgeskrewe dokumente van die
Vergoedingskommissaris. Nuwe *Eerste Mediese Verslag (W.C/4) en Vorderings I Finale Mediese Verslag (W.CI 5) vorms is beskikbaar. Die vorige vers/agvorms gekombineer met die rekening (W.CLJJ) is vervang. Rekeninge op die ou vorms word nie verwerk nie.
• Examplesofthe new forms (W.C 141 W.CI S I W.Cl SF) are available on the . website www.labour.gov.za •
* Voorbeelde van die nuwe vorms (W.Cl41 W.Cl S I W.Cl SF) is beskikbaar op die webb/ad www.labour.gov.za
STAATSKOERANT, 5 APRIL 2012
MINIMUM REQUIREMENTS FOR ACCOUNTS RENDERED • MINIMUM VEREISTES VIR REKENINGE GELEWER
Minimum information to be indicated on accounts submitted to the Compensation Fund • Minimum besonderllede war aangedui moet word op
rekeninge gelewer aan die Vergoedingsfonds
No.35212 97
~ . Name of employee and ID number • Naam van werknemer en ID nom mer
~ N~me of employer and registration number if available • Naam van werkgewer en registrasienommer indien beskikbaar
~ Compensation Fund c1aim number • Vergoedingsfonds eisnommer ~ DATE OF ACCIDENT (not only the service date) • DATUM VAN
. BESERING ( nie slegs die diensdatum nie) ~ Service provider's reference and invoice number • Diensverskaffer se
verwysing of faktuur nommer ~ The practic_e number (changes of address should be reported to BHF) •
Die praktyknommer (adresveranderings moet by BHF aangemeld word)
· ~ VAT registration number (VAT will not be paid if a VAT registration number is not supplied on the account) • BTW registrasienommer (BTW sal nie betaal word as die BTW registrasienommer nie voorsien wordnie)
~ Date of service (the actual service date must be indicated: the invoice date is not acceptable) • Diensdatum (die werklike diensdatum moet · aangedui word: die datum van· lewering van die rekening is nie aanvaarbaar nie) .
~ Item codes according to the officially published tariff guides • Item kodes soos aangedui in die amptelik gepubliseerde handleidings tot tariewe · ·
~ Amount claimed per item code and total of account • Bedrag gee is per . itemkode en totaal van rekening.
~ ·.It is import~nt that all requirements for the submission of accounts are met~ including supporting information, e.g • Dit is belangrik dat aile voorskrifte vir die indien van rekeninge insluitend dokumentasie nagekom word bv.
o All pharmacy or medication accounts must be accompanied by the original scripts •· Aile apteekrekenings vir medikasie moet vergesel word van die oorspronklike voorskrifte
o · The referral notes from the treating practitioner. must accompany all other medical service providers' accounts. • Die venvysingsbriewe van die behandelende geneesheer moet rekeninge van onder mediese diensverskaffers vergesel
98 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
TARIFF OF FEES IN RESPECT OF PHYSIOTHERAPY SERVICES
FROM 1 APRIL 2012
001. Unless timely steps are taken to cancel an appointment, the relevant fee may be charged to the employee. Each case shall be considered on merit and if the circumstances warrant, no fee shall be charged.
002. In exceptional cases where the tariff fee is disproportionately low in relation to the actual services rendered by a physiotherapist, a higher fee may be negotiated. Conversely, if the fee is disproportionately high in relation to the actual services rendered, a lower fee than that in the tariff should be charged.
003. If there is no active physiotherapy treatment for a period of 3 calendar months, treatment will be deemed to have been terminated. Subsequent physiotherapy treatment will require a new referral letter and a new treatment plan. For treatment beyond 20 treatment sessions, a rehabilitation progress report (attached to this guide to tariffs and fees) must be submitted to the Compensation Fund.
004. Prolonged and costly treatment should only be embarked upon after negotiation with the treating medical practitioner and approval from the Compensation Fund.
005. After a series of 20 treatment sessions for the same condition, the physiotherapist must refer the employee back to the medical practitioner with a rehabilitation progress report on the progress made. If further physiotherapy treatment is required the medical practitioner must submit a progress report and the rehabilitation progress report to the Compensation Commissioner. indicating the necessity for further treatment and the number of further sessions. required. The rehabilitation progress report (attached to this guide to tariffs and fees) must be· submitted to the Compensation Fund at the start of treatment and again after every 20 sessions of treatment. Without such a report payment for sessions in excess of 20 shall not be considered.
006. ~After hour treatment" shall mean all physiotherapy performed where emergency treatment is required after working hours, before 07:00 and after 17:00 on weekdays, and any treatment over a weekend. In cases where the physiotherapist's scheduled working hours extend after 17:00 and before 07:00 during the week or weekend, the above rule shall not apply and the treatment fee shall be that of the normal listed tar'iff. The fee for all treatment under this rule shall be the total fee for the treatment plus 50 per cent. Modifier 006 must then be quoted after the appropriate tariff code to indicate that this rule is applicable.
For the purpose of this rule:
Emergency treatment means a. justifiable emergency physiotherapy procedure, where failure to provide the procedure immediately would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or part, or would place the patient's life in serious jeopardy. Routine physiotherapy does not qualify as emergency treatment
007. The physiotherapist shall submit his I her account for treatment to the employer of the employee concerned.
STAATSKOERANT, 5 APRIL 2012 No.35212 99
008. When an employee is referred for physiotherapy treatment after a surgical procedure, a new set of 20 sessions will commence.
009. AM and PM treatment sessions should be specified and medically motivated for on the progress rehabilitation report.
011. Cost of material does not include consumables (e.g. ultrasound gel, massage oil, gloves, alcohol swabs, facial tissues, paper towels and etc.)
012. An account for services rendered will be assessed and added without VAT. VAT Is then •f calculated ,and added to the final payment amount.
013. Where a· physiotherapist is called out from residence or rooms to an employee's home or hospital, travelling fees can be charged for travelling more than 16km in total. If more than one employee is attended to during the course of a trip, the full travelling expenses must be divided pro rata betWeen the relevant employees. A physiotherapist is not entitled to charge any travelling expenses or travelling time to his I her rooms.
014. Physiotherapy services rendered in a hospital or nursing facility.
015. The services of a physiotherapist shall be available only on referral from the treating medical practitioner. Where a physiotherapist's letterhead is used as a referral letter, it must bear the medical practitioner's signature, date and stamp. The referral letter for any physiotherapy treatment .. provided should be submitted to the Compensation Commissioner with the account for such services.
MODIFIERS GOVERNING THE TARIFF
0001 · To be quoted after appropriate treatment codes when rule 001 Is applicable.
0006 Add 50% of the total fee for the treatment.
0013 RS.OO per km for each kilometre In excess of 16 kilometres travelled in total in own car e.g. 19 km total = 3 x RS.OO = R15.00 (No travelling time allowed)
0014. Treatment In a nursing facilitY.
100 .No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
PHYSIOTHERAPY TARIFF OF FEES AS FROM 1 APRIL 2012
Please note that no other treatment techniques may be charged· in . conjunction with the codes below except for evaluation, visiting, extra treatment time and cost of material codes. A simple evaluation code cannot be charged simultane~usly with a complex evaluation I reassessment code.
Code
72701 Service type
Evaluation level 1
Service description
( Applies to simple. evaluation once at first visit only. It should not be used for each condition. A treatment plan I rehabilitation progress report must be submitted at the initiation of treatment.
2012 Tariffs
170.33
72702
72703
72901
72305
72509
72903
72925
72926
72921
72923
72928
to be fully documented)
Complex evaluation (to be
fully documented) Re-assessment .
Complex evaluation I counselling once at first visit only. Applies to. multiple complex injuries only. It should not be used for each condition. A treatment. plan I rehabilitation progress. report must be submitted at the initiation of treatment.
Complete re-assessment or counselling, during the course of treatment. This code also to be . used for one physical performance test that must be fully documented and a report provided to the CF.
Treatment at nursing home Relevant fee plus (to be. charged only once. per day and not with every hospital visit)
Bed program
Exlfa treatment time
Domiciliary treatments
Level1 chest pathology
Level 2 chest pathology
Simple spinal treatment
Complex spinal treatment
Simple soft tissue I
peripheral joint injuries or
other general treatment
Bed exercises I passive movements.
Should be medically motivated for e.g. complicated condition. This code can only be claimed once per treatment sessK:ln.
·. Apply only when medically motivated: relevant fee plus.
Applies to simple chest conditions I injuries. Multiple treatment techniques to be used.
Applies only to complex chest conditions I injuries that require undivided attention of the physiotherapist. Multiple treatment techniques to be used.
Applies to simple spinal injuries I conditions. Multiple treatment techniques to be used.
Applies only to complex conditions I injuries to the vertebral column.Multiple treatment techniques to be used.
Applies to simple soft tissue I peripheral joint injuries I conditions.Multiple treatment techniques to be used.
255.27
84.95
62.24
62.24
94.61
113.25
278.86
460.75
409.52
591.53
409.52
72927
72501
72503
72939
STAATSKOERANT, 5 APRIL 2012
Complex soft tissue I
peripheral joint injuries or
othergeneral treatment Rehabilitation
Rehabilitation
centralnervous system Cost of material
Applies only to multiple severe I complex injuries.Multiple treatment techniques to . be used.
Rehabilitation first 30 minutes, where the pathology requires the undivided attention of the physiotherapist
Also includes spinal rehabilitation ( cannot be charged for bed exercises I passive movements only)
Single items below R 1733.90 NAT excl)may be charged for at cost price plus 20% storage and handling fees. The invoice must be attached to the account. Cost of materials does not cover consumables
See the attached Annexure A for consumables and Annexure B for equipment and or appliances that are considered reasonable to be used with code 72939
No. 35212 101
534.90
295.71
591.53
102 No.35212 GOVERNMENT GAZt:. 1 1 E, 5 APRIL 2012
ANNEXURE A
LIST OF CONSUMABLES To be used with code 72939 Service providers may add on 20% for storage and handling
NAME OF PRODUCT UNIT APPROXUNIT
PRICE(excl VAT) Tubigrip (A & B white) 1 114.16
Self adhesive disposable electrodes ( one set per 45.62 employee is payable)
1
Sports Taping I Strapping (type & quantity must be specified)
The employee is permitted to freely choose his own service provider e.g. doctor, pharmacy, physiotherapist, hospital, etc. and no interference with this privilege is pennitted, as lorig as it is exercised reasonably and without prejudice to the employee or to the Compensation Fund. The only exception to this rule is in case
· where an employer, with the approval of the Compensation Fund. provides comprehensive medical aid facilities to his employees, i.e. including hospital, nursing and other services section 78 of the Compensation for Occupational Injuries and Diseases Act refers.
In teu11S of section 42 of the Compensation for Occupational Injuries and Diseases Act the Compensation Fund may . refer an injured employee to a specialist medical practitioner of his choice for a medical examination and report. Special fees are payable when this service is requested. '
In the event of a change of medical practitioner attending to a case, the first doctor in attendance will, except where the case is transferred to . a specialist, be regarded as the principal. To avoid disputes regarding the payment for services rendered, medical practitioners should refrain from treating ,an employee already under treatment by another doctor without consulting I inforuiing the first doctor. As a general rule, changes of doctor are not favoured by the Compensation Fund, unless sufficient reasons exist.
. . ' . . .
According to the National Health Act no 61 of 2003, Section 5, a health care provider may not refuse a person emergency medical treatment. Such a . medical service provider should not request the Compensation Fund to authorise such treatment before the claim has been submitted to and accepted by the Compensation Fund. Pre-authorisation of treatment is not possible and no medical expense will be approved if liability for the claim bas not been accepted by the Compensation Fund.
An.employ.ee seeks medical advice at his own risk. If an employ~e repre~ented to a medical service provider that he is entitled to treatment in ·. te1111S of the Compensation for Occupational Injuries and Diseases Act, and yet failed to infonn the Compensation Commissioner or his employer of any possible grounds for a claim, the Compensation Fund cannot accept responsibility for medical expenses incurred. The Compensation Commissioner could also have rea.Sons not to . accept a claim lodged against the Compensation Fund. In such circumstances the employee would be in the same position as any other member of the public regarding payment of his medical expenses.
Please note that from 1 January 2004 a certified copy of an employee's identity document will be required in order for a claim to be registered with the Compensation Fund. If a copy of the identity document is not submitted the claim will not be registered but will be returned to the employer for attachment of a certified copy of the employee's identity document. Furthennore, all supporting documentation ·submitted to the Compensation Fund must reflect the identity number of th~ employee. If the identity number is not inCluded such documents can not be processed but will be returned to the sender to add the ID number.
The tariff amounts published in the tariff guides to medical services rendered in terms of the Compensation for Occupational Injuries and Diseases Act do not include VAT .. All accounts for services rendered will be assessed without VAT. Only if it is indicated that the service provider is registered as a VAT vendor and a VAT registiation number is provided, will' VAT be:calculated and added to the payment, without being rounded off.
The only exception is the "per diem" tariffs for Private Hospitals that already include VAT.
Please note that there are VAT exempted codes in the private ambulance tariff structure ..
DIE WERKNEMER EN DIE MEDIESE DIENSVERSKAFFl!:R
Die werknemer het 'n vrye keuse van diensverskaffer bv. dokter, apteek, jisioterapeut, hospitaal ens. en geen inmenging met hierdie voorreg word toegelaat nie, so/ank dit redelik en sonder benadeling van die werknemer self of die Vergoedingsfonds uitgeoefen word. Die enigste uitsondering op hierdie reel. is in geval waar die werkgewer met die goedkeuring van die Verg'oedingskommissaris omvattende geneeskundige dienste aan .sy werknemers voorsien, di. insluitende hospitaa/-, verp/egings- en ander dienste- artikel 78 van die Wet op Vergoeding vir Beroepsbeserings en Siektes verwys.
Kragtens die bepalings van artikel 42 van die Wet op . Vergoeding vir Beroepsbeserings en Siektes mag die Vergoedingskommissaris 'n beseerde werknemer na 'n ander geneesheer deur homself aangewys verwys vir 'n mediese ondersoek en verslag. Spesiale fooie is betaalbaar vir hierdie diens wat feitlik uitsluitlik deur spesialiste ge/ewer word. ·
In die geval van . ·~ v~randering in geneesheer wat 'n werknemer. be handel, sal die eerste geneesheer wat. behandeling toegedien het, behalwe waar die werknemer na 'n spesialis ve~ys is, as die _lasgewer beskou word. Ten einde geskille rakende die betaling vir dienste gelewer te voorkom, moe/ geneeshere hul daarvan weerltou om 'n werknemer wat reeds onder behandeling is te behandel sonder om die eerste geneesheer in te lig. Oor die algemeeri word· verandering van geneesheer, tensy voldoende redes daarvoorbestaan, nze aangemoedig nie. '
. .· . Volgens die Nasionale Gesondheidswet no 61 van 2003 Afdeling 5, mag 'n
gesondheidswerker, of diensverskaffer nie weier om noodbehande/ing te verskaf nie. Die. Vergoedingskommissaris kan egter nie sulke behandeling goedkeur alvorens aanspreeklikheid vir die eis kragtims die Wet op Vergoeding vir Beroepsbeserings en Siektes aanvaar is nie. Vooraf goedkeuring vir behandeling is nie moontlik nie en geen mediese onkoste sal betaal word as die eis nie deur die Vergoedingsfomls aanvaar word nie.
Dit moet in gedagte gehou word dat 'n werknemer geneeskundige behandeling op sy eie risiko aanvra. As 'n werknemer dus aan 'n geneesheer voorgee dat hy geregtig is op behandeling in terme van die· Wet op. Vergoeding vir Beroepsbeserings en Siektes en tog versuim om die Vergoedingskommissaris of sy werkgewer in te lig oor enige moontlike gronde vir 'n eis, kan die Vergoedingsfonds geen aanspreek/ikheid aanvaar vir geneeskundige onkoste wat aangegacm is nie. Die
Vergoedingskommissaris kan ook rede he om 'n eis teen die- Vergoedingsfonds nie te aanvaar nie. Onder sulke omstandighede sou die werknemer in dieselfde · posisie verkeer as enige lid van die publiek wat betaling van sy geneeskundige onkoste betref
Neem asseblief kennis dat 'n gesertijiseerde afskrif van die werknemer se identiteitsdokument henodig word vanaf 1 . Januarie 2004 om 'n eis· by die Vergoedingsfonds aan te meld. lndien 'n afskrif van die identiteitsdokument nie aangeheg is nie, · sal die eis nie geregistreer word nie en die dokumente sal ternggestuur word aan die werkgewer vir die aanheg van die ID dokument. Aile ander dokumentasie w,at aan die kantoor gestuur word moet ook die identiteitsnommer aandui. · Indien nie aangedui nie, sal die dokumentasie nie verwerk word nie, maar teruggest~ur word vir die aanbring van die identiteitsnommer. .
. Die bedrae gepubliseer in die handleiding tot tariewe vir dienste gelewer in terme van die Wet op Vergoeding vir Beroepsbeserings en Siektes, sluit BTW uit. Die rekenings vir dienste gelewer word aangeslaan en bereken sonder BTW.
· lndien BTW van toepassing is en 'n BTW registrasienommer voorsien is, word BTW bereken en by die betalingsbedrag gevoeg sonder om afgerond te word
. Die enigste uitsondering is die "per diem" tariefvir Privaat Hospita/e, wat BTW insluit. . · .
Neem asseblief kennis dat daar tariewe in die kodestruktuur vir privaat ambulanse is waarop B'l'W nie betaa/baar is nie.
110 No.35212 GOVERNMENT GAZt:.l 1 E, 5 APRIL 2012
CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS FOLLOWS•
ElSE TEEN DIE VERGOEDINGSFONDS WORD AS VOLG GEHANTEER
1. New claims are registered by the Compensation Fund and the employer is notified ofthe claim number allocated to the claim. The allocation of a claim number by the Compensation Fund, does not constitute acceptance of liability for a claim, but means that the injury_ on duty has been reported to and registered by the· Compensation Commissioner. Enquiries regarding claim numbers should be directed to the employer and not to the Compensation Fund. The employer will be in the position to provide the claim number for.the employee as well as indicate whether the claim has been accepted by the
· Compensation Fund • Nuwe eise word geregistreer deur die Vergoedingsfonds en die werkgewer word in kennis gestel ·van die eisnommer. Navrae aangaande eisnommers moet aan die werkgewer gerig word en nie aan ·die Vergoedingskommissaris nie. Die werkgewer kan die eisnommer verskaf en ook aandui of die Vergoedingsfonds die eis aanvaar her of nie
2. If a claim is accepted as a COIDA claim, reasonable medical expenses will be paid by the Compensation Commissioner • As 'n eis deur die· Vergoedingsfonds aanvaar is, sal redelike mediese koste betaal word deur die Vergoedingsfonds. .
3. If a claim is rejected (repudiated), accounts for services rendered will not be paid by the Compensation Commissioner. The employer and the employee will be informed of this decision and the injured employee will be liable for payment. • As 'n eis deur die Vergoedingsfonds afgekeur (gerepudieer) word, word rekenings vir dienste gelewer nie deur die Vergoedingsfonds betaal nie. Die betrokke partye insluitend die diensverskaffers word in kennis gestel van die besluit. Die beseerde werknemer is dan aanspreeklik vir betaling van die rekenings.
4. If no decision can be made regarding acceptance of a claim due to inadequ~te infonnation, the outstanding information will be requested and upon receipt, the claim will again be adjudicated on. Depending on the outcome, the
. accounts from the service provider wi11 be dealt with as set out in 2 and 3. Please note that there are claims on which a decision might never be taken due to lack of forthcoming information • Indien geen besluit oor die aanvaarding van 'n eis weens 'n gebrek aan inligting geneem kan word nie, sal die uitstaande inligting aangevra word. Met ontvangs van sulke inligting sal die eis heroorweeg word. Ajhangende van die uitslag, sal die rekening gehanteer word soos uiteengeset in punte 1 en 2. Ongeluklcig bestaan daar eise waaroor 'n besluit nooit geneem kan word nie aangesien die uitstaande inligting nooit verskaf word nie.
STAATSKOERANT, 5 APRIL 2012 No.35212 111
BILLING PROCEDURE • EISPROSEDURE···
I. The first account for services rendered for an injured employee (INCLUDING the First Medical Report) must be submitted to the employer who will collate all the necessary documents and submit them to the Compensation Co mmissioner • Die eerste rekening (/NSLUITEND die Eerste Mediese Verslag) vir dienste gelewer aan 'n beseerde werknemer moet aan die werkgewer gestuur word, wat die nodige dokumentasie sal versame/ en dit aan die Vergoedingskommissaris sal voor/e
2. Subsequent accounts must be submitted or posted to the closest Labour Centre. It is important that all requirements for the submission ·of accounts, including supporting information, are met • Daaropvolgende rekeninge moet ingedien of gepos word aan die naaste Arbeidsentrum. Dit is be langrik datal die voorskrifte vir die indien van rekeninge nagekom word, insluitend die voorsiening van stawende dokumentasie
3. If accounts are still outstanding after 60 days following submission , the service provider should complete an enquiry form, W.CI 20, and submit it ONCE to the Labour Centre. All relevant details regarding Labour Centres are available on the website www.labour.gov.za • Indien rekenings nog uitstaande is na 60 dae vanaf indiening en ontvangserkenning deur die Vergoedingskommissaris, moe! die diensverskaffer 'n navraag vorm, W.C I 20 voltooi en EENMALIG indien by die Arbeidsentrum. Aile inligting oor Arbeidsentrums is beskikbaar op die webbla d www.labour.gov.za
4. If an account has been partially paid with no reason indicated on the remittance advice, a duplicate account with the unpaid ser-Vices deafly rruirked can be submitted to the Labour Centre, accompanied by a WCI 20 form. (*see website for example of the form). • Indien 'n rekening gedeeltelik betaal i<; met geen rede voorsien op die betaaladvies nie, kan 'n duplikaatrekening met die wanbetaling duidelik aangedui, vergesel van 'n WCI 20 vorm by die Arbeidsentrum ingedien word (*sien webb lad vir 'n voorbee/d van die vorm)
5. Ioforuaation NOT to be reflected on the account: Details of the employee's medical aid and the practice number of the referring practitioner • lnligting wat NIE aangedui moet word op die rekening nie: Besonderhede van die werknemer se mediese fonds en die verwysende geneesheer se praktyknommer
6. Service providers should not generate e Diensverska.ffers moenie die volgende /ewer nie:
a. Multiple accounts for services rendered on the same date i.e. one account for medication and a second account for other services • Meer as een rekening vir dienste gelewer op dieselfde datum, bv. medikasie op een rekening en ander dienste op 'n tweede rekening
b. Accumulative accounts - submit a separate account for every month • Aaneenlopende rekeninge -/ewer 'n aparte rekening vir elke maand
c. Accounts on the old documents (W.CI4 I W.CI 51 W.CISF) New *First Medical Report (W.CI 4) and Progress I Final Medical Report (W.CI 5 I W.CI SF) forms
112 No.35212 GOVERNMENT GAZt:.l 1 E, 5 APRIL 2012
are available. The use of the old reporting forms combined with an account (W.CLil) has been discontinued. Accounts on the old medical reports will not be processed • Rekeninge op die ou voorgeskrewe dokumente van die Vergoedingskommissaris. Nuwe *Eerste Mediese Verslag (W.C/4) en Vorderings I Finale Mediese Verslag (W.C/5) vorms is beskikhaar. Die vorige vers/agvorms gekombineer met die rekening (W.CLJJ) is vervang. Rekeninge op die ou vorms word nie verwerk nie.
*Examples of the new forms (W.C 14 I W.CI5 /W.CI5F) are available on the website www.l abour.gov.za •
* Voorbee/de van die nuwe vorms (W.CI4 I W.CI 5 I W.CI SF) is beskikbaar op die webb/ad www.labour.gov.za
STAATSKOERANT, 5 APRIL 2012
MINIMUM REQUIREMENTS FOR ACCOUNTS RENDERED • MINIMUM VEREISTES VIR REKENINGE GELEWER
Minimum information to be indicated on accounts submitted to the Compensation Fund • Minimum hesonderhede war aangedui moe/ word op
. rekeninge ge/ewer aan die Vergoedingsfonds
No. 35212 113
:> Name of employee and ID number • Naam van werknemer en ID nommer
~ Name of employer and registration number if available • Naam. van werkgewer en registrasienommer indien beskikbaar
~ Compensation Fund claim number • Vergoedingsfonds eisnommer ~ DATE OF ACCIDENT (not only the service date) • DATUM VAN
BESERING ( nie slegs die diensdatum nie) ~ Service provider's reference and invoice number • Diensverskaffer se
verwysing of faktuur nommer ~ The pmctice number (changes of address should be reported to BHF) •
Die. praktyknommer '(adresveranderings moet by BHF aangemeld word)
~ VAT registration number (VAT will not be paid if a VAT registration number is not supplied on the account) • BTW registrasienommer {B1W sal nie betaa/ word as die BTW registrasienommer nie voorsien wordnie)
~ Date of service (the actual service date must be indicated: the in~oice date is not acceptable) • Diensdatum (die werk/ike diensdatum moet aangedui word: die · datum van lewering van die rekening is nie aanvaarbaar nie) ·
~ Item codes according to the officially published tariff guides • Item kodes soos aangedui in die amptelik gepub/iseerde handleidings tot tariewe · ·
:> Amount claimed per item code and total of account • Bedrag gee is per itemkode · (m totaal van rekening.
~ It is important that all requirements for the submission of accounts are met, including supporting information, e.g • Dit is belangrik dat aile voorskrifte vir die indien van rekeninge ins/uitend dokumentasie nagekom word bv.
o All phamtacy or medication accounts must be accompanied by the original scripts • Aile apteekrekenings vir medikasie moet vergese/ word van die oorspronk/ike voorskrifte
o The referral notes from the · treating practitioner must accompany all other medical service providers' accounts. • Die verwysingsbriewe van die behandelende geneesheer moet rekeninge van onder mediese diensverskaffers vergesel
114 No.35212 GOVERNMENT G~t:: I IE, 5 APRIL 2012
COIDA TARIFF SCHEDULE FOR PRIVATE AMBULANCE SERVICES EFFECTIVE FROM 1 APRIL 2011
GENERAL RULES
001 Road ambulances: Long distance clairrn (items I 11, 129 and 141) will be rejected unless the -- ·- I
distance travelled with the patient is reflected. Long distance charges may not include item' codes . . I 102, 125 or 131. · · · 1
I
002 No after hours fees may becharged. ·
003 Road ambulances: Item code 151 (resuscitation) may only be charged for services provided by a second vehicle (either ambulance or response vehicle) and shall be accompanied by a motivation. Disposables and drugs used are included unless specified as additional cost items (see below).
004 A BLS (Basic Life Support) practice (Pr. No. starting with 13) may not charge for ILS (Intermediate Life Support) or ALS (Advanced Life Support); an ILS practice (Pr. No. starting with 11) may not charge for ALS. An ALS practice (Pr. No. starting with 09) may charge for all codes.
005 A second patient is transferred at 50% reduction of the basic call cost. Rule 005 MUST be quoted if a second patient is transported in any vehicle or aircraft in addition to another patient
006 Guidelines for information required on each CO IDA ambulance account: Road and air ambulance accounts • Name and ID number of the employee • Diagnosis of the employee's condition· • Stimmary of all equipment used if not covered in the basic tariff • Name and HPCSA registration numrer of the care providers • Name, practice number and HPCSA registration number of the medical doctor • Response vel?lcle: details of the vehicle driver and the intervention Wldertaken on patient • Place and time of departure and arrival at the destination as well as the exact distance travelled
(Air ambulance: exact time travelled from base to scene, scene to hospital and back to base) . . .
Definitions of Ambulance Patient Transfer
Basic Life Support - A crulout where the patient assessment, treatment adminfitration, interventions undertaken and subsequent monitoring fall within the scope of practice of a registered Basic Ambulance Assistant whilst the patient is in transit.
:Intermediate Life Support - ·A callout where the patient assessment, treatment administration, interventions undertaken and subsequent monitoring fall within the scope of practice of a registered Ambulance Emergency Assistant (AEA), e.g. initiating IV therapy, nebulisation etc. whilst the patient is in transit.
Advanced Life Support - A callout where the patient assessment, treatment administration, interventions undertaken and subsequent monitoring fall within the scope of practice of a registered paramedic (CCA and NDIP) whilst the patient is in transit.
\. STAATSKOERANT, 5 APRIL 2012 No.ss212 11s
NOTES
• If a hospital or doctor requires a paramedic to accompany the patient on a transfer in the event of the 1patient needing ALS I ILS intervention, the doctor requesting the paramedic must write a detailed 'motivational letter in order for ALS I ILS fees to be charged for the transfer of the patient. I .
I • In order to bill an Advanced Life Support call, a registered Advanced Life Support provider must have
examined, treated and monitored the patient whilst in transit to the hospital.
• · In order to bill an Intermediate Life Support cal~ a registered Intermediate Life-Support provider must . have examined, treated and monitored the patient whilst in transit to the hospital.
• When an ALS provider is in attendance at a callout but ~oes not do any interventions on the patient at an ALS level, the billing should be based ori a lesser level, dependent on the care given to the patient. (E.g. if a paramedic sites an IV lirie or nebulises the patient with a B-agonist which falls within the scope of practice of an AEA, the call is to be billed as an ILS call and riot an ALS call.)
• Where the man.~eement undertaken by . a paramedic or AEA falls .within the scope of practice of a BAA the call nrust be billed at a BLS level.
Please Note
• The amounts reflected in the CO IDA Tariff Schedule for each level of care are inclusive of any disposables (except for pacing pads, Heimlich valves, high capacity giving sets, dial-a-flow and intraosseous needles) and drugs used in the management of the patient, as per the attached nationally approved medication protocols. ·
• Haemaccel and colloid solution may be charged for separately.
• An ambulance is regarded by the Compensation Fund as an emereencv vehicle that administers emer2encv care and transport to those employees with acute injuries and only such emergency care and transnort will be nald for by · the C~~ensatlon Fund. i~ati.if!6i~~~1\t)f~ ~!tT-~.,~;1(;;; ,{.,-· ;·- , --m~f~:1~"t'IT,~":~· :'-1'+~!S;";I;;(I11fl'i.~I~ljiil'~m:tify'U t ' ~!1:"·~~uill~ij~ak1~ji'?i~ .~~'.!'!!.. .. ~. ·~~. 4 .. e.ii$.t·"~.;,~J. .. ~. ~~·. J~·~~,~- 1!-J~ .... J}\p~~.lt~,.mt:.m •. , .L.t!J:iF.A~i!ftt¢J.~.MH~F- _J, -~'~·~ fi'tSl~~o~:iJ"'-- , ,,. ·:''"''-t1.:tt:;;'ii~~~al·l' c~- ~' " e~t:~ '-~II(~~ .H~Jl!lL..IQ·~- --- ~ - - . ...... !!lUI:. .. ~.:!
. ' '
• Claims for transfers between hospitals or other service providers must be accompanied by a motivation from the attending doctor who requested such transpon. The motivation should clearly state the
. medical reasons for the transfer. Motivation must also be provided if ILS or ALS is needed and it· should be indicated what specific medical assistance is required on route. This is also applicable for air
· ambulances. · ·
• Authorisation . for the transfer of an employee from his home to a service provider, if.not in an emergency situation, has to be obtained prior to the transfer. The treating doctor will have to motivate such transport by ambulance, clearly stating the medical reasons why an ambulance is required for such transport and he should also indicate what specific medical assistance is required on route.
• Claims for the transport . of a patient discharged home will only be entertained if accompanied by a written motivation from the attending doctor who requested such transport, clearly stating the 111edical reason~ why an ambulance is required for such transport; It should be indicated what specific medical assistance the patient requires on route. If such a request is approved only BLS fees will be payable.
116 No. 35212 GOVERNMENT GAZt: I IE, 5 APRIL 2012 / - . . I
Transport of a patient for any other reason than a MEDICAL reason, (e.g. closer to home, do not have
own transport) will not be entertained. . . . . . . . I RESPONSE VEHICLES I
Response vehicles only ~ Advance Life Support (ALS)
A clear distinction must be drawn between an acute primary response and a booked call.
I. An Acute Primary Response is defined as a response to a call that is received for medical assistance to an employee injured at work or in a public area e.g. motor vehicle accident. If a response vehicle is dispatched to the scene of the emergency and the patient is in ~ed of advanced life support and such support is rendered by the ALS Personnel e.g. CCA or National Diploma, the response vehicle service provider shall be entitled to bill item -131 for such serviCe. However, the same or any other ambulance service provider which is then transporting the patient shall not be able to levy a bill as the cost of transportation is included in the ALS fee. under item 131. Furthermore, the ALS response vehicle personnel must accompany the patient to the hospital to entitle the original response_ vehicle service provider to bill for the ALS services rendered.
2. In the event of an response vehicle service provider rendering AL_S and not having its own ambulance available in which to transport the patient to a medical facility, and makes use of another ambulance service provider, only the bill fur the response vehicle service may be levied as the ALS bill under items 131. Since the ALS tariff already includes . transportation, the response vehicle ser\rice provider is responsible for the bill for the other ambulance service provider, which will be levied at a BLS rate. This ensures that there is only one bill ,levied per patient.
3. Should a response vehicle go to a scene and not render any ALS treatment then a bill may not be levied for the said response vehicle.
4. Notwithstanding 3, item 151 applies to all ALS resuscitation as per the notes in this schedule.
Response vehicle only- Intermediate Life Support (ILS)
A clear definition must be drawn between the acute primary r~ponse and a booked caD.-
1. An Acute Primary Response is defmed as a response to a call that is received for medical assistance to· an employee injured at work or in a public area e.g. motor vehicle accident. If an ILS response vehicle is dispatched to the scene of the emergency and the patient is in need of intermediate life support and such support is rendered by the ILS Personnel e.g. AEA, the response vehi:le service provider shall be entitled to· bill item 125 for such service. However, the same or any other ambulance service provider which is then transporting the patient shall not be able to levy a bill as the cost of transportation is included in the ILS fee under item 125. Furthermor~, the ILS response vehicle personnel nrust accompany the patient to the hospitill to entitle the original response vehicle
· service provider to bill for the ILS services rendered. · · ·
2. In the event of an response vehicle service provider rendering ILS and not having its own ambulance available in which to transport the patient to a medical :fucility, and makes use of another ambulance service provider, only the bill for the respon5e vehicle. sei-Vice may be levied as the ILS bill under item 125. Since the ILS tariff already includes transportation, the response vehicle service provider is responsible for the bill for the other ambulance ser\rice provider, which will be levied at a BLS rate. This ensures that there is only one bill levied per patient. · · ·
STAATSKOERANT, 5 APRIL 2012 No.35212 117
3. Should a response vehicle go to a scene and not render any ILS treatment then a bill may not be levied for the said response vehicle.
' 4. NATIONALLY APPROVED MEDICATION WHICH MAY BE ADMINISTERED BY
HPCSA:.REGISTERED AMBULANCE PERSONNEL ACCORDING ·TO HPCSAAPPROVEDPROTOCOLS
Mid~7.olam, Thiamine, Morphine, Promethazine· • Pacing and synchronised cardioversion
118 No. 35212 GOVERNMENT GAZETTE, 6 APRIL 2012
TARJFFS FOR DLS. JT,S ANP AI$ VRHICLlf.S tncludinpVAT}
*PLEASE NOTE: VAT cannot be added on the following codes: 102, 103, 111, 125, 127, 129, 131, 133 and 141. VAT will only be paid with confirmation of a VAT registration number on the account
. CODE DESCRIPTION OF SERVICE
1 RASIC I .IFR SUPPORT (Rule 001: Metropolitan area and long distance codes may not be claimed simultaneously)
Metropolitan area (less than 100 kilometres) No account may be levied for the distance back to the base in the metropolitan area
*102 Up to 60 minutes *103 Every 15 minutes (or part thereof) thereafter, where specially
motivated
Long distance (more.than 100 km) *Ill Per km DISTANCE TRAVELLED WITH PATIENT 112 Per km NON PATIENT CARRYING KILOMETRES (With
maximum of 400 km)
2 JNTRRMEDIATR J,JFF. SUPPORT . (Rule 001: metropolitan area and long distance codes may not be claimed simultaneously)
Metropolitan area (less than 100 kilometres) No account may be billed for the dij·tance back to the base in the metropolitan area
*125 Up to 60 minutes *127 Every 15 minutes (or part thereof) thereafter, where specially
motivated
Long distance (more than 100 km) *129 Perkm DISTANCE'rKAVELLED WITH PATIENT 130 Per km NON PATIENT CARRYING KILOMETRES (With
maximum of 400 km)
• VAT Exempted codes
P ·actice Code 013 011 009 AMOUNT PAYABLE
1425.17 1425.17 1425.17 356.72 356.72 356.72
17.76 17.76 17.76 7.98 7.98 7.98
-- 1883.44 1883.44 481.43 481.43
24.05 24.05 7,98 7.98
STAATSKOERANT, 5 APRIL 2012 No. 35212 119
P ·actice Code CODE DESCRIPTION OF SERVICE 013 011 009
3. · ADV ANCRD T .IFF. SUPPORT I INTRNSIVR CARR UNIT (Rule 001: Metropolitan area and long distance codes may n~t be claimed simultaneou.sly) · · · · ·
Metropolitan area Oess than 100 kilometres) ·. No account may be billed for the distance back to the base in
the metropolitan area *131 Up to 60 minutes · *133 Every 15 minutes (or part thereof) thereafter, where specially
*141 . 142
motivated · ·
Long distance(more than 100 km) Per km DISTANCE TRA YELLED WiTH PATIENT Per km NON PATIENT CARRYING KILOMETRES With maximum of 400 km)
·'' 4 ADDITIONAL VEHICLE OR STAF.F FOR
151
153
INTERMEDIATE LIFE SUPPORT, ADVANCED LIFE SUPPORT AND INTENSIVE CARE UNIT
Resuscitation fee, per inciden~ for a second. vehicle with paramedic and I or other staff (all materials and skills included)
Note: A resuscitation fee may only be billed for when a second vehicle (response vehicle or ambulance) with staff (including a paramedic) ·attempt to resuscitate the patient' using full ALS interventions. These interventions must include one or more of the following: • Administration of advanced cardiac lite support drugs • Cardioversion . -synchronised or unsynchronised
(defibrillation) • External cardiac pacing • Endotracheal intubation (oral or nasal) with assisted
ventilation
Doctor per hour
Note: Where a doctor callout fee is charged the mme, HPCSA registration number . and BHF practice number of the doctor must appear on the bill. Medical motivation for the callout must be supplied. ·
• VAT Exempted codes
AMOUNT PAYABLE
• • : <
2989.08 975.77
43.26 7.98
3329.38
r • i
956.78.
120 No.35212 GOVERNMENT GAZt:.l 1 E, 5 APRIL 2012
AEROMEDICAL-TRANSFERS -·
ROTOR WING RATES
DEFINITIONS:
l. Helicopter rates an; determined according to the aircraft type. 2. Daylight operations are defmed froin sunrise to sunset (and night operations from sunset to
sunrise). 3. If flying time is mostly in 11ight time (as per defmition above), then night time operation rates
(type C) should be billed. · · · 4. The call out charge includes the basic call cost. plus other flying time inciuTed. Staff and
consumables cost can only be charged i{ a patient were treated. 5. Should a response aircraft respond to a scene (at own risk) and not render any treatment, a bill .
may not be levied for the said response. 6. Flying time is billed per minute but a minimum of 30 minutes applies to the payment. 7. A second patient is transferred at 50% reduction of the basic call and flight costs, but staff and
consumables costs remain billed per patient, only if the aircraft capability allows for multiple . patients. Rule 005 must be quoted on the account. ·
8. Rates are calcJJIHted according to time; from throttle open, to throttle closed. 9. Group A- C must fall within the Cat 138 Ops as determined by the Civil Aviation Authority. 10. Hot loads are restricted to 8 minutes ground time. and must be indicated and billed for ·
separately with the indicated code (time NOT to be included in actual flying time). 11. AU published tariffs exclude VAT. VAT can be charged on air ambulances if a VAT
registration nnmber is supplied.
AIRCRAFT TYPE A: (typically a single engine aircraft) HB206L, HB204 I 205, HB407, AS360, EC120, MD600, AS350, All9
AIRCRA~·r TYPE B & Ca (DAY OPERATIONS): (typicaUya twin engine aircraft) BOlOS, 206CT, AS355, Al09
AIRCRM·r TYPE Cb (NIGHT OPERATIONS): (typically a specially equipped craft for night flying) HB222, HB212 I 412, AS365, S76, HB427, MD900, BKll7, EC135, BOlOS
1. Group A must fall within the Cat 138 Ops as determined· by the Civil Aviation Authority. 2. Please note that no fee structure has been provided for Group B, as emergency charters could
include any fonn of aircraft. It would be impossible to specify costs over such a broad range. As these would only re used during emergencies when no Group A aircraft are available, no staff or equipment fee should be charged. _
3. AU published tariffs exclude VAT. VAT can be charged on air ambulances only if a VAT registration number is supplied on the account.
·--,< ···•·•
STAATSKOERANT, 5 APRIL 2012 No. 35212 121
. 4. Staff and consumables cost can only be charged if a patient were treated. 5. . A second patient is transferred at 50% reduction of the basic call and flight cost, but staff and
consumables costs remain billed per patient, only if the aircraft capability allows for multiple patients. Rule 005 must be quoted on the account. ·· ·
GROUP B- EMERGENCY CHARTERS
1. No staff and equipment fee are allowed. 2. Cost will be reviewed per case. 3. Payment of emergency transport will only be allowed if a Group A aircraft is not available
within an optimal time period for transportation and stabilisation of the patient.
CODE DES{.;RIPTION OF SERVICE
5 AlR AMBUI.ANCF.: ROTORWING
300
·PLUS 301
. 302
303
310
PLUS 311
312
313
RotonvinR Type A: Transport
Basic call cost
Flvine time Cost per minute up to 120 minutes· Minimum cost for 30 minutes (R 2331.00) applicable > 120 minutes Supply m:>tivation for not using a fiXed wing ambulance if the time exceeds 120 minutes Hot load (per minute) - maximum 8 minutes (R621.60) . .
Rotorwinp Type Band C (da.v operations): Transport
Basic call cost
Flvine: time Cost per minute up to 120 minutes Minimum cost for 30 minutes (R4023.00) applicable > 120 minutes Supply m)tivation for not using a ftxed wing ambulance if the time exceeds 120 minutes Hot load (per minute)- maximum 8 minutes (R1072.80)
Rotonvin~ Type C (ni~ht operations): Transport
315 Basic call cost
PLUS 316
Flvine: time Cost per minute up to 120 minutes Minimum cost for 30 minutes (R4023.00) applicable
Pfactice Cc,rle 013 011 009 . .
AMOUNT PAYABLE
. 6821.45
108.54
108.54
108.54
11989.10
·. 187.29
187.29
187.29
17053.27
187.29
·122 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
CODE DESCRIPTION OF SERVICE
317
318
320 321 322 323
330
'PLUS
331
332
333
340
6
. 400 401 402 403 404 405 406 407 408 409
' ,.
> 120 minutes Supply rmtivation for not using a fixed wing ambulance if the time exceeds 120 minutes Hot load (per minute)- maximum 8 minutes (R1072.80)
Rotorwin~ Type A, B and C: Staff and consumables
0- 30 minutes" 30- 60 minutes 60 - 90 minutes 90 minutes or more
..
Rotorwin~ Type D: Transport
Basic call cost
Flvine: time Cost per minute up to 120 minutes Minimum cost for 30 minutes (R4797.00) applicable > 120 minutes Supply rmtivation for not using a fixed wing ambulance if the time exceeds 120 minutes Hot load (per minute)- maximum 8 minutes (R1279.20)
OTHRR COSTS .. , .. '
Winching (per lift)
AIR AMBULANCR: FIXED WING .
Fixed win2 Group A (Tariff is composed of flying cost per kilometre and staff and equipment cost per minute).
Fixed win2 Group A: Aircraft cost
Beechcraft Duke Lear 24F Lear 35 Falcon 10 King Air200 Mitsubishi MU2 Cessna402 Beechcraft Baron Citation 2 Pi latus PC 12
Doctor- cost per minute spent with the patient Minimum cost for 30 minutes (RIIIO.OO) applicable ICU Sister- cost per minute spent with the patient Minimum cost for 30 minutes (R405.00) applicable Paramedic - cost per minute spent with the patient Minimum cost for 30 minutes (R405.00) applicable
Fixed winp Group A: F.quiprnent cost
Per patient - cost per minute Minimum cost for 30 minutes (R330.00) applicable
Fixed wi~ Group R: Rrne~ency charters
450 Services rendered should be clearly specified with cost included. Each case will be reviewed and assessed on merit.
No.35212 123
P-adice C.c.de 013 011 009 AMOUNT PAYABLE
51.68
18.88
18.88
15.39
124 No. 35212. GOVERNMENT GAZI: 1 IE, 5 APRIL 2012
No. 281 5 Apr112Q12
.. COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT,
1993
(ACT NO. 130 OF 1993), AS AMENDED
ANNUAL INCREASE IN MEDICAL TARIFFS FOR MEDICAL SERVICE
PROVIDERS, ?HARMACIES AND HOSPITAL GROUPS
I. I, Nelisiwe Mildred Oliphant, Minister of Labour, hereby give notice that, after
consultation with the Compensation Board and acting under the powers vested in
me by section 97 of the Compensation for Occupational Injuries and Diseases
Act, 1993 (Act No. 130 of 1993), I prescribe the scale of "Fees for Medical Aid"
payable under section 76, inclusive of the General Rules applicable thereto,
appearing in the Schedule to this notice, with effect from the 1 April 2012.
2. The fees appearing in the Schedule are applicable in respect of services rendered . .
The employee is permitted to freely choose his own service provider e.g. doctor, pharmacy, physiotherapist, hospital, etc. and no interference with this privilege i.s permitted, as long as· it is exercised reasonably and without prejudice to the employee or to the Compensation Fund. The only exception to this rule is in case where an employer, with the approval of the Compensation Fund, provides comprehensive medical aid facilities to his employees, i.e. including hospital, nursing and other services - section 78 of the Compensation for Occupational Injuries and Diseases Act refers.
In terms of section 42 of the Compensation for Occupational Injuries and Diseases· Act the Compensation Fund may refer an injured employee to a specialist medical practitioner of his choice for a medical examination and report. Special fees are payable when this service is requested.
In the event of a change of medical practitioner attending to a case, the first doctor in attendance will, except where the case is transferred to a specialist, be regarded as the principal. To avoid disputes regarding the payment for services rendered, medical practitioners should refrain . from treating an employee already under treatment by another doctor without consulting I informing the first doctor. As a general rule, changes of doctor are . not favoured by the Compensation Fund, unless sufficient reasons exist.
According to the National Health Act no 61 of 2003, Section 5, a health care provider may not refuse a person emergency medical treatment. . Such a medical service provider should not request the Compensation Fund to authorise such treatment before the claim has been submitted to and accepted by the Compensation Fund. Pre-authorisation of treatment is not possible and no medical expense will be approved if liability for the claim has not been accepted by the Compensation Fund.
An employee seeks medical advice at his own risk. If an employee represented to a medical service provider that he is entitled to treatment . in terms of the Compensation for Occupational Injuries and Diseases Act, and yet failed to inform the Compensation Commissioner or his employer of any possible grounds for a claim, the Compensation Fund cannot accept . responsibility for medical expenses incurred. The Compensation Commissioner could also have reasons not to accept a claim lodged against the Compensation Fund. In such circumstances the employee would be in the same position as any other member of the public regarding payment of his medical expenses.
Please note that from 1 January 2004 a certified copy of an employee's identity document will be required in order for a claim to be registered with the Compensation Fund. If a copy of the identity docwnent is not submitted the claim will not be registered but will be returned to the employer for attachment of a certified copy of the employee's identity document. Furthermore, all supporting documentation submitted to· the Compensation Fund must reflect the identity number of the employee. If the identity number is not included such documents can not be processed but will be returned to the sender to add the ID number.
126 No. 35212 GOVERNMENT GAZt:.l·l E, 5 APRiL 2012
The tariff arnoWltS published in the tariff guides to medical services rendered in tenns of the Compensation for Occupational Injuries and Diseases Act do not include VAT. All accoWlts for services rendered will be assessed without VAT. Only if it is indicated that the service provider is registered as a VAT vendor and a VAT registration number is provided, will VAT be·calculated·and-added to the payment, without being rounded off. '
The only exception is the "per diem" tariffs for Private Hospitals that already include VAT.·
Please note that there are VAT exempted codes in the private ambulance tariff structure.
DIE WERKNEMER EN DIE MEDIESE DIENSVERSKAFFER
Die werknemer het 'n vrye keuse van: diensversktiffer bv. dokter, apteek, flSioterapeut, hospitaal ens. en geen inmenging met hierdie voorreg word toegelaat nie, solank dit redelik en sonder benadeling :van die werknemer self of die Vergoedingsfonds uitgeoefen word. Die enigste uitsondering op hierdie reel is in geval waar die werkgewer met die goedkeuring van die Vergoedingskoinmissaris omvattende geneeskundige dienste aan sy werknemers voorsien,. d.i. insluitende hospitaal-, verplegings- en ander dienste - artikel 78 van die Wet op Vergoeding vir Beroepsbeserings en Siektes verwys.
Kragtens die bepalings van artikel 42 van die Wet op Vergoeding vir Beroepsbeserings en Siektes mag die Vergoedingskommissaris 'n beseerde werknemer na 'n ander geneesheer deur homself aangewys venvys vir 'n mediese ondersoek en verslag. Spesiale fooie is betaalbaar vir hierdie diens wat feitlik uitsluitlik deur spesialiste gelewer word.
In die geval van 'n verandering in geneesheer wat 'n werkneiner behandel, sal die eerste geneesheer wat behandeling toegedien het, behalwe waar die werknemer na 'n spesialis verwys is, as die lasgewer beskou word. Ten einde ges_kille rakende die betaling vir dienste gelewer te voorkom, moet geneesllere ltul daarvan weerhou om 'n werknemer wat reeds onder behandeling is te behandel sonder om die eerste geneesheer in te Jig. Oor die algemeen word verandering van geneesheer, tensy voldoende redes daarvoor bestaan, nie aangemoedig nie.
Volgens die Nasionale Gesondheidswet no 61 van 2003 Afdeling 5, mag 'n gesondheidswerker of diensverska.lfer nie weier om noodbehandeling te verskaf nie. Die Vergoedingskommissaris kan egter nie sulke behandeling goedkeur alvorens aanspreeklikheid vir die eis kragtens die Wet op Vergoeding vir Beroepsbeserings en Siektes aanvaar is nie. Vooraf goedkeuring vir behandeling is nie moontlik nie en geen mediese onkoste sal beiaal word as die eis tile deur die Vergoedlngsfonds aanvaar word nie.
Dit moet in gedagte gehou word dat 'n werknemer geneeskundige behandeling op sy eie risiko aanvra. As 'n werknemer dt!s aan 'n geneesheer voorgee dat hy geregtig is op behandeling in terme van die Wet op Vergoeding vir Beroepsbeserings en Siektes en tog versuim om die Vergoedingskommissaris of sy werkgewer in te Jig oor enige moontlike grande vir 'n eis, kan die Vergoedingsfonds geen aanspreeklikheid aanvaar vir geneeskundige onkoste wat aangegaan is nie. Die
Vergoedingskommissaris lean ook rede he om 'n eis teen die Vergoedingsfonds nie te aanvaar nie. Onder sulke omstandighede sou die werknemer in dieselfde posisie verkeer as enige lid van die publiek wat betaling van sy geneeskundige onkoste betrej
Neem asseblief kennis dat 'n gesertiftSeerde afskrif van die werknemer se identiteitsdokume11t benodig word vanaf 1 Januarie 2004 om 'n eis by · die Vergoedingsfonds aan te meld. Jndien 'n afskrif van die identiteitsdokument nie aangeheg is nie, sal die eis nie geregistreer word nie en die dokumente sal teruggestuur word aan die werkgewer vir die aanheg van die ID dokument. Aile ander dokumentasie wat aan die kantoor gestuur word moet ook die identiteitsnommer aandui. Jndien nie aangedui nie, sal die dokumentasie nie verwerk word nie, maar teruggestuur word vir die aanbring van die identiteitsnommer.
Die bedrae gepubliseer in die handleiding tot tariewe vir dienste gelewer in terme van die Wet op Vergoeding vir Beroepsbeserings en Siektes, sluit BTW uit. Die rekimings vir dienste gelewer word aanges/aan en bereken sonder BTW.
Jndien BTW van toepassing is en 'n BTW registrasienommer voorsien is, word BTW bereken en by die betalingsbedrag gevoeg sonder om afgerond te word.
Die enigste uitsondering is die "per diem·~ tariefvir Privaat Hospitale, wat BTW insluit. ,
Neem asseblief kennis dat daar tariewe in die kodestruktuur vir privaat ambulanse is waarop BTW nie betaalbaar is nie.
128 No. 35212 GOVERNMENT GAZt:.l IE, 5 APRIL 2012
CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS FOLLOWS•
ElSE TEEN DIE VERGOEDINGSFONDS WORD AS VOLG GEHANTEER
1. New claims are registered by the Compensation Fund and the employer is notified of the claim number allocated to the claim. The allocation of a claim number by the Compensation Fund, does not constitute acceptance of liability for a claim, but means that the injury on duty has been reported to and registered by the Compensation Commissioner. Enquiries regarding claim numbers should be directed to the employer and not to the Compensation Fund. The employer will be in the position to provide the claim number for the employee as well as indicate whether the claim has been accepted by the Compensation Fund • Nuwe eise word geregistreer deur die· Vergoedingsfonds en die werkgewer word in kennis gestel van die eisnommer. Navrae aangaande eisnommers moet aan die werkgewer gerigword en nie aan die Vergoedingskommissaris nie. Die werkgewer kan die eisnommer verskaf en ook aandui of die Vergoedingsfonds die eis aanvaar het of nie
2. If a claim is accepted as a CO IDA claim, reasonable medical expenses will be paid by the Compensation Commissioner • As 'n eis deur die Vergoedingsfonds aanvaar is, sal redelike mediese koste betaal word deurdie Vergoedingsfonds. ·
3. If a claim is rejected (repudiated), accounts for services rendered will not be paid by the Compensation Commissioner. The employer and the employee will be informed of this decision and the injured employee will be liable for payment. • As 'n eis deur die Vergoedingsfonds afgekeur (gerepudieer) word, word rekenings vir dienste gelewer nie deur die Vergoedingsfonds betaal nie. Die betrokke partye insluitend die diensverskaffers word in kennis gestel van die besluit. Die beseerde werknemer is dan aanspreeklik vir betaling van die rekenings.
4. If no decision can be made regarding acceptance of a claim due to inadequ~te information, the outstanding information will be requested and upon receipt, the claim will again be adjudicated on. Depending on the outcome, the accounts from the service provider will be dealt with as set out in 2 and 3. Please note that there are claims on which a decision might never be taken due to lack of forthcoming information • Indien geen besluit oor die aanvaarding van 'n eis weens 'n gebrek aan inligting geneem kan word nie, sal die uitstaande inligting aangev.ra word. Met ontvangs van sulke inligting sal die eis heroorweeg word. Afhangende van die uitslag, sal die rekening gehanteer word soos uiteengeset in punte 1 en 2. Ongelukkig bestaan daar eise waaroor 'n besluit nooit geneem kan word nie aangesien die uitstaande inligting nooit verskaf word nie.
STAATSKOERANT, 5 APRIL 2012 No. 35212 129
BILLING PROCEDURE • EISPROSEDURE
1. The first account for services rendered for an injured employee (INCLUDING the First Medical Report) must be submitted to the employer who will collate all the necessary documents and submit them to the Compensation Co mmissioner • Die eerste rekening (INSLUll'END die Eerste Mediese Verslag) vir diensle gelewer aan 'n beseerde werknemer moet aan die werkgewer gestuur word, wat die nodige dokumentasie sal versamel en dit aan die Vergoedingskommissaris sal voor/e
2. Subsequent accounts must be submitted or posted to the closest Labour Centre. It is important that all requirements for the submission of accounts, including supporting information, are met • Daaropvolgende rekeninge moet ingedien of gepos word aan die naaste Arbeidsentrum. Dit is belangrik datal die voorskrifte vir die indien van rekeninge nagekom word, insluitend die voorsiening van stawende dokumentasie
3. If accounts are still outstanding after 60 days following submission , the service provider should complete an enquiry fonn, W.CI 20, and submit it ONCE to the Labour Centre. All relevant details regarding · Labour Centres are available on the website www.labour.gov.za • Indien rekenings nog ui/staande Is na 60 dae vanaf indiening en ontvangserkenning deur die Vergoedingskommissaris, moet die diensverskaffer 'n navraag vorm, W.C I 20 voltooi en EENMALIG indien by die Arbeidsentrum. Aile inligting oor Arbeidsentrums is beskikbaar op die webblad www.labour.gov.za
4. If an account has been partially paid with no reason indicated on the remittance advice, a duplicate account with the unpaid services clearly marked can be submitted to the Labour Centre, accompanied by a WCI 20 form. (*see website for example of the form). • Indien 'n rekening gedeeltelik betaal is mel geen rede voorsien op die betaa/advies nie, kan 'n duplikaatrekening met die wanbetaling duidelik aangedui, vergesel van 'n WC/ 20 vorm by die Arbeidsentrum ingedien word (*sien webb/ad vir 'n voorbeeld van die vonn)
5. Information NOT to be reflected on the account: Details ofthe employee's medical aid and the practice number of the referring practitioner • lnligtlng wat NIE aangedul moet word op die rekening nie: Besonderhede van die werknemer se mediese fonds en die verwysende geneesheer se praktyknommer
6. Service providers should not generate • Diensverskaffers moenle die volgende /ewer nie:
a. Multiple accounts for services rendered on the same date i.e. one account for medication and a second account for other services • Meer as een rekenlng vir dienste ge/ewer op diese/fde datum, bv. medikasie op een rekening en onder diensle op 'n tweede rekening
b. Accumulative acco unts - submit a separate account for every month • Aaneenlopende rekeninge -/ewer 'n aparte rekening vir elke maand
c. Accounts on the old documents (W.CI41 W.CI 51 W.CI SF) New *First Medical Report (W.CI4) and Progress I Final Medical Report (W.CI S I W.Cl SF) forms
130 No.-35212 GOVERNMENT GAZt:. 1 IE, 5 APRIL 2012
are available. The use of the old reporting fonns combined with an account (W.CLII) has been discontinued. Accounts on the old medical reports will not be processed • Rekeninge op die ou voorgeskrewe dokumente van die Vergoedingskommissaris. Nuwe *Eerste Mediese Verslag (W.C/4) en Vorderings I Finale Mediese Verslag (W.Cl 5) vorms is beskikbaar. Die vorige verslagvorms gekombineer met die rekening (W.CLJJ) is vervang. Rekeninge op die ou vorms word nie verwerk nie.
*Examples ofthe new forms (W.C 14/ W.CI S I W.Cl SF) are available on the website www.labour.gov.za •
* Voorheelde van die nuwe vorms (W.CI4/ W.CI S/ W.CI SF) is heskikbaar op die webhlad www.labour.gov.za
STAATSKOERANT, 5 APRIL 2012
MINIMUM REQUIREMENTS FOR ACCOUNTS RENDERED • MINIMUM VEREISTES VIR REKENINGE GELEWER
Minimum information to be indicated on accounts submitted to the Compensation Fund • Minimum hesonderllede wat aangedui moet word op. ·
rekeninge gelewer aan die Vergoedingsfonds ·
No.35212 131
);;> Name of employee and ID number • Naam van werknerner en ID nom mer
> Name of employer and registration number if available • Naam van werkgewer en registrasienornmer indien beskikbaar
> Compensation Fund Claim number • Vergoedingsfonds eisnommer ;;... DATE OF ACCIDENT (not only the servicedate) • DATUM VAN
BESERING (nie slegs die diensdatum nie) . . ;;... Service provider's reference and invoice number • Diensverskaffer se
venvysing of faktuur 11ommer ;;... The practice number (changes of address should be reported to BHF) •
Die praktyknommer (adresveranderings moet by BHF aangemeld word)
;;... VAT registration number (VAT will not be paid if a VAT registration number is not supplied on the account) • BTW registrasienommer (BTW sal nie betaal word as die DTW registrasienommernle voorsien wordnie) ·
> Date of service (the actual service date must be indicated: the invoice date is not acceptable) • Diensdatum (die werklike diensdatum moet aangedui word: die datum van lewering van die rekening ·is nie aanvaarbaar nie)
· ;;... Item codes according to the officially published tariff guides • Item kodes soosaimgedui indie amptelik gepubliseerde handleidings tot tariewe
;;... Amount claimed per item code and total of account • Bedrag gei!is per iternkode en totaal van rekening.
;;... It is important that all requirements for the submission of accounts are met, including supporting information, e.g ~ Dit is belangrik dat al/e voorskrifte vir die indien van rekeninge insluitend dokumentasie nagekom word bv.
o All pharmacy or medication accounts must be accompanied . by the original scripts • Aile apteekrekenings vir medikasie moet vergesel word van die oorspronklike voorskrifte .
o The referral notes from the treating practitioner must accompany all other medical service providers' accounts. • Die verwysingsbriewe van die behandelende geneesheer moet rekeninge van ander mediese diensverskaffers vergesel ·
132 No.35212 GOVERNMENT GAZETIE, 5 APRIL 2012
SCHEDULE • BYLAE
TARIFF OF FEES IN RESPECT OF OCCUPATIONAL THERAPY SERVICES FROM 1 APRIL 2012 TARIEWE TEN OPSIGTE VAN ARBEIDSTERAPEUTIESE DIENSTE VANAF 1 APRIL 2012
GENERAL RULES GOVERNING THE TARIFF
ALGEMENE REeLS VAN TOEPASSING OP DIE TARIEF
001 Unless timely steps are taken (at least two hours) to cancel an appointment for a consultation the relevant consultation fee shall be payable by the employee. • Tensy vroegtydige reelings (minstens tv.ee uur voor die afspraak) getref is om 'n afspraak vir 'n konsultasie te kanselleer, sal die werknemer aanspreeklik wees vir die konsultasiefooie. ·
· 002 In exceptional cases where the tariff fees is disproportionately low in relation to the actual services rendered by the practitioner, a higher fee may be negotiated. Conversely, if the fee is disproportionately high in relation to the actual services rendered, a lower fee than that in the tariff should be charged. • In uitsonderlike gevalle, waar die foci uitermatig laag is in vergelyking met die diens deur die praktisyn gelewer, is hoer gelde onderhandelbaar. Aan die ander kant, as die gelde buiten verhouding hoog is met betrekking tot die werklike dienste gelewer, meet 'n laer bedrag as die wat in die tarief aangegee v.ord, gehefword.
003 The service of an occupational therapist shall be available only on written referral by a medical practitioner. • Die dienste van 'n arbeidsterapeut sal alleenlik beskikbaar wees na skriftelike verwysing deur 'n mediese praktisyn.
004 Prolonged or costly treatments should only be embarked upon after negotiations between the referring medical practitioner and the occupational therapist and authorisation by the Compensation Commissioner. • In die geval van langdurige of duur behandeling meet daar vooraf tussen die verwysende geneesheer en die arbeidsterapeut onderhandel word en goedkeuring deur die Vergoedingskommissaris verkry word.
005 After a series of 20 treatment sessions for the same condition, the medical practitioner must reevaluate the employee's condition and submit a report to the Compensation Commissioner, In which the necessity for further treatment should be Indicated. • Na 'n reeks van 20 behandellngsessles vir dleselfde toestand moet die medlese praktisyn die werknemer sa toestand herevalueer en die Vergoedlngskommissaris van 'n medlese verslag voorsien waarin die noodsaakllkhald vir verdere behandellng aangedul word.
006 "After hours treatment• shall mean those emergency treatment sessions performed at night between 18:00 and 07:00 on the following day or during weekends between 13:00 Saturday and 07:00 Monday. Public holidays are regarded as Sundays. The fee for all treatment under this rule shall be the total fee for the treatment plus 50 per cent. This rule shall apply for all treatment administered in the practitioner's rooms, or at a nursing home or private residence (only by arrangement when the patient's condition necessitates it). Modifier 0006 must then be quoted after the appropriate tariff code to indicate that this rule is applicable. • "Na-uurse behandeling" beteken die noodbehandeling wat geskied in die nag tussen 18:00 en 07:00 van die volgende dag of gedurende naweke tussen 13:00 Saterdag en 07:00 Maandag. Openbare vakansiedae word beskou as Sondae. Vir aile behandelings ooreenkomstig hierdie reel geld die valle tarief vir die behandeling plus 50 persent. Hierdie reel sal vir aile behandelings geld, of die behandeling by die praktisyn se spreekkamers, by 'n verpleeginrigting of by 'n private waning toegepas v.ord (lg. alleenlik wanneer die pasient se toestand dit genoodsaak). Na die betrokke tariefkode meet wysiger 0006 vermeld word ten einde aan te dui dat hierdie reel van toepassing is.
008 The provision of aids or assistive devices shall be charged at cost. Modifier 0008 must be quoted after the appropriate codes to show this rule is applicable. • Bystands- of kunshulpmiddels sal teen kosprys voorsien word. Wysiger 0008 meet na die toepaslike tariefkode aangehaal word, om aan te dui dat hierdie reel van toepassing is.
009 Materials used in the construction of orthoses v.ill be charged as per Annexure "A" for the applicable device and pressure gaments will be charged as per Annexure "B" for the applicable garment. Modifier 0009 must be quoted after the appropriate codes to show that this rule is applicable. • Die koste van die materiaal gebruik in die konstruksie van ortoses sal gehef word soos per Aanhangsel "A" en drukkledingstukke sal
STAATSKOERANT, 5 APRIL 2012 No. 35212 133
gehef word soos per Aanhangsel "B" vir die toepaslike kledingstukke.- Wysiger 0009 meet na die toepaslike kodes aangehaal word om aan te dui dat hierdie re~l van toepassing is.
010 Materials used in treatment shall be charged at cost. Modifier 0010 must be quoted after the appropriate tariff codes to show that this rule is applicable. • Die koste van die materiaal wat tydens behandeling gebruik word sal teen kosprys verhaal word. Wysiger 0010 meet na die toepaslike tariefkodes aangehaal word, om aan te dui dat hierdie reel van toepassing is.
011 When the occupational therapist administers treatment away from his I her premises, travelling costs shall be charged as follows: RS.OO per km for each kilometre in excess of 16 kilometres in total, travelled in OIM1
car e.g. 19 km total = 3 X RS.OO = R15.00 • Waar die arbeidsterapeut behandelingsessies buite die spreekkamer uitvoer meet vervoerkoste soos volg bereken word: RS.OO per km vir elke kilometer verder as 16 kilometer in totaal afgel~. in eie motor bv. 19 km totaal = 3 X R5.00 = R15.00.
012 The occupational therapist shall submit the account for treatment to the employer of the employee concerned. • Die arbeidsterapeut moet die rekening ten opsigte van behandeling aan die betrokke werknemer se wetkgewer stuur.
013 The work visit (code 209) and work evaluation (code 312) shall be claimed only once per patient. The work evaluation code may only be used when a patient not under the treatment of the therapist is assessed for work. • Die werksbesoek (kode 209) en wetkevaluering (kode 312) mag slegs een keer per pasient gebruik word. Die werkevalueringkode mag slegs g~is word wanneer die pasient nie deur die terapeut behandel word nie. · ·
MODIFIERS GOVERNING THE TARIFF • WYSIGERS VAN TOEPASSING OP DIE TARIEF
0006 Add 50% of the total fee for the treatment. • Voeg 50% van die totale foole van die prosedure by.
0008 Aids or assistive devices should be charged at cost. • Bystands- of kunshufpmiddefs ·meet teen kosprys gehefword.
0009 Materials used for orthoses or pressure garments should be charged as per Annexure "8". • Materiaal vir ortoses of drukkledingstukke meet gehef word soos per Aanhangsef ·s·.
0010 Materials used in treatment should be charged at cost. • Materiaal gebruik vir beh.andeling meet teen kosprys gehef word.
0011 Travelling cost: as indicated in Rule 011. • Vervoerkoste: soos aangedui in Real 011.
0012 A detailed report of the work assessment with signatures of the employer and the injured worker shall be submitted to the Compensation Commissioner with the invoice. • 'n Volledige verslag oor die werksevaluering met handtekeninge van die werkgewer en die beseerde werknemer meet die rekening vergesel na die Vergoedingskommisaris. ·
Note: Monetary value of one unit= R 7.00 • Let Wei: Geldwaarde van een eenheld = R7.00
134 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
CODE KODE
101
108
109
201
203
205
207
209
CODE KODE
213
215
217
219
221
223
· Tariff excludina VAT ~ Tarlef sluit BTW uit
PLEASE TAKE NOTE OF GENERAL RULE 005 NEEM ASSEBUEF KENNIS VAN ALGEMENE REEL 005
EVALUATION PROCEDURES • EVALUASIE PROSEDURES
ITEM
· First consultation ( 5-15 min) • Eerste konsultasie ( 5-15 min) ·•
~irst corisulta~ion ( 15-30 min) • Eerste konsultasie (15-30 min)
First consultation ( 30-60 min) • Eerste konsultasie ( 30-60 min)
Observation and screening • Observasie en skandering
Specific evaluation for a single aspect of dysfunction (Specify which aspect). • Spesifieke evaluasie vir 'n enkele aspek van wanfunksie (Spesifiseer aspek)
Specific evaluation of dysfunction involving one pert of the body for a specific functional problem (Specify part and aspects evaluated) • Spesifieke evaluaaie van wanfunksle van een gedeelte van die llggaam vir .'n speslfieke funkslonele probleem (Spealflseer gedeelte sower as aspek ge&valueer)
Specific evaluation for dysfunction Involving the Vvtlole body (Specify condiUon and which aspects evaluated) • Speslfieke evaluasle van wanfunksle wat die hele llggaam lnslult (spesifiseer toestand en aspekte geevalueer)
Specific In depth evaluation of certain functions affecting the total person (Specify the aspects assessed) • Speslfieke ln-diepte evaluasle van sekere funksles wat die persoon In geheel affekteer (spesifiseer die aspekte geevalueer)
. MEASUREMENT FOR DESIGNING • OPMETING VIR ONTWERP
ITEM
A static orthosis • 'n Statiese ortose
A dynamic orthosis • 'n Dinamiese ortose
A pressure garment for one limb • Drukkledingstuk vir een ledemaat
A pressure garment for one hand • Drukkledingstuk vir een hand
A pressure garment for the trunk • Drukkledingstuk vir die romp
A pressure garment for the face (chin strap only) • Drukkledingstuk vir die gesig (alleenlik kenriem)
.· .
U/E RAND
22.50 157.50
37.50 262.50
52.50 367.50
10.00 70.04
7.50 52.53
22.50 157.58
45.00 316.18
75.00 625.26
U/E RAND
10.00 70.04
10.00 70.04
10.00 70.04
10.00 70.04
10.00 70.04
10.00 70.04
J
225
..
CODE KODE
301
303
307
STAATSKOERANT, 5 APRIL 2012 No.35212 135
A pressure garment for the face (full face mask) • Drukkledingstuk vir die gesig 10.00 (valle gesigmasker) · · · ·
. ' .. The whole body or part thereof will be the sum total of the parts • Die hele liggaam of dee! daarvan vorm die totaal van die dele
PROCEDURES FOR THERAPY • PROSEDURES VIR BEHANDELING
ITEM
Group treatment" for five (5) or more patients in a task centred activity • Groepbehandeling vir vyf (5) of meer pasiante in 'n taak-gesentreerde aktiwiteit
Placement of a patient in an appropriate treatment situation requiring structuring the environment, adapting equipment and positioning the patient. This does not require individual attention for the whole treatment session • Plasing van 'n pasiant in 'n gepaste behandelingsituasie wat strukturering . van die omgewing en aanpassing van toerusting vereis, en stelling van die pasient. Hierdie prosedure vereis nie persoonlike aandag vir die hele behandeling nie
Simultaneous treatment of two to four patients, each with specific problems utilising individual activities • Gelyktydige behandeling vir !wee tot vier pasiMte, elkeen
. met spesifieke probleme deur gebruik te maak van individuele aktiwiteite
UtE
20.00
20.00
' 48.00'
70.04
RAND
140.07
140.07
336.17
INDIVIDUAL AND UNDIVIDED ATTENTION DURING TREATMENT SESSIONS UTILISING SPECIFIC ACTIVITY OR TECHNIQUES IN AN INTEGRATED TREATMENT SESSION (TIME OF TREATMENT MUST BE SPECIFIED)·
• INDIVIDUELE EN ONVERDEELDE AANDAG GEDURENDE BEHANDELINGS DEUR GEBRUIK TE
CODE KODE
309
311
313
315
317
319
CODE KODE
MAAK VAN SPESIFIEKE AKTIWITEITE OF TEGNIEKE (TYD VAN BEHANDELING MOET GESPESIFISEER WORD)
ITEM UtE
On level one • Op vlak een 12.00
On level two • Op vlak twee 24.00
On level three • Op vlak drie 36.00
On level four • Op vlak vier 48.00
On level five • Op vlak vyf 72.00
On level six • Op vlak ses 96.00
PROCEDURES FOR WORK REHABILITATION • PROSEDURES VIR WERKREHABILITASIE
ITEM U/E
RAND
84.04
168.08
252.13
336.17
504.25
672.34
RAND
136 No.35212 GOVERNMENT GAZt:.l 1 E, 5 APRIL 2012
321
323
325
Work evaluation (including a work visit if required) upon request of the treating 80.00 medical practitioner of a patient not unde~ the treatment of the therapist A detailed report must be submitted. with the referral from the medical practitioner. • Werkevaluasie (insluitend 'n werksbesoek indien nodig) op versoek van die
· behandelende geneesheer van 'n pasient nie behandel deur die terapeut nie. 'n Volledige verslag meet ingedien word met die verwysing van die behandelende geneesheer.
Once off work visit for a patient already under the care of the therapist • Eenmalige 40.00 werksbesoek vir 'n pasient reeds onder behandeling van die terapeut
Reports: To be used only when reporting on work assessments and modifier 0012 22.14 should be used with this code. • Verslae: Vir gebruik slegs vir rapportering oor werk
. evaluasies en wysiger 0012 meet saam met hierdie kode gebruik word. ·
560.28
280.14
155.06
DESIGNING AND CONSTRUCTING A CUSTOM MADE ADAPTATION OR ASSISTIVE DEVICE, SPLINT OR SIMPLE PRESSURE GARMENT FOR TREATMENT IN TASK-CENTERED ACTIVITY (SPECIFY THE
ADAPTATION, DEVICE, SPLINT OR PRESSURE GARMENT) • ONlWERP EN VERVAARDIGING VAN 'N AANPASSINGS- OF HULPMIDDEL, SPALK OF DRUKKLEDINGSTUK VIR BEHANDELING IN 'N TAAK
GESENTREERDE AKTIWITEIT (SPESIFISEER DIE AANPASSING, HULPMIDDEL, SPALK OF DRUKKLEDINGSTUK)
CODE ITEM U/E RAND KODE
403 On level one • Op vlak een 12.00 84.04
405 On level two • Op vlak twee 24.00 168.08
407 On level three • Op vlak drie 36.00 252.13
409 On level four • Op vlak vier 48.00 336.13
411 On level five • Op vlak vyf 60.00 420.21
413 On level six • Op vlak ses 72.00 504.25
415 Designing and constructing a static orthosis • Ontwerp en vervaardiging van 'n statiese ortose 60.00 420.21
417 Designing and constructing a dynamic orthosis • Ontwerp en vervaardinging van 'n dinamiese ortose 120.00 840A2
423 Face {full face mask) • Gesig (valle gesigsmasker) 60.00 420.21
425 Trunk • Romp 90.00 . 630.32
427 Per hand • Per hand 90.00 630.32
STAATSKOERANT, 5 APRIL 2012
The whole body or part thereof will be ttie sl.btotal of the parts for the first garment and 75% of the fee for any additional garments on the same pattern • Die hele liggaam of deel daarvan vorrn die totaal van die dele vir die eerste kledingstuk en 75% van die tarief vir enige addisionele kledlngstuk op clieselfde patroon. ·
ANNEXURE A • AANHANGSEL A
MODIFIER 0009 ·MATERIAL COSTS FOR SPLINTS
WYSIGER0009 • MATERIAALKOSTE VIR SPALKE
501 Static DIP extension I flexion • Statiese DIP ekstensle I fleksle
502 Static PIP extension I flexion • Statiese PIP ekstensle I fleksie
. 503 · Dynamic PIP extension I flexion • Dinamiese PIP ekstensie I fleksie
504 Hand based static finger extension I flexion • Hand gebaseerde statiese vinger ekstensie I fleksie
505 · Hand based static thumb abduction I opposition I flexion I extension • Hand gebaseerde statiese duim abduksie I opposisie I fleksie I ekstensie
506 Hand based dynamic finger extension I flexion • Hand gebaseerde dinamiese vinger ekstensie I fleksie ·
507 Hand based dynamic thumb flexion I extension I opposition • Hand gebaseerde dinamiese duim fleksie I ekstensie I opposisie
508 Wrist extension I flexion (static or dynamic) -• Pols ekstensie I fleksie (staties of dinamies)
509 Full flexion glove • Volle fleksie handskoen
510 Forearm based dynamic finger extension I flexion • Voorarm gebaseerde dinamiese vinger ekstensie I fteksie · ·
. COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASE ACT
Names and Surname of Employee
Identity Number Address
Name of Employer
Address
Date of Accident
Postal Code
Postal Code
1. Date of first treatment Provider who provided first treatment -
2. Initial clinical presentation and functional status
3. Name of referring medical practitioner Date of referral
4. Describe patient~ current symptoms a~d functional status
5.. Are there any complicating factors that may prolong rehabilitation- or delay
recovery (specify)?
· 6. Overall goal of treatment:
7. Number of sessions already delivered -Progress achieved
No.· 35212 139
140 No.35212 GOVERNMENT GAZt:. I I E, 5 APRIL 2012
8. Number of sessions required
sessions
Claim Number: ------------------------
Treatment plan for proposed treatment
9. From what date has the employee been fit for his/her nonnal work?
10. Is the employee fully rehabilitated I has the employee obtained the highest level
of function?
11. If so, describe in detail any present permanent anatomical defect and I or
impairment of function as a result of the accident ( R.O.M, if any must be -
indicated in degrees at each specific joint)·
I certify that I have by examioatioo, satisfied myself that the iojury(ies) are as a
result ofthe accident.
Signature of rehabilitation service provider
Name( Printed)
Address
Practice num her
Date( Important)
NB: Rehabilitation progress reports must be submitted on a monthly basis and
attached to the submitted accounts.
STAATSKOERANT, 5 APRIL 2012 ''
GENERAL NOTICES
ALGEMENE KENNISGEWINGS
NOTICE 281 OF 2012
DEPARTMENT OF LABOUR
No.35212 141
PUBLICATION OF THE LABOUR RELATIONS AMENDMENT BILL, 2012
The Minister of Labour intends introducing the Labour Relations Amendment Bill, 2012, in the National Assembly shortly. The explanatory summary of the Bill is hereby published in accordance with Rule 241(1)(c) of the Rules of the National Assembly.
The Bill seeks to amend the Labour Relations Act, 1995 (Act No. 66 of 1995) to facilitate the granting of organisational rights to trade unions that are sufficiently representative; to require the holding of ballots by trade unions and employers' organisations prior to calling a strike or lock-out; to strengthen the status of picketing rules and agreements and to clarify the powers of the Labour Court in respect of breaches of picketing rules or agreements; to revise the operation and composition of the essential services committee and to provide for minimum service determinations; to allow for the Labour Court to appoint trade union administrators if trade unions are unable to perform their functions; to revise provisions regulating the operation of the Commission for Conciliation, Mediation and Arbitration; to regulate the terms of appointment and remuneration of judges of the Labour Court; to enable judges of the Labour Court to serve on the Labour Appeal Court; to limit the protection of employees earning above an earnings threshold to dismissal for a reason that is automatically unfair; to further regulate enquiries by arbitrators; to further protect workers placed by temporary employment services; to regulate the employment of employees earning below an earnings threshold on fixed-term contracts or as parttime employees; to apply the presumption of employment to other legislation; to further specify the liability for employers' obligations; and to make additional amendments concerning the implementation, application and interpretation of the Labour Relations Act, 1995.
A copy of the Bill can be found on the website of the Department of Labour at http://www.labour.Qov.za/leqislationlbills/proposed-amendment-bills
PUBLICATION OF THE BASIC CONDITIONS OF EMPLOYMENT AMENDMENT BILL, 2012
The Minister of Labour intends introducing the Basic Conditions of Employment Amendment Bill, 2012, in the National Assembly shortly. The explanatory summary of the Bill is hereby published in accordance with Rule 241(1)(c) of the Rules of the National Assembly.
The Bill seeks to amend the Basic Conditions of Employment Act, 1997 (Act No. 75 of 1997) so as to prohibit employers requiring employees to make payments to secure employment and requiring employees to purchase goods, services or products in certain circumstances, to extend the prohibition on work by children to children engaged to work as independent contractors; to adjust the powers of the Minister of Labour in respect of making sectoral determinations; to revise and streamline the system for enforcement by labour inspectors; to increase the penalties that can be imposed for offences involving child labour or forced labour; to adjust that maximum fines that can be imposed for breaches of the Act not involving underpayments. · • ·
A copy of the Bill can be found on the website of the Department of Labour at http://www.labour.qov.za /leqislation/bills/orooosed-amendment-bills
I, Mdu Petrus Shabane, Director·General of Rural Development and Land Reform, in terms
of section 8 of the Land Survey Act, 1997 (Act No 8 of 1997), hereby prescribe the fees set
out in the Annexure. as the fees which shall be charged for the products or sel'\lices provided
by the Office of the Chief Director of Surveys and Mapping. The fees shall be payable on and
after 1 April 2012 and shall replace the scale of fees promulgated by Notice No .. 231 of 2011
in Government gazette No. 34214 dated 21 April2011, which is hereby repealed.
A.
1.
ANNEXURE
SCALE OF FEES TO BE CHARGED IN THE OFFICE OF THE CHIEF DIRECTOR OF SURVEYS AND MAPPING
Ca)
Promotion of Access to lnfonnatlon Act 2 of 2000 In terms of section 15(1) of the Promotion of Access to lnfonnation Act 2 of 2000, these standard products and services ate available free of charge and only the direct costs of copy ancl supply such as transfer medium. printing. paper, ink. postage and packaging are recovered. · Products can be ordered via: URL: http//www.ngl.gov.za E-mail: Sales(il!ruraldevetoomer:t.aov.za Fax 021 -686 9884 Private Bag X10, Mowbray, 7705
STANDARD PRODUCTS AND SERVICES Note that fees prescribed do not include packaging ar.d postage. The fee for packaging and postage is revie-Ned from time to time m line with the SA Postal Services fees and published on the Chief Directorate of Surveys and Mapping website http/i'Y.ww.ngi.gov.za for easy reference.
MAPS OF THE NATIONAL SERIES
Maps or the national series speCified below, per maplprint
Maps of the 1:10 000 Orthophoto series of the national map series per print Paper print R9.00
Black and white orthophotos HP coated paper R14.00
AERIAL PHOTOGRAPHY- AND IMAGERY RELATED PRODUCTS Availability is subject to the following condition: Research and or preparation requirements for aerial photography products or Imagery will be free for the first hoUr, thereafter an hourly rate in terms of paragraph 85 will apply to research and preparation of the information. ·
Prints produced from PanchromatiC (Black and White) Aerial Imagery _products: Prints on HP coated satin photo paper not exceeding
i) 12Smm x 250mm per sheet
il) 250mm x 250mm per sheet
iii) 450mm x SOOmm per she
iv) 700mm x 900mm per sheet
v) 900mm x lOOOmm per sheet
Prints produced from Colour Aerial imagery prOducts (digital process): Prints on HP coated satin photo paper not exceeding : i) l2Smm x 250mm per sheet_
li) 250mm x 250mm per sheet
iii) 450mm x SOOmm per sheet
iv) 700mm x 900mm per sheet
v) 900mm x lOOOmm per sheet
(c) Flight Plans i) Paper ~opy
li) Film transparency copy
R13.50 I
R13.50
201212013
R20.00
R20.00
R78.00
R20.00
R20.00
R20.00
R20.00
2012/2013
RB.OO
Rl4.00
R29.00
R70.00
R92.00
R9.00
Rl7.00
R34.00
R80.00
RllO.OO
R9.00
R99.00
4.
STAATSKOERANT, 5 APRIL 2012 No.35212 145
PRODUCTS OF THE NATIONAL CONTROL SURVEY SYSTEM
(a} Co-ordinates and/or heights of trigonometrical staUons. town survey marks and bench marks
(i} Outpur in printed formal per page
(ii) Output in digital format also available on internet. per point
(IIi) Plans of the natiOnal control survey network per paper print for every half square metre or portion thereof : · -·
2012[2013
R1.50
RO.OO
• Trigonometrical stations. town survey marks or bench marks . Re.oo · • Reconnaissance reports or locality reports R7 .50
Note 1. The Chief Director: Surveys and Mapping cannot guarantee that any trigor.omatrical station. town suJVey mart< or bench mark for which data have been supplied has not been disturbed or removed Note 2: Co-ordinates based on the Cape Datum (Modified Clarke 1880) are no longer kept up to date and may not represent me current position of lrigonometrical beacons and town survey marks.
(b) TrigNet (GPS) Data i) Post Processing Data Only A standard suite of products can be downloaded directly via http or ftp server (mternet). Any non-standard products Will be charged in terms of paragraph 85 at the standard hourly rate for preparation and dispatch. No charge for client self-download of data RO.OO
ii) Real time differentiar and kinematic GNSS services This data is disseminated as live data streams via Networked Transport of RTCM via Internet Protocol (NTRlP) RO.OO
5. DIGITAL SPATIAL INFORMATION 201212013 The fees payable for the supply of listed digital spatial infonnation where available as a standard product · Digital data Is prepacked on server; only cost to be paid Is the m&dlum onto which the data Is written. No cosr lmpllcatJon on labour, equipment and overheads.
(a) Digital topographical and related Information: (Off-the-shelf products) The proposed tariff structure sets out the fees, products and serv/cos that are available.
(i) High resolution elevation data available as a 25 metre grid
(II) High resolution topographic Information, all features, supplied In shape file format only · (1:50 000 map series)
(iii) Map images, supplied In jpeg format ( 1:50 000 map series and 1:250 000 map series)
(iv) Contours, where available supplied in shape file format only. (1:10 000 map series)
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3
146 No.35212 GOVERNMENT GAZETTE, 5 APRIL 2012
B.
(v) Ortho-rectified image. panchromatic or colour. per image, where available
(Vi) Low resolution aerial photographic imagery, panchromatic or colour where available supplied in Jpeg format.
Provided that the supply of digital information not contained in tne off-the-shelf . products and/or required In any other format other than that prescribed above. will be charged at an hourly rate to prepare such information. (See para BS)
NON-STANDARD PRODUCTS AND SERVICES Note that the fees prescribed do not include packaging and postage. The fee for packaging and postage iS reviewed from time to time in line with the SA Postal Services Fees and pubfished on the Chief Directorate. Surveys and Mapping website httpltwww.ngi.gov.za for easy reference.· ·
1. Supply of Non .Standard Product$
2.
3.
(a} Prints on paper, per sheet:
(I} A4size
{ii) A3 size
(b) (i) Paper copy of colour grid index guide (includes 1:50 000 and 1:250 000 map series) (iij Digital (Jpeg file format).
(c) Film copy of index grid overlay (i} 1:10000 (ii) 1:250 000
{d) Previous edition maps {i) Paper copies (ii) Digital copies (Jpeg fila format)
Provided that the supply, nature, scale and material used for arry print shall be at tne discretion of the Chief Director Surveys and Mapping
Mosaics of aorlal photographs (digital process) In addition to the cost of the output medium, which shall be according to fees under Standard Products paragraph 3 (b) or (c), the cost of producing each mosaic from
(i} 1 or 2 aerial photograpl1s I images
(ii) Thereafter for each additional aerial phOtogra;:~h f •mage. add Provided that the supply and nature of mosaics ~ha11 be at the discretion of the Chtef Director of Surveys and Mapping.
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201212013
R7.50
R13.00
R13.50 RO.OO
R65.00 R6S.OO
R13.00 RO.OO
201212013
R235.00
R12.CO
2012/2013
4
4.
5.
STAATSKOERANT, 5 APRIL 2012 No.35212 147
Lamination services
For every square metre or portion thereof: 38 microns thickness · ·
Specialised servicea
For any work or service not specified elsewhere in this scale of fees. the charge shall be on a time basis at the rate of R220. 00 per hour or portion thereof: Provided that searches in the office shall be made subject to such conditions as the Chier Director of Surveys and Mapping may from time to time determine. Requests for customised products Or services will be dealt With on a quotation basis, Including but not limited to MapAware workshops and the productiOn of specialised maps.
Digital data In Non·speclfled formats
(a) Fees charged for the supply of digital products using exchange formats not specified in the sections above. excludes the cost of data processing time at R220.00 per ~Jr o~ part thereof. postage, transfer media and packaging. See proviso on formats:
(b)
Provided that the Chief Directorate of Surveys and Mapping is able to support the exchange format, the digital information could be supplied in one of the following file formats. · · Topographical Vector data: Map lnfo(.mif), Micro statlon(.dgn). Auto Cad(.dwg) and Auto Cad (.oxr), Shape (.shp). Topographical Raster data: TIFF, NoN: . The proposed tariff structure sets out not only the feu but also the .· · products and services that aro avallsble.
RSA Geographical Names Both gazette and non-gazette names are available from the topographical integrated system (iTIS). . . Queries can be referred to the South African Geographical Names Committee (SAGNS) @ http://sagns.dac.gov.za Note: Digits/ data (names) Is prepacked on serv1r, only cost to be recovered Is medium onto whleh data Is written. No cast Implication on labour, equlpmenr and ovarhesds.
(c) Software Note: Software Is propacked on server; only cost to be roeovered Is medium onto which data Is written. No cost Implication on labour, equipment and overheads.
. . . ·.
'R27.00
201212013
R235.00
201212013
R235.00
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(i) Transtormation software WGSTRN ver 2.12 plus Transformation parameters RO.OO
• Transform between Cape Datum and Hartebeesthoek 94 or vice versa
.. Transformation Parameters covering RSA
5
148 No.35212 GOVERNMENT GAZt:: 1 IE, 5 APRIL 2012
(ii) Con11ersion software GEOTRAN9B To convert Y X co-ordinates to geographical CCK>rdinates {phi)(lamba) and vice versa To convert UTM to geographical co-ordinates (phi}(lamba) and vice versa, geocentric co-ordinates. <:alculate joins, etc.
(iii) Geoid Interpolation Software. To interpolate geoidal heights from S~ Geoid models
· Digital coastline high resolution of RSA . (d) Note: Digital data is prepacked on setVer, only cost to be recovered is
medium onto which data Is written. No cost Implication on labour, equipment and overheads. ·
C. PACKAGING, POSTAGE AND COST OF TRANSFER MEDIA
1. Notes: SA Postal Mailing services available: • Domestic surface mall • Speed service couners (Priority mail) Postal or street address The fee for packaging and postage is review-ed from time to and published on the · Chief Directorate: Surveys and Mapping website httpJJwww.ngi.go-v.za for easy rererence.
Collections at Chief Directorate: Surveys and Mapping counter by courier other than SA Postal Services to be arranged and paid for by the client Packaging will be· charged for separately by the Chief Directorate and will depend on the requirements of the order. The fee for packaging 1s reviewed from time to time and published on the Chief Directorate: Surveys and Mapping website · http//WMY.ngl.go· ... za for easy reference.
On request transfsr media i.e. CO or DVO Is available a1 the following fee CD DVO
The fees fer foreign orders. special deliveries and delivery sel'\lices wiil be made available on request ·
RO.OO
RO_QO
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2012/2013
R20.00 R20.00
6
STAATSKOERANT, 5 APRIL 2012 No.35212 149
- NOTICE 284 OF 2012
GENERAL NOTICE IN TERMS OF TilE RESmUTION OF LAND RIGHTS ACT, 1994 (ACT
No. 22 OF 1994, AS AMENDED
·-,
AMENDMENT OF NOTICE 510 OF 2007 AS CONTAINED IN GOVERNMENT GAlt:. I 1 E NO:
29839 IN RESPECT OF ROKA MOTSHANA TRIBE LAND CLAIM
Notice is hereby given In terms of Section 11A (4) of the Restitution of Land Rights Act, 1994 (Act
No. 22 of 1994), as amended, that an amendment Is hereby made to Gazette notice No. 510 of
2007 contained In Government Gazette No. 29839, dated 04 May 2007.
Messer Ms Mampe Roster Komana lodged a land claim on behalf of Roka Motshana local
Government on the 13th December 1998 on Zamenloop 134 KT, Kromellenboog 132 KT,
DEPARTMENT OF TRANSPORT INTERNATIONAL AIR SERVICE ACT, (ACf N0.60 OF 1993)
· GRANT /AMENDMENT OF INTERNATIONAL AIR SERVICE LICENSE Pursuant to the provisions of section 17 (12) of Act No.60 ofl993 and Regulation 15 (I) and 15 (2) ofthe International Air Rcgulations,I994, it is hereby notified for general information that the applications, detail of which appear in the Schedules hereto, will be considered by the International Air Services Council (CounCil)
. Representation in accordance with section 16(3) of the Act No. 60 of 1993 and regulation 25(1) of International Air Services Regulation, 1994, against or in favour of an application, should reach the Chainnan of the International Air Services Council at Depa. Llnent of Transport, Private Bag X 193, Pretoria, 0001, within 28 days of the application hereof. It must be stated whether the party or parties making such representation is/ are prepared to be represent or represented at the possible hearing ofthe application · ·
.. APPENDIX II , . (A) Full name, surname and trade name of the applicant. (B) Full business or residential address of the applicant. (C) Class of licence applied for. (D) Type of International Air Service to which application pertains. (E) Category or kind of aircraft to which application pertains. (F) Airport from and the airport to which flights will be undertaken. (G) Area to be served. (H) Frequency of flight. · · · : · · ., · · · ·
(A) ComaJr Limited; Kulula.Com& British Ainvays. (B) I Marignane Drive, cnr Atlas Road, Bonaero Park, Kempton Park. 1619. (C) Class I; liS 025. (D) Type Sl and.S2. (E) Category AI and A2. (F) 0. R. Tambo International Airport and Harare International Airport. (G) and (H) Adrling the following. · · ·
State. Destination. Frequencies. Zimbabwe. Harare. Three (3) return flights per week .
. This publication rectifies errors and omissions contained in the publication that was published in the General '.,-._.,.·Notice 222 of 2012 and in the Government Gsl7ette No 35155 of. 23 March 2012.
(A) Comair Limited; Kulula.Com& British Airways. (B) 1 Marignane Drive, cnr Atlas Road, Bonaero Park,. . Kempton Park, 1619. (C) Class I; liS 025. (D) TypeS 1 and S2. (E) Category AI and.A2. (F) Lariseria International Airport and Maputo International Airport. (G) and (H) Abandonment of the following. ·
State. Destination. Frequencies. Mozambique. Maputo. Four hundred and twenty seats per week per direction. This publication rectifies errors and omissions contained in the publication that was published in the General Notice 222 of 2012 and in the Government Gazette No 35155 of 23 March 2012. · . .
'·-
(A) Inter Aviation Services (Pty) Ltd; Interalr, Interalr South Africa, Aero Africa. (B) Office El, Block E, Lower Roof Offices Johannesburg International Airport, South Africa. (C) Class I; IIS022. (D) Type Sl. (E) Category AI. (F) 0. R. Tambo International Airport and Living Airport. (G) and (H) Adding the following •.. · ·
State. Zambia.
Destination. Livingstone.
Frequencies. Three (3) return flights per wewek.
(A) S. A. Airlink Reponal (Pty) Ltd; AlrUnk. (B) SA Airlink Building, 3 Greenstone Hill Office Park, Emerald Boulevard, Greenstone Hill, Modderfontein. (C) Class I; IIS031. (D) Type Sl. (E) Category AI. (F) King shaka International Airport. (G) and (H) Add.Jna the following.
DEPARTMENT OF TRANSPORT AIR SERVICE LICENSING ACT, 1990 (ACT NO.llS OF 1990)
APPLICATION FOR THE GRANT OR AMENDMENT OF DOMESTIC AIR SERVICE LiCENCE
Pursuant to the provisions of section I 5 (I) (b) cif Act No. 115 of 1990 and Regulation 8 of the Domestic Air Regulations,l991, it is hereby notified for general information that the application detail ofwhich appear in the appendix, will be considered by the Air Service Licensing Council. · · Representation in accordance with section IS (3)ofthe Act No.l15 of 1990in support of, or in position, an application, should reach the Air Service Licensing CounciL Private Box X 193, Pretoria, 0001, within 21 days of date of the publication thereof. ·
, . . . . . APPENDIX I . . . . . . . (A) Full name and trade name of the applicanl (B) Full business or residential address of the applicant. (C) Class of licence applied for. (D) Twe of air service to which application applies. (E) Catego_ry of aircraft to which application ·.
(A) Discover Ballooning CC; Discover Ballooning. (B) Shop 3 & 4 Pardestal West, Jan Smuts Way, Meerhof, Hartbeespoort, 0216. (C) Class II and III. (D) Type N1 and G2. (E) Category A4.
APPENDIXD . (A) Full name, surname and trade name of the applicant. (B) Full business or residential address of the applicant. (C) Class of licence applied for. (D) Type oflntemational Air Service to which application pertains. (E) Category or kind
. of aircraft to which application pertains. (F) Airport from and the airport to which flights will be undertaken. (G) Area · to be se~ed. (H) Frequency of flight. . ·.
. . .
· (A) Bannerama Sky Media CC; AV8 Helicopters. (l:)) East London Airport, F~st London. (q Class II a~d lll; NS87D and G588D. (D) Type N1, N2, G2, G3, G4, GS, G7, GS, GlO, GIS and Gl6 (Power Line Inspection and Offshore Operations). (E) Category HI and H2. Changes to the Management Plan: C. J. Maggs replaces M. J. H. Kruger as the Responsible Person: Flight Operations. . · ·
(A) JNC HeUcopters CC. (B) Hangar No: I, Virginia International Airport, Durban North. (C) Class Ill; G76SD. (D) Type G2, G3, G4, GS, GS, G 10, G I 5 and G16 (Power Line Inspection and Offshore Operations). (E) Category H2. Adding the following: Fire Fighting Operations to type GS and to type G 16 (Power Line Inspection and Offshore Operations) to use of Non- Type Certificated Aircraft for commercial services.
(A) Zumat Trust; Zululand Mission Air Transport. (B) 196 Zebra Street, Hluhluwe, Kwa- Zulu Natal. (C) Class n; N229D. (D) Type Nl. (E) Category A4. Addition of category A3.
(A) Aero nexus CorPorate (Pty) Ltd; Aeronexus Corporate. (B)I7- 19A Bo'naero Park, Atlas Road. Bonaero Park, ·· ..... · .· 1612. (C) Class II; NIS5796D. (D)Type Nl anci N2. (E) Category A f. Changes to the Management Plan: Mr Immelman is appointed as the Responsible Person: Aircraft and Mr J. A. Coleman as the Air Service Safety Officer.
(A) 1 time airline (Pty) Ltd; 1 time. (B) 16 Quality Road, lsando, Kempton Park. (C) Classhnd II. (D) Type Sl, S2, . Nl and N2. (E) Category Al.Changes to the Management Plan: Mr Blacky Komani is appointed as the Chief Executive Officer and Mr Peter Pedhir as the Air Service Safety Officer. · · · ·
(A) Global Aviation Operations (Pty) Ltd; Global Airways. (B) Hangar Ks; Denet North Entrance, 3- 8 Atlas Road, Kempton Park. (C) Class II;N835D. (D) Type Nl and N2. (E) Category AI and A2. Changes the Management Plan: Ron Finger replaces Joe Joubert as the Chief Executive Officer, Russel O'Gorman replaces Eddy Nyagura as the Responsible Pe_rson: Flight Operations and Luke Keyser replaces Joe Joubert as the Responsible Person: Aircraft.
(A) Medair Charter (Pty) Ltd; Medalr. (B) Hangar #201, Gate 7, Lanseria International Airport. (C) Class II and III; N469D and GS64D. (D) Type Nl, N2 and G7. (E) Category AI, A2, A3 and A4. Changes to the Shareholdfng: Emerald Sky Trading 131 (Pty) Ltd has 49% and Mvelaphanda Holdings (Pty) Ltd has 51%, changes to the Voting Rights: S. A. F. Anderson has 16.33%, H. C.Spencer has 16.33%, L. Taylor has 16.33%, M.S. M. Xayiya has 12.75%, P .G. Malindi has 12.75%, E. G. Roth has 12.75% and M. J. Willcox has 12.75%and changes to the Management
· Plan: Bruce Johnstone replaces Kevin Dry as the Air Service Safety Officer. . ~ ·, ..
This Board Notice is effective as from.l April 2012
SOUTH AFRICAN COUNCIL FOR NATURAL SCIENTIFIC PROFESSIONS
FEE STRUCTURE FOR 2012/2013
The South African Council for Natural Scientific Professions herewith retracts Board Notice 73 of 2011 as published on . 15 April 2011 in Government Gazette 34197.- · ·
1. NOTES
(a)
. . (b) .
(c)
(d)
. (e) .
"application fee" means the fee payable on submission of an application for registration. A fee is payable for each field of practice for which registration is requested and is not refundable, should an application not be successful. · · · "annual fee" means the fee payable by the registered person within 60 days from the date . on which he/she is informed (in writing) that his/her annual fee has become payable. Annual fees will become payable on the 111 of April of every year. In the first year of registration a pro rata annual fee · will be payable in the month following the date of registration. . "qualifiCations assessment fee" must be paid for evaluation of qualifications for registration purposes. . . . . . . . .
. .. re-Instatement fee" means the fee payable on submission of an application to reinstate a · · registration. A fee is payable for each field of practice for which re-instatement is required. "appeal fee" means the fee payable in terms of Section 25(1) of the Act when a person lodges a · complaint against a Council decision. · ·
.. (I) Professional Natural Scientist .. (ii) . . Candidate Natural Scientist · (Ill) . · Certificate Natural Scientist
(iv) . Upgrading of registration status
Annual fee: · (I) Professional Natural Scientist (II) Candidate Natural Scientist (IIi) . Certificate NaturaiSclentist (lv) • ·. Pensioner (all levels of registration) · (v) · Full-time students and tempora..Y .
. · suspension of registration
Qualifications ·assessment fee:
· . ... .. .. ·-- ·
Re-Instatement fees
Appeal fee
..
. . . . .
R 900.00 (VAT inclusive); · , R 500.00 (VAT Inclusive). R 650.00 (VAT inclusive). R 890.00 (VAT Inclusive).
R 850.00 (VAT inclusive). R 320.00 (VAT Inclusive). R 520.00 (VAT inclusive)~ R 200.00 (VAT Inclusive).
SO % of annual fee •
· R1200,00 (VAT lnduslve).
R2 000.00 (VAT Inclusive).
R1800.00 (VAT Inclusive).
STAATSKOERANT, 5 APRIL.: 2012
BOARD NOTICE 52 OF 2012
Annual Fees for the financial year 1 April 2012 ~· 31 March 2013 ,. ·in terms of the Architectural Profession Act, No 11 of 2000
No. 35212 155
The South African Council for the Architectural Profession (SACAP) Is empowered In terms of Section 12 (1) of the Architectural Profession Act, Act No. 44 of 2000 to charge annual registration fees. Section 12 (Q, of the Act also makes provision for SA CAP to charge fees it considers necessary for other services and prescribe the. rules relating to the payment of fees and charges for registered .. persons.
.,.·. -:
Taking into consideration comments received by SACAP from Interested and affected persons, including SACAP Registered Persons, Stakeholders and SACAP recognised Voluntary Associations 0/A's), the prescribed annual fees for above financial year have been adjusted by 5% from those · .. applicable for the period 2011-2012. All other corresponding and related fees and charges have been similarly adjusted. ·
The relevant prescribed fees are set out in the schedule below and come Into effeCt on 1. April 2012.
SCHEDULE
Interpretation:
. The South African Council hereby prescribes its sched~le 'of fees for the period 1 April2012....: 31 March 2013. · ··
1. Annual Fees and charges as published herein, replace and supersede the Board Notice 97 of 2011, 20 May 2011.
2. All other corresponding and related fees and charges as published herein, replaCe and supersede · the Board Notice 97 of 2011, published 20 May 2011
3. Persons registered with the Council in terms of the Architectural Profession Act, Act No 44 of 2000 are required to pay the applicable Annual Fee In April annually.
4. In terms of section 20 (1)(a)(liQ of the Architectural Profession Act, Act No 44 of 2000, the Council may suspend the registration of a registered person If he or she fails to pay the prescribed Annual Fee or portion thereof, within 60 day$ from it becoming due or within such further period as the Council may allow, either before or after the expiry of the 60 days. Due date for Annual Fees Is 31 May2012. ·
5. A registered person, whose registration had been suspended in terms of clause 4 above, Is liable to pay all outstanding arrears and a stipulated re-registration fee on application for re-registration in terms of section 22 (3) of the Act.
6. The fees prescribed herein Include 14% Value Added Tax (VAT). 7. Ali fees are non-refundable. 8. Payments received In excess of the required amounts shall be credited to the registered person's
account. 9. All payments must be made directly to the bank account of SA Council for the Architectural
Profession (SACAP), as indicated on the application form and/or Invoice. 10. Registered persons must ensure that the correct reference details are recorded during payments
transactions. SACAP will not be held responsible for any Inconvenience caused due to Incorrect referencing on the part of the Registered Person.
11. Council will not be offering any form of rebates and/or discounts to Registered Persons for the current financial year. ·
12. Annual Fees as charged by the SACAP, !are administration fees and thus do not differentiate between the categories of registration.
(If Step One Is successful) 1. Applicant Registered as Candidate with
full credit- no internship required
Administration fee - non refundable
Administration fee - non refundable
2. Special Professional Practice Examination Administration fee - non refundable
Step 3: . (If Step 2 Is successful) Administration fee - non refundable
SPECIAL DISPENSATION TOTAL (Total: Step One- Three)
13407.00
4524.00
5511.00
10075.00
33517.00
STAATSKOERANT, 5 APRIL 2012
Letter of Good Standing (7 working days turnaround time)
b. Letter of Good Standing additional charge per person
c. Letter of Good Standing (4 working days turnaround time)
d. Letter of Good Standing - additional charge per person
Confirmation of Registration
Confirmation ot' Registration
Confirmation of Registration
Confirmation of Registration
No.35212 157
628.00
61.00
1148.00
110.00 . (4 .working daVl> turnaround time)
.~. ceR:rJ~~C?;;r~s··~ $9ctlpn .,,~ tcJ J: •• ;.::: ·.: ·:: . ;;t;&ir!0t~~1!:\ir{.~~,f~,~~~·l;,.l;·1;,;,:r~mi.\i.1.\!.':;l,i.l}~.:~1ij!1i1i\~r~;;·fflit~[·;~l~~;;:;;;~ l ; ;;·;r;r > ii. g:l~'ii·;;· a. Replacement of Registration Certificate
a. Renewal- Section 22 (3) (a)
b. Exemption- Section 12 (1} (1)
Affidavit required
Renewable every 5 years in terms of Renewal of Registration Policy (CPO) Exemption for 1 year based on special conditions (CPD)
145.00
480.00
1055.00
c. Extension - Section 12 (1) (1) Extension of period ·for compliance 1 084.00
~~~~~~;~~srsi,l~fllf~~~~ARbrtlr~l;~}l¥!J~JJ·~N~~f~~~HJ~~~~~;''J~i~J~·!·;~:ii5f!l!~r;;rt~!1-~:!~;·i' ·1;:;c,~ a. Application to write the PPE - Local Written within South Africa
1770.00
b. Application to write the PPE - lnt Written outside South Africa 3687.00
c .. Re-Mark (per paper) Remark permitted - once per exam 608.00
it~;;!~.9ftlr~9~-~~itt~~~.P.9A"nP~Ci~t§~~~I~;!~1.ID~;9!~~~~.9.a:~~~,.Yi~~·-rn,e~.:(ip:Qm!~:;~~~01·: .. :·;1}~j·_ •. ;_: a. Application Fee
a. Application fee for recognition .:.. Section (25)
b. Appeal -Section 12 (1) (h)
a. · Application fee for recognition
5000.00
Valid for 5 years TBC
TBC
Valid for 5 years TBC
158 No.35212 GOVERNMENT GAZt:. 1. 1 E, 5 APRIL 2012
BOARD NOTICE 53 OF 2012
- . SOUTH AFRICAN COUNCIL FOR NATURAL SCIENTIFIC PROFESSIONS
RECOMMENDED CONSULTATION FEES
The South African Council for Natural Scientific Professions herewith retract Board Notice 43 of 2011 as published on 11 March 2011 in Go_vernm!?nt .G~zette No. 34072 ..
The South African Council for Natural Scientific Professions has under article 35 (1) of the Natural Scientific Professions Act, 2003 (Act 27 cif 2003), determined the amended tariff of recommended fees in this Schedule, which has been approved. -
SCHEDULE. . .·' ·
Definitions
1. In this Schedule the definitions are as follows:
"Category A", in respect of a private consulting practice in natural: sciences, shall mean a top· practitioner whose expertise is nationally or internationally recognised and who provides advice at a level of specialisation where such advice is recognised as that of an expert;
"Category B", in respect of a private consulting practice in natural sciences, shall mean a partner, a sole proprietor, a director, or a member who, jointly or severally with hls other partners, co·directors or co-members, bears the risk of the business, takes full responsibility for the liabilities of such practice, performs work of a conceptual nature in natural sciences and development, provides strategy guidance in planning and executing a project and/or carries responsibility for quality management pertaining to a project;·
- "Category C", in respect of a private practice in natural sciences, shall mean all salaried · professional and technical staff performing work of a natural scientific nature and who carry the · direct technical responsibility for one or more specific activities related to a project. A person referred to in Category B may also fall in this category if such person performs work ofa natural · scientific nature at this level; ·
"Category D", in respect of a private consulting practice in natural sciences, shall mean all other salaried technical staff with adequate expertise arid relevant experience performing work of a· natural scientific nature with direction and control provided by any person contemplated in Categories A orB or C.
Governn1ent Printing Works 149 Bosman Street, Private Bag X85, Pretoria 0001, RSA Tel: (012) 334-4500 • Fax: (012) 323-0009
Publications Division
No. 35212 159
Masada Bldg. c/o 196 Paul Kruger & Proes Street, Pretoria, 0002 (Entrance in Paul Kruger Street)
Tel. No. (012) 334-4507/8/9/10, 334-4712/13/14 Fax. No. (012) 323-9574 The Publications Division is open for the public from 7:15 to 15:45 (Mondays to Fridays)
OFFICIAL PUBLICATIONS RECEIVED INTO STOCK DURING MARCH 2012 WHICH CAN BE ENQURED ABOUT AT THE GOVERNMENT PRINTING WORKS AT PRETORIA AND CAPE TOWN.
LOCAL PRICE INCLUDES VAT, FOREIGN ORDERS WILL BE QUOTED INDIVIDUALLY.
(PLEASE TAKI( NOT~ THAT STOCK ARE LIMIT~D)
PLEASE TICK SQUARES WHEN ORDERING PUBLICATIONS:
DESCRIPTION OF GOVERNMENT GAZETrES BOUND VOLUME --
Bound Vol. 502 of Government Gazette for Apri12007 (Parts: A+B+C) ISBN 978-0-621-37283-9 Local R780.00 (Dimensions: 30x21x22cm: Mass 10 kg: Postage R69.80)
Bound Vol. 503 of Government Gazette for May 2007 (Parts: A+B+C) ISBN 978-0-621-37324-9 Local R780.00 . (Dimensions: 30x21x23cm: Mass II kg: Postage R74.05)
Bound Vol. 512 of Government Gazette for February 2008 (Parts: A+B+C+D) ISBN 978-0-621-39036-0 Local RI 040.00 (Dimensions: 30x21x38 em: Mass 16 kg: Postage R95.30)
Bound Vol. 516 of Government Gazette for June 2008 (Parts: A+B+C)
~~ ISBN 978-0-621-39249-4 Local R780.00 (Dimensions: 30x21x28 em: Mass 13 kg: Postage R82.55)
Bound Vol. 538 of Government Gazette for April2010 (Parts: A+B+C) ISBN 978-0-621-40238-4 Local Rl 585.10 .
(Dimensions: 30x21x33 em: Mass 15 kg: Postage R91.05)
Bound~ Vol. 539 ofGovemn1ent.Gazette for May 2010 (Parts: A+B+C) . ISBN 978-0-621-40327-5 Local R1 585.10
(Dimensions: 30x21x28 em: Mass 12 kg: Postage R78.30)
Bound Vol. 540 of Government Gazette for June 2010 (Parts: A+B+C) ISBN 978-0-621-40478-4 Local R1 585.10
(Dimensions: 30x21x28 em: Mass 12 kg: Postage R78.30)
Bound Vol. 541 of Government Gazette for July 2010 (Parts: A+B+C) . ISBN 978-0-621-40567-5 . Local R1 585.10
(Dimensions: 30x21x30 em: Mass 13 kg: Postage R82.55)
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CONTINUES ON PAGE 162-PART 2
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162 No. 35212 GOVERNMENT GAZETTE, 5 APRIL 2012
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