2018 Discovery Physiotherapy Tariffs

Discovery Health

2018 Physiotherapy Tariffs

 For Physio Billing & Claims Software Click Here
Procedure CodeProcedure DescriptionScheme Rate
72001Infra-red, Radiant heat, Wax therapy Hot packs48.50
72005Ultraviolet light97.10
72006Laser beam145.60
72007Cryotherapy48.50
72103Galvanism, Diodynamic current, Tens.83.50
72105Muscle and nerve stimulating currents.100.00
72107Interferential Therapy.97.10
72117Appointment not kept (schemes will not necessarily grant benefits in respect of this item, it will fall into the “By arrangement with the scheme” or “Patient own account” category).0.00
72201Shortwave diathermy.58.50
72203Ultrasound.97.10
72205Microwave.58.50
72300Vibration97.10
72301Percussion134.10
72302Massage83.50
72303Myofacial release/soft tissue mobilisation, one or more body parts166.80
72304Acupuncture145.60
72305Re-education of movement/Exercises (excluding ante- and post-natal exercises)83.50
72307Pre- and post-operative exercises and/or breathing exercises83.50
72308Group exercises (excluding ante- and post-natal exercises – maximum of 10 in a group)83.50
72309Isokinetic treatment.97.10
72310Neural tissue mobilisation166.20
72313Ante and post natal exercises/counselling97.10
72314Lymph drainage48.50
72315Postural drainage.97.10
72317Traction.97.10
72318Upper respiratory nebulisation and/or lavage83.50
72319Nebulisation97.10
72321Intermittent positive pressure ventilation.97.10
72323Suction: Level 1 (including sputum specimen taken by suction)48.50
72325Suction: Level 2 (Suction with involvement of lavage as a treatment in a special unit situation or in the respiratory compromised patient)166.80
72327Bagging (used on the intubated unconscious patient or in the severely respiratory distressed patient).48.50
72328Dry needling145.60
72401Spinal.145.60
72402Pre meditated manipulation97.10
72405All other joints.145.60
72407Immobilisation (excluding materials). Rule 008 does not apply.125.00
72501Rehabilitation where the pathology requires the undivided attention of the physiotherapist. Rule 008 does not apply. Duration: 30min.207.50
72502Hydrotherapy where the pathology requires the undivided attention of the physiotherapist. Rule 008 does not apply. Duration: 30min.207.50
72503Rehabilitation for Central Nervous System disorders – condition to be clearly stated and fully documented (No other treatment modality may be charged in conjunction with this). Duration: 60min.534.00
72504EMG Biofeedback treatment145.60
72505Group rehabilitation. Treatment of a patient with disabling pathology in an appropriate facility requiring specific equipment and supervision, without individual attention for the whole treatment session, no charge may be levied by facility143.30
72506Stress management166.20
72507Respiratory Re-education and Training. Duration: 30min.145.60
72509Rehabilitation. Each additional full 15 mins. Where the pathology requires the undivided attention of the physiotherapist. (Rule 0008 does not apply.)  Can only be used with codes 501, 502, 507 or 503 to indicate the completion of an additional 15 minutes. A maximum of two instances of this code may be charged per session.125.00
72701Evaluation/counselling at the first visit only (to be fully documented)145.60
72702Complex evaluation/counselling at the first visit only (to be fully documented).291.30
72703One complete re-assessment of a patient’s condition during the course of treatment. To be used only once per episode of care.125.00
72704Lung function: Peak flow (once per treatment).42.00
72705Computerised/Electronic test for lung pathology125.00
72706Reports. To be used to motivate for therapy and/or give a progress report and/or a pre-authorisation report, where such a report is specifically required by the medical scheme.145.60
72707Physical Performance test. Must be fully documented.194.10
72708Interview, guidance or consultation with the patient or his family. To be used only once per episode of care.125.00
72709Physiotherapeutic counselling requires the undivided attention of the physiotherapist. UP TO 16-30 Minutes. Rule 008 not applied0.00
72710Physiotherapeutic counselling requires the undivided attention of the physiotherapist. UP TO 31-45 Minutes. Rule 008 not applied0.00
72711Physiotherapeutic counselling requires the undivided attention of the physiotherapist. 46+ Minutes. Rule 008 not applied0.00
72720Essential continuation of Physiotherapy care, in an after-hours situation0.00
72721Emergency Physiotherapy intervention0.00
72801Electrical test for diagnostic purposes (including IT curve and Isokinetic tests) for a specific medical condition290.40
72803Effort test – multistage treadmill.290.40
72901Treatment at a nursing home : Relevant fee plus (to be charged only once per day and not with every hospital visit83.50
72903Domicilliary treatments : Relevant fee plus.166.20
72937Bird or equivalent freestanding nebuliser excluding oxygen at hospital per day.97.10
72938Bird or equivalent freestanding nebuliser excluding oxygen domicilliary per day.97.10
72939Cost of material: Items to be charged (exclusive of VAT) at net acquisition price plus -26% of the net acquisition price where the net acquisition price of that material is less than one hundred rands; a maximum of twenty six rands where the net acquisition price of that material is greater than or equal to one hundred rands.Blank
72940Cost of appliances: Items to be charged (exclusive of VAT) at net acquisition price plus-26% of the net acquisition price where the net acquisition price of that appliance is less than one hundred rands; a maximum of twenty six rands where the net acquisition price of that appliance is greater than or equal to one hundred rands.Blank
72941Cost of appliances: Items to be charged (exclusive of VAT) at net acquisition price plus-Blank
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