2018 Discovery Physiotherapy Tariffs

Discovery Health

2018 Physiotherapy Tariffs

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Procedure Code Procedure Description Scheme Rate
72001 Infra-red, Radiant heat, Wax therapy Hot packs 48.50
72005 Ultraviolet light 97.10
72006 Laser beam 145.60
72007 Cryotherapy 48.50
72103 Galvanism, Diodynamic current, Tens. 83.50
72105 Muscle and nerve stimulating currents. 100.00
72107 Interferential Therapy. 97.10
72117 Appointment 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
72201 Shortwave diathermy. 58.50
72203 Ultrasound. 97.10
72205 Microwave. 58.50
72300 Vibration 97.10
72301 Percussion 134.10
72302 Massage 83.50
72303 Myofacial release/soft tissue mobilisation, one or more body parts 166.80
72304 Acupuncture 145.60
72305 Re-education of movement/Exercises (excluding ante- and post-natal exercises) 83.50
72307 Pre- and post-operative exercises and/or breathing exercises 83.50
72308 Group exercises (excluding ante- and post-natal exercises – maximum of 10 in a group) 83.50
72309 Isokinetic treatment. 97.10
72310 Neural tissue mobilisation 166.20
72313 Ante and post natal exercises/counselling 97.10
72314 Lymph drainage 48.50
72315 Postural drainage. 97.10
72317 Traction. 97.10
72318 Upper respiratory nebulisation and/or lavage 83.50
72319 Nebulisation 97.10
72321 Intermittent positive pressure ventilation. 97.10
72323 Suction: Level 1 (including sputum specimen taken by suction) 48.50
72325 Suction: Level 2 (Suction with involvement of lavage as a treatment in a special unit situation or in the respiratory compromised patient) 166.80
72327 Bagging (used on the intubated unconscious patient or in the severely respiratory distressed patient). 48.50
72328 Dry needling 145.60
72401 Spinal. 145.60
72402 Pre meditated manipulation 97.10
72405 All other joints. 145.60
72407 Immobilisation (excluding materials). Rule 008 does not apply. 125.00
72501 Rehabilitation where the pathology requires the undivided attention of the physiotherapist. Rule 008 does not apply. Duration: 30min. 207.50
72502 Hydrotherapy where the pathology requires the undivided attention of the physiotherapist. Rule 008 does not apply. Duration: 30min. 207.50
72503 Rehabilitation 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
72504 EMG Biofeedback treatment 145.60
72505 Group 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 facility 143.30
72506 Stress management 166.20
72507 Respiratory Re-education and Training. Duration: 30min. 145.60
72509 Rehabilitation. 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
72701 Evaluation/counselling at the first visit only (to be fully documented) 145.60
72702 Complex evaluation/counselling at the first visit only (to be fully documented). 291.30
72703 One complete re-assessment of a patient’s condition during the course of treatment. To be used only once per episode of care. 125.00
72704 Lung function: Peak flow (once per treatment). 42.00
72705 Computerised/Electronic test for lung pathology 125.00
72706 Reports. 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
72707 Physical Performance test. Must be fully documented. 194.10
72708 Interview, guidance or consultation with the patient or his family. To be used only once per episode of care. 125.00
72709 Physiotherapeutic counselling requires the undivided attention of the physiotherapist. UP TO 16-30 Minutes. Rule 008 not applied 0.00
72710 Physiotherapeutic counselling requires the undivided attention of the physiotherapist. UP TO 31-45 Minutes. Rule 008 not applied 0.00
72711 Physiotherapeutic counselling requires the undivided attention of the physiotherapist. 46+ Minutes. Rule 008 not applied 0.00
72720 Essential continuation of Physiotherapy care, in an after-hours situation 0.00
72721 Emergency Physiotherapy intervention 0.00
72801 Electrical test for diagnostic purposes (including IT curve and Isokinetic tests) for a specific medical condition 290.40
72803 Effort test – multistage treadmill. 290.40
72901 Treatment at a nursing home : Relevant fee plus (to be charged only once per day and not with every hospital visit 83.50
72903 Domicilliary treatments : Relevant fee plus. 166.20
72937 Bird or equivalent freestanding nebuliser excluding oxygen at hospital per day. 97.10
72938 Bird or equivalent freestanding nebuliser excluding oxygen domicilliary per day. 97.10
72939 Cost 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
72940 Cost 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
72941 Cost of appliances: Items to be charged (exclusive of VAT) at net acquisition price plus- Blank
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