There will be a 6.7% increase on consultation fees. The 2013 rates are as follows: Payment model

Non-Dispensing

Dispensing

Fee for Service model

R202.70

R266.70

Semi-capitation model

R101.40

R133.40

There will be a 5.5% increase on the procedures that GP’s can perform in their rooms. Doctors will be reimbursed irrespective of which network they are on, for the following procedures: Code

Description

Reimbursement

0146

Emergency Consultation at doctors’ rooms

R86.40

0147

Emergency Consultation away from doctors’ rooms

R152.00

0255

Drainage of abscess

R206.00

0259

Removal of foreign body

R305.60

0300

Stitching of wound

R299.80

0301

Stitching of additional wound

R67.60

0307

Excision and repair

R343.90

0887

POP

R284.20

2133

Circumcision: Clamp procedure

R428.30

2137

Circumcision: Surgical excision other than by clamp or dorsal slit, any age

R607.70

2139

Circumcision: Dorsal slit of prepuce (independent procedure)

R372.60