2017 Discovery Physiotherapy Tariffs
DISCOVERY PHYSIOTHERAPY TARIFFS
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2017 PHYSIOTHERAPY TARIFFS |
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| Code | Procedure Description | Scheme Rate |
| 72001 | Infra-red, Radiant heat, Wax therapy Hot packs | 46.20 |
| 72005 | Ultraviolet light | 92.50 |
| 72006 | Laser beam | 138.70 |
| 72007 | Cryotherapy | 46.20 |
| 72103 | Galvanism, Diodynamic current, Tens. | 92.50 |
| 72105 | Muscle and nerve stimulating currents. | 111.00 |
| 72107 | Interferential Therapy. | 92.50 |
| 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. | 55.80 |
| 72203 | Ultrasound. | 92.50 |
| 72205 | Microwave. | 55.80 |
| 72300 | Vibration | 87.70 |
| 72301 | Percussion | 148.90 |
| 72302 | Massage | 92.50 |
| 72303 | Myofacial release/soft tissue mobilisation, one or more body parts | 185.80 |
| 72304 | Acupuncture | 138.70 |
| 72305 | Re-education of movement/Exercises (excluding ante- and post-natal exercises) | 92.50 |
| 72307 | Pre- and post-operative exercises and/or breathing exercises | 92.50 |
| 72308 | Group exercises (excluding ante- and post-natal exercises – maximum of 10 in a group) | 92.50 |
| 72309 | Isokinetic treatment. | 92.50 |
| 72310 | Neural tissue mobilisation | 184.90 |
| 72313 | Ante and post natal exercises/counselling | 92.50 |
| 72314 | Lymph drainage | 46.20 |
| 72315 | Postural drainage. | 92.50 |
| 72317 | Traction. | 92.50 |
| 72318 | Upper respiratory nebulisation and/or lavage | 92.50 |
| 72319 | Nebulisation | 92.50 |
| 72321 | Intermittent positive pressure ventilation. | 92.50 |
| 72323 | Suction: Level 1 (including sputum specimen taken by suction) | 46.20 |
| 72325 | Suction: Level 2 (Suction with involvement of lavage as a treatment in a special unit situation or in the respiratory compromised patient) | 185.80 |
| 72327 | Bagging (used on the intubated unconscious patient or in the severely respiratory distressed patient). | 46.20 |
| 72328 | Dry needling | 138.70 |
| 72401 | Spinal. | 138.70 |
| 72402 | Pre meditated manipulation | 92.50 |
| 72405 | All other joints. | 138.70 |
| 72407 | Immobilisation (excluding materials). Rule 008 does not apply. | 138.70 |
| 72501 | Rehabilitation where the pathology requires the undivided attention of the physiotherapist. Rule 008 does not apply. Duration: 30min. | 231.20 |
| 72502 | Hydrotherapy where the pathology requires the undivided attention of the physiotherapist. Rule 008 does not apply. Duration: 30min. | 231.20 |
| 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. | 508.60 |
| 72504 | EMG Biofeedback treatment | 138.70 |
| 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 | 136.90 |
| 72506 | Stress management | 184.90 |
| 72507 | Respiratory Re-education and Training. Duration: 30min. | 138.70 |
| 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. | 138.70 |
| 72701 | Evaluation/counselling at the first visit only (to be fully documented) | 138.70 |
| 72702 | Complex evaluation/counselling at the first visit only (to be fully documented). | 277.40 |
| 72703 | One complete re-assessment of a patient’s condition during the course of treatment. To be used only once per episode of care. | 138.70 |
| 72704 | Lung function: Peak flow (once per treatment). | 46.20 |
| 72705 | Computerised/Electronic test for lung pathology | 138.70 |
| 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. | 138.70 |
| 72707 | Physical Performance test. Must be fully documented. | 184.90 |
| 72708 | Interview, guidance or consultation with the patient or his family. To be used only once per episode of care. | 138.70 |
| 72801 | Electrical test for diagnostic purposes (including IT curve and Isokinetic tests) for a specific medical condition | 323.60 |
| 72803 | Effort test – multistage treadmill. | 323.60 |
| 72901 | Treatment at a nursing home : Relevant fee plus (to be charged only once per day and not with every hospital visit | 92.50 |
| 72903 | Domicilliary treatments : Relevant fee plus. | 184.90 |
| 72937 | Bird or equivalent freestanding nebuliser excluding oxygen at hospital per day. | 92.50 |
| 72938 | Bird or equivalent freestanding nebuliser excluding oxygen domicilliary per day. | 92.50 |
| 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 |
| 72720 | Essential continuation of Physiotherapy care, in an after-hours situation | Blank |
| 72721 | Emergency Physiotherapy intervention | Blank |
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