BONITAS TIME-BASED CUSTOM TARIFF CODES

Date: 16 Oct 2018

Healthcare Professionals (GP and Specialist) are invited to participate in the Medscheme Bonitas time-based

reimbursement model pilot starting 1 November 2013. Healthcare Professionals currently using the 0190, 0191

and 0192 range of tariff codes are invited to participate by submitting 4 new customized tariff codes (Psychiatrists,

Anesthetist and Maxillofacial surgeons are excluded). Those healthcare professionals who choose not to participate

can continue to use the current codes and will still be reimbursed as per the current status. The intended duration

of the pilot will be 6 months but this will ultimately depend on the uptake.

The 4 new customized time based tariff codes are indicated below:

TARIFF CODES TABLE

TARIFF

CODES

DESCRIPTION

07326

New or established patient: Office or outpatient visit requiring up to 10 minutes. This

would typically involve problems of minimal severity

07327

New or established patient: Office or outpatient visit requiring from 10 to 20 minutes.

This would typically involve a problem focused history, clinical examination and straight

forward decision making for a minor problem

07328

New or established patient: Office or outpatient visit requiring from 20 to 40 minutes.

This would typically involve a detailed history, clinical examination and straight forward

decision making or counseling.

07329

New or established patient: Office or outpatient visit requiring over 40 minutes. This

would typically involve a comprehensive history, clinical examination and complex

decision making or counseling for a complex problem

OPTION CODE TABLE

SCHEME/ PLAN/OPTION NAME OPTION CODE

BONITAS HL DD PROCEDURE & CONSULT BODPC 664823

If you have any questions, please call the Bonitas Contact Centre on 0861 112 666.