M/W 0046 Where in the treatment of a specific fracture or dislocation (compound or closed) an initial procedure is followed within one month by an open reduction, internal fixation, external skeletal fixation or bone grafting on the same bone, the fee for the initial treatment of that fracture or dislocation shall be reduced by 50%. Please note: This reduction does not include the assistant's fee or the after-hours levy where applicable. After one month, a full fee as for the initial treatment, is applicable.
M/W 0047 A fracture NOT requiring reduction shall be charged on a fee for service basis PROVIDED that the cumulative amount does NOT exceed the charges for a reduction.
M/W 0048 Where in the treatment of a fracture or dislocation an initial closed reductions is followed within one month by further closed reductions under general anaesthesia, the fee for such subsequent reduction will be 27,00 clinical procedure units (R205.20) (not including after-care).
M/W 0049 Except where otherwise specified, in cases of compound fractures, 77,00 clinical procedure units (R585.20) (specialists) and 51,00 clinical procedure units (R387.60) (general practitioners) are to be added to the fees for the fractures, including debridement.
M/W 0050 In cases of a compound fracture where a debridement is followed by internal fixation (excluding fixation with Kirschner wires and excluding fractures of hands and feet), the full amount according to either modifier 0049 or 0051 may be added to the fee for the procedure involved, plus half of the amount according to the second modifier (either 0049 or 0051 as applicable).
M/W 0051 Except where otherwise specified, in cases of fractures requiring open reduction, internal fixation, external skeletal fixation and/or bone grafting: Add 77,00 clinical procedure units (R585.20) (specialists) and 51,00 clinical procedure units (R387.60) (general practitioners).
M/W 0053 Fractures requiring percutaneous internal fixation [insertion and removal of fixatives (wires) in respect of fingers and toes included]: Add 32,00 clinical procedure units (R243.20) (specialists) and (general practitioners) add 21,00 clinical procedure units (R159.60).
M/W 0055 Dislocation requiring open reduction: Fee for the specific joint plus 77,00 clinical procedure units (R585.20) (specialists) and 51,00 clinical procedure units (R387.60) (general practitioners).
M/W 0057 In multiple procedures on feet, fees for the first foot are calculated according to modifier 0005. Calculate fees for the second foot in the same way, reduce the total to 50% and add to the total for the first foot.
M/W 0058 Revision operation for total joint replacement and immediate resubstitution (infected or non-infected): Per fee for total joint replacement plus 100%.