Tariff of Fees in respect of Medical Aid
General Rule Governing this Section of the Tariff
14.11 Medical Psychotherapy

 

 

Note: Rule - Prior approval must be obtained from the Commissioner before any treatment under this section is carried out. Where approval has been obtained, treatments must be limited to 12 sessions only, after which the patient must be referred back to the referring doctor for an evaluation and report to the Commissioner.

 

Va       Visits at hospital or nursing home during a course of electro-convulsive treatment are justified and may be charged for besides fees for the procedure.

 

Vb       Except where otherwise indicated, the duration of a medical psychotherapeutic session is set at 20 minutes or part thereof provided that such a part comprises 50% or more of the time of a session. This set duration is also applicable for psychiatric examination methods.

 

Modifier Governing the Section Medical Psychotherapy

0079   If a first consultation proceeds into, or is immediately followed by a medical psychotherapeutic procedure, fees for the procedure shall be calculated at 24,00 clinical procedure units (R182.40) per 20 minute session or part thereof, provided that such a part comprises 50% or more of the time of a session.