Diagnostic procedures
M/W 0001 For involuntarily scheduled after-hours emergency radiological services, the additional premium shall be 50% of the fee for the particular services (section 19.12 excluded). See general rule B.
For after-hours MR scans, a maximum levy of 100,00 radiological units (R780.00) is applicable.
M/W 0002 Item 38/0101 is applicable only where a radiologist is requested to give a written report on X-rays taken elsewhere and submitted to him.
M/W 0080 Multiple examinations: Full fees.
M/W 0081 Repeat examinations: No reduction.
M/W 0082 "+" means that this item is complementary to a preceding item and is therefore not subject to reduction.
M/W 0083 When a radiologist makes use of hospital equipment, only 66,67% (2/3) of the fee for the examination is chargeable.
Note in respect of fees payable when X-rays are taken by general practitioners:
(If the services of a radiologist are normally available, it is expected that they should be utilise. Should circumstances be unfavourable for obtaining such services at the time of the first consultation, the general practitioner may take the initial X-ray himself provided he submits a certificate to the effect that it was in the best interest of the employee for him to have taken the plates. Subsequent X-ray plates of the same injury, however, must be taken by a radiologist who has to submit the relevant reports in the normal manner).
1. When a general practitioner takes X-ray plates with his own equipment, if the services of a specialist radiologist are not available, he may claim at the prescribed fee.
2.
(i) If a general practitioner orders an X-ray examination at a provincial hospital where the service of a specialist radiologist are available, it is expected that the radiologist shall read the photos for which he may claim at one third of the prescribed fee.
(ii) If the radiographer of the hospital is not available and the general practitioner has to take the X-ray plates himself, he may claim at 50% of the prescribed fee for that service In that case, however, he should get confirmation of his X-ray findings in a report from the radiologist as soon as possible. The radiologist may then claim at one third of the prescribed fee for such service.
3. If a general practitioner orders an X-ray examination at a provincial hospital where there are no specialist radiological services available, he will not be paid for reading the plates as such a service is considered as an integral part of routine diagnosis, but if he is requested by the Commissioner to submit a written report on the case, he may claim at two thirds of the prescribed fee in respect thereof.
4. If a general practitioner has to take and read X-ray plates at a provincial hospital where the services of a radiographer and a specialist radiologist are not available he/she may claim 50% of the prescribed fee for such service.
M/W 0084 In the case of radiological items where films are used practitioners should adjust the fee upwards or downwards in accordance with changes in the price of films in comparison with January 1995; the calculation must be done on the basis that film costs comprise 10% of the monetary value of the unit.