Tariff of Fees in respect of Medical Aid
Rules Governing this Specific Section of the Tariff

 

 

Intensive Care

 

Q.       Units in respect of items 1204 to 1210 exclude the following:

(a)       Anaesthetic and/or surgical fees for any condition or procedure, as well as a first consultation, which is regarded as the assessment of the patient, while the daily intensive fee covers the daily care in the intensive care unit.

(b)       Costs of any drugs and/or materials.

(c)       Any other cost which may be incurred before, during or after the consultation and/or the therapy.

(d)       Blood gasses and chemistry tests, including the arterial puncture to obtain the specimen.

(e)       Procedural items 1212 to 1219.

but including the following:

(f)        Performing and interpretation of a resting ECG.

(g)       Interpretation of chemistry test and x-rays.

(h)       Intravenous treatment (items 0206 and 0207).

 

R.        Units for items 1208, 1209 and 1210 include resuscitation (i.e. item 1211).

 

S.        Units for items 1212, 1213 and 1214 include the following:

(a)       Measurement of minute volume, vital capacity, time and vital capacity studies.

(b)       Testing and connecting the machine.

(c)       Putting patient on machine: Setting machine, synchronising patient with machine.

(d)       Instruction to nursing staff.

(e)       All subsequent visits within 24 hours.

 

T.        Ventilation (items 1212 to 1214) does not form a part of normal post-operative care.

 

U.        Magnetic Resonance Imaging

 

Note: In cases where a second Magnetic Resonance Imaging of the spine (items 6210, 6211, 6212 and 6213 refers) is deemed necessary, or a Magnetic Resonance Imaging of another anatomical region is requested, proper motivation must be submitted upon which the Commissioner will consider approval.

 

Item 6270 - Proper motivation must be submitted upon which the Commissioner will consider approval.