Clinical Technologists 2008
SERVICES BY CLINICAL TECHNOLOGISTS
This schedule is only applicable to road accident trauma emergency care where the RAF is liable for compensation in terms of the Road Accident
Fund Act (Act Nr 56 of 1996) as amended.
Emergency care means the immediate, appropriate and justifiable medical assessment, treatment and care required to prevent or limit future
impairment to bodily functions and/or to preserve the person's life.
In calculating the prices in this schedule, the following rounding method is used: Values R10 and below rounded to the nearest cent, R10+
rounded to the nearest 10 cent. Modifier values are rounded to the nearest cent. When new item prices are calculated, e.g. when applying a
modifier, the same rounding scheme should be followed.
VAT EXCLUSIVE PRICES APPEAR IN BRACKETS.
GENERAL RULES
001
When drugs, consumables and disposable items are used during a procedure, or issued to a patient on discharge, the Fund shall 06.52
only reimburse the cost of such items, in line with this tariff, if the appropriate code is supplied on the account.
MODIFIERS
0001
Fee prorated according to number of treatment days;. fee = ([number of treatment days] / 30) X (item fee)
06.52
ITEMS
Surgical Support
Code
Description
Ver Add Clinical Technology
RVU
Fee
010
Ablations
06.52
219.700
011
Preparation of extra-corporeal equipment for surgical procedures.
06.52
196.700
012
Operation of heart laser during myocardial revascularisation
06.52
219.700
013
Continued operation of extra-corporeal equipment during surgery for a time in excess of one hour in
30 minute increments or part thereof provided that such part comprises 50% or more of the time
Radiofrequency Catheter Ablations
06.52
20.300
06.52
219.700
Not to be charged with item 012
06.52
014
1667.30
(1462.50)
1492.80
(1309.50)
1667.30
(1462.50)
154.10
(135.20)
1667.30
(1462.50)
015
Preparation and operation of pre-operative, intra-operative or post operative physiological monitoring 06.52
per patient, per admission
May only submit once in theatre and once in catheterisation laboratory
06.52
19.400
147.20
(129.10)
017
Standby with extra-corporeal equipment for surgery within hospital
06.52
58.800
446.20
(391.40)
Cannot be used with 011
06.52
019
Standby within the hospital for coronary angioplasty.
06.52
19.400
021
06.52
58.800
06.52
10.000
06.52
196.700
027
Preparation and operation of intra-aortic balloon pump in theatre, intensive care unit and
catheterisation laboratory.
Each additional 30 minutes or part thereof, provided that such part comprises 50% or more of the
time.
Global fee for preparation and operation and removal of cardio assist device (LVAD, RVAD, BVAD)
in theatre and intensive care unit.
Preparation and operation of a pre- and post-operative blood salvage device.
06.52
19.400
029
Preparation and operation of an autotransfusion cell washing system.
06.52
77.100
031
61.700
034
Determination and monitoring of haemodynamic/pulmonary parameters, metabolism, arterial/venous 06.52
pressure flow studies in high care/ICU (per patient per multiple procedures per day)
Assistance with bronchoscopy procedures, placement of arterial/venous catheters, ultrasound
06.52
examinations or photography.
Lymph compression treatment.
06.52
116
Preparation and operation of an artificial heart (Berlin-Heart)
06.52
219.700
118
Daily monitoring of artificial heart, per hour
06.52
33.400
157
Standby with extra corporeal equipment (maximum 4 hours) (per event).
06.52
26.300
147.20
(129.10)
446.20
(391.40)
75.90
(66.60)
1492.80
(1309.50)
147.20
(129.10)
585.10
(513.20)
468.20
(410.70)
110.80
(97.20)
170.80
(149.80)
1667.30
(1462.50)
253.50
(222.40)
199.60
(175.10)
085
023
033
14.600
22.500
Pulmonology
Items 035 to 061 apply only to outpatient department and normal wards - Not high care or intensive care, except item 050 which
applies to intensive care only.
035
Nebulization (per one procedure).
06.52
12.300
037
Measurement of Lung volumes and capacities by means of closed circuit (He) or (N2) washout or
body plethysmography.
13 Mar 2008
Page 1 of 2
06.52
24.200
06.52
93.30
(81.80)
183.70
(161.10)
Version 2008.50
Code
Description
Ver
Add Clinical Technology
RVU
Fee
039
Flow-volume determinations.
06.52
30.600
041
Flow-volume (Pre-post B-D).
06.52
50.800
043
Airways resistance and conductance measurements using plethysmograph or similar apparatus.
06.52
24.200
045
Gas distribution measurements.
06.52
24.200
047
Diffusion determinations.
06.52
24.200
050
ECMO change-out and re-establishment.
06.52
46.300
Cardiology
062
Assist in preparations and operations of Rotablator Procedures
06.52
29.900
063
Cardiac catheterisation for the first hour.
06.52
40.300
065
Each additional 30 minutes or part thereof provided that such part comprises 50% or more of the
time
Intravascular Ultrasound (IVUS)
06.52
10.000
06.52
25.700
064
066
This fee can only be charged once, irrespective of how many times this procedure is repeated. The
06.52
technologist cannot charge for this procedure if a representative of a company or any other person is
operating the IVUS machine
Each additional 30 minutes or part thereof provided that such part comprises 50% or more of the
06.52
time.
Cardiac Cath Right Heart Studies
06.52
067
Cardiac Electro physiology and related procedures for first FOUR hours.
068
Dialysis
145
Preparation of extra-corporeal equipment: Haemoperfusion (HP), Haemofiltration (HF),
Haemoconcentration (HC), Continuous renal replacement therapy (CRRT), Aphaeresis, Auto
transfusion and cell recovery (AT).
150
Acute haemodialysis
Emergency dialysis treatment in hospital; includes dialyser, bloodlines, acetate/bicarbonate dialysate,
priming set, equipment set-up, up to 5 hours treatment time, equipment rental
151
Treatment procedures for CRRT up to 6 hours or part thereof provided that such part comprises 50%
or more of the time
152
Treatment procedure for CRRT up to 12 hours or part thereof provided that such part comprises
more than 6 hours of the time
154
Treatment procedure for CRRT up to 18 hours or part thereof provided that such part comprises
more than 12 hours of the time
156
Treatment procedure for CRRT up to 24 hours or part thereof provided that such part comprises
more than 18 hours of the time
153
Patient training in centre for dialysis, CPAP training and problem-solving, home ventilators and
nebulisers, per 30 minutes (to maximum of 24 hours)
155
Patient training or follow-up at patient's home, for dialysis, home ventilators and nebulisers, per 30
minutes (to maximum of 24 hours).
Miscellaneous
171
Travelling per km in excess of 16km (in own car).
173
Equipment hire (By arrangement with the Fund).
175
Medication / Material
The amount charged in respect of medicines and scheduled substances shall not exceed the limits
prescribed in the Regulations Relating to a Transparent Pricing System for Medicines and Scheduled
Substances, dated 30 April 2004, made in terms of the Medicines and Related Substances Act, 1965
(Act No 101 of 1965).
10.000
56.000
232.20
(203.70)
385.50
(338.20)
183.70
(161.10)
183.70
(161.10)
183.70
(161.10)
351.40
(308.20)
226.90
(199.00)
305.80
(268.20)
75.90
(66.60)
195.00
(171.10)
75.90
(66.60)
425.00
(372.80)
515.30
(452.00)
06.52
67.900
06.52
46.300
351.40
(308.20)
06.52
317.200
2407.20
(2111.60)
06.52
24.800
06.52
49.700
06.52
74.500
06.52
99.300
06.52
16.600
06.52
29.100
188.20
(165.10)
377.20
(330.90)
565.40
(496.00)
753.60
(661.10)
126.00
(110.50)
220.80
(193.70)
06.52
06.52
06.52
06.52
0.675
-
06.52
5.12 (4.49)
-
In relation to all other materials, items are to be charged (exclusive of VAT) at net acquisition price
plus * 26% of the net acquisition price where the net acquisition price of that material is less than one
hundred rands; and
* a maximum of twenty six rands where the net acquisition price of that material is greater than or
equal to one hundred rands.
13 Mar 2008
Page 2 of 2
Version 2008.50