Upfs code book 2009 - ambulatory precedures guideline

83)6 &RGH %RRN  ± $PEXODWRU\ 3URFHGXUHV 1. The Code Book serves as a guideline and there may be exceptions to the rule in 2. The UPFS schedule does not prescribe the scope of practice of a particular health service / category or health care provider.
3. Neither does it confine the performing of procedures or services to the attending Description:
Category
Insertion of I.V. line children under two years (per 24 hour) Insertion of I.V. line adult (per 24 hour) Therapeutic venesection (Not to be used when blood is drawn for Athe purpose of laboratory investigations) Chemotherapy: Intramuscular or subcutaneous: per injection Chemotherapy: Intravenous bolus technique: per injection Chemotherapy: Intravenous infusion technique: per injection Skin-prick testing: Insect venom, latex and drugs Immediate hypersensitivity testing (Type I reaction): per antigen: AInhalant and food allergens Delayed hypersensitivity testing (Type IV reaction): per antigen Intralesional Injection Into Areas Of Pathology E.g. Keloids ASingle Special treatment of severe acne cases, including draining of cysts, expressing of comedones and/or steaming, abrasive cleaning ofskin and UVR per session PUVA Treatment: (Maximum of 21 treatments) PUVA: Follow-up or maintenance once a week.
Laser Treatment For Small Skin Lesions First lesion Description:
Category
Laser Treatment For Large Skin Lesions Limited area Breasts Fine needle aspiration for soft tissue (all areas) Laser acupuncture using more than 6 points Aspiration of joint or intra-articular injection (not including after- Multiple Intra-articular Injections For Rheumatoid Arthritis Electrical examination of single nerve or muscle Voltage integration during isometric contraction Isometric tension studies with edrophonium Cranial Reflex Study (both Early And Late Responses) Supra AOcculofacial Or Corneo-facial Or Unilateral Motor nerve conduction studies (single nerve) Biopsy for motor nerve terminals and end plates Bursae and ganglion Aspiration or injection (no after-care) Adjustment or repair of turnbuckle cast (excluding after-care) Manipulation: Immobilisation and follow-up of fractured nose Control severe epistaxis requiring hospitalisation: Anterior and Bposterior plugging Removal of foreign bodies from nose at rooms Description:
Category
Insertion of intercostal catheter (under water drainage) Chemical pleurodesis (instillation silver nitrate, tetracycline, talc, Betc Functional residual capacity or residual volume: helium, nitrogen Aopen circuit, or other method Compliance and resistance, using oesophageal balloon Prolonged postexposure evaluation of bronchospasm with multiple Bspirometric determinations after antigen, cold air, methacholine orother chemical agent, with subsequent spirometrics Pulmonary stress testing; simple (e.g. prolonged exercise test for Bbronchospasm with pre- and post-spirometry Carbon monoxide diffusing capacity, any method ECG: Without and with effort (per 24 hour) Effort electrocardiogram with the aid of a special bicycle ergometer, monitoring apparatus and availability of associatedapparatus ECG without effort: Under 4 years (per 24 hour) 24 Hour ambulatory ECG monitoring (holter) (per 24 hour) Two week event triggered ambulatory ECG monitoring Description:
Category
Compression Sclerotherapy Of Varicose Veins Per injection to a Amaximum of nine injections per leg Cardiac Rehabilitation Phase II: Exercise rehabilitation Cardiac Rehabilitation Phase III: Exercise rehabilitation Simple aspiration of marrow by means of trocar or cannula Oesophageal motility (4 channel + pneumograph Oesophageal motility (6 Channel + pneumograph + pH pull- Bthrough Oesophageal motility (4 or 6 channel + pneumograph - ECG + provocative tests for oesophageal spasm vs. myocardial ischaemia Flowmetric bladder, studies with videocystograph Simple bladder lavage: Including catheterisation Vasogram, Seminal Vesiculogram: Unilateral Vasogram, Seminal Vesiculogram: Bilateral Insertion of I.U.C.D. (excluding after-care) Implantation hormone pellets (excluding after-care) External cephalic version (excluding after-care)) Visual evoked potentials (V.E.P.): Unilateral Electro-retinography (Ganzfeld method): Unilateral Description:
Category
V.E.P. stable condition: (photic drive) Unilateral Total fee for full evaluation of visual tracts, including bilateral Belectroretinography and V.E.P Audiometry: Short latency brainstem evoked potentials (A.E.P.) neurological examination, single decibel unilateral A.E.P. Audiological examination: unilateral at a minimum of 4 Mid- and long latency auditory evoked potentials: unilateral Transcutaneous nerve stimulation in the treatment of post- Aoperative and chronic intractable pain, per treatment Evaluation of cognitive evoked potential with visual or audiology Full spinogram including bilateral median and posterior-tibial 8 Hour ambulatory EEG monitoring (Holter) Overnight polysomnogram and sleep staging Air Encephalography And Posterior Fossa Tomography Injection Bof air (independent procedure) Alcohol Injection In Peripheral Nerves For Pain: Unilateral Diagnostic/Therapeutic nerve block (unassociated with surgery) - either intercostal, or brachial, or peripheral, or stellate ganglion Intravenous anti-depressive medication through infusion: Implantation of pellets (excluding after-care) Fundus contact lens or 90 D lens examination Peripheral fundus examination with indirect ophthalmoscope Description:
Category
Pre-surgical retinal examination before retinal surgery Ocular motility assessment comprehensive examination Tonometry per test with maximum of 2 tests for provocative Atonometry (one or both eyes) Charting of visual field with manual perimeter Retinal threshold test without storage facilities Retinal threshold test inclusive of computer disc storage for Delta Aor Statpak programs Retinal threshold trend evaluation (additional to item 3017) Ocular muscle function with Hess screen or perimeter Pachymetry: Only when own instrument is used, per eye. Only in Aaddition to corneal surgery Retinal function assessment including refraction after ocular Asurgery (within four months), maximum two examinations Determination of lens implant power per eye Botulinum toxin injection for blepharospasm Botulinum toxin injection in extra-ocular muscles Microscopic examination of tympanic membrane including Amicrosuction Percutaneous stimulation of the facial nerve Balance Tests: Minimal caloric test (excluding consultation fee) Bithermal Halpike caloric test (excluding consultation fee) Electro-nystagmography for spontaneous and positional Pure tone audiometry (bone conduction with masking) Impedance audiometry (stapedial reflex) - no charge for volume, Speech audiometry: Inclusive fee (speech audiogram, speech reception threshold, discrimination score) Description:
Category
Recruitment tests: Inclusive fee (Bekesy, Fowler, etc.) Aspiration of joint or intra-articular injection Aspiration or injection of bursa or ganglion Sleep electro-encephalography - adults and children over infant Bage Botulinum Toxin Injections For blepharospasm Botulinum toxin injection for adductor dysphonia For spasmodic torticollis and/or cranial dystonia

Source: http://www.health.gov.za/docs/programes/2009/appendix-d.pdf

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