Opthalmology: Reference Price List 2008
HealthMan has calculated the HRPL based on the contents and requirements of Council for Medical Schemes Circular 69 of 2005. Costs were thoroughly researched and the methodologies to determine tariffs are in terms of Circular 69 of 2005. The HRPL is not a set of tariffs that must be applied by medical schemes and/or healthcare providers. Its objective is to serve as a baseline/benchmark against which medical schemes can individually set benefits and that can be used by healthcare providers to determine individually the fees they charge to patients. Healthcare providers should assess their individual practice costs and patient demographics in determining their fees.
 

RCF Consultations: R 25.16
RCF Procedures: R 17.61
  • Click here to download a copy of the Opthalmology 2008 Tariffs

  HEALTHMAN REFERENCE PRICE LIST  FOR SERVICES BY OPHTALMOLOGISTS, EFFECTIVE FROM 1 JANUARY 2008  Version Units Value (VAT incl.)
         
  Consultations:      
0107 Newborn Attendance -Visit in Ward 2008.01      33.00 R 830.28
0109 Hospital follow-up visit 2008.01      15.00 R 377.40
0113 Newborn Attendance - Emergency at all hours 2008.01      45.00 R 1,132.20
0129 Prolonged first/follow-up consultation : 15 min 2008.01      15.00 R 377.40
0132 Repeat Script 2008.01        5.00 R 125.80
0190 Consultation :10-20 min. 2008.01      15.00 R 377.40
0191 Consultation :20-35 min. 2008.01      30.00 R 754.80
0192 Consultation :30-45 min. 2008.01      45.00 R 1,132.20
0145 Consultation : Away from doctor's room 2008.01        6.00 R 150.96
0146 Unscheduled consultation: Emergency (cons.room) 2008.01        8.00 R 201.28
0147 Unscheduled consultation:Emergency(not cons.room) 2008.01      14.00 R 352.24
0148 Elective after-hours services(+50%) 2008.01   R 0.00
0149 Emergency after-hours services(+25%) 2008.01   R 0.00
0173 Hospital Consultation:10-20 min. 2008.01      15.00 R 377.40
0174 Hospital Consultation:20-35 min. 2008.01      30.00 R 754.80
0175 Hospital Consultation:30-45 min. 2008.01      45.00 R 1,132.20
0199 Chronic Medicine Forms 2008.01      21.43 R 539.18
         
  Procedures      
3003 Fundus contact lens or 90 D lens examination 2008.01        7.00 R 123.28
3004 Peripheral fundus examination with indirect Ophthalmoscope 2008.01        7.00 R 123.28
3006 Keratometry 2008.01        7.00 R 123.28
3009 Basic capital equipment used in own rooms by ophthalmologists. 2008.01      11.68 R 205.71
3013 Ocular motility assessment: Comprehensive examination 2008.01      12.00 R 211.34
3014 Tonometry per test with maximum of 2 tests for provocative tonometry 2008.01        7.00 R 123.28
3017 Retinal threshold test inclusive of computer disc storage for Delta of Statpak programs 2008.01      74.00 R 1,303.29
3018 Retinal threshold trend evaluation 2008.01      16.00 R 281.79
3020 Special eye investigations:Pachymetry:Only when own instrument is used, per eye.  Only in addition to corneal surgery. 2008.01      46.00 R 810.15
3021 Special eye investigations:Retinal funtion assessment including refraction after ocular surgery.Within four months,max 2 exams. 2008.01        9.00 R 158.51
3022 Digital fluorescein video angiography 2008.01      68.00 R 1,197.62
3027 Fundus photography 2008.01      21.00 R 369.85
3028 Optical Coherent Tomography (OCT) of Optic nerve or macula:Per eye 2008.01      40.00 R 704.48
3036 Corneal topography:For pathological corneas only on special motivation. For refractive surgery. 2008.01      36.00 R 634.03
3037 Surgical treatment of retinal detachment including vitreous replacement but excluding vitrectomy 2008.01     306.90 R 5,405.12
3039 Prophylaxis and treatment of retina and choroid by cryotherapy and/or diathermy and/or photocoagulation and/or laser per eye. 2008.01     105.00 R 1,849.26
3041 Pan retinal photocoagulation (per eye): Done in one sitting 2008.01     150.00 R 2,641.80
3047 Cataract: Extra-capsular (including capsulotomy 2008.01     210.00 R 3,698.52
3049 Insertion of lenticulus in addition to item 3045 or item 3047 cost on lens excluded 2008.01      57.00 R 1,003.88
3052 Laser capsulotomy 2008.01     105.00 R 1,849.26
3059 Insertion of lenticulus when item 3045 or item 3047 was not executed 2008.01     210.00 R 3,698.52
3061 Drainage operation 2008.01     247.60 R 4,360.73
3075 Strabismus (whether operation performed on 1 eye or both. Operation on 1 or 2 muscles 2008.01     175.60 R 3,092.67
3097 Anterior vitrectomy 2008.01     280.00 R 4,931.36
3098 Removal of silicon from globe 2008.01     280.00 R 4,931.36
3099 Posterior vitrectomy including anterior vitrectomy,encircling of globe and vitreous replacement 2008.01     419.00 R 7,379.43
3120 Excimer laser (per eye) for refractive keratectomy or Holmium laser thermo keratoplasty (LTK) (For machine hire fee for LTK - Use item 3201 2008.01     150.00 R 2,641.80
3121 Corneal graft (lamellar or full thickness) 2008.01     289.00 R 5,089.87
3125 Keratectomy 2008.01     127.00 R 2,236.72
3130 Pterygium or conjunctival cyst or conjunctival tumour.No conjunctival flap or graft used 2008.01      96.90 R 1,706.60
3131 Cornea: Paracentesis 2008.01      53.00 R 933.44
3132 Lamellar keratectomy for refractive surgery (LK,ALK,MLK) 2008.01     150.00 R 2,641.80
3134 Pterygium or conjunctival cyst or conjunctival tumour.Conjunctival flap or graft used - stand alone procedure 2008.01     116.30 R 2,048.28
3163 Excision of superficial lid tumour 2008.01      47.00 R 827.76
3171 Excision of Meibomian cyst.Additional fee for sterile tray 2008.01      20.40 R 359.28
3181 Entropion or ectropion by Open operation 2008.01     111.50 R 1,963.74
3196 Diamond Knife: Use of own diamond knife during intraocular surgery 2008.01      12.00 R 211.34
3198 Excimer laser: Hire fee (per eye) 2008.01     284.13 R 5,004.10
3201 Laser apparatus (ophthalmic): Hire fee for one or both eyes done in one sitting (Not to be used with IOL Master. 2008.01     109.00 R 1,919.71
3202 Phako emulsification apparatus: Hire fee 2008.01     109.00 R 1,919.71
3203 Vitrectomy apparatus: Hire fee 2008.01     120.00 R 2,113.44
3632 Axial length measurement and calculation of intra ocular lens power.Per eye. Not to be used with item 3034 2008.01      50.00 R 880.60


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