Fees Explained
- All our practices charge private fees. The fees will differ between the different practices. The office will provide you with the necessary tariff information for each practice.
- Some practices will claim in full or partially from your medical aid, but will not take responsibility for non-payment.
- There is no universal “medical aid” fee. All medical aids pay different amounts for the same service.
- If your medical aid pays less than the rate charged, you will be liable for the difference.
- If for whatever reason your medical aid does not pay, you will be liable for the full amount.
- You should check with your medical aid if you are covered and for what amount. It remains your responsibility.
- Fees are time-based and are calculated as follows: 15min setup time + time from entering the procedure room until awake enough to be moved to the general reception area.
- The fee consists of the clinical fee (doctor’s time and expertise), medicine, and disposables used during the procedure
Sedation codes if applying for authorisation
ICD 10 codes: Usually K02.1 / K08.1 for dental procedures
Codes for other procedures will differ and can be obtained from your surgeon
Sedation Procedure codes:
1461: Dental procedure / Other procedures will have a different code (Obtained from your surgeon)
0020: Sedation outside a hospital theatre
0151: Pre-anaesthetic assessment
0034: Head/neck or shoulder modifier
0036/0023: Sedation/ anesthetic time
0007: The use of own monitoring equipment
0201: The drugs and consumables used during the sedation.