CBT Rates 2020

Practice Type	CONSULTATION TARIFF CODES 0190/0191/0192 – Out of Hospital	Alliance, Double Plus & First Choice	Alliance, Double Plus & First Choice
Discipline	Practice description	CAMAF BASE TARIFF	80% CAMAF BASE TARIFF
12	DERMATOLOGIST	428.00	342.40
14	GENERAL PRACTITIONER	414.40	331.52
16	GYNAECOLOGIST	453.20	362.56
17	PULMONOLOGIST	654.70	523.76
18	SPECIALIST PHYSICIAN	654.70	523.76
19	GASTROENTEROLOGIST	654.70	523.76
20	NEUROLOGIST	654.70	523.76
21	CARDIOLOGIST	654.70	523.76
23	MEDICAL ONCOLOGIST	654.70	523.76
24	NEUROSURGERY	654.70	523.76
26	OPTHALMOLOGIST	428.00	342.40
27	HAEMATOLOGIST	654.70	523.76
28	ORTHOPAEDICS	428.00	342.40
30	E N T (OTORHINOLARYNGOLOGIST)	428.00	342.40
31	RHEUMATOLOGIST	654.70	523.76
32	PAEDIATRICIAN	654.70	523.76
34	PHYSICAL MEDICINE	654.70	523.76
36	PLASTIC SURGERY	428.00	342.40
40	RADIATION ONCOLOGIST	428.00	342.40
42	SURGEON	428.00	342.40
44	CARDIO THORACIC	654.70	523.76
46	UROLOGY	428.00	342.40
52	PATHOLOGY CLINICAL	428.00	342.40
53	PATHOLOGY ANATOMICAL	428.00	342.40

Preventative Wellness consultations are paid at 100% CBT, subject to the correct ICD10 code.

Day to day consultations are paid at 80% CBT, subject to funds available in the member’s Other benefit limit.

Practice Type: Dentist (Pr 54)	CONSULTATION TARIFF CODES 8101/8104 – Out of Hospital	Alliance, Double Plus, First Choice, Network Choice	Alliance, Double Plus
Tariff code	Practice description	CAMAF BASE TARIFF	80% CAMAF BASE TARIFF
8101 or	DENTAL EXAMINATION	R 253.90	R 203.12
8104	LIMITED ORAL EXAMINATION	R 123.10	R 98.48

Code 11001 or 11081 wellness and pays 100% optical assistant rates

Pr Type	Tariff	ALLIANCE, DOUBLE PLUS, VITAL, ESSENTIAL PLUS	FIRST CHOICE, NETWORK CHOICE
70	11001 or	611.40	REFER TO PPN
70	11081	714.00	REFER TO PPN