Medical Tariff Codes and Fees for 2018 Effective 01 April 2018

1 Medical Tariff Codes and fees for 2018. Effective 01 April 2018. Medical Examinations General Practitioners & Specialist Physicians New Fee Tariff code Description Non VAT Including 15% VAT. A1102 Standard Medical Report without any copies of specialist reports or special investigations A1103 Short Medical Report (length, weight, chest- + abdomen girth, blood pressure, pulse rate, urinalysis) IMEDS General Practitioners & Specialist Physicians / Nurses (re: Electronically submitted Medical Reports). Tariff code Description Non VAT Including 15% VAT. A1102 Standard Medical Report without any copies of specialist reports or special investigations A1103 Short Medical Report (length, weight, chest- + abdomen girth, blood pressure, pulse rate, urinalysis) Only paid if Old Mutual underwriters request that medicals be done by a specialist if not, it will be paid at the Specialist Physicians published General Practitioner (GP) rate.

2 Tariff code Description Non VAT Including 15% VAT. A2100 Standard Medical Report including copies of specialist reports or special investigations. 1, A2300 Standard Medical Report with Effort ECG (resting, post-effort, 3- and 6 mins post recovery tracings) 1, 1, Registered Nurses Tariff code Description Non VAT Including 15% VAT. A1103 Short Medical Report (length, weight, chest- + abdomen girth, blood pressure, pulse rate, urinalysis) Travelling Unkept Appointment Sample Collection General Practitioners, Specialist Physicians & Registered Nurses Tariff code Description Non VAT Including 15% VAT. A1201 Collection of urine sample for pathological examination A1202 Collection of blood sample(s) for pathological examination(s), per venesection Electrocardiograms General Practitioners & Specialist Physicians Tariff code Description Non VAT Including 15% VAT.

3 A1301 Resting ECG only - 12 leads A1302 Effort ECG (including resting, immediately post-effort, 3- and 6 minutes post-effort tracings) Lung Function Tests General Practitioners Tariff code Description Non VAT Including 15% VAT. A1306 Lung function test with vitallometer ( no interpretation or report ) GP Extracts from records/special questionnaires General Practitioners Tariff code Description Non VAT Including 15% VAT. A1401 Personal Medical Attendant Report A1403 Completion of special reports ( Diabetes, Asthma reports etc. ) A1404 Loan of one or more ECG,s Reports Specialist Physicians Tariff code Description Non VAT Including 15% VAT. A4103 Personal Medical Attendant Report by a Specialist with copies of previous reports and test results Counselling General Practitioners & Specialist Physicians Tariff code Description Non VAT Including 15% VAT.

4 A1501 HIV Post Test Counselling Radiology Specialist Radiologists Only paid if Old Mutual underwriters request Tariff code Description Non VAT Including 15% VAT. A3101 X-ray chest PA and Lateral A3103 X-ray chest PA only