How are codes and Modifiers Controlled and Managed?

  • The range of Medical services that are possible in the modern world has resulted in a wide range of codes and modifiers, each with a possible range of prices and charge types. Codes are analysed and developed by the South African Medical Association (SAMA) and can be found in the SAMA booklet.
  • The codes are developed in conjunction with a range of professional bodies and given to the Medical Schemes Council for review, publication and distribution. There are two types of codes:

  1. NHRPL (National Health Reference Price List)
  2. CCSA (Complete CPT for South Africa) and is only used by surgeons. 

Last modified: Monday, 14 January 2019, 8:52 AM