Government Gazette
Staatskoerant
R EPU B LI C OF S OUT H AF RICA
REPUBLIEK VAN SUID-AFRIKA
Vol. 599
Pretoria, 11
May
2015
Mei
No. 38767
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38767—1
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No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
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CONTENTS • INHOUD
Page
No.
No.
Gazette
No.
GENERAL NOTICE
Labour, Department of
General Notice
409 Compensation for Occupational Injuries and Diseases Act (130/1993): Annual increase in Medical tariffs for Medical
Services Providers .........................................................................................................................................................
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3
38767
STAATSKOERANT, 11 MEI 2015
No. 38767
GENERAL NOTICE
NOTICE 409 OF 2015
DES'
TMENT OF LABOUR
COMPENSATION FOR OCCUPATIONAL
NO.130 OF 1993), AS
II
ES AND DISEASSES ACT, 1993(ACT
ENDED
ANNUAL INCREASE IN MEDICAL T
4-
FFS FOR MEDICAL SERVICES PROVIDERS.
Mildred N lisiwe Oliphant Minister of Labour, hereby give notice that, after
consultation with the Compensation Board and acting under powers vested in me by
section 97 of the Compensation for Occupational Injuries and Diseases Act, 1993(Act
No.130 of 1993), 1 prescribe the scale of "Fees for Medical Aid" payable under section
76, inclusive of the General Rule applicable thereto, appearing in the Schedule, with
effect from 1 April 2015.
2.
Medical Tariffs increase for 2015 is 6.4%
3.
The fees appearing in the Schedule are applicable in respect of services rendered on or
after 1 April 2015 and Exclude VAT.
km
44
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gs ero. {s,
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*0000 00000000000000
MN OLIPHANT, MP
MINISTER OF LABOUR
DAT
00 :9000 I OW** 000**00000000
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No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
GENERAL INFORMATION / ALGEMENE INLIGTING
THE EMPLOYEE AND THE MEDICAL SERVICE PROVIDER
The employee is permitted to freely choose his own service provider e.g.
doctor, pharmacy, physiotherapist, hospital, etc. and no interference with this
privilege is permitted, as long as it is exercised reasonably and without prejudice to
the employee or to the Compensation Fund. The only exception to this rule is in case
where an employer, with the approval of the Compensation Fund, provides
comprehensive medical aid facilities to his employees, i.e. including hospital, nursing
and other services - section 78 of the Compensation for Occupational Injuries and
Diseases Act refers.
In terms of section 42 of the Compensation for Occupational Injuries and
Diseases Act the Compensation Fund may refer an injured employee to a specialist
medical practitioner of his choice for a medical examination and report. Special fees
are payable when this service is requested.
In the event of a change of medical practitioner attending to a case, the first
doctor in attendance will, except where the case is transferred to a specialist, be
regarded as the principal. To avoid disputes regarding the payment for services
rendered, medical practitioners should refrain from treating an employee
already under treatment by another doctor without consulting / informing the
first doctor. As a general rule, changes of doctor are not favoured by the
Compensation Fund, unless sufficient reasons exist.
According to the National Health Act no 61 of 2003, Section 5, a health care
provider may not refuse a person emergency medical treatment. Such a medical
service provider should not request the Compensation Fund to authorise such
treatment before the claim has been submitted to and accepted by the Compensation
Fund. Pre-authorisation of treatment is not possible and no medical expense will
be approved if liability for the claim has not been accepted by the Compensation
Fund.
An employee seeks medical advice at his own risk. If an employee represented to
a medical service provider that he is entitled to treatment in terms of the
Compensation for Occupational Injuries and Diseases Act, and yet failed to inform
the Compensation Commissioner or his employer of any possible grounds for a claim,
the Compensation Fund cannot accept responsibility for medical expenses incurred.
The Compensation Commissioner could also have reasons not to accept a claim
lodged against the Compensation Fund. In such circumstances the employee would be
in the same position as any other member of the public regarding payment of his
medical expenses.
Please note that from 1 January 2004 a certified copy of an employee's
identity document will be required in order for a claim to be registered with the
Compensation Fund. If a copy of the identity document is not submitted the claim
will not be registered but will be returned to the employer for attachment of a certified
copy of the employee's identity document. Furthermore, all supporting documentation
submitted to the Compensation Fund must reflect the identity number of the
employee. If the identity number is not included such documents can not be processed
but will be returned to the sender to add the ID number.
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
No. 38767
The tariff amounts published in the tariff guides to medical services rendered in
terms of the Compensation for Occupational Injuries and Diseases Act do not include
VAT. All accounts for services rendered will be assessed without VAT. Only if it is
indicated that the service provider is registered as a VAT vendor and a VAT
registration number is provided, will VAT be calculated and added to the payment,
without being rounded off.
The only exception is the "per diem" tariffs for Private Hospitals that already
include VAT.
Please note that there are VAT exempted codes in the private ambulance tariff
structure.
DIE WERKNEMER EN DIE MEDIESE DIENSVERSKAFFER
Die werknemer het 'n vrye keuse van diensverskaffers by dokters, apteeke,
fisioterapeute, hospitale ens. en geen inmenging met hierdie voorreg word toegelaat
nie,
solank dit redelik en sonder benadeling van die werknemer self of die
Vergoedings Fonds uitgeoefen word. Die enigste uitsondering op hierdie reel is in
geval waar die werkgewer met die goedkeuring van die Vergoedings Kommissaris
omvattende geneeskundige dienste aan sy werknemers voorsien, d. i. insluitende
hospitaal-, verplegings- en ander dienste - artikel 78 van die Wet op Vergoeding vir
Beroepsbeserings en Siektes verwys.
Kragtens die bepalings van artikel 42 van die Wet op Vergoeding vir
Beroepsbeserings en Siektes mag die Vergoedings Kommissaris 'n beseerde
werknemer na 'n ander geneesheer deur homself aangewys verwys vir 'n mediese
ondersoek en verslag. Spesiale fooie is betaalbaar vir hierdie diens wat feitlik
uitsluitlik deur spesialiste gelewer word.
In die geval van 'n verandering in geneesheer wat 'n werknemer behandel, sal
die eerste geneesheer wat behandeling toegedien het, behalwe waar die werknemer
na 'n spesialis verwys is, as die lasgewer beskou word. Ten einde geskille rakende
die betaling vir dienste gelewer te voorkom, moet geneeshere hul daarvan weerhou
om 'n werknemer wat reeds onder behandeling is te behandel sonder om die eerste
geneesheer in te lig. Oor die algemeen word verandering van geneesheer, tensy
voldoende redes daarvoor bestaan, nie aangemoedig nie.
Volgens die Nasionale Gesondheidswet no 61 van 2003 Afdeling 5, mag 'n
gesondheidswerker of diensverskaffer nie weier om noodbehandeling te verskaf nie.
Die Vergoedingskommissaris kan egter nie sulke behandeling goedkeur alvorens
aanspreeklikheid vir die eis kragtens die Wet op Vergoeding vir Beroepsbeserings en
Siektes aanvaar is nie. Vooraf goedkeuring vir behandeling is nie moontlik nie en
geen mediese onkoste sal betaal word as die eis nie deur die Vergoedings fonds
aanvaar word nie.
Dit moet in gedagte gehou word dat 'n werknemer geneeskundige behandeling op
sy eie risiko aanvra. As 'n werknemer dus aan 'n geneesheer voorgee dat by geregtig
is op behandeling in terme van die Wet op Vergoeding vir Beroepsbeserings en
Siektes en tog versuim om die Vergoedingskommissaris of sy werkgewer in te lig oor
enige moontlike gronde vir 'n eis, kan die Vergoedingsfonds geen aanspreeklikheid
aanvaar vir geneeskundige onkoste wat aangegaan is nie. Die Vergoedings
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No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
Kommissaris kan ook rede he om 'n eis teen die Vergoedingsfonds nie te aanvaar nie.
Onder sulke omstandighede sou die werknemer in dieselfde posisie verkeer as enige
lid van die publiek wat betaling van sy geneeskundige onkoste betref
Neem asseblief kennis dat 'n gesertifiseerde afskrif van die werknemer se
identiteitsdokument benodig word vanaf 1 Januarie 2004 om 'n eis by die
Vergoedingsfonds aan te meld. Indien 'n afskrif van die identiteitsdokument nie
aangeheg is nie, sal die eis nie geregistreer word nie en die dokumente sal
teruggestuur word aan die werkgewer vir die aanheg van die ID dokument. Al le ander
dokumentasie wat aan die kantoor gestuur word moet ook die identiteitsnommer
aandui. Indien nie aangedui nie, sal die dokumentasie nie verwerk word nie, maar
teruggestuur word vir die aanbring van die identiteitsnommer.
Die bedrae gepubliseer in die handleiding tot tariewe vir dienste gelewer in terme
van die Wet op Vergoeding vir Beroepsbeserings en Siektes, sluit BTW uit. Die
rekenings vir dienste gelewer word aangeslaan en bereken sonder BTW.
Indien BTW van toepassing is en 'n BTW registrasienommer voorsien is, word
BTW bereken en by die betalingsbedrag gevoeg sonder om afgerond te word.
Die enigste uitsondering is die "per diem" tarief vir Privaat Hospitale, wat BTW
insluit.
Neem asseblief kennis dat daar tariewe in die kodestruktuur vir Privaat
ambulanse is waarop BTW nie betaalbaar is nie.
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
No. 38767
CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS
FOLLOWS
ELSE TEEN DIE VERGOEDINGSFONDS WORD AS VOLG GEHANTEER
1. New claims are registered by the Compensation Fund and the employer is
notified of the claim number allocated to the claim. The allocation of a claim
number by the Compensation Fund, does not constitute acceptance of liability
for a claim, but means that the injury on duty has been reported to and
registered by the Compensation Commissioner. Enquiries regarding claim
numbers should be directed to the employer and not to the Compensation
Fund. The employer will be in the position to provide the claim number for the
employee as well as indicate whether the claim has been accepted by the
Compensation Fund Nuwe eise word geregistreer deur die Vergoedingsfonds
en die werkgewer word in kennis gestel van die eisnommer. Navrae
aangaande eisnommers moet aan die werkgewer gerig word en nie aan die
Vergoedingskommissaris nie. Die werkgewer kan die eisnommer verskaf en
ook aandui of die Vergoedingsfonds die eis aanvaar het of nie
2.
If a claim is accepted as a CODA claim, reasonable medical expenses will
be paid by the Compensation Commissioner
As
'n
eis
deur die
Vergoedingsfonds aanvaar is, sal redelike mediese koste betaal word deur die
Vergoedingsfonds.
3.
If a claim is rejected (repudiated), accounts for services rendered will not be
paid by the Compensation Commissioner. The employer and the employee
will be informed of this decision and the injured employee will be liable for
payment. As 'n eis deur die Vergoedingsfonds afgekeur (gerepudieer) word,
word rekenings vir dienste gelewer nie deur die Vergoedingsfonds betaal nie.
Die betrokke partye insluitend die diensverskaffers word in kennis gestel van
die besluit. Die beseerde werknemer is dan aanspreeklik vir betaling van die
rekenings.
4. If no decision can be made regarding acceptance of a claim due to inadequate
information, the outstanding information will be requested and upon receipt,
the claim will again be adjudicated on. Depending on the outcome, the
accounts from the service provider will be dealt with as set out in 2 and 3.
Please note that there are claims on which a decision might never be taken due
to lack of forthcoming information Indien geen besluit oor die aanvaarding
van 'n eis weens 'n gebrek aan inligting geneem kan word nie, sal die
uitstaande inligting aangevra word. Met ontvangs van sulke inligting sal die
eis heroorweeg word. Afhangende van die uitslag, sal die rekening gehanteer
word soos uiteengeset in punte 1 en 2. Ongelukkig bestaan daar eise waaroor
`n besluit nooit geneem kan word nie aangesien die uitstaande inligting nooit
verskaf word nie.
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No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
BILLING PROCEDURE EISE PROSEDURE
1.
All service providers should be registered on the Compensation Fund electronic claims
system (Umehluko) in order to capture medical reports. Al le mediese intansies moet
geregistreer wees op die Vergoedings Kommissaris se nuwe elektroniese stelsel
(Umehluko), om mediese verslae te dokumenteer.
2.
Medical invoices should be switched to the Compensation Fund using the attached
format. - Annexure D. e Mediese rekeninge moet oorgeskuif word na die Vergoedings
Kommissaris, deur die aangehegte formule te gebruik. Annexure D.
2.1. Subsequent invoice must be electronically switched. It is important that all
requirements for the submission of invoice, including supporting information, are
submitted Daarop volgende rekeninge moet elektronies ingedien word. Dit is belangrik
dat al die voorskrifte vir die indiening van rekeninge nagekom word, insluitend die
voorsiening van stawende dokumentasie.
3.
The status of invoices /claims can be viewed on the Compensation Fund electronic claims
system. If invoices are still outstanding after 60 days following submission, the service
provider should complete an enquiry form, W.C1 20, and submit it ONCE to the
Provincial office/Labour Centre. All relevant details regarding Labour Centres are
Die status van rekeninge kan besigtig
available on the website www.labour.gov.za
word op die Vergoedings Kommissaris se elektroniese stelsel. Indien rekenings nog
uitstaande is na 60 dae vanaf indiening en ontvangs erkenning deur die Vergoedings
Kommissaris, moet die diensverskaffer 'n navraag vorm, W.Cl 20 voltooi en EENMALIG
indien by die Arbeidsentrum. Alle inligting oor Arbeidsentrums is beskikbaar op die
webblad www.labour.gov.za
4.
If an invoice has been partially paid with no reason indicated on the remittance
advice, an enquiry should be made with the nearest labour centre. Indien 'n
rekening gedeeltelik betaal is met Been rede voorsien op die betaaladvies nie, kan 'n
navraag by die Arbeidsentrum gedoen word.
5.
Details of the employee's medical aid and the practice number of the referring
practitioner must not be included in the invoice.
Inligting van die werknemer se
mediese fonds en praktyk nommer van die verwysende dokter moet nie ingesluit wees op
die rekeninge nie.
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STAATSKOERANT, 11 MEI 2015
6.
Service providers should not generate the following
volgende lewer nie:
a.
No. 38767
Diensverskaffers moet nie die
Multiple invoices for services rendered on the same date i.e. one invoice for
medication and a second invoices for other services Meer as een rekening vir
dienste gelewer op dieselfde datum, by. medikasie op een rekening en 'n ander
dienste op 'n tweede rekening.
* Examples of the new forms (W.C1 4 / W.C1 5 / W.C1 5F) are available on the
website www.labour.gov.za
* Voorbeelde van die nuwe vorms (W.C1 4 / W.C1 5 / W.C1 5F) is beskikbaar op
die webblad www.labour.gov.za
501591—B
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GOVERNMENT GAZETTE, 11 MAY 2015
MINIMUM REQUIREMENTS FOR ACCOUNTS RENDERED
MINIMUM VEREISTES VIR REKENINGE GELEWER
Minimum information to be indicated on accounts submitted to the
Compensation Fund Minimum besonderhede wat aangedui moet word op
rekeninge gelewer aan die Vergoedingsfonds
Name of employee and ID number
Naam van werknemer en ID
nommer
Name of employer and registration number if available Naam van
werkgewer en registrasienommer indien beskikbaar
Compensation Fund claim number Vergoedingsfonds eisnommer
DATE OF ACCIDENT (not only the service date) DATUM VAN
BESERING ( nie slegs die diensdatum nie)
Service provider's reference and invoice number
Diensverskaffer se
verwysing of faktuur nommer
The practice number (changes of address should be reported to BHF)
Die praktyknommer (adresveranderings moet by BHF aangemeld
word)
VAT registration number (VAT will not be paid if a VAT registration
number is not supplied on the account) BTW registrasienommer
(BTW sal nie betaal word as die BTW registrasienommer nie voorsien
word nie)
Date of service (the actual service date must be indicated: the invoice
date is not acceptable) Diensdatum (die werklike diensdatum moet
aangedui word: die datum van lewering van die rekening is nie
aanvaarbaar nie)
Item codes according to the officially published tariff guides, ICD 10
codes and Nappi codes Item kodes sons aangedui in die amptelik
gepubliseerde handleidings tot tariewe, ICD 10 en Nappi kodes.
Amount claimed per item code and total of account Bedrag geeis per
itemkode en totaal van rekening.
It is important that all requirements for the submission of accounts are
met, including supporting information, e.g Dit is belangrik dat alle
voorskrifte vir die indien van rekeninge insluitend dokumentasie
nagekom word by.
All pharmacy or medication accounts must be accompanied
by the original scripts Alle apteekrekenings vir medikasie
moet vergesel word van die oorspronklike voorskrifte
o The referral notes from the treating practitioner must
accompany all other medical service providers' accounts.
Die verwysingsbriewe van die behandelende geneesheer moet
rekeninge van ander mediese diensverskaffers vergesel
o
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
No. 38767
11
Important: Prosthesis fees EXCLUDE the following components:
1. Foot
2. Ankle unit
3. Knee
4. Suspension
The appropriate component must be selected from the list and charged as a separate item
Lower limb prosthetics:
and stainless steel
CAT 1 & 2 are fabricated with glass / perion reinforced acrylic resin
CAT 3 is fabricated with carbon reinforced epoxy resin and titanium or composite components.
Prosthetic Consultation
PC091
PC092
A60091
A60092
PC096
A60096
Consultation (30 minutes)
Consultation (1 hour)
Prosthetic Repairs (To be charged only once)
2015 COIDA
ea
ea
244.94
489.88
489.88
Prosthetics
Item
Description
Cat
Code
FOOT PROSTHESIS
FP
FP010
A20010
Toe filler
ea
2019.78
FP020
A20020
Fore-foot prosthesis - moulded leather or similar
ea
2953.15
FP030
A20030
1
Mid-foot prosthesis Cat 1 - moulded leather or similar
ea
3754.40
FP031
A20031
2
Mid-foot prosthesis Cat 2 - laminated SACH type foot
ea
13128.47
FP035
FP040
FP045
FP050
A20035
A20040
A20045
A20050
3
Mid-foot prosthesis Cat 3 - laminated CRA + energy foot
Chopart prosthesis - Cat 1/2
Chopart prosthesis -Refit
O'Conners extension Cat 1/2
ea
ea
ea
ea
36060.28
21562.29
15093.60
20310.32
FP070
FP071
FP081
FP082
FP090
A20070
A20071
A20081
A20082
A20090
1, 2
Symes prosthesis - CAT 1&2
Symes prosthesis - Refit CAT 1&2
Symes prosthesis - CAT 3
Symes prosthesis - Refit CAT 3
Symes test socket - diagnostic
ea
ea
ea
ea
ea
21594.78
15116.34
25479.69
17835.77
4221.15
ea
ea
ea
20625.40
29240.15
33000.63
ea
ea
ea
3485.83
3235.20
4368.11
ea
ea
ea
21594.78
24508.83
1, 2
1, 2
3
BELOW KNEE PROSTHESIS
BK
BK030
BK061
BK090
A20530
A20561
A20590
1, 2
1, 2
3
BK exoskeletal CAT 1&2
BK endoskeletal CAT 1&2
BK endoskeletal CAT 3
Additions to Below knee prosthesis
BK134
BK140
BK145
A20634
A20640
A20645
BK flexible inner socket
BK test socket - diagnostic
BK skin cosmesis
Refit of Below knee prosthesis
NOTE: Refit includes new cosmetic cover
BK162
BK165
BK166
A20662
A20665
A20666
Refit BK exoskeletal CAT 1&2
Refit BK endoskeletal CAT 1&2
Refit BK endoskeletal CAT 3
This gazette is also available free online at www.gpwonline.co.za
18440.61
12
No. 38767
Item
GOVERNMENT GAZETTE, 11 MAY 2015
Description
Cat
Code
BK accessories and repairs
BK190
BK191
BK195
BK196
BK210
BK211
BK cosmetic foam replaced
BK cosmetic stocking
BK leather lining
BK pelite socket lining
BK joint covers
2Z22 Bolt imported
A20690
A20691
A20695
A20696
A20710
A20711
5444.13
229.60
146.04
2247.93
373.60
330.72
ea
ea
ea
ea
ea
46654.36
56177.01
63868.89
4318.63
6096.26
ea
ea
ea
34069.09
47803.73
55809.35
ea
ea
ea
ea
36399.36
54841.46
59692.78
3659.89
ea
ea
ea
26693.76
37853.42
47074.47
ea
ea
ea
ea
ea
ea
ea
6773.62
340.70
6718.06
4004.63
4798.87
1640.11
4368.11
THROUGH KNEE PROSTHESIS
TK
TK010
TK030
TK040
TK075
TK076
ea
ea
ea
ea
pr
ea
TK exoskeletal CAT 1&2
TK endoskeletal CAT 1&2
TK endoskeletal CAT 3
TK test socket - diagnostic
TK foamcover replace
A21010
A21030
A21040
A21075
A21076
Refit of Through knee prosthesis
NOTE: Refit includes new cosmetic cover
TK100
TK105
TK115
Refit TK exoskeletal CAT 1&2
Refit TK endoskeletal CAT 1&2
RefitTK endoskeletal CAT 3
A21100
A21105
A21115
ABOVE KNEE PROSTHESIS
AK
AK040
AK060
AK080
AK120
A21540
A21560
A21580
A21620
1, 2
1, 2
3
AK prosthesis - exoskeletal CAT 1&2
AK prosthesis - endoskeletal CAT 1&2
AK prosthesis endoskeletal CAT 3
AK test socket - diagnostic
Refit of Above knee prosthesis
NOTE: Refit includes new cosmetic cover
AK151
AK153
AK155
A21751
A21753
A21755
Refit AK exoskeletal CAT 1&2
Refit AK endoskeletal CAT 1&2
Refit AK endoskeletal CAT 3
Additions and repairs to AK prosthesis
AK716
AK720
AK724
AK724
AK732
AK740
AK800
A21716
A21720
A21724
A21725
A21732
A21740
A21800
AK - Cosmetic cover - replaced
AK - cosmetic stocking
AK - flexible inner socket
AK - laminate shin CRA
AK - laminate thigh CRA
AK - socket lined with leather
AK - prosthetic skin
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STAATSKOERANT, 11 MEI 2015
Item
Code
13
Description
Cat
HIP DISARTICULATION PROSTHESIS
HD
HD030
HD035
No. 38767
A22030
A22035
1, 2
HD prosthesis endoskeletal CAT 1&2
HD prosthesis endoskeletal - Refit
ea
ea
94635.25
82035.02
ea
17956.74
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
5209.94
3121.14
3074.62
5397.61
5298.52
3595.30
6719.55
7953.04
898.86
1650.63
2834.64
2651.55
5317.98
2557.58
ea
620.96
ADDITIONS AND REPAIRS TO HD PROSTHESIS
HD031
Hip Joint 7E5
A22031
PROSTHETIC COMPONENTS AND ACCESSORIES
PROSTHETIC ANKLES
PA
LA512
LA513
A22500
A22501
A22502
A22503
A22504
A22505
A22506
A22507
A22508
A22509
A22510
A22511
A22512
A22513
Ankle - Cat 1/2single axis - with block
Ankle - Cat 1/2 single axis - without block
Ankle - Cat 1/2 single axis - modular steel
Ankle - Cat 3 single axis - modular titanium
Ankle - Cat 1/2 multi axis - with block
Ankle - Cat 1/2multi axis - without block
Ankle - Cat 1/2 multi axis - modular steel
Ankle - Cat 3 multi axis - modular Ti or composite
Ankle - Cat 1/2 SACH wooden block
Ankle - Cat 2 SACH modular steel
Ankle - Cat 3 SACH modular titanium
Ankle - Cat 1 SACH modular aluminium
Ankle multiflex alluminium CAT3/Dynamic Response/Multiflex foot
Ankle tehlin single axis TAJO1
LA514
A22514
409007/9 Snubber Kit
LA000
LA001
LA002
LA003
LA004
LA005
LA006
LA007
LA008
LA009
LA010
LA011
SNUBBER KITS
PROSTHETIC FEET
PF
LA 092
2
Foot cat 1/2 with ankle adapter greisinger plus 1A
Foot - Cat 1 - with ankle Single axis Teh Lin TAJP1
A22591/1
A22592
LA090
Foot - Single axis with adapter
1, 2
6786.34
2638.07
Foot - Single axis without ankle adapter
A22590/1
A22590/2
A22590/3
A22590/4
Foot - Cat 1/2 - w/o ankle Single axis
Foot - Cat 1/2 - w/o ankle SACH - SINGLE AXIS
Foot - Cat 1/2 - w/o ankle Single axis Teh Lin TFFO2H
Foot - Cat 1 - w/o ankle Light duty 1G9
ea
ea
ea
1578.82
4045.48
3024.05
3031.21
A22590/5
Foot Cat 1/2 with ankle and block single axis ,1H3
ea
2650.37
ea
10179.52
ea
6607.36
ea
ea
ea
ea
1300.86
3207.38
1362.46
1148.38
ea
ea
ea
ea
5540.12
13443.68
11267.79
12996.48
Foot - multi-axis with ankle adapter
Foot - Cat 1/2 - with ankle Greisinger Plus 1A30
A22591/2
1, 2
LA091
LA100
1, 2
3
A22610/1
A22610/2
A22610/3
A22610/4
Foot - SACH without ankle adapter
Foot - Cat 1/2 - w/o ankle SACH
Foot - Cat 1/2 - w/o ankle SACH - OWW
Foot - Cat 1/2 - w/o ankle SACH - Kingsly
Foot - Cat 1/2 - w/o ankle block Sach foot local
A22600/1
A22600/2
A22600/3
A22600/4
LA110
Foot - multi-axis without ankle adapter
Foot - Cat 1/2 - w/o ankle Greisinger 1A29
A22591
Foot - Dynamic without ankle adapter
Foot - Cat 3 - w/o ankle Dynamic 1D10
Foot - Cat 3 - w/o ankle Seattle carbon
Foot - Cat 3 - w/o ankle CC2 LIGHT OWW
Foot - Cat 3 - w/o ankle CCII OWW
This gazette is also available free online at www.gpwonline.co.za
14
No. 38767
Item
GOVERNMENT GAZETTE, 11 MAY 2015
Description
Cat
Code
A22610/5
Foot - Cat 3 - w/o ankle Energizer USMC
ea
8236.71
A22610/6
Foot - Cat 3 - w/o ankle Seattle Lifecast
ea
13443.68
LA111
3
Foot - Dynamic with pyramid adapter
A22611/1
Foot - Cat 3 - with ankle Dynamic PRO 1D25
ea
10535.05
A22611/2
A22611/3
Foot - Cat 3 - with ankle SACH - Enhanced OWW
Foot-Cat 3 W/with ankle 1D35 dynamic plus foot
ea
ea
5542.53
8191.92
ea
ea
6184.11
ea
ea
ea
ea
ea
ea
ea
9547.03
14201.29
17588.91
5542.53
10087.11
3695.13
6326.45
ea
ea
2140.17
3652.34
pr
7297.27
pr
4525.86
ea
5743.69
ea
7765.51
ea
9270.68
3
LA160
LA116
3
3
Foot - Symes
Foot - SYMES Pigoroff
Foot - Kingsley Symes
A22615/1
A22615/2
PROSTHETIC KNEES
PK
1, 2
LA179
1, 2
LA178
1
2
2
1
A22710/1
Knee - exoskeletal knee multi axis friction
Knee - Cat 2 swing phase control 3P23
A22682/1
LA209
Knee - exoskeletal single axis
Knee - Cat 2 3P1
A22681/1
LA182
Knee - exoskeletal knee single axis with manual lock
Knee - Cat 1 - single axis 3P4
A22680/1
LA181
Exoskeletal knee hinge TK
Knee - Cat 1/2 - TK joint 7G3
A22678/1
LA180
Exoskeletal knee hinge BK
Knee - Cat 1/2 - BK joint 7U25
A22679/1
LA182
7953.04
Foot - Multi-axis dynamic with pyramid adapter
Foot - Cat 3 - with ankle SACH - Multi axis 1M1
Foot - Cat 3 - with ankle Endolite Dynamic Response
Foot - Cat 3 - with ankle Flexfoot SURE-FLEX Ill
Foot - Cat 3 - with ankle CC HP OWW
Foot - Cat 3 - with ankle Single axis Teh Lin TGAPM or TGAOM
Foot with pyramid blatchford super sach
Foot with parymid blatchford senior foot 120kG
A22616/1
A22616/2
A22616/3
A22616/4
A22616/5
A22616/6
A22616/7
LA115
Foot - Multi axis dynamic without adapter
Foot - Cat 3 - w/o ankle Endolite multi flex
Foot - Cat 3 - w/o ankle Quantum
A22660/1
A22660/2
Knee - endoskeletal single axis with manual lock
Knee - Cat 1 3R40
This gazette is also available free online at www.gpwonline.co.za
6283.76
STAATSKOERANT, 11 MEI 2015
Item
Code
LA183
1
LA185
2
LA186
2
3
6775.99
29353.74
ea
ea
19676.92
10025.95
Knee - Cat 2 - Habermann 3R36 titanium
Polycentric titanium Cat2
ea
ea
Knee Cat 2 Balance Safety 125Kg
ea
13117.95
19676.92
12285.22
ea
ea
ea
44935.82
36307.13
35581.14
Knee multi axis steel mod S&SPC
Knee multi axis safety Ti or carbon mod S&SPC
Multi axis knee with Ti or carbon with pneumatic/hydraulic swing phase
control
Knee - Cat 3 3R70
3R72 knee Cat 3
3R95 hydraulic safety knee alluminium Cat 3
A22691/1
A22691/2
A22691/3
LA189
ea
ea
Knee - Cat 2 - Habermann 3R20 s/s
Polycentric knee Cat2
A22702/1
A22702/2
A22702/3
LA191
Knee single axis safety s/s stance phase control
Knee - Cat 1 - safety 3R15
Single axis knee with extension
A22701/1
A22701/2
3
15
Description
Cat
A22683/1
A22683/2
No. 38767
Knee single axis Ti with hydraulic swing phase control
A22689/1
Knee - Cat 3 - single axis Ti, hydraulic 3R45
ea
36586.34
A22689/2
Knee - Cat 3 TEH LIN hydraulic TGK 1H100 or 100S
ea
45923.57
LA209
3
Knee multi axis stance flex, swing phase control
A22709/1
A22709/2
Knee - Cat 3 TOTAL - 7axis Polymer Friction
Knee - Cat 3 OWW GEOFLEX
ea
ea
40916.18
44071.83
A22709/3
Knee Cat 3 Total polmer friction
ea
26522.95
LA207
3
LA200
Knee multi axis stance flex hydraulic swing phase control
Knee - Cat 3 - 3R55
A22707/1
3
Knee single axis Ti or carbon with hydraulic S&SPC
Knee - Cat 3 - 3R80 - Hydraulic
A22700/1
40153.10
ea
52404.82
ea
16683.36
ea
ea
ea
ea
14758.50
10992.44
8902.06
9315.40
KNEES FOR THROUGH KNEE PROSTHESIS
LA186
1
LA185
2
Knee four bar s/s
Knee - Cat 2 - 4bar-linkage 3R21
Knee - Cat 2 Teh LIN four bar TK4010
Knee - Cat 2 Teh LIN four bar TK4000S
TK four bar linkage Cat 2
A22685/1
A22685/2
A22685/3
A22685/4
LA188
Knee four bar manual lock s/s
Knee - Cat 1 - 4bar-linkage manual lock 3R23
A22686/1
3
Knee four bar Ti or carbon, hydraulic or pneumatic SPC
A22688/1
Knee - Cat 3 - 4bar-linkage Ti, hydraulic 3R46
ea
40032.17
A22688/2
A22688/3
TK 1900 total knee polymer friction Cat3
TK 2000 knee Cat3
ea
ea
17681.96
26703.11
This gazette is also available free online at www.gpwonline.co.za
16
No. 38767
Item
GOVERNMENT GAZETTE, 11 MAY 2015
Code
GENERAL PROSTHETIC ACCESSORIES
GPA
LA230
LA235
LA236
LA440
LA450
LA460
LA461
LA462
LA463
LA464
LA465
LA466
LA470
LA480
LA481
LA482
LA483
LA484
LA485
LA486
LA487
LA488
LA490
Description
Cat
A22730
A22735
A22736
A22940
A22950
A22960
A22961
A22962
A22963
A22964
A22965
A22966
A22970
A22980
A22981
A22982
A22983
A22984
A22985
A22986
A22987
A22988
A22990
Patella buttons replaced
Re-alignment (dynamic)of AK / TK modular prosthesis
Re-alignment (dynamiC) of BK modular prosthesis
Stump care - Cleani-stump
Stump care - Ampu-aid
Stump care - talc
Stump / skin lotion
Stump lubricant
Stump cleaner
Stump moisturiser
Stump ointment
Stump moisturer derma clean
Stump care - balm
Stump coning bandage 6cm
Stump coning bandage 8cm
Stump coning bandage 10cm
Prosthetic sheath albert andre per apir
Prosthetic sheath merit
Fix prosthetic local 601 kneebrace
Stump sock with hole for pin local
Stump sock with pin imported
Dermaseal residual limb sock 453D7
Stump coning bandage 15cm
ea
ea
ea
box
tube
tin
198.06
900.35
852.34
846.28
169.61
ea
ea
ea
ea
ea
ea
tin
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
229.60
442.95
351.08
406.63
406.63
502.75
345.64
406.62
331.66
418.62
561.26
612.23
87.29
363.34
261.56
350.54
1695.27
612.23
ea
ea
ea
ea
ea
ea
ea
ea
1619.77
738.25
1719.11
1163.53
3412.02
446.46
563.72
932.73
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
981.26
1052.19
981.26
2265.94
1866.46
440.57
2439.49
5347.23
7101.26
133.16
133.16
278.33
ea
ea
ea
ea
ea
1528.09
1064.22
4162.96
1123.99
1632.33
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
827.56
4190.28
3455.68
3315.96
1931.94
2858.63
3992.68
2032.37
3251.56
1172.85
ADAPTORS
AD001
AD002
AD003
AD004
AD005
AD006
AD007
AD008
A24001
A24002
A24003
A24004
A24005
A24006
A24007
A24008
2R2 tube adaptor stainless steel
Bibr-003 hawk tube adaptor short E05S-BOSS
2R3 tube adaptor stainless steel
Tubewith adaptor 1907-13
2R38 tube adaptor titanium
A-712010 tube adaptor alluminium short
A-712020 tube adaptor alluminium long
Bibr-004 hawk tube adaptor E05S-A SS
FOOT ADAPTORS
AD009
AD010
AD011
AD012
AD013
AD014
AD015
AD016
AD017
AD018
AD019
AD020
A24009
A24010
A24011
A24012
A24013
A24014
A24015
A24016
A24017
A24018
A24019
A24020
2R8=10 sach foot adaptor 1907-14
Sach foot adaptor 1907-14
2R8=8 sach foot adaptor stainless
2R31 sach foot adaptor titanium
2R54 sach foot adaptor alluminium
Bibr-001 hawk sach foot adaptor E01S-M1OSS
2R10single axis foot adaptor stainless steel
2R51sinlge axis foot adaptor titanium
2R33 single axis foot adaptor titanium
2R14 connection plate for sach foot
Sach foam connector
2R22 connection cap for single axis foot
TUBE CLAMP ADAPTORS
AD021
AD022
AD023
AD024
AD025
A24021
A24022
A24023
A24024
A24025
4R21 tube clamp adaptor stainless
Tube clamp connector 1907-22
4R82 tube clamp adaptor titanium
A-342100 tube clamp adaptor female pyramid
409054-BI tube clamp adaptor
SOCKET ADAPTORS
AD026
AD027
AD028
AD029
AD030
AD031
AD032
AD033
AD034
AD035
A24026
A24027
A24028
A24029
A24030
A24031
A24032
A24033
A24034
A24035
Bibr-005 hawk clamp adaptor E07S SS
4G70 TK lamination anchor
4R116 lamination anchor
4R41 lamination anchor/socket with rotate
4R43 lamination anchor
Rotating socket adaptor 1907-40
4R51 socket adaptor with rotation
4R37 socket adaptor with rotation
4R89 socket adaptor with rotation
Bibr-006 hawk 3 prong socket adaptor with rotation
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
Item
AD036
AD037
AD038
AD039
AD040
AD041
AD042
AD043
AD044
AD045
AD046
AD047
AD048
AD249
AD250
AD251
AD252
AD253
AD254
Code
A24036
A24037
A24038
A24039
A24040
A24041
A24042
A24043
A24044
A24045
A24046
A24047
A24048
A24049
A24050
A24051
A24052
A24053
A24054
No. 38767
17
Description
Cat
Bibr-007 hawk 3 pyramid adaptor with rotation
4R100 socket adaptor titanium Bk
4R68 socket adaptor alluminium Bk
4R55 socket adaptor titanium
4R95 socket adaptor alluminium
4R22 socket adaptor stainless steel
2R63 socket adaptor stainles
BK socket adaptor with pyramid
4R42 socket adaptor stainless
3 prong socket adaptor
A-114040 4 prong socket adaptor
Bibr-008 3 prong fixed pyramid adaptor El 1S SS
Bibr-009 4 prong socket adaptor E12S SS
5R1 socket attachment block
6PC599 socket lamination platform
Boww-037 laminating socket attachment Block 70020
Boww-240 laminating socket attachment block
4R98 Sliding adaptor
Boww-200 pyramid sliding adaptor
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
1093.47
3108.58
2136.05
2652.34
1536.82
1134.07
1380.73
1197.36
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
4891.56
7046.28
7929.04
8899.78
7161.02
5540.01
9484.37
7515.86
7161.02
8575.20
9484.37
10312.80
10312.80
9975.45
9975.45
9997.87
9997.87
7997.68
9625.00
9813.54
7997.68
ea
ea
ea
8440.56
10739.39
10739.39
ea
ea
253.59
168.34
ea
ea
ea
ea
ea
ea
2282.19
2768.03
2460.47
2269.81
1274.07
1557.87
ea
ea
2011.73
1897.01
1541.08
1687.45
1146.94
674.74
1367.64
4139.12
883.12
922.82
3828.97
4923.64
SILICONE SLEEVES
SS001
SS002
SS003
SS004
SS005
SS006
SS007
SS008
SS009
SS010
SS011
SS012
SS013
SS014
SS015
SS016
SS017
SS018
SS019
SS020
SS021
A25001
A25002
A25003
A25004
A25005
A25006
A25007
A25008
A25009
A25010
A25011
A25012
A25013
A25014
A25015
A25016
A25017
A25018
A25019
A25020
A25021
6Y42 silicone sleeve without pin
6Y70 silicone gel liner
6Y80 sleeve transfemoral
14Y1 silicone arm liner
1-5406 icecross comfort locking liner
1-0104 original icecross sleeve without cover
i-7032 transfemoral
i-4013 dermo lock in sleeve
1-5006 comfort plus 6mm liner
1-6003 icecross synergy locking
1-7132 icecross transfemoral locking conical
Alps sleeve Eldt lock liner
Elfer cushion liner
GPDT general purpose liner
GPFR general purpose line
AKDT alps locking liner
AKFR alps cushion liner
Boww-016 alpha spirit cushion liner SP ALC5366
Boww-006 alpha original lock liner
Boww-221 alpha AK Lock in liner
Boww225 alpha AK cushion AKL
SEAL IN SLEEVES
SS022
SS023
SS024
A25022
A25023
A25024
1-4613 icecross dermo seal in sleeve
1-7532 icecross transfemoral seal in sleeve
1-7632 icecross transfemoral seal in conical
SEAL IN SOCKS
SS025
SS026
A25025
A25026
K5313 seal in liner socks 3 ply
K5311 seal in liner sock 1ply
KNEE SLEEVES
SS027
SS028
SS029
SS030
SS031
SS032
A25027
A25028
A25029
A25030
A25031
A25032
453A2=1-4 derma comfort ORT knee sleeve
453A3=1-3 profelex knee sleeve
453A-4=1-3 profelex knee sleeve short
F-2011 icecross knee sleeve=35-62
BDAW-301 daw G-sleev
BDMI -182 medi genu sleeve Mk00203000
DISTAL CUPS
SS033
SS034
A25033
A25034
1-3000 distal cup
Boww-042 gel cups
VOLUME MANAGE PADS
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962.51
18
No. 38767
Item
SS035
SS036
GOVERNMENT GAZETTE, 11 MAY 2015
Code
A25035
A25036
Description
Cat
Boww-045 volume manage pads X3
BPRO-002 1K10 protector pad
ea
ea
680.98
3625.74
ea
ea
ea
1441.86
645.96
744.21
ea
ea
2734.06
10024.57
PINS
SS037
SS038
SS039
A25037
A25038
A25039
6Y13=3 long pin only
L-192000 attachment pin standard
Boww-074 alpha lock pin
SHUTTLE LOCKS
SL651
SL040
A36651
A25040
Shuttle lock fit
6A20 shuttle lock with distal adjustment pyramid
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
Item
SL041
SL042
SL043
SL044
SL045
SL047
SL048
SL049
Code
A25041
A25042
A25043
A25044
A25045
A25047
A25048
A25049
No. 38767
19
Description
Cat
6A30=20 and lOshuttle lock
14A1 shuttle lock to attach 14Y1 Silicone liner
L-621000 ice ratchet
109108 blatchfordshuttle lock
Alps shuttle lock with pyramid S498-P
Boww-061 alpha lock kit
Boww -062 lanyard lock kit
Bibr-040 hawk shuttle lock E70
ea
ea
ea
ea
ea
ea
ea
ea
8208.04
7781.26
2329.16
7426.52
5808.77
4925.62
5239.18
4564.43
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
3265.75
472.61
135.34
1694.00
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
1030.77
630.24
323.15
1534.17
727.83
1264.63
1094.76
918.09
425.82
103.64
86.00
177.42
90.60
27.75
1544.17
2503.60
922.64
ea
ea
ea
19789.52
27993.18
13805.28
ea
ea
ea
6321.96
4759.77
4399.66
VALVES
VL050
VL051
VL052
VL053
VL054
VL055
VL056
VL057
VL058
VL059
LA510
LA520
LA530
LA540
A25050
A25051
A25052
A25053
A25054
A25055
A25056
A25057
A25058
A25059
A25060
A25061
A25062
A25063
21Y12 screw valve kit
21Y40 suction valve
21Y41 seat ring for 21Y40 valve
21Y105 valve kit for flexible sockets
4R140 one way valve for knee sleeves
L-552000 ice lock expulsion valve TF AK valve
L-551002 icelock expulsion valve TF BK valve
BMDI -240 medi vacu valve-1810723000
BUSN-001 green dot valve plastic
BUSN-002green dot valve stainless steel
Suction valve standard
Suction valve total contact
Suction valve Green dot standard
Suction valve Green dot total contact
1358.91
1362.07
1222.74
573.54
1241.98
915.44
647.80
1185.05
1185.05
1185.05
REPAIR KITS
RK001
RK002
RK003
RK004
RK005
RK006
RK007
RK008
RK009
RK010
RK011
RK012
RK013
RK014
RK015
RK016
RK017
A26001
A26002
A26003
A26004
A26005
A26006
A26007
A26008
A26009
A26010
A26011
A26012
A26013
A26014
A26015
A26016
A26017
2D2 single component pack for 1A6 and1A29
2D3 for 1A20 foot
2D5 service pack gor 2R10 ankle
3D4 service kit for 3P23 knee
2D1 Service for 3R15/3R46/3R42 knees
4D13 service kit for 3R36/R20
4D18 service kit for 3R46 knee
4D19 repair kit for 3R55
4V34 declaration bumper
4H5=26 knee extension stop rubber
41-121 shin extension stop rubber
7U25 joint bearing 509K 11X5X16X5
7U25 joint big screw 501A22
7U25 small joint screw 501S6X8XM3.5
4B52 swinging block
4D7 repair kit for3R21/3R30
4F34 lock control unit AK (3R17/3R33/3R40/3R41) KNEE
PARTIAL HAND PROSTHESIS
PH010
PH020
PH030
A30010
A30020
A30030
Partial hand passive
Partial hand functional
Partial opposition post
PARTIAL HAND REPAIRS
PH050
PH060
PH070
A30050
A30060
A30070
Partial new silicone socket
Partial hand - cosmetic glove replaced
Partial hand - replace zip to glove
This gazette is also available free online at www.gpwonline.co.za
20
No. 38767
Item
GOVERNMENT GAZETTE, 11 MAY 2015
Code
WRIST DISARTICULATION PROSTHESIS
WD
WD010
WD020
WD021
A30510
A30520
A30521
A31010
A31020
A31040
ea
ea
ea
38519.72
50833.47
11503.74
Below elbow prosthesis -passive hand & cosmetic cover
Below elbow prosthesis - functional hand & cosmetic cover
BE test socket - diagnostic
ea
ea
ea
38519.72
50833.47
2160.80
ea
ea
ea
ea
57393.91
74799.09
2160.80
23561.71
ea
ea
ea
45150.83
59676.32
2160.80
ea
ea
ea
21017.07
14746.20
16588.83
ELBOW DISARTICULATION PROSTHESIS
ED
ED010
ED020
ED030
ED031
Wrist disarticulation - passive
Wrist disarticulation - functional
Refit Wrist Disarticulation
BELOW ELBOW PROSTHESIS
BE
BE010
BE020
BE040
Description
Cat
A31510
A31520
A31530
A31531
Elbow disarticulation prosthesis - passive hand and cosmetic cover
Elbow disarticulation prosthesis - functional hand and cosmetic cover
ED test socket - diagnostic
Refit ED
ABOVE ELBOW PROSTHESIS
AE010
AE020
AE040
A32010
A32020
A32040
Above elbow prosthesis - passive hand & cosmetic cover incl
Above elbow prosthesis - functional hand & cosmetic cover incl
AE test socket - diagnostic
ADDITIONAL CHARGES
AE060
AE065
AE067
A32060
A32065
A32067
Automatic locking elbow 12K4
Elbow joint with cable lock
Step-up joints for short BE or TE
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
Item
Code
No. 38767
21
Description
Cat
Notes
Manual locking elbows 12K5 are supplied as standard. Prosthetist may supply an
automatic elbow on request and adjust the fee accordingly
The cost of the standard elbow must be deducted and the automatic elbow added.
Prosthetic hooks are not included with upper extremity prosthesis as standard
SHOULDER DISARTICULATION PROSTHESIS
SD
SD010
A32510/1
SD020
A32510/2
A32520
A33155
Shoulder disarticulation prosthesis manual elbow( incl. passive hand& cosmetic
cover
Shoulder disarticulation prosthesis electric elbow(incl. passive hand &cosmetic
cover
Shoulder disarticulation - functional hand & cosmetic cover incl
Refit Shoulder disarticulation
AA010
AA020
AA030
AA040
AA050
AA060
AA070
AA080
AA090
AA100
AA110
AA120
AA130
AA140
AA150
AA160
AA165
AA170
AA175
AA180
AA185
AA190
AA195
AA196
AA197
AA198
AA199
AA200
A33010
A33020
A33030
A33040
A33050
A33060
A33070
A33080
A33090
A33100
A33110
A33120
A33130
A33140
A33150
A33160
A33165
A33170
A33175
A33180
A33185
A33190
A33195
A33196
A33197
A33198
A33199
A33200
AA201
AA202
AA203
A33201
A33202
A33203
AA204
AA205
A33204
A33205
ea
ea
ea
75884.01
77040.92
26964.31
Cable - AE
Cable - BE
Corset - BE
Passive hand
Felt hand
Functional hand
Harness - AE
Harness - BE
Hook elastics
Prosthetic glove - cosmetic
Prosthetic glove - leather
Prosthetic hook - aluminium
Prosthetic hook - steel
Refit AE
Refit BE
Wrist insert-Only with repairs or when hook is required
Wrist Unit inclusive of wrist insert
Manual locking elbow 12K5inclusive with new. Only charge separate with repairs
Re laminate BE
C708 Base Plate
21A29 =25 Auxilla Loop
C711HD Hanger
C711 Standard Hanger
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
2163.76
1977.68
1971.78
9276.59
9276.59
11645.96
1977.72
C713HD Ball Receiver
C713 Standard Ball Receiver
C703HD Ball Terminal
C703 Standard Ball Terminal
C701HD Triple Swivel
C703 Standard Triple Swivel
C709HD Retainer
C709 Standard Retainer
C710HD Cross Bar
C710 Standard Cross Bar
ea
ea
ea
ea
1977.71
52.58
4722.30
987.44
13544.12
17330.09
17541.76
10945.15
1273.93
4954.86
7649.96
1563.97
84.43
647.75
171.17
137.59
259.02
222.27
88.20
114.66
255.02
255.02
144.65
123.92
229.32
221.61
PROSTHETIC SOCKS
SS
501591—C
62516.90
ACCESSORIES
AA
SS010
SS020
SS030
SS040
SS050
SS055
SS060
SS065
SS070
SS075
SS080
SS085
SS090
SS096
ea
A35010
A35020
A35030
A35040
A35050
A35055
A35060
A35065
A35070
A35075
A35080
A35085
A35090
A35096
Stump sock - BK local
Stump sock - AK local
Stump sock - Arm local
Stump sock - Symes local
Stump sock - BK 5 ply - imported
Stump sock - BK 3 ply - imported
Stump sock - AK 5 ply - imported
Stump sock - AK 3 ply - imported
Stump sock - Arm 3 ply - imported
Stump sock - Arm 5 ply - imported
Stump sock - Symes 3 ply - imported
Stump sock - Symes 5 ply - imported
Prosthetic sheath - imported
Prosthetic sheath - Local
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
354.18
396.11
255.08
657.25
700.81
657.25
700.81
657.27
354.18
420.11
970.86
1057.95
397.59
87.29
22
No. 38767
Item
SS093
SS097
SS095
SS100
SS105
SS106
SS110
SS120
SS121
GOVERNMENT GAZETTE, 11 MAY 2015
Code
A35093
A35097
A35095
A35100
A35105
A35106
A35110
A35120
A35121
Cat
Description
Prosthetic sheath with hole for pin - local
Stump sock with hole for pin - local
Stump sock with hole for pin imported
Protective sheath - American
Protective sheath - European (Derma seal)
Dermaseal residual limb sock 453D7
Fix Prosthesis - European (Daw)
Fix Prosthesis - American (silicone suspension liner)
Fix prosthesis local 601 kneebrace
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
90.07
261.56
350.54
ea
ea
ea
ea
1965.71
3314.74
1782.40
943.90
465.14
363.34
STAATSKOERANT, 11 MEI 2015
Item
SS130
SS140
Code
A35130
A35140
No. 38767
23
Description
Cat
Stump shrinker BK
Stump shrinker AK
ea
ea
750.00
996.79
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
8547.20
865.79
792.96
SUSPENSION SYSTEMS
AK150
AK700
AK701
AK704
AK708
AK712
BK132
BK133
BK192
BK193
BK194
BK197
BK198
BK200
BK201
BK202
A21650
A21700
A21701
A21704
A21708
A21712
A20632
A20633
A20692
A20693
A20694
A20697
A20698
A20700
A20701
A20702
AK - hip-joint and pelvic band to prosthesis
AK - shoulder belt
AK - silesion belt
AK - silesion strap
AK - waist belt
AK - neoprene suspension belt
BK joints and thigh corset
Bk joints and weightbearing corset
BK back check strap
BK backlift
BK crutch strap
BK ptb strap
Front Control strap
BK thigh corset
BK waistbelt leather
BK waistbelt webbing
ea
ea
ea
ea
240.41
833.79
2192.57
15360.49
17240.17
480.90
498.54
538.19
931.97
594.56
2584.19
1000.36
655.12
OCULAR PROSTHESIS
OCU
OCU
OCU
OCU
OCU
A53015
A53115
A53215
A53315
A53415
OCU
A53515
OCU
OCU
OCU
OCU
OCU
OCU
OCU
OCU
OCU
OCU
A53715
A53815
A53915
A54015
A54115
A54215
A54315
A54415
A54515
A56000
Prosthesis Consultation( Not payable with A56000)
Impression for Ocular Prosthesis
Iris Colour
Model Fitting
Prosthetic manufature and moulding
Follow-up (Within 6 months of new or replacement prosthesis but included in item
56000
Glass eye complete with consultation and fitting ( attached motivation )
Drill ball and socket (pegging to coral) "attached motivation"
Trimming and Reshaping
Build up
Veining
Polishing
Materials for custom eye
Stock eye ( every 5years )
Haptic Lens (every 5 years)
Complete eye( includes consultation A53015)
This gazette is also available free online at www.gpwonline.co.za
578.35
2334.82
965.18
4747.85
5484.71
320.05
4334.48
936.20
468.73
1387.29
653.95
289.81
1821.99
1301.60
2866.55
18183.39
24
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
COMPENSATION FUND GUIDE TO FEES FOR ORTHOTISTS / PROSTHETISTS 2015
ORTHOTICS
# = INDICATE ITEMS WHICH REQUIRE SPECIAL MOTIVATION BY THE COMPENSATION FUND
S = ITEM SUPPLIED WITHOUT FITTING
SF = ITEM SUPPLIED AND FITTED TO PATIENT
CF = ITEM CUSTOM (MODIFIED, ALTERED, CONTOURED) FITTED TO PATIENT
CM = ITEM IS CUSTOM MANUFACTURED TO PATIENT MEASUREMENTS
Note: Fee for fitting, fabricating, modifying and altering is included in tariff fee
Item
Description
Code
COIDA 2015
ORTHOTIC CONSULTATION
00093
00094
00095
A60093
A60094
A60095
AFO
AF0010
AF0012
AF0020
AF0021
AF0030
AF0031
AF0040
AF0050
AF0060
AF0070
AF0080
AF0090
AFO100
AF0110
AF0120
AF0130
AF0140
AFO200
AF0210
AF0220
AF0230
AF0240
AF0250
AF0251
AF0260
AF0270
AF0271
AF0280
AFO300
A10010
A10012
A10020
A10021
A10030
A10031
A10040
A10050
A10060
A10070
A10080
A10090
A10100
A10110
A10120
A10130
A10140
A10200
A10210
A10220
A10230
A10240
A10250
A10251
A10260
A10270
A10271
A10280
A10300
S
CM
CM
CM
S
S
S
CM
CM
CM
CM
CM
CM
CM
CM
CM
S
CM
CF
CF
CM
CM
CF
CF
CM
CM
CF
CM
CM
ea
ea
ea
Ankle brace - elastic
Ankle brace - moulded with lacing
Ankle brace - moulded plastic
Ankle brace - lace up
Ankle brace - neoprene
Ankle brace - neoprene with splint (corrective)
Ankle brace - pneumatic
Ankle foot orthosis - leg rotation control - resting splint
Ankle foot orthosis - plantar flexion control - resting splint
Ankle foot orthosis - moulded - with lapped joint
Ankle foot orthosis - moulded - with system joint
Ankle foot orthosis - USMC spring loaded with socket
Below knee DOUBLE caliper
Below knee DOUBLE caliper, socket and T-strap
Below knee SINGLE caliper
Below knee SINGLE caliper, socket and T-strap
Calf sleeve neoprene
Dropfoot splint - plastic custom made
Dropfoot splint - plastic imported
Dropfoot splint - plastic local
Fracture brace BK leather
Fracture brace BK plastic
Fracture brace - BK pneumatic walker
Fracture brace - BK pneumatic / foam walker
Heel socket round
Heel socket square
Heel socket - USMC - to shoe
Heel socket with back-stop
T-strap
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
244.94
489.88
244.94
226.64
2774.51
2774.51
1394.06
261.15
1439.10
1092.47
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
2863.09
2863.09
3553.38
7465.38
5997.85
1601.15
2423.43
420.10
1899.79
420.10
2948.57
2178.87
1743.66
4594.75
4249.60
3409.26
1940.23
994.85
1015.88
1335.55
1036.92
691.78
pr
pr
pr
pr
pr
pr
pr
pr
pr
183.09
657.27
1634.19
1601.15
657.27
730.74
913.83
2022.74
1991.33
FOOT ORTHOTICS
FO
F0010
F0020
F0030
F0031
F0040
F0050
F0053
F0060
F0061
Consultation (30 minutes)
Consultation (1 hour)
Orthotic Repairs (To be charged once only)
ANKLE FOOT ORTHOTICS
A11010
A11020
A11030
A11031
A11040
A11050
A11053
A11060
A11061
S
CM
CM
CM
CM
CM
S
CM
CM
Accomodative heel (spur) pad
Arch support - metatarsal insole
Arch support - moulded 3/4 length (plaster cast)
Arch support - moulded 3/4 length (foam cast)
Arch support - valgus insole
Arch support - valgus and metatarsal insole
Arch support silicone (Ipocon or similar)
Arch supports - moulded full length (cast)
Arch supports - moulded full length (foam)
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
No. 38767
25
F0070
A11070
CF
Arch supports covering - Spenco, PPT or similar
pr
466.62
F0110
F0111
F0120
F0130
F0031
F0140
F0145
F0146
A11110
A11111
A11120
A11130
A11131
A11140
A11145
A11146
SF
CM
SF
CF
CM
CM
SF
Heel seats
Heel seats - custom made
Insoles (shock absobing) Sorbothane
Metatarsal pads stuck in
Orthotic - modify existing innersole of sports shoe
Orthotics U.S.C.L
Toe alignment splint
Toe abduction splint post-op
pr
pr
pr
pr
pr
pr
ea
ea
792.35
2337.96
421.73
pr
pr
pr
ea
ea
pr
pr
pr
pr
pr
pr
ea
1574.06
1574.06
5514.64
193.60
399.21
324.12
222.05
730.74
646.74
8998.99
8563.78
1322.07
pr
pr
ea
pr
345.15
303.09
429.14
345.15
480.23
522.17
648.23
691.78
741.26
175.53
175.53
522.17
222.05
261.15
346.63
391.67
439.66
303.11
S
FOOTWEAR
FW
F0500
F0520
F0600
F0620
F0630
F0631
F0632
F0635
F0640
F0670
F0680
F0685
A11500
A11520
A11600
A11620
A11630
A11631
A11632
A11635
A11640
A11670
A11680
A11690
SF
SF
SF
S
S
S
S
S
S
CM
CM
CM
Boots DERBY adults
Boots LTT adults
Orthopaedic footwear - extra depth shoes
Sandle POP
Sandle post-op (B+J)
Sandle post-op (B+J health sandal)
Sandle post-op (B+J Comfy Casual)
Sandie post-op (Arco Pedico)
Shoes adult mens lace-up
Surgical boots made to measure
Surgical shoes made to measure
Fleace lining for boots
FOOTWEAR MODIFICATIONS
FM
FM010
FM020
FM030
FM040
FM050
FM060
FM070
FM080
FM090
FH100
FM110
FM120
FM130
FM140
FM150
FM160
FM170
FM180
FM190
FM200
FM210
FM220
FM230
FM240
FM250
FM270
FM280
FM290
FM300
FM310
106.51
1042.85
2097.84
525.27
595.78
A12010
A12020
A12030
A12040
A12050
A12060
A12070
A12080
A12090
A12100
A12110
A12120
A12130
A12140
A12150
A12160
A12170
A12180
A12190
A12200
A12210
A12220
A12230
A12240
A12250
A12270
A12280
A12290
A12300
A12310
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
C & E Heels
Excavate heels
Flared heels
Metatarsal bars
Raise heel 1 cm and sole to balance
Raise heel 2 cm and sole to balance
Raise heel 3 cm and sole to balance
Raise heel 4 cm and sole to balance
Raise heel 5 cm and sole to balance
Raised heel insert 1 - 2 cm
Raised heel insert up to 1 cm
Raised heel insert - moulded to foot
Raise heel up to 1 cm
Raise heel up to 2 cm
Raise heel up to 3 cm
Raise heel up to 4 cm
Raise heel up to 5 cm
Raise shoe by adjustment
Raise shoe - Cork - up to 2.5 cm
Raise shoe - Cork - 2.5 to 5 cm
Raise shoe - Cork - 5 to 10 cm
Raise shoe - Pattern
Rocker sole
Stretch shoes
Thomas's heels
Wedged heel
Wedged heel and sole
Wedged sole
Toe cap steel
Toe cap moulded plastic
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
pr
pr
pr
pr
pr
pr
pr
1473.61
1820.24
2168.35
1664.11
564.24
127.54
345.15
345.15
522.17
345.15
562.75
345.15
26
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
KNEE ORTHOTICS
KO
K0010
K0011
K0013
K0015
K0020
K0030
K0040
K0041
K0043
K0050
K0070
K0080
K0090
K0091
K0100
K0110
K0120
K0121
K0130
K0140
A13010
A13011
A13013
A13015
A13020
A13030
A13040
A13041
A13043
A13050
A13070
A13080
A13090
A13091
A13100
A13110
A13120
A13121
A13130
A13140
CM
CM
CM
CF
CF
SF
SF
SF
SF
CF
S
SF
SF
SF
CF
CF
CM
CM
CF
CF
A14005
A14010
A14020
A14030
A14040
A14050
A14060
A14070
A14080
A14101
A14125
A14140
A14141
A14151
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
CM
S
S
S
LO
L0170
L0180
L0190
L0195
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
9536.13
12162.19
10190.42
1179.43
1099.89
732.22
732.22
1574.05
829.84
17370.66
286.63
1835.20
391.67
696.23
2668.00
3590.86
6249.83
3185.72
4305.15
6875.68
Bi-valved full length moulded leg brace
Caliper full length with knee hinges and spurs
Caliper full length with knee hinges ankle joints and footplates
Caliper - AK straight
Caliper - AK straight for Perthes disease
Caliper - weight bearing with knee joints
Fracture brace AK moulded plastic
Fracture brace AK moulded plastic with knee joints
Fracture brace AK plus HIP spica
T.H.R. Hip brace with hip controll joint - imported
Posterior leg splint - moulded
Thigh sleeve - neoprene
Thigh sleeve - neoprene imported
Thermal pants
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
7165.27
12742.88
16458.32
5160.46
7036.24
13653.73
6081.84
10798.07
8949.38
13874.31
5336.01
391.67
766.74
829.84
ORTHOTIC REPAIRS
unit
Replace calf / thigh band
Knee cap square
Knee cap long (KK)
Orthotic repairs - (specify)
ea
ea
ea
LEG ORTHOTICS
LO
L0005
L0010
L0020
L0030
L0040
L0050
L0060
L0070
L0080
L0101
L0125
L0140
L0141
L0151
Knee brace - custom moulded with polycentric joints
Knee brace - custom moulded with locking joints
Knee brace - custom moulded with overlapping joints
Knee brace - elastic with hinges imported
Knee brace - neoprene with hinges local
Knee brace - Osgood Sch latter
Knee brace - patella stabilizer
Knee brace - patella stabilizer - anterior opening
Knee brace - patella brace 210 P-I
Knee brace - rigid ACL brace
Knee guard - elastic
Knee immobilizer post-op
Knee sleeve neoprene local
Knee sleeve neoprene imported
Post-op ROM brace - local
Post-op ROM brace - imported
Post-op ROM brace - custom made
Post-op knee extention lock
Swedish knee cage
Swedish knee cage - hinged
A14170
A14180
A14190
A14195
CM
CM
CM
CM
This gazette is also available free online at www.gpwonline.co.za
units
912.34
952.93
1224.45
316.57
STAATSKOERANT, 11 MEI 2015
A15010
A15015
A15020
A15030
A15040
A15050
A15060
A15068
A15069
A15070
A15080
A15083
A15084
A15090
A15091
A15100
A15101
A15102
A15110
A15120
A15130
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
ABCO (Conradie brace)
Custom moulded Plastic collar
Custom moulded Plastizote collar
Executive cervical collar
Four poster brace
Halo brace and hardware without ring or pins
Halo brace complete (invasive or non-invasive)
Miami J
Neck Lock
Plastic collar with chin piece
Plastic collar without chinpiece
Philidelphia collar
Philidelphia collar / ABS collar imported
Poly pad cervical collar
Poly and occipital pad
Soft collar
Soft collar - extra
Soft collar - firm
S.O.M.I. brace
S.O.M.I. brace imported
Scull cap
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
6434.53
4156.58
1473.61
1746.63
4756.80
18490.09
32558.01
1791.65
1050.41
957.38
786.28
1134.40
2529.95
898.86
1045.96
106.51
261.15
439.66
2411.57
3116.82
2861.61
SPINAL ORTHOTICS
SO
S0005
S0010
S0020
S0030
S0040
S0070
S0075
S0080
S0090
S0100
S0110
S0111
S0120
S0130
S0140
S0150
S0160
S0161
S0162
S0163
S0170
S0180
S0190
S0200
S0210
S0250
S0260
S0270
S0271
S0280
S0290
27
CERVICAL ORTHOTICS
CO
C0010
C0015
C0020
C0030
C0040
C0050
C0060
C0068
C0069
C0070
C0080
C0083
C0084
C0090
C0091
C0100
C0101
C0102
C0110
C0120
C0130
No. 38767
A16005
A16010
A16020
A16030
A16040
A16070
A16075
A16080
A16090
A16100
A16110
A16111
A16120
A16130
A16140
A16150
A16160
A16161
A16162
A16163
A16170
A16180
A16190
A16200
A16210
A16250
A16260
A16270
A16271
A16280
A16290
CF
CF
CF
CF
CF
CF
CF
CF
CM
CM
CM
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CF
CM
CM
CF
CM
CM
CF
Abdominal binder - elastic 12"
Abdominal binder - elastic 10"
Abdominal binder - elastic 8"
Abdominal binder - 6"
Abdominal corset - female/male
Hyper-extention (CASH) orthosis
Hyper-extention (JEWETS) orthosis
Lumbo Sacral Orthosis - chairback brace
Lumbo Sacral Orthosis - Bennett's Brace
Lumbo-sacral Orthosis - Pantaloon brace
Lumbo sacral Orthosis - post-op bivalve
Lumbo sacral Orthosis - chairback imported
Lumbo-dorsal corset - female
Lumbo- dorsal corset - female imported
Lumbo-dorsal corset - male
Lumbo-dorsal corset - male imported
Lumbo-sacral corset - elastic pullwrap
Lumbo-sacral corset - neoprene pullwrap
Lumbo-sacral corset - elastic velcro
Lumbo-sacral corset - elastic velcro imported
Lumbo-sacral corset - elastic X-strap
Lumbo-sacral corset - female 11"
Lumbo-sacral corset - female 11" imported
Lumbo-sacral corset - female 9"
Lumbo-sacral corset - female 9"/male
Thoraco Lumbar Sacral Orthosis - post op
Thoraco Lumbar Sacral Orthosis - post op bivalve
Thoraco Lumbar Sacral Orthosis - Taylor's brace
Taylor's brace custom moulded
Taylor's extension to corset
Sacro Iliac belt
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
606.30
532.69
475.66
420.10
1397.03
3754.40
6029.26
3457.39
4606.74
7079.67
8173.62
6740.58
1688.12
2229.82
1554.64
2229.82
1204.91
913.83
957.38
1220.00
957.38
1440.58
2186.28
1354.97
2186.28
7636.48
9294.52
2577.94
5997.85
1042.85
913.83
28
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
ARM ORTHOTICS
AO
A0010
A0020
A0030
A0040
A0050
A0060
A0070
A0080
A0090
A0100
A0105
A0110
A17010
A17020
A17030
A17040
A17050
A17060
A17070
A17080
A17090
A17100
A17105
A17110
CM
CF
A0120
A17120
CM
CM
CM
CM
CM
SF
SF
Arm abduction splint - custom made
Arm abduction splint - imported
Arm immobiliser sling
Clavicle brace
Collar and Cuff
Elbow splint - moulded, rigid
Elbow splint - moulded, with free joints
Elbow splint - moulded, with locking joints
Fracture brace - Humerus
Fracture brace - Radius, ulna
Tennis elbow - single pad
Tennis elbow - single pad pneumatic
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
6582.98
10732.13
261.15
261.15
43.55
3376.50
5820.69
7310.75
2382.85
2382.85
324.12
390.18
SF
Tennis elbow - double pad
ea
612.23
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
552.23
648.23
787.77
787.77
73.48
1821.72
1128.46
1832.24
1832.24
1661.15
1394.06
1394.06
274.63
343.66
483.21
1045.96
498.18
601.71
742.73
3290.75
3113.73
240.12
787.77
pr
pr
pr
pr
pr
pr
924.88
654.29
874.86
741.26
904.80
1020.34
S
S
S
HAND ORTHOTICS
HO
H0010
H0020
H0030
H0040
H0050
H0060
H0070
H0090
H0100
H0110
H0120
H0130
H0140
H0150
H0151
H0152
H0160
H0165
H0170
H0180
H0190
H0200
H0210
A18010
A18020
A18030
A18040
A18050
A18060
A18070
A18090
A18100
A18110
A18120
A18130
A18140
A18150
A18151
A18152
A18160
A18165
A18170
A18180
A18190
A18200
A18210
SF
CM
SF
SF
S
CM
CM
CM
CM
CF
CF
CF
SF
SF
SF
CM
CF
CF
CF
CM
CM
S
CF
GRADUATED COMPRESSION HOSE
GC
GC010
GCO20
GC030
GC040
GC050
GC060
Carpo-metacarpo immobilizer strap
Carpo-metacarpo immobilizer - moulded
Finger splint - PIP extention
Finger splint - PIP flexion
Finger stall - leather
Hand splint - Post-op mobilizer
Hand splint - moulded resting splint
Hand splint - Combination finger ext , MP ext , wrist ext
Hand splint - Combination finger ext , MP flex , Wrist ext
Hand splint - finger and MP flexion
Hand splint - MP extention
Hand splint - MP flexion
Mallet finger splint
Thumb wrap
Thumb support
Thumb abduction splint
Wrist brace - elastic with volar splint
Wrist brace - reinforced leatherette with volar splint
Wrist brace - neoprene with volar splint
Wrist brace - moulded leather
Wrist brace - moulded plastic
Wrist guard - elastic
Wrist splint - dynamic extention
A50010
A50020
A50030
A50040
A50050
A50060
SF
SF
SF
SF
SF
SF
Anti embolic stocking thigh high with waistbelt
Anti-embolic stocking calf length
Anti-embolic stocking thigh length
Class I compression stocking - calf length
Class I compression stocking - half thigh
Class I compression stocking - thigh high
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
GC065
GC070
GC075
GC080
GC090
GC100
GC110
GC130
GC140
GC150
GC160
A50065
A50070
A50075
A50080
A50090
A50100
A50110
A50130
A50140
A50150
A50160
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
SF
CU
CU010
A40010
CU120
CU130
CU140
CU150
CU160
CU170
CU1780
CU190
CU200
CU210
CU220
CU230
CU240
CU250
CU270
CU280
CU290
CU300
CU310
CU320
A40120
A40130
A40140
A40150
A40160
A40170
A40180
A40190
A40200
A40210
A40220
A40230
A40240
A40250
A40270
A40280
A40290
A40300
A40310
A40320
S
2100-MJ
CU330
CU340
CU350
CU3560
CU370
CU380
CU390
CU400
CU410
CU420
CU430
CU440
CU450
CU460
CU470
CU480
CU490
CU500
CU510
A40330
A40340
A40350
A40360
A40370
A40380
A40390
A40400
A40410
A40420
A40430
A40440
A40450
A40460
A40470
A40480
A40490
A40500
A40510
2101
21010F
2105-MJ
21050F
2106-MJ
21060F
2107-MJ
2108-MJ
21080F
2116-MJ
2118-MJ
2466
956TOF
966T
966TOF
967TOF
986TOF
988TOF
29
Class I compression stocking - thigh high + silicone garter
Class I compression - pantyhose
Class I compression - maternity pantyhose
Class II compression stocking - calf length
Class II compression stocking - half thigh
Class II compression stocking - thigh high
Class II compression stocking - thigh high with waistbelt
Class Ill compression stocking - calf length
Class Ill compression stocking - half thigh
Class Ill compression stocking - thigh high
Class Ill compression stocking - thigh high with waistbelt
pr
ea
ea
pr
pr
pr
ea
pr
pr
pr
ea
1241.05
1354.97
1459.99
1033.95
1234.97
1329.49
1066.85
1102.99
1234.97
1361.04
1102.99
CUSHIONS
Abduction pillow
ea
1028.70
9283.22
9283.22
9283.22
9283.22
9283.22
9283.22
9283.22
9283.22
10032.93
9283.22
9283.22
10032.93
9393.47
9393.47
8445.30
8445.30
8445.30
8445.30
8445.30
8445.30
J2 Cushion 18x16
J2 Cush j2 18x16 over fold/extra gel
J2 Cushion 18x18
Cush J2 18x18 over fold
J2 Cushion 15.5x16
Cush J2 15.5x18 over fold
J2 Cushion 15.5x18
Cush J2 15.5x18 over fold
J2 Cushion 15.5x20
J2 Cushion 14x16
Cush J2 14x16 over fold
J2 Cushion 20x16
J2 Cushion 20x18
J2 Deep contour cushion (16x16, 18x18)
Cush Jay xtreme 15x16 tritex cover
Jay xtreme 16x16 tritex c./cover
Cush Jay xtreme 16x16 with tritex cover
Cush Jay xtreme 16x17 with tritex cover
Cush Jay xtreme 18x16 tritex
Cush xtreme 18x18 with tritex cover
21000F
No. 38767
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ROHO CUSHIONS:
QS88LPC
QS89LPC
QS810LPC
QS98LPC
QS99LPC
QS910LPC
QS1010LPC
QS88C
QS89C
QS810C
QS98C
QS99C
QS910C
QS1010C
1R109C
D/A-5
UC109C
HP20
Vi
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Quadro select low profile cushion
Roho 10*9 cushion and cover
Roho cushion rubber patch kit
Roho cushion cover universal
Roho pump
Replacement valve
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
8114.55
88.20
1102.52
176.40
66.15
30
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
SUNDRY CUSHIONS
CU520
CU530
CU540
CU550
CU560
CU570
CU580
CU590
CU600
CU610
CU620
CU630
CU640
CU650
CU660
CU670
CU680
CU690
CU700
A40520
A40530
A40540
A40550
A40560
A40570
A40580
A40590
A40600
A40610
A40620
A40630
A40640
A40650
A40660
A40670
A40680
A40690
A40700
MMC
MMD
MMS
Z12.100W
Z12.120
Z12.130
POST
TM-127552
TM-128519
TM-127609
TM-128073
TM-128128
PS1
MFLOO1
9X9/UC99C
Ripple mattress, mattress only
Separate tube mattress, mattress only
Mattress pump for Ripple mattress
Mattress pump for Adv tube mattress
Pressure care soft form mattress
Replacement cells for mattress
A90023
A90024
A90025
A90026
A90027
A90028
A54010
A54020
A54030
A54040
A54050
A54060
A54090
A54095
A54100
A54110
A54120
A54130
A54140
S
S
S
S
S
S
S
S
S
S
S
S
S
Bath chair / board
Bath chair - swivel type
Bed frame
Bed pan
Bed pan - slipper type
Self Propelling Commode
Commode with wheels and foot rests
Commode bucket
Sheepskin bedpad
Sheepskin heel / elbow protectors
Toilet seat raiser
Urinal bottle
Waterproof sheet 1 meter
Hospital visit
Theatre attendance
Time 1 unit
A60030
A60070
A60090
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
750.29
3938.98
1500.57
1500.57
7933.33
522.66
ea
ea
ea
ea
ea
ea
ea
ea
ea
pr
ea
ea
ea
1234.82
2857.15
892.79
229.60
262.83
5434.07
3281.70
293.27
766.74
253.60
1254.53
75.10
156.13
ea
ea
202.64
1033.95
103.55
ea
TRACTION EQUIPMENT
TE
TE010
TE030
TE050
TE060
TE070
TE080
TE090
TE130
TE140
ea
218.30
1735.37
1212.77
628.44
158.76
158.76
1067.24
158.76
3320.16
3748.57
4189.58
3748.57
4851,09
4784.94
639.46
551.26
551.26
1488.40
1102.52
PROFFESIONAL SERVICES
PS
PS030
PS070
PS090
ea
HOSPITAL AND HOME NURSING E 0 UIPMENT
HE
HE010
HE020
HE030
HE040
HE050
HE060
HE090
HE095
HE100
HE110
HE120
HE130
HE140
ea
MATTRESSES AND ACCESSORIES
CU
CU058
CU059
CU060
CU061
CU062
CU063
Medimat wheelchair cushion
Medimat double eggshell matt
Medimat single matress
Waterproof cushion cover
Wheelchair cushion cover 18
Wheelchair cushion cover 16
Posturite cushion
Posturite cushion only cover
Tempur cushion 40x40x50 with cover
Tempur cushion 40x45x50 with cover
Tempur cushion 40x40x75 with cover
Tempur cushion 43x43x50 with cover
Tempur cushion 43x43x75 with cover
Pentaflex cushion with cover
Saturn lumbar cushion wheelchair
Memory cushion
Latex cushion
Obus form low back cushion
Unversal cushion cover
A70010
A70030
A70050
A70060
A70070
A70080
A70090
A70130
A70140
S
S
S
S
S
S
S
S
S
Cervical traction halter - disposable
Pelvic traction belt - canvas
Pelvic traction corset
Traction cord
Traction kit - over door
Traction kit - under matress
Traction water weight bag
Skin traction - foam
Skin traction - elastoplast
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
mtr
ea
ea
ea
ea
ea
31.54
370.62
1078.11
1.47
1156.92
1197.49
291.08
346.63
346.63
STAATSKOERANT, 11 MEI 2015
No. 38767
WALKING AIDS
WA
WA010
WA020
WA030
WA040
WA060
WA080
WA090
WA100
WA110
WA120
WA125
WA130
WA140
A71010
A71020
A71030
A71040
A71060
A71080
A71090
A71100
A71110
A71120
A71125
A71130
A71140
WC
WC005
WC006
A80060
A80070
WC010
WC015
A80010
A80015
Delta walker
Elbow crutches
Elbow crutches - cooper moulded handles imported
Gutter crutch
S
S
S
S
Walking frame - folding
Walking frame - with wheels
Walking stick - adjustable
Walking stick - cane
Auxilla crutches
S
S
S
S
S
S
Ferrule - local
Ferrule - imported
Swivel rubbers cooper crutches
Tripod walking stick
S
S
S
ea
pr
pr
ea
ea
ea
ea
ea
pr
ea
ea
ea
ea
3721.36
505.72
1706.17
787.77
691.78
1065.36
252.12
256.72
484.69
13.48
28.44
1051.88
465.14
WHEELCHAIRS
564.23
127.54
Wheelchair hire per month
Wheelchair hire per week
WHEELCHAIR: ECONOMY
RAINBOW
Rollability Econ
Rainbow
Rol lability Econ
ea
ea
2513.75
9802.98
WHEELCHAIR: LIGHT WEIGHT
WCO20
WCO21
WCO22
WCO23
WCO24
Quicky breeeze 16" and 18"
Quicky rubix/Ce 16"-20"
Pacer lite
Lite ride folding stainless steel wheelchair
Aluminium light weight folding wheelchair
A80020
A80021
A80022
A80023
A80024
ea
ea
ea
ea
ea
18204.81
16405.50
11774.91
22866.67
7933.33
WHEELCHAIR: STANDARD
WC030
WC031
WC032
WC033
WC034
WC035
WC036
WC037
WC038
WC039
WC040
WC041
A80030
A80031
A80032
A80033
A80034
A80035
A80036
A80037
A80038
A80039
A80040
A80041
8AU41250770M
BAUQRRTU250770SM
8WUQRRTU250770SM
8EWUTU250770SM
8AULS250770SM
8AUCRUS770SM
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
6552.12
4762.89
7189.31
12166.53
6415.08
6306.41
4347.08
6787.11
6008.73
6504.87
7001.00
6780.50
MOTORISED WHEELCHAIRS
MW
MW045
MW046
MW047
MW048
Qr Reclining wheelchair
Qr Tuffee
Or Tuffee special 20"
Qr Tuffee special 22" re inforced/Standard
Tuffee/Low chairback standard
Tuffee with amputee brackets X2/standard
Or Cruiser
Rough rider
Saturn Coaster wheel chaurstandard
Hercules wheelchair /rural /16 "/18" /single crossbar
Hercules special 20"/double cross bar/medop
Hercules lowback/16"/18"/single cross bar
Power Wheelchair
Velocity Wheelchair
Wheelchair with tilt in space (Any Model )
Standing wheelchair
A80045
A80046
A80047
A80048
ea
ea
ea
ea
26460.48
58591.06
66781.21
65333.33
WHEELCHAIR PARTS:
WP
NB:WHEELCHAIR REPAIRS:PRICE INCLUSIVE OF ASSESSMENT,REPAIR AND TIME UNITS
FRONT WHEELS:CASTORS
TARIFF
CODE
FCW201
FCW202
A80201
A80202
ITEM
CODE
DESCRIPTION
BEARINGS:
Colson needle bearing
Castor stem bearing
This gazette is also available free online at www.gpwonline.co.za
ea
ea
147.74
59.54
31
32
No. 38767
FCW203
FCW204
A80203
A80204
GOVERNMENT GAZETTE, 11 MAY 2015
Bearing for 8"castor wheel
Bearing 12.7CSTR stem/P-lite
This gazette is also available free online at www.gpwonline.co.za
ea
ea
59.54
59.54
STAATSKOERANT, 11 MEI 2015
No. 38767
33
BEARING SPACER:.
FCW205
FCW206
A80205
A80206
12.7X1.6X42
12.7X1.6X43
FCW207
FCW208
FCW209
A80207
A80208
A80209
UTB028
UTB054
UTB014
FCW210
FCW211
FCW212
FCW213
FCW214
FCW215
FCW216
A80210
A80211
A80212
A80213
A80214
A80215
A80216
C2.70
C2.70PR
C2.71
C2.72
COM013
UTB055
COM008
FCW217
FCW218
FCW219
FCW220
FCW221
FCW222
FCW223
FCW224
A80217
A80218
A80219
A80220
A80221
A80222
A80223
A80224
C2.10
C2.20
C2.100
C2.200
C2.11
C2.30
COM026
COM035
FCW225
FCW226
FCW227
A80225
A80226
A80227
C2.14
COM048
COM0485
FCW228
FCW229
FCW230
FCW231
FCW232
FCW233
A80228
A80229
A80230
A80231
A80232
A80233
COM033
COM034
COM036
COM028
PER003
PER007
FCW234
FCW235
FCW236
FCW237
FCW238
FCW239
FCW240
FCW241
FCW242
FCW243
A80234
A80235
A80236
A80237
A80238
A80239
A80240
A80241
A80242
A80243
78430/500
C2.12
C2.13
FCW244
FCW245
FCW246
FCW247
A80244
A80245
A80246
A80247
COM054
COM053
COM011
COM085
FCW248
FCW249
FCW250
A80248
A80249
A80250
15.88X1.2X34
15.88X1.2X37
15.88X1.2X44
Castor bearing spacer 8x1
Castor bearing spacer 8x2
ea
ea
6.62
6.62
ea
ea
28.67
AXELS:
Castor axle bolt
Washer,M8x13x1,castor axle
M8nyloc nut castor axle nut
ea
2.21
2.21
CASTOR FORK AND STEM:
Castro fork assemly
Castor fork W/stem/axle/stem BRG
Castor stem
Castor stem flt hex nut,24MMHULOO1L
Castor stem nut 1/2UNF flt nyloc nut
Washer,spring,castor stem
Castor stem dust cap
ea
ea
ea
ea
ea
ea
ea
147.74
46.31
46.31
17.64
2.21
2.21
8.82
CASTORS COMPLETE:
Castor 200x27 CMPLT solid,8x1
Castor 200x50 CMPLT solid 8x2
Castor 200x27 CMPLT PNUE, 18x1
Castor 200x50 CMPLT PNEU,8x2
Solid castor 200x27,no fork 8x2
Solid castor 200x50, no fork 8x2
Comfort 8x1 PNEU rim/tyre
Comfort 8x2 PNEU rim/tyre
ea
ea
174.20
266.81
441.01
586.54
92.61
187.43
293.27
352.81
ea
ea
ea
319.73
319.73
319.73
ea
ea
147.74
59.54
174.20
ea
ea
ea
ea
ea
ea
SUNDRY CASTORS:
Solid castor 5"
Castor 6x1 pneumatic
Solid castor 6"
TYRES AND TUBES:
Tyre 8"x 1&1/4
Tube 8"x1&1/4
Tyre 8"x2
Tube 8"x2
No more flats, 8x1x1/4
No more flats,8x2"
ea
ea
ea
ea
92.61
147.74
213.89
COLSON CASTORS:
Colson castor axle wavy washer
Colson castor,200x27,CMPLT
Colson castor,200x50,no fork
Colson castor,200x50CMPLT
Colson castor,200x50,no fork
Castor fork for 200x50 colson
castor fork for 200x25 colson
Colson solid tyre,200x27
Colson castor rim,8x1
Colson needle bearing
C2.21
C2.31
C2.80
C2.81
COL001
COL002
78320/100
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
6.62
879.81
586.54
1173.08
879.81
441.01
441.01
293.27
147.74
147.74
BEARINGS
Bearing ,28x11.03x8,fixed rear mag wheel
Bear 28x12x8,Q/release rear nag wheel
Bearing,spoked rear wheel,flanged(11.03 or 12mm)
Bearing , one arm DR,6002 2RS
ea
ea
ea
ea
59.54
59.54
59.54
59.54
BEARING SPACERS
Bearing spacer,pacelite rear mag wheel
Bearing spacer,Q/rel rear mag wheel
Bearing spacer,std rear mag wheel
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
6.62
6.62
6.62
34
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
BRAKES
FCW251
FCW252
FCW253
FCW254
FCW255
FCW256
FCW257
FCW258
FCW259
FCW26
FCW261
A80251
A80252
A80261
UTB025
UTB014
FCW262
FCW263
FCW264
FCW265
FCW266
A80262
A80263
A80264
A80265
A80266
UTB018
UTB033
UTB047
UTB057
UTB057E
FCW26?
FCW268
FCW269
FCW270
FCW271
FCW272
FCW273
FCW274
A80267
A80268
A80269
A80270
A80271
A80272
A80273
A80274
COM014
COV001
DICOO1DBCABLE
DIC0O1DBLEVER
DIC002
DIC003
DIC005
FCW275
FCW276
FCW277
FCW278
FCW279
FCW280
FCW281
FCW282
FCW283
FCW284
FCW285
FCW286
FCW287
FCW288
FCW289
FCW290
A80275
A80276
A80277
A80278
A80279
A80280
FCW291
FCW292
FCW293
FCW294
FCW295
A80291
A80292
A80293
A80294
A80295
COM023
COM024
COM055
COM040
COM042
COM042P
COM025
COM021
COM084
COM083
COM019
Z369
PER001
PER002
PER004
PER005
R1.40
R1.50
COM056
COM050
R1.60
FCW296
FCW297
FCW298
FCW299
FCW300
FCW301
FCW302
FCW303
FCW304
FCW305
FCW306
FCW307
FCW308
FCW309
FCW310
FCW311
FCW312
FCW313
A80296
A80297
A80298
A80299
A80300
A80301
A80302
A80303
A80304
A80305
A80306
A80307
A80308
A80309
A80310
A80311
A80312
A80313
COM055
COM058
COM041
COM062
COM069
COM070
COM066
COM065
COM073
COM074
COM080
COM029
COM078
COM031
COM056
COM059
COM064
COM071
A80253
A80254
A80255
A80256
A80257
A80258
A80259
A80260
COM009
COM010
BRA001
BRA002
BRA003
BRA004
BRA005
Brake assembly left hand
Brake assembly right hand
Brake bracket
BRAKE LEVER
Brake "l: piece
Brake link straight
Brake link bent
Brake lever rubber
Brake extention arm
Bolt,cup SQ elgan,M8,brake mounting
Nyloc nut,M8,brake mounting
R1.141
R1.190
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
160.97
160.97
66.15
15.44
15.44
8.82
8.82
15.44
ea
ea
ea
ea
ea
2.21
2.21
2.21
ea
ea
ea
ea
ea
ea
ea
ea
15.44
6.62
46.31
46.31
ea
ea
191.84
191.84
191.84
191.84
191.84
191.84
266.81
319.73
266.81
266.81
467.47
414.55
319.73
319.73
319.73
319.73
92.61
92.61
92.61
46.31
6.62
8.82
BRAKES
Machine srew,hex,M6x20,Brake assembly
Washer,13x6.5x1,brake assembly
Grommet,11x6.2x1x2,brake assembly
Brake assembly rivettumed
Brake assembly dvettumed
6.62
6.62
SUNDRY WHEEL COMPONENTS
RAL001
Rear wheel dust cap
Brake extention end cap+
Brake cable(PR) rear DR/brake
Brake lever(PR) rear DR/brake
Spoke for 24x1 3 /brim
STD spoke nipple
Spoke for 24x1175 rim
Rubber rim tape/tube protector
2.21
2.24
2.21
4.41
TYRES/TUBES
A80281
A80282
A80283
A80284
A80285
A80286
A80287
A80288
A80289
A80290
Tyre,pneumatic,24x1&3/8
Tyre,Pneumatic,24x1.75"
Tyre,Pneumatic,24x1
Tyre,Pneumatic,22x1&3/8
Tyre,Pneumatic,12.5x2.25, transit
Tyre,Pneumatic,12.5x2.25,power
Krypton solid tyre,24x1-3/8
Krypton solid tyre,24x1.75
Krypton solid tyre,24x1.0
Krypton solid tyre,22x1.3/8
Kryptonsolid tyre, 12.5x2.25
Solid tyre,24x1-3/8
No more flats,24x1-3/8
No more flats,24x1.75
No more flat,12.5x2.25,broad(Power)
No more flat,12.5x2.25,narrow(Transit)
Tube,24x13/8
Tube,24x1.75
Tube,24x1
Tube 22"x1&3/8
Tube 12.5x2.25
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
92.61
187.43
SUNDRY TYRES AND TUBES
Tyre 24x1
Tyre 26x1
Tyre 260x85,maxi scooter rear
Tyre 260x85,maxi scooter front
Tyre 300x4 F55 front & maxi scooter
Tyre 300x8 F55 rear
Tyre 4.10/3.50x5 velocity rear
Tyre 2.80/2.50x4 velocity front & midi scooter
Tyre 250x4 suzuki front
Tyre 3.00x10 suzuki rear
Tyre 3.00x10 bec rear
Tyre 18"x1.75
Tyre 18x13/8
Tyre 10.2"
Tube24.1"
Tube 26.1"
Tube 260.85 scooter
Tube 300x4 F55 front
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
187.43
187.43
306.50
306.50
306.50
306.50
306.50
306.50
306.50
441.01
441.01
191.84
191.84
191.84
92.61
92.61
92.61
92.61
STAATSKOERANT, 11 MEI 2015
FCW314
FCW315
FCW316
FCW317
FCW318
FCW319
FCW320
FCW321
FCW322
FCW323
FCW324
A80314
A80315
A80316
A80317
A80318
A80319
A80320
A80321
A80322
A80323
A80324
COM072
FCW325
FCW326
A80325
A80326
COM037
COM086
COM087
COM075
COM076
COM081
COM030
COM079
COM032
Tube 300x4 F55 rear
Tube velocity rear 4.10/3.50x5
Tube velocity rear 4.10/3.50x4
Velocity 2.80/2.50-4 solid tyre front
Velocity 4.10/3.50-5 solid tyre rear
Tube 250x4 suzuki front
Tube 250x10 suzuki rear
Tube 3.00z10 bec rear
Tube 18"x1.75
Tube 18x1.3/8
Tube 10x2
No. 38767
35
ea
ea
ea
ea
ea
ea
ea
92.61
92.61
92.61
1120.16
1120.16
92.61
92.61
92.61
92.61
92.61
92.61
ea
ea
293.27
4670.27
ea
ea
ea
ea
COMPLETE WHEELS - SUNDRY
D IC001DB
12&1/2&1/4 wheel W/O axle
Rear WHL with drum brake 24x1-3/8 UR
This gazette is also available free online at www.gpwonline.co.za
36
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
COMPLETE WHEELS - SPOKE
FCW327
FCW328
FCW329
FCW330
FCW331
FCW332
FCW333
FCW334
A80327
A80328
A80329
A80330
A80331
A80332
A80333
A80334
COM027
R1.05
R1.05K
R1.05P
R1.10
R1.10K
R1.10P
R 1.17
FCW335
FCW336
FCW337
FCW338
FCW339
FCW340
FCW341
FCW342
FCW343
FCW344
A80335
A80336
A80337
A80338
A80339
A80340
A80341
A80342
A80343
A80344
R1.18
R1.20
R1.20K
R1.20P
R1.21K
R1.25
R1.25K
R1.25P
R1.26K
R1.30
FCW345
FCW346
FCW347
FCW348
FCW349
FCW350
FCW351
FCW352
FCW353
A80345
A80346
A80347
A80348
A80349
A80350
A80351
A80352
A80353
R1.050
R1.051
R1.053
R1.100
R1.101
R1.200
R1.250
R1.260
R1.210
FCW354
FCW355
FCW356
FCW357
FCW358
FCW359
FCW360
FCW361
FCW362
FCW363
FCW364
A80354
A80355
A80356
AS0357
A80358
A80359
A80360
A80361
A80362
A80363
A80364
CAPSTAN
MAG1.052
MAG1.052_19MM
PACER 1.052
R1.052
R1.102
UTB003
UTB004
UTB048
UTB049
UTB023
FCW365
FCW366
FCW367
FCW368
FCW369
FCW370
FCW371
FCW372
FCW373
FCW374
FCW375
FCW376
FCW377
FCW378
FCW379
FCW380
FCW381
FCW382
FCW383
FCW384
FCW385
FCW386
FCW387
FCW388
FCW389
FCW390
A80365
A80366
AS0367
A80368
A80369
A80370
A80371
A80372
A80373
A80374
A80375
A80376
A80377
A80378
A80379
A80380
A80381
A80382
A80383
A80384
A80385
A80386
A80387
A80388
A80389
A80390
HEMIDRIVE 14
HEMIDRIVE 16
HEMIDRIVE 18
HEMIDRIVE 20
OA-01-00
OA-01-00BH
OA-01-04
OA-01-05
OA-01-06
OA-01-07
OA-01-08
OA-02-00
OA-02-01
OA-02-02
OA-03-00-14
OA-03-00-16
OA-03-00-18
OA-03-00-20
OA-03-02
OA-03-03
OA-03-04-14
OA-03-04-16
OA-03-04-18
OA-03-04-20
OA-03-05
OA-03-06
Quick release spoked PNEU wheel assy 24x1&3/8
Rear wheel spoked 24x1-3/8 NMF complete
Rear wheel spoked 24x1-3/8 krypton tyre complete
Rear wheel spoked 24x1-3/8 pneumatic complete
Rear wheel spoked 24x1.75 NMF complete
Rear wheel spoked 24x1.75 krypton tyre comple
Rear wheel spoked 24x1.75 pneumatic complete
Rear wheel rainbow spoke complete
ea
ea
ea
ea
ea
1320.82
1320.82
1320.82
1320.82
1320.82
1320.82
1320.82
454.24
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
1027.55
1027.55
1027.55
1027.55
1027.55
1027.55
1027.55
1027.55
1027.55
879.81
ea
ea
ea
ea
ea
ea
ea
ea
ea
586.54
441.01
59.54
564.49
441.01
533.62
533.62
734.28
734.28
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
266.81
266.81
266.81
441.01
266.81
266.81
2.21
2.21
2.21
2.21
2.21
ea
8804.72
8804.72
8804.72
8804.72
1027.55
586.54
586.54
293.27
26.46
17.64
416.75
1027.55
586.67
119.07
1027.55
1534.71
1534.71
1534.71
441.01
266.81
385.88
385.88
385.88
385.88
28.67
28.67
ea
ea
ea
COMPLETE WHEELS - MAG
Fixed mag wheel 24x1-3/8 solid tyre (Rainbow)
Fixed mag wheel 24x1-3/8 NMF complete
Fixed mag wheel 24x-3/8 krypton tyre compplete
Fixed mag wheel 24x-3/8 pneumaticcompplete
Fixed mag wheel 24x1.75 krypton tyre complete
Quick release mag wheel 24x1-3/8 NMF complete
Quick release mag wheel 24x1-3/8 krypton tyre
Quick release mag wheel 24x1-3/8 pneumatic
Quick release mag wheel 24x1.75 krypton tyre
Mag wheel 22x1-3/8 pneumatic
WHEEL SUB-ASSEMBLIES
24x1-3/8 W/rim & P/rim ASM
24x1-3/8 W/rim & P/rim spoke ASM( no pushrim)
Flange &bearing assembly
24x1.75 W/rim& P/rim ASM
24x1.75 W/rim& spoke ASM
Fixed mag no tyre/NMF 1-3/8
Q/R mag no tyre/NMF 1-3/8
Q/R mag no tyre/NMF 1.75
Fixed mag no tyre/NMF 1.75
PUSHRIMS
Upcharge for capstan pushtrim
24x1-3/8 mag pushtrim ASM
Flange and bearing assembly
Quick release ALU/SS handrim
24x1-3/8 pushrim assemly for poke
24x1.75 pushrim assembly for poke
MCHN SCR pan pozi M4x10 PSHrim
Nyloc nut M4 pushrim
Bolt P/pozi M5x55 mag pushrim
Starlock washer M5 ,ag P/rim
Rivet nut M5x12
ONE ARMED DRIVE
One arm drive kit-14"
One arm drive kit -16"
One arm drive kit-18"
One arm drive kit -20"
OAD driven beating shft ASM
OAD beating housing sub-ASM
OAD driven shaft
OAD wheel top
OAD washer
OAD tube spacer fixing bolt
OAD hub nut driven wheel
OAD driving bearing /Shaft ASM
OAD driving shaft
OAD spacer driving ASM shaft
OAD connecting shaft -14"
OAD connecting shaft 16-"
OAD connecting shaft -18"
OAD connecting shaft -20"
OAD slotted half shaft
OAD plunger
OAD half shfaf -14"
OAD half shaft -16"
OAD hakf shaft -18"
OAD half shaft -20"
OAD compressing spring
OAD key connecting shft
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
STAATSKOERANT, 11 MEI 2015
FCW391
FCW392
FCW393
FCW394
FCW395
FCW396
FCW397
FCW398
FCW399
FCW400
A80391
A80392
A80393
FCW401
FCW402
FCW403
FCW404
FCW405
FCW406
FCW407
A80401
A80394
A80395
A80396
A80397
A80398
A80399
A80400
OA-03-07
OA-04-00
UTB061
UTB062
UTB063
UTB064
UTB065
UTB066
UTB067
UTB068
OAD centre shaft sleeve
OAD pushiim ASM
One arm drive bolt 7/16x3 UNF
One arm drive lock nut M12
One arm DR EXT crclip DIA
One arm DR B/head screw M6x12
One arm drive nyloc nut M12
One arm DR nyloc nut 7/16
One arm DR C-pin 3.5x22x0.75
One arm DR C-pin 6x0x22x1.25
No. 38767
ea
ea
ea
ea
ea
ea
37
213.89
734.28
15.44
2.21
15.44
2.21
ea
ea
ea
ea
15.44
ea
134.51
ea
ea
59.54
59.54
6.62
59.54
6.62
15.44
2.21
15.44
15.44
AXLES
A80402
A80403
A80404
A80405
A80406
A80407
COM038
TOR002
TOROO2R
TOR003
TOR009
TOR011
HUL025
Quick-release axle wheelchairs
Rear axle bolt standard
Rear axle bolt rainbow
7/16 UNF nut rear axle
Transit chair axle bolt
Transit chair axle nut T
Axle spacer 12" wheelchair
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
38
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
FOOTRESTS:
COMPLETE FOOTRESTS
FT0408
FT0409
FT0410
FT0411
FT0412
FT0413
FT0414
FT0415
FT0416
FT0417
A80408
A80409
A80410
A80411
A80412
A80413
A80414
A80415
A80416
A80417
F3.5010
F3.6020
F3.3050
F3.4060
F3.5131
F3.6141
FT0418
FT0419
FT0420
FT0421
FT0422
FT0423
FT0424
FT0425
FT0426
FT0427
FT0428
FT0429
A80418
A80419
A80420
A80421
A80422
A80423
A80424
A80425
A80426
A80427
A80428
A80429
HUL023
HUL024
F3.50
F3.60
FT0430
FT0431
FT0432
FT0433
FT0434
FT0435
FT0436
FT0437
FT0438
FT0439
A80430
A80431
A80432
A80433
A80434
A80435
A80436
A80437
A80438
A80439
PACER 3.120L
PACER 3.120R
PACER 3.140L
PACER 3.140R
COM003
CHA002
COM001
COM002
COM00313L
COM00313R
FT0440
FT0441
FT0442
FT0443
FT0444
FT0445
FT0446
FT0447
FT0448
FT0449
FT0450
FT0451
FT0452
FT0453
A80440
F3.10
F3.20
F3.30
F3.40
FT0454
FT0455
FT0456
FT0457
FT0458
FT0459
FT0460
FT0461
FT0462
FT0463
FT0464
FT0465
FT0466
FT0467
A80454
A80455
A80456
A80457
A80458
A80459
A80460
A80463
A80464
A80465
A80466
A80467
F3.5312
F3.6322
COM00312L
COM00312R
F3.12
F3.22
F3.53
F3.63
F3.12C
F3.22C
F3.110
F3.112
V20F09M
UTB050
FT0468
A80468
COM039L
18" STD nylon F/R CMPLT left
18" STD nylon F/R CMPLT right
16" F/rest complete STD left
16" F/rest complete STD right
16" Kids F/rest CMPLT, left
16" kids F/rest CMPLT, right
14" F/rest ASM clamp on left
14" F/rest ASM clamp on right
14" clamp on footrest pair
16" kids footrest pair
F3.11
F3.21
F3.1121
F3.5161
ea
ea
ea
ea
ea
ea
ea
ea
ea
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
586.54
586.54
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
15.44
15.44
205.07
205.07
205.07
205.07
205.07
205.07
205.07
205.07
205.07
205.07
ea
59.54
59.54
59.54
59.54
59.54
28.67
119.07
119.07
533.62
533.62
ea
HANGERS
Footsrest hanger pin long
Footrest hanger pin short
STD footrest hanger ASY-left
STD footrest hanger ASY-Right
16" kids footrest hanger ASY left
16" kids footrest hanger ASY right
Ectra short hanger left
Ecxtra shorrt hanger right
Low slung F/R hannger ASSY right
Low slung F/R hannger ASSY left
Standard F/R hannger only right chromed
Standard F/R hannger only left chromed
F3.51
F3.61
F3.54
F3.64
F3.52
F3.62
F3.60C
F3.50C
FOOTPLATES
Adult nylon footplate -left
Adult nylon footplate -right
N/A adult nylon footplate left
N/A adult nylon footplate right
14" footplate nylon
Footplate rubber inset
Foorplate adult ALU
Foorplate n/a adult ALU
14" 90degree footpalte left
14" 90degree footpalte right
ea
ea
ea
ea
ea
ea
ea
ea
ea
EXTENSIONS
A80441
A80442
A80443
A80444
A80445
A60446
A80447
A80448
A80449
A80450
A80451
A80452
A80453
F3.31
F3.41
F3.10AL
F3.20AL
F3.30AL
F3.40AL
F3.31AL
F3.41AL
F3.32
F3.42
18" footrest ext ASM left
18" footrest ext ASM rigt
16" footrest ext ASM standard left
16" footrest ext ASM standard right
16" footrest ext ASM kids left
16" footrest ext ASM kids right
18" footrest ext ASM alu left
18" f000trest ext ASM alu right
16" footrest ext ASM std alu left
16" footrest ext ASM std alu right
16" footrest ext ASM kids alu left
16" footresr ext ASM kids alu right
14" footrest ext ASM GRWNG left
14" footrest ext ASM GRWNG right
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
147.74
147.74
147.74
147.74
147.74
147.74
240.35
240.35
240.35
240.35
240.35
240.35
147.74
147.74
12" FOOTREST
A80461
A80462
12" footrest assembly left
12" footrest assembly right
12" 90 degree footplate left
12" 90 degree footplate right
12" footrest ext ASM left
12" footrest ext ASM right
12" footrest hanger assembly left
12" footrest hanger assembly right
12 footrest ext left coated
12" footrest ext right coated
Footrest ext tube ASM alum F/pl
Kids footrest ext tube alu f/p coat
Footrest clamp 50mm(12)
12" footrest ass bolt M6x40
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
1027.55
1027.55
441.01
441.01
879.81
879.81
147.74
147.74
174.20
174.20
79.38
79.38
293.27
4.41
ELEVATING FOOTRESTS
Elevating frest hanger left
This gazette is also available free online at www.gpwonline.co.za
ea
934.94
STAATSKOERANT, 11 MEI 2015
Elevating frest hanger right
Elevating leg pad
FT0469
FT0470
A80469
A80470
COM039R
F3.140
FT0471
FT0472
FT0473
FT0474
FT0475
FT0476
A80471
FT0477
FT0478
FT0479
A80472
A80473
A80474
A80475
A80476
A80477
A80478
A80479
HUL002
UTB002
UTB012
UTB030
F3.11C
COM015B
COM020
UTB016
UTB017
Footplate spring clip
Heel strap bolt clip
Nyloc nut M6 for heelstrap
Cap screw M6x45 nylon footplate
14" footrest tube ASM clamp on
Footrest clamp bolt
Footrest bumper rubber
Clamp on footplate bolt mach screw,hex M10x45
Clamp on footpalte nut M10
FT0480
FT0481
FT0482
FT0483
FT0484
A80480
A80481
A80482
A80483
A80484
COM018A
COM018B
COM018E
COM018G
COM018H
Footrest release lever right
Footrest release lever left
Footrest release levrer screw
Footrest release lever ASSY right hand spring
Footrest release lever ASSy left hand spring
FT0485
FT0486
FT0487
FT0488
FT0489
A80485
A80486
A80487
A80488
A80489
P4.30
P4.40
P4.60
P4.80
Adult heelstrap
Narrow adult heelstrap
Legstraps
Legstrap with velcro
Pump
No. 38767
ea
ea
934.94
119.07
ea
24.26
ea
ea
2.21
SUNDRY
ea
ea
2.21
2.21
79.38
ea
ea
22.05
ea
ea
15.44
ea
17.64
ea
17.64
ea
ea
2.21
ea
6.62
ea
ea
ea
ea
ea
59.54
59.54
240.35
147.74
161.28
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
293.27
293.27
293.27
293.27
319.73
319.73
319.73
319.73
105.84
240.35
240.35
293.27
293.27
ea
ea
200.66
200.66
ea
ea
ea
134.51
ea
ea
ea
134.51
ea
ea
ea
639.46
639.46
147.74
ea
ea
147.74
293.27
ea
639.46
639.46
8.82
2.21
FOOTREST RELEASE LEVERS
6.62
LEGSTRAPS
ARM RESTS:
ARMRESTS COMPLETE
A6.10
A6.20
A6.30
A6.40
A6.10SS
A6.20SS
A6.30SS
A6.40SS
A6.130
A6.SPOFOL
A6.SPOFOR
A6.SPOSTDL
A6.SPOSTDR
AR0491
AR0492
AR0493
AR0494
AR0495
AR0496
AR0497
AR0498
AR0499
AR0500
AR0501
AR0502
AR0503
A80491
A80492
AR0504
AR0505
AR0506
AR0507
AR0508
AR0509
AR0510
AR0511
A80504
A80505
A80506
A80507
A80508
A80509
A80510
A80511
A6.10NP
A6.20NP
A6.10C
A6.20C
A6.SPOC
A6.30C
A6.40C
AR0512
AR0513
AR0514
AR0515
AR0516
A80512
A80513
A80514
A80515
A80516
A6.50
A6.60
AR0517
AR0518
AR0519
AR0820
AR0521
AR0522
AR0523
AR0524
A80517
A80518
A80519
A80520
A80521
A80522
A80523
A80524
A6.70
A6.75
AR0525
A80525
A6.80
A80493
A80494
A80495
A80496
A80497
A80498
A80499
A80500
A80501
A80502
A80503
Full armrest CN s/guard left
Full armrest CN s/guard right
Desk armrest CN s/guard left
Desk armrest CN s/guard right
Full armrest SS s/guard left
Full armrest SS s/guard right
Desk armrest SS s/guard left
Desk armrest SS s/guard right
Short armrest left/right
Sport armrest foam pad left
Sport armrest foam pad right
Sport armrest standard A/pad left
Sport armrest standard A/pad right
ARMREST SUB ASSEMBLIES
Full armrest no arm pad left
Full armrest no arm pad right
Full armrest tube only right
Full armrest tube only right
Sport arm tube coated
Desk armrest tube ASM left chro
Desk armrest tube ASM right chro
Armrest release clip
HUL001
134.51
134.51
134.51
52.79
IT ARMREST
12" height ADJ armpad left
12" height ADJ armpad right
12" height ADJ armrest base left
12" height ADJ armrest base right
12height ADJ armrest ext tube ASM
A6.51
A6.61
A6.52
HEIGHT ADJ ARMREST
A6.71
A6.76
A6.701
A6.751
A6.712
COM00412
Std h-adj armrest desk left
Std h-adj armrest desk right
Std h-adj armrest full left
Std h-adj armrest full right
Std h-adj armrest base left
Std h-adj armrest base right
H/adj armrest ext tube ASM full
Skirtguard alu h/adj armrest
ea
ea
ea
ea
ea
ea
ea
639.46
639.46
147.74
147.74
293.27
119.07
ARMPADS
Full armrest armpad with screws
This gazette is also available free online at www.gpwonline.co.za
ea
147.74
39
40
No. 38767
A50526
AR0527
AR0528
AR0529
AR0530
AR0531
AR0532
AR0533
AR0534
AR0535
GOVERNMENT GAZETTE, 11 MAY 2015
A80526
A80527
A80528
A80529
A80530
A80531
A80532
A80533
A80534
A80535
A6.90
A80536
A80537
A80538
A80539
A80540
A80541
A80542
A80543
A80544
COM004
COM005
COM006
A6.81
A6.91
A6.80U
A6.90U
COV002
COV003
PACER 6.80
UTB013
MAT001
Desk armrest armpad with screws
Full armrest armpad PU
Desk armrest armpad PU
Full armpad upholstering
Desk armpad upholstering
Full armpad plastic base
Desk armpad plastic base
Pacer/cruiser/power foam grip
Armpad bolt M6x30
6MM "T" nuts
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
147.74
147.74
147.74
59.54
59.54
15.44
15.44
59.54
6.62
2.21
SKIRTGUARDS
AR0536
AR0537
AR0538
AR0539
AR0540
AR0541
AR0542
AR0543
AR0544
Full arm skirtguard steel
Desk arm skirtguard steel
Fixed arm skirtguard Steel
Full arm skirtguard plastic
Desk arm skirtguard plastic
Sport skirtguard left plastic
Sport skirtguard right plastic
Pop rivet alu,M4x10 skirt guard Dut BOO1B
Pacer triangular skirt guards
IEM001
IEM002
IEMOOL
IEMOOR
UTB005
PACU031
ea
ea
ea
ea
ea
ea
ea
ea
ea
59.54
59.54
59.54
46.31
46.31
46.31
46.31
2.21
119.07
UPHOLSTERY:
BACK UPHOLSTERY
20" BACK
BU0545
BU0546
BU0547
BU0548
B U0549
B U0550
B U0551
B U0552
BU553
A80545
A80546
A80547
A80548
A80549
A80550
A80551
A80552
A80553
810.50
B10.120
B10.140
B10.230
B10.235
B10.50100SH
B10.5050SH
B10.50KIT
B10.55
Back upholstery 20"
Hingeback upholstery 20"
Back upholstery recliner 20"
Back uph 20" 100MM fallback
Back uph 20" 50MM tailback
Back uph 20" 100MM shortback
Back uph 20" 50MM shortback
Back upholstery kit 20"
Back upholstery 22"
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
405.73
405.73
405.73
405.73
405.73
405.73
405.73
405.73
586.54
STAATSKOERANT, 11 MEI 2015
No. 38767
18" BACK
BU0554
BU0555
BU0556
BU0557
BU0558
BU0559
BU0560
BU0561
A80554
A80555
A80556
A80557
A80558
A80559
A80560
A80561
B10.10
B10.80
B10.60
B10.200
B10.205
B10.10100SH
B10.1050SH
B10.10KIT
Back upholstery 18"
Hingeback upholstery 18"
Back upholstery recliner 18"
Back uph 18" 100MM tailback
Back uph 18" 50MM tailback
Back uph 18" 100MM shortback
Back uph 18" 50MM shortback
Back upholstery kit 18"
BU0562
BU0563
A80562
A80563
B10.17
B10.17KIT
BU0564
BU0565
BU0566
BU0567
BU0568
BU0569
BU0570
810.20
810.90
810.70
BU0571
BU0572
A80564
A80565
A80566
A80567
A80568
A80569
A80570
A80571
A80572
BU0573
BU0574
BU0575
BU0576
A80573
A80574
A80575
A80576
B10.15
B10.151005 H
B10.15100TB
B10.15KIT
BU0577
BU0578
BU0579
BU0580
810.40
B10.110
810.45
BU0583
BU0584
BU0585
A80577
A80578
A80579
A80580
A80581
A80582
A80583
A80584
A80585
BU0586
BU0587
A80586
A80587
610.41
B10.41KIT
Back upholstery 12"
Back upholstery kit 12"
BU0588
BU0589
BU0590
A80588
A80589
A80590
A80591
A80592
BBSPO 10.20
BBSPO 10.40
BBSPO 4.70
BBSPO 9.20
BBSPO 9.40
Back upholstery 15" BB sport Mat 002B
Back upholstery 14" BB sport Mat 002B
Footrest strap BB sport
Seat upholstery 15" BB sport Mat002B
Seat upholstery 14" BB sport Mat002B
BUO600
BUO601
A80593
A80594
A80595
A80596
A80597
A80598
A80599
A80600
A80601
H11.40
H11.10
H11.20
H11.50
H11.130
H11.100
H11.120
H11.140
H11.145
BU0602
BU0603
BU0604
BU0605
BU0606
BU0607
BU0608
A80602
A80603
A80604
A80605
A80606
A80607
A80608
OPTIMA12
OPTIMA14
OPTIMA15
OPTIMA16
OPTIMA17
OPTIMA18
OPTIMA20
ea
ea
ea
ea
ea
ea
ea
ea
405.73
405.73
405.73
405.73
405.73
405.73
405.73
405.73
ea
ea
187.43
174.20
ea
ea
ea
ea
ea
ea
ea
ea
ea
405.73
405.73
405.73
1201.75
405.73
405.73
405.73
405.73
405.73
ea
ea
ea
405.73
405.73
405.73
405.73
17" BACK
Back upholstery 17"
Back upholstery kit 17"
16" BACK
B10.210
B10.215
B10.2050SH
B10.20100SH
B10.20KIT
Back upholstery 16"
Hingeback upholstery 16"
Recliner back uphostery 16" power
Back upholstery recliner 16"
Back uph 16" 100MM tallback
Back uph 16" 50MM tailback
Back uph 16" 100MM shortback
Back uph 16" 50MM shortback
Back upholstery kit 16"
15" BACK
Back upholstery 15"
Back upholstery 15" shortback
Back upholstery 15" tallback
Back upholstery kit 15"
ea
14" BACK
BU0581
BU0582
B10.220
B10.225
B10.40100SH
B10.4050SH
B10.40KIT
Back upholstery 14"
Hingeback upholstery 14"
Back upholstery recliner
Power
Back uph 14" 100MM tailback
Back uph 14" 50MM tailback
Back uph 14" 100MM shortback
Back uph 14" 50MM shortback
Back upholstery kit 14"
ea
ea
ea
ea
ea
ea
ea
405.73
405.73
405.73
1201.75
405.73
405.73
405.73
405.73
405.73
ea
ea
405.73
405.73
ea
ea
1173.08
1173.08
293.27
319.73
319.73
ea
ea
12" BACK
SPORTS UPHOLSTERY
BU0591
BU0592
ea
ea
ea
HEAD EXTENSION UPHOLSTERY
BU0593
BU0594
BU0595
BU0596
BU0597
BU0598
BU0599
Red h/ext uph 20"
Red h/ext uph 18"
Red h/ext uph 16"
Red h/ext uph 14"
Stdh/ext uph 20"
Stdh/ext uph 18"
Stdh/ext uph 16"
Stdh/ext uph 14"
Stdh/ext uph 12"
ea
ea
ea
ea
ea
ea
ea
ea
ea
200.66
200.66
200.66
200.66
200.66
200.66
200.66
200.66
200.66
OPTIMA
Optima back upholstery 12"
Optima back upholstery 14"
Optima back upholstery 15"
Optima back upholstery 16"
Optima back upholstery 17"
Optima back upholstery 18"
Optima back upholstery 20"
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
1334.05
1334.05
1334.05
1334.05
1334.05
1334.05
1334.05
41
42
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
SEAT UPHOLSTERY
20" SEAT
BU0609
Seat upholstery 20"
Seat upholstery 20"extended
Seat upholstery kit 20"
Set uph kit 20" extended
Seat upholstery 22"
401.32
401.32
401.32
401.32
401.32
BUO610
BUO611
BU0612
BU0613
A80609
A80610
A80611
A80612
A80613
S9.50
S9.50X
S9.50KIT
S9.50XKIT
S9.55
BU0614
BU0615
BU0616
BU0617
BU0618
A80614
A80615
A80616
A80617
A80618
S9.10
S9.10T
BU0619
BU0620
BU0621
BU0622
BU0623
A80619
A80620
A80621
A80622
A80623
S9.17
S9.17T
S9.17X
S9.17KIT
S9.17XKIT
BU0624
BU0625
BU0626
BU0627
BU0628
A80624
A80625
A80626
A80627
A80628
S9.20
S9.20T
S9.20X
59.20KIT
S9.20XKIT
Seat upholstery 16"
Seat upholstery tuffee 16"
Seat upholstery 16" extended
Seat upholstery kit 16"
Seat uph kit 16" extended
BU0629
BU0630
BU0630
BU0632
BU0633
A80629
A80630
A80631
A80632
A80633
S9.15
S9.15T
59.15X
S9.15KIT
S9.15XKIT
Seat upholstery 15"
Seat upholstery tuffee 15"
Seat upholstery 15" extended
Seat upholstery kit 15"
Seat uph kit 15" extended
BU0634
BU0635
BU0636
BU0637
BU0638
A80634
A80635
A80636
A80637
A80638
S9.40
S9.40T
S9.40X
S9.40KIT
S9.40XKIT
Seat upholstery 14"
Seat upholstery tuffee 14"
Seat upholstery 14" extended
Seat upholstery kit 14"
Seat uph kit 14" extended
BU0639
BU0640
BU0641
BU0642
BU0643
BU0644
BU0645
A80639
A80640
A80641
A80642
A80643
A80644
A80645
S9.41
Seat upholstery 12"
Seat upholstery 12" 40cm depth
Seat upholstery tuffee 12"
Seat uph 12" 40cm extended
Seat upholstery kit 12"
Seat upholstery 12" 40cm depth
Seat uph kit 12" 40cm extended
ea
UPHOLSTERY METAL STRIPS
ea
BU0646
BU0647
BU0648
BU0649
BU0650
STR002
STR005
STR007
STR008
STR011
STR006
BU0654
BU0655
A80646
A80647
A80648
A80649
A80650
A80651
A80652
A80653
A80654
A80655
Back upholstery metal strips
Tall abck upholstery strips
Hinge back uph strip long
Hinge back uph strip short
12.7x60uph met strip rec bck
Seat upholstery strip
Seat upholstery strip extended
Growing seat metal strip
12" seat upholstery strip
Recliner h/ext uph strip
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
28.67
28.67
28.67
28.67
28.67
28.67
28.67
28.67
28.67
28.67
BU0656
BU0657
BU0658
BU0659
A80656
A80657
A80658
A80659
MATHARNESS
URESTRAINT
UTB009
UTB010
ea
ea
ea
533.62
266.81
ea
ea
ea
ea
ea
18" SEAT
59.10X
S9.10KIT
59.10XKIT
Seat upholstery 18"
Seat upholstery tuffee 18"
Seat upholstery 18" extended
Seat upholstery kit 18"
Seat uph kit 18" extended
ea
ea
ea
ea
ea
401.32
401.32
401.32
401.32
401.32
17" SEAT
Seat upholstery 17"
Seat upholstery tuffee 17"
Seat upholstery 17" extended
Seat upholstery kit 17"
Seat uph kit 17" extended
ea
ea
ea
ea
ea
401.32
401.32
401.32
401.32
401.32
16" SEAT
ea
ea
401.32
401.32
401.32
401.32
401.32
ea
ea
ea
ea
ea
401.32
401.32
401.32
401.32
401.32
ea
ea
401.32
401.32
401.32
401.32
401.32
ea
ea
ea
15" SEAT
14" SEAT
ea
ea
ea
12" SEAT
BU0651
BU0652
BU0653
S9.41L
S9.417
S9.41LX
S9.41KIT
S9.41LKIT
S9.41LXKIT
STROO6X
STR012
STR014
STR009
ea
ea
ea
ea
ea
ea
401.32
401.32
401.32
401.32
401.32
401.32
401.32
UPHOLSTERY SUNDRY
Wheelchair harness
Wheelchair pelvic strap
Upholstery washer
Upholstery self tapper
SIDEFRAMES
This gazette is also available free online at www.gpwonline.co.za
ea
2.21
2.21
STAATSKOERANT, 11 MEI 2015
No. 38767
43
QUICK RELEASE HEAVY DUTY
SF0660
SF0661
SF0662
SF0663
SF0664
SF0665
SF0666
SF0667
SF0668
SF0669
SF0670
SF0671
SF0673
SF0675
SF0676
SF0677
SF0678
SF0679
SF0680
SF0681
SF0682
SF0683
SF0684
SF0685
SF0686
SF0687
A80660
A80661
A80662
A80663
A80664
A80665
A80666
A80667
A80668
A80669
A80670
A80671
A80673
A80675
A80676
A80677
A80678
A80679
A80680
A80681
A80682
A80683
A80684
A80685
A80686
A80687
CRUS 7.10L
CRUS 7.10R
CRUS 7.10100SHL
CRUS 7.10100SHR
CRUS 7.10100TBL
CRUS 7.10100TBR
CRUS 7.1050SHL
CRUS 7.1050SHR
CRUS 7.1050TBL
CRUS 7.1050TBR
CRUS 7.110L
CRUS 7.11OR
CRUS 7.11L
CRUS 7.11R
CRUS 7.100100SL
CRUS 7.100100S R
CRUS 7.100100TL
CRUS 7.100100TR
CRUS 7.10050SL
CRUS 7.10050SR
CRUS 7.10050TL
CRUS 7.10050TR
CRUS 7.100L
CRUS 7.100R
CRUS 7.101L
CRUS 7.101R
SF0688
SF0689
SF0690
SF0691
A80688
A80689
A80690
A80691
POW 7.10L
POW 7.10R
POW 7.110L
POW 7.11OR
SF0692
A80692
A80693
A80694
A80695
RAIN7.10L
RAIN7.10R
RAIN7.13L
RAIN7.13R
Q/release s/frame left
Q/release s/frame right
Q/release s/frame 100mm s/back left
Q/release s/frame 100mm s/back right
Q/release s/frame 100mm t/back left
Q/release s/frame 100mm t/back right
Q/release s/frame 50mm s/back left
Q/release s/frame 50mm s/back right
Q/release s/frame 50mm t/back left
Q/release s/frame 50mm t/back right
Q/release s/frame recliner left
Q/release s/frame recliner right
Q/release lowslung s/fr left
Q/release lowslung s/fr right
O./release sideframe h/d 100mm sh/b left
Q/release sideframe h/d 100mm sh/b right
Q/release s/f/r,h/d 100mm t/b left
Q/release s/f/r,h/d 100mm t/b right
Q/release s/f/r/,h/d 50mm sh/b left
Q/release s/f/r/,h/d 50mm sh/b right
Q/release s/f/r/,h/d 50mm t/b left
Q/release s/f/r/,h/d 50mm t/b right
Q/release s/f/r, h/duty left
Q/release s/f/r, h/duty right
S/f/r,h/duty Q/rel I/slung left
S/f/r,h/duty Q/rel I/slung right
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
1027.11
1027.11
879.81
879.81
ea
ea
ea
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
ea
ea
ea
ea
1001.09
1001.09
1171.41
1171.41
ea
ea
734.28
734.28
734.28
734.28
ea
ea
ea
ea
ea
ea
ea
ea
ea
POWER
Power sideframe left
Power sideframe right
Power sideframe,recliner left
Power sideframe,recliner right
RAINBOW
S F0693
SF0694
SF0695
Rainbow std sideframe left
Rainbow std sideframe right
Rainbow fixed arm s/frame left
Rainbow fixed arm s/frame right
This gazette is also available free online at www.gpwonline.co.za
ea
ea
44
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
TUFFEE
SF0696
SF0697
SF0698
SF0699
SF0700
SF0701
SF0702
SF0703
SF0704
SF0705
SF0706
SF0707
SF0708
SF0709
SF0710
A80696
A80697
A80698
A80699
A80700
A80701
A80702
A80703
A80704
A80705
A80706
A80707
A80708
A80709
A80710
17.100L
SF0711
SF0712
SF0713
SF0714
SF0715
SF0716
A80711
A80712
17.10L
A80713
A80714
A80715
A80716
A80717
A80718
A80719
A80720
17.112L
SF0721
SF0722
A80721
17.23L
A80722
17.23R
SF0723
SF0724
SF0725
SF0726
A80723
A80724
A80725
A80726
17.110L
SF0727
SF0728
A80727
A80728
I7.12L
I7.12R
SF0729
SF0730
I7.13L
I7.13R
SF0734
SF0735
SF0736
A80729
A80730
A80731
A80732
A80733
A80734
A80735
A80736
SF0737
SF0738
SF0739
SF0740
A80737
A80738
A80739
A80740
17.200L
SF0741
SF0742
SF0743
A80741
A80742
A80743
A80744
A80745
A80746
A80747
A80748
A80749
A80750
A80751
A80752
A80753
17.100R
17.101L
17.101R
17.102L
17.102R
17.10350L
17.10350R
17.103L
17.103R
17.10450L
17.10450R
17.104L
17.105L
17.105R
Sideframe heavy duty left
Sideframe heavy duty right
S/frame h/duty h/back left
S/frame h/duty h/back right
S/frame h/duty I/slung left
S/frame h/duty I/slung right
S/frame 50mm h/d t/back left
S/frame 50mm h/d t/back right
S/frame 100mm h/d t/back left
S/frame 100mm h/d t/back right
S/frame 50mm h/d s/back left
S/frame 50mm h/d s/back right
S/frame 100mm h/d s/back left
S/frame extra h/duty left
S/frame extra h/duty right
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
934.94
3521.45
3521.45
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
879.81
ea
ea
ea
ea
1027.55
1027.55
1027.55
1027.55
ea
ea
879.81
879.81
ea
1001.09
1001.09
1001.09
1001.09
1001.09
1001.09
1001.09
1761.83
STANDARD
SF0717
SF0718
SF0719
SF0720
17.10R
17.112R
17.113L
17.113R
I7.114L
17.114R
17.115L
17.115R
Std sideframe left
Std sideframe right
S/frame std 100mm t/back left
S/frame std 100mm t/back right
S/frame std 50mm s/back left
S/frame std 50mm s/back right
S/frame std 100mm sback left
S/frame std 100mm sback right
S/frame std 50mm t/back left
S/frame std 50mm t/back right
12" sideframe left
12" sideframe right
RECLINER
17.110R
17.111L
17.111R
Sideframe recliner left
Sideframe recliner right
Sideframe h/duty left
Sideframe h/duty right
LOWSLUNG
Sideframe lowslung left
Sideframe lowslung right
TRANSIT/BOX
SF0731
SF0732
SF0733
17.140L
17.140R
I7.14L
I7.14R
17.150
17.16
Sideframe fixed arm left
Sideframe fixed arm right
Transit s/frame rem arm left
Transit s/frame rem arm right
Transit s/frame f/arm left
Transit s/frame f/arm right
H/back handle asm complete
Fixed arm box framework
ea
ea
ea
ea
ea
ea
ea
HINGEBACK
17.200R
17.20L
17.20R
S/frame tuffee hingeback left
S/frame tuffee hingeback right
S/frame hingeback left
S/frame hingeback right
ea
ea
ea
ea
934.94
934.94
879.81
879.81
RECLINER
SF0744
SF0745
SF0746
SF0747
SF0748
SF0749
SF0750
SF0751
SF0752
SF0753
B10.160
B10.170
810.61
HUL017A
HUL017E
HUL0171
17.110B
17.111B
HUL017J
ORT014
HUL017K
HUL017L
HUL017M
Recliner brace arm asm 18"
Recliner brace arm asm 16"
Recliner push handle grip
Red adjustment knob(black)
Red spring pin 13x50
Red adj flat hex bolt m8x30
Recliner back backpost asm
Recliner adj bracket asm chr
Recliner std nut M8 hu1001b
Red brace arm spring clip ort002b
Red std bolt m8x65 hu1002b
Red std flat washer 8x17x1
Red std flat washer 13x24x2
HEAD EXTENSION
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
321.94
321.94
72.77
88.20
59.54
6.62
191.84
147.74
ea
2.21
ea
ea
ea
22.05
6.62
ea
2.21
6.62
STAATSKOERANT, 11 MEI 2015
S F0754
S F0755
S F0756
SF0757
S F0758
S F0759
S F0760
SF0761
S F0762
S F0763
SF0764
SF0765
SF0766
SF0767
A80754
A80755
A80756
A80757
A80758
A80759
A80760
A80761
A80762
A80763
A80764
A80765
A80766
A80767
H11.150L
H11.150R
H11.160
H11.165
H11.170
H11.175
H11.180
H11.190
H11.195
H11.30
H11.60
H11.70
H11.80
H11.90
Std h/ext tube asm left
Std h/ext tube asm right
Head rest extension kit 18"-removable
Head rest extension kit 17"-removable
Head rest extension kit 16"-removable
Head rest extension kit 15"-removable
Head rest extension kit 20"-removable
Head rest extension kit 14"-removable
Head rest extension kit 12"-removable
Red h/ext tube asm chromed
Red 18" h/ext complete
Red 16" h/ext complete
Red 20" h/ext complete
Red 14" h/ext complete
This gazette is also available free online at www.gpwonline.co.za
No. 38767
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
45
147.74
147.74
879.81
879.81
879.81
879.81
879.81
879.81
879.81
147.74
381.47
381.47
381.47
381.47
46
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
TELESCOPIC & FRONT POST SLIDES
SF0768
SF0769
SF0770
SF0771
A80768
A80769
A80770
A80771
HUL011
SF0772
SF0773
SF0774
SF0775
SF0776
SF0777
SF0778
SF0779
SF0780
SF0781
A80772
A80773
A80774
A80775
A80776
A80777
A80778
A80779
A80780
A80781
HUL009
377005D1-B
TIP002
SF0782
SF0783
SF0784
SF0786
SF0787
A80782
A80783
A80784
A80785
A80786
A80787
S9.80
S9.81
S9.81SL
S9.81X
UTB006
ILL002
SF0788
SFF0889
SF0790
SF0791
SF0792
SF0793
SF0794
SF0795
A80788
A80789
A80790
A80791
A80792
A80793
A80794
A80795
UTB016
UTB017
SF0796
SF0797
SF0798
SF0799
SF0800
SF0815
SF0816
SF0817
A80796
A80797
A80798
A80799
A80800
A80801
A80802
A80803
A80804
A80805
A80806
A80807
A80808
A80809
A80810
A80811
A80812
A80813
A80814
A80815
A80816
A80817
UTB029
TOR005
X8.10F
X8.10R
X8.15F
X8.15R
X8.20F
X8.20R
X8.30F
X8.30R
X8.50F
X8.50R
X8.60F
X8.60R
X8.70F
X8.70R
X8.71F
X8.71R
X8.92F
X8.92R
RB8.10F
RB8.10R
MWP818
MPW819
MPW820
MPW821
MPW522
MPW523
MPW524
MPW825
MPW826
MPW827
MPW828
MPW829
A80818
A80819
A80820
A80821
A80822
A80823
A80824
A80825
A80826
A80827
A80828
A80829
WHE001
W HE002
WHE004
WHE005
WHE003
RIM026
RIM020
RIM022
leave blank
TYR020
TUB020
TYR011
Teelscopic slide bush for front post
Telescopic slide
Telescopic slide lowslung
Front post slide assembly
17.120
17.120LS
17.60
ea
ea
35.28
233.73
233.73
ea
92.61
ea
ea
13.23
13.23
293.27
293.27
147.74
227.12
668.13
134.51
17.64
734.28
ea
SUNDRY
17.NF
HUL007
CEDRIP
CEDRIPT
TIP001
COM007
17.PHES
Seat guide
Push handle grip black
Std rem ant-tip asm
Non-fold bracket
Hinge back sliding mechanism
Drip standrod holder
Drip stand T rod
Anti tip wheel for cruisher
Tipping lever rubber
Parent push handle double
ea
ea
ea
ea
ea
ea
ea
ea
INNER SEAT & BOTTOM RAILS
S F0785
Rail inner seat
Growing inner seat rail
Inner seat rail ext sleeve
Inner seat railextended
Bottom rail boltsmchn scr,hex M5x30
Bottom rail/frest plug black
ea
ea
ea
15.44
187.43
15.44
79.38
ea
ea
2.21
2.21
ea
ea
ea
ea
ea
ea
ea
ea
15.44
2.21
174.20
160.97
160.97
174.20
160.97
160.97
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
2.21
ea
AMPUTEE BRACKETS
17.130
17.130L
17.130R
PACER 7.100
PACER 7.100L
PACER 7.100R
Amputee bolt mach screw,hex M10x45
Amputee nut M10
Amputee kit std
Amputee bracket left
Amputee bracket right
Amputee kit -QR
Q/release amputee ext left
Q/release amputee ext right
X-BARS
SF0801
SF0802
SF0803
SF0804
SF0805
SF0806
SF0807
SF0808
SF0809
S F0810
SF0811
SF0812
SF0813
S F0814
Spring crossbar centre
Cross bar bolt
X-bar std front
X-bar std rear
X-bar 15" front
X-bar 15" rear
X-bar narrow adult front
X-bar narrow adult rear
X-bar 12" front
X-bar 12" rear
14" crossbar front
14" crossbar rear
14" low slung crossbar front
14" lowslung crossbar rear
X-bar heavy duty front
X-bar heavy duty rear
X-bar ex wide(22) front
X-bar ex wide(22) rear
X-bar n/ad lowslung front
X-bar n/ad lowslung rear
Rainbow x-bar std front
Rainbow x-bar std rear
6.62
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
293.27
734.28
734.28
293.27
293.27
240.35
240.35
REAR WHEELS:
24x1.75 spoke wheel chrome pushrim 12mm bearing
24x13/8 spoke wheel pushrim bearing
24x13/8mag wheel chrome pushrim bearing
24x13/8 mag wheel S/S pushrim bearing
24x13/8 aluminium wheel S/S pushrim bearing
26x13/8 aluminium spoke rim chrome pushrim
20x13/8 aluminium spoke rim chrome pushrim
22x13/8 aluminium spoke rim chrome pushrim
24 spinery rim 18 spoke black (12.7mm)
20x13/8 tyre
20x13/8 tyre
22x13/8 polyurethrane grey tyre
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
882.02
882.02
992.27
1323.02
1323.02
1323.02
1323.02
1323.02
6725.37
291.07
92.61
396.91
STAATSKOERANT, 11 MEI 2015
MPW830
MPW831
MPW832
MPW833
MPW834
MPW835
MPW836
MPW837
MPW838
MPW839
MPW840
MPW841
MPW842
MPW843
MPW844
MPW845
MPW846
MPW847
MPW848
MPW849
MPW850
MPW851
MPW852
MPW853
MPW854
A80830
A80831
A80832
A80833
A80834
A80835
A80836
A80837
A80838
A80839
A80840
A80841
A80842
A80843
A80844
A80845
A80846
A80847
A80848
A80849
A80850
A80851
A80852
A80853
A80854
MPW855
MPW856
MPW857
MPW858
MPW859
MPW860
MPW861
MPW862
MPW863
MPW864
MPW865
MPW866
MPW867
MPW868
MPW869
MPW870
MPW871
MPW872
MPW873
MPW874
A80855
A80856
A80857
A80858
A80859
A80860
A80861
A80862
A80863
A80864
A80865
A80866
A80867
A80868
A80869
A80870
A80871
A80872
A80873
A80874
No. 38767
24x13/8 grey tyre
24x1 slick tyre
25x1 treaded tyre
24x1.75 grey tyre
24x13/8 black tube
24x1 black tube
24x1 shox tyre red,blue,yello,black
24x1.75 black tube
24x13/8 no more flat( NMF)
24x1.75 no more flat (NMF)
24x13./8 polyurethrane grey tyre(PU)
24.175 polyurethrane grey tyre
26x1 grey tyre
26x1 black tube
11mm rear bearing with fiance
12mm sealed rear wheel bearung
12.7mm sealed rear wheel nearing
Push rim chrome for mag
Push rim chrome for spoke
Push rim S/S for mag
Push rim for spoke (adjustable)
Push rim spacer for mag
Push rim spacer bolt for mag
11mm fixed rear axle
12mm fixed rear axle
ea
ea
ea
FRHC001
Swing away footrest hanger left
Swing away footrest hanger right
Foot rest extension complete -16,18 left
Foot rest extension complete -16,18 right
Growing footrest extension complete left
Growing footrest extension complete right
Aluminium foot plate -18,20
Aluminium foot plate -16
Plastic foot plate -18,20
Plastic foot plate -16
Footplate spring clip
Elevating leg rest complete left
Elevating leg rest complete right
Footrest bumper rubber
Foot rest release lever spring
Foot rest release lever complete
Foot rest hanger clamp
LEG001
FUP001
FLP001
Leg trap
Foot rest upper pin
Foot rest upper pin
TYR001
TYR008
TYR009
TYR002
TUB001
TUB005
TYR012
TUB006
PER001
PER002
TYR005
TYR006
TYR026
TUB026
BEA001
BEA005
BEA002
PSH001
PSH005
PSH004
PSH006
PSH002
PSH003
AXL001
AXL002
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
47
251.37
275.63
418.96
251.37
92.61
143.33
496.13
92.61
317.53
317.53
396.91
396.91
291.07
92.61
66.15
66.15
66.15
291.07
291.07
529.21
1190.72
13.23
13.23
48.51
48.51
FOOTRESTS:
FRH001
FRH002
FRE001
FRE002
FRE005
FRE006
FPP001
FPP002
FPP003
FPP004
FSC001
ELL001
ELL002
FBROO1
FRR001
FRL001
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
251.37
251.37
251.37
251.37
308.71
308.71
158.76
158.76
158.76
171.99
15.44
1014.32
1014.32
22.05
22.05
143.33
37.49
39.69
13.23
13.23
48
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
ALUMINIUM WHEELCHAIRS - FOOTREST
AWF875
AW F876
AWF877
AW F878
AWF879
AW F880
AWF881
AWF882
AWF883
AWF884
AWF885
AWF886
AWF887
A80875
A80876
A80877
A80878
A80879
A80880
A80881
A80882
A80883
A80884
A80885
A80886
A80887
FRHA001
FRHA002
FREA001
FREA002
FPP003
FPP004
ELLA001
ELLA002
FRLA001
FHBA001
661.51
661.51
661.51
661.51
Swing away foot rest hanger left
Swing away foot rest hanger right
Foot rest extension complete 16,18 left
Foot rest extension complete 16,18 right
Foot rest complete patriot
Plastic foot plate 18,20
Palstic foot plate 16
Plastic foot plate patriot
Elevating leg rest complete left
Elevating leg rest com[lete right
Elevating leg rest complete patriot
Foot rest release lever
Foot rest hanger bracket
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
Full armrest with steel side panel left
Full armrest with steel side panel right
Desk armrest with steel side panel left
Desk armrest with steel side panel right
Sport armrest with plastic side panel
Steel side panel for full armrest
Steel side panel for desk armrest
Nylon skirt guard pair
Palstic side panel patriot
Upholstered armpad full lengh
Upholstered armpad desk lengh
Sponge for sport armrest
Polyurethrane(PU) armpad full lenth
Polyurethrane(PU) armpad desk lenth
Height adjustable armrest complete full length left
Height adjustable armrest complete full lenth right
Height adjustable armrest complete desk length left
Height adjustable armrest complete desk length right
Arm rest release clip
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
441.01
441.01
441.01
441.01
441.01
Armrest socket alu light
Desk armrest complete-alu light
Desk armrestcomplete-patriot-nett
Side guard for A4/prospin -each (1036347/6)-nett
Kit hardware for side guard -pair
Waterfall arm pad fortrque power -pair
ea
ea
330.76
1102.52
1719.93
1212.77
1289.95
1323.02
8x1 solid castor - standard wheel chair
8x1 solid castor -sprinter aluminium wheelchair
8x2 solid castor
8x2 grey tyre
8x2 balck tube
8x2 black hub
8x1 grey tyre
8x1 black tube
5 solid castor
5 shox castor -narrow hub-net
6 solid castor
8x1 invacare castor
5mm steel fork
3mm steel fork for omega economy wheelchair
Aluminium fork for sprinter and aluminium wheelchair
Axle for castor 8mm
Axle for invacare castor
Castor stem bearing
Castor wheel bearing
Castor wheel bearing for invacare castor
Castor stem dust cap
Front cross bar -16
Rear cross bar -16
Front cross bar -18
Ear cross bar -18
Inner double cross bar -20( heavy duty 18)
Outer doble crossbar -20 (Heavy duty 18)
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
2094.79
209.48
209.48
661.51
1587.63
1587.63
3042.96
363.83
231.53
ARM RESTS:
AWF888
AWF889
AWF890
AWF891
AWF892
AWF893
AWF894
AWF895
AWF896
AWF897
AWF898
AWF899
AWF900
AWF901
AWF902
AWF903
AWF904
AWF905
ARM001
ARM002
ARM003
ARM004
ARM005
SPF001
SPF002
SKI002
AW F906
A80888
A80889
A80890
A80891
A80892
A80893
A80894
A80895
A80896
A80897
A80898
A80899
A80900
A80901
A80902
A80903
A80904
A80905
A80906
AWA907
AWA908
AWA909
AWA910
AWA911
AWA912
A80907
A80908
A80909
A80910
A80911
A80912
S00001
FWC913
FWC914
FWC915
FWC916
FWC917
FWC918
FWC919
FWC920
FWC921
FWC922
FWC923
FWC924
FWC925
FWC926
FWC927
FWC928
FWC929
FWC930
FWC931
FWC932
FWC933
FWC934
FWC935
FWC936
FWC937
FWC938
FWC939
A80913
A80914
A80915
A80916
A80917
A80918
A80919
A80920
FAP001
DAP001
SPS001
FAP002
DAP002
HAF001
HAF002
HAD001
HAD002
ARC001
231.53
231.53
374.86
661.51
121.28
121.28
33.08
242.55
242.55
992.27
992.27
992.27
992.27
26.46
ALUMINIUM WHEELCHAIRS - ARMREST
ea
ea
ea
ea
FRONT WHEELS: CASTORS
A80921
A80922
A80923
A80924
A80925
A80926
A80927
A80928
A80929
A80930
A80931
A80932
A80933
A80934
A80935
A80936
A80937
A80938
A80939
CAS001
CASO1A
CAS002
TYR003
TUB002
HUB001
TYR004
TUB003
CAS004
CAS008
CAS006
CAS007
FOR002
FOR001
FOR003
AXL006
BEA003
BEA004
BEA006
DUS002
CRB001
CRB002
CRB003
CRB004
CRB005
CRB006
This gazette is also available free online at www.gpwonline.co.za
242.55
363.83
363.83
154.35
77.18
121.28
165.38
88.20
187.43
418.96
187.43
793.81
187.43
165.38
319.73
33.08
110.25
55.13
26.46
143.33
11.03
251.37
251.37
251.37
251.37
374.86
374.86
STAATSKOERANT, 11 MEI 2015
FWC940
FWC941
FWC942
FWC943
FWC944
FWC945
FWC946
FWC947
FWC948
FWC949
FWC950
FWC951
FWC952
A80940
A80941
A80942
A80943
A80944
A80945
A80946
A80947
A80948
A80949
A80950
A80951
A80952
CRB007
CRB008
CRB009
CRB010
CBB001
CBB002
IRT001
IRB001
SGROO1
SGF001
FPG001
FPG002
FPI001
Front crossbar-aluminium wheelchair
Rear crossbar-patriot
Front cossbar-patriot (20%)
Rear crossbar-patriot(20%)
Crossbar bolt and nut
Crossbar bolt and nut for double crossbar
Inner rail top
Ineer rail bottom
Seat guide-removable
Seat guide-fixed arm
Front post guide
Front guide-20, bariatric
Front post insert
This gazette is also available free online at www.gpwonline.co.za
No. 38767
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
49
1212.77
1212.77
1764.03
1764.03
33.08
39.69
30.87
30.87
19.85
19.85
99.23
187.43
15.44
50
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
SIDEFRAMES:
SF0953
SF0954
SF0955
SF0956
SF0957
SF0958
SF0959
SF0960
SF0961
SF0962
SF0963
SF0964
SF0965
SF0966
SF0967
SF0968
SF0969
SF0970
SF0971
SF0972
SF0973
SF0974
SF0975
SF0976
SF0977
SF0978
SF0979
SF0980
SF0981
SF0981
SF0983
SF0984
A80953
A80954
A80955
A80956
A80957
A80958
A80959
A80960
A80961
A80962
A80963
A80964
A80965
A80966
A80967
A80968
A80969
A80970
A80971
A80972
A80973
A80974
A80975
A80976
A80977
A80978
A80979
A80980
A80981
A80982
A80983
A80984
UPH985
UPH986
UPH987
UPH988
UPH989
UPH990
UPH005
A80985
A80986
A80987
A80988
A80989
A80990
A80991
A80992
A80993
A80994
A80995
A80996
A80997
A80998
A80999
A90000
A90001
A90002
A90003
A90004
A90005
CLP006
CLP007
CLP008
CLP009
CLP010
CLP011
CLP012
CLP013
CLP014
CLP015
CLP016
A90006
A90007
A90008
A90009
A90010
A90011
A90012
A90013
A90014
A90015
A90016
FE008
A90017
SFROO5
SFROO6
SFROO1
SFRO02
SFRO03
SFROO4
SFRO11
SFRO12
BRA001
BRA002
BRW001
BRA005
BRA006
BRA003
BRA004
BRR001
HGROO1
HGROO2
BRE001
BEX001
TIP001
BAA001
BAA002
AXH001
AXH002
AXL003
AXL003
AXL005
DUS001
SP0001
Side frame left
Side frame right
Side frame -left aluminium
Side frame -right aluminium
Side frame -left patriot
Side frame -right patriot
Quick release side frame left
Quick release side frame right
Brake-left
Brake-right
Brake washer
Brake -left aluminium
Brake-right aluminium
Brake -left patriot
Brake -right patriot
H-Block-sat alu light
H-Block-patriot
Brake handle rubber
Push handle grip
Push handle grip for active-19mm
Break extension lever
Break extension lever-patriot
Tipping lever rubber
Bi-Amputee adaptor-left
Bi-Amputee adaptor-right
Bi-Amputee axle housing -aluminium wheel chair
Axle housing -patriot
12mm quick release axle 125/130mm
12.7mm quick release axle 125/130mm
Rear wheel axle spacer
Rear wheel dust cap
Apoke and nipple for spoke wheel
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
926.12
926.12
1455.33
1455.33
2513.75
2513.75
926.12
926.12
198.45
198.45
8.82
396.91
396.91
2315.29
2315.29
165.38
198.45
37.49
44.10
44.10
66.15
264.60
24.26
264.60
264.60
661.51
463.06
452.03
452.03
17.64
13.23
13.23
Seat metal strap
Back metal strap
Seat upholstery-16
Back upholstery-16
Seat upholstery-18
Back upholstery-18
Seat upholstery-20
Back upholstery-20
Seat upholstery-aluminium wheelchair
Back upholstery-aluminium wheelchair
Seat upholstery-patriot
Backupholstery-patriot
Seat upholstery-special
Back upholstery-special
Bolt washer and nut-seat upholstery
Self tapper and plastic washer-back upholstery
Tension adjustableback upholstery
Tall /short back upholstery
Head rest extension
Blocks for head rest extension
Recliner back upholstery
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
39.69
39.69
452.03
452.03
452.03
452.03
452.03
452.03
529.21
529.21
661.51
661.51
661.51
661.51
5.52
5.52
1190.72
661.51
385.88
385.88
529.21
Custom lite adjust/removable armrest
Custom lite side panel with mudguard
Custom lite side frame bush and washer
Custom lite pushing handle
Custom lite anti tips-each
Custom lite adjustable footplate
Custom lite pelvic strap
Custom lite aluminium castor
Custom lite right run tire
Custom lite rubberized push rims-set
Custom lite off road wheels-set
ea
ea
ea
ea
pr
pr
1119.99
1166.67
140.00
933.33
466.67
933.33
186.67
513.33
373.34
1866.67
3546.66
Transport wheelchair
ea
404.47
UPHOLSTERY:
UPH91
UPH992
UPH993
UPH994
UPH995
UPH996
UPH997
UPH998
UPH999
UPH000
UPH001
UPH002
UPH003
UPI-1004
SMS001
BMS001
SUP016
BUP016
SUP018
BUP018
SUP020
BUP020
SALU
BALU
SPAT
BPAT
SEATSP
BACKSP
BNW001
STWOO1
TAD001
BACK001
HEAD001
BLOCK
RECBACK
CUSTOM LITE PARTS
ea
ea
ea
ea
ea
FEES
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
AD
AD109
AD110
AD111
AD112
AD113
AD114
AD115
AD116
AD117
AD118
AD120
AD121
AD122
AD123
AD124
AD125
AD126
AD127
AD128
AD129
AD130
AD131
AD132
AD133
AD134
No. 38767
OTHER ASSISTIVE DEVICES
A80109
A80110
A80111
A80112
A80113
A80114
A80115
A80116
A80117
A80118
A80120
A80121
A80122
A80123
A80124
A80125
A80126
A80127
A80128
A80129
A80130
A80131
A80132
A80133
A80134
SF
SF
SF
SF
SF
SF
S
S
S
S
CF
20" Wheelchair tray
14" Wheelchair tray
14" Electric tray
16" Wheelchair tray
18" Wheelchair tray standard
18" Wheelchair tray for power
Overbed table
Transfer board
Wheelchair gloves
Easy Reach
Wheelchair ramps 214 X 20
Blind Stick
Blind stick Front wheel/Roller
Sunglasses for the Blind
Hearing Aid Batteries
Wheelchair Batteries
Battery Charger
Jay Backrest
Free Wheel
Electric Hoist
Grab Rail
Chin control for power chair
Free Wheel Adaptor for folding chair
Footplate adjustment for freewheel
Matrx posture backrest
This gazette is also available free online at www.gpwonline.co.za
ea
ea
ea
ea
ea
ea
ea
ea
pr
ea
ea
ea
ea
ea
4
ea
ea
ea
ea
ea
ea
ea
ea
ea
ea
859.97
859.97
859.97
859.97
859.97
859.97
1140.01
291.07
291.07
301.80
7338.37
705.79
420.31
407.84
186.05
1980.87
1237.29
9373.77
6566.17
12472.26
509.45
20533.34
2669.33
1120.00
13566.00
51
52
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
ORTHOTIC & PROSTHETIC SUPPLY PROTOCOL
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993
Section 73 Medical expenses (1) The Director-General or the employer individually liable or
mutual association concerned, as the case may be, shall for a period of not more than two years
from the date of an accident or the commencement of a disease referred to in section 65(1) pay the
reasonable cost incurred by or on behalf of an employee in respect of medical aid necessitated by
such accident or disease.
(2) If, in the opinion of the Director-General, further medical aid in addition to that referred to in
subsection (1) will reduce the disablement from which the employee is suffering, he may pay the
cost incurred in respect of such further aid or direct the employer individually liable or the mutual
association concerned, as the case may be, to pay it.
Section 42 Employee to submit to medical examination (1) An employee who claims
compensation or to whom compensation has been paid or is payable shall when so required by the
Director-General or the employer individually liable or mutual association concerned, as the case
may be, after reasonable notice, submit himself at the time and place mentioned in the notice to an
examination by the medical practitioner designated by the Director-general or the employer
individually liable or mutual association concerned.
1.1
Each orthotic and prosthetic service provider should ensure that the service he / she provides
is compatible with the general procurement guidelines issued by National Treasury.
1.2
The Compensation Fund will bear the reasonable cost for the issue of orthotic and prosthetic
devices after an accident, provided that liability for the claim has been accepted and the
service is prescribed by a medical practitioner and the prescribed guidelines are followed.
1.3
The published policy on the supply of orthotic and prosthetic devices and the tariff of fees will
serve as a guideline to determine if any proposed service is reasonable and it will replace all
existing tariff structures.
1.4
Pre-authorization by the Compensation Fund is required in all claims, even if the devices
supplied are listed in the Government Gazette. It is the responsibility of the service provider to
ensure that liability for the claim has been accepted by the Compensation Fund and that the
service is reasonable and in line with the published policy and tariff. Amputees must be fitted
with a prosthesis which is suitable for their environment and activity / load level.
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
1.5
No. 38767
53
Replacement of consumable items, refits and repairs must be motivated by the prosthetist and
the medical practitioner. Requests must be reasonable and in line with the published policy
and tariff.
1.6
The employee, assisted by a medical practitioner should complete the appropriate form when
requesting replacement, re-fit or repair of any prosthetic / orthotic device. See Section 2 Request For Prosthesis Services
1.7
The request for new equipment must be accompanied by a written report by the prosthetic
practitioner indicating that the employee's functional level has been re-evaluated to take into
account any physical or environmental changes encountered by the employee. See Sections 7
and 8 - Amputee Activity / Load Level Assessment Form
1.8
In exceptional circumstances, if the employment status and / or the functional level of an
employee radically changes before a new prosthesis is due, a new prosthesis more suitable to
the employment conditions will be considered by the Compensation Fund.
1.9
If an employee's employment status / functional level changes and a prosthesis in a higher
category is requested, such higher functional level must be confirmed by the employer and a
rehabilitation team comprising a medical practitioner, the prosthetist, a physiotherapist and /
or an occupational therapist.
1.10 The service provider must obtain written authorisation for all quotation of prosthesis, refits,
consumables and repairs. Accounts will not be payable for all quotation of prosthesis supplied
without pre-authorisation for first amputees or any other prosthesis supplied to the employee.
1.11
The Compensation Fund will bear the reasonable cost of repairs to a prosthesis which has
suffered from "fair" wear and tear after at least two years of normal use.
1.12 The Compensation Fund will not bear the cost of a prosthesis which is lost, broken, worn out
or is otherwise unserviceable as a consequence of an employee's neglect or abuse.
1.13
The Commissioner will pay for the re-fit of the prosthesis strictly only where motivated and
justifiable by the circumstances. See Section 4 - Guidelines for Refit
1.14 Replacement of some parts of a prosthesis (straps, socks, suspension sleeves etc) that may
perish or become consumed through reasonable usage be will paid for by the Compensation
Fund in line with the policy guidelines. See Section 3 - Replacement Period Table.
1.15
The Compensation Fund reserves the right in terms of section 42 of the act to call for a second
or independent opinion or evaluation of proposed orthotic / prosthetic services.
1.16 Any such report obtained by the Compensation Fund shall state whether the proposed orthotic
/ prosthetic service is appropriate for the diagnosis, functional level and environmental
circumstances of the patient. The Compensation Fund reserves the right to use the information
so obtained at his discretion and as is deemed appropriate.
This gazette is also available free online at www.gpwonline.co.za
54
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
1.17 The Commissioner is further entitled, pursuant to a complaint by the employee, to call for an
independent report concerning any orthotic / prosthetic services that have been rendered. The
Orthotists / prosthetist should strive to take all reasonable steps to attend to the legitimate
complaints of an employee regarding services or assistive devices supplied. If it is found that
defective or unsuitable devices have been supplied to an employee the Orthotists / prosthetist
shall replace / repair / alter such devices at no additional cost to the Compensation Fund or the
employee.
1.18
The orthotic and / or prosthetic devices paid for by the Compensation Fund remains the
property of the Compensation Fund. When an employee demises such devices should be
returned to the Compensation Fund.
1.19 Each orthotic and prosthetic service provider should supply the fund with the quotation in
order for the fund to verify that the right items ordered and supplied to the employee are
correct.
1.20 Each orthotic and prosthetic service provider should supply the fund with the rehabilitation
report for all new amputees after fitting and supplying of a new prosthesis.
1.21
Orthotists/prosthetist and other service providers are required to quote a similar or better
component using the same code.
1.22
Orthotists/prosthetist and other service providers should declare the use of the component and
how it will benefit the employee
1.23
The Compensation Fund retains the right to verify the product supplied to the employee
should a need arise
Request for Orthotic / Prosthetic Services
2.
The following details must accompany the request for prosthetic services:
3.
2.1
Employee detail form See Section 6
2.2
Letter from the employee requesting orthotic / prosthetic services See Section 6
2.3
Motivation for services by orthotist / prosthetist
2.4
Motivation by the medical practitioner, if required by the guidelines
2.5
Amputee activity / load level assessment (for new prosthesis only) See Section 8
2.6
Refit report (for refit of prosthesis only) See Section 4
2.7
Quotation according to published tariffs See Section 9
Replacement Periods of Medical Orthotic / Prosthetic Equipment
3.1
Prosthesis
Five years
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
3.2
No. 38767
Refit for prosthesis will be considered six months after fitting of new amputee
with a prosthesis, and refit for old amputees can be considered after two and half years
from the fitting of a new prosthesis: then to be motivated.
3.2
Silicone liners, sleeves, sockets
Two every three years
3.3
Gel liners, sleeves, sockets
Two every eighteen months
3.4
Prosthetic socks
Twelve per year
3.5
If worn with silicone or gel liners
Six per year
3.6
Prosthetic sheath
Twelve per year
3.7
If worn with silicone or gel liners
Six per year
3.8
Cosmetic stockings
Two pair per year
3.9
Cosmetic cover
One per year
3.10
Cosmetic skin
One every year
3.11
Calipers
Three years
3.12
Wheelchairs
Five years
3.13
Wheelchair cushions
Two years
3.14
Orthopaedic footwear
Two pair per year
3.15
Footwear modifications
Three modifications per year
3.16
Compression stockings
Four pairs every year
3.17
Off the shelf orthosis
Four every year
3.18
Custom made orthosis
Two every year
Guidelines for Refit
This guideline covers prostheses that require refit of the socket after the initial issue. A
full motivation with a report indicating the following details must be submitted:
4.1 Date of amputation
4.2 Date when the present prosthesis was fitted
4.3 Description of the prosthesis
4.4 Residual limb measurements when prosthesis was fitted
4.5 Symptoms indicating loss of fit
4.6 Diagnosis of loss of fit
4.7 Current residual limb measurements.
4.8 Number and thickness of prosthetic socks and worn by employee
4.9 Condition of prosthesis
4.10
The employee's current activity level
4.11
An opinion as to the suitability of the specific prosthesis for the employee
This gazette is also available free online at www.gpwonline.co.za
55
56
5.
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
Functional Level
A determination of the medical necessity for certain components / additions to a
prosthesis is based on the potential functional ability of the employee. Potential
functional ability is defined as the reasonable expectation of the rehabilitation team
including a medical practitioner, the prosthetist, a physiotherapist and / or an
occupational therapist and the employee based on
past history including prosthetic use
current condition including the status of the residual limb and other medical
factors
employment status
desire to ambulate
The clinical assessment of the employee's rehabilitation potential should be based on the
following classification levels:
LEVEL 0:
Does not have the ability or potential ability to ambulate or transfer safely with or
without assistance and a prosthesis will not enhance the mobility or quality of life
No prosthesis is recommended for amputees in this category.
LEVEL 1:
Has the ability or potential ability to use a prosthesis for transfers or ambulation on level
surfaces at a fixed cadence - typically the limited and unlimited household ambulator
CATEGORY 1 components / prosthetics are recommended at this level. Amputees
typically require significant stance phase security and minimal swing phase control.
LEVEL 2:
Has the ability or potential ability for ambulation and to traverse low level
environmental barriers such as curbs, stairs and uneven surfaces - typically the limited
community ambulator.
CATEGORY 2 components / prosthetics are recommended at this level. Amputees
typically require moderate stance phase security and moderate swing phase control.
LEVEL 3:
Has the ability or potential ability for ambulation with variable cadence - typically the
community ambulator that traverses most environmental barriers with vocational,
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
No. 38767
therapeutic or exercise activity that demands prosthetic utilization beyond simple
locomotion
CATEGORY 3 components / prosthetics are recommended at this level. Amputees
typically require minimal stance phase security and maximal swing phase control.
LEVEL 4:
Has the ability or potential ability for prosthetic ambulation that exceeds basic
ambulation skills exhibiting high impact, stress or energy levels. Daily activities require
rigorous and repeated actions of high impact or stress such as lifting, jumping, climbing
and walking long distances - typically the active adult ambulator.
In addition to CATEGORY 3 components, the employee requires components that will
stand up to daily repeated high load and stress levels. Amputees typically require minimal
stance phase security and maximal swing phase control.
UNLESS OTHERWISE STATED IN WRITING BY THE COMPENSATION FUND
EMPLOYEES REQUIRING THIS LEVEL OF ORTHOTIC DEVICES SHALL BE
GAINFULLY EMPLOYED.
This gazette is also available free online at www.gpwonline.co.za
57
58
6®
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
This form must be completed by the employee when orthotic / prosthetic services are
requested.
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993
Employee Details
Date:
Claim number:
Surname:
ID Number
First names:
Postal address:
Tel (w)
Tel (h)
Date of accident:
Employer at time of accident:
Current employer:
Type of orthotic / prosthetic service required:
Reason(s) why service is required:
Signature of employee
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
7.
This form should be completed by the orthotic / prosthetic practitioner
COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT, 1993
Employee Details
Claim number:
Date:
ID Number
Surname:
First names:
Postal address:
Tel (w)
Tel (h)
Date of accident:
Employer at time of accident:
Current employer:
RESIDUAL
B MEAS
MENTS
Amputation level:
Side amputated:
Left
Length of residual bone:
Right
Length of residual limb:
Drawing of residual limb
Circumference measurements:
240 mm from distal end
200 mm from distal end
160 mm from distal end
120 mm from distal end
80 mm from distal end
40 mm from distal end
Signature Prosthetist
Date:
This gazette is also available free online at www.gpwonline.co.za
No. 38767
59
60
No. 38767
8.
GOVERNMENT GAZETTE, 11 MAY 2015
Environment Activity and Load Levels
Claim Number
Patient:
Home environment:
Suburban
Means of transport:
Private vehicle
Informal
Rural
Public transport
Pedestrian
Total distance travelled every day:
Work environment:
Commercial
Industrial
Agricultural
Mining
Job description at time of accident:
Current job description:
Describe actions of mobility while at work that may be affected by the type of prosthesis fitted:
How often does patient wear prosthesis?
Every day
Occasionally
Seldom
How long does patient wear prosthesis every day?
All day
Most part of day
Less than half a day
Weight category:
Less than 75kg,
Less than 100kg,
Less than 125kgE],
More than 125kg
Mobility grade:
1. Indoor walker
2. Restricted outdoor walked
3. Unrestricted outdoor walker
4. Unrestricted outdoor walker with high impact levels
Remarks
Signature
Prosthetist
Date
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
No. 38767
PROSTHETIC QUOTATION:
Claim Number
Patient .
Amputation level:
Prosthetic Category:
Code
Description
Prosthesis
Foot
Ankle
Knee
Suspension:
Other:
Remarks:
Signed
Signed
Prosthetist
Employee
Print name
Print name
Date
Date
This gazette is also available free online at www.gpwonline.co.za
Amount excl VAT
61
62
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
10. CONFIRMATION OF RECEIPT OF ARTIFICIAL LIMB AND / OR OTHER ACCESSORIES.
Claim number
1.
Confirmation of manufacture / supply by orthotic / prosthetic practitioner:
This serves to confirm that I have manufactured and supplied the following for the above mentioned
employee, as per approval from the office of the Compensation Fund dated
Service provider:
Practice number:
Signature:
Date:
2. Confirmation of receipt by employee:
I confirm that I have received the correct prosthesis and / or accessories and I am satisfied that it is in
good working condition, to the value of R
Name:
Signature:
Date:
Telephone number:
3. Confirmation of receipt of prosthesis by the provincial case manager:
Name:
Signature:
Date:
This form should be completed and submitted to the Compensation Fund by the orthotic / prosthetic
service provider for payment with the account, a copy of the initial quotation and the letter of approval
from the Compensation Fund.
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
No. 38767
t
Department:
Labour
REPUBLIC OF SOUTH AFRICA
UMEHLUKO ELECTRONIC INVOICING FILE LAYOUT
Field
Description
Max length
Data Type
BATCH HEADER
1
2
3
4
5
6
7
8
Header identifier = 1
Switch internal Medical aid reference number
Transaction type = M
Switch administrator number
Batch number
Batch date (CCYYMMDD)
Scheme name
Switch internal
DETAIL LINES
1
Transaction identifier = M
2
Batch sequence number
3
Switch transaction number
4
Switch internal
1
5
1
3
9
8
40
1
1
10
10
3
5
CF Claim number
20
6
20
18
Employee surname
Employee initials
Employee Names
BHF Practice number
Switch ID
Patient reference number (account number)
Type of service
Service date (CCYYMMDD)
Quantity / Time in minutes
Service amount
Discount amount
Description
Tariff
Field
Description
19
Service fee
Modifier 1
Modifier 2
Modifier 3
Modifier 4
Invoice Number
7
8
9
10
11
12
13
14
15
16
17
20
21
22
23
24
4
20
15
3
10
1
8
7
15
15
30
10
Max length
1
5
5
5
5
10
This gazette is also available free online at www.gpwonline.co.za
Numeric
Alpha
Alpha
Numeric
Numeric
Date
Alpha
Numeric
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Numeric
Numeric
Numeric
Alpha
Alpha
Alpha
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Numeric
Alpha
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Date
Decimal
Decimal
Decimal
Alpha
Alpha
Data Type
Numeric
Alpha
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Alpha
Alpha
Alpha
63
64
No. 38767
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26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
GOVERNMENT GAZETTE, 11 MAY 2015
Practice name
Referring doctor's BHF practice number
Medicine code (NAPPI CODE)
40
Doctor practice number -sReferredTo
Date of birth / ID number
Service Switch transaction number - batch number
Hospital indicator
Authorisation number
Resubmission flag
Diagnostic codes
Treating Doctor BHF practice number
Dosage duration (for medicine)
Tooth numbers
Gender (M ,F)
HPCSA number
Diagnostic code type
Tariff code type
CPT code / CDT code
30
Free Text
Place of service
Batch number
Switch Medical scheme identifier
Referring Doctor's HPCSA number
54
Tracking number
Optometry: Reading additions
Optometry: Lens
Optometry: Density of tint
Discipline code
Employer name
Employee number
Field
Description
48
49
50
51
52
53
55
56
57
58
59
60
15
15
13
20
1
21
5
64
9
4
1
15
1
1
8
250
2
10
5
15
15
12
34
6
7
40
15
Max length
Date of Injury (CCYYMMDD)
IOD reference number
Single Exit Price (Inclusive of VAT)
Dispensing Fee
Service Time
8
Treatment Date from (CCYYMMDD)
Treatment Time (HHMM)
Treatment Date to (CCYYMMDD)
Treatment Time (HHMM)
Surgeon BHF Practice Number
Anaesthetist BHF Practice Number
Assistant BHF Practice Number
Hospital Tariff Type
Per diem (Y/N)
Length of stay
Free text diagnosis
8
15
15
15
4
Alpha
Alpha
Alpha
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Numeric
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Alpha
Alpha
Alpha
Alpha
Alpha
Alpha
Alpha
Alpha
Alpha
Alpha
Alpha
Numeric
Alpha
Numeric
Numeric
Alpha
Alpha
Alpha
Alpha
Alpha
Alpha
Numeric
Alpha
Alpha
Data Type
Date
Alpha
Numeric
Numeric
Numeric
61
62
63
64
65
66
67
68
69
70
71
72
73
74
4
8
4
15
15
15
1
1
5
30
This gazette is also available free online at www.gpwonline.co.za
Date
Numeric
Date
Numeric
Alpha
Alpha
Alpha
Alpha
Alpha
Numeric
Alpha
STAATSKOERANT, 11 MEI 2015
TRAILER
1
Trailer Identifier = Z
2
Total number of transactions in batch
3
Total amount of detail transactions
No. 38767
1
10
15
This gazette is also available free online at www.gpwonline.co.za
Alpha
Numeric
Decimal
65
66
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
This gazette is also available free online at www.gpwonline.co.za
No. 38767
67
68
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
This gazette is also available free online at www.gpwonline.co.za
No. 38767
69
70
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
This gazette is also available free online at www.gpwonline.co.za
STAATSKOERANT, 11 MEI 2015
This gazette is also available free online at www.gpwonline.co.za
No. 38767
71
72
No. 38767
GOVERNMENT GAZETTE, 11 MAY 2015
Important
Reminder
from Government Printing Works
Dear Valued Customers,
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