Is PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 still in force?

Yes — PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is currently in force.

When did PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 take effect?

PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 was first recorded in 2014.

How many sections does PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 have?

PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 contains 16 sections.

Where can I read the official version of PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014?

The official text of PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is published at lom.agc.gov.my.

/akn/my/act/pua/2014/363

PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014

The full official text, structured for quick navigation. Copy any provision or jump straight to a section.

Open source PDF

Type: P.U. (A)
Status: In force
Enacted: 2014
Sections: 23

Quick answer

About this p.u. (a)

PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is Malaysia P.U. (A), cited as P.U. (A) 363 2014, currently marked in force and first recorded in 2014.

Opening note

Preamble

PADA menjalankan kuasa yang diberikan oleh seksyen 3 dan 10 Akta Fi 1951 [Akta 209], Yang di-Pertuan Agong membuat perintah yang berikut: Nama, permulaan kuat kuasa dan pemakaian

Seksyen 1

(1)

Perintah ini bolehlah dinamakan

Perintah

(Perubatan)

(Kos Perkhidmatan) 2014.

(2)

Perintah ini mula berkuat kuasa pada 31 Disember 2014.

(3)

Perintah ini hendaklah terpakai hanya bagi orang asing sahaja.

Tafsiran

Seksyen 2

Dalam Perintah ini, melainkan jika konteksnya menghendaki makna yang lain—

“anggota tiruan atau prothesis” ertinya suatu alat yang digunakan di dalam atau di luar untuk mengembalikan pesakit supaya berada dalam keadaan berfungsi bagi membolehkannya berdikari dalam aktiviti hariannya;

“fi pembedahan” ertinya suatu fi yang dikenakan ke atas mana-mana pesakit yang memerlukan apa-apa pembedahan bagi rawatan atau maksud-maksud diagnostik;

“fi pergigian” ertinya suatu fi yang dikenakan bagi apa-apa rawatan pergigian;

“fi rawatan” ertinya suatu fi yang dikenakan bagi layanan perubatan, keselesaan perubatan, ubat, pembalut dan lain-lain perkhidmatan yang diberikan kepada mana-mana pesakit yang dirawat di mana-mana hospital;

“fi siasatan” ertinya suatu fi yang dikenakan ke atas apa-apa prosedur yang merupakan satu bantuan kepada diagnosis selain daripada perkara-perkara yang diliputi oleh fi pembedahan;

“fi wad” ertinya suatu fi yang dikenakan bagi diet dan tempat tidur;

“hospital” ertinya mana-mana hospital Kerajaan meliputi mana-mana hospital pengajaran sesuatu universiti, klinik Kerajaan dan mana-mana Institusi

Perubatan Persekutuan yang lain;

“Institusi Perubatan Persekutuan” ertinya mana-mana hospital dan institusi perubatan yang diisytiharkan oleh Kerajaan sebagai suatu Institusi

Perubatan Persekutuan;

"jagaan harian" ertinya penjagaan pesakit yang dimasukkan ke unit rawatan harian di hospital atau pusat rawatan khas, bagi tempoh kurang daripada dua puluh empat jam atas rujukan oleh pegawai perubatan bagi prosedur perubatan termasuk bagi tujuan pencegahan, penyiasatan, terapi dan rehabilitasi;

“Kementerian” ertinya Kementerian Kesihatan;

“Ketua Setiausaha” ertinya Ketua Setiausaha Kementerian Kesihatan;

“orang asing” ertinya seseorang yang bukan warganegara Malaysia tetapi tidak termasuk—

(a)

seseorang yang bukan warganegara yang memegang suatu kad pengenalan yang dikeluarkan di bawah perenggan 5(3)(b) Peraturan-Peraturan Pendaftaran Negara 1990

[P.U. (A) 472/1990]; atau 4

(b)

pasangan isteri atau suami yang bukan warganegara kepada warganegara Malaysia;

“pakar” ertinya seseorang yang dilantik di bawah Perintah-perintah Am

Bab F Perubatan Tahun 1974;

“pegawai perubatan” ertinya seseorang pengamal perubatan berdaftar atau pengamal pergigian berdaftar yang berkhidmat dengan Kerajaan Malaysia.

Fi pesakit luar

Seksyen 3

Fi bagi perkhidmatan yang diberikan di Jabatan Pesakit Luar, selain daripada fi pergigian hendaklah sebagaimana yang dinyatakan dalam Jadual Pertama dan hendaklah dikenakan di—

(a)

hospital besar;

(b)

hospital daerah;

(c)

poliklinik; dan

(d)

mana-mana tempat lain yang boleh dinyatakan oleh Menteri Kesihatan bagi maksud perenggan ini.

Fi wad

Seksyen 4

(1)

Fi wad hendaklah sebagaimana yang dinyatakan dalam Jadual Kedua.

(2)

Bagi maksud pengiraan fi wad—

(a)

hari kemasukan hendaklah dikira sebagai satu hari genap; dan

(b)

hari keluar hendaklah dikira sebagai satu hari genap jika ia melebihi dua belas jam.

(3)

Jika pada pendapat pegawai perubatan, adalah perlu bagi ibu atau bapa menemani anaknya, dia hendaklah tertakluk kepada fi wad separuh daripada kadar yang dinyatakan dalam Jadual Kedua.

Fi rawatan

Seksyen 5

Fi rawatan hendaklah sebagaimana yang dinyatakan dalam Jadual Ketiga.

Seksyen 6

Fi siasatan

(1)

Fi siasatan hendaklah sebagaimana yang dinyatakan dalam Jadual

Keempat.

(2)

Jika suatu siri x-ray diambil untuk membantu membetulkan aturan suatu retakan, hanya satu fi mengikut kadar yang dinyatakan dalam Bahagian 1 Jadual

Keempat boleh dikenakan bagi retakan itu.

(3)

Sekiranya pemeriksaan radiologi ulangan dijalankan selepas pemeriksaan dalam subperenggan (2), fi berasingan hendaklah dikenakan bagi tiap-tiap pemeriksaan itu.

Fi makmal

Seksyen 7

Fi makmal hendaklah sebagaimana yang dinyatakan dalam Jadual Kelima.

Seksyen 8

Fi pembedahan

Fi pembedahan hendaklah sebagaimana yang dinyatakan dalam Jadual Keenam.

Seksyen 9

Fi pergigian

Ketiga.

Seksyen 10

Fi anggota tiruan atau prothesis

Fi bagi anggota tiruan atau prosthesis hendaklah sebagaimana yang dinyatakan dalam Bahagian 10 Jadual Ketiga.

Seksyen 11

Fi pelbagai

Fi pelbagai hendaklah sebagaimana yang dinyatakan dalam Jadual Ketujuh.

Seksyen 12

Fi jagaan harian

Ketiga hingga Jadual Keenam, dan fi wad adalah berdasarkan kadar wad kelas tiga dalam Jadual Kedua.

Seksyen 13

Pesakit yang dimasukkan ke dalam wad kelas lebih tinggi

Seseorang pesakit yang pada mulanya dimasukkan ke dalam wad kelas yang lebih rendah dan kemudiannya dipindahkan ke dalam wad kelas yang lebih tinggi atas permintaannya sendiri, hendaklah membayar semua fi termasuklah fi wad kelas yang terlibat.

Seksyen 14

Deposit

(1)

Seseorang pesakit hendaklah sebelum diterima masuk ke dalam wad—

(a)

membayar suatu deposit yang akan ditentukan oleh Ketua

Setiausaha; atau

(b)

mengadakan suatu jaminan pembayaran yang memuaskan sebagaimana diluluskan oleh Ketua Setiausaha.

(2)

Jika seseorang pesakit menanggung perbelanjaan tambahan yang tidak diliputi oleh depositnya semasa dia masih di dalam wad, dia hendaklah dikehendaki membayar deposit tambahan.

(3)

Jika fi yang ditanggung oleh seseorang pesakit adalah kurang daripada depositnya, apabila dia dibenarkan keluar dari hospital, hospital hendaklah mengembalikan perbezaan tersebut kepadanya.

Peremitan

Seksyen 15

Ketua Setiausaha boleh meremitkan sebahagian atau keseluruhan daripada mana-mana fi yang dikenakan di bawah Perintah ini.

Seksyen 16

Pertikaian mengenai fi

Perintah ini, pertikaian itu hendaklah dirujuk kepada Ketua Setiausaha yang keputusannya adalah muktamad.

Jadual

JADUAL PERTAMA

[Perenggan 3]

FI PESAKIT LUAR

Fi bagi satu lawatan

(RM)

(a)

Hospital

Pesakit luar am 40

Pesakit luar pakar 120

Jabatan Kecemasan 100

(b)

Klinik kesihatan

Pesakit luar am 40

Pesakit luar pakar 120

(c)

Klinik 1 Malaysia 40

(d)

Klinik Desa 40

(e)

Lain-lain

Perkhidmatan kesihatan kanak-kanak 40

Rawatan obstetrik dan ginekologi 40

Perkhidmatan postnatum 40

*Fi dalam Jadual ini tidak termasuk apa-apa fi lain yang dinyatakan dalam Perintah ini.

Calitan pap 45

Perkhidmatan bersalin (termasuk di Pusat

Bersalin Alternatif dan di rumah)

200

Perkhidmatan perubatan di luar hospital

300 untuk setiap lawatan selain dari apa-apa tuntutan bagi perjalanan, sara hidup dan penginapan mengikut kadar yang ditentukan oleh Kerajaan

Jadual

JADUAL KEDUA

[Subperenggan 4(1)]

FI WAD

Fi bagi sehari (RM)

(a)

Eksekutif

Bilik 1 katil (VIP)

500

Bilik 1 katil 400

Bilik 2 katil 340

(b)

Kelas satu

Bilik 1 katil 320

Bilik 2 katil 240

Bilik 3 katil atau lebih 200

(c)

Kelas dua 180

(d)

Kelas tiga 160

(e)

Bilik bersalin 300

(f)

Unit Rawatan Intensif atau Unit Rawatan

Koronari (dewasa)

360

(g)

Unit Rawatan Intensif atau Unit Rawatan

Koronari (kanak-kanak)

300

(h)

Nurseri 60

(i)

Nurseri rawatan khas 140

(j)

Nurseri dengan rawatan incubator 170

(k)

Wad psikiatri

Berdasarkan kelas wad dan mengikut bilangan katil

Jadual

JADUAL KETIGA

[Perenggan 5]

FI RAWATAN

BAHAGIAN 1

RAWATAN PESAKIT DALAM

Rawatan pesakit dalam 100 sehari

BAHAGIAN 2

RAWATAN PSIKIATRI

Rawatan psikitrik 1,500 setiap kali dimasukkan ke hospital

BAHAGIAN 3

RAWATAN BERSALIN

Caesarean 3,021

Bersalin dengan bantuan : forsep/breech/vakum/bersalin kembar/bersalin normal 2,593

BAHAGIAN 4

LAIN-LAIN RAWATAN

Kardiotokograf 120

Toilet and suture per stich 50

Fine needle aspiration 275

Incision and drainage 275

Catheterisation 85

BAHAGIAN 5

RAWATAN RADIOTERAPI

SIMULASI DAN PERANCANGAN BERKOMPUTER

Penandaan setempat 50

Simulasi konvensional 1,000

Simulasi CT - biasa (tanpa contrast)

1,500

Simulasi CT - kompleks (dengan contrast)

3,000

Simulasi CT - IMRT/Rapid Arc , TBI, TNI, TBE

5,000

Simulasi CT - Stereotactic Radiosurgery (SRT)

20,000

RAWATAN RADIOTERAPI

2D/Single field/parallel opposed per fraction 350 3D/any plans with 3 or more fields per fraction 450

IMRT/Rapid arc per fraction 500

TBI per fraction 500

TNI per fraction 700

SRT per fraction 500

SRS (rawatan pakej - sekali caj sahaja)

30,000

AKSESORI PAKAI BUANG

Beam direction shell 250

Vac-Lock 250

Cerroband 500

Wax 300

RAWATAN BRAKITERAPI

Intra-cavitari : dhobbies/single line source per session 5,000

Intra-cavitari : paired ovoids per session 5,000

Intra-cavitari : full intra-cavitary per session 5,000

Intra-cavitari : for nasopharyngeal cancer (NPC) per session 7,000

Intra-luminal : esophagus, bronchus, ano-rectal per session 300

Interstitial brachytherapy implants : breast brachytherapy implants per implant

6,500

Interstitial brachytherapy implants : extremities implants per implant 6,000

Interstitial brachytherapy implants : oral cavity/anorectal/prostate implants per implant

7,500

Prostate brachytherapy procedure 10,000

Iodine-131 therapy (not Iodine scan) per session 800

KEMOTERAPI

(a)

Single Agent

Jenis A

Low dose cisplatin 65

Methotrexate 65

Doxorubicin 65

Vinorelbine 65

Jenis B

Carboplatin 260

Paclitaxel 260 5-fuFluorouracil 260

Oxaliplatin 260

High dose cisplatin 260

Jenis C

Gemcitabine 1,100

Bleomycin 1,100

Docetaxel 1,100

Ifosphamide 1,100

Mitoxantrone 1,100

Mitomycin 1,100

Irinotecan 1,100

Jenis D

Alimta (pemetrexed) Pemetrexed 5,500

Caelyx pegylated liposomal doxorubicin 5,500

(b)

Double agent

Doxorubicin + Cyclophosphamide 70

Doxorubicin + Ifosphamide 661

Doxorubicin + Cisplatin 89

Doxorubicin + Docetaxel 971

Doxorubicin + Paclitaxel 227

Doxorubicin + Gemcitabine 325

Carboplatin + Fluorouracil 148

Carboplatin + Paclitaxel 398

Carboplatin + Etoposide 105

Carboplatin + Gemcitabine 564

Carboplatin + Docetaxel 1,033

Carboplatin + Vinorelbine 292

Cisplatin + Paclitaxel 231

Cisplatin + Etoposide 133

Cisplatin + Fluorouracil 126

Cisplatin + Pemetrexed 6,160

Cisplatin + Gemcitabine 592

Cisplatin + Vinorelbine 69

Cisplatin + Ifosphamide 1,018

Cisplatin + Methotrexate 44

Cisplatin + Cyclophosphamide 68

Cyclophosphamide + Vincristine 33

Cyclophosphamide + Epirubicin 334

Etoposide + Fluorouracil 147

Gemcitabine + Vinorelbine 318

Gemcitabine + Paclitaxel 742

Gemcitabine + Oxaliplatin 433

Ifosphamide + Vinorelbine 774

Ifosphamide + Epirubicin 1,389

Irinotecan + Fluorouracil 528

Mitomycin + Fluorouracil 674

Oxaliplatin (130 mg/m2) + Capecitabine 1,293

Oxaliplatin + Fluorouracil 317

Paclitaxel + Fluorouracil 304

Capecitabine + Irinotecan (240 mg/m2)

1,560

(c)

Triple agent

Doxorubicin + Cyclophosphamide + Etoposide 220

Doxorubicin + Cisplatin + Ifosphamide 488

Doxorubicin + Dacarbazine + Ifosphamide 1,645

Bleomycin + Etoposide + Cisplatin 1,236

Doxorubicin + Cyclophosphamide + Cisplatin 92

Cyclophosphamide + Methotrexate + Fluorouracil 62

Epirubicin + Cisplatin + Fluorouracil 310

Fluorouracil + Doxorubicin + Cyclophosphamide 68

Fluorouracil + Epirubicin + Cyclophosphamide 278

Ifosphamide + Carboplatin + Etoposide 1,125

Ifosphamide + Dactinomycin + Vincristine 1,120

Gemcitabine + Paclitaxel + Carboplatin 924

Procarbazine + Lomustine + Vincristine 2,472

Ifosphamide + Cisplatin + Etoposide 1,019

Docetaxel + Doxorubicin + Cyclophosphamide 888

Paclitaxel + Ifosphamide + Cisplatin 1,015

Docetaxel + Cisplatin + Fluorouracil 1,070

Paclitaxel + Carboplatin + Etoposide 912

Paclitaxel + Carboplatin + Fluorouracil 981

Mitomycin + Ifosphamide + Cisplatin 766

Vincristine + Doxorubicin + Cyclophosphamide 90

Vincristine + Dactinomycin + Cyclophosphamide

515

Vincristine + Epirubicin + Cyclophosphamide 258

Vincristine + Etoposide + Carboplatin 581

Etoposide + Cisplatin + Ifosphamide 745

Vinblastine + Ifosphamide + Cisplatin 695

Vinorelbine + Ifosphamide + Cisplatin 1,148

(d)

Complex regime

Etoposide + Dactinomycin + Methotrexate + Vincristine +

Cyclophosphamide

338

Etoposide + Cisplatin + Dactinomycin + Methotrexate

217

Etoposide + Vincristine + Doxorubicin + Ifosphamide +

Dactinomycin

1,110

Ifosphamide + Vincristine + Dactinomycin + Doxorubicin

975

Vincristine + Doxorubicin + Cyclophosphamide +

Dactinomycin

392

Vincristine + Doxorubicin + Ifosphamide + Dactinomycin 1,157

Vincristine + Ifosphamide + Carboplatin + Etoposide 944

Vincristine + Ifosphamide + Doxorubicin + Etoposide 1,141

Methotrexate + Dactinomycin + Chlorambucil +

Cyclophosphamide

354

Methotrexate + Vinblastine + Doxorubicin + Cisplatin 232

(e)

Oral agent

Capecitabine 1250mg/m2 658

Capecitabine 1000mg/m2 534

Capecitabine 850mg/m2 441

Chlorambucil 94.50

Cyclophosphamide 3

Etoposide 405

Procarbazine 516

Tegafur 255

Temozolomide 5,405

TARGETED THERAPY

Erlotinib 100mg 4,705

Erlotinib 150mg 5,800

Gefitinib

5,043

Imatinib 100mg 4,492

Imatinib 400mg 9,210

Pazopanib 200mg 1,848

Pazopanib 400mg 2,790

Trastuzumab (loading dose)

6,977

Trastuzumab (maintainence dose)

5,074

Cetuximab (2 weekly regime)

6,112

HORMONE THERAPY

Anastrazole 74

Bicalutamide 74

Exemestane 796

Flutamide 91

Letrozole 126

Lucrin leuprolide acetate 3.75mg 315.90

Leuprolide acetate 11.25mg

971.45

Medroxyprogesterone acetate (IM)

Megestrole acetate 800

Tamoxifen 16

Zoladex goserelin 10.8 depot (setiap 3 bulan)

992

Goserelin 3.6 depot 265.35

IMMUNO THERAPY

Interfelon alfa 1,136

BAHAGIAN 6

PERUBATAN NUKLEAR

Teknetium - 99M pirau kardiak 140

Teknetium - 99M kajian pirofosfat 240

Teknetium - 99MIBI kajian latihan dan rehat 1,700

Talium - 201 kajian latihan dan rehat 1,800

Imbasan limpahan hati berlawang 1,360

Pengimejan tertangguh 24 jam 400

BAHAGIAN 7

NEFROLOGI

Intermitent peritoneal dialysis bagi setiap rawatan 300

Rawatan CAPD (sebulan)

2,100

Renal biopsy (tidak termasuk laporan)

500

Femoral/subclavian catherisation 1,000

Haemoperfusion 1,000

Implantation of tenchoff catheter 200

Pretransplant dialysis treatment 2,000

Lawatan di rumah bagi setiap haemodilaisis 200 setiap lawatan

Cycle-PD/Automated PD

800

Intermitent peritoneal dialysis stab 800

Intermitent peritoneal dialysistenckhoff 800

Continuous arteriovenous haemofiltration 800

Continuous venovenous haemodiafiltration 2,000

Continuous venovenous haemodialysis 2,000

Continuous venovenous haemofiltration 890

Nightly intermitent peritoneal dialysis 2,100

Plasma exchange 1,900

Plasmapharesis 1,900

Haemofiltration 300

Haemodialysis single use kidney 200

Haemodialysis single use kidney high - flux 200

Haemodialysis single use kidney low - flux 200

Haemodialysis single use kidney middle - flux 200

Catheter insertion surgical tenckhoff peritoneal sco 2,500

Catheter removal medical tenckhoff (non OT)

500

Catheter removal surgical tenckhoff ( non OT)

500

Kt/v (CAPD)

150

Catheter insertion central venous 1,000

Catheter insertion CV under US guidance 1,000

Catheter insertion femoral double lumen (non cuffed)

800

Catheter insertion femoral single lumen 1,000

Catheter insertion permanent 2,500

Haemodiafiltration online 300

Haemodialysis reuse kidney 180

Haemodialysis reuse kidney high - flux 180

Haemodialysis reuse kidney low - flux 180

Haemodialysis reuse kidney middle - flux 180

Renal biopsy - biopty gun 500

Renal biopsy - cooks 500

Renal biopsy - tru cut 500

Slow continuous ultrafiltration 1,000 setiap hari

Ultrafiltration 200

Catheter removal central venous 200

Catheter removal femoral double lumen 200

Catheter removal central venous under US

200

Catheter removal femoral single lumen 200

Renal allograft ultrasound 100

Renal allograft ultrasound doppler 150

BAHAGIAN 8

FISIOTERAPI

ELECTROTHERAPY MODALITIES

Biofeedback/myofeedback 80

Direct current/iontophorosis 80

Didynamic current 80

Interrupted Direct Current (IDC)

Interferential Therapy (IT)

Shortwave diathermy (SWD)

Transcutaneous Electrical Nerve Stimulation (TENS)

Ultrasound therapy (US)

Realtime ultrasound 80

Functional electrical stimulation 80

Shockwave therapy 80

THERMAL THERAPY/CRYOTHERAPY

Hot pack 40

Wax bath 40

Infrared radiation 40

Cryotherapy 40

PHOTOTHERAPY

Laser therapy 80

Ultraviolet light therapy 80

CARDIORESPIRATORY THERAPY

Active Cycle Breathing Technique (ACBT)

Breathing exercise 60

Bronchial suction 60

Flutter/incentive spirometer 60

Inspiratory muscle training 60

Inhalation therapy 60

Percussion/vibration 60

Positive expiratory pressure 60

Postural drainage 60

MECHANO THERAPY

Cervical traction 80

Lumbar traction 80

Sequential pump 80

HYDROTHERAPY

Pool exercise 120

Whirlpool 120

MANUAL THERAPY

Soft tissue manipulation 120

Myofascial release 120

Manual lymphatic drainage 120

Accupressure 120

TAPING/BANDAGING/STRAPPING

120

COMPRESSION THERAPY (LYMPHOEDEMA)

SPECIAL TECHNIQUES

Canalith repositioning technique 80

Gaze stabilisation exercise 80

Icing/brushing 80

Joint mobilisation 80

McKenzie technique 80

Motor relearning programme (MRP)

Accupuncture 80

Neurodevelopmental technique 80

Proprioceptive Neuromuscular Facilitation (PNF)

EXERCISE THERAPY

Active, passive, resisted 80

Ambulation/gait training 80

Ante/postnatal exercise 80

Balance training 80

Bladder/bowel training 80

Circuit training/gymnic ball exercise 80

Counter bracing technique 80

Functional activities 80

Group exercise 80

Isokinetic exercise 80

Mechanical exercise 80

Pelvic floor exercise 80

Pelvic floor exercise with PFX educator 80

Relaxation techniques 80

Sensory re-education 80

Special hand regime 80

Treadmill 80

CONSULTATION/STRUCTURED PATIENT EDUCATION/

CAREER TRAINING

SPECIAL TEST – DIAGNOSTIC TOOL

Berg’s balance test 120

Clinical Test for Sensory Interaction and Balance (CTSIB)

120

Computerized dynamic posturography 120

Computerized hand evaluation 120

Dix-hall pike test 120

Dynamic gait index 120

Oculomotor assessment 120

Pelvic floor per vagina/per rectal assessment 120

Perionometer 120

Sensory testing 120

Strength duration curve 120

Voluntary muscle testing 120

Vestibular test 120

BAHAGIAN 9

PERGIGIAN

Cabutan sebatang gigi kekal 50

Cabutan gigi supernumerari / tunggul akar 50

Cabutan sebatang gigi desidus 25

Cabutan - komplikasi - rawatan soket terinfeksi 50

Cabutan - komplikasi - pemberhentian pendarahan 50

Cabutan - komplikasi 50

Tampalan gigi kekal - satu permukaan 75

Tampalan gigi kekal - permukaan berganda/dengan pin retensi

100

Tampalan - gigi desidus 30

Tampalan sementara 30

Penskaleran dan penggilapan 214

Dentur penuh (akrilik) - setiap rahang - termasuk bahan 900

Dentur separa (akrilik) - setiap rahang gigi pertama 500

Dentur separa (akrilik) - maksimum 800

Dentur separa - setiap gigi tambahan 20

Pembaikan plat dentur (tidak termasuk penggantian setiap gigi)

Pembaikan dentur (setiap gigi tambahan)

Relining/Rebasing - setiap denture 120

Pelindung mulut 50

Soft splint 50

Hard splint 200

Splint lain : contohnya oyster 50

Obturator - acrylic 100

Obturator - molloplast 200

Feeding plate 50

Aplians pergigian lain 100

Prosthesis muka 200

Jahitan semula kecederaan tisu lembut orofasial 120

Buka jahitan kecederaan tisu lembut orofasial 60

Rawatan semula kecederaan tisu lembut orofasial 120

Insisi dan saliran - abses orofasial 120

Inlai/onlai - setiap gigi (tidak termasuk fi bahan dan makmal)

120

Korona/venir - setiap unit (termasuk korona sementara tetapi tidak termasuk fi bahan dan makmal)

200

Jambatan setiap abutmen/pontik (termasuk jambatan sementara tetapi tidak termasuk fi bahan dan makmal)

200

Korona keluli tahan karat - setiap unit 50

Korona strip - setiap unit 30

Pembaikan korona/jambatan 50

Tiang dan teras sebatang gigi 150

Restorasi provisional - setiap gigi 30

Rawatan kanal akar - anterior 150

Rawatan kanal akar - premolar 200

Rawatan kanal akar - molar 300

Rawatan kanal akar semula - anterior 250

Rawatan kanal akar semula - premolar 300

Rawatan kanal akar semula - molar 400

Apeksifikasi - setiap gigi 200

Pemberhentian resopsi gigi - setiap gigi 150

Coronal pulpotomi - setiap gigi kekal 150

Cvek pulpotomi - setiap gigi kekal 150

Pulpotomi - setiap gigi decidous 150

Pulpektomi - setiap gigi 200

Pelapikan pulpa (termasuk tampalan sementara) -

langsung/tidak langsung

Rawatan pembuangan pulpa (extirpasi pulp)

Pengeluaran alat yang terpisah/patah 200

Pemutihan gigi (luaran) - setiap rahang 500

Pemutihan gigi (dalaman) - setiap gigi 50

Mikroabrasi - setiap gigi 50

Fluorida topikal - setiap rahang 50

Pengapan fisur - setiap gigi 40

Desensitisasi - setiap gigi 30

Aplians tetap - pakej rawatan dua rahang 5,500

Aplians tetap - pakej rawatan satu rahang 2,700

Aplians fungsi tetap - setiap rahang 2,000

Pembukaan aplians tetap - setiap rahang 300

Aplians penyambung tetap 370

Aplians penyambung tetap - pengganti - setiap rahang 370

Aplians penyambung tetap - pembaikan - setiap rahang 100

Aplians penyambung tetap - simen semula - setiap rahang 100

Retainer tetap - setiap rahang 300

Retainer tetap - pengganti - setiap rahang 200

Retainer tetap - pembaikan - setiap gigi 100

Retainer tetap - setiap rahang - penanggalan 200

Aplian fungsi boleh tanggal - setiap rahang 2,000

Aplian fungsi boleh tanggal - pengganti 2,000

Aplian fungsi boleh tanggal - pembaikan 250

Aplian boleh tanggal - pakej rawatan - setiap rahang 1,500

Aplian boleh tanggal aktif - pengganti - setiap rahang 400

Aplian boleh tanggal pasif - pengganti-setiap rahang 400

Penyenggara ruang boleh tanggal setiap rahang 400

Aplian aktif boleh tanggal - pembaikan - satu rahang 250

Retainer boleh tanggal-pembaikan - setiap rahang 250

Penyenggara ruang boleh tanggal - setiap rahang -

pembaikan

250

Essix retainer 300

Aksesori rahang palatal/lingual 250

Aksesori rahang palatal/lingual - pengganti 250

Pemasangan peralatan traction (on plant) - setiap alat 400

Pemasangan traction chain - gigi terimpak 800

Pengaktifan traction chain untuk pergerakan gigi minor -

setiap gigi

200

Impresi bagi model kerja - setiap rahang (atas/bawah)

200

Gegelang ortodontik - pengganti 100

Braket ortodontik - satu gigi - pengantian 100

Dawai ortodontik - setiap rahang - pengantian (atas/bawah)

200

Pembaikan komponen boleh tanggal - setiap rahang 100

Rawatan facemask 400

Rawatan chin cup 400

Rawatan palatal expander 400

Rawatan headgear 400

Periodontik - pembedahan flap dengan pembedahan tulang

674

Pembedahan flap dengan regenerasi tulang 800

Pembedahan mukogingiva 500

Pemanjangan korona dengan ostektomi 617

Pemanjangan korona tanpa ostektomi 550

Hemiseksi gigi 1,312

Regenerasi tulang dipandu 1,036

Regenerasi tisu dipandu 1,648

Pembedahan flap 674

Gingivektomi 400

Gingivoplasti 400

Pembedahan baji 400

Furkasionplasti - penembusan 1,419

Furkasionplasti - grufplasti 1,419

Reseksi akar 1,312

Pengetaman akar setiap kuadran (debridmen subgingiva)

421

Pengetaman akar keseluruhan mulut (debridmen subgingiva)

637

Pensplinan gigi 158

Venir gingiva labial 300

Perisisi ligamen periodontium 150

Pengubahsuaian morfologi gigi 150

Pengkonturan semula restorasi sedia ada 150

Penyelarasan oklusal 134

Frenotomi/frenektomi 647

Sendi temporomandibel (TMJ) reduksi - tertutup

150

Antralplasti maksila (sinus lift) dengan autograf (graf tulang)

1,000

Antralplasti maksila (sinus lift) dengan allograft

400

Penutupan fistula oro - antral 1,000

Pencucian antrum Caldwell - Luc (sebelah)

200

Eksisi lesi maksilofasial - dengan rekonstruksi - allograft 750

Eksisi lesi maksilofasial 200

Marsupialisasi lesi tulang maksilofasial 200

Marsupialisasi lesi tisu lembut mulut 100

Reduksi dan fiksasi fraktur tulang maksilofasial - tertutup 600

Reduksi dan fiksasi tulang maksilofasial - sementara 20

Vestibuloplasti oral (setiap rahang) - dengan graf 750

Vestibuloplasti mulut setiap rahang 300

Penanggalan fiksasi dalaman - maksilofasial 300

Sekuestrektomi maksilofasial 120

Pembuangan kalkulus duktus liur - terbuka 400

Pembuangan kalkulus duktus liur - tertutup 30

Miatoplasti bukaan duktus kelenjar liur 200

Duktus kelenjar liur - dilasitasi 150

Duktus kelenjar liur - peligaturan 150

Eksisi lesi tisu lembut mulut dengan laser 200

Eksisi lesi tisu lembut mulut - 2 cm atau kurang 120

Saraf trigeminal - krioterapi/keratan 300

Penanggalan benda asing - orofasial - mudah 120

Biopsi tulang maksilofasial 200

Biopsi tisu lembut mulut 120

Biopsi lesi tru-cut 50

Ablasi lesi mukosa oral 200

Frenoplasti 170

Frenotomi/frenektomi dengan laser 170

Apisektomi (setiap gigi) - gigi belakang dengan tampalan retrograde

1,000

Apisektomi (setiap gigi) - gigi belakang 750

Apisektomi (setiap gigi) - gigi anterior dengan tampalan retograd

300

Apisektomi (setiap gigi) - gigi hadapan 120

Pengeluaran gigi terimpak melalui pembedahan - setiap gigi -

rumit 1,000

Pengeluaran melalui pembedahan - gigi/akar - setiap gigi 400

Pengeluaran melalui pembedahan - gigi/akar tersesar - setiap gigi

400

Pengeluaran melalui pembedahan - gigi terimpak/unerupted -

setiap gigi - mudah

400

Transplantasi gigi 750

Peletakan semula dan/atau penstabilan gigi - pembedahan 400

Peletakan semula dan/atau penstabilan gigi - tanpa pembedahan

150

Penanaman semula gigi 200

Pembedahan pendedahan gigi - dengan penempatan penyambung

- setiap gigi

400

Pembedahan pendedahan gigi - tanpa penempatan penyambung -

setiap gigi

150

Implan pergigian (setiap implan) - pembedahan peringkat pertama dengan autograph

600

Implan pergigian (setiap implan) - pembedahan peringkat pertama

400

Implan pergigian (setiap implan) - pembedahan peringkat pertama dengan pengganti tulang

400

Implan pergigian (setiap implan) - pembedahan peringkat kedua

Implan maksilofasial (setiap implan) - pembedahan peringkat pertama

400

Implan maksilofasial (setiap implan) - pembedahan peringkat kedua

Penanggalan implan pergigian/maksilofasial - rumit 300

Penanggalan implan pergigian/maksilofasial - mudah 75

Debridemen tisu lembut orofasial 60

Pendawaian pergigian - setiap rahang 75

Pemberhentian pendarahan - selepas pembedahan 75

Pemberhentian pendarahan - lesi 50

Pemberhentian pendarahan - selepas cabutan 30

Terapi - orofasial laser lembut - setiap kitaran 75

Terapi oromaksilofasial ultrasound 75

Prosthesis - obturator 120

Sitologi aspirasi jarum halus - orofasial 50

Operkulektomi mulut 30

Penanggalan pendawaian pergigian (setiap rahang)

Suntikan ubatan - orofasial 30

BAHAGIAN 10

ANGGOTA TIRUAN/PROSTHESIS

Deskripsi

Peralatan upper limb prosthesis

Cosmetic silicone glove

Amputasi pergelangan tangan 2,800

Cosmetic fingers

Amputasi jari 1,200

Trans radius cosmetic

Amputasi trans radius 4,000

Trans radius mechanical function hand

Amputasi trans radius 6,300

Trans humerus cosmetic

Amputasi trans humerus 7,500

Trans humerus mechanical functional hand

Amputasi trans humerus 9,500

Peralatan lower limb prosthesis

Chopart

Chopart modular prosthesis kanan/kiri 1,800

Symes prosthesis

Chopart symes prosthesis kanan/kiri 3,800

Transtibial prosthesis K1 berjalan dalam rumah (indoor walker)

Terhad kepada pergerakan dalam rumah. Orang yang menjalani amputasi boleh berjalan pada paras permukaan lantai secara perlahan-lahan.

3,550

Transtibial prosthesis K2 limited outdoor

Pergerakan luar rumah yang terhad. Orang yang menjalani amputasi boleh berjalan dengan perlahan dan sederhana laju serta berkeupayaan untuk melangkah pada permukaan tidak rata.

5,500

Transtibial prosthesis K3 active walker

Aktiviti harian termasuk berjalan pantas dan boleh melangkah tanpa halangan.

9,500

Transtibial prosthesis K4 very active/sport

Aktiviti harian dan pelbagai aktiviti lasak melebihi daripada berjalan biasa seperti bersukan.

18,800

Through knee prosthesis K1

hingga K4

Tahap pergerakan adalah di antara KI hingga K4.

13,800

Transfemoral prosthesis K1

berjalan dalam rumah

(indoor walker)

Terhad kepada pergerakan dalam rumah. Orang yang menjalani amputasi boleh berjalan pada paras permukaan lantai secara perlahan-lahan.

7,500

Transfemoral prosthesis K2

limited outdoor

Pergerakan luar rumah yang terhad. Orang yang menjalani amputasi boleh berjalan dengan perlahan dan sederhana laju serta berkeupayaan untuk melangkah pada permukaan 9,000

tidak rata.

Transfemoral prosthesis K3 active walker

Aktiviti harian termasuk berjalan pantas dan boleh melangkah tanpa halangan.

15,000

Transfemoral prosthesis K4 very active/sport

Aktiviti harian dan pelbagai aktiviti lasak melebihi daripada berjalan biasa seperti bersukan.

35,000

Hip disarticulated prosthesis K1

hingga K4

Tahap pergerakan adalah di antara KI hingga K4.

15,000

Knee orthoses hinge knee

450

Knee orthoses weekender knee brace

1,100

Knee orthoses revolution brace

700

Knee orthoses knee ranger post operation brace

450

Knee orthoses fracture hinges

400

Lower limb orthoses Knee Ankle

Foot Orthoses (KAFO)

3,800

Ankle foot orthoses

350

Super lite ankle foot orthoses

250

Ankle foot orthoses sweeder ankle brace

400

Suprameleolar prosthesis 500

seunit

500

Ankle foot orthosis-ankle foot orthosis

(custom made/polypropelyne)

350

Foot care wonder spur

Foot care wonder cup

Foot care wonder sport

130

Foot care soft sock

200

Foot care gel squares

140

Paediatric orthoses pavlic harness

450

Paediatric orthoses Dennis Brown shoes (straight last) full set

700

Paediatric orthoses Dennis Brown shoes (full abduction) full set

700

Cervical soft collar

Penggunaan kecederaan servikal (dibuat daripada bahan lembut).

Cervical adjustable collar (plastik) Penggunaan kecederaan servikal.

Philadelphia A series collar

Penggunaan kecederaan servikal. (padding orthowick foam boleh ditanggalkan).

280

Atlas collar

Penggunaan kecederaan servikal. Terdapat penambahan ke atas pengurangan pergerakan servikal dan keselesaan boleh diperolehi dengan melaraskan strap di bahagian belakang kolar ini.

300

Philadelphia collar

Penggunaan kecederaan servikal. Ringan dan terdiri daripada dua keping foam polythene dengan plastik keras yang menyokong bahagian hadapan dan belakang.

130

Minerva cervical support

Penggunaan kecederaan servikal dengan penyokongan servikal yang optima. Satu saiz yang boleh dilaraskan untuk pelbagai saiz.

1,000

Philadelphia collar with stabilizer and halo

Penggunaan kecederaan servikal. Kebolehan tambahan untuk kawalan memusingkan leher serta flexion/extension.

550

S.O.M.I brace

Penggunaan kecederaan servikal. Orthosis servikal yang boleh dilaraskan untuk flexio, neutral atau hyperextension dan mengehadkan pergerakan.

900

USMC halo system

Penggunaan kecederaan servikal.

3,000

Halo liner

Penggunaan kecederaan servikal.

1,100

PMT halo system

Penggunaan kecederaan servikal.

3,000

Torque screw driver

1,000

Cervical-thoracic lumbar-sacral-orthosis

2,800

Juwett brace

700

Knight taylor brace (TLSO)

800

Knight taylor brace (LSO)

650

Kydex Knight Taylor brace

900

Kydex chair back brace

700

TLSO body jacket

(moulded polypropelyne)

2,800

Sacro - lumbar support (fabric)

150

Scoliosis boston brace

(moulded polypropelyne)

3,000

Peralatan rehabilitasi

Aluminium axilla crutch

Kanak-kanak (S)

Remaja (M

Dewasa (L)

Dewasa bersaiz besar (XL)

Adjustable elbow crutch

140

Adjustable aluminium walking stick with strap in bronze colour

Adjustable aluminium crooked handle walking stick in bronze colour

Adjustable folding walking frame in bronze colour

125

Quadruped walking aid

Quadruped walking aid - narrow base

Standard wheel chair 18” with detachable armrest and footrest

680

Standard wheel chair 18”

280

Semi light weight wheel chair

800

Reclining wheel chair with detachable armrest and elevating footrest

1,200

Light weight wheel chair

1,400

Commode wheel chair

1,400

Major buggy

1,500

Commode chair

200

BAHAGIAN 11

PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI

PERUBATAN TRADISIONAL MELAYU/PRIBUMI

(a)

Urut tradisional melayu/pribumi

Rawatan penyakit kronik 50 / sesi

Rawatan pasca angin ahmar 50 / sesi

(b)

Rawatan penjagaan ibu selepas bersalin

Rawatan urut selepas bersalin 50 / sesi

Pakej rawatan pemulihan selepas bersalin - urut, tungku dan bengkung

150 / sesi

Rawatan pemulihan selepas bersalin - tangas 50 / sesi

PERUBATAN TRADISIONAL CINA

(a)

Akupunktur

Rawatan penyakit kronik 50 / sesi

Rawatan pasca angin ahmar 50 / sesi

Akupunktur dan tambahan moxibustion untuk rawatan sakit kronik dan pasca angin ahmar

60 / sesi

Lain-lain indikasi

50 / sesi

(b)

Herba

Rawatan sampingan untuk pesakit onkologi

(termasuk kos bagi herba)

250/ *kitaran

(*1 kitaran = 2

minggu)

PERUBATAN TRADISIONAL INDIA

(a)

Ayurveda

Shirodhara 150/sesi

Abhyanga 150/sesi

(b)

Terapi komplementari

Kiropraktik 150/sesi

Osteopatik 200/sesi

BAHAGIAN 12

BEKALAN DARAH DAN HASIL DARAH

Sel darah utuh 120

Darah lengkap 120

Pati platlet 120

Krioendapan 120

Plasma beku segar 120

Kriosupernatan 120

Platlet aferes 630

Sel darah utuh pediatrik 110

Filtered red cell 200

Irradiated sel 160

Patogen inactivated plasma 600

Patogen inactivated platelet 800

Patogen inactivated platelet aferesis 1,350

Irradiated aferasis platelet 690

Irradiated platelet 160

Produk pecahan plasma

High purity factor VIII concentrate - 250 IU/vial 540

Intermediate purity factor VIII - 250 IU/vial 300

Pure factor IX -500 IU/vial 790

Prothrombin complex concentrate - 500 IU/vial 590

Recombinant factor VIIa - 60 KIU/vial 2,970

Albumin - 20% 100ml 180

Intravenous immune globulin (IV) - 3g/50ml 700

Recombinant VIII - 250 IU/vial 670

Recombinant IX - 500 IU/vial 1,190

Autologous plasma eye drop 450

BAHAGIAN 13

PEMULIHAN CARA KERJA

ASSESSMENT

(a)

ADL assessment

Canadian Occupational Therapy Performance Measure (C.O.P.M)

Camberwell Assessment of Needs Short Schedule (CANSAS)

Functional Ability Assessment (FAA)

Functional Independence Measure (FIM)

Kohlman Evaluation of Living Skill (KELS)

Modified barthel index 40

Pediatric Evaluation Disabilities Inventory (PEDI)

Self care skills (PASS)

Kohlmens 40

AMPS

(b)

Physical assesment

Muscle Manual Test (MMT)

Strength - dynamometer/pinch gauge 40 2 Point discrimination test 40 9 Hole peg test 40

Berg balance test 40

Grooved peg board 40

Jebsen Taylor hand function test 40

Minnesota manual dexterity test 40

O’connor finger dexterity test 40

O’connor tweezer dexterity test 40

Pain visual analog scale 40

Purdue pegboard test 40

Range of motion - goniometer 40

Roeder manipulative aptitude test 40

Semmes - Weinstein monofilaments test 40

Sensory profile 40

Stereognosis test 40

Vibration 40

Volumeter 40

Tinnetti balance test 40

Microcomputer Upper Limb Exerciser (MULE)

(c)

Development assessment

Bruiniks Oseretsky test 40

Denver 40

Oral motor rating scale 40

Peabody 40

(d)

Perceptual and cognitive assessment

Berry VMI

Chessington Occupational Therapy Neurological Assessment Battery

(C.O.T.N.A.B)

Hospital anxiety depression scale 40

Lowerstein Occupational Therapy Cognitive Assessment (L.O.T.C.A)

Mini mental state examination 40

Rivermead perceptual assessment battery 40

(e)

Preschool assesment

Miller assessment pre schoolers 40

School Function Assessment (SFA)

Test of handwriting skill 40

Behavior assessment 40

Threshold Assessment Grid (TAG)

Hospital anxiety and depression scale 40

Irritability - depression anxiety scale 40

Shaan's function questionaire 40

The Beck depression scale 40

(f)

Wheel chair assessment 40

(g)

Driving assessment

Pre-driving assessment 400

Stroke driving screening assessment 400

(h)

Home/Work place/School assessment

Home fast tool 40

(i)

Work/Vocational assessment

BTE

400

Laser 400

LIDO

400

Role check list 400

T pal 400

Valpar 400

Work cube 400

ACTIVITIES OF DAILY LIVING (ADL) TRAINING

(a)

Instrumental activities of daily living

Ability to use telephone 40

Early ambulation 40

Self hygiene 40

Transfer 40

Ability to handle finance 40

Bathing 40

Bladder management 40

Bowel management 40

Cleaning work 40

Device care 40

Domestic skill 40

Dressing 40

Eating/feeding 40

Food/meal preparation 40

Functional communication 40

Functional mobility 40

Grooming 40

Health eminence 40

Household maintenance 40

Housekeeping 40

Laundry 40

Mode of transportation 40

Money management 40

Responsibility for medication 40

Safety procedure 40

Sexual expression 40

Shopping 40

Toileting 40

(b)

Aids and adaptation (bagi setiap peralatan modifikasi yang dibekalkan)

Cooking utensil 80

Dressing 80

Feeding/drinking utensil 80

Mobility 80

Bathing 80

Reading/writing 80

Wheel chair seating 80

Behavioral therapy 40

(c)

Cognitive and perceptual training

Basic concepts 40

Body part identification 40

Cognitive stimulation 40

Educational activities 40

Right/left discrimination 40

Figure ground discrimination 40

Reality orientation 40

Topographical orientation activities 40

Sequencing 40

Categration 40

(d)

Dynamic splint - harga mekanisme (mengikut harga pasaran) + harga statik splint 240

(e)

Creative therapy

Art therapy 40

Drama/role play 40

Music therapy 40

(f)

Social skill training

Assertive training 40

Coping skill training 40

Group support 40

Group therapy 40

Individual therapy 40

Interpersonal skill 40

Self awareness activities 40

Self control 40

Self expression 40

Social conduct 40

Social skill training 40

Time management 40

Role checklist 40

(g)

Patients and career education

Body mechanic and ergonomic 40

Edema control 40

Energy conservation/work simplication 40

Environment therapy 40

Joint protection techniques 40

(h)

Play and leisure

Leisure check list 40

Play and leisure exploration 40

Play and leisure training 40

(i)

Relaxation

Bio-feedback 40

Deep breathing 40

Diaphragmatic breathing 40

Imaginary relaxation 40

Progressive muscular relaxation techniques 40

(j)

Sensory training

Sensory desensitization 40

Sensory integration 40

Sensory re-education 40

Sensory stimulation 40

Fluidotherapy 40

(k)

Motor training

Above elbow prothesis 40

Above knee prothesis 40

Active assisted exercise 40

Below elbow prothesis 40

Below knee prothesis 40

Bilateral integration 40

Crossing midline 40

Ergonomic training 40

Fine motor skills 40

Finger prosthesis 40

Gait training 40

Gross motor activities 40

Hand-eye coordination 40

Improve balance 40

Motor re-education 40

Neuro developmental technique 40

Normalize muscle tone 40

Oral muscle stimulation 40

Strengthening exercise 40

Endurance training 40

Reduce muscle tone 40

Above elbow prothesis 40

(l)

Compression therapy

Corban bandage 40

Pressure splint 40

Tubigrip

Bayi

(0 hingga 12

bulan)

Kanak-kanak

(1 hingga 18

tahun)

Dewasa

(18 tahun ke atas)

(m)

Pressure garment

Finger strap 10 10 10

Gauntlet 20 30 30

Glove 30 40 40

Forearm A sleeve 20 30 40

Full length arm sleeve 30 40 50

Vest with long sleeve 60 80 120

Vest with short sleeve 40 60 100

Chin strap 20 20 30

Mask 40 60 80

Short pants 40 60 80

Long pants 60 80 120

Thigh strap 30 40 50

Calf strap 30 40 50

Socks (1 unit)

30 40 50

(n)

Static splint

Finger toe 10 10 10

Hand/foot 20 20 30

Hand to forearm 30 50 80

Finger to forearm 30 60 120

Forearm to upper arm 30 60 120

Hand to upper arm 60 120 240

Upper arm 40 60 160

Hard collar 40 80 160

Foot to calf 60 120 160

Foot to mid thigh 120 160 300

Mid calf to mid thigh 40 120 160

Plaztozote insole 10 20 30

Tennis elbow 40 70 70

Ulnar driff 10 20 30

Ergonomic A sling 60 60 70

Foot drop check 60 30 40

Buddy strap 10 10 10

Body brace 100 250 500

Pelvis harness 360 10 0

BAHAGIAN 14

FI IMPLAN BAGI PERKHIDMATAN OFTALMOLOGI

Paediatric and strabismus

Frontalis sling ; silastic material 600

Frontalis sling ; ptose up 1,125

Lacrimal intubation ; Ritleng tube 600

Lacrimal intubation ; Crawford tube 608

Mini monoka 600

Glaucoma ; Baerveldt implant 2,055

Glaucoma ; Ahmad valve implant 2,400

Medpor orbital sphere implant 1,950

Customised artificial eye 3,900

Ready-made artificial eye 120

Conformer 480

Silicone band for squint surgery 120

Low vision optical devices 3,000

Surgical vitreoretina

Silicone oil 675

Gas C3F8 225

Gas SF6 225

Silicone band 120

Silicone sponge 450

Silicone tyre 150

Glaucoma

Baerveldt implant (standard)

2,055

Baerveldt implant (pars plana)

2,055

Ahmad valve (standard)

2,400

Ahmad valve (pars plana)

3,300

Molteno implant 1,950

Amniotic membrane 750

Implant tube extender 1,200

Cataract and refractive surgery 1,200

Capsular tension ring 525

Aniridia ring 1,125

Cornea

Corneal - precut 6,000

Corneal - tissue in optisol 2,700

Corneal tissue-tissue in glycerol 1,500

Amniotic membrane 750

Bandage contact lens - weekly 15

Bandage contact lens - monthly 45

Keratoprosthesis - ocular landers 2,997

Keratoprosthesis - boston 12,000

Intrastromal corneal ring segment - INTACS

4,500

Optical cylinder for ssteo - odonto - keratoprostesis (OOKP)

3,000

Symblepharon ring 585

Oculoplastic

Crawford lacrimal intubation 435

O'Donoghue lacrimal intubation 375

Ritleng intubation set 600

Bicanaliculus intubation set 225

Snug plug - punctal plug 300

Ptosis probe - silicone 600

Ptosis probe - gortex 990

Conformer - silicone, perforated 480

Symblepharon ring 585

Titanium plate 1,425

Titanium screw 225

Gold weight implant 3,150

Platinum weight implant 3,900

Silicone tyre 276 150

Fixation sleeve 75

Sponge 450

Mini monoka 600

Monoka 600

Upper eyelid spacer 1,350

Lower eyelid spacer 1,350

Acrylic implant 75

Hydroxyapatite orbital implant 2,400

MEDPOR - micro thin sheet 1,050

MEDPOR - ultra thin sheet 1,050

MEDPOR - sheets 1,050

MEDPOR - titanium sheets 1,425

MEDPOR enophthalmos wedges 1,950

MEDPOR orbital conical implant 2,025

MEDPOR orbital sphere implant 1,950

MEDPOR blocks 1,170

Orbital sphere tissue expander 2,700

PESS implant 3,300

Customised artificial eye 3,900

Ready-made artificial eye 120

BAHAGIAN 15

FI IMPLAN BAGI PERKHIDMATAN ORTOPEDIK

1.5mm Cortical screw, 0.5mm pitch, full thread

(length range : 6mm - 30mm)

15 2.0mm Cortical screw, 0.6mm pitch, full thread

(length range : 6mm - 40mm)

16 2.7mm Cortical screw, 1.0mm pitch, full thread

(length range : 8mm - 50mm)

17 2.7mm Cortical screw, 1.0mm pitch, self tapping, full thread

(length range : 6mm - 40mm)

Epiphysis mini plates 2.0mm (range : left / right l-obligue, left/right 90 degree t-plate)

Quarter tubular plate 2.7mm (hole range : 3mm - 8mm)

Self compression plates 2.0mm (hole range : 4mm - 8mm)

104

Self compression plates 2.7mm (hole range : 2mm - 12mm)

141

Straight mini plate 2.0mm (hole range : 3mm - 6mm)

94 4.0mm Cancellous screws, 1.75mm pitch, full thread

(length range : 10mm - 70mm)

18 4.0mm Cancellous screws, 1.75mm pitch, long thread

(length range : 16mm - 72mm)

4.0mm Cancellous screws, 1.75mm pitch, short thread

(length range : 10mm - 80mm)

11 3.5mm Cortical screws, 1.25mm pitch, full thread

(length range : 10mm - 70mm)

16 3.5mm Cortical screws, 1.25mm pitch, self tapping, full thread

(length range : 10mm - 65mm)

Clover leaf plate 3.5mm (hole range : 3mm - 5mm)

334

LC-self compression plate 3.5mm (hole range : 2mm - 12mm)

256

One third tubular plate 3.5mm (hole range : 2mm - 12mm)

Self compression plate 3.5mm (hole range : 2mm - 12mm)

Small t-plate (obligue angled) 3.5mm (hole range : 3mm - 5mm)

168

Small t-plate (right angled) 3.5mm (hole range : 3mm - 6mm)

168 6.5mm Cancellous screw, 2.75mm pitch, 32mm thread length

(length range : 30mm - 110mm)

30 6.5mm Cancellous screw, 2.75mm pitch, full thread

(length range : 16mm - 110mm)

31 4.5mm Cortical screw, 1.75mm pitch, full thread

(length range : 14mm - 80mm)

16 4.5mm Cortical screw, 1.75mm pitch, self tapping, full thread

(length range : 14mm - 80mm)

17 4.5mm Malleolar screw, 1.75mm pitch, threaded length

(length range : 25mm - 100mm)

Broad self compression plate 4.5mm (holes range : 4mm - 18mm)

211

Butress l-plate (right angled) 4.5mm (hole range : 3mm - 6mm)

281

Buttress l-plate (left angled) 4.5mm (hole range : 3mm - 8mm)

281

Buttress t-plate 4.5mm (hole range : 3mm - 8mm)

234

Cobra head plate 4.5mm (hole range : 8mm - 11mm)

667

Condylar buttress plate (left angled) 4.5mm

(hole range : 7mm - 15mm)

585

Condylar buttress plate (right angled) 4.5mm

(hole range: 7mm - 15mm)

585

Large t-plate 4.5mm (hole range: 3mm - 9mm)

328

Lateral tibia plate (left angled) 4.5mm (hole range : 5mm - 13mm)

585

Lateral tibia plate (right angled) 4.5mm (hole range : 5mm - 13mm)

585

Limited contact - broad self compression plate 4.5mm

(holes range: 6mm - 18mm)

422

Limited contact - narrow self compression plate 4.5mm

(holes range : 2mm - 16mm)

375

Narrow self compression plate 4.5mm (holes range : 2mm - 18mm)

153

Semi-tubular plate 4.5mm (hole range : 2mm - 12mm)

Spoon plate 4.5mm (hole range : 5mm - 6mm)

312

Bone screw washers (range : Outer 6.5mm, 7.2mm, 10.0mm,

13.0mm)

10 4.0mm Cannulated screw, 16mm thread length

(length range : 25mm - 50mm)

206 4.5mm Cannulated screw, 16mm thread length

(length range : 20mm - 80mm)

206 6.5mm Cannulated screw, full thread

(length range : 25mm - 115mm)

206 7.0mm Cannulated screw, 16mm thread length

(length range : 30mm - 130mm)

206 7.0mm Cannulated screw, 32mm thread length

(length range : 45mm)

217 7.0mm Cannulated screw, full thread

(length range : 20mm - 130mm)

217

Curved reconstruction plate 3.5mm (holes range : 6mm - 18mm)

410

Straight reconstruction plate 3.5mm (hole range : 5mm - 22mm)

234

Straight reconstruction plate 4.5mm (hole range : 3mm - 16mm)

328

DHS plate 130 (hole range : 2mm - 9mm)

585

DHS plate 135 (hole range : 2mm - 9mm)

585

DHS plate 140 (hole range : 2mm - 12mm)

702

DHS plate 145 (hole range : 2mm - 12mm)

702

DHS plate 150 (hole range : 2mm - 12mm)

702

Hexagonal head compression screw, length 36mm 43

Lag screw, thread 12.5mm, thread length 22.0mm

(length range : 50mm - 145mm)

234

Calibrated guide wires, 2.5mm, length 230mm 94

Austin Moore narrow stem stainless steel

(head size range : 38mm - 56mm)

953

Austin Moore standard stem stainless steel

(head size range : 38mm - 56mm)

953

Austin Moore standard stem titanium

(head size range : 38mm - 56mm)

1,521

Thompson standard stem stainless steel

(head size range : 38mm - 56mm)

953

Thompson standard stem titanium

(head size range : 38mm - 55mm)

1,521 130 Angled blade plates (hole range : 4mm - 12mm)

634 95 Angled blade plates (condylar plate 95)

(hole range : 5mm - 18mm)

1,112

Supracondylar plates 95 degress (hole range : 6mm - 16mm)

913

Carbon fibre rods 11.0mm (length range : 100mm - 600mm)

153

Schanz screws 4.0mm (length range : 100mm - 250mm)

Schanz screws 4.0mm/3.0mm (length range : 80mm - 100mm)

Schanz screws 5.0mm (length range : 100mm - 250mm)

Schanz screws 6.0mm (length range : 100mm - 250mm)

113

Tube to pin clamp, connection Schanz screw 5.0mm to 11.0mm tube

223

Tube to tube clamp, end connector 11.0mm to 11.0mm tube 223

Tube to tube clamp, mid shaft connector 11.0mm to 11.0mm tube

223

Ender nails 4.5mm (length range : 420mm - 520mm)

195

Ender nails 4.8mm (length range: 220mm - 520mm)

161

Kuntcher nails 10.0mm (length range : 20 cm - 52 cm)

385

Kuntcher nails 11.0mm (length range : 20 cm - 52 cm)

390

Kuntcher nails 13.0mm (length range : 20 cm - 52 cm)

413

Kuntcher nails 14.0mm (length range : 30 cm - 52 cm)

425

Kuntcher nails 15.0mm (length range : 30 cm - 52 cm)

436

Kuntcher nails 16.0mm (length range : 30 cm - 52 cm)

459

Kuntcher nails 6.0mm (length range : 14 cm - 40 cm)

331

Kuntcher nails 7.0mm (length range : 14 cm - 40 cm)

344

Kuntcher nails 8.0mm (length range : 20 cm - 52 cm)

356

Kuntcher nails 9.0mm (length range : 20 cm - 52 cm)

367

Cerclage wires (10's) (diameter range : 1.0mm - 1.2mm)

1,404

Cerclage wires, length 10 meters (diameter range : 1.0mm - 1.2mm)

134

Kirchner wires 0.9mm, trocar tip single or double

(length range : 70mm - 150mm)

Kirchner wires 1.2mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 1.0mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 1.4mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 1.5mm, trocar tip single or double

(length range : 150mm - 300mm)

Kirchner wires 1.6mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 1.8mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 2.0mm, trocar tip single or double

(length range : 150mm - 400mm)

Rush pins 2.4mm (length range : 25mm - 254mm)

Rush pins 3.2mm (length range : 102mm - 356mm)

102

Rush pins 4.8mm (length range : 203mm - 356mm)

102

Rush pins 6.4mm (length range : 298m - 431mm)

127

Steinmann pins 3.5mm with trocar tip

(length range : 125mm - 150mm)

Steinmann pins 4.0mm/5.0mm mid thread

(length range : 175mm - 200mm)

141

Steinmann pins 4.0mm with trocar tip

(length range : 150mm - 175mm)

Steinmann pins 4.5mm with trocar tip

(length range : 125mm - 250mm)

Steinmann pins 5.0mm with trocar tip

(length range : 150mm - 300mm)

Interlocking femoral nail 880

Interlocking tibia nail 880

Distal tibia plate 3,300

Osteotomy plate 2,860

Calcaneal plate 2,200

Bone staples 110

Stainless steel elastic nail 1,760

Bone cement (plain)

220

External fixator 2 tubes and 8 clamps 4,950

Wrist external fixator 4,950

Reconstruction external fixator set tibia 8,800

Reconstruction external fixator set femur

13,200

IMPLAN KAKI DAN BUKU LALI

Suture anchor - 2.4mm - 5.5mm (titanium, bio absorbable, PEEK)

1,375

Syndesmosis tightrope 1,750

Bio tenodesis screw 1,690

Break away screw 360

Triple threaded screw 6.0mm 900

Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm and 7.3mm

(titanium)

525

Locking plate (mini and calcaneum)

2,350

Compression staple 475

Pilon plate (distal end tibia)

2,000

Ankle distractor (external fixator)

6,000

Bone graft (bonalive)

2,800

Radiofrequency coblation probe (topaz)

1,300

Arthroscopic radiofrequency probe (covac)

950

Arthroereisis screw 2,575

Total ankle replacement 15,500

Taylor spatial frame 12,000

Hind foot nail 3,350

Metatarsophalangeal joint arthroplasty (hemi and total)

6,125

GENERAL/TRAUMA IMPLANTS

DHS

650

Interlocking femoral nail 695

Interlocking tibial nail 695

Kuntscher intramedullary nail tibia 195

Kuntscher intramedullary nail femur 195

Steinman pin 39

Schanz screw 59

Cortical screw 3.5mm 10

Cortical screw 4.5mm 13

Circlage wire 0.2mm - 1.5mm 105 6.5mm Cancellous screw (16/32/full thread)

22 4.0mm Cancellous screw (full/short thread)

Cannulated screw 4.0mm, 6.5mm, 7.0mm 190

Mini plates 169

Mini screws 1.5mm, 2.0mm, 2.7mm 24

Angle blade plate 750

K-Wires various sizes and length 13

Rush nails 649

Straight reconstruction plate 2.7mm 158

Reconstruction plate 3.5mm (straight/curved)

273

Reconstruction plate 4.5mm (straight/curved)

275

Broad DCP plate (4.5mm)

147

Narrow DCP (4.5mm)

113

Small fragments plate (3.5mm)

One third tubular plate (3.5mm)

Semi tubular plate (4.5mm)

T-buttress plate 4H - 6H (4.5mm)

179

T-plate (4.5mm)

212

L-buttress plate 4H - 6H (4.5mm)

195

Small t-plate (3.5mm) : oblique/right/left 120

Condylar buttress plate (4.5mm)

450

Clover leaf plate 265

Spoon plate 229

Distal tibial plate 1,125

Osteotomy plate 650

LC-DCP plate (3.5mm, 4.5mm)

225

Calcanel plate 525

Y-plate 225

Bone staples 40

Washer 15

JOINT ARTHROPLASTY

Hemi hip prosthesis (Austin Moore/Thompson)

725

MISCELLANEOUS

Bone cement (plain)

250

BASIC LCP SMALL FRAGMENT 3.5MM

LCP straight plate 3.5mm : (stainless steel)

(a)

6 - 9 holes (1 set) 1 plate and screws 800

(b)

10 - 12 holes 1,100

LCP metaphyseal 3.5mm (titanium)

(a)

6 - 9 holes (1 set) 1 plate and screws 1,800

(b)

10 - 12 holes 2,000

LCP T Plate 3.5mm : (stainless steel)

(a)

Right angled (3 - 6 holes)

800

(b)

Obloque angle (3 - 5 holes)

800

LCP reconstruction plate 3.5mm (6 - 9 holes) stainless steel 850

LCP plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate and screw

1,600

Screw only 150

Proximal humeral locking plate 3,000

Distal humeral locking plate 3,900

Distal radius locking plate (volar)

2,200

Distal radius locking plate (dorsal)

2,300

LCP distal radius plate 2.4mm

(a)

Dorsal plate (2 plates)

2,300

(b)

Volar plate (extraarticular or juxta articular)

1,800

(c)

Extra long volar plate (10 holes)

2,700

(d)

LCP wrist fusion 2.7mm/3.5mm 2,800

(e)

LCP ulna hook 2.0mm 1,600

(f)

3.0mm Headless compression screw 700

Variable angle 2 column distal radius plate 2.4mm 2,500

LOCKING PLATE (ANGGOTA ATAS) (STAINLESS STEEL)

Clavicular locking plate 1,800

Proximal humeral locking plate 2,200

Distal humeral locking plate 3,900

LCP extra-articular distal humerus plate 3.5mm

(6 holes, 8 holes, 9 holes, 10 holes)

3,900

LCP hook plate 3.5mm 1,200

Olecranon locking plate 3,000

Unreamed humeral nail 1,600

Without end caps 1,200

With end caps 1,600

LCP compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm)

1,600

BASIC LCP LARGE FRAGMENT 4.5MM/5.0MM

LCP narrow 4.5mm/5.0mm humerus/tibia

(a)

6 - 9 holes 1,000

(b)

10 - 16 holes 1,600

(c)

8 - 9 holes 1,100

(d)

10 - 14 holes 1,650

(e)

16 holes 2,000

LCP T-buttress plate 4.5mm/5.0mm (4 - 5 holes)

900

LCP T plate 4.5mm/5.0mm (4 - 6 holes)

900

LCP L-buttress plate 4.5mm/5.0mm (4 - 6 holes)

900

LCP metaphyseal 3.5mm/4.5mm/5.0mm BROAD ( 3 - 9 holes)

2,200

LCP reconstruction plate 4.5mm/5.0mm (6 - 10 holes)

2,000

INTERLOCKING NAIL (STAINLESS STEEL)

LCP dynamic hip screw 4.5mm/5.0mm 2 - 6 holes

(a)

1 plate and srews 1,000

(b)

1 plate + 1 lag screw + 1 compression screw + screws 1,200

(c)

8 - 10 holes 1,400

(d)

12 - 14 holes 1,800

Femur interlocking nail 850

Retrograde nail 1,500

Femur reconstruction nail 1,500

Proximal femoral nail (standard)

1,800

Proximal femoral nail (long stem)

2,500

Gamma nail 1,800

Distal femoral nail 2,400

Tibial interlocking nail 850

LCP hook plate 3.5mm 1,200

LCP 1/3 tubular 1.3mm

(a)

5 - 7 holes 1,200

(b)

8 - 10 holes 1,400

LCP medial proximal tibia plate 3.5mm (4 - 8 holes)

2,400

LCP medial distal tibia plate 3.5mm

(a)

low bend 6 - 8 holes 2,100

(b)

12 - 14 holes 2,600

LCP anterolateral distal tibial plate 3.5mm (5 - 11 holes)

2,100

LCP compact foot : (LCP plate 2.0mm/2.4mm/2.7mm)

1,600

LCP 2 hole plate 2.7mm (consists of 1 plate and screws)

800

Screw only (2.0mm, 2.4mm, 2.7mm)

150

LCP calcaneal plate 3.5mm 2,000

Midfoot fusion bolt 1,800

INTERLOCKING NAIL (TITANIUM)

Femur interlocking nail 1,600

Gamma nail 2,200

Distal femoral nail 2,000

Spiral locking 2,400

Tibial interlocking nail 850

Expert tibial nail (cannulated)

2,000

Expert A2FN standard locking 1,800

Periarticular plate LCP tomofix 3.5mm 2,600

LCP distal fibula plate 2.7mm/3.5mm (lateral/posterolateral)

2,900

LCP proximal tibia plate 3.5mm, lateral (6 - 8 holes)

2,400

OTHERS

Expert nail 1,800

DISTAL FEMUR/PROXIMAL AND DISTAL TIBIA FRACTURES

15,800

(consist of : posts, 3 hole wire clamps, 2 hole wire clamp, supplementary screw holder bar and clamps, HA coated orthofix tapered cortical screws)

ACUTE TRAUMA/POST-TRAUMATIC STIFFNESS

15,000

(Consist of : complete orthofix elbow fixator kit with HA coated orthofix tapered cortical screws )

GENU VARUM/GENU VALGUM/LLD/ANKLE VALGUS ETC.

(consist of : brand : orthofix, Italy)

Trauma paediatric orthopedik 2,400

Titanium Elastic Nail (TEN)

(a)

without end caps (consists of 2 pcs TEN only)

1,200

(b)

with end caps (consists of 2 pcs TEN and 2 pcs end Cap)

1,600

Capos 3.5mm and 4.5mm (consists of 1 plate and screw)

(stainless steel)

1,200

Paediatric hip plate (3.5mm and 5.0mm) 1 plate and screw

(stainless steel)

2,200

Telescopic nail 9,000

Paediatric hip locking plate 2,500 8 Plate 2,500

Paediatric limb reconstruction system 15,000

Arthrodiastasis 15,000

Scoliosis instrumentation (anterior)

30,000

Scoliosis instrumentation (anterior - posterior)

30,000

Scoliosis instrumentation (posterior)

25,000

Anterior cervical fusion system (single level)

6,000

Posterior cervical fusion 10,000

Spinal cages 3,000

Anterior spinal instrumentations 10,000

Lower back instrumentations (single level)

9,000

Artificial discs (cervical)

11,000

Artificial discs (lumbar)

11,000

Kyphoplasty (per level)

7,875

Vertebroplasty (per level)

4,500

Halo vest system 9,450

Scoliosis bracing 840

Juwett, SOMI,TLSO, LSO bracing 998

Pedicle screws 1,155

Sports surgery and arthroscopy

(a)

Primary ACL reconstruction (single bundle)

4,643

(b)

Primary ACL reconstruction (double bundle)

6,943

(c)

Primary PCL reconstruction (single bundle)

5,976

(d)

Primary PCL reconstruction (double bundle)

7,068

(e)

Primary PLC reconstruction (single bundle)

4,515

(f)

Primary PLC reconstruction (double bundle)

7,005

(g)

Primary MCL reconstruction (single bundle)

4,515

(h)

Primary MCL reconstruction (double bundle)

7,005

Multiligament reconstruction without allograft

(a)

2 ligaments 7,873

(b)

3 ligaments 10,108

(c)

4 ligaments 13,558

Multiligament reconstruction with allograft - 2 ligaments 16,873

Patella stabilization surgery 4,010

Knee malalignment surgery 4,400

Meniscus repair surgery 4,343

Meniscus transplantation surgery 27,255

Shoulder stabilization surgery 4,500

Anterior and posterior stabilization 7,723

Single row (small or medium size tear)

12,500

Single row (massive tear)

4,670

Double row (small or medium size tear)

7,945

Double row (massive tear)

7,370

Biceps tendon repair or tenodesis 6,995

ACJ repair 10,795

ACJ reconstruction 3,513

Osteochondral transplantation surgery 4,438

IMPLAN BAGI ARTHROSCOPY DAN SPORT SURGERY

Bioabsorbable interference screw 1,245

Extracortical button 1,335

Suture anchor 1,370

Meniscus repair 1,100

Tight rope repair kit 875

AC graftrope 1,500

Meniscus implant 25,000

Allograft tissue (freeze - dried)

6,000

Allograft tissue (fresh frozen)

11,500

Osteochondral implant 3,000

Force fibrewire 210

Knee brace 1,500

Shoulder brace 475

Osteotomy plate 2,500

Bone substitute 1,400

OSTEOTITE HA COATED SCREWS

Osteotite bone screw 180mm/50mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 180mm/60mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 200mm/50mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 150mm/30mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 150mm/40mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 170mm/40mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 170mm/60mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 170mm/80mm diameter 6mm, thread 6 -5mm

360

Osteotite bone screw 160mm/70mm diameter 6mm, thread 6 -5mm 360

BASIC LRS COMPONENTS

LRS extra short rail length 12cm 2,427

LRS standard rail length 30cm 2,558

LRS long rail length 40cm 3,534

LRS straight central clamp 4,167

LRS straight outer clamp 3,033

LRS t-clamp 2,904

Sandwich clamp with C/D unit for LRS

3,676

Compression distraction unit long clicker model 2,242

Compression distraction unit short 1,319

Compression distraction unit STD clicker model 909

Dyna-ring with C/D unit attach for LRS

1,055

ACUTE/GRADUAL CORRECTION CLAMPS

LRS multiplanar clamp 4,537

Micrometric swivelling clamp for LRS

3,534

LRS hinged rail coupling 3,745

LRS of-garches t-clamp 3,941

Of-garches standard compression/distraction unit 985

Of-garches long compression/distractionunit 985

Pelvic fixator long model kit with 6 pieces of screws 11,500

Hand/forearm applications 5,500

Articulated hip distraction/perthes 16,000

Orthofix dynamic wrist fixator system with screws

(Kit No: 37000 or 37001)

6,500

SS half rings (diameter 80mm - 240mm)

160

SS 5/8 rings (diameter 80mm - 220mm)

180

Carbon fibre half ring (diameter 80mm - 240mm)

320

SS Italian femoral arches :

(a)

90 degree arch, small/large size 200

(b)

120 degree arch, small/large size 200

(c)

Threaded rods (size: 40mm - 450mm)

(d)

Slotted threaded rods (size : 40mm - 100mm)

Telescopic rods

Telescopic rods : 100mm 94

Telescopic rods : 150mm 109

Telescopic rods : 200mm 125

Telescopic rods : 250mm 156

Telescopic rods : 300mm 187

Telescopic rods : 350mm 187

Telescopic rods : 400mm 187

Posts female (size: 2 - 4 holes)

Male post (size : 2 - 4 holes)

Hinges female standard 59

Hinges male standard 59

Hinges - 90 degree standard 59

Hinges - 90 degree low profile 59

Short connection plates

Short connection plate 2 holes length 35mm 62

Short connection plate 3 holes length 45mm 62

Short connection plate 4 holes length 55mm 62

Short connection plate 5 holes length 65mm 62

Short connection plate 6 holes length 75mm 62

Short connection plate 7 holes length 85mm 94

Short connection plate 8 holes length 95mm 94

Short connection plate 9 holes length 105mm 94

Short connection plate 10 holes length 115mm 94

Long connection plate

Long connection plate size : 8 holes length 155mm 94

Long connection plate size : 12 holes length 235mm 94

Long connection plate size : 17 holes length 335mm 109

Connected plates with threaded ends

Connection plates with threaded ends : 5 holes length 135mm 94

Connection plates with threaded end : 7 holes length 175mm 94

Connection plates with threaded ends : 9 holes length 215mm 125

Connection plates with threaded ends : 11 holes length 255mm 125

Twisted plates

Twisted plates : 2 holes length 45mm 50

Twisted plates : 3 holes length 65mm 50

Twisted plates : 4 holes length 85mm 50

Curved plates : 3 holes 62

Bushing (for big RFS)

Threaded sockets (20mm - 60mm)

Connection bolts and nuts

Connection bolts : 10mm 9

Connection bolts : 16mm 9

Connection bolts : 20mm 22

Connection bolts : 30mm 22

Nut 6mm 3

Nut 13mm 5

Thin nut 4

Nylon insert nut 6

Square nut 16

Spacing washers 1.5mm 4

Spacing washers 2.0mm 4

Split locking washer 2.0mm 6

Flat sided washers 2.0mm 7

Flat sided washers 4.0mm 7

Slotted washers 4.0mm 9

Conical washer couple 31

Wire fixation bolt slotted 34

Wire fixation bolt cannulated 34

Pin fixation bolts for 3mm pins 62

Pin fixation bolts for 4mm pins 62

Pin fixation bolts for 5mm pins 62

Pin fixation bolts for 6mm pins 62

Single pin fixation bolt 125

Multiple pin fixation clamp 406

Wire fixation buckle 218

Blocks for half pins (rancheo cubes)

Blocks for half pins : 1 hole 39

Blocks for half pins : 2 holes 39

Blocks for half pins : 3 holes 39

Blocks for half pins : 4 holes 56

Blocks for half pins : 5 holes 62

Blocks for half pins for centre sleeve : 1 holes 42

Blocks for half pins for centre sleeve : 2 holes 42

Blocks for half pins for centre sleeve : 3 holes 42

Blocks for half pins for centre sleeve : 4 holes 56

Blocks for half pins for centre sleeve : 5 holes 62

Centre sleeve for block for half pins

Centre sleeve for block for half pins - 3mm 12

Centre sleeve for block for half pins - 4mm 12

Centre sleeve for block for half pins - 5mm 12

Centre sleeve for block for half pins - 6mm 12

Universal joint 187

Rotational translation device 270

Oblique support connection 53

Wayar

K - wires - cortical 1.5mm x 300mm 25

K - wires - cortical 1.8mm x 370mm 25

K - wires - cancellous 1.5mm x 300mm 25

K - wires - cancellous 1.8mm x 370mm 25

Olive wires - (bayonet point) 1.5 x 300mm 29

Olive wires - (bayonet point) 1.8 x 400mm 29

Set screws 3.0mm 6

Schanz screws 5 x 175mm 35

Schanz screws 5 x 150mm 35

Proximal humerus endoprosthesis 17,500

Distal humerus endoprosthesis 35,000

Total humerus endoprosthesis 40,000

Proximal femur endoprosthesis 21,000

Total femur endoprosthesis 41,500

Proximal tibia endoprosthesis 33,000

Bone cement 350

Expandable endoprosthesis 97,000

Long stem bipolar 7,250

Shoulder arthroplasty 7,900

Radio-capitellum prosthesis 8,500

Total wrist prosthesis 12,000

Distal ulnar head prosthesis 5,600

Sigmoid notch (DRUJ) prosthesis 4,800

Radial head modular Co Ci / Ti 6,500

Radial head prosthesis 5,000

Bipolar radial head 6000

Silicone PIP, MCP, MCP preflex 1,000

Silicone PIP, MCP, MCP preflex with bone cement 1,150

Semi constrained PIP arthoplasty 6,300

Semi constrained MCP arthoplasty 5,600

Surface replacement PIP arthoplasty 4,700

Surface replacement MCP arthoplasty 3,600

CMC thumb arthroplasty 5,250

Carpal fusion plate 3 holes 1,700

Carpal fusion plate 4 holes 2,100

Carpal fusion plate 5 holes 2,450

Hunter’s rod (silastic rods)

800

Stainless steel mini plates

Straight 1.5mm 20 holes 310

Straight 2.0mm 20 holes 280

Condylar plate 1.5mm R/L

445

Condylar plate 2.0mm R/L

500

Condylar plate 2.7mm R/L

440

T plate 1.5mm ; shaft 9 holes; 3/4 holes 500

T plate 2.0mm ; shaft 9 holes; 3/4 holes 420

H plate 2.0mm 340

H plate 1.5mm 160

Reconstruction plate 2.7mm, 5 - 8 holes 400

Reconstruction plate 2.7mm 5 - 8 holes 520

Adaptation plate 2.0mm 20 holes 300

Low profile titanium plates

1.3mm 1.5mm 1,600

Condylar blade plate 1,600

Y, T plate 1,600

H, extended H plate 1,600

Straight plate 1,600 1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws 1,600

Scaphoid screws

Accutrac micro 2.8mm/2.2mm 1,200

Accutrac mini 3.8mm/3.2mm 1,000

Headless compression screw 3.0mm 700

Autofix 2.0mm/2.5mm 600

Autofix 3.0mm/4.0mm 600 3.0mm Cannulated screw 450

Locking plates

Dorsal 2,300

Volar (extra/intra articular)

1,800 10 Holes 2,700

Variable angle 2,500

Wrist fusion 2.7mm/3.5mm 2,800 3.5mm LCP 6 - 9 holes 800 3.5mm LCP 10 - 12 holes 1,100 3.5mm locking reconstruction plate 6 - 9 holes 850 3.5mm LCP metaphyseal plate 6 - 9 holes 1,800 3.5mm LCP metaphyseal plate 10 holes 2,000 3.5mm LCP T plate 3 - 6 holes 800

Proximal humerus internal locking system 2,200

LCP distal humerus 2.7mm/3.5mm 3 - 9 holes (2 plates)

3,900

LCP olecranon 3.5mm 2 - 8 holes 2,700

Anchor sutures

Minilok 2.3mm absorbable 850

Microfix 1.6mm absorbable 850

Hinged elbow external fixator 1 hinge, 4 clamps, 4 schantz screws

7,500

SURGERY SYSTEM

Total knee replacement system

Total knee replacement system for young 12,000

Total knee replacement system mobile bearing 8,000

Ts tibial total knee replacement system 13,000

Total stabilization total knee revision replacement system 19,000

Modular Rotating Hinged (MRH) total knee replacement system

22,000

Global Modular Replacement System (GMRS) proximal femur total knee replacement system

48,000

Global Modular Replacement System (GMRS) proximal tibial total knee replacement system

35,000

Global Modular Replacement System (GMRS) distal femur total knee replacement system

35,000

Global Modular Replacement System (GMRS) total femur total knee replacement system

48,000

Total hip replacement system

Bipolar hemi hip replacement system 4,100

Total hip replacement system (cemented)

7,500

Total hip replacement system for young adult 13,000

Total hip replacement system (cementless)

10,750

Total hip replacement system - long stem (cemented)

8,000

Total hip replacement system - gap ii and mesh (cemented)

13,100

Total elbow replacement system 8,500

Hemi shoulder replacement system 7,250

Total shoulder replacement system 8,000

Reversed shoulder 17,000

Total ankle replacement 9,500

Revision accessories

Acetabulum reconstruction ring 4,500

Revision stems 8,000

Mesh femoral 2,000

Mesh acetabulum 2,000

Cables 500

Pulse lavage 300

Plate 1,500

Cement 270

Antibiotic bone cement 350

Antibiotic bone cement (tobramycin)

1,100

Trabecular metal cone/wedges 3,500

Constraint cup with head 3,500

Cement joint spacer 4,000

Trochanteric hook plate 12,000

Jadual

JADUAL KEEMPAT

[Subperenggan 6(1)]

FI SIASATAN

BAHAGIAN 1

SIASATAN RADIOLOGI

X RAY

Dada

Dada (satu pandangan)

Dada (dua pandangan)

Dada (tiga pandangan)

Dada (empat pandangan)

100

Tulang muka dan hidung

Tulang muka (satu pandangan)

Tulang muka (dua pandangan)

Tulang muka (tiga pandangan)

Tulang hidung (satu pandangan)

Abdomen

Abdomen (satu pandangan)

Abdomen (dua pandangan)

Abdomen (tiga pandangan)

Ginjal, ureter dan pundi kencing (satu pandangan)

100

Pelvimetri lateral 50

Pelvimetri antero - posterior dan lateral 80

Spina

Spina servikal (satu pandangan)

Spina servikal (dua pandangan)

Spina servikal (tiga pandangan)

Spina servikal (empat pandangan)

100

Spina servikal (lima pandangan)

120

Spina torasik (satu pandangan)

Spina torasik (dua pandangan)

Spina torasik (tiga pandangan)

Spina lumbo - sakral (satu pandangan)

Spina lumbo - sakral (dua pandangan)

Spina lumbo - sakral (tiga pandangan)

Spina lumbo - sakral (empat pandangan)

100

Sakrum (satu pandangan)

Sakrum (dua pandangan)

Sendi sakro iliak (satu pandangan)

Sendi sakro iliak (dua pandangan)

Simfisis pubis 40

Sendi sakrooksigeal (satu pandangan)

Sendi sakrooksigeal (dua pandangan)

Kaji skeletal

250

Tengkorak

Tengkorak (satu pandangan)

Tengkorak (dua pandangan)

Tengkorak (tiga pandangan)

Tengkorak (empat pandangan)

100

Mandibel

Mandibel (satu pandangan)

Mandibel (dua pandangan)

Mandibel (tiga pandangan)

Sendi temporo mandibular

Sendi temporo mandibular (satu pandangan)

Sendi temporo mandibular (dua pandangan)

Sendi temporo mandibular (tiga pandangan)

Sendi temporo mandibular (empat pandangan)

100

Mastoid

Mastoid (satu pandangan)

Mastoid (dua pandangan)

Mastoid (tiga pandangan)

Mastoid (empat pandangan)

115

Sinus paranasal

Sinus paranasal (satu pandangan)

Sinus paranasal (dua pandangan)

Sinus paranasal (tiga pandangan)

Foramina optik

Pandangan foramina optik - sesisi 60

Pandangan foramina optik - dwisisi 90

Orbit

Orbit (dua pandangan)

Orbit (tiga pandangan)

Orbit (empat pandangan)

Kanal auditori dalaman

Kanal auditori dalaman (satu pandangan)

Kanal auditori dalaman (dua pandangan)

Kanal auditori dalaman (tiga pandangan)

Bahu

Bahu (satu pandangan)

Bahu (dua pandangan)

Bahu (tiga pandangan)

Bahu (empat pandangan)

100

Sendi akromio - klavikular - kedua-dua belah menanggung berat 50

Lengan (humerus)

Lengan humerus (satu pandangan)

Lengan humerus (dua pandangan)

Sendi siku

Sendi siku (satu pandangan)

Sendi siku (dua pandangan)

Sendi siku (tiga pandangan)

Sendi siku (empat pandangan)

100

Lengan bawah (radius/ulna)

Lengan bawah (radius/ulna) (satu pandangan)

Lengan bawah (radius/ulna) (dua pandangan)

Pergelangan tangan

Pergelangan tangan (satu pandangan)

Pergelangan tangan (dua pandangan)

Pergelangan tangan (tiga pandangan)

Pergelangan tangan (empat pandangan)

100

Tangan

Tangan (sebelah - satu pandangan)

Tangan (sebelah - dua pandangan)

Tangan (sebelah - tiga pandangan)

Tangan (kedua-dua belah - satu pandangan)

Tangan (kedua-dua belah - dua pandangan)

Tangan (kedua-dua belah - tiga pandangan)

Tangan kiri bagi usia tulang 40

Ibu jari atau setiap jari

Ibu jari atau setiap jari lain (satu pandangan)

Ibu jari atau setiap jari lain (dua pandangan)

Klavikel

Klavikel (satu pandangan)

Klavikel (dua pandangan)

Sendi sternoklavikular

Sendi sternoklavikular (satu pandangan)

Sendi sternoklavikular (dua pandangan)

Sendi sternoklavikular (tiga pandangan)

Sternum (satu pandangan)

Skapula

Skapula (satu pandangan)

Skapula (dua pandangan)

Pandangan skafoid 80

Pandangan kanal karpal

Pelvis

Pelvis (satu pandangan)

Pelvis (dua pandangan)

Pelvis (tiga pandangan)

Sendi pinggul

Sendi pinggul (satu pandangan)

Sendi pinggul (dua pandangan)

Sendi pinggul (tiga pandangan)

Sendi pinggul (empat pandangan)

105

Sendi pinggul (lima pandangan)

125

Femur (paha)

Femur (paha) (satu pandangan)

Femur (paha) (dua pandangan)

Lutut

Lutut (satu pandangan)

Lutut (dua pandangan)

Lutut (tiga pandangan)

Lutut (empat pandangan)

100

Lutut (lima pandangan)

120

Tulang keting (tibia/fibula)

Tulang keting (tibia/fibula) (satu pandangan)

Tulang keting (tibia/fibula) (dua pandangan)

Pergelangan kaki

Pergelangan kaki (satu pandangan)

Pergelangan kaki (dua pandangan)

Pergelangan kaki (tiga pandangan)

Pergelangan kaki (empat pandangan)

100

Pergelangan kaki (lima pandangan)

120

Kaki

Kaki (satu pandangan)

Kaki (dua pandangan)

Kaki (tiga pandangan)

Kedua-dua belah kaki (dua pandangan)

Kedua-dua belah kaki (tiga pandangan)

Sendi subtalar

Sendi subtalar (satu pandangan)

Sendi subtalar (dua pandangan)

Sendi subtalar (tiga pandangan)

Sendi subtalar (empat pandangan)

100

Kalkaneum

Kalkaneum (lateral) (satu pandangan)

Kalkaneum (lateral) (dua pandangan)

Kalkaneum (aksial) (satu pandangan)

Kalkaneum (aksial) (dua pandangan)

Densitometri tulang

Densitometri tulang - dexa 150

Densitometri tulang - ultrasound 130

Fluroscopy jantung, paru-paru dan diafragma 400

Tomografi 250

Mammografi 295

Periapikal/bite wing - setiap imej 70

Oklusi 70

Pergigian OPG dan OPG lateral 70

Cone beam computed tomography (CBCT)

700

PEMERIKSAAN DENGAN KONTRAS MEDIA

Sistem kardiovaskular

Free flush arch aortogram 400

Coronary arteriogram 400

Sistem vaskular

Free flush 400

Abdominal aortogram 400

Superior mesentric arteriogram 400

Inferior mesentric arteriogram 400

Femoral arteriogram - unilateral 400

Femoral arteriogram - bilateral 400

Splenoportography 400

Salur gastrousus

Barium telan 115

Barium makan dengan follow through 205

Gastrograffin makan dan enema 205

Hypotonic duodenography 205

Barium enema (usus besar, usus kecil)

205

Barium makan 170

Sistem hempedu

Kolesistogram oral 170

Intravenous cholangiogram 285

Operatif kolangiogram tiub-T

135

Sistem kencing

Urogram intravena (IVU)

400

Sistouterogram kencing

285

Urethrogram 230

Pyelography retrograde 205

Sistem saraf pusat

Myelography 605

Air-encephalogram 605

Ventriculogram 605

Sistem lain

Dacriocystography 230

Sialography 230

Fistulography 230

Arthrography 400

Bronchography - unilateral 230

Bronchography - bilateral 345

Lymphangiography 800

Hysterosalphingography 230

Presacral air insufflation 800

Sinogram 170

Sialogram 460

Sistogram 205

Sistogram kencing 250

Venogram

640

IMBASAN TOMOGRAFI BERKOMPUTER (CT SCAN)

Kepala 915

Toraks 570

Abdomen 630

Pelvis 915

Seluruh badan 1,260

Anggota atas 630

Anggota bawah 630

CT spina - servikal 745

CT spina - dorsal 745

CT spina - lumbo sakral 745

CT spina - lumbar 745

PENGIMEJAN RESONANS MAGNETIK (MRI)

Kepala 2,060

Toraks 1,030

Abdomen 1,485

Pelvis 1,485

Seluruh badan 1,490

Anggota atas 1,490

Anggota bawah 1,490

Spina - servikal 1,375

Spina - dorsal 1,375

Spina - lumbo 1,375

Spina - sakral 1,375

ULTRASOUND

Ultrasound - abdomen atas 150

Ultrasound - pelvis 120

Ultrasound - abdomen dan pelvis 200

Ultrasound - ginjal dan pundi kencing 100

Ultrasound - ginjal, pundi kencing dan anggaran isipadu baki urin

120

Ultrasound - otak (neonatal)

120

Ultrasound - tiroid 100

Ultrasound - payu dara 140

Ultrasound muskuloskeletal untuk setiap bahagian 150

Ultrasound - scrotum 100

Ultrasound - scrotum dengan doppler

200

DOPPLER ULTRASOUND

Doppler ultrasound - karotid ekstra kranium 350

Doppler ultrasound - arteri satu kawasan 250

Doppler ultrasound - vena satu anggota 250

Doppler ultrasound - vena dua anggota 400

Doppler ultrasound - arteri satu anggota 300

Doppler ultrasound - arteri dua anggota 450

Doppler ultrasound bagi apa-apa organ yang tidak disenaraikan di atas – setiap organ

300

Endocavitary ultrasound 150

BAHAGIAN 2

SIASATAN KARDIOLOGI

Elektrokardiogram (EKG) (dengan laporan)

Ekokardiogram transtorasik 230

Signal averaging ECG

237

Ekokardiogram transesofageal 440

EKG (stress/senaman) dengan laporan 270

Eko farmakologi stres 300

Stress echo - treadmill 380

Pemantauan holter (pemantauan ECG 24 jam)

457

Susulan perentak 288

Stress echocardiografi 380

Doppler echocardopgraphy 380

BAHAGIAN 3

SIASATAN NEUROLOGI

Elektroencefalografi

BAHAGIAN 4

SIASATAN OFTALMOLOGI

Refraksi/refraksi psikloplegik 55

Orthoptics/binocular vision/vision therapy 70

Kanta lekap 70

Penglihatan terhad 70

Colour vision kecuali ishihara 70

Diagnostik khas

Visual Field (VF)

Hess test 70

BSV

Corneal topography 220

Keratometry dan A Scan 110

Contrast Sensitivity 70

Heidelberg Retinal Tomography (HRT)

GDx 70

Optical Coherence Tomography (OCT)

Fundus photography 55

Visual Evoked Potential (VEP)

Electroretinography (ERG)

220

BAHAGIAN 5

SIASATAN TELINGA, HIDUNG DAN KERONGKONG

Pure tone audiometri 70

Ujian elektrofisiologi (diagnostik)

(a)

Auditori evoked potential 70

(b)

Otoacoustic emission test 70

(c)

Vestibular function test (kalorimetri)

Hearing aid management 70

Ujian khas

(a)

Free field 70

(b)

Tone decay test 70

(c)

SISI test 70

(d)

Bekesy 70

(e)

Impedance test 70

100

BAHAGIAN 6

PENYIASATAN IMBASAN PET CT

Pet CT

6,500

BAHAGIAN 7

SIASATAN PEMULIHAN PERTUTURAN BAHASA

Pemulihan pertuturan bahasa 70

Prosedur FEES (Flexible Endoscopic Evaluation of Swallowing)

Rawatan vitalstim 70

BAHAGIAN 8

SIASATAN DIETETIK

Nutrition assessment 70

Medical nutrition therapy presumption 70

Medical nutrition therapy intervention 70

Enteral nutrition formula 70

101

Jadual

JADUAL KELIMA

[Perenggan 7]

FI MAKMAL

2 Hours post parandial 20 17 - Oxosteroids 30 17 - Oxogenic steroids 30 3 - Methyoxy - 4 - hydroxy - mandelic acid (HMMA/VMA) (urine)

30 5 - Hydroxy indoles total 20 5 - Hydroxyindoleacetic acid (5 - HIAA)

100

ABO + grouping (anti D only)

Acetone 5

Acid Fast Bacilluss (AFB) culture 45

Acid phosphatase 70

Acquired immunodeficiency syndrome (HIV antibody)

ACTH stimulation test 50

Alanine transaminase 10

Albumin (blood)

Albumin (urine)

Alcohol 50

Aldosterone 84

Alfa-fetoprotein (AFP)

Alkaline phosphatase (ALP)

Allergy skin test 70

Alpha antitrypsin 60

Amino acid by TLC (urine)

100

102

Amino acid by TLC screening 100

Ammonia 60

Amylase 20

Antenatal screening 58

Anti Streptolysin O Titre (ASOT)

Anti-antibodies/haemagglutination test 20

Antibiotic sensitivity 50

Anti-DNA antibody (anti dsDNA)

108

Antigen detection specific pathogens 20

Antinuclear factor (ANF)

Ascorbic acid 20

Aspartate transaminase 10

Aspirate for cylology 100

Augmentin histamine test 50

Bacteriological sterility test 60

Barbiturate 60

Barbiturate (serum)

110

Barbiturate (urine)

110

Bence Jones protein 10

Beta carotene 10

Beta Human Chorionic Ganadotropin (Beta HCG)

Bicarbonate 10

Bile pigment

Bilirubin 20

Bilirubin conjugated 10

Bilirubin unconjugated 10

103

Bilirun (total)

Bleeding time 10

Blood gases 65

Blood group and cross matching 11

Blood Urea Serum Elektrolytes (BUSE)

Blood urea nitrogen 10

Bramsulphathelein excretion test 30

Bronchial brushing cytology 30

Bronchial lavage/washing cytology 30

Brucella agglutination test 20

C reactive protein - quantitative 60

Caeruloplasmin 50

Calcium 20

Cannabinoids 50

Carcino Embryonic Antigen (CEA)

Cardiac enzymes 48

Cardiac isoenzyme (CK)

Cathecolamine 180

Cerebro - spinal fluid (CSF) routine 50

Cerebro - spinal fluid cultural and sensitivity 40

Cerebrospinal fluid cytology 30

Chlamydial (screening)

Chlamydial Immunoglobin G (IgG) antibody 95

Chlamydial Immunoglobulin G (IgG)

Chloride 10

Cholesterol (total)

104

Cholinesterase 20

Chromosomal analysis 600

Clot test 45

Clotting time 10

Coagulation factor anti - xa 50

Coagulation factor ix activity 50

Coagulation factor ix antigen 215

Coagulation factor v antigen 50

Coagulation factor v leiden mutation 215

Coagulation factor vii activity 215

Coagulation factor vii antigen 50

Coagulation factor vii inhibitors 50

Coagulation factor viii activity 215

Coagulation factor viii antigen 50

Coagulation factor viii inhibitors 215

Coagulation factor x antigen 50

Coagulation factor x activity 215

Coagulation factor xi activity 215

Coagulation factor xi antigen 50

Coagulation factor xi inhibitors 50

Coagulation factor xii activity 215

Coagulation factor xii antigen 50

Coagulation factor xiii activity 450

Coagulation factor xiii clot lysis test 50

Coagulation profile 115

Cold agglutin/cryoglobulin titre 125

105

Complement C3 50

Complement C4 50

Complement fixation test 20

Coomb test direct 55

Coomb test indirect 54

Copper 70

Cortisol 55

Cortisol AM

Cortisol PM

Cortisol profile 55

C-Peptide 3 specimen 180

Creatine 20

Creatine Kinase (CK)

Creatine Kinase - Muscle Bound (CK - MB)

Creatinine 35

Creatinine clearance test 35

Creatinine phosphate 35

Cryoglobulin 120

Cryoprecipitate 20

CSF biochemistry 20

Culture of clinical specimen (e.g. tissue culture, animal innoculation)

Culture of mycoplasma 20

Cystic fluid cytology 30

Cystine 5

Cytologi peritoneal fluid 30

Cytological examination of clinical specimen 30

106

Dehydroepiandrosterone sulphate (DHEAS)

Delta amino leavulinic acid urine 70

Dengue fever study 160

Dexamethasone suppresion test 50

Diastase 10

Dibucaine number 20

Differential count 10

Direct smear (grain stain)

Drug analysis (per drug)

Electrolytes 30

Electrone microscopy 250

Electrophoresis (for Bence Jones protein)

Electrophoresis protein 72

ELISA for hepatitis A virus 30

Erythrocyte transketolase and TPP effect 20

Erythrocyte Sedimentation Rate (ESR)

Faecal fat 30

Ferritin 130

Fibrinogen 80

Fibrinogen (immuno method)

115

Filtered RBC

600

Flourescent microscopy 30

Folate RBC

Follicle Stimulating Hormone (FSH)

Free tyroxine index 35

Fructosamine 45

107

Full blood count 40

Full blood picture 80

Gamma glutamine transferase 30

Gastric brushing cytology 30

Gastric function test 50

Gastric lavage cytology 30

Gentamicin, peak 30

Gentamicin, random 30

Gentamicin, trough 30

Gentamycin 30

Globulin 18

Glucose 10

Glucose fasting blood sugar 20

Glucose tolerance test 50

Glucose - 6 - Phosphte Dehydrogenase (G6PD) screening test 20

Glucostix 62

Group and crossmatch (GXM)

Group Screen and Hold (GSH)

Growth hormone 78

Haemagglutination inhibition test (denggue serology)

Haematocrit pack cell volume (PCV)

Haemoglobin and allied pigment 5

Haemoglobin (Hb)

Haemoglobin AIC (HbA1C)

Haemoglobin electrophoresis 60

Haptoglobin 50

108

Hb analysis 60

HDL and LDL cholesterole (pakej)

Hepatitis A Virus Immunoglobulin G Antibody (HAV IgG Ab)

Hepatitis A Virus Immunoglobulin M Antibody (HAV IgM Ab)

Hepatitis B e Antibody (HBV e Ab)

Hepatitis B surface Antibody (HBs Ab)

Hepatitis B surface Antigen (HBs Ag)

Hepatitis C (antibody)

Hepatitis C Virus Immunoglobulin G (HCV IgG Ab)

Hepatitis C Virus Immunoglobulin M (HVC IgM Ab)

Hepatitis E (antigen)

Herpes simplex type 1 immunoglobin G

Herpes simplex type 2 immunoglobin G

High Density Lipoprotein (HDL) cholesterol 20

High density lipoprotein concentration 20

Histopalogy examination type B (medium specimens)

100

Histopalogy examination type C (small specimens)

Histopatology examination type A (large specimens)

125

HIV antigen test 50

HIV antibody confirmation test 150

HLA - B27 291

Homogentisic acid 5

Human Chorionic Gonadotropin (HCG)

Hydroxy butyrate dehydrogenase 35

Hydroxyproline 30

IFA test for legionella ab 30

109

Immunoelectrophoresis 30

Immunofixation 30

Immunoglobulin A (quantitive)

Immunoglobulin E (quantitive)

Immunoglobulin G (quantitive)

Immunoglobulin M (Quantitive)

Immunological techniques (agglutination, flocculation, hemolysis)

Indirect immunoperoxidase test 30

Iron serum 25

Isoenzyme studies 50

Ketone bodies 40

Kleihaurs test 60

Lactate dehydrogenase 15

Lactic dehydrogenase 15

Lange's colloidal gold curve 30

Lead 55

Leuteinising Hormone (LH)

Light microscopy 10

Lipid profile (cholestreole, tryglicerides)

Lipoprotein electrophoresis 270

Lithium 38

Liver function test 100

Low Density Lipoprotein (LDL)

Lupus Erythematous cells (LE cell)

Lysozyme serum 20

Magnesium 15

110

Malaria parasite 15

Mantoux test 15

Mean Corpuscular Haemoglobin (MCH)

Mean Corpuscular Haemoglobin Concentration (MCHC)

Mean Corpuscular Volume (MCV)

Menopausal hormone studies 120

Menstrual cycle study 135

Mercury 125

Microbiological analysis of water, milk, ice cream, other foods 50

MICS of antibiotics 50

Monospot test 30

Morphine/Cannabinoids 80

Mucopolysaccharides 70

Myeglobin 10

Nipple discharge cytology 30

Nuclear sexing (buccal smear)

Occult blood 16

Oesophageal brushing cytology 40

Oestradiol 48

Oestrogen total 30

Orosamucoid 30

Osmolaliti 20

Osmotic fragility test 60

Others brushing cytology 30

Others cytology 30

Pack cell 20

111

Pack Cell Volume (PCV) (haematocrit value)

Paracetamol 50

Paraprotein (serum elektrophoresis)

100

Paraquat 30

Particle agglutination for mycoplasma 20

PCO2 10

Pericardial fluid cytology 30

Peripheral blood film 20

Peritoneal / Ascitic fluid cytology 30

PH urine, blood, fluid 10

Phagocytic function test 100

Phenylketones 10

Phospate 20

Phospate inorganic 11

Phosphorous 15

Platelet agregation test 105

Platelet concentration 20

Platelet count 10

Pleural fluid cytology 30

PO2 10

Porphyrin 30

Porphyrinogen 10

Potassium 10

Puus FEME

Pregnancy test semi quantitative/qualitative 40

Pregnantriol 30

112

Progesterone 70

Prolactin 40

Protein (total) plasma 65

Protein (total) urine 30

Protein electrophoresis 65

Prothrombin Time (PT)

Pus swab culture and sensitivity 40

Pyruvate 30

Pyruvate kinase 30

Random blood sugar 20

Red blood cell (blood)

Red blood cell (urine)

Red cell folate 20

Renal profile 80

Reticulocyte count 40

RH antibody screening 52

Rhesus grouping (anti D only)

Rheumatiod arthritis factor (RA factor)

Riboflavin 30

Rubella antibody 50

Rubella immunoglobulin G antibody 50

Rubella immunoglobulin M antibody 80

Salicylate 50

Schumn's test 10

Screening test for the presence of inhibitors to coagulation factors

Seminal analysis 30

113

Seminal assay 30

Seminal examination 30

Serum ferritin 20

Serum folate 30

Smear for acid fast bacilii 40

Smear wet preparation tricomonas/monilis 10

Sodium 20

SP Fallopian tube 80

SP Abdominal wall 80

SP Adrenal 80

SP Anus 80

SP Appendix 80

SP Back and vertebral column 80

SP Bartolin's gland 80

SP Bone 80

SP Brain and spinal cord 80

SP Breast 80

SP Bronchus 80

SP Cardiac valve 80

SP Cervix 80

SP Chest 80

SP Colon 80

SP Ear 80

SP Endocardium 80

SP Endometrial 80

SP Extra hepatic duct 80

114

SP Eye/Eye appendages 80

SP Gall bladder 80

SP Head 80

SP Heart 80

SP Joint 80

SP Kidney 80

SP Larynx 80

SP Lip 80

SP Liver 80

SP Lower extremity 80

SP Lung 80

SP Lymph node 80

SP Mandible and maxilla 80

SP Mediastinum 80

SP Meninges 80

SP Muscle 80

SP Myocardium 80

SP Myometrium 80

SP Nasal cavity and parasinus 80

SP Nasopharynx 80

SP Neck 80

SP Oesophagus 80

SP Omentum 80

SP Oral cavity and oropharynx 80

SP Ovary 80

SP Pancreas and ampullary region 80

115

SP Paraganglion 80

SP Parathyroid 80

SP Pelvis and sacral 80

SP Penis and scrotum 80

SP Pricardium 80

SP Peritoneum 80

SP Placenta 80

SP Pleural 80

SP Product of conception 80

SP Prostate and seminal vesicle 80

SP Rectum 80

SP Retroperitoneum 80

SP Salivary gland 80

SP Skin 80

SP Small bowel 80

SP Soft tissue 80

SP Spleen 80

SP Stomach 80

SP Testis and testicular adnexae 80

SP Thymus 80

SP Thyroid 80

SP Tongue 80

SP Tonsil/adenoid 80

SP Trachea 80

SP Upper extremity 80

SP Ureter 80

116

SP Urethra 80

SP Urinary bladder 80

SP Uterus 80

SP Vagina 80

SP Vessel 80

SP Vulva 80

Specific gravity 5

Specific protein CSF (e.g. immunoglobulin)

Spectroscopy, blood pigment 10

Sputum cytology 30

Sputum FEME

Stercobilinogen 5

Stones analysis 62

Stool FEME

Sugar 5

Sugar by TLC

Sugar chromatography urine 30

Sugar profile 30

Synovial fluid cytology 30

T and B cell enumeration 100

Test for hemolysin 10

Test for platelet antibodies 170

Testosterone 45

Therapeutic Drug Monitoring (TDM)

Thiamin 30

Thriglycerides 40

117

Thyroid profile 65

Thyroid Simulating Hormone (TSH)

Thyroid uptake 40

Thyroxine 3 (T3)

Thyroxine 4 (T4)

Tissue typing (HLA - A and B)

360

Tissue typing (HLA - DR and DO)

360

Total Iron Binding Capacity (TIBC)

Total RBC

Total White and Differential Count (TWDC)

Total White Blood Cell Count (TWBC)

Transferrin 90

Treponema Pallidum (TPHA) Hemagglutination 30

Triglycerides 40

Urea 10

Urea clearance test 30

Uric acid 20

Uric acid (urates)

Urine antenatal 58

Urine concentration test (pitressin test)

Urine creatinine 30

Urine cytology 30

Urine FEME

Urine protein 30

Urobilin 10

Urobilinogen 20

118

VDRL flocculation test 20

Venereal Disease Research Laboratory (VDRL)

Vitamin A

Vitamin B12 40

Von Willebrand factor assay (ELIZA)

Wash RBC

100

Weil Felix agglutination test 20

White blood cell 10

Widal agglutination test 30

Widal Weil Felix 30

Xylose absorption test 30

119

Jadual

JADUAL KEENAM

[Perenggan 8]

FI PEMBEDAHAN

PEMBEDAHAN AM

Pharyngo - laryngo - oesophagectomy with reconstruction 11,024

Tracheo - oesophageal fistula 8,578

Total pancreatectomy 7,837

Pancreato duodenectomy (e.g. Whipple’s operation)

7,837

Adrenalectomy 6,080

Adrenalectomy - bilateral 6,505

Total parotidectomy - preserving of facial nerve 5,595

Partial parotidectomy - preserving of facial nerve 4,890

Total thyroidectomy 4,005

Partial thyroidectomy 3,870

Hemithyroidectomy 3,870

Subtotal thyroidectomy bilateral 3,945

Thyroglossal cyst 2,147

Block dissection of cervical glands 7,068

Parathyroidectomy 4,533

Mastectomy with/without axillary clearance 2,951

Wide excision for carcinoma breast 2,367

Total oesophagectomy and interposition of intestine 11,607

Repair of diaphragmatic hernia - transabdominal 4,240

Total gastrectomy 5,284

120

Partial gastrectomy (benign disease)

4,079

Partial gastrectomy (malignant disease)

4,669

Gastro - jejunostomy 3,592

Vagotomy with drainage 3,497

Drainage of liver/subphrenic and pelvic abscesses 2,367

Cholecystectomy (laparoscopic)

4,369

Splenectomy (subtotal)

6,232

Intestinal obstruction - resection/anastomosis of small/large intestines

4,580

Resection of small bowel 3,487

Ileo - transverse anastomosis 6,822

Hemicolectomy right/left 3,976

Anterior resection of rectum 7,068

Abdomino - perineal resection 7,546

Rectopexy/rectosigmoidectomy for rectal prolapsed 3,346

Orchidectomy 2,294

Excision of retro peritoneal tumours 4,172

Femoro distal bypass (vein graft)

8,769

Femoro distal bypass (prosthetic graft)

12,385

Femoro popliteal bypass (vein graft)

8,781

Femoro popliteal bypass (prosthetic graft)

11,179

Femoro - femoral crossover graft 8,985

Axillo femoral bypass 10,456

Axillo - bifemoral bypass 11,235

Femoral endarterectomy 6,807

Carotid endarterectomy (patch)

10,288

Removal of sub-mandibular gland 2,181

121

Gastrostomy 2,596

Herniorrhaphy - umbilical 1,833

Herniorrhaphy - inguinal 1,928

Herniorrhaphy - femoral 1,768

Herniorrhaphy - incisional 2,358

Fistulectomy 1,012

Excision of breast tumours/cyst 1,927

Oesophageal dilatation (under general anaesthesia)

1,136

Excision operation for varicocele 1,708

Haemorrhoidectomy 1,764

Adrenalectomy - left - open 6,080

Adrenalectomy - left - laparoscopic 5,794

Adrenalectomy - right - open 6,080

Adrenalectomy - right - laparoscopic 5,794

Adrenalectomy - bilateral - open 6,505

Adrenalectomy - bilateral - laparoscopic 6,219

Block dissection of axillary lymph nodes 2,872

Block dissection cervical nodes - right 5,620

Block dissection cervical nodes - left 5,620

Extended radical neck dissection cervical nodes - right 5,620

Extended radical neck dissection cervical nodes - left 5,620

Splenectomy 2,885

Hemithyroidectomy - left 3,537

Hemithyroidectomy - right 3,537

Mastectomy simple - left 2,826

Mastectomy simple - right 2,826

122

Mastectomy and axillary sampling - left 2,951

Mastectomy and axillary sampling - right 2,951

Mastectomy and axillary sampling - bilateral 2,951

Mastectomy + axillary clearance - left 2,951

Mastectomy + axillary clearance - right 2,951

Subtotal thyroidectomy 3,909

Total thyroidectomy 3,909

Ultra low anterior resection 9,453

Wide local excision and axillary clearance 2,242

Oesophagogastroduodenoscopy (OGDS)

989

Pembedahan torasik

Bronchoscopy - flexible bronchoscopy - rigid bronchoscopy 3,606

Rigid oesophagoscopy 3,333

Throscopy for pleural and lung biopsy 3,553

Mediastinoscopy 7,075

Anterior mediastinotomy 6,130

Vats for spontaneous pneumathorax 7,120

Vats and lobectomy 10,370

Vats and wedge biopsy 6,870

Vats and thymectomy 7,370

Vats and biopsy of lymph node 7,120

Thoracotomy excission of bublae and pleurodesis - pleuropectomy

18,137

Thoracotomy and lung resection (lobectomy, pneumonectomy)

18,136

Decortication for empyema thorax 8,602

123

Rib resection for empyema 6,492

Thoracostomy for permanent chest drainge 8,427

Thoracoplasty 8,415

Transhiatal oesophgectomy with gastric pull up 15,091

Oesophygectomy with colon interposition 17,223

Oesophygectomy with jejunum replacement, roux-en-y 17,056

Oesophygectomy with gastric replacement ivor lewis 17,223

Thoracic repair of hiatus hernia 7,354

Mediastinotomy of ant mediastinal mass 12,581

Thymectomy 7,890

Excision of teratoma 10,466

Corrective surgery for pectus excavatum of pectus carinatum 8,239

Excision of chest wall lessions with reconsruction 7,481

Plication of diaphragm 7,526

Hepatobiliari

Open cholecystectomy 7,425

Open chole with cbd exploration 8,033

Choledhocectomy and hepaticojejunostomy 18,675

Radical cholecystectomy with segment 4b/5 liver resection 28,710

Radical cholecystectomy with segment 4b/5 liver resection with excision of bile duct and roux-en-y hepaticojejunostomy

38,500

Radical choledhocectomy and hepaticojejunostomy 55,305

Surgery for klatskins tumour - radical holedhochectomy with left or right hemihepatectomy, caudate lobectomy, roux-en-y, cholangiojejunostomy

55,000

124

Endoscopic Retrograde Cholangiopancreatography (ERCP)

6,930

Laparoscopic cholecystectomy 9,765

Laparoscopic cholecystectomy and intraop cholangiogram 10,643

Laparoscopic cholecystectomy and laparoscopic cbd exploration 11,385

Transhepatic cholangioscopy and lithotripsy 11,385

Radical pancreaticoduodenectomy with reconstructions 37,500

Distal pancreatectomy 11,385

Distal pancreatectomy + splenectomy 14,153

Central pancreatectomy and reconstruction 23,490

Frey's procedure 23,490

Modified puestow 18,540

Total pancreatectomy 37,500

Pancreatic necrosectomy - open 11,385

Pancreatic necrosectomy - retroperitoneal 11,385

Hemihepatectomy and cholecystectomy (right or left)

33,798

Extended right/left hemihepatectomy and cholecystectomy 41,250

Central hepatectomy 41,250

Lateral sectionectomy 22,660

Right posterior sectionectomy 28,710

Segment 8 resection 28,710

Other anatomical monosectionectomy 17,298

Non-anatomical monosectionectomy 13,915

Non-anatomical bisectionectomy 17,298

Intraoperative ablative procedure , ultrasound guided 13,915

Appendicectomy - laparoscopic 2,531

125

Kolorektal

Colonoscopy 1,590

Repair of colonic fistula 3,030

Wedge resection of rectum 2,680

Excision mesenteric cyst - open 2,723

Caecopexy - open 2,476

Reduction of bowel volvulus - open 2,939

Repair - rectovesico fistula 3,552

Laser treatment of lesion - large intest 1,685

Cauterisation of lesion - colon - endoscopic 1,685

Sigmoidoscopy + cautery of lesion - endoscopic 1,265

Dilatation stricture - small bowel - open 2,423

Balloon dilatation of stricture - colon 2,095

Biopsy of lesion of ileum - laparoscopic 3,868

Excision of colonic lesion - endoscopic 2,770

Sigmoidoscopy + excision colonic lesion - endoscopic 2,770

Snare resection of rectal lesion - endoscopic 4,960

Exploratory colostomy 2,821

Colostomy and removal of foreign body 2,491

Anal fistulotomy 2,457

Laser treatment - anal lesion 1,673

Ileo - transverse anastomosis 4,200

Anterior resection of rectum 6,571

Abdomino - perineal resection 10,764

Pancolectomy 7,701

126

Abdomino - anal pull through resection 10,076

Fistulectomy 1,893

Colonoscopy polypectomy 2,062

Fissurectomy 953

Haemorrhoidectomy 1,771

Thirsch’s wiring of rectal prolapsed 2,280

Drainage of perianal, ischiorectal or breast abscesses 890

Sphincterotomy for fissures - in - ano 872

Anal dilatation (lord’s procedure)

718

Sigmoidoscopy 1,093

Injection of haemorrhoids 643

Banding of haemorrhoid 624

Colonoscopy 1,590

Vaskular

Abdominal aortic aneurysm repair (tube graft)

12,032

Abdominal aortic aneurysm repair (bifurcated graft)

14,403

Endovascular Abdominal Aortic Aneurysm Repair (EVAR)

56,338

Thoracic Endovascular Aortic Repair (TEVAR)

55,088

Aorta femoral bypass 10,883

Renal artery surgery 7,502

Femoro - femoral crossover graft 9,463

Axillo femoral bypass 10,704

Peripheral aneurysm surgery 6,462

Operations for varicose veins of the lower limbs 3,874

127

Endovenous RF surgery for varicose veins 8,462

Endovenous laser surgery for varicose veins 2,752

Stripping of varicose veins 2,124

Creation of arteriovenous (AV) fistula including subsequent closure

2,229

Repair of arteriovenous (AV) fistula 5,286

Creation of arteriovenous (AV) fistula with graft 8,257

Gastrointestinal

Reconstruction of oesophagus 10,556

Vagotomy, truncal with pyloroplasty 3,511

Vagotomy, highly selective 3,146

Transhiatal total oesophagectomy p-g anastomosis 15,181

Duodenoduodenostomy 3,386

Duodenojejunostomy 3,386

Duodenoileostomy 3,386

Oesophagomyotomy 3,576

Sphincterotomy duodenal papilla - open 2,996

Creation of duodenostomy - open 2,996

Excision of diverticulum of oesophagus 6,258

Resection of gastric ulcer by cautery 3,666

Ligation of oesophageal varices - open 4,569

Trans-gastric stapling for varices - open 6,206

Devascularisation of stomach - open 4,581

Removal of stent from oesophagus - open 3,425

Removal of foreign body from oesophagus - open 3,436

128

Repair of stricture of oesophagus 9,806

Repair perforated oesophagus - upper 9,681

Repair perforated oesophagus - middle 7,931

Pyloroplasty - laparoscopic 2,871

Closure perforated duodenal ulcer - open 2,871

Correction of volvulus of stomach 2,871

Total gastrectomy, node dissection, roux-en-y

8,514

Gastric stappling for obesity - open 6,316

Fundoplication - laproscopic 4,566

Adjust implanted antireflux prosthesis - laparoscopic 5,256

Reduction gastroenterostomy intussusception 2,871

Closure of gastroenterostomy - open 3,666

Revision gastropexy - open 3,541

Excision of oesophageal lesion - endoscopic 3,386

Excision of polyp of stomach - endoscopic 3,136

Excision of gastric polyp - endoscopic 3,136

Insertion oesophageal stent via stomach 5,127

Insertion oesophageal prosthesis - open 5,127

Insertion oesophageal tube prosthesis - rigid 5,127

Insertion oesophageal prosthesis - endoscopic 5,127

Percutaneus endoscopic gastrostomy 4,196

Insertion - stent - endoscopic 5,921

Appl haemostatics gastric bleed - endoscopic 2,794

Change of gastrostomy tube 2,629

Cryotherapy of oesophageal lesion 1,287

Electrocoagulation upper oesophageal lesion 1,287

129

Electrocoagulation middle oesophageal lesion 1,287

Electrocoagulation lower oesophageal lesion 1,287

Dilation of oesophageal stricture 1,287

Dilation of oesophageal stricture - endoscopic 2,724

Division of oesophageal web - endoscopic 1,727

Operations for achalasia cardia 5,196

Tanner’s operation and other operation on oesophageal varices

(siguira)

3,022

Vagotomy with drainage 3,511

Ramstedt’s operation (pyloromytomy)

2,871

Oesophageal dilatation (under general anaesthesia)

3,406

Endoscopic oesophageal intubation/dilatation/stent 6,719

Injection sclerotherapy of oesophageal varices 2,392

Endoscopic Retrograde Cholangio Pancreatography (ERCP) -

therapeutic

5,186

Gastroscopy 848

Dermatologi

Laser destruction of skin lesion 1,500

Laser resurfacing 1,709

Laser therapy for pigmented skin lesion 1,500

Laser therapy for vascular skin lesion 1,500

Laser therapy : CO2 1,500

Cauterisation of skin lesion 727

Cautery of a verrucae pedis 727

Cautery of skin lesion 727

130

Cautery of wart 727

Chemical cautery of a corn - left foot 825

Chemical cautery of a corn - right foot 825

Chemical cautery of skin lesion 825

Chemical peeling of lesion of skin - superficial peel 500

Chemical peeling of lesion of skin - medium depth 550

Chemical peeling of lesion of skin - deep peel 830

Botulinumtoxin 2,375

Biopsy of lesion of subcutaneous tissue 1,149

Biopsy of nail bed 1,499

Biopsy of skin 516

Excision intradermal naevus 874

Excision of basal cell carcinoma 1,254

Excision of lipoma 999

Excision of maglinant skin tumour 1,254

Excision of neurofibromata 999

Excision of papilloma 874

Excision of redundant skin or fat of rig 1,039

Excision of sebaceous cyst 544

Excision of skin carcinoma 1,144

Excision of skin cyst 544

Excision of skin lesion 1,039

Excision of skin or subcutaneous tissue 1,039

Excision of skin scar 574

Excision of skin tag 509

Incision and drainage of sebaceous cyst 509

131

Incision and drainage of wound 509

Incision biopsy of skin 544

Incision biopsy of skin lesion 544

Insertion of therapeutic substance

1,150

Intralesional steroid for keloid 300

Intralesional steroid for skin lesion 300

Bath PUVA

810

Phototheraphy : PUVA

748

Phototheraphy : UVAI

490

Topical PUVA

720

Cryotherapy of basal cell carcinoma 630

Cryotherapy to skin lesion 313

Cryotherapy to wart 313

Needle prick for skin lesion 329

UROLOGI

Transplantation and donor nephrectomy 13,991

Extracorporeal Shock Wave Lithotripsy (ESWL)

3,000

Nephrectomy (simple) and nephroureterectomy 3,944

Nefrectomy (radical) and nephroureterectomy 5,504

Nephrectomy (partial) and nephroureterectomy 4,294

Pyeloplasties 3,809

Nephrolithotomy 5,418

Pyelolithotomy 4,163

Nephropyelolithotomy 4,163

132

Vascular surgery - renal artery stenosis 8,333

Nephrostomies - unilateral 2,154

Nephrostomies - bilateral 2,601

Percutaneous Nephrolithotripsy (PCNL)

5,953

Reimplantation/tailoring 3,319

Replacement of - by bladder 3,285

Replacement of - by gut 4,845

Replacement of - by ureter 3,540

Ureteroscopy (URS)

5,018

Total cystectomy 6,154

Partial cystectomy 3,869

Endoscopic surgery 1,500

Bladder reconstruction 9,025

Urethroplasty 3,203

Partial amputation of penis 2,913

Total amputation of penis 3,568

Reconstruction of hypospadias (severe)

6,420

Reconstruction of epispadias 4,130

Orchidectomy 2,208

Transurethral resection 3,322

Open prostatectomy 3,628

Fistula repair (very severe)

2,432

Ureterolithotomy 3,393

Vesicolithotomy 2,256

Vesicolithopaxy 2,752

Trans-urethral resection of bladder neck 2,187

133

Trans-urethral resection of bladder tumours 3,367

Excision of stricture 1,612

Urethral dilation 982

Reconstruction of hypospadias (moderate)

5,471

Orchidopexy 1,843

Vasovasastomy 2,913

Trans-urethral resection of stricture 3,322

Arteriovenous (AV) fistula 2,182

Fistula repair (moderate)

5,297

Excision operation for varicocele 1,708

Renal biopsy 1,507

Cystoscopic examination/biopsy 1,717

Cystoscopic examination and retrograde pyelogram 4,202

Vasectomy 1,158

Micturating cysto urethrogram 388

Circumcision 1,441

Repair of vesicovaginal fistula 3,520

Reconstruction of bladder neck 8,075

Colposuspension - laparoscopic 3,495

OBSTETRIK DAN GINEKOLOGI

Pelvic exenteration 9,697

Wertheim’s hysterectomy 8,877

Radical vulvectomy 3,256

Extended hysterectomy 8,045

134

Abdominal hysterectomy 3,802

Vaginal hysterectomy 4,822

Myomectomy 3,552

Ovarian cystectomy/salpingo - oopherectomy 5,402

Simple vulvectomy 2,831

Tubal repair surgery 3,030

Ventral suspension - sling operation 2,550

Ectopic pregnancy 3,267

Abdominal sterilization/minilaparotomy 3,017

Laparoscopy 2,495

Second look laparotomy 3,160

Vaginal reconstruction 6,193

Manchester repair 3,190

Repair for stress incontinence 4,065

Pelvic floor repair 3,345

Cervical cerlage 1,572

Cone biopsy 1,592

Cauterization 971

Insufflation 1,036

Cervical biopsy (punch)

916

Secondary suturing 1,036

Polypectomy/avulsion of polyp 1,191

Cryocautery/cryosurgery 900

Incision and drainage 567

Marsupialisation of bartholin abscess 1,511

Excision of labial/vaginal cyst 1,511

135

Vulval biopsy 926

Open operation of fetus - repair of diaphragma 5,426

Open operation of fetus 5,426

Placental ablation 1,162

Cervical biopsy 872

Amnio reduction 1,446

Insertion of contraceptive implant 923

Removal of contraceptive implant 923

Termination of pregnancy 1,508

Removal of cerclage from cervix 923

Breech extraction 1,647

Abdominal sterilisation/minilaparotomy 2,216

Ectopic pregnancy 2,826

Second look laparotomy 3,160

Repair for stress incontinence 4,065

Tubal repair surgery 3,030

Vaginal reconstruction 6,193

Ventral suspension - sling operation 2,566

Cervical cerclage 996

Laparoscopy and ovarian drilling 3,067

Vaginectomy - total 4,230

Vulvectomy - extended 3,681

Pelvic exenteration 9,697

Myomectomy - laparotomy 3,552

Hysterectomy total and bilateral salphingoopho 5,012

Hysterectomy vaginal 3,235

136

Hysterectomy total abdominal 2,977

Vaginectomy - partial 2,770

Salphingo - oophorectomy - right - open 3,212

Salphingo - oophorectomy - left - open 3,212

Salphingo - oophorectomy - right - endoscopic 2,676

Salphingo - oophorectomy - left - endoscopic 2,676

Hysterectomy Wertheim's 8,877

Hysterectomy - extended 8,045

Vag. Tot Hyster bilateral salphingoophorect 4,825

Fenton's operation 3,385

Caeserean hysterectomy 3,136

Repair of bladder fistula 3,155

Oophorectomy - bilateral - open 2,797

Oophorectomy - bilateral - endoscopic 2,791

Salphingectomy - right - open 3,372

Salphingectomy - left - open 3,372

Salphingectomy - bilateral - open 3,622

Salphingectomy - right - endoscopic 2,676

Salphingectomy - left-endoscopic 2,676

Salphingectomy - bilateral - endoscopic 3,620

Gamete intrafallopian transfer - right 1,535

Gamete intrafallopian transfer - left 1,535

Zygote intrafallopian transfer - right 1,535

Zygote intrafallopian transfer - left 1,535

Tubal embryo transfer - right 1,185

Tubal embryo transfer - left 1,185

137

Laparoscopic adhesiolysis 2,856

Sclerosing injection into vulval vein 888

Reversal of tubal sterilization 6,257

Uterine ligament operation - open 1,517

Uterine ligament operation - endoscopic 2,136

Repair of uterovaginal fistula 4,160

Repair of ruptured uterus 3,906

Repair of urethrovaginal fistula 3,130

Vaginoplasty 4,766

Repair of enterocele - abdomino - vaginal 2,687

Repair of enterocele - endoscopic 2,685

Transvaginal tape 2,650

Plication of round ligament - open 2,682

Plication of round ligament - endoscopic 6,001

Uterine ventrosuspension - open 2,142

Uterine ventrosuspension - endoscopic 2,136

Sacrocolpopexy - endoscopic 5,001

Hysterostomy 4,570

Extraperitoneal caesarean section 3,215

Postmortem caesarean section 3,215

Surgical control of postpartum haemorrhage 2,152

Ovary reconstruction - bilateral 3,122

Reconstruction fallopian tube - bilateral - endoscopic 6,255

Reconstruction fallopian tube - left - endoscopic 4,550

Reconstruction fallopian tube - right - endoscopic 4,550

Reconstruction fallopian tube - bilateral - open 5,257

138

Reconstruction fallopian tube - left-open 2,682

Reconstruction fallopian tube - right - open 2,682

Salphingotomy - left - endoscopic 2,676

Salphingotomy - right - endoscopic 2,676

Salphingotomy - left - open 2,142

Salphingotomy - right - open 2,142

Repair of bladder 3,155

Sling operation - tension free vaginal tape 2,612

Sling operation - bladder neck 2,872

Bisection of ovary - right - open 2,142

Bisection of ovary - left - open 2,142

Bisection of ovary - bilateral - open 3,122

Bisection of ovary - right - endoscopic 2,676

Bisection of ovary - left - endoscopic 2,676

Bisection of ovary - bilateral - endoscopic 5,251

Drainage of ovary - right - open 2,872

Drainage of ovary - left - open 2,872

Drainage of ovary - bilateral - open 5,257

Drainage of fimbrial cyst - right - open 2,682

Drainage of fimbrial cyst - left - open 2,682

Drainage of fallopian tube - right - open 2,682

Drainage of fallopian tube - left - open 2,682

Drainage of fimbrial cyst - right - endoscopic 2,676

Drainage of fimbrial cyst - left - endoscopic 2,676

Drainage of fallopian tube - right - endoscopic 2,676

Drainage of fallopian tube - left - endoscopic 2,676

139

Endometrial sampling - transorifice intra 1,486

Endometrial ablation thermal 2,111

Endometrial ablation microwave 2,401

Myomectomy - laparoscopic 3,142

Colposcopy of cervix - Large Loop Excision of the Transformation Zone

(LLETZ)

590

Colposcopy of cervix - Loop Electrosurgical Excision Procedure (LEEP)

1,350

Laparoscopy diagnostic 2,457

Myomectomy - hysteroscopic 3,552

Colposcopy of vagina 810

Colposcopy of vulva 795

Laparoscopy second look 3,160

Laparoscopy and dye insufflation 1,036

Minilaparotomy tubal ligation 2,142

Laparoscopic sterilisation 5,001

Colpocleisis 2,142

Repair of vault of vagina 1,300

Colpoperineorrhaphy 4,802

Repair of hymen 916

Sacrocolpopexy - vaginal 2,682

Hysteroscopic resection uterine septum

2,606

Colposcopy of cervix - cervical biopsy 590

Colporrhaphy 2,006

Drainage of ovary - bilateral - endoscopic 6,251

Drainage of ovary - right - endoscopic 4,546

140

Drainage of ovary - left - endoscopic 4,546

Cauterisation vulva - right 900

Cauterisation vulva - left 900

Cauterisation vulva - bilateral 900

Cryotherapy of lesion of vulva - right 900

Cryotherapy of lesion of vulva - left 900

Cryotherapy of lesion of vulva - bilateral 900

Cervical cerclage - McDonald's 1,506

Cervical cerclage - Shirodkar's 1,506

Cryocautery/cryosurgery - cervix 820

Cauterisation cervix 820

Cryotherapy of lesion of vagina 830

Cauterisation vagina 820

Cryosurgery perineum 1,010

Dilatation cervix 900

Vaginal dilatation procedure 900

Evacuation of vaginal haematoma 1,026

Cone biopsy 1,592

Amputation of cervix 1,760

Hysteroscopy 1,401

Excision of vaginal adhesions 1,486

Repair of cervical tears 1,032

Cervical cerclage - abdominal 1,506

Secondary suturing - perineum 1,036

Excision of female periurethral tissue 916

Drainage of labial minora abscess - right 1,511

141

Drainage of labial minora abscess - left 1,511

Drainage of labial minora abscess - bilateral 1,511

Drainage of labial majora abscess - right 1,511

Drainage of labial majora abscess - left 1,511

Drainage of labial majora abscess - bilateral 1,511

Marsupialisation of Bartholin's abscess 1,511

Marsupialisation of Bartholin's cyst - left 1,356

Marsupialisation of Bartholin's cyst - right 1,356

Marsupialisation of Bartholin's cyst - bilateral 1,511

Biopsy of ovary - right 2,142

Biopsy of ovary - left 2,142

Biopsy of ovary - bilateral 2,392

Cystectomy - open - right 2,547

Cystectomy - open - left 2,547

Cystectomy - open - bilateral 2,797

Cystectomy - endoscopic - right 4,546

Cystectomy - endoscopic - left 4,546

Cystectomy - endoscopic - bilateral 4,546

Excision of tubo - ovarian mass - right 2,142

Excision of tubo - ovarian mass - left 2,142

Excision of tubo - ovarian mass - bilateral 3,122

Excision of fimbria - right - open 2,682

Excision of fimbria - left - open 2,682

Excision of fimbria - bilateral - open 2,932

Excision of fimbria - right - endoscopic 2,682

Excision of fimbria - left - endoscopic 2,682

142

Excision of fimbria - bilateral - endoscopic 5,251

Excision of fimbrial cyst - right - open 2,682

Excision of fimbrial cyst - left - open 2,682

Excision of fimbrial cyst - bilateral - open 2,682

Excision of fimbrial cyst - right - endoscopic 2,676

Excision of fimbrial cyst - left - endoscopic 2,676

Excision of fimbrial cyst - bilateral - endoscopic 2,676

Hysterectomy subtotal 2,997

Hysterectomy total - laparoscopic 3,245

Hysterectomy vaginal - laparoscopic assist 3,255

Polypectomy - endometrium 1,486

Hymenectomy 916

Excision of excess labial minora tissue - left 1,321

Excision of excess labial minora tissue - right 1,321

Excision of excess labial minora tissue - bilateral 1,321

Excision of excess labial majora tissue - left 1,331

Excision of excess labial majora tissue - right 1,331

Excision of excess labial majora tissue - bilateral 1,331

Biopsy of vulva - right 900

Biopsy of vulva - left 900

Biopsy of vulva - bilateral 900

Excision of vulval polyp - right 1,080

Excision of vulval polyp - left 1,080

Excision of vulval polyp - bilateral 1,110

Vulvectomy - hemi - right 2,831

Vulvectomy - hemi - left 2,831

143

Vulvectomy - hemi - bilateral 2,831

Vulvectomy - wide local excision 3,681

Excision of Bartholin gland - left 1,356

Excision of Bartholin gland - right 1,356

Excision of Bartholin gland - bilateral 1,511

Removal of foreign body - vagina 900

Falloposcopy 2,136

Colposcopy of cervix 590

Exploration of vagina 900

Removal of pessary from vagina 900

Ovary reconstruction - right 2,142

Ovary reconstruction - left 2,142

Burch's colposuspension - with graft 4,152

Burch's colposuspension - endoscopic 6,251

Fimbroplasty - right - open 2,682

Fimbroplasty - left - open 2,682

Fimbroplasty - bilateral - open 2,676

Fimbroplasty - right - endoscopic 2,680

Fimbroplasty - left - endoscopic 2,680

Fimbroplasty - bilateral - endoscopic 5,257

Reconstruction of vagina with flap 3,625

Repair of vaginal wall prolapse - vagina 2,940

Vaginal repair - anterior mesh 2,690

Repair of vaginal tear 1,042

Repair of vaginal wall prolapse - endoscopic 5,255

Clitoroplasty 4,546

144

Repair of enterocele - abdominal 2,932

Repair of enterocele - vaginal 2,695

Repair of perineal tear 1,034

Sacrospinous fixation of vaginal vault 2,687

Sacrocolpopexy - vagino - abdominal 2,682

Drainage of vulval hematoma - right 1,071

Drainage of vulval hematoma - left 1,071

Drainage of vulval hematoma - bilateral 1,546

Biopsy of uterus 1,486

Removal of foreign body - uterus 1,486

Biopsy of cervix 845

Biopsy of vagina 900

Excision of vaginal lesion 1,501

Biopsy perineum 900

Dilatation and curettage - ERPOC

1,061

Dilatation and curettage - diagnostic 1,061

Insertion pessary into vagina 680

Insertion intrauterine device 690

Examination under anaesthesia - staging 900

Examination under anaesthesia - vagina 900

Removal of intrauterine device 690

Repair of genital tract tear 1,495

Polypectomy - cervix 900

Intrauterine insemination (IUI)

900

Curettage of delivered uterus 1,151

Manual removal of placenta 1,186

145

Uterine exploration 951

Repositioning of r/verted gravid uterus 1,527

Vaginal pack procedure 1,010

Removal of vaginal pack 1,008

Drainage of vulval abscess - left 886

Drainage of vulval abscess - right 886

Drainage of vulval abscess - bilateral 1,511

Secondary suturing 1,035

Exploratory laparotomy 2,707

Incision and drainage 1,027

Amniocentesis 1,021

Chorionic villus sampling - procedure 1,161

Amnioinfusion 1,456

OFTALMOLOGI

Complicated strabismus surgery requiring complex procedures or repeat operations

5,853

Repair of severe ptosis : elevator resection/brow suspension 3,761

Excision of eyelid tumours with major reconstruction 9,800

Dacryocystorhinostomy 4,975

Conjunctivo - dacryocystorhinostomy/Lester-Jones tube 5,350

Repair of severed lacrimal passages 5,350

Reconstruction of contracted socket 7,040

Dermis - fat graft 4,130

Removal of deep seated orbital tumours 9,785

Repair of blowout fracture 9,722

146

Orbital and optic nerve decompression 6,117

Exenteration of orbit 6,625

Examination under anaesthesia 1,380

Release of symblepharon/with mucous membrane graft 1,434

Scleral graft 2,989

Cataract extraction - intracapsular and extracapsular 3,970

Lens aspiration 3,970

Removal of dislocated/subluxated lens not requiring vitreous surgery

3,095

Secondary intraocular lens implantation 2,905

Paracentesis 1,761

Trabeculectomy/trabeculotomy/goniotomy/cyclodialysis 4,037

Laser panretinal photocoagulation : new case 1,852

Repair of moderate perforating injury of eyeball 2,989

Simple strabismus surgery - recession/resection/myectomy 3,429

Repair of mild ptosis 3,396

Repair of congenital eyelid deformities 3,646

Repair of severe lecerations of eyelids and/or region around the eyes

1,691

Dacrycystectomy 4,901

Removal of superficial orbital tumours 3,906

Enucleation 3,681

Pterygium surgery 2,247

Conjunctivectomy/conjunctival grafts and flaps 1,482

Iridectomy - peripheral or optical 2,247

Posterior capsulotomy - surgical/laser 1,487

Posterior capsule polishing 1,487

Cryopexy - retina and glaucoma 2,067

147

Laser treatment other than panretinal photocoagulation 1,960

Repair of minor perforating injury of eyeball 4,094

Instralesional corticosteroid injection of capillary haemangiomas etc.

1,169

Cosmetic lid surgery 3,179

Ectropian or entropion correction 2,419

Tarsorrhaphy 2,624

Syringing/probing of lachrymal apparatus 906

Incision and drainage of orbital abscess 3,091

Biopsy of ocular appendages/superficial orbital tumours 2,921

Evisceration 4,056

Use of tissue adhesive for ocular perforation 1,333

Excision of granulomas - eyelid, conjunctival 928

Incision and curettage/intra lesional conticosteroid injection of chalazion

928

Epilation 393

Electrolysis/cryopexy for trichiasis 928

Repair of minor laceration of eyelid and/or region around the eyes

1,093

Punctal occlusion 963

Fitting of ocular prosthesis 2,202

Removal of conjunctival concretions 1,208

Incision and drainage of stye/lid abscess 1,018

Release of tarsorrhaphy 863

Keratoplasty - lamellar or penetrating 5,839

Keratoplasty with cataract surgery with/without intraocular lens implant

7,027

Refractive corneal surgery 3,273

Cataract extraction with intraocular lens implantation 3,970

148

Removal of intraocular lens 2,845

Lensectomy 6,420

Combined trabeculectomy with cataract extraction with/without intraocular lens implantation

4,236

Shunt/valve placement for glaucoma 8,626

Vitreous surgery 3,896

Retinal detachment surgery 7,086

Intraocular foreign body removal 11,711

Repair of severe perforating injuries of the eyeball 3,951

TELINGA, HIDUNG DAN KERONGKONG

Base of skull surgery 19,927

Cranio facial resection 16,270

Transphenoidal hypophysectomy 14,975

Commando operation for jaw and oral pharyngeal 26,776

Total laryngopharyngectomy with reconstruction 29,214

Acoustic neuroma surgery 16,224

Meatal atresia surgery 4,958

Modified radical mastoidectomy 5,306

Radical mastoidectomy 5,030

Facial nerve decompression 5,632

Facial nerve repair 6,506

Tympanoplasty 3,740

Stapedectomy 3,687

Saccus decompression 5,110

Labryinthectomy 5,555

149

Tympanic nerve 3,137

Surgery of pterygopalatine fossa 3,755

Maxillectomy 9,480

Fronto ethmoidectomy 3,464

Intranasal endoscopic ethmoidectomy 2,019

Repair of frontal sinus fractures 5,000

Rhinoplasties - augmentation 6,621

Rhinoplasties - reduction 6,631

Rhinoplasties - prosthesis insertion 6,629

Laryngectomy - total/partial 6,838

Laryngofissure operation 3,282

Partial pharyngectomy without reconstruction 6,669

Repair of laryngeal and tracheal stenosis 8,878

Pharyngotomy 1,986

Excision of laryngocele 3,532

Cordopexy for adductor palsy of vocal cords 3,282

Parotidectomy - complete of partial 5,913

Radical neck dissection 7,524

Cortical mastoidectomy 4,496

Myringoplasty 3,160

Excision of preauricular sinus 1,789

Flap repair for postauricular fistula 1,215

Excision of pinna - total 5,480

Excision of pinna - partial 4,980

Reduction of facial fractures 2,292

Submucous resection of nasal septum (SMR)

2,012

150

Septoplasty 2,262

Nasal polypectomy 1,844

Repair of vestibular stenosis 1,278

Sublabial radial antrostomy (CWL)

1,828

Surgical treatment of posterior choanal tumours 3,143

Ligation of ethmoidal vessels 2,548

Surgical treatment of blow out fractures 5,742

Repair of oroantral fistula 2,280

Pharyngoplasty 3,725

Adenoidectomy 951

Tonsillectomy 1,970

Adenotonsillectomy 2,765

Surgery of tonsillar fossa 1,970

Removal of submandibular salivary gland 1,841

Excision of bronchial cyst and fistula 6,512

Elective microlaryngeal surgery 2,017

Myringotomy - with grommet 1,525

Myringotomy - without grommet 902

Examination of ear under general anaesthesia 1,361

Examination of nose or post nasal space under general anaesthesia

808

Intranasal antrostomy 1,052

Partial turbinectomy 1,287

Submucus diathermy under general anaesthesia 852

Trephine drainage of frontal sinus 1,198

Intranasal polypectomy for single polyp 1,844

Drainage of retropharyngeal and parapharyngeal abscess 3,267

151

Oesophagoscopy 1,582

Bronchoscopy 1,512

Direct laryngoscopy and biopsy 1,367

Panendoscopy 4,147

Tracheostomy - open 1,951

Removal of foreign bodies from the ear, nose and throat 1,352

Examination of the ear under microscope 1,361

Aural polypectomies and biopsies 1,153

Submucous diathermy of nasal turbinates 852

Drainage of peritonsillar abcess 771

Per oral removal of the salivary calculus 1,841

Drainage of postauricular abcess 724

Antral washouts 1,052

Punch biopsies for nasal and oropharyngeal tumours 1,032

Nasal polypectomy 1,844

Excision lesion gingiva/alveolar - laser 2,836

Rigid endoscopic procedure 808

Examination under microscope 1,361

Operculectomy oral 1,348

Incision and drainage orofacial abscess 540

Nasal packing - anterior 1,060

Biopsy 1,032

Removal of foreign body - nose 808

Removal of foreign body - ear 778

Removal foreign body - throat 1,352

Alveolectomy/Alveoplasty - maxilla < 4cm 654

152

Alveolectomy/Alveoloplasty - mandible < 4cm 654

Antral washout 1,052

Wiring dental upper arch 589

Wiring dental lower arch 589

Temp. reduction + fixation - midfacial bone 588

Temp. reduction + fixation - mandible 588

Aural polypectomies and biopsies 1,153

Drainage of peritonsillar abscess 771

Drainage of postauricular abscess 724

Removal of foreign bodies from nose 808

Removal of foreign bodies from throat 1,352

Per oral removal of salivary calculus 1,841

Submucous diathermy of nasal turbinates 852

Functional Endoscopic Sinus Surgery (FESS)

3,143

Myringoplasty with atticotomy - right 3,160

Myringotomy with insertion tube - right 1,525

Myringotomy with insertion tube - left 1,525

Bronchoscopy 1,499

Rigid endoscopic procedure 808

Examination under microscope 1,361

Acoustic neuroma surgery 16,224

Atticotomy - right 3,583

Implantation cochlear prosthesis device - right

14,789

Implantation cochlear prosthesis device - left

14,789

Extended frontal sinus surgery - bicoronal flap - right 5,000

Extended frontal sinus surgery - bicoronal flap - left 5,000

153

Excision glomus tumour - lateral skullbase - right 19,927

Excision glomus tumour - lateral skullbase - left 19,927

Laryngotracheal reconstruction - with cartilage 12,880

Laryngectomy + pharyngectomy + reconstruction 7,004

COMMANDO operation - with reconstruction 26,776

Laryngopharygectomy total + reconstruction 23,209

Total laryngopharyngo - oesophag + reconstruction 29,214

Partial resection of temporal bone and reconstruction - right 10,266

Partial resection of temporal bone and reconstruction - left 10,266

Partial resection of temporal bone - right 10,266

Partial resection of temporal bone - left 10,266

Petrosectomy - right 10,266

Petrosectomy - left 10,266

Total resection temporal bone and reconstruction - right 10,266

Total resection temporal bone and reconstruction - left 10,266

Total resection temporal bone - right 10,266

Total resection temporal bone - left 10,266

Craniofacial surgery - with reconstruction 16,270

Vestibular neurectomy 19,814

Cochlear neurectomy 19,814

Intranasal endoscopic optic nerve decompression 6,305

Endoscopic repair CSF rhinorrhoea - autograft 4,763

Endoscopic repair CSF rhinorrhoea - allograft 4,770

Facial nerve repair with grafting - right 6,344

Facial nerve repair with grafting - left 6,344

Facial - hypoglossal nerve anastomosis - right 7,806

154

Facial - hypoglossal nerve anastomosis - left 7,806

Facial nerve repair - right 6,506

Facial nerve repair - left 6,506

Endo dacryocystorhinostomy - right 5,017

Endo dacryocystorhinostomy - left 5,017

Intranasal (endoscopic) orbital decompression - right 6,305

Intranasal (endoscopic) orbital decompression - left 6,305

Rhinoplasty, augmentation - open - autograft 6,621

Rhinoplasty, augmentation - open - allograft 6,629

Rhinoplasty, augmentation - close - autograft 6,631

Rhinoplasty, augmentation - close - allograft 6,639

Rhinoplasty, reduction (hump/tip/alar)

6,631

Stapedotomy - with prosthesis - right 3,588

Stapedotomy - with prosthesis - left 3,588

Endoscopic ligation maxillary artery 2,548

Endoscopic ligation sphenopalatine artery 2,548

Ligation maxillary artery (transantral)

3,068

Anterior ethmoidal artery cautery 2,548

Labyrinthectomy - membraneous - right 5,673

Labyrinthectomy - membraneous - left 5,673

Labyrinthectomy - osseous - right 5,763

Labyrinthectomy - osseous - left 5,763

Tympanic neurectomy - right 3,137

Tympanic neurectomy - left 3,137

Vestibular neurect - retrolabyrinthine - right 16,304

Vestibular neurect - retrolabyrinthine - left 16,304

155

Vestibular neurect - translabyrinthine - right 16,304

Vestibular neurect - translabyrinthine - left 16,304

Vidian nerve neurectomy - endoscopic 3,568

Vidian nerve neurectomy - transantral 3,318

Excision pinna, partial + reconstruction (autograft) - right 5,480

Excision pinna, partial + reconstruction (autograft) - left 5,480

Excision pinna, partial + reconstruction (allograft) - right 4,980

Excision pinna, partial + reconstruction (allograft) - left 4,980

Stapedectomy - with prosthesis - right 3,687

Stapedectomy - with prosthesis - left 3,687

Mastoidectomy - cortical - right 4,496

Mastoidectomy - cortical - left 4,496

Mastoidectomy - modified radical-right 5,306

Mastoidectomy - modified radical - left 5,306

Excision lesion - int auditory canal - right 16,324

Excision lesion - int auditory canal - left 16,324

Biopsy - sinus maxillary - right (endoscopic)

2,934

Biopsy - sinus maxillary - left (endoscopic)

2,934

Excision lesion - frontal sinus - right (endoscopic)

3,184

Excision lesion - frontal sinus - left (endoscopic)

3,184

Biopsy - sinus frontal - right (endoscopic)

3,184

Biopsy - sinus frontal - left (endoscopic)

3,184

Ethmoidectomy - external - right (with endoscope)

2,854

Fronto - ethmoidectomy - endoscopic - right 3,464

Fronto - ethmoidectomy - endoscopic - left 3,464

Fronto - ethmoidectomy extended - right 3,464

156

Fronto - ethmoidectomy extended - left 3,464

Ethmoidectomy - intranasal - right 2,019

Ethmoidectomy - intranasal - left 2,019

Ethmoidectomy - extended - right 2,269

Ethmoidectomy - extended - left 2,269

Excision lesion - ethmoid sinus - right 3,214

Excision lesion - ethmoid sinus - left 3,214

Ethmoidectomy - external - right 3,464

Ethmoidectomy - external - left 3,464

Biopsy - sinus ethmoidal - right 3,214

Biopsy - sinus ethmoidal - left 3,214

Sphenoidectomy - right 1,974

Sphenoidectomy - left 1,974

Excision lesion - sphenoid sinus - right 1,974

Excision lesion - sphenoid sinus - left 1,974

Biopsy - sinus sphenoidal - right 1,974

Biopsy - sinus sphenoidal - left 1,974

Insertion of bone anchored hearing aid - right 2,644

Insertion of bone anchored hearing aid - left 2,644

Exploration middle ear - right 4,843

Exploration middle ear - left 4,843

Mastoid exploration - right 5,616

Mastoid exploration - left 5,616

Exploration frontal sinus - right 5,248

Exploration frontal sinus - left 5,248

Frontal recess exploration - right 3,803

157

Frontal recess exploration - left 3,803

Obliteration mastoid cavity - right 5,283

Obliteration mastoid cavity - left 5,283

Obliteration semicircular canal - right 5,566

Obliteration semicircular canal - left 5,566

Pinnaplasty - cartilage - right 6,284

Pinnaplasty - cartilage - left 6,284

Pinnaplasty - prosthesis - right 6,524

Pinnaplasty - prosthesis - left 6,524

Division adhesions middle ear - right 3,904

Division adhesions middle ear - left 3,904

Pinnaplasty - lobule reposition - right 3,650

Pinnaplasty - lobule reposition - left 3,650

Excision pinna, total + reconstruction (autograft) - right 6,663

Excision pinna, total + reconstruction (autograft) - left 6,663

Excision pinna, total + reconstruction (allograft) - right 6,663

Excision pinna, total + reconstruction (allograft) - left 6,663

Excision glomus tumour - transtympanic - right 5,166

Excision glomus tumour - transtympanic - left 5,166

Mastoidectomy - radical - right 5,813

Mastoidectomy - radical - left 5,813

Excision glomus tumour - transmastoid - right 6,066

Excision glomus tumour - transmastoid - left 6,066

Rhinectomy 3,928

Excision postnasal space tumours - open 8,951

Resection angiofibroma - endoscopic 9,059

158

Resection angiofibroma - external 9,076

Resection angiofibroma - transpalatal 7,224

Fronto - ethmoidectomy - right 4,053

Fronto - ethmoidectomy - left 4,053

Transphenoidal hypophysectomy - endoscopic - right 8,434

Transphenoidal hypophysectomy - endoscopic - left 8,434

Transphenoidal hypophysectomy - transantral - right 8,434

Transphenoidal hypophysectomy - transantral - left 8,434

Transphenoidal hypophysectomy - sublabial - right 8,434

Transphenoidal hypophysectomy - sublabial - left 8,434

Transphenoidal hypophysectomy - transeptal - right 8,434

Transphenoidal hypophysectomy - transeptal - left 8,434

Pinnaplasty - revision - right 8,581

Pinnaplasty - revision - left 8,581

Meatoplasty - ear - revision - right 2,737

Meatoplasty - ear - revision - left 2,737

Canalplasty - ear - revision - right 6,253

Canalplasty - ear - revision - left 6,283

Mastoidectomy - revision - right 5,093

Mastoidectomy - revision - left 5,093

Rhinoplasty, revision - autograft 5,215

Rhinoplasty, revision - allograft 5,215

Tracheal stenosis - resection and anastomosis 9,328

Sliding tracheoplasty - autograft 9,328

Sliding tracheoplasty - syn. substitute 9,328

Closure tracheocutaneous fistula - flap 3,953

159

Tracheal stenosis rep - extraluminal device 4,146

Tracheal stenosis rep - intraluminal device 3,016

Closure tracheocutaneous fistula 2,948

Closure tracheo - oesophageal fistula - flap 9,078

Closure tracheo - oesophageal fistula 7,225

Cricotracheal resection 9,073

Pharyngotomy 1,986

Cricothyroidotomy tube insertion 1,500

Pharyngectomy, partial + reconstruction 13,953

Excision pharyngeal pouch - open 4,841

Excision pharyngeal pouch - close 3,103

Pharyngectomy, partial (laser) + reconstruction 13,910

Pharyngectomy, partial (laser)

5,422

Arytenoidectomy - external - left 8,788

Arytenoidectomy - with laser - left 2,116

Arytenoidectomy - external - right 8,788

Arytenoidectomy - with laser - right 2,116

Laryngectomy - partial 5,770

Laryngectomy - near total 6,743

Laryngectomy - partial - laser 5,562

Laryngeal stenosis rep - extraluminal device 3,298

Laryngeal stenosis rep - intraluminal device 3,298

Laryngeal stenosis rep - external 3,298

Closure pharyngocut fistula - flap 8,828

Closure pharyngocut fistula - primary 7,475

160

Epiglottopexy 2,696

Laryngeal fracture - rep - allograft 8,221

Laryngeal fracture - rep - autograft 8,221

Laryngotracheal reconstruction - castellation 8,156

Construction neoglottis 9,578

Chondroplasty larynx - with implant 9,578

Cordopexy - right 2,116

Arytenoid add/rot/medial - implant - left 4,040

Arytenoid add/rot/medial - implant - right 4,040

Pharyngectomy, total + reconstruction 14,953

Laryngectomy - total 6,493

Excision laryngocele 4,083

Superficial parotidectomy - left 5,996

Excision pharyngeal cyst - right 3,249

Excision pharyngeal cyst - left 3,249

Neck dissection - modified - right 4,339

Neck dissection - modified - left 4,339

Neck dissection - selective - right 4,339

Neck dissection - selective - left 4,339

Excision of neck lesion - right 1,861

Excision of neck lesion - left 1,861

Cordopexy - laser - right 6,231

Cordopexy - laser - left 6,231

Chondroplasty of larynx 3,363

Fronto - ethmoidectomy extended - endoscopi 8,809

Facial - hypoglossal nerve anastomosis - right 9,820

161

Facial - hypoglossal nerve anastomosis - left 9,820

Exploration of facial nerve - right 5,866

Exploration of facial nerve - left 5,866

Facial nerve repair with grafting - right 9,361

Facial nerve repair with grafting - left 9,361

Facial nerve repair - right 5,748

Laryngeal fracture - repair 4,333

Laryngotracheoplasty 4,333

Laryngotracheal reconstruction - anterior 8,828

Neck exploration 3,203

Superficial parotidectomy - right 5,996

Pharyngoplasty 4,461

Sphenoidectomy - left 5,365

Sphenoidectomy - right 5,365

Stapedectomy - left 5,115

Stapedectomy - right 5,115

Tracheal stenosis repair - external 4,583

Drainage abscess - mastoid - right 1,327

Drainage abscess - mastoid - left 1,327

Antrostomy - Caldwell - Luc - right 1,694

Antrostomy - Caldwell - Luc - left 1,694

Excision pinna, partial without reconstruction - right 2,573

Excision accessory auricle - right 1,324

Excision pinna, partial without reconstruction - left 2,573

Excision lesion - bony - external auditory canal - right 1,383

Excision lesion - bony - external auditory canal - left 1,383

162

Adenoid currettage 982

Excision postnasal space tumours - endoscopic 5,666

Biopsy adenoid 825

Excision postnasal tumours - transpalatal 5,636

Ligation ethmoidal vessel - external 2,948

Ligation ethmoidal vessel - endoscopic 4,060

Reattachment pinna - right 3,536

Reattachment pinna - left 3,536

Release nasal synechiae 1,890

Removal nasal implants 1,887

Suturing - ear - right 954

Suturing - ear - left 954

Myringoplasty with atticotomy - right 4,881

Myringoplasty with atticotomy - left 4,881

Repair vestibular stenosis with reconstruction 3,318

Septorhinoplasty - close 5,090

Septoplasty - endoscopic 3,510

Reduction nasal bone fracture 1,210

Septorhinoplasty - open 5,215

Septoplasty 2,140

Repair perforation nasal septum 2,708

Submuc. resection nasal septum 1,335

Enlargement nasal septum perforation 1,700

Excision pinna, total without reconstruction - left 2,581

Excision preauricular cyst - right 2,129

Excision preauricular sinus - right 2,129

163

Excision pinna, total without reconstruction - right 2,456

Excision preauricular cyst - left 2,129

Excision preauricular sinus - left 2,129

Polypectomy with micro - debrider - endoscopic 2,398

Polypectomy - intranasal 2,391

Resection maxillary sinus mucus (Caldwell - Luc) - right 1,951

Resection maxillary sinus mucus (Caldwell - Luc) - left 1,951

Replacement tracheal stent - open 2,956

Placement tracheal stent - open 2,956

Removal tracheal stent - open 2,956

Tracheal stenosis - laser 4,168

Arrest post tonsillectomy haemorrhage 1,665

Endo cautery pharyngocutaneous fistula 1,933

Dilatation pharynx 1,676

Marsupialisation pharyngeal cyst 1,683

Marsupialisation laryngeal cyst 1,683

Biopsy lesion pharynx 1,116

Excision arytenoid lesion - left 1,866

Excision arytenoid lesion - right 1,866

Uvulectomy with parightial palatectomy 1,540

Excision lesion - oropharynx 2,215

Biopsy lesion hypopharynx 1,676

Excision lesion - hypopharynx 1,866

Uvulectomy 1,540

Biopsy tonsil 1,532

Biopsy lesion larynx - open 1,353

164

Endoscopic microlaryngeal surgery 1,873

Endoscopic microlaryngeal surgery - with laser 1,873

Cordectomy vocal cord - without laser - right 1,866

Cordectomy vocal cord - with laser - right 1,866

Cordectomy vocal cord - left 1,866

Cordectomy vocal cord - laser assisted - left 1,866

Release pharyngeal adhesions - open 2,913

Laryngeal stenosis rep - endoscopic 3,030

Laryngeal stenosis rep - with laser 3,030

Endoscopic removal prosthesis from larynx 1,873

Endoscopic stapling pharyngeal pouch 2,853

Inversion pharyngeal pouch 2,850

Uvulopalatopharyngoplasty 2,830

Uvulopalatoplasty - laser assisted 2,827

Uvuloplasty 2,705

Uvuloplasty - laser assisted 2,702

Aryepiglottoplasty 1,676

Aryepiglottoplasty - laser assisted 1,905

Arytenoid add/rot/medial - left 1,968

Arytenoid add/rot /medial - right 1,968

Tonsillectomy 1,915

Adenoid – debrider 1,162

Excision of tumour - cervical 1,746

Biopsy of lesion - oesophagus 1,676

Excision of lesion - larynx 1,683

Excision of lesion - vocal cord - left - laser 1,866

165

Excision of lesion - vocal cord - right - laser 1,866

Excision of lesion - vocal cord - left 1,866

Excision of lesion - vocal cord - right 1,866

Laser ablation of turbinates 906

Submandibulectomy - right 2,041

Submandibulectomy - left 2,041

Change mastoid pack - right 722

Change mastoid pack - left 722

Insertion epistaxis balloon - left 895

Nasal cauterisation - diathemy 799

Nasal packing - posterior 715

Diathermy post nasal space 959

Excision pinna lesion - cautery - right 1,324

Excision lesion pinna - laser - right 1,311

Excision pinna lesion - cautery - left 1,324

Excision lesion pinna - laser - left 1,311

Intratympanic injection gentamycin - right 1,565

Intratympanic injection gentamycin - left 1,565

Cryotherapy superficial hemangioma 1,495

Dilation choanal stenosis 2,410

Myringotomy - right 854

Myringotomy - left 854

Marsupialisation concha bullosa 1,343

Drainage nasal septum 1,315

Antrostomy - intranasal - right 916

Antrostomy - intranasal - left 916

166

Frontal sinus trephining - right 923

Frontal sinus trephining - left 923

Cannulation and irrigation sphenoid sinus - right 1,343

Cannulation and irrigation sphenoid sinus - left 1,343

Nasal toilet under GA

1,307

Excision lesion - external auditory canal - right 1,029

Excision lesion - external auditory canal - left 1,029

Excision lesion - nasal cavity 937

Submucosa cauterisation nasal turbinates 937

Excision lesion - maxillary sinus - right 2,148

Excision lesion - maxillary sinus - left 2,148

Frontal sinusectomy - right 2,398

Frontal sinusectomy - left 2,398

Antrostomy - sphenoidal sinus - left 2,148

Insertion intranasal splints - left 840

Insertion intranasal splints - right 840

Ear examination under anaesthesia - right 1,487

Ear examination under anaesthesia - left 1,487

Ear examination under microscope - right 1,487

Ear examination under microscope - left 1,487

Tympanotomy - right 3,984

Tympanotomy - left 3,984

Endo examination under GA - nose 1,182

Nasopharyngoscopy - rigid 680

Antroscopy - intranasal - right 680

Antroscopy - intranasal - left 680

167

Frontal sinus obliteration - right 3,063

Frontal sinus obliteration - left 3,063

Intratympanic injection steroid - right 1,439

Intratympanic injection steroid - left 1,439

Myringoplasty - endaural approach - right 4,789

Myringoplasty - postaural approach - right 4,789

Myringoplasty - transcanal approach - right 4,789

Myringoplasty - endaural approach - left 4,789

Myringoplasty - postaural approach - left 4,789

Myringoplasty - transcanal approach - left 4,789

Correction choanal atresia - endoscopic 3,845

Correction choanal atresia - transnasal 3,845

Correction choanal atresia - transeptal 3,845

Correction choanal atresia - laser assisted 3,821

Correction choanal atresia - transpalatal 3,863

Turbinoplasty - endoscopic 1,190

Turbinoplasty - intranasal 1,190

Turbinoplasty - endo laser assisted 1,193

Tracheostomy - percutaneous 1,889

Tracheo - oesophageal valve change 1,182

Tracheostomy tube change 776

Ablation lesion trachea - laser 2,781

Dilatation trachea stenosis + stent 1,748

Dilatation trachea stenosis 1,748

Tracheal aspiration - bronchoscope 1,541

Tracheo - oesophageal puncture - primary 2,716

168

Tracheo - oesophageal puncture - secondary 2,386

Tracheal stoma lesion - biopsy 1,182

Bronchoscopic removal foreign body 1,186

Tracheo - oesophageal valve - insertion 1,362

Insertion tracheal stent 2,656

Bronchoscopy 1,676

Exploration tracheostomy 2,033

Endoscopic tracheascopy 1,689

Injection botulinum toxin - intralaryngeal 4,003

Ablation lesion pharynx - laser 4,041

Ablation lesion hypopharynx - laser 4,041

Ablation lesion vocal cord - right - laser 1,991

Ablation lesion vocal cord - left - laser 1,991

Division laryngeal web - external (implant)

2,781

Division laryngeal web - external 2,781

Division laryngeal web - endoscopic 2,781

Division laryngeal web - laser assisted 2,781

Drainage retropharyngeal abscess - oral 1,532

Drainage peritonsillar abscess 767

Endoscopic removal of foreign body from pharynx 1,429

Endoscopic removal of foreign body from larynx 1,429

Insertion laryngeal keel 2,823

Endoscopic examination larynx 991

Release pharyngeal adhesions - endoscopic 2,116

Injection for laryngeal palsy 1,991

Dilatation oesophageal stenosis 1,676

169

Insertion stent - oesophagus 3,105

Drainage parapharyngeal abscess - right 3,021

Drainage retropharygeal abscess - external - right 3,021

Drainage superficial neck abscess - right 1,331

Drainage parapharyngeal abscess - left 3,021

Drainage retropharygeal abscess - external - left 3,021

Drainage superficial neck abscess - left 1,106

Ablation of lesion - oesophagus 2,116

Excision of pinna lesion - left 1,414

Excision of pinna lesion - right 1,414

Excision postnasal space tumours - trans 970

Insertion epistaxis balloon - right 987

Insertion intranasal splints 840

Grafting skin neck 850

Drainage of head abscess 1,629

Wound debridement of head/neck 2,004

Tracheal stoma stenosis - repair - open 2,033

Tracheal stoma stenosis - repair - laser 1,991

Tympanotomy - left 3,104

Uncinectomy - left 2,015

Uncinectomy - right 2,015

Nasal packing - anterior 660

Nasal cauterization - chemical 1,004

Excision lesion pinna - cryosurgery - right 1,307

Excision lesion pinna - cryosurgery - left 1,307

Steroid infiltration nasal lesion - external 722

170

Steroid infiltration nasal lesion - intranasal 722

Drainage abscess - postauricular - right 1,331

Drainage - pinna - right 1,331

Drainage abscess - postauricular - left 1,331

Drainage - pinna - left 1,331

Biopsy lesion - pinna - right 1,315

Biopsy lesion - pinna - left 1,315

Biopsy lesion - external auditory canal - right 1,307

Biopsy lesion - external auditory canal - left 1,307

Excision external nasal lesion 1,324

Excision external nasal lesion - cryotherapy 1,307

Excision external nasal lesion - laser 1,311

Biopsy - post nasal space (nasopharynx)

722

Removal of foreign body - external auditory canal - right 777

Removal of foreign body - external auditory canal - left 777

Removal of foreign body - middle ear - right 3,992

Removal of foreign body - middle ear - left 3,992

Removal of foreign body - inner ear - right 8,481

Removal of foreign body - inner ear - left 8,481

Removal of nasal foreign body 722

Removal of impacted wax - right 777

Removal of impacted wax - left 777

Removal of mastoid pack - right 777

Removal of mastoid pack - left 777

Aural polypectomy - right 1,307

Aural polypectomy - left 1,307

171

Ablation lesion oropharynx - laser 5,640

Removal of foreign body - oesophagus 1,318

Toilet and suturing of head/neck 829

Antral washout - Caldwell - Luc - right 1,826

Antral washout - right 895

Antral washout - Caldwell - Luc - left 1,826

Antral washout - left 895

Biopsy - lesion external nose 777

Biopsy - nasal cavity 722

Biopsy - lesion nasal turbinate 777

Biopsy - lesion nasal septum 777

Removal of ventilation tube - right 777

Removal of ventilation tube - left 777

Biopsy - lymph node - neck - left 1,324

Biopsy - lymph node - neck - right 1,324

Biopsy of tongue lesion 777

Drainage of pre auricular sinus abscess 1,324

Examination under anaesthesia with biopsy 2,112

Examination under anaesthesia 777

FNAC lymph node 794

Release of tongue tie 777

PERGIGIAN

Open reduction and fixation of fractured mandible 2744

Reduction and cranio - maxillary fixation of midface fracture 6,395

172

Open reduction and fixation of zygomatic complex fracture 4,949

Major repair of oro-facial wounds 10,130

Surgery of massive cysts of the jaw 2,931

Surgery of oral cancer 12,388

Resection and reconstruction of the jaws 4,536

Temporomandibular joint surgery 11,859

Surgical correction of developmental jaw deformity 14,620

Preprosthetic surgery 4,893

Surgical procedure utilizing plates/implant systems 3,420

Management of severe infections of the jaw with surgery 1,600

Surgery of salivary glands 3,377

Repair of cleft lip and cleft palate

7,355

Closed reduction and immobilization of jaw fractures 2,310

Elevation of depressed fractures of zygoma 4,729

Excision of benign lesions 6,733

Surgical removal of impacted teeth and unerupted teeth 2,727

Periodontal surgery - per quadrant 1,459

Removal of root in antrum and close of oroantral fistula 2,712

Periodontal graft 4,032

Treatment using laser 3,712

Removal of salivary calculus 1,841

Repair of minor orofacial lacerations 1,228

Extraoral incision and drainage of abscess 540

Enucleation or marsupialization of cysts of the jaw 1,348

Cervical lymph node biopsy 981

Intraoral incision and drainage 540

173

Incision biopsy - intraoral 933

Alveolectomy 589

Apicectomy 2,290

Surgical removal of root 2,712

Frenectomy 1,310

Management of infected socket 269

Management of traumatic injury - per tooth 589

Toilet and suture of superficial wounds 1,341

Augmentation - alveolar bone - 4cm - allograft 3,327

Ablat. lesion retromolar area - cryosurgery 1,403

Excision lesion maxilla 3,071

Removal of foreign body - orofacial - simple 901

Removal of foreign - orofacial - complicated 2,544

Place temporary restoration - deciduous 662

Place temporary restrotation - permanent 662

Extraction of retained root - permanent 932

Repair of dentures 358

Antralplasty maxillary + bone autograft - right 4,432

Antralplasty maxillary + allograft - right 3,677

Antralplasty maxillary + bone autograft - left 4,432

Antralplasty maxillary + allograft - left 3,427

Excision lesion upper lip - > 2cm with autograft 2,232

Excision lesion upper lip - > 2cm with allograft 3,877

Excision lesion lower lip - > 2cm with autograft 3,232

Excision lesion lower lip - > 2cm with allograft 8,703

Excision lesion hard palate - > 2cm with autograft 3,236

174

Excision lesion hard palate - > 2cm with allograft 7,008

Excision lesion soft palate - > 2cm with autograft 3,234

Excision lesion soft palate - > 2cm with allograft 6,859

Excision lesion buccal - > 2cm with autograft 3,468

Excision lesion buccal - > 2cm with allograft 7,111

Excision lesion gingiva/alveolar + allograft > 2cm 3,236

Excision lesion gingiva/alveolar - > 2cm 3,236

Glossectomy, partial + autograft - laser 7,460

Glossectomy, partial + autograft 7,460

Total parotidectomy + facial and reconstruction 4,926

Extended parotidectomy + facial and reconstruction 11,026

Superficial parotidectomy 4,926

Total parotidectomy 5,913

Extended parotidectomy 7,221

Excision sublingual gland 3,677

Excision submandibular gland 2,119

Excision lesion floor of mouth > 2cm + autograft 7,113

Excision lesion floor of mouth > 2cm + allograft 3,486

Cleft lip repair 3,530

Cleft hard palate repair 4,140

Cleft soft palate repair 4,140

Vestibuloplasty - gingiva/alveolar < 1 qua 2,616

Vestibuloplasty - gingiva/alveolar 3,486

Glossectomy, total + partial laryngectomy 9,917

Glossectomy, total + total laryngectomy 9,917

Augmentation - zygomatic complex - autograft 5,919

175

Augmentation - zygomatic complex - allograft 4,655

Augmentation - alveolar bone = 4cm - autograft 5,036

Augmentation - alveolar bone > 4cm - autograft 5,193

Augmentation - alveolar bone = 4cm - allograft 4,785

Augmentation - alveolar bone > 4cm - allograft 5,037

Augmentation - chin - autograft - bone graft 4,905

Augmentation - chin - allograft 4,655

Enucleation maxilla + bone autograft - = 4cm 5,922

Enucleation maxilla + bone autograft - > 4cm 5,922

Maxillectomy, partial - external + autograft 9,810

Enucleation lesion maxilla - > 4cm + allograft 3,820

Maxillectomy, partial - external 5,906

Maxillectomy, partial - endoscopic 5,002

Maxillectomy, partial - i/oral + autograft 8,946

Maxillectomy, partial - intraoral 4,916

Enucleation mandible + bone autograft - = 4cm 7,301

Enucleation mandible + bone autograft - > 4cm 7,342

Mandibulectomy, marginal + bone autograft 7,842

Mandibulectomy, segmental + bone autograft 8,627

Enucleation mandible + allograft - > 4cm 6,221

Mandibulectomy, marginal + allograft 6,221

Mandibulectomy, segmental + allograft 6,856

Mandibulectomy - segmental 6,606

Alveolar bone grafting 6,287

Open reduction and internal fixation - midfacial bone 7,726

Internal fixation panfacial - mandible 6,431

176

Exploratory orbital floor + bone autograft 8,765

Exploratory orbital floor + allograft 6,728

Exploratory orbital floor + bone autograft - endo 8,510

Exploratory orbital floor + allograft - endo 6,711

Open reduction and internal fixation - mandible 2,744

Reconstruction - maxilla - = 4cm - autograft 5,872

Reconstruction - maxilla - > 4cm - autograft 7,372

Reconstruction - maxilla - free flap 15,454

Reconstruction - maxilla - = 4cm - allograft 6,552

Reconstruction - maxilla - > 4cm - allograft 7,702

Reconstruction - mandible = 4cm - autograft 5,629

Reconstruction - mandible > 4cm - autograft 7,387

Reconstruction - mandible - free flap 15,516

Reconstruction - mandible = 4cm - allograft 4,806

Reconstruction - mandible > 4cm - allograft 5,706

Distraction osteogenesis - alveolar bone 3,790

Osteotomy - midfacial - Le Fort 1 - autograft 16,808

Osteotomy - midfacial - Le Fort 2 - autograft 19,557

Osteotomy - midfacial - Le Fort 3 - autograft 21,502

Distraction osteogenesis - midfacial bone 14,025

Osteotomy - midfacial bones - segmental 7,873

Osteotomy - midfacial - Le Fort 1 13,924

Osteotomy - midfacial - Le Fort 2 15,672

Osteotomy - midfacial - Le Fort 3 18,718

Distraction osteogenesis - mandible 14,026

Osteotomy - mandible - segmental 7,685

177

Osteotomy - mandible - genioplasty 6,000

Osteotomy - mandible - ramus 12,120

Osteotomy - mandible - body 11,870

Maxillectomy external + autograft 13,995

Maxillectomy, total + autograft 13,997

Maxillectomy external + orbital exenteration + reconstruction 31,785

Maxillectomy, external + orbital exenteration 22,003

Maxillectomy, total 12,040

Internal fixation panfacial - midfacial bones 12,489

Temporomandibular Joint (TMJ) - eminence augmentation 11,287

Temporomandibular Joint (TMJ) - condylotomy 6,822

Temporomandibular Joint (TMJ) - arch downfracture 6,822

Temporomandibular Joint (TMJ) - myotomy 6,822

Temporomandibular Joint (TMJ) - arthrocentesis 1,882

Temporomandibular Joint (TMJ) - discectomy with implant 6,822

Temporomandibular Joint (TMJ) - synovectomy 6,822

Temporomandibular Joint (TMJ) - discectomy 6,822

Temporomandibular Joint (TMJ) - arthroscopy - diagnostic - with biopsy

2,089

Temporomandibular Joint (TMJ) - arthroscopy - debridement 2,089

Temporomandibular Joint (TMJ) - non arthroscopy - therapy lavage +

lysis

2,089

Temporomandibular Joint (TMJ) - arthroscopy - therapy lavage + lysis

2,089

Temporomandibular Joint (TMJ) - arthroscopy - diagnostic - wtihout biopsy

2,089

Suture soft tissue orofacial - complicated 8,556

Temporomandibular Joint (TMJ) - arthroplasty - interposition autograft

8,449

178

Temporomandibular Joint (TMJ) - arthroplasty - interposition allograft

5,564

Temporomandibular Joint (TMJ) - disc repair 3,575

Temporomandibular Joint (TMJ) - arthroplasty - gap 4,075

Temporomandibular Joint (TMJ) - joint reconstruction - autograft 14,859

Temporomandibular Joint (TMJ) - joint reconstruction - allograft 12,075

Temporomandibular Joint (TMJ) - reduction - open 7,275

Temporomandibular Joint (TMJ) - capsular plication 6,698

Temporomandibular Joint (TMJ) - disc repositioning + stabilization

6,698

Reposition muscle attachment - oral 6,698

Temporomandibular Joint (TMJ) - condylectomy 6,698

Temporomandibular Joint (TMJ) - coronoidectomy 6,448

Temporomandibular Joint (TMJ) - eminectomy 6,698

Temporomandibular Joint (TMJ) - arthroscopy - synovectomy 2,339

Temporomandibular Joint (TMJ) - arthroscopy - discectomy 2,339

Revision suture - orofacial - complicated 5,365

Maxillectomy, partial - endoscopic 6,402

Trigeminal nerve repositioning 6,751

Implant maxillofacial surgery stage 1 - orbit - right 5,420

Implant maxillofacial surgery stage 1 - orbit - left 5,420

Implant maxillofacial surgery stage 1 - ext ear - right 5,406

Implant maxillofacial surgery stage 1 - ext ear - left 5,406

Implant maxillofacial surgery stage 1 - ext ear - bilateral 5,406

Implant maxillofacial surgery stage 1 - nose 5,407

Ablation lesion upper lip - cryosurgery 1,503

Ablation lesion upper lip - laser 1,648

Ablation lesion lower lip - cryosurgery 1,503

179

Ablation lesion lower lip - laser 1,648

Ablation hard palate lesion - cryosurgery 1,503

Ablation hard palate lesion - laser 1,648

Ablation lesion soft palate - cryosurgery 1,503

Ablation lesion soft palate - laser 1,648

Ablation buccal lesion - cryosurgery 1,503

Ablation buccal lesion - laser 1,648

Ablation lesion retromolar area - cryosurgery 1,503

Ablation lesion retromolar area - laser 1,648

Ablation lesion tongue - cryosurgery 1,503

Ablation lesion tongue - laser 1,648

Ablation lesion floor of mouth - cryosurgery 1,503

Ablation lesion floor of mouth - laser 1,648

Excision lesion upper lip - = 2cm with autograft

4,376

Excision lesion upper lip - = 2cm with allograft 2,410

Excision lesion upper lip - laser 1,664

Excision lesion upper lip - = 2cm 2,204

Excision lesion upper lip - > 2cm 3,577

Excision lesion lower lip - = 2cm with autograft 4,376

Excision lesion lower lip - = 2cm with allograft 2,410

Excision lesion lower lip - laser 2,962

Excision lesion lower lip - = 2cm 2,205

Excision lesion lower lip - > 2cm 3,827

Excision lesion hard palate - = 2cm with autograft 4,376

Excision lesion hard palate - = 2cm with allograft 2,410

Excision lesion hard palate - laser 2,961

180

Excision lesion hard palate - = 2cm 2,291

Excision lesion hard palate - > 2cm 3,668

Excision lesion soft palate - = 2cm with autograft 4,446

Excision lesion soft palate - = 2cm with allograft 2,479

Excision lesion soft palate - laser 3,712

Excision lesion soft palate - = 2cm 2,292

Excision lesion soft palate - > 2cm 3,933

Excision lesion buccal - = 2cm with autograft 4,460

Excision lesion buccal - = 2cm with allograft 2,479

Excision lesion buccal - laser 2,975

Excision lesion buccal - = 2cm 2,309

Excision lesion buccal - > 2cm 3,933

Excision lesion gingiva/alveolar + autograft = 2cm 2,815

Excision lesion gingiva/alveolar + allograft = 2cm 3,063

Operculectomy oral - laser 1,810

Excision lesion gingiva/alveolar - = 2cm 2,292

Glossectomy,partial - laser 2,962

Excision lesion tongue - = 2cm 2,296

Excision lesion tongue - > 2cm 3,933

Glossectomy, partial 2,304

Frenectomy - laser 1,310

Excision lesion floor of mouth = 2cm + autograft 4,475

Excision lesion floor of mouth = 2cm + allograft 2,260

Excision lesion floor of mouth - laser 2,010

Excision lesion floor of mouth - = 2cm 2,309

Excision lesion floor of mouth - > 2cm 3,931

181

Removal parotid duct calculus - open 2,041

Removal parotid duct calculus - closed 2,041

Removal submandibular duct calculus - open 1,941

Removal submandibular duct calculus - closed 1,841

Vestibuloplasty - gingiva/alveolar - autograft 4,132

Repair parotid duct 1,941

Repair submandibular duct 1,941

Reposition parotid duct 2,859

Reposition submandibular duct 2,859

Excision maxilla + reconstruction - bone autograft 5,036

Enucleation lesion maxilla - = 4cm + allograft 3,270

Excision maxilla + reconstruction - allograft 4,320

Enucleation lesion maxilla - = 4cm 3,370

Enucleation lesion maxilla - > 4cm 3,310

Excison lesion maxilla 3,371

Exc mandible + reconstruction - bone autograft 9,690

Enucleation mandible + allograft - = 4cm 3,622

Excision mandible + reconstruction - allograft 6,086

Enucleation lesion mandible - = 4cm 3,045

Enucleation lesion mandible - > 4cm 3,311

Mandibulectomy, marginal 3,048

Excision lesion mandible 3,031

Exploratory orbital floor 6,414

Exploratory orbital floor - endoscopic 4,024

Elevation maxillofacial - zygomatic arch 4,829

Closed reduction + fixation - midfacial bone 2,410

182

Closed reduction + fixation - mandible 2,410

Implant dental stage 1 surgery - maxilla 2,731

Implant dental stage 1 surgery - mandible 2,481

Implant maxillofacial surgery stage 1 - face 2,729

Excision lesion gingiva/alveolar - laser 2,729

Excision lesion tongue - laser 2,729

Gingivectomy - laser 1,615

Closure oro - antral fistula 2,549

Control of haemorrhage - post extraction 1,027

Removal impacted/unerupted tooth - complic 2,927

Removal displaced tooth/root 2,912

Transplantation tooth 2,912

Control of haemorrhage - lesion 2,403

Ablation lesion orofacial - cryosurgery 1,621

Ablation lesion orofacial - laser 1,866

Implant maxillofacial surgery stage 1 - midface 3,607

Trigeminal nerve cryotherapy 1,127

Marsupialisation upper lip 1,448

Marsupialisation lower lip 1,448

Marsupialisation hard palate soft tissue 1,448

Marsupialisation soft palate 1,448

Marsupialisation buccal soft tissue 1,448

Marsupialisation retromolar/palatoglossal arch 1,448

Marsupialisation tongue 1,462

Marsupialisation parotid duct 1,448

Marsupialisation submandibular duct 1,448

183

Marsupialisation floor of mouth 1,462

Operculectomy oral 1,448

Closure parotid gland fistula 2,212

Closure submandibular gland fistula 2,209

Marsupialisation bony maxilla 1,448

Marsupialisation bony mandible 1,448

Gingivectomy 1,559

Removal impacted/unerupted tooth - simple 1,427

Crown lengthening with ostectomy 1,442

Incision and drainage orofacial abscess 640

Examination/exploration - orofacial 1,605

Suture soft tissue orofacial - simple 1,328

Revision suture - orofacial - simple 1,332

Suture Removal (STO) extra - oral 574

Trigeminal nerve section 2,868

Biopsy - lymph node - open - facial 1,066

Biopsy - lymph node - tru - cut - facial 1,031

Biopsy - lymph node - tru - cut - neck - right 1,031

Biopsy - lymph node - tru - cut - neck - left 1,031

Implant maxillofacial surgery stage 2 - orbit - right 622

Implant maxillofacial surgery stage 2 - orbit - left 622

Implant maxillofacial surgery stage 2 - ext ear - right 622

Implant maxillofacial surgery stage 2 - ext ear - left 622

Implant maxillofacial surgery stage 2 - ext ear - bilateral 623

Implant maxillofacial surgery stage 2 - nose 623

Frenoplasty 1,410

184

Frenotomy 1,410

Biopsy - upper lip 1,033

Biopsy - lower lip 1,033

Biopsy - hard palate soft tissue 1,033

Biopsy - soft palate 1,033

Biopsy - buccal soft tissue 1,033

Biopsy - gingiva/alveolar soft tissue 1,033

Biopsy - retromolar/palatoglossal arch 1,033

Biopsy - tongue 1,033

Biopsy of lesion - parotid gland - tru - cut 1,033

Biopsy - floor of mouth 1,033

Ligation parotid duct 1,408

Ligation submandibular duct 1,408

Meatoplasty parotid duct 2,575

Meatoplasty submandibular duct orifice 2,575

Biopsy - maxilla 1,033

Implant dental stage 2 surgery - maxilla 603

Biopsy - mandible 1,033

Implant dental stage 2 surgery - mandible 603

Sequestrectomy - maxilla 1,016

Sequestrectomy - mandible 1,016

Removal dental implants - maxilla 1,641

Removal dental implants - mandible 1,641

Removal internal fixation - maxillofacial 1,641

Removal external fixation - maxillofacial 1,641

Removal maxillofacial implants 1,641

185

Implant maxillofacial surgery stage 2 - face 651

Alveolectomy/Alveoloplasty - mandible > 4cm 689

Alveolectomy/Alveoloplasty - mandible < 4cm 754

Alveolectomy/Alveoloplasty - maxilla > 4cm 689

Biopsy - lymph node - open - neck - left 1,066

Biopsy - lymph node - open - neck - right 1,066

Tooth hemisection 1,018

Apicectomy + R/G root filling - anterior tooth 1,858

Apicectomy + R/G root filling - posterior tooth 2,390

Apicectomy - anterior tooth 1,638

Apicectomy - posterior tooth 2,389

Removal tooth/root 754

Exposure tooth with placement attach 2,809

Exposure tooth without placement attach 1,339

Removal dental wires - upper arch 618

Removal dental wires - lower arch 618

Crown lengthening without ostectomy 737

Root resection 755

Debridement soft tissue orofacial 1,341

Implant maxillofacial surgery stage 2 - midface 604

Removal of foreign body - orofacial - simple 1,001

Removal of foreign body - orofacial - complicated 2,594

Fine needle aspiration cytology - orofacial 982

Injection medication - orofacial 1,949

Antral washout - Caldwell - Luc - right 1,949

Antral washout - Caldwell - Luc - left 1,949

186

Dilation parotid duct 1,427

Dilation submandibular duct 717

Temporary reduction + fixation - midfacial bone 737

Temporary reduction + fixation - mandible 732

Wiring dental upper arch 718

Wiring dental lower arch 718

Reimplantation tooth 2,199

Surgical reposition/stabilization of tooth 2,199

Non-surgical reposition/stabilization of tooth 1,302

Soft laser therapy - orofacial 402

Ultrasound therapy - oromaxillofacial 374

Excision of mucocoele 275

Localised periodontal flap - per tooth 300

Comprehensive treatment of early childhood caries 2,747

Inhalation sedation (nitrous oxide)

406

TRAUMATIK DAN ORTOPEDIK

Reattachment/revascularization of severed part(s)

7,505

Toilet and suture with reduction of major compound fractures and dislocations

2,421

Open reduction of dislocations - hip 4,523

Open reduction of dislocations - knee 3,328

Open reduction of dislocations - shoulder 3,328

Open reduction of dislocations - elbow 3,328

Open reduction of dislocations - ankle 3,328

Open reduction and internal of external fixation of major fractures 4,808

187

Crush injury with repair of tendon and/or nerve 5,156

Arthrotomies (for sepsis) - hip 2,823

Arthrotomies (for sepsis) - shulder 2,243

Patallectomy 2,243

Arthrotomies (for sepsis) - knee 2,243

Arthrotomies (for sepsis) - elbow 2,243

Arthrotomies (for sepsis) - ankle 2,243

Closed reduction of spine 1,808

Closed reduction of femur 1,808

Closed reduction of tibia/fibula 1,808

Closed reduction of humerus 1,808

Closed reduction of radius and ulna 1,808

Crush soft tissue injures - exploration, toilet and suture for extensive or multiple soft tissue injuries

1,178

Closed reduction of shoulder 1,558

Closed reduction of elbow 1,558

Closed reduction of knee 1,558

Closed reduction of hip 1,558

Closed reduction of ankle 1,558

Open reduction of metacarpophalangeal 2,338

Open reduction of inter - phalangeal 2,338

Open reduction of minor fractures with internal fixation (e.g.malleonar, olecranon etc.)

2,588

Toilet and suture of finger involving tendon/nerve 3,313

Closed reduction and immobilization of - colles fracture 1,558

Closed reduction and immobilization of - fractures of the carpus, metacarpals, tarsus, metatarsals and phalanges

2,048

188

Closed reduction and immobilization of - dislocation of PIP,IP,DIP joints of fingers toes

1,873

Closed reduction and immobilization of - ankle fractures 1,808

Removal of foreign bodies (needles, splinter, etc.)

1,148

Amputation of fingers and toes 1,933

Closed reduction/immobilization of scapula/clavicle 1,503

Application of traction - skull traction 1,289

Application of traction - skin traction with Thomas splint or Bohler

Braun frame

759

Application of traction - Steinmann pin insertion and traction 1,289

Removals of external fixators 1,199

Removals of external fixators : Kirschnir wires (k-wires)

1,024

Removals of external fixators : Steinmann pin 1,024

Removals of external fixators : Schantz screw etc.

1,024

Change of POP

714

Change of POP : POP slabs 710

Change of POP : u slabs 710

Change of POP : dorsal slabs 710

Change of POP : colles cast 710

Change of POP : above elbow cast 710

Change of POP : POP cylinder 710

Change of POP : POP boot 710

Change of POP : PTB cast 710

Change of POP : full length leg cast 715

Excision of bone tumour and reconstruction with free composite flap

(osteocutaneous or free fibular graft)

12,367

Composite tissue transfer e.g. free fibular or iliac crest graft 12,367

189

Amputations - forequarter, hindquarter 5,202

Total hip replacement - cemented or cementless 6,230

Revision total hip replacement 10,380

Total knee replacement, cemented or cementless 6,233

Revision total knee replacement 10,130

Spine - fusion and instrumentation 8,640

Spine - osteotomy, vertebrectomy 8,640

Spine - scoliosis with instrumentation 13,145

Amputation - above knee 4,511

Amputation - through knee 4,511

Amputation - below knee 4,511

Amputation - disarticulation of shoulder 3,016

Amputation - disarticulation of hip 4,511

Amputation - syme’s amputation 4,511

Amputation - mid - tarsal amputation 4,511

Excision of bone tumours and resection arthrodesis 6,730

Excision of myositis ossificans 2,842

Bone grafting 4,507

Deformities - correction of club foot complete soft tissue release including lengthening of tendons

4,105

Deformities - open reduction of congenital dislocation of hip 5,585

Arthrodesis - shoulder, hip, knee, ankle 4,647

Arthrodesis - triple arthrodesis 4,457

Tendon surgery - primary or secondary tendon suture 3,452

Tendon surgery - transplantation of tendon(s)

3,970

Transposition of peripheral nerves 2,670

Sequestrectemies 3,197

190

Tumour surgery - curretage of tumour and bone graft 2,842

Tumour surgery - excision biopsy of tumours 3,452

Osthotomies - neck of femur, supracondylav of femur upper tibia

4,511

Contracture release - hip 3,247

Contracture release - knee 3,247

Contracture release - neck (forticolis)

3,247

Correction of hallus varum/valgus deformities 3,627

Spine (cervical, thoracic or lumbar) - decompression 8,447

Spine (cervical, thoracic or lumbar) - laminectomy 7,887

Spine (cervical, thoracic or lumbar) - drainage of psoas abscess 3,249

Spine (cervical, thoracic or lumbar) - percutaneous discectomy 4,532

Spine (cervical, thoracic or lumbar) - exploration of spine with or without internal fixation

4,511

Shoulder - operation for recurrent dislocation 4,457

Hip - pelvic osteotomy/derotation osteotomy for congenital dislocation hip

7,657

Hip - hemiarthroplasty, unipolar/bipolar for fracture neck of femur

4,975

Knee - operative video arthroscopy 2,420

Knee - menisectomy 4,457

Foot - wedge tarsectomy 3,599

Release of finger contractures 3,534

Application/change of - plaster of paris cast 800

Application/change of - shoulder spica 800

Application/change of - hip spica 800

Application/change of - minerva jacket 800

Application/change of - scoliosis/localizer casts 800

Application/change of - spinal casts 800

191

Neutral position (manipulation and plaster of Paris following osteotomies)

800

Bone biopsy or excision of any bone 3,202

Osteotomy - osteoclasis 3,478

Removal of metal work (implants)

3,637

Excision biopsy of ganglion 1,930

Excision biopsy of popliteal cyst 1,924

Excision small cysts/tumours 1,924

Release and/or synovectomy for trigger finger/wrist joint 2,648

Correction of club foot - lengthening of tendon archilles only 1,221

Proximal radius - ulna - excision of head of radius 1,952

Manipulation of joint under general anaesthesia 1,442

Tumour surgery - incisional/marginal biopsy 1,905

Tenotomies (closed)

1,267

Arthrodesis - wrist 3,717

Arthrodesis - toe 2,053

Arthrodesis - finger 2,188

Proximal radius - ulna 3,728

Carpal tunnel release 1,918

Wadge resection of toe/finger nails 1,123

Avulsion of finger or toe nails 1,123

Aspiration of joints - knee 908

Aspiration of joints - elbow 908

Aspiration of joints - ankle 908

Incision and drainage 908

Arthroscopic ligament reconstruction - anterior 5,566

Arthroscopic ligament reconstruction - posterior 5,566

192

Arthroscopic ligament reconstruction - revision 5,566

Spinal fusion - anterior - cervical region 8,640

Spinal fusion - anterior - thoracic 8,640

Spinal instrumentation - anterior - cervical 8,640

Spinal instrumentation - posterior - cervical 8,640

Spinal instrumentation - thorocoscopic 8,640

Spinal instrumentation - anterior - thoracic 8,640

Spinal instrumentation - posterior - thoracic 8,640

Spinal instrumentation - posterior - lumbar 8,640

Spinal instrumentation - anterior - lumbar 8,640

Reconstruction of bony defect using autograft 3,689

Reconstruction of bony defect using prosthesis 10,931

Reconstruction of bony defect using allograft 8,304

Internal fixation - femur - intramedulla 3,003

Internal fixation - tibia - intramedulla 3,003

Spinal instrumentation - anterior - scoliosis 8,640

Spinal fusion - anterior - > 5 levels 8,640

Stabilization - open - shoulder joint - right 3,090

Arthroscopic stabilization - shoulder joint 3,090

Stabilization - open - shoulder joint - left 3,090

Arthroscopic stabilization - shoulder joint 3,090

Replacement - thoracic intervertebral 7,690

Revision arthroplasty - shoulder joint - right 3,562

Revision arthroplasty - shoulder joint - left 3,562

Revision arthroplasty - elbow joint - right 3,562

Revision arthroplasty - elbow joint - left 3,562

193

Revision arthroplasty - wrist joint - right 3,562

Revision arthroplasty - wrist joint - left 3,562

Spinal fusion - anterior - lumbosacral right 8,640

Reconstruction - Anterior Cruciate Ligament (ACL) - open - knee joint

3,940

Reconstruction - Posterior Cruciate Ligament (PCL) - open - knee joint

3,940

Arthroplasty - ankle joint - left 3,562

Revision of joint replacement - hip joint 10,380

Resection of tumour - spine with replacement 6,730

Exploration of wound - upper extremity - right 1,200

Replantation - upper arm - right 7,505

Replantation - upper arm - left 7,505

Replantation - forearm - right 7,505

Replantation - forearm - left 7,505

Replantation - wrist - right 7,505

Replantation - wrist - left 7,505

Replantation - hand - right 7,505

Replantation - hand - left 7,505

Replantation - thumb - right 7,505

Replantation - thumb - left 7,505

Replantation - index finger - right 7,505

Replantation - index finger - left 7,505

Replantation - middle finger - right 7,505

Replantation - middle finger - left 7,505

Replantation - ring finger - right 7,505

Replantation - ring finger - left 7,505

Replantation - little finger - right 7,505

194

Replantation - little finger - left 7,505

Revision arthroplasty - hand region - right 3,562

Revision arthroplasty - hand region - left 3,562

Transposition - finger - right 3000

Transposition - finger - left 3,000

Amputation - hemi pelvectomy (hindquater)

5,202

Arthrodesis - triple - foot - right 4,457

Arthrodesis - triple - foot - left 4,457

Reconstruction of bony defect using autograph 3,689

Reconstruction of bony defect using prosthesis 10,931

Reconstruction of bony defect using allograph 8,304

Reconstruction posterolateral complex 3,000

Exploration of wound - lower extremity - left 3,609

Exploration of wound - lower extremity - right 3,609

Arthroscopic tenotomy - biceps tendon - left 2,856

Arthroscopic tenotomy - biceps tendon - right 2,856

Peroneal tendoscopy - right 2,997

Peroneal tendoscopy - left 2,997

Arthroscopic repair - rotator cuff - right 1,986

Arthroscopic repair - rotator cuff - left 1,986

Reconstruction - achilles tendon (chronic)

1,845

Arthroscopic repair - rotator cuff - revision 3,361

Synovectomy - open - shoulder joint - right 2,648

Synovectomy - arthroscopic - shoulder joint 2,648

Synovectomy - open - shoulder joint - left 2,648

Synovectomy - arthroscopic - shoulder joint 2,648

195

Synovectomy - arthroscopic - elbow joint 2,648

Synovectomy - open - elbow joint 2,648

Synovectomy - arthroscopic - hip joint 2,648

Synovectomy - arthroscopic - knee joint 2,648

Synovectomy - arthroscopic - ankle joint 2,648

Ligament repair - elbow joint - right 2,811

Ligament repair - elbow joint - left 2,811

Ligament repair - wrist joint - right 2,811

Ligament repair - wrist joint - left 2,811

Ligament/capsule repair - hand - right 2,811

Ligament/capsule repair - hand - left 2,811

Ligament/capsule repair - upper extremities 2,811

Reconstruction ligament collateral - knee 2,416

Repair ligament - primary - knee joint 2,416

Reconstruction of ligament - ankle joint 2,416

Drainage of abscess of vertebra - cervic 3,855

Laminectomy - cervical 6,647

Laminectomy - thoracic 6,647

Biopsy of vertebra - thoracic region 2,282

Debridement - clavicle - right 5,960

Debridement - clavicle - left 5,960

Laminotomy - cervical 5,960

Laminotomy - thoracic 5,960

Corpectomy and fusion - cervical 7,500

Spinal fusion - posterior - cervical region 10,440

Corpectomy and fusion - thoracic 7,500

196

Spinal fusion - posterior - thoracic 8,640

Internal fixation of spine - odontoid sc 10,763

Laminoplasty - cervical 5,400

Laminoplasty - thoracic 5,400

Osteotomy - pelvic bone - right 7,907

Osteotomy - pelvic bone - left 7,907

Osteotomy - femur - right 5,007

Osteotomy - femur - left 5,007

Osteotomy - calcaneum - right 3,882

Osteotomy - calcaneum - left 3,882

Osteotomy - tibia - right 5,007

Osteotomy - tibia - left 5,007

Osteotomy - fibula - right 5,007

Osteotomy - fibula - left 5,007

Laminectomy - lumbar 6,647

Patellectomy - partial - right 3,670

Patellectomy - partial - left 3,670

Laminotomy - lumbar 5,960

Corpectomy and fusion - lumbar 7,500

Corpectomy and fusion - sacral 7,500

Foraminotomy 7,500

Laminoplasty - lumbar 5,400

Internal fixation - pelvic bone - right/left 4,808

External fixation of fracture - pelvic 4,808

Internal fixation - acetabulum - anterior 4,808

Internal fixation - acetabulum - posterior 4,808

197

Internal fixation - femur - proximal - right 4,808

Internal fixation - femur - proximal - left 4,808

Internal fixation - femur - shaft - right 4,808

External fixation of fracture - femur - right 4,808

Open reduction of fracture - femur - right 2,900

Internal fixation - femur - shaft - left 4,808

External fixation of fracture - femur - left 4,808

Open reduction of fracture - femur - left 2,900

Internal fixation - calcaneum - right 4,808

Internal fixation - femur - distal - left 4,808

Internal fixation - femur - distal - right 4,808

Internal fixation - patella - right 4,808

Internal fixation - calcaneum - left 4,808

Internal fixation - patella - left 4,808

Internal fixation - tibia - distal - right 4,808

Internal fixation - medial malleolus - right 4,808

Internal fixation - posterior malleolus 4,808

Internal fixation - tibia - shaft - right 4,808

External fixation of fracture - tibia - right 4,808

Open reduction of fracture - tibia - right 2,900

Internal fixation - tibia - proximal - left 4,808

Internal fixation - tibia - distal - left 4,808

Internal fixation - medial malleolus - left 4,808

Internal fixation - posterior malleolus 4,808

Internal fixation - tibia - shaft - left 4,808

External fixation of fracture - tibia - left 4,808

198

Open reduction of fracture - tibia - left 2,900

Internal fixation - lateral malleolus - right 4,808

Open reduction of fracture - fibula - right 2,900

Internal fixation - lateral malleolus - left 4,808

Open reduction of fracture - fibula - left 2,900

Internal fixation - talus - right 4,808

Internal fixation - talus - left 4,808

Spinal fusion - posterior -

(scoliosis)

8,640

Arthrodesis - shoulder joint - right 4,647

Arthrodesis - shoulder joint - left 4,647

Arthrodesis - elbow joint - right 4,647

Arthrodesis - elbow joint - left 4,647

Arthrodesis - wrist joint - right 3,717

Arthrodesis - wrist joint - left 3,717

Arthrotomy - shoulder joint - right 1,993

Arthroscopy diagnostic - shoulder joint 2,374

Arthrotomy - shoulder joint - left 1,993

Arthroscopy diagnostic - shoulder joint 2,374

Arthroscopy diagnostic - elbow joint - right 2,374

Arthroscopy diagnostic - elbow joint - left 2,374

Arthroscopy diagnostic - wrist joint - right 2,374

Arthroscopy diagnostic - wrist joint - left 2,374

Arthroplasty - shoulder joint - hemi 3,272

Arthroplasty - shoulder joint - total 3,272

Arthroplasty - finger/thumb phalangeal 1,957

Discectomy - cervical - open 14,787

199

Discectomy - cervical - percut 4,045

Discectomy - cervical - endoscopic 14,787

Microdiscectomy - cervical 14,787

Discectomy - thoracic - open 14,787

Discectomy - thoracic - percutaneous 5,100

Discectomy - thoracic - endoscopic 7,095

Removal of loose/foreign body - knee joint 1,148

Spinal fusion - posterolateral - 3 or 4 8,640

Spinal fusion - posterolateral - 1 or 2 8,640

Spinal fusion - posterior - lumbosacral 8,640

Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - right

5,178

Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - right

5,178

Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - left

5,178

Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - left

5,178

Resection of tumour - spine 6,730

Amputation - transfemoral (above knee)

4,511

Amputation - transtibial (below knee)

4,511

Amputation - syme - right 4,511

Amputation - syme - left 4,511

Arthrodesis + internal fixation - hip - right 4,647

Arthrodesis + internal fixation - hip - left 4,647

Arthrodesis + internal fixation - knee - right 4,647

Arthrodesis + external fixation - knee - right 4,647

Arthrodesis + internal fixation - knee - left 4,647

Arthrodesis + external fixation - knee - left 4,647

Arthrodesis + internal fixation - ankle - right 4,647

200

Arthrodesis + internal fixation - ankle - left 4,647

Arthrodesis + external fixation - ankle - left 4,647

Arthrodesis - tarsometatarsal - right 4,457

Arthrodesis - tarsometatarsal - left 4,457

Arthrodesis - tarsotarsal - right 4,457

Arthrodesis - tarsotarsal - left 4,457

Arthroscopy diagnostic - hip - right 2,374

Arthroscopy diagnostic - hip - left 2,374

Arthroscopy diagnostic - knee - right 2,374

Arthroscopy diagnostic - knee - left 2,374

Arthroscopy diagnostic - ankle - right 2,374

Arthroscopy diagnostic - ankle - left 2,374

Discectomy - lumbar - percutaneous 4,532

Revision of replacement - hip - total - right 10,380

Revision of replacement - hip - hemi - left 10,380

Revision of replacement - hip - total - left 10,380

Revision of replacement - knee - total - right 10,130

Revision of replacement - knee - unicompartment - right 10,130

Revision of replacement - knee - total - left 10,130

Revision of replacement - knee - unicompartment - left 10,130

Reconstruction of ligament - elbow joint 2,416

Repair ligament - ankle joint - right 2,416

Repair ligament - ankle joint - left 2,416

Repair ligament - foot - right 2,416

Repair ligament - foot - left 2,416

Biopsy of vertebra - cervical region 2,282

201

Debridement - cervical vertebra 2,095

Biopsy of vertebra - thoracic region 2,282

Internal fixation - scapula - right 2,318

Internal fixation - scapula - left 3,003

Internal fixation - clavicle - right 4,118

Internal fixation - clavicle - left 4,118

Internal fixation - humerus - proximal 3,003

Internal fixation - humerus - distal-right 3,003

Internal fixation - humerus - right 3,003

External fixation - humerus - right 4,808

Internal fixation - humerus - interlocking - right 3,003

Internal fixation - humerus - proximal 3,003

Internal fixation - humerus - distal - left 3,003

Internal fixation - humerus - left 3,003

External fixation - humerus - left 4,808

Internal fixation - humerus - interlocking - left 3,003

Internal fixation - radial head or neck 3,003

Internal fixation - radius - distal - right 3,003

Internal fixation - radius - right 3,003

External fixation - radius - distal - right 4,808

External fixation - radius - right 4,808

Internal fixation - radial head or neck 4,808

Internal fixation - radius - left 4,808

External fixation - radius - distal - left 4,808

External fixation - radius - left 4,808

Internal fixation - olecranon - right 2,588

202

Internal fixation - ulna - distal - right 4,808

Internal fixation - ulna - right 4,808

External fixation - ulna - right 4,808

Internal fixation - olecranon - left 2,588

Internal fixation - ulna - distal - left 4,808

Internal fixation - ulna - left 4,808

External fixation - ulna - left 4,808

Internal fixation - carpus - other - right 1,998

Internal fixation - carpus - other - left 1,998

Internal fixation - metacarpal - right 1,998

External fixation - metacarpal - right 3,313

Internal fixation - metacarpal - left 1,998

External fixation - metacarpal - left 3,313

Internal fixation - thumb phalanx - right 1,998

Internal fixation - thumb phalanx - left 1,998

Internal fixation - finger phalanx - right 1,998

Internal fixation - scaphoid - right 3,003

Internal fixation - finger phalanx - left 1,998

Internal fixation - scaphoid - left 3,003

Biopsy of vertebra - lumbar region - open 2,282

Debridement - lumbosacral vertebra 2,095

Biopsy of vertebra - lumbar region - percutaneous 2,282

Biopsy of vertebra - sacral region - open 2,282

Biopsy of vertebra - coccygeal region 2,282

Internal fixation - other tarsal bones - right 1,998

Internal fixation - other tarsal bones - left 1,998

203

Internal fixation - metatarsal - right 1,998

Internal fixation - metatarsal - left 1,998

Internal fixation - toe phalanx - right 1,998

Internal fixation - toe phalanx - left 1,998

Arthrotomy - wrist joint - right 2,273

Arthrotomy - wrist joint - left 2,273

Biopsy - open - shoulder joint - right 2,282

Biopsy - open - shoulder joint - left 2,282

Biopsy - open - elbow joint - right 2,282

Biopsy - open - elbow joint - left 2,282

Biopsy - open - wrist joint - right 2,282

Biopsy - open - wrist joint - left 2,282

Arthrodesis - metacarpophalangeal joint 2,188

Arthrodesis - finger/thumb phalangeal 2,188

Arthrodesis - intercarpal joint - right 2,188

Arthrodesis - finger/thumb phalangeal 2,188

Arthrodesis - intercarpal joint - left 2,188

Arthrotomy - elbow joint - right 2,273

Arthrotomy - elbow joint - left 2,273

Arthrotomy - metacarpophalangeal joint 2,273

Arthrotomy - finger/thumb phalangeal joint 2,273

Biopsy open - hip joint - right 2,282

Biopsy open - hip joint - left 2,282

Biopsy open - knee joint - right 2,282

Biopsy open - knee joint - left 2,282

Biopsy open - ankle joint - right 2,282

204

Biopsy open - ankle joint - left 2,282

Exploration of wound - upper extremity - left 1,200

Open reduction of fracture - metacarpus - right 2,338

Open reduction of fracture - metacarpus - left 2,338

Open reduction of fracture - thumb phalanges - right 2,338

Open reduction of fracture - thumb phalanges - left 2,338

Open reduction of fracture - finger phalanges - right 2,338

Open reduction of fracture - finger phalanges - left 2,338

Disarticulation - shoulder joint - right 3,896

Disarticulation - shoulder joint - left 3,896

Disarticulation - elbow - right 3,864

Disarticulation - elbow - left 3,864

Disarticulation - wrist joint - right 3,864

Disarticulation - wrist joint - left 3,864

Disarticulation - metacarpophalangeal joint - right 2,022

Disarticulation - metacarpophalangeal joint - left 2,022

Disarticulation - finger/thumb phalang - right 2,092

Disarticulation - finger/thumb phalang - left 2,092

Excision arthroplasty - wrist joint - right 2,437

Excision arthroplasty - wrist joint - left 2,437

Excision arthroplasty - metacarpophalang - right 2,437

Excision arthroplasty - metacarpophalang - left 2,437

Excision arthroplasty - finger/thumb - right 2,437

Excision arthroplasty - finger/thumb - left 2,437

Arthroplasty - shoulder - total - right 2,437

Arthroplasty - shoulder - hemi - left 2,437

205

Arthroplasty - elbow - right 2,437

Arthroplasty - elbow - left 2,437

Arthroplasty - wrist - right 2,437

Arthroplasty - wrist - left 2,437

Arthroplasty - finger/thumb phalangeal - right 2,437

Excision arthroplasty hip jt (girdleston)

437

Amputation - transmetacarpal - left 1,933

Amputation - thumb - phalanx proximal 1,933

Amputation - thumb - phalanx distal - right 1,933

Amputation - thumb - phalanx distal - left 1,933

Amputation - index finger - phalanx proximal 1,933

Amputation - index finger - phalanx middle 1,933

Amputation - index finger - phalanx distal 1,933

Amputation - middle finger - phalanx proximal 1,933

Amputation - middle finger - phalanx mid 1,933

Amputation - middle finger - phalanx distal 1,933

Amputation - ring finger - phalanx proximal 1,933

Amputation - ring finger - phalanx middle 1,933

Amputation - ring finger - phalanx distal 1,933

Amputation - little finger - phalanx proximal 1,933

Amputation - little finger - phalanx middle 1,933

Amputation - little finger - phalanx distal 1,933

Amputation - transmetatarsal - right 1,933

Amputation - transmetatarsal - left 1,933

Amputation - metatarsal 1st (ray) - right 1,933

Amputation - toe - 1st - right 1,933

206

Amputation - metatarsal 1st (ray) - left 1,933

Amputation - toe - 1st - left 1,933

Amputation - metatarsal 2nd (ray) - right 1,933

Amputation - toe - 2nd - right 1,933

Amputation - metatarsal 2nd (ray) - left 1,933

Amputation - toe - 2nd - left 1,933

Amputation - metatarsal 3rd (ray) - right 1,933

Amputation - toe - 3rd - right 1,933

Amputation - metatarsal 3rd (ray) - left 1,933

Amputation - toe - 3rd - left 1,933

Amputation - metatarsal 4th (ray) - right 1,933

Amputation - toe - 4th - right 1,933

Amputation - metatarsal 4th (ray) - left 1,933

Amputation - toe - 4th - left 1,933

Amputation - metatarsal 5th (ray) - right 1,933

Amputation - toe - 5th - right 1,933

Amputation - metatarsal 5th (ray) - left 1,933

Amputation - toe - 5th – left 1,933

Open reduction of fracture - scaphoid - left 2,338

Arthroplasty - hip - hemiarthroplasty - right 2,437

Arthroplasty - hip - total - right 2,437

Arthroplasty - hip - hemiarthroplasty - left 2,437

Arthroplasty - hip - total - left 2,437

Arthroplasty - knee - total - right 2,437

Arthroplasty - knee - unicompartment - right 2,437

Arthroplasty - knee - total - left 2,437

207

Arthroplasty - knee - unicompartment - left 2,437

Arthroplasty - ankle - right 2,437

Open reduction of fracture - scaphoid - right 2,338

Removal - prosthesis - shoulder - right 1,148

Removal - foreign/loose body - shoulder 1,148

Removal - prosthesis - shoulder - left 1,148

Removal - foreign/loose body - shoulder 1,148

Removal - prosthesis - elbow - right 1,148

Removal - foreign/loose body - elbow joint 1,148

Removal - prosthesis - elbow - left 1,148

Removal - prosthesis - wrist - right 1,148

Removal - foreign/loose body - wrist joint - right 1,148

Removal - prosthesis - wrist - left 1,148

Removal - foreign/loose body - wrist joint - left 1,148

Removal - prosthesis - finger - right 1,148

Removal - prosthesis - finger - left 1,148

Removal of loose/foreign body - hip joint - left 1,148

Removal of loose/foreign body - knee joint - right 1,148

Removal of loose/foreign body - ankle joint - right 1,148

Removal - implants - upper extremity 3,637

Removal - foreign body - upper extremity 1,148

Removal - foreign body-lower extremity

1,148

Removal - implants - upper extremity 3,637

Removal - foreign body - upper extremity 1,148

Removal - implants - hand/finger region 3,637

208

Removal - implants - foot/toe region 3,637

Aspiration - acromionclavicular joint - left 908

Aspiration - acromionclavicular joint - right 908

Aspiration - shoulder joint - right 908

Aspiration - shoulder joint - left 908

Aspiration - elbow joint - right 908

Aspiration - elbow joint - left 908

Aspiration - wrist joint - right 908

Aspiration - wrist joint - left 908

Manipulation under anaesthesia - shoulder 1,442

Manipulation under anaesthesia - elbow joint 1,442

Manipulation under anaesthesia - wrist joint 1,442

Aspiration - sacroiliac - right 908

Aspiration - sacroiliac - left 908

Aspiration - hip - right 908

Aspiration - hip - left 908

Aspiration - knee - right 908

Aspiration - knee - left 908

Aspiration - ankle - right 908

Aspiration - ankle - left 908

Aspiration - upper extremity - other - left 908

Aspiration - upper xtremity - other - right 908

Aspiration - lower extremity - other - left 908

Aspiration - lower extremity - other - right 908

Laparoscopy - diagnostic 2,136

Manipulation under anaesthesia - hip - right 1,442

209

Manipulation under anaesthesia - hip - left 1,442

Manipulation under anaesthesia - knee - right 1,442

Manipulation under anaesthesia - knee - left 1,442

Manipulation under anaesthesia - ankle - right 1,442

Manipulation under anaesthesia - ankle - left 1,442

Free tissue transfer 12,367

Replantation 7,505

Revascularisations 7,505

Arthrodesis - more than one joint 4,457

Bone graft 3,689

Open reduction/internal fixation 4,808

External fixation 4,808

Excision of benign bony tumours 3,452

Amputation (hand, ray, multiple digits)

1,933

Ligament repairs 2,811

Arthrodesis - one joints 3,056

Bone - close reduction/splinting 1,503

Removal of foreign body 1,148

Removel of internal fixators 1,199

Amputation of single digit 1,933

Aspiration 908

Incision and drainage 908

Removal of external fixator 1,199

210

NEUROSURGERI

Craniotomy - supratentorial tumour removal (total)

12,797

Craniotomy - supratentorial tumour (debulking)

12,797

Craniotomy - pituitary tumour 12,797

Craniotomy - cerebral aneursym, clipping 12,797

Craniotomy - arteriovascular malformation, excision 12,797

Craniotomy - carotid cavernous fistula 12,297

Suboccipital craniectomy - total tumour removal 12,797

Suboccipital craniectomy - partial resection 12,797

Laminectomy - tumour removal 9,036

Laminectomy - disc removal 12,306

Nerve anastomosis 5,227

Orbital tumours - transcranial/lateral approach 12,797

Repair of nasal encephalocoele 12,797

Decompressive brain resection 12,797

Microvascular decompression 12,797

Cordotomy 7,121

Anterior cervical/thoracic/lumbar fusion 12,306

Transphenoidal pituitary surgery 12,297

Craniofacial deformities - corrective surgery 12,797

Hemispherectomy 12,297

Axial - occipitial fusion or atlanto - occipital fusion 11,756

Craniotomy - extradural haematoma 6,611

Craniotomy - subdural haematoma 6,611

Craniotomy - intracerebral haematoma 12,297

211

Craniotomy - excision abscess 8,822

Craniotomy - removal of foreign body 8,322

Craniotomy - cyst decompression 5,292

Craniotomy - tumour biopsy 8,322

Craniotomy - dural leak repair 6,344

Craniotomy - aneurysm : wrapping of aneurysm 12,797

Suboccipital craniectomy - biopsy 10,432

Suboccipital craniectomy - decompression 8,822

Repair of meningomyelocele 6,361

Laminectomy - biopsy 8,036

Laminectomy - decompression 8,036

Excision of skull bones tumours 4,172

Excision of scalp vascular malformations 6,797

Retrogasserian rhizotomy 2,816

Exploration of brachial plexus 3,018

Major repair of scalp, skull, dura and brain following trauma 12,797

Carotid endaeterectomy and/or arterial graft 9,198

Thalamotomy or papillidotomy 12,297

Wound debridement of compound fractures 2,602

Elevation of depressed fracture skull 3,650

Carotid artery ligation 3,787

Ventriculo - peritoneal shunt 3,554

Ventriculo - artial shunt 9,943

Lumboperitoneal shunt 3,429

Reservoir insertion - ventricular/spinal 3,429

Peripheral nerve decompression 2,082

212

Burr hole tapping - brain abscess 3,551

Burr hole tapping - brain haematoma 3,878

Repair of skull defect 5,418

Burr hole drainage - chronis subdural 4,918

Scalp wound debridement 1,573

Burr hole for intra - cranial pressure monitoring 2,685

Exfloration, repair or stripping of peripheral nerves 2,002

Subtemporal decompression 8,293

Section of transverse carpal arctarsal ligaments 1,696

Shunt removal 2,414

External ventricular drainage 2,479

Peripheral nerve blocks 2,039

Ventriculography 3,024

Skull traction 1,429

KARDIOSURGERI

Close heart surgery - ligation of persistent ductus arteriosus 10,653

Close heart surgery - aorto-pulmonary shunts (blalock - taussig shunt or equivalent)

13,765

Close heart surgery - pulmonary artery banding 10,653

Close heart surgery - pulmonary valvotomy/valvectomy 14,075

Close heart surgery - repair of coarctation of the aorta 21,665

Close heart surgery - pericardiectomy 8,963

Close heart surgery - open pericardial drainage 7,135

Close heart surgery - pericardial biopsy 6,290

Close heart surgery - closed mitral valvotomy 19,400

213

Close heart surgery - repair of cardiac trauma not requiring pulmonary bypass

7,395

Close heart surgery - glenn shunt or equivalent 13,605

Close heart surgery - ligation of major aorto-pulmonary collateral arteries

9,383

Insertion of pacemaker unit and endocardial or epicardial lead 16,760

Replacement of pacemaker unit and/or lead 6,260

Coronary artery bypass surgery with or without excision of left ventricular aneurysm or repair of post - infarction ventricular septal defect or mitral incompetence

18,658

Single valve replacement or repair (inclusive of fee of prosthesis)

23,278

Open mitral valvotomy 23,278

Multiple valve replacement 24,008

Repair of total anomalous pulmonary venous connections 17,998

Repair of cortriatrium 13,800

Mitral valvuloplasty/valvotomy 19,660

Aortic valvuloplasty/valvotomy 19,060

Relief of infravalcular aortic stenosis 19,060

Repair of total atrio - ventricular canal defect 16,543

Double aortic arch repair/suspension of aortic arch 17,643

Closure of ASD

16,268

Closure of VSD

16,918

Right ventricular outflow tract reconstruction 16,918

Pulmonary arterioplasty including pulmonary artery debanding 16,268

Conduit interposition (with or without valve)

16,268

Surgery for transposition of great arteries - atrial switch 18,008

Fontan operation/modified fontan or equivalent 17,758

214

Septation of common atrium 16,258

Other surgical procedures performed under pulmonary bypass

(exclusive of fee of prosthesis)

17,768

Aortic/peripheral vascular aneurysm repair and others 18,518

Insertion and/or removal of intraaortic balloon (inclusive of fee of balloon)

4,085

Vascular endarterectomy 7,463

Vascular graft 7,863

Replacement of pacemaker wire (epicardial)

6,000

Adjustment of endocardial lead 6,000

Insertion of epicardial lead 6,000

Open lung biopsy 8,780

Pleurodesis/Pleurectomy 7,715

Decortication 8,610

Bronchoscopy 4,533

Mediastinoscopy 4,533

Thoracoscopy 3,933

Correction of chest wall deformities 8,860

Excision of intrathoracic and mediastinal tumours 9,903

Chest wall resection (excision of rib sterna tumours)

8,695

Exploratory thoracotomy 6,550

Diagnostic thoracotomy 6,550

Tracheal resection/repair 10,643

Scalene node biopsy 5,379

Tracheal dilatation 5,379

Pericardial window 9,243

Thymectomy 5,528

215

Repair of congenital hernias 7,308

Repair of ruptured diaphragm 8,340

Anti - reflux procedures 8,340

Sternal resuturing/rewiring 5,768

Exploration of bleeding 5,768

Vascular embolectomy 5,768

Adjustment of pacemaker wire (transvenous)

6,000

Replacement of pacemaker wire (endocardial)

6,000

PEMBEDAHAN PLASTIK DAN PEMBENTUKAN SEMULA

Free vascularised tissue transfer with micro surgical vascular and/or neuro anastomosis of soft and/or bony tissue

15,225

Loss of lid or lids with reconstruction 1,500

Epicanthus correction 2,367

Telecanthus correction 4,123

Repair of lachrymal duct 1,500

Dacryo cysto rhinostomy 4,222

Repair of ear injury (very severe)

1,847

Correction of other ear deformities (severe)

2,965

Excision of lesion with reconstruction (very severe)

7,412

Reduction rhinoplasty 5,662

Augmentation rhinoplasty (with silicone or bone or cartilage)

3,477

Lip - excision of lesion with reconstruction (very severe)

1,500

Repair of clefts - facial clefts (severe)

1,500

Tongue flaps 1,500

Tenolysis and tenodesis (severe)

2,547

216

Pollicisation 5,052

Reconstruction of hypospadias (severe)

6,420

Reconstruction of epispadias 4,130

Fistula repair (severe)

2,432

Bladder reconstruction 9,025

Radical vulvectomy 3,256

Scar revision (very severe)

3,352

Reconstructive surgery of haemangioma (very severe)

10,212

Reconstructive surgery of lymphangioma (severe)

10,212

Reconstructive surgery of arteriovenous (AV) lymphohaemangioma

(severe)

10,212

Reconstructive surgery of arteriovenous (AV) malformation (severe)

8,310

Reconstructive surgery of arteriovenous (AV) fistula (severe)

8,860

Repair of lid injury (severe)

900

Lid resection for tumour with/without reconstruction 1,587

Exenteration of orbit 5,622

Epicanthus or telecanthus correction (moderate)

4,372

Blepharoplasty 3,277

Oriental eyelid correction 2,012

Catholasty 932

Tarsorrhaphy (severe)

1,722

Repair of ear injury (severe)

4,552

Excision of lesion and reconstruction (severe)

1,130

Bat ears correction 6,662

Correction of other ear deformities (moderate)

4,552

Cleft lip (unilateral)

3,527

217

Cleft lip (bilateral)

5,662

Cleft palate 3,202

Cranio - facial surgery e.g. correction nasal encephalocoele, treacher collins aperts, cruzon or anopthalmia

11,117

Head and neck malignancy with excision, immediate reconstruction and with or without radical neck dissection

3,000

Severe facial trauma needing major reconstruction 3,944

Partial glossectomy with radical block dissection of the neck 3,000

Total glossectomy with/without neck dissection 3,000

Malignant intraoral lesions with reconstruction 3,000

Reconstruction of facial fractures (very severe)

3,769

Reduction of fibrous dysplasia 3,000

Total and sub-total reconstructive rhinoplasty 1,500

Reconstruction for microtia (absent ear or presence of part of the ear)

1,500

Reconstruction for cranio-facial cleft (tessier cleft)

1,500

Tissue expansion 1,500

Scalp - excision of benign or malignant lesions with flap reconstruction

2,457

Coloboma correction (severe)

1,500

Correction of other ear deforminities (severe)

3,901

Burns - primary treatment (very severe)

3,641

Burns - treatment of sequelae (very severe) e.g. release of contractures and joints

2,645

Breast - augmentation (with prosthesis)

2,923

Breast - reduction 1,582

Breast - ptosis correction 1,500

Myo and osteo myo cutaneous flaps 6,901

Rib graft removal 1,500

218

Hand reconstruction with soft and/or bony injuries (very severe)

1,500

Repair of syndactyly - congenital or acquired (severe)

1,500

Reconstruction surgery of naevi, including congenital or giant hairy naevus (very severe)

2,407

Reconstructive surgery of malignant melanoma (severe)

1,500

Reconstructive surgery of squamous cell carcinoma (very severe)

1,500

Reconstructive surgery of basal cell carcinoma (very severe)

1,500

Reconstructive surgery of neurofibromatosis (very severe)

1,500

Rhytidectomy 1,500

Abdominoplasty 1,500

Dermo - lipectomy 1,500

Tatoo removal (very severe)

1,500

Keloids - excision injection or compression (very severe)

1,500

Scalp - burns with flap closure 984

Scalp - burns with skin grafts 800

Coloboma correction (moderate)

800

Nose - excision of lesion with reconstruction (severe)

800

Lip - excision of lesion with reconstruction (severe)

3,147

Mouth - commissure reconstruction 800

Mouth - leukoplakia excision and grafting (severe)

800

Facial clefts (moderate)

800

Pharyngoplasty 1,231

Facial sling 800

Facial nerve repair 800

Burn - primary treatment 2,508

Burn - treatment of sequelae e.g. release of contractures and joints

(severe)

2,423

219

Nipple reconstruction 1,601

Reconstruction of hypospadias (moderate)

3,485

Urogenital - excision of stricture 800

Urogenital - fistula repair (moderate)

2,055

Split skin grafts (moderate)

2,992

Full thickness grafts (moderate)

3,052

Vagina reconstruction 5,205

Nose - excision of lesion without reconstruction 1,255

Lip - excision of lesion with primary closure (mild)

320

Reconstruction of facial injury - soft tissue (mild)

320

Mouth - node biopsy 320

Burn - primary treatment (mild)

2,187

Reconstruction surgery of epidermal naevus (mild)

2,165

Reconstructive surgery of sebaceous cyst 2,165

Reconstructive surgery of naevi including congenital or giant hairy naevi (mild)

2,165

Scar revision (mild)

2,165

Tatoo removal (mild)

650

Keloids - excision, injection or compression (mild)

323

Reconstructive surgery of haemangioma (mild)

6,030

Secondary suturing (moderate)

985

Secondary suturing (mild)

950

Skin biopsy 350

Toilet and suture of drainage of superficial wounds 350

Incision and drainage of abscess 896

Excision of slough (at first episode)

282

220

Jadual

JADUAL KETUJUH

[Perenggan 11]

FI PELBAGAI

IMUNISASI

Demam kuning 300

Tifoid 80

Jenis imunisasi lain 40

AMBULAN, KERETA JENAZAH DAN PASUKAN PERUBATAN TUNGGU SEDIA

Ambulan 1.40 bagi setiap km

Kereta jenazah

Kurang daripada 30 km 40 30 km hingga 800 km 1.40 bagi setiap km

Lebih daripada 800 km 1,200

Pasukan perubatan tunggu sedia (tidak termasuk pegawai perubatan)

Hari pertama 400

Hari kemudiannya 250

221

PEMERIKSAAN PERUBATAN DAN LEMBAGA PERUBATAN

Pemeriksaan perubatan termasuk x-ray 300

Pemeriksaan bagi Lembaga Perubatan 600

PENDAPAT ATAU LAPORAN PERUBATAN BERTULIS

Laporan ringkas/pendapat disediakan oleh pegawai perubatan 120

Laporan ringkas/pendapat disediakan oleh pakar 240

Pendapat lengkap disediakan oleh pakar 400 hingga 2,000

bergantung kepada kerumitan menyediakan pendapat itu.

Dibuat 27 Disember 2014

[KK(S)-280(32/41); PN(PU2)86/XVII]

Dengan Titah Perintah,

DATUK SERI DR. S. SUBRAMANIAM

Menteri Kesihatan

(Akan dibentangkan dalam Dewan Rakyat menurut seksyen 4 Akta Fi 1951)

222

FEES ACT 1951

FEES (MEDICAL) (COST OF SERVICES) ORDER 2014

IN exercise of the powers conferred by sections 3 and 10 of the Fees Act 1951 [Act 209], the Yang di-Pertuan Agong makes the following order:

Citation, commencement and application 1.

(1)

This order may be cited as the Fees (Medical) (Cost of Services)

Order 2014.

(2)

This Order comes into operation on 31 December 2014.

(3)

This Order shall apply to foreign persons only.

Definition 2.

In this Order, unless the context otherwise requires—

“artificial limbs or prosthesis” means an appliance used internally or externally to put patient back in a functional condition in order for him to be independent in his daily routine;

“operation fee” means a fee charged on any patient who needs any surgical intervention for the treatment or diagnostic purposes;

“dental fee” means a fee charged for any dental treatment;

“treatment fee” means a fee charged for medical attention, medical comforts, medicines, dressing and other services rendered to any patient treated at any hospital;

“investigation fee” means a fee charged on any procedure which is an aid to diagnosis other than those covered by operation charge;

223

“ward fee” means a fee charged for diet and the use of a bed;

“hospital” means any Government hospital including any teaching hospital of the university, Government clinic and any other Federal Medical

Institution;

“Federal Medical Institution” means any hospital and medical institution declared by the Government as a Federal Medical Institution;

"day care" means care of a patient admitted into a day treatment unit at the hospital or special treatment centre, for a period of less than twenty four hours on a referral by a medical officer for medical procedures including for the purposes of prevention, investigation, therapy and rehabilitation;

“Ministry” means the Ministry of Health;

“Secretary General” means the Secretary General of Ministry of Health;

“foreign person” means a person who is not a citizen of Malaysia but does not include—

(a)

a non citizen who holds an identity card issued under paragraph 5(3)(b) of the National Registration Regulations 1990

[P.U. (A) 472/1990]; or

(b)

a non-citizen spouse to a citizen of Malaysia;

“specialist” means a person so appointed under the General Orders

Chapter F Medical 1974;

“medical officer” means a registered medical practitioner or registered dental practitioner in the service of the Malaysian Government.

224

Outpatient fee 3.

The fee for services rendered at the Outpatient Department, other than the dental fee, shall be as specified in the First Schedule and shall be charged at the—

(a)

general hospitals;

(b)

district hospitals;

(c)

polyclinics; and

(d)

any other places which the Minister of Health may specify for the purposes of this paragraph.

Ward fee 4.

(1)

The ward fee shall be as specified in the Second Schedule.

(2)

For the purposes of the computation of ward fee—

(a)

the day of admission shall be counted as one full day; and

(b)

the day of discharge shall be counted as one full day if it exceeds twelve hours.

(3)

Where in the opinion of the medical officer, it is necessary for a parent to accompany a child patient, the parent shall be subjected to the ward fee at the half of the rate specified in the Second Schedule.

Treatment fee 5.

The treatment fee shall be as specified in the Third Schedule.

Investigation fee 6.

(1)

The investigation fee shall be as specified in the Fourth Schedule.

225

(2)

Where a series of x-rays are taken to assist in the proper alignment of one fracture, only one fee at the rate specified in Part 1 of the Fourth Schedule shall be charged for that fracture.

(3)

Where repeated radiological examinations are carried out subsequent to the examination in subparagraph (2), a separate fee shall be charged for each examination.

Laboratory fee 7.

Laboratory fee shall be as specified in the Fifth Schedule.

Operation fee 8.

Operation fee shall be as specified in the Sixth Schedule.

Dental fee 9.

Dental fee shall be as specified in Part 9 of the Third Schedule.

Artificial limb or prosthesis fee 10.

The fee for artificial limb or prosthesis shall be as specified in Part 10 of the

Third Schedule.

Miscellaneous fee 11.

Miscellaneous fee shall be as specified in the Seventh Schedule.

Daycare fee 12.

The fee for the daycare patient shall be as specified in the Third Schedule to the

Sixth Schedule, and the ward fee shall be based on the third class ward in the Second

Schedule .

Patient admitted into the higher class ward 13.

A patient originally admitted into the ward of lower class and subsequently transferred into the ward of higher class at his own request, shall pay all fees including the related ward fee.

226

Deposit 14.

(1)

A patient shall before admission into a ward—

(a)

pay a deposit to be determined by the Secretary General; or

(b)

provide a satisfactory guarantee of payment as approved by the

Secretary General.

(2)

If a patient incurs additional expenses not covered by his deposit while he is still in the ward, he shall be required to pay a further deposit.

(3)

Where the fee incurred by a patient is less than his deposit upon his discharge from the hospital, the hospital shall refund the difference to him.

Remission 15.

The Secretary General may remit a part of or the whole part of any fees imposed under this Order.

Dispute on fee 16.

Where there is a dispute on any fee charged under this Order, it shall be referred to the Secretary General whose decision shall be final.

227

FIRST SCHEDULE

[Paragraph 3]

OUTPATIENT FEE

Fee per visit (RM)

(a)

Hospital

General outpatient 40

Specialist outpatient 120

Emergency Department 100

(b)

Health Clinic

General outpatient 40

Specialist outpatient 120

(c)

1 Malaysia Clinic 40

(d)

Klinik Desa 40

(e)

Others

Child health services 40

Obstetric and gynaecology treatment 40

Post natal services 40

Pap smear 45

Delivery service (including at the Alternative

Birthing Centre and at home)

200

228

Medical services outside hospital 300 for every visit excluding any claims for travelling, subsistence and lodging expenses in accordance with the rate set by the

Government

*Fees in this Schedule do not include any other fees specified in this Order.

229

SECOND SCHEDULE

[Subparagraph 4(1)]

WARD FEE

Fee per day (RM)

(a)

Executive

Single bed room (VIP)

500

Single bed room 400

Two beds in a room 340

(b)

First class

Single bed room 320

Two beds in a room 240

Three or more beds in a room 200

(c)

Second class 180

(d)

Third class 160

(e)

Labour room 300

(f)

Intensive Care Unit or Coronary Care Unit

(adult)

360

(g)

Intensive Care Unit or Coronary Care Unit

(child)

300

230

(h)

Nursery 60

(i)

Special Care Nursery 140

(j)

Nursery with incubator care 170

(k)

Psychiatric ward

Based on the classes of the ward and the number of bed

231

THIRD SCHEDULE

[Paragraph 5]

TREATMENT FEE

PART 1

INPATIENT TREATMENT

Inpatient treatment 100 per day

PART 2

PSYCHIATRIC TREATMENT

Psychiatric treatment 1,500 per hospitalisation

PART 3

DELIVERY FEE

Caesarean 3,021

Delivery with help : forcep/breech/vacuum/twin/normal delivery 2,593

PART 4

OTHER TREATMENT

Cardiotocograph 120

232

Toilet and suture per stich 50

Fine needle aspiration 275

Incision and drainage 275

Catheterisation 85

PART 5

RADIOTHERAPY TREATMENT

SIMULATION AND COMPUTERIZED PLANNING

Mark on set 50

Conventional Simulation 1,000

CT Simulation - normal (without contrast)

1,500

CT Simulation - complex (with contrast)

3,000

CT Simulation - IMRT/Rapid Arc. , TBI, TNI, TBE

5,000

CT Simulation - Stereotactic Radiosurgery (SRT)

20,000

RADIOTHERAPY TREATMENT

2D/Single field/parallel opposed per fraction 350 3D/Any plans with 3 or more fields per fraction 450

IMRT/Rapid Arc per fraction 500

TBI per fraction 500

TNI per fraction 700

SRT per fraction 500

SRS (package treatment - onetime charge)

30,000

233

CONSUMABLES

Beam direction shell 250

Vac-lock 250

Cerroband 500

Wax 300

BRACHYTHERAPY TREATMENT

Intra-cavitari : dhobbies/single line source per session 5,000

Intra-cavitari : paired ovoids per session 5,000

Intra-cavitari : full intra - cavitary per session 5,000

Intra-cavitari : for Nasopharyngeal Cancer (NPC) per session

7,000

Intra-luminal : esophagus, bronchus, ano-rectal per session

300

Interstitial brachytherapy implants : breast brachytherapy implants per implant

6,500

Interstitial brachytherapy implants : extremities implants per implant

6,000

Interstitial brachytherapy implants : oral cavity/anorectal/

prostate implants per implant

7,500

Prostate brachytherapy procedure

10,000

Iodine-131 therapy (not iodine scan) per session 800

CHEMOTHERAPY

(a)

Single agent

234

Type A

Low dose cisplatin 65

Methotrexate 65

Doxorubicin 65

Vinorelbine 65

Type B

Carboplatin 260

Paclitaxel 260 5-fuFluorouracil 260

Oxaliplatin 260

High dose cisplatin 260

Type C

Gemcitabine 1,100

Bleomycin 1,100

Docetaxel 1,100

Ifosphamide 1,100

Mitoxantrone 1,100

Mitomycin 1,100

Irinotecan 1,100

Type D

Alimta (pemetrexed) pemetrexed 5,500

Caelyx pegylated liposomal doxorubicin 5,500

(b)

Double agent

Doxorubicin + Cyclophosphamide 70

Doxorubicin + Ifosphamide 661

Doxorubicin + Cisplatin 89

235

Doxorubicin + Docetaxel 971

Doxorubicin + Paclitaxel 227

Doxorubicin + Gemcitabine 325

Carboplatin + Fluorouracil 148

Carboplatin + Paclitaxel 398

Carboplatin + Etoposide 105

Carboplatin + Gemcitabine 564

Carboplatin + Docetaxel 1,033

Carboplatin + Vinorelbine 292

Cisplatin + Paclitaxel 231

Cisplatin + Etoposide 133

Cisplatin + Fluorouracil 126

Cisplatin + Pemetrexed 6,160

Cisplatin + Gemcitabine 592

Cisplatin + Vinorelbine 69

Cisplatin + Ifosphamide 1,018

Cisplatin + Methotrexate 44

Cisplatin + Cyclophosphamide 68

Cyclophosphamide + Vincristine 33

Cyclophosphamide + Epirubicin 334

Etoposide + Fluorouracil 147

Gemcitabine + Vinorelbine 318

Gemcitabine + Paclitaxel 742

Gemcitabine + Oxaliplatin 433

Ifosphamide + Vinorelbine 774

Ifosphamide + Epirubicin 1,389

Irinotecan + Fluorouracil 528

Mitomycin + Fluorouracil 674

236

Oxaliplatin (130 mg/m2) + Capecitabine 1,293

Oxaliplatin + Fluorouracil 317

Paclitaxel + Fluorouracil 304

Capecitabine + Irinotecan (240 mg/m2)

1,560

(c)

Triple agent

Doxorubicin + Cyclophosphamide + Etoposide 220

Doxorubicin + Cisplatin + Ifosphamide 488

Doxorubicin + Dacarbazine + Ifosphamide 1,645

Bleomycin + Etoposide + Cisplatin 1,236

Doxorubicin + Cyclophosphamide + Cisplatin 92

Cyclophosphamide + Methotrexate + Fluorouracil 62

Epirubicin + Cisplatin + Fluorouracil 310

Fluorouracil + Doxorubicin + Cyclophosphamide 68

Fluorouracil + Epirubicin + Cyclophosphamide 278

Ifosphamide + Carboplatin + Etoposide 1,125

Ifosphamide + Dactinomycin + Vincristine 1,120

Gemcitabine + Paclitaxel + Carboplatin 924

Procarbazine + Lomustine + Vincristine 2,472

Ifosphamide + Cisplatin + Etoposide 1,019

Docetaxel + Doxorubicin + Cyclophosphamide 888

Paclitaxel + Ifosphamide + Cisplatin 1,015

Docetaxel + Cisplatin + Fluorouracil 1,070

Paclitaxel + Carboplatin + Etoposide 912

Paclitaxel + Carboplatin + Fluorouracil 981

Mitomycin + Ifosphamide + Cisplatin 766

Vincristine + Doxorubicin + Cyclophosphamide 90

237

Vincristine + Dactinomycin + Cyclophosphamide

515

Vincristine + Epirubicin + Cyclophosphamide 258

Vincristine + Etoposide + Carboplatin 581

Etoposide + Cisplatin + Ifosphamide 745

Vinblastine + Ifosphamide + Cisplatin 695

Vinorelbine + Ifosphamide + Cisplatin 1,148

(d)

Complex regime

Etoposide + Dactinomycin + Methotrexate + Vincristine +

Cyclophosphamide

338

Etoposide + Cisplatin + Dactinomycin + Methotrexate

217

Etoposide + Vincristine + Doxorubicin + Ifosphamide +

Dactinomycin

1,110

Ifosphamide + Vincristine + Dactinomycin + Doxorubicin

975

Vincristine + Doxorubicin + Cyclophosphamide +

Dactinomycin

392

Vincristine + Doxorubicin + Ifosphamide + Dactinomycin 1,157

Vincristine + Ifosphamide + Carboplatin + Etoposide 944

Vincristine + Ifosphamide + Doxorubicin + Etoposide 1,141

Methotrexate + Dactinomycin + Chlorambucil +

Cyclophosphamide

354

Methotrexate + Vinblastine + Doxorubicin + Cisplatin 232

(e)

Oral agent

Capecitabine 1250mg/m2 658

Capecitabine 1000mg/m2 534

Capecitabine 850mg/m2 441

238

Chlorambucil 94.50

Cyclophosphamide 3

Etoposide 405

Procarbazine 516

Tegafur 255

Temozolomide 5,405

TARGETED THERAPY

Erlotinib 100mg 4,705

Erlotinib 150mg 5,800

Gefitinib 5,043

Imatinib 100 mg 4,492

Imatinib 400mg 9,210

Pazopanib 200mg 1,848

Pazopanib 400mg 2,790

Trastuzumab (loading dose)

6,977

Trastuzumab (maintainence dose)

5,074

Cetuximab (2 weekly regime)

6,112

HORMONE THERAPY

Anastrazole 74

Bicalutamide 74

Exemestane 796

Flutamide 91

Letrozole 126

Lucrin leuprolide acetate 3.75mg 315.90

239

Leuprolide acetate 11.25mg 971.45

Medroxyprogesterone acetate (IM)

Megestrole acetate 800

Tamoxifen 16

Zoladex goserelin 10.8 depot (every 3 months)

992

Goserelin 3.6 depot 265.35

IMMUNO THERAPY

Interfelon alfa 1,136

PART 6

NUCLEAR MEDICINE

Teknetium - 99M cardiac shunt 140

Teknetium - 99M phyrophosphate study 240

Teknetium - 99MIBI exercise and rest study 1,700

Talium - 201 exercise and rest study 1,800

Gated heart pool scan 1,360 24 Hours delay imaging 400

PART 7

NEPHROLOGY

Intermitent peritoneal dialysis per treatment 300

CAPD treatment (monthly)

2,100

Renal biopsy (excluding report)

500

240

Femoral/subclavian catherisation 1,000

Haemoperfusion 1,000

Implantation of tenchoff catheter

200

Pretransplant dialysis treatment 2,000

Home visit per haemodialysis 200 per visit

Cycle-PD/Automated PD

800

Intermitent peritoneal dialysis stab 800

Intermitent peritoneal dialysis tenckhoff

800

Continuous arteriovenous haemofiltration 800

Continuous venovenous haemodiafiltration 2,000

Continuous venovenous haemodialysis 2,000

Continuous venovenous haemofiltration 890

Nightly intermitent peritoneal dialysis 2,100

Plasma exchange 1,900

Plasmapharesis 1,900

Haemofiltration 300

Haemodialysis single use kidney 200

Haemodialysis single use kidney high - flux 200

Haemodialysis single use kidney low - flux 200

Haemodialysis single use kidney middle - flux 200

Catheter insertion surgical tenckhoff peritoneal sco

2,500

Catheter removal medical tenckhoff (non OT)

500

Catheter removal surgical tenckhoff ( non OT)

500

Kt/v (CAPD)

150

Catheter insertion central venous 1,000

Catheter insertion CV under US guidance 1,000

241

Catheter insertion femoral double lumen (non cuffed)

800

Catheter insertion femoral single lumen 1,000

Catheter insertion permanent 2,500

Haemodiafiltration online 300

Haemodialysis reuse kidney 180

Haemodialysis reuse kidney high - flux 180

Haemodialysis reuse kidney low - flux 180

Haemodialysis reuse kidney middle - flux 180

Renal biopsy - biopty gun 500

Renal biopsy - cooks 500

Renal biopsy - tru cut 500

Slow continuous ultrafiltration 1,000 per day

Ultrafiltration 200

Catheter removal central venous 200

Catheter removal femoral double lumen 200

Catheter removal central venous under US

200

Catheter removal femoral single lumen 200

Renal allograft ultrasound 100

Renal allograft ultrasound doppler 150

PART 8

PHYSIOTHERAPY

ELECTROTHERAPY MODALITIES

Biofeedback/myofeedback 80

242

Direct current/iontophorosis 80

Didynamic current 80

Interrupted Direct Current (IDC)

Interferential Therapy (IT)

Shortwave Diathermy (SWD)

Transcutaneous Electrical Nerve Stimulation (TENS)

Ultrasound therapy (US)

Realtime ultrasound 80

Functional electrical stimulation 80

Shockwave therapy 80

THERMAL THERAPY/CRYOTHERAPY

Hot pack 40

Wax bath 40

Infrared radiation 40

Cryotherapy 40

PHOTOTHERAPY

Laser therapy 80

Ultraviolet light therapy 80

CARDIORESPIRATORY THERAPY

Active Cycle Breathing Technique (ACBT)

Breathing exercise 60

243

Bronchial suction 60

Flutter/incentive spirometer 60

Inspiratory muscle training 60

Inhalation therapy 60

Percussion/vibration 60

Positive expiratory pressure 60

Postural drainage 60

MECHANO THERAPY

Cervical traction 80

Lumbar traction 80

Sequential pump 80

HYDROTHERAPY

Pool exercise 120

Whirlpool 120

MANUAL THERAPY

Soft tissue manipulation 120

Myofascial release 120

Manual lymphatic drainage 120

Accupressure 120

244

TAPING/BANDAGING/STRAPPING

120

COMPRESSION THERAPY (LYMPHOEDEMA)

SPECIAL TECHNIQUES

Canalith repositioning technique 80

Gaze stabilisation exercise 80

Icing/brushing 80

Joint mobilisation 80

McKenzie technique 80

Motor Relearning Programme (MRP)

Acupuncture 80

Neurodevelopmental technique 80

Proprioceptive Neuromuscular Facilitation (PNF)

EXERCISE THERAPY

Active, passive, resisted 80

Ambulation/gait training 80

Ante/postnatal exercise 80

Balance training 80

Bladder/bowel training 80

Circuit training/gymnic ball exercise 80

Counter bracing technique 80

Functional activities 80

245

Group exercise 80

Isokinetic exercise 80

Mechanical exercise 80

Pelvic floor exercise 80

Pelvic floor exercise with PFX educator 80

Relaxation techniques 80

Sensory re-education 80

Special hand regime 80

Treadmill 80

CONSULTATION/STRUCTURED PATIENT EDUCATION/

CAREER TRAINING

SPECIAL TEST – DIAGNOSTIC TOOL

Berg’s balance test 120

Clinical Test for Sensory Interaction and Balance (CTSIB)

120

Computerized dynamic posturography 120

Computerized hand evaluation 120

Dix-hall pike test 120

Dynamic gait index 120

Oculomotor assessment 120

Pelvic floor per vagina/per rectal assessment 120

Perionometer 120

Sensory testing 120

Strength duration curve 120

Voluntary muscle testing 120

Vestibular test 120

246

PART 9

DENTAL

Extraction permanent tooth 50

Extraction supernumerary/retained root 50

Extraction deciduous tooth 25

Extraction - complication - treatment of infected socket 50

Extraction - complication - control of haemorrage 50

Extraction - complication 50

Restoration permanent tooth - single surface 75

Restoration permanent tooth - multiple surface/with pin retention

100

Restoration - deciduous tooth 30

Temporary restoration 30

Scaling and polishing per arch 214

Full denture (acrylic) - per jaw including materials 900

Partial denture (acrylic) - per jaw - first tooth 500

Partial denture (acrylic) - maximum 800

Partial denture - per additional tooth 20

Repair of denture plate (not including replacement of tooth)

Repair of denture (per additional tooth)

Relining/Rebasing - per denture 120

Mouth guard 50

Soft splint 50

Hard splint 200

Other splint : e.g. oyster 50

Obturator - acrylic 100

247

Obturator - molloplast 200

Feeding plate 50

Other dental appliances

100

Facial prosthesis 200

Resuture of soft tissue injury orofacial 120

Open suture soft tissue injury orofacial 60

Revision of soft tissue injury - orofacial 120

Incision and drainage - orofacial abscess 120

Inlay/onlay-per tooth (excluding material and laboratory fee)

120

Crown/veneer - per unit (inclusive of temporary crown but excluding material and laboratory fee)

200

Bridge per abutment/pontic (inclusive of temporary bridge but excluding material and laboratory fee)

200

Stainless steel crown - per unit 50

Strip crown - per unit 30

Repair of crown/bridge 50

Post and core per tooth 150

Provisional restoration - per tooth 30

Root canal treatment - anterior 150

Root canal treatment - premolar 200

Root canal treatment - molar 300

Root canal retreatment - anterior 250

Root canal retreatment - premolar 300

Root canal retreatment - molar 400

Apexification - per tooth 200

Arrest of tooth resorption - per tooth 150

Coronal pulpotomy - per permanent tooth 150

248

Cvek pulpotomi - per permanent tooth 150

Pulpotomy - per deciduous tooth 150

Pulpectomy - per tooth 200

Pulp capping (includes temporary restoration) - direct/indirect

Treatment of pulp removal (extirpasi pulp)

Retrieval of separated/broken instrument 200

Tooth bleaching (external) - per arch 500

Tooth bleaching (internal) - per tooth 50

Microabrasion - per tooth 50

Topical fluoride - per arch 50

Fissure sealant - per tooth 40

Desensitisation - per tooth 30

Fixed appliance - treatment package - both arches 5,500

Fixed appliance - treatment package - single arch 2,700

Functional fixed appliance - per arch 2,000

Debonding of fixed appliance - per arch

300

Fixed connector appliance - per arch 370

Fixed connector appliance - replacement - per arch 370

Fixed connector appliance - repair - per arch 100

Fixed connector appliance - recementation 100

Fixed retainers - per arch 300

Fixed retainers - replacement - per arch 200

Fixed retainers - repair - per tooth 100

Fixed retainer - removal - per arch 200

Functional removable appliance - per arch 2,000

Functional removable appliance - replacement 2,000

249

Functional removable appliance - repair 250

Removable appliance - treatment package - per arch 1,500

Active removable appliance - replacement - per arch 400

Passive removable appliance - replacement - per arch 400

Removable space maintainer per arch 400

Active removable - repair - per arch 250

Removable retainers - repair - per arch 250

Removable appliance (space maintainers) - repair - per arch

250

Essix retainer 300

Palatal/lingual accessory arch 250

Palatal/lingual accessory arch - replacement 250

Placement of traction device (on plant) - per device 400

Placement of traction chain - impacted tooth 800

Activation of traction chain for minor tooth movement per tooth

200

Impression for working model per arch (upper/lower)

200

Orthodontic bands - replacement 100

Orthodontic brackets - replacement per tooth 100

Orthodontic wire - replacement per arch (upper/lower)

200

Repair of removable appliance - per arch 100

Facemask treatment 400

Chin cup treatment 400

Palatal expander treatment 400

Headgear treatment 400

Flap surgery with osseous surgery

674

Flap surgery with bone regeneration 800

Mucogingival surgery 500

250

Crown lengthening with ostectomy 617

Crown lengthening without ostectomy 550

Tooth hemisection 1,312

Guided bone regeneration 1,036

Guided tissue regeneration 1,648

Flap surgery 674

Gingivectomy 400

Gingivoplasty 400

Wedge surgery 400

Furcationplasty - tunnelling 1,419

Furcationplasty - grooveplasty 1,419

Root resection 1,312

Root debridement per quadran (debridement subgingiva)

421

Root debridement whole mouth (debridmen subgingiva)

637

Splinting of teeth 158

Labial gingival veneer 300

Pericision of periodontal ligament 150

Modification of tooth morphology 150

Recontouring of pre-existing restoration 150

Occlusal adjustment 134

Frenotomy/frenectomy 647

Close reduction temporomandible joint (TMJ)

150

Antralplasty maxillary (sinus lift) with autograft - bone graft 1,000

Antralplasty maxillary (sinus lift) with allograft 400

Closure of oro-antral fistula 1,000

Antral washout Caldwell - Luc (per side)

200

251

Excision lesion maxillofacial - with reconstruction - allograft 750

Excision of maxillofacial lesion 200

Marsupialisation of bony maxillofaciallesion 200

Marsupialisation of oral soft tissue lesion 100

Reduction and fixation of bony maxillofacial fracture - closed 600

Reduction and fixation of bony maxillofacial fracture - temporary

Oral vestibuloplasty (per arch) with graft 750

Oral vestibuloplasty (per arch)

300

Removal of internal fixation - maxillofacial 300

Maxillofacial sequestrectomy 120

Removal of salivary duct calculus - open 400

Removal of salivary duct calculus - closed 30

Meatoplasty of salivary duct orifice 200

Salivary duct dilation 150

Salivary duct ligation 150

Excision of oral soft tissue lesion with laser 200

Excision of oral soft tissue lesion - 2cm or less 120

Trigeminal nerve - cryotherapy/sectioning 300

Removal of foreign body - orofacial - simple 120

Biopsy bony maxillofacial 200

Biopsy soft tissue oral 120

Biopsy lesion tru - cut 50

Ablation of oral mucosal lesion 200

Frenoplasty 170

Frenotomi/frenectomy with laser 170

Apicectomy (per tooth) - posterior tooth with retrograde filling

1,000

252

Apicectomy (per tooth) - posterior tooth 750

Apicectomy (per tooth) - anterior tooth with retrograde filling

300

Apicectomy (per tooth) - anterior tooth 120

Surgical removal of impacted tooth (per tooth) - complicated

1,000

Surgical removal of tooth/root (per tooth)

400

Surgical removal of displaced tooth/root (per tooth)

400

Surgical removal of impacted/unerupted tooth (per tooth) - simple

400

Transplantation tooth 750

Repositioning and/or stabilization of tooth - surgical 400

Repositioning and/or stabilization of tooth - non - surgical 150

Reimplantation of tooth 200

Surgical exposure of tooth with placement of attachment

(per tooth)

400

Surgical exposure of tooth without placement of attachment

(per tooth)

150

Dental implant (per implant) - first stage surgery with autograft

600

Dental implant (per implant) - first stage surgery 400

Dental implant (per implant) - first stage surgery with bone substitute

400

Dental implant (per implant) - second stage surgery 50

Maxillofacial implant (per implant) - first stage surgery 400

Maxillofacial implant (per implant) - second stage surgery 50

Removal of dental/maxillofacial implants - complicated 300

Removal of dental/maxillofacial implants - simple 75

Debridement of oro-facial soft tissue 60

Dental wiring - per jaw 75

Control of haemorrhage - post-surgery 75

253

Control of haemorrhage - lesion 50

Control of haemorrhage - post - extraction 30

Orofacialsoft laser therapy - per course 75

Oromaxillofacial ultrasound therapy 75

Prosthesis - obturator 120

Fine needle aspiration cytology - orofacial 50

Oral operculectomy 30

Removal of dental wires (per jaw)

Injection of medication - orofacial 30

PART 10

ARTIFICIAL LIMBS / PROSTHESIS

Description

Upper limb prosthesis item

Cosmetic silicone glove

Wrist amputation 2,800

Cosmetic fingers

Finger amputation 1,200

Trans radius cosmetic

Trans radius amputation 4,000

Trans radius mechanical function hand

Trans radius amputation 6,300

Trans humerus cosmetic

Trans humerus amputation 7,500

Trans humerus mechanical functional hand

Trans humerus amputation 9,500

Lower limb prosthesis item

Chopart

Chopart modular prosthesis right/left 1,800

254

Symes prosthesis

Chopart symes prosthesis right/left 3,800

Transtibial prosthesis K1 indoor walker

Limited to inhouse movement.

Amputee is able to walk slowly on the floor.

3,550

Transtibial prosthesis K2 limited outdoor

Limited for external movement. Amputee is able to walk slowly and with moderate speed, with the ability to step on uneven surface.

5,500

Transtibial prosthesis K3 active walker

Daily activity inclusive of walking fastly and and able to step without barrier.

9,500

Transtibial prosthesis K4 very active/sport

Daily activity and various tough activity, which is more than normal walk such as sports.

18,800

Through knee prosthesis K1 to K4

Level of movement is between

K1 to K4.

13,800

Transfemoral prostesis K1 indoor walker

Limited to inhouse movement.

Amputee is able to walk slowly on the floor.

7,500

Transfemoral prostesis K2 limited outdoor

Limited for external movement. Amputee is able to walk slowly and with moderate speed, with the ability to step on uneven surface.

9,000

Transfemoral prostesis K3 active walker

Daily routine inclusive of fast walk and ability to walk without barrier.

15,000

Transfemoral prostesis K4 very active/sport

Daily activity and various tough activity more than normal walk such as sports.

35,000

255

Hip disarticulated prostesis K1 to

Level of movement is between

K1 to K4.

15,000

Knee orthoses hinge knee

450

Knee orthoses weekender knee brace

1,100

Knee orthoses revolution brace

700

Knee orthoses knee ranger post operation brace

450

Knee orthoses fracture hinges

400

Lower limb orthoses knee ankle foot orthoses (KAFO)

3,800

Ankle foot orthoses

350

Super lite ankle foot orthoses

250

Ankle foot orthoses sweeder ankle brace

400

Suprameleolar prosthesis 500

per unit

500

Ankle foot orthosis - ankle foot orthosis

(custom made/polypropelyne)

350

Foot care wonder spur

Foot care wonder cup

Foot care wonder sport

130

Foot care soft sock

200

Foot care gel squares

140

Paediatric orthoses pavlic harness

450

Paediatric orthoses dennis brown shoes (straight last) full set

700

Paediatric orthoses Dennis Brown

Shoes (full abduction) full set

700

256

Cervical soft collar

Cervical injury usage

(made from soft material)

Cervical adjustable collar (plastic)

Cervical injury usage 65

Philadelphia A series collar

Cervical injury usage removable padding orthowick foam 280

Atlas collar

Cervical injury usage. Provides improvement in lessening the cervical movement and obtain comfort through adjusting the strap behind the collar.

300

Philadelphia collar

Cervical injury usage. Light and consist of two keeping foam polythene with hard plastic that support anterior and posterior part.

130

Minerva cervical support

Cervical injury usage.

Adjustable optimum support for cervical. One adjustable size for various sizes.

1,000

Philadelphia collar with stabilizer and halo

Cervical injury usage.

Additional ability to control neck reversing and flexion/extension.

550

S.O.M.I brace

Cervical injury usage.

Adjustable orthosis cervical for flexio, neutral or hyperextension and restrain movement.

900

USMC halo system

Cervical injury usage 3,000

Halo liner

Cervical injury usage 1,100

PMT halo system

Cervical injury usage 3,000

Torque screw driver

1,000

257

Cervical - thoracic lumbar - sacral

- orthosis

2,800

Juwett brace

700

Knight taylor brace (TLSO)

800

Knight taylor brace (LSO)

650

Kydex knight taylor brace

900

Kydex chair back brace

700

TLSO body jacket (moulded polypropelyne)

2,800

Sacro - lumbar support (fabric)

150

Scoliosis boston brace

(moulded polypropelyne)

3,000

Rehabilitation accessories

Aluminium axilla crutch

Children (S)

Teenage (M)

Adult (L)

Adult big size (XL)

Adjustable elbow crutch

140

Adjustable aluminium walking stick with strap in bronze colour

Adjustable aluminium crooked handle walking stick in bronze colour

Adjustable folding walking frame in bronze colour

125

Quadruped walking aid

258

Quadruped walking aid - narrow base

Standard wheel chair 18” with detachable armrest and footrest

680

Standard wheel chair 18”

280

Semi light weight wheel chair

800

Reclining wheel chair with detachable armrest and elevating footrest

1,200

Light weight wheel chair

1,400

Commode wheel chair

1,400

Major buggy

1,500

Commode chair

200

PART 11

TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES

TRADITIONAL MEDICINE FOR MALAY/PRIBUMI

(a)

Traditional massage for malay/pribumi

Chronic disease treatment 50/session

Post-stroke treatment 50/session

(b)

Post-natal mother care

Post natal massage treatment 50/session

259

Post natal recovery treatment packages - massage, furnase and bengkung

150/session

Post natal recovery treatment - tangas 50/session

TRADITIONAL CHINESE MEDICINE

(a)

Acupuncture

Chronic disease treatment 50/session

Post-stroke treatment 50/session

Acupuncture and moxibustion in addition to the treatment of chronic pain and post stroke

60/session

Other indication 50/session

(b)

Herbs

Ancillary treatment for oncology patient (including the fee for herbs)

250/ *cycle

(*1 cycle =

2 weeks)

TRADITIONAL INDIAN MEDICINE

(a)

Ayurveda

Shirodhara 150/session

Abhyanga 150/session

260

(b)

Complementary therapy

Chiropractic 150/session

Osteopatic 200/session

PART 12

BLOOD SUPPLY AND BLOOD PRODUCT

Packed red cell 120

Whole blood 120

Platelet concentrate 120

Cryoprecipitate 120

Fresh frozen plasma 120

Cryosupernatant 120

Platelet apheresis 630

Paediatric packed cells 110

Filtered red cell 200

Irradiated sel 160

Patogen inactivated plasma 600

Patogen inactivated platelet 800

Patogen inactivated platelet aferesis 1,350

Irradiated aferasis platelet 690

Irradiated platelet 160

261

Plasma breakdown product

High purity factor VIII concentrate - 250 IU/vial 540

Intermediate purity factor VIII - 250 IU/vial 300

Pure factor IX - 500 IU/vial 790

Prothrombin complex concentrate - 500 IU/vial 590

Recombinant factor VIIa - 60 KIU/vial 2,970

Albumin - 20% 100ml 180

Intravenous immune globulin (IV) - 3g/50ml 700

Recombinant VIII - 250 IU/vial 670

Recombinant IX - 500 IU/vial 1,190

Autologous plasma eye drop 450

PART 13

OCCUPATIONAL THERAPY

Fee(RM)

ASSESSMENT

(a)

ADL assessment

Canadian Occupational Therapy Performance Measure (C.O.P.M)

Camberwell Assessment of Needs Short Schedule (CANSAS)

Functional Ability Assessment (FAA)

Functional Independence Measure (FIM)

Kohlman Evaluation of Living Skill (KELS)

Modified barthel index 40

Pediatric Evaluation Disabilities Inventory (PEDI)

Self care skills (PASS)

Kohlmens 40

262

AMPS

(b)

Physical assesment

Muscle Manual Test (MMT)

Strength - dynamometer/pinch gauge 40 2 Point discrimination test 40 9 Hole peg test 40

Berg balance test 40

Grooved peg board 40

Jebsen Taylor hand function test 40

Minnesota manual dexterity test 40

O’connor finger dexterity test 40

O’connor tweezer dexterity test 40

Pain visual analog scale 40

Purdue pegboard test 40

Range of motion - goniometer 40

Roeder manipulative aptitude test 40

Semmes - Weinstein monofilaments test 40

Sensory profile 40

Stereognosis test 40

Vibration 40

Volumeter 40

Tinnetti balance test 40

Microcomputer Upper Limb Exerciser (MULE)

(c)

Development assessment

Bruiniks Oseretsky test 40

Denver 40

Oral motor rating scale 40

Peabody 40

263

(d)

Perceptual and cognitive assessment

Berry VMI

Chessington Occupational Therapy Neurological Assessment Battery

(C.O.T.N.A.B)

Hospital anxiety depression scale 40

Lowerstein Occupational Therapy Cognitive Assessment (L.O.T.C.A)

Mini mental state examination 40

Rivermead perceptual assessment battery 40

(e)

Preschool assesment

Miller assessment pre schoolers 40

School Function Assessment (SFA)

Test of handwriting skill 40

Behavior assessment 40

Threshold Assessment Grid (TAG)

Hospital anxiety and depression scale 40

Irritability - depression anxiety scale 40

Shaan's function questionaire 40

The Beck depression scale 40

(f)

Wheel chair assessment 40

(g)

Driving assessment

Pre-driving assessment 400

Stroke driving screening assessment 400

(h)

Home/Work place/School assessment

Home fast tool 40

264

(i)

Work/Vocational assessment

BTE

400

Laser 400

LIDO

400

Role check list 400

T pal 400

Valpar 400

Work cube 400

ACTIVITIES OF DAILY LIVING (ADL) TRAINING

(a)

Instrumental activities of daily living

Ability to use telephone 40

Early ambulation 40

Self hygiene 40

Transfer 40

Ability to handle finance 40

Bathing 40

Bladder management 40

Bowel management 40

Cleaning work 40

Device care 40

Domestic skill 40

Dressing 40

Eating/feeding 40

Food/meal preparation 40

Functional communication 40

Functional mobility 40

Grooming 40

Health eminence 40

265

Household maintenance 40

Housekeeping 40

Laundry 40

Mode of transportation 40

Money management 40

Responsibility for medication 40

Safety procedure 40

Sexual expression 40

Shopping 40

Toileting

(b)

Aids and adaptation (for each modification equipment supplied)

Cooking utensil 80

Dressing 80

Feeding/drinking utensil 80

Mobility 80

Bathing 80

Reading/writing 80

Wheel chair seating 80

Behavioral therapy 40

(c)

Cognitive and perceptual training

Basic concepts 40

Body part identification 40

Cognitive stimulation 40

Educational activities 40

Right/left discrimination 40

Figure ground disrimination 40

Reality orientation 40

Topographical orientation activities 40

266

Sequencing 40

Categration 40

(d)

Dynamic splint - the price of mechanism (according to market price) + the price of static splint 240

(e)

Creative therapy

Art therapy 40

Drama/role play 40

Music therapy 40

(f)

Social skill training

Assertive training 40

Coping skill training 40

Group support 40

Group therapy 40

Individual therapy 40

Interpersonal skill 40

Self awareness activities 40

Self control 40

Self expression 40

Social conduct 40

Social skill training 40

Time management 40

Role checklist 40

(g)

Patients and career education

Body mechanic and ergonomic 40

Edema control 40

Energy conservation/work simplication 40

267

Environment therapy 40

Joint protection techniques 40

(h)

Play and leisure

Leisure check list 40

Play and leisure exploration 40

Play and leisure training 40

(i)

Relaxation

Bio-feedback 40

Deep breathing 40

Diaphragmatic breathing 40

Imaginary relaxation 40

Progressive muscular relaxation techniques 40

(j)

Sensory training

Sensory desensitization 40

Sensory integration 40

Sensory re-education 40

Sensory stimulation 40

Fluidotherapy 40

(k)

Motor training

Above elbow prosthesis 40

Above knee prosthesis 40

Active assisted exercise 40

Below elbow prosthesis 40

Below knee prosthesis 40

Bilateral integration 40

268

Crossing midline 40

Ergonomic training 40

Fine motor skills 40

Finger prosthesis 40

Gait training 40

Gross motor activities 40

Hand-eye coordination 40

Improve balance 40

Motor re-education 40

Neuro developmental technique 40

Normalize muscle tone 40

Oral muscle stimulation 40

Strengthening exercise 40

Endurance training 40

Reduce muscle tone 40

Above elbow prosthesis 40

(l)

Compression therapy

Corban bandage 40

Pressure splint 40

Tubigrip 40

Fee(RM)

Infant

(0 to 12

months)

Children

(1 to 18

years)

Adults

(18 years above)

(m)

Pressure garment

Finger strap 10 10 10

Gauntlet 20 30 30

Glove 30 40 40

269

Forearm A sleeve 20 30 40

Full length arm sleeve 30 40 50

Vest with long sleeve 60 80 120

Vest with short sleeve 40 60 100

Chin strap 20 20 30

Mask 40 60 80

Short pants 40 60 80

Long pants 60 80 120

Thigh strap 30 40 50

Calf strap 30 40 50

Socks (1 unit)

30 40 50

(n)

Static splint

Finger toe 10 10 10

Hand/foot 20 20 30

Hand to forearm 30 50 80

Finger to forearm 30 60 120

Forearm to upper arm 30 60 120

Hand to upper arm 60 120 240

Upper arm 40 60 160

Hard collar 40 80 160

Foot to calf 60 120 160

Foot to mid thigh 120 160 300

Mid calf to mid thigh 40 120 160

Plaztozote insole 10 20 30

Tennis elbow 40 70 70

Ulnar driff 10 20 30

Ergonomic A sling 60 60 70

Foot drop check 60 30 40

Buddy strap 10 10 10

Body brace 100 250 500

Pelvis harness 360 10 0

270

PART 14

IMPLANT FEE FOR OPHTALMOLOGY SERVICES

Paediatric and strabismus

Frontalis sling ; silastic material 600

Frontalis sling ; ptose up 1,125

Lacrimal intubation ; Ritleng tube 600

Lacrimal intubation ; Crawford tube 608

Mini monoka 600

Glaucoma ; Baerveldt implant 2,055

Glaucoma ; Ahmad valve implant 2,400

Medpor orbital sphere implant 1,950

Customised artificial eye 3,900

Ready - made artificial eye 120

Conformer 480

Silicone band for squint surgery 120

Low vision optical devices 3,000

Surgical vitreoretina

Silicone oil 675

Gas C3F8 225

Gas SF6 225

Silicone band 120

Silicone sponge 450

271

Silicone tyre 150

Glaucoma

Baerveldt implant (standard)

2,055

Baerveldt implant (pars plana)

2,055

Ahmad valve (standard)

2,400

Ahmad valve (pars plana)

3,300

Molteno implant 1,950

Amniotic membrane 750

Implant tube extender 1,200

Cataract and refractive surgery 1,200

Capsular tension ring 525

Aniridia ring 1,125

Cornea

Corneal - precut 6,000

Corneal - tissue in optisol 2,700

Corneal tissue-tissue in glycerol 1,500

Amniotic membrane 750

Bandage contact lens - weekly 15

Bandage contact lens - monthly 45

Keratoprosthesis - ocular landers 2,997

Keratoprosthesis - boston 12,000

Intrastromal corneal ring segment - INTACS

4,500

272

Optical cylinder for Osteo Odonto Keratoprostesis (OOKP)

3,000

Symblepharon ring 585

Oculoplastic

Crawford lacrimal intubation 435

O'Donoghue lacrimal intubation 375

Ritleng intubation set 600

Bicanaliculus intubation set 225

Snug plug - punctal plug 300

Ptosis probe - silicone 600

Ptosis probe - gortex 990

Conformer - silicone, perforated 480

Symblepharon ring 585

Titanium plate 1,425

Titanium screw 225

Gold weight implant 3,150

Platinum weight implant 3,900

Silicone tyre 276 150

Fixation sleeve 75

Sponge 450

Mini monoka 600

Monoka 600

Upper eyelid spacer 1,350

Lower eyelid spacer 1,350

Acrylic implant 75

273

Hydroxyapatite orbital implant 2,400

MEDPOR - micro thin sheet 1,050

MEDPOR - ultra thin sheet 1,050

MEDPOR - sheets 1,050

MEDPOR - titanium sheets 1,425

MEDPOR enophthalmos wedges 1,950

MEDPOR orbital conical implant 2,025

MEDPOR orbital sphere implant 1,950

MEDPOR blocks 1,170

Orbital sphere tissue expander 2,700

PESS implant 3,300

Customised artificial eye 3,900

Ready-made artificial eye 120

PART 15

IMPLANT FEE FOR ORTHOPAEDICS SERVICES

1.5mm Cortical screw, 0.5mm pitch, full thread

(length range : 6mm - 30mm)

15 2.0mm Cortical screw, 0.6mm pitch, full thread

(length range : 6mm - 40mm)

16 2.7mm Cortical screw, 1.0mm pitch, full thread

(length range : 8mm - 50mm)

17 2.7mm Cortical screw, 1.0mm pitch, self tapping, full thread

(length range: 6mm - 40mm)

Epiphysis mini plates 2.0mm (range: left/right l-obligue, left/right 90 degree t-plate)

Quarter tubular plate 2.7mm (hole range : 3mm - 8mm)

274

Self compression plates 2.0mm (hole range : 4mm - 8mm)

104

Self compression plates 2.7mm (hole range : 2mm -12mm)

141

Straight mini plate 2.0mm (hole range : 3mm - 6mm)

94 4.0mm Cancellous screws, 1.75mm pitch, full thread

(length range: 10mm -70mm)

18 4.0mm Cancellous screws, 1.75mm pitch, long thread

(length range : 16mm - 72mm)

13 4.0mm Cancellous screws, 1.75mm pitch, short thread

(length range : 10mm - 80mm)

11 3.5mm Cortical screws, 1.25mm pitch, full thread

(length range : 10mm - 70mm)

16 3.5mm Cortical screws, 1.25mm pitch, self tapping, full thread

(length range : 10mm - 65mm)

Clover leaf plate 3.5mm (hole range : 3mm - 5mm)

334

LC-self compression plate 3.5mm (hole range : 2mm - 12mm)

256

One third tubular plate 3.5mm (hole range : 2mm - 12mm)

Self compression plate 3.5mm (hole range : 2mm - 12mm)

Small t-plate (obligue angled) 3.5mm (hole range : 3mm - 5mm)

168

Small t-plate (right angled) 3.5mm (hole range : 3mm - 6mm)

168 6.5mm Cancellous screw, 2.75mm pitch, 32mm thread length

(length range : 30mm - 110mm)

30 6.5mm Cancellous screw, 2.75mm pitch, full thread

(length range : 16mm - 110mm)

31 4.5mm Cortical screw, 1.75mm pitch, full thread

(length range : 14mm - 80mm)

16 4.5mm Cortical screw, 1.75mm pitch, self tapping, full thread

(length range : 14mm - 80mm)

17 4.5mm Malleolar screw, 1.75mm pitch, threaded length

(length range : 25mm - 100mm)

Broad self compression plate 4.5mm (holes range : 4mm - 18mm)

211

275

Butress l - plate (right angled) 4.5mm (hole range : 3mm - 6mm)

281

Buttress l - plate (left angled) 4.5mm (hole range : 3mm - 8mm)

281

Buttress t - plate 4.5mm (hole range : 3mm - 8mm)

234

Cobra head plate 4.5mm (hole range : 8mm - 11mm)

667

Condylar buttress plate (left angled) 4.5mm

(hole range : 7mm - 15mm)

585

Condylar buttress plate (right angled) 4.5mm

(hole range : 7mm - 15mm)

585

Large t-plate 4.5mm (hole range : 3mm - 9mm)

328

Lateral tibia plate (left angled) 4.5mm (hole range : 5mm - 13mm)

585

Lateral tibia plate (right angled) 4.5mm (hole range : 5mm - 13mm)

585

Limited contact - broad self compression plate 4.5mm

(holes range : 6mm - 18mm)

422

Limited contact - narrow self compression plate 4.5mm

(holes range : 2mm - 16mm)

375

Narrow self compression plate 4.5mm (holes range : 2mm - 18mm)

153

Semi - tubular plate 4.5mm (hole range : 2mm - 12mm)

Spoon plate 4.5mm (hole range : 5mm - 6mm)

312

Bone screw washers (range : outer 6.5mm, 7.2mm, 10.0mm, 13.0mm)

10 4.0mm Cannulated screw, 16mm thread length

(length range : 25mm - 50mm)

206 4.5mm Cannulated screw, 16mm thread length

(length range : 20mm - 80mm)

206 6.5mm Cannulated screw, full thread

(length range : 25mm - 115mm)

206 7.0mm Cannulated screw, 16mm thread length

(length range : 30mm - 130mm)

206 7.0mm Cannulated screw, 32mm thread length

(length range : 45mm)

217

276

7.0mm Cannulated screw, full thread

(length range : 20mm - 130mm)

217

Curved reconstruction plate 3.5mm (holes range: 6mm - 18mm)

410

Straight reconstruction plate 3.5mm (hole range : 5mm - 22mm)

234

Straight reconstruction plate 4.5mm (hole range : 3mm - 16mm)

328

DHS plate 130 (hole range : 2mm - 9mm)

585

DHS plate 135 (hole range : 2mm - 9mm)

585

DHS plate 140 (hole range : 2mm - 12mm)

702

DHS plate 145 (hole range : 2mm - 12mm)

702

DHS plate 150 (hole range : 2mm - 12mm)

702

Hexagonal head compression screw, length 36mm 43

Lag screw, thread 12.5mm, thread length 22.0mm

(length range : 50mm - 145mm)

234

Calibrated guide wires, 2.5mm, length 230mm 94

Austin Moore narrow stem stainless steel

(head size range : 38mm - 56mm)

953

Austin Moore standard stem stainless steel

(head size range : 38mm - 56mm)

953

Austin Moore standard stem titanium

(head size range : 38mm - 56mm)

1,521

Thompson standard stem stainless steel

(head size range : 38mm - 56mm)

953

Thompson standard stem titanium

(head size range : 38mm - 55mm)

1,521 130 Angled blade plates (hole range : 4mm - 12mm)

634 95 Angled blade plates (condylar plate 95)

(hole range : 5mm - 18mm)

1,112

Supracondylar plates 95 degress (hole range : 6mm - 16mm)

913

Carbon fibre rods 11.0mm (length range : 100mm - 600mm)

153

277

Schanz screws 4.0mm (length range : 100mm - 250mm)

Schanz screws 4.0mm/3.0mm (length range : 80mm - 100mm)

Schanz screws 5.0mm (length range : 100mm - 250mm)

Schanz screws 6.0mm (length range: 100mm - 250mm)

113

Tube to pin clamp, connection Schanz screw 5.0mm to 11.0mm tube

223

Tube to tube clamp, end connector 11.0mm to 11.0mm tube 223

Tube to tube clamp, mid shaft connector 11.0mm to 11.0mm tube

223

Ender nails 4.5mm (length range : 420mm - 520mm)

195

Ender nails 4.8mm (length range : 220mm - 520mm)

161

Kuntcher nails 10.0mm (length range : 20 cm - 52 cm)

385

Kuntcher nails 11.0mm (length range : 20 cm - 52 cm)

390

Kuntcher nails 13.0mm (length range : 20 cm - 52 cm)

413

Kuntcher nails 14.0mm (length range : 30 cm - 52 cm)

425

Kuntcher nails 15.0mm (length range : 30 cm - 52 cm)

436

Kuntcher nails 16.0mm (length range : 30 cm - 52 cm)

459

Kuntcher nails 6.0mm (length range : 14 cm - 40 cm)

331

Kuntcher nails 7.0mm (length range : 14 cm - 40 cm)

344

Kuntcher nails 8.0mm (length range : 20 cm - 52 cm)

356

Kuntcher nails 9.0mm (length range : 20 cm - 52 cm)

367

Cerclage wires (10's) (diameter range : 1.0mm - 1.2mm)

1,404

Cerclage wires, length 10 meters (diameter range : 1.0mm - 1.2mm)

134

Kirchner wires 0.9mm, trocar tip single or double

(length range : 70mm - 150mm)

Kirchner wires 1.2mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 1.0mm, trocar tip single or double

(length range : 150mm - 280mm)

278

Kirchner wires 1.4mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 1.5mm, trocar tip single or double

(length range : 150mm - 300mm)

Kirchner wires 1.6mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 1.8mm, trocar tip single or double

(length range : 150mm - 280mm)

Kirchner wires 2.0mm, trocar tip single or double

(length range : 150mm - 400mm)

Rush pins 2.4mm (length range : 25mm - 254mm)

Rush pins 3.2mm (length range : 102mm - 356mm)

102

Rush pins 4.8mm (length range : 203mm - 356mm)

102

Rush pins 6.4mm (length range : 298mm - 431mm)

127

Steinmann pins 3.5mm with trocar tip

(length range : 125mm - 150mm)

Steinmann pins 4.0mm / 5.0mm mid thread

(length range : 175mm - 200mm)

141

Steinmann pins 4.0mm with trocar tip

(length range : 150mm - 175mm)

Steinmann pins 4.5mm with trocar tip

(length range : 125mm - 250mm)

Steinmann pins 5.0mm with trocar tip

(length range : 150mm - 300mm)

Interlocking femoral nail 880

Interlocking tibia nail 880

Distal tibia plate 3,300

Osteotomy plate 2,860

Calcaneal plate 2,200

Bone staples 110

279

Stainless steel elastic nail 1,760

Bone cement (plain)

220

External fixator 2 tubes and 8 clamps 4,950

Wrist external fixator 4,950

Reconstruction external fixator set tibia 8,800

Reconstruction external fixator set femur 13,200

FOOT AND ANKLE IMPLANT

Suture anchor - 2.4mm - 5.5mm (titanium, bio absorbable, PEEK)

1,375

Syndesmosis tightrope 1,750

Bio tenodesis screw 1,690

Break away screw 360

Triple threaded screw 6.0mm 900

Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm and 7.3mm

(titanium)

525

Locking plate (mini and calcaneum)

2,350

Compression staple 475

Pilon plate (distal end tibia)

2,000

Ankle distractor (external fixator)

6,000

Bone graft (bonalive)

2,800

Radiofrequency coblation probe (topaz)

1,300

Arthroscopic radiofrequency probe (covac)

950

Arthroereisis screw 2,575

Total ankle replacement 15,500

Taylor spatial frame 12,000

Hind foot nail 3,350

280

Metatarsophalangeal joint arthroplasty (hemi and total)

6,125

GENERAL/TRAUMA IMPLANTS

DHS

650

Interlocking femoral nail 695

Interlocking tibial nail 695

Kuntscher intramedullary nail tibia 195

Kuntscher intramedullary nail femur 195

Steinman pin 39

Schanz screw 59

Cortical screw 3.5mm 10

Cortical screw 4.5mm 13

Circlage wire 0.2mm - 1.5mm 105 6.5mm Cancellous screw (16/32/full thread)

22 4.0mm Cancellous screw (full/short thread)

Cannulated screw 4.0mm, 6.5mm, 7.0mm 190

Mini plates 169

Mini screws 1.5mm, 2.0mm, 2.7mm 24

Angle blade plate 750

K-wires various sizes and length 13

Rush nails 649

Straight reconstruction plate 2.7mm 158

Reconstruction plate 3.5mm (straight/curved)

273

Reconstruction plate 4.5mm (straight/curved)

275

Broad DCP plate (4.5mm)

147

281

Narrow DCP (4.5mm)

113

Small fragments plate (3.5mm)

One third tubular plate (3.5mm)

Semi tubular plate (4.5mm)

T-buttress plate 4H - 6H (4.5mm)

179

T - plate (4.5mm)

212

L-buttress plate 4H - 6H (4.5mm)

195

Small t - plate (3.5mm) : oblique/right/left 120

Condylar buttress plate (4.5mm)

450

Clover leaf plate 265

Spoon plate 229

Distal tibial plate 1,125

Osteotomy plate 650

LC-DCP plate (3.5mm, 4.5mm)

225

Calcanel plate 525

Y-plate 225

Bone staples 40

Washer 15

JOINT ARTHROPLASTY

Hemi hip prosthesis (Austin Moore/Thompson)

725

MISCELLANEOUS

Bone cement (plain)

250

282

BASIC LCP SMALL FRAGMENT 3.5MM

LCP straight plate 3.5mm : (stainless steel)

(a)

6 - 9 Holes (1 set) 1 plate and screws 800

(b)

10 - 12 Holes 1,100

LCP metaphyseal 3.5mm (titanium)

(a)

6 - 9 Holes (1 set) 1 plate and screws 1,800

(b)

10 - 12 Holes 2,000

LCP t plate 3.5mm : (stainless steel)

(a)

Right angled (3 - 6 holes)

800

(b)

Obloque angle (3 - 5 holes)

800

LCP reconstruction plate 3.5mm (6 - 9 holes) stainless steel 850

LCP plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate and screw

1,600

Screw only 150

Proximal humeral locking plate 3,000

Distal humeral locking plate 3,900

Distal radius locking plate (volar)

2,200

Distal radius locking plate (dorsal)

2,300

LCP distal radius plate 2.4mm

(a)

Dorsal plate (2 plates)

2,300

(b)

Volar plate (extraarticular or juxta articular)

1,800

(c)

Extra long volar plate (10 holes)

2,700

(d)

LCP wrist fusion 2.7mm/3.5mm 2,800

(e)

LCP ulna hook 2.0mm 1,600

(f)

3.0mm Headless compression screw 700

Variable angle 2 column distal radius plate 2.4mm 2,500

283

LOCKING PLATE (UPPER LIMB) (STAINLESS STEEL)

Clavicular locking plate 1,800

Proximal humeral locking plate 2,200

Distal humeral locking plate 3,900

LCP extra - articular distal humerus plate 3.5mm

(6 holes, 8 holes, 9 holes, 10 holes)

3,900

LCP hook plate 3.5mm 1,200

Olecranon locking plate 3,000

Unreamed humeral nail 1,600

Without end caps 1,200

With end caps 1,600

LCP compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm)

1,600

BASIC LCP LARGE FRAGMENT 4.5MM/5.0MM

LCP narrow 4.5mm/5.0mm humerus/tibia

(a)

6 - 9 holes 1,000

(b)

10 - 16 holes 1,600

(c)

8 - 9 holes 1,100

(d)

10 - 14 holes 1,650

(e)

16 holes 2,000

LCP t - buttress plate 4.5mm/5.0mm (4 - 5 holes)

900

LCP t plate 4.5mm/5.0mm (4 - 6 holes)

900

LCP l - buttress plate 4.5mm/5.0mm (4 - 6 holes)

900

LCP metaphyseal 3.5mm/4.5mm/5.0mm BROAD (3 - 9 holes)

2,200

LCP reconstruction plate 4.5mm/5.0mm (6 - 10 holes)

2,000

284

INTERLOCKING NAIL (STAINLESS STEEL)

LCP dynamic hip screw 4.5mm/5.0mm 2 - 6 holes

(a)

1 plate and screws 1,000

(b)

1 plate + 1 lag screw + 1 compression screw + screws 1,200

(c)

8 -10 holes 1,400

(d)

12 - 14 holes 1,800

Femur interlocking nail 850

Retrograde nail 1,500

Femur reconstruction nail 1,500

Proximal femoral nail (standard)

1,800

Proximal femoral nail (long stem)

2,500

Gamma nail 1,800

Distal femoral nail 2,400

Tibial interlocking nail 850

LCP hook plate 3.5mm 1,200

LCP 1/3 tubular 1.3mm

(a)

5 - 7 holes 1,200

(b)

8 - 10 holes 1,400

LCP medial proximal tibia plate 3.5mm (4 - 8 holes)

2,400

LCP medial distal tibia plate 3.5mm

(a)

low bend 6 - 8 holes 2,100

(b)

12 - 14 holes 2,600

LCP anterolateral distal tibial plate 3.5mm (5 - 11 holes)

2,100

LCP compact foot : (LCP plate 2.0mm/2.4mm/2.7mm)

1,600

LCP 2 hole plate 2.7mm (consists of 1 plate and screws)

800

285

Screw only (2.0mm, 2.4mm, 2.7mm)

150

LCP calcaneal plate 3.5mm 2,000

Midfoot fusion bolt 1,800

INTERLOCKING NAIL (TITANIUM)

Femur interlocking nail 1,600

Gamma nail 2,200

Distal femoral nail 2,000

Spiral locking 2,400

Tibial interlocking nail 850

Expert tibial nail (cannulated)

2,000

Expert A2FN standard locking 1,800

Periarticular plate LCP tomofix 3.5mm 2,600

LCP distal fibula plate 2.7mm/3.5mm (lateral/posterolateral)

2,900

LCP proximal tibia plate 3.5mm, lateral (6 - 8 holes)

2,400

OTHERS

Expert nail 1,800

DISTAL FEMUR/PROXIMAL AND DISTAL TIBIA FRACTURES

15,800

(consist of : posts, 3 hole wire clamps, 2 hole wire clamp, supplementary screw holder bar and clamps, HA coated orthofix tapered cortical screws)

286

ACUTE TRAUMA/POST - TRAUMATIC STIFFNESS

15,000

(consist of : complete orthofix elbow fixator kit with HA coated orthofix tapered cortical screws )

GENU VARUM/GENU VALGUM/LLD/ANKLE VALGUS ETC.

(consist of : brand : orthofix, Italy)

Trauma paediatric orthopedik 2,400

Titanium Elastic Nail (TEN)

(a)

without end caps (consists of 2 pcs TEN only)

1,200

(b)

with end caps (consists of 2 pcs TEN and 2 pcs end caps)

1,600

Capos 3.5mm and 4.5mm (consists of 1 plate and screw)

(stainless steel)

1,200

Paediatric hip plate (3.5mm and 5.0mm) 1 plate and screw

(stainless steel)

2,200

Telescopic nail 9,000

Paediatric hip locking plate 2,500 8 Plate 2,500

Paediatric limb reconstruction system 15,000

Arthrodiastasis 15,000

Scoliosis instrumentation (anterior)

30,000

Scoliosis instrumentation (anterior - posterior)

30,000

Scoliosis instrumentation (posterior)

25,000

Anterior cervical fusion system (single level)

6,000

Posterior cervical fusion 10,000

Spinal cages 3,000

Anterior spinal instrumentations 10,000

Lower back instrumentations (single level)

9,000

Artificial discs (cervical)

11,000

287

Artificial discs (lumbar)

11,000

Kyphoplasty (per level)

7,875

Vertebroplasty (per level)

4,500

Halo vest system 9,450

Scoliosis bracing 840

Juwett, SOMI,TLSO, LSO Bracing 998

Pedicle screws 1,155

Sports surgery and arthroscopy

(a)

Primary ACL reconstruction (single bundle)

4,643

(b)

Primary ACL reconstruction (double bundle)

6,943

(c)

Primary PCL reconstruction (single bundle)

5,976

(d)

Primary PCL reconstruction (double bundle)

7,068

(e)

Primary PLC reconstruction (single bundle)

4,515

(f)

Primary PLC reconstruction (double bundle)

7,005

(g)

Primary MCL reconstruction (single bundle)

4,515

(h)

Primary MCL reconstruction (double bundle)

7,005

Multiligament reconstruction without allograft

(a)

2 ligaments 7,873

(b)

3 ligaments 10,108

(c)

4 ligaments 13,558

Multiligament reconstruction with allograft - 2 ligaments 16,873

Patella stabilization surgery 4,010

Knee malalignment surgery 4,400

Meniscus repair surgery 4,343

Meniscus transplantation surgery 27,255

Shoulder stabilization surgery 4,500

288

Anterior and posterior stabilization 7,723

Single row (small or medium size tear)

12,500

Single row (massive tear)

4,670

Double row (small or medium size tear)

7,945

Double row (massive tear)

7,370

Biceps tendon repair or tenodesis 6,995

ACJ repair 10,795

ACJ reconstruction 3,513

Osteochondral transplantation surgery 4,438

IMPLANTS FOR ARTHROSCOPY AND SPORT SURGERY

Bioabsorbable interference screw 1,245

Extracortical button 1,335

Suture anchor 1,370

Meniscus repair 1,100

Tight rope repair kit 875

AC graftrope 1,500

Meniscus implant 25,000

Allograft tissue (freeze - dried)

6,000

Allograft tissue (fresh frozen)

11,500

Osteochondral implant 3,000

Force fibrewire 210

Knee brace 1,500

Shoulder brace 475

Osteotomy plate 2,500

289

Bone Substitute 1,400

OSTEOTITE HA COATED SCREWS

Osteotite bone screw 180mm/50mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 180mm/60mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 200mm/50mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 150mm/30mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 150mm/40mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 170mm/40mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 170mm/60mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 170mm/80mm diameter 6mm, thread 6-5mm

360

Osteotite bone screw 160mm/70mm diameter 6mm, thread 6-5mm

360

BASIC LRS COMPONENTS

LRS extra short rail length 12cm 2,427

LRS standard rail length 30cm 2,558

LRS long rail length 40cm 3,534

LRS straight central clamp 4,167

LRS straight outer clamp 3,033

LRS t-clamp 2,904

Sandwich clamp with C/D unit for LRS

3,676

Compression distraction unit long clicker model 2,242

Compression distraction unit short 1,319

290

Compression distraction unit STD clicker model 909

Dyna-ring with C/D unit attach for LRS

1,055

ACUTE/GRADUAL CORRECTION CLAMPS

LRS multiplanar clamp 4,537

Micrometric swivelling clamp for LRS

3,534

LRS hinged rail coupling 3,745

LRS of - garches t - clamp 3,941

Of - garches standard compression/distraction unit 985

Of - garches long compression/distrraction unit 985

Pelvic fixator long model kit with 6 pieces of screws 11,500

Hand/forearm applications 5,500

Articulated hip distraction/perthes 16,000

Orthofix dynamic wrist fixator system with screws

(Kit no: 37000 or 37001)

6,500

SS half rings (diameter 80mm - 240mm)

160

SS 5 / 8 rings (diameter 80mm - 220mm)

180

Carbon fibre half ring (diameter 80mm - 240mm)

320

SS Italian femoral arches:

(a)

90 degree arch, small/large size 200

(b)

120 degree arch, small/large size 200

(c)

Threaded rods (Size : 40mm - 450mm)

(d)

Slotted threaded rods (size : 40mm - 100mm)

291

Telescopic rods

Telescopic rods : 100mm 94

Telescopic rods : 150mm 109

Telescopic rods : 200mm 125

Telescopic rods : 250mm 156

Telescopic rods : 300mm 187

Telescopic rods : 350mm 187

Telescopic rods : 400mm 187

Posts female (size : 2 - 4 holes)

Male post (size : 2 - 4 holes)

Hinges female standard 59

Hinges male standard 59

Hinges - 90 degree standard 59

Hinges - 90 degree low profile 59

Short connection plates

Short connection plate 2 holes length 35mm 62

Short connection plate 3 holes length 45mm 62

Short connection plate 4 holes length 55mm 62

Short connection plate 5 holes length 65mm 62

Short connection plate 6 holes length 75mm 62

Short connection plate 7 holes length 85mm 94

Short connection plate 8 holes length 95mm 94

Short connection plate 9 holes length 105mm 94

Short connection plate 10 holes length 115mm 94

292

Long connection plate

Long connection plate size : 8 holes length 155mm 94

Long connection plate size : 12 holes length 235mm 94

Long connection plate size : 17 holes length 335mm 109

Connected plates with threaded ends

Connection plates with threaded ends : 5 holes length 135mm 94

Connection plates with threaded ends : 7 holes length 175mm 94

Connection plates with threaded ends : 9 holes length 215mm 125

Connection plates with threaded ends : 11 holes length 255mm 125

Twisted plates

Twisted plates : 2 holes length 45mm 50

Twisted plates : 3 holes length 65mm 50

Twisted plates : 4 holes length 85mm 50

Curved plates : 3 holes 62

Bushing (for big RFS)

Threaded sockets (20mm - 60mm)

Connection bolts and nuts

Connection bolts : 10mm 9

Connection bolts : 16mm 9

293

Connection bolts : 20mm 22

Connection bolts : 30mm 22

Nut 6mm 3

Nut 13mm 5

Thin nut 4

Nylon insert nut 6

Square nut 16

Spacing washers 1.5mm 4

Spacing washers 2.0mm 4

Split locking washer 2.0mm 6

Flat sided washers 2.0mm 7

Flat sided washers 4.0mm 7

Slotted washers 4.0mm 9

Conical washer couple 31

Wire fixation bolt slotted 34

Wire fixation bolt cannulated 34

Pin fixation bolts for 3mm pins 62

Pin fixation bolts for 4mm pins 62

Pin fixation bolts for 5mm pins 62

Pin fixation bolts for 6mm pins 62

Single pin fixation bolt 125

Multiple pin fixation clamp 406

Wire fixation buckle 218

294

Blocks for half pins (rancheo cubes)

Blocks for half pins : 1 hole 39

Blocks for half pins : 2 holes 39

Blocks for half pins : 3 holes 39

Blocks for half pins : 4 holes 56

Blocks for half pins : 5 holes 62

Blocks for half pins for centre sleeve : 1 holes 42

Blocks for half pins for centre sleeve : 2 holes 42

Blocks for half pins for centre sleeve : 3 holes 42

Blocks for half pins for centre sleeve : 4 holes 56

Blocks for half pins for centre sleeve : 5 holes 62

Centre sleeve for block for half pins

Centre sleeve for block for half pins - 3mm 12

Centre sleeve for block for half pins - 4mm 12

Centre sleeve for block for half pins - 5mm 12

Centre sleeve for block for half pins - 6mm 12

Universal joint 187

Rotational translation device 270

Oblique support connection 53

295

Wires

K - wires - cortical 1.5mm x 300mm 25

K - wires - cortical 1.8mm x 370mm 25

K - wires - cancellous 1.5mm x 300mm 25

K - wires - cancellous 1.8mm x 370mm 25

Olive wires - (bayonet point) 1.5 x 300mm 29

Olive wires - (bayonet point) 1.8 x 400mm 29

Set screws 3.0mm 6

Schanz screws 5 x 175mm 35

Schanz screws 5 x 150mm 35

Proximal humerus endoprosthesis 17,500

Distal humerus endoprosthesis 35,000

Total humerus endoprosthesis 40,000

Proximal femur endoprosthesis 21,000

Total femur endoprosthesis 41,500

Proximal tibia endoprosthesis 33,000

Bone cement 350

Expandable endoprosthesis 97,000

Long stem bipolar 7,250

Shoulder arthroplasty 7,900

Radio - capitellum prosthesis 8,500

Total wrist prosthesis 12,000

Distal ulnar head prosthesis 5,600

Sigmoid Notch (DRUJ) prosthesis 4,800

Radial head modular Co Ci/Ti 6,500

296

Radial head prosthesis 5,000

Bipolar radial head 6,000

Silicone PIP, MCP, MCP preflex 1,000

Silicone PIP, MCP, MCP preflex with bone cement 1,150

Semi constrained PIP arthoplasty 6,300

Semi constrained MCP arthoplasty 5,600

Surface replacement PIP arthoplasty 4,700

Surface replacement MCP arthoplasty 3,600

CMC thumb arthroplasty 5,250

Carpal fusion plate 3 holes 1,700

Carpal fusion plate 4 holes 2,100

Carpal fusion plate 5 holes 2,450

Hunter’s rod (silastic rods)

800

Stainless steel mini plates

Straight 1.5mm 20 holes 310

Straight 2.0mm 20 holes 280

Condylar plate 1.5mm R/L

445

Condylar plate 2.0mm R/L

500

Condylar plate 2.7mm R/L

440

T plate 1.5mm ; shaft 9 holes ; 3/4 holes 500

T plate 2.0mm ; shaft 9 holes ; 3/4 holes 420

H plate 2.0mm 340

H plate 1.5mm 160

Reconstruction plate 2.7mm 5 - 8 holes 400

297

Reconstruction plate 2.7mm 5 - 8 holes 520

Adaptation plate 2.0mm 20 holes 300

Low profile titanium plates

1.3mm 1.5mm 1,600

Condylar blade plate 1,600

Y, T plate 1,600

H, Extended H plate 1,600

Straight plate 1,600 1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws 1,600

Scaphoid screws

Accutrac micro 2.8mm/2.2mm 1,200

Accutrac mini 3.8mm/3.2mm 1,000

Headless compression screw 3.0mm 700

Autofix 2.0mm/2.5mm 600

Autofix 3.0mm/4.0mm 600 3.0mm Cannulated screw 450

Locking plates

Dorsal 2,300

Volar (extra/intra articular)

1,800 10 Holes 2,700

298

Variable angle 2,500

Proximal humerus internal locking system 2,200

LCP distal humerus 2.7mm / 3.5mm 3 - 9 holes (2 plates)

3,900

LCP olecranon 3.5mm 2 - 8 holes 2,700

Anchor sutures

Minilok 2.3mm absorbable 850

Microfix 1.6mm absorbable 850

Hinged elbow external fixator 1 hinge, 4 clamps, 4 schantz screws

7,500

SURGERY SYSTEM

Total knee replacement system

Total knee replacement system for young 12,000

Total knee replacement system mobile bearing 8,000

Ts tibial total knee replacement system 13,000

Total stabilization total knee revision replacement system 19,000

299

Modular Rotating Hinged (MRH) total knee replacement system

22,000

Global Modular Replacement System (GMRS) proximal femur total knee replacement system

48,000

Global Modular Replacement System (GMRS) proximal tibial total knee replacement system

35,000

Global Modular Replacement System (GMRS) distal femur total knee replacement system

35,000

Global Modular Replacement System (GMRS) total femur total knee replacement system

48,000

Total hip replacement system

Bipolar hemi hip replacement system 4,100

Total hip replacement system (cemented)

7,500

Total hip replacement system for young adult 13,000

Total hip replacement system (cementless)

10,750

Total hip replacement system - long stem (cemented)

8,000

Total hip replacement system - gap ii and mesh (cemented)

13,100

Total elbow replacement system 8,500

Hemi shoulder replacement system 7,250

Total shoulder replacement system 8,000

Reversed shoulder 17,000

Total ankle replacement 9,500

Revision accessories

Acetabulum reconstruction ring 4,500

Revision stems 8,000

300

Mesh femoral 2,000

Mesh acetabulum 2,000

Cables 500

Pulse lavage 300

Plate 1,500

Cement 270

Antibiotic bone cement 350

Antibiotic bone cement (tobramycin)

1,100

Trabecular metal cone/wedges 3,500

Constraint cup with head

3,500

Cement joint spacer 4,000

Trochanteric hook plate 12,000

301

FOURTH SCHEDULE

[Subparagraph 6(1)]

INVESTIGATION FEE

PART 1

RADIOLOGICAL INVESTIGATION

X RAY

Chest

Chest (single projection)

Chest (two projection)

Chest (three projection)

Chest (four projection)

100

Facial and nasal bones

Facial bones (single projection)

Facial bones (two projection)

Facial bones (three projection)

Nasal bones (single projection)

Abdomen

Abdomen (single projection)

Abdomen (two projection)

Abdomen (three projection)

302

Kidney, ureter and bladder (KUB) (single projection)

100

Pelvimetri lateral 50

Pelvimetri antero - posterior and lateral 80

Spine

Cervical spine (single projection)

Cervical spine (two projection)

Cervical spine (three projection)

Cervical spine (four projection)

100

Cervical spine (five projection)

120

Thoracic spine (single projection)

Thoracic spine (two projection)

Thoracic spine (three projection)

Lumbo - sacral spine (single projection)

Lumbo - sacral spine (two projection)

Lumbo - sacral spine (three projection)

Lumbo - sacral spine (four projection)

100

Sacrum (single projection)

Sacrum (two projection)

Sacroiliac joints (single projection)

Sacroiliac joints (two projection)

Symphysis pubis 40

Sacroocceigeal joint (single projection)

Sacroocceigeal joint (two projection)

Skeletal survey 250

303

Skull

Skull (single projection)

Skull (two projection)

Skull (three projection)

Skull (four projection)

100

Mandible

Mandible (single projection)

Mandible (two projection)

Mandible (three projection)

Temporo mandibular joints

Temporo mandibular joint (single projection)

Temporo mandibular joint (two projection)

Temporo mandibular joint (three projection)

Temporo mandibular joint (four projection)

100

Mastoid

Mastoid (single projection)

Mastoid (two projection)

Mastoid (three projection)

Mastoid (four projection)

115

304

Paranasal sinus

Paranasal sinus (single projection)

Paranasal sinus (two projection)

Paranasal sinus (three projection)

Optic foramina

Optic foramina projection - unilateral 60

Optic foramina projection - bilateral 90

Orbit

Orbit (two projection)

Orbit (three projection)

Orbit (four projection)

Internal auditory canal

Internal auditory canal (single projection)

Internal auditory canal (two projection)

Internal auditory canal (three projection)

305

Shoulder

Shoulder (single projection)

Shoulder (two projection)

Shoulder (three projection)

Shoulder (four projection)

100

Acromio - clavicular joint - both weight bearing 50

Arm (humerus)

Arm humerus (single projection)

Arm humerus (two projection)

Elbow joint

Elbow joint (single projection)

Elbow joint (two projection)

Elbow joint (three projection)

Elbow joint (four projection)

100

Forearm (radius/ulna)

Forearm (radius/ulna) (single projection)

Forearm (radius/ulna) (two projection)

306

Wrist joint

Wrist joint (single projection)

Wrist joint (two projection)

Wrist joint (three projection)

Wrist joint (four projection)

100

Hand

Hand (single - one projection)

Hand (single - two projection)

Hand (single - three projection)

Hand (both - one projection)

Hand (both - two projection)

Hand (both - three projection)

Left hand for bone age 40

Thumb or single digit

Thumb or other single digit (single projection)

Thumb or other single digit (two projection)

Clavicle

Clavicle (single projection)

Clavicle (two projection)

307

Sternoclavicular joint

Sterno clavikular joint (single projection)

Sterno clavikular joint (two projection)

Sterno clavikular joint (three projection)

Sternum (single projection)

Scapula

Scapula (single projection)

Scapula (two projection)

Scaphoid projections 80

Carpal tunnel projection 60

Pelvis

Pelvis (single projection)

Pelvis (two projection)

Pelvis (three projection)

Hip joint

Hip joint (single projection)

Hip joint (two projection)

Hip joint (three projection)

Hip joint (four projection)

105

Hip joint (five projection)

125

308

Femur (thigh)

Femur (thigh) (single projection)

Femur (thigh) (two projection)

Knee

Knee (single projection)

Knee (two projection)

Knee (three projection)

Knee (four projection)

100

Knee (five projection)

120

Lower leg (tibia/fibula)

Lower leg (tibia/fibula) (single projection)

Ankle

Ankle (single projection)

Ankle (two projection)

Ankle (three projection)

Ankle (four projection)

100

Ankle (five projection)

120

309

Foot

Foot (single projection)

Foot (two projection)

Foot (three projection)

Both feet (two projection)

Both feet (three projection)

Subtalar joints

Subtalar joints (single projection)

Subtalar joints (two projection)

Subtalar joints (three projection)

Subtalar joints (four projection)

100

Calcaneum

Calcaneum (lateral) (single projection)

Calcaneum (lateral) (two projection)

Calcaneum (aksial) (single projection)

Calcaneum (aksial) (two projection)

Bone densitometry

Bone densitometri - dexa 150

Bone densitometri - ultrasound 130

310

Fluroscopy heart, lung and diaphragm 400

Tomography 250

Mammography 295

Periapical/bite wing - every image 70

Occlusal 70

Dental OPG and OPG lateral 70

Cone beam computed tomography (CBCT)

700

EXAMINATION USING CONTRAST MEDIA

Cardiovascular system

Free flush arch aortogram 400

Coronary arteriogram 400

Vascular system

Free flush 400

Abdominal aortogram 400

Superior mesentric arteriogram 400

Inferior mesentric arteriogram 400

Femoral arteriogram - unilateral 400

Femoral arteriogram - bilateral 400

Splenoportography 400

311

Gastrointestinal tract

Barium swallow 115

Barium meal with follow through 205

Gastrograffin meal and enema 205

Hypotonic duodenography 205

Barium enema (large intestine, small intestine)

205

Barium meal 170

Biliary system

Oral cholecystogram 170

Intravenous cholangiogram 285

Operative T-tube cholangiogram

135

Urinary system

Intravenous urography (IVU)

400

Micturating cystourethrogram

285

Urethrogram 230

Retrograde pyelography 205

Central nervous system

Myelography 605

Air-encephalogram 605

Ventriculogram 605

312

Other systems

Dacriocystography 230

Sialography 230

Fistulography 230

Arthrography 400

Bronchography - unilateral 230

Bronchography - bilateral 345

Lymphangiography 800

Hysterosalphingography 230

Presacral air insufflation 800

Sinogram 170

Sialogram 460

Cystogram 205

Micturating cystogram 250

Venogram 640

COMPUTERISED TOMOGRAPHY (CT SCAN)

Head 915

Thorax 570

Abdomen 630

Pelvis 915

Whole body 1,260

Upper limb 630

Lower limb 630

313

CT spine - cervical 745

CT spine - dorsal 745

CT spina - lumbo sakral 745

CT spine - lumbar 745

MAGNETIC RESONANCE IMAGING (MRI)

Head 2,060

Thorax 1,030

Abdomen 1,485

Pelvis 1,485

Whole body 1,490

Upper limb 1,490

Lower limb 1,490

Spine - cervical 1,375

Spine - dorsal 1,375

Spine - lumbar 1,375

Spine - sacral 1,375

ULTRASOUND

Ultrasound - upper abdomen 150

Ultrasound - pelvis 120

Ultrasound - abdomen and pelvis 200

Ultrasound - kidney and bladder 100

Ultrasound - kidney, bladder and residual urine volume estimation

120

314

Ultrasound - brain (neonatal)

120

Ultrasound - thyroid 100

Ultrasound - breast 140

Musculoskeletal ultrasound per region 150

Ultrasound - scrotum 100

Ultrasound - scrotum with doppler 200

DOPPLER ULTRASOUND

Doppler ultrasound - extra cranial carotid 350

Doppler ultrasound - arteries per region 250

Doppler ultrasound - veins for sinlge limb 250

Doppler ultrasound - veins for two limbs 400

Doppler ultrasound - arteries for single limb 300

Doppler ultrasound - arteries for two limbs 450

Doppler ultrasound for other organs not listed above per organ 300

Endocavitary ultrasound 150

PART 2

CARDIOLOGICAL INVESTIGATION

Elechtrocardiogram (ECG) (with report)

Echocardiogram transthoracic 230

Signal averaging ECG

237

Transoesophageal echocardiography 440

315

ECG (stress/exercise) with report 270

Stress echo - pharmacological 300

Stress echo - treadmill 380

Holter monitoring (24 hours ECG monitoring)

457

Pacemaker follow-up 288

Stress echocardiography 380

Doppler echocardopgraphy 380

PART 3

NEUROLOGICAL INVESTIGATION

Electroencephalography 70

PART 4

OPHTALMOLOGICAL INVESTIGATION

Refraction/psychoplegic refraction 55

Orthoptics/binocular vision/vision therapy 70

Contact lense 70

Limited vision 70

Colour vision except ishihara 70

Special diagnostic

Visual Field (VF)

Hess test 70

316

BSV

Corneal topography 220

Keratometry and A Scan 110

Contrast sensitivity 70

Heidelberg Retinal Tomography (HRT)

GDx 70

Optical Coherence Tomography (OCT)

Fundus photography 55

Visual Evoked Potential (VEP)

Electroretinography (ERG)

220

PART 5

EAR, NOSE AND THROAT INVESTIGATION

Pure tone audiometri 70

Electrophysiology test (diagnostic)

(a)

Auditori evoked potential 70

(b)

Otoacoustic emission test 70

(c)

Vestibular function test (kalorimetri)

Hearing aid management 70

Special test

(a)

Free field 70

(b)

Tone decay test 70

(c)

SISI test 70

(d)

Bekesy 70

(e)

Impedance test 70

317

PART 6

PET CT SCAN

Pet CT

6,500

PART 7

LANGUAGE SPEAKING THERAPY INVESTIGATION

Language speaking therapy 70

Flexible Endoscopic Evaluation of Swallowing (FEES) procedure 70

Vitalstim treatment 70

PART 8

DIETETIC INVESTIGATION

Nutrition assessment 70

Medical nutrition therapy presumption 70

Medical nutrition therapy intervention 70

Enteral nutrition formula 70

318

FIFTH SCHEDULE

[Paragraph 7]

LABORATORY FEE

2 Hours post parandial 20 17- Oxosteroids 30 17- Oxogenic steroids 30 3 - Methyoxy - 4 - hydroxyl - mandelic acid (HMMA/VMA) (urine)

30 5 - Hydroxy indoles total 20 5 - Hydroxyindoleacetic acid (5 - HIAA)

100

ABO + grouping (anti D only)

Acetone 5

Acid Fast Bacilluss (AFB) culture 45

Acid phosphatase 70

Acquired immunodeficiency syndrome (HIV antibody)

ACTH stimulation test 50

Alanine transaminase 10

Albumin (blood)

Albumin (urine)

Alcohol 50

Aldosterone 84

Alfa-fetoprotein (AFP)

Alkaline phosphatase (ALP)

Allergy skin test 70

Alpha antitrypsin 60

Amino acid by TLC (urine)

100

319

Amino acid by TLC screening 100

Ammonia 60

Amylase 20

Antenatal screening 58

Anti Streptolysin O Titre (ASOT)

Anti-antibodies/haemagglutination test 20

Antibiotic sensitivity 50

Anti-DNA antibody (anti dsDNA)

108

Antigen detection specific pathogens 20

Antinuclear factor (ANF)

Ascorbic acid 20

Aspartate transaminase 10

Aspirate for cylology 100

Augmentin histamine test 50

Bacteriological sterility test 60

Barbiturate 60

Barbiturate (serum)

110

Barbiturate (urine)

110

Bence Jones protein 10

Beta carotene 10

Beta Human Chorionic Gonadotropin (Beta HCG)

Bicarbonate 10

Bile pigment 8

Bilirubin 20

Bilirubin conjugated 10

Bilirubin unconjugated 10

320

Bilirun (total)

Bleeding time 10

Blood gases 65

Blood group and cross matching 11

Blood Urea Serum Elektrolytes (BUSE)

Blood urea nitrogen 10

Bramsulphathelein excretion test 30

Bronchial brushing cytology 30

Bronchial lavage/washing cytology 30

Brucella agglutination test 20

C reactive protein - quantitative 60

Caeruloplasmin 50

Calcium 20

Cannabinoids 50

Carcino Embryonic Antigen (CEA)

Cardiac enzymes 48

Cardiac isoenzyme (CK)

Cathecolamine 180

Cerebro - spinal fluid (CSF) routine 50

Cerebro - spinal fluid cultural and sensitivity 40

Cerebrospinal fluid cytology 30

Chlamydial (screening)

Chlamydial Immunoglobin G (IgG) antibody 95

Chlamydial Immunoglobulin G (IgG)

Chloride 10

Cholesterol (total)

321

Cholinesterase 20

Chromosomal analysis 600

Clot test 45

Clotting time 10

Coagulation factor anti - xa 50

Coagulation factor ix activity 50

Coagulation factor ix antigen 215

Coagulation factor v antigen 50

Coagulation factor v leiden mutation 215

Coagulation factor vii activity 215

Coagulation factor vii antigen 50

Coagulation factor vii inhibitors 50

Coagulation factor viii activity 215

Coagulation factor viii antigen 50

Coagulation factor viii inhibitors 215

Coagulation factor x antigen 50

Coagulation factor x activity 215

Coagulation factor xi activity 215

Coagulation factor xi antigen 50

Coagulation factor xi inhibitors 50

Coagulation factor xii activity 215

Coagulation factor xii antigen 50

Coagulation factor xiii activity 450

Coagulation factor xiii clot lysis test 50

Coagulation profile 115

Cold agglutin/cryoglobulin titre 125

322

Complement C3 50

Complement C4 50

Complement fixation test 20

Coomb test direct 55

Coomb test indirect 54

Copper 70

Cortisol 55

Cortisol AM

Cortisol PM

Cortisol profile 55

C-Peptide 3 specimen 180

Creatine 20

Creatine Kinase (CK)

Creatine Kinase - Muscle Bound (CK - MB)

Creatinine 35

Creatinine clearance test 35

Creatinine phosphate 35

Cryoglobulin 120

Cryoprecipitate 20

CSF biochemistry 20

Culture of clinical specimen (e.g. tissue culture, animal innoculation)

Culture of mycoplasma 20

Cystic fluid cytology 30

Cystine 5

Cytologi peritoneal fluid 30

Cytological examination of clinical specimen 30

323

Dehydroepiandrosterone sulphate (DHEAS)

Delta amino leavulinic acid urine 70

Dengue fever study 160

Dexamethasone suppresion test 50

Diastase 10

Dibucaine number 20

Differential count 10

Direct smear (grain stain)

Drug analysis (per drug)

Electrolytes 30

Electrone microscopy 250

Electrophoresis (for Bence Jones protein)

Electrophoresis protein 72

ELISA for hepatitis A virus 30

Erythrocyte transketolase and TPP effect 20

Erythrocyte Sedimentation Rate (ESR)

Faecal fat 30

Ferritin 130

Fibrinogen 80

Fibrinogen (immuno method)

115

Filtered RBC

600

Flourescent microscopy 30

Folate RBC

Follicle Stimulating Hormone (FSH)

Free tyroxine index 35

Fructosamine 45

324

Full blood count 40

Full blood picture 80

Gamma glutamine transferase 30

Gastric brushing cytology 30

Gastric function test 50

Gastric lavage cytology 30

Gentamicin, peak 30

Gentamicin, random 30

Gentamicin, trough 30

Gentamycin 30

Globulin 18

Glucose 10

Glucose fasting blood sugar 20

Glucose tolerance test 50

Glucose - 6 - Phosphte Dehydrogenase (G6PD) screening test 20

Glucostix 62

Group and crossmatch (GXM)

Group Screen and Hold (GSH)

Growth hormone 78

Haemagglutination inhibition test (denggue serology)

Haematocrit pack cell volume (PCV)

Haemoglobin and allied pigment 5

Haemoglobin (Hb)

Haemoglobin AIC (HbA1C)

Haemoglobin electrophoresis 60

Haptoglobin 50

325

Hb analysis 60

HDL and LDL cholesterole (package)

Hepatitis A Virus Immunoglobulin G Antibody (HAV IgG Ab)

Hepatitis A Virus Immunoglobulin M Antibody (HAV IgM Ab)

Hepatitis B e Antibody (HBV e Ab)

Hepatitis B surface Antibody (HBs Ab)

Hepatitis B surface Antigen (HBs Ag)

Hepatitis C (antibody)

Hepatitis C Virus Immunoglobulin G (HCV IgG Ab)

Hepatitis C Virus Immunoglobulin M (HVC IgM Ab)

Hepatitis E (antigen)

Herpes simplex type 1 immunoglobin G

Herpes simplex type 2 immunoglobin G

High Density Lipoprotein (HDL) cholesterol 20

High density lipoprotein concentration 20

Histopalogy examination type B (medium specimens)

100

Histopalogy examination type C (small specimens)

Histopatology examination type A (large specimens)

125

HIV antigen test 50

HIV antibody confirmation test 150

HLA - B27 291

Homogentisic acid 5

Human Chorionic Gonadotropin (HCG)

Hydroxy butyrate dehydrogenase 35

Hydroxyproline 30

IFA test for legionella ab 30

326

Immunoelectrophoresis 30

Immunofixation 30

Immunoglobulin A (quantitive)

Immunoglobulin E (quantitive)

Immunoglobulin G (quantitive)

Immunoglobulin M (quantitive)

Immunological techniques (agglutination, flocculation, hemolysis)

Indirect immunoperoxidase test 30

Iron serum 25

Isoenzyme studies 50

Ketone bodies 40

Kleihaurs test 60

Lactate dehydrogenase 15

Lactic dehydrogenase 15

Lange's colloidal gold curve 30

Lead 55

Leuteinising Hormone (LH)

Light microscopy 10

Lipid profile (cholestreole, tryglicerides)

Lipoprotein electrophoresis 270

Lithium 38

Liver function test 100

Low Density Lipoprotein (LDL)

Lupus Erythematous cells (LE cell)

Lysozyme serum 20

Magnesium 15

327

Malaria parasite 15

Mantoux test 15

Mean Corpuscular Haemoglobin (MCH)

Mean Corpuscular Haemoglobin Concentration (MCHC)

Mean Corpuscular Volume (MCV)

Menopausal hormone studies 120

Menstrual cycle study 135

Mercury 125

Microbiological analysis of water, milk, ice cream, other foods 50

MICS of antibiotics 50

Monospot test 30

Morphine/Cannabinoids 80

Mucopolysaccharides 70

Myeglobin 10

Nipple discharge cytology 30

Nuclear sexing (buccal smear)

Occult blood 16

Oesophageal brushing cytology 40

Oestradiol 48

Oestrogen total 30

Orosamucoid 30

Osmolaliti 20

Osmotic fragility test 60

Others brushing cytology 30

Others cytology 30

Pack cell 20

328

Pack Cell Volume (PCV) (haematocrit value)

Paracetamol 50

Paraprotein (serum elektrophoresis)

100

Paraquat 30

Particle agglutination for mycoplasma 20

PCO2 10

Pericardial fluid cytology 30

Peripheral blood film 20

Peritoneal/Ascitic fluid cytology 30

PH urine, blood, fluid 10

Phagocytic function test 100

Phenylketones 10

Phospate 20

Phospate inorganic 11

Phosphorous 15

Platelet agregation test 105

Platelet concentration 20

Platelet count 10

Pleural fluid cytology 30

PO2 10

Porphyrin 30

Porphyrinogen 10

Potassium 10

Puus FEME

Pregnancy test semi quantitative/qualitative 40

Pregnantriol 30

329

Progesterone 70

Prolactin 40

Protein (total) plasma 65

Protein (total) urine 30

Protein electrophoresis 65

Prothrombin Time (PT)

Pus swab culture and sensitivity 40

Pyruvate 30

Pyruvate kinase 30

Random blood sugar 20

Red blood cell (blood)

Red blood cell (urine)

Red cell folate 20

Renal profile 80

Reticulocyte count 40

RH antibody screening 52

Rhesus grouping (anti D only)

Rheumatiod arthritis factor (RA factor)

Riboflavin 30

Rubella antibody 50

Rubella immunoglobulin G antibody 50

Rubella immunoglobulin M antibody 80

Salicylate 50

Schumn's test 10

Screening test for the presence of inhibitors to coagulation factors

Seminal analysis 30

330

Seminal assay 30

Seminal examination 30

Serum ferritin 20

Serum folate 30

Smear for acid fast bacilii 40

Smear wet preparation tricomonas/monilis 10

Sodium 20

SP Fallopian tube 80

SP Abdominal wall 80

SP Adrenal 80

SP Anus 80

SP Appendix 80

SP Back and vertebral column 80

SP Bartolin's gland 80

SP Bone 80

SP Brain and spinal cord 80

SP Breast 80

SP Bronchus 80

SP Cardiac valve 80

SP Cervix 80

SP Chest 80

SP Colon 80

SP Ear 80

SP Endocardium 80

SP Endometrial 80

SP Extra hepatic duct 80

331

SP Eye/Eye appendages 80

SP Gall bladder 80

SP Head 80

SP Heart 80

SP Joint 80

SP Kidney 80

SP Larynx 80

SP Lip 80

SP Liver 80

SP Lower extremity 80

SP Lung 80

SP Lymph node 80

SP Mandible and maxilla 80

SP Mediastinum 80

SP Meninges 80

SP Muscle 80

SP Myocardium 80

SP Myometrium 80

SP Nasal cavity and parasinus 80

SP Nasopharynx 80

SP Neck 80

SP Oesophagus 80

SP Omentum 80

SP Oral cavity and oropharynx 80

SP Ovary 80

SP Pancreas and ampullary region 80

332

SP Paraganglion 80

SP Parathyroid 80

SP Pelvis and sacral 80

SP Penis and scrotum 80

SP Pricardium 80

SP Peritoneum 80

SP Placenta 80

SP Pleural 80

SP Product of conception 80

SP Prostate and seminal vesicle 80

SP Rectum 80

SP Retroperitoneum 80

SP Salivary gland 80

SP Skin 80

SP Small bowel 80

SP Soft tissue 80

SP Spleen 80

SP Stomach 80

SP Testis and testicular adnexae 80

SP Thymus 80

SP Thyroid 80

SP Tongue 80

SP Tonsil/adenoid 80

SP Trachea 80

SP Upper extremity 80

SP Ureter 80

333

SP Urethra 80

SP Urinary bladder 80

SP Uterus 80

SP Vagina 80

SP Vessel 80

SP Vulva 80

Specific gravity 5

Specific protein CSF (e.g. immunoglobulin)

Spectroscopy, blood pigment 10

Sputum cytology 30

Sputum FEME

Stercobilinogen 5

Stones analysis 62

Stool FEME

Sugar 5

Sugar by TLC

Sugar chromatography urine 30

Sugar profile 30

Synovial fluid cytology 30

T and B cell enumeration 100

Test for hemolysin 10

Test for platelet antibodies 170

Testosterone 45

Therapeutic Drug Monitoring (TDM)

Thiamin 30

Thriglycerides 40

334

Thyroid profile 65

Thyroid Simulating Hormone (TSH)

Thyroid uptake 40

Thyroxine 3 (T3)

Thyroxine 4 (T4)

Tissue typing (HLA - A and B)

360

Tissue typing (HLA - DR and DO)

360

Total Iron Binding Capacity (TIBC)

Total RBC

Total White and Differential Count (TWDC)

Total White Blood Cell Count (TWBC)

Transferrin 90

Treponema Pallidum (TPHA) Hemagglutination 30

Triglycerides 40

Urea 10

Urea clearance test 30

Uric acid 20

Uric acid (urates)

Urine antenatal 58

Urine concentration test (pitressin test)

Urine creatinine 30

Urine cytology 30

Urine FEME

Urine protein 30

Urobilin 10

Urobilinogen 20

335

VDRL flocculation test 20

Venereal Disease Research Laboratory (VDRL)

Vitamin A

Vitamin B12 40

Von Willebrand factor assay (ELIZA)

Wash RBC

100

Weil Felix agglutination test 20

White blood cell 10

Widal agglutination test 30

Widal Weil Felix 30

Xylose absorption test 30

336

SIXTH SCHEDULE

[Paragraph 8]

OPERATION FEE

GENERAL SURGERY

Pharyngo - laryngo - oesophagectomy with reconstruction 11,024

Tracheo - oesophageal fistula 8,578

Total pancreatectomy 7,837

Pancreato duodenectomy (e.g. Whipple’s operation)

7,837

Adrenalectomy 6,080

Adrenalectomy - bilateral 6,505

Total parotidectomy - preserving of facial nerve 5,595

Partial parotidectomy - preserving of facial nerve 4,890

Total thyroidectomy 4,005

Partial thyroidectomy 3,870

Hemithyroidectomy 3,870

Subtotal thyroidectomy bilateral 3,945

Thyroglossal cyst 2,147

Block dissection of cervical glands 7,068

Parathyroidectomy 4,533

Mastectomy with/without axillary clearance 2,951

Wide excision for carcinoma breast 2,367

Total oesophagectomy and interposition of intestine 11,607

Repair of diaphragmatic hernia - transabdominal 4,240

Total gastrectomy 5,284

337

Partial gastrectomy (benign disease)

4,079

Partial gastrectomy (malignant disease)

4,669

Gastro - jejunostomy 3,592

Vagotomy with drainage 3,497

Drainage of liver/subphrenic and pelvic abscesses 2,367

Cholecystectomy (laparoscopic)

4,369

Splenectomy (subtotal)

6,232

Intestinal obstruction - resection/anastomosis of small/large intestines

4,580

Resection of small bowel 3,487

Ileo - transverse anastomosis 6,822

Hemicolectomy right/left 3,976

Anterior resection of rectum 7,068

Abdomino - perineal resection 7,546

Rectopexy/rectosigmoidectomy for rectal prolapsed 3,346

Orchidectomy 2,294

Excision of retro peritoneal tumours 4,172

Femoro distal bypass (vein graft)

8,769

Femoro distal bypass (prosthetic graft)

12,385

Femoro popliteal bypass (vein graft)

8,781

Femoro popliteal bypass (prosthetic graft)

11,179

Femoro - femoral crossover graft 8,985

Axillo femoral bypass 10,456

Axillo - bifemoral bypass 11,235

Femoral endarterectomy 6,807

Carotid endarterectomy (patch)

10,288

Removal of sub-mandibular gland 2,181

338

Gastrostomy 2,596

Herniorrhaphy - umbilical 1,833

Herniorrhaphy - inguinal 1,928

Herniorrhaphy - femoral 1,768

Herniorrhaphy - incisional 2,358

Fistulectomy 1,012

Excision of breast tumours/cyst 1,927

Oesophageal dilatation (under general anaesthesia)

1,136

Excision operation for varicocele 1,708

Haemorrhoidectomy 1,764

Adrenalectomy - left - open 6,080

Adrenalectomy - left - laparoscopic 5,794

Adrenalectomy - right - open 6,080

Adrenalectomy - right - laparoscopic 5,794

Adrenalectomy - bilateral - open 6,505

Adrenalectomy - bilateral - laparoscopic 6,219

Block dissection of axillary lymph nodes 2,872

Block dissection cervical nodes - right 5,620

Block dissection cervical nodes - left 5,620

Extended radical neck dissection cervical nodes - right 5,620

Extended radical neck dissection cervical nodes - left 5,620

Splenectomy 2,885

Hemithyroidectomy - left 3,537

Hemithyroidectomy - right 3,537

Mastectomy simple - left 2,826

Mastectomy simple - right 2,826

339

Mastectomy and axillary sampling - left 2,951

Mastectomy and axillary sampling - right 2,951

Mastectomy and axillary sampling - bilateral 2,951

Mastectomy + axillary clearance - left 2,951

Mastectomy + axillary clearance - right 2,951

Subtotal thyroidectomy 3,909

Total thyroidectomy 3,909

Ultra low anterior resection 9,453

Wide local excision and axillary clearance 2,242

Oesophagogastroduodenoscopy (OGDS)

989

Thoracic surgery

Bronchoscopy - flexible bronchoscopy - rigid bronchoscopy 3,606

Rigid oesophagoscopy 3,333

Throscopy for pleural and lung biopsy 3,553

Mediastinoscopy 7,075

Anterior mediastinotomy 6,130

Vats for spontaneous pneumathorax 7,120

Vats and lobectomy 10,370

Vats and wedge biopsy 6,870

Vats and thymectomy 7,370

Vats and biopsy of lymph node 7,120

Thoracotomy excission of bublae and pleurodesis - pleuropectomy

18,137

Thoracotomy and lung resection (lobectomy, pneumonectomy)

18,136

Decortication for empyema thorax 8,602

340

Rib resection for empyema 6,492

Thoracostomy for permanent chest drainge 8,427

Thoracoplasty 8,415

Transhiatal oesophgectomy with gastric pull up 15,091

Oesophygectomy with colon interposition 17,223

Oesophygectomy with jejunum replacement, roux-en-y 17,056

Oesophygectomy with gastric replacement ivor lewis 17,223

Thoracic repair of hiatus hernia 7,354

Mediastinotomy of ant mediastinal mass 12,581

Thymectomy 7,890

Excision of teratoma 10,466

Corrective surgery for pectus excavatum of pectus carinatum 8,239

Excision of chest wall lessions with reconsruction 7,481

Plication of diaphragm 7,526

Hepatobiliary

Open cholecystectomy 7,425

Open chole with cbd exploration 8,033

Choledhocectomy and hepaticojejunostomy 18,675

Radical cholecystectomy with segment 4b/5 liver resection 28,710

Radical cholecystectomy with segment 4b/5 liver resection with excision of bile duct and roux-en-y hepaticojejunostomy

38,500

Radical choledhocectomy and hepaticojejunostomy 55,305

Surgery for klatskins tumour - radical choledhochectomy with left or right hemihepatectomy, caudate lobectomy, roux-en-y, cholangiojejunostomy

55,000

341

Endoscopic Retrograde Cholangiopancreatography (ERCP)

6,930

Laparoscopic cholecystectomy 9,765

Laparoscopic cholecystectomy and intraop cholangiogram 10,643

Laparoscopic cholecystectomy and laparoscopic cbd exploration 11,385

Transhepatic cholangioscopy and lithotripsy 11,385

Radical pancreaticoduodenectomy with reconstructions 37,500

Distal pancreatectomy 11,385

Distal pancreatectomy + splenectomy 14,153

Central pancreatectomy and reconstruction 23,490

Frey's procedure 23,490

Modified puestow 18,540

Total pancreatectomy 37,500

Pancreatic necrosectomy - open 11,385

Pancreatic necrosectomy - retroperitoneal 11,385

Hemihepatectomy and cholecystectomy (right or left )

33,798

Extended right / left hemihepatectomy and cholecystectomy 41,250

Central hepatectomy 41,250

Lateral sectionectomy 22,660

Right posterior sectionectomy 28,710

Segment 8 resection 28,710

Other anatomical monosectionectomy 17,298

Non-anatomical monosectionectomy 13,915

Non-anatomical bisectionectomy 17,298

Intraoperative ablative procedure, ultrasound guided 13,915

Appendicectomy - laparoscopic 2,531

342

Colorectal

Colonoscopy 1,590

Repair of colonic fistula 3,030

Wedge resection of rectum 2,680

Excision mesenteric cyst - open 2,723

Caecopexy - open 2,476

Reduction of bowel volvulus - open 2,939

Repair - rectovesico fistula 3,552

Laser treatment of lesion - large intest 1,685

Cauterisation of lesion - colon - endoscopic 1,685

Sigmoidoscopy + cautery of lesion - endoscopic 1,265

Dilatation stricture - small bowel - open 2,423

Balloon dilatation of stricture - colon 2,095

Biopsy of lesion of ileum - laparoscopic 3,868

Excision of colonic lesion - endoscopic 2,770

Sigmoidoscopy + excision colonic lesion - endoscopic 2,770

Snare resection of rectal lesion - endoscopic 4,960

Exploratory colostomy 2,821

Colostomy and removal of foreign body 2,491

Anal fistulotomy 2,457

Laser treatment - anal lesion 1,673

Ileo - transverse anastomosis 4,200

Anterior resection of rectum 6,571

Abdomino - perineal resection 10,764

Pancolectomy 7,701

343

Abdomino - anal pull through resection 10,076

Fistulectomy 1,893

Colonoscopy polypectomy 2,062

Fissurectomy 953

Haemorrhoidectomy 1,771

Thirsch’s wiring of rectal prolapsed 2,280

Drainage of perianal, ischiorectal or breast abscesses 890

Sphincterotomy for fissures - in - ano 872

Anal dilatation (lord’s procedure)

718

Sigmoidoscopy 1,093

Injection of haemorrhoids 643

Banding of haemorrhoid 624

Colonoscopy 1,590

Vascular

Abdominal aortic aneurysm repair (tube graft)

12,032

Abdominal aortic aneurysm repair (bifurcated graft)

14,403

Endovascular Abdominal Aortic Aneurysm Repair (EVAR)

56,338

Thoracic Endovascular Aortic Repair (TEVAR)

55,088

Aorta femoral bypass 10,883

Renal artery surgery 7,502

Femoro - femoral crossover graft 9,463

Axillo femoral bypass 10,704

Peripheral aneurysm surgery 6,462

Operations for varicose veins of the lower limbs 3,874

344

Endovenous RF surgery for varicose veins 8,462

Endovenous laser surgery for varicose veins 2,752

Stripping of varicose veins 2,124

Creation of arteriovenous (AV) fistula including subsequent closure

2,229

Repair of arteriovenous (AV) fistula 5,286

Creation of arteriovenous (AV) fistula with graft 8,257

Gastrointestinal

Reconstruction of oesophagus 10,556

Vagotomy, truncal with pyloroplasty 3,511

Vagotomy, highly selective 3,146

Transhiatal total oesophagectomy, p-g anastomosis 15,181

Duodenoduodenostomy 3,386

Duodenojejunostomy 3,386

Duodenoileostomy 3,386

Oesophagomyotomy 3,576

Sphincterotomy duodenal papilla - open 2,996

Creation of duodenostomy - open 2,996

Excision of diverticulum of oesophagus 6,258

Resection of gastric ulcer by cautery 3,666

Ligation of oesophageal varices - open 4,569

Trans-gastric stapling for varices - open 6,206

Devascularisation of stomach - open 4,581

Removal of stent from oesophagus - open 3,425

Removal of foreign body from oesophagus - open 3,436

345

Repair of stricture of oesophagus 9,806

Repair perforated oesophagus - upper 9,681

Repair perforated oesophagus - middle 7,931

Pyloroplasty - laparoscopic 2,871

Closure perforated duodenal ulcer - open 2,871

Correction of volvulus of stomach 2,871

Total gastrectomy, node dissection, roux-en-y

8,514

Gastric stappling for obesity - open 6,316

Fundoplication - laproscopic 4,566

Adjust implanted antireflux prosthesis - laparoscopic

5,256

Reduction gastroenterostomy intussusception 2,871

Closure of gastroenterostomy - open 3,666

Revision gastropexy - open 3,541

Excision of oesophageal lesion - endoscopic 3,386

Excision of polyp of stomach - endoscopic 3,136

Excision of gastric polyp - endoscopic 3,136

Insertion oesophageal stent via stomach 5,127

Insertion oesophageal prosthesis - open 5,127

Insertion oesophageal tube prosthesis - rigid 5,127

Insertion oesophageal prosthesis - endoscopic 5,127

Percutaneus endoscopic gastrostomy 4,196

Insertion - stent - endoscopic 5,921

Appl haemostatics gastric bleed - endoscopic 2,794

Change of gastrostomy tube 2,629

Cryotherapy of oesophageal lesion 1,287

Electrocoagulation upper oesophageal lesion 1,287

346

Electrocoagulation middle oesophageal lesion 1,287

Electrocoagulation lower oesophageal lesion 1,287

Dilation of oesophageal stricture 1,287

Dilation of oesophageal stricture - endoscopic 2,724

Division of oesophageal web - endoscopic 1,727

Operations for achalasia cardia 5,196

Tanner’s operation and other operation on oesophageal varices

(siguira)

3,022

Vagotomy with drainage 3,511

Ramstedt’s operation (pyloromytomy)

2,871

Oesophageal dilatation (under general anaesthesia)

3,406

Endoscopic oesophageal intubation/dilatation/stent 6,719

Injection sclerotherapy of oesophageal varices 2,392

Endoscopic Retrograde Cholangio Pancreatography (ERCP) -

therapeutic

5,186

Gastroscopy 848

Dermatology

Laser destruction of skin lesion 1,500

Laser resurfacing 1,709

Laser therapy for pigmented skin lesion 1,500

Laser therapy for vascular skin lesion 1,500

Laser therapy : CO2 1,500

Cauterisation of skin lesion 727

Cautery of a verrucae pedis 727

Cautery of skin lesion 727

347

Cautery of wart 727

Chemical cautery of a corn - left foot 825

Chemical cautery of a corn - right foot 825

Chemical cautery of skin lesion 825

Chemical peeling of lesion of skin - superficial peel 500

Chemical peeling of lesion of skin - medium depth 550

Chemical peeling of lesion of skin - deep peel 830

Botulinumtoxin 2,375

Biopsy of lesion of subcutaneous tissue 1,149

Biopsy of nail bed 1,499

Biopsy of skin 516

Excision intradermal naevus 874

Excision of basal cell carcinoma 1,254

Excision of lipoma 999

Excision of malignant skin tumour 1,254

Excision of neurofibromata 999

Excision of papilloma 874

Excision of redundant skin or fat of rig 1,039

Excision of sebaceous cyst 544

Excision of skin carcinoma 1,144

Excision of skin cyst 544

Excision of skin lesion 1,039

Excision of skin or subcutaneous tissue 1,039

Excision of skin scar 574

Excision of skin tag 509

Incision and drainage of sebaceous cyst 509

348

Incision and drainage of wound 509

Incision biopsy of skin 544

Incision biopsy of skin lesion 544

Insertion of therapeutic substance

1,150

Intralesional steroid for keloid 300

Intralesional steroid for skin lesion 300

Bath PUVA

810

Phototheraphy : PUVA

748

Phototheraphy : UVAI

490

Topical PUVA

720

Cryotherapy of basal cell carcinoma 630

Cryotherapy to skin lesion 313

Cryotherapy to wart 313

Needle prick for skin lesion 329

UROLOGY

Transplantation and donor nephrectomy 13,991

Extracorporeal Shock Wave Lithotripsy (ESWL)

3,000

Nephrectomy (simple) and nephroureterectomy 3,944

Nefrectomy (radical) and nephroureterectomy 5,504

Nephrectomy (partial) and nephroureterectomy 4,294

Pyeloplasties 3,809

Nephrolithotomy 5,418

Pyelolithotomy 4,163

Nephropyelolithotomy 4,163

349

Vascular surgery - renal artery stenosis 8,333

Nephrostomies - unilateral 2,154

Nephrostomies - bilateral 2,601

Percutaneous Nephrolithotripsy (PCNL)

5,953

Reimplantation/tailoring 3,319

Replacement of - by bladder 3,285

Replacement of - by gut 4,845

Replacement of - by ureter 3,540

Ureteroscopy (URS)

5,018

Total cystectomy 6,154

Partial cystectomy 3,869

Endoscopic surgery 1,500

Bladder reconstruction 9,025

Urethroplasty 3,203

Partial amputation of penis 2,913

Total amputation of penis 3,568

Reconstruction of hypospadias (severe)

6,420

Reconstruction of epispadias 4,130

Orchidectomy 2,208

Transurethral resection 3,322

Open prostatectomy 3,628

Fistula repair (very severe)

2,432

Ureterolithotomy 3,393

Vesicolithotomy 2,256

Vesicolithopaxy 2,752

Trans-urethral resection of bladder neck 2,187

350

Trans-urethral resection of bladder tumours 3,367

Excision of stricture 1,612

Urethral dilation 982

Reconstruction of hypospadias (moderate)

5,471

Orchidopexy 1,843

Vasovasastomy 2,913

Trans-urethral resection of stricture 3,322

Arteriovenous (AV) fistula 2,182

Fistula repair (moderate)

5,297

Excision operation for varicocele 1,708

Renal biopsy 1,507

Cystoscopic examination/biopsy 1,717

Cystoscopic examination and retrograde pyelogram 4,202

Vasectomy 1,158

Micturating cysto urethrogram 388

Circumcision 1,441

Repair of vesicovaginal fistula 3,520

Reconstruction of bladder neck 8,075

Colposuspension - laparoscopic 3,495

OBSTETRIC AND GYNECOLOGY

Pelvic exenteration 9,697

Wertheim’s hysterectomy 8,877

Radical vulvectomy 3,256

Extended hysterectomy 8,045

351

Abdominal hysterectomy 3,802

Vaginal hysterectomy 4,822

Myomectomy 3,552

Ovarian cystectomy/salpingo - oopherectomy 5,402

Simple vulvectomy 2,831

Tubal repair surgery 3,030

Ventral suspension - sling operation 2,550

Ectopic pregnancy 3,267

Abdominal sterilization/minilaparotomy 3,017

Laparoscopy 2,495

Second look laparotomy 3,160

Vaginal reconstruction 6,193

Manchester repair 3,190

Repair for stress incontinence 4,065

Pelvic floor repair 3,345

Cervical cerlage 1,572

Cone biopsy 1,592

Cauterization 971

Insufflation 1,036

Cervical biopsy (punch)

916

Secondary suturing 1,036

Polypectomy/avulsion of polyp 1,191

Cryocautery/cryosurgery 900

Incision and drainage 567

Marsupialisation of bartholin abscess 1,511

Excision of labial/vaginal cyst 1,511

352

Vulval biopsy 926

Open operation of fetus - repair of diaphragma 5,426

Open operation of fetus 5,426

Placental ablation 1,162

Cervical biopsy 872

Amnio reduction 1,446

Insertion of contraceptive implant 923

Removal of contraceptive implant 923

Termination of pregnancy 1,508

Removal of cerclage from cervix 923

Breech extraction 1,647

Abdominal sterilisation/minilaparotomy 2,216

Ectopic pregnancy 2,826

Second look laparotomy 3,160

Repair for stress incontinence 4,065

Tubal repair surgery 3,030

Vaginal reconstruction 6,193

Ventral suspension - sling operation 2,566

Cervical cerclage 996

Laparoscopy and ovarian drilling 3,067

Vaginectomy - total 4,230

Vulvectomy - extended 3,681

Pelvic exenteration 9,697

Myomectomy - laparotomy 3,552

Hysterectomy total and bilateral salphingoopho 5,012

Hysterectomy vaginal 3,235

353

Hysterectomy total abdominal 2,977

Vaginectomy - partial 2,770

Salphingo - oophorectomy - right - open 3,212

Salphingo - oophorectomy - left - open 3,212

Salphingo - oophorectomy - right - endoscopic 2,676

Salphingo - oophorectomy - left - endoscopic 2,676

Hysterectomy Wertheim's 8,877

Hysterectomy-extended 8,045

Vag. Tot Hyster bilateral salphingoophorect 4,825

Fenton's operation 3,385

Caeserean hysterectomy 3,136

Repair of bladder fistula 3,155

Oophorectomy - bilateral - open 2,797

Oophorectomy - bilateral - endoscopic 2,791

Salphingectomy - right - open 3,372

Salphingectomy - left - open 3,372

Salphingectomy - bilateral - open 3,622

Salphingectomy - right - endoscopic 2,676

Salphingectomy - left - endoscopic 2,676

Salphingectomy - bilateral - endoscopic 3,620

Gamete intrafallopian transfer - right 1,535

Gamete intrafallopian transfer - left 1,535

Zygote intrafallopian transfer - right 1,535

Zygote intrafallopian transfer - left 1,535

Tubal embryo transfer - right 1,185

Tubal embryo transfer - left 1,185

354

Laparoscopic adhesiolysis 2,856

Sclerosing injection into vulval vein 888

Reversal of tubal sterilization 6,257

Uterine ligament operation - open 1,517

Uterine ligament operation - endoscopic 2,136

Repair of uterovaginal fistula 4,160

Repair of ruptured uterus 3,906

Repair of urethrovaginal fistula 3,130

Vaginoplasty 4,766

Repair of enterocele - abdomino - vaginal 2,687

Repair of enterocele - endoscopic 2,685

Transvaginal tape 2,650

Plication of round ligament - open 2,682

Plication of round ligament - endoscopic 6,001

Uterine ventrosuspension - open 2,142

Uterine ventrosuspension - endoscopic 2,136

Sacrocolpopexy - endoscopic 5,001

Hysterostomy 4,570

Extraperitoneal caesarean section 3,215

Postmortem caesarean section 3,215

Surgical control of postpartum haemorrhage 2,152

Ovary reconstruction - bilateral 3,122

Reconstruction fallopian tube - bilateral - endoscopic 6,255

Reconstruction fallopian tube - left - endoscopic 4,550

Reconstruction fallopian tube - right - endoscopic 4,550

Reconstruction fallopian tube - bilateral - open 5,257

355

Reconstruction fallopian tube - left-open 2,682

Reconstruction fallopian tube - right - open 2,682

Salphingotomy - left - endoscopic 2,676

Salphingotomy - right - endoscopic 2,676

Salphingotomy - left - open 2,142

Salphingotomy - right - open 2,142

Repair of bladder 3,155

Sling operation - tension free vaginal tape 2,612

Sling operation - bladder neck 2,872

Bisection of ovary - right - open 2,142

Bisection of ovary - left - open 2,142

Bisection of ovary - bilateral - open 3,122

Bisection of ovary - right - endoscopic 2,676

Bisection of ovary - left - endoscopic 2,676

Bisection of ovary - bilateral - endoscopic 5,251

Drainage of ovary - right - open 2,872

Drainage of ovary - left - open 2,872

Drainage of ovary - bilateral - open 5,257

Drainage of fimbrial cyst - right - open 2,682

Drainage of fimbrial cyst - left - open 2,682

Drainage of fallopian tube - right - open 2,682

Drainage of fallopian tube - left - open 2,682

Drainage of fimbrial cyst - right - endoscopic 2,676

Drainage of fimbrial cyst - left - endoscopic 2,676

Drainage of fallopian tube - right - endoscopic 2,676

Drainage of fallopian tube - left - endoscopic 2,676

356

Endometrial sampling - transorifice intra 1,486

Endometrial ablation thermal 2,111

Endometrial ablation microwave 2,401

Myomectomy - laparoscopic 3,142

Colposcopy of cervix - Large Loop Excision of the Transformation Zone

(LLETZ)

590

Colposcopy of cervix - Loop Electrosurgical Excision Procedure (LEEP)

1,350

Laparoscopy diagnostic 2,457

Myomectomy - hysteroscopic 3,552

Colposcopy of vagina 810

Colposcopy of vulva 795

Laparoscopy second look 3,160

Laparoscopy and dye insufflation 1,036

Minilaparotomy tubal ligation 2,142

Laparoscopic sterilisation 5,001

Colpocleisis 2,142

Repair of vault of vagina 1,300

Colpoperineorrhaphy 4,802

Repair of hymen 916

Sacrocolpopexy - vaginal 2,682

Hysteroscopic resection uterine septum

2,606

Colposcopy of cervix - cervical biopsy 590

Colporrhaphy 2,006

Drainage of ovary - bilateral - endoscopic 6,251

Drainage of ovary - right - endoscopic 4,546

357

Drainage of ovary - left - endoscopic 4,546

Cauterisation vulva - right 900

Cauterisation vulva - left 900

Cauterisation vulva - bilateral 900

Cryotherapy of lesion of vulva - right 900

Cryotherapy of lesion of vulva - left 900

Cryotherapy of lesion of vulva - bilateral 900

Cervical cerclage - McDonald's 1,506

Cervical cerclage - Shirodkar's 1,506

Cryocautery/cryosurgery - cervix 820

Cauterisation cervix 820

Cryotherapy of lesion of vagina 830

Cauterisation vagina 820

Cryosurgery perineum 1,010

Dilatation cervix 900

Vaginal dilatation procedure 900

Evacuation of vaginal haematoma 1,026

Cone biopsy 1,592

Amputation of cervix 1,760

Hysteroscopy 1,401

Excision of vaginal adhesions 1,486

Repair of cervical tears 1,032

Cervical cerclage - abdominal 1,506

Secondary suturing - perineum 1,036

Excision of female periurethral tissue 916

Drainage of labial minora abscess - right 1,511

358

Drainage of labial minora abscess - left 1,511

Drainage of labial minora abscess - bilateral 1,511

Drainage of labial majora abscess - right 1,511

Drainage of labial majora abscess - left 1,511

Drainage of labial majora abscess - bilateral 1,511

Marsupialisation of Bartholin's abscess 1,511

Marsupialisation of Bartholin's cyst - left 1,356

Marsupialisation of Bartholin's cyst - right 1,356

Marsupialisation of Bartholin's cyst - bilateral 1,511

Biopsy of ovary - right 2,142

Biopsy of ovary - left 2,142

Biopsy of ovary - bilateral 2,392

Cystectomy - open - right 2,547

Cystectomy - open-left 2,547

Cystectomy - open - bilateral 2,797

Cystectomy - endoscopic - right 4,546

Cystectomy - endoscopic - left 4,546

Cystectomy - endoscopic - bilateral 4,546

Excision of tubo - ovarian mass - right 2,142

Excision of tubo - ovarian mass - left 2,142

Excision of tubo - ovarian mass - bilateral 3,122

Excision of fimbria - right - open 2,682

Excision of fimbria - left - open 2,682

Excision of fimbria - bilateral - open 2,932

Excision of fimbria - right - endoscopic 2,682

Excision of fimbria - left - endoscopic 2,682

359

Excision of fimbria - bilateral - endoscopic 5,251

Excision of fimbrial cyst - right - open 2,682

Excision of fimbrial cyst - left - open 2,682

Excision of fimbrial cyst - bilateral - open 2,682

Excision of fimbrial cyst - right - endoscopic 2,676

Excision of fimbrial cyst - left - endoscopic 2,676

Excision of fimbrial cyst - bilateral - endoscopic 2,676

Hysterectomy subtotal 2,997

Hysterectomy total - laparoscopic 3,245

Hysterectomy vaginal - laparoscopic assist 3,255

Polypectomy - endometrium 1,486

Hymenectomy 916

Excision of excess labial minora tissue - left 1,321

Excision of excess labial minora tissue - right 1,321

Excision of excess labial minora tissue - bilateral 1,321

Excision of excess labial majora tissue - left 1,331

Excision of excess labial majora tissue - right 1,331

Excision of excess labial majora tissue - bilateral 1,331

Biopsy of vulva - right 900

Biopsy of vulva - left 900

Biopsy of vulva - bilateral 900

Excision of vulval polyp - right 1,080

Excision of vulval polyp - left 1,080

Excision of vulval polyp - bilateral 1,110

Vulvectomy - hemi - right 2,831

Vulvectomy - hemi - left 2,831

360

Vulvectomy - hemi - bilateral 2,831

Vulvectomy - wide local excision 3,681

Excision of Bartholin gland - left 1,356

Excision of Bartholin gland - right 1,356

Excision of Bartholin gland - bilateral 1,511

Removal of foreign body - vagina 900

Falloposcopy 2,136

Colposcopy of cervix 590

Exploration of vagina 900

Removal of pessary from vagina 900

Ovary reconstruction - right 2,142

Ovary reconstruction - left 2,142

Burch's colposuspension - with graft 4,152

Burch's colposuspension - endoscopic 6,251

Fimbroplasty - right - open 2,682

Fimbroplasty - left - open 2,682

Fimbroplasty - bilateral - open 2,676

Fimbroplasty - right - endoscopic 2,680

Fimbroplasty - left - endoscopic 2,680

Fimbroplasty - bilateral - endoscopic 5,257

Reconstruction of vagina with flap 3,625

Repair of vaginal wall prolapse - vagina 2,940

Vaginal repair - anterior mesh 2,690

Repair of vaginal tear 1,042

Repair of vaginal wall prolapse - endoscopic 5,255

Clitoroplasty 4,546

361

Repair of enterocele - abdominal 2,932

Repair of enterocele - vaginal 2,695

Repair of perineal tear 1,034

Sacrospinous fixation of vaginal vault 2,687

Sacrocolpopexy - vagino - abdominal 2,682

Drainage of vulval hematoma - right 1,071

Drainage of vulval hematoma - left 1,071

Drainage of vulval hematoma - bilateral 1,546

Biopsy of uterus 1,486

Removal of foreign body - uterus 1,486

Biopsy of cervix 845

Biopsy of vagina 900

Excision of vaginal lesion 1,501

Biopsy perineum 900

Dilatation and curettage - ERPOC

1,061

Dilatation and curettage - diagnostic 1,061

Insertion pessary into vagina 680

Insertion intrauterine device 690

Examination under anaesthesia - staging 900

Examination under anaesthesia - vagina 900

Removal of intrauterine device 690

Repair of genital tract tear 1,495

Polypectomy - cervix 900

Intrauterine insemination (IUI)

900

Curettage of delivered uterus 1,151

Manual removal of placenta 1,186

362

Uterine exploration 951

Repositioning of r/verted gravid uterus 1,527

Vaginal pack procedure 1,010

Removal of vaginal pack 1,008

Drainage of vulval abscess - left 886

Drainage of vulval abscess - right 886

Drainage of vulval abscess - bilateral 1,511

Secondary suturing 1,035

Exploratory laparotomy 2,707

Incision and drainage 1,027

Amniocentesis 1,021

Chorionic villus sampling - procedure 1,161

Amnioinfusion 1,456

OPHTHALMOLOGY

Complicated strabismus surgery requiring complex procedures or repeat operations

5,853

Repair of severe ptosis : elevator resection/brow suspension 3,761

Excision of eyelid tumours with major reconstruction 9,800

Dacryocystorhinostomy 4,975

Conjunctivo - dacryocystorhinostomy/Lester-Jones tube 5,350

Repair of severed lacrimal passages 5,350

Reconstruction of contracted socket 7,040

Dermis - fat graft 4,130

Removal of deep seated orbital tumours 9,785

Repair of blowout fracture 9,722

363

Orbital and optic nerve decompression 6,117

Exenteration of orbit 6,625

Examination under anaesthesia 1,380

Release of symblepharon/with mucous membrane graft 1,434

Scleral graft 2,989

Cataract extraction - intracapsular and extracapsular 3,970

Lens aspiration 3,970

Removal of dislocated/subluxated lens not requiring vitreous surgery

3,095

Secondary intraocular lens implantation 2,905

Paracentesis 1,761

Trabeculectomy/trabeculotomy/goniotomy/cyclodialysis 4,037

Laser panretinal photocoagulation : new case 1,852

Repair of moderate perforationg injury of eyeball 2,989

Simple strabismus surgery - recession/resection/myectomy 3,429

Repair of mild ptosis 3,396

Repair of congenital eyelid deformities 3,646

Repair of severe lecerations of eyelids and/or region around the eyes

1,691

Dacrycystectomy 4,901

Removal of superficial orbital tumours 3,906

Enucleation 3,681

Pterygium surgery 2,247

Conjunctivectomy/conjunctival grafts and flaps 1,482

Iridectomy - peripheral or optical 2,247

Posterior capsulotomy - surgical/laser 1,487

Posterior capsule polishing 1,487

Cryopexy - retina and glaucoma 2,067

364

Laser treatment other than panretinal photocoagulation 1,960

Repair of minor perforating injury of eyeball 4,094

Instralesional corticosteroid injection of capillary haemangiomas etc.

1,169

Cosmetic lid surgery 3,179

Ectropian or entropion correction 2,419

Tarsorrhaphy 2,624

Syringing/probing of lachrymal apparatus 906

Incision and drainage of orbital abscess 3,091

Biopsy of ocular appendages/superficial orbital tumours 2,921

Evisceration 4,056

Use of tissue adhesive for ocular perforation 1,333

Excision of granulomas - eyelid, conjunctival 928

Incision and curettage/intra lesional conticosteroid injection of chalazion

928

Epilation 393

Electrolysis/cryopexy for trichiasis 928

Repair of minor laceration of eyelid and/or region around the eyes

1,093

Punctal occlusion 963

Fitting of ocular prosthesis 2,202

Removal of conjunctival concretions 1,208

Incision and drainage of stye/lid abscess 1,018

Release of tarsorrhaphy 863

Keratoplasty - lamellar or penetrating 5,839

Keratoplasty with cataract surgery with/without intraocular lens implant

7,027

Refractive corneal surgery 3,273

Cataract extraction with intraocular lens implantation 3,970

365

Removal of intraocular lens 2,845

Lensectomy 6,420

Combined trabeculectomy with cataract extraction with/without intraocular lens implantation

4,236

Shunt/valve placement for glaucoma 8,626

Vitreous surgery 3,896

Retinal detachment surgery 7,086

Intraocular foreign body removal 11,711

Repair of severe perforating injuries of the eyeball 3,951

EAR, NOSE AND THROAT

Base of skull surgery 19,927

Cranio facial resection 16,270

Transphenoidal hypophysectomy 14,975

Commando operation for jaw and oral pharyngeal 26,776

Total laryngopharyngectomy with reconstruction 29,214

Acoustic neuroma surgery 16,224

Meatal atresia surgery 4,958

Modified radical mastoidectomy 5,306

Radical mastoidectomy 5,030

Facial nerve decompression 5,632

Facial nerve repair 6,506

Tympanoplasty 3,740

Stapedectomy 3,687

Saccus decompression 5,110

Labryinthectomy 5,555

366

Tympanic nerve 3,137

Surgery of pterygopalatine fossa 3,755

Maxillectomy 9,480

Fronto ethmoidectomy 3,464

Intranasal endoscopic ethmoidectomy 2,019

Repair of frontal sinus fractures 5,000

Rhinoplasties - augmentation 6,621

Rhinoplasties - reduction 6,631

Rhinoplasties - prosthesis insertion 6,629

Laryngectomy - total/partial 6,838

Laryngofissure operation 3,282

Partial pharyngectomy without reconstruction 6,669

Repair of laryngeal and tracheal stenosis 8,878

Pharyngotomy 1,986

Excision of laryngocele 3,532

Cordopexy for adductor palsy of vocal cords 3,282

Parotidectomy - complete of partial 5,913

Radical neck dissection 7,524

Cortical mastoidectomy 4,496

Myringoplasty 3,160

Excision of preauricular sinus 1,789

Flap repair for postauricular fistula 1,215

Excision of pinna - total 5,480

Excision of pinna - partial 4,980

Reduction of facial fractures 2,292

Submucous resection of nasal septum (SMR)

2,012

367

Septoplasty 2,262

Nasal polypectomy 1,844

Repair of vestibular stenosis 1,278

Sublabial radial antrostomy (CWL)

1,828

Surgical treatment of posterior choanal tumours 3,143

Ligation of ethmoidal vessels 2,548

Surgical treatment of blow out fractures 5,742

Repair of oroantral fistula 2,280

Pharyngoplasty 3,725

Adenoidectomy 951

Tonsillectomy 1,970

Adenotonsillectomy 2,765

Surgery of tonsillar fossa 1,970

Removal of submandibular salivary gland 1,841

Excision of bronchial cyst and fistula 6,512

Elective microlaryngeal surgery 2,017

Myringotomy - with grommet 1,525

Myringotomy - without grommet 902

Examination of ear under general anaesthesia 1,361

Examination of nose or post nasal space under general anaesthesia

808

Intranasal antrostomy 1,052

Partial turbinectomy 1,287

Submucus diathermy under general anaesthesia 852

Trephine drainage of frontal sinus 1,198

Intranasal polypectomy for single polyp 1,844

Drainage of retropharyngeal and parapharyngeal abscess 3,267

368

Oesophagoscopy 1,582

Bronchoscopy 1,512

Direct laryngoscopy and biopsy 1,367

Panendoscopy 4,147

Tracheostomy - open 1,951

Removal of foreign bodies from the ear, nose and throat 1,352

Examination of the ear under microscope 1,361

Aural polypectomies and biopsies 1,153

Submucous diathermy of nasal turbinates 852

Drainage of peritonsillar abcess 771

Per oral removal of the salivary calculus 1,841

Drainage of postauricular abcess 724

Antral washouts 1,052

Punch biopsies for nasal and oropharyngeal tumours 1,032

Nasal polypectomy 1,844

Excision lesion gingiva/alveolar - laser 2,836

Rigid endoscopic procedure 808

Examination under microscope 1,361

Operculectomy oral 1,348

Incision and drainage orofacial abscess 540

Nasal packing - anterior 1,060

Biopsy 1,032

Removal of foreign body - nose 808

Removal of foreign body - ear 778

Removal of foreign body - throat 1,352

Alveolectomy/Alveoplasty - maxilla < 4cm 654

369

Alveolectomy/Alveoloplasty - mandible < 4cm 654

Antral washout 1,052

Wiring dental upper arch 589

Wiring dental lower arch 589

Temp. reduction + fixation - midfacial bone 588

Temp. reduction + fixation - mandible 588

Aural polypectomies and biopsies 1,153

Drainage of peritonsillar abscess 771

Drainage of postauricular abscess 724

Removal of foreign bodies from nose 808

Removal of foreign bodies from throat 1,352

Per oral removal of salivary calculus 1,841

Submucous diathermy of nasal turbinates 852

Functional Endoscopic Sinus Surgery (FESS)

3,143

Myringoplasty with atticotomy - right 3,160

Myringotomy with insertion tube - right 1,525

Myringotomy with insertion tube - left 1,525

Bronchoscopy 1,499

Rigid endoscopic procedure 808

Examination under microscope 1,361

Acoustic neuroma surgery 16,224

Atticotomy - right 3,583

Implantation cochlear prosthesis device - right 14,789

Implantation cochlear prosthesis device - left

14,789

Extended frontal sinus surgery - bicoronal flap - right 5,000

Extended frontal sinus surgery - bicoronal flap - left 5,000

370

Excision glomus tumour - lateral skullbase - right 19,927

Excision glomus tumour - lateral skullbase - left 19,927

Laryngotracheal reconstruction - with cartilage

12,880

Laryngectomy + pharyngectomy + reconstruction 7,004

COMMANDO operation - with reconstruction 26,776

Laryngopharygectomy total + reconstruction 23,209

Total laryngopharyngo - oesophag + reconstruction 29,214

Partial resection of temporal bone and reconstruction - right 10,266

Partial resection of temporal bone and reconstruction - left 10,266

Partial resection of temporal bone - right 10,266

Partial resection of temporal bone - left 10,266

Petrosectomy - right 10,266

Petrosectomy - left 10,266

Total resection temporal bone and reconstruction - right 10,266

Total resection temporal bone and reconstruction - left 10,266

Total resection temporal bone - right 10,266

Total resection temporal bone - left 10,266

Craniofacial surgery - with reconstruction 16,270

Vestibular neurectomy 19,814

Cochlear neurectomy 19,814

Intranasal endoscopic optic nerve decompression 6,305

Endoscopic repair CSF rhinorrhoea - autograft 4,763

Endoscopic repair CSF rhinorrhoea - allograft 4,770

Facial nerve repair with grafting - right 6,344

Facial nerve repair with grafting - left 6,344

Facial - hypoglossal nerve anastomosis - right 7,806

371

Facial - hypoglossal nerve anastomosis - left 7,806

Facial nerve repair - right 6,506

Facial nerve repair - left 6,506

Endo dacryocystorhinostomy - right 5,017

Endo dacryocystorhinostomy - left 5,017

Intranasal (endoscopic) orbital decompression - right 6,305

Intranasal (endoscopic) orbital decompression - left 6,305

Rhinoplasty, augmentation - open - autograft 6,621

Rhinoplasty, augmentation - open - allograft 6,629

Rhinoplasty, augmentation - close - autograft 6,631

Rhinoplasty, augmentation - close - allograft 6,639

Rhinoplasty, reduction (hump/tip/alar)

6,631

Stapedotomy - with prosthesis - right 3,588

Stapedotomy - with prosthesis - left 3,588

Endoscopic ligation maxillary artery 2,548

Endoscopic ligation sphenopalatine artery 2,548

Ligation maxillary artery (transantral)

3,068

Anterior ethmoidal artery cautery 2,548

Labyrinthectomy - membraneous - right 5,673

Labyrinthectomy - membraneous - left 5,673

Labyrinthectomy - osseous - right 5,763

Labyrinthectomy - osseous - left 5,763

Tympanic neurectomy - right 3,137

Tympanic neurectomy - left 3,137

Vestibular neurect - retrolabyrinthine - right 16,304

Vestibular neurect - retrolabyrinthine - left 16,304

372

Vestibular neurect - translabyrinthine - right 16,304

Vestibular neurect - translabyrinthine - left 16,304

Vidian nerve neurectomy - endoscopic 3,568

Vidian nerve neurectomy - transantral 3,318

Excision pinna, partial + reconstruction (autograft) - right 5,480

Excision pinna, partial + reconstruction (autograft) - left 5,480

Excision pinna, partial + reconstruction (allograft) - right 4,980

Excision pinna, partial + reconstruction (allograft) - left 4,980

Stapedectomy - with prosthesis - right 3,687

Stapedectomy - with prosthesis - left 3,687

Mastoidectomy - cortical - right 4,496

Mastoidectomy - cortical - left 4,496

Mastoidectomy - modified radical - right 5,306

Mastoidectomy - modified radical - left 5,306

Excision lesion - int auditory canal - right 16,324

Excision lesion - int auditory canal - left 16,324

Biopsy - sinus maxillary - right (endoscopic)

2,934

Biopsy - sinus maxillary - left (endoscopic)

2,934

Excision lesion - frontal sinus - right (endoscopic)

3,184

Excision lesion - frontal sinus - left (endoscopic)

3,184

Biopsy - sinus frontal - right (endoscopic)

3,184

Biopsy - sinus frontal - left (endoscopic)

3,184

Ethmoidectomy - external - right (with endoscope)

2,854

Fronto - ethmoidectomy - endoscopic - right 3,464

Fronto - ethmoidectomy - endoscopic - left 3,464

Fronto - ethmoidectomy extended - right 3,464

373

Fronto - ethmoidectomy extended - left 3,464

Ethmoidectomy - intranasal - right 2,019

Ethmoidectomy - intranasal - left 2,019

Ethmoidectomy - extended - right 2,269

Ethmoidectomy - extended - left 2,269

Excision lesion - ethmoid sinus - right 3,214

Excision lesion - ethmoid sinus - left 3,214

Ethmoidectomy - external - right 3,464

Ethmoidectomy - external - left 3,464

Biopsy - sinus ethmoidal - right 3,214

Biopsy - sinus ethmoidal - left 3,214

Sphenoidectomy - right 1,974

Sphenoidectomy - left 1,974

Excision lesion - sphenoid sinus - right 1,974

Excision lesion - sphenoid sinus - left 1,974

Biopsy - sinus sphenoidal - right 1,974

Biopsy - sinus sphenoidal - left 1,974

Insertion of bone anchored hearing aid - right 2,644

Insertion of bone anchored hearing aid - left 2,644

Exploration middle ear - right 4,843

Exploration middle ear - left 4,843

Mastoid exploration - right 5,616

Mastoid exploration - left 5,616

Exploration frontal sinus - right 5,248

Exploration frontal sinus - left 5,248

Frontal recess exploration - right 3,803

374

Frontal recess exploration - left 3,803

Obliteration mastoid cavity - right 5,283

Obliteration mastoid cavity - left 5,283

Obliteration semicircular canal - right 5,566

Obliteration semicircular canal - left 5,566

Pinnaplasty - cartilage - right 6,284

Pinnaplasty - cartilage - left 6,284

Pinnaplasty - prosthesis - right 6,524

Pinnaplasty - prosthesis - left 6,524

Division adhesions middle ear - right 3,904

Division adhesions middle ear - left 3,904

Pinnaplasty - lobule reposition - right 3,650

Pinnaplasty - lobule reposition - left 3,650

Excision pinna, total + reconstruction (autograft) - right 6,663

Excision pinna, total + reconstruction (autograft) - left 6,663

Excision pinna, total + reconstruction (allograft) - right 6,663

Excision pinna, total + reconstruction (allograft) - left 6,663

Excision glomus tumour - transtympanic - right 5,166

Excision glomus tumour - transtympanic - left 5,166

Mastoidectomy - radical - right 5,813

Mastoidectomy - radical - left 5,813

Excision glomus tumour - transmastoid - right 6,066

Excision glomus tumour - transmastoid - left 6,066

Rhinectomy 3,928

Excision postnasal space tumours - open 8,951

Resection angiofibroma - endoscopic 9,059

375

Resection angiofibroma - external 9,076

Resection angiofibroma - transpalatal 7,224

Fronto - ethmoidectomy - right 4,053

Fronto - ethmoidectomy - left 4,053

Transphenoidal hypophysectomy - endoscopic - right 8,434

Transphenoidal hypophysectomy - endoscopic - left 8,434

Transphenoidal hypophysectomy - transantral - right 8,434

Transphenoidal hypophysectomy - transantral - left 8,434

Transphenoidal hypophysectomy - sublabial - right 8,434

Transphenoidal hypophysectomy - sublabial - left 8,434

Transphenoidal hypophysectomy - transeptal - right 8,434

Transphenoidal hypophysectomy - transeptal - left 8,434

Pinnaplasty - revision - right 8,581

Pinnaplasty - revision - left 8,581

Meatoplasty - ear - revision - right 2,737

Meatoplasty - ear - revision - left 2,737

Canalplasty - ear - revision - right 6,253

Canalplasty - ear - revision - left 6,283

Mastoidectomy - revision - right 5,093

Mastoidectomy - revision - left 5,093

Rhinoplasty, revision - autograft 5,215

Rhinoplasty, revision - allograft 5,215

Tracheal stenosis - resection and anastomosis 9,328

Sliding tracheoplasty - autograft 9,328

Sliding tracheoplasty - syn. substitute

9,328

Closure tracheocutaneous fistula - flap 3,953

376

Tracheal stenosis rep - extraluminal device 4,146

Tracheal stenosis rep - intraluminal device 3,016

Closure tracheocutaneous fistula 2,948

Closure tracheo - oesophageal fistula - flap 9,078

Closure tracheo - oesophageal fistula 7,225

Cricotracheal resection 9,073

Pharyngotomy 1,986

Cricothyroidotomy tube insertion 1,500

Pharyngectomy, partial + reconstruction 13,953

Excision pharyngeal pouch - open 4,841

Excision pharyngeal pouch - close 3,103

Pharyngectomy, partial (laser) + reconstruction 13,910

Pharyngectomy, partial (laser)

5,422

Arytenoidectomy - external - left 8,788

Arytenoidectomy - with laser - left 2,116

Arytenoidectomy - external - right 8,788

Arytenoidectomy - with laser - right 2,116

Laryngectomy - partial 5,770

Laryngectomy - near total 6,743

Laryngectomy - partial - laser 5,562

Laryngeal stenosis rep - extraluminal device 3,298

Laryngeal stenosis rep - intraluminal device 3,298

Laryngeal stenosis rep - external 3,298

Closure pharyngocut fistula - flap 8,828

Closure pharyngocut fistula - primary

7,475

377

Epiglottopexy 2,696

Laryngeal fracture - rep - allograft 8,221

Laryngeal fracture - rep - autograft 8,221

Laryngotracheal reconstruction - castellation 8,156

Construction neoglottis 9,578

Chondroplasty larynx - with implant 9,578

Cordopexy - right 2,116

Arytenoid add/rot/medial - implant - left 4,040

Arytenoid add/rot/medial - implant - right 4,040

Pharyngectomy, total + reconstruction 14,953

Laryngectomy - total 6,493

Excision laryngocele 4,083

Superficial parotidectomy left 5,996

Excision pharyngeal cyst - right 3,249

Excision pharyngeal cyst - left 3,249

Neck dissection - modified - right 4,339

Neck dissection - modified - left 4,339

Neck dissection - selective - right 4,339

Neck dissection - selective - left 4,339

Excision of neck lesion - right 1,861

Excision of neck lesion - left 1,861

Cordopexy - laser - right 6,231

Cordopexy - laser - left 6,231

Chondroplasty of larynx 3,363

Fronto - ethmoidectomy extended - endoscopi 8,809

Facial - hypoglossal nerve anastomosis - right 9,820

378

Facial - hypoglossal nerve anastomosis - left 9,820

Exploration of facial nerve - right 5,866

Exploration of facial nerve - left 5,866

Facial nerve repair with grafting - right 9,361

Facial nerve repair with grafting - left 9,361

Facial nerve repair - right 5,748

Laryngeal fracture - repair 4,333

Laryngotracheoplasty 4,333

Laryngotracheal reconstruction - anterior 8,828

Neck exploration 3,203

Superficial parotidectomy - right 5,996

Pharyngoplasty 4,461

Sphenoidectomy - left 5,365

Sphenoidectomy - right 5,365

Stapedectomy - left 5,115

Stapedectomy - right 5,115

Tracheal stenosis repair - external 4,583

Drainage abscess - mastoid - right 1,327

Drainage abscess - mastoid - left 1,327

Antrostomy - Caldwell - Luc - right 1,694

Antrostomy - Caldwell - Luc - left 1,694

Excision pinna, partial without reconstruction - right 2,573

Excision accessory auricle - right 1,324

Excision pinna, partial without reconstruction - left 2,573

Excision lesion - bony - external auditory canal - right 1,383

Excision lesion - bony - external auditory canal - left 1,383

379

Adenoid currettage 982

Excision postnasal space tumours - endoscopic 5,666

Biopsy adenoid 825

Excision postnasal tumours - transpalatal 5,636

Ligation ethmoidal vessel - external 2,948

Ligation ethmoidal vessel - endoscopic 4,060

Reattachment pinna - right 3,536

Reattachment pinna - left 3,536

Release nasal synechiae 1,890

Removal nasal implants 1,887

Suturing - ear - right 954

Suturing - ear - left 954

Myringoplasty with atticotomy - right 4,881

Myringoplasty with atticotomy - left 4,881

Repair vestibular stenosis with reconstruction 3,318

Septorhinoplasty - close 5,090

Septoplasty - endoscopic 3,510

Reduction nasal bone fracture 1,210

Septorhinoplasty - open 5,215

Septoplasty 2,140

Repair perforation nasal septum 2,708

Submuc. resection nasal septum 1,335

Enlargement nasal septum perforation 1,700

Excision pinna, total without reconstruction - left 2,581

Excision preauricular cyst - right 2,129

Excision preauricular sinus - right 2,129

380

Excision pinna, total without reconstruction - right 2,456

Excision preauricular cyst - left 2,129

Excision preauricular sinus - left 2,129

Polypectomy with micro - debrider - endoscopic 2,398

Polypectomy - intranasal 2,391

Resection maxillary sinus mucus (Caldwell - Luc) - right 1,951

Resection maxillary sinus mucus (Caldwell - Luc) - left 1,951

Replacement tracheal stent - open 2,956

Placement tracheal stent - open 2,956

Removal tracheal stent - open 2,956

Tracheal stenosis - laser 4,168

Arrest Post tonsillectomy haemorrhage 1,665

Endo cautery pharyngocutaneous fistula 1,933

Dilatation pharynx 1,676

Marsupialisation pharyngeal cyst 1,683

Marsupialisation laryngeal cyst 1,683

Biopsy lesion pharynx 1,116

Excision arytenoid lesion - left 1,866

Excision arytenoid lesion - right 1,866

Uvulectomy with parightial palatectomy 1,540

Excision lesion - oropharynx 2,215

Biopsy lesion hypopharynx 1,676

Excision lesion - hypopharynx 1,866

Uvulectomy 1,540

Biopsy tonsil 1,532

Biopsy lesion larynx - open 1,353

381

Endoscopic microlaryngeal surgery 1,873

Endoscopic microlaryngeal surgery - with laser 1,873

Cordectomy vocal cord - without laser - right 1,866

Cordectomy vocal cord - with laser - right 1,866

Cordectomy vocal cord - left 1,866

Cordectomy vocal cord - laser assisted - left 1,866

Release pharyngeal adhesions - open 2,913

Laryngeal stenosis rep - endoscopic 3,030

Laryngeal stenosis rep - with laser 3,030

Endoscopic removal prosthesis from larynx 1,873

Endoscopic stapling pharyngeal pouch 2,853

Inversion pharyngeal pouch 2,850

Uvulopalatopharyngoplasty 2,830

Uvulopalatoplasty - laser assisted 2,827

Uvuloplasty 2,705

Uvuloplasty - laser assisted 2,702

Aryepiglottoplasty 1,676

Aryepiglottoplasty - laser assisted 1,905

Arytenoid add/rot/medial - left 1,968

Arytenoid add/rot/medial – right 1,968

Tonsillectomy 1,915

Adenoid - debrider 1,162

Excision of tumour - cervical 1,746

Biopsy of lesion - oesophagus 1,676

Excision of lesion - larynx 1,683

Excision of lesion - vocal cord - left - laser 1,866

382

Excision of lesion - vocal cord - right - laser 1,866

Excision of lesion - vocal cord - left 1,866

Excision of lesion - vocal cord - right 1,866

Laser ablation of turbinates 906

Submandibulectomy - right 2,041

Submandibulectomy - left 2,041

Change mastoid pack-right 722

Change mastoid pack - left 722

Insertion epistaxis balloon - left 895

Nasal cauterisation - diathemy 799

Nasal packing - posterior 715

Diathermy post nasal space 959

Excision pinna lesion - cautery - right 1,324

Excision lesion pinna - laser - right 1,311

Excision pinna lesion - cautery - left 1,324

Excision lesion pinna - laser - left 1,311

Intratympanic injection gentamycin - right 1,565

Intratympanic injection gentamycin - left 1,565

Cryotherapy superficial hemangioma 1,495

Dilation choanal stenosis 2,410

Myringotomy - right 854

Myringotomy - left 854

Marsupialisation concha bullosa 1,343

Drainage nasal septum 1,315

Antrostomy - intranasal - right 916

Antrostomy - intranasal - left 916

383

Frontal sinus trephining - right 923

Frontal sinus trephining - left 923

Cannulation and irrigation sphenoid sinus - right 1,343

Cannulation and irrigation sphenoid sinus - left 1,343

Nasal toilet under GA

1,307

Excision lesion - external auditory canal - right 1,029

Excision lesion - external auditory canal - left 1,029

Excision lesion - nasal cavity 937

Submucosa cauterisation nasal turbinates 937

Excision lesion - maxillary sinus - right 2,148

Excision lesion - maxillary sinus - left 2,148

Frontal sinusectomy - right 2,398

Frontal sinusectomy - left 2,398

Antrostomy - sphenoidal sinus - left 2,148

Insertion intranasal splints - left 840

Insertion intranasal splints - right 840

Ear examination under anaesthesia - right 1,487

Ear examination under anaesthesia - left 1,487

Ear examination under microscope - right 1,487

Ear examination under microscope - left 1,487

Tympanotomy - right 3,984

Tympanotomy - left 3,984

Endo examination under GA - nose 1,182

Nasopharyngoscopy - rigid 680

Antroscopy - intranasal - right 680

Antroscopy - intranasal - left 680

384

Frontal sinus obliteration - right 3,063

Frontal sinus obliteration - left 3,063

Intratympanic injection steroid - right 1,439

Intratympanic injection steroid - left 1,439

Myringoplasty - endaural approach - right 4,789

Myringoplasty - postaural approach - right 4,789

Myringoplasty - transcanal approach-right 4,789

Myringoplasty - endaural approach - left 4,789

Myringoplasty - postaural approach - left 4,789

Myringoplasty - transcanal approach - left 4,789

Correction choanal atresia - endoscopic 3,845

Correction choanal atresia - transnasal 3,845

Correction choanal atresia - transeptal 3,845

Correction choanal atresia - laser assisted 3,821

Correction choanal atresia - transpalatal 3,863

Turbinoplasty - endoscopic 1,190

Turbinoplasty - intranasal 1,190

Turbinoplasty - endo laser assisted 1,193

Tracheostomy - percutaneous 1,889

Tracheo - oesophageal valve change 1,182

Tracheostomy tube change 776

Ablation lesion trachea - laser 2,781

Dilatation trachea stenosis + stent 1,748

Dilatation trachea stenosis 1,748

Tracheal aspiration - bronchoscope 1,541

Tracheo - oesophageal puncture - primary 2,716

385

Tracheo - oesophageal puncture - secondary 2,386

Tracheal stoma lesion - biopsy 1,182

Bronchoscopic removal foreign body 1,186

Tracheo - oesophageal valve - insertion 1,362

Insertion tracheal stent 2,656

Bronchoscopy 1,676

Exploration tracheostomy 2,033

Endoscopic tracheascopy 1,689

Injection botulinum toxin - intralaryngeal 4,003

Ablation lesion pharynx - laser 4,041

Ablation lesion hypopharynx - laser 4,041

Ablation lesion vocal cord - right - laser 1,991

Ablation lesion vocal cord - left - laser 1,991

Division laryngeal web - external (implant)

2,781

Division laryngeal web - external 2,781

Division laryngeal web - endoscopic 2,781

Division laryngeal web - laser assisted 2,781

Drainage retropharyngeal abscess - oral 1,532

Drainage peritonsillar abscess 767

Endoscopic removal of foreign body from pharynx 1,429

Endoscopic removal of foreign body from larynx 1,429

Insertion laryngeal keel 2,823

Endoscopic examination larynx 991

Release pharyngeal adhesions - endoscopic 2,116

Injection for laryngeal palsy 1,991

Dilatation oesophageal stenosis 1,676

386

Insertion stent - oesophagus 3,105

Drainage parapharyngeal abscess - right 3,021

Drainage retropharygeal abscess - external - right 3,021

Drainage superficial neck abscess - right 1,331

Drainage parapharyngeal abscess - left 3,021

Drainage retropharygeal abscess - external - left 3,021

Drainage superficial neck abscess - left 1,106

Ablation of lesion - oesophagus 2,116

Excision of pinna lesion - left 1,414

Excision of pinna lesion - right 1,414

Excision postnasal space tumors - trans 970

Insertion epistaxis balloon - right 987

Insertion intranasal splints 840

Grafting skin neck 850

Drainage of head abscess 1,629

Wound debridement of head/neck 2,004

Tracheal stoma stenosis - repair - open 2,033

Tracheal stoma stenosis - repair - laser 1,991

Tympanotomy - left 3,104

Uncinectomy - left 2,015

Uncinectomy - right 2,015

Nasal packing - anterior 660

Nasal cauterisation - chemical 1,004

Excision lesion pinna - cryosurgery - right 1,307

Excision lesion pinna - cryosurgery - left 1,307

Steroid infiltration nasal lesion - external 722

387

Steroid infiltration nasal lesion - intranasal 722

Drainage abscess - postauricular - right 1,331

Drainage - pinna - right 1,331

Drainage abscess - postauricular - left 1,331

Drainage - pinna - left 1,331

Biopsy lesion - pinna - right 1,315

Biopsy lesion - pinna - left 1,315

Biopsy lesion - external auditory canal - right 1,307

Biopsy lesion - external auditory canal - left 1,307

Excision external nasal lesion 1,324

Excision external nasal lesion - cryotherapy 1,307

Excision external nasal lesion - laser 1,311

Biopsy - post nasal space (nasopharynx)

722

Removal of foreign body - external auditory canal - right 777

Removal of foreign body - external auditory canal - left 777

Removal of foreign body - middle ear - right 3,992

Removal of foreign body - middle ear - left 3,992

Removal of foreign body - inner ear - right 8,481

Removal of foreign body - inner ear - left 8,481

Removal of nasal foreign body 722

Removal of impacted wax - right 777

Removal of impacted wax - left 777

Removal of mastoid pack - right 777

Removal of mastoid pack - left 777

Aural polypectomy - right 1,307

Aural polypectomy - left 1,307

388

Ablation lesion oropharynx - laser 5,640

Removal of foreign body - oesophagus 1,318

Toilet and suturing of head/neck 829

Antral washout - Caldwell - Luc - right 1,826

Antral washout - right 895

Antral washout - Caldwell - Luc - left 1,826

Antral washout - left 895

Biopsy - lesion external nose 777

Biopsy - nasal cavity 722

Biopsy - lesion nasal turbinate 777

Biopsy - lesion nasal septum 777

Removal of ventilation tube - right 777

Removal of ventilation tube - left 777

Biopsy - lymph node - neck - left 1,324

Biopsy - lymphnode - neck - right 1,324

Biopsy of tongue lesion 777

Drainage of pre auricular sinus abscess 1,324

Examination under anaesthesia with biopsy

2,112

Examination under anaesthesia 777

FNAC lymph node 794

Release of tongue tie 777

389

DENTAL

Open reduction and fixation of fractured mandible 2,744

Reduction and cranio - maxillary fixation of midface fracture 6,395

Open reduction and fixation of zygomatic complex fracture 4,949

Major repair of oro-facial wounds 10,130

Surgery of massive cysts of the jaw 2,931

Surgery of oral cancer 12,388

Resection and reconstruction of the jaws 4,536

Temporomandibular joint surgery 11,859

Surgical correction of developmental jaw deformity 14,620

Preprosthetic surgery 4,893

Surgical procedure utilizing plates/implant systems 3,420

Management of severe infections of the jaw with surgery 1,600

Surgery of salivary glands 3,377

Repair of cleft lip and cleft palate

7,355

Closed reduction and immobilization of jaw fractures 2,310

Elevation of depressed fractures of zygoma 4,729

Excision of benign lesions 6,733

Surgical removal of impacted teeth and unerupted teeth 2,727

Periodontal surgery - per quadrant 1,459

Removal of root in antrum and close of oroantral fistula 2,712

Periodontal graft 4,032

Treatment using laser 3,712

Removal of salivary calculus 1,841

Repair of minor orofacial lacerations 1,228

390

Extraoral incision and drainage of abscess 540

Enucleation or marsupialization of cysts of the jaw 1,348

Cervical lymph node biopsy 981

Intraoral incision and drainage 540

Incision biopsy - intraoral 933

Alveolectomy 589

Apicectomy 2,290

Surgical removal of root 2,712

Frenectomy 1,310

Management of infected socket 269

Management of traumatic injury - per tooth 589

Toilet and suture of superficial wounds 1,341

Augmentation - alveolar bone = 4cm - allograft 3,327

Ablat. lesion retromolar area - cryosurgery

1,403

Excision lesion maxilla 3,071

Removal foreign body - orofacial - simple 901

Removal foreign - orofacial - complicated 2,544

Place temporary restoration - deciduous 662

Place temporary restrotation - permanent 662

Extraction of retained root - permanent 932

Repair of dentures 358

Antralplasty maxillary + bone autograft - right 4,432

Antralplasty maxillary + allograft - right 3,677

Antralplasty maxillary + bone autograft - left 4,432

Antralplasty maxillary + allograft - left 3,427

Excision lesion upper lip - > 2cm with autograft 2,232

391

Excision lesion upper lip - > 2cm with allograft 3,877

Excision lesion lower lip - > 2cm with autograft 3,232

Excision lesion lower lip - > 2cm with allograft 8,703

Excision lesion hard palate - > 2cm with autograft 3,236

Excision lesion hard palate - > 2cm with allograft 7,008

Excision lesion soft palate - > 2cm with autograft 3,234

Excision lesion soft palate - > 2cm with allograft 6,859

Excision lesion buccal - > 2cm with autograft 3,468

Excision lesion buccal - > 2cm with allograft 7,111

Excision lesion gingiva/alveolar + allograft > 2cm 3,236

Excision lesion gingiva/alveolar - > 2cm 3,236

Glossectomy, partial + autograft - laser 7,460

Glossectomy, partial + autograft 7,460

Total parotidectomy + facial and reconstruction 4,926

Extended parotidectomy + facial and reconstruction 11,026

Superficial parotidectomy 4,926

Total parotidectomy 5,913

Extended parotidectomy 7,221

Excision sublingual gland 3,677

Excision submandibular gland 2,119

Excision lesion floor of mouth > 2cm + autograft 7,113

Excision lesion floor of mouth > 2cm + allograft 3,486

Cleft lip repair 3,530

Cleft hard palate repair 4,140

Cleft soft palate repair 4,140

Vestibuloplasty - gingiva/alveolar < 1 qua 2,616

392

Vestibuloplasty - gingiva/alveolar 3,486

Glossectomy, total + partial laryngectomy 9,917

Glossectomy, total + total laryngectomy 9,917

Augmentation - zygomatic complex - autograft 5,919

Augmentation - zygomatic complex - allograft 4,655

Augmentation - alveolar bone = 4cm - autograft 5,036

Augmentation - alveolar bone > 4cm - autograft 5,193

Augmentation - alveolar bone = 4cm - allograft 4,785

Augmentation - alveolar bone > 4cm - allograft 5,037

Augmentation - chin - autograft - bone graft 4,905

Augmentation - chin - allograft 4,655

Enucleation maxilla + bone autograft - = 4cm 5,922

Enucleation maxilla + bone autograft - > 4cm 5,922

Maxillectomy, partial - external + autograft 9,810

Enucleation lesion maxilla- > 4cm + allograft 3,820

Maxillectomy, partial - external 5,906

Maxillectomy, partial - endoscopic 5,002

Maxillectomy, partial - i/oral + autograft 8,946

Maxillectomy, partial - intraoral 4,916

Enucleation mandible + bone autograft - = 4cm 7,301

Enucleation mandible + bone autograft - > 4cm 7,342

Mandibulectomy, marginal + bone autograft 7,842

Mandibulectomy, segmental + bone autograft 8,627

Enucleation mandible + allograft - > 4cm 6,221

Mandibulectomy, marginal + allograft 6,221

Mandibulectomy, segmental + allograft 6,856

393

Mandibulectomy - segmental 6,606

Alveolar bone grafting 6,287

Open reduction and internal fixation - midfacial bone 7,726

Internal fixation panfacial - mandible 6,431

Exploratory orbital floor + bone autograft 8,765

Exploratory orbital floor + allograft 6,728

Exploratory orbital floor + bone autograft - endo 8,510

Exploratory orbital floor + allograft - endo 6,711

Open reduction and internal fixation - mandible 2,744

Reconstruction - maxilla - = 4cm - autograft 5,872

Reconstruction - maxilla - > 4cm - autograft 7,372

Reconstruction - maxilla - free flap 15,454

Reconstruction - maxilla - = 4cm - allograft 6,552

Reconstruction - maxilla - > 4cm - allograft 7,702

Reconstruction - mandible = 4cm - autograft 5,629

Reconstruction - mandible > 4cm - autograft 7,387

Reconstruction - mandible - free flap 15,516

Reconstruction - mandible = 4cm - allograft 4,806

Reconstruction - mandible > 4cm - allograft 5,706

Distraction osteogenesis - alveolar bone 3,790

Osteotomy - midfacial - Le Fort 1- autograft 16,808

Osteotomy - midfacial - Le Fort 2 - autograft 19,557

Osteotomy - midfacial - Le Fort 3 - autograft

21,502

Distraction osteogenesis - midfacial bone 14,025

Osteotomy - midfacial bones - segmental 7,873

Osteotomy - midfacial - Le Fort 1 13,924

394

Osteotomy - midfacial - Le Fort 2 15,672

Osteotomy - midfacial - Le Fort 3

18,718

Distraction osteogenesis - mandible 14,026

Osteotomy - mandible - segmental 7,685

Osteotomy - mandible - genioplasty 6,000

Osteotomy - mandible - ramus 12,120

Osteotomy - mandible - body 11,870

Maxillectomy external + autograft 13,995

Maxillectomy, total + autograft 13,997

Maxillectomy external + orbital exenteration + reconstruction 31,785

Maxillectomy, external + orbital exenteration 22,003

Maxillectomy, total 12,040

Internal fixation panfacial - midfacial bones 12,489

Temporomandibular Joint (TMJ) - eminence augmentation 11,287

Temporomandibular Joint (TMJ) - condylotomy 6,822

Temporomandibular Joint (TMJ) - arch downfracture 6,822

Temporomandibular Joint (TMJ) - myotomy 6,822

Temporomandibular Joint (TMJ) - arthrocentesis 1,882

Temporomandibular Joint (TMJ) - discectomy with implant 6,822

Temporomandibular Joint (TMJ) - synovectomy 6,822

Temporomandibular Joint (TMJ) - discectomy 6,822

Temporomandibular Joint (TMJ) - arthroscopy - diagnostic - with biopsy

2,089

Temporomandibular Joint (TMJ) - arthroscopy - debridement 2,089

Temporomandibular Joint (TMJ) - non arthroscopy - therapy lavage +

lysis

2,089

Temporomandibular Joint (TMJ) - arthroscopy - therapy lavage + lysis

2,089

395

Temporomandibular Joint (TMJ) - arthroscopy - diagnostic-wtihout biopsy

2,089

Suture soft tissue orofacial - complicated 8,556

Temporomandibular Joint (TMJ) - arthroplasty - interposition autograft

8,449

Temporomandibular Joint (TMJ) - arthroplasty - interposition allograft

5,564

Temporomandibular Joint (TMJ) - disc repair 3,575

Temporomandibular Joint (TMJ) - arthroplasty - gap 4,075

Temporomandibular Joint (TMJ) - joint reconstruction - autograft 14,859

Temporomandibular Joint (TMJ) - joint reconstruction - allograft 12,075

Temporomandibular Joint (TMJ) - reduction - open 7,275

Temporomandibular Joint (TMJ) - capsular plication 6,698

Temporomandibular Joint (TMJ) - disc repositioning + stabilization

6,698

Reposition muscle attachment - oral 6,698

Temporomandibular Joint (TMJ) - condylectomy 6,698

Temporomandibular Joint (TMJ) - coronoidectomy 6,448

Temporomandibular Joint (TMJ) - eminectomy 6,698

Temporomandibular Joint (TMJ) - arthroscopy - synovectomy 2,339

Temporomandibular Joint (TMJ) - arthroscopy - discectomy 2,339

Revision suture - orofacial - complicated 5,365

Maxillectomy, partial - endoscopic 6,402

Trigeminal nerve repositioning 6,751

Implant maxillofacial surgery stage 1 - orbit - right 5,420

Implant maxillofacial surgery stage 1 - orbit - left 5,420

Implant maxillofacial surgery stage 1 - ext ear - right 5,406

Implant maxillofacial surgery stage 1 - ext ear - left 5,406

Implant maxillofacial surgery stage 1 - ext ear - bilateral 5,406

396

Implant maxillofacial surgery stage 1 - nose 5,407

Ablation lesion upper lip - cryosurgery 1,503

Ablation lesion upper lip - laser 1,648

Ablation lesion lower lip - cryosurgery 1,503

Ablation lesion lower lip - laser 1,648

Ablation hard palate lesion - cryosurgery 1,503

Ablation hard palate lesion - laser 1,648

Ablation lesion soft palate - cryosurgery 1,503

Ablation lesion soft palate - laser 1,648

Ablation buccal lesion - cryosurgery 1,503

Ablation buccal lesion - laser 1,648

Ablation lesion retromolar area - cryosurgery 1,503

Ablation lesion retromolar area - laser 1,648

Ablation lesion tongue - cryosurgery 1,503

Ablation lesion tongue - laser 1,648

Ablation lesion floor of mouth - cryosurgery 1,503

Ablation lesion floor of mouth - laser 1,648

Excision lesion upper lip - = 2cm with autograft 4,376

Excision lesion upper lip - = 2cm with allograft 2,410

Excision lesion upper lip - laser 1,664

Excision lesion upper lip - = 2cm 2,204

Excision lesion upper lip - > 2cm 3,577

Excision lesion lower lip - = 2cm with autograft 4,376

Excision lesion lower lip - = 2cm with allograft 2,410

Excision lesion lower lip - laser 2,962

Excision lesion lower lip - = 2cm 2,205

397

Excision lesion lower lip - > 2cm 3,827

Excision lesion hard palate - = 2cm with autograft 4,376

Excision lesion hard palate - = 2cm with allograft 2,410

Excision lesion hard palate - laser 2,961

Excision lesion hard palate - = 2cm 2,291

Excision lesion hard palate - > 2cm 3,668

Excision lesion soft palate - = 2cm with autograft 4,446

Excision lesion soft palate - = 2cm with allograft 2,479

Excision lesion soft palate - laser 3,712

Excision lesion soft palate - = 2cm 2,292

Excision lesion soft palate - > 2cm 3,933

Excision lesion buccal - = 2cm with autograft 4,460

Excision lesion buccal - = 2cm with allograft 2,479

Excision lesion buccal - laser 2,975

Excision lesion buccal - = 2cm 2,309

Excision lesion buccal - > 2cm 3,933

Excision lesion gingiva/alveolar + autograft = 2cm 2,815

Excision lesion gingiva/alveolar + allograft = 2cm 3,063

Operculectomy oral - laser 1,810

Excision lesion gingiva/alveolar - = 2cm 2,292

Glossectomy, partial - laser 2,962

Excision lesion tongue - = 2cm 2,296

Excision lesion tongue - > 2cm 3,933

Glossectomy, partial 2,304

Frenectomy - laser 1,310

Excision lesion floor of mouth = 2cm + autograft 4,475

398

Excision lesion floor of mouth = 2cm + allograft 2,260

Excision lesion floor of mouth - laser 2,010

Excision lesion floor of mouth - = 2cm 2,309

Excision lesion floor of mouth - > 2cm 3,931

Removal parotid duct calculus - open 2,041

Removal parotid duct calculus - closed 2,041

Removal submandibular duct calculus - open 1,941

Removal submandibular duct calculus - closed 1,841

Vestibuloplasty - gingiva/alveolar - autograft 4,132

Repair parotid duct 1,941

Repair submandibular duct 1,941

Reposition parotid duct 2,859

Reposition submandibular duct 2,859

Excision maxilla + reconstruction - bone autograft 5,036

Enucleation lesion maxilla - = 4cm + allograft 3,270

Excision maxilla + reconstruction - allograft 4,320

Enucleation lesion maxilla - = 4cm 3,370

Enucleation lesion maxilla - > 4cm 3,310

Excison lesion maxilla 3,371

Exc mandible + reconstruction - bone autograft 9,690

Enucleation mandible + allograft - = 4cm 3,622

Excision mandible + reconstruction - allograft 6,086

Enucleation lesion mandible - = 4cm 3,045

Enucleation lesion mandible - > 4cm 3,311

Mandibulectomy, marginal 3,048

Excision lesion mandible 3,031

399

Exploratory orbital floor 6,414

Exploratory orbital floor - endoscopic 4,024

Elevation maxillofacial - zygomatic arch 4,829

Closed reduction + fixation - midfacial bone 2,410

Closed reduction + fixation - mandible 2,410

Implant dental stage 1 surgery - maxilla 2,731

Implant dental stage 1 surgery - mandible 2,481

Implant maxillofacial surgery stage 1 - face 2,729

Excision lesion gingiva/alveolar - laser 2,729

Excision lesion tongue - laser 2,729

Gingivectomy - laser 1,615

Closure oro-antral fistula 2,549

Control of haemorrhage - post extraction 1,027

Removal impacted/unerupted tooth - complic 2,927

Removal displaced tooth/root 2,912

Transplantation tooth 2,912

Control of haemorrhage - lesion 2,403

Ablation lesion orofacial - cryosurgery 1,621

Ablation lesion orofacial - laser 1,866

Implant maxillofacial surgery stage 1 - midface 3,607

Trigeminal nerve cryotherapy 1,127

Marsupialisation upper lip 1,448

Marsupialisation lower lip 1,448

Marsupialisation hard palate soft tissue 1,448

Marsupialisation soft palate 1,448

Marsupialisation buccal soft tissue 1,448

400

Marsupialisation retromolar/palatoglossal arch 1,448

Marsupialisation tongue 1,462

Marsupialisation parotid duct 1,448

Marsupialisation submandibular duct 1,448

Marsupialisation floor of mouth 1,462

Operculectomy oral 1,448

Closure parotid gland fistula 2,212

Closure submandibular gland fistula 2,209

Marsupialisation bony maxilla 1,448

Marsupialisation bony mandible 1,448

Gingivectomy 1,559

Removal impacted/unerupted tooth - simple 1,427

Crown lengthening with ostectomy 1,442

Incision and drainage orofacial abscess 640

Examination/exploration - orofacial 1,605

Suture soft tissue orofacial - simple 1,328

Revision suture - orofacial - simple 1,332

Suture Removal (STO) extra - oral 574

Trigeminal nerve section 2,868

Biopsy - lymph node - open - facial 1,066

Biopsy - lymph node - tru - cut - facial 1,031

Biopsy - lymph node - tru - cut - neck - right 1,031

Biopsy - lymph node - tru - cut - neck - left 1,031

Implant maxillofacial surgery stage 2 - orbit - right 622

Implant maxillofacial surgery stage 2 - orbit - left 622

Implant maxillofacial surgery stage 2 - ext ear - right 622

401

Implant maxillofacial surgery stage 2 - ext ear - left 622

Implant maxillofacial surgery stage 2 - ext ear - bilateral 623

Implant maxillofacial surgery stage 2 - nose 623

Frenoplasty 1,410

Frenotomy 1,410

Biopsy - upper lip 1,033

Biopsy - lower lip 1,033

Biopsy - hard palate soft tissue 1,033

Biopsy - soft palate 1,033

Biopsy - buccal soft tissue 1,033

Biopsy - gingiva/alveolar soft tissue 1,033

Biopsy - retromolar/palatoglossal arch 1,033

Biopsy - tongue 1,033

Biopsy of lesion - parotid gland - tru - cut 1,033

Biopsy - floor of mouth 1,033

Ligation parotid duct 1,408

Ligation submandibular duct 1,408

Meatoplasty parotid duct 2,575

Meatoplasty submandibular duct orifice 2,575

Biopsy - maxilla 1,033

Implant dental stage 2 surgery - maxilla 603

Biopsy - mandible 1,033

Implant dental stage 2 surgery - mandible 603

Sequestrectomy - maxilla 1,016

Sequestrectomy - mandible 1,016

Removal dental implants - maxilla 1,641

402

Removal dental implants - mandible 1,641

Removal internal fixation - maxillofacial 1,641

Removal external fixation - maxillofacial 1,641

Removal maxillofacial implants 1,641

Implant maxillofacial surgery stage 2 - face

651

Alveolectomy/Alveoloplasty - mandible > 4cm 689

Alveolectomy/Alveoloplasty - mandible < 4cm 754

Alveolectomy/Alveoloplasty - maxilla > 4cm 689

Biopsy - lymph node - open - neck - left 1,066

Biopsy - lymph node - open - neck - right 1,066

Tooth hemisection 1,018

Apicectomy + R/G root filling - anterior tooth 1,858

Apicectomy + R/G root filling - posterior tooth 2,390

Apicectomy - anterior tooth 1,638

Apicectomy - posterior tooth 2,389

Removal tooth/root 754

Exposure tooth with placement attach 2,809

Exposure tooth without placement attach 1,339

Removal dental wires - upper arch 618

Removal dental wires - lower arch 618

Crown lengthening without ostectomy 737

Root resection 755

Debridement soft tissue orofacial 1,341

Implant maxillofacial surgery stage 2 - midface

604

Removal of foreign body - orofacial - simple 1,001

Removal of foreign body - orofacial - complicated 2,594

403

Fine needle aspiration cytology - orofacial 982

Injection medication - orofacial 1,949

Antral washout - Caldwell - Luc - right 1,949

Antral washout - Caldwell - Luc - left 1,949

Dilation parotid duct 1,427

Dilation submandibular duct 717

Temporary reduction + fixation - midfacial bone 737

Temporary reduction + fixation - mandible

732

Wiring dental upper arch 718

Wiring dental lower arch 718

Reimplantation tooth 2,199

Surgical reposition/stabilization of tooth 2,199

Non-surgical reposition/stabilization of tooth

1,302

Soft laser therapy - orofacial 402

Ultrasound therapy - oromaxillofacial 374

Excision of mucocoele 275

Localised periodontal flap - per tooth 300

Comprehensive treatment of early childhood caries

2,747

Inhalation sedation (nitrous oxide)

406

TRAUMATIC AND ORTHOPEDIC

Reattachment/revascularization of severed part(s)

7,505

Toilet and suture with reduction of major compound fractures and dislocations

2,421

Open reduction of dislocations - hip 4,523

404

Open reduction of dislocations - knee 3,328

Open reduction of dislocations - shoulder 3,328

Open reduction of dislocations - elbow 3,328

Open reduction of dislocations - ankle 3,328

Open reduction and internal of external fixation of major fractures

4,808

Crush injury with repair of tendon and/or nerve 5,156

Arthrotomies (for sepsis) - hip 2,823

Arthrotomies (for sepsis) - shoulder 2,243

Patallectomy 2,243

Arthrotomies (for sepsis) - knee 2,243

Arthrotomies (for sepsis) - elbow 2,243

Arthrotomies (for sepsis) - ankle 2,243

Closed reduction of spine 1,808

Closed reduction of femur 1,808

Closed reduction of tibia/fibula 1,808

Closed reduction of humerus 1,808

Closed reduction of radius and ulna 1,808

Crush soft tissue injures - exploration, toilet and suture for extensive or multiple soft tissue injuries

1,178

Closed reduction of shoulder 1,558

Closed reduction of elbow 1,558

Closed reduction of knee 1,558

Closed reduction of - hip 1,558

Closed reduction of ankle 1,558

Open reduction of metacarpophalangeal 2,338

Open reduction of inter-phalangeal 2,338

405

Open reduction of minor fractures with internal fixation

(e.g. malleonar, olecranon etc.)

2,588

Toilet and suture of finger involving tendon/nerve 3,313

Closed reduction and immobilization of - colles fracture 1,558

Closed reduction and immobilization of - fractures of the carpus, metacarpals, tarsus, metatarsals and phalanges

2,048

Closed reduction and immobilization of - dislocation of PIP,IP,DIP joints of fingers toes

1,873

Closed reduction and immobilization of - ankle fractures 1,808

Removal of foreign bodies (needles, splinters, etc.)

1,148

Amputation of fingers and toes 1,933

Closed reduction/immobilization of scapula/clavicle 1,503

Application of traction - skull traction 1,289

Application of traction - skin traction with Thomas Splint or Bohler

Braun frame

759

Application of traction - Steinmann pin insertion and traction 1,289

Removals of external fixators

1,199

Removals of external fixators : Kirschnir wires (k-wires)

1,024

Removals of external fixators : Steinmann pin 1,024

Removals of external fixators : Schantz screw etc.

1,024

Change of POP

714

Change of POP : POP slabs 710

Change of POP : u slabs 710

Change of POP : dorsal slabs 710

Change of POP : colles cast 710

Change of POP : above elbow cast 710

Change of POP : POP cylinder 710

Change of POP : POP boot 710

406

Change of POP : PTB cast 710

Change of POP : full length leg cast 715

Excision of bone tumour and reconstruction with free composite flap

(osteocutaneous or free fibular graft)

12,367

Composite tissue transfer e.g. free fibular or iliac crest graft 12,367

Amputations - forequarter, hindquarter 5,202

Total hip replacement - cemented or cementless 6,230

Revision total hip replacement 10,380

Total knee replacement, cemented or cementless 6,233

Revision total knee replacement 10,130

Spine - fusion and instrumentation 8,640

Spine - osteotomy, vertebrectomy 8,640

Spine - scoliosis with instrumentation 13,145

Amputation - above knee 4,511

Amputation - through knee 4,511

Amputation - below knee 4,511

Amputation - disarticulation of shoulder 3,016

Amputation - disarticulation of hip 4,511

Amputation - syme’s amputation 4,511

Amputation - mid - tarsal amputation 4,511

Excision of bone tumours and resection arthrodesis 6,730

Excision of myositis ossificans 2,842

Bone grafting 4,507

Deformities - correction of club foot complete soft tissue release including lengthening of tendons

4,105

Deformities - open reduction of congenital dislocation of hip 5,585

Arthrodesis - shoulder, hip, knee, ankle 4,647

407

Arthrodesis - triple arthrodesis 4,457

Tendon surgery - primary or secondary tendon suture 3,452

Tendon surgery - transplantation of tendon(s)

3,970

Transposition of peripheral nerves 2,670

Sequestrectemies 3,197

Tumour surgery - curretage of tumour and bone graft 2,842

Tumour surgery - excision biopsy of tumours 3,452

Osthotomies - neck of femur, supracondylav of femur upper tibia 4,511

Contracture release - hip 3,247

Contracture release - knee 3,247

Contracture release - neck (forticolis)

3,247

Correction of hallus varum/valgus deformities 3,627

Spine (cervical, thoracic or lumbar) - decompression 8,447

Spine (cervical, thoracic or lumbar) - laminectomy 7,887

Spine (cervical, thoracic or lumbar) - drainage of psoas abscess 3,249

Spine (cervical, thoracic or lumbar) - percutaneous discectomy 4,532

Spine (cervical, thoracic or lumbar) - exploration of spine with or without internal fixation

4,511

Shoulder - operation for recurrent dislocation 4,457

Hip - pelvic osteotomy/derotation osteotomy for congenital dislocation hip

7,657

Hip - hemiarthroplasty, unipolar/bipolar for fracture neck of femur

4,975

Knee - operative video arthroscopy 2,420

Knee - menisectomy 4,457

Foot - wedge tarsectomy 3,599

Release of finger contractures 3,534

Application/change of - plaster of paris casts 800

408

Application/change of - shoulder spica 800

Application/change of - hip spica 800

Application/change of - minerva jacket 800

Application/change of - scoliosis/localizer casts 800

Application/change of - spinal casts 800

Neutral position (manipulation and plaster of paris following osteotomies)

800

Bone biopsy or excision of any bone 3,202

Osteotomy - osteoclasis 3,478

Removal of metal work (implants)

3,637

Excision biopsy of ganglion 1,930

Excision biopsy of popliteal cyst 1,924

Excision small cysts/tumours 1,924

Release and/or synovectomy for trigger finger/wrist joint 2,648

Correction of club foot - lengthening of tendon archilles only 1,221

Proximal radius - ulna - excision of head of radius 1,952

Manipulation of joint under general anaesthesia 1,442

Tumour surgery - incisional/marginal biopsy 1,905

Tenotomies (closed)

1,267

Arthrodesis - wrist 3,717

Arthrodesis - toe 2,053

Arthrodesis - finger 2,188

Proximal radius - ulna 3,728

Carpal tunnel release 1,918

Wadge resection of toe/finger nails 1,123

Avulsion of finger or toe nails 1,123

Aspiration of joints - knee 908

409

Aspiration of joints - elbow 908

Aspiration of joints - ankle 908

Incision and drainage 908

Arthroscopic ligament reconstruction - anterior 5,566

Arthroscopic ligament reconstruction - posterior 5,566

Arthroscopic ligament reconstruction - revision 5,566

Spinal fusion - anterior - cervical region 8,640

Spinal fusion - anterior - thoracic 8,640

Spinal instrumentation - anterior - cervical 8,640

Spinal instrumentation - posterior - cervical 8,640

Spinal instrumentation - thorocoscopic 8,640

Spinal instrumentation - anterior - thoracic 8,640

Spinal instrumentation - posterior - thoracic 8,640

Spinal instrumentation - posterior - lumbar 8,640

Spinal instrumentation - anterior - lumbar 8,640

Reconstruction of bony defect using autograft 3,689

Reconstruction of bony defect using prosthesis 10,931

Reconstruction of bony defect using allograft 8,304

Internal fixation - femur - intramedulla 3,003

Internal fixation - tibia - intramedulla 3,003

Spinal instrumentation - anterior - scoliosis 8,640

Spinal fusion - anterior - > 5 levels 8,640

Stabilization - open - shoulder joint - right 3,090

Arthroscopic stabilization - shoulder joint 3,090

Stabilization - open - shoulder joint - left 3,090

Arthroscopic stabilization - shoulder joint 3,090

410

Replacement - thoracic intervertebral 7,690

Revision arthroplasty - shoulder joint-right 3,562

Revision arthroplasty - shoulder joint - left 3,562

Revision arthroplasty - elbow joint - right 3,562

Revision arthroplasty - elbow joint - left 3,562

Revision arthroplasty - wrist joint - right 3,562

Revision arthroplasty - wrist joint - left 3,562

Spinal fusion - anterior - lumbosacral right 8,640

Reconstruction - Anterior Cruciate Ligament (ACL) - open - knee joint

3,940

Reconstruction - Posterior Cruciate Ligament (PCL) - open - knee joint

3,940

Arthroplasty - ankle joint - left 3,562

Revision of joint replacement - hip joint 10,380

Resection of tumour - spine with replacement

6,730

Exploration of wound - upper extremity - right 1,200

Replantation - upper arm - right 7,505

Replantation - upper arm - left 7,505

Replantation - forearm - right 7,505

Replantation - forearm - left 7,505

Replantation - wrist - right 7,505

Replantation - wrist - left 7,505

Replantation - hand - right 7,505

Replantation - hand - left 7,505

Replantation - thumb - right 7,505

Replantation - thumb - left 7,505

Replantation - index finger - right 7,505

Replantation - index finger - left 7,505

411

Replantation - middle finger - right 7,505

Replantation - middle finger - left 7,505

Replantation - ring finger - right 7,505

Replantation - ring finger - left 7,505

Replantation - little finger - right 7,505

Replantation - little finger - left 7,505

Revision arthroplasty - hand region - right 3,562

Revision arthroplasty - hand region - left 3,562

Transposition - finger - right 3000

Transposition - finger - left 3000

Amputation - hemi pelvectomy (hindquater)

5,202

Arthrodesis - triple - foot - right 4,457

Arthrodesis - triple - foot - left 4,457

Reconstruction of bony defect using autograph 3,689

Reconstruction of bony defect using prosthesis 10,931

Reconstruction of bony defect using allograph 8,304

Reconstruction posterolateral complex 3,000

Exploration of wound - lower extremity - left 3,609

Exploration of wound - lower extremity - right 3,609

Arthroscopic tenotomy - biceps tendon - left 2,856

Arthroscopic tenotomy - biceps tendon - right 2,856

Peroneal tendoscopy - right 2,997

Peroneal tendoscopy - left 2,997

Arthroscopic repair - rotator cuff - right 1,986

Arthroscopic repair - rotator cuff - left 1,986

Reconstruction - achilles tendon (chronic)

1,845

412

Arthroscopic repair - rotator cuff - revision 3,361

Synovectomy - open - shoulder joint - right 2,648

Synovectomy - arthroscopic - shoulder joint 2,648

Synovectomy - open - shoulder joint - left 2,648

Synovectomy - arthroscopic - shoulder joint 2,648

Synovectomy - arthroscopic - elbow joint 2,648

Synovectomy - open - elbow joint 2,648

Synovectomy - arthroscopic - hip joint 2,648

Synovectomy - arthroscopic - knee joint 2,648

Synovectomy - arthroscopic - ankle joint 2,648

Ligament repair - elbow joint - right 2,811

Ligament repair - elbow joint - left 2,811

Ligament repair - wrist joint - right 2,811

Ligament repair - wrist joint - left 2,811

Ligament/capsule repair - hand - right 2,811

Ligament/capsule repair - hand - left 2,811

Ligament/capsule repair - upper extremities 2,811

Reconstruction ligament collateral - knee 2,416

Repair ligament - primary - knee joint 2,416

Reconstruction of ligament - ankle joint 2,416

Drainage of abscess of vertebra - cervic 3,855

Laminectomy - cervical 6,647

Laminectomy - thoracic 6,647

Biopsy of vertebra - thoracic region 2,282

Debridement - clavicle - right 5,960

Debridement - clavicle - left 5,960

413

Laminotomy - cervical 5,960

Laminotomy - thoracic 5,960

Corpectomy and fusion - cervical 7,500

Spinal fusion - posterior - cervical region 10,440

Corpectomy and fusion - thoracic 7,500

Spinal fusion - posterior - thoracic 8,640

Internal fixation of spine - odontoid sc 10,763

Laminoplasty - cervical 5,400

Laminoplasty - thoracic 5,400

Osteotomy - pelvic bone - right 7,907

Osteotomy - pelvic bone - left 7,907

Osteotomy - femur - right 5,007

Osteotomy - femur - left 5,007

Osteotomy - calcaneum - right 3,882

Osteotomy - calcaneum - left 3,882

Osteotomy - tibia - right 5,007

Osteotomy - tibia - left 5,007

Osteotomy - fibula - right 5,007

Osteotomy - fibula - left 5,007

Laminectomy - lumbar 6,647

Patellectomy - partial - right 3,670

Patellectomy - partial - left 3,670

Laminotomy - lumbar 5,960

Corpectomy and fusion - lumbar 7,500

Corpectomy and fusion - sacral 7,500

Foraminotomy 7,500

414

Laminoplasty - lumbar 5,400

Internal fixation - pelvic bone - right/left 4,808

External fixation of fracture - pelvic 4,808

Internal fixation - acetabulum - anterior 4,808

Internal fixation - acetabulum - posterior 4,808

Internal fixation - femur - proximal - right 4,808

Internal fixation - femur - proximal - left 4,808

Internal fixation - femur - shaft - right 4,808

External fixation of fracture - femur - right 4,808

Open reduction of fracture - femur - right 2,900

Internal fixation - femur - shaft - left 4,808

External fixation of fracture - femur - left 4,808

Open reduction of fracture - femur - left 2,900

Internal fixation - calcaneum - right 4,808

Internal fixation - femur - distal - left 4,808

Internal fixation - femur - distal - right 4,808

Internal fixation - patella - right 4,808

Internal fixation - calcaneum - left 4,808

Internal fixation - patella - left 4,808

Internal fixation - tibia - distal - right 4,808

Internal fixation - medial malleolus - right 4,808

Internal fixation - posterior malleolus 4,808

Internal fixation - tibia - shaft - right 4,808

External fixation of fracture - tibia - right 4,808

Open reduction of fracture - tibia - right 2,900

Internal fixation - tibia - proximal - left 4,808

415

Internal fixation - tibia - distal - left 4,808

Internal fixation - medial malleolus - left 4,808

Internal fixation - posterior malleolus 4,808

Internal fixation - tibia - shaft - left 4,808

External fixation of fracture - tibia - left 4,808

Open reduction of fracture - tibia - left 2,900

Internal fixation - lateral malleolus - right 4,808

Open reduction of fracture - fibula - right 2,900

Internal fixation - lateral malleolus - left 4,808

Open reduction of fracture - fibula - left 2,900

Internal fixation - talus - right 4,808

Internal fixation - talus - left 4,808

Spinal fusion - posterior -

(scoliosis)

8,640

Arthrodesis - shoulder joint - right 4,647

Arthrodesis - shoulder joint - left 4,647

Arthrodesis - elbow joint - right 4,647

Arthrodesis - elbow joint - left 4,647

Arthrodesis - wrist joint - right 3,717

Arthrodesis - wrist joint - left 3,717

Arthrotomy - shoulder joint - right 1,993

Arthroscopy diagnostic - shoulder joint 2,374

Arthrotomy - shoulder joint - left 1,993

Arthroscopy diagnostic - shoulder joint 2,374

Arthroscopy diagnostic - elbow joint - right 2,374

Arthroscopy diagnostic - elbow joint - left 2,374

Arthroscopy diagnostic - wrist joint - right 2,374

416

Arthroscopy diagnostic - wrist joint - left 2,374

Arthroplasty - shoulder joint - hemi 3,272

Arthroplasty - shoulder joint - total 3,272

Arthroplasty - finger/thumb phalangeal 1,957

Discectomy - cervical - open 14,787

Discectomy - cervical - percut 4,045

Discectomy - cervical - endoscopic 14,787

Microdiscectomy - cervical 14,787

Discectomy - thoracic - open 14,787

Discectomy - thoracic - percutaneous 5,100

Discectomy - thoracic - endoscopic 7,095

Removal of loose/foreign body - knee joint 1,148

Spinal fusion - posterolateral - 3 or 4 8,640

Spinal fusion - posterolateral - 1 or 2 8,640

Spinal fusion - posterior - lumbosacral 8,640

Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - right

5,178

Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - right

5,178

Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - left

5,178

Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - left

5,178

Resection of tumour - spine 6,730

Amputation - transfemoral (above knee)

4,511

Amputation - transtibial (below knee)

4,511

Amputation - syme - right 4,511

Amputation - syme - left 4,511

Arthrodesis + internal fixation - hip - right 4,647

Arthrodesis + internal fixation - hip - left 4,647

417

Arthrodesis + internal fixation - knee - right 4,647

Arthrodesis + external fixation - knee - right 4,647

Arthrodesis + internal fixation - knee - left 4,647

Arthrodesis + external fixation - knee - left 4,647

Arthrodesis + internal fixation - ankle - right 4,647

Arthrodesis + internal fixation - ankle - left 4,647

Arthrodesis + external fixation - ankle - left 4,647

Arthrodesis - tarsometatarsal - right 4,457

Arthrodesis - tarsometatarsal - left 4,457

Arthrodesis - tarsotarsal - right 4,457

Arthrodesis - tarsotarsal - left 4,457

Arthroscopy diagnostic - hip - right 2,374

Arthroscopy diagnostic - hip - left 2,374

Arthroscopy diagnostic - knee - right 2,374

Arthroscopy diagnostic - knee - left 2,374

Arthroscopy diagnostic - ankle - right 2,374

Arthroscopy diagnostic - ankle - left 2,374

Discectomy - lumbar - percutaneous 4,532

Revision of replacement - hip - total - right 10,380

Revision of replacement - hip - hemi - left 10,380

Revision of replacement - hip - total - left 10,380

Revision of replacement - knee - total - right 10,130

Revision of replacement - knee - unicompartment - right 10,130

Revision of replacement - knee - total - left 10,130

Revision of replacement - knee - unicompartment - left 10,130

Reconstruction of ligament - elbow joint 2,416

418

Repair ligament - ankle joint - right 2,416

Repair ligament - ankle joint - left 2,416

Repair ligament - foot - right 2,416

Repair ligament - foot - left 2,416

Biopsy of vertebra - cervical region 2,282

Debridement - cervical vertebra 2,095

Biopsy of vertebra - thoracic region 2,282

Internal fixation - scapula - right 2,318

Internal fixation - scapula - left 3,003

Internal fixation - clavicle - right 4,118

Internal fixation - clavicle - left 4,118

Internal fixation - humerus - proximal 3,003

Internal fixation - humerus - distal - right 3,003

Internal fixation - humerus - right 3,003

External fixation - humerus - right 4,808

Internal fixation - humerus - interlocking - right 3,003

Internal fixation - humerus - proximal 3,003

Internal fixation - humerus - distal - left 3,003

Internal fixation - humerus - left 3,003

External fixation - humerus - left 4,808

Internal fixation - humerus - interlocking - left 3,003

Internal fixation - radial head or neck 3,003

Internal fixation - radius - distal - right 3,003

Internal fixation - radius - right 3,003

External fixation - radius - distal - right 4,808

External fixation - radius - right 4,808

419

Internal fixation - radial head or neck 4,808

Internal fixation - radius - left 4,808

External fixation - radius - distal - left 4,808

External fixation - radius - left 4,808

Internal fixation - olecranon - right 2,588

Internal fixation - ulna - distal - right 4,808

Internal fixation - ulna - right 4,808

External fixation - ulna - right 4,808

Internal fixation - olecranon - left 2,588

Internal fixation - ulna - distal - left 4,808

Internal fixation - ulna - left 4,808

External fixation - ulna - left 4,808

Internal fixation - carpus - other - right 1,998

Internal fixation - carpus - other - left 1,998

Internal fixation - metacarpal - right 1,998

External fixation - metacarpal - right 3,313

Internal fixation - metacarpal - left 1,998

External fixation - metacarpal - left 3,313

Internal fixation - thumb phalanx - right 1,998

Internal fixation - thumb phalanx - left 1,998

Internal fixation - finger phalanx - right 1,998

Internal fixation - scaphoid - right 3,003

Internal fixation - finger phalanx - left 1,998

Internal fixation - scaphoid - left 3,003

Biopsy of vertebra - lumbar region - open 2,282

Debridement - lumbosacral vertebra 2,095

420

Biopsy of vertebra - lumbar region - percutaneous 2,282

Biopsy of vertebra - sacral region - open 2,282

Biopsy of vertebra - coccygeal region 2,282

Internal fixation - other tarsal bones - right 1,998

Internal fixation - other tarsal bones - left 1,998

Internal fixation - metatarsal - right 1,998

Internal fixation - metatarsal - left 1,998

Internal fixation - toe phalanx - right 1,998

Internal fixation - toe phalanx - left 1,998

Arthrotomy - wrist joint - right 2,273

Arthrotomy - wrist joint - left 2,273

Biopsy - open - shoulder joint - right 2,282

Biopsy - open - shoulder joint - left 2,282

Biopsy - open - elbow joint - right 2,282

Biopsy - open - elbow joint - left 2,282

Biopsy - open - wrist joint - right 2,282

Biopsy - open - wrist joint - left 2,282

Arthrodesis - metacarpophalangeal joint 2,188

Arthrodesis - finger/thumb phalangeal 2,188

Arthrodesis - intercarpal joint - right 2,188

Arthrodesis - finger/thumb phalangeal 2,188

Arthrodesis - intercarpal joint - left 2,188

Arthrotomy - elbow joint - right 2,273

Arthrotomy - elbow joint - left 2,273

Arthrotomy - metacarpophalangeal joint 2,273

Arthrotomy - finger/thumb phalangeal joint 2,273

421

Biopsy open - hip joint - right 2,282

Biopsy open - hip joint - left 2,282

Biopsy open - knee joint - right 2,282

Biopsy open - knee joint - left 2,282

Biopsy open - ankle joint - right 2,282

Biopsy open - ankle joint - left 2,282

Exploration of wound - upper extremity - left 1,200

Open reduction of fracture - metacarpus - right 2,338

Open reduction of fracture - metacarpus - left 2,338

Open reduction of fracture - thumb phalanges - right 2,338

Open reduction of fracture - thumb phalanges - left 2,338

Open reduction of fracture - finger phalanges - right 2,338

Open reduction of fracture - finger phalanges - left 2,338

Disarticulation - shoulder joint - right 3,896

Disarticulation - shoulder joint - left 3,896

Disarticulation - elbow - right 3,864

Disarticulation - elbow - left 3,864

Disarticulation - wrist joint - right 3,864

Disarticulation - wrist joint - left 3,864

Disarticulation - metacarpophalangeal joint - right 2,022

Disarticulation - metacarpophalangeal joint - left 2,022

Disarticulation - finger/thumb phalang - right 2,092

Disarticulation - finger/thumb phalang - left 2,092

Excision arthroplasty - wrist joint - right 2,437

Excision arthroplasty - wrist joint - left 2,437

Excision arthroplasty - metacarpophalang - right 2,437

422

Excision arthroplasty - metacarpophalang - left 2,437

Excision arthroplasty - finger/thumb - right 2,437

Excision arthroplasty - finger/thumb - left 2,437

Arthroplasty - shoulder - total - right 2,437

Arthroplasty - shoulder - hemi - left 2,437

Arthroplasty - elbow - right 2,437

Arthroplasty - elbow - left 2,437

Arthroplasty - wrist - right 2,437

Arthroplasty - wrist - left 2,437

Arthroplasty - finger/thumb phalangeal - right 2,437

Excision arthroplasty hip jt (girdleston)

437

Amputation - transmetacarpal - left 1,933

Amputation - thumb - phalanx proximal 1,933

Amputation - thumb - phalanx distal - right 1,933

Amputation - thumb - phalanx distal - left 1,933

Amputation - index finger - phalanx proximal 1,933

Amputation - index finger - phalanx middle 1,933

Amputation - index finger - phalanx distal 1,933

Amputation - middle finger - phalanx proximal 1,933

Amputation - middle finger - phalanx mid 1,933

Amputation - middle finger - phalanx distal 1,933

Amputation - ring finger - phalanx proximal 1,933

Amputation - ring finger - phalanx middle 1,933

Amputation - ring finger - phalanx distal 1,933

Amputation - little finger - phalanx proximal 1,933

Amputation - little finger - phalanx middle 1,933

423

Amputation - little finger - phalanx distal 1,933

Amputation - transmetatarsal - right 1,933

Amputation - transmetatarsal - left 1,933

Amputation - metatarsal 1st (ray) - right 1,933

Amputation - toe - 1st - right 1,933

Amputation - metatarsal 1st (ray) - left 1,933

Amputation - toe - 1st - left 1,933

Amputation - metatarsal 2nd (ray) - right 1,933

Amputation - toe - 2nd - right 1,933

Amputation - metatarsal 2nd (ray) - left 1,933

Amputation - toe - 2nd - left 1,933

Amputation - metatarsal 3rd (ray) - right 1,933

Amputation - toe - 3rd - right 1,933

Amputation - metatarsal 3rd (ray) - left 1,933

Amputation - toe - 3rd - left 1,933

Amputation - metatarsal 4th (ray) - right 1,933

Amputation - toe - 4th - right 1,933

Amputation - metatarsal 4th (ray) - left 1,933

Amputation - toe - 4th - left 1,933

Amputation - metatarsal 5th (ray) - right 1,933

Amputation - toe - 5th - right 1,933

Amputation - metatarsal 5th (ray) - left 1,933

Amputation - toe - 5th - left 1,933

Open reduction of fracture - scaphoid - left 2,338

Arthroplasty - hip - hemiarthroplasty - right 2,437

Arthroplasty - hip - total - right 2,437

424

Arthroplasty - hip - hemiarthroplasty - left 2,437

Arthroplasty - hip - total - left 2,437

Arthroplasty - knee - total - right 2,437

Arthroplasty - knee - unicompartment - right 2,437

Arthroplasty - knee - total - left 2,437

Arthroplasty - knee - unicompartment - left 2,437

Arthroplasty - ankle - right 2,437

Open reduction of fracture - scaphoid - right 2,338

Removal - prosthesis - shoulder - right 1,148

Removal - foreign/loose body - shoulder 1,148

Removal - prosthesis - shoulder - left 1,148

Removal - foreign/loose body - shoulder 1,148

Removal - prosthesis - elbow - right 1,148

Removal - foreign/loose body - elbow joint 1,148

Removal - prosthesis - elbow - left 1,148

Removal - prosthesis - wrist - right 1,148

Removal - foreign/loose body - wrist joint - right 1,148

Removal - prosthesis - wrist - left 1,148

Removal - foreign/loose body - wrist joint - left 1,148

Removal - prosthesis - finger - right 1,148

Removal - prosthesis - finger - left 1,148

Removal of loose/foreign body - hip joint - left 1,148

Removal of loose/foreign body - knee joint - right 1,148

Removal of loose/foreign body - ankle joint - right 1,148

Removal - implants - upper extremity 3,637

Removal - foreign body - upper extremity 1,148

425

Removal - foreign body - lower extremity 1,148

Removal - implants - upper extremity 3,637

Removal - foreign body - upper extremity 1,148

Removal - implants - hand/finger region 3,637

Removal - implants - foot/toe region 3,637

Aspiration - acromionclavicular joint - left 908

Aspiration - acromionclavicular joint - right 908

Aspiration - shoulder joint - right 908

Aspiration - shoulder joint - left 908

Aspiration - elbow joint - right 908

Aspiration - elbow joint - left 908

Aspiration - wrist joint - right 908

Aspiration - wrist joint - left 908

Manipulation under anaesthesia - shoulder 1,442

Manipulation under anaesthesia - elbow joint 1,442

Manipulation under anaesthesia - wrist joint 1,442

Aspiration - sacroiliac - right 908

Aspiration - sacroiliac - left 908

Aspiration - hip - right 908

Aspiration - hip - left 908

Aspiration - knee - right 908

Aspiration - knee - left 908

Aspiration - ankle - right 908

Aspiration - ankle - left 908

Aspiration - upper extremity - other - left 908

426

Aspiration - upper extremity - other - right 908

Aspiration - lower extremity - other - left 908

Aspiration - lower extremity - other - right 908

Laparoscopy - diagnostic 2,136

Manipulation under anaesthesia - hip - right 1,442

Manipulation under anaesthesia - hip - left 1,442

Manipulation under anaesthesia - knee - right 1,442

Manipulation under anaesthesia - knee - left 1,442

Manipulation under anaesthesia - ankle - right 1,442

Manipulation under anaesthesia - ankle - left 1,442

Free tissue transfer 12,367

Replantation 7,505

Revascularisations 7,505

Arthrodesis - more than one joint 4,457

Bone graft 3,689

Open reduction/internal fixation 4,808

External fixation 4,808

Excision of benign bony tumours 3,452

Amputation (hand, ray, multiple digits)

1,933

Ligament repairs 2,811

Arthrodesis - one joint 3,056

Bone - close reduction/splinting 1,503

Removal of foreign body 1,148

Removel of internal fixators 1,199

Amputation of single digit 1,933

Aspiration 908

427

Incision and drainage 908

Removal of external fixator 1,199

NEUROSURGERY

Craniotomy - supratentorial tumour removal (total)

12,797

Craniotomy - supratentorial tumour (debulking)

12,797

Craniotomy - pituitary tumour 12,797

Craniotomy - cerebral aneursym, clipping 12,797

Craniotomy - arteriovascular malformation, excision 12,797

Craniotomy - carotid cavernous fistula 12,297

Suboccipital craniectomy - total tumour removal 12,797

Suboccipital craniectomy - partial resection 12,797

Laminectomy - tumour removal 9,036

Laminectomy - disc removal 12,306

Nerve anastomosis 5,227

Orbital tumours - transcranial/lateral approach 12,797

Repair of nasal encephalocoele 12,797

Decompressive brain resection 12,797

Microvascular decompression 12,797

Cordotomy 7,121

Anterior cervical/thoracic/lumbar fusion 12,306

Transphenoidal pituitary surgery 12,297

Craniofacial deformities - corrective surgery 12,797

Hemispherectomy 12,297

Axial - occipitial fusion or atlanto - occipital fusion 11,756

428

Craniotomy - extradural haematoma 6,611

Craniotomy - subdural haematoma 6,611

Craniotomy - intracerebral haematoma 12,297

Craniotomy - excision abscess 8,822

Craniotomy - removal of foreign body 8,322

Craniotomy - cyst decompression 5,292

Craniotomy - tumour biopsy 8,322

Craniotomy - dural leak repair 6,344

Craniotomy - aneurysm : wrapping of aneurysm 12,797

Suboccipital craniectomy - biopsy 10,432

Suboccipital craniectomy - decompression 8,822

Repair of meningomyelocele 6,361

Laminectomy - biopsy 8,036

Laminectomy - decompression 8,036

Excision of skull bones tumours 4,172

Excision of scalp vascular malformations 6,797

Retrogasserian rhizotomy 2,816

Exploration of brachial plexus 3,018

Major repair of scalp, skull, dura and brain following trauma 12,797

Carotid endaeterectomy and/or arterial graft 9,198

Thalamotomy or papillidotomy 12,297

Wound debridement of compound fractures 2,602

Elevation of depressed fracture skull 3,650

Carotid artery ligation 3,787

Ventriculo - peritoneal shunt 3,554

Ventriculo - artial shunt 9,943

429

Lumboperitoneal shunt 3,429

Reservoir insertion - ventricular/spinal 3,429

Peripheral nerve decompression 2,082

Burr hole tapping - brain abscess 3,551

Burr hole tapping - brain haematoma 3,878

Repair of skull defect 5,418

Burr hole drainage - chronis subdural 4,918

Scalp wound debridement 1,573

Burr hole for intra - cranial pressure monitoring 2,685

Exfloration, repair or stripping of peripheral nerves 2,002

Subtemporal decompression 8,293

Section of transverse carpal arctarsal ligaments 1,696

Shunt removal 2,414

External ventricular drainage 2,479

Peripheral nerve blocks 2,039

Ventriculography 3,024

Skull traction 1,429

CARDIOSURGERY

Close heart surgery - ligation of persistent ductus arteriosus 10,653

Close heart surgery - aorta - pulmonary shunts (blalock - taussig shunt or equivalent)

13,765

Close heart surgery - pulmonary artery banding 10,653

Close heart surgery - pulmonary valvotomy/valvectomy 14,075

Close heart surgery - repair of coarctation of the aorta 21,665

Close heart surgery - pericardiectomy 8,963

430

Close heart surgery - open pericardial drainage 7,135

Close heart surgery - pericardial biopsy 6,290

Close heart surgery - closed mitral valvotomy 19,400

Close heart surgery - repair of cardiac trauma not requiring pulmonary bypass

7,395

Close heart surgery - glenn shunt or equivalent 13,605

Close heart surgery - ligation of major aorto-pulmonary collateral arteries

9,383

Insertion of pacemaker unit and endocardial or epicardial lead 16,760

Replacement of pacemaker unit and/or lead 6,260

Coronary artery bypass surgery with or without excision of left ventricular aneurysm or repair of post - infarction ventricular septal defect or mitral incompetence

18,658

Single valve replacement or repair (inclusive of fee of prosthesis)

23,278

Open mitral valvotomy 23,278

Multiple valve replacement 24,008

Repair of total anomalous pulmonary venous connections 17,998

Repair of cortriatrium 13,800

Mitral valvuloplasty/valvotomy 19,660

Aortic valvuloplasty/valvotomy 19,060

Relief of infravalcular aortic stenosis 19,060

Repair of total atrio - ventricular canal defect 16,543

Double aortic arch repair/suspension of aortic arch 17,643

Closure of ASD

16,268

Closure of VSD

16,918

Right ventricular outflow tract reconstruction 16,918

Pulmonary arterioplasty including pulmonary artery debanding 16,268

Conduit interposition (with or without valve)

16,268

431

Surgery for transposition of great arteries - atrial switch 18,008

Fontan operation/modified fontan or equivalent 17,758

Septation of common atrium 16,258

Other surgical procedures performed under pulmonary bypass

(exclusive of fee of prosthesis)

17,768

Aortic/peripheral vascular aneurysm repair and others 18,518

Insertion and/or removal of intraaortic balloon (inclusive of fee of balloon)

4,085

Vascular endarterectomy 7,463

Vascular graft 7,863

Replacement of pacemaker wire (epicardial)

6,000

Adjustment of endocardial lead 6,000

Insertion of epicardial lead 6,000

Open lung biopsy 8,780

Pleurodesis/pleurectomy 7,715

Decortication 8,610

Bronchoscopy 4,533

Mediastinoscopy 4,533

Thoracoscopy 3,933

Correction of chest wall deformities 8,860

Excision of intrathoracic and mediastinal tumours 9,903

Chest wall resection (excision of rib sterna tumours)

8,695

Exploratory thoracotomy 6,550

Diagnostic thoracotomy 6,550

Tracheal resection/repair 10,643

Scalene node biopsy 5,379

432

Tracheal dilatation 5,379

Pericardial window 9,243

Thymectomy 5,528

Repair of congenital hernias 7,308

Repair of ruptured diaphragm 8,340

Anti - reflux procedures 8,340

Sternal resuturing/rewiring 5,768

Exploration of bleeding 5,768

Vascular embolectomy 5,768

Adjustment of pacemaker wire (transvenous)

6,000

Replacement of pacemaker wire (endocardial)

6,000

PLASTIC AND RECONSTRUCTIVE SURGERY

Free vascularised tissue transfer with micro surgical vascular and/or neuro anastomosis of soft and/or bony tissue

15,225

Loss of lid or lids with reconstruction 1,500

Epicanthus correction 2,367

Telecanthus correction 4,123

Repair of lachrymal duct 1,500

Dacryo cysto rhinostomy 4,222

Repair of ear injury (very severe)

1,847

Correction of other ear deformities (severe)

2,965

Excision of lesion with reconstruction (very severe)

7,412

Reduction rhinoplasty 5,662

Augmentation rhinoplasty (with silicone or bone or cartilage)

3,477

Lip - excision of lesion with reconstruction (very severe)

1,500

433

Repair of clefts - facial clefts (severe)

1,500

Tongue flaps 1,500

Tenolysis and tenodesis (severe)

2,547

Pollicisation 5,052

Reconstruction of hypospadias (severe)

6,420

Reconstruction of epispadias 4,130

Fistula repair (severe)

2,432

Bladder reconstruction 9,025

Radical vulvectomy 3,256

Scar revision (very severe)

3,352

Reconstructive surgery of haemangioma (very severe)

10,212

Reconstructive surgery of lymphangioma (severe)

10,212

Reconstructive surgery of arteriovenous (AV) lymphohaemangioma

(severe)

10,212

Reconstructive surgery of arteriovenous (AV) malformation (severe)

8,310

Reconstructive surgery of arteriovenous (AV) fistula (severe)

8,860

Repair of lid injury (severe)

900

Lid resection for tumour with/without reconstruction 1,587

Exenteration of orbit 5,622

Epicanthus or telecanthus correction (moderate)

4,372

Blepharoplasty 3,277

Oriental eyelid correction 2,012

Catholasty 932

Tarsorrhaphy (severe)

1,722

Repair of ear injury (severe)

4,552

Excision of lesion and reconstruction (severe)

1,130

434

Bat ears correction 6,662

Correction of other ear deformities (moderate)

4,552

Cleft lip (unilateral)

3,527

Cleft lip (bilateral)

5,662

Cleft palate 3,202

Cranio - facial surgery e.g. correction nasal encephalocoele, treacher collins aperts, cruzon or anopthalmia

11,117

Head and neck malignancy with excision, immediate reconstruction and with or without radical neck dissection

3,000

Severe facial trauma needing major reconstruction 3,944

Partial glossectomy with radical block dissection of the neck 3,000

Total glossectomy with/without neck dissection 3,000

Malignant intraoral lesions with reconstruction 3,000

Reconstruction of facial fractures (very severe)

3,769

Reduction of fibrous dysplasia 3,000

Total and sub-total reconstructive rhinoplasty 1,500

Reconstruction for microtia (absent ear or presence of part of the ear)

1,500

Reconstruction for cranio - facial cleft (tessier cleft)

1,500

Tissue expansion 1,500

Scalp - excision of benign or malignant lesions with flap reconstruction

2,457

Coloboma correction (severe)

1,500

Correction of other ear deforminities (severe)

3,901

Burns - primary treatment (very severe)

3,641

Burns - treatment of sequelae (very severe) e.g. release of contractures and joints

2,645

Breast - augmentation (with prosthesis)

2,923

Breast - reduction 1,582

435

Breast - ptosis correction 1,500

Myo and osteo myo cutaneous flaps 6,901

Rib graft removal 1,500

Hand reconstruction with soft and/or bony injuries (very severe)

1,500

Repair of syndactyly - congenital or acquired (severe)

1,500

Reconstruction surgery of naevi, including congenital or giant hairy naevus (very severe)

2,407

Reconstructive surgery of malignant melanoma (severe)

1,500

Reconstructive surgery of squamous cell carcinoma (very severe)

1,500

Reconstructive surgery of basal cell carcinoma (very severe)

1,500

Reconstructive surgery of neurofibromatosis (very severe)

1,500

Rhytidectomy 1,500

Abdominoplasty 1,500

Dermo - lipectomy 1,500

Tatoo removal (very severe)

1,500

Keloids - excision injection or compression (very severe)

1,500

Scalp - burns with flap closure 984

Scalp - burns with skin grafts 800

Coloboma correction (moderate)

800

Nose - excision of lesion with reconstruction (severe)

800

Lip - excision of lesion with reconstruction (severe)

3,147

Mouth - commissure reconstruction 800

Mouth - leukoplakia excision and grafting (severe)

800

Facial clefts (moderate)

800

Pharyngoplasty 1,231

Facial sling 800

436

Facial nerve repair 800

Burn - primary treatment 2,508

Burn - treatment of sequelae e.g. release of contractures and joints

(severe)

2,423

Nipple reconstruction 1,601

Reconstruction of hypospadias (moderate)

3,485

Urogenital - excision of stricture 800

Urogenital - fistula repair (moderate)

2,055

Split skin grafts (moderate)

2,992

Full thickness grafts (moderate)

3,052

Vagina reconstruction 5,205

Nose - excision of lesion without reconstruction 1,255

Lip - excision of lesion with primary closure (mild)

320

Reconstruction of facial injury - soft tissue (mild)

320

Mouth - node biopsy 320

Burn - primary treatment (mild)

2,187

Reconstruction surgery of epidermal naevus (mild)

2,165

Reconstructive surgery of sebaceous cyst 2,165

Reconstructive surgery of naevi including congenital or giant hairy naevi

(mild)

2,165

Scar revision (mild)

2,165

Tatoo removal (mild)

650

Keloids - excision, injection or compression (mild)

323

Reconstructive surgery of haemangioma (mild)

6,030

Secondary suturing (moderate)

985

Secondary suturing (mild)

950

Skin biopsy 350

437

Toilet and suture of drainage of superficial wounds 350

Incision and drainage of abscess 896

Excision of slough (at first episode)

282

438

SEVENTH SCHEDULE

[Paragraph 11]

MISCELLANEOUS FEE

IMMUNISATION

Yellow fever 300

Typhoid 80

Other form of immunisation 40

AMBULANCE, HEARSE AND STANDBY MEDICAL TEAM

Ambulance 1.40 for each km

Hearse

Less than 30 km 40 30 km to 800 km 1.40 for each km

More than 800 km 1,200

Standby medical team (excluding medical officer)

First day 400

Every subsequent day 250

439

MEDICAL EXAMINATION AND MEDICAL BOARD

Medical examination including x-ray 300

Examination for Medical Board 600

WRITTEN MEDICAL OPINION OR REPORT

Brief report/opinion prepared by medical officer 120

Brief report/opinion prepared by specialist 240

Comprehensive opinion prepared by specialist 400 to 2,000

depending on the complexity of the opinion

Made 27 December 2014

[KK(S)-280(32/41); PN(PU2)86/XVII]

By Command,

DATUK SERI DR. S. SUBRAMANIAM

Minister of Health

(To be laid before Dewan Rakyat pursuant to section 4 of the Fees Act 1951)

Common questions

What is PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014?: PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is Malaysia P.U. (A), cited as P.U. (A) 363 2014, currently marked in force and first recorded in 2014.
Is PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 still in force?: Yes — PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is currently in force.
When did PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 take effect?: PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 was first recorded in 2014.
How many sections does PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 have?: PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 contains 16 sections.
Where can I read the official version of PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014?: The official text of PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is published at lom.agc.gov.my.