PERINTAH KEMUDAHAN DAN PERKHIDMATAN JAGAAN KESIHATAN SWASTA (HOSPITAL SWASTA DAN KEMUDAHAN JAGAAN KESIHATAN SWASTA LAIN) (PINDAAN) 2013

Jagaan Kesihatan Swasta (Hospital Swasta dan Kemudahan Jagaan Kesihatan

Swasta Lain) (Pindaan) 2013.

(Hospital

Swasta dan

Kemudahan

Jagaan

Kesihatan

Swasta

Lain)

2006

[P.U. (A) 138/2006], dipinda dengan menggantikan Jadual Ketiga Belas dengan jadual yang berikut:

“JADUAL KETIGA BELAS

[Peraturan 433]

JADUAL FI-FI PROFESIONAL

BAHAGIAN A - FI PERUBATAN

Catatan:

1. Dalam catatan ini:

"di luar jam" ertinya suatu tempoh antara 6 petang dalam satu hari dan 8 pagi hari yang berikutnya pada hari-hari biasa, dan sepanjang hari pada hujung minggu dan cuti awam;

P.U. (A) 358 3

"kecemasan" ertinya suatu keadaan serius yang dikatakan wujud apabila kelewatan dalam rawatan boleh menambah ancaman kepada nyawa atau bahagian badan;

"pakar bedah" merujuk kepada semua kategori pakar dan boleh termasuk pakar anestesia;

"fi pakar anestesia"

merujuk kepada fi yang dikenakan untuk induksi, penyelenggaraan, pembalikan anestesia dan aktiviti pemantauan standard. Fi ini hanya terpakai untuk anestesia am atau anestesia serantau.

2. Semua fi di dalam Jadual ini adalah fi maksimum yang boleh dikenakan dan ia terpakai bagi apa-apa bentuk pembayaran.

3. Suatu fi tambahan yang tidak melebihi 50% daripada fi maksimum boleh dikenakan oleh kedua-dua pakar bedah dan pakar anestesia bagi tatacara kecemasan yang dilakukan di luar jam, yang hendaklah tidak termasuk tatacara elektif.

4. Bagi lawatan wad, termasuk lawatan selepas pembedahan dan penjagaan, fi perundingan yang boleh dikenakan adalah bagi maksimum dua lawatan pada hari yang sama, tanpa mengira jumlah sebenar lawatan yang dibuat, kecuali dalam hal apabila lawatan tambahan adalah atas permintaan pesakit atau apabila keadaan pesakit didapati memerlukan lawatan tambahan.

5. Fi bagi jagaan anestesia yang dipantau menjadi 80% daripada fi anestesia untuk tatacara itu.

6. Apabila dua atau lebih tatacara yang dilakukan melalui insisi dan masa yang sama, fi yang boleh dikenakan oleh kedua-dua pakar bedah dan pakar anestesia bagi selain tatacara yang dimaksudkan, hendaklah tidak melebihi 50% daripada tatacara itu.

7. Apabila dua atau lebih tatacara dilakukan melalui insisi berasingan pada masa yang

P.U. (A) 358 4

sama, fi bagi kedua-dua pakar bedah dan pakar anestesia hendaklah tidak melebihi 75% daripada fi profesional masing-masing yang ditetapkan bagi tatacara itu.

Peraturan ini tidak terpakai bagi insisi pelbagai yang dibuat untuk mewujudkan port akses pelbagai dalam mana-mana tatacara endoskopi dan laparoskopi.

8. Dalam pembedahan yang melibatkan aras anatomi berbilang, fi yang boleh dikenakan bagi tatacara itu adalah 100% bagi aras pertama dan tidak boleh melebihi 50%

daripada fi maksimum yang boleh dikenakan untuk aras berikutnya.

9. Apabila satu atau lebih tatacara yang dilakukan sama ada melalui insisi sama atau berbeza, elektif atau kecemasan dan menghendaki khidmat beberapa pakar bedah dengan kepakaran yang berbeza melakukan bersama-sama demi kepentingan keselamatan pesakit, kecekapan operatif atau kualiti penjagaan, fi yang boleh dikenakan oleh pakar bedah ini selain pakar bedah utama tidak boleh melebihi 75%

daripada fi maksimum yang dikenakan.

10. Apabila tatacara yang bersifat sangat kompleks menghendaki khidmat seorang pakar bedah kedua dengan kepakaran yang sama, melakukan bersama-sama demi kepentingan keselamatan pesakit, kecekapan operatif atau kualiti penjagaan, jumlah fi yang boleh dikenakan oleh pakar bedah kedua hendaklah tidak melebihi 50%

daripada jumlah fi yang boleh dikenakan oleh pakar bedah pertama (utama) bagi tatacara yang dilakukannya.

11. Dalam hal apabila fi tertentu bagi tatacara laparoskopi atau endoskopik tidak dinyatakan dalam Jadual, fi tambahan tidak melebihi 15% daripada fi tatacara itu boleh dikenakan oleh pakar bedah.

12. Dalam hal apabila tatacara terbuka dilakukan berikutan kegagalan tatacara endoskopik, fi yang dikenakan adalah bagi satu tatacara sahaja.

P.U. (A) 358 5

13. Apabila tatacara endoskopi atau laparoskopi terapeutik didahului oleh tatacara endoskopi atau laparoskopi diagnostik, tiada fi tambahan akan dikenakan bagi tatacara diagnostik.

14. Dalam hal apabila satu tatacara terdiri daripada gabungan beberapa tatacara yang lazimnya dilakukan bersama-sama dan bagi tatacara gabungan yang dinyatakan diperuntukkan atau tidak dalam Jadual, fi bagi tatacara gabungan yang dinyatakan tidak boleh berpecah atau diasingkan dalam pengiraan fi.

I. FI PERUNDINGAN

Catatan:

1. Bagi tatacara yang dilakukan di bawah anestesia setempat (LA) atau sedasi atau kedua-duanya, dan apabila anestesia setempat atau sedasi diberikan oleh pakar bedah yang melakukan tatacara itu, fi tambahan tidak melebihi 20% daripada fi tatacara atau

RM 125, mana-mana yang lebih rendah boleh dikenakan. Fi tambahan ini tidak terpakai kepada tatacara yang dilakukan di bawah anestesia setempat dan/atau sedasi yang dianggap sebagai rutin, biasa dan lazim.

2. Dalam hal apabila tiada fi dinyatakan bagi pakar anestesia dan anestesia dianggap perlu atau fi tidak melebihi 50% daripada fi tatacara pembedahan atau minimum

RM 265 atau mana-mana yang lebih tinggi boleh dikenakan oleh pakar anestesia.

1. Pengamal am (bukan pakar)

Butiran

Perundingan sahaja

Perundingan dengan pemeriksaan

30-125

Perundingan dengan pemeriksaan dan pelan rawatan

Perundingan selepas waktu klinik yang dinyatakan

Sehingga 50%

melebihi kadar biasa

P.U. (A) 358 6

Panggilan atau lawatan ke rumah

Sehingga 100% melebihi kadar biasa

Butiran

Perundingan sahaja

Perundingan dengan pemeriksaan

35 - 145

Perundingan dengan pemeriksaan dan pelan rawatan

Perundingan selepas waktu klinik yang dinyatakan

Sehingga 50% melebihi kadar biasa

Panggilan atau lawatan ke rumah

Sehingga 100% melebihi kadar biasa

2. Fi pakar

Nota: Terpakai bagi semua kepakaran perubatan kecuali dinyatakan sebaliknya

Butiran

Perundingan sahaja

Perundingan dengan pemeriksaan

80 - 235

Perundingan dengan pemeriksaan dan pelan rawatan

Perundingan selepas waktu klinik yang dinyatakan

Sehingga 50% melebihi kadar biasa

Panggilan atau lawatan ke rumah

Sehingga 100% melebihi kadar biasa

Butiran

Perundingan sahaja

Perundingan dengan pemeriksaan

40 - 105

Perundingan dengan pemeriksaan dan pelan rawatan

Perundingan selepas waktu klinik yang dinyatakan

–

Sehingga 50% melebihi kadar biasa

P.U. (A) 358 7

Panggilan atau lawatan ke rumah

–

Sehingga 100% melebihi kadar biasa

Nota: Termasuk perundingan sekali seminggu

Butiran

Pelan Rawatan Asas termasuk simulasi bagi radioterapi pancaran luar (pelan semula akan dicaj berasingan)

860 -1715

Pelan rawatan untuk brakiterapi

(Intrakavitari)

1145-2290

Pelan rawatan pakar 2290-4575

- Brakiterapi Interstitial

- Radioterapi konformal

- Radiosurgeri

- Radioterapi modulasi intensiti

II. FI TATACARA

1. Tatacara am

Butiran/Tatacara

Pakar

Bedah

Pakar Anestesia

Pemantauan tekanan darah ambulatori 130

Pemakaian kas plaster (jika ini satu-satunya tatacara)

315

Pemakaian plaster jaket, spika pinggul, kas kaki panjang atau kas bres 410 265

Kanulasi arteri 130

Punktur arteri 65

Aspirasi hematoma subkutaneus 315

Pengikatan hemoroids 315

Biopsi kulit atau tisu subkutaneus 315

Resusitasi Kardiopulmonari (CPR)

315

Kanulasi talian tekanan vena sentral (CVP)

230

Pemasukan tiub dada 840

Kolposkopi (dengan/tanpa biopsi)

375

Pemantauan Holter berterusan 330

Pengkuretan/Krioterapi lesi kulit termasuk kauterisasi 315

P.U. (A) 358 8

Aspirasi diagnostik sista, sendi dan kaviti 315

Ekokardiografi dengan laporan

Pemetaan berwarna 380

Doppler ekokardiografi 380

Ekokardiogram-transtorasik 230

M-mod 380

Eko treadmill stres 380

Ekokardiografi stres 380

Ekokardiografi trans-esofagus 440

Dua dimensi (2-D)

380

Elektif kardioversi 290

Elektrokardiogram (EKG) dengan laporan 80

EKG (stres/ senaman) dengan laporan 270

Biopsi atau aspirasi endometrial 410

Sitologi aspirasi jarum halus 315

Insisi dan penyaliran (I & D)

315

Suntikan di sekeliling faset apofisial vertebra tanpa kawalan X-ray 315

Suntikan ke dalam sendi tanpa kawalan sinar-X

315

Suntikan ke dalam tisu subkutaneus/pusat pencetus kesakitan termasuk anestesia setempat (LA) dan steroid 315

Suntikan ke dalam vena varikos kaki 315

Suntikan bahan pengsklerosan ke dalam buasir 315

Suntikan bahan ke dalam kulit termasuk pelet hormon 315

Punktur lumbar 745

Paracentesis untuk asits 630

Blok paravertebral (tanpa kawalan sinar-X)

480

Biopsi perkutaneus (tidak dinyatakan di mana-mana)

315

Perikardiosentesis 505

Biopsi pleural 895

Penyaliran kaviti pleural 840

Pleurodesis 630

Sigmoidoskopi tegar dengan biopsi 315

EKG isyarat berpurata 45

Blok ganglion Stellate (LA)

480

Pemasangan kateter Swan Ganz 460

Perentak sementara 1145

Pencucian dan penjahitan (T & S) bagi setiap jahitan 20

Veneseksyen 35

P.U. (A) 358 9

Venupunktur 65

2. Tatacara Spesifik

Perundingan awal, penilaian, tatacara dan sokongan hayat kardium lanjutan (ACLS)

di dalam unit rawatan intensif (ICU)

630

Perundingan seterusnya dan penilaian di dalam ICU

Seperti perenggan 2(b) fi pakar

Perkhidmatan analgesia obstetrik

- Epidural 445

Perawatan kesakitan akut, kronik dan barah 35

Venupunktur 65

Esofagus

Mobilisasi esofageal toraskopik melalui mediastinum 4750 1815

Esofagogastrektomi 4750 1815

Esofagogastrektomi total dan interposisi usus 5970 2500

Eksisi terbuka lesi esofagus 1890 1125

Pintasan esofagus 2480 1550

Tinjauan semula anastomosis esofageal 2705 1320

Penutupan pintasan esofagus 2145 1125

Pembaikan transtorasik esofagus 3600 1320

Pembaikan toraskopik esofagus 2895 1320

Esofagokardiomiotomi (pembedahan

Heller)

2040 985

Miotomi esofagogastrik toraskopik 2145 985

Suntikan skleroterapi bagi varises esofageal 1000 685

Pembaikan transtorasik hernia hiatus 2305 940

Pembaikan transtorasik hernia diafragmatik 2305 940

Pembaikan transabdominal hernia hiatus 2145 760

Pembaikan transabdominal hernia diafragmatik 2895 820

Pembaikan laparoskopik hernia hiatus 2145 760

Pembedahan anti refluks transabdominal 2895 820

Tinjauan semula tatacara anti-refluks 3600 1320

Vagotomi/seromiotomi laparoskopik 2040 685

Gastro-jejunostomi laparoskopik 2145 685

P.U. (A) 358 10

Gastrostomi/jejunostomi laparoskopik 1760 570

Perut

Vagotomi gastrik proksimal 2040 685

Vagotomi pilihan tinggi 2040 685

Vagotomi dan piloroplasti 2145 820

Gastrektomi total dan eksisi tisu sekitar 2895 1125

Gastrektomi separa 2305 760

Pembedahan plastik perut 1890 685

Gastro-jejunostomi 2145 685

Pengulangan gastro-jejunostomi 2305 685

Gastrostomi 1760 570

Penutupan gastrostomi 1565 570

Penutupan ulser berlubang di perut 1890 685

Penutupan laparoskopik ulser berlubang di perut 1890 685

Pembedahan perut terbuka lain 1890 685

Piloromiotomi 1890 685

Piloroplasti 1890 685

Gastrektomi separa (penyakit benigna)

2305

Gastrektomi separa (penyakit malignan)

2895

Duodenum

Eksisi terbuka lesi duodenum 2305 760

Pintasan duodenum 1890 760

Penutupan laparoskopik ulser berlubang duodenum 1890 685

Penutupan ulser berlubang duodenum 1890 685

Usus kecil

Eksisi jejunum 2145 685

Eksisi lesi jejunum 2480 685

Jejunostomi 1760 685

Reseksi laparoskopik usus kecil 1890 685

Pintasan jejunum 1890 685

Intubasi jejunum dekompresi usus 1890 685

Pintasan ileum 1890 685

Anastomosis ileoanal dan penciptaan kantung 4750 1550

Ileostomi 1890 685

Perhatian kepada ileostomi 1565 570

Penutupan ileotomi (dalam isolasi)

1565 570

Pembedahan terbuka ileum termasuk pengurangan intususepsi 1890 685

Usus besar

Apendisektomi 1565 570

P.U. (A) 358 11

Apendisektomi laparoskopik 1565 570

Penyaliran abses apendiks 1565 625

Eksisi total kolon dan anastomosis ileorektal 3600 1320

Eksisi peluasan hemikolon kanan 2390 820

Eksisi lain hemikolon kanan 2390 760

Eksisi kolon transvers 2390 760

Eksisi hemikolon kiri 2390 820

Eksisi kolon sigmoid 2390 820

Eksisi lesi kolon (transabdominal)

1760 760

Pintasan kolon 2040 760

Eksteriorisasi sekum 1760 760

Penutupan kolostomi - peritoneal tambahan 1340 625

Penutupan kolostomi - intra peritoneal 1890 760

Kolostomi laparoskopik 2040 760

Kolostomi termasuk tinjauan semula 2040 760

Manipulasi intra - abdominal kolon termasuk pengurangan intususepsi 2040 685

Reseksi kolonik laparoskopik 2390 820

Pengurangan radiologi intususupan kolon menggunakan enema barium 580 570

Rektosigmoidektomi bagi penyakit

Hirchsphrung 4750

Laparotomi enterokolitis nekrotik enterokolitis (NEC)

2705

Laparotomi atresia usus 2705

Rektum/Anus

Anastomosis ileoanal dan penciptaan kantung 4750 1550

Panproktokolektomi dan ileostomi 4750 1815

Penarikan abdominoperineal melalui reseksi dengan anastomosis kolo-anal dan kolostomi berkaitan 4750 1815

Reseksi abdominoperineal rektum dan anus 4750 1815

Reseksi anterior 4750 1815

Reseksi anterior rektum dan hujung kolostomi (dengan penutupan rektum)

2705 1550

Reseksi anterior laparoskopik rektum dan eksteriorisasi usus 4750 1550

Eksisi separa rektum dan kolon sigmoid bagi prolaps 2705 940

Pembalikan tatacara Hartman 3600 1550

Eksisi terbuka lesi rektum 2145 940

Fiksasi rektum bagi prolaps 1890 940

P.U. (A) 358 12

Rektopeksi laparoskopik 1890 940

Reseksi transanal bagi kanser rektal 2040 625

Eksisi perineal lesi rektum 1340 625

Biopsi rektum ketebalan penuh atau separa 405 625

Pembaikan perineal prolaps rektum 1760 685

Pengembangan striktur rektum 370 265

Pembaikan fistula tinja 865 625

Eksisi lesi anus 370 265

Pemusnahan lesi anus 370 265

Pembaikan sfinkter anal 1565 625

Pembaikan trauma anal 1340 625

Hemoroidektomi 1000 505

Regangan anorektum termasuk pemeriksaan di bawah anestesia (EUA)

dan sigmoidoskopi 370 265

Pembukaan lapisan fistula anal bawah 865 505

Pembukaan lapisan fistula anal atas 1565 625

Sfinkterektomi lateral anus 405 505

Eksisi fisur anal 405 405

Penyaliran melalui kawasan perineal termasuk abses iskiorektal 580 405

Eksisi sinus pilonidal dan graf sutur/kulit 1160 625

Pembukaan lapisan sinus pilonidal 580 265

Fistulektomi (tunggal)

865

Fistulektomi (berbilang)

1565

Anorektoplasti sagital posterior (PSARP)

3600

Laparotomi berkombinasi dengan PSARP

4750

Anoplasti 1340

Sagital posterior anorektovaginouretroplasti (PSARVUP)

4750

Laparotomi berkombinasi dengan

PSARVUP

5970

Organ-organ lain, terutama pencernaan

Adrenalektomi 2145 940

Adrenalektomi - dwisisi 2305 1125

Pembedahan tisu adrenal aberan 2145 940

Eksisi separa hepar 3600 1550

Hemihepatektomi 5970 2110

Pembuangan tumor hepar 2895 985

Pembaikan hepar 2480 985

Penyaliran terbuka hepar 1160 685

Pembedahan laparoskopik terapeutik ke atas hepar 1340 570

Pemeriksaan laparoskopik diagnostik hepar termasuk apa-apa biopsi 1340 505

P.U. (A) 358 13

Biopsi perkutaneus lesi hepar 480 315

Punktur terbuka hepar 1565 570

Kolesistektomi termasuk minikolesistektomi 1890 685

Kolesistektomi dengan peninjauperiksaan duktus hempedu umum 2040 760

Kolesistektomi laparoskopik 2480 1125

Kolesistektomi laparoskopik dengan kolangiogram peribedah 2705 1550

Anastomosis pundi hempedu

(ke viskus lain)

2305 760

Eksisi separa duktus hempedu dan anastomosis duktus hempedu kepada duodenum/jejunum 2390 940

Eksisi lesi duktus hempedu 2145 940

Anastomosis duktus hepatik 2895 940

Anastomosis duktus hempedu umum 2145 940

Pengenalan terbuka prostesis ke dalam duktus hempedu 2145 760

Pembaikan duktus hempedu 2390 985

Insisi duktus hempedu termasuk peninjauperiksaan bagi pembuangan kalkulus 2145 940

Sfinkterektomi duktus hempedu dan duktus pankreatik menggunakan pendekatan duodenal 2145 820

Pemeriksaan perkutaneus duktus hempedu 1000 505

Pankreatektomi total dan eksisi tisu persekitaran 4750 1815

Pankreatektomi total 4750 1815

Pankreatoduodenektomi dan eksisi tisu sekitar (Tatacara Whipple)

4750 1815

Pankreatektomi distal 2705 985

Eksisi lesi pankreas 2040 985

Anastomosis pundi hempedu

(ke viskus lain)

2705 940

Penyaliran terbuka lesi pankreas 2040 760

Penyaliran abses pankreatik 2040 760

Insisi pankreas 2040 760

Pemeriksaan terbuka pankreas 2040 760

Pembedahan perkutaneus terapeutik pankreas 1565 685

Splenektomi terbuka 1565 760

Splenektomi laparoskopik 1565 760

P.U. (A) 358 14

Penciptaan penyimpangan peritoneovena

(Levine/Denver)

1340 435

Penyaliran dalaman pseudosista pankreatik 2705

Hepato portoenterototomi (pembedahan

Kasai)

4750

Eksisi sista koledokal 4750

Salur darah besar

Kanulasi terbuka arteri intra-abdominal bagi kemoterapi infusi 2145 685

Penciptaan penyimpangan portakaval 4750 1320

Plikasi vena kava 2305 940

Pembaikan luka arteri besar atau vena abdomen termasuk aorta dan vena kava 2145 1320

Dinding abdomen

Pembaikan hernia diafragmatik kongenital 2705 1550

Eksisi mudah sak hernia inguinal 1000 505

Eksisi mudah sak hernia inguinal - dwisisi 1760 760

Pembaikan primer hernia inguinal 1160 505

Pembaikan primer hernia inguinal

- dwisisi 1890 820

Pembaikan primer hernia inguinal terjerut 1890 625

Pembaikan laparoskopik hernia groin 1160 505

Pembaikan hernia inguinal berulang 1890 685

Pembaikan hernia inguinal berulang

- dwisisi 2895 985

Pembaikan primer hernia femoral 1000 505

Pembaikan primer hernia femoral terjerut 1890 625

Pembaikan hernia femoral berulang 1565 570

Pembaikan hernia umbilikal

(tidak mengira umur)

1000 570

Pembaikan primer hernia insisi 1340 505

Pembaikan hernia insisi berulang 1890 685

Pembaikan hernia lain dinding abdomen 1340 505

Sutur semula insisi lalu dalam dinding abdomen (Abdomen pecah)

1340 570

Penutupan eksomfalos major/gastrokisis

- penutupan primer 3600

Penutupan eksomfalos major/gastrokisis

- penutupan silastik 2145

Penutupan eksomfalos major/gastrokisis

- penutupan primer tertunda 2570

P.U. (A) 358 15

Peritoneum

Laparotomi bagi pendarahan selepas pembedahan 1760 820

Laparotomi dan pembaikan trauma visera berbilang 3600 1550

Penyaliran terbuka abses subfrenik 1760 685

Pembedahan omentum 1890 685

Tumor retroperitoneal 2705 940

Abses retroperitoneal 1160 685

Tumor presakral 1340 940

Pembebasan adhesi peritoneum 1565 685

Laparoskopi termasuk biopsi dan adhesiolisis 1160 435

Parasentesis abdominis bagi asites 315 265

Penyaliran suprapubik abses pelvik 865 505

Penyaliran transrektal/transvaginal abses pelvik 1160

Laparotomi - peninjauperiksaan 1890

Otak

Hemisferektomi 7030 2930

Eksisi abses otak 4750 2110

Eksisi lesi tisu otak 5970 2500

Ablasi stereotaktik tisu otak 4750 1815

Biopsi terbuka lesi tisu otak 3600 1550

Penanaman/pembuangan stimulator neuro daripada otak (apa-apa laluan)

2145 820

Ventrikulosisternostomi 3600 1550

Penciptaan anastomosis ventrikulovaskular 2040 820

Penciptaan penyimpangan ventrikuloperitoneal 2040 820

Penciptaan simpanan cecair serebrospinal (CSF) subkutaneus 2040 820

Penyenggaran penyimpangan serebroventrikular termasuk pengulangan 1565 685

Pembuangan penyimpangan serebroventrikular 1340 505

Irigasi penyimpangan serebroventrikular 580 685

Pembedahan endoskopik terapeutik ventrikel otak 2570 820

Pemeriksaan endoskopik diagnostik dan biopsi lesi ventrikel otak 1760 820

Punktur ventrikular 570 505

P.U. (A) 358 16

Kranium

Infeksi Intrakranial: lubang Burr 1890 760

Pembaikan plastik kranium 2705 1320

Kranioplasti rekonstruktif 2705 1320

Kraniostenosis (satu sutur)

2040 760

Kraniostenosis (lebih daripada satu sutur)

2705 1550

Kraniotomi terbuka eksploratori 2705 1320

Eksploratori lubang burr pada kranium 1565 685

Petrosektomi 3600 2110

Dekompresi Foramen Magnum 4750 1550

Eksisi lesi kranium 2145 820

Elevasi lekukan fraktur kranium 1565 760

Pembaikan fraktur kompaun kranium 2705 1320

Penyaliran tengkorak 1340 505

Meninges

Penyaliran ruang subaraknoid otak 1565 625

Eksisi lesi otak meninges 7030 2500

Pembedahan sista araknoid 2705 985

Pembaikan dura 3600 1320

Pengosongan hematoma ekstradural 3600 1320

Pengosongan hematoma atau abses subdural 3600 1320

Pendarahan subdural - toreh 315 435

Saraf

Transeksi intrakranial saraf kranial 5970 2930

Pemusnahan-pemusnahan lain saraf kranial 5970 2930

Eksisi lesi saraf kranial (lntrakranial)

7030 2930

Eksisi neuroma akustik 7030 2930

Pembaikan saraf kranial (Intrakranial)

2895 1815

Dekompresi saraf kranial (Kraniotomi)

5970 1815

Stimulasi neuro saraf kranial

(Intrakranial)

2145 760

Pembuangan stimulasi neuro dari saraf kranial 1890 505

Eksisi tumor sudut serebelopontin 7030 2930

Pembuluh darah

Kraniotomi - pendarahan selepas pembedahan 2705 1320

Kraniotomi bagi tumor suprasellar 7030

Kraniotomi bagi tumor fossa posterior 7030

Ligasi/sepitan aneurisme arteri cerebral 5970 2110

Peneguhan aneurisme arteri cerebral 5970 2110

P.U. (A) 358 17

Pembedahan terbuka arteri cerebral 5970 2110

Eksisi malformasi arteriovenous (AV)

7030 2110

Pembentukan anastomosis ventrikulovaskular 2040 820

Pembentukan pintasan ventrikuloperitoneal 2040 820

Lain-lain

Hipofisektomi 5970 1815

Krioterapi kelenjar pituitari 2570

Eksisi lesi kelenjar pituitari 5970 1815

Eksisi kelenjar pineal 7030 1815

Mastektomi subkutaneus dengan implan serta merta 2040 760

Mastektomi radikal termasuk diseksi blok 2305 760

Mastektomi bergabung dengan rekonstruksi payudara menggunakan flap miokutaneous 2895 985

Mastektomi radikal diubah suai termasuk diseksi blok 2040 685

Mastektomi mudah termasuk biopsi nodus aksilari 1565 685

Eksisi lesi payudara 1000 405

Reseksi bersegmen atau quadrantektomi 1340 505

Eksisi setempat lebar lesi payudara 1340 505

Pengulangan eksisi setempat bagi menerangkan margin 1000 505

Biopsi eksisi lesi payudara selepas persetempatan 1000 505

Rekonstruksi payudara menggunakan latisimus dorsi 2895 940

Rekonstruksi payudara menggunakan flap setempat 2305 760

Rekonstruksi payudara menggunakan

TRAMS

4750 1550

Pembuangan prostesis daripada payudara 865 405

Penanaman prostesis selepas mastektomi 1340 685

Biopsi perkutaneus lesi payudara 370 265

Eksisi stereotaktik/guidewire lesi payudara 1565 505

Penyaliran abses payudara 580 405

Mikrodokotomi 1000 405

P.U. (A) 358 18

Pembedahan puting (jika tidak termasuk dalam tatacara lain)

865 405

Diseksi blok nodus limfa aksilari

(jika tidak termasuk dalam tatacara lain)

1760 625

Biopsi/pensampelan nodus limfa aksilari 405 315

Biopsi nodus limfa mama internal 725 505

Ujian alergi

Ujian sensitiviti kulit (Intradermis)

menggunakan sehingga 20 reagen (tidak termasuk kos reagen)

190

Ujian sensitiviti kulit (ujian tampalan)

menggunakan sehingga 26 reagen, iaitu siri standard (tidak termasuk kos reagen)

250

Ujian sensitiviti kulit (ujian tampalan)

menggunakan 26 reagen, iaitu siri standard dan tambahan

(tidak termasuk kos reagen)

315

Ujian sensitiviti kulit (ujian tampalan)

menggunakan siri tambahan iaitu kos bagi setiap siri (tidak termasuk kos reagen)

190

Dermatosurgeri umum

Eksisi - sista, parut, tumor benigna

(mudah)

380

Eksisi - sista, parut, tumor benigna

(rumit)

660

Eksisi - tumor kulit malignan yang memerlukan eksisi lebar 915

Suntikan steroid berbilang ke dalam lesi 190

Krioterapi - lesi kurang daripada 5 155

Krioterapi - lesi lebih daripada 5 250

Krioterapi - tumor malignan yang memerlukan rawatan bagi kawasan yang luas 505

Pengkuretan/krioterapi lesi kulit termasuk pengkauteran 315

Fototerapi

Fototerapi (pancaran ultra ungu) bagi setiap sesi - bahagian tertentu 65

Fototerapi (UVB)(pancaran ultra ungu)

100

P.U. (A) 358 19

bagi setiap sesi - keseluruhan badan

Psoralen dan ultra ungu A (PUVA) bagi setiap sesi - bahagian tertentu 100

(PUVA) bagi setiap sesi - keseluruhan badan 125

Ujian tampalan foto 250

Ujian foto Dos eritema minimal (MED)

250

Ujian foto Dos fototoksik minimum

(MPD)

250

Fototerapi ultra ungu Al (UVA 1) bagi setiap sesi - bahagian tertentu 100

Fototerapi ultra ungu Al (UVA 1) bagi setiap sesi - keseluruhan badan 125

Tatacara dermatologi lain

Eksisi mudah kuku 70

Eksisi baji kuku jari kaki 380

Eksisi baji atau avulsi kuku jari kaki termasuk ablasi kimia pada dasar kuku 480 315

Matriksektomi kuku 170

Pemeriksaan penyiasatan medan gelap

(DGI) bagi spesimen 125

Biopsi kulit atau subkutaneus tisu 315

Biopsi perkutaneous (tidak dinyatakan di tempat lain)

315

Pemeriksaan mikroskopik (medan gelap)

65

Pemeriksaan mikroskopik untuk kikisan, calitan kulit dan sebagainya 65

Elektrokauteri - keratosis, ketuat, angioma, dan sebagainya (lesi kurang daripada 5)

190

Elektrokauteri - keratosis, ketuat, angioma, dan sebagainya (lesi daripada 5 hingga 20)

380

Elektrokauteri - keratosis, ketuat, angioma, dan sebagainya (lesi lebih daripada 20)

630

Kauteri kimia - keratosis, ketuat, angioma dan sebagainya (lesi tidak lebih daripada 5)

125

Kauteri kimia - keratosis, ketuat, angioma dan sebagainya (lesi lebih daripada 5)

250

Elektrolisis rambut bagi setiap sesi 250

Iontoforesis bagi setiap sesi 190

Iontoforesis transdermal 285

P.U. (A) 358 20

Tatacara laser kutaneus

Ablasi laser kutaneus bagi tumor kulit

(lesi kurang daripada 5)

290

Ablasi laser kutaneus bagi tumor kulit

(lesi 5 hingga 20)

660

Ablasi laser kutaneus bagi tumor kulit

(lesi lebih daripada 20)

860

Rawatan laser pigmen bagi pigmentasi kulit dan tatu - kawasan kecil (kurang daripada 9 sm2)

380

Rawatan laser pigmen bagi pigmentasi kulit dan tatu - kawasan bersaiz sederhana (9 sm2 hingga 50 sm2)

435

Rawatan laser pigmen bagi pigmentasi kulit dan tatu - kawasan besar (lebih daripada 50 sm2)

660

Rawatan laser pigmen bagi tatu bulu kening 380

Rawatan laser pigmen bagi tatu kelopak mata 435

Rawatan laser vaskular bagi lesi vaskular - kawasan kecil (kurang daripada 9 sm2)

380

Rawatan laser vaskular bagi lesi vaskular - kawasan bersaiz sederhana

(9 sm2 hingga 50 sm2)

435

Rawatan laser vaskular bagi lesi vaskular - kawasan besar

(lebih daripada 50 sm2)

660

Laser pelapisan semula bagi satu unit kosmetik (bukan ablatif)

860

Laser pelapisan semula bagi satu unit kosmetik (ablatif)

1145

Pembuangan bulu roma dengan bantuan laser/cahaya denyutan keamatan (IPL) -

kawasan kecil (kurang daripada 9 sm2)

380

Pembuangan bulu roma dengan bantuan laser/IPL - kawasan bersaiz sederhana

(9 sm2 hingga 50 sm2)

435

Pembuangan bulu roma dengan bantuan laser/IPL - kawasan besar (lebih daripada 50 sm2)

660

Pembuangan bulu roma dengan bantuan laser/IPL - keseluruhan muka 915

Pengelupasan kimia

Pengelupasan kimia bagi lesi kulit 290

P.U. (A) 358 21

- pengelupasan superfisial

Pengelupasan kimia bagi lesi kulit

- kedalaman sederhana 380

Pengelupasan kimia bagi lesi kulit

- pengelupasan dalam 660

Tatacara pelbagai

Ekstrak komedon bagi setiap sesi 190

Keratan hiperkeratosis, belulang dan sebagainya 190

Ekstraksi milia 190

Jagaan kejururawatan kulit harian bagi setiap sesi 190

Pembalutan keseluruhan badan

(cth: ekzema atopi)

230

Mikrodermabrasi - muka 345

Mikrodermabrasi - badan 570

Suntikan toksin botulinum bagi satu unit kosmetik 685

Suntikan pengisian bagi satu unit kosmetik 570

Telinga eksternal

Eksisi total telinga eksternal 1565 820

Eksisi abnormaliti preaurikular 1000 405

Eksisi lesi telinga eksternal 725 405

Pembuangan eksostoses daripada kanal auditori eksternal 1760 505

Rekonstruksi telinga eksternal menggunakan graf 2895 685

Rekonstruksi telinga eksternal 2145 685

Meatoplasti telinga eksternal 1565 505

Pembaikan telinga eksternal 405 405

Pembuangan bahan asing daripada kanal auditori eksternal di bawah anestatik umum (GA) (dan dwisisi)

370 265

Eksisi lesi kanal auditori eksternal 480 570

Rekonstruksi kanal auditori eksternal 2705 1125

Telinga tengah dan mastoid

Mastoidektomi radikal 2480 940

Mastoidektomi radikal diubah suai 2480 940

Mastoidektomi mudah 2305 625

Mastoidektomi tinjauan semula 2040 940

Peninjauperiksaan mastoid, saraf fasial 2305 940

P.U. (A) 358 22

Timpanoplasti 2145 940

Miringoplasti 2040 760

Miringotomi dan selitan tiub melalui membran timpanik (dan dwisisi)

865 355

Sedutan pembersihan telinga tengah 370 265

Miringotomi (dan dwisisi)

370 265

Osikuloplasti dengan/tanpa timpanoplasti 2705 940

Stapedektomi 2040 760

Eksisi tumor telinga tengah 2040 760

Polipektomi telinga tengah (dan dwisisi)

580 265

Timpanotomi dan biopsi lesi telinga tengah 1760 570

Petrosektomi 3600 2110

Telinga dalam

Elektrokokleografi transtimpanik 725

Pembedahan koklea 3600 1320

Pembedahan sak endolimfatik 2145 940

Labirintektomi bermembran 2390 940

Labirintektomi bertulang 2480 940

Eksisi sinus preaurikular - unilateral 1340

Eksisi sinus preaurikular - dwisisi 1760

Hidung dan kaviti hidung

Eksisi hidung total 1565 760

Septorinoplasti serta/tanpa graf/implan berikutan trauma atau eksisi tumor 2145 625

Rinoplasti berikutan trauma atau eksisi tumor 2040 625

Eksisi submukus septum hidung 1160 405

Eksisi lesi septum hidung 580 355

Biopsi lesi septum hidung 370 355

Penutupan tembusan septum hidung 1340 405

Insisi septum hidung 405 315

Septoplasti hidung 1340 435

Pengkauteran septum hidung (dan dwisisi)

315 265

Diatermi submukus turbinat hidung

(dan dwisisi)

405 265

Eksisi turbinat hidung (dan dwisisi)

725 405

Eksisi lesi turbinat hidung (dan dwisisi)

405 405

Pembahagian perekatan turbinat hidung

(dan dwisisi)

370 405

Biopsi lesi turbinat hidung (dan dwisisi)

370 405

Pengkauteran turbinat hidung (dan dwisisi)

370 265

P.U. (A) 358 23

Ligasi arteri hidung internal 1340 505

Embolisasi arteri hidung internal 1340 505

Pemadatan kaviti hidung (sebagai tatacara tunggal)

315 505

Polipektomi hidung internal (dan dwisisi)

480 355

Eksisi lesi hidung internal 405 355

Pembetulan atresia koana kongenital 1565 685

Pembuangan bahan asing daripada kaviti hidung 315 355

Eksisi lesi hidung eksternal 315 435

Sinus hidung

Penyaliran antrum maksila termasuk

Caldwell-Luc (dan dwisisi)

1000 435

Neurektomi transantral saraf vidian menggunakan pendekatan sublabial

(dan dwisisi)

1760 685

Punktur antral dan pembasuhan

(dan dwisisi)

480 265

Antrostomi intranasal termasuk endoskopik (dan dwisisi)

865 505

Penutupan fistula oro-antral 1340 435

Frontoetmoidektomi eksternal (dan dwisisi)

2145 760

Etmoidektomi intranasal (dan dwisisi)

1160 505

Etmoidektomi eksternal termasuk endoskopik (dan dwisisi)

1565 685

Pembukaan anterior dan posterior ke dalam pembedahan endoskopik fungsi sinus (FESS)

1760 685

Etmoidektomi transantral (dan dwisisi)

1565 685

Flap tulang sinus frontal (dan dwisisi)

2480 625

Membuat trefin sinus frontal 580 265

Frontoetmoidektomi radikal 2390 940

Pembedahan endoskopik fungsi sinus subtotal (FESS)

1565 685

Pembedahan ke atas sinus sfenoid 865 505

Pembedahan ke atas sinus hidung (tidak dinyatakan)

865 505

Rhinotomi lateral ke dalam sinus bagi malignansi 1760 625

Endoskopi diagnostik sinus (sebagai tatacara tunggal)

315 405

Tekak

Faringektomi total 5970 1815

P.U. (A) 358 24

Faringektomi separa 2305 1815

Adenoidektomi 405 265

Pembaikan farinks 2145 820

Eksisi terbuka lesi farinks 725 505

Pembedahan kantung faringeal 1890 685

Pembedahan endoskopik terapeutik farinks 580 405

Kantung faringeal - reseksi endoskopik 1890 625

Pemeriksaan endoskopik diagnostik farinks termasuk biopsi 580 405

Tonsilektomi - kanak-kanak (dan dwisisi)

1000 435

Tonsilektomi - dewasa (dan dwisisi)

1160 435

Eksisi tonsil lingual 865 435

Adenotonsilektomi (dan dwisisi)

1160 435

Penyaliran abses peritonsilar ("Quinsy")

315 315

Larinks dan trakea

Laringektomi total termasuk diseksi leher 3600 1815

Laringektomi separa 2145 985

Laringofisur dan kordektomi korda vokal 1760 625

Laringektomi (tidak termasuk diseksi leher)

2570 1320

Glottoplasty 1760 625

Rekonstruksi larinks dengan graf 3600 1815

Eksisi endoskopik lesi larinks termasuk mikrolaringoskopi 1160 570

Laringoskopi/endoskopi dengan biopsi 580 505

Suntikan ke dalam larinks 1160 505

Eksisi separa trakea dengan rekonstruksi 3600 2110

Trakeoplasti 1760 625

Penempatan terbuka prostesis di dalam trakea 1760 505

Trakeotomi 1000 570

Selitan mini-trakeostomi 580 405

Tatacara endoskopik gentian optik di bawah anestesia topikal

Pemeriksaan gentian optik trakea dan bronkus termasuk biopsi/pembuangan bahan asing 725 505

Lavaj bronkus (diagnosis atau terapeutik)

865

Pendilatan striktur trakea termasuk selitan sten 865

P.U. (A) 358 25

Pendilatan striktur bronkus oleh bronkoskop gentian optik 1000

Biopsi transbronkial 1000

Tatacara endoskopik GIT

Esofagoskopi tegar serta/tanpa biopsi/pembuangan/laser atau destruksi diatermi lesi 865 435

Esofagogastroduodenoskopi diagnostik termasuk biopsi 405 315

Esofagoduodenoskopi terapeutik termasuk pembuangan bahan asing/

polipektomi 580 435

Esofagogastroduodenoskopi terapeutik termasuk destruksi lesi, penyelitan prostesis, pendilatan, pengkanalan semula tumor 1000 435

Skleroterapi suntikan varises esofagus 1000 685

Intubasi bagi penyiasatan GIT serta/tanpa manometri, ukuran pH, fungsi pankreatik dan biopsi jejunal 480 315

Endoskopi dan pemeriksaan ilium melalui stoma termasuk pendilatan 580 315

Sigmoidoskopi fleksibel serta,/tanpa biopsi/pembuangan/pemusnahan lesi 580 435

Kolonoskopi gentian optik serta/tanpa eksisi biopsi/pemusnahan lesi 1000 435

Kolonoskopil gentian optik dan pengkanalan semula tumor 1565 435

Endoskopik kolangiopankreatografi retrograd (ERCP)

1160 505

ERCP dengan tatacara terapeutik 1760 505

Penyelitan sten pankreas 2040 760

Pembuangan batu pankreatik 2040 760

Penyaliran pseudosista pankreatik 2040 760

Ligasi gegelang getah varises 1000 405

PEG

1760 625

Reseksi mukosal endoskopik 2040 760

Polipektomi kolonik 1340 505

Pendilatan kolonik (belon)

1340 505

Penyelitan sten kolonik 1565 570

Tatacara terapeutik bagi pendarahan GIT

(atas)

1000 405

P.U. (A) 358 26

Tatacara laparoskopik

Pembaikan laparoskopik hernia hiatus 2145 760

Vagotomi/seromiotomi laparoskopik 2040 685

Gastrojejunostomi laparoskopik 2145 685

Gastrostomi/jejunostomi laparoskopik 1760 570

Penutupan laparoskopik ulser perut berliang 1890 685

Penutupan laparoskopik ulser duodenum berliang 1890 685

Reseksi laparoskopik usus kecil 1890 685

Apendisektomi laparoskopik 1565 570

Kolostomi laparoskopik 2040 760

Reseksi kolonik laparoskopik 2390 820

Reseksi anterior rektum dan eksteriorisasi usus laparoskopik 4750 1550

Rektopeksi laparoskopik 1890 940

Kolesistektomi laparoskopik 2480 1125

Kolesistektomi laparoskopik dengan kolangiogram peribedah 2705 1550

Splenektomi laparoskopik 1565 760

Pembaikan laparoskopik hernia groin 1160 505

Tatacara am

Angiogram fluoresin fundus 345

Fotografi anterior/fundus 65

Perimetri automasi 250

Carta Hess 125

Keratometri 65

Topografi kornea Ultrasonografi 250

Imbasan - A

125

Imbasan - B

250

Pakimetri 125

Gonioskopi 65

Oftalmoskopi tidak langsung 65

Refraksi 65

Ujian Schirmers 30

Elektrofisiologi

Elektroretinogram

(ERG)/Elektrookulogram (EOG)/Tindak balas ditimbulkan visual (VER)

250

Pemancitan 125

Cucian 35

Irigasi 65

Eksisi/pengkuretan/krioterapi lesi kelopak mata 370 265

P.U. (A) 358 27

Pemecahan foto laser Yag ke atas kapsul posterior kanta termasuk kapsulotomi laser 580 505

Koagulasifoto laser/Krioterapi/Radioterapi lesi retina

(dan dwisisi)

1000 405

Angiografi fluoresin mata 315 265

Pembedahan pembetulan juling (satu atau kedua-dua mata)

1890 625

Pembedahan trabekulektomi 2040 760

Trabekulektomi termasuk laser 1160 570

Biopsi lesi kelopak mata 480 315

Ekstraksi ekstrakapsular tanpa implan 2145 820

Ekstraksi ekstrakapsular dengan implan 2570 940

Glob atau orbit

Eksenterasi orbit 2040 760

Enukleasi bola mata 2040 685

Eksisi lesi orbit 1890 685

Rekonstruksi kaviti orbit 2305 760

Biopsi lesi orbit 1160 505

Penyaliran orbit 1340 355

Dekompresi orbit 2305 685

Pembuangan bahan asing daripada orbit 1890 685

Eksplorasi orbit 1890 685

Reduksi terbuka orbit patah 1340 685

Suntikan retrobulba 315 265

Eviserasi bola mata 2040 760

Implan orbital - Eviserasi/Enukleasi dengan implan 2390

Bulu kening dan kelopak

Eksisi lesi bulu kening 580 405

Jahitan bulu kening 315 405

Eksisi lesi kantus 1000 505

Pembetulan epikantus 1160 505

Pembetulan telekantus 1160 505

Graf kulit kantus 1000 505

Kantotomi/Pengkuretan 580 505

Eksisi/Pengkuretan/Krioterapi lesi kelopak mata 370 265

Graf kulit kelopak mata 1000 505

Pembetulan ektropion 1160 405

Pembetulan entropion 1160 405

Pembetulan trikiasis 405 405

Tarsorafi 865 405

Rekonstruksi total kelopak mata 1890 505

P.U. (A) 358 28

Jahitan kelopak mata (laserasi)

405 405

Rekonstruksi total kelopak mata - dwisisi 2895 820

Pembetulan ptosis kelopak mata 1760 625

Tarsomulerektomi 1760 505

Penyaliran lesi kelopak mata 370 355

Biopsi lesi kelopak mata 480 315

Pembuangan bulu mata melalui elektrolilis/laser/krioterapi 370 265

Sistem lakrimal

Kanalikulo dakriosistorinostomi 2390 940

Konjunktivo dakriosistorinostomi 2390 940

Dakriosistorinostomi (DCR)

dengan/tanpa pemasukan tiub 2040 940

Eksisi kantung lakrimal 1000 505

Biopsi kantung lakrimal 580 505

Insisi kantung lakrimal 370 405

Pemancitan sistem nasolakrimal di bawah anestesia am (GA)

315 265

Penguaran kantung nasolakrimal di bawah GA

315 265

Pembaikan kanalikulus koyak 1000 265

Pendilatan punktum lakrimal di bawah

GA

315 265

DCR endoskopik 2570 1320

Otot

Pembedahan pembetulan juling (satu atau kedua-dua mata)

1890 625

Pembedahan tinjauan semula juling (satu atau kedua-dua mata)

2305 570

Tenotomi otot (satu atau kedua-dua mata)

1340 570

Transposisi otot (satu atau kedua-dua mata)

1760 570

Pembedahan pembetulan juling dengan jahitan boleh ubah (satu atau kedua-dua mata)

2480 685

Pembedahan tinjauan semula juling dengan sutur boleh ubah (satu atau kedua-dua mata)

2895 940

Pembetulan juling dengan toksin botulinum 1000

Konjunktiva

Eksisi lesi konjunktiva 480 505

P.U. (A) 358 29

Pengkauteran termasuk krioterapi ke atas lesi konjunktiva 315 505

Radioterapi lesi konjunktiva 580 505

Graf mukosa konjunktiva 1160 505

Jahitan konjunktiva 480 505

Pembuangan jahitan konjunktiva 315 435

Penyaliran sista konjunktiva 315 435

Pembahagian perekatan konjunktiva 315 435

Biopsi lesi konjunktiva 315 435

Suntikan subkonjunktival 315 435

Eksplorasi konjunktiva termasuk pembuangan bahan asing 370 435

Eksisi pterigium 1340 505

Graf limbal konjunktiva 725

Kornea

Eksisi lesi kornea 480 435

Krioterapi lesi kornea 315 435

Graf lameliar (Keratoplasti) kornea 2390 940

Graf penembusan (Keratoplasti) kornea 2390 940

Pembaikan luka kornea 580 505

Pembuangan jahitan kornea 315 405

Pembuangan bahan asing kornea superfisial 405 435

Jahitan ketegangan 1340 625

Pengelatan kornea 725 405

Pentatuan kornea 725 405

Kikisan kornea untuk kultur 405 405

Keratoplasti refraktif 1760 625

Keratektomi fotorefraktif

(PRK)/Keratektomi fototerapeutik (PTK)

2145 820

Keratomileusis laser in situ (LASIK)

3600 2110

Graf lamellar (Keratoplasti) kornea 3600

Menjalankan graf (Keratoplasti) kornea 2895

Pemindahan sel stem limbal 2705

Graf membran amniotik 1160

Punktur stromal anterior 865

Keratotomi astigmatic 1565

Sklera

Eksisi lesi sklera 725 570

Pembaikan laserasi sklera 725 570

Graf sklera 1565 570

lris dan ruang anterior

Iridosikletomi 2390 940

Pembedahan iridektomi 1160 685

P.U. (A) 358 30

Pembedahan trabekulektomi 2040 760

Trabekuloplasti laser 1000 570

Trabekulotomi termasuk laser 1160 570

Goniotomi (rawatan pembedahan glaukoma)

1890 570

Iridotomi laser 1160 505

Pembaikan prolaps iris 1890 685

Eksisi lesi iris 1890 685

Pembuangan bahan asing daripada iris 1890 685

Siklosioterapi (pengkauteran badan siliari)

1160 505

Siklodialisis (pemisahan badan siliari)

1760 685

Pemulihan ruang anterior 1565 570

Parasentesis 1000 435

Suntikan ke dalam ruang anterior 480 435

lrigasi ruang anterior 480 435

Pembuangan bahan asing dari ruang anterior 1160 435

Implan injap di dalam glaukoma 2895 1815

Pembedahan trabekulektomi 2040 760

Siklofotokoagulasi 1565 570

Kanta

Ekstraksi ekstrakapsular tanpa implan

- dwisisi 3600 1320

Ekstraksi ekstrakapsular tanpa implan

- unilateral 2145 820

Phakoemulsifikasi lensa dengan/tanpa implan 2570 940

Ekstraksi ekstrakapsular dengan implan 2570 940

Ekstraksi ekstrakapsular dengan implan

- dwisisi 4750 1550

Gangguan/pemecahan foto laser Yag ke atas kapsul posterior kanta termasuk kapsulotomi laser 580 505

Insersi sekunder kanta implan 1760 685

Tinjauan semula kanta implan 1760 685

Pembuangan kanta implan 1340 505

Pembedahan insisi kecil dengan/tanpa kanta intraokular (IOL)

2705 1550

Pembedahan katarak dalam kes-kes rumit (cth: kanta terdislokasi dengan/

tanpa implant)

3600

Fiksasi skleral kanta intraokular 2390

Vitreus

Vitrektomi oleh pendekatan anterior 1760 760

P.U. (A) 358 31

Vitrektomi pendekatan pars plana dengan insersi tamponad dalaman 2570 1320

Vitrektomi bergabung dengan membranektomi/insersi tamponad dalaman/laser atau krioterapi 3600 2110

Retina

Lengkok sklera termasuk implan/pemusingan eksplan/minyak silikon/pertukaran gas/laser atau krioterapi 2145 820

Pembuangan minyak silikon 865 355

Fotokoagulasi laser/krioterapi/radioterapi lesi retina

(dan dwisisi)

1000 405

Eksisi lesi retina 2145 940

Biopsi lesi retina 2145 505

Vitrektomi pars plana dengan pembuangan IOL/kanta terdislokasi 5970 2930

Vitrektomi pars plana dengan pembuangan bahan asing intaokular 5970 2930

Lengkok sklera dengan vitrektomi trans pars plana 7030 3305

Biopsi

Biopsi berpandukan fluoroskopi 725

Biopsi berpandukan ultrasound 865

Biopsi berpandukan CT/MRI

1000

Biopsi hepar

Transjugular/Transfemoral/Palam 1340

Penyaliran

Penyaliran cecair terkumpul berpandukan fluoroskopi 725

Penyaliran cecair terkumpul berpandukan ultrasound

1340

Penyaliran cecair terkumpul berpandukan CT/MRI

1565

Angioplasti

Angioplasti 1760

Angioplasti dengan insersi sten logam 1890

Angioplasti dengan insersi sten logam graf 2040

P.U. (A) 358 32

Insersi sten logam graf aorta 4750 1550

Angioplasti serebrum dengan/tanpa insersi sten logam 4750 1125

Angioplasti serebrum dengan insersi sten logam graf 4750 1125

Embolisasi

Embolisasi arteri atau vena 1890

Embolisasi jisim vaskular termasuk embolisasi uterin 2895

Embolisasi arteri bronkial 3600

Embolisasi aneurisme 5970

Embolisasi malformasi arteriovenus 7030

Trombolisis

Trombolisis atau sedutan trombus di bawah kawalan Pengimejan 1340

Pendilatan

Pendilatan penyempitan di bawah kawalan pengimejan 1160

Pendilatan perkutaneus striktur biliari di bawah kawalan Pengimejan 2305

Kepala dan leher

Ekstraksi batu endoluminal daripada duktus liur di bawah kawalan Pengimejan 725

Insersi sten nasolakrimal di bawah kawalan pengimejan 2040

Kepala dan leher spina

Kemonukleolisis 1160

Disektomi berpandukan fluoroskopi termasuk laser 2145

Disektomi berpandukan CT termasuk laser 2895

Vertebroplasti perkutaneus berpandukan fluoroskopi 2145

Vertebroplasti perkutaneus berpandukan

CT

2895

Toraks

Insersi sten logam trakeal/bronkial 1760

Insersi sten logam esofageal di bawah kawalan pengimejan 1565

P.U. (A) 358 33

Gastro usus

Gastrostomi Perkutaneus 1760

Gastrojejunostomi Perkutaneus 2145

Hepar

Kolesistektomi Perkutaneus 1890

Insersi perkutaneus endoprostesis biliari plastik 1890

Insersi perkutaneus endoprostesis biliari logam 2390

Transjugular pintasan intrahepatik portosistemik 2895 1815

Urinari

Nefrostomi Perkutaneus 1340

Pembuangan kalkulus Perkutaneus 2705

Pilolisis Perkutaneus 2705

Lain-lain

Insersi kateter vena sentral - tidak tembus (berpandukan sinar-X)

725

Insersi kateter vena sentral - tembus

(berpandukan sinar-X)

1160

Ablasi sista di bawah kawalan pengimejan 1160

Pemasukan penyaring vena cava 1340

Pencarian bahan asing di bawah panduan sinar-X

1565

Penutupan fistula di bawah kawalan pengimejan 2145

Koagulasi laser perkutaneus jisim 3600

Laporan ujian neurofisiologi

Elekroensefalogram (EEG) - rutin dan tidur atau mudah alih 315

Kajian potensial pembangkitan - potensial pembangkitan visual (VEP), potensial rangsangan pembangkitan auditori stem otak (BAEP) dan potensial pembangkitan somatosensori (SSEP)

580

Elektromiogram (EMG) dan kajian konduksi saraf 580

Kajian konduksi saraf 315

P.U. (A) 358 34

Neurosurgeri

Dekompresi dan cantuman pertemuan kranio servikal 7030 3305

Kraniotomi tumor supraselar 7030 3305

Kraniotomi tumor fosa posterior 7030 3305

Rizotomi posterior selektif 5970 2930

Disektomi endoskopik 7030

Laminektomi servikal 3600

Kehamilan dan pantang

Kelahiran caesarean 1890 820

Histerektomi caesarean 2390 820

Pengkuretan uterus bersalin 480 405

Penempatan semula uterus songsang 725 685

Tranfusi pertukaran darah neonatal 1000

Organ reproduktif wanita

Uterus/Adneksa

Histerektomi radikal dan limfadenektomi

(Wertheim's)

4750 1550

Histerektomi total abdomen 2040 760

Histerektomi subtotal abdomen 2040 760

Histerektomi dan pembuangan adneksa uterus 2040 760

Histerektomi vagina termasuk bantuan laparoskopik 2040 760

Histerektomi dan pembuangan adneksa uterus bagi ketumbuhan malignan ovari 2895 820

Miomektomi termasuk laparoskopik 2040 760

Rekonstruksi plastik uterus 1565 685

Pembedahan endoskopik terapeutik uterus termasuk ablasi endometrial 1565 685

Histeroskopi dengan/tanpa D&C , biopsi termasuk polipektomi 865 435

Biopsi atau penyedutan endometrium 405 265

Ooforektomi dan salpigektomi dwisisi dalam isolasi 1890 685

Ooforektomi dan salpingektomi sisi tunggal dalam isolasi 1340 685

Pembuangan produk konsepsi daripada tiub falopian (kehamilan ektopik)

termasuk laparoskopik 1760 760

Laparoskopi termasuk (cth: punktur sisia ovari serta/tanpa biopsi)

1160 570

P.U. (A) 358 35

Tatacara laparoskopi dan terapeutik termasuk laser, diatermi dan pemusnahan

(cth: endometriosis, adesiolisis pembedahan tiub dan tumor pejal)

1890 760

Sistektomi ovari (tidak termasuk dalam tatacara lain) (dan dwisisi)

1890 685

Diseksi blok nodus limfa pelvik (tidak termasuk dalam tatacara lain)

2040 760

Eksenterasi penuh pelvis 5970 2930

Eksenterasi anterior pelvis 4750 1815

Eksenterasi posterior pelvis 4750 1815

Gantungan

Pembedahan bergabung abdomen dan vagina bagi menyokong saluran keluar pundi kencing wanita 1890 685

Pembedahan anduh suprapubik 1890 760

Gantungan retropubik leher pundi kencing 1890 685

Pembedahan vagina bagi menyokong saluran keluar pundi kencing wanita 1890 685

Ventro-gantungan uterus termasuk laparoskopi 1340 625

Serviks uteri

Kolposkopi (dengan/tanpa biopsi)

370

Amputasi uferi serviks 1160 505

Pemusnahan laser lesi serviks uterus 370 265

Pengkauteran lesi serviks uterus termasuk diatermi gelung 370 265

Biopsi kon serviks uterus termasuk laser 865 505

Biopsi tebuk serviks uterus 315 265

Pendilatan serviks uterus dan pengkuretan uterus termasuk polipektomi dan diatermi serviks

(bagi wanita melebihi umur 40 tahun)

480 315

Vagina/Perineum

Sistouretroplasti 1760 685

Eksisi/Diatermi karunkel uretra 370 265

Pembedahan Perineum wanita 480 265

Insisi introitus vagina 480 505

Obliterasi lain vagina 1890 760

Eksisi septum vagina 725 505

Eksisi lesi vagina (cth: ketuat dan sista)

865 505

Rekontruksi vagina 2705 820

P.U. (A) 358 36

Kolporafi anterior serta/tanpa posterior dan amputasi uterus serviks termasuk pembaikan primer enterosele 2040 685

Kolporafi posterior 1340 625

Kolporafi anterior serta/tanpa posterior termasuk pembaikan primer enterosele 1890 685

Pembaikan enterosele (dalam isolasi)

serta/tanpa kolporafi posterior 1760 685

Kolporafi anterior serta/tanpa posterior dengan histerektomi vagina termasuk pembaikan primer enterosele 2480 820

Pembaikan fistula vesikovaginal 2145 820

Pembaikan fistula uretrovaginal 1890 820

Pembaikan fistula rektovaginal 2480 820

Pembaikan fistula ureterovaginal 2480 820

Vulva/Labia

Eksisi kelenjar Bartholin 865 355

Marsupialisasi kelenjar Bartholin 865 355

Vulvektomi mudah 2145 760

Eksisi tisu labial berlebihan 725 435

Vulvektomi radikal termasuk diseksi blok kelenjar inguinal 2895 985

Eksisi lesi vulva 580 355

Penyaliran abses paru-paru 2480 1125

Laparotomi NEC

4750 2500

Penutupan peringkat tunggal epispadias 3600 2110

Eksisi barah kemuncak neural (torasik)

3600 2110

Eksisi transternal teratoma 3600 2110

Eksisi transternal limfangioma 4750 2500

Endoskopi dan kanulasi fistula trakea 1565 570

Eksisi sista bronkial 3600 2110

Pembaikan paru-paru 2895 1815

Eksisi duplikasi esofageal 3600 2110

Pembaikan jenis H bagi Tetralogi Fallot

(TOF)

3600 2110

Pembaikan belah trakeo-esofageal 5970 2930

Torakotomi dan pembaikan primer atresia esofageal 4750 2500

Pembaikan TOF berulang 5970 2930

Torakotomi dan pembahagian fistula 2895 1815

Esofagostomi 1760 625

Transeksyen esofageal 2705 1550

P.U. (A) 358 37

Rectosigmoidektomi dengan rekonstruksi koloanal bagi penyakit Hirshsprung 4750 2500

Modifikasi Lester-Martin Duhamel 5970 2930

Pembedahan Kimura bagi aganglionosis kolonik total 7030 3305

Tampalan ileosekal/jejunal bagi aganglionosis kolonik total 7030 3305

Suntikan prasakral larutan garam hipertonik 480 265

Insersi jahitan mengelilingi sfinkter perianal 480 265

Anorektoplasti sagital posterior 3600 2110

Anorektoplasti sagital posterior dengan laparotomi bagi anomali anorektal jenis tinggi 4750 2500

Anorektoplasti sagital anterior 2895 1815

Pull-through sakroperineal 2895 1815

Anorektorvaginouretoplasti sagital posterior bagi kloakal jenis pertengahan 5970 2930

Anorektovaginouretoplasti sagital posterior dengan laparotomi bagi jenis tinggi 7030 3305

Pembuatan semula anaorektoplasti sagital posterior bagi anomoli anorektal 5970 2930

Anoplasti 1760 625

Penyaliran sista koledokal 2390 985

Pembedahan Kasai bagi biliari atresia 7030 3305

Splenektomi subtotal 3600 2110

Pembaikan limpa 2705 1550

Aortopeksi (bagi trakriomalasia)

3600 2110

Insersi perkutaneus tiub nefrostomi 1160 435

Ureterostomi kutaneus 1565 570

Eksisi ureterosil 2480 1125

Eksisi ureterosil ektopik 2570 1320

Penutupan eksostrofi pundi kencing 5970 2930

Penukaran ekstrofi klokal kepada ekstrofi pundi kencing dengan kolostomi akhir 4750 2500

Penukaran ekstrofi klokal, ileostomi, pemisahan sekum daripada kedua-dua pundi kencing hemibladders 7030 3305

Vesikostomi 1760 625

Apendikovasikostomi Mitrofanoff 3600 2110

Pembaikan hipospadias kelenjar

(cth: MAGPI)

1565 570

Pembaikan hipospadias penis distal

(cth: pembaikan Flip-flap)

2390 985

Penutupan fistula uretra 1000 405

P.U. (A) 358 38

Pembaikan peringkat pertama hipospadias penis 1565 570

Pembaikan flap pulau peringkat tunggal proksimal atau hipospadias penoskrotal 3600 2110

Pembaikan peringkat tunggal bagi hipospadias dengan transposisi penoskrotal 4750 2500

Rekonstruksi lelaki peringkat tunggal dengan vaginektomi bagi genitalia meragukan 7030 3305

Pembetulan transposisi penoskrotal 1890 685

Pembetulan kordae tanpa hipospadias

(tiada keperluan bagi dretroplasti)

1565 570

Pembaikan peringkat kedua hipospadias 1565 570

Pembetulan kordae penis tanpa hipospadias yang memerlukan uretroplasti 2895 1815

Pembaikan hipospadias dengan graf bebas pundi kencing atau mukosa mulut 4750 2500

Eksplorasi skrotum 1000 405

Pemindahan mikrovaskular testis ke skrotum 2705 1550

Laparoskopi dan orkidopeksi bagi testis intraabdomen 2145 820

Laparotomi dan pengikatan arteri testikular 865 355

Pembahagian laparoskopik arteri testikular 1565 570

Pembelahan dorsal prepus 405 265

Reduksi klitoroplasti bagi hiperplasia adrenal congenital 2705 1550

Reduksi klitoroplasti dengan vaginoplasti bagi hiperplasia adrenal kongenital 4750 2500

Reduksi klitoroplasti, laparotomi dan vaginoplasti-kolon sigmoid 7030 3305

Reduksi semula klitoroplasti dengan vaginoplasti - semula dengan laporotomi dan sigmoid 7030 3305

Eksisi sistik higroma servikal - kecil 1160 435

Eksisi sistik higroma servikal - besar 2480 1125

Eksisi sistik higroma servikal -

menyeluruh/ekstensif 3600 2110

Pembetulan hidrosil - unilateral 1000

Pembetulan hidrosil - dwisisi 1760

Penutupan eksomfalos major/gastroskisis

- penutupan primer

3600

P.U. (A) 358 39

Penutupan eksomfalos major/gastroskisis

- penutupan silastik 2145

Penutupan eksomfalos major/gastroskisis

- penutupan primer tertunda 2570

Dislokasi kongenital pinggul (CDH)

Reduksi tertutup dengan/tanpa bius dan spika pinggul 865 355

Reduksi tertutup dengan pemakaian alat sokongan 315 265

Reduksi terbuka dengan dengan spika pinggul 1890 685

Reduksi terbuka dengan osteotomi pelvik 2305 940

Reduksi terbuka dengan osteotomi femoral 2305 940

Reduksi terbuka dengan osteotomi pelvik dan femoral

2705 1550

Lutut

Pembetulan kecacatan melalui penuangan bersiri 315 265

Pembetulan kecacatan dengan pelepasan tisu lembut 1340 505

Pembetulan kecacatan melalui osteotomi 2305 940

Penstabilan patela melalui penuangan 1160 435

Pseudoartrodesis

Eksisi dan graf hidup 2895 1815

Eksisi dan pemindahan tulang 2705 1550

Pemanjangan tulang dan pembetulan kecacatan

Menggunakan rangka bulat 2705 1550

Menggunakan rangka uniaksial 2480 1125

Menggunakan rangka bulat dan uniaksial

(digabungkan)

2705 1550

Kaki

Pembetulan kaki belantan melalui penuangan 315 265

Pembetulan kaki belantan melalui pemanjangan tendon Achilles 725 315

Pembetulan kaki belantan melalui pelepasan tisu lembut sepenuhnya 1760 625

Pembetulan kaki belantan melalui rangka bulat

1760 625

P.U. (A) 358 40

Pembetulan kecacatan melalui pemindahan tendon dan pelepasan tisu lembut 2145 820

Pembetulan kecacatan melalui osteotomi dan cantuman tulang 2145 820

Artrodesis 2145 820

Polio dan Palsi serebrum

Pelepasan tisu lembut dan neurektomi pinggul - dwisisi 1340 505

Pelepasan tisu lembut lutut - dwisisi 1340 505

Pelepasan tisu lembut pergelangan kaki -

dwisisi 1340 505

Pemindahan tendon 1565 570

Atrodesis

2145 820

Reseksi tumor dan penyelamatan anggota

Tumor tisu lembut - mudah 2145 820

Tumor tisu lembut - kompleks termasuk rekonstruksi neurovaskular 7030 3305

Tumor tulang dengan endoprostesis 7030 3305

Eksisi spesimen tidak kompleks –

(cth: apendiks, tiub fallopian, vas, tonsil, adenoid, sista sebaseus, polip hidung, injap jantung)

55 - 70

Eksisi spesimen lebih kompleks

Biopli diagnostik (baji/tebuk/trucut)

(satu blok parafin)

115 - 135

Spesimen saiz pertengahan –

(cth: mata, kelenjar air liur,tiroid,ketulan payudara, pundi hempedu,cebisan prostat, splenektomi, histerekromi, mudah, sista ovari,keratan ulser diabetik, keratan tumor tidak lebih daripada 10 sm, biopsi diagnostik dihantar sebagai 2

hingga 3 spesimen berasingan)

170 - 225

Spesimen besar-

(cth: laringektomi, pneurnonektomi, mastektomi biasa, wayar penyangkut payudara dengan jidar, gastrektomi, reseksi usus, nefreketomi, histerktomi total dan salfingoooferektomi dwisisi

(TAHBSO), biopsi kon, potongan anggota 345 - 420

P.U. (A) 358 41

(kecuali diabetes), keratan tumor lebih daripada 10 sm, biopsi diagnostik dihantar sebagai 4 hingga 10 spesimen berasingan)

Spesimen radikal –

(cth: keratan radikal leher, mastektomi dengan pembersihan aksilari, Whipple's

Wertheim's, vulvektomi dengan adenektomi limfa, dan sebarang pemotongan radikal yang lain yang memerlukan margin dan status kelenjar limfa)

440 - 490

Histopatologi pengkhususan

Hepar bagi keadaan bukan neoplastik termasuk pewarna khusus 205 - 240

Otot termasuk pewarna khusus 280 - 345

Biopsi buah pinggang termasuk pewarna khusus dan imunofluoresen 410 - 485

Kecelaruan limfoproliferatif termasuk imunohistofenotaiping limfoma 280 - 345

Seksyen beku (dengan seksyen laporan paraffin susulan)

410 - 555

Autopsi

Lawatan ke tempat jenayah 410 - 685

Tatacara dan laporan 685 - 1375

Sitopatologi

Laporan calitan ginekologi 45 - 50

Laporan calitan bukan ginekologi 85 - 95

Tatacara sedutan sitologi 315

Laporan sedutan sitologi 165 - 205

Hematologi dan transfusi

Laporan berdasarkan filem darah 45 - 70

Tatacara sedutan sum-sum tulang 480

Laporan sedutan sum-sum tulang 135 - 275

Tatacara trefin sum-sum tulang 580 405

Laporan trefin sum-sum tulang 135 - 275

Laporan ujian koagulasi 70 - 135

Laporan kajian ke atas hematologi khusus

- (cth: status folat-B12, ujian Coomb's, analisis hemoglobin, sitokemistri, dsb.)

70 - 135

Laporan transfusi asas

-

(cth: perbezaan kumpulan dan ketidakserasian darah/produk darah)

45 - 70

Laporan masalah transfusi 135 - 275

Feresis 1000

P.U. (A) 358 42

Tuaian sum-sum tulang 1340

Graf sum-sum tulang 1340

Genetik

Kajian kromosom imunofluoresen 135 - 410

Imunofenotaiping 135 - 410

Kandungan asid deoksiribonukleik

(DNA)(Ploidi)

135 - 410

Kajian penyusunan semula baka 135 - 410

Subset limfosit 135 - 410

Laporan kajian genetik molekular lain 135 - 410

Ujian paterniti 135 - 410

Penjenisan antigen leukosit manusia

(HLA)

135 - 410

Imunologi

Laporan penyelidikan imunologi umum

(cth: saringan penyakit autoimun, saringan autoantibodi)

40 - 70

Laporan ujian imunologi khusus

(cth: elektroforesis protin serum, elektroforesis cecair serebrospinal (CSF), imunotaiping protin monoklonal, imunofenotaiping kecelaruan imun, ujian protinurit, kajian fungsi sel)

70 - 275

Mikrobiologi perubatan

Laporan kultur dan sensitiviti rutin 15 - 20

Laporan kultur khusus 70 - 135

Laporan pemeriksaan calitan terus

(gram/basili fast asid (AFB))

45 - 55

Laporan ujian serologi 45 - 55

Laporan ujian serologi khusus 70 - 135

Laporan bagi ujian kerentanan antimikrobial (per ujian)

105 - 205

Perundingan atas perawatan pesakit

(siasatan dan terapi empirikal)

105 - 135

Pemeriksaan calitan kultur darah positif dan laporan awal dengan perundingan bagi perawatan pesakit 135 - 205

Perundingan kawalan jangkitan 135 - 205

Laporan penemuan antijen

(Imunofluoresen, Esei imunosoiben dihubungkan enzim IgG (ELISA), lateks/koaglutinasi)

70 - 105

P.U. (A) 358 43

Patologi kimia

Laporan profil kimia umum

(cth: hepar,tulang, jantung)

45 - 70

Laporan saringan kimia umum termasuk saringan eksekutif 70 - 205

Laporan siasatan kimia khusus

(cth: kajian metabolik (lipid, tulang)

kecelaruan endokrin, kajian toksikologi, pemantauan ubatan terapeutik penilaian kesihatan ibu dan janin)

70 - 410

Laporan kajian dinamik

(cth: kajian fungsi (GIT, endokrin, renal))

115 - 410

Perundingan bagi -

Strategi siasatan 105 - 135

Variasi bukan analitikal 105 - 135

Gangguan ubatan 105 - 135

Korelasi di antara data klinikal dan maklumat klinikal yang disediakan 105 - 135

Pelbagai

Mikroskopi elektron 340 - 410

Pandangan kedua -

Mentafsir data dan slaid sumsum tulang 135 - 275

Histopatologi dan sitopatologi 275 - 685

Penemuan autopsi 275 - 1375

Psikoterapi perseorangan - tidak kurang daripada 45 minit bagi setiap sesi termasuk terapi tingkah laku dan hipnoterapi 250

Psikoterapi berkumpulan bagi setiap seorang - satu jam bagi setiap kumpulan yang tidak kurang daripada tiga orang pesakit dan tidak lebih daripada lapan orang pesakit 65

Terapi perkahwinan bagi setiap pasangan

- tidak kurang daripada 45 minit bagi setiap sesi bagi suatu pasangan serentak 250

Terapi keluarga bagi setiap keluarga

- tidak kurang daripada 45 minit bagi setiap sesi dan tidak kurang daripada tiga anggota 250

Psikoterapi kanak-kanak - tidak kurang daripada 30 minit bagi setiap sesi 250

P.U. (A) 358 44

termasuk temuduga keluarga berkaitan

Setiap terapi elektrokonvulsif (ECT)

315

Nota: Jika berkenaan, fi pakar radiologi menjadi 30% daripada jumlah fi yang boleh dicajkan bagi radiologi dan imejan diagnostik.

Dada

Dada (satu pandangan)

45

Dada (dua pandangan)

70

Dada (tiga pandangan)

90

Dada (empat pandangan)

115

Abdomen

Abdomen (satu pandangan)

45

Abdomen (dua pandangan)

70

Abdomen (tiga pandangan)

90

Ginjal, ureter dan pundi kencing (KUB)

(satu pandangan)

115

Pelvimetri lateral 55

Pelvimetri antero-posterior (AP) dan lateral 90

Spina

Spina servikal (satu pandangan)

45

Spina servikal (dua pandangan)

70

Spina servikal (tiga pandangan)

92

Spina servikal (empat pandangan)

115

Spina servikal (lima pandangan)

135

Spina torasik (satu pandangan)

45

Spina torasik (dua pandangan)

70

Spina torasik (tiga pandangan)

90

Spina lumbo-sakral (satu pandangan)

45

Spina lumbo-sakral (dua pandangan)

70

Spina lumbo-sakral (tiga pandangan)

90

Spina lumbo-sakral (empat pandangan)

115

Kaji selidik skeletal 250

Tengkorak

Tengkorak (satu pandangan)

45

Tengkorak (dua pandangan)

70

Tengkorak (tiga pandangan)

90

Tengkorak (empat pandangan)

115

Tulang muka

P.U. (A) 358 45

Tulang muka (satu pandangan)

45

Tulang muka (dua pandangan)

70

Tulang muka (tiga pandangan)

90

Tulang hidung (satu pandangan)

45

Mandibel

Mandibel (satu pandangan)

45

Mandibel (dua pandangan)

70

Mandibel (tiga pandangan)

90

Sendi temporo-mandibular

Sendi temporo-mandibular (satu pandangan)

45

Sendi temporo-mandibular (dua pandangan)

70

Sendi temporo-mandibular (tiga pandangan)

90

Sendi temporo-mandibular (empat pandangan)

115

Mastoid

Mastoid (satu pandangan)

45

Mastoid (dua pandangan)

75

Mastoid (tiga pandangan)

110

Mastoid (empat pandangan)

130

Sinus paranasal

Sinus paranasal (satu pandangan)

45

Sinus paranasal (dua pandangan)

70

Sinus paranasal (tiga pandangan)

90

Pandangan foramina optik

Sesisi 70

Dwisisi 105

Orbit

Orbit (dua pandangan)

45

Orbit (tiga pandangan)

70

Orbit (empat pandangan)

90

Kanal auditori internal

Kanal auditori internal (satu pandangan)

45

Kanal auditori internal (dua pandangan)

70

Kanal auditori internal (tiga pandangan)

90

Bahu

Bahu (satu pandangan)

45

P.U. (A) 358 46

Bahu (dua pandangan)

70

Bahu (tiga pandangan)

90

Bahu (empat pandangan)

115

Sendi akromioklavikular - kedua-dua belah menanggung berat 55

Lengan atas (Humerus)

Lengan atas (satu pandangan)

45

Lengan atas (dua pandangan)

70

Sendi siku

Sendi siku (satu pandangan)

45

Sendi siku (dua pandangan)

70

Sendi siku (tiga pandangan)

90

Sendi siku (empat pandangan)

115

Lengan bawah (Radius/Ulna)

Lengan bawah (satu pandangan)

45

Lengan bawah (dua pandangan)

70

Sendi pergelangan tangan

Sendi pergelangan tangan (satu pandangan)

45

Sendi pergelangan tangan (dua pandangan)

70

Sendi pergelangan tangan (tiga pandangan)

90

Sendi pergelangan tangan (empat pandangan)

115

Tangan

Tangan (sebelah - satu pandangan)

45

Tangan (sebelah - dua pandangan)

70

Tangan (sebelah - tiga pandangan)

90

Tangan (kedua-dua belah - satu pandangan)

55

Tangan (kedua-dua belah - dua pandangan)

80

Tangan (kedua-dua belah - tiga pandangan)

105

Tangan kiri bagi usia tulang 45

Ibu jari atau setiap jari lain

Ibu jari atau setiap jari lain (satu pandangan)

30

Ibu jari atau setiap jari lain (dua pandangan)

40

P.U. (A) 358 47

Klavikel

Klavikel (satu pandangan)

45

Klavikel (dua pandangan)

70

Sendi sterno-klavikel

Sendi sterno-klavikel (satu pandangan)

45

Sendi sterno-klavikel (dua pandangan)

70

Sendi sterno-klavikel (tiga pandangan)

90

Sternum (satu pandangan)

45

Skapula

Skapula (satu pandangan)

45

Skapula (dua pandangan)

70

Pandangan kanal karpal 70

Pandangan skafoid 90

Pelvis

Pelvis (satu pandangan)

50

Pelvis (dua pandangan)

75

Pelvis (tiga pandangan)

95

Sendi pinggul

Sendi pinggul (satu pandangan)

50

Sendi pinggul (dua pandangan)

75

Sendi pinggul (tiga pandangan)

95

Sendi pinggul (empat pandangan)

120

Sendi pinggul (lima pandangan)

145

Femur (paha)

Femur (satu pandangan)

50

Femur (dua pandangan)

70

Lutut

Lutut (satu pandangan)

45

Lutut (dua pandangan)

70

Lutut (tiga pandangan)

90

Lutut (empat pandangan)

115

Lutut (lima pandangan)

135

Tulang keting (Tibia/Fibula)

Tulang keting (satu pandangan)

45

Tulang keting (dua pandangan)

70

Pergelangan kaki

Pergelangan kaki (satu pandangan)

45

Pergelangan kaki (dua pandangan)

70

P.U. (A) 358 48

Pergelangan kaki (tiga pandangan)

90

Pergelangan kaki (empat pandangan)

115

Pergelangan kaki (lima pandangan)

135

Kaki

Kaki (satu pandangan)

45

Kaki (dua pandangan)

70

Kaki (tiga pandangan)

90

Kedua-dua belah kaki (dua pandangan)

80

Kedua-dua belah kaki (tiga pandangan)

105

Sendi subtalar

Sendi subtalar (satu pandangan)

45

Sendi subtalar (dua pandangan)

70

Sendi subtalar (tiga pandangan)

90

Sendi subtalar (empat pandangan)

115

Kalkaneum

Kalkaneum (satu pandangan)

45

Kalkaneum (dua pandangan)

70

Densitometri tulang

Dexa 170

Ultrasound 150

Pemeriksaan radiografik berkontras

(fi pakar radiologi dalam parentesis)

Barium telan (40%)

115

Barium makan (kontras berganda) (40%)

170

Barium makan dan ikut lalu (40%)

205

Enema usus kecil (40%)

205

Gastrografin atau kontras bukan berion kajian gastrointestinal atas (40%)

205

Enema Barium (satu kontras atau berganda dua) (40%)

205

Gastrografin atau enema kontras bukan berion (40%)

205

Loopogram (40%)

205

Intubasi duodenum (40%)

230

Kolesistogram oral (Satu dos) (30%)

135

Kolesistograrn oral (dos berganda dua)

(30%)

170

Sistogram (30%)

205

Ureterogram menaik ((40%)

230

Sistouretgram kencing (40%)

285

Pailogram retrogred - sebelah (30%)

135

Pailogram retrogred - dua belah (30%)

205

P.U. (A) 358 49

Kajian konduit ilium (40%)

205

Pailogram nefrostomi - sebelah (30%)

170

Pailogram nefrostomi - dua belah (30%)

235

IVU dos kontras standard (30%)

230

IVU dos kontras standard dan tomogram

(30%)

265

IVU dos kontras berganda dua (30%)

310

IVU dos kontras berganda dua dan tomogram (30%)

345

IVU dos standard dan radiograf tertunda

(30%)

285

IVU dos kontras berganda dua dan radiograf tertunda (30%)

365

IVU dos standard dan tomogram dan radiograf tertunda (30%)

320

IVU dos kontras berganda dua dan tomogram dan radiograf tertunda (30%)

400

Kolangiogram tiub-T (30%)

135

Kolangiogram pembedahan (30%) -

laporan segera sahaja 285

Histerosalfingogram (kontras berion)

(30%) - saringan dan laporan sahaja 135

Histerosalfingogram (kontras bukan ion)

(30%) - saringan dan laporan sahaja 135

Histerosalfingogram serta kontras berion

(keseluruhan tatacara) (40%)

205

Histerosalfingogram serta kontras bukan berion (keseluruhan latacara) (40%)

230

Sinogram (40%)

170

Sialogram kelenjar parotid - sebelah

(50%)

230

Sialogram kelenjar parotid - dua belah

(50%)

460

Sialogram kelenjar submandibular -

sebelah (50%)

230

Sialogram kelenjar submandibular - dua belah (50%)

460

Artrogram - sebelah (50%)

230

Artrogram - dua belah (50%)

400

Mailogram lumbar (kontras bukan berion larut air) (50%)

515

Mailogram servik/torasik (50%)

605

Bronkogram - sebelah (40%) saringan, laporan serta radiograf sahaja 230

Bronkogram - kedua belah (40%)

saringan, laporan serta radiograf sahaja 345

P.U. (A) 358 50

Tomografi

Tomogram - satu satah (30%)

195

Tomogram - dua satah (30%)

250

Tomogram - fosa pituitari AP/Lateral

(30%)

195

Mamogram

Mamografi sehingga empat pandangan

(35%)

230

Mamografi dan satu pandangan tambahan

(35%)

265

Mamografi dan dua pandangan tambahan

(35%)

295

Mamografi dan tambahan ultrasound terhad (35%)

285

Imbasan tomografi komputer (imbasan CT)

Nota: Caj di atas adalah berdasarkan kepada 100 ml kontras intravena bukan berion kecuali bagi CT otak/orbit - 50 ml

Otak (tanpa kontras) (30%)

400

Otak (dengan kontras bukan ionik) (35%)

490

CT otak kompleks (50%)

630

Abdomen (tanpa kontras) (30%)

400

Abdomen (dengan kontras bukan ionik)

(35%)

515

Abdomen dua fasa (40%)

630

Abdomen tiga fasa (40%)

745

Abdomen empat fasa (40%)

915

Abdomen kompleks (40%)

860

Pelvis (tanpa kontras) (30%)

345

Pelvis (dengan kontras bukan ionik)

(35%)

460

Pelvis kompleks (50%)

570

Spina - servikal atau lumbar (tanpa kontras) (30%)

400

Spina - servikal atau lumbar (dengan kontras bukan ionik intraspinal (50%))

745

Spina kompleks (50%)

860

Spina - torasik (tanpa kontras) 30%

460

Spina - torasik (dengan kontras bukan ionik intraspinal ) 50%

745

Spina kompleks (50%)

860

Dada (tanpa kontras) (30%)

345

Dada (dengan kontras bukan ionik)

(35%)

460

P.U. (A) 358 51

Dada kompleks (50%)

570

Saringan CT dos rendah ke atas dada

(30%)

285

Resolusi tinggi tomografi berkomputer

(HRCT) - inspiratori atau ekspiratori

(30%)

345

HRCT - inspiratori serta ekspiratori

(40%)

515

Leher/Tiroid (tanpa kontras) (30%)

345

Leher/Tiroid (dengan kontras bukan berion) (30%)

460

Ruang posnasal dan leher (tanpa kontras)

(30%)

515

Ruang posnasal dan leher (dengan kontras bukan ionik) (30%)

630

Ruang posnasal kompleks (50%)

745

Orbit (tanpa kontras) (20%)

345

Orbit (dengan kontras bukan ionik)

(25%)

460

Orbit kompleks (50%)

Fosa Pituitari (tanpa kontras) (20%)

345

Fosa Pituitari (dengan kontras bukan ionik) (25%)

460

I.A.M. (tanpa kontras) (20%)

345

I.A.M. (dengan kontras bukan berion)

(25%)

460

Imbasan badan total (otak, leher, dada, abdomen dan pelvis) (tanpa kontras)

(20%)

1030

Imbasan badan total (dengan kontras bukan berion) (25%)

1145

Imbasan badan total yang kompleks

(50%)

1260

Dada, abdomen dan pelvis (tanpa kontras) (20%)

915

Dada, abdomen dan pelvis (dengan kontras bukan berion) (25%)

1030

Dada, abdomen dan pelvis kompleks

(50%)

1145

Spiral CT abdomen dan pelvis bagi batu karang (tanpa kontras intravena (IV))

(30%)

345

CT sinus paranasal bersatah tunggal beresolusi tinggi bagi sinusitis (tanpa kontras) (20%)

230

CT sinus paranasal bersatah tunggal

(tanpa kontras) (20%)

345

P.U. (A) 358 52

CT sinus paranasal bersatah tunggal

(dengan kontras bukan berion) (25%)

460

Abdomen dan pelvis (tanpa kontras)

(30%)

685

Abdomen dan pelvis (dengan kontras)

(35%)

800

Abdomen dan pelvis kompleks(50%)

915

Dada dan abdomen atas (tanpa kontras)

(30%)

685

Dada dan abdomen atas (dengan kontras)

(35%)

800

Dada dan abdomen atas kompleks (50%)

915

CT dua sistem (tidak tersenarai di atas) -

(tanpa kontras) (30%)

685

CT dua sistem (tidak tersenarai di atas) -

(tanpa kontras) (35%)

800

CT dua sistem (tidak tersenarai di atas)

(kompleks) (50%)

915

CT ekstremiti (tanpa kontras) (satu kawasan) (30%)

400

CT ekstremiti (dengan kontras satu kawasan) (35%)

515

CT ekstremiti kompleks (50%)

630

Ultrasound

Abdomen atas (40%)

170

Pelvis (40%)

135

Abdomen dan pelvis (50%)

230

Ginjal dan pundi kencing (40%)

115

Ginjal dan pundi kencing serta anggaran isi padu urin baki (50%)

135

Otak (neonatal) (40%)

135

Ultrasound terperinci imbasan janin 285

Tiroid (40%)

115

Payudara (40%)

160

Ultrasound Doppler karotid ekstrakranium (50%) -

400

Ultrasound Doppler arteri bagi satu kawasan (50%)

285

Ultrasound Doppler vena bagi satu anggota (50%)

285

Ultrasound Doppler vena bagi dua anggota (50%) -

460

Ultrasound Doppler arteri bagi satu anggota (50%)

345

Ultrasound Doppler arteri bagi dua anggota (50%)

515

P.U. (A) 358 53

Ultrasound otot skeletal bagi setiap kawasan (40%)

170

Ultrasound skrotum (40%)

115

Ultrasound Doppler bagi skrotum (50%)

230

Ultrasound Doppler bagi organ lain

(setiap organ) yang tidak tersenarai di atas (50%)

345

Ultrasound endokavitari (50%)

170

Ultrasound jantung bagi penyakit perikardial 90

Caj tambahan bagi setiap pemeriksaan ultrasound bergerak (boleh dibayar kepada pakar radiologi semasa waktu bekerja biasa)

55

Caj tambahan bagi setiap pemeriksaan ultrasound bergerak (boleh dibayar kepada pakar radiologi selepas waktu bekerja biasa)

170

Saringan

Pankreatografi kolangio endoskopik retrogred (ERCP) (30%) (saringan dan laporan sahaja) -biasa 230

ERCP biasa (30%) (saringan dan laporan sahaja-kompleks 345

Pengimejan Resonan Magnetik (MRI)

Otak

Otak (tanpa kontras)

800

Otak (dengan kontras)

1030

Otak dengan angiografi resonans magnetik (MRA) (inkranium)

1375

Otak dengan MRA serta kontras 1600

Otak dengan MRA serta karotid dwisisi serta kontras 2060

MRA karotid intrakranium atau ekstrakranium 800

MRV otak - biasa 800

MRV otak - kompleks 1030

Pituitari (tanpa kontras)

800

Pituitari (dengan kontras)

1030

Pituitari (dengan kontras dinamik)

1375

I.A.M (tanpa kontras)

800

I.A.M (dengan kontras)

1030

I.A.M serta otak (tanpa kontras)

1375

I.A.M serta otak (dengan kontras)

1600

P.U. (A) 358 54

Orbit

Orbit (tanpa kontras)

800

Orbit (dengan kontras)

1030

Orbit dan otak (tanpa kontras)

1375

Orbit dan otak (dengan kontras)

1600

Leher

Leher (tanpa kontras)

800

Leher (dengan kontras)

1030

Leher dan otak (tanpa kontras)

1485

Leher dan otak (dengan kontras)

1715

Pleksus Brakial (tanpa kontras)

915

Pleksus Brakial (dengan kontras)

1145

Toraks

Mediastinum (tanpa kontras)

800

Mediastinum (dengan kontras)

1030

Kardiak

MRI Kardiak - biasa 1145

MRI Kardiak - pertengahan 1715

MRI Kardiak - kompleks 2290

MRA Torasik - biasa 1030

MRA Torasik - pertengahan 1260

MRA Torasik - kompleks 1485

MRA Pulmonari - biasa 1030

MRA Pulmonari - pertengahan 1260

MRA Pulmonari - kompleks 1485

(Surcaj bagi setiap l0ml agen kontras MRI intravena (IV))

285

Abdomen atas

Abdomen atas - biasa 1030

Abdomen atas - pertengahan 1260

Abdomen atas - kompleks 1485

Magnetik resonans kolangiopankreatikografi (MRCP)

800

Magnetik resonans urografi 800

MRA abdomen atas - biasa 1030

MRA abdomen atas - pertengahan 1260

MRA abdomen atas - kompleks/rumit 1485

(Caj tambahan bagi setiap 10ml agen kontras MRI intravena (IV))

285

Pelvis

Pelvis - biasa 1030

Pelvis - pertengahan 1260

P.U. (A) 358 55

Pelvis - kompleks 1485

MRI Pelvimetri 570

(caj tambahan bagi setiap 10ml agen kontras MRI intravena (IV))

285

Spina

MRI kesemua spina (tanpa kontras)

(bagi tekanan korda)

1600

MRI kesemua spina (dengan kontras)

(bagi tekanan korda)

1830

MRI spina servikal (tanpa kontras)

1030

MRI spina servikal (dengan kontras)

1375

MRI spina torasik (tanpa kontras)

1030

MRI torasik spina (dengan kontras)

1375

MRI spina lumbar (tanpa kontras)

1030

MRI spina lumbar (dengan kontras)

1375

Sendi (bahu, sternoklavikular, siku,pergelangan tangan, pinggul, sacro-iliac, lutut,pergelangan kaki, sub-tarsal)

MRI satu sendi (tanpa kontras)

1030

MRI satu sendi (dengan kontras)

1375

Kawasan (lengan atas, lengan bawah, tangan,peha, kaki bawah-betis, kaki)

MRI satu kawasan (tanpa kontras)

1145

MRI satu kawasan (dengan kontras)

1490

MRI Artrografi (fi pakar radiologi)

345

Rawatan iradiasi luaran (akselerator linear)- Lazimnya termasuk rawatan 5 kali seminggu pada dos 200cGy setiap rawatan 170

Rawatan iradiasi luaran menggunakan apa-apa pecahan lain haruslah dicaj berdasarkan dos penyamarataan biologi

- rawatan menggunakan unit teleterapi Co 60 sepatutnya dicaj kurang 30% daripada fi rawatan harian 115 - 345

Fi rawatan termasuk fi kepakaran

Rawatan intrakavitari pada kadar dos rendah setiap sesi termasuk sumber radioaktif, aplikator

2860 - 5720

P.U. (A) 358 56

(tidak termasuk fi bagi wad, dewan bedah dan anestatik)

Rawatan ruang-antara (cth: implan termasuk sumber dan aplikator lain)

3430 - 5720

Radioterapi intrakaviti/intraluminal kadar dos tinggi bagi rawatan lengkap

(tidak termasuk aplikator)

2290 - 5720

Terapi sitotoksik (tidak termasuk perundingan)

Infusi 570 - 860

Infusi berpanjangan 685 - 1030

Kemoterapi progresif sehari (berbilang hari)

170 - 285

Lesi kulit

Eksisi ulser tekanan koksik 865 685

Eksisi terkawal mikroskopikal lesi kulit atau tisu subkutaneus (kemosurgeri Moh)

2480 820

Eksisi melanoma malignan termasuk graf 2145 685

Eksisi lesi kulit atau tisu subkutaneus -

sehingga tiga 405 405

Eksisi lesi kulit atau tisu subkutaneus -

empat atau lebih 1000 505

Lesi yang memerlukan eksisi lebar termasuk eksisi ulser roden 1000 405

Pengkuretan/krioterapi lesi kulit termasuk pengkauteran - empat atau lebih 1000 315

Pemusnahan laser lesi kulit 580 265

Biopsi cukur lesi kulit 315 265

Pengeluaran benda asing tisu dalam 725 355

Penyaliran lesi kulit termasuk abses 370 265

Penyaliran abses subkutaneus besar/hematoma 580 405

Dermabrasi kawasan terhad kulit 580 315

Dermabrasi meluas kulit 1000 435

Eksisi dasar kuku (Zadeks)

725 435

Pembaikan

Sutur primer luka yang melibatkan tisu dalam 1340 625

Sutur sekunder kulit 370 315

Penyelitan/pengeluaran pengembang kulit ke dalam tisu 1340 505

P.U. (A) 358 57

Pembersihan luka (dan pembersihan pembedahan)

480 315

Luka terbakar

Eskaiektomi kulit luka terbakar atau tisu subkuraneus (tidak lebih daripada l0%)

1340 435

Eskarektomi kulit luka terbakar atau tisu subkutaneus (lebih daripada 10%)

1760 760

Balutan menyeluruh kulit luka terbakar atau tisu subkutaneus 480 625

Transplan

Flap jauh kulit dan otot 1890 940

Flap pulau neurovaskular 2390 940

Flap setempat besar termasuk miokutaneus dan fasia 1760 505

Flap setempat kecil 1760 505

Graf

Autograf belah kulit - tapak kecil 1000 505

Autograf belah kulit - tapak besar 2040 685

Graf ketebalan penuh 1160 685

Pemindahan tisu bebas mikrovaskular 3600 1550

Kawasan servikal

Dekompresi posterior primer termasuk cantuman 3600 1320

Dekompresi posterior primer dengan cantuman dan pengalatan 3600 1320

Laminoplasti pintu terbuka bagi kawasan servikal (Hirobiashi)

3600 1320

Dekompresi posterior tinjauan semula termasuk cantuman 4750 1320

Dekompresi posterior tinjauan semula dengan cantuman dan pengalatan 4750 1320

Dekompresi anterior tinjauan semula termasuk cantuman 4750 1320

Dekompresi anterior tinjauan semula dengan cantuman dan pengalatan 4750 1320

Gabungan cantuman anterior dan posterior spina servikal termasuk pengalatan 5970 1815

Pembedahan trans oral termasuk fiksasi posterior 5970 1550

Disektomi endoskopik 7030

P.U. (A) 358 58

Laminektomi servikal 3600

Dekompresi dan cantuman pertemuan kranio servikal 7030

Eksisi posterior primer cakera servikal 2895 1320

Eksisi posterior tinjauan semula cakera intervertebra termasuk cantuman 4750 1320

Eksisi posterior tinjauan semula cakera intervertebra dengan cantuman dan pengalatan 4750 1320

Ekrisi anterior primer cakera termasuk cantuman 3600 1320

Eksisi anterior primer cakera dengan cantuman dan pengalatan 3600 1320

Eksisi anterior tinjauan semula cakera termasuk cantuman 4750 1550

Eksisi anferior tinjauan semula cakera dengan cantuman dan pengalatan 4750 1550

Kawasan torasik

Eksisi transtorasik primer/posterior/anterolateral cakera intervertebra termasuk cantuman 2895 1320

Eksisi transtorasik primer/posterior/anterolateral cakera intervertebra dengan cantuman dan pengalatan 2705 1320

Dekompresi posterior primer termasuk cantuman 3600 1320

Dekompresi posterior primer dengan cantuman dan pengalatan 3600 1320

Dekompresi posterior tinjauan semula termasuk cantuman 4750 1320

Dekompresi posterior tinjauan semula dengan cantuman dan pengalatan 4750 1320

Dekompresi anterior primer/transtorasik termasuk cantuman 4750 1320

Dekompresi anterior primer/transtorasik dengan cantuman dan pengalatan 4750 1320

Dekompresi anterior/transtorasik tinjauan semula termasuk cantuman 4750 1320

Kawasan lumbar

Eksisi posterior primer cakera intervertebra termasuk cantuman 2390 940

Eksisi posterior primer cakera intervertebra dengan cantuman dan pengalatan termasuk kestabilan graf 3600 1550

P.U. (A) 358 59

Eksisi posterior tinjauan semula cakera intervertebra termasuk cantuman 2895 1125

Eksisi posterior tinjauan semula cakera intervertebra dengan cantuman dan pengalatan 4750 1550

Eksisi transabdominal/retroperitoneum primer cakera intervertebra termasuk cantuman dan pengalatan 3600 1320

Eksisi anterior tinjauan semula cakera intervertebra termasuk cantuman 4750 1550

Eksisi anterior tinjauan semula cakera intervertebra dengan cantuman dan pengalatan 4750 1550

Dekompresi posterior primer spina, termasuk cantuman 2895 985

Dekompresi posterior primer dengan cantuman dan pengalatan 2895 985

Dekompresi posterior tinjauan semula dengan cantuman dan pengalatan 2895 1125

Dekompresi anterior primer termasuk cantuman 3600 1550

Dekompresi anterior primer dengan cantuman dan pengalatan 3600 1550

Dekompresi anterior tinjauan semula dengan cantuman dan pengalatan 4750 1815

Dekompresi gabungan anterior dan posterior termasuk cantuman dan pengalatan 5970 1815

Cantuman spina posterior dengan pengalatan bagi scoliosis, kifosis, fraktur, tumor atau jangkitan 5970 2110

Cantuman spina anterior dengan pengalatan bagi scoliosis, kifosis, fraktur, tumor atau jangkitan 7030 2500

Disektomi perkutaneus (atau laser)

2145 940

Mikrodisektomi 2390 940

Mikrodisektomi ulangan semula 2895 1125

Pengeluaran pembetulan pengalatan daripada spina 1565 625

Peninjau periksaan spina termasuk biopsi 1890 685

Manipulasi spina 580 405

Kemonukleolisis 1160 435

Korda spina

Eksisi separa korda spina 4750 1550

Pembedahan terbuka korda spina 4750 1550

Pembaikan mielomeningosele spina 3600 1320

P.U. (A) 358 60

Eksisi lesi intradural 4750 1550

Penyaliran kanal spina termasuk penyelitan pintasan 2705 820

Punktur lumbar termasuk manometri spina 370 265

Eksisi tumor intramedula 4750 1550

Akar saraf

Rizolisis (terbuka)

2705 820

Simpatektomi terbuka 7030

Simpatektomi endoskopik 7030

Saraf simpatetik

Simpatektomi servikal toraskopik 2705 820

Simpatektomi lumbar laparoskopik 1890 760

Simpatektomi prasakral 1565 685

Rizotomi posterior selektif 7030

Saraf periferal

Eksisi saraf periferal 865 435

Transeksi saraf periferal 865 435

Neurektomi (saraf major)

1340 505

Eksisi lesi saraf periferal 1000 435

Eksisi lesi (saraf major)

1340 505

Pembaikan primer saraf periferal termasuk mikrosurgeri 2040 820

Pembaikan sekunder saraf periferal termasuk mikrosurgeri 2145 760

Graf primer saraf periferal 2390 760

Graf sekunder saraf periferal 2390 685

Pembaikan primer saraf periferal 865 505

Pembaikan sekunder saraf periferal 1160 435

Pembaikan primer trunkus saraf 1000 505

Pembaikan sekunder trunkus saraf 1565 505

Pelepasan karpal atau terowong kubital termasuk endoskopik 865 435

Pelepasan karpal atau terowong kubital termisuk endoskopik - dwisisi 1565 760

Pelepasan saraf periferal terjerat jauh ke dalam 865 435

Pelepasan saraf periferal terjerat 865 435

Neuiolisis dan transposisi saraf periferal 1000 505

Pelepasan saraf periferal tinjauan semula 1565 505

Penanaman neurostimulator ke dalam saraf periferal 2040 315

Biopsi saraf periferal 865 355

P.U. (A) 358 61

Peninjauperiksaan dan graf pleksus brakial 1000 570

Kelegaan kesakitan

Blok paravertebra sehingga dua aras

(di bawah kawalan sinar-X)

580

Blok akar sakral (di bawah kawalan sinar-X)

580

Blok simpatetik kawasan intravena

(blok guanethadine) - satu suntikan 480

Blok simpatetik kawasan intravena

(blok guanethadine) - tiga sesi 1000

Blok ganglion stelat (anestetik setempat

(LA))

480

Blok ganglion stelat (neurolitik)

580

Blok pleksus seliak (LA atau neurolitik)

1160

Blok saraf splanknik - dwisisi (Anestetik setempat atau neurolitik)

1160

Blok ganglion akar dorsal (LA atau neurolitik)

1000

Blok ganglion akar dorsal (frekuensi setempat)

1565 315

Neurolisis intratekal 1160

Suntikan ganglion trigeminal (LA di bawah kawalan sinar-X)

1160

Lesi frekuensi radio ganglion trigeminal

(di bawah kawalan sinar-X)

2145

Kordotomi perkutaneus korda spina 2705 940

Suntikan epidural (servikal)

725 265

Suntikan epidural (lumbar)

580 265

Suntikan epidural(torasik)

725 265

Suntikan bahan terapeutik ke dalam CSF

370 820

Termokoagulasi frekuensi radio (RF)

permukaan atau sendi sakroiliak termasuk rizolisis (di bawah kawalan sinar-X dengan sedatif/(GA) - 3 sendi 1160 405

Termokoagulasi frekuensi radio (RF)

permukaan atau sendi sakroiliak termasuk rizolisis (di bawah kawalan sinar-X dengan sedatif/GA) - 6 sendi 2040 685

Suntikan sendi permukaan (di bawah kawalan sinar-X dengan sedatif/GA)

- 2 sendi 725 265

Suntikan sendi permukaan (di bawah kawalan sinar-X dengan sedatif/GA)

- 4 sendi 865 315

Suntikan sendi permukaan (di bawah 1000 355

P.U. (A) 358 62

kawalan sinar-X dengan sedatif/GA)

- 6 sendi

Penanaman neurostimulator ke dalam saraf periferal 2040 315

Lesi saraf periferal

(frekuensi radio, krioprob atau fenol)

725

Sekatan LA trunkus saraf major 370

Simpatektomi lumbar - diagnosis

(LA di bawah kawalan sinar-X)

1000

Simpatektomi torasik - diagnosis

(LA di bawah kawalan sinar-X)

1000

Simpatetik lumbar - terapeutik (neurolitik di bawah kawalan sinar-X)

1340 405

Simpatektomi torasik - terapeutik

(neurolitik di bawah kawalan sinar-X)

1565 435

Krioterapi pada kelenjar pituitari 2570 940

Suntikan ke dalam sendi besar di bawah kawalan sinar-X

480

Tatacara neurofisiologikal

Terapi elektro-konvulsif (ECT)

315 265

Elektroeksefalografi (EEG)

315

Perekodan dan pelaporan ke atas kajian berpotensi rangsangan 580

Perekodan dan pelaporan ke atas elektromiografi (EMG) dan kajian konduksi saraf 580

Elektrokokleografi trans timpanik 725

Esofagus

Mobilisasi esofageal torakoskopik melalui mediastinum 4750 1815

Esofagogastrektomi 5970 2500

Esofagektomi menyeluruh dan interposisi usus 7030 3305

Eksisi terbuka lesi esofagus 1890 1125

Pintasan esofagus 2480 1550

Anastomosis esofageal tinjauan semula 2705 1320

Penutupan pintasan esofagus 2145 1125

Pembaikan tratrstorasik esofagus 3600 1320

Pembaikan toraskopik esofagus 2895 1320

Esofagokardiomiotomi (pembedahan

Heller)

2040 985

Miotomi esofagogastrik toraskopik 2145 985

Suntikan skleroterapi bagi varisis esofageal 1000 685

P.U. (A) 358 63

Pembaikan transtorasik hernia hiatus 2305 940

Pembaikan transtorasik hernia diafragmatik 2305 940

Pembaikan transabdominal hemia hiatus 2145 760

Pembaikan transabdominal hernia diafragmatik 2895 820

Pembaikaan laparoskopik hernia hiatus 2145 760

Pembedahan anti-refluks transabdominal 2895 820

Pembedahan anti-refluks tinjauan semula 3600 1320

Dinding dada

Torakoplasti 2705 985

Eksisi tumor dinding dada 2390 940

Pembetulan kecacatan pektus dinding dada 2895 940

Fiksasi fraktur berbilang 2305 940

Eksploratori sternotomi median 1160 760

Eksploratori torakotomi 1565 760

Reseksi tulang rusuk dan penyaliran terbuka kaviti pleural 1565 760

Pembaikan pecahan pada diafragma 2895 1125

Plikasi diafragma yang lumpuh 2390 985

Pembaikan hernia diafragma kongenital 2705 1550

Trakea

Eksisi separa trakea termasuk rekonstruksi 3600 2110

Trakeoplasti 1760 625

Penempatan terbuka prostesis dalam trakea 1760 505

Trakeostomi 1000 570

Penyelitan mini-trakeostomi 580 405

Torakotomi, ligasi bagi Tetralogi Fallot

(TOF) anastomosis esofageal 4750

Torakotomi, ligasi bagi TOF servikal esofagostomi 4750

Servikal esofagostomi dan gastrektomi 2305

Tatacara endoskopik fiberoptik di bawah anestesia setempat

Pemeriksaan fiberoptik trakea dan bronkus termasuk biopsi/pengeluaran bahan asing 725 505

Lavaj bronkus (diagnostik atau terapeutik)

865

Pendilatan striktur trakea termasuk penyelitan sten 865

P.U. (A) 358 64

Pendilatan striktur bronkus melalui bronkoskop fiberoptik 1000

Biopsi transbronkial 1000

Bronkus, paru-paru dan pleura

Pemeriksaan diagnostik bronkus menggunakan bronkoskop keras termasuk biopsi/pengeluaran bahan asing/pendilatan striktur 1000 505

Pneumonektomi total 3600 1550

Lobektomi terbuka paru-paru termasuk eksisi segmen 3600 1550

Reseksi paru-paru dengan reseksi dinding dada 5970 1815

Reseksi paru-paru toraskopik termasuk bantuan video 1890 685

Eksisi terbuka lesi paru-paru 2895 1320

Biopsi jarum paru-paru 480 315

Pendekorteksan pleura atau paru-paru 2895 1125

Pleurektomi bagi pneumotoraks 2480 985

Eksisi terbuka/biopsi lesi pleura 2705 940

Eksisi endoskopik lesi paru-paru/pleura 1000 505

Torakoskopi (serta/tanpa biopsi)

pleura/paru-paru 580 505

Penyaliran kaviti pleura 580 315

Penyelitan saliran tiub ke dalam kaviti pleura 580 315

Pemasukan bahan ke dalam kaviti pleura dengan saliran dada 315 265

Biopsi pleura 580 315

Transplan paru-paru 7030 3305

Pembedahan pengurangan isi padu paru-paru 4750 2500

Mediastinum

Timektomi 2145 1550

Eksplorasi mediastinum 1160 760

Eksisi endoskopik lesi mediastinum 1340 505

Pemeriksaan endoskopik diagnosis mediastinum 1340 505

Pembedahan kardium jantung

Pembetulan Tetralogi Fallot (TOF)

7030 3305

Songsangan atrium bagi transposisi pembuluh besar 7030 3305

Pembetulan lain transposisi pembuluh besar 7030 3305

P.U. (A) 358 65

Pembetulan sambungan vena pulmonari anomalus total 7030 3305

Penutupan kecacatan septum atrioventrikel menggunakan tampalan prostetik dual 7030 3305

Penutupan kecacatan septum interatrium 7030 2930

Penutupan kecacatan septum interventrikel 7030 2930

Pembedahan terapeutik transluminal ke atas septum jantung 2895 2500

Pembentukan konduit injap kardium 7030 3305

Eksisi tumor kardium 7030 3305

Penggantian injap mitral termasuk valvuloplasti 7030 2930

Pembaikan plastik injap mitral 7030 2930

Penggantian injap aorta termasuk valvuloplasti 7030 2930

Penggantian injap trikuspid 7030 2930

Penggantian injap pulmonari termasuk valvuloplasti/valvotomi 7030 2930

Penggantian injap jantung tidak khusus 7030 2930

Valvotomi terbuka 7030 2930

Valvotomi tertutup (mitral/pulmonari)

4750 2500

Pembedahan terapeutik transluminal ke atas injap jantung 2705 2110

Pengeluaran penyumbatan daripada struktur bersebelahan injap jantung 7030 2930

Pintasan autograf bagi arteri koronari termasuk pengeluaran graf dan endarterektomi 7030 2930

Pembuatan semula pintasan arteri koronari termasuk pembuangan graf 7030 3305

Pembetulan arteri koronari anomali 7030 3305

Pembedahan terbuka ke atas sistem konduksi jantung 7030 2930

Pembaikan aneurisme ventrikel 5970 2930

Eksisi perikardium 3600 1125

Dekompresi tamponad kardium 2305 985

Insisi perikardium 1340 985

Graf pintasan arteri koronari midcab tanpa pam pintasan cardio-pulmonari 7030 3305

Pembedahan jantung terbuka dengan penerokaan minima dengan pam pintasan kardio-pulmonari 7030 3305

Alat bantuan ventrikular 7030 3305

Transplan jantung 7030 3305

P.U. (A) 358 66

Kardiologi jantung

Angioplasti transluminal perkutaneus arteri koronari termasuk laser 2895 1550

Angioplasti transluminal perkutaneus dengan penyelitan sten 3600 1550

Pembedahan berpandukan peta bagi aritmia ventrikel termasuk pemetaan 2705 3305

Ablasi transluminal perkutaneus nodus ventrikel 2390 985

Ablasi transluminal perkutaneus laluan aksesori termasuk pemetaan 4750 1550

Pemetaan sistem konduksi (dalam pengasingan)

1565 820

Sistem perentak kardium dimasukkan melalui vena (bilik tunggal)

1565 820

Sistem perentak kardium dimasukkan melalui vena (dua bilik)

2145 820

Peletakan semula sistem perentak kardium intravena 1340 685

Penggantian penjana bagi sistem perentak kardium intravena 1760 760

Pengeluaran sistem perentak dengan pintasan 4750 2500

Pengeluaran sistem perentak tanpa pintasan 580 940

Penanaman kardiokonverter/detibrilator automatik 3600 940

Pengkateteran kardium dewasa termasuk arteriografi koronari/pengkateteran bahagian kanan/kiri jantung/radiologi kontras 1340 760

Pengkateteran kardium pediatrik 1565 820

Perikardiosentesis 1340 685

Angioplasti periferal transluminal perkutaneus (femoral, iliak, renal, popliteal, subklavian dan pembuluh distal lain)

2705 1550

Angioplasti periferal transluminal perkutaneus dengan peletakan sten 2895 1550

Angioplasti karotid transluminal perkutaneus dengan peletakan sten 4750 1550

Ablasi transluminal perkutaneus takikardia ventrikel 3600 1550

Pengubahsuaian transluminal perkutaneus nodus atrioventrikel 2480 985

Oklusi transluminal perkutaneus fistula koronari/malformasi arteriovenus (AV)

3600 1550

P.U. (A) 358 67

Pembuluh besar

Pembetulan trunkus arteriosus 4750 3305

Ligasi tertutup duktus arteriosus paten 3600 2110

Oklusi prostesis transluminal perkutaneus duktus arteriosus paten 2895 1125

Penciptaan pintas ke arteri pulmonari daripada aorta menggunakan prostesis tiub 5970 2110

Sambungan ke arteri pulmonari daripada aorta 5970 2110

Penciptaan pintas ke arteri pulmonari daripada arteri subklavian menggunakan tiub prostesis antara kedudukan 4750 2110

Sambungan ke arteri pulmonari daripada arteri subklavian 5970 2110

Pembaikan arteri pulmonari 7030 2110

Pembedahan terbuka arteri pulmonari 3600 2110

Embolektomi pulmonari 5970 3305

Pembedahan transluminal ke atas arteri pulmonari 2705 1550

Penggantian kecemasan segmen aneurismal pada aorta menaik 7030 3305

Penggantian kecemasan segmen aneurismal pada aorta arkus 7030 3305

Penggantian kecemasan segmen aneurismal pada aorta torasik 7030 3305

Penggantian terancang segmen aneurismal pada aorta menaik 4750 2930

Penggantian terancang segmen aneurismal pada aorta arkus 7030 3305

Penggantian terancang segmen aneurismal aorta torasik 7030 3305

Penggantian aneurisme torakoabdominal 7030 3305

Prostesis aorta abdominal tinjauan semula 4750 2110

Eksisi graf aorta terinfeksi dengan pintasan 7030 3305

Pembaikan plastik aorta 4750 1815

Pembedahan belon transluminal perkutaneus pada aorta 1760 625

Lain-lain

Vagotomi gaster proksimal 2040 685

Vagotomi pilihan tinggi 2040 685

Vagotomi dengan piloroplasti 2145 820

Kardioversi eksternal 315 315

Ekokardiografi transoesofageal 1000 435

P.U. (A) 358 68

Pasukan tunggu sedia angioplasti koronari 315 355

Ginjal/pelvik renal

Pemindahan ginjal 4750 2500

Nefrektomi dan eksisi tisu sekeliling ginjal 2390 1125

Nefro-ureterektomi 2390 820

Eksisi ginjal dipindah tertolak 2040 760

Nefrektomi (dan dwisisi)

2040 820

Nefrektomi laparoskopik 2040 820

Eksisi separa ginjal 2145 820

Pieloplasti terbuka 2040 685

Pembaikan luka ginjal 2305 760

Pembuangan terbuka kalkulus dari ginjal 2390 685

Penyaliran ginjal 1760 760

Penyaliran pionefrosis 1760 760

Pembedahan terbuka lain ginjal 1890 685

Penyaliran abses perinefrik 1760 685

Fragmentasi endoskopik kalkulus ginjal 1890 685

Nefrolitotomi perkutaneus termasuk sistoskopi dan pengkateteran retrograd 3600 985

Pemeriksaan endoskopik diagnostik ginjal termasuk biopsi dan tatacara terapeutik lain 2040 685

Biopsi jarum halus perkutaneus lesi ginjal 480 355

Insersi perkutaneus tiub nefrostomi 1340 405

Biopsi jarum tru-kut perkutaneus lesi ginjal 865

Fragmentasi ekstrakorporeaum kalkulus ginjal (Litotripsi) - satu rawatan 1160 505

Fragmentasi ekstrakorporeum kalkulus ginjal tiada batu/satu kitaran rawatan 1565 625

Pengeluaran laparoskopi sista renal 2040 760

Pembedahan batu terbuka bagi ginjal ladam 3600

Piloplasti bagi ginjal ladam 3600

Ureter

Eksisi segmen ureter 1760 625

Pembentukan konduit ilium termasuk penanaman ureterik 2390 985

Penanaman semula dwisisi ureter ke dalam usus

2705 940

P.U. (A) 358 69

Penanaman semula satu sisi ureter ke dalam usus 2145 820

Penanaman semula dwisisi ureter ke dalam pundi kencing 2480 940

Penanaman semula satu sisi ureter ke dalam pundi kencing 1890 820

Penyambung lain bagi ureter 2145 820

Penggantian ilium atau kolonic bagi ureter 2895 940

Ureterostomi - penutupan 2145 685

Pembetulan terbuka refluks vesiko-ureterik - unilateral 2145 685

Pembetulan terbuka refluks vesiko-ureterik - dwisisi 3600 985

Ureterolitotomi terbuka 1890 685

Uretorolisis - unilateral 2145 685

Uretorolisig - dwisisi 2570 1320

Pembedahan nefroskopik terapeutik ke atas ureter 1760 820

Pengekstrakan ureterskopik kalkulus ureter 1340 435

Insersi endoskopik prostesis ke dalam ureter 1000 435

Pengeluaran prostesis dari ureter 480 435

Meatotomi ureterik 480 265

Pemeriksaan endoskopik ureter 865 435

Pielografi retrogred endoskopik 865 435

Gelombang kejutan ekstrakorporeum litotripsi kalkulus ureter 1160 685

Pembedahan pada orifis ureterik 725 505

Meatotomi endoskopik orifis ureterik 725 505

Biopsi ureterskop lesi 1565 570

Peralihan kontinen urinari 4750

Penggantian sistoskopi 4750

Transureteroureterostomi 2705

Insersi endoskopik prostesis tetap ke dalam ureter 2145

Pundi kencing

Tatacara anti - refluks endoskopik (dan dwisisi)

1340 505

Sistektomi menyeluruh (dengan pembinaan konduit usus atau pundi kencing)

4750 1550

Sistektomi separa 2040 685

Divertikulektomi pundi kencing 1760 685

Pembesaran pundi kencing 2895 820

P.U. (A) 358 70

Pembaikan pundi kencing 2145 685

Pembaikan fistula vesikokolik 2305 820

Pembaikan fistula vesikal kutaneus 1160 820

Sistostomi dan insersi tiub suprapubik ke dalam pundi kencing 725 625

Sistotomi tikaman 315 265

Pengeluaran terbuka kalkulus dari pundi kencing 1340 505

Eksisi terbuka lesi dari pundi kencing 1890 685

Reseksi endoskopik lesi pundi kencing 1890 685

Penghancuran endoskopik lesi pundi kencing 865 435

Transaksi endoskopik pundi kencing 1890 685

Pengembungan hidrostatik endoskopik pundi kencing 405 265

Sfinkterotomi 1160 435

Litolapaksi 1760 685

Ekstraksi endoskopik kalkulus pundi kencing 1000 435

Pengeluaran endoskopik bahan asing daripada pundi kencing 1000 435

Reseksi leher pundi kencing 1340 435

Pemeriksaan diagnostik endoskopik pundi kencing termasuk sebarang biopsi 580 315

Kajian urodinamik/penaksiran urodinamik 580

Penutupan sistostomi 865 435

Pembedahan gabungan abdominal dan vagina bagi menyokong saluran keluar pundi kencing wanita 1890 685

Pembedahan anduh suprapubik 1890 760

Gantungan retropubik leher pundi kencing 1890 685

Pembedahan vagina bagi menyokong saluran keluar pundi kencing wanita 1890 685

Penanaman sfinkter tiruan urinari ke pundi kencing dan/atau pengeluaran 2145 685

Pendilatan saluran keluar pundi kencing wanita (dengan sistoskopi)

580 355

Insisi endoskopik saluran keluar pundi kencing lelaki (dengan sistoskopi)

1340 435

Pembaikan fistula vesiko-vagina 2145 820

Vesiko-litotripsi endoskopik batu pundi kencing 1760 625

Sistoskopi dengan biopsi 1000 405

Reseksi endoskopik tumor jangkau dalaman pundi kencing 2145

P.U. (A) 358 71

Kontinen kantung/neo pundi kencing 4750 2500

Penutupan kombinasi abdomino-perineal fistula vesiko-vaginal 4750

Uretra

Uretrosele 1160 505

Eksisi karunkel uretra 370 265

Pembedahan endoskopik terapeutik pada saluran keluar pundi kencing wanita 725 405

Uretrektomi 1760 685

Reseksi injab uretra 1565 505

Pembaikan hipospadias 2040 685

Pembaikan epispadias 2480 685

Penutupan fistula uretra 865 505

Pembaikan fistula ureterorektal 1760 685

Ureteroplasti (mudah)

1760 625

Ureteroplasti (kompleks)

2040 685

Pembaikan pecahan pada uretra 2040 685

Eksisi pada divetilula uretra 1160 505

Eksisi pada prolaps uretra 480 405

Pembedahan endoskopik terapeutik pada uretra 865 435

Pengeluaran bahan asing daripada uretra 405 435

Pemeriksaan endoskopik diagnostik uretra dalam isolasi 405 265

Pendilatasian uretra 315 355

Uretrotomi dalaman termasuk sistoskopi 865 435

Penutupan eksostrofi pundi kencing 5970

Penutupan eksostrofi kloakal 7030

Pembaikan hipospadias - sedikit 2305

Pembaikan hipospadias - sederhana 2895

Pembaikan hipospadias - tersangat 3600

Prostat

Eksisi terbuka prostat 2040 685

Prostektomi radikal, rekonstruksi leher pundi kencing termasuk limfadinektomi pelvik dwisisi 4750 1550

Biopsi terbuka lesi prostat 865 685

Reseksi endoskopik prostat (TURP)

2040 760

Biopsi endoskopik prostat 865 435

Terapi gelombangmikro transuretral 1565 570

Penyaliran abses prostat 1340 505

Hiperthermia prostatik (sehingga enam siri)

1565 570

Prostat, biopsi jarum 405 265

Ultrasound dan biopsi transrektal 580

P.U. (A) 358 72

Memasukkan sten uretra bagi kelegaan halangan prostat 1890 685

Genitalia

Meatoplasti 725 355

Meatotomi luaran orifis uretra 580 265

Eksisi dwisisi testis 1760 625

Orkidektomi laparoskopik 1340 435

Orkidektomi dan eksisi korda spermatik 1340 435

Eksisi lesi testis 725 505

Orkidopeksi - dwisisi 1760 820

Pemindahan mikrovaskular testis ke skrotum 2305 820

Orkidopeksi 1000 505

Testis abdomen yang tidak turun 1565 625

Testis prostesis (kemasukan atau pembuangan)

725 405

Pembetulan hidrosele 725 435

Fiksasi testis 865 435

Biopsi testis 580 315

Eksplorasi testis termasuk biopsi 865 435

Fiksasi testis dwisisi 865 505

Epididimektomi dwisisi 1340 570

Epididimektomi satu sisi 865 505

Eksisi sista epididimal 865 505

Pembedahan varikocele 865 505

Vasografi 370 315

Pembedahan vesikel seminal 1565 505

Amputasi total penis 2145 685

Amputasi separa penis 1565 685

Pembedahan bagi penyakit Peyronie 1160 435

Rekonstruksi penis 1760 685

Pembaikan avulsi penis 2145 685

Pembaikan kecederaan pada penis 1340 505

Pembahagian perekatan preputial 405 265

Berkhatan 725 405

Biopsi lesi penis 405 265

Prostesis penis (mudah - rod sahaja)

1890 685

Prostesis penis (kompleks - tiga keping)

2895 1815

Pembalikan vasektomi - dwisisi

(mikroskopik)

1760 625

Pembalikan vasektomi - dwisisi

(makroskopik)

1890 685

Epididimo-vasostomi (makroskopik)

1890 685

Epididimo-vasostomi (mikroskopik)

2040 760

Tenkoff 1340

Tenkoff dan adesiolisis 1890

P.U. (A) 358 73

Ultrasound transrektal (diagnostik)

580

Ultrasound transrektal dan biopsi prostat sistematik 1000

Eksisi dan graf bagi penyakit Peyronie 2705

Lain-lain

Diseksi blok nodus limfa para-aortik 2570 760

Kepala dan leher

Pintasan arteri karotid daripada arkus 4750 1550

Endarterektomi karotid 4750 1550

Rekonstruksi arteri karotid (tampalan vena dan pintasan)

3600 1550

Pintasan arteri subklavian daripada arkus 4750 1550

Pintasan arteri subklavian - ekstratoraks 2895 1320

Endarterektomi dan pembaikan tampalan arteri subklavian 4750 1550

Renal

Endarterektomi arteri renal 4750 1550

Rekonstruksi arteri renal 4750 1550

Pembedahan transluminal arteri renal 1565 685

Salur darah abdominal

Pintasan aksilo-femoral 2895 1550

Pintasan aksilo-bifemoral 2895 1550

Graf tiub aneurisme aorta abdominal infrarenal 4750 1815

Graf dwicabangan aneurisme aorta abdominal infrarenal 5970 1815

Prostesis aorta abdominal tinjauan semula 4750 2110

Pembedahan belon transluminal perkutaneus pada aorta 1760 625

Endarterektomi karotid (dengan tampalan)

5970

Endarterektomi dan pembaikan tampalan cabang viseral pada aorta abdominal 5970 2110

Pembedahan terbuka yang lain pada cabang viseral aofla abdominal lain 5970 2110

Pembuluh ileo-femoral

Pintasan aorto-iliak, aorto-femoral, ileo-femoral 4750 1550

Pintasan aorto-bifemoral 4750 1550

P.U. (A) 358 74

Endarterektomi dan pembaikan tampalan arteri iliak 3600 1550

Pembedahan terbuka arteri iliak 3600 1550

Pembedahan transluminal arteri iliak 1340 505

Pintasan femoro-femoral 2895 1320

Pintasan femoro-popliteal menggunakan prostesis dan/atau vena dan/atau kuf/tampalan vena 3600 1550

Pintasan betis femoro-distal menggunakan prostesis dan/atau vena dan/atau kuf/tampalan vena 3600 1550

Endarterektomi arteri femoral 2895 1125

Rekonstruksi/pintasan bagi aneurisme popliteal 3600 2110

Tatacara transluminal arteri femoral 1565 505

Graf pintasan femoral tinjauan semula 2705 1320

Tidak spesifik

Rekonstruksi arteri tinjauan semula 3600 940

Biopsi arteri termasuk temporal 580 265

Pembaikan arteri 2305 685

Graf mikro-arteri atau mikro-vena 4750 1550

Pembaikan arteri menggunakan graf vena 2705 940

Pembaikan pembedahan mikro arteri 2705 985

Embolektomi terbuka arteri 2570 940

Angioplasti transluminal perkutaneus arteri 1340 625

Ciptaan fistula arteriovenous (AV)

termasuk penutupan seterusnya 1340 820

Eksisi malformasi AV

7030 2110

Pembaikan fistula AV perolehan 2895 985

Pembaikan fistula AV

2895 1125

Ciptaan penyimpangan peritenio-vena

(Levine/Denver)

1340 435

Pengeluaran terbuka trombus daripada vena 2145 685

Insersi garisan Hickman, saluran tengah terowong, dsb.

725 505

Kemasukan unit portocath/vasiport 1000 405

Perfusi anggota terpencil 2705 1320

Vena varikos

Ligasi/pelucutan vena safenus panjang atau pendek termasuk eksisi selempat/flebektomi berbilang

1340 505

P.U. (A) 358 75

Ligasi/pelucutan vena safenus panjang atau pendek termasuk eksisi setempat/flebektomi berbilang - dwisisi 2145 820

Pembedahan bagi vena varikos berulang 2145 760

Pembedahan bagi vena varikos berulang -

dwisisi 3600 1125

Ligasi/pelucutan vena safenus panjang dan pendek termasuk eksisi setempat/flebektomi berbilang 2145 760

Eksisi setempat (flebektomi berbilang)

vena varikos kaki 725 505

Ligasi/pelucutan vena safenus panjang dan pendek termasuk eksisi setempat/flebektomi berbilang - dwisisi 3600 1125

Venografi-dwisisi 405

Pintasan femoro-popliteal menggunakan prostesis 4750

Pintasan femoro-popliteal menggunakan prostesis vena/atau kuf/tampalan 5970

Ciptaan fistula arteriovenous menggunakan graf/prostesis 3600

Limfatik

Diseksi blok nodus limfa servikal (tidak termasuk dalam tatacara lain)

2895 940

Diseksi blok nodus limfa aksilari 1760 625

Diseksi blok nodus limfa para-aorta 2570 760

Diseksi blok nodus limfa inguinal 1760 685

Diseksi blok nodus limfa pelvik (tidak termasuk dalam tatacara lain)

2040 760

Biopsi/persampelan nodus limfa servikal 405 505

Biopsi/persampelan nodus limfa aksilari 405 315

Biopsi/persampelan nodus limfa inguinal 405 405

Biopsi eksisi nodus limfa 725 435

Biopsi eksisi nodus limfa skalen 725 435

Penyaliran lesi nodus limfa 480 265

Pembedahan duktus limfatik 2305 820

Eksisi sistik higroma 1565 760

Tisu penghubung/otot tendon

Fasiektomi plantar 725 505

Eksisi lesi fasia 480 505

Pembedahan fasia lain 580 315

Eksisi ganglion, termasuk eksisi ulangan 1000 315

Eksisi bursa 725 405

P.U. (A) 358 76

Pemindahan tendon 1000 435

Pemindahan tendon berbilang 1565 685

Eksisi lesi tendon 725 435

Graf tendon, sebagai tatacara tunggal 1340 435

Pembaikan tendon sekunder termasuk graf, pemindahan dan/atau prostesis 1890 505

Tenolisis, selain daripada fleksor 1000 435

Tenotomi perkutaneus 405 265

Pemanjangan tendon, termasuk tenotomi 1160 435

Tenosinovektomi, termasuk artroskopik 865 435

Pelepasan pencerutan sarung tendon 1000 435

Pembaikan terhad otot iaitu koyakan tidak lebih daripada 2 sm

(cth: kuf rotator), termasuk artroskopik 725 625

Pembaikan menyeluruh otot iaitu koyakan lebih daripada 2 sm

(cth: kuf rotator) termasuk artroskopik 2145 625

Pelepasan pencerutan otot 1160 570

Biopsi otot terbuka 580 315

Biopsi jarum/tru-kut otot 315

Eksisi lesi otot tanpa graf kulit 1565 625

Eksisi lesi otot dengan graf kulit 1890 685

Tulang (tidak spesifik)

Biopsi tulang terbuka 725 405

Introduksi bahan terapeutik ke dalam tulang (cth: seperti aplikasi antibiotik bagi penggantian pinggul yang dijangkiti sebagai tatacara tunggal)

580 265

Pembuangan wayar dari tulang, termasuk wayar-K

405

Eksisi tulang ektopik 580 405

Eksisi total tulang sesamoid 725 435

Eksisi separa tulang termasuk eksostosis 1000 405

Eksisi total tulang dengan/tanpa penggantian/rekonstruksi prostetik

(cth: trapezium)

2480 820

Reseksi radikal tumor tulang 2705 820

Osteotomi tulang besar, dengan/tanpa fiksasi, termasuk graf 2040 685

Penyaliran/pembersihan tulang, termasuk sekuestrektomi bagi osteomilitis 1340 405

Fiksasi epifisis 1160 685

Fraktur

Reduksi terbuka primer fraktur femur 2305 760

P.U. (A) 358 77

dan fiksasi terbuka menggunakan pin dan plat

Reduksi tertutup primer fraktur atau dislokasi sendi, dengan/tanpa fiksasi termasuk plaster Paris (POP)(cth: Colles')

725 405

Reduksi tertutup fraktur tulang panjang dan fiksasi luaran termasuk POP dan wayar-K perkutaneus (cth: lengan bawah)

1760 685

Reduksi tertutup fraktur tulang kecil dan fiksasi luaran termasuk POP dan wayar-K perkutaneus 865 505

Reduksi terbuka primer tulang panjang dengan fiksasi 2040 760

Reduksi terbuka primer fraktur dengan/tanpa dislokasi sendi 1890 685

Reduksi terbuka primer tulang kecil dengan fiksasi termasuk intra-artikular 1340 570

Reduksi terbuka primer fraktur intra-artikular tulang panjang (cth: humerus proksimal)

1890 760

Reduksi terbuka fraktur pelvis dan fiksasi dalaman 2895 760

Reduksi terbuka dan fiksasi dalaman fraktur pelvis asetabular kompleks 4750 1550

Reduksi terbuka sekunder dislokasi sendi 865 405

Reduksi terbuka sekunder fraktur tulang kecil termasuk intra-artikular 1340 505

Reduksi terbuka sekunder fraktur tulang panjang dan fiksasi intermedulari atau fiksasi dalaman bagi tulang tidak bersambung/sambungan tidak sempurna 1890 685

Pakuan intramedulari berkunci 2705 820

Reduksi terbuka sekunder fraktur intra-artikular tulang 1890 685

Aplikasi rangka Ilizarov bagi tulang tidak bersambung/sambungan tidak sempurna sekunder 4750 1550

Penyesuaian lingkaran rangka Ilizarov bagi tulang tidak bersambung/

sambungan tidak sempurna sekunder 1760 505

Penyesuaian tapak pin sekunder bagi tulang tidak bersambung/sambungan tidak sempurna 580

Graf tulang (kecuali di mana bahagian tatacara lain)

1565 570

Pengeluaran fiksasi dalaman/prostesis dari tulang/sendi tidak termasuk wayar-K

1340 435

P.U. (A) 358 78

Pengeluaran wayar dari tulang, termasuk wayar-K

405 315

Pencucian pembedahan ke atas luka di bawah anestetik umum 480 265

Saraf

Pelepasan pemerangkapan saraf periferi di tempat paling dalam termasuk Interos

Anterior dan saraf Interos Posterior 865 435

Transposisi anterior saraf ulna 1000 505

Trarisposisi submuskular saraf ulna 1890 505

Tinjauan semula pelepasan saraf periferi 1565 505

Eksplorasi/neurolisis/biopsi saraf periferi 865 355

Sendi (tidak disenaraikan di mana-mana)

Eksisi membran sinovial sendi 1565 625

Penggantian/rekonstruksi/pembaikan ligamen prostetik primer termasuk prostesis 1565 505

Pembedahan yang menstabilkan ke atas sendi 1565 625

Pelepasan kontraktur sendi 1160 405

Artrotomi sendi besar termasuk pembuangan bahagian longgar dari sendi 1160 405

Artrotomi sendi kecil termasuk pembuangan bahagian longgar dari sendi 315 265

Pembedahan artroskopik terapeutik ke atas rawan intra-artikular

(selain daripada W8200)

1160 505

Pembedahan artroskopik terapeutik ke atas rawan intra-artikular (selain daripada W8200) - dwisisi 1890 820

Pembedahan artroskopik terapeutik ke atas kaviti sendi 1890 505

Pembedahan artroskopik terapeutik ke atas kaviti sendi - dwisisi 2895 820

Pemeriksaan artroskopik diagnostik sendi, dengan/tanpa biopsi 865 435

Suntikan ke dalam sendi di bawah kawalan sinar-X

480 265

Manipulasi sendi 405 405

Sendi (tidak disenaraikan di mana-mana)

Penggantian prostetik artikulasi tulang 2145 685

Interposisi artroplasti sendi prostetik

(cth: pinggul, lutut, bahu)

2305 820

Rekonstruksi eksisi sendi 1760 625

P.U. (A) 358 79

Fiksasi/Artrodesis

Osteirtomi pinggul dengan fiksasi 2305 940

Osteotomi pelvis dengan fiksasi 3600 940

Artrodesis primer sendi besar dan graf tulang 1760 820

Artrodesis primer dan fiksasi dalaman

(cth: tangan/kaki) termasuk graf tulang 1160 685

Tangan

Fasiotomi subkutaneus Dupuytren 580 315

Fasiektomi Dupuytren - digit tunggal 1160 435

Fasiektomi Dupuytren bagi tapak tangan dan digit berbilang 1760 625

Dermofasiektomi dan graf Dupuytren, atau bagi penyakit berulang 2145 820

Pembaikan extensor tangan 865 435

Pembaikan fleksor tangan termasuk implan prostetik 1760 435

Pembaikan sekunder atau peringkat kedua fleksor tangan termasuk implan prostetik 1890 570

Pembaikan sekunder tendon tangan/lengan bawah (tidak termasuk fleksor), tanpa pemindahan atau graf 1000 435

Pembaikan sekunder tendon tangan/lengan bawah (tidak termasuk fleksor), dengan pemindahan/graf 1760 435

Graf tendon sebagai tatacara tunggal 1340 435

Tenolisis - selain daripada fleksor 1160 435

Tenolisis fleksor 1565 435

Polisisasi jari bagi rekonstruksi ibu jari tangan 3600 435

Pembaikan kecederaan hujung jari akibat avulsi dengan flap 1565 505

Tatacara berbilang sendi pada tangan termasuk sinovektomi 2390 820

Cantuman sendi metakarpo-falang/interkarpus 1000 570

Artroplasti prostetik sendi digit 1760 435

Graf tulang pada skafoid dengan fiksasi dalaman, termasuk skru Herbert 1890 625

Amputasi tangan 1565 625

Amputasi digit 1000 505

Amputasi melalui mid-karpus/

transmetakarpus 1000 435

Cantuman pergelangan tangan 2040 820

P.U. (A) 358 80

Bahu

Pembaikan terhad otot iaitu koyakan kurang daripada 2 sm (cth: kuf rotator)

termasuk artroskopik 725 625

Pembaikan menyeluruh otot iaitu koyakan lebih daripada 2 sm (cth: kuf rotator) termasuk artroskopik 2145 625

Pembaikan kuf rotator tinjauan semula 2145 625

Akromiopiasti 1565 625

Eksisi klavikel distal, secara isolasi 1565 625

Interposisi artroplasti sendi prostetik

(cth: pinggul, lutut, bahu)

2305 820

Pembaikan primer sendi akromioklavikular yang pecah termasuk fiksasi dalaman 2705 685

Pembaikan sekunder sendi akromioklavikular yang pecah termasuk fiksasi dalaman 2705 685

Rekonstruksi sendi akromioklavikular 2705 685

Hemiartroplasti bahu 2305 685

Hemiartroplasti bahu tinjauan semula 2570 685

Penggantian total bahu primer 2705 940

Penggantian total bahu tinjauan semula 3600 1550

Penstabilan sendi bahu termasuk anterior, postefior atau pelbagai arah

(termasuk artroskopik)

1890 685

Penstabilan sendi bahu tinjauan semula 2390 760

Pelepasan kontraktur bahu 2145 685

Penyaduran dan/atau graf tulang bagi klavikel yang tidak bersambung 2040 685

Eksplorasi dan cantuman pleksus brakial 3600 2110

Dekompresi sub-akromial termasuk artroskopik 1890 685

Eksisi total servikal atau rusuk pertama 2145 820

Siku

Penggantian prostetik total siku 2705 940

Penggantian prostetik total siku tinjauan semula 3600 1550

Pelepasan kontriksi pada salutan tendon 1000 435

Pinggul, kaki dan pelvis

Eksisi lesi tulang pelvis/pinggul 1565 685

Osteotomi pinggul dengan fiksasi 2305 940

Osteotomi pelvis dengan fiksasi 3600 940

Penggantian prostetik total sendi pinggul 2705 985

P.U. (A) 358 81

Penggantian prostetik total sendi pinggul tinjauan semula 3600 1550

Penggantian prostetik total sendi pinggul-dwisisi 4750 1550

Penggantian prostetik kepala femur 2145 820

Pelepasan fasiotomi kompartment anterior/ posterior tulang keting 1760 625

Amputasi tulang keting/kaki 2040 685

Manipulasi dan plaster Paris (POP)

pinggul

580 405

Lutut

Pembedahan artroskopik terapeutik rongga sendi 1890 505

Pembedahan artroskopik terapeutik rongga sendi-dwisisi 2895 820

Pemeriksaan artroskopik diagnostik sendi,dengan/tanpa biopsi 865 435

Penggantian prostetik total sendi lutut 2705 985

Penggantian lutut unikompartment 2705 820

Penggantian total sendi lutut tinjauan semula 3600 1550

Penggantian prostetik total sendi lutut -

dwisisi 4750 1550

Penggantian prostetik primer ligamen krusiat 2480 820

Rekonstruksi autograf ligamen krusiat termasuk artroskopik 2570 940

Penstabilan patella 2480 940

Pembedahan artroskopik terapeutik rawan semi lunar 1890 685

Pembedahan artroskopik terapeutik rawan semi lunar - dwisisi 2895 985

Pembaikan mudah ligamen lutut 1890 570

Pembedahan artroskopik terapeutik pada rongga lutut 1890 685

Pembedahan artroskopik terapeutik pada rongga lutut - dwisisi 2895 985

Kaki

Pembaikan primer tendon kaki 480 435

Pembaikan primer tendon Achilles 1160 435

Pembaikan sekunder tendon Achilles 1890 435

Pembaikan sekunder tendon kaki 725 435

Tatabara sendi berbilang kaki hadapan 2390 760

Tatacara sendi berbilang kaki hadapan

- dwisisi 3600 1125

P.U. (A) 358 82

Osteotomi metatarsal

(cth: akin, mcNab, dsb.)

865 435

Cantuman sendi metatarso-falang pertama 1000 505

Cantuman sendi metatarso-falang pertama - dwisisi 1760 820

Seilektomi metatarso-falang 1565 505

Cantuman tiga sendi-sendi kaki belakang 1890 685

Osteotomi pes klavus 1890 685

Pembetulan kecacatan kongenital kaki minor 1565 505

Pembetulan kecacatan kongenital kaki minor - dwisisi 2480 820

Penggantian prostetik total sendi pergelangan kaki 2705 940

Penggantian prostetik total sendi pergelangan kaki tinjauan semula 3600 1550

Penutupan osteotomi baji/translasi taji kalkaneum termasuk fiksasi dalaman 1760 505

Artroplasti eksisi sendi metatarso-falang pertama dengan implan prostetik 1760 625

Artroplasti eksisi sendi metatarso-falang pertama termasuk Keller 1160 505

Artroplasti eksisi sendi metatarso-falang pertama termasuk Keller - dwisisi 1890 820

Cantuman sendi interfalang ibu jari kaki 1000 435

Pembetulan sendi metatarso-falang yang tertarik/dislokasi termasuk pemindahan tendon, pembahagian/penyusunan semula tulang dan fiksasi dalaman 1890 820

Cantuman sendi interfalang ibu jari kaki -

dwisisi 1760 760

Artrodesis primer dan fiksasi dalaman

(tangan/kaki) termasuk graf tulang 1160 685

Buniektomi mudah 725 355

Buniektomi mudah - dwisisi 1160 625

Osteotomi metatarsal valgus Hallux 1340 685

Osteotorni metatarsal valgus Hallux -

dwisisi 2145 985

Osteotomi metatarsal valgus Hallux, dengan fiksasi dalaman dan pembetulan tisu lembut 1890 760

Osteotomi metatarsal valgus Hallux, dengan fiksasi dalaman dan pembetulan tisu lembut - dwisisi 2895 1125

Amputasi jari kaki

1000 435

P.U. (A) 358 83

Eksisi radikal tumor tulang dengan implan prostesis bagi anggota 4750 1550

Fiksasi luaran/tarikan

Aplikasi tarikan rangka kepada tulang 580 505

Pengeluaran tarikan rangka daripada tulang 405 315

Aplikasi fiksasi luaran kepada tulang 1760 505

Pengeluaran fiksasi luaran daripada tulang 580 315

Muka dan rahang

Reduksi terbuka fraktur maksila 1340 685

Reduksi tertutup fraktur maksila 725 570

Reduksi fraktur tulang muka yang lain 580 435

Reduksi fraktur tulang komplek zigomatik 1000 505

Reduksi terbuka fraktur tulang kompleks zigomatik 1565 570

Eksisi maksila 2040 940

Hemi-maksilektomi formal bagi malignan 2570 940

Fiksasi dalaman maksila 725 685

Fiksasi ekstra-oral maksila 725 685

Pengeluaran fiksator daripada maksila 580 570

Biopsi lesi tulang muka 405 355

Eksisi mandibel 2040 940

Eksisi mandibel yang luas 2390 985

Eksisi lesi rahang 1160 435

Reduksi terbuka fraktur mandibel 1000 685

Reduksi tertutup fraktur mandibel 580 570

Fiksasi intermaksilari mandibel 725 685

Fiksasi ekstra-oral mandibel 1000 685

Pengeluaran fiksator dari mandibel 580 505

Rekonstruksi rahang 2705 940

Graf tulang alveolar 1340 570

Manipulasi mandibel 405 355

Penggantian prostetik sendi temporomandibular 2305 625

Arthroplasti sendi temporomandibular 1890 625

Menisektomi sendi temporomandibular 1160 505

Reduksi dislokasi sendi temporamandibular 725 355

Bibir

Eksisi sempadan vermilion bibir dan pendahuluan mukosa bibir 1000 435

P.U. (A) 358 84

Eksisi lesi bibir 865 405

Penutupan bibir rekah (dan dwisisi)

1760 820

Penutupan primer bibir rekah tinjauan semula 2145 820

Rekonstruksi bibir menggunakan flap lidah 2145 685

Rekonstruksi bibir menggunakan flap kulit 2040 760

Sutur bibir 480 435

Biopsi lesi bibir 480 355

Lidah

Glosektomi total termasuk diseksi blok 2480 760

Glosektomi separa termasuk diseksi blok 2145 820

Eksisi/pemusnahan lesi lidah 865 505

Biopsi lesi lidah 315 405

Frenotomi/frenektomi lidah 480 435

Pembebasan pelekatan lidah 315 405

Flap lidah - peringkat pertama 1760 820

Flap lidah - peringkat kedua 1000 625

Lelangit

Eksisi/pemusnahan lesi lelangit 865 505

Pembaikan primer lelangit rekah 2305 820

Pembaikan lelangit rekah tinjauan semula 1565 685

Pembaikan plastik lelangit menggunakan flap lelangit 1340 685

Pembaikan plastik lelangit menggunakan flap kulit 1890 685

Jahitan lelangit 580 435

Biopsi lesi lelangit 480 405

Insisi lelangit 370 405

Pembedahan ke atas uvula 725 435

Rongga mulut

Vestibuloplasti berikutan trauma 1160 435

Eksisi/pemusnahan lesi mulut 580 405

Rekonstruksi mulut menggunakan flap 2145 760

Rekonstruksi mulut menggunakan graf 1000 760

Graf kulit ke mulut 1000 625

Graf mukosa ke mulut 865 570

Jahitan mulut 580 505

Biopsi lesi mulut 370 355

Pengeluaran mukosa berlebihan dari mulut 865 435

P.U. (A) 358 85

Kelenjar liur

Eksisi kelenjar parotid (selain daripada

F4410/F4430)

1890 685

Eksisi total kelenjar parotid dan pemeliharaan saraf muka 3600 985

Eksisi separa kelenjar parotid dan pemeliharaan saraf muka 2895 985

Eksisi kelenjar submandibular 1340 505

Eksisi kelenjar sublingual 1000 505

Eksisi lesi kelenjar parotid 1160 505

Eksisi lesi kelenjar submandibular 1160 505

Eksisi lesi kelenjar sublingual 405 505

Insisi kelenjar parotid 405 405

Insisi kelenjar submandibular 405 405

Insisi kelenjar sublingual 405 405

Biopsi lesi kelenjar liur 580 435

Penutupan fistula kelenjar liur 865 435

Transposisi salur parotid 1160 435

Transposisi salur submandibular 1160 435

Pengekstrakan terbuka kalkulus daripada salur parotid 865 355

Pengekstrakan terbuka kalkulus daripada salur submandibular 725 435

Pengikatan salur parotid 480 435

Pengikatan salur submandibular 480 435

Pembedahan salur submandibular 480 435

Pengembangan salur parotid 405 265

Manipulasi pengeluaran kalkulus dari salur parotid 725 315

Gigi

Penanaman semula gigi berikutan trauma 865 355

Pembedahan pengeluaran gigi terimpak/tertanam 1000 435

Pembedahan pengeluaran akar tertanam yang rumit 725 435

Enukleasi sista rahang 865 435

Leher

Diseksi blok nodus limfa servikal (tidak termasuk dalam tatacara lain)

2895 940

Biopsi/pensampelan nodus limfa servikal 405 505

Pembedahan ke atas sista rekahan brankial 1340 820

Pembedahan ke atas fistula rekahan brankial 2040 820

P.U. (A) 358 86

Kelenjar Tiroid dan paratiroid

Tiroidektomi total 2040 820

Subtotal tiroidektomi dwisisi 2040 760

Hemitiroidektomi 2040 685

Tiroidektomi separa 2040 685

Tiroplasti (Isshiki jenis I)

1760 625

Pembedahan ke atas tisu tiroid aberan termasuk retrosternal 2480 940

Eksisi sista tiroglosal 1000 625

Eksisi laluan tiroglosal 1340 625

Eksisi lesi kelenjar tiroid 1340 435

Aspirasi jarum halus kelenjar tiroid 315 315

Biopsi jarum kelenjar tiroid 580 315

Paratiroidektomi 2705 940

Paratiroid: pembedahan kedua 2705 985

Penyaliran abses kelenjar liur 405

III. PELBAGAI

1. Fi pemeriksaan perubatan

Butiran

Pemeriksaan perubatan – pra-pekerjaan, rutin dan pemeriksaan perubatan tahunan, pemeriksaan perubatan kesihatan, pemeriksaan perubatan menyeluruh, pemeriksaan perubatan penerbangan (tidak termasuk siasatan makmal, sinar-X, ECG, dsb.)

45 – 230

Pemeriksaan bagi kes medico-legal 570 – 1145

Pemeriksaan bagi penilaian kehilangan upaya 570 – 1145

Penyertaan dalam Peperiksaan Lembaga

Perubatan 230 – 1145

Pemeriksaan perubatan bagi insurans hayat 90 – 230

Pemeriksaan kesihatan lesen vokasional 35 – 115

Butiran

Pemeriksaan perubatan - pra-pekerjaan, pemeriksaan rutin dan pemeriksaan perubatan tahunan, pemeriksaan perubatan kesihatan, pemeriksaan perubatan menyeluruh, pemeriksaan perubatan

115 – 570

P.U. (A) 358 87

penerbangan (tidak termasuk siasatan makmal, sinar-X, ECG, dsb.)

Pemeriksaan bagi kes medico legal 570 – 2290

Pemeriksaan bagi penilaian kehilangan upaya 570 – 2290

Penyertaan dalam Peperiksaan Lembaga

Perubatan 570 – 2290

Pemeriksaan perubatan bagi insurans hayat 170 – 460

Pemeriksaan kesihatan lesen vokasional 35 – 115

2. Fi laporan perubatan

Butiran

Bukan pakar 55 – 230

Pakar 115 – 570

3. Fi panggilan ke rumah dan bantuan perubatan (Pengamal am)

Butiran

Tugas perubatan bagi acara dan majlis bagi setiap jam 55

Liputan perubatan bagi pemindahan/penghantaran pulang pesakit

(tidak termasuk perbelanjaan sebenar yang ditanggung untuk kos perjalanan, makan dan penginapan) bagi satu hari 570

4. Fi kehadiran di mahkamah

Butiran

Kelayakan perbelanjaan bagi satu hari-ini adalah untuk menampung kos pengamal perubatan yang apabila dipanggil sebagai saksi, dikehendaki untuk mengkaji dan menyelidik kes yang dahulunya bukan merupakan pesakit pengamal perubatan yang sama

(tidak termasuk belanja perjalanan, makan dan penginapan dan laporan perubatan)

285 – 570

Wang pengendalian

Perbelanjaan sebenar yang ditanggung dalam kos perjalanan dan penginapan

Saksi bukan pakar (testimoni yang melibatkan pernyataan fakta sahaja)

570 – 1145

Saksi pakar (testimoni yang melibatkan pendapat pakar)

1145 – 2290

P.U. (A) 358 88

Laporan perubatan yang menyeluruh

(diminta oleh syarikat insurans, peguam dan lain-lain)

90 – 285

Pernyataan pakar perubatan yang merawat bagi syarikat insurans 55

BAHAGIAN B - FI PERGIGIAN

I. FI PERUNDINGAN

Butiran

Perundingan sahaja

Perundingan dengan pemeriksaan

30 - 285

Perundingan dengan pemeriksaan dan pelan rawatan

II. FI TATACARA PERGIGIAN ASAS

Butiran

Pendarahan selepas cabutan 55 – 345

Rawatan untuk rongga kering 55 – 345

Tampalan sementara 35 – 170

Insisi dan penyaliran 55 – 230

Tampalan amalgam 45 – 345

Tampalan sewarna gigi/bahan lekat 55 – 685

Pembuangan kalkulus 55 – 345

Pembuangan plak dan/atau kesan ektrinsik 70 – 285

Dentur akrilik (separa) bagi setiap rahang 115 – 1145

Dentur akrilik (penuh) bagi setiap rahang 285 – 2290

Cabutan gigi dan/atau akar yang mudah tanpa pembedahan

Kekal 45 – 285

Desidus 30 – 115

Radiograf periapeks/bite wings/oklusal -

bagi setiap pendedahan 25 – 115

III. PELBAGAI

Butiran

Laporan pergigian 55 – 345

Panggilan ke rumah 170 – 570

P.U. (A) 358 89

Fi kehadiran di mahkamah - kelayakan perbelanjaan bagi satu hari. Ini adalah untuk menampung kos pengamal pergigian yang apabila dipanggil sebagai saksi, dikehendaki untuk mengkaji dan menyelidik kes yang dahulunya bukan merupakan pesakit pengamal pergigian yang sama (tidak termasuk belanja perjalanan, makan dan penginapan dan laporan pergigian)

285 – 570

Wang pengendalian

Perbelanjaan sebenar yang ditanggung dalam kos perjalanan dan penginapan

Saksi bukan pakar (testimoni yang melibatkan pernyataan fakta sahaja)

570 – 1145

Saksi pakar (testimoni yang melibatkan pendapat pakar)

1145 – 2290

Laporan pergigian yang komprehensif

(diminta oleh syarikat insurans, peguam dan lain-lain)

55 – 345

Pernyataan pakar pergigian yang merawat bagi syarikat insurans 55”.

Dibuat 10 Oktober 2013

[KK(R)/654(336) (17); PN(PU2)610/IV]

DATUK SERI DR. S. SUBRAMANIAM

Menteri Kesihatan

P.U. (A) 358 90

PRIVATE HEALTHCARE FACILITIES AND SERVICES ACT 1998

PRIVATE HEALTHCARE FACILITIES AND SERVICES (PRIVATE HOSPITALS AND OTHER

PRIVATE HEALTHCARE FACILITIES) (AMENDMENT) ORDER 2013

IN exercise of the powers conferred by subsection 106(2) of the Private Healthcare

Facilities and Services Act 1998 [Act 586], the Minister makes the following order:

Citation 1.

This order may be cited as the Private Healthcare Facilities and Services

(Private Hospitals and Other Private Healthcare Facilities) (Amendment) Order 2013.

Amendment of Thirteenth Schedule 2.

The Private Healthcare Facilities and Services (Private Hospitals and Other

Private Healthcare Facilities) Regulations 2006 [P.U. (A) 138/2006], are amended by substituting for the Thirteenth Schedule the following schedule:

“THIRTEENTH SCHEDULE

[Regulation 433]

FEE SCHEDULE – PROFESSIONAL FEE

PART A - MEDICAL FEE

Note:

1. In this note:

“out-of-hours” means a period between 6 p.m. on one day and 8 a.m the following day on weekdays, and all day on weekends and public holidays;

“emergency” means a serious situation which is said to exist when delay in treatment may lead to increased threat to life or body part;

“surgeons’” refers to all categories of specialists and may include anaesthetists;

P.U. (A) 358 91

“anaesthetist fee” refers to fee chargeable for induction, maintenance, reversal of anaesthesia and standard monitoring activities. This fee is only applicable to either general or regional anaesthesia.

2. All fees in this Schedule shall be the maximum chargeable fees and it is applicable to any form of payment.

3. An additional fee not exceeding 50% of the maximum chargeable fee may be charged by both surgeons and anaesthetists for emergency procedures performed out-of-hours which shall not include elective procedures.

4. For ward visit, including post-operative rounds and care, the fees for consultation that can be charged shall be for a maximum of two visits on the same day, regardless of the actual number of visits made, except in cases where additional visits are at the patient’s request or when the patient’s condition deems the additional visit(s) necessary.

5. Fee for monitored anaesthesia care make up 80% of the anaesthetic fee for such procedure.

6. When two or more procedures are performed through the same incision and occasion, the fees chargeable by both surgeons and anaesthetists for other than the intended procedure(s), shall not exceed 50% of that procedure(s).

7. When two or more procedures are performed through separate incisions on same occasion, the fees for both surgeons and anaesthetists shall not exceed 75% of the respective professional fee stipulated for that procedure. This rule is not applicable for multiple incisions made to create multiple access ports in any endoscopic and laparoscopic procedure.

P.U. (A) 358 92

8. In a surgery that involves multiple anatomical levels, the fees chargeable for that procedure is 100% for the first level and should not exceed 50% of the maximum chargeable fee for the subsequent levels.

9. When one or more procedures performed either through the same or different incision, elective or emergencies and require the services of multiple surgeons of different specialties performing together in the interest of patient safety, operative efficiency or quality of care, the fees chargeable by these surgeons other than the primary surgeon should not exceed 75% of the maximum chargeable fee.

10. When procedures of highly complex nature require the service of a second surgeon of the same specialty, perform together in the interest of patient safety, operative efficiency or quality of care, the total fees chargeable by the second surgeon shall not exceed 50% of the total fees chargeable by the first (primary)

surgeon for the procedure(s) performed by him.

11. In cases where a specific fee for a laparoscopic or endoscopic procedure is not stipulated in the Schedule, an additional fee not exceeding 15% of the procedure fee may be charged by the surgeon.

12. In cases where an open procedure is performed following a failed endoscopic procedure, the fee that is charged shall only be for one procedure.

13. When a therapeutic endoscopy or laparoscopic procedures is preceded by a diagnostic endoscopy or laparoscopy, no additional fee can be charged for the diagnostic procedure.

14. In cases where a procedure comprises of a combination of procedures which are customarily performed together and for which a specified combined procedure is provided or not in the Schedule, the fee for the specified combined procedure shall not be fragmented or unbundled in the computation of fees.

P.U. (A) 358 93

Note:

1. For procedures performed under local anaesthetic (LA) or sedation or both, and when the LA or sedation is administered by the surgeon who performs the procedure, an additional fee not exceeding 20% of the procedure fee or RM 125, whichever is lower may be charged. This additional fee shall not apply to procedures that are performed under LA and/or sedation where it is considered as a routine, usual and customary.

2. In cases where no fee is stipulated for the anaesthetist and anaesthesia is deemed necessary, a fee not exceeding 50% of the surgical procedure fee or a minimum of

RM 265 or whichever is higher may be charged by the anaesthetist.

1. General practitioner (non-specialist)

Item

Consultation only

Consultation with examination

30-125

Consultation with examination and treatment plan

Consultation after stipulated clinic hours

Up to 50% above the usual rate

House call or home visit

Up to 100% above the usual rate

Item

Consultation only

Consultation with examination

35 - 145

Consultation with examination and treatment plan

I. CONSULTATION FEE

P.U. (A) 358 94

Consultation after stipulated clinic hours

Up to 50% above the usual rate

House call or home visit

Up to 100% above the usual rate

2. Specialist fee

Note: applicable to all medical specialties unless specified otherwise

Item

Consultation only

Consultation with examination

80 - 235

Consultation with examination and treatment plan

Consultation after stipulated clinic hours

–

Up to 50% above the usual rate

House call or home visit

–

Up to 100% above the usual rate

Item

Consultation only

Consultation with examination

40 - 105

Consultation with examination and treatment plan

Consultation after stipulated clinic hours

–

Up to 50% above the usual rate

House call or home visit

–

Up to 100% above the usual rate

Note: Includes once a week consultation

Item

Basic Treatment planning including simulation for external beam radiotherapy (replanning will be charged separately)

860 -1715

Treatment planning for brachytherapy

(Intracavitary)

1145-2290

Specialised treatment planning

2290-4575

- Interstitial brachytherapy

P.U. (A) 358 95

- Conformal radiotherapy

- Radiosurgery

- Intensity modulated radiotherapy

II. PROCEDURE FEE

1. General Procedures

Item/Procedure

Surgeon

Anaesthetist

Ambulatory blood pressure monitoring 130

Application of plaster cast (where this is the sole procedure)

315

Application of plaster jacket, hip spica, long leg cast or cast brace 410 265

Arterial cannulation 130

Arterial puncture 65

Aspiration of subcutaneous haemotoma 315

Banding of haemorrhoids 315

Biopsy of skin or subcutaneous tissue 315

Cardiopulmonary resuscitation (CPR)

315

Central venous pressure (CVP) line cannulation 230

Chest tube insertion 840

Colposcopy (plus/minus biopsy)

375

Continuous Holter monitoring 330

Curettage/Cryotherapy of lesion of skin including cauterisation 315

Diagnostic aspiration of cysts, joints and cavities 315

Echocardiography with report

Colour form mapping 380

Doppler echocardiography 380

Echocardiogram-transthoracic 230

M-mode 380

Stress echo treadmill 380

Stress echocardiography 380

Trans-oesophageal echocardiography 440

Two dimensional (2-D)

380

Elective cardioversion 290

Electrocardiogram (ECG) with report 80

ECG (stress/exercise) with report 270

Endometrial biopsy or aspiration 410

Fine needle aspiration cytology 315

Incision and drainage (I & D)

315

P.U. (A) 358 96

Injection around apophyseal facet of vertebra without X-ray control 315

Injection into joint without X-ray control 315

Injection into subcutaneous tissue/painful trigger point including local anesthesia

(LA) and steroid 315

Injection into varicose veins of leg 315

Injection of sclerosing substance into haemorrhoids 315

Introduction of substance into skin including hormone pellet 315

Lumbar puncture 745

Paracentesis for ascites 630

Paravertebral block (without X-ray control)

480

Percutaneous biopsy (not elsewhere specified)

315

Pericardiocentesis 505

Pleural biopsy 895

Pleural cavity drainage 840

Pleurodesis 630

Rigid sigmoidoscopy with biopsy 315

Signal averaging ECG

45

Stellate ganglion block (LA)

480

Swan Ganz cathether placement 460

Temporary pacing 1145

Toilet and suturing (T & S) per stitch 20

Venesection 35

Venupuncture 65

2. Specific Procedures

First consultation, assessment, procedure and advanced cardiac life support (ACLS) in the intensive care unit (ICU)

630

Subsequent consultation and assessment in the ICU

As per paragraph 2(b) of the specialist fees

Obstetric analgesia service – Epidural 445

Management of acute, chronic and cancer pains 35

Venepuncture 65

P.U. (A) 358 97

Oesophagus

Thorascopic oesophageal mobilisation via mediastinum 4750 1815

Oesophagogastrectomy 4750 1815

Total oesophagogastrectomy and interposition of intestine 5970 2500

Open excision of lesion of oesophagus 1890 1125

Bypass of oesophagus 2480 1550

Revision of oesophageal anastomosis 2705 1320

Closure of bypass of oesophagus 2145 1125

Transthoracic repair of oesophagus 3600 1320

Thorascopic repair of oesophagus 2895 1320

Oesophagocardiomyotomy

(Heller's operation)

2040 985

Thorascopic oesophagogastric myotomy 2145 985

Injection sclerotherapy for oesophageal varices 1000 685

Transthoracic repair of hiatus hernia 2305 940

Transthoracic repair of diaphragmatic hernia 2305 940

Transabdominal repair of hiatus hernia 2145 760

Transabdominal repair of diaphragmatic hernia 2895 820

Laparoscopic repair of hiatus hernia 2145 760

Transabdominal anti-reflux operation 2895 820

Revision of anti-reflux procedure 3600 1320

Laparoscopic vagotomy/seromyotomy 2040 685

Laparoscopic gastro-jejunostomy 2145 685

Laparoscopic gastrostomy/jejunostomy 1760 570

Stomach

Proximal gastric vagotomy 2040 685

Highly selective vagotomy 2040 685

Vagotomy and pyloroplasty 2145 820

Total gastrectomy and excision of surrounding tissue 2895 1125

Partial gastrectomy 2305 760

Plastic operation on stomach 1890 685

Gastro-jejunostomy 2145 685

Revision of gastro-jejunostomy 2305 685

Gastrostomy 1760 570

Closure of gastrostomy 1565 570

Closure of perforated ulcer of stomach 1890 685

Laparoscopic closure of perforated ulcer of stomach 1890 685

Other open operation on stomach 1890 685

Pyloromyotomy 1890 685

P.U. (A) 358 98

Pyloroplasty 1890 685

Partial gastrectomy (benign disease)

2305

Partial gastrectomy (malignant disease)

2895

Duodenum

Open excision of lesion of duodenum 2305 760

Bypass of duodenum 1890 760

Laparoscopic closure of perforated ulcer of duodenum 1890 685

Closure of perforated ulcer of duodenum 1890 685

Small intestine

Excision of jejunum 2145 685

Excision of lesion of jejunum 2480 685

Jejunostomy 1760 685

Laparoscopic resection of small intestine 1890 685

Bypass of jejunum 1890 685

Intubation of jejunum of decompression of intestine 1890 685

Bypass of ileum 1890 685

Ileoanal anastomosis and creation of pouch 4750 1550

Ileostomy 1890 685

Attention to ileostomy 1565 570

Closure of ileostomy (in isolation)

1565 570

Open operation on ileum including reduction of intussusception 1890 685

Large intestine

Appendicectomy 1565 570

Laparoscopic appendicectomy 1565 570

Drainage of abscess of appendix 1565 625

Total excision of colon and ileorectal anastomosis 3600 1320

Extended excision of right hemicolon 2390 820

Other excision of right hemicolon 2390 760

Excision of transverse colon 2390 760

Excision of left hemicolon 2390 820

Excision of sigmoid colon 2390 820

Excision of lesion of colon

(transabdominal)

1760 760

Bypass of colon 2040 760

Exteriorisation of caecum 1760 760

Closure of colostomy – extra peritoneal 1340 625

Closure of colostomy – intra peritoneal 1890 760

Laparoscopic colostomy 2040 760

Colostomy including revision 2040 760

P.U. (A) 358 99

Intra-abdominal manipulation of colon including reduction of intussusception 2040 685

Laparoscopic colonic resection 2390 820

Radiological reduction of intussusception of colon using barium enema 580 570

Rectosigmoidectomy for

Hirchsprung's disease 4750

Laparotomy of necrotising enterocolitis

(NEC)

2705

Laporotomy for intestinal atresia 2705

Rectum/Anus

Ileoanal anastomosis and creation of pouch 4750 1550

Panproctocolectomy and ileostomy 4750 1815

Abdominoperineal pull through resection with colo-anal anastomosis and associated colostomy 4750 1815

Abdominoperineal resection of rectum and anus 4750 1815

Anterior resection 4750 1815

Anterior resection of rectum and end colostomy (with closure of rectum)

2705 1550

Laparoscopic anterior resection of rectum and exteriorisation of bowel 4750 1550

Partial excision of rectum and sigmoid colon for prolapse 2705 940

Reversal of Hartman's procedure 3600 1550

Open excision of lesion of rectum 2145 940

Fixation of rectum for prolapse 1890 940

Laparoscopic rectopexy 1890 940

Transanal resection for rectal cancer 2040 625

Perineal excision of lesion of rectum 1340 625

Full or partial thickness rectal biopsy 405 625

Perineal repair of prolapse of rectum 1760 685

Dilation of stricture of rectum 370 265

Repair of faecal fistula 865 625

Excision of lesion of anus 370 265

Destruction of lesion of anus 370 265

Repair of anal sphincter 1565 625

Repair of anal trauma 1340 625

Haemorrhoidectomy 1000 505

Anorectal stretch including examination under anaesthesia

(EUA)

and sigmoidoscopy 370 265

Laying open of low anal fistula 865 505

Laying open of high anal fistula 1565 625

Lateral sphincterotomy of anus 405 505

P.U. (A) 358 100

Excision of anal fissure 405 405

Drainage through perineal region including ischiorectal abscess 580 405

Excision of pilonidal sinus and suture/skin graft 1160 625

Laying open of pilonidal sinus 580 265

Fistulectomy (single)

865

Fistulectomy (multiple)

1565

Posterior saggital anorectoplasty (PSARP)

3600

Combined laparotomy plus PSARP

4750

Anoplasty 1340

Posterior saggital anorectovaginourethroplasty (PSARVUP)

4750

Combined laparotomy plus PSARVUP

5970

Other organs, mainly digestive

Adrenalectomy 2145 940

Adrenalectomy – bilateral 2305 1125

Operation on aberrant adrenal tissue 2145 940

Partial excision of liver 3600 1550

Hemihepatectomy 5970 2110

Removal of liver tumour 2895 985

Repair of liver 2480 985

Open drainage of liver 1160 685

Therapeutic laparoscopic operation on liver 1340 570

Diagnostic laparoscopic examination of liver including any biopsy 1340 505

Percutaneous biopsy of lesion of liver 480 315

Open puncture of liver 1565 570

Cholecystectomy including mini-cholecystectomy 1890 685

Cholecystectomy with exploration of common bile duct 2040 760

Laparoscopic cholecystectomy 2480 1125

Laparoscopic cholecystectomy with perioperative cholangiogram 2705 1550

Anastomosis of gall bladder

(to another viscus)

2305 760

Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum 2390 940

Excision of lesion of bile duct 2145 940

Anastomosis of hepatic duct 2895 940

Anastomosis of common bile duct 2145 940

Open introduction of prosthesis into bile duct 2145 760

P.U. (A) 358 101

Repair of bile duct 2390 985

Incision of bile duct including exploration for calculus removal 2145 940

Sphincterotomy of bile duct and pancreatic duct using duodenal approach 2145 820

Percutaneous examination of bile duct 1000 505

Total pancreatectomy and excision of surrounding tissue 4750 1815

Total pancreatectomy 4750 1815

Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure)

4750 1815

Distal pancreatectomy 2705 985

Excision of lesion of pancreas 2040 985

Anastomosis of pancreatic duct (to another viscus)

2705 940

Open drainage of lesion of pancreas 2040 760

Drainage of pancreatic abscess 2040 760

Incision of pancreas 2040 760

Open examination of pancreas 2040 760

Therapeutic percutaneous operation on pancreas 1565 685

Open splenectomy 1565 760

Laparoscopic splenectomy 1565 760

Creation of peritoneo-venous shunt

(Levine/Denver)

1340 435

Internal drainage of pancreatic pseudocyst 2705

Hepato portoenterototomy

(Kasai operation)

4750

Excision of choledochal cyst 4750

Major vessels

Open cannulation of intra-abdominal artery for infusion chemotherapy 2145 685

Creation of portacaval shunt 4750 1320

Plication of vena cava 2305 940

Repair of wound of major artery or vein of abdomen including aorta and vena cava 2145 1320

Abdominal wall

Repair of congenital diaphragmatic hernia 2705 1550

Simple excision of inguinal hernial sac 1000 505

Simple excision of inguinal hernial sac

– bilateral 1760 760

Primary repair of inguinal hernia 1160 505

Primary repair of inguinal hernia – bilateral 1890 820

Primary repair of strangulated inguinal hernia 1890 625

P.U. (A) 358 102

Laparoscopic repair of groin hernia 1160 505

Repair of recurrent inguinal hernia 1890 685

Repair of recurrent inguinal hernia

– bilateral 2895 985

Primary repair of femoral hernia 1000 505

Primary repair of strangulated femoral hernia 1890 625

Repair of recurrent femoral hernia 1565 570

Repair of umbilical hernia (irrespective of age)

1000 570

Primary repair of incisional hernia 1340 505

Repair of recurrent incisional hernia 1890 685

Repair of other hernia of abdominal wall 1340 505

Resuture of previous incision in abdominal wall (burst abdomen)

1340 570

Closure of exomphalos major/gastroschisis

– primary closure 3600

Closure of exomphalos major/gastroschisis

– silastic closure 2145

Closure of exomphalos major/gastroschisis

– delayed primary closure 2570

Peritoneum

Laparotomy for post-operative haemorrhage 1760 820

Laparotomy and repair of multiple visceral trauma 3600 1550

Open drainage of subphrenic abscess 1760 685

Operation on omentum 1890 685

Retroperitoneal tumour 2705 940

Retroperitoneal abscess 1160 685

Presacral tumour 1340 940

Freeing of adhesions of peritoneum 1565 685

Laparoscopy including biopsy and adhesiolysis 1160 435

Paracentesis abdominis for ascites 315 265

Suprapubic drainage of pelvic abscess 865 505

Transrectal/transvaginal drainage of pelvic abscess 1160

Laparotomy – exploratory 1890

Brain

Hemispherectomy 7030 2930

Excision of abscess of brain 4750 2110

Excision of lesion of tissue of brain 5970 2500

P.U. (A) 358 103

Stereotactic ablation of tissue of brain 4750 1815

Open biopsy of lesion of tissue of brain 3600 1550

Implantation/removal of neurostimulator from brain (any route)

2145 820

Ventriculocisternostomy 3600 1550

Creation of ventriculovascular anastomosis 2040 820

Creation of ventriculoperitoneal shunt 2040 820

Creation of subcutaneous cerebrospinal fluid (CSF) reservoir 2040 820

Maintenance of cerebroventricular shunt including revision 1565 685

Removal of cerebroventricular shunt 1340 505

Irrigation of cerebroventricular shunt 580 685

Therapeutic endoscopic operations on ventricle of brain 2570 820

Diagnostic endoscopic examination and biopsy of lesion of ventricle of brain 1760 820

Ventricular puncture 570 505

Cranium

Intracranial infection: Burr-hole 1890 760

Plastic repair of cranium 2705 1320

Reconstructive cranioplasty 2705 1320

Craniostenosis (single suture)

2040 760

Craniostenosis (more than one suture)

2705 1550

Exploratory open craniotomy 2705 1320

Exploratory Burr-hole of cranium 1565 685

Petrosectomy 3600 2110

Foramen Magnum decompression 4750 1550

Excision of lesion of cranium 2145 820

Elevation of depressed fracture of cranium 1565 760

Repair of compound fracture of cranium 2705 1320

Drainage of skull 1340 505

Meninges

Drainage of subarachnoid space of brain 1565 625

Excision of lesion of meninges of brain 7030 2500

Operation of arachnoid cyst 2705 985

Repair of dura 3600 1320

Evacuation of extradural haematoma 3600 1320

Evacuation of subdural haematoma or abscess 3600 1320

Subdural haemorrhage – tap 315 435

Nerves

Intracranial transection of cranial nerve 5970 2930

P.U. (A) 358 104

Other intracranial destruction of cranial nerve 5970 2930

Excision of lesion of cranial nerve

(Intracranial)

7030 2930

Excision of acoustic neuroma 7030 2930

Repair of cranial nerve (Intracranial)

2895 1815

Decompression of cranial nerve

(Craniotomy)

5970 1815

Neurostimulation of cranial nerve

(Intracranial)

2145 760

Removal of neurostimulator from cranial nerve 1890 505

Excision of cerebellopontine angle tumour 7030 2930

Vessels

Craniotomy – post-operative haemorrhage 2705 1320

Craniotomy for suprasellar tumour 7030

Craniotomy for posterior fossa tumour 7030

Ligation/clipping of aneurysm of cerebral artery 5970 2110

Reinforcement of aneurysm of cerebral artery 5970 2110

Open operations on cerebral artery 5970 2110

Excision of arteriovenous (AV)

malformation 7030 2110

Creation of ventriculovascular anastomosis 2040 820

Creation of ventriculoperitoneal shunt 2040 820

Others

Hypophysectomy 5970 1815

Cryotherapy to pituitary gland 2570

Excision of lesion of pituitary gland 5970 1815

Excision of pineal gland 7030 1815

Subcutaneous mastectomy with immediate implant 2040 760

Radical mastectomy including block dissection 2305 760

Mastectomy combined with reconstruction of breast using myocutaneous flap 2895 985

Modified radical mastectomy including block dissection 2040 685

Simple mastectomy including axillary node biopsy 1565 685

Excision of lesion of breast 1000 405

P.U. (A) 358 105

Segmental resection or quadrantectomy 1340 505

Wide local excision of lesion of breast 1340 505

Repeat local excision to clear margins 1000 505

Excision biopsy of breast lesion after localisation 1000 505

Reconstruction of breast using latissimus dorsi 2895 940

Reconstruction of breast using local flap 2305 760

Reconstruction of breast using TRAMS

4750 1550

Removal of prosthesis from breast 865 405

Implantation of prosthesis following mastectomy 1340 685

Percutaneous biopsy of lesion of breast 370 265

Stereotactic/guidewire excision of lesion of breast 1565 505

Drainage of breast abscess 580 405

Microdochotomy 1000 405

Operation(s) on nipple (where not included in other procedures)

865 405

Block dissection of axillary lymph nodes

(where not included in other procedures)

1760 625

Biopsy/sampling of axillary lymph nodes 405 315

Biopsy of internal mammary lymph nodes 725 505

Allergy test

Skin sensitivity tests (Intradermal) using up to 20 reagents (excluding cost of reagents)

190

Skin sensitivity tests (patch test) using up to 26

reagents, i.e.

standard series

(excluding cost of reagents)

250

Skin sensitivity tests (patch test) using more than 26 reagents, i.e. standard and extra series (excluding cost of reagents)

315

Skin sensitivity tests (patch test) using supplementary series i.e. cost per series

(excluding cost of reagents)

190

General dermatosurgery

Excision – cysts, scars, benign tumours

(simple)

380

Excision – cysts, scars, benign tumours

(complex)

660

Excision

–

malignant skin tumours requiring wide excision 915

P.U. (A) 358 106

Multiple intralesional steroid injections 190

Cryotherapy – not more than 5 lesions 155

Cryotherapy – more than 5 lesions 250

Cryotherapy

–

malignant tumours requiring wide areas of treatment 505

Curettage/Cryotherapy lesion of skin including cauterisation 315

Phototherapy

Phototherapy (ultra violet beam (UVB))

per session – regional 65

Phototherapy (UVB) per session – whole body 100

Psoralen and ultra violet A (PUVA)

per session – regional 100

PUVA per session – whole body 125

Photopatch testing 250

Minimum erythema doses (MED)

phototesting 250

Minimum photoxic doses (MPD)

phototesting 250

Phototherapy ultraviolet A1 (UVA 1)

per session – regional 100

Phototherapy ultraviolet A1 (UVA 1)

per session – whole body 125

Other dermatology procedures

Simple excision of nail 70

Wedge excision of toe nail 380

Wedge excision or avulsion of toe nail including chemical ablation of nail bed 480 315

Matrixectomy of nail 170

Dark ground investigation

(DGI)

examination of specimen 125

Biopsy of skin or subcutaneous tissue 315

Percutaneous biopsy

(not elsewhere specified)

315

Microscopic examination (dark ground)

65

Microscopic examination for skin scrapings, smears, and etc.

65

Electrocautery

–

keratosis, warts, angiomas, etc. (less than 5 lesions)

190

Electrocautery

–

keratosis, warts, angiomas, etc. (from 5 to 20 lesions)

380

Electrocautery

–

keratosis, warts, angiomas, etc. (more than 20 lesions)

630

P.U. (A) 358 107

Chemical cautery

–

keratosis, warts, angiomas, etc. (not more than 5 lesions)

125

Chemical cautery

–

keratosis, warts, angiomas, etc. (more than 5 lesions)

250

Electrolysis of hair per session 250

Iontophoresis per session 190

Transdermal iontophoresis 285

Cutaneous laser procedures

Cutaneous laser ablation of skin tumours

(less than 5 lesions)

290

Cutaneous laser ablation of skin tumours

(5 to 20 lesions)

660

Cutaneous laser ablation of skin tumours

(more than 20 lesions)

860

Pigment laser treatment of skin pigmentation and tattoos – small area

(less than 9 cm2)

380

Pigment laser treatment of skin pigmentation and tattoos – medium sized area (9 cm2 to 50 cm2)

435

Pigment laser treatment of skin pigmentation – large area (more than 50 cm2)

660

Pigment laser treatment of tattoo of eyebrows 380

Pigment laser treatment of tattoo of eyelids 435

Vascular laser treatment of vascular lesion

– small area (less than 9 cm2)

380

Vascular laser treatment of vascular lesion

– medium sized area (9 cm2 to 50 cm2)

435

Vascular laser treatment of vascular lesion

– large area (more than 50 cm2)

660

Laser resurfacing of one cosmetic unit –

non-ablative 860

Laser resurfacing of one cosmetic unit –

ablative 1145

Laser-assisted/intense pulsed light (IPL)

hair removal – small area (less than 9cm2)

380

Laser-assisted/IPL hair removal – medium sized area (9 cm2 to 50 cm2)

435

Laser-assisted/IPL hair removal – large area (more than 50 cm2)

660

Laser-assisted/IPL hair removal – whole face 915

P.U. (A) 358 108

Chemical peeling

Chemical peeling of lesion of skin –

superficial peel 290

Chemical peeling of lesion of skin – medium depth 380

Chemical peeling of lesion of skin – deep peel 660

Miscellaneous procedures

Comedone extract per session 190

Paring of hyperkeratosis, corns, etc.

190

Milia extraction 190

Day care skin nursing per session 190

Whole body wrap dressing

(e.g: atopic eczema)

230

Microdermabrasion – face 345

Microdermabrasion – body 570

Botulinum toxin injection of one cosmetic unit 685

Fillers injection of one cosmetic unit 570

External ear

Total excision of external ear 1565 820

Excision of preauricular abnormality 1000 405

Excision of lesion of external ear 725 405

Removal of exostoses from external auditory canal 1760 505

Reconstruction of external ear using graft 2895 685

Reconstruction of external ear 2145 685

Meatoplasty of external ear 1565 505

Repair of external ear 405 405

Removal of foreign body from external auditory canal under general anaesthetic

(GA) (and bilateral)

370 265

Excision of lesion of external auditory canal 480 570

Reconstruction of external auditory canal 2705 1125

Middle ear and mastoid

Radical mastoidectomy 2480 940

Modified radical mastoidectomy 2480 940

Simple mastoidectomy 2305 625

Revision of mastoidectomy 2040 940

Exploration of mastoid, facial nerve 2305 940

Tympanoplasty 2145 940

Myringoplasty 2040 760

P.U. (A) 358 109

Myringotomy and insertion of tube through tympanic membrane (and bilateral)

865 355

Suction clearance of middle ear 370 265

Myringotomy (and bilateral)

370 265

Ossiculoplasty with/without tympanoplasty 2705 940

Stapedectomy 2040 760

Middle ear tumour excision 2040 760

Middle ear polypectomy (and bilateral)

580 265

Tympanotomy and biopsy of lesion of middle ear 1760 570

Petrosectomy 3600 2110

Inner ear

Transtympanic electrocochleography 725

Operation on cochlea 3600 1320

Operation on endolymphatic sac 2145 940

Membranous labyrinthectomy 2390 940

Osseous labyrinthectomy 2480 940

Excision of preauricular sinus – unilateral 1340

Excision of preauricular sinus – bilateral 1760

Nose and nasal cavity

Total excision of nose 1565 760

Septorhinoplasty plus/minus graft/implant following trauma or excision of tumour 2145 625

Rhinoplasty following trauma or excision of tumour 2040 625

Submucous excision of septum of nose 1160 405

Excision of lesion of septum of nose 580 355

Biopsy of lesion of septum of nose 370 355

Closure of perforation of septum of nose 1340 405

Incision of septum of nose 405 315

Septoplasty of nose 1340 435

Nasal septum cauterisation (and bilateral)

315 265

Submucous diathermy to turbinate of nose

(and bilateral)

405 265

Excision of turbinate of nose (and bilateral)

725 405

Excision of lesion of turbinate of nose (and bilateral)

405 405

Division of adhesions of turbinate of nose

(and bilateral)

370 405

Biopsy of lesion of turbinate of nose (and bilateral)

370 405

Cauterisation of turbinate of nose (and bilateral)

370 265

Ligation of artery of internal nose 1340 505

P.U. (A) 358 110

Embolisation of artery of internal nose 1340 505

Packing of cavity of nose (as sole procedure)

315 505

Polypectomy of internal nose

(and bilateral)

480 355

Excision of lesion of internal nose 405 355

Correction of congenital atresia of choana 1565 685

Removal of foreign body from cavity of nose 315 355

Excision of lesion of external nose 315 435

Nasal sinuses

Drainage of maxillary antrum including

Caldwell-Luc (and bilateral)

1000 435

Transantral neurectomy of vidian nerve using sublabial approach (and bilateral)

1760 685

Antral puncture and wash-out

(and bilateral)

480 265

Intranasal antrostomy including endoscopic (and bilateral)

865 505

Closure of oro-antral fistula 1340 435

External frontoethmoidectomy

(and bilateral)

2145 760

Intranasal ethmoidectomy (and bilateral)

1160 505

External ethmoidectomy including endoscopic (and bilateral)

1565 685

Anterior and posterior opening into functional endoscopic sinus surgery (FESS)

1760 685

Transantral ethmoidectomy (and bilateral)

1565 685

Bone flap to frontal sinus (and bilateral)

2480 625

Trephining of frontal sinus 580 265

Radical frontoethmoidectomy 2390 940

Subtotal FESS

1565 685

Operation on sphenoid sinus 865 505

Operation on nasal sinus (unspecified)

865 505

Lateral

Rhinotomy into sinus for malignancy 1760 625

Diagnostic endoscopy of sinus (as sole procedure)

315 405

Throat

Total pharyngectomy 5970 1815

Partial pharyngectomy 2305 1815

Adenoidectomy 405 265

Repair of pharynx 2145 820

Open excision of lesion of pharynx 725 505

Operation on pharyngeal pouch 1890 685

P.U. (A) 358 111

Therapeutic endoscopic operation on pharynx 580 405

Pharyngeal pouch – Endoscopic resection 1890 625

Diagnostic endoscopic examination of pharynx including biopsy 580 405

Tonsillectomy – child (and bilateral)

1000 435

Tonsillectomy – adult (and bilateral)

1160 435

Excision of lingual tonsil 865 435

Adenotonsillectomy (and bilateral)

1160 435

Drainage of peritonsillar abscess ("Quinsy")

315 315

Larynx and trachea

Total laryngectomy including neck dissection 3600 1815

Partial laryngectomy 2145 985

Laryngofissure and chordectomy of vocal chord 1760 625

Laryngectomy (excluding neck dissection)

2570 1320

Glottoplasty 1760 625

Reconstruction of larynx with graft 3600 1815

Endoscopic excision of lesion of larynx including microlaryngoscopy 1160 570

Laryngoscopy/endoscopy with/without biopsy 580 505

Injection into larynx 1160 505

Partial excision of trachea with reconstruction 3600 2110

Tracheoplasty 1760 625

Open placement of prosthesis in trachea 1760 505

Tracheotomy 1000 570

Insertion of mini-tracheostomy 580 405

Fibreoptic endoscopic procedures under topical anaesthesia

Fibreoptic examination of trachea and bronchus including biopsy/removal of foreign body 725 505

Bronchial lavage

(diagnostic or therapeutic)

865

Dilatation of tracheal stricture including insertion of stent 865

Dilatation of bronchial stricture by fibreoptic bronchoscope 1000

Transbronchial biopsy 1000

Endoscopic GIT procedure

P.U. (A) 358 112

Rigid oesophagoscopy plus/minus biopsy/removal/laser or diathermy destruction of lesions 865 435

Diagnostic esophagogastroduodenoscopy including Biopsy 405 315

Therapeutic esophagoduodenoscopy including removal of foreign body/polypectomy 580 435

Therapeutic esophagogastroduodenoscopy including destruction of lesion, insertion of prosthesis, dilatation, recanalisation of tumour 1000 435

Injection sclerotherapy for oesophageal varices 1000 685

Intubation for investigation of GIT plus/minus manometry, pH measurement, pancreatic function and jejunal biopsy 480 315

Endoscopy and examination of ilium through stoma including dilatation 580 315

Flexible sigmoidoscopy plus/minus biopsy/removal/destruction of lesion 580 435

Fibreoptic colonoscopy plus/minus excision biopsy/destruction of lesion 1000 435

Fibreoptic colonoscopy and recanalisation of tumour 1565 435

Endoscopic retrogradecholangiopancreatography

(ERCP)

1160 505

ERCP with therapeutic procedure 1760 505

Pancreatic stent insertion 2040 760

Pancreatic stone removal 2040 760

Pancreatic pseudocyst drainage 2040 760

Rubber band ligation of varices 1000 405

PEG

1760 625

Endoscopic mucosal resection 2040 760

Colonic polypectomy 1340 505

Colonic dilatation (balloon)

1340 505

Colonic stent insertion 1565 570

Therapeutic

GIT bleeding procedures

(upper)

1000 405

Laparoscopic procedure

Laparoscopic repair of hiatus hernia 2145 760

Laparoscopic vagotomy/seromyotomy 2040 685

Laparoscopic gastrojejunostomy 2145 685

Laparoscopic gastrostomy/jejunostomy 1760 570

P.U. (A) 358 113

Laparoscopic closure of perforated ulcer of stomach 1890 685

Laparoscopic closure of perforated ulcer of duodenum 1890 685

Laparoscopic resection of small intestine 1890 685

Laparoscopic appendicectomy 1565 570

Laparoscopic colostomy 2040 760

Laparoscopic colonic resection 2390 820

Laparoscopic anterior resection of rectum and exteriorisation of bowel 4750 1550

Laparoscopic rectopexy 1890 940

Laparoscopic cholecystectomy 2480 1125

Laparoscopic cholecystectomy with perioperative cholangiogram 2705 1550

Laparoscopic splenectomy 1565 760

Laparoscopic repair of groin hernia 1160 505

General procedures

Fundus fluorescein angiogram 345

Anterior/Fundus photography 65

Automated perimetry 250

Hess chart 125

Keratometry 65

Corneal topography Ultrasonography 250

A - Scan 125

B - Scan 250

Pachymetry 125

Gonioscopy 65

Indirect ophthalmoscopy 65

Refraction 65

Schirmer’s test 30

Electrophysiology

Electroretinogram (ERG)/

Electrooculogram

(EOG)/Visual evoked response (VER)

250

Syringing 125

Dressing 35

Irrigation 65

Excision/curettage/cryotherapy of lesion of eyelid(s)

370 265

Yag laser photo disruption of posterior capsule of lens including laser capsulotomy 580 505

Laser photocoagulation/Cryotherapy/

Radiotherapy of lesion of retina (and bilateral)

1000 405

P.U. (A) 358 114

Flourescein angiography of eye 315 265

Surgical correction of squint (one or both eyes)

1890 625

Surgical trabeculectomy 2040 760

Trabeculectomy including laser 1160 570

Biopsy of lesion of eyelid 480 315

Extracapsular extraction without implant 2145 820

Extracapsular extraction with implant 2570 940

Globe or orbit

Exenteration of orbit 2040 760

Enucleation of eyeball 2040 685

Excision of lesion of orbit 1890 685

Reconstruction of cavity of orbit 2305 760

Biopsy of lesion of orbit 1160 505

Drainage of orbit 1340 355

Decompression of orbit 2305 685

Removal of foreign body from orbit 1890 685

Exploration of orbit 1890 685

Open reduction of fracture of orbit 1340 685

Retrobulbar injection 315 265

Evisceration of eyeball 2040 760

Orbital implants – Evisceration/

Enucleation with implant 2390

Eyebrow and lid

Excision of lesion of eyebrow 580 405

Suture of eyebrow 315 405

Excision of lesion of canthus 1000 505

Correction of epicanthus 1160 505

Correction of telecanthus 1160 505

Graft of skin to canthus 1000 505

Canthotomy/Curettage 580 505

Excision/Curettage/Cryotherapy of lesion of eyelid(s)

370 265

Graft of skin to eyelid 1000 505

Correction of ectropion 1160 405

Correction of entropion 1160 405

Correction of trichiasis 405 405

Tarsorrhaphy 865 405

Total reconstruction of eyelid 1890 505

Suture of eyelid (laceration)

405 405

Total reconstruction of eyelid – bilateral 2895 820

Correction of ptosis of eyelid 1760 625

Tarsomullerectomy 1760 505

Drainage of lesion of eyelid 370 355

Biopsy of lesion of eyelid 480 315

P.U. (A) 358 115

Removal of eyelashes by electrolysis/laser/cryotherapy 370 265

Lacrimal system

Canaliculo dacryocystorhinostomy 2390 940

Conjunctivo dacryocystorhinostomy 2390 940

Dacryocysto rhinostomy (DCR)

with/without insertion of tube 2040 940

Excision of lacrimal sac 1000 505

Biopsy of lacrimal sac 580 505

Incision of lacrimal sac 370 405

Syringing of nasolacrimal system under general anaesthesia (GA)

315 265

Probing of nasolacrimal sac under GA

315 265

Repair of torn canaliculus 1000 265

Dilation of lacrimal punctum under GA

315 265

Endoscopic DCR

2570 1320

Muscles

Surgical correction of squint (one or both eyes)

1890 625

Revision of squint surgery (one or both eyes)

2305 570

Tenotomy of muscle (one or both eyes)

1340 570

Transposition of muscle (one or both eyes)

1760 570

Surgical correction of squint with adjustable sutures (one or both eyes)

2480 685

Revision of squint surgery with adjustable sutures (one or both eyes)

2895 940

Correction of squint with botulinum toxin 1000

Conjunctiva

Excision of conjunctival lesion 480 505

Cauterisation including cryotherapy to conjunctival lesion 315 505

Radiotherapy to conjunctival lesion 580 505

Mucosal graft to conjunctiva 1160 505

Suture of conjunctiva 480 505

Removal of suture of conjunctiva 315 435

Drainage of conjunctival cyst 315 435

Division of adhesions of conjunctiva 315 435

Biopsy of lesion of conjunctiva 315 435

Subconjunctival injection 315 435

Exploration of conjunctiva including removal of foreign body 370 435

Pterygium excision 1340 505

Conjunctival limbal graft 725

P.U. (A) 358 116

Cornea

Excision of lesion of cornea 480 435

Cryotherapy of lesion of cornea 315 435

Lameliar graft (Keratoplasty) to cornea 2390 940

Perforating graft (Keratoplasty) to cornea 2390 940

Repair of corneal wound 580 505

Removal of corneal suture 315 405

Removal of superficial corneal foreign body 405 435

Tension sutures 1340 625

Chelation of cornea 725 405

Tattooing of cornea 725 405

Corneal scraping for culture 405 405

Refractive keratoplasty 1760 625

Photorefrative keratectomy (PRK)/

Phototherapeutic keratectomy (PTK)

2145 820

Keratomileusis laser in situ (LASIK)

3600 2110

Lamellar graft (Keratoplasty) to cornea 3600

Performing graft (Keratoplasty) to cornea 2895

Limbal stem cells transplantation 2705

Amniotic membrane graft 1160

Anterior stromal puncture 865

Astigmatic keratotomy 1565

Sclera

Excision of lesion sclera 725 570

Repair of scleral laceration 725 570

Scleral graft 1565 570

Iris and anterior chamber

Iridocycletomy 2390 940

Surgical iridectomy 1160 685

Surgical trabeculectomy 2040 760

Laser trabeculoplasty 1000 570

Trabeculotomy including laser 1160 570

Goniotomy (surgical treatment of glaucoma)

1890 570

Laser iridotomy 1160 505

Repair of prolapsed iris 1890 685

Excision of lesion of iris 1890 685

Removal of foreign body from iris 1890 685

Cyclocyotherapy (cauterisation of ciliary body)

1160 505

Cyclodialysis (separation of ciliary body)

1760 685

Reformation of anterior chamber 1565 570

Paracentesis 1000 435

Injection into anterior chamber 480 435

Irrigation of anterior chamber 480 435

P.U. (A) 358 117

Removal of foreign body from anterior chamber 1160 435

Valve implant in glaucoma 2895 1815

Surgical trabeculectomy 2040 760

Cyclophotocoagulation 1565 570

Lens

Extracapsular extraction without implant

– bilateral 3600 1320

Extracapsular extraction without implant

- unilateral 2145 820

Phakoemulsification of lens with/without implant 2570 940

Extracapsular extraction with implant 2570 940

Extracapsular extraction with implant

– bilateral 4750 1550

Yag laser photodistruption of posterior capsule of lens including laser capsulotomy 580 505

Secondary insertion of lens implant 1760 685

Revision of lens implant 1760 685

Removal of lens implant 1340 505

Small incision surgery with/without intra ocular lens (IOL)

2705 1550

Cataract surgery in complicated cases

(e.g: dislocated lens) with/without implant 3600

Scleral fixation of intraocular lens 2390

Vitreous

Vitrectomy by anterior approach 1760 760

Vitrectomy pars plana approach with insertion of internal tamponade 2570 1320

Vitrectomy combined with membranectomy/insertion of internal tamponade/laser or cryotherapy 3600 2110

Retina

Buckling of sclera including implant/encircling explant/silicone oil/gas exchange/laser or cryotherapy 2145 820

Removal of silicone oil 865 355

Laser photocoagulation/Cryotherapy/

Radiotherapy of lesion of retina (and bilateral)

1000 405

Excision of lesion of retina 2145 940

Biopsy of lesion of retina 2145 505

Pars plana vitrectomy with removal of

IOL/dislocated lens 5970 2930

P.U. (A) 358 118

Pars plana vitrectomy with removal of intra ocular foreign body 5970 2930

Buckling of sclera with trans pars plana vitrectomy 7030 3305

Biopsy

Fluoroscopically guided biopsy 725

Ultrasound guided biopsy 865

CT/MRI guided biopsy 1000

Transjugular/Transfemoral/plugged liver biopsy 1340

Drainage

Fluoroscopically guided drainage of fluid collection 725

Ultrasound guided drainage of fluid collection 1340

CT/MRI guided drainage of fluid collection 1565

Angioplasty

Angioplasty 1760

Angioplasty with insertion of metallic stent 1890

Angioplasty with insertion of metallic stent-graft 2040

Insertion of aortic metallic stent-graft 4750 1550

Cerebral angioplasty with/without insertion of metallic stent 4750 1125

Cerebral angioplasty with insertion of metallic stent-graft 4750 1125

Embolization

Embolization of artery or vein 1890

Embolization of vascular mass including uterine embolization 2895

Embolization of bronchial artery 3600

Embolization of aneurysm 5970

Embolization of arteriovenous malformation 7030

Thrombolysis

Thrombolysis or aspiration of thrombus under imaging control 1340

Dilatation

P.U. (A) 358 119

Dilatation of stricture under imaging control 1160

Percutaneous dilatation of biliary stricture under imaging control 2305

Head and neck

Endoluminal stone extraction from salivary duct imaging control 725

Insertion of nasolacrimal stent under imaging control 2040

Head and neck spine

Chemonucleolysis 1160

Fluoroscopically guided discectomy including laser 2145

CT guided discectomy including laser 2895

Fluoroscopically guided percutaneous vertebroplasty 2145

CT Guided percutaneous vertebroplasty 2895

Thorax

Insertion of tracheal/bronchial metallic stent 1760

Insertion of oesophageal metallic stent under imaging control 1565

Gastro-intestinal

Percutaneous gastrostomy 1760

Percutaneous gastrojejunostomy 2145

Liver

Percutaneous cholecystotomy 1890

Percutaneous insertion of plastic biliary endoprosthesis 1890

Percutaneous insertion of metallic biliary endoprosthesis 2390

Transjugular intrahepatic portosystemic shunt 2895

1815

Urinary

Percutaneous nephrostomy 1340

Percutaneous removal of calculus 2705

Percutaneous pyelolysis 2705

Others

Insertion of central venous catheter

– non-tunnelled (X-ray guided)

725

P.U. (A) 358 120

Insertion of central venous catheter

– tunnelled (X-ray guided)

1160

Cystablation under imaging control 1160

Insertion of vena cava filter 1340

Retrieval of foreign body under X-ray guidance 1565

Occlusion of fistula under imaging control 2145

Percutaneous laser coagulation of mass 3600

Reporting of neurophysiology tests

Electroencephalogram (EEG) – routine and sleep or portable 315

Evoked potential study – visual evoked potential (VEP), brainstem auditory evoked response

(BAEP)

and somatosensory evoked response (SSEP)

580

Electromyography

(EMG)

and nerve conduction study 580

Nerve conduction study 315

Neurosurgery

Decompression and fusion of cranio cervical junction 7030 3305

Craniotomy for suprasellar tumour 7030 3305

Craniotomy for posterior fossa tumour 7030 3305

Selective posterior rhizotomy 5970 2930

Endoscopic discectomy 7030

Cervical laminectomy 3600

Pregnancy and confinement

Caesarean delivery 1890 820

Caesarean hysterectomy 2390 820

Curettage of delivered uterus 480 405

Repositioning of inverted uterus 725 685

Neonatal exchange blood transfusion 1000

Female reproductive organs

Uterus/Adnexa

Radical hysterectomy and lymphadenectomy (Wertheim's)

4750 1550

Total abdominal hysterectomy 2040 760

Subtotal abdominal hysterectomy 2040 760

P.U. (A) 358 121

Hysterectomy and removal of uterine adnexa 2040 760

Vaginal hysterectomy including laparoscopically assisted 2040 760

Hysterectomy and removal of uterine adnexa for ovarian malignancy 2895 820

Myomectomy including laparoscopically 2040 760

Plastic reconstruction of uterus 1565 685

Therapeutic endoscopic operation on uterus including endometrial ablation 1565 685

Hysteroscopy with/without D&C, biopsy including polypectomy 865 435

Endometrial biopsy or aspiration 405 265

Bilateral oophorectomy and salpingectomy in isolation 1890 685

Unilateral oophorectomy and salpingectomy in isolation 1340 685

Removal of products of conception from fallopian tube (ectopic pregnancy)

including laparoscopically 1760 760

Laparoscopy including (e.g: puncture of ovarian cysts) plus/minus biopsy 1160 570

Laparoscopy and therapeutic procedures including laser, diathermy and destruction

(e.g: endometriosis, adhesiolysis, tubal surgery and solid tumours)

1890 760

Ovarian cystectomy (not included in other procedures) (and bilateral)

1890 685

Block dissection of pelvic lymph nodes (not included in other procedures)

2040 760

Total exenteration of pelvis 5970 2930

Anterior exenteration of pelvis 4750 1815

Posterior exenteration of pelvis 4750 1815

Suspension

Combined abdominal and vaginal operations to support outlet of female bladder 1890 685

Suprapubic sling operation 1890 760

Retropubic suspension of neck of bladder 1890 685

Vaginal operation to support outlet of female bladder 1890 685

Ventro-suspension of uterus including laparoscopic 1340 625

Cervix uteri

Colposcopy (with/without biopsy)

370

P.U. (A) 358 122

Amputation of cervix uteri 1160 505

Laser destruction of lesion of cervix uteri 370 265

Cauterisation of lesion of cervix uteri including loop diathermy 370 265

Cone biopsy of cervix uteri including laser 865 505

Punch biopsy of cervix uteri 315 265

Dilatation of cervix uteri and curettage of uterus including polypectomy and diathermy of cervix (for women over 40

years of age)

480 315

Vagina/Perineum

Cystourethroplasty 1760 685

Excision/Diathermy of urethral carbuncle 370 265

Operation on female perineum 480 265

Incision of introitus of vagina 480 505

Other obliteration of vagina 1890 760

Excision of septum of vagina 725 505

Excision of lesion of vagina (e.g: warts and cysts)

865 505

Reconstruction of vagina 2705 820

Anterior plus/minus posterior colporrhaphy and amputation of cervix uteri including primary repair of enterocele 2040 685

Posterior colporrhaphy 1340 625

Anterior plus/minus posterior colporrhaphy including primary repair of enterocoele 1890 685

Repair of enterocele

(in isolation)

plus/minus posterior colporrhaphy 1760 685

Anterior (plus/minus posterior)

colporrhaphy with vaginal hysterectomy including primary repair of enterocoele 2480 820

Repair of vesicovaginal fistula 2145 820

Repair of urethrovaginal fistula 1890 820

Repair of rectovaginal fistula 2480 820

Repair of ureterovaginal fistula 2480 820

Vulva/Labia

Excision of Bartholin’s gland 865 355

Marsupialisation of Bartholin’s gland 865 355

Simple vulvectomy 2145 760

Excision of excess labial tissue 725 435

Radical vulvectomy including block dissection of inguinal gland 2895 985

Excision of lesion of vulva 580 355

P.U. (A) 358 123

Drainage of abscess of lung 2480 1125

Laparotomy for NEC

4750 2500

Single stage closure of epispadias 3600 2110

Excision of neural crest tumours (thoracic)

3600 2110

Transternal excision teratoma 3600 2110

Transternal excision lymphangioma 4750 2500

Endoscopy and cannulation of tracheal fistula 1565 570

Excision of bronchial cyst 3600 2110

Repair of lung 2895 1815

Excision of oesophageal duplication 3600 2110

Repair of H type of Tetralogy of Fallot

(TOF)

3600 2110

Repair of tracheo-oesophageal cleft 5970 2930

Thoracotomy and primary repair of oesophageal atresia 4750 2500

Repair of recurrent TOF

5970 2930

Thoracotomy and division of fistula 2895 1815

Esophagostomy 1760 625

Oesophageal transection 2705 1550

Rectosigmoidectomy with coloanal reconstruction for Hirschsprung's disease 4750 2500

Lester-Martin modification of Duhamel 5970 2930

Kimura operation for total colonic aganglionosis 7030 3305

Ileocecal/jejunal patch for total colonic aganglionosis 7030 3305

Presacral injection of hypertonic saline 480 265

Insertion of encircling suture perianal sphincter 480 265

Posterior sagittal anorectoplasty 3600 2110

Posterior sagittal anorectoplasty with laparotomy for high type anorectal anomaly 4750 2500

Anterior sagittal anorectoplasty 2895 1815

Sacroperineal pull-through 2895 1815

Posterior sagittal anorectovaginourethroplasty for intermediate type cloacal 5970 2930

Posterior sagittal anorectovaginourethroplasty with laparotomy for high type 7030 3305

Redo posterior sagittal anorectoplasty for anorectal anomaly 5970 2930

Anoplasty 1760 625

P.U. (A) 358 124

Drainage of choledochal cyst 2390 985

Kasai operation for biliary atresia 7030 3305

Subtotal splenectomy 3600 2110

Repair of spleen 2705 1550

Aortopexy (for tracheomalacia)

3600 2110

Percutaneous insertion of nephrostomy tube 1160 435

Cutaneous ureterostomy 1565 570

Excision of ureterocoele 2480 1125

Excision of ectopic ureterocoele 2570 1320

Closure of bladder exostrophy 5970 2930

Conversion of cloacal exstrophy to bladder exstrophy with end colostomy 4750 2500

Conversion of cloacal exstrophy, ileostomy, separation of caecum from both hemibladders 7030 3305

Vesicostomy 1760 625

Mitrofanoff Appendicovasicostomy 3600 2110

Glandular hypospadias repair (e.g: MAGPI)

1565 570

Distal penile hypospadias repair (e.g: Flip-flap repair)

2390 985

Closure of urethra fistula 1000 405

First state repair of penile hypospadias 1565 570

Single stage island flap repair of proximal or penoscrotal hypospadias 3600 2110

Single stage repair for severe hypospadias with penoscrotal transposition 4750 2500

Single stage male reconstruction with vaginectomy for ambiguous genitalia 7030 3305

Correction of penoscrotal transposition 1890 685

Correction of chordae without hypospadias

(no need for urethroplasty)

1565 570

Second stage repair of hypospadias 1565 570

Correction of penile chordae without hypospadius requiring urethroplasty 2895 1815

Hypospadias repair with free bladder or buccal mucusa graft 4750 2500

Exploration of scrotum 1000 405

Microvascular transfer of testis to scrotum 2705 1550

Laparoscopy and orchidopexy for intra-abdominal testis 2145 820

Laparotomy and ligation of testicular artery 865 355

Laparoscopic division of testicular artery 1565 570

Dorsal slit prepuce 405 265

Reduction clitoroplasty for congenital adrenal hyperplasia

2705 1550

P.U. (A) 358 125

Reduction clitoroplasty with vaginoplasty for congenital adrenal hyperplasia 4750 2500

Reduction clitoroplasty, laparotomy and sigmoid colon vaginoplasty 7030 3305

Redo reduction clitoroplasty with redo vaginoplasty with laparotomy and sigmoid 7030 3305

Excision of cervical cystic hygroma – small 1160 435

Excision of cervical cystic hygroma – large 2480 1125

Excision of cervical cystic hygroma –

extensive 3600 2110

Correction of hydrocele – unilateral 1000

Correction of hydrocele – bilateral 1760

Closure of exomphalos major/gastroschisis

– primary closure 3600

Closure of exomphalos major/gastroschisis

– silastic closure 2145

Closure of exomphalos major/gastroschists

– delayed primary closure 2570

Congenital dislocation of hip (CDH)

Close reduction with/without anaesthesia and hip spica 865 355

Close reduction with application of brace 315 265

Open reduction with hip spica 1890 685

Open reduction with pelvic osteotomy 2305 940

Open reduction with femoral osteotomy 2305 940

Open reduction with pelvic and femoral osteotomy

2705 1550

Knee

Correction of deformity by serial casting 315 265

Correction of deformity by soft tissue release 1340 505

Correction of deformity by osteotomy 2305 940

Patellar stabilisation by casting 1160 435

Pseudoarthrodesis

Excision and live graft 2895 1815

Excision and bone transport 2705 1550

Bone lengthening and correction of deformity

Using circular frame 2705 1550

Using uniaxial frame 2480 1125

Using circular and uniaxial frames

(combined)

2705 1550

P.U. (A) 358 126

Foot

Clubfoot correction by serial casting 315 265

Clubfoot correction by elongation of tendon

Achilles 725 315

Clubfoot correction by complete soft tissue release 1760 625

Clubfoot correction by circular frame 1760 625

Deformity correction by tendon transfer and soft tissue release 2145 820

Deformity correction by osteotomy and fusion 2145 820

Arthrodesis

2145 820

Polio and cerebral palsy

Soft tissue release and neurectomy of hip

–bilateral 1340 505

Soft tissue release of knee – bilateral 1340 505

Soft tissue release of ankle – bilateral 1340 505

Tendon transfer 1565 570

Arthrodesis 2145 820

Tumour resection and limb salvage

Soft tissue tumours - simple 2145 820

Soft tissue tumours - complex including neurovascular reconstruction 7030 3305

Bone tumours with endoprosthesis 7030 3305

Uncomplicated excision specimens

-

(e.g: appendix, fallopian tubes, vas, tonsils, adenoids, sebaceous cyst, nasal polyp, heart valve)

55 - 70

More complicated excision specimens

Diagnostic biopsy (wedge/punch/trucut)

(one paraffin block)

115 - 135

Medium sized specimens

-

(e.g: eye, salivary gland, thyroid, breast lump, gall bladder, prostatic chips, splenectomy, simple hysterectomy, ovarian cyst, excised diabetic ulcer, excised tumour not more than 10cm, diagnostic biopsy sent as 2 to 3

separate specimens)

170 - 225

P.U. (A) 358 127

Large specimens

-

(e.g: laryngectomy, pneumonectomy, simple mastectomy, breast hook wire with margins, gastrectomy, gut resection, nephrectomy, total abdominal hysterectomy and bilateral salphingoopherectomy (TAHBSO), cone biopsy, amputated limb (except for diabetes), excised tumour more than 10cm, diagnostic biopsy sent as 4 to10

separate specimens)

345 - 420

Radical specimens

-

(e.g: radical neck dissection, mastectomy with axillary clearance,

Whipple's Wertheim's, vulvectomy with lymphadenectomy, any other radical dissections requiring margins and lymph node status)

440 - 490

Specialised histopathology

Liver for non-neoplastic conditions including special stains 205 - 240

Muscle including special stains 280 - 345

Renal biopsy including special stains and immunofluorescence 410 - 485

Lymphoproliferative disorders including immunohistophenotyping of lymphomas 280 - 345

Frozen section (with follow-up paraffin section report)

410 - 555

Autopsy

Visit to scene of crime 410 - 685

Procedure and report

685 - 1375

Cytopathology

Report on gynaecological smear 45 - 50

Report on non-gynaecological smear 85 - 95

Procedure on aspiration cytology 315

Report on aspiration cytology

165 - 205

Haematology and transfusion

Report based on blood film 45 - 70

Procedure on bone marrow aspiration 480

Report on bone marrow aspiration 135 - 275

Procedure on bone marrow trephine 580 405

Report on bone marrow trephine 135 - 275

P.U. (A) 358 128

Report on coagulation tests 70 - 135

Report on special haematological investigations

-

(e.g: folate-B12 status, Coomb's test,

Haemoglobin analysis, cytochemistry etc.)

70 - 135

Basic transfusion report

-

(e.g: discrepancies of grouping and incompatibility of blood/blood products)

45 - 70

Report on transfusion problems 135 - 275

Pheresis 1000

Harvesting of bone marrow 1340

Grafting of bone marrow

1340

Genetics

Chromosomes study immunofluorescence 135 - 410

Immunophenotyping 135 - 410

Deoxyribonucleic acid (DNA) content

(Ploidy)

135 - 410

Gene rearrangement studies 135 - 410

Lymphocyte subsets 135 - 410

Report on other molecular genetic studies 135 - 410

Paternity testing 135 - 410

Human leucocyte antigen (HLA) typing

135 - 410

Immunology

Report on general immunology test

-

(e.g: autoimmune disease screen, autoantibodies screen)

40 - 70

Report on special immunological investigations

-

(e.g: Serum protein electrophoresis,

Cerebrospinal fluid (CSF)

electrophoresis, immunotyping of monoclonal proteins, immunophenotyping of immune disorders, investigations of proteinuria, cellular function studies)

70 - 275

Medical microbiology

Report on routine culture and sensitivity 15 - 20

Report on special cultures 70 - 135

P.U. (A) 358 129

Report on direct smears examination

(gram/acid fast bacilli (AFB))

45 - 55

Report on serological tests 45 - 55

Report on special serological tests 70 - 135

Report on antimicrobial susceptibility testing (per test)

105 - 205

Consultation on patient management

(Investigation and empirical therapy)

105 - 135

Positive blood culture smear examination and preliminary report with consultation on patient management 135 - 205

Consultation on infection control 135 - 205

Report on antigen detection

(Immunofluorescence, IgG enzyme linked immuno-sorbent assay (ELISA), latex/coagglutination)

70 - 105

Chemical pathology

Report on general chemistry profiles

-

(e.g: liver, bone, cardiac)

45 - 70

Report on general chemistry screen including executive screen 70 - 205

Report on special chemistry investigations

-

(e.g: metabolic studies (lipid, bone)

endocrine disorders, toxicology studies, therapeutic drug monitoring, maternal and foetal health assessment)

70 - 410

Report on dynamic studies

-

(e.g: function studies (GIT, endocrine, renal))

115 - 410

Consultation for –

Investigation strategy 105 - 135

Non-analytical variation 105 - 135

Drug interferences 105 - 135

Correlation between clinical data and clinical information provided 105 - 135

Miscellaneous

Electron microscopy 340 - 410

Second opinion for –

Data interpretation and bone marrow slides 135 - 275

Histopathology and cytopathology 275 - 685

Autopsy findings 275 - 1375

P.U. (A) 358 130

Individual psychotherapy – not less than 45 minutes per session including behaviour therapy and hypnotherapy 250

Group psychotherapy per person – one hour per group of not less than three patients and not more than eight patients 65

Marital therapy per couple – not less than 45 minutes per session for a couple together 250

Family therapy per family – not less than 45 minutes per session and not less than three members 250

Child psychotherapy – not less than 30

minutes per session including relevant family interviews 250

Each electroconvulsive therapy (ECT)

315

Note: Where applicable, radiologist fee make up 30% of the total fee chargeable for radiology and diagnostic imaging.

Chest

Chest (single view)

45

Chest (two views)

70

Chest (three views)

90

Chest (four views)

115

Abdomen

Abdomen (single view)

45

Abdomen (two views)

70

Abdomen (three views)

90

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

115

Lateral pelvimetry 55

Anteroposterior (AP) and lateral pelvimetry 90

Spine

Cervical spine (single view)

45

Cervical spine (two views)

70

Cervical spine (three views)

90

Cervical spine (four views)

115

Cervical spine (five views)

135

Thoracic spine (single view)

45

Thoracic spine (two views)

70

P.U. (A) 358 131

Thoracic spine (three views)

90

Lumbo-sacral spine (single view)

45

Lumbo-sacral spine (two views)

70

Lumbo-sacral spine (three views)

90

Lumbo-sacral spine (four views)

115

Skeletal survey 250

Skull

Skull (single view)

45

Skull (two views)

70

Skull (three views)

90

Skull (four views)

115

Facial bones

Facial bones (single view)

45

Facial bones (two views)

70

Facial bones (three views)

90

Nasal bones (single view)

45

Mandible

Mandible (single view)

45

Mandible (two views)

70

Mandible (three views)

90

Temporo-mandibular joints

Temporo-mandibular joints (single view)

45

Temporo-mandibular joints (two views)

70

Temporo-mandibular joints (three views)

90

Temporo-mandibular joints (four views)

115

Mastoids

Mastoids (single view)

45

Mastoids (two views)

75

Mastoids (three views)

110

Mastoids (four views)

130

Paranasal sinuses

Paranasal sinuses (single view)

45

Paranasal sinuses (two views)

70

Paranasal sinuses (three views)

90

Optic foramina view

Unilateral 70

Bilateral 105

Orbits

Orbits (two views)

45

Orbits (three views)

70

Orbits (four views)

90

P.U. (A) 358 132

Internal auditory canal

Internal auditory canal (single view)

45

Internal auditory canal (two views)

70

Internal auditory canal (three views)

90

Shoulder

Shoulder (single view)

45

Shoulder (two views)

70

Shoulder (three views)

90

Shoulder (four views)

115

Acriomo-clavicular joints – both weight bearing 55

Arm (Humerus)

Arm (single view)

45

Arm (two views)

70

Elbow joint

Elbow joint (single view)

45

Elbow joint (two views)

70

Elbow joint (three views)

90

Elbow joint (four views)

115

Forearm (Radius/Ulna)

Forearm (single view)

45

Forearm (two views)

70

Wrist joint

Wrist Joint (single view)

45

Wrist Joint (two views)

70

Wrist Joint (three views)

90

Wrist Joint (four views)

115

Hand

Hand (single – one view)

45

Hand (single – two views)

70

Hand (single – three views)

90

Hand (both – one view)

55

Hand (both – two views)

80

Hand (both – three views)

105

Left Hand for bone age 45

Thumb or single digit

Thumb or single digit (single view)

30

Thumb or single digit (two views)

40

P.U. (A) 358 133

Clavicle

Clavicle (single view)

45

Clavicle (two views)

70

Sterno-clavicular joint

Sterno-clavicular joint (single view)

45

Sterno-clavicular joint (two views)

70

Sterno-clavicular joint (three views)

90

Sternum (single view)

45

Scapula

Scapula (single view)

45

Scapula (two views)

70

Carpal tunnel view 70

Scaphoid views 90

Pelvis

Pelvis (single view)

50

Pelvis (two views)

75

Pelvis (three views)

95

Hip joint

Hip joint (single view)

50

Hip joint (two views)

75

Hip joint (three views)

95

Hip joint (four views)

120

Hip joint (five views)

145

Femur (thigh)

Femur (single view)

50

Femur (two views)

70

Knee

Knee (single view)

45

Knee (two views)

70

Knee (three views)

90

Knee (four views)

115

Knee (five views)

135

Lower Leg (Tibia/Fibula)

Lower leg (single view)

45

Lower leg (two views)

70

Ankle

Ankle (single view)

45

Ankle (two views)

70

Ankle (three views)

90

P.U. (A) 358 134

Ankle (four views)

115

Ankle (five views)

135

Foot

Foot (single view)

45

Foot (two views)

70

Foot (three views)

90

Both feet (two views)

80

Both feet (three views)

105

Subtalar joints

Subtalar joints (single view)

45

Subtalar joints (two views)

70

Subtalar joints (three views)

90

Subtalar joints (four views)

115

Calcaneum

Calcaneum (single view)

45

Calcaneum (two views)

70

Bone densitometry

Dexa 170

Ultrasound 150

Radiographic contrast examination

(radiologist fee in parenthesis)

Barium swallow (40%)

115

Barium meal (double contrast) (40%)

170

Barium meal and follow through (40%)

205

Small bowel enema (40%)

205

Gastrograffin or non-ionic contrast upper gastrointestinal study (40%)

205

Barium enema (single or double contrast)

(40%)

205

Gastrograffin or non-ionic contrast enema

(40%)

205

Loopogram (40%)

205

Duodenal intubation (40%)

230

Oral cholecystogram (single dose) (30%)

135

Oral cholecystogram (double dose) (30%)

170

Cystogram (30%)

205

Ascending urethrogram (40%)

230

Micturating cystourethrogram (40%)

285

Retrograde pyelogram – one side (30%)

135

Retrograde pyelogram – both sides (30%)

205

Ileal conduit study (40%)

205

Nephrostomy pyelogram – one side (30%)

170

P.U. (A) 358 135

Nephrostomy pyelogram – both sides

(30%)

235

IVU standard dose contrast (30%)

230

IVU standard and tomograms (30%)

265

IVU double dose contrast (30%)

310

IVU double dose of contrast and tomogram

(30%)

345

IVU standard dose and delayed radiographs

(30%)

285

IVU double dose of contrast and delayed radiographs (30%)

365

IVU standard dose and tomograms and delayed radiographs (30%)

320

IVU double dose and tomograms and delayed radiographs (30%)

400

T-tube cholangiogram (30%)

135

Operative cholangiogram (30%) – urgent reporting only 285

Hysterosalpingogram (ionic contrast)

(30%) – Screening and reporting only 135

Hysterosalpingogram (non-ionic contrast)

(30%) – Screening and reporting only 135

Hysterosalpingogram plus ionic contrast

(whole procedure) (40%)

205

Hysterosalpingogram plus non-ionic contrast (whole procedure) (40%)

230

Sinogram (40%)

170

Parotid sialogram – one side (50%)

230

Parotid sialogram – both sides (50%)

460

Submandible sialogram – one side (50%)

230

Submandible sialogram – both sides (50%)

460

Arthrogram – one side (50%)

230

Arthrogram – both sides (50%)

400

Lumbar myelogram (water soluble non-ionic contrast) (50%)

515

Cervical/thoracic myelogram (50%)

605

Bronchogram – one side (40%) (screening, reporting plus radiographs only)

230

Bronchogram – both sides (40%)

(screening, reporting plus radiographs only)

345

Tomography

Tomogram – one plane (30%)

195

Tomogram – two planes (30%)

250

P.U. (A) 358 136

Tomogram – pituitary fossa AP/lateral

(30%)

195

Mammogram

Mammography up to four views (35%)

230

Mammography and one additional view

(35%)

265

Mammography and two additional views

(35%)

295

Mammography and limited ultrasound additional (35%)

285

Computer tomography scans (CT scans)

Note: Charges are based on 100ml of intravenous non-ionic contrast except CT brain/orbit – 50 ml

Brain (without contrast) (30%)

400

Brain (with non-ionic contrast) (35%)

490

Brain complex CT (50%)

630

Abdomen (without contrast) (30%)

400

Abdomen (with non-ionic contrast) (35%)

515

Abdomen two phases (40%)

630

Abdomen three phases (40%)

745

Abdomen four phases (40%)

915

Abdomen complex (40%)

860

Pelvis (without contrast) (30%)

345

Pelvis (with non-ionic contrast) (35%)

460

Pelvis complex (50%)

570

Spines – cervical or lumbar (without contrast) (30%)

400

Spines – cervical or lumbar (with intraspinal non-ionic contrast (50%)

745

Spine complex (50%)

860

Spines – thoracic (without contrast) 30%

460

Spines – thoracic (with intraspinal non-ionic contrast) (50%)

745

Spine complex (50%)

860

Chest (without contrast) (30%)

345

Chest (with non-ionic contrast) (35%)

460

Chest complex (50%)

570

Low dose screening CT of the chest (30%)

285

High resolution computerised tomography

(HRCT) – inspiratory or expiratory (30%)

345

HRCT – inspiratory plus expiratory (40%)

515

Neck/Thyroid (without contrast) (30%)

345

P.U. (A) 358 137

Neck/Thyroid (with non-ionic contrast)

(30%)

460

Postnasal space and neck (without contrast) (30%)

515

Postnasal space and neck (with non-ionic contrast) (30%)

630

Postnasal space complex (50%)

745

Orbits (Without contrast) (20%)

345

Orbits (With non-ionic contrast) (25%)

460

Orbits complex (50%)

Pituitary fossa (Without contrast) (20%)

345

Pituitary fossa (With ionic contrast) (25%)

460

I.A.M. (Without contrast) (20%)

345

I.A.M. (Without non-ionic contrast) (25%)

460

Total body scan (brain, neck, chest, abdomen and pelvis) (without contrast)

(20%)

1030

Total body scan (with non-ionic contrast)

(25%)

1145

Total body scan complex (50%)

1260

Chest, abdomen and pelvis (without contrast) (20%)

915

Chest, abdomen and pelvis (with non-ionic contrast) (25%)

1030

Chest, abdomen and pelvis complex (50%)

1145

Spiral CT of abdomen and pelvis for renal calculi (without intravenous (IV) contrast)

(30%)

345

Single plane high resolution CT of the parasanal sinuses for sinusitis (without contrast) (20%)

230

Single plane CT of the paranasal sinuses

(without contrast) (20%)

345

Single plane CT of the parasanal sinuses

(with non-ionic contrast) (25%)

460

Abdomen and pelvis (without contrast)

(30%)

685

Abdomen and pelvis (with contrast) (35%)

800

Abdomen and pelvis complex (50%)

915

Chest and upper abdomen (without contrast) (30%)

685

Chest and upper abdomen (with contrast)

(35%)

800

Chest and upper abdomen complex (50%)

915

CT two system (not listed above) (without contrast) (30%)

685

P.U. (A) 358 138

CT two system (not listed above) (with contrast) (35%)

800

CT two system (not listed above) (complex)

(50%)

915

CT extremities (without contrast) (one region) (30%)

400

CT extremities (with contrast one region)

(35%)

515

CT extremities complex (50%)

630

Ultrasound

Upper abdomen (40%)

170

Pelvis (40%)

135

Abdomen and pelvis (50%)

230

Kidneys and bladder (40%)

115

Kidneys and bladder plus residual urine volume estimation (50%)

135

Brain (neonatal) (40%)

135

Detailed ultrasound scan of foetus 285

Thyroid (40%)

115

Breast (40%)

160

Doppler ultrasound of extra-cranial carotids (50%)

400

Doppler ultrasound of arteries per region

(50%)

285

Doppler ultrasound of veins single limb

(50%)

285

Doppler ultrasound of veins two limbs

(50%)

460

Doppler ultrasound of arteries for single limb (50%)

345

Doppler ultrasound of arteries for two limbs (50%)

515

Musculoskeletal ultrasound per region

(40%)

170

Ultrasound scrotum (40%)

115

Doppler ultrasound for scrotum (50%)

230

Doppler ultrasound for other organs (per organ) not listed above (50%)

345

Endocavitary ultrasound (50%)

170

Heart ultrasound for pericardial disease 90

Surcharge for each portable ultrasound

(payable to radiologist during normal working hours)

55

Surcharge for each portable ultrasound

(payable to radiologist after normal working hours)

170

P.U. (A) 358 139

Screening

Endoscopic retrograde cholangio pancreatography (ERCP) (30%)

(screening and reporting only) – simple 230

ERCP (30%)

(screening and reporting only) – complex 345

Magnetic Resonance Imaging (MRI)

Brain

Brain (without contrast)

800

Brain (with contrast)

1030

Brain with magnetic resonance angiography (MRA) (Intracranial)

1375

Brain with MRA plus contrast 1600

Brain with MRA plus bilateral carotids plus contrast 2060

MRA intracranial or extracranial carotids 800

Brain MRV – simple 800

Brain MRV – complex 1030

Pituitary (without contrast)

800

Pituitary (with contrast)

1030

Pituitary (with contrast dynamic)

1375

I.A.M (without contrast)

800

I.A.M (with contrast)

1030

I.A.M plus brain (without contrast)

1375

I.A.M plus brain (with contrast)

1600

Orbit

Orbits (without contrast)

800

Orbits (with contrast)

1030

Orbits and brain (without contrast)

1375

Orbits and brain (with contrast)

1600

Neck

Neck (without contrast)

800

Neck (with contrast)

1030

Neck and brain (without contrast)

1485

Neck and brain (with contrast)

1715

Brachial plexus (without contrast)

915

Brachial plexus (with contrast)

1145

Thorax

Mediastinum (without contrast)

800

Mediastinum (with contrast)

1030

P.U. (A) 358 140

Cardiac

Cardiac MRI – simple 1145

Cardiac MRI – intermediate 1715

Cardiac MRI – complex 2290

Thoracic MRA – simple 1030

Thoracic MRA – intermediate 1260

Thoracic MRA – complex 1485

Pulmonary MRA – simple 1030

Pulmonary MRA – intermediate 1260

Pulmonary MRA – complex 1485

(surcharge for each 10 ml of intravenous

285

Upper Abdomen

Upper abdomen – simple 1030

Upper abdomen – intermediate 1260

Upper abdomen – complex 1485

Magnetic resonance cholangio pancreaticography (MRCP)

800

Magnetic resonance urography 800

Upper abdomen MRA – simple 1030

Upper abdomen MRA – intermediate 1260

Upper abdomen MRA – complex 1485

(surcharge for each 10 ml of intravenous

285

Pelvis

Pelvis – simple 1030

Pelvis – intermediate 1260

Pelvis – complex 1485

MRI pelvimetry 570

(Surcharge for each 10 ml of intravenous

285

Spine

MRI whole spine (without contrast) (for cord compression)

1600

MRI whole spine (with contrast) (for cord compression)

1830

MRI cervical spine (without contrast)

1030

MRI cervical spine (with contrast)

1375

MRI thoracic spine (without contrast)

1030

MRI thoracic spine (with contrast)

1375

MRI lumbar spine (without contrast)

1030

MRI lumbar spine (with contrast)

1375

P.U. (A) 358 141

Joints (shoulder, sternoclavicular, elbow, wrist, hip, sacro-iliac, knee, ankle, sub-tarsal)

MRI single joint (without contrast)

1030

MRI single joint (with contrast)

1375

Region (arm, forearm, hand, thigh, lower leg-calf/foot)

MRI single region (without contrast)

1145

MRI single region (with contrast)

1490

MRI Arthrography (radiologist fee)

345

External irradiation treatment (linear accelerator)

Usually entails daily treatment 5 times weekly at 200cGy per treatment 170

External irradiation treatment using any other fraction to be charged according to biological equivalent dose - treatment of a

Co 60 teletherapy unit to be charged 30%

less on daily treatment fee 115 - 345

Treatment fee inclusive of specialist fee

Low dose rate intracavitary treatment each session to include radioactive source, applicators (not inclusive of ward, theatre and anaesthetic fees)

2860 - 5720

Interstitial treatment

-

(e.g: implants inclusive of source and other applicators)

3430 - 5720

High dose rate intracavitary/intraluminal radiotherapy for complete treatment (not inclusive of applicators)

2290 - 5720

Cytotoxic therapy (excluding consultation)

Infusion 570 - 860

Prolonged Infusion 685 - 1030

Progressive chemotheraphy per day

(Multiple days)

170 - 285

Lesions of skin

Coccygeal pressure ulcer excision 865 685

Microscopically controlled excision of

2480 820

P.U. (A) 358 142

lesion of skin or subcutaneous tissue

(Moh's chemosurgery)

Malignant melanoma excision including grafting 2145 685

Excision of lesion of skin or subcutaneous tissue – up to three excision 405 405

Excision of lesion of skin or subcutaneous tissue – four or more excision 1000 505

Lesion requiring wide excision including rodent ulcer excision 1000 405

Curettage/cryotherapy of lesions of skin including cauterisation – four or more 1000 315

Laser destruction of lesion of skin 580 265

Shave biopsy of lesion of skin 315 265

Removal of foreign body in deeper tissue 725 355

Drainage of lesion of skin including abscess 370 265

Drainage of large subcutaneous abscess/haematoma 580 405

Limited area dermabrasion of skin 580 315

Extensive dermabrasion of skin 1000 435

Excision of nail bed (Zadeks)

725 435

Repair

Primary suture of wound with involvement of deeper tissue 1340 625

Secondary suture of skin 370 315

Insertion/removal of skin expander into tissue 1340 505

Debridement of wound (and surgical toilet)

480 315

Burns

Escharectomy of burnt skin or subcutaneous tissue (not more than 10%)

1340 435

Escharectomy of burnt skin or subcutaneous tissue (greater than 10%)

1760 760

Extensive dressing of burn of skin or subcutaneous tissue 480 625

Transplant

Distant flap of skin and muscle 1890 940

Neurovascular island flap 2390 940

Large local flap including myocutaneous and fascia 1760 505

Small local flap 1760 505

Grafts

Split autograft of skin – small site 1000 505

P.U. (A) 358 143

Split autograft of skin – large site 2040 685

Full thickness graft 1160 685

Microvascular free tissue transfer 3600 1550

Cervical region

Primary posterior decompression including fusion 3600 1320

Primary posterior decompression with fusion and instrumentation 3600 1320

Open door laminoplasty of the cervical region (Hirobyashi)

3600 1320

Revision posterior decompression including fusion 4750 1320

Revision posterior decompression with fusion and instrumentation 4750 1320

Revision anterior decompression including fusion 4750 1320

Revision anterior decompression with fusion and instrumentation 4750 1320

Combined anterior and posterior fusion of cervical spine including instrumentation 5970 1815

Trans oral surgery including posterior fixation 5970 1550

Endoscopic discectomy 7030

Cervical laminectomy 3600

Decompression and fusion of craniocervical junction 7030

Primary posterior excision of cervical disc 2895 1320

Revision posterior excision of intervertebral disc(s) including fusion 4750 1320

Revision posterior excision of intervertebral disc(s) with fusion and instrumentation 4750 1320

Primary anterior excision of disc(s)

including fusion

3600 1320

Primary anterior excision of disc(s) with fusion and Instrumentation 3600 1320

Revision anterior excision of disc(s)

including fusion 4750 1550

Revision anterior excision of disc(s) with fusion and instrumentation 4750 1550

P.U. (A) 358 144

Thoracic region

Primary transthoracic/posterior/antero-lateral excision of intervertebral disc(s)

including fusion 2895 1320

Primary transthoracic/posterior/antero-lateral excision of intervertebral disc(s)

with fusion and instrumentation 2705 1320

Primary posterior decompression including fusion 3600 1320

Primary posterior decompression with fusion and instrumentation 3600 1320

Revision posterior decompression including fusion 4750 1320

Revision posterior decompression with fusion and instrumentation 4750 1320

Primary anterior/transthoracic decompression including fusion 4750 1320

Primary anterior/transthoracic decompression with fusion and instrumentation 4750 1320

Revision anterior/transthoracic decompression including fusion 4750 1320

Lumbar region

Primary posterior excision of intervertebral disc(s) including fusion 2390 940

Primary posterior excision of intervertebral disc(s) with fusion and instrumentation including graft stabilisation 3600 1550

Revision posterior excision of intervertebral disc(s) including fusion 2895 1125

Revision posterior excision of intervertebral disc(s) with fusion and instrumentation 4750 1550

Primary transabdominal/retroperitoneal excision of intervertebral disc(s) including fusion and instrumentation 3600 1320

Revision anterior excision of intervertebral disc(s) including fusion 4750 1550

Revision anterior excision of intervertebral disc(s) with fusion and instrumentation 4750 1550

Primary posterior decompression on spine, including fusion 2895 985

Primary posterior decompression with fusion and instrumentation 2895 985

P.U. (A) 358 145

Revision posterior decompression with fusion and instrumentation 2895 1125

Primary anterior decompression including fusion 3600 1550

Primary anterior decompression with fusion and instrumentation 3600 1550

Revision anterior decompression with fusion and instrumentation 4750 1815

Combined anterior and posterior decompression including fusion and instrumentation 5970 1815

Posterior spinal fusion with instrumentation for scoliosis, kyphosis, fractures, tumours or infection 5970 2110

Anterior spinal fusion with instrumentation for scoliosis, kyphosis, fractures, tumours or infection 7030 2500

Percutaneous (or laser) discectomy 2145 940

Microdiscectomy 2390 940

Revision microdiscectomy 2895 1125

Removal of correctional instrumentation from spine 1565 625

Exploration of spine including biopsy 1890 685

Manipulation of spine 580 405

Chemonucleoysis 1160 435

Spinal cord

Partial excision of spinal cord 4750 1550

Open operation on spinal cord 4750 1550

Repair of spinal myelomeningocele 3600 1320

Excision of intradural lesion 4750 1550

Drainage of spinal canal including insertion of shunt 2705 820

Lumbar puncture including spinal manometry 370 265

Excision of intramedullary tumour 4750 1550

Nerve roots

Rhizolysis (open)

2706 820

Open sympathectomy 7030

Endoscopic sympathectomy 7030

Symphathetic nerves

Thorascopic cervical sympathectomy 2705 820

Laparoscopic lumbar sympathectomy 1890 760

Presacral sympathectomy 1565 685

Selective posterior rhizotomy 7030

P.U. (A) 358 146

Peripheral nerves

Excision of peripheral nerve 865 435

Transection of peripheral nerve 865 435

Neurectomy (major nerve)

1340 505

Excision of lesion of peripheral nerve 1000 435

Excision of lesion (major nerve)

1340 505

Primary repair of peripheral nerve including microsurgery 2040 820

Secondary repair of peripheral nerve including microsurgery 2145 760

Primary graft to peripheral nerve 2390 760

Secondary graft to peripheral nerve 2390 685

Primary repair of peripheral nerve 865 505

Secondary repair of peripheral nerve 1160 435

Primary repair of nerve trunk 1000 505

Secondary repair of nerve trunk 1565 505

Carpal or cubital tunnel release including endoscopic 865 435

Carpal or cubital tunnel release including endoscopic – bilateral 1565 760

Release of entrapment of deeply placed peripheral nerve 865 435

Release of entrapment of peripheral nerve 865 435

Neurolysis and transposition of peripheral nerve 1000 505

Revision of release of peripheral nerve 1565 505

Implantation of neurostimulator into peripheral nerve 2040 315

Biopsy of peripheral nerve 865 355

Exploration and grafting of brachial plexus 1000 570

Pain relief

Paravertebral block up to two levels (under

X-ray control)

580

Sacral root block (under X-ray control)

580

Intravenous regional sympathetic block

(guanethidine block) – one injection 480

Intravenous regional sympathetic block

(guanethidine block) - course of three 1000

Stellate ganglion block (local anaesthethic

(LA))

480

Stellate ganglion block (neurolytic)

580

Coeliac plexus block (LA or neurolytic)

1160

Splanchnic nerve block – bilateral (local anaesthethic or neurolytic)

1160

Dorsal root ganglion block

(LA or neurolytic)

1000

P.U. (A) 358 147

Dorsal root ganglion block

(local frequency)

1565 315

Intrathecal neurolysis 1160

Trigeminal ganglion injection (LA under X-ray control)

1160

Trigeminal ganglion radio frequency lesion

(under X-ray control)

2145

Percutaneous cordotomy of spinal cord 2705 940

Epidural injection (cervical)

725 265

Epidural injection (lumbar)

580 265

Epidural injection (thoracic)

725 265

Injection of therapeutic substance into CSF

370 820

Facet or sacroiliac joint radio frequency

(RF)

thermocoagulation including rhizolysis

(under

X-ray control with sedation/GA) – 3 joints 1160 405

Facet or sacroiliac joint radio frequency

(RF)

thermocoagulation including rhizolysis

(under

X-ray control with sedation/GA – 6 joints 2040 685

Facet joint injection (under X-ray control with sedation/GA) – 2 joints 725 265

Facet joint injection (under X-ray control with sedation/GA) – 4 joints 865 315

Facet joint injection (under X-ray control with sedation/GA) – 6 joints 1000 355

Implantation of neurostimulator into peripheral nerve 2040 315

Peripheral nerve lesion (radio frequency, cryoprobe or phenol)

725

LA blockade of major nerve trunk 370

Lumbar sympathectomy - diagnostic (LA under X-ray control)

1000

Thoracic sympathectomy - diagnostic (LA under X-ray control)

1000

Lumbar sympathectomy - therapeutic

(neurolytic under X-ray control)

1340 405

Thoracic sympathectomy - therapeutic

(neurolytic under X-ray control)

1565 435

Cryotherapy to pituitary gland 2570 940

Injection(s) into large joint(s) under X-ray control 480

Neurophysiological procedures

Electro-convulsive therapy (ECT)

315 265

Electroencephalography (EEG)

315

P.U. (A) 358 148

Recording and reporting on evoked potential study 580

Recording and reporting on electromyography and nerve conduction studies (EMG)

580

Trans tympanic electrocochleography 725

Oesophagus

Thorascopic oesophageal mobilisation via mediastimum 4750 1815

Oesophagogastrectomy 5970 2500

Total oesophagectomy and interposition of intestine 7030 3305

Open excision of lesion of oesophagus 1890 1125

Bypass of oesophagus 2480 1550

Revision of oesophageal anastomosis 2705 1320

Closure of bypass of oesophagus 2145 1125

Transthoracic repair of oesophagus 3600 1320

Thorascopic repair of oesophagus 2895 1320

Oesophagocardiomyotomy (Heller's operation)

2040 985

Thorascopic oesophagogastric myotomy 2145 985

Injection sclerotherapy for oesophageal varices 1000 685

Transthoracic repair of hiatus hernia 2305 940

Transthoracic repair of diaphragmatic hernia 2305 940

Transabdominal repair of hiatus hernia 2145 760

Transabdominal repair of diaphragmatic hernia 2895 820

Laparoscopic repair of hiatus hernia 2145 760

Transabdominal anti-reflux operations 2895 820

Revision of anti-reflux operations 3600 1320

Chest wall

Thoracoplasty 2705 985

Excision of chest wall tumour 2390 940

Correction of pectus deformity of chest wall 2895 940

Multiple fracture fixation 2305 940

Exploratory median sternotomy 1160 760

Exploratory thoracotomy 1565 760

Resection of rib and open drainage of pleural cavity 1565 760

Repair of rupture of diaphragm 2895 1125

Plication of paralysed diaphragm 2390 985

P.U. (A) 358 149

Repair of congenital diaphragmatic hernia 2705 1550

Trachea

Partial excision of trachea including reconstruction 3600 2110

Tracheoplasty 1760 625

Open placement of prosthesis in trachea 1760 505

Tracheostomy 1000 570

Insertion of mini-tracheostomy 580 405

Thoracotomy, ligation of Tetralogy of

Fallot (TOF) oesophageal anastomosis 4750

Thoracotomy, ligation of TOF, cervical oesophagostomy 4750

Cervical oesophagostomy and gastrectomy 2305

Fibreoptic endoscopic procedures under topical anaesthesia

Fibreoptic examination of trachea and bronchus including biopsy/removal of foreign body 725 505

Bronchial lavage

(diagnostic or therapeutic)

865

Dilatation of tracheal stricture including insertion of stent 865

Dilatation of bronchial stricture by fibreoptic bronchoscope 1000

Transbronchial biopsy 1000

Bronchus, lungs and pleura

Diagnostic examination of bronchus using rigid bronchoscope including biopsy/removal of foreign body/dilatation of stricture 1000 505

Total pneumonectomy 3600 1550

Open lobectomy of lung including excision of segment 3600 1550

Lung resection with resection of chest wall 5970 1815

Thorascopic lung resection including video assisted 1890 685

Open excision of lesion of lung 2895 1320

Needle biopsy of lung 480 315

Decortication of pleura or lung 2895 1125

Pleurectomy for pneumothorax 2480 985

Open excision/biopsy of lesion of pleura 2705 940

Endoscopic excision of lesion(s)

of lung/pleura

1000 505

P.U. (A) 358 150

Thoracoscopy

(plus/minus biopsy)

pleura/lung 580 505

Drainage of pleural cavity 580 315

Insertion of tube drain into pleural cavity 580 315

Introduction of substance into pleural cavity with chest drain 315 265

Biopsy of pleura 580 315

Lung transplant 7030 3305

Lung volume reduction surgery 4750 2500

Mediastinum

Thymectomy 2145 1550

Exploration of mediastinum 1160 760

Endoscopic excision of lesion of mediastinum 1340 505

Diagnostic endoscopic examination of mediastinum 1340 505

Heart-cardiac surgery

Correction of Tetralogy of Fallot (TOF)

7030 3305

Atrial inversion for transposition of great vessels 7030 3305

Other correction of transposition of great vessels 7030 3305

Correction of total anomalous pulmonary venous connection 7030 3305

Closure of defect of atrioventricular septum using dual prosthetic patches 7030 3305

Closure of defect of interatrial septum 7030 2930

Closure of defect of interventricular septum 7030 2930

Therapeutic transluminal operation on septum of heart 2895 2500

Creation of valved cardiac conduit 7030 3305

Excision of cardiac tumour 7030 3305

Replacement of mitral valve including valvuloplasty 7030 2930

Plastic repair of mitral valve 7030 2930

Replacement of aortic valve including valvuloplasty 7030 2930

Replacement of tricuspid valve 7030 2930

Replacement of pulmonary valve including valvuloplasty/valvotomy 7030 2930

Replacement of unspecified valve of heart 7030 2930

Open valvotomy 7030 2930

Closed valvotomy (mitral/pulmonary)

4750 2500

Therapeutic transluminal operation on valve of heart 2705 2110

P.U. (A) 358 151

Removal of obstruction from structure adjacent to valve of heart 7030 2930

Autograft bypass for coronary arteries including harvesting of grafts and endarterectomy 7030 2930

Redo of bypass for coronary arteries including harvesting of grafts 7030 3305

Correction of anomalous coronary arteries 7030 3305

Open operation on conducting system of heart 7030 2930

Repair of ventricular aneurysm 5970 2930

Excision of pericardium 3600 1125

Decompression of cardiac tamponade 2305 985

Incision of pericardium 1340 985

Midcab coronary artery bypass grafts without cardio-pulmonary bypass pump 7030 3305

Minimally invasive open heart surgery with cardio-pulmonary bypass pump 7030 3305

Ventricular assist device 7030 3305

Heart transplant 7030 3305

Heart-cardiology

Percutaneous transluminal angioplasty of coronary arteries including laser 2895 1550

Percutaneous transluminal angioplasty with stent insertion 3600 1550

Map guided surgery for ventricular arrhythmias including mapping 2705 3305

Percutaneous transluminal ablation of atrio-ventricular node 2390 985

Percutaneous transluminal ablation of accessory pathway including mapping 4750 1550

Mapping of conducting system

(in isolation)

1565 820

Cardiac pacemaker system introduced through vein (single chamber)

1565 820

Cardiac pacemaker system introduced through vein (dual chamber)

2145 820

Resiting of intravenous cardiac pacemaker system 1340 685

Replacement of generator for intravenous cardiac pacemaker system 1760 760

Removal of pacing system with bypass 4750 2500

Removal of pacing system without bypass 580 940

Implantation of automatic cardioverter/

defibrillator 3600 940

P.U. (A) 358 152

Adult cardiac catheterisation including coronary arteriography/catheterisation of right/left side of heart/contrast radiology 1340 760

Paediatric cardiac catheterisation 1565 820

Pericardiocentesis 1340 685

Percutaneous transluminal peripheral angioplasty (femoral, iliac, renal, popliteal, subclavian, other distal vessels)

2705 1550

Percutaneous transluminal peripheral angioplasty with stent placement 2895 1550

Percutaneous transluminal carotid angioplasty with stent placement 4750 1550

Percutaneous transluminal ablation of ventricular tachycardia 3600 1550

Percutaneous transluminal modification of atrioventricular node 2480 985

Percutaneous transluminal occlusion of coronary fistula/arteriovenous (AV)

malformation 3600 1550

Great vessels

Correction of truncus arteriosus 4750 3305

Closed ligation of patent ductus arteriosus 3600 2110

Percutaneous transluminal prosthetic occlusion of patent ductus arteriosus 2895 1125

Creation of shunt to pulmonary artery from aorta using tube prosthesis 5970 2110

Connection to pulmonary artery from aorta 5970 2110

Creation of shunt to pulmonary artery from subclavian artery using interposition tube prosthesis 4750 2110

Connection to pulmonary artery from subclavian artery 5970 2110

Repair of pulmonary artery 7030 2110

Open operation on pulmonary artery 3600 2110

Pulmonary embolectomy 5970 3305

Transluminal operation on pulmonary artery 2705 1550

Emergency replacement of aneurysmal segment of ascending aorta 7030 3305

Emergency replacement of aneurysmal segment of arch of aorta 7030 3305

Emergency replacement of aneurysmal segment of thoracic aorta 7030 3305

Planned replacement of aneurysmal segment of ascending aorta

4750 2930

P.U. (A) 358 153

Planned replacement of aneurysmal segment of arch of aorta 7030 3305

Planned replacement of aneurysmal segment of thoracic aorta 7030 3305

Replacement of thoracoabdominal aneurysms 7030 3305

Revision of prosthesis of abdominal aorta 4750 2110

Excision of infected aortic graft with bypass 7030 3305

Plastic repair of aorta 4750 1815

Percutaneous transluminal balloon operation on aorta 1760 625

Others

Proximal gastric vagotomy 2040 685

Highly selective vagotomy 2040 685

Vagotomy with pyloroplasty 2145 820

External cardioversion 315 315

Transoesophageal echocardiography 1000 435

Coronary angioplasty standby team 315 355

Kidney/renal pelvic

Transplantation of kidney 4750 2500

Nephrectomy and excision of perirenal tissue 2390 1125

Nephro-ureterectomy 2390 820

Excision of rejected transplanted kidney 2040 760

Nephrectomy (and bilateral)

2040 820

Laparoscopic nephrectomy 2040 820

Partial excision of kidney 2145 820

Open pyeloplasty 2040 685

Repair of kidney wound 2305 760

Open removal of calculus from kidney 2390 685

Drainage of kidney 1760 760

Drainage of pyonephrosis 1760 760

Other open operation on kidney 1890 685

Drainage of perinephric abscess 1760 685

Endoscopic fragmentation of calculus of kidney 1890 685

Percutaneous nephrolithotomy including cystoscopy and retrograde catheterisation 3600 985

Diagnostic endoscopic examination of kidney including biopsy and other therapeutic procedures

2040 685

P.U. (A) 358 154

Percutaneous fine needle biopsy of lesion of kidney 480 355

Percutaneous insertion of nephrostomy tube 1340 405

Percutaneous tru-cut needle biopsy of lesion of kidney 865

Extracorporeal fragmentation of calculus of kidney (Lithotripsy) – single treatment 1160 505

Extracorporeal fragment of calculus of kidney-stone free/course of treatment 1565 625

Laparoscopy removal of renal cyst 2040 760

Open stone surgery for horseshoe kidney 3600

Pyeloplasty for horseshoe kidney 3600

Ureter

Excision of segment of ureter 1760 625

Construction of ileal conduit including ureteric implantation 2390 985

Bilateral replantation of ureter into bowel 2705 940

Unilateral replantation of ureter into bowel 2145 820

Bilateral replantation of ureter into bladder 2480 940

Unilateral replantation of ureter into bladder 1890 820

Other connection of ureter 2145 820

Ileal or colonic replacement of ureter 2895 940

Ureterostomy – closure 2145 685

Open correction vesico-ureteric reflux

– unilateral 2145 685

Open correction vesico-ureteric reflux

– bilateral 3600 985

Open ureterolithotomy 1890 685

Ureterolysis – unilateral 2145 685

Ureterolysis – bilateral 2570 1320

Therapeutic nephroscopic operations on ureter 1760 820

Ureteroscopic extraction of calculus of ureter 1340 435

Endoscopic insertion of prosthesis into ureter 1000 435

Removal of prosthesis from ureter 480 435

Ureteric meatotomy 480 265

Endoscopic examination of ureter 865 435

Endoscopic retrograde pyelography 865 435

Extracorporeal shockwave lithotripsy of calculus of ureter 1160 685

Operation on ureteric orifice 725 505

Endoscopic meatotomy of ureteric orifice 725 505

P.U. (A) 358 155

Ureterscopic biopsy of lesion 1565 570

Continent urinary diversion 4750

Substitution cystoplasty 4750

Transureteroureterostomy 2705

Endoscopic insertion of permanent prosthesis into ureter 2145

Bladder

Endoscopic anti-reflux procedure (and bilateral)

1340 505

Total cystectomy (with construction of intestinal conduit or bladder)

4750 1550

Partial cystectomy 2040 685

Diverticulectomy of bladder 1760 685

Enlargement of bladder 2895 820

Repair of bladder 2145 685

Repair of vesicocolic fistula 2305 820

Repair of cutaneous vesical fistula 1160 820

Cystostomy and insertion of suprapubic tube into bladder 725 625

Stab cystotomy 315 265

Open removal of calculus from bladder 1340 505

Open excision of lesion from bladder 1890 685

Endoscopic resection of lesion of bladder 1890 685

Endoscopic destruction of lesion of bladder 865 435

Endoscopic transection of bladder 1890 685

Endoscopic hydrostatic distention of bladder 405 265

Sphincterotomy 1160 435

Litholapaxy 1760 685

Endoscopic extraction of calculus of bladder 1000 435

Endoscopic removal of foreign body from bladder 1000 435

Resection of bladder neck 1340 435

Diagnostic endoscopic examination of bladder including any biopsy 580 315

Urodynamic studies/urodynamic assessment 580

Closure of cystostomy 865 435

Combined abdominal and vaginal operations to support outlet of female bladder 1890 685

Suprapubic sling operation 1890 760

Retropubic suspension of neck of bladder 1890 685

Vaginal operation to support outlet of female bladder 1890 685

P.U. (A) 358 156

Implantation of artificial urinary sphincter into bladder and/or removal 2145 685

Dilatation of outlet of female bladder (with cystoscopy)

580 355

Endoscopic incision of outlet of male bladder (with cystoscopy)

1340 435

Repair of vesico-vaginal fistula 2145 820

Endoscopic vesico-lithotripsy of bladder stone 1760 625

Cystoscopy with biopsy 1000 405

Endoscopic resection of deep invasive tumour of bladder 2145

Continent pouch/neo bladder 4750 2500

Combined abdomino-perineal closure of vesico-vaginal fistula 4750

Urethra

Urethrocele 1160 505

Excision of urethral caruncle 370 265

Therapeutic endoscopic operations on outlet of female bladder 725 405

Urethrectomy 1760 685

Urethral valve resection 1565 505

Repair of hypospadias 2040 685

Repair of epispadias 2480 685

Closure of fistula of urethra 865 505

Repair of urethrorectal fistula 1760 685

Urethroplasty (simple)

1760 625

Urethroplasty (complex)

2040 685

Repair of rupture of urethra 2040 685

Excision of diverticulum of urethra 1160 505

Excision of prolapse of urethra 480 405

Therapeutic endoscopic operation on urethra 865 435

Removal of foreign body from urethra 405 435

Diagnostic endoscopic examination of urethra in isolation 405 265

Dilatation of urethra 315 355

Internal urethrotomy including cystoscopy 865 435

Closure of bladder exostrophy 5970

Closure of cloacal exostrophy 7030

Repair of hypospadias – mild 2305

Repair of hypospadias – moderate 2895

Repair of hypospadias – severe 3600

Prostate

Open excision of prostate 2040 685

P.U. (A) 358 157

Radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy 4750 1550

Open biopsy of lesion of prostate 865 685

Endoscopic resection of prostate (TURP)

2040 760

Endoscopic biopsy of prostate 865 435

Transurethral microwave therapy 1565 570

Drainage of prostatic abscess 1340 505

Prostatic hyperthermia (up to six courses)

1565 570

Prostate, needle biopsy 405 265

Transrectal ultrasound and biopsy 580

Insertion of urethral stent for relief of prostatic obstruction 1890 685

Genitalia

Meatoplasty 725 355

External meatotomy of urethral orifice 580 265

Bilateral excision of testes 1760 625

Laparoscopic orchidectomy 1340 435

Orchidectomy and excision of spermatic cord 1340 435

Excision of lesion of testis 725 505

Orchidopexy – bilateral 1760 820

Microvascular transfer of testis to scrotum 2305 820

Orchidopexy 1000 505

Abdominal undescended testis 1565 625

Prosthesis of testis (insertion or removal)

725 405

Correction of hydrocele 725 435

Fixation of testis 865 435

Biopsy of testis 580 315

Exploration of testis including biopsy 865 435

Bilateral fixation of testis 865 505

Bilateral epididymectomy 1340 570

Unilateral epididymectomy 865 505

Excision of epididymal cyst 865 505

Operation on varicocele 865 505

Vasography 370 315

Operation on seminal vesicle 1565 505

Total amputation of penis 2145 685

Partial amputation of penis 1565 685

Operation for Peyronie's disease 1160 435

Reconstruction of penis 1760 685

Repair of avulsion on penis 2145 685

Repair of injury on penis 1340 505

Division of preputial adhesions 405 265

Circumcision 725 405

Biopsy of lesion of penis 405 265

P.U. (A) 358 158

Penile prosthesis (simple – rod only)

1890 685

Penile prosthesis (complex – three pieces)

2895 1815

Vasectomy reversal – bilateral

(microscopic)

1760 625

Vasectomy reversal – bilateral

(macroscopic)

1890 685

Epididymo-vasostomy (macroscopic)

1890 685

Epididymo-vasostomy (microscopic)

2040 760

Tenchkoff 1340

Tenchkoff and adhesiolysis 1890

Transrectal ultrasound (diagnostic)

580

Transrectal ultrasound and systematic prostate biopsy 1000

Excision and grafting for Peyronie’s disease 2705

Other

Block dissection of para-aortic lymph nodes 2570 760

Head and neck

Bypass of carotid artery from the arch 4750 1550

Carotid endarterectomy 4750 1550

Reconstruction of carotid artery (vein patch and bypass)

3600 1550

Bypass of subclavian artery from the arch 4750 1550

Bypass of subclavian artery – extra-thoracic 2895 1320

Endarterectomy and patch repair of subclavian artery 4750 1550

Renal

Endarterectomy of renal artery 4750 1550

Reconstruction of renal artery 4750 1550

Transluminal operation on renal artery 1565 685

Abdominal vessels

Axillo-femoral bypass 2895 1550

Axillo-bifemoral bypass 2895 1550

Infrarenal abdominal aortic aneurysm tube graft 4750 1815

Infrarenal abdominal aortic aneurysm bifurcation graft 5970 1815

Revision of prosthesis of abdominal aorta 4750 2110

Pecutaneous transluminal balloon operation on aorta 1760 625

P.U. (A) 358 159

Carotid endarterectomy (with patch)

5970

Endarterectomy and patch repair of visceral branch of abdominal aorta 5970 2110

Other open operations on other visceral branch of abdominal aorta 5970 2110

Ileo-femoral vessels

Aorto-iliac, aorto-femoral, ileo-femoral bypass 4750 1550

Aorto-bifemoral bypass 4750 1550

Endarterectomy and patch repair of iliac artery 3600 1550

Open operation on iliac artery 3600 1550

Transluminal operation on iliac artery 1340 505

Femoro-femoral bypass 2895 1320

Femoro-popliteal bypass using prosthesis and/or vein and/or vein cuff/patch 3600 1550

Femoro-distal calf bypass using prosthesis and/or vein and/or vein cuff/patch 3600 1550

Endarterectomy of femoral artery 2895 1125

Reconstruction/bypass for popliteal aneurysm 3600 2110

Transluminal procedures on femoral artery 1565 505

Revision of femoral bypass graft 2705 1320

Non-specific

Revision of reconstruction of artery 3600 940

Biopsy of artery including temporal 580 265

Repair of artery 2305 685

Micro-arterial or micro-venous graft 4750 1550

Repair of artery using vein graft 2705 940

Microsurgical repair of artery 2705 985

Open embolectomy of artery 2570 940

Percutaneous transluminal angioplasty of artery 1340 625

Creation of arteriovenous (AV) fistula including subsequent closure 1340 820

Excision of AV malformation 7030 2110

Repair of acquired AV fistula 2895 985

Repair of AV fistula 2895 1125

Creation of peritoneo-venous shunt

(Levine/Denver)

1340 435

Open removal of thrombus from vein 2145 685

Insertion of Hickman line, tunnelled central line, etc.

725 505

Insertion of portocath/vasoport unit 1000 405

Isolated limb perfusion 2705 1320

P.U. (A) 358 160

Varicose veins

Ligation/stripping of long or short saphenous vein including local excision/multiple phlebectomy 1340 505

Ligation/stripping of long or short saphenous vein including local excision/multiple phlebectomy – bilateral 2145 820

Operation for recurrent varicose veins 2145 760

Operation for recurrent varicose veins –

Bilateral 3600 1125

Ligation/stripping of long and short saphenous veins including local excision/multiple phlebectomy 2145 760

Local excision (multiple phlebectomy) of varicose vein(s) of leg 725 505

Ligation/stripping of long and short saphenous veins including local excision/multiple phlebectomy – bilateral 3600 1125

Venography – bilateral 405

Femoro-popliteal bypass using prosthesis 4750

Femoro-popliteal bypass using prosthesis vein/or cuff/patch 5970

Creation of arteriovenous fistula using prosthesis/graft 3600

Lymphatic

Block dissection of cervical lymph nodes

(not included in other procedures)

2895 940

Block dissection of axillary lymph nodes 1760 625

Block dissection of para-aortic lymph nodes 2570 760

Block dissection of inguinal lymph nodes 1760 685

Block dissection of pelvic lymph nodes (not included in other procedures)

2040 760

Biopsy/sampling of cervical lymph nodes 405 505

Biopsy/sampling of axillary lymph nodes 405 315

Biopsy/sampling of inguinal lymph nodes 405 405

Excision biopsy of lymph node 725 435

Excision biopsy of scalene lymph node 725 435

Drainage of lesion of lymph node 480 265

Operation on lymphatic duct 2305 820

Excision of cystic hygroma 1565 760

Connective tissue/tendon muscles

Plantar fasciectomy 725 505

P.U. (A) 358 161

Excision of lesion of fascia 480 505

Other operations of fascia 580 315

Excision of ganglion, including repeat excision 1000 315

Excision of bursa 725 405

Transfer of tendon 1000 435

Transfer of multiple tendons 1565 685

Excision of lesion of tendon 725 435

Tendon graft, as sole procedure 1340 435

Secondary repair of tendon including graft, transfer and/or prosthesis 1890 505

Tenolysis, other than flexor 1000 435

Percutaneous tenotomy 405 265

Lengthening of tendon(s), including tenotomy 1160 435

Tenosynovectomy, including arthroscopic 865 435

Release of constriction of sheath of tendon 1000 435

Limited repair of muscle that is not more than 2cm tear (e.g: rotator cuff) including arthroscopic 725 625

Extensive repair of muscle that is greater than 2cm tear (e.g: rotator cuff) including arthroscopic 2145 625

Release of contracture of muscle 1160 570

Open biopsy of muscle 580 315

Needle/tru-cut biopsy of muscle 315

Excision of lesion of muscle without skin graft 1565 625

Excision of lesion of muscle with skin graft 1890 685

Bone (non-specific)

Open bone biopsy 725 405

Introduction of therapeutic substance into bone (e.g: application of antibiotic for infected hip replacement as a sole procedure)

580 265

Removal of wire from bone including K-wires 405

Excision of ectopic bone 580 405

Total excision of sesamoid bone 725 435

Partial excision of bone including exostoses 1000 405

Total excision of bone with/without prosthetic replacement/reconstruction

(e.g: trapezium)

2480 820

Radical resection of bone tumour 2705 820

Osteotomy of large bone, with/without fixation, including graft 2040 685

P.U. (A) 358 162

Drainage/debridement of bone(s), including sequestectomy for osteomylelitis 1340 405

Fixation of epiphysis 1160 685

Fractures

Primary open reduction of fracture of femur and open fixation using pin and plate 2305 760

Primary closed reduction of fracture or dislocation of joint, with/without fixation including plaster of Paris (POP) (e.g: Colles)

725 405

Closed reduction of fracture of long bone and external fixation including POP and percutaneous K-wires (e.g: forearm)

1760 685

Closed reduction of fracture of small bone and external fixation, including POP and percutaneous K-wires 865 505

Primary open reduction of long bone with fixation 2040 760

Primary open reduction of fracture with/without dislocation of joint 1890 685

Primary open reduction of small bone with fixation including intra-articular 1340 570

Primary open reduction of intra-articular fracture of long bone (e.g: proximal humerus)

1890 760

Open reduction of fracture of pelvis and internal fixation 2895 760

Open reduction and internal fixation of complex acetabular pelvic fracture 4750 1550

Secondary open reduction of dislocation of joint 865 405

Secondary open reduction of fracture of small bone including intra-articular 1340 505

Secondary open reduction of fracture of long bone and intermedullary fixation or internal fixation for non-union/mal-union 1890 685

Locked intramedullary nailing 2705 820

Secondary open reduction of intra-articular fracture of bone 1890 685

Application of IIizarov frame for secondary non-union/mal-union 4750 1550

Adjustments to IIizarov frame rings for secondary non-union/mal-union 1760 505

Adjustments to pin sites secondary for non-union/mal-union 580

Bone graft (except where part of another procedure)

1565 570

P.U. (A) 358 163

Removal of internal fixation/prosthesis from bone/joint excluding K-wires 1340 435

Removal of wire from bone including K-wires 405 315

Surgical toilet to wound under general anaesthetic 480 265

Nerves

Release of entrapment of deeply placed peripheral nerve including Anterior

Interosseous nerve and Posterior

Interosseous nerve 865 435

Anterior transposition of ulna nerve 1000 505

Submuscular transposition of ulna nerve 1890 505

Revision of release of peripheral nerve 1565 505

Exploration/neurolysis/biopsy of peripheral nerve 865 355

Joints (not listed elsewhere)

Excision of synovial membrane of joint 1565 625

Primary prosthetic replacement/

reconstruction/ repair of ligament including prosthesis 1565 505

Stabilising operation on joint 1565 625

Release of contracture of joint 1160 405

Arthrotomy of large joint, including removal of loose body from joint 1160 405

Arthrotomy of small joint, including removal of loose body from joint 315 265

Therapeutic arthroscopic operation on intra-articular cartilage

(other than

W8200)

1160 505

Therapeutic arthroscopic operation on intra-articular cartilage

(other than

W8200) – bilateral 1890 820

Therapeutic arthroscopic operation on cavity of joint 1890 505

Therapeutic arthroscopic operation on cavity of joint – bilateral 2895 820

Diagnostic arthroscopic examination of joint, with/without biopsy 865 435

Injection(s) into joint(s) under X-ray control 480 265

Manipulation of joint 405 405

Joints (not listed elsewhere)

Prosthetic replacement of articulation of 2145 685

P.U. (A) 358 164

bone

Prosthetic interposition arthroplasty of joint (e.g: hip, knee, shoulder)

2305 820

Excision reconstruction of joint 1760 625

Fixation/Arthrodesis

Osteotomy of hip with fixation 2305 940

Pelvic osteotomy with fixation 3600 940

Primary arthrodesis of large joint and bone graft 1760 820

Primary arthrodesis and internal fixation

(e.g: hand/foot) including bone graft 1160 685

Hand

Dupuytren's subcutaneous fasciotomy 580 315

Dupuytren's fasciectomy – single digit 1160 435

Dupuytren's fasciectomy for palm and multiple digits 1760 625

Dupuytren's dermofasciectomy and graft, or for recurrent disease 2145 820

Repair of extensor of hand 865 435

Repair of flexor of hand including prosthetic implant 1760 435

Secondary or second stage repair of flexor of hand including prosthetic implant 1890 570

Secondary repair of tendon of hand/forearm (excluding flexor) without transfer or graft 1000 435

Secondary repair of tendon of hand/forearm (excluding flexor) with graft/transfer 1760 435

Tendon graft as sole procedure 1340 435

Tenolysis – other than flexor 1160 435

Tenolysis of flexor 1565 435

Pollicisation of finger for thumb reconstruction 3600 435

Repair of fingertip injury following avulsion with flap 1565 505

Multiple joint procedures on hand including synovectomy 2390 820

Fusion of metacarpo-phalangeal/intercarpal joint 1000 570

Prosthetic arthroplasty of digital joint(s)

1760 435

Bone graft to scaphoid with internal fixation, including Herbert screw 1890 625

Amputation of hand 1565 625

Amputation of digit 1000 505

P.U. (A) 358 165

Amputation through mid-carpal/transmetacarpal 1000 435

Fusion of wrist 2040 820

Shoulder

Limited repair of muscle that is not more than 2cm tear (e.g: rotator cuff) including arthroscopic 725 625

Extensive repair of muscle that is greater than 2cm tear (e.g: rotator cuff) including arthroscopic 2145 625

Revision rotator cuff repair 2145 625

Acromioplasty 1565 625

Excision distal clavicle, in isolation 1565 625

Prosthetic interposition arthroplasty of joint (e.g: hip, knee, shoulder)

2305 820

Primary repair of rupture of acromioclavicular joint including internal fixation 2705 685

Secondary repair of rupture of acromioclavicular joint including internal fixation 2705 685

Reconstruction of acromioclavicular joint 2705 685

Shoulder hemiarthroplasty 2305 685

Revision shoulder hemiarthroplasty 2570 685

Primary total shoulder replacement 2705 940

Revision total shoulder replacement 3600 1550

Stabilisation of shoulder joint including anterior, posterior or multi-directional

(including arthroscopic)

1890 685

Revision stabilisation of shoulder joint 2390 760

Release of shoulder contracture 2145 685

Plating and/or bone grafting for non-union of clavicle 2040 685

Exploration and grafting of brachial plexus 3600 2110

Sub-acromial decompression including arthroscopic 1890 685

Total excision of cervical or first rib 2145 820

Elbow

Total prosthetic replacement of elbow 2705 940

Revisional prosthetic replacement of elbow 3600 1550

Release of constriction of sheath of tendon 1000 435

Hip, leg and pelvis

Excision of lesion of bone pelvis/hip 1565 685

Osteotomy of hip with fixation 2305 940

P.U. (A) 358 166

Pelvic osteotomy with fixation 3600 940

Total prosthetic replacement of hip joint 2705 985

Revision of total prosthetic replacement of hip joint 3600 1550

Total prosthetic replacement of hip joint –

bilateral 4750 1550

Prosthetic replacement of head of femur 2145 820

Release fasciotomy of anterior/posterior compartment of leg 1760 625

Amputation of leg/foot 2040 685

Manipulation and plaster of Paris (POP) for hip 580 405

Knee

Therapeutic arthroscopic operations of cavity of joint 1890 505

Therapeutic arthroscopic operations of cavity of joint – bilateral 2895 820

Diagnostic arthroscopic examination of joint, with/without biopsy 865 435

Total prosthetic replacement of knee joint 2705 985

Unicompartmental knee replacement 2705 820

Revision of total replacement of knee joint 3600 1550

Total prosthetic replacement of knee joint –

bilateral 4750 1550

Primary prosthetic replacement of cruciate ligament 2480 820

Autograft reconstruction of cruciate ligament including arthroscopic 2570 940

Stablisation of patella 2480 940

Therapeutic arthroscopic operations of semi lunar cartilage 1890 685

Therapeutic arthroscopic operations of semi lunar cartilage – bilateral 2895 985

Simple repair of knee ligaments 1890 570

Therapeutic arthroscopic operations on cavity of knee 1890 685

Therapeutic arthroscopic operations on cavity of knee – bilateral 2895 985

Foot

Primary repair of tendon of foot 480 435

Primary repair of Achilles tendon 1160 435

Secondary repair of Achilles tendon 1890 435

Secondary repair of tendon of foot 725 435

Multiple joint procedures on forefoot 2390 760

P.U. (A) 358 167

Multiple joint procedures on forefoot –

bilateral 3600 1125

Osteotomy of metatarsal (e.g: akin, mcNab, etc.)

865 435

Fusion of first metatarso – phalangeal joint 1000 505

Fusion of first metatarso – phalangeal joint

– bilateral 1760 820

Metartarso-phalangeal cheilectomy 1565 505

Triple fusion of joints of hind foot 1890 685

Osteotomy for pes clavus 1890 685

Correction of minor congenital deformity of foot 1565 505

Correction of minor congenital deformity of foot – bilateral 2480 820

Total prosthetic replacement of ankle joint 2705 940

Revision of total prosthetic replacement of ankle joint 3600 1550

Closing wedge osteotomy/translation of calcaneal spur including internal fixation 1760 505

Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation 1760 625

Excision arthroplasty of first metatarso-phalangeal joint including Keller's 1160 505

Excision arthroplasty of first metatarso-phalangeal joint including Keller's –

bilateral 1890 820

Fusion of interphalangeal joint(s) of toe 1000 435

Correction of retracted/dislocated metatarso-phangeal joint(s) including tendon transfer, division/realignment of bone and internal fixation 1890 820

Fusion of interphalangeal joint(s) of toe –

bilateral 1760 760

Primary arthrodesis and internal fixation

(hand/foot) including bone graft 1160 685

Simple bunionectomy 725 355

Simple bunionectomy – bilateral 1160 625

Metatarsal osteotomy for Hallux valgus 1340 685

Metatarsal osteotomy for Hallux valgus –

bilateral 2145 985

Metatarsal osteotomy for Hallux valgus, with internal fixation and soft tissue correction

1890

760

Metatarsal osteotomy for Hallux valgus,

2895 1125

P.U. (A) 358 168

with internal fixation and soft tissue correction – bilateral

Amputation of toe 1000 435

Radical excision of bone tumour with implantation of prosthesis for limb 4750 1550

External fixation/traction

Application of skeletal traction to bone 580 505

Removal of skeletal traction from bone 405 315

Application of external fixation to bone 1760 505

Removal of external fixation from bone 580 315

Face and jaws

Open reduction of fracture of maxilla 1340 685

Closed reduction of fracture of maxilla 725 570

Reduction of other fractures of bones of face 580 435

Reduction of fracture of zygomatic complex of bones 1000 505

Open reduction of fracture of zygomatic complex of bones 1565 570

Excision of maxilla 2040 940

Formal hemi-maxillectomy for malignancy 2570 940

Internal fixation of maxilla 725 685

Extra-oral fixation of maxilla 725 685

Removal of fixator from maxilla 580 570

Biopsy of lesion of facial bone 405 355

Excision of mandible 2040 940

Extensive excision of mandible 2390 985

Excision of lesion of jaw 1160 435

Open reduction of fracture of mandible 1000 685

Closed reduction of fracture of mandible 580 570

Intermaxillary fixation of mandible 725 685

Extra-oral fixation of mandible 1000 685

Removal of fixator from mandible 580 505

Reconstruction of jaw 2705 940

Alveolar bone graft 1340 570

Manipulation of mandible 405 355

Prosthetic replacement of temporomandibular joint 2305 625

Arthroplasty of temporomandibular joint 1890 625

Menisectomy of temporomandibular joint 1160 505

Reduction of dislocation of temporamandibular joint 725 355

P.U. (A) 358 169

Lips

Excision of vermilion border of lip and advance of mucosa of lip 1000 435

Excision of lesion of lip 865 405

Primary closure of cleft lip (and bilateral)

1760 820

Revision of primary closure of cleft lip 2145 820

Reconstruction of lip using tongue flap 2145 685

Reconstruction of lip using skin flap 2040 760

Suture of lip 480 435

Biopsy of lesion of lip 480 355

Tongue

Total glossectomy including block dissection 2480 760

Partial glossectomy including block dissection 2145 820

Excision/destruction of lesion of tongue 865 505

Biopsy of lesion of tongue 315 405

Frenotomy/frenectomy of tongue 480 435

Freeing of adhesions of tongue 315 405

Tongue flap – first stage 1760 820

Tongue flap – second stage 1000 625

Palate

Excision/destruction of lesion of palate 865 505

Primary repair of cleft palate 2305 820

Revision of repair of cleft palate 1565 685

Plastic repair of palate using flap of palate 1340 685

Plastic repair of palate using flap of skin 1890 685

Suture of palate 580 435

Biopsy of lesion of palate 480 405

Incision of palate 370 405

Operation on uvula 725 435

Mouth cavity

Vestibuloplasty following trauma 1160 435

Excision/destruction of lesion of mouth 580 405

Reconstruction of mouth using flap 2145 760

Reconstruction of mouth using graft 1000 760

Graft of skin to mouth 1000 625

Graft of mucosa to mouth 865 570

Suture of mouth 580 505

Biopsy of lesion of mouth 370 355

Removal of excess mucosa from mouth 865 435

P.U. (A) 358 170

Salivary glands

Excision of parotid gland (other than

F4410/F4430)

1890 685

Total excision of parotid gland and preservation of facial nerve 3600 985

Partial excision of parotid gland and preservation of facial nerve 2895 985

Excision of submandibular gland 1340 505

Excision of sublingual gland 1000 505

Excision of lesion of parotid gland 1160 505

Excision of lesion of submandibular gland 1160 505

Excision of lesion of sublingual gland 405 505

Incision of parotid gland 405 405

Incision of submandibular gland 405 405

Incision of sublingual gland 405 405

Biopsy of lesion of salivary gland 580 435

Closure of fistula of salivary gland 865 435

Transposition of parotid duct 1160 435

Transposition of submandibular duct 1160 435

Open extraction of calculus from parotid duct 865 355

Open extraction of calculus from submandibular duct 725 435

Ligation of parotid duct 480 435

Ligation of submandibular duct 480 435

Operation on submandibular duct 480 435

Dilation of parotid duct 405 265

Manipulative removal of calculus from parotid duct 725 315

Teeth

Replantation of tooth/teeth following trauma 865 355

Surgical removal of impacted/buried tooth/teeth 1000 435

Surgical removal of complicated buried roots 725 435

Enucleation of cyst of jaw 865 435

Neck

Block dissection of cervical lymph nodes

(not included in other procedures)

2895 940

Biopsy/sampling of cervical lymph nodes 405 505

Operation on branchial cleft cyst 1340 820

Operation on branchial cleft fistula 2040 820

P.U. (A) 358 171

Thyroid and parathyroid glands

Total thyroidectomy 2040 820

Bilateral subtotal thyroidectomy 2040 760

Hemithyroidectomy 2040 685

Partial thyroidectomy 2040 685

Thyroplasty (Isshiki type I)

1760 625

Operation on aberrant thyroid issue including retrosternal 2480 940

Excision of thyroglossal cyst 1000 625

Excision of thyroglossal tract 1340 625

Excision of lesion of thyroid gland 1340 435

Fine needle aspiration of thyroid gland 315 315

Needle biopsy of thyroid gland 580 315

Parathyroidectomy 2705 940

Parathyroid: second operation 2705 985

Drainage of salivary gland abscesses 405

III. MISCELLANEOUS

1. Medical examination fee

Item

Medical examination – pre-employment, routine and annual medical examination, fitness medical examination, comprehensive medical examination, aviation medical examination (excluding laboratory investigations, X-ray, ECG, etc.)

45 - 230

Examination for medico-legal cases 570 - 1145

Examination for evaluation of disability 570 - 1145

Participation in Medical Board Examination 230 - 1145

Medical examination for life insurance 90 - 230

Vocational licence health examination 35 - 115

Item

Medical examination – pre-employment, routine and annual medical examination, fitness medical examination, comprehensive

115 - 570

medical examination, aviation medical examination

(excluding laboratory investigations, X-ray, ECG, etc.)

Examination for medico-legal cases 570 - 2290

P.U. (A) 358 172

Examination for evaluation of disability 570 - 2290

Participation in Medical Board Examination 570 - 2290

Medical examination for life insurance 170 - 460

Vocational licence health examination 35 - 115

2. Medical report fee

Item

Non-specialist 55 - 230

Specialist 115 - 570

3. House call and medical assistance fee (General Practitioners)

Item

Medical duty for events and functions per hour 55

Medical coverage for transfer/repatriation of patient (excluding actual expenses incurred in the cost of travel, board and lodging) per day 570

4. Court attendance fee

Item

Qualifying expenses per day - this is to cover the cost of the medical practitioner who on being called as a witness, is required to study and research a case not previously a patient of the same practitioner (excluding travel, board and lodging expenses and medical report)

285 - 570

Conduct money

Actual expenses incurred in the cost of travelling and lodging

Non-expert witness (testimony involving statement of facts only)

570 - 1145

Expert witness (testimony involving expert opinion)

1145 - 2290

Comprehensive medical report (requested by insurance company, lawyers, others)

90 - 285

Attending physician statement for insurance company 55

P.U. (A) 358 173

PART B – DENTAL FEE

I. CONSULTATION FEE

Item

Consultation only

Consultation with examination

30 - 285

Consultation with examination and treatment plan

II. BASIC DENTAL PROCEDURE FEE

Item

Post-extraction bleeding 55 - 345

Treatment for dry socket 55 - 345

Temporary dressings 35 - 170

Incision and drainage 55 - 230

Amalgam restorations 45 - 345

Tooth coloured/adhesive restoration 55 - 685

Removal of calculus 55 - 345

Removal of plaque and/or extrinsic stains 70 - 285

Dentures acrylic (partial) per jaw 115 - 1145

Dentures acrylic (full) per jaw 285 - 2290

Non-surgical/simple extraction of teeth and/or root(s)

Permanent 45 - 285

Deciduous 30 - 115

Intra-oral periapical/bite wings/occlusal radiograph – per exposure 25 - 115

III. MISCELLANEOUS

Item

Dental report 55 - 345

House call 170 - 570

Court attendance fee - qualifying expenses per day. This is to cover the cost of the dental practitioner who on being called as a witness, is required to study and research a case not previously a patient of the same practitioner

(excluding travel, board and lodging expenses and dental report)

285 - 570

Conduct money

Actual expenses incurred in the cost of travelling and lodging

P.U. (A) 358 174

Non-expert witness

(testimony involving statement of facts only)

570 - 1145

Expert witness (testimony involving expert opinion)

1145 - 2290

Comprehensive dental report (requested by insurance companies, lawyers and others)

55 - 345

Attending dentist statement for insurance company 55”.

Made 10 October 2013

[KK(R)/654(336) (17); PN(PU2)610/IV]

DATUK SERI DR. S. SUBRAMANIAM

Minister of Health