/akn/my/act/pua/2014/363
PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014
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- Type
- P.U. (A)
- Status
- In force
- Enacted
- 2014
- Sections
- 23
Quick answer
About this p.u. (a)
PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is Malaysia P.U. (A), cited as P.U. (A) 363 2014, currently marked in force and first recorded in 2014.
Opening note
Preamble
- PADA menjalankan kuasa yang diberikan oleh seksyen 3 dan 10 Akta Fi 1951 [Akta 209], Yang di-Pertuan Agong membuat perintah yang berikut: Nama, permulaan kuat kuasa dan pemakaian
Seksyen 2
Dalam Perintah ini, melainkan jika konteksnya menghendaki makna yang lain—
“anggota tiruan atau prothesis” ertinya suatu alat yang digunakan di dalam atau di luar untuk mengembalikan pesakit supaya berada dalam keadaan berfungsi bagi membolehkannya berdikari dalam aktiviti hariannya;
“fi pembedahan” ertinya suatu fi yang dikenakan ke atas mana-mana pesakit yang memerlukan apa-apa pembedahan bagi rawatan atau maksud-maksud diagnostik;
“fi pergigian” ertinya suatu fi yang dikenakan bagi apa-apa rawatan pergigian;
“fi rawatan” ertinya suatu fi yang dikenakan bagi layanan perubatan, keselesaan perubatan, ubat, pembalut dan lain-lain perkhidmatan yang diberikan kepada mana-mana pesakit yang dirawat di mana-mana hospital;
3
“fi siasatan” ertinya suatu fi yang dikenakan ke atas apa-apa prosedur yang merupakan satu bantuan kepada diagnosis selain daripada perkara-perkara yang diliputi oleh fi pembedahan;
“fi wad” ertinya suatu fi yang dikenakan bagi diet dan tempat tidur;
“hospital” ertinya mana-mana hospital Kerajaan meliputi mana-mana hospital pengajaran sesuatu universiti, klinik Kerajaan dan mana-mana Institusi
Perubatan Persekutuan yang lain;
“Institusi Perubatan Persekutuan” ertinya mana-mana hospital dan institusi perubatan yang diisytiharkan oleh Kerajaan sebagai suatu Institusi
Perubatan Persekutuan;
"jagaan harian" ertinya penjagaan pesakit yang dimasukkan ke unit rawatan harian di hospital atau pusat rawatan khas, bagi tempoh kurang daripada dua puluh empat jam atas rujukan oleh pegawai perubatan bagi prosedur perubatan termasuk bagi tujuan pencegahan, penyiasatan, terapi dan rehabilitasi;
“Kementerian” ertinya Kementerian Kesihatan;
“Ketua Setiausaha” ertinya Ketua Setiausaha Kementerian Kesihatan;
“orang asing” ertinya seseorang yang bukan warganegara Malaysia tetapi tidak termasuk—
(a)
seseorang yang bukan warganegara yang memegang suatu kad pengenalan yang dikeluarkan di bawah perenggan 5(3)(b) Peraturan-Peraturan Pendaftaran Negara 1990
[P.U. (A) 472/1990]; atau 4
(b)
pasangan isteri atau suami yang bukan warganegara kepada warganegara Malaysia;
“pakar” ertinya seseorang yang dilantik di bawah Perintah-perintah Am
Bab F Perubatan Tahun 1974;
“pegawai perubatan” ertinya seseorang pengamal perubatan berdaftar atau pengamal pergigian berdaftar yang berkhidmat dengan Kerajaan Malaysia.
Fi pesakit luar
Seksyen 3
Fi bagi perkhidmatan yang diberikan di Jabatan Pesakit Luar, selain daripada fi pergigian hendaklah sebagaimana yang dinyatakan dalam Jadual Pertama dan hendaklah dikenakan di—
(d)
mana-mana tempat lain yang boleh dinyatakan oleh Menteri Kesihatan bagi maksud perenggan ini.
Fi wad
Seksyen 4
(2)
Bagi maksud pengiraan fi wad—
(b)
hari keluar hendaklah dikira sebagai satu hari genap jika ia melebihi dua belas jam.
5
(3)
Jika pada pendapat pegawai perubatan, adalah perlu bagi ibu atau bapa menemani anaknya, dia hendaklah tertakluk kepada fi wad separuh daripada kadar yang dinyatakan dalam Jadual Kedua.
Fi rawatan
Seksyen 5
Fi rawatan hendaklah sebagaimana yang dinyatakan dalam Jadual Ketiga.
Seksyen 6
Fi siasatan
(2)
Jika suatu siri x-ray diambil untuk membantu membetulkan aturan suatu retakan, hanya satu fi mengikut kadar yang dinyatakan dalam Bahagian 1 Jadual
Keempat boleh dikenakan bagi retakan itu.
(3)
Sekiranya pemeriksaan radiologi ulangan dijalankan selepas pemeriksaan dalam subperenggan (2), fi berasingan hendaklah dikenakan bagi tiap-tiap pemeriksaan itu.
Fi makmal
Seksyen 7
Fi makmal hendaklah sebagaimana yang dinyatakan dalam Jadual Kelima.
Seksyen 8
Fi pembedahan
Fi pembedahan hendaklah sebagaimana yang dinyatakan dalam Jadual Keenam.
Seksyen 9
Fi pergigian
Ketiga.
Seksyen 10
Fi anggota tiruan atau prothesis
Fi bagi anggota tiruan atau prosthesis hendaklah sebagaimana yang dinyatakan dalam Bahagian 10 Jadual Ketiga.
6
Seksyen 11
Fi pelbagai
Fi pelbagai hendaklah sebagaimana yang dinyatakan dalam Jadual Ketujuh.
Seksyen 12
Fi jagaan harian
Ketiga hingga Jadual Keenam, dan fi wad adalah berdasarkan kadar wad kelas tiga dalam Jadual Kedua.
Seksyen 13
Pesakit yang dimasukkan ke dalam wad kelas lebih tinggi
Seseorang pesakit yang pada mulanya dimasukkan ke dalam wad kelas yang lebih rendah dan kemudiannya dipindahkan ke dalam wad kelas yang lebih tinggi atas permintaannya sendiri, hendaklah membayar semua fi termasuklah fi wad kelas yang terlibat.
Seksyen 14
Deposit
(1)
Seseorang pesakit hendaklah sebelum diterima masuk ke dalam wad—
(b)
mengadakan suatu jaminan pembayaran yang memuaskan sebagaimana diluluskan oleh Ketua Setiausaha.
(2)
Jika seseorang pesakit menanggung perbelanjaan tambahan yang tidak diliputi oleh depositnya semasa dia masih di dalam wad, dia hendaklah dikehendaki membayar deposit tambahan.
(3)
Jika fi yang ditanggung oleh seseorang pesakit adalah kurang daripada depositnya, apabila dia dibenarkan keluar dari hospital, hospital hendaklah mengembalikan perbezaan tersebut kepadanya.
7
Peremitan
Seksyen 15
Ketua Setiausaha boleh meremitkan sebahagian atau keseluruhan daripada mana-mana fi yang dikenakan di bawah Perintah ini.
Seksyen 16
Pertikaian mengenai fi
Perintah ini, pertikaian itu hendaklah dirujuk kepada Ketua Setiausaha yang keputusannya adalah muktamad.
8
Jadual
JADUAL PERTAMA
[Perenggan 3]
FI PESAKIT LUAR
Fi bagi satu lawatan
(RM)
(a)
Hospital
Pesakit luar am 40
Pesakit luar pakar 120
Jabatan Kecemasan 100
(b)
Klinik kesihatan
Pesakit luar am 40
Pesakit luar pakar 120
(c)
Klinik 1 Malaysia 40
(d)
Klinik Desa 40
(e)
Lain-lain
Perkhidmatan kesihatan kanak-kanak 40
Rawatan obstetrik dan ginekologi 40
Perkhidmatan postnatum 40
9
*Fi dalam Jadual ini tidak termasuk apa-apa fi lain yang dinyatakan dalam Perintah ini.
Calitan pap 45
Perkhidmatan bersalin (termasuk di Pusat
Bersalin Alternatif dan di rumah)
200
Perkhidmatan perubatan di luar hospital
300 untuk setiap lawatan selain dari apa-apa tuntutan bagi perjalanan, sara hidup dan penginapan mengikut kadar yang ditentukan oleh Kerajaan
10
Jadual
JADUAL KEDUA
[Subperenggan 4(1)]
FI WAD
Fi bagi sehari (RM)
(a)
Eksekutif
Bilik 1 katil (VIP)
500
Bilik 1 katil 400
Bilik 2 katil 340
(b)
Kelas satu
Bilik 1 katil 320
Bilik 2 katil 240
Bilik 3 katil atau lebih 200
(c)
Kelas dua 180
(d)
Kelas tiga 160
(e)
Bilik bersalin 300
(f)
Unit Rawatan Intensif atau Unit Rawatan
Koronari (dewasa)
360
(g)
Unit Rawatan Intensif atau Unit Rawatan
Koronari (kanak-kanak)
300
11
(h)
Nurseri 60
(i)
Nurseri rawatan khas 140
(j)
Nurseri dengan rawatan incubator 170
(k)
Wad psikiatri
Berdasarkan kelas wad dan mengikut bilangan katil
12
Jadual
JADUAL KETIGA
[Perenggan 5]
FI RAWATAN
BAHAGIAN 1
RAWATAN PESAKIT DALAM
Rawatan pesakit dalam 100 sehari
BAHAGIAN 2
RAWATAN PSIKIATRI
Rawatan psikitrik 1,500 setiap kali dimasukkan ke hospital
BAHAGIAN 3
RAWATAN BERSALIN
Caesarean 3,021
Bersalin dengan bantuan : forsep/breech/vakum/bersalin kembar/bersalin normal 2,593
BAHAGIAN 4
LAIN-LAIN RAWATAN
Kardiotokograf 120
13
Toilet and suture per stich 50
Fine needle aspiration 275
Incision and drainage 275
Catheterisation 85
BAHAGIAN 5
RAWATAN RADIOTERAPI
SIMULASI DAN PERANCANGAN BERKOMPUTER
Penandaan setempat 50
Simulasi konvensional 1,000
Simulasi CT - biasa (tanpa contrast)
1,500
Simulasi CT - kompleks (dengan contrast)
3,000
Simulasi CT - IMRT/Rapid Arc , TBI, TNI, TBE
5,000
Simulasi CT - Stereotactic Radiosurgery (SRT)
20,000
RAWATAN RADIOTERAPI
2D/Single field/parallel opposed per fraction 350 3D/any plans with 3 or more fields per fraction 450
IMRT/Rapid arc per fraction 500
TBI per fraction 500
TNI per fraction 700
SRT per fraction 500
SRS (rawatan pakej - sekali caj sahaja)
30,000
14
AKSESORI PAKAI BUANG
Beam direction shell 250
Vac-Lock 250
Cerroband 500
Wax 300
RAWATAN BRAKITERAPI
Intra-cavitari : dhobbies/single line source per session 5,000
Intra-cavitari : paired ovoids per session 5,000
Intra-cavitari : full intra-cavitary per session 5,000
Intra-cavitari : for nasopharyngeal cancer (NPC) per session 7,000
Intra-luminal : esophagus, bronchus, ano-rectal per session 300
Interstitial brachytherapy implants : breast brachytherapy implants per implant
6,500
Interstitial brachytherapy implants : extremities implants per implant 6,000
Interstitial brachytherapy implants : oral cavity/anorectal/prostate implants per implant
7,500
Prostate brachytherapy procedure 10,000
Iodine-131 therapy (not Iodine scan) per session 800
15
KEMOTERAPI
(a)
Single Agent
Jenis A
Low dose cisplatin 65
Methotrexate 65
Doxorubicin 65
Vinorelbine 65
Jenis B
Carboplatin 260
Paclitaxel 260 5-fuFluorouracil 260
Oxaliplatin 260
High dose cisplatin 260
Jenis C
Gemcitabine 1,100
Bleomycin 1,100
Docetaxel 1,100
Ifosphamide 1,100
Mitoxantrone 1,100
Mitomycin 1,100
Irinotecan 1,100
Jenis D
Alimta (pemetrexed) Pemetrexed 5,500
Caelyx pegylated liposomal doxorubicin 5,500
16
(b)
Double agent
Doxorubicin + Cyclophosphamide 70
Doxorubicin + Ifosphamide 661
Doxorubicin + Cisplatin 89
Doxorubicin + Docetaxel 971
Doxorubicin + Paclitaxel 227
Doxorubicin + Gemcitabine 325
Carboplatin + Fluorouracil 148
Carboplatin + Paclitaxel 398
Carboplatin + Etoposide 105
Carboplatin + Gemcitabine 564
Carboplatin + Docetaxel 1,033
Carboplatin + Vinorelbine 292
Cisplatin + Paclitaxel 231
Cisplatin + Etoposide 133
Cisplatin + Fluorouracil 126
Cisplatin + Pemetrexed 6,160
Cisplatin + Gemcitabine 592
Cisplatin + Vinorelbine 69
Cisplatin + Ifosphamide 1,018
Cisplatin + Methotrexate 44
Cisplatin + Cyclophosphamide 68
Cyclophosphamide + Vincristine 33
Cyclophosphamide + Epirubicin 334
Etoposide + Fluorouracil 147
17
Gemcitabine + Vinorelbine 318
Gemcitabine + Paclitaxel 742
Gemcitabine + Oxaliplatin 433
Ifosphamide + Vinorelbine 774
Ifosphamide + Epirubicin 1,389
Irinotecan + Fluorouracil 528
Mitomycin + Fluorouracil 674
Oxaliplatin (130 mg/m2) + Capecitabine 1,293
Oxaliplatin + Fluorouracil 317
Paclitaxel + Fluorouracil 304
Capecitabine + Irinotecan (240 mg/m2)
1,560
(c)
Triple agent
Doxorubicin + Cyclophosphamide + Etoposide 220
Doxorubicin + Cisplatin + Ifosphamide 488
Doxorubicin + Dacarbazine + Ifosphamide 1,645
Bleomycin + Etoposide + Cisplatin 1,236
Doxorubicin + Cyclophosphamide + Cisplatin 92
Cyclophosphamide + Methotrexate + Fluorouracil 62
Epirubicin + Cisplatin + Fluorouracil 310
Fluorouracil + Doxorubicin + Cyclophosphamide 68
Fluorouracil + Epirubicin + Cyclophosphamide 278
Ifosphamide + Carboplatin + Etoposide 1,125
Ifosphamide + Dactinomycin + Vincristine 1,120
Gemcitabine + Paclitaxel + Carboplatin 924
18
Procarbazine + Lomustine + Vincristine 2,472
Ifosphamide + Cisplatin + Etoposide 1,019
Docetaxel + Doxorubicin + Cyclophosphamide 888
Paclitaxel + Ifosphamide + Cisplatin 1,015
Docetaxel + Cisplatin + Fluorouracil 1,070
Paclitaxel + Carboplatin + Etoposide 912
Paclitaxel + Carboplatin + Fluorouracil 981
Mitomycin + Ifosphamide + Cisplatin 766
Vincristine + Doxorubicin + Cyclophosphamide 90
Vincristine + Dactinomycin + Cyclophosphamide
515
Vincristine + Epirubicin + Cyclophosphamide 258
Vincristine + Etoposide + Carboplatin 581
Etoposide + Cisplatin + Ifosphamide 745
Vinblastine + Ifosphamide + Cisplatin 695
Vinorelbine + Ifosphamide + Cisplatin 1,148
(d)
Complex regime
Etoposide + Dactinomycin + Methotrexate + Vincristine +
Cyclophosphamide
338
Etoposide + Cisplatin + Dactinomycin + Methotrexate
217
Etoposide + Vincristine + Doxorubicin + Ifosphamide +
Dactinomycin
1,110
Ifosphamide + Vincristine + Dactinomycin + Doxorubicin
975
Vincristine + Doxorubicin + Cyclophosphamide +
Dactinomycin
392
Vincristine + Doxorubicin + Ifosphamide + Dactinomycin 1,157
19
Vincristine + Ifosphamide + Carboplatin + Etoposide 944
Vincristine + Ifosphamide + Doxorubicin + Etoposide 1,141
Methotrexate + Dactinomycin + Chlorambucil +
Cyclophosphamide
354
Methotrexate + Vinblastine + Doxorubicin + Cisplatin 232
(e)
Oral agent
Capecitabine 1250mg/m2 658
Capecitabine 1000mg/m2 534
Capecitabine 850mg/m2 441
Chlorambucil 94.50
Cyclophosphamide 3
Etoposide 405
Procarbazine 516
Tegafur 255
Temozolomide 5,405
TARGETED THERAPY
Erlotinib 100mg 4,705
Erlotinib 150mg 5,800
Gefitinib
5,043
Imatinib 100mg 4,492
Imatinib 400mg 9,210
Pazopanib 200mg 1,848
20
Pazopanib 400mg 2,790
Trastuzumab (loading dose)
6,977
Trastuzumab (maintainence dose)
5,074
Cetuximab (2 weekly regime)
6,112
HORMONE THERAPY
Anastrazole 74
Bicalutamide 74
Exemestane 796
Flutamide 91
Letrozole 126
Lucrin leuprolide acetate 3.75mg 315.90
Leuprolide acetate 11.25mg
971.45
Medroxyprogesterone acetate (IM)
26
Megestrole acetate 800
Tamoxifen 16
Zoladex goserelin 10.8 depot (setiap 3 bulan)
992
Goserelin 3.6 depot 265.35
IMMUNO THERAPY
Interfelon alfa 1,136
21
BAHAGIAN 6
PERUBATAN NUKLEAR
Teknetium - 99M pirau kardiak 140
Teknetium - 99M kajian pirofosfat 240
Teknetium - 99MIBI kajian latihan dan rehat 1,700
Talium - 201 kajian latihan dan rehat 1,800
Imbasan limpahan hati berlawang 1,360
Pengimejan tertangguh 24 jam 400
BAHAGIAN 7
NEFROLOGI
Intermitent peritoneal dialysis bagi setiap rawatan 300
Rawatan CAPD (sebulan)
2,100
Renal biopsy (tidak termasuk laporan)
500
Femoral/subclavian catherisation 1,000
Haemoperfusion 1,000
Implantation of tenchoff catheter 200
Pretransplant dialysis treatment 2,000
Lawatan di rumah bagi setiap haemodilaisis 200 setiap lawatan
Cycle-PD/Automated PD
800
Intermitent peritoneal dialysis stab 800
Intermitent peritoneal dialysistenckhoff 800
Continuous arteriovenous haemofiltration 800
Continuous venovenous haemodiafiltration 2,000
22
Continuous venovenous haemodialysis 2,000
Continuous venovenous haemofiltration 890
Nightly intermitent peritoneal dialysis 2,100
Plasma exchange 1,900
Plasmapharesis 1,900
Haemofiltration 300
Haemodialysis single use kidney 200
Haemodialysis single use kidney high - flux 200
Haemodialysis single use kidney low - flux 200
Haemodialysis single use kidney middle - flux 200
Catheter insertion surgical tenckhoff peritoneal sco 2,500
Catheter removal medical tenckhoff (non OT)
500
Catheter removal surgical tenckhoff ( non OT)
500
Kt/v (CAPD)
150
Catheter insertion central venous 1,000
Catheter insertion CV under US guidance 1,000
Catheter insertion femoral double lumen (non cuffed)
800
Catheter insertion femoral single lumen 1,000
Catheter insertion permanent 2,500
Haemodiafiltration online 300
Haemodialysis reuse kidney 180
Haemodialysis reuse kidney high - flux 180
Haemodialysis reuse kidney low - flux 180
Haemodialysis reuse kidney middle - flux 180
Renal biopsy - biopty gun 500
Renal biopsy - cooks 500
23
Renal biopsy - tru cut 500
Slow continuous ultrafiltration 1,000 setiap hari
Ultrafiltration 200
Catheter removal central venous 200
Catheter removal femoral double lumen 200
Catheter removal central venous under US
200
Catheter removal femoral single lumen 200
Renal allograft ultrasound 100
Renal allograft ultrasound doppler 150
BAHAGIAN 8
FISIOTERAPI
ELECTROTHERAPY MODALITIES
Biofeedback/myofeedback 80
Direct current/iontophorosis 80
Didynamic current 80
Interrupted Direct Current (IDC)
80
Interferential Therapy (IT)
80
Shortwave diathermy (SWD)
80
Transcutaneous Electrical Nerve Stimulation (TENS)
80
Ultrasound therapy (US)
80
Realtime ultrasound 80
Functional electrical stimulation 80
Shockwave therapy 80
24
THERMAL THERAPY/CRYOTHERAPY
Hot pack 40
Wax bath 40
Infrared radiation 40
Cryotherapy 40
PHOTOTHERAPY
Laser therapy 80
Ultraviolet light therapy 80
CARDIORESPIRATORY THERAPY
Active Cycle Breathing Technique (ACBT)
60
Breathing exercise 60
Bronchial suction 60
Flutter/incentive spirometer 60
Inspiratory muscle training 60
Inhalation therapy 60
Percussion/vibration 60
Positive expiratory pressure 60
Postural drainage 60
25
MECHANO THERAPY
Cervical traction 80
Lumbar traction 80
Sequential pump 80
HYDROTHERAPY
Pool exercise 120
Whirlpool 120
MANUAL THERAPY
Soft tissue manipulation 120
Myofascial release 120
Manual lymphatic drainage 120
Accupressure 120
TAPING/BANDAGING/STRAPPING
120
COMPRESSION THERAPY (LYMPHOEDEMA)
80
SPECIAL TECHNIQUES
Canalith repositioning technique 80
Gaze stabilisation exercise 80
Icing/brushing 80
26
Joint mobilisation 80
McKenzie technique 80
Motor relearning programme (MRP)
80
Accupuncture 80
Neurodevelopmental technique 80
Proprioceptive Neuromuscular Facilitation (PNF)
80
EXERCISE THERAPY
Active, passive, resisted 80
Ambulation/gait training 80
Ante/postnatal exercise 80
Balance training 80
Bladder/bowel training 80
Circuit training/gymnic ball exercise 80
Counter bracing technique 80
Functional activities 80
Group exercise 80
Isokinetic exercise 80
Mechanical exercise 80
Pelvic floor exercise 80
Pelvic floor exercise with PFX educator 80
Relaxation techniques 80
Sensory re-education 80
Special hand regime 80
Treadmill 80
27
CONSULTATION/STRUCTURED PATIENT EDUCATION/
CAREER TRAINING
40
SPECIAL TEST – DIAGNOSTIC TOOL
Berg’s balance test 120
Clinical Test for Sensory Interaction and Balance (CTSIB)
120
Computerized dynamic posturography 120
Computerized hand evaluation 120
Dix-hall pike test 120
Dynamic gait index 120
Oculomotor assessment 120
Pelvic floor per vagina/per rectal assessment 120
Perionometer 120
Sensory testing 120
Strength duration curve 120
Voluntary muscle testing 120
Vestibular test 120
BAHAGIAN 9
PERGIGIAN
Cabutan sebatang gigi kekal 50
Cabutan gigi supernumerari / tunggul akar 50
Cabutan sebatang gigi desidus 25
Cabutan - komplikasi - rawatan soket terinfeksi 50
Cabutan - komplikasi - pemberhentian pendarahan 50
28
Cabutan - komplikasi 50
Tampalan gigi kekal - satu permukaan 75
Tampalan gigi kekal - permukaan berganda/dengan pin retensi
100
Tampalan - gigi desidus 30
Tampalan sementara 30
Penskaleran dan penggilapan 214
Dentur penuh (akrilik) - setiap rahang - termasuk bahan 900
Dentur separa (akrilik) - setiap rahang gigi pertama 500
Dentur separa (akrilik) - maksimum 800
Dentur separa - setiap gigi tambahan 20
Pembaikan plat dentur (tidak termasuk penggantian setiap gigi)
70
Pembaikan dentur (setiap gigi tambahan)
20
Relining/Rebasing - setiap denture 120
Pelindung mulut 50
Soft splint 50
Hard splint 200
Splint lain : contohnya oyster 50
Obturator - acrylic 100
Obturator - molloplast 200
Feeding plate 50
Aplians pergigian lain 100
Prosthesis muka 200
Jahitan semula kecederaan tisu lembut orofasial 120
Buka jahitan kecederaan tisu lembut orofasial 60
Rawatan semula kecederaan tisu lembut orofasial 120
29
Insisi dan saliran - abses orofasial 120
Inlai/onlai - setiap gigi (tidak termasuk fi bahan dan makmal)
120
Korona/venir - setiap unit (termasuk korona sementara tetapi tidak termasuk fi bahan dan makmal)
200
Jambatan setiap abutmen/pontik (termasuk jambatan sementara tetapi tidak termasuk fi bahan dan makmal)
200
Korona keluli tahan karat - setiap unit 50
Korona strip - setiap unit 30
Pembaikan korona/jambatan 50
Tiang dan teras sebatang gigi 150
Restorasi provisional - setiap gigi 30
Rawatan kanal akar - anterior 150
Rawatan kanal akar - premolar 200
Rawatan kanal akar - molar 300
Rawatan kanal akar semula - anterior 250
Rawatan kanal akar semula - premolar 300
Rawatan kanal akar semula - molar 400
Apeksifikasi - setiap gigi 200
Pemberhentian resopsi gigi - setiap gigi 150
Coronal pulpotomi - setiap gigi kekal 150
Cvek pulpotomi - setiap gigi kekal 150
Pulpotomi - setiap gigi decidous 150
Pulpektomi - setiap gigi 200
Pelapikan pulpa (termasuk tampalan sementara) -
langsung/tidak langsung
30
Rawatan pembuangan pulpa (extirpasi pulp)
50
Pengeluaran alat yang terpisah/patah 200
30
Pemutihan gigi (luaran) - setiap rahang 500
Pemutihan gigi (dalaman) - setiap gigi 50
Mikroabrasi - setiap gigi 50
Fluorida topikal - setiap rahang 50
Pengapan fisur - setiap gigi 40
Desensitisasi - setiap gigi 30
Aplians tetap - pakej rawatan dua rahang 5,500
Aplians tetap - pakej rawatan satu rahang 2,700
Aplians fungsi tetap - setiap rahang 2,000
Pembukaan aplians tetap - setiap rahang 300
Aplians penyambung tetap 370
Aplians penyambung tetap - pengganti - setiap rahang 370
Aplians penyambung tetap - pembaikan - setiap rahang 100
Aplians penyambung tetap - simen semula - setiap rahang 100
Retainer tetap - setiap rahang 300
Retainer tetap - pengganti - setiap rahang 200
Retainer tetap - pembaikan - setiap gigi 100
Retainer tetap - setiap rahang - penanggalan 200
Aplian fungsi boleh tanggal - setiap rahang 2,000
Aplian fungsi boleh tanggal - pengganti 2,000
Aplian fungsi boleh tanggal - pembaikan 250
Aplian boleh tanggal - pakej rawatan - setiap rahang 1,500
Aplian boleh tanggal aktif - pengganti - setiap rahang 400
Aplian boleh tanggal pasif - pengganti-setiap rahang 400
Penyenggara ruang boleh tanggal setiap rahang 400
Aplian aktif boleh tanggal - pembaikan - satu rahang 250
31
Retainer boleh tanggal-pembaikan - setiap rahang 250
Penyenggara ruang boleh tanggal - setiap rahang -
pembaikan
250
Essix retainer 300
Aksesori rahang palatal/lingual 250
Aksesori rahang palatal/lingual - pengganti 250
Pemasangan peralatan traction (on plant) - setiap alat 400
Pemasangan traction chain - gigi terimpak 800
Pengaktifan traction chain untuk pergerakan gigi minor -
setiap gigi
200
Impresi bagi model kerja - setiap rahang (atas/bawah)
200
Gegelang ortodontik - pengganti 100
Braket ortodontik - satu gigi - pengantian 100
Dawai ortodontik - setiap rahang - pengantian (atas/bawah)
200
Pembaikan komponen boleh tanggal - setiap rahang 100
Rawatan facemask 400
Rawatan chin cup 400
Rawatan palatal expander 400
Rawatan headgear 400
Periodontik - pembedahan flap dengan pembedahan tulang
674
Pembedahan flap dengan regenerasi tulang 800
Pembedahan mukogingiva 500
Pemanjangan korona dengan ostektomi 617
Pemanjangan korona tanpa ostektomi 550
Hemiseksi gigi 1,312
Regenerasi tulang dipandu 1,036
Regenerasi tisu dipandu 1,648
32
Pembedahan flap 674
Gingivektomi 400
Gingivoplasti 400
Pembedahan baji 400
Furkasionplasti - penembusan 1,419
Furkasionplasti - grufplasti 1,419
Reseksi akar 1,312
Pengetaman akar setiap kuadran (debridmen subgingiva)
421
Pengetaman akar keseluruhan mulut (debridmen subgingiva)
637
Pensplinan gigi 158
Venir gingiva labial 300
Perisisi ligamen periodontium 150
Pengubahsuaian morfologi gigi 150
Pengkonturan semula restorasi sedia ada 150
Penyelarasan oklusal 134
Frenotomi/frenektomi 647
Sendi temporomandibel (TMJ) reduksi - tertutup
150
Antralplasti maksila (sinus lift) dengan autograf (graf tulang)
1,000
Antralplasti maksila (sinus lift) dengan allograft
400
Penutupan fistula oro - antral 1,000
Pencucian antrum Caldwell - Luc (sebelah)
200
Eksisi lesi maksilofasial - dengan rekonstruksi - allograft 750
Eksisi lesi maksilofasial 200
Marsupialisasi lesi tulang maksilofasial 200
Marsupialisasi lesi tisu lembut mulut 100
Reduksi dan fiksasi fraktur tulang maksilofasial - tertutup 600
33
Reduksi dan fiksasi tulang maksilofasial - sementara 20
Vestibuloplasti oral (setiap rahang) - dengan graf 750
Vestibuloplasti mulut setiap rahang 300
Penanggalan fiksasi dalaman - maksilofasial 300
Sekuestrektomi maksilofasial 120
Pembuangan kalkulus duktus liur - terbuka 400
Pembuangan kalkulus duktus liur - tertutup 30
Miatoplasti bukaan duktus kelenjar liur 200
Duktus kelenjar liur - dilasitasi 150
Duktus kelenjar liur - peligaturan 150
Eksisi lesi tisu lembut mulut dengan laser 200
Eksisi lesi tisu lembut mulut - 2 cm atau kurang 120
Saraf trigeminal - krioterapi/keratan 300
Penanggalan benda asing - orofasial - mudah 120
Biopsi tulang maksilofasial 200
Biopsi tisu lembut mulut 120
Biopsi lesi tru-cut 50
Ablasi lesi mukosa oral 200
Frenoplasti 170
Frenotomi/frenektomi dengan laser 170
Apisektomi (setiap gigi) - gigi belakang dengan tampalan retrograde
1,000
Apisektomi (setiap gigi) - gigi belakang 750
Apisektomi (setiap gigi) - gigi anterior dengan tampalan retograd
300
Apisektomi (setiap gigi) - gigi hadapan 120
Pengeluaran gigi terimpak melalui pembedahan - setiap gigi -
rumit 1,000
34
Pengeluaran melalui pembedahan - gigi/akar - setiap gigi 400
Pengeluaran melalui pembedahan - gigi/akar tersesar - setiap gigi
400
Pengeluaran melalui pembedahan - gigi terimpak/unerupted -
setiap gigi - mudah
400
Transplantasi gigi 750
Peletakan semula dan/atau penstabilan gigi - pembedahan 400
Peletakan semula dan/atau penstabilan gigi - tanpa pembedahan
150
Penanaman semula gigi 200
Pembedahan pendedahan gigi - dengan penempatan penyambung
- setiap gigi
400
Pembedahan pendedahan gigi - tanpa penempatan penyambung -
setiap gigi
150
Implan pergigian (setiap implan) - pembedahan peringkat pertama dengan autograph
600
Implan pergigian (setiap implan) - pembedahan peringkat pertama
400
Implan pergigian (setiap implan) - pembedahan peringkat pertama dengan pengganti tulang
400
Implan pergigian (setiap implan) - pembedahan peringkat kedua
50
Implan maksilofasial (setiap implan) - pembedahan peringkat pertama
400
Implan maksilofasial (setiap implan) - pembedahan peringkat kedua
50
Penanggalan implan pergigian/maksilofasial - rumit 300
Penanggalan implan pergigian/maksilofasial - mudah 75
Debridemen tisu lembut orofasial 60
Pendawaian pergigian - setiap rahang 75
Pemberhentian pendarahan - selepas pembedahan 75
Pemberhentian pendarahan - lesi 50
35
Pemberhentian pendarahan - selepas cabutan 30
Terapi - orofasial laser lembut - setiap kitaran 75
Terapi oromaksilofasial ultrasound 75
Prosthesis - obturator 120
Sitologi aspirasi jarum halus - orofasial 50
Operkulektomi mulut 30
Penanggalan pendawaian pergigian (setiap rahang)
30
Suntikan ubatan - orofasial 30
BAHAGIAN 10
ANGGOTA TIRUAN/PROSTHESIS
Deskripsi
Peralatan upper limb prosthesis
Cosmetic silicone glove
Amputasi pergelangan tangan 2,800
Cosmetic fingers
Amputasi jari 1,200
Trans radius cosmetic
Amputasi trans radius 4,000
Trans radius mechanical function hand
Amputasi trans radius 6,300
Trans humerus cosmetic
Amputasi trans humerus 7,500
Trans humerus mechanical functional hand
Amputasi trans humerus 9,500
Peralatan lower limb prosthesis
Chopart
Chopart modular prosthesis kanan/kiri 1,800
36
Symes prosthesis
Chopart symes prosthesis kanan/kiri 3,800
Transtibial prosthesis K1 berjalan dalam rumah (indoor walker)
Terhad kepada pergerakan dalam rumah. Orang yang menjalani amputasi boleh berjalan pada paras permukaan lantai secara perlahan-lahan.
3,550
Transtibial prosthesis K2 limited outdoor
Pergerakan luar rumah yang terhad. Orang yang menjalani amputasi boleh berjalan dengan perlahan dan sederhana laju serta berkeupayaan untuk melangkah pada permukaan tidak rata.
5,500
Transtibial prosthesis K3 active walker
Aktiviti harian termasuk berjalan pantas dan boleh melangkah tanpa halangan.
9,500
Transtibial prosthesis K4 very active/sport
Aktiviti harian dan pelbagai aktiviti lasak melebihi daripada berjalan biasa seperti bersukan.
18,800
Through knee prosthesis K1
hingga K4
Tahap pergerakan adalah di antara KI hingga K4.
13,800
Transfemoral prosthesis K1
berjalan dalam rumah
(indoor walker)
Terhad kepada pergerakan dalam rumah. Orang yang menjalani amputasi boleh berjalan pada paras permukaan lantai secara perlahan-lahan.
7,500
Transfemoral prosthesis K2
limited outdoor
Pergerakan luar rumah yang terhad. Orang yang menjalani amputasi boleh berjalan dengan perlahan dan sederhana laju serta berkeupayaan untuk melangkah pada permukaan 9,000
37
tidak rata.
Transfemoral prosthesis K3 active walker
Aktiviti harian termasuk berjalan pantas dan boleh melangkah tanpa halangan.
15,000
Transfemoral prosthesis K4 very active/sport
Aktiviti harian dan pelbagai aktiviti lasak melebihi daripada berjalan biasa seperti bersukan.
35,000
Hip disarticulated prosthesis K1
hingga K4
Tahap pergerakan adalah di antara KI hingga K4.
15,000
Knee orthoses hinge knee
450
Knee orthoses weekender knee brace
1,100
Knee orthoses revolution brace
700
Knee orthoses knee ranger post operation brace
450
Knee orthoses fracture hinges
400
Lower limb orthoses Knee Ankle
Foot Orthoses (KAFO)
3,800
Ankle foot orthoses
350
Super lite ankle foot orthoses
250
Ankle foot orthoses sweeder ankle brace
400
Suprameleolar prosthesis 500
seunit
500
Ankle foot orthosis-ankle foot orthosis
(custom made/polypropelyne)
350
Foot care wonder spur
70
Foot care wonder cup
70
Foot care wonder sport
130
38
Foot care soft sock
200
Foot care gel squares
140
Paediatric orthoses pavlic harness
450
Paediatric orthoses Dennis Brown shoes (straight last) full set
700
Paediatric orthoses Dennis Brown shoes (full abduction) full set
700
Cervical soft collar
Penggunaan kecederaan servikal (dibuat daripada bahan lembut).
55
Cervical adjustable collar (plastik) Penggunaan kecederaan servikal.
65
Philadelphia A series collar
Penggunaan kecederaan servikal. (padding orthowick foam boleh ditanggalkan).
280
Atlas collar
Penggunaan kecederaan servikal. Terdapat penambahan ke atas pengurangan pergerakan servikal dan keselesaan boleh diperolehi dengan melaraskan strap di bahagian belakang kolar ini.
300
Philadelphia collar
Penggunaan kecederaan servikal. Ringan dan terdiri daripada dua keping foam polythene dengan plastik keras yang menyokong bahagian hadapan dan belakang.
130
Minerva cervical support
Penggunaan kecederaan servikal dengan penyokongan servikal yang optima. Satu saiz yang boleh dilaraskan untuk pelbagai saiz.
1,000
39
Philadelphia collar with stabilizer and halo
Penggunaan kecederaan servikal. Kebolehan tambahan untuk kawalan memusingkan leher serta flexion/extension.
550
S.O.M.I brace
Penggunaan kecederaan servikal. Orthosis servikal yang boleh dilaraskan untuk flexio, neutral atau hyperextension dan mengehadkan pergerakan.
900
USMC halo system
Penggunaan kecederaan servikal.
3,000
Halo liner
Penggunaan kecederaan servikal.
1,100
PMT halo system
Penggunaan kecederaan servikal.
3,000
Torque screw driver
1,000
Cervical-thoracic lumbar-sacral-orthosis
2,800
Juwett brace
700
Knight taylor brace (TLSO)
800
Knight taylor brace (LSO)
650
Kydex Knight Taylor brace
900
Kydex chair back brace
700
TLSO body jacket
(moulded polypropelyne)
2,800
Sacro - lumbar support (fabric)
150
Scoliosis boston brace
(moulded polypropelyne)
3,000
40
Peralatan rehabilitasi
Aluminium axilla crutch
Kanak-kanak (S)
55
Remaja (M
55
Dewasa (L)
55
Dewasa bersaiz besar (XL)
55
Adjustable elbow crutch
140
Adjustable aluminium walking stick with strap in bronze colour
45
Adjustable aluminium crooked handle walking stick in bronze colour
55
Adjustable folding walking frame in bronze colour
125
Quadruped walking aid
58
Quadruped walking aid - narrow base
58
Standard wheel chair 18” with detachable armrest and footrest
680
Standard wheel chair 18”
280
Semi light weight wheel chair
800
Reclining wheel chair with detachable armrest and elevating footrest
1,200
Light weight wheel chair
1,400
Commode wheel chair
1,400
Major buggy
1,500
Commode chair
200
41
BAHAGIAN 11
PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI
PERUBATAN TRADISIONAL MELAYU/PRIBUMI
(a)
Urut tradisional melayu/pribumi
Rawatan penyakit kronik 50 / sesi
Rawatan pasca angin ahmar 50 / sesi
(b)
Rawatan penjagaan ibu selepas bersalin
Rawatan urut selepas bersalin 50 / sesi
Pakej rawatan pemulihan selepas bersalin - urut, tungku dan bengkung
150 / sesi
Rawatan pemulihan selepas bersalin - tangas 50 / sesi
PERUBATAN TRADISIONAL CINA
(a)
Akupunktur
Rawatan penyakit kronik 50 / sesi
Rawatan pasca angin ahmar 50 / sesi
Akupunktur dan tambahan moxibustion untuk rawatan sakit kronik dan pasca angin ahmar
60 / sesi
Lain-lain indikasi
50 / sesi
42
(b)
Herba
Rawatan sampingan untuk pesakit onkologi
(termasuk kos bagi herba)
250/ *kitaran
(*1 kitaran = 2
minggu)
PERUBATAN TRADISIONAL INDIA
(a)
Ayurveda
Shirodhara 150/sesi
Abhyanga 150/sesi
(b)
Terapi komplementari
Kiropraktik 150/sesi
Osteopatik 200/sesi
BAHAGIAN 12
BEKALAN DARAH DAN HASIL DARAH
Sel darah utuh 120
Darah lengkap 120
Pati platlet 120
Krioendapan 120
Plasma beku segar 120
Kriosupernatan 120
43
Platlet aferes 630
Sel darah utuh pediatrik 110
Filtered red cell 200
Irradiated sel 160
Patogen inactivated plasma 600
Patogen inactivated platelet 800
Patogen inactivated platelet aferesis 1,350
Irradiated aferasis platelet 690
Irradiated platelet 160
Produk pecahan plasma
High purity factor VIII concentrate - 250 IU/vial 540
Intermediate purity factor VIII - 250 IU/vial 300
Pure factor IX -500 IU/vial 790
Prothrombin complex concentrate - 500 IU/vial 590
Recombinant factor VIIa - 60 KIU/vial 2,970
Albumin - 20% 100ml 180
Intravenous immune globulin (IV) - 3g/50ml 700
Recombinant VIII - 250 IU/vial 670
Recombinant IX - 500 IU/vial 1,190
Autologous plasma eye drop 450
44
BAHAGIAN 13
PEMULIHAN CARA KERJA
ASSESSMENT
(a)
ADL assessment
Canadian Occupational Therapy Performance Measure (C.O.P.M)
40
Camberwell Assessment of Needs Short Schedule (CANSAS)
40
Functional Ability Assessment (FAA)
40
Functional Independence Measure (FIM)
40
Kohlman Evaluation of Living Skill (KELS)
40
Modified barthel index 40
Pediatric Evaluation Disabilities Inventory (PEDI)
40
Self care skills (PASS)
40
Kohlmens 40
AMPS
40
(b)
Physical assesment
Muscle Manual Test (MMT)
40
Strength - dynamometer/pinch gauge 40 2 Point discrimination test 40 9 Hole peg test 40
Berg balance test 40
Grooved peg board 40
Jebsen Taylor hand function test 40
Minnesota manual dexterity test 40
O’connor finger dexterity test 40
O’connor tweezer dexterity test 40
Pain visual analog scale 40
Purdue pegboard test 40
45
Range of motion - goniometer 40
Roeder manipulative aptitude test 40
Semmes - Weinstein monofilaments test 40
Sensory profile 40
Stereognosis test 40
Vibration 40
Volumeter 40
Tinnetti balance test 40
Microcomputer Upper Limb Exerciser (MULE)
40
(c)
Development assessment
Bruiniks Oseretsky test 40
Denver 40
Oral motor rating scale 40
Peabody 40
(d)
Perceptual and cognitive assessment
Berry VMI
40
Chessington Occupational Therapy Neurological Assessment Battery
(C.O.T.N.A.B)
40
Hospital anxiety depression scale 40
Lowerstein Occupational Therapy Cognitive Assessment (L.O.T.C.A)
40
Mini mental state examination 40
Rivermead perceptual assessment battery 40
(e)
Preschool assesment
Miller assessment pre schoolers 40
School Function Assessment (SFA)
40
Test of handwriting skill 40
Behavior assessment 40
46
Threshold Assessment Grid (TAG)
40
Hospital anxiety and depression scale 40
Irritability - depression anxiety scale 40
Shaan's function questionaire 40
The Beck depression scale 40
(f)
Wheel chair assessment 40
(g)
Driving assessment
Pre-driving assessment 400
Stroke driving screening assessment 400
(h)
Home/Work place/School assessment
Home fast tool 40
(i)
Work/Vocational assessment
BTE
400
Laser 400
LIDO
400
Role check list 400
T pal 400
Valpar 400
Work cube 400
47
ACTIVITIES OF DAILY LIVING (ADL) TRAINING
(a)
Instrumental activities of daily living
Ability to use telephone 40
Early ambulation 40
Self hygiene 40
Transfer 40
Ability to handle finance 40
Bathing 40
Bladder management 40
Bowel management 40
Cleaning work 40
Device care 40
Domestic skill 40
Dressing 40
Eating/feeding 40
Food/meal preparation 40
Functional communication 40
Functional mobility 40
Grooming 40
Health eminence 40
Household maintenance 40
Housekeeping 40
Laundry 40
Mode of transportation 40
Money management 40
Responsibility for medication 40
Safety procedure 40
Sexual expression 40
Shopping 40
Toileting 40
48
(b)
Aids and adaptation (bagi setiap peralatan modifikasi yang dibekalkan)
Cooking utensil 80
Dressing 80
Feeding/drinking utensil 80
Mobility 80
Bathing 80
Reading/writing 80
Wheel chair seating 80
Behavioral therapy 40
(c)
Cognitive and perceptual training
Basic concepts 40
Body part identification 40
Cognitive stimulation 40
Educational activities 40
Right/left discrimination 40
Figure ground discrimination 40
Reality orientation 40
Topographical orientation activities 40
Sequencing 40
Categration 40
(d)
Dynamic splint - harga mekanisme (mengikut harga pasaran) + harga statik splint 240
49
(e)
Creative therapy
Art therapy 40
Drama/role play 40
Music therapy 40
(f)
Social skill training
Assertive training 40
Coping skill training 40
Group support 40
Group therapy 40
Individual therapy 40
Interpersonal skill 40
Self awareness activities 40
Self control 40
Self expression 40
Social conduct 40
Social skill training 40
Time management 40
Role checklist 40
(g)
Patients and career education
Body mechanic and ergonomic 40
Edema control 40
Energy conservation/work simplication 40
Environment therapy 40
Joint protection techniques 40
50
(h)
Play and leisure
Leisure check list 40
Play and leisure exploration 40
Play and leisure training 40
(i)
Relaxation
Bio-feedback 40
Deep breathing 40
Diaphragmatic breathing 40
Imaginary relaxation 40
Progressive muscular relaxation techniques 40
(j)
Sensory training
Sensory desensitization 40
Sensory integration 40
Sensory re-education 40
Sensory stimulation 40
Fluidotherapy 40
(k)
Motor training
Above elbow prothesis 40
Above knee prothesis 40
Active assisted exercise 40
Below elbow prothesis 40
Below knee prothesis 40
Bilateral integration 40
Crossing midline 40
51
Ergonomic training 40
Fine motor skills 40
Finger prosthesis 40
Gait training 40
Gross motor activities 40
Hand-eye coordination 40
Improve balance 40
Motor re-education 40
Neuro developmental technique 40
Normalize muscle tone 40
Oral muscle stimulation 40
Strengthening exercise 40
Endurance training 40
Reduce muscle tone 40
Above elbow prothesis 40
(l)
Compression therapy
Corban bandage 40
Pressure splint 40
Tubigrip
40
Bayi
(0 hingga 12
bulan)
Kanak-kanak
(1 hingga 18
tahun)
Dewasa
(18 tahun ke atas)
(m)
Pressure garment
Finger strap 10 10 10
Gauntlet 20 30 30
Glove 30 40 40
52
Forearm A sleeve 20 30 40
Full length arm sleeve 30 40 50
Vest with long sleeve 60 80 120
Vest with short sleeve 40 60 100
Chin strap 20 20 30
Mask 40 60 80
Short pants 40 60 80
Long pants 60 80 120
Thigh strap 30 40 50
Calf strap 30 40 50
Socks (1 unit)
30 40 50
(n)
Static splint
Finger toe 10 10 10
Hand/foot 20 20 30
Hand to forearm 30 50 80
Finger to forearm 30 60 120
Forearm to upper arm 30 60 120
Hand to upper arm 60 120 240
Upper arm 40 60 160
Hard collar 40 80 160
Foot to calf 60 120 160
Foot to mid thigh 120 160 300
Mid calf to mid thigh 40 120 160
Plaztozote insole 10 20 30
Tennis elbow 40 70 70
Ulnar driff 10 20 30
Ergonomic A sling 60 60 70
Foot drop check 60 30 40
Buddy strap 10 10 10
Body brace 100 250 500
Pelvis harness 360 10 0
53
BAHAGIAN 14
FI IMPLAN BAGI PERKHIDMATAN OFTALMOLOGI
Paediatric and strabismus
Frontalis sling ; silastic material 600
Frontalis sling ; ptose up 1,125
Lacrimal intubation ; Ritleng tube 600
Lacrimal intubation ; Crawford tube 608
Mini monoka 600
Glaucoma ; Baerveldt implant 2,055
Glaucoma ; Ahmad valve implant 2,400
Medpor orbital sphere implant 1,950
Customised artificial eye 3,900
Ready-made artificial eye 120
Conformer 480
Silicone band for squint surgery 120
Low vision optical devices 3,000
Surgical vitreoretina
Silicone oil 675
Gas C3F8 225
Gas SF6 225
Silicone band 120
Silicone sponge 450
Silicone tyre 150
54
Glaucoma
Baerveldt implant (standard)
2,055
Baerveldt implant (pars plana)
2,055
Ahmad valve (standard)
2,400
Ahmad valve (pars plana)
3,300
Molteno implant 1,950
Amniotic membrane 750
Implant tube extender 1,200
Cataract and refractive surgery 1,200
Capsular tension ring 525
Aniridia ring 1,125
Cornea
Corneal - precut 6,000
Corneal - tissue in optisol 2,700
Corneal tissue-tissue in glycerol 1,500
Amniotic membrane 750
Bandage contact lens - weekly 15
Bandage contact lens - monthly 45
Keratoprosthesis - ocular landers 2,997
Keratoprosthesis - boston 12,000
Intrastromal corneal ring segment - INTACS
4,500
Optical cylinder for ssteo - odonto - keratoprostesis (OOKP)
3,000
Symblepharon ring 585
55
Oculoplastic
Crawford lacrimal intubation 435
O'Donoghue lacrimal intubation 375
Ritleng intubation set 600
Bicanaliculus intubation set 225
Snug plug - punctal plug 300
Ptosis probe - silicone 600
Ptosis probe - gortex 990
Conformer - silicone, perforated 480
Symblepharon ring 585
Titanium plate 1,425
Titanium screw 225
Gold weight implant 3,150
Platinum weight implant 3,900
Silicone tyre 276 150
Fixation sleeve 75
Sponge 450
Mini monoka 600
Monoka 600
Upper eyelid spacer 1,350
Lower eyelid spacer 1,350
Acrylic implant 75
Hydroxyapatite orbital implant 2,400
MEDPOR - micro thin sheet 1,050
MEDPOR - ultra thin sheet 1,050
MEDPOR - sheets 1,050
MEDPOR - titanium sheets 1,425
56
MEDPOR enophthalmos wedges 1,950
MEDPOR orbital conical implant 2,025
MEDPOR orbital sphere implant 1,950
MEDPOR blocks 1,170
Orbital sphere tissue expander 2,700
PESS implant 3,300
Customised artificial eye 3,900
Ready-made artificial eye 120
BAHAGIAN 15
FI IMPLAN BAGI PERKHIDMATAN ORTOPEDIK
1.5mm Cortical screw, 0.5mm pitch, full thread
(length range : 6mm - 30mm)
15 2.0mm Cortical screw, 0.6mm pitch, full thread
(length range : 6mm - 40mm)
16 2.7mm Cortical screw, 1.0mm pitch, full thread
(length range : 8mm - 50mm)
17 2.7mm Cortical screw, 1.0mm pitch, self tapping, full thread
(length range : 6mm - 40mm)
18
Epiphysis mini plates 2.0mm (range : left / right l-obligue, left/right 90 degree t-plate)
67
Quarter tubular plate 2.7mm (hole range : 3mm - 8mm)
77
Self compression plates 2.0mm (hole range : 4mm - 8mm)
104
Self compression plates 2.7mm (hole range : 2mm - 12mm)
141
Straight mini plate 2.0mm (hole range : 3mm - 6mm)
94 4.0mm Cancellous screws, 1.75mm pitch, full thread
(length range : 10mm - 70mm)
18 4.0mm Cancellous screws, 1.75mm pitch, long thread
(length range : 16mm - 72mm)
13
57
4.0mm Cancellous screws, 1.75mm pitch, short thread
(length range : 10mm - 80mm)
11 3.5mm Cortical screws, 1.25mm pitch, full thread
(length range : 10mm - 70mm)
16 3.5mm Cortical screws, 1.25mm pitch, self tapping, full thread
(length range : 10mm - 65mm)
17
Clover leaf plate 3.5mm (hole range : 3mm - 5mm)
334
LC-self compression plate 3.5mm (hole range : 2mm - 12mm)
256
One third tubular plate 3.5mm (hole range : 2mm - 12mm)
71
Self compression plate 3.5mm (hole range : 2mm - 12mm)
94
Small t-plate (obligue angled) 3.5mm (hole range : 3mm - 5mm)
168
Small t-plate (right angled) 3.5mm (hole range : 3mm - 6mm)
168 6.5mm Cancellous screw, 2.75mm pitch, 32mm thread length
(length range : 30mm - 110mm)
30 6.5mm Cancellous screw, 2.75mm pitch, full thread
(length range : 16mm - 110mm)
31 4.5mm Cortical screw, 1.75mm pitch, full thread
(length range : 14mm - 80mm)
16 4.5mm Cortical screw, 1.75mm pitch, self tapping, full thread
(length range : 14mm - 80mm)
17 4.5mm Malleolar screw, 1.75mm pitch, threaded length
(length range : 25mm - 100mm)
33
Broad self compression plate 4.5mm (holes range : 4mm - 18mm)
211
Butress l-plate (right angled) 4.5mm (hole range : 3mm - 6mm)
281
Buttress l-plate (left angled) 4.5mm (hole range : 3mm - 8mm)
281
Buttress t-plate 4.5mm (hole range : 3mm - 8mm)
234
Cobra head plate 4.5mm (hole range : 8mm - 11mm)
667
Condylar buttress plate (left angled) 4.5mm
(hole range : 7mm - 15mm)
585
58
Condylar buttress plate (right angled) 4.5mm
(hole range: 7mm - 15mm)
585
Large t-plate 4.5mm (hole range: 3mm - 9mm)
328
Lateral tibia plate (left angled) 4.5mm (hole range : 5mm - 13mm)
585
Lateral tibia plate (right angled) 4.5mm (hole range : 5mm - 13mm)
585
Limited contact - broad self compression plate 4.5mm
(holes range: 6mm - 18mm)
422
Limited contact - narrow self compression plate 4.5mm
(holes range : 2mm - 16mm)
375
Narrow self compression plate 4.5mm (holes range : 2mm - 18mm)
153
Semi-tubular plate 4.5mm (hole range : 2mm - 12mm)
78
Spoon plate 4.5mm (hole range : 5mm - 6mm)
312
Bone screw washers (range : Outer 6.5mm, 7.2mm, 10.0mm,
13.0mm)
10 4.0mm Cannulated screw, 16mm thread length
(length range : 25mm - 50mm)
206 4.5mm Cannulated screw, 16mm thread length
(length range : 20mm - 80mm)
206 6.5mm Cannulated screw, full thread
(length range : 25mm - 115mm)
206 7.0mm Cannulated screw, 16mm thread length
(length range : 30mm - 130mm)
206 7.0mm Cannulated screw, 32mm thread length
(length range : 45mm)
217 7.0mm Cannulated screw, full thread
(length range : 20mm - 130mm)
217
Curved reconstruction plate 3.5mm (holes range : 6mm - 18mm)
410
Straight reconstruction plate 3.5mm (hole range : 5mm - 22mm)
234
Straight reconstruction plate 4.5mm (hole range : 3mm - 16mm)
328
DHS plate 130 (hole range : 2mm - 9mm)
585
59
DHS plate 135 (hole range : 2mm - 9mm)
585
DHS plate 140 (hole range : 2mm - 12mm)
702
DHS plate 145 (hole range : 2mm - 12mm)
702
DHS plate 150 (hole range : 2mm - 12mm)
702
Hexagonal head compression screw, length 36mm 43
Lag screw, thread 12.5mm, thread length 22.0mm
(length range : 50mm - 145mm)
234
Calibrated guide wires, 2.5mm, length 230mm 94
Austin Moore narrow stem stainless steel
(head size range : 38mm - 56mm)
953
Austin Moore standard stem stainless steel
(head size range : 38mm - 56mm)
953
Austin Moore standard stem titanium
(head size range : 38mm - 56mm)
1,521
Thompson standard stem stainless steel
(head size range : 38mm - 56mm)
953
Thompson standard stem titanium
(head size range : 38mm - 55mm)
1,521 130 Angled blade plates (hole range : 4mm - 12mm)
634 95 Angled blade plates (condylar plate 95)
(hole range : 5mm - 18mm)
1,112
Supracondylar plates 95 degress (hole range : 6mm - 16mm)
913
Carbon fibre rods 11.0mm (length range : 100mm - 600mm)
153
Schanz screws 4.0mm (length range : 100mm - 250mm)
57
Schanz screws 4.0mm/3.0mm (length range : 80mm - 100mm)
52
Schanz screws 5.0mm (length range : 100mm - 250mm)
57
Schanz screws 6.0mm (length range : 100mm - 250mm)
113
Tube to pin clamp, connection Schanz screw 5.0mm to 11.0mm tube
223
Tube to tube clamp, end connector 11.0mm to 11.0mm tube 223
60
Tube to tube clamp, mid shaft connector 11.0mm to 11.0mm tube
223
Ender nails 4.5mm (length range : 420mm - 520mm)
195
Ender nails 4.8mm (length range: 220mm - 520mm)
161
Kuntcher nails 10.0mm (length range : 20 cm - 52 cm)
385
Kuntcher nails 11.0mm (length range : 20 cm - 52 cm)
390
Kuntcher nails 13.0mm (length range : 20 cm - 52 cm)
413
Kuntcher nails 14.0mm (length range : 30 cm - 52 cm)
425
Kuntcher nails 15.0mm (length range : 30 cm - 52 cm)
436
Kuntcher nails 16.0mm (length range : 30 cm - 52 cm)
459
Kuntcher nails 6.0mm (length range : 14 cm - 40 cm)
331
Kuntcher nails 7.0mm (length range : 14 cm - 40 cm)
344
Kuntcher nails 8.0mm (length range : 20 cm - 52 cm)
356
Kuntcher nails 9.0mm (length range : 20 cm - 52 cm)
367
Cerclage wires (10's) (diameter range : 1.0mm - 1.2mm)
1,404
Cerclage wires, length 10 meters (diameter range : 1.0mm - 1.2mm)
134
Kirchner wires 0.9mm, trocar tip single or double
(length range : 70mm - 150mm)
6
Kirchner wires 1.2mm, trocar tip single or double
(length range : 150mm - 280mm)
6
Kirchner wires 1.0mm, trocar tip single or double
(length range : 150mm - 280mm)
6
Kirchner wires 1.4mm, trocar tip single or double
(length range : 150mm - 280mm)
6
Kirchner wires 1.5mm, trocar tip single or double
(length range : 150mm - 300mm)
8
Kirchner wires 1.6mm, trocar tip single or double
(length range : 150mm - 280mm)
8
Kirchner wires 1.8mm, trocar tip single or double
(length range : 150mm - 280mm)
8
61
Kirchner wires 2.0mm, trocar tip single or double
(length range : 150mm - 400mm)
9
Rush pins 2.4mm (length range : 25mm - 254mm)
84
Rush pins 3.2mm (length range : 102mm - 356mm)
102
Rush pins 4.8mm (length range : 203mm - 356mm)
102
Rush pins 6.4mm (length range : 298m - 431mm)
127
Steinmann pins 3.5mm with trocar tip
(length range : 125mm - 150mm)
34
Steinmann pins 4.0mm/5.0mm mid thread
(length range : 175mm - 200mm)
141
Steinmann pins 4.0mm with trocar tip
(length range : 150mm - 175mm)
34
Steinmann pins 4.5mm with trocar tip
(length range : 125mm - 250mm)
34
Steinmann pins 5.0mm with trocar tip
(length range : 150mm - 300mm)
34
Interlocking femoral nail 880
Interlocking tibia nail 880
Distal tibia plate 3,300
Osteotomy plate 2,860
Calcaneal plate 2,200
Bone staples 110
Stainless steel elastic nail 1,760
Bone cement (plain)
220
External fixator 2 tubes and 8 clamps 4,950
Wrist external fixator 4,950
Reconstruction external fixator set tibia 8,800
Reconstruction external fixator set femur
13,200
62
IMPLAN KAKI DAN BUKU LALI
Suture anchor - 2.4mm - 5.5mm (titanium, bio absorbable, PEEK)
1,375
Syndesmosis tightrope 1,750
Bio tenodesis screw 1,690
Break away screw 360
Triple threaded screw 6.0mm 900
Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm and 7.3mm
(titanium)
525
Locking plate (mini and calcaneum)
2,350
Compression staple 475
Pilon plate (distal end tibia)
2,000
Ankle distractor (external fixator)
6,000
Bone graft (bonalive)
2,800
Radiofrequency coblation probe (topaz)
1,300
Arthroscopic radiofrequency probe (covac)
950
Arthroereisis screw 2,575
Total ankle replacement 15,500
Taylor spatial frame 12,000
Hind foot nail 3,350
Metatarsophalangeal joint arthroplasty (hemi and total)
6,125
63
GENERAL/TRAUMA IMPLANTS
DHS
650
Interlocking femoral nail 695
Interlocking tibial nail 695
Kuntscher intramedullary nail tibia 195
Kuntscher intramedullary nail femur 195
Steinman pin 39
Schanz screw 59
Cortical screw 3.5mm 10
Cortical screw 4.5mm 13
Circlage wire 0.2mm - 1.5mm 105 6.5mm Cancellous screw (16/32/full thread)
22 4.0mm Cancellous screw (full/short thread)
17
Cannulated screw 4.0mm, 6.5mm, 7.0mm 190
Mini plates 169
Mini screws 1.5mm, 2.0mm, 2.7mm 24
Angle blade plate 750
K-Wires various sizes and length 13
Rush nails 649
Straight reconstruction plate 2.7mm 158
Reconstruction plate 3.5mm (straight/curved)
273
Reconstruction plate 4.5mm (straight/curved)
275
Broad DCP plate (4.5mm)
147
Narrow DCP (4.5mm)
113
Small fragments plate (3.5mm)
90
64
One third tubular plate (3.5mm)
52
Semi tubular plate (4.5mm)
71
T-buttress plate 4H - 6H (4.5mm)
179
T-plate (4.5mm)
212
L-buttress plate 4H - 6H (4.5mm)
195
Small t-plate (3.5mm) : oblique/right/left 120
Condylar buttress plate (4.5mm)
450
Clover leaf plate 265
Spoon plate 229
Distal tibial plate 1,125
Osteotomy plate 650
LC-DCP plate (3.5mm, 4.5mm)
225
Calcanel plate 525
Y-plate 225
Bone staples 40
Washer 15
JOINT ARTHROPLASTY
Hemi hip prosthesis (Austin Moore/Thompson)
725
MISCELLANEOUS
Bone cement (plain)
250
65
BASIC LCP SMALL FRAGMENT 3.5MM
LCP straight plate 3.5mm : (stainless steel)
(a)
6 - 9 holes (1 set) 1 plate and screws 800
(b)
10 - 12 holes 1,100
LCP metaphyseal 3.5mm (titanium)
(a)
6 - 9 holes (1 set) 1 plate and screws 1,800
(b)
10 - 12 holes 2,000
LCP T Plate 3.5mm : (stainless steel)
(a)
Right angled (3 - 6 holes)
800
(b)
Obloque angle (3 - 5 holes)
800
LCP reconstruction plate 3.5mm (6 - 9 holes) stainless steel 850
LCP plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate and screw
1,600
Screw only 150
Proximal humeral locking plate 3,000
Distal humeral locking plate 3,900
Distal radius locking plate (volar)
2,200
Distal radius locking plate (dorsal)
2,300
LCP distal radius plate 2.4mm
(a)
Dorsal plate (2 plates)
2,300
(b)
Volar plate (extraarticular or juxta articular)
1,800
(c)
Extra long volar plate (10 holes)
2,700
(d)
LCP wrist fusion 2.7mm/3.5mm 2,800
(e)
LCP ulna hook 2.0mm 1,600
(f)
3.0mm Headless compression screw 700
Variable angle 2 column distal radius plate 2.4mm 2,500
66
LOCKING PLATE (ANGGOTA ATAS) (STAINLESS STEEL)
Clavicular locking plate 1,800
Proximal humeral locking plate 2,200
Distal humeral locking plate 3,900
LCP extra-articular distal humerus plate 3.5mm
(6 holes, 8 holes, 9 holes, 10 holes)
3,900
LCP hook plate 3.5mm 1,200
Olecranon locking plate 3,000
Unreamed humeral nail 1,600
Without end caps 1,200
With end caps 1,600
LCP compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm)
1,600
BASIC LCP LARGE FRAGMENT 4.5MM/5.0MM
LCP narrow 4.5mm/5.0mm humerus/tibia
(a)
6 - 9 holes 1,000
(b)
10 - 16 holes 1,600
(c)
8 - 9 holes 1,100
(d)
10 - 14 holes 1,650
(e)
16 holes 2,000
LCP T-buttress plate 4.5mm/5.0mm (4 - 5 holes)
900
LCP T plate 4.5mm/5.0mm (4 - 6 holes)
900
LCP L-buttress plate 4.5mm/5.0mm (4 - 6 holes)
900
LCP metaphyseal 3.5mm/4.5mm/5.0mm BROAD ( 3 - 9 holes)
2,200
LCP reconstruction plate 4.5mm/5.0mm (6 - 10 holes)
2,000
67
INTERLOCKING NAIL (STAINLESS STEEL)
LCP dynamic hip screw 4.5mm/5.0mm 2 - 6 holes
(a)
1 plate and srews 1,000
(b)
1 plate + 1 lag screw + 1 compression screw + screws 1,200
(c)
8 - 10 holes 1,400
(d)
12 - 14 holes 1,800
Femur interlocking nail 850
Retrograde nail 1,500
Femur reconstruction nail 1,500
Proximal femoral nail (standard)
1,800
Proximal femoral nail (long stem)
2,500
Gamma nail 1,800
Distal femoral nail 2,400
Tibial interlocking nail 850
LCP hook plate 3.5mm 1,200
LCP 1/3 tubular 1.3mm
(a)
5 - 7 holes 1,200
(b)
8 - 10 holes 1,400
LCP medial proximal tibia plate 3.5mm (4 - 8 holes)
2,400
LCP medial distal tibia plate 3.5mm
(a)
low bend 6 - 8 holes 2,100
(b)
12 - 14 holes 2,600
LCP anterolateral distal tibial plate 3.5mm (5 - 11 holes)
2,100
LCP compact foot : (LCP plate 2.0mm/2.4mm/2.7mm)
1,600
LCP 2 hole plate 2.7mm (consists of 1 plate and screws)
800
68
Screw only (2.0mm, 2.4mm, 2.7mm)
150
LCP calcaneal plate 3.5mm 2,000
Midfoot fusion bolt 1,800
INTERLOCKING NAIL (TITANIUM)
Femur interlocking nail 1,600
Gamma nail 2,200
Distal femoral nail 2,000
Spiral locking 2,400
Tibial interlocking nail 850
Expert tibial nail (cannulated)
2,000
Expert A2FN standard locking 1,800
Periarticular plate LCP tomofix 3.5mm 2,600
LCP distal fibula plate 2.7mm/3.5mm (lateral/posterolateral)
2,900
LCP proximal tibia plate 3.5mm, lateral (6 - 8 holes)
2,400
OTHERS
Expert nail 1,800
DISTAL FEMUR/PROXIMAL AND DISTAL TIBIA FRACTURES
15,800
(consist of : posts, 3 hole wire clamps, 2 hole wire clamp, supplementary screw holder bar and clamps, HA coated orthofix tapered cortical screws)
ACUTE TRAUMA/POST-TRAUMATIC STIFFNESS
15,000
(Consist of : complete orthofix elbow fixator kit with HA coated orthofix tapered cortical screws )
69
GENU VARUM/GENU VALGUM/LLD/ANKLE VALGUS ETC.
(consist of : brand : orthofix, Italy)
Trauma paediatric orthopedik 2,400
Titanium Elastic Nail (TEN)
(a)
without end caps (consists of 2 pcs TEN only)
1,200
(b)
with end caps (consists of 2 pcs TEN and 2 pcs end Cap)
1,600
Capos 3.5mm and 4.5mm (consists of 1 plate and screw)
(stainless steel)
1,200
Paediatric hip plate (3.5mm and 5.0mm) 1 plate and screw
(stainless steel)
2,200
Telescopic nail 9,000
Paediatric hip locking plate 2,500 8 Plate 2,500
Paediatric limb reconstruction system 15,000
Arthrodiastasis 15,000
Scoliosis instrumentation (anterior)
30,000
Scoliosis instrumentation (anterior - posterior)
30,000
Scoliosis instrumentation (posterior)
25,000
Anterior cervical fusion system (single level)
6,000
Posterior cervical fusion 10,000
Spinal cages 3,000
Anterior spinal instrumentations 10,000
Lower back instrumentations (single level)
9,000
Artificial discs (cervical)
11,000
Artificial discs (lumbar)
11,000
Kyphoplasty (per level)
7,875
Vertebroplasty (per level)
4,500
70
Halo vest system 9,450
Scoliosis bracing 840
Juwett, SOMI,TLSO, LSO bracing 998
Pedicle screws 1,155
Sports surgery and arthroscopy
(a)
Primary ACL reconstruction (single bundle)
4,643
(b)
Primary ACL reconstruction (double bundle)
6,943
(c)
Primary PCL reconstruction (single bundle)
5,976
(d)
Primary PCL reconstruction (double bundle)
7,068
(e)
Primary PLC reconstruction (single bundle)
4,515
(f)
Primary PLC reconstruction (double bundle)
7,005
(g)
Primary MCL reconstruction (single bundle)
4,515
(h)
Primary MCL reconstruction (double bundle)
7,005
Multiligament reconstruction without allograft
(a)
2 ligaments 7,873
(b)
3 ligaments 10,108
(c)
4 ligaments 13,558
Multiligament reconstruction with allograft - 2 ligaments 16,873
Patella stabilization surgery 4,010
Knee malalignment surgery 4,400
Meniscus repair surgery 4,343
Meniscus transplantation surgery 27,255
Shoulder stabilization surgery 4,500
Anterior and posterior stabilization 7,723
Single row (small or medium size tear)
12,500
Single row (massive tear)
4,670
71
Double row (small or medium size tear)
7,945
Double row (massive tear)
7,370
Biceps tendon repair or tenodesis 6,995
ACJ repair 10,795
ACJ reconstruction 3,513
Osteochondral transplantation surgery 4,438
IMPLAN BAGI ARTHROSCOPY DAN SPORT SURGERY
Bioabsorbable interference screw 1,245
Extracortical button 1,335
Suture anchor 1,370
Meniscus repair 1,100
Tight rope repair kit 875
AC graftrope 1,500
Meniscus implant 25,000
Allograft tissue (freeze - dried)
6,000
Allograft tissue (fresh frozen)
11,500
Osteochondral implant 3,000
Force fibrewire 210
Knee brace 1,500
Shoulder brace 475
Osteotomy plate 2,500
Bone substitute 1,400
72
OSTEOTITE HA COATED SCREWS
Osteotite bone screw 180mm/50mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 180mm/60mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 200mm/50mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 150mm/30mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 150mm/40mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 170mm/40mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 170mm/60mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 170mm/80mm diameter 6mm, thread 6 -5mm
360
Osteotite bone screw 160mm/70mm diameter 6mm, thread 6 -5mm 360
BASIC LRS COMPONENTS
LRS extra short rail length 12cm 2,427
LRS standard rail length 30cm 2,558
LRS long rail length 40cm 3,534
LRS straight central clamp 4,167
LRS straight outer clamp 3,033
LRS t-clamp 2,904
Sandwich clamp with C/D unit for LRS
3,676
Compression distraction unit long clicker model 2,242
Compression distraction unit short 1,319
Compression distraction unit STD clicker model 909
Dyna-ring with C/D unit attach for LRS
1,055
73
ACUTE/GRADUAL CORRECTION CLAMPS
LRS multiplanar clamp 4,537
Micrometric swivelling clamp for LRS
3,534
LRS hinged rail coupling 3,745
LRS of-garches t-clamp 3,941
Of-garches standard compression/distraction unit 985
Of-garches long compression/distractionunit 985
Pelvic fixator long model kit with 6 pieces of screws 11,500
Hand/forearm applications 5,500
Articulated hip distraction/perthes 16,000
Orthofix dynamic wrist fixator system with screws
(Kit No: 37000 or 37001)
6,500
SS half rings (diameter 80mm - 240mm)
160
SS 5/8 rings (diameter 80mm - 220mm)
180
Carbon fibre half ring (diameter 80mm - 240mm)
320
SS Italian femoral arches :
(a)
90 degree arch, small/large size 200
(b)
120 degree arch, small/large size 200
(c)
Threaded rods (size: 40mm - 450mm)
34
(d)
Slotted threaded rods (size : 40mm - 100mm)
62
Telescopic rods
Telescopic rods : 100mm 94
Telescopic rods : 150mm 109
Telescopic rods : 200mm 125
74
Telescopic rods : 250mm 156
Telescopic rods : 300mm 187
Telescopic rods : 350mm 187
Telescopic rods : 400mm 187
Posts female (size: 2 - 4 holes)
59
Male post (size : 2 - 4 holes)
59
Hinges female standard 59
Hinges male standard 59
Hinges - 90 degree standard 59
Hinges - 90 degree low profile 59
Short connection plates
Short connection plate 2 holes length 35mm 62
Short connection plate 3 holes length 45mm 62
Short connection plate 4 holes length 55mm 62
Short connection plate 5 holes length 65mm 62
Short connection plate 6 holes length 75mm 62
Short connection plate 7 holes length 85mm 94
Short connection plate 8 holes length 95mm 94
Short connection plate 9 holes length 105mm 94
Short connection plate 10 holes length 115mm 94
75
Long connection plate
Long connection plate size : 8 holes length 155mm 94
Long connection plate size : 12 holes length 235mm 94
Long connection plate size : 17 holes length 335mm 109
Connected plates with threaded ends
Connection plates with threaded ends : 5 holes length 135mm 94
Connection plates with threaded end : 7 holes length 175mm 94
Connection plates with threaded ends : 9 holes length 215mm 125
Connection plates with threaded ends : 11 holes length 255mm 125
Twisted plates
Twisted plates : 2 holes length 45mm 50
Twisted plates : 3 holes length 65mm 50
Twisted plates : 4 holes length 85mm 50
Curved plates : 3 holes 62
Bushing (for big RFS)
31
Threaded sockets (20mm - 60mm)
40
Connection bolts and nuts
Connection bolts : 10mm 9
Connection bolts : 16mm 9
76
Connection bolts : 20mm 22
Connection bolts : 30mm 22
Nut 6mm 3
Nut 13mm 5
Thin nut 4
Nylon insert nut 6
Square nut 16
Spacing washers 1.5mm 4
Spacing washers 2.0mm 4
Split locking washer 2.0mm 6
Flat sided washers 2.0mm 7
Flat sided washers 4.0mm 7
Slotted washers 4.0mm 9
Conical washer couple 31
Wire fixation bolt slotted 34
Wire fixation bolt cannulated 34
Pin fixation bolts for 3mm pins 62
Pin fixation bolts for 4mm pins 62
Pin fixation bolts for 5mm pins 62
Pin fixation bolts for 6mm pins 62
Single pin fixation bolt 125
Multiple pin fixation clamp 406
Wire fixation buckle 218
77
Blocks for half pins (rancheo cubes)
Blocks for half pins : 1 hole 39
Blocks for half pins : 2 holes 39
Blocks for half pins : 3 holes 39
Blocks for half pins : 4 holes 56
Blocks for half pins : 5 holes 62
Blocks for half pins for centre sleeve : 1 holes 42
Blocks for half pins for centre sleeve : 2 holes 42
Blocks for half pins for centre sleeve : 3 holes 42
Blocks for half pins for centre sleeve : 4 holes 56
Blocks for half pins for centre sleeve : 5 holes 62
Centre sleeve for block for half pins
Centre sleeve for block for half pins - 3mm 12
Centre sleeve for block for half pins - 4mm 12
Centre sleeve for block for half pins - 5mm 12
Centre sleeve for block for half pins - 6mm 12
Universal joint 187
Rotational translation device 270
Oblique support connection 53
78
Wayar
K - wires - cortical 1.5mm x 300mm 25
K - wires - cortical 1.8mm x 370mm 25
K - wires - cancellous 1.5mm x 300mm 25
K - wires - cancellous 1.8mm x 370mm 25
Olive wires - (bayonet point) 1.5 x 300mm 29
Olive wires - (bayonet point) 1.8 x 400mm 29
Set screws 3.0mm 6
Schanz screws 5 x 175mm 35
Schanz screws 5 x 150mm 35
Proximal humerus endoprosthesis 17,500
Distal humerus endoprosthesis 35,000
Total humerus endoprosthesis 40,000
Proximal femur endoprosthesis 21,000
Total femur endoprosthesis 41,500
Proximal tibia endoprosthesis 33,000
Bone cement 350
Expandable endoprosthesis 97,000
Long stem bipolar 7,250
Shoulder arthroplasty 7,900
Radio-capitellum prosthesis 8,500
Total wrist prosthesis 12,000
Distal ulnar head prosthesis 5,600
Sigmoid notch (DRUJ) prosthesis 4,800
Radial head modular Co Ci / Ti 6,500
79
Radial head prosthesis 5,000
Bipolar radial head 6000
Silicone PIP, MCP, MCP preflex 1,000
Silicone PIP, MCP, MCP preflex with bone cement 1,150
Semi constrained PIP arthoplasty 6,300
Semi constrained MCP arthoplasty 5,600
Surface replacement PIP arthoplasty 4,700
Surface replacement MCP arthoplasty 3,600
CMC thumb arthroplasty 5,250
Carpal fusion plate 3 holes 1,700
Carpal fusion plate 4 holes 2,100
Carpal fusion plate 5 holes 2,450
Hunter’s rod (silastic rods)
800
Stainless steel mini plates
Straight 1.5mm 20 holes 310
Straight 2.0mm 20 holes 280
Condylar plate 1.5mm R/L
445
Condylar plate 2.0mm R/L
500
Condylar plate 2.7mm R/L
440
T plate 1.5mm ; shaft 9 holes; 3/4 holes 500
T plate 2.0mm ; shaft 9 holes; 3/4 holes 420
H plate 2.0mm 340
H plate 1.5mm 160
Reconstruction plate 2.7mm, 5 - 8 holes 400
80
Reconstruction plate 2.7mm 5 - 8 holes 520
Adaptation plate 2.0mm 20 holes 300
Low profile titanium plates
1.3mm 1.5mm 1,600
Condylar blade plate 1,600
Y, T plate 1,600
H, extended H plate 1,600
Straight plate 1,600 1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws 1,600
Scaphoid screws
Accutrac micro 2.8mm/2.2mm 1,200
Accutrac mini 3.8mm/3.2mm 1,000
Headless compression screw 3.0mm 700
Autofix 2.0mm/2.5mm 600
Autofix 3.0mm/4.0mm 600 3.0mm Cannulated screw 450
Locking plates
Dorsal 2,300
Volar (extra/intra articular)
1,800 10 Holes 2,700
81
Variable angle 2,500
Wrist fusion 2.7mm/3.5mm 2,800 3.5mm LCP 6 - 9 holes 800 3.5mm LCP 10 - 12 holes 1,100 3.5mm locking reconstruction plate 6 - 9 holes 850 3.5mm LCP metaphyseal plate 6 - 9 holes 1,800 3.5mm LCP metaphyseal plate 10 holes 2,000 3.5mm LCP T plate 3 - 6 holes 800
Proximal humerus internal locking system 2,200
LCP distal humerus 2.7mm/3.5mm 3 - 9 holes (2 plates)
3,900
LCP olecranon 3.5mm 2 - 8 holes 2,700
Anchor sutures
Minilok 2.3mm absorbable 850
Microfix 1.6mm absorbable 850
Hinged elbow external fixator 1 hinge, 4 clamps, 4 schantz screws
7,500
SURGERY SYSTEM
Total knee replacement system
Total knee replacement system for young 12,000
Total knee replacement system mobile bearing 8,000
Ts tibial total knee replacement system 13,000
Total stabilization total knee revision replacement system 19,000
82
Modular Rotating Hinged (MRH) total knee replacement system
22,000
Global Modular Replacement System (GMRS) proximal femur total knee replacement system
48,000
Global Modular Replacement System (GMRS) proximal tibial total knee replacement system
35,000
Global Modular Replacement System (GMRS) distal femur total knee replacement system
35,000
Global Modular Replacement System (GMRS) total femur total knee replacement system
48,000
Total hip replacement system
Bipolar hemi hip replacement system 4,100
Total hip replacement system (cemented)
7,500
Total hip replacement system for young adult 13,000
Total hip replacement system (cementless)
10,750
Total hip replacement system - long stem (cemented)
8,000
Total hip replacement system - gap ii and mesh (cemented)
13,100
Total elbow replacement system 8,500
Hemi shoulder replacement system 7,250
Total shoulder replacement system 8,000
Reversed shoulder 17,000
Total ankle replacement 9,500
Revision accessories
Acetabulum reconstruction ring 4,500
Revision stems 8,000
83
Mesh femoral 2,000
Mesh acetabulum 2,000
Cables 500
Pulse lavage 300
Plate 1,500
Cement 270
Antibiotic bone cement 350
Antibiotic bone cement (tobramycin)
1,100
Trabecular metal cone/wedges 3,500
Constraint cup with head 3,500
Cement joint spacer 4,000
Trochanteric hook plate 12,000
84
Jadual
JADUAL KEEMPAT
[Subperenggan 6(1)]
FI SIASATAN
BAHAGIAN 1
SIASATAN RADIOLOGI
X RAY
Dada
Dada (satu pandangan)
40
Dada (dua pandangan)
60
Dada (tiga pandangan)
80
Dada (empat pandangan)
100
Tulang muka dan hidung
Tulang muka (satu pandangan)
40
Tulang muka (dua pandangan)
60
Tulang muka (tiga pandangan)
80
Tulang hidung (satu pandangan)
40
Abdomen
Abdomen (satu pandangan)
40
Abdomen (dua pandangan)
60
Abdomen (tiga pandangan)
80
85
Ginjal, ureter dan pundi kencing (satu pandangan)
100
Pelvimetri lateral 50
Pelvimetri antero - posterior dan lateral 80
Spina
Spina servikal (satu pandangan)
40
Spina servikal (dua pandangan)
60
Spina servikal (tiga pandangan)
80
Spina servikal (empat pandangan)
100
Spina servikal (lima pandangan)
120
Spina torasik (satu pandangan)
40
Spina torasik (dua pandangan)
60
Spina torasik (tiga pandangan)
80
Spina lumbo - sakral (satu pandangan)
40
Spina lumbo - sakral (dua pandangan)
60
Spina lumbo - sakral (tiga pandangan)
80
Spina lumbo - sakral (empat pandangan)
100
Sakrum (satu pandangan)
40
Sakrum (dua pandangan)
60
Sendi sakro iliak (satu pandangan)
40
Sendi sakro iliak (dua pandangan)
60
Simfisis pubis 40
Sendi sakrooksigeal (satu pandangan)
40
Sendi sakrooksigeal (dua pandangan)
60
Kaji skeletal
250
86
Tengkorak
Tengkorak (satu pandangan)
40
Tengkorak (dua pandangan)
60
Tengkorak (tiga pandangan)
80
Tengkorak (empat pandangan)
100
Mandibel
Mandibel (satu pandangan)
40
Mandibel (dua pandangan)
60
Mandibel (tiga pandangan)
80
Sendi temporo mandibular
Sendi temporo mandibular (satu pandangan)
40
Sendi temporo mandibular (dua pandangan)
60
Sendi temporo mandibular (tiga pandangan)
80
Sendi temporo mandibular (empat pandangan)
100
Mastoid
Mastoid (satu pandangan)
40
Mastoid (dua pandangan)
65
Mastoid (tiga pandangan)
95
Mastoid (empat pandangan)
115
87
Sinus paranasal
Sinus paranasal (satu pandangan)
40
Sinus paranasal (dua pandangan)
60
Sinus paranasal (tiga pandangan)
80
Foramina optik
Pandangan foramina optik - sesisi 60
Pandangan foramina optik - dwisisi 90
Orbit
Orbit (dua pandangan)
40
Orbit (tiga pandangan)
60
Orbit (empat pandangan)
80
Kanal auditori dalaman
Kanal auditori dalaman (satu pandangan)
40
Kanal auditori dalaman (dua pandangan)
60
Kanal auditori dalaman (tiga pandangan)
80
88
Bahu
Bahu (satu pandangan)
40
Bahu (dua pandangan)
60
Bahu (tiga pandangan)
80
Bahu (empat pandangan)
100
Sendi akromio - klavikular - kedua-dua belah menanggung berat 50
Lengan (humerus)
Lengan humerus (satu pandangan)
40
Lengan humerus (dua pandangan)
60
Sendi siku
Sendi siku (satu pandangan)
40
Sendi siku (dua pandangan)
60
Sendi siku (tiga pandangan)
80
Sendi siku (empat pandangan)
100
Lengan bawah (radius/ulna)
Lengan bawah (radius/ulna) (satu pandangan)
40
Lengan bawah (radius/ulna) (dua pandangan)
60
89
Pergelangan tangan
Pergelangan tangan (satu pandangan)
40
Pergelangan tangan (dua pandangan)
60
Pergelangan tangan (tiga pandangan)
80
Pergelangan tangan (empat pandangan)
100
Tangan
Tangan (sebelah - satu pandangan)
40
Tangan (sebelah - dua pandangan)
60
Tangan (sebelah - tiga pandangan)
80
Tangan (kedua-dua belah - satu pandangan)
50
Tangan (kedua-dua belah - dua pandangan)
70
Tangan (kedua-dua belah - tiga pandangan)
90
Tangan kiri bagi usia tulang 40
Ibu jari atau setiap jari
Ibu jari atau setiap jari lain (satu pandangan)
25
Ibu jari atau setiap jari lain (dua pandangan)
35
Klavikel
Klavikel (satu pandangan)
40
Klavikel (dua pandangan)
60
90
Sendi sternoklavikular
Sendi sternoklavikular (satu pandangan)
40
Sendi sternoklavikular (dua pandangan)
60
Sendi sternoklavikular (tiga pandangan)
80
Sternum (satu pandangan)
40
Skapula
Skapula (satu pandangan)
40
Skapula (dua pandangan)
60
Pandangan skafoid 80
Pandangan kanal karpal
60
Pelvis
Pelvis (satu pandangan)
45
Pelvis (dua pandangan)
65
Pelvis (tiga pandangan)
85
Sendi pinggul
Sendi pinggul (satu pandangan)
45
Sendi pinggul (dua pandangan)
65
Sendi pinggul (tiga pandangan)
85
Sendi pinggul (empat pandangan)
105
Sendi pinggul (lima pandangan)
125
91
Femur (paha)
Femur (paha) (satu pandangan)
45
Femur (paha) (dua pandangan)
60
Lutut
Lutut (satu pandangan)
40
Lutut (dua pandangan)
60
Lutut (tiga pandangan)
80
Lutut (empat pandangan)
100
Lutut (lima pandangan)
120
Tulang keting (tibia/fibula)
Tulang keting (tibia/fibula) (satu pandangan)
40
Tulang keting (tibia/fibula) (dua pandangan)
60
Pergelangan kaki
Pergelangan kaki (satu pandangan)
40
Pergelangan kaki (dua pandangan)
60
Pergelangan kaki (tiga pandangan)
80
Pergelangan kaki (empat pandangan)
100
Pergelangan kaki (lima pandangan)
120
92
Kaki
Kaki (satu pandangan)
40
Kaki (dua pandangan)
60
Kaki (tiga pandangan)
80
Kedua-dua belah kaki (dua pandangan)
70
Kedua-dua belah kaki (tiga pandangan)
90
Sendi subtalar
Sendi subtalar (satu pandangan)
40
Sendi subtalar (dua pandangan)
60
Sendi subtalar (tiga pandangan)
80
Sendi subtalar (empat pandangan)
100
Kalkaneum
Kalkaneum (lateral) (satu pandangan)
40
Kalkaneum (lateral) (dua pandangan)
60
Kalkaneum (aksial) (satu pandangan)
40
Kalkaneum (aksial) (dua pandangan)
60
Densitometri tulang
Densitometri tulang - dexa 150
Densitometri tulang - ultrasound 130
93
Fluroscopy jantung, paru-paru dan diafragma 400
Tomografi 250
Mammografi 295
Periapikal/bite wing - setiap imej 70
Oklusi 70
Pergigian OPG dan OPG lateral 70
Cone beam computed tomography (CBCT)
700
PEMERIKSAAN DENGAN KONTRAS MEDIA
Sistem kardiovaskular
Free flush arch aortogram 400
Coronary arteriogram 400
Sistem vaskular
Free flush 400
Abdominal aortogram 400
Superior mesentric arteriogram 400
Inferior mesentric arteriogram 400
Femoral arteriogram - unilateral 400
Femoral arteriogram - bilateral 400
Splenoportography 400
94
Salur gastrousus
Barium telan 115
Barium makan dengan follow through 205
Gastrograffin makan dan enema 205
Hypotonic duodenography 205
Barium enema (usus besar, usus kecil)
205
Barium makan 170
Sistem hempedu
Kolesistogram oral 170
Intravenous cholangiogram 285
Operatif kolangiogram tiub-T
135
Sistem kencing
Urogram intravena (IVU)
400
Sistouterogram kencing
285
Urethrogram 230
Pyelography retrograde 205
Sistem saraf pusat
Myelography 605
Air-encephalogram 605
Ventriculogram 605
95
Sistem lain
Dacriocystography 230
Sialography 230
Fistulography 230
Arthrography 400
Bronchography - unilateral 230
Bronchography - bilateral 345
Lymphangiography 800
Hysterosalphingography 230
Presacral air insufflation 800
Sinogram 170
Sialogram 460
Sistogram 205
Sistogram kencing 250
Venogram
640
IMBASAN TOMOGRAFI BERKOMPUTER (CT SCAN)
Kepala 915
Toraks 570
Abdomen 630
Pelvis 915
Seluruh badan 1,260
Anggota atas 630
Anggota bawah 630
96
CT spina - servikal 745
CT spina - dorsal 745
CT spina - lumbo sakral 745
CT spina - lumbar 745
PENGIMEJAN RESONANS MAGNETIK (MRI)
Kepala 2,060
Toraks 1,030
Abdomen 1,485
Pelvis 1,485
Seluruh badan 1,490
Anggota atas 1,490
Anggota bawah 1,490
Spina - servikal 1,375
Spina - dorsal 1,375
Spina - lumbo 1,375
Spina - sakral 1,375
ULTRASOUND
Ultrasound - abdomen atas 150
Ultrasound - pelvis 120
Ultrasound - abdomen dan pelvis 200
Ultrasound - ginjal dan pundi kencing 100
Ultrasound - ginjal, pundi kencing dan anggaran isipadu baki urin
120
97
Ultrasound - otak (neonatal)
120
Ultrasound - tiroid 100
Ultrasound - payu dara 140
Ultrasound muskuloskeletal untuk setiap bahagian 150
Ultrasound - scrotum 100
Ultrasound - scrotum dengan doppler
200
DOPPLER ULTRASOUND
Doppler ultrasound - karotid ekstra kranium 350
Doppler ultrasound - arteri satu kawasan 250
Doppler ultrasound - vena satu anggota 250
Doppler ultrasound - vena dua anggota 400
Doppler ultrasound - arteri satu anggota 300
Doppler ultrasound - arteri dua anggota 450
Doppler ultrasound bagi apa-apa organ yang tidak disenaraikan di atas – setiap organ
300
Endocavitary ultrasound 150
BAHAGIAN 2
SIASATAN KARDIOLOGI
Elektrokardiogram (EKG) (dengan laporan)
80
Ekokardiogram transtorasik 230
Signal averaging ECG
237
Ekokardiogram transesofageal 440
98
EKG (stress/senaman) dengan laporan 270
Eko farmakologi stres 300
Stress echo - treadmill 380
Pemantauan holter (pemantauan ECG 24 jam)
457
Susulan perentak 288
Stress echocardiografi 380
Doppler echocardopgraphy 380
BAHAGIAN 3
SIASATAN NEUROLOGI
Elektroencefalografi
70
BAHAGIAN 4
SIASATAN OFTALMOLOGI
Refraksi/refraksi psikloplegik 55
Orthoptics/binocular vision/vision therapy 70
Kanta lekap 70
Penglihatan terhad 70
Colour vision kecuali ishihara 70
Diagnostik khas
Visual Field (VF)
70
Hess test 70
99
BSV
70
Corneal topography 220
Keratometry dan A Scan 110
Contrast Sensitivity 70
Heidelberg Retinal Tomography (HRT)
70
GDx 70
Optical Coherence Tomography (OCT)
70
Fundus photography 55
Visual Evoked Potential (VEP)
70
Electroretinography (ERG)
220
BAHAGIAN 5
SIASATAN TELINGA, HIDUNG DAN KERONGKONG
Pure tone audiometri 70
Ujian elektrofisiologi (diagnostik)
(a)
Auditori evoked potential 70
(b)
Otoacoustic emission test 70
(c)
Vestibular function test (kalorimetri)
70
Hearing aid management 70
Ujian khas
(a)
Free field 70
(b)
Tone decay test 70
(c)
SISI test 70
(d)
Bekesy 70
(e)
Impedance test 70
100
BAHAGIAN 6
PENYIASATAN IMBASAN PET CT
Pet CT
6,500
BAHAGIAN 7
SIASATAN PEMULIHAN PERTUTURAN BAHASA
Pemulihan pertuturan bahasa 70
Prosedur FEES (Flexible Endoscopic Evaluation of Swallowing)
70
Rawatan vitalstim 70
BAHAGIAN 8
SIASATAN DIETETIK
Nutrition assessment 70
Medical nutrition therapy presumption 70
Medical nutrition therapy intervention 70
Enteral nutrition formula 70
101
Jadual
JADUAL KELIMA
[Perenggan 7]
FI MAKMAL
2 Hours post parandial 20 17 - Oxosteroids 30 17 - Oxogenic steroids 30 3 - Methyoxy - 4 - hydroxy - mandelic acid (HMMA/VMA) (urine)
30 5 - Hydroxy indoles total 20 5 - Hydroxyindoleacetic acid (5 - HIAA)
100
ABO + grouping (anti D only)
20
Acetone 5
Acid Fast Bacilluss (AFB) culture 45
Acid phosphatase 70
Acquired immunodeficiency syndrome (HIV antibody)
60
ACTH stimulation test 50
Alanine transaminase 10
Albumin (blood)
10
Albumin (urine)
10
Alcohol 50
Aldosterone 84
Alfa-fetoprotein (AFP)
70
Alkaline phosphatase (ALP)
30
Allergy skin test 70
Alpha antitrypsin 60
Amino acid by TLC (urine)
100
102
Amino acid by TLC screening 100
Ammonia 60
Amylase 20
Antenatal screening 58
Anti Streptolysin O Titre (ASOT)
30
Anti-antibodies/haemagglutination test 20
Antibiotic sensitivity 50
Anti-DNA antibody (anti dsDNA)
108
Antigen detection specific pathogens 20
Antinuclear factor (ANF)
40
Ascorbic acid 20
Aspartate transaminase 10
Aspirate for cylology 100
Augmentin histamine test 50
Bacteriological sterility test 60
Barbiturate 60
Barbiturate (serum)
110
Barbiturate (urine)
110
Bence Jones protein 10
Beta carotene 10
Beta Human Chorionic Ganadotropin (Beta HCG)
60
Bicarbonate 10
Bile pigment
8
Bilirubin 20
Bilirubin conjugated 10
Bilirubin unconjugated 10
103
Bilirun (total)
20
Bleeding time 10
Blood gases 65
Blood group and cross matching 11
Blood Urea Serum Elektrolytes (BUSE)
38
Blood urea nitrogen 10
Bramsulphathelein excretion test 30
Bronchial brushing cytology 30
Bronchial lavage/washing cytology 30
Brucella agglutination test 20
C reactive protein - quantitative 60
Caeruloplasmin 50
Calcium 20
Cannabinoids 50
Carcino Embryonic Antigen (CEA)
55
Cardiac enzymes 48
Cardiac isoenzyme (CK)
50
Cathecolamine 180
Cerebro - spinal fluid (CSF) routine 50
Cerebro - spinal fluid cultural and sensitivity 40
Cerebrospinal fluid cytology 30
Chlamydial (screening)
40
Chlamydial Immunoglobin G (IgG) antibody 95
Chlamydial Immunoglobulin G (IgG)
75
Chloride 10
Cholesterol (total)
20
104
Cholinesterase 20
Chromosomal analysis 600
Clot test 45
Clotting time 10
Coagulation factor anti - xa 50
Coagulation factor ix activity 50
Coagulation factor ix antigen 215
Coagulation factor v antigen 50
Coagulation factor v leiden mutation 215
Coagulation factor vii activity 215
Coagulation factor vii antigen 50
Coagulation factor vii inhibitors 50
Coagulation factor viii activity 215
Coagulation factor viii antigen 50
Coagulation factor viii inhibitors 215
Coagulation factor x antigen 50
Coagulation factor x activity 215
Coagulation factor xi activity 215
Coagulation factor xi antigen 50
Coagulation factor xi inhibitors 50
Coagulation factor xii activity 215
Coagulation factor xii antigen 50
Coagulation factor xiii activity 450
Coagulation factor xiii clot lysis test 50
Coagulation profile 115
Cold agglutin/cryoglobulin titre 125
105
Complement C3 50
Complement C4 50
Complement fixation test 20
Coomb test direct 55
Coomb test indirect 54
Copper 70
Cortisol 55
Cortisol AM
55
Cortisol PM
55
Cortisol profile 55
C-Peptide 3 specimen 180
Creatine 20
Creatine Kinase (CK)
20
Creatine Kinase - Muscle Bound (CK - MB)
55
Creatinine 35
Creatinine clearance test 35
Creatinine phosphate 35
Cryoglobulin 120
Cryoprecipitate 20
CSF biochemistry 20
Culture of clinical specimen (e.g. tissue culture, animal innoculation)
40
Culture of mycoplasma 20
Cystic fluid cytology 30
Cystine 5
Cytologi peritoneal fluid 30
Cytological examination of clinical specimen 30
106
Dehydroepiandrosterone sulphate (DHEAS)
70
Delta amino leavulinic acid urine 70
Dengue fever study 160
Dexamethasone suppresion test 50
Diastase 10
Dibucaine number 20
Differential count 10
Direct smear (grain stain)
30
Drug analysis (per drug)
30
Electrolytes 30
Electrone microscopy 250
Electrophoresis (for Bence Jones protein)
30
Electrophoresis protein 72
ELISA for hepatitis A virus 30
Erythrocyte transketolase and TPP effect 20
Erythrocyte Sedimentation Rate (ESR)
20
Faecal fat 30
Ferritin 130
Fibrinogen 80
Fibrinogen (immuno method)
115
Filtered RBC
600
Flourescent microscopy 30
Folate RBC
40
Follicle Stimulating Hormone (FSH)
60
Free tyroxine index 35
Fructosamine 45
107
Full blood count 40
Full blood picture 80
Gamma glutamine transferase 30
Gastric brushing cytology 30
Gastric function test 50
Gastric lavage cytology 30
Gentamicin, peak 30
Gentamicin, random 30
Gentamicin, trough 30
Gentamycin 30
Globulin 18
Glucose 10
Glucose fasting blood sugar 20
Glucose tolerance test 50
Glucose - 6 - Phosphte Dehydrogenase (G6PD) screening test 20
Glucostix 62
Group and crossmatch (GXM)
11
Group Screen and Hold (GSH)
68
Growth hormone 78
Haemagglutination inhibition test (denggue serology)
60
Haematocrit pack cell volume (PCV)
20
Haemoglobin and allied pigment 5
Haemoglobin (Hb)
10
Haemoglobin AIC (HbA1C)
60
Haemoglobin electrophoresis 60
Haptoglobin 50
108
Hb analysis 60
HDL and LDL cholesterole (pakej)
40
Hepatitis A Virus Immunoglobulin G Antibody (HAV IgG Ab)
50
Hepatitis A Virus Immunoglobulin M Antibody (HAV IgM Ab)
78
Hepatitis B e Antibody (HBV e Ab)
60
Hepatitis B surface Antibody (HBs Ab)
60
Hepatitis B surface Antigen (HBs Ag)
60
Hepatitis C (antibody)
70
Hepatitis C Virus Immunoglobulin G (HCV IgG Ab)
60
Hepatitis C Virus Immunoglobulin M (HVC IgM Ab)
80
Hepatitis E (antigen)
60
Herpes simplex type 1 immunoglobin G
54
Herpes simplex type 2 immunoglobin G
60
High Density Lipoprotein (HDL) cholesterol 20
High density lipoprotein concentration 20
Histopalogy examination type B (medium specimens)
100
Histopalogy examination type C (small specimens)
80
Histopatology examination type A (large specimens)
125
HIV antigen test 50
HIV antibody confirmation test 150
HLA - B27 291
Homogentisic acid 5
Human Chorionic Gonadotropin (HCG)
60
Hydroxy butyrate dehydrogenase 35
Hydroxyproline 30
IFA test for legionella ab 30
109
Immunoelectrophoresis 30
Immunofixation 30
Immunoglobulin A (quantitive)
30
Immunoglobulin E (quantitive)
30
Immunoglobulin G (quantitive)
30
Immunoglobulin M (Quantitive)
30
Immunological techniques (agglutination, flocculation, hemolysis)
20
Indirect immunoperoxidase test 30
Iron serum 25
Isoenzyme studies 50
Ketone bodies 40
Kleihaurs test 60
Lactate dehydrogenase 15
Lactic dehydrogenase 15
Lange's colloidal gold curve 30
Lead 55
Leuteinising Hormone (LH)
42
Light microscopy 10
Lipid profile (cholestreole, tryglicerides)
48
Lipoprotein electrophoresis 270
Lithium 38
Liver function test 100
Low Density Lipoprotein (LDL)
40
Lupus Erythematous cells (LE cell)
15
Lysozyme serum 20
Magnesium 15
110
Malaria parasite 15
Mantoux test 15
Mean Corpuscular Haemoglobin (MCH)
6
Mean Corpuscular Haemoglobin Concentration (MCHC)
6
Mean Corpuscular Volume (MCV)
6
Menopausal hormone studies 120
Menstrual cycle study 135
Mercury 125
Microbiological analysis of water, milk, ice cream, other foods 50
MICS of antibiotics 50
Monospot test 30
Morphine/Cannabinoids 80
Mucopolysaccharides 70
Myeglobin 10
Nipple discharge cytology 30
Nuclear sexing (buccal smear)
35
Occult blood 16
Oesophageal brushing cytology 40
Oestradiol 48
Oestrogen total 30
Orosamucoid 30
Osmolaliti 20
Osmotic fragility test 60
Others brushing cytology 30
Others cytology 30
Pack cell 20
111
Pack Cell Volume (PCV) (haematocrit value)
20
Paracetamol 50
Paraprotein (serum elektrophoresis)
100
Paraquat 30
Particle agglutination for mycoplasma 20
PCO2 10
Pericardial fluid cytology 30
Peripheral blood film 20
Peritoneal / Ascitic fluid cytology 30
PH urine, blood, fluid 10
Phagocytic function test 100
Phenylketones 10
Phospate 20
Phospate inorganic 11
Phosphorous 15
Platelet agregation test 105
Platelet concentration 20
Platelet count 10
Pleural fluid cytology 30
PO2 10
Porphyrin 30
Porphyrinogen 10
Potassium 10
Puus FEME
20
Pregnancy test semi quantitative/qualitative 40
Pregnantriol 30
112
Progesterone 70
Prolactin 40
Protein (total) plasma 65
Protein (total) urine 30
Protein electrophoresis 65
Prothrombin Time (PT)
30
Pus swab culture and sensitivity 40
Pyruvate 30
Pyruvate kinase 30
Random blood sugar 20
Red blood cell (blood)
20
Red blood cell (urine)
5
Red cell folate 20
Renal profile 80
Reticulocyte count 40
RH antibody screening 52
Rhesus grouping (anti D only)
20
Rheumatiod arthritis factor (RA factor)
40
Riboflavin 30
Rubella antibody 50
Rubella immunoglobulin G antibody 50
Rubella immunoglobulin M antibody 80
Salicylate 50
Schumn's test 10
Screening test for the presence of inhibitors to coagulation factors
50
Seminal analysis 30
113
Seminal assay 30
Seminal examination 30
Serum ferritin 20
Serum folate 30
Smear for acid fast bacilii 40
Smear wet preparation tricomonas/monilis 10
Sodium 20
SP Fallopian tube 80
SP Abdominal wall 80
SP Adrenal 80
SP Anus 80
SP Appendix 80
SP Back and vertebral column 80
SP Bartolin's gland 80
SP Bone 80
SP Brain and spinal cord 80
SP Breast 80
SP Bronchus 80
SP Cardiac valve 80
SP Cervix 80
SP Chest 80
SP Colon 80
SP Ear 80
SP Endocardium 80
SP Endometrial 80
SP Extra hepatic duct 80
114
SP Eye/Eye appendages 80
SP Gall bladder 80
SP Head 80
SP Heart 80
SP Joint 80
SP Kidney 80
SP Larynx 80
SP Lip 80
SP Liver 80
SP Lower extremity 80
SP Lung 80
SP Lymph node 80
SP Mandible and maxilla 80
SP Mediastinum 80
SP Meninges 80
SP Muscle 80
SP Myocardium 80
SP Myometrium 80
SP Nasal cavity and parasinus 80
SP Nasopharynx 80
SP Neck 80
SP Oesophagus 80
SP Omentum 80
SP Oral cavity and oropharynx 80
SP Ovary 80
SP Pancreas and ampullary region 80
115
SP Paraganglion 80
SP Parathyroid 80
SP Pelvis and sacral 80
SP Penis and scrotum 80
SP Pricardium 80
SP Peritoneum 80
SP Placenta 80
SP Pleural 80
SP Product of conception 80
SP Prostate and seminal vesicle 80
SP Rectum 80
SP Retroperitoneum 80
SP Salivary gland 80
SP Skin 80
SP Small bowel 80
SP Soft tissue 80
SP Spleen 80
SP Stomach 80
SP Testis and testicular adnexae 80
SP Thymus 80
SP Thyroid 80
SP Tongue 80
SP Tonsil/adenoid 80
SP Trachea 80
SP Upper extremity 80
SP Ureter 80
116
SP Urethra 80
SP Urinary bladder 80
SP Uterus 80
SP Vagina 80
SP Vessel 80
SP Vulva 80
Specific gravity 5
Specific protein CSF (e.g. immunoglobulin)
30
Spectroscopy, blood pigment 10
Sputum cytology 30
Sputum FEME
20
Stercobilinogen 5
Stones analysis 62
Stool FEME
20
Sugar 5
Sugar by TLC
30
Sugar chromatography urine 30
Sugar profile 30
Synovial fluid cytology 30
T and B cell enumeration 100
Test for hemolysin 10
Test for platelet antibodies 170
Testosterone 45
Therapeutic Drug Monitoring (TDM)
10
Thiamin 30
Thriglycerides 40
117
Thyroid profile 65
Thyroid Simulating Hormone (TSH)
60
Thyroid uptake 40
Thyroxine 3 (T3)
60
Thyroxine 4 (T4)
40
Tissue typing (HLA - A and B)
360
Tissue typing (HLA - DR and DO)
360
Total Iron Binding Capacity (TIBC)
30
Total RBC
10
Total White and Differential Count (TWDC)
10
Total White Blood Cell Count (TWBC)
10
Transferrin 90
Treponema Pallidum (TPHA) Hemagglutination 30
Triglycerides 40
Urea 10
Urea clearance test 30
Uric acid 20
Uric acid (urates)
20
Urine antenatal 58
Urine concentration test (pitressin test)
30
Urine creatinine 30
Urine cytology 30
Urine FEME
40
Urine protein 30
Urobilin 10
Urobilinogen 20
118
VDRL flocculation test 20
Venereal Disease Research Laboratory (VDRL)
30
Vitamin A
20
Vitamin B12 40
Von Willebrand factor assay (ELIZA)
66
Wash RBC
100
Weil Felix agglutination test 20
White blood cell 10
Widal agglutination test 30
Widal Weil Felix 30
Xylose absorption test 30
119
Jadual
JADUAL KEENAM
[Perenggan 8]
FI PEMBEDAHAN
PEMBEDAHAN AM
Pharyngo - laryngo - oesophagectomy with reconstruction 11,024
Tracheo - oesophageal fistula 8,578
Total pancreatectomy 7,837
Pancreato duodenectomy (e.g. Whipple’s operation)
7,837
Adrenalectomy 6,080
Adrenalectomy - bilateral 6,505
Total parotidectomy - preserving of facial nerve 5,595
Partial parotidectomy - preserving of facial nerve 4,890
Total thyroidectomy 4,005
Partial thyroidectomy 3,870
Hemithyroidectomy 3,870
Subtotal thyroidectomy bilateral 3,945
Thyroglossal cyst 2,147
Block dissection of cervical glands 7,068
Parathyroidectomy 4,533
Mastectomy with/without axillary clearance 2,951
Wide excision for carcinoma breast 2,367
Total oesophagectomy and interposition of intestine 11,607
Repair of diaphragmatic hernia - transabdominal 4,240
Total gastrectomy 5,284
120
Partial gastrectomy (benign disease)
4,079
Partial gastrectomy (malignant disease)
4,669
Gastro - jejunostomy 3,592
Vagotomy with drainage 3,497
Drainage of liver/subphrenic and pelvic abscesses 2,367
Cholecystectomy (laparoscopic)
4,369
Splenectomy (subtotal)
6,232
Intestinal obstruction - resection/anastomosis of small/large intestines
4,580
Resection of small bowel 3,487
Ileo - transverse anastomosis 6,822
Hemicolectomy right/left 3,976
Anterior resection of rectum 7,068
Abdomino - perineal resection 7,546
Rectopexy/rectosigmoidectomy for rectal prolapsed 3,346
Orchidectomy 2,294
Excision of retro peritoneal tumours 4,172
Femoro distal bypass (vein graft)
8,769
Femoro distal bypass (prosthetic graft)
12,385
Femoro popliteal bypass (vein graft)
8,781
Femoro popliteal bypass (prosthetic graft)
11,179
Femoro - femoral crossover graft 8,985
Axillo femoral bypass 10,456
Axillo - bifemoral bypass 11,235
Femoral endarterectomy 6,807
Carotid endarterectomy (patch)
10,288
Removal of sub-mandibular gland 2,181
121
Gastrostomy 2,596
Herniorrhaphy - umbilical 1,833
Herniorrhaphy - inguinal 1,928
Herniorrhaphy - femoral 1,768
Herniorrhaphy - incisional 2,358
Fistulectomy 1,012
Excision of breast tumours/cyst 1,927
Oesophageal dilatation (under general anaesthesia)
1,136
Excision operation for varicocele 1,708
Haemorrhoidectomy 1,764
Adrenalectomy - left - open 6,080
Adrenalectomy - left - laparoscopic 5,794
Adrenalectomy - right - open 6,080
Adrenalectomy - right - laparoscopic 5,794
Adrenalectomy - bilateral - open 6,505
Adrenalectomy - bilateral - laparoscopic 6,219
Block dissection of axillary lymph nodes 2,872
Block dissection cervical nodes - right 5,620
Block dissection cervical nodes - left 5,620
Extended radical neck dissection cervical nodes - right 5,620
Extended radical neck dissection cervical nodes - left 5,620
Splenectomy 2,885
Hemithyroidectomy - left 3,537
Hemithyroidectomy - right 3,537
Mastectomy simple - left 2,826
Mastectomy simple - right 2,826
122
Mastectomy and axillary sampling - left 2,951
Mastectomy and axillary sampling - right 2,951
Mastectomy and axillary sampling - bilateral 2,951
Mastectomy + axillary clearance - left 2,951
Mastectomy + axillary clearance - right 2,951
Subtotal thyroidectomy 3,909
Total thyroidectomy 3,909
Ultra low anterior resection 9,453
Wide local excision and axillary clearance 2,242
Oesophagogastroduodenoscopy (OGDS)
989
Pembedahan torasik
Bronchoscopy - flexible bronchoscopy - rigid bronchoscopy 3,606
Rigid oesophagoscopy 3,333
Throscopy for pleural and lung biopsy 3,553
Mediastinoscopy 7,075
Anterior mediastinotomy 6,130
Vats for spontaneous pneumathorax 7,120
Vats and lobectomy 10,370
Vats and wedge biopsy 6,870
Vats and thymectomy 7,370
Vats and biopsy of lymph node 7,120
Thoracotomy excission of bublae and pleurodesis - pleuropectomy
18,137
Thoracotomy and lung resection (lobectomy, pneumonectomy)
18,136
Decortication for empyema thorax 8,602
123
Rib resection for empyema 6,492
Thoracostomy for permanent chest drainge 8,427
Thoracoplasty 8,415
Transhiatal oesophgectomy with gastric pull up 15,091
Oesophygectomy with colon interposition 17,223
Oesophygectomy with jejunum replacement, roux-en-y 17,056
Oesophygectomy with gastric replacement ivor lewis 17,223
Thoracic repair of hiatus hernia 7,354
Mediastinotomy of ant mediastinal mass 12,581
Thymectomy 7,890
Excision of teratoma 10,466
Corrective surgery for pectus excavatum of pectus carinatum 8,239
Excision of chest wall lessions with reconsruction 7,481
Plication of diaphragm 7,526
Hepatobiliari
Open cholecystectomy 7,425
Open chole with cbd exploration 8,033
Choledhocectomy and hepaticojejunostomy 18,675
Radical cholecystectomy with segment 4b/5 liver resection 28,710
Radical cholecystectomy with segment 4b/5 liver resection with excision of bile duct and roux-en-y hepaticojejunostomy
38,500
Radical choledhocectomy and hepaticojejunostomy 55,305
Surgery for klatskins tumour - radical holedhochectomy with left or right hemihepatectomy, caudate lobectomy, roux-en-y, cholangiojejunostomy
55,000
124
Endoscopic Retrograde Cholangiopancreatography (ERCP)
6,930
Laparoscopic cholecystectomy 9,765
Laparoscopic cholecystectomy and intraop cholangiogram 10,643
Laparoscopic cholecystectomy and laparoscopic cbd exploration 11,385
Transhepatic cholangioscopy and lithotripsy 11,385
Radical pancreaticoduodenectomy with reconstructions 37,500
Distal pancreatectomy 11,385
Distal pancreatectomy + splenectomy 14,153
Central pancreatectomy and reconstruction 23,490
Frey's procedure 23,490
Modified puestow 18,540
Total pancreatectomy 37,500
Pancreatic necrosectomy - open 11,385
Pancreatic necrosectomy - retroperitoneal 11,385
Hemihepatectomy and cholecystectomy (right or left)
33,798
Extended right/left hemihepatectomy and cholecystectomy 41,250
Central hepatectomy 41,250
Lateral sectionectomy 22,660
Right posterior sectionectomy 28,710
Segment 8 resection 28,710
Other anatomical monosectionectomy 17,298
Non-anatomical monosectionectomy 13,915
Non-anatomical bisectionectomy 17,298
Intraoperative ablative procedure , ultrasound guided 13,915
Appendicectomy - laparoscopic 2,531
125
Kolorektal
Colonoscopy 1,590
Repair of colonic fistula 3,030
Wedge resection of rectum 2,680
Excision mesenteric cyst - open 2,723
Caecopexy - open 2,476
Reduction of bowel volvulus - open 2,939
Repair - rectovesico fistula 3,552
Laser treatment of lesion - large intest 1,685
Cauterisation of lesion - colon - endoscopic 1,685
Sigmoidoscopy + cautery of lesion - endoscopic 1,265
Dilatation stricture - small bowel - open 2,423
Balloon dilatation of stricture - colon 2,095
Biopsy of lesion of ileum - laparoscopic 3,868
Excision of colonic lesion - endoscopic 2,770
Sigmoidoscopy + excision colonic lesion - endoscopic 2,770
Snare resection of rectal lesion - endoscopic 4,960
Exploratory colostomy 2,821
Colostomy and removal of foreign body 2,491
Anal fistulotomy 2,457
Laser treatment - anal lesion 1,673
Ileo - transverse anastomosis 4,200
Anterior resection of rectum 6,571
Abdomino - perineal resection 10,764
Pancolectomy 7,701
126
Abdomino - anal pull through resection 10,076
Fistulectomy 1,893
Colonoscopy polypectomy 2,062
Fissurectomy 953
Haemorrhoidectomy 1,771
Thirsch’s wiring of rectal prolapsed 2,280
Drainage of perianal, ischiorectal or breast abscesses 890
Sphincterotomy for fissures - in - ano 872
Anal dilatation (lord’s procedure)
718
Sigmoidoscopy 1,093
Injection of haemorrhoids 643
Banding of haemorrhoid 624
Colonoscopy 1,590
Vaskular
Abdominal aortic aneurysm repair (tube graft)
12,032
Abdominal aortic aneurysm repair (bifurcated graft)
14,403
Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
56,338
Thoracic Endovascular Aortic Repair (TEVAR)
55,088
Aorta femoral bypass 10,883
Renal artery surgery 7,502
Femoro - femoral crossover graft 9,463
Axillo femoral bypass 10,704
Peripheral aneurysm surgery 6,462
Operations for varicose veins of the lower limbs 3,874
127
Endovenous RF surgery for varicose veins 8,462
Endovenous laser surgery for varicose veins 2,752
Stripping of varicose veins 2,124
Creation of arteriovenous (AV) fistula including subsequent closure
2,229
Repair of arteriovenous (AV) fistula 5,286
Creation of arteriovenous (AV) fistula with graft 8,257
Gastrointestinal
Reconstruction of oesophagus 10,556
Vagotomy, truncal with pyloroplasty 3,511
Vagotomy, highly selective 3,146
Transhiatal total oesophagectomy p-g anastomosis 15,181
Duodenoduodenostomy 3,386
Duodenojejunostomy 3,386
Duodenoileostomy 3,386
Oesophagomyotomy 3,576
Sphincterotomy duodenal papilla - open 2,996
Creation of duodenostomy - open 2,996
Excision of diverticulum of oesophagus 6,258
Resection of gastric ulcer by cautery 3,666
Ligation of oesophageal varices - open 4,569
Trans-gastric stapling for varices - open 6,206
Devascularisation of stomach - open 4,581
Removal of stent from oesophagus - open 3,425
Removal of foreign body from oesophagus - open 3,436
128
Repair of stricture of oesophagus 9,806
Repair perforated oesophagus - upper 9,681
Repair perforated oesophagus - middle 7,931
Pyloroplasty - laparoscopic 2,871
Closure perforated duodenal ulcer - open 2,871
Correction of volvulus of stomach 2,871
Total gastrectomy, node dissection, roux-en-y
8,514
Gastric stappling for obesity - open 6,316
Fundoplication - laproscopic 4,566
Adjust implanted antireflux prosthesis - laparoscopic 5,256
Reduction gastroenterostomy intussusception 2,871
Closure of gastroenterostomy - open 3,666
Revision gastropexy - open 3,541
Excision of oesophageal lesion - endoscopic 3,386
Excision of polyp of stomach - endoscopic 3,136
Excision of gastric polyp - endoscopic 3,136
Insertion oesophageal stent via stomach 5,127
Insertion oesophageal prosthesis - open 5,127
Insertion oesophageal tube prosthesis - rigid 5,127
Insertion oesophageal prosthesis - endoscopic 5,127
Percutaneus endoscopic gastrostomy 4,196
Insertion - stent - endoscopic 5,921
Appl haemostatics gastric bleed - endoscopic 2,794
Change of gastrostomy tube 2,629
Cryotherapy of oesophageal lesion 1,287
Electrocoagulation upper oesophageal lesion 1,287
129
Electrocoagulation middle oesophageal lesion 1,287
Electrocoagulation lower oesophageal lesion 1,287
Dilation of oesophageal stricture 1,287
Dilation of oesophageal stricture - endoscopic 2,724
Division of oesophageal web - endoscopic 1,727
Operations for achalasia cardia 5,196
Tanner’s operation and other operation on oesophageal varices
(siguira)
3,022
Vagotomy with drainage 3,511
Ramstedt’s operation (pyloromytomy)
2,871
Oesophageal dilatation (under general anaesthesia)
3,406
Endoscopic oesophageal intubation/dilatation/stent 6,719
Injection sclerotherapy of oesophageal varices 2,392
Endoscopic Retrograde Cholangio Pancreatography (ERCP) -
therapeutic
5,186
Gastroscopy 848
Dermatologi
Laser destruction of skin lesion 1,500
Laser resurfacing 1,709
Laser therapy for pigmented skin lesion 1,500
Laser therapy for vascular skin lesion 1,500
Laser therapy : CO2 1,500
Cauterisation of skin lesion 727
Cautery of a verrucae pedis 727
Cautery of skin lesion 727
130
Cautery of wart 727
Chemical cautery of a corn - left foot 825
Chemical cautery of a corn - right foot 825
Chemical cautery of skin lesion 825
Chemical peeling of lesion of skin - superficial peel 500
Chemical peeling of lesion of skin - medium depth 550
Chemical peeling of lesion of skin - deep peel 830
Botulinumtoxin 2,375
Biopsy of lesion of subcutaneous tissue 1,149
Biopsy of nail bed 1,499
Biopsy of skin 516
Excision intradermal naevus 874
Excision of basal cell carcinoma 1,254
Excision of lipoma 999
Excision of maglinant skin tumour 1,254
Excision of neurofibromata 999
Excision of papilloma 874
Excision of redundant skin or fat of rig 1,039
Excision of sebaceous cyst 544
Excision of skin carcinoma 1,144
Excision of skin cyst 544
Excision of skin lesion 1,039
Excision of skin or subcutaneous tissue 1,039
Excision of skin scar 574
Excision of skin tag 509
Incision and drainage of sebaceous cyst 509
131
Incision and drainage of wound 509
Incision biopsy of skin 544
Incision biopsy of skin lesion 544
Insertion of therapeutic substance
1,150
Intralesional steroid for keloid 300
Intralesional steroid for skin lesion 300
Bath PUVA
810
Phototheraphy : PUVA
748
Phototheraphy : UVAI
490
Topical PUVA
720
Cryotherapy of basal cell carcinoma 630
Cryotherapy to skin lesion 313
Cryotherapy to wart 313
Needle prick for skin lesion 329
UROLOGI
Transplantation and donor nephrectomy 13,991
Extracorporeal Shock Wave Lithotripsy (ESWL)
3,000
Nephrectomy (simple) and nephroureterectomy 3,944
Nefrectomy (radical) and nephroureterectomy 5,504
Nephrectomy (partial) and nephroureterectomy 4,294
Pyeloplasties 3,809
Nephrolithotomy 5,418
Pyelolithotomy 4,163
Nephropyelolithotomy 4,163
132
Vascular surgery - renal artery stenosis 8,333
Nephrostomies - unilateral 2,154
Nephrostomies - bilateral 2,601
Percutaneous Nephrolithotripsy (PCNL)
5,953
Reimplantation/tailoring 3,319
Replacement of - by bladder 3,285
Replacement of - by gut 4,845
Replacement of - by ureter 3,540
Ureteroscopy (URS)
5,018
Total cystectomy 6,154
Partial cystectomy 3,869
Endoscopic surgery 1,500
Bladder reconstruction 9,025
Urethroplasty 3,203
Partial amputation of penis 2,913
Total amputation of penis 3,568
Reconstruction of hypospadias (severe)
6,420
Reconstruction of epispadias 4,130
Orchidectomy 2,208
Transurethral resection 3,322
Open prostatectomy 3,628
Fistula repair (very severe)
2,432
Ureterolithotomy 3,393
Vesicolithotomy 2,256
Vesicolithopaxy 2,752
Trans-urethral resection of bladder neck 2,187
133
Trans-urethral resection of bladder tumours 3,367
Excision of stricture 1,612
Urethral dilation 982
Reconstruction of hypospadias (moderate)
5,471
Orchidopexy 1,843
Vasovasastomy 2,913
Trans-urethral resection of stricture 3,322
Arteriovenous (AV) fistula 2,182
Fistula repair (moderate)
5,297
Excision operation for varicocele 1,708
Renal biopsy 1,507
Cystoscopic examination/biopsy 1,717
Cystoscopic examination and retrograde pyelogram 4,202
Vasectomy 1,158
Micturating cysto urethrogram 388
Circumcision 1,441
Repair of vesicovaginal fistula 3,520
Reconstruction of bladder neck 8,075
Colposuspension - laparoscopic 3,495
OBSTETRIK DAN GINEKOLOGI
Pelvic exenteration 9,697
Wertheim’s hysterectomy 8,877
Radical vulvectomy 3,256
Extended hysterectomy 8,045
134
Abdominal hysterectomy 3,802
Vaginal hysterectomy 4,822
Myomectomy 3,552
Ovarian cystectomy/salpingo - oopherectomy 5,402
Simple vulvectomy 2,831
Tubal repair surgery 3,030
Ventral suspension - sling operation 2,550
Ectopic pregnancy 3,267
Abdominal sterilization/minilaparotomy 3,017
Laparoscopy 2,495
Second look laparotomy 3,160
Vaginal reconstruction 6,193
Manchester repair 3,190
Repair for stress incontinence 4,065
Pelvic floor repair 3,345
Cervical cerlage 1,572
Cone biopsy 1,592
Cauterization 971
Insufflation 1,036
Cervical biopsy (punch)
916
Secondary suturing 1,036
Polypectomy/avulsion of polyp 1,191
Cryocautery/cryosurgery 900
Incision and drainage 567
Marsupialisation of bartholin abscess 1,511
Excision of labial/vaginal cyst 1,511
135
Vulval biopsy 926
Open operation of fetus - repair of diaphragma 5,426
Open operation of fetus 5,426
Placental ablation 1,162
Cervical biopsy 872
Amnio reduction 1,446
Insertion of contraceptive implant 923
Removal of contraceptive implant 923
Termination of pregnancy 1,508
Removal of cerclage from cervix 923
Breech extraction 1,647
Abdominal sterilisation/minilaparotomy 2,216
Ectopic pregnancy 2,826
Second look laparotomy 3,160
Repair for stress incontinence 4,065
Tubal repair surgery 3,030
Vaginal reconstruction 6,193
Ventral suspension - sling operation 2,566
Cervical cerclage 996
Laparoscopy and ovarian drilling 3,067
Vaginectomy - total 4,230
Vulvectomy - extended 3,681
Pelvic exenteration 9,697
Myomectomy - laparotomy 3,552
Hysterectomy total and bilateral salphingoopho 5,012
Hysterectomy vaginal 3,235
136
Hysterectomy total abdominal 2,977
Vaginectomy - partial 2,770
Salphingo - oophorectomy - right - open 3,212
Salphingo - oophorectomy - left - open 3,212
Salphingo - oophorectomy - right - endoscopic 2,676
Salphingo - oophorectomy - left - endoscopic 2,676
Hysterectomy Wertheim's 8,877
Hysterectomy - extended 8,045
Vag. Tot Hyster bilateral salphingoophorect 4,825
Fenton's operation 3,385
Caeserean hysterectomy 3,136
Repair of bladder fistula 3,155
Oophorectomy - bilateral - open 2,797
Oophorectomy - bilateral - endoscopic 2,791
Salphingectomy - right - open 3,372
Salphingectomy - left - open 3,372
Salphingectomy - bilateral - open 3,622
Salphingectomy - right - endoscopic 2,676
Salphingectomy - left-endoscopic 2,676
Salphingectomy - bilateral - endoscopic 3,620
Gamete intrafallopian transfer - right 1,535
Gamete intrafallopian transfer - left 1,535
Zygote intrafallopian transfer - right 1,535
Zygote intrafallopian transfer - left 1,535
Tubal embryo transfer - right 1,185
Tubal embryo transfer - left 1,185
137
Laparoscopic adhesiolysis 2,856
Sclerosing injection into vulval vein 888
Reversal of tubal sterilization 6,257
Uterine ligament operation - open 1,517
Uterine ligament operation - endoscopic 2,136
Repair of uterovaginal fistula 4,160
Repair of ruptured uterus 3,906
Repair of urethrovaginal fistula 3,130
Vaginoplasty 4,766
Repair of enterocele - abdomino - vaginal 2,687
Repair of enterocele - endoscopic 2,685
Transvaginal tape 2,650
Plication of round ligament - open 2,682
Plication of round ligament - endoscopic 6,001
Uterine ventrosuspension - open 2,142
Uterine ventrosuspension - endoscopic 2,136
Sacrocolpopexy - endoscopic 5,001
Hysterostomy 4,570
Extraperitoneal caesarean section 3,215
Postmortem caesarean section 3,215
Surgical control of postpartum haemorrhage 2,152
Ovary reconstruction - bilateral 3,122
Reconstruction fallopian tube - bilateral - endoscopic 6,255
Reconstruction fallopian tube - left - endoscopic 4,550
Reconstruction fallopian tube - right - endoscopic 4,550
Reconstruction fallopian tube - bilateral - open 5,257
138
Reconstruction fallopian tube - left-open 2,682
Reconstruction fallopian tube - right - open 2,682
Salphingotomy - left - endoscopic 2,676
Salphingotomy - right - endoscopic 2,676
Salphingotomy - left - open 2,142
Salphingotomy - right - open 2,142
Repair of bladder 3,155
Sling operation - tension free vaginal tape 2,612
Sling operation - bladder neck 2,872
Bisection of ovary - right - open 2,142
Bisection of ovary - left - open 2,142
Bisection of ovary - bilateral - open 3,122
Bisection of ovary - right - endoscopic 2,676
Bisection of ovary - left - endoscopic 2,676
Bisection of ovary - bilateral - endoscopic 5,251
Drainage of ovary - right - open 2,872
Drainage of ovary - left - open 2,872
Drainage of ovary - bilateral - open 5,257
Drainage of fimbrial cyst - right - open 2,682
Drainage of fimbrial cyst - left - open 2,682
Drainage of fallopian tube - right - open 2,682
Drainage of fallopian tube - left - open 2,682
Drainage of fimbrial cyst - right - endoscopic 2,676
Drainage of fimbrial cyst - left - endoscopic 2,676
Drainage of fallopian tube - right - endoscopic 2,676
Drainage of fallopian tube - left - endoscopic 2,676
139
Endometrial sampling - transorifice intra 1,486
Endometrial sampling - transorifice intra 1,486
Endometrial ablation thermal 2,111
Endometrial ablation microwave 2,401
Myomectomy - laparoscopic 3,142
Colposcopy of cervix - Large Loop Excision of the Transformation Zone
(LLETZ)
590
Colposcopy of cervix - Loop Electrosurgical Excision Procedure (LEEP)
1,350
Laparoscopy diagnostic 2,457
Myomectomy - hysteroscopic 3,552
Colposcopy of vagina 810
Colposcopy of vulva 795
Laparoscopy second look 3,160
Laparoscopy and dye insufflation 1,036
Minilaparotomy tubal ligation 2,142
Laparoscopic sterilisation 5,001
Colpocleisis 2,142
Repair of vault of vagina 1,300
Colpoperineorrhaphy 4,802
Repair of hymen 916
Sacrocolpopexy - vaginal 2,682
Hysteroscopic resection uterine septum
2,606
Colposcopy of cervix - cervical biopsy 590
Colporrhaphy 2,006
Drainage of ovary - bilateral - endoscopic 6,251
Drainage of ovary - right - endoscopic 4,546
140
Drainage of ovary - left - endoscopic 4,546
Cauterisation vulva - right 900
Cauterisation vulva - left 900
Cauterisation vulva - bilateral 900
Cryotherapy of lesion of vulva - right 900
Cryotherapy of lesion of vulva - left 900
Cryotherapy of lesion of vulva - bilateral 900
Cervical cerclage - McDonald's 1,506
Cervical cerclage - Shirodkar's 1,506
Cryocautery/cryosurgery - cervix 820
Cauterisation cervix 820
Cryotherapy of lesion of vagina 830
Cauterisation vagina 820
Cryosurgery perineum 1,010
Dilatation cervix 900
Vaginal dilatation procedure 900
Evacuation of vaginal haematoma 1,026
Cone biopsy 1,592
Amputation of cervix 1,760
Hysteroscopy 1,401
Excision of vaginal adhesions 1,486
Repair of cervical tears 1,032
Cervical cerclage - abdominal 1,506
Secondary suturing - perineum 1,036
Excision of female periurethral tissue 916
Drainage of labial minora abscess - right 1,511
141
Drainage of labial minora abscess - left 1,511
Drainage of labial minora abscess - bilateral 1,511
Drainage of labial majora abscess - right 1,511
Drainage of labial majora abscess - left 1,511
Drainage of labial majora abscess - bilateral 1,511
Marsupialisation of Bartholin's abscess 1,511
Marsupialisation of Bartholin's cyst - left 1,356
Marsupialisation of Bartholin's cyst - right 1,356
Marsupialisation of Bartholin's cyst - bilateral 1,511
Biopsy of ovary - right 2,142
Biopsy of ovary - left 2,142
Biopsy of ovary - bilateral 2,392
Cystectomy - open - right 2,547
Cystectomy - open - left 2,547
Cystectomy - open - bilateral 2,797
Cystectomy - endoscopic - right 4,546
Cystectomy - endoscopic - left 4,546
Cystectomy - endoscopic - bilateral 4,546
Excision of tubo - ovarian mass - right 2,142
Excision of tubo - ovarian mass - left 2,142
Excision of tubo - ovarian mass - bilateral 3,122
Excision of fimbria - right - open 2,682
Excision of fimbria - left - open 2,682
Excision of fimbria - bilateral - open 2,932
Excision of fimbria - right - endoscopic 2,682
Excision of fimbria - left - endoscopic 2,682
142
Excision of fimbria - bilateral - endoscopic 5,251
Excision of fimbrial cyst - right - open 2,682
Excision of fimbrial cyst - left - open 2,682
Excision of fimbrial cyst - bilateral - open 2,682
Excision of fimbrial cyst - right - endoscopic 2,676
Excision of fimbrial cyst - left - endoscopic 2,676
Excision of fimbrial cyst - bilateral - endoscopic 2,676
Hysterectomy subtotal 2,997
Hysterectomy total - laparoscopic 3,245
Hysterectomy vaginal - laparoscopic assist 3,255
Polypectomy - endometrium 1,486
Hymenectomy 916
Excision of excess labial minora tissue - left 1,321
Excision of excess labial minora tissue - right 1,321
Excision of excess labial minora tissue - bilateral 1,321
Excision of excess labial majora tissue - left 1,331
Excision of excess labial majora tissue - right 1,331
Excision of excess labial majora tissue - bilateral 1,331
Biopsy of vulva - right 900
Biopsy of vulva - left 900
Biopsy of vulva - bilateral 900
Excision of vulval polyp - right 1,080
Excision of vulval polyp - left 1,080
Excision of vulval polyp - bilateral 1,110
Vulvectomy - hemi - right 2,831
Vulvectomy - hemi - left 2,831
143
Vulvectomy - hemi - bilateral 2,831
Vulvectomy - wide local excision 3,681
Excision of Bartholin gland - left 1,356
Excision of Bartholin gland - right 1,356
Excision of Bartholin gland - bilateral 1,511
Removal of foreign body - vagina 900
Falloposcopy 2,136
Colposcopy of cervix 590
Exploration of vagina 900
Removal of pessary from vagina 900
Ovary reconstruction - right 2,142
Ovary reconstruction - left 2,142
Burch's colposuspension - with graft 4,152
Burch's colposuspension - endoscopic 6,251
Fimbroplasty - right - open 2,682
Fimbroplasty - left - open 2,682
Fimbroplasty - bilateral - open 2,676
Fimbroplasty - right - endoscopic 2,680
Fimbroplasty - left - endoscopic 2,680
Fimbroplasty - bilateral - endoscopic 5,257
Reconstruction of vagina with flap 3,625
Repair of vaginal wall prolapse - vagina 2,940
Vaginal repair - anterior mesh 2,690
Repair of vaginal tear 1,042
Repair of vaginal wall prolapse - endoscopic 5,255
Clitoroplasty 4,546
144
Repair of enterocele - abdominal 2,932
Repair of enterocele - vaginal 2,695
Repair of perineal tear 1,034
Sacrospinous fixation of vaginal vault 2,687
Sacrocolpopexy - vagino - abdominal 2,682
Drainage of vulval hematoma - right 1,071
Drainage of vulval hematoma - left 1,071
Drainage of vulval hematoma - bilateral 1,546
Biopsy of uterus 1,486
Removal of foreign body - uterus 1,486
Biopsy of cervix 845
Biopsy of vagina 900
Excision of vaginal lesion 1,501
Biopsy perineum 900
Dilatation and curettage - ERPOC
1,061
Dilatation and curettage - diagnostic 1,061
Insertion pessary into vagina 680
Insertion intrauterine device 690
Examination under anaesthesia - staging 900
Examination under anaesthesia - vagina 900
Removal of intrauterine device 690
Repair of genital tract tear 1,495
Polypectomy - cervix 900
Intrauterine insemination (IUI)
900
Curettage of delivered uterus 1,151
Manual removal of placenta 1,186
145
Uterine exploration 951
Repositioning of r/verted gravid uterus 1,527
Vaginal pack procedure 1,010
Removal of vaginal pack 1,008
Drainage of vulval abscess - left 886
Drainage of vulval abscess - right 886
Drainage of vulval abscess - bilateral 1,511
Secondary suturing 1,035
Exploratory laparotomy 2,707
Incision and drainage 1,027
Amniocentesis 1,021
Chorionic villus sampling - procedure 1,161
Amnioinfusion 1,456
OFTALMOLOGI
Complicated strabismus surgery requiring complex procedures or repeat operations
5,853
Repair of severe ptosis : elevator resection/brow suspension 3,761
Excision of eyelid tumours with major reconstruction 9,800
Dacryocystorhinostomy 4,975
Conjunctivo - dacryocystorhinostomy/Lester-Jones tube 5,350
Repair of severed lacrimal passages 5,350
Reconstruction of contracted socket 7,040
Dermis - fat graft 4,130
Removal of deep seated orbital tumours 9,785
Repair of blowout fracture 9,722
146
Orbital and optic nerve decompression 6,117
Exenteration of orbit 6,625
Examination under anaesthesia 1,380
Release of symblepharon/with mucous membrane graft 1,434
Scleral graft 2,989
Cataract extraction - intracapsular and extracapsular 3,970
Lens aspiration 3,970
Removal of dislocated/subluxated lens not requiring vitreous surgery
3,095
Secondary intraocular lens implantation 2,905
Paracentesis 1,761
Trabeculectomy/trabeculotomy/goniotomy/cyclodialysis 4,037
Laser panretinal photocoagulation : new case 1,852
Repair of moderate perforating injury of eyeball 2,989
Simple strabismus surgery - recession/resection/myectomy 3,429
Repair of mild ptosis 3,396
Repair of congenital eyelid deformities 3,646
Repair of severe lecerations of eyelids and/or region around the eyes
1,691
Dacrycystectomy 4,901
Removal of superficial orbital tumours 3,906
Enucleation 3,681
Pterygium surgery 2,247
Conjunctivectomy/conjunctival grafts and flaps 1,482
Iridectomy - peripheral or optical 2,247
Posterior capsulotomy - surgical/laser 1,487
Posterior capsule polishing 1,487
Cryopexy - retina and glaucoma 2,067
147
Laser treatment other than panretinal photocoagulation 1,960
Repair of minor perforating injury of eyeball 4,094
Instralesional corticosteroid injection of capillary haemangiomas etc.
1,169
Cosmetic lid surgery 3,179
Ectropian or entropion correction 2,419
Tarsorrhaphy 2,624
Syringing/probing of lachrymal apparatus 906
Incision and drainage of orbital abscess 3,091
Biopsy of ocular appendages/superficial orbital tumours 2,921
Evisceration 4,056
Use of tissue adhesive for ocular perforation 1,333
Excision of granulomas - eyelid, conjunctival 928
Incision and curettage/intra lesional conticosteroid injection of chalazion
928
Epilation 393
Electrolysis/cryopexy for trichiasis 928
Repair of minor laceration of eyelid and/or region around the eyes
1,093
Punctal occlusion 963
Fitting of ocular prosthesis 2,202
Removal of conjunctival concretions 1,208
Incision and drainage of stye/lid abscess 1,018
Release of tarsorrhaphy 863
Keratoplasty - lamellar or penetrating 5,839
Keratoplasty with cataract surgery with/without intraocular lens implant
7,027
Refractive corneal surgery 3,273
Cataract extraction with intraocular lens implantation 3,970
148
Removal of intraocular lens 2,845
Lensectomy 6,420
Combined trabeculectomy with cataract extraction with/without intraocular lens implantation
4,236
Shunt/valve placement for glaucoma 8,626
Vitreous surgery 3,896
Retinal detachment surgery 7,086
Intraocular foreign body removal 11,711
Repair of severe perforating injuries of the eyeball 3,951
TELINGA, HIDUNG DAN KERONGKONG
Base of skull surgery 19,927
Cranio facial resection 16,270
Transphenoidal hypophysectomy 14,975
Commando operation for jaw and oral pharyngeal 26,776
Total laryngopharyngectomy with reconstruction 29,214
Acoustic neuroma surgery 16,224
Meatal atresia surgery 4,958
Modified radical mastoidectomy 5,306
Radical mastoidectomy 5,030
Facial nerve decompression 5,632
Facial nerve repair 6,506
Tympanoplasty 3,740
Stapedectomy 3,687
Saccus decompression 5,110
Labryinthectomy 5,555
149
Tympanic nerve 3,137
Surgery of pterygopalatine fossa 3,755
Maxillectomy 9,480
Fronto ethmoidectomy 3,464
Intranasal endoscopic ethmoidectomy 2,019
Repair of frontal sinus fractures 5,000
Rhinoplasties - augmentation 6,621
Rhinoplasties - reduction 6,631
Rhinoplasties - prosthesis insertion 6,629
Laryngectomy - total/partial 6,838
Laryngofissure operation 3,282
Partial pharyngectomy without reconstruction 6,669
Repair of laryngeal and tracheal stenosis 8,878
Pharyngotomy 1,986
Excision of laryngocele 3,532
Cordopexy for adductor palsy of vocal cords 3,282
Parotidectomy - complete of partial 5,913
Radical neck dissection 7,524
Cortical mastoidectomy 4,496
Myringoplasty 3,160
Excision of preauricular sinus 1,789
Flap repair for postauricular fistula 1,215
Excision of pinna - total 5,480
Excision of pinna - partial 4,980
Reduction of facial fractures 2,292
Submucous resection of nasal septum (SMR)
2,012
150
Septoplasty 2,262
Nasal polypectomy 1,844
Repair of vestibular stenosis 1,278
Sublabial radial antrostomy (CWL)
1,828
Surgical treatment of posterior choanal tumours 3,143
Ligation of ethmoidal vessels 2,548
Surgical treatment of blow out fractures 5,742
Repair of oroantral fistula 2,280
Pharyngoplasty 3,725
Adenoidectomy 951
Tonsillectomy 1,970
Adenotonsillectomy 2,765
Surgery of tonsillar fossa 1,970
Removal of submandibular salivary gland 1,841
Excision of bronchial cyst and fistula 6,512
Elective microlaryngeal surgery 2,017
Myringotomy - with grommet 1,525
Myringotomy - without grommet 902
Examination of ear under general anaesthesia 1,361
Examination of nose or post nasal space under general anaesthesia
808
Intranasal antrostomy 1,052
Partial turbinectomy 1,287
Submucus diathermy under general anaesthesia 852
Trephine drainage of frontal sinus 1,198
Intranasal polypectomy for single polyp 1,844
Drainage of retropharyngeal and parapharyngeal abscess 3,267
151
Oesophagoscopy 1,582
Bronchoscopy 1,512
Direct laryngoscopy and biopsy 1,367
Panendoscopy 4,147
Tracheostomy - open 1,951
Removal of foreign bodies from the ear, nose and throat 1,352
Examination of the ear under microscope 1,361
Aural polypectomies and biopsies 1,153
Submucous diathermy of nasal turbinates 852
Drainage of peritonsillar abcess 771
Per oral removal of the salivary calculus 1,841
Drainage of postauricular abcess 724
Antral washouts 1,052
Punch biopsies for nasal and oropharyngeal tumours 1,032
Nasal polypectomy 1,844
Excision lesion gingiva/alveolar - laser 2,836
Rigid endoscopic procedure 808
Examination under microscope 1,361
Operculectomy oral 1,348
Incision and drainage orofacial abscess 540
Nasal packing - anterior 1,060
Biopsy 1,032
Removal of foreign body - nose 808
Removal of foreign body - ear 778
Removal foreign body - throat 1,352
Alveolectomy/Alveoplasty - maxilla < 4cm 654
152
Alveolectomy/Alveoloplasty - mandible < 4cm 654
Antral washout 1,052
Wiring dental upper arch 589
Wiring dental lower arch 589
Temp. reduction + fixation - midfacial bone 588
Temp. reduction + fixation - mandible 588
Aural polypectomies and biopsies 1,153
Drainage of peritonsillar abscess 771
Drainage of postauricular abscess 724
Removal of foreign bodies from nose 808
Removal of foreign bodies from throat 1,352
Per oral removal of salivary calculus 1,841
Submucous diathermy of nasal turbinates 852
Functional Endoscopic Sinus Surgery (FESS)
3,143
Myringoplasty with atticotomy - right 3,160
Myringotomy with insertion tube - right 1,525
Myringotomy with insertion tube - left 1,525
Bronchoscopy 1,499
Rigid endoscopic procedure 808
Examination under microscope 1,361
Acoustic neuroma surgery 16,224
Atticotomy - right 3,583
Implantation cochlear prosthesis device - right
14,789
Implantation cochlear prosthesis device - left
14,789
Extended frontal sinus surgery - bicoronal flap - right 5,000
Extended frontal sinus surgery - bicoronal flap - left 5,000
153
Excision glomus tumour - lateral skullbase - right 19,927
Excision glomus tumour - lateral skullbase - left 19,927
Laryngotracheal reconstruction - with cartilage 12,880
Laryngectomy + pharyngectomy + reconstruction 7,004
COMMANDO operation - with reconstruction 26,776
Laryngopharygectomy total + reconstruction 23,209
Total laryngopharyngo - oesophag + reconstruction 29,214
Partial resection of temporal bone and reconstruction - right 10,266
Partial resection of temporal bone and reconstruction - left 10,266
Partial resection of temporal bone - right 10,266
Partial resection of temporal bone - left 10,266
Petrosectomy - right 10,266
Petrosectomy - left 10,266
Total resection temporal bone and reconstruction - right 10,266
Total resection temporal bone and reconstruction - left 10,266
Total resection temporal bone - right 10,266
Total resection temporal bone - left 10,266
Craniofacial surgery - with reconstruction 16,270
Vestibular neurectomy 19,814
Cochlear neurectomy 19,814
Intranasal endoscopic optic nerve decompression 6,305
Endoscopic repair CSF rhinorrhoea - autograft 4,763
Endoscopic repair CSF rhinorrhoea - allograft 4,770
Facial nerve repair with grafting - right 6,344
Facial nerve repair with grafting - left 6,344
Facial - hypoglossal nerve anastomosis - right 7,806
154
Facial - hypoglossal nerve anastomosis - left 7,806
Facial nerve repair - right 6,506
Facial nerve repair - left 6,506
Endo dacryocystorhinostomy - right 5,017
Endo dacryocystorhinostomy - left 5,017
Intranasal (endoscopic) orbital decompression - right 6,305
Intranasal (endoscopic) orbital decompression - left 6,305
Rhinoplasty, augmentation - open - autograft 6,621
Rhinoplasty, augmentation - open - allograft 6,629
Rhinoplasty, augmentation - close - autograft 6,631
Rhinoplasty, augmentation - close - allograft 6,639
Rhinoplasty, reduction (hump/tip/alar)
6,631
Stapedotomy - with prosthesis - right 3,588
Stapedotomy - with prosthesis - left 3,588
Endoscopic ligation maxillary artery 2,548
Endoscopic ligation sphenopalatine artery 2,548
Ligation maxillary artery (transantral)
3,068
Anterior ethmoidal artery cautery 2,548
Labyrinthectomy - membraneous - right 5,673
Labyrinthectomy - membraneous - left 5,673
Labyrinthectomy - osseous - right 5,763
Labyrinthectomy - osseous - left 5,763
Tympanic neurectomy - right 3,137
Tympanic neurectomy - left 3,137
Vestibular neurect - retrolabyrinthine - right 16,304
Vestibular neurect - retrolabyrinthine - left 16,304
155
Vestibular neurect - translabyrinthine - right 16,304
Vestibular neurect - translabyrinthine - left 16,304
Vidian nerve neurectomy - endoscopic 3,568
Vidian nerve neurectomy - transantral 3,318
Excision pinna, partial + reconstruction (autograft) - right 5,480
Excision pinna, partial + reconstruction (autograft) - left 5,480
Excision pinna, partial + reconstruction (allograft) - right 4,980
Excision pinna, partial + reconstruction (allograft) - left 4,980
Stapedectomy - with prosthesis - right 3,687
Stapedectomy - with prosthesis - left 3,687
Mastoidectomy - cortical - right 4,496
Mastoidectomy - cortical - left 4,496
Mastoidectomy - modified radical-right 5,306
Mastoidectomy - modified radical - left 5,306
Excision lesion - int auditory canal - right 16,324
Excision lesion - int auditory canal - left 16,324
Biopsy - sinus maxillary - right (endoscopic)
2,934
Biopsy - sinus maxillary - left (endoscopic)
2,934
Excision lesion - frontal sinus - right (endoscopic)
3,184
Excision lesion - frontal sinus - left (endoscopic)
3,184
Biopsy - sinus frontal - right (endoscopic)
3,184
Biopsy - sinus frontal - left (endoscopic)
3,184
Ethmoidectomy - external - right (with endoscope)
2,854
Fronto - ethmoidectomy - endoscopic - right 3,464
Fronto - ethmoidectomy - endoscopic - left 3,464
Fronto - ethmoidectomy extended - right 3,464
156
Fronto - ethmoidectomy extended - left 3,464
Ethmoidectomy - intranasal - right 2,019
Ethmoidectomy - intranasal - left 2,019
Ethmoidectomy - extended - right 2,269
Ethmoidectomy - extended - left 2,269
Excision lesion - ethmoid sinus - right 3,214
Excision lesion - ethmoid sinus - left 3,214
Ethmoidectomy - external - right 3,464
Ethmoidectomy - external - left 3,464
Biopsy - sinus ethmoidal - right 3,214
Biopsy - sinus ethmoidal - left 3,214
Sphenoidectomy - right 1,974
Sphenoidectomy - left 1,974
Excision lesion - sphenoid sinus - right 1,974
Excision lesion - sphenoid sinus - left 1,974
Biopsy - sinus sphenoidal - right 1,974
Biopsy - sinus sphenoidal - left 1,974
Insertion of bone anchored hearing aid - right 2,644
Insertion of bone anchored hearing aid - left 2,644
Exploration middle ear - right 4,843
Exploration middle ear - left 4,843
Mastoid exploration - right 5,616
Mastoid exploration - left 5,616
Exploration frontal sinus - right 5,248
Exploration frontal sinus - left 5,248
Frontal recess exploration - right 3,803
157
Frontal recess exploration - left 3,803
Obliteration mastoid cavity - right 5,283
Obliteration mastoid cavity - left 5,283
Obliteration semicircular canal - right 5,566
Obliteration semicircular canal - left 5,566
Pinnaplasty - cartilage - right 6,284
Pinnaplasty - cartilage - left 6,284
Pinnaplasty - prosthesis - right 6,524
Pinnaplasty - prosthesis - left 6,524
Division adhesions middle ear - right 3,904
Division adhesions middle ear - left 3,904
Pinnaplasty - lobule reposition - right 3,650
Pinnaplasty - lobule reposition - left 3,650
Excision pinna, total + reconstruction (autograft) - right 6,663
Excision pinna, total + reconstruction (autograft) - left 6,663
Excision pinna, total + reconstruction (allograft) - right 6,663
Excision pinna, total + reconstruction (allograft) - left 6,663
Excision glomus tumour - transtympanic - right 5,166
Excision glomus tumour - transtympanic - left 5,166
Mastoidectomy - radical - right 5,813
Mastoidectomy - radical - left 5,813
Excision glomus tumour - transmastoid - right 6,066
Excision glomus tumour - transmastoid - left 6,066
Rhinectomy 3,928
Excision postnasal space tumours - open 8,951
Resection angiofibroma - endoscopic 9,059
158
Resection angiofibroma - external 9,076
Resection angiofibroma - transpalatal 7,224
Fronto - ethmoidectomy - right 4,053
Fronto - ethmoidectomy - left 4,053
Transphenoidal hypophysectomy - endoscopic - right 8,434
Transphenoidal hypophysectomy - endoscopic - left 8,434
Transphenoidal hypophysectomy - transantral - right 8,434
Transphenoidal hypophysectomy - transantral - left 8,434
Transphenoidal hypophysectomy - sublabial - right 8,434
Transphenoidal hypophysectomy - sublabial - left 8,434
Transphenoidal hypophysectomy - transeptal - right 8,434
Transphenoidal hypophysectomy - transeptal - left 8,434
Pinnaplasty - revision - right 8,581
Pinnaplasty - revision - left 8,581
Meatoplasty - ear - revision - right 2,737
Meatoplasty - ear - revision - left 2,737
Canalplasty - ear - revision - right 6,253
Canalplasty - ear - revision - left 6,283
Mastoidectomy - revision - right 5,093
Mastoidectomy - revision - left 5,093
Rhinoplasty, revision - autograft 5,215
Rhinoplasty, revision - allograft 5,215
Tracheal stenosis - resection and anastomosis 9,328
Sliding tracheoplasty - autograft 9,328
Sliding tracheoplasty - syn. substitute 9,328
Closure tracheocutaneous fistula - flap 3,953
159
Tracheal stenosis rep - extraluminal device 4,146
Tracheal stenosis rep - intraluminal device 3,016
Closure tracheocutaneous fistula 2,948
Closure tracheo - oesophageal fistula - flap 9,078
Closure tracheo - oesophageal fistula 7,225
Cricotracheal resection 9,073
Pharyngotomy 1,986
Cricothyroidotomy tube insertion 1,500
Pharyngectomy, partial + reconstruction 13,953
Pharyngectomy, partial + reconstruction 13,953
Excision pharyngeal pouch - open 4,841
Excision pharyngeal pouch - close 3,103
Pharyngectomy, partial (laser) + reconstruction 13,910
Pharyngectomy, partial (laser)
5,422
Arytenoidectomy - external - left 8,788
Arytenoidectomy - with laser - left 2,116
Arytenoidectomy - external - right 8,788
Arytenoidectomy - with laser - right 2,116
Laryngectomy - partial 5,770
Laryngectomy - near total 6,743
Laryngectomy - partial - laser 5,562
Laryngeal stenosis rep - extraluminal device 3,298
Laryngeal stenosis rep - intraluminal device 3,298
Laryngeal stenosis rep - external 3,298
Closure pharyngocut fistula - flap 8,828
Closure pharyngocut fistula - primary 7,475
160
Epiglottopexy 2,696
Laryngeal fracture - rep - allograft 8,221
Laryngeal fracture - rep - autograft 8,221
Laryngotracheal reconstruction - castellation 8,156
Construction neoglottis 9,578
Chondroplasty larynx - with implant 9,578
Cordopexy - right 2,116
Arytenoid add/rot/medial - implant - left 4,040
Arytenoid add/rot/medial - implant - right 4,040
Pharyngectomy, total + reconstruction 14,953
Laryngectomy - total 6,493
Excision laryngocele 4,083
Superficial parotidectomy - left 5,996
Excision pharyngeal cyst - right 3,249
Excision pharyngeal cyst - left 3,249
Neck dissection - modified - right 4,339
Neck dissection - modified - left 4,339
Neck dissection - selective - right 4,339
Neck dissection - selective - left 4,339
Excision of neck lesion - right 1,861
Excision of neck lesion - left 1,861
Cordopexy - laser - right 6,231
Cordopexy - laser - left 6,231
Chondroplasty of larynx 3,363
Fronto - ethmoidectomy extended - endoscopi 8,809
Facial - hypoglossal nerve anastomosis - right 9,820
161
Facial - hypoglossal nerve anastomosis - left 9,820
Exploration of facial nerve - right 5,866
Exploration of facial nerve - left 5,866
Facial nerve repair with grafting - right 9,361
Facial nerve repair with grafting - left 9,361
Facial nerve repair - right 5,748
Laryngeal fracture - repair 4,333
Laryngotracheoplasty 4,333
Laryngotracheal reconstruction - anterior 8,828
Neck exploration 3,203
Superficial parotidectomy - right 5,996
Pharyngoplasty 4,461
Sphenoidectomy - left 5,365
Sphenoidectomy - right 5,365
Stapedectomy - left 5,115
Stapedectomy - right 5,115
Tracheal stenosis repair - external 4,583
Drainage abscess - mastoid - right 1,327
Drainage abscess - mastoid - left 1,327
Antrostomy - Caldwell - Luc - right 1,694
Antrostomy - Caldwell - Luc - left 1,694
Excision pinna, partial without reconstruction - right 2,573
Excision accessory auricle - right 1,324
Excision pinna, partial without reconstruction - left 2,573
Excision lesion - bony - external auditory canal - right 1,383
Excision lesion - bony - external auditory canal - left 1,383
162
Adenoid currettage 982
Excision postnasal space tumours - endoscopic 5,666
Biopsy adenoid 825
Excision postnasal tumours - transpalatal 5,636
Ligation ethmoidal vessel - external 2,948
Ligation ethmoidal vessel - endoscopic 4,060
Reattachment pinna - right 3,536
Reattachment pinna - left 3,536
Release nasal synechiae 1,890
Removal nasal implants 1,887
Suturing - ear - right 954
Suturing - ear - left 954
Myringoplasty with atticotomy - right 4,881
Myringoplasty with atticotomy - left 4,881
Repair vestibular stenosis with reconstruction 3,318
Septorhinoplasty - close 5,090
Septoplasty - endoscopic 3,510
Reduction nasal bone fracture 1,210
Septorhinoplasty - open 5,215
Septoplasty 2,140
Repair perforation nasal septum 2,708
Submuc. resection nasal septum 1,335
Enlargement nasal septum perforation 1,700
Excision pinna, total without reconstruction - left 2,581
Excision preauricular cyst - right 2,129
Excision preauricular sinus - right 2,129
163
Excision pinna, total without reconstruction - right 2,456
Excision preauricular cyst - left 2,129
Excision preauricular sinus - left 2,129
Polypectomy with micro - debrider - endoscopic 2,398
Polypectomy - intranasal 2,391
Resection maxillary sinus mucus (Caldwell - Luc) - right 1,951
Resection maxillary sinus mucus (Caldwell - Luc) - left 1,951
Replacement tracheal stent - open 2,956
Placement tracheal stent - open 2,956
Removal tracheal stent - open 2,956
Tracheal stenosis - laser 4,168
Arrest post tonsillectomy haemorrhage 1,665
Endo cautery pharyngocutaneous fistula 1,933
Dilatation pharynx 1,676
Marsupialisation pharyngeal cyst 1,683
Marsupialisation laryngeal cyst 1,683
Biopsy lesion pharynx 1,116
Excision arytenoid lesion - left 1,866
Excision arytenoid lesion - right 1,866
Uvulectomy with parightial palatectomy 1,540
Excision lesion - oropharynx 2,215
Biopsy lesion hypopharynx 1,676
Excision lesion - hypopharynx 1,866
Uvulectomy 1,540
Biopsy tonsil 1,532
Biopsy lesion larynx - open 1,353
164
Endoscopic microlaryngeal surgery 1,873
Endoscopic microlaryngeal surgery - with laser 1,873
Cordectomy vocal cord - without laser - right 1,866
Cordectomy vocal cord - with laser - right 1,866
Cordectomy vocal cord - left 1,866
Cordectomy vocal cord - laser assisted - left 1,866
Release pharyngeal adhesions - open 2,913
Laryngeal stenosis rep - endoscopic 3,030
Laryngeal stenosis rep - with laser 3,030
Endoscopic removal prosthesis from larynx 1,873
Endoscopic stapling pharyngeal pouch 2,853
Inversion pharyngeal pouch 2,850
Uvulopalatopharyngoplasty 2,830
Uvulopalatoplasty - laser assisted 2,827
Uvuloplasty 2,705
Uvuloplasty - laser assisted 2,702
Aryepiglottoplasty 1,676
Aryepiglottoplasty - laser assisted 1,905
Arytenoid add/rot/medial - left 1,968
Arytenoid add/rot /medial - right 1,968
Tonsillectomy 1,915
Adenoid – debrider 1,162
Excision of tumour - cervical 1,746
Biopsy of lesion - oesophagus 1,676
Excision of lesion - larynx 1,683
Excision of lesion - vocal cord - left - laser 1,866
165
Excision of lesion - vocal cord - right - laser 1,866
Excision of lesion - vocal cord - left 1,866
Excision of lesion - vocal cord - right 1,866
Laser ablation of turbinates 906
Submandibulectomy - right 2,041
Submandibulectomy - left 2,041
Change mastoid pack - right 722
Change mastoid pack - left 722
Insertion epistaxis balloon - left 895
Nasal cauterisation - diathemy 799
Nasal packing - posterior 715
Diathermy post nasal space 959
Excision pinna lesion - cautery - right 1,324
Excision lesion pinna - laser - right 1,311
Excision pinna lesion - cautery - left 1,324
Excision lesion pinna - laser - left 1,311
Intratympanic injection gentamycin - right 1,565
Intratympanic injection gentamycin - left 1,565
Cryotherapy superficial hemangioma 1,495
Dilation choanal stenosis 2,410
Myringotomy - right 854
Myringotomy - left 854
Marsupialisation concha bullosa 1,343
Drainage nasal septum 1,315
Antrostomy - intranasal - right 916
Antrostomy - intranasal - left 916
166
Frontal sinus trephining - right 923
Frontal sinus trephining - left 923
Cannulation and irrigation sphenoid sinus - right 1,343
Cannulation and irrigation sphenoid sinus - left 1,343
Nasal toilet under GA
1,307
Excision lesion - external auditory canal - right 1,029
Excision lesion - external auditory canal - left 1,029
Excision lesion - nasal cavity 937
Submucosa cauterisation nasal turbinates 937
Excision lesion - maxillary sinus - right 2,148
Excision lesion - maxillary sinus - left 2,148
Frontal sinusectomy - right 2,398
Frontal sinusectomy - left 2,398
Antrostomy - sphenoidal sinus - left 2,148
Insertion intranasal splints - left 840
Insertion intranasal splints - right 840
Ear examination under anaesthesia - right 1,487
Ear examination under anaesthesia - left 1,487
Ear examination under microscope - right 1,487
Ear examination under microscope - left 1,487
Tympanotomy - right 3,984
Tympanotomy - left 3,984
Endo examination under GA - nose 1,182
Nasopharyngoscopy - rigid 680
Antroscopy - intranasal - right 680
Antroscopy - intranasal - left 680
167
Frontal sinus obliteration - right 3,063
Frontal sinus obliteration - left 3,063
Intratympanic injection steroid - right 1,439
Intratympanic injection steroid - left 1,439
Myringoplasty - endaural approach - right 4,789
Myringoplasty - postaural approach - right 4,789
Myringoplasty - transcanal approach - right 4,789
Myringoplasty - endaural approach - left 4,789
Myringoplasty - postaural approach - left 4,789
Myringoplasty - transcanal approach - left 4,789
Correction choanal atresia - endoscopic 3,845
Correction choanal atresia - transnasal 3,845
Correction choanal atresia - transeptal 3,845
Correction choanal atresia - laser assisted 3,821
Correction choanal atresia - transpalatal 3,863
Turbinoplasty - endoscopic 1,190
Turbinoplasty - intranasal 1,190
Turbinoplasty - endo laser assisted 1,193
Tracheostomy - percutaneous 1,889
Tracheo - oesophageal valve change 1,182
Tracheostomy tube change 776
Ablation lesion trachea - laser 2,781
Dilatation trachea stenosis + stent 1,748
Dilatation trachea stenosis 1,748
Tracheal aspiration - bronchoscope 1,541
Tracheo - oesophageal puncture - primary 2,716
168
Tracheo - oesophageal puncture - secondary 2,386
Tracheal stoma lesion - biopsy 1,182
Bronchoscopic removal foreign body 1,186
Tracheo - oesophageal valve - insertion 1,362
Insertion tracheal stent 2,656
Bronchoscopy 1,676
Exploration tracheostomy 2,033
Endoscopic tracheascopy 1,689
Injection botulinum toxin - intralaryngeal 4,003
Ablation lesion pharynx - laser 4,041
Ablation lesion hypopharynx - laser 4,041
Ablation lesion vocal cord - right - laser 1,991
Ablation lesion vocal cord - left - laser 1,991
Division laryngeal web - external (implant)
2,781
Division laryngeal web - external 2,781
Division laryngeal web - endoscopic 2,781
Division laryngeal web - laser assisted 2,781
Drainage retropharyngeal abscess - oral 1,532
Drainage peritonsillar abscess 767
Endoscopic removal of foreign body from pharynx 1,429
Endoscopic removal of foreign body from larynx 1,429
Insertion laryngeal keel 2,823
Endoscopic examination larynx 991
Release pharyngeal adhesions - endoscopic 2,116
Injection for laryngeal palsy 1,991
Dilatation oesophageal stenosis 1,676
169
Insertion stent - oesophagus 3,105
Drainage parapharyngeal abscess - right 3,021
Drainage retropharygeal abscess - external - right 3,021
Drainage superficial neck abscess - right 1,331
Drainage parapharyngeal abscess - left 3,021
Drainage retropharygeal abscess - external - left 3,021
Drainage superficial neck abscess - left 1,106
Ablation of lesion - oesophagus 2,116
Excision of pinna lesion - left 1,414
Excision of pinna lesion - right 1,414
Excision postnasal space tumours - trans 970
Insertion epistaxis balloon - right 987
Insertion intranasal splints 840
Grafting skin neck 850
Drainage of head abscess 1,629
Wound debridement of head/neck 2,004
Tracheal stoma stenosis - repair - open 2,033
Tracheal stoma stenosis - repair - laser 1,991
Tympanotomy - left 3,104
Uncinectomy - left 2,015
Uncinectomy - right 2,015
Nasal packing - anterior 660
Nasal cauterization - chemical 1,004
Excision lesion pinna - cryosurgery - right 1,307
Excision lesion pinna - cryosurgery - left 1,307
Steroid infiltration nasal lesion - external 722
170
Steroid infiltration nasal lesion - intranasal 722
Drainage abscess - postauricular - right 1,331
Drainage - pinna - right 1,331
Drainage abscess - postauricular - left 1,331
Drainage - pinna - left 1,331
Biopsy lesion - pinna - right 1,315
Biopsy lesion - pinna - left 1,315
Biopsy lesion - external auditory canal - right 1,307
Biopsy lesion - external auditory canal - left 1,307
Excision external nasal lesion 1,324
Excision external nasal lesion - cryotherapy 1,307
Excision external nasal lesion - laser 1,311
Biopsy - post nasal space (nasopharynx)
722
Removal of foreign body - external auditory canal - right 777
Removal of foreign body - external auditory canal - left 777
Removal of foreign body - middle ear - right 3,992
Removal of foreign body - middle ear - left 3,992
Removal of foreign body - inner ear - right 8,481
Removal of foreign body - inner ear - left 8,481
Removal of nasal foreign body 722
Removal of impacted wax - right 777
Removal of impacted wax - left 777
Removal of mastoid pack - right 777
Removal of mastoid pack - left 777
Aural polypectomy - right 1,307
Aural polypectomy - left 1,307
171
Ablation lesion oropharynx - laser 5,640
Removal of foreign body - oesophagus 1,318
Toilet and suturing of head/neck 829
Antral washout - Caldwell - Luc - right 1,826
Antral washout - right 895
Antral washout - Caldwell - Luc - left 1,826
Antral washout - left 895
Biopsy - lesion external nose 777
Biopsy - nasal cavity 722
Biopsy - lesion nasal turbinate 777
Biopsy - lesion nasal septum 777
Removal of ventilation tube - right 777
Removal of ventilation tube - left 777
Biopsy - lymph node - neck - left 1,324
Biopsy - lymph node - neck - right 1,324
Biopsy of tongue lesion 777
Drainage of pre auricular sinus abscess 1,324
Examination under anaesthesia with biopsy 2,112
Examination under anaesthesia 777
FNAC lymph node 794
Release of tongue tie 777
PERGIGIAN
Open reduction and fixation of fractured mandible 2744
Reduction and cranio - maxillary fixation of midface fracture 6,395
172
Open reduction and fixation of zygomatic complex fracture 4,949
Major repair of oro-facial wounds 10,130
Surgery of massive cysts of the jaw 2,931
Surgery of oral cancer 12,388
Resection and reconstruction of the jaws 4,536
Temporomandibular joint surgery 11,859
Surgical correction of developmental jaw deformity 14,620
Preprosthetic surgery 4,893
Surgical procedure utilizing plates/implant systems 3,420
Management of severe infections of the jaw with surgery 1,600
Surgery of salivary glands 3,377
Repair of cleft lip and cleft palate
7,355
Closed reduction and immobilization of jaw fractures 2,310
Elevation of depressed fractures of zygoma 4,729
Excision of benign lesions 6,733
Surgical removal of impacted teeth and unerupted teeth 2,727
Periodontal surgery - per quadrant 1,459
Removal of root in antrum and close of oroantral fistula 2,712
Periodontal graft 4,032
Treatment using laser 3,712
Removal of salivary calculus 1,841
Repair of minor orofacial lacerations 1,228
Extraoral incision and drainage of abscess 540
Enucleation or marsupialization of cysts of the jaw 1,348
Cervical lymph node biopsy 981
Intraoral incision and drainage 540
173
Incision biopsy - intraoral 933
Alveolectomy 589
Apicectomy 2,290
Surgical removal of root 2,712
Frenectomy 1,310
Management of infected socket 269
Management of traumatic injury - per tooth 589
Toilet and suture of superficial wounds 1,341
Augmentation - alveolar bone - 4cm - allograft 3,327
Ablat. lesion retromolar area - cryosurgery 1,403
Excision lesion maxilla 3,071
Removal of foreign body - orofacial - simple 901
Removal of foreign - orofacial - complicated 2,544
Place temporary restoration - deciduous 662
Place temporary restrotation - permanent 662
Extraction of retained root - permanent 932
Repair of dentures 358
Antralplasty maxillary + bone autograft - right 4,432
Antralplasty maxillary + allograft - right 3,677
Antralplasty maxillary + bone autograft - left 4,432
Antralplasty maxillary + allograft - left 3,427
Excision lesion upper lip - > 2cm with autograft 2,232
Excision lesion upper lip - > 2cm with allograft 3,877
Excision lesion lower lip - > 2cm with autograft 3,232
Excision lesion lower lip - > 2cm with allograft 8,703
Excision lesion hard palate - > 2cm with autograft 3,236
174
Excision lesion hard palate - > 2cm with allograft 7,008
Excision lesion soft palate - > 2cm with autograft 3,234
Excision lesion soft palate - > 2cm with allograft 6,859
Excision lesion buccal - > 2cm with autograft 3,468
Excision lesion buccal - > 2cm with allograft 7,111
Excision lesion gingiva/alveolar + allograft > 2cm 3,236
Excision lesion gingiva/alveolar - > 2cm 3,236
Glossectomy, partial + autograft - laser 7,460
Glossectomy, partial + autograft 7,460
Total parotidectomy + facial and reconstruction 4,926
Extended parotidectomy + facial and reconstruction 11,026
Superficial parotidectomy 4,926
Total parotidectomy 5,913
Extended parotidectomy 7,221
Excision sublingual gland 3,677
Excision submandibular gland 2,119
Excision lesion floor of mouth > 2cm + autograft 7,113
Excision lesion floor of mouth > 2cm + allograft 3,486
Cleft lip repair 3,530
Cleft hard palate repair 4,140
Cleft soft palate repair 4,140
Vestibuloplasty - gingiva/alveolar < 1 qua 2,616
Vestibuloplasty - gingiva/alveolar 3,486
Glossectomy, total + partial laryngectomy 9,917
Glossectomy, total + total laryngectomy 9,917
Augmentation - zygomatic complex - autograft 5,919
175
Augmentation - zygomatic complex - allograft 4,655
Augmentation - alveolar bone = 4cm - autograft 5,036
Augmentation - alveolar bone > 4cm - autograft 5,193
Augmentation - alveolar bone = 4cm - allograft 4,785
Augmentation - alveolar bone > 4cm - allograft 5,037
Augmentation - chin - autograft - bone graft 4,905
Augmentation - chin - allograft 4,655
Enucleation maxilla + bone autograft - = 4cm 5,922
Enucleation maxilla + bone autograft - > 4cm 5,922
Maxillectomy, partial - external + autograft 9,810
Enucleation lesion maxilla - > 4cm + allograft 3,820
Maxillectomy, partial - external 5,906
Maxillectomy, partial - endoscopic 5,002
Maxillectomy, partial - i/oral + autograft 8,946
Maxillectomy, partial - intraoral 4,916
Enucleation mandible + bone autograft - = 4cm 7,301
Enucleation mandible + bone autograft - > 4cm 7,342
Mandibulectomy, marginal + bone autograft 7,842
Mandibulectomy, segmental + bone autograft 8,627
Enucleation mandible + allograft - > 4cm 6,221
Mandibulectomy, marginal + allograft 6,221
Mandibulectomy, segmental + allograft 6,856
Mandibulectomy - segmental 6,606
Alveolar bone grafting 6,287
Open reduction and internal fixation - midfacial bone 7,726
Internal fixation panfacial - mandible 6,431
176
Exploratory orbital floor + bone autograft 8,765
Exploratory orbital floor + allograft 6,728
Exploratory orbital floor + bone autograft - endo 8,510
Exploratory orbital floor + allograft - endo 6,711
Open reduction and internal fixation - mandible 2,744
Reconstruction - maxilla - = 4cm - autograft 5,872
Reconstruction - maxilla - > 4cm - autograft 7,372
Reconstruction - maxilla - free flap 15,454
Reconstruction - maxilla - = 4cm - allograft 6,552
Reconstruction - maxilla - > 4cm - allograft 7,702
Reconstruction - mandible = 4cm - autograft 5,629
Reconstruction - mandible > 4cm - autograft 7,387
Reconstruction - mandible - free flap 15,516
Reconstruction - mandible = 4cm - allograft 4,806
Reconstruction - mandible > 4cm - allograft 5,706
Distraction osteogenesis - alveolar bone 3,790
Osteotomy - midfacial - Le Fort 1 - autograft 16,808
Osteotomy - midfacial - Le Fort 2 - autograft 19,557
Osteotomy - midfacial - Le Fort 3 - autograft 21,502
Distraction osteogenesis - midfacial bone 14,025
Osteotomy - midfacial bones - segmental 7,873
Osteotomy - midfacial - Le Fort 1 13,924
Osteotomy - midfacial - Le Fort 2 15,672
Osteotomy - midfacial - Le Fort 3 18,718
Distraction osteogenesis - mandible 14,026
Osteotomy - mandible - segmental 7,685
177
Osteotomy - mandible - genioplasty 6,000
Osteotomy - mandible - ramus 12,120
Osteotomy - mandible - body 11,870
Maxillectomy external + autograft 13,995
Maxillectomy, total + autograft 13,997
Maxillectomy external + orbital exenteration + reconstruction 31,785
Maxillectomy, external + orbital exenteration 22,003
Maxillectomy, total 12,040
Internal fixation panfacial - midfacial bones 12,489
Temporomandibular Joint (TMJ) - eminence augmentation 11,287
Temporomandibular Joint (TMJ) - condylotomy 6,822
Temporomandibular Joint (TMJ) - arch downfracture 6,822
Temporomandibular Joint (TMJ) - myotomy 6,822
Temporomandibular Joint (TMJ) - arthrocentesis 1,882
Temporomandibular Joint (TMJ) - discectomy with implant 6,822
Temporomandibular Joint (TMJ) - synovectomy 6,822
Temporomandibular Joint (TMJ) - discectomy 6,822
Temporomandibular Joint (TMJ) - arthroscopy - diagnostic - with biopsy
2,089
Temporomandibular Joint (TMJ) - arthroscopy - debridement 2,089
Temporomandibular Joint (TMJ) - non arthroscopy - therapy lavage +
lysis
2,089
Temporomandibular Joint (TMJ) - arthroscopy - therapy lavage + lysis
2,089
Temporomandibular Joint (TMJ) - arthroscopy - diagnostic - wtihout biopsy
2,089
Suture soft tissue orofacial - complicated 8,556
Temporomandibular Joint (TMJ) - arthroplasty - interposition autograft
8,449
178
Temporomandibular Joint (TMJ) - arthroplasty - interposition allograft
5,564
Temporomandibular Joint (TMJ) - disc repair 3,575
Temporomandibular Joint (TMJ) - arthroplasty - gap 4,075
Temporomandibular Joint (TMJ) - joint reconstruction - autograft 14,859
Temporomandibular Joint (TMJ) - joint reconstruction - allograft 12,075
Temporomandibular Joint (TMJ) - reduction - open 7,275
Temporomandibular Joint (TMJ) - capsular plication 6,698
Temporomandibular Joint (TMJ) - disc repositioning + stabilization
6,698
Reposition muscle attachment - oral 6,698
Temporomandibular Joint (TMJ) - condylectomy 6,698
Temporomandibular Joint (TMJ) - coronoidectomy 6,448
Temporomandibular Joint (TMJ) - eminectomy 6,698
Temporomandibular Joint (TMJ) - arthroscopy - synovectomy 2,339
Temporomandibular Joint (TMJ) - arthroscopy - discectomy 2,339
Revision suture - orofacial - complicated 5,365
Maxillectomy, partial - endoscopic 6,402
Trigeminal nerve repositioning 6,751
Implant maxillofacial surgery stage 1 - orbit - right 5,420
Implant maxillofacial surgery stage 1 - orbit - left 5,420
Implant maxillofacial surgery stage 1 - ext ear - right 5,406
Implant maxillofacial surgery stage 1 - ext ear - left 5,406
Implant maxillofacial surgery stage 1 - ext ear - bilateral 5,406
Implant maxillofacial surgery stage 1 - nose 5,407
Ablation lesion upper lip - cryosurgery 1,503
Ablation lesion upper lip - laser 1,648
Ablation lesion lower lip - cryosurgery 1,503
179
Ablation lesion lower lip - laser 1,648
Ablation hard palate lesion - cryosurgery 1,503
Ablation hard palate lesion - laser 1,648
Ablation lesion soft palate - cryosurgery 1,503
Ablation lesion soft palate - laser 1,648
Ablation buccal lesion - cryosurgery 1,503
Ablation buccal lesion - laser 1,648
Ablation lesion retromolar area - cryosurgery 1,503
Ablation lesion retromolar area - laser 1,648
Ablation lesion tongue - cryosurgery 1,503
Ablation lesion tongue - laser 1,648
Ablation lesion floor of mouth - cryosurgery 1,503
Ablation lesion floor of mouth - laser 1,648
Excision lesion upper lip - = 2cm with autograft
4,376
Excision lesion upper lip - = 2cm with allograft 2,410
Excision lesion upper lip - laser 1,664
Excision lesion upper lip - = 2cm 2,204
Excision lesion upper lip - > 2cm 3,577
Excision lesion lower lip - = 2cm with autograft 4,376
Excision lesion lower lip - = 2cm with allograft 2,410
Excision lesion lower lip - laser 2,962
Excision lesion lower lip - = 2cm 2,205
Excision lesion lower lip - > 2cm 3,827
Excision lesion hard palate - = 2cm with autograft 4,376
Excision lesion hard palate - = 2cm with allograft 2,410
Excision lesion hard palate - laser 2,961
180
Excision lesion hard palate - = 2cm 2,291
Excision lesion hard palate - > 2cm 3,668
Excision lesion soft palate - = 2cm with autograft 4,446
Excision lesion soft palate - = 2cm with allograft 2,479
Excision lesion soft palate - laser 3,712
Excision lesion soft palate - = 2cm 2,292
Excision lesion soft palate - > 2cm 3,933
Excision lesion buccal - = 2cm with autograft 4,460
Excision lesion buccal - = 2cm with allograft 2,479
Excision lesion buccal - laser 2,975
Excision lesion buccal - = 2cm 2,309
Excision lesion buccal - > 2cm 3,933
Excision lesion gingiva/alveolar + autograft = 2cm 2,815
Excision lesion gingiva/alveolar + allograft = 2cm 3,063
Operculectomy oral - laser 1,810
Excision lesion gingiva/alveolar - = 2cm 2,292
Glossectomy,partial - laser 2,962
Excision lesion tongue - = 2cm 2,296
Excision lesion tongue - > 2cm 3,933
Glossectomy, partial 2,304
Frenectomy - laser 1,310
Excision lesion floor of mouth = 2cm + autograft 4,475
Excision lesion floor of mouth = 2cm + allograft 2,260
Excision lesion floor of mouth - laser 2,010
Excision lesion floor of mouth - = 2cm 2,309
Excision lesion floor of mouth - > 2cm 3,931
181
Removal parotid duct calculus - open 2,041
Removal parotid duct calculus - closed 2,041
Removal submandibular duct calculus - open 1,941
Removal submandibular duct calculus - closed 1,841
Vestibuloplasty - gingiva/alveolar - autograft 4,132
Repair parotid duct 1,941
Repair submandibular duct 1,941
Reposition parotid duct 2,859
Reposition submandibular duct 2,859
Excision maxilla + reconstruction - bone autograft 5,036
Enucleation lesion maxilla - = 4cm + allograft 3,270
Excision maxilla + reconstruction - allograft 4,320
Enucleation lesion maxilla - = 4cm 3,370
Enucleation lesion maxilla - > 4cm 3,310
Excison lesion maxilla 3,371
Exc mandible + reconstruction - bone autograft 9,690
Enucleation mandible + allograft - = 4cm 3,622
Excision mandible + reconstruction - allograft 6,086
Enucleation lesion mandible - = 4cm 3,045
Enucleation lesion mandible - > 4cm 3,311
Mandibulectomy, marginal 3,048
Excision lesion mandible 3,031
Exploratory orbital floor 6,414
Exploratory orbital floor - endoscopic 4,024
Elevation maxillofacial - zygomatic arch 4,829
Closed reduction + fixation - midfacial bone 2,410
182
Closed reduction + fixation - mandible 2,410
Implant dental stage 1 surgery - maxilla 2,731
Implant dental stage 1 surgery - mandible 2,481
Implant maxillofacial surgery stage 1 - face 2,729
Excision lesion gingiva/alveolar - laser 2,729
Excision lesion tongue - laser 2,729
Gingivectomy - laser 1,615
Closure oro - antral fistula 2,549
Control of haemorrhage - post extraction 1,027
Removal impacted/unerupted tooth - complic 2,927
Removal displaced tooth/root 2,912
Transplantation tooth 2,912
Control of haemorrhage - lesion 2,403
Ablation lesion orofacial - cryosurgery 1,621
Ablation lesion orofacial - laser 1,866
Implant maxillofacial surgery stage 1 - midface 3,607
Trigeminal nerve cryotherapy 1,127
Marsupialisation upper lip 1,448
Marsupialisation lower lip 1,448
Marsupialisation hard palate soft tissue 1,448
Marsupialisation soft palate 1,448
Marsupialisation buccal soft tissue 1,448
Marsupialisation retromolar/palatoglossal arch 1,448
Marsupialisation tongue 1,462
Marsupialisation parotid duct 1,448
Marsupialisation submandibular duct 1,448
183
Marsupialisation floor of mouth 1,462
Operculectomy oral 1,448
Closure parotid gland fistula 2,212
Closure submandibular gland fistula 2,209
Marsupialisation bony maxilla 1,448
Marsupialisation bony mandible 1,448
Gingivectomy 1,559
Removal impacted/unerupted tooth - simple 1,427
Crown lengthening with ostectomy 1,442
Incision and drainage orofacial abscess 640
Examination/exploration - orofacial 1,605
Suture soft tissue orofacial - simple 1,328
Revision suture - orofacial - simple 1,332
Suture Removal (STO) extra - oral 574
Trigeminal nerve section 2,868
Biopsy - lymph node - open - facial 1,066
Biopsy - lymph node - tru - cut - facial 1,031
Biopsy - lymph node - tru - cut - neck - right 1,031
Biopsy - lymph node - tru - cut - neck - left 1,031
Implant maxillofacial surgery stage 2 - orbit - right 622
Implant maxillofacial surgery stage 2 - orbit - left 622
Implant maxillofacial surgery stage 2 - ext ear - right 622
Implant maxillofacial surgery stage 2 - ext ear - left 622
Implant maxillofacial surgery stage 2 - ext ear - bilateral 623
Implant maxillofacial surgery stage 2 - nose 623
Frenoplasty 1,410
184
Frenotomy 1,410
Biopsy - upper lip 1,033
Biopsy - lower lip 1,033
Biopsy - hard palate soft tissue 1,033
Biopsy - soft palate 1,033
Biopsy - buccal soft tissue 1,033
Biopsy - gingiva/alveolar soft tissue 1,033
Biopsy - retromolar/palatoglossal arch 1,033
Biopsy - tongue 1,033
Biopsy of lesion - parotid gland - tru - cut 1,033
Biopsy - floor of mouth 1,033
Ligation parotid duct 1,408
Ligation submandibular duct 1,408
Meatoplasty parotid duct 2,575
Meatoplasty submandibular duct orifice 2,575
Biopsy - maxilla 1,033
Implant dental stage 2 surgery - maxilla 603
Biopsy - mandible 1,033
Implant dental stage 2 surgery - mandible 603
Sequestrectomy - maxilla 1,016
Sequestrectomy - mandible 1,016
Removal dental implants - maxilla 1,641
Removal dental implants - mandible 1,641
Removal internal fixation - maxillofacial 1,641
Removal external fixation - maxillofacial 1,641
Removal maxillofacial implants 1,641
185
Implant maxillofacial surgery stage 2 - face 651
Alveolectomy/Alveoloplasty - mandible > 4cm 689
Alveolectomy/Alveoloplasty - mandible < 4cm 754
Alveolectomy/Alveoloplasty - maxilla > 4cm 689
Biopsy - lymph node - open - neck - left 1,066
Biopsy - lymph node - open - neck - right 1,066
Tooth hemisection 1,018
Apicectomy + R/G root filling - anterior tooth 1,858
Apicectomy + R/G root filling - posterior tooth 2,390
Apicectomy - anterior tooth 1,638
Apicectomy - posterior tooth 2,389
Removal tooth/root 754
Exposure tooth with placement attach 2,809
Exposure tooth without placement attach 1,339
Removal dental wires - upper arch 618
Removal dental wires - lower arch 618
Crown lengthening without ostectomy 737
Root resection 755
Debridement soft tissue orofacial 1,341
Implant maxillofacial surgery stage 2 - midface 604
Removal of foreign body - orofacial - simple 1,001
Removal of foreign body - orofacial - complicated 2,594
Fine needle aspiration cytology - orofacial 982
Injection medication - orofacial 1,949
Antral washout - Caldwell - Luc - right 1,949
Antral washout - Caldwell - Luc - left 1,949
186
Dilation parotid duct 1,427
Dilation submandibular duct 717
Temporary reduction + fixation - midfacial bone 737
Temporary reduction + fixation - mandible 732
Wiring dental upper arch 718
Wiring dental lower arch 718
Reimplantation tooth 2,199
Surgical reposition/stabilization of tooth 2,199
Non-surgical reposition/stabilization of tooth 1,302
Soft laser therapy - orofacial 402
Ultrasound therapy - oromaxillofacial 374
Excision of mucocoele 275
Localised periodontal flap - per tooth 300
Comprehensive treatment of early childhood caries 2,747
Inhalation sedation (nitrous oxide)
406
TRAUMATIK DAN ORTOPEDIK
Reattachment/revascularization of severed part(s)
7,505
Toilet and suture with reduction of major compound fractures and dislocations
2,421
Open reduction of dislocations - hip 4,523
Open reduction of dislocations - knee 3,328
Open reduction of dislocations - shoulder 3,328
Open reduction of dislocations - elbow 3,328
Open reduction of dislocations - ankle 3,328
Open reduction and internal of external fixation of major fractures 4,808
187
Crush injury with repair of tendon and/or nerve 5,156
Arthrotomies (for sepsis) - hip 2,823
Arthrotomies (for sepsis) - shulder 2,243
Patallectomy 2,243
Arthrotomies (for sepsis) - knee 2,243
Arthrotomies (for sepsis) - elbow 2,243
Arthrotomies (for sepsis) - ankle 2,243
Closed reduction of spine 1,808
Closed reduction of femur 1,808
Closed reduction of tibia/fibula 1,808
Closed reduction of humerus 1,808
Closed reduction of radius and ulna 1,808
Crush soft tissue injures - exploration, toilet and suture for extensive or multiple soft tissue injuries
1,178
Closed reduction of shoulder 1,558
Closed reduction of elbow 1,558
Closed reduction of knee 1,558
Closed reduction of hip 1,558
Closed reduction of ankle 1,558
Open reduction of metacarpophalangeal 2,338
Open reduction of inter - phalangeal 2,338
Open reduction of minor fractures with internal fixation (e.g.malleonar, olecranon etc.)
2,588
Toilet and suture of finger involving tendon/nerve 3,313
Closed reduction and immobilization of - colles fracture 1,558
Closed reduction and immobilization of - fractures of the carpus, metacarpals, tarsus, metatarsals and phalanges
2,048
188
Closed reduction and immobilization of - dislocation of PIP,IP,DIP joints of fingers toes
1,873
Closed reduction and immobilization of - ankle fractures 1,808
Removal of foreign bodies (needles, splinter, etc.)
1,148
Amputation of fingers and toes 1,933
Closed reduction/immobilization of scapula/clavicle 1,503
Application of traction - skull traction 1,289
Application of traction - skin traction with Thomas splint or Bohler
Braun frame
759
Application of traction - Steinmann pin insertion and traction 1,289
Removals of external fixators 1,199
Removals of external fixators : Kirschnir wires (k-wires)
1,024
Removals of external fixators : Steinmann pin 1,024
Removals of external fixators : Schantz screw etc.
1,024
Change of POP
714
Change of POP : POP slabs 710
Change of POP : u slabs 710
Change of POP : dorsal slabs 710
Change of POP : colles cast 710
Change of POP : above elbow cast 710
Change of POP : POP cylinder 710
Change of POP : POP boot 710
Change of POP : PTB cast 710
Change of POP : full length leg cast 715
Excision of bone tumour and reconstruction with free composite flap
(osteocutaneous or free fibular graft)
12,367
Composite tissue transfer e.g. free fibular or iliac crest graft 12,367
189
Amputations - forequarter, hindquarter 5,202
Total hip replacement - cemented or cementless 6,230
Revision total hip replacement 10,380
Total knee replacement, cemented or cementless 6,233
Revision total knee replacement 10,130
Spine - fusion and instrumentation 8,640
Spine - osteotomy, vertebrectomy 8,640
Spine - scoliosis with instrumentation 13,145
Amputation - above knee 4,511
Amputation - through knee 4,511
Amputation - below knee 4,511
Amputation - disarticulation of shoulder 3,016
Amputation - disarticulation of hip 4,511
Amputation - syme’s amputation 4,511
Amputation - mid - tarsal amputation 4,511
Excision of bone tumours and resection arthrodesis 6,730
Excision of myositis ossificans 2,842
Bone grafting 4,507
Deformities - correction of club foot complete soft tissue release including lengthening of tendons
4,105
Deformities - open reduction of congenital dislocation of hip 5,585
Arthrodesis - shoulder, hip, knee, ankle 4,647
Arthrodesis - triple arthrodesis 4,457
Tendon surgery - primary or secondary tendon suture 3,452
Tendon surgery - transplantation of tendon(s)
3,970
Transposition of peripheral nerves 2,670
Sequestrectemies 3,197
190
Tumour surgery - curretage of tumour and bone graft 2,842
Tumour surgery - excision biopsy of tumours 3,452
Osthotomies - neck of femur, supracondylav of femur upper tibia
4,511
Contracture release - hip 3,247
Contracture release - knee 3,247
Contracture release - neck (forticolis)
3,247
Correction of hallus varum/valgus deformities 3,627
Spine (cervical, thoracic or lumbar) - decompression 8,447
Spine (cervical, thoracic or lumbar) - laminectomy 7,887
Spine (cervical, thoracic or lumbar) - drainage of psoas abscess 3,249
Spine (cervical, thoracic or lumbar) - percutaneous discectomy 4,532
Spine (cervical, thoracic or lumbar) - exploration of spine with or without internal fixation
4,511
Shoulder - operation for recurrent dislocation 4,457
Hip - pelvic osteotomy/derotation osteotomy for congenital dislocation hip
7,657
Hip - hemiarthroplasty, unipolar/bipolar for fracture neck of femur
4,975
Knee - operative video arthroscopy 2,420
Knee - menisectomy 4,457
Foot - wedge tarsectomy 3,599
Release of finger contractures 3,534
Application/change of - plaster of paris cast 800
Application/change of - shoulder spica 800
Application/change of - hip spica 800
Application/change of - minerva jacket 800
Application/change of - scoliosis/localizer casts 800
Application/change of - spinal casts 800
191
Neutral position (manipulation and plaster of Paris following osteotomies)
800
Bone biopsy or excision of any bone 3,202
Osteotomy - osteoclasis 3,478
Removal of metal work (implants)
3,637
Excision biopsy of ganglion 1,930
Excision biopsy of popliteal cyst 1,924
Excision small cysts/tumours 1,924
Release and/or synovectomy for trigger finger/wrist joint 2,648
Correction of club foot - lengthening of tendon archilles only 1,221
Proximal radius - ulna - excision of head of radius 1,952
Manipulation of joint under general anaesthesia 1,442
Tumour surgery - incisional/marginal biopsy 1,905
Tenotomies (closed)
1,267
Arthrodesis - wrist 3,717
Arthrodesis - toe 2,053
Arthrodesis - finger 2,188
Proximal radius - ulna 3,728
Carpal tunnel release 1,918
Wadge resection of toe/finger nails 1,123
Avulsion of finger or toe nails 1,123
Aspiration of joints - knee 908
Aspiration of joints - elbow 908
Aspiration of joints - ankle 908
Incision and drainage 908
Arthroscopic ligament reconstruction - anterior 5,566
Arthroscopic ligament reconstruction - posterior 5,566
192
Arthroscopic ligament reconstruction - revision 5,566
Spinal fusion - anterior - cervical region 8,640
Spinal fusion - anterior - thoracic 8,640
Spinal instrumentation - anterior - cervical 8,640
Spinal instrumentation - posterior - cervical 8,640
Spinal instrumentation - thorocoscopic 8,640
Spinal instrumentation - anterior - thoracic 8,640
Spinal instrumentation - posterior - thoracic 8,640
Spinal instrumentation - posterior - lumbar 8,640
Spinal instrumentation - anterior - lumbar 8,640
Reconstruction of bony defect using autograft 3,689
Reconstruction of bony defect using prosthesis 10,931
Reconstruction of bony defect using allograft 8,304
Internal fixation - femur - intramedulla 3,003
Internal fixation - tibia - intramedulla 3,003
Spinal instrumentation - anterior - scoliosis 8,640
Spinal fusion - anterior - > 5 levels 8,640
Stabilization - open - shoulder joint - right 3,090
Arthroscopic stabilization - shoulder joint 3,090
Stabilization - open - shoulder joint - left 3,090
Arthroscopic stabilization - shoulder joint 3,090
Replacement - thoracic intervertebral 7,690
Revision arthroplasty - shoulder joint - right 3,562
Revision arthroplasty - shoulder joint - left 3,562
Revision arthroplasty - elbow joint - right 3,562
Revision arthroplasty - elbow joint - left 3,562
193
Revision arthroplasty - wrist joint - right 3,562
Revision arthroplasty - wrist joint - left 3,562
Spinal fusion - anterior - lumbosacral right 8,640
Reconstruction - Anterior Cruciate Ligament (ACL) - open - knee joint
3,940
Reconstruction - Posterior Cruciate Ligament (PCL) - open - knee joint
3,940
Arthroplasty - ankle joint - left 3,562
Revision of joint replacement - hip joint 10,380
Resection of tumour - spine with replacement 6,730
Exploration of wound - upper extremity - right 1,200
Replantation - upper arm - right 7,505
Replantation - upper arm - left 7,505
Replantation - forearm - right 7,505
Replantation - forearm - left 7,505
Replantation - wrist - right 7,505
Replantation - wrist - left 7,505
Replantation - hand - right 7,505
Replantation - hand - left 7,505
Replantation - thumb - right 7,505
Replantation - thumb - left 7,505
Replantation - index finger - right 7,505
Replantation - index finger - left 7,505
Replantation - middle finger - right 7,505
Replantation - middle finger - left 7,505
Replantation - ring finger - right 7,505
Replantation - ring finger - left 7,505
Replantation - little finger - right 7,505
194
Replantation - little finger - left 7,505
Revision arthroplasty - hand region - right 3,562
Revision arthroplasty - hand region - left 3,562
Transposition - finger - right 3000
Transposition - finger - left 3,000
Amputation - hemi pelvectomy (hindquater)
5,202
Arthrodesis - triple - foot - right 4,457
Arthrodesis - triple - foot - left 4,457
Reconstruction of bony defect using autograph 3,689
Reconstruction of bony defect using prosthesis 10,931
Reconstruction of bony defect using allograph 8,304
Reconstruction posterolateral complex 3,000
Exploration of wound - lower extremity - left 3,609
Exploration of wound - lower extremity - right 3,609
Arthroscopic tenotomy - biceps tendon - left 2,856
Arthroscopic tenotomy - biceps tendon - right 2,856
Peroneal tendoscopy - right 2,997
Peroneal tendoscopy - left 2,997
Arthroscopic repair - rotator cuff - right 1,986
Arthroscopic repair - rotator cuff - left 1,986
Reconstruction - achilles tendon (chronic)
1,845
Arthroscopic repair - rotator cuff - revision 3,361
Synovectomy - open - shoulder joint - right 2,648
Synovectomy - arthroscopic - shoulder joint 2,648
Synovectomy - open - shoulder joint - left 2,648
Synovectomy - arthroscopic - shoulder joint 2,648
195
Synovectomy - arthroscopic - elbow joint 2,648
Synovectomy - open - elbow joint 2,648
Synovectomy - arthroscopic - hip joint 2,648
Synovectomy - arthroscopic - knee joint 2,648
Synovectomy - arthroscopic - ankle joint 2,648
Ligament repair - elbow joint - right 2,811
Ligament repair - elbow joint - left 2,811
Ligament repair - wrist joint - right 2,811
Ligament repair - wrist joint - left 2,811
Ligament/capsule repair - hand - right 2,811
Ligament/capsule repair - hand - left 2,811
Ligament/capsule repair - upper extremities 2,811
Reconstruction ligament collateral - knee 2,416
Repair ligament - primary - knee joint 2,416
Reconstruction of ligament - ankle joint 2,416
Drainage of abscess of vertebra - cervic 3,855
Laminectomy - cervical 6,647
Laminectomy - thoracic 6,647
Biopsy of vertebra - thoracic region 2,282
Debridement - clavicle - right 5,960
Debridement - clavicle - left 5,960
Laminotomy - cervical 5,960
Laminotomy - thoracic 5,960
Corpectomy and fusion - cervical 7,500
Spinal fusion - posterior - cervical region 10,440
Corpectomy and fusion - thoracic 7,500
196
Spinal fusion - posterior - thoracic 8,640
Internal fixation of spine - odontoid sc 10,763
Laminoplasty - cervical 5,400
Laminoplasty - thoracic 5,400
Osteotomy - pelvic bone - right 7,907
Osteotomy - pelvic bone - left 7,907
Osteotomy - femur - right 5,007
Osteotomy - femur - left 5,007
Osteotomy - calcaneum - right 3,882
Osteotomy - calcaneum - left 3,882
Osteotomy - tibia - right 5,007
Osteotomy - tibia - left 5,007
Osteotomy - fibula - right 5,007
Osteotomy - fibula - left 5,007
Laminectomy - lumbar 6,647
Patellectomy - partial - right 3,670
Patellectomy - partial - left 3,670
Laminotomy - lumbar 5,960
Corpectomy and fusion - lumbar 7,500
Corpectomy and fusion - sacral 7,500
Foraminotomy 7,500
Laminoplasty - lumbar 5,400
Internal fixation - pelvic bone - right/left 4,808
External fixation of fracture - pelvic 4,808
Internal fixation - acetabulum - anterior 4,808
Internal fixation - acetabulum - posterior 4,808
197
Internal fixation - femur - proximal - right 4,808
Internal fixation - femur - proximal - left 4,808
Internal fixation - femur - shaft - right 4,808
External fixation of fracture - femur - right 4,808
Open reduction of fracture - femur - right 2,900
Internal fixation - femur - shaft - left 4,808
External fixation of fracture - femur - left 4,808
Open reduction of fracture - femur - left 2,900
Internal fixation - calcaneum - right 4,808
Internal fixation - femur - distal - left 4,808
Internal fixation - femur - distal - right 4,808
Internal fixation - patella - right 4,808
Internal fixation - calcaneum - left 4,808
Internal fixation - patella - left 4,808
Internal fixation - tibia - distal - right 4,808
Internal fixation - medial malleolus - right 4,808
Internal fixation - posterior malleolus 4,808
Internal fixation - tibia - shaft - right 4,808
External fixation of fracture - tibia - right 4,808
Open reduction of fracture - tibia - right 2,900
Internal fixation - tibia - proximal - left 4,808
Internal fixation - tibia - distal - left 4,808
Internal fixation - medial malleolus - left 4,808
Internal fixation - posterior malleolus 4,808
Internal fixation - tibia - shaft - left 4,808
External fixation of fracture - tibia - left 4,808
198
Open reduction of fracture - tibia - left 2,900
Internal fixation - lateral malleolus - right 4,808
Open reduction of fracture - fibula - right 2,900
Internal fixation - lateral malleolus - left 4,808
Open reduction of fracture - fibula - left 2,900
Internal fixation - talus - right 4,808
Internal fixation - talus - left 4,808
Spinal fusion - posterior -
(scoliosis)
8,640
Arthrodesis - shoulder joint - right 4,647
Arthrodesis - shoulder joint - left 4,647
Arthrodesis - elbow joint - right 4,647
Arthrodesis - elbow joint - left 4,647
Arthrodesis - wrist joint - right 3,717
Arthrodesis - wrist joint - left 3,717
Arthrotomy - shoulder joint - right 1,993
Arthroscopy diagnostic - shoulder joint 2,374
Arthrotomy - shoulder joint - left 1,993
Arthroscopy diagnostic - shoulder joint 2,374
Arthroscopy diagnostic - elbow joint - right 2,374
Arthroscopy diagnostic - elbow joint - left 2,374
Arthroscopy diagnostic - wrist joint - right 2,374
Arthroscopy diagnostic - wrist joint - left 2,374
Arthroplasty - shoulder joint - hemi 3,272
Arthroplasty - shoulder joint - total 3,272
Arthroplasty - finger/thumb phalangeal 1,957
Discectomy - cervical - open 14,787
199
Discectomy - cervical - percut 4,045
Discectomy - cervical - endoscopic 14,787
Microdiscectomy - cervical 14,787
Discectomy - thoracic - open 14,787
Discectomy - thoracic - percutaneous 5,100
Discectomy - thoracic - endoscopic 7,095
Removal of loose/foreign body - knee joint 1,148
Spinal fusion - posterolateral - 3 or 4 8,640
Spinal fusion - posterolateral - 1 or 2 8,640
Spinal fusion - posterior - lumbosacral 8,640
Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - right
5,178
Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - right
5,178
Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - left
5,178
Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - left
5,178
Resection of tumour - spine 6,730
Amputation - transfemoral (above knee)
4,511
Amputation - transtibial (below knee)
4,511
Amputation - syme - right 4,511
Amputation - syme - left 4,511
Arthrodesis + internal fixation - hip - right 4,647
Arthrodesis + internal fixation - hip - left 4,647
Arthrodesis + internal fixation - knee - right 4,647
Arthrodesis + external fixation - knee - right 4,647
Arthrodesis + internal fixation - knee - left 4,647
Arthrodesis + external fixation - knee - left 4,647
Arthrodesis + internal fixation - ankle - right 4,647
200
Arthrodesis + internal fixation - ankle - left 4,647
Arthrodesis + external fixation - ankle - left 4,647
Arthrodesis - tarsometatarsal - right 4,457
Arthrodesis - tarsometatarsal - left 4,457
Arthrodesis - tarsotarsal - right 4,457
Arthrodesis - tarsotarsal - left 4,457
Arthroscopy diagnostic - hip - right 2,374
Arthroscopy diagnostic - hip - left 2,374
Arthroscopy diagnostic - knee - right 2,374
Arthroscopy diagnostic - knee - left 2,374
Arthroscopy diagnostic - ankle - right 2,374
Arthroscopy diagnostic - ankle - left 2,374
Discectomy - lumbar - percutaneous 4,532
Revision of replacement - hip - total - right 10,380
Revision of replacement - hip - hemi - left 10,380
Revision of replacement - hip - total - left 10,380
Revision of replacement - knee - total - right 10,130
Revision of replacement - knee - unicompartment - right 10,130
Revision of replacement - knee - total - left 10,130
Revision of replacement - knee - unicompartment - left 10,130
Reconstruction of ligament - elbow joint 2,416
Repair ligament - ankle joint - right 2,416
Repair ligament - ankle joint - left 2,416
Repair ligament - foot - right 2,416
Repair ligament - foot - left 2,416
Biopsy of vertebra - cervical region 2,282
201
Debridement - cervical vertebra 2,095
Biopsy of vertebra - thoracic region 2,282
Internal fixation - scapula - right 2,318
Internal fixation - scapula - left 3,003
Internal fixation - clavicle - right 4,118
Internal fixation - clavicle - left 4,118
Internal fixation - humerus - proximal 3,003
Internal fixation - humerus - distal-right 3,003
Internal fixation - humerus - right 3,003
External fixation - humerus - right 4,808
Internal fixation - humerus - interlocking - right 3,003
Internal fixation - humerus - proximal 3,003
Internal fixation - humerus - distal - left 3,003
Internal fixation - humerus - left 3,003
External fixation - humerus - left 4,808
Internal fixation - humerus - interlocking - left 3,003
Internal fixation - radial head or neck 3,003
Internal fixation - radius - distal - right 3,003
Internal fixation - radius - right 3,003
External fixation - radius - distal - right 4,808
External fixation - radius - right 4,808
Internal fixation - radial head or neck 4,808
Internal fixation - radius - left 4,808
External fixation - radius - distal - left 4,808
External fixation - radius - left 4,808
Internal fixation - olecranon - right 2,588
202
Internal fixation - ulna - distal - right 4,808
Internal fixation - ulna - right 4,808
External fixation - ulna - right 4,808
Internal fixation - olecranon - left 2,588
Internal fixation - ulna - distal - left 4,808
Internal fixation - ulna - left 4,808
External fixation - ulna - left 4,808
Internal fixation - carpus - other - right 1,998
Internal fixation - carpus - other - left 1,998
Internal fixation - metacarpal - right 1,998
External fixation - metacarpal - right 3,313
Internal fixation - metacarpal - left 1,998
External fixation - metacarpal - left 3,313
Internal fixation - thumb phalanx - right 1,998
Internal fixation - thumb phalanx - left 1,998
Internal fixation - finger phalanx - right 1,998
Internal fixation - scaphoid - right 3,003
Internal fixation - finger phalanx - left 1,998
Internal fixation - scaphoid - left 3,003
Biopsy of vertebra - lumbar region - open 2,282
Debridement - lumbosacral vertebra 2,095
Biopsy of vertebra - lumbar region - percutaneous 2,282
Biopsy of vertebra - sacral region - open 2,282
Biopsy of vertebra - coccygeal region 2,282
Internal fixation - other tarsal bones - right 1,998
Internal fixation - other tarsal bones - left 1,998
203
Internal fixation - metatarsal - right 1,998
Internal fixation - metatarsal - left 1,998
Internal fixation - toe phalanx - right 1,998
Internal fixation - toe phalanx - left 1,998
Arthrotomy - wrist joint - right 2,273
Arthrotomy - wrist joint - left 2,273
Biopsy - open - shoulder joint - right 2,282
Biopsy - open - shoulder joint - left 2,282
Biopsy - open - elbow joint - right 2,282
Biopsy - open - elbow joint - left 2,282
Biopsy - open - wrist joint - right 2,282
Biopsy - open - wrist joint - left 2,282
Arthrodesis - metacarpophalangeal joint 2,188
Arthrodesis - finger/thumb phalangeal 2,188
Arthrodesis - intercarpal joint - right 2,188
Arthrodesis - finger/thumb phalangeal 2,188
Arthrodesis - intercarpal joint - left 2,188
Arthrotomy - elbow joint - right 2,273
Arthrotomy - elbow joint - left 2,273
Arthrotomy - metacarpophalangeal joint 2,273
Arthrotomy - finger/thumb phalangeal joint 2,273
Biopsy open - hip joint - right 2,282
Biopsy open - hip joint - left 2,282
Biopsy open - knee joint - right 2,282
Biopsy open - knee joint - left 2,282
Biopsy open - ankle joint - right 2,282
204
Biopsy open - ankle joint - left 2,282
Exploration of wound - upper extremity - left 1,200
Open reduction of fracture - metacarpus - right 2,338
Open reduction of fracture - metacarpus - left 2,338
Open reduction of fracture - thumb phalanges - right 2,338
Open reduction of fracture - thumb phalanges - left 2,338
Open reduction of fracture - finger phalanges - right 2,338
Open reduction of fracture - finger phalanges - left 2,338
Disarticulation - shoulder joint - right 3,896
Disarticulation - shoulder joint - left 3,896
Disarticulation - elbow - right 3,864
Disarticulation - elbow - left 3,864
Disarticulation - wrist joint - right 3,864
Disarticulation - wrist joint - left 3,864
Disarticulation - metacarpophalangeal joint - right 2,022
Disarticulation - metacarpophalangeal joint - left 2,022
Disarticulation - finger/thumb phalang - right 2,092
Disarticulation - finger/thumb phalang - left 2,092
Excision arthroplasty - wrist joint - right 2,437
Excision arthroplasty - wrist joint - left 2,437
Excision arthroplasty - metacarpophalang - right 2,437
Excision arthroplasty - metacarpophalang - left 2,437
Excision arthroplasty - finger/thumb - right 2,437
Excision arthroplasty - finger/thumb - left 2,437
Arthroplasty - shoulder - total - right 2,437
Arthroplasty - shoulder - hemi - left 2,437
205
Arthroplasty - elbow - right 2,437
Arthroplasty - elbow - left 2,437
Arthroplasty - wrist - right 2,437
Arthroplasty - wrist - left 2,437
Arthroplasty - finger/thumb phalangeal - right 2,437
Excision arthroplasty hip jt (girdleston)
437
Amputation - transmetacarpal - left 1,933
Amputation - thumb - phalanx proximal 1,933
Amputation - thumb - phalanx distal - right 1,933
Amputation - thumb - phalanx distal - left 1,933
Amputation - index finger - phalanx proximal 1,933
Amputation - index finger - phalanx middle 1,933
Amputation - index finger - phalanx distal 1,933
Amputation - middle finger - phalanx proximal 1,933
Amputation - middle finger - phalanx mid 1,933
Amputation - middle finger - phalanx distal 1,933
Amputation - ring finger - phalanx proximal 1,933
Amputation - ring finger - phalanx middle 1,933
Amputation - ring finger - phalanx distal 1,933
Amputation - little finger - phalanx proximal 1,933
Amputation - little finger - phalanx middle 1,933
Amputation - little finger - phalanx distal 1,933
Amputation - transmetatarsal - right 1,933
Amputation - transmetatarsal - left 1,933
Amputation - metatarsal 1st (ray) - right 1,933
Amputation - toe - 1st - right 1,933
206
Amputation - metatarsal 1st (ray) - left 1,933
Amputation - toe - 1st - left 1,933
Amputation - metatarsal 2nd (ray) - right 1,933
Amputation - toe - 2nd - right 1,933
Amputation - metatarsal 2nd (ray) - left 1,933
Amputation - toe - 2nd - left 1,933
Amputation - metatarsal 3rd (ray) - right 1,933
Amputation - toe - 3rd - right 1,933
Amputation - metatarsal 3rd (ray) - left 1,933
Amputation - toe - 3rd - left 1,933
Amputation - metatarsal 4th (ray) - right 1,933
Amputation - toe - 4th - right 1,933
Amputation - metatarsal 4th (ray) - left 1,933
Amputation - toe - 4th - left 1,933
Amputation - metatarsal 5th (ray) - right 1,933
Amputation - toe - 5th - right 1,933
Amputation - metatarsal 5th (ray) - left 1,933
Amputation - toe - 5th – left 1,933
Open reduction of fracture - scaphoid - left 2,338
Arthroplasty - hip - hemiarthroplasty - right 2,437
Arthroplasty - hip - total - right 2,437
Arthroplasty - hip - hemiarthroplasty - left 2,437
Arthroplasty - hip - total - left 2,437
Arthroplasty - knee - total - right 2,437
Arthroplasty - knee - unicompartment - right 2,437
Arthroplasty - knee - total - left 2,437
207
Arthroplasty - knee - unicompartment - left 2,437
Arthroplasty - ankle - right 2,437
Open reduction of fracture - scaphoid - right 2,338
Removal - prosthesis - shoulder - right 1,148
Removal - foreign/loose body - shoulder 1,148
Removal - prosthesis - shoulder - left 1,148
Removal - foreign/loose body - shoulder 1,148
Removal - prosthesis - elbow - right 1,148
Removal - foreign/loose body - elbow joint 1,148
Removal - prosthesis - elbow - left 1,148
Removal - prosthesis - wrist - right 1,148
Removal - foreign/loose body - wrist joint - right 1,148
Removal - prosthesis - wrist - left 1,148
Removal - foreign/loose body - wrist joint - left 1,148
Removal - prosthesis - finger - right 1,148
Removal - prosthesis - finger - left 1,148
Removal of loose/foreign body - hip joint - left 1,148
Removal of loose/foreign body - knee joint - right 1,148
Removal of loose/foreign body - ankle joint - right 1,148
Removal - implants - upper extremity 3,637
Removal - foreign body - upper extremity 1,148
Removal - foreign body-lower extremity
1,148
Removal - implants - upper extremity 3,637
Removal - foreign body - upper extremity 1,148
Removal - implants - hand/finger region 3,637
Removal - implants - hand/finger region 3,637
208
Removal - implants - foot/toe region 3,637
Aspiration - acromionclavicular joint - left 908
Aspiration - acromionclavicular joint - right 908
Aspiration - shoulder joint - right 908
Aspiration - shoulder joint - left 908
Aspiration - elbow joint - right 908
Aspiration - elbow joint - left 908
Aspiration - wrist joint - right 908
Aspiration - wrist joint - left 908
Manipulation under anaesthesia - shoulder 1,442
Manipulation under anaesthesia - elbow joint 1,442
Manipulation under anaesthesia - wrist joint 1,442
Aspiration - sacroiliac - right 908
Aspiration - sacroiliac - left 908
Aspiration - hip - right 908
Aspiration - hip - left 908
Aspiration - knee - right 908
Aspiration - knee - left 908
Aspiration - ankle - right 908
Aspiration - ankle - left 908
Aspiration - upper extremity - other - left 908
Aspiration - upper xtremity - other - right 908
Aspiration - lower extremity - other - left 908
Aspiration - lower extremity - other - right 908
Laparoscopy - diagnostic 2,136
Manipulation under anaesthesia - hip - right 1,442
209
Manipulation under anaesthesia - hip - left 1,442
Manipulation under anaesthesia - knee - right 1,442
Manipulation under anaesthesia - knee - left 1,442
Manipulation under anaesthesia - ankle - right 1,442
Manipulation under anaesthesia - ankle - left 1,442
Free tissue transfer 12,367
Replantation 7,505
Revascularisations 7,505
Arthrodesis - more than one joint 4,457
Bone graft 3,689
Open reduction/internal fixation 4,808
External fixation 4,808
Excision of benign bony tumours 3,452
Amputation (hand, ray, multiple digits)
1,933
Ligament repairs 2,811
Arthrodesis - one joints 3,056
Bone - close reduction/splinting 1,503
Removal of foreign body 1,148
Removel of internal fixators 1,199
Amputation of single digit 1,933
Aspiration 908
Incision and drainage 908
Removal of external fixator 1,199
210
NEUROSURGERI
Craniotomy - supratentorial tumour removal (total)
12,797
Craniotomy - supratentorial tumour (debulking)
12,797
Craniotomy - pituitary tumour 12,797
Craniotomy - cerebral aneursym, clipping 12,797
Craniotomy - arteriovascular malformation, excision 12,797
Craniotomy - carotid cavernous fistula 12,297
Suboccipital craniectomy - total tumour removal 12,797
Suboccipital craniectomy - partial resection 12,797
Laminectomy - tumour removal 9,036
Laminectomy - disc removal 12,306
Nerve anastomosis 5,227
Orbital tumours - transcranial/lateral approach 12,797
Repair of nasal encephalocoele 12,797
Decompressive brain resection 12,797
Microvascular decompression 12,797
Cordotomy 7,121
Anterior cervical/thoracic/lumbar fusion 12,306
Transphenoidal pituitary surgery 12,297
Craniofacial deformities - corrective surgery 12,797
Hemispherectomy 12,297
Axial - occipitial fusion or atlanto - occipital fusion 11,756
Craniotomy - extradural haematoma 6,611
Craniotomy - subdural haematoma 6,611
Craniotomy - intracerebral haematoma 12,297
211
Craniotomy - excision abscess 8,822
Craniotomy - removal of foreign body 8,322
Craniotomy - cyst decompression 5,292
Craniotomy - tumour biopsy 8,322
Craniotomy - dural leak repair 6,344
Craniotomy - aneurysm : wrapping of aneurysm 12,797
Suboccipital craniectomy - biopsy 10,432
Suboccipital craniectomy - decompression 8,822
Repair of meningomyelocele 6,361
Laminectomy - biopsy 8,036
Laminectomy - decompression 8,036
Excision of skull bones tumours 4,172
Excision of scalp vascular malformations 6,797
Retrogasserian rhizotomy 2,816
Exploration of brachial plexus 3,018
Major repair of scalp, skull, dura and brain following trauma 12,797
Carotid endaeterectomy and/or arterial graft 9,198
Thalamotomy or papillidotomy 12,297
Wound debridement of compound fractures 2,602
Elevation of depressed fracture skull 3,650
Carotid artery ligation 3,787
Ventriculo - peritoneal shunt 3,554
Ventriculo - artial shunt 9,943
Lumboperitoneal shunt 3,429
Reservoir insertion - ventricular/spinal 3,429
Peripheral nerve decompression 2,082
212
Burr hole tapping - brain abscess 3,551
Burr hole tapping - brain haematoma 3,878
Repair of skull defect 5,418
Burr hole drainage - chronis subdural 4,918
Scalp wound debridement 1,573
Burr hole for intra - cranial pressure monitoring 2,685
Exfloration, repair or stripping of peripheral nerves 2,002
Subtemporal decompression 8,293
Section of transverse carpal arctarsal ligaments 1,696
Shunt removal 2,414
External ventricular drainage 2,479
Peripheral nerve blocks 2,039
Ventriculography 3,024
Skull traction 1,429
KARDIOSURGERI
Close heart surgery - ligation of persistent ductus arteriosus 10,653
Close heart surgery - aorto-pulmonary shunts (blalock - taussig shunt or equivalent)
13,765
Close heart surgery - pulmonary artery banding 10,653
Close heart surgery - pulmonary valvotomy/valvectomy 14,075
Close heart surgery - repair of coarctation of the aorta 21,665
Close heart surgery - pericardiectomy 8,963
Close heart surgery - open pericardial drainage 7,135
Close heart surgery - pericardial biopsy 6,290
Close heart surgery - closed mitral valvotomy 19,400
213
Close heart surgery - repair of cardiac trauma not requiring pulmonary bypass
7,395
Close heart surgery - glenn shunt or equivalent 13,605
Close heart surgery - ligation of major aorto-pulmonary collateral arteries
9,383
Insertion of pacemaker unit and endocardial or epicardial lead 16,760
Replacement of pacemaker unit and/or lead 6,260
Coronary artery bypass surgery with or without excision of left ventricular aneurysm or repair of post - infarction ventricular septal defect or mitral incompetence
18,658
Single valve replacement or repair (inclusive of fee of prosthesis)
23,278
Open mitral valvotomy 23,278
Multiple valve replacement 24,008
Repair of total anomalous pulmonary venous connections 17,998
Repair of cortriatrium 13,800
Mitral valvuloplasty/valvotomy 19,660
Aortic valvuloplasty/valvotomy 19,060
Relief of infravalcular aortic stenosis 19,060
Repair of total atrio - ventricular canal defect 16,543
Double aortic arch repair/suspension of aortic arch 17,643
Closure of ASD
16,268
Closure of VSD
16,918
Right ventricular outflow tract reconstruction 16,918
Pulmonary arterioplasty including pulmonary artery debanding 16,268
Conduit interposition (with or without valve)
16,268
Surgery for transposition of great arteries - atrial switch 18,008
Surgery for transposition of great arteries - atrial switch 18,008
Fontan operation/modified fontan or equivalent 17,758
214
Septation of common atrium 16,258
Other surgical procedures performed under pulmonary bypass
(exclusive of fee of prosthesis)
17,768
Aortic/peripheral vascular aneurysm repair and others 18,518
Insertion and/or removal of intraaortic balloon (inclusive of fee of balloon)
4,085
Vascular endarterectomy 7,463
Vascular graft 7,863
Replacement of pacemaker wire (epicardial)
6,000
Adjustment of endocardial lead 6,000
Insertion of epicardial lead 6,000
Open lung biopsy 8,780
Pleurodesis/Pleurectomy 7,715
Decortication 8,610
Bronchoscopy 4,533
Mediastinoscopy 4,533
Thoracoscopy 3,933
Correction of chest wall deformities 8,860
Excision of intrathoracic and mediastinal tumours 9,903
Chest wall resection (excision of rib sterna tumours)
8,695
Exploratory thoracotomy 6,550
Diagnostic thoracotomy 6,550
Tracheal resection/repair 10,643
Scalene node biopsy 5,379
Tracheal dilatation 5,379
Pericardial window 9,243
Thymectomy 5,528
215
Repair of congenital hernias 7,308
Repair of ruptured diaphragm 8,340
Anti - reflux procedures 8,340
Sternal resuturing/rewiring 5,768
Exploration of bleeding 5,768
Vascular embolectomy 5,768
Adjustment of pacemaker wire (transvenous)
6,000
Replacement of pacemaker wire (endocardial)
6,000
PEMBEDAHAN PLASTIK DAN PEMBENTUKAN SEMULA
Free vascularised tissue transfer with micro surgical vascular and/or neuro anastomosis of soft and/or bony tissue
15,225
Loss of lid or lids with reconstruction 1,500
Epicanthus correction 2,367
Telecanthus correction 4,123
Repair of lachrymal duct 1,500
Dacryo cysto rhinostomy 4,222
Repair of ear injury (very severe)
1,847
Correction of other ear deformities (severe)
2,965
Excision of lesion with reconstruction (very severe)
7,412
Reduction rhinoplasty 5,662
Augmentation rhinoplasty (with silicone or bone or cartilage)
3,477
Lip - excision of lesion with reconstruction (very severe)
1,500
Repair of clefts - facial clefts (severe)
1,500
Tongue flaps 1,500
Tenolysis and tenodesis (severe)
2,547
216
Pollicisation 5,052
Reconstruction of hypospadias (severe)
6,420
Reconstruction of epispadias 4,130
Fistula repair (severe)
2,432
Bladder reconstruction 9,025
Radical vulvectomy 3,256
Scar revision (very severe)
3,352
Reconstructive surgery of haemangioma (very severe)
10,212
Reconstructive surgery of lymphangioma (severe)
10,212
Reconstructive surgery of arteriovenous (AV) lymphohaemangioma
(severe)
10,212
Reconstructive surgery of arteriovenous (AV) malformation (severe)
8,310
Reconstructive surgery of arteriovenous (AV) fistula (severe)
8,860
Repair of lid injury (severe)
900
Lid resection for tumour with/without reconstruction 1,587
Exenteration of orbit 5,622
Epicanthus or telecanthus correction (moderate)
4,372
Blepharoplasty 3,277
Oriental eyelid correction 2,012
Catholasty 932
Tarsorrhaphy (severe)
1,722
Repair of ear injury (severe)
4,552
Excision of lesion and reconstruction (severe)
1,130
Bat ears correction 6,662
Correction of other ear deformities (moderate)
4,552
Cleft lip (unilateral)
3,527
217
Cleft lip (bilateral)
5,662
Cleft palate 3,202
Cranio - facial surgery e.g. correction nasal encephalocoele, treacher collins aperts, cruzon or anopthalmia
11,117
Head and neck malignancy with excision, immediate reconstruction and with or without radical neck dissection
3,000
Severe facial trauma needing major reconstruction 3,944
Partial glossectomy with radical block dissection of the neck 3,000
Total glossectomy with/without neck dissection 3,000
Malignant intraoral lesions with reconstruction 3,000
Reconstruction of facial fractures (very severe)
3,769
Reduction of fibrous dysplasia 3,000
Total and sub-total reconstructive rhinoplasty 1,500
Reconstruction for microtia (absent ear or presence of part of the ear)
1,500
Reconstruction for cranio-facial cleft (tessier cleft)
1,500
Tissue expansion 1,500
Scalp - excision of benign or malignant lesions with flap reconstruction
2,457
Coloboma correction (severe)
1,500
Correction of other ear deforminities (severe)
3,901
Burns - primary treatment (very severe)
3,641
Burns - treatment of sequelae (very severe) e.g. release of contractures and joints
2,645
Breast - augmentation (with prosthesis)
2,923
Breast - reduction 1,582
Breast - ptosis correction 1,500
Myo and osteo myo cutaneous flaps 6,901
Rib graft removal 1,500
218
Hand reconstruction with soft and/or bony injuries (very severe)
1,500
Repair of syndactyly - congenital or acquired (severe)
1,500
Reconstruction surgery of naevi, including congenital or giant hairy naevus (very severe)
2,407
Reconstructive surgery of malignant melanoma (severe)
1,500
Reconstructive surgery of squamous cell carcinoma (very severe)
1,500
Reconstructive surgery of basal cell carcinoma (very severe)
1,500
Reconstructive surgery of neurofibromatosis (very severe)
1,500
Rhytidectomy 1,500
Abdominoplasty 1,500
Dermo - lipectomy 1,500
Tatoo removal (very severe)
1,500
Keloids - excision injection or compression (very severe)
1,500
Scalp - burns with flap closure 984
Scalp - burns with skin grafts 800
Coloboma correction (moderate)
800
Nose - excision of lesion with reconstruction (severe)
800
Lip - excision of lesion with reconstruction (severe)
3,147
Mouth - commissure reconstruction 800
Mouth - leukoplakia excision and grafting (severe)
800
Facial clefts (moderate)
800
Pharyngoplasty 1,231
Facial sling 800
Facial nerve repair 800
Burn - primary treatment 2,508
Burn - treatment of sequelae e.g. release of contractures and joints
(severe)
2,423
219
Nipple reconstruction 1,601
Reconstruction of hypospadias (moderate)
3,485
Urogenital - excision of stricture 800
Urogenital - fistula repair (moderate)
2,055
Split skin grafts (moderate)
2,992
Full thickness grafts (moderate)
3,052
Vagina reconstruction 5,205
Nose - excision of lesion without reconstruction 1,255
Lip - excision of lesion with primary closure (mild)
320
Reconstruction of facial injury - soft tissue (mild)
320
Mouth - node biopsy 320
Burn - primary treatment (mild)
2,187
Reconstruction surgery of epidermal naevus (mild)
2,165
Reconstructive surgery of sebaceous cyst 2,165
Reconstructive surgery of naevi including congenital or giant hairy naevi (mild)
2,165
Scar revision (mild)
2,165
Tatoo removal (mild)
650
Keloids - excision, injection or compression (mild)
323
Reconstructive surgery of haemangioma (mild)
6,030
Secondary suturing (moderate)
985
Secondary suturing (mild)
950
Skin biopsy 350
Toilet and suture of drainage of superficial wounds 350
Incision and drainage of abscess 896
Excision of slough (at first episode)
282
220
Jadual
JADUAL KETUJUH
[Perenggan 11]
FI PELBAGAI
IMUNISASI
Demam kuning 300
Tifoid 80
Jenis imunisasi lain 40
AMBULAN, KERETA JENAZAH DAN PASUKAN PERUBATAN TUNGGU SEDIA
Ambulan 1.40 bagi setiap km
Kereta jenazah
Kurang daripada 30 km 40 30 km hingga 800 km 1.40 bagi setiap km
Lebih daripada 800 km 1,200
Pasukan perubatan tunggu sedia (tidak termasuk pegawai perubatan)
Hari pertama 400
Hari kemudiannya 250
221
PEMERIKSAAN PERUBATAN DAN LEMBAGA PERUBATAN
Pemeriksaan perubatan termasuk x-ray 300
Pemeriksaan bagi Lembaga Perubatan 600
PENDAPAT ATAU LAPORAN PERUBATAN BERTULIS
Laporan ringkas/pendapat disediakan oleh pegawai perubatan 120
Laporan ringkas/pendapat disediakan oleh pakar 240
Pendapat lengkap disediakan oleh pakar 400 hingga 2,000
bergantung kepada kerumitan menyediakan pendapat itu.
Dibuat 27 Disember 2014
[KK(S)-280(32/41); PN(PU2)86/XVII]
Dengan Titah Perintah,
DATUK SERI DR. S. SUBRAMANIAM
Menteri Kesihatan
(Akan dibentangkan dalam Dewan Rakyat menurut seksyen 4 Akta Fi 1951)
222
FEES ACT 1951
FEES (MEDICAL) (COST OF SERVICES) ORDER 2014
IN exercise of the powers conferred by sections 3 and 10 of the Fees Act 1951 [Act 209], the Yang di-Pertuan Agong makes the following order:
Citation, commencement and application 1.
(1)
This order may be cited as the Fees (Medical) (Cost of Services)
Order 2014.
(2)
This Order comes into operation on 31 December 2014.
(3)
This Order shall apply to foreign persons only.
Definition 2.
In this Order, unless the context otherwise requires—
“artificial limbs or prosthesis” means an appliance used internally or externally to put patient back in a functional condition in order for him to be independent in his daily routine;
“operation fee” means a fee charged on any patient who needs any surgical intervention for the treatment or diagnostic purposes;
“dental fee” means a fee charged for any dental treatment;
“treatment fee” means a fee charged for medical attention, medical comforts, medicines, dressing and other services rendered to any patient treated at any hospital;
“investigation fee” means a fee charged on any procedure which is an aid to diagnosis other than those covered by operation charge;
223
“ward fee” means a fee charged for diet and the use of a bed;
“hospital” means any Government hospital including any teaching hospital of the university, Government clinic and any other Federal Medical
Institution;
“Federal Medical Institution” means any hospital and medical institution declared by the Government as a Federal Medical Institution;
"day care" means care of a patient admitted into a day treatment unit at the hospital or special treatment centre, for a period of less than twenty four hours on a referral by a medical officer for medical procedures including for the purposes of prevention, investigation, therapy and rehabilitation;
“Ministry” means the Ministry of Health;
“Secretary General” means the Secretary General of Ministry of Health;
“foreign person” means a person who is not a citizen of Malaysia but does not include—
(a)
a non citizen who holds an identity card issued under paragraph 5(3)(b) of the National Registration Regulations 1990
[P.U. (A) 472/1990]; or
(b)
a non-citizen spouse to a citizen of Malaysia;
“specialist” means a person so appointed under the General Orders
Chapter F Medical 1974;
“medical officer” means a registered medical practitioner or registered dental practitioner in the service of the Malaysian Government.
224
Outpatient fee 3.
The fee for services rendered at the Outpatient Department, other than the dental fee, shall be as specified in the First Schedule and shall be charged at the—
(a)
general hospitals;
(b)
district hospitals;
(c)
polyclinics; and
(d)
any other places which the Minister of Health may specify for the purposes of this paragraph.
Ward fee 4.
(1)
The ward fee shall be as specified in the Second Schedule.
(2)
For the purposes of the computation of ward fee—
(a)
the day of admission shall be counted as one full day; and
(b)
the day of discharge shall be counted as one full day if it exceeds twelve hours.
(3)
Where in the opinion of the medical officer, it is necessary for a parent to accompany a child patient, the parent shall be subjected to the ward fee at the half of the rate specified in the Second Schedule.
Treatment fee 5.
The treatment fee shall be as specified in the Third Schedule.
Investigation fee 6.
(1)
The investigation fee shall be as specified in the Fourth Schedule.
225
(2)
Where a series of x-rays are taken to assist in the proper alignment of one fracture, only one fee at the rate specified in Part 1 of the Fourth Schedule shall be charged for that fracture.
(3)
Where repeated radiological examinations are carried out subsequent to the examination in subparagraph (2), a separate fee shall be charged for each examination.
Laboratory fee 7.
Laboratory fee shall be as specified in the Fifth Schedule.
Operation fee 8.
Operation fee shall be as specified in the Sixth Schedule.
Dental fee 9.
Dental fee shall be as specified in Part 9 of the Third Schedule.
Artificial limb or prosthesis fee 10.
The fee for artificial limb or prosthesis shall be as specified in Part 10 of the
Third Schedule.
Miscellaneous fee 11.
Miscellaneous fee shall be as specified in the Seventh Schedule.
Daycare fee 12.
The fee for the daycare patient shall be as specified in the Third Schedule to the
Sixth Schedule, and the ward fee shall be based on the third class ward in the Second
Schedule .
Patient admitted into the higher class ward 13.
A patient originally admitted into the ward of lower class and subsequently transferred into the ward of higher class at his own request, shall pay all fees including the related ward fee.
226
Deposit 14.
(1)
A patient shall before admission into a ward—
(a)
pay a deposit to be determined by the Secretary General; or
(b)
provide a satisfactory guarantee of payment as approved by the
Secretary General.
(2)
If a patient incurs additional expenses not covered by his deposit while he is still in the ward, he shall be required to pay a further deposit.
(3)
Where the fee incurred by a patient is less than his deposit upon his discharge from the hospital, the hospital shall refund the difference to him.
Remission 15.
The Secretary General may remit a part of or the whole part of any fees imposed under this Order.
Dispute on fee 16.
Where there is a dispute on any fee charged under this Order, it shall be referred to the Secretary General whose decision shall be final.
227
FIRST SCHEDULE
[Paragraph 3]
OUTPATIENT FEE
Fee per visit (RM)
(a)
Hospital
General outpatient 40
Specialist outpatient 120
Emergency Department 100
(b)
Health Clinic
General outpatient 40
Specialist outpatient 120
(c)
1 Malaysia Clinic 40
(d)
Klinik Desa 40
(e)
Others
Child health services 40
Obstetric and gynaecology treatment 40
Post natal services 40
Pap smear 45
Delivery service (including at the Alternative
Birthing Centre and at home)
200
228
Medical services outside hospital 300 for every visit excluding any claims for travelling, subsistence and lodging expenses in accordance with the rate set by the
Government
*Fees in this Schedule do not include any other fees specified in this Order.
229
SECOND SCHEDULE
[Subparagraph 4(1)]
WARD FEE
Fee per day (RM)
(a)
Executive
Single bed room (VIP)
500
Single bed room 400
Two beds in a room 340
(b)
First class
Single bed room 320
Two beds in a room 240
Three or more beds in a room 200
(c)
Second class 180
(d)
Third class 160
(e)
Labour room 300
(f)
Intensive Care Unit or Coronary Care Unit
(adult)
360
(g)
Intensive Care Unit or Coronary Care Unit
(child)
300
230
(h)
Nursery 60
(i)
Special Care Nursery 140
(j)
Nursery with incubator care 170
(k)
Psychiatric ward
Based on the classes of the ward and the number of bed
231
THIRD SCHEDULE
[Paragraph 5]
TREATMENT FEE
PART 1
INPATIENT TREATMENT
Inpatient treatment 100 per day
PART 2
PSYCHIATRIC TREATMENT
Psychiatric treatment 1,500 per hospitalisation
PART 3
DELIVERY FEE
Caesarean 3,021
Delivery with help : forcep/breech/vacuum/twin/normal delivery 2,593
PART 4
OTHER TREATMENT
Cardiotocograph 120
232
Toilet and suture per stich 50
Fine needle aspiration 275
Incision and drainage 275
Catheterisation 85
PART 5
RADIOTHERAPY TREATMENT
SIMULATION AND COMPUTERIZED PLANNING
Mark on set 50
Conventional Simulation 1,000
CT Simulation - normal (without contrast)
1,500
CT Simulation - complex (with contrast)
3,000
CT Simulation - IMRT/Rapid Arc. , TBI, TNI, TBE
5,000
CT Simulation - Stereotactic Radiosurgery (SRT)
20,000
RADIOTHERAPY TREATMENT
2D/Single field/parallel opposed per fraction 350 3D/Any plans with 3 or more fields per fraction 450
IMRT/Rapid Arc per fraction 500
TBI per fraction 500
TNI per fraction 700
SRT per fraction 500
SRS (package treatment - onetime charge)
30,000
233
CONSUMABLES
Beam direction shell 250
Vac-lock 250
Cerroband 500
Wax 300
BRACHYTHERAPY TREATMENT
Intra-cavitari : dhobbies/single line source per session 5,000
Intra-cavitari : paired ovoids per session 5,000
Intra-cavitari : full intra - cavitary per session 5,000
Intra-cavitari : for Nasopharyngeal Cancer (NPC) per session
7,000
Intra-luminal : esophagus, bronchus, ano-rectal per session
300
Interstitial brachytherapy implants : breast brachytherapy implants per implant
6,500
Interstitial brachytherapy implants : extremities implants per implant
6,000
Interstitial brachytherapy implants : oral cavity/anorectal/
prostate implants per implant
7,500
Prostate brachytherapy procedure
10,000
Iodine-131 therapy (not iodine scan) per session 800
CHEMOTHERAPY
(a)
Single agent
234
Type A
Low dose cisplatin 65
Methotrexate 65
Doxorubicin 65
Vinorelbine 65
Type B
Carboplatin 260
Paclitaxel 260 5-fuFluorouracil 260
Oxaliplatin 260
High dose cisplatin 260
Type C
Gemcitabine 1,100
Bleomycin 1,100
Docetaxel 1,100
Ifosphamide 1,100
Mitoxantrone 1,100
Mitomycin 1,100
Irinotecan 1,100
Type D
Alimta (pemetrexed) pemetrexed 5,500
Caelyx pegylated liposomal doxorubicin 5,500
(b)
Double agent
Doxorubicin + Cyclophosphamide 70
Doxorubicin + Ifosphamide 661
Doxorubicin + Cisplatin 89
235
Doxorubicin + Docetaxel 971
Doxorubicin + Paclitaxel 227
Doxorubicin + Gemcitabine 325
Carboplatin + Fluorouracil 148
Carboplatin + Paclitaxel 398
Carboplatin + Etoposide 105
Carboplatin + Gemcitabine 564
Carboplatin + Docetaxel 1,033
Carboplatin + Vinorelbine 292
Cisplatin + Paclitaxel 231
Cisplatin + Etoposide 133
Cisplatin + Fluorouracil 126
Cisplatin + Pemetrexed 6,160
Cisplatin + Gemcitabine 592
Cisplatin + Vinorelbine 69
Cisplatin + Ifosphamide 1,018
Cisplatin + Methotrexate 44
Cisplatin + Cyclophosphamide 68
Cyclophosphamide + Vincristine 33
Cyclophosphamide + Epirubicin 334
Etoposide + Fluorouracil 147
Gemcitabine + Vinorelbine 318
Gemcitabine + Paclitaxel 742
Gemcitabine + Oxaliplatin 433
Ifosphamide + Vinorelbine 774
Ifosphamide + Epirubicin 1,389
Irinotecan + Fluorouracil 528
Mitomycin + Fluorouracil 674
236
Oxaliplatin (130 mg/m2) + Capecitabine 1,293
Oxaliplatin + Fluorouracil 317
Paclitaxel + Fluorouracil 304
Capecitabine + Irinotecan (240 mg/m2)
1,560
(c)
Triple agent
Doxorubicin + Cyclophosphamide + Etoposide 220
Doxorubicin + Cisplatin + Ifosphamide 488
Doxorubicin + Dacarbazine + Ifosphamide 1,645
Bleomycin + Etoposide + Cisplatin 1,236
Doxorubicin + Cyclophosphamide + Cisplatin 92
Cyclophosphamide + Methotrexate + Fluorouracil 62
Epirubicin + Cisplatin + Fluorouracil 310
Fluorouracil + Doxorubicin + Cyclophosphamide 68
Fluorouracil + Epirubicin + Cyclophosphamide 278
Ifosphamide + Carboplatin + Etoposide 1,125
Ifosphamide + Dactinomycin + Vincristine 1,120
Gemcitabine + Paclitaxel + Carboplatin 924
Procarbazine + Lomustine + Vincristine 2,472
Ifosphamide + Cisplatin + Etoposide 1,019
Docetaxel + Doxorubicin + Cyclophosphamide 888
Paclitaxel + Ifosphamide + Cisplatin 1,015
Docetaxel + Cisplatin + Fluorouracil 1,070
Paclitaxel + Carboplatin + Etoposide 912
Paclitaxel + Carboplatin + Fluorouracil 981
Mitomycin + Ifosphamide + Cisplatin 766
Vincristine + Doxorubicin + Cyclophosphamide 90
237
Vincristine + Dactinomycin + Cyclophosphamide
515
Vincristine + Epirubicin + Cyclophosphamide 258
Vincristine + Etoposide + Carboplatin 581
Etoposide + Cisplatin + Ifosphamide 745
Vinblastine + Ifosphamide + Cisplatin 695
Vinorelbine + Ifosphamide + Cisplatin 1,148
(d)
Complex regime
Etoposide + Dactinomycin + Methotrexate + Vincristine +
Cyclophosphamide
338
Etoposide + Cisplatin + Dactinomycin + Methotrexate
217
Etoposide + Vincristine + Doxorubicin + Ifosphamide +
Dactinomycin
1,110
Ifosphamide + Vincristine + Dactinomycin + Doxorubicin
975
Vincristine + Doxorubicin + Cyclophosphamide +
Dactinomycin
392
Vincristine + Doxorubicin + Ifosphamide + Dactinomycin 1,157
Vincristine + Ifosphamide + Carboplatin + Etoposide 944
Vincristine + Ifosphamide + Doxorubicin + Etoposide 1,141
Methotrexate + Dactinomycin + Chlorambucil +
Cyclophosphamide
354
Methotrexate + Vinblastine + Doxorubicin + Cisplatin 232
(e)
Oral agent
Capecitabine 1250mg/m2 658
Capecitabine 1000mg/m2 534
Capecitabine 850mg/m2 441
238
Chlorambucil 94.50
Cyclophosphamide 3
Etoposide 405
Procarbazine 516
Tegafur 255
Temozolomide 5,405
TARGETED THERAPY
Erlotinib 100mg 4,705
Erlotinib 150mg 5,800
Gefitinib 5,043
Imatinib 100 mg 4,492
Imatinib 400mg 9,210
Pazopanib 200mg 1,848
Pazopanib 400mg 2,790
Trastuzumab (loading dose)
6,977
Trastuzumab (maintainence dose)
5,074
Cetuximab (2 weekly regime)
6,112
HORMONE THERAPY
Anastrazole 74
Bicalutamide 74
Exemestane 796
Flutamide 91
Letrozole 126
Lucrin leuprolide acetate 3.75mg 315.90
239
Leuprolide acetate 11.25mg 971.45
Medroxyprogesterone acetate (IM)
26
Megestrole acetate 800
Tamoxifen 16
Zoladex goserelin 10.8 depot (every 3 months)
992
Goserelin 3.6 depot 265.35
IMMUNO THERAPY
Interfelon alfa 1,136
PART 6
NUCLEAR MEDICINE
Teknetium - 99M cardiac shunt 140
Teknetium - 99M phyrophosphate study 240
Teknetium - 99MIBI exercise and rest study 1,700
Talium - 201 exercise and rest study 1,800
Gated heart pool scan 1,360 24 Hours delay imaging 400
PART 7
NEPHROLOGY
Intermitent peritoneal dialysis per treatment 300
CAPD treatment (monthly)
2,100
Renal biopsy (excluding report)
500
240
Femoral/subclavian catherisation 1,000
Haemoperfusion 1,000
Implantation of tenchoff catheter
200
Pretransplant dialysis treatment 2,000
Home visit per haemodialysis 200 per visit
Cycle-PD/Automated PD
800
Intermitent peritoneal dialysis stab 800
Intermitent peritoneal dialysis tenckhoff
800
Continuous arteriovenous haemofiltration 800
Continuous venovenous haemodiafiltration 2,000
Continuous venovenous haemodialysis 2,000
Continuous venovenous haemofiltration 890
Nightly intermitent peritoneal dialysis 2,100
Plasma exchange 1,900
Plasmapharesis 1,900
Haemofiltration 300
Haemodialysis single use kidney 200
Haemodialysis single use kidney high - flux 200
Haemodialysis single use kidney low - flux 200
Haemodialysis single use kidney middle - flux 200
Catheter insertion surgical tenckhoff peritoneal sco
2,500
Catheter removal medical tenckhoff (non OT)
500
Catheter removal surgical tenckhoff ( non OT)
500
Kt/v (CAPD)
150
Catheter insertion central venous 1,000
Catheter insertion CV under US guidance 1,000
241
Catheter insertion femoral double lumen (non cuffed)
800
Catheter insertion femoral single lumen 1,000
Catheter insertion permanent 2,500
Haemodiafiltration online 300
Haemodialysis reuse kidney 180
Haemodialysis reuse kidney high - flux 180
Haemodialysis reuse kidney low - flux 180
Haemodialysis reuse kidney middle - flux 180
Renal biopsy - biopty gun 500
Renal biopsy - cooks 500
Renal biopsy - tru cut 500
Slow continuous ultrafiltration 1,000 per day
Ultrafiltration 200
Catheter removal central venous 200
Catheter removal femoral double lumen 200
Catheter removal central venous under US
200
Catheter removal femoral single lumen 200
Renal allograft ultrasound 100
Renal allograft ultrasound doppler 150
PART 8
PHYSIOTHERAPY
ELECTROTHERAPY MODALITIES
Biofeedback/myofeedback 80
242
Direct current/iontophorosis 80
Didynamic current 80
Interrupted Direct Current (IDC)
80
Interferential Therapy (IT)
80
Shortwave Diathermy (SWD)
80
Transcutaneous Electrical Nerve Stimulation (TENS)
80
Ultrasound therapy (US)
80
Realtime ultrasound 80
Functional electrical stimulation 80
Shockwave therapy 80
THERMAL THERAPY/CRYOTHERAPY
Hot pack 40
Wax bath 40
Infrared radiation 40
Cryotherapy 40
PHOTOTHERAPY
Laser therapy 80
Ultraviolet light therapy 80
CARDIORESPIRATORY THERAPY
Active Cycle Breathing Technique (ACBT)
60
Breathing exercise 60
243
Bronchial suction 60
Flutter/incentive spirometer 60
Inspiratory muscle training 60
Inhalation therapy 60
Percussion/vibration 60
Positive expiratory pressure 60
Postural drainage 60
MECHANO THERAPY
Cervical traction 80
Lumbar traction 80
Sequential pump 80
HYDROTHERAPY
Pool exercise 120
Whirlpool 120
MANUAL THERAPY
Soft tissue manipulation 120
Myofascial release 120
Manual lymphatic drainage 120
Accupressure 120
244
TAPING/BANDAGING/STRAPPING
120
COMPRESSION THERAPY (LYMPHOEDEMA)
80
SPECIAL TECHNIQUES
Canalith repositioning technique 80
Gaze stabilisation exercise 80
Icing/brushing 80
Joint mobilisation 80
McKenzie technique 80
Motor Relearning Programme (MRP)
80
Acupuncture 80
Neurodevelopmental technique 80
Proprioceptive Neuromuscular Facilitation (PNF)
80
EXERCISE THERAPY
Active, passive, resisted 80
Ambulation/gait training 80
Ante/postnatal exercise 80
Balance training 80
Bladder/bowel training 80
Circuit training/gymnic ball exercise 80
Counter bracing technique 80
Functional activities 80
245
Group exercise 80
Isokinetic exercise 80
Mechanical exercise 80
Pelvic floor exercise 80
Pelvic floor exercise with PFX educator 80
Relaxation techniques 80
Sensory re-education 80
Special hand regime 80
Treadmill 80
CONSULTATION/STRUCTURED PATIENT EDUCATION/
CAREER TRAINING
40
SPECIAL TEST – DIAGNOSTIC TOOL
Berg’s balance test 120
Clinical Test for Sensory Interaction and Balance (CTSIB)
120
Computerized dynamic posturography 120
Computerized hand evaluation 120
Dix-hall pike test 120
Dynamic gait index 120
Oculomotor assessment 120
Pelvic floor per vagina/per rectal assessment 120
Perionometer 120
Sensory testing 120
Strength duration curve 120
Voluntary muscle testing 120
Vestibular test 120
246
PART 9
DENTAL
Extraction permanent tooth 50
Extraction supernumerary/retained root 50
Extraction deciduous tooth 25
Extraction - complication - treatment of infected socket 50
Extraction - complication - control of haemorrage 50
Extraction - complication 50
Restoration permanent tooth - single surface 75
Restoration permanent tooth - multiple surface/with pin retention
100
Restoration - deciduous tooth 30
Temporary restoration 30
Scaling and polishing per arch 214
Full denture (acrylic) - per jaw including materials 900
Partial denture (acrylic) - per jaw - first tooth 500
Partial denture (acrylic) - maximum 800
Partial denture - per additional tooth 20
Repair of denture plate (not including replacement of tooth)
70
Repair of denture (per additional tooth)
20
Relining/Rebasing - per denture 120
Mouth guard 50
Soft splint 50
Hard splint 200
Other splint : e.g. oyster 50
Obturator - acrylic 100
247
Obturator - molloplast 200
Feeding plate 50
Other dental appliances
100
Facial prosthesis 200
Resuture of soft tissue injury orofacial 120
Open suture soft tissue injury orofacial 60
Revision of soft tissue injury - orofacial 120
Incision and drainage - orofacial abscess 120
Inlay/onlay-per tooth (excluding material and laboratory fee)
120
Crown/veneer - per unit (inclusive of temporary crown but excluding material and laboratory fee)
200
Bridge per abutment/pontic (inclusive of temporary bridge but excluding material and laboratory fee)
200
Stainless steel crown - per unit 50
Strip crown - per unit 30
Repair of crown/bridge 50
Post and core per tooth 150
Provisional restoration - per tooth 30
Root canal treatment - anterior 150
Root canal treatment - premolar 200
Root canal treatment - molar 300
Root canal retreatment - anterior 250
Root canal retreatment - premolar 300
Root canal retreatment - molar 400
Apexification - per tooth 200
Arrest of tooth resorption - per tooth 150
Coronal pulpotomy - per permanent tooth 150
248
Cvek pulpotomi - per permanent tooth 150
Pulpotomy - per deciduous tooth 150
Pulpectomy - per tooth 200
Pulp capping (includes temporary restoration) - direct/indirect
30
Treatment of pulp removal (extirpasi pulp)
50
Retrieval of separated/broken instrument 200
Tooth bleaching (external) - per arch 500
Tooth bleaching (internal) - per tooth 50
Microabrasion - per tooth 50
Topical fluoride - per arch 50
Fissure sealant - per tooth 40
Desensitisation - per tooth 30
Fixed appliance - treatment package - both arches 5,500
Fixed appliance - treatment package - single arch 2,700
Functional fixed appliance - per arch 2,000
Debonding of fixed appliance - per arch
300
Fixed connector appliance - per arch 370
Fixed connector appliance - replacement - per arch 370
Fixed connector appliance - repair - per arch 100
Fixed connector appliance - recementation 100
Fixed retainers - per arch 300
Fixed retainers - replacement - per arch 200
Fixed retainers - repair - per tooth 100
Fixed retainer - removal - per arch 200
Functional removable appliance - per arch 2,000
Functional removable appliance - replacement 2,000
249
Functional removable appliance - repair 250
Removable appliance - treatment package - per arch 1,500
Active removable appliance - replacement - per arch 400
Passive removable appliance - replacement - per arch 400
Removable space maintainer per arch 400
Active removable - repair - per arch 250
Removable retainers - repair - per arch 250
Removable appliance (space maintainers) - repair - per arch
250
Essix retainer 300
Palatal/lingual accessory arch 250
Palatal/lingual accessory arch - replacement 250
Placement of traction device (on plant) - per device 400
Placement of traction chain - impacted tooth 800
Activation of traction chain for minor tooth movement per tooth
200
Impression for working model per arch (upper/lower)
200
Orthodontic bands - replacement 100
Orthodontic brackets - replacement per tooth 100
Orthodontic wire - replacement per arch (upper/lower)
200
Repair of removable appliance - per arch 100
Facemask treatment 400
Chin cup treatment 400
Palatal expander treatment 400
Headgear treatment 400
Flap surgery with osseous surgery
674
Flap surgery with bone regeneration 800
Mucogingival surgery 500
250
Crown lengthening with ostectomy 617
Crown lengthening without ostectomy 550
Tooth hemisection 1,312
Guided bone regeneration 1,036
Guided tissue regeneration 1,648
Flap surgery 674
Gingivectomy 400
Gingivoplasty 400
Wedge surgery 400
Furcationplasty - tunnelling 1,419
Furcationplasty - grooveplasty 1,419
Root resection 1,312
Root debridement per quadran (debridement subgingiva)
421
Root debridement whole mouth (debridmen subgingiva)
637
Splinting of teeth 158
Labial gingival veneer 300
Pericision of periodontal ligament 150
Modification of tooth morphology 150
Recontouring of pre-existing restoration 150
Occlusal adjustment 134
Frenotomy/frenectomy 647
Close reduction temporomandible joint (TMJ)
150
Antralplasty maxillary (sinus lift) with autograft - bone graft 1,000
Antralplasty maxillary (sinus lift) with allograft 400
Closure of oro-antral fistula 1,000
Antral washout Caldwell - Luc (per side)
200
251
Excision lesion maxillofacial - with reconstruction - allograft 750
Excision of maxillofacial lesion 200
Marsupialisation of bony maxillofaciallesion 200
Marsupialisation of oral soft tissue lesion 100
Reduction and fixation of bony maxillofacial fracture - closed 600
Reduction and fixation of bony maxillofacial fracture - temporary
20
Oral vestibuloplasty (per arch) with graft 750
Oral vestibuloplasty (per arch)
300
Removal of internal fixation - maxillofacial 300
Maxillofacial sequestrectomy 120
Removal of salivary duct calculus - open 400
Removal of salivary duct calculus - closed 30
Meatoplasty of salivary duct orifice 200
Salivary duct dilation 150
Salivary duct ligation 150
Excision of oral soft tissue lesion with laser 200
Excision of oral soft tissue lesion - 2cm or less 120
Trigeminal nerve - cryotherapy/sectioning 300
Removal of foreign body - orofacial - simple 120
Biopsy bony maxillofacial 200
Biopsy soft tissue oral 120
Biopsy lesion tru - cut 50
Ablation of oral mucosal lesion 200
Frenoplasty 170
Frenotomi/frenectomy with laser 170
Apicectomy (per tooth) - posterior tooth with retrograde filling
1,000
252
Apicectomy (per tooth) - posterior tooth 750
Apicectomy (per tooth) - anterior tooth with retrograde filling
300
Apicectomy (per tooth) - anterior tooth 120
Surgical removal of impacted tooth (per tooth) - complicated
1,000
Surgical removal of tooth/root (per tooth)
400
Surgical removal of displaced tooth/root (per tooth)
400
Surgical removal of impacted/unerupted tooth (per tooth) - simple
400
Transplantation tooth 750
Repositioning and/or stabilization of tooth - surgical 400
Repositioning and/or stabilization of tooth - non - surgical 150
Reimplantation of tooth 200
Surgical exposure of tooth with placement of attachment
(per tooth)
400
Surgical exposure of tooth without placement of attachment
(per tooth)
150
Dental implant (per implant) - first stage surgery with autograft
600
Dental implant (per implant) - first stage surgery 400
Dental implant (per implant) - first stage surgery with bone substitute
400
Dental implant (per implant) - second stage surgery 50
Maxillofacial implant (per implant) - first stage surgery 400
Maxillofacial implant (per implant) - second stage surgery 50
Removal of dental/maxillofacial implants - complicated 300
Removal of dental/maxillofacial implants - simple 75
Debridement of oro-facial soft tissue 60
Dental wiring - per jaw 75
Control of haemorrhage - post-surgery 75
253
Control of haemorrhage - lesion 50
Control of haemorrhage - post - extraction 30
Orofacialsoft laser therapy - per course 75
Oromaxillofacial ultrasound therapy 75
Prosthesis - obturator 120
Fine needle aspiration cytology - orofacial 50
Oral operculectomy 30
Removal of dental wires (per jaw)
30
Injection of medication - orofacial 30
PART 10
ARTIFICIAL LIMBS / PROSTHESIS
Description
Upper limb prosthesis item
Cosmetic silicone glove
Wrist amputation 2,800
Cosmetic fingers
Finger amputation 1,200
Trans radius cosmetic
Trans radius amputation 4,000
Trans radius mechanical function hand
Trans radius amputation 6,300
Trans humerus cosmetic
Trans humerus amputation 7,500
Trans humerus mechanical functional hand
Trans humerus amputation 9,500
Lower limb prosthesis item
Chopart
Chopart modular prosthesis right/left 1,800
254
Symes prosthesis
Chopart symes prosthesis right/left 3,800
Transtibial prosthesis K1 indoor walker
Limited to inhouse movement.
Amputee is able to walk slowly on the floor.
3,550
Transtibial prosthesis K2 limited outdoor
Limited for external movement. Amputee is able to walk slowly and with moderate speed, with the ability to step on uneven surface.
5,500
Transtibial prosthesis K3 active walker
Daily activity inclusive of walking fastly and and able to step without barrier.
9,500
Transtibial prosthesis K4 very active/sport
Daily activity and various tough activity, which is more than normal walk such as sports.
18,800
Through knee prosthesis K1 to K4
Level of movement is between
K1 to K4.
13,800
Transfemoral prostesis K1 indoor walker
Limited to inhouse movement.
Amputee is able to walk slowly on the floor.
7,500
Transfemoral prostesis K2 limited outdoor
Limited for external movement. Amputee is able to walk slowly and with moderate speed, with the ability to step on uneven surface.
9,000
Transfemoral prostesis K3 active walker
Daily routine inclusive of fast walk and ability to walk without barrier.
15,000
Transfemoral prostesis K4 very active/sport
Daily activity and various tough activity more than normal walk such as sports.
35,000
255
Hip disarticulated prostesis K1 to
K4
Level of movement is between
K1 to K4.
15,000
Knee orthoses hinge knee
450
Knee orthoses weekender knee brace
1,100
Knee orthoses revolution brace
700
Knee orthoses knee ranger post operation brace
450
Knee orthoses fracture hinges
400
Lower limb orthoses knee ankle foot orthoses (KAFO)
3,800
Ankle foot orthoses
350
Super lite ankle foot orthoses
250
Ankle foot orthoses sweeder ankle brace
400
Suprameleolar prosthesis 500
per unit
500
Ankle foot orthosis - ankle foot orthosis
(custom made/polypropelyne)
350
Foot care wonder spur
70
Foot care wonder cup
70
Foot care wonder sport
130
Foot care soft sock
200
Foot care gel squares
140
Paediatric orthoses pavlic harness
450
Paediatric orthoses dennis brown shoes (straight last) full set
700
Paediatric orthoses Dennis Brown
Shoes (full abduction) full set
700
256
Cervical soft collar
Cervical injury usage
(made from soft material)
55
Cervical adjustable collar (plastic)
Cervical injury usage 65
Philadelphia A series collar
Cervical injury usage removable padding orthowick foam 280
Atlas collar
Cervical injury usage. Provides improvement in lessening the cervical movement and obtain comfort through adjusting the strap behind the collar.
300
Philadelphia collar
Cervical injury usage. Light and consist of two keeping foam polythene with hard plastic that support anterior and posterior part.
130
Minerva cervical support
Cervical injury usage.
Adjustable optimum support for cervical. One adjustable size for various sizes.
1,000
Philadelphia collar with stabilizer and halo
Cervical injury usage.
Additional ability to control neck reversing and flexion/extension.
550
S.O.M.I brace
Cervical injury usage.
Adjustable orthosis cervical for flexio, neutral or hyperextension and restrain movement.
900
USMC halo system
Cervical injury usage 3,000
Halo liner
Cervical injury usage 1,100
PMT halo system
Cervical injury usage 3,000
Torque screw driver
1,000
257
Cervical - thoracic lumbar - sacral
- orthosis
2,800
Juwett brace
700
Knight taylor brace (TLSO)
800
Knight taylor brace (LSO)
650
Kydex knight taylor brace
900
Kydex chair back brace
700
TLSO body jacket (moulded polypropelyne)
2,800
Sacro - lumbar support (fabric)
150
Scoliosis boston brace
(moulded polypropelyne)
3,000
Rehabilitation accessories
Aluminium axilla crutch
Children (S)
55
Teenage (M)
55
Adult (L)
55
Adult big size (XL)
55
Adjustable elbow crutch
140
Adjustable aluminium walking stick with strap in bronze colour
45
Adjustable aluminium crooked handle walking stick in bronze colour
55
Adjustable folding walking frame in bronze colour
125
Quadruped walking aid
58
258
Quadruped walking aid - narrow base
58
Standard wheel chair 18” with detachable armrest and footrest
680
Standard wheel chair 18”
280
Semi light weight wheel chair
800
Reclining wheel chair with detachable armrest and elevating footrest
1,200
Light weight wheel chair
1,400
Commode wheel chair
1,400
Major buggy
1,500
Commode chair
200
PART 11
TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES
TRADITIONAL MEDICINE FOR MALAY/PRIBUMI
(a)
Traditional massage for malay/pribumi
Chronic disease treatment 50/session
Post-stroke treatment 50/session
(b)
Post-natal mother care
Post natal massage treatment 50/session
259
Post natal recovery treatment packages - massage, furnase and bengkung
150/session
Post natal recovery treatment - tangas 50/session
TRADITIONAL CHINESE MEDICINE
(a)
Acupuncture
Chronic disease treatment 50/session
Post-stroke treatment 50/session
Acupuncture and moxibustion in addition to the treatment of chronic pain and post stroke
60/session
Other indication 50/session
(b)
Herbs
Ancillary treatment for oncology patient (including the fee for herbs)
250/ *cycle
(*1 cycle =
2 weeks)
TRADITIONAL INDIAN MEDICINE
(a)
Ayurveda
Shirodhara 150/session
Abhyanga 150/session
260
(b)
Complementary therapy
Chiropractic 150/session
Osteopatic 200/session
PART 12
BLOOD SUPPLY AND BLOOD PRODUCT
Packed red cell 120
Whole blood 120
Platelet concentrate 120
Cryoprecipitate 120
Fresh frozen plasma 120
Cryosupernatant 120
Platelet apheresis 630
Paediatric packed cells 110
Filtered red cell 200
Irradiated sel 160
Patogen inactivated plasma 600
Patogen inactivated platelet 800
Patogen inactivated platelet aferesis 1,350
Irradiated aferasis platelet 690
Irradiated platelet 160
261
Plasma breakdown product
High purity factor VIII concentrate - 250 IU/vial 540
Intermediate purity factor VIII - 250 IU/vial 300
Pure factor IX - 500 IU/vial 790
Prothrombin complex concentrate - 500 IU/vial 590
Recombinant factor VIIa - 60 KIU/vial 2,970
Albumin - 20% 100ml 180
Intravenous immune globulin (IV) - 3g/50ml 700
Recombinant VIII - 250 IU/vial 670
Recombinant IX - 500 IU/vial 1,190
Autologous plasma eye drop 450
PART 13
OCCUPATIONAL THERAPY
Fee(RM)
ASSESSMENT
(a)
ADL assessment
Canadian Occupational Therapy Performance Measure (C.O.P.M)
40
Camberwell Assessment of Needs Short Schedule (CANSAS)
40
Functional Ability Assessment (FAA)
40
Functional Independence Measure (FIM)
40
Kohlman Evaluation of Living Skill (KELS)
40
Modified barthel index 40
Pediatric Evaluation Disabilities Inventory (PEDI)
40
Self care skills (PASS)
40
Kohlmens 40
262
AMPS
40
(b)
Physical assesment
Muscle Manual Test (MMT)
40
Strength - dynamometer/pinch gauge 40 2 Point discrimination test 40 9 Hole peg test 40
Berg balance test 40
Grooved peg board 40
Jebsen Taylor hand function test 40
Minnesota manual dexterity test 40
O’connor finger dexterity test 40
O’connor tweezer dexterity test 40
Pain visual analog scale 40
Purdue pegboard test 40
Range of motion - goniometer 40
Roeder manipulative aptitude test 40
Semmes - Weinstein monofilaments test 40
Sensory profile 40
Stereognosis test 40
Vibration 40
Volumeter 40
Tinnetti balance test 40
Microcomputer Upper Limb Exerciser (MULE)
40
(c)
Development assessment
Bruiniks Oseretsky test 40
Denver 40
Oral motor rating scale 40
Peabody 40
263
(d)
Perceptual and cognitive assessment
Berry VMI
40
Chessington Occupational Therapy Neurological Assessment Battery
(C.O.T.N.A.B)
40
Hospital anxiety depression scale 40
Lowerstein Occupational Therapy Cognitive Assessment (L.O.T.C.A)
40
Mini mental state examination 40
Rivermead perceptual assessment battery 40
(e)
Preschool assesment
Miller assessment pre schoolers 40
School Function Assessment (SFA)
40
Test of handwriting skill 40
Behavior assessment 40
Threshold Assessment Grid (TAG)
40
Hospital anxiety and depression scale 40
Irritability - depression anxiety scale 40
Shaan's function questionaire 40
The Beck depression scale 40
(f)
Wheel chair assessment 40
(g)
Driving assessment
Pre-driving assessment 400
Stroke driving screening assessment 400
(h)
Home/Work place/School assessment
Home fast tool 40
264
(i)
Work/Vocational assessment
BTE
400
Laser 400
LIDO
400
Role check list 400
T pal 400
Valpar 400
Work cube 400
ACTIVITIES OF DAILY LIVING (ADL) TRAINING
(a)
Instrumental activities of daily living
Ability to use telephone 40
Early ambulation 40
Self hygiene 40
Transfer 40
Ability to handle finance 40
Bathing 40
Bladder management 40
Bowel management 40
Cleaning work 40
Device care 40
Domestic skill 40
Dressing 40
Eating/feeding 40
Food/meal preparation 40
Functional communication 40
Functional mobility 40
Grooming 40
Health eminence 40
265
Household maintenance 40
Housekeeping 40
Laundry 40
Mode of transportation 40
Money management 40
Responsibility for medication 40
Safety procedure 40
Sexual expression 40
Shopping 40
Toileting
40
(b)
Aids and adaptation (for each modification equipment supplied)
Cooking utensil 80
Dressing 80
Feeding/drinking utensil 80
Mobility 80
Bathing 80
Reading/writing 80
Wheel chair seating 80
Behavioral therapy 40
(c)
Cognitive and perceptual training
Basic concepts 40
Body part identification 40
Cognitive stimulation 40
Educational activities 40
Right/left discrimination 40
Figure ground disrimination 40
Reality orientation 40
Topographical orientation activities 40
266
Sequencing 40
Categration 40
(d)
Dynamic splint - the price of mechanism (according to market price) + the price of static splint 240
(e)
Creative therapy
Art therapy 40
Drama/role play 40
Music therapy 40
(f)
Social skill training
Assertive training 40
Coping skill training 40
Group support 40
Group therapy 40
Individual therapy 40
Interpersonal skill 40
Self awareness activities 40
Self control 40
Self expression 40
Social conduct 40
Social skill training 40
Time management 40
Role checklist 40
(g)
Patients and career education
Body mechanic and ergonomic 40
Edema control 40
Energy conservation/work simplication 40
267
Environment therapy 40
Joint protection techniques 40
(h)
Play and leisure
Leisure check list 40
Play and leisure exploration 40
Play and leisure training 40
(i)
Relaxation
Bio-feedback 40
Deep breathing 40
Diaphragmatic breathing 40
Imaginary relaxation 40
Progressive muscular relaxation techniques 40
(j)
Sensory training
Sensory desensitization 40
Sensory integration 40
Sensory re-education 40
Sensory stimulation 40
Fluidotherapy 40
(k)
Motor training
Above elbow prosthesis 40
Above knee prosthesis 40
Active assisted exercise 40
Below elbow prosthesis 40
Below knee prosthesis 40
Bilateral integration 40
268
Crossing midline 40
Ergonomic training 40
Fine motor skills 40
Finger prosthesis 40
Gait training 40
Gross motor activities 40
Hand-eye coordination 40
Improve balance 40
Motor re-education 40
Neuro developmental technique 40
Normalize muscle tone 40
Oral muscle stimulation 40
Strengthening exercise 40
Endurance training 40
Reduce muscle tone 40
Above elbow prosthesis 40
(l)
Compression therapy
Corban bandage 40
Pressure splint 40
Tubigrip 40
Fee(RM)
Infant
(0 to 12
months)
Children
(1 to 18
years)
Adults
(18 years above)
(m)
Pressure garment
Finger strap 10 10 10
Gauntlet 20 30 30
Glove 30 40 40
269
Forearm A sleeve 20 30 40
Full length arm sleeve 30 40 50
Vest with long sleeve 60 80 120
Vest with short sleeve 40 60 100
Chin strap 20 20 30
Mask 40 60 80
Short pants 40 60 80
Long pants 60 80 120
Thigh strap 30 40 50
Calf strap 30 40 50
Socks (1 unit)
30 40 50
(n)
Static splint
Finger toe 10 10 10
Hand/foot 20 20 30
Hand to forearm 30 50 80
Finger to forearm 30 60 120
Forearm to upper arm 30 60 120
Hand to upper arm 60 120 240
Upper arm 40 60 160
Hard collar 40 80 160
Foot to calf 60 120 160
Foot to mid thigh 120 160 300
Mid calf to mid thigh 40 120 160
Plaztozote insole 10 20 30
Tennis elbow 40 70 70
Ulnar driff 10 20 30
Ergonomic A sling 60 60 70
Foot drop check 60 30 40
Buddy strap 10 10 10
Body brace 100 250 500
Pelvis harness 360 10 0
270
PART 14
IMPLANT FEE FOR OPHTALMOLOGY SERVICES
Paediatric and strabismus
Frontalis sling ; silastic material 600
Frontalis sling ; ptose up 1,125
Lacrimal intubation ; Ritleng tube 600
Lacrimal intubation ; Crawford tube 608
Mini monoka 600
Glaucoma ; Baerveldt implant 2,055
Glaucoma ; Ahmad valve implant 2,400
Medpor orbital sphere implant 1,950
Customised artificial eye 3,900
Ready - made artificial eye 120
Conformer 480
Silicone band for squint surgery 120
Low vision optical devices 3,000
Surgical vitreoretina
Silicone oil 675
Gas C3F8 225
Gas SF6 225
Silicone band 120
Silicone sponge 450
271
Silicone tyre 150
Glaucoma
Baerveldt implant (standard)
2,055
Baerveldt implant (pars plana)
2,055
Ahmad valve (standard)
2,400
Ahmad valve (pars plana)
3,300
Molteno implant 1,950
Amniotic membrane 750
Implant tube extender 1,200
Cataract and refractive surgery 1,200
Capsular tension ring 525
Aniridia ring 1,125
Cornea
Corneal - precut 6,000
Corneal - tissue in optisol 2,700
Corneal tissue-tissue in glycerol 1,500
Amniotic membrane 750
Bandage contact lens - weekly 15
Bandage contact lens - monthly 45
Keratoprosthesis - ocular landers 2,997
Keratoprosthesis - boston 12,000
Intrastromal corneal ring segment - INTACS
4,500
272
Optical cylinder for Osteo Odonto Keratoprostesis (OOKP)
3,000
Symblepharon ring 585
Oculoplastic
Crawford lacrimal intubation 435
O'Donoghue lacrimal intubation 375
Ritleng intubation set 600
Bicanaliculus intubation set 225
Snug plug - punctal plug 300
Ptosis probe - silicone 600
Ptosis probe - gortex 990
Conformer - silicone, perforated 480
Symblepharon ring 585
Titanium plate 1,425
Titanium screw 225
Gold weight implant 3,150
Platinum weight implant 3,900
Silicone tyre 276 150
Fixation sleeve 75
Sponge 450
Mini monoka 600
Monoka 600
Upper eyelid spacer 1,350
Lower eyelid spacer 1,350
Acrylic implant 75
273
Hydroxyapatite orbital implant 2,400
MEDPOR - micro thin sheet 1,050
MEDPOR - ultra thin sheet 1,050
MEDPOR - sheets 1,050
MEDPOR - titanium sheets 1,425
MEDPOR enophthalmos wedges 1,950
MEDPOR orbital conical implant 2,025
MEDPOR orbital sphere implant 1,950
MEDPOR blocks 1,170
Orbital sphere tissue expander 2,700
PESS implant 3,300
Customised artificial eye 3,900
Ready-made artificial eye 120
PART 15
IMPLANT FEE FOR ORTHOPAEDICS SERVICES
1.5mm Cortical screw, 0.5mm pitch, full thread
(length range : 6mm - 30mm)
15 2.0mm Cortical screw, 0.6mm pitch, full thread
(length range : 6mm - 40mm)
16 2.7mm Cortical screw, 1.0mm pitch, full thread
(length range : 8mm - 50mm)
17 2.7mm Cortical screw, 1.0mm pitch, self tapping, full thread
(length range: 6mm - 40mm)
18
Epiphysis mini plates 2.0mm (range: left/right l-obligue, left/right 90 degree t-plate)
67
Quarter tubular plate 2.7mm (hole range : 3mm - 8mm)
77
274
Self compression plates 2.0mm (hole range : 4mm - 8mm)
104
Self compression plates 2.7mm (hole range : 2mm -12mm)
141
Straight mini plate 2.0mm (hole range : 3mm - 6mm)
94 4.0mm Cancellous screws, 1.75mm pitch, full thread
(length range: 10mm -70mm)
18 4.0mm Cancellous screws, 1.75mm pitch, long thread
(length range : 16mm - 72mm)
13 4.0mm Cancellous screws, 1.75mm pitch, short thread
(length range : 10mm - 80mm)
11 3.5mm Cortical screws, 1.25mm pitch, full thread
(length range : 10mm - 70mm)
16 3.5mm Cortical screws, 1.25mm pitch, self tapping, full thread
(length range : 10mm - 65mm)
17
Clover leaf plate 3.5mm (hole range : 3mm - 5mm)
334
LC-self compression plate 3.5mm (hole range : 2mm - 12mm)
256
One third tubular plate 3.5mm (hole range : 2mm - 12mm)
71
Self compression plate 3.5mm (hole range : 2mm - 12mm)
94
Small t-plate (obligue angled) 3.5mm (hole range : 3mm - 5mm)
168
Small t-plate (right angled) 3.5mm (hole range : 3mm - 6mm)
168 6.5mm Cancellous screw, 2.75mm pitch, 32mm thread length
(length range : 30mm - 110mm)
30 6.5mm Cancellous screw, 2.75mm pitch, full thread
(length range : 16mm - 110mm)
31 4.5mm Cortical screw, 1.75mm pitch, full thread
(length range : 14mm - 80mm)
16 4.5mm Cortical screw, 1.75mm pitch, self tapping, full thread
(length range : 14mm - 80mm)
17 4.5mm Malleolar screw, 1.75mm pitch, threaded length
(length range : 25mm - 100mm)
33
Broad self compression plate 4.5mm (holes range : 4mm - 18mm)
211
275
Butress l - plate (right angled) 4.5mm (hole range : 3mm - 6mm)
281
Buttress l - plate (left angled) 4.5mm (hole range : 3mm - 8mm)
281
Buttress t - plate 4.5mm (hole range : 3mm - 8mm)
234
Cobra head plate 4.5mm (hole range : 8mm - 11mm)
667
Condylar buttress plate (left angled) 4.5mm
(hole range : 7mm - 15mm)
585
Condylar buttress plate (right angled) 4.5mm
(hole range : 7mm - 15mm)
585
Large t-plate 4.5mm (hole range : 3mm - 9mm)
328
Lateral tibia plate (left angled) 4.5mm (hole range : 5mm - 13mm)
585
Lateral tibia plate (right angled) 4.5mm (hole range : 5mm - 13mm)
585
Limited contact - broad self compression plate 4.5mm
(holes range : 6mm - 18mm)
422
Limited contact - narrow self compression plate 4.5mm
(holes range : 2mm - 16mm)
375
Narrow self compression plate 4.5mm (holes range : 2mm - 18mm)
153
Semi - tubular plate 4.5mm (hole range : 2mm - 12mm)
78
Spoon plate 4.5mm (hole range : 5mm - 6mm)
312
Bone screw washers (range : outer 6.5mm, 7.2mm, 10.0mm, 13.0mm)
10 4.0mm Cannulated screw, 16mm thread length
(length range : 25mm - 50mm)
206 4.5mm Cannulated screw, 16mm thread length
(length range : 20mm - 80mm)
206 6.5mm Cannulated screw, full thread
(length range : 25mm - 115mm)
206 7.0mm Cannulated screw, 16mm thread length
(length range : 30mm - 130mm)
206 7.0mm Cannulated screw, 32mm thread length
(length range : 45mm)
217
276
7.0mm Cannulated screw, full thread
(length range : 20mm - 130mm)
217
Curved reconstruction plate 3.5mm (holes range: 6mm - 18mm)
410
Straight reconstruction plate 3.5mm (hole range : 5mm - 22mm)
234
Straight reconstruction plate 4.5mm (hole range : 3mm - 16mm)
328
DHS plate 130 (hole range : 2mm - 9mm)
585
DHS plate 135 (hole range : 2mm - 9mm)
585
DHS plate 140 (hole range : 2mm - 12mm)
702
DHS plate 145 (hole range : 2mm - 12mm)
702
DHS plate 150 (hole range : 2mm - 12mm)
702
Hexagonal head compression screw, length 36mm 43
Lag screw, thread 12.5mm, thread length 22.0mm
(length range : 50mm - 145mm)
234
Calibrated guide wires, 2.5mm, length 230mm 94
Austin Moore narrow stem stainless steel
(head size range : 38mm - 56mm)
953
Austin Moore standard stem stainless steel
(head size range : 38mm - 56mm)
953
Austin Moore standard stem titanium
(head size range : 38mm - 56mm)
1,521
Thompson standard stem stainless steel
(head size range : 38mm - 56mm)
953
Thompson standard stem titanium
(head size range : 38mm - 55mm)
1,521 130 Angled blade plates (hole range : 4mm - 12mm)
634 95 Angled blade plates (condylar plate 95)
(hole range : 5mm - 18mm)
1,112
Supracondylar plates 95 degress (hole range : 6mm - 16mm)
913
Carbon fibre rods 11.0mm (length range : 100mm - 600mm)
153
277
Schanz screws 4.0mm (length range : 100mm - 250mm)
57
Schanz screws 4.0mm/3.0mm (length range : 80mm - 100mm)
52
Schanz screws 5.0mm (length range : 100mm - 250mm)
57
Schanz screws 6.0mm (length range: 100mm - 250mm)
113
Tube to pin clamp, connection Schanz screw 5.0mm to 11.0mm tube
223
Tube to tube clamp, end connector 11.0mm to 11.0mm tube 223
Tube to tube clamp, mid shaft connector 11.0mm to 11.0mm tube
223
Ender nails 4.5mm (length range : 420mm - 520mm)
195
Ender nails 4.8mm (length range : 220mm - 520mm)
161
Kuntcher nails 10.0mm (length range : 20 cm - 52 cm)
385
Kuntcher nails 11.0mm (length range : 20 cm - 52 cm)
390
Kuntcher nails 13.0mm (length range : 20 cm - 52 cm)
413
Kuntcher nails 14.0mm (length range : 30 cm - 52 cm)
425
Kuntcher nails 15.0mm (length range : 30 cm - 52 cm)
436
Kuntcher nails 16.0mm (length range : 30 cm - 52 cm)
459
Kuntcher nails 6.0mm (length range : 14 cm - 40 cm)
331
Kuntcher nails 7.0mm (length range : 14 cm - 40 cm)
344
Kuntcher nails 8.0mm (length range : 20 cm - 52 cm)
356
Kuntcher nails 9.0mm (length range : 20 cm - 52 cm)
367
Cerclage wires (10's) (diameter range : 1.0mm - 1.2mm)
1,404
Cerclage wires, length 10 meters (diameter range : 1.0mm - 1.2mm)
134
Kirchner wires 0.9mm, trocar tip single or double
(length range : 70mm - 150mm)
6
Kirchner wires 1.2mm, trocar tip single or double
(length range : 150mm - 280mm)
6
Kirchner wires 1.0mm, trocar tip single or double
(length range : 150mm - 280mm)
6
278
Kirchner wires 1.4mm, trocar tip single or double
(length range : 150mm - 280mm)
6
Kirchner wires 1.5mm, trocar tip single or double
(length range : 150mm - 300mm)
8
Kirchner wires 1.6mm, trocar tip single or double
(length range : 150mm - 280mm)
8
Kirchner wires 1.8mm, trocar tip single or double
(length range : 150mm - 280mm)
8
Kirchner wires 2.0mm, trocar tip single or double
(length range : 150mm - 400mm)
9
Rush pins 2.4mm (length range : 25mm - 254mm)
84
Rush pins 3.2mm (length range : 102mm - 356mm)
102
Rush pins 4.8mm (length range : 203mm - 356mm)
102
Rush pins 6.4mm (length range : 298mm - 431mm)
127
Steinmann pins 3.5mm with trocar tip
(length range : 125mm - 150mm)
34
Steinmann pins 4.0mm / 5.0mm mid thread
(length range : 175mm - 200mm)
141
Steinmann pins 4.0mm with trocar tip
(length range : 150mm - 175mm)
34
Steinmann pins 4.5mm with trocar tip
(length range : 125mm - 250mm)
34
Steinmann pins 5.0mm with trocar tip
(length range : 150mm - 300mm)
34
Interlocking femoral nail 880
Interlocking tibia nail 880
Distal tibia plate 3,300
Osteotomy plate 2,860
Calcaneal plate 2,200
Bone staples 110
279
Stainless steel elastic nail 1,760
Bone cement (plain)
220
External fixator 2 tubes and 8 clamps 4,950
Wrist external fixator 4,950
Reconstruction external fixator set tibia 8,800
Reconstruction external fixator set femur 13,200
FOOT AND ANKLE IMPLANT
Suture anchor - 2.4mm - 5.5mm (titanium, bio absorbable, PEEK)
1,375
Syndesmosis tightrope 1,750
Bio tenodesis screw 1,690
Break away screw 360
Triple threaded screw 6.0mm 900
Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm and 7.3mm
(titanium)
525
Locking plate (mini and calcaneum)
2,350
Compression staple 475
Pilon plate (distal end tibia)
2,000
Ankle distractor (external fixator)
6,000
Bone graft (bonalive)
2,800
Radiofrequency coblation probe (topaz)
1,300
Arthroscopic radiofrequency probe (covac)
950
Arthroereisis screw 2,575
Total ankle replacement 15,500
Taylor spatial frame 12,000
Hind foot nail 3,350
280
Metatarsophalangeal joint arthroplasty (hemi and total)
6,125
GENERAL/TRAUMA IMPLANTS
DHS
650
Interlocking femoral nail 695
Interlocking tibial nail 695
Kuntscher intramedullary nail tibia 195
Kuntscher intramedullary nail femur 195
Steinman pin 39
Schanz screw 59
Cortical screw 3.5mm 10
Cortical screw 4.5mm 13
Circlage wire 0.2mm - 1.5mm 105 6.5mm Cancellous screw (16/32/full thread)
22 4.0mm Cancellous screw (full/short thread)
17
Cannulated screw 4.0mm, 6.5mm, 7.0mm 190
Mini plates 169
Mini screws 1.5mm, 2.0mm, 2.7mm 24
Angle blade plate 750
K-wires various sizes and length 13
Rush nails 649
Straight reconstruction plate 2.7mm 158
Reconstruction plate 3.5mm (straight/curved)
273
Reconstruction plate 4.5mm (straight/curved)
275
Broad DCP plate (4.5mm)
147
281
Narrow DCP (4.5mm)
113
Small fragments plate (3.5mm)
90
One third tubular plate (3.5mm)
52
Semi tubular plate (4.5mm)
71
T-buttress plate 4H - 6H (4.5mm)
179
T - plate (4.5mm)
212
L-buttress plate 4H - 6H (4.5mm)
195
Small t - plate (3.5mm) : oblique/right/left 120
Condylar buttress plate (4.5mm)
450
Clover leaf plate 265
Spoon plate 229
Distal tibial plate 1,125
Osteotomy plate 650
LC-DCP plate (3.5mm, 4.5mm)
225
Calcanel plate 525
Y-plate 225
Bone staples 40
Washer 15
JOINT ARTHROPLASTY
Hemi hip prosthesis (Austin Moore/Thompson)
725
MISCELLANEOUS
Bone cement (plain)
250
282
BASIC LCP SMALL FRAGMENT 3.5MM
LCP straight plate 3.5mm : (stainless steel)
(a)
6 - 9 Holes (1 set) 1 plate and screws 800
(b)
10 - 12 Holes 1,100
LCP metaphyseal 3.5mm (titanium)
(a)
6 - 9 Holes (1 set) 1 plate and screws 1,800
(b)
10 - 12 Holes 2,000
LCP t plate 3.5mm : (stainless steel)
(a)
Right angled (3 - 6 holes)
800
(b)
Obloque angle (3 - 5 holes)
800
LCP reconstruction plate 3.5mm (6 - 9 holes) stainless steel 850
LCP plate (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm) - 1 plate and screw
1,600
Screw only 150
Proximal humeral locking plate 3,000
Distal humeral locking plate 3,900
Distal radius locking plate (volar)
2,200
Distal radius locking plate (dorsal)
2,300
LCP distal radius plate 2.4mm
(a)
Dorsal plate (2 plates)
2,300
(b)
Volar plate (extraarticular or juxta articular)
1,800
(c)
Extra long volar plate (10 holes)
2,700
(d)
LCP wrist fusion 2.7mm/3.5mm 2,800
(e)
LCP ulna hook 2.0mm 1,600
(f)
3.0mm Headless compression screw 700
Variable angle 2 column distal radius plate 2.4mm 2,500
283
LOCKING PLATE (UPPER LIMB) (STAINLESS STEEL)
Clavicular locking plate 1,800
Proximal humeral locking plate 2,200
Distal humeral locking plate 3,900
LCP extra - articular distal humerus plate 3.5mm
(6 holes, 8 holes, 9 holes, 10 holes)
3,900
LCP hook plate 3.5mm 1,200
Olecranon locking plate 3,000
Unreamed humeral nail 1,600
Without end caps 1,200
With end caps 1,600
LCP compact hands (1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm)
1,600
BASIC LCP LARGE FRAGMENT 4.5MM/5.0MM
LCP narrow 4.5mm/5.0mm humerus/tibia
(a)
6 - 9 holes 1,000
(b)
10 - 16 holes 1,600
(c)
8 - 9 holes 1,100
(d)
10 - 14 holes 1,650
(e)
16 holes 2,000
LCP t - buttress plate 4.5mm/5.0mm (4 - 5 holes)
900
LCP t plate 4.5mm/5.0mm (4 - 6 holes)
900
LCP l - buttress plate 4.5mm/5.0mm (4 - 6 holes)
900
LCP metaphyseal 3.5mm/4.5mm/5.0mm BROAD (3 - 9 holes)
2,200
LCP reconstruction plate 4.5mm/5.0mm (6 - 10 holes)
2,000
284
INTERLOCKING NAIL (STAINLESS STEEL)
LCP dynamic hip screw 4.5mm/5.0mm 2 - 6 holes
(a)
1 plate and screws 1,000
(b)
1 plate + 1 lag screw + 1 compression screw + screws 1,200
(c)
8 -10 holes 1,400
(d)
12 - 14 holes 1,800
Femur interlocking nail 850
Retrograde nail 1,500
Femur reconstruction nail 1,500
Proximal femoral nail (standard)
1,800
Proximal femoral nail (long stem)
2,500
Gamma nail 1,800
Distal femoral nail 2,400
Tibial interlocking nail 850
LCP hook plate 3.5mm 1,200
LCP 1/3 tubular 1.3mm
(a)
5 - 7 holes 1,200
(b)
8 - 10 holes 1,400
LCP medial proximal tibia plate 3.5mm (4 - 8 holes)
2,400
LCP medial distal tibia plate 3.5mm
(a)
low bend 6 - 8 holes 2,100
(b)
12 - 14 holes 2,600
LCP anterolateral distal tibial plate 3.5mm (5 - 11 holes)
2,100
LCP compact foot : (LCP plate 2.0mm/2.4mm/2.7mm)
1,600
LCP 2 hole plate 2.7mm (consists of 1 plate and screws)
800
285
Screw only (2.0mm, 2.4mm, 2.7mm)
150
LCP calcaneal plate 3.5mm 2,000
Midfoot fusion bolt 1,800
INTERLOCKING NAIL (TITANIUM)
Femur interlocking nail 1,600
Gamma nail 2,200
Distal femoral nail 2,000
Spiral locking 2,400
Tibial interlocking nail 850
Expert tibial nail (cannulated)
2,000
Expert A2FN standard locking 1,800
Periarticular plate LCP tomofix 3.5mm 2,600
LCP distal fibula plate 2.7mm/3.5mm (lateral/posterolateral)
2,900
LCP proximal tibia plate 3.5mm, lateral (6 - 8 holes)
2,400
OTHERS
Expert nail 1,800
DISTAL FEMUR/PROXIMAL AND DISTAL TIBIA FRACTURES
15,800
(consist of : posts, 3 hole wire clamps, 2 hole wire clamp, supplementary screw holder bar and clamps, HA coated orthofix tapered cortical screws)
286
ACUTE TRAUMA/POST - TRAUMATIC STIFFNESS
15,000
(consist of : complete orthofix elbow fixator kit with HA coated orthofix tapered cortical screws )
GENU VARUM/GENU VALGUM/LLD/ANKLE VALGUS ETC.
(consist of : brand : orthofix, Italy)
Trauma paediatric orthopedik 2,400
Titanium Elastic Nail (TEN)
(a)
without end caps (consists of 2 pcs TEN only)
1,200
(b)
with end caps (consists of 2 pcs TEN and 2 pcs end caps)
1,600
Capos 3.5mm and 4.5mm (consists of 1 plate and screw)
(stainless steel)
1,200
Paediatric hip plate (3.5mm and 5.0mm) 1 plate and screw
(stainless steel)
2,200
Telescopic nail 9,000
Paediatric hip locking plate 2,500 8 Plate 2,500
Paediatric limb reconstruction system 15,000
Arthrodiastasis 15,000
Scoliosis instrumentation (anterior)
30,000
Scoliosis instrumentation (anterior - posterior)
30,000
Scoliosis instrumentation (posterior)
25,000
Anterior cervical fusion system (single level)
6,000
Posterior cervical fusion 10,000
Spinal cages 3,000
Anterior spinal instrumentations 10,000
Lower back instrumentations (single level)
9,000
Artificial discs (cervical)
11,000
287
Artificial discs (lumbar)
11,000
Kyphoplasty (per level)
7,875
Vertebroplasty (per level)
4,500
Halo vest system 9,450
Scoliosis bracing 840
Juwett, SOMI,TLSO, LSO Bracing 998
Pedicle screws 1,155
Sports surgery and arthroscopy
(a)
Primary ACL reconstruction (single bundle)
4,643
(b)
Primary ACL reconstruction (double bundle)
6,943
(c)
Primary PCL reconstruction (single bundle)
5,976
(d)
Primary PCL reconstruction (double bundle)
7,068
(e)
Primary PLC reconstruction (single bundle)
4,515
(f)
Primary PLC reconstruction (double bundle)
7,005
(g)
Primary MCL reconstruction (single bundle)
4,515
(h)
Primary MCL reconstruction (double bundle)
7,005
Multiligament reconstruction without allograft
(a)
2 ligaments 7,873
(b)
3 ligaments 10,108
(c)
4 ligaments 13,558
Multiligament reconstruction with allograft - 2 ligaments 16,873
Patella stabilization surgery 4,010
Knee malalignment surgery 4,400
Meniscus repair surgery 4,343
Meniscus transplantation surgery 27,255
Shoulder stabilization surgery 4,500
288
Anterior and posterior stabilization 7,723
Single row (small or medium size tear)
12,500
Single row (massive tear)
4,670
Double row (small or medium size tear)
7,945
Double row (massive tear)
7,370
Biceps tendon repair or tenodesis 6,995
ACJ repair 10,795
ACJ reconstruction 3,513
Osteochondral transplantation surgery 4,438
IMPLANTS FOR ARTHROSCOPY AND SPORT SURGERY
Bioabsorbable interference screw 1,245
Extracortical button 1,335
Suture anchor 1,370
Meniscus repair 1,100
Tight rope repair kit 875
AC graftrope 1,500
Meniscus implant 25,000
Allograft tissue (freeze - dried)
6,000
Allograft tissue (fresh frozen)
11,500
Osteochondral implant 3,000
Force fibrewire 210
Knee brace 1,500
Shoulder brace 475
Osteotomy plate 2,500
289
Bone Substitute 1,400
OSTEOTITE HA COATED SCREWS
Osteotite bone screw 180mm/50mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 180mm/60mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 200mm/50mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 150mm/30mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 150mm/40mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 170mm/40mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 170mm/60mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 170mm/80mm diameter 6mm, thread 6-5mm
360
Osteotite bone screw 160mm/70mm diameter 6mm, thread 6-5mm
360
BASIC LRS COMPONENTS
LRS extra short rail length 12cm 2,427
LRS standard rail length 30cm 2,558
LRS long rail length 40cm 3,534
LRS straight central clamp 4,167
LRS straight outer clamp 3,033
LRS t-clamp 2,904
Sandwich clamp with C/D unit for LRS
3,676
Compression distraction unit long clicker model 2,242
Compression distraction unit short 1,319
290
Compression distraction unit STD clicker model 909
Dyna-ring with C/D unit attach for LRS
1,055
ACUTE/GRADUAL CORRECTION CLAMPS
LRS multiplanar clamp 4,537
Micrometric swivelling clamp for LRS
3,534
LRS hinged rail coupling 3,745
LRS of - garches t - clamp 3,941
Of - garches standard compression/distraction unit 985
Of - garches long compression/distrraction unit 985
Pelvic fixator long model kit with 6 pieces of screws 11,500
Hand/forearm applications 5,500
Articulated hip distraction/perthes 16,000
Orthofix dynamic wrist fixator system with screws
(Kit no: 37000 or 37001)
6,500
SS half rings (diameter 80mm - 240mm)
160
SS 5 / 8 rings (diameter 80mm - 220mm)
180
Carbon fibre half ring (diameter 80mm - 240mm)
320
SS Italian femoral arches:
(a)
90 degree arch, small/large size 200
(b)
120 degree arch, small/large size 200
(c)
Threaded rods (Size : 40mm - 450mm)
34
(d)
Slotted threaded rods (size : 40mm - 100mm)
62
291
Telescopic rods
Telescopic rods : 100mm 94
Telescopic rods : 150mm 109
Telescopic rods : 200mm 125
Telescopic rods : 250mm 156
Telescopic rods : 300mm 187
Telescopic rods : 350mm 187
Telescopic rods : 400mm 187
Posts female (size : 2 - 4 holes)
59
Male post (size : 2 - 4 holes)
59
Hinges female standard 59
Hinges male standard 59
Hinges - 90 degree standard 59
Hinges - 90 degree low profile 59
Short connection plates
Short connection plate 2 holes length 35mm 62
Short connection plate 3 holes length 45mm 62
Short connection plate 4 holes length 55mm 62
Short connection plate 5 holes length 65mm 62
Short connection plate 6 holes length 75mm 62
Short connection plate 7 holes length 85mm 94
Short connection plate 8 holes length 95mm 94
Short connection plate 9 holes length 105mm 94
Short connection plate 10 holes length 115mm 94
292
Long connection plate
Long connection plate size : 8 holes length 155mm 94
Long connection plate size : 12 holes length 235mm 94
Long connection plate size : 17 holes length 335mm 109
Connected plates with threaded ends
Connection plates with threaded ends : 5 holes length 135mm 94
Connection plates with threaded ends : 7 holes length 175mm 94
Connection plates with threaded ends : 9 holes length 215mm 125
Connection plates with threaded ends : 11 holes length 255mm 125
Twisted plates
Twisted plates : 2 holes length 45mm 50
Twisted plates : 3 holes length 65mm 50
Twisted plates : 4 holes length 85mm 50
Curved plates : 3 holes 62
Bushing (for big RFS)
31
Threaded sockets (20mm - 60mm)
40
Connection bolts and nuts
Connection bolts : 10mm 9
Connection bolts : 16mm 9
293
Connection bolts : 20mm 22
Connection bolts : 30mm 22
Nut 6mm 3
Nut 13mm 5
Thin nut 4
Nylon insert nut 6
Square nut 16
Spacing washers 1.5mm 4
Spacing washers 2.0mm 4
Split locking washer 2.0mm 6
Flat sided washers 2.0mm 7
Flat sided washers 4.0mm 7
Slotted washers 4.0mm 9
Conical washer couple 31
Wire fixation bolt slotted 34
Wire fixation bolt cannulated 34
Pin fixation bolts for 3mm pins 62
Pin fixation bolts for 4mm pins 62
Pin fixation bolts for 5mm pins 62
Pin fixation bolts for 6mm pins 62
Single pin fixation bolt 125
Multiple pin fixation clamp 406
Wire fixation buckle 218
294
Blocks for half pins (rancheo cubes)
Blocks for half pins : 1 hole 39
Blocks for half pins : 2 holes 39
Blocks for half pins : 3 holes 39
Blocks for half pins : 4 holes 56
Blocks for half pins : 5 holes 62
Blocks for half pins for centre sleeve : 1 holes 42
Blocks for half pins for centre sleeve : 2 holes 42
Blocks for half pins for centre sleeve : 3 holes 42
Blocks for half pins for centre sleeve : 4 holes 56
Blocks for half pins for centre sleeve : 5 holes 62
Centre sleeve for block for half pins
Centre sleeve for block for half pins - 3mm 12
Centre sleeve for block for half pins - 4mm 12
Centre sleeve for block for half pins - 5mm 12
Centre sleeve for block for half pins - 6mm 12
Universal joint 187
Rotational translation device 270
Oblique support connection 53
295
Wires
K - wires - cortical 1.5mm x 300mm 25
K - wires - cortical 1.8mm x 370mm 25
K - wires - cancellous 1.5mm x 300mm 25
K - wires - cancellous 1.8mm x 370mm 25
Olive wires - (bayonet point) 1.5 x 300mm 29
Olive wires - (bayonet point) 1.8 x 400mm 29
Set screws 3.0mm 6
Schanz screws 5 x 175mm 35
Schanz screws 5 x 150mm 35
Proximal humerus endoprosthesis 17,500
Distal humerus endoprosthesis 35,000
Total humerus endoprosthesis 40,000
Proximal femur endoprosthesis 21,000
Total femur endoprosthesis 41,500
Proximal tibia endoprosthesis 33,000
Bone cement 350
Expandable endoprosthesis 97,000
Long stem bipolar 7,250
Shoulder arthroplasty 7,900
Radio - capitellum prosthesis 8,500
Total wrist prosthesis 12,000
Distal ulnar head prosthesis 5,600
Sigmoid Notch (DRUJ) prosthesis 4,800
Radial head modular Co Ci/Ti 6,500
296
Radial head prosthesis 5,000
Bipolar radial head 6,000
Silicone PIP, MCP, MCP preflex 1,000
Silicone PIP, MCP, MCP preflex with bone cement 1,150
Semi constrained PIP arthoplasty 6,300
Semi constrained MCP arthoplasty 5,600
Surface replacement PIP arthoplasty 4,700
Surface replacement MCP arthoplasty 3,600
CMC thumb arthroplasty 5,250
Carpal fusion plate 3 holes 1,700
Carpal fusion plate 4 holes 2,100
Carpal fusion plate 5 holes 2,450
Hunter’s rod (silastic rods)
800
Stainless steel mini plates
Straight 1.5mm 20 holes 310
Straight 2.0mm 20 holes 280
Condylar plate 1.5mm R/L
445
Condylar plate 2.0mm R/L
500
Condylar plate 2.7mm R/L
440
T plate 1.5mm ; shaft 9 holes ; 3/4 holes 500
T plate 2.0mm ; shaft 9 holes ; 3/4 holes 420
H plate 2.0mm 340
H plate 1.5mm 160
Reconstruction plate 2.7mm 5 - 8 holes 400
297
Reconstruction plate 2.7mm 5 - 8 holes 520
Adaptation plate 2.0mm 20 holes 300
Low profile titanium plates
1.3mm 1.5mm 1,600
Condylar blade plate 1,600
Y, T plate 1,600
H, Extended H plate 1,600
Straight plate 1,600 1.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm screws 1,600
Scaphoid screws
Accutrac micro 2.8mm/2.2mm 1,200
Accutrac mini 3.8mm/3.2mm 1,000
Headless compression screw 3.0mm 700
Autofix 2.0mm/2.5mm 600
Autofix 3.0mm/4.0mm 600 3.0mm Cannulated screw 450
Locking plates
Dorsal 2,300
Volar (extra/intra articular)
1,800 10 Holes 2,700
298
Variable angle 2,500
Wrist fusion 2.7mm/3.5mm 2,800 3.5mm LCP 6 - 9 holes 800 3.5mm LCP 10 - 12 holes 1,100 3.5mm locking reconstruction plate 6 - 9 holes 850 3.5mm LCP metaphyseal plate 6 - 9 holes 1,800 3.5mm LCP metaphyseal plate 10 holes 2,000 3.5mm LCP T plate 3 - 6 holes 800
Proximal humerus internal locking system 2,200
LCP distal humerus 2.7mm / 3.5mm 3 - 9 holes (2 plates)
3,900
LCP olecranon 3.5mm 2 - 8 holes 2,700
Anchor sutures
Minilok 2.3mm absorbable 850
Microfix 1.6mm absorbable 850
Hinged elbow external fixator 1 hinge, 4 clamps, 4 schantz screws
7,500
SURGERY SYSTEM
Total knee replacement system
Total knee replacement system for young 12,000
Total knee replacement system mobile bearing 8,000
Ts tibial total knee replacement system 13,000
Total stabilization total knee revision replacement system 19,000
299
Modular Rotating Hinged (MRH) total knee replacement system
22,000
Global Modular Replacement System (GMRS) proximal femur total knee replacement system
48,000
Global Modular Replacement System (GMRS) proximal tibial total knee replacement system
35,000
Global Modular Replacement System (GMRS) distal femur total knee replacement system
35,000
Global Modular Replacement System (GMRS) total femur total knee replacement system
48,000
Total hip replacement system
Bipolar hemi hip replacement system 4,100
Total hip replacement system (cemented)
7,500
Total hip replacement system for young adult 13,000
Total hip replacement system (cementless)
10,750
Total hip replacement system - long stem (cemented)
8,000
Total hip replacement system - gap ii and mesh (cemented)
13,100
Total elbow replacement system 8,500
Hemi shoulder replacement system 7,250
Total shoulder replacement system 8,000
Reversed shoulder 17,000
Total ankle replacement 9,500
Revision accessories
Acetabulum reconstruction ring 4,500
Revision stems 8,000
300
Mesh femoral 2,000
Mesh acetabulum 2,000
Cables 500
Pulse lavage 300
Plate 1,500
Cement 270
Antibiotic bone cement 350
Antibiotic bone cement (tobramycin)
1,100
Trabecular metal cone/wedges 3,500
Constraint cup with head
3,500
Cement joint spacer 4,000
Trochanteric hook plate 12,000
301
FOURTH SCHEDULE
[Subparagraph 6(1)]
INVESTIGATION FEE
PART 1
RADIOLOGICAL INVESTIGATION
X RAY
Chest
Chest (single projection)
40
Chest (two projection)
60
Chest (three projection)
80
Chest (four projection)
100
Facial and nasal bones
Facial bones (single projection)
40
Facial bones (two projection)
60
Facial bones (three projection)
80
Nasal bones (single projection)
40
Abdomen
Abdomen (single projection)
40
Abdomen (two projection)
60
Abdomen (three projection)
80
302
Kidney, ureter and bladder (KUB) (single projection)
100
Pelvimetri lateral 50
Pelvimetri antero - posterior and lateral 80
Spine
Cervical spine (single projection)
40
Cervical spine (two projection)
60
Cervical spine (three projection)
80
Cervical spine (four projection)
100
Cervical spine (five projection)
120
Thoracic spine (single projection)
40
Thoracic spine (two projection)
60
Thoracic spine (three projection)
80
Lumbo - sacral spine (single projection)
40
Lumbo - sacral spine (two projection)
60
Lumbo - sacral spine (three projection)
80
Lumbo - sacral spine (four projection)
100
Sacrum (single projection)
40
Sacrum (two projection)
60
Sacroiliac joints (single projection)
40
Sacroiliac joints (two projection)
60
Symphysis pubis 40
Sacroocceigeal joint (single projection)
40
Sacroocceigeal joint (two projection)
60
Skeletal survey 250
303
Skull
Skull (single projection)
40
Skull (two projection)
60
Skull (three projection)
80
Skull (four projection)
100
Mandible
Mandible (single projection)
40
Mandible (two projection)
60
Mandible (three projection)
80
Temporo mandibular joints
Temporo mandibular joint (single projection)
40
Temporo mandibular joint (two projection)
60
Temporo mandibular joint (three projection)
80
Temporo mandibular joint (four projection)
100
Mastoid
Mastoid (single projection)
40
Mastoid (two projection)
65
Mastoid (three projection)
95
Mastoid (four projection)
115
304
Paranasal sinus
Paranasal sinus (single projection)
40
Paranasal sinus (two projection)
60
Paranasal sinus (three projection)
80
Optic foramina
Optic foramina projection - unilateral 60
Optic foramina projection - bilateral 90
Orbit
Orbit (two projection)
40
Orbit (three projection)
60
Orbit (four projection)
80
Internal auditory canal
Internal auditory canal (single projection)
40
Internal auditory canal (two projection)
60
Internal auditory canal (three projection)
80
305
Shoulder
Shoulder (single projection)
40
Shoulder (two projection)
60
Shoulder (three projection)
80
Shoulder (four projection)
100
Acromio - clavicular joint - both weight bearing 50
Arm (humerus)
Arm humerus (single projection)
40
Arm humerus (two projection)
60
Elbow joint
Elbow joint (single projection)
40
Elbow joint (two projection)
60
Elbow joint (three projection)
80
Elbow joint (four projection)
100
Forearm (radius/ulna)
Forearm (radius/ulna) (single projection)
40
Forearm (radius/ulna) (two projection)
60
306
Wrist joint
Wrist joint (single projection)
40
Wrist joint (two projection)
60
Wrist joint (three projection)
80
Wrist joint (four projection)
100
Hand
Hand (single - one projection)
40
Hand (single - two projection)
60
Hand (single - three projection)
80
Hand (both - one projection)
50
Hand (both - two projection)
70
Hand (both - three projection)
90
Left hand for bone age 40
Thumb or single digit
Thumb or other single digit (single projection)
25
Thumb or other single digit (two projection)
35
Clavicle
Clavicle (single projection)
40
Clavicle (two projection)
60
307
Sternoclavicular joint
Sterno clavikular joint (single projection)
40
Sterno clavikular joint (two projection)
60
Sterno clavikular joint (three projection)
80
Sternum (single projection)
40
Scapula
Scapula (single projection)
40
Scapula (two projection)
60
Scaphoid projections 80
Carpal tunnel projection 60
Pelvis
Pelvis (single projection)
45
Pelvis (two projection)
65
Pelvis (three projection)
85
Hip joint
Hip joint (single projection)
45
Hip joint (two projection)
65
Hip joint (three projection)
85
Hip joint (four projection)
105
Hip joint (five projection)
125
308
Femur (thigh)
Femur (thigh) (single projection)
45
Femur (thigh) (two projection)
60
Knee
Knee (single projection)
40
Knee (two projection)
60
Knee (three projection)
80
Knee (four projection)
100
Knee (five projection)
120
Lower leg (tibia/fibula)
Lower leg (tibia/fibula) (single projection)
40
Lower leg (tibia/fibula) (single projection)
60
Ankle
Ankle (single projection)
40
Ankle (two projection)
60
Ankle (three projection)
80
Ankle (four projection)
100
Ankle (five projection)
120
309
Foot
Foot (single projection)
40
Foot (two projection)
60
Foot (three projection)
80
Both feet (two projection)
70
Both feet (three projection)
90
Subtalar joints
Subtalar joints (single projection)
40
Subtalar joints (two projection)
60
Subtalar joints (three projection)
80
Subtalar joints (four projection)
100
Calcaneum
Calcaneum (lateral) (single projection)
40
Calcaneum (lateral) (two projection)
60
Calcaneum (aksial) (single projection)
40
Calcaneum (aksial) (two projection)
60
Bone densitometry
Bone densitometri - dexa 150
Bone densitometri - ultrasound 130
310
Fluroscopy heart, lung and diaphragm 400
Tomography 250
Mammography 295
Periapical/bite wing - every image 70
Occlusal 70
Dental OPG and OPG lateral 70
Cone beam computed tomography (CBCT)
700
EXAMINATION USING CONTRAST MEDIA
Cardiovascular system
Free flush arch aortogram 400
Coronary arteriogram 400
Vascular system
Free flush 400
Abdominal aortogram 400
Superior mesentric arteriogram 400
Inferior mesentric arteriogram 400
Femoral arteriogram - unilateral 400
Femoral arteriogram - bilateral 400
Splenoportography 400
311
Gastrointestinal tract
Barium swallow 115
Barium meal with follow through 205
Gastrograffin meal and enema 205
Hypotonic duodenography 205
Barium enema (large intestine, small intestine)
205
Barium meal 170
Biliary system
Oral cholecystogram 170
Intravenous cholangiogram 285
Operative T-tube cholangiogram
135
Urinary system
Intravenous urography (IVU)
400
Micturating cystourethrogram
285
Urethrogram 230
Retrograde pyelography 205
Central nervous system
Myelography 605
Air-encephalogram 605
Ventriculogram 605
312
Other systems
Dacriocystography 230
Sialography 230
Fistulography 230
Arthrography 400
Bronchography - unilateral 230
Bronchography - bilateral 345
Lymphangiography 800
Hysterosalphingography 230
Presacral air insufflation 800
Sinogram 170
Sialogram 460
Cystogram 205
Micturating cystogram 250
Venogram 640
COMPUTERISED TOMOGRAPHY (CT SCAN)
Head 915
Thorax 570
Abdomen 630
Pelvis 915
Whole body 1,260
Upper limb 630
Lower limb 630
313
CT spine - cervical 745
CT spine - dorsal 745
CT spina - lumbo sakral 745
CT spine - lumbar 745
MAGNETIC RESONANCE IMAGING (MRI)
Head 2,060
Thorax 1,030
Abdomen 1,485
Pelvis 1,485
Whole body 1,490
Upper limb 1,490
Lower limb 1,490
Spine - cervical 1,375
Spine - dorsal 1,375
Spine - lumbar 1,375
Spine - sacral 1,375
ULTRASOUND
Ultrasound - upper abdomen 150
Ultrasound - pelvis 120
Ultrasound - abdomen and pelvis 200
Ultrasound - kidney and bladder 100
Ultrasound - kidney, bladder and residual urine volume estimation
120
314
Ultrasound - brain (neonatal)
120
Ultrasound - thyroid 100
Ultrasound - breast 140
Musculoskeletal ultrasound per region 150
Ultrasound - scrotum 100
Ultrasound - scrotum with doppler 200
DOPPLER ULTRASOUND
Doppler ultrasound - extra cranial carotid 350
Doppler ultrasound - arteries per region 250
Doppler ultrasound - veins for sinlge limb 250
Doppler ultrasound - veins for two limbs 400
Doppler ultrasound - arteries for single limb 300
Doppler ultrasound - arteries for two limbs 450
Doppler ultrasound for other organs not listed above per organ 300
Endocavitary ultrasound 150
PART 2
CARDIOLOGICAL INVESTIGATION
Elechtrocardiogram (ECG) (with report)
80
Echocardiogram transthoracic 230
Signal averaging ECG
237
Transoesophageal echocardiography 440
315
ECG (stress/exercise) with report 270
Stress echo - pharmacological 300
Stress echo - treadmill 380
Holter monitoring (24 hours ECG monitoring)
457
Pacemaker follow-up 288
Stress echocardiography 380
Doppler echocardopgraphy 380
PART 3
NEUROLOGICAL INVESTIGATION
Electroencephalography 70
PART 4
OPHTALMOLOGICAL INVESTIGATION
Refraction/psychoplegic refraction 55
Orthoptics/binocular vision/vision therapy 70
Contact lense 70
Limited vision 70
Colour vision except ishihara 70
Special diagnostic
Visual Field (VF)
70
Hess test 70
316
BSV
70
Corneal topography 220
Keratometry and A Scan 110
Contrast sensitivity 70
Heidelberg Retinal Tomography (HRT)
70
GDx 70
Optical Coherence Tomography (OCT)
70
Fundus photography 55
Visual Evoked Potential (VEP)
70
Electroretinography (ERG)
220
PART 5
EAR, NOSE AND THROAT INVESTIGATION
Pure tone audiometri 70
Electrophysiology test (diagnostic)
(a)
Auditori evoked potential 70
(b)
Otoacoustic emission test 70
(c)
Vestibular function test (kalorimetri)
70
Hearing aid management 70
Special test
(a)
Free field 70
(b)
Tone decay test 70
(c)
SISI test 70
(d)
Bekesy 70
(e)
Impedance test 70
317
PART 6
PET CT SCAN
Pet CT
6,500
PART 7
LANGUAGE SPEAKING THERAPY INVESTIGATION
Language speaking therapy 70
Flexible Endoscopic Evaluation of Swallowing (FEES) procedure 70
Vitalstim treatment 70
PART 8
DIETETIC INVESTIGATION
Nutrition assessment 70
Medical nutrition therapy presumption 70
Medical nutrition therapy intervention 70
Enteral nutrition formula 70
318
FIFTH SCHEDULE
[Paragraph 7]
LABORATORY FEE
2 Hours post parandial 20 17- Oxosteroids 30 17- Oxogenic steroids 30 3 - Methyoxy - 4 - hydroxyl - mandelic acid (HMMA/VMA) (urine)
30 5 - Hydroxy indoles total 20 5 - Hydroxyindoleacetic acid (5 - HIAA)
100
ABO + grouping (anti D only)
20
Acetone 5
Acid Fast Bacilluss (AFB) culture 45
Acid phosphatase 70
Acquired immunodeficiency syndrome (HIV antibody)
60
ACTH stimulation test 50
Alanine transaminase 10
Albumin (blood)
10
Albumin (urine)
10
Alcohol 50
Aldosterone 84
Alfa-fetoprotein (AFP)
70
Alkaline phosphatase (ALP)
30
Allergy skin test 70
Alpha antitrypsin 60
Amino acid by TLC (urine)
100
319
Amino acid by TLC screening 100
Ammonia 60
Amylase 20
Antenatal screening 58
Anti Streptolysin O Titre (ASOT)
30
Anti-antibodies/haemagglutination test 20
Antibiotic sensitivity 50
Anti-DNA antibody (anti dsDNA)
108
Antigen detection specific pathogens 20
Antinuclear factor (ANF)
40
Ascorbic acid 20
Aspartate transaminase 10
Aspirate for cylology 100
Augmentin histamine test 50
Bacteriological sterility test 60
Barbiturate 60
Barbiturate (serum)
110
Barbiturate (urine)
110
Bence Jones protein 10
Beta carotene 10
Beta Human Chorionic Gonadotropin (Beta HCG)
60
Bicarbonate 10
Bile pigment 8
Bilirubin 20
Bilirubin conjugated 10
Bilirubin unconjugated 10
320
Bilirun (total)
20
Bleeding time 10
Blood gases 65
Blood group and cross matching 11
Blood Urea Serum Elektrolytes (BUSE)
38
Blood urea nitrogen 10
Bramsulphathelein excretion test 30
Bronchial brushing cytology 30
Bronchial lavage/washing cytology 30
Brucella agglutination test 20
C reactive protein - quantitative 60
Caeruloplasmin 50
Calcium 20
Cannabinoids 50
Carcino Embryonic Antigen (CEA)
55
Cardiac enzymes 48
Cardiac isoenzyme (CK)
50
Cathecolamine 180
Cerebro - spinal fluid (CSF) routine 50
Cerebro - spinal fluid cultural and sensitivity 40
Cerebrospinal fluid cytology 30
Chlamydial (screening)
40
Chlamydial Immunoglobin G (IgG) antibody 95
Chlamydial Immunoglobulin G (IgG)
75
Chloride 10
Cholesterol (total)
20
321
Cholinesterase 20
Chromosomal analysis 600
Clot test 45
Clotting time 10
Coagulation factor anti - xa 50
Coagulation factor ix activity 50
Coagulation factor ix antigen 215
Coagulation factor v antigen 50
Coagulation factor v leiden mutation 215
Coagulation factor vii activity 215
Coagulation factor vii antigen 50
Coagulation factor vii inhibitors 50
Coagulation factor viii activity 215
Coagulation factor viii antigen 50
Coagulation factor viii inhibitors 215
Coagulation factor x antigen 50
Coagulation factor x activity 215
Coagulation factor xi activity 215
Coagulation factor xi antigen 50
Coagulation factor xi inhibitors 50
Coagulation factor xii activity 215
Coagulation factor xii antigen 50
Coagulation factor xiii activity 450
Coagulation factor xiii clot lysis test 50
Coagulation profile 115
Cold agglutin/cryoglobulin titre 125
322
Complement C3 50
Complement C4 50
Complement fixation test 20
Coomb test direct 55
Coomb test indirect 54
Copper 70
Cortisol 55
Cortisol AM
55
Cortisol PM
55
Cortisol profile 55
C-Peptide 3 specimen 180
Creatine 20
Creatine Kinase (CK)
20
Creatine Kinase - Muscle Bound (CK - MB)
55
Creatinine 35
Creatinine clearance test 35
Creatinine phosphate 35
Cryoglobulin 120
Cryoprecipitate 20
CSF biochemistry 20
Culture of clinical specimen (e.g. tissue culture, animal innoculation)
40
Culture of mycoplasma 20
Cystic fluid cytology 30
Cystine 5
Cytologi peritoneal fluid 30
Cytological examination of clinical specimen 30
323
Dehydroepiandrosterone sulphate (DHEAS)
70
Delta amino leavulinic acid urine 70
Dengue fever study 160
Dexamethasone suppresion test 50
Diastase 10
Dibucaine number 20
Differential count 10
Direct smear (grain stain)
30
Drug analysis (per drug)
30
Electrolytes 30
Electrone microscopy 250
Electrophoresis (for Bence Jones protein)
30
Electrophoresis protein 72
ELISA for hepatitis A virus 30
Erythrocyte transketolase and TPP effect 20
Erythrocyte Sedimentation Rate (ESR)
20
Faecal fat 30
Ferritin 130
Fibrinogen 80
Fibrinogen (immuno method)
115
Filtered RBC
600
Flourescent microscopy 30
Folate RBC
40
Follicle Stimulating Hormone (FSH)
60
Free tyroxine index 35
Fructosamine 45
324
Full blood count 40
Full blood picture 80
Gamma glutamine transferase 30
Gastric brushing cytology 30
Gastric function test 50
Gastric lavage cytology 30
Gentamicin, peak 30
Gentamicin, random 30
Gentamicin, trough 30
Gentamycin 30
Globulin 18
Glucose 10
Glucose fasting blood sugar 20
Glucose tolerance test 50
Glucose - 6 - Phosphte Dehydrogenase (G6PD) screening test 20
Glucostix 62
Group and crossmatch (GXM)
11
Group Screen and Hold (GSH)
68
Growth hormone 78
Haemagglutination inhibition test (denggue serology)
60
Haematocrit pack cell volume (PCV)
20
Haemoglobin and allied pigment 5
Haemoglobin (Hb)
10
Haemoglobin AIC (HbA1C)
60
Haemoglobin electrophoresis 60
Haptoglobin 50
325
Hb analysis 60
HDL and LDL cholesterole (package)
40
Hepatitis A Virus Immunoglobulin G Antibody (HAV IgG Ab)
50
Hepatitis A Virus Immunoglobulin M Antibody (HAV IgM Ab)
78
Hepatitis B e Antibody (HBV e Ab)
60
Hepatitis B surface Antibody (HBs Ab)
60
Hepatitis B surface Antigen (HBs Ag)
60
Hepatitis C (antibody)
70
Hepatitis C Virus Immunoglobulin G (HCV IgG Ab)
60
Hepatitis C Virus Immunoglobulin M (HVC IgM Ab)
80
Hepatitis E (antigen)
60
Herpes simplex type 1 immunoglobin G
54
Herpes simplex type 2 immunoglobin G
60
High Density Lipoprotein (HDL) cholesterol 20
High density lipoprotein concentration 20
Histopalogy examination type B (medium specimens)
100
Histopalogy examination type C (small specimens)
80
Histopatology examination type A (large specimens)
125
HIV antigen test 50
HIV antibody confirmation test 150
HLA - B27 291
Homogentisic acid 5
Human Chorionic Gonadotropin (HCG)
60
Hydroxy butyrate dehydrogenase 35
Hydroxyproline 30
IFA test for legionella ab 30
326
Immunoelectrophoresis 30
Immunofixation 30
Immunoglobulin A (quantitive)
30
Immunoglobulin E (quantitive)
30
Immunoglobulin G (quantitive)
30
Immunoglobulin M (quantitive)
30
Immunological techniques (agglutination, flocculation, hemolysis)
20
Indirect immunoperoxidase test 30
Iron serum 25
Isoenzyme studies 50
Ketone bodies 40
Kleihaurs test 60
Lactate dehydrogenase 15
Lactic dehydrogenase 15
Lange's colloidal gold curve 30
Lead 55
Leuteinising Hormone (LH)
42
Light microscopy 10
Lipid profile (cholestreole, tryglicerides)
48
Lipoprotein electrophoresis 270
Lithium 38
Liver function test 100
Low Density Lipoprotein (LDL)
40
Lupus Erythematous cells (LE cell)
15
Lysozyme serum 20
Magnesium 15
327
Malaria parasite 15
Mantoux test 15
Mean Corpuscular Haemoglobin (MCH)
6
Mean Corpuscular Haemoglobin Concentration (MCHC)
6
Mean Corpuscular Volume (MCV)
6
Menopausal hormone studies 120
Menstrual cycle study 135
Mercury 125
Microbiological analysis of water, milk, ice cream, other foods 50
MICS of antibiotics 50
Monospot test 30
Morphine/Cannabinoids 80
Mucopolysaccharides 70
Myeglobin 10
Nipple discharge cytology 30
Nuclear sexing (buccal smear)
35
Occult blood 16
Oesophageal brushing cytology 40
Oestradiol 48
Oestrogen total 30
Orosamucoid 30
Osmolaliti 20
Osmotic fragility test 60
Others brushing cytology 30
Others cytology 30
Pack cell 20
328
Pack Cell Volume (PCV) (haematocrit value)
20
Paracetamol 50
Paraprotein (serum elektrophoresis)
100
Paraquat 30
Particle agglutination for mycoplasma 20
PCO2 10
Pericardial fluid cytology 30
Peripheral blood film 20
Peritoneal/Ascitic fluid cytology 30
PH urine, blood, fluid 10
Phagocytic function test 100
Phenylketones 10
Phospate 20
Phospate inorganic 11
Phosphorous 15
Platelet agregation test 105
Platelet concentration 20
Platelet count 10
Pleural fluid cytology 30
PO2 10
Porphyrin 30
Porphyrinogen 10
Potassium 10
Puus FEME
20
Pregnancy test semi quantitative/qualitative 40
Pregnantriol 30
329
Progesterone 70
Prolactin 40
Protein (total) plasma 65
Protein (total) urine 30
Protein electrophoresis 65
Prothrombin Time (PT)
30
Pus swab culture and sensitivity 40
Pyruvate 30
Pyruvate kinase 30
Random blood sugar 20
Red blood cell (blood)
20
Red blood cell (urine)
5
Red cell folate 20
Renal profile 80
Reticulocyte count 40
RH antibody screening 52
Rhesus grouping (anti D only)
20
Rheumatiod arthritis factor (RA factor)
40
Riboflavin 30
Rubella antibody 50
Rubella immunoglobulin G antibody 50
Rubella immunoglobulin M antibody 80
Salicylate 50
Schumn's test 10
Screening test for the presence of inhibitors to coagulation factors
50
Seminal analysis 30
330
Seminal assay 30
Seminal examination 30
Serum ferritin 20
Serum folate 30
Smear for acid fast bacilii 40
Smear wet preparation tricomonas/monilis 10
Sodium 20
SP Fallopian tube 80
SP Abdominal wall 80
SP Adrenal 80
SP Anus 80
SP Appendix 80
SP Back and vertebral column 80
SP Bartolin's gland 80
SP Bone 80
SP Brain and spinal cord 80
SP Breast 80
SP Bronchus 80
SP Cardiac valve 80
SP Cervix 80
SP Chest 80
SP Colon 80
SP Ear 80
SP Endocardium 80
SP Endometrial 80
SP Extra hepatic duct 80
331
SP Eye/Eye appendages 80
SP Gall bladder 80
SP Head 80
SP Heart 80
SP Joint 80
SP Kidney 80
SP Larynx 80
SP Lip 80
SP Liver 80
SP Lower extremity 80
SP Lung 80
SP Lymph node 80
SP Mandible and maxilla 80
SP Mediastinum 80
SP Meninges 80
SP Muscle 80
SP Myocardium 80
SP Myometrium 80
SP Nasal cavity and parasinus 80
SP Nasopharynx 80
SP Neck 80
SP Oesophagus 80
SP Omentum 80
SP Oral cavity and oropharynx 80
SP Ovary 80
SP Pancreas and ampullary region 80
332
SP Paraganglion 80
SP Parathyroid 80
SP Pelvis and sacral 80
SP Penis and scrotum 80
SP Pricardium 80
SP Peritoneum 80
SP Placenta 80
SP Pleural 80
SP Product of conception 80
SP Prostate and seminal vesicle 80
SP Rectum 80
SP Retroperitoneum 80
SP Salivary gland 80
SP Skin 80
SP Small bowel 80
SP Soft tissue 80
SP Spleen 80
SP Stomach 80
SP Testis and testicular adnexae 80
SP Thymus 80
SP Thyroid 80
SP Tongue 80
SP Tonsil/adenoid 80
SP Trachea 80
SP Upper extremity 80
SP Ureter 80
333
SP Urethra 80
SP Urinary bladder 80
SP Uterus 80
SP Vagina 80
SP Vessel 80
SP Vulva 80
Specific gravity 5
Specific protein CSF (e.g. immunoglobulin)
30
Spectroscopy, blood pigment 10
Sputum cytology 30
Sputum FEME
20
Stercobilinogen 5
Stones analysis 62
Stool FEME
20
Sugar 5
Sugar by TLC
30
Sugar chromatography urine 30
Sugar profile 30
Synovial fluid cytology 30
T and B cell enumeration 100
Test for hemolysin 10
Test for platelet antibodies 170
Testosterone 45
Therapeutic Drug Monitoring (TDM)
10
Thiamin 30
Thriglycerides 40
334
Thyroid profile 65
Thyroid Simulating Hormone (TSH)
60
Thyroid uptake 40
Thyroxine 3 (T3)
60
Thyroxine 4 (T4)
40
Tissue typing (HLA - A and B)
360
Tissue typing (HLA - DR and DO)
360
Total Iron Binding Capacity (TIBC)
30
Total RBC
10
Total White and Differential Count (TWDC)
10
Total White Blood Cell Count (TWBC)
10
Transferrin 90
Treponema Pallidum (TPHA) Hemagglutination 30
Triglycerides 40
Urea 10
Urea clearance test 30
Uric acid 20
Uric acid (urates)
20
Urine antenatal 58
Urine concentration test (pitressin test)
30
Urine creatinine 30
Urine cytology 30
Urine FEME
40
Urine protein 30
Urobilin 10
Urobilinogen 20
335
VDRL flocculation test 20
Venereal Disease Research Laboratory (VDRL)
30
Vitamin A
20
Vitamin B12 40
Von Willebrand factor assay (ELIZA)
66
Wash RBC
100
Weil Felix agglutination test 20
White blood cell 10
Widal agglutination test 30
Widal Weil Felix 30
Xylose absorption test 30
336
SIXTH SCHEDULE
[Paragraph 8]
OPERATION FEE
GENERAL SURGERY
Pharyngo - laryngo - oesophagectomy with reconstruction 11,024
Tracheo - oesophageal fistula 8,578
Total pancreatectomy 7,837
Pancreato duodenectomy (e.g. Whipple’s operation)
7,837
Adrenalectomy 6,080
Adrenalectomy - bilateral 6,505
Total parotidectomy - preserving of facial nerve 5,595
Partial parotidectomy - preserving of facial nerve 4,890
Total thyroidectomy 4,005
Partial thyroidectomy 3,870
Hemithyroidectomy 3,870
Subtotal thyroidectomy bilateral 3,945
Thyroglossal cyst 2,147
Block dissection of cervical glands 7,068
Parathyroidectomy 4,533
Mastectomy with/without axillary clearance 2,951
Wide excision for carcinoma breast 2,367
Total oesophagectomy and interposition of intestine 11,607
Repair of diaphragmatic hernia - transabdominal 4,240
Total gastrectomy 5,284
337
Partial gastrectomy (benign disease)
4,079
Partial gastrectomy (malignant disease)
4,669
Gastro - jejunostomy 3,592
Vagotomy with drainage 3,497
Drainage of liver/subphrenic and pelvic abscesses 2,367
Cholecystectomy (laparoscopic)
4,369
Splenectomy (subtotal)
6,232
Intestinal obstruction - resection/anastomosis of small/large intestines
4,580
Resection of small bowel 3,487
Ileo - transverse anastomosis 6,822
Hemicolectomy right/left 3,976
Anterior resection of rectum 7,068
Abdomino - perineal resection 7,546
Rectopexy/rectosigmoidectomy for rectal prolapsed 3,346
Orchidectomy 2,294
Excision of retro peritoneal tumours 4,172
Femoro distal bypass (vein graft)
8,769
Femoro distal bypass (prosthetic graft)
12,385
Femoro popliteal bypass (vein graft)
8,781
Femoro popliteal bypass (prosthetic graft)
11,179
Femoro - femoral crossover graft 8,985
Axillo femoral bypass 10,456
Axillo - bifemoral bypass 11,235
Femoral endarterectomy 6,807
Carotid endarterectomy (patch)
10,288
Removal of sub-mandibular gland 2,181
338
Gastrostomy 2,596
Herniorrhaphy - umbilical 1,833
Herniorrhaphy - inguinal 1,928
Herniorrhaphy - femoral 1,768
Herniorrhaphy - incisional 2,358
Fistulectomy 1,012
Excision of breast tumours/cyst 1,927
Oesophageal dilatation (under general anaesthesia)
1,136
Excision operation for varicocele 1,708
Haemorrhoidectomy 1,764
Adrenalectomy - left - open 6,080
Adrenalectomy - left - laparoscopic 5,794
Adrenalectomy - right - open 6,080
Adrenalectomy - right - laparoscopic 5,794
Adrenalectomy - bilateral - open 6,505
Adrenalectomy - bilateral - laparoscopic 6,219
Block dissection of axillary lymph nodes 2,872
Block dissection cervical nodes - right 5,620
Block dissection cervical nodes - left 5,620
Extended radical neck dissection cervical nodes - right 5,620
Extended radical neck dissection cervical nodes - left 5,620
Splenectomy 2,885
Hemithyroidectomy - left 3,537
Hemithyroidectomy - right 3,537
Mastectomy simple - left 2,826
Mastectomy simple - right 2,826
339
Mastectomy and axillary sampling - left 2,951
Mastectomy and axillary sampling - right 2,951
Mastectomy and axillary sampling - bilateral 2,951
Mastectomy + axillary clearance - left 2,951
Mastectomy + axillary clearance - right 2,951
Subtotal thyroidectomy 3,909
Total thyroidectomy 3,909
Ultra low anterior resection 9,453
Wide local excision and axillary clearance 2,242
Oesophagogastroduodenoscopy (OGDS)
989
Thoracic surgery
Bronchoscopy - flexible bronchoscopy - rigid bronchoscopy 3,606
Rigid oesophagoscopy 3,333
Throscopy for pleural and lung biopsy 3,553
Mediastinoscopy 7,075
Anterior mediastinotomy 6,130
Vats for spontaneous pneumathorax 7,120
Vats and lobectomy 10,370
Vats and wedge biopsy 6,870
Vats and thymectomy 7,370
Vats and biopsy of lymph node 7,120
Thoracotomy excission of bublae and pleurodesis - pleuropectomy
18,137
Thoracotomy and lung resection (lobectomy, pneumonectomy)
18,136
Decortication for empyema thorax 8,602
340
Rib resection for empyema 6,492
Thoracostomy for permanent chest drainge 8,427
Thoracoplasty 8,415
Transhiatal oesophgectomy with gastric pull up 15,091
Oesophygectomy with colon interposition 17,223
Oesophygectomy with jejunum replacement, roux-en-y 17,056
Oesophygectomy with gastric replacement ivor lewis 17,223
Thoracic repair of hiatus hernia 7,354
Mediastinotomy of ant mediastinal mass 12,581
Thymectomy 7,890
Excision of teratoma 10,466
Corrective surgery for pectus excavatum of pectus carinatum 8,239
Excision of chest wall lessions with reconsruction 7,481
Plication of diaphragm 7,526
Hepatobiliary
Open cholecystectomy 7,425
Open chole with cbd exploration 8,033
Choledhocectomy and hepaticojejunostomy 18,675
Radical cholecystectomy with segment 4b/5 liver resection 28,710
Radical cholecystectomy with segment 4b/5 liver resection with excision of bile duct and roux-en-y hepaticojejunostomy
38,500
Radical choledhocectomy and hepaticojejunostomy 55,305
Surgery for klatskins tumour - radical choledhochectomy with left or right hemihepatectomy, caudate lobectomy, roux-en-y, cholangiojejunostomy
55,000
341
Endoscopic Retrograde Cholangiopancreatography (ERCP)
6,930
Laparoscopic cholecystectomy 9,765
Laparoscopic cholecystectomy and intraop cholangiogram 10,643
Laparoscopic cholecystectomy and laparoscopic cbd exploration 11,385
Transhepatic cholangioscopy and lithotripsy 11,385
Radical pancreaticoduodenectomy with reconstructions 37,500
Distal pancreatectomy 11,385
Distal pancreatectomy + splenectomy 14,153
Central pancreatectomy and reconstruction 23,490
Frey's procedure 23,490
Modified puestow 18,540
Total pancreatectomy 37,500
Pancreatic necrosectomy - open 11,385
Pancreatic necrosectomy - retroperitoneal 11,385
Hemihepatectomy and cholecystectomy (right or left )
33,798
Extended right / left hemihepatectomy and cholecystectomy 41,250
Central hepatectomy 41,250
Lateral sectionectomy 22,660
Right posterior sectionectomy 28,710
Segment 8 resection 28,710
Other anatomical monosectionectomy 17,298
Non-anatomical monosectionectomy 13,915
Non-anatomical bisectionectomy 17,298
Intraoperative ablative procedure, ultrasound guided 13,915
Appendicectomy - laparoscopic 2,531
342
Colorectal
Colonoscopy 1,590
Repair of colonic fistula 3,030
Wedge resection of rectum 2,680
Excision mesenteric cyst - open 2,723
Caecopexy - open 2,476
Reduction of bowel volvulus - open 2,939
Repair - rectovesico fistula 3,552
Laser treatment of lesion - large intest 1,685
Cauterisation of lesion - colon - endoscopic 1,685
Sigmoidoscopy + cautery of lesion - endoscopic 1,265
Dilatation stricture - small bowel - open 2,423
Balloon dilatation of stricture - colon 2,095
Biopsy of lesion of ileum - laparoscopic 3,868
Excision of colonic lesion - endoscopic 2,770
Sigmoidoscopy + excision colonic lesion - endoscopic 2,770
Snare resection of rectal lesion - endoscopic 4,960
Exploratory colostomy 2,821
Colostomy and removal of foreign body 2,491
Anal fistulotomy 2,457
Laser treatment - anal lesion 1,673
Ileo - transverse anastomosis 4,200
Anterior resection of rectum 6,571
Abdomino - perineal resection 10,764
Pancolectomy 7,701
343
Abdomino - anal pull through resection 10,076
Fistulectomy 1,893
Colonoscopy polypectomy 2,062
Fissurectomy 953
Haemorrhoidectomy 1,771
Thirsch’s wiring of rectal prolapsed 2,280
Drainage of perianal, ischiorectal or breast abscesses 890
Sphincterotomy for fissures - in - ano 872
Anal dilatation (lord’s procedure)
718
Sigmoidoscopy 1,093
Injection of haemorrhoids 643
Banding of haemorrhoid 624
Colonoscopy 1,590
Vascular
Abdominal aortic aneurysm repair (tube graft)
12,032
Abdominal aortic aneurysm repair (bifurcated graft)
14,403
Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
56,338
Thoracic Endovascular Aortic Repair (TEVAR)
55,088
Aorta femoral bypass 10,883
Renal artery surgery 7,502
Femoro - femoral crossover graft 9,463
Axillo femoral bypass 10,704
Peripheral aneurysm surgery 6,462
Operations for varicose veins of the lower limbs 3,874
344
Endovenous RF surgery for varicose veins 8,462
Endovenous laser surgery for varicose veins 2,752
Stripping of varicose veins 2,124
Creation of arteriovenous (AV) fistula including subsequent closure
2,229
Repair of arteriovenous (AV) fistula 5,286
Creation of arteriovenous (AV) fistula with graft 8,257
Gastrointestinal
Reconstruction of oesophagus 10,556
Vagotomy, truncal with pyloroplasty 3,511
Vagotomy, highly selective 3,146
Transhiatal total oesophagectomy, p-g anastomosis 15,181
Duodenoduodenostomy 3,386
Duodenojejunostomy 3,386
Duodenoileostomy 3,386
Oesophagomyotomy 3,576
Sphincterotomy duodenal papilla - open 2,996
Creation of duodenostomy - open 2,996
Excision of diverticulum of oesophagus 6,258
Resection of gastric ulcer by cautery 3,666
Ligation of oesophageal varices - open 4,569
Trans-gastric stapling for varices - open 6,206
Devascularisation of stomach - open 4,581
Removal of stent from oesophagus - open 3,425
Removal of foreign body from oesophagus - open 3,436
345
Repair of stricture of oesophagus 9,806
Repair perforated oesophagus - upper 9,681
Repair perforated oesophagus - middle 7,931
Pyloroplasty - laparoscopic 2,871
Closure perforated duodenal ulcer - open 2,871
Correction of volvulus of stomach 2,871
Total gastrectomy, node dissection, roux-en-y
8,514
Gastric stappling for obesity - open 6,316
Fundoplication - laproscopic 4,566
Adjust implanted antireflux prosthesis - laparoscopic
5,256
Reduction gastroenterostomy intussusception 2,871
Closure of gastroenterostomy - open 3,666
Revision gastropexy - open 3,541
Excision of oesophageal lesion - endoscopic 3,386
Excision of polyp of stomach - endoscopic 3,136
Excision of gastric polyp - endoscopic 3,136
Insertion oesophageal stent via stomach 5,127
Insertion oesophageal prosthesis - open 5,127
Insertion oesophageal tube prosthesis - rigid 5,127
Insertion oesophageal prosthesis - endoscopic 5,127
Percutaneus endoscopic gastrostomy 4,196
Insertion - stent - endoscopic 5,921
Appl haemostatics gastric bleed - endoscopic 2,794
Change of gastrostomy tube 2,629
Cryotherapy of oesophageal lesion 1,287
Electrocoagulation upper oesophageal lesion 1,287
346
Electrocoagulation middle oesophageal lesion 1,287
Electrocoagulation lower oesophageal lesion 1,287
Dilation of oesophageal stricture 1,287
Dilation of oesophageal stricture - endoscopic 2,724
Division of oesophageal web - endoscopic 1,727
Operations for achalasia cardia 5,196
Tanner’s operation and other operation on oesophageal varices
(siguira)
3,022
Vagotomy with drainage 3,511
Ramstedt’s operation (pyloromytomy)
2,871
Oesophageal dilatation (under general anaesthesia)
3,406
Endoscopic oesophageal intubation/dilatation/stent 6,719
Injection sclerotherapy of oesophageal varices 2,392
Endoscopic Retrograde Cholangio Pancreatography (ERCP) -
therapeutic
5,186
Gastroscopy 848
Dermatology
Laser destruction of skin lesion 1,500
Laser resurfacing 1,709
Laser therapy for pigmented skin lesion 1,500
Laser therapy for vascular skin lesion 1,500
Laser therapy : CO2 1,500
Cauterisation of skin lesion 727
Cautery of a verrucae pedis 727
Cautery of skin lesion 727
347
Cautery of wart 727
Chemical cautery of a corn - left foot 825
Chemical cautery of a corn - right foot 825
Chemical cautery of skin lesion 825
Chemical peeling of lesion of skin - superficial peel 500
Chemical peeling of lesion of skin - medium depth 550
Chemical peeling of lesion of skin - deep peel 830
Botulinumtoxin 2,375
Biopsy of lesion of subcutaneous tissue 1,149
Biopsy of nail bed 1,499
Biopsy of skin 516
Excision intradermal naevus 874
Excision of basal cell carcinoma 1,254
Excision of lipoma 999
Excision of malignant skin tumour 1,254
Excision of neurofibromata 999
Excision of papilloma 874
Excision of redundant skin or fat of rig 1,039
Excision of sebaceous cyst 544
Excision of skin carcinoma 1,144
Excision of skin cyst 544
Excision of skin lesion 1,039
Excision of skin or subcutaneous tissue 1,039
Excision of skin scar 574
Excision of skin tag 509
Incision and drainage of sebaceous cyst 509
348
Incision and drainage of wound 509
Incision biopsy of skin 544
Incision biopsy of skin lesion 544
Insertion of therapeutic substance
1,150
Intralesional steroid for keloid 300
Intralesional steroid for skin lesion 300
Bath PUVA
810
Phototheraphy : PUVA
748
Phototheraphy : UVAI
490
Topical PUVA
720
Cryotherapy of basal cell carcinoma 630
Cryotherapy to skin lesion 313
Cryotherapy to wart 313
Needle prick for skin lesion 329
UROLOGY
Transplantation and donor nephrectomy 13,991
Extracorporeal Shock Wave Lithotripsy (ESWL)
3,000
Nephrectomy (simple) and nephroureterectomy 3,944
Nefrectomy (radical) and nephroureterectomy 5,504
Nephrectomy (partial) and nephroureterectomy 4,294
Pyeloplasties 3,809
Nephrolithotomy 5,418
Pyelolithotomy 4,163
Nephropyelolithotomy 4,163
349
Vascular surgery - renal artery stenosis 8,333
Nephrostomies - unilateral 2,154
Nephrostomies - bilateral 2,601
Percutaneous Nephrolithotripsy (PCNL)
5,953
Reimplantation/tailoring 3,319
Replacement of - by bladder 3,285
Replacement of - by gut 4,845
Replacement of - by ureter 3,540
Ureteroscopy (URS)
5,018
Total cystectomy 6,154
Partial cystectomy 3,869
Endoscopic surgery 1,500
Bladder reconstruction 9,025
Urethroplasty 3,203
Partial amputation of penis 2,913
Total amputation of penis 3,568
Reconstruction of hypospadias (severe)
6,420
Reconstruction of epispadias 4,130
Orchidectomy 2,208
Transurethral resection 3,322
Open prostatectomy 3,628
Fistula repair (very severe)
2,432
Ureterolithotomy 3,393
Vesicolithotomy 2,256
Vesicolithopaxy 2,752
Trans-urethral resection of bladder neck 2,187
350
Trans-urethral resection of bladder tumours 3,367
Excision of stricture 1,612
Urethral dilation 982
Reconstruction of hypospadias (moderate)
5,471
Orchidopexy 1,843
Vasovasastomy 2,913
Trans-urethral resection of stricture 3,322
Arteriovenous (AV) fistula 2,182
Fistula repair (moderate)
5,297
Excision operation for varicocele 1,708
Renal biopsy 1,507
Cystoscopic examination/biopsy 1,717
Cystoscopic examination and retrograde pyelogram 4,202
Vasectomy 1,158
Micturating cysto urethrogram 388
Circumcision 1,441
Repair of vesicovaginal fistula 3,520
Reconstruction of bladder neck 8,075
Colposuspension - laparoscopic 3,495
OBSTETRIC AND GYNECOLOGY
Pelvic exenteration 9,697
Wertheim’s hysterectomy 8,877
Radical vulvectomy 3,256
Extended hysterectomy 8,045
351
Abdominal hysterectomy 3,802
Vaginal hysterectomy 4,822
Myomectomy 3,552
Ovarian cystectomy/salpingo - oopherectomy 5,402
Simple vulvectomy 2,831
Tubal repair surgery 3,030
Ventral suspension - sling operation 2,550
Ectopic pregnancy 3,267
Abdominal sterilization/minilaparotomy 3,017
Laparoscopy 2,495
Second look laparotomy 3,160
Vaginal reconstruction 6,193
Manchester repair 3,190
Repair for stress incontinence 4,065
Pelvic floor repair 3,345
Cervical cerlage 1,572
Cone biopsy 1,592
Cauterization 971
Insufflation 1,036
Cervical biopsy (punch)
916
Secondary suturing 1,036
Polypectomy/avulsion of polyp 1,191
Cryocautery/cryosurgery 900
Incision and drainage 567
Marsupialisation of bartholin abscess 1,511
Excision of labial/vaginal cyst 1,511
352
Vulval biopsy 926
Open operation of fetus - repair of diaphragma 5,426
Open operation of fetus 5,426
Placental ablation 1,162
Cervical biopsy 872
Amnio reduction 1,446
Insertion of contraceptive implant 923
Removal of contraceptive implant 923
Termination of pregnancy 1,508
Removal of cerclage from cervix 923
Breech extraction 1,647
Abdominal sterilisation/minilaparotomy 2,216
Ectopic pregnancy 2,826
Second look laparotomy 3,160
Repair for stress incontinence 4,065
Tubal repair surgery 3,030
Vaginal reconstruction 6,193
Ventral suspension - sling operation 2,566
Cervical cerclage 996
Laparoscopy and ovarian drilling 3,067
Vaginectomy - total 4,230
Vulvectomy - extended 3,681
Pelvic exenteration 9,697
Myomectomy - laparotomy 3,552
Hysterectomy total and bilateral salphingoopho 5,012
Hysterectomy vaginal 3,235
353
Hysterectomy total abdominal 2,977
Vaginectomy - partial 2,770
Salphingo - oophorectomy - right - open 3,212
Salphingo - oophorectomy - left - open 3,212
Salphingo - oophorectomy - right - endoscopic 2,676
Salphingo - oophorectomy - left - endoscopic 2,676
Hysterectomy Wertheim's 8,877
Hysterectomy-extended 8,045
Vag. Tot Hyster bilateral salphingoophorect 4,825
Fenton's operation 3,385
Caeserean hysterectomy 3,136
Repair of bladder fistula 3,155
Oophorectomy - bilateral - open 2,797
Oophorectomy - bilateral - endoscopic 2,791
Salphingectomy - right - open 3,372
Salphingectomy - left - open 3,372
Salphingectomy - bilateral - open 3,622
Salphingectomy - right - endoscopic 2,676
Salphingectomy - left - endoscopic 2,676
Salphingectomy - bilateral - endoscopic 3,620
Gamete intrafallopian transfer - right 1,535
Gamete intrafallopian transfer - left 1,535
Zygote intrafallopian transfer - right 1,535
Zygote intrafallopian transfer - left 1,535
Tubal embryo transfer - right 1,185
Tubal embryo transfer - left 1,185
354
Laparoscopic adhesiolysis 2,856
Sclerosing injection into vulval vein 888
Reversal of tubal sterilization 6,257
Uterine ligament operation - open 1,517
Uterine ligament operation - endoscopic 2,136
Repair of uterovaginal fistula 4,160
Repair of ruptured uterus 3,906
Repair of urethrovaginal fistula 3,130
Vaginoplasty 4,766
Repair of enterocele - abdomino - vaginal 2,687
Repair of enterocele - endoscopic 2,685
Transvaginal tape 2,650
Plication of round ligament - open 2,682
Plication of round ligament - endoscopic 6,001
Uterine ventrosuspension - open 2,142
Uterine ventrosuspension - endoscopic 2,136
Sacrocolpopexy - endoscopic 5,001
Hysterostomy 4,570
Extraperitoneal caesarean section 3,215
Postmortem caesarean section 3,215
Surgical control of postpartum haemorrhage 2,152
Ovary reconstruction - bilateral 3,122
Reconstruction fallopian tube - bilateral - endoscopic 6,255
Reconstruction fallopian tube - left - endoscopic 4,550
Reconstruction fallopian tube - right - endoscopic 4,550
Reconstruction fallopian tube - bilateral - open 5,257
355
Reconstruction fallopian tube - left-open 2,682
Reconstruction fallopian tube - right - open 2,682
Salphingotomy - left - endoscopic 2,676
Salphingotomy - right - endoscopic 2,676
Salphingotomy - left - open 2,142
Salphingotomy - right - open 2,142
Repair of bladder 3,155
Sling operation - tension free vaginal tape 2,612
Sling operation - bladder neck 2,872
Bisection of ovary - right - open 2,142
Bisection of ovary - left - open 2,142
Bisection of ovary - bilateral - open 3,122
Bisection of ovary - right - endoscopic 2,676
Bisection of ovary - left - endoscopic 2,676
Bisection of ovary - bilateral - endoscopic 5,251
Drainage of ovary - right - open 2,872
Drainage of ovary - left - open 2,872
Drainage of ovary - bilateral - open 5,257
Drainage of fimbrial cyst - right - open 2,682
Drainage of fimbrial cyst - left - open 2,682
Drainage of fallopian tube - right - open 2,682
Drainage of fallopian tube - left - open 2,682
Drainage of fimbrial cyst - right - endoscopic 2,676
Drainage of fimbrial cyst - left - endoscopic 2,676
Drainage of fallopian tube - right - endoscopic 2,676
Drainage of fallopian tube - left - endoscopic 2,676
356
Endometrial sampling - transorifice intra 1,486
Endometrial sampling - transorifice intra 1,486
Endometrial ablation thermal 2,111
Endometrial ablation microwave 2,401
Myomectomy - laparoscopic 3,142
Colposcopy of cervix - Large Loop Excision of the Transformation Zone
(LLETZ)
590
Colposcopy of cervix - Loop Electrosurgical Excision Procedure (LEEP)
1,350
Laparoscopy diagnostic 2,457
Myomectomy - hysteroscopic 3,552
Colposcopy of vagina 810
Colposcopy of vulva 795
Laparoscopy second look 3,160
Laparoscopy and dye insufflation 1,036
Minilaparotomy tubal ligation 2,142
Laparoscopic sterilisation 5,001
Colpocleisis 2,142
Repair of vault of vagina 1,300
Colpoperineorrhaphy 4,802
Repair of hymen 916
Sacrocolpopexy - vaginal 2,682
Hysteroscopic resection uterine septum
2,606
Colposcopy of cervix - cervical biopsy 590
Colporrhaphy 2,006
Drainage of ovary - bilateral - endoscopic 6,251
Drainage of ovary - right - endoscopic 4,546
357
Drainage of ovary - left - endoscopic 4,546
Cauterisation vulva - right 900
Cauterisation vulva - left 900
Cauterisation vulva - bilateral 900
Cryotherapy of lesion of vulva - right 900
Cryotherapy of lesion of vulva - left 900
Cryotherapy of lesion of vulva - bilateral 900
Cervical cerclage - McDonald's 1,506
Cervical cerclage - Shirodkar's 1,506
Cryocautery/cryosurgery - cervix 820
Cauterisation cervix 820
Cryotherapy of lesion of vagina 830
Cauterisation vagina 820
Cryosurgery perineum 1,010
Dilatation cervix 900
Vaginal dilatation procedure 900
Evacuation of vaginal haematoma 1,026
Cone biopsy 1,592
Amputation of cervix 1,760
Hysteroscopy 1,401
Excision of vaginal adhesions 1,486
Repair of cervical tears 1,032
Cervical cerclage - abdominal 1,506
Secondary suturing - perineum 1,036
Excision of female periurethral tissue 916
Drainage of labial minora abscess - right 1,511
358
Drainage of labial minora abscess - left 1,511
Drainage of labial minora abscess - bilateral 1,511
Drainage of labial majora abscess - right 1,511
Drainage of labial majora abscess - left 1,511
Drainage of labial majora abscess - bilateral 1,511
Marsupialisation of Bartholin's abscess 1,511
Marsupialisation of Bartholin's cyst - left 1,356
Marsupialisation of Bartholin's cyst - right 1,356
Marsupialisation of Bartholin's cyst - bilateral 1,511
Biopsy of ovary - right 2,142
Biopsy of ovary - left 2,142
Biopsy of ovary - bilateral 2,392
Cystectomy - open - right 2,547
Cystectomy - open-left 2,547
Cystectomy - open - bilateral 2,797
Cystectomy - endoscopic - right 4,546
Cystectomy - endoscopic - left 4,546
Cystectomy - endoscopic - bilateral 4,546
Excision of tubo - ovarian mass - right 2,142
Excision of tubo - ovarian mass - left 2,142
Excision of tubo - ovarian mass - bilateral 3,122
Excision of fimbria - right - open 2,682
Excision of fimbria - left - open 2,682
Excision of fimbria - bilateral - open 2,932
Excision of fimbria - right - endoscopic 2,682
Excision of fimbria - left - endoscopic 2,682
359
Excision of fimbria - bilateral - endoscopic 5,251
Excision of fimbrial cyst - right - open 2,682
Excision of fimbrial cyst - left - open 2,682
Excision of fimbrial cyst - bilateral - open 2,682
Excision of fimbrial cyst - right - endoscopic 2,676
Excision of fimbrial cyst - left - endoscopic 2,676
Excision of fimbrial cyst - bilateral - endoscopic 2,676
Hysterectomy subtotal 2,997
Hysterectomy total - laparoscopic 3,245
Hysterectomy vaginal - laparoscopic assist 3,255
Polypectomy - endometrium 1,486
Hymenectomy 916
Excision of excess labial minora tissue - left 1,321
Excision of excess labial minora tissue - right 1,321
Excision of excess labial minora tissue - bilateral 1,321
Excision of excess labial majora tissue - left 1,331
Excision of excess labial majora tissue - right 1,331
Excision of excess labial majora tissue - bilateral 1,331
Biopsy of vulva - right 900
Biopsy of vulva - left 900
Biopsy of vulva - bilateral 900
Excision of vulval polyp - right 1,080
Excision of vulval polyp - left 1,080
Excision of vulval polyp - bilateral 1,110
Vulvectomy - hemi - right 2,831
Vulvectomy - hemi - left 2,831
360
Vulvectomy - hemi - bilateral 2,831
Vulvectomy - wide local excision 3,681
Excision of Bartholin gland - left 1,356
Excision of Bartholin gland - right 1,356
Excision of Bartholin gland - bilateral 1,511
Removal of foreign body - vagina 900
Falloposcopy 2,136
Colposcopy of cervix 590
Exploration of vagina 900
Removal of pessary from vagina 900
Ovary reconstruction - right 2,142
Ovary reconstruction - left 2,142
Burch's colposuspension - with graft 4,152
Burch's colposuspension - endoscopic 6,251
Fimbroplasty - right - open 2,682
Fimbroplasty - left - open 2,682
Fimbroplasty - bilateral - open 2,676
Fimbroplasty - right - endoscopic 2,680
Fimbroplasty - left - endoscopic 2,680
Fimbroplasty - bilateral - endoscopic 5,257
Reconstruction of vagina with flap 3,625
Repair of vaginal wall prolapse - vagina 2,940
Vaginal repair - anterior mesh 2,690
Repair of vaginal tear 1,042
Repair of vaginal wall prolapse - endoscopic 5,255
Clitoroplasty 4,546
361
Repair of enterocele - abdominal 2,932
Repair of enterocele - vaginal 2,695
Repair of perineal tear 1,034
Sacrospinous fixation of vaginal vault 2,687
Sacrocolpopexy - vagino - abdominal 2,682
Drainage of vulval hematoma - right 1,071
Drainage of vulval hematoma - left 1,071
Drainage of vulval hematoma - bilateral 1,546
Biopsy of uterus 1,486
Removal of foreign body - uterus 1,486
Biopsy of cervix 845
Biopsy of vagina 900
Excision of vaginal lesion 1,501
Biopsy perineum 900
Dilatation and curettage - ERPOC
1,061
Dilatation and curettage - diagnostic 1,061
Insertion pessary into vagina 680
Insertion intrauterine device 690
Examination under anaesthesia - staging 900
Examination under anaesthesia - vagina 900
Removal of intrauterine device 690
Repair of genital tract tear 1,495
Polypectomy - cervix 900
Intrauterine insemination (IUI)
900
Curettage of delivered uterus 1,151
Manual removal of placenta 1,186
362
Uterine exploration 951
Repositioning of r/verted gravid uterus 1,527
Vaginal pack procedure 1,010
Removal of vaginal pack 1,008
Drainage of vulval abscess - left 886
Drainage of vulval abscess - right 886
Drainage of vulval abscess - bilateral 1,511
Secondary suturing 1,035
Exploratory laparotomy 2,707
Incision and drainage 1,027
Amniocentesis 1,021
Chorionic villus sampling - procedure 1,161
Amnioinfusion 1,456
OPHTHALMOLOGY
Complicated strabismus surgery requiring complex procedures or repeat operations
5,853
Repair of severe ptosis : elevator resection/brow suspension 3,761
Excision of eyelid tumours with major reconstruction 9,800
Dacryocystorhinostomy 4,975
Conjunctivo - dacryocystorhinostomy/Lester-Jones tube 5,350
Repair of severed lacrimal passages 5,350
Reconstruction of contracted socket 7,040
Dermis - fat graft 4,130
Removal of deep seated orbital tumours 9,785
Repair of blowout fracture 9,722
363
Orbital and optic nerve decompression 6,117
Exenteration of orbit 6,625
Examination under anaesthesia 1,380
Release of symblepharon/with mucous membrane graft 1,434
Scleral graft 2,989
Cataract extraction - intracapsular and extracapsular 3,970
Lens aspiration 3,970
Removal of dislocated/subluxated lens not requiring vitreous surgery
3,095
Secondary intraocular lens implantation 2,905
Paracentesis 1,761
Trabeculectomy/trabeculotomy/goniotomy/cyclodialysis 4,037
Laser panretinal photocoagulation : new case 1,852
Repair of moderate perforationg injury of eyeball 2,989
Simple strabismus surgery - recession/resection/myectomy 3,429
Repair of mild ptosis 3,396
Repair of congenital eyelid deformities 3,646
Repair of severe lecerations of eyelids and/or region around the eyes
1,691
Dacrycystectomy 4,901
Removal of superficial orbital tumours 3,906
Enucleation 3,681
Pterygium surgery 2,247
Conjunctivectomy/conjunctival grafts and flaps 1,482
Iridectomy - peripheral or optical 2,247
Posterior capsulotomy - surgical/laser 1,487
Posterior capsule polishing 1,487
Cryopexy - retina and glaucoma 2,067
364
Laser treatment other than panretinal photocoagulation 1,960
Repair of minor perforating injury of eyeball 4,094
Instralesional corticosteroid injection of capillary haemangiomas etc.
1,169
Cosmetic lid surgery 3,179
Ectropian or entropion correction 2,419
Tarsorrhaphy 2,624
Syringing/probing of lachrymal apparatus 906
Incision and drainage of orbital abscess 3,091
Biopsy of ocular appendages/superficial orbital tumours 2,921
Evisceration 4,056
Use of tissue adhesive for ocular perforation 1,333
Excision of granulomas - eyelid, conjunctival 928
Incision and curettage/intra lesional conticosteroid injection of chalazion
928
Epilation 393
Electrolysis/cryopexy for trichiasis 928
Repair of minor laceration of eyelid and/or region around the eyes
1,093
Punctal occlusion 963
Fitting of ocular prosthesis 2,202
Removal of conjunctival concretions 1,208
Incision and drainage of stye/lid abscess 1,018
Release of tarsorrhaphy 863
Keratoplasty - lamellar or penetrating 5,839
Keratoplasty with cataract surgery with/without intraocular lens implant
7,027
Refractive corneal surgery 3,273
Cataract extraction with intraocular lens implantation 3,970
365
Removal of intraocular lens 2,845
Lensectomy 6,420
Combined trabeculectomy with cataract extraction with/without intraocular lens implantation
4,236
Shunt/valve placement for glaucoma 8,626
Vitreous surgery 3,896
Retinal detachment surgery 7,086
Intraocular foreign body removal 11,711
Repair of severe perforating injuries of the eyeball 3,951
EAR, NOSE AND THROAT
Base of skull surgery 19,927
Cranio facial resection 16,270
Transphenoidal hypophysectomy 14,975
Commando operation for jaw and oral pharyngeal 26,776
Total laryngopharyngectomy with reconstruction 29,214
Acoustic neuroma surgery 16,224
Meatal atresia surgery 4,958
Modified radical mastoidectomy 5,306
Radical mastoidectomy 5,030
Facial nerve decompression 5,632
Facial nerve repair 6,506
Tympanoplasty 3,740
Stapedectomy 3,687
Saccus decompression 5,110
Labryinthectomy 5,555
366
Tympanic nerve 3,137
Surgery of pterygopalatine fossa 3,755
Maxillectomy 9,480
Fronto ethmoidectomy 3,464
Intranasal endoscopic ethmoidectomy 2,019
Repair of frontal sinus fractures 5,000
Rhinoplasties - augmentation 6,621
Rhinoplasties - reduction 6,631
Rhinoplasties - prosthesis insertion 6,629
Laryngectomy - total/partial 6,838
Laryngofissure operation 3,282
Partial pharyngectomy without reconstruction 6,669
Repair of laryngeal and tracheal stenosis 8,878
Pharyngotomy 1,986
Excision of laryngocele 3,532
Cordopexy for adductor palsy of vocal cords 3,282
Parotidectomy - complete of partial 5,913
Radical neck dissection 7,524
Cortical mastoidectomy 4,496
Myringoplasty 3,160
Excision of preauricular sinus 1,789
Flap repair for postauricular fistula 1,215
Excision of pinna - total 5,480
Excision of pinna - partial 4,980
Reduction of facial fractures 2,292
Submucous resection of nasal septum (SMR)
2,012
367
Septoplasty 2,262
Nasal polypectomy 1,844
Repair of vestibular stenosis 1,278
Sublabial radial antrostomy (CWL)
1,828
Surgical treatment of posterior choanal tumours 3,143
Ligation of ethmoidal vessels 2,548
Surgical treatment of blow out fractures 5,742
Repair of oroantral fistula 2,280
Pharyngoplasty 3,725
Adenoidectomy 951
Tonsillectomy 1,970
Adenotonsillectomy 2,765
Surgery of tonsillar fossa 1,970
Removal of submandibular salivary gland 1,841
Excision of bronchial cyst and fistula 6,512
Elective microlaryngeal surgery 2,017
Myringotomy - with grommet 1,525
Myringotomy - without grommet 902
Examination of ear under general anaesthesia 1,361
Examination of nose or post nasal space under general anaesthesia
808
Intranasal antrostomy 1,052
Partial turbinectomy 1,287
Submucus diathermy under general anaesthesia 852
Trephine drainage of frontal sinus 1,198
Intranasal polypectomy for single polyp 1,844
Drainage of retropharyngeal and parapharyngeal abscess 3,267
368
Oesophagoscopy 1,582
Bronchoscopy 1,512
Direct laryngoscopy and biopsy 1,367
Panendoscopy 4,147
Tracheostomy - open 1,951
Removal of foreign bodies from the ear, nose and throat 1,352
Examination of the ear under microscope 1,361
Aural polypectomies and biopsies 1,153
Submucous diathermy of nasal turbinates 852
Drainage of peritonsillar abcess 771
Per oral removal of the salivary calculus 1,841
Drainage of postauricular abcess 724
Antral washouts 1,052
Punch biopsies for nasal and oropharyngeal tumours 1,032
Nasal polypectomy 1,844
Excision lesion gingiva/alveolar - laser 2,836
Rigid endoscopic procedure 808
Examination under microscope 1,361
Operculectomy oral 1,348
Incision and drainage orofacial abscess 540
Nasal packing - anterior 1,060
Biopsy 1,032
Removal of foreign body - nose 808
Removal of foreign body - ear 778
Removal of foreign body - throat 1,352
Alveolectomy/Alveoplasty - maxilla < 4cm 654
369
Alveolectomy/Alveoloplasty - mandible < 4cm 654
Antral washout 1,052
Wiring dental upper arch 589
Wiring dental lower arch 589
Temp. reduction + fixation - midfacial bone 588
Temp. reduction + fixation - mandible 588
Aural polypectomies and biopsies 1,153
Drainage of peritonsillar abscess 771
Drainage of postauricular abscess 724
Removal of foreign bodies from nose 808
Removal of foreign bodies from throat 1,352
Per oral removal of salivary calculus 1,841
Submucous diathermy of nasal turbinates 852
Functional Endoscopic Sinus Surgery (FESS)
3,143
Myringoplasty with atticotomy - right 3,160
Myringotomy with insertion tube - right 1,525
Myringotomy with insertion tube - left 1,525
Bronchoscopy 1,499
Rigid endoscopic procedure 808
Examination under microscope 1,361
Acoustic neuroma surgery 16,224
Atticotomy - right 3,583
Implantation cochlear prosthesis device - right 14,789
Implantation cochlear prosthesis device - left
14,789
Extended frontal sinus surgery - bicoronal flap - right 5,000
Extended frontal sinus surgery - bicoronal flap - left 5,000
370
Excision glomus tumour - lateral skullbase - right 19,927
Excision glomus tumour - lateral skullbase - left 19,927
Laryngotracheal reconstruction - with cartilage
12,880
Laryngectomy + pharyngectomy + reconstruction 7,004
COMMANDO operation - with reconstruction 26,776
Laryngopharygectomy total + reconstruction 23,209
Total laryngopharyngo - oesophag + reconstruction 29,214
Partial resection of temporal bone and reconstruction - right 10,266
Partial resection of temporal bone and reconstruction - left 10,266
Partial resection of temporal bone - right 10,266
Partial resection of temporal bone - left 10,266
Petrosectomy - right 10,266
Petrosectomy - left 10,266
Total resection temporal bone and reconstruction - right 10,266
Total resection temporal bone and reconstruction - left 10,266
Total resection temporal bone - right 10,266
Total resection temporal bone - left 10,266
Craniofacial surgery - with reconstruction 16,270
Vestibular neurectomy 19,814
Cochlear neurectomy 19,814
Intranasal endoscopic optic nerve decompression 6,305
Endoscopic repair CSF rhinorrhoea - autograft 4,763
Endoscopic repair CSF rhinorrhoea - allograft 4,770
Facial nerve repair with grafting - right 6,344
Facial nerve repair with grafting - left 6,344
Facial - hypoglossal nerve anastomosis - right 7,806
371
Facial - hypoglossal nerve anastomosis - left 7,806
Facial nerve repair - right 6,506
Facial nerve repair - left 6,506
Endo dacryocystorhinostomy - right 5,017
Endo dacryocystorhinostomy - left 5,017
Intranasal (endoscopic) orbital decompression - right 6,305
Intranasal (endoscopic) orbital decompression - left 6,305
Rhinoplasty, augmentation - open - autograft 6,621
Rhinoplasty, augmentation - open - allograft 6,629
Rhinoplasty, augmentation - close - autograft 6,631
Rhinoplasty, augmentation - close - allograft 6,639
Rhinoplasty, reduction (hump/tip/alar)
6,631
Stapedotomy - with prosthesis - right 3,588
Stapedotomy - with prosthesis - left 3,588
Endoscopic ligation maxillary artery 2,548
Endoscopic ligation sphenopalatine artery 2,548
Ligation maxillary artery (transantral)
3,068
Anterior ethmoidal artery cautery 2,548
Labyrinthectomy - membraneous - right 5,673
Labyrinthectomy - membraneous - left 5,673
Labyrinthectomy - osseous - right 5,763
Labyrinthectomy - osseous - left 5,763
Tympanic neurectomy - right 3,137
Tympanic neurectomy - left 3,137
Vestibular neurect - retrolabyrinthine - right 16,304
Vestibular neurect - retrolabyrinthine - left 16,304
372
Vestibular neurect - translabyrinthine - right 16,304
Vestibular neurect - translabyrinthine - left 16,304
Vidian nerve neurectomy - endoscopic 3,568
Vidian nerve neurectomy - transantral 3,318
Excision pinna, partial + reconstruction (autograft) - right 5,480
Excision pinna, partial + reconstruction (autograft) - left 5,480
Excision pinna, partial + reconstruction (allograft) - right 4,980
Excision pinna, partial + reconstruction (allograft) - left 4,980
Stapedectomy - with prosthesis - right 3,687
Stapedectomy - with prosthesis - left 3,687
Mastoidectomy - cortical - right 4,496
Mastoidectomy - cortical - left 4,496
Mastoidectomy - modified radical - right 5,306
Mastoidectomy - modified radical - left 5,306
Excision lesion - int auditory canal - right 16,324
Excision lesion - int auditory canal - left 16,324
Biopsy - sinus maxillary - right (endoscopic)
2,934
Biopsy - sinus maxillary - left (endoscopic)
2,934
Excision lesion - frontal sinus - right (endoscopic)
3,184
Excision lesion - frontal sinus - left (endoscopic)
3,184
Biopsy - sinus frontal - right (endoscopic)
3,184
Biopsy - sinus frontal - left (endoscopic)
3,184
Ethmoidectomy - external - right (with endoscope)
2,854
Fronto - ethmoidectomy - endoscopic - right 3,464
Fronto - ethmoidectomy - endoscopic - left 3,464
Fronto - ethmoidectomy extended - right 3,464
373
Fronto - ethmoidectomy extended - left 3,464
Ethmoidectomy - intranasal - right 2,019
Ethmoidectomy - intranasal - left 2,019
Ethmoidectomy - extended - right 2,269
Ethmoidectomy - extended - left 2,269
Excision lesion - ethmoid sinus - right 3,214
Excision lesion - ethmoid sinus - left 3,214
Ethmoidectomy - external - right 3,464
Ethmoidectomy - external - left 3,464
Biopsy - sinus ethmoidal - right 3,214
Biopsy - sinus ethmoidal - left 3,214
Sphenoidectomy - right 1,974
Sphenoidectomy - left 1,974
Excision lesion - sphenoid sinus - right 1,974
Excision lesion - sphenoid sinus - left 1,974
Biopsy - sinus sphenoidal - right 1,974
Biopsy - sinus sphenoidal - left 1,974
Insertion of bone anchored hearing aid - right 2,644
Insertion of bone anchored hearing aid - left 2,644
Exploration middle ear - right 4,843
Exploration middle ear - left 4,843
Mastoid exploration - right 5,616
Mastoid exploration - left 5,616
Exploration frontal sinus - right 5,248
Exploration frontal sinus - left 5,248
Frontal recess exploration - right 3,803
374
Frontal recess exploration - left 3,803
Obliteration mastoid cavity - right 5,283
Obliteration mastoid cavity - left 5,283
Obliteration semicircular canal - right 5,566
Obliteration semicircular canal - left 5,566
Pinnaplasty - cartilage - right 6,284
Pinnaplasty - cartilage - left 6,284
Pinnaplasty - prosthesis - right 6,524
Pinnaplasty - prosthesis - left 6,524
Division adhesions middle ear - right 3,904
Division adhesions middle ear - left 3,904
Pinnaplasty - lobule reposition - right 3,650
Pinnaplasty - lobule reposition - left 3,650
Excision pinna, total + reconstruction (autograft) - right 6,663
Excision pinna, total + reconstruction (autograft) - left 6,663
Excision pinna, total + reconstruction (allograft) - right 6,663
Excision pinna, total + reconstruction (allograft) - left 6,663
Excision glomus tumour - transtympanic - right 5,166
Excision glomus tumour - transtympanic - left 5,166
Mastoidectomy - radical - right 5,813
Mastoidectomy - radical - left 5,813
Excision glomus tumour - transmastoid - right 6,066
Excision glomus tumour - transmastoid - left 6,066
Rhinectomy 3,928
Excision postnasal space tumours - open 8,951
Resection angiofibroma - endoscopic 9,059
375
Resection angiofibroma - external 9,076
Resection angiofibroma - transpalatal 7,224
Fronto - ethmoidectomy - right 4,053
Fronto - ethmoidectomy - left 4,053
Transphenoidal hypophysectomy - endoscopic - right 8,434
Transphenoidal hypophysectomy - endoscopic - left 8,434
Transphenoidal hypophysectomy - transantral - right 8,434
Transphenoidal hypophysectomy - transantral - left 8,434
Transphenoidal hypophysectomy - sublabial - right 8,434
Transphenoidal hypophysectomy - sublabial - left 8,434
Transphenoidal hypophysectomy - transeptal - right 8,434
Transphenoidal hypophysectomy - transeptal - left 8,434
Pinnaplasty - revision - right 8,581
Pinnaplasty - revision - left 8,581
Meatoplasty - ear - revision - right 2,737
Meatoplasty - ear - revision - left 2,737
Canalplasty - ear - revision - right 6,253
Canalplasty - ear - revision - left 6,283
Mastoidectomy - revision - right 5,093
Mastoidectomy - revision - left 5,093
Rhinoplasty, revision - autograft 5,215
Rhinoplasty, revision - allograft 5,215
Tracheal stenosis - resection and anastomosis 9,328
Sliding tracheoplasty - autograft 9,328
Sliding tracheoplasty - syn. substitute
9,328
Closure tracheocutaneous fistula - flap 3,953
376
Tracheal stenosis rep - extraluminal device 4,146
Tracheal stenosis rep - intraluminal device 3,016
Closure tracheocutaneous fistula 2,948
Closure tracheo - oesophageal fistula - flap 9,078
Closure tracheo - oesophageal fistula 7,225
Cricotracheal resection 9,073
Pharyngotomy 1,986
Cricothyroidotomy tube insertion 1,500
Pharyngectomy, partial + reconstruction 13,953
Pharyngectomy, partial + reconstruction 13,953
Excision pharyngeal pouch - open 4,841
Excision pharyngeal pouch - close 3,103
Pharyngectomy, partial (laser) + reconstruction 13,910
Pharyngectomy, partial (laser)
5,422
Arytenoidectomy - external - left 8,788
Arytenoidectomy - with laser - left 2,116
Arytenoidectomy - external - right 8,788
Arytenoidectomy - with laser - right 2,116
Laryngectomy - partial 5,770
Laryngectomy - near total 6,743
Laryngectomy - partial - laser 5,562
Laryngeal stenosis rep - extraluminal device 3,298
Laryngeal stenosis rep - intraluminal device 3,298
Laryngeal stenosis rep - external 3,298
Closure pharyngocut fistula - flap 8,828
Closure pharyngocut fistula - primary
7,475
377
Epiglottopexy 2,696
Laryngeal fracture - rep - allograft 8,221
Laryngeal fracture - rep - autograft 8,221
Laryngotracheal reconstruction - castellation 8,156
Construction neoglottis 9,578
Chondroplasty larynx - with implant 9,578
Cordopexy - right 2,116
Arytenoid add/rot/medial - implant - left 4,040
Arytenoid add/rot/medial - implant - right 4,040
Pharyngectomy, total + reconstruction 14,953
Laryngectomy - total 6,493
Excision laryngocele 4,083
Superficial parotidectomy left 5,996
Excision pharyngeal cyst - right 3,249
Excision pharyngeal cyst - left 3,249
Neck dissection - modified - right 4,339
Neck dissection - modified - left 4,339
Neck dissection - selective - right 4,339
Neck dissection - selective - left 4,339
Excision of neck lesion - right 1,861
Excision of neck lesion - left 1,861
Cordopexy - laser - right 6,231
Cordopexy - laser - left 6,231
Chondroplasty of larynx 3,363
Fronto - ethmoidectomy extended - endoscopi 8,809
Facial - hypoglossal nerve anastomosis - right 9,820
378
Facial - hypoglossal nerve anastomosis - left 9,820
Exploration of facial nerve - right 5,866
Exploration of facial nerve - left 5,866
Facial nerve repair with grafting - right 9,361
Facial nerve repair with grafting - left 9,361
Facial nerve repair - right 5,748
Laryngeal fracture - repair 4,333
Laryngotracheoplasty 4,333
Laryngotracheal reconstruction - anterior 8,828
Neck exploration 3,203
Superficial parotidectomy - right 5,996
Pharyngoplasty 4,461
Sphenoidectomy - left 5,365
Sphenoidectomy - right 5,365
Stapedectomy - left 5,115
Stapedectomy - right 5,115
Tracheal stenosis repair - external 4,583
Drainage abscess - mastoid - right 1,327
Drainage abscess - mastoid - left 1,327
Antrostomy - Caldwell - Luc - right 1,694
Antrostomy - Caldwell - Luc - left 1,694
Excision pinna, partial without reconstruction - right 2,573
Excision accessory auricle - right 1,324
Excision pinna, partial without reconstruction - left 2,573
Excision lesion - bony - external auditory canal - right 1,383
Excision lesion - bony - external auditory canal - left 1,383
379
Adenoid currettage 982
Excision postnasal space tumours - endoscopic 5,666
Biopsy adenoid 825
Excision postnasal tumours - transpalatal 5,636
Ligation ethmoidal vessel - external 2,948
Ligation ethmoidal vessel - endoscopic 4,060
Reattachment pinna - right 3,536
Reattachment pinna - left 3,536
Release nasal synechiae 1,890
Removal nasal implants 1,887
Suturing - ear - right 954
Suturing - ear - left 954
Myringoplasty with atticotomy - right 4,881
Myringoplasty with atticotomy - left 4,881
Repair vestibular stenosis with reconstruction 3,318
Septorhinoplasty - close 5,090
Septoplasty - endoscopic 3,510
Reduction nasal bone fracture 1,210
Septorhinoplasty - open 5,215
Septoplasty 2,140
Repair perforation nasal septum 2,708
Submuc. resection nasal septum 1,335
Enlargement nasal septum perforation 1,700
Excision pinna, total without reconstruction - left 2,581
Excision preauricular cyst - right 2,129
Excision preauricular sinus - right 2,129
380
Excision pinna, total without reconstruction - right 2,456
Excision preauricular cyst - left 2,129
Excision preauricular sinus - left 2,129
Polypectomy with micro - debrider - endoscopic 2,398
Polypectomy - intranasal 2,391
Resection maxillary sinus mucus (Caldwell - Luc) - right 1,951
Resection maxillary sinus mucus (Caldwell - Luc) - left 1,951
Replacement tracheal stent - open 2,956
Placement tracheal stent - open 2,956
Removal tracheal stent - open 2,956
Tracheal stenosis - laser 4,168
Arrest Post tonsillectomy haemorrhage 1,665
Endo cautery pharyngocutaneous fistula 1,933
Dilatation pharynx 1,676
Marsupialisation pharyngeal cyst 1,683
Marsupialisation laryngeal cyst 1,683
Biopsy lesion pharynx 1,116
Excision arytenoid lesion - left 1,866
Excision arytenoid lesion - right 1,866
Uvulectomy with parightial palatectomy 1,540
Excision lesion - oropharynx 2,215
Biopsy lesion hypopharynx 1,676
Excision lesion - hypopharynx 1,866
Uvulectomy 1,540
Biopsy tonsil 1,532
Biopsy lesion larynx - open 1,353
381
Endoscopic microlaryngeal surgery 1,873
Endoscopic microlaryngeal surgery - with laser 1,873
Cordectomy vocal cord - without laser - right 1,866
Cordectomy vocal cord - with laser - right 1,866
Cordectomy vocal cord - left 1,866
Cordectomy vocal cord - laser assisted - left 1,866
Release pharyngeal adhesions - open 2,913
Laryngeal stenosis rep - endoscopic 3,030
Laryngeal stenosis rep - with laser 3,030
Endoscopic removal prosthesis from larynx 1,873
Endoscopic stapling pharyngeal pouch 2,853
Inversion pharyngeal pouch 2,850
Uvulopalatopharyngoplasty 2,830
Uvulopalatoplasty - laser assisted 2,827
Uvuloplasty 2,705
Uvuloplasty - laser assisted 2,702
Aryepiglottoplasty 1,676
Aryepiglottoplasty - laser assisted 1,905
Arytenoid add/rot/medial - left 1,968
Arytenoid add/rot/medial – right 1,968
Tonsillectomy 1,915
Adenoid - debrider 1,162
Excision of tumour - cervical 1,746
Biopsy of lesion - oesophagus 1,676
Excision of lesion - larynx 1,683
Excision of lesion - vocal cord - left - laser 1,866
382
Excision of lesion - vocal cord - right - laser 1,866
Excision of lesion - vocal cord - left 1,866
Excision of lesion - vocal cord - right 1,866
Laser ablation of turbinates 906
Submandibulectomy - right 2,041
Submandibulectomy - left 2,041
Change mastoid pack-right 722
Change mastoid pack - left 722
Insertion epistaxis balloon - left 895
Nasal cauterisation - diathemy 799
Nasal packing - posterior 715
Diathermy post nasal space 959
Excision pinna lesion - cautery - right 1,324
Excision lesion pinna - laser - right 1,311
Excision pinna lesion - cautery - left 1,324
Excision lesion pinna - laser - left 1,311
Intratympanic injection gentamycin - right 1,565
Intratympanic injection gentamycin - left 1,565
Cryotherapy superficial hemangioma 1,495
Dilation choanal stenosis 2,410
Myringotomy - right 854
Myringotomy - left 854
Marsupialisation concha bullosa 1,343
Drainage nasal septum 1,315
Antrostomy - intranasal - right 916
Antrostomy - intranasal - left 916
383
Frontal sinus trephining - right 923
Frontal sinus trephining - left 923
Cannulation and irrigation sphenoid sinus - right 1,343
Cannulation and irrigation sphenoid sinus - left 1,343
Nasal toilet under GA
1,307
Excision lesion - external auditory canal - right 1,029
Excision lesion - external auditory canal - left 1,029
Excision lesion - nasal cavity 937
Submucosa cauterisation nasal turbinates 937
Excision lesion - maxillary sinus - right 2,148
Excision lesion - maxillary sinus - left 2,148
Frontal sinusectomy - right 2,398
Frontal sinusectomy - left 2,398
Antrostomy - sphenoidal sinus - left 2,148
Insertion intranasal splints - left 840
Insertion intranasal splints - right 840
Ear examination under anaesthesia - right 1,487
Ear examination under anaesthesia - left 1,487
Ear examination under microscope - right 1,487
Ear examination under microscope - left 1,487
Tympanotomy - right 3,984
Tympanotomy - left 3,984
Endo examination under GA - nose 1,182
Nasopharyngoscopy - rigid 680
Antroscopy - intranasal - right 680
Antroscopy - intranasal - left 680
384
Frontal sinus obliteration - right 3,063
Frontal sinus obliteration - left 3,063
Intratympanic injection steroid - right 1,439
Intratympanic injection steroid - left 1,439
Myringoplasty - endaural approach - right 4,789
Myringoplasty - postaural approach - right 4,789
Myringoplasty - transcanal approach-right 4,789
Myringoplasty - endaural approach - left 4,789
Myringoplasty - postaural approach - left 4,789
Myringoplasty - transcanal approach - left 4,789
Correction choanal atresia - endoscopic 3,845
Correction choanal atresia - transnasal 3,845
Correction choanal atresia - transeptal 3,845
Correction choanal atresia - laser assisted 3,821
Correction choanal atresia - transpalatal 3,863
Turbinoplasty - endoscopic 1,190
Turbinoplasty - intranasal 1,190
Turbinoplasty - endo laser assisted 1,193
Tracheostomy - percutaneous 1,889
Tracheo - oesophageal valve change 1,182
Tracheostomy tube change 776
Ablation lesion trachea - laser 2,781
Dilatation trachea stenosis + stent 1,748
Dilatation trachea stenosis 1,748
Tracheal aspiration - bronchoscope 1,541
Tracheo - oesophageal puncture - primary 2,716
385
Tracheo - oesophageal puncture - secondary 2,386
Tracheal stoma lesion - biopsy 1,182
Bronchoscopic removal foreign body 1,186
Tracheo - oesophageal valve - insertion 1,362
Insertion tracheal stent 2,656
Bronchoscopy 1,676
Exploration tracheostomy 2,033
Endoscopic tracheascopy 1,689
Injection botulinum toxin - intralaryngeal 4,003
Ablation lesion pharynx - laser 4,041
Ablation lesion hypopharynx - laser 4,041
Ablation lesion vocal cord - right - laser 1,991
Ablation lesion vocal cord - left - laser 1,991
Division laryngeal web - external (implant)
2,781
Division laryngeal web - external 2,781
Division laryngeal web - endoscopic 2,781
Division laryngeal web - laser assisted 2,781
Drainage retropharyngeal abscess - oral 1,532
Drainage peritonsillar abscess 767
Endoscopic removal of foreign body from pharynx 1,429
Endoscopic removal of foreign body from larynx 1,429
Insertion laryngeal keel 2,823
Endoscopic examination larynx 991
Release pharyngeal adhesions - endoscopic 2,116
Injection for laryngeal palsy 1,991
Dilatation oesophageal stenosis 1,676
386
Insertion stent - oesophagus 3,105
Drainage parapharyngeal abscess - right 3,021
Drainage retropharygeal abscess - external - right 3,021
Drainage superficial neck abscess - right 1,331
Drainage parapharyngeal abscess - left 3,021
Drainage retropharygeal abscess - external - left 3,021
Drainage superficial neck abscess - left 1,106
Ablation of lesion - oesophagus 2,116
Excision of pinna lesion - left 1,414
Excision of pinna lesion - right 1,414
Excision postnasal space tumors - trans 970
Insertion epistaxis balloon - right 987
Insertion intranasal splints 840
Grafting skin neck 850
Drainage of head abscess 1,629
Wound debridement of head/neck 2,004
Tracheal stoma stenosis - repair - open 2,033
Tracheal stoma stenosis - repair - laser 1,991
Tympanotomy - left 3,104
Uncinectomy - left 2,015
Uncinectomy - right 2,015
Nasal packing - anterior 660
Nasal cauterisation - chemical 1,004
Excision lesion pinna - cryosurgery - right 1,307
Excision lesion pinna - cryosurgery - left 1,307
Steroid infiltration nasal lesion - external 722
387
Steroid infiltration nasal lesion - intranasal 722
Drainage abscess - postauricular - right 1,331
Drainage - pinna - right 1,331
Drainage abscess - postauricular - left 1,331
Drainage - pinna - left 1,331
Biopsy lesion - pinna - right 1,315
Biopsy lesion - pinna - left 1,315
Biopsy lesion - external auditory canal - right 1,307
Biopsy lesion - external auditory canal - left 1,307
Excision external nasal lesion 1,324
Excision external nasal lesion - cryotherapy 1,307
Excision external nasal lesion - laser 1,311
Biopsy - post nasal space (nasopharynx)
722
Removal of foreign body - external auditory canal - right 777
Removal of foreign body - external auditory canal - left 777
Removal of foreign body - middle ear - right 3,992
Removal of foreign body - middle ear - left 3,992
Removal of foreign body - inner ear - right 8,481
Removal of foreign body - inner ear - left 8,481
Removal of nasal foreign body 722
Removal of impacted wax - right 777
Removal of impacted wax - left 777
Removal of mastoid pack - right 777
Removal of mastoid pack - left 777
Aural polypectomy - right 1,307
Aural polypectomy - left 1,307
388
Ablation lesion oropharynx - laser 5,640
Removal of foreign body - oesophagus 1,318
Toilet and suturing of head/neck 829
Antral washout - Caldwell - Luc - right 1,826
Antral washout - right 895
Antral washout - Caldwell - Luc - left 1,826
Antral washout - left 895
Biopsy - lesion external nose 777
Biopsy - nasal cavity 722
Biopsy - lesion nasal turbinate 777
Biopsy - lesion nasal septum 777
Removal of ventilation tube - right 777
Removal of ventilation tube - left 777
Biopsy - lymph node - neck - left 1,324
Biopsy - lymphnode - neck - right 1,324
Biopsy of tongue lesion 777
Drainage of pre auricular sinus abscess 1,324
Examination under anaesthesia with biopsy
2,112
Examination under anaesthesia 777
FNAC lymph node 794
Release of tongue tie 777
389
DENTAL
Open reduction and fixation of fractured mandible 2,744
Reduction and cranio - maxillary fixation of midface fracture 6,395
Open reduction and fixation of zygomatic complex fracture 4,949
Major repair of oro-facial wounds 10,130
Surgery of massive cysts of the jaw 2,931
Surgery of oral cancer 12,388
Resection and reconstruction of the jaws 4,536
Temporomandibular joint surgery 11,859
Surgical correction of developmental jaw deformity 14,620
Preprosthetic surgery 4,893
Surgical procedure utilizing plates/implant systems 3,420
Management of severe infections of the jaw with surgery 1,600
Surgery of salivary glands 3,377
Repair of cleft lip and cleft palate
7,355
Closed reduction and immobilization of jaw fractures 2,310
Elevation of depressed fractures of zygoma 4,729
Excision of benign lesions 6,733
Surgical removal of impacted teeth and unerupted teeth 2,727
Periodontal surgery - per quadrant 1,459
Removal of root in antrum and close of oroantral fistula 2,712
Periodontal graft 4,032
Treatment using laser 3,712
Removal of salivary calculus 1,841
Repair of minor orofacial lacerations 1,228
390
Extraoral incision and drainage of abscess 540
Enucleation or marsupialization of cysts of the jaw 1,348
Cervical lymph node biopsy 981
Intraoral incision and drainage 540
Incision biopsy - intraoral 933
Alveolectomy 589
Apicectomy 2,290
Surgical removal of root 2,712
Frenectomy 1,310
Management of infected socket 269
Management of traumatic injury - per tooth 589
Toilet and suture of superficial wounds 1,341
Augmentation - alveolar bone = 4cm - allograft 3,327
Ablat. lesion retromolar area - cryosurgery
1,403
Excision lesion maxilla 3,071
Removal foreign body - orofacial - simple 901
Removal foreign - orofacial - complicated 2,544
Place temporary restoration - deciduous 662
Place temporary restrotation - permanent 662
Extraction of retained root - permanent 932
Repair of dentures 358
Antralplasty maxillary + bone autograft - right 4,432
Antralplasty maxillary + allograft - right 3,677
Antralplasty maxillary + bone autograft - left 4,432
Antralplasty maxillary + allograft - left 3,427
Excision lesion upper lip - > 2cm with autograft 2,232
391
Excision lesion upper lip - > 2cm with allograft 3,877
Excision lesion lower lip - > 2cm with autograft 3,232
Excision lesion lower lip - > 2cm with allograft 8,703
Excision lesion hard palate - > 2cm with autograft 3,236
Excision lesion hard palate - > 2cm with allograft 7,008
Excision lesion soft palate - > 2cm with autograft 3,234
Excision lesion soft palate - > 2cm with allograft 6,859
Excision lesion buccal - > 2cm with autograft 3,468
Excision lesion buccal - > 2cm with allograft 7,111
Excision lesion gingiva/alveolar + allograft > 2cm 3,236
Excision lesion gingiva/alveolar - > 2cm 3,236
Glossectomy, partial + autograft - laser 7,460
Glossectomy, partial + autograft 7,460
Total parotidectomy + facial and reconstruction 4,926
Extended parotidectomy + facial and reconstruction 11,026
Superficial parotidectomy 4,926
Total parotidectomy 5,913
Extended parotidectomy 7,221
Excision sublingual gland 3,677
Excision submandibular gland 2,119
Excision lesion floor of mouth > 2cm + autograft 7,113
Excision lesion floor of mouth > 2cm + allograft 3,486
Cleft lip repair 3,530
Cleft hard palate repair 4,140
Cleft soft palate repair 4,140
Vestibuloplasty - gingiva/alveolar < 1 qua 2,616
392
Vestibuloplasty - gingiva/alveolar 3,486
Glossectomy, total + partial laryngectomy 9,917
Glossectomy, total + total laryngectomy 9,917
Augmentation - zygomatic complex - autograft 5,919
Augmentation - zygomatic complex - allograft 4,655
Augmentation - alveolar bone = 4cm - autograft 5,036
Augmentation - alveolar bone > 4cm - autograft 5,193
Augmentation - alveolar bone = 4cm - allograft 4,785
Augmentation - alveolar bone > 4cm - allograft 5,037
Augmentation - chin - autograft - bone graft 4,905
Augmentation - chin - allograft 4,655
Enucleation maxilla + bone autograft - = 4cm 5,922
Enucleation maxilla + bone autograft - > 4cm 5,922
Maxillectomy, partial - external + autograft 9,810
Enucleation lesion maxilla- > 4cm + allograft 3,820
Maxillectomy, partial - external 5,906
Maxillectomy, partial - endoscopic 5,002
Maxillectomy, partial - i/oral + autograft 8,946
Maxillectomy, partial - intraoral 4,916
Enucleation mandible + bone autograft - = 4cm 7,301
Enucleation mandible + bone autograft - > 4cm 7,342
Mandibulectomy, marginal + bone autograft 7,842
Mandibulectomy, segmental + bone autograft 8,627
Enucleation mandible + allograft - > 4cm 6,221
Mandibulectomy, marginal + allograft 6,221
Mandibulectomy, segmental + allograft 6,856
393
Mandibulectomy - segmental 6,606
Alveolar bone grafting 6,287
Open reduction and internal fixation - midfacial bone 7,726
Internal fixation panfacial - mandible 6,431
Exploratory orbital floor + bone autograft 8,765
Exploratory orbital floor + allograft 6,728
Exploratory orbital floor + bone autograft - endo 8,510
Exploratory orbital floor + allograft - endo 6,711
Open reduction and internal fixation - mandible 2,744
Reconstruction - maxilla - = 4cm - autograft 5,872
Reconstruction - maxilla - > 4cm - autograft 7,372
Reconstruction - maxilla - free flap 15,454
Reconstruction - maxilla - = 4cm - allograft 6,552
Reconstruction - maxilla - > 4cm - allograft 7,702
Reconstruction - mandible = 4cm - autograft 5,629
Reconstruction - mandible > 4cm - autograft 7,387
Reconstruction - mandible - free flap 15,516
Reconstruction - mandible = 4cm - allograft 4,806
Reconstruction - mandible > 4cm - allograft 5,706
Distraction osteogenesis - alveolar bone 3,790
Osteotomy - midfacial - Le Fort 1- autograft 16,808
Osteotomy - midfacial - Le Fort 2 - autograft 19,557
Osteotomy - midfacial - Le Fort 3 - autograft
21,502
Distraction osteogenesis - midfacial bone 14,025
Osteotomy - midfacial bones - segmental 7,873
Osteotomy - midfacial - Le Fort 1 13,924
394
Osteotomy - midfacial - Le Fort 2 15,672
Osteotomy - midfacial - Le Fort 3
18,718
Distraction osteogenesis - mandible 14,026
Osteotomy - mandible - segmental 7,685
Osteotomy - mandible - genioplasty 6,000
Osteotomy - mandible - ramus 12,120
Osteotomy - mandible - body 11,870
Maxillectomy external + autograft 13,995
Maxillectomy, total + autograft 13,997
Maxillectomy external + orbital exenteration + reconstruction 31,785
Maxillectomy, external + orbital exenteration 22,003
Maxillectomy, total 12,040
Internal fixation panfacial - midfacial bones 12,489
Temporomandibular Joint (TMJ) - eminence augmentation 11,287
Temporomandibular Joint (TMJ) - condylotomy 6,822
Temporomandibular Joint (TMJ) - arch downfracture 6,822
Temporomandibular Joint (TMJ) - myotomy 6,822
Temporomandibular Joint (TMJ) - arthrocentesis 1,882
Temporomandibular Joint (TMJ) - discectomy with implant 6,822
Temporomandibular Joint (TMJ) - synovectomy 6,822
Temporomandibular Joint (TMJ) - discectomy 6,822
Temporomandibular Joint (TMJ) - arthroscopy - diagnostic - with biopsy
2,089
Temporomandibular Joint (TMJ) - arthroscopy - debridement 2,089
Temporomandibular Joint (TMJ) - non arthroscopy - therapy lavage +
lysis
2,089
Temporomandibular Joint (TMJ) - arthroscopy - therapy lavage + lysis
2,089
395
Temporomandibular Joint (TMJ) - arthroscopy - diagnostic-wtihout biopsy
2,089
Suture soft tissue orofacial - complicated 8,556
Temporomandibular Joint (TMJ) - arthroplasty - interposition autograft
8,449
Temporomandibular Joint (TMJ) - arthroplasty - interposition allograft
5,564
Temporomandibular Joint (TMJ) - disc repair 3,575
Temporomandibular Joint (TMJ) - arthroplasty - gap 4,075
Temporomandibular Joint (TMJ) - joint reconstruction - autograft 14,859
Temporomandibular Joint (TMJ) - joint reconstruction - allograft 12,075
Temporomandibular Joint (TMJ) - reduction - open 7,275
Temporomandibular Joint (TMJ) - capsular plication 6,698
Temporomandibular Joint (TMJ) - disc repositioning + stabilization
6,698
Reposition muscle attachment - oral 6,698
Temporomandibular Joint (TMJ) - condylectomy 6,698
Temporomandibular Joint (TMJ) - coronoidectomy 6,448
Temporomandibular Joint (TMJ) - eminectomy 6,698
Temporomandibular Joint (TMJ) - arthroscopy - synovectomy 2,339
Temporomandibular Joint (TMJ) - arthroscopy - discectomy 2,339
Revision suture - orofacial - complicated 5,365
Maxillectomy, partial - endoscopic 6,402
Trigeminal nerve repositioning 6,751
Implant maxillofacial surgery stage 1 - orbit - right 5,420
Implant maxillofacial surgery stage 1 - orbit - left 5,420
Implant maxillofacial surgery stage 1 - ext ear - right 5,406
Implant maxillofacial surgery stage 1 - ext ear - left 5,406
Implant maxillofacial surgery stage 1 - ext ear - bilateral 5,406
396
Implant maxillofacial surgery stage 1 - nose 5,407
Ablation lesion upper lip - cryosurgery 1,503
Ablation lesion upper lip - laser 1,648
Ablation lesion lower lip - cryosurgery 1,503
Ablation lesion lower lip - laser 1,648
Ablation hard palate lesion - cryosurgery 1,503
Ablation hard palate lesion - laser 1,648
Ablation lesion soft palate - cryosurgery 1,503
Ablation lesion soft palate - laser 1,648
Ablation buccal lesion - cryosurgery 1,503
Ablation buccal lesion - laser 1,648
Ablation lesion retromolar area - cryosurgery 1,503
Ablation lesion retromolar area - laser 1,648
Ablation lesion tongue - cryosurgery 1,503
Ablation lesion tongue - laser 1,648
Ablation lesion floor of mouth - cryosurgery 1,503
Ablation lesion floor of mouth - laser 1,648
Excision lesion upper lip - = 2cm with autograft 4,376
Excision lesion upper lip - = 2cm with allograft 2,410
Excision lesion upper lip - laser 1,664
Excision lesion upper lip - = 2cm 2,204
Excision lesion upper lip - > 2cm 3,577
Excision lesion lower lip - = 2cm with autograft 4,376
Excision lesion lower lip - = 2cm with allograft 2,410
Excision lesion lower lip - laser 2,962
Excision lesion lower lip - = 2cm 2,205
397
Excision lesion lower lip - > 2cm 3,827
Excision lesion hard palate - = 2cm with autograft 4,376
Excision lesion hard palate - = 2cm with allograft 2,410
Excision lesion hard palate - laser 2,961
Excision lesion hard palate - = 2cm 2,291
Excision lesion hard palate - > 2cm 3,668
Excision lesion soft palate - = 2cm with autograft 4,446
Excision lesion soft palate - = 2cm with allograft 2,479
Excision lesion soft palate - laser 3,712
Excision lesion soft palate - = 2cm 2,292
Excision lesion soft palate - > 2cm 3,933
Excision lesion buccal - = 2cm with autograft 4,460
Excision lesion buccal - = 2cm with allograft 2,479
Excision lesion buccal - laser 2,975
Excision lesion buccal - = 2cm 2,309
Excision lesion buccal - > 2cm 3,933
Excision lesion gingiva/alveolar + autograft = 2cm 2,815
Excision lesion gingiva/alveolar + allograft = 2cm 3,063
Operculectomy oral - laser 1,810
Excision lesion gingiva/alveolar - = 2cm 2,292
Glossectomy, partial - laser 2,962
Excision lesion tongue - = 2cm 2,296
Excision lesion tongue - > 2cm 3,933
Glossectomy, partial 2,304
Frenectomy - laser 1,310
Excision lesion floor of mouth = 2cm + autograft 4,475
398
Excision lesion floor of mouth = 2cm + allograft 2,260
Excision lesion floor of mouth - laser 2,010
Excision lesion floor of mouth - = 2cm 2,309
Excision lesion floor of mouth - > 2cm 3,931
Removal parotid duct calculus - open 2,041
Removal parotid duct calculus - closed 2,041
Removal submandibular duct calculus - open 1,941
Removal submandibular duct calculus - closed 1,841
Vestibuloplasty - gingiva/alveolar - autograft 4,132
Repair parotid duct 1,941
Repair submandibular duct 1,941
Reposition parotid duct 2,859
Reposition submandibular duct 2,859
Excision maxilla + reconstruction - bone autograft 5,036
Enucleation lesion maxilla - = 4cm + allograft 3,270
Excision maxilla + reconstruction - allograft 4,320
Enucleation lesion maxilla - = 4cm 3,370
Enucleation lesion maxilla - > 4cm 3,310
Excison lesion maxilla 3,371
Exc mandible + reconstruction - bone autograft 9,690
Enucleation mandible + allograft - = 4cm 3,622
Excision mandible + reconstruction - allograft 6,086
Enucleation lesion mandible - = 4cm 3,045
Enucleation lesion mandible - > 4cm 3,311
Mandibulectomy, marginal 3,048
Excision lesion mandible 3,031
399
Exploratory orbital floor 6,414
Exploratory orbital floor - endoscopic 4,024
Elevation maxillofacial - zygomatic arch 4,829
Closed reduction + fixation - midfacial bone 2,410
Closed reduction + fixation - mandible 2,410
Implant dental stage 1 surgery - maxilla 2,731
Implant dental stage 1 surgery - mandible 2,481
Implant maxillofacial surgery stage 1 - face 2,729
Excision lesion gingiva/alveolar - laser 2,729
Excision lesion tongue - laser 2,729
Gingivectomy - laser 1,615
Closure oro-antral fistula 2,549
Control of haemorrhage - post extraction 1,027
Removal impacted/unerupted tooth - complic 2,927
Removal displaced tooth/root 2,912
Transplantation tooth 2,912
Control of haemorrhage - lesion 2,403
Ablation lesion orofacial - cryosurgery 1,621
Ablation lesion orofacial - laser 1,866
Implant maxillofacial surgery stage 1 - midface 3,607
Trigeminal nerve cryotherapy 1,127
Marsupialisation upper lip 1,448
Marsupialisation lower lip 1,448
Marsupialisation hard palate soft tissue 1,448
Marsupialisation soft palate 1,448
Marsupialisation buccal soft tissue 1,448
400
Marsupialisation retromolar/palatoglossal arch 1,448
Marsupialisation tongue 1,462
Marsupialisation parotid duct 1,448
Marsupialisation submandibular duct 1,448
Marsupialisation floor of mouth 1,462
Operculectomy oral 1,448
Closure parotid gland fistula 2,212
Closure submandibular gland fistula 2,209
Marsupialisation bony maxilla 1,448
Marsupialisation bony mandible 1,448
Gingivectomy 1,559
Removal impacted/unerupted tooth - simple 1,427
Crown lengthening with ostectomy 1,442
Incision and drainage orofacial abscess 640
Examination/exploration - orofacial 1,605
Suture soft tissue orofacial - simple 1,328
Revision suture - orofacial - simple 1,332
Suture Removal (STO) extra - oral 574
Trigeminal nerve section 2,868
Biopsy - lymph node - open - facial 1,066
Biopsy - lymph node - tru - cut - facial 1,031
Biopsy - lymph node - tru - cut - neck - right 1,031
Biopsy - lymph node - tru - cut - neck - left 1,031
Implant maxillofacial surgery stage 2 - orbit - right 622
Implant maxillofacial surgery stage 2 - orbit - left 622
Implant maxillofacial surgery stage 2 - ext ear - right 622
401
Implant maxillofacial surgery stage 2 - ext ear - left 622
Implant maxillofacial surgery stage 2 - ext ear - bilateral 623
Implant maxillofacial surgery stage 2 - nose 623
Frenoplasty 1,410
Frenotomy 1,410
Biopsy - upper lip 1,033
Biopsy - lower lip 1,033
Biopsy - hard palate soft tissue 1,033
Biopsy - soft palate 1,033
Biopsy - buccal soft tissue 1,033
Biopsy - gingiva/alveolar soft tissue 1,033
Biopsy - retromolar/palatoglossal arch 1,033
Biopsy - tongue 1,033
Biopsy of lesion - parotid gland - tru - cut 1,033
Biopsy - floor of mouth 1,033
Ligation parotid duct 1,408
Ligation submandibular duct 1,408
Meatoplasty parotid duct 2,575
Meatoplasty submandibular duct orifice 2,575
Biopsy - maxilla 1,033
Implant dental stage 2 surgery - maxilla 603
Biopsy - mandible 1,033
Implant dental stage 2 surgery - mandible 603
Sequestrectomy - maxilla 1,016
Sequestrectomy - mandible 1,016
Removal dental implants - maxilla 1,641
402
Removal dental implants - mandible 1,641
Removal internal fixation - maxillofacial 1,641
Removal external fixation - maxillofacial 1,641
Removal maxillofacial implants 1,641
Implant maxillofacial surgery stage 2 - face
651
Alveolectomy/Alveoloplasty - mandible > 4cm 689
Alveolectomy/Alveoloplasty - mandible < 4cm 754
Alveolectomy/Alveoloplasty - maxilla > 4cm 689
Biopsy - lymph node - open - neck - left 1,066
Biopsy - lymph node - open - neck - right 1,066
Tooth hemisection 1,018
Apicectomy + R/G root filling - anterior tooth 1,858
Apicectomy + R/G root filling - posterior tooth 2,390
Apicectomy - anterior tooth 1,638
Apicectomy - posterior tooth 2,389
Removal tooth/root 754
Exposure tooth with placement attach 2,809
Exposure tooth without placement attach 1,339
Removal dental wires - upper arch 618
Removal dental wires - lower arch 618
Crown lengthening without ostectomy 737
Root resection 755
Debridement soft tissue orofacial 1,341
Implant maxillofacial surgery stage 2 - midface
604
Removal of foreign body - orofacial - simple 1,001
Removal of foreign body - orofacial - complicated 2,594
403
Fine needle aspiration cytology - orofacial 982
Injection medication - orofacial 1,949
Antral washout - Caldwell - Luc - right 1,949
Antral washout - Caldwell - Luc - left 1,949
Dilation parotid duct 1,427
Dilation submandibular duct 717
Temporary reduction + fixation - midfacial bone 737
Temporary reduction + fixation - mandible
732
Wiring dental upper arch 718
Wiring dental lower arch 718
Reimplantation tooth 2,199
Surgical reposition/stabilization of tooth 2,199
Non-surgical reposition/stabilization of tooth
1,302
Soft laser therapy - orofacial 402
Ultrasound therapy - oromaxillofacial 374
Excision of mucocoele 275
Localised periodontal flap - per tooth 300
Comprehensive treatment of early childhood caries
2,747
Inhalation sedation (nitrous oxide)
406
TRAUMATIC AND ORTHOPEDIC
Reattachment/revascularization of severed part(s)
7,505
Toilet and suture with reduction of major compound fractures and dislocations
2,421
Open reduction of dislocations - hip 4,523
404
Open reduction of dislocations - knee 3,328
Open reduction of dislocations - shoulder 3,328
Open reduction of dislocations - elbow 3,328
Open reduction of dislocations - ankle 3,328
Open reduction and internal of external fixation of major fractures
4,808
Crush injury with repair of tendon and/or nerve 5,156
Arthrotomies (for sepsis) - hip 2,823
Arthrotomies (for sepsis) - shoulder 2,243
Patallectomy 2,243
Arthrotomies (for sepsis) - knee 2,243
Arthrotomies (for sepsis) - elbow 2,243
Arthrotomies (for sepsis) - ankle 2,243
Closed reduction of spine 1,808
Closed reduction of femur 1,808
Closed reduction of tibia/fibula 1,808
Closed reduction of humerus 1,808
Closed reduction of radius and ulna 1,808
Crush soft tissue injures - exploration, toilet and suture for extensive or multiple soft tissue injuries
1,178
Closed reduction of shoulder 1,558
Closed reduction of elbow 1,558
Closed reduction of knee 1,558
Closed reduction of - hip 1,558
Closed reduction of ankle 1,558
Open reduction of metacarpophalangeal 2,338
Open reduction of inter-phalangeal 2,338
405
Open reduction of minor fractures with internal fixation
(e.g. malleonar, olecranon etc.)
2,588
Toilet and suture of finger involving tendon/nerve 3,313
Closed reduction and immobilization of - colles fracture 1,558
Closed reduction and immobilization of - fractures of the carpus, metacarpals, tarsus, metatarsals and phalanges
2,048
Closed reduction and immobilization of - dislocation of PIP,IP,DIP joints of fingers toes
1,873
Closed reduction and immobilization of - ankle fractures 1,808
Removal of foreign bodies (needles, splinters, etc.)
1,148
Amputation of fingers and toes 1,933
Closed reduction/immobilization of scapula/clavicle 1,503
Application of traction - skull traction 1,289
Application of traction - skin traction with Thomas Splint or Bohler
Braun frame
759
Application of traction - Steinmann pin insertion and traction 1,289
Removals of external fixators
1,199
Removals of external fixators : Kirschnir wires (k-wires)
1,024
Removals of external fixators : Steinmann pin 1,024
Removals of external fixators : Schantz screw etc.
1,024
Change of POP
714
Change of POP : POP slabs 710
Change of POP : u slabs 710
Change of POP : dorsal slabs 710
Change of POP : colles cast 710
Change of POP : above elbow cast 710
Change of POP : POP cylinder 710
Change of POP : POP boot 710
406
Change of POP : PTB cast 710
Change of POP : full length leg cast 715
Excision of bone tumour and reconstruction with free composite flap
(osteocutaneous or free fibular graft)
12,367
Composite tissue transfer e.g. free fibular or iliac crest graft 12,367
Amputations - forequarter, hindquarter 5,202
Total hip replacement - cemented or cementless 6,230
Revision total hip replacement 10,380
Total knee replacement, cemented or cementless 6,233
Revision total knee replacement 10,130
Spine - fusion and instrumentation 8,640
Spine - osteotomy, vertebrectomy 8,640
Spine - scoliosis with instrumentation 13,145
Amputation - above knee 4,511
Amputation - through knee 4,511
Amputation - below knee 4,511
Amputation - disarticulation of shoulder 3,016
Amputation - disarticulation of hip 4,511
Amputation - syme’s amputation 4,511
Amputation - mid - tarsal amputation 4,511
Excision of bone tumours and resection arthrodesis 6,730
Excision of myositis ossificans 2,842
Bone grafting 4,507
Deformities - correction of club foot complete soft tissue release including lengthening of tendons
4,105
Deformities - open reduction of congenital dislocation of hip 5,585
Arthrodesis - shoulder, hip, knee, ankle 4,647
407
Arthrodesis - triple arthrodesis 4,457
Tendon surgery - primary or secondary tendon suture 3,452
Tendon surgery - transplantation of tendon(s)
3,970
Transposition of peripheral nerves 2,670
Sequestrectemies 3,197
Tumour surgery - curretage of tumour and bone graft 2,842
Tumour surgery - excision biopsy of tumours 3,452
Osthotomies - neck of femur, supracondylav of femur upper tibia 4,511
Contracture release - hip 3,247
Contracture release - knee 3,247
Contracture release - neck (forticolis)
3,247
Correction of hallus varum/valgus deformities 3,627
Spine (cervical, thoracic or lumbar) - decompression 8,447
Spine (cervical, thoracic or lumbar) - laminectomy 7,887
Spine (cervical, thoracic or lumbar) - drainage of psoas abscess 3,249
Spine (cervical, thoracic or lumbar) - percutaneous discectomy 4,532
Spine (cervical, thoracic or lumbar) - exploration of spine with or without internal fixation
4,511
Shoulder - operation for recurrent dislocation 4,457
Hip - pelvic osteotomy/derotation osteotomy for congenital dislocation hip
7,657
Hip - hemiarthroplasty, unipolar/bipolar for fracture neck of femur
4,975
Knee - operative video arthroscopy 2,420
Knee - menisectomy 4,457
Foot - wedge tarsectomy 3,599
Release of finger contractures 3,534
Application/change of - plaster of paris casts 800
408
Application/change of - shoulder spica 800
Application/change of - hip spica 800
Application/change of - minerva jacket 800
Application/change of - scoliosis/localizer casts 800
Application/change of - spinal casts 800
Neutral position (manipulation and plaster of paris following osteotomies)
800
Bone biopsy or excision of any bone 3,202
Osteotomy - osteoclasis 3,478
Removal of metal work (implants)
3,637
Excision biopsy of ganglion 1,930
Excision biopsy of popliteal cyst 1,924
Excision small cysts/tumours 1,924
Release and/or synovectomy for trigger finger/wrist joint 2,648
Correction of club foot - lengthening of tendon archilles only 1,221
Proximal radius - ulna - excision of head of radius 1,952
Manipulation of joint under general anaesthesia 1,442
Tumour surgery - incisional/marginal biopsy 1,905
Tenotomies (closed)
1,267
Arthrodesis - wrist 3,717
Arthrodesis - toe 2,053
Arthrodesis - finger 2,188
Proximal radius - ulna 3,728
Carpal tunnel release 1,918
Wadge resection of toe/finger nails 1,123
Avulsion of finger or toe nails 1,123
Aspiration of joints - knee 908
409
Aspiration of joints - elbow 908
Aspiration of joints - ankle 908
Incision and drainage 908
Arthroscopic ligament reconstruction - anterior 5,566
Arthroscopic ligament reconstruction - posterior 5,566
Arthroscopic ligament reconstruction - revision 5,566
Spinal fusion - anterior - cervical region 8,640
Spinal fusion - anterior - thoracic 8,640
Spinal instrumentation - anterior - cervical 8,640
Spinal instrumentation - posterior - cervical 8,640
Spinal instrumentation - thorocoscopic 8,640
Spinal instrumentation - anterior - thoracic 8,640
Spinal instrumentation - posterior - thoracic 8,640
Spinal instrumentation - posterior - lumbar 8,640
Spinal instrumentation - anterior - lumbar 8,640
Reconstruction of bony defect using autograft 3,689
Reconstruction of bony defect using prosthesis 10,931
Reconstruction of bony defect using allograft 8,304
Internal fixation - femur - intramedulla 3,003
Internal fixation - tibia - intramedulla 3,003
Spinal instrumentation - anterior - scoliosis 8,640
Spinal fusion - anterior - > 5 levels 8,640
Stabilization - open - shoulder joint - right 3,090
Arthroscopic stabilization - shoulder joint 3,090
Stabilization - open - shoulder joint - left 3,090
Arthroscopic stabilization - shoulder joint 3,090
410
Replacement - thoracic intervertebral 7,690
Revision arthroplasty - shoulder joint-right 3,562
Revision arthroplasty - shoulder joint - left 3,562
Revision arthroplasty - elbow joint - right 3,562
Revision arthroplasty - elbow joint - left 3,562
Revision arthroplasty - wrist joint - right 3,562
Revision arthroplasty - wrist joint - left 3,562
Spinal fusion - anterior - lumbosacral right 8,640
Reconstruction - Anterior Cruciate Ligament (ACL) - open - knee joint
3,940
Reconstruction - Posterior Cruciate Ligament (PCL) - open - knee joint
3,940
Arthroplasty - ankle joint - left 3,562
Revision of joint replacement - hip joint 10,380
Resection of tumour - spine with replacement
6,730
Exploration of wound - upper extremity - right 1,200
Replantation - upper arm - right 7,505
Replantation - upper arm - left 7,505
Replantation - forearm - right 7,505
Replantation - forearm - left 7,505
Replantation - wrist - right 7,505
Replantation - wrist - left 7,505
Replantation - hand - right 7,505
Replantation - hand - left 7,505
Replantation - thumb - right 7,505
Replantation - thumb - left 7,505
Replantation - index finger - right 7,505
Replantation - index finger - left 7,505
411
Replantation - middle finger - right 7,505
Replantation - middle finger - left 7,505
Replantation - ring finger - right 7,505
Replantation - ring finger - left 7,505
Replantation - little finger - right 7,505
Replantation - little finger - left 7,505
Revision arthroplasty - hand region - right 3,562
Revision arthroplasty - hand region - left 3,562
Transposition - finger - right 3000
Transposition - finger - left 3000
Amputation - hemi pelvectomy (hindquater)
5,202
Arthrodesis - triple - foot - right 4,457
Arthrodesis - triple - foot - left 4,457
Reconstruction of bony defect using autograph 3,689
Reconstruction of bony defect using prosthesis 10,931
Reconstruction of bony defect using allograph 8,304
Reconstruction posterolateral complex 3,000
Exploration of wound - lower extremity - left 3,609
Exploration of wound - lower extremity - right 3,609
Arthroscopic tenotomy - biceps tendon - left 2,856
Arthroscopic tenotomy - biceps tendon - right 2,856
Peroneal tendoscopy - right 2,997
Peroneal tendoscopy - left 2,997
Arthroscopic repair - rotator cuff - right 1,986
Arthroscopic repair - rotator cuff - left 1,986
Reconstruction - achilles tendon (chronic)
1,845
412
Arthroscopic repair - rotator cuff - revision 3,361
Synovectomy - open - shoulder joint - right 2,648
Synovectomy - arthroscopic - shoulder joint 2,648
Synovectomy - open - shoulder joint - left 2,648
Synovectomy - arthroscopic - shoulder joint 2,648
Synovectomy - arthroscopic - elbow joint 2,648
Synovectomy - open - elbow joint 2,648
Synovectomy - arthroscopic - hip joint 2,648
Synovectomy - arthroscopic - knee joint 2,648
Synovectomy - arthroscopic - ankle joint 2,648
Ligament repair - elbow joint - right 2,811
Ligament repair - elbow joint - left 2,811
Ligament repair - wrist joint - right 2,811
Ligament repair - wrist joint - left 2,811
Ligament/capsule repair - hand - right 2,811
Ligament/capsule repair - hand - left 2,811
Ligament/capsule repair - upper extremities 2,811
Reconstruction ligament collateral - knee 2,416
Repair ligament - primary - knee joint 2,416
Reconstruction of ligament - ankle joint 2,416
Drainage of abscess of vertebra - cervic 3,855
Laminectomy - cervical 6,647
Laminectomy - thoracic 6,647
Biopsy of vertebra - thoracic region 2,282
Debridement - clavicle - right 5,960
Debridement - clavicle - left 5,960
413
Laminotomy - cervical 5,960
Laminotomy - thoracic 5,960
Corpectomy and fusion - cervical 7,500
Spinal fusion - posterior - cervical region 10,440
Corpectomy and fusion - thoracic 7,500
Spinal fusion - posterior - thoracic 8,640
Internal fixation of spine - odontoid sc 10,763
Laminoplasty - cervical 5,400
Laminoplasty - thoracic 5,400
Osteotomy - pelvic bone - right 7,907
Osteotomy - pelvic bone - left 7,907
Osteotomy - femur - right 5,007
Osteotomy - femur - left 5,007
Osteotomy - calcaneum - right 3,882
Osteotomy - calcaneum - left 3,882
Osteotomy - tibia - right 5,007
Osteotomy - tibia - left 5,007
Osteotomy - fibula - right 5,007
Osteotomy - fibula - left 5,007
Laminectomy - lumbar 6,647
Patellectomy - partial - right 3,670
Patellectomy - partial - left 3,670
Laminotomy - lumbar 5,960
Corpectomy and fusion - lumbar 7,500
Corpectomy and fusion - sacral 7,500
Foraminotomy 7,500
414
Laminoplasty - lumbar 5,400
Internal fixation - pelvic bone - right/left 4,808
External fixation of fracture - pelvic 4,808
Internal fixation - acetabulum - anterior 4,808
Internal fixation - acetabulum - posterior 4,808
Internal fixation - femur - proximal - right 4,808
Internal fixation - femur - proximal - left 4,808
Internal fixation - femur - shaft - right 4,808
External fixation of fracture - femur - right 4,808
Open reduction of fracture - femur - right 2,900
Internal fixation - femur - shaft - left 4,808
External fixation of fracture - femur - left 4,808
Open reduction of fracture - femur - left 2,900
Internal fixation - calcaneum - right 4,808
Internal fixation - femur - distal - left 4,808
Internal fixation - femur - distal - right 4,808
Internal fixation - patella - right 4,808
Internal fixation - calcaneum - left 4,808
Internal fixation - patella - left 4,808
Internal fixation - tibia - distal - right 4,808
Internal fixation - medial malleolus - right 4,808
Internal fixation - posterior malleolus 4,808
Internal fixation - tibia - shaft - right 4,808
External fixation of fracture - tibia - right 4,808
Open reduction of fracture - tibia - right 2,900
Internal fixation - tibia - proximal - left 4,808
415
Internal fixation - tibia - distal - left 4,808
Internal fixation - medial malleolus - left 4,808
Internal fixation - posterior malleolus 4,808
Internal fixation - tibia - shaft - left 4,808
External fixation of fracture - tibia - left 4,808
Open reduction of fracture - tibia - left 2,900
Internal fixation - lateral malleolus - right 4,808
Open reduction of fracture - fibula - right 2,900
Internal fixation - lateral malleolus - left 4,808
Open reduction of fracture - fibula - left 2,900
Internal fixation - talus - right 4,808
Internal fixation - talus - left 4,808
Spinal fusion - posterior -
(scoliosis)
8,640
Arthrodesis - shoulder joint - right 4,647
Arthrodesis - shoulder joint - left 4,647
Arthrodesis - elbow joint - right 4,647
Arthrodesis - elbow joint - left 4,647
Arthrodesis - wrist joint - right 3,717
Arthrodesis - wrist joint - left 3,717
Arthrotomy - shoulder joint - right 1,993
Arthroscopy diagnostic - shoulder joint 2,374
Arthrotomy - shoulder joint - left 1,993
Arthroscopy diagnostic - shoulder joint 2,374
Arthroscopy diagnostic - elbow joint - right 2,374
Arthroscopy diagnostic - elbow joint - left 2,374
Arthroscopy diagnostic - wrist joint - right 2,374
416
Arthroscopy diagnostic - wrist joint - left 2,374
Arthroplasty - shoulder joint - hemi 3,272
Arthroplasty - shoulder joint - total 3,272
Arthroplasty - finger/thumb phalangeal 1,957
Discectomy - cervical - open 14,787
Discectomy - cervical - percut 4,045
Discectomy - cervical - endoscopic 14,787
Microdiscectomy - cervical 14,787
Discectomy - thoracic - open 14,787
Discectomy - thoracic - percutaneous 5,100
Discectomy - thoracic - endoscopic 7,095
Removal of loose/foreign body - knee joint 1,148
Spinal fusion - posterolateral - 3 or 4 8,640
Spinal fusion - posterolateral - 1 or 2 8,640
Spinal fusion - posterior - lumbosacral 8,640
Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - right
5,178
Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - right
5,178
Internal fixation - Anterior Cruciate Ligament (ACL) avulsion - left
5,178
Internal fixation - Posterior Cruciate Ligament (PCL) avulsion - left
5,178
Resection of tumour - spine 6,730
Amputation - transfemoral (above knee)
4,511
Amputation - transtibial (below knee)
4,511
Amputation - syme - right 4,511
Amputation - syme - left 4,511
Arthrodesis + internal fixation - hip - right 4,647
Arthrodesis + internal fixation - hip - left 4,647
417
Arthrodesis + internal fixation - knee - right 4,647
Arthrodesis + external fixation - knee - right 4,647
Arthrodesis + internal fixation - knee - left 4,647
Arthrodesis + external fixation - knee - left 4,647
Arthrodesis + internal fixation - ankle - right 4,647
Arthrodesis + internal fixation - ankle - left 4,647
Arthrodesis + external fixation - ankle - left 4,647
Arthrodesis - tarsometatarsal - right 4,457
Arthrodesis - tarsometatarsal - left 4,457
Arthrodesis - tarsotarsal - right 4,457
Arthrodesis - tarsotarsal - left 4,457
Arthroscopy diagnostic - hip - right 2,374
Arthroscopy diagnostic - hip - left 2,374
Arthroscopy diagnostic - knee - right 2,374
Arthroscopy diagnostic - knee - left 2,374
Arthroscopy diagnostic - ankle - right 2,374
Arthroscopy diagnostic - ankle - left 2,374
Discectomy - lumbar - percutaneous 4,532
Revision of replacement - hip - total - right 10,380
Revision of replacement - hip - hemi - left 10,380
Revision of replacement - hip - total - left 10,380
Revision of replacement - knee - total - right 10,130
Revision of replacement - knee - unicompartment - right 10,130
Revision of replacement - knee - total - left 10,130
Revision of replacement - knee - unicompartment - left 10,130
Reconstruction of ligament - elbow joint 2,416
418
Repair ligament - ankle joint - right 2,416
Repair ligament - ankle joint - left 2,416
Repair ligament - foot - right 2,416
Repair ligament - foot - left 2,416
Biopsy of vertebra - cervical region 2,282
Debridement - cervical vertebra 2,095
Biopsy of vertebra - thoracic region 2,282
Internal fixation - scapula - right 2,318
Internal fixation - scapula - left 3,003
Internal fixation - clavicle - right 4,118
Internal fixation - clavicle - left 4,118
Internal fixation - humerus - proximal 3,003
Internal fixation - humerus - distal - right 3,003
Internal fixation - humerus - right 3,003
External fixation - humerus - right 4,808
Internal fixation - humerus - interlocking - right 3,003
Internal fixation - humerus - proximal 3,003
Internal fixation - humerus - distal - left 3,003
Internal fixation - humerus - left 3,003
External fixation - humerus - left 4,808
Internal fixation - humerus - interlocking - left 3,003
Internal fixation - radial head or neck 3,003
Internal fixation - radius - distal - right 3,003
Internal fixation - radius - right 3,003
External fixation - radius - distal - right 4,808
External fixation - radius - right 4,808
419
Internal fixation - radial head or neck 4,808
Internal fixation - radius - left 4,808
External fixation - radius - distal - left 4,808
External fixation - radius - left 4,808
Internal fixation - olecranon - right 2,588
Internal fixation - ulna - distal - right 4,808
Internal fixation - ulna - right 4,808
External fixation - ulna - right 4,808
Internal fixation - olecranon - left 2,588
Internal fixation - ulna - distal - left 4,808
Internal fixation - ulna - left 4,808
External fixation - ulna - left 4,808
Internal fixation - carpus - other - right 1,998
Internal fixation - carpus - other - left 1,998
Internal fixation - metacarpal - right 1,998
External fixation - metacarpal - right 3,313
Internal fixation - metacarpal - left 1,998
External fixation - metacarpal - left 3,313
Internal fixation - thumb phalanx - right 1,998
Internal fixation - thumb phalanx - left 1,998
Internal fixation - finger phalanx - right 1,998
Internal fixation - scaphoid - right 3,003
Internal fixation - finger phalanx - left 1,998
Internal fixation - scaphoid - left 3,003
Biopsy of vertebra - lumbar region - open 2,282
Debridement - lumbosacral vertebra 2,095
420
Biopsy of vertebra - lumbar region - percutaneous 2,282
Biopsy of vertebra - sacral region - open 2,282
Biopsy of vertebra - coccygeal region 2,282
Internal fixation - other tarsal bones - right 1,998
Internal fixation - other tarsal bones - left 1,998
Internal fixation - metatarsal - right 1,998
Internal fixation - metatarsal - left 1,998
Internal fixation - toe phalanx - right 1,998
Internal fixation - toe phalanx - left 1,998
Arthrotomy - wrist joint - right 2,273
Arthrotomy - wrist joint - left 2,273
Biopsy - open - shoulder joint - right 2,282
Biopsy - open - shoulder joint - left 2,282
Biopsy - open - elbow joint - right 2,282
Biopsy - open - elbow joint - left 2,282
Biopsy - open - wrist joint - right 2,282
Biopsy - open - wrist joint - left 2,282
Arthrodesis - metacarpophalangeal joint 2,188
Arthrodesis - finger/thumb phalangeal 2,188
Arthrodesis - intercarpal joint - right 2,188
Arthrodesis - finger/thumb phalangeal 2,188
Arthrodesis - intercarpal joint - left 2,188
Arthrotomy - elbow joint - right 2,273
Arthrotomy - elbow joint - left 2,273
Arthrotomy - metacarpophalangeal joint 2,273
Arthrotomy - finger/thumb phalangeal joint 2,273
421
Biopsy open - hip joint - right 2,282
Biopsy open - hip joint - left 2,282
Biopsy open - knee joint - right 2,282
Biopsy open - knee joint - left 2,282
Biopsy open - ankle joint - right 2,282
Biopsy open - ankle joint - left 2,282
Exploration of wound - upper extremity - left 1,200
Open reduction of fracture - metacarpus - right 2,338
Open reduction of fracture - metacarpus - left 2,338
Open reduction of fracture - thumb phalanges - right 2,338
Open reduction of fracture - thumb phalanges - left 2,338
Open reduction of fracture - finger phalanges - right 2,338
Open reduction of fracture - finger phalanges - left 2,338
Disarticulation - shoulder joint - right 3,896
Disarticulation - shoulder joint - left 3,896
Disarticulation - elbow - right 3,864
Disarticulation - elbow - left 3,864
Disarticulation - wrist joint - right 3,864
Disarticulation - wrist joint - left 3,864
Disarticulation - metacarpophalangeal joint - right 2,022
Disarticulation - metacarpophalangeal joint - left 2,022
Disarticulation - finger/thumb phalang - right 2,092
Disarticulation - finger/thumb phalang - left 2,092
Excision arthroplasty - wrist joint - right 2,437
Excision arthroplasty - wrist joint - left 2,437
Excision arthroplasty - metacarpophalang - right 2,437
422
Excision arthroplasty - metacarpophalang - left 2,437
Excision arthroplasty - finger/thumb - right 2,437
Excision arthroplasty - finger/thumb - left 2,437
Arthroplasty - shoulder - total - right 2,437
Arthroplasty - shoulder - hemi - left 2,437
Arthroplasty - elbow - right 2,437
Arthroplasty - elbow - left 2,437
Arthroplasty - wrist - right 2,437
Arthroplasty - wrist - left 2,437
Arthroplasty - finger/thumb phalangeal - right 2,437
Excision arthroplasty hip jt (girdleston)
437
Amputation - transmetacarpal - left 1,933
Amputation - thumb - phalanx proximal 1,933
Amputation - thumb - phalanx distal - right 1,933
Amputation - thumb - phalanx distal - left 1,933
Amputation - index finger - phalanx proximal 1,933
Amputation - index finger - phalanx middle 1,933
Amputation - index finger - phalanx distal 1,933
Amputation - middle finger - phalanx proximal 1,933
Amputation - middle finger - phalanx mid 1,933
Amputation - middle finger - phalanx distal 1,933
Amputation - ring finger - phalanx proximal 1,933
Amputation - ring finger - phalanx middle 1,933
Amputation - ring finger - phalanx distal 1,933
Amputation - little finger - phalanx proximal 1,933
Amputation - little finger - phalanx middle 1,933
423
Amputation - little finger - phalanx distal 1,933
Amputation - transmetatarsal - right 1,933
Amputation - transmetatarsal - left 1,933
Amputation - metatarsal 1st (ray) - right 1,933
Amputation - toe - 1st - right 1,933
Amputation - metatarsal 1st (ray) - left 1,933
Amputation - toe - 1st - left 1,933
Amputation - metatarsal 2nd (ray) - right 1,933
Amputation - toe - 2nd - right 1,933
Amputation - metatarsal 2nd (ray) - left 1,933
Amputation - toe - 2nd - left 1,933
Amputation - metatarsal 3rd (ray) - right 1,933
Amputation - toe - 3rd - right 1,933
Amputation - metatarsal 3rd (ray) - left 1,933
Amputation - toe - 3rd - left 1,933
Amputation - metatarsal 4th (ray) - right 1,933
Amputation - toe - 4th - right 1,933
Amputation - metatarsal 4th (ray) - left 1,933
Amputation - toe - 4th - left 1,933
Amputation - metatarsal 5th (ray) - right 1,933
Amputation - toe - 5th - right 1,933
Amputation - metatarsal 5th (ray) - left 1,933
Amputation - toe - 5th - left 1,933
Open reduction of fracture - scaphoid - left 2,338
Arthroplasty - hip - hemiarthroplasty - right 2,437
Arthroplasty - hip - total - right 2,437
424
Arthroplasty - hip - hemiarthroplasty - left 2,437
Arthroplasty - hip - total - left 2,437
Arthroplasty - knee - total - right 2,437
Arthroplasty - knee - unicompartment - right 2,437
Arthroplasty - knee - total - left 2,437
Arthroplasty - knee - unicompartment - left 2,437
Arthroplasty - ankle - right 2,437
Open reduction of fracture - scaphoid - right 2,338
Removal - prosthesis - shoulder - right 1,148
Removal - foreign/loose body - shoulder 1,148
Removal - prosthesis - shoulder - left 1,148
Removal - foreign/loose body - shoulder 1,148
Removal - prosthesis - elbow - right 1,148
Removal - foreign/loose body - elbow joint 1,148
Removal - prosthesis - elbow - left 1,148
Removal - prosthesis - wrist - right 1,148
Removal - foreign/loose body - wrist joint - right 1,148
Removal - prosthesis - wrist - left 1,148
Removal - foreign/loose body - wrist joint - left 1,148
Removal - prosthesis - finger - right 1,148
Removal - prosthesis - finger - left 1,148
Removal of loose/foreign body - hip joint - left 1,148
Removal of loose/foreign body - knee joint - right 1,148
Removal of loose/foreign body - ankle joint - right 1,148
Removal - implants - upper extremity 3,637
Removal - foreign body - upper extremity 1,148
425
Removal - foreign body - lower extremity 1,148
Removal - implants - upper extremity 3,637
Removal - foreign body - upper extremity 1,148
Removal - implants - hand/finger region 3,637
Removal - implants - hand/finger region 3,637
Removal - implants - foot/toe region 3,637
Aspiration - acromionclavicular joint - left 908
Aspiration - acromionclavicular joint - right 908
Aspiration - shoulder joint - right 908
Aspiration - shoulder joint - left 908
Aspiration - elbow joint - right 908
Aspiration - elbow joint - left 908
Aspiration - wrist joint - right 908
Aspiration - wrist joint - left 908
Manipulation under anaesthesia - shoulder 1,442
Manipulation under anaesthesia - elbow joint 1,442
Manipulation under anaesthesia - wrist joint 1,442
Aspiration - sacroiliac - right 908
Aspiration - sacroiliac - left 908
Aspiration - hip - right 908
Aspiration - hip - left 908
Aspiration - knee - right 908
Aspiration - knee - left 908
Aspiration - ankle - right 908
Aspiration - ankle - left 908
Aspiration - upper extremity - other - left 908
426
Aspiration - upper extremity - other - right 908
Aspiration - lower extremity - other - left 908
Aspiration - lower extremity - other - right 908
Laparoscopy - diagnostic 2,136
Manipulation under anaesthesia - hip - right 1,442
Manipulation under anaesthesia - hip - left 1,442
Manipulation under anaesthesia - knee - right 1,442
Manipulation under anaesthesia - knee - left 1,442
Manipulation under anaesthesia - ankle - right 1,442
Manipulation under anaesthesia - ankle - left 1,442
Free tissue transfer 12,367
Replantation 7,505
Revascularisations 7,505
Arthrodesis - more than one joint 4,457
Bone graft 3,689
Open reduction/internal fixation 4,808
External fixation 4,808
Excision of benign bony tumours 3,452
Amputation (hand, ray, multiple digits)
1,933
Ligament repairs 2,811
Arthrodesis - one joint 3,056
Bone - close reduction/splinting 1,503
Removal of foreign body 1,148
Removel of internal fixators 1,199
Amputation of single digit 1,933
Aspiration 908
427
Incision and drainage 908
Removal of external fixator 1,199
NEUROSURGERY
Craniotomy - supratentorial tumour removal (total)
12,797
Craniotomy - supratentorial tumour (debulking)
12,797
Craniotomy - pituitary tumour 12,797
Craniotomy - cerebral aneursym, clipping 12,797
Craniotomy - arteriovascular malformation, excision 12,797
Craniotomy - carotid cavernous fistula 12,297
Suboccipital craniectomy - total tumour removal 12,797
Suboccipital craniectomy - partial resection 12,797
Laminectomy - tumour removal 9,036
Laminectomy - disc removal 12,306
Nerve anastomosis 5,227
Orbital tumours - transcranial/lateral approach 12,797
Repair of nasal encephalocoele 12,797
Decompressive brain resection 12,797
Microvascular decompression 12,797
Cordotomy 7,121
Anterior cervical/thoracic/lumbar fusion 12,306
Transphenoidal pituitary surgery 12,297
Craniofacial deformities - corrective surgery 12,797
Hemispherectomy 12,297
Axial - occipitial fusion or atlanto - occipital fusion 11,756
428
Craniotomy - extradural haematoma 6,611
Craniotomy - subdural haematoma 6,611
Craniotomy - intracerebral haematoma 12,297
Craniotomy - excision abscess 8,822
Craniotomy - removal of foreign body 8,322
Craniotomy - cyst decompression 5,292
Craniotomy - tumour biopsy 8,322
Craniotomy - dural leak repair 6,344
Craniotomy - aneurysm : wrapping of aneurysm 12,797
Suboccipital craniectomy - biopsy 10,432
Suboccipital craniectomy - decompression 8,822
Repair of meningomyelocele 6,361
Laminectomy - biopsy 8,036
Laminectomy - decompression 8,036
Excision of skull bones tumours 4,172
Excision of scalp vascular malformations 6,797
Retrogasserian rhizotomy 2,816
Exploration of brachial plexus 3,018
Major repair of scalp, skull, dura and brain following trauma 12,797
Carotid endaeterectomy and/or arterial graft 9,198
Thalamotomy or papillidotomy 12,297
Wound debridement of compound fractures 2,602
Elevation of depressed fracture skull 3,650
Carotid artery ligation 3,787
Ventriculo - peritoneal shunt 3,554
Ventriculo - artial shunt 9,943
429
Lumboperitoneal shunt 3,429
Reservoir insertion - ventricular/spinal 3,429
Peripheral nerve decompression 2,082
Burr hole tapping - brain abscess 3,551
Burr hole tapping - brain haematoma 3,878
Repair of skull defect 5,418
Burr hole drainage - chronis subdural 4,918
Scalp wound debridement 1,573
Burr hole for intra - cranial pressure monitoring 2,685
Exfloration, repair or stripping of peripheral nerves 2,002
Subtemporal decompression 8,293
Section of transverse carpal arctarsal ligaments 1,696
Shunt removal 2,414
External ventricular drainage 2,479
Peripheral nerve blocks 2,039
Ventriculography 3,024
Skull traction 1,429
CARDIOSURGERY
Close heart surgery - ligation of persistent ductus arteriosus 10,653
Close heart surgery - aorta - pulmonary shunts (blalock - taussig shunt or equivalent)
13,765
Close heart surgery - pulmonary artery banding 10,653
Close heart surgery - pulmonary valvotomy/valvectomy 14,075
Close heart surgery - repair of coarctation of the aorta 21,665
Close heart surgery - pericardiectomy 8,963
430
Close heart surgery - open pericardial drainage 7,135
Close heart surgery - pericardial biopsy 6,290
Close heart surgery - closed mitral valvotomy 19,400
Close heart surgery - repair of cardiac trauma not requiring pulmonary bypass
7,395
Close heart surgery - glenn shunt or equivalent 13,605
Close heart surgery - ligation of major aorto-pulmonary collateral arteries
9,383
Insertion of pacemaker unit and endocardial or epicardial lead 16,760
Replacement of pacemaker unit and/or lead 6,260
Coronary artery bypass surgery with or without excision of left ventricular aneurysm or repair of post - infarction ventricular septal defect or mitral incompetence
18,658
Single valve replacement or repair (inclusive of fee of prosthesis)
23,278
Open mitral valvotomy 23,278
Multiple valve replacement 24,008
Repair of total anomalous pulmonary venous connections 17,998
Repair of cortriatrium 13,800
Mitral valvuloplasty/valvotomy 19,660
Aortic valvuloplasty/valvotomy 19,060
Relief of infravalcular aortic stenosis 19,060
Repair of total atrio - ventricular canal defect 16,543
Double aortic arch repair/suspension of aortic arch 17,643
Closure of ASD
16,268
Closure of VSD
16,918
Right ventricular outflow tract reconstruction 16,918
Pulmonary arterioplasty including pulmonary artery debanding 16,268
Conduit interposition (with or without valve)
16,268
431
Surgery for transposition of great arteries - atrial switch 18,008
Surgery for transposition of great arteries - atrial switch 18,008
Fontan operation/modified fontan or equivalent 17,758
Septation of common atrium 16,258
Other surgical procedures performed under pulmonary bypass
(exclusive of fee of prosthesis)
17,768
Aortic/peripheral vascular aneurysm repair and others 18,518
Insertion and/or removal of intraaortic balloon (inclusive of fee of balloon)
4,085
Vascular endarterectomy 7,463
Vascular graft 7,863
Replacement of pacemaker wire (epicardial)
6,000
Adjustment of endocardial lead 6,000
Insertion of epicardial lead 6,000
Open lung biopsy 8,780
Pleurodesis/pleurectomy 7,715
Decortication 8,610
Bronchoscopy 4,533
Mediastinoscopy 4,533
Thoracoscopy 3,933
Correction of chest wall deformities 8,860
Excision of intrathoracic and mediastinal tumours 9,903
Chest wall resection (excision of rib sterna tumours)
8,695
Exploratory thoracotomy 6,550
Diagnostic thoracotomy 6,550
Tracheal resection/repair 10,643
Scalene node biopsy 5,379
432
Tracheal dilatation 5,379
Pericardial window 9,243
Thymectomy 5,528
Repair of congenital hernias 7,308
Repair of ruptured diaphragm 8,340
Anti - reflux procedures 8,340
Sternal resuturing/rewiring 5,768
Exploration of bleeding 5,768
Vascular embolectomy 5,768
Adjustment of pacemaker wire (transvenous)
6,000
Replacement of pacemaker wire (endocardial)
6,000
PLASTIC AND RECONSTRUCTIVE SURGERY
Free vascularised tissue transfer with micro surgical vascular and/or neuro anastomosis of soft and/or bony tissue
15,225
Loss of lid or lids with reconstruction 1,500
Epicanthus correction 2,367
Telecanthus correction 4,123
Repair of lachrymal duct 1,500
Dacryo cysto rhinostomy 4,222
Repair of ear injury (very severe)
1,847
Correction of other ear deformities (severe)
2,965
Excision of lesion with reconstruction (very severe)
7,412
Reduction rhinoplasty 5,662
Augmentation rhinoplasty (with silicone or bone or cartilage)
3,477
Lip - excision of lesion with reconstruction (very severe)
1,500
433
Repair of clefts - facial clefts (severe)
1,500
Tongue flaps 1,500
Tenolysis and tenodesis (severe)
2,547
Pollicisation 5,052
Reconstruction of hypospadias (severe)
6,420
Reconstruction of epispadias 4,130
Fistula repair (severe)
2,432
Bladder reconstruction 9,025
Radical vulvectomy 3,256
Scar revision (very severe)
3,352
Reconstructive surgery of haemangioma (very severe)
10,212
Reconstructive surgery of lymphangioma (severe)
10,212
Reconstructive surgery of arteriovenous (AV) lymphohaemangioma
(severe)
10,212
Reconstructive surgery of arteriovenous (AV) malformation (severe)
8,310
Reconstructive surgery of arteriovenous (AV) fistula (severe)
8,860
Repair of lid injury (severe)
900
Lid resection for tumour with/without reconstruction 1,587
Exenteration of orbit 5,622
Epicanthus or telecanthus correction (moderate)
4,372
Blepharoplasty 3,277
Oriental eyelid correction 2,012
Catholasty 932
Tarsorrhaphy (severe)
1,722
Repair of ear injury (severe)
4,552
Excision of lesion and reconstruction (severe)
1,130
434
Bat ears correction 6,662
Correction of other ear deformities (moderate)
4,552
Cleft lip (unilateral)
3,527
Cleft lip (bilateral)
5,662
Cleft palate 3,202
Cranio - facial surgery e.g. correction nasal encephalocoele, treacher collins aperts, cruzon or anopthalmia
11,117
Head and neck malignancy with excision, immediate reconstruction and with or without radical neck dissection
3,000
Severe facial trauma needing major reconstruction 3,944
Partial glossectomy with radical block dissection of the neck 3,000
Total glossectomy with/without neck dissection 3,000
Malignant intraoral lesions with reconstruction 3,000
Reconstruction of facial fractures (very severe)
3,769
Reduction of fibrous dysplasia 3,000
Total and sub-total reconstructive rhinoplasty 1,500
Reconstruction for microtia (absent ear or presence of part of the ear)
1,500
Reconstruction for cranio - facial cleft (tessier cleft)
1,500
Tissue expansion 1,500
Scalp - excision of benign or malignant lesions with flap reconstruction
2,457
Coloboma correction (severe)
1,500
Correction of other ear deforminities (severe)
3,901
Burns - primary treatment (very severe)
3,641
Burns - treatment of sequelae (very severe) e.g. release of contractures and joints
2,645
Breast - augmentation (with prosthesis)
2,923
Breast - reduction 1,582
435
Breast - ptosis correction 1,500
Myo and osteo myo cutaneous flaps 6,901
Rib graft removal 1,500
Hand reconstruction with soft and/or bony injuries (very severe)
1,500
Repair of syndactyly - congenital or acquired (severe)
1,500
Reconstruction surgery of naevi, including congenital or giant hairy naevus (very severe)
2,407
Reconstructive surgery of malignant melanoma (severe)
1,500
Reconstructive surgery of squamous cell carcinoma (very severe)
1,500
Reconstructive surgery of basal cell carcinoma (very severe)
1,500
Reconstructive surgery of neurofibromatosis (very severe)
1,500
Rhytidectomy 1,500
Abdominoplasty 1,500
Dermo - lipectomy 1,500
Tatoo removal (very severe)
1,500
Keloids - excision injection or compression (very severe)
1,500
Scalp - burns with flap closure 984
Scalp - burns with skin grafts 800
Coloboma correction (moderate)
800
Nose - excision of lesion with reconstruction (severe)
800
Lip - excision of lesion with reconstruction (severe)
3,147
Mouth - commissure reconstruction 800
Mouth - leukoplakia excision and grafting (severe)
800
Facial clefts (moderate)
800
Pharyngoplasty 1,231
Facial sling 800
436
Facial nerve repair 800
Burn - primary treatment 2,508
Burn - treatment of sequelae e.g. release of contractures and joints
(severe)
2,423
Nipple reconstruction 1,601
Reconstruction of hypospadias (moderate)
3,485
Urogenital - excision of stricture 800
Urogenital - fistula repair (moderate)
2,055
Split skin grafts (moderate)
2,992
Full thickness grafts (moderate)
3,052
Vagina reconstruction 5,205
Nose - excision of lesion without reconstruction 1,255
Lip - excision of lesion with primary closure (mild)
320
Reconstruction of facial injury - soft tissue (mild)
320
Mouth - node biopsy 320
Burn - primary treatment (mild)
2,187
Reconstruction surgery of epidermal naevus (mild)
2,165
Reconstructive surgery of sebaceous cyst 2,165
Reconstructive surgery of naevi including congenital or giant hairy naevi
(mild)
2,165
Scar revision (mild)
2,165
Tatoo removal (mild)
650
Keloids - excision, injection or compression (mild)
323
Reconstructive surgery of haemangioma (mild)
6,030
Secondary suturing (moderate)
985
Secondary suturing (mild)
950
Skin biopsy 350
437
Toilet and suture of drainage of superficial wounds 350
Incision and drainage of abscess 896
Excision of slough (at first episode)
282
438
SEVENTH SCHEDULE
[Paragraph 11]
MISCELLANEOUS FEE
IMMUNISATION
Yellow fever 300
Typhoid 80
Other form of immunisation 40
AMBULANCE, HEARSE AND STANDBY MEDICAL TEAM
Ambulance 1.40 for each km
Hearse
Less than 30 km 40 30 km to 800 km 1.40 for each km
More than 800 km 1,200
Standby medical team (excluding medical officer)
First day 400
Every subsequent day 250
439
MEDICAL EXAMINATION AND MEDICAL BOARD
Medical examination including x-ray 300
Examination for Medical Board 600
WRITTEN MEDICAL OPINION OR REPORT
Brief report/opinion prepared by medical officer 120
Brief report/opinion prepared by specialist 240
Comprehensive opinion prepared by specialist 400 to 2,000
depending on the complexity of the opinion
Made 27 December 2014
[KK(S)-280(32/41); PN(PU2)86/XVII]
By Command,
DATUK SERI DR. S. SUBRAMANIAM
Minister of Health
(To be laid before Dewan Rakyat pursuant to section 4 of the Fees Act 1951)
Common questions
- What is PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014?
- PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is Malaysia P.U. (A), cited as P.U. (A) 363 2014, currently marked in force and first recorded in 2014.
- Is PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 still in force?
- Yes — PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is currently in force.
- When did PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 take effect?
- PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 was first recorded in 2014.
- How many sections does PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 have?
- PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 contains 16 sections.
- Where can I read the official version of PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014?
- The official text of PERINTAH FI(PERUBATAN)(KOS PERKHIDMATAN) 2014 is published at lom.agc.gov.my.