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16 Disember 2013 16 December 2013
P.U. (A) 358
WARTA KERAJAAN PERSEKUTUAN
FEDERAL GOVERNMENT GAZETTE
PERINTAH KEMUDAHAN DAN PERKHIDMATAN JAGAAN KESIHATAN SWASTA (HOSPITAL SWASTA
DAN KEMUDAHAN JAGAAN KESIHATAN SWASTA LAIN) (PINDAAN) 2013
PRIVATE HEALTHCARE FACILITIES AND SERVICES (PRIVATE HOSPITALS AND OTHER PRIVATE
HEALTHCARE FACILITIES) (AMENDMENT) ORDER 2013
DISIARKAN OLEH/ PUBLISHED BY
JABATAN PEGUAM NEGARA/ ATTORNEY GENERAL’S CHAMBERS
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AKTA KEMUDAHAN DAN PERKHIDMATAN JAGAAN KESIHATAN SWASTA 1998
PERINTAH KEMUDAHAN DAN PERKHIDMATAN JAGAAN KESIHATAN SWASTA (HOSPITAL SWASTA DAN KEMUDAHAN JAGAAN KESIHATAN SWASTA LAIN)
(PINDAAN) 2013
PADA menjalankan kuasa yang diberikan oleh subseksyen 106(2) Akta Kemudahan dan
Perkhidmatan Jagaan Kesihatan Swasta 1998 [Akta 586], Menteri membuat perintah
yang berikut:
Nama
1. Perintah ini bolehlah dinamakan Perintah Kemudahan dan Perkhidmatan
Jagaan Kesihatan Swasta (Hospital Swasta dan Kemudahan Jagaan Kesihatan
Swasta Lain) (Pindaan) 2013.
Pindaan Jadual Ketiga Belas
2. Peraturan-Peraturan Kemudahan dan Perkhidmatan Jagaan Kesihatan Swasta
(Hospital Swasta dan Kemudahan Jagaan Kesihatan Swasta Lain) 2006
[P.U. (A) 138/2006], dipinda dengan menggantikan Jadual Ketiga Belas dengan jadual
yang berikut:
“JADUAL KETIGA BELAS
[Peraturan 433]
JADUAL FI - FI PROFESIONAL
BAHAGIAN A - FI PERUBATAN
Catatan:
1. Dalam catatan ini:
"di luar jam" ertinya suatu tempoh antara 6 petang dalam satu hari dan 8 pagi hari
yang berikutnya pada hari-hari biasa, dan sepanjang hari pada hujung minggu dan
cuti awam;
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"kecemasan" ertinya suatu keadaan serius yang dikatakan wujud apabila kelewatan
dalam rawatan boleh menambah ancaman kepada nyawa atau bahagian badan;
"pakar bedah" merujuk kepada semua kategori pakar dan boleh termasuk pakar
anestesia;
"fi pakar anestesia" merujuk kepada fi yang dikenakan untuk induksi,
penyelenggaraan, pembalikan anestesia dan aktiviti pemantauan standard. Fi ini
hanya terpakai untuk anestesia am atau anestesia serantau.
2. Semua fi di dalam Jadual ini adalah fi maksimum yang boleh dikenakan dan ia terpakai
bagi apa-apa bentuk pembayaran.
3. Suatu fi tambahan yang tidak melebihi 50% daripada fi maksimum boleh dikenakan
oleh kedua-dua pakar bedah dan pakar anestesia bagi tatacara kecemasan yang
dilakukan di luar jam, yang hendaklah tidak termasuk tatacara elektif.
4. Bagi lawatan wad, termasuk lawatan selepas pembedahan dan penjagaan, fi
perundingan yang boleh dikenakan adalah bagi maksimum dua lawatan pada hari
yang sama, tanpa mengira jumlah sebenar lawatan yang dibuat, kecuali dalam hal
apabila lawatan tambahan adalah atas permintaan pesakit atau apabila keadaan
pesakit didapati memerlukan lawatan tambahan.
5. Fi bagi jagaan anestesia yang dipantau menjadi 80% daripada fi anestesia untuk
tatacara itu.
6. Apabila dua atau lebih tatacara yang dilakukan melalui insisi dan masa yang sama, fi
yang boleh dikenakan oleh kedua-dua pakar bedah dan pakar anestesia bagi selain
tatacara yang dimaksudkan, hendaklah tidak melebihi 50% daripada tatacara itu.
7. Apabila dua atau lebih tatacara dilakukan melalui insisi berasingan pada masa yang
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sama, fi bagi kedua-dua pakar bedah dan pakar anestesia hendaklah tidak melebihi
75% daripada fi profesional masing-masing yang ditetapkan bagi tatacara itu.
Peraturan ini tidak terpakai bagi insisi pelbagai yang dibuat untuk mewujudkan port
akses pelbagai dalam mana-mana tatacara endoskopi dan laparoskopi.
8. Dalam pembedahan yang melibatkan aras anatomi berbilang, fi yang boleh dikenakan
bagi tatacara itu adalah 100% bagi aras pertama dan tidak boleh melebihi 50%
daripada fi maksimum yang boleh dikenakan untuk aras berikutnya.
9. Apabila satu atau lebih tatacara yang dilakukan sama ada melalui insisi sama atau
berbeza, elektif atau kecemasan dan menghendaki khidmat beberapa pakar bedah
dengan kepakaran yang berbeza melakukan bersama-sama demi kepentingan
keselamatan pesakit, kecekapan operatif atau kualiti penjagaan, fi yang boleh
dikenakan oleh pakar bedah ini selain pakar bedah utama tidak boleh melebihi 75%
daripada fi maksimum yang dikenakan.
10. Apabila tatacara yang bersifat sangat kompleks menghendaki khidmat seorang pakar
bedah kedua dengan kepakaran yang sama, melakukan bersama-sama demi
kepentingan keselamatan pesakit, kecekapan operatif atau kualiti penjagaan, jumlah fi
yang boleh dikenakan oleh pakar bedah kedua hendaklah tidak melebihi 50%
daripada jumlah fi yang boleh dikenakan oleh pakar bedah pertama (utama) bagi
tatacara yang dilakukannya.
11. Dalam hal apabila fi tertentu bagi tatacara laparoskopi atau endoskopik tidak
dinyatakan dalam Jadual, fi tambahan tidak melebihi 15% daripada fi tatacara itu
boleh dikenakan oleh pakar bedah.
12. Dalam hal apabila tatacara terbuka dilakukan berikutan kegagalan tatacara
endoskopik, fi yang dikenakan adalah bagi satu tatacara sahaja.
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13. Apabila tatacara endoskopi atau laparoskopi terapeutik didahului oleh tatacara
endoskopi atau laparoskopi diagnostik, tiada fi tambahan akan dikenakan bagi
tatacara diagnostik.
14. Dalam hal apabila satu tatacara terdiri daripada gabungan beberapa tatacara yang
lazimnya dilakukan bersama-sama dan bagi tatacara gabungan yang dinyatakan
diperuntukkan atau tidak dalam Jadual, fi bagi tatacara gabungan yang dinyatakan
tidak boleh berpecah atau diasingkan dalam pengiraan fi.
I. FI PERUNDINGAN
Catatan:
1. Bagi tatacara yang dilakukan di bawah anestesia setempat (LA) atau sedasi atau
kedua-duanya, dan apabila anestesia setempat atau sedasi diberikan oleh pakar bedah
yang melakukan tatacara itu, fi tambahan tidak melebihi 20% daripada fi tatacara atau
RM 125, mana-mana yang lebih rendah boleh dikenakan. Fi tambahan ini tidak terpakai
kepada tatacara yang dilakukan di bawah anestesia setempat dan/atau sedasi yang
dianggap sebagai rutin, biasa dan lazim.
2. Dalam hal apabila tiada fi dinyatakan bagi pakar anestesia dan anestesia dianggap
perlu atau fi tidak melebihi 50% daripada fi tatacara pembedahan atau minimum
RM 265 atau mana-mana yang lebih tinggi boleh dikenakan oleh pakar anestesia.
1. Pengamal am (bukan pakar) (a) Lawatan pertama/Perundingan awal Butiran Fi (RM)
Perundingan sahaja
Perundingan dengan pemeriksaan 30-125 Perundingan dengan pemeriksaan dan pelan rawatan
Perundingan selepas waktu klinik yang dinyatakan
Sehingga 50% melebihi kadar biasa
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Panggilan atau lawatan ke rumah Sehingga 100% melebihi kadar biasa
(b) Klinik tanpa perkhidmatan farmaseutikal Butiran Fi (RM)
Perundingan sahaja
Perundingan dengan pemeriksaan 35 - 145 Perundingan dengan pemeriksaan dan pelan rawatan
Perundingan selepas waktu klinik yang dinyatakan
Sehingga 50% melebihi kadar biasa
Panggilan atau lawatan ke rumah Sehingga 100% melebihi kadar biasa
2. Fi pakar
Nota: Terpakai bagi semua kepakaran perubatan kecuali dinyatakan sebaliknya (a) Lawatan pertama/Perundingan awal Butiran Fi (RM)
Perundingan sahaja
Perundingan dengan pemeriksaan 80 - 235 Perundingan dengan pemeriksaan dan pelan rawatan
Perundingan selepas waktu klinik yang dinyatakan
Sehingga 50% melebihi kadar biasa
Panggilan atau lawatan ke rumah Sehingga 100% melebihi kadar biasa
(b) Lawatan susulan/ Perundingan susulan Butiran Fi (RM)
Perundingan sahaja
Perundingan dengan pemeriksaan 40 - 105 Perundingan dengan pemeriksaan dan pelan rawatan
Perundingan selepas waktu klinik yang dinyatakan
– Sehingga 50% melebihi kadar biasa
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Panggilan atau lawatan ke rumah – Sehingga 100% melebihi kadar biasa
(c) Perundingan khas untuk radioterapi dan onkologi
Nota: Termasuk perundingan sekali seminggu
Butiran Fi (RM)
Pelan Rawatan Asas termasuk simulasi bagi radioterapi pancaran luar (pelan semula akan dicaj berasingan)
860 -1715
Pelan rawatan untuk brakiterapi (Intrakavitari)
1145-2290
Pelan rawatan pakar 2290-4575 - Brakiterapi Interstitial - Radioterapi konformal - Radiosurgeri - Radioterapi modulasi intensiti II. FI TATACARA 1. Tatacara am
Butiran/Tatacara Fi (RM) Pakar Bedah
Pakar Anestesia
Pemantauan tekanan darah ambulatori 130 Pemakaian kas plaster (jika ini satu-satunya tatacara)
315
Pemakaian plaster jaket, spika pinggul, kas kaki panjang atau kas bres
410 265
Kanulasi arteri 130 Punktur arteri 65 Aspirasi hematoma subkutaneus 315 Pengikatan hemoroids 315 Biopsi kulit atau tisu subkutaneus 315 Resusitasi Kardiopulmonari (CPR) 315 Kanulasi talian tekanan vena sentral (CVP) 230 Pemasukan tiub dada 840 Kolposkopi (dengan/tanpa biopsi) 375 Pemantauan Holter berterusan 330 Pengkuretan/Krioterapi lesi kulit termasuk kauterisasi
315
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Aspirasi diagnostik sista, sendi dan kaviti 315 Ekokardiografi dengan laporan Pemetaan berwarna 380 Doppler ekokardiografi 380 Ekokardiogram-transtorasik 230 M-mod 380 Eko treadmill stres 380 Ekokardiografi stres 380 Ekokardiografi trans-esofagus 440 Dua dimensi (2-D) 380 Elektif kardioversi 290 Elektrokardiogram (EKG) dengan laporan 80 EKG (stres/ senaman) dengan laporan 270 Biopsi atau aspirasi endometrial 410 Sitologi aspirasi jarum halus 315 Insisi dan penyaliran (I & D) 315 Suntikan di sekeliling faset apofisial vertebra tanpa kawalan X-ray
315
Suntikan ke dalam sendi tanpa kawalan sinar-X
315
Suntikan ke dalam tisu subkutaneus/pusat pencetus kesakitan termasuk anestesia setempat (LA) dan steroid
315
Suntikan ke dalam vena varikos kaki 315 Suntikan bahan pengsklerosan ke dalam buasir
315
Suntikan bahan ke dalam kulit termasuk pelet hormon
315
Punktur lumbar 745 Paracentesis untuk asits 630 Blok paravertebral (tanpa kawalan sinar-X) 480 Biopsi perkutaneus (tidak dinyatakan di mana-mana)
315
Perikardiosentesis 505 Biopsi pleural 895 Penyaliran kaviti pleural 840 Pleurodesis 630 Sigmoidoskopi tegar dengan biopsi 315 EKG isyarat berpurata 45 Blok ganglion Stellate (LA) 480 Pemasangan kateter Swan Ganz 460 Perentak sementara 1145 Pencucian dan penjahitan (T & S) bagi setiap jahitan
20
Veneseksyen 35
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Venupunktur 65 2. Tatacara Spesifik (a) Anestesiologi
Perundingan awal, penilaian, tatacara dan sokongan hayat kardium lanjutan (ACLS) di dalam unit rawatan intensif (ICU)
630
Perundingan seterusnya dan penilaian di dalam ICU
Seperti perenggan 2(b) fi pakar
Perkhidmatan analgesia obstetrik - Epidural
445
Perawatan kesakitan akut, kronik dan barah
35
Venupunktur 65 (b) Abdomen (selain sistem urinari dan reproduktif)
Esofagus
Mobilisasi esofageal toraskopik melalui mediastinum
4750 1815
Esofagogastrektomi 4750 1815 Esofagogastrektomi total dan interposisi usus
5970 2500
Eksisi terbuka lesi esofagus 1890 1125 Pintasan esofagus 2480 1550 Tinjauan semula anastomosis esofageal 2705 1320 Penutupan pintasan esofagus 2145 1125 Pembaikan transtorasik esofagus 3600 1320 Pembaikan toraskopik esofagus 2895 1320 Esofagokardiomiotomi (pembedahan Heller)
2040 985
Miotomi esofagogastrik toraskopik 2145 985 Suntikan skleroterapi bagi varises esofageal
1000 685
Pembaikan transtorasik hernia hiatus 2305 940 Pembaikan transtorasik hernia diafragmatik
2305 940
Pembaikan transabdominal hernia hiatus 2145 760 Pembaikan transabdominal hernia diafragmatik
2895 820
Pembaikan laparoskopik hernia hiatus 2145 760 Pembedahan anti refluks transabdominal 2895 820 Tinjauan semula tatacara anti-refluks 3600 1320 Vagotomi/seromiotomi laparoskopik 2040 685 Gastro- jejunostomi laparoskopik 2145 685
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Gastrostomi/jejunostomi laparoskopik 1760 570 Perut
Vagotomi gastrik proksimal 2040 685 Vagotomi pilihan tinggi 2040 685 Vagotomi dan piloroplasti 2145 820 Gastrektomi total dan eksisi tisu sekitar 2895 1125 Gastrektomi separa 2305 760 Pembedahan plastik perut 1890 685 Gastro-jejunostomi 2145 685 Pengulangan gastro-jejunostomi 2305 685 Gastrostomi 1760 570 Penutupan gastrostomi 1565 570 Penutupan ulser berlubang di perut 1890 685 Penutupan laparoskopik ulser berlubang di perut
1890 685
Pembedahan perut terbuka lain 1890 685 Piloromiotomi 1890 685 Piloroplasti 1890 685 Gastrektomi separa (penyakit benigna) 2305 Gastrektomi separa (penyakit malignan) 2895
Duodenum
Eksisi terbuka lesi duodenum 2305 760 Pintasan duodenum 1890 760 Penutupan laparoskopik ulser berlubang duodenum
1890 685
Penutupan ulser berlubang duodenum 1890 685 Usus kecil
Eksisi jejunum 2145 685 Eksisi lesi jejunum 2480 685 Jejunostomi 1760 685 Reseksi laparoskopik usus kecil 1890 685 Pintasan jejunum 1890 685 Intubasi jejunum dekompresi usus 1890 685 Pintasan ileum 1890 685 Anastomosis ileoanal dan penciptaan kantung
4750 1550
Ileostomi 1890 685 Perhatian kepada ileostomi 1565 570 Penutupan ileotomi (dalam isolasi) 1565 570 Pembedahan terbuka ileum termasuk pengurangan intususepsi
1890 685
Usus besar
Apendisektomi 1565 570
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Apendisektomi laparoskopik 1565 570 Penyaliran abses apendiks 1565 625 Eksisi total kolon dan anastomosis ileorektal
3600 1320
Eksisi peluasan hemikolon kanan 2390 820 Eksisi lain hemikolon kanan 2390 760 Eksisi kolon transvers 2390 760 Eksisi hemikolon kiri 2390 820 Eksisi kolon sigmoid 2390 820 Eksisi lesi kolon (transabdominal) 1760 760 Pintasan kolon 2040 760 Eksteriorisasi sekum 1760 760 Penutupan kolostomi - peritoneal tambahan
1340 625
Penutupan kolostomi - intra peritoneal 1890 760 Kolostomi laparoskopik 2040 760 Kolostomi termasuk tinjauan semula 2040 760 Manipulasi intra - abdominal kolon termasuk pengurangan intususepsi
2040 685
Reseksi kolonik laparoskopik 2390 820 Pengurangan radiologi intususupan kolon menggunakan enema barium
580 570
Rektosigmoidektomi bagi penyakit Hirchsphrung
4750
Laparotomi enterokolitis nekrotik enterokolitis (NEC)
2705
Laparotomi atresia usus 2705 Rektum/Anus
Anastomosis ileoanal dan penciptaan kantung
4750 1550
Panproktokolektomi dan ileostomi 4750 1815 Penarikan abdominoperineal melalui reseksi dengan anastomosis kolo-anal dan kolostomi berkaitan
4750 1815
Reseksi abdominoperineal rektum dan anus
4750 1815
Reseksi anterior 4750 1815 Reseksi anterior rektum dan hujung kolostomi (dengan penutupan rektum)
2705 1550
Reseksi anterior laparoskopik rektum dan eksteriorisasi usus
4750 1550
Eksisi separa rektum dan kolon sigmoid bagi prolaps
2705 940
Pembalikan tatacara Hartman 3600 1550 Eksisi terbuka lesi rektum 2145 940 Fiksasi rektum bagi prolaps 1890 940
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Rektopeksi laparoskopik 1890 940 Reseksi transanal bagi kanser rektal 2040 625 Eksisi perineal lesi rektum 1340 625 Biopsi rektum ketebalan penuh atau separa
405 625
Pembaikan perineal prolaps rektum 1760 685 Pengembangan striktur rektum 370 265 Pembaikan fistula tinja 865 625 Eksisi lesi anus 370 265 Pemusnahan lesi anus 370 265 Pembaikan sfinkter anal 1565 625 Pembaikan trauma anal 1340 625 Hemoroidektomi 1000 505 Regangan anorektum termasuk pemeriksaan di bawah anestesia (EUA) dan sigmoidoskopi
370 265
Pembukaan lapisan fistula anal bawah 865 505 Pembukaan lapisan fistula anal atas 1565 625 Sfinkterektomi lateral anus 405 505 Eksisi fisur anal 405 405 Penyaliran melalui kawasan perineal termasuk abses iskiorektal
580 405
Eksisi sinus pilonidal dan graf sutur/kulit 1160 625 Pembukaan lapisan sinus pilonidal 580 265 Fistulektomi (tunggal) 865 Fistulektomi (berbilang) 1565 Anorektoplasti sagital posterior (PSARP) 3600 Laparotomi berkombinasi dengan PSARP 4750 Anoplasti 1340 Sagital posterior anorektovaginouretroplasti (PSARVUP)
4750
Laparotomi berkombinasi dengan PSARVUP
5970
Organ-organ lain, terutama pencernaan
Adrenalektomi 2145 940 Adrenalektomi - dwisisi 2305 1125 Pembedahan tisu adrenal aberan 2145 940 Eksisi separa hepar 3600 1550 Hemihepatektomi 5970 2110 Pembuangan tumor hepar 2895 985 Pembaikan hepar 2480 985 Penyaliran terbuka hepar 1160 685 Pembedahan laparoskopik terapeutik ke atas hepar
1340 570
Pemeriksaan laparoskopik diagnostik hepar termasuk apa-apa biopsi
1340 505
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Biopsi perkutaneus lesi hepar 480 315 Punktur terbuka hepar 1565 570 Kolesistektomi termasuk minikolesistektomi
1890 685
Kolesistektomi dengan peninjauperiksaan duktus hempedu umum
2040 760
Kolesistektomi laparoskopik 2480 1125 Kolesistektomi laparoskopik dengan kolangiogram peribedah
2705 1550
Anastomosis pundi hempedu (ke viskus lain)
2305 760
Eksisi separa duktus hempedu dan anastomosis duktus hempedu kepada duodenum/jejunum
2390 940
Eksisi lesi duktus hempedu 2145 940 Anastomosis duktus hepatik 2895 940 Anastomosis duktus hempedu umum 2145 940 Pengenalan terbuka prostesis ke dalam duktus hempedu
2145 760
Pembaikan duktus hempedu 2390 985 Insisi duktus hempedu termasuk peninjauperiksaan bagi pembuangan kalkulus
2145 940
Sfinkterektomi duktus hempedu dan duktus pankreatik menggunakan pendekatan duodenal
2145 820
Pemeriksaan perkutaneus duktus hempedu
1000 505
Pankreatektomi total dan eksisi tisu persekitaran
4750 1815
Pankreatektomi total 4750 1815 Pankreatoduodenektomi dan eksisi tisu sekitar (Tatacara Whipple)
4750 1815
Pankreatektomi distal 2705 985 Eksisi lesi pankreas 2040 985 Anastomosis pundi hempedu (ke viskus lain)
2705 940
Penyaliran terbuka lesi pankreas 2040 760 Penyaliran abses pankreatik 2040 760 Insisi pankreas 2040 760 Pemeriksaan terbuka pankreas 2040 760 Pembedahan perkutaneus terapeutik pankreas
1565 685
Splenektomi terbuka 1565 760 Splenektomi laparoskopik 1565 760
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Penciptaan penyimpangan peritoneovena (Levine/Denver)
1340 435
Penyaliran dalaman pseudosista pankreatik
2705
Hepato portoenterototomi (pembedahan Kasai)
4750
Eksisi sista koledokal 4750 Salur darah besar
Kanulasi terbuka arteri intra-abdominal bagi kemoterapi infusi
2145 685
Penciptaan penyimpangan portakaval 4750 1320 Plikasi vena kava 2305 940 Pembaikan luka arteri besar atau vena abdomen termasuk aorta dan vena kava
2145 1320
Dinding abdomen
Pembaikan hernia diafragmatik kongenital
2705 1550
Eksisi mudah sak hernia inguinal 1000 505 Eksisi mudah sak hernia inguinal - dwisisi 1760 760 Pembaikan primer hernia inguinal 1160 505 Pembaikan primer hernia inguinal - dwisisi
1890 820
Pembaikan primer hernia inguinal terjerut
1890 625
Pembaikan laparoskopik hernia groin 1160 505 Pembaikan hernia inguinal berulang 1890 685 Pembaikan hernia inguinal berulang - dwisisi
2895 985
Pembaikan primer hernia femoral 1000 505 Pembaikan primer hernia femoral terjerut
1890 625
Pembaikan hernia femoral berulang 1565 570 Pembaikan hernia umbilikal (tidak mengira umur)
1000 570
Pembaikan primer hernia insisi 1340 505 Pembaikan hernia insisi berulang 1890 685 Pembaikan hernia lain dinding abdomen 1340 505 Sutur semula insisi lalu dalam dinding abdomen (Abdomen pecah)
1340 570
Penutupan eksomfalos major/gastrokisis - penutupan primer
3600
Penutupan eksomfalos major/gastrokisis - penutupan silastik
2145
Penutupan eksomfalos major/gastrokisis - penutupan primer tertunda
2570
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Peritoneum Laparotomi bagi pendarahan selepas pembedahan
1760 820
Laparotomi dan pembaikan trauma visera berbilang
3600 1550
Penyaliran terbuka abses subfrenik 1760 685 Pembedahan omentum 1890 685 Tumor retroperitoneal 2705 940 Abses retroperitoneal 1160 685 Tumor presakral 1340 940 Pembebasan adhesi peritoneum 1565 685 Laparoskopi termasuk biopsi dan adhesiolisis
1160 435
Parasentesis abdominis bagi asites 315 265 Penyaliran suprapubik abses pelvik 865 505 Penyaliran transrektal/transvaginal abses pelvik
1160
Laparotomi - peninjauperiksaan 1890 (c) Otak, kranium dan organ intrakranial yang lain
Otak
Hemisferektomi 7030 2930 Eksisi abses otak 4750 2110 Eksisi lesi tisu otak 5970 2500 Ablasi stereotaktik tisu otak 4750 1815 Biopsi terbuka lesi tisu otak 3600 1550 Penanaman/pembuangan stimulator neuro daripada otak (apa-apa laluan)
2145 820
Ventrikulosisternostomi 3600 1550 Penciptaan anastomosis ventrikulovaskular
2040 820
Penciptaan penyimpangan ventrikuloperitoneal
2040 820
Penciptaan simpanan cecair serebrospinal (CSF) subkutaneus
2040 820
Penyenggaran penyimpangan serebroventrikular termasuk pengulangan
1565 685
Pembuangan penyimpangan serebroventrikular
1340 505
Irigasi penyimpangan serebroventrikular 580 685 Pembedahan endoskopik terapeutik ventrikel otak
2570 820
Pemeriksaan endoskopik diagnostik dan biopsi lesi ventrikel otak
1760 820
Punktur ventrikular 570 505
P.U. (A) 358
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Kranium Infeksi Intrakranial: lubang Burr 1890 760 Pembaikan plastik kranium 2705 1320 Kranioplasti rekonstruktif 2705 1320 Kraniostenosis (satu sutur) 2040 760 Kraniostenosis (lebih daripada satu sutur)
2705 1550
Kraniotomi terbuka eksploratori 2705 1320 Eksploratori lubang burr pada kranium 1565 685 Petrosektomi 3600 2110 Dekompresi Foramen Magnum 4750 1550 Eksisi lesi kranium 2145 820 Elevasi lekukan fraktur kranium 1565 760 Pembaikan fraktur kompaun kranium 2705 1320 Penyaliran tengkorak 1340 505
Meninges
Penyaliran ruang subaraknoid otak 1565 625 Eksisi lesi otak meninges 7030 2500 Pembedahan sista araknoid 2705 985 Pembaikan dura 3600 1320 Pengosongan hematoma ekstradural 3600 1320 Pengosongan hematoma atau abses subdural
3600 1320
Pendarahan subdural - toreh 315 435 Saraf
Transeksi intrakranial saraf kranial 5970 2930 Pemusnahan-pemusnahan lain saraf kranial
5970 2930
Eksisi lesi saraf kranial (lntrakranial) 7030 2930 Eksisi neuroma akustik 7030 2930 Pembaikan saraf kranial (Intrakranial) 2895 1815 Dekompresi saraf kranial (Kraniotomi) 5970 1815 Stimulasi neuro saraf kranial (Intrakranial)
2145 760
Pembuangan stimulasi neuro dari saraf kranial
1890 505
Eksisi tumor sudut serebelopontin 7030 2930 Pembuluh darah
Kraniotomi - pendarahan selepas pembedahan
2705 1320
Kraniotomi bagi tumor suprasellar 7030 Kraniotomi bagi tumor fossa posterior 7030 Ligasi/sepitan aneurisme arteri cerebral 5970 2110 Peneguhan aneurisme arteri cerebral 5970 2110
P.U. (A) 358
17
Pembedahan terbuka arteri cerebral 5970 2110 Eksisi malformasi arteriovenous (AV) 7030 2110 Pembentukan anastomosis ventrikulovaskular
2040 820
Pembentukan pintasan ventrikuloperitoneal
2040 820
Lain-lain
Hipofisektomi 5970 1815 Krioterapi kelenjar pituitari 2570 Eksisi lesi kelenjar pituitari 5970 1815 Eksisi kelenjar pineal 7030 1815
(d) Payudara
Mastektomi subkutaneus dengan implan serta merta
2040 760
Mastektomi radikal termasuk diseksi blok 2305 760
Mastektomi bergabung dengan rekonstruksi payudara menggunakan flap miokutaneous
2895 985
Mastektomi radikal diubah suai termasuk diseksi blok
2040 685
Mastektomi mudah termasuk biopsi nodus aksilari
1565 685
Eksisi lesi payudara 1000 405 Reseksi bersegmen atau quadrantektomi 1340 505 Eksisi setempat lebar lesi payudara 1340 505 Pengulangan eksisi setempat bagi menerangkan margin
1000 505
Biopsi eksisi lesi payudara selepas persetempatan
1000 505
Rekonstruksi payudara menggunakan latisimus dorsi
2895 940
Rekonstruksi payudara menggunakan flap setempat
2305 760
Rekonstruksi payudara menggunakan TRAMS
4750 1550
Pembuangan prostesis daripada payudara
865 405
Penanaman prostesis selepas mastektomi 1340 685 Biopsi perkutaneus lesi payudara 370 265 Eksisi stereotaktik/guidewire lesi payudara
1565 505
Penyaliran abses payudara 580 405 Mikrodokotomi 1000 405
P.U. (A) 358
18
Pembedahan puting (jika tidak termasuk dalam tatacara lain)
865 405
Diseksi blok nodus limfa aksilari (jika tidak termasuk dalam tatacara lain)
1760 625
Biopsi/pensampelan nodus limfa aksilari 405 315 Biopsi nodus limfa mama internal 725 505
(e) Dermatologi dan venereologi Ujian alergi
Ujian sensitiviti kulit (Intradermis) menggunakan sehingga 20 reagen (tidak termasuk kos reagen)
190
Ujian sensitiviti kulit (ujian tampalan) menggunakan sehingga 26 reagen, iaitu siri standard (tidak termasuk kos reagen)
250
Ujian sensitiviti kulit (ujian tampalan) menggunakan 26 reagen, iaitu siri standard dan tambahan (tidak termasuk kos reagen)
315
Ujian sensitiviti kulit (ujian tampalan) menggunakan siri tambahan iaitu kos bagi setiap siri (tidak termasuk kos reagen)
190
Dermatosurgeri umum
Eksisi - sista, parut, tumor benigna (mudah)
380
Eksisi - sista, parut, tumor benigna (rumit)
660
Eksisi - tumor kulit malignan yang memerlukan eksisi lebar
915
Suntikan steroid berbilang ke dalam lesi 190 Krioterapi - lesi kurang daripada 5 155 Krioterapi - lesi lebih daripada 5 250 Krioterapi - tumor malignan yang memerlukan rawatan bagi kawasan yang luas
505
Pengkuretan/krioterapi lesi kulit termasuk pengkauteran
315
Fototerapi
Fototerapi (pancaran ultra ungu) bagi setiap sesi - bahagian tertentu
65
Fototerapi (UVB)(pancaran ultra ungu) 100
P.U. (A) 358
19
bagi setiap sesi - keseluruhan badan Psoralen dan ultra ungu A (PUVA) bagi setiap sesi - bahagian tertentu
100
(PUVA) bagi setiap sesi - keseluruhan badan
125
Ujian tampalan foto 250 Ujian foto Dos eritema minimal (MED) 250 Ujian foto Dos fototoksik minimum (MPD)
250
Fototerapi ultra ungu Al (UVA 1) bagi setiap sesi - bahagian tertentu
100
Fototerapi ultra ungu Al (UVA 1) bagi setiap sesi - keseluruhan badan
125
Tatacara dermatologi lain
Eksisi mudah kuku 70 Eksisi baji kuku jari kaki 380 Eksisi baji atau avulsi kuku jari kaki termasuk ablasi kimia pada dasar kuku
480 315
Matriksektomi kuku 170 Pemeriksaan penyiasatan medan gelap (DGI) bagi spesimen
125
Biopsi kulit atau subkutaneus tisu 315 Biopsi perkutaneous (tidak dinyatakan di tempat lain)
315
Pemeriksaan mikroskopik (medan gelap)
65
Pemeriksaan mikroskopik untuk kikisan, calitan kulit dan sebagainya
65
Elektrokauteri - keratosis, ketuat, angioma, dan sebagainya (lesi kurang daripada 5)
190
Elektrokauteri - keratosis, ketuat, angioma, dan sebagainya (lesi daripada 5 hingga 20)
380
Elektrokauteri - keratosis, ketuat, angioma, dan sebagainya (lesi lebih daripada 20)
630
Kauteri kimia - keratosis, ketuat, angioma dan sebagainya (lesi tidak lebih daripada 5)
125
Kauteri kimia - keratosis, ketuat, angioma dan sebagainya (lesi lebih daripada 5)
250
Elektrolisis rambut bagi setiap sesi 250 Iontoforesis bagi setiap sesi 190 Iontoforesis transdermal 285
P.U. (A) 358
20
Tatacara laser kutaneus Ablasi laser kutaneus bagi tumor kulit (lesi kurang daripada 5)
290
Ablasi laser kutaneus bagi tumor kulit (lesi 5 hingga 20)
660
Ablasi laser kutaneus bagi tumor kulit (lesi lebih daripada 20)
860
Rawatan laser pigmen bagi pigmentasi kulit dan tatu - kawasan kecil (kurang daripada 9 sm2)
380
Rawatan laser pigmen bagi pigmentasi kulit dan tatu - kawasan bersaiz sederhana (9 sm2 hingga 50 sm2)
435
Rawatan laser pigmen bagi pigmentasi kulit dan tatu - kawasan besar (lebih daripada 50 sm2)
660
Rawatan laser pigmen bagi tatu bulu kening
380
Rawatan laser pigmen bagi tatu kelopak mata
435
Rawatan laser vaskular bagi lesi vaskular - kawasan kecil (kurang daripada 9 sm2)
380
Rawatan laser vaskular bagi lesi vaskular - kawasan bersaiz sederhana (9 sm2 hingga 50 sm2)
435
Rawatan laser vaskular bagi lesi vaskular - kawasan besar (lebih daripada 50 sm2)
660
Laser pelapisan semula bagi satu unit kosmetik (bukan ablatif)
860
Laser pelapisan semula bagi satu unit kosmetik (ablatif)
1145
Pembuangan bulu roma dengan bantuan laser/cahaya denyutan keamatan (IPL) - kawasan kecil (kurang daripada 9 sm2)
380
Pembuangan bulu roma dengan bantuan laser/IPL - kawasan bersaiz sederhana (9 sm2 hingga 50 sm2)
435
Pembuangan bulu roma dengan bantuan laser/IPL - kawasan besar (lebih daripada 50 sm2)
660
Pembuangan bulu roma dengan bantuan laser/IPL - keseluruhan muka
915
Pengelupasan kimia
Pengelupasan kimia bagi lesi kulit 290
P.U. (A) 358
21
- pengelupasan superfisial
Pengelupasan kimia bagi lesi kulit - kedalaman sederhana
380
Pengelupasan kimia bagi lesi kulit - pengelupasan dalam
660
Tatacara pelbagai
Ekstrak komedon bagi setiap sesi 190 Keratan hiperkeratosis, belulang dan sebagainya
190
Ekstraksi milia 190 Jagaan kejururawatan kulit harian bagi setiap sesi
190
Pembalutan keseluruhan badan (cth: ekzema atopi)
230
Mikrodermabrasi - muka 345 Mikrodermabrasi - badan 570 Suntikan toksin botulinum bagi satu unit kosmetik
685
Suntikan pengisian bagi satu unit kosmetik
570
(f) Telinga, hidung dan tekak Telinga eksternal
Eksisi total telinga eksternal 1565 820 Eksisi abnormaliti preaurikular 1000 405 Eksisi lesi telinga eksternal 725 405 Pembuangan eksostoses daripada kanal auditori eksternal
1760 505
Rekonstruksi telinga eksternal menggunakan graf
2895 685
Rekonstruksi telinga eksternal 2145 685 Meatoplasti telinga eksternal 1565 505 Pembaikan telinga eksternal 405 405 Pembuangan bahan asing daripada kanal auditori eksternal di bawah anestatik umum (GA) (dan dwisisi)
370 265
Eksisi lesi kanal auditori eksternal 480 570 Rekonstruksi kanal auditori eksternal 2705 1125
Telinga tengah dan mastoid
Mastoidektomi radikal 2480 940 Mastoidektomi radikal diubah suai 2480 940 Mastoidektomi mudah 2305 625 Mastoidektomi tinjauan semula 2040 940 Peninjauperiksaan mastoid, saraf fasial 2305 940
P.U. (A) 358
22
Timpanoplasti 2145 940 Miringoplasti 2040 760 Miringotomi dan selitan tiub melalui membran timpanik (dan dwisisi)
865 355
Sedutan pembersihan telinga tengah 370 265 Miringotomi (dan dwisisi) 370 265 Osikuloplasti dengan/tanpa timpanoplasti
2705 940
Stapedektomi 2040 760 Eksisi tumor telinga tengah 2040 760 Polipektomi telinga tengah (dan dwisisi) 580 265 Timpanotomi dan biopsi lesi telinga tengah
1760 570
Petrosektomi 3600 2110 Telinga dalam
Elektrokokleografi transtimpanik 725 Pembedahan koklea 3600 1320 Pembedahan sak endolimfatik 2145 940 Labirintektomi bermembran 2390 940 Labirintektomi bertulang 2480 940 Eksisi sinus preaurikular - unilateral 1340 Eksisi sinus preaurikular - dwisisi 1760
Hidung dan kaviti hidung
Eksisi hidung total 1565 760 Septorinoplasti serta/tanpa graf/implan berikutan trauma atau eksisi tumor
2145 625
Rinoplasti berikutan trauma atau eksisi tumor
2040 625
Eksisi submukus septum hidung 1160 405 Eksisi lesi septum hidung 580 355 Biopsi lesi septum hidung 370 355 Penutupan tembusan septum hidung 1340 405 Insisi septum hidung 405 315 Septoplasti hidung 1340 435 Pengkauteran septum hidung (dan dwisisi)
315 265
Diatermi submukus turbinat hidung (dan dwisisi)
405 265
Eksisi turbinat hidung (dan dwisisi) 725 405 Eksisi lesi turbinat hidung (dan dwisisi) 405 405 Pembahagian perekatan turbinat hidung (dan dwisisi)
370 405
Biopsi lesi turbinat hidung (dan dwisisi) 370 405 Pengkauteran turbinat hidung (dan dwisisi)
370 265
P.U. (A) 358
23
Ligasi arteri hidung internal 1340 505 Embolisasi arteri hidung internal 1340 505 Pemadatan kaviti hidung (sebagai tatacara tunggal)
315 505
Polipektomi hidung internal (dan dwisisi)
480 355
Eksisi lesi hidung internal 405 355 Pembetulan atresia koana kongenital 1565 685 Pembuangan bahan asing daripada kaviti hidung
315 355
Eksisi lesi hidung eksternal 315 435
Sinus hidung Penyaliran antrum maksila termasuk Caldwell-Luc (dan dwisisi)
1000 435
Neurektomi transantral saraf vidian menggunakan pendekatan sublabial (dan dwisisi)
1760 685
Punktur antral dan pembasuhan (dan dwisisi)
480 265
Antrostomi intranasal termasuk endoskopik (dan dwisisi)
865 505
Penutupan fistula oro-antral 1340 435 Frontoetmoidektomi eksternal (dan dwisisi)
2145 760
Etmoidektomi intranasal (dan dwisisi) 1160 505 Etmoidektomi eksternal termasuk endoskopik (dan dwisisi)
1565 685
Pembukaan anterior dan posterior ke dalam pembedahan endoskopik fungsi sinus (FESS)
1760 685
Etmoidektomi transantral (dan dwisisi) 1565 685 Flap tulang sinus frontal (dan dwisisi) 2480 625 Membuat trefin sinus frontal 580 265 Frontoetmoidektomi radikal 2390 940 Pembedahan endoskopik fungsi sinus subtotal (FESS)
1565 685
Pembedahan ke atas sinus sfenoid 865 505 Pembedahan ke atas sinus hidung (tidak dinyatakan)
865 505
Rhinotomi lateral ke dalam sinus bagi malignansi
1760 625
Endoskopi diagnostik sinus (sebagai tatacara tunggal)
315 405
Tekak
Faringektomi total 5970 1815
P.U. (A) 358
24
Faringektomi separa 2305 1815 Adenoidektomi 405 265 Pembaikan farinks 2145 820 Eksisi terbuka lesi farinks 725 505 Pembedahan kantung faringeal 1890 685 Pembedahan endoskopik terapeutik farinks
580 405
Kantung faringeal - reseksi endoskopik 1890 625 Pemeriksaan endoskopik diagnostik farinks termasuk biopsi
580 405
Tonsilektomi - kanak-kanak (dan dwisisi)
1000 435
Tonsilektomi - dewasa (dan dwisisi) 1160 435 Eksisi tonsil lingual 865 435 Adenotonsilektomi (dan dwisisi) 1160 435 Penyaliran abses peritonsilar ("Quinsy") 315 315
Larinks dan trakea
Laringektomi total termasuk diseksi leher
3600 1815
Laringektomi separa 2145 985 Laringofisur dan kordektomi korda vokal
1760 625
Laringektomi (tidak termasuk diseksi leher)
2570 1320
Glottoplasty 1760 625 Rekonstruksi larinks dengan graf 3600 1815 Eksisi endoskopik lesi larinks termasuk mikrolaringoskopi
1160 570
Laringoskopi/endoskopi dengan biopsi 580 505
Suntikan ke dalam larinks 1160 505 Eksisi separa trakea dengan rekonstruksi
3600 2110
Trakeoplasti 1760 625 Penempatan terbuka prostesis di dalam trakea
1760 505
Trakeotomi 1000 570 Selitan mini-trakeostomi 580 405
Tatacara endoskopik gentian optik di bawah anestesia topikal
Pemeriksaan gentian optik trakea dan bronkus termasuk biopsi/pembuangan bahan asing
725 505
Lavaj bronkus (diagnosis atau terapeutik)
865
Pendilatan striktur trakea termasuk selitan sten
865
P.U. (A) 358
25
Pendilatan striktur bronkus oleh bronkoskop gentian optik
1000
Biopsi transbronkial 1000 (g) Tatacara endoskopik dan laparoskopik trek gastrointestinal (GIT)
Tatacara endoskopik GIT
Esofagoskopi tegar serta/tanpa biopsi/pembuangan/laser atau destruksi diatermi lesi
865 435
Esofagogastroduodenoskopi diagnostik termasuk biopsi
405 315
Esofagoduodenoskopi terapeutik termasuk pembuangan bahan asing/ polipektomi
580 435
Esofagogastroduodenoskopi terapeutik termasuk destruksi lesi, penyelitan prostesis, pendilatan, pengkanalan semula tumor
1000 435
Skleroterapi suntikan varises esofagus 1000 685 Intubasi bagi penyiasatan GIT serta/tanpa manometri, ukuran pH, fungsi pankreatik dan biopsi jejunal
480 315
Endoskopi dan pemeriksaan ilium melalui stoma termasuk pendilatan
580 315
Sigmoidoskopi fleksibel serta,/tanpa biopsi/pembuangan/pemusnahan lesi
580 435
Kolonoskopi gentian optik serta/tanpa eksisi biopsi/pemusnahan lesi
1000 435
Kolonoskopil gentian optik dan pengkanalan semula tumor
1565 435
Endoskopik kolangiopankreatografi retrograd (ERCP)
1160 505
ERCP dengan tatacara terapeutik 1760 505 Penyelitan sten pankreas 2040 760 Pembuangan batu pankreatik 2040 760 Penyaliran pseudosista pankreatik 2040 760 Ligasi gegelang getah varises 1000 405 PEG 1760 625 Reseksi mukosal endoskopik 2040 760 Polipektomi kolonik 1340 505 Pendilatan kolonik (belon) 1340 505 Penyelitan sten kolonik 1565 570 Tatacara terapeutik bagi pendarahan GIT (atas)
1000 405
P.U. (A) 358
26
Tatacara laparoskopik Pembaikan laparoskopik hernia hiatus 2145 760 Vagotomi/seromiotomi laparoskopik 2040 685 Gastrojejunostomi laparoskopik 2145 685 Gastrostomi/jejunostomi laparoskopik 1760 570 Penutupan laparoskopik ulser perut berliang
1890 685
Penutupan laparoskopik ulser duodenum berliang
1890 685
Reseksi laparoskopik usus kecil 1890 685 Apendisektomi laparoskopik 1565 570 Kolostomi laparoskopik 2040 760 Reseksi kolonik laparoskopik 2390 820 Reseksi anterior rektum dan eksteriorisasi usus laparoskopik
4750 1550
Rektopeksi laparoskopik 1890 940 Kolesistektomi laparoskopik 2480 1125 Kolesistektomi laparoskopik dengan kolangiogram peribedah
2705 1550
Splenektomi laparoskopik 1565 760 Pembaikan laparoskopik hernia groin 1160 505
(h) Mata dan kandungan orbit Tatacara am
Angiogram fluoresin fundus 345 Fotografi anterior/fundus 65 Perimetri automasi 250 Carta Hess 125 Keratometri 65 Topografi kornea Ultrasonografi 250 Imbasan - A 125 Imbasan - B 250 Pakimetri 125 Gonioskopi 65 Oftalmoskopi tidak langsung 65 Refraksi 65 Ujian Schirmers 30 Elektrofisiologi Elektroretinogram (ERG)/Elektrookulogram (EOG)/Tindak balas ditimbulkan visual (VER)
250
Pemancitan 125 Cucian 35 Irigasi 65 Eksisi/pengkuretan/krioterapi lesi kelopak mata
370 265
P.U. (A) 358
27
Pemecahan foto laser Yag ke atas kapsul posterior kanta termasuk kapsulotomi laser
580 505
Koagulasifoto laser/Krioterapi/Radioterapi lesi retina (dan dwisisi)
1000 405
Angiografi fluoresin mata 315 265 Pembedahan pembetulan juling (satu atau kedua-dua mata)
1890 625
Pembedahan trabekulektomi 2040 760 Trabekulektomi termasuk laser 1160 570 Biopsi lesi kelopak mata 480 315 Ekstraksi ekstrakapsular tanpa implan 2145 820 Ekstraksi ekstrakapsular dengan implan 2570 940
Glob atau orbit
Eksenterasi orbit 2040 760 Enukleasi bola mata 2040 685 Eksisi lesi orbit 1890 685 Rekonstruksi kaviti orbit 2305 760 Biopsi lesi orbit 1160 505 Penyaliran orbit 1340 355 Dekompresi orbit 2305 685 Pembuangan bahan asing daripada orbit 1890 685 Eksplorasi orbit 1890 685 Reduksi terbuka orbit patah 1340 685 Suntikan retrobulba 315 265 Eviserasi bola mata 2040 760 Implan orbital - Eviserasi/Enukleasi dengan implan
2390
Bulu kening dan kelopak
Eksisi lesi bulu kening 580 405 Jahitan bulu kening 315 405 Eksisi lesi kantus 1000 505 Pembetulan epikantus 1160 505 Pembetulan telekantus 1160 505 Graf kulit kantus 1000 505 Kantotomi/Pengkuretan 580 505 Eksisi/Pengkuretan/Krioterapi lesi kelopak mata
370 265
Graf kulit kelopak mata 1000 505 Pembetulan ektropion 1160 405 Pembetulan entropion 1160 405 Pembetulan trikiasis 405 405 Tarsorafi 865 405 Rekonstruksi total kelopak mata 1890 505
P.U. (A) 358
28
Jahitan kelopak mata (laserasi) 405 405 Rekonstruksi total kelopak mata - dwisisi 2895 820 Pembetulan ptosis kelopak mata 1760 625 Tarsomulerektomi 1760 505 Penyaliran lesi kelopak mata 370 355 Biopsi lesi kelopak mata 480 315 Pembuangan bulu mata melalui elektrolilis/laser/krioterapi
370 265
Sistem lakrimal
Kanalikulo dakriosistorinostomi 2390 940 Konjunktivo dakriosistorinostomi 2390 940 Dakriosistorinostomi (DCR) dengan/tanpa pemasukan tiub
2040 940
Eksisi kantung lakrimal 1000 505 Biopsi kantung lakrimal 580 505 Insisi kantung lakrimal 370 405 Pemancitan sistem nasolakrimal di bawah anestesia am (GA)
315 265
Penguaran kantung nasolakrimal di bawah GA
315 265
Pembaikan kanalikulus koyak 1000 265 Pendilatan punktum lakrimal di bawah GA
315 265
DCR endoskopik 2570 1320
Otot Pembedahan pembetulan juling (satu atau kedua-dua mata)
1890 625
Pembedahan tinjauan semula juling (satu atau kedua-dua mata)
2305 570
Tenotomi otot (satu atau kedua-dua mata)
1340 570
Transposisi otot (satu atau kedua-dua mata)
1760 570
Pembedahan pembetulan juling dengan jahitan boleh ubah (satu atau kedua-dua mata)
2480 685
Pembedahan tinjauan semula juling dengan sutur boleh ubah (satu atau kedua-dua mata)
2895 940
Pembetulan juling dengan toksin botulinum
1000
Konjunktiva
Eksisi lesi konjunktiva 480 505
P.U. (A) 358
29
Pengkauteran termasuk krioterapi ke atas lesi konjunktiva
315 505
Radioterapi lesi konjunktiva 580 505 Graf mukosa konjunktiva 1160 505 Jahitan konjunktiva 480 505 Pembuangan jahitan konjunktiva 315 435 Penyaliran sista konjunktiva 315 435 Pembahagian perekatan konjunktiva 315 435 Biopsi lesi konjunktiva 315 435 Suntikan subkonjunktival 315 435 Eksplorasi konjunktiva termasuk pembuangan bahan asing
370 435
Eksisi pterigium 1340 505 Graf limbal konjunktiva 725
Kornea
Eksisi lesi kornea 480 435 Krioterapi lesi kornea 315 435 Graf lameliar (Keratoplasti) kornea 2390 940 Graf penembusan (Keratoplasti) kornea 2390 940 Pembaikan luka kornea 580 505 Pembuangan jahitan kornea 315 405 Pembuangan bahan asing kornea superfisial
405 435
Jahitan ketegangan 1340 625 Pengelatan kornea 725 405 Pentatuan kornea 725 405 Kikisan kornea untuk kultur 405 405 Keratoplasti refraktif 1760 625 Keratektomi fotorefraktif (PRK)/Keratektomi fototerapeutik (PTK)
2145 820
Keratomileusis laser in situ (LASIK) 3600 2110 Graf lamellar (Keratoplasti) kornea 3600 Menjalankan graf (Keratoplasti) kornea 2895 Pemindahan sel stem limbal 2705 Graf membran amniotik 1160 Punktur stromal anterior 865 Keratotomi astigmatic 1565
Sklera
Eksisi lesi sklera 725 570 Pembaikan laserasi sklera 725 570 Graf sklera 1565 570
lris dan ruang anterior
Iridosikletomi 2390 940 Pembedahan iridektomi 1160 685
P.U. (A) 358
30
Pembedahan trabekulektomi 2040 760 Trabekuloplasti laser 1000 570 Trabekulotomi termasuk laser 1160 570 Goniotomi (rawatan pembedahan glaukoma)
1890 570
Iridotomi laser 1160 505 Pembaikan prolaps iris 1890 685 Eksisi lesi iris 1890 685 Pembuangan bahan asing daripada iris 1890 685 Siklosioterapi (pengkauteran badan siliari)
1160 505
Siklodialisis (pemisahan badan siliari) 1760 685 Pemulihan ruang anterior 1565 570 Parasentesis 1000 435 Suntikan ke dalam ruang anterior 480 435 lrigasi ruang anterior 480 435 Pembuangan bahan asing dari ruang anterior
1160 435
Implan injap di dalam glaukoma 2895 1815 Pembedahan trabekulektomi 2040 760 Siklofotokoagulasi 1565 570
Kanta
Ekstraksi ekstrakapsular tanpa implan - dwisisi
3600 1320
Ekstraksi ekstrakapsular tanpa implan - unilateral
2145 820
Phakoemulsifikasi lensa dengan/tanpa implan
2570 940
Ekstraksi ekstrakapsular dengan implan 2570 940 Ekstraksi ekstrakapsular dengan implan - dwisisi
4750 1550
Gangguan/pemecahan foto laser Yag ke atas kapsul posterior kanta termasuk kapsulotomi laser
580 505
Insersi sekunder kanta implan 1760 685 Tinjauan semula kanta implan 1760 685 Pembuangan kanta implan 1340 505 Pembedahan insisi kecil dengan/tanpa kanta intraokular (IOL)
2705 1550
Pembedahan katarak dalam kes-kes rumit (cth: kanta terdislokasi dengan/ tanpa implant)
3600
Fiksasi skleral kanta intraokular 2390 Vitreus
Vitrektomi oleh pendekatan anterior 1760 760
P.U. (A) 358
31
Vitrektomi pendekatan pars plana dengan insersi tamponad dalaman
2570 1320
Vitrektomi bergabung dengan membranektomi/insersi tamponad dalaman/laser atau krioterapi
3600 2110
Retina
Lengkok sklera termasuk implan/pemusingan eksplan/minyak silikon/pertukaran gas/laser atau krioterapi
2145 820
Pembuangan minyak silikon 865 355 Fotokoagulasi laser/krioterapi/radioterapi lesi retina (dan dwisisi)
1000 405
Eksisi lesi retina 2145 940 Biopsi lesi retina 2145 505 Vitrektomi pars plana dengan pembuangan IOL/kanta terdislokasi
5970 2930
Vitrektomi pars plana dengan pembuangan bahan asing intaokular
5970 2930
Lengkok sklera dengan vitrektomi trans pars plana
7030 3305
(i) Radiologi intervensional Biopsi
Biopsi berpandukan fluoroskopi 725 Biopsi berpandukan ultrasound 865 Biopsi berpandukan CT/MRI 1000 Biopsi hepar Transjugular/Transfemoral/Palam
1340
Penyaliran
Penyaliran cecair terkumpul berpandukan fluoroskopi
725
Penyaliran cecair terkumpul berpandukan ultrasound
1340
Penyaliran cecair terkumpul berpandukan CT/MRI
1565
Angioplasti
Angioplasti 1760 Angioplasti dengan insersi sten logam 1890 Angioplasti dengan insersi sten logam graf
2040
P.U. (A) 358
32
Insersi sten logam graf aorta 4750 1550 Angioplasti serebrum dengan/tanpa insersi sten logam
4750 1125
Angioplasti serebrum dengan insersi sten logam graf
4750 1125
Embolisasi
Embolisasi arteri atau vena 1890 Embolisasi jisim vaskular termasuk embolisasi uterin
2895
Embolisasi arteri bronkial 3600 Embolisasi aneurisme 5970 Embolisasi malformasi arteriovenus 7030
Trombolisis
Trombolisis atau sedutan trombus di bawah kawalan Pengimejan
1340
Pendilatan
Pendilatan penyempitan di bawah kawalan pengimejan
1160
Pendilatan perkutaneus striktur biliari di bawah kawalan Pengimejan
2305
Kepala dan leher
Ekstraksi batu endoluminal daripada duktus liur di bawah kawalan Pengimejan
725
Insersi sten nasolakrimal di bawah kawalan pengimejan
2040
Kepala dan leher spina
Kemonukleolisis 1160 Disektomi berpandukan fluoroskopi termasuk laser
2145
Disektomi berpandukan CT termasuk laser
2895
Vertebroplasti perkutaneus berpandukan fluoroskopi
2145
Vertebroplasti perkutaneus berpandukan CT
2895
Toraks
Insersi sten logam trakeal/bronkial 1760 Insersi sten logam esofageal di bawah kawalan pengimejan
1565
P.U. (A) 358
33
Gastro usus Gastrostomi Perkutaneus 1760 Gastrojejunostomi Perkutaneus 2145
Hepar
Kolesistektomi Perkutaneus 1890 Insersi perkutaneus endoprostesis biliari plastik
1890
Insersi perkutaneus endoprostesis biliari logam
2390
Transjugular pintasan intrahepatik portosistemik
2895 1815
Urinari
Nefrostomi Perkutaneus 1340 Pembuangan kalkulus Perkutaneus 2705 Pilolisis Perkutaneus 2705
Lain-lain
Insersi kateter vena sentral - tidak tembus (berpandukan sinar-X)
725
Insersi kateter vena sentral - tembus (berpandukan sinar-X)
1160
Ablasi sista di bawah kawalan pengimejan 1160 Pemasukan penyaring vena cava 1340 Pencarian bahan asing di bawah panduan sinar-X
1565
Penutupan fistula di bawah kawalan pengimejan
2145
Koagulasi laser perkutaneus jisim 3600
(j) Neurologi Laporan ujian neurofisiologi Elekroensefalogram (EEG) - rutin dan tidur atau mudah alih
315
Kajian potensial pembangkitan - potensial pembangkitan visual (VEP), potensial rangsangan pembangkitan auditori stem otak (BAEP) dan potensial pembangkitan somatosensori (SSEP)
580
Elektromiogram (EMG) dan kajian konduksi saraf
580
Kajian konduksi saraf 315
P.U. (A) 358
34
Neurosurgeri Dekompresi dan cantuman pertemuan kranio servikal
7030 3305
Kraniotomi tumor supraselar 7030 3305 Kraniotomi tumor fosa posterior 7030 3305 Rizotomi posterior selektif 5970 2930 Disektomi endoskopik 7030 Laminektomi servikal 3600
(k) Obstetrik dan ginekologi Kehamilan dan pantang
Kelahiran caesarean 1890 820 Histerektomi caesarean 2390 820 Pengkuretan uterus bersalin 480 405 Penempatan semula uterus songsang 725 685 Tranfusi pertukaran darah neonatal 1000
Organ reproduktif wanita Uterus/Adneksa
Histerektomi radikal dan limfadenektomi (Wertheim's)
4750 1550
Histerektomi total abdomen 2040 760 Histerektomi subtotal abdomen 2040 760 Histerektomi dan pembuangan adneksa uterus
2040 760
Histerektomi vagina termasuk bantuan laparoskopik
2040 760
Histerektomi dan pembuangan adneksa uterus bagi ketumbuhan malignan ovari
2895 820
Miomektomi termasuk laparoskopik 2040 760 Rekonstruksi plastik uterus 1565 685 Pembedahan endoskopik terapeutik uterus termasuk ablasi endometrial
1565 685
Histeroskopi dengan/tanpa D&C , biopsi termasuk polipektomi
865 435
Biopsi atau penyedutan endometrium 405 265 Ooforektomi dan salpigektomi dwisisi dalam isolasi
1890 685
Ooforektomi dan salpingektomi sisi tunggal dalam isolasi
1340 685
Pembuangan produk konsepsi daripada tiub falopian (kehamilan ektopik) termasuk laparoskopik
1760 760
Laparoskopi termasuk (cth: punktur sisia ovari serta/tanpa biopsi)
1160 570
P.U. (A) 358
35
Tatacara laparoskopi dan terapeutik termasuk laser, diatermi dan pemusnahan (cth: endometriosis, adesiolisis pembedahan tiub dan tumor pejal)
1890 760
Sistektomi ovari (tidak termasuk dalam tatacara lain) (dan dwisisi)
1890 685
Diseksi blok nodus limfa pelvik (tidak termasuk dalam tatacara lain)
2040 760
Eksenterasi penuh pelvis 5970 2930 Eksenterasi anterior pelvis 4750 1815 Eksenterasi posterior pelvis 4750 1815
Gantungan
Pembedahan bergabung abdomen dan vagina bagi menyokong saluran keluar pundi kencing wanita
1890 685
Pembedahan anduh suprapubik 1890 760 Gantungan retropubik leher pundi kencing
1890 685
Pembedahan vagina bagi menyokong saluran keluar pundi kencing wanita
1890 685
Ventro-gantungan uterus termasuk laparoskopi
1340 625
Serviks uteri
Kolposkopi (dengan/tanpa biopsi) 370 Amputasi uferi serviks 1160 505 Pemusnahan laser lesi serviks uterus 370 265 Pengkauteran lesi serviks uterus termasuk diatermi gelung
370 265
Biopsi kon serviks uterus termasuk laser 865 505 Biopsi tebuk serviks uterus 315 265 Pendilatan serviks uterus dan pengkuretan uterus termasuk polipektomi dan diatermi serviks (bagi wanita melebihi umur 40 tahun)
480 315
Vagina/Perineum
Sistouretroplasti 1760 685 Eksisi/Diatermi karunkel uretra 370 265 Pembedahan Perineum wanita 480 265 Insisi introitus vagina 480 505 Obliterasi lain vagina 1890 760 Eksisi septum vagina 725 505 Eksisi lesi vagina (cth: ketuat dan sista) 865 505 Rekontruksi vagina 2705 820
P.U. (A) 358
36
Kolporafi anterior serta/tanpa posterior dan amputasi uterus serviks termasuk pembaikan primer enterosele
2040 685
Kolporafi posterior 1340 625 Kolporafi anterior serta/tanpa posterior termasuk pembaikan primer enterosele
1890 685
Pembaikan enterosele (dalam isolasi) serta/tanpa kolporafi posterior
1760 685
Kolporafi anterior serta/tanpa posterior dengan histerektomi vagina termasuk pembaikan primer enterosele
2480 820
Pembaikan fistula vesikovaginal 2145 820 Pembaikan fistula uretrovaginal 1890 820 Pembaikan fistula rektovaginal 2480 820 Pembaikan fistula ureterovaginal 2480 820
Vulva/Labia Eksisi kelenjar Bartholin 865 355
Marsupialisasi kelenjar Bartholin 865 355 Vulvektomi mudah 2145 760 Eksisi tisu labial berlebihan 725 435 Vulvektomi radikal termasuk diseksi blok kelenjar inguinal
2895 985
Eksisi lesi vulva 580 355
(l) Pembedahan pediatrik Penyaliran abses paru-paru 2480 1125 Laparotomi NEC 4750 2500 Penutupan peringkat tunggal epispadias 3600 2110 Eksisi barah kemuncak neural (torasik) 3600 2110 Eksisi transternal teratoma 3600 2110 Eksisi transternal limfangioma 4750 2500 Endoskopi dan kanulasi fistula trakea 1565 570 Eksisi sista bronkial 3600 2110 Pembaikan paru-paru 2895 1815 Eksisi duplikasi esofageal 3600 2110 Pembaikan jenis H bagi Tetralogi Fallot (TOF)
3600 2110
Pembaikan belah trakeo-esofageal 5970 2930 Torakotomi dan pembaikan primer atresia esofageal
4750 2500
Pembaikan TOF berulang 5970 2930 Torakotomi dan pembahagian fistula 2895 1815 Esofagostomi 1760 625 Transeksyen esofageal 2705 1550
P.U. (A) 358
37
Rectosigmoidektomi dengan rekonstruksi koloanal bagi penyakit Hirshsprung
4750 2500
Modifikasi Lester-Martin Duhamel 5970 2930 Pembedahan Kimura bagi aganglionosis kolonik total
7030 3305
Tampalan ileosekal/jejunal bagi aganglionosis kolonik total
7030 3305
Suntikan prasakral larutan garam hipertonik
480 265
Insersi jahitan mengelilingi sfinkter perianal
480 265
Anorektoplasti sagital posterior 3600 2110 Anorektoplasti sagital posterior dengan laparotomi bagi anomali anorektal jenis tinggi
4750 2500
Anorektoplasti sagital anterior 2895 1815 Pull-through sakroperineal 2895 1815 Anorektorvaginouretoplasti sagital posterior bagi kloakal jenis pertengahan
5970 2930
Anorektovaginouretoplasti sagital posterior dengan laparotomi bagi jenis tinggi
7030 3305
Pembuatan semula anaorektoplasti sagital posterior bagi anomoli anorektal
5970 2930
Anoplasti 1760 625 Penyaliran sista koledokal 2390 985 Pembedahan Kasai bagi biliari atresia 7030 3305 Splenektomi subtotal 3600 2110 Pembaikan limpa 2705 1550 Aortopeksi (bagi trakriomalasia) 3600 2110 Insersi perkutaneus tiub nefrostomi 1160 435 Ureterostomi kutaneus 1565 570 Eksisi ureterosil 2480 1125 Eksisi ureterosil ektopik 2570 1320 Penutupan eksostrofi pundi kencing 5970 2930 Penukaran ekstrofi klokal kepada ekstrofi pundi kencing dengan kolostomi akhir
4750 2500
Penukaran ekstrofi klokal, ileostomi, pemisahan sekum daripada kedua-dua pundi kencing hemibladders
7030 3305
Vesikostomi 1760 625 Apendikovasikostomi Mitrofanoff 3600 2110 Pembaikan hipospadias kelenjar (cth: MAGPI)
1565 570
Pembaikan hipospadias penis distal (cth: pembaikan Flip-flap)
2390 985
Penutupan fistula uretra 1000 405
P.U. (A) 358
38
Pembaikan peringkat pertama hipospadias penis
1565 570
Pembaikan flap pulau peringkat tunggal proksimal atau hipospadias penoskrotal
3600 2110
Pembaikan peringkat tunggal bagi hipospadias dengan transposisi penoskrotal
4750 2500
Rekonstruksi lelaki peringkat tunggal dengan vaginektomi bagi genitalia meragukan
7030 3305
Pembetulan transposisi penoskrotal 1890 685 Pembetulan kordae tanpa hipospadias (tiada keperluan bagi dretroplasti)
1565 570
Pembaikan peringkat kedua hipospadias 1565 570 Pembetulan kordae penis tanpa hipospadias yang memerlukan uretroplasti
2895 1815
Pembaikan hipospadias dengan graf bebas pundi kencing atau mukosa mulut
4750 2500
Eksplorasi skrotum 1000 405 Pemindahan mikrovaskular testis ke skrotum
2705 1550
Laparoskopi dan orkidopeksi bagi testis intraabdomen
2145 820
Laparotomi dan pengikatan arteri testikular
865 355
Pembahagian laparoskopik arteri testikular
1565 570
Pembelahan dorsal prepus 405 265 Reduksi klitoroplasti bagi hiperplasia adrenal congenital
2705 1550
Reduksi klitoroplasti dengan vaginoplasti bagi hiperplasia adrenal kongenital
4750 2500
Reduksi klitoroplasti, laparotomi dan vaginoplasti-kolon sigmoid
7030 3305
Reduksi semula klitoroplasti dengan vaginoplasti - semula dengan laporotomi dan sigmoid
7030 3305
Eksisi sistik higroma servikal - kecil 1160 435 Eksisi sistik higroma servikal - besar 2480 1125 Eksisi sistik higroma servikal - menyeluruh/ekstensif
3600 2110
Pembetulan hidrosil - unilateral 1000 Pembetulan hidrosil - dwisisi 1760 Penutupan eksomfalos major/gastroskisis - penutupan primer
3600
P.U. (A) 358
39
Penutupan eksomfalos major/gastroskisis - penutupan silastik
2145
Penutupan eksomfalos major/gastroskisis - penutupan primer tertunda
2570
(m) Pembedahan ortopedik pediatrik Dislokasi kongenital pinggul (CDH)
Reduksi tertutup dengan/tanpa bius dan spika pinggul
865 355
Reduksi tertutup dengan pemakaian alat sokongan
315 265
Reduksi terbuka dengan dengan spika pinggul
1890 685
Reduksi terbuka dengan osteotomi pelvik 2305 940 Reduksi terbuka dengan osteotomi femoral
2305 940
Reduksi terbuka dengan osteotomi pelvik dan femoral
2705 1550
Lutut Pembetulan kecacatan melalui penuangan bersiri
315 265
Pembetulan kecacatan dengan pelepasan tisu lembut
1340 505
Pembetulan kecacatan melalui osteotomi 2305 940 Penstabilan patela melalui penuangan 1160 435 Pseudoartrodesis Eksisi dan graf hidup 2895 1815 Eksisi dan pemindahan tulang 2705 1550 Pemanjangan tulang dan pembetulan kecacatan
Menggunakan rangka bulat 2705 1550 Menggunakan rangka uniaksial 2480 1125 Menggunakan rangka bulat dan uniaksial (digabungkan)
2705 1550
Kaki Pembetulan kaki belantan melalui penuangan
315 265
Pembetulan kaki belantan melalui pemanjangan tendon Achilles
725 315
Pembetulan kaki belantan melalui pelepasan tisu lembut sepenuhnya
1760 625
Pembetulan kaki belantan melalui rangka bulat
1760 625
P.U. (A) 358
40
Pembetulan kecacatan melalui pemindahan tendon dan pelepasan tisu lembut
2145 820
Pembetulan kecacatan melalui osteotomi dan cantuman tulang
2145 820
Artrodesis 2145 820 Polio dan Palsi serebrum
Pelepasan tisu lembut dan neurektomi pinggul - dwisisi
1340 505
Pelepasan tisu lembut lutut - dwisisi 1340 505 Pelepasan tisu lembut pergelangan kaki - dwisisi
1340 505
Pemindahan tendon 1565 570 Atrodesis
2145 820
Reseksi tumor dan penyelamatan anggota Tumor tisu lembut - mudah 2145 820 Tumor tisu lembut - kompleks termasuk rekonstruksi neurovaskular
7030 3305
Tumor tulang dengan endoprostesis 7030 3305 (n) Patologi (Patologi anatomi) Eksisi spesimen tidak kompleks – (cth: apendiks, tiub fallopian, vas, tonsil,
adenoid, sista sebaseus, polip hidung, injap jantung)
55 - 70
Eksisi spesimen lebih kompleks
Biopli diagnostik (baji/tebuk/trucut) (satu blok parafin)
115 - 135
Spesimen saiz pertengahan – (cth: mata, kelenjar air liur,tiroid,ketulan payudara, pundi hempedu,cebisan prostat, splenektomi, histerekromi, mudah, sista ovari,keratan ulser diabetik, keratan tumor tidak lebih daripada 10 sm, biopsi diagnostik dihantar sebagai 2 hingga 3 spesimen berasingan)
170 - 225
Spesimen besar- (cth: laringektomi, pneurnonektomi, mastektomi biasa, wayar penyangkut payudara dengan jidar, gastrektomi, reseksi usus, nefreketomi, histerktomi total dan salfingoooferektomi dwisisi (TAHBSO), biopsi kon, potongan anggota
345 - 420
P.U. (A) 358
41
(kecuali diabetes), keratan tumor lebih daripada 10 sm, biopsi diagnostik dihantar sebagai 4 hingga 10 spesimen berasingan)
Spesimen radikal – (cth: keratan radikal leher, mastektomi dengan pembersihan aksilari, Whipple's Wertheim's, vulvektomi dengan adenektomi limfa, dan sebarang pemotongan radikal yang lain yang memerlukan margin dan status kelenjar limfa)
440 - 490
Histopatologi pengkhususan
Hepar bagi keadaan bukan neoplastik termasuk pewarna khusus
205 - 240
Otot termasuk pewarna khusus 280 - 345 Biopsi buah pinggang termasuk pewarna khusus dan imunofluoresen
410 - 485
Kecelaruan limfoproliferatif termasuk imunohistofenotaiping limfoma
280 - 345
Seksyen beku (dengan seksyen laporan paraffin susulan)
410 - 555
Autopsi Lawatan ke tempat jenayah 410 - 685 Tatacara dan laporan 685 - 1375
Sitopatologi Laporan calitan ginekologi 45 - 50 Laporan calitan bukan ginekologi 85 - 95 Tatacara sedutan sitologi 315 Laporan sedutan sitologi 165 - 205
Hematologi dan transfusi Laporan berdasarkan filem darah 45 - 70 Tatacara sedutan sum-sum tulang 480 Laporan sedutan sum-sum tulang 135 - 275 Tatacara trefin sum-sum tulang 580 405 Laporan trefin sum-sum tulang 135 - 275 Laporan ujian koagulasi 70 - 135
Laporan kajian ke atas hematologi khusus - (cth: status folat-B12, ujian Coomb's,
analisis hemoglobin, sitokemistri, dsb.)
70 - 135
Laporan transfusi asas - (cth: perbezaan kumpulan dan
ketidakserasian darah/produk darah)
45 - 70
Laporan masalah transfusi 135 - 275 Feresis 1000
P.U. (A) 358
42
Tuaian sum-sum tulang 1340 Graf sum-sum tulang 1340
Genetik
Kajian kromosom imunofluoresen 135 - 410 Imunofenotaiping 135 - 410 Kandungan asid deoksiribonukleik (DNA)(Ploidi)
135 - 410
Kajian penyusunan semula baka 135 - 410 Subset limfosit 135 - 410 Laporan kajian genetik molekular lain 135 - 410 Ujian paterniti 135 - 410 Penjenisan antigen leukosit manusia (HLA)
135 - 410
Imunologi
Laporan penyelidikan imunologi umum (cth: saringan penyakit autoimun, saringan autoantibodi)
40 - 70
Laporan ujian imunologi khusus (cth: elektroforesis protin serum, elektroforesis cecair serebrospinal (CSF), imunotaiping protin monoklonal, imunofenotaiping kecelaruan imun, ujian protinurit, kajian fungsi sel)
70 - 275
Mikrobiologi perubatan
Laporan kultur dan sensitiviti rutin 15 - 20 Laporan kultur khusus 70 - 135 Laporan pemeriksaan calitan terus (gram/basili fast asid (AFB))
45 - 55
Laporan ujian serologi 45 - 55 Laporan ujian serologi khusus 70 - 135 Laporan bagi ujian kerentanan antimikrobial (per ujian)
105 - 205
Perundingan atas perawatan pesakit (siasatan dan terapi empirikal)
105 - 135
Pemeriksaan calitan kultur darah positif dan laporan awal dengan perundingan bagi perawatan pesakit
135 - 205
Perundingan kawalan jangkitan 135 - 205 Laporan penemuan antijen (Imunofluoresen, Esei imunosoiben dihubungkan enzim IgG (ELISA), lateks/koaglutinasi)
70 - 105
P.U. (A) 358
43
Patologi kimia Laporan profil kimia umum (cth: hepar,tulang, jantung)
45 - 70
Laporan saringan kimia umum termasuk saringan eksekutif
70 - 205
Laporan siasatan kimia khusus (cth: kajian metabolik (lipid, tulang) kecelaruan endokrin, kajian toksikologi, pemantauan ubatan terapeutik penilaian kesihatan ibu dan janin)
70 - 410
Laporan kajian dinamik (cth: kajian fungsi (GIT, endokrin, renal))
115 - 410
Perundingan bagi -
Strategi siasatan 105 - 135 Variasi bukan analitikal 105 - 135 Gangguan ubatan 105 - 135 Korelasi di antara data klinikal dan maklumat klinikal yang disediakan
105 - 135
Pelbagai
Mikroskopi elektron 340 - 410 Pandangan kedua - Mentafsir data dan slaid sumsum tulang 135 - 275 Histopatologi dan sitopatologi 275 - 685 Penemuan autopsi 275 - 1375
(o) Psikiatrik-Psikoterapi Psikoterapi perseorangan - tidak kurang daripada 45 minit bagi setiap sesi termasuk terapi tingkah laku dan hipnoterapi
250
Psikoterapi berkumpulan bagi setiap seorang - satu jam bagi setiap kumpulan yang tidak kurang daripada tiga orang pesakit dan tidak lebih daripada lapan orang pesakit
65
Terapi perkahwinan bagi setiap pasangan - tidak kurang daripada 45 minit bagi setiap sesi bagi suatu pasangan serentak
250
Terapi keluarga bagi setiap keluarga - tidak kurang daripada 45 minit bagi setiap sesi dan tidak kurang daripada tiga anggota
250
Psikoterapi kanak-kanak - tidak kurang daripada 30 minit bagi setiap sesi
250
P.U. (A) 358
44
termasuk temuduga keluarga berkaitan Setiap terapi elektrokonvulsif (ECT) 315
(p) Radiologi dan imejan diagnostik
Nota: Jika berkenaan, fi pakar radiologi menjadi 30% daripada jumlah fi yang boleh dicajkan bagi radiologi dan imejan diagnostik.
Dada Dada (satu pandangan) 45 Dada (dua pandangan) 70 Dada (tiga pandangan) 90 Dada (empat pandangan) 115
Abdomen Abdomen (satu pandangan) 45 Abdomen (dua pandangan) 70 Abdomen (tiga pandangan) 90 Ginjal, ureter dan pundi kencing (KUB) (satu pandangan)
115
Pelvimetri lateral 55 Pelvimetri antero-posterior (AP) dan lateral
90
Spina
Spina servikal (satu pandangan) 45 Spina servikal (dua pandangan) 70 Spina servikal (tiga pandangan) 92 Spina servikal (empat pandangan) 115 Spina servikal (lima pandangan) 135 Spina torasik (satu pandangan) 45 Spina torasik (dua pandangan) 70 Spina torasik (tiga pandangan) 90 Spina lumbo-sakral (satu pandangan) 45 Spina lumbo-sakral (dua pandangan) 70 Spina lumbo-sakral (tiga pandangan) 90 Spina lumbo-sakral (empat pandangan) 115 Kaji selidik skeletal 250
Tengkorak
Tengkorak (satu pandangan) 45 Tengkorak (dua pandangan) 70 Tengkorak (tiga pandangan) 90 Tengkorak (empat pandangan) 115 Tulang muka
P.U. (A) 358
45
Tulang muka (satu pandangan) 45 Tulang muka (dua pandangan) 70 Tulang muka (tiga pandangan) 90 Tulang hidung (satu pandangan) 45
Mandibel
Mandibel (satu pandangan) 45 Mandibel (dua pandangan) 70 Mandibel (tiga pandangan) 90
Sendi temporo-mandibular
Sendi temporo-mandibular (satu pandangan)
45
Sendi temporo-mandibular (dua pandangan)
70
Sendi temporo-mandibular (tiga pandangan)
90
Sendi temporo-mandibular (empat pandangan)
115
Mastoid
Mastoid (satu pandangan) 45 Mastoid (dua pandangan) 75 Mastoid (tiga pandangan) 110 Mastoid (empat pandangan) 130
Sinus paranasal
Sinus paranasal (satu pandangan) 45 Sinus paranasal (dua pandangan) 70 Sinus paranasal (tiga pandangan) 90
Pandangan foramina optik
Sesisi 70 Dwisisi 105
Orbit
Orbit (dua pandangan) 45 Orbit (tiga pandangan) 70 Orbit (empat pandangan) 90
Kanal auditori internal
Kanal auditori internal (satu pandangan) 45 Kanal auditori internal (dua pandangan) 70 Kanal auditori internal (tiga pandangan) 90
Bahu
Bahu (satu pandangan) 45
P.U. (A) 358
46
Bahu (dua pandangan) 70 Bahu (tiga pandangan) 90 Bahu (empat pandangan) 115 Sendi akromioklavikular - kedua-dua belah menanggung berat
55
Lengan atas (Humerus)
Lengan atas (satu pandangan) 45 Lengan atas (dua pandangan) 70
Sendi siku
Sendi siku (satu pandangan) 45 Sendi siku (dua pandangan) 70 Sendi siku (tiga pandangan) 90 Sendi siku (empat pandangan) 115
Lengan bawah (Radius/Ulna)
Lengan bawah (satu pandangan) 45 Lengan bawah (dua pandangan) 70
Sendi pergelangan tangan
Sendi pergelangan tangan (satu pandangan)
45
Sendi pergelangan tangan (dua pandangan)
70
Sendi pergelangan tangan (tiga pandangan)
90
Sendi pergelangan tangan (empat pandangan)
115
Tangan
Tangan (sebelah - satu pandangan) 45 Tangan (sebelah - dua pandangan) 70 Tangan (sebelah - tiga pandangan) 90 Tangan (kedua-dua belah - satu pandangan)
55
Tangan (kedua-dua belah - dua pandangan)
80
Tangan (kedua-dua belah - tiga pandangan)
105
Tangan kiri bagi usia tulang 45 Ibu jari atau setiap jari lain
Ibu jari atau setiap jari lain (satu pandangan)
30
Ibu jari atau setiap jari lain (dua pandangan)
40
P.U. (A) 358
47
Klavikel Klavikel (satu pandangan) 45 Klavikel (dua pandangan) 70
Sendi sterno-klavikel
Sendi sterno-klavikel (satu pandangan) 45 Sendi sterno-klavikel (dua pandangan) 70 Sendi sterno-klavikel (tiga pandangan) 90 Sternum (satu pandangan) 45
Skapula
Skapula (satu pandangan) 45 Skapula (dua pandangan) 70
Pandangan kanal karpal 70 Pandangan skafoid 90
Pelvis
Pelvis (satu pandangan) 50 Pelvis (dua pandangan) 75 Pelvis (tiga pandangan) 95
Sendi pinggul
Sendi pinggul (satu pandangan) 50 Sendi pinggul (dua pandangan) 75 Sendi pinggul (tiga pandangan) 95 Sendi pinggul (empat pandangan) 120 Sendi pinggul (lima pandangan) 145
Femur (paha) Femur (satu pandangan) 50 Femur (dua pandangan) 70
Lutut Lutut (satu pandangan) 45 Lutut (dua pandangan) 70 Lutut (tiga pandangan) 90 Lutut (empat pandangan) 115 Lutut (lima pandangan) 135 Tulang keting (Tibia/Fibula) Tulang keting (satu pandangan) 45 Tulang keting (dua pandangan) 70
Pergelangan kaki Pergelangan kaki (satu pandangan) 45 Pergelangan kaki (dua pandangan) 70
P.U. (A) 358
48
Pergelangan kaki (tiga pandangan) 90 Pergelangan kaki (empat pandangan) 115 Pergelangan kaki (lima pandangan) 135
Kaki Kaki (satu pandangan) 45 Kaki (dua pandangan) 70 Kaki (tiga pandangan) 90 Kedua-dua belah kaki (dua pandangan) 80 Kedua-dua belah kaki (tiga pandangan) 105
Sendi subtalar Sendi subtalar (satu pandangan) 45 Sendi subtalar (dua pandangan) 70 Sendi subtalar (tiga pandangan) 90 Sendi subtalar (empat pandangan) 115
Kalkaneum Kalkaneum (satu pandangan) 45 Kalkaneum (dua pandangan)
70
Densitometri tulang Dexa 170 Ultrasound 150
Pemeriksaan radiografik berkontras (fi pakar radiologi dalam parentesis)
Barium telan (40%) 115 Barium makan (kontras berganda) (40%) 170 Barium makan dan ikut lalu (40%) 205 Enema usus kecil (40%) 205 Gastrografin atau kontras bukan berion kajian gastrointestinal atas (40%)
205
Enema Barium (satu kontras atau berganda dua) (40%)
205
Gastrografin atau enema kontras bukan berion (40%)
205
Loopogram (40%) 205 Intubasi duodenum (40%) 230 Kolesistogram oral (Satu dos) (30%) 135 Kolesistograrn oral (dos berganda dua) (30%)
170
Sistogram (30%) 205 Ureterogram menaik ((40%) 230 Sistouretgram kencing (40%) 285 Pailogram retrogred - sebelah (30%) 135 Pailogram retrogred - dua belah (30%) 205
P.U. (A) 358
49
Kajian konduit ilium (40%) 205 Pailogram nefrostomi - sebelah (30%) 170 Pailogram nefrostomi - dua belah (30%) 235 IVU dos kontras standard (30%) 230 IVU dos kontras standard dan tomogram (30%)
265
IVU dos kontras berganda dua (30%) 310 IVU dos kontras berganda dua dan tomogram (30%)
345
IVU dos standard dan radiograf tertunda (30%)
285
IVU dos kontras berganda dua dan radiograf tertunda (30%)
365
IVU dos standard dan tomogram dan radiograf tertunda (30%)
320
IVU dos kontras berganda dua dan tomogram dan radiograf tertunda (30%)
400
Kolangiogram tiub-T (30%) 135 Kolangiogram pembedahan (30%) - laporan segera sahaja
285
Histerosalfingogram (kontras berion) (30%) - saringan dan laporan sahaja
135
Histerosalfingogram (kontras bukan ion) (30%) - saringan dan laporan sahaja
135
Histerosalfingogram serta kontras berion (keseluruhan tatacara) (40%)
205
Histerosalfingogram serta kontras bukan berion (keseluruhan latacara) (40%)
230
Sinogram (40%) 170 Sialogram kelenjar parotid - sebelah (50%)
230
Sialogram kelenjar parotid - dua belah (50%)
460
Sialogram kelenjar submandibular - sebelah (50%)
230
Sialogram kelenjar submandibular - dua belah (50%)
460
Artrogram - sebelah (50%) 230 Artrogram - dua belah (50%) 400 Mailogram lumbar (kontras bukan berion larut air) (50%)
515
Mailogram servik/torasik (50%) 605 Bronkogram - sebelah (40%) saringan, laporan serta radiograf sahaja
230
Bronkogram - kedua belah (40%) saringan, laporan serta radiograf sahaja
345
P.U. (A) 358
50
Tomografi Tomogram - satu satah (30%) 195 Tomogram - dua satah (30%) 250 Tomogram - fosa pituitari AP/Lateral (30%)
195
Mamogram
Mamografi sehingga empat pandangan (35%)
230
Mamografi dan satu pandangan tambahan (35%)
265
Mamografi dan dua pandangan tambahan (35%)
295
Mamografi dan tambahan ultrasound terhad (35%)
285
Imbasan tomografi komputer (imbasan CT) Nota: Caj di atas adalah berdasarkan kepada 100 ml kontras intravena bukan berion kecuali bagi CT otak/orbit - 50 ml
Otak (tanpa kontras) (30%) 400 Otak (dengan kontras bukan ionik) (35%) 490 CT otak kompleks (50%) 630 Abdomen (tanpa kontras) (30%) 400 Abdomen (dengan kontras bukan ionik) (35%)
515
Abdomen dua fasa (40%) 630 Abdomen tiga fasa (40%) 745 Abdomen empat fasa (40%) 915 Abdomen kompleks (40%) 860 Pelvis (tanpa kontras) (30%) 345 Pelvis (dengan kontras bukan ionik) (35%)
460
Pelvis kompleks (50%) 570 Spina - servikal atau lumbar (tanpa kontras) (30%)
400
Spina - servikal atau lumbar (dengan kontras bukan ionik intraspinal (50%))
745
Spina kompleks (50%) 860 Spina - torasik (tanpa kontras) 30% 460 Spina - torasik (dengan kontras bukan ionik intraspinal ) 50%
745
Spina kompleks (50%) 860 Dada (tanpa kontras) (30%) 345 Dada (dengan kontras bukan ionik) (35%)
460
P.U. (A) 358
51
Dada kompleks (50%) 570 Saringan CT dos rendah ke atas dada (30%)
285
Resolusi tinggi tomografi berkomputer (HRCT) - inspiratori atau ekspiratori (30%)
345
HRCT - inspiratori serta ekspiratori (40%)
515
Leher/Tiroid (tanpa kontras) (30%) 345 Leher/Tiroid (dengan kontras bukan berion) (30%)
460
Ruang posnasal dan leher (tanpa kontras) (30%)
515
Ruang posnasal dan leher (dengan kontras bukan ionik) (30%)
630
Ruang posnasal kompleks (50%) 745 Orbit (tanpa kontras) (20%) 345 Orbit (dengan kontras bukan ionik) (25%)
460
Orbit kompleks (50%) Fosa Pituitari (tanpa kontras) (20%) 345 Fosa Pituitari (dengan kontras bukan ionik) (25%)
460
I.A.M. (tanpa kontras) (20%) 345 I.A.M. (dengan kontras bukan berion) (25%)
460
Imbasan badan total (otak, leher, dada, abdomen dan pelvis) (tanpa kontras) (20%)
1030
Imbasan badan total (dengan kontras bukan berion) (25%)
1145
Imbasan badan total yang kompleks (50%)
1260
Dada, abdomen dan pelvis (tanpa kontras) (20%)
915
Dada, abdomen dan pelvis (dengan kontras bukan berion) (25%)
1030
Dada, abdomen dan pelvis kompleks (50%)
1145
Spiral CT abdomen dan pelvis bagi batu karang (tanpa kontras intravena (IV)) (30%)
345
CT sinus paranasal bersatah tunggal beresolusi tinggi bagi sinusitis (tanpa kontras) (20%)
230
CT sinus paranasal bersatah tunggal (tanpa kontras) (20%)
345
P.U. (A) 358
52
CT sinus paranasal bersatah tunggal (dengan kontras bukan berion) (25%)
460
Abdomen dan pelvis (tanpa kontras) (30%)
685
Abdomen dan pelvis (dengan kontras) (35%)
800
Abdomen dan pelvis kompleks(50%) 915 Dada dan abdomen atas (tanpa kontras) (30%)
685
Dada dan abdomen atas (dengan kontras) (35%)
800
Dada dan abdomen atas kompleks (50%) 915 CT dua sistem (tidak tersenarai di atas) - (tanpa kontras) (30%)
685
CT dua sistem (tidak tersenarai di atas) - (tanpa kontras) (35%)
800
CT dua sistem (tidak tersenarai di atas) (kompleks) (50%)
915
CT ekstremiti (tanpa kontras) (satu kawasan) (30%)
400
CT ekstremiti (dengan kontras satu kawasan) (35%)
515
CT ekstremiti kompleks (50%) 630 Ultrasound
Abdomen atas (40%) 170 Pelvis (40%) 135 Abdomen dan pelvis (50%) 230 Ginjal dan pundi kencing (40%) 115 Ginjal dan pundi kencing serta anggaran isi padu urin baki (50%)
135
Otak (neonatal) (40%) 135 Ultrasound terperinci imbasan janin 285 Tiroid (40%) 115 Payudara (40%) 160 Ultrasound Doppler karotid ekstrakranium (50%) -
400
Ultrasound Doppler arteri bagi satu kawasan (50%)
285
Ultrasound Doppler vena bagi satu anggota (50%)
285
Ultrasound Doppler vena bagi dua anggota (50%) -
460
Ultrasound Doppler arteri bagi satu anggota (50%)
345
Ultrasound Doppler arteri bagi dua anggota (50%)
515
P.U. (A) 358
53
Ultrasound otot skeletal bagi setiap kawasan (40%)
170
Ultrasound skrotum (40%) 115 Ultrasound Doppler bagi skrotum (50%) 230 Ultrasound Doppler bagi organ lain (setiap organ) yang tidak tersenarai di atas (50%)
345
Ultrasound endokavitari (50%) 170 Ultrasound jantung bagi penyakit perikardial
90
Caj tambahan bagi setiap pemeriksaan ultrasound bergerak (boleh dibayar kepada pakar radiologi semasa waktu bekerja biasa)
55
Caj tambahan bagi setiap pemeriksaan ultrasound bergerak (boleh dibayar kepada pakar radiologi selepas waktu bekerja biasa)
170
Saringan
Pankreatografi kolangio endoskopik retrogred (ERCP) (30%) (saringan dan laporan sahaja) -biasa
230
ERCP biasa (30%) (saringan dan laporan sahaja -kompleks
345
Pengimejan Resonan Magnetik (MRI)
Otak
Otak (tanpa kontras) 800 Otak (dengan kontras) 1030 Otak dengan angiografi resonans magnetik (MRA) (inkranium)
1375
Otak dengan MRA serta kontras 1600 Otak dengan MRA serta karotid dwisisi serta kontras
2060
MRA karotid intrakranium atau ekstrakranium
800
MRV otak - biasa 800 MRV otak - kompleks 1030 Pituitari (tanpa kontras) 800 Pituitari (dengan kontras) 1030 Pituitari (dengan kontras dinamik) 1375 I.A.M (tanpa kontras) 800 I.A.M (dengan kontras) 1030 I.A.M serta otak (tanpa kontras) 1375 I.A.M serta otak (dengan kontras) 1600
P.U. (A) 358
54
Orbit Orbit (tanpa kontras) 800 Orbit (dengan kontras) 1030 Orbit dan otak (tanpa kontras) 1375 Orbit dan otak (dengan kontras) 1600
Leher Leher (tanpa kontras) 800 Leher (dengan kontras) 1030 Leher dan otak (tanpa kontras) 1485 Leher dan otak (dengan kontras) 1715 Pleksus Brakial (tanpa kontras) 915 Pleksus Brakial (dengan kontras) 1145
Toraks
Mediastinum (tanpa kontras) 800 Mediastinum (dengan kontras) 1030
Kardiak
MRI Kardiak - biasa 1145 MRI Kardiak - pertengahan 1715 MRI Kardiak - kompleks 2290 MRA Torasik - biasa 1030 MRA Torasik - pertengahan 1260 MRA Torasik - kompleks 1485 MRA Pulmonari - biasa 1030 MRA Pulmonari - pertengahan 1260 MRA Pulmonari - kompleks 1485 (Surcaj bagi setiap l0ml agen kontras MRI intravena (IV))
285
Abdomen atas
Abdomen atas - biasa 1030 Abdomen atas - pertengahan 1260 Abdomen atas - kompleks 1485 Magnetik resonans kolangiopankreatikografi (MRCP)
800
Magnetik resonans urografi 800 MRA abdomen atas - biasa 1030 MRA abdomen atas - pertengahan 1260 MRA abdomen atas - kompleks/rumit 1485 (Caj tambahan bagi setiap 10ml agen kontras MRI intravena (IV))
285
Pelvis
Pelvis - biasa 1030 Pelvis - pertengahan 1260
P.U. (A) 358
55
Pelvis - kompleks 1485 MRI Pelvimetri 570 (caj tambahan bagi setiap 10ml agen kontras MRI intravena (IV))
285
Spina
MRI kesemua spina (tanpa kontras) (bagi tekanan korda)
1600
MRI kesemua spina (dengan kontras) (bagi tekanan korda)
1830
MRI spina servikal (tanpa kontras) 1030 MRI spina servikal (dengan kontras) 1375 MRI spina torasik (tanpa kontras) 1030 MRI torasik spina (dengan kontras) 1375 MRI spina lumbar (tanpa kontras) 1030 MRI spina lumbar (dengan kontras) 1375
Sendi (bahu, sternoklavikular, siku,pergelangan tangan, pinggul, sacro-iliac, lutut,pergelangan kaki, sub-tarsal)
MRI satu sendi (tanpa kontras) 1030
MRI satu sendi (dengan kontras) 1375
Kawasan (lengan atas, lengan bawah, tangan,peha, kaki bawah-betis, kaki)
MRI satu kawasan (tanpa kontras) 1145 MRI satu kawasan (dengan kontras) 1490 MRI Artrografi (fi pakar radiologi) 345
(q) Radioterapi dan onkologi
Rawatan iradiasi luaran (akselerator linear)- Lazimnya termasuk rawatan 5 kali seminggu pada dos 200cGy setiap rawatan
170
Rawatan iradiasi luaran menggunakan apa-apa pecahan lain haruslah dicaj berdasarkan dos penyamarataan biologi - rawatan menggunakan unit teleterapi Co 60 sepatutnya dicaj kurang 30% daripada fi rawatan harian
115 - 345
Fi rawatan termasuk fi kepakaran
Rawatan intrakavitari pada kadar dos rendah setiap sesi termasuk sumber radioaktif, aplikator
2860 - 5720
P.U. (A) 358
56
(tidak termasuk fi bagi wad, dewan bedah dan anestatik)
Rawatan ruang-antara (cth: implan termasuk sumber dan aplikator lain)
3430 - 5720
Radioterapi intrakaviti/intraluminal kadar dos tinggi bagi rawatan lengkap (tidak termasuk aplikator)
2290 - 5720
Terapi sitotoksik (tidak termasuk perundingan)
Infusi 570 - 860 Infusi berpanjangan 685 - 1030 Kemoterapi progresif sehari (berbilang hari)
170 - 285
(r) Kulit dan tisu subkutaneus Lesi kulit
Eksisi ulser tekanan koksik 865 685 Eksisi terkawal mikroskopikal lesi kulit atau tisu subkutaneus (kemosurgeri Moh)
2480 820
Eksisi melanoma malignan termasuk graf 2145 685 Eksisi lesi kulit atau tisu subkutaneus - sehingga tiga
405 405
Eksisi lesi kulit atau tisu subkutaneus - empat atau lebih
1000 505
Lesi yang memerlukan eksisi lebar termasuk eksisi ulser roden
1000 405
Pengkuretan/krioterapi lesi kulit termasuk pengkauteran - empat atau lebih
1000 315
Pemusnahan laser lesi kulit 580 265 Biopsi cukur lesi kulit 315 265 Pengeluaran benda asing tisu dalam 725 355 Penyaliran lesi kulit termasuk abses 370 265 Penyaliran abses subkutaneus besar/hematoma
580 405
Dermabrasi kawasan terhad kulit 580 315 Dermabrasi meluas kulit 1000 435 Eksisi dasar kuku (Zadeks) 725 435
Pembaikan
Sutur primer luka yang melibatkan tisu dalam
1340 625
Sutur sekunder kulit 370 315 Penyelitan/pengeluaran pengembang kulit ke dalam tisu
1340 505
P.U. (A) 358
57
Pembersihan luka (dan pembersihan pembedahan)
480 315
Luka terbakar
Eskaiektomi kulit luka terbakar atau tisu subkuraneus (tidak lebih daripada l0%)
1340 435
Eskarektomi kulit luka terbakar atau tisu subkutaneus (lebih daripada 10%)
1760 760
Balutan menyeluruh kulit luka terbakar atau tisu subkutaneus
480 625
Transplan
Flap jauh kulit dan otot 1890 940 Flap pulau neurovaskular 2390 940 Flap setempat besar termasuk miokutaneus dan fasia
1760 505
Flap setempat kecil 1760 505 Graf
Autograf belah kulit - tapak kecil 1000 505 Autograf belah kulit - tapak besar 2040 685 Graf ketebalan penuh 1160 685 Pemindahan tisu bebas mikrovaskular 3600 1550
(s) Spina, spina korda dan saraf periferi Kawasan servikal
Dekompresi posterior primer termasuk cantuman
3600 1320
Dekompresi posterior primer dengan cantuman dan pengalatan
3600 1320
Laminoplasti pintu terbuka bagi kawasan servikal (Hirobiashi)
3600 1320
Dekompresi posterior tinjauan semula termasuk cantuman
4750 1320
Dekompresi posterior tinjauan semula dengan cantuman dan pengalatan
4750 1320
Dekompresi anterior tinjauan semula termasuk cantuman
4750 1320
Dekompresi anterior tinjauan semula dengan cantuman dan pengalatan
4750 1320
Gabungan cantuman anterior dan posterior spina servikal termasuk pengalatan
5970 1815
Pembedahan trans oral termasuk fiksasi posterior
5970 1550
Disektomi endoskopik 7030
P.U. (A) 358
58
Laminektomi servikal 3600 Dekompresi dan cantuman pertemuan kranio servikal
7030
Eksisi posterior primer cakera servikal 2895 1320 Eksisi posterior tinjauan semula cakera intervertebra termasuk cantuman
4750 1320
Eksisi posterior tinjauan semula cakera intervertebra dengan cantuman dan pengalatan
4750 1320
Ekrisi anterior primer cakera termasuk cantuman
3600 1320
Eksisi anterior primer cakera dengan cantuman dan pengalatan
3600 1320
Eksisi anterior tinjauan semula cakera termasuk cantuman
4750 1550
Eksisi anferior tinjauan semula cakera dengan cantuman dan pengalatan
4750 1550
Kawasan torasik
Eksisi transtorasik primer/posterior/anterolateral cakera intervertebra termasuk cantuman
2895 1320
Eksisi transtorasik primer/posterior/anterolateral cakera intervertebra dengan cantuman dan pengalatan
2705 1320
Dekompresi posterior primer termasuk cantuman
3600 1320
Dekompresi posterior primer dengan cantuman dan pengalatan
3600 1320
Dekompresi posterior tinjauan semula termasuk cantuman
4750 1320
Dekompresi posterior tinjauan semula dengan cantuman dan pengalatan
4750 1320
Dekompresi anterior primer/transtorasik termasuk cantuman
4750 1320
Dekompresi anterior primer/transtorasik dengan cantuman dan pengalatan
4750 1320
Dekompresi anterior/transtorasik tinjauan semula termasuk cantuman
4750 1320
Kawasan lumbar
Eksisi posterior primer cakera intervertebra termasuk cantuman
2390 940
Eksisi posterior primer cakera intervertebra dengan cantuman dan pengalatan termasuk kestabilan graf
3600 1550
P.U. (A) 358
59
Eksisi posterior tinjauan semula cakera intervertebra termasuk cantuman
2895 1125
Eksisi posterior tinjauan semula cakera intervertebra dengan cantuman dan pengalatan
4750 1550
Eksisi transabdominal/retroperitoneum primer cakera intervertebra termasuk cantuman dan pengalatan
3600 1320
Eksisi anterior tinjauan semula cakera intervertebra termasuk cantuman
4750 1550
Eksisi anterior tinjauan semula cakera intervertebra dengan cantuman dan pengalatan
4750 1550
Dekompresi posterior primer spina, termasuk cantuman
2895 985
Dekompresi posterior primer dengan cantuman dan pengalatan
2895 985
Dekompresi posterior tinjauan semula dengan cantuman dan pengalatan
2895 1125
Dekompresi anterior primer termasuk cantuman
3600 1550
Dekompresi anterior primer dengan cantuman dan pengalatan
3600 1550
Dekompresi anterior tinjauan semula dengan cantuman dan pengalatan
4750 1815
Dekompresi gabungan anterior dan posterior termasuk cantuman dan pengalatan
5970 1815
Cantuman spina posterior dengan pengalatan bagi scoliosis, kifosis, fraktur, tumor atau jangkitan
5970 2110
Cantuman spina anterior dengan pengalatan bagi scoliosis, kifosis, fraktur, tumor atau jangkitan
7030 2500
Disektomi perkutaneus (atau laser) 2145 940 Mikrodisektomi 2390 940 Mikrodisektomi ulangan semula 2895 1125 Pengeluaran pembetulan pengalatan daripada spina
1565 625
Peninjau periksaan spina termasuk biopsi 1890 685 Manipulasi spina 580 405 Kemonukleolisis 1160 435
Korda spina Eksisi separa korda spina 4750 1550 Pembedahan terbuka korda spina 4750 1550 Pembaikan mielomeningosele spina 3600 1320
P.U. (A) 358
60
Eksisi lesi intradural 4750 1550 Penyaliran kanal spina termasuk penyelitan pintasan
2705 820
Punktur lumbar termasuk manometri spina
370 265
Eksisi tumor intramedula 4750 1550
Akar saraf Rizolisis (terbuka) 2705 820 Simpatektomi terbuka 7030 Simpatektomi endoskopik 7030
Saraf simpatetik Simpatektomi servikal toraskopik 2705 820 Simpatektomi lumbar laparoskopik 1890 760
Simpatektomi prasakral 1565 685
Rizotomi posterior selektif 7030
Saraf periferal Eksisi saraf periferal 865 435 Transeksi saraf periferal 865 435 Neurektomi (saraf major) 1340 505 Eksisi lesi saraf periferal 1000 435 Eksisi lesi (saraf major) 1340 505 Pembaikan primer saraf periferal termasuk mikrosurgeri
2040 820
Pembaikan sekunder saraf periferal termasuk mikrosurgeri
2145 760
Graf primer saraf periferal 2390 760 Graf sekunder saraf periferal 2390 685 Pembaikan primer saraf periferal 865 505 Pembaikan sekunder saraf periferal 1160 435 Pembaikan primer trunkus saraf 1000 505 Pembaikan sekunder trunkus saraf 1565 505 Pelepasan karpal atau terowong kubital termasuk endoskopik
865 435
Pelepasan karpal atau terowong kubital termisuk endoskopik - dwisisi
1565 760
Pelepasan saraf periferal terjerat jauh ke dalam
865 435
Pelepasan saraf periferal terjerat 865 435 Neuiolisis dan transposisi saraf periferal 1000 505 Pelepasan saraf periferal tinjauan semula 1565 505 Penanaman neurostimulator ke dalam saraf periferal
2040 315
Biopsi saraf periferal 865 355
P.U. (A) 358
61
Peninjauperiksaan dan graf pleksus brakial
1000 570
Kelegaan kesakitan
Blok paravertebra sehingga dua aras (di bawah kawalan sinar-X)
580
Blok akar sakral (di bawah kawalan sinar-X)
580
Blok simpatetik kawasan intravena (blok guanethadine) - satu suntikan
480
Blok simpatetik kawasan intravena (blok guanethadine) - tiga sesi
1000
Blok ganglion stelat (anestetik setempat (LA))
480
Blok ganglion stelat (neurolitik) 580 Blok pleksus seliak (LA atau neurolitik) 1160 Blok saraf splanknik - dwisisi (Anestetik setempat atau neurolitik)
1160
Blok ganglion akar dorsal (LA atau neurolitik)
1000
Blok ganglion akar dorsal (frekuensi setempat)
1565 315
Neurolisis intratekal 1160 Suntikan ganglion trigeminal (LA di bawah kawalan sinar-X)
1160
Lesi frekuensi radio ganglion trigeminal (di bawah kawalan sinar-X)
2145
Kordotomi perkutaneus korda spina 2705 940 Suntikan epidural (servikal) 725 265 Suntikan epidural (lumbar) 580 265 Suntikan epidural(torasik) 725 265 Suntikan bahan terapeutik ke dalam CSF 370 820 Termokoagulasi frekuensi radio (RF) permukaan atau sendi sakroiliak termasuk rizolisis (di bawah kawalan sinar-X dengan sedatif/(GA) - 3 sendi
1160 405
Termokoagulasi frekuensi radio (RF) permukaan atau sendi sakroiliak termasuk rizolisis (di bawah kawalan sinar-X dengan sedatif/GA) - 6 sendi
2040 685
Suntikan sendi permukaan (di bawah kawalan sinar-X dengan sedatif/GA) - 2 sendi
725 265
Suntikan sendi permukaan (di bawah kawalan sinar-X dengan sedatif/GA) - 4 sendi
865 315
Suntikan sendi permukaan (di bawah 1000 355
P.U. (A) 358
62
kawalan sinar-X dengan sedatif/GA) - 6 sendi Penanaman neurostimulator ke dalam saraf periferal
2040 315
Lesi saraf periferal (frekuensi radio, krioprob atau fenol)
725
Sekatan LA trunkus saraf major 370
Simpatektomi lumbar - diagnosis (LA di bawah kawalan sinar-X)
1000
Simpatektomi torasik - diagnosis (LA di bawah kawalan sinar-X)
1000
Simpatetik lumbar - terapeutik (neurolitik di bawah kawalan sinar-X)
1340 405
Simpatektomi torasik - terapeutik (neurolitik di bawah kawalan sinar-X)
1565 435
Krioterapi pada kelenjar pituitari 2570 940 Suntikan ke dalam sendi besar di bawah kawalan sinar-X
480
Tatacara neurofisiologikal
Terapi elektro-konvulsif (ECT) 315 265 Elektroeksefalografi (EEG) 315 Perekodan dan pelaporan ke atas kajian berpotensi rangsangan
580
Perekodan dan pelaporan ke atas elektromiografi (EMG) dan kajian konduksi saraf
580
Elektrokokleografi trans timpanik 725 (t) Torak dan organ intra-torasik Esofagus
Mobilisasi esofageal torakoskopik melalui mediastinum
4750 1815
Esofagogastrektomi 5970 2500 Esofagektomi menyeluruh dan interposisi usus
7030 3305
Eksisi terbuka lesi esofagus 1890 1125 Pintasan esofagus 2480 1550 Anastomosis esofageal tinjauan semula 2705 1320 Penutupan pintasan esofagus 2145 1125 Pembaikan tratrstorasik esofagus 3600 1320 Pembaikan toraskopik esofagus 2895 1320 Esofagokardiomiotomi (pembedahan Heller)
2040 985
Miotomi esofagogastrik toraskopik 2145 985 Suntikan skleroterapi bagi varisis esofageal
1000 685
P.U. (A) 358
63
Pembaikan transtorasik hernia hiatus 2305 940 Pembaikan transtorasik hernia diafragmatik
2305 940
Pembaikan transabdominal hemia hiatus 2145 760 Pembaikan transabdominal hernia diafragmatik
2895 820
Pembaikaan laparoskopik hernia hiatus 2145 760 Pembedahan anti-refluks transabdominal 2895 820 Pembedahan anti-refluks tinjauan semula 3600 1320
Dinding dada
Torakoplasti 2705 985 Eksisi tumor dinding dada 2390 940 Pembetulan kecacatan pektus dinding dada
2895 940
Fiksasi fraktur berbilang 2305 940 Eksploratori sternotomi median 1160 760 Eksploratori torakotomi 1565 760 Reseksi tulang rusuk dan penyaliran terbuka kaviti pleural
1565 760
Pembaikan pecahan pada diafragma 2895 1125 Plikasi diafragma yang lumpuh 2390 985 Pembaikan hernia diafragma kongenital 2705 1550
Trakea
Eksisi separa trakea termasuk rekonstruksi
3600 2110
Trakeoplasti 1760 625 Penempatan terbuka prostesis dalam trakea
1760 505
Trakeostomi 1000 570 Penyelitan mini-trakeostomi 580 405 Torakotomi, ligasi bagi Tetralogi Fallot (TOF) anastomosis esofageal
4750
Torakotomi, ligasi bagi TOF servikal esofagostomi
4750
Servikal esofagostomi dan gastrektomi 2305 Tatacara endoskopik fiberoptik di bawah anestesia setempat
Pemeriksaan fiberoptik trakea dan bronkus termasuk biopsi/pengeluaran bahan asing
725 505
Lavaj bronkus (diagnostik atau terapeutik)
865
Pendilatan striktur trakea termasuk penyelitan sten
865
P.U. (A) 358
64
Pendilatan striktur bronkus melalui bronkoskop fiberoptik
1000
Biopsi transbronkial 1000 Bronkus, paru-paru dan pleura
Pemeriksaan diagnostik bronkus menggunakan bronkoskop keras termasuk biopsi/pengeluaran bahan asing/pendilatan striktur
1000 505
Pneumonektomi total 3600 1550 Lobektomi terbuka paru-paru termasuk eksisi segmen
3600 1550
Reseksi paru-paru dengan reseksi dinding dada
5970 1815
Reseksi paru-paru toraskopik termasuk bantuan video
1890 685
Eksisi terbuka lesi paru-paru 2895 1320 Biopsi jarum paru-paru 480 315 Pendekorteksan pleura atau paru-paru 2895 1125 Pleurektomi bagi pneumotoraks 2480 985 Eksisi terbuka/biopsi lesi pleura 2705 940 Eksisi endoskopik lesi paru-paru/pleura 1000 505 Torakoskopi (serta/tanpa biopsi) pleura/paru-paru
580 505
Penyaliran kaviti pleura 580 315 Penyelitan saliran tiub ke dalam kaviti pleura
580 315
Pemasukan bahan ke dalam kaviti pleura dengan saliran dada
315 265
Biopsi pleura 580 315 Transplan paru-paru 7030 3305 Pembedahan pengurangan isi padu paru-paru
4750 2500
Mediastinum
Timektomi 2145 1550 Eksplorasi mediastinum 1160 760 Eksisi endoskopik lesi mediastinum 1340 505 Pemeriksaan endoskopik diagnosis mediastinum
1340 505
Pembedahan kardium jantung
Pembetulan Tetralogi Fallot (TOF) 7030 3305 Songsangan atrium bagi transposisi pembuluh besar
7030 3305
Pembetulan lain transposisi pembuluh besar
7030 3305
P.U. (A) 358
65
Pembetulan sambungan vena pulmonari anomalus total
7030 3305
Penutupan kecacatan septum atrioventrikel menggunakan tampalan prostetik dual
7030 3305
Penutupan kecacatan septum interatrium 7030 2930 Penutupan kecacatan septum interventrikel
7030 2930
Pembedahan terapeutik transluminal ke atas septum jantung
2895 2500
Pembentukan konduit injap kardium 7030 3305 Eksisi tumor kardium 7030 3305 Penggantian injap mitral termasuk valvuloplasti
7030 2930
Pembaikan plastik injap mitral 7030 2930 Penggantian injap aorta termasuk valvuloplasti
7030 2930
Penggantian injap trikuspid 7030 2930 Penggantian injap pulmonari termasuk valvuloplasti/valvotomi
7030 2930
Penggantian injap jantung tidak khusus 7030 2930 Valvotomi terbuka 7030 2930 Valvotomi tertutup (mitral/pulmonari) 4750 2500 Pembedahan terapeutik transluminal ke atas injap jantung
2705 2110
Pengeluaran penyumbatan daripada struktur bersebelahan injap jantung
7030 2930
Pintasan autograf bagi arteri koronari termasuk pengeluaran graf dan endarterektomi
7030 2930
Pembuatan semula pintasan arteri koronari termasuk pembuangan graf
7030 3305
Pembetulan arteri koronari anomali 7030 3305 Pembedahan terbuka ke atas sistem konduksi jantung
7030 2930
Pembaikan aneurisme ventrikel 5970 2930 Eksisi perikardium 3600 1125 Dekompresi tamponad kardium 2305 985 Insisi perikardium 1340 985 Graf pintasan arteri koronari midcab tanpa pam pintasan cardio-pulmonari
7030 3305
Pembedahan jantung terbuka dengan penerokaan minima dengan pam pintasan kardio-pulmonari
7030 3305
Alat bantuan ventrikular 7030 3305 Transplan jantung 7030 3305
P.U. (A) 358
66
Kardiologi jantung Angioplasti transluminal perkutaneus arteri koronari termasuk laser
2895 1550
Angioplasti transluminal perkutaneus dengan penyelitan sten
3600 1550
Pembedahan berpandukan peta bagi aritmia ventrikel termasuk pemetaan
2705 3305
Ablasi transluminal perkutaneus nodus ventrikel
2390 985
Ablasi transluminal perkutaneus laluan aksesori termasuk pemetaan
4750 1550
Pemetaan sistem konduksi (dalam pengasingan)
1565 820
Sistem perentak kardium dimasukkan melalui vena (bilik tunggal)
1565 820
Sistem perentak kardium dimasukkan melalui vena (dua bilik)
2145 820
Peletakan semula sistem perentak kardium intravena
1340 685
Penggantian penjana bagi sistem perentak kardium intravena
1760 760
Pengeluaran sistem perentak dengan pintasan
4750 2500
Pengeluaran sistem perentak tanpa pintasan
580 940
Penanaman kardiokonverter/detibrilator automatik
3600 940
Pengkateteran kardium dewasa termasuk arteriografi koronari/pengkateteran bahagian kanan/kiri jantung/radiologi kontras
1340 760
Pengkateteran kardium pediatrik 1565 820 Perikardiosentesis 1340 685 Angioplasti periferal transluminal perkutaneus (femoral, iliak, renal, popliteal, subklavian dan pembuluh distal lain)
2705 1550
Angioplasti periferal transluminal perkutaneus dengan peletakan sten
2895 1550
Angioplasti karotid transluminal perkutaneus dengan peletakan sten
4750 1550
Ablasi transluminal perkutaneus takikardia ventrikel
3600 1550
Pengubahsuaian transluminal perkutaneus nodus atrioventrikel
2480 985
Oklusi transluminal perkutaneus fistula koronari/malformasi arteriovenus (AV)
3600 1550
P.U. (A) 358
67
Pembuluh besar Pembetulan trunkus arteriosus 4750 3305 Ligasi tertutup duktus arteriosus paten 3600 2110 Oklusi prostesis transluminal perkutaneus duktus arteriosus paten
2895 1125
Penciptaan pintas ke arteri pulmonari daripada aorta menggunakan prostesis tiub
5970 2110
Sambungan ke arteri pulmonari daripada aorta
5970 2110
Penciptaan pintas ke arteri pulmonari daripada arteri subklavian menggunakan tiub prostesis antara kedudukan
4750 2110
Sambungan ke arteri pulmonari daripada arteri subklavian
5970 2110
Pembaikan arteri pulmonari 7030 2110 Pembedahan terbuka arteri pulmonari 3600 2110 Embolektomi pulmonari 5970 3305 Pembedahan transluminal ke atas arteri pulmonari
2705 1550
Penggantian kecemasan segmen aneurismal pada aorta menaik
7030 3305
Penggantian kecemasan segmen aneurismal pada aorta arkus
7030 3305
Penggantian kecemasan segmen aneurismal pada aorta torasik
7030 3305
Penggantian terancang segmen aneurismal pada aorta menaik
4750 2930
Penggantian terancang segmen aneurismal pada aorta arkus
7030 3305
Penggantian terancang segmen aneurismal aorta torasik
7030 3305
Penggantian aneurisme torakoabdominal 7030 3305 Prostesis aorta abdominal tinjauan semula
4750 2110
Eksisi graf aorta terinfeksi dengan pintasan
7030 3305
Pembaikan plastik aorta 4750 1815 Pembedahan belon transluminal perkutaneus pada aorta
1760 625
Lain-lain
Vagotomi gaster proksimal 2040 685 Vagotomi pilihan tinggi 2040 685 Vagotomi dengan piloroplasti 2145 820 Kardioversi eksternal 315 315 Ekokardiografi transoesofageal 1000 435
P.U. (A) 358
68
Pasukan tunggu sedia angioplasti koronari
315 355
(u) Sistem urinari dan organ reproduktif lelaki
Ginjal/pelvik renal
Pemindahan ginjal 4750 2500 Nefrektomi dan eksisi tisu sekeliling ginjal
2390 1125
Nefro-ureterektomi 2390 820 Eksisi ginjal dipindah tertolak 2040 760 Nefrektomi (dan dwisisi) 2040 820 Nefrektomi laparoskopik 2040 820 Eksisi separa ginjal 2145 820 Pieloplasti terbuka 2040 685 Pembaikan luka ginjal 2305 760 Pembuangan terbuka kalkulus dari ginjal 2390 685 Penyaliran ginjal 1760 760 Penyaliran pionefrosis 1760 760 Pembedahan terbuka lain ginjal 1890 685 Penyaliran abses perinefrik 1760 685 Fragmentasi endoskopik kalkulus ginjal 1890 685 Nefrolitotomi perkutaneus termasuk sistoskopi dan pengkateteran retrograd
3600 985
Pemeriksaan endoskopik diagnostik ginjal termasuk biopsi dan tatacara terapeutik lain
2040 685
Biopsi jarum halus perkutaneus lesi ginjal 480 355 Insersi perkutaneus tiub nefrostomi 1340 405 Biopsi jarum tru-kut perkutaneus lesi ginjal
865
Fragmentasi ekstrakorporeaum kalkulus ginjal (Litotripsi) - satu rawatan
1160 505
Fragmentasi ekstrakorporeum kalkulus ginjal tiada batu/satu kitaran rawatan
1565 625
Pengeluaran laparoskopi sista renal 2040 760 Pembedahan batu terbuka bagi ginjal ladam
3600
Piloplasti bagi ginjal ladam 3600 Ureter
Eksisi segmen ureter 1760 625 Pembentukan konduit ilium termasuk penanaman ureterik
2390 985
Penanaman semula dwisisi ureter ke dalam usus
2705 940
P.U. (A) 358
69
Penanaman semula satu sisi ureter ke dalam usus
2145 820
Penanaman semula dwisisi ureter ke dalam pundi kencing
2480 940
Penanaman semula satu sisi ureter ke dalam pundi kencing
1890 820
Penyambung lain bagi ureter 2145 820 Penggantian ilium atau kolonic bagi ureter
2895 940
Ureterostomi - penutupan 2145 685 Pembetulan terbuka refluks vesiko-ureterik - unilateral
2145 685
Pembetulan terbuka refluks vesiko-ureterik - dwisisi
3600 985
Ureterolitotomi terbuka 1890 685 Uretorolisis - unilateral 2145 685 Uretorolisig - dwisisi 2570 1320 Pembedahan nefroskopik terapeutik ke atas ureter
1760 820
Pengekstrakan ureterskopik kalkulus ureter
1340 435
Insersi endoskopik prostesis ke dalam ureter
1000 435
Pengeluaran prostesis dari ureter 480 435 Meatotomi ureterik 480 265 Pemeriksaan endoskopik ureter 865 435 Pielografi retrogred endoskopik 865 435 Gelombang kejutan ekstrakorporeum litotripsi kalkulus ureter
1160 685
Pembedahan pada orifis ureterik 725 505 Meatotomi endoskopik orifis ureterik 725 505 Biopsi ureterskop lesi 1565 570 Peralihan kontinen urinari 4750 Penggantian sistoskopi 4750 Transureteroureterostomi 2705 Insersi endoskopik prostesis tetap ke dalam ureter
2145
Pundi kencing
Tatacara anti - refluks endoskopik (dan dwisisi)
1340 505
Sistektomi menyeluruh (dengan pembinaan konduit usus atau pundi kencing)
4750 1550
Sistektomi separa 2040 685 Divertikulektomi pundi kencing 1760 685 Pembesaran pundi kencing 2895 820
P.U. (A) 358
70
Pembaikan pundi kencing 2145 685 Pembaikan fistula vesikokolik 2305 820 Pembaikan fistula vesikal kutaneus 1160 820 Sistostomi dan insersi tiub suprapubik ke dalam pundi kencing
725 625
Sistotomi tikaman 315 265 Pengeluaran terbuka kalkulus dari pundi kencing
1340 505
Eksisi terbuka lesi dari pundi kencing 1890 685 Reseksi endoskopik lesi pundi kencing 1890 685 Penghancuran endoskopik lesi pundi kencing
865 435
Transaksi endoskopik pundi kencing 1890 685 Pengembungan hidrostatik endoskopik pundi kencing
405 265
Sfinkterotomi 1160 435 Litolapaksi 1760 685 Ekstraksi endoskopik kalkulus pundi kencing
1000 435
Pengeluaran endoskopik bahan asing daripada pundi kencing
1000 435
Reseksi leher pundi kencing 1340 435 Pemeriksaan diagnostik endoskopik pundi kencing termasuk sebarang biopsi
580 315
Kajian urodinamik/penaksiran urodinamik
580
Penutupan sistostomi 865 435 Pembedahan gabungan abdominal dan vagina bagi menyokong saluran keluar pundi kencing wanita
1890 685
Pembedahan anduh suprapubik 1890 760 Gantungan retropubik leher pundi kencing
1890 685
Pembedahan vagina bagi menyokong saluran keluar pundi kencing wanita
1890 685
Penanaman sfinkter tiruan urinari ke pundi kencing dan/atau pengeluaran
2145 685
Pendilatan saluran keluar pundi kencing wanita (dengan sistoskopi)
580 355
Insisi endoskopik saluran keluar pundi kencing lelaki (dengan sistoskopi)
1340 435
Pembaikan fistula vesiko-vagina 2145 820 Vesiko-litotripsi endoskopik batu pundi kencing
1760 625
Sistoskopi dengan biopsi 1000 405 Reseksi endoskopik tumor jangkau dalaman pundi kencing
2145
P.U. (A) 358
71
Kontinen kantung/neo pundi kencing 4750 2500 Penutupan kombinasi abdomino-perineal fistula vesiko-vaginal
4750
Uretra
Uretrosele 1160 505 Eksisi karunkel uretra 370 265 Pembedahan endoskopik terapeutik pada saluran keluar pundi kencing wanita
725 405
Uretrektomi 1760 685 Reseksi injab uretra 1565 505 Pembaikan hipospadias 2040 685 Pembaikan epispadias 2480 685 Penutupan fistula uretra 865 505 Pembaikan fistula ureterorektal 1760 685 Ureteroplasti (mudah) 1760 625 Ureteroplasti (kompleks) 2040 685 Pembaikan pecahan pada uretra 2040 685 Eksisi pada divetilula uretra 1160 505 Eksisi pada prolaps uretra 480 405 Pembedahan endoskopik terapeutik pada uretra
865 435
Pengeluaran bahan asing daripada uretra 405 435 Pemeriksaan endoskopik diagnostik uretra dalam isolasi
405 265
Pendilatasian uretra 315 355 Uretrotomi dalaman termasuk sistoskopi 865 435 Penutupan eksostrofi pundi kencing 5970 Penutupan eksostrofi kloakal 7030 Pembaikan hipospadias - sedikit 2305 Pembaikan hipospadias - sederhana 2895 Pembaikan hipospadias - tersangat 3600
Prostat Eksisi terbuka prostat 2040 685 Prostektomi radikal, rekonstruksi leher pundi kencing termasuk limfadinektomi pelvik dwisisi
4750 1550
Biopsi terbuka lesi prostat 865 685 Reseksi endoskopik prostat (TURP) 2040 760 Biopsi endoskopik prostat 865 435 Terapi gelombangmikro transuretral 1565 570 Penyaliran abses prostat 1340 505 Hiperthermia prostatik (sehingga enam siri)
1565 570
Prostat, biopsi jarum 405 265 Ultrasound dan biopsi transrektal 580
P.U. (A) 358
72
Memasukkan sten uretra bagi kelegaan halangan prostat
1890 685
Genitalia
Meatoplasti 725 355 Meatotomi luaran orifis uretra 580 265 Eksisi dwisisi testis 1760 625 Orkidektomi laparoskopik 1340 435 Orkidektomi dan eksisi korda spermatik 1340 435 Eksisi lesi testis 725 505 Orkidopeksi - dwisisi 1760 820 Pemindahan mikrovaskular testis ke skrotum
2305 820
Orkidopeksi 1000 505 Testis abdomen yang tidak turun 1565 625 Testis prostesis (kemasukan atau pembuangan)
725 405
Pembetulan hidrosele 725 435 Fiksasi testis 865 435 Biopsi testis 580 315 Eksplorasi testis termasuk biopsi 865 435 Fiksasi testis dwisisi 865 505 Epididimektomi dwisisi 1340 570 Epididimektomi satu sisi 865 505 Eksisi sista epididimal 865 505 Pembedahan varikocele 865 505 Vasografi 370 315 Pembedahan vesikel seminal 1565 505 Amputasi total penis 2145 685 Amputasi separa penis 1565 685 Pembedahan bagi penyakit Peyronie 1160 435 Rekonstruksi penis 1760 685 Pembaikan avulsi penis 2145 685 Pembaikan kecederaan pada penis 1340 505 Pembahagian perekatan preputial 405 265 Berkhatan 725 405 Biopsi lesi penis 405 265 Prostesis penis (mudah - rod sahaja) 1890 685 Prostesis penis (kompleks - tiga keping) 2895 1815 Pembalikan vasektomi - dwisisi (mikroskopik)
1760 625
Pembalikan vasektomi - dwisisi (makroskopik)
1890 685
Epididimo-vasostomi (makroskopik) 1890 685 Epididimo-vasostomi (mikroskopik) 2040 760 Tenkoff 1340 Tenkoff dan adesiolisis 1890
P.U. (A) 358
73
Ultrasound transrektal (diagnostik) 580 Ultrasound transrektal dan biopsi prostat sistematik
1000
Eksisi dan graf bagi penyakit Peyronie 2705
Lain-lain Diseksi blok nodus limfa para-aortik 2570 760
(v) Sistem vaskular (selain daripada intratorasik) Kepala dan leher Pintasan arteri karotid daripada arkus 4750 1550 Endarterektomi karotid 4750 1550 Rekonstruksi arteri karotid (tampalan vena dan pintasan)
3600 1550
Pintasan arteri subklavian daripada arkus 4750 1550 Pintasan arteri subklavian - ekstratoraks 2895 1320 Endarterektomi dan pembaikan tampalan arteri subklavian
4750 1550
Renal
Endarterektomi arteri renal 4750 1550 Rekonstruksi arteri renal 4750 1550 Pembedahan transluminal arteri renal 1565 685
Salur darah abdominal Pintasan aksilo-femoral 2895 1550 Pintasan aksilo-bifemoral 2895 1550 Graf tiub aneurisme aorta abdominal infrarenal
4750 1815
Graf dwicabangan aneurisme aorta abdominal infrarenal
5970 1815
Prostesis aorta abdominal tinjauan semula
4750 2110
Pembedahan belon transluminal perkutaneus pada aorta
1760 625
Endarterektomi karotid (dengan tampalan)
5970
Endarterektomi dan pembaikan tampalan cabang viseral pada aorta abdominal
5970 2110
Pembedahan terbuka yang lain pada cabang viseral aofla abdominal lain
5970 2110
Pembuluh ileo-femoral
Pintasan aorto-iliak, aorto-femoral, ileo-femoral
4750 1550
Pintasan aorto-bifemoral 4750 1550
P.U. (A) 358
74
Endarterektomi dan pembaikan tampalan arteri iliak
3600 1550
Pembedahan terbuka arteri iliak 3600 1550 Pembedahan transluminal arteri iliak 1340 505 Pintasan femoro-femoral 2895 1320 Pintasan femoro-popliteal menggunakan prostesis dan/atau vena dan/atau kuf/tampalan vena
3600 1550
Pintasan betis femoro-distal menggunakan prostesis dan/atau vena dan/atau kuf/tampalan vena
3600 1550
Endarterektomi arteri femoral 2895 1125 Rekonstruksi/pintasan bagi aneurisme popliteal
3600 2110
Tatacara transluminal arteri femoral 1565 505 Graf pintasan femoral tinjauan semula 2705 1320
Tidak spesifik Rekonstruksi arteri tinjauan semula 3600 940 Biopsi arteri termasuk temporal 580 265 Pembaikan arteri 2305 685 Graf mikro-arteri atau mikro-vena 4750 1550 Pembaikan arteri menggunakan graf vena 2705 940 Pembaikan pembedahan mikro arteri 2705 985 Embolektomi terbuka arteri 2570 940 Angioplasti transluminal perkutaneus arteri
1340 625
Ciptaan fistula arteriovenous (AV) termasuk penutupan seterusnya
1340 820
Eksisi malformasi AV 7030 2110 Pembaikan fistula AV perolehan 2895 985 Pembaikan fistula AV 2895 1125 Ciptaan penyimpangan peritenio-vena (Levine/Denver)
1340 435
Pengeluaran terbuka trombus daripada vena
2145 685
Insersi garisan Hickman, saluran tengah terowong, dsb.
725 505
Kemasukan unit portocath/vasiport 1000 405 Perfusi anggota terpencil 2705 1320
Vena varikos
Ligasi/pelucutan vena safenus panjang atau pendek termasuk eksisi selempat/flebektomi berbilang
1340 505
P.U. (A) 358
75
Ligasi/pelucutan vena safenus panjang atau pendek termasuk eksisi setempat/flebektomi berbilang - dwisisi
2145 820
Pembedahan bagi vena varikos berulang 2145 760 Pembedahan bagi vena varikos berulang - dwisisi
3600 1125
Ligasi/pelucutan vena safenus panjang dan pendek termasuk eksisi setempat/flebektomi berbilang
2145 760
Eksisi setempat (flebektomi berbilang) vena varikos kaki
725 505
Ligasi/pelucutan vena safenus panjang dan pendek termasuk eksisi setempat/flebektomi berbilang - dwisisi
3600 1125
Venografi -dwisisi 405 Pintasan femoro-popliteal menggunakan prostesis
4750
Pintasan femoro-popliteal menggunakan prostesis vena/atau kuf/tampalan
5970
Ciptaan fistula arteriovenous menggunakan graf/prostesis
3600
Limfatik
Diseksi blok nodus limfa servikal (tidak termasuk dalam tatacara lain)
2895 940
Diseksi blok nodus limfa aksilari 1760 625 Diseksi blok nodus limfa para-aorta 2570 760 Diseksi blok nodus limfa inguinal 1760 685 Diseksi blok nodus limfa pelvik (tidak termasuk dalam tatacara lain)
2040 760
Biopsi/persampelan nodus limfa servikal 405 505 Biopsi/persampelan nodus limfa aksilari 405 315 Biopsi/persampelan nodus limfa inguinal 405 405 Biopsi eksisi nodus limfa 725 435 Biopsi eksisi nodus limfa skalen 725 435 Penyaliran lesi nodus limfa 480 265 Pembedahan duktus limfatik 2305 820 Eksisi sistik higroma 1565 760
(w) Tulang, sendi, dsb. (tidak disenaraikan di mana-mana)
Tisu penghubung/otot tendon Fasiektomi plantar 725 505 Eksisi lesi fasia 480 505 Pembedahan fasia lain 580 315 Eksisi ganglion, termasuk eksisi ulangan 1000 315 Eksisi bursa 725 405
P.U. (A) 358
76
Pemindahan tendon 1000 435 Pemindahan tendon berbilang 1565 685 Eksisi lesi tendon 725 435 Graf tendon, sebagai tatacara tunggal 1340 435 Pembaikan tendon sekunder termasuk graf, pemindahan dan/atau prostesis
1890 505
Tenolisis, selain daripada fleksor 1000 435 Tenotomi perkutaneus 405 265 Pemanjangan tendon, termasuk tenotomi 1160 435 Tenosinovektomi, termasuk artroskopik 865 435 Pelepasan pencerutan sarung tendon 1000 435 Pembaikan terhad otot iaitu koyakan tidak lebih daripada 2 sm (cth: kuf rotator), termasuk artroskopik
725 625
Pembaikan menyeluruh otot iaitu koyakan lebih daripada 2 sm (cth: kuf rotator) termasuk artroskopik
2145 625
Pelepasan pencerutan otot 1160 570 Biopsi otot terbuka 580 315 Biopsi jarum/tru-kut otot 315 Eksisi lesi otot tanpa graf kulit 1565 625 Eksisi lesi otot dengan graf kulit 1890 685
Tulang (tidak spesifik) Biopsi tulang terbuka 725 405 Introduksi bahan terapeutik ke dalam tulang (cth: seperti aplikasi antibiotik bagi penggantian pinggul yang dijangkiti sebagai tatacara tunggal)
580 265
Pembuangan wayar dari tulang, termasuk wayar-K
405
Eksisi tulang ektopik 580 405 Eksisi total tulang sesamoid 725 435 Eksisi separa tulang termasuk eksostosis 1000 405 Eksisi total tulang dengan/tanpa penggantian/rekonstruksi prostetik (cth: trapezium)
2480 820
Reseksi radikal tumor tulang 2705 820 Osteotomi tulang besar, dengan/tanpa fiksasi, termasuk graf
2040 685
Penyaliran/pembersihan tulang, termasuk sekuestrektomi bagi osteomilitis
1340 405
Fiksasi epifisis 1160 685
Fraktur Reduksi terbuka primer fraktur femur 2305 760
P.U. (A) 358
77
dan fiksasi terbuka menggunakan pin dan plat Reduksi tertutup primer fraktur atau dislokasi sendi, dengan/tanpa fiksasi termasuk plaster Paris (POP)(cth: Colles')
725 405
Reduksi tertutup fraktur tulang panjang dan fiksasi luaran termasuk POP dan wayar-K perkutaneus (cth: lengan bawah)
1760 685
Reduksi tertutup fraktur tulang kecil dan fiksasi luaran termasuk POP dan wayar-K perkutaneus
865 505
Reduksi terbuka primer tulang panjang dengan fiksasi
2040 760
Reduksi terbuka primer fraktur dengan/tanpa dislokasi sendi
1890 685
Reduksi terbuka primer tulang kecil dengan fiksasi termasuk intra-artikular
1340 570
Reduksi terbuka primer fraktur intra-artikular tulang panjang (cth: humerus proksimal)
1890 760
Reduksi terbuka fraktur pelvis dan fiksasi dalaman
2895 760
Reduksi terbuka dan fiksasi dalaman fraktur pelvis asetabular kompleks
4750 1550
Reduksi terbuka sekunder dislokasi sendi 865 405 Reduksi terbuka sekunder fraktur tulang kecil termasuk intra-artikular
1340 505
Reduksi terbuka sekunder fraktur tulang panjang dan fiksasi intermedulari atau fiksasi dalaman bagi tulang tidak bersambung/sambungan tidak sempurna
1890 685
Pakuan intramedulari berkunci 2705 820 Reduksi terbuka sekunder fraktur intra-artikular tulang
1890 685
Aplikasi rangka Ilizarov bagi tulang tidak bersambung/sambungan tidak sempurna sekunder
4750 1550
Penyesuaian lingkaran rangka Ilizarov bagi tulang tidak bersambung/ sambungan tidak sempurna sekunder
1760 505
Penyesuaian tapak pin sekunder bagi tulang tidak bersambung/sambungan tidak sempurna
580
Graf tulang (kecuali di mana bahagian tatacara lain)
1565 570
Pengeluaran fiksasi dalaman/prostesis dari tulang/sendi tidak termasuk wayar-K
1340 435
P.U. (A) 358
78
Pengeluaran wayar dari tulang, termasuk wayar-K
405 315
Pencucian pembedahan ke atas luka di bawah anestetik umum
480 265
Saraf Pelepasan pemerangkapan saraf periferi di tempat paling dalam termasuk Interos Anterior dan saraf Interos Posterior
865 435
Transposisi anterior saraf ulna 1000 505 Trarisposisi submuskular saraf ulna 1890 505 Tinjauan semula pelepasan saraf periferi 1565 505 Eksplorasi/neurolisis/biopsi saraf periferi
865 355
Sendi (tidak disenaraikan di mana-mana)
Eksisi membran sinovial sendi 1565 625 Penggantian/rekonstruksi/pembaikan ligamen prostetik primer termasuk prostesis
1565 505
Pembedahan yang menstabilkan ke atas sendi
1565 625
Pelepasan kontraktur sendi 1160 405 Artrotomi sendi besar termasuk pembuangan bahagian longgar dari sendi
1160 405
Artrotomi sendi kecil termasuk pembuangan bahagian longgar dari sendi
315 265
Pembedahan artroskopik terapeutik ke atas rawan intra-artikular (selain daripada W8200)
1160 505
Pembedahan artroskopik terapeutik ke atas rawan intra-artikular (selain daripada W8200) - dwisisi
1890 820
Pembedahan artroskopik terapeutik ke atas kaviti sendi
1890 505
Pembedahan artroskopik terapeutik ke atas kaviti sendi - dwisisi
2895 820
Pemeriksaan artroskopik diagnostik sendi, dengan/tanpa biopsi
865 435
Suntikan ke dalam sendi di bawah kawalan sinar-X
480 265
Manipulasi sendi 405 405
Sendi (tidak disenaraikan di mana-mana) Penggantian prostetik artikulasi tulang 2145 685 Interposisi artroplasti sendi prostetik (cth: pinggul, lutut, bahu)
2305 820
Rekonstruksi eksisi sendi 1760 625
P.U. (A) 358
79
Fiksasi/Artrodesis
Osteirtomi pinggul dengan fiksasi 2305 940 Osteotomi pelvis dengan fiksasi 3600 940 Artrodesis primer sendi besar dan graf tulang
1760 820
Artrodesis primer dan fiksasi dalaman (cth: tangan/kaki) termasuk graf tulang
1160 685
Tangan
Fasiotomi subkutaneus Dupuytren 580 315 Fasiektomi Dupuytren - digit tunggal 1160 435 Fasiektomi Dupuytren bagi tapak tangan dan digit berbilang
1760 625
Dermofasiektomi dan graf Dupuytren, atau bagi penyakit berulang
2145 820
Pembaikan extensor tangan 865 435 Pembaikan fleksor tangan termasuk implan prostetik
1760 435
Pembaikan sekunder atau peringkat kedua fleksor tangan termasuk implan prostetik
1890 570
Pembaikan sekunder tendon tangan/lengan bawah (tidak termasuk fleksor), tanpa pemindahan atau graf
1000 435
Pembaikan sekunder tendon tangan/lengan bawah (tidak termasuk fleksor), dengan pemindahan/graf
1760 435
Graf tendon sebagai tatacara tunggal 1340 435 Tenolisis - selain daripada fleksor 1160 435 Tenolisis fleksor 1565 435 Polisisasi jari bagi rekonstruksi ibu jari tangan
3600 435
Pembaikan kecederaan hujung jari akibat avulsi dengan flap
1565 505
Tatacara berbilang sendi pada tangan termasuk sinovektomi
2390 820
Cantuman sendi metakarpo-falang/interkarpus
1000 570
Artroplasti prostetik sendi digit 1760 435 Graf tulang pada skafoid dengan fiksasi dalaman, termasuk skru Herbert
1890 625
Amputasi tangan 1565 625 Amputasi digit 1000 505 Amputasi melalui mid-karpus/ transmetakarpus
1000 435
Cantuman pergelangan tangan 2040 820
P.U. (A) 358
80
Bahu Pembaikan terhad otot iaitu koyakan kurang daripada 2 sm (cth: kuf rotator) termasuk artroskopik
725 625
Pembaikan menyeluruh otot iaitu koyakan lebih daripada 2 sm (cth: kuf rotator) termasuk artroskopik
2145 625
Pembaikan kuf rotator tinjauan semula 2145 625 Akromiopiasti 1565 625 Eksisi klavikel distal, secara isolasi 1565 625 Interposisi artroplasti sendi prostetik (cth: pinggul, lutut, bahu)
2305 820
Pembaikan primer sendi akromioklavikular yang pecah termasuk fiksasi dalaman
2705 685
Pembaikan sekunder sendi akromioklavikular yang pecah termasuk fiksasi dalaman
2705 685
Rekonstruksi sendi akromioklavikular 2705 685 Hemiartroplasti bahu 2305 685 Hemiartroplasti bahu tinjauan semula 2570 685 Penggantian total bahu primer 2705 940 Penggantian total bahu tinjauan semula 3600 1550 Penstabilan sendi bahu termasuk anterior, postefior atau pelbagai arah (termasuk artroskopik)
1890 685
Penstabilan sendi bahu tinjauan semula 2390 760 Pelepasan kontraktur bahu 2145 685 Penyaduran dan/atau graf tulang bagi klavikel yang tidak bersambung
2040 685
Eksplorasi dan cantuman pleksus brakial 3600 2110 Dekompresi sub-akromial termasuk artroskopik
1890 685
Eksisi total servikal atau rusuk pertama 2145 820 Siku
Penggantian prostetik total siku 2705 940 Penggantian prostetik total siku tinjauan semula
3600 1550
Pelepasan kontriksi pada salutan tendon 1000 435 Pinggul, kaki dan pelvis
Eksisi lesi tulang pelvis/pinggul 1565 685 Osteotomi pinggul dengan fiksasi 2305 940 Osteotomi pelvis dengan fiksasi 3600 940 Penggantian prostetik total sendi pinggul 2705 985
P.U. (A) 358
81
Penggantian prostetik total sendi pinggul tinjauan semula
3600 1550
Penggantian prostetik total sendi pinggul- dwisisi
4750 1550
Penggantian prostetik kepala femur 2145 820 Pelepasan fasiotomi kompartment anterior/ posterior tulang keting
1760 625
Amputasi tulang keting/kaki 2040 685 Manipulasi dan plaster Paris (POP) pinggul
580 405
Lutut Pembedahan artroskopik terapeutik rongga sendi
1890 505
Pembedahan artroskopik terapeutik rongga sendi- dwisisi
2895 820
Pemeriksaan artroskopik diagnostik sendi,dengan/tanpa biopsi
865 435
Penggantian prostetik total sendi lutut 2705 985 Penggantian lutut unikompartment 2705 820 Penggantian total sendi lutut tinjauan semula
3600 1550
Penggantian prostetik total sendi lutut - dwisisi
4750 1550
Penggantian prostetik primer ligamen krusiat
2480 820
Rekonstruksi autograf ligamen krusiat termasuk artroskopik
2570 940
Penstabilan patella 2480 940 Pembedahan artroskopik terapeutik rawan semi lunar
1890 685
Pembedahan artroskopik terapeutik rawan semi lunar - dwisisi
2895 985
Pembaikan mudah ligamen lutut 1890 570 Pembedahan artroskopik terapeutik pada rongga lutut
1890 685
Pembedahan artroskopik terapeutik pada rongga lutut - dwisisi
2895 985
Kaki
Pembaikan primer tendon kaki 480 435 Pembaikan primer tendon Achilles 1160 435 Pembaikan sekunder tendon Achilles 1890 435 Pembaikan sekunder tendon kaki 725 435 Tatabara sendi berbilang kaki hadapan 2390 760 Tatacara sendi berbilang kaki hadapan - dwisisi
3600 1125
P.U. (A) 358
82
Osteotomi metatarsal (cth: akin, mcNab, dsb.)
865 435
Cantuman sendi metatarso-falang pertama
1000 505
Cantuman sendi metatarso-falang pertama - dwisisi
1760 820
Seilektomi metatarso-falang 1565 505 Cantuman tiga sendi-sendi kaki belakang 1890 685 Osteotomi pes klavus 1890 685 Pembetulan kecacatan kongenital kaki minor
1565 505
Pembetulan kecacatan kongenital kaki minor - dwisisi
2480 820
Penggantian prostetik total sendi pergelangan kaki
2705 940
Penggantian prostetik total sendi pergelangan kaki tinjauan semula
3600 1550
Penutupan osteotomi baji/translasi taji kalkaneum termasuk fiksasi dalaman
1760 505
Artroplasti eksisi sendi metatarso-falang pertama dengan implan prostetik
1760 625
Artroplasti eksisi sendi metatarso-falang pertama termasuk Keller
1160 505
Artroplasti eksisi sendi metatarso-falang pertama termasuk Keller - dwisisi
1890 820
Cantuman sendi interfalang ibu jari kaki 1000 435 Pembetulan sendi metatarso-falang yang tertarik/dislokasi termasuk pemindahan tendon, pembahagian/penyusunan semula tulang dan fiksasi dalaman
1890 820
Cantuman sendi interfalang ibu jari kaki - dwisisi
1760 760
Artrodesis primer dan fiksasi dalaman (tangan/kaki) termasuk graf tulang
1160 685
Buniektomi mudah 725 355 Buniektomi mudah - dwisisi 1160 625 Osteotomi metatarsal valgus Hallux 1340 685 Osteotorni metatarsal valgus Hallux - dwisisi
2145 985
Osteotomi metatarsal valgus Hallux, dengan fiksasi dalaman dan pembetulan tisu lembut
1890 760
Osteotomi metatarsal valgus Hallux, dengan fiksasi dalaman dan pembetulan tisu lembut - dwisisi
2895 1125
Amputasi jari kaki
1000 435
P.U. (A) 358
83
Eksisi radikal tumor tulang dengan implan prostesis bagi anggota
4750 1550
Fiksasi luaran/tarikan
Aplikasi tarikan rangka kepada tulang 580 505 Pengeluaran tarikan rangka daripada tulang
405 315
Aplikasi fiksasi luaran kepada tulang 1760 505 Pengeluaran fiksasi luaran daripada tulang
580 315
(x) Muka, mulut dan leher (tidak disenaraikan di mana-mana)
Muka dan rahang
Reduksi terbuka fraktur maksila 1340 685 Reduksi tertutup fraktur maksila 725 570 Reduksi fraktur tulang muka yang lain 580 435 Reduksi fraktur tulang komplek zigomatik 1000 505 Reduksi terbuka fraktur tulang kompleks zigomatik
1565 570
Eksisi maksila 2040 940 Hemi-maksilektomi formal bagi malignan 2570 940 Fiksasi dalaman maksila 725 685 Fiksasi ekstra-oral maksila 725 685 Pengeluaran fiksator daripada maksila 580 570 Biopsi lesi tulang muka 405 355 Eksisi mandibel 2040 940 Eksisi mandibel yang luas 2390 985 Eksisi lesi rahang 1160 435 Reduksi terbuka fraktur mandibel 1000 685 Reduksi tertutup fraktur mandibel 580 570 Fiksasi intermaksilari mandibel 725 685 Fiksasi ekstra-oral mandibel 1000 685 Pengeluaran fiksator dari mandibel 580 505 Rekonstruksi rahang 2705 940 Graf tulang alveolar 1340 570 Manipulasi mandibel 405 355 Penggantian prostetik sendi temporomandibular
2305 625
Arthroplasti sendi temporomandibular 1890 625 Menisektomi sendi temporomandibular 1160 505 Reduksi dislokasi sendi temporamandibular
725 355
Bibir
Eksisi sempadan vermilion bibir dan pendahuluan mukosa bibir
1000 435
P.U. (A) 358
84
Eksisi lesi bibir 865 405 Penutupan bibir rekah (dan dwisisi) 1760 820 Penutupan primer bibir rekah tinjauan semula
2145 820
Rekonstruksi bibir menggunakan flap lidah
2145 685
Rekonstruksi bibir menggunakan flap kulit
2040 760
Sutur bibir 480 435 Biopsi lesi bibir 480 355
Lidah Glosektomi total termasuk diseksi blok 2480 760 Glosektomi separa termasuk diseksi blok 2145 820 Eksisi/pemusnahan lesi lidah 865 505 Biopsi lesi lidah 315 405 Frenotomi/frenektomi lidah 480 435 Pembebasan pelekatan lidah 315 405 Flap lidah - peringkat pertama 1760 820 Flap lidah - peringkat kedua 1000 625
Lelangit Eksisi/pemusnahan lesi lelangit 865 505 Pembaikan primer lelangit rekah 2305 820 Pembaikan lelangit rekah tinjauan semula 1565 685 Pembaikan plastik lelangit menggunakan flap lelangit
1340 685
Pembaikan plastik lelangit menggunakan flap kulit
1890 685
Jahitan lelangit 580 435 Biopsi lesi lelangit 480 405 Insisi lelangit 370 405 Pembedahan ke atas uvula 725 435
Rongga mulut Vestibuloplasti berikutan trauma 1160 435 Eksisi/pemusnahan lesi mulut 580 405 Rekonstruksi mulut menggunakan flap 2145 760 Rekonstruksi mulut menggunakan graf 1000 760 Graf kulit ke mulut 1000 625 Graf mukosa ke mulut 865 570 Jahitan mulut 580 505 Biopsi lesi mulut 370 355 Pengeluaran mukosa berlebihan dari mulut
865 435
P.U. (A) 358
85
Kelenjar liur Eksisi kelenjar parotid (selain daripada F4410/F4430)
1890 685
Eksisi total kelenjar parotid dan pemeliharaan saraf muka
3600 985
Eksisi separa kelenjar parotid dan pemeliharaan saraf muka
2895 985
Eksisi kelenjar submandibular 1340 505 Eksisi kelenjar sublingual 1000 505 Eksisi lesi kelenjar parotid 1160 505 Eksisi lesi kelenjar submandibular 1160 505 Eksisi lesi kelenjar sublingual 405 505 Insisi kelenjar parotid 405 405 Insisi kelenjar submandibular 405 405 Insisi kelenjar sublingual 405 405 Biopsi lesi kelenjar liur 580 435 Penutupan fistula kelenjar liur 865 435 Transposisi salur parotid 1160 435 Transposisi salur submandibular 1160 435 Pengekstrakan terbuka kalkulus daripada salur parotid
865 355
Pengekstrakan terbuka kalkulus daripada salur submandibular
725 435
Pengikatan salur parotid 480 435 Pengikatan salur submandibular 480 435 Pembedahan salur submandibular 480 435 Pengembangan salur parotid 405 265 Manipulasi pengeluaran kalkulus dari salur parotid
725 315
Gigi
Penanaman semula gigi berikutan trauma 865 355 Pembedahan pengeluaran gigi terimpak/tertanam
1000 435
Pembedahan pengeluaran akar tertanam yang rumit
725 435
Enukleasi sista rahang 865 435
Leher Diseksi blok nodus limfa servikal (tidak termasuk dalam tatacara lain)
2895 940
Biopsi/pensampelan nodus limfa servikal 405 505 Pembedahan ke atas sista rekahan brankial
1340 820
Pembedahan ke atas fistula rekahan brankial
2040 820
P.U. (A) 358
86
Kelenjar Tiroid dan paratiroid Tiroidektomi total 2040 820 Subtotal tiroidektomi dwisisi 2040 760 Hemitiroidektomi 2040 685 Tiroidektomi separa 2040 685 Tiroplasti (Isshiki jenis I) 1760 625 Pembedahan ke atas tisu tiroid aberan termasuk retrosternal
2480 940
Eksisi sista tiroglosal 1000 625 Eksisi laluan tiroglosal 1340 625 Eksisi lesi kelenjar tiroid 1340 435 Aspirasi jarum halus kelenjar tiroid 315 315 Biopsi jarum kelenjar tiroid 580 315 Paratiroidektomi 2705 940 Paratiroid: pembedahan kedua 2705 985 Penyaliran abses kelenjar liur 405
III. PELBAGAI 1. Fi pemeriksaan perubatan (a) Bukan pakar Butiran Fi (RM) Pemeriksaan perubatan – pra-pekerjaan, rutin dan pemeriksaan perubatan tahunan, pemeriksaan perubatan kesihatan, pemeriksaan perubatan menyeluruh, pemeriksaan perubatan penerbangan (tidak termasuk siasatan makmal, sinar-X, ECG, dsb.)
45 – 230
Pemeriksaan bagi kes medico-legal 570 – 1145 Pemeriksaan bagi penilaian kehilangan upaya
570 – 1145
Penyertaan dalam Peperiksaan Lembaga Perubatan
230 – 1145
Pemeriksaan perubatan bagi insurans hayat 90 – 230 Pemeriksaan kesihatan lesen vokasional 35 – 115 (b) Pakar Butiran Fi (RM) Pemeriksaan perubatan - pra-pekerjaan, pemeriksaan rutin dan pemeriksaan perubatan tahunan, pemeriksaan perubatan kesihatan, pemeriksaan perubatan menyeluruh, pemeriksaan perubatan
115 – 570
P.U. (A) 358
87
penerbangan (tidak termasuk siasatan makmal, sinar-X, ECG, dsb.) Pemeriksaan bagi kes medico legal 570 – 2290 Pemeriksaan bagi penilaian kehilangan upaya
570 – 2290
Penyertaan dalam Peperiksaan Lembaga Perubatan
570 – 2290
Pemeriksaan perubatan bagi insurans hayat 170 – 460 Pemeriksaan kesihatan lesen vokasional 35 – 115 2. Fi laporan perubatan Butiran Fi (RM) Bukan pakar 55 – 230 Pakar 115 – 570 3. Fi panggilan ke rumah dan bantuan perubatan (Pengamal am)
Butiran Fi (RM) Tugas perubatan bagi acara dan majlis bagi setiap jam
55
Liputan perubatan bagi pemindahan/penghantaran pulang pesakit (tidak termasuk perbelanjaan sebenar yang ditanggung untuk kos perjalanan, makan dan penginapan) bagi satu hari
570
4. Fi kehadiran di mahkamah Butiran Fi (RM) Kelayakan perbelanjaan bagi satu hari-ini adalah untuk menampung kos pengamal perubatan yang apabila dipanggil sebagai saksi, dikehendaki untuk mengkaji dan menyelidik kes yang dahulunya bukan merupakan pesakit pengamal perubatan yang sama (tidak termasuk belanja perjalanan, makan dan penginapan dan laporan perubatan)
285 – 570
Wang pengendalian Perbelanjaan sebenar yang ditanggung dalam kos perjalanan dan penginapan
Saksi bukan pakar (testimoni yang melibatkan pernyataan fakta sahaja)
570 – 1145
Saksi pakar (testimoni yang melibatkan pendapat pakar)
1145 – 2290
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Laporan perubatan yang menyeluruh (diminta oleh syarikat insurans, peguam dan lain-lain)
90 – 285
Pernyataan pakar perubatan yang merawat bagi syarikat insurans
55
BAHAGIAN B - FI PERGIGIAN I. FI PERUNDINGAN Butiran Fi (RM) Perundingan sahaja Perundingan dengan pemeriksaan 30 - 285 Perundingan dengan pemeriksaan dan pelan rawatan
II. FI TATACARA PERGIGIAN ASAS Butiran Fi (RM) Pendarahan selepas cabutan 55 – 345 Rawatan untuk rongga kering 55 – 345 Tampalan sementara 35 – 170 Insisi dan penyaliran 55 – 230 Tampalan amalgam 45 – 345 Tampalan sewarna gigi/bahan lekat 55 – 685 Pembuangan kalkulus 55 – 345 Pembuangan plak dan/atau kesan ektrinsik 70 – 285 Dentur akrilik (separa) bagi setiap rahang 115 – 1145 Dentur akrilik (penuh) bagi setiap rahang 285 – 2290 Cabutan gigi dan/atau akar yang mudah tanpa pembedahan
Kekal 45 – 285 Desidus 30 – 115 Radiograf periapeks/bite wings/oklusal - bagi setiap pendedahan
25 – 115
III. PELBAGAI Butiran Fi (RM) Laporan pergigian 55 – 345 Panggilan ke rumah 170 – 570
P.U. (A) 358
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Fi kehadiran di mahkamah - kelayakan perbelanjaan bagi satu hari. Ini adalah untuk menampung kos pengamal pergigian yang apabila dipanggil sebagai saksi, dikehendaki untuk mengkaji dan menyelidik kes yang dahulunya bukan merupakan pesakit pengamal pergigian yang sama (tidak termasuk belanja perjalanan, makan dan penginapan dan laporan pergigian)
285 – 570
Wang pengendalian Perbelanjaan sebenar yang ditanggung dalam kos perjalanan dan penginapan
Saksi bukan pakar (testimoni yang melibatkan pernyataan fakta sahaja)
570 – 1145
Saksi pakar (testimoni yang melibatkan pendapat pakar)
1145 – 2290
Laporan pergigian yang komprehensif (diminta oleh syarikat insurans, peguam dan lain-lain)
55 – 345
Pernyataan pakar pergigian yang merawat bagi syarikat insurans
55”.
Dibuat 10 Oktober 2013 [KK(R)/654(336) (17); PN(PU2)610/IV] DATUK SERI DR. S. SUBRAMANIAM Menteri Kesihatan
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PRIVATE HEALTHCARE FACILITIES AND SERVICES ACT 1998
PRIVATE HEALTHCARE FACILITIES AND SERVICES (PRIVATE HOSPITALS AND OTHER PRIVATE HEALTHCARE FACILITIES) (AMENDMENT) ORDER 2013
IN exercise of the powers conferred by subsection 106(2) of the Private Healthcare
Facilities and Services Act 1998 [Act 586], the Minister makes the following order:
Citation
1. This order may be cited as the Private Healthcare Facilities and Services
(Private Hospitals and Other Private Healthcare Facilities) (Amendment) Order
2013.
Amendment of Thirteenth Schedule
2. The Private Healthcare Facilities and Services (Private Hospitals and Other
Private Healthcare Facilities) Regulations 2006 [P.U. (A) 138/2006], are amended by
substituting for the Thirteenth Schedule the following schedule:
“THIRTEENTH SCHEDULE
[Regulation 433] FEE SCHEDULE – PROFESSIONAL FEE
PART A - MEDICAL FEE
Note:
1. In this note:
“out-of-hours” means a period between 6 p.m. on one day and 8 a.m the following
day on weekdays, and all day on weekends and public holidays;
“emergency” means a serious situation which is said to exist when delay in
treatment may lead to increased threat to life or body part;
“surgeons’” refers to all categories of specialists and may include anaesthetists;
P.U. (A) 358
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“anaesthetist fee” refers to fee chargeable for induction, maintenance, reversal of
anaesthesia and standard monitoring activities. This fee is only applicable to
either general or regional anaesthesia.
2. All fees in this Schedule shall be the maximum chargeable fees and it is applicable
to any form of payment.
3. An additional fee not exceeding 50% of the maximum chargeable fee may be
charged by both surgeons and anaesthetists for emergency procedures performed
out-of-hours which shall not include elective procedures.
4. For ward visit, including post-operative rounds and care, the fees for consultation
that can be charged shall be for a maximum of two visits on the same day,
regardless of the actual number of visits made, except in cases where additional
visits are at the patient’s request or when the patient’s condition deems the
additional visit(s) necessary.
5. Fee for monitored anaesthesia care make up 80% of the anaesthetic fee for such
procedure.
6. When two or more procedures are performed through the same incision and
occasion, the fees chargeable by both surgeons and anaesthetists for other than
the intended procedure(s), shall not exceed 50% of that procedure(s).
7. When two or more procedures are performed through separate incisions on same
occasion, the fees for both surgeons and anaesthetists shall not exceed 75% of the
respective professional fee stipulated for that procedure. This rule is not
applicable for multiple incisions made to create multiple access ports in any
endoscopic and laparoscopic procedure.
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8. In a surgery that involves multiple anatomical levels, the fees chargeable for that
procedure is 100% for the first level and should not exceed 50% of the maximum
chargeable fee for the subsequent levels.
9. When one or more procedures performed either through the same or different
incision, elective or emergencies and require the services of multiple surgeons of
different specialties performing together in the interest of patient safety,
operative efficiency or quality of care, the fees chargeable by these surgeons other
than the primary surgeon should not exceed 75% of the maximum chargeable fee.
10. When procedures of highly complex nature require the service of a second
surgeon of the same specialty, perform together in the interest of patient safety,
operative efficiency or quality of care, the total fees chargeable by the second
surgeon shall not exceed 50% of the total fees chargeable by the first (primary)
surgeon for the procedure(s) performed by him.
11. In cases where a specific fee for a laparoscopic or endoscopic procedure is not
stipulated in the Schedule, an additional fee not exceeding 15% of the procedure
fee may be charged by the surgeon.
12. In cases where an open procedure is performed following a failed endoscopic
procedure, the fee that is charged shall only be for one procedure.
13. When a therapeutic endoscopy or laparoscopic procedures is preceded by a
diagnostic endoscopy or laparoscopy, no additional fee can be charged for the
diagnostic procedure.
14. In cases where a procedure comprises of a combination of procedures which are
customarily performed together and for which a specified combined procedure is
provided or not in the Schedule, the fee for the specified combined procedure
shall not be fragmented or unbundled in the computation of fees.
P.U. (A) 358
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Note:
1. For procedures performed under local anaesthetic (LA) or sedation or both, and
when the LA or sedation is administered by the surgeon who performs the
procedure, an additional fee not exceeding 20% of the procedure fee or RM 125,
whichever is lower may be charged. This additional fee shall not apply to
procedures that are performed under LA and/or sedation where it is considered
as a routine, usual and customary.
2. In cases where no fee is stipulated for the anaesthetist and anaesthesia is deemed
necessary, a fee not exceeding 50% of the surgical procedure fee or a minimum of
RM 265 or whichever is higher may be charged by the anaesthetist.
1. General practitioner (non-specialist) (a) First visit/Initial consultation Item Fee (RM) Consultation only
Consultation with examination 30-125 Consultation with examination and treatment plan
Consultation after stipulated clinic hours Up to 50% above the usual rate
House call or home visit Up to 100% above the usual rate
(b) Clinic without pharmaceutical services Item Fee (RM)
Consultation only
Consultation with examination 35 - 145 Consultation with examination and treatment plan
I. CONSULTATION FEE
P.U. (A) 358
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Consultation after stipulated clinic hours Up to 50% above the usual rate
House call or home visit Up to 100% above the usual rate
2. Specialist fee
Note: applicable to all medical specialties unless specified otherwise (a) First visit/Initial consultation Item Fee (RM)
Consultation only
Consultation with examination 80 - 235 Consultation with examination and treatment plan
Consultation after stipulated clinic hours – Up to 50% above the usual rate
House call or home visit – Up to 100% above the usual rate
(b) Follow-up visit/Follow-up consultation Item Fee (RM) Consultation only Consultation with examination 40 - 105 Consultation with examination and treatment plan
Consultation after stipulated clinic hours – Up to 50% above the usual rate
House call or home visit – Up to 100% above the usual rate
(c) Special consultation for radiotherapy and
oncology
Note: Includes once a week consultation Item Fee (RM)
Basic Treatment planning including simulation for external beam radiotherapy (replanning will be charged separately)
860 -1715
Treatment planning for brachytherapy (Intracavitary)
1145-2290
Specialised treatment planning 2290-4575 - Interstitial brachytherapy
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- Conformal radiotherapy - Radiosurgery - Intensity modulated radiotherapy II. PROCEDURE FEE 1. General Procedures
Item/Procedure Fee (RM) Surgeon Anaesthetist
Ambulatory blood pressure monitoring 130 Application of plaster cast (where this is the sole procedure)
315
Application of plaster jacket, hip spica, long leg cast or cast brace
410 265
Arterial cannulation 130 Arterial puncture 65 Aspiration of subcutaneous haemotoma 315 Banding of haemorrhoids 315 Biopsy of skin or subcutaneous tissue 315 Cardiopulmonary resuscitation (CPR) 315 Central venous pressure (CVP) line cannulation
230
Chest tube insertion 840 Colposcopy (plus/minus biopsy) 375 Continuous Holter monitoring 330 Curettage/Cryotherapy of lesion of skin including cauterisation
315
Diagnostic aspiration of cysts, joints and cavities
315
Echocardiography with report
Colour form mapping 380 Doppler echocardiography 380 Echocardiogram-transthoracic 230 M-mode 380 Stress echo treadmill 380 Stress echocardiography 380 Trans-oesophageal echocardiography 440 Two dimensional (2-D) 380 Elective cardioversion 290 Electrocardiogram (ECG) with report 80 ECG (stress/exercise) with report 270 Endometrial biopsy or aspiration 410 Fine needle aspiration cytology 315 Incision and drainage (I & D) 315
P.U. (A) 358
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Injection around apophyseal facet of vertebra without X-ray control
315
Injection into joint without X-ray control 315 Injection into subcutaneous tissue/painful trigger point including local anesthesia (LA) and steroid
315
Injection into varicose veins of leg 315 Injection of sclerosing substance into haemorrhoids
315
Introduction of substance into skin including hormone pellet
315
Lumbar puncture 745 Paracentesis for ascites 630 Paravertebral block (without X-ray control) 480 Percutaneous biopsy (not elsewhere specified)
315
Pericardiocentesis 505 Pleural biopsy 895 Pleural cavity drainage 840 Pleurodesis 630 Rigid sigmoidoscopy with biopsy 315 Signal averaging ECG 45 Stellate ganglion block (LA) 480 Swan Ganz cathether placement 460 Temporary pacing 1145 Toilet and suturing (T & S) per stitch 20 Venesection 35 Venupuncture 65
2. Specific Procedures (a) Anaesthesiology
First consultation, assessment, procedure and advanced cardiac life support (ACLS) in the intensive care unit (ICU)
630
Subsequent consultation and assessment in the ICU
As per paragraph 2(b) of the
specialist fees
Obstetric analgesia service – Epidural 445 Management of acute, chronic and cancer pains
35
Venepuncture 65 (b) Abdomen (other than urinary and reproductive system)
P.U. (A) 358
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Oesophagus Thorascopic oesophageal mobilisation via mediastinum
4750 1815
Oesophagogastrectomy 4750 1815 Total oesophagogastrectomy and interposition of intestine
5970 2500
Open excision of lesion of oesophagus 1890 1125 Bypass of oesophagus 2480 1550 Revision of oesophageal anastomosis 2705 1320 Closure of bypass of oesophagus 2145 1125 Transthoracic repair of oesophagus 3600 1320 Thorascopic repair of oesophagus 2895 1320 Oesophagocardiomyotomy (Heller's operation)
2040 985
Thorascopic oesophagogastric myotomy 2145 985 Injection sclerotherapy for oesophageal varices
1000 685
Transthoracic repair of hiatus hernia 2305 940 Transthoracic repair of diaphragmatic hernia
2305 940
Transabdominal repair of hiatus hernia 2145 760 Transabdominal repair of diaphragmatic hernia
2895 820
Laparoscopic repair of hiatus hernia 2145 760 Transabdominal anti-reflux operation 2895 820 Revision of anti-reflux procedure 3600 1320 Laparoscopic vagotomy/seromyotomy 2040 685 Laparoscopic gastro-jejunostomy 2145 685 Laparoscopic gastrostomy/jejunostomy 1760 570
Stomach
Proximal gastric vagotomy 2040 685 Highly selective vagotomy 2040 685 Vagotomy and pyloroplasty 2145 820 Total gastrectomy and excision of surrounding tissue
2895 1125
Partial gastrectomy 2305 760 Plastic operation on stomach 1890 685 Gastro-jejunostomy 2145 685 Revision of gastro-jejunostomy 2305 685 Gastrostomy 1760 570 Closure of gastrostomy 1565 570 Closure of perforated ulcer of stomach 1890 685 Laparoscopic closure of perforated ulcer of stomach
1890 685
Other open operation on stomach 1890 685 Pyloromyotomy 1890 685
P.U. (A) 358
98
Pyloroplasty 1890 685 Partial gastrectomy (benign disease) 2305 Partial gastrectomy (malignant disease) 2895
Duodenum Open excision of lesion of duodenum 2305 760 Bypass of duodenum 1890 760 Laparoscopic closure of perforated ulcer of duodenum
1890 685
Closure of perforated ulcer of duodenum 1890 685 Small intestine
Excision of jejunum 2145 685 Excision of lesion of jejunum 2480 685 Jejunostomy 1760 685 Laparoscopic resection of small intestine 1890 685 Bypass of jejunum 1890 685 Intubation of jejunum of decompression of intestine
1890 685
Bypass of ileum 1890 685 Ileoanal anastomosis and creation of pouch 4750 1550 Ileostomy 1890 685 Attention to ileostomy 1565 570 Closure of ileostomy (in isolation) 1565 570 Open operation on ileum including reduction of intussusception
1890 685
Large intestine
Appendicectomy 1565 570 Laparoscopic appendicectomy 1565 570 Drainage of abscess of appendix 1565 625 Total excision of colon and ileorectal anastomosis
3600 1320
Extended excision of right hemicolon 2390 820 Other excision of right hemicolon 2390 760 Excision of transverse colon 2390 760 Excision of left hemicolon 2390 820 Excision of sigmoid colon 2390 820 Excision of lesion of colon (transabdominal)
1760 760
Bypass of colon 2040 760 Exteriorisation of caecum 1760 760 Closure of colostomy – extra peritoneal 1340 625 Closure of colostomy – intra peritoneal 1890 760 Laparoscopic colostomy 2040 760 Colostomy including revision 2040 760
P.U. (A) 358
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Intra-abdominal manipulation of colon including reduction of intussusception
2040 685
Laparoscopic colonic resection 2390 820 Radiological reduction of intussusception of colon using barium enema
580 570
Rectosigmoidectomy for Hirchsprung's disease
4750
Laparotomy of necrotising enterocolitis (NEC)
2705
Laporotomy for intestinal atresia 2705 Rectum/Anus
Ileoanal anastomosis and creation of pouch 4750 1550 Panproctocolectomy and ileostomy 4750 1815 Abdominoperineal pull through resection with colo-anal anastomosis and associated colostomy
4750 1815
Abdominoperineal resection of rectum and anus
4750 1815
Anterior resection 4750 1815 Anterior resection of rectum and end colostomy (with closure of rectum)
2705 1550
Laparoscopic anterior resection of rectum and exteriorisation of bowel
4750 1550
Partial excision of rectum and sigmoid colon for prolapse
2705 940
Reversal of Hartman's procedure 3600 1550 Open excision of lesion of rectum 2145 940 Fixation of rectum for prolapse 1890 940 Laparoscopic rectopexy 1890 940 Transanal resection for rectal cancer 2040 625 Perineal excision of lesion of rectum 1340 625 Full or partial thickness rectal biopsy 405 625 Perineal repair of prolapse of rectum 1760 685 Dilation of stricture of rectum 370 265 Repair of faecal fistula 865 625 Excision of lesion of anus 370 265 Destruction of lesion of anus 370 265 Repair of anal sphincter 1565 625 Repair of anal trauma 1340 625 Haemorrhoidectomy 1000 505 Anorectal stretch including examination under anaesthesia (EUA) and sigmoidoscopy
370 265
Laying open of low anal fistula 865 505
Laying open of high anal fistula 1565 625 Lateral sphincterotomy of anus 405 505
P.U. (A) 358
100
Excision of anal fissure 405 405 Drainage through perineal region including ischiorectal abscess
580 405
Excision of pilonidal sinus and suture/skin graft
1160 625
Laying open of pilonidal sinus 580 265 Fistulectomy (single) 865 Fistulectomy (multiple) 1565 Posterior saggital anorectoplasty (PSARP) 3600 Combined laparotomy plus PSARP 4750 Anoplasty 1340 Posterior saggital anorectovaginourethroplasty (PSARVUP)
4750
Combined laparotomy plus PSARVUP 5970 Other organs, mainly digestive
Adrenalectomy 2145 940 Adrenalectomy – bilateral 2305 1125 Operation on aberrant adrenal tissue 2145 940 Partial excision of liver 3600 1550 Hemihepatectomy 5970 2110 Removal of liver tumour 2895 985 Repair of liver 2480 985 Open drainage of liver 1160 685 Therapeutic laparoscopic operation on liver
1340 570
Diagnostic laparoscopic examination of liver including any biopsy
1340 505
Percutaneous biopsy of lesion of liver 480 315 Open puncture of liver 1565 570 Cholecystectomy including mini-cholecystectomy
1890 685
Cholecystectomy with exploration of common bile duct
2040 760
Laparoscopic cholecystectomy 2480 1125 Laparoscopic cholecystectomy with perioperative cholangiogram
2705 1550
Anastomosis of gall bladder (to another viscus)
2305 760
Partial excision of bile duct and anastomosis of bile duct to duodenum/jejunum
2390 940
Excision of lesion of bile duct 2145 940 Anastomosis of hepatic duct 2895 940 Anastomosis of common bile duct 2145 940 Open introduction of prosthesis into bile duct
2145 760
P.U. (A) 358
101
Repair of bile duct 2390 985 Incision of bile duct including exploration for calculus removal
2145 940
Sphincterotomy of bile duct and pancreatic duct using duodenal approach
2145 820
Percutaneous examination of bile duct 1000 505 Total pancreatectomy and excision of surrounding tissue
4750 1815
Total pancreatectomy 4750 1815 Pancreatoduodenectomy and excision of surrounding tissue (Whipple's procedure)
4750 1815
Distal pancreatectomy 2705 985 Excision of lesion of pancreas 2040 985 Anastomosis of pancreatic duct (to another viscus)
2705 940
Open drainage of lesion of pancreas 2040 760 Drainage of pancreatic abscess 2040 760 Incision of pancreas 2040 760 Open examination of pancreas 2040 760 Therapeutic percutaneous operation on pancreas
1565 685
Open splenectomy 1565 760 Laparoscopic splenectomy 1565 760 Creation of peritoneo-venous shunt (Levine/Denver)
1340 435
Internal drainage of pancreatic pseudocyst 2705 Hepato portoenterototomy (Kasai operation)
4750
Excision of choledochal cyst 4750 Major vessels
Open cannulation of intra-abdominal artery for infusion chemotherapy
2145 685
Creation of portacaval shunt 4750 1320 Plication of vena cava 2305 940 Repair of wound of major artery or vein of abdomen including aorta and vena cava
2145 1320
Abdominal wall
Repair of congenital diaphragmatic hernia 2705 1550 Simple excision of inguinal hernial sac 1000 505 Simple excision of inguinal hernial sac – bilateral
1760 760
Primary repair of inguinal hernia 1160 505 Primary repair of inguinal hernia – bilateral 1890 820 Primary repair of strangulated inguinal hernia
1890 625
P.U. (A) 358
102
Laparoscopic repair of groin hernia 1160 505 Repair of recurrent inguinal hernia 1890 685 Repair of recurrent inguinal hernia – bilateral
2895 985
Primary repair of femoral hernia 1000 505 Primary repair of strangulated femoral hernia
1890 625
Repair of recurrent femoral hernia 1565 570 Repair of umbilical hernia (irrespective of age)
1000 570
Primary repair of incisional hernia 1340 505 Repair of recurrent incisional hernia 1890 685 Repair of other hernia of abdominal wall 1340 505 Resuture of previous incision in abdominal wall (burst abdomen)
1340 570
Closure of exomphalos major/gastroschisis – primary closure
3600
Closure of exomphalos major/gastroschisis – silastic closure
2145
Closure of exomphalos major/gastroschisis – delayed primary closure
2570
Peritoneum
Laparotomy for post-operative haemorrhage
1760 820
Laparotomy and repair of multiple visceral trauma
3600 1550
Open drainage of subphrenic abscess 1760 685 Operation on omentum 1890 685 Retroperitoneal tumour 2705 940 Retroperitoneal abscess 1160 685 Presacral tumour 1340 940 Freeing of adhesions of peritoneum 1565 685 Laparoscopy including biopsy and adhesiolysis
1160 435
Paracentesis abdominis for ascites 315 265 Suprapubic drainage of pelvic abscess 865 505 Transrectal/transvaginal drainage of pelvic abscess
1160
Laparotomy – exploratory 1890 (c) Brain, cranium and other intracranial organs
Brain
Hemispherectomy 7030 2930 Excision of abscess of brain 4750 2110 Excision of lesion of tissue of brain 5970 2500
P.U. (A) 358
103
Stereotactic ablation of tissue of brain 4750 1815 Open biopsy of lesion of tissue of brain 3600 1550 Implantation/removal of neurostimulator from brain (any route)
2145 820
Ventriculocisternostomy 3600 1550 Creation of ventriculovascular anastomosis 2040 820 Creation of ventriculoperitoneal shunt 2040 820 Creation of subcutaneous cerebrospinal fluid (CSF) reservoir
2040 820
Maintenance of cerebroventricular shunt including revision
1565 685
Removal of cerebroventricular shunt 1340 505 Irrigation of cerebroventricular shunt 580 685 Therapeutic endoscopic operations on ventricle of brain
2570 820
Diagnostic endoscopic examination and biopsy of lesion of ventricle of brain
1760 820
Ventricular puncture 570 505 Cranium
Intracranial infection: Burr-hole 1890 760 Plastic repair of cranium 2705 1320 Reconstructive cranioplasty 2705 1320 Craniostenosis (single suture) 2040 760 Craniostenosis (more than one suture) 2705 1550 Exploratory open craniotomy 2705 1320 Exploratory Burr-hole of cranium 1565 685 Petrosectomy 3600 2110 Foramen Magnum decompression 4750 1550 Excision of lesion of cranium 2145 820 Elevation of depressed fracture of cranium 1565 760 Repair of compound fracture of cranium 2705 1320 Drainage of skull 1340 505
Meninges
Drainage of subarachnoid space of brain 1565 625 Excision of lesion of meninges of brain 7030 2500 Operation of arachnoid cyst 2705 985 Repair of dura 3600 1320 Evacuation of extradural haematoma 3600 1320 Evacuation of subdural haematoma or abscess
3600 1320
Subdural haemorrhage – tap 315 435 Nerves
Intracranial transection of cranial nerve 5970 2930
P.U. (A) 358
104
Other intracranial destruction of cranial nerve
5970 2930
Excision of lesion of cranial nerve (Intracranial)
7030 2930
Excision of acoustic neuroma 7030 2930 Repair of cranial nerve (Intracranial) 2895 1815 Decompression of cranial nerve (Craniotomy)
5970 1815
Neurostimulation of cranial nerve (Intracranial)
2145 760
Removal of neurostimulator from cranial nerve
1890 505
Excision of cerebellopontine angle tumour 7030 2930 Vessels
Craniotomy – post-operative haemorrhage 2705 1320 Craniotomy for suprasellar tumour 7030 Craniotomy for posterior fossa tumour 7030 Ligation/clipping of aneurysm of cerebral artery
5970 2110
Reinforcement of aneurysm of cerebral artery
5970 2110
Open operations on cerebral artery 5970 2110 Excision of arteriovenous (AV) malformation
7030 2110
Creation of ventriculovascular anastomosis 2040 820 Creation of ventriculoperitoneal shunt 2040 820
Others
Hypophysectomy 5970 1815 Cryotherapy to pituitary gland 2570 Excision of lesion of pituitary gland 5970 1815 Excision of pineal gland 7030 1815
(d) Breasts
Subcutaneous mastectomy with immediate implant
2040 760
Radical mastectomy including block dissection
2305 760
Mastectomy combined with reconstruction of breast using myocutaneous flap
2895 985
Modified radical mastectomy including block dissection
2040 685
Simple mastectomy including axillary node biopsy
1565 685
Excision of lesion of breast 1000 405
P.U. (A) 358
105
Segmental resection or quadrantectomy 1340 505 Wide local excision of lesion of breast 1340 505 Repeat local excision to clear margins 1000 505 Excision biopsy of breast lesion after localisation
1000 505
Reconstruction of breast using latissimus dorsi
2895 940
Reconstruction of breast using local flap 2305 760 Reconstruction of breast using TRAMS 4750 1550 Removal of prosthesis from breast 865 405 Implantation of prosthesis following mastectomy
1340 685
Percutaneous biopsy of lesion of breast 370 265 Stereotactic/guidewire excision of lesion of breast
1565 505
Drainage of breast abscess 580 405 Microdochotomy 1000 405 Operation(s) on nipple (where not included in other procedures)
865 405
Block dissection of axillary lymph nodes (where not included in other procedures)
1760 625
Biopsy/sampling of axillary lymph nodes 405 315 Biopsy of internal mammary lymph nodes 725 505
(e) Dermatology and venereology Allergy test
Skin sensitivity tests (Intradermal) using up to 20 reagents (excluding cost of reagents)
190
Skin sensitivity tests (patch test) using up to 26 reagents, i.e. standard series (excluding cost of reagents)
250
Skin sensitivity tests (patch test) using more than 26 reagents, i.e. standard and extra series (excluding cost of reagents)
315
Skin sensitivity tests (patch test) using supplementary series i.e. cost per series (excluding cost of reagents)
190
General dermatosurgery
Excision – cysts, scars, benign tumours (simple)
380
Excision – cysts, scars, benign tumours (complex)
660
Excision – malignant skin tumours requiring wide excision
915
P.U. (A) 358
106
Multiple intralesional steroid injections 190 Cryotherapy – not more than 5 lesions 155 Cryotherapy – more than 5 lesions 250 Cryotherapy – malignant tumours requiring wide areas of treatment
505
Curettage/Cryotherapy lesion of skin including cauterisation
315
Phototherapy
Phototherapy (ultra violet beam (UVB)) per session – regional
65
Phototherapy (UVB) per session – whole body
100
Psoralen and ultra violet A (PUVA) per session – regional
100
PUVA per session – whole body 125 Photopatch testing 250 Minimum erythema doses (MED) phototesting
250
Minimum photoxic doses (MPD) phototesting
250
Phototherapy ultraviolet A1 (UVA 1) per session – regional
100
Phototherapy ultraviolet A1 (UVA 1) per session – whole body
125
Other dermatology procedures
Simple excision of nail 70 Wedge excision of toe nail 380 Wedge excision or avulsion of toe nail including chemical ablation of nail bed
480 315
Matrixectomy of nail 170 Dark ground investigation (DGI) examination of specimen
125
Biopsy of skin or subcutaneous tissue 315 Percutaneous biopsy (not elsewhere specified)
315
Microscopic examination (dark ground) 65 Microscopic examination for skin scrapings, smears, and etc.
65
Electrocautery – keratosis, warts, angiomas, etc. (less than 5 lesions)
190
Electrocautery – keratosis, warts, angiomas, etc. (from 5 to 20 lesions)
380
Electrocautery – keratosis, warts, angiomas, etc. (more than 20 lesions)
630
P.U. (A) 358
107
Chemical cautery – keratosis, warts, angiomas, etc. (not more than 5 lesions)
125
Chemical cautery – keratosis, warts, angiomas, etc. (more than 5 lesions)
250
Electrolysis of hair per session 250 Iontophoresis per session 190 Transdermal iontophoresis 285
Cutaneous laser procedures
Cutaneous laser ablation of skin tumours (less than 5 lesions)
290
Cutaneous laser ablation of skin tumours (5 to 20 lesions)
660
Cutaneous laser ablation of skin tumours (more than 20 lesions)
860
Pigment laser treatment of skin pigmentation and tattoos – small area (less than 9 cm2)
380
Pigment laser treatment of skin pigmentation and tattoos – medium sized area (9 cm2 to 50 cm2)
435
Pigment laser treatment of skin pigmentation – large area (more than 50 cm2)
660
Pigment laser treatment of tattoo of eyebrows
380
Pigment laser treatment of tattoo of eyelids 435 Vascular laser treatment of vascular lesion – small area (less than 9 cm2)
380
Vascular laser treatment of vascular lesion – medium sized area (9 cm2 to 50 cm2)
435
Vascular laser treatment of vascular lesion – large area (more than 50 cm2)
660
Laser resurfacing of one cosmetic unit – non-ablative
860
Laser resurfacing of one cosmetic unit – ablative
1145
Laser-assisted/intense pulsed light (IPL) hair removal – small area (less than 9cm2)
380
Laser-assisted/IPL hair removal – medium sized area (9 cm2 to 50 cm2)
435
Laser-assisted/IPL hair removal – large area (more than 50 cm2)
660
Laser-assisted/IPL hair removal – whole face
915
P.U. (A) 358
108
Chemical peeling Chemical peeling of lesion of skin – superficial peel
290
Chemical peeling of lesion of skin – medium depth
380
Chemical peeling of lesion of skin – deep peel
660
Miscellaneous procedures
Comedone extract per session 190 Paring of hyperkeratosis, corns, etc. 190 Milia extraction 190 Day care skin nursing per session 190 Whole body wrap dressing (e.g: atopic eczema)
230
Microdermabrasion – face 345 Microdermabrasion – body 570 Botulinum toxin injection of one cosmetic unit
685
Fillers injection of one cosmetic unit 570
(f) Ear, nose and throat
External ear Total excision of external ear 1565 820 Excision of preauricular abnormality 1000 405 Excision of lesion of external ear 725 405 Removal of exostoses from external auditory canal
1760 505
Reconstruction of external ear using graft 2895 685 Reconstruction of external ear 2145 685 Meatoplasty of external ear 1565 505 Repair of external ear 405 405 Removal of foreign body from external auditory canal under general anaesthetic (GA) (and bilateral)
370 265
Excision of lesion of external auditory canal 480 570 Reconstruction of external auditory canal 2705 1125
Middle ear and mastoid
Radical mastoidectomy 2480 940 Modified radical mastoidectomy 2480 940 Simple mastoidectomy 2305 625 Revision of mastoidectomy 2040 940 Exploration of mastoid, facial nerve 2305 940 Tympanoplasty 2145 940 Myringoplasty 2040 760
P.U. (A) 358
109
Myringotomy and insertion of tube through tympanic membrane (and bilateral)
865 355
Suction clearance of middle ear 370 265 Myringotomy (and bilateral) 370 265 Ossiculoplasty with/without tympanoplasty
2705 940
Stapedectomy 2040 760 Middle ear tumour excision 2040 760 Middle ear polypectomy (and bilateral) 580 265 Tympanotomy and biopsy of lesion of middle ear
1760 570
Petrosectomy 3600 2110 Inner ear
Transtympanic electrocochleography 725 Operation on cochlea 3600 1320 Operation on endolymphatic sac 2145 940 Membranous labyrinthectomy 2390 940 Osseous labyrinthectomy 2480 940 Excision of preauricular sinus – unilateral 1340 Excision of preauricular sinus – bilateral 1760
Nose and nasal cavity
Total excision of nose 1565 760 Septorhinoplasty plus/minus graft/implant following trauma or excision of tumour
2145 625
Rhinoplasty following trauma or excision of tumour
2040 625
Submucous excision of septum of nose 1160 405 Excision of lesion of septum of nose 580 355 Biopsy of lesion of septum of nose 370 355 Closure of perforation of septum of nose 1340 405 Incision of septum of nose 405 315 Septoplasty of nose 1340 435 Nasal septum cauterisation (and bilateral) 315 265 Submucous diathermy to turbinate of nose (and bilateral)
405 265
Excision of turbinate of nose (and bilateral) 725 405 Excision of lesion of turbinate of nose (and bilateral)
405 405
Division of adhesions of turbinate of nose (and bilateral)
370 405
Biopsy of lesion of turbinate of nose (and bilateral)
370 405
Cauterisation of turbinate of nose (and bilateral)
370 265
Ligation of artery of internal nose 1340 505
P.U. (A) 358
110
Embolisation of artery of internal nose 1340 505 Packing of cavity of nose (as sole procedure)
315 505
Polypectomy of internal nose (and bilateral)
480 355
Excision of lesion of internal nose 405 355 Correction of congenital atresia of choana 1565 685 Removal of foreign body from cavity of nose
315 355
Excision of lesion of external nose 315 435 Nasal sinuses
Drainage of maxillary antrum including Caldwell-Luc (and bilateral)
1000 435
Transantral neurectomy of vidian nerve using sublabial approach (and bilateral)
1760 685
Antral puncture and wash-out (and bilateral)
480 265
Intranasal antrostomy including endoscopic (and bilateral)
865 505
Closure of oro-antral fistula 1340 435 External frontoethmoidectomy (and bilateral)
2145 760
Intranasal ethmoidectomy (and bilateral) 1160 505 External ethmoidectomy including endoscopic (and bilateral)
1565 685
Anterior and posterior opening into functional endoscopic sinus surgery (FESS)
1760 685
Transantral ethmoidectomy (and bilateral) 1565 685 Bone flap to frontal sinus (and bilateral) 2480 625 Trephining of frontal sinus 580 265 Radical frontoethmoidectomy 2390 940 Subtotal FESS 1565 685 Operation on sphenoid sinus 865 505 Operation on nasal sinus (unspecified) 865 505 Lateral Rhinotomy into sinus for malignancy
1760 625
Diagnostic endoscopy of sinus (as sole procedure)
315 405
Throat
Total pharyngectomy 5970 1815 Partial pharyngectomy 2305 1815 Adenoidectomy 405 265 Repair of pharynx 2145 820 Open excision of lesion of pharynx 725 505 Operation on pharyngeal pouch 1890 685
P.U. (A) 358
111
Therapeutic endoscopic operation on pharynx
580 405
Pharyngeal pouch – Endoscopic resection 1890 625 Diagnostic endoscopic examination of pharynx including biopsy
580 405
Tonsillectomy – child (and bilateral) 1000 435 Tonsillectomy – adult (and bilateral) 1160 435 Excision of lingual tonsil 865 435 Adenotonsillectomy (and bilateral) 1160 435 Drainage of peritonsillar abscess ("Quinsy") 315 315
Larynx and trachea
Total laryngectomy including neck dissection
3600 1815
Partial laryngectomy 2145 985 Laryngofissure and chordectomy of vocal chord
1760 625
Laryngectomy (excluding neck dissection) 2570 1320 Glottoplasty 1760 625 Reconstruction of larynx with graft 3600 1815 Endoscopic excision of lesion of larynx including microlaryngoscopy
1160 570
Laryngoscopy/endoscopy with/without biopsy
580 505
Injection into larynx 1160 505 Partial excision of trachea with reconstruction
3600 2110
Tracheoplasty 1760 625 Open placement of prosthesis in trachea 1760 505 Tracheotomy 1000 570 Insertion of mini-tracheostomy 580 405
Fibreoptic endoscopic procedures under topical anaesthesia
Fibreoptic examination of trachea and bronchus including biopsy/removal of foreign body
725 505
Bronchial lavage (diagnostic or therapeutic)
865
Dilatation of tracheal stricture including insertion of stent
865
Dilatation of bronchial stricture by fibreoptic bronchoscope
1000
Transbronchial biopsy 1000
(g) Endoscopic and laparoscopic gastro-intestinal tract (GIT) procedures
Endoscopic GIT procedure
P.U. (A) 358
112
Rigid oesophagoscopy plus/minus biopsy/removal/laser or diathermy destruction of lesions
865 435
Diagnostic esophagogastroduodenoscopy including Biopsy
405 315
Therapeutic esophagoduodenoscopy including removal of foreign body/polypectomy
580 435
Therapeutic esophagogastroduodenoscopy including destruction of lesion, insertion of prosthesis, dilatation, recanalisation of tumour
1000 435
Injection sclerotherapy for oesophageal varices
1000 685
Intubation for investigation of GIT plus/minus manometry, pH measurement, pancreatic function and jejunal biopsy
480 315
Endoscopy and examination of ilium through stoma including dilatation
580 315
Flexible sigmoidoscopy plus/minus biopsy/removal/destruction of lesion
580 435
Fibreoptic colonoscopy plus/minus excision biopsy/destruction of lesion
1000 435
Fibreoptic colonoscopy and recanalisation of tumour
1565 435
Endoscopic retrogradecholangiopancreatography (ERCP)
1160 505
ERCP with therapeutic procedure 1760 505 Pancreatic stent insertion 2040 760 Pancreatic stone removal 2040 760 Pancreatic pseudocyst drainage 2040 760 Rubber band ligation of varices 1000 405 PEG 1760 625 Endoscopic mucosal resection 2040 760 Colonic polypectomy 1340 505 Colonic dilatation (balloon) 1340 505 Colonic stent insertion 1565 570 Therapeutic GIT bleeding procedures (upper)
1000 405
Laparoscopic procedure
Laparoscopic repair of hiatus hernia 2145 760 Laparoscopic vagotomy/seromyotomy 2040 685 Laparoscopic gastrojejunostomy 2145 685 Laparoscopic gastrostomy/jejunostomy 1760 570
P.U. (A) 358
113
Laparoscopic closure of perforated ulcer of stomach
1890 685
Laparoscopic closure of perforated ulcer of duodenum
1890 685
Laparoscopic resection of small intestine 1890 685 Laparoscopic appendicectomy 1565 570 Laparoscopic colostomy 2040 760 Laparoscopic colonic resection 2390 820 Laparoscopic anterior resection of rectum and exteriorisation of bowel
4750 1550
Laparoscopic rectopexy 1890 940 Laparoscopic cholecystectomy 2480 1125 Laparoscopic cholecystectomy with perioperative cholangiogram
2705 1550
Laparoscopic splenectomy 1565 760 Laparoscopic repair of groin hernia 1160 505
(h) Eye and orbital content General procedures
Fundus fluorescein angiogram 345 Anterior/Fundus photography 65 Automated perimetry 250 Hess chart 125 Keratometry 65 Corneal topography Ultrasonography 250 A - Scan 125 B - Scan 250 Pachymetry 125 Gonioscopy 65 Indirect ophthalmoscopy 65 Refraction 65 Schirmer’s test 30 Electrophysiology Electroretinogram (ERG)/ Electrooculogram (EOG)/Visual evoked response (VER)
250
Syringing 125 Dressing 35 Irrigation 65 Excision/curettage/cryotherapy of lesion of eyelid(s)
370 265
Yag laser photo disruption of posterior capsule of lens including laser capsulotomy
580 505
Laser photocoagulation/Cryotherapy/ Radiotherapy of lesion of retina (and bilateral)
1000 405
P.U. (A) 358
114
Flourescein angiography of eye 315 265 Surgical correction of squint (one or both eyes)
1890 625
Surgical trabeculectomy 2040 760 Trabeculectomy including laser 1160 570 Biopsy of lesion of eyelid 480 315 Extracapsular extraction without implant 2145 820 Extracapsular extraction with implant 2570 940
Globe or orbit Exenteration of orbit 2040 760 Enucleation of eyeball 2040 685 Excision of lesion of orbit 1890 685 Reconstruction of cavity of orbit 2305 760 Biopsy of lesion of orbit 1160 505 Drainage of orbit 1340 355 Decompression of orbit 2305 685 Removal of foreign body from orbit 1890 685 Exploration of orbit 1890 685 Open reduction of fracture of orbit 1340 685 Retrobulbar injection 315 265 Evisceration of eyeball 2040 760 Orbital implants – Evisceration/ Enucleation with implant
2390
Eyebrow and lid
Excision of lesion of eyebrow 580 405 Suture of eyebrow 315 405 Excision of lesion of canthus 1000 505 Correction of epicanthus 1160 505 Correction of telecanthus 1160 505 Graft of skin to canthus 1000 505 Canthotomy/Curettage 580 505 Excision/Curettage/Cryotherapy of lesion of eyelid(s)
370 265
Graft of skin to eyelid 1000 505 Correction of ectropion 1160 405 Correction of entropion 1160 405 Correction of trichiasis 405 405 Tarsorrhaphy 865 405 Total reconstruction of eyelid 1890 505 Suture of eyelid (laceration) 405 405 Total reconstruction of eyelid – bilateral 2895 820 Correction of ptosis of eyelid 1760 625 Tarsomullerectomy 1760 505 Drainage of lesion of eyelid 370 355 Biopsy of lesion of eyelid 480 315
P.U. (A) 358
115
Removal of eyelashes by electrolysis/laser/cryotherapy
370 265
Lacrimal system
Canaliculo dacryocystorhinostomy 2390 940 Conjunctivo dacryocystorhinostomy 2390 940 Dacryocysto rhinostomy (DCR) with/without insertion of tube
2040 940
Excision of lacrimal sac 1000 505 Biopsy of lacrimal sac 580 505 Incision of lacrimal sac 370 405 Syringing of nasolacrimal system under general anaesthesia (GA)
315 265
Probing of nasolacrimal sac under GA 315 265 Repair of torn canaliculus 1000 265 Dilation of lacrimal punctum under GA 315 265 Endoscopic DCR 2570 1320
Muscles
Surgical correction of squint (one or both eyes)
1890 625
Revision of squint surgery (one or both eyes)
2305 570
Tenotomy of muscle (one or both eyes) 1340 570 Transposition of muscle (one or both eyes) 1760 570 Surgical correction of squint with adjustable sutures (one or both eyes)
2480 685
Revision of squint surgery with adjustable sutures (one or both eyes)
2895 940
Correction of squint with botulinum toxin 1000 Conjunctiva
Excision of conjunctival lesion 480 505 Cauterisation including cryotherapy to conjunctival lesion
315 505
Radiotherapy to conjunctival lesion 580 505 Mucosal graft to conjunctiva 1160 505 Suture of conjunctiva 480 505 Removal of suture of conjunctiva 315 435 Drainage of conjunctival cyst 315 435 Division of adhesions of conjunctiva 315 435 Biopsy of lesion of conjunctiva 315 435 Subconjunctival injection 315 435 Exploration of conjunctiva including removal of foreign body
370 435
Pterygium excision 1340 505 Conjunctival limbal graft 725
P.U. (A) 358
116
Cornea Excision of lesion of cornea 480 435 Cryotherapy of lesion of cornea 315 435 Lameliar graft (Keratoplasty) to cornea 2390 940 Perforating graft (Keratoplasty) to cornea 2390 940 Repair of corneal wound 580 505 Removal of corneal suture 315 405 Removal of superficial corneal foreign body 405 435 Tension sutures 1340 625 Chelation of cornea 725 405 Tattooing of cornea 725 405 Corneal scraping for culture 405 405 Refractive keratoplasty 1760 625 Photorefrative keratectomy (PRK)/ Phototherapeutic keratectomy (PTK)
2145 820
Keratomileusis laser in situ (LASIK) 3600 2110 Lamellar graft (Keratoplasty) to cornea 3600 Performing graft (Keratoplasty) to cornea 2895 Limbal stem cells transplantation 2705 Amniotic membrane graft 1160 Anterior stromal puncture 865 Astigmatic keratotomy 1565
Sclera Excision of lesion sclera 725 570 Repair of scleral laceration 725 570 Scleral graft 1565 570
Iris and anterior chamber Iridocycletomy 2390 940 Surgical iridectomy 1160 685 Surgical trabeculectomy 2040 760 Laser trabeculoplasty 1000 570 Trabeculotomy including laser 1160 570 Goniotomy (surgical treatment of glaucoma)
1890 570
Laser iridotomy 1160 505 Repair of prolapsed iris 1890 685 Excision of lesion of iris 1890 685 Removal of foreign body from iris 1890 685 Cyclocyotherapy (cauterisation of ciliary body)
1160 505
Cyclodialysis (separation of ciliary body) 1760 685 Reformation of anterior chamber 1565 570 Paracentesis 1000 435 Injection into anterior chamber 480 435 Irrigation of anterior chamber 480 435
P.U. (A) 358
117
Removal of foreign body from anterior chamber
1160 435
Valve implant in glaucoma 2895 1815 Surgical trabeculectomy 2040 760 Cyclophotocoagulation 1565 570
Lens Extracapsular extraction without implant – bilateral
3600 1320
Extracapsular extraction without implant - unilateral
2145 820
Phakoemulsification of lens with/without implant
2570 940
Extracapsular extraction with implant 2570 940 Extracapsular extraction with implant – bilateral
4750 1550
Yag laser photodistruption of posterior capsule of lens including laser capsulotomy
580 505
Secondary insertion of lens implant 1760 685 Revision of lens implant 1760 685 Removal of lens implant 1340 505 Small incision surgery with/without intra ocular lens (IOL)
2705 1550
Cataract surgery in complicated cases (e.g: dislocated lens) with/without implant
3600
Scleral fixation of intraocular lens 2390 Vitreous
Vitrectomy by anterior approach 1760 760 Vitrectomy pars plana approach with insertion of internal tamponade
2570 1320
Vitrectomy combined with membranectomy/insertion of internal tamponade/laser or cryotherapy
3600 2110
Retina
Buckling of sclera including implant/encircling explant/silicone oil/gas exchange/laser or cryotherapy
2145 820
Removal of silicone oil 865 355 Laser photocoagulation/Cryotherapy/ Radiotherapy of lesion of retina (and bilateral)
1000 405
Excision of lesion of retina 2145 940 Biopsy of lesion of retina 2145 505 Pars plana vitrectomy with removal of IOL/dislocated lens
5970 2930
P.U. (A) 358
118
Pars plana vitrectomy with removal of intra ocular foreign body
5970 2930
Buckling of sclera with trans pars plana vitrectomy
7030 3305
(i) Interventional radiology Biopsy
Fluoroscopically guided biopsy 725 Ultrasound guided biopsy 865 CT/MRI guided biopsy 1000 Transjugular/Transfemoral/plugged liver biopsy
1340
Drainage
Fluoroscopically guided drainage of fluid collection
725
Ultrasound guided drainage of fluid collection
1340
CT/MRI guided drainage of fluid collection 1565
Angioplasty Angioplasty 1760 Angioplasty with insertion of metallic stent 1890 Angioplasty with insertion of metallic stent-graft
2040
Insertion of aortic metallic stent-graft 4750 1550 Cerebral angioplasty with/without insertion of metallic stent
4750 1125
Cerebral angioplasty with insertion of metallic stent-graft
4750 1125
Embolization
Embolization of artery or vein 1890 Embolization of vascular mass including uterine embolization
2895
Embolization of bronchial artery 3600 Embolization of aneurysm 5970 Embolization of arteriovenous malformation
7030
Thrombolysis
Thrombolysis or aspiration of thrombus under imaging control
1340
Dilatation
P.U. (A) 358
119
Dilatation of stricture under imaging control
1160
Percutaneous dilatation of biliary stricture under imaging control
2305
Head and neck
Endoluminal stone extraction from salivary duct imaging control
725
Insertion of nasolacrimal stent under imaging control
2040
Head and neck spine
Chemonucleolysis 1160 Fluoroscopically guided discectomy including laser
2145
CT guided discectomy including laser 2895 Fluoroscopically guided percutaneous vertebroplasty
2145
CT Guided percutaneous vertebroplasty 2895
Thorax Insertion of tracheal/bronchial metallic stent
1760
Insertion of oesophageal metallic stent under imaging control
1565
Gastro-intestinal
Percutaneous gastrostomy 1760 Percutaneous gastrojejunostomy 2145
Liver Percutaneous cholecystotomy 1890 Percutaneous insertion of plastic biliary endoprosthesis
1890
Percutaneous insertion of metallic biliary endoprosthesis
2390
Transjugular intrahepatic portosystemic shunt
2895 1815
Urinary
Percutaneous nephrostomy 1340 Percutaneous removal of calculus 2705 Percutaneous pyelolysis 2705
Others Insertion of central venous catheter – non-tunnelled (X-ray guided)
725
P.U. (A) 358
120
Insertion of central venous catheter – tunnelled (X-ray guided)
1160
Cystablation under imaging control 1160 Insertion of vena cava filter 1340 Retrieval of foreign body under X-ray guidance
1565
Occlusion of fistula under imaging control 2145 Percutaneous laser coagulation of mass 3600
(j) Neurology Reporting of neurophysiology tests
Electroencephalogram (EEG) – routine and sleep or portable
315
Evoked potential study – visual evoked potential (VEP), brainstem auditory evoked response (BAEP) and somatosensory evoked response (SSEP)
580
Electromyography (EMG) and nerve conduction study
580
Nerve conduction study 315 Neurosurgery
Decompression and fusion of cranio cervical junction
7030 3305
Craniotomy for suprasellar tumour 7030 3305 Craniotomy for posterior fossa tumour 7030 3305 Selective posterior rhizotomy 5970 2930 Endoscopic discectomy 7030 Cervical laminectomy 3600
(k) Obstetrics and gynaecology Pregnancy and confinement
Caesarean delivery 1890 820 Caesarean hysterectomy 2390 820 Curettage of delivered uterus 480 405 Repositioning of inverted uterus 725 685 Neonatal exchange blood transfusion 1000
Female reproductive organs Uterus/Adnexa
Radical hysterectomy and lymphadenectomy (Wertheim's)
4750 1550
Total abdominal hysterectomy 2040 760 Subtotal abdominal hysterectomy 2040 760
P.U. (A) 358
121
Hysterectomy and removal of uterine adnexa
2040 760
Vaginal hysterectomy including laparoscopically assisted
2040 760
Hysterectomy and removal of uterine adnexa for ovarian malignancy
2895 820
Myomectomy including laparoscopically 2040 760 Plastic reconstruction of uterus 1565 685 Therapeutic endoscopic operation on uterus including endometrial ablation
1565 685
Hysteroscopy with/without D&C, biopsy including polypectomy
865 435
Endometrial biopsy or aspiration 405 265 Bilateral oophorectomy and salpingectomy in isolation
1890 685
Unilateral oophorectomy and salpingectomy in isolation
1340 685
Removal of products of conception from fallopian tube (ectopic pregnancy) including laparoscopically
1760 760
Laparoscopy including (e.g: puncture of ovarian cysts) plus/minus biopsy
1160 570
Laparoscopy and therapeutic procedures including laser, diathermy and destruction (e.g: endometriosis, adhesiolysis, tubal surgery and solid tumours)
1890 760
Ovarian cystectomy (not included in other procedures) (and bilateral)
1890 685
Block dissection of pelvic lymph nodes (not included in other procedures)
2040 760
Total exenteration of pelvis 5970 2930 Anterior exenteration of pelvis 4750 1815 Posterior exenteration of pelvis 4750 1815
Suspension Combined abdominal and vaginal operations to support outlet of female bladder
1890 685
Suprapubic sling operation 1890 760 Retropubic suspension of neck of bladder 1890 685 Vaginal operation to support outlet of female bladder
1890 685
Ventro-suspension of uterus including laparoscopic
1340 625
Cervix uteri
Colposcopy (with/without biopsy) 370
P.U. (A) 358
122
Amputation of cervix uteri 1160 505 Laser destruction of lesion of cervix uteri 370 265 Cauterisation of lesion of cervix uteri including loop diathermy
370 265
Cone biopsy of cervix uteri including laser 865 505 Punch biopsy of cervix uteri 315 265 Dilatation of cervix uteri and curettage of uterus including polypectomy and diathermy of cervix (for women over 40 years of age)
480 315
Vagina/Perineum
Cystourethroplasty 1760 685 Excision/Diathermy of urethral carbuncle 370 265 Operation on female perineum 480 265 Incision of introitus of vagina 480 505 Other obliteration of vagina 1890 760 Excision of septum of vagina 725 505 Excision of lesion of vagina (e.g: warts and cysts)
865 505
Reconstruction of vagina 2705 820 Anterior plus/minus posterior colporrhaphy and amputation of cervix uteri including primary repair of enterocele
2040 685
Posterior colporrhaphy 1340 625 Anterior plus/minus posterior colporrhaphy including primary repair of enterocoele
1890 685
Repair of enterocele (in isolation) plus/minus posterior colporrhaphy
1760 685
Anterior (plus/minus posterior) colporrhaphy with vaginal hysterectomy including primary repair of enterocoele
2480 820
Repair of vesicovaginal fistula 2145 820 Repair of urethrovaginal fistula 1890 820 Repair of rectovaginal fistula 2480 820 Repair of ureterovaginal fistula 2480 820
Vulva/Labia Excision of Bartholin’s gland 865 355 Marsupialisation of Bartholin’s gland 865 355 Simple vulvectomy 2145 760 Excision of excess labial tissue 725 435 Radical vulvectomy including block dissection of inguinal gland
2895 985
Excision of lesion of vulva 580 355
P.U. (A) 358
123
(l) Paediatric surgery Drainage of abscess of lung 2480 1125 Laparotomy for NEC 4750 2500 Single stage closure of epispadias 3600 2110 Excision of neural crest tumours (thoracic) 3600 2110 Transternal excision teratoma 3600 2110 Transternal excision lymphangioma 4750 2500 Endoscopy and cannulation of tracheal fistula
1565 570
Excision of bronchial cyst 3600 2110 Repair of lung 2895 1815 Excision of oesophageal duplication 3600 2110 Repair of H type of Tetralogy of Fallot (TOF)
3600 2110
Repair of tracheo-oesophageal cleft 5970 2930 Thoracotomy and primary repair of oesophageal atresia
4750 2500
Repair of recurrent TOF 5970 2930 Thoracotomy and division of fistula 2895 1815 Esophagostomy 1760 625 Oesophageal transection 2705 1550 Rectosigmoidectomy with coloanal reconstruction for Hirschsprung's disease
4750 2500
Lester-Martin modification of Duhamel 5970 2930 Kimura operation for total colonic aganglionosis
7030 3305
Ileocecal/jejunal patch for total colonic aganglionosis
7030 3305
Presacral injection of hypertonic saline 480 265 Insertion of encircling suture perianal sphincter
480 265
Posterior sagittal anorectoplasty 3600 2110 Posterior sagittal anorectoplasty with laparotomy for high type anorectal anomaly
4750 2500
Anterior sagittal anorectoplasty 2895 1815 Sacroperineal pull-through 2895 1815 Posterior sagittal anorectovaginourethroplasty for intermediate type cloacal
5970 2930
Posterior sagittal anorectovaginourethroplasty with laparotomy for high type
7030 3305
Redo posterior sagittal anorectoplasty for anorectal anomaly
5970 2930
Anoplasty 1760 625
P.U. (A) 358
124
Drainage of choledochal cyst 2390 985 Kasai operation for biliary atresia 7030 3305 Subtotal splenectomy 3600 2110 Repair of spleen 2705 1550 Aortopexy (for tracheomalacia) 3600 2110 Percutaneous insertion of nephrostomy tube
1160 435
Cutaneous ureterostomy 1565 570 Excision of ureterocoele 2480 1125 Excision of ectopic ureterocoele 2570 1320 Closure of bladder exostrophy 5970 2930 Conversion of cloacal exstrophy to bladder exstrophy with end colostomy
4750 2500
Conversion of cloacal exstrophy, ileostomy, separation of caecum from both hemibladders
7030 3305
Vesicostomy 1760 625 Mitrofanoff Appendicovasicostomy 3600 2110 Glandular hypospadias repair (e.g: MAGPI) 1565 570 Distal penile hypospadias repair (e.g: Flip-flap repair)
2390 985
Closure of urethra fistula 1000 405 First state repair of penile hypospadias 1565 570 Single stage island flap repair of proximal or penoscrotal hypospadias
3600 2110
Single stage repair for severe hypospadias with penoscrotal transposition
4750 2500
Single stage male reconstruction with vaginectomy for ambiguous genitalia
7030 3305
Correction of penoscrotal transposition 1890 685 Correction of chordae without hypospadias (no need for urethroplasty)
1565 570
Second stage repair of hypospadias 1565 570 Correction of penile chordae without hypospadius requiring urethroplasty
2895 1815
Hypospadias repair with free bladder or buccal mucusa graft
4750 2500
Exploration of scrotum 1000 405 Microvascular transfer of testis to scrotum 2705 1550 Laparoscopy and orchidopexy for intra-abdominal testis
2145 820
Laparotomy and ligation of testicular artery 865 355 Laparoscopic division of testicular artery 1565 570 Dorsal slit prepuce 405 265 Reduction clitoroplasty for congenital adrenal hyperplasia
2705 1550
P.U. (A) 358
125
Reduction clitoroplasty with vaginoplasty for congenital adrenal hyperplasia
4750 2500
Reduction clitoroplasty, laparotomy and sigmoid colon vaginoplasty
7030 3305
Redo reduction clitoroplasty with redo vaginoplasty with laparotomy and sigmoid
7030 3305
Excision of cervical cystic hygroma – small 1160 435 Excision of cervical cystic hygroma – large 2480 1125 Excision of cervical cystic hygroma – extensive
3600 2110
Correction of hydrocele – unilateral 1000 Correction of hydrocele – bilateral 1760 Closure of exomphalos major/gastroschisis – primary closure
3600
Closure of exomphalos major/gastroschisis – silastic closure
2145
Closure of exomphalos major/gastroschists – delayed primary closure
2570
(m) Paediatric orthopaedic surgery
Congenital dislocation of hip (CDH)
Close reduction with/without anaesthesia and hip spica
865 355
Close reduction with application of brace 315 265 Open reduction with hip spica 1890 685 Open reduction with pelvic osteotomy 2305 940 Open reduction with femoral osteotomy 2305 940 Open reduction with pelvic and femoral osteotomy
2705 1550
Knee Correction of deformity by serial casting 315 265 Correction of deformity by soft tissue release
1340 505
Correction of deformity by osteotomy 2305 940 Patellar stabilisation by casting 1160 435 Pseudoarthrodesis Excision and live graft 2895 1815 Excision and bone transport 2705 1550 Bone lengthening and correction of deformity
Using circular frame 2705 1550 Using uniaxial frame 2480 1125 Using circular and uniaxial frames (combined)
2705 1550
P.U. (A) 358
126
Foot Clubfoot correction by serial casting 315 265 Clubfoot correction by elongation of tendon Achilles
725 315
Clubfoot correction by complete soft tissue release
1760 625
Clubfoot correction by circular frame 1760 625 Deformity correction by tendon transfer and soft tissue release
2145 820
Deformity correction by osteotomy and fusion
2145 820
Arthrodesis
2145 820
Polio and cerebral palsy Soft tissue release and neurectomy of hip –bilateral
1340 505
Soft tissue release of knee – bilateral 1340 505 Soft tissue release of ankle – bilateral 1340 505 Tendon transfer 1565 570 Arthrodesis 2145 820
Tumour resection and limb salvage Soft tissue tumours - simple 2145 820 Soft tissue tumours - complex including neurovascular reconstruction
7030 3305
Bone tumours with endoprosthesis 7030 3305
(n) Pathology (Anatomical pathology)
Uncomplicated excision specimens - (e.g: appendix, fallopian tubes, vas,
tonsils, adenoids, sebaceous cyst, nasal polyp, heart valve)
55 - 70
More complicated excision specimens
Diagnostic biopsy (wedge/punch/trucut) (one paraffin block)
115 - 135
Medium sized specimens - (e.g: eye, salivary gland, thyroid, breast
lump, gall bladder, prostatic chips, splenectomy, simple hysterectomy, ovarian cyst, excised diabetic ulcer, excised tumour not more than 10cm, diagnostic biopsy sent as 2 to 3 separate specimens)
170 - 225
P.U. (A) 358
127
Large specimens - (e.g: laryngectomy, pneumonectomy,
simple mastectomy, breast hook wire with margins, gastrectomy, gut resection, nephrectomy, total abdominal hysterectomy and bilateral salphingoopherectomy (TAHBSO), cone biopsy, amputated limb (except for diabetes), excised tumour more than 10cm, diagnostic biopsy sent as 4 to10 separate specimens)
345 - 420
Radical specimens - (e.g: radical neck dissection,
mastectomy with axillary clearance, Whipple's Wertheim's, vulvectomy with lymphadenectomy, any other radical dissections requiring margins and lymph node status)
440 - 490
Specialised histopathology
Liver for non-neoplastic conditions including special stains
205 - 240
Muscle including special stains 280 - 345 Renal biopsy including special stains and immunofluorescence
410 - 485
Lymphoproliferative disorders including immunohistophenotyping of lymphomas
280 - 345
Frozen section (with follow-up paraffin section report)
410 - 555
Autopsy Visit to scene of crime 410 - 685 Procedure and report
685 - 1375
Cytopathology Report on gynaecological smear 45 - 50 Report on non-gynaecological smear 85 - 95 Procedure on aspiration cytology 315 Report on aspiration cytology
165 - 205
Haematology and transfusion Report based on blood film 45 - 70 Procedure on bone marrow aspiration 480 Report on bone marrow aspiration 135 - 275 Procedure on bone marrow trephine 580 405 Report on bone marrow trephine 135 - 275
P.U. (A) 358
128
Report on coagulation tests 70 - 135 Report on special haematological investigations - (e.g: folate-B12 status, Coomb's test,
Haemoglobin analysis, cytochemistry etc.)
70 - 135
Basic transfusion report - (e.g: discrepancies of grouping and
incompatibility of blood/blood products)
45 - 70
Report on transfusion problems 135 - 275 Pheresis 1000 Harvesting of bone marrow 1340 Grafting of bone marrow
1340
Genetics Chromosomes study immunofluorescence 135 - 410 Immunophenotyping 135 - 410 Deoxyribonucleic acid (DNA) content (Ploidy)
135 - 410
Gene rearrangement studies 135 - 410 Lymphocyte subsets 135 - 410 Report on other molecular genetic studies 135 - 410 Paternity testing 135 - 410 Human leucocyte antigen (HLA) typing
135 - 410
Immunology Report on general immunology test - (e.g: autoimmune disease screen,
autoantibodies screen)
40 - 70
Report on special immunological investigations - (e.g: Serum protein electrophoresis,
Cerebrospinal fluid (CSF) electrophoresis, immunotyping of monoclonal proteins, immunophenotyping of immune disorders, investigations of proteinuria, cellular function studies)
70 - 275
Medical microbiology Report on routine culture and sensitivity 15 - 20 Report on special cultures 70 - 135
P.U. (A) 358
129
Report on direct smears examination (gram/acid fast bacilli (AFB))
45 - 55
Report on serological tests 45 - 55 Report on special serological tests 70 - 135 Report on antimicrobial susceptibility testing (per test)
105 - 205
Consultation on patient management (Investigation and empirical therapy)
105 - 135
Positive blood culture smear examination and preliminary report with consultation on patient management
135 - 205
Consultation on infection control 135 - 205 Report on antigen detection (Immunofluorescence, IgG enzyme linked immuno-sorbent assay (ELISA), latex/coagglutination)
70 - 105
Chemical pathology Report on general chemistry profiles - (e.g: liver, bone, cardiac)
45 - 70
Report on general chemistry screen including executive screen
70 - 205
Report on special chemistry investigations - (e.g: metabolic studies (lipid, bone)
endocrine disorders, toxicology studies, therapeutic drug monitoring, maternal and foetal health assessment)
70 - 410
Report on dynamic studies - (e.g: function studies (GIT, endocrine,
renal))
115 - 410
Consultation for – Investigation strategy 105 - 135 Non-analytical variation 105 - 135 Drug interferences 105 - 135 Correlation between clinical data and clinical information provided
105 - 135
Miscellaneous Electron microscopy 340 - 410 Second opinion for – Data interpretation and bone marrow slides
135 - 275
Histopathology and cytopathology 275 - 685 Autopsy findings 275 - 1375
P.U. (A) 358
130
(o) Psychiatry – Psychotherapy
Individual psychotherapy – not less than 45 minutes per session including behaviour therapy and hypnotherapy
250
Group psychotherapy per person – one hour per group of not less than three patients and not more than eight patients
65
Marital therapy per couple – not less than 45 minutes per session for a couple together
250
Family therapy per family – not less than 45 minutes per session and not less than three members
250
Child psychotherapy – not less than 30 minutes per session including relevant family interviews
250
Each electroconvulsive therapy (ECT) 315 (p) Radiology and diagnostic imaging
Note: Where applicable, radiologist fee make up 30% of the total fee chargeable for radiology and diagnostic imaging.
Chest Chest (single view) 45 Chest (two views) 70 Chest (three views) 90 Chest (four views) 115
Abdomen Abdomen (single view) 45 Abdomen (two views) 70 Abdomen (three views) 90 Kidney, ureter and bladder (KUB) (single view)
115
Lateral pelvimetry 55 Anteroposterior (AP) and lateral pelvimetry
90
Spine
Cervical spine (single view) 45 Cervical spine (two views) 70 Cervical spine (three views) 90 Cervical spine (four views) 115 Cervical spine (five views) 135 Thoracic spine (single view) 45 Thoracic spine (two views) 70
P.U. (A) 358
131
Thoracic spine (three views) 90 Lumbo-sacral spine (single view) 45 Lumbo-sacral spine (two views) 70 Lumbo-sacral spine (three views) 90 Lumbo-sacral spine (four views) 115 Skeletal survey 250
Skull
Skull (single view) 45 Skull (two views) 70 Skull (three views) 90 Skull (four views) 115 Facial bones Facial bones (single view) 45 Facial bones (two views) 70 Facial bones (three views) 90 Nasal bones (single view) 45
Mandible
Mandible (single view) 45 Mandible (two views) 70 Mandible (three views) 90
Temporo-mandibular joints
Temporo-mandibular joints (single view) 45 Temporo-mandibular joints (two views) 70 Temporo-mandibular joints (three views) 90 Temporo-mandibular joints (four views) 115
Mastoids
Mastoids (single view) 45 Mastoids (two views) 75 Mastoids (three views) 110 Mastoids (four views) 130
Paranasal sinuses
Paranasal sinuses (single view) 45 Paranasal sinuses (two views) 70 Paranasal sinuses (three views) 90
Optic foramina view Unilateral 70 Bilateral 105
Orbits
Orbits (two views) 45 Orbits (three views) 70 Orbits (four views) 90
P.U. (A) 358
132
Internal auditory canal Internal auditory canal (single view) 45 Internal auditory canal (two views) 70 Internal auditory canal (three views) 90
Shoulder Shoulder (single view) 45 Shoulder (two views) 70 Shoulder (three views) 90 Shoulder (four views) 115 Acriomo-clavicular joints – both weight bearing
55
Arm (Humerus)
Arm (single view) 45 Arm (two views) 70
Elbow joint
Elbow joint (single view) 45 Elbow joint (two views) 70 Elbow joint (three views) 90 Elbow joint (four views) 115
Forearm (Radius/Ulna)
Forearm (single view) 45 Forearm (two views) 70
Wrist joint
Wrist Joint (single view) 45 Wrist Joint (two views) 70 Wrist Joint (three views) 90 Wrist Joint (four views) 115
Hand
Hand (single – one view) 45 Hand (single – two views) 70 Hand (single – three views) 90 Hand (both – one view) 55 Hand (both – two views) 80 Hand (both – three views) 105 Left Hand for bone age 45
Thumb or single digit
Thumb or single digit (single view) 30 Thumb or single digit (two views) 40
P.U. (A) 358
133
Clavicle Clavicle (single view) 45 Clavicle (two views) 70
Sterno-clavicular joint Sterno-clavicular joint (single view) 45 Sterno-clavicular joint (two views) 70 Sterno-clavicular joint (three views) 90 Sternum (single view) 45
Scapula Scapula (single view) 45 Scapula (two views) 70 Carpal tunnel view 70 Scaphoid views 90
Pelvis Pelvis (single view) 50 Pelvis (two views) 75 Pelvis (three views) 95
Hip joint Hip joint (single view) 50 Hip joint (two views) 75 Hip joint (three views) 95 Hip joint (four views) 120 Hip joint (five views) 145
Femur (thigh) Femur (single view) 50 Femur (two views) 70
Knee Knee (single view) 45 Knee (two views) 70 Knee (three views) 90 Knee (four views) 115 Knee (five views) 135
Lower Leg (Tibia/Fibula) Lower leg (single view) 45 Lower leg (two views) 70
Ankle Ankle (single view) 45 Ankle (two views) 70 Ankle (three views) 90
P.U. (A) 358
134
Ankle (four views) 115 Ankle (five views) 135
Foot Foot (single view) 45 Foot (two views) 70 Foot (three views) 90 Both feet (two views) 80 Both feet (three views) 105
Subtalar joints Subtalar joints (single view) 45 Subtalar joints (two views) 70 Subtalar joints (three views) 90 Subtalar joints (four views) 115
Calcaneum Calcaneum (single view) 45 Calcaneum (two views)
70
Bone densitometry Dexa 170 Ultrasound 150
Radiographic contrast examination (radiologist fee in parenthesis)
Barium swallow (40%) 115 Barium meal (double contrast) (40%) 170 Barium meal and follow through (40%) 205 Small bowel enema (40%) 205 Gastrograffin or non-ionic contrast upper gastrointestinal study (40%)
205
Barium enema (single or double contrast) (40%)
205
Gastrograffin or non-ionic contrast enema (40%)
205
Loopogram (40%) 205 Duodenal intubation (40%) 230 Oral cholecystogram (single dose) (30%) 135 Oral cholecystogram (double dose) (30%) 170 Cystogram (30%) 205 Ascending urethrogram (40%) 230 Micturating cystourethrogram (40%) 285 Retrograde pyelogram – one side (30%) 135 Retrograde pyelogram – both sides (30%) 205 Ileal conduit study (40%) 205 Nephrostomy pyelogram – one side (30%) 170
P.U. (A) 358
135
Nephrostomy pyelogram – both sides (30%)
235
IVU standard dose contrast (30%) 230 IVU standard and tomograms (30%) 265 IVU double dose contrast (30%) 310 IVU double dose of contrast and tomogram (30%)
345
IVU standard dose and delayed radiographs (30%)
285
IVU double dose of contrast and delayed radiographs (30%)
365
IVU standard dose and tomograms and delayed radiographs (30%)
320
IVU double dose and tomograms and delayed radiographs (30%)
400
T-tube cholangiogram (30%) 135 Operative cholangiogram (30%) – urgent reporting only
285
Hysterosalpingogram (ionic contrast) (30%) – Screening and reporting only
135
Hysterosalpingogram (non-ionic contrast) (30%) – Screening and reporting only
135
Hysterosalpingogram plus ionic contrast (whole procedure) (40%)
205
Hysterosalpingogram plus non-ionic contrast (whole procedure) (40%)
230
Sinogram (40%) 170 Parotid sialogram – one side (50%) 230 Parotid sialogram – both sides (50%) 460 Submandible sialogram – one side (50%) 230 Submandible sialogram – both sides (50%) 460 Arthrogram – one side (50%) 230 Arthrogram – both sides (50%) 400 Lumbar myelogram (water soluble non-ionic contrast) (50%)
515
Cervical/thoracic myelogram (50%) 605 Bronchogram – one side (40%) (screening, reporting plus radiographs only)
230
Bronchogram – both sides (40%) (screening, reporting plus radiographs only)
345
Tomography
Tomogram – one plane (30%) 195 Tomogram – two planes (30%) 250
P.U. (A) 358
136
Tomogram – pituitary fossa AP/lateral (30%)
195
Mammogram
Mammography up to four views (35%) 230 Mammography and one additional view (35%)
265
Mammography and two additional views (35%)
295
Mammography and limited ultrasound additional (35%)
285
Computer tomography scans (CT scans)
Note: Charges are based on 100ml of intravenous non-ionic contrast except CT brain/orbit – 50 ml
Brain (without contrast) (30%) 400 Brain (with non-ionic contrast) (35%) 490 Brain complex CT (50%) 630 Abdomen (without contrast) (30%) 400 Abdomen (with non-ionic contrast) (35%) 515 Abdomen two phases (40%) 630 Abdomen three phases (40%) 745 Abdomen four phases (40%) 915 Abdomen complex (40%) 860 Pelvis (without contrast) (30%) 345 Pelvis (with non-ionic contrast) (35%) 460 Pelvis complex (50%) 570 Spines – cervical or lumbar (without contrast) (30%)
400
Spines – cervical or lumbar (with intraspinal non-ionic contrast (50%)
745
Spine complex (50%) 860 Spines – thoracic (without contrast) 30% 460 Spines – thoracic (with intraspinal non-ionic contrast) (50%)
745
Spine complex (50%) 860 Chest (without contrast) (30%) 345 Chest (with non-ionic contrast) (35%) 460 Chest complex (50%) 570 Low dose screening CT of the chest (30%) 285 High resolution computerised tomography (HRCT) – inspiratory or expiratory (30%)
345
HRCT – inspiratory plus expiratory (40%) 515 Neck/Thyroid (without contrast) (30%) 345
P.U. (A) 358
137
Neck/Thyroid (with non-ionic contrast) (30%)
460
Postnasal space and neck (without contrast) (30%)
515
Postnasal space and neck (with non-ionic contrast) (30%)
630
Postnasal space complex (50%) 745 Orbits (Without contrast) (20%) 345 Orbits (With non-ionic contrast) (25%) 460 Orbits complex (50%) Pituitary fossa (Without contrast) (20%) 345 Pituitary fossa (With ionic contrast) (25%) 460 I.A.M. (Without contrast) (20%) 345 I.A.M. (Without non-ionic contrast) (25%) 460 Total body scan (brain, neck, chest, abdomen and pelvis) (without contrast) (20%)
1030
Total body scan (with non-ionic contrast) (25%)
1145
Total body scan complex (50%) 1260 Chest, abdomen and pelvis (without contrast) (20%)
915
Chest, abdomen and pelvis (with non-ionic contrast) (25%)
1030
Chest, abdomen and pelvis complex (50%) 1145 Spiral CT of abdomen and pelvis for renal calculi (without intravenous (IV) contrast) (30%)
345
Single plane high resolution CT of the parasanal sinuses for sinusitis (without contrast) (20%)
230
Single plane CT of the paranasal sinuses (without contrast) (20%)
345
Single plane CT of the parasanal sinuses (with non-ionic contrast) (25%)
460
Abdomen and pelvis (without contrast) (30%)
685
Abdomen and pelvis (with contrast) (35%) 800 Abdomen and pelvis complex (50%) 915 Chest and upper abdomen (without contrast) (30%)
685
Chest and upper abdomen (with contrast) (35%)
800
Chest and upper abdomen complex (50%) 915 CT two system (not listed above) (without contrast) (30%)
685
P.U. (A) 358
138
CT two system (not listed above) (with contrast) (35%)
800
CT two system (not listed above) (complex) (50%)
915
CT extremities (without contrast) (one region) (30%)
400
CT extremities (with contrast one region) (35%)
515
CT extremities complex (50%) 630
Ultrasound Upper abdomen (40%) 170 Pelvis (40%) 135 Abdomen and pelvis (50%) 230 Kidneys and bladder (40%) 115 Kidneys and bladder plus residual urine volume estimation (50%)
135
Brain (neonatal) (40%) 135 Detailed ultrasound scan of foetus 285 Thyroid (40%) 115 Breast (40%) 160 Doppler ultrasound of extra-cranial carotids (50%)
400
Doppler ultrasound of arteries per region (50%)
285
Doppler ultrasound of veins single limb (50%)
285
Doppler ultrasound of veins two limbs (50%)
460
Doppler ultrasound of arteries for single limb (50%)
345
Doppler ultrasound of arteries for two limbs (50%)
515
Musculoskeletal ultrasound per region (40%)
170
Ultrasound scrotum (40%) 115 Doppler ultrasound for scrotum (50%) 230 Doppler ultrasound for other organs (per organ) not listed above (50%)
345
Endocavitary ultrasound (50%) 170 Heart ultrasound for pericardial disease 90 Surcharge for each portable ultrasound (payable to radiologist during normal working hours)
55
Surcharge for each portable ultrasound (payable to radiologist after normal working hours)
170
P.U. (A) 358
139
Screening Endoscopic retrograde cholangio pancreatography (ERCP) (30%) (screening and reporting only) – simple
230
ERCP (30%) (screening and reporting only) – complex
345
Magnetic Resonance Imaging (MRI) Brain
Brain (without contrast) 800 Brain (with contrast) 1030 Brain with magnetic resonance angiography (MRA) (Intracranial)
1375
Brain with MRA plus contrast 1600 Brain with MRA plus bilateral carotids plus contrast
2060
MRA intracranial or extracranial carotids 800 Brain MRV – simple 800 Brain MRV – complex 1030 Pituitary (without contrast) 800 Pituitary (with contrast) 1030 Pituitary (with contrast dynamic) 1375 I.A.M (without contrast) 800 I.A.M (with contrast) 1030 I.A.M plus brain (without contrast) 1375 I.A.M plus brain (with contrast) 1600
Orbit Orbits (without contrast) 800 Orbits (with contrast) 1030 Orbits and brain (without contrast) 1375 Orbits and brain (with contrast) 1600
Neck
Neck (without contrast) 800 Neck (with contrast) 1030 Neck and brain (without contrast) 1485 Neck and brain (with contrast) 1715 Brachial plexus (without contrast) 915 Brachial plexus (with contrast) 1145
Thorax
Mediastinum (without contrast) 800 Mediastinum (with contrast) 1030
P.U. (A) 358
140
Cardiac Cardiac MRI – simple 1145 Cardiac MRI – intermediate 1715 Cardiac MRI – complex 2290 Thoracic MRA – simple 1030 Thoracic MRA – intermediate 1260 Thoracic MRA – complex 1485 Pulmonary MRA – simple 1030 Pulmonary MRA – intermediate 1260 Pulmonary MRA – complex 1485 (surcharge for each 10 ml of intravenous (IV) MRI contrast agent)
285
Upper Abdomen
Upper abdomen – simple 1030 Upper abdomen – intermediate 1260 Upper abdomen – complex 1485 Magnetic resonance cholangio pancreaticography (MRCP)
800
Magnetic resonance urography 800 Upper abdomen MRA – simple 1030 Upper abdomen MRA – intermediate 1260 Upper abdomen MRA – complex 1485 (surcharge for each 10 ml of intravenous (IV) MRI contrast agent)
285
Pelvis
Pelvis – simple 1030
Pelvis – intermediate 1260 Pelvis – complex 1485 MRI pelvimetry 570 (Surcharge for each 10 ml of intravenous (IV) MRI contrast agent)
285
Spine
MRI whole spine (without contrast) (for cord compression)
1600
MRI whole spine (with contrast) (for cord compression)
1830
MRI cervical spine (without contrast) 1030 MRI cervical spine (with contrast) 1375 MRI thoracic spine (without contrast) 1030 MRI thoracic spine (with contrast) 1375 MRI lumbar spine (without contrast) 1030 MRI lumbar spine (with contrast) 1375
P.U. (A) 358
141
Joints (shoulder, sternoclavicular, elbow, wrist, hip, sacro-iliac, knee, ankle, sub-tarsal)
MRI single joint (without contrast) 1030 MRI single joint (with contrast) 1375
Region (arm, forearm, hand, thigh, lower leg-calf/foot)
MRI single region (without contrast) 1145 MRI single region (with contrast) 1490 MRI Arthrography (radiologist fee) 345
(q) Radiotherapy and oncology External irradiation treatment (linear accelerator)
Usually entails daily treatment 5 times weekly at 200cGy per treatment
170
External irradiation treatment using any other fraction to be charged according to biological equivalent dose - treatment of a Co 60 teletherapy unit to be charged 30% less on daily treatment fee
115 - 345
Treatment fee inclusive of specialist fee
Low dose rate intracavitary treatment each session to include radioactive source, applicators (not inclusive of ward, theatre and anaesthetic fees)
2860 - 5720
Interstitial treatment - (e.g: implants inclusive of source and
other applicators)
3430 - 5720
High dose rate intracavitary/intraluminal radiotherapy for complete treatment (not inclusive of applicators)
2290 - 5720
Cytotoxic therapy (excluding consultation)
Infusion 570 - 860 Prolonged Infusion 685 - 1030 Progressive chemotheraphy per day (Multiple days)
170 - 285
(r) Skin and subcutaneous tissue Lesions of skin
Coccygeal pressure ulcer excision 865 685 Microscopically controlled excision of
2480 820
P.U. (A) 358
142
lesion of skin or subcutaneous tissue (Moh's chemosurgery)
Malignant melanoma excision including grafting
2145 685
Excision of lesion of skin or subcutaneous tissue – up to three excision
405 405
Excision of lesion of skin or subcutaneous tissue – four or more excision
1000 505
Lesion requiring wide excision including rodent ulcer excision
1000 405
Curettage/cryotherapy of lesions of skin including cauterisation – four or more
1000 315
Laser destruction of lesion of skin 580 265 Shave biopsy of lesion of skin 315 265 Removal of foreign body in deeper tissue 725 355 Drainage of lesion of skin including abscess 370 265 Drainage of large subcutaneous abscess/haematoma
580 405
Limited area dermabrasion of skin 580 315 Extensive dermabrasion of skin 1000 435 Excision of nail bed (Zadeks) 725 435
Repair Primary suture of wound with involvement of deeper tissue
1340 625
Secondary suture of skin 370 315 Insertion/removal of skin expander into tissue
1340 505
Debridement of wound (and surgical toilet) 480 315
Burns Escharectomy of burnt skin or subcutaneous tissue (not more than 10%)
1340 435
Escharectomy of burnt skin or subcutaneous tissue (greater than 10%)
1760 760
Extensive dressing of burn of skin or subcutaneous tissue
480 625
Transplant
Distant flap of skin and muscle 1890 940 Neurovascular island flap 2390 940 Large local flap including myocutaneous and fascia
1760 505
Small local flap 1760 505
Grafts Split autograft of skin – small site 1000 505
P.U. (A) 358
143
Split autograft of skin – large site 2040 685 Full thickness graft 1160 685 Microvascular free tissue transfer 3600 1550
(s) Spine, spinal cord and peripheral nerves
Cervical region Primary posterior decompression including fusion
3600 1320
Primary posterior decompression with fusion and instrumentation
3600 1320
Open door laminoplasty of the cervical region (Hirobyashi)
3600 1320
Revision posterior decompression including fusion
4750 1320
Revision posterior decompression with fusion and instrumentation
4750 1320
Revision anterior decompression including fusion
4750 1320
Revision anterior decompression with fusion and instrumentation
4750 1320
Combined anterior and posterior fusion of cervical spine including instrumentation
5970 1815
Trans oral surgery including posterior fixation
5970 1550
Endoscopic discectomy 7030 Cervical laminectomy 3600 Decompression and fusion of craniocervical junction
7030
Primary posterior excision of cervical disc 2895 1320 Revision posterior excision of intervertebral disc(s) including fusion
4750 1320
Revision posterior excision of intervertebral disc(s) with fusion and instrumentation
4750 1320
Primary anterior excision of disc(s) including fusion
3600 1320
Primary anterior excision of disc(s) with fusion and Instrumentation
3600 1320
Revision anterior excision of disc(s) including fusion
4750 1550
Revision anterior excision of disc(s) with fusion and instrumentation
4750 1550
P.U. (A) 358
144
Thoracic region Primary transthoracic/posterior/antero-lateral excision of intervertebral disc(s) including fusion
2895 1320
Primary transthoracic/posterior/antero-lateral excision of intervertebral disc(s) with fusion and instrumentation
2705 1320
Primary posterior decompression including fusion
3600 1320
Primary posterior decompression with fusion and instrumentation
3600 1320
Revision posterior decompression including fusion
4750 1320
Revision posterior decompression with fusion and instrumentation
4750 1320
Primary anterior/transthoracic decompression including fusion
4750 1320
Primary anterior/transthoracic decompression with fusion and instrumentation
4750 1320
Revision anterior/transthoracic decompression including fusion
4750 1320
Lumbar region
Primary posterior excision of intervertebral disc(s) including fusion
2390 940
Primary posterior excision of intervertebral disc(s) with fusion and instrumentation including graft stabilisation
3600 1550
Revision posterior excision of intervertebral disc(s) including fusion
2895 1125
Revision posterior excision of intervertebral disc(s) with fusion and instrumentation
4750 1550
Primary transabdominal/retroperitoneal excision of intervertebral disc(s) including fusion and instrumentation
3600 1320
Revision anterior excision of intervertebral disc(s) including fusion
4750 1550
Revision anterior excision of intervertebral disc(s) with fusion and instrumentation
4750 1550
Primary posterior decompression on spine, including fusion
2895 985
Primary posterior decompression with fusion and instrumentation
2895 985
P.U. (A) 358
145
Revision posterior decompression with fusion and instrumentation
2895 1125
Primary anterior decompression including fusion
3600 1550
Primary anterior decompression with fusion and instrumentation
3600 1550
Revision anterior decompression with fusion and instrumentation
4750 1815
Combined anterior and posterior decompression including fusion and instrumentation
5970 1815
Posterior spinal fusion with instrumentation for scoliosis, kyphosis, fractures, tumours or infection
5970 2110
Anterior spinal fusion with instrumentation for scoliosis, kyphosis, fractures, tumours or infection
7030 2500
Percutaneous (or laser) discectomy 2145 940 Microdiscectomy 2390 940 Revision microdiscectomy 2895 1125 Removal of correctional instrumentation from spine
1565 625
Exploration of spine including biopsy 1890 685 Manipulation of spine 580 405 Chemonucleoysis 1160 435
Spinal cord
Partial excision of spinal cord 4750 1550 Open operation on spinal cord 4750 1550 Repair of spinal myelomeningocele 3600 1320 Excision of intradural lesion 4750 1550 Drainage of spinal canal including insertion of shunt
2705 820
Lumbar puncture including spinal manometry
370 265
Excision of intramedullary tumour 4750 1550 Nerve roots
Rhizolysis (open) 2706 820 Open sympathectomy 7030 Endoscopic sympathectomy 7030
Symphathetic nerves
Thorascopic cervical sympathectomy 2705 820 Laparoscopic lumbar sympathectomy 1890 760 Presacral sympathectomy 1565 685 Selective posterior rhizotomy 7030
P.U. (A) 358
146
Peripheral nerves Excision of peripheral nerve 865 435 Transection of peripheral nerve 865 435 Neurectomy (major nerve) 1340 505 Excision of lesion of peripheral nerve 1000 435 Excision of lesion (major nerve) 1340 505 Primary repair of peripheral nerve including microsurgery
2040 820
Secondary repair of peripheral nerve including microsurgery
2145 760
Primary graft to peripheral nerve 2390 760 Secondary graft to peripheral nerve 2390 685 Primary repair of peripheral nerve 865 505 Secondary repair of peripheral nerve 1160 435 Primary repair of nerve trunk 1000 505 Secondary repair of nerve trunk 1565 505 Carpal or cubital tunnel release including endoscopic
865 435
Carpal or cubital tunnel release including endoscopic – bilateral
1565 760
Release of entrapment of deeply placed peripheral nerve
865 435
Release of entrapment of peripheral nerve 865 435 Neurolysis and transposition of peripheral nerve
1000 505
Revision of release of peripheral nerve 1565 505 Implantation of neurostimulator into peripheral nerve
2040 315
Biopsy of peripheral nerve 865 355 Exploration and grafting of brachial plexus 1000 570
Pain relief
Paravertebral block up to two levels (under X-ray control)
580
Sacral root block (under X-ray control) 580 Intravenous regional sympathetic block (guanethidine block) – one injection
480
Intravenous regional sympathetic block (guanethidine block) - course of three
1000
Stellate ganglion block (local anaesthethic (LA))
480
Stellate ganglion block (neurolytic) 580 Coeliac plexus block (LA or neurolytic) 1160 Splanchnic nerve block – bilateral (local anaesthethic or neurolytic)
1160
Dorsal root ganglion block (LA or neurolytic)
1000
P.U. (A) 358
147
Dorsal root ganglion block (local frequency)
1565 315
Intrathecal neurolysis 1160 Trigeminal ganglion injection (LA under X-ray control)
1160
Trigeminal ganglion radio frequency lesion (under X-ray control)
2145
Percutaneous cordotomy of spinal cord 2705 940 Epidural injection (cervical) 725 265 Epidural injection (lumbar) 580 265 Epidural injection (thoracic) 725 265 Injection of therapeutic substance into CSF 370 820 Facet or sacroiliac joint radio frequency (RF) thermocoagulation including rhizolysis (under X-ray control with sedation/GA) – 3 joints
1160 405
Facet or sacroiliac joint radio frequency (RF) thermocoagulation including rhizolysis (under X-ray control with sedation/GA – 6 joints
2040 685
Facet joint injection (under X-ray control with sedation/GA) – 2 joints
725 265
Facet joint injection (under X-ray control with sedation/GA) – 4 joints
865 315
Facet joint injection (under X-ray control with sedation/GA) – 6 joints
1000 355
Implantation of neurostimulator into peripheral nerve
2040 315
Peripheral nerve lesion (radio frequency, cryoprobe or phenol)
725
LA blockade of major nerve trunk 370 Lumbar sympathectomy - diagnostic (LA under X-ray control)
1000
Thoracic sympathectomy - diagnostic (LA under X-ray control)
1000
Lumbar sympathectomy - therapeutic (neurolytic under X-ray control)
1340 405
Thoracic sympathectomy - therapeutic (neurolytic under X-ray control)
1565 435
Cryotherapy to pituitary gland 2570 940 Injection(s) into large joint(s) under X-ray control
480
Neurophysiological procedures
Electro-convulsive therapy (ECT) 315 265 Electroencephalography (EEG) 315
P.U. (A) 358
148
Recording and reporting on evoked potential study
580
Recording and reporting on electromyography and nerve conduction studies (EMG)
580
Trans tympanic electrocochleography 725 (t) Thorax and intra-thoracic organs Oesophagus
Thorascopic oesophageal mobilisation via mediastimum
4750 1815
Oesophagogastrectomy 5970 2500 Total oesophagectomy and interposition of intestine
7030 3305
Open excision of lesion of oesophagus 1890 1125 Bypass of oesophagus 2480 1550 Revision of oesophageal anastomosis 2705 1320 Closure of bypass of oesophagus 2145 1125 Transthoracic repair of oesophagus 3600 1320 Thorascopic repair of oesophagus 2895 1320 Oesophagocardiomyotomy (Heller's operation)
2040 985
Thorascopic oesophagogastric myotomy 2145 985 Injection sclerotherapy for oesophageal varices
1000 685
Transthoracic repair of hiatus hernia 2305 940 Transthoracic repair of diaphragmatic hernia
2305 940
Transabdominal repair of hiatus hernia 2145 760 Transabdominal repair of diaphragmatic hernia
2895 820
Laparoscopic repair of hiatus hernia 2145 760 Transabdominal anti-reflux operations 2895 820 Revision of anti-reflux operations 3600 1320
Chest wall Thoracoplasty 2705 985 Excision of chest wall tumour 2390 940 Correction of pectus deformity of chest wall 2895 940 Multiple fracture fixation 2305 940 Exploratory median sternotomy 1160 760 Exploratory thoracotomy 1565 760 Resection of rib and open drainage of pleural cavity
1565 760
Repair of rupture of diaphragm 2895 1125 Plication of paralysed diaphragm 2390 985
P.U. (A) 358
149
Repair of congenital diaphragmatic hernia 2705 1550
Trachea Partial excision of trachea including reconstruction
3600 2110
Tracheoplasty 1760 625 Open placement of prosthesis in trachea 1760 505 Tracheostomy 1000 570 Insertion of mini-tracheostomy 580 405 Thoracotomy, ligation of Tetralogy of Fallot (TOF) oesophageal anastomosis
4750
Thoracotomy, ligation of TOF, cervical oesophagostomy
4750
Cervical oesophagostomy and gastrectomy 2305
Fibreoptic endoscopic procedures under topical anaesthesia
Fibreoptic examination of trachea and bronchus including biopsy/removal of foreign body
725 505
Bronchial lavage (diagnostic or therapeutic)
865
Dilatation of tracheal stricture including insertion of stent
865
Dilatation of bronchial stricture by fibreoptic bronchoscope
1000
Transbronchial biopsy 1000
Bronchus, lungs and pleura Diagnostic examination of bronchus using rigid bronchoscope including biopsy/removal of foreign body/dilatation of stricture
1000 505
Total pneumonectomy 3600 1550 Open lobectomy of lung including excision of segment
3600 1550
Lung resection with resection of chest wall 5970 1815 Thorascopic lung resection including video assisted
1890 685
Open excision of lesion of lung 2895 1320 Needle biopsy of lung 480 315 Decortication of pleura or lung 2895 1125 Pleurectomy for pneumothorax 2480 985 Open excision/biopsy of lesion of pleura 2705 940 Endoscopic excision of lesion(s) of lung/pleura
1000 505
P.U. (A) 358
150
Thoracoscopy (plus/minus biopsy) pleura/lung
580 505
Drainage of pleural cavity 580 315 Insertion of tube drain into pleural cavity 580 315 Introduction of substance into pleural cavity with chest drain
315 265
Biopsy of pleura 580 315 Lung transplant 7030 3305 Lung volume reduction surgery 4750 2500
Mediastinum
Thymectomy 2145 1550 Exploration of mediastinum 1160 760 Endoscopic excision of lesion of mediastinum
1340 505
Diagnostic endoscopic examination of mediastinum
1340 505
Heart-cardiac surgery
Correction of Tetralogy of Fallot (TOF) 7030 3305 Atrial inversion for transposition of great vessels
7030 3305
Other correction of transposition of great vessels
7030 3305
Correction of total anomalous pulmonary venous connection
7030 3305
Closure of defect of atrioventricular septum using dual prosthetic patches
7030 3305
Closure of defect of interatrial septum 7030 2930 Closure of defect of interventricular septum 7030 2930 Therapeutic transluminal operation on septum of heart
2895 2500
Creation of valved cardiac conduit 7030 3305 Excision of cardiac tumour 7030 3305 Replacement of mitral valve including valvuloplasty
7030 2930
Plastic repair of mitral valve 7030 2930 Replacement of aortic valve including valvuloplasty
7030 2930
Replacement of tricuspid valve 7030 2930 Replacement of pulmonary valve including valvuloplasty/valvotomy
7030 2930
Replacement of unspecified valve of heart 7030 2930 Open valvotomy 7030 2930 Closed valvotomy (mitral/pulmonary) 4750 2500 Therapeutic transluminal operation on valve of heart
2705 2110
P.U. (A) 358
151
Removal of obstruction from structure adjacent to valve of heart
7030 2930
Autograft bypass for coronary arteries including harvesting of grafts and endarterectomy
7030 2930
Redo of bypass for coronary arteries including harvesting of grafts
7030 3305
Correction of anomalous coronary arteries 7030 3305 Open operation on conducting system of heart
7030 2930
Repair of ventricular aneurysm 5970 2930 Excision of pericardium 3600 1125 Decompression of cardiac tamponade 2305 985 Incision of pericardium 1340 985 Midcab coronary artery bypass grafts without cardio-pulmonary bypass pump
7030 3305
Minimally invasive open heart surgery with cardio-pulmonary bypass pump
7030 3305
Ventricular assist device 7030 3305 Heart transplant 7030 3305
Heart-cardiology Percutaneous transluminal angioplasty of coronary arteries including laser
2895 1550
Percutaneous transluminal angioplasty with stent insertion
3600 1550
Map guided surgery for ventricular arrhythmias including mapping
2705 3305
Percutaneous transluminal ablation of atrio-ventricular node
2390 985
Percutaneous transluminal ablation of accessory pathway including mapping
4750 1550
Mapping of conducting system (in isolation)
1565 820
Cardiac pacemaker system introduced through vein (single chamber)
1565 820
Cardiac pacemaker system introduced through vein (dual chamber)
2145 820
Resiting of intravenous cardiac pacemaker system
1340 685
Replacement of generator for intravenous cardiac pacemaker system
1760 760
Removal of pacing system with bypass 4750 2500 Removal of pacing system without bypass 580 940 Implantation of automatic cardioverter/ defibrillator
3600 940
P.U. (A) 358
152
Adult cardiac catheterisation including coronary arteriography/catheterisation of right/left side of heart/contrast radiology
1340 760
Paediatric cardiac catheterisation 1565 820 Pericardiocentesis 1340 685 Percutaneous transluminal peripheral angioplasty (femoral, iliac, renal, popliteal, subclavian, other distal vessels)
2705 1550
Percutaneous transluminal peripheral angioplasty with stent placement
2895 1550
Percutaneous transluminal carotid angioplasty with stent placement
4750 1550
Percutaneous transluminal ablation of ventricular tachycardia
3600 1550
Percutaneous transluminal modification of atrioventricular node
2480 985
Percutaneous transluminal occlusion of coronary fistula/arteriovenous (AV) malformation
3600 1550
Great vessels
Correction of truncus arteriosus 4750 3305 Closed ligation of patent ductus arteriosus 3600 2110 Percutaneous transluminal prosthetic occlusion of patent ductus arteriosus
2895 1125
Creation of shunt to pulmonary artery from aorta using tube prosthesis
5970 2110
Connection to pulmonary artery from aorta 5970 2110 Creation of shunt to pulmonary artery from subclavian artery using interposition tube prosthesis
4750 2110
Connection to pulmonary artery from subclavian artery
5970 2110
Repair of pulmonary artery 7030 2110 Open operation on pulmonary artery 3600 2110 Pulmonary embolectomy 5970 3305 Transluminal operation on pulmonary artery
2705 1550
Emergency replacement of aneurysmal segment of ascending aorta
7030 3305
Emergency replacement of aneurysmal segment of arch of aorta
7030 3305
Emergency replacement of aneurysmal segment of thoracic aorta
7030 3305
Planned replacement of aneurysmal segment of ascending aorta
4750 2930
P.U. (A) 358
153
Planned replacement of aneurysmal segment of arch of aorta
7030 3305
Planned replacement of aneurysmal segment of thoracic aorta
7030 3305
Replacement of thoracoabdominal aneurysms
7030 3305
Revision of prosthesis of abdominal aorta 4750 2110 Excision of infected aortic graft with bypass 7030 3305 Plastic repair of aorta 4750 1815 Percutaneous transluminal balloon operation on aorta
1760 625
Others
Proximal gastric vagotomy 2040 685 Highly selective vagotomy 2040 685 Vagotomy with pyloroplasty 2145 820 External cardioversion 315 315 Transoesophageal echocardiography 1000 435 Coronary angioplasty standby team 315 355
(u) Urinary system and male reproductive organs
Kidney/renal pelvic
Transplantation of kidney 4750 2500 Nephrectomy and excision of perirenal tissue
2390 1125
Nephro-ureterectomy 2390 820 Excision of rejected transplanted kidney 2040 760 Nephrectomy (and bilateral) 2040 820 Laparoscopic nephrectomy 2040 820 Partial excision of kidney 2145 820 Open pyeloplasty 2040 685 Repair of kidney wound 2305 760 Open removal of calculus from kidney 2390 685 Drainage of kidney 1760 760 Drainage of pyonephrosis 1760 760 Other open operation on kidney 1890 685 Drainage of perinephric abscess 1760 685 Endoscopic fragmentation of calculus of kidney
1890 685
Percutaneous nephrolithotomy including cystoscopy and retrograde catheterisation
3600 985
Diagnostic endoscopic examination of kidney including biopsy and other therapeutic procedures
2040 685
P.U. (A) 358
154
Percutaneous fine needle biopsy of lesion of kidney
480 355
Percutaneous insertion of nephrostomy tube
1340 405
Percutaneous tru-cut needle biopsy of lesion of kidney
865
Extracorporeal fragmentation of calculus of kidney (Lithotripsy) – single treatment
1160 505
Extracorporeal fragment of calculus of kidney-stone free/course of treatment
1565 625
Laparoscopy removal of renal cyst 2040 760 Open stone surgery for horseshoe kidney 3600 Pyeloplasty for horseshoe kidney 3600
Ureter Excision of segment of ureter 1760 625 Construction of ileal conduit including ureteric implantation
2390 985
Bilateral replantation of ureter into bowel 2705 940 Unilateral replantation of ureter into bowel 2145 820 Bilateral replantation of ureter into bladder 2480 940 Unilateral replantation of ureter into bladder
1890 820
Other connection of ureter 2145 820 Ileal or colonic replacement of ureter 2895 940 Ureterostomy – closure 2145 685 Open correction vesico-ureteric reflux – unilateral
2145 685
Open correction vesico-ureteric reflux – bilateral
3600 985
Open ureterolithotomy 1890 685 Ureterolysis – unilateral 2145 685 Ureterolysis – bilateral 2570 1320 Therapeutic nephroscopic operations on ureter
1760 820
Ureteroscopic extraction of calculus of ureter
1340 435
Endoscopic insertion of prosthesis into ureter
1000 435
Removal of prosthesis from ureter 480 435 Ureteric meatotomy 480 265 Endoscopic examination of ureter 865 435 Endoscopic retrograde pyelography 865 435 Extracorporeal shockwave lithotripsy of calculus of ureter
1160 685
Operation on ureteric orifice 725 505 Endoscopic meatotomy of ureteric orifice 725 505
P.U. (A) 358
155
Ureterscopic biopsy of lesion 1565 570 Continent urinary diversion 4750 Substitution cystoplasty 4750 Transureteroureterostomy 2705 Endoscopic insertion of permanent prosthesis into ureter
2145
Bladder
Endoscopic anti-reflux procedure (and bilateral)
1340 505
Total cystectomy (with construction of intestinal conduit or bladder)
4750 1550
Partial cystectomy 2040 685 Diverticulectomy of bladder 1760 685 Enlargement of bladder 2895 820 Repair of bladder 2145 685 Repair of vesicocolic fistula 2305 820 Repair of cutaneous vesical fistula 1160 820 Cystostomy and insertion of suprapubic tube into bladder
725 625
Stab cystotomy 315 265 Open removal of calculus from bladder 1340 505 Open excision of lesion from bladder 1890 685 Endoscopic resection of lesion of bladder 1890 685 Endoscopic destruction of lesion of bladder 865 435 Endoscopic transection of bladder 1890 685 Endoscopic hydrostatic distention of bladder
405 265
Sphincterotomy 1160 435 Litholapaxy 1760 685 Endoscopic extraction of calculus of bladder
1000 435
Endoscopic removal of foreign body from bladder
1000 435
Resection of bladder neck 1340 435 Diagnostic endoscopic examination of bladder including any biopsy
580 315
Urodynamic studies/urodynamic assessment
580
Closure of cystostomy 865 435 Combined abdominal and vaginal operations to support outlet of female bladder
1890 685
Suprapubic sling operation 1890 760 Retropubic suspension of neck of bladder 1890 685 Vaginal operation to support outlet of female bladder
1890 685
P.U. (A) 358
156
Implantation of artificial urinary sphincter into bladder and/or removal
2145 685
Dilatation of outlet of female bladder (with cystoscopy)
580 355
Endoscopic incision of outlet of male bladder (with cystoscopy)
1340 435
Repair of vesico-vaginal fistula 2145 820 Endoscopic vesico-lithotripsy of bladder stone
1760 625
Cystoscopy with biopsy 1000 405 Endoscopic resection of deep invasive tumour of bladder
2145
Continent pouch/neo bladder 4750 2500 Combined abdomino-perineal closure of vesico-vaginal fistula
4750
Urethra
Urethrocele 1160 505 Excision of urethral caruncle 370 265 Therapeutic endoscopic operations on outlet of female bladder
725 405
Urethrectomy 1760 685 Urethral valve resection 1565 505 Repair of hypospadias 2040 685 Repair of epispadias 2480 685 Closure of fistula of urethra 865 505 Repair of urethrorectal fistula 1760 685 Urethroplasty (simple) 1760 625 Urethroplasty (complex) 2040 685 Repair of rupture of urethra 2040 685 Excision of diverticulum of urethra 1160 505 Excision of prolapse of urethra 480 405 Therapeutic endoscopic operation on urethra
865 435
Removal of foreign body from urethra 405 435 Diagnostic endoscopic examination of urethra in isolation
405 265
Dilatation of urethra 315 355 Internal urethrotomy including cystoscopy 865 435 Closure of bladder exostrophy 5970 Closure of cloacal exostrophy 7030 Repair of hypospadias – mild 2305 Repair of hypospadias – moderate 2895 Repair of hypospadias – severe 3600
Prostate
Open excision of prostate 2040 685
P.U. (A) 358
157
Radical prostatectomy, reconstruction of bladder neck including bilateral pelvic lymphadenectomy
4750 1550
Open biopsy of lesion of prostate 865 685 Endoscopic resection of prostate (TURP) 2040 760 Endoscopic biopsy of prostate 865 435 Transurethral microwave therapy 1565 570 Drainage of prostatic abscess 1340 505 Prostatic hyperthermia (up to six courses) 1565 570 Prostate, needle biopsy 405 265 Transrectal ultrasound and biopsy 580 Insertion of urethral stent for relief of prostatic obstruction
1890 685
Genitalia
Meatoplasty 725 355 External meatotomy of urethral orifice 580 265 Bilateral excision of testes 1760 625 Laparoscopic orchidectomy 1340 435 Orchidectomy and excision of spermatic cord
1340 435
Excision of lesion of testis 725 505 Orchidopexy – bilateral 1760 820 Microvascular transfer of testis to scrotum 2305 820 Orchidopexy 1000 505 Abdominal undescended testis 1565 625 Prosthesis of testis (insertion or removal) 725 405 Correction of hydrocele 725 435 Fixation of testis 865 435 Biopsy of testis 580 315 Exploration of testis including biopsy 865 435 Bilateral fixation of testis 865 505 Bilateral epididymectomy 1340 570 Unilateral epididymectomy 865 505 Excision of epididymal cyst 865 505 Operation on varicocele 865 505 Vasography 370 315 Operation on seminal vesicle 1565 505 Total amputation of penis 2145 685 Partial amputation of penis 1565 685 Operation for Peyronie's disease 1160 435 Reconstruction of penis 1760 685 Repair of avulsion on penis 2145 685 Repair of injury on penis 1340 505 Division of preputial adhesions 405 265 Circumcision 725 405 Biopsy of lesion of penis 405 265
P.U. (A) 358
158
Penile prosthesis (simple – rod only) 1890 685 Penile prosthesis (complex – three pieces) 2895 1815 Vasectomy reversal – bilateral (microscopic)
1760 625
Vasectomy reversal – bilateral (macroscopic)
1890 685
Epididymo-vasostomy (macroscopic) 1890 685 Epididymo-vasostomy (microscopic) 2040 760 Tenchkoff 1340 Tenchkoff and adhesiolysis 1890 Transrectal ultrasound (diagnostic) 580 Transrectal ultrasound and systematic prostate biopsy
1000
Excision and grafting for Peyronie’s disease 2705
Other Block dissection of para-aortic lymph nodes
2570 760
(v) Vascular system (other than intrathoracic)
Head and neck
Bypass of carotid artery from the arch 4750 1550 Carotid endarterectomy 4750 1550 Reconstruction of carotid artery (vein patch and bypass)
3600 1550
Bypass of subclavian artery from the arch 4750 1550 Bypass of subclavian artery – extra-thoracic
2895 1320
Endarterectomy and patch repair of subclavian artery
4750 1550
Renal
Endarterectomy of renal artery 4750 1550 Reconstruction of renal artery 4750 1550 Transluminal operation on renal artery 1565 685
Abdominal vessels
Axillo-femoral bypass 2895 1550 Axillo-bifemoral bypass 2895 1550 Infrarenal abdominal aortic aneurysm tube graft
4750 1815
Infrarenal abdominal aortic aneurysm bifurcation graft
5970 1815
Revision of prosthesis of abdominal aorta 4750 2110 Pecutaneous transluminal balloon operation on aorta
1760 625
P.U. (A) 358
159
Carotid endarterectomy (with patch) 5970 Endarterectomy and patch repair of visceral branch of abdominal aorta
5970 2110
Other open operations on other visceral branch of abdominal aorta
5970 2110
Ileo-femoral vessels
Aorto-iliac, aorto-femoral, ileo-femoral bypass
4750 1550
Aorto-bifemoral bypass 4750 1550 Endarterectomy and patch repair of iliac artery
3600 1550
Open operation on iliac artery 3600 1550 Transluminal operation on iliac artery 1340 505 Femoro-femoral bypass 2895 1320 Femoro-popliteal bypass using prosthesis and/or vein and/or vein cuff/patch
3600 1550
Femoro-distal calf bypass using prosthesis and/or vein and/or vein cuff/patch
3600 1550
Endarterectomy of femoral artery 2895 1125 Reconstruction/bypass for popliteal aneurysm
3600 2110
Transluminal procedures on femoral artery 1565 505 Revision of femoral bypass graft 2705 1320
Non-specific
Revision of reconstruction of artery 3600 940 Biopsy of artery including temporal 580 265 Repair of artery 2305 685 Micro-arterial or micro-venous graft 4750 1550 Repair of artery using vein graft 2705 940 Microsurgical repair of artery 2705 985 Open embolectomy of artery 2570 940 Percutaneous transluminal angioplasty of artery
1340 625
Creation of arteriovenous (AV) fistula including subsequent closure
1340 820
Excision of AV malformation 7030 2110 Repair of acquired AV fistula 2895 985 Repair of AV fistula 2895 1125 Creation of peritoneo-venous shunt (Levine/Denver)
1340 435
Open removal of thrombus from vein 2145 685 Insertion of Hickman line, tunnelled central line, etc.
725 505
Insertion of portocath/vasoport unit 1000 405 Isolated limb perfusion 2705 1320
P.U. (A) 358
160
Varicose veins Ligation/stripping of long or short saphenous vein including local excision/multiple phlebectomy
1340 505
Ligation/stripping of long or short saphenous vein including local excision/multiple phlebectomy – bilateral
2145 820
Operation for recurrent varicose veins 2145 760 Operation for recurrent varicose veins – Bilateral
3600 1125
Ligation/stripping of long and short saphenous veins including local excision/multiple phlebectomy
2145 760
Local excision (multiple phlebectomy) of varicose vein(s) of leg
725 505
Ligation/stripping of long and short saphenous veins including local excision/multiple phlebectomy – bilateral
3600 1125
Venography – bilateral 405 Femoro-popliteal bypass using prosthesis 4750 Femoro-popliteal bypass using prosthesis vein/or cuff/patch
5970
Creation of arteriovenous fistula using prosthesis/graft
3600
Lymphatic
Block dissection of cervical lymph nodes (not included in other procedures)
2895 940
Block dissection of axillary lymph nodes 1760 625 Block dissection of para-aortic lymph nodes
2570 760
Block dissection of inguinal lymph nodes 1760 685 Block dissection of pelvic lymph nodes (not included in other procedures)
2040 760
Biopsy/sampling of cervical lymph nodes 405 505 Biopsy/sampling of axillary lymph nodes 405 315 Biopsy/sampling of inguinal lymph nodes 405 405 Excision biopsy of lymph node 725 435 Excision biopsy of scalene lymph node 725 435 Drainage of lesion of lymph node 480 265 Operation on lymphatic duct 2305 820 Excision of cystic hygroma 1565 760
(w) Bones, joints, etc. (not listed elsewhere) Connective tissue/tendon muscles
Plantar fasciectomy 725 505
P.U. (A) 358
161
Excision of lesion of fascia 480 505 Other operations of fascia 580 315 Excision of ganglion, including repeat excision
1000 315
Excision of bursa 725 405 Transfer of tendon 1000 435 Transfer of multiple tendons 1565 685 Excision of lesion of tendon 725 435 Tendon graft, as sole procedure 1340 435 Secondary repair of tendon including graft, transfer and/or prosthesis
1890 505
Tenolysis, other than flexor 1000 435 Percutaneous tenotomy 405 265 Lengthening of tendon(s), including tenotomy
1160 435
Tenosynovectomy, including arthroscopic 865 435 Release of constriction of sheath of tendon 1000 435 Limited repair of muscle that is not more than 2cm tear (e.g: rotator cuff) including arthroscopic
725 625
Extensive repair of muscle that is greater than 2cm tear (e.g: rotator cuff) including arthroscopic
2145 625
Release of contracture of muscle 1160 570 Open biopsy of muscle 580 315 Needle/tru-cut biopsy of muscle 315 Excision of lesion of muscle without skin graft
1565 625
Excision of lesion of muscle with skin graft 1890 685
Bone (non-specific) Open bone biopsy 725 405 Introduction of therapeutic substance into bone (e.g: application of antibiotic for infected hip replacement as a sole procedure)
580 265
Removal of wire from bone including K-wires
405
Excision of ectopic bone 580 405 Total excision of sesamoid bone 725 435 Partial excision of bone including exostoses 1000 405 Total excision of bone with/without prosthetic replacement/reconstruction (e.g: trapezium)
2480 820
Radical resection of bone tumour 2705 820 Osteotomy of large bone, with/without fixation, including graft
2040 685
P.U. (A) 358
162
Drainage/debridement of bone(s), including sequestectomy for osteomylelitis
1340 405
Fixation of epiphysis 1160 685 Fractures
Primary open reduction of fracture of femur and open fixation using pin and plate
2305 760
Primary closed reduction of fracture or dislocation of joint, with/without fixation including plaster of Paris (POP) (e.g: Colles)
725 405
Closed reduction of fracture of long bone and external fixation including POP and percutaneous K-wires (e.g: forearm)
1760 685
Closed reduction of fracture of small bone and external fixation, including POP and percutaneous K-wires
865 505
Primary open reduction of long bone with fixation
2040 760
Primary open reduction of fracture with/without dislocation of joint
1890 685
Primary open reduction of small bone with fixation including intra-articular
1340 570
Primary open reduction of intra-articular fracture of long bone (e.g: proximal humerus)
1890 760
Open reduction of fracture of pelvis and internal fixation
2895 760
Open reduction and internal fixation of complex acetabular pelvic fracture
4750 1550
Secondary open reduction of dislocation of joint
865 405
Secondary open reduction of fracture of small bone including intra-articular
1340 505
Secondary open reduction of fracture of long bone and intermedullary fixation or internal fixation for non-union/mal-union
1890 685
Locked intramedullary nailing 2705 820 Secondary open reduction of intra-articular fracture of bone
1890 685
Application of IIizarov frame for secondary non-union/mal-union
4750 1550
Adjustments to IIizarov frame rings for secondary non-union/mal-union
1760 505
Adjustments to pin sites secondary for non-union/mal-union
580
Bone graft (except where part of another procedure)
1565 570
P.U. (A) 358
163
Removal of internal fixation/prosthesis from bone/joint excluding K-wires
1340 435
Removal of wire from bone including K-wires
405 315
Surgical toilet to wound under general anaesthetic
480 265
Nerves
Release of entrapment of deeply placed peripheral nerve including Anterior Interosseous nerve and Posterior Interosseous nerve
865 435
Anterior transposition of ulna nerve 1000 505 Submuscular transposition of ulna nerve 1890 505 Revision of release of peripheral nerve 1565 505 Exploration/neurolysis/biopsy of peripheral nerve
865 355
Joints (not listed elsewhere)
Excision of synovial membrane of joint 1565 625 Primary prosthetic replacement/ reconstruction/ repair of ligament including prosthesis
1565 505
Stabilising operation on joint 1565 625 Release of contracture of joint 1160 405 Arthrotomy of large joint, including removal of loose body from joint
1160 405
Arthrotomy of small joint, including removal of loose body from joint
315 265
Therapeutic arthroscopic operation on intra-articular cartilage (other than W8200)
1160 505
Therapeutic arthroscopic operation on intra-articular cartilage (other than W8200) – bilateral
1890 820
Therapeutic arthroscopic operation on cavity of joint
1890 505
Therapeutic arthroscopic operation on cavity of joint – bilateral
2895 820
Diagnostic arthroscopic examination of joint, with/without biopsy
865 435
Injection(s) into joint(s) under X-ray control
480 265
Manipulation of joint 405 405 Joints (not listed elsewhere)
Prosthetic replacement of articulation of 2145 685
P.U. (A) 358
164
bone Prosthetic interposition arthroplasty of joint (e.g: hip, knee, shoulder)
2305 820
Excision reconstruction of joint 1760 625 Fixation/Arthrodesis
Osteotomy of hip with fixation 2305 940 Pelvic osteotomy with fixation 3600 940 Primary arthrodesis of large joint and bone graft
1760 820
Primary arthrodesis and internal fixation (e.g: hand/foot) including bone graft
1160 685
Hand
Dupuytren's subcutaneous fasciotomy 580 315 Dupuytren's fasciectomy – single digit 1160 435 Dupuytren's fasciectomy for palm and multiple digits
1760 625
Dupuytren's dermofasciectomy and graft, or for recurrent disease
2145 820
Repair of extensor of hand 865 435 Repair of flexor of hand including prosthetic implant
1760 435
Secondary or second stage repair of flexor of hand including prosthetic implant
1890 570
Secondary repair of tendon of hand/forearm (excluding flexor) without transfer or graft
1000 435
Secondary repair of tendon of hand/forearm (excluding flexor) with graft/transfer
1760 435
Tendon graft as sole procedure 1340 435 Tenolysis – other than flexor 1160 435 Tenolysis of flexor 1565 435 Pollicisation of finger for thumb reconstruction
3600 435
Repair of fingertip injury following avulsion with flap
1565 505
Multiple joint procedures on hand including synovectomy
2390 820
Fusion of metacarpo-phalangeal/intercarpal joint
1000 570
Prosthetic arthroplasty of digital joint(s) 1760 435 Bone graft to scaphoid with internal fixation, including Herbert screw
1890 625
Amputation of hand 1565 625 Amputation of digit 1000 505
P.U. (A) 358
165
Amputation through mid-carpal/transmetacarpal
1000 435
Fusion of wrist 2040 820
Shoulder Limited repair of muscle that is not more than 2cm tear (e.g: rotator cuff) including arthroscopic
725 625
Extensive repair of muscle that is greater than 2cm tear (e.g: rotator cuff) including arthroscopic
2145 625
Revision rotator cuff repair 2145 625 Acromioplasty 1565 625 Excision distal clavicle, in isolation 1565 625 Prosthetic interposition arthroplasty of joint (e.g: hip, knee, shoulder)
2305 820
Primary repair of rupture of acromioclavicular joint including internal fixation
2705 685
Secondary repair of rupture of acromioclavicular joint including internal fixation
2705 685
Reconstruction of acromioclavicular joint 2705 685 Shoulder hemiarthroplasty 2305 685 Revision shoulder hemiarthroplasty 2570 685 Primary total shoulder replacement 2705 940 Revision total shoulder replacement 3600 1550 Stabilisation of shoulder joint including anterior, posterior or multi-directional (including arthroscopic)
1890 685
Revision stabilisation of shoulder joint 2390 760 Release of shoulder contracture 2145 685 Plating and/or bone grafting for non-union of clavicle
2040 685
Exploration and grafting of brachial plexus 3600 2110 Sub-acromial decompression including arthroscopic
1890 685
Total excision of cervical or first rib 2145 820
Elbow Total prosthetic replacement of elbow 2705 940 Revisional prosthetic replacement of elbow 3600 1550 Release of constriction of sheath of tendon 1000 435
Hip, leg and pelvis
Excision of lesion of bone pelvis/hip 1565 685 Osteotomy of hip with fixation 2305 940
P.U. (A) 358
166
Pelvic osteotomy with fixation 3600 940 Total prosthetic replacement of hip joint 2705 985 Revision of total prosthetic replacement of hip joint
3600 1550
Total prosthetic replacement of hip joint – bilateral
4750 1550
Prosthetic replacement of head of femur 2145 820 Release fasciotomy of anterior/posterior compartment of leg
1760 625
Amputation of leg/foot 2040 685 Manipulation and plaster of Paris (POP) for hip
580 405
Knee
Therapeutic arthroscopic operations of cavity of joint
1890 505
Therapeutic arthroscopic operations of cavity of joint – bilateral
2895 820
Diagnostic arthroscopic examination of joint, with/without biopsy
865 435
Total prosthetic replacement of knee joint 2705 985 Unicompartmental knee replacement 2705 820 Revision of total replacement of knee joint 3600 1550 Total prosthetic replacement of knee joint – bilateral
4750 1550
Primary prosthetic replacement of cruciate ligament
2480 820
Autograft reconstruction of cruciate ligament including arthroscopic
2570 940
Stablisation of patella 2480 940 Therapeutic arthroscopic operations of semi lunar cartilage
1890 685
Therapeutic arthroscopic operations of semi lunar cartilage – bilateral
2895 985
Simple repair of knee ligaments 1890 570 Therapeutic arthroscopic operations on cavity of knee
1890 685
Therapeutic arthroscopic operations on cavity of knee – bilateral
2895 985
Foot
Primary repair of tendon of foot 480 435 Primary repair of Achilles tendon 1160 435 Secondary repair of Achilles tendon 1890 435 Secondary repair of tendon of foot 725 435 Multiple joint procedures on forefoot 2390 760
P.U. (A) 358
167
Multiple joint procedures on forefoot – bilateral
3600 1125
Osteotomy of metatarsal (e.g: akin, mcNab, etc.)
865 435
Fusion of first metatarso – phalangeal joint 1000 505 Fusion of first metatarso – phalangeal joint – bilateral
1760 820
Metartarso-phalangeal cheilectomy 1565 505 Triple fusion of joints of hind foot 1890 685 Osteotomy for pes clavus 1890 685 Correction of minor congenital deformity of foot
1565 505
Correction of minor congenital deformity of foot – bilateral
2480 820
Total prosthetic replacement of ankle joint 2705 940 Revision of total prosthetic replacement of ankle joint
3600 1550
Closing wedge osteotomy/translation of calcaneal spur including internal fixation
1760 505
Excision arthroplasty of first metatarso-phalangeal joint with prosthetic implantation
1760 625
Excision arthroplasty of first metatarso-phalangeal joint including Keller's
1160 505
Excision arthroplasty of first metatarso-phalangeal joint including Keller's – bilateral
1890 820
Fusion of interphalangeal joint(s) of toe 1000 435 Correction of retracted/dislocated metatarso-phangeal joint(s) including tendon transfer, division/realignment of bone and internal fixation
1890 820
Fusion of interphalangeal joint(s) of toe – bilateral
1760 760
Primary arthrodesis and internal fixation (hand/foot) including bone graft
1160 685
Simple bunionectomy 725 355 Simple bunionectomy – bilateral 1160 625 Metatarsal osteotomy for Hallux valgus 1340 685
Metatarsal osteotomy for Hallux valgus – bilateral
2145 985
Metatarsal osteotomy for Hallux valgus, with internal fixation and soft tissue correction
1890
760 Metatarsal osteotomy for Hallux valgus,
2895 1125
P.U. (A) 358
168
with internal fixation and soft tissue correction – bilateral Amputation of toe 1000 435 Radical excision of bone tumour with implantation of prosthesis for limb
4750 1550
External fixation/traction
Application of skeletal traction to bone 580 505 Removal of skeletal traction from bone 405 315 Application of external fixation to bone 1760 505 Removal of external fixation from bone 580 315
(x) Face, mouth and neck (not elsewhere listed) Face and jaws
Open reduction of fracture of maxilla 1340 685 Closed reduction of fracture of maxilla 725 570 Reduction of other fractures of bones of face
580 435
Reduction of fracture of zygomatic complex of bones
1000 505
Open reduction of fracture of zygomatic complex of bones
1565 570
Excision of maxilla 2040 940 Formal hemi-maxillectomy for malignancy 2570 940 Internal fixation of maxilla 725 685 Extra-oral fixation of maxilla 725 685 Removal of fixator from maxilla 580 570 Biopsy of lesion of facial bone 405 355 Excision of mandible 2040 940 Extensive excision of mandible 2390 985 Excision of lesion of jaw 1160 435 Open reduction of fracture of mandible 1000 685 Closed reduction of fracture of mandible 580 570 Intermaxillary fixation of mandible 725 685 Extra-oral fixation of mandible 1000 685 Removal of fixator from mandible 580 505 Reconstruction of jaw 2705 940 Alveolar bone graft 1340 570 Manipulation of mandible 405 355
Prosthetic replacement of temporomandibular joint
2305 625
Arthroplasty of temporomandibular joint 1890 625 Menisectomy of temporomandibular joint 1160 505 Reduction of dislocation of temporamandibular joint
725 355
P.U. (A) 358
169
Lips Excision of vermilion border of lip and advance of mucosa of lip
1000 435
Excision of lesion of lip 865 405 Primary closure of cleft lip (and bilateral) 1760 820 Revision of primary closure of cleft lip 2145 820 Reconstruction of lip using tongue flap 2145 685 Reconstruction of lip using skin flap 2040 760 Suture of lip 480 435 Biopsy of lesion of lip 480 355
Tongue Total glossectomy including block dissection
2480 760
Partial glossectomy including block dissection
2145 820
Excision/destruction of lesion of tongue 865 505 Biopsy of lesion of tongue 315 405 Frenotomy/frenectomy of tongue 480 435 Freeing of adhesions of tongue 315 405 Tongue flap – first stage 1760 820 Tongue flap – second stage 1000 625
Palate Excision/destruction of lesion of palate 865 505 Primary repair of cleft palate 2305 820 Revision of repair of cleft palate 1565 685 Plastic repair of palate using flap of palate 1340 685 Plastic repair of palate using flap of skin 1890 685 Suture of palate 580 435 Biopsy of lesion of palate 480 405 Incision of palate 370 405 Operation on uvula 725 435
Mouth cavity Vestibuloplasty following trauma 1160 435 Excision/destruction of lesion of mouth 580 405 Reconstruction of mouth using flap 2145 760 Reconstruction of mouth using graft 1000 760 Graft of skin to mouth 1000 625 Graft of mucosa to mouth 865 570 Suture of mouth 580 505 Biopsy of lesion of mouth 370 355 Removal of excess mucosa from mouth 865 435
P.U. (A) 358
170
Salivary glands Excision of parotid gland (other than F4410/F4430)
1890 685
Total excision of parotid gland and preservation of facial nerve
3600 985
Partial excision of parotid gland and preservation of facial nerve
2895 985
Excision of submandibular gland 1340 505 Excision of sublingual gland 1000 505 Excision of lesion of parotid gland 1160 505 Excision of lesion of submandibular gland 1160 505 Excision of lesion of sublingual gland 405 505 Incision of parotid gland 405 405 Incision of submandibular gland 405 405 Incision of sublingual gland 405 405 Biopsy of lesion of salivary gland 580 435 Closure of fistula of salivary gland 865 435 Transposition of parotid duct 1160 435 Transposition of submandibular duct 1160 435 Open extraction of calculus from parotid duct
865 355
Open extraction of calculus from submandibular duct
725 435
Ligation of parotid duct 480 435 Ligation of submandibular duct 480 435 Operation on submandibular duct 480 435 Dilation of parotid duct 405 265 Manipulative removal of calculus from parotid duct
725 315
Teeth
Replantation of tooth/teeth following trauma
865 355
Surgical removal of impacted/buried tooth/teeth
1000 435
Surgical removal of complicated buried roots
725 435
Enucleation of cyst of jaw 865 435 Neck
Block dissection of cervical lymph nodes (not included in other procedures)
2895 940
Biopsy/sampling of cervical lymph nodes 405 505 Operation on branchial cleft cyst 1340 820 Operation on branchial cleft fistula 2040 820
P.U. (A) 358
171
Thyroid and parathyroid glands Total thyroidectomy 2040 820 Bilateral subtotal thyroidectomy 2040 760 Hemithyroidectomy 2040 685 Partial thyroidectomy 2040 685 Thyroplasty (Isshiki type I) 1760 625 Operation on aberrant thyroid issue including retrosternal
2480 940
Excision of thyroglossal cyst 1000 625 Excision of thyroglossal tract 1340 625 Excision of lesion of thyroid gland 1340 435 Fine needle aspiration of thyroid gland 315 315 Needle biopsy of thyroid gland 580 315 Parathyroidectomy 2705 940 Parathyroid: second operation 2705 985 Drainage of salivary gland abscesses 405
III. MISCELLANEOUS 1. Medical examination fee (a) Non-specialist Item Fee (RM) Medical examination – pre-employment, routine and annual medical examination, fitness medical examination, comprehensive medical examination, aviation medical examination (excluding laboratory investigations, X-ray, ECG, etc.)
45 - 230
Examination for medico-legal cases 570 - 1145 Examination for evaluation of disability 570 - 1145 Participation in Medical Board Examination 230 - 1145 Medical examination for life insurance 90 - 230 Vocational licence health examination 35 - 115 (b) Specialist Item Fee (RM) Medical examination – pre-employment, routine and annual medical examination, fitness medical examination, comprehensive
115 - 570
medical examination, aviation medical examination (excluding laboratory investigations, X-ray, ECG, etc.)
Examination for medico-legal cases 570 - 2290
P.U. (A) 358
172
Examination for evaluation of disability 570 - 2290 Participation in Medical Board Examination 570 - 2290 Medical examination for life insurance 170 - 460 Vocational licence health examination 35 - 115 2. Medical report fee Item Fee (RM) Non-specialist 55 - 230 Specialist 115 - 570
3. House call and medical assistance fee (General Practitioners) Item Fee (RM) Medical duty for events and functions per hour 55
Medical coverage for transfer/repatriation of patient (excluding actual expenses incurred in the cost of travel, board and lodging) per day
570
4. Court attendance fee Item Fee (RM) Qualifying expenses per day - this is to cover the cost of the medical practitioner who on being called as a witness, is required to study and research a case not previously a patient of the same practitioner (excluding travel, board and lodging expenses and medical report)
285 - 570
Conduct money Actual expenses incurred in the cost of travelling and lodging
Non-expert witness (testimony involving statement of facts only)
570 - 1145
Expert witness (testimony involving expert opinion)
1145 - 2290
Comprehensive medical report (requested by insurance company, lawyers, others)
90 - 285
Attending physician statement for insurance company
55
P.U. (A) 358
173
PART B – DENTAL FEE
I. CONSULTATION FEE Item Fee (RM) Consultation only Consultation with examination 30 - 285 Consultation with examination and treatment plan
II. BASIC DENTAL PROCEDURE FEE
Item Fee (RM) Post-extraction bleeding 55 - 345 Treatment for dry socket 55 - 345 Temporary dressings 35 - 170 Incision and drainage 55 - 230 Amalgam restorations 45 - 345 Tooth coloured/adhesive restoration 55 - 685 Removal of calculus 55 - 345 Removal of plaque and/or extrinsic stains 70 - 285 Dentures acrylic (partial) per jaw 115 - 1145 Dentures acrylic (full) per jaw 285 - 2290 Non-surgical/simple extraction of teeth and/or root(s)
Permanent 45 - 285 Deciduous 30 - 115 Intra-oral periapical/bite wings/occlusal radiograph – per exposure
25 - 115
III. MISCELLANEOUS Item Fee (RM) Dental report 55 - 345 House call 170 - 570 Court attendance fee - qualifying expenses per day. This is to cover the cost of the dental practitioner who on being called as a witness, is required to study and research a case not previously a patient of the same practitioner (excluding travel, board and lodging expenses and dental report)
285 - 570
Conduct money Actual expenses incurred in the cost of travelling and lodging
P.U. (A) 358
174
Non-expert witness (testimony involving statement of facts only)
570 - 1145
Expert witness (testimony involving expert opinion)
1145 - 2290
Comprehensive dental report (requested by insurance companies, lawyers and others)
55 - 345
Attending dentist statement for insurance company
55”.
Made 10 October 2013 [KK(R)/654(336) (17); PN(PU2)610/IV] DATUK SERI DR. S. SUBRAMANIAM Minister of Health