warta kerajaan persekutuan federal government gazette

Transcription

WARTA KERAJAAN PERSEKUTUAN
16 Disember 2013
16 December 2013
P.U. (A) 358
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
P.U. (A) 358
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;
2
P.U. (A) 358
"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
3
P.U. (A) 358
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.
4
P.U. (A) 358
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
Perundingan sahaja
Fi (RM)
Perundingan dengan pemeriksaan
Perundingan dengan pemeriksaan dan
pelan rawatan
Perundingan selepas waktu klinik yang
dinyatakan
30-125
5
Sehingga 50%
kadar biasa
melebihi
P.U. (A) 358
Panggilan atau lawatan ke rumah
(b) Klinik tanpa perkhidmatan farmaseutikal
Sehingga 100% melebihi
kadar biasa
Butiran
Perundingan sahaja
Fi (RM)
pelan rawatan
dinyatakan
35 - 145
2.
kadar biasa
kadar biasa
Fi pakar
Nota: Terpakai bagi semua kepakaran perubatan kecuali dinyatakan sebaliknya
(a) Lawatan pertama/Perundingan awal
Butiran
Perundingan sahaja
Fi (RM)
pelan rawatan
80 - 235
dan
dinyatakan
kadar biasa
kadar biasa
(b) Lawatan susulan/ Perundingan susulan
Butiran
Perundingan sahaja
pelan rawatan
Perundingan selepas waktu klinik yang –
dinyatakan
6
Fi (RM)
40 - 105
kadar biasa
P.U. (A) 358
–
kadar biasa
(c) Perundingan khas untuk radioterapi dan onkologi
Nota: Termasuk perundingan sekali seminggu
Butiran
Pelan Rawatan Asas termasuk simulasi bagi
radioterapi pancaran luar (pelan semula
akan dicaj berasingan)
Fi (RM)
860 -1715
Pelan rawatan untuk brakiterapi
(Intrakavitari)
1145-2290
Pelan rawatan pakar
- Brakiterapi Interstitial
- Radioterapi konformal
- Radiosurgeri
- Radioterapi modulasi intensiti
2290-4575
II.
FI TATACARA
1. Tatacara am
Butiran/Tatacara
Pemantauan tekanan darah ambulatori
Pemakaian kas plaster (jika ini satu-satunya
tatacara)
Pemakaian plaster jaket, spika pinggul, kas
kaki panjang atau kas bres
Kanulasi arteri
Punktur arteri
Aspirasi hematoma subkutaneus
Pengikatan hemoroids
Biopsi kulit atau tisu subkutaneus
Resusitasi Kardiopulmonari (CPR)
Kanulasi talian tekanan vena sentral (CVP)
Pemasukan tiub dada
Kolposkopi (dengan/tanpa biopsi)
Pemantauan Holter berterusan
Pengkuretan/Krioterapi lesi kulit termasuk
kauterisasi
7
Fi (RM)
Pakar
Bedah
130
315
410
130
65
315
315
315
315
230
840
375
330
315
Pakar Anestesia
265
P.U. (A) 358
Aspirasi diagnostik sista, sendi dan kaviti
315
Ekokardiografi dengan laporan
Pemetaan berwarna
Doppler ekokardiografi
Ekokardiogram-transtorasik
M-mod
Eko treadmill stres
Ekokardiografi stres
Ekokardiografi trans-esofagus
Dua dimensi (2-D)
380
380
230
380
380
380
440
380
Elektif kardioversi
Elektrokardiogram (EKG) dengan laporan
EKG (stres/ senaman) dengan laporan
Biopsi atau aspirasi endometrial
Sitologi aspirasi jarum halus
Insisi dan penyaliran (I & D)
Suntikan di sekeliling faset apofisial vertebra
tanpa kawalan X-ray
Suntikan ke dalam sendi tanpa kawalan
sinar-X
Suntikan ke dalam tisu subkutaneus/pusat
pencetus kesakitan termasuk anestesia
setempat (LA) dan steroid
Suntikan ke dalam vena varikos kaki
Suntikan bahan pengsklerosan ke dalam
buasir
Suntikan bahan ke dalam kulit termasuk
pelet hormon
Punktur lumbar
Paracentesis untuk asits
Blok paravertebral (tanpa kawalan sinar-X)
Biopsi perkutaneus (tidak dinyatakan di
mana-mana)
Perikardiosentesis
Biopsi pleural
Penyaliran kaviti pleural
Pleurodesis
Sigmoidoskopi tegar dengan biopsi
EKG isyarat berpurata
Blok ganglion Stellate (LA)
Pemasangan kateter Swan Ganz
Perentak sementara
Pencucian dan penjahitan (T & S) bagi setiap
jahitan
Veneseksyen
8
290
80
270
410
315
315
315
315
315
315
315
315
745
630
480
315
505
895
840
630
315
45
480
460
1145
20
35
P.U. (A) 358
Venupunktur
65
2. Tatacara Spesifik
(a) Anestesiologi
Perundingan awal, penilaian, tatacara dan
sokongan hayat kardium lanjutan (ACLS)
di dalam unit rawatan intensif (ICU)
Perundingan seterusnya dan penilaian di
dalam ICU
630
Seperti perenggan 2(b) fi pakar
Perkhidmatan analgesia obstetrik
- Epidural
Perawatan kesakitan akut, kronik dan
barah
Venupunktur
445
35
65
(b) Abdomen (selain sistem urinari dan reproduktif)
Esofagus
Mobilisasi esofageal toraskopik melalui
mediastinum
Esofagogastrektomi
Esofagogastrektomi total dan interposisi
usus
Eksisi terbuka lesi esofagus
Pintasan esofagus
Tinjauan semula anastomosis esofageal
Penutupan pintasan esofagus
Pembaikan transtorasik esofagus
Pembaikan toraskopik esofagus
Esofagokardiomiotomi (pembedahan
Heller)
Miotomi esofagogastrik toraskopik
Suntikan skleroterapi bagi varises
esofageal
Pembaikan transtorasik hernia hiatus
Pembaikan transtorasik hernia
diafragmatik
Pembaikan transabdominal hernia hiatus
Pembaikan transabdominal hernia
diafragmatik
Pembaikan laparoskopik hernia hiatus
Pembedahan anti refluks transabdominal
Tinjauan semula tatacara anti-refluks
Vagotomi/seromiotomi laparoskopik
Gastro- jejunostomi laparoskopik
9
4750
1815
4750
5970
1815
2500
1890
2480
2705
2145
3600
2895
2040
1125
1550
1320
1125
1320
1320
985
2145
1000
985
685
2305
2305
940
940
2145
2895
760
820
2145
2895
3600
2040
2145
760
820
1320
685
685
P.U. (A) 358
Gastrostomi/jejunostomi laparoskopik
Perut
Vagotomi gastrik proksimal
Vagotomi pilihan tinggi
Vagotomi dan piloroplasti
Gastrektomi total dan eksisi tisu sekitar
Gastrektomi separa
Pembedahan plastik perut
Gastro-jejunostomi
Pengulangan gastro-jejunostomi
Gastrostomi
Penutupan gastrostomi
Penutupan ulser berlubang di perut
Penutupan laparoskopik ulser berlubang
di perut
Pembedahan perut terbuka lain
Piloromiotomi
Piloroplasti
Gastrektomi separa (penyakit benigna)
Gastrektomi separa (penyakit malignan)
Duodenum
Eksisi terbuka lesi duodenum
Pintasan duodenum
Penutupan laparoskopik ulser berlubang
duodenum
Penutupan ulser berlubang duodenum
Usus kecil
Eksisi jejunum
Eksisi lesi jejunum
Jejunostomi
Reseksi laparoskopik usus kecil
Pintasan jejunum
Intubasi jejunum dekompresi usus
Pintasan ileum
Anastomosis ileoanal dan penciptaan
kantung
Ileostomi
Perhatian kepada ileostomi
Penutupan ileotomi (dalam isolasi)
Pembedahan terbuka ileum termasuk
pengurangan intususepsi
Usus besar
Apendisektomi
10
1760
570
2040
2040
2145
2895
2305
1890
2145
2305
1760
1565
1890
1890
685
685
820
1125
760
685
685
685
570
570
685
685
1890
1890
1890
2305
2895
685
685
685
2305
1890
1890
760
760
685
1890
685
2145
2480
1760
1890
1890
1890
1890
4750
685
685
685
685
685
685
685
1550
1890
1565
1565
1890
685
570
570
685
1565
570
P.U. (A) 358
Apendisektomi laparoskopik
Penyaliran abses apendiks
Eksisi total kolon dan anastomosis
ileorektal
Eksisi peluasan hemikolon kanan
Eksisi lain hemikolon kanan
Eksisi kolon transvers
Eksisi hemikolon kiri
Eksisi kolon sigmoid
Eksisi lesi kolon (transabdominal)
Pintasan kolon
Eksteriorisasi sekum
Penutupan kolostomi - peritoneal
tambahan
Penutupan kolostomi - intra peritoneal
Kolostomi laparoskopik
Kolostomi termasuk tinjauan semula
Manipulasi intra - abdominal kolon
termasuk pengurangan intususepsi
Reseksi kolonik laparoskopik
Pengurangan radiologi intususupan kolon
menggunakan enema barium
Rektosigmoidektomi bagi penyakit
Hirchsphrung
Laparotomi enterokolitis nekrotik
enterokolitis (NEC)
Laparotomi atresia usus
Rektum/Anus
Anastomosis ileoanal dan penciptaan
kantung
Panproktokolektomi dan ileostomi
Penarikan abdominoperineal melalui
reseksi dengan anastomosis kolo-anal
dan kolostomi berkaitan
Reseksi abdominoperineal rektum dan
anus
Reseksi anterior
Reseksi anterior rektum dan hujung
kolostomi (dengan penutupan rektum)
Reseksi anterior laparoskopik rektum
dan eksteriorisasi usus
Eksisi separa rektum dan kolon sigmoid
bagi prolaps
Pembalikan tatacara Hartman
Eksisi terbuka lesi rektum
Fiksasi rektum bagi prolaps
11
1565
1565
3600
570
625
1320
2390
2390
2390
2390
2390
1760
2040
1760
1340
820
760
760
820
820
760
760
760
625
1890
2040
2040
2040
760
760
760
685
2390
580
820
570
4750
2705
2705
4750
1550
4750
4750
1815
1815
4750
1815
4750
2705
1815
1550
4750
1550
2705
940
3600
2145
1890
1550
940
940
P.U. (A) 358
Rektopeksi laparoskopik
Reseksi transanal bagi kanser rektal
Eksisi perineal lesi rektum
Biopsi rektum ketebalan penuh atau
separa
Pembaikan perineal prolaps rektum
Pengembangan striktur rektum
Pembaikan fistula tinja
Eksisi lesi anus
Pemusnahan lesi anus
Pembaikan sfinkter anal
Pembaikan trauma anal
Hemoroidektomi
Regangan anorektum termasuk
pemeriksaan di bawah anestesia (EUA)
dan sigmoidoskopi
Pembukaan lapisan fistula anal bawah
Pembukaan lapisan fistula anal atas
Sfinkterektomi lateral anus
Eksisi fisur anal
Penyaliran melalui kawasan perineal
termasuk abses iskiorektal
Eksisi sinus pilonidal dan graf sutur/kulit
Pembukaan lapisan sinus pilonidal
Fistulektomi (tunggal)
Fistulektomi (berbilang)
Anorektoplasti sagital posterior (PSARP)
Laparotomi berkombinasi dengan PSARP
Anoplasti
Sagital posterior
anorektovaginouretroplasti (PSARVUP)
Laparotomi berkombinasi dengan
PSARVUP
Organ-organ lain, terutama pencernaan
Adrenalektomi
Adrenalektomi - dwisisi
Pembedahan tisu adrenal aberan
Eksisi separa hepar
Hemihepatektomi
Pembuangan tumor hepar
Pembaikan hepar
Penyaliran terbuka hepar
Pembedahan laparoskopik terapeutik ke
atas hepar
Pemeriksaan laparoskopik diagnostik
hepar termasuk apa-apa biopsi
12
1890
2040
1340
405
940
625
625
625
1760
370
865
370
370
1565
1340
1000
370
685
265
625
265
265
625
625
505
265
865
1565
405
405
580
505
625
505
405
405
1160
580
865
1565
3600
4750
1340
4750
625
265
5970
2145
2305
2145
3600
5970
2895
2480
1160
1340
940
1125
940
1550
2110
985
985
685
570
1340
505
P.U. (A) 358
Biopsi perkutaneus lesi hepar
Punktur terbuka hepar
Kolesistektomi termasuk
minikolesistektomi
Kolesistektomi dengan
peninjauperiksaan duktus hempedu
umum
Kolesistektomi laparoskopik
Kolesistektomi laparoskopik dengan
kolangiogram peribedah
Anastomosis pundi hempedu
(ke viskus lain)
Eksisi separa duktus hempedu dan
anastomosis duktus hempedu kepada
duodenum/jejunum
Eksisi lesi duktus hempedu
Anastomosis duktus hepatik
Anastomosis duktus hempedu umum
Pengenalan terbuka prostesis ke dalam
duktus hempedu
Pembaikan duktus hempedu
Insisi duktus hempedu termasuk
peninjauperiksaan bagi pembuangan
kalkulus
Sfinkterektomi duktus hempedu dan
duktus pankreatik menggunakan
pendekatan duodenal
Pemeriksaan perkutaneus duktus
hempedu
Pankreatektomi total dan eksisi tisu
persekitaran
Pankreatektomi total
Pankreatoduodenektomi dan eksisi tisu
sekitar (Tatacara Whipple)
Pankreatektomi distal
Eksisi lesi pankreas
Anastomosis pundi hempedu
(ke viskus lain)
Penyaliran terbuka lesi pankreas
Penyaliran abses pankreatik
Insisi pankreas
Pemeriksaan terbuka pankreas
Pembedahan perkutaneus terapeutik
pankreas
Splenektomi terbuka
Splenektomi laparoskopik
13
480
1565
1890
315
570
685
2040
760
2480
2705
1125
1550
2305
760
2390
940
2145
2895
2145
2145
940
940
940
760
2390
2145
985
940
2145
820
1000
505
4750
1815
4750
4750
1815
1815
2705
2040
2705
985
985
940
2040
2040
2040
2040
1565
760
760
760
760
685
1565
1565
760
760
P.U. (A) 358
Penciptaan penyimpangan peritoneovena
(Levine/Denver)
Penyaliran dalaman pseudosista
pankreatik
Hepato portoenterototomi (pembedahan
Kasai)
Eksisi sista koledokal
Salur darah besar
Kanulasi terbuka arteri intra-abdominal
bagi kemoterapi infusi
Penciptaan penyimpangan portakaval
Plikasi vena kava
Pembaikan luka arteri besar atau vena
abdomen termasuk aorta dan vena kava
Dinding abdomen
Pembaikan hernia diafragmatik
kongenital
Eksisi mudah sak hernia inguinal
Eksisi mudah sak hernia inguinal - dwisisi
Pembaikan primer hernia inguinal
- dwisisi
terjerut
Pembaikan laparoskopik hernia groin
Pembaikan hernia inguinal berulang
Pembaikan hernia inguinal berulang
- dwisisi
Pembaikan primer hernia femoral
Pembaikan primer hernia femoral
terjerut
Pembaikan hernia femoral berulang
Pembaikan hernia umbilikal
(tidak mengira umur)
Pembaikan primer hernia insisi
Pembaikan hernia insisi berulang
Pembaikan hernia lain dinding abdomen
Sutur semula insisi lalu dalam dinding
abdomen (Abdomen pecah)
Penutupan eksomfalos major/gastrokisis
- penutupan primer
- penutupan silastik
- penutupan primer tertunda
14
1340
435
2705
4750
4750
2145
685
4750
2305
2145
1320
940
1320
2705
1550
1000
1760
1160
1890
505
760
505
820
1890
625
1160
1890
2895
505
685
985
1000
1890
505
625
1565
1000
570
570
1340
1890
1340
1340
505
685
505
570
3600
2145
2570
P.U. (A) 358
Peritoneum
Laparotomi bagi pendarahan selepas
pembedahan
Laparotomi dan pembaikan trauma
visera berbilang
Penyaliran terbuka abses subfrenik
Pembedahan omentum
Tumor retroperitoneal
Abses retroperitoneal
Tumor presakral
Pembebasan adhesi peritoneum
Laparoskopi termasuk biopsi dan
adhesiolisis
Parasentesis abdominis bagi asites
Penyaliran suprapubik abses pelvik
Penyaliran transrektal/transvaginal
abses pelvik
Laparotomi - peninjauperiksaan
1760
820
3600
1550
1760
1890
2705
1160
1340
1565
1160
685
685
940
685
940
685
435
315
865
1160
265
505
1890
(c) Otak, kranium dan organ intrakranial yang lain
Otak
Hemisferektomi
Eksisi abses otak
Eksisi lesi tisu otak
Ablasi stereotaktik tisu otak
Biopsi terbuka lesi tisu otak
Penanaman/pembuangan stimulator
neuro daripada otak (apa-apa laluan)
Ventrikulosisternostomi
Penciptaan anastomosis
ventrikulovaskular
Penciptaan penyimpangan
ventrikuloperitoneal
Penciptaan simpanan cecair
serebrospinal (CSF) subkutaneus
Penyenggaran penyimpangan
serebroventrikular termasuk
pengulangan
Pembuangan penyimpangan
serebroventrikular
Irigasi penyimpangan serebroventrikular
Pembedahan endoskopik terapeutik
ventrikel otak
Pemeriksaan endoskopik diagnostik dan
biopsi lesi ventrikel otak
Punktur ventrikular
15
7030
4750
5970
4750
3600
2145
2930
2110
2500
1815
1550
820
3600
2040
1550
820
2040
820
2040
820
1565
685
1340
505
580
2570
685
820
1760
820
570
505
P.U. (A) 358
Kranium
Infeksi Intrakranial: lubang Burr
Pembaikan plastik kranium
Kranioplasti rekonstruktif
Kraniostenosis (satu sutur)
Kraniostenosis (lebih daripada satu
sutur)
Kraniotomi terbuka eksploratori
Eksploratori lubang burr pada kranium
Petrosektomi
Dekompresi Foramen Magnum
Eksisi lesi kranium
Elevasi lekukan fraktur kranium
Pembaikan fraktur kompaun kranium
Penyaliran tengkorak
Meninges
Penyaliran ruang subaraknoid otak
Eksisi lesi otak meninges
Pembedahan sista araknoid
Pembaikan dura
Pengosongan hematoma ekstradural
Pengosongan hematoma atau abses
subdural
Pendarahan subdural - toreh
Saraf
Transeksi intrakranial saraf kranial
Pemusnahan-pemusnahan lain saraf
kranial
Eksisi lesi saraf kranial (lntrakranial)
Eksisi neuroma akustik
Pembaikan saraf kranial (Intrakranial)
Dekompresi saraf kranial (Kraniotomi)
Stimulasi neuro saraf kranial
(Intrakranial)
Pembuangan stimulasi neuro dari saraf
kranial
Eksisi tumor sudut serebelopontin
Pembuluh darah
Kraniotomi - pendarahan selepas
pembedahan
Kraniotomi bagi tumor suprasellar
Kraniotomi bagi tumor fossa posterior
Ligasi/sepitan aneurisme arteri cerebral
Peneguhan aneurisme arteri cerebral
16
1890
2705
2705
2040
2705
760
1320
1320
760
1550
2705
1565
3600
4750
2145
1565
2705
1340
1320
685
2110
1550
820
760
1320
505
1565
7030
2705
3600
3600
3600
625
2500
985
1320
1320
1320
315
435
5970
5970
2930
2930
7030
7030
2895
5970
2145
2930
2930
1815
1815
760
1890
505
7030
2930
2705
1320
7030
7030
5970
5970
2110
2110
P.U. (A) 358
Pembedahan terbuka arteri cerebral
Eksisi malformasi arteriovenous (AV)
Pembentukan anastomosis
ventrikulovaskular
Pembentukan pintasan
ventrikuloperitoneal
Lain-lain
Hipofisektomi
Krioterapi kelenjar pituitari
Eksisi lesi kelenjar pituitari
Eksisi kelenjar pineal
5970
7030
2040
2110
2110
820
2040
820
5970
2570
5970
7030
1815
2040
760
2305
2895
760
985
2040
685
1565
685
1000
1340
1340
1000
405
505
505
505
1000
505
2895
940
2305
760
4750
1550
865
405
1340
370
1565
685
265
505
580
1000
405
405
1815
1815
(d) Payudara
Mastektomi subkutaneus dengan implan
serta merta
Mastektomi radikal termasuk diseksi blok
Mastektomi bergabung dengan
rekonstruksi payudara menggunakan flap
miokutaneous
Mastektomi radikal diubah suai termasuk
diseksi blok
Mastektomi mudah termasuk biopsi
nodus aksilari
Eksisi lesi payudara
Reseksi bersegmen atau quadrantektomi
Eksisi setempat lebar lesi payudara
Pengulangan eksisi setempat bagi
menerangkan margin
Biopsi eksisi lesi payudara selepas
persetempatan
Rekonstruksi payudara menggunakan
latisimus dorsi
flap setempat
TRAMS
Pembuangan prostesis daripada
payudara
Penanaman prostesis selepas mastektomi
Biopsi perkutaneus lesi payudara
Eksisi stereotaktik/guidewire lesi
payudara
Penyaliran abses payudara
Mikrodokotomi
17
P.U. (A) 358
Pembedahan puting (jika tidak termasuk
dalam tatacara lain)
Diseksi blok nodus limfa aksilari
(jika tidak termasuk dalam tatacara lain)
Biopsi/pensampelan nodus limfa aksilari
Biopsi nodus limfa mama internal
865
405
1760
625
405
725
315
505
(e) Dermatologi dan venereologi
Ujian alergi
Ujian sensitiviti kulit (Intradermis)
menggunakan sehingga 20 reagen (tidak
termasuk kos reagen)
Ujian sensitiviti kulit (ujian tampalan)
menggunakan sehingga 26 reagen, iaitu
siri standard (tidak termasuk kos
reagen)
menggunakan 26 reagen, iaitu siri
standard dan tambahan
(tidak termasuk kos reagen)
menggunakan siri tambahan iaitu kos
bagi setiap siri (tidak termasuk kos
reagen)
Dermatosurgeri umum
Eksisi - sista, parut, tumor benigna
(mudah)
Eksisi - sista, parut, tumor benigna
(rumit)
Eksisi - tumor kulit malignan yang
memerlukan eksisi lebar
Suntikan steroid berbilang ke dalam lesi
Krioterapi - lesi kurang daripada 5
Krioterapi - lesi lebih daripada 5
Krioterapi - tumor malignan yang
memerlukan rawatan bagi kawasan yang
luas
Pengkuretan/krioterapi lesi kulit
termasuk pengkauteran
Fototerapi
Fototerapi (pancaran ultra ungu) bagi
setiap sesi - bahagian tertentu
Fototerapi (UVB)(pancaran ultra ungu)
18
190
250
315
190
380
660
915
190
155
250
505
315
65
100
P.U. (A) 358
bagi setiap sesi - keseluruhan badan
Psoralen dan ultra ungu A (PUVA) bagi
(PUVA) bagi setiap sesi - keseluruhan
badan
Ujian tampalan foto
Ujian foto Dos eritema minimal (MED)
Ujian foto Dos fototoksik minimum
(MPD)
Fototerapi ultra ungu Al (UVA 1) bagi
Fototerapi ultra ungu Al (UVA 1) bagi
setiap sesi - keseluruhan badan
Tatacara dermatologi lain
Eksisi mudah kuku
Eksisi baji kuku jari kaki
Eksisi baji atau avulsi kuku jari kaki
termasuk ablasi kimia pada dasar kuku
Matriksektomi kuku
Pemeriksaan penyiasatan medan gelap
(DGI) bagi spesimen
Biopsi kulit atau subkutaneus tisu
Biopsi perkutaneous (tidak dinyatakan
di tempat lain)
Pemeriksaan mikroskopik (medan
gelap)
Pemeriksaan mikroskopik untuk kikisan,
calitan kulit dan sebagainya
Elektrokauteri - keratosis, ketuat,
angioma, dan sebagainya (lesi kurang
daripada 5)
angioma, dan sebagainya (lesi daripada
5 hingga 20)
angioma, dan sebagainya (lesi lebih
daripada 20)
Kauteri kimia - keratosis, ketuat,
angioma dan sebagainya (lesi tidak lebih
daripada 5)
Kauteri kimia - keratosis, ketuat,
angioma dan sebagainya (lesi lebih
daripada 5)
Elektrolisis rambut bagi setiap sesi
Iontoforesis bagi setiap sesi
Iontoforesis transdermal
19
100
125
250
250
250
100
125
70
380
480
170
125
315
315
65
65
190
380
630
125
250
250
190
285
315
P.U. (A) 358
Tatacara laser kutaneus
Ablasi laser kutaneus bagi tumor kulit
(lesi kurang daripada 5)
(lesi 5 hingga 20)
(lesi lebih daripada 20)
Rawatan laser pigmen bagi pigmentasi
kulit dan tatu - kawasan kecil (kurang
daripada 9 sm2)
kulit dan tatu - kawasan bersaiz
sederhana (9 sm2 hingga 50 sm2)
kulit dan tatu - kawasan besar (lebih
daripada 50 sm2)
Rawatan laser pigmen bagi tatu bulu
kening
Rawatan laser pigmen bagi tatu kelopak
mata
Rawatan laser vaskular bagi lesi
vaskular - kawasan kecil (kurang
daripada 9 sm2)
vaskular - kawasan bersaiz sederhana
(9 sm2 hingga 50 sm2)
vaskular - kawasan besar
(lebih daripada 50 sm2)
Laser pelapisan semula bagi satu unit
kosmetik (bukan ablatif)
Laser pelapisan semula bagi satu unit
kosmetik (ablatif)
Pembuangan bulu roma dengan bantuan
laser/cahaya denyutan keamatan (IPL) kawasan kecil (kurang daripada 9 sm2)
laser/IPL - kawasan bersaiz sederhana
(9 sm2 hingga 50 sm2)
laser/IPL - kawasan besar (lebih
daripada 50 sm2)
laser/IPL - keseluruhan muka
Pengelupasan kimia
Pengelupasan kimia bagi lesi kulit
290
660
860
380
435
660
380
435
380
435
660
860
1145
380
435
660
915
290
20
P.U. (A) 358
- pengelupasan superfisial
- kedalaman sederhana
- pengelupasan dalam
380
660
Tatacara pelbagai
Ekstrak komedon bagi setiap sesi
Keratan hiperkeratosis, belulang dan
sebagainya
Ekstraksi milia
Jagaan kejururawatan kulit harian bagi
setiap sesi
Pembalutan keseluruhan badan
(cth: ekzema atopi)
Mikrodermabrasi - muka
Mikrodermabrasi - badan
Suntikan toksin botulinum bagi satu unit
kosmetik
Suntikan pengisian bagi satu unit
kosmetik
190
190
190
190
230
345
570
685
570
(f) Telinga, hidung dan tekak
Telinga eksternal
Eksisi total telinga eksternal
Eksisi abnormaliti preaurikular
Eksisi lesi telinga eksternal
Pembuangan eksostoses daripada kanal
auditori eksternal
Rekonstruksi telinga eksternal
menggunakan graf
Rekonstruksi telinga eksternal
Meatoplasti telinga eksternal
Pembaikan telinga eksternal
Pembuangan bahan asing daripada
kanal auditori eksternal di bawah
anestatik umum (GA) (dan dwisisi)
Eksisi lesi kanal auditori eksternal
Rekonstruksi kanal auditori eksternal
Telinga tengah dan mastoid
Mastoidektomi radikal
Mastoidektomi radikal diubah suai
Mastoidektomi mudah
Mastoidektomi tinjauan semula
Peninjauperiksaan mastoid, saraf fasial
21
1565
1000
725
1760
820
405
405
505
2895
685
2145
1565
405
370
685
505
405
265
480
2705
570
1125
2480
2480
2305
2040
2305
940
940
625
940
940
P.U. (A) 358
Timpanoplasti
Miringoplasti
Miringotomi dan selitan tiub melalui
membran timpanik (dan dwisisi)
Sedutan pembersihan telinga tengah
Miringotomi (dan dwisisi)
Osikuloplasti dengan/tanpa
timpanoplasti
Stapedektomi
Eksisi tumor telinga tengah
Polipektomi telinga tengah (dan dwisisi)
Timpanotomi dan biopsi lesi telinga
tengah
Petrosektomi
Telinga dalam
Elektrokokleografi transtimpanik
Pembedahan koklea
Pembedahan sak endolimfatik
Labirintektomi bermembran
Labirintektomi bertulang
Eksisi sinus preaurikular - unilateral
Eksisi sinus preaurikular - dwisisi
2145
2040
865
940
760
355
370
370
2705
265
265
940
2040
2040
580
1760
760
760
265
570
3600
2110
725
3600
2145
2390
2480
1340
1760
Hidung dan kaviti hidung
Eksisi hidung total
Septorinoplasti serta/tanpa graf/implan
berikutan trauma atau eksisi tumor
Rinoplasti berikutan trauma atau eksisi
tumor
Eksisi submukus septum hidung
Eksisi lesi septum hidung
Biopsi lesi septum hidung
Penutupan tembusan septum hidung
Insisi septum hidung
Septoplasti hidung
Pengkauteran septum hidung (dan
dwisisi)
Diatermi submukus turbinat hidung
(dan dwisisi)
Eksisi turbinat hidung (dan dwisisi)
Eksisi lesi turbinat hidung (dan dwisisi)
Pembahagian perekatan turbinat hidung
(dan dwisisi)
Biopsi lesi turbinat hidung (dan dwisisi)
Pengkauteran turbinat hidung (dan
dwisisi)
22
1320
940
940
940
1565
2145
760
625
2040
625
1160
580
370
1340
405
1340
315
405
355
355
405
315
435
265
405
265
725
405
370
405
405
405
370
370
405
265
P.U. (A) 358
Ligasi arteri hidung internal
Embolisasi arteri hidung internal
Pemadatan kaviti hidung (sebagai
tatacara tunggal)
Polipektomi hidung internal (dan
dwisisi)
Eksisi lesi hidung internal
Pembetulan atresia koana kongenital
Pembuangan bahan asing daripada
kaviti hidung
Eksisi lesi hidung eksternal
Sinus hidung
Penyaliran antrum maksila termasuk
Caldwell-Luc (dan dwisisi)
Neurektomi transantral saraf vidian
menggunakan pendekatan sublabial
(dan dwisisi)
Punktur antral dan pembasuhan
(dan dwisisi)
Antrostomi intranasal termasuk
endoskopik (dan dwisisi)
Penutupan fistula oro-antral
Frontoetmoidektomi eksternal (dan
dwisisi)
Etmoidektomi intranasal (dan dwisisi)
Etmoidektomi eksternal termasuk
endoskopik (dan dwisisi)
Pembukaan anterior dan posterior ke
dalam pembedahan endoskopik fungsi
sinus (FESS)
Etmoidektomi transantral (dan dwisisi)
Flap tulang sinus frontal (dan dwisisi)
Membuat trefin sinus frontal
Frontoetmoidektomi radikal
Pembedahan endoskopik fungsi sinus
subtotal (FESS)
Pembedahan ke atas sinus sfenoid
Pembedahan ke atas sinus hidung (tidak
dinyatakan)
Rhinotomi lateral ke dalam sinus bagi
malignansi
Endoskopi diagnostik sinus (sebagai
tatacara tunggal)
Tekak
Faringektomi total
23
1340
1340
315
505
505
505
480
355
405
1565
315
355
685
355
315
435
1000
435
1760
685
480
265
865
505
1340
2145
435
760
1160
1565
505
685
1760
685
1565
2480
580
2390
1565
685
625
265
940
685
865
865
505
505
1760
625
315
405
5970
1815
P.U. (A) 358
Faringektomi separa
Adenoidektomi
Pembaikan farinks
Eksisi terbuka lesi farinks
Pembedahan kantung faringeal
farinks
Kantung faringeal - reseksi endoskopik
Pemeriksaan endoskopik diagnostik
farinks termasuk biopsi
Tonsilektomi - kanak-kanak (dan
dwisisi)
Tonsilektomi - dewasa (dan dwisisi)
Eksisi tonsil lingual
Adenotonsilektomi (dan dwisisi)
Penyaliran abses peritonsilar ("Quinsy")
Larinks dan trakea
Laringektomi total termasuk diseksi
leher
Laringektomi separa
Laringofisur dan kordektomi korda
vokal
Laringektomi (tidak termasuk diseksi
leher)
Glottoplasty
Rekonstruksi larinks dengan graf
Eksisi endoskopik lesi larinks termasuk
mikrolaringoskopi
Laringoskopi/endoskopi dengan biopsi
Suntikan ke dalam larinks
Eksisi separa trakea dengan
rekonstruksi
Trakeoplasti
Penempatan terbuka prostesis di dalam
trakea
Trakeotomi
Selitan mini-trakeostomi
2305
405
2145
725
1890
580
1815
265
820
505
685
405
1890
580
625
405
1000
435
1160
865
1160
315
435
435
435
315
3600
1815
2145
1760
985
625
2570
1320
1760
3600
1160
625
1815
570
580
505
1160
3600
505
2110
1760
1760
625
505
1000
580
570
405
Tatacara endoskopik gentian optik di bawah anestesia topikal
Pemeriksaan gentian optik trakea dan
725
bronkus termasuk biopsi/pembuangan
bahan asing
Lavaj bronkus (diagnosis atau
865
terapeutik)
Pendilatan striktur trakea termasuk
865
selitan sten
24
505
P.U. (A) 358
Pendilatan striktur bronkus oleh
bronkoskop gentian optik
Biopsi transbronkial
1000
1000
(g) Tatacara endoskopik dan laparoskopik trek gastrointestinal (GIT)
Tatacara endoskopik GIT
Esofagoskopi tegar serta/tanpa
biopsi/pembuangan/laser atau destruksi
diatermi lesi
Esofagogastroduodenoskopi diagnostik
termasuk biopsi
Esofagoduodenoskopi terapeutik
termasuk pembuangan bahan asing/
polipektomi
Esofagogastroduodenoskopi terapeutik
termasuk destruksi lesi, penyelitan
prostesis, pendilatan, pengkanalan
semula tumor
Skleroterapi suntikan varises esofagus
Intubasi bagi penyiasatan GIT
serta/tanpa manometri, ukuran pH,
fungsi pankreatik dan biopsi jejunal
Endoskopi dan pemeriksaan ilium
melalui stoma termasuk pendilatan
Sigmoidoskopi fleksibel serta,/tanpa
biopsi/pembuangan/pemusnahan lesi
Kolonoskopi gentian optik serta/tanpa
eksisi biopsi/pemusnahan lesi
Kolonoskopil gentian optik dan
pengkanalan semula tumor
Endoskopik kolangiopankreatografi
retrograd (ERCP)
ERCP dengan tatacara terapeutik
Penyelitan sten pankreas
Pembuangan batu pankreatik
Penyaliran pseudosista pankreatik
Ligasi gegelang getah varises
PEG
Reseksi mukosal endoskopik
Polipektomi kolonik
Pendilatan kolonik (belon)
Penyelitan sten kolonik
Tatacara terapeutik bagi pendarahan GIT
(atas)
25
865
435
405
315
580
435
1000
435
1000
480
685
315
580
315
580
435
1000
435
1565
435
1160
505
1760
2040
2040
2040
1000
1760
2040
1340
1340
1565
1000
505
760
760
760
405
625
760
505
505
570
405
P.U. (A) 358
Tatacara laparoskopik
Pembaikan laparoskopik hernia hiatus
Vagotomi/seromiotomi laparoskopik
Gastrojejunostomi laparoskopik
Gastrostomi/jejunostomi laparoskopik
Penutupan laparoskopik ulser perut
berliang
Penutupan laparoskopik ulser duodenum
berliang
Reseksi laparoskopik usus kecil
Apendisektomi laparoskopik
Kolostomi laparoskopik
Reseksi kolonik laparoskopik
Reseksi anterior rektum dan
eksteriorisasi usus laparoskopik
Rektopeksi laparoskopik
Kolesistektomi laparoskopik
Kolesistektomi laparoskopik dengan
kolangiogram peribedah
Splenektomi laparoskopik
Pembaikan laparoskopik hernia groin
2145
2040
2145
1760
1890
760
685
685
570
685
1890
685
1890
1565
2040
2390
4750
685
570
760
820
1550
1890
2480
2705
940
1125
1550
1565
1160
760
505
(h) Mata dan kandungan orbit
Tatacara am
Angiogram fluoresin fundus
Fotografi anterior/fundus
Perimetri automasi
Carta Hess
Keratometri
Topografi kornea Ultrasonografi
Imbasan - A
Imbasan - B
Pakimetri
Gonioskopi
Oftalmoskopi tidak langsung
Refraksi
Ujian Schirmers
Elektrofisiologi
Elektroretinogram
(ERG)/Elektrookulogram (EOG)/Tindak
balas ditimbulkan visual (VER)
Pemancitan
Cucian
Irigasi
Eksisi/pengkuretan/krioterapi lesi
kelopak mata
26
345
65
250
125
65
250
125
250
125
65
65
65
30
250
125
35
65
370
265
P.U. (A) 358
Pemecahan foto laser Yag ke atas kapsul
posterior kanta termasuk kapsulotomi
laser
Koagulasifoto
laser/Krioterapi/Radioterapi lesi retina
(dan dwisisi)
Angiografi fluoresin mata
Pembedahan pembetulan juling (satu
atau kedua-dua mata)
Pembedahan trabekulektomi
Trabekulektomi termasuk laser
Biopsi lesi kelopak mata
Ekstraksi ekstrakapsular tanpa implan
Ekstraksi ekstrakapsular dengan implan
Glob atau orbit
Eksenterasi orbit
Enukleasi bola mata
Eksisi lesi orbit
Rekonstruksi kaviti orbit
Biopsi lesi orbit
Penyaliran orbit
Dekompresi orbit
Pembuangan bahan asing daripada orbit
Eksplorasi orbit
Reduksi terbuka orbit patah
Suntikan retrobulba
Eviserasi bola mata
Implan orbital - Eviserasi/Enukleasi
dengan implan
Bulu kening dan kelopak
Eksisi lesi bulu kening
Jahitan bulu kening
Eksisi lesi kantus
Pembetulan epikantus
Pembetulan telekantus
Graf kulit kantus
Kantotomi/Pengkuretan
Eksisi/Pengkuretan/Krioterapi lesi
kelopak mata
Graf kulit kelopak mata
Pembetulan ektropion
Pembetulan entropion
Pembetulan trikiasis
Tarsorafi
Rekonstruksi total kelopak mata
27
580
505
1000
405
315
1890
265
625
2040
1160
480
2145
2570
760
570
315
820
940
2040
2040
1890
2305
1160
1340
2305
1890
1890
1340
315
2040
2390
760
685
685
760
505
355
685
685
685
685
265
760
580
315
1000
1160
1160
1000
580
370
405
405
505
505
505
505
505
265
1000
1160
1160
405
865
1890
505
405
405
405
405
505
P.U. (A) 358
Jahitan kelopak mata (laserasi)
Rekonstruksi total kelopak mata - dwisisi
Pembetulan ptosis kelopak mata
Tarsomulerektomi
Penyaliran lesi kelopak mata
Biopsi lesi kelopak mata
Pembuangan bulu mata melalui
elektrolilis/laser/krioterapi
Sistem lakrimal
Kanalikulo dakriosistorinostomi
Konjunktivo dakriosistorinostomi
Dakriosistorinostomi (DCR)
dengan/tanpa pemasukan tiub
Eksisi kantung lakrimal
Biopsi kantung lakrimal
Insisi kantung lakrimal
Pemancitan sistem nasolakrimal di
bawah anestesia am (GA)
Penguaran kantung nasolakrimal di
bawah GA
Pembaikan kanalikulus koyak
Pendilatan punktum lakrimal di bawah
GA
DCR endoskopik
Otot
Pembedahan pembetulan juling (satu
Pembedahan tinjauan semula juling (satu
Tenotomi otot (satu atau kedua-dua
mata)
Transposisi otot (satu atau kedua-dua
mata)
Pembedahan pembetulan juling dengan
jahitan boleh ubah (satu atau kedua-dua
mata)
Pembedahan tinjauan semula juling
dengan sutur boleh ubah (satu atau
kedua-dua mata)
Pembetulan juling dengan toksin
botulinum
Konjunktiva
Eksisi lesi konjunktiva
405
2895
1760
1760
370
480
370
405
820
625
505
355
315
265
2390
2390
2040
940
940
940
1000
580
370
315
505
505
405
265
315
265
1000
315
265
265
2570
1320
1890
625
2305
570
1340
570
1760
570
2480
685
2895
940
1000
480
28
505
P.U. (A) 358
Pengkauteran termasuk krioterapi ke
atas lesi konjunktiva
Radioterapi lesi konjunktiva
Graf mukosa konjunktiva
Jahitan konjunktiva
Pembuangan jahitan konjunktiva
Penyaliran sista konjunktiva
Pembahagian perekatan konjunktiva
Biopsi lesi konjunktiva
Suntikan subkonjunktival
Eksplorasi konjunktiva termasuk
pembuangan bahan asing
Eksisi pterigium
Graf limbal konjunktiva
315
505
580
1160
480
315
315
315
315
315
370
505
505
505
435
435
435
435
435
435
1340
725
505
480
315
2390
2390
580
315
405
435
435
940
940
505
405
435
1340
725
725
405
1760
2145
625
405
405
405
625
820
3600
3600
2895
2705
1160
865
1565
2110
Sklera
Eksisi lesi sklera
Pembaikan laserasi sklera
Graf sklera
725
725
1565
570
570
570
lris dan ruang anterior
Iridosikletomi
Pembedahan iridektomi
2390
1160
940
685
Kornea
Eksisi lesi kornea
Krioterapi lesi kornea
Graf lameliar (Keratoplasti) kornea
Graf penembusan (Keratoplasti) kornea
Pembaikan luka kornea
Pembuangan jahitan kornea
Pembuangan bahan asing kornea
superfisial
Jahitan ketegangan
Pengelatan kornea
Pentatuan kornea
Kikisan kornea untuk kultur
Keratoplasti refraktif
Keratektomi fotorefraktif
(PRK)/Keratektomi fototerapeutik (PTK)
Keratomileusis laser in situ (LASIK)
Graf lamellar (Keratoplasti) kornea
Menjalankan graf (Keratoplasti) kornea
Pemindahan sel stem limbal
Graf membran amniotik
Punktur stromal anterior
Keratotomi astigmatic
29
P.U. (A) 358
Trabekuloplasti laser
Trabekulotomi termasuk laser
Goniotomi (rawatan pembedahan
glaukoma)
Iridotomi laser
Pembaikan prolaps iris
Eksisi lesi iris
Pembuangan bahan asing daripada iris
Siklosioterapi (pengkauteran badan
siliari)
Siklodialisis (pemisahan badan siliari)
Pemulihan ruang anterior
Parasentesis
Suntikan ke dalam ruang anterior
lrigasi ruang anterior
Pembuangan bahan asing dari ruang
anterior
Implan injap di dalam glaukoma
Siklofotokoagulasi
Kanta
- dwisisi
- unilateral
Phakoemulsifikasi lensa dengan/tanpa
implan
- dwisisi
Gangguan/pemecahan foto laser Yag ke
atas kapsul posterior kanta termasuk
kapsulotomi laser
Insersi sekunder kanta implan
Tinjauan semula kanta implan
Pembuangan kanta implan
Pembedahan insisi kecil dengan/tanpa
kanta intraokular (IOL)
Pembedahan katarak dalam kes-kes
rumit (cth: kanta terdislokasi dengan/
tanpa implant)
Fiksasi skleral kanta intraokular
Vitreus
Vitrektomi oleh pendekatan anterior
2040
1000
1160
1890
760
570
570
570
1160
1890
1890
1890
1160
505
685
685
685
505
1760
1565
1000
480
480
1160
685
570
435
435
435
435
2895
2040
1565
1815
760
570
3600
1320
2145
820
2570
940
2570
4750
940
1550
580
505
1760
1760
1340
2705
685
685
505
1550
3600
2390
1760
30
760
P.U. (A) 358
Vitrektomi pendekatan pars plana
dengan insersi tamponad dalaman
Vitrektomi bergabung dengan
membranektomi/insersi tamponad
dalaman/laser atau krioterapi
Retina
Lengkok sklera termasuk
implan/pemusingan eksplan/minyak
silikon/pertukaran gas/laser atau
krioterapi
Pembuangan minyak silikon
Fotokoagulasi
laser/krioterapi/radioterapi lesi retina
(dan dwisisi)
Eksisi lesi retina
Biopsi lesi retina
Vitrektomi pars plana dengan
pembuangan IOL/kanta terdislokasi
Vitrektomi pars plana dengan
pembuangan bahan asing intaokular
Lengkok sklera dengan vitrektomi trans
pars plana
2570
1320
3600
2110
2145
820
865
1000
355
405
2145
2145
5970
940
505
2930
5970
2930
7030
3305
(i) Radiologi intervensional
Biopsi
Biopsi berpandukan fluoroskopi
Biopsi berpandukan ultrasound
Biopsi berpandukan CT/MRI
Biopsi hepar
Transjugular/Transfemoral/Palam
725
865
1000
1340
Penyaliran
Penyaliran cecair terkumpul
berpandukan fluoroskopi
berpandukan ultrasound
725
1340
berpandukan CT/MRI
1565
Angioplasti
Angioplasti
Angioplasti dengan insersi sten logam
Angioplasti dengan insersi sten logam
graf
1760
1890
2040
31
P.U. (A) 358
Insersi sten logam graf aorta
Angioplasti serebrum dengan/tanpa
insersi sten logam
Angioplasti serebrum dengan insersi sten
logam graf
Embolisasi
Embolisasi arteri atau vena
Embolisasi jisim vaskular termasuk
embolisasi uterin
Embolisasi arteri bronkial
Embolisasi aneurisme
Embolisasi malformasi arteriovenus
4750
4750
1550
1125
4750
1125
1890
2895
3600
5970
7030
Trombolisis
Trombolisis atau sedutan trombus di
bawah kawalan Pengimejan
1340
Pendilatan
Pendilatan penyempitan di bawah
kawalan pengimejan
Pendilatan perkutaneus striktur biliari di
bawah kawalan Pengimejan
Kepala dan leher
Ekstraksi batu endoluminal daripada
duktus liur di bawah kawalan Pengimejan
Insersi sten nasolakrimal di bawah
kawalan pengimejan
Kepala dan leher spina
Kemonukleolisis
Disektomi berpandukan fluoroskopi
termasuk laser
Disektomi berpandukan CT termasuk
laser
Vertebroplasti perkutaneus berpandukan
fluoroskopi
Vertebroplasti perkutaneus berpandukan
CT
Toraks
Insersi sten logam trakeal/bronkial
Insersi sten logam esofageal di bawah
kawalan pengimejan
1160
2305
725
2040
1160
2145
2895
2145
2895
1760
1565
32
P.U. (A) 358
Gastro usus
Gastrostomi Perkutaneus
Gastrojejunostomi Perkutaneus
1760
2145
Hepar
Kolesistektomi Perkutaneus
Insersi perkutaneus endoprostesis biliari
plastik
Insersi perkutaneus endoprostesis biliari
logam
Transjugular pintasan intrahepatik
portosistemik
Urinari
Nefrostomi Perkutaneus
Pembuangan kalkulus Perkutaneus
Pilolisis Perkutaneus
1890
1890
2390
2895
1340
2705
2705
Lain-lain
Insersi kateter vena sentral - tidak
tembus (berpandukan sinar-X)
Insersi kateter vena sentral - tembus
(berpandukan sinar-X)
Ablasi sista di bawah kawalan pengimejan
Pemasukan penyaring vena cava
Pencarian bahan asing di bawah panduan
sinar-X
Penutupan fistula di bawah kawalan
pengimejan
Koagulasi laser perkutaneus jisim
725
1160
1160
1340
1565
2145
3600
(j) Neurologi
Laporan ujian neurofisiologi
Elekroensefalogram (EEG) - rutin dan
tidur atau mudah alih
Kajian potensial pembangkitan - potensial
pembangkitan visual (VEP), potensial
rangsangan pembangkitan auditori stem
otak (BAEP) dan potensial pembangkitan
somatosensori (SSEP)
Elektromiogram (EMG) dan kajian
konduksi saraf
Kajian konduksi saraf
33
315
580
580
315
1815
P.U. (A) 358
Neurosurgeri
Dekompresi dan cantuman pertemuan
kranio servikal
Kraniotomi tumor supraselar
Kraniotomi tumor fosa posterior
Rizotomi posterior selektif
Disektomi endoskopik
Laminektomi servikal
7030
3305
7030
7030
5970
7030
3600
3305
3305
2930
1890
2390
480
725
1000
820
820
405
685
4750
1550
2040
2040
2040
760
760
760
2040
760
2895
820
2040
1565
1565
760
685
685
865
435
405
1890
265
685
1340
685
1760
760
1160
570
(k) Obstetrik dan ginekologi
Kehamilan dan pantang
Kelahiran caesarean
Histerektomi caesarean
Pengkuretan uterus bersalin
Penempatan semula uterus songsang
Tranfusi pertukaran darah neonatal
Organ reproduktif wanita
Uterus/Adneksa
Histerektomi radikal dan limfadenektomi
(Wertheim's)
Histerektomi total abdomen
Histerektomi subtotal abdomen
Histerektomi dan pembuangan adneksa
uterus
Histerektomi vagina termasuk bantuan
laparoskopik
Histerektomi dan pembuangan adneksa
uterus bagi ketumbuhan malignan ovari
Miomektomi termasuk laparoskopik
Rekonstruksi plastik uterus
uterus termasuk ablasi endometrial
Histeroskopi dengan/tanpa D&C , biopsi
termasuk polipektomi
Biopsi atau penyedutan endometrium
Ooforektomi dan salpigektomi dwisisi
dalam isolasi
Ooforektomi dan salpingektomi sisi
tunggal dalam isolasi
Pembuangan produk konsepsi daripada
tiub falopian (kehamilan ektopik)
termasuk laparoskopik
Laparoskopi termasuk (cth: punktur sisia
ovari serta/tanpa biopsi)
34
P.U. (A) 358
Tatacara laparoskopi dan terapeutik
termasuk laser, diatermi dan pemusnahan
(cth: endometriosis, adesiolisis
pembedahan tiub dan tumor pejal)
Sistektomi ovari (tidak termasuk dalam
tatacara lain) (dan dwisisi)
Diseksi blok nodus limfa pelvik (tidak
termasuk dalam tatacara lain)
Eksenterasi penuh pelvis
Eksenterasi anterior pelvis
Eksenterasi posterior pelvis
Gantungan
Pembedahan bergabung abdomen dan
vagina bagi menyokong saluran keluar
pundi kencing wanita
Pembedahan anduh suprapubik
Gantungan retropubik leher pundi
kencing
Pembedahan vagina bagi menyokong
saluran keluar pundi kencing wanita
Ventro-gantungan uterus termasuk
laparoskopi
Serviks uteri
Kolposkopi (dengan/tanpa biopsi)
Amputasi uferi serviks
Pemusnahan laser lesi serviks uterus
Pengkauteran lesi serviks uterus
termasuk diatermi gelung
Biopsi kon serviks uterus termasuk laser
Biopsi tebuk serviks uterus
Pendilatan serviks uterus dan
pengkuretan uterus termasuk
polipektomi dan diatermi serviks
(bagi wanita melebihi umur 40 tahun)
Vagina/Perineum
Sistouretroplasti
Eksisi/Diatermi karunkel uretra
Pembedahan Perineum wanita
Insisi introitus vagina
Obliterasi lain vagina
Eksisi septum vagina
Eksisi lesi vagina (cth: ketuat dan sista)
Rekontruksi vagina
35
1890
760
1890
685
2040
760
5970
4750
4750
2930
1815
1815
1890
685
1890
1890
760
685
1890
685
1340
625
370
1160
370
370
505
265
265
865
315
480
505
265
315
1760
370
480
480
1890
725
865
2705
685
265
265
505
760
505
505
820
P.U. (A) 358
Kolporafi anterior serta/tanpa posterior
dan amputasi uterus serviks termasuk
pembaikan primer enterosele
Kolporafi posterior
termasuk pembaikan primer enterosele
Pembaikan enterosele (dalam isolasi)
serta/tanpa kolporafi posterior
dengan histerektomi vagina termasuk
pembaikan primer enterosele
Pembaikan fistula vesikovaginal
Pembaikan fistula uretrovaginal
Pembaikan fistula rektovaginal
Pembaikan fistula ureterovaginal
Vulva/Labia
Eksisi kelenjar Bartholin
Marsupialisasi kelenjar Bartholin
Vulvektomi mudah
Eksisi tisu labial berlebihan
Vulvektomi radikal termasuk diseksi blok
kelenjar inguinal
Eksisi lesi vulva
2040
685
1340
1890
625
685
1760
685
2480
820
2145
1890
2480
2480
820
820
820
820
865
865
2145
725
2895
355
355
760
435
985
580
355
2480
4750
3600
3600
3600
4750
1565
3600
2895
3600
3600
1125
2500
2110
2110
2110
2500
570
2110
1815
2110
2110
5970
4750
2930
2500
5970
2895
1760
2705
2930
1815
625
1550
(l) Pembedahan pediatrik
Penyaliran abses paru-paru
Laparotomi NEC
Penutupan peringkat tunggal epispadias
Eksisi barah kemuncak neural (torasik)
Eksisi transternal teratoma
Eksisi transternal limfangioma
Endoskopi dan kanulasi fistula trakea
Eksisi sista bronkial
Pembaikan paru-paru
Eksisi duplikasi esofageal
Pembaikan jenis H bagi Tetralogi Fallot
(TOF)
Pembaikan belah trakeo-esofageal
Torakotomi dan pembaikan primer
atresia esofageal
Pembaikan TOF berulang
Torakotomi dan pembahagian fistula
Esofagostomi
Transeksyen esofageal
36
P.U. (A) 358
Rectosigmoidektomi dengan rekonstruksi
koloanal bagi penyakit Hirshsprung
Modifikasi Lester-Martin Duhamel
Pembedahan Kimura bagi aganglionosis
kolonik total
Tampalan ileosekal/jejunal bagi
aganglionosis kolonik total
Suntikan prasakral larutan garam
hipertonik
Insersi jahitan mengelilingi sfinkter
perianal
Anorektoplasti sagital posterior
Anorektoplasti sagital posterior dengan
laparotomi bagi anomali anorektal jenis
tinggi
Anorektoplasti sagital anterior
Pull-through sakroperineal
Anorektorvaginouretoplasti sagital
posterior bagi kloakal jenis pertengahan
Anorektovaginouretoplasti sagital
posterior dengan laparotomi bagi jenis
tinggi
Pembuatan semula anaorektoplasti
sagital posterior bagi anomoli anorektal
Anoplasti
Penyaliran sista koledokal
Pembedahan Kasai bagi biliari atresia
Splenektomi subtotal
Pembaikan limpa
Aortopeksi (bagi trakriomalasia)
Insersi perkutaneus tiub nefrostomi
Ureterostomi kutaneus
Eksisi ureterosil
Eksisi ureterosil ektopik
Penutupan eksostrofi pundi kencing
Penukaran ekstrofi klokal kepada ekstrofi
pundi kencing dengan kolostomi akhir
Penukaran ekstrofi klokal, ileostomi,
pemisahan sekum daripada kedua-dua
pundi kencing hemibladders
Vesikostomi
Apendikovasikostomi Mitrofanoff
Pembaikan hipospadias kelenjar
(cth: MAGPI)
Pembaikan hipospadias penis distal
(cth: pembaikan Flip-flap)
Penutupan fistula uretra
37
4750
2500
5970
7030
2930
3305
7030
3305
480
265
480
265
3600
4750
2110
2500
2895
2895
5970
1815
1815
2930
7030
3305
5970
2930
1760
2390
7030
3600
2705
3600
1160
1565
2480
2570
5970
4750
625
985
3305
2110
1550
2110
435
570
1125
1320
2930
2500
7030
3305
1760
3600
1565
625
2110
570
2390
985
1000
405
P.U. (A) 358
Pembaikan peringkat pertama
hipospadias penis
Pembaikan flap pulau peringkat tunggal
proksimal atau hipospadias penoskrotal
Pembaikan peringkat tunggal bagi
hipospadias dengan transposisi
penoskrotal
Rekonstruksi lelaki peringkat tunggal
dengan vaginektomi bagi genitalia
meragukan
Pembetulan transposisi penoskrotal
Pembetulan kordae tanpa hipospadias
(tiada keperluan bagi dretroplasti)
Pembaikan peringkat kedua hipospadias
Pembetulan kordae penis tanpa
hipospadias yang memerlukan
uretroplasti
Pembaikan hipospadias dengan graf
bebas pundi kencing atau mukosa mulut
Eksplorasi skrotum
Pemindahan mikrovaskular testis ke
skrotum
Laparoskopi dan orkidopeksi bagi testis
intraabdomen
Laparotomi dan pengikatan arteri
testikular
Pembahagian laparoskopik arteri
testikular
Pembelahan dorsal prepus
Reduksi klitoroplasti bagi hiperplasia
adrenal congenital
Reduksi klitoroplasti dengan vaginoplasti
bagi hiperplasia adrenal kongenital
Reduksi klitoroplasti, laparotomi dan
vaginoplasti-kolon sigmoid
Reduksi semula klitoroplasti dengan
vaginoplasti - semula dengan laporotomi
dan sigmoid
Eksisi sistik higroma servikal - kecil
Eksisi sistik higroma servikal - besar
Eksisi sistik higroma servikal menyeluruh/ekstensif
Pembetulan hidrosil - unilateral
Pembetulan hidrosil - dwisisi
Penutupan eksomfalos major/gastroskisis
- penutupan primer
38
1565
570
3600
2110
4750
2500
7030
3305
1890
1565
685
570
1565
2895
570
1815
4750
2500
1000
2705
405
1550
2145
820
865
355
1565
570
405
2705
265
1550
4750
2500
7030
3305
7030
3305
1160
2480
3600
435
1125
2110
1000
1760
3600
P.U. (A) 358
- penutupan silastik
- penutupan primer tertunda
2145
2570
(m) Pembedahan ortopedik pediatrik
Dislokasi kongenital pinggul (CDH)
Reduksi tertutup dengan/tanpa bius dan
spika pinggul
Reduksi tertutup dengan pemakaian alat
sokongan
Reduksi terbuka dengan dengan spika
pinggul
Reduksi terbuka dengan osteotomi pelvik
Reduksi terbuka dengan osteotomi
femoral
Reduksi terbuka dengan osteotomi pelvik
dan femoral
Lutut
Pembetulan kecacatan melalui penuangan
bersiri
Pembetulan kecacatan dengan pelepasan
tisu lembut
Pembetulan kecacatan melalui osteotomi
Penstabilan patela melalui penuangan
Pseudoartrodesis
Eksisi dan graf hidup
Eksisi dan pemindahan tulang
Pemanjangan tulang dan pembetulan
kecacatan
Menggunakan rangka bulat
Menggunakan rangka uniaksial
Menggunakan rangka bulat dan uniaksial
(digabungkan)
Kaki
Pembetulan kaki belantan melalui
penuangan
pemanjangan tendon Achilles
pelepasan tisu lembut sepenuhnya
Pembetulan kaki belantan melalui rangka
bulat
39
865
355
315
265
1890
685
2305
2305
940
940
2705
1550
315
265
1340
505
2305
1160
940
435
2895
2705
1815
1550
2705
2480
2705
1550
1125
1550
315
265
725
315
1760
625
1760
625
P.U. (A) 358
Pembetulan kecacatan melalui
pemindahan tendon dan pelepasan tisu
lembut
Pembetulan kecacatan melalui osteotomi
dan cantuman tulang
Artrodesis
Polio dan Palsi serebrum
Pelepasan tisu lembut dan neurektomi
pinggul - dwisisi
Pelepasan tisu lembut lutut - dwisisi
Pelepasan tisu lembut pergelangan kaki dwisisi
Pemindahan tendon
Atrodesis
Reseksi tumor dan penyelamatan anggota
Tumor tisu lembut - mudah
Tumor tisu lembut - kompleks termasuk
rekonstruksi neurovaskular
Tumor tulang dengan endoprostesis
2145
820
2145
820
2145
820
1340
505
1340
1340
505
505
1565
2145
570
820
2145
7030
820
3305
7030
3305
(n) Patologi (Patologi anatomi)
Eksisi spesimen tidak kompleks –
(cth: apendiks, tiub fallopian, vas, tonsil,
adenoid, sista sebaseus, polip hidung,
injap jantung)
Eksisi spesimen lebih kompleks
Biopli diagnostik (baji/tebuk/trucut)
(satu blok parafin)
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)
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
40
55 - 70
115 - 135
170 - 225
345 - 420
P.U. (A) 358
(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)
Histopatologi pengkhususan
Hepar bagi keadaan bukan neoplastik
termasuk pewarna khusus
Otot termasuk pewarna khusus
Biopsi buah pinggang termasuk pewarna
khusus dan imunofluoresen
Kecelaruan limfoproliferatif termasuk
imunohistofenotaiping limfoma
Seksyen beku (dengan seksyen laporan
paraffin susulan)
Autopsi
Lawatan ke tempat jenayah
Tatacara dan laporan
Sitopatologi
Laporan calitan ginekologi
Laporan calitan bukan ginekologi
Tatacara sedutan sitologi
Laporan sedutan sitologi
Hematologi dan transfusi
Laporan berdasarkan filem darah
Tatacara sedutan sum-sum tulang
Laporan sedutan sum-sum tulang
Tatacara trefin sum-sum tulang
Laporan trefin sum-sum tulang
Laporan ujian koagulasi
440 - 490
205 - 240
280 - 345
410 - 485
280 - 345
410 - 555
410 - 685
685 - 1375
45 - 50
85 - 95
315
165 - 205
45 - 70
480
135 - 275
580
135 - 275
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)
Laporan masalah transfusi
Feresis
45 - 70
41
135 - 275
1000
405
P.U. (A) 358
Tuaian sum-sum tulang
Graf sum-sum tulang
1340
1340
Genetik
Kajian kromosom imunofluoresen
Imunofenotaiping
Kandungan asid deoksiribonukleik
(DNA)(Ploidi)
Kajian penyusunan semula baka
Subset limfosit
Laporan kajian genetik molekular lain
Ujian paterniti
Penjenisan antigen leukosit manusia
(HLA)
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
Imunologi
Laporan penyelidikan imunologi umum
(cth: saringan penyakit autoimun,
saringan autoantibodi)
Laporan ujian imunologi khusus
(cth: elektroforesis protin serum,
elektroforesis cecair serebrospinal (CSF),
imunotaiping protin monoklonal,
imunofenotaiping kecelaruan imun, ujian
protinurit, kajian fungsi sel)
Mikrobiologi perubatan
Laporan kultur dan sensitiviti rutin
Laporan kultur khusus
Laporan pemeriksaan calitan terus
(gram/basili fast asid (AFB))
Laporan ujian serologi
Laporan ujian serologi khusus
Laporan bagi ujian kerentanan
antimikrobial (per ujian)
Perundingan atas perawatan pesakit
(siasatan dan terapi empirikal)
Pemeriksaan calitan kultur darah positif
dan laporan awal dengan perundingan
bagi perawatan pesakit
Perundingan kawalan jangkitan
Laporan penemuan antijen
(Imunofluoresen, Esei imunosoiben
dihubungkan enzim IgG (ELISA),
lateks/koaglutinasi)
42
40 - 70
70 - 275
15 - 20
70 - 135
45 - 55
45 - 55
70 - 135
105 - 205
105 - 135
135 - 205
135 - 205
70 - 105
P.U. (A) 358
Patologi kimia
Laporan profil kimia umum
(cth: hepar,tulang, jantung)
Laporan saringan kimia umum termasuk
saringan eksekutif
Laporan siasatan kimia khusus
(cth: kajian metabolik (lipid, tulang)
kecelaruan endokrin, kajian toksikologi,
pemantauan ubatan terapeutik penilaian
kesihatan ibu dan janin)
Laporan kajian dinamik
(cth: kajian fungsi (GIT, endokrin, renal))
Perundingan bagi Strategi siasatan
Variasi bukan analitikal
Gangguan ubatan
Korelasi di antara data klinikal dan
maklumat klinikal yang disediakan
45 - 70
70 - 205
70 - 410
115 - 410
105 - 135
105 - 135
105 - 135
105 - 135
Pelbagai
Mikroskopi elektron
Pandangan kedua Mentafsir data dan slaid sumsum tulang
Histopatologi dan sitopatologi
Penemuan autopsi
340 - 410
135 - 275
275 - 685
275 - 1375
(o) Psikiatrik-Psikoterapi
Psikoterapi perseorangan - tidak kurang
daripada 45 minit bagi setiap sesi
termasuk terapi tingkah laku dan
hipnoterapi
Psikoterapi berkumpulan bagi setiap
seorang - satu jam bagi setiap kumpulan
yang tidak kurang daripada tiga orang
pesakit dan tidak lebih daripada lapan
orang pesakit
Terapi perkahwinan bagi setiap pasangan
- tidak kurang daripada 45 minit bagi
setiap sesi bagi suatu pasangan serentak
Terapi keluarga bagi setiap keluarga
- tidak kurang daripada 45 minit bagi
setiap sesi dan tidak kurang daripada tiga
anggota
Psikoterapi kanak-kanak - tidak kurang
daripada 30 minit bagi setiap sesi
43
250
65
250
250
250
P.U. (A) 358
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)
Dada (dua pandangan)
Dada (tiga pandangan)
Dada (empat pandangan)
45
70
90
115
Abdomen
Abdomen (satu pandangan)
Abdomen (dua pandangan)
Abdomen (tiga pandangan)
Ginjal, ureter dan pundi kencing (KUB)
(satu pandangan)
Pelvimetri lateral
Pelvimetri antero-posterior (AP) dan
lateral
Spina
Spina servikal (satu pandangan)
Spina servikal (dua pandangan)
Spina servikal (tiga pandangan)
Spina servikal (empat pandangan)
Spina servikal (lima pandangan)
Spina torasik (satu pandangan)
Spina torasik (dua pandangan)
Spina torasik (tiga pandangan)
Spina lumbo-sakral (satu pandangan)
Spina lumbo-sakral (dua pandangan)
Spina lumbo-sakral (tiga pandangan)
Spina lumbo-sakral (empat pandangan)
Kaji selidik skeletal
Tengkorak
Tengkorak (satu pandangan)
Tengkorak (dua pandangan)
Tengkorak (tiga pandangan)
Tengkorak (empat pandangan)
Tulang muka
45
70
90
115
55
90
45
70
92
115
135
45
70
90
45
70
90
115
250
45
70
90
115
44
P.U. (A) 358
Tulang muka (satu pandangan)
Tulang muka (dua pandangan)
Tulang muka (tiga pandangan)
Tulang hidung (satu pandangan)
45
70
90
45
Mandibel
Mandibel (satu pandangan)
Mandibel (dua pandangan)
Mandibel (tiga pandangan)
45
70
90
Sendi temporo-mandibular
Sendi temporo-mandibular (satu
pandangan)
Sendi temporo-mandibular (dua
pandangan)
Sendi temporo-mandibular (tiga
pandangan)
Sendi temporo-mandibular (empat
pandangan)
45
70
90
115
Mastoid
Mastoid (satu pandangan)
Mastoid (dua pandangan)
Mastoid (tiga pandangan)
Mastoid (empat pandangan)
45
75
110
130
Sinus paranasal
Sinus paranasal (satu pandangan)
Sinus paranasal (dua pandangan)
Sinus paranasal (tiga pandangan)
45
70
90
Pandangan foramina optik
Sesisi
Dwisisi
70
105
Orbit
Orbit (dua pandangan)
Orbit (tiga pandangan)
Orbit (empat pandangan)
45
70
90
Kanal auditori internal
Kanal auditori internal (satu pandangan)
Kanal auditori internal (dua pandangan)
Kanal auditori internal (tiga pandangan)
45
70
90
Bahu
Bahu (satu pandangan)
45
45
P.U. (A) 358
Bahu (dua pandangan)
Bahu (tiga pandangan)
Bahu (empat pandangan)
Sendi akromioklavikular - kedua-dua
belah menanggung berat
70
90
115
55
Lengan atas (Humerus)
Lengan atas (satu pandangan)
Lengan atas (dua pandangan)
45
70
Sendi siku
Sendi siku (satu pandangan)
Sendi siku (dua pandangan)
Sendi siku (tiga pandangan)
Sendi siku (empat pandangan)
45
70
90
115
Lengan bawah (Radius/Ulna)
Lengan bawah (satu pandangan)
Lengan bawah (dua pandangan)
45
70
Sendi pergelangan tangan
Sendi pergelangan tangan (satu
pandangan)
Sendi pergelangan tangan (dua
pandangan)
Sendi pergelangan tangan (tiga
pandangan)
Sendi pergelangan tangan (empat
pandangan)
45
70
90
115
Tangan
Tangan (sebelah - satu pandangan)
Tangan (sebelah - dua pandangan)
Tangan (sebelah - tiga pandangan)
Tangan (kedua-dua belah - satu
pandangan)
Tangan (kedua-dua belah - dua
pandangan)
Tangan (kedua-dua belah - tiga
pandangan)
Tangan kiri bagi usia tulang
45
70
90
55
80
105
45
Ibu jari atau setiap jari lain
Ibu jari atau setiap jari lain (satu
pandangan)
Ibu jari atau setiap jari lain (dua
pandangan)
30
40
46
P.U. (A) 358
Klavikel
Klavikel (satu pandangan)
Klavikel (dua pandangan)
45
70
Sendi sterno-klavikel
Sendi sterno-klavikel (satu pandangan)
Sendi sterno-klavikel (dua pandangan)
Sendi sterno-klavikel (tiga pandangan)
Sternum (satu pandangan)
45
70
90
45
Skapula
Skapula (satu pandangan)
Skapula (dua pandangan)
45
70
Pandangan kanal karpal
Pandangan skafoid
70
90
Pelvis
Pelvis (satu pandangan)
Pelvis (dua pandangan)
Pelvis (tiga pandangan)
50
75
95
Sendi pinggul
Sendi pinggul (satu pandangan)
Sendi pinggul (dua pandangan)
Sendi pinggul (tiga pandangan)
Sendi pinggul (empat pandangan)
Sendi pinggul (lima pandangan)
50
75
95
120
145
Femur (paha)
Femur (satu pandangan)
Femur (dua pandangan)
50
70
Lutut
Lutut (satu pandangan)
Lutut (dua pandangan)
Lutut (tiga pandangan)
Lutut (empat pandangan)
Lutut (lima pandangan)
45
70
90
115
135
Tulang keting (Tibia/Fibula)
Tulang keting (satu pandangan)
Tulang keting (dua pandangan)
45
70
Pergelangan kaki
Pergelangan kaki (satu pandangan)
Pergelangan kaki (dua pandangan)
45
70
47
P.U. (A) 358
Pergelangan kaki (tiga pandangan)
Pergelangan kaki (empat pandangan)
Pergelangan kaki (lima pandangan)
90
115
135
Kaki
Kaki (satu pandangan)
Kaki (dua pandangan)
Kaki (tiga pandangan)
Kedua-dua belah kaki (dua pandangan)
Kedua-dua belah kaki (tiga pandangan)
45
70
90
80
105
Sendi subtalar
Sendi subtalar (satu pandangan)
Sendi subtalar (dua pandangan)
Sendi subtalar (tiga pandangan)
Sendi subtalar (empat pandangan)
45
70
90
115
Kalkaneum
Kalkaneum (satu pandangan)
Kalkaneum (dua pandangan)
45
70
Densitometri tulang
Dexa
Ultrasound
170
150
Pemeriksaan radiografik berkontras
(fi pakar radiologi dalam parentesis)
Barium telan (40%)
Barium makan (kontras berganda) (40%)
Barium makan dan ikut lalu (40%)
Enema usus kecil (40%)
Gastrografin atau kontras bukan berion
kajian gastrointestinal atas (40%)
Enema Barium (satu kontras atau
berganda dua) (40%)
Gastrografin atau enema kontras bukan
berion (40%)
Loopogram (40%)
Intubasi duodenum (40%)
Kolesistogram oral (Satu dos) (30%)
Kolesistograrn oral (dos berganda dua)
(30%)
Sistogram (30%)
Ureterogram menaik ((40%)
Sistouretgram kencing (40%)
Pailogram retrogred - sebelah (30%)
Pailogram retrogred - dua belah (30%)
48
115
170
205
205
205
205
205
205
230
135
170
205
230
285
135
205
P.U. (A) 358
Kajian konduit ilium (40%)
Pailogram nefrostomi - sebelah (30%)
Pailogram nefrostomi - dua belah (30%)
IVU dos kontras standard (30%)
IVU dos kontras standard dan tomogram
(30%)
IVU dos kontras berganda dua (30%)
IVU dos kontras berganda dua dan
tomogram (30%)
IVU dos standard dan radiograf tertunda
(30%)
radiograf tertunda (30%)
IVU dos standard dan tomogram dan
radiograf tertunda (30%)
tomogram dan radiograf tertunda (30%)
Kolangiogram tiub-T (30%)
Kolangiogram pembedahan (30%) laporan segera sahaja
Histerosalfingogram (kontras berion)
(30%) - saringan dan laporan sahaja
Histerosalfingogram (kontras bukan ion)
(30%) - saringan dan laporan sahaja
Histerosalfingogram serta kontras berion
(keseluruhan tatacara) (40%)
Histerosalfingogram serta kontras bukan
berion (keseluruhan latacara) (40%)
Sinogram (40%)
Sialogram kelenjar parotid - sebelah
(50%)
Sialogram kelenjar parotid - dua belah
(50%)
Sialogram kelenjar submandibular sebelah (50%)
Sialogram kelenjar submandibular - dua
belah (50%)
Artrogram - sebelah (50%)
Artrogram - dua belah (50%)
Mailogram lumbar (kontras bukan berion
larut air) (50%)
Mailogram servik/torasik (50%)
Bronkogram - sebelah (40%) saringan,
laporan serta radiograf sahaja
Bronkogram - kedua belah (40%)
saringan, laporan serta radiograf sahaja
49
205
170
235
230
265
310
345
285
365
320
400
135
285
135
135
205
230
170
230
460
230
460
230
400
515
605
230
345
P.U. (A) 358
Tomografi
Tomogram - satu satah (30%)
Tomogram - dua satah (30%)
Tomogram - fosa pituitari AP/Lateral
(30%)
195
250
195
Mamogram
Mamografi sehingga empat pandangan
(35%)
Mamografi dan satu pandangan tambahan
(35%)
Mamografi dan dua pandangan tambahan
(35%)
Mamografi dan tambahan ultrasound
terhad (35%)
230
265
295
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%)
Otak (dengan kontras bukan ionik) (35%)
CT otak kompleks (50%)
Abdomen (tanpa kontras) (30%)
Abdomen (dengan kontras bukan ionik)
(35%)
Abdomen dua fasa (40%)
Abdomen tiga fasa (40%)
Abdomen empat fasa (40%)
Abdomen kompleks (40%)
Pelvis (tanpa kontras) (30%)
Pelvis (dengan kontras bukan ionik)
(35%)
Pelvis kompleks (50%)
Spina - servikal atau lumbar (tanpa
kontras) (30%)
Spina - servikal atau lumbar (dengan
kontras bukan ionik intraspinal (50%))
Spina kompleks (50%)
Spina - torasik (tanpa kontras) 30%
Spina - torasik (dengan kontras bukan
ionik intraspinal ) 50%
Spina kompleks (50%)
Dada (tanpa kontras) (30%)
Dada (dengan kontras bukan ionik)
(35%)
50
400
490
630
400
515
630
745
915
860
345
460
570
400
745
860
460
745
860
345
460
P.U. (A) 358
Dada kompleks (50%)
Saringan CT dos rendah ke atas dada
(30%)
Resolusi tinggi tomografi berkomputer
(HRCT) - inspiratori atau ekspiratori
(30%)
HRCT - inspiratori serta ekspiratori
(40%)
Leher/Tiroid (tanpa kontras) (30%)
Leher/Tiroid (dengan kontras bukan
berion) (30%)
Ruang posnasal dan leher (tanpa kontras)
(30%)
Ruang posnasal dan leher (dengan
kontras bukan ionik) (30%)
Ruang posnasal kompleks (50%)
Orbit (tanpa kontras) (20%)
Orbit (dengan kontras bukan ionik)
(25%)
Orbit kompleks (50%)
Fosa Pituitari (tanpa kontras) (20%)
Fosa Pituitari (dengan kontras bukan
ionik) (25%)
I.A.M. (tanpa kontras) (20%)
I.A.M. (dengan kontras bukan berion)
(25%)
Imbasan badan total (otak, leher, dada,
abdomen dan pelvis) (tanpa kontras)
(20%)
Imbasan badan total (dengan kontras
bukan berion) (25%)
Imbasan badan total yang kompleks
(50%)
Dada, abdomen dan pelvis (tanpa
kontras) (20%)
Dada, abdomen dan pelvis (dengan
kontras bukan berion) (25%)
Dada, abdomen dan pelvis kompleks
(50%)
Spiral CT abdomen dan pelvis bagi batu
karang (tanpa kontras intravena (IV))
(30%)
CT sinus paranasal bersatah tunggal
beresolusi tinggi bagi sinusitis (tanpa
kontras) (20%)
(tanpa kontras) (20%)
51
570
285
345
515
345
460
515
630
745
345
460
345
460
345
460
1030
1145
1260
915
1030
1145
345
230
345
P.U. (A) 358
(dengan kontras bukan berion) (25%)
Abdomen dan pelvis (tanpa kontras)
(30%)
Abdomen dan pelvis (dengan kontras)
(35%)
Abdomen dan pelvis kompleks(50%)
Dada dan abdomen atas (tanpa kontras)
(30%)
Dada dan abdomen atas (dengan kontras)
(35%)
Dada dan abdomen atas kompleks (50%)
CT dua sistem (tidak tersenarai di atas) (tanpa kontras) (30%)
CT dua sistem (tidak tersenarai di atas) (tanpa kontras) (35%)
CT dua sistem (tidak tersenarai di atas)
(kompleks) (50%)
CT ekstremiti (tanpa kontras) (satu
kawasan) (30%)
CT ekstremiti (dengan kontras satu
kawasan) (35%)
CT ekstremiti kompleks (50%)
Ultrasound
Abdomen atas (40%)
Pelvis (40%)
Abdomen dan pelvis (50%)
Ginjal dan pundi kencing (40%)
Ginjal dan pundi kencing serta anggaran
isi padu urin baki (50%)
Otak (neonatal) (40%)
Ultrasound terperinci imbasan janin
Tiroid (40%)
Payudara (40%)
Ultrasound Doppler karotid
ekstrakranium (50%) Ultrasound Doppler arteri bagi satu
kawasan (50%)
Ultrasound Doppler vena bagi satu
anggota (50%)
Ultrasound Doppler vena bagi dua
anggota (50%) Ultrasound Doppler arteri bagi satu
anggota (50%)
Ultrasound Doppler arteri bagi dua
anggota (50%)
52
460
685
800
915
685
800
915
685
800
915
400
515
630
170
135
230
115
135
135
285
115
160
400
285
285
460
345
515
P.U. (A) 358
Ultrasound otot skeletal bagi setiap
kawasan (40%)
Ultrasound skrotum (40%)
Ultrasound Doppler bagi skrotum (50%)
Ultrasound Doppler bagi organ lain
(setiap organ) yang tidak tersenarai di
atas (50%)
Ultrasound endokavitari (50%)
Ultrasound jantung bagi penyakit
perikardial
Caj tambahan bagi setiap pemeriksaan
ultrasound bergerak (boleh dibayar
kepada pakar radiologi semasa waktu
bekerja biasa)
Caj tambahan bagi setiap pemeriksaan
ultrasound bergerak (boleh dibayar
kepada pakar radiologi selepas waktu
bekerja biasa)
Saringan
Pankreatografi kolangio endoskopik
retrogred (ERCP) (30%) (saringan dan
laporan sahaja) -biasa
ERCP biasa (30%) (saringan dan laporan
sahaja -kompleks
170
115
230
345
170
90
55
170
230
345
Pengimejan Resonan Magnetik (MRI)
Otak
Otak (tanpa kontras)
Otak (dengan kontras)
Otak dengan angiografi resonans
magnetik (MRA) (inkranium)
Otak dengan MRA serta kontras
Otak dengan MRA serta karotid dwisisi
serta kontras
MRA karotid intrakranium atau
ekstrakranium
MRV otak - biasa
MRV otak - kompleks
Pituitari (tanpa kontras)
Pituitari (dengan kontras)
Pituitari (dengan kontras dinamik)
I.A.M (tanpa kontras)
I.A.M (dengan kontras)
I.A.M serta otak (tanpa kontras)
I.A.M serta otak (dengan kontras)
53
800
1030
1375
1600
2060
800
800
1030
800
1030
1375
800
1030
1375
1600
P.U. (A) 358
Orbit
Orbit (tanpa kontras)
Orbit (dengan kontras)
Orbit dan otak (tanpa kontras)
Orbit dan otak (dengan kontras)
800
1030
1375
1600
Leher
Leher (tanpa kontras)
Leher (dengan kontras)
Leher dan otak (tanpa kontras)
Leher dan otak (dengan kontras)
Pleksus Brakial (tanpa kontras)
Pleksus Brakial (dengan kontras)
800
1030
1485
1715
915
1145
Toraks
Mediastinum (tanpa kontras)
Mediastinum (dengan kontras)
800
1030
Kardiak
MRI Kardiak - biasa
MRI Kardiak - pertengahan
MRI Kardiak - kompleks
MRA Torasik - biasa
MRA Torasik - pertengahan
MRA Torasik - kompleks
MRA Pulmonari - biasa
MRA Pulmonari - pertengahan
MRA Pulmonari - kompleks
(Surcaj bagi setiap l0ml agen kontras MRI
intravena (IV))
Abdomen atas
Abdomen atas - biasa
Abdomen atas - pertengahan
Abdomen atas - kompleks
Magnetik resonans
kolangiopankreatikografi (MRCP)
Magnetik resonans urografi
MRA abdomen atas - biasa
MRA abdomen atas - pertengahan
MRA abdomen atas - kompleks/rumit
(Caj tambahan bagi setiap 10ml agen
kontras MRI intravena (IV))
1145
1715
2290
1030
1260
1485
1030
1260
1485
285
1030
1260
1485
800
800
1030
1260
1485
285
Pelvis
Pelvis - biasa
Pelvis - pertengahan
1030
1260
54
P.U. (A) 358
Pelvis - kompleks
MRI Pelvimetri
(caj tambahan bagi setiap 10ml agen
kontras MRI intravena (IV))
1485
570
285
Spina
MRI kesemua spina (tanpa kontras)
(bagi tekanan korda)
MRI kesemua spina (dengan kontras)
(bagi tekanan korda)
MRI spina servikal (tanpa kontras)
MRI spina servikal (dengan kontras)
MRI spina torasik (tanpa kontras)
MRI torasik spina (dengan kontras)
MRI spina lumbar (tanpa kontras)
MRI spina lumbar (dengan kontras)
1600
1830
1030
1375
1030
1375
1030
1375
Sendi (bahu, sternoklavikular,
siku,pergelangan tangan, pinggul, sacro-iliac,
lutut,pergelangan kaki, sub-tarsal)
MRI satu sendi (tanpa kontras)
MRI satu sendi (dengan kontras)
1030
1375
Kawasan (lengan atas, lengan bawah,
tangan,peha, kaki bawah-betis, kaki)
MRI satu kawasan (tanpa kontras)
MRI satu kawasan (dengan kontras)
MRI Artrografi (fi pakar radiologi)
1145
1490
345
(q) Radioterapi dan onkologi
Rawatan iradiasi luaran (akselerator
linear)- Lazimnya termasuk rawatan
5 kali seminggu pada dos 200cGy setiap
rawatan
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
Fi rawatan termasuk fi kepakaran
Rawatan intrakavitari pada kadar dos
rendah setiap sesi termasuk sumber
radioaktif, aplikator
170
115 - 345
2860 - 5720
55
P.U. (A) 358
(tidak termasuk fi bagi wad, dewan bedah
dan anestatik)
Rawatan ruang-antara (cth: implan
termasuk sumber dan aplikator lain)
Radioterapi intrakaviti/intraluminal
kadar dos tinggi bagi rawatan lengkap
(tidak termasuk aplikator)
Terapi sitotoksik (tidak termasuk
perundingan)
Infusi
Infusi berpanjangan
Kemoterapi progresif sehari (berbilang
hari)
3430 - 5720
2290 - 5720
570 - 860
685 - 1030
170 - 285
(r) Kulit dan tisu subkutaneus
Lesi kulit
Eksisi ulser tekanan koksik
Eksisi terkawal mikroskopikal lesi kulit
atau tisu subkutaneus (kemosurgeri Moh)
Eksisi melanoma malignan termasuk graf
Eksisi lesi kulit atau tisu subkutaneus sehingga tiga
Eksisi lesi kulit atau tisu subkutaneus empat atau lebih
Lesi yang memerlukan eksisi lebar
termasuk eksisi ulser roden
Pengkuretan/krioterapi lesi kulit
termasuk pengkauteran - empat atau
lebih
Pemusnahan laser lesi kulit
Biopsi cukur lesi kulit
Pengeluaran benda asing tisu dalam
Penyaliran lesi kulit termasuk abses
Penyaliran abses subkutaneus
besar/hematoma
Dermabrasi kawasan terhad kulit
Dermabrasi meluas kulit
Eksisi dasar kuku (Zadeks)
Pembaikan
Sutur primer luka yang melibatkan tisu
dalam
Sutur sekunder kulit
Penyelitan/pengeluaran pengembang
kulit ke dalam tisu
56
865
2480
685
820
2145
405
685
405
1000
505
1000
405
1000
315
580
315
725
370
580
265
265
355
265
405
580
1000
725
315
435
435
1340
625
370
1340
315
505
P.U. (A) 358
Pembersihan luka (dan pembersihan
pembedahan)
Luka terbakar
Eskaiektomi kulit luka terbakar atau tisu
subkuraneus (tidak lebih daripada l0%)
Eskarektomi kulit luka terbakar atau tisu
subkutaneus (lebih daripada 10%)
Balutan menyeluruh kulit luka terbakar
atau tisu subkutaneus
Transplan
Flap jauh kulit dan otot
Flap pulau neurovaskular
Flap setempat besar termasuk
miokutaneus dan fasia
Flap setempat kecil
Graf
Autograf belah kulit - tapak kecil
Autograf belah kulit - tapak besar
Graf ketebalan penuh
Pemindahan tisu bebas mikrovaskular
480
315
1340
435
1760
760
480
625
1890
2390
1760
940
940
505
1760
505
1000
2040
1160
3600
505
685
685
1550
3600
1320
3600
1320
3600
1320
4750
1320
4750
1320
4750
1320
4750
1320
5970
1815
5970
1550
(s) Spina, spina korda dan saraf periferi
Kawasan servikal
Dekompresi posterior primer termasuk
cantuman
Dekompresi posterior primer dengan
cantuman dan pengalatan
Laminoplasti pintu terbuka bagi kawasan
servikal (Hirobiashi)
Dekompresi posterior tinjauan semula
termasuk cantuman
dengan cantuman dan pengalatan
Dekompresi anterior tinjauan semula
termasuk cantuman
Gabungan cantuman anterior dan
posterior spina servikal termasuk
pengalatan
Pembedahan trans oral termasuk fiksasi
posterior
Disektomi endoskopik
57
7030
P.U. (A) 358
Laminektomi servikal
Dekompresi dan cantuman pertemuan
kranio servikal
Eksisi posterior primer cakera servikal
Eksisi posterior tinjauan semula cakera
intervertebra termasuk cantuman
intervertebra dengan cantuman dan
pengalatan
Ekrisi anterior primer cakera termasuk
cantuman
Eksisi anterior primer cakera dengan
Eksisi anterior tinjauan semula cakera
termasuk cantuman
Eksisi anferior tinjauan semula cakera
Kawasan torasik
Eksisi transtorasik
primer/posterior/anterolateral cakera
Eksisi transtorasik
primer/posterior/anterolateral cakera
pengalatan
Dekompresi posterior primer termasuk
cantuman
termasuk cantuman
Dekompresi anterior primer/transtorasik
termasuk cantuman
Dekompresi anterior primer/transtorasik
Dekompresi anterior/transtorasik
tinjauan semula termasuk cantuman
Kawasan lumbar
Eksisi posterior primer cakera
Eksisi posterior primer cakera
pengalatan termasuk kestabilan graf
58
3600
7030
2895
4750
1320
1320
4750
1320
3600
1320
3600
1320
4750
1550
4750
1550
2895
1320
2705
1320
3600
1320
3600
1320
4750
1320
4750
1320
4750
1320
4750
1320
4750
1320
2390
940
3600
1550
P.U. (A) 358
pengalatan
Eksisi transabdominal/retroperitoneum
primer cakera intervertebra termasuk
pengalatan
Dekompresi posterior primer spina,
termasuk cantuman
Dekompresi anterior primer termasuk
cantuman
Dekompresi anterior primer dengan
Dekompresi gabungan anterior dan
posterior termasuk cantuman dan
pengalatan
Cantuman spina posterior dengan
pengalatan bagi scoliosis, kifosis, fraktur,
tumor atau jangkitan
Cantuman spina anterior dengan
pengalatan bagi scoliosis, kifosis, fraktur,
tumor atau jangkitan
Disektomi perkutaneus (atau laser)
Mikrodisektomi
Mikrodisektomi ulangan semula
Pengeluaran pembetulan pengalatan
daripada spina
Peninjau periksaan spina termasuk biopsi
Manipulasi spina
Kemonukleolisis
Korda spina
Eksisi separa korda spina
Pembedahan terbuka korda spina
Pembaikan mielomeningosele spina
59
2895
1125
4750
1550
3600
1320
4750
1550
4750
1550
2895
985
2895
985
2895
1125
3600
1550
3600
1550
4750
1815
5970
1815
5970
2110
7030
2500
2145
2390
2895
1565
940
940
1125
625
1890
580
1160
685
405
435
4750
4750
3600
1550
1550
1320
P.U. (A) 358
Eksisi lesi intradural
Penyaliran kanal spina termasuk
penyelitan pintasan
Punktur lumbar termasuk manometri
spina
Eksisi tumor intramedula
4750
2705
1550
820
370
265
4750
1550
Akar saraf
Rizolisis (terbuka)
Simpatektomi terbuka
Simpatektomi endoskopik
2705
7030
7030
820
Saraf simpatetik
Simpatektomi servikal toraskopik
Simpatektomi lumbar laparoskopik
Simpatektomi prasakral
Rizotomi posterior selektif
2705
1890
1565
7030
820
760
685
865
865
1340
1000
1340
2040
435
435
505
435
505
820
2145
760
2390
2390
865
1160
1000
1565
865
760
685
505
435
505
505
435
1565
760
865
435
865
1000
1565
2040
435
505
505
315
865
355
Saraf periferal
Eksisi saraf periferal
Transeksi saraf periferal
Neurektomi (saraf major)
Eksisi lesi saraf periferal
Eksisi lesi (saraf major)
Pembaikan primer saraf periferal
termasuk mikrosurgeri
Pembaikan sekunder saraf periferal
termasuk mikrosurgeri
Graf primer saraf periferal
Graf sekunder saraf periferal
Pembaikan primer saraf periferal
Pembaikan sekunder saraf periferal
Pembaikan primer trunkus saraf
Pembaikan sekunder trunkus saraf
Pelepasan karpal atau terowong kubital
termasuk endoskopik
Pelepasan karpal atau terowong kubital
termisuk endoskopik - dwisisi
Pelepasan saraf periferal terjerat jauh ke
dalam
Pelepasan saraf periferal terjerat
Neuiolisis dan transposisi saraf periferal
Pelepasan saraf periferal tinjauan semula
Penanaman neurostimulator ke dalam
saraf periferal
Biopsi saraf periferal
60
P.U. (A) 358
Peninjauperiksaan dan graf pleksus
brakial
1000
Kelegaan kesakitan
Blok paravertebra sehingga dua aras
(di bawah kawalan sinar-X)
Blok akar sakral (di bawah kawalan
sinar-X)
Blok simpatetik kawasan intravena
(blok guanethadine) - satu suntikan
Blok simpatetik kawasan intravena
(blok guanethadine) - tiga sesi
Blok ganglion stelat (anestetik setempat
(LA))
Blok ganglion stelat (neurolitik)
Blok pleksus seliak (LA atau neurolitik)
Blok saraf splanknik - dwisisi (Anestetik
setempat atau neurolitik)
Blok ganglion akar dorsal (LA atau
neurolitik)
Blok ganglion akar dorsal (frekuensi
setempat)
Neurolisis intratekal
Suntikan ganglion trigeminal (LA di
bawah kawalan sinar-X)
Lesi frekuensi radio ganglion trigeminal
(di bawah kawalan sinar-X)
Kordotomi perkutaneus korda spina
Suntikan epidural (servikal)
Suntikan epidural (lumbar)
Suntikan epidural(torasik)
Suntikan bahan terapeutik ke dalam CSF
Termokoagulasi frekuensi radio (RF)
permukaan
atau
sendi
sakroiliak
termasuk rizolisis (di bawah kawalan
sinar-X dengan sedatif/(GA) - 3 sendi
Termokoagulasi frekuensi radio (RF)
permukaan
atau
sendi
sakroiliak
termasuk rizolisis (di bawah kawalan
sinar-X dengan sedatif/GA) - 6 sendi
Suntikan sendi permukaan (di bawah
kawalan sinar-X dengan sedatif/GA)
- 2 sendi
- 4 sendi
61
570
580
580
480
1000
480
580
1160
1160
1000
1565
315
1160
1160
2145
2705
725
580
725
370
1160
940
265
265
265
820
405
2040
685
725
265
865
315
1000
355
P.U. (A) 358
- 6 sendi
Penanaman neurostimulator ke dalam
saraf periferal
Lesi saraf periferal
(frekuensi radio, krioprob atau fenol)
Sekatan LA trunkus saraf major
Simpatektomi lumbar - diagnosis
(LA di bawah kawalan sinar-X)
Simpatektomi torasik - diagnosis
(LA di bawah kawalan sinar-X)
Simpatetik lumbar - terapeutik (neurolitik
di bawah kawalan sinar-X)
Simpatektomi torasik - terapeutik
(neurolitik di bawah kawalan sinar-X)
Krioterapi pada kelenjar pituitari
Suntikan ke dalam sendi besar di bawah
kawalan sinar-X
Tatacara neurofisiologikal
Terapi elektro-konvulsif (ECT)
Elektroeksefalografi (EEG)
Perekodan dan pelaporan ke atas kajian
berpotensi rangsangan
Perekodan dan pelaporan ke atas
elektromiografi (EMG) dan kajian
konduksi saraf
Elektrokokleografi trans timpanik
(t) Torak dan organ intra-torasik
Esofagus
Mobilisasi esofageal torakoskopik melalui
mediastinum
Esofagogastrektomi
Esofagektomi menyeluruh dan interposisi
usus
Eksisi terbuka lesi esofagus
Pintasan esofagus
Anastomosis esofageal tinjauan semula
Penutupan pintasan esofagus
Pembaikan tratrstorasik esofagus
Pembaikan toraskopik esofagus
Esofagokardiomiotomi (pembedahan
Heller)
Miotomi esofagogastrik toraskopik
Suntikan skleroterapi bagi varisis
esofageal
62
2040
315
725
370
1000
1000
1340
405
1565
435
2570
480
940
315
315
580
265
580
725
4750
1815
5970
7030
2500
3305
1890
2480
2705
2145
3600
2895
2040
1125
1550
1320
1125
1320
1320
985
2145
1000
985
685
P.U. (A) 358
Pembaikan transtorasik hernia hiatus
Pembaikan transtorasik hernia
diafragmatik
Pembaikan transabdominal hemia hiatus
Pembaikan transabdominal hernia
diafragmatik
Pembaikaan laparoskopik hernia hiatus
Pembedahan anti-refluks transabdominal
Pembedahan anti-refluks tinjauan semula
Dinding dada
Torakoplasti
Eksisi tumor dinding dada
Pembetulan kecacatan pektus dinding
dada
Fiksasi fraktur berbilang
Eksploratori sternotomi median
Eksploratori torakotomi
Reseksi tulang rusuk dan penyaliran
terbuka kaviti pleural
Pembaikan pecahan pada diafragma
Plikasi diafragma yang lumpuh
Pembaikan hernia diafragma kongenital
Trakea
Eksisi separa trakea termasuk
rekonstruksi
Trakeoplasti
Penempatan terbuka prostesis dalam
trakea
Trakeostomi
Penyelitan mini-trakeostomi
Torakotomi, ligasi bagi Tetralogi Fallot
(TOF) anastomosis esofageal
Torakotomi, ligasi bagi TOF servikal
esofagostomi
Servikal esofagostomi dan gastrektomi
Tatacara endoskopik fiberoptik di bawah
anestesia setempat
Pemeriksaan fiberoptik trakea dan
bronkus termasuk biopsi/pengeluaran
bahan asing
Lavaj bronkus (diagnostik atau
terapeutik)
Pendilatan striktur trakea termasuk
penyelitan sten
63
2305
2305
940
940
2145
2895
760
820
2145
2895
3600
760
820
1320
2705
2390
2895
985
940
940
2305
1160
1565
1565
940
760
760
760
2895
2390
2705
1125
985
1550
3600
2110
1760
1760
625
505
1000
580
4750
570
405
4750
2305
725
865
865
505
P.U. (A) 358
Pendilatan striktur bronkus melalui
bronkoskop fiberoptik
Biopsi transbronkial
1000
1000
Bronkus, paru-paru dan pleura
Pemeriksaan diagnostik bronkus
menggunakan bronkoskop keras
termasuk biopsi/pengeluaran bahan
asing/pendilatan striktur
Pneumonektomi total
Lobektomi terbuka paru-paru termasuk
eksisi segmen
Reseksi paru-paru dengan reseksi dinding
dada
Reseksi paru-paru toraskopik termasuk
bantuan video
Eksisi terbuka lesi paru-paru
Biopsi jarum paru-paru
Pendekorteksan pleura atau paru-paru
Pleurektomi bagi pneumotoraks
Eksisi terbuka/biopsi lesi pleura
Eksisi endoskopik lesi paru-paru/pleura
Torakoskopi (serta/tanpa biopsi)
pleura/paru-paru
Penyaliran kaviti pleura
Penyelitan saliran tiub ke dalam kaviti
pleura
Pemasukan bahan ke dalam kaviti pleura
dengan saliran dada
Biopsi pleura
Transplan paru-paru
Pembedahan pengurangan isi padu paruparu
Mediastinum
Timektomi
Eksplorasi mediastinum
Eksisi endoskopik lesi mediastinum
Pemeriksaan endoskopik diagnosis
mediastinum
Pembedahan kardium jantung
Pembetulan Tetralogi Fallot (TOF)
Songsangan atrium bagi transposisi
pembuluh besar
Pembetulan lain transposisi pembuluh
besar
64
1000
505
3600
3600
1550
1550
5970
1815
1890
685
2895
480
2895
2480
2705
1000
580
1320
315
1125
985
940
505
505
580
580
315
315
315
265
580
7030
4750
315
3305
2500
2145
1160
1340
1340
1550
760
505
505
7030
7030
3305
3305
7030
3305
P.U. (A) 358
Pembetulan sambungan vena pulmonari
anomalus total
Penutupan kecacatan septum
atrioventrikel menggunakan tampalan
prostetik dual
Penutupan kecacatan septum interatrium
Penutupan kecacatan septum
interventrikel
Pembedahan terapeutik transluminal ke
atas septum jantung
Pembentukan konduit injap kardium
Eksisi tumor kardium
Penggantian injap mitral termasuk
valvuloplasti
Pembaikan plastik injap mitral
Penggantian injap aorta termasuk
valvuloplasti
Penggantian injap trikuspid
Penggantian injap pulmonari termasuk
valvuloplasti/valvotomi
Penggantian injap jantung tidak khusus
Valvotomi terbuka
Valvotomi tertutup (mitral/pulmonari)
Pembedahan terapeutik transluminal ke
atas injap jantung
Pengeluaran penyumbatan daripada
struktur bersebelahan injap jantung
Pintasan autograf bagi arteri koronari
termasuk pengeluaran graf dan
endarterektomi
Pembuatan semula pintasan arteri
koronari termasuk pembuangan graf
Pembetulan arteri koronari anomali
Pembedahan terbuka ke atas sistem
konduksi jantung
Pembaikan aneurisme ventrikel
Eksisi perikardium
Dekompresi tamponad kardium
Insisi perikardium
Graf pintasan arteri koronari midcab
tanpa pam pintasan cardio-pulmonari
Pembedahan jantung terbuka dengan
penerokaan minima dengan pam pintasan
kardio-pulmonari
Alat bantuan ventrikular
Transplan jantung
65
7030
3305
7030
3305
7030
7030
2930
2930
2895
2500
7030
7030
7030
3305
3305
2930
7030
7030
2930
2930
7030
7030
2930
2930
7030
7030
4750
2705
2930
2930
2500
2110
7030
2930
7030
2930
7030
3305
7030
7030
3305
2930
5970
3600
2305
1340
7030
2930
1125
985
985
3305
7030
3305
7030
7030
3305
3305
P.U. (A) 358
Kardiologi jantung
Angioplasti transluminal perkutaneus
arteri koronari termasuk laser
dengan penyelitan sten
Pembedahan berpandukan peta bagi
aritmia ventrikel termasuk pemetaan
Ablasi transluminal perkutaneus nodus
ventrikel
Ablasi transluminal perkutaneus laluan
aksesori termasuk pemetaan
Pemetaan sistem konduksi (dalam
pengasingan)
Sistem perentak kardium dimasukkan
melalui vena (bilik tunggal)
Sistem perentak kardium dimasukkan
melalui vena (dua bilik)
Peletakan semula sistem perentak
kardium intravena
Penggantian penjana bagi sistem
perentak kardium intravena
Pengeluaran sistem perentak dengan
pintasan
Pengeluaran sistem perentak tanpa
pintasan
Penanaman kardiokonverter/detibrilator
automatik
Pengkateteran kardium dewasa termasuk
arteriografi koronari/pengkateteran
bahagian kanan/kiri jantung/radiologi
kontras
Pengkateteran kardium pediatrik
Perikardiosentesis
Angioplasti periferal transluminal
perkutaneus (femoral, iliak, renal,
popliteal, subklavian dan pembuluh distal
lain)
Angioplasti periferal transluminal
perkutaneus dengan peletakan sten
Angioplasti karotid transluminal
perkutaneus dengan peletakan sten
Ablasi transluminal perkutaneus
takikardia ventrikel
Pengubahsuaian transluminal
perkutaneus nodus atrioventrikel
Oklusi transluminal perkutaneus fistula
koronari/malformasi arteriovenus (AV)
66
2895
1550
3600
1550
2705
3305
2390
985
4750
1550
1565
820
1565
820
2145
820
1340
685
1760
760
4750
2500
580
940
3600
940
1340
760
1565
1340
2705
820
685
1550
2895
1550
4750
1550
3600
1550
2480
985
3600
1550
P.U. (A) 358
Pembuluh besar
Pembetulan trunkus arteriosus
Ligasi tertutup duktus arteriosus paten
Oklusi prostesis transluminal
perkutaneus duktus arteriosus paten
Penciptaan pintas ke arteri pulmonari
daripada aorta menggunakan prostesis
tiub
Sambungan ke arteri pulmonari daripada
aorta
Penciptaan pintas ke arteri pulmonari
daripada arteri subklavian menggunakan
tiub prostesis antara kedudukan
Sambungan ke arteri pulmonari daripada
arteri subklavian
Pembaikan arteri pulmonari
Pembedahan terbuka arteri pulmonari
Embolektomi pulmonari
Pembedahan transluminal ke atas arteri
pulmonari
Penggantian kecemasan segmen
aneurismal pada aorta menaik
aneurismal pada aorta arkus
aneurismal pada aorta torasik
Penggantian terancang segmen
aneurismal pada aorta menaik
aneurismal pada aorta arkus
aneurismal aorta torasik
Penggantian aneurisme torakoabdominal
Prostesis aorta abdominal tinjauan
semula
Eksisi graf aorta terinfeksi dengan
pintasan
Pembaikan plastik aorta
Pembedahan belon transluminal
perkutaneus pada aorta
Lain-lain
Vagotomi gaster proksimal
Vagotomi pilihan tinggi
Vagotomi dengan piloroplasti
Kardioversi eksternal
Ekokardiografi transoesofageal
67
4750
3600
2895
3305
2110
1125
5970
2110
5970
2110
4750
2110
5970
2110
7030
3600
5970
2705
2110
2110
3305
1550
7030
3305
7030
3305
7030
3305
4750
2930
7030
3305
7030
3305
7030
4750
3305
2110
7030
3305
4750
1760
1815
625
2040
2040
2145
315
1000
685
685
820
315
435
P.U. (A) 358
Pasukan tunggu sedia angioplasti
koronari
315
355
4750
2390
2500
1125
2390
2040
2040
2040
2145
2040
2305
2390
1760
1760
1890
1760
1890
3600
820
760
820
820
820
685
760
685
760
760
685
685
685
985
2040
685
480
1340
865
355
405
1160
505
1565
625
2040
3600
760
(u) Sistem urinari dan organ reproduktif lelaki
Ginjal/pelvik renal
Pemindahan ginjal
Nefrektomi dan eksisi tisu sekeliling
ginjal
Nefro-ureterektomi
Eksisi ginjal dipindah tertolak
Nefrektomi (dan dwisisi)
Nefrektomi laparoskopik
Eksisi separa ginjal
Pieloplasti terbuka
Pembaikan luka ginjal
Pembuangan terbuka kalkulus dari ginjal
Penyaliran ginjal
Penyaliran pionefrosis
Pembedahan terbuka lain ginjal
Penyaliran abses perinefrik
Fragmentasi endoskopik kalkulus ginjal
Nefrolitotomi perkutaneus termasuk
sistoskopi dan pengkateteran retrograd
Pemeriksaan endoskopik diagnostik ginjal
termasuk biopsi dan tatacara terapeutik
lain
Biopsi jarum halus perkutaneus lesi ginjal
Insersi perkutaneus tiub nefrostomi
Biopsi jarum tru-kut perkutaneus lesi
ginjal
Fragmentasi ekstrakorporeaum kalkulus
ginjal (Litotripsi) - satu rawatan
Fragmentasi ekstrakorporeum kalkulus
ginjal tiada batu/satu kitaran rawatan
Pengeluaran laparoskopi sista renal
Pembedahan batu terbuka bagi ginjal
ladam
Piloplasti bagi ginjal ladam
Ureter
Eksisi segmen ureter
Pembentukan konduit ilium termasuk
penanaman ureterik
Penanaman semula dwisisi ureter ke
dalam usus
68
3600
1760
2390
625
985
2705
940
P.U. (A) 358
Penanaman semula satu sisi ureter ke
dalam usus
Penanaman semula dwisisi ureter ke
dalam pundi kencing
Penanaman semula satu sisi ureter ke
dalam pundi kencing
Penyambung lain bagi ureter
Penggantian ilium atau kolonic bagi
ureter
Ureterostomi - penutupan
Pembetulan terbuka refluks
vesiko-ureterik - unilateral
Pembetulan terbuka refluks
vesiko-ureterik - dwisisi
Ureterolitotomi terbuka
Uretorolisis - unilateral
Uretorolisig - dwisisi
Pembedahan nefroskopik terapeutik ke
atas ureter
Pengekstrakan ureterskopik kalkulus
ureter
Insersi endoskopik prostesis ke dalam
ureter
Pengeluaran prostesis dari ureter
Meatotomi ureterik
Pemeriksaan endoskopik ureter
Pielografi retrogred endoskopik
Gelombang kejutan ekstrakorporeum
litotripsi kalkulus ureter
Pembedahan pada orifis ureterik
Meatotomi endoskopik orifis ureterik
Biopsi ureterskop lesi
Peralihan kontinen urinari
Penggantian sistoskopi
Transureteroureterostomi
Insersi endoskopik prostesis tetap ke
dalam ureter
Pundi kencing
Tatacara anti - refluks endoskopik (dan
dwisisi)
Sistektomi menyeluruh (dengan
pembinaan konduit usus atau pundi
kencing)
Sistektomi separa
Divertikulektomi pundi kencing
Pembesaran pundi kencing
69
2145
820
2480
940
1890
820
2145
2895
820
940
2145
2145
685
685
3600
985
1890
2145
2570
1760
685
685
1320
820
1340
435
1000
435
480
480
865
865
1160
435
265
435
435
685
725
725
1565
4750
4750
2705
2145
505
505
570
1340
505
4750
1550
2040
1760
2895
685
685
820
P.U. (A) 358
Pembaikan pundi kencing
Pembaikan fistula vesikokolik
Pembaikan fistula vesikal kutaneus
Sistostomi dan insersi tiub suprapubik ke
dalam pundi kencing
Sistotomi tikaman
Pengeluaran terbuka kalkulus dari pundi
kencing
Eksisi terbuka lesi dari pundi kencing
Reseksi endoskopik lesi pundi kencing
Penghancuran endoskopik lesi pundi
kencing
Transaksi endoskopik pundi kencing
Pengembungan hidrostatik endoskopik
pundi kencing
Sfinkterotomi
Litolapaksi
Ekstraksi endoskopik kalkulus pundi
kencing
Pengeluaran endoskopik bahan asing
daripada pundi kencing
Reseksi leher pundi kencing
Pemeriksaan diagnostik endoskopik
pundi kencing termasuk sebarang biopsi
Kajian urodinamik/penaksiran
urodinamik
Penutupan sistostomi
Pembedahan gabungan abdominal dan
vagina bagi menyokong saluran keluar
pundi kencing wanita
Pembedahan anduh suprapubik
Gantungan retropubik leher pundi
kencing
Pembedahan vagina bagi menyokong
Penanaman sfinkter tiruan urinari ke
pundi kencing dan/atau pengeluaran
Pendilatan saluran keluar pundi kencing
wanita (dengan sistoskopi)
Insisi endoskopik saluran keluar pundi
kencing lelaki (dengan sistoskopi)
Pembaikan fistula vesiko-vagina
Vesiko-litotripsi endoskopik batu pundi
kencing
Sistoskopi dengan biopsi
Reseksi endoskopik tumor jangkau
dalaman pundi kencing
70
2145
2305
1160
725
685
820
820
625
315
1340
265
505
1890
1890
865
685
685
435
1890
405
685
265
1160
1760
1000
435
685
435
1000
435
1340
580
435
315
580
865
1890
435
685
1890
1890
760
685
1890
685
2145
685
580
355
1340
435
2145
1760
820
625
1000
2145
405
P.U. (A) 358
Kontinen kantung/neo pundi kencing
Penutupan kombinasi abdomino-perineal
fistula vesiko-vaginal
Uretra
Uretrosele
Eksisi karunkel uretra
Pembedahan endoskopik terapeutik pada
Uretrektomi
Reseksi injab uretra
Pembaikan hipospadias
Pembaikan epispadias
Penutupan fistula uretra
Pembaikan fistula ureterorektal
Ureteroplasti (mudah)
Ureteroplasti (kompleks)
Pembaikan pecahan pada uretra
Eksisi pada divetilula uretra
Eksisi pada prolaps uretra
Pembedahan endoskopik terapeutik pada
uretra
Pengeluaran bahan asing daripada uretra
Pemeriksaan endoskopik diagnostik
uretra dalam isolasi
Pendilatasian uretra
Uretrotomi dalaman termasuk sistoskopi
Penutupan eksostrofi pundi kencing
Penutupan eksostrofi kloakal
Pembaikan hipospadias - sedikit
Pembaikan hipospadias - sederhana
Pembaikan hipospadias - tersangat
Prostat
Eksisi terbuka prostat
Prostektomi radikal, rekonstruksi leher
pundi kencing termasuk limfadinektomi
pelvik dwisisi
Biopsi terbuka lesi prostat
Reseksi endoskopik prostat (TURP)
Biopsi endoskopik prostat
Terapi gelombangmikro transuretral
Penyaliran abses prostat
Hiperthermia prostatik (sehingga enam
siri)
Prostat, biopsi jarum
Ultrasound dan biopsi transrektal
71
4750
4750
2500
1160
370
725
505
265
405
1760
1565
2040
2480
865
1760
1760
2040
2040
1160
480
865
685
505
685
685
505
685
625
685
685
505
405
435
405
405
435
265
315
865
5970
7030
2305
2895
3600
355
435
2040
4750
685
1550
865
2040
865
1565
1340
1565
685
760
435
570
505
570
405
580
265
P.U. (A) 358
Memasukkan sten uretra bagi kelegaan
halangan prostat
Genitalia
Meatoplasti
Meatotomi luaran orifis uretra
Eksisi dwisisi testis
Orkidektomi laparoskopik
Orkidektomi dan eksisi korda spermatik
Eksisi lesi testis
Orkidopeksi - dwisisi
Pemindahan mikrovaskular testis ke
skrotum
Orkidopeksi
Testis abdomen yang tidak turun
Testis prostesis (kemasukan atau
pembuangan)
Pembetulan hidrosele
Fiksasi testis
Biopsi testis
Eksplorasi testis termasuk biopsi
Fiksasi testis dwisisi
Epididimektomi dwisisi
Epididimektomi satu sisi
Eksisi sista epididimal
Pembedahan varikocele
Vasografi
Pembedahan vesikel seminal
Amputasi total penis
Amputasi separa penis
Pembedahan bagi penyakit Peyronie
Rekonstruksi penis
Pembaikan avulsi penis
Pembaikan kecederaan pada penis
Pembahagian perekatan preputial
Berkhatan
Biopsi lesi penis
Prostesis penis (mudah - rod sahaja)
Prostesis penis (kompleks - tiga keping)
Pembalikan vasektomi - dwisisi
(mikroskopik)
Pembalikan vasektomi - dwisisi
(makroskopik)
Epididimo-vasostomi (makroskopik)
Epididimo-vasostomi (mikroskopik)
Tenkoff
Tenkoff dan adesiolisis
72
1890
685
725
580
1760
1340
1340
725
1760
2305
355
265
625
435
435
505
820
820
1000
1565
725
505
625
405
725
865
580
865
865
1340
865
865
865
370
1565
2145
1565
1160
1760
2145
1340
405
725
405
1890
2895
1760
435
435
315
435
505
570
505
505
505
315
505
685
685
435
685
685
505
265
405
265
685
1815
625
1890
685
1890
2040
1340
1890
685
760
P.U. (A) 358
Ultrasound transrektal (diagnostik)
Ultrasound transrektal dan biopsi prostat
sistematik
Eksisi dan graf bagi penyakit Peyronie
Lain-lain
Diseksi blok nodus limfa para-aortik
580
1000
2705
2570
760
4750
4750
3600
1550
1550
1550
4750
2895
4750
1550
1320
1550
4750
4750
1565
1550
1550
685
2895
2895
4750
1550
1550
1815
5970
1815
4750
2110
1760
625
(v) Sistem vaskular (selain daripada intratorasik)
Kepala dan leher
Pintasan arteri karotid daripada arkus
Endarterektomi karotid
Rekonstruksi arteri karotid (tampalan
vena dan pintasan)
Pintasan arteri subklavian daripada arkus
Pintasan arteri subklavian - ekstratoraks
Endarterektomi dan pembaikan tampalan
arteri subklavian
Renal
Endarterektomi arteri renal
Rekonstruksi arteri renal
Pembedahan transluminal arteri renal
Salur darah abdominal
Pintasan aksilo-femoral
Pintasan aksilo-bifemoral
Graf tiub aneurisme aorta abdominal
infrarenal
Graf dwicabangan aneurisme aorta
abdominal infrarenal
Prostesis aorta abdominal tinjauan
semula
Pembedahan belon transluminal
perkutaneus pada aorta
Endarterektomi karotid (dengan
tampalan)
cabang viseral pada aorta abdominal
Pembedahan terbuka yang lain pada
cabang viseral aofla abdominal lain
Pembuluh ileo-femoral
Pintasan aorto-iliak, aorto-femoral,
ileo-femoral
Pintasan aorto-bifemoral
73
5970
5970
2110
5970
2110
4750
1550
4750
1550
P.U. (A) 358
arteri iliak
Pembedahan terbuka arteri iliak
Pembedahan transluminal arteri iliak
Pintasan femoro-femoral
Pintasan femoro-popliteal menggunakan
prostesis dan/atau vena dan/atau
kuf/tampalan vena
Pintasan betis femoro-distal
menggunakan prostesis dan/atau vena
dan/atau kuf/tampalan vena
Endarterektomi arteri femoral
Rekonstruksi/pintasan bagi aneurisme
popliteal
Tatacara transluminal arteri femoral
Graf pintasan femoral tinjauan semula
Tidak spesifik
Rekonstruksi arteri tinjauan semula
Biopsi arteri termasuk temporal
Pembaikan arteri
Graf mikro-arteri atau mikro-vena
Pembaikan arteri menggunakan graf vena
Pembaikan pembedahan mikro arteri
Embolektomi terbuka arteri
arteri
Ciptaan fistula arteriovenous (AV)
termasuk penutupan seterusnya
Eksisi malformasi AV
Pembaikan fistula AV perolehan
Pembaikan fistula AV
Ciptaan penyimpangan peritenio-vena
(Levine/Denver)
Pengeluaran terbuka trombus daripada
vena
Insersi garisan Hickman, saluran tengah
terowong, dsb.
Kemasukan unit portocath/vasiport
Perfusi anggota terpencil
Vena varikos
Ligasi/pelucutan vena safenus panjang
atau pendek termasuk eksisi
selempat/flebektomi berbilang
74
3600
1550
3600
1340
2895
3600
1550
505
1320
1550
3600
1550
2895
3600
1125
2110
1565
2705
505
1320
3600
580
2305
4750
2705
2705
2570
1340
940
265
685
1550
940
985
940
625
1340
820
7030
2895
2895
1340
2110
985
1125
435
2145
685
725
505
1000
2705
405
1320
1340
505
P.U. (A) 358
atau pendek termasuk eksisi
setempat/flebektomi berbilang - dwisisi
Pembedahan bagi vena varikos berulang
Pembedahan bagi vena varikos berulang dwisisi
dan pendek termasuk eksisi
setempat/flebektomi berbilang
Eksisi setempat (flebektomi berbilang)
vena varikos kaki
dan pendek termasuk eksisi
setempat/flebektomi berbilang - dwisisi
Venografi -dwisisi
prostesis
prostesis vena/atau kuf/tampalan
Ciptaan fistula arteriovenous
menggunakan graf/prostesis
Limfatik
Diseksi blok nodus limfa servikal (tidak
Diseksi blok nodus limfa aksilari
Diseksi blok nodus limfa para-aorta
Diseksi blok nodus limfa inguinal
Diseksi blok nodus limfa pelvik (tidak
Biopsi/persampelan nodus limfa servikal
Biopsi/persampelan nodus limfa aksilari
Biopsi/persampelan nodus limfa inguinal
Biopsi eksisi nodus limfa
Biopsi eksisi nodus limfa skalen
Penyaliran lesi nodus limfa
Pembedahan duktus limfatik
Eksisi sistik higroma
2145
820
2145
3600
760
1125
2145
760
725
505
3600
1125
405
4750
5970
3600
2895
940
1760
2570
1760
2040
625
760
685
760
405
405
405
725
725
480
2305
1565
505
315
405
435
435
265
820
760
(w) Tulang, sendi, dsb. (tidak disenaraikan di mana-mana)
Tisu penghubung/otot tendon
Fasiektomi plantar
Eksisi lesi fasia
Pembedahan fasia lain
Eksisi ganglion, termasuk eksisi ulangan
Eksisi bursa
75
725
480
580
1000
725
505
505
315
315
405
P.U. (A) 358
Pemindahan tendon
Pemindahan tendon berbilang
Eksisi lesi tendon
Graf tendon, sebagai tatacara tunggal
Pembaikan tendon sekunder termasuk
graf, pemindahan dan/atau prostesis
Tenolisis, selain daripada fleksor
Tenotomi perkutaneus
Pemanjangan tendon, termasuk tenotomi
Tenosinovektomi, termasuk artroskopik
Pelepasan pencerutan sarung tendon
Pembaikan terhad otot iaitu koyakan
tidak lebih daripada 2 sm
(cth: kuf rotator), termasuk artroskopik
Pembaikan menyeluruh otot iaitu
koyakan lebih daripada 2 sm
(cth: kuf rotator) termasuk artroskopik
Pelepasan pencerutan otot
Biopsi otot terbuka
Biopsi jarum/tru-kut otot
Eksisi lesi otot tanpa graf kulit
Eksisi lesi otot dengan graf kulit
Tulang (tidak spesifik)
Biopsi tulang terbuka
Introduksi bahan terapeutik ke dalam
tulang (cth: seperti aplikasi antibiotik
bagi penggantian pinggul yang dijangkiti
sebagai tatacara tunggal)
Pembuangan wayar dari tulang, termasuk
wayar-K
Eksisi tulang ektopik
Eksisi total tulang sesamoid
Eksisi separa tulang termasuk eksostosis
Eksisi total tulang dengan/tanpa
penggantian/rekonstruksi prostetik
(cth: trapezium)
Reseksi radikal tumor tulang
Osteotomi tulang besar, dengan/tanpa
fiksasi, termasuk graf
Penyaliran/pembersihan tulang,
termasuk sekuestrektomi bagi
osteomilitis
Fiksasi epifisis
Fraktur
Reduksi terbuka primer fraktur femur
76
1000
1565
725
1340
1890
435
685
435
435
505
1000
405
1160
865
1000
725
435
265
435
435
435
625
2145
625
1160
580
315
1565
1890
570
315
725
580
405
265
625
685
405
580
725
1000
2480
405
435
405
820
2705
2040
820
685
1340
405
1160
685
2305
760
P.U. (A) 358
dan fiksasi terbuka menggunakan pin dan
plat
Reduksi tertutup primer fraktur atau
dislokasi sendi, dengan/tanpa fiksasi
termasuk plaster Paris (POP)(cth: Colles')
Reduksi tertutup fraktur tulang panjang
dan fiksasi luaran termasuk POP dan
wayar-K perkutaneus (cth: lengan bawah)
Reduksi tertutup fraktur tulang kecil dan
fiksasi luaran termasuk POP dan wayar-K
perkutaneus
Reduksi terbuka primer tulang panjang
dengan fiksasi
Reduksi terbuka primer fraktur
dengan/tanpa dislokasi sendi
Reduksi terbuka primer tulang kecil
dengan fiksasi termasuk intra-artikular
Reduksi terbuka primer fraktur intraartikular tulang panjang (cth: humerus
proksimal)
Reduksi terbuka fraktur pelvis dan fiksasi
dalaman
Reduksi terbuka dan fiksasi dalaman
fraktur pelvis asetabular kompleks
Reduksi terbuka sekunder dislokasi sendi
Reduksi terbuka sekunder fraktur tulang
kecil termasuk intra-artikular
Reduksi terbuka sekunder fraktur tulang
panjang dan fiksasi intermedulari atau
fiksasi dalaman bagi tulang tidak
bersambung/sambungan tidak sempurna
Pakuan intramedulari berkunci
Reduksi terbuka sekunder fraktur intraartikular tulang
Aplikasi rangka Ilizarov bagi tulang tidak
bersambung/sambungan tidak sempurna
sekunder
Penyesuaian lingkaran rangka Ilizarov
bagi tulang tidak bersambung/
sambungan tidak sempurna sekunder
Penyesuaian tapak pin sekunder bagi
tulang tidak bersambung/sambungan
tidak sempurna
Graf tulang (kecuali di mana bahagian
tatacara lain)
Pengeluaran fiksasi dalaman/prostesis
dari tulang/sendi tidak termasuk wayar-K
77
725
405
1760
685
865
505
2040
760
1890
685
1340
570
1890
760
2895
760
4750
1550
865
1340
405
505
1890
685
2705
1890
820
685
4750
1550
1760
505
580
1565
570
1340
435
P.U. (A) 358
Pengeluaran wayar dari tulang, termasuk
wayar-K
Pencucian pembedahan ke atas luka di
bawah anestetik umum
Saraf
Pelepasan pemerangkapan saraf periferi
di tempat paling dalam termasuk Interos
Anterior dan saraf Interos Posterior
Transposisi anterior saraf ulna
Trarisposisi submuskular saraf ulna
Tinjauan semula pelepasan saraf periferi
Eksplorasi/neurolisis/biopsi saraf
periferi
Sendi (tidak disenaraikan di mana-mana)
Eksisi membran sinovial sendi
Penggantian/rekonstruksi/pembaikan
ligamen prostetik primer termasuk
prostesis
Pembedahan yang menstabilkan ke atas
sendi
Pelepasan kontraktur sendi
Artrotomi sendi besar termasuk
pembuangan bahagian longgar dari sendi
Artrotomi sendi kecil termasuk
pembuangan bahagian longgar dari sendi
Pembedahan artroskopik terapeutik
ke atas rawan intra-artikular
(selain daripada W8200)
Pembedahan artroskopik terapeutik ke
atas rawan intra-artikular (selain
daripada W8200) - dwisisi
atas kaviti sendi
atas kaviti sendi - dwisisi
Pemeriksaan artroskopik diagnostik
sendi, dengan/tanpa biopsi
Suntikan ke dalam sendi di bawah
kawalan sinar-X
Manipulasi sendi
Sendi (tidak disenaraikan di mana-mana)
Penggantian prostetik artikulasi tulang
Interposisi artroplasti sendi prostetik
(cth: pinggul, lutut, bahu)
Rekonstruksi eksisi sendi
78
405
315
480
265
865
435
1000
1890
1565
865
505
505
505
355
1565
1565
625
505
1565
625
1160
1160
405
405
315
265
1160
505
1890
820
1890
505
2895
820
865
435
480
265
405
405
2145
2305
685
820
1760
625
P.U. (A) 358
Fiksasi/Artrodesis
Osteirtomi pinggul dengan fiksasi
Osteotomi pelvis dengan fiksasi
Artrodesis primer sendi besar dan graf
tulang
Artrodesis primer dan fiksasi dalaman
(cth: tangan/kaki) termasuk graf tulang
Tangan
Fasiotomi subkutaneus Dupuytren
Fasiektomi Dupuytren - digit tunggal
Fasiektomi Dupuytren bagi tapak tangan
dan digit berbilang
Dermofasiektomi dan graf Dupuytren,
atau bagi penyakit berulang
Pembaikan extensor tangan
Pembaikan fleksor tangan termasuk
implan prostetik
Pembaikan sekunder atau peringkat
kedua fleksor tangan termasuk implan
prostetik
Pembaikan sekunder tendon
tangan/lengan bawah (tidak termasuk
fleksor), tanpa pemindahan atau graf
Pembaikan sekunder tendon
tangan/lengan bawah (tidak termasuk
fleksor), dengan pemindahan/graf
Graf tendon sebagai tatacara tunggal
Tenolisis - selain daripada fleksor
Tenolisis fleksor
Polisisasi jari bagi rekonstruksi ibu jari
tangan
Pembaikan kecederaan hujung jari akibat
avulsi dengan flap
Tatacara berbilang sendi pada tangan
termasuk sinovektomi
Cantuman sendi metakarpofalang/interkarpus
Artroplasti prostetik sendi digit
Graf tulang pada skafoid dengan fiksasi
dalaman, termasuk skru Herbert
Amputasi tangan
Amputasi digit
Amputasi melalui mid-karpus/
transmetakarpus
Cantuman pergelangan tangan
79
2305
3600
1760
940
940
820
1160
685
580
1160
1760
315
435
625
2145
820
865
1760
435
435
1890
570
1000
435
1760
435
1340
1160
1565
3600
435
435
435
435
1565
505
2390
820
1000
570
1760
1890
435
625
1565
1000
1000
625
505
435
2040
820
P.U. (A) 358
Bahu
Pembaikan terhad otot iaitu koyakan
kurang daripada 2 sm (cth: kuf rotator)
termasuk artroskopik
Pembaikan menyeluruh otot iaitu
koyakan lebih daripada 2 sm (cth: kuf
rotator) termasuk artroskopik
Pembaikan kuf rotator tinjauan semula
Akromiopiasti
Eksisi klavikel distal, secara isolasi
Interposisi artroplasti sendi prostetik
(cth: pinggul, lutut, bahu)
Pembaikan primer sendi
akromioklavikular yang pecah termasuk
fiksasi dalaman
Pembaikan sekunder sendi
akromioklavikular yang pecah termasuk
fiksasi dalaman
Rekonstruksi sendi akromioklavikular
Hemiartroplasti bahu
Hemiartroplasti bahu tinjauan semula
Penggantian total bahu primer
Penggantian total bahu tinjauan semula
Penstabilan sendi bahu termasuk
anterior, postefior atau pelbagai arah
(termasuk artroskopik)
Penstabilan sendi bahu tinjauan semula
Pelepasan kontraktur bahu
Penyaduran dan/atau graf tulang bagi
klavikel yang tidak bersambung
Eksplorasi dan cantuman pleksus brakial
Dekompresi sub-akromial termasuk
artroskopik
Eksisi total servikal atau rusuk pertama
Siku
Penggantian prostetik total siku
Penggantian prostetik total siku tinjauan
semula
Pelepasan kontriksi pada salutan tendon
Pinggul, kaki dan pelvis
Eksisi lesi tulang pelvis/pinggul
Osteotomi pinggul dengan fiksasi
Osteotomi pelvis dengan fiksasi
Penggantian prostetik total sendi pinggul
80
725
625
2145
625
2145
1565
1565
2305
625
625
625
820
2705
685
2705
685
2705
2305
2570
2705
3600
1890
685
685
685
940
1550
685
2390
2145
2040
760
685
685
3600
1890
2110
685
2145
820
2705
3600
940
1550
1000
435
1565
2305
3600
2705
685
940
940
985
P.U. (A) 358
Penggantian prostetik total sendi pinggul
tinjauan semula
Penggantian prostetik total sendi pingguldwisisi
Penggantian prostetik kepala femur
Pelepasan fasiotomi kompartment
anterior/ posterior tulang keting
Amputasi tulang keting/kaki
Manipulasi dan plaster Paris (POP)
pinggul
Lutut
rongga sendi
rongga sendi- dwisisi
Pemeriksaan artroskopik diagnostik
sendi,dengan/tanpa biopsi
Penggantian prostetik total sendi lutut
Penggantian lutut unikompartment
Penggantian total sendi lutut tinjauan
semula
Penggantian prostetik total sendi lutut dwisisi
Penggantian prostetik primer ligamen
krusiat
Rekonstruksi autograf ligamen krusiat
termasuk artroskopik
Penstabilan patella
rawan semi lunar
rawan semi lunar - dwisisi
Pembaikan mudah ligamen lutut
Pembedahan artroskopik terapeutik pada
rongga lutut
Pembedahan artroskopik terapeutik pada
rongga lutut - dwisisi
Kaki
Pembaikan primer tendon kaki
Pembaikan primer tendon Achilles
Pembaikan sekunder tendon Achilles
Pembaikan sekunder tendon kaki
Tatabara sendi berbilang kaki hadapan
Tatacara sendi berbilang kaki hadapan
- dwisisi
81
3600
1550
4750
1550
2145
1760
820
625
2040
580
685
405
1890
505
2895
820
865
435
2705
2705
3600
985
820
1550
4750
1550
2480
820
2570
940
2480
1890
940
685
2895
985
1890
1890
570
685
2895
985
480
1160
1890
725
2390
3600
435
435
435
435
760
1125
P.U. (A) 358
Osteotomi metatarsal
(cth: akin, mcNab, dsb.)
Cantuman sendi metatarso-falang
pertama
Cantuman sendi metatarso-falang
pertama - dwisisi
Seilektomi metatarso-falang
Cantuman tiga sendi-sendi kaki belakang
Osteotomi pes klavus
Pembetulan kecacatan kongenital kaki
minor
Pembetulan kecacatan kongenital kaki
minor - dwisisi
Penggantian prostetik total sendi
pergelangan kaki
Penggantian prostetik total sendi
pergelangan kaki tinjauan semula
Penutupan osteotomi baji/translasi taji
kalkaneum termasuk fiksasi dalaman
Artroplasti eksisi sendi metatarso-falang
pertama dengan implan prostetik
pertama termasuk Keller
pertama termasuk Keller - dwisisi
Cantuman sendi interfalang ibu jari kaki
Pembetulan sendi metatarso-falang yang
tertarik/dislokasi termasuk pemindahan
tendon, pembahagian/penyusunan
semula tulang dan fiksasi dalaman
Cantuman sendi interfalang ibu jari kaki dwisisi
Artrodesis primer dan fiksasi dalaman
(tangan/kaki) termasuk graf tulang
Buniektomi mudah
Buniektomi mudah - dwisisi
Osteotomi metatarsal valgus Hallux
Osteotorni metatarsal valgus Hallux dwisisi
Osteotomi metatarsal valgus Hallux,
dengan fiksasi dalaman dan pembetulan
tisu lembut
Osteotomi metatarsal valgus Hallux,
dengan fiksasi dalaman dan pembetulan
tisu lembut - dwisisi
Amputasi jari kaki
82
865
435
1000
505
1760
820
1565
1890
1890
1565
505
685
685
505
2480
820
2705
940
3600
1550
1760
505
1760
625
1160
505
1890
820
1000
1890
435
820
1760
760
1160
685
725
1160
1340
2145
355
625
685
985
1890
760
2895
1125
1000
435
P.U. (A) 358
Eksisi radikal tumor tulang dengan
implan prostesis bagi anggota
Fiksasi luaran/tarikan
Aplikasi tarikan rangka kepada tulang
Pengeluaran tarikan rangka daripada
tulang
Aplikasi fiksasi luaran kepada tulang
Pengeluaran fiksasi luaran daripada
tulang
4750
1550
580
405
505
315
1760
580
505
315
(x) Muka, mulut dan leher (tidak disenaraikan di mana-mana)
Muka dan rahang
Reduksi terbuka fraktur maksila
Reduksi tertutup fraktur maksila
Reduksi fraktur tulang muka yang lain
Reduksi fraktur tulang komplek zigomatik
Reduksi terbuka fraktur tulang kompleks
zigomatik
Eksisi maksila
Hemi-maksilektomi formal bagi malignan
Fiksasi dalaman maksila
Fiksasi ekstra-oral maksila
Pengeluaran fiksator daripada maksila
Biopsi lesi tulang muka
Eksisi mandibel
Eksisi mandibel yang luas
Eksisi lesi rahang
Reduksi terbuka fraktur mandibel
Reduksi tertutup fraktur mandibel
Fiksasi intermaksilari mandibel
Fiksasi ekstra-oral mandibel
Pengeluaran fiksator dari mandibel
Rekonstruksi rahang
Graf tulang alveolar
Manipulasi mandibel
Penggantian prostetik sendi
temporomandibular
Arthroplasti sendi temporomandibular
Menisektomi sendi temporomandibular
Reduksi dislokasi sendi
temporamandibular
Bibir
Eksisi sempadan vermilion bibir dan
pendahuluan mukosa bibir
83
1340
725
580
1000
1565
685
570
435
505
570
2040
2570
725
725
580
405
2040
2390
1160
1000
580
725
1000
580
2705
1340
405
2305
940
940
685
685
570
355
940
985
435
685
570
685
685
505
940
570
355
625
1890
1160
725
625
505
355
1000
435
P.U. (A) 358
Eksisi lesi bibir
Penutupan bibir rekah (dan dwisisi)
Penutupan primer bibir rekah tinjauan
semula
Rekonstruksi bibir menggunakan flap
lidah
Rekonstruksi bibir menggunakan flap
kulit
Sutur bibir
Biopsi lesi bibir
Lidah
Glosektomi total termasuk diseksi blok
Glosektomi separa termasuk diseksi blok
Eksisi/pemusnahan lesi lidah
Biopsi lesi lidah
Frenotomi/frenektomi lidah
Pembebasan pelekatan lidah
Flap lidah - peringkat pertama
Flap lidah - peringkat kedua
Lelangit
Eksisi/pemusnahan lesi lelangit
Pembaikan primer lelangit rekah
Pembaikan lelangit rekah tinjauan semula
Pembaikan plastik lelangit menggunakan
flap lelangit
Pembaikan plastik lelangit menggunakan
flap kulit
Jahitan lelangit
Biopsi lesi lelangit
Insisi lelangit
Pembedahan ke atas uvula
Rongga mulut
Vestibuloplasti berikutan trauma
Eksisi/pemusnahan lesi mulut
Rekonstruksi mulut menggunakan flap
Rekonstruksi mulut menggunakan graf
Graf kulit ke mulut
Graf mukosa ke mulut
Jahitan mulut
Biopsi lesi mulut
Pengeluaran mukosa berlebihan dari
mulut
84
865
1760
2145
405
820
820
2145
685
2040
760
480
480
435
355
2480
2145
865
315
480
315
1760
1000
760
820
505
405
435
405
820
625
865
2305
1565
1340
505
820
685
685
1890
685
580
480
370
725
435
405
405
435
1160
580
2145
1000
1000
865
580
370
865
435
405
760
760
625
570
505
355
435
P.U. (A) 358
Kelenjar liur
Eksisi kelenjar parotid (selain daripada
F4410/F4430)
Eksisi total kelenjar parotid dan
pemeliharaan saraf muka
Eksisi separa kelenjar parotid dan
pemeliharaan saraf muka
Eksisi kelenjar submandibular
Eksisi kelenjar sublingual
Eksisi lesi kelenjar parotid
Eksisi lesi kelenjar submandibular
Eksisi lesi kelenjar sublingual
Insisi kelenjar parotid
Insisi kelenjar submandibular
Insisi kelenjar sublingual
Biopsi lesi kelenjar liur
Penutupan fistula kelenjar liur
Transposisi salur parotid
Transposisi salur submandibular
Pengekstrakan terbuka kalkulus daripada
salur parotid
Pengekstrakan terbuka kalkulus daripada
salur submandibular
Pengikatan salur parotid
Pengikatan salur submandibular
Pembedahan salur submandibular
Pengembangan salur parotid
Manipulasi pengeluaran kalkulus dari
salur parotid
Gigi
Penanaman semula gigi berikutan trauma
Pembedahan pengeluaran gigi
terimpak/tertanam
Pembedahan pengeluaran akar tertanam
yang rumit
Enukleasi sista rahang
Leher
Diseksi blok nodus limfa servikal (tidak
Biopsi/pensampelan nodus limfa servikal
Pembedahan ke atas sista rekahan
brankial
Pembedahan ke atas fistula rekahan
brankial
85
1890
685
3600
985
2895
985
1340
1000
1160
1160
405
405
405
405
580
865
1160
1160
865
505
505
505
505
505
405
405
405
435
435
435
435
355
725
435
480
480
480
405
725
435
435
435
265
315
865
1000
355
435
725
435
865
435
2895
940
405
1340
505
820
2040
820
P.U. (A) 358
Kelenjar Tiroid dan paratiroid
Tiroidektomi total
Subtotal tiroidektomi dwisisi
Hemitiroidektomi
Tiroidektomi separa
Tiroplasti (Isshiki jenis I)
Pembedahan ke atas tisu tiroid aberan
termasuk retrosternal
Eksisi sista tiroglosal
Eksisi laluan tiroglosal
Eksisi lesi kelenjar tiroid
Aspirasi jarum halus kelenjar tiroid
Biopsi jarum kelenjar tiroid
Paratiroidektomi
Paratiroid: pembedahan kedua
Penyaliran abses kelenjar liur
III.
PELBAGAI
1.
Fi pemeriksaan perubatan
(a) Bukan pakar
Butiran
Pemeriksaan perubatan – pra-pekerjaan,
rutin dan pemeriksaan perubatan tahunan,
pemeriksaan perubatan kesihatan,
pemeriksaan perubatan menyeluruh,
pemeriksaan perubatan penerbangan (tidak
termasuk siasatan makmal, sinar-X, ECG,
dsb.)
Pemeriksaan bagi kes medico-legal
Pemeriksaan bagi penilaian kehilangan
upaya
Penyertaan dalam Peperiksaan Lembaga
Perubatan
Pemeriksaan perubatan bagi insurans hayat
Pemeriksaan kesihatan lesen vokasional
(b)
2040
2040
2040
2040
1760
2480
820
760
685
685
625
940
1000
1340
1340
315
580
2705
2705
405
625
625
435
315
315
940
985
Fi (RM)
45 – 230
570 – 1145
570 – 1145
230 – 1145
90 – 230
35 – 115
Pakar
Butiran
Pemeriksaan perubatan - pra-pekerjaan,
pemeriksaan rutin dan pemeriksaan
perubatan tahunan, pemeriksaan perubatan
kesihatan, pemeriksaan perubatan
menyeluruh, pemeriksaan perubatan
86
Fi (RM)
115 – 570
P.U. (A) 358
penerbangan (tidak termasuk siasatan
makmal, sinar-X, ECG, dsb.)
Pemeriksaan bagi kes medico legal
Pemeriksaan bagi penilaian kehilangan
upaya
Penyertaan dalam Peperiksaan Lembaga
Perubatan
Pemeriksaan perubatan bagi insurans hayat
Pemeriksaan kesihatan lesen vokasional
2.
570 – 2290
570 – 2290
570 – 2290
170 – 460
35 – 115
Fi laporan perubatan
Butiran
Bukan pakar
Pakar
Fi (RM)
55 – 230
115 – 570
3. Fi panggilan ke rumah dan bantuan
perubatan (Pengamal am)
Butiran
Tugas perubatan bagi acara dan majlis bagi
setiap jam
Liputan perubatan bagi
pemindahan/penghantaran pulang pesakit
(tidak termasuk perbelanjaan sebenar yang
ditanggung untuk kos perjalanan, makan dan
penginapan) bagi satu hari
4.
Fi (RM)
55
570
Fi kehadiran di mahkamah
Butiran
Fi (RM)
Kelayakan perbelanjaan bagi satu hari-ini
285 – 570
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)
Wang pengendalian
Perbelanjaan sebenar yang ditanggung
dalam kos perjalanan dan penginapan
Saksi bukan pakar (testimoni yang
570 – 1145
melibatkan pernyataan fakta sahaja)
Saksi pakar (testimoni yang melibatkan
1145 – 2290
pendapat pakar)
87
P.U. (A) 358
Laporan perubatan yang menyeluruh
(diminta oleh syarikat insurans, peguam dan
lain-lain)
Pernyataan pakar perubatan yang merawat
bagi syarikat insurans
90 – 285
55
BAHAGIAN B - FI PERGIGIAN
I.
FI PERUNDINGAN
Butiran
Perundingan sahaja
Perundingan dengan pemeriksaan dan pelan
rawatan
Fi (RM)
30 - 285
II. FI TATACARA PERGIGIAN ASAS
Butiran
Pendarahan selepas cabutan
Rawatan untuk rongga kering
Tampalan sementara
Insisi dan penyaliran
Tampalan amalgam
Tampalan sewarna gigi/bahan lekat
Pembuangan kalkulus
Pembuangan plak dan/atau kesan ektrinsik
Dentur akrilik (separa) bagi setiap rahang
Dentur akrilik (penuh) bagi setiap rahang
Cabutan gigi dan/atau akar yang mudah
tanpa pembedahan
Kekal
Desidus
Radiograf periapeks/bite wings/oklusal bagi setiap pendedahan
Fi (RM)
55 – 345
55 – 345
35 – 170
55 – 230
45 – 345
55 – 685
55 – 345
70 – 285
115 – 1145
285 – 2290
45 – 285
30 – 115
25 – 115
III. PELBAGAI
Butiran
Laporan pergigian
Panggilan ke rumah
Fi (RM)
55 – 345
170 – 570
88
P.U. (A) 358
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)
Wang pengendalian
Saksi bukan pakar (testimoni yang
melibatkan pernyataan fakta sahaja)
Saksi pakar (testimoni yang melibatkan
pendapat pakar)
Laporan pergigian yang komprehensif
(diminta oleh syarikat insurans, peguam dan
lain-lain)
Pernyataan pakar pergigian yang merawat
bagi syarikat insurans
285 – 570
Perbelanjaan sebenar yang ditanggung
dalam kos perjalanan dan penginapan
570 – 1145
1145 – 2290
55 – 345
55”.
Dibuat 10 Oktober 2013
[KK(R)/654(336) (17); PN(PU2)610/IV]
DATUK SERI DR. S. SUBRAMANIAM
Menteri Kesihatan
89
P.U. (A) 358
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;
90
P.U. (A) 358
“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.
91
P.U. (A) 358
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.
92
P.U. (A) 358
I. CONSULTATION FEE
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
Consultation only
Fee (RM)
Consultation with examination
Consultation with examination and treatment
plan
Consultation after stipulated clinic hours
House call or home visit
30-125
Up to 50% above
the usual rate
Up to 100% above
the usual rate
(b) Clinic without pharmaceutical services
Item
Consultation only
Fee (RM)
plan
93
35 - 145
P.U. (A) 358
Up to 50% above
the usual rate
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
Consultation only
Fee (RM)
plan
–
–
80 - 235
Up to 50% above
the usual rate
Up to 100% above
the usual rate
(b) Follow-up visit/Follow-up consultation
Item
Consultation only
plan
–
–
Fee (RM)
40 - 105
Up to 50% above
the usual rate
Up to 100% above
the usual rate
(c) Special consultation for radiotherapy and
oncology
Note: Includes once a week consultation
Item
Basic Treatment planning including simulation
for external beam radiotherapy (replanning
will be charged separately)
Treatment planning for brachytherapy
(Intracavitary)
Specialised treatment planning
- Interstitial brachytherapy
94
Fee (RM)
860 -1715
1145-2290
2290-4575
P.U. (A) 358
- Conformal radiotherapy
- Radiosurgery
- Intensity modulated radiotherapy
II.
PROCEDURE FEE
1. General Procedures
Item/Procedure
Ambulatory blood pressure monitoring
Application of plaster cast (where this is
the sole procedure)
Application of plaster jacket, hip spica, long
leg cast or cast brace
Arterial cannulation
Arterial puncture
Aspiration of subcutaneous haemotoma
Banding of haemorrhoids
Biopsy of skin or subcutaneous tissue
Cardiopulmonary resuscitation (CPR)
Central venous pressure (CVP) line
cannulation
Chest tube insertion
Colposcopy (plus/minus biopsy)
Continuous Holter monitoring
Curettage/Cryotherapy of lesion of skin
including cauterisation
Diagnostic aspiration of cysts, joints and
cavities
Echocardiography with report
Colour form mapping
Doppler echocardiography
Echocardiogram-transthoracic
M-mode
Stress echo treadmill
Stress echocardiography
Trans-oesophageal echocardiography
Two dimensional (2-D)
Elective cardioversion
Electrocardiogram (ECG) with report
ECG (stress/exercise) with report
Endometrial biopsy or aspiration
Fine needle aspiration cytology
Incision and drainage (I & D)
Fee (RM)
Surgeon
Anaesthetist
130
315
410
130
65
315
315
315
315
230
840
375
330
315
315
380
380
230
380
380
380
440
380
290
80
270
410
315
315
95
265
P.U. (A) 358
Injection around apophyseal facet of
vertebra without X-ray control
Injection into joint without X-ray control
Injection into subcutaneous tissue/painful
trigger point including local anesthesia
(LA) and steroid
Injection into varicose veins of leg
Injection of sclerosing substance into
haemorrhoids
Introduction of substance into skin
including hormone pellet
Lumbar puncture
Paracentesis for ascites
Paravertebral block (without X-ray control)
Percutaneous biopsy (not elsewhere
specified)
Pericardiocentesis
Pleural biopsy
Pleural cavity drainage
Pleurodesis
Rigid sigmoidoscopy with biopsy
Signal averaging ECG
Stellate ganglion block (LA)
Swan Ganz cathether placement
Temporary pacing
Toilet and suturing (T & S) per stitch
Venesection
Venupuncture
2.
315
315
315
315
315
315
745
630
480
315
505
895
840
630
315
45
480
460
1145
20
35
65
Specific Procedures
(a) Anaesthesiology
First consultation, assessment, procedure
and advanced cardiac life support (ACLS) in
the intensive care unit (ICU)
Subsequent consultation and assessment in
the ICU
Obstetric analgesia service – Epidural
Management of acute, chronic and cancer
pains
Venepuncture
630
As per
paragraph
2(b) of the
specialist fees
445
35
65
(b) Abdomen (other than urinary and reproductive system)
96
P.U. (A) 358
Oesophagus
Thorascopic oesophageal mobilisation via
mediastinum
Oesophagogastrectomy
Total oesophagogastrectomy and
interposition of intestine
Open excision of lesion of oesophagus
Bypass of oesophagus
Revision of oesophageal anastomosis
Closure of bypass of oesophagus
Transthoracic repair of oesophagus
Thorascopic repair of oesophagus
Oesophagocardiomyotomy
(Heller's operation)
Thorascopic oesophagogastric myotomy
Injection sclerotherapy for oesophageal
varices
Transthoracic repair of hiatus hernia
Transthoracic repair of diaphragmatic
hernia
Transabdominal repair of hiatus hernia
Transabdominal repair of diaphragmatic
hernia
Laparoscopic repair of hiatus hernia
Transabdominal anti-reflux operation
Revision of anti-reflux procedure
Laparoscopic vagotomy/seromyotomy
Laparoscopic gastro-jejunostomy
Laparoscopic gastrostomy/jejunostomy
Stomach
Proximal gastric vagotomy
Highly selective vagotomy
Vagotomy and pyloroplasty
Total gastrectomy and excision of
surrounding tissue
Partial gastrectomy
Plastic operation on stomach
Gastro-jejunostomy
Revision of gastro-jejunostomy
Gastrostomy
Closure of gastrostomy
Closure of perforated ulcer of stomach
Laparoscopic closure of perforated ulcer of
stomach
Other open operation on stomach
Pyloromyotomy
97
4750
1815
4750
5970
1815
2500
1890
2480
2705
2145
3600
2895
2040
1125
1550
1320
1125
1320
1320
985
2145
1000
985
685
2305
2305
940
940
2145
2895
760
820
2145
2895
3600
2040
2145
1760
760
820
1320
685
685
570
2040
2040
2145
2895
685
685
820
1125
2305
1890
2145
2305
1760
1565
1890
1890
760
685
685
685
570
570
685
685
1890
1890
685
685
P.U. (A) 358
Pyloroplasty
Partial gastrectomy (benign disease)
Partial gastrectomy (malignant disease)
Duodenum
Open excision of lesion of duodenum
Bypass of duodenum
duodenum
Closure of perforated ulcer of duodenum
Small intestine
Excision of jejunum
Excision of lesion of jejunum
Jejunostomy
Laparoscopic resection of small intestine
Bypass of jejunum
Intubation of jejunum of decompression of
intestine
Bypass of ileum
Ileoanal anastomosis and creation of pouch
Ileostomy
Attention to ileostomy
Closure of ileostomy (in isolation)
Open operation on ileum including
reduction of intussusception
Large intestine
Appendicectomy
Laparoscopic appendicectomy
Drainage of abscess of appendix
Total excision of colon and ileorectal
anastomosis
Extended excision of right hemicolon
Other excision of right hemicolon
Excision of transverse colon
Excision of left hemicolon
Excision of sigmoid colon
Excision
of
lesion
of
colon
(transabdominal)
Bypass of colon
Exteriorisation of caecum
Closure of colostomy – extra peritoneal
Closure of colostomy – intra peritoneal
Laparoscopic colostomy
Colostomy including revision
98
1890
2305
2895
685
2305
1890
1890
760
760
685
1890
685
2145
2480
1760
1890
1890
1890
685
685
685
685
685
685
1890
4750
1890
1565
1565
1890
685
1550
685
570
570
685
1565
1565
1565
3600
570
570
625
1320
2390
2390
2390
2390
2390
1760
820
760
760
820
820
760
2040
1760
1340
1890
2040
2040
760
760
625
760
760
760
P.U. (A) 358
Intra-abdominal manipulation of colon
including reduction of intussusception
Laparoscopic colonic resection
Radiological reduction of intussusception
of colon using barium enema
Rectosigmoidectomy for Hirchsprung's
disease
Laparotomy of necrotising enterocolitis
(NEC)
Laporotomy for intestinal atresia
Rectum/Anus
Ileoanal anastomosis and creation of pouch
Panproctocolectomy and ileostomy
Abdominoperineal pull through resection
with colo-anal anastomosis and associated
colostomy
Abdominoperineal resection of rectum and
anus
Anterior resection
Anterior resection of rectum and end
colostomy (with closure of rectum)
Laparoscopic anterior resection of rectum
and exteriorisation of bowel
Partial excision of rectum and sigmoid
colon for prolapse
Reversal of Hartman's procedure
Open excision of lesion of rectum
Fixation of rectum for prolapse
Laparoscopic rectopexy
Transanal resection for rectal cancer
Perineal excision of lesion of rectum
Full or partial thickness rectal biopsy
Perineal repair of prolapse of rectum
Dilation of stricture of rectum
Repair of faecal fistula
Excision of lesion of anus
Destruction of lesion of anus
Repair of anal sphincter
Repair of anal trauma
Haemorrhoidectomy
Anorectal stretch including examination
under
anaesthesia
(EUA)
and
sigmoidoscopy
Laying open of low anal fistula
Laying open of high anal fistula
Lateral sphincterotomy of anus
99
2040
685
2390
580
820
570
4750
2705
2705
4750
4750
4750
1550
1815
1815
4750
1815
4750
2705
1815
1550
4750
1550
2705
940
3600
2145
1890
1890
2040
1340
405
1760
370
865
370
370
1565
1340
1000
370
1550
940
940
940
625
625
625
685
265
625
265
265
625
625
505
265
865
505
1565
405
625
505
P.U. (A) 358
Excision of anal fissure
Drainage through perineal region including
ischiorectal abscess
Excision of pilonidal sinus and suture/skin
graft
Laying open of pilonidal sinus
Fistulectomy (single)
Fistulectomy (multiple)
Posterior saggital anorectoplasty (PSARP)
Combined laparotomy plus PSARP
Anoplasty
Posterior saggital
anorectovaginourethroplasty (PSARVUP)
Combined laparotomy plus PSARVUP
Other organs, mainly digestive
Adrenalectomy
Adrenalectomy – bilateral
Operation on aberrant adrenal tissue
Partial excision of liver
Hemihepatectomy
Removal of liver tumour
Repair of liver
Open drainage of liver
Therapeutic laparoscopic operation
on liver
Diagnostic laparoscopic examination of
liver including any biopsy
Percutaneous biopsy of lesion of liver
Open puncture of liver
Cholecystectomy including
mini-cholecystectomy
Cholecystectomy with exploration
of common bile duct
Laparoscopic cholecystectomy
Laparoscopic cholecystectomy with
perioperative cholangiogram
Anastomosis of gall bladder
(to another viscus)
Partial excision of bile duct and
anastomosis of bile duct to
duodenum/jejunum
Excision of lesion of bile duct
Anastomosis of hepatic duct
Anastomosis of common bile duct
Open introduction of prosthesis into
bile duct
100
405
580
405
405
1160
625
580
865
1565
3600
4750
1340
4750
265
5970
2145
2305
2145
3600
5970
2895
2480
1160
1340
940
1125
940
1550
2110
985
985
685
570
1340
505
480
1565
1890
315
570
685
2040
760
2480
2705
1125
1550
2305
760
2390
940
2145
2895
2145
2145
940
940
940
760
P.U. (A) 358
Repair of bile duct
Incision of bile duct including exploration
for calculus removal
Sphincterotomy of bile duct and pancreatic
duct using duodenal approach
Percutaneous examination of bile duct
Total pancreatectomy and excision
of surrounding tissue
Total pancreatectomy
Pancreatoduodenectomy and excision of
surrounding tissue (Whipple's procedure)
Distal pancreatectomy
Excision of lesion of pancreas
Anastomosis of pancreatic duct (to another
viscus)
Open drainage of lesion of pancreas
Drainage of pancreatic abscess
Incision of pancreas
Open examination of pancreas
Therapeutic percutaneous operation on
pancreas
Open splenectomy
Laparoscopic splenectomy
Creation of peritoneo-venous shunt
(Levine/Denver)
Internal drainage of pancreatic pseudocyst
Hepato portoenterototomy
(Kasai operation)
Excision of choledochal cyst
Major vessels
Open cannulation of intra-abdominal artery
for infusion chemotherapy
Creation of portacaval shunt
Plication of vena cava
Repair of wound of major artery or vein of
abdomen including aorta and vena cava
Abdominal wall
Repair of congenital diaphragmatic hernia
Simple excision of inguinal hernial sac
Simple excision of inguinal hernial sac
– bilateral
Primary repair of inguinal hernia
Primary repair of inguinal hernia – bilateral
Primary repair of strangulated inguinal
hernia
101
2390
2145
985
940
2145
820
1000
4750
505
1815
4750
4750
1815
1815
2705
2040
2705
985
985
940
2040
2040
2040
2040
1565
760
760
760
760
685
1565
1565
1340
760
760
435
2705
4750
4750
2145
685
4750
2305
2145
1320
940
1320
2705
1000
1760
1550
505
760
1160
1890
1890
505
820
625
P.U. (A) 358
Laparoscopic repair of groin hernia
Repair of recurrent inguinal hernia
Repair of recurrent inguinal hernia
– bilateral
Primary repair of femoral hernia
Primary repair of strangulated femoral
hernia
Repair of recurrent femoral hernia
Repair of umbilical hernia (irrespective
of age)
Primary repair of incisional hernia
Repair of recurrent incisional hernia
Repair of other hernia of abdominal wall
Resuture of previous incision in abdominal
wall (burst abdomen)
Closure of exomphalos major/gastroschisis
– primary closure
– silastic closure
– delayed primary closure
Peritoneum
Laparotomy
for
post-operative
haemorrhage
Laparotomy and repair of multiple visceral
trauma
Open drainage of subphrenic abscess
Operation on omentum
Retroperitoneal tumour
Retroperitoneal abscess
Presacral tumour
Freeing of adhesions of peritoneum
Laparoscopy
including
biopsy
and
adhesiolysis
Paracentesis abdominis for ascites
Suprapubic drainage of pelvic abscess
Transrectal/transvaginal drainage of pelvic
abscess
Laparotomy – exploratory
1160
1890
2895
505
685
985
1000
1890
505
625
1565
1000
570
570
1340
1890
1340
1340
505
685
505
570
3600
2145
2570
1760
820
3600
1550
1760
1890
2705
1160
1340
1565
1160
685
685
940
685
940
685
435
315
865
1160
265
505
1890
(c) Brain, cranium and other intracranial organs
Brain
Hemispherectomy
Excision of abscess of brain
Excision of lesion of tissue of brain
7030
4750
5970
102
2930
2110
2500
P.U. (A) 358
Stereotactic ablation of tissue of brain
Open biopsy of lesion of tissue of brain
Implantation/removal of neurostimulator
from brain (any route)
Ventriculocisternostomy
Creation of ventriculovascular anastomosis
Creation of ventriculoperitoneal shunt
Creation of subcutaneous cerebrospinal
fluid (CSF) reservoir
Maintenance of cerebroventricular shunt
including revision
Removal of cerebroventricular shunt
Irrigation of cerebroventricular shunt
Therapeutic endoscopic operations on
ventricle of brain
Diagnostic endoscopic examination and
biopsy of lesion of ventricle of brain
Ventricular puncture
Cranium
Intracranial infection: Burr-hole
Plastic repair of cranium
Reconstructive cranioplasty
Craniostenosis (single suture)
Craniostenosis (more than one suture)
Exploratory open craniotomy
Exploratory Burr-hole of cranium
Petrosectomy
Foramen Magnum decompression
Excision of lesion of cranium
Elevation of depressed fracture of cranium
Repair of compound fracture of cranium
Drainage of skull
Meninges
Drainage of subarachnoid space of brain
Excision of lesion of meninges of brain
Operation of arachnoid cyst
Repair of dura
Evacuation of extradural haematoma
Evacuation of subdural haematoma or
abscess
Subdural haemorrhage – tap
Nerves
Intracranial transection of cranial nerve
103
4750
3600
2145
1815
1550
820
3600
2040
2040
2040
1550
820
820
820
1565
685
1340
580
2570
505
685
820
1760
820
570
505
1890
2705
2705
2040
2705
2705
1565
3600
4750
2145
1565
2705
1340
760
1320
1320
760
1550
1320
685
2110
1550
820
760
1320
505
1565
7030
2705
3600
3600
3600
625
2500
985
1320
1320
1320
315
435
5970
2930
P.U. (A) 358
Other intracranial destruction of cranial
nerve
Excision of lesion of cranial nerve
(Intracranial)
Excision of acoustic neuroma
Repair of cranial nerve (Intracranial)
Decompression of cranial nerve
(Craniotomy)
Neurostimulation of cranial nerve
(Intracranial)
Removal of neurostimulator from cranial
nerve
Excision of cerebellopontine angle tumour
Vessels
Craniotomy – post-operative haemorrhage
Craniotomy for suprasellar tumour
Craniotomy for posterior fossa tumour
Ligation/clipping of aneurysm of cerebral
artery
Reinforcement of aneurysm of cerebral
artery
Open operations on cerebral artery
Excision of arteriovenous (AV)
malformation
Creation of ventriculovascular anastomosis
Creation of ventriculoperitoneal shunt
Others
Hypophysectomy
Cryotherapy to pituitary gland
Excision of lesion of pituitary gland
Excision of pineal gland
5970
2930
7030
2930
7030
2895
5970
2930
1815
1815
2145
760
1890
505
7030
2930
2705
7030
7030
5970
1320
5970
2110
5970
7030
2110
2110
2040
2040
820
820
5970
2570
5970
7030
1815
2040
760
2305
760
2895
985
2040
685
1565
685
1000
405
2110
1815
1815
(d) Breasts
Subcutaneous mastectomy with immediate
implant
Radical mastectomy including block
dissection
Mastectomy combined with reconstruction
of breast using myocutaneous flap
Modified radical mastectomy including
block dissection
Simple mastectomy including axillary node
biopsy
Excision of lesion of breast
104
P.U. (A) 358
Segmental resection or quadrantectomy
Wide local excision of lesion of breast
Repeat local excision to clear margins
Excision biopsy of breast lesion after
localisation
Reconstruction of breast using latissimus
dorsi
Reconstruction of breast using local flap
Reconstruction of breast using TRAMS
Removal of prosthesis from breast
Implantation of prosthesis following
mastectomy
Percutaneous biopsy of lesion of breast
Stereotactic/guidewire excision of lesion of
breast
Drainage of breast abscess
Microdochotomy
Operation(s) on nipple (where not included
in other procedures)
Block dissection of axillary lymph nodes
(where not included in other procedures)
Biopsy/sampling of axillary lymph nodes
Biopsy of internal mammary lymph nodes
1340
1340
1000
1000
505
505
505
505
2895
940
2305
4750
865
1340
760
1550
405
685
370
1565
265
505
580
1000
865
405
405
405
1760
625
405
725
315
505
(e) Dermatology and venereology
Allergy test
Skin sensitivity tests (Intradermal) using
up to 20 reagents (excluding cost of
reagents)
Skin sensitivity tests (patch test) using up
to 26 reagents, i.e. standard series
(excluding cost of reagents)
Skin sensitivity tests (patch test) using
more than 26 reagents, i.e. standard and
extra series (excluding cost of reagents)
Skin sensitivity tests (patch test) using
supplementary series i.e. cost per series
(excluding cost of reagents)
General dermatosurgery
Excision – cysts, scars, benign tumours
(simple)
Excision – cysts, scars, benign tumours
(complex)
Excision – malignant skin tumours
requiring wide excision
105
190
250
315
190
380
660
915
P.U. (A) 358
Multiple intralesional steroid injections
Cryotherapy – not more than 5 lesions
Cryotherapy – more than 5 lesions
Cryotherapy
–
malignant
tumours
requiring wide areas of treatment
Curettage/Cryotherapy lesion of skin
including cauterisation
Phototherapy
Phototherapy (ultra violet beam (UVB))
per session – regional
Phototherapy (UVB) per session – whole
body
Psoralen and ultra violet A (PUVA)
PUVA per session – whole body
Photopatch testing
Minimum erythema doses (MED)
phototesting
Minimum photoxic doses (MPD)
phototesting
Phototherapy ultraviolet A1 (UVA 1)
Phototherapy ultraviolet A1 (UVA 1)
per session – whole body
Other dermatology procedures
Simple excision of nail
Wedge excision of toe nail
Wedge excision or avulsion of toe nail
including chemical ablation of nail bed
Matrixectomy of nail
Dark
ground
investigation
(DGI)
examination of specimen
Biopsy of skin or subcutaneous tissue
Percutaneous biopsy (not elsewhere
specified)
Microscopic examination (dark ground)
Microscopic
examination
for
skin
scrapings, smears, and etc.
Electrocautery
–
keratosis,
warts,
angiomas, etc. (less than 5 lesions)
Electrocautery
–
keratosis,
warts,
angiomas, etc. (from 5 to 20 lesions)
Electrocautery
–
keratosis,
warts,
angiomas, etc. (more than 20 lesions)
106
190
155
250
505
315
65
100
100
125
250
250
250
100
125
70
380
480
170
125
315
315
65
65
190
380
630
315
P.U. (A) 358
Chemical cautery – keratosis, warts,
angiomas, etc. (not more than 5 lesions)
Chemical cautery – keratosis, warts,
angiomas, etc. (more than 5 lesions)
Electrolysis of hair per session
Iontophoresis per session
Transdermal iontophoresis
Cutaneous laser procedures
Cutaneous laser ablation of skin tumours
(less than 5 lesions)
(5 to 20 lesions)
(more than 20 lesions)
Pigment
laser
treatment
of
skin
pigmentation and tattoos – small area
(less than 9 cm2)
Pigment
laser
treatment
of
skin
pigmentation and tattoos – medium sized
area (9 cm2 to 50 cm2)
Pigment
laser
treatment
of
skin
pigmentation – large area (more than
50 cm2)
Pigment laser treatment of tattoo of
eyebrows
Pigment laser treatment of tattoo of eyelids
Vascular laser treatment of vascular lesion
– small area (less than 9 cm2)
– medium sized area (9 cm2 to 50 cm2)
– large area (more than 50 cm2)
Laser resurfacing of one cosmetic unit –
non-ablative
Laser resurfacing of one cosmetic unit –
ablative
Laser-assisted/intense pulsed light (IPL)
hair removal – small area (less than 9cm2)
Laser-assisted/IPL hair removal – medium
sized area (9 cm2 to 50 cm2)
Laser-assisted/IPL hair removal – large
area (more than 50 cm2)
Laser-assisted/IPL hair removal – whole
face
107
125
250
250
190
285
290
660
860
380
435
660
380
435
380
435
660
860
1145
380
435
660
915
P.U. (A) 358
Chemical peeling
Chemical peeling of lesion of skin –
superficial peel
Chemical peeling of lesion of skin – medium
depth
Chemical peeling of lesion of skin – deep
peel
Miscellaneous procedures
Comedone extract per session
Paring of hyperkeratosis, corns, etc.
Milia extraction
Day care skin nursing per session
Whole body wrap dressing
(e.g: atopic eczema)
Microdermabrasion – face
Microdermabrasion – body
Botulinum toxin injection of one
cosmetic unit
Fillers injection of one cosmetic unit
290
380
660
190
190
190
190
230
345
570
685
570
(f) Ear, nose and throat
External ear
Total excision of external ear
Excision of preauricular abnormality
Excision of lesion of external ear
Removal of exostoses from external
auditory canal
Reconstruction of external ear using graft
Reconstruction of external ear
Meatoplasty of external ear
Repair of external ear
Removal of foreign body from external
auditory canal under general anaesthetic
(GA) (and bilateral)
Excision of lesion of external auditory canal
Reconstruction of external auditory canal
Middle ear and mastoid
Radical mastoidectomy
Modified radical mastoidectomy
Simple mastoidectomy
Revision of mastoidectomy
Exploration of mastoid, facial nerve
Tympanoplasty
Myringoplasty
108
1565
1000
725
1760
820
405
405
505
2895
2145
1565
405
370
685
685
505
405
265
480
2705
570
1125
2480
2480
2305
2040
2305
2145
2040
940
940
625
940
940
940
760
P.U. (A) 358
Myringotomy and insertion of tube through
tympanic membrane (and bilateral)
Suction clearance of middle ear
Myringotomy (and bilateral)
Ossiculoplasty with/without
tympanoplasty
Stapedectomy
Middle ear tumour excision
Middle ear polypectomy (and bilateral)
Tympanotomy and biopsy of lesion of
middle ear
Petrosectomy
Inner ear
Transtympanic electrocochleography
Operation on cochlea
Operation on endolymphatic sac
Membranous labyrinthectomy
Osseous labyrinthectomy
Excision of preauricular sinus – unilateral
Excision of preauricular sinus – bilateral
Nose and nasal cavity
Total excision of nose
Septorhinoplasty plus/minus graft/implant
following trauma or excision of tumour
Rhinoplasty following trauma or excision of
tumour
Submucous excision of septum of nose
Excision of lesion of septum of nose
Biopsy of lesion of septum of nose
Closure of perforation of septum of nose
Incision of septum of nose
Septoplasty of nose
Nasal septum cauterisation (and bilateral)
Submucous diathermy to turbinate of nose
(and bilateral)
Excision of turbinate of nose (and bilateral)
Excision of lesion of turbinate of nose (and
bilateral)
Division of adhesions of turbinate of nose
(and bilateral)
Biopsy of lesion of turbinate of nose (and
bilateral)
Cauterisation of turbinate of nose (and
bilateral)
Ligation of artery of internal nose
109
865
355
370
370
2705
265
265
940
2040
2040
580
1760
760
760
265
570
3600
2110
725
3600
2145
2390
2480
1340
1760
1320
940
940
940
1565
2145
760
625
2040
625
1160
580
370
1340
405
1340
315
405
405
355
355
405
315
435
265
265
725
405
405
405
370
405
370
405
370
265
1340
505
P.U. (A) 358
Embolisation of artery of internal nose
Packing of cavity of nose (as sole
procedure)
Polypectomy of internal nose (and
bilateral)
Excision of lesion of internal nose
Correction of congenital atresia of choana
Removal of foreign body from cavity of
nose
Excision of lesion of external nose
Nasal sinuses
Drainage of maxillary antrum including
Caldwell-Luc (and bilateral)
Transantral neurectomy of vidian nerve
using sublabial approach (and bilateral)
Antral puncture and wash-out (and
bilateral)
Intranasal
antrostomy
including
endoscopic (and bilateral)
Closure of oro-antral fistula
External
frontoethmoidectomy
(and
bilateral)
Intranasal ethmoidectomy (and bilateral)
External
ethmoidectomy
including
endoscopic (and bilateral)
Anterior and posterior opening into
functional endoscopic sinus surgery (FESS)
Transantral ethmoidectomy (and bilateral)
Bone flap to frontal sinus (and bilateral)
Trephining of frontal sinus
Radical frontoethmoidectomy
Subtotal FESS
Operation on sphenoid sinus
Operation on nasal sinus (unspecified)
Lateral Rhinotomy into sinus for
malignancy
Diagnostic endoscopy of sinus (as sole
procedure)
Throat
Total pharyngectomy
Partial pharyngectomy
Adenoidectomy
Repair of pharynx
Open excision of lesion of pharynx
Operation on pharyngeal pouch
110
1340
315
505
505
480
355
405
1565
315
355
685
355
315
435
1000
435
1760
685
480
265
865
505
1340
2145
435
760
1160
1565
505
685
1760
685
1565
2480
580
2390
1565
865
865
1760
685
625
265
940
685
505
505
625
315
405
5970
2305
405
2145
725
1890
1815
1815
265
820
505
685
P.U. (A) 358
Therapeutic endoscopic operation on
pharynx
Pharyngeal pouch – Endoscopic resection
Diagnostic endoscopic examination of
pharynx including biopsy
Tonsillectomy – child (and bilateral)
Tonsillectomy – adult (and bilateral)
Excision of lingual tonsil
Adenotonsillectomy (and bilateral)
Drainage of peritonsillar abscess ("Quinsy")
Larynx and trachea
Total laryngectomy including
neck
dissection
Partial laryngectomy
Laryngofissure and chordectomy of vocal
chord
Laryngectomy (excluding neck dissection)
Glottoplasty
Reconstruction of larynx with graft
Endoscopic excision of lesion of larynx
including microlaryngoscopy
Laryngoscopy/endoscopy
with/without
biopsy
Injection into larynx
Partial
excision
of
trachea
with
reconstruction
Tracheoplasty
Open placement of prosthesis in trachea
Tracheotomy
Insertion of mini-tracheostomy
580
405
1890
580
625
405
1000
1160
865
1160
315
435
435
435
435
315
3600
1815
2145
1760
985
625
2570
1760
3600
1160
1320
625
1815
570
580
505
1160
3600
505
2110
1760
1760
1000
580
625
505
570
405
Fibreoptic endoscopic procedures under topical anaesthesia
Fibreoptic examination of trachea and
bronchus including biopsy/removal of
foreign body
Bronchial
lavage
(diagnostic
or
therapeutic)
Dilatation of tracheal stricture including
insertion of stent
Dilatation of bronchial stricture by
fibreoptic bronchoscope
Transbronchial biopsy
725
505
865
865
1000
1000
(g) Endoscopic and laparoscopic gastro-intestinal tract (GIT) procedures
Endoscopic GIT procedure
111
P.U. (A) 358
Rigid oesophagoscopy plus/minus
biopsy/removal/laser or diathermy
destruction of lesions
Diagnostic esophagogastroduodenoscopy
including Biopsy
Therapeutic
esophagoduodenoscopy
including
removal
of
foreign
body/polypectomy
Therapeutic esophagogastroduodenoscopy
including destruction of lesion, insertion of
prosthesis, dilatation, recanalisation of
tumour
varices
Intubation for investigation of GIT
plus/minus manometry, pH measurement,
pancreatic function and jejunal biopsy
Endoscopy and examination of ilium
through stoma including dilatation
Flexible
sigmoidoscopy
plus/minus
biopsy/removal/destruction of lesion
Fibreoptic
colonoscopy
plus/minus
excision biopsy/destruction of lesion
Fibreoptic colonoscopy and recanalisation
of tumour
Endoscopic
retrogradecholangiopancreatography
(ERCP)
ERCP with therapeutic procedure
Pancreatic stent insertion
Pancreatic stone removal
Pancreatic pseudocyst drainage
Rubber band ligation of varices
PEG
Endoscopic mucosal resection
Colonic polypectomy
Colonic dilatation (balloon)
Colonic stent insertion
Therapeutic GIT bleeding procedures
(upper)
Laparoscopic procedure
Laparoscopic vagotomy/seromyotomy
Laparoscopic gastrojejunostomy
Laparoscopic gastrostomy/jejunostomy
112
865
435
405
315
580
435
1000
435
1000
685
480
315
580
315
580
435
1000
435
1565
435
1160
505
1760
2040
2040
2040
1000
1760
2040
1340
1340
1565
1000
505
760
760
760
405
625
760
505
505
570
405
2145
2040
2145
1760
760
685
685
570
P.U. (A) 358
stomach
duodenum
Laparoscopic resection of small intestine
Laparoscopic appendicectomy
Laparoscopic colostomy
Laparoscopic colonic resection
Laparoscopic anterior resection of rectum
and exteriorisation of bowel
Laparoscopic rectopexy
Laparoscopic cholecystectomy
Laparoscopic cholecystectomy with
perioperative cholangiogram
Laparoscopic splenectomy
Laparoscopic repair of groin hernia
1890
685
1890
685
1890
1565
2040
2390
4750
685
570
760
820
1550
1890
2480
2705
940
1125
1550
1565
1160
760
505
(h) Eye and orbital content
General procedures
Fundus fluorescein angiogram
Anterior/Fundus photography
Automated perimetry
Hess chart
Keratometry
Corneal topography Ultrasonography
A - Scan
B - Scan
Pachymetry
Gonioscopy
Indirect ophthalmoscopy
Refraction
Schirmer’s test
Electrophysiology
Electroretinogram (ERG)/
Electrooculogram (EOG)/Visual evoked
response (VER)
Syringing
Dressing
Irrigation
Excision/curettage/cryotherapy of lesion
of eyelid(s)
Yag laser photo disruption of posterior
capsule of lens including laser capsulotomy
Laser photocoagulation/Cryotherapy/
Radiotherapy of lesion of retina (and
bilateral)
113
345
65
250
125
65
250
125
250
125
65
65
65
30
250
125
35
65
370
265
580
505
1000
405
P.U. (A) 358
Flourescein angiography of eye
Surgical correction of squint (one or both
eyes)
Surgical trabeculectomy
Trabeculectomy including laser
Biopsy of lesion of eyelid
Extracapsular extraction without implant
Extracapsular extraction with implant
Globe or orbit
Exenteration of orbit
Enucleation of eyeball
Excision of lesion of orbit
Reconstruction of cavity of orbit
Biopsy of lesion of orbit
Drainage of orbit
Decompression of orbit
Removal of foreign body from orbit
Exploration of orbit
Open reduction of fracture of orbit
Retrobulbar injection
Evisceration of eyeball
Orbital implants – Evisceration/
Enucleation with implant
Eyebrow and lid
Excision of lesion of eyebrow
Suture of eyebrow
Excision of lesion of canthus
Correction of epicanthus
Correction of telecanthus
Graft of skin to canthus
Canthotomy/Curettage
Excision/Curettage/Cryotherapy of lesion
of eyelid(s)
Graft of skin to eyelid
Correction of ectropion
Correction of entropion
Correction of trichiasis
Tarsorrhaphy
Total reconstruction of eyelid
Suture of eyelid (laceration)
Total reconstruction of eyelid – bilateral
Correction of ptosis of eyelid
Tarsomullerectomy
Drainage of lesion of eyelid
Biopsy of lesion of eyelid
114
315
1890
265
625
2040
1160
480
2145
2570
760
570
315
820
940
2040
2040
1890
2305
1160
1340
2305
1890
1890
1340
315
2040
2390
760
685
685
760
505
355
685
685
685
685
265
760
580
315
1000
1160
1160
1000
580
370
405
405
505
505
505
505
505
265
1000
1160
1160
405
865
1890
405
2895
1760
1760
370
480
505
405
405
405
405
505
405
820
625
505
355
315
P.U. (A) 358
Removal of eyelashes by
electrolysis/laser/cryotherapy
Lacrimal system
Canaliculo dacryocystorhinostomy
Conjunctivo dacryocystorhinostomy
Dacryocysto rhinostomy (DCR)
with/without insertion of tube
Excision of lacrimal sac
Biopsy of lacrimal sac
Incision of lacrimal sac
Syringing of nasolacrimal system under
general anaesthesia (GA)
Probing of nasolacrimal sac under GA
Repair of torn canaliculus
Dilation of lacrimal punctum under GA
Endoscopic DCR
Muscles
Surgical correction of squint (one or both
eyes)
Revision of squint surgery (one or both
eyes)
Tenotomy of muscle (one or both eyes)
Transposition of muscle (one or both eyes)
Surgical correction of squint with
adjustable sutures (one or both eyes)
Revision of squint surgery with adjustable
sutures (one or both eyes)
Correction of squint with botulinum toxin
Conjunctiva
Excision of conjunctival lesion
Cauterisation including cryotherapy to
conjunctival lesion
Radiotherapy to conjunctival lesion
Mucosal graft to conjunctiva
Suture of conjunctiva
Removal of suture of conjunctiva
Drainage of conjunctival cyst
Division of adhesions of conjunctiva
Biopsy of lesion of conjunctiva
Subconjunctival injection
Exploration of conjunctiva including
removal of foreign body
Pterygium excision
Conjunctival limbal graft
115
370
265
2390
2390
2040
940
940
940
1000
580
370
315
505
505
405
265
315
1000
315
2570
265
265
265
1320
1890
625
2305
570
1340
1760
2480
570
570
685
2895
940
1000
480
315
505
505
580
1160
480
315
315
315
315
315
370
505
505
505
435
435
435
435
435
435
1340
725
505
P.U. (A) 358
Cornea
Excision of lesion of cornea
Cryotherapy of lesion of cornea
Lameliar graft (Keratoplasty) to cornea
Perforating graft (Keratoplasty) to cornea
Repair of corneal wound
Removal of corneal suture
Removal of superficial corneal foreign body
Tension sutures
Chelation of cornea
Tattooing of cornea
Corneal scraping for culture
Refractive keratoplasty
Photorefrative keratectomy (PRK)/
Phototherapeutic keratectomy (PTK)
Keratomileusis laser in situ (LASIK)
Lamellar graft (Keratoplasty) to cornea
Performing graft (Keratoplasty) to cornea
Limbal stem cells transplantation
Amniotic membrane graft
Anterior stromal puncture
Astigmatic keratotomy
Sclera
Excision of lesion sclera
Repair of scleral laceration
Scleral graft
Iris and anterior chamber
Iridocycletomy
Surgical iridectomy
Laser trabeculoplasty
Trabeculotomy including laser
Goniotomy (surgical treatment of
glaucoma)
Laser iridotomy
Repair of prolapsed iris
Excision of lesion of iris
Removal of foreign body from iris
Cyclocyotherapy (cauterisation of ciliary
body)
Cyclodialysis (separation of ciliary body)
Reformation of anterior chamber
Paracentesis
Injection into anterior chamber
Irrigation of anterior chamber
116
480
315
2390
2390
580
315
405
1340
725
725
405
1760
2145
435
435
940
940
505
405
435
625
405
405
405
625
820
3600
3600
2895
2705
1160
865
1565
2110
725
725
1565
570
570
570
2390
1160
2040
1000
1160
1890
940
685
760
570
570
570
1160
1890
1890
1890
1160
505
685
685
685
505
1760
1565
1000
480
480
685
570
435
435
435
P.U. (A) 358
Removal of foreign body from anterior
chamber
Valve implant in glaucoma
Cyclophotocoagulation
Lens
– bilateral
- unilateral
Phakoemulsification of lens with/without
implant
– bilateral
Yag laser photodistruption of posterior
capsule of lens including laser capsulotomy
Secondary insertion of lens implant
Revision of lens implant
Removal of lens implant
Small incision surgery with/without
intra ocular lens (IOL)
Cataract surgery in complicated cases
(e.g: dislocated lens) with/without implant
Scleral fixation of intraocular lens
Vitreous
Vitrectomy by anterior approach
Vitrectomy pars plana approach with
insertion of internal tamponade
Vitrectomy combined with
membranectomy/insertion of internal
tamponade/laser or cryotherapy
Retina
Buckling of sclera including
implant/encircling explant/silicone oil/gas
exchange/laser or cryotherapy
Removal of silicone oil
Laser photocoagulation/Cryotherapy/
Radiotherapy of lesion of retina (and
bilateral)
Excision of lesion of retina
Biopsy of lesion of retina
Pars plana vitrectomy with removal of
IOL/dislocated lens
117
1160
435
2895
2040
1565
1815
760
570
3600
1320
2145
820
2570
940
2570
4750
940
1550
580
505
1760
1760
1340
2705
685
685
505
1550
3600
2390
1760
2570
760
1320
3600
2110
2145
820
865
1000
355
405
2145
2145
5970
940
505
2930
P.U. (A) 358
Pars plana vitrectomy with removal of intra
ocular foreign body
Buckling of sclera with trans pars plana
vitrectomy
(i)
5970
2930
7030
3305
Interventional radiology
Biopsy
Fluoroscopically guided biopsy
Ultrasound guided biopsy
CT/MRI guided biopsy
Transjugular/Transfemoral/plugged
liver biopsy
725
865
1000
1340
Drainage
Fluoroscopically guided drainage of fluid
collection
Ultrasound guided drainage of fluid
collection
CT/MRI guided drainage of fluid collection
Angioplasty
Angioplasty
Angioplasty with insertion of metallic stent
Angioplasty with insertion of metallic
stent-graft
Insertion of aortic metallic stent-graft
Cerebral
angioplasty
with/without
insertion of metallic stent
Cerebral angioplasty with insertion of
metallic stent-graft
Embolization
Embolization of artery or vein
Embolization of vascular mass including
uterine embolization
Embolization of bronchial artery
Embolization of aneurysm
Embolization of arteriovenous
malformation
Thrombolysis
Thrombolysis or aspiration of thrombus
under imaging control
Dilatation
118
725
1340
1565
1760
1890
2040
4750
4750
1550
1125
4750
1125
1890
2895
3600
5970
7030
1340
P.U. (A) 358
Dilatation of stricture under imaging
control
Percutaneous dilatation of biliary stricture
Head and neck
Endoluminal stone extraction from salivary
duct imaging control
Insertion of nasolacrimal stent under
imaging control
Head and neck spine
Chemonucleolysis
Fluoroscopically
guided
discectomy
including laser
CT guided discectomy including laser
Fluoroscopically guided percutaneous
vertebroplasty
CT Guided percutaneous vertebroplasty
Thorax
Insertion of tracheal/bronchial metallic
stent
Insertion of oesophageal metallic stent
Gastro-intestinal
Percutaneous gastrostomy
Percutaneous gastrojejunostomy
1160
2305
725
2040
1160
2145
2895
2145
2895
1760
1565
1760
2145
Liver
Percutaneous cholecystotomy
Percutaneous insertion of plastic biliary
endoprosthesis
Percutaneous insertion of metallic biliary
endoprosthesis
Transjugular intrahepatic portosystemic
shunt
Urinary
Percutaneous nephrostomy
Percutaneous removal of calculus
Percutaneous pyelolysis
1890
1890
2390
2895
1340
2705
2705
Others
Insertion of central venous catheter
– non-tunnelled (X-ray guided)
725
119
1815
P.U. (A) 358
Insertion of central venous catheter
– tunnelled (X-ray guided)
Cystablation under imaging control
Insertion of vena cava filter
Retrieval of foreign body under X-ray
guidance
Occlusion of fistula under imaging control
Percutaneous laser coagulation of mass
(j)
1160
1160
1340
1565
2145
3600
Neurology
Reporting of neurophysiology tests
Electroencephalogram (EEG) – routine and
sleep or portable
Evoked potential study – visual evoked
potential (VEP), brainstem auditory evoked
response (BAEP) and somatosensory
evoked response (SSEP)
Electromyography (EMG) and nerve
conduction study
Nerve conduction study
Neurosurgery
Decompression and fusion of cranio
cervical junction
Craniotomy for suprasellar tumour
Craniotomy for posterior fossa tumour
Selective posterior rhizotomy
Endoscopic discectomy
Cervical laminectomy
315
580
580
315
7030
3305
7030
7030
5970
7030
3600
3305
3305
2930
1890
2390
480
725
1000
820
820
405
685
4750
1550
2040
2040
760
760
(k) Obstetrics and gynaecology
Pregnancy and confinement
Caesarean delivery
Caesarean hysterectomy
Curettage of delivered uterus
Repositioning of inverted uterus
Neonatal exchange blood transfusion
Female reproductive organs
Uterus/Adnexa
Radical hysterectomy and
lymphadenectomy (Wertheim's)
Total abdominal hysterectomy
Subtotal abdominal hysterectomy
120
P.U. (A) 358
Hysterectomy and removal of uterine
adnexa
Vaginal hysterectomy including
laparoscopically assisted
Hysterectomy and removal of uterine
adnexa for ovarian malignancy
Myomectomy including laparoscopically
Plastic reconstruction of uterus
Therapeutic endoscopic operation
on uterus including endometrial ablation
Hysteroscopy with/without D&C, biopsy
including polypectomy
Endometrial biopsy or aspiration
Bilateral oophorectomy and salpingectomy
in isolation
Unilateral oophorectomy and
salpingectomy in isolation
Removal of products of conception from
fallopian tube (ectopic pregnancy)
including laparoscopically
Laparoscopy including (e.g: puncture of
ovarian cysts) plus/minus biopsy
Laparoscopy and therapeutic procedures
including laser, diathermy and destruction
(e.g: endometriosis, adhesiolysis, tubal
surgery and solid tumours)
Ovarian cystectomy (not included in other
procedures) (and bilateral)
Block dissection of pelvic lymph nodes (not
included in other procedures)
Total exenteration of pelvis
Anterior exenteration of pelvis
Posterior exenteration of pelvis
Suspension
Combined abdominal and vaginal
operations to support outlet of female
bladder
Suprapubic sling operation
Retropubic suspension of neck of bladder
Vaginal operation to support outlet of
female bladder
Ventro-suspension of uterus including
laparoscopic
Cervix uteri
Colposcopy (with/without biopsy)
2040
760
2040
760
2895
820
2040
1565
1565
760
685
685
865
435
405
1890
265
685
1340
685
1760
760
1160
570
1890
760
1890
685
2040
760
5970
4750
4750
2930
1815
1815
1890
685
1890
1890
1890
760
685
685
1340
625
370
121
P.U. (A) 358
Amputation of cervix uteri
Laser destruction of lesion of cervix uteri
Cauterisation of lesion of cervix uteri
including loop diathermy
Cone biopsy of cervix uteri including laser
Punch biopsy of cervix uteri
Dilatation of cervix uteri and curettage of
uterus
including
polypectomy
and
diathermy of cervix (for women over 40
years of age)
Vagina/Perineum
Cystourethroplasty
Excision/Diathermy of urethral carbuncle
Operation on female perineum
Incision of introitus of vagina
Other obliteration of vagina
Excision of septum of vagina
Excision of lesion of vagina (e.g: warts and
cysts)
Reconstruction of vagina
Anterior
plus/minus
posterior
colporrhaphy and amputation of cervix
uteri including primary repair of enterocele
Posterior colporrhaphy
Anterior
plus/minus
posterior
colporrhaphy including primary repair of
enterocoele
Repair of enterocele (in isolation)
plus/minus posterior colporrhaphy
Anterior (plus/minus posterior)
colporrhaphy with vaginal hysterectomy
including primary repair of enterocoele
Repair of vesicovaginal fistula
Repair of urethrovaginal fistula
Repair of rectovaginal fistula
Repair of ureterovaginal fistula
Vulva/Labia
Excision of Bartholin’s gland
Marsupialisation of Bartholin’s gland
Simple vulvectomy
Excision of excess labial tissue
Radical vulvectomy including block
dissection of inguinal gland
Excision of lesion of vulva
122
1160
370
370
505
265
265
865
315
480
505
265
315
1760
370
480
480
1890
725
865
685
265
265
505
760
505
505
2705
2040
820
685
1340
1890
625
685
1760
685
2480
820
2145
1890
2480
2480
820
820
820
820
865
865
2145
725
2895
355
355
760
435
985
580
355
P.U. (A) 358
(l)
Paediatric surgery
Drainage of abscess of lung
Laparotomy for NEC
Single stage closure of epispadias
Excision of neural crest tumours (thoracic)
Transternal excision teratoma
Transternal excision lymphangioma
Endoscopy and cannulation of tracheal
fistula
Excision of bronchial cyst
Repair of lung
Excision of oesophageal duplication
Repair of H type of Tetralogy of Fallot
(TOF)
Repair of tracheo-oesophageal cleft
Thoracotomy and primary repair of
oesophageal atresia
Repair of recurrent TOF
Thoracotomy and division of fistula
Esophagostomy
Oesophageal transection
Rectosigmoidectomy with coloanal
reconstruction for Hirschsprung's disease
Lester-Martin modification of Duhamel
Kimura operation for total colonic
aganglionosis
Ileocecal/jejunal patch for total colonic
aganglionosis
Presacral injection of hypertonic saline
Insertion of encircling suture perianal
sphincter
Posterior sagittal anorectoplasty
Posterior sagittal anorectoplasty with
laparotomy for high type anorectal
anomaly
Anterior sagittal anorectoplasty
Sacroperineal pull-through
Posterior sagittal
anorectovaginourethroplasty for
intermediate type cloacal
Posterior sagittal
anorectovaginourethroplasty with
laparotomy for high type
Redo posterior sagittal anorectoplasty for
anorectal anomaly
Anoplasty
123
2480
4750
3600
3600
3600
4750
1565
1125
2500
2110
2110
2110
2500
570
3600
2895
3600
3600
2110
1815
2110
2110
5970
4750
2930
2500
5970
2895
1760
2705
4750
2930
1815
625
1550
2500
5970
7030
2930
3305
7030
3305
480
480
265
265
3600
4750
2110
2500
2895
2895
5970
1815
1815
2930
7030
3305
5970
2930
1760
625
P.U. (A) 358
Drainage of choledochal cyst
Kasai operation for biliary atresia
Subtotal splenectomy
Repair of spleen
Aortopexy (for tracheomalacia)
Percutaneous insertion of nephrostomy
tube
Cutaneous ureterostomy
Excision of ureterocoele
Excision of ectopic ureterocoele
Closure of bladder exostrophy
Conversion of cloacal exstrophy to bladder
exstrophy with end colostomy
Conversion of cloacal exstrophy, ileostomy,
separation of caecum from both
hemibladders
Vesicostomy
Mitrofanoff Appendicovasicostomy
Glandular hypospadias repair (e.g: MAGPI)
Distal penile hypospadias repair (e.g: Flipflap repair)
Closure of urethra fistula
First state repair of penile hypospadias
Single stage island flap repair of proximal
or penoscrotal hypospadias
Single stage repair for severe hypospadias
with penoscrotal transposition
Single stage male reconstruction with
vaginectomy for ambiguous genitalia
Correction of penoscrotal transposition
Correction of chordae without hypospadias
(no need for urethroplasty)
Second stage repair of hypospadias
Correction of penile chordae without
hypospadius requiring urethroplasty
Hypospadias repair with free bladder or
buccal mucusa graft
Exploration of scrotum
Microvascular transfer of testis to scrotum
Laparoscopy and orchidopexy for intraabdominal testis
Laparotomy and ligation of testicular artery
Laparoscopic division of testicular artery
Dorsal slit prepuce
Reduction clitoroplasty for congenital
adrenal hyperplasia
124
2390
7030
3600
2705
3600
1160
985
3305
2110
1550
2110
435
1565
2480
2570
5970
4750
570
1125
1320
2930
2500
7030
3305
1760
3600
1565
2390
625
2110
570
985
1000
1565
3600
405
570
2110
4750
2500
7030
3305
1890
1565
685
570
1565
2895
570
1815
4750
2500
1000
2705
2145
405
1550
820
865
1565
405
2705
355
570
265
1550
P.U. (A) 358
Reduction clitoroplasty with vaginoplasty
for congenital adrenal hyperplasia
Reduction clitoroplasty, laparotomy and
sigmoid colon vaginoplasty
Redo reduction clitoroplasty with redo
vaginoplasty with laparotomy and sigmoid
Excision of cervical cystic hygroma – small
Excision of cervical cystic hygroma – large
Excision of cervical cystic hygroma –
extensive
Correction of hydrocele – unilateral
Correction of hydrocele – bilateral
– primary closure
– silastic closure
Closure of exomphalos major/gastroschists
– delayed primary closure
4750
2500
7030
3305
7030
3305
1160
2480
3600
435
1125
2110
1000
1760
3600
2145
2570
(m) Paediatric orthopaedic surgery
Congenital dislocation of hip (CDH)
Close reduction with/without anaesthesia
and hip spica
Close reduction with application of brace
Open reduction with hip spica
Open reduction with pelvic osteotomy
Open reduction with femoral osteotomy
Open reduction with pelvic and femoral
osteotomy
Knee
Correction of deformity by serial casting
Correction of deformity by soft tissue
release
Correction of deformity by osteotomy
Patellar stabilisation by casting
Pseudoarthrodesis
Excision and live graft
Excision and bone transport
Bone lengthening and correction of
deformity
Using circular frame
Using uniaxial frame
Using circular and uniaxial frames
(combined)
125
865
355
315
1890
2305
2305
2705
265
685
940
940
1550
315
1340
265
505
2305
1160
940
435
2895
2705
1815
1550
2705
2480
2705
1550
1125
1550
P.U. (A) 358
Foot
Clubfoot correction by serial casting
Clubfoot correction by elongation of tendon
Achilles
Clubfoot correction by complete soft tissue
release
Clubfoot correction by circular frame
Deformity correction by tendon transfer
and soft tissue release
Deformity correction by osteotomy and
fusion
Arthrodesis
Polio and cerebral palsy
Soft tissue release and neurectomy of hip
–bilateral
Soft tissue release of knee – bilateral
Soft tissue release of ankle – bilateral
Tendon transfer
Arthrodesis
Tumour resection and limb salvage
Soft tissue tumours - simple
Soft tissue tumours - complex including
neurovascular reconstruction
Bone tumours with endoprosthesis
315
725
265
315
1760
625
1760
2145
625
820
2145
820
2145
820
1340
505
1340
1340
1565
2145
505
505
570
820
2145
7030
820
3305
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)
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)
126
115 - 135
170 - 225
P.U. (A) 358
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
Muscle including special stains
Renal biopsy including special stains and
immunofluorescence
Lymphoproliferative disorders including
immunohistophenotyping of lymphomas
Frozen section (with follow-up paraffin
section report)
205 - 240
280 - 345
410 - 485
280 - 345
410 - 555
Autopsy
Visit to scene of crime
Procedure and report
410 - 685
685 - 1375
Cytopathology
Report on gynaecological smear
Report on non-gynaecological smear
Procedure on aspiration cytology
Report on aspiration cytology
45 - 50
85 - 95
315
165 - 205
Haematology and transfusion
Report based on blood film
Procedure on bone marrow aspiration
Report on bone marrow aspiration
Procedure on bone marrow trephine
Report on bone marrow trephine
45 - 70
480
135 - 275
580
135 - 275
127
405
P.U. (A) 358
Report on coagulation tests
Report on special haematological
investigations
- (e.g: folate-B12 status, Coomb's test,
Haemoglobin analysis, cytochemistry
etc.)
70 - 135
70 - 135
Basic transfusion report
- (e.g: discrepancies of grouping and
incompatibility of blood/blood
products)
45 - 70
Report on transfusion problems
Pheresis
Harvesting of bone marrow
Grafting of bone marrow
135 - 275
1000
1340
1340
Genetics
Chromosomes study immunofluorescence
Immunophenotyping
Deoxyribonucleic acid (DNA) content
(Ploidy)
Gene rearrangement studies
Lymphocyte subsets
Report on other molecular genetic studies
Paternity testing
Human leucocyte antigen (HLA) typing
Immunology
Report on general immunology test
- (e.g: autoimmune disease screen,
autoantibodies screen)
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
135 - 410
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)
Medical microbiology
Report on routine culture and sensitivity
Report on special cultures
128
70 - 275
15 - 20
70 - 135
P.U. (A) 358
Report on direct smears examination
(gram/acid fast bacilli (AFB))
Report on serological tests
Report on special serological tests
Report on antimicrobial susceptibility
testing (per test)
Consultation on patient management
(Investigation and empirical therapy)
Positive blood culture smear examination
and preliminary report with consultation
on patient management
Consultation on infection control
Report on antigen detection
(Immunofluorescence, IgG enzyme linked
immuno-sorbent assay (ELISA),
latex/coagglutination)
Chemical pathology
Report on general chemistry profiles
- (e.g: liver, bone, cardiac)
Report on general chemistry screen
including executive screen
Report on special chemistry investigations
- (e.g: metabolic studies (lipid, bone)
endocrine disorders, toxicology studies,
therapeutic drug monitoring, maternal
and foetal health assessment)
Report on dynamic studies
- (e.g: function studies (GIT, endocrine,
renal))
Consultation for –
Investigation strategy
Non-analytical variation
Drug interferences
Correlation between clinical data and
clinical information provided
Miscellaneous
Electron microscopy
Second opinion for –
Data interpretation and bone marrow
slides
Histopathology and cytopathology
Autopsy findings
129
45 - 55
45 - 55
70 - 135
105 - 205
105 - 135
135 - 205
135 - 205
70 - 105
45 - 70
70 - 205
70 - 410
115 - 410
105 - 135
105 - 135
105 - 135
105 - 135
340 - 410
135 - 275
275 - 685
275 - 1375
P.U. (A) 358
(o) Psychiatry – Psychotherapy
Individual psychotherapy – not less than
45 minutes per session including behaviour
therapy and hypnotherapy
Group psychotherapy per person – one
hour per group of not less than three
patients and not more than eight patients
Marital therapy per couple – not less than
45 minutes per session for a couple
together
Family therapy per family – not less than
45 minutes per session and not less than
three members
Child psychotherapy – not less than 30
minutes per session including relevant
family interviews
Each electroconvulsive therapy (ECT)
250
65
250
250
250
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)
Chest (two views)
Chest (three views)
Chest (four views)
45
70
90
115
Abdomen
Abdomen (single view)
Abdomen (two views)
Abdomen (three views)
Kidney, ureter and bladder (KUB) (single
view)
Lateral pelvimetry
Anteroposterior (AP) and lateral
pelvimetry
Spine
Cervical spine (single view)
Cervical spine (two views)
Cervical spine (three views)
Cervical spine (four views)
Cervical spine (five views)
Thoracic spine (single view)
Thoracic spine (two views)
45
70
90
115
55
90
45
70
90
115
135
45
70
130
P.U. (A) 358
Thoracic spine (three views)
Lumbo-sacral spine (single view)
Lumbo-sacral spine (two views)
Lumbo-sacral spine (three views)
Lumbo-sacral spine (four views)
Skeletal survey
90
45
70
90
115
250
Skull
Skull (single view)
Skull (two views)
Skull (three views)
Skull (four views)
Facial bones
Facial bones (single view)
Facial bones (two views)
Facial bones (three views)
Nasal bones (single view)
45
70
90
115
45
70
90
45
Mandible
Mandible (single view)
Mandible (two views)
Mandible (three views)
45
70
90
Temporo-mandibular joints
Temporo-mandibular joints (single view)
Temporo-mandibular joints (two views)
Temporo-mandibular joints (three views)
Temporo-mandibular joints (four views)
45
70
90
115
Mastoids
Mastoids (single view)
Mastoids (two views)
Mastoids (three views)
Mastoids (four views)
45
75
110
130
Paranasal sinuses
Paranasal sinuses (single view)
Paranasal sinuses (two views)
Paranasal sinuses (three views)
Optic foramina view
Unilateral
Bilateral
70
105
Orbits
Orbits (two views)
Orbits (three views)
Orbits (four views)
45
70
90
45
70
90
131
P.U. (A) 358
Internal auditory canal
Internal auditory canal (single view)
Internal auditory canal (two views)
Internal auditory canal (three views)
45
70
90
Shoulder
Shoulder (single view)
Shoulder (two views)
Shoulder (three views)
Shoulder (four views)
Acriomo-clavicular joints – both weight
bearing
45
70
90
115
55
Arm (Humerus)
Arm (single view)
Arm (two views)
45
70
Elbow joint
Elbow joint (single view)
Elbow joint (two views)
Elbow joint (three views)
Elbow joint (four views)
45
70
90
115
Forearm (Radius/Ulna)
Forearm (single view)
Forearm (two views)
45
70
Wrist joint
Wrist Joint (single view)
Wrist Joint (two views)
Wrist Joint (three views)
Wrist Joint (four views)
45
70
90
115
Hand
Hand (single – one view)
Hand (single – two views)
Hand (single – three views)
Hand (both – one view)
Hand (both – two views)
Hand (both – three views)
Left Hand for bone age
45
70
90
55
80
105
45
Thumb or single digit
Thumb or single digit (single view)
Thumb or single digit (two views)
30
40
132
P.U. (A) 358
Clavicle
Clavicle (single view)
Clavicle (two views)
45
70
Sterno-clavicular joint
Sterno-clavicular joint (single view)
Sterno-clavicular joint (two views)
Sterno-clavicular joint (three views)
Sternum (single view)
45
70
90
45
Scapula
Scapula (single view)
Scapula (two views)
Carpal tunnel view
Scaphoid views
45
70
70
90
Pelvis
Pelvis (single view)
Pelvis (two views)
Pelvis (three views)
50
75
95
Hip joint
Hip joint (single view)
Hip joint (two views)
Hip joint (three views)
Hip joint (four views)
Hip joint (five views)
50
75
95
120
145
Femur (thigh)
Femur (single view)
Femur (two views)
50
70
Knee
Knee (single view)
Knee (two views)
Knee (three views)
Knee (four views)
Knee (five views)
45
70
90
115
135
Lower Leg (Tibia/Fibula)
Lower leg (single view)
Lower leg (two views)
45
70
Ankle
Ankle (single view)
Ankle (two views)
Ankle (three views)
45
70
90
133
P.U. (A) 358
Ankle (four views)
Ankle (five views)
115
135
Foot
Foot (single view)
Foot (two views)
Foot (three views)
Both feet (two views)
Both feet (three views)
45
70
90
80
105
Subtalar joints
Subtalar joints (single view)
Subtalar joints (two views)
Subtalar joints (three views)
Subtalar joints (four views)
45
70
90
115
Calcaneum
Calcaneum (single view)
Calcaneum (two views)
45
70
Bone densitometry
Dexa
Ultrasound
170
150
Radiographic contrast examination
(radiologist fee in parenthesis)
Barium swallow (40%)
Barium meal (double contrast) (40%)
Barium meal and follow through (40%)
Small bowel enema (40%)
Gastrograffin or non-ionic contrast upper
gastrointestinal study (40%)
Barium enema (single or double contrast)
(40%)
Gastrograffin or non-ionic contrast enema
(40%)
Loopogram (40%)
Duodenal intubation (40%)
Oral cholecystogram (single dose) (30%)
Oral cholecystogram (double dose) (30%)
Cystogram (30%)
Ascending urethrogram (40%)
Micturating cystourethrogram (40%)
Retrograde pyelogram – one side (30%)
Retrograde pyelogram – both sides (30%)
Ileal conduit study (40%)
Nephrostomy pyelogram – one side (30%)
134
115
170
205
205
205
205
205
205
230
135
170
205
230
285
135
205
205
170
P.U. (A) 358
Nephrostomy pyelogram – both sides
(30%)
IVU standard dose contrast (30%)
IVU standard and tomograms (30%)
IVU double dose contrast (30%)
IVU double dose of contrast and tomogram
(30%)
IVU standard dose and delayed radiographs
(30%)
IVU double dose of contrast and delayed
radiographs (30%)
IVU standard dose and tomograms and
delayed radiographs (30%)
IVU double dose and tomograms and
delayed radiographs (30%)
T-tube cholangiogram (30%)
Operative cholangiogram (30%) – urgent
reporting only
Hysterosalpingogram (ionic contrast)
(30%) – Screening and reporting only
Hysterosalpingogram (non-ionic contrast)
(30%) – Screening and reporting only
Hysterosalpingogram plus ionic contrast
(whole procedure) (40%)
Hysterosalpingogram plus non-ionic
contrast (whole procedure) (40%)
Sinogram (40%)
Parotid sialogram – one side (50%)
Parotid sialogram – both sides (50%)
Submandible sialogram – one side (50%)
Submandible sialogram – both sides (50%)
Arthrogram – one side (50%)
Arthrogram – both sides (50%)
Lumbar myelogram (water soluble nonionic contrast) (50%)
Cervical/thoracic myelogram (50%)
Bronchogram – one side (40%) (screening,
reporting plus radiographs only)
235
Bronchogram – both sides (40%)
(screening, reporting plus radiographs
only)
345
Tomography
Tomogram – one plane (30%)
Tomogram – two planes (30%)
230
265
310
345
285
365
320
400
135
285
135
135
205
230
170
230
460
230
460
230
400
515
605
230
195
250
135
P.U. (A) 358
Tomogram – pituitary fossa AP/lateral
(30%)
Mammogram
Mammography up to four views (35%)
Mammography and one additional view
(35%)
Mammography and two additional views
(35%)
Mammography and limited ultrasound
additional (35%)
195
230
265
295
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%)
Brain (with non-ionic contrast) (35%)
Brain complex CT (50%)
Abdomen (without contrast) (30%)
Abdomen (with non-ionic contrast) (35%)
Abdomen two phases (40%)
Abdomen three phases (40%)
Abdomen four phases (40%)
Abdomen complex (40%)
Pelvis (without contrast) (30%)
Pelvis (with non-ionic contrast) (35%)
Pelvis complex (50%)
Spines – cervical or lumbar (without
contrast) (30%)
Spines – cervical or lumbar (with
intraspinal non-ionic contrast (50%)
Spine complex (50%)
Spines – thoracic (without contrast) 30%
Spines – thoracic (with intraspinal nonionic contrast) (50%)
Spine complex (50%)
Chest (without contrast) (30%)
Chest (with non-ionic contrast) (35%)
Chest complex (50%)
Low dose screening CT of the chest (30%)
High resolution computerised tomography
(HRCT) – inspiratory or expiratory (30%)
HRCT – inspiratory plus expiratory (40%)
Neck/Thyroid (without contrast) (30%)
136
400
490
630
400
515
630
745
915
860
345
460
570
400
745
860
460
745
860
345
460
570
285
345
515
345
P.U. (A) 358
Neck/Thyroid (with non-ionic contrast)
(30%)
Postnasal space and neck (without
contrast) (30%)
Postnasal space and neck (with non-ionic
contrast) (30%)
Postnasal space complex (50%)
Orbits (Without contrast) (20%)
Orbits (With non-ionic contrast) (25%)
Orbits complex (50%)
Pituitary fossa (Without contrast) (20%)
Pituitary fossa (With ionic contrast) (25%)
I.A.M. (Without contrast) (20%)
I.A.M. (Without non-ionic contrast) (25%)
Total body scan (brain, neck, chest,
abdomen and pelvis) (without contrast)
(20%)
Total body scan (with non-ionic contrast)
(25%)
Total body scan complex (50%)
Chest, abdomen and pelvis (without
contrast) (20%)
Chest, abdomen and pelvis (with non-ionic
contrast) (25%)
Chest, abdomen and pelvis complex (50%)
Spiral CT of abdomen and pelvis for renal
calculi (without intravenous (IV) contrast)
(30%)
Single plane high resolution CT of the
parasanal sinuses for sinusitis (without
contrast) (20%)
Single plane CT of the paranasal sinuses
(without contrast) (20%)
Single plane CT of the parasanal sinuses
(with non-ionic contrast) (25%)
Abdomen and pelvis (without contrast)
(30%)
Abdomen and pelvis (with contrast) (35%)
Abdomen and pelvis complex (50%)
Chest and upper abdomen (without
contrast) (30%)
Chest and upper abdomen (with contrast)
(35%)
Chest and upper abdomen complex (50%)
CT two system (not listed above) (without
contrast) (30%)
137
460
515
630
745
345
460
345
460
345
460
1030
1145
1260
915
1030
1145
345
230
345
460
685
800
915
685
800
915
685
P.U. (A) 358
CT two system (not listed above) (with
contrast) (35%)
CT two system (not listed above) (complex)
(50%)
CT extremities (without contrast) (one
region) (30%)
CT extremities (with contrast one region)
(35%)
CT extremities complex (50%)
Ultrasound
Upper abdomen (40%)
Pelvis (40%)
Abdomen and pelvis (50%)
Kidneys and bladder (40%)
Kidneys and bladder plus residual urine
volume estimation (50%)
Brain (neonatal) (40%)
Detailed ultrasound scan of foetus
Thyroid (40%)
Breast (40%)
Doppler ultrasound of extra-cranial
carotids (50%)
Doppler ultrasound of arteries per region
(50%)
Doppler ultrasound of veins single limb
(50%)
Doppler ultrasound of veins two limbs
(50%)
Doppler ultrasound of arteries for single
limb (50%)
Doppler ultrasound of arteries for two
limbs (50%)
Musculoskeletal ultrasound per region
(40%)
Ultrasound scrotum (40%)
Doppler ultrasound for scrotum (50%)
Doppler ultrasound for other organs (per
organ) not listed above (50%)
Endocavitary ultrasound (50%)
Heart ultrasound for pericardial disease
Surcharge for each portable ultrasound
(payable to radiologist during normal
working hours)
Surcharge for each portable ultrasound
(payable to radiologist after normal
working hours)
138
800
915
400
515
630
170
135
230
115
135
135
285
115
160
400
285
285
460
345
515
170
115
230
345
170
90
55
170
P.U. (A) 358
Screening
Endoscopic retrograde cholangio
pancreatography (ERCP) (30%)
(screening and reporting only) – simple
ERCP (30%)
(screening and reporting only) – complex
230
345
Magnetic Resonance Imaging (MRI)
Brain
Brain (without contrast)
Brain (with contrast)
Brain
with
magnetic
resonance
angiography (MRA) (Intracranial)
Brain with MRA plus contrast
Brain with MRA plus bilateral carotids plus
contrast
MRA intracranial or extracranial carotids
Brain MRV – simple
Brain MRV – complex
Pituitary (without contrast)
Pituitary (with contrast)
Pituitary (with contrast dynamic)
I.A.M (without contrast)
I.A.M (with contrast)
I.A.M plus brain (without contrast)
I.A.M plus brain (with contrast)
800
1030
1375
1600
2060
800
800
1030
800
1030
1375
800
1030
1375
1600
Orbit
Orbits (without contrast)
Orbits (with contrast)
Orbits and brain (without contrast)
Orbits and brain (with contrast)
800
1030
1375
1600
Neck
Neck (without contrast)
Neck (with contrast)
Neck and brain (without contrast)
Neck and brain (with contrast)
Brachial plexus (without contrast)
Brachial plexus (with contrast)
800
1030
1485
1715
915
1145
Thorax
Mediastinum (without contrast)
Mediastinum (with contrast)
800
1030
139
P.U. (A) 358
Cardiac
Cardiac MRI – simple
Cardiac MRI – intermediate
Cardiac MRI – complex
Thoracic MRA – simple
Thoracic MRA – intermediate
Thoracic MRA – complex
Pulmonary MRA – simple
Pulmonary MRA – intermediate
Pulmonary MRA – complex
(surcharge for each 10 ml of intravenous
(IV) MRI contrast agent)
Upper Abdomen
Upper abdomen – simple
Upper abdomen – intermediate
Upper abdomen – complex
Magnetic resonance cholangio
pancreaticography (MRCP)
Magnetic resonance urography
Upper abdomen MRA – simple
Upper abdomen MRA – intermediate
Upper abdomen MRA – complex
(surcharge for each 10 ml of intravenous
Pelvis
Pelvis – simple
Pelvis – intermediate
Pelvis – complex
MRI pelvimetry
(Surcharge for each 10 ml of intravenous
Spine
MRI whole spine (without contrast) (for
cord compression)
MRI whole spine (with contrast) (for cord
compression)
MRI cervical spine (without contrast)
MRI cervical spine (with contrast)
MRI thoracic spine (without contrast)
MRI thoracic spine (with contrast)
MRI lumbar spine (without contrast)
MRI lumbar spine (with contrast)
140
1145
1715
2290
1030
1260
1485
1030
1260
1485
285
1030
1260
1485
800
800
1030
1260
1485
285
1030
1260
1485
570
285
1600
1830
1030
1375
1030
1375
1030
1375
P.U. (A) 358
Joints (shoulder, sternoclavicular, elbow, wrist, hip, sacro-iliac, knee, ankle, subtarsal)
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)
MRI single region (with contrast)
MRI Arthrography (radiologist fee)
1145
1490
345
(q) Radiotherapy and oncology
External irradiation treatment (linear accelerator)
Usually entails daily treatment 5 times
weekly at 200cGy per treatment
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
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)
Interstitial treatment
- (e.g: implants inclusive of source and
other applicators)
High dose rate intracavitary/intraluminal
radiotherapy for complete treatment (not
inclusive of applicators)
Cytotoxic therapy (excluding consultation)
Infusion
Prolonged Infusion
Progressive chemotheraphy per day
(Multiple days)
170
115 - 345
2860 - 5720
3430 - 5720
2290 - 5720
570 - 860
685 - 1030
170 - 285
(r) Skin and subcutaneous tissue
Lesions of skin
Coccygeal pressure ulcer excision
Microscopically controlled excision of
865
2480
141
685
820
P.U. (A) 358
lesion of skin or subcutaneous tissue
(Moh's chemosurgery)
Malignant melanoma excision including
grafting
Excision of lesion of skin or subcutaneous
tissue – up to three excision
Excision of lesion of skin or subcutaneous
tissue – four or more excision
Lesion requiring wide excision including
rodent ulcer excision
Curettage/cryotherapy of lesions of skin
including cauterisation – four or more
Laser destruction of lesion of skin
Shave biopsy of lesion of skin
Removal of foreign body in deeper tissue
Drainage of lesion of skin including abscess
Drainage of large subcutaneous
abscess/haematoma
Limited area dermabrasion of skin
Extensive dermabrasion of skin
Excision of nail bed (Zadeks)
Repair
Primary suture of wound with involvement
of deeper tissue
Secondary suture of skin
Insertion/removal of skin expander into
tissue
Debridement of wound (and surgical toilet)
Burns
Escharectomy
of
burnt
skin
or
subcutaneous tissue (not more than 10%)
Escharectomy
of
burnt
skin
or
subcutaneous tissue (greater than 10%)
Extensive dressing of burn of skin or
subcutaneous tissue
Transplant
Distant flap of skin and muscle
Neurovascular island flap
Large local flap including myocutaneous
and fascia
Small local flap
Grafts
Split autograft of skin – small site
142
2145
685
405
405
1000
505
1000
405
1000
315
580
315
725
370
580
265
265
355
265
405
580
1000
725
315
435
435
1340
625
370
1340
315
505
480
315
1340
435
1760
760
480
625
1890
2390
1760
940
940
505
1760
505
1000
505
P.U. (A) 358
Split autograft of skin – large site
Full thickness graft
Microvascular free tissue transfer
2040
1160
3600
685
685
1550
3600
1320
3600
1320
3600
1320
4750
1320
4750
1320
4750
1320
4750
1320
5970
1815
5970
1550
(s) Spine, spinal cord and peripheral nerves
Cervical region
Primary posterior decompression including
fusion
Primary posterior decompression with
fusion and instrumentation
Open door laminoplasty of the cervical
region (Hirobyashi)
Revision
posterior
decompression
including fusion
Revision posterior decompression with
Revision anterior decompression including
fusion
Revision anterior decompression with
Combined anterior and posterior fusion of
cervical spine including instrumentation
Trans oral surgery including posterior
fixation
Endoscopic discectomy
Cervical laminectomy
Decompression and fusion of craniocervical
junction
Primary posterior excision of cervical disc
Revision
posterior
excision
of
intervertebral disc(s) including fusion
Revision posterior excision of
intervertebral disc(s) with fusion and
instrumentation
Primary anterior excision of disc(s)
including fusion
Primary anterior excision of disc(s) with
fusion and Instrumentation
Revision anterior excision of disc(s)
including fusion
Revision anterior excision of disc(s) with
143
7030
3600
7030
2895
4750
1320
1320
4750
1320
3600
1320
3600
1320
4750
1550
4750
1550
P.U. (A) 358
Thoracic region
Primary transthoracic/posterior/anterolateral excision of intervertebral disc(s)
including fusion
Primary transthoracic/posterior/anterolateral excision of intervertebral disc(s)
with fusion and instrumentation
Primary posterior decompression including
fusion
Revision posterior decompression
including fusion
Primary anterior/transthoracic
decompression including fusion
Primary anterior/transthoracic
decompression with fusion and
instrumentation
Revision anterior/transthoracic
decompression including fusion
Lumbar region
Primary posterior excision of
Primary posterior excision of
instrumentation including graft
stabilisation
instrumentation
Primary transabdominal/retroperitoneal
excision of intervertebral disc(s) including
Revision anterior excision of intervertebral
disc(s) including fusion
Revision anterior excision of intervertebral
disc(s) with fusion and instrumentation
Primary posterior decompression on spine,
including fusion
144
2895
1320
2705
1320
3600
1320
3600
1320
4750
1320
4750
1320
4750
1320
4750
1320
4750
1320
2390
940
3600
1550
2895
1125
4750
1550
3600
1320
4750
1550
4750
1550
2895
985
2895
985
P.U. (A) 358
Primary anterior decompression including
fusion
Primary anterior decompression with
Revision anterior decompression with
Combined anterior and posterior
decompression including fusion and
instrumentation
Posterior spinal fusion with
instrumentation for scoliosis, kyphosis,
fractures, tumours or infection
Anterior spinal fusion with instrumentation
for scoliosis, kyphosis, fractures, tumours
or infection
Percutaneous (or laser) discectomy
Microdiscectomy
Revision microdiscectomy
Removal of correctional instrumentation
from spine
Exploration of spine including biopsy
Manipulation of spine
Chemonucleoysis
2895
1125
3600
1550
3600
1550
4750
1815
5970
1815
5970
2110
7030
2500
2145
2390
2895
1565
940
940
1125
625
1890
580
1160
685
405
435
4750
4750
3600
4750
2705
1550
1550
1320
1550
820
370
265
4750
1550
Nerve roots
Rhizolysis (open)
Open sympathectomy
Endoscopic sympathectomy
2706
7030
7030
820
Symphathetic nerves
Thorascopic cervical sympathectomy
Laparoscopic lumbar sympathectomy
Presacral sympathectomy
Selective posterior rhizotomy
2705
1890
1565
7030
820
760
685
Spinal cord
Partial excision of spinal cord
Open operation on spinal cord
Repair of spinal myelomeningocele
Excision of intradural lesion
Drainage of spinal canal including insertion
of shunt
Lumbar
puncture
including
spinal
manometry
Excision of intramedullary tumour
145
P.U. (A) 358
Peripheral nerves
Excision of peripheral nerve
Transection of peripheral nerve
Neurectomy (major nerve)
Excision of lesion of peripheral nerve
Excision of lesion (major nerve)
Primary repair of peripheral nerve
including microsurgery
Secondary repair of peripheral nerve
including microsurgery
Primary graft to peripheral nerve
Secondary graft to peripheral nerve
Primary repair of peripheral nerve
Secondary repair of peripheral nerve
Primary repair of nerve trunk
Secondary repair of nerve trunk
Carpal or cubital tunnel release including
endoscopic
Carpal or cubital tunnel release including
endoscopic – bilateral
Release of entrapment of deeply placed
peripheral nerve
Release of entrapment of peripheral nerve
Neurolysis and transposition of peripheral
nerve
Revision of release of peripheral nerve
Implantation of neurostimulator into
peripheral nerve
Biopsy of peripheral nerve
Exploration and grafting of brachial plexus
Pain relief
Paravertebral block up to two levels (under
X-ray control)
Sacral root block (under X-ray control)
Intravenous regional sympathetic block
(guanethidine block) – one injection
Intravenous regional sympathetic block
(guanethidine block) - course of three
Stellate ganglion block (local anaesthethic
(LA))
Stellate ganglion block (neurolytic)
Coeliac plexus block (LA or neurolytic)
Splanchnic nerve block – bilateral (local
anaesthethic or neurolytic)
Dorsal root ganglion block (LA or
neurolytic)
146
865
865
1340
1000
1340
2040
435
435
505
435
505
820
2145
760
2390
2390
865
1160
1000
1565
865
760
685
505
435
505
505
435
1565
760
865
435
865
1000
435
505
1565
2040
505
315
865
1000
355
570
580
580
480
1000
480
580
1160
1160
1000
P.U. (A) 358
Dorsal root ganglion block (local
frequency)
Intrathecal neurolysis
Trigeminal ganglion injection (LA under Xray control)
Trigeminal ganglion radio frequency lesion
(under X-ray control)
Percutaneous cordotomy of spinal cord
Epidural injection (cervical)
Epidural injection (lumbar)
Epidural injection (thoracic)
Injection of therapeutic substance into CSF
Facet or sacroiliac joint radio frequency
(RF)
thermocoagulation
including
rhizolysis (under X-ray control with
sedation/GA) – 3 joints
Facet or sacroiliac joint radio frequency
(RF)
thermocoagulation
including
rhizolysis (under X-ray control with
sedation/GA – 6 joints
Facet joint injection (under X-ray control
with sedation/GA) – 2 joints
Implantation of neurostimulator into
peripheral nerve
Peripheral nerve lesion (radio frequency,
cryoprobe or phenol)
LA blockade of major nerve trunk
Lumbar sympathectomy - diagnostic (LA
under X-ray control)
Thoracic sympathectomy - diagnostic (LA
under X-ray control)
Lumbar sympathectomy - therapeutic
(neurolytic under X-ray control)
Thoracic sympathectomy - therapeutic
(neurolytic under X-ray control)
Cryotherapy to pituitary gland
Injection(s) into large joint(s) under X-ray
control
Neurophysiological procedures
Electro-convulsive therapy (ECT)
Electroencephalography (EEG)
147
1565
315
1160
1160
2145
2705
725
580
725
370
1160
940
265
265
265
820
405
2040
685
725
265
865
315
1000
355
2040
315
725
370
1000
1000
1340
405
1565
435
2570
480
940
315
315
265
P.U. (A) 358
Recording and reporting on evoked
potential study
Recording
and
reporting
on
electromyography and nerve conduction
studies (EMG)
Trans tympanic electrocochleography
580
580
725
(t) Thorax and intra-thoracic organs
Oesophagus
Thorascopic oesophageal mobilisation via
mediastimum
Oesophagogastrectomy
Total oesophagectomy and interposition of
intestine
Open excision of lesion of oesophagus
Bypass of oesophagus
Revision of oesophageal anastomosis
Closure of bypass of oesophagus
Transthoracic repair of oesophagus
Thorascopic repair of oesophagus
Oesophagocardiomyotomy (Heller's
operation)
Thorascopic oesophagogastric myotomy
varices
Transthoracic repair of hiatus hernia
Transthoracic repair of diaphragmatic
hernia
Transabdominal repair of hiatus hernia
Transabdominal repair of diaphragmatic
hernia
Transabdominal anti-reflux operations
Revision of anti-reflux operations
Chest wall
Thoracoplasty
Excision of chest wall tumour
Correction of pectus deformity of chest wall
Multiple fracture fixation
Exploratory median sternotomy
Exploratory thoracotomy
Resection of rib and open drainage of
pleural cavity
Repair of rupture of diaphragm
Plication of paralysed diaphragm
148
4750
1815
5970
7030
2500
3305
1890
2480
2705
2145
3600
2895
2040
1125
1550
1320
1125
1320
1320
985
2145
1000
985
685
2305
2305
940
940
2145
2895
760
820
2145
2895
3600
760
820
1320
2705
2390
2895
2305
1160
1565
1565
985
940
940
940
760
760
760
2895
2390
1125
985
P.U. (A) 358
Repair of congenital diaphragmatic hernia
Trachea
Partial excision of trachea including
reconstruction
Tracheoplasty
Open placement of prosthesis in trachea
Tracheostomy
Insertion of mini-tracheostomy
Thoracotomy, ligation of Tetralogy of
Fallot (TOF) oesophageal anastomosis
Thoracotomy, ligation of TOF, cervical
oesophagostomy
Cervical oesophagostomy and gastrectomy
Fibreoptic endoscopic procedures under
topical anaesthesia
Fibreoptic examination of trachea and
bronchus including biopsy/removal of
foreign body
Bronchial
lavage
(diagnostic
or
therapeutic)
Dilatation of tracheal stricture including
insertion of stent
Dilatation of bronchial stricture by
fibreoptic bronchoscope
Transbronchial biopsy
Bronchus, lungs and pleura
Diagnostic examination of bronchus using
rigid bronchoscope including
biopsy/removal of foreign body/dilatation
of stricture
Total pneumonectomy
Open lobectomy of lung including excision
of segment
Lung resection with resection of chest wall
Thorascopic lung resection including video
assisted
Open excision of lesion of lung
Needle biopsy of lung
Decortication of pleura or lung
Pleurectomy for pneumothorax
Open excision/biopsy of lesion of pleura
Endoscopic excision of lesion(s) of
lung/pleura
149
2705
1550
3600
2110
1760
1760
1000
580
4750
625
505
570
405
4750
2305
725
505
865
865
1000
1000
1000
505
3600
3600
1550
1550
5970
1890
1815
685
2895
480
2895
2480
2705
1000
1320
315
1125
985
940
505
P.U. (A) 358
Thoracoscopy
(plus/minus
biopsy)
pleura/lung
Drainage of pleural cavity
Insertion of tube drain into pleural cavity
Introduction of substance into pleural
cavity with chest drain
Biopsy of pleura
Lung transplant
Lung volume reduction surgery
Mediastinum
Thymectomy
Exploration of mediastinum
Endoscopic
excision
of
lesion
mediastinum
Diagnostic endoscopic examination
mediastinum
580
505
580
580
315
315
315
265
580
7030
4750
315
3305
2500
of
2145
1160
1340
1550
760
505
of
1340
505
7030
7030
3305
3305
7030
3305
7030
3305
7030
3305
7030
7030
2895
2930
2930
2500
7030
7030
7030
3305
3305
2930
7030
7030
2930
2930
7030
7030
2930
2930
7030
7030
4750
2705
2930
2930
2500
2110
Heart-cardiac surgery
Correction of Tetralogy of Fallot (TOF)
Atrial inversion for transposition of great
vessels
Other correction of transposition of great
vessels
Correction of total anomalous pulmonary
venous connection
Closure of defect of atrioventricular septum
using dual prosthetic patches
Closure of defect of interatrial septum
Closure of defect of interventricular septum
Therapeutic transluminal operation on
septum of heart
Creation of valved cardiac conduit
Excision of cardiac tumour
Replacement of mitral valve including
valvuloplasty
Plastic repair of mitral valve
Replacement of aortic valve including
valvuloplasty
Replacement of tricuspid valve
Replacement of pulmonary valve including
valvuloplasty/valvotomy
Replacement of unspecified valve of heart
Open valvotomy
Closed valvotomy (mitral/pulmonary)
Therapeutic transluminal operation on
valve of heart
150
P.U. (A) 358
Removal of obstruction from structure
adjacent to valve of heart
Autograft bypass for coronary arteries
including harvesting of grafts and
endarterectomy
Redo of bypass for coronary arteries
including harvesting of grafts
Correction of anomalous coronary arteries
Open operation on conducting system of
heart
Repair of ventricular aneurysm
Excision of pericardium
Decompression of cardiac tamponade
Incision of pericardium
Midcab coronary artery bypass grafts
without cardio-pulmonary bypass pump
Minimally invasive open heart surgery with
cardio-pulmonary bypass pump
Ventricular assist device
Heart transplant
Heart-cardiology
Percutaneous transluminal angioplasty of
coronary arteries including laser
Percutaneous transluminal angioplasty
with stent insertion
Map guided surgery for ventricular
arrhythmias including mapping
Percutaneous transluminal ablation of
atrio-ventricular node
accessory pathway including mapping
Mapping of conducting system (in
isolation)
Cardiac pacemaker system introduced
through vein (single chamber)
Cardiac pacemaker system introduced
through vein (dual chamber)
Resiting of intravenous cardiac pacemaker
system
Replacement of generator for intravenous
cardiac pacemaker system
Removal of pacing system with bypass
Removal of pacing system without bypass
Implantation of automatic cardioverter/
defibrillator
151
7030
2930
7030
2930
7030
3305
7030
7030
3305
2930
5970
3600
2305
1340
7030
2930
1125
985
985
3305
7030
3305
7030
7030
3305
3305
2895
1550
3600
1550
2705
3305
2390
985
4750
1550
1565
820
1565
820
2145
820
1340
685
1760
760
4750
580
3600
2500
940
940
P.U. (A) 358
Adult cardiac catheterisation including
coronary arteriography/catheterisation of
right/left side of heart/contrast radiology
Paediatric cardiac catheterisation
Pericardiocentesis
Percutaneous transluminal peripheral
angioplasty (femoral, iliac, renal, popliteal,
subclavian, other distal vessels)
Percutaneous transluminal peripheral
angioplasty with stent placement
Percutaneous transluminal carotid
angioplasty with stent placement
ventricular tachycardia
Percutaneous transluminal modification of
atrioventricular node
Percutaneous transluminal occlusion of
coronary fistula/arteriovenous (AV)
malformation
Great vessels
Correction of truncus arteriosus
Closed ligation of patent ductus arteriosus
Percutaneous transluminal prosthetic
occlusion of patent ductus arteriosus
Creation of shunt to pulmonary artery from
aorta using tube prosthesis
Connection to pulmonary artery from aorta
Creation of shunt to pulmonary artery from
subclavian artery using interposition tube
prosthesis
Connection to pulmonary artery from
subclavian artery
Repair of pulmonary artery
Open operation on pulmonary artery
Pulmonary embolectomy
Transluminal operation on pulmonary
artery
Emergency replacement of aneurysmal
segment of ascending aorta
segment of arch of aorta
segment of thoracic aorta
Planned replacement of aneurysmal
segment of ascending aorta
152
1340
760
1565
1340
2705
820
685
1550
2895
1550
4750
1550
3600
1550
2480
985
3600
1550
4750
3600
2895
3305
2110
1125
5970
2110
5970
4750
2110
2110
5970
2110
7030
3600
5970
2705
2110
2110
3305
1550
7030
3305
7030
3305
7030
3305
4750
2930
P.U. (A) 358
segment of arch of aorta
segment of thoracic aorta
Replacement
of
thoracoabdominal
aneurysms
Revision of prosthesis of abdominal aorta
Excision of infected aortic graft with bypass
Plastic repair of aorta
Percutaneous
transluminal
balloon
operation on aorta
Others
Proximal gastric vagotomy
Highly selective vagotomy
Vagotomy with pyloroplasty
External cardioversion
Transoesophageal echocardiography
Coronary angioplasty standby team
7030
3305
7030
3305
7030
3305
4750
7030
4750
1760
2110
3305
1815
625
2040
2040
2145
315
1000
315
685
685
820
315
435
355
4750
2390
2500
1125
2390
2040
2040
2040
2145
2040
2305
2390
1760
1760
1890
1760
1890
820
760
820
820
820
685
760
685
760
760
685
685
685
3600
985
2040
685
(u) Urinary system and male reproductive
organs
Kidney/renal pelvic
Transplantation of kidney
Nephrectomy and excision of perirenal
tissue
Nephro-ureterectomy
Excision of rejected transplanted kidney
Nephrectomy (and bilateral)
Laparoscopic nephrectomy
Partial excision of kidney
Open pyeloplasty
Repair of kidney wound
Open removal of calculus from kidney
Drainage of kidney
Drainage of pyonephrosis
Other open operation on kidney
Drainage of perinephric abscess
Endoscopic fragmentation of calculus of
kidney
Percutaneous nephrolithotomy including
cystoscopy and retrograde catheterisation
kidney including biopsy and other
therapeutic procedures
153
P.U. (A) 358
Percutaneous fine needle biopsy of lesion
of kidney
Percutaneous insertion of nephrostomy
tube
Percutaneous tru-cut needle biopsy of
lesion of kidney
Extracorporeal fragmentation of calculus of
kidney (Lithotripsy) – single treatment
Extracorporeal fragment of calculus of
kidney-stone free/course of treatment
Laparoscopy removal of renal cyst
Open stone surgery for horseshoe kidney
Pyeloplasty for horseshoe kidney
Ureter
Excision of segment of ureter
Construction of ileal conduit including
ureteric implantation
Bilateral replantation of ureter into bowel
Unilateral replantation of ureter into bowel
Bilateral replantation of ureter into bladder
Unilateral replantation of ureter into
bladder
Other connection of ureter
Ileal or colonic replacement of ureter
Ureterostomy – closure
Open correction vesico-ureteric reflux
– unilateral
Open correction vesico-ureteric reflux
– bilateral
Open ureterolithotomy
Ureterolysis – unilateral
Ureterolysis – bilateral
Therapeutic nephroscopic operations on
ureter
Ureteroscopic extraction of calculus of
ureter
Endoscopic insertion of prosthesis into
ureter
Removal of prosthesis from ureter
Ureteric meatotomy
Endoscopic examination of ureter
Endoscopic retrograde pyelography
Extracorporeal shockwave lithotripsy of
calculus of ureter
Operation on ureteric orifice
Endoscopic meatotomy of ureteric orifice
154
480
355
1340
405
865
1160
505
1565
625
2040
3600
3600
760
1760
2390
625
985
2705
2145
2480
1890
940
820
940
820
2145
2895
2145
2145
820
940
685
685
3600
985
1890
2145
2570
1760
685
685
1320
820
1340
435
1000
435
480
480
865
865
1160
435
265
435
435
685
725
725
505
505
P.U. (A) 358
Ureterscopic biopsy of lesion
Continent urinary diversion
Substitution cystoplasty
Transureteroureterostomy
Endoscopic insertion of
prosthesis into ureter
permanent
Bladder
Endoscopic anti-reflux procedure (and
bilateral)
Total cystectomy (with construction of
intestinal conduit or bladder)
Partial cystectomy
Diverticulectomy of bladder
Enlargement of bladder
Repair of bladder
Repair of vesicocolic fistula
Repair of cutaneous vesical fistula
Cystostomy and insertion of suprapubic
tube into bladder
Stab cystotomy
Open removal of calculus from bladder
Open excision of lesion from bladder
Endoscopic resection of lesion of bladder
Endoscopic destruction of lesion of bladder
Endoscopic transection of bladder
Endoscopic hydrostatic distention of
bladder
Sphincterotomy
Litholapaxy
Endoscopic extraction of calculus of
bladder
Endoscopic removal of foreign body from
bladder
Resection of bladder neck
bladder including any biopsy
Urodynamic studies/urodynamic
assessment
Closure of cystostomy
Combined abdominal and vaginal
operations to support outlet of female
bladder
Suprapubic sling operation
Retropubic suspension of neck of bladder
Vaginal operation to support outlet of
female bladder
155
1565
4750
4750
2705
2145
570
1340
505
4750
1550
2040
1760
2895
2145
2305
1160
725
685
685
820
685
820
820
625
315
1340
1890
1890
865
1890
405
265
505
685
685
435
685
265
1160
1760
1000
435
685
435
1000
435
1340
580
435
315
580
865
1890
435
685
1890
1890
1890
760
685
685
P.U. (A) 358
Implantation of artificial urinary sphincter
into bladder and/or removal
Dilatation of outlet of female bladder (with
cystoscopy)
Endoscopic incision of outlet of male
bladder (with cystoscopy)
Repair of vesico-vaginal fistula
Endoscopic vesico-lithotripsy of bladder
stone
Cystoscopy with biopsy
Endoscopic resection of deep invasive
tumour of bladder
Continent pouch/neo bladder
Combined abdomino-perineal closure of
vesico-vaginal fistula
Urethra
Urethrocele
Excision of urethral caruncle
Therapeutic endoscopic operations on
outlet of female bladder
Urethrectomy
Urethral valve resection
Repair of hypospadias
Repair of epispadias
Closure of fistula of urethra
Repair of urethrorectal fistula
Urethroplasty (simple)
Urethroplasty (complex)
Repair of rupture of urethra
Excision of diverticulum of urethra
Excision of prolapse of urethra
Therapeutic endoscopic operation on
urethra
Removal of foreign body from urethra
urethra in isolation
Dilatation of urethra
Internal urethrotomy including cystoscopy
Closure of bladder exostrophy
Closure of cloacal exostrophy
Repair of hypospadias – mild
Repair of hypospadias – moderate
Repair of hypospadias – severe
Prostate
Open excision of prostate
156
2145
685
580
355
1340
435
2145
1760
820
625
1000
2145
405
4750
4750
2500
1160
370
725
505
265
405
1760
1565
2040
2480
865
1760
1760
2040
2040
1160
480
865
685
505
685
685
505
685
625
685
685
505
405
435
405
405
435
265
315
865
5970
7030
2305
2895
3600
355
435
2040
685
P.U. (A) 358
Radical prostatectomy, reconstruction of
bladder neck including bilateral pelvic
lymphadenectomy
Open biopsy of lesion of prostate
Endoscopic resection of prostate (TURP)
Endoscopic biopsy of prostate
Transurethral microwave therapy
Drainage of prostatic abscess
Prostatic hyperthermia (up to six courses)
Prostate, needle biopsy
Transrectal ultrasound and biopsy
Insertion of urethral stent for relief of
prostatic obstruction
Genitalia
Meatoplasty
External meatotomy of urethral orifice
Bilateral excision of testes
Laparoscopic orchidectomy
Orchidectomy and excision of spermatic
cord
Excision of lesion of testis
Orchidopexy – bilateral
Microvascular transfer of testis to scrotum
Orchidopexy
Abdominal undescended testis
Prosthesis of testis (insertion or removal)
Correction of hydrocele
Fixation of testis
Biopsy of testis
Exploration of testis including biopsy
Bilateral fixation of testis
Bilateral epididymectomy
Unilateral epididymectomy
Excision of epididymal cyst
Operation on varicocele
Vasography
Operation on seminal vesicle
Total amputation of penis
Partial amputation of penis
Operation for Peyronie's disease
Reconstruction of penis
Repair of avulsion on penis
Repair of injury on penis
Division of preputial adhesions
Circumcision
Biopsy of lesion of penis
157
4750
1550
865
2040
865
1565
1340
1565
405
580
1890
685
760
435
570
505
570
265
725
580
1760
1340
1340
355
265
625
435
435
725
1760
2305
1000
1565
725
725
865
580
865
865
1340
865
865
865
370
1565
2145
1565
1160
1760
2145
1340
405
725
405
505
820
820
505
625
405
435
435
315
435
505
570
505
505
505
315
505
685
685
435
685
685
505
265
405
265
685
P.U. (A) 358
Penile prosthesis (simple – rod only)
Penile prosthesis (complex – three pieces)
Vasectomy reversal – bilateral
(microscopic)
Vasectomy reversal – bilateral
(macroscopic)
Epididymo-vasostomy (macroscopic)
Epididymo-vasostomy (microscopic)
Tenchkoff
Tenchkoff and adhesiolysis
Transrectal ultrasound (diagnostic)
Transrectal ultrasound and systematic
prostate biopsy
Excision and grafting for Peyronie’s disease
Other
Block dissection of para-aortic lymph
nodes
1890
2895
1760
685
1815
625
1890
685
1890
2040
1340
1890
580
1000
685
760
2705
2570
760
4750
4750
3600
1550
1550
1550
4750
2895
1550
1320
4750
1550
4750
4750
1565
1550
1550
685
2895
2895
4750
1550
1550
1815
5970
1815
4750
1760
2110
625
(v) Vascular system (other than intrathoracic)
Head and neck
Bypass of carotid artery from the arch
Carotid endarterectomy
Reconstruction of carotid artery (vein
patch and bypass)
Bypass of subclavian artery from the arch
Bypass of subclavian artery – extrathoracic
Endarterectomy and patch repair of
subclavian artery
Renal
Endarterectomy of renal artery
Reconstruction of renal artery
Transluminal operation on renal artery
Abdominal vessels
Axillo-femoral bypass
Axillo-bifemoral bypass
Infrarenal abdominal aortic aneurysm tube
graft
Infrarenal abdominal aortic aneurysm
bifurcation graft
Revision of prosthesis of abdominal aorta
Pecutaneous
transluminal
balloon
operation on aorta
158
P.U. (A) 358
Carotid endarterectomy (with patch)
Endarterectomy and patch repair of
visceral branch of abdominal aorta
Other open operations on other visceral
branch of abdominal aorta
Ileo-femoral vessels
Aorto-iliac, aorto-femoral, ileo-femoral
bypass
Aorto-bifemoral bypass
Endarterectomy and patch repair of iliac
artery
Open operation on iliac artery
Transluminal operation on iliac artery
Femoro-femoral bypass
Femoro-popliteal bypass using prosthesis
and/or vein and/or vein cuff/patch
Femoro-distal calf bypass using prosthesis
and/or vein and/or vein cuff/patch
Endarterectomy of femoral artery
Reconstruction/bypass
for
popliteal
aneurysm
Transluminal procedures on femoral artery
Revision of femoral bypass graft
Non-specific
Revision of reconstruction of artery
Biopsy of artery including temporal
Repair of artery
Micro-arterial or micro-venous graft
Repair of artery using vein graft
Microsurgical repair of artery
Open embolectomy of artery
Percutaneous transluminal angioplasty
of artery
Creation of arteriovenous (AV) fistula
including subsequent closure
Excision of AV malformation
Repair of acquired AV fistula
Repair of AV fistula
Creation of peritoneo-venous shunt
(Levine/Denver)
Open removal of thrombus from vein
Insertion of Hickman line, tunnelled central
line, etc.
Insertion of portocath/vasoport unit
Isolated limb perfusion
159
5970
5970
2110
5970
2110
4750
1550
4750
3600
1550
1550
3600
1340
2895
3600
1550
505
1320
1550
3600
1550
2895
3600
1125
2110
1565
2705
505
1320
3600
580
2305
4750
2705
2705
2570
1340
940
265
685
1550
940
985
940
625
1340
820
7030
2895
2895
1340
2110
985
1125
435
2145
725
685
505
1000
2705
405
1320
P.U. (A) 358
Varicose veins
Ligation/stripping of long or short
saphenous vein including local
excision/multiple phlebectomy
Ligation/stripping of long or short
saphenous vein including local
excision/multiple phlebectomy – bilateral
Operation for recurrent varicose veins
Operation for recurrent varicose veins –
Bilateral
Ligation/stripping of long and short
saphenous veins including local
excision/multiple phlebectomy
Local excision (multiple phlebectomy) of
varicose vein(s) of leg
Ligation/stripping of long and short
saphenous
veins
including
local
excision/multiple phlebectomy – bilateral
Venography – bilateral
vein/or cuff/patch
Creation of arteriovenous fistula using
prosthesis/graft
Lymphatic
Block dissection of cervical lymph nodes
(not included in other procedures)
Block dissection of axillary lymph nodes
Block dissection of para-aortic lymph
nodes
Block dissection of inguinal lymph nodes
Block dissection of pelvic lymph nodes (not
included in other procedures)
Biopsy/sampling of cervical lymph nodes
Biopsy/sampling of axillary lymph nodes
Biopsy/sampling of inguinal lymph nodes
Excision biopsy of lymph node
Excision biopsy of scalene lymph node
Drainage of lesion of lymph node
Operation on lymphatic duct
Excision of cystic hygroma
1340
505
2145
820
2145
3600
760
1125
2145
760
725
505
3600
1125
405
4750
5970
3600
2895
940
1760
2570
625
760
1760
2040
685
760
405
405
405
725
725
480
2305
1565
505
315
405
435
435
265
820
760
725
505
(w) Bones, joints, etc. (not listed elsewhere)
Connective tissue/tendon muscles
Plantar fasciectomy
160
P.U. (A) 358
Excision of lesion of fascia
Other operations of fascia
Excision of ganglion, including repeat
excision
Excision of bursa
Transfer of tendon
Transfer of multiple tendons
Excision of lesion of tendon
Tendon graft, as sole procedure
Secondary repair of tendon including graft,
transfer and/or prosthesis
Tenolysis, other than flexor
Percutaneous tenotomy
Lengthening of tendon(s), including
tenotomy
Tenosynovectomy, including arthroscopic
Release of constriction of sheath of tendon
Limited repair of muscle that is not more
than 2cm tear (e.g: rotator cuff) including
arthroscopic
Extensive repair of muscle that is greater
arthroscopic
Release of contracture of muscle
Open biopsy of muscle
Needle/tru-cut biopsy of muscle
Excision of lesion of muscle without skin
graft
Excision of lesion of muscle with skin graft
Bone (non-specific)
Open bone biopsy
Introduction of therapeutic substance into
bone (e.g: application of antibiotic for
infected hip replacement as a sole
procedure)
Removal of wire from bone including Kwires
Excision of ectopic bone
Total excision of sesamoid bone
Partial excision of bone including exostoses
Total excision of bone with/without
prosthetic
replacement/reconstruction
(e.g: trapezium)
Radical resection of bone tumour
Osteotomy of large bone, with/without
fixation, including graft
161
480
580
1000
505
315
315
725
1000
1565
725
1340
1890
405
435
685
435
435
505
1000
405
1160
435
265
435
865
1000
725
435
435
625
2145
625
1160
580
315
1565
570
315
1890
685
725
580
405
265
625
405
580
725
1000
2480
405
435
405
820
2705
2040
820
685
P.U. (A) 358
Drainage/debridement
of
bone(s),
including sequestectomy for osteomylelitis
Fixation of epiphysis
Fractures
Primary open reduction of fracture of
femur and open fixation using pin and plate
Primary closed reduction of fracture or
dislocation of joint, with/without fixation
including plaster of Paris (POP) (e.g: Colles)
Closed reduction of fracture of long bone
and external fixation including POP and
percutaneous K-wires (e.g: forearm)
Closed reduction of fracture of small bone
and external fixation, including POP and
percutaneous K-wires
Primary open reduction of long bone with
fixation
Primary open reduction of fracture
with/without dislocation of joint
Primary open reduction of small bone with
fixation including intra-articular
Primary open reduction of intra-articular
fracture of long bone (e.g: proximal
humerus)
Open reduction of fracture of pelvis and
internal fixation
Open reduction and internal fixation of
complex acetabular pelvic fracture
Secondary open reduction of dislocation of
joint
Secondary open reduction of fracture of
small bone including intra-articular
Secondary open reduction of fracture of
long bone and intermedullary fixation or
internal fixation for non-union/mal-union
Locked intramedullary nailing
Secondary open reduction of intra-articular
fracture of bone
Application of IIizarov frame for secondary
non-union/mal-union
Adjustments to IIizarov frame rings for
secondary non-union/mal-union
Adjustments to pin sites secondary for nonunion/mal-union
Bone graft (except where part of another
procedure)
162
1340
405
1160
685
2305
760
725
405
1760
685
865
505
2040
760
1890
685
1340
570
1890
760
2895
760
4750
1550
865
405
1340
505
1890
685
2705
1890
820
685
4750
1550
1760
505
580
1565
570
P.U. (A) 358
Removal of internal fixation/prosthesis
from bone/joint excluding K-wires
Removal of wire from bone including Kwires
Surgical toilet to wound under general
anaesthetic
Nerves
Release of entrapment of deeply placed
peripheral nerve including Anterior
Interosseous nerve and Posterior
Interosseous nerve
Anterior transposition of ulna nerve
Submuscular transposition of ulna nerve
Revision of release of peripheral nerve
Exploration/neurolysis/biopsy
of
peripheral nerve
Joints (not listed elsewhere)
Excision of synovial membrane of joint
Primary prosthetic replacement/
reconstruction/ repair of ligament
including prosthesis
Stabilising operation on joint
Release of contracture of joint
Arthrotomy of large joint, including
removal of loose body from joint
Arthrotomy of small joint, including
removal of loose body from joint
Therapeutic arthroscopic operation on
intra-articular cartilage (other than
W8200)
intra-articular cartilage (other than
W8200) – bilateral
cavity of joint
cavity of joint – bilateral
Diagnostic arthroscopic examination of
joint, with/without biopsy
Injection(s) into joint(s) under X-ray
control
Manipulation of joint
Joints (not listed elsewhere)
Prosthetic replacement of articulation of
163
1340
435
405
315
480
265
865
435
1000
1890
1565
865
505
505
505
355
1565
1565
625
505
1565
1160
1160
625
405
405
315
265
1160
505
1890
820
1890
505
2895
820
865
435
480
265
405
405
2145
685
P.U. (A) 358
bone
Prosthetic interposition arthroplasty of
joint (e.g: hip, knee, shoulder)
Excision reconstruction of joint
Fixation/Arthrodesis
Osteotomy of hip with fixation
Pelvic osteotomy with fixation
Primary arthrodesis of large joint and bone
graft
Primary arthrodesis and internal fixation
(e.g: hand/foot) including bone graft
Hand
Dupuytren's subcutaneous fasciotomy
Dupuytren's fasciectomy – single digit
Dupuytren's fasciectomy for palm and
multiple digits
Dupuytren's dermofasciectomy and graft,
or for recurrent disease
Repair of extensor of hand
Repair of flexor of hand including
prosthetic implant
Secondary or second stage repair of flexor
of hand including prosthetic implant
Secondary repair of tendon of
hand/forearm (excluding flexor) without
transfer or graft
Secondary repair of tendon of
hand/forearm (excluding flexor) with
graft/transfer
Tendon graft as sole procedure
Tenolysis – other than flexor
Tenolysis of flexor
Pollicisation of finger for thumb
reconstruction
Repair of fingertip injury following
avulsion with flap
Multiple joint procedures on hand
including synovectomy
Fusion of metacarpophalangeal/intercarpal joint
Prosthetic arthroplasty of digital joint(s)
Bone graft to scaphoid with internal
fixation, including Herbert screw
Amputation of hand
Amputation of digit
164
2305
820
1760
625
2305
3600
1760
940
940
820
1160
685
580
1160
1760
315
435
625
2145
820
865
1760
435
435
1890
570
1000
435
1760
435
1340
1160
1565
3600
435
435
435
435
1565
505
2390
820
1000
570
1760
1890
435
625
1565
1000
625
505
P.U. (A) 358
Amputation
through
carpal/transmetacarpal
Fusion of wrist
mid-
1000
435
2040
820
725
625
2145
625
2145
1565
1565
2305
625
625
625
820
2705
685
2705
685
2705
2305
2570
2705
3600
1890
685
685
685
940
1550
685
2390
2145
2040
760
685
685
3600
1890
2110
685
2145
820
Elbow
Total prosthetic replacement of elbow
Revisional prosthetic replacement of elbow
Release of constriction of sheath of tendon
2705
3600
1000
940
1550
435
Hip, leg and pelvis
Excision of lesion of bone pelvis/hip
Osteotomy of hip with fixation
1565
2305
685
940
Shoulder
Limited repair of muscle that is not more
arthroscopic
Extensive repair of muscle that is greater
arthroscopic
Revision rotator cuff repair
Acromioplasty
Excision distal clavicle, in isolation
Prosthetic interposition arthroplasty of
joint (e.g: hip, knee, shoulder)
Primary repair of rupture of
acromioclavicular joint including internal
fixation
Secondary
repair
of
rupture
of
acromioclavicular joint including internal
fixation
Reconstruction of acromioclavicular joint
Shoulder hemiarthroplasty
Revision shoulder hemiarthroplasty
Primary total shoulder replacement
Revision total shoulder replacement
Stabilisation of shoulder joint including
anterior, posterior or multi-directional
(including arthroscopic)
Revision stabilisation of shoulder joint
Release of shoulder contracture
Plating and/or bone grafting for non-union
of clavicle
Exploration and grafting of brachial plexus
Sub-acromial decompression including
arthroscopic
Total excision of cervical or first rib
165
P.U. (A) 358
Pelvic osteotomy with fixation
Total prosthetic replacement of hip joint
Revision of total prosthetic replacement of
hip joint
Total prosthetic replacement of hip joint –
bilateral
Prosthetic replacement of head of femur
Release fasciotomy of anterior/posterior
compartment of leg
Amputation of leg/foot
Manipulation and plaster of Paris (POP) for
hip
Knee
Therapeutic arthroscopic operations of
cavity of joint
cavity of joint – bilateral
Diagnostic arthroscopic examination of
joint, with/without biopsy
Total prosthetic replacement of knee joint
Unicompartmental knee replacement
Revision of total replacement of knee joint
Total prosthetic replacement of knee joint –
bilateral
Primary prosthetic replacement of cruciate
ligament
Autograft reconstruction of cruciate
ligament including arthroscopic
Stablisation of patella
semi lunar cartilage
semi lunar cartilage – bilateral
Simple repair of knee ligaments
Therapeutic arthroscopic operations on
cavity of knee
Therapeutic arthroscopic operations on
cavity of knee – bilateral
Foot
Primary repair of tendon of foot
Primary repair of Achilles tendon
Secondary repair of Achilles tendon
Secondary repair of tendon of foot
Multiple joint procedures on forefoot
166
3600
2705
3600
940
985
1550
4750
1550
2145
1760
820
625
2040
580
685
405
1890
505
2895
820
865
435
2705
2705
3600
4750
985
820
1550
1550
2480
820
2570
940
2480
1890
940
685
2895
985
1890
1890
570
685
2895
985
480
1160
1890
725
2390
435
435
435
435
760
P.U. (A) 358
Multiple joint procedures on forefoot –
bilateral
Osteotomy of metatarsal (e.g: akin, mcNab,
etc.)
Fusion of first metatarso – phalangeal joint
Fusion of first metatarso – phalangeal joint
– bilateral
Metartarso-phalangeal cheilectomy
Triple fusion of joints of hind foot
Osteotomy for pes clavus
Correction of minor congenital deformity of
foot
Correction of minor congenital deformity of
foot – bilateral
Total prosthetic replacement of ankle joint
Revision of total prosthetic replacement of
ankle joint
Closing wedge osteotomy/translation of
calcaneal spur including internal fixation
Excision arthroplasty of first metatarsophalangeal joint with prosthetic
implantation
Excision arthroplasty of first metatarsophalangeal joint including Keller's
Excision arthroplasty of first metatarsophalangeal joint including Keller's –
bilateral
Fusion of interphalangeal joint(s) of toe
Correction of retracted/dislocated
metatarso-phangeal joint(s) including
tendon transfer, division/realignment of
bone and internal fixation
Fusion of interphalangeal joint(s) of toe –
bilateral
Primary arthrodesis and internal fixation
(hand/foot) including bone graft
Simple bunionectomy
Simple bunionectomy – bilateral
Metatarsal osteotomy for Hallux valgus
3600
1125
865
435
1000
1760
505
820
1565
1890
1890
1565
505
685
685
505
2480
820
2705
3600
940
1550
1760
505
1760
625
1160
505
1890
820
1000
1890
435
820
1760
760
1160
685
725
1160
1340
355
625
685
Metatarsal osteotomy for Hallux valgus –
bilateral
Metatarsal osteotomy for Hallux valgus,
with internal fixation and soft tissue
correction
Metatarsal osteotomy for Hallux valgus,
2145
985
1890
2895
760
1125
167
P.U. (A) 358
with internal fixation and soft tissue
correction – bilateral
Amputation of toe
Radical excision of bone tumour with
implantation of prosthesis for limb
External fixation/traction
Application of skeletal traction to bone
Removal of skeletal traction from bone
Application of external fixation to bone
Removal of external fixation from bone
1000
4750
435
1550
580
405
1760
580
505
315
505
315
1340
725
580
685
570
435
1000
505
1565
570
2040
2570
725
725
580
405
2040
2390
1160
1000
580
725
1000
580
2705
1340
405
2305
940
940
685
685
570
355
940
985
435
685
570
685
685
505
940
570
355
625
1890
1160
725
625
505
355
(x) Face, mouth and neck (not elsewhere listed)
Face and jaws
Open reduction of fracture of maxilla
Closed reduction of fracture of maxilla
Reduction of other fractures of bones of
face
Reduction of fracture of zygomatic complex
of bones
Open reduction of fracture of zygomatic
complex of bones
Excision of maxilla
Formal hemi-maxillectomy for malignancy
Internal fixation of maxilla
Extra-oral fixation of maxilla
Removal of fixator from maxilla
Biopsy of lesion of facial bone
Excision of mandible
Extensive excision of mandible
Excision of lesion of jaw
Open reduction of fracture of mandible
Closed reduction of fracture of mandible
Intermaxillary fixation of mandible
Extra-oral fixation of mandible
Removal of fixator from mandible
Reconstruction of jaw
Alveolar bone graft
Manipulation of mandible
Prosthetic replacement of
temporomandibular joint
Arthroplasty of temporomandibular joint
Menisectomy of temporomandibular joint
Reduction of dislocation of
temporamandibular joint
168
P.U. (A) 358
Lips
Excision of vermilion border of lip and
advance of mucosa of lip
Excision of lesion of lip
Primary closure of cleft lip (and bilateral)
Revision of primary closure of cleft lip
Reconstruction of lip using tongue flap
Reconstruction of lip using skin flap
Suture of lip
Biopsy of lesion of lip
1000
435
865
1760
2145
2145
2040
480
480
405
820
820
685
760
435
355
2480
760
2145
820
865
315
480
315
1760
1000
505
405
435
405
820
625
Palate
Excision/destruction of lesion of palate
Primary repair of cleft palate
Revision of repair of cleft palate
Plastic repair of palate using flap of palate
Plastic repair of palate using flap of skin
Suture of palate
Biopsy of lesion of palate
Incision of palate
Operation on uvula
865
2305
1565
1340
1890
580
480
370
725
505
820
685
685
685
435
405
405
435
Mouth cavity
Vestibuloplasty following trauma
Excision/destruction of lesion of mouth
Reconstruction of mouth using flap
Reconstruction of mouth using graft
Graft of skin to mouth
Graft of mucosa to mouth
Suture of mouth
Biopsy of lesion of mouth
Removal of excess mucosa from mouth
1160
580
2145
1000
1000
865
580
370
865
435
405
760
760
625
570
505
355
435
Tongue
Total
glossectomy
including
block
dissection
Partial glossectomy including block
dissection
Excision/destruction of lesion of tongue
Biopsy of lesion of tongue
Frenotomy/frenectomy of tongue
Freeing of adhesions of tongue
Tongue flap – first stage
Tongue flap – second stage
169
P.U. (A) 358
Salivary glands
Excision of parotid gland (other than
F4410/F4430)
Total excision of parotid gland and
preservation of facial nerve
Partial excision of parotid gland and
preservation of facial nerve
Excision of submandibular gland
Excision of sublingual gland
Excision of lesion of parotid gland
Excision of lesion of submandibular gland
Excision of lesion of sublingual gland
Incision of parotid gland
Incision of submandibular gland
Incision of sublingual gland
Biopsy of lesion of salivary gland
Closure of fistula of salivary gland
Transposition of parotid duct
Transposition of submandibular duct
Open extraction of calculus from parotid
duct
Open extraction of calculus from
submandibular duct
Ligation of parotid duct
Ligation of submandibular duct
Operation on submandibular duct
Dilation of parotid duct
Manipulative removal of calculus from
parotid duct
Teeth
Replantation of tooth/teeth following
trauma
Surgical removal of impacted/buried
tooth/teeth
Surgical removal of complicated buried
roots
Enucleation of cyst of jaw
Neck
Block dissection of cervical lymph nodes
(not included in other procedures)
Biopsy/sampling of cervical lymph nodes
Operation on branchial cleft cyst
Operation on branchial cleft fistula
170
1890
685
3600
985
2895
985
1340
1000
1160
1160
405
405
405
405
580
865
1160
1160
865
505
505
505
505
505
405
405
405
435
435
435
435
355
725
435
480
480
480
405
725
435
435
435
265
315
865
355
1000
435
725
435
865
435
2895
940
405
1340
2040
505
820
820
P.U. (A) 358
Thyroid and parathyroid glands
Total thyroidectomy
Bilateral subtotal thyroidectomy
Hemithyroidectomy
Partial thyroidectomy
Thyroplasty (Isshiki type I)
Operation on aberrant thyroid issue
including retrosternal
Excision of thyroglossal cyst
Excision of thyroglossal tract
Excision of lesion of thyroid gland
Fine needle aspiration of thyroid gland
Needle biopsy of thyroid gland
Parathyroidectomy
Parathyroid: second operation
Drainage of salivary gland abscesses
III.
1.
2040
2040
2040
2040
1760
2480
820
760
685
685
625
940
1000
1340
1340
315
580
2705
2705
405
625
625
435
315
315
940
985
MISCELLANEOUS
Medical examination fee
(a) Non-specialist
Item
Medical examination – pre-employment,
routine and annual medical examination,
fitness medical examination, comprehensive
medical examination, aviation medical
examination (excluding laboratory
investigations, X-ray, ECG, etc.)
Examination for medico-legal cases
Examination for evaluation of disability
Participation in Medical Board Examination
Medical examination for life insurance
Vocational licence health examination
Fee (RM)
45 - 230
570 - 1145
570 - 1145
230 - 1145
90 - 230
35 - 115
(b) Specialist
Item
Medical examination – pre-employment,
routine and annual medical examination,
fitness medical examination, comprehensive
medical examination, aviation medical
examination
(excluding
laboratory
investigations, X-ray, ECG, etc.)
Examination for medico-legal cases
171
Fee (RM)
115 - 570
570 - 2290
P.U. (A) 358
Examination for evaluation of disability
Participation in Medical Board Examination
Medical examination for life insurance
Vocational licence health examination
570 - 2290
570 - 2290
170 - 460
35 - 115
2. Medical report fee
Item
Non-specialist
Specialist
Fee (RM)
55 - 230
115 - 570
3. House call and medical assistance fee (General Practitioners)
Item
Medical duty for events and functions per hour
Fee (RM)
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
285 - 570
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)
Conduct money
Actual expenses incurred in the cost
of travelling and lodging
Non-expert witness (testimony involving
statement of facts only)
Expert witness (testimony involving expert
opinion)
Comprehensive medical report (requested by
insurance company, lawyers, others)
Attending physician statement for insurance
company
172
570 - 1145
1145 - 2290
90 - 285
55
P.U. (A) 358
PART B – DENTAL FEE
I.
CONSULTATION FEE
Item
Consultation only
plan
Fee (RM)
30 - 285
II. BASIC DENTAL PROCEDURE FEE
Item
Post-extraction bleeding
Treatment for dry socket
Temporary dressings
Incision and drainage
Amalgam restorations
Tooth coloured/adhesive restoration
Removal of calculus
Removal of plaque and/or extrinsic stains
Dentures acrylic (partial) per jaw
Dentures acrylic (full) per jaw
Non-surgical/simple extraction of teeth
and/or root(s)
Permanent
Deciduous
Fee (RM)
55 - 345
55 - 345
35 - 170
55 - 230
45 - 345
55 - 685
55 - 345
70 - 285
115 - 1145
285 - 2290
Intra-oral periapical/bite wings/occlusal
radiograph – per exposure
25 - 115
45 - 285
30 - 115
III. MISCELLANEOUS
Item
Dental report
House call
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)
Conduct money
173
Fee (RM)
55 - 345
170 - 570
285 - 570
Actual expenses incurred in the
cost of travelling and lodging
P.U. (A) 358
Non-expert witness (testimony involving
statement of facts only)
Expert witness (testimony involving expert
opinion)
Comprehensive dental report (requested by
insurance companies, lawyers and others)
Attending dentist statement for insurance
company
570 - 1145
1145 - 2290
55 - 345
55”.
Made 10 October 2013
[KK(R)/654(336) (17); PN(PU2)610/IV]
DATUK SERI DR. S. SUBRAMANIAM
Minister of Health
174

warta kerajaan persekutuan federal government gazette

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