PERINTAH KEMUDAHAN DAN JAGAAN KESIHATAN (PINDAAN JADUAL KETIGA BELAS) 2013 (Disahkan Oleh Kementerian) PDF

WARTA KERAJAAN PERSEKUTUAN
FEDERAL GOVERNMENT
16 Disember 2013 GAZETTE
16 December 2013
P.U. (A) 358
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 GENERALS 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;
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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
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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.
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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 Fi (RM)
Perundingan sahaja
Perundingan dengan pemeriksaan 30-125

Perundingan dengan pemeriksaan dan
pelan rawatan
Perundingan selepas waktu klinik yang Sehingga 50% melebihi
dinyatakan kadar biasa
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P.U. (A) 358
Panggilan atau lawatan ke rumah Sehingga 100% melebihi

kadar biasa
(b) Klinik tanpa perkhidmatan farmaseutikal
Butiran Fi (RM)
Perundingan sahaja
Perundingan dengan pemeriksaan 35 - 145

pelan rawatan

kadar biasa
2. Fi pakar
Nota: Terpakai bagi semua kepakaran perubatan kecuali dinyatakan sebaliknya
(a) Lawatan pertama/Perundingan awal
Butiran Fi (RM)
Perundingan sahaja

pelan rawatan


kadar biasa
(b) Lawatan susulan/ Perundingan susulan
Butiran Fi (RM)
Perundingan sahaja
pelan rawatan
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P.U. (A) 358

kadar biasa
(c) Perundingan khas untuk radioterapi dan onkologi
Nota: Termasuk perundingan sekali seminggu
Butiran Fi (RM)
Pelan Rawatan Asas termasuk simulasi bagi 860 -1715
radioterapi pancaran luar (pelan semula
akan dicaj berasingan)
Pelan rawatan untuk brakiterapi 1145-2290

(Intrakavitari)
Pelan rawatan pakar 2290-4575

- Brakiterapi Interstitial
- Radioterapi konformal
- Radiosurgeri
- Radioterapi modulasi intensiti
II. FI TATACARA
1. Tatacara am
Butiran/Tatacara Fi (RM)
Pakar
Pakar Anestesia
Bedah
Pemantauan tekanan darah ambulatori 130
Pemakaian kas plaster (jika ini satu-satunya 315
tatacara)
Pemakaian plaster jaket, spika pinggul, kas 410 265
kaki panjang atau kas bres
Kanulasi arteri 130
Punktur arteri 65
Aspirasi hematoma subkutaneus 315
Pengikatan hemoroids 315
Biopsi kulit atau tisu subkutaneus 315
Resusitasi Kardiopulmonari (CPR) 315
Kanulasi talian tekanan vena sentral (CVP) 230
Pemasukan tiub dada 840
Kolposkopi (dengan/tanpa biopsi) 375
Pemantauan Holter berterusan 330
Pengkuretan/Krioterapi lesi kulit termasuk 315
kauterisasi
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P.U. (A) 358
Aspirasi diagnostik sista, sendi dan kaviti 315
Ekokardiografi dengan laporan

Pemetaan berwarna 380
Doppler ekokardiografi 380
Ekokardiogram-transtorasik 230
M-mod 380
Eko treadmill stres 380
Ekokardiografi stres 380
Ekokardiografi trans-esofagus 440
Dua dimensi (2-D) 380
Elektif kardioversi 290

Elektrokardiogram (EKG) dengan laporan 80
EKG (stres/ senaman) dengan laporan 270
Biopsi atau aspirasi endometrial 410
Sitologi aspirasi jarum halus 315
Insisi dan penyaliran (I & D) 315
Suntikan di sekeliling faset apofisial vertebra 315
tanpa kawalan X-ray
Suntikan ke dalam sendi tanpa kawalan 315
sinar-X
Suntikan ke dalam tisu subkutaneus/pusat 315
pencetus kesakitan termasuk anestesia
setempat (LA) dan steroid
Suntikan ke dalam vena varikos kaki 315
Suntikan bahan pengsklerosan ke dalam 315
buasir
Suntikan bahan ke dalam kulit termasuk 315
pelet hormon
Punktur lumbar 745
Paracentesis untuk asits 630
Blok paravertebral (tanpa kawalan sinar-X) 480
Biopsi perkutaneus (tidak dinyatakan di 315
mana-mana)
Perikardiosentesis 505
Biopsi pleural 895
Penyaliran kaviti pleural 840
Pleurodesis 630
Sigmoidoskopi tegar dengan biopsi 315
EKG isyarat berpurata 45
Blok ganglion Stellate (LA) 480
Pemasangan kateter Swan Ganz 460
Perentak sementara 1145
Pencucian dan penjahitan (T & S) bagi setiap 20
jahitan
Veneseksyen 35
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P.U. (A) 358
Venupunktur 65
2. Tatacara Spesifik
(a) Anestesiologi
Perundingan awal, penilaian, tatacara dan 630

sokongan hayat kardium lanjutan (ACLS)
di dalam unit rawatan intensif (ICU)
Perundingan seterusnya dan penilaian di Seperti perenggan 2(b) fi pakar
dalam ICU
Perkhidmatan analgesia obstetrik 445
- Epidural
Perawatan kesakitan akut, kronik dan 35
barah
Venupunktur 65
(b) Abdomen (selain sistem urinari dan reproduktif)
Esofagus
Mobilisasi esofageal toraskopik melalui 4750 1815
mediastinum
Esofagogastrektomi 4750 1815
Esofagogastrektomi total dan interposisi 5970 2500
usus
Eksisi terbuka lesi esofagus 1890 1125
Pintasan esofagus 2480 1550
Tinjauan semula anastomosis esofageal 2705 1320
Penutupan pintasan esofagus 2145 1125
Pembaikan transtorasik esofagus 3600 1320
Pembaikan toraskopik esofagus 2895 1320
Esofagokardiomiotomi (pembedahan 2040 985
Heller)
Miotomi esofagogastrik toraskopik 2145 985
Suntikan skleroterapi bagi varises 1000 685
esofageal
Pembaikan transtorasik hernia hiatus 2305 940
Pembaikan transtorasik hernia 2305 940
diafragmatik
Pembaikan transabdominal hernia hiatus 2145 760
Pembaikan transabdominal hernia 2895 820
diafragmatik
Pembaikan laparoskopik hernia hiatus 2145 760
Pembedahan anti refluks transabdominal 2895 820
Tinjauan semula tatacara anti-refluks 3600 1320
Vagotomi/seromiotomi laparoskopik 2040 685
Gastro- jejunostomi laparoskopik 2145 685
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P.U. (A) 358
Gastrostomi/jejunostomi laparoskopik 1760 570
Perut
Vagotomi gastrik proksimal 2040 685
Vagotomi pilihan tinggi 2040 685
Vagotomi dan piloroplasti 2145 820
Gastrektomi total dan eksisi tisu sekitar 2895 1125
Gastrektomi separa 2305 760
Pembedahan plastik perut 1890 685
Gastro-jejunostomi 2145 685
Pengulangan gastro-jejunostomi 2305 685
Gastrostomi 1760 570
Penutupan gastrostomi 1565 570
Penutupan ulser berlubang di perut 1890 685
Penutupan laparoskopik ulser berlubang 1890 685
di perut
Pembedahan perut terbuka lain 1890 685
Piloromiotomi 1890 685
Piloroplasti 1890 685
Gastrektomi separa (penyakit benigna) 2305
Gastrektomi separa (penyakit malignan) 2895
Duodenum
Eksisi terbuka lesi duodenum 2305 760
Pintasan duodenum 1890 760
Penutupan laparoskopik ulser berlubang 1890 685
duodenum
Penutupan ulser berlubang duodenum 1890 685
Usus kecil
Eksisi jejunum 2145 685
Eksisi lesi jejunum 2480 685
Jejunostomi 1760 685
Reseksi laparoskopik usus kecil 1890 685
Pintasan jejunum 1890 685
Intubasi jejunum dekompresi usus 1890 685
Pintasan ileum 1890 685
Anastomosis ileoanal dan penciptaan 4750 1550
kantung
Ileostomi 1890 685
Perhatian kepada ileostomi 1565 570
Penutupan ileotomi (dalam isolasi) 1565 570
Pembedahan terbuka ileum termasuk 1890 685
pengurangan intususepsi
Usus besar
Apendisektomi 1565 570
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P.U. (A) 358
Apendisektomi laparoskopik 1565 570

Penyaliran abses apendiks 1565 625
Eksisi total kolon dan anastomosis 3600 1320
ileorektal
Eksisi peluasan hemikolon kanan 2390 820
Eksisi lain hemikolon kanan 2390 760
Eksisi kolon transvers 2390 760
Eksisi hemikolon kiri 2390 820
Eksisi kolon sigmoid 2390 820
Eksisi lesi kolon (transabdominal) 1760 760
Pintasan kolon 2040 760
Eksteriorisasi sekum 1760 760
Penutupan kolostomi - peritoneal 1340 625
tambahan
Penutupan kolostomi - intra peritoneal 1890 760
Kolostomi laparoskopik 2040 760
Kolostomi termasuk tinjauan semula 2040 760
Manipulasi intra - abdominal kolon 2040 685
termasuk pengurangan intususepsi
Reseksi kolonik laparoskopik 2390 820
Pengurangan radiologi intususupan kolon 580 570
menggunakan enema barium
Rektosigmoidektomi bagi penyakit 4750
Hirchsphrung
Laparotomi enterokolitis nekrotik 2705
enterokolitis (NEC)
Laparotomi atresia usus 2705
Rektum/Anus
Anastomosis ileoanal dan penciptaan 4750 1550
kantung
Panproktokolektomi dan ileostomi 4750 1815
Penarikan abdominoperineal melalui 4750 1815
reseksi dengan anastomosis kolo-anal
dan kolostomi berkaitan
Reseksi abdominoperineal rektum dan 4750 1815
anus
Reseksi anterior 4750 1815
Reseksi anterior rektum dan hujung 2705 1550
kolostomi (dengan penutupan rektum)
Reseksi anterior laparoskopik rektum 4750 1550
dan eksteriorisasi usus
Eksisi separa rektum dan kolon sigmoid 2705 940
bagi prolaps
Pembalikan tatacara Hartman 3600 1550
Eksisi terbuka lesi rektum 2145 940
Fiksasi rektum bagi prolaps 1890 940
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P.U. (A) 358
Rektopeksi laparoskopik 1890 940

Reseksi transanal bagi kanser rektal 2040 625
Eksisi perineal lesi rektum 1340 625
Biopsi rektum ketebalan penuh atau 405 625
separa
Pembaikan perineal prolaps rektum 1760 685
Pengembangan striktur rektum 370 265
Pembaikan fistula tinja 865 625
Eksisi lesi anus 370 265
Pemusnahan lesi anus 370 265
Pembaikan sfinkter anal 1565 625
Pembaikan trauma anal 1340 625
Hemoroidektomi 1000 505
Regangan anorektum termasuk 370 265
pemeriksaan di bawah anestesia (EUA)
dan sigmoidoskopi
Pembukaan lapisan fistula anal bawah 865 505
Pembukaan lapisan fistula anal atas 1565 625
Sfinkterektomi lateral anus 405 505
Eksisi fisur anal 405 405
Penyaliran melalui kawasan perineal 580 405
termasuk abses iskiorektal
Eksisi sinus pilonidal dan graf sutur/kulit 1160 625
Pembukaan lapisan sinus pilonidal 580 265
Fistulektomi (tunggal) 865
Fistulektomi (berbilang) 1565
Anorektoplasti sagital posterior (PSARP) 3600
Laparotomi berkombinasi dengan PSARP 4750
Anoplasti 1340
Sagital posterior 4750
anorektovaginouretroplasti (PSARVUP)
Laparotomi berkombinasi dengan 5970
PSARVUP
Organ-organ lain, terutama pencernaan

Adrenalektomi 2145 940
Adrenalektomi - dwisisi 2305 1125
Pembedahan tisu adrenal aberan 2145 940
Eksisi separa hepar 3600 1550
Hemihepatektomi 5970 2110
Pembuangan tumor hepar 2895 985
Pembaikan hepar 2480 985
Penyaliran terbuka hepar 1160 685
Pembedahan laparoskopik terapeutik ke 1340 570
atas hepar
Pemeriksaan laparoskopik diagnostik 1340 505
hepar termasuk apa-apa biopsi
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P.U. (A) 358
Biopsi perkutaneus lesi hepar 480 315

Punktur terbuka hepar 1565 570
Kolesistektomi termasuk 1890 685
minikolesistektomi
Kolesistektomi dengan 2040 760
peninjauperiksaan duktus hempedu
umum
Kolesistektomi laparoskopik 2480 1125
Kolesistektomi laparoskopik dengan 2705 1550
kolangiogram peribedah
Anastomosis pundi hempedu 2305 760
(ke viskus lain)
Eksisi separa duktus hempedu dan 2390 940
anastomosis duktus hempedu kepada
duodenum/jejunum
Eksisi lesi duktus hempedu 2145 940
Anastomosis duktus hepatik 2895 940
Anastomosis duktus hempedu umum 2145 940
Pengenalan terbuka prostesis ke dalam 2145 760
duktus hempedu
Pembaikan duktus hempedu 2390 985
Insisi duktus hempedu termasuk 2145 940
peninjauperiksaan bagi pembuangan
kalkulus
Sfinkterektomi duktus hempedu dan 2145 820
duktus pankreatik menggunakan
pendekatan duodenal
Pemeriksaan perkutaneus duktus 1000 505
hempedu
Pankreatektomi total dan eksisi tisu 4750 1815
persekitaran
Pankreatektomi total 4750 1815
Pankreatoduodenektomi dan eksisi tisu 4750 1815
sekitar (Tatacara Whipple)
Pankreatektomi distal 2705 985
Eksisi lesi pankreas 2040 985
Anastomosis pundi hempedu 2705 940
(ke viskus lain)
Penyaliran terbuka lesi pankreas 2040 760
Penyaliran abses pankreatik 2040 760
Insisi pankreas 2040 760
Pemeriksaan terbuka pankreas 2040 760
Pembedahan perkutaneus terapeutik 1565 685
pankreas
Splenektomi terbuka 1565 760
Splenektomi laparoskopik 1565 760
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P.U. (A) 358
Penciptaan penyimpangan peritoneovena 1340 435

(Levine/Denver)
Penyaliran dalaman pseudosista 2705
pankreatik
Hepato portoenterototomi (pembedahan 4750
Kasai)
Eksisi sista koledokal 4750
Salur darah besar

Kanulasi terbuka arteri intra-abdominal 2145 685
bagi kemoterapi infusi
Penciptaan penyimpangan portakaval 4750 1320
Plikasi vena kava 2305 940
Pembaikan luka arteri besar atau vena 2145 1320
abdomen termasuk aorta dan vena kava
Dinding abdomen
Pembaikan hernia diafragmatik 2705 1550
kongenital
Eksisi mudah sak hernia inguinal 1000 505
Eksisi mudah sak hernia inguinal - dwisisi 1760 760
Pembaikan primer hernia inguinal 1160 505
- dwisisi
terjerut
Pembaikan laparoskopik hernia groin 1160 505
Pembaikan hernia inguinal berulang 1890 685
Pembaikan hernia inguinal berulang 2895 985
- dwisisi
Pembaikan primer hernia femoral 1000 505
Pembaikan primer hernia femoral 1890 625
terjerut
Pembaikan hernia femoral berulang 1565 570
Pembaikan hernia umbilikal 1000 570
(tidak mengira umur)
Pembaikan primer hernia insisi 1340 505
Pembaikan hernia insisi berulang 1890 685
Pembaikan hernia lain dinding abdomen 1340 505
Sutur semula insisi lalu dalam dinding 1340 570
abdomen (Abdomen pecah)
Penutupan eksomfalos major/gastrokisis 3600
- penutupan primer
- penutupan silastik
- penutupan primer tertunda
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P.U. (A) 358
Peritoneum
Laparotomi bagi pendarahan selepas 1760 820
pembedahan
Laparotomi dan pembaikan trauma 3600 1550
visera berbilang
Penyaliran terbuka abses subfrenik 1760 685
Pembedahan omentum 1890 685
Tumor retroperitoneal 2705 940
Abses retroperitoneal 1160 685
Tumor presakral 1340 940
Pembebasan adhesi peritoneum 1565 685
Laparoskopi termasuk biopsi dan 1160 435
adhesiolisis
Parasentesis abdominis bagi asites 315 265
Penyaliran suprapubik abses pelvik 865 505
Penyaliran transrektal/transvaginal 1160
abses pelvik
Laparotomi - peninjauperiksaan 1890
(c) Otak, kranium dan organ intrakranial yang lain
Otak
Hemisferektomi 7030 2930
Eksisi abses otak 4750 2110
Eksisi lesi tisu otak 5970 2500
Ablasi stereotaktik tisu otak 4750 1815
Biopsi terbuka lesi tisu otak 3600 1550
Penanaman/pembuangan stimulator 2145 820
neuro daripada otak (apa-apa laluan)
Ventrikulosisternostomi 3600 1550
Penciptaan anastomosis 2040 820
ventrikulovaskular
Penciptaan penyimpangan 2040 820
ventrikuloperitoneal
Penciptaan simpanan cecair 2040 820
serebrospinal (CSF) subkutaneus
Penyenggaran penyimpangan 1565 685
serebroventrikular termasuk
pengulangan
Pembuangan penyimpangan 1340 505
serebroventrikular
Irigasi penyimpangan serebroventrikular 580 685
Pembedahan endoskopik terapeutik 2570 820
ventrikel otak
Pemeriksaan endoskopik diagnostik dan 1760 820
biopsi lesi ventrikel otak
Punktur ventrikular 570 505
15
P.U. (A) 358
Kranium
Infeksi Intrakranial: lubang Burr 1890 760
Pembaikan plastik kranium 2705 1320
Kranioplasti rekonstruktif 2705 1320
Kraniostenosis (satu sutur) 2040 760
Kraniostenosis (lebih daripada satu 2705 1550
sutur)
Kraniotomi terbuka eksploratori 2705 1320
Eksploratori lubang burr pada kranium 1565 685
Petrosektomi 3600 2110
Dekompresi Foramen Magnum 4750 1550
Eksisi lesi kranium 2145 820
Elevasi lekukan fraktur kranium 1565 760
Pembaikan fraktur kompaun kranium 2705 1320
Penyaliran tengkorak 1340 505
Meninges
Penyaliran ruang subaraknoid otak 1565 625
Eksisi lesi otak meninges 7030 2500
Pembedahan sista araknoid 2705 985
Pembaikan dura 3600 1320
Pengosongan hematoma ekstradural 3600 1320
Pengosongan hematoma atau abses 3600 1320
subdural
Pendarahan subdural - toreh 315 435
Saraf
Transeksi intrakranial saraf kranial 5970 2930
Pemusnahan-pemusnahan lain saraf 5970 2930
kranial
Eksisi lesi saraf kranial (lntrakranial) 7030 2930
Eksisi neuroma akustik 7030 2930
Pembaikan saraf kranial (Intrakranial) 2895 1815
Dekompresi saraf kranial (Kraniotomi) 5970 1815
Stimulasi neuro saraf kranial 2145 760
(Intrakranial)
Pembuangan stimulasi neuro dari saraf 1890 505
kranial
Eksisi tumor sudut serebelopontin 7030 2930
Pembuluh darah
Kraniotomi - pendarahan selepas 2705 1320
pembedahan
Kraniotomi bagi tumor suprasellar 7030
Kraniotomi bagi tumor fossa posterior 7030
Ligasi/sepitan aneurisme arteri cerebral 5970 2110
Peneguhan aneurisme arteri cerebral 5970 2110
16
P.U. (A) 358
Pembedahan terbuka arteri cerebral 5970 2110

Eksisi malformasi arteriovenous (AV) 7030 2110
Pembentukan anastomosis 2040 820
ventrikulovaskular
Pembentukan pintasan 2040 820
ventrikuloperitoneal
Lain-lain
Hipofisektomi 5970 1815
Krioterapi kelenjar pituitari 2570
Eksisi lesi kelenjar pituitari 5970 1815
Eksisi kelenjar pineal 7030 1815
(d) Payudara
Mastektomi subkutaneus dengan implan 2040 760

serta merta
Mastektomi radikal termasuk diseksi blok 2305 760
Mastektomi bergabung dengan 2895 985
rekonstruksi payudara menggunakan flap
miokutaneous
Mastektomi radikal diubah suai termasuk 2040 685
diseksi blok
Mastektomi mudah termasuk biopsi 1565 685
nodus aksilari
Eksisi lesi payudara 1000 405
Reseksi bersegmen atau quadrantektomi 1340 505
Eksisi setempat lebar lesi payudara 1340 505
Pengulangan eksisi setempat bagi 1000 505
menerangkan margin
Biopsi eksisi lesi payudara selepas 1000 505
persetempatan
Rekonstruksi payudara menggunakan 2895 940
latisimus dorsi
flap setempat
TRAMS
Pembuangan prostesis daripada 865 405
payudara
Penanaman prostesis selepas mastektomi 1340 685
Biopsi perkutaneus lesi payudara 370 265
Eksisi stereotaktik/guidewire lesi 1565 505
payudara
Penyaliran abses payudara 580 405
Mikrodokotomi 1000 405
17
P.U. (A) 358
Pembedahan puting (jika tidak termasuk 865 405

dalam tatacara lain)
Diseksi blok nodus limfa aksilari 1760 625
(jika tidak termasuk dalam tatacara lain)
Biopsi/pensampelan nodus limfa aksilari 405 315
Biopsi nodus limfa mama internal 725 505
(e) Dermatologi dan venereologi
Ujian alergi
Ujian sensitiviti kulit (Intradermis) 190
menggunakan sehingga 20 reagen (tidak
termasuk kos reagen)
Ujian sensitiviti kulit (ujian tampalan) 250

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 380
(mudah)
Eksisi - sista, parut, tumor benigna 660
(rumit)
Eksisi - tumor kulit malignan yang 915
memerlukan eksisi lebar
Suntikan steroid berbilang ke dalam lesi 190
Krioterapi - lesi kurang daripada 5 155
Krioterapi - lesi lebih daripada 5 250
Krioterapi - tumor malignan yang 505
memerlukan rawatan bagi kawasan yang
luas
Pengkuretan/krioterapi lesi kulit 315
termasuk pengkauteran
Fototerapi
Fototerapi (pancaran ultra ungu) bagi 65
setiap sesi - bahagian tertentu
Fototerapi (UVB)(pancaran ultra ungu) 100
18
P.U. (A) 358
bagi setiap sesi - keseluruhan badan

Psoralen dan ultra ungu A (PUVA) bagi 100
(PUVA) bagi setiap sesi - keseluruhan 125
badan
Ujian tampalan foto 250
Ujian foto Dos eritema minimal (MED) 250
Ujian foto Dos fototoksik minimum 250
(MPD)
Fototerapi ultra ungu Al (UVA 1) bagi 100
Fototerapi ultra ungu Al (UVA 1) bagi 125
setiap sesi - keseluruhan badan
Tatacara dermatologi lain

Eksisi mudah kuku 70
Eksisi baji kuku jari kaki 380
Eksisi baji atau avulsi kuku jari kaki 480 315
termasuk ablasi kimia pada dasar kuku
Matriksektomi kuku 170
Pemeriksaan penyiasatan medan gelap 125
(DGI) bagi spesimen
Biopsi kulit atau subkutaneus tisu 315
Biopsi perkutaneous (tidak dinyatakan 315
di tempat lain)
Pemeriksaan mikroskopik (medan 65
gelap)
Pemeriksaan mikroskopik untuk kikisan, 65
calitan kulit dan sebagainya
Elektrokauteri - keratosis, ketuat, 190
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, 125
angioma dan sebagainya (lesi tidak lebih
daripada 5)
Kauteri kimia - keratosis, ketuat, 250
angioma dan sebagainya (lesi lebih
daripada 5)
Elektrolisis rambut bagi setiap sesi 250
Iontoforesis bagi setiap sesi 190
Iontoforesis transdermal 285
19
P.U. (A) 358
Tatacara laser kutaneus

Ablasi laser kutaneus bagi tumor kulit 290
(lesi kurang daripada 5)
(lesi 5 hingga 20)
(lesi lebih daripada 20)
Rawatan laser pigmen bagi pigmentasi 380
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 380
kening
Rawatan laser pigmen bagi tatu kelopak 435
mata
Rawatan laser vaskular bagi lesi 380
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 860
kosmetik (bukan ablatif)
Laser pelapisan semula bagi satu unit 1145
kosmetik (ablatif)
Pembuangan bulu roma dengan bantuan 380
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
20
P.U. (A) 358
- pengelupasan superfisial
- kedalaman sederhana
- pengelupasan dalam
Tatacara pelbagai
Ekstrak komedon bagi setiap sesi 190
Keratan hiperkeratosis, belulang dan 190
sebagainya
Ekstraksi milia 190
Jagaan kejururawatan kulit harian bagi 190
setiap sesi
Pembalutan keseluruhan badan 230
(cth: ekzema atopi)
Mikrodermabrasi - muka 345
Mikrodermabrasi - badan 570
Suntikan toksin botulinum bagi satu unit 685
kosmetik
Suntikan pengisian bagi satu unit 570
kosmetik
(f) Telinga, hidung dan tekak
Telinga eksternal
Eksisi total telinga eksternal 1565 820
Eksisi abnormaliti preaurikular 1000 405
Eksisi lesi telinga eksternal 725 405
Pembuangan eksostoses daripada kanal 1760 505
auditori eksternal
Rekonstruksi telinga eksternal 2895 685
menggunakan graf
Rekonstruksi telinga eksternal 2145 685
Meatoplasti telinga eksternal 1565 505
Pembaikan telinga eksternal 405 405
Pembuangan bahan asing daripada 370 265
kanal auditori eksternal di bawah
anestatik umum (GA) (dan dwisisi)
Eksisi lesi kanal auditori eksternal 480 570
Rekonstruksi kanal auditori eksternal 2705 1125
Telinga tengah dan mastoid

Mastoidektomi radikal 2480 940
Mastoidektomi radikal diubah suai 2480 940
Mastoidektomi mudah 2305 625
Mastoidektomi tinjauan semula 2040 940
Peninjauperiksaan mastoid, saraf fasial 2305 940
21
P.U. (A) 358
Timpanoplasti 2145 940

Miringoplasti 2040 760
Miringotomi dan selitan tiub melalui 865 355
membran timpanik (dan dwisisi)
Sedutan pembersihan telinga tengah 370 265
Miringotomi (dan dwisisi) 370 265
Osikuloplasti dengan/tanpa 2705 940
timpanoplasti
Stapedektomi 2040 760
Eksisi tumor telinga tengah 2040 760
Polipektomi telinga tengah (dan dwisisi) 580 265
Timpanotomi dan biopsi lesi telinga 1760 570
tengah
Petrosektomi 3600 2110
Telinga dalam
Elektrokokleografi transtimpanik 725
Pembedahan koklea 3600 1320
Pembedahan sak endolimfatik 2145 940
Labirintektomi bermembran 2390 940
Labirintektomi bertulang 2480 940
Eksisi sinus preaurikular - unilateral 1340
Eksisi sinus preaurikular - dwisisi 1760
Hidung dan kaviti hidung

Eksisi hidung total 1565 760
Septorinoplasti serta/tanpa graf/implan 2145 625
berikutan trauma atau eksisi tumor
Rinoplasti berikutan trauma atau eksisi 2040 625
tumor
Eksisi submukus septum hidung 1160 405
Eksisi lesi septum hidung 580 355
Biopsi lesi septum hidung 370 355
Penutupan tembusan septum hidung 1340 405
Insisi septum hidung 405 315
Septoplasti hidung 1340 435
Pengkauteran septum hidung (dan 315 265
dwisisi)
Diatermi submukus turbinat hidung 405 265
(dan dwisisi)
Eksisi turbinat hidung (dan dwisisi) 725 405
Eksisi lesi turbinat hidung (dan dwisisi) 405 405
Pembahagian perekatan turbinat hidung 370 405
(dan dwisisi)
Biopsi lesi turbinat hidung (dan dwisisi) 370 405
Pengkauteran turbinat hidung (dan 370 265
dwisisi)
22
P.U. (A) 358
Ligasi arteri hidung internal 1340 505

Embolisasi arteri hidung internal 1340 505
Pemadatan kaviti hidung (sebagai 315 505
tatacara tunggal)
Polipektomi hidung internal (dan 480 355
dwisisi)
Eksisi lesi hidung internal 405 355
Pembetulan atresia koana kongenital 1565 685
Pembuangan bahan asing daripada 315 355
kaviti hidung
Eksisi lesi hidung eksternal 315 435
Sinus hidung
Penyaliran antrum maksila termasuk 1000 435
Caldwell-Luc (dan dwisisi)
Neurektomi transantral saraf vidian 1760 685
menggunakan pendekatan sublabial
(dan dwisisi)
Punktur antral dan pembasuhan 480 265
(dan dwisisi)
Antrostomi intranasal termasuk 865 505
endoskopik (dan dwisisi)
Penutupan fistula oro-antral 1340 435
Frontoetmoidektomi eksternal (dan 2145 760
dwisisi)
Etmoidektomi intranasal (dan dwisisi) 1160 505
Etmoidektomi eksternal termasuk 1565 685
endoskopik (dan dwisisi)
Pembukaan anterior dan posterior ke 1760 685
dalam pembedahan endoskopik fungsi
sinus (FESS)
Etmoidektomi transantral (dan dwisisi) 1565 685
Flap tulang sinus frontal (dan dwisisi) 2480 625
Membuat trefin sinus frontal 580 265
Frontoetmoidektomi radikal 2390 940
Pembedahan endoskopik fungsi sinus 1565 685
subtotal (FESS)
Pembedahan ke atas sinus sfenoid 865 505
Pembedahan ke atas sinus hidung (tidak 865 505
dinyatakan)
Rhinotomi lateral ke dalam sinus bagi 1760 625
malignansi
Endoskopi diagnostik sinus (sebagai 315 405
tatacara tunggal)
Tekak
Faringektomi total 5970 1815
23
P.U. (A) 358
Faringektomi separa 2305 1815

Adenoidektomi 405 265
Pembaikan farinks 2145 820
Eksisi terbuka lesi farinks 725 505
Pembedahan kantung faringeal 1890 685
farinks
Kantung faringeal - reseksi endoskopik 1890 625
Pemeriksaan endoskopik diagnostik 580 405
farinks termasuk biopsi
Tonsilektomi - kanak-kanak (dan 1000 435
dwisisi)
Tonsilektomi - dewasa (dan dwisisi) 1160 435
Eksisi tonsil lingual 865 435
Adenotonsilektomi (dan dwisisi) 1160 435
Penyaliran abses peritonsilar ("Quinsy") 315 315
Larinks dan trakea

Laringektomi total termasuk diseksi 3600 1815
leher
Laringektomi separa 2145 985
Laringofisur dan kordektomi korda 1760 625
vokal
Laringektomi (tidak termasuk diseksi 2570 1320
leher)
Glottoplasty 1760 625
Rekonstruksi larinks dengan graf 3600 1815
Eksisi endoskopik lesi larinks termasuk 1160 570
mikrolaringoskopi
Laringoskopi/endoskopi dengan biopsi 580 505
Suntikan ke dalam larinks 1160 505

Eksisi separa trakea dengan 3600 2110
rekonstruksi
Trakeoplasti 1760 625
Penempatan terbuka prostesis di dalam 1760 505
trakea
Trakeotomi 1000 570
Selitan mini-trakeostomi 580 405
Tatacara endoskopik gentian optik di bawah anestesia topikal

Pemeriksaan gentian optik trakea dan 725 505
bronkus termasuk biopsi/pembuangan
bahan asing
Lavaj bronkus (diagnosis atau 865
terapeutik)
Pendilatan striktur trakea termasuk 865
selitan sten
24
P.U. (A) 358
Pendilatan striktur bronkus oleh 1000

bronkoskop gentian optik
Biopsi transbronkial 1000
(g) Tatacara endoskopik dan laparoskopik trek gastrointestinal (GIT)
Tatacara endoskopik GIT

Esofagoskopi tegar serta/tanpa 865 435
biopsi/pembuangan/laser atau destruksi
diatermi lesi
Esofagogastroduodenoskopi diagnostik 405 315
termasuk biopsi
Esofagoduodenoskopi terapeutik 580 435
termasuk pembuangan bahan asing/
polipektomi
Esofagogastroduodenoskopi terapeutik 1000 435
termasuk destruksi lesi, penyelitan
prostesis, pendilatan, pengkanalan
semula tumor
Skleroterapi suntikan varises esofagus 1000 685
Intubasi bagi penyiasatan GIT 480 315
serta/tanpa manometri, ukuran pH,
fungsi pankreatik dan biopsi jejunal
Endoskopi dan pemeriksaan ilium 580 315
melalui stoma termasuk pendilatan
Sigmoidoskopi fleksibel serta,/tanpa 580 435
biopsi/pembuangan/pemusnahan lesi
Kolonoskopi gentian optik serta/tanpa 1000 435
eksisi biopsi/pemusnahan lesi
Kolonoskopil gentian optik dan 1565 435
pengkanalan semula tumor
Endoskopik kolangiopankreatografi 1160 505
retrograd (ERCP)
ERCP dengan tatacara terapeutik 1760 505
Penyelitan sten pankreas 2040 760
Pembuangan batu pankreatik 2040 760
Penyaliran pseudosista pankreatik 2040 760
Ligasi gegelang getah varises 1000 405
PEG 1760 625
Reseksi mukosal endoskopik 2040 760
Polipektomi kolonik 1340 505
Pendilatan kolonik (belon) 1340 505
Penyelitan sten kolonik 1565 570
Tatacara terapeutik bagi pendarahan GIT 1000 405
(atas)
25
P.U. (A) 358
Tatacara laparoskopik
Pembaikan laparoskopik hernia hiatus 2145 760
Vagotomi/seromiotomi laparoskopik 2040 685
Gastrojejunostomi laparoskopik 2145 685
Gastrostomi/jejunostomi laparoskopik 1760 570
Penutupan laparoskopik ulser perut 1890 685
berliang
Penutupan laparoskopik ulser duodenum 1890 685
berliang
Reseksi laparoskopik usus kecil 1890 685
Apendisektomi laparoskopik 1565 570
Kolostomi laparoskopik 2040 760
Reseksi kolonik laparoskopik 2390 820
Reseksi anterior rektum dan 4750 1550
eksteriorisasi usus laparoskopik
Rektopeksi laparoskopik 1890 940
Kolesistektomi laparoskopik 2480 1125
Kolesistektomi laparoskopik dengan 2705 1550
kolangiogram peribedah
Splenektomi laparoskopik 1565 760
Pembaikan laparoskopik hernia groin 1160 505
(h) Mata dan kandungan orbit
Tatacara am
Angiogram fluoresin fundus 345
Fotografi anterior/fundus 65
Perimetri automasi 250
Carta Hess 125
Keratometri 65
Topografi kornea Ultrasonografi 250
Imbasan - A 125
Imbasan - B 250
Pakimetri 125
Gonioskopi 65
Oftalmoskopi tidak langsung 65
Refraksi 65
Ujian Schirmers 30
Elektrofisiologi
Elektroretinogram 250
(ERG)/Elektrookulogram (EOG)/Tindak
balas ditimbulkan visual (VER)
Pemancitan 125
Cucian 35
Irigasi 65
Eksisi/pengkuretan/krioterapi lesi 370 265
kelopak mata
26
P.U. (A) 358
Pemecahan foto laser Yag ke atas kapsul 580 505

posterior kanta termasuk kapsulotomi
laser
Koagulasifoto 1000 405
laser/Krioterapi/Radioterapi lesi retina
(dan dwisisi)
Angiografi fluoresin mata 315 265
Pembedahan pembetulan juling (satu 1890 625
atau kedua-dua mata)
Pembedahan trabekulektomi 2040 760
Trabekulektomi termasuk laser 1160 570
Biopsi lesi kelopak mata 480 315
Ekstraksi ekstrakapsular tanpa implan 2145 820
Ekstraksi ekstrakapsular dengan implan 2570 940
Glob atau orbit

Eksenterasi orbit 2040 760
Enukleasi bola mata 2040 685
Eksisi lesi orbit 1890 685
Rekonstruksi kaviti orbit 2305 760
Biopsi lesi orbit 1160 505
Penyaliran orbit 1340 355
Dekompresi orbit 2305 685
Pembuangan bahan asing daripada orbit 1890 685
Eksplorasi orbit 1890 685
Reduksi terbuka orbit patah 1340 685
Suntikan retrobulba 315 265
Eviserasi bola mata 2040 760
Implan orbital - Eviserasi/Enukleasi 2390
dengan implan
Bulu kening dan kelopak

Eksisi lesi bulu kening 580 405
Jahitan bulu kening 315 405
Eksisi lesi kantus 1000 505
Pembetulan epikantus 1160 505
Pembetulan telekantus 1160 505
Graf kulit kantus 1000 505
Kantotomi/Pengkuretan 580 505
Eksisi/Pengkuretan/Krioterapi lesi 370 265
kelopak mata
Graf kulit kelopak mata 1000 505
Pembetulan ektropion 1160 405
Pembetulan entropion 1160 405
Pembetulan trikiasis 405 405
Tarsorafi 865 405
Rekonstruksi total kelopak mata 1890 505
27
P.U. (A) 358
Jahitan kelopak mata (laserasi) 405 405

Rekonstruksi total kelopak mata - dwisisi 2895 820
Pembetulan ptosis kelopak mata 1760 625
Tarsomulerektomi 1760 505
Penyaliran lesi kelopak mata 370 355
Biopsi lesi kelopak mata 480 315
Pembuangan bulu mata melalui 370 265
elektrolilis/laser/krioterapi
Sistem lakrimal
Kanalikulo dakriosistorinostomi 2390 940
Konjunktivo dakriosistorinostomi 2390 940
Dakriosistorinostomi (DCR) 2040 940
dengan/tanpa pemasukan tiub
Eksisi kantung lakrimal 1000 505
Biopsi kantung lakrimal 580 505
Insisi kantung lakrimal 370 405
Pemancitan sistem nasolakrimal di 315 265
bawah anestesia am (GA)
Penguaran kantung nasolakrimal di 315 265
bawah GA
Pembaikan kanalikulus koyak 1000 265
Pendilatan punktum lakrimal di bawah 315 265
GA
DCR endoskopik 2570 1320
Otot
Pembedahan pembetulan juling (satu 1890 625
Pembedahan tinjauan semula juling (satu 2305 570
Tenotomi otot (satu atau kedua-dua 1340 570
mata)
Transposisi otot (satu atau kedua-dua 1760 570
mata)
Pembedahan pembetulan juling dengan 2480 685
jahitan boleh ubah (satu atau kedua-dua
mata)
Pembedahan tinjauan semula juling 2895 940
dengan sutur boleh ubah (satu atau
kedua-dua mata)
Pembetulan juling dengan toksin 1000
botulinum
Konjunktiva
Eksisi lesi konjunktiva 480 505
28
P.U. (A) 358
Pengkauteran termasuk krioterapi ke 315 505

atas lesi konjunktiva
Radioterapi lesi konjunktiva 580 505
Graf mukosa konjunktiva 1160 505
Jahitan konjunktiva 480 505
Pembuangan jahitan konjunktiva 315 435
Penyaliran sista konjunktiva 315 435
Pembahagian perekatan konjunktiva 315 435
Biopsi lesi konjunktiva 315 435
Suntikan subkonjunktival 315 435
Eksplorasi konjunktiva termasuk 370 435
pembuangan bahan asing
Eksisi pterigium 1340 505
Graf limbal konjunktiva 725
Kornea
Eksisi lesi kornea 480 435
Krioterapi lesi kornea 315 435
Graf lameliar (Keratoplasti) kornea 2390 940
Graf penembusan (Keratoplasti) kornea 2390 940
Pembaikan luka kornea 580 505
Pembuangan jahitan kornea 315 405
Pembuangan bahan asing kornea 405 435
superfisial
Jahitan ketegangan 1340 625
Pengelatan kornea 725 405
Pentatuan kornea 725 405
Kikisan kornea untuk kultur 405 405
Keratoplasti refraktif 1760 625
Keratektomi fotorefraktif 2145 820
(PRK)/Keratektomi fototerapeutik (PTK)
Keratomileusis laser in situ (LASIK) 3600 2110
Graf lamellar (Keratoplasti) kornea 3600
Menjalankan graf (Keratoplasti) kornea 2895
Pemindahan sel stem limbal 2705
Graf membran amniotik 1160
Punktur stromal anterior 865
Keratotomi astigmatic 1565
Sklera
Eksisi lesi sklera 725 570
Pembaikan laserasi sklera 725 570
Graf sklera 1565 570
lris dan ruang anterior

Iridosikletomi 2390 940
Pembedahan iridektomi 1160 685
29
P.U. (A) 358

Trabekuloplasti laser 1000 570
Trabekulotomi termasuk laser 1160 570
Goniotomi (rawatan pembedahan 1890 570
glaukoma)
Iridotomi laser 1160 505
Pembaikan prolaps iris 1890 685
Eksisi lesi iris 1890 685
Pembuangan bahan asing daripada iris 1890 685
Siklosioterapi (pengkauteran badan 1160 505
siliari)
Siklodialisis (pemisahan badan siliari) 1760 685
Pemulihan ruang anterior 1565 570
Parasentesis 1000 435
Suntikan ke dalam ruang anterior 480 435
lrigasi ruang anterior 480 435
Pembuangan bahan asing dari ruang 1160 435
anterior
Implan injap di dalam glaukoma 2895 1815
Siklofotokoagulasi 1565 570
Kanta
- dwisisi
- unilateral
Phakoemulsifikasi lensa dengan/tanpa 2570 940
implan
- dwisisi
Gangguan/pemecahan foto laser Yag ke 580 505
atas kapsul posterior kanta termasuk
kapsulotomi laser
Insersi sekunder kanta implan 1760 685
Tinjauan semula kanta implan 1760 685
Pembuangan kanta implan 1340 505
Pembedahan insisi kecil dengan/tanpa 2705 1550
kanta intraokular (IOL)
Pembedahan katarak dalam kes-kes 3600
rumit (cth: kanta terdislokasi dengan/
tanpa implant)
Fiksasi skleral kanta intraokular 2390
Vitreus
Vitrektomi oleh pendekatan anterior 1760 760
30
P.U. (A) 358
Vitrektomi pendekatan pars plana 2570 1320

dengan insersi tamponad dalaman
Vitrektomi bergabung dengan 3600 2110
membranektomi/insersi tamponad
dalaman/laser atau krioterapi
Retina
Lengkok sklera termasuk 2145 820
implan/pemusingan eksplan/minyak
silikon/pertukaran gas/laser atau
krioterapi
Pembuangan minyak silikon 865 355
Fotokoagulasi 1000 405
laser/krioterapi/radioterapi lesi retina
(dan dwisisi)
Eksisi lesi retina 2145 940
Biopsi lesi retina 2145 505
Vitrektomi pars plana dengan 5970 2930
pembuangan IOL/kanta terdislokasi
Vitrektomi pars plana dengan 5970 2930
pembuangan bahan asing intaokular
Lengkok sklera dengan vitrektomi trans 7030 3305
pars plana
(i) Radiologi intervensional
Biopsi
Biopsi berpandukan fluoroskopi 725
Biopsi berpandukan ultrasound 865
Biopsi berpandukan CT/MRI 1000
Biopsi hepar 1340
Transjugular/Transfemoral/Palam
Penyaliran
Penyaliran cecair terkumpul 725
berpandukan fluoroskopi
berpandukan ultrasound

berpandukan CT/MRI
Angioplasti
Angioplasti 1760
Angioplasti dengan insersi sten logam 1890
Angioplasti dengan insersi sten logam 2040
graf
31
P.U. (A) 358
Insersi sten logam graf aorta 4750 1550

Angioplasti serebrum dengan/tanpa 4750 1125
insersi sten logam
Angioplasti serebrum dengan insersi sten 4750 1125
logam graf
Embolisasi
Embolisasi arteri atau vena 1890
Embolisasi jisim vaskular termasuk 2895
embolisasi uterin
Embolisasi arteri bronkial 3600
Embolisasi aneurisme 5970
Embolisasi malformasi arteriovenus 7030
Trombolisis
Trombolisis atau sedutan trombus di 1340
bawah kawalan Pengimejan
Pendilatan
Pendilatan penyempitan di bawah 1160
kawalan pengimejan
Pendilatan perkutaneus striktur biliari di 2305
bawah kawalan Pengimejan
Kepala dan leher

Ekstraksi batu endoluminal daripada 725
duktus liur di bawah kawalan Pengimejan
Insersi sten nasolakrimal di bawah 2040
kawalan pengimejan
Kepala dan leher spina

Kemonukleolisis 1160
Disektomi berpandukan fluoroskopi 2145
termasuk laser
Disektomi berpandukan CT termasuk 2895
laser
Vertebroplasti perkutaneus berpandukan 2145
fluoroskopi
Vertebroplasti perkutaneus berpandukan 2895
CT
Toraks
Insersi sten logam trakeal/bronkial 1760
Insersi sten logam esofageal di bawah 1565
kawalan pengimejan
32
P.U. (A) 358
Gastro usus
Gastrostomi Perkutaneus 1760
Gastrojejunostomi Perkutaneus 2145
Hepar
Kolesistektomi Perkutaneus 1890
Insersi perkutaneus endoprostesis biliari 1890
plastik
Insersi perkutaneus endoprostesis biliari 2390
logam
Transjugular pintasan intrahepatik 2895 1815
portosistemik
Urinari
Nefrostomi Perkutaneus 1340
Pembuangan kalkulus Perkutaneus 2705
Pilolisis Perkutaneus 2705
Lain-lain
Insersi kateter vena sentral - tidak 725
tembus (berpandukan sinar-X)
Insersi kateter vena sentral - tembus 1160
(berpandukan sinar-X)
Ablasi sista di bawah kawalan pengimejan 1160
Pemasukan penyaring vena cava 1340
Pencarian bahan asing di bawah panduan 1565
sinar-X
Penutupan fistula di bawah kawalan 2145
pengimejan
Koagulasi laser perkutaneus jisim 3600
(j) Neurologi
Laporan ujian neurofisiologi

Elekroensefalogram (EEG) - rutin dan 315
tidur atau mudah alih
Kajian potensial pembangkitan - potensial 580
pembangkitan visual (VEP), potensial
rangsangan pembangkitan auditori stem
otak (BAEP) dan potensial pembangkitan
somatosensori (SSEP)
Elektromiogram (EMG) dan kajian 580
konduksi saraf
Kajian konduksi saraf 315
33
P.U. (A) 358
Neurosurgeri
Dekompresi dan cantuman pertemuan 7030 3305
kranio servikal
Kraniotomi tumor supraselar 7030 3305
Kraniotomi tumor fosa posterior 7030 3305
Rizotomi posterior selektif 5970 2930
Disektomi endoskopik 7030
Laminektomi servikal 3600
(k) Obstetrik dan ginekologi
Kehamilan dan pantang

Kelahiran caesarean 1890 820
Histerektomi caesarean 2390 820
Pengkuretan uterus bersalin 480 405
Penempatan semula uterus songsang 725 685
Tranfusi pertukaran darah neonatal 1000
Organ reproduktif wanita
Uterus/Adneksa
Histerektomi radikal dan limfadenektomi 4750 1550
(Wertheim's)
Histerektomi total abdomen 2040 760
Histerektomi subtotal abdomen 2040 760
Histerektomi dan pembuangan adneksa 2040 760
uterus
Histerektomi vagina termasuk bantuan 2040 760
laparoskopik
Histerektomi dan pembuangan adneksa 2895 820
uterus bagi ketumbuhan malignan ovari
Miomektomi termasuk laparoskopik 2040 760
Rekonstruksi plastik uterus 1565 685
uterus termasuk ablasi endometrial
Histeroskopi dengan/tanpa D&C , biopsi 865 435
termasuk polipektomi
Biopsi atau penyedutan endometrium 405 265
Ooforektomi dan salpigektomi dwisisi 1890 685
dalam isolasi
Ooforektomi dan salpingektomi sisi 1340 685
tunggal dalam isolasi
Pembuangan produk konsepsi daripada 1760 760
tiub falopian (kehamilan ektopik)
termasuk laparoskopik
Laparoskopi termasuk (cth: punktur sisia 1160 570
ovari serta/tanpa biopsi)
34
P.U. (A) 358
Tatacara laparoskopi dan terapeutik 1890 760

termasuk laser, diatermi dan pemusnahan
(cth: endometriosis, adesiolisis
pembedahan tiub dan tumor pejal)
Sistektomi ovari (tidak termasuk dalam 1890 685
tatacara lain) (dan dwisisi)
Diseksi blok nodus limfa pelvik (tidak 2040 760
termasuk dalam tatacara lain)
Eksenterasi penuh pelvis 5970 2930
Eksenterasi anterior pelvis 4750 1815
Eksenterasi posterior pelvis 4750 1815
Gantungan
Pembedahan bergabung abdomen dan 1890 685
vagina bagi menyokong saluran keluar
pundi kencing wanita
Pembedahan anduh suprapubik 1890 760
Gantungan retropubik leher pundi 1890 685
kencing
Pembedahan vagina bagi menyokong 1890 685
saluran keluar pundi kencing wanita
Ventro-gantungan uterus termasuk 1340 625
laparoskopi
Serviks uteri
Kolposkopi (dengan/tanpa biopsi) 370
Amputasi uferi serviks 1160 505
Pemusnahan laser lesi serviks uterus 370 265
Pengkauteran lesi serviks uterus 370 265
termasuk diatermi gelung
Biopsi kon serviks uterus termasuk laser 865 505
Biopsi tebuk serviks uterus 315 265
Pendilatan serviks uterus dan 480 315
pengkuretan uterus termasuk
polipektomi dan diatermi serviks
(bagi wanita melebihi umur 40 tahun)
Vagina/Perineum
Sistouretroplasti 1760 685
Eksisi/Diatermi karunkel uretra 370 265
Pembedahan Perineum wanita 480 265
Insisi introitus vagina 480 505
Obliterasi lain vagina 1890 760
Eksisi septum vagina 725 505
Eksisi lesi vagina (cth: ketuat dan sista) 865 505
Rekontruksi vagina 2705 820
35
P.U. (A) 358
Kolporafi anterior serta/tanpa posterior 2040 685

dan amputasi uterus serviks termasuk
pembaikan primer enterosele
Kolporafi posterior 1340 625
termasuk pembaikan primer enterosele
Pembaikan enterosele (dalam isolasi) 1760 685
serta/tanpa kolporafi posterior
dengan histerektomi vagina termasuk
pembaikan primer enterosele
Pembaikan fistula vesikovaginal 2145 820
Pembaikan fistula uretrovaginal 1890 820
Pembaikan fistula rektovaginal 2480 820
Pembaikan fistula ureterovaginal 2480 820
Vulva/Labia
Eksisi kelenjar Bartholin 865 355
Marsupialisasi kelenjar Bartholin 865 355
Vulvektomi mudah 2145 760
Eksisi tisu labial berlebihan 725 435
Vulvektomi radikal termasuk diseksi blok 2895 985
kelenjar inguinal
Eksisi lesi vulva 580 355
(l) Pembedahan pediatrik
Penyaliran abses paru-paru 2480 1125

Laparotomi NEC 4750 2500
Penutupan peringkat tunggal epispadias 3600 2110
Eksisi barah kemuncak neural (torasik) 3600 2110
Eksisi transternal teratoma 3600 2110
Eksisi transternal limfangioma 4750 2500
Endoskopi dan kanulasi fistula trakea 1565 570
Eksisi sista bronkial 3600 2110
Pembaikan paru-paru 2895 1815
Eksisi duplikasi esofageal 3600 2110
Pembaikan jenis H bagi Tetralogi Fallot 3600 2110
(TOF)
Pembaikan belah trakeo-esofageal 5970 2930
Torakotomi dan pembaikan primer 4750 2500
atresia esofageal
Pembaikan TOF berulang 5970 2930
Torakotomi dan pembahagian fistula 2895 1815
Esofagostomi 1760 625
Transeksyen esofageal 2705 1550
36
P.U. (A) 358
Rectosigmoidektomi dengan rekonstruksi 4750 2500

koloanal bagi penyakit Hirshsprung
Modifikasi Lester-Martin Duhamel 5970 2930
Pembedahan Kimura bagi aganglionosis 7030 3305
kolonik total
Tampalan ileosekal/jejunal bagi 7030 3305
aganglionosis kolonik total
Suntikan prasakral larutan garam 480 265
hipertonik
Insersi jahitan mengelilingi sfinkter 480 265
perianal
Anorektoplasti sagital posterior 3600 2110
Anorektoplasti sagital posterior dengan 4750 2500
laparotomi bagi anomali anorektal jenis
tinggi
Anorektoplasti sagital anterior 2895 1815
Pull-through sakroperineal 2895 1815
Anorektorvaginouretoplasti sagital 5970 2930
posterior bagi kloakal jenis pertengahan
Anorektovaginouretoplasti sagital 7030 3305
posterior dengan laparotomi bagi jenis
tinggi
Pembuatan semula anaorektoplasti 5970 2930
sagital posterior bagi anomoli anorektal
Anoplasti 1760 625
Penyaliran sista koledokal 2390 985
Pembedahan Kasai bagi biliari atresia 7030 3305
Splenektomi subtotal 3600 2110
Pembaikan limpa 2705 1550
Aortopeksi (bagi trakriomalasia) 3600 2110
Insersi perkutaneus tiub nefrostomi 1160 435
Ureterostomi kutaneus 1565 570
Eksisi ureterosil 2480 1125
Eksisi ureterosil ektopik 2570 1320
Penutupan eksostrofi pundi kencing 5970 2930
Penukaran ekstrofi klokal kepada ekstrofi 4750 2500
pundi kencing dengan kolostomi akhir
Penukaran ekstrofi klokal, ileostomi, 7030 3305
pemisahan sekum daripada kedua-dua
pundi kencing hemibladders
Vesikostomi 1760 625
Apendikovasikostomi Mitrofanoff 3600 2110
Pembaikan hipospadias kelenjar 1565 570
(cth: MAGPI)
Pembaikan hipospadias penis distal 2390 985
(cth: pembaikan Flip-flap)
Penutupan fistula uretra 1000 405
37
P.U. (A) 358
Pembaikan peringkat pertama 1565 570

hipospadias penis
Pembaikan flap pulau peringkat tunggal 3600 2110
proksimal atau hipospadias penoskrotal
Pembaikan peringkat tunggal bagi 4750 2500
hipospadias dengan transposisi
penoskrotal
Rekonstruksi lelaki peringkat tunggal 7030 3305
dengan vaginektomi bagi genitalia
meragukan
Pembetulan transposisi penoskrotal 1890 685
Pembetulan kordae tanpa hipospadias 1565 570
(tiada keperluan bagi dretroplasti)
Pembaikan peringkat kedua hipospadias 1565 570
Pembetulan kordae penis tanpa 2895 1815
hipospadias yang memerlukan
uretroplasti
Pembaikan hipospadias dengan graf 4750 2500
bebas pundi kencing atau mukosa mulut
Eksplorasi skrotum 1000 405
Pemindahan mikrovaskular testis ke 2705 1550
skrotum
Laparoskopi dan orkidopeksi bagi testis 2145 820
intraabdomen
Laparotomi dan pengikatan arteri 865 355
testikular
Pembahagian laparoskopik arteri 1565 570
testikular
Pembelahan dorsal prepus 405 265
Reduksi klitoroplasti bagi hiperplasia 2705 1550
adrenal congenital
Reduksi klitoroplasti dengan vaginoplasti 4750 2500
bagi hiperplasia adrenal kongenital
Reduksi klitoroplasti, laparotomi dan 7030 3305
vaginoplasti-kolon sigmoid
Reduksi semula klitoroplasti dengan 7030 3305
vaginoplasti - semula dengan laporotomi
dan sigmoid
Eksisi sistik higroma servikal - kecil 1160 435
Eksisi sistik higroma servikal - besar 2480 1125
Eksisi sistik higroma servikal - 3600 2110
menyeluruh/ekstensif
Pembetulan hidrosil - unilateral 1000
Pembetulan hidrosil - dwisisi 1760
Penutupan eksomfalos major/gastroskisis 3600
- penutupan primer
38
P.U. (A) 358

- penutupan silastik
- penutupan primer tertunda
(m) Pembedahan ortopedik pediatrik
Dislokasi kongenital pinggul (CDH)

Reduksi tertutup dengan/tanpa bius dan 865 355
spika pinggul
Reduksi tertutup dengan pemakaian alat 315 265
sokongan
Reduksi terbuka dengan dengan spika 1890 685
pinggul
Reduksi terbuka dengan osteotomi pelvik 2305 940
Reduksi terbuka dengan osteotomi 2305 940
femoral
Reduksi terbuka dengan osteotomi pelvik 2705 1550
dan femoral
Lutut
Pembetulan kecacatan melalui penuangan 315 265
bersiri
Pembetulan kecacatan dengan pelepasan 1340 505
tisu lembut
Pembetulan kecacatan melalui osteotomi 2305 940
Penstabilan patela melalui penuangan 1160 435
Pseudoartrodesis
Eksisi dan graf hidup 2895 1815
Eksisi dan pemindahan tulang 2705 1550
Pemanjangan tulang dan pembetulan
kecacatan
Menggunakan rangka bulat 2705 1550
Menggunakan rangka uniaksial 2480 1125
Menggunakan rangka bulat dan uniaksial 2705 1550
(digabungkan)
Kaki
Pembetulan kaki belantan melalui 315 265
penuangan
pemanjangan tendon Achilles
pelepasan tisu lembut sepenuhnya
Pembetulan kaki belantan melalui rangka 1760 625
bulat
39
P.U. (A) 358
Pembetulan kecacatan melalui 2145 820

pemindahan tendon dan pelepasan tisu
lembut
Pembetulan kecacatan melalui osteotomi 2145 820
dan cantuman tulang
Artrodesis 2145 820
Polio dan Palsi serebrum

Pelepasan tisu lembut dan neurektomi 1340 505
pinggul - dwisisi
Pelepasan tisu lembut lutut - dwisisi 1340 505
Pelepasan tisu lembut pergelangan kaki - 1340 505
dwisisi
Pemindahan tendon 1565 570
Atrodesis 2145 820
Reseksi tumor dan penyelamatan anggota

Tumor tisu lembut - mudah 2145 820
Tumor tisu lembut - kompleks termasuk 7030 3305
rekonstruksi neurovaskular
Tumor tulang dengan endoprostesis 7030 3305
(n) Patologi (Patologi anatomi)
Eksisi spesimen tidak kompleks 55 - 70

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

Biopli diagnostik (baji/tebuk/trucut) 115 - 135
(satu blok parafin)
Spesimen saiz pertengahan 170 - 225
(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- 345 - 420
(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
P.U. (A) 358
(kecuali diabetes), keratan tumor lebih

daripada 10 sm, biopsi diagnostik
dihantar sebagai 4 hingga 10 spesimen
berasingan)
Spesimen radikal 440 - 490
(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 205 - 240
termasuk pewarna khusus
Otot termasuk pewarna khusus 280 - 345
Biopsi buah pinggang termasuk pewarna 410 - 485
khusus dan imunofluoresen
Kecelaruan limfoproliferatif termasuk 280 - 345
imunohistofenotaiping limfoma
Seksyen beku (dengan seksyen laporan 410 - 555
paraffin susulan)
Autopsi
Lawatan ke tempat jenayah 410 - 685
Tatacara dan laporan 685 - 1375
Sitopatologi
Laporan calitan ginekologi 45 - 50
Laporan calitan bukan ginekologi 85 - 95
Tatacara sedutan sitologi 315
Laporan sedutan sitologi 165 - 205
Hematologi dan transfusi
Laporan berdasarkan filem darah 45 - 70
Tatacara sedutan sum-sum tulang 480
Laporan sedutan sum-sum tulang 135 - 275
Tatacara trefin sum-sum tulang 580 405
Laporan trefin sum-sum tulang 135 - 275
Laporan ujian koagulasi 70 - 135
Laporan kajian ke atas hematologi khusus 70 - 135

- (cth: status folat-B12, ujian Coomb's,
analisis hemoglobin, sitokemistri, dsb.)
Laporan transfusi asas 45 - 70
- (cth: perbezaan kumpulan dan
ketidakserasian darah/produk darah)
Laporan masalah transfusi 135 - 275
Feresis 1000
41
P.U. (A) 358
Tuaian sum-sum tulang 1340

Graf sum-sum tulang 1340
Genetik
Kajian kromosom imunofluoresen 135 - 410
Imunofenotaiping 135 - 410
Kandungan asid deoksiribonukleik 135 - 410
(DNA)(Ploidi)
Kajian penyusunan semula baka 135 - 410
Subset limfosit 135 - 410
Laporan kajian genetik molekular lain 135 - 410
Ujian paterniti 135 - 410
Penjenisan antigen leukosit manusia 135 - 410
(HLA)
Imunologi
Laporan penyelidikan imunologi umum 40 - 70
(cth: saringan penyakit autoimun,
saringan autoantibodi)
Laporan ujian imunologi khusus 70 - 275
(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 15 - 20
Laporan kultur khusus 70 - 135
Laporan pemeriksaan calitan terus 45 - 55
(gram/basili fast asid (AFB))
Laporan ujian serologi 45 - 55
Laporan ujian serologi khusus 70 - 135
Laporan bagi ujian kerentanan 105 - 205
antimikrobial (per ujian)
Perundingan atas perawatan pesakit 105 - 135
(siasatan dan terapi empirikal)
Pemeriksaan calitan kultur darah positif 135 - 205
dan laporan awal dengan perundingan
bagi perawatan pesakit
Perundingan kawalan jangkitan 135 - 205
Laporan penemuan antijen 70 - 105
(Imunofluoresen, Esei imunosoiben
dihubungkan enzim IgG (ELISA),
lateks/koaglutinasi)
42
P.U. (A) 358
Patologi kimia
Laporan profil kimia umum 45 - 70
(cth: hepar,tulang, jantung)
Laporan saringan kimia umum termasuk 70 - 205
saringan eksekutif
Laporan siasatan kimia khusus 70 - 410
(cth: kajian metabolik (lipid, tulang)
kecelaruan endokrin, kajian toksikologi,
pemantauan ubatan terapeutik penilaian
kesihatan ibu dan janin)
Laporan kajian dinamik 115 - 410
(cth: kajian fungsi (GIT, endokrin, renal))
Perundingan bagi -
Strategi siasatan 105 - 135
Variasi bukan analitikal 105 - 135
Gangguan ubatan 105 - 135
Korelasi di antara data klinikal dan 105 - 135
maklumat klinikal yang disediakan
Pelbagai
Mikroskopi elektron 340 - 410
Pandangan kedua -
Mentafsir data dan slaid sumsum tulang 135 - 275
Histopatologi dan sitopatologi 275 - 685
Penemuan autopsi 275 - 1375
(o) Psikiatrik-Psikoterapi
Psikoterapi perseorangan - tidak kurang 250

daripada 45 minit bagi setiap sesi
termasuk terapi tingkah laku dan
hipnoterapi
Psikoterapi berkumpulan bagi setiap 65
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 250
- tidak kurang daripada 45 minit bagi
setiap sesi bagi suatu pasangan serentak
Terapi keluarga bagi setiap keluarga 250
- tidak kurang daripada 45 minit bagi
setiap sesi dan tidak kurang daripada tiga
anggota
Psikoterapi kanak-kanak - tidak kurang 250
daripada 30 minit bagi setiap sesi
43
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) 45
Dada (dua pandangan) 70
Dada (tiga pandangan) 90
Dada (empat pandangan) 115
Abdomen
Abdomen (satu pandangan) 45
Abdomen (dua pandangan) 70
Abdomen (tiga pandangan) 90
Ginjal, ureter dan pundi kencing (KUB) 115
(satu pandangan)
Pelvimetri lateral 55
Pelvimetri antero-posterior (AP) dan 90
lateral
Spina
Spina servikal (satu pandangan) 45
Spina servikal (dua pandangan) 70
Spina servikal (tiga pandangan) 92
Spina servikal (empat pandangan) 115
Spina servikal (lima pandangan) 135
Spina torasik (satu pandangan) 45
Spina torasik (dua pandangan) 70
Spina torasik (tiga pandangan) 90
Spina lumbo-sakral (satu pandangan) 45
Spina lumbo-sakral (dua pandangan) 70
Spina lumbo-sakral (tiga pandangan) 90
Spina lumbo-sakral (empat pandangan) 115
Kaji selidik skeletal 250
Tengkorak
Tengkorak (satu pandangan) 45
Tengkorak (dua pandangan) 70
Tengkorak (tiga pandangan) 90
Tengkorak (empat pandangan) 115
Tulang muka
44
P.U. (A) 358
Tulang muka (satu pandangan) 45

Tulang muka (dua pandangan) 70
Tulang muka (tiga pandangan) 90
Tulang hidung (satu pandangan) 45
Mandibel
Mandibel (satu pandangan) 45
Mandibel (dua pandangan) 70
Mandibel (tiga pandangan) 90
Sendi temporo-mandibular
Sendi temporo-mandibular (satu 45
pandangan)
Sendi temporo-mandibular (dua 70
pandangan)
Sendi temporo-mandibular (tiga 90
pandangan)
Sendi temporo-mandibular (empat 115
pandangan)
Mastoid
Mastoid (satu pandangan) 45
Mastoid (dua pandangan) 75
Mastoid (tiga pandangan) 110
Mastoid (empat pandangan) 130
Sinus paranasal
Sinus paranasal (satu pandangan) 45
Sinus paranasal (dua pandangan) 70
Sinus paranasal (tiga pandangan) 90
Pandangan foramina optik

Sesisi 70
Dwisisi 105
Orbit
Orbit (dua pandangan) 45
Orbit (tiga pandangan) 70
Orbit (empat pandangan) 90
Kanal auditori internal

Kanal auditori internal (satu pandangan) 45
Kanal auditori internal (dua pandangan) 70
Kanal auditori internal (tiga pandangan) 90
Bahu
Bahu (satu pandangan) 45
45
P.U. (A) 358
Bahu (dua pandangan) 70

Bahu (tiga pandangan) 90
Bahu (empat pandangan) 115
Sendi akromioklavikular - kedua-dua 55
belah menanggung berat
Lengan atas (Humerus)

Lengan atas (satu pandangan) 45
Lengan atas (dua pandangan) 70
Sendi siku
Sendi siku (satu pandangan) 45
Sendi siku (dua pandangan) 70
Sendi siku (tiga pandangan) 90
Sendi siku (empat pandangan) 115
Lengan bawah (Radius/Ulna)

Lengan bawah (satu pandangan) 45
Lengan bawah (dua pandangan) 70
Sendi pergelangan tangan

Sendi pergelangan tangan (satu 45
pandangan)
Sendi pergelangan tangan (dua 70
pandangan)
Sendi pergelangan tangan (tiga 90
pandangan)
Sendi pergelangan tangan (empat 115
pandangan)
Tangan
Tangan (sebelah - satu pandangan) 45
Tangan (sebelah - dua pandangan) 70
Tangan (sebelah - tiga pandangan) 90
Tangan (kedua-dua belah - satu 55
pandangan)
Tangan (kedua-dua belah - dua 80
pandangan)
Tangan (kedua-dua belah - tiga 105
pandangan)
Tangan kiri bagi usia tulang 45
Ibu jari atau setiap jari lain

Ibu jari atau setiap jari lain (satu 30
pandangan)
Ibu jari atau setiap jari lain (dua 40
pandangan)
46
P.U. (A) 358
Klavikel
Klavikel (satu pandangan) 45
Klavikel (dua pandangan) 70
Sendi sterno-klavikel
Sendi sterno-klavikel (satu pandangan) 45
Sendi sterno-klavikel (dua pandangan) 70
Sendi sterno-klavikel (tiga pandangan) 90
Sternum (satu pandangan) 45
Skapula
Skapula (satu pandangan) 45
Skapula (dua pandangan) 70
Pandangan kanal karpal 70

Pandangan skafoid 90
Pelvis
Pelvis (satu pandangan) 50
Pelvis (dua pandangan) 75
Pelvis (tiga pandangan) 95
Sendi pinggul
Sendi pinggul (satu pandangan) 50
Sendi pinggul (dua pandangan) 75
Sendi pinggul (tiga pandangan) 95
Sendi pinggul (empat pandangan) 120
Sendi pinggul (lima pandangan) 145
Femur (paha)
Femur (satu pandangan) 50
Femur (dua pandangan) 70
Lutut
Lutut (satu pandangan) 45
Lutut (dua pandangan) 70
Lutut (tiga pandangan) 90
Lutut (empat pandangan) 115
Lutut (lima pandangan) 135
Tulang keting (Tibia/Fibula)

Tulang keting (satu pandangan) 45
Tulang keting (dua pandangan) 70
Pergelangan kaki
Pergelangan kaki (satu pandangan) 45
Pergelangan kaki (dua pandangan) 70
47
P.U. (A) 358
Pergelangan kaki (tiga pandangan) 90

Pergelangan kaki (empat pandangan) 115
Pergelangan kaki (lima pandangan) 135
Kaki
Kaki (satu pandangan) 45
Kaki (dua pandangan) 70
Kaki (tiga pandangan) 90
Kedua-dua belah kaki (dua pandangan) 80
Kedua-dua belah kaki (tiga pandangan) 105
Sendi subtalar
Sendi subtalar (satu pandangan) 45
Sendi subtalar (dua pandangan) 70
Sendi subtalar (tiga pandangan) 90
Sendi subtalar (empat pandangan) 115
Kalkaneum
Kalkaneum (satu pandangan) 45
Kalkaneum (dua pandangan) 70
Densitometri tulang
Dexa 170
Ultrasound 150
Pemeriksaan radiografik berkontras

(fi pakar radiologi dalam parentesis)
Barium telan (40%) 115
Barium makan (kontras berganda) (40%) 170
Barium makan dan ikut lalu (40%) 205
Enema usus kecil (40%) 205
Gastrografin atau kontras bukan berion 205
kajian gastrointestinal atas (40%)
Enema Barium (satu kontras atau 205
berganda dua) (40%)
Gastrografin atau enema kontras bukan 205
berion (40%)
Loopogram (40%) 205
Intubasi duodenum (40%) 230
Kolesistogram oral (Satu dos) (30%) 135
Kolesistograrn oral (dos berganda dua) 170
(30%)
Sistogram (30%) 205
Ureterogram menaik ((40%) 230
Sistouretgram kencing (40%) 285
Pailogram retrogred - sebelah (30%) 135
Pailogram retrogred - dua belah (30%) 205
48
P.U. (A) 358
Kajian konduit ilium (40%) 205

Pailogram nefrostomi - sebelah (30%) 170
Pailogram nefrostomi - dua belah (30%) 235
IVU dos kontras standard (30%) 230
IVU dos kontras standard dan tomogram 265
(30%)
IVU dos kontras berganda dua (30%) 310
IVU dos kontras berganda dua dan 345
tomogram (30%)
IVU dos standard dan radiograf tertunda 285
(30%)
radiograf tertunda (30%)
IVU dos standard dan tomogram dan 320
radiograf tertunda (30%)
tomogram dan radiograf tertunda (30%)
Kolangiogram tiub-T (30%) 135
Kolangiogram pembedahan (30%) - 285
laporan segera sahaja
Histerosalfingogram (kontras berion) 135
(30%) - saringan dan laporan sahaja
Histerosalfingogram (kontras bukan ion) 135
(30%) - saringan dan laporan sahaja
Histerosalfingogram serta kontras berion 205
(keseluruhan tatacara) (40%)
Histerosalfingogram serta kontras bukan 230
berion (keseluruhan latacara) (40%)
Sinogram (40%) 170
Sialogram kelenjar parotid - sebelah 230
(50%)
Sialogram kelenjar parotid - dua belah 460
(50%)
Sialogram kelenjar submandibular - 230
sebelah (50%)
Sialogram kelenjar submandibular - dua 460
belah (50%)
Artrogram - sebelah (50%) 230
Artrogram - dua belah (50%) 400
Mailogram lumbar (kontras bukan berion 515
larut air) (50%)
Mailogram servik/torasik (50%) 605
Bronkogram - sebelah (40%) saringan, 230
laporan serta radiograf sahaja
Bronkogram - kedua belah (40%) 345
saringan, laporan serta radiograf sahaja
49
P.U. (A) 358
Tomografi
Tomogram - satu satah (30%) 195
Tomogram - dua satah (30%) 250
Tomogram - fosa pituitari AP/Lateral 195
(30%)
Mamogram
Mamografi sehingga empat pandangan 230
(35%)
Mamografi dan satu pandangan tambahan 265
(35%)
Mamografi dan dua pandangan tambahan 295
(35%)
Mamografi dan tambahan ultrasound 285
terhad (35%)
Imbasan tomografi komputer (imbasan CT)

Nota: Caj di atas adalah berdasarkan kepada
100 ml kontras intravena bukan berion
kecuali bagi CT otak/orbit - 50 ml
Otak (tanpa kontras) (30%) 400

Otak (dengan kontras bukan ionik) (35%) 490
CT otak kompleks (50%) 630
Abdomen (tanpa kontras) (30%) 400
Abdomen (dengan kontras bukan ionik) 515
(35%)
Abdomen dua fasa (40%) 630
Abdomen tiga fasa (40%) 745
Abdomen empat fasa (40%) 915
Abdomen kompleks (40%) 860
Pelvis (tanpa kontras) (30%) 345
Pelvis (dengan kontras bukan ionik) 460
(35%)
Pelvis kompleks (50%) 570
Spina - servikal atau lumbar (tanpa 400
kontras) (30%)
Spina - servikal atau lumbar (dengan 745
kontras bukan ionik intraspinal (50%))
Spina kompleks (50%) 860
Spina - torasik (tanpa kontras) 30% 460
Spina - torasik (dengan kontras bukan 745
ionik intraspinal ) 50%
Spina kompleks (50%) 860
Dada (tanpa kontras) (30%) 345
Dada (dengan kontras bukan ionik) 460
(35%)
50
P.U. (A) 358
Dada kompleks (50%) 570

Saringan CT dos rendah ke atas dada 285
(30%)
Resolusi tinggi tomografi berkomputer 345
(HRCT) - inspiratori atau ekspiratori
(30%)
HRCT - inspiratori serta ekspiratori 515
(40%)
Leher/Tiroid (tanpa kontras) (30%) 345
Leher/Tiroid (dengan kontras bukan 460
berion) (30%)
Ruang posnasal dan leher (tanpa kontras) 515
(30%)
Ruang posnasal dan leher (dengan 630
kontras bukan ionik) (30%)
Ruang posnasal kompleks (50%) 745
Orbit (tanpa kontras) (20%) 345
Orbit (dengan kontras bukan ionik) 460
(25%)
Orbit kompleks (50%)
Fosa Pituitari (tanpa kontras) (20%) 345
Fosa Pituitari (dengan kontras bukan 460
ionik) (25%)
I.A.M. (tanpa kontras) (20%) 345
I.A.M. (dengan kontras bukan berion) 460
(25%)
Imbasan badan total (otak, leher, dada, 1030
abdomen dan pelvis) (tanpa kontras)
(20%)
Imbasan badan total (dengan kontras 1145
bukan berion) (25%)
Imbasan badan total yang kompleks 1260
(50%)
Dada, abdomen dan pelvis (tanpa 915
kontras) (20%)
Dada, abdomen dan pelvis (dengan 1030
kontras bukan berion) (25%)
Dada, abdomen dan pelvis kompleks 1145
(50%)
Spiral CT abdomen dan pelvis bagi batu 345
karang (tanpa kontras intravena (IV))
(30%)
CT sinus paranasal bersatah tunggal 230
beresolusi tinggi bagi sinusitis (tanpa
kontras) (20%)
(tanpa kontras) (20%)
51
P.U. (A) 358

(dengan kontras bukan berion) (25%)
Abdomen dan pelvis (tanpa kontras) 685
(30%)
Abdomen dan pelvis (dengan kontras) 800
(35%)
Abdomen dan pelvis kompleks(50%) 915
Dada dan abdomen atas (tanpa kontras) 685
(30%)
Dada dan abdomen atas (dengan kontras) 800
(35%)
Dada dan abdomen atas kompleks (50%) 915
CT dua sistem (tidak tersenarai di atas) - 685
CT dua sistem (tidak tersenarai di atas) - 800
CT dua sistem (tidak tersenarai di atas) 915
(kompleks) (50%)
CT ekstremiti (tanpa kontras) (satu 400
kawasan) (30%)
CT ekstremiti (dengan kontras satu 515
kawasan) (35%)
CT ekstremiti kompleks (50%) 630
Ultrasound
Abdomen atas (40%) 170
Pelvis (40%) 135
Abdomen dan pelvis (50%) 230
Ginjal dan pundi kencing (40%) 115
Ginjal dan pundi kencing serta anggaran 135
isi padu urin baki (50%)
Otak (neonatal) (40%) 135
Ultrasound terperinci imbasan janin 285
Tiroid (40%) 115
Payudara (40%) 160
Ultrasound Doppler karotid 400
ekstrakranium (50%) -
Ultrasound Doppler arteri bagi satu 285
kawasan (50%)
Ultrasound Doppler vena bagi satu 285
anggota (50%)
Ultrasound Doppler vena bagi dua 460
anggota (50%) -
Ultrasound Doppler arteri bagi satu 345
anggota (50%)
Ultrasound Doppler arteri bagi dua 515
anggota (50%)
52
P.U. (A) 358
Ultrasound otot skeletal bagi setiap 170

kawasan (40%)
Ultrasound skrotum (40%) 115
Ultrasound Doppler bagi skrotum (50%) 230
Ultrasound Doppler bagi organ lain 345
(setiap organ) yang tidak tersenarai di
atas (50%)
Ultrasound endokavitari (50%) 170
Ultrasound jantung bagi penyakit 90
perikardial
Caj tambahan bagi setiap pemeriksaan 55
ultrasound bergerak (boleh dibayar
kepada pakar radiologi semasa waktu
bekerja biasa)
Caj tambahan bagi setiap pemeriksaan 170
ultrasound bergerak (boleh dibayar
kepada pakar radiologi selepas waktu
bekerja biasa)
Saringan
Pankreatografi kolangio endoskopik 230
retrogred (ERCP) (30%) (saringan dan
laporan sahaja) -biasa
ERCP biasa (30%) (saringan dan laporan 345
sahaja -kompleks
Pengimejan Resonan Magnetik (MRI)
Otak
Otak (tanpa kontras) 800
Otak (dengan kontras) 1030
Otak dengan angiografi resonans 1375
magnetik (MRA) (inkranium)
Otak dengan MRA serta kontras 1600
Otak dengan MRA serta karotid dwisisi 2060
serta kontras
MRA karotid intrakranium atau 800
ekstrakranium
MRV otak - biasa 800
MRV otak - kompleks 1030
Pituitari (tanpa kontras) 800
Pituitari (dengan kontras) 1030
Pituitari (dengan kontras dinamik) 1375
I.A.M (tanpa kontras) 800
I.A.M (dengan kontras) 1030
I.A.M serta otak (tanpa kontras) 1375
I.A.M serta otak (dengan kontras) 1600
53
P.U. (A) 358
Orbit
Orbit (tanpa kontras) 800
Orbit (dengan kontras) 1030
Orbit dan otak (tanpa kontras) 1375
Orbit dan otak (dengan kontras) 1600
Leher
Leher (tanpa kontras) 800
Leher (dengan kontras) 1030
Leher dan otak (tanpa kontras) 1485
Leher dan otak (dengan kontras) 1715
Pleksus Brakial (tanpa kontras) 915
Pleksus Brakial (dengan kontras) 1145
Toraks
Mediastinum (tanpa kontras) 800
Mediastinum (dengan kontras) 1030
Kardiak
MRI Kardiak - biasa 1145
MRI Kardiak - pertengahan 1715
MRI Kardiak - kompleks 2290
MRA Torasik - biasa 1030
MRA Torasik - pertengahan 1260
MRA Torasik - kompleks 1485
MRA Pulmonari - biasa 1030
MRA Pulmonari - pertengahan 1260
MRA Pulmonari - kompleks 1485
(Surcaj bagi setiap l0ml agen kontras MRI 285
intravena (IV))
Abdomen atas
Abdomen atas - biasa 1030
Abdomen atas - pertengahan 1260
Abdomen atas - kompleks 1485
Magnetik resonans 800
kolangiopankreatikografi (MRCP)
Magnetik resonans urografi 800
MRA abdomen atas - biasa 1030
MRA abdomen atas - pertengahan 1260
MRA abdomen atas - kompleks/rumit 1485
(Caj tambahan bagi setiap 10ml agen 285
kontras MRI intravena (IV))
Pelvis
Pelvis - biasa 1030
Pelvis - pertengahan 1260
54
P.U. (A) 358
Pelvis - kompleks 1485

MRI Pelvimetri 570
(caj tambahan bagi setiap 10ml agen 285
kontras MRI intravena (IV))
Spina
MRI kesemua spina (tanpa kontras) 1600
(bagi tekanan korda)
MRI kesemua spina (dengan kontras) 1830
(bagi tekanan korda)
MRI spina servikal (tanpa kontras) 1030
MRI spina servikal (dengan kontras) 1375
MRI spina torasik (tanpa kontras) 1030
MRI torasik spina (dengan kontras) 1375
MRI spina lumbar (tanpa kontras) 1030
MRI spina lumbar (dengan kontras) 1375
Sendi (bahu, sternoklavikular,

siku,pergelangan tangan, pinggul, sacro-iliac,
lutut,pergelangan kaki, sub-tarsal)
MRI satu sendi (tanpa kontras) 1030
MRI satu sendi (dengan kontras) 1375
Kawasan (lengan atas, lengan bawah,

tangan,peha, kaki bawah-betis, kaki)
MRI satu kawasan (tanpa kontras) 1145
MRI satu kawasan (dengan kontras) 1490
MRI Artrografi (fi pakar radiologi) 345
(q) Radioterapi dan onkologi
Rawatan iradiasi luaran (akselerator 170

linear)- Lazimnya termasuk rawatan
5 kali seminggu pada dos 200cGy setiap
rawatan
Rawatan iradiasi luaran menggunakan 115 - 345
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 2860 - 5720
rendah setiap sesi termasuk sumber
radioaktif, aplikator
55
P.U. (A) 358
(tidak termasuk fi bagi wad, dewan bedah

dan anestatik)
Rawatan ruang-antara (cth: implan 3430 - 5720
termasuk sumber dan aplikator lain)
Radioterapi intrakaviti/intraluminal 2290 - 5720
kadar dos tinggi bagi rawatan lengkap
(tidak termasuk aplikator)
Terapi sitotoksik (tidak termasuk

perundingan)
Infusi 570 - 860
Infusi berpanjangan 685 - 1030
Kemoterapi progresif sehari (berbilang 170 - 285
hari)
(r) Kulit dan tisu subkutaneus
Lesi kulit
Eksisi ulser tekanan koksik 865 685
Eksisi terkawal mikroskopikal lesi kulit 2480 820
atau tisu subkutaneus (kemosurgeri Moh)
Eksisi melanoma malignan termasuk graf 2145 685
Eksisi lesi kulit atau tisu subkutaneus - 405 405
sehingga tiga
Eksisi lesi kulit atau tisu subkutaneus - 1000 505
empat atau lebih
Lesi yang memerlukan eksisi lebar 1000 405
termasuk eksisi ulser roden
Pengkuretan/krioterapi lesi kulit 1000 315
termasuk pengkauteran - empat atau
lebih
Pemusnahan laser lesi kulit 580 265
Biopsi cukur lesi kulit 315 265
Pengeluaran benda asing tisu dalam 725 355
Penyaliran lesi kulit termasuk abses 370 265
Penyaliran abses subkutaneus 580 405
besar/hematoma
Dermabrasi kawasan terhad kulit 580 315
Dermabrasi meluas kulit 1000 435
Eksisi dasar kuku (Zadeks) 725 435
Pembaikan
Sutur primer luka yang melibatkan tisu 1340 625
dalam
Sutur sekunder kulit 370 315
Penyelitan/pengeluaran pengembang 1340 505
kulit ke dalam tisu
56
P.U. (A) 358
Pembersihan luka (dan pembersihan 480 315

pembedahan)
Luka terbakar
Eskaiektomi kulit luka terbakar atau tisu 1340 435
subkuraneus (tidak lebih daripada l0%)
Eskarektomi kulit luka terbakar atau tisu 1760 760
subkutaneus (lebih daripada 10%)
Balutan menyeluruh kulit luka terbakar 480 625
atau tisu subkutaneus
Transplan
Flap jauh kulit dan otot 1890 940
Flap pulau neurovaskular 2390 940
Flap setempat besar termasuk 1760 505
miokutaneus dan fasia
Flap setempat kecil 1760 505
Graf
Autograf belah kulit - tapak kecil 1000 505
Autograf belah kulit - tapak besar 2040 685
Graf ketebalan penuh 1160 685
Pemindahan tisu bebas mikrovaskular 3600 1550
(s) Spina, spina korda dan saraf periferi
Kawasan servikal
Dekompresi posterior primer termasuk 3600 1320
cantuman
Dekompresi posterior primer dengan 3600 1320
cantuman dan pengalatan
Laminoplasti pintu terbuka bagi kawasan 3600 1320
servikal (Hirobiashi)
Dekompresi posterior tinjauan semula 4750 1320
termasuk cantuman
dengan cantuman dan pengalatan
Dekompresi anterior tinjauan semula 4750 1320
termasuk cantuman
Gabungan cantuman anterior dan 5970 1815
posterior spina servikal termasuk
pengalatan
Pembedahan trans oral termasuk fiksasi 5970 1550
posterior
Disektomi endoskopik 7030
57
P.U. (A) 358
Laminektomi servikal 3600

Dekompresi dan cantuman pertemuan 7030
kranio servikal
Eksisi posterior primer cakera servikal 2895 1320
Eksisi posterior tinjauan semula cakera 4750 1320
intervertebra termasuk cantuman
intervertebra dengan cantuman dan
pengalatan
Ekrisi anterior primer cakera termasuk 3600 1320
cantuman
Eksisi anterior primer cakera dengan 3600 1320
Eksisi anterior tinjauan semula cakera 4750 1550
termasuk cantuman
Eksisi anferior tinjauan semula cakera 4750 1550
Kawasan torasik
Eksisi transtorasik 2895 1320
primer/posterior/anterolateral cakera
Eksisi transtorasik 2705 1320
primer/posterior/anterolateral cakera
pengalatan
Dekompresi posterior primer termasuk 3600 1320
cantuman
termasuk cantuman
Dekompresi anterior primer/transtorasik 4750 1320
termasuk cantuman
Dekompresi anterior primer/transtorasik 4750 1320
Dekompresi anterior/transtorasik 4750 1320
tinjauan semula termasuk cantuman
Kawasan lumbar
Eksisi posterior primer cakera 2390 940
Eksisi posterior primer cakera 3600 1550
pengalatan termasuk kestabilan graf
58
P.U. (A) 358

pengalatan
Eksisi transabdominal/retroperitoneum 3600 1320
primer cakera intervertebra termasuk
pengalatan
Dekompresi posterior primer spina, 2895 985
termasuk cantuman
Dekompresi anterior primer termasuk 3600 1550
cantuman
Dekompresi anterior primer dengan 3600 1550
Dekompresi gabungan anterior dan 5970 1815
posterior termasuk cantuman dan
pengalatan
Cantuman spina posterior dengan 5970 2110
pengalatan bagi scoliosis, kifosis, fraktur,
tumor atau jangkitan
Cantuman spina anterior dengan 7030 2500
pengalatan bagi scoliosis, kifosis, fraktur,
tumor atau jangkitan
Disektomi perkutaneus (atau laser) 2145 940
Mikrodisektomi 2390 940
Mikrodisektomi ulangan semula 2895 1125
Pengeluaran pembetulan pengalatan 1565 625
daripada spina
Peninjau periksaan spina termasuk biopsi 1890 685
Manipulasi spina 580 405
Kemonukleolisis 1160 435
Korda spina
Eksisi separa korda spina 4750 1550
Pembedahan terbuka korda spina 4750 1550
Pembaikan mielomeningosele spina 3600 1320
59
P.U. (A) 358
Eksisi lesi intradural 4750 1550

Penyaliran kanal spina termasuk 2705 820
penyelitan pintasan
Punktur lumbar termasuk manometri 370 265
spina
Eksisi tumor intramedula 4750 1550
Akar saraf
Rizolisis (terbuka) 2705 820
Simpatektomi terbuka 7030
Simpatektomi endoskopik 7030
Saraf simpatetik
Simpatektomi servikal toraskopik 2705 820
Simpatektomi lumbar laparoskopik 1890 760
Simpatektomi prasakral 1565 685
Rizotomi posterior selektif 7030
Saraf periferal
Eksisi saraf periferal 865 435
Transeksi saraf periferal 865 435
Neurektomi (saraf major) 1340 505
Eksisi lesi saraf periferal 1000 435
Eksisi lesi (saraf major) 1340 505
Pembaikan primer saraf periferal 2040 820
termasuk mikrosurgeri
Pembaikan sekunder saraf periferal 2145 760
termasuk mikrosurgeri
Graf primer saraf periferal 2390 760
Graf sekunder saraf periferal 2390 685
Pembaikan primer saraf periferal 865 505
Pembaikan sekunder saraf periferal 1160 435
Pembaikan primer trunkus saraf 1000 505
Pembaikan sekunder trunkus saraf 1565 505
Pelepasan karpal atau terowong kubital 865 435
termasuk endoskopik
Pelepasan karpal atau terowong kubital 1565 760
termisuk endoskopik - dwisisi
Pelepasan saraf periferal terjerat jauh ke 865 435
dalam
Pelepasan saraf periferal terjerat 865 435
Neuiolisis dan transposisi saraf periferal 1000 505
Pelepasan saraf periferal tinjauan semula 1565 505
Penanaman neurostimulator ke dalam 2040 315
saraf periferal
Biopsi saraf periferal 865 355
60
P.U. (A) 358
Peninjauperiksaan dan graf pleksus 1000 570

brakial
Kelegaan kesakitan
Blok paravertebra sehingga dua aras 580
(di bawah kawalan sinar-X)
Blok akar sakral (di bawah kawalan 580
sinar-X)
Blok simpatetik kawasan intravena 480
(blok guanethadine) - satu suntikan
Blok simpatetik kawasan intravena 1000
(blok guanethadine) - tiga sesi
Blok ganglion stelat (anestetik setempat 480
(LA))
Blok ganglion stelat (neurolitik) 580
Blok pleksus seliak (LA atau neurolitik) 1160
Blok saraf splanknik - dwisisi (Anestetik 1160
setempat atau neurolitik)
Blok ganglion akar dorsal (LA atau 1000
neurolitik)
Blok ganglion akar dorsal (frekuensi 1565 315
setempat)
Neurolisis intratekal 1160
Suntikan ganglion trigeminal (LA di 1160
bawah kawalan sinar-X)
Lesi frekuensi radio ganglion trigeminal 2145
(di bawah kawalan sinar-X)
Kordotomi perkutaneus korda spina 2705 940
Suntikan epidural (servikal) 725 265
Suntikan epidural (lumbar) 580 265
Suntikan epidural(torasik) 725 265
Suntikan bahan terapeutik ke dalam CSF 370 820
Termokoagulasi frekuensi radio (RF) 1160 405
permukaan atau sendi sakroiliak
termasuk rizolisis (di bawah kawalan
sinar-X dengan sedatif/(GA) - 3 sendi
Termokoagulasi frekuensi radio (RF) 2040 685
permukaan atau sendi sakroiliak
termasuk rizolisis (di bawah kawalan
sinar-X dengan sedatif/GA) - 6 sendi
Suntikan sendi permukaan (di bawah 725 265
kawalan sinar-X dengan sedatif/GA)
- 2 sendi
- 4 sendi
61
P.U. (A) 358

- 6 sendi
Penanaman neurostimulator ke dalam 2040 315
saraf periferal
Lesi saraf periferal 725
(frekuensi radio, krioprob atau fenol)
Sekatan LA trunkus saraf major 370
Simpatektomi lumbar - diagnosis 1000

(LA di bawah kawalan sinar-X)
Simpatektomi torasik - diagnosis 1000
(LA di bawah kawalan sinar-X)
Simpatetik lumbar - terapeutik (neurolitik 1340 405
di bawah kawalan sinar-X)
Simpatektomi torasik - terapeutik 1565 435
(neurolitik di bawah kawalan sinar-X)
Krioterapi pada kelenjar pituitari 2570 940
Suntikan ke dalam sendi besar di bawah 480
kawalan sinar-X
Tatacara neurofisiologikal
Terapi elektro-konvulsif (ECT) 315 265
Elektroeksefalografi (EEG) 315
Perekodan dan pelaporan ke atas kajian 580
berpotensi rangsangan
Perekodan dan pelaporan ke atas 580
elektromiografi (EMG) dan kajian
konduksi saraf
Elektrokokleografi trans timpanik 725
(t) Torak dan organ intra-torasik
Esofagus
Mobilisasi esofageal torakoskopik melalui 4750 1815
mediastinum
Esofagogastrektomi 5970 2500
Esofagektomi menyeluruh dan interposisi 7030 3305
usus
Eksisi terbuka lesi esofagus 1890 1125
Pintasan esofagus 2480 1550
Anastomosis esofageal tinjauan semula 2705 1320
Penutupan pintasan esofagus 2145 1125
Pembaikan tratrstorasik esofagus 3600 1320
Pembaikan toraskopik esofagus 2895 1320
Esofagokardiomiotomi (pembedahan 2040 985
Heller)
Miotomi esofagogastrik toraskopik 2145 985
Suntikan skleroterapi bagi varisis 1000 685
esofageal
62
P.U. (A) 358
Pembaikan transtorasik hernia hiatus 2305 940

Pembaikan transtorasik hernia 2305 940
diafragmatik
Pembaikan transabdominal hemia hiatus 2145 760
Pembaikan transabdominal hernia 2895 820
diafragmatik
Pembaikaan laparoskopik hernia hiatus 2145 760
Pembedahan anti-refluks transabdominal 2895 820
Pembedahan anti-refluks tinjauan semula 3600 1320
Dinding dada
Torakoplasti 2705 985
Eksisi tumor dinding dada 2390 940
Pembetulan kecacatan pektus dinding 2895 940
dada
Fiksasi fraktur berbilang 2305 940
Eksploratori sternotomi median 1160 760
Eksploratori torakotomi 1565 760
Reseksi tulang rusuk dan penyaliran 1565 760
terbuka kaviti pleural
Pembaikan pecahan pada diafragma 2895 1125
Plikasi diafragma yang lumpuh 2390 985
Pembaikan hernia diafragma kongenital 2705 1550
Trakea
Eksisi separa trakea termasuk 3600 2110
rekonstruksi
Trakeoplasti 1760 625
Penempatan terbuka prostesis dalam 1760 505
trakea
Trakeostomi 1000 570
Penyelitan mini-trakeostomi 580 405
Torakotomi, ligasi bagi Tetralogi Fallot 4750
(TOF) anastomosis esofageal
Torakotomi, ligasi bagi TOF servikal 4750
esofagostomi
Servikal esofagostomi dan gastrektomi 2305
Tatacara endoskopik fiberoptik di bawah

anestesia setempat
Pemeriksaan fiberoptik trakea dan 725 505
bronkus termasuk biopsi/pengeluaran
bahan asing
Lavaj bronkus (diagnostik atau 865
terapeutik)
Pendilatan striktur trakea termasuk 865
penyelitan sten
63
P.U. (A) 358
Pendilatan striktur bronkus melalui 1000

bronkoskop fiberoptik
Biopsi transbronkial 1000
Bronkus, paru-paru dan pleura

Pemeriksaan diagnostik bronkus 1000 505
menggunakan bronkoskop keras
termasuk biopsi/pengeluaran bahan
asing/pendilatan striktur
Pneumonektomi total 3600 1550
Lobektomi terbuka paru-paru termasuk 3600 1550
eksisi segmen
Reseksi paru-paru dengan reseksi dinding 5970 1815
dada
Reseksi paru-paru toraskopik termasuk 1890 685
bantuan video
Eksisi terbuka lesi paru-paru 2895 1320
Biopsi jarum paru-paru 480 315
Pendekorteksan pleura atau paru-paru 2895 1125
Pleurektomi bagi pneumotoraks 2480 985
Eksisi terbuka/biopsi lesi pleura 2705 940
Eksisi endoskopik lesi paru-paru/pleura 1000 505
Torakoskopi (serta/tanpa biopsi) 580 505
pleura/paru-paru
Penyaliran kaviti pleura 580 315
Penyelitan saliran tiub ke dalam kaviti 580 315
pleura
Pemasukan bahan ke dalam kaviti pleura 315 265
dengan saliran dada
Biopsi pleura 580 315
Transplan paru-paru 7030 3305
Pembedahan pengurangan isi padu paru- 4750 2500
paru
Mediastinum
Timektomi 2145 1550
Eksplorasi mediastinum 1160 760
Eksisi endoskopik lesi mediastinum 1340 505
Pemeriksaan endoskopik diagnosis 1340 505
mediastinum
Pembedahan kardium jantung

Pembetulan Tetralogi Fallot (TOF) 7030 3305
Songsangan atrium bagi transposisi 7030 3305
pembuluh besar
Pembetulan lain transposisi pembuluh 7030 3305
besar
64
P.U. (A) 358
Pembetulan sambungan vena pulmonari 7030 3305

anomalus total
Penutupan kecacatan septum 7030 3305
atrioventrikel menggunakan tampalan
prostetik dual
Penutupan kecacatan septum interatrium 7030 2930
Penutupan kecacatan septum 7030 2930
interventrikel
Pembedahan terapeutik transluminal ke 2895 2500
atas septum jantung
Pembentukan konduit injap kardium 7030 3305
Eksisi tumor kardium 7030 3305
Penggantian injap mitral termasuk 7030 2930
valvuloplasti
Pembaikan plastik injap mitral 7030 2930
Penggantian injap aorta termasuk 7030 2930
valvuloplasti
Penggantian injap trikuspid 7030 2930
Penggantian injap pulmonari termasuk 7030 2930
valvuloplasti/valvotomi
Penggantian injap jantung tidak khusus 7030 2930
Valvotomi terbuka 7030 2930
Valvotomi tertutup (mitral/pulmonari) 4750 2500
Pembedahan terapeutik transluminal ke 2705 2110
atas injap jantung
Pengeluaran penyumbatan daripada 7030 2930
struktur bersebelahan injap jantung
Pintasan autograf bagi arteri koronari 7030 2930
termasuk pengeluaran graf dan
endarterektomi
Pembuatan semula pintasan arteri 7030 3305
koronari termasuk pembuangan graf
Pembetulan arteri koronari anomali 7030 3305
Pembedahan terbuka ke atas sistem 7030 2930
konduksi jantung
Pembaikan aneurisme ventrikel 5970 2930
Eksisi perikardium 3600 1125
Dekompresi tamponad kardium 2305 985
Insisi perikardium 1340 985
Graf pintasan arteri koronari midcab 7030 3305
tanpa pam pintasan cardio-pulmonari
Pembedahan jantung terbuka dengan 7030 3305
penerokaan minima dengan pam pintasan
kardio-pulmonari
Alat bantuan ventrikular 7030 3305
Transplan jantung 7030 3305
65
P.U. (A) 358
Kardiologi jantung
Angioplasti transluminal perkutaneus 2895 1550
arteri koronari termasuk laser
dengan penyelitan sten
Pembedahan berpandukan peta bagi 2705 3305
aritmia ventrikel termasuk pemetaan
Ablasi transluminal perkutaneus nodus 2390 985
ventrikel
Ablasi transluminal perkutaneus laluan 4750 1550
aksesori termasuk pemetaan
Pemetaan sistem konduksi (dalam 1565 820
pengasingan)
Sistem perentak kardium dimasukkan 1565 820
melalui vena (bilik tunggal)
Sistem perentak kardium dimasukkan 2145 820
melalui vena (dua bilik)
Peletakan semula sistem perentak 1340 685
kardium intravena
Penggantian penjana bagi sistem 1760 760
perentak kardium intravena
Pengeluaran sistem perentak dengan 4750 2500
pintasan
Pengeluaran sistem perentak tanpa 580 940
pintasan
Penanaman kardiokonverter/detibrilator 3600 940
automatik
Pengkateteran kardium dewasa termasuk 1340 760
arteriografi koronari/pengkateteran
bahagian kanan/kiri jantung/radiologi
kontras
Pengkateteran kardium pediatrik 1565 820
Perikardiosentesis 1340 685
Angioplasti periferal transluminal 2705 1550
perkutaneus (femoral, iliak, renal,
popliteal, subklavian dan pembuluh distal
lain)
Angioplasti periferal transluminal 2895 1550
perkutaneus dengan peletakan sten
Angioplasti karotid transluminal 4750 1550
perkutaneus dengan peletakan sten
Ablasi transluminal perkutaneus 3600 1550
takikardia ventrikel
Pengubahsuaian transluminal 2480 985
perkutaneus nodus atrioventrikel
Oklusi transluminal perkutaneus fistula 3600 1550
koronari/malformasi arteriovenus (AV)
66
P.U. (A) 358
Pembuluh besar
Pembetulan trunkus arteriosus 4750 3305
Ligasi tertutup duktus arteriosus paten 3600 2110
Oklusi prostesis transluminal 2895 1125
perkutaneus duktus arteriosus paten
Penciptaan pintas ke arteri pulmonari 5970 2110
daripada aorta menggunakan prostesis
tiub
Sambungan ke arteri pulmonari daripada 5970 2110
aorta
Penciptaan pintas ke arteri pulmonari 4750 2110
daripada arteri subklavian menggunakan
tiub prostesis antara kedudukan
Sambungan ke arteri pulmonari daripada 5970 2110
arteri subklavian
Pembaikan arteri pulmonari 7030 2110
Pembedahan terbuka arteri pulmonari 3600 2110
Embolektomi pulmonari 5970 3305
Pembedahan transluminal ke atas arteri 2705 1550
pulmonari
Penggantian kecemasan segmen 7030 3305
aneurismal pada aorta menaik
aneurismal pada aorta arkus
aneurismal pada aorta torasik
Penggantian terancang segmen 4750 2930
aneurismal pada aorta menaik
aneurismal pada aorta arkus
aneurismal aorta torasik
Penggantian aneurisme torakoabdominal 7030 3305
Prostesis aorta abdominal tinjauan 4750 2110
semula
Eksisi graf aorta terinfeksi dengan 7030 3305
pintasan
Pembaikan plastik aorta 4750 1815
Pembedahan belon transluminal 1760 625
perkutaneus pada aorta
Lain-lain
Vagotomi gaster proksimal 2040 685
Vagotomi pilihan tinggi 2040 685
Vagotomi dengan piloroplasti 2145 820
Kardioversi eksternal 315 315
Ekokardiografi transoesofageal 1000 435
67
P.U. (A) 358
Pasukan tunggu sedia angioplasti 315 355

koronari
(u) Sistem urinari dan organ reproduktif lelaki
Ginjal/pelvik renal
Pemindahan ginjal 4750 2500
Nefrektomi dan eksisi tisu sekeliling 2390 1125
ginjal
Nefro-ureterektomi 2390 820
Eksisi ginjal dipindah tertolak 2040 760
Nefrektomi (dan dwisisi) 2040 820
Nefrektomi laparoskopik 2040 820
Eksisi separa ginjal 2145 820
Pieloplasti terbuka 2040 685
Pembaikan luka ginjal 2305 760
Pembuangan terbuka kalkulus dari ginjal 2390 685
Penyaliran ginjal 1760 760
Penyaliran pionefrosis 1760 760
Pembedahan terbuka lain ginjal 1890 685
Penyaliran abses perinefrik 1760 685
Fragmentasi endoskopik kalkulus ginjal 1890 685
Nefrolitotomi perkutaneus termasuk 3600 985
sistoskopi dan pengkateteran retrograd
Pemeriksaan endoskopik diagnostik ginjal 2040 685
termasuk biopsi dan tatacara terapeutik
lain
Biopsi jarum halus perkutaneus lesi ginjal 480 355
Insersi perkutaneus tiub nefrostomi 1340 405
Biopsi jarum tru-kut perkutaneus lesi 865
ginjal
Fragmentasi ekstrakorporeaum kalkulus 1160 505
ginjal (Litotripsi) - satu rawatan
Fragmentasi ekstrakorporeum kalkulus 1565 625
ginjal tiada batu/satu kitaran rawatan
Pengeluaran laparoskopi sista renal 2040 760
Pembedahan batu terbuka bagi ginjal 3600
ladam
Piloplasti bagi ginjal ladam 3600
Ureter
Eksisi segmen ureter 1760 625
Pembentukan konduit ilium termasuk 2390 985
penanaman ureterik
Penanaman semula dwisisi ureter ke 2705 940
dalam usus
68
P.U. (A) 358
Penanaman semula satu sisi ureter ke 2145 820

dalam usus
Penanaman semula dwisisi ureter ke 2480 940
dalam pundi kencing
Penanaman semula satu sisi ureter ke 1890 820
dalam pundi kencing
Penyambung lain bagi ureter 2145 820
Penggantian ilium atau kolonic bagi 2895 940
ureter
Ureterostomi - penutupan 2145 685
Pembetulan terbuka refluks 2145 685
vesiko-ureterik - unilateral
Pembetulan terbuka refluks 3600 985
vesiko-ureterik - dwisisi
Ureterolitotomi terbuka 1890 685
Uretorolisis - unilateral 2145 685
Uretorolisig - dwisisi 2570 1320
Pembedahan nefroskopik terapeutik ke 1760 820
atas ureter
Pengekstrakan ureterskopik kalkulus 1340 435
ureter
Insersi endoskopik prostesis ke dalam 1000 435
ureter
Pengeluaran prostesis dari ureter 480 435
Meatotomi ureterik 480 265
Pemeriksaan endoskopik ureter 865 435
Pielografi retrogred endoskopik 865 435
Gelombang kejutan ekstrakorporeum 1160 685
litotripsi kalkulus ureter
Pembedahan pada orifis ureterik 725 505
Meatotomi endoskopik orifis ureterik 725 505
Biopsi ureterskop lesi 1565 570
Peralihan kontinen urinari 4750
Penggantian sistoskopi 4750
Transureteroureterostomi 2705
Insersi endoskopik prostesis tetap ke 2145
dalam ureter
Pundi kencing
Tatacara anti - refluks endoskopik (dan 1340 505
dwisisi)
Sistektomi menyeluruh (dengan 4750 1550
pembinaan konduit usus atau pundi
kencing)
Sistektomi separa 2040 685
Divertikulektomi pundi kencing 1760 685
Pembesaran pundi kencing 2895 820
69
P.U. (A) 358
Pembaikan pundi kencing 2145 685

Pembaikan fistula vesikokolik 2305 820
Pembaikan fistula vesikal kutaneus 1160 820
Sistostomi dan insersi tiub suprapubik ke 725 625
dalam pundi kencing
Sistotomi tikaman 315 265
Pengeluaran terbuka kalkulus dari pundi 1340 505
kencing
Eksisi terbuka lesi dari pundi kencing 1890 685
Reseksi endoskopik lesi pundi kencing 1890 685
Penghancuran endoskopik lesi pundi 865 435
kencing
Transaksi endoskopik pundi kencing 1890 685
Pengembungan hidrostatik endoskopik 405 265
pundi kencing
Sfinkterotomi 1160 435
Litolapaksi 1760 685
Ekstraksi endoskopik kalkulus pundi 1000 435
kencing
Pengeluaran endoskopik bahan asing 1000 435
daripada pundi kencing
Reseksi leher pundi kencing 1340 435
Pemeriksaan diagnostik endoskopik 580 315
pundi kencing termasuk sebarang biopsi
Kajian urodinamik/penaksiran 580
urodinamik
Penutupan sistostomi 865 435
Pembedahan gabungan abdominal dan 1890 685
vagina bagi menyokong saluran keluar
pundi kencing wanita
Pembedahan anduh suprapubik 1890 760
Gantungan retropubik leher pundi 1890 685
kencing
Pembedahan vagina bagi menyokong 1890 685
Penanaman sfinkter tiruan urinari ke 2145 685
pundi kencing dan/atau pengeluaran
Pendilatan saluran keluar pundi kencing 580 355
wanita (dengan sistoskopi)
Insisi endoskopik saluran keluar pundi 1340 435
kencing lelaki (dengan sistoskopi)
Pembaikan fistula vesiko-vagina 2145 820
Vesiko-litotripsi endoskopik batu pundi 1760 625
kencing
Sistoskopi dengan biopsi 1000 405
Reseksi endoskopik tumor jangkau 2145
dalaman pundi kencing
70
P.U. (A) 358
Kontinen kantung/neo pundi kencing 4750 2500

Penutupan kombinasi abdomino-perineal 4750
fistula vesiko-vaginal
Uretra
Uretrosele 1160 505
Eksisi karunkel uretra 370 265
Pembedahan endoskopik terapeutik pada 725 405
Uretrektomi 1760 685
Reseksi injab uretra 1565 505
Pembaikan hipospadias 2040 685
Pembaikan epispadias 2480 685
Penutupan fistula uretra 865 505
Pembaikan fistula ureterorektal 1760 685
Ureteroplasti (mudah) 1760 625
Ureteroplasti (kompleks) 2040 685
Pembaikan pecahan pada uretra 2040 685
Eksisi pada divetilula uretra 1160 505
Eksisi pada prolaps uretra 480 405
Pembedahan endoskopik terapeutik pada 865 435
uretra
Pengeluaran bahan asing daripada uretra 405 435
Pemeriksaan endoskopik diagnostik 405 265
uretra dalam isolasi
Pendilatasian uretra 315 355
Uretrotomi dalaman termasuk sistoskopi 865 435
Penutupan eksostrofi pundi kencing 5970
Penutupan eksostrofi kloakal 7030
Pembaikan hipospadias - sedikit 2305
Pembaikan hipospadias - sederhana 2895
Pembaikan hipospadias - tersangat 3600
Prostat
Eksisi terbuka prostat 2040 685
Prostektomi radikal, rekonstruksi leher 4750 1550
pundi kencing termasuk limfadinektomi
pelvik dwisisi
Biopsi terbuka lesi prostat 865 685
Reseksi endoskopik prostat (TURP) 2040 760
Biopsi endoskopik prostat 865 435
Terapi gelombangmikro transuretral 1565 570
Penyaliran abses prostat 1340 505
Hiperthermia prostatik (sehingga enam 1565 570
siri)
Prostat, biopsi jarum 405 265
Ultrasound dan biopsi transrektal 580
71
P.U. (A) 358
Memasukkan sten uretra bagi kelegaan 1890 685

halangan prostat
Genitalia
Meatoplasti 725 355
Meatotomi luaran orifis uretra 580 265
Eksisi dwisisi testis 1760 625
Orkidektomi laparoskopik 1340 435
Orkidektomi dan eksisi korda spermatik 1340 435
Eksisi lesi testis 725 505
Orkidopeksi - dwisisi 1760 820
Pemindahan mikrovaskular testis ke 2305 820
skrotum
Orkidopeksi 1000 505
Testis abdomen yang tidak turun 1565 625
Testis prostesis (kemasukan atau 725 405
pembuangan)
Pembetulan hidrosele 725 435
Fiksasi testis 865 435
Biopsi testis 580 315
Eksplorasi testis termasuk biopsi 865 435
Fiksasi testis dwisisi 865 505
Epididimektomi dwisisi 1340 570
Epididimektomi satu sisi 865 505
Eksisi sista epididimal 865 505
Pembedahan varikocele 865 505
Vasografi 370 315
Pembedahan vesikel seminal 1565 505
Amputasi total penis 2145 685
Amputasi separa penis 1565 685
Pembedahan bagi penyakit Peyronie 1160 435
Rekonstruksi penis 1760 685
Pembaikan avulsi penis 2145 685
Pembaikan kecederaan pada penis 1340 505
Pembahagian perekatan preputial 405 265
Berkhatan 725 405
Biopsi lesi penis 405 265
Prostesis penis (mudah - rod sahaja) 1890 685
Prostesis penis (kompleks - tiga keping) 2895 1815
Pembalikan vasektomi - dwisisi 1760 625
(mikroskopik)
Pembalikan vasektomi - dwisisi 1890 685
(makroskopik)
Epididimo-vasostomi (makroskopik) 1890 685
Epididimo-vasostomi (mikroskopik) 2040 760
Tenkoff 1340
Tenkoff dan adesiolisis 1890
72
P.U. (A) 358
Ultrasound transrektal (diagnostik) 580

Ultrasound transrektal dan biopsi prostat 1000
sistematik
Eksisi dan graf bagi penyakit Peyronie 2705
Lain-lain
Diseksi blok nodus limfa para-aortik 2570 760
(v) Sistem vaskular (selain daripada intratorasik)
Kepala dan leher

Pintasan arteri karotid daripada arkus 4750 1550
Endarterektomi karotid 4750 1550
Rekonstruksi arteri karotid (tampalan 3600 1550
vena dan pintasan)
Pintasan arteri subklavian daripada arkus 4750 1550
Pintasan arteri subklavian - ekstratoraks 2895 1320
Endarterektomi dan pembaikan tampalan 4750 1550
arteri subklavian
Renal
Endarterektomi arteri renal 4750 1550
Rekonstruksi arteri renal 4750 1550
Pembedahan transluminal arteri renal 1565 685
Salur darah abdominal

Pintasan aksilo-femoral 2895 1550
Pintasan aksilo-bifemoral 2895 1550
Graf tiub aneurisme aorta abdominal 4750 1815
infrarenal
Graf dwicabangan aneurisme aorta 5970 1815
abdominal infrarenal
Prostesis aorta abdominal tinjauan 4750 2110
semula
Pembedahan belon transluminal 1760 625
perkutaneus pada aorta
Endarterektomi karotid (dengan 5970
tampalan)
cabang viseral pada aorta abdominal
Pembedahan terbuka yang lain pada 5970 2110
cabang viseral aofla abdominal lain
Pembuluh ileo-femoral
Pintasan aorto-iliak, aorto-femoral, 4750 1550
ileo-femoral
Pintasan aorto-bifemoral 4750 1550
73
P.U. (A) 358

arteri iliak
Pembedahan terbuka arteri iliak 3600 1550
Pembedahan transluminal arteri iliak 1340 505
Pintasan femoro-femoral 2895 1320
Pintasan femoro-popliteal menggunakan 3600 1550
prostesis dan/atau vena dan/atau
kuf/tampalan vena
Pintasan betis femoro-distal 3600 1550
menggunakan prostesis dan/atau vena
dan/atau kuf/tampalan vena
Endarterektomi arteri femoral 2895 1125
Rekonstruksi/pintasan bagi aneurisme 3600 2110
popliteal
Tatacara transluminal arteri femoral 1565 505
Graf pintasan femoral tinjauan semula 2705 1320
Tidak spesifik
Rekonstruksi arteri tinjauan semula 3600 940
Biopsi arteri termasuk temporal 580 265
Pembaikan arteri 2305 685
Graf mikro-arteri atau mikro-vena 4750 1550
Pembaikan arteri menggunakan graf vena 2705 940
Pembaikan pembedahan mikro arteri 2705 985
Embolektomi terbuka arteri 2570 940
arteri
Ciptaan fistula arteriovenous (AV) 1340 820
termasuk penutupan seterusnya
Eksisi malformasi AV 7030 2110
Pembaikan fistula AV perolehan 2895 985
Pembaikan fistula AV 2895 1125
Ciptaan penyimpangan peritenio-vena 1340 435
(Levine/Denver)
Pengeluaran terbuka trombus daripada 2145 685
vena
Insersi garisan Hickman, saluran tengah 725 505
terowong, dsb.
Kemasukan unit portocath/vasiport 1000 405
Perfusi anggota terpencil 2705 1320
Vena varikos
Ligasi/pelucutan vena safenus panjang 1340 505
atau pendek termasuk eksisi
selempat/flebektomi berbilang
74
P.U. (A) 358

atau pendek termasuk eksisi
setempat/flebektomi berbilang - dwisisi
Pembedahan bagi vena varikos berulang 2145 760
Pembedahan bagi vena varikos berulang - 3600 1125
dwisisi
dan pendek termasuk eksisi
setempat/flebektomi berbilang
Eksisi setempat (flebektomi berbilang) 725 505
vena varikos kaki
dan pendek termasuk eksisi
setempat/flebektomi berbilang - dwisisi
Venografi -dwisisi 405
Pintasan femoro-popliteal menggunakan 4750
prostesis
Pintasan femoro-popliteal menggunakan 5970
prostesis vena/atau kuf/tampalan
Ciptaan fistula arteriovenous 3600
menggunakan graf/prostesis
Limfatik
Diseksi blok nodus limfa servikal (tidak 2895 940
Diseksi blok nodus limfa aksilari 1760 625
Diseksi blok nodus limfa para-aorta 2570 760
Diseksi blok nodus limfa inguinal 1760 685
Diseksi blok nodus limfa pelvik (tidak 2040 760
Biopsi/persampelan nodus limfa servikal 405 505
Biopsi/persampelan nodus limfa aksilari 405 315
Biopsi/persampelan nodus limfa inguinal 405 405
Biopsi eksisi nodus limfa 725 435
Biopsi eksisi nodus limfa skalen 725 435
Penyaliran lesi nodus limfa 480 265
Pembedahan duktus limfatik 2305 820
Eksisi sistik higroma 1565 760
(w) Tulang, sendi, dsb. (tidak disenaraikan di mana-mana)
Tisu penghubung/otot tendon

Fasiektomi plantar 725 505
Eksisi lesi fasia 480 505
Pembedahan fasia lain 580 315
Eksisi ganglion, termasuk eksisi ulangan 1000 315
Eksisi bursa 725 405
75
P.U. (A) 358
Pemindahan tendon 1000 435

Pemindahan tendon berbilang 1565 685
Eksisi lesi tendon 725 435
Graf tendon, sebagai tatacara tunggal 1340 435
Pembaikan tendon sekunder termasuk 1890 505
graf, pemindahan dan/atau prostesis
Tenolisis, selain daripada fleksor 1000 435
Tenotomi perkutaneus 405 265
Pemanjangan tendon, termasuk tenotomi 1160 435
Tenosinovektomi, termasuk artroskopik 865 435
Pelepasan pencerutan sarung tendon 1000 435
Pembaikan terhad otot iaitu koyakan 725 625
tidak lebih daripada 2 sm
(cth: kuf rotator), termasuk artroskopik
Pembaikan menyeluruh otot iaitu 2145 625
koyakan lebih daripada 2 sm
(cth: kuf rotator) termasuk artroskopik
Pelepasan pencerutan otot 1160 570
Biopsi otot terbuka 580 315
Biopsi jarum/tru-kut otot 315
Eksisi lesi otot tanpa graf kulit 1565 625
Eksisi lesi otot dengan graf kulit 1890 685
Tulang (tidak spesifik)

Biopsi tulang terbuka 725 405
Introduksi bahan terapeutik ke dalam 580 265
tulang (cth: seperti aplikasi antibiotik
bagi penggantian pinggul yang dijangkiti
sebagai tatacara tunggal)
Pembuangan wayar dari tulang, termasuk 405
wayar-K
Eksisi tulang ektopik 580 405
Eksisi total tulang sesamoid 725 435
Eksisi separa tulang termasuk eksostosis 1000 405
Eksisi total tulang dengan/tanpa 2480 820
penggantian/rekonstruksi prostetik
(cth: trapezium)
Reseksi radikal tumor tulang 2705 820
Osteotomi tulang besar, dengan/tanpa 2040 685
fiksasi, termasuk graf
Penyaliran/pembersihan tulang, 1340 405
termasuk sekuestrektomi bagi
osteomilitis
Fiksasi epifisis 1160 685
Fraktur
Reduksi terbuka primer fraktur femur 2305 760
76
P.U. (A) 358
dan fiksasi terbuka menggunakan pin dan

plat
Reduksi tertutup primer fraktur atau 725 405
dislokasi sendi, dengan/tanpa fiksasi
termasuk plaster Paris (POP)(cth: Colles')
Reduksi tertutup fraktur tulang panjang 1760 685
dan fiksasi luaran termasuk POP dan
wayar-K perkutaneus (cth: lengan bawah)
Reduksi tertutup fraktur tulang kecil dan 865 505
fiksasi luaran termasuk POP dan wayar-K
perkutaneus
Reduksi terbuka primer tulang panjang 2040 760
dengan fiksasi
Reduksi terbuka primer fraktur 1890 685
dengan/tanpa dislokasi sendi
Reduksi terbuka primer tulang kecil 1340 570
dengan fiksasi termasuk intra-artikular
Reduksi terbuka primer fraktur intra- 1890 760
artikular tulang panjang (cth: humerus
proksimal)
Reduksi terbuka fraktur pelvis dan fiksasi 2895 760
dalaman
Reduksi terbuka dan fiksasi dalaman 4750 1550
fraktur pelvis asetabular kompleks
Reduksi terbuka sekunder dislokasi sendi 865 405
Reduksi terbuka sekunder fraktur tulang 1340 505
kecil termasuk intra-artikular
Reduksi terbuka sekunder fraktur tulang 1890 685
panjang dan fiksasi intermedulari atau
fiksasi dalaman bagi tulang tidak
bersambung/sambungan tidak sempurna
Pakuan intramedulari berkunci 2705 820
Reduksi terbuka sekunder fraktur intra- 1890 685
artikular tulang
Aplikasi rangka Ilizarov bagi tulang tidak 4750 1550
bersambung/sambungan tidak sempurna
sekunder
Penyesuaian lingkaran rangka Ilizarov 1760 505
bagi tulang tidak bersambung/
sambungan tidak sempurna sekunder
Penyesuaian tapak pin sekunder bagi 580
tulang tidak bersambung/sambungan
tidak sempurna
Graf tulang (kecuali di mana bahagian 1565 570
tatacara lain)
Pengeluaran fiksasi dalaman/prostesis 1340 435
dari tulang/sendi tidak termasuk wayar-K
77
P.U. (A) 358
Pengeluaran wayar dari tulang, termasuk 405 315

wayar-K
Pencucian pembedahan ke atas luka di 480 265
bawah anestetik umum
Saraf
Pelepasan pemerangkapan saraf periferi 865 435
di tempat paling dalam termasuk Interos
Anterior dan saraf Interos Posterior
Transposisi anterior saraf ulna 1000 505
Trarisposisi submuskular saraf ulna 1890 505
Tinjauan semula pelepasan saraf periferi 1565 505
Eksplorasi/neurolisis/biopsi saraf 865 355
periferi
Sendi (tidak disenaraikan di mana-mana)

Eksisi membran sinovial sendi 1565 625
Penggantian/rekonstruksi/pembaikan 1565 505
ligamen prostetik primer termasuk
prostesis
Pembedahan yang menstabilkan ke atas 1565 625
sendi
Pelepasan kontraktur sendi 1160 405
Artrotomi sendi besar termasuk 1160 405
pembuangan bahagian longgar dari sendi
Artrotomi sendi kecil termasuk 315 265
pembuangan bahagian longgar dari sendi
Pembedahan artroskopik terapeutik 1160 505
ke atas rawan intra-artikular
(selain daripada W8200)
Pembedahan artroskopik terapeutik ke 1890 820
atas rawan intra-artikular (selain
daripada W8200) - dwisisi
atas kaviti sendi
atas kaviti sendi - dwisisi
Pemeriksaan artroskopik diagnostik 865 435
sendi, dengan/tanpa biopsi
Suntikan ke dalam sendi di bawah 480 265
kawalan sinar-X
Manipulasi sendi 405 405
Sendi (tidak disenaraikan di mana-mana)

Penggantian prostetik artikulasi tulang 2145 685
Interposisi artroplasti sendi prostetik 2305 820
(cth: pinggul, lutut, bahu)
Rekonstruksi eksisi sendi 1760 625
78
P.U. (A) 358
Fiksasi/Artrodesis
Osteirtomi pinggul dengan fiksasi 2305 940
Osteotomi pelvis dengan fiksasi 3600 940
Artrodesis primer sendi besar dan graf 1760 820
tulang
Artrodesis primer dan fiksasi dalaman 1160 685
(cth: tangan/kaki) termasuk graf tulang
Tangan
Fasiotomi subkutaneus Dupuytren 580 315
Fasiektomi Dupuytren - digit tunggal 1160 435
Fasiektomi Dupuytren bagi tapak tangan 1760 625
dan digit berbilang
Dermofasiektomi dan graf Dupuytren, 2145 820
atau bagi penyakit berulang
Pembaikan extensor tangan 865 435
Pembaikan fleksor tangan termasuk 1760 435
implan prostetik
Pembaikan sekunder atau peringkat 1890 570
kedua fleksor tangan termasuk implan
prostetik
Pembaikan sekunder tendon 1000 435
tangan/lengan bawah (tidak termasuk
fleksor), tanpa pemindahan atau graf
Pembaikan sekunder tendon 1760 435
tangan/lengan bawah (tidak termasuk
fleksor), dengan pemindahan/graf
Graf tendon sebagai tatacara tunggal 1340 435
Tenolisis - selain daripada fleksor 1160 435
Tenolisis fleksor 1565 435
Polisisasi jari bagi rekonstruksi ibu jari 3600 435
tangan
Pembaikan kecederaan hujung jari akibat 1565 505
avulsi dengan flap
Tatacara berbilang sendi pada tangan 2390 820
termasuk sinovektomi
Cantuman sendi metakarpo- 1000 570
falang/interkarpus
Artroplasti prostetik sendi digit 1760 435
Graf tulang pada skafoid dengan fiksasi 1890 625
dalaman, termasuk skru Herbert
Amputasi tangan 1565 625
Amputasi digit 1000 505
Amputasi melalui mid-karpus/ 1000 435
transmetakarpus
Cantuman pergelangan tangan 2040 820
79
P.U. (A) 358
Bahu
Pembaikan terhad otot iaitu koyakan 725 625
kurang daripada 2 sm (cth: kuf rotator)
termasuk artroskopik
Pembaikan menyeluruh otot iaitu 2145 625
koyakan lebih daripada 2 sm (cth: kuf
rotator) termasuk artroskopik
Pembaikan kuf rotator tinjauan semula 2145 625
Akromiopiasti 1565 625
Eksisi klavikel distal, secara isolasi 1565 625
Interposisi artroplasti sendi prostetik 2305 820
(cth: pinggul, lutut, bahu)
Pembaikan primer sendi 2705 685
akromioklavikular yang pecah termasuk
fiksasi dalaman
Pembaikan sekunder sendi 2705 685
akromioklavikular yang pecah termasuk
fiksasi dalaman
Rekonstruksi sendi akromioklavikular 2705 685
Hemiartroplasti bahu 2305 685
Hemiartroplasti bahu tinjauan semula 2570 685
Penggantian total bahu primer 2705 940
Penggantian total bahu tinjauan semula 3600 1550
Penstabilan sendi bahu termasuk 1890 685
anterior, postefior atau pelbagai arah
(termasuk artroskopik)
Penstabilan sendi bahu tinjauan semula 2390 760
Pelepasan kontraktur bahu 2145 685
Penyaduran dan/atau graf tulang bagi 2040 685
klavikel yang tidak bersambung
Eksplorasi dan cantuman pleksus brakial 3600 2110
Dekompresi sub-akromial termasuk 1890 685
artroskopik
Eksisi total servikal atau rusuk pertama 2145 820
Siku
Penggantian prostetik total siku 2705 940
Penggantian prostetik total siku tinjauan 3600 1550
semula
Pelepasan kontriksi pada salutan tendon 1000 435
Pinggul, kaki dan pelvis

Eksisi lesi tulang pelvis/pinggul 1565 685
Osteotomi pinggul dengan fiksasi 2305 940
Osteotomi pelvis dengan fiksasi 3600 940
Penggantian prostetik total sendi pinggul 2705 985
80
P.U. (A) 358
Penggantian prostetik total sendi pinggul 3600 1550

tinjauan semula
Penggantian prostetik total sendi pinggul- 4750 1550
dwisisi
Penggantian prostetik kepala femur 2145 820
Pelepasan fasiotomi kompartment 1760 625
anterior/ posterior tulang keting
Amputasi tulang keting/kaki 2040 685
Manipulasi dan plaster Paris (POP) 580 405
pinggul
Lutut
rongga sendi
rongga sendi- dwisisi
Pemeriksaan artroskopik diagnostik 865 435
sendi,dengan/tanpa biopsi
Penggantian prostetik total sendi lutut 2705 985
Penggantian lutut unikompartment 2705 820
Penggantian total sendi lutut tinjauan 3600 1550
semula
Penggantian prostetik total sendi lutut - 4750 1550
dwisisi
Penggantian prostetik primer ligamen 2480 820
krusiat
Rekonstruksi autograf ligamen krusiat 2570 940
termasuk artroskopik
Penstabilan patella 2480 940
rawan semi lunar
rawan semi lunar - dwisisi
Pembaikan mudah ligamen lutut 1890 570
Pembedahan artroskopik terapeutik pada 1890 685
rongga lutut
Pembedahan artroskopik terapeutik pada 2895 985
rongga lutut - dwisisi
Kaki
Pembaikan primer tendon kaki 480 435
Pembaikan primer tendon Achilles 1160 435
Pembaikan sekunder tendon Achilles 1890 435
Pembaikan sekunder tendon kaki 725 435
Tatabara sendi berbilang kaki hadapan 2390 760
Tatacara sendi berbilang kaki hadapan 3600 1125
- dwisisi
81
P.U. (A) 358
Osteotomi metatarsal 865 435

(cth: akin, mcNab, dsb.)
Cantuman sendi metatarso-falang 1000 505
pertama
Cantuman sendi metatarso-falang 1760 820
pertama - dwisisi
Seilektomi metatarso-falang 1565 505
Cantuman tiga sendi-sendi kaki belakang 1890 685
Osteotomi pes klavus 1890 685
Pembetulan kecacatan kongenital kaki 1565 505
minor
Pembetulan kecacatan kongenital kaki 2480 820
minor - dwisisi
Penggantian prostetik total sendi 2705 940
pergelangan kaki
Penggantian prostetik total sendi 3600 1550
pergelangan kaki tinjauan semula
Penutupan osteotomi baji/translasi taji 1760 505
kalkaneum termasuk fiksasi dalaman
Artroplasti eksisi sendi metatarso-falang 1760 625
pertama dengan implan prostetik
pertama termasuk Keller
pertama termasuk Keller - dwisisi
Cantuman sendi interfalang ibu jari kaki 1000 435
Pembetulan sendi metatarso-falang yang 1890 820
tertarik/dislokasi termasuk pemindahan
tendon, pembahagian/penyusunan
semula tulang dan fiksasi dalaman
Cantuman sendi interfalang ibu jari kaki - 1760 760
dwisisi
Artrodesis primer dan fiksasi dalaman 1160 685
(tangan/kaki) termasuk graf tulang
Buniektomi mudah 725 355
Buniektomi mudah - dwisisi 1160 625
Osteotomi metatarsal valgus Hallux 1340 685
Osteotorni metatarsal valgus Hallux - 2145 985
dwisisi
Osteotomi metatarsal valgus Hallux, 1890 760
dengan fiksasi dalaman dan pembetulan
tisu lembut
Osteotomi metatarsal valgus Hallux, 2895 1125
dengan fiksasi dalaman dan pembetulan
tisu lembut - dwisisi
Amputasi jari kaki 1000 435
82
P.U. (A) 358
Eksisi radikal tumor tulang dengan 4750 1550

implan prostesis bagi anggota
Fiksasi luaran/tarikan
Aplikasi tarikan rangka kepada tulang 580 505
Pengeluaran tarikan rangka daripada 405 315
tulang
Aplikasi fiksasi luaran kepada tulang 1760 505
Pengeluaran fiksasi luaran daripada 580 315
tulang
(x) Muka, mulut dan leher (tidak disenaraikan di mana-mana)
Muka dan rahang

Reduksi terbuka fraktur maksila 1340 685
Reduksi tertutup fraktur maksila 725 570
Reduksi fraktur tulang muka yang lain 580 435
Reduksi fraktur tulang komplek zigomatik 1000 505
Reduksi terbuka fraktur tulang kompleks 1565 570
zigomatik
Eksisi maksila 2040 940
Hemi-maksilektomi formal bagi malignan 2570 940
Fiksasi dalaman maksila 725 685
Fiksasi ekstra-oral maksila 725 685
Pengeluaran fiksator daripada maksila 580 570
Biopsi lesi tulang muka 405 355
Eksisi mandibel 2040 940
Eksisi mandibel yang luas 2390 985
Eksisi lesi rahang 1160 435
Reduksi terbuka fraktur mandibel 1000 685
Reduksi tertutup fraktur mandibel 580 570
Fiksasi intermaksilari mandibel 725 685
Fiksasi ekstra-oral mandibel 1000 685
Pengeluaran fiksator dari mandibel 580 505
Rekonstruksi rahang 2705 940
Graf tulang alveolar 1340 570
Manipulasi mandibel 405 355
Penggantian prostetik sendi 2305 625
temporomandibular
Arthroplasti sendi temporomandibular 1890 625
Menisektomi sendi temporomandibular 1160 505
Reduksi dislokasi sendi 725 355
temporamandibular
Bibir
Eksisi sempadan vermilion bibir dan 1000 435
pendahuluan mukosa bibir
83
P.U. (A) 358
Eksisi lesi bibir 865 405

Penutupan bibir rekah (dan dwisisi) 1760 820
Penutupan primer bibir rekah tinjauan 2145 820
semula
Rekonstruksi bibir menggunakan flap 2145 685
lidah
Rekonstruksi bibir menggunakan flap 2040 760
kulit
Sutur bibir 480 435
Biopsi lesi bibir 480 355
Lidah
Glosektomi total termasuk diseksi blok 2480 760
Glosektomi separa termasuk diseksi blok 2145 820
Eksisi/pemusnahan lesi lidah 865 505
Biopsi lesi lidah 315 405
Frenotomi/frenektomi lidah 480 435
Pembebasan pelekatan lidah 315 405
Flap lidah - peringkat pertama 1760 820
Flap lidah - peringkat kedua 1000 625
Lelangit
Eksisi/pemusnahan lesi lelangit 865 505
Pembaikan primer lelangit rekah 2305 820
Pembaikan lelangit rekah tinjauan semula 1565 685
Pembaikan plastik lelangit menggunakan 1340 685
flap lelangit
Pembaikan plastik lelangit menggunakan 1890 685
flap kulit
Jahitan lelangit 580 435
Biopsi lesi lelangit 480 405
Insisi lelangit 370 405
Pembedahan ke atas uvula 725 435
Rongga mulut
Vestibuloplasti berikutan trauma 1160 435
Eksisi/pemusnahan lesi mulut 580 405
Rekonstruksi mulut menggunakan flap 2145 760
Rekonstruksi mulut menggunakan graf 1000 760
Graf kulit ke mulut 1000 625
Graf mukosa ke mulut 865 570
Jahitan mulut 580 505
Biopsi lesi mulut 370 355
Pengeluaran mukosa berlebihan dari 865 435
mulut
84
P.U. (A) 358
Kelenjar liur
Eksisi kelenjar parotid (selain daripada 1890 685
F4410/F4430)
Eksisi total kelenjar parotid dan 3600 985
pemeliharaan saraf muka
Eksisi separa kelenjar parotid dan 2895 985
pemeliharaan saraf muka
Eksisi kelenjar submandibular 1340 505
Eksisi kelenjar sublingual 1000 505
Eksisi lesi kelenjar parotid 1160 505
Eksisi lesi kelenjar submandibular 1160 505
Eksisi lesi kelenjar sublingual 405 505
Insisi kelenjar parotid 405 405
Insisi kelenjar submandibular 405 405
Insisi kelenjar sublingual 405 405
Biopsi lesi kelenjar liur 580 435
Penutupan fistula kelenjar liur 865 435
Transposisi salur parotid 1160 435
Transposisi salur submandibular 1160 435
Pengekstrakan terbuka kalkulus daripada 865 355
salur parotid
Pengekstrakan terbuka kalkulus daripada 725 435
salur submandibular
Pengikatan salur parotid 480 435
Pengikatan salur submandibular 480 435
Pembedahan salur submandibular 480 435
Pengembangan salur parotid 405 265
Manipulasi pengeluaran kalkulus dari 725 315
salur parotid
Gigi
Penanaman semula gigi berikutan trauma 865 355
Pembedahan pengeluaran gigi 1000 435
terimpak/tertanam
Pembedahan pengeluaran akar tertanam 725 435
yang rumit
Enukleasi sista rahang 865 435
Leher
Diseksi blok nodus limfa servikal (tidak 2895 940
Biopsi/pensampelan nodus limfa servikal 405 505
Pembedahan ke atas sista rekahan 1340 820
brankial
Pembedahan ke atas fistula rekahan 2040 820
brankial
85
P.U. (A) 358
Kelenjar Tiroid dan paratiroid

Tiroidektomi total 2040 820
Subtotal tiroidektomi dwisisi 2040 760
Hemitiroidektomi 2040 685
Tiroidektomi separa 2040 685
Tiroplasti (Isshiki jenis I) 1760 625
Pembedahan ke atas tisu tiroid aberan 2480 940
termasuk retrosternal
Eksisi sista tiroglosal 1000 625
Eksisi laluan tiroglosal 1340 625
Eksisi lesi kelenjar tiroid 1340 435
Aspirasi jarum halus kelenjar tiroid 315 315
Biopsi jarum kelenjar tiroid 580 315
Paratiroidektomi 2705 940
Paratiroid: pembedahan kedua 2705 985
Penyaliran abses kelenjar liur 405
III. PELBAGAI
1. Fi pemeriksaan perubatan
(a) Bukan pakar

Butiran Fi (RM)
Pemeriksaan perubatan pra-pekerjaan, 45 230
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 570 1145
Pemeriksaan bagi penilaian kehilangan 570 1145
upaya
Penyertaan dalam Peperiksaan Lembaga 230 1145
Perubatan
Pemeriksaan perubatan bagi insurans hayat 90 230
Pemeriksaan kesihatan lesen vokasional 35 115
(b) Pakar
Butiran Fi (RM)
Pemeriksaan perubatan - pra-pekerjaan, 115 570
pemeriksaan rutin dan pemeriksaan
perubatan tahunan, pemeriksaan perubatan
kesihatan, pemeriksaan perubatan
menyeluruh, pemeriksaan perubatan
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P.U. (A) 358
penerbangan (tidak termasuk siasatan

makmal, sinar-X, ECG, dsb.)
Pemeriksaan bagi kes medico legal 570 2290
Pemeriksaan bagi penilaian kehilangan 570 2290
upaya
Penyertaan dalam Peperiksaan Lembaga 570 2290
Perubatan
Pemeriksaan perubatan bagi insurans hayat 170 460
Pemeriksaan kesihatan lesen vokasional 35 115
2. Fi laporan perubatan
Butiran Fi (RM)
Bukan pakar 55 230
Pakar 115 570
3. Fi panggilan ke rumah dan bantuan

perubatan (Pengamal am)
Butiran Fi (RM)
Tugas perubatan bagi acara dan majlis bagi 55
setiap jam
Liputan perubatan bagi 570
pemindahan/penghantaran pulang pesakit
(tidak termasuk perbelanjaan sebenar yang
ditanggung untuk kos perjalanan, makan dan
penginapan) bagi satu hari
4. 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 90 285

(diminta oleh syarikat insurans, peguam dan
lain-lain)
Pernyataan pakar perubatan yang merawat 55
bagi syarikat insurans
BAHAGIAN B - FI PERGIGIAN
I. FI PERUNDINGAN
Butiran Fi (RM)
Perundingan sahaja
Perundingan dengan pemeriksaan dan pelan
rawatan
II. FI TATACARA PERGIGIAN ASAS
Butiran Fi (RM)
Pendarahan selepas cabutan 55 345
Rawatan untuk rongga kering 55 345
Tampalan sementara 35 170
Insisi dan penyaliran 55 230
Tampalan amalgam 45 345
Tampalan sewarna gigi/bahan lekat 55 685
Pembuangan kalkulus 55 345
Pembuangan plak dan/atau kesan ektrinsik 70 285
Dentur akrilik (separa) bagi setiap rahang 115 1145
Dentur akrilik (penuh) bagi setiap rahang 285 2290
Cabutan gigi dan/atau akar yang mudah
tanpa pembedahan
Kekal 45 285
Desidus 30 115
Radiograf periapeks/bite wings/oklusal - 25 115

bagi setiap pendedahan
III. PELBAGAI
Butiran Fi (RM)
Laporan pergigian 55 345
Panggilan ke rumah 170 570
88
P.U. (A) 358
Fi kehadiran di mahkamah - kelayakan 285 570

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 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)
Laporan pergigian yang komprehensif 55 345
(diminta oleh syarikat insurans, peguam dan
lain-lain)
Pernyataan pakar pergigian yang merawat 55.
bagi syarikat insurans
Dibuat 10 Oktober 2013

[KK(R)/654(336) (17); PN(PU2)610/IV]
DATUK SERI DR. S. SUBRAMANIAM

Menteri Kesihatan
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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 patients request or when the patients 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.
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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 Fee (RM)

Consultation only
Consultation with examination 30-125

Consultation with examination and treatment
plan
Consultation after stipulated clinic hours Up to 50% above
the usual rate
House call or home visit Up to 100% above
the usual rate
(b) Clinic without pharmaceutical services
Item Fee (RM)

Consultation only
Consultation with examination 35 - 145

plan
93
P.U. (A) 358

the usual rate
the usual rate
2. Specialist fee
Note: applicable to all medical specialties unless specified otherwise
(a) First visit/Initial consultation
Item Fee (RM)

Consultation only

plan
the usual rate
the usual rate
(b) Follow-up visit/Follow-up consultation
Item Fee (RM)

Consultation only
plan
the usual rate
the usual rate
(c) Special consultation for radiotherapy and

oncology
Note: Includes once a week consultation
Item Fee (RM)

Basic Treatment planning including simulation 860 -1715
for external beam radiotherapy (replanning
will be charged separately)
Treatment planning for brachytherapy 1145-2290
(Intracavitary)
Specialised treatment planning 2290-4575
- Interstitial brachytherapy
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P.U. (A) 358
- Conformal radiotherapy
- Radiosurgery
- Intensity modulated radiotherapy
II. PROCEDURE FEE
1. General Procedures
Item/Procedure Fee (RM)

Surgeon Anaesthetist
Ambulatory blood pressure monitoring 130
Application of plaster cast (where this is 315
the sole procedure)
Application of plaster jacket, hip spica, long 410 265
leg cast or cast brace
Arterial cannulation 130
Arterial puncture 65
Aspiration of subcutaneous haemotoma 315
Banding of haemorrhoids 315
Biopsy of skin or subcutaneous tissue 315
Cardiopulmonary resuscitation (CPR) 315
Central venous pressure (CVP) line 230
cannulation
Chest tube insertion 840
Colposcopy (plus/minus biopsy) 375
Continuous Holter monitoring 330
Curettage/Cryotherapy of lesion of skin 315
including cauterisation
Diagnostic aspiration of cysts, joints and 315
cavities
Echocardiography with report

Colour form mapping 380
Doppler echocardiography 380
Echocardiogram-transthoracic 230
M-mode 380
Stress echo treadmill 380
Stress echocardiography 380
Trans-oesophageal echocardiography 440
Two dimensional (2-D) 380
Elective cardioversion 290
Electrocardiogram (ECG) with report 80
ECG (stress/exercise) with report 270
Endometrial biopsy or aspiration 410
Fine needle aspiration cytology 315
Incision and drainage (I & D) 315
95
P.U. (A) 358
Injection around apophyseal facet of 315

vertebra without X-ray control
Injection into joint without X-ray control 315
Injection into subcutaneous tissue/painful 315
trigger point including local anesthesia
(LA) and steroid
Injection into varicose veins of leg 315
Injection of sclerosing substance into 315
haemorrhoids
Introduction of substance into skin 315
including hormone pellet
Lumbar puncture 745
Paracentesis for ascites 630
Paravertebral block (without X-ray control) 480
Percutaneous biopsy (not elsewhere 315
specified)
Pericardiocentesis 505
Pleural biopsy 895
Pleural cavity drainage 840
Pleurodesis 630
Rigid sigmoidoscopy with biopsy 315
Signal averaging ECG 45
Stellate ganglion block (LA) 480
Swan Ganz cathether placement 460
Temporary pacing 1145
Toilet and suturing (T & S) per stitch 20
Venesection 35
Venupuncture 65
2. Specific Procedures
(a) Anaesthesiology
First consultation, assessment, procedure 630

and advanced cardiac life support (ACLS) in
the intensive care unit (ICU)
Subsequent consultation and assessment in As per
the ICU paragraph
2(b) of the
specialist fees
Obstetric analgesia service Epidural 445

Management of acute, chronic and cancer 35
pains
Venepuncture 65
(b) Abdomen (other than urinary and reproductive system)
96
P.U. (A) 358
Oesophagus
Thorascopic oesophageal mobilisation via 4750 1815
mediastinum
Oesophagogastrectomy 4750 1815
Total oesophagogastrectomy and 5970 2500
interposition of intestine
Open excision of lesion of oesophagus 1890 1125
Bypass of oesophagus 2480 1550
Revision of oesophageal anastomosis 2705 1320
Closure of bypass of oesophagus 2145 1125
Transthoracic repair of oesophagus 3600 1320
Thorascopic repair of oesophagus 2895 1320
Oesophagocardiomyotomy 2040 985
(Heller's operation)
Thorascopic oesophagogastric myotomy 2145 985
Injection sclerotherapy for oesophageal 1000 685
varices
Transthoracic repair of hiatus hernia 2305 940
Transthoracic repair of diaphragmatic 2305 940
hernia
Transabdominal repair of hiatus hernia 2145 760
Transabdominal repair of diaphragmatic 2895 820
hernia
Laparoscopic repair of hiatus hernia 2145 760
Transabdominal anti-reflux operation 2895 820
Revision of anti-reflux procedure 3600 1320
Laparoscopic vagotomy/seromyotomy 2040 685
Laparoscopic gastro-jejunostomy 2145 685
Laparoscopic gastrostomy/jejunostomy 1760 570
Stomach
Proximal gastric vagotomy 2040 685
Highly selective vagotomy 2040 685
Vagotomy and pyloroplasty 2145 820
Total gastrectomy and excision of 2895 1125
surrounding tissue
Partial gastrectomy 2305 760
Plastic operation on stomach 1890 685
Gastro-jejunostomy 2145 685
Revision of gastro-jejunostomy 2305 685
Gastrostomy 1760 570
Closure of gastrostomy 1565 570
Closure of perforated ulcer of stomach 1890 685
Laparoscopic closure of perforated ulcer of 1890 685
stomach
Other open operation on stomach 1890 685
Pyloromyotomy 1890 685
97
P.U. (A) 358
Pyloroplasty 1890 685

Partial gastrectomy (benign disease) 2305
Partial gastrectomy (malignant disease) 2895
Duodenum
Open excision of lesion of duodenum 2305 760
Bypass of duodenum 1890 760
duodenum
Closure of perforated ulcer of duodenum 1890 685
Small intestine
Excision of jejunum 2145 685
Excision of lesion of jejunum 2480 685
Jejunostomy 1760 685
Laparoscopic resection of small intestine 1890 685
Bypass of jejunum 1890 685
Intubation of jejunum of decompression of 1890 685
intestine
Bypass of ileum 1890 685
Ileoanal anastomosis and creation of pouch 4750 1550
Ileostomy 1890 685
Attention to ileostomy 1565 570
Closure of ileostomy (in isolation) 1565 570
Open operation on ileum including 1890 685
reduction of intussusception
Large intestine
Appendicectomy 1565 570
Laparoscopic appendicectomy 1565 570
Drainage of abscess of appendix 1565 625
Total excision of colon and ileorectal 3600 1320
anastomosis
Extended excision of right hemicolon 2390 820
Other excision of right hemicolon 2390 760
Excision of transverse colon 2390 760
Excision of left hemicolon 2390 820
Excision of sigmoid colon 2390 820
Excision of lesion of colon 1760 760
(transabdominal)
Bypass of colon 2040 760
Exteriorisation of caecum 1760 760
Closure of colostomy extra peritoneal 1340 625
Closure of colostomy intra peritoneal 1890 760
Laparoscopic colostomy 2040 760
Colostomy including revision 2040 760
98
P.U. (A) 358
Intra-abdominal manipulation of colon 2040 685

including reduction of intussusception
Laparoscopic colonic resection 2390 820
Radiological reduction of intussusception 580 570
of colon using barium enema
Rectosigmoidectomy for Hirchsprung's 4750
disease
Laparotomy of necrotising enterocolitis 2705
(NEC)
Laporotomy for intestinal atresia 2705
Rectum/Anus
Ileoanal anastomosis and creation of pouch 4750 1550
Panproctocolectomy and ileostomy 4750 1815
Abdominoperineal pull through resection 4750 1815
with colo-anal anastomosis and associated
colostomy
Abdominoperineal resection of rectum and 4750 1815
anus
Anterior resection 4750 1815
Anterior resection of rectum and end 2705 1550
colostomy (with closure of rectum)
Laparoscopic anterior resection of rectum 4750 1550
and exteriorisation of bowel
Partial excision of rectum and sigmoid 2705 940
colon for prolapse
Reversal of Hartman's procedure 3600 1550
Open excision of lesion of rectum 2145 940
Fixation of rectum for prolapse 1890 940
Laparoscopic rectopexy 1890 940
Transanal resection for rectal cancer 2040 625
Perineal excision of lesion of rectum 1340 625
Full or partial thickness rectal biopsy 405 625
Perineal repair of prolapse of rectum 1760 685
Dilation of stricture of rectum 370 265
Repair of faecal fistula 865 625
Excision of lesion of anus 370 265
Destruction of lesion of anus 370 265
Repair of anal sphincter 1565 625
Repair of anal trauma 1340 625
Haemorrhoidectomy 1000 505
Anorectal stretch including examination 370 265
under anaesthesia (EUA) and
sigmoidoscopy
Laying open of low anal fistula 865 505
Laying open of high anal fistula 1565 625
Lateral sphincterotomy of anus 405 505
99
P.U. (A) 358
Excision of anal fissure 405 405

Drainage through perineal region including 580 405
ischiorectal abscess
Excision of pilonidal sinus and suture/skin 1160 625
graft
Laying open of pilonidal sinus 580 265
Fistulectomy (single) 865
Fistulectomy (multiple) 1565
Posterior saggital anorectoplasty (PSARP) 3600
Combined laparotomy plus PSARP 4750
Anoplasty 1340
Posterior saggital 4750
anorectovaginourethroplasty (PSARVUP)
Combined laparotomy plus PSARVUP 5970
Other organs, mainly digestive

Adrenalectomy 2145 940
Adrenalectomy bilateral 2305 1125
Operation on aberrant adrenal tissue 2145 940
Partial excision of liver 3600 1550
Hemihepatectomy 5970 2110
Removal of liver tumour 2895 985
Repair of liver 2480 985
Open drainage of liver 1160 685
Therapeutic laparoscopic operation 1340 570
on liver
Diagnostic laparoscopic examination of 1340 505
liver including any biopsy
Percutaneous biopsy of lesion of liver 480 315
Open puncture of liver 1565 570
Cholecystectomy including 1890 685
mini-cholecystectomy
Cholecystectomy with exploration 2040 760
of common bile duct
Laparoscopic cholecystectomy 2480 1125
Laparoscopic cholecystectomy with 2705 1550
perioperative cholangiogram
Anastomosis of gall bladder 2305 760
(to another viscus)
Partial excision of bile duct and 2390 940
anastomosis of bile duct to
duodenum/jejunum
Excision of lesion of bile duct 2145 940
Anastomosis of hepatic duct 2895 940
Anastomosis of common bile duct 2145 940
Open introduction of prosthesis into 2145 760
bile duct
100
P.U. (A) 358
Repair of bile duct 2390 985

Incision of bile duct including exploration 2145 940
for calculus removal
Sphincterotomy of bile duct and pancreatic 2145 820
duct using duodenal approach
Percutaneous examination of bile duct 1000 505
Total pancreatectomy and excision 4750 1815
of surrounding tissue
Total pancreatectomy 4750 1815
Pancreatoduodenectomy and excision of 4750 1815
surrounding tissue (Whipple's procedure)
Distal pancreatectomy 2705 985
Excision of lesion of pancreas 2040 985
Anastomosis of pancreatic duct (to another 2705 940
viscus)
Open drainage of lesion of pancreas 2040 760
Drainage of pancreatic abscess 2040 760
Incision of pancreas 2040 760
Open examination of pancreas 2040 760
Therapeutic percutaneous operation on 1565 685
pancreas
Open splenectomy 1565 760
Laparoscopic splenectomy 1565 760
Creation of peritoneo-venous shunt 1340 435
(Levine/Denver)
Internal drainage of pancreatic pseudocyst 2705
Hepato portoenterototomy 4750
(Kasai operation)
Excision of choledochal cyst 4750
Major vessels
Open cannulation of intra-abdominal artery 2145 685
for infusion chemotherapy
Creation of portacaval shunt 4750 1320
Plication of vena cava 2305 940
Repair of wound of major artery or vein of 2145 1320
abdomen including aorta and vena cava
Abdominal wall
Repair of congenital diaphragmatic hernia 2705 1550
Simple excision of inguinal hernial sac 1000 505
Simple excision of inguinal hernial sac 1760 760
bilateral
Primary repair of inguinal hernia 1160 505
Primary repair of inguinal hernia bilateral 1890 820
Primary repair of strangulated inguinal 1890 625
hernia
101
P.U. (A) 358
Laparoscopic repair of groin hernia 1160 505

Repair of recurrent inguinal hernia 1890 685
Repair of recurrent inguinal hernia 2895 985
bilateral
Primary repair of femoral hernia 1000 505
Primary repair of strangulated femoral 1890 625
hernia
Repair of recurrent femoral hernia 1565 570
Repair of umbilical hernia (irrespective 1000 570
of age)
Primary repair of incisional hernia 1340 505
Repair of recurrent incisional hernia 1890 685
Repair of other hernia of abdominal wall 1340 505
Resuture of previous incision in abdominal 1340 570
wall (burst abdomen)
Closure of exomphalos major/gastroschisis 3600
primary closure
silastic closure
delayed primary closure
Peritoneum
Laparotomy for post-operative 1760 820
haemorrhage
Laparotomy and repair of multiple visceral 3600 1550
trauma
Open drainage of subphrenic abscess 1760 685
Operation on omentum 1890 685
Retroperitoneal tumour 2705 940
Retroperitoneal abscess 1160 685
Presacral tumour 1340 940
Freeing of adhesions of peritoneum 1565 685
Laparoscopy including biopsy and 1160 435
adhesiolysis
Paracentesis abdominis for ascites 315 265
Suprapubic drainage of pelvic abscess 865 505
Transrectal/transvaginal drainage of pelvic 1160
abscess
Laparotomy exploratory 1890
(c) Brain, cranium and other intracranial organs
Brain
Hemispherectomy 7030 2930
Excision of abscess of brain 4750 2110
Excision of lesion of tissue of brain 5970 2500
102
P.U. (A) 358
Stereotactic ablation of tissue of brain 4750 1815

Open biopsy of lesion of tissue of brain 3600 1550
Implantation/removal of neurostimulator 2145 820
from brain (any route)
Ventriculocisternostomy 3600 1550
Creation of ventriculovascular anastomosis 2040 820
Creation of ventriculoperitoneal shunt 2040 820
Creation of subcutaneous cerebrospinal 2040 820
fluid (CSF) reservoir
Maintenance of cerebroventricular shunt 1565 685
including revision
Removal of cerebroventricular shunt 1340 505
Irrigation of cerebroventricular shunt 580 685
Therapeutic endoscopic operations on 2570 820
ventricle of brain
Diagnostic endoscopic examination and 1760 820
biopsy of lesion of ventricle of brain
Ventricular puncture 570 505
Cranium
Intracranial infection: Burr-hole 1890 760
Plastic repair of cranium 2705 1320
Reconstructive cranioplasty 2705 1320
Craniostenosis (single suture) 2040 760
Craniostenosis (more than one suture) 2705 1550
Exploratory open craniotomy 2705 1320
Exploratory Burr-hole of cranium 1565 685
Petrosectomy 3600 2110
Foramen Magnum decompression 4750 1550
Excision of lesion of cranium 2145 820
Elevation of depressed fracture of cranium 1565 760
Repair of compound fracture of cranium 2705 1320
Drainage of skull 1340 505
Meninges
Drainage of subarachnoid space of brain 1565 625
Excision of lesion of meninges of brain 7030 2500
Operation of arachnoid cyst 2705 985
Repair of dura 3600 1320
Evacuation of extradural haematoma 3600 1320
Evacuation of subdural haematoma or 3600 1320
abscess
Subdural haemorrhage tap 315 435
Nerves
Intracranial transection of cranial nerve 5970 2930
103
P.U. (A) 358
Other intracranial destruction of cranial 5970 2930

nerve
Excision of lesion of cranial nerve 7030 2930
(Intracranial)
Excision of acoustic neuroma 7030 2930
Repair of cranial nerve (Intracranial) 2895 1815
Decompression of cranial nerve 5970 1815
(Craniotomy)
Neurostimulation of cranial nerve 2145 760
(Intracranial)
Removal of neurostimulator from cranial 1890 505
nerve
Excision of cerebellopontine angle tumour 7030 2930
Vessels
Craniotomy post-operative haemorrhage 2705 1320
Craniotomy for suprasellar tumour 7030
Craniotomy for posterior fossa tumour 7030
Ligation/clipping of aneurysm of cerebral 5970 2110
artery
Reinforcement of aneurysm of cerebral 5970 2110
artery
Open operations on cerebral artery 5970 2110
Excision of arteriovenous (AV) 7030 2110
malformation
Creation of ventriculovascular anastomosis 2040 820
Creation of ventriculoperitoneal shunt 2040 820
Others
Hypophysectomy 5970 1815
Cryotherapy to pituitary gland 2570
Excision of lesion of pituitary gland 5970 1815
Excision of pineal gland 7030 1815
(d) Breasts
Subcutaneous mastectomy with immediate 2040 760

implant
Radical mastectomy including block 2305 760
dissection
Mastectomy combined with reconstruction 2895 985
of breast using myocutaneous flap
Modified radical mastectomy including 2040 685
block dissection
Simple mastectomy including axillary node 1565 685
biopsy
Excision of lesion of breast 1000 405
104
P.U. (A) 358
Segmental resection or quadrantectomy 1340 505

Wide local excision of lesion of breast 1340 505
Repeat local excision to clear margins 1000 505
Excision biopsy of breast lesion after 1000 505
localisation
Reconstruction of breast using latissimus 2895 940
dorsi
Reconstruction of breast using local flap 2305 760
Reconstruction of breast using TRAMS 4750 1550
Removal of prosthesis from breast 865 405
Implantation of prosthesis following 1340 685
mastectomy
Percutaneous biopsy of lesion of breast 370 265
Stereotactic/guidewire excision of lesion of 1565 505
breast
Drainage of breast abscess 580 405
Microdochotomy 1000 405
Operation(s) on nipple (where not included 865 405
in other procedures)
Block dissection of axillary lymph nodes 1760 625
(where not included in other procedures)
Biopsy/sampling of axillary lymph nodes 405 315
Biopsy of internal mammary lymph nodes 725 505
(e) Dermatology and venereology
Allergy test
Skin sensitivity tests (Intradermal) using 190
up to 20 reagents (excluding cost of
reagents)
Skin sensitivity tests (patch test) using up 250
to 26 reagents, i.e. standard series
(excluding cost of reagents)
Skin sensitivity tests (patch test) using 315
more than 26 reagents, i.e. standard and
extra series (excluding cost of reagents)
Skin sensitivity tests (patch test) using 190
supplementary series i.e. cost per series
(excluding cost of reagents)
General dermatosurgery
Excision cysts, scars, benign tumours 380
(simple)
Excision cysts, scars, benign tumours 660
(complex)
Excision malignant skin tumours 915
requiring wide excision
105
P.U. (A) 358
Multiple intralesional steroid injections 190

Cryotherapy not more than 5 lesions 155
Cryotherapy more than 5 lesions 250
Cryotherapy malignant tumours 505
requiring wide areas of treatment
Curettage/Cryotherapy lesion of skin 315
including cauterisation
Phototherapy
Phototherapy (ultra violet beam (UVB)) 65
per session regional
Phototherapy (UVB) per session whole 100
body
Psoralen and ultra violet A (PUVA) 100
PUVA per session whole body 125
Photopatch testing 250
Minimum erythema doses (MED) 250
phototesting
Minimum photoxic doses (MPD) 250
phototesting
Phototherapy ultraviolet A1 (UVA 1) 100
Phototherapy ultraviolet A1 (UVA 1) 125
per session whole body
Other dermatology procedures

Simple excision of nail 70
Wedge excision of toe nail 380
Wedge excision or avulsion of toe nail 480 315
including chemical ablation of nail bed
Matrixectomy of nail 170
Dark ground investigation (DGI) 125
examination of specimen
Biopsy of skin or subcutaneous tissue 315
Percutaneous biopsy (not elsewhere 315
specified)
Microscopic examination (dark ground) 65
Microscopic examination for skin 65
scrapings, smears, and etc.
Electrocautery keratosis, warts, 190
angiomas, etc. (less than 5 lesions)
angiomas, etc. (from 5 to 20 lesions)
angiomas, etc. (more than 20 lesions)
106
P.U. (A) 358
Chemical cautery keratosis, warts, 125

angiomas, etc. (not more than 5 lesions)
Chemical cautery keratosis, warts, 250
angiomas, etc. (more than 5 lesions)
Electrolysis of hair per session 250
Iontophoresis per session 190
Transdermal iontophoresis 285
Cutaneous laser procedures

Cutaneous laser ablation of skin tumours 290
(less than 5 lesions)
(5 to 20 lesions)
(more than 20 lesions)
Pigment laser treatment of skin 380
pigmentation and tattoos small area
(less than 9 cm2)
pigmentation and tattoos medium sized
area (9 cm2 to 50 cm2)
pigmentation large area (more than
50 cm2)
Pigment laser treatment of tattoo of 380
eyebrows
Pigment laser treatment of tattoo of eyelids 435
Vascular laser treatment of vascular lesion 380
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 860
non-ablative
Laser resurfacing of one cosmetic unit 1145
ablative
Laser-assisted/intense pulsed light (IPL) 380
hair removal small area (less than 9cm2)
Laser-assisted/IPL hair removal medium 435
sized area (9 cm2 to 50 cm2)
Laser-assisted/IPL hair removal large 660
area (more than 50 cm2)
Laser-assisted/IPL hair removal whole 915
face
107
P.U. (A) 358
Chemical peeling
Chemical peeling of lesion of skin 290
superficial peel
Chemical peeling of lesion of skin medium 380
depth
Chemical peeling of lesion of skin deep 660
peel
Miscellaneous procedures
Comedone extract per session 190
Paring of hyperkeratosis, corns, etc. 190
Milia extraction 190
Day care skin nursing per session 190
Whole body wrap dressing 230
(e.g: atopic eczema)
Microdermabrasion face 345
Microdermabrasion body 570
Botulinum toxin injection of one 685
cosmetic unit
Fillers injection of one cosmetic unit 570
(f) Ear, nose and throat
External ear
Total excision of external ear 1565 820
Excision of preauricular abnormality 1000 405
Excision of lesion of external ear 725 405
Removal of exostoses from external 1760 505
auditory canal
Reconstruction of external ear using graft 2895 685
Reconstruction of external ear 2145 685
Meatoplasty of external ear 1565 505
Repair of external ear 405 405
Removal of foreign body from external 370 265
auditory canal under general anaesthetic
(GA) (and bilateral)
Excision of lesion of external auditory canal 480 570
Reconstruction of external auditory canal 2705 1125
Middle ear and mastoid

Radical mastoidectomy 2480 940
Modified radical mastoidectomy 2480 940
Simple mastoidectomy 2305 625
Revision of mastoidectomy 2040 940
Exploration of mastoid, facial nerve 2305 940
Tympanoplasty 2145 940
Myringoplasty 2040 760
108
P.U. (A) 358
Myringotomy and insertion of tube through 865 355

tympanic membrane (and bilateral)
Suction clearance of middle ear 370 265
Myringotomy (and bilateral) 370 265
Ossiculoplasty with/without 2705 940
tympanoplasty
Stapedectomy 2040 760
Middle ear tumour excision 2040 760
Middle ear polypectomy (and bilateral) 580 265
Tympanotomy and biopsy of lesion of 1760 570
middle ear
Petrosectomy 3600 2110
Inner ear
Transtympanic electrocochleography 725
Operation on cochlea 3600 1320
Operation on endolymphatic sac 2145 940
Membranous labyrinthectomy 2390 940
Osseous labyrinthectomy 2480 940
Excision of preauricular sinus unilateral 1340
Excision of preauricular sinus bilateral 1760
Nose and nasal cavity

Total excision of nose 1565 760
Septorhinoplasty plus/minus graft/implant 2145 625
following trauma or excision of tumour
Rhinoplasty following trauma or excision of 2040 625
tumour
Submucous excision of septum of nose 1160 405
Excision of lesion of septum of nose 580 355
Biopsy of lesion of septum of nose 370 355
Closure of perforation of septum of nose 1340 405
Incision of septum of nose 405 315
Septoplasty of nose 1340 435
Nasal septum cauterisation (and bilateral) 315 265
Submucous diathermy to turbinate of nose 405 265
(and bilateral)
Excision of turbinate of nose (and bilateral) 725 405
Excision of lesion of turbinate of nose (and 405 405
bilateral)
Division of adhesions of turbinate of nose 370 405
(and bilateral)
Biopsy of lesion of turbinate of nose (and 370 405
bilateral)
Cauterisation of turbinate of nose (and 370 265
bilateral)
Ligation of artery of internal nose 1340 505
109
P.U. (A) 358
Embolisation of artery of internal nose 1340 505

Packing of cavity of nose (as sole 315 505
procedure)
Polypectomy of internal nose (and 480 355
bilateral)
Excision of lesion of internal nose 405 355
Correction of congenital atresia of choana 1565 685
Removal of foreign body from cavity of 315 355
nose
Excision of lesion of external nose 315 435
Nasal sinuses
Drainage of maxillary antrum including 1000 435
Caldwell-Luc (and bilateral)
Transantral neurectomy of vidian nerve 1760 685
using sublabial approach (and bilateral)
Antral puncture and wash-out (and 480 265
bilateral)
Intranasal antrostomy including 865 505
endoscopic (and bilateral)
Closure of oro-antral fistula 1340 435
External frontoethmoidectomy (and 2145 760
bilateral)
Intranasal ethmoidectomy (and bilateral) 1160 505
External ethmoidectomy including 1565 685
endoscopic (and bilateral)
Anterior and posterior opening into 1760 685
functional endoscopic sinus surgery (FESS)
Transantral ethmoidectomy (and bilateral) 1565 685
Bone flap to frontal sinus (and bilateral) 2480 625
Trephining of frontal sinus 580 265
Radical frontoethmoidectomy 2390 940
Subtotal FESS 1565 685
Operation on sphenoid sinus 865 505
Operation on nasal sinus (unspecified) 865 505
Lateral Rhinotomy into sinus for 1760 625
malignancy
Diagnostic endoscopy of sinus (as sole 315 405
procedure)
Throat
Total pharyngectomy 5970 1815
Partial pharyngectomy 2305 1815
Adenoidectomy 405 265
Repair of pharynx 2145 820
Open excision of lesion of pharynx 725 505
Operation on pharyngeal pouch 1890 685
110
P.U. (A) 358
Therapeutic endoscopic operation on 580 405

pharynx
Pharyngeal pouch Endoscopic resection 1890 625
Diagnostic endoscopic examination of 580 405
pharynx including biopsy
Tonsillectomy child (and bilateral) 1000 435
Tonsillectomy adult (and bilateral) 1160 435
Excision of lingual tonsil 865 435
Adenotonsillectomy (and bilateral) 1160 435
Drainage of peritonsillar abscess ("Quinsy") 315 315
Larynx and trachea

Total laryngectomy including neck 3600 1815
dissection
Partial laryngectomy 2145 985
Laryngofissure and chordectomy of vocal 1760 625
chord
Laryngectomy (excluding neck dissection) 2570 1320
Glottoplasty 1760 625
Reconstruction of larynx with graft 3600 1815
Endoscopic excision of lesion of larynx 1160 570
including microlaryngoscopy
Laryngoscopy/endoscopy with/without 580 505
biopsy
Injection into larynx 1160 505
Partial excision of trachea with 3600 2110
reconstruction
Tracheoplasty 1760 625
Open placement of prosthesis in trachea 1760 505
Tracheotomy 1000 570
Insertion of mini-tracheostomy 580 405
Fibreoptic endoscopic procedures under topical anaesthesia
Fibreoptic examination of trachea and 725 505

bronchus including biopsy/removal of
foreign body
Bronchial lavage (diagnostic or 865
therapeutic)
Dilatation of tracheal stricture including 865
insertion of stent
Dilatation of bronchial stricture by 1000
fibreoptic bronchoscope
Transbronchial biopsy 1000
(g) Endoscopic and laparoscopic gastro-intestinal tract (GIT) procedures
Endoscopic GIT procedure

111
P.U. (A) 358
Rigid oesophagoscopy plus/minus 865 435

biopsy/removal/laser or diathermy
destruction of lesions
Diagnostic esophagogastroduodenoscopy 405 315
including Biopsy
Therapeutic esophagoduodenoscopy 580 435
including removal of foreign
body/polypectomy
Therapeutic esophagogastroduodenoscopy 1000 435
including destruction of lesion, insertion of
prosthesis, dilatation, recanalisation of
tumour
varices
Intubation for investigation of GIT 480 315
plus/minus manometry, pH measurement,
pancreatic function and jejunal biopsy
Endoscopy and examination of ilium 580 315
through stoma including dilatation
Flexible sigmoidoscopy plus/minus 580 435
biopsy/removal/destruction of lesion
Fibreoptic colonoscopy plus/minus 1000 435
excision biopsy/destruction of lesion
Fibreoptic colonoscopy and recanalisation 1565 435
of tumour
Endoscopic 1160 505
retrogradecholangiopancreatography
(ERCP)
ERCP with therapeutic procedure 1760 505
Pancreatic stent insertion 2040 760
Pancreatic stone removal 2040 760
Pancreatic pseudocyst drainage 2040 760
Rubber band ligation of varices 1000 405
PEG 1760 625
Endoscopic mucosal resection 2040 760
Colonic polypectomy 1340 505
Colonic dilatation (balloon) 1340 505
Colonic stent insertion 1565 570
Therapeutic GIT bleeding procedures 1000 405
(upper)
Laparoscopic procedure
Laparoscopic vagotomy/seromyotomy 2040 685
Laparoscopic gastrojejunostomy 2145 685
Laparoscopic gastrostomy/jejunostomy 1760 570
112
P.U. (A) 358

stomach
duodenum
Laparoscopic resection of small intestine 1890 685
Laparoscopic appendicectomy 1565 570
Laparoscopic colostomy 2040 760
Laparoscopic colonic resection 2390 820
Laparoscopic anterior resection of rectum 4750 1550
and exteriorisation of bowel
Laparoscopic rectopexy 1890 940
Laparoscopic cholecystectomy 2480 1125
Laparoscopic cholecystectomy with 2705 1550
perioperative cholangiogram
Laparoscopic splenectomy 1565 760
Laparoscopic repair of groin hernia 1160 505
(h) Eye and orbital content
General procedures
Fundus fluorescein angiogram 345
Anterior/Fundus photography 65
Automated perimetry 250
Hess chart 125
Keratometry 65
Corneal topography Ultrasonography 250
A - Scan 125
B - Scan 250
Pachymetry 125
Gonioscopy 65
Indirect ophthalmoscopy 65
Refraction 65
Schirmers test 30
Electrophysiology
Electroretinogram (ERG)/ 250
Electrooculogram (EOG)/Visual evoked
response (VER)
Syringing 125
Dressing 35
Irrigation 65
Excision/curettage/cryotherapy of lesion 370 265
of eyelid(s)
Yag laser photo disruption of posterior 580 505
capsule of lens including laser capsulotomy
Laser photocoagulation/Cryotherapy/ 1000 405
Radiotherapy of lesion of retina (and
bilateral)
113
P.U. (A) 358
Flourescein angiography of eye 315 265

Surgical correction of squint (one or both 1890 625
eyes)
Surgical trabeculectomy 2040 760
Trabeculectomy including laser 1160 570
Biopsy of lesion of eyelid 480 315
Extracapsular extraction without implant 2145 820
Extracapsular extraction with implant 2570 940
Globe or orbit
Exenteration of orbit 2040 760
Enucleation of eyeball 2040 685
Excision of lesion of orbit 1890 685
Reconstruction of cavity of orbit 2305 760
Biopsy of lesion of orbit 1160 505
Drainage of orbit 1340 355
Decompression of orbit 2305 685
Removal of foreign body from orbit 1890 685
Exploration of orbit 1890 685
Open reduction of fracture of orbit 1340 685
Retrobulbar injection 315 265
Evisceration of eyeball 2040 760
Orbital implants Evisceration/ 2390
Enucleation with implant
Eyebrow and lid

Excision of lesion of eyebrow 580 405
Suture of eyebrow 315 405
Excision of lesion of canthus 1000 505
Correction of epicanthus 1160 505
Correction of telecanthus 1160 505
Graft of skin to canthus 1000 505
Canthotomy/Curettage 580 505
Excision/Curettage/Cryotherapy of lesion 370 265
of eyelid(s)
Graft of skin to eyelid 1000 505
Correction of ectropion 1160 405
Correction of entropion 1160 405
Correction of trichiasis 405 405
Tarsorrhaphy 865 405
Total reconstruction of eyelid 1890 505
Suture of eyelid (laceration) 405 405
Total reconstruction of eyelid bilateral 2895 820
Correction of ptosis of eyelid 1760 625
Tarsomullerectomy 1760 505
Drainage of lesion of eyelid 370 355
Biopsy of lesion of eyelid 480 315
114
P.U. (A) 358
Removal of eyelashes by 370 265

electrolysis/laser/cryotherapy
Lacrimal system
Canaliculo dacryocystorhinostomy 2390 940
Conjunctivo dacryocystorhinostomy 2390 940
Dacryocysto rhinostomy (DCR) 2040 940
with/without insertion of tube
Excision of lacrimal sac 1000 505
Biopsy of lacrimal sac 580 505
Incision of lacrimal sac 370 405
Syringing of nasolacrimal system under 315 265
general anaesthesia (GA)
Probing of nasolacrimal sac under GA 315 265
Repair of torn canaliculus 1000 265
Dilation of lacrimal punctum under GA 315 265
Endoscopic DCR 2570 1320
Muscles
Surgical correction of squint (one or both 1890 625
eyes)
Revision of squint surgery (one or both 2305 570
eyes)
Tenotomy of muscle (one or both eyes) 1340 570
Transposition of muscle (one or both eyes) 1760 570
Surgical correction of squint with 2480 685
adjustable sutures (one or both eyes)
Revision of squint surgery with adjustable 2895 940
sutures (one or both eyes)
Correction of squint with botulinum toxin 1000
Conjunctiva
Excision of conjunctival lesion 480 505
Cauterisation including cryotherapy to 315 505
conjunctival lesion
Radiotherapy to conjunctival lesion 580 505
Mucosal graft to conjunctiva 1160 505
Suture of conjunctiva 480 505
Removal of suture of conjunctiva 315 435
Drainage of conjunctival cyst 315 435
Division of adhesions of conjunctiva 315 435
Biopsy of lesion of conjunctiva 315 435
Subconjunctival injection 315 435
Exploration of conjunctiva including 370 435
removal of foreign body
Pterygium excision 1340 505
Conjunctival limbal graft 725
115
P.U. (A) 358
Cornea
Excision of lesion of cornea 480 435
Cryotherapy of lesion of cornea 315 435
Lameliar graft (Keratoplasty) to cornea 2390 940
Perforating graft (Keratoplasty) to cornea 2390 940
Repair of corneal wound 580 505
Removal of corneal suture 315 405
Removal of superficial corneal foreign body 405 435
Tension sutures 1340 625
Chelation of cornea 725 405
Tattooing of cornea 725 405
Corneal scraping for culture 405 405
Refractive keratoplasty 1760 625
Photorefrative keratectomy (PRK)/ 2145 820
Phototherapeutic keratectomy (PTK)
Keratomileusis laser in situ (LASIK) 3600 2110
Lamellar graft (Keratoplasty) to cornea 3600
Performing graft (Keratoplasty) to cornea 2895
Limbal stem cells transplantation 2705
Amniotic membrane graft 1160
Anterior stromal puncture 865
Astigmatic keratotomy 1565
Sclera
Excision of lesion sclera 725 570
Repair of scleral laceration 725 570
Scleral graft 1565 570
Iris and anterior chamber

Iridocycletomy 2390 940
Surgical iridectomy 1160 685
Laser trabeculoplasty 1000 570
Trabeculotomy including laser 1160 570
Goniotomy (surgical treatment of 1890 570
glaucoma)
Laser iridotomy 1160 505
Repair of prolapsed iris 1890 685
Excision of lesion of iris 1890 685
Removal of foreign body from iris 1890 685
Cyclocyotherapy (cauterisation of ciliary 1160 505
body)
Cyclodialysis (separation of ciliary body) 1760 685
Reformation of anterior chamber 1565 570
Paracentesis 1000 435
Injection into anterior chamber 480 435
Irrigation of anterior chamber 480 435
116
P.U. (A) 358
Removal of foreign body from anterior 1160 435

chamber
Valve implant in glaucoma 2895 1815
Cyclophotocoagulation 1565 570
Lens
bilateral
- unilateral
Phakoemulsification of lens with/without 2570 940
implant
bilateral
Yag laser photodistruption of posterior 580 505
capsule of lens including laser capsulotomy
Secondary insertion of lens implant 1760 685
Revision of lens implant 1760 685
Removal of lens implant 1340 505
Small incision surgery with/without 2705 1550
intra ocular lens (IOL)
Cataract surgery in complicated cases 3600
(e.g: dislocated lens) with/without implant
Scleral fixation of intraocular lens 2390
Vitreous
Vitrectomy by anterior approach 1760 760
Vitrectomy pars plana approach with 2570 1320
insertion of internal tamponade
Vitrectomy combined with 3600 2110
membranectomy/insertion of internal
tamponade/laser or cryotherapy
Retina
Buckling of sclera including 2145 820
implant/encircling explant/silicone oil/gas
exchange/laser or cryotherapy
Removal of silicone oil 865 355
Laser photocoagulation/Cryotherapy/ 1000 405
Radiotherapy of lesion of retina (and
bilateral)
Excision of lesion of retina 2145 940
Biopsy of lesion of retina 2145 505
Pars plana vitrectomy with removal of 5970 2930
IOL/dislocated lens
117
P.U. (A) 358
Pars plana vitrectomy with removal of intra 5970 2930

ocular foreign body
Buckling of sclera with trans pars plana 7030 3305
vitrectomy
(i) Interventional radiology
Biopsy
Fluoroscopically guided biopsy 725
Ultrasound guided biopsy 865
CT/MRI guided biopsy 1000
Transjugular/Transfemoral/plugged 1340
liver biopsy
Drainage
Fluoroscopically guided drainage of fluid 725
collection
Ultrasound guided drainage of fluid 1340
collection
CT/MRI guided drainage of fluid collection 1565
Angioplasty
Angioplasty 1760
Angioplasty with insertion of metallic stent 1890
Angioplasty with insertion of metallic 2040
stent-graft
Insertion of aortic metallic stent-graft 4750 1550
Cerebral angioplasty with/without 4750 1125
insertion of metallic stent
Cerebral angioplasty with insertion of 4750 1125
metallic stent-graft
Embolization
Embolization of artery or vein 1890
Embolization of vascular mass including 2895
uterine embolization
Embolization of bronchial artery 3600
Embolization of aneurysm 5970
Embolization of arteriovenous 7030
malformation
Thrombolysis
Thrombolysis or aspiration of thrombus 1340
under imaging control
Dilatation
118
P.U. (A) 358
Dilatation of stricture under imaging 1160

control
Percutaneous dilatation of biliary stricture 2305
Head and neck

Endoluminal stone extraction from salivary 725
duct imaging control
Insertion of nasolacrimal stent under 2040
imaging control
Head and neck spine

Chemonucleolysis 1160
Fluoroscopically guided discectomy 2145
including laser
CT guided discectomy including laser 2895
Fluoroscopically guided percutaneous 2145
vertebroplasty
CT Guided percutaneous vertebroplasty 2895
Thorax
Insertion of tracheal/bronchial metallic 1760
stent
Insertion of oesophageal metallic stent 1565
Gastro-intestinal
Percutaneous gastrostomy 1760
Percutaneous gastrojejunostomy 2145
Liver
Percutaneous cholecystotomy 1890
Percutaneous insertion of plastic biliary 1890
endoprosthesis
Percutaneous insertion of metallic biliary 2390
endoprosthesis
Transjugular intrahepatic portosystemic 2895 1815
shunt
Urinary
Percutaneous nephrostomy 1340
Percutaneous removal of calculus 2705
Percutaneous pyelolysis 2705
Others
Insertion of central venous catheter 725
non-tunnelled (X-ray guided)
119
P.U. (A) 358
Insertion of central venous catheter 1160

tunnelled (X-ray guided)
Cystablation under imaging control 1160
Insertion of vena cava filter 1340
Retrieval of foreign body under X-ray 1565
guidance
Occlusion of fistula under imaging control 2145
Percutaneous laser coagulation of mass 3600
(j) Neurology
Reporting of neurophysiology tests

Electroencephalogram (EEG) routine and 315
sleep or portable
Evoked potential study visual evoked 580
potential (VEP), brainstem auditory evoked
response (BAEP) and somatosensory
evoked response (SSEP)
Electromyography (EMG) and nerve 580
conduction study
Nerve conduction study 315
Neurosurgery
Decompression and fusion of cranio 7030 3305
cervical junction
Craniotomy for suprasellar tumour 7030 3305
Craniotomy for posterior fossa tumour 7030 3305
Selective posterior rhizotomy 5970 2930
Endoscopic discectomy 7030
Cervical laminectomy 3600
(k) Obstetrics and gynaecology
Pregnancy and confinement

Caesarean delivery 1890 820
Caesarean hysterectomy 2390 820
Curettage of delivered uterus 480 405
Repositioning of inverted uterus 725 685
Neonatal exchange blood transfusion 1000
Female reproductive organs
Uterus/Adnexa
Radical hysterectomy and 4750 1550
lymphadenectomy (Wertheim's)
Total abdominal hysterectomy 2040 760
Subtotal abdominal hysterectomy 2040 760
120
P.U. (A) 358
Hysterectomy and removal of uterine 2040 760

adnexa
Vaginal hysterectomy including 2040 760
laparoscopically assisted
Hysterectomy and removal of uterine 2895 820
adnexa for ovarian malignancy
Myomectomy including laparoscopically 2040 760
Plastic reconstruction of uterus 1565 685
Therapeutic endoscopic operation 1565 685
on uterus including endometrial ablation
Hysteroscopy with/without D&C, biopsy 865 435
including polypectomy
Endometrial biopsy or aspiration 405 265
Bilateral oophorectomy and salpingectomy 1890 685
in isolation
Unilateral oophorectomy and 1340 685
salpingectomy in isolation
Removal of products of conception from 1760 760
fallopian tube (ectopic pregnancy)
including laparoscopically
Laparoscopy including (e.g: puncture of 1160 570
ovarian cysts) plus/minus biopsy
Laparoscopy and therapeutic procedures 1890 760
including laser, diathermy and destruction
(e.g: endometriosis, adhesiolysis, tubal
surgery and solid tumours)
Ovarian cystectomy (not included in other 1890 685
procedures) (and bilateral)
Block dissection of pelvic lymph nodes (not 2040 760
included in other procedures)
Total exenteration of pelvis 5970 2930
Anterior exenteration of pelvis 4750 1815
Posterior exenteration of pelvis 4750 1815
Suspension
Combined abdominal and vaginal 1890 685
operations to support outlet of female
bladder
Suprapubic sling operation 1890 760
Retropubic suspension of neck of bladder 1890 685
Vaginal operation to support outlet of 1890 685
female bladder
Ventro-suspension of uterus including 1340 625
laparoscopic
Cervix uteri
Colposcopy (with/without biopsy) 370
121
P.U. (A) 358
Amputation of cervix uteri 1160 505

Laser destruction of lesion of cervix uteri 370 265
Cauterisation of lesion of cervix uteri 370 265
including loop diathermy
Cone biopsy of cervix uteri including laser 865 505
Punch biopsy of cervix uteri 315 265
Dilatation of cervix uteri and curettage of 480 315
uterus including polypectomy and
diathermy of cervix (for women over 40
years of age)
Vagina/Perineum
Cystourethroplasty 1760 685
Excision/Diathermy of urethral carbuncle 370 265
Operation on female perineum 480 265
Incision of introitus of vagina 480 505
Other obliteration of vagina 1890 760
Excision of septum of vagina 725 505
Excision of lesion of vagina (e.g: warts and 865 505
cysts)
Reconstruction of vagina 2705 820
Anterior plus/minus posterior 2040 685
colporrhaphy and amputation of cervix
uteri including primary repair of enterocele
Posterior colporrhaphy 1340 625
Anterior plus/minus posterior 1890 685
colporrhaphy including primary repair of
enterocoele
Repair of enterocele (in isolation) 1760 685
plus/minus posterior colporrhaphy
Anterior (plus/minus posterior) 2480 820
colporrhaphy with vaginal hysterectomy
including primary repair of enterocoele
Repair of vesicovaginal fistula 2145 820
Repair of urethrovaginal fistula 1890 820
Repair of rectovaginal fistula 2480 820
Repair of ureterovaginal fistula 2480 820
Vulva/Labia
Excision of Bartholins gland 865 355
Marsupialisation of Bartholins gland 865 355
Simple vulvectomy 2145 760
Excision of excess labial tissue 725 435
Radical vulvectomy including block 2895 985
dissection of inguinal gland
Excision of lesion of vulva 580 355
122
P.U. (A) 358
(l) Paediatric surgery
Drainage of abscess of lung 2480 1125

Laparotomy for NEC 4750 2500
Single stage closure of epispadias 3600 2110
Excision of neural crest tumours (thoracic) 3600 2110
Transternal excision teratoma 3600 2110
Transternal excision lymphangioma 4750 2500
Endoscopy and cannulation of tracheal 1565 570
fistula
Excision of bronchial cyst 3600 2110
Repair of lung 2895 1815
Excision of oesophageal duplication 3600 2110
Repair of H type of Tetralogy of Fallot 3600 2110
(TOF)
Repair of tracheo-oesophageal cleft 5970 2930
Thoracotomy and primary repair of 4750 2500
oesophageal atresia
Repair of recurrent TOF 5970 2930
Thoracotomy and division of fistula 2895 1815
Esophagostomy 1760 625
Oesophageal transection 2705 1550
Rectosigmoidectomy with coloanal 4750 2500
reconstruction for Hirschsprung's disease
Lester-Martin modification of Duhamel 5970 2930
Kimura operation for total colonic 7030 3305
aganglionosis
Ileocecal/jejunal patch for total colonic 7030 3305
aganglionosis
Presacral injection of hypertonic saline 480 265
Insertion of encircling suture perianal 480 265
sphincter
Posterior sagittal anorectoplasty 3600 2110
Posterior sagittal anorectoplasty with 4750 2500
laparotomy for high type anorectal
anomaly
Anterior sagittal anorectoplasty 2895 1815
Sacroperineal pull-through 2895 1815
Posterior sagittal 5970 2930
anorectovaginourethroplasty for
intermediate type cloacal
Posterior sagittal 7030 3305
anorectovaginourethroplasty with
laparotomy for high type
Redo posterior sagittal anorectoplasty for 5970 2930
anorectal anomaly
Anoplasty 1760 625
123
P.U. (A) 358
Drainage of choledochal cyst 2390 985

Kasai operation for biliary atresia 7030 3305
Subtotal splenectomy 3600 2110
Repair of spleen 2705 1550
Aortopexy (for tracheomalacia) 3600 2110
Percutaneous insertion of nephrostomy 1160 435
tube
Cutaneous ureterostomy 1565 570
Excision of ureterocoele 2480 1125
Excision of ectopic ureterocoele 2570 1320
Closure of bladder exostrophy 5970 2930
Conversion of cloacal exstrophy to bladder 4750 2500
exstrophy with end colostomy
Conversion of cloacal exstrophy, ileostomy, 7030 3305
separation of caecum from both
hemibladders
Vesicostomy 1760 625
Mitrofanoff Appendicovasicostomy 3600 2110
Glandular hypospadias repair (e.g: MAGPI) 1565 570
Distal penile hypospadias repair (e.g: Flip- 2390 985
flap repair)
Closure of urethra fistula 1000 405
First state repair of penile hypospadias 1565 570
Single stage island flap repair of proximal 3600 2110
or penoscrotal hypospadias
Single stage repair for severe hypospadias 4750 2500
with penoscrotal transposition
Single stage male reconstruction with 7030 3305
vaginectomy for ambiguous genitalia
Correction of penoscrotal transposition 1890 685
Correction of chordae without hypospadias 1565 570
(no need for urethroplasty)
Second stage repair of hypospadias 1565 570
Correction of penile chordae without 2895 1815
hypospadius requiring urethroplasty
Hypospadias repair with free bladder or 4750 2500
buccal mucusa graft
Exploration of scrotum 1000 405
Microvascular transfer of testis to scrotum 2705 1550
Laparoscopy and orchidopexy for intra- 2145 820
abdominal testis
Laparotomy and ligation of testicular artery 865 355
Laparoscopic division of testicular artery 1565 570
Dorsal slit prepuce 405 265
Reduction clitoroplasty for congenital 2705 1550
adrenal hyperplasia
124
P.U. (A) 358
Reduction clitoroplasty with vaginoplasty 4750 2500

for congenital adrenal hyperplasia
Reduction clitoroplasty, laparotomy and 7030 3305
sigmoid colon vaginoplasty
Redo reduction clitoroplasty with redo 7030 3305
vaginoplasty with laparotomy and sigmoid
Excision of cervical cystic hygroma small 1160 435
Excision of cervical cystic hygroma large 2480 1125
Excision of cervical cystic hygroma 3600 2110
extensive
Correction of hydrocele unilateral 1000
Correction of hydrocele bilateral 1760
primary closure
silastic closure
Closure of exomphalos major/gastroschists 2570
delayed primary closure
(m) Paediatric orthopaedic surgery
Congenital dislocation of hip (CDH)

Close reduction with/without anaesthesia 865 355
and hip spica
Close reduction with application of brace 315 265
Open reduction with hip spica 1890 685
Open reduction with pelvic osteotomy 2305 940
Open reduction with femoral osteotomy 2305 940
Open reduction with pelvic and femoral 2705 1550
osteotomy
Knee
Correction of deformity by serial casting 315 265
Correction of deformity by soft tissue 1340 505
release
Correction of deformity by osteotomy 2305 940
Patellar stabilisation by casting 1160 435
Pseudoarthrodesis
Excision and live graft 2895 1815
Excision and bone transport 2705 1550
Bone lengthening and correction of
deformity
Using circular frame 2705 1550
Using uniaxial frame 2480 1125
Using circular and uniaxial frames 2705 1550
(combined)
125
P.U. (A) 358
Foot
Clubfoot correction by serial casting 315 265
Clubfoot correction by elongation of tendon 725 315
Achilles
Clubfoot correction by complete soft tissue 1760 625
release
Clubfoot correction by circular frame 1760 625
Deformity correction by tendon transfer 2145 820
and soft tissue release
Deformity correction by osteotomy and 2145 820
fusion
Arthrodesis 2145 820
Polio and cerebral palsy

Soft tissue release and neurectomy of hip 1340 505
bilateral
Soft tissue release of knee bilateral 1340 505
Soft tissue release of ankle bilateral 1340 505
Tendon transfer 1565 570
Arthrodesis 2145 820
Tumour resection and limb salvage

Soft tissue tumours - simple 2145 820
Soft tissue tumours - complex including 7030 3305
neurovascular reconstruction
Bone tumours with endoprosthesis 7030 3305
(n) Pathology (Anatomical pathology)
Uncomplicated excision specimens 55 - 70

- (e.g: appendix, fallopian tubes, vas,
tonsils, adenoids, sebaceous cyst, nasal
polyp, heart valve)
More complicated excision specimens
Diagnostic biopsy (wedge/punch/trucut) 115 - 135

(one paraffin block)
Medium sized specimens 170 - 225
- (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
P.U. (A) 358
Large specimens 345 - 420

- (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)
Radical specimens 440 - 490

- (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)
Specialised histopathology
Liver for non-neoplastic conditions 205 - 240
including special stains
Muscle including special stains 280 - 345
Renal biopsy including special stains and 410 - 485
immunofluorescence
Lymphoproliferative disorders including 280 - 345
immunohistophenotyping of lymphomas
Frozen section (with follow-up paraffin 410 - 555
section report)
Autopsy
Visit to scene of crime 410 - 685
Procedure and report 685 - 1375
Cytopathology
Report on gynaecological smear 45 - 50
Report on non-gynaecological smear 85 - 95
Procedure on aspiration cytology 315
Report on aspiration cytology 165 - 205
Haematology and transfusion

Report based on blood film 45 - 70
Procedure on bone marrow aspiration 480
Report on bone marrow aspiration 135 - 275
Procedure on bone marrow trephine 580 405
Report on bone marrow trephine 135 - 275
127
P.U. (A) 358
Report on coagulation tests 70 - 135

Report on special haematological 70 - 135
investigations
- (e.g: folate-B12 status, Coomb's test,
Haemoglobin analysis, cytochemistry
etc.)
Basic transfusion report 45 - 70

- (e.g: discrepancies of grouping and
incompatibility of blood/blood
products)
Report on transfusion problems 135 - 275

Pheresis 1000
Harvesting of bone marrow 1340
Grafting of bone marrow 1340
Genetics
Chromosomes study immunofluorescence 135 - 410
Immunophenotyping 135 - 410
Deoxyribonucleic acid (DNA) content 135 - 410
(Ploidy)
Gene rearrangement studies 135 - 410
Lymphocyte subsets 135 - 410
Report on other molecular genetic studies 135 - 410
Paternity testing 135 - 410
Human leucocyte antigen (HLA) typing 135 - 410
Immunology
Report on general immunology test 40 - 70
- (e.g: autoimmune disease screen,
autoantibodies screen)
Report on special immunological 70 - 275

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 15 - 20
Report on special cultures 70 - 135
128
P.U. (A) 358
Report on direct smears examination 45 - 55

(gram/acid fast bacilli (AFB))
Report on serological tests 45 - 55
Report on special serological tests 70 - 135
Report on antimicrobial susceptibility 105 - 205
testing (per test)
Consultation on patient management 105 - 135
(Investigation and empirical therapy)
Positive blood culture smear examination 135 - 205
and preliminary report with consultation
on patient management
Consultation on infection control 135 - 205
Report on antigen detection 70 - 105
(Immunofluorescence, IgG enzyme linked
immuno-sorbent assay (ELISA),
latex/coagglutination)
Chemical pathology
Report on general chemistry profiles 45 - 70
- (e.g: liver, bone, cardiac)
Report on general chemistry screen 70 - 205
including executive screen
Report on special chemistry investigations 70 - 410
- (e.g: metabolic studies (lipid, bone)
endocrine disorders, toxicology studies,
therapeutic drug monitoring, maternal
and foetal health assessment)
Report on dynamic studies 115 - 410
- (e.g: function studies (GIT, endocrine,
renal))
Consultation for
Investigation strategy 105 - 135
Non-analytical variation 105 - 135
Drug interferences 105 - 135
Correlation between clinical data and 105 - 135
clinical information provided
Miscellaneous
Electron microscopy 340 - 410
Second opinion for
Data interpretation and bone marrow 135 - 275
slides
Histopathology and cytopathology 275 - 685
Autopsy findings 275 - 1375
129
P.U. (A) 358
(o) Psychiatry Psychotherapy
Individual psychotherapy not less than 250

45 minutes per session including behaviour
therapy and hypnotherapy
Group psychotherapy per person one 65
hour per group of not less than three
patients and not more than eight patients
Marital therapy per couple not less than 250
45 minutes per session for a couple
together
Family therapy per family not less than 250
45 minutes per session and not less than
three members
Child psychotherapy not less than 30 250
minutes per session including relevant
family interviews
Each electroconvulsive therapy (ECT) 315
(p) Radiology and diagnostic imaging
Note: Where applicable, radiologist fee make up 30% of the total fee chargeable for
radiology and diagnostic imaging.
Chest
Chest (single view) 45
Chest (two views) 70
Chest (three views) 90
Chest (four views) 115
Abdomen
Abdomen (single view) 45
Abdomen (two views) 70
Abdomen (three views) 90
Kidney, ureter and bladder (KUB) (single 115
view)
Lateral pelvimetry 55
Anteroposterior (AP) and lateral 90
pelvimetry
Spine
Cervical spine (single view) 45
Cervical spine (two views) 70
Cervical spine (three views) 90
Cervical spine (four views) 115
Cervical spine (five views) 135
Thoracic spine (single view) 45
Thoracic spine (two views) 70
130
P.U. (A) 358
Thoracic spine (three views) 90

Lumbo-sacral spine (single view) 45
Lumbo-sacral spine (two views) 70
Lumbo-sacral spine (three views) 90
Lumbo-sacral spine (four views) 115
Skeletal survey 250
Skull
Skull (single view) 45
Skull (two views) 70
Skull (three views) 90
Skull (four views) 115
Facial bones
Facial bones (single view) 45
Facial bones (two views) 70
Facial bones (three views) 90
Nasal bones (single view) 45
Mandible
Mandible (single view) 45
Mandible (two views) 70
Mandible (three views) 90
Temporo-mandibular joints
Temporo-mandibular joints (single view) 45
Temporo-mandibular joints (two views) 70
Temporo-mandibular joints (three views) 90
Temporo-mandibular joints (four views) 115
Mastoids
Mastoids (single view) 45
Mastoids (two views) 75
Mastoids (three views) 110
Mastoids (four views) 130
Paranasal sinuses
Paranasal sinuses (single view) 45
Paranasal sinuses (two views) 70
Paranasal sinuses (three views) 90
Optic foramina view
Unilateral 70
Bilateral 105
Orbits
Orbits (two views) 45
Orbits (three views) 70
Orbits (four views) 90
131
P.U. (A) 358
Internal auditory canal

Internal auditory canal (single view) 45
Internal auditory canal (two views) 70
Internal auditory canal (three views) 90
Shoulder
Shoulder (single view) 45
Shoulder (two views) 70
Shoulder (three views) 90
Shoulder (four views) 115
Acriomo-clavicular joints both weight 55
bearing
Arm (Humerus)
Arm (single view) 45
Arm (two views) 70
Elbow joint
Elbow joint (single view) 45
Elbow joint (two views) 70
Elbow joint (three views) 90
Elbow joint (four views) 115
Forearm (Radius/Ulna)
Forearm (single view) 45
Forearm (two views) 70
Wrist joint
Wrist Joint (single view) 45
Wrist Joint (two views) 70
Wrist Joint (three views) 90
Wrist Joint (four views) 115
Hand
Hand (single one view) 45
Hand (single two views) 70
Hand (single three views) 90
Hand (both one view) 55
Hand (both two views) 80
Hand (both three views) 105
Left Hand for bone age 45
Thumb or single digit

Thumb or single digit (single view) 30
Thumb or single digit (two views) 40
132
P.U. (A) 358
Clavicle
Clavicle (single view) 45
Clavicle (two views) 70
Sterno-clavicular joint
Sterno-clavicular joint (single view) 45
Sterno-clavicular joint (two views) 70
Sterno-clavicular joint (three views) 90
Sternum (single view) 45
Scapula
Scapula (single view) 45
Scapula (two views) 70
Carpal tunnel view 70
Scaphoid views 90
Pelvis
Pelvis (single view) 50
Pelvis (two views) 75
Pelvis (three views) 95
Hip joint
Hip joint (single view) 50
Hip joint (two views) 75
Hip joint (three views) 95
Hip joint (four views) 120
Hip joint (five views) 145
Femur (thigh)
Femur (single view) 50
Femur (two views) 70
Knee
Knee (single view) 45
Knee (two views) 70
Knee (three views) 90
Knee (four views) 115
Knee (five views) 135
Lower Leg (Tibia/Fibula)

Lower leg (single view) 45
Lower leg (two views) 70
Ankle
Ankle (single view) 45
Ankle (two views) 70
Ankle (three views) 90
133
P.U. (A) 358
Ankle (four views) 115

Ankle (five views) 135
Foot
Foot (single view) 45
Foot (two views) 70
Foot (three views) 90
Both feet (two views) 80
Both feet (three views) 105
Subtalar joints
Subtalar joints (single view) 45
Subtalar joints (two views) 70
Subtalar joints (three views) 90
Subtalar joints (four views) 115
Calcaneum
Calcaneum (single view) 45
Calcaneum (two views) 70
Bone densitometry
Dexa 170
Ultrasound 150
Radiographic contrast examination

(radiologist fee in parenthesis)
Barium swallow (40%) 115
Barium meal (double contrast) (40%) 170
Barium meal and follow through (40%) 205
Small bowel enema (40%) 205
Gastrograffin or non-ionic contrast upper 205
gastrointestinal study (40%)
Barium enema (single or double contrast) 205
(40%)
Gastrograffin or non-ionic contrast enema 205
(40%)
Loopogram (40%) 205
Duodenal intubation (40%) 230
Oral cholecystogram (single dose) (30%) 135
Oral cholecystogram (double dose) (30%) 170
Cystogram (30%) 205
Ascending urethrogram (40%) 230
Micturating cystourethrogram (40%) 285
Retrograde pyelogram one side (30%) 135
Retrograde pyelogram both sides (30%) 205
Ileal conduit study (40%) 205
Nephrostomy pyelogram one side (30%) 170
134
P.U. (A) 358
Nephrostomy pyelogram both sides 235

(30%)
IVU standard dose contrast (30%) 230
IVU standard and tomograms (30%) 265
IVU double dose contrast (30%) 310
IVU double dose of contrast and tomogram 345
(30%)
IVU standard dose and delayed radiographs 285
(30%)
IVU double dose of contrast and delayed 365
radiographs (30%)
IVU standard dose and tomograms and 320
delayed radiographs (30%)
IVU double dose and tomograms and 400
delayed radiographs (30%)
T-tube cholangiogram (30%) 135
Operative cholangiogram (30%) urgent 285
reporting only
Hysterosalpingogram (ionic contrast) 135
(30%) Screening and reporting only
Hysterosalpingogram (non-ionic contrast) 135
(30%) Screening and reporting only
Hysterosalpingogram plus ionic contrast 205
(whole procedure) (40%)
Hysterosalpingogram plus non-ionic 230
contrast (whole procedure) (40%)
Sinogram (40%) 170
Parotid sialogram one side (50%) 230
Parotid sialogram both sides (50%) 460
Submandible sialogram one side (50%) 230
Submandible sialogram both sides (50%) 460
Arthrogram one side (50%) 230
Arthrogram both sides (50%) 400
Lumbar myelogram (water soluble non- 515
ionic contrast) (50%)
Cervical/thoracic myelogram (50%) 605
Bronchogram one side (40%) (screening, 230
reporting plus radiographs only)
Bronchogram both sides (40%) 345

(screening, reporting plus radiographs
only)
Tomography
Tomogram one plane (30%) 195
Tomogram two planes (30%) 250
135
P.U. (A) 358
Tomogram pituitary fossa AP/lateral 195

(30%)
Mammogram
Mammography up to four views (35%) 230
Mammography and one additional view 265
(35%)
Mammography and two additional views 295
(35%)
Mammography and limited ultrasound 285
additional (35%)
Computer tomography scans (CT scans)
Note: Charges are based on 100ml of intravenous non-ionic contrast except CT

brain/orbit 50 ml
Brain (without contrast) (30%) 400

Brain (with non-ionic contrast) (35%) 490
Brain complex CT (50%) 630
Abdomen (without contrast) (30%) 400
Abdomen (with non-ionic contrast) (35%) 515
Abdomen two phases (40%) 630
Abdomen three phases (40%) 745
Abdomen four phases (40%) 915
Abdomen complex (40%) 860
Pelvis (without contrast) (30%) 345
Pelvis (with non-ionic contrast) (35%) 460
Pelvis complex (50%) 570
Spines cervical or lumbar (without 400
contrast) (30%)
Spines cervical or lumbar (with 745
intraspinal non-ionic contrast (50%)
Spine complex (50%) 860
Spines thoracic (without contrast) 30% 460
Spines thoracic (with intraspinal non- 745
ionic contrast) (50%)
Spine complex (50%) 860
Chest (without contrast) (30%) 345
Chest (with non-ionic contrast) (35%) 460
Chest complex (50%) 570
Low dose screening CT of the chest (30%) 285
High resolution computerised tomography 345
(HRCT) inspiratory or expiratory (30%)
HRCT inspiratory plus expiratory (40%) 515
Neck/Thyroid (without contrast) (30%) 345
136
P.U. (A) 358
Neck/Thyroid (with non-ionic contrast) 460

(30%)
Postnasal space and neck (without 515
contrast) (30%)
Postnasal space and neck (with non-ionic 630
contrast) (30%)
Postnasal space complex (50%) 745
Orbits (Without contrast) (20%) 345
Orbits (With non-ionic contrast) (25%) 460
Orbits complex (50%)
Pituitary fossa (Without contrast) (20%) 345
Pituitary fossa (With ionic contrast) (25%) 460
I.A.M. (Without contrast) (20%) 345
I.A.M. (Without non-ionic contrast) (25%) 460
Total body scan (brain, neck, chest, 1030
abdomen and pelvis) (without contrast)
(20%)
Total body scan (with non-ionic contrast) 1145
(25%)
Total body scan complex (50%) 1260
Chest, abdomen and pelvis (without 915
contrast) (20%)
Chest, abdomen and pelvis (with non-ionic 1030
contrast) (25%)
Chest, abdomen and pelvis complex (50%) 1145
Spiral CT of abdomen and pelvis for renal 345
calculi (without intravenous (IV) contrast)
(30%)
Single plane high resolution CT of the 230
parasanal sinuses for sinusitis (without
contrast) (20%)
Single plane CT of the paranasal sinuses 345
(without contrast) (20%)
Single plane CT of the parasanal sinuses 460
(with non-ionic contrast) (25%)
Abdomen and pelvis (without contrast) 685
(30%)
Abdomen and pelvis (with contrast) (35%) 800
Abdomen and pelvis complex (50%) 915
Chest and upper abdomen (without 685
contrast) (30%)
Chest and upper abdomen (with contrast) 800
(35%)
Chest and upper abdomen complex (50%) 915
CT two system (not listed above) (without 685
contrast) (30%)
137
P.U. (A) 358
CT two system (not listed above) (with 800

contrast) (35%)
CT two system (not listed above) (complex) 915
(50%)
CT extremities (without contrast) (one 400
region) (30%)
CT extremities (with contrast one region) 515
(35%)
CT extremities complex (50%) 630
Ultrasound
Upper abdomen (40%) 170
Pelvis (40%) 135
Abdomen and pelvis (50%) 230
Kidneys and bladder (40%) 115
Kidneys and bladder plus residual urine 135
volume estimation (50%)
Brain (neonatal) (40%) 135
Detailed ultrasound scan of foetus 285
Thyroid (40%) 115
Breast (40%) 160
Doppler ultrasound of extra-cranial 400
carotids (50%)
Doppler ultrasound of arteries per region 285
(50%)
Doppler ultrasound of veins single limb 285
(50%)
Doppler ultrasound of veins two limbs 460
(50%)
Doppler ultrasound of arteries for single 345
limb (50%)
Doppler ultrasound of arteries for two 515
limbs (50%)
Musculoskeletal ultrasound per region 170
(40%)
Ultrasound scrotum (40%) 115
Doppler ultrasound for scrotum (50%) 230
Doppler ultrasound for other organs (per 345
organ) not listed above (50%)
Endocavitary ultrasound (50%) 170
Heart ultrasound for pericardial disease 90
Surcharge for each portable ultrasound 55
(payable to radiologist during normal
working hours)
Surcharge for each portable ultrasound 170
(payable to radiologist after normal
working hours)
138
P.U. (A) 358
Screening
Endoscopic retrograde cholangio 230
pancreatography (ERCP) (30%)
(screening and reporting only) simple
ERCP (30%) 345
(screening and reporting only) complex
Magnetic Resonance Imaging (MRI)
Brain
Brain (without contrast) 800

Brain (with contrast) 1030
Brain with magnetic resonance 1375
angiography (MRA) (Intracranial)
Brain with MRA plus contrast 1600
Brain with MRA plus bilateral carotids plus 2060
contrast
MRA intracranial or extracranial carotids 800
Brain MRV simple 800
Brain MRV complex 1030
Pituitary (without contrast) 800
Pituitary (with contrast) 1030
Pituitary (with contrast dynamic) 1375
I.A.M (without contrast) 800
I.A.M (with contrast) 1030
I.A.M plus brain (without contrast) 1375
I.A.M plus brain (with contrast) 1600
Orbit
Orbits (without contrast) 800
Orbits (with contrast) 1030
Orbits and brain (without contrast) 1375
Orbits and brain (with contrast) 1600
Neck
Neck (without contrast) 800
Neck (with contrast) 1030
Neck and brain (without contrast) 1485
Neck and brain (with contrast) 1715
Brachial plexus (without contrast) 915
Brachial plexus (with contrast) 1145
Thorax
Mediastinum (without contrast) 800
Mediastinum (with contrast) 1030
139
P.U. (A) 358
Cardiac
Cardiac MRI simple 1145
Cardiac MRI intermediate 1715
Cardiac MRI complex 2290
Thoracic MRA simple 1030
Thoracic MRA intermediate 1260
Thoracic MRA complex 1485
Pulmonary MRA simple 1030
Pulmonary MRA intermediate 1260
Pulmonary MRA complex 1485
(surcharge for each 10 ml of intravenous 285
(IV) MRI contrast agent)
Upper Abdomen
Upper abdomen simple 1030
Upper abdomen intermediate 1260
Upper abdomen complex 1485
Magnetic resonance cholangio 800
pancreaticography (MRCP)
Magnetic resonance urography 800
Upper abdomen MRA simple 1030
Upper abdomen MRA intermediate 1260
Upper abdomen MRA complex 1485
(surcharge for each 10 ml of intravenous 285
Pelvis
Pelvis simple 1030
Pelvis intermediate 1260
Pelvis complex 1485
MRI pelvimetry 570
(Surcharge for each 10 ml of intravenous 285
Spine
MRI whole spine (without contrast) (for 1600
cord compression)
MRI whole spine (with contrast) (for cord 1830
compression)
MRI cervical spine (without contrast) 1030
MRI cervical spine (with contrast) 1375
MRI thoracic spine (without contrast) 1030
MRI thoracic spine (with contrast) 1375
MRI lumbar spine (without contrast) 1030
MRI lumbar spine (with contrast) 1375
140
P.U. (A) 358
Joints (shoulder, sternoclavicular, elbow, wrist, hip, sacro-iliac, knee, ankle, sub-
tarsal)
MRI single joint (without contrast) 1030
MRI single joint (with contrast) 1375
Region (arm, forearm, hand, thigh, lower

leg-calf/foot)
MRI single region (without contrast) 1145
MRI single region (with contrast) 1490
MRI Arthrography (radiologist fee) 345
(q) Radiotherapy and oncology
External irradiation treatment (linear accelerator)
Usually entails daily treatment 5 times 170

weekly at 200cGy per treatment
External irradiation treatment using any 115 - 345
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 2860 - 5720
session to include radioactive source,
applicators (not inclusive of ward, theatre
and anaesthetic fees)
Interstitial treatment 3430 - 5720
- (e.g: implants inclusive of source and
other applicators)
High dose rate intracavitary/intraluminal 2290 - 5720
radiotherapy for complete treatment (not
inclusive of applicators)
Cytotoxic therapy (excluding consultation)

Infusion 570 - 860
Prolonged Infusion 685 - 1030
Progressive chemotheraphy per day 170 - 285
(Multiple days)
(r) Skin and subcutaneous tissue
Lesions of skin
Coccygeal pressure ulcer excision 865 685
Microscopically controlled excision of 2480 820
141
P.U. (A) 358
lesion of skin or subcutaneous tissue

(Moh's chemosurgery)
Malignant melanoma excision including 2145 685
grafting
Excision of lesion of skin or subcutaneous 405 405
tissue up to three excision
Excision of lesion of skin or subcutaneous 1000 505
tissue four or more excision
Lesion requiring wide excision including 1000 405
rodent ulcer excision
Curettage/cryotherapy of lesions of skin 1000 315
including cauterisation four or more
Laser destruction of lesion of skin 580 265
Shave biopsy of lesion of skin 315 265
Removal of foreign body in deeper tissue 725 355
Drainage of lesion of skin including abscess 370 265
Drainage of large subcutaneous 580 405
abscess/haematoma
Limited area dermabrasion of skin 580 315
Extensive dermabrasion of skin 1000 435
Excision of nail bed (Zadeks) 725 435
Repair
Primary suture of wound with involvement 1340 625
of deeper tissue
Secondary suture of skin 370 315
Insertion/removal of skin expander into 1340 505
tissue
Debridement of wound (and surgical toilet) 480 315
Burns
Escharectomy of burnt skin or 1340 435
subcutaneous tissue (not more than 10%)
Escharectomy of burnt skin or 1760 760
subcutaneous tissue (greater than 10%)
Extensive dressing of burn of skin or 480 625
subcutaneous tissue
Transplant
Distant flap of skin and muscle 1890 940
Neurovascular island flap 2390 940
Large local flap including myocutaneous 1760 505
and fascia
Small local flap 1760 505
Grafts
Split autograft of skin small site 1000 505
142
P.U. (A) 358
Split autograft of skin large site 2040 685

Full thickness graft 1160 685
Microvascular free tissue transfer 3600 1550
(s) Spine, spinal cord and peripheral nerves
Cervical region
Primary posterior decompression including 3600 1320
fusion
Primary posterior decompression with 3600 1320
fusion and instrumentation
Open door laminoplasty of the cervical 3600 1320
region (Hirobyashi)
Revision posterior decompression 4750 1320
including fusion
Revision posterior decompression with 4750 1320
Revision anterior decompression including 4750 1320
fusion
Revision anterior decompression with 4750 1320
Combined anterior and posterior fusion of 5970 1815
cervical spine including instrumentation
Trans oral surgery including posterior 5970 1550
fixation
Endoscopic discectomy 7030
Cervical laminectomy 3600
Decompression and fusion of craniocervical 7030
junction
Primary posterior excision of cervical disc 2895 1320
Revision posterior excision of 4750 1320
intervertebral disc(s) including fusion
intervertebral disc(s) with fusion and
instrumentation
Primary anterior excision of disc(s) 3600 1320
including fusion
Primary anterior excision of disc(s) with 3600 1320

fusion and Instrumentation
Revision anterior excision of disc(s) 4750 1550
including fusion
Revision anterior excision of disc(s) with 4750 1550
143
P.U. (A) 358
Thoracic region
Primary transthoracic/posterior/antero- 2895 1320
lateral excision of intervertebral disc(s)
including fusion
Primary transthoracic/posterior/antero- 2705 1320
lateral excision of intervertebral disc(s)
with fusion and instrumentation
Primary posterior decompression including 3600 1320
fusion
Revision posterior decompression 4750 1320
including fusion
Primary anterior/transthoracic 4750 1320
decompression including fusion
Primary anterior/transthoracic 4750 1320
decompression with fusion and
instrumentation
Revision anterior/transthoracic 4750 1320
decompression including fusion
Lumbar region
Primary posterior excision of 2390 940
Primary posterior excision of 3600 1550
instrumentation including graft
stabilisation
instrumentation
Primary transabdominal/retroperitoneal 3600 1320
excision of intervertebral disc(s) including
Revision anterior excision of intervertebral 4750 1550
disc(s) including fusion
Revision anterior excision of intervertebral 4750 1550
disc(s) with fusion and instrumentation
Primary posterior decompression on spine, 2895 985
including fusion
144
P.U. (A) 358

Primary anterior decompression including 3600 1550
fusion
Primary anterior decompression with 3600 1550
Revision anterior decompression with 4750 1815
Combined anterior and posterior 5970 1815
decompression including fusion and
instrumentation
Posterior spinal fusion with 5970 2110
instrumentation for scoliosis, kyphosis,
fractures, tumours or infection
Anterior spinal fusion with instrumentation 7030 2500
for scoliosis, kyphosis, fractures, tumours
or infection
Percutaneous (or laser) discectomy 2145 940
Microdiscectomy 2390 940
Revision microdiscectomy 2895 1125
Removal of correctional instrumentation 1565 625
from spine
Exploration of spine including biopsy 1890 685
Manipulation of spine 580 405
Chemonucleoysis 1160 435
Spinal cord
Partial excision of spinal cord 4750 1550
Open operation on spinal cord 4750 1550
Repair of spinal myelomeningocele 3600 1320
Excision of intradural lesion 4750 1550
Drainage of spinal canal including insertion 2705 820
of shunt
Lumbar puncture including spinal 370 265
manometry
Excision of intramedullary tumour 4750 1550
Nerve roots
Rhizolysis (open) 2706 820
Open sympathectomy 7030
Endoscopic sympathectomy 7030
Symphathetic nerves
Thorascopic cervical sympathectomy 2705 820
Laparoscopic lumbar sympathectomy 1890 760
Presacral sympathectomy 1565 685
Selective posterior rhizotomy 7030
145
P.U. (A) 358
Peripheral nerves
Excision of peripheral nerve 865 435
Transection of peripheral nerve 865 435
Neurectomy (major nerve) 1340 505
Excision of lesion of peripheral nerve 1000 435
Excision of lesion (major nerve) 1340 505
Primary repair of peripheral nerve 2040 820
including microsurgery
Secondary repair of peripheral nerve 2145 760
including microsurgery
Primary graft to peripheral nerve 2390 760
Secondary graft to peripheral nerve 2390 685
Primary repair of peripheral nerve 865 505
Secondary repair of peripheral nerve 1160 435
Primary repair of nerve trunk 1000 505
Secondary repair of nerve trunk 1565 505
Carpal or cubital tunnel release including 865 435
endoscopic
Carpal or cubital tunnel release including 1565 760
endoscopic bilateral
Release of entrapment of deeply placed 865 435
peripheral nerve
Release of entrapment of peripheral nerve 865 435
Neurolysis and transposition of peripheral 1000 505
nerve
Revision of release of peripheral nerve 1565 505
Implantation of neurostimulator into 2040 315
peripheral nerve
Biopsy of peripheral nerve 865 355
Exploration and grafting of brachial plexus 1000 570
Pain relief
Paravertebral block up to two levels (under 580
X-ray control)
Sacral root block (under X-ray control) 580
Intravenous regional sympathetic block 480
(guanethidine block) one injection
Intravenous regional sympathetic block 1000
(guanethidine block) - course of three
Stellate ganglion block (local anaesthethic 480
(LA))
Stellate ganglion block (neurolytic) 580
Coeliac plexus block (LA or neurolytic) 1160
Splanchnic nerve block bilateral (local 1160
anaesthethic or neurolytic)
Dorsal root ganglion block (LA or 1000
neurolytic)
146
P.U. (A) 358
Dorsal root ganglion block (local 1565 315

frequency)
Intrathecal neurolysis 1160
Trigeminal ganglion injection (LA under X- 1160
ray control)
Trigeminal ganglion radio frequency lesion 2145
(under X-ray control)
Percutaneous cordotomy of spinal cord 2705 940
Epidural injection (cervical) 725 265
Epidural injection (lumbar) 580 265
Epidural injection (thoracic) 725 265
Injection of therapeutic substance into CSF 370 820
Facet or sacroiliac joint radio frequency 1160 405
(RF) thermocoagulation including
rhizolysis (under X-ray control with
sedation/GA) 3 joints
Facet or sacroiliac joint radio frequency 2040 685
(RF) thermocoagulation including
rhizolysis (under X-ray control with
sedation/GA 6 joints
Facet joint injection (under X-ray control 725 265
with sedation/GA) 2 joints
Implantation of neurostimulator into 2040 315
peripheral nerve
Peripheral nerve lesion (radio frequency, 725
cryoprobe or phenol)
LA blockade of major nerve trunk 370
Lumbar sympathectomy - diagnostic (LA 1000
under X-ray control)
Thoracic sympathectomy - diagnostic (LA 1000
under X-ray control)
Lumbar sympathectomy - therapeutic 1340 405
(neurolytic under X-ray control)
Thoracic sympathectomy - therapeutic 1565 435
(neurolytic under X-ray control)
Cryotherapy to pituitary gland 2570 940
Injection(s) into large joint(s) under X-ray 480
control
Neurophysiological procedures
Electro-convulsive therapy (ECT) 315 265
Electroencephalography (EEG) 315
147
P.U. (A) 358
Recording and reporting on evoked 580

potential study
Recording and reporting on 580
electromyography and nerve conduction
studies (EMG)
Trans tympanic electrocochleography 725
(t) Thorax and intra-thoracic organs
Oesophagus
Thorascopic oesophageal mobilisation via 4750 1815
mediastimum
Oesophagogastrectomy 5970 2500
Total oesophagectomy and interposition of 7030 3305
intestine
Open excision of lesion of oesophagus 1890 1125
Bypass of oesophagus 2480 1550
Revision of oesophageal anastomosis 2705 1320
Closure of bypass of oesophagus 2145 1125
Transthoracic repair of oesophagus 3600 1320
Thorascopic repair of oesophagus 2895 1320
Oesophagocardiomyotomy (Heller's 2040 985
operation)
Thorascopic oesophagogastric myotomy 2145 985
varices
Transthoracic repair of hiatus hernia 2305 940
Transthoracic repair of diaphragmatic 2305 940
hernia
Transabdominal repair of hiatus hernia 2145 760
Transabdominal repair of diaphragmatic 2895 820
hernia
Transabdominal anti-reflux operations 2895 820
Revision of anti-reflux operations 3600 1320
Chest wall
Thoracoplasty 2705 985
Excision of chest wall tumour 2390 940
Correction of pectus deformity of chest wall 2895 940
Multiple fracture fixation 2305 940
Exploratory median sternotomy 1160 760
Exploratory thoracotomy 1565 760
Resection of rib and open drainage of 1565 760
pleural cavity
Repair of rupture of diaphragm 2895 1125
Plication of paralysed diaphragm 2390 985
148
P.U. (A) 358
Repair of congenital diaphragmatic hernia 2705 1550
Trachea
Partial excision of trachea including 3600 2110
reconstruction
Tracheoplasty 1760 625
Open placement of prosthesis in trachea 1760 505
Tracheostomy 1000 570
Insertion of mini-tracheostomy 580 405
Thoracotomy, ligation of Tetralogy of 4750
Fallot (TOF) oesophageal anastomosis
Thoracotomy, ligation of TOF, cervical 4750
oesophagostomy
Cervical oesophagostomy and gastrectomy 2305
Fibreoptic endoscopic procedures under

topical anaesthesia
Fibreoptic examination of trachea and 725 505
bronchus including biopsy/removal of
foreign body
Bronchial lavage (diagnostic or 865
therapeutic)
Dilatation of tracheal stricture including 865
insertion of stent
Dilatation of bronchial stricture by 1000
fibreoptic bronchoscope
Transbronchial biopsy 1000
Bronchus, lungs and pleura

Diagnostic examination of bronchus using 1000 505
rigid bronchoscope including
biopsy/removal of foreign body/dilatation
of stricture
Total pneumonectomy 3600 1550
Open lobectomy of lung including excision 3600 1550
of segment
Lung resection with resection of chest wall 5970 1815
Thorascopic lung resection including video 1890 685
assisted
Open excision of lesion of lung 2895 1320
Needle biopsy of lung 480 315
Decortication of pleura or lung 2895 1125
Pleurectomy for pneumothorax 2480 985
Open excision/biopsy of lesion of pleura 2705 940
Endoscopic excision of lesion(s) of 1000 505
lung/pleura
149
P.U. (A) 358
Thoracoscopy (plus/minus biopsy) 580 505

pleura/lung
Drainage of pleural cavity 580 315
Insertion of tube drain into pleural cavity 580 315
Introduction of substance into pleural 315 265
cavity with chest drain
Biopsy of pleura 580 315
Lung transplant 7030 3305
Lung volume reduction surgery 4750 2500
Mediastinum
Thymectomy 2145 1550
Exploration of mediastinum 1160 760
Endoscopic excision of lesion of 1340 505
mediastinum
mediastinum
Heart-cardiac surgery
Correction of Tetralogy of Fallot (TOF) 7030 3305
Atrial inversion for transposition of great 7030 3305
vessels
Other correction of transposition of great 7030 3305
vessels
Correction of total anomalous pulmonary 7030 3305
venous connection
Closure of defect of atrioventricular septum 7030 3305
using dual prosthetic patches
Closure of defect of interatrial septum 7030 2930
Closure of defect of interventricular septum 7030 2930
Therapeutic transluminal operation on 2895 2500
septum of heart
Creation of valved cardiac conduit 7030 3305
Excision of cardiac tumour 7030 3305
Replacement of mitral valve including 7030 2930
valvuloplasty
Plastic repair of mitral valve 7030 2930
Replacement of aortic valve including 7030 2930
valvuloplasty
Replacement of tricuspid valve 7030 2930
Replacement of pulmonary valve including 7030 2930
valvuloplasty/valvotomy
Replacement of unspecified valve of heart 7030 2930
Open valvotomy 7030 2930
Closed valvotomy (mitral/pulmonary) 4750 2500
Therapeutic transluminal operation on 2705 2110
valve of heart
150
P.U. (A) 358
Removal of obstruction from structure 7030 2930

adjacent to valve of heart
Autograft bypass for coronary arteries 7030 2930
including harvesting of grafts and
endarterectomy
Redo of bypass for coronary arteries 7030 3305
including harvesting of grafts
Correction of anomalous coronary arteries 7030 3305
Open operation on conducting system of 7030 2930
heart
Repair of ventricular aneurysm 5970 2930
Excision of pericardium 3600 1125
Decompression of cardiac tamponade 2305 985
Incision of pericardium 1340 985
Midcab coronary artery bypass grafts 7030 3305
without cardio-pulmonary bypass pump
Minimally invasive open heart surgery with 7030 3305
cardio-pulmonary bypass pump
Ventricular assist device 7030 3305
Heart transplant 7030 3305
Heart-cardiology
Percutaneous transluminal angioplasty of 2895 1550
coronary arteries including laser
Percutaneous transluminal angioplasty 3600 1550
with stent insertion
Map guided surgery for ventricular 2705 3305
arrhythmias including mapping
Percutaneous transluminal ablation of 2390 985
atrio-ventricular node
accessory pathway including mapping
Mapping of conducting system (in 1565 820
isolation)
Cardiac pacemaker system introduced 1565 820
through vein (single chamber)
Cardiac pacemaker system introduced 2145 820
through vein (dual chamber)
Resiting of intravenous cardiac pacemaker 1340 685
system
Replacement of generator for intravenous 1760 760
cardiac pacemaker system
Removal of pacing system with bypass 4750 2500
Removal of pacing system without bypass 580 940
Implantation of automatic cardioverter/ 3600 940
defibrillator
151
P.U. (A) 358
Adult cardiac catheterisation including 1340 760

coronary arteriography/catheterisation of
right/left side of heart/contrast radiology
Paediatric cardiac catheterisation 1565 820
Pericardiocentesis 1340 685
Percutaneous transluminal peripheral 2705 1550
angioplasty (femoral, iliac, renal, popliteal,
subclavian, other distal vessels)
Percutaneous transluminal peripheral 2895 1550
angioplasty with stent placement
Percutaneous transluminal carotid 4750 1550
angioplasty with stent placement
ventricular tachycardia
Percutaneous transluminal modification of 2480 985
atrioventricular node
Percutaneous transluminal occlusion of 3600 1550
coronary fistula/arteriovenous (AV)
malformation
Great vessels
Correction of truncus arteriosus 4750 3305
Closed ligation of patent ductus arteriosus 3600 2110
Percutaneous transluminal prosthetic 2895 1125
occlusion of patent ductus arteriosus
Creation of shunt to pulmonary artery from 5970 2110
aorta using tube prosthesis
Connection to pulmonary artery from aorta 5970 2110
Creation of shunt to pulmonary artery from 4750 2110
subclavian artery using interposition tube
prosthesis
Connection to pulmonary artery from 5970 2110
subclavian artery
Repair of pulmonary artery 7030 2110
Open operation on pulmonary artery 3600 2110
Pulmonary embolectomy 5970 3305
Transluminal operation on pulmonary 2705 1550
artery
Emergency replacement of aneurysmal 7030 3305
segment of ascending aorta
segment of arch of aorta
segment of thoracic aorta
Planned replacement of aneurysmal 4750 2930
segment of ascending aorta
152
P.U. (A) 358

segment of arch of aorta
segment of thoracic aorta
Replacement of thoracoabdominal 7030 3305
aneurysms
Revision of prosthesis of abdominal aorta 4750 2110
Excision of infected aortic graft with bypass 7030 3305
Plastic repair of aorta 4750 1815
Percutaneous transluminal balloon 1760 625
operation on aorta
Others
Proximal gastric vagotomy 2040 685
Highly selective vagotomy 2040 685
Vagotomy with pyloroplasty 2145 820
External cardioversion 315 315
Transoesophageal echocardiography 1000 435
Coronary angioplasty standby team 315 355
(u) Urinary system and male reproductive

organs
Kidney/renal pelvic
Transplantation of kidney 4750 2500
Nephrectomy and excision of perirenal 2390 1125
tissue
Nephro-ureterectomy 2390 820
Excision of rejected transplanted kidney 2040 760
Nephrectomy (and bilateral) 2040 820
Laparoscopic nephrectomy 2040 820
Partial excision of kidney 2145 820
Open pyeloplasty 2040 685
Repair of kidney wound 2305 760
Open removal of calculus from kidney 2390 685
Drainage of kidney 1760 760
Drainage of pyonephrosis 1760 760
Other open operation on kidney 1890 685
Drainage of perinephric abscess 1760 685
Endoscopic fragmentation of calculus of 1890 685
kidney
Percutaneous nephrolithotomy including 3600 985
cystoscopy and retrograde catheterisation
kidney including biopsy and other
therapeutic procedures
153
P.U. (A) 358
Percutaneous fine needle biopsy of lesion 480 355

of kidney
Percutaneous insertion of nephrostomy 1340 405
tube
Percutaneous tru-cut needle biopsy of 865
lesion of kidney
Extracorporeal fragmentation of calculus of 1160 505
kidney (Lithotripsy) single treatment
Extracorporeal fragment of calculus of 1565 625
kidney-stone free/course of treatment
Laparoscopy removal of renal cyst 2040 760
Open stone surgery for horseshoe kidney 3600
Pyeloplasty for horseshoe kidney 3600
Ureter
Excision of segment of ureter 1760 625
Construction of ileal conduit including 2390 985
ureteric implantation
Bilateral replantation of ureter into bowel 2705 940
Unilateral replantation of ureter into bowel 2145 820
Bilateral replantation of ureter into bladder 2480 940
Unilateral replantation of ureter into 1890 820
bladder
Other connection of ureter 2145 820
Ileal or colonic replacement of ureter 2895 940
Ureterostomy closure 2145 685
Open correction vesico-ureteric reflux 2145 685
unilateral
Open correction vesico-ureteric reflux 3600 985
bilateral
Open ureterolithotomy 1890 685
Ureterolysis unilateral 2145 685
Ureterolysis bilateral 2570 1320
Therapeutic nephroscopic operations on 1760 820
ureter
Ureteroscopic extraction of calculus of 1340 435
ureter
Endoscopic insertion of prosthesis into 1000 435
ureter
Removal of prosthesis from ureter 480 435
Ureteric meatotomy 480 265
Endoscopic examination of ureter 865 435
Endoscopic retrograde pyelography 865 435
Extracorporeal shockwave lithotripsy of 1160 685
calculus of ureter
Operation on ureteric orifice 725 505
Endoscopic meatotomy of ureteric orifice 725 505
154
P.U. (A) 358
Ureterscopic biopsy of lesion 1565 570

Continent urinary diversion 4750
Substitution cystoplasty 4750
Transureteroureterostomy 2705
Endoscopic insertion of permanent 2145
prosthesis into ureter
Bladder
Endoscopic anti-reflux procedure (and 1340 505
bilateral)
Total cystectomy (with construction of 4750 1550
intestinal conduit or bladder)
Partial cystectomy 2040 685
Diverticulectomy of bladder 1760 685
Enlargement of bladder 2895 820
Repair of bladder 2145 685
Repair of vesicocolic fistula 2305 820
Repair of cutaneous vesical fistula 1160 820
Cystostomy and insertion of suprapubic 725 625
tube into bladder
Stab cystotomy 315 265
Open removal of calculus from bladder 1340 505
Open excision of lesion from bladder 1890 685
Endoscopic resection of lesion of bladder 1890 685
Endoscopic destruction of lesion of bladder 865 435
Endoscopic transection of bladder 1890 685
Endoscopic hydrostatic distention of 405 265
bladder
Sphincterotomy 1160 435
Litholapaxy 1760 685
Endoscopic extraction of calculus of 1000 435
bladder
Endoscopic removal of foreign body from 1000 435
bladder
Resection of bladder neck 1340 435
bladder including any biopsy
Urodynamic studies/urodynamic 580
assessment
Closure of cystostomy 865 435
Combined abdominal and vaginal 1890 685
operations to support outlet of female
bladder
Suprapubic sling operation 1890 760
Retropubic suspension of neck of bladder 1890 685
Vaginal operation to support outlet of 1890 685
female bladder
155
P.U. (A) 358
Implantation of artificial urinary sphincter 2145 685

into bladder and/or removal
Dilatation of outlet of female bladder (with 580 355
cystoscopy)
Endoscopic incision of outlet of male 1340 435
bladder (with cystoscopy)
Repair of vesico-vaginal fistula 2145 820
Endoscopic vesico-lithotripsy of bladder 1760 625
stone
Cystoscopy with biopsy 1000 405
Endoscopic resection of deep invasive 2145
tumour of bladder
Continent pouch/neo bladder 4750 2500
Combined abdomino-perineal closure of 4750
vesico-vaginal fistula
Urethra
Urethrocele 1160 505
Excision of urethral caruncle 370 265
Therapeutic endoscopic operations on 725 405
outlet of female bladder
Urethrectomy 1760 685
Urethral valve resection 1565 505
Repair of hypospadias 2040 685
Repair of epispadias 2480 685
Closure of fistula of urethra 865 505
Repair of urethrorectal fistula 1760 685
Urethroplasty (simple) 1760 625
Urethroplasty (complex) 2040 685
Repair of rupture of urethra 2040 685
Excision of diverticulum of urethra 1160 505
Excision of prolapse of urethra 480 405
Therapeutic endoscopic operation on 865 435
urethra
Removal of foreign body from urethra 405 435
urethra in isolation
Dilatation of urethra 315 355
Internal urethrotomy including cystoscopy 865 435
Closure of bladder exostrophy 5970
Closure of cloacal exostrophy 7030
Repair of hypospadias mild 2305
Repair of hypospadias moderate 2895
Repair of hypospadias severe 3600
Prostate
Open excision of prostate 2040 685
156
P.U. (A) 358
Radical prostatectomy, reconstruction of 4750 1550

bladder neck including bilateral pelvic
lymphadenectomy
Open biopsy of lesion of prostate 865 685
Endoscopic resection of prostate (TURP) 2040 760
Endoscopic biopsy of prostate 865 435
Transurethral microwave therapy 1565 570
Drainage of prostatic abscess 1340 505
Prostatic hyperthermia (up to six courses) 1565 570
Prostate, needle biopsy 405 265
Transrectal ultrasound and biopsy 580
Insertion of urethral stent for relief of 1890 685
prostatic obstruction
Genitalia
Meatoplasty 725 355
External meatotomy of urethral orifice 580 265
Bilateral excision of testes 1760 625
Laparoscopic orchidectomy 1340 435
Orchidectomy and excision of spermatic 1340 435
cord
Excision of lesion of testis 725 505
Orchidopexy bilateral 1760 820
Microvascular transfer of testis to scrotum 2305 820
Orchidopexy 1000 505
Abdominal undescended testis 1565 625
Prosthesis of testis (insertion or removal) 725 405
Correction of hydrocele 725 435
Fixation of testis 865 435
Biopsy of testis 580 315
Exploration of testis including biopsy 865 435
Bilateral fixation of testis 865 505
Bilateral epididymectomy 1340 570
Unilateral epididymectomy 865 505
Excision of epididymal cyst 865 505
Operation on varicocele 865 505
Vasography 370 315
Operation on seminal vesicle 1565 505
Total amputation of penis 2145 685
Partial amputation of penis 1565 685
Operation for Peyronie's disease 1160 435
Reconstruction of penis 1760 685
Repair of avulsion on penis 2145 685
Repair of injury on penis 1340 505
Division of preputial adhesions 405 265
Circumcision 725 405
Biopsy of lesion of penis 405 265
157
P.U. (A) 358
Penile prosthesis (simple rod only) 1890 685

Penile prosthesis (complex three pieces) 2895 1815
Vasectomy reversal bilateral 1760 625
(microscopic)
Vasectomy reversal bilateral 1890 685
(macroscopic)
Epididymo-vasostomy (macroscopic) 1890 685
Epididymo-vasostomy (microscopic) 2040 760
Tenchkoff 1340
Tenchkoff and adhesiolysis 1890
Transrectal ultrasound (diagnostic) 580
Transrectal ultrasound and systematic 1000
prostate biopsy
Excision and grafting for Peyronies disease 2705
Other
Block dissection of para-aortic lymph 2570 760
nodes
(v) Vascular system (other than intrathoracic)
Head and neck

Bypass of carotid artery from the arch 4750 1550
Carotid endarterectomy 4750 1550
Reconstruction of carotid artery (vein 3600 1550
patch and bypass)
Bypass of subclavian artery from the arch 4750 1550
Bypass of subclavian artery extra- 2895 1320
thoracic
Endarterectomy and patch repair of 4750 1550
subclavian artery
Renal
Endarterectomy of renal artery 4750 1550
Reconstruction of renal artery 4750 1550
Transluminal operation on renal artery 1565 685
Abdominal vessels
Axillo-femoral bypass 2895 1550
Axillo-bifemoral bypass 2895 1550
Infrarenal abdominal aortic aneurysm tube 4750 1815
graft
Infrarenal abdominal aortic aneurysm 5970 1815
bifurcation graft
Revision of prosthesis of abdominal aorta 4750 2110
Pecutaneous transluminal balloon 1760 625
operation on aorta
158
P.U. (A) 358
Carotid endarterectomy (with patch) 5970

Endarterectomy and patch repair of 5970 2110
visceral branch of abdominal aorta
Other open operations on other visceral 5970 2110
branch of abdominal aorta
Ileo-femoral vessels
Aorto-iliac, aorto-femoral, ileo-femoral 4750 1550
bypass
Aorto-bifemoral bypass 4750 1550
Endarterectomy and patch repair of iliac 3600 1550
artery
Open operation on iliac artery 3600 1550
Transluminal operation on iliac artery 1340 505
Femoro-femoral bypass 2895 1320
Femoro-popliteal bypass using prosthesis 3600 1550
and/or vein and/or vein cuff/patch
Femoro-distal calf bypass using prosthesis 3600 1550
and/or vein and/or vein cuff/patch
Endarterectomy of femoral artery 2895 1125
Reconstruction/bypass for popliteal 3600 2110
aneurysm
Transluminal procedures on femoral artery 1565 505
Revision of femoral bypass graft 2705 1320
Non-specific
Revision of reconstruction of artery 3600 940
Biopsy of artery including temporal 580 265
Repair of artery 2305 685
Micro-arterial or micro-venous graft 4750 1550
Repair of artery using vein graft 2705 940
Microsurgical repair of artery 2705 985
Open embolectomy of artery 2570 940
Percutaneous transluminal angioplasty 1340 625
of artery
Creation of arteriovenous (AV) fistula 1340 820
including subsequent closure
Excision of AV malformation 7030 2110
Repair of acquired AV fistula 2895 985
Repair of AV fistula 2895 1125
Creation of peritoneo-venous shunt 1340 435
(Levine/Denver)
Open removal of thrombus from vein 2145 685
Insertion of Hickman line, tunnelled central 725 505
line, etc.
Insertion of portocath/vasoport unit 1000 405
Isolated limb perfusion 2705 1320
159
P.U. (A) 358
Varicose veins
Ligation/stripping of long or short 1340 505
saphenous vein including local
excision/multiple phlebectomy
Ligation/stripping of long or short 2145 820
saphenous vein including local
excision/multiple phlebectomy bilateral
Operation for recurrent varicose veins 2145 760
Operation for recurrent varicose veins 3600 1125
Bilateral
Ligation/stripping of long and short 2145 760
saphenous veins including local
excision/multiple phlebectomy
Local excision (multiple phlebectomy) of 725 505
varicose vein(s) of leg
Ligation/stripping of long and short 3600 1125
saphenous veins including local
excision/multiple phlebectomy bilateral
Venography bilateral 405
Femoro-popliteal bypass using prosthesis 4750
Femoro-popliteal bypass using prosthesis 5970
vein/or cuff/patch
Creation of arteriovenous fistula using 3600
prosthesis/graft
Lymphatic
Block dissection of cervical lymph nodes 2895 940
(not included in other procedures)
Block dissection of axillary lymph nodes 1760 625
Block dissection of para-aortic lymph 2570 760
nodes
Block dissection of inguinal lymph nodes 1760 685
Block dissection of pelvic lymph nodes (not 2040 760
included in other procedures)
Biopsy/sampling of cervical lymph nodes 405 505
Biopsy/sampling of axillary lymph nodes 405 315
Biopsy/sampling of inguinal lymph nodes 405 405
Excision biopsy of lymph node 725 435
Excision biopsy of scalene lymph node 725 435
Drainage of lesion of lymph node 480 265
Operation on lymphatic duct 2305 820
Excision of cystic hygroma 1565 760
(w) Bones, joints, etc. (not listed elsewhere)
Connective tissue/tendon muscles

Plantar fasciectomy 725 505
160
P.U. (A) 358
Excision of lesion of fascia 480 505

Other operations of fascia 580 315
Excision of ganglion, including repeat 1000 315
excision
Excision of bursa 725 405
Transfer of tendon 1000 435
Transfer of multiple tendons 1565 685
Excision of lesion of tendon 725 435
Tendon graft, as sole procedure 1340 435
Secondary repair of tendon including graft, 1890 505
transfer and/or prosthesis
Tenolysis, other than flexor 1000 435
Percutaneous tenotomy 405 265
Lengthening of tendon(s), including 1160 435
tenotomy
Tenosynovectomy, including arthroscopic 865 435
Release of constriction of sheath of tendon 1000 435
Limited repair of muscle that is not more 725 625
than 2cm tear (e.g: rotator cuff) including
arthroscopic
Extensive repair of muscle that is greater 2145 625
arthroscopic
Release of contracture of muscle 1160 570
Open biopsy of muscle 580 315
Needle/tru-cut biopsy of muscle 315
Excision of lesion of muscle without skin 1565 625
graft
Excision of lesion of muscle with skin graft 1890 685
Bone (non-specific)
Open bone biopsy 725 405
Introduction of therapeutic substance into 580 265
bone (e.g: application of antibiotic for
infected hip replacement as a sole
procedure)
Removal of wire from bone including K- 405
wires
Excision of ectopic bone 580 405
Total excision of sesamoid bone 725 435
Partial excision of bone including exostoses 1000 405
Total excision of bone with/without 2480 820
prosthetic replacement/reconstruction
(e.g: trapezium)
Radical resection of bone tumour 2705 820
Osteotomy of large bone, with/without 2040 685
fixation, including graft
161
P.U. (A) 358
Drainage/debridement of bone(s), 1340 405

including sequestectomy for osteomylelitis
Fixation of epiphysis 1160 685
Fractures
Primary open reduction of fracture of 2305 760
femur and open fixation using pin and plate
Primary closed reduction of fracture or 725 405
dislocation of joint, with/without fixation
including plaster of Paris (POP) (e.g: Colles)
Closed reduction of fracture of long bone 1760 685
and external fixation including POP and
percutaneous K-wires (e.g: forearm)
Closed reduction of fracture of small bone 865 505
and external fixation, including POP and
percutaneous K-wires
Primary open reduction of long bone with 2040 760
fixation
Primary open reduction of fracture 1890 685
with/without dislocation of joint
Primary open reduction of small bone with 1340 570
fixation including intra-articular
Primary open reduction of intra-articular 1890 760
fracture of long bone (e.g: proximal
humerus)
Open reduction of fracture of pelvis and 2895 760
internal fixation
Open reduction and internal fixation of 4750 1550
complex acetabular pelvic fracture
Secondary open reduction of dislocation of 865 405
joint
Secondary open reduction of fracture of 1340 505
small bone including intra-articular
Secondary open reduction of fracture of 1890 685
long bone and intermedullary fixation or
internal fixation for non-union/mal-union
Locked intramedullary nailing 2705 820
Secondary open reduction of intra-articular 1890 685
fracture of bone
Application of IIizarov frame for secondary 4750 1550
non-union/mal-union
Adjustments to IIizarov frame rings for 1760 505
secondary non-union/mal-union
Adjustments to pin sites secondary for non- 580
union/mal-union
Bone graft (except where part of another 1565 570
procedure)
162
P.U. (A) 358
Removal of internal fixation/prosthesis 1340 435

from bone/joint excluding K-wires
Removal of wire from bone including K- 405 315
wires
Surgical toilet to wound under general 480 265
anaesthetic
Nerves
Release of entrapment of deeply placed 865 435
peripheral nerve including Anterior
Interosseous nerve and Posterior
Interosseous nerve
Anterior transposition of ulna nerve 1000 505
Submuscular transposition of ulna nerve 1890 505
Revision of release of peripheral nerve 1565 505
Exploration/neurolysis/biopsy of 865 355
peripheral nerve
Joints (not listed elsewhere)

Excision of synovial membrane of joint 1565 625
Primary prosthetic replacement/ 1565 505
reconstruction/ repair of ligament
including prosthesis
Stabilising operation on joint 1565 625
Release of contracture of joint 1160 405
Arthrotomy of large joint, including 1160 405
removal of loose body from joint
Arthrotomy of small joint, including 315 265
removal of loose body from joint
Therapeutic arthroscopic operation on 1160 505
intra-articular cartilage (other than
W8200)
intra-articular cartilage (other than
W8200) bilateral
cavity of joint
cavity of joint bilateral
Diagnostic arthroscopic examination of 865 435
joint, with/without biopsy
Injection(s) into joint(s) under X-ray 480 265
control
Manipulation of joint 405 405
Joints (not listed elsewhere)

Prosthetic replacement of articulation of 2145 685
163
P.U. (A) 358
bone
Prosthetic interposition arthroplasty of 2305 820
joint (e.g: hip, knee, shoulder)
Excision reconstruction of joint 1760 625
Fixation/Arthrodesis
Osteotomy of hip with fixation 2305 940
Pelvic osteotomy with fixation 3600 940
Primary arthrodesis of large joint and bone 1760 820
graft
Primary arthrodesis and internal fixation 1160 685
(e.g: hand/foot) including bone graft
Hand
Dupuytren's subcutaneous fasciotomy 580 315
Dupuytren's fasciectomy single digit 1160 435
Dupuytren's fasciectomy for palm and 1760 625
multiple digits
Dupuytren's dermofasciectomy and graft, 2145 820
or for recurrent disease
Repair of extensor of hand 865 435
Repair of flexor of hand including 1760 435
prosthetic implant
Secondary or second stage repair of flexor 1890 570
of hand including prosthetic implant
Secondary repair of tendon of 1000 435
hand/forearm (excluding flexor) without
transfer or graft
Secondary repair of tendon of 1760 435
hand/forearm (excluding flexor) with
graft/transfer
Tendon graft as sole procedure 1340 435
Tenolysis other than flexor 1160 435
Tenolysis of flexor 1565 435
Pollicisation of finger for thumb 3600 435
reconstruction
Repair of fingertip injury following 1565 505
avulsion with flap
Multiple joint procedures on hand 2390 820
including synovectomy
Fusion of metacarpo- 1000 570
phalangeal/intercarpal joint
Prosthetic arthroplasty of digital joint(s) 1760 435
Bone graft to scaphoid with internal 1890 625
fixation, including Herbert screw
Amputation of hand 1565 625
Amputation of digit 1000 505
164
P.U. (A) 358
Amputation through mid- 1000 435

carpal/transmetacarpal
Fusion of wrist 2040 820
Shoulder
Limited repair of muscle that is not more 725 625
arthroscopic
Extensive repair of muscle that is greater 2145 625
arthroscopic
Revision rotator cuff repair 2145 625
Acromioplasty 1565 625
Excision distal clavicle, in isolation 1565 625
Prosthetic interposition arthroplasty of 2305 820
joint (e.g: hip, knee, shoulder)
Primary repair of rupture of 2705 685
acromioclavicular joint including internal
fixation
Secondary repair of rupture of 2705 685
acromioclavicular joint including internal
fixation
Reconstruction of acromioclavicular joint 2705 685
Shoulder hemiarthroplasty 2305 685
Revision shoulder hemiarthroplasty 2570 685
Primary total shoulder replacement 2705 940
Revision total shoulder replacement 3600 1550
Stabilisation of shoulder joint including 1890 685
anterior, posterior or multi-directional
(including arthroscopic)
Revision stabilisation of shoulder joint 2390 760
Release of shoulder contracture 2145 685
Plating and/or bone grafting for non-union 2040 685
of clavicle
Exploration and grafting of brachial plexus 3600 2110
Sub-acromial decompression including 1890 685
arthroscopic
Total excision of cervical or first rib 2145 820
Elbow
Total prosthetic replacement of elbow 2705 940
Revisional prosthetic replacement of elbow 3600 1550
Release of constriction of sheath of tendon 1000 435
Hip, leg and pelvis

Excision of lesion of bone pelvis/hip 1565 685
Osteotomy of hip with fixation 2305 940
165
P.U. (A) 358
Pelvic osteotomy with fixation 3600 940

Total prosthetic replacement of hip joint 2705 985
Revision of total prosthetic replacement of 3600 1550
hip joint
Total prosthetic replacement of hip joint 4750 1550
bilateral
Prosthetic replacement of head of femur 2145 820
Release fasciotomy of anterior/posterior 1760 625
compartment of leg
Amputation of leg/foot 2040 685
Manipulation and plaster of Paris (POP) for 580 405
hip
Knee
Therapeutic arthroscopic operations of 1890 505
cavity of joint
cavity of joint bilateral
Diagnostic arthroscopic examination of 865 435
joint, with/without biopsy
Total prosthetic replacement of knee joint 2705 985
Unicompartmental knee replacement 2705 820
Revision of total replacement of knee joint 3600 1550
Total prosthetic replacement of knee joint 4750 1550
bilateral
Primary prosthetic replacement of cruciate 2480 820
ligament
Autograft reconstruction of cruciate 2570 940
ligament including arthroscopic
Stablisation of patella 2480 940
semi lunar cartilage
semi lunar cartilage bilateral
Simple repair of knee ligaments 1890 570
Therapeutic arthroscopic operations on 1890 685
cavity of knee
Therapeutic arthroscopic operations on 2895 985
cavity of knee bilateral
Foot
Primary repair of tendon of foot 480 435
Primary repair of Achilles tendon 1160 435
Secondary repair of Achilles tendon 1890 435
Secondary repair of tendon of foot 725 435
Multiple joint procedures on forefoot 2390 760
166
P.U. (A) 358
Multiple joint procedures on forefoot 3600 1125

bilateral
Osteotomy of metatarsal (e.g: akin, mcNab, 865 435
etc.)
Fusion of first metatarso phalangeal joint 1000 505
Fusion of first metatarso phalangeal joint 1760 820
bilateral
Metartarso-phalangeal cheilectomy 1565 505
Triple fusion of joints of hind foot 1890 685
Osteotomy for pes clavus 1890 685
Correction of minor congenital deformity of 1565 505
foot
Correction of minor congenital deformity of 2480 820
foot bilateral
Total prosthetic replacement of ankle joint 2705 940
Revision of total prosthetic replacement of 3600 1550
ankle joint
Closing wedge osteotomy/translation of 1760 505
calcaneal spur including internal fixation
Excision arthroplasty of first metatarso- 1760 625
phalangeal joint with prosthetic
implantation
phalangeal joint including Keller's
phalangeal joint including Keller's
bilateral
Fusion of interphalangeal joint(s) of toe 1000 435
Correction of retracted/dislocated 1890 820
metatarso-phangeal joint(s) including
tendon transfer, division/realignment of
bone and internal fixation
Fusion of interphalangeal joint(s) of toe 1760 760
bilateral
Primary arthrodesis and internal fixation 1160 685
(hand/foot) including bone graft
Simple bunionectomy 725 355
Simple bunionectomy bilateral 1160 625
Metatarsal osteotomy for Hallux valgus 1340 685
Metatarsal osteotomy for Hallux valgus 2145 985

bilateral
Metatarsal osteotomy for Hallux valgus,
with internal fixation and soft tissue
correction 1890 760
Metatarsal osteotomy for Hallux valgus, 2895 1125
167
P.U. (A) 358
with internal fixation and soft tissue

correction bilateral
Amputation of toe 1000 435
Radical excision of bone tumour with 4750 1550
implantation of prosthesis for limb
External fixation/traction
Application of skeletal traction to bone 580 505
Removal of skeletal traction from bone 405 315
Application of external fixation to bone 1760 505
Removal of external fixation from bone 580 315
(x) Face, mouth and neck (not elsewhere listed)
Face and jaws

Open reduction of fracture of maxilla 1340 685
Closed reduction of fracture of maxilla 725 570
Reduction of other fractures of bones of 580 435
face
Reduction of fracture of zygomatic complex 1000 505
of bones
Open reduction of fracture of zygomatic 1565 570
complex of bones
Excision of maxilla 2040 940
Formal hemi-maxillectomy for malignancy 2570 940
Internal fixation of maxilla 725 685
Extra-oral fixation of maxilla 725 685
Removal of fixator from maxilla 580 570
Biopsy of lesion of facial bone 405 355
Excision of mandible 2040 940
Extensive excision of mandible 2390 985
Excision of lesion of jaw 1160 435
Open reduction of fracture of mandible 1000 685
Closed reduction of fracture of mandible 580 570
Intermaxillary fixation of mandible 725 685
Extra-oral fixation of mandible 1000 685
Removal of fixator from mandible 580 505
Reconstruction of jaw 2705 940
Alveolar bone graft 1340 570
Manipulation of mandible 405 355
Prosthetic replacement of 2305 625
temporomandibular joint
Arthroplasty of temporomandibular joint 1890 625
Menisectomy of temporomandibular joint 1160 505
Reduction of dislocation of 725 355
temporamandibular joint
168
P.U. (A) 358
Lips
Excision of vermilion border of lip and 1000 435
advance of mucosa of lip
Excision of lesion of lip 865 405
Primary closure of cleft lip (and bilateral) 1760 820
Revision of primary closure of cleft lip 2145 820
Reconstruction of lip using tongue flap 2145 685
Reconstruction of lip using skin flap 2040 760
Suture of lip 480 435
Biopsy of lesion of lip 480 355
Tongue
Total glossectomy including block 2480 760
dissection
Partial glossectomy including block 2145 820
dissection
Excision/destruction of lesion of tongue 865 505
Biopsy of lesion of tongue 315 405
Frenotomy/frenectomy of tongue 480 435
Freeing of adhesions of tongue 315 405
Tongue flap first stage 1760 820
Tongue flap second stage 1000 625
Palate
Excision/destruction of lesion of palate 865 505
Primary repair of cleft palate 2305 820
Revision of repair of cleft palate 1565 685
Plastic repair of palate using flap of palate 1340 685
Plastic repair of palate using flap of skin 1890 685
Suture of palate 580 435
Biopsy of lesion of palate 480 405
Incision of palate 370 405
Operation on uvula 725 435
Mouth cavity
Vestibuloplasty following trauma 1160 435
Excision/destruction of lesion of mouth 580 405
Reconstruction of mouth using flap 2145 760
Reconstruction of mouth using graft 1000 760
Graft of skin to mouth 1000 625
Graft of mucosa to mouth 865 570
Suture of mouth 580 505
Biopsy of lesion of mouth 370 355
Removal of excess mucosa from mouth 865 435
169
P.U. (A) 358
Salivary glands
Excision of parotid gland (other than 1890 685
F4410/F4430)
Total excision of parotid gland and 3600 985
preservation of facial nerve
Partial excision of parotid gland and 2895 985
preservation of facial nerve
Excision of submandibular gland 1340 505
Excision of sublingual gland 1000 505
Excision of lesion of parotid gland 1160 505
Excision of lesion of submandibular gland 1160 505
Excision of lesion of sublingual gland 405 505
Incision of parotid gland 405 405
Incision of submandibular gland 405 405
Incision of sublingual gland 405 405
Biopsy of lesion of salivary gland 580 435
Closure of fistula of salivary gland 865 435
Transposition of parotid duct 1160 435
Transposition of submandibular duct 1160 435
Open extraction of calculus from parotid 865 355
duct
Open extraction of calculus from 725 435
submandibular duct
Ligation of parotid duct 480 435
Ligation of submandibular duct 480 435
Operation on submandibular duct 480 435
Dilation of parotid duct 405 265
Manipulative removal of calculus from 725 315
parotid duct
Teeth
Replantation of tooth/teeth following 865 355
trauma
Surgical removal of impacted/buried 1000 435
tooth/teeth
Surgical removal of complicated buried 725 435
roots
Enucleation of cyst of jaw 865 435
Neck
Block dissection of cervical lymph nodes 2895 940
(not included in other procedures)
Biopsy/sampling of cervical lymph nodes 405 505
Operation on branchial cleft cyst 1340 820
Operation on branchial cleft fistula 2040 820
170
P.U. (A) 358
Thyroid and parathyroid glands

Total thyroidectomy 2040 820
Bilateral subtotal thyroidectomy 2040 760
Hemithyroidectomy 2040 685
Partial thyroidectomy 2040 685
Thyroplasty (Isshiki type I) 1760 625
Operation on aberrant thyroid issue 2480 940
including retrosternal
Excision of thyroglossal cyst 1000 625
Excision of thyroglossal tract 1340 625
Excision of lesion of thyroid gland 1340 435
Fine needle aspiration of thyroid gland 315 315
Needle biopsy of thyroid gland 580 315
Parathyroidectomy 2705 940
Parathyroid: second operation 2705 985
Drainage of salivary gland abscesses 405
III. MISCELLANEOUS
1. Medical examination fee
(a) Non-specialist
Item Fee (RM)

Medical examination pre-employment, 45 - 230
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 570 - 1145
Examination for evaluation of disability 570 - 1145
Participation in Medical Board Examination 230 - 1145
Medical examination for life insurance 90 - 230
Vocational licence health examination 35 - 115
(b) Specialist
Item Fee (RM)

Medical examination pre-employment, 115 - 570
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 570 - 2290
171
P.U. (A) 358
Examination for evaluation of disability 570 - 2290

Participation in Medical Board Examination 570 - 2290
Medical examination for life insurance 170 - 460
Vocational licence health examination 35 - 115
2. Medical report fee
Item Fee (RM)

Non-specialist 55 - 230
Specialist 115 - 570
3. House call and medical assistance fee (General Practitioners)
Item Fee (RM)

Medical duty for events and functions per hour 55
Medical coverage for transfer/repatriation of 570

patient (excluding actual expenses incurred in
the cost of travel, board and lodging) per day
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 570 - 1145
statement of facts only)
Expert witness (testimony involving expert 1145 - 2290
opinion)
Comprehensive medical report (requested by 90 - 285
insurance company, lawyers, others)
Attending physician statement for insurance 55
company
172
P.U. (A) 358
PART B DENTAL FEE
I. CONSULTATION FEE
Item Fee (RM)

Consultation only
plan
II. BASIC DENTAL PROCEDURE FEE
Item Fee (RM)

Post-extraction bleeding 55 - 345
Treatment for dry socket 55 - 345
Temporary dressings 35 - 170
Incision and drainage 55 - 230
Amalgam restorations 45 - 345
Tooth coloured/adhesive restoration 55 - 685
Removal of calculus 55 - 345
Removal of plaque and/or extrinsic stains 70 - 285
Dentures acrylic (partial) per jaw 115 - 1145
Dentures acrylic (full) per jaw 285 - 2290
Non-surgical/simple extraction of teeth
and/or root(s)
Permanent 45 - 285
Deciduous 30 - 115
Intra-oral periapical/bite wings/occlusal 25 - 115

radiograph per exposure
III. MISCELLANEOUS
Item Fee (RM)

Dental report 55 - 345
House call 170 - 570
Court attendance fee - qualifying expenses per 285 - 570
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 Actual expenses incurred in the
cost of travelling and lodging
173
P.U. (A) 358
Non-expert witness (testimony involving 570 - 1145

statement of facts only)
Expert witness (testimony involving expert 1145 - 2290
opinion)
Comprehensive dental report (requested by 55 - 345
insurance companies, lawyers and others)
Attending dentist statement for insurance 55.
company
Made 10 October 2013

[KK(R)/654(336) (17); PN(PU2)610/IV]
DATUK SERI DR. S. SUBRAMANIAM

Minister of Health
174

PERINTAH KEMUDAHAN DAN JAGAAN KESIHATAN (PINDAAN JADUAL KETIGA BELAS) 2013 (Disahkan Oleh Kementerian) PDF

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PERINTAH KEMUDAHAN DAN JAGAAN KESIHATAN (PINDAAN JADUAL KETIGA BELAS) 2013 (Disahkan Oleh Kementerian) PDF

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WARTA KERAJAAN PERSEKUTUAN

PERINTAH KEMUDAHAN DAN PERKHIDMATAN

PRIVATE HEALTHCARE FACILITIES AND SERVICES

AKTA KEMUDAHAN DAN PERKHIDMATAN JAGAAN KESIHATAN SWASTA 1998

PERINTAH KEMUDAHAN DAN PERKHIDMATAN JAGAAN KESIHATAN SWASTA

Pindaan Jadual Ketiga Belas

JADUAL KETIGA BELAS

"fi pakar anestesia" merujuk kepada fi yang dikenakan untuk induksi,

4. Bagi lawatan wad, termasuk lawatan selepas pembedahan dan penjagaan, fi

1. Pengamal am (bukan pakar)

(a) Lawatan pertama/Perundingan awal

Perundingan dengan pemeriksaan 30-125

Panggilan atau lawatan ke rumah Sehingga 100% melebihi

Perundingan dengan pemeriksaan 35 - 145

Panggilan atau lawatan ke rumah Sehingga 100% melebihi

Nota: Terpakai bagi semua kepakaran perubatan kecuali dinyatakan sebaliknya

(a) Lawatan pertama/Perundingan awal

Perundingan dengan pemeriksaan 80 - 235

Perundingan selepas waktu klinik yang Sehingga 50% melebihi

Panggilan atau lawatan ke rumah Sehingga 100% melebihi

(b) Lawatan susulan/ Perundingan susulan

Panggilan atau lawatan ke rumah Sehingga 100% melebihi

(c) Perundingan khas untuk radioterapi dan onkologi

Nota: Termasuk perundingan sekali seminggu

Pelan rawatan untuk brakiterapi 1145-2290

Pelan rawatan pakar 2290-4575

Aspirasi diagnostik sista, sendi dan kaviti 315

Ekokardiografi dengan laporan

Elektif kardioversi 290

Perundingan awal, penilaian, tatacara dan 630

(b) Abdomen (selain sistem urinari dan reproduktif)

Gastrostomi/jejunostomi laparoskopik 1760 570

Apendisektomi laparoskopik 1565 570

Rektopeksi laparoskopik 1890 940

Organ-organ lain, terutama pencernaan

Biopsi perkutaneus lesi hepar 480 315

Penciptaan penyimpangan peritoneovena 1340 435

Salur darah besar

(c) Otak, kranium dan organ intrakranial yang lain

Pembedahan terbuka arteri cerebral 5970 2110

Mastektomi subkutaneus dengan implan 2040 760

Pembedahan puting (jika tidak termasuk 865 405

(e) Dermatologi dan venereologi

Ujian sensitiviti kulit (ujian tampalan) 250

bagi setiap sesi - keseluruhan badan

Tatacara dermatologi lain

Tatacara laser kutaneus

(f) Telinga, hidung dan tekak

Telinga tengah dan mastoid

Timpanoplasti 2145 940

Hidung dan kaviti hidung

Ligasi arteri hidung internal 1340 505

Faringektomi separa 2305 1815

Larinks dan trakea

Suntikan ke dalam larinks 1160 505

Tatacara endoskopik gentian optik di bawah anestesia topikal

Pendilatan striktur bronkus oleh 1000

(g) Tatacara endoskopik dan laparoskopik trek gastrointestinal (GIT)

Tatacara endoskopik GIT

(h) Mata dan kandungan orbit

Pemecahan foto laser Yag ke atas kapsul 580 505

Glob atau orbit

Bulu kening dan kelopak