Doctors Charges-Thirteenth Schedule

(Thirteenth Schedule)
PRIVATE HEALTHCARE FACILITIES AND SERVICES (PRIVATE HOSPITALS AND OTHER

PRIVATE HEALTHCARE FACILITIES) REGULATIONS
THIRTEENTH SCHEDULE
[Regulation 433]
FEE SCHEDULE PROFESSIONAL FEE
PART A MEDICAL FEE
Note:
1. All charges shown are the maximum chargeable charges unless specified otherwise.
2. When two procedures are performed through the same incision, the fee chargeable for
the lesser procedure should not exceed 50% of the fee charged for the lesser procedure.
3. When a repeat procedure is required, consequent to the first procedure, the fee chargeable
for the second procedure should not exceed 50% of the first and when a third repeat
procedure is required, the fee chargeable for the third procedure should not exceed 25%
of the fee charged for the first procedure.
4. For procedures under local anesthetic (LA), when administered by the operating practitioner,
a charge not exceeding 20% of the procedure charge may be levied.
5. Fee for monitored anesthesia care make up 80% of the anesthetic fee for such procedure.
6. Surgeon includes all categories of specialist except for anesthetist.
I.
CONSULTATION FEE
1. General practitioner (Non specialist)
(a) First visit/Initial consultation
Item
Consultation only
Consultation with examination
Consultation with examination and treatment plan
Consultation after stipulated clinic hours
Fee (RM)
}
}
}
10 35
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
Consultation only
Fee (RM)
}
}
}
30 125
Up to 50% above the
usual rate
usual rate
2. Specialist fee
Note: Applicable to all medical specialties unless specified otherwise.
(a) First visit/Initial consultation
Item
Consultation only
Fee (RM)
}
}
}
60180
Item
Fee (RM)
Up to 50% above the

usual rate
usual rate

(b) Follow-up visit/Follow-up consultation
Item
Consultation only
Fee (RM)
}
}
}
35 90
Up to 50% above the
usual rate
usual rate

(c) Special consultation for radiotherapy and oncology
Note: Includes once a week consultation
Item
Basic Treatment planning including simulation for
external beam radiotherapy (replanning will
be charged separately)
Treatment planning for brachytherapy
(Intracavitary)
Specialised treatment planning
- Interstitial brachytherapy
- Conformal radiotherapy
- Radiosurgery
- Intensity modulated radiotherapy
Fee (RM)
750 1500
1000 2000
2000 4000
II. PROCEDURE FEE

1. General Procedure
Item/Procedure
Ambulatory blood pressure monitoring
Application of plaster cast (where this is the sole
procedure)
Application of plaster jacket, hip spica, long leg
cast or cast brace
Arterial cannulation
Arterial puncture
Aspiration of subcutaneous haemotoma
Banding of haemorrhoids
Biopsy of skin or subcutaneous tissue
Cardiopulmonary resuscitation (CPR)
Central venous pressure (CVP) line cannulation
Chest tube insertion
Colposcopy (plus/minus biopsy)
Continuous Holter monitoring
Curettage/Cryotherapy of lesion of skin including
cauterisation
Diagnostic aspiration of cysts, joints and cavities
Fee (RM)
Surgeon
110
275
Anesthetist
355
230
110
55
275
275
275
275
200
735
325
285
275
275
Item/Procedure
Surgeon
Echocardiography with report
Colour form mapping
Doppler echocardiography
Echocardiogram-transthoracic
M-mode
Stress echo treadmill
Stress echocardiography
Trans-oesophageal echocardiography
Two dimensional (2-D)
Elective cardio version
Electrocardiogram (ECG) with report
ECG (stress/exercise) with report
Endometrial biopsy or aspiration
Fine needle aspiration cytology
Incision and drainage (I&D)
Injection around apophyseal facet of vertebra
without X-ray control
Injection into joint without X-ray control
Injection into subcutaneous tissue/painful trigger
point including local anaesthetic and steroid
Injection into varicose veins of leg
Injection of sclerosing substance into haemorrhoids
Introduction of substance into skin including
hormone pellet
Lumbar puncture
Paracentesis for ascites
Paravertebral block (without X-ray control)
Percutaneous biopsy (not elsewhere specified)
Pericardiocentesis
Pleural biopsy
Pleural cavity drainage
Pleurodesis
Rigid sigmoidoscopy with biopsy
Signal averaging ECG
Stellate ganglion block (LA)
Swan Ganz cathether placement
Temporary pacing
Toilet and suturing (T&S) per stitch
Venesection
Venupuncture
Fee (RM)
Anesthetist
330
330
200
330
330
330
385
330
250
70
235
355
275
275
275
275
275
275
275
275
650
550
420
275
440
780
735
550
275
40
420
400
1000
15
30
55
2. Specific Procedure
(a) Anesthesiology
Item/Procedure
First consultation, assessment, procedure and
advanced cardiac life support (ACLS) in the
intensive care unit (ICU)
Subsequent consultation and assessment in
the ICU
Obstetric analgesia service Epidural
Management of acute, chronic and cancer pains
Venupuncture
Fee (RM)
550
As per paragraph 2(b)

of the specialist fees
390
30
55
(b) Abdomen (other than urinary and reproductive system)

Item/Procedure
Surgeon
Oesophagus
Thorascopic oesophageal mobilisation via
mediastinum
Oesophagogastrectomy
Total oesophagogastrectomy and
interposition of intestine
Open excision of lesion of oesophagus
Bypass of oesophagus
Revision of oesophageal anastomosis
Closure of bypass of oesophagus
Transthoracic repair of oesophagus
Thorascopic repair of oesophagus
Oesophagocardiomyotomy (Hellers
operation)
Thorascopic oesophagogastric myotomy
Injection sclerotherapy for oesophageal
varices
Transthoracic repair of hiatus hernia
Transthoracic repair of diaphragmatic
hernia
Transabdominal repair of hiatus hernia
Transabdominal repair of diaphragmatic
hernia
Laparoscopic repair of hiatus hernia
Transabdominal anti-reflux operation
Revision of anti-reflux procedure
Laparoscopic vagotomy/seromyotomy
Laparoscopic gastro-jejunostomy
Laparoscopic gastrostomy/jejunostomy
Stomach
Proximal gastric vagotomy
Highly selective vagotomy
Vagotomy and pyloroplasty
Total gastrectomy and excision of
surrounding tissue
Partial gastrectomy
Plastic operation on stomach
Gastro-jejunostomy
Revision of gastro-jejunostomy
Gastrostomy
Closure of gastrostomy
Closure of perforated ulcer of stomach
Laparoscopic closure of perforated ulcer
of stomach
Other open operation on stomach
Pyloromyotomy
Pyloroplasty
Partial gastrectomy (Benign disease)
Partial gastrectomy (Malignant disease)
Duodenum
Open excision of lesion of duodenum
Bypass of duodenum
Laparoscopic closure of perforated ulcer
of duodenum
Closure of perforated ulcer of duodenum
Small intestine
Excision of jejunum
Excision of lesion of jejunum
Fee (RM)
Anesthetist
4150
1585
4150
5220
1585
2185
1650
2170
2365
1875
3145
2530
1785
985
1355
1155
985
1155
1155
860
1875
875
860
600
2015
2015
820
820
1875
2530
665
715
1875
2530
3145
1785
1875
1540
665
715
1155
600
600
500
1785
1785
1875
2530
600
600
715
985
2015
1650
1875
2015
1540
1370
1650
1650
665
600
600
600
500
500
600
600
1650
1650
1650
2015
2530
600
600
600
2015
1650
1650
665
665
600
1650
600
1875
2170
600
600
Item/Procedure
Surgeon
Jejunostomy
Laparoscopic resection of small intestine
Bypass of jejunum
Intubation of jejunum of decompression
of intestine
Bypass of ileum
Ileoanal anastomosis and creation of pouch
Ileostomy
Attention to ileostomy
Closure of ileostomy (in isolation )
Open operation on ileum including
reduction of intussusception
Large intestine
Appendicectomy
Laparoscopic appendicectomy
Drainage of abscess of appendix
Total excision of colon and ileorectal
anastomosis
Extended excision of right hemicolon
Other excision of right hemicolon
Excision of transverse colon
Excision of left hemicolon
Excision of sigmoid colon
Excision of lesion of colon
(Transabdominal)
Bypass of colon
Exteriorisation of caecum
Closure of colostomy Extra peritoneal
Closure of colostomy Intra peritoneal
Laparoscopic colostomy
Colostomy including revision
Intra abdominal manipulation of colon
including reduction of intussusception
Laparoscopic colonic resection
Radiological reduction of intussusception
of colon using barium enema
Rectosigmoidectomy for
Hirchsprungs disease
Laparotomy of necrotising
enterocolitis (NEC)
Laporotomy for intestinal atresia
Rectum/Anus
Ileoanal anastomosis and creation of pouch
Panproctocolectomy and ileostomy
Abdominoperineal pull through resection
with colo-anal anastomosis and associated
colostomy
Abdominoperineal resection of rectum
and anus
Anterior resection
Anterior resection of rectum and end
colostomy (with closure of rectum)
Laparoscopic anterior resection of rectum
and exteriorisation of bowel
Partial excision of rectum and sigmoid
colon for prolapse
Reversal of Hartmans procedure
Open excision of lesion of rectum
Fixation of rectum for prolapse
Fee (RM)
Anesthetist
1540
1650
1650
1650
600
600
600
600
1650
4150
1650
1370
1370
1650
600
1355
600
500
500
600
1370
1370
1370
3145
500
500
545
1155
2090
2090
2090
2090
2090
1540
715
665
665
715
715
665
1785
1540
1170
1650
1785
1785
1785
665
665
545
665
665
665
600
2090
505
715
500
4150
2365
2365
4150
4150
4150
1355
1585
1585
4150
1585
4150
2365
1585
1355
4150
1355
2365
820
3145
1875
1650
1355
820
820
Item/Procedure
Laparoscopic rectopexy
Transanal resection for rectal cancer
Peranal excision of lesion of rectum
Full or partial thickness rectal biopsy
Perineal repair of prolapse of rectum
Dilation of stricture of rectum
Repair of faecal fistula
Excision of lesion of anus
Destruction of lesion of anus
Repair of anal sphincter
Repair of anal trauma
Haemorrhoidectomy
Anorectal stretch including examination under
anaesthesia (EUA) and sigmoidoscopy
Laying open of low anal fistula
Laying open of high anal fistula
Lateral sphincterotomy of anus
Excision of anal fissure
Drainage through perineal region including
ischio-rectal abscess
Excision of pilonidal sinus and suture/skin graft
Laying open of pilonidal sinus
Fistulectomy (single)
Fistulectomy (multiple)
Posterior saggital anorectoplasty (PSARP)
Combined laparotomy plus PSARP
Anoplasty
Posterior saggital anorectovaginouretroplasty
(PSARVUP)
Combined laparotomy plus PSARVUP
Other organs mainly digestive
Adrenalectomy
Adrenalectomy Bilateral
Operation on aberrant adrenal tissue
Partial excision of liver
Hemihepatectomy
Removal of liver tumour
Repair of liver
Open drainage of liver
Therapeutic laparoscopic operation on liver
Diagnostic laparoscopic examination of liver
including any biopsy
Percutaneous biopsy of lesion of liver
Open puncture of liver
Cholecystectomy including mini-cholecystectomy
Cholecystectomy with exploration of common
bile duct
Laparoscopic cholecystectomy
Laparoscopic cholecystectomy with
preoperative cholangiogram
Anastomosis of gall bladder (to another viscus)
Partial excision of bile duct and anastomosis of
bile duct to duodenum/jejunum
Excision of lesion of bile duct
Anastomosis of hepatic duct
Anastomosis of common bile
Open introduction of prosthesis into bile duct
Repair of bile duct
Incision of bile duct including exploration
for calculus removal
Fee (RM)
Anesthetist
820
545
545
230
600
230
545
230
230
545
545
440
230
Surgeon
1650
1785
1170
355
1540
325
755
325
325
1370
1170
875
325
755
1370
355
355
505
440
545
440
355
355
1015
505
755
1370
3145
4150
1170
4150
545
230
5220
1875
2015
1875
3145
5220
2530
2170
1015
1170
1170
820
985
820
1355
1845
860
860
600
500
440
420
1370
1650
1785
275
500
600
665
2170
2365
985
1355
2015
2090
665
820
1875
2530
1875
1875
2090
1875
820
820
820
665
860
820
Item/Procedure
Surgeon
Sphincterotomy of bile duct and pancreatic
duct using duodenal approach
Percutaneous examination of bile duct
Total pancreatectomy and excision of
surrounding tissue
Total pancreatectomy
Pancreatoduodenectomy and excision of
surrounding tissue (Whipples procedure)
Distal pancreatectomy
Excision of lesion of pancreas
Anastomosis of pancreatic duct (to
another viscus)
Open drainage of lesion of pancreas
Drainage of pancreatic abscess
Incision of pancreas
Open examination of pancreas
Therapeutic percutaneous operation on
pancreas
Open splenectomy
Laparoscopic splenectomy
Creation of peritoneo-venous shunt
(Levine/Denver)
Internal drainage of pancreatic pseudocyst
Hepato portoenterototomy (Kasai operation)
Excision of choledochal cyst
Major vessels
Open cannulation of intra abdominal artery
for infusion chemotherapy
Creation of portocaval shunt
Plication of vena cava
Repair of wound of major artery or vein of
abdomen including aorta and vena cava
Abdominal wall
Repair of congenital diaphragmatic hernia
Simple excision of inguinal hernial sac
Simple excision of inguinal hernial sac
Bilateral
Primary repair of inguinal hernia
Primary repair of inguinal hernia Bilateral
Primary repair of strangulated inguinal hernia
Laparoscopic repair of groin hernia
Repair of recurrent inguinal hernia
Repair of recurrent inguinal hernia Bilateral
Primary repair of femoral hernia
Primary repair of strangulated femoral hernia
Repair of recurrent femoral hernia
Repair of umbilical hernia (irrespective of age)
Primary repair of incisional hernia
Repair of recurrent incisional hernia
Repair of other hernia of abdominal wall
Resuture of previous incision in abdominal
wall (Burst abdomen)
Closure of exomphalos major/gastroschisis
Primary closure
Silastic closure
Delayed primary closure
Fee (RM)
Anesthetist
1875
715
875
4150
440
1585
4150
4150
1585
1585
2365
1785
2365
860
860
820
1785
1785
1785
1785
1370
665
665
665
665
600
1370
1370
1170
665
665
380
2365
4150
4150
1875
600
4150
2015
1875
1155
820
1155
2365
875
1540
1355
440
665
1015
1650
1650
1015
1650
2530
875
1650
1370
875
1170
1650
1170
1170
440
715
545
440
600
860
440
545
500
500
440
600
440
500
3145
1875
2245
Item/Procedure
Surgeon
Peritoneum
Laparotomy for post operative haemorrhage
Laparotomy and repair of multiple
visceral trauma
Open drainage of subphrenic abscess
Operation on omentum
Retroperitoneal tumour
Retroperitoneal abscess
Presacral tumour
Freeing of adhesions of peritoneum
Laparoscopy including biopsy and adhesiolysis
Paracentesis abdominis for ascites
Suprapubic drainage of pelvic abscess
Transrectal/transvaginal drainage of pelvic
abscess
Laparotomy Exploratory
(c)
Fee (RM)
Anesthetist
1540
3145
715
1355
1540
1650
2365
1015
1170
1370
1015
275
755
1015
600
600
820
600
820
600
380
230
440
1650
Brain, cranium and other intracranial organs

Item/Procedure
Surgeon
Brain
Hemispherectomy
Excision of abscess of brain
Excision of lesion of tissue of brain
Stereotactic ablation of tissue of brain
Open biopsy of lesion of tissue of brain
Implantation/Removal of neurostimulator
from brain (any route)
Ventriculocisternostomy
Creation of ventriculovascular anastomosis
Creation of ventriculoperitoneal shunt
Creation of subcutaneous cerebrospinal
fluid (CSF) reservoir
Maintenance of cerebroventricular shunt
including revision
Removal of cerebroventricular shunt
Irrigation of cerebroventricular shunt
Therapeutic endoscopic operations on
ventricle of brain
Diagnostic endoscopic examination and
biopsy of lesion of ventricle of brain
Ventricular puncture
Fee (RM)
Anesthetist
6145
4150
5220
4150
3145
1875
2560
1845
2185
1585
1355
715
3145
1785
1785
1785
1355
715
715
715
1370
600
1170
505
2245
440
600
715
1540
715
505
440
1650
2365
2365
1785
2365
2365
1370
3145
4150
1875
1370
2365
1170
665
1155
1155
665
1355
1155
600
1845
1355
715
665
1155
440
Cranium
Intracranial infection: Burr-hole
Plastic repair of cranium
Reconstructive cranioplasty
Craniostenosis (single suture)
Craniostenosis (more than one suture)
Exploratory open craniotomy
Exploratory burr-hole of cranium
Petrosectomy
Foramen Magnum decompression
Excision of lesion of cranium
Elevation of depressed fracture of cranium
Repair of compound fracture of cranium
Drainage of skull
Item/Procedure
Surgeon
Meninges
Drainage of subrarachnoid space of brain
Excision of lesion of meninges of brain
Operation of arachnoidal cyst
Repair of dura
Evacuation of extradural haematoma
Evacuation of subdural haematoma or abscess
Subdural haemorrhage Tap
Nerves
Intracranial transection of cranial nerve
Other intracranial destruction of cranial nerve
Excision of lesion of cranial nerve (Intracranial)
Excision of acoustic neuroma
Repair of cranial nerve (Intracranial)
Decompression of cranial nerve (Craniotomy)
Neurostimulation of cranial nerve (Intracranial)
Removal of neurostimulator from cranial nerve
Excision of cerebellopontine angle tumour
Vessels
Craniotomy Post-operative haemorrhage
Craniotomy for suprasellar tumour
Craniotomy for posterior fossa tumour
Ligation/Clipping of aneurysm of cerebral artery
Reinforcement of aneurysm of cerebral artery
Open operations on cerebral artery
Excision of arteriovenous (AV) malformation
Creation of ventriculovascular anastomosis
Creation of ventriculoperitoneal shunt
Others
Hypophysectomy
Cryotherapy to pituitary gland
Excision of lesion of pituitary gland
Excision of pineal gland
(d)
Fee (RM)
Anesthetist
1370
6145
2365
3145
3145
3145
275
545
2185
860
1155
1155
1155
380
5220
5220
6145
6145
2530
5220
1875
1650
6145
2560
2560
2560
2560
1585
1585
665
440
2560
2365
6145
6145
5220
5220
5220
6145
1785
1785
1155
1845
1845
1845
1845
715
715
5220
2245
5220
6145
1585
1585
1585
Surgeon
1785
2015
2530
665
860
1785
600
1370
600
875
1170
1170
875
875
355
440
440
440
440
2530
2015
4150
755
820
665
1355
355
Breasts
Item/Procedure
Subcutaneous mastectomy with immediate
implant
Radical mastectomy including block dissection
Mastectomy combined with reconstruction
of breast using myocutaneous flap
Modified radical mastectomy including
block dissection
Simple mastectomy including axillary
node biopsy
Excision of lesion of breast
Segmental resection or quadrantectomy
Wide local excision of lesion of breast
Repeat local excision to clear margins
Excision biopsy of breast lesion after
localisation
Reconstruction of breast using latissimus dorsi
Reconstruction of breast using local flap
Reconstruction of breast using TRAMS
Removal of prosthesis from breast
Fee (RM)
Anesthetist
665
Item/Procedure
Surgeon
Implantation of prosthesis following
mastectomy
Percutaneous biopsy of lesion of breast
Stereotactic/Guidewire excision of lesion
of breast
Drainage of breast abscess
Microdochotomy
Operation(s) on nipple (where not included
in other procedures)
Block dissection of axillary lymph nodes
(where not included in other procedures)
Biopsy/sampling of axillary lymph nodes
Biopsy of internal mammary lymph nodes
(e)
Fee (RM)
Anesthetist
1170
600
325
1370
230
440
505
875
755
355
355
355
1540
545
355
635
275
440
Dermatology and venereology

Item/Procedure
Surgeon
Allergy test
Skin sensitivity tests (Intradermal) using up
to 20 reagents (excluding cost of reagents)
Skin sensitivity tests (Patch test) using up to
26 reagents i.e. standard series (excluding
cost of reagents)
Skin sensitivity tests (Patch test) using more
than 26 reagents i.e. standard series plus
extras (excluding cost of reagents)
Sensitivity tests (Patch test) using
supplementary series i.e. cost per series
(excluding cost of reagents)
General dermatosurgery
Excision cysts, scars, benign tumours
(simple)
Excision cysts, scars, benign tumours
(complex)
Excision malignant skin tumours
requiring wide excision
Multiple intralesional steroid injections
Cryotherapy less than 5 lesions
Cryotherapy more than 5 lesions
Cryotherapy malignant tumours requiring
wide areas of treatment
Curettage/Cryotherapy lesion of skin
including cauterisation
Phototherapy
Phototherapy (Ultra violet beam) per
session regional
Phototherapy (UVB) per session
whole body
Psoralen and ultra violet A (PUVA)
per session regional
Psoralen and ultra violet A (PUVA)
per session whole body
Photopatch testing
Minimum erythema doses (MED)
phototesting
Minimum photoxic doses (MPD)
phototesting
Fee (RM)
Anesthetist
165
220
275
165
330
575
800
165
135
220
440
275
55
85
85
110
220
220
220
Item/Procedure
Surgeon
Phototherapy ultraviolet A1 (UVA1)
per session regional
Phototherapy ultraviolet A1 (UVA1)
per session whole body
Other dermatology procedures
Simple excision of nail
Wedge excision of toe nail
Wedge excision or avulsion of toe nail
including chemical ablation of nail bed
Matrixectomy of nail
Dark ground investigation (DGI)
examination of specimen
Biopsy of skin or subcutaneous tissue
Percutaneous biopsy (not elsewhere
specified)
Microscopic examination (dark ground)
Microscopic examination for skin
scrapings, smears etc.
Electrocautery Keratosis, warts, angiomas,
etc. (less than 5 lesions)
etc. (5 to 20 lesions)
etc. (more than 20 lesions)
Chemical cautery Keratosis, warts,
angiomas etc. (not more than 5 lesions)
Chemical cautery Keratosis, warts,
angiomas etc. (more than 5 lesions)
Electrolysis of hair per session
Iontophoresis per session
Transdermal iontophoresis
Cutaneous laser procedures
Laser ablation of skin tumours (less
than 5 lesions)
Laser ablation of skin tumours (5 to
20 lesions)
Laser ablation of skin tumours (more
than 20 lesions)
Pigment laser treatment of skin pigmentation
2
and tattoos small area (less than 9cm )
and tattoos medium sized area
2
2
(9cm to 50cm )
2
large area (more than 50cm )
Pigment laser treatment of tattoo of eyebrows
Pigment laser treatment of tattoo of eyelids
Vascular laser treatment of vascular lesion
2
small area (less than 9cm )
2
2
medium sized area (9cm to 50cm )
2
large area (More than 50cm )
Laser resurfacing of one cosmetic unit
non-Ablative
Laser resurfacing of one cosmetic unit
ablative
Laser-assisted/Intense pulsed light (IPL) hair
2
removal small area (less than 9cm )
Fee (RM)
Anesthetist
85
110
60
330
420
275
150
110
275
275
55
55
165
330
550
110
220
220
165
250
255
575
750
330
380
575
330
380
330
380
575
750
1000
330
Item/Procedure
Surgeon
Laser-assisted/IPL hair removal medium
2
2
area (9cm to 50cm )
Laser-assisted/IPL hair removal
2
large area (More than 50cm )
Laser-assisted/IPL hair removal
whole face
Chemical peeling
Chemical peeling of lesion of skin
superficial peel
medium depth
deep peel
Miscellaneous procedures
Comedone extract per session
Paring of hyperkeratosis, corns, etc.
Milia extraction
Day care skin nursing per session
Whole body wrap dressing for example
atopic eczema
Microdermabrasion face
Microdermabrasion body
Botulinum toxin injection of one cosmetic unit
Fillers injection of one cosmetic unit
(f)
Fee (RM)
Anesthetist
380
575
800
255
330
575
165
165
165
165
200
300
500
600
500
Ear, nose and throat

Item/Procedure
Surgeon
External ear
Total excision of external ear
Excision of preauricular abnormality
Excision of lesion of external ear
Removal of exostoses from external
auditory canal
Reconstruction of external ear using graft
Reconstruction of external ear
Meatoplasty of external ear
Repair of external ear
Removal of foreign body from external
auditory canal under GA (and bilateral)
Excision of lesion of external auditory canal
Reconstruction of external auditory canal
Middle ear and mastoid
Radical mastoidectomy
Modified radical mastoidectomy
Simple mastoidectomy
Revision of mastoidectomy
Exploration of mastoid, facial nerve
Tympanoplasty
Myringoplasty
Myringotomy and insertion of tube through
tympanic membrane (and bilateral)
Suction clearance of middle ear
Myringotomy (and bilateral)
Ossiculoplasty with/without tympanoplasty
Stapedectomy
Middle ear tumour excision
Fee (RM)
Anesthetist
1370
875
635
1540
715
355
355
440
2530
1875
1370
355
600
600
440
355
325
420
2365
230
500
985
2170
2170
2015
1785
2015
1875
1785
755
820
820
545
820
820
820
665
310
325
325
2365
1785
1785
230
230
820
665
665
Item/Procedure
Middle ear polypectomy (and bilateral)
Tympanotomy and biopsy of lesion of
middle ear
Petrosectomy
Inner ear
Transtympanic electro-cochleography
Operation on cochlea
Operation on endolymphatic sac
Membranous labyrinthectomy
Osseous labyrinthectomy
Excision of preauricular sinus Unilateral
Excision of preauricular sinus Bilateral
Nose and nasal cavity
Total excision of nose
Septorhinoplasty plus/minus graft/implant
following trauma or excision of tumour
Rhinoplasty following trauma or excision
of tumour
Submucous excision of septum of nose
Excision of lesion of septum of nose
Biopsy of lesion of septum of nose
Closure of perforation of septum of nose
Incision of septum of nose
Septoplasty of nose
Nasal septum cauterisation (and bilateral)
Submucous diathermy to turbinate of nose
(and bilateral)
Excision of turbinate of nose (and bilateral)
Excision of lesion of turbinate of nose
(and bilateral)
Division of adhesions of turbinate of nose
(and bilateral)
Biopsy of lesion of turbinate of nose
(and bilateral)
Cauterisation of turbinate of nose
(and bilateral)
Ligation of artery of internal nose
Embolisation of artery of internal nose
Packing of cavity of nose (as sole procedure)
Polypectomy of internal nose (and bilateral)
Excision of lesion of internal nose
Correction of congenital atresia of choana
Removal of foreign body from cavity of nose
Excision of lesion of external nose
Nasal sinuses
Drainage of maxillary antrum including
Caldwell-Luc (and bilateral)
Transantral neurectomy of vidian nerve
using sublabial approach (and bilateral)
Antral puncture and wash-out (and bilateral)
Intranasal antrostomy including endoscopic
(and bilateral)
Closure of oro-antral fistula
External frontoethmoidectomy (and bilateral)
Intranasal ethmoidectomy (and bilateral)
External ethmoidectomy including
endoscopic (and bilateral)
Anterior and posterior opening into FESS
Transantral ethmoidectomy (and bilateral)
Fee (RM)
Anesthetist
230
500
Surgeon
505
1540
3145
1845
635
3145
1875
2090
2170
1170
1540
1155
820
820
820
1370
1875
665
545
1785
545
1015
505
325
1170
355
1170
275
355
355
310
310
355
275
380
230
230
635
355
355
355
325
355
325
355
325
230
1170
1170
275
420
355
1370
275
275
440
440
440
310
310
600
310
380
875
380
1540
600
420
755
230
440
1170
1875
1015
1370
380
665
440
600
1540
1370
600
600
Item/Procedure
Surgeon
Bone flap to frontal sinus (and bilateral)
Trephining of frontal sinus
Radical frontoethmoidectomy
Sub-total functional endoscopic sinus
surgery (FESS)
Operation on sphenoid sinus
Operation on nasal sinus (unspecified)
Lateral Rhinotomy into sinus for malignancy
Diagnostic endoscopy of sinus
(as sole procedure)
Fee (RM)
Anesthetist
2170
505
2090
1370
545
230
820
600
755
755
1540
275
440
440
545
355
5220
2015
355
1875
635
1650
505
1650
505
1585
1585
230
715
440
600
355
545
355
875
1015
755
1015
275
380
380
380
380
275
3145
1875
1540
1585
860
545
2245
1540
3145
1015
1155
545
1585
500
505
440
1015
3145
1540
1540
875
505
440
1845
545
440
500
355
635
440
755
755
875
875
Throat
Total pharyngectomy
Partial pharyngectomy
Adenoidectomy
Repair of pharynx
Open excision of lesion of pharynx
Operation on pharyngeal pouch
Therapeutic endoscopic operation on pharynx
Pharyngeal pouch Endoscopic resection
Diagnostic endoscopic examination of
pharynx including biopsy
Tonsillectomy Child (and bilateral)
Tonsillectomy Adult (and bilateral)
Excision of lingual tonsil
Adenotonsillectomy (and bilateral)
Drainage of peritonsillar abscess (Quinsy)
Larynx and trachea
Total laryngectomy including neck dissection
Partial laryngectomy
Laryngofissure and chordectomy of vocal
chord
Laryngectomy (excluding neck dissection)
Glottoplasty
Reconstruction of larynx with graft
Endoscopic excision of lesion of larynx
including microlaryngoscopy
Laryngoscopy/Endoscopy with or
without biopsy
Injection into larynx
Partial excision of trachea with reconstruction
Tracheoplasty
Open placement of prosthesis in trachea
Tracheotomy
Insertion of mini-tracheostomy
Fibreoptic endoscopic procedures under
topical anaesthesia
Fibreoptic examination of trachea and
bronchus
including biopsy/removal of foreign body
Bronchial lavage (diagnostic or therapeutic)
Dilatation of tracheal stricture including
insertion of stent
Dilatation of bronchial stricture by
fibreoptic bronchoscope
Transbronchial biopsy
(g)
Endoscopic and laparoscopic gastro-intestinal tract (GIT)

Procedures
Item/Procedure
Surgeon
Endoscopic GIT procedure

Rigid oesophagoscopy plus/minus biopsy/
removal/laser or diathermy destruction
of lesions
Diagnostic oesophago-gastro-duodenoscopy
including biopsy
Therapeutic-oesophago-duodenoscopy
including removal of foreign body/
polypectomy
Therapeutic oesophago-gastro-duodenoscopy
including destruction of lesion, insertion of
prosthesis, dilatation, recanalisation of tumour
Injection sclerotherapy for oesophageal
varices
Intubation for investigation of GIT plus/minus
manometry, pH measurement, pancreatic
function and jejunal biopsy
Endoscopy and examination of ileum
through stoma including dilatation
Flexible sigmoidoscopy plus/minus
biopsy/removal/destruction of lesion
Fibreoptic colonoscopy plus/minus excision
ibiopsy/destruction of lesion
Fibreoptic colonoscopy and recanalisation
of tumour
Endoscopic retrograde
cholangiopancreatography (ERCP)
ERCP with therapeutic procedure
Pancreatic stent insertion
Pancreatic stone removal
Pancreatic pseudocyst drainage
Rubber band ligation of varices
PEG
Endoscopic mucosal resection
Colonic polypectomy
Colonic dilatation (balloon)
Colonic stent insertion
Therapeutic GIT bleeding procedures
(upper)
Laparoscopic procedure
Laparoscopic vagotomy/seromyotomy
Laparoscopic gastro-jejunostomy
Laparoscopic gastrostomy/jejunostomy
Laparoscopic closure of perforated
ulcer of stomach
Laparoscopic closure of perforated
ulcer of duodenum
Laparoscopic resection of small intestine
Laparoscopic appendicectomy
Laparoscopic colostomy
Laparoscopic colonic resection
Laparoscopic anterior resection of rectum
and exteriorisation of bowel
Laparoscopic rectopexy
Laparoscopic cholecystectomy
Fee (RM)
Anesthetist
755
380
355
275
505
380
875
380
875
600
420
275
505
275
505
380
875
380
1370
380
1015
440
1540
1785
1785
1785
875
1540
1785
1170
1170
1370
875
440
665
665
665
355
545
665
440
440
500
355
1875
1785
1875
1540
1650
665
600
600
500
600
1650
600
1650
1370
1785
2090
4150
600
500
665
715
1355
1650
2170
820
985
Item/Procedure
Surgeon
Laparoscopic cholecystectomy with
perioperative cholangiogram
Laparoscopic splenectomy
Laparoscopic repair of groin hernia
(h)
Fee (RM)
Anesthetist
2365
1355
1370
1015
665
440
Eye and orbital content

Item/Procedure
Surgeon
General procedure
Fundus fluorescein angiogram
Anterior/Fundus photography
Automated perimetry
Hess chart
Keratometry
Corneal topography
Ultrasonography
A-Scan
B-Scan
Pachymetry
Gonioscopy
Indirect ophthalmoscopy
Refraction
Schirmers test
Electrophysiology
Electroretinogram (ERG)/Electrooculogram
(EOG)/Visual evoked response (VER)
Syringing
Dressing
Irrigation
Excision/Curettage/Cryotherapy of
lesion of eyelid(s)
Yag laser photo disruption of posterior
capsule of lens including laser capsulotomy
Laser photocoagulation/Cryotherapy/
Radiotherapy of lesion of retina (and bilateral)
Flourescein angiography of eye
Surgical correction of squint (one or both eyes)
Surgical trabeculectomy
Trabeculotomy including laser
Biopsy of lesion of eyelid
Extracapsular extraction without implant
Extracapsular extraction with implant
Globe or orbit
Exenteration of orbit
Enucleation of eyeball
Excision of lesion of orbit
Reconstruction of cavity of orbit
Biopsy of lesion of orbit
Drainage of orbit
Decompression of orbit
Removal of foreign body from orbit
Exploration of orbit
Open reduction of fracture of orbit
Retrobullar injection
Evisceration of eyeball
Orbital implants Evisceration/
Enucleation with implant
Fee (RM)
Anesthetist
300
55
220
110
55
220
110
220
110
55
55
55
25
220
110
30
55
325
230
505
440
875
355
275
1650
1785
1015
420
1875
2245
230
545
665
500
275
715
820
1785
1785
1650
2015
1015
1170
2015
1650
1650
1170
275
1785
2090
665
600
600
665
440
310
600
600
600
600
230
665
Item/Procedure
Surgeon
Eyebrow and lid
Excision of lesion of eyebrow
Suture of eyebrow
Excision of lesion of canthus
Correction of epicanthus
Correction of telecanthus
Graft of skin to canthus
Canthotomy/Curettage
Excision/Curettage/Cryotherapy of
lesion of eyelid(s)
Graft of skin to eyelid
Correction of ectropion
Correction of entropion
Correction of trichiasis
Tarsorrhaphy
Total reconstruction of eyelid
Suture of eyelid (laceration)
Total reconstruction of eyelid Bilateral
Correction of ptosis of eyelid
Tarsomullerectomy
Drainage of lesion of eyelid
Biopsy of lesion of eyelid
Removal of eyelashes by electrolysis/laser/
cryotherapy
Lacrimal system
Canaliculo-dacryocysto-rhinostomy
Conjunctivo-dacryocysto-rhinostomy
Dacryocysto-rhinostomy (DCR) with/
without insertion of tube
Excision of lacrimal sac
Biopsy of lacrimal sac
Incision of lacrimal sac
Syringing of nasolacrimal system under
general anaesthesia (GA)
Probing of nasolacrimal sac under GA
Repair of torn canaliculus
Dilation of lacrimal punctum under GA
Endoscopic DCR
Muscles
Surgical correction of squint (one or
both eyes)
Revision of squint surgery (one or both eyes)
Tenotomy of muscle (one or both eyes)
Transposition of muscle (one or both eyes)
Surgical correction of squint with
adjustable sutures (one or both eyes)
Revision of squint surgery with
adjustable sutures (one or both eyes)
Correction of squint with botulinum toxin
Conjunctiva
Excision of conjunctival lesion
Cauterisation including cryotherapy to
conjunctival lesion
Radiotherapy to conjunctival lesion
Mucosal graft to conjunctiva
Suture of conjunctiva
Removal of suture of conjunctiva
Drainage of conjunctival cyst
Division of adhesions of conjunctiva
Biopsy of lesion of conjunctiva
Fee (RM)
Anesthetist
505
275
875
1015
1015
875
505
325
355
355
440
440
440
440
440
230
875
1015
1015
355
755
1650
355
2530
1540
1540
325
420
440
355
355
355
355
440
355
715
545
440
310
275
325
230
2090
2090
1785
820
820
820
875
505
325
275
440
440
355
230
275
875
275
2245
230
230
230
1155
1650
545
2015
1170
1540
2170
500
500
500
600
2530
820
875
420
275
440
440
505
1015
420
275
275
275
275
440
440
440
380
380
380
380
Item/Procedure
Surgeon
Subconjunctival injection
Exploration of conjunctiva including
removal of foreign body
Pterygium excision
Conjunctival limbal graft
Fee (RM)
Anesthetist
275
325
380
380
1170
635
440
420
275
2090
2090
505
275
355
1170
635
635
355
1540
380
380
820
820
440
355
380
545
355
355
355
545
1875
3145
3145
2530
2365
1015
755
1370
715
1845
635
635
1370
500
500
500
2090
1015
1785
875
1015
1650
820
600
665
500
500
500
1015
1650
1650
1650
1015
440
600
600
600
440
1540
1370
875
420
420
1015
600
500
380
380
380
380
2530
1785
1370
1585
665
500
3145
1155
1875
715
Cornea
Excision of lesion of cornea
Cryotherapy of lesion of cornea
Lameliar graft (Keratoplasty) to cornea
Perforating graft (Keratoplasty) to cornea
Repair of corneal wound
Removal of corneal suture
Removal of superficial corneal foreign body
Tension sutures
Chelation of cornea
Tattooing of cornea
Corneal scraping for culture
Refractive keratoplasty
Photorefrative keratectomy (PRK)/
Phototherapeutic keratectomy (PTK)
Keratomileusis laser in situ (LASIK)
Lamellar graft (Keratoplasty) to cornea
Performing graft (Keratoplasty) to cornea
Limbal stem cells transplantation
Amniotic membrane graft
Anterior stromal puncture
Astigmatic keratotomy
Sclera
Excision of lesion sclera
Repair of scleral laceration
Scleral graft
Iris and anterior chamber
Iridocycletomy
Surgical iridectomy
Surgical trabeculectomy
Laser trabeculoplasty
Trabeculotomy including laser
Goniotomy (surgical treatment
of glaucoma)
Laser iridotomy
Repair of prolapsed iris
Excision of lesion of iris
Removal of foreign body from iris
Cyclocyotherapy (cauterisation of
ciliary body)
Cyclodialysis (separation of ciliary body)
Reformation of anterior chamber
Paracentesis
Injection into anterior chamber
Irrigation of anterior chamber
Removal of foreign body from anterior
chamber
Valve implant in glaucoma
Surgical trabeculotomy
Cyclophotocoagulation
Lens
Bilateral
Item/Procedure
Surgeon
Phakoemulsification of lens with/
without implant
Bilateral
Yag laser photodistruption of posterior
capsule of lens including laser capsulotomy
Secondary insertion of lens implant
Revision of lens implant
Removal of lens implant
Small incision surgery with or without
intra ocular lens (IOL)
Cataract surgery in complicated cases e.g.
dislocated lens (with/without implant)
Scleral fixation of intraocular lens
Fee (RM)
Anesthetist
2245
820
2245
4150
820
1355
505
440
1540
1540
1170
2365
600
600
440
1355
3145
2090
1540
2245
665
1155
3145
1845
1875
715
755
875
310
355
1875
1875
5220
820
440
2560
5220
2560
6145
2890
Vitreous
Vitrectomy by anterior approach
Vitrectomy pars plana approach with insertion
of internal tamponade
Vitrectomy combined with membranectomy/
insertion of internal tamponade/laser
or cryotherapy
Retina
Buckling of sclera including implant/
encircling explant/silicone oil/gas
exchange/laser or cryotherapy
Removal of silicone oil
Laser photocoagulation/cryotherapy
/radiotherapy of lesion of retina (and bilateral)
Excision of lesion of retina
Biopsy of lesion of retina
Pars plana vitrectomy with removal
of IOL/dislocated lens
Pars plana vitrectomy with removal of intra
ocular foreign body
Buckling of sclera with trans pars
plana vitrectomy
(I
Interventional radiology
Item/Procedure
Surgeon
Fee (RM)
Anesthetist
Biopsy
Fluoroscopically guided biopsy
Ultrasound guided biopsy
CT/MRI guided biopsy
Transjugular/Transfemoral/Plugged liver
biopsy
Drainage
Fluoroscopically guided drainage of fluid
collection
Ultrasound guided drainage of fluid collection
CT/MRI guided drainage of fluid collection
635
755
875
1170
635
1170
1370
Item/Procedure
Surgeon
Angioplasty
Angioplasty
Angioplasty with insertion of metallic stent
Angioplasty with insertion of metallic stent
graft
Insertion of aortic metallic stent graft
Cerebral angioplasty with or without
insertion of metallic stent
Cerebral angioplasty with insertion of
metallic stent graft
Embolisation
Embolisation of artery or vein
Embolisationof vascular mass including
uterine embolisation
Embolisation of bronchial artery
Embolisation of aneurysm
Embolisation of arteriovenous malformation
Thrombolysis
Thrombolysis or aspiration of thrombus
under imaging control
Dilatation
Dilatation of stricture under imaging control
Percutaneous dilatation of biliary stricture
Head and neck
Endoluminal stone extraction from salivary
duct imaging control
Insertion of nasolacrimal stent under
imaging control
Head and neck spine
Chemonucleolysis
Fluoroscopically guided discectomy
including laser
CT guided discectomy including laser
Fluoroscopically guided percutaneous
vertebroplasty
CT Guided percutaneous vertebroplasty
Thorax
Insertion of tracheal/bronchial metallic stent
Insertion of oesophageal metallic stent
Gastro-intestinal
Percutaneous gastrostomy
Percutaneous gastro jejunostomy
Liver
Percutaneous cholecystotomy
Percutaneous insertion of plastic
biliary endoprosthesis
Percutaneous insertion of metallic biliary
endoprosthesis
Transjugular intrahepatic portosystemic
shunt
Urinary
Percutaneous nephrostomy
Percutaneous removal of calculus
Percutaneous pyelolysis
Others
Insertion of central venous catheterNon-tunnelled (X-ray guided)
Fee (RM)
Anesthetist
1540
1650
1785
4150
4150
1355
985
4150
985
1650
2530
3145
5220
6145
1845
1845
1170
1015
2015
860
635
1785
1015
1875
2530
1875
2530
1540
1370
1540
1875
1650
1650
2090
2530
1585
1170
2365
2365
635
Item/Procedure
Insertion of central venous catheter
tunnelled (X-ray guided)
Cyst ablation under imaging control
Insertion of vena cava filter
Retrieval of foreign body under X-ray guidance
Occlusion of fistula under imaging control
Percutaneous laser coagulation of mass
(j)
Surgeon
1015
1015
1170
1370
1875
3145
Neurology
Item/Procedure
Surgeon
Reporting of neurophysiology tests

Electroencoephalogram (EEG)
routine and sleep or portable
Evoked potential study
Visual evoked potential (VEP), brainstem
auditory evoked response (BAEP),
somatosensory evoked response (SSEP)
Electromyography (EMG) and nerve
conduction study
Nerve conduction study
Neurosurgery
Decompression and fusion of cranio
cervical junction
Craniotomy for suprasellar tumour
Craniotomy for posterior fossa tumour
Selective posterior rhizotomy
Endoscopic discectomy
Cervical laminectomy
(k)
Fee (RM)
Anesthetist
Fee (RM)
Anesthetist
275
505
505
275
6145
2890
6145
6145
5220
6145
3145
2890
2890
2560
Obstetric and gynaecology

Item/Procedure
Surgeon
Pregnancy and confinement

Caesarean delivery
Caesarean hysterectomy
Curettage of delivered uterus
Repositioning of inverted uterus
Neonatal exchange blood transfusion
Female reproductive organs
Utrerus/Adnexa
Radical hysterectomy and lymphadenectomy
(Wertheims)
Total abdominal hysterectomy
Subtotal abdominal hysterectomy
Hysterectomy and removal of uterine adnexa
Vaginal hysterectomy including laparoscopically
assisted
Hysterectomy and removal of uterine adnexa
for ovarian malignancy
Myomectomy including laparoscopically
Plastic reconstruction of uterus
Therapeutic endoscopic operation on uterus
including endometrial ablation
Fee (RM)
Anesthetist
1650
2090
420
635
875
715
715
355
600
4150
1355
1785
1785
1785
1785
665
665
665
665
2530
715
1785
1370
1370
665
600
600
Item/Procedure
Surgeon
Hysteroscopy with/without D&C,
biopsy including polypectomy
Endometrial biopsy or aspiration
Bilateral oophorectomy and
salpingectomy in isolation
Unilateral oophorectomy and salpingectomy
in isolation
Removal of products of conception from
fallopian tube (Ectopic pregnancy) including
laparoscopically
Laparoscopy including e.g. puncture of
ovarian cysts, plus/minus biopsy
Laparoscopy and therapeutic procedures
including laser, diathermy and destruction e.g.
endometriosis, adhesiolysis, tubal surgery
and solid tumours
Ovarian cystectomy (not included in
other procedures) (and bilateral)
Block dissection of pelvic lymph nodes
(not included in other procedures)
Total exenteration of pelvis
Anterior exenteration of pelvis
Posterior exenteration of pelvis
Suspension
Combined abdominal and vaginal operations
to support outlet of female bladder
Suprapubic sling operation
Retropubic suspension of neck of bladder
Vaginal operation to support outlet of
female bladder
Ventro-suspension of uterus including
laparoscopic
Cervix uteri
Colposcopy (with/without biopsy)
Amputation of cervix uteri
Laser destruction of lesion of cervix uteri
Cauterisation of lesion of cervix
uteri including loop diathermy
Cone biopsy of cervix uteri including laser
Punch biopsy of cervix uteri
Dilatation of cervix uteri and curettage of uterus
including polypectomy and diathermy of cervix
(for women over 40 years of age)
Vagina/Perineum
Cystourethroplasty
Excision/Diathermy of urethral carbuncle
Operation on female perineum
Incision of introitus of vagina
Other obliteration of vagina
Excision of septum of vagina
Excision of lesion of vagina
(e.g. warts and cysts)
Reconstruction of vagina
Anterior plus/minus posterior colporrhaphy
and amputation of cervix uteri
including primary repair of enterocoele
Posterior colporrhaphy
Anterior plus/minus posterior colporrhaphy
Fee (RM)
Anesthetist
755
380
355
1650
230
600
1170
600
1540
665
1015
500
1650
665
1650
600
1785
665
5220
4150
4150
2560
1585
1585
1650
600
1650
1650
1650
665
600
600
1170
545
325
1015
325
325
440
230
230
755
275
420
440
230
275
1540
325
420
420
1650
635
755
600
230
230
440
665
440
440
2365
1785
715
600
1170
1650
545
600
Item/Procedure
Surgeon
Repair of enterocele (in isolation) plus/
minus posterior colporrhaphy
Anterior (plus/minus posterior)
colporrhaphy with vaginal hysterectomy
Repair of vesicovaginal fistula
Repair of urethrovaginal fistula
Repair of rectovaginal fistula
Repair of ureterovaginal fistula
Vulva/Labia
Excision of Bartholins gland
Marsupialisation of Bartholins gland
Simple vulvectomy
Excision of excess labial tissue
Radical vulvectomy including block
dissection of inguinal gland
Excision of lesion of vulva
(l)
Fee (RM)
Anesthetist
1540
600
2170
715
1875
1650
2170
2170
715
715
715
715
755
755
1875
635
2530
310
310
665
380
860
505
310
Paediatric surgery
Item/Procedure
Surgeon
Drainage of abscess of lung
Laparotomy for NEC
Single stage closure of epispadias
Excision of neural crest tumours (thoracic)
Transternal excision teratoma
Transternal excision lymphangioma
Endoscopy and cannulation of tracheal fistula
Excision of bronchial cyst
Repair of lung
Excision of oesophageal duplication
Repair of H type of Tetralogy of Fallot (TOF)
Repair of tracheo-oesophageal cleft
Thoracotomy and primary repair of
oesophageal atresia
Repair of recurrent TOF
Thoracotomy and division of fistula
Esophagostomy
Oesophageal transaction
Rectosigmoidectomy with colo-anal
reconstruction for Hirschsprungs disease
Lester-Martin modification of Duhamel
Kimura operation for total colonic
Aganglionosis
Ileal caecal/jejunal patch for total
colonic aganglionosis
Presacral injection of hypertonic saline
Insertion of encircling suture perianal
sphincter
Posterior sagittal anorectoplasty
Posterior sagittal anorectoplasty with
laparotomy for high type anorectal anomaly
Fee (RM)
Anesthetist
2170
4150
3145
3145
3145
4150
1370
3145
2530
3145
3145
5220
4150
985
2185
1845
1845
1845
2185
500
1845
1585
1845
1845
2560
2185
5220
2530
1540
2365
4150
2560
1585
545
1355
2185
5220
6145
2560
2890
6145
2890
420
420
230
230
3145
4150
1845
2185
Item/Procedure
Surgeon
Anterior sagittal anorectoplasty
Sacroperineal pull-through
Posterior sagittal ano-recto-vagino-urethoplasty
for intermediate type cloacal
Posterior sagittal ano-recto-vagino-urethoplasty
with laparotomy for high type
Redo posterior sagittal ano-rectoplasty for
anorectal anomaly
Anoplasty
Drainage of choledochal cyst
Kasai operation for biliary atresia
Subtotal splenectomy
Repair of spleen
Aortopexy (for tracheomalacia)
Percutaneous insertion of nephrostomy tube
Cutaneous ureterostomy
Excision of ureterocoele
Excision of ectopic ureterocoele
Closure of bladder exostrophy
Conversion of cloacal exstrophy to bladder
exstrophy with end colostomy
Conversion of cloacal exstrophy, ileostomy,
separation of caecum from both hemibladders
Vesicostomy
Mitrofanoff appendicovasicostomy
Glandular hypospadias repair, e.g. MAGPI
Distal penile hypospadias repair, e.g. Flip-flap repair
Closure of urethra fistula
First state repair of penile hypospadias
Single stage island flap repair of proximal or
penoscrotal hypospadias
Single stage repair for severe hypospadias with
penoscrotal transposition
Single stage male reconstruction with
vaginectomy for ambiguous genitalia
Correction of penoscrotal transposition
Correction of chordae without hypospadias
(no need for urethroplasty)
Second stage repair of hypospadias
Correction of penile chordae without
hypospadius requiring urethroplasty
Hypospadias repair with free bladder or buccal
mucusa graft
Exploration of scrotum
Microvascular transfer of tests to scrotum
Laparoscopy and orchidopexy for
intraabdominal testis
Laparotomy and ligation of testicular artery
Laparoscopic division of testicular artery
Dorsal slit prepuce
Reduction clitoroplasty for congenital adrenal
hyperplasia
Reduction clitoroplasty with vaginoplasty for
congenital adrenal hyperplasia
Reduction clitoroplasty, laparotomy and
sigmoid colon vaginoplasty
Redo reduction clitoroplasty with redo
vaginoplasty with laparotomy and sigmoid
Excision of cervical cystic hygroma small
Fee (RM)
Anesthetist
2530
2530
5220
1585
1585
2560
6145
2890
5220
2560
1540
2090
6145
3145
2365
3145
1015
1370
2170
2245
5220
4150
545
860
2890
1845
1355
1845
380
500
985
1155
2560
2185
6145
2890
1540
3145
1370
2090
875
1370
3145
545
1845
500
860
355
500
1845
4150
2185
6145
2890
1650
1370
600
500
1370
2530
500
1585
4150
2185
875
2365
1875
355
1355
715
755
1370
355
2365
310
500
230
1355
4150
2185
6145
2890
6145
2890
1015
380
Item/Procedure
Surgeon
Excision of cervical cystic hygroma large
Excision of cervical cystic hygroma extensive
Correction of hydrocele Unilateral
Correction of hydrocele Bilateral
primary closure
silastic closure
Closure of exomphalos major/gastroschists
delayed primary closur
(m)
Fee (RM)
Anesthetist
2170
3145
875
1540
3145
985
1845
1875
2245
Paediatric orthopaedic surgery

Item/Procedure
Surgeon
Congenital dislocation of hip (CDH)

Close reduction with/without anaesthesia and
hip spica
Close reduction with application of brace
Open reduction with hip spica
Open reduction with pelvic osteotomy
Open reduction with femoral osteotomy
Open reduction with pelvic and femoral
osteotomy
Knee
Correction of deformity by serial casting
Correction of deformity by soft tissue release
Correction of deformity by osteotomy
Patellar stabilisation by casting
Pseudoarthrodesis
Excision and live graft
Excision and bone transport
Bone lengthening and correction of deformity
Using circular frame
Using uniaxial frame
Using circular and uniaxial frames (combined)
Foot
Clubfoot correction by serial casting
Clubfoot correction by elongation of tendon
Achilles
Clubfoot correction by complete soft tissue
release
Clubfoot correction by circular frame
Deformity correction by tendon transfer and
soft tissue release
Deformity correction by osteotomy and or fusion
Triple arthrodesis
Polio and cerebral palsy
Soft tissue release and neurectomy of hip
Bilateral
Soft tissue release of knee Bilateral
Soft tissue release of ankle Bilateral
Tendon transfer
Arthrodesis
Tumour resection and limb salvage
Soft tissue tumours simple
Soft tissue tumours complex including
neurovascular reconstruction
Bone tumours with endoprosthesis
Fee (RM)
Anesthetist
755
310
275
1650
2015
2015
2365
230
600
820
820
1355
275
1170
2015
1015
230
440
820
380
2530
2365
1585
1355
2365
2170
2365
1355
985
1355
275
635
230
275
1540
545
1540
1875
545
715
1875
1875
715
715
1170
440
1170
1170
1370
1875
440
440
500
715
1875
6145
715
2890
6145
2890
(n)
Pathology (Anatomical pathology)

Item/Procedure
Uncomplicated excision specimens

e.g. Appendix, fallopian tubes, vas, tonsils,
adenoids, sebaceous cyst, nasal polyp, heart
valve
More complicated excision specimens
Diagnostic biopsy (wedge/punch/trucut) (one
paraffin block)
Medium sized specimens
e.g. Eye, salivary gland, thyroid, breast
lump, gall bladder, prostatic chips, splenectomy,
simple hysterectomy, ovarian cyst, excised
diabetic ulcer, excised tumour not more than
10cm, diagnostic biopsy sent as 2 to 3 separate
specimens
Large specimens
e.g. Laryngectomy, pneumonectomy, simple
mastectomy, breast hookwire with margins,
gastrectomy, gut resection, nephrectomy, total
abdominal hysterectomy 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
e.g. Radical neck dissection, mastectomy
with axillary clearance, Whipples Wertheims,
vulvectomy with lymphadenectomy, any other
radical dissections requiring margins and lymph
node status
Specialised histopathology
Liver for non-neoplastic conditions including
special stains
Muscle including special stains
Renal biopsy including special stains and
immunofluorescence
Lymphoproliferative disorders including
immunohistophenotyping of lymphomas
Frozen section (with follow-up paraffin section
report)
Autopsy
Visit to scene of crime
Procedure and report
Cytopathology
Report on gynaecological smear
Report on non-gynaecological smear
Procedure on aspiration cytology
Report on aspiration cytology
Haematology and transfusion
Report based on blood film
Procedure on bone marrow aspiration
Report on bone marrow aspiration
Procedure on bone marrow trephine
Report on bone marrow trephine
Report on coagulation tests
Report on special haematological
investigations (e.g. folate-B12 status, Coombs
test, haemoglobin analysis, cytochemistry etc.)
Basic transfusion report e.g. discrepancies of
Surgeon
Fee (RM)
Anesthetist
50 60
100 120
150 195
300 365
385 430
180 210
245 300
360 425
245 300
360 485
360 600
600 1200
40 45
75 85
275
145 180
38 60
420
120 240
505
120 240
60 120
60 120
355
38 60
Item/Procedure
Surgeon
grouping and incompatibility of blood/blood
products
Report on transfusion problems
Pheresis
Harvesting of bone marrow
Grafting of bone marrow
Fee (RM)
Anesthetist
120 240
875
1170
1170
120 360
120 360
120 360
120 360
120 360
120 360
120 360
120 360
35 60
60 240
11 16
60 120
38 50
38 50
60 120
90 180
90 120
120 180
120 180
60 90
38 60
60 180
60 360
100 360
Genetics
Chromosomes study immunofluorescence
Immunophenotyping
Deoxyribo nucleic acid (DNA) content (Ploidy)
Gene rearrangement studies
Lymphocyte subsets
Report on other molecular genetic studies
Paternity testing
Human leucocyte antigen (HLA) typing
Immunology
Report on general immunology test e.g.
Autoimmunne disease screen, autoantibodies
screen
Report on special immunological
investigations e.g. Serum protein
electrophoresis, CSF electrophoresis,
immunotyping of monoclonal proteins,
immunophenotyping of immune disorders,
investigations of proteinuria, cellular function
studies
Medical microbiology
Report on routine culture and sensitivity
Report on special cultures
Report on direct smears examination
(gram/Acid fast bacilli (AFB))
Report on serological tests
Report on special serological tests
Report on antimicrobial susceptibility testing
(pre test)
Consultation on patient management
(investigation and empirical therapy)
Positive blood culture smear examination and
preliminary report with consultation on patient
management
Consultation on infection control
Report on antigen detection
(Immunofluorescence, IgG enzyme linked
immuno-sorbent assay (ELISA), latex/
coagglutination)
Chemical pathology
Report on general chemistry profiles e.g. liver,
bone, cardiac
Report on general chemistry screen including
executive screen
Report on special chemistry investigations
e.g. Metabolic studies (lipid, bone) endocrine
disorders, toxicology studies, therapeutic drug
monitoring, maternal and foetal health
assessment
Report on dynamic studies e.g. function studies
(GI, endocrine, renal)
Item/Procedure
Consultation for
Investigation strategy
Non-analytical variation
Drug interferences
Correlation between clinical data and
clinical information provided
Miscellaneous
Electron microscopy
Second opinion for
Data interpretation and bone marrow slides
Histopathology and cytopathology
Autopsy findings
(o)
Surgeon
Fee (RM)
Anesthetist
90 120
60 120
60 120
60 120
300 360
120 240
240 600
240 1200
Psychiatry Psychotherapy
Item/Procedure
Individual psychotherapy not less than 45 minutes
per session including behaviour therapy and
hypnotherapy
Group psychotherapy per person one hour per
group of not less than three patients and not more
than eight patients
Marital therapy per couple not less than 45 minutes
per session for a couple together
Family therapy per family not less than 45 minutes
per session and not less than three members
Child psychotherapy not less than 30 minutes
per session including relevant family interviews
Each electroconvulsive therapy (ECT)
(p)
Fee (RM)
220
55
220
220
220
275
Radiology and diagnostic imaging

Note:
Where applicable, radiologist fee make up 30% of the total fee chargeable for radiology
and diagnostic imaging.
Item/Procedure
Fee (RM)
Chest
Chest (single view)
Chest (two views)
Chest (three views)
Chest (four views)
Abdomen
Abdomen (single view)
Abdomen (two views)
Abdomen (three views)
Kidney, ureter and bladder (KUB) (single view)
Lateral pelvimetry
Anteroposterior (AP) and lateral pelvimetry
Spine
Cervical spine (single view)
Cervical spine (two views)
Cervical spine (three views)
Cervical spine (four views)
Cervical spine (five views)
Thoracic spine (single view)
40
60
80
100
40
60
80
100
50
80
40
60
80
100
120
40
Item/Procedure
Thoracic spine (two views)
Thoracic spine (three views)
Lumbo-sacral spine (single view)
Lumbo-sacral spine (two views)
Lumbo-sacral spine (three views)
Lumbo-sacral spine (four views)
Skeletal survey
Fee (RM)
60
80
40
60
80
100
220
40
60
80
100
40
60
80
40
40
60
80
40
60
80
100
40
65
95
115
40
60
80
60
90
40
60
80
40
60
80
40
60
80
100
50
40
60
40
60
80
100
Skull
Skull (single view)
Skull (two views)
Skull (three views)
Skull (four views)
Facial bones
Facial bones (single view)
Facial bones (two views)
Facial bones (three views)
Nasal bones (single view)
Mandible
Mandible (single view)
Mandible (two views)
Mandible (three views)
Temporo-mandibular joints
Temporo-mandibular joints (single view)
Temporo-mandibular joints (two views)
Temporo-mandibular joints (three views)
Temporo-mandibular joints (four views)
Mastoids
Mastoids (single view)
Mastoids (two views)
Mastoids (three views)
Mastoids (four views)
Paranasal sinuses
Paranasal sinuses (single view)
Paranasal sinuses (two views)
Paranasal sinuses (three views)
Optic foramina view
Unilateral
Bilateral
Orbits
Orbits (two views)
Orbits (three views)
Orbits (four views)
Internal auditory canal
Internal auditory canal (single view)
Internal auditory canal (two views)
Internal auditory canal (three views)
Shoulder
Shoulder (single view)
Shoulder (two views)
Shoulder (three views)
Shoulder (four views)
Acriomo-clavicular joints both weight bearing
Arm (Humerus)
Arm (single view)
Arm (two views)
Elbow joint
Elbow joint (single view)
Elbow joint (two views)
Elbow joint (three views)
Elbow joint (four views)
Item/Procedure
Forearm (Radius/Ulna)
Forearm (single view)
Forearm (two views)
Wrist joint
Wrist joint (single view)
Wrist joint (two views)
Wrist joint (three views)
Wrist joint (four views)
Hand
Hand (single one view)
Hand (single two views)
Hand (single three views)
Hand (both one view)
Hand (both two views
Hand (both three views)
Left Hand for Bone age
Thumb or single digit
Thumb or single digit (single view)
Thumb or single digit (two views)
Clavicle
Clavicle (single view)
Clavicle (two views)
Sterno-clavicular joint
Sterno-clavicular joint (single view)
Sterno-clavicular joint (two views)
Sterno-clavicular joint (three views)
Sternum (single view)
Scapula
Scapula (single view)
Scapula (two views)
Carpal tunnel view
Scaphoid views
Pelvis
Pelvis (single view)
Pelvis (two views)
Pelvis (three views)
Hip joint
Hip joint (single view)
Hip joint (two views)
Hip joint (three views)
Hip joint (four views)
Hip joint (five views)
Femur (Thigh)
Femur (single view)
Femur (two views)
Knee
Knee (single view)
Knee (two views)
Knee (three views)
Knee (four views)
Knee (five views)
Lower leg (Tibia/Fibula)
Lower leg (single view)
Lower leg (two views)
Ankle
Ankle (single view)
Ankle (two views)
Ankle (three views)
Ankle (four views)
Ankle (five views)
Fee (RM)
40
60
40
60
80
100
40
60
80
50
70
90
40
25
35
40
60
40
60
80
40
40
60
60
80
45
65
85
45
65
85
105
125
45
60
40
60
80
100
120
40
60
40
60
80
100
120
Item/Procedure
Fee (RM)
Foot
Foot (single view)
Foot (two views)
Foot (three views)
Both feet (two views)
Both feet (three views)
Subtalar joints
Subtalar joints (single view)
Subtalar joints (two views)
Subtalar joints (three views)
Subtalar joints (four views)
Calcaneum
Calcaneum (single view)
Calcaneum (two views)
Bone densitometry
Dexa
Ultrasound
Radiographic contrast examination
(radiologist fee in parenthesis)
Barium swallow (40%)
Barium meal (double contrast) (40%)
Barium meal and follow through (40%)
Small bowel enema (40%)
Gastrograffin or non-ionic contrast upper
gastro-intestinal study (40%)
Barium enema (single or double contrast) (40%)
Gastrograffin or non-ionic contrast enema (40%)
Loopogram (40%)
Duodenal intubation (40%)
Oral cholecystogram (single dose) (30%)
Oral cholecystogram (double dose) (30%)
Cystogram (30%)
Ascending urethrogram (40%)
Micturating cystourethrogram (40%)
Retrograde pyelogram one side (30%)
Retrograde pyelogram both sides (30%)
Ileal conduit study (40%)
Nephrostomy pyelogram one side (30%)
Nephrostomy pyelogram both sides (30%)
IVU standard dose contrast (30%)
IVU standard and tomograms (30%)
IVU double dose contrast (30%)
IVU double dose of contrast and tomogram (30%)
IVU standard dose and delayed radiographs (30%)
IVU double dose of contrast and delayed
radiographs (30%)
IVU standard dose and tomograms and delayed
radiographs (30%)
IVU double dose and tomograms and delayed
radiographs (30%)
T-Tube cholangiogram (30%)
Operative cholangiogram (30%) urgent
reporting only
Hysterosalpingogram (ionic contrast) (30%)
screening and reporting only
Hysterosalpingogram (non-ionic contrast)
(30%) screening and reporting only
Hysterosalpingogram plus ionic contrast
(whole procedure) (40%)
40
60
80
70
90
40
60
80
100
40
60
150
130
100
150
180
180
180
180
180
180
200
120
150
180
200
250
120
180
180
150
204
200
230
270
300
250
320
280
350
120
250
120
120
180
Item/Procedure
Hysterosalpingogram plus ionic contrast
(whole procedure) (40%)
Sinogram (40%)
Parotid sialogram one side (50%)
Parotid sialogram both sides (50%)
Submandible sialogram one side (50%)
Submandible sialogram both sides (50%)
Arthrogram one side (50%)
Arthrogram both sides (50%)
Lumbar myelogram (Water soluble non-ionic
contrast) (50%)
Cervical/Thoracic myelogram (50%)
Bronchogram one side (40%) Screening,
reporting plus radiographs only
Bronchogram one side (40%) Screening,
reporting plus radiographs only
Tomography
Tomogram one plane (30%)
Tomogram two planes (30%)
Tomogram Pituitary fossa AP/lateral (30%)
Mammogram
Mammography up to four views (35%)
Mammography and one additional view (35%)
Mammography and two additional views (35%)
Mammography and limited ultrasound
additional (35%)
Computer Tomography Scans (CT Scans)
(Note: Charges are based on 100ml of intravenous
non-ionic contrast except CT Brain/Orbit - 50ml)
Brain (without contrast) (30%)
Brain (with non-ionic contrast) (35%)
Brain complex CT (50%)
Abdomen (without contrast) (30%)
Abdomen (with non-ionic contrast) (35%)
Abdomen two phases (40%)
Abdomen three phases (40%)
Abdomen four phases (40%)
Abdomen complex (40%)
Pelvis (without contrast) (30%)
Pelvis (with non-ionic contrast) (35%)
Pelvis complex (50%)
Spines cervical or lumbar (without contrast) (30%)
Spines cervical or lumbar (with intraspinal
non-ionic contrast (50%)
Spine complex (50%)
Spines thoracic (without contrast) (30%)
Spines thoracic (with intraspinal non-ionic contrast)
(50%)
Spine complex (50%)
Chest (without contrast) (30%)
Chest (with non-ionic contrast) (35%)
Chest complex (50%)
Low dose screening CT of the chest (30%)
High resolution computerised tomography
(HRCT) inspiratory or expiratory (30%)
HRCT inspiratory plus expiratory (40%)
Neck/Thyroid (without contrast) (30%)
Neck/Thyroid (with non-ionic contrast) (30%)
Postnasal space and neck (without contrast) (30%)
Fee (RM)
200
150
200
400
200
400
200
350
450
530
200
300
170
220
170
200
230
260
250
350
430
550
350
450
550
650
800
750
300
400
500
350
650
750
400
650
750
300
400
500
250
300
450
300
400
450
Item/Procedure
Postnasal space and neck (with non-ionic
contrast) (30%)
Postnasal space complex (50%)
Orbits (without contrast) (20%)
Orbits (with non-ionic contrast) (25%)
Orbits complex (50%)
Pituitary fossa (without contrast) (20%)
Pituitary fossa (with ionic contrast) (25%)
I.A.M. (without contrast) (20%)
I.A.M. (without non-ionic contrast) (25%)
Total body scan (brain, neck, chest, abdomen
and pelvis) (without contrast) (20%)
Total body scan (with non-ionic contrast) (25%)
Total body scan complex (50%)
Chest, abdomen and pelvis (without contrast) (20%)
Chest, abdomen and pelvis (with non-ionic
contrast) (25%)
Chest, abdomen and pelvis complex (50%)
Spiral CT of abdomen and pelvis for renal
calculi (without intravenous contrast) (30%)
Single plane high resolution CT of the parasanal
sinuses for sinusitis (without contrast) (20%)
Single plane CT of the paranasal sinuses
(without contrast) (20%)
Single plane CT of the parasanal sinuses (with
non-ionic contrast) (25%)
Abdomen and pelvis (without contrast) (30%)
Abdomen and pelvis (with contrast) (35%)
Abdomen and pelvis complex (50%)
Chest and upper abdomen (without contrast)
(30%)
Chest and upper abdomen (with contrast) (35%)
Chest and upper abdomen complex (50%)
CT two system (not listed above) (without
contrast) (30%)
CT two system (not listed above) (with
contrast) (35%)
CT two system (not listed above) (complex)
(50%)
CT extremities (without contrast) (one region)
(30%)
CT extremities (with contrast one region) (35%)
CT extremities complex (50%)
Ultrasound
Upper abdomen (40%)
Pelvis (40%)
Abdomen and pelvis (50%)
Kidneys and bladder (40%)
Kidneys and bladder plus residual urine
volume estimation(50%)
Brain (neonatal) (40%)
Detailed ultrasound scan of foetus
Thyroid (40%)
Breast (40%)
Doppler ultrasound of extra-cranial carotids
(50%)
Doppler ultrasound of arteries per region (50%)
Doppler ultrasound of veins single limb (50%)
Doppler ultrasound of veins two limbs (50%)
Fee (RM)
550
650
300
400
300
400
300
400
900
1000
1100
800
900
1000
300
200
300
400
600
700
800
600
700
800
600
700
800
350
450
550
150
120
200
100
120
120
250
100
140
350
250
250
400
Item/Procedure
Doppler ultrasound of arteries for single limb (50%)
Doppler ultrasound of arteries for two limbs (50%)
Musculoskeletal ultrasound per region (40%)
Ultrasound scrotum (40%)
Doppler ultrasound for scrotum (50%)
Doppler ultrasound for other organs (per organ)
not listed above (50%)
Endocavitary ultrasound (50%)
Heart ultrasound for pericardial disease
Surcharge for each portable ultrasound payable
to radiologist during normal working hours
Surcharge for each portable ultrasound payable
to radiologist after normal working hours
Screening
Endoscopic retrograde cholangio pancreatography
(ERCP) (30%) Screening and reporting only
(simple)
ERCP (30%) Screening and reporting only
(complex)
Magnetic resonance imaging (MRI)
Brain
Brain (without contrast)
Brain (with contrast)
Brain with magnetic resonance angiography
(MRA) (Intracranial)
Brain with MRA plus contrast
Brain with MRA plus bilateral carotids
plus contrast
MRA intracranial or extracranial carotids
Brain MRV simple
Brain MRV complex
Pituitary (without contrast)
Pituitary (with contrast)
Pituitary (with contrast dynamic)
I.A.M (without contrast)
I.A.M (with contrast)
I.A.M plus brain (without contrast)
I.A.M plus brain (with contrast)
Orbit
Orbits (without contrast)
Orbits (with contrast)
Orbits and Brain (without contrast)
Orbits and Brain (with contrast)
Neck
Neck (without contrast)
Neck (with contrast)
Neck and brain (without contrast)
Neck and brain (with contrast)
Brachial plexus (without contrast)
Brachial plexus (with contrast)
Thorax
Mediastinum (without contrast)
Mediastinum (with contrast)
Cardiac
Cardiac MRI simple
Cardiac MRI intermediate
Cardiac MRI complex
Thoracic MRA simple
Thoracic MRA intermediate
Fee (RM)
300
450
150
100
200
300
150
80
50
150
200
300
700
900
1200
1400
1800
700
700
900
700
900
1200
700
900
1200
1400
700
900
1200
1400
700
900
1300
1500
800
1000
700
900
1000
1500
2000
900
1100
Item/Procedure
Thoracic MRA complex
Pulmonary MRA simple
Pulmonary MRA intermediate
Pulmonary MRA complex
(Surcharge for each 10ml of IV MRI contrast agent)
Upper Abdomen
Upper abdomen simple
Upper abdomen intermediate
Upper abdomen complex
Magnetic resonance cholangio pancreaticography
(MRCP)
Magnetic resonance Urography
Upper abdomen MRA simple
Upper abdomen MRA intermediate
Upper abdomen MRA complex
(Surcharge for each 10ml of IV MRI contrast agent)
Pelvis
Pelvis simple
Pelvis intermediate
Pelvis complex
MRI Pelvimetry
(Surcharge for each 10ml of IV MRI contrast
agent)
Spine
MRI whole spine (without contrast) (for cord
compression)
MRI whole spine (with contrast) (for cord
compression)
MRI cervical spine (without contrast)
MRI cervical spine (with contrast)
MRI thoracic spine (without contrast)
MRI thoracic spine (with contrast)
MRI lumbar spine (without contrast)
MRI lumbar spine (with contrast)
Joints (Shoulder, Sternoclavicular, elbow, wrist,
hip, sacro-iliac, knee, ankle, sub-tarsal)
MRI single joint (without contrast)
MRI single joint (with contrast)
Region (arm/forearm/hand/thigh/lower legcalf/
foot)
MRI single region (without contrast)
MRI single region (with contrast)
MRI Arthrography (radiologist fee)
(q)
Fee (RM)
1300
900
1100
1300
250
900
1100
1300
700
700
900
1100
1300
250
900
1100
1300
500
250
1400
1600
900
1200
900
1200
900
1200
900
1200
1000
1300
300
Radiotherapy and oncology

Item/Procedure
External irradiation treatment (Linear accelerator)

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

External irradiation treatment using any other
fraction to be charged according to biological

equivalent dose
Treatment of a Co 60 teletherapy unit to be
charged 30% less on daily treatment fee
Treatment fee inclusive of specialist fee
Low dose rate intracavitary treatment each
session to include radioactive source,

applicators. Not inclusive of ward, theatre and
Fee (RM)
150
100 300
2500 5000
Item/Procedure
anaesthetic fees
Interstitial treatment e.g. implants inclusive of
source and other applicators
High dose rate intracavitary/intraluminal
radiotherapy for complete treatment (not
inclusive of applicators)
Cytotoxic therapy (excluding consultation)
Infusion
Prolonged Infusion
Progressive chemotheraphy per day 2
radiotherapy for
Fee (RM)
3000 5000
2000 5000
500 750
600 900
150 250
(r) Skin and subcutaneous tissue

Item/Procedure
Surgeon
Lesions of skin
Coccygeal pressure ulcer excision
Microscopically controlled excision of lesion
of skin or subcutaneous tissue (Mohs
chemosurgery)
Malignant melanoma excision including
grafting
Excision of lesion of skin or subcutaneous
tissue up to three
Excision of lesion of skin or subcutaneous
tissue four or more
Lesion requiring wide excision including
rodent ulcer excision
Curettage/cryotherapy of lesions of skin
including cauterisation four or more
Laser destruction of lesion of skin
Shave biopsy of lesion of skin
Removal of foreign body in deeper tissue
Drainage of lesion of skin including abscess
Drainage of large subcutaneous abscess/
haematoma
Limited area dermabrasion of skin
Extensive dermabrasion of skin
Excision of nail bed (Zadeks)
Repair
Primary suture of wound with involvement of
deeper tissue
Secondary suture of skin
Insertion/removal of skin expander into tissue
Debridement of wound (and surgical toilet)
Burns
Escharectomy of burnt skin or subcutaneous
tissue (not more than 10%)
Escharectomy of burnt skin or subcutaneous
tissue (greater than 10%)
Extensive dressing of burn of skin or
subcutaneous tissue
Transplant
Distant flap of skin and muscle
Neurovascular island flap
Large local flap including myocutaneous and
fascia
Small local flap
Fee (RM)
Anesthetist
755
2170
600
715
1875
600
355
355
875
440
875
355
875
275
505
275
635
325
505
230
230
310
230
355
505
875
635
275
380
380
1170
545
325
1170
420
275
440
275
1170
380
1540
665
420
545
1650
2090
1540
820
820
440
1540
440
Item/Procedure
Surgeon
Fee (RM)
Anesthetist
Grafts
Split autograft of skin small site
Split autograft of skin large site
Full thickness graft
Microvascular free tissue transfer
875
1785
1015
3145
440
600
600
1355
(s) Spine, spinal cord and peripheral nerves

Item/Procedure
Surgeon
Cervical region
Primary posterior decompression including
fusion
Primary posterior decompression with fusion
and instrumentation
Open door laminoplasty of the cervical region
(Hirobyashi)
Revision posterior decompression including
fusion
Revision posterior decompression with fusion
and instrumentation
Revision anterior decompression incuding
fusion
Revision anterior decompression with fusion
and instrumentation
Combined anterior and posterior fusion of,
cervical spine including instrumentation
Trans oral surgery including posterior fixation
Endoscopic discectomy
Cervical laminectomy
Decompression and fusion of creniocervical
junction
Primary posterior excision of cervical disc
Revision posterior excision of intervertebral
disc(s)including fusion
disc(s) with fusion and instrumentation
Primary anterior excision of disc(s), including
fusion
Primary anterior excision of disc(s), with
fusion and instrumentation
Revision anterior excision of disc(s),
including fusion
Revision anterior excision of disc(s),with fusion
and instrumentation
Thoracic region
Primary transthoracic/posterior/antero-lateral
excision of intervertebral disc(s), including
fusion
Primary transthoracic/posterior/antero-lateral
excision of intervertebral disc(s) with fusion
and instrumentation
Primary posterior decompression, including
fusion
Primary posterior decompression, with fusion
and instrumentation
Revision posterior decompression, including
fusion
Fee (RM)
Anesthetist
3145
1155
3145
1155
3145
1155
4150
1155
4150
1155
4150
1155
4150
1155
5220
1585
5220
6145
3145
6145
1355
2530
4150
1155
1155
4150
1155
3145
1155
3145
1155
4150
1355
4150
1355
2530
1155
2365
1155
3145
1155
3145
1155
4150
1155
Item/Procedure
Surgeon
and instrumentation
Primary anterior/transthoracic decompression,
including fusion
Primary anterior/transthoracic decompression
with fusion and instrumentation
Revision anterior/transthoracic decompression,
including fusion
Lumbar region
Primary posterior excision of intervertebral
disc(s),including fusion
Primary posterior excision of intervertebral
including graft stabilisation
disc(s), with fusion and instrumentation
Primary transabdominal/retro-peritoneal excision
of intervertebral disc(s), including fusion and
instrumentation
Revision anterior excision of intervertebral
Revision anterior excision of intervertebral
Primary posterior decompression on spine,
including fusion
Primary posterior decompression with fusion
and instrumentation
and instrumentation
Primary anterior decompression including fusion
Primary anterior decompression with fusion and
instrumentation
Revision anterior decompression with fusion and
instrumentation
Combined anterior and posterior decompression
including fusion and instrumentation
Posterior spinal fusion with instrumentation for
scoliosis, kyphosis, fractures, tumours or
infection
Anterior spinal fusion with instrumentation for
scoliosis, kyphosis, fractures, tumours or
infection
Percutaneous (or laser) discectomy
Microdiscectomy
Revision Microdiscectomy
Removal of correctional instrumentation from
spine
Exploration of spine including biopsy
Manipulation of spine
Chemonucleoysis
Spinal cord
Partial excision of spinal cord
Open operation on spinal cord
Repair of spinal myelomeningocele
Excision of intradural lesion
Drainage of spinal canal including insertion of shunt
Fee (RM)
Anesthetist
4150
1155
4150
1155
4150
1155
4150
1155
2090
820
3145
1355
2530
985
4150
1355
3145
1155
4150
1355
4150
1355
2530
860
2530
860
2530
985
3145
3145
1355
1355
4150
1585
5220
1585
5220
1845
6145
2185
1875
2090
2530
1370
820
820
985
545
1650
505
1015
600
355
380
4150
4150
3145
4150
2365
1355
1355
1155
1355
715
Item/Procedure
Surgeon
Lumbar puncture including spinal manometry
Excision of intramedullary tumour
Nerve roots
Rhizolysis (open)
Open sympathectomy
Endoscopic sympathectomy
Symphathetic nerves
Thorascopic cervical sympathectomy
Laparoscopic lumbar sympathectomy
Presacral sympathectomy
Selective posterior rhizotomy
Peripheral nerves
Excision of peripheral nerve
Transection of peripheral nerve
Neurectomy (major nerve)
Excision of lesion of peripheral nerve
Excision of lesion (major nerve)
Primary repair of peripheral nerve including
microsurgery
Secondary repair of peripheral nerve including
microsurgery
Primary graft to peripheral nerve
Secondary graft to peripheral nerve
Primary repair of peripheral nerve
Secondary repair of peripheral nerve
Primary repair of nerve trunk
Secondary repair of nerve trunk
Carpal or cubital tunnel release including endoscopic
Carpal or cubital tunnel release including
endoscopic Bilateral
Release of entrapment of deeply placed
peripheral nerve
Release of entrapment of peripheral nerve
Neurolysis and transposition of peripheral nerve
Revision of release of peripheral nerve
Implantation of neurostimulator into peripheral
nerve
Biopsy of peripheral nerve
Exploration and grafting of brachial plexus
Pain relief
Paravertebral block up to two levels (under Xray control)
Sacral root block (under X-ray control)
Intravenous regional sympathetic block
(Guanethidine block) one injection
Intravenous regional sympathetic block
(Guanethidine block) - course of three
Stellate ganglion block (local anaesthethic (LA))
Stellate ganglion block (neurolytic)
Coeliac plexus block (LA or neurolytic)
Splanchnic nerve block bilateral (local
anaesthethic or neurolytic)
Dorsal root ganglion block (LA or neurolytic)
Dorsal root ganglion block (local frequency)
Intrathecal neurolysis
Trigeminal ganglion injection (LA under
X-ray control)
Trigeminal ganglion radio frequency lesion
(under X-ray control)
Fee (RM)
Anesthetist
325
4150
230
1355
2365
6145
6145
715
2170
1650
1370
6145
715
665
600
755
755
1170
875
1170
1785
380
380
440
380
440
715
1875
665
2090
2090
755
1015
875
1370
755
1370
665
600
440
380
440
440
380
665
755
380
755
875
1370
1785
380
440
440
275
755
875
310
500
505
505
420
875
420
505
1015
1015
875
1370
1015
1015
275
1875
Item/Procedure
Surgeon
Percutaneous cordotomy of spinal cord
Epidural injection (servical)
Epidural injection (lumbar)
Epidural injection (thoracic)
Injection of therapeutic substance into CSF
Facet or sacroiliac joint radio frequency (RF)
thermocoagulation including rhizolysis (under
X-ray control with sedation/GA) 3 joints
Facet or sacroiliac joint radio frequency (RF)
thermocoagulation including rhizolysis (under
X-ray control with sedation/GA) 6 joints
Facet joint injection (under X-ray control with
sedation/GA) 2 joints
Implantation of neurostimulator into peripheral
nerve
Peripheral nerve lesion (radio frequency,
cryoprobe or phenol)
Local anaesthethic blockade of major nerve
trunk
Lumbar sympathectomy: Diagnostic (LA under
X-ray control)
Thoracic sympathectomy: Diagnostic (LA
under X-ray control)
Lumbar sympathectomy: Therapeutic
(neurolytic under X-ray control)
Thoracic sympathectomy: Therapeutic
(neurolytic under X-ray control)
Cryotherapy to pituitary gland
Injection(s) into large joint(s) under X-ray
control
Neurophysiological procedures
Electro-convulsive therapy (ECT)
Electroencephalography (EEG)
Recording and reporting on evoked potential
study
Recording and reporting on electromyography
(EMG) and nerve conduction studies
Trans tympanic electro-cochleography
Fee (RM)
Anesthetist
2365
635
505
635
325
1015
820
230
230
230
715
355
1785
600
635
230
755
275
875
310
1785
275
635
325
875
875
1170
355
1370
380
2245
420
820
275
275
505
230
505
635
(t) Thorax and intra-thoracic organs

Item/Procedure
Surgeon
Oesophagus
Thorascopic oesophageal mobilisation
via mediastimum
Oesophagogastrectomy
Total oesophagectomy and interposition of
intestine
Open excision of lesion of oesophagus
Bypass of oesophagus
Revision of oesophageal anastomosis
Closure of bypass of oesophagus
Fee (RM)
Anesthetist
4150
1585
5220
6145
2185
2890
1650
2170
2365
1875
985
1355
1155
985
Item/Procedure
Surgeon
Transthoracic repair of oesophagus
Thorascopic repair of oesophagus
Oesophagocardiomyotomy (Heller's operation)
Thorascopic oesophagogastric myotomy
Injection sclerotherapy for oesophageal varices
Transthoracic repair of hiatus hernia
Transthoracic repair of diaphragmatic hernia
Transabdominal repair of hiatus hernia
Transabdominal repair of diaphragmatic hernia
Transabdominal anti-reflux operations
Revision of anti-reflux operations
Chest wall
Thoracoplasty
Excision of chest wall tumour
Correction of pectus deformity of chest wall
Multiple fracture fixation
Exploratory median sternotomy
Exploratory thoracotomy
Resection of rib and open drainage of pleural cavity
Repair of rupture of diaphragm
Plication of paralysed diaphragm
Repair of congenital diaphragmatic hernia
Trachea
Partial excision of trachea including
reconstruction
Tracheoplasty
Open placement of prosthesis in trachea
Tracheostomy
Insertion of mini-tracheostomy
Thoracotomy, ligation of TOF oesophageal
anastomosis
Thoracotomy, ligation of TOF, cervical
oesophagostomy
Cervical oesophagostomy and gastrectomy
Fibreoptic endoscopic procedures under topical
anesthesia
Fibreoptic examination of trachea and bronchus
including biopsy/removal of foreign body
Bronchial lavage (diagnostic or therapeutic)
Dilatation of tracheal stricture including insertion
of stent
Dilatation of bronchial stricture by fibreoptic
bronchoscope
Transbronchial biopsy
Bronchus, lungs and pleura
Diagnostic examination of bronchus using rigid
bronchoscope including biopsy/removal of
foreign body/dilatation of stricture
Total pneumonectomy
Open lobectomy of lung including excision of
segment
Lung resection with resection of chest wall
Thorascopic lung resection including video
assisted
Open excision of lesion of lung
Needle biopsy of lung
Decortication of pleura or lung
Pleurectomy for pneumothorax
Fee (RM)
Anesthetist
3145
2530
1785
1875
875
2015
2015
1875
2530
1875
2530
3145
1155
1155
860
860
600
820
820
665
715
665
715
1155
2365
2090
2530
2015
1015
1370
1370
2530
2090
2365
860
820
820
820
665
665
665
985
860
1355
3145
1845
1540
1540
875
505
4150
545
440
500
355
4150
2015
635
440
755
755
875
875
875
440
3145
3145
1355
1355
5220
1650
1585
600
2530
420
2530
2170
1155
275
985
860
Item/Procedure
Surgeon
Open excision/biopsy of lesion of pleura
Endoscopic excision of lesion(s) of lung/pleura
Thoracoscopy (plus/minus biopsy) pleura/lung
Drainage of pleural cavity
Insertion of tube drain into pleural cavity
Introduction of substance into pleural cavity
with chest drain
Biopsy of pleura
Lung transplant
Lung volume reduction surgery
Mediastinum
Thymectomy
Exploration of mediastinum
Endoscopic excision of lesion of mediastinum
Diagnostic endoscopic examination
of mediastinum
Heart-cardiac surgery
Correction of Tetralogy Fallot (TOF)
Atrial inversion for transposition of
great vessels
Other correction of transposition of
great vessels
Correction of total anomalous pulmonary
venous connection
Closure of defect of atrioventricular
septum using dual prosthetic patches
Closure of defect of interatrial septum
Closure of defect of interventricular septum
Therapeutic transluminal operation on
septum of heart
Creation of valved cardiac conduit
Excision of cardiac tumour
Replacement of mitral valve
including valvuloplasty
Plastic repair of mitral valve
Replacement of aortic valve including
valvuloplasty
Replacement of tricuspid valve
Replacement of pulmonary valve including
valvuloplasty/valvotomy
Replacement of unspecified valve of heart
Open valvotomy
Closed valvotomy (Mitral/Pulmonary)
Therapeutic transluminal operation
on valve of heart
Removal of obstruction from structure
adjacent to valve of heart
Autograft bypass for coronary arteries
including harvesting of grafts and
endarterectomy
Redo of bypass for coronary arteries
including harvesting of grafts
Correction of anomalous coronary arteries
Open operation on conducting system of heart
Repair of ventricular aneurysm
Excision of pericardium
Fee (RM)
Anesthetist
2365
875
505
505
505
275
820
440
440
275
275
230
505
6145
4150
275
2890
2185
1875
1015
1170
1170
1355
665
440
440
6145
6145
2890
2890
6145
2890
6145
2890
6145
2890
6145
6145
2530
2560
2560
2185
6145
6145
6145
2890
2890
2560
6145
6145
2560
2560
6145
6145
2560
2560
6145
6145
4150
2365
2560
2560
2185
1845
6145
2560
6145
2560
6145
2890
6145
6145
5220
3145
2890
2560
2560
985
Item/Procedure
Surgeon
Decompression of cardiac tamponade
Incision of pericardium
Midcab coronary artery bypass grafts
without cardio-pulmonary bypass pump
Minimally invasive open heart surgery
with cardio-pulmonary bypass pump
Ventricular assist device
Heart transplant
Heart-cardiology
Percutaneous transluminal angioplasty of
coronary arteries including laser
Percutaneous transluminal angioplasty
with stent insertion
Map guided surgery for ventricular
arrhythmias including mapping
Percutaneous transluminal ablation of
atrio-ventricular node
accessory pathway including mapping
Mapping of conducting system (in isolation)
Cardiac pacemaker system introduced
through vein (single chamber)
Cardiac pacemaker system introduced
through vein (dual chamber)
Resiting of intravenous cardiac
pacemaker system
Replacement of generator for intravenous
cardiac pacemaker system
Removal of pacing system with bypass
Removal of pacing system without bypass
Implantation of automatic cardiover ter/
defibrillator
Adult cardiac catheterisation including
coronary arteriography/catheterisation of
right/left side of heart/contrast radiology
Paediatric cardiac catheterisation
Pericardiocentesis
Percutaneous transluminal peripheral
angioplasty (femoral, iliac, renal, popliteal,
subclavian, other distal vessels)
Percutaneous transluminal peripheral an
gioplasty with stent placement
Percutaneous transluminal carotid
angioplasty with stent placement
ventricular tachycardia
Percutaneous transluminal modification of
atrioventricular node
Percutaneous transluminal occlusion of
coronary fistula/arterio-venous (AV)
malformation
Great vessels
Correction of truncus arteriosus
Closed ligation of patent ductus arteriosus
Percutaneous transluminal prosthetic
occlusion of patent ductus arteriosus
Creation of shunt to pulmonary artery
from aorta using tube prosthesis
Connection to pulmonary artery from aorta
Fee (RM)
Anesthetist
2015
1170
6145
860
860
2890
6145
2890
6145
6145
2890
2890
2530
1355
3145
1355
2365
2890
2090
860
4150
1355
1370
1370
715
715
1875
715
1170
600
1540
665
4150
505
3145
2185
820
820
1170
665
1370
1170
2365
715
600
1355
2530
1355
4150
1355
3145
1355
2170
860
3145
1355
4150
3145
2530
2890
1845
985
5220
1845
5220
1845
Item/Procedure
Surgeon
Fee (RM)
Anesthetist
Creation of shunt to pulmonary artery from

subclavian artery using interposition
tube prosthesis
Connection to pulmonary artery
from subclavian artery
Repair of pulmonary artery
Open operation on pulmonary artery
Pulmonary embolectomy
Transluminal operation on pulmonary artery
Emergency replacement of aneurismal
segment of ascending aorta
Emergency replacement of aneurysmal
segment of arch of aorta
Emergency replacement of aneurysmal
segment of thoracic aorta
Planned replacement of aneurysmal segment
of ascending aorta
Planned replacement of aneurysmal
segment of arch of aorta
Planned replacement of aneurysmal
segment of thoracic aorta
Replacement of thoraco-abdominal aneurysms
Revision of prosthesis of abdominal aorta
Excision of infected aortic graft with bypass
Plastic repair of aorta
Percutaneous transluminal balloon
operation on aorta
4150
1845
5220
1845
6145
3145
5220
2365
6145
1845
1845
2890
1355
2890
6145
2890
6145
2890
4150
2560
6145
2890
6145
2890
6145
4150
6145
4150
1540
2890
1845
2890
1585
545
Proximal gastric vagotomy

Highly selective vagotomy
Vagotomy with pyloroplasty
External cardioversion
Transoesophageal echocardiography
Coronary angioplasty standby team
1785
1785
1875
275
875
275
600
600
715
275
380
310
Others
(u)
Urinary system and male reproductive organs

Item/Procedure
Surgeon
Kidney/Renal pelvic
Transplantation of kidney
Nephrectomy and excision of perirenal tissue
Nephro-ureterectomy
Excision of rejected transplanted kidney
Nephrectomy (and bilateral)
Laparoscopic nephrectomy
Partial excision of kidney
Open pyeloplasty
Repair of kidney wound
Open removal of calculus from kidney
Drainage of kidney
Drainage of pyonephrosis
Other open operation on kidney
Drainage of perinephric abscess
Endoscopic fragmentation of calculus of
kidney
4150
2090
2090
1785
1785
1785
1875
1785
2015
2090
1540
1540
1650
1540
1650
Fee (RM)
Anesthetist
2185
985
715
665
715
715
715
600
665
600
665
665
600
600
600
Item/Procedure
Surgeon
Percutaneous nephrolithotomy including
cystoscopy and retrograde catheterisation
Diagnostic endoscopic examination of kidney
including biopsy and other therapeutic
procedures
Percutaneous fine needle biopsy of
lesion of kidney
Percutaneous insertion of nephrostomy tube
Percutaneous tru-cut needle biopsy of
lesion of kidney
Extracorporeal fragmentation of calculus of
kidney (Lithotripsy) single treatment
Extracorporeal fragment of calculus of
kidney-stone free/course of treatment
Laparoscopy removal of renal cyst
Open stone surgery for horseshoe kidney
Pyeloplasty for horseshoe kidney
Fee (RM)
Anesthetist
3145
860
1785
600
420
310
1170
755
355
1015
440
1370
545
1785
3145
3145
665
1540
2090
545
860
2365
1875
2170
1650
1875
2530
1875
1875
820
715
820
715
715
820
600
600
3145
860
1650
1875
2245
1540
1170
875
420
420
755
755
1015
600
600
1155
715
380
380
380
230
380
380
600
635
635
1370
4150
4150
2365
1875
440
440
500
1170
440
4150
1355
1785
1540
600
600
Ureter
Excision of segment of ureter
Construction of ileal conduit including
ureteric implantation
Bilateral replantation of ureter into bowel
Unilateral replantation of ureter into bowel
Bilateral replantation of ureter into bladder
Unilateral replantation of ureter into bladder
Other connection of ureter
Ileal or colonic replacement of ureter
Ureterostomy closure
Open correction vesico-ureteric
reflux Unilateral
Open correction vesico-ureteric
reflux Bilateral
Open ureterolithotomy
Ureterolysis Unilateral
Ureterolysis Bilateral
Therapeutic nephroscopic operations on ureter
Ureteroscopic extraction of calculus of ureter
Endoscopic insertion of prosthesis into ureter
Removal of prosthesis from ureter
Ureteric meatotomy
Endoscopic examination of ureter
Endoscopic retrograde pyelography
Extracorporeal shockwave lithotripsy of
calculus of ureter
Operation on ureteric orifice
Endoscopic meatotomy of ureteric orifice
Ureterscopic biopsy of lesion
Continent urinary diversion
Substitution cystoplasty
Transureteroureterostomy
Endoscopic insertion of permanent
prosthesis into ureter
Bladder
Endoscopic anti-reflux procedure
(and bilateral)
Total cystectomy (with construction of
intestinal conduit or bladder)
Partial cystectomy
Diverticulectomy of bladder
Item/Procedure
Surgeon
Enlargement of bladder
Repair of bladder
Repair of vesicocolic fistula
Repair of cutaneous vesical fistula
Cystostomy and insertion of suprapubic
tube into bladder
Stab cystotomy
Open removal of calculus from bladder
Open excision of lesion from bladder
Endoscopic resection of lesion of bladder
Endoscopic destruction of lesion of bladder
Endoscopic transection of bladder
Endoscopic hydrostatic distention of bladder
Sphincterotomy
Litholapaxy
Endoscopic extraction of calculus of bladder
Endoscopic removal of foreign body
from bladder
Resection of bladder neck
bladder including any biopsy
Urodynamic studies/urodynamic assessment
Closure of cystostomy
Combined abdominal and vaginal operations to
support outlet of female bladder
Suprapubic sling operation
Retropubic suspension of neck of bladder
Vaginal operation to support outlet of
female bladder
Implantation of artificial urinary sphincter
into bladder and/or removal
Dilatation of outlet of female bladder
(with cystoscopy)
Endoscopic incision of outlet of male bladder
(with cystoscopy)
Repair of vesico-vaginal fistula
Endoscopic vesico-lithotripsy of bladder stone
Cystoscopy with biopsy
Endoscopic resection of deep invasive
tumour of bladder
Continent pouch/neo bladder
Combined abdomino-perineal closure
of vesico-vaginal fistula
Fee (RM)
Anesthetist
2530
1875
2015
1015
635
715
600
715
715
545
275
1170
1650
1650
755
1650
355
1015
1540
875
875
230
440
600
600
380
600
230
380
600
380
380
1170
505
380
275
505
755
1650
380
600
1650
1650
1650
665
600
600
1875
600
505
310
1170
380
1875
1540
875
1875
715
545
355
4150
4150
2185
1015
325
635
440
230
355
1540
1370
1785
2170
755
1540
1540
1785
1785
1015
420
600
440
600
600
440
600
545
600
600
440
355
Urethra
Urethrocele
Excision of urethral caruncle
Therapeutic endoscopic operations on
outlet of female bladder
Urethrectomy
Urethral valve resection
Repair of hypospadias
Repair of epispadias
Closure of fistula of urethra
Repair of urethrorectal fistula
Urethroplasty (simple)
Urethroplasty (complex)
Repair of rupture of urethra
Excision of diverticulum of urethra
Excision of prolapse of urethra
Item/Procedure
Surgeon
Fee (RM)
Anesthetist
Therapeutic endoscopic operation on urethra

Removal of foreign body from urethra
urethra in isolation
Dilatation of urethra
Internal urethrotomy including cystoscopy
Closure of bladder exostrophy
Closure of cloacal exostrophy
Repair of hypospadias mild
Repair of hypospadias moderate
Repair of hypospadias severe
755
355
355
380
380
230
275
755
5220
6145
2015
2530
3145
310
380
Open excision of prostate

Radical prostatectomy, reconstruction of
bladder neck including bilateral pelvic
lymphadenectomy
Open biopsy of lesion of prostate
Endoscopic resection of prostate (TURP)
Endoscopic biopsy of prostate
Transurethral microwave therapy
Drainage of prostatic abscess
Prostatic hyperthermia (up to six courses)
Prostate, needle biopsy
Transrectal ultrasound and biopsy
Insertion of urethral stent for relief of
prostatic obstruction
1785
4150
600
1355
755
1785
755
1370
1170
1370
355
505
1650
600
665
380
500
440
500
230
600
635
505
1540
1170
1170
635
1540
2015
875
1370
635
635
755
505
755
755
1170
755
755
755
325
1370
1875
1370
1015
1540
1875
1170
355
635
355
1650
310
230
545
380
380
440
715
715
440
545
355
380
380
275
380
440
500
440
440
440
275
440
600
600
380
600
600
440
230
355
230
600
Prostate
Genitalia
Meatoplasty
External meatotomy of urethral orifice
Bilateral excision of testis
Laparoscopic orchidectomy
Orchidectomy and excision of spermatic cord
Excision of lesion of testis
Orchidopexy Bilateral
Microvascular transfer of testis to scrotum
Orchidopexy
Abdominal undescended testis
Prosthesis of testis (insertion or removal)
Correction of hydrocele
Fixation of testis
Biopsy of testis
Exploration of testis including biopsy
Bilateral fixation of testis
Bilateral epididymectomy
Unilateral epididymectomy
Excision of epididymal cyst
Operation on varicocele
Vasography
Operation on seminal vesicle
Total amputation of penis
Partial amputation of penis
Operation for Peyronies disease
Reconstruction of penis
Repair of avulsion on penis
Repair of injury on penis
Division of preputial adhesions
Circumcision
Biopsy of lesion of penis
Penile prosthesis (simple rod only)
Item/Procedure
Surgeon
Fee (RM)
Anesthetist
Penile prosthesis (complex 3 pieces)

Vasectomy reversal Bilateral
(Microscopic)
Vasectomy reversal Bilateral
(Macroscopic)
Epididymo-vasostomy (Macroscopic)
Epididymo-vasostomy (Microscopic)
Tenchkoff
Tenchkoff and adhesiolysis
Transrectal ultrasound (Diagnostic)
Transrectal ultrasound and systematic
prostate biopsy
Excision and grafting for Peyronies disease
2530
1540
1585
545
1650
600
1650
1785
1170
1650
505
875
600
665
2365
Block dissection of para-aortic lymph

Nodes
2245
665
Other
(v)
Vascular system (other than intrathoracic)
Item/Procedure
Surgeon
Head and neck
Bypass of carotid artery from the arch
Carotid endarterectomy
Reconstruction of carotid artery
(Vein patch and bypass)
Bypass of subclavian artery from the arch
Bypass of subclavian artery Extrathoracic
Endarterectomy and patch repair of
subclavian artery
Renal
Endarterectomy of renal artery
Reconstruction of renal artery
Transluminal operation on renal artery
Abdominal vessels
Axillo-femoral bypass
Axillo-bifemoral bypass
Infrarenal abdominal aortic aneurysm
tube graft
Infrarenal abdominal aortic aneurysm
bifurcation graft
Revision of prosthesis of abdominal aorta
Pecutaneous transluminal balloon
operation on aorta
Carotid endarterectomy (with patch)
Endarterectomy and patch repair of
visceral branch of abdominal aorta
Other open operations on other visceral
branch of abdominal aorta
Ileo-femoral vessels
Aorto-iliac, aorto-femoral, ileo-femoral
bypass
Aorto-bifemoral bypass
Endarterectomy and patch repair of iliac
artery
Open operation on iliac artery
Transluminal operation on iliac artery
Femoro-femoral bypass
Fee (RM)
Anesthetist
4150
4150
3145
1355
1355
1355
4150
2530
4150
1355
1155
1355
4150
4150
1370
1355
1355
600
2530
2530
4150
1355
1355
1585
5220
1585
4150
1540
1845
545
5220
5220
1845
5220
1845
4150
1355
4150
3145
1355
1355
3145
1170
2530
1355
440
1155
Item/Procedure
Surgeon
Femoro-popliteal bypass using prosthesis
and/or vein and/or vein cuff/patch
Femoro-distal calf bypass using prosthesis
and/or vein and/or vein cuff/patch
Endarterectomy of femoral artery
Reconstruction/bypass for popliteal aneurysm
Transluminal procedures on femoral artery
Revision of femoral bypass graft
Non-specific
Revision of reconstruction of artery
Biopsy of artery including temporal
Repair of artery
Micro-arterial or micro-venous graft
Repair of artery using vein graft
Microsurgical repair of artery
Open embolectomy of artery
Percutaneous transluminal angioplasty of
artery
Creation of arteriovenous (AV) fistula
including subsequent closure
Excision of AV malformation
Repair of acquired AV fistula
Repair of AV fistula
Creation of peritoneo-venous shunt
(Levine/Denver)
Open removal of thrombus from vein
Insertion of Hickman line, tunnelled
central line, etc.
Insertion of portocath/vasoport unit
Isolated limb perfusion
Varicose veins
Ligation/stripping of long or short
saphenous vein including local
excision/multiple phlebectomy
Ligation/stripping of long or short
saphenous vein including local excision/
multiple phlebectomy Bilateral
Operation for recurrent varicose veins
Operation for recurrent varicose veins
Bilateral
Ligation/stripping of long and short
saphenous veins including local
excision/multiple phlebectomy
Local excision (Multiple phlebectomy) of
varicose vein(s) of leg
Ligation/stripping of long and short
saphenous veins including local excision/
multiple phlebectomy Bilateral
Venography (and bilateral)
vein/or cuff/patch
Creation of arteriovenous fistula using
prosthesis/graft
Lymphatic
Block dissection of cervical lymph nodes
Block dissection of axillary lymph nodes
Block dissection of para-aortic lymph nodes
Fee (RM)
Anesthetist
3145
1355
3145
1355
2530
3145
1370
2365
985
1845
440
1155
3145
505
2015
4150
2365
2365
2245
1170
820
230
600
1355
820
860
820
545
1170
715
6145
2530
2530
1170
1845
860
985
380
1875
635
600
440
875
2365
355
1155
1170
440
1875
715
1875
3145
665
985
1875
665
635
440
3145
985
355
4150
5220
3145
2530
820
1540
2245
545
665
Item/Procedure
Surgeon
Block dissection of inguinal lymph nodes
Block dissection of pelvic lymph nodes
Biopsy/sampling of cervical lymph nodes
Biopsy/sampling of axillary lymph nodes
Biopsy/sampling of inguinal lymph nodes
Excision biopsy of lymph node
Excision biopsy of scalene lymph node
Drainage of lesion of lymph node
Operation on lymphatic duct
Excision of cystic hygroma
(w)
Fee (RM)
Anesthetist
1540
1785
600
665
355
355
355
635
635
420
2015
1370
440
275
355
380
380
230
715
665
Bones, joints, etc. (not listed elsewhere)
Item/Procedure
Fee (RM)
Anesthetist
Surgeon
Connective tissue/Tendon muscles
Plantar fasciectomy
Excision of lesion of fascia
Other operations of fascia
Excision of ganglion, including repeat
excision
Excision of bursa
Transfer of tendon
Transfer of multiple tendons
Excision of lesion of tendon
Tendon graft, as sole procedure
Secondary repair of tendon including
graft, transfer and/or prosthesis
Tenolysis, other than flexor
Percutaneous tenotomy
Lengthening of tendon(s), including
tenotomy
Tenosynovectomy, including arthroscopic
Release of constriction of sheath of tendon
Limited repair of muscle, i.e. not more
than 2 cm tear (e.g. rotator cuff), including
arthroscopic
Extensive i.e. greater than 2 cm tear,
repair of muscle (e.g. rotator cuff),
including arthroscopic
Release of contracture of muscle
Open biopsy of muscle
Needle/tru-cut biopsy of muscle
Excision of lesion of muscle without
skin graft
Excision of lesion of muscle with skin graft
Bone (non-specific)
Open bone biopsy
Introduction of therapeutic substance
into bone, e.g. application of antibiotic
for infected hip replacement as a
sole procedure
Removal of wire from bone, including
K-wires
Excision of ectopic bone
Total excision of sesamoid bone
635
420
505
875
440
440
275
275
635
875
1370
635
1170
1650
355
380
600
380
380
440
875
355
1015
380
230
380
755
875
635
380
380
545
1875
545
1015
505
275
1370
500
275
545
1650
600
635
505
355
230
355
505
635
355
380
Item/Procedure
Surgeon
Partial excision of bone including
exostosis
Total excision of bone with or without
prosthetic replacement/reconstruction, e.g.
trapezium
Radical resection of bone tumour
Osteotomy of large bone, with/without
fixation, including graft
Drainage/debridement of bone(s), including
sequestrectomy for osteomylelitis
Fixation of epiphysis
Fractures
Primary open reduction of fracture of femur
and open fixation using pin and plate
Primary closed reduction of fracture or
dislocation of joint, with or without fixation
including plaster of Paris (POP), e.g. Colles
Closed reduction of fracture of long bone and
external fixation, including POP and
percutaneous K-wires, e.g. forearm
Closed reduction of fracture of small bone
and external fixation, including POP and
percutaneous K-wires
Primary open reduction of long bone with
fixation
Primary open reduction of fracture with/
without dislocation of joint
Primary open reduction of small bone with
fixation including intra articular
Primary open reduction of intra-articular
fracture of long bone e.g. proximal humerus
Open reduction of fracture of pelvis and
internal fixation
Open reduction and internal fixation of
complex acetabular pelvic fracture
Secondary open reduction of dislocation of
joint
Secondary open reduction of fracture of
small bone, including intra articular
Secondary open reduction of fracture of
long bone and intermedullary fixation or
internal fixation for non-union/mal-union
Locked intramedullary nailing
Secondary open reduction of intra-articular
fracture of bone
Application of IIizarov frame for secondary
non-union/mal-union
Adjustments to IIizarov frame rings for
secondary non union/mal-union
Adjustments to pin sites secondary for non
-union/mal-union
Bone graft (except where part of another
procedure)
Removal of internal fixation/prosthesis
from bone/joint, excluding K-wires
Removal of wire from bone, including
K-wires
Fee (RM)
Anesthetist
875
355
2170
715
2365
1785
715
600
1170
355
1015
600
2015
665
635
355
1540
600
755
440
1785
665
1650
600
1170
500
1650
665
2530
665
4150
1355
755
355
1170
440
1650
600
2365
1650
715
600
4150
1355
1540
440
505
1370
500
1170
380
355
275
Item/Procedure
Surgeon
Surgical toilet to wound under general
anaesthetic
Fee (RM)
Anesthetist
420
230
755
380
875
1650
1370
755
440
440
440
310
1370
1370
545
440
1370
1015
1015
545
355
355
275
230
1015
440
1650
715
1650
440
2530
715
755
380
420
230
355
355
1875
600
2015
715
1540
545
2015
3145
1540
820
820
715
1015
600
505
1015
1540
275
380
545
1875
715
755
380
Nerves
Release of entrapment of deeply placed
peripheral nerve including anterior
interosseous nerve and posterior
interosseous nerve
Anterior transposition of ulna nerve
Submuscular transposition of ulna nerve
Revision of release of peripheral nerve
Exploration/neurolysis/biopsy of
peripheral nerve
Joints (not listed elsewhere)
Excision of synovial membrane of joint
Primary prosthetic replacement/
reconstruction/repair of ligament,
including prosthesis
Stabilising operation on joint
Release of contracture of joint
Arthrotomy of large joint, including
removal of loose body from joint
Arthrotomy of small joint, including
removal of loose body from joint
Therapeutic arthroscopic operation on
intra articular cartilage (other than W8200)
intra articular cartilage (other than
W8200) - Bilateral
cavity of joint
cavity of Joint Bilateral
Diagnostic arthroscopic examination
of joint, with or without biopsy
Injection(s) into joint(s) under X-ray
control
Manipulation of joint
Joints (not listed elsewhere)
Prosthetic replacement of articulation
of bone
Prosthetic interposition arthroplasty of
joint, e.g. hip, knee, shoulder
Excision reconstruction of joint
Fixation/Arthrodesis
Osteotomy of hip with fixation
Pelvic osteotomy with fixation
Primary arthrodesis of large joint and
bone graft
Primary arthrodesis and internal fixation,
(hand/foot), including bone graft
Hand
Dupuytrens subcutaneous fasciotomy
Dupuytrens fasciectomy single digit
Dupuytrens fasciectomy for palm and
multiple digits
Dupuytrens dermofasciectomy and graft,
or for recurrent disease
Repair of extensor of hand
Item/Procedure
Surgeon
Repair of flexor of hand, including
prosthetic implant
Secondary or second stage repair of
flexor of hand including prosthetic implant
Secondary repair of tendon of hand/forearm
(excluding flexor), without transfer or graft
Secondary repair of tendon of hand/forearm
(excluding flexor) with graft/transfer
Tendon graft as sole procedure
Tenolysis, other than flexor
Tenolysis of flexor
Pollicisation of finger for thumb reconstruction
Repair of finger tip injury following avulsion
with flap
Multiple joint procedures on hand including
synovectomy
Fusion of metacarpo-phalangeal/intercarpal
joint
Prosthetic arthroplasty of digital joint(s)
Bone graft to scaphoid with internal fixation,
including Herbert screw
Amputation of hand
Amputation of digit
Amputation through mid-carpal/
transmetacarpal
Fusion of wrist
Shoulder
Limited repair of muscle, i.e. not more than
2 cm tear, (e.g. rotator cuff), including
arthroscopic
Extensive i.e. greater than 2 cm tear,
repair of muscle (e.g. rotator cuff),
Revision rotator cuff repair
Acromioplasty
Excision distal clavicle, in isolation
Prosthetic interposition arthroplasty of
joint, e.g. hip, knee, shoulder
Primary repair of rupture of
acromioclavicular joint including internal
fixation
Secondary repair of rupture of
acromioclavicular joint including internal
fixation
Reconstruction of acromioclavicular joint
Shoulder hemiarthroplasty
Revision shoulder hemiarthroplasty
Primary total shoulder replacement
Revision total shoulder replacement
Stabilisation of shoulder joint, including
anterior, posterior or multi-directional,
Revision stabilisation of shoulder joint
Release of shoulder contracture
Plating and/or bone grafting for non-union
of clavicle
Exploration and grafting of brachial plexus
Fee (RM)
Anesthetist
1540
380
1650
500
875
380
1540
380
1170
1015
1370
3145
1370
380
380
380
380
440
2090
715
875
500
1540
1650
380
545
1370
875
875
545
440
380
1785
715
635
545
1875
545
1875
1370
1370
2015
545
545
545
715
2365
600
2365
600
2365
2015
2245
2365
3145
1650
600
600
600
820
1355
600
2090
1875
1785
665
600
600
3145
1845
Item/Procedure
Surgeon
Sub-acromial decompression, including
arthroscopic
Total excision of cervical or first rib
Fee (RM)
Anesthetist
1650
600
1875
715
2365
3145
875
820
1355
380
1370
2015
3145
2365
3145
600
820
820
860
1355
4150
1355
1875
1540
715
545
1785
505
600
355
1650
440
2530
715
755
380
2365
860
2365
3145
715
1355
4150
1355
2170
715
2245
820
2170
1650
820
600
2530
860
1650
1650
500
600
2530
860
420
1015
1650
635
2090
3145
380
380
380
380
665
985
755
380
Elbow
Total prosthetic replacement of elbow
Revisional prosthetic replacement of elbow
Release of constriction of sheath of tendon
Hip, leg and pelvis
Excision of lesion of bone pelvis/hip
Osteotomy of hip with fixation
Pelvic osteotomy with fixation
Total prosthetic replacement of hip joint
Revision of total prosthetic replacement of
hip joint
Total prosthetic replacement of hip joint
Bilateral
Prosthetic replacement of head of femur
Release fasciotomy of anterior/posterior
compartment of leg
Amputation of leg/foot
Manipulation and POP for hip
Knee
Therapeutic arthroscopic operations of
cavity of joint
cavity of joint Bilateral
Diagnostic arthroscopic examination of
joint, with or without biopsy
Total prosthetic replacement of knee
joint
Unicompartmental knee replacement
Revision of total replacement of knee
joint
Total prosthetic replacement of knee
joint Bilateral
Primary prosthetic replacement of
cruciate ligament
Autograft reconstruction of cruciate
ligament, including arthroscopic
Stablisation of patella
semi lunar cartilage
Therapeutic arthroscopic operations of semi
lunar cartilage Bilateral
Simple repair of knee ligaments
Therapeutic arthroscopic operations on
cavity of knee
Therapeutic arthroscopic operations on
cavity of knee Bilateral
Foot
Primary repair of tendon of foot
Primary repair of achilles tendon
Secondary repair of achilles tendon
Secondary repair of tendon of foot
Multiple joint procedures on forefoot
Multiple joint procedures on forefoot
Bilateral
Osteotomy of metatarsal (e.g.
akin, mcNab, etc.)
Item/Procedure
Surgeon
Fusion of first metatarsophalangeal joint
Fusion of first metatarsophalangeal
joint Bilateral
Metartarso-phalangeal cheilectomy
Triple fusion of joints of hind foot
Osteotomy for pes clavus
Correction of minor congenital deformity
of foot
Correction of minor congenital deformity
of foot Bilateral
Total prosthetic replacement of ankle joint
Revision of total prosthetic replacement
of ankle joint
Closing wedge osteotomy/translation of
calcaneal spur, including internal fixation
Excision arthroplasty of first metatarsophalangeal joint with prosthetic implantation
Excision arthroplasty of first metatarsophalangeal joint, including Kellers
Excision arthroplasty of first metatarsophalangeal joint, including Kellers Bilateral
Fusion of interphalangeal joint(s) of toe
Correction of retracted/dislocated metatarsophangeal joint(s) including tendon transfer,
division/realignment of bone and
internal fixation
Fusion of interphalangeal joint(s)
of toe Bilateral
Primary arthrodesis and internal fixation,
(Hand/Foot), including bone graft
Simple bunionectomy
Simple bunionectomy Bilateral
Metatarsal osteotomy for Hallux valgus
Metatarsal osteotomy for Hallu
valgus Bilateral
Metatarsal osteotomy for Hallux valgus,
with internal fixation and soft tissue
correction
Metatarsal osteotomy for Hallu
valgus, with internal fixation and soft
tissue correction Bilateral
Amputation of toe
Radical excision of bone tumour with
implantation of prosthesis for limb
External fixation/Traction
Application of skeletal traction to bone
Removal of skeletal traction from bone
Application of external fixation to bone
Removal of external fixation from bone
(x)
Fee (RM)
Anesthetist
875
1540
440
715
1370
1650
1650
1370
440
600
600
440
2170
715
2365
3145
820
1355
1540
440
1540
545
1015
440
1650
715
875
1650
380
715
1540
665
1015
600
635
1015
1170
1875
310
545
600
860
1650
665
2530
985
875
4150
380
1355
505
355
1540
505
440
275
440
275
Face, mouth and neck (not elsewhere listed)
Item/Procedure
Surgeon
Face and jaws
Open reduction of fracture of maxilla
Closed reduction of fracture of maxilla
1170
635
Fee (RM)
Anesthetist
600
500
Item/Procedure
Surgeon
Fee (RM)
Anesthetist
Reduction of other fractures of bones of face

Reduction of fracture of zygomatic complex
of bones
Open reduction of fracture of zygomatic
complex of bones
Excision of maxilla
Formal hemi-maxillectomy for malignancy
Internal fixation of maxilla
Extra-oral fixation of maxilla
Removal of fixator from maxilla
Biopsy of lesion of facial bone
Excision of mandible
Extensive excision of mandible
Excision of lesion of jaw
Open reduction of fracture of mandible
Closed reduction of fracture of mandible
Intermaxillary fixation of mandible
Extra-oral fixation of mandible
Removal of fixator from mandible
Reconstruction of jaw
Alveolar bone graft
Manipulation of mandible
Prosthetic replacement of
temporomandibular joint
Arthroplasty of temporomandibular joint
Menisectomy of temporomandibular joint
Reduction of dislocation of
temporamandibular joint
505
875
380
440
1370
500
1785
2245
635
635
505
355
1785
2090
1015
875
505
635
875
505
2365
1170
355
2015
820
820
600
600
500
310
820
860
380
600
500
600
600
440
820
500
310
545
1650
1015
635
545
440
310
Excision of vermilion border of lip and

advance of mucosa of lip
Excision of lesion of lip
Primary closure of cleft lip (and bilateral)
Revision of primary closure of cleft lip
Reconstruction of lip using tongue flap
Reconstruction of lip using skin flap
Suture of lip
Biopsy of lesion of lip
875
380
755
1540
1875
1875
1785
420
420
355
715
715
600
665
380
310
Total glossectomy including block dissection

Partial glossectomy including block dissection
Excision/destruction of lesion of tongue
Biopsy of lesion of tongue
Frenotomy/frenectomy of tongue
Freeing of adhesions of tongue
Tongue flapfirst stage
Tongue flapsecond stage
2170
1875
755
275
420
275
1540
875
665
715
440
355
380
355
715
545
755
2015
1370
1170
1650
505
420
325
635
440
715
600
600
600
380
355
355
380
1015
380
Lips
Tongue
Palate
Excision/destruction of lesion of palate
Primary repair of cleft palate
Revision of repair of cleft palate
Plastic repair of palate using flap of palate
Plastic repair of palate using flap of skin
Suture of palate
Biopsy of lesion of palate
Incision of palate
Operation on uvula
Mouth cavity
Vestibuloplasty following trauma
Item/Procedure
Surgeon
Excision/destruction of lesion of mouth
Reconstruction of mouth using flap
Reconstruction of mouth using graft
Graft of skin to mouth
Graft of mucosa to mouth
Suture of mouth
Biopsy of lesion of mouth
Removal of excess mucosa from mouth
Salivary glands
Excision of parotid gland
(other than F4410/F4430)
Total excision of parotid gland and
preservation of facial nerve
Partial excision of parotid gland and
preservation of facial nerve
Excision of submandibular gland
Excision of sublingual gland
Excision of lesion of parotid gland
Excision of lesion of submandibular gland
Excision of lesion of sublingual gland
Incision of parotid gland
Incision of submandibular gland
Incision of sublingual gland
Biopsy of lesion of salivary gland
Closure of fistula of salivary gland
Transposition of parotid duct
Transposition of submandibular duct
Open extraction of calculus from parotid duct
Open extraction of calculus from
submandibular duct
Ligation of parotid duct
Ligation of submandibular duct
Operation on submandibular duct
Dilation of parotid duct
Manipulative removal of calculus from
parotid duct
Teeth
Replantation of tooth/teeth following trauma
Surgical removal of impacted/buried tooth/
teeth
Surgical removal of complicated buried roots
Enucleation of cyst of jaw
Neck
Block dissection of cervical lymph nodes
Biopsy/sampling of cervical lymph nodes
Operation on branchial cleft cyst
Operation on branchial cleft fistula
Thyroid and parathyroid glands
Total thyroidectomy
Bilateral subtotal thyroidectomy
Hemi-thyroidectomy
Partial thyroidectomy
Thyroplasty (Isshiki type I)
Operation on aberrant thyroid issue
including retrosternal
Excision of thyroglossal cyst
Excision of thyroglossal tract
Excision of lesion of thyroid gland
Fee (RM)
Anesthetist
505
1875
875
875
755
505
325
755
355
665
665
545
500
440
310
380
1650
600
3145
860
2530
860
1170
875
1015
1015
355
355
355
355
505
755
1015
1015
755
635
440
440
440
440
440
355
355
355
380
380
380
380
310
380
420
420
420
355
635
380
380
380
230
275
755
875
310
380
635
755
380
380
2530
820
355
1170
1785
440
715
715
1785
1785
1785
1785
1540
2170
715
665
600
600
545
820
875
1170
1170
545
545
380
Item/Procedure
Surgeon
Fine needle aspiration of thyroid gland
Needle biopsy of thyroid gland
Parathyroidectomy
Parathyroid: second operation
Drainage of salivary gland abscesses
Fee (RM)
Anesthetist
275
505
2365
2365
355
275
275
820
860
III. MISCELLANEOUS
1.
Medical examination fee
(a)
Non-specialist
Item/Procedure
Medical examination Pre-employment,
routine and annual medical examination, fitness
medical examination, comprehensive medical
examination, aviation medical examination
(excluding laboratory investigations,
X-ray, ECG, etc.)
Examination for medico-legal cases
Examination for evaluation of disability
Participation in Medical Board Examination
Medical examination for life insurance
Vocational licence health examination
(b)
Fee (RM)
40 200
500 1000
500 1000
200 1000
80 200
30 100
Specialist
Item/Procedure
Medical Examination Pre-employment,
routine and annual medical examination,
fitness medical examination, comprehensive
medical examination, aviation medical
examination (excluding laboratory
investigations, X-ray, ECG, etc.)
Examination for medico-legal cases
Examination for evaluation of disability
Participation in Medical Board Examination
Medical examination for life insurance
Vocational licence health examination
2.
Fee (RM)
100 500
500 2000
500 2000
500 2000
150 400
30 100
Medical report fee

Item/Procedure
Non-specialist
Specialist
3.
Fee (RM)
50 200
100 500
House call and medical assistance fee (General Practitioners)

Item/Procedure
Medical duty for events and functions per hour
Medical coverage for transfer/repatriation of
patient (excluding actual expenses incurred
in the cost of travel, board and lodging) per day
Fee (RM)
50
500
4.
Court attendance fee

Item/Procedure
Qualifying expenses per day
This is to cover the cost of the medical
practitioner who on being called as a witness,
is required to study and research a case not
previously a patient of the same practitioner
(excluding travel, board and lodging
expenses and medical report)
Conduct money
Non-expert witness (testimony involving

statement of facts only)
Expert witness (testimony involving
expert opinion)
Comprehensive medical report (requested
by insurance company, lawyers, others)
Attending physician statement for
insurance company
Fee (RM)
250 - 500
Actual expenses
incurred in the
cost of travelling
and lodging
500 1000
1000 2000
80 250
50
PART B DENTAL FEE

I. CONSULTATION FEE
Item/Procedure
Fee (RM)
Consultation only
25 250
II. BASIC DENTAL PROCEDURE FEE

Item/Procedure
Post-extraction bleeding
Treatment for dry socket
Temporary dressings
Incision and drainage
Amalgam restorations
Tooth coloured/Adhesive restoration
Removal of calculus
Removal of plaque and/or extrinsic stains
Dentures acrylic (partial) per jaw
Dentures acrylic (full) per jaw
Non-surgical/Simple extraction of
teeth and/or root(s)
Permanent
Deciduous
Intra-oral periapical/bite wings/occlusal
radiographper exposure
Fee (RM)
50 300
50 300
30 150
50 200
40 300
45 600
50 300
60 250
100 1000
250 2000
40 250
25 100
20 100
III. MISCELLANEOUS
Item/Procedure
Dental report
House call
Fee (RM)
50 300
150 500
250 500
Conduct Money
Actual expenses
incurred in the
cost of travelling
and lodging
Non-expert witness (testimony

involving statement of facts only)
Expert witness (testimony
involving expert opinion)
Comprehensive dental report (requested
by insurance companies, lawyers and others)
Attending dentist statement
for insurance company
500 1000
1000 2000
50 300
50
Court attendance fee

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

Doctors Charges-Thirteenth Schedule

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Doctors Charges-Thirteenth Schedule

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(Thirteenth Schedule)

PRIVATE HEALTHCARE FACILITIES AND SERVICES (PRIVATE HOSPITALS AND OTHER

House call or home visit

Up to 100% above the

(b) Clinic without pharmaceutical services

House call or home visit

Consultation after stipulated clinic hours

Up to 50% above the

House call or home visit

House call or home visit

II. PROCEDURE FEE

As per paragraph 2(b)

(b) Abdomen (other than urinary and reproductive system)

Brain, cranium and other intracranial organs

Dermatology and venereology

Ear, nose and throat

Endoscopic and laparoscopic gastro-intestinal tract (GIT)

Endoscopic GIT procedure

Eye and orbital content

Reporting of neurophysiology tests

Obstetric and gynaecology

Pregnancy and confinement

Paediatric orthopaedic surgery

Congenital dislocation of hip (CDH)

Pathology (Anatomical pathology)

Uncomplicated excision specimens

Radiology and diagnostic imaging

Radiotherapy and oncology

External irradiation treatment (Linear accelerator)

at 200cGy per treatment

fraction to be charged according to biological

session to include radioactive source,

(r) Skin and subcutaneous tissue

(s) Spine, spinal cord and peripheral nerves

(t) Thorax and intra-thoracic organs

Creation of shunt to pulmonary artery from

Proximal gastric vagotomy

Urinary system and male reproductive organs

Therapeutic endoscopic operation on urethra

Open excision of prostate

Penile prosthesis (complex 3 pieces)

Block dissection of para-aortic lymph

Vascular system (other than intrathoracic)

Bones, joints, etc. (not listed elsewhere)

Face, mouth and neck (not elsewhere listed)

Reduction of other fractures of bones of face

Excision of vermilion border of lip and

Total glossectomy including block dissection

Medical examination fee

Medical report fee

House call and medical assistance fee (General Practitioners)

Court attendance fee

Non-expert witness (testimony involving

PART B DENTAL FEE

II. BASIC DENTAL PROCEDURE FEE

Non-expert witness (testimony

Court attendance fee

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