JADUAL 3 FI RAWATAN Bil. Prosedur (BM) Procedure (BI)

Bil. Prosedur (BM) Procedure (BI)

1 RAWATAN PESAKIT DALAM INPATIENT TREATMENT

2 RAWATAN PSIKIATRIK PSYCHIATRIC TREATMENT

BERSALIN DELIVERY CHARGES3 Caesarean Caesarean

Bersalin dengan bantuan : Delivery with help:4 Forsep/ breech/vakum Forcep/Breech/Vacuum5 Bersalin Kembar Twin6 Bersalin Biasa Spontaneous Vertex Delivery

CAJ RAWATAN ATAU PROSEDUR OTHER TREATMENT7 Kardiotokograf (CTG) Cardiotocograph (CTG)8 Toilet & Suture per stich Toilet & suture per stich9 Fine needle aspiration Fine needle aspiration10 Incision & drainage Incision & drainage11 Catheterisation Catheterisation

RADIOTERAPI RADIOTHERAPY TREATMENTSIMULASI DAN PERANCANGAN

BERKOMPUTER

SIMULATION AND COMPUTERIZED PLANNING

12 Penandaan Setempat/Mark on set Mark on set

13Simulasi Konvensional/Conventional

SimulationConventional Simulation

14Simulasi CT/CT Simulation - Biasa (tanpa

contrast)/Normal (without contrast)

CT Simulation - Normal (without contrast)

15Simulasi CT/CT Simulation - Kompleks

(dengan contrast)/Complex (with contrast)CT Simulation - Complex (with contrast)

16Simulasi CT/CT Simulation - IMRT/Rapid Arc.

, TBI, TNI, TBE

CT Simulation - IMRT/Rapid Arc. , TBI, TNI, TBE

17Simulasi CT/CT Simulation - Stereotactic

Radiosurgery (SRT)

CT Simulation - Stereotactic Radiosurgery (SRT)

RAWATAN RADIOTERAPI RADIOTHERAPY TREATMENT

182D/Single field/parallel opposed per

fraction

2D/Single field/parallel opposed per fraction

193D/any plans with 3 or more fields per

fraction

3D/any plans with 3 or more fields per fraction

20 IMRT/Rapid Arc per fraction IMRT/Rapid Arc per fraction21 TBI per fraction TBI per fraction22 TNI per fraction TNI per fraction23 SRT per fraction SRT per fraction

24 SRS (Rawatan pakej- sekali caj sahaja)SRS (package treatment - onetime charge)

AKSESORI PAKAI BUANG (CONSUMABLES) CONSUMABLES

25Topeng Cegah Gerak (Beam Direction

Shell)Beam Direction Shell

26 Vac-Lock Vac-Lock27 Cerroband Cerroband28 Wax Wax

RAWATAN BRAKITERAPI BRACHYTHERAPY TREATMENT

29Intra-cavitari : Dhobbies/single line source

per session

Intra-cavitari : dhobbies/single line source per session

30 Intra-cavitari : Paired Ovoids per session Intra-cavitari : paired ovoids per session

31 Intra-cavitari : Full Intra- cavitary per sessionIntra-cavitari : full intra- cavitary per session

32Intra-cavitari : For Nasopharyngeal Cancer

(NPC) per session

Intra-cavitari : for nasopharyngeal cancer (NPC) per session

33Intra-luminal : Esophagus, bronchus, ano-

rectal per session

Intra-luminal : Esophagus, bronchus,

ano-rectal per session

JADUAL 3FI RAWATAN

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34Interstitial brachytherapy implants : Breast

brachytherapy implants per implant

Interstitial brachytherapy implants :

Breast brachytherapy implants per

implant

35Interstitial brachytherapy implants :

Extremities implants per implant


Extremities implants per implant

36

Interstitial brachytherapy implants : Oral

cavity/anorectal/prostate implants per

implant


Oral cavity/anorectal/prostate

implants per implant37 Prostate brachytherapy procedure Prostate brachytherapy procedure

38Iodine-131 therapy (not Iodine scan) per

session

Iodine-131 therapy (not Iodine scan)

per sessionKEMOTERAPI CHEMOTHERAPYSingle Agent Single AgentJenis A Type A

39 Low dose cisplatin Low dose cisplatin40 Methotrexate Methotrexate41 Doxorubicin Doxorubicin42 Vinorelbine Vinorelbine

Jenis B Type B 43 Carboplatin Carboplatin44 Paclitaxel Paclitaxel45 Fluorouracil Fluorouracil46 Oxaliplatin Oxaliplatin47 High dose cisplatin High dose cisplatin

Jenis C Type C48 Gemcitabine Gemcitabine49 Bleomycin Bleomycin50 Docetaxel Docetaxel51 Ifosphamide Ifosphamide52 Mitoxantrone Mitoxantrone53 Mitomycin Mitomycin54 Irinotecan Irinotecan

Jenis D Type D55 Pemetrexed Pemetrexed56 Pegylated Liposomal Doxorubicin Pegylated Liposomal Doxorubicin

Double Agents Double Agents57 Doxorubicin + Cyclophosphamide Doxorubicin + Cyclophosphamide58 Doxorubicin + Ifosphamide Doxorubicin + Ifosphamide59 Doxorubicin + Cisplatin Doxorubicin + Cisplatin60 Doxorubicin + Docetaxel Doxorubicin + Docetaxel61 Doxorubicin + Paclitaxel Doxorubicin + Paclitaxel62 Doxorubicin + Gemcitabine Doxorubicin + Gemcitabine63 Carboplatin + Fluorouracil Carboplatin + Fluorouracil64 Carboplatin + Paclitaxel Carboplatin + Paclitaxel65 Carboplatin + Etoposide Carboplatin + Etoposide66 Carboplatin + Gemcitabine Carboplatin + Gemcitabine67 Carboplatin + Docetaxel Carboplatin + Docetaxel68 Carboplatin + Vinorelbine Carboplatin + Vinorelbine69 Cisplatin + Paclitaxel Cisplatin + Paclitaxel70 Cisplatin + Etoposide Cisplatin + Etoposide71 Cisplatin + Fluorouracil Cisplatin + Fluorouracil72 Cisplatin + Pemetrexed Cisplatin + Pemetrexed73 Cisplatin + Gemcitabine Cisplatin + Gemcitabine74 Cisplatin + Vinorelbine Cisplatin + Vinorelbine75 Cisplatin + Ifosphamide Cisplatin + Ifosphamide76 Cisplatin + Methotrexate Cisplatin + Methotrexate77 Cisplatin + Cyclophosphamide Cisplatin + Cyclophosphamide78 Cyclophosphamide + Vincristine Cyclophosphamide + Vincristine79 Cyclophosphamide + Epirubicin Cyclophosphamide + Epirubicin80 Etoposide + Fluorouracil Etoposide + Fluorouracil81 Gemcitabine + Vinorelbine Gemcitabine + Vinorelbine82 Gemcitabine + Paclitaxel Gemcitabine + Paclitaxel83 Gemcitabine + Oxaliplatin Gemcitabine + Oxaliplatin84 Ifosphamide + Vinorelbine Ifosphamide + Vinorelbine

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85 Ifosphamide + Epirubicin Ifosphamide + Epirubicin86 Irinotecan + Fluorouracil Irinotecan + Fluorouracil87 Mitomycin + Fluorouracil Mitomycin + Fluorouracil

88 Oxaliplatin (130 mg/m2) + Capecitabine Oxaliplatin (130 mg/m2) + Capecitabine

89 Oxaliplatin + Fluorouracil Oxaliplatin + Fluorouracil90 Paclitaxel + Fluorouracil Paclitaxel + Fluorouracil91 Capecitabine + Irinotecan (240 mg/m2) Capecitabine + Irinotecan (240 mg/m2)

Triple Agent Triple Agent

92Doxorubicin + Cyclophosphamide +

Etoposide

Doxorubicin + Cyclophosphamide + Etoposide

93 Doxorubicin + Cisplatin + Ifosphamide Doxorubicin + Cisplatin + Ifosphamide

94 Doxorubicin + Dacarbazine + IfosphamideDoxorubicin + Dacarbazine + Ifosphamide

95 Bleomycin + Etoposide + Cisplatin Bleomycin + Etoposide + Cisplatin

96Doxorubicin + Cyclophosphamide +

Cisplatin

Doxorubicin + Cyclophosphamide + Cisplatin

97Cyclophosphamide + Methotrexate +

Fluorouracil

Cyclophosphamide + Methotrexate + Fluorouracil

98 Epirubicin + Cisplatin + Fluorouracil Epirubicin + Cisplatin + Fluorouracil

99Fluorouracil + Doxorubicin +

Cyclophosphamide

Fluorouracil + Doxorubicin + Cyclophosphamide

100Fluorouracil + Epirubicin +

Cyclophosphamide

Fluorouracil + Epirubicin + Cyclophosphamide

101 Ifosphamide + Carboplatin + Etoposide Ifosphamide + Carboplatin + Etoposide

102 Ifosphamide + Dactinomycin + VincristineIfosphamide + Dactinomycin + Vincristine

103 Gemcitabine + Paclitaxel + Carboplatin Gemcitabine + Paclitaxel + Carboplatin

104 Procarbazine + Lomustine + VincristineProcarbazine + Lomustine +

Vincristine105 Ifosphamide + Cisplatin + Etoposide Ifosphamide + Cisplatin + Etoposide

106Docetaxel + Doxorubicin +

Cyclophosphamide

Docetaxel + Doxorubicin + Cyclophosphamide

107 Paclitaxel + Ifosphamide + Cisplatin Paclitaxel + Ifosphamide + Cisplatin 108 Docetaxel + Cisplatin + Fluorouracil Docetaxel + Cisplatin + Fluorouracil109 Paclitaxel + Carboplatin + Etoposide Paclitaxel + Carboplatin + Etoposide110 Paclitaxel + Carboplatin + Fluorouracil Paclitaxel + Carboplatin + Fluorouracil

111 Mitomycin + Ifosphamide + Cisplatin Mitomycin + Ifosphamide + Cisplatin

112Vincristine + Doxorubicin +

Cyclophosphamide

Vincristine + Doxorubicin + Cyclophosphamide

113Vincristine + Dactinomycin +

Cyclophosphamide

Vincristine + Dactinomycin +

Cyclophosphamide

114Vincristine + Epirubicin +

Cyclophosphamide

Vincristine + Epirubicin + Cyclophosphamide

115 Vincristine + Etoposide + Carboplatin Vincristine + Etoposide + Carboplatin 116 Etoposide + Cisplatin + Ifosphamide Etoposide + Cisplatin + Ifosphamide117 Vinblastine + Ifosphamide + Cisplatin Vinblastine + Ifosphamide + Cisplatin118 Vinorelbine + Ifosphamide + Cisplatin Vinorelbine + Ifosphamide + Cisplatin

Complex Regime Complex Regime

119Etoposide + Dactinomycin + Methotrexate

+ Vincristine + Cyclophosphamide

Etoposide + Dactinomycin +

Methotrexate + Vincristine +

Cyclophosphamide

120Etoposide + Cisplatin + Dactinomycin +

Methotrexate

Etoposide + Cisplatin +

Dactinomycin + Methotrexate

121Etoposide + Vincristine + Doxorubicin +

Ifosphamide + Dactinomycin

Etoposide + Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

122Ifosphamide + Vincristine + Dactinomycin

+ Doxorubicin

Ifosphamide + Vincristine +

Dactinomycin + Doxorubicin

123Vincristine + Doxorubicin +

Cyclophosphamide + Dactinomycin

Vincristine + Doxorubicin + Cyclophosphamide + Dactinomycin

124Vincristine + Doxorubicin + Ifosphamide +

Dactinomycin

Vincristine + Doxorubicin + Ifosphamide + Dactinomycin

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125Vincristine + Ifosphamide + Carboplatin +

Etoposide

Vincristine + Ifosphamide + Carboplatin + Etoposide

126Vincristine + Ifosphamide + Doxorubicin +

Etoposide

Vincristine + Ifosphamide + Doxorubicin + Etoposide

127Methotrexate + Dactinomycin +

Chlorambucil + Cyclophosphamide

Methotrexate + Dactinomycin + Chlorambucil + Cyclophosphamide

128Methotrexate + Vinblastine + Doxorubicin +

Cisplatin

Methotrexate + Vinblastine + Doxorubicin + Cisplatin

Oral Agents Oral Agents129 Capecitabine 1250mg/m

2Capecitabine 1250mg/m

2

130 Capecitabine 1000mg/m2

Capecitabine 1000mg/m2

131 Capecitabine 850mg/m2

Capecitabine 850mg/m2

132 Chlorambucil Chlorambucil133 Cyclophosphamide Cyclophosphamide134 Etoposide Etoposide135 Procarbazine Procarbazine136 Tegafur Tegafur137 Temozolomide Temozolomide

TARGETED THERAPY TARGETED THERAPY138 Erlotinib 100mg Erlotinib 100mg139 Erlotinib 150mg Erlotinib 150mg140 Imatinib 100mg Imatinib 100mg141 Gefitinib Gefitinib142 Imatinib 400mg Imatinib 400mg143 Pazopanib 200mg Pazopanib 200mg144 Pazopanib 400mg Pazopanib 400mg145 Trastuzumab (loading dose) Trastuzumab (loading dose)146 Trastuzumab (maintainence dose) Trastuzumab (maintainence dose)147 Cetuximab (2 weekly regime) Cetuximab (2 weekly regime)

HORMONE THERAPY HORMONE THERAPY148 Anastrazole Anastrazole149 Bicalutamide Bicalutamide150 Exemestane Exemestane151 Flutamide Flutamide152 Letrozole Letrozole153 Leuprolide Acetate 3.75mg Leuprolide Acetate 3.75mg154 Leuprolide Acetate 11.25mg Leuprolide Acetate 11.25mg

155 Medroxyprogesterone acetate (IM) Medroxyprogesterone acetate (IM)

156 Megestrole Acetate Megestrole Acetate157 Tamoxifen Tamoxifen

158 Goserelin 10.8 Depot (setiap 3 bulan)Goserelin 10.8 Depot (setiap 3

bulan)159 Goserelin 3.6 Depot Goserelin 3.6 Depot

IMMUNO THERAPY IMMUNO THERAPY160 Interfelon Alfa Interfelon Alfa

PERUBATAN NUKLEAR NUCLEAR MEDICINE161 Teknetium-99M Pirauan Kardiak Teknetium-99M Cardiac Shunt162 Teknetium-99M Kajian Pirofosfat Teknetium-99M Phyrophosphate Study

163 Teknetium-99MIBI kajian Latihan dan Rehat Teknetium-99MIBI Exercise & Rest Study

164 Talium-201 Kajian Latihan dan Rehat Talium-201 Exercise & Rest Study165 Imbasan Limpahan Hati Berlawang Gated Heart Pool Scan166 Pengimejan Tertangguh 24 jam 24 Hours Delay Imaging

NEFROLOGY NEPHROLOGY

167Intermitent peritoneal dialysis bagi setiap

rawatan

Intermitent peritoneal dialysis per treatment

168 Rawatan CAPD sebulan CAPD treatment (monthly)169 Renal biopsy (tidak termasuk laporan) Renal biopsy (excluding report)170 Femoral/Subclavian Catherisation Femoral/subclavian catherisation171 Haemoperfusion Haemoperfusion172 Implantation of tenchoff catheter Implantation of tenchoff catheter173 Pretransplant dialysis treatment Pretransplant dialysis treatment

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174Lawatan di rumah bagi setiap

haemodilaisisHome visit per Haemodialysis

175 Cycle-PD / Automated PD Cycle-PD / Automated PD176 Intermitent Peritoneal Dialysis Stab Intermitent peritoneal dialysis stab

177 Intermitent Peritoneal Dialysistenckhoff Intermitent peritoneal dialysis tenckhoff

178 Continuous Arteriovenous HaemofiltrationContinuous arteriovenous haemofiltration

179 Continuous Venovenous HaemodiafiltrationContinuous venovenous haemodiafiltration

180 Continuous Venovenous Haemodialysis Continuous venovenous haemodialysis

181 Continuous Venovenous Haemofiltration Continuous venovenous haemofiltration

182 Nightly Intermitent Peritoneal Dialysis Nightly intermitent peritoneal dialysis183 Plasma Exchange Plasma exchange184 Plasmapharesis Plasmapharesis185 Haemofiltration Haemofiltration186 Haemodialysis Single Use Kidney Haemodialysis single use kidney

187 Haemodialysis Single Use Kidney High-FluxHaemodialysis single use kidney high-flux

188 Haemodialysis Single Use Kidney Low-Flux Haemodialysis single use kidney low-flux

189 Haemo Single Use Kidney Middle- FluxHaemodialysis single use kidney middle- flux

190Catheter Insertion Surgical Tenckhoff

Peritoneal Sco

Catheter insertion surgical tenckhoff peritoneal sco

191Catheter Removal Medical Tenckhoff (Non

OT)

Catheter removal medical tenckhoff (Non OT)

192Catheter Removal Surgical Tenckhoff ( No

OT)

Catheter removal surgical tenckhoff ( Non OT)

193 Kt/v (CAPD) Kt/v (CAPD)194 Catheter Insertion Central Venous Catheter insertion central venous

195 Catheter Insertion CV Under US Guidance Catheter insertion CV under US guidance

196Catheter Insertion Femoral Double Lumen

(non cuffed)

Catheter insertion femoral double lumen (non cuffed)

197 Catheter Insertion Femoral Single Lumen Catheter insertion femoral single lumen198 Catheter Insertion Permenant Catheter insertion permanent199 Haemodiafiltration Online Haemodiafiltration online200 Haemodialysis Reuse Kidney Haemodialysis reuse kidney201 Haemodialysis Reuse Kidney High-Flux Haemodialysis reuse kidney high-flux202 Haemodialysis Reuse Kidney Low-Flux Haemodialysis reuse kidney low-flux

203 Haemodialysis Reuse Kidney Middle-Flux Haemodialysis reuse kidney middle-flux

204 Renal Biopsy- Biopty Gun Renal biopsy- biopty gun205 Renal Biopsy-Cooks Renal biopsy-cooks206 Renal Biopsy-Tru Cut Renal biopsy-tru cut207 Slow Continuous Ultrafiltration Slow continuous ultrafiltration208 Ultrafiltration Ultrafiltration209 Catheter Removal Central Venous Catheter removal central venous

210 Catheter Removal Femoral Double Lumen Catheter removal femoral double lumen

211Catheter Removal Central Venous Under

US

Catheter removal central venous under US

212 Catheter Removal Femoral Single Lumen Catheter removal femoral single lumen213 Renal Allograft Ultrasound Renal allograft ultrasound214 Renal Allograft Ultrasound Doppler Renal allograft ultrasound doppler

FISIOTERAPI PHYSIOTHERAPYELECTROTHERAPY MODALITIES ELECTROTHERAPY MODALITIES

215 Biofeedback/ myofeedback Biofeedback/ myofeedback216 Direct current/ Iontophorosis Direct current/ iontophorosis217 Didynamic Current Didynamic current218 Interrupted Direct Current (IDC) Interrupted Direct Current (IDC)

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219 Interferential Therapy (IT) Interferential Therapy (IT)220 Shortwave Diathermy (SWD) Shortwave Diathermy (SWD)

221Transcutaneous Electrical Nerve

Stimulation (TENS)

Transcutaneous Electrical Nerve Stimulation (TENS)

222 Ultrasound Therapy (US) Ultrasound Therapy (US)223 Realtime Ultrasound Realtime ultrasound224 Functional Electrical Stimulation Functional electrical stimulation225 Shockwave Therapy Shockwave therapy

THERMAL THERAPY/ CRYOTHERAPY THERMAL THERAPY/ CRYOTHERAPY

226 Hot Pack Hot pack227 Wax Bath Wax bath228 Infrared Radiation Infrared radiation229 Cryotherapy Cryotherapy

PHOTOTHERAPY PHOTOTHERAPY230 Laser Therapy Laser therapy231 Ultraviolet Light Therapy Ultraviolet light therapy

CARDIORESPIRATORY THERAPY CARDIORESPIRATORY THERAPY

232 Active Cycle Breathing Technique (ACBT Active Cycle Breathing Technique (ACBT)

233 Breathing exercise Breathing exercise234 Bronchial Suction Bronchial suction235 Flutter/incentive Spirometer Flutter/incentive spirometer236 Inspiratory Muscle Training Inspiratory Muscle Training237 Inhalation Therapy Inhalation Therapy238 Percussion/Vibration Percussion/Vibration239 Positive Expiratory Pressure Positive expiratory pressure240 Postural Drainage Postural drainage

MECHANO THERAPY MECHANO THERAPY241 Cervical Traction Cervical traction242 Lumbar Traction Lumbar traction243 Sequential Pump Sequential pump

HYDROTHERAPY HYDROTHERAPY244 Pool Exercise Pool exercise245 Whirlpool Whirlpool

MANUAL THERAPY MANUAL THERAPY246 Soft Tissue Manipulation Soft tissue manipulation247 Myofascial Release Myofascial release248 Manual Lymphatic Drainage Manual lymphatic drainage249 Accupressure Accupressure250 TAPING/BANDAGING/STRAPPING TAPING/BANDAGING/STRAPPING

251 COMPRESSION THERAPY (LYMPHOEDEMA)COMPRESSION THERAPY (LYMPHOEDEMA)

SPECIAL TECHNIQUES SPECIAL TECHNIQUES252 Canalith Repositioning Technique Canalith repositioning technique 253 Gaze Stabilisation Exercise Gaze stabilisation exercise254 Icing/brushing Icing/Brushing255 Joint mobilisation Joint mobilisation256 McKenzie technique McKenzie technique 257 Motor relearning programme (MRP) Motor Relearning Programme (MRP)258 Accupuncture Accupuncture259 Neurodevelopmental technique Neurodevelopmental technique

260Proprioceptive Neuromuscular Facilitation

(PNF)

Proprioceptive Neuromuscular Facilitation (PNF)

EXERCISE THERAPY EXERCISE THERAPY261 Active, passive, resisted Active, passive, resisted262 Ambulation/Gait training Ambulation/Gait training263 Ante/Postnatal Exercise Ante/Postnatal Exercise264 Balance Training Balance training265 Bladder/bowel training Bladder/bowel training266 Circuit Training/Gymnic ball exercise Circuit training/Gymnic ball exercise267 Counter bracing Technique Counter bracing technique268 Functional Activities Functional activities269 Group Exercise Group exercise

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270 Isokinetic Exercise Isokinetic exercise271 Mechanical Exercise Mechanical exercise272 Pelvic Floor Exercise Pelvic floor exercise

273 Pelvic Floor Exercise -with PFX educator Pelvic floor exercise -with PFX educator

274 Relaxation Techniques Relaxation techniques275 Sensory re-education Sensory re-education276 Special Hand Regime Special hand regime277 Treadmill Treadmill

278CONSULTATION/STRUCTURED PATIENT

EDUCATION/CAREER TRAINING

CONSULTATION/STRUCTURED PATIENT EDUCATION/ CAREER TRAINING

SPECIAL TEST – DIAGNOSTIC TOOL SPECIAL TEST – DIAGNOSTIC TOOL279 Berg’s Balance Test Berg’s Balance Test

280Clinical Test for Sensory Interaction &

Balance (CTSIB)

Clinical Test for Sensory Interaction & Balance (CTSIB)

281 Computerized Dynamic Posturography Computerized dynamic posturography282 Computerized Hand Evaluation Computerized hand evaluation283 Dix-hall Pike Test Dix-Hall Pike Test284 Dynamic Gait Index Dynamic Gait Index285 Oculomotor Assessment Oculomotor assessment

286Pelvic Floor Per Vagina/Per Rectal

Assessment

Pelvic Floor Per Vagina/Per Rectal Assessment

287 Perionometer Perionometer288 Sensory Testing Sensory testing289 Strength Duration Curve Strength duration curve290 Voluntary Muscle Testing Voluntary muscle testing291 Vestibular Test Vestibular test

CAJ RAWATAN PERGIGIAN DENTAL292 Cabutan Sebatang gigi kekal Extraction permanent tooth

293 Cabutan Gigi supernumerari /tunggul akar Extraction supernumerary/retained root

294 Cabutan Sebatang gigi desidus Extraction deciduous tooth

295Cabutan -Komplikasi - Rawatan soket

terinfeksi

Extraction - complication - treatment of infected socket

296Cabutan - Komplikasi -Pemberhentian

pendarahan

Extraction - complication - control of haemorrage

297 Cabutan - Komplikasi Extraction - complication

298 Tampalan Gigi kekal – satu permukaan Restoration permanent tooth - single surface

299Tampalan gigi kekal – permukaan

berganda/dengan pin retensi

Restoration permanent tooth - multiple surface/with pin retention

300 Tampalan - gigi desidus Restoration - deciduous tooth 301 Tampalan sementara Temporary restoration302 Penskaleran dan penggilapan Scaling and polishing per arch

303Dentur penuh (akrilik) - setiap rahang - termasuk bahan

Full denture (acrylic) - per jaw including materials

304Dentur separa (akrilik) - setiap rahang gigi

pertama

Partial denture (acrylic) - per jaw - first tooth

305 Dentur separa (akrilik) -maksimum Partial denture (acrylic) - maximum306 Dentur separa – setiap gigi tambahan Partial denture – per additional tooth

307Pembaikan plat dentur (tidak termasuk

penggantian setiap gigi)

Repair of denture plate (not including replacement of tooth)

308 Pembaikan dentur (setiap gigi tambahan) Repair of denture (per additional tooth)

309 Relining/Rebasing – setiap denture Relining/Rebasing – per denture310 Pelindung mulut Mouth guard311 Soft Splint Soft splint312 Hard Splint Hard splint313 Splint lain : eg Oyster Splint lain : eg. oyster 314 Obturator - acrylic Obturator - acrylic315 Obturator - molloplast Obturator - molloplast316 Feeding plate Feeding plate 317 Aplians Lain Other dental appliances

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318 Prostesis muka Facial prosthesis

319Jahitan semula kecederaan tisu lembut

orofasialResuture of soft tissue injury orofacial

320Buka jahitan kecederaan tisu lembut

orofasialOpen suture soft tissue injury orofacial

321Rawatan semula kecederaan tisu lembut

orofasial Revision of soft tissue injury - orofacial

322 Insisi dan saliran – abses orofasial Incision and drainage - orofacial abscess

323Inlai/Onlai - setiap gigi (tidak termasuk caj

bahan dan makmal)

Inlay/onlay- per tooth (excluding material and laboratory charges)

324

Korona/venir - setiap unit (termasuk korona

sementara tetapi tidak termasuk caj bahan

dan makmal)

Crown/veneer - per unit (inclusive of temporary crown but excluding material and laboratory charges)

325

Jambatan setiap abutmen/pontik

(termasuk jambatan sementara tetapi

tidak termasuk caj bahan dan makmal)

Bridge per abutment/pontic (inclusive of temporary bridge but excluding material and laboratory charges)

326 Korona keluli nirkarat - setiap unit Stainless steel crown - per unit 327 Korona Strip - setiap unit Strip crown - per unit328 Pembaikan korona/jambatan Repair of crown/bridge329 Tiang dan teras - sebatang gigi Post and core per tooth330 Restorasi provisional - setiap gigi Provisional restoration - per tooth331 Rawatan kanal akar – Anterior Root canal treatment - anterior332 Rawatan kanal akar – Premolar Root canal treatment - premolar333 Rawatan kanal akar – Molar Root canal treatment - molar334 Rawatan kanal akar semula – Anterior Root canal retreatment - anterior 335 Rawatan kanal akar semula – Premolar Root canal retreatment - premolar 336 Rawatan kanal akar semula – Molar Root canal retreatment - molar 337 Apeksifikasi - setiap gigi Apexification - per tooth 338 Pemberhentian resopsi gigi – setiap gigi Arrest of tooth resorption - per tooth

339 Coronal Pulpotomi - Setiap gigi kekalCoronal Pulpotomy - per permanent tooth

340 Cvek Pulpotomi - setiap gigi kekal Cvek Pulpotomi - per permanent tooth341 Pulpotomi - Setiap gigi Decidous Pulpotomy - per deciduous tooth342 Pulpektomi -setiap gigi Pulpectomy - per tooth

343Pelapikan pulpa (termasuk tampalan

sementara) - Langsung/tidak Langsung

Pulp capping (includes temporary restoration) – Direct/Indirect

344Rawatan pembuangan pulpa (extirpasi

pulpa)

Treatment of pulp removal (extirpasi pulp)

345 Pengeluaran alat yang terpisah/patahRetrieval of separated/broken instrument

346 Pemutihan gigi (luaran) – setiap rahang Tooth bleaching (external) - per arch 347 Pemutihan gigi (dalaman) – setiap gigi Tooth bleaching (internal) - per tooth 348 Mikroabrasi – setiap gigi Microabrasion- per tooth349 Fluorida topikal - setiap rahang Topical fluoride - per arch 350 Pengapan fisur - setiap gigi Fissure sealant - per tooth 351 Desensitisasi - setiap gigi Desensitisation- per tooth

352 Aplians tetap – pakej rawatan dua rahangFixed appliance – treatment package - both arches

353 Aplians tetap – pakej rawatan satu rahangFixed appliance – treatment package - single arch

354 Aplians fungsi tetap – setiap rahang Functional fixed appliance - per arch

355Pembukaan komponen aplians tetap -

setiap rahangDebonding of fixed appliance - per arch

356 Aplians penyambung rahang tetap Fixed expansion appliance -per arch

357Aplians penyambung – setiap rahang –

pengganti

Fixed expansion appliance - replacement –per arch

358Aplians penyambung tetap – setiap

rahang – pembaikan

Fixed expansion appliance - repair - per arch

359Aplians penyambung tetap – simen semula

- setiap rahang

Fixed expansion appliance - recementation

360 Retainer tetap - setiap rahang Fixed retainers - per arch 361 Retainer tetap - setiap rahang - Pengganti Fixed retainers -replacement -per arch 362 Retainer tetap - setiap gigi - pembaikan Fixed retainers – repair - per tooth

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363Retainer tetap - setiap rahang -

penanggalanFixed retainer - removal - per arch

364 Aplian fungsi boleh tanggal - setiap rahangFunctional removable appliance - per arch

365 Aplian fungsi boleh tanggal - PenggantiFunctional removable appliance - replacement

366 Aplian fungsi boleh tanggal - Pembaikan Functional removable appliance - repair

367Aplian boleh tanggal – pakej rawatan

setiap rahang

Removable appliance -treatment package -per arch

368Aplian boleh tanggal aktif - setiap rahang –

Pengganti

Active removable appliance - replacement - per arch

369Aplian boleh tanggal pasif - setiap rahang

– Pengganti

Passive removable appliance -replacement - per arch

370Penyenggara ruang boleh tanggal - setiap

rahangRemovable space maintainer per arch

371Aplian aktif boleh tanggal - satu rahang –

PembaikanActive removable - repair - per arch

372Retainer boleh tanggal – setiap rahang -

pembaikan Removable retainers – repair - per arch

373Penyenggara ruang boleh tanggal - setiap

rahang – pembaikan

Passive removable appliance (space maintainers) – repair - per arch

374 Essix retainer Essix retainer 375 Aksesori rahang palatal/lingual Palatal/Lingual Accessory Arch

376Aksesori - rahang palatal/lingual -

Pengganti

Palatal/Lingual Accessory Arch – replacement

377Peralatan traction on plant rahang setiap

alat – setiap rahang

Placement of traction device (on plant) – per device

378 Traction chain untuk gigi terimpakPlacement of traction chain – impacted tooth

379Traction chain untuk pergerakan gigi minor

– setiap gigi

Placement of traction chain for minor tooth movement per tooth

380Impresi bagi model kerja - setiap rahang

(atas/bawah)

Impression for working model per arch (upper/lower)

381 Gegelang ortodontik – pengganti Orthodontic bands - replacement382 Braket ortodontik - satu gigi - pengantian

Orthodontic brackets - replacement per tooth

383Dawai ortodontik - setiap rahang –

pengantian (atas/bawah)

Orthodontic wire - replacement per arch upper/lower

384Komponen boleh tanggal - setiap rahang –

Pembaikan

Repair of metal/acrylic component of removable appliance per arch

385 Rawatan Facemask Facemask treatment386 Rawatan Chin cup Chin cup treatment387 Rawatan palatal expander Palatal expander treatment388 Rawatan headgear Headgear treatment

389Periodontik - Pembedahan flap dengan

pembedahan tulangFlap surgery with osseous surgery

390Pembedahan flap dengan regenerasi

tulangFlap surgery with bone regeneration

391 Pembedahan mukogingiva Mucogingival surgery

392 Pemanjangan korona – dengan ostektomi Crown lengthening with ostectomy

393 Pemanjangan korona – tanpa ostektomi Crown lengthening without ostectomy394 Hemiseksi gigi Tooth hemisection395 Regenerasi tulang dipandu Guided bone regeneration396 Regenerasi tisu dipandu Guided tissue regeneration 397 Pembedahan flap Flap surgery 398 Gingivektomi Gingivectomy399 Gingivoplasti Gingivoplasty400 Pembedahan baji Wedge surgery401 Furkasionplasti – Penembusan Furcationplasty - tunnelling402 Furkasionplasti – Grufplasti Furcationplasty - grooveplasty403 Reseksi akar Root resection

404Pengetaman akar setiap kuadran

(Debridmen Subgingiva)

Root debridement per quadran (debridement subgingiva)

Page 9


405Pengetaman akar keseluruhan mulut

(Debridmen Subgingiva)

Root debridement whole mouth (debridmen subgingiva)

406 Pensplinan gigi Splinting of teeth 407 Venir gingiva labial Labial gingival veneer 408 Perisisi ligamen periodontium Pericision of periodontal ligament 409 Pengubahsuaian morfologi gigi Modification of tooth morphology

410 Pengkonturan semulsa restorasi sedia ada Recontouring of pre-existing restoration

411 Penyelarasan oklusal Occlusal adjustment 412 Frenotomi/Frenektomi Frenotomy/Frenectomy

413Sendi Temporomandibel (TMJ)

Reduksi – tertutup

Close reduction temporomandible joint (TMJ)

414Antralplasti maksila - sinus lift –

dengan autograf (graf tulang)

Antralplasty maxillary (sinus lift) with autograft-bone graft

415Antraplasti maksila(sinus lift) –

dengan alograf

Maxillary antralplasty (sinus lift) with allograft

416 Penutupan fistula oro-antral Closure of oro-antral fistula

417Pencucian antrum Caldwell – Luc

(sebelah) Antral washout caldwell-luc (per side)

418Eksisi lesi maksilofasial – dengan rekonstruksi

– alograf

Excision lesion maxillofacial - with reconstruction-allograft

419 Eksisi lesi maksilofasial Excision of maxillofacial lesion

420 Marsupialisasi lesi tulang maksilofasialMarsupialisation of bony maxillofaciallesion

421 Marsupialisasi lesi tisu lembut mulut Marsupialisation of oral soft tissue lesion

422Reduksi dan fiksasi fraktur tulang

maksilofasial – tertutup

Reduction and fixation of bony maxillofacial fracture - closed

423Reduksi dan fiksasi tulang maksilofasial –

sementara

Reduction and fixation of bony maxillofacial fracture – temporary

424Vestibuloplasti oral (setiap rahang)-dengan

grafOral vestibuloplasty (per arch) with graft

425 Vestibuloplasti mulut -setiap rahang Oral vestibuloplasty (per arch)

426Penanggalan fiksasi dalaman –

maksilofasial

Removal of internal fixation – maxillofacial

427 Sekuestrektomi – maksilofasial Maxillofacial sequestrectomy

428 Pembuangan kalkulus duktus liur – terbuka Removal of salivary duct calculus- open

429 Pembuangan kalkulus duktus liur – tertutup Removal of salivary duct calculus- closed

430 Miatoplasti bukaan duktus kelenjar liur Meatoplasty of salivary duct orifice431 Duktus kelenjar liur- Dilasitasi Salivary duct dilation432 Duktus kelenjar liur- Peligaturan Salivary duct ligation

433 Eksisi lesi tisu lembut mulut dengan laserExcision of oral soft tissue lesion with laser

434Eksisi lesi tisu lembut mulut – 2 cm atau

kurang

Excision of oral soft tissue lesion – 2cm or less

435 Saraf trigeminal – krioterapi/keratanTrigeminal nerve - cryotherapy/sectioning

436Penanggalan benda asing – orofasial –

mudah

Removal of foreign body – orofacial – simple

437 Biopsi tulang maksilofasial Biopsy - bony – maxillofacial438 Biopsi tisu lembut mulut Biopsy - soft tissue – oral439 Biopsi lesi tru-cut Biopsy lesion tru-cut440 Ablasi lesi mukosa oral Ablation of oral mucosal lesion 441 Frenoplasti Frenoplasty442 Frenotomi/Frenektomi dengan laser Frenotomi/frenectomy with laser

443Apisektomi - setiap gigi – gigi belakang –

dengan tampalan retrograde

Apicectomy (per tooth) - posterior tooth with retrograde filling

444 Apisektomi -setiap gigi – gigi belakang Apicectomy (per tooth) - posterior tooth

445Apisektomi -setiap gigi – gigi anterior

dengan tampalan retograd

Apicectomy (per tooth) - anterior tooth with retrograde filling

446 Apisektomi -setiap gigi – gigi hadapan Apicectomy (per tooth) - anterior tooth

Page 10


447Pengeluaran gigi terimpak melalui

pembedahan -setiap gigi – rumit

Surgical removal of impacted/unerupted tooth (per tooth) – complicated

448Pengeluaran melalui pembedahan-

Gigi/Akar -setiap gigi

Surgical removal of tooth/root (per tooth)

449Pengeluaran melalui pembedahan-

Gigi/Akar tersesar -setiap gigi

Surgical removal of displaced tooth/root (per tooth)

450Pengeluaran melalui pembedahan- Gigi

terimpak/enrupted -setiap gigi – mudah

Surgical removal of impacted/unerupted tooth (per tooth) – simple

451 Transplantasi gigi Transplantation tooth

452Peletakan semula dan/atau penstabilan

gigi – pembedahan

Repositioning and/or stabilization of tooth – surgical

453Peletakan semuladan/atau penstabilan

gigi – tanpa pembedahan

Repositioning and/or stabilization of tooth –non-surgical

454 Penanaman semulagigi Reimplantation of tooth

455Pembedahan pendedahan gigi -setiap

gigi – dengan penempatan penyambung

Surgical exposure of tooth (per tooth) with placement of attachment

456Pembedahan pendedahan gigi -setiap

gigi – tanpa penempatan penyambung

Surgical exposure of tooth (per tooth) without placement of attachment

457

Implan pergigian -setiap implan-

pembedahan peringkat pertama dengan

autograph

Dental Implant (per implant) – first stage surgery with autograft

458Implan pergigian -setiap implan –

pembedahan peringkat pertama

Dental Implant (per implant) – first stage surgery

459

Implan pergigian -setiap implan-

pembedahan peringkat pertama dengan

pengganti tulang

Dental Implant (per implant) – first stage surgery with bone substitute

460Implan pergigian (setiap implan) –

pembedahan peringkat kedua

Dental Implant (per implant) – second stage surgery

461Implan maksilofasial -setiap implan –

pembedahan peringkat pertama

Maxillofacial implant (per implant) – first stage surgery

462Implan maksilofasial (setiap implan) –

pembedahan peringkat kedua

Maxillofacial implant (per implant – second stage surgery

463Penanggalan implan

pergigian/maksilofasial – rumit

Removal of dental/maxillofacial implants - complicated

464Penanggalan implan

pergigian/maksilofasial – mudah

Removal of dental/maxillofacial implants – simple

465 Debridemen tisu lembut orofasial Debridement of oro-facial soft tissue466 Pendawaian pergigian -setiap rahang Dental wiring – per jaw

467Pemberhentian pendarahan – selepas

pembedahanControl of haemorrhage – post-surgery

468 Pemberhentian pendarahan – lesi Control of haemorrhage –lesion

469Pemberhentian pendarahan – selepas

cabutanControl of haemorrhage – post-extraction

470Terapi – orofasial Laser lembut – setiap

kitaranOrofacialsoft laser therapy - per course

471 Terapi – oromaksilofasial ultrasound Oromaxillofacial ultrasound therapy472 Obturator prosthesis Prosthesis-obturator

473 Sitologi aspirasi jarum halus – orofasial Fine needle aspiration cytology-orofacial

474 Operkulektomi mulut Oral operculectomy

475Penanggalan pendawaian pergigian

(setiap rahang)Removal of dental wires (per jaw)

476 Suntikan ubatan – orofasial Injection of medication –orofacialCAJ ANGGOTA TIRUAN ARTIFICIAL LIMBS / PROSTHESISPeralatan Upper Limb Prosthesis Upper Limb Prosthesis Item

477 Cosmetic Silicone Glove Cosmetic silicone glove478 Cosmetic fingers Cosmetic fingers479 Trans Radius Cosmetic Trans radius cosmetic480 Trans Radius Mechanical Function Hand Trans radius mechanical function hand481 Trans Humerus Cosmetic Trans humerus cosmetic

482Trans Humerus Mechanical Functional

Hand

Trans humerus mechanical functional hand

Page 11


Peralatan Lower Limb Prosthesis Lower Limb Prosthesis Item483 Chopart Chopart484 Symes Prosthesis Symes prosthesis

485Transtibial Prosthesis K1 Berjalan dalam

rumah (Indoor Walker)Transtibial prosthesis indoor walker

486 Transtibial Prosthesis K2 Limited Outdoor Transtibial prosthesis K2 limited outdoor

487 Transtibial Prosthesis K3 Active Walker Transtibial prosthesis K3 active walker

488 Transtibial Prosthesis K4 Very Active/SportTranstibial prosthesis K4 very active/Sport

489 Through Knee Prosthesis K1 hingga K4 Through knee prosthesis K1 to K4

490Transfemoral Prostesis K1 Berjalan dalam

rumah (Indoor Walker)Transfemoral prostesis K1 indoor walker

491 Transfemoral Prostesis K2 Limited OutdoorTransfemoral prostesis K2 limited outdoor

492 Transfemoral Prostesis K3 Active Walker Transfemoral prostesis K3 cctive walker

493 Transfemoral Prostesis K4 Very Active/SportTransfemoral prostesis K4 very active/sport

494 Hip Disarticulated Prostesis K1 hingga K4 Hip disarticulated prostesis K1 to K4495 Knee Orthoses Hinge Knee Knee orthoses hinge knee496 Knee Orthoses Weekender Knee Brace Knee orthoses weekender knee brace497 Knee Orthoses Revolution Brace Knee orthoses revolution brace

498Knee Orthoses Knee Ranger post operation

brace

Knee orthoses knee ranger post operation brace

499 Knee Orthoses Fracture hinges Knee orthoses fracture hinges

500Lower limb Orthoses Knee Ankle Foot

Orthoses (KAFO)

Lower limb orthoses knee ankle foot orthoses (KAFO)

501 Ankle Foot Orthoses Ankle foot orthoses502 Super Lite Ankle Foot Orthoses Super lite ankle foot orthoses

503 Ankle Foot Orthoses Sweeder Ankle Brace Ankle foot orthoses sweeder ankle brace

504 Suprameleolar Prosthesis 500 seunit Suprameleolar prosthesis 500 per unit

505Ankle Foot Orthosis- Ankle Foot Orthosis

(Custom made/polypropelyne)

Ankle foot orthosis- ankle foot orthosis (custom made/polypropelyne)

506 Foot care Wonder Spur Foot care wonder spur507 Foot care Wonder Cup Foot care wonder cup508 Foot care Wonder Sport Foot care wonder sport509 Foot care Soft sock Foot care soft sock510 Foot care Gel Squares Foot care gel squares511 Paediatric Orthoses Pavlic Harness Paediatric orthoses pavlic harness

512Paediatric Orthoses Dennis Brown Shoes

(Straight Last) full set

Paediatric orthoses dennis brown shoes (straight last) full set

513Paediatric Orthoses Dennis Brown Shoes

(Full Abduction) full set

Paediatric orthoses Dennis Brown Shoes (full abduction) full set

514 Cervical Soft Collar Cervical soft collar515 Cervical Adjustable Collar (Plastik) Cervical adjustable collar (plastic)516 Philadelphia A Series Collar Philadelphia A series collar517 Atlas Collar Atlas collar518 Philadelphia Collar Philadelphia collar519 Minerva Cervical Support Minerva cervical support

520 Philadelphia Collar with Stabilizer & Halo Philadelphia collar with stabilizer & halo

521 S.O.M.I Brace S.O.M.I Brace522 USMC Halo System USMC halo system523 Halo Liner Halo liner524 PMT Halo System PMT halo system525 Torque Screw Driver Torque screw driver

526 Cervical- Thoracic Lumbar-sacral- Orthosis Cervical- thoracic lumbar-sacral- orthosis

527 Juwett Brace Juwett brace528 Knight Taylor Brace (TLSO) Knight taylor brace (TLSO)529 Knight Taylor Brace (LSO) Knight taylor brace (LSO)530 Kydex Knight Taylor Brace Kydex knight taylor brace

Page 12


531 Kydex Chair Back Brace Kydex chair back brace

532TLSO Body Jacket (Moulded

Polypropelyne)

TLSO body jacket (moulded polypropelyne)

533 Sacro-Lumbar Support (Fabric) Sacro-lumbar support (fabric)

534Scoliosis Boston Brace (Moulded

Polypropelyne)

Scoliosis boston brace (moulded polypropelyne)

Peralatan Rehabilitasi Rehabilitation Accessories535 Aluminium Axilla Crutch Aluminium Axilla Crutch : 536 Kanak-kanak (S) Children (S)537 Remaja (M Teenage (M)538 Dewasa (L) Adult (L)539 Dewasa bersaiz besar (XL) Adult big size (XL)540 Adjustable elbow crutch Adjustable elbow crutch

541Adjustable aluminium walking stick with

strap in bronze colour

Adjustable aluminium walking stick with strap in bronze colour

542Adjustable aluminium crooked handle

walking stick in bronze colour

Adjustable aluminium crooked handle walking stick in bronze colour

543Adjustable folding walking frame in bronze

colour

Adjustable folding walking frame in bronze colour

544 Quadruped walking aid Quadruped walking aid545 Quadruped walking aid- Narrow Base Quadruped walking aid- narrow base

546Standard wheel chair 18” with detachable

armrest and footrest

Standard wheel chair 18” with detachable armrest and footrest

547 Standard wheel chair 18” Standard wheel chair 18”548 Semi light weight wheel chair Semi light weight wheel chair

549Reclining wheel chair with detachable

armrest and elevating footrest

Reclining wheel chair with detachable armrest and elevating footrest

550 Light weight wheel chair Light weight wheel chair551 Commode wheel chair Commode wheel chair552 Major buggy Major buggy553 Commode chair Commode chair

PERKHIDMATAN PERUBATAN TRADISIONAL

DAN KOMPLEMENTARI

TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES

PERUBATAN TRADISIONAL MELAYU/ PRIBUMITRADITIONAL MEDICINE FOR MALAY/PRIBUMI

Urut Tradisional Melayu/ PribumiTraditional Massage for Malay/Pribumi

554 Rawatan Kesakitan Kronik Chronic disease treatment555 Rawatan Pasca Angin Ahmar Post-stroke treatment

Rawatan Penjagaan Ibu Selepas Bersalin Post-natal mother care556 Rawatan Urut Selepas Bersalin Post natal massage treatment

557Pakej Rawatan Pemulihan Selepas Bersalin

– Urut, Tungku & Bengkung

Post natal recovery treatment packages - massage, furnase and bengkung

558 Rawatan Pemulihan Selepas Bersalin – Post natal recovery treatment - tangasPerubatan Tradisional Cina TRADITIONAL CHINESE MEDICINEAkupunktur Acupuncture

559 Rawatan Kesakitan Kronik Chronic disease treatment560 Rawatan Pasca Angin Ahmar Post-stroke treatment

561

Akupunktur dan tambahan moxibustion untuk rawatan kesakitan kronik dan pasca angin ahmar

Acupuncture and moxibustion in addition to the treatment of chronic pain and post stroke

562 Lain-lain Indikasi Other indicationHerba Herbs

563Rawatan sampingan untuk pesakit

onkologi (termasuk kos herba)

Ancillary treatment for oncology patient (including the cost of herbs)

Perubatan Tradisional India TRADITIONAL INDIAN MEDICINEAyurveda Ayurveda

564 Shirodhara Shirodhara565 Abhyanga Abhyanga

Terapi Komplementari Complementary Therapy566 Kiropraktik Chiropractic567 Osteopatik Osteopatic

Page 13


BEKALAN DARAH DAN HASIL DARAH BLOOD SUPPLY AND BLOOD PRODUCT

568 Sel Darah Utuh Packed Red Cell569 Darah lengkap Whole Blood570 Pati platelet Platelet Concentrate571 Krioendapan Cryoprecipitate572 Plasma beku segar Fresh frozen plasma573 Kriosupernatan Cryosupernatant574 Platelet aferes Platelet apheresis575 Sel Darah Utuh Pediatrik Paediatric packed cells576 Filtered Red Cell Filtered red cell577 Irradiated sel Irradiated sel578 Patogen Inactivated Plasma Patogen inactivated plasma579 Patogen Inactivated Platelet Patogen inactivated platelet580 Patogen Inactivated Platelet Aferesis Patogen inactivated platelet aferesis581 Irradiated Aferasis Platelet Irradiated aferasis platelet582 Irradiated Platelet Irradiated platelet

Produk Pecahan Plasma Plasma Breakdown Product

583High Purity Factor VIII Concentrate - 250

IU/vial

High purity factor VIII concentrate - 250 IU/vial

584 Intermediate Purity Factor VIII - 250 IU/vialIntermediate purity factor VIII - 250 IU/vial

585 Pure Factor IX -500 IU/vial Pure factor IX -500 IU/vial

586Prothrombin Complex Concentrate - 500

IU/vial

Prothrombin complex concentrate - 500 IU/vial

587 Recombinant Factor VIIa - 60 KIU/vial Recombinant factor VIIa - 60 KIU/vial588 Albumin - 20% 100ml Albumin - 20% 100ml

589Intravenous Immune Globulin (IV) -

3g/50ml

Intravenous immune globulin (IV) - 3g/50ml

590 Recombinant VIII - 250 IU/vial Recombinant VIII - 250 IU/vial591 Recombinant IX - 500 IU/vial Recombinant IX - 500 IU/vial592 Autologous Plasma Eye Drop Autologous plasma eye drop

KLINIK PEMULIHAN CARA KERJA OCCUPATIONAL THERAPY ASSESSMENT ASSESSMENTADL Assessment ADL Assessment

593Canadian Occupational Therapy

Performance Measure (C.O.P.M)

Canadian Occupational Therapy Performance Measure (C.O.P.M)

594Camberwell Assessment of Needs Short

Schedule (CANSAS)

Camberwell Assessment of Needs Short Schedule (CANSAS)

595 Functional Ability Assessment (FAA) Functional Ability Assessment (FAA)

596 Functional Independence Measure (FIM) Functional Independence Measure (FIM)

597 Kohlman Evaliation of Living Skill (KELS)Kohlman Evaliation of Living Skill (KELS)

598 Modified Barthel Index Modified Barthel Index

599Pediatric Evaluation Disabilities Inventory

(PEDI)

Pediatric Evaluation Disabilities Inventory (PEDI)

600 Self Care Skills (PASS) Self Care Skills (PASS)601 Kohlmens Kohlmens602 AMPS AMPS

Physical Assesment Physical Assesment603 Muscle Manual Test (MMT) Muscle Manual Test (MMT)604 Strength-dynamometer/pinch gauge Strength-dynamometer/pinch gauge605 2 point discrimination test 2 point discrimination test606 9 hole peg test 9 hole peg test607 Berg Balance Test Berg Balance Test608 Grooved Peg board Grooved peg board609 Jebsen Taylor Hand Function Test Jebsen Taylor Hand Function Test610 Minnesota Manual Dexterity Test Minnesota Manual Dexterity Test611 O’connor Finger Dexterity Test O’connor Finger Dexterity Test612 O’connor Tweezer Dexterity Test O’connor Tweezer Dexterity Test613 Pain visual analog scale Pain visual analog scale614 Purdue pegboard test Purdue Pegboard Test615 Range of Motion – Goniometer Range of Motion – goniometer

Page 14


616 Roeder manipulative aptitude test Roeder Manipulative Aptitude Test617 Semmes-Weinstein Monofilaments test Semmes-Weinstein Monofilaments Test 618 Sensory profile Sensory profile619 Stereognosis test Stereognosis test620 Vibration Vibration 621 Volumeter Volumeter622 Tinnetti balance Test Tinnetti balance test

623Microcomputer Upper Limb Exerciser

(MULE)

Microcomputer Upper Limb Exerciser (MULE)

Development Assessment Development Assessment624 Bruiniks Oseretsky Test Bruiniks Oseretsky Test 625 Denver Denver626 Oral motor rating scale Oral motor rating scale627 Peabody Peabody

Perceptual and Cognitive Assessment Perceptual and Cognitive Assessment

628 Berry VMI Berry VMI

629

Chessington Occupational Therapy

Neurological Assessment Battery

(C.O.T.N.A.B)

Chessington Occupational Therapy Neurological Assessment Battery (C.O.T.N.A.B)

630 Hospital Anxiety Depression Scale Hospital Anxiety Depression Scale

631Lowerstein Occupational Therapy

Cognitive assessment (L.O.T.C.A)

Lowerstein Occupational Therapy Cognitive assessment (L.O.T.C.A)

632 Mini Mental State Examination Mini Mental State Examination

633 Rivermead Perceptual Assessment BatteryRivermead Perceptual Assessment Battery

Preschool Assesment Preschool Assesment634 Miller Assessment Pre Schoolers Miller Assessment Pre Schoolers635 School Function Assessment (SFA) School Function Assessment (SFA)636 Test of Handwriting skill Test of handwriting skill

Behavior assessment Behavior assessment637 Threshold Assessment Grid (TAG) Threshold Assessment Grid (TAG)638 Hospital Anxiety and Depression scale Hospital anxiety and depression scale639 Irritability - depression anxiety scale Irritability - depression anxiety scale640 Shaan's Function Questionaire Shaan's Function Questionaire641 The Beck Depression scale The Beck Depression scale642 Wheel Chair Assessment Wheel Chair Assessment

Driving Assessment Driving Assessment643 Pre-driving assessment Pre-driving assessment644 Stroke driving screening assessment Stroke driving screening assessment

Home/Work Place/School Assessment Home/Work Place/School Assessment645 Home Fast Tool Home fast tool

Work/Vocational assessment Work/Vocational assessment646 *BTE *BTE 647 Laser Laser648 *LIDO *LIDO649 Role check list Role check list650 T pal T pal651 Valpar Valpar 652 Work Cube Work cube

ACTIVITIES OF DAILY LIVING (ADL) TRAININGACTIVITIES OF DAILY LIVING (ADL)

TRAINING

Instrumental Activities of Daily Living Instrumental Activities of Daily Living

653 Ability to use telephone Ability to use telephone654 Early ambulation Early ambulation655 Self hygiene Self hygiene656 Transfer Transfer657 Ability to handle Finance Ability to handle Finance 658 Bathing Bathing659 Bladder management Bladder management660 Bower management Bower management661 Cleaning work Cleaning work662 Device care Device care

Page 15


663 Domestic skill Domestic skill664 Dressing Dressing665 Eating/feeding Eating/feeding666 Food/meal preparation Food/meal preparation667 Functional communication Functional communication668 Functional mobility Functional mobility669 Grooming Grooming670 Health eminence Health eminence671 Household maintenance Household maintenance672 Housekeeping Housekeeping673 Laundry Laundry674 Mode of transportation Mode of transportation675 Money management Money management676 Responsibility for medication Responsibility for medication677 Safety procedure Safety procedure678 Sexual expression Sexual expression679 Shopping Shopping680 Toileting Toileting

Aids and Adaptation (bagi setiap peralatan

modifikasi yang dibekalkan)

Aids and Adaptation (for each modification equipment supplied)

681 Cooking utensil Cooking utensil682 Dressing Dressing683 Feeding/drinking utensil Feeding/drinking utensil684 Mobility Mobility685 Bathing Bathing686 Reading/writing Reading/writing687 Wheel chair seating Wheel chair seating688 Behavioral therapy Behavioral therapy

Cognitive & Perceptual Training Cognitive & Perceptual Training689 Basic concepts Basic concepts690 Body part identification Body part identification 691 Cognitive stimulation Cognitive stimulation692 Educational activities Educational activities693 Right/left discrimination Right/left discrimination694 Figure ground disrimination Figure ground disrimination695 Reality orientation Reality orientation696 Topographical orientation Activities Topographical orientation Activities697 Sequencing Sequencing698 Categration Categration

699

Dynamic Splint - Harga mekanisme

(mengikut harga pasaran) + harga statik

splint

Dyanamic Splint - the price of mechanism (according to market price) + the price of static splint

Creative Therapy Creative Therapy700 Art therapy Art therapy701 Drama/role play Drama/role play702 Music therapy Music therapy

Social Skill Training Social Skill Training703 Assertive training Assertive training704 Coping skill training Coping skill training705 Group support Group support706 Group therapy Group therapy707 Individual therapy Individual therapy708 Interpersonal skill Interpersonal skill709 Self awareness activities Self awareness activities710 Self control Self control711 Self expression Self expression712 Social conduct Social conduct713 Social skill training Social skill training

Page 16


714 Time management Time management715 Role checklist Role checklist

Patients and Career Education Patients and Career Education716 Body mechanic & ergonomic Body mechanic & ergonomic717 Edema control Edema control718 Energy conservation/work Simplication Energy conservation/work Simplication719 Environment therapy Environment therapy720 Joint protection techniques Joint protection techniques

Play and Leisure Play and Leisure721 Leisure check list Leisure check list722 Play and leisure exploration Play and leisure exploration723 Play and Leisure training Play and leisure training

Relaxation Relaxation724 Bio-feedback Bio-feedback725 Deep breathing Deep breathing726 Diaphragmatic breathing Diaphragmatic breathing727 Imaginary relaxation Imaginary relaxation

728 Progressive muscular relaxation techniquesProgressive muscular relaxation techniques

Sensory Training Sensory Training729 Sensory desensitization Sensory desensitization730 Sensory integration Sensory integration731 Sensory re-education Sensory re-education732 Sensory stimulation Sensory stimulation733 Fluidotherapy Fluidotherapy

Motor Training Motor Training734 Above elbow prothesis Above elbow prothesis735 Above knee prothesis Above knee prothesis736 Active assisted exercise Active assisted exercise737 Below elbow prothesis Below elbow prothesis738 Below knee prothesis Below knee prothesis739 Bilateral integration Bilateral integration 740 Crossing midline Crossing midline741 Ergonomic training Ergonomic training742 Fine motor skills Fine motor skills743 Finger prosthesis Finger prosthesis744 Gait training Gait training745 Gross motor activities Gross motor activities746 Hand-eye coordination Hand-eye coordination747 Improve Balance Improve balance748 Motor re-education Motor re-education749 Neuro developmental technique Neuro developmental technique750 Normalize muscle tone Normalize muscle tone751 Oral muscle stimulation Oral muscle stimulation752 Strengthening exercise Strengthening exercise753 Endurance training Endurance training754 Reduce muscle tone Reduce muscle tone755 Above elbow prothesis Above elbow prothesis

Compression Therapy Compression Therapy756 Corban bandage Corban bandage757 Pressure splint Pressure splint758 Tubigrip Tubigrip

Page 17


PERIHAL

Pressure Garment Pressure Garment759 Finger strap Finger strap760 Gauntlet Gauntlet761 Glove Glove762 Forearm A Sleeve Forearm A Sleeve763 Full length arm sleeve Full length arm sleeve764 Vest with long sleeve Vest with long sleeve765 Vest with short sleeve Vest with short sleeve766 Chin strap Chin strap767 Mask Mask768 Short pants Short pants769 Long pants Long pants770 Thigh strap Thigh strap771 Calf strap Calf strap772 Socks (1 unit) Socks (1 unit)

Static Splint Static Splint 773 Finger toe Finger toe774 Hand/foot Hand/foot775 Hand to forearm Hand to forearm776 Finger to forearm Finger to forearm777 Forearm to upper arm Forearm to upper arm778 Hand to upper arm Hand to upper arm779 Upper arm Upper arm780 Hard collar Hard collar781 Foot to calf Foot to calf782 Foot to mid thigh Foot to mid thigh783 Mid calf to mid thigh Mid calf to mid thigh784 Plaztozote Insole Plaztozote Insole785 Tennis Elbow Tennis Elbow786 Ulnar driff Ulnar driff787 Ergonomic A sling Ergonomic A sling788 Foot drop check Foot drop check789 Buddy strap Buddy strap790 Body brace Body brace791 Pelvis harness Pelvis harness

Page 18


IMPLAN BAGI PERKHIDMATAN

OFTALMOLOGI

IMPLANT CHARGES FOR OPHTALMOLOGY SERVICES

Paediatric and strabismus Paediatric and Strabismus792 Frontalis sling; silastic material Frontalis sling; silastic material793 Frontalis sling; ptose up Frontalis sling; ptose up794 Lacrimal intubation; Ritleng tube Lacrimal intubation; ritleng tube795 Lacrimal intubation; Crawford tube Lacrimal intubation; crawford tube796 Mini Monoka Mini monoka 797 Glaucoma; Baerveldt implant Glaucoma; baerveldt implant798 Glaucoma; Ahmad valve implant Glaucoma; Ahmad Valve Implant799 Medpor orbital sphere implant Medpor orbital sphere implant800 Customised artificial eye Customised artificial eye801 Ready-made artificial eye Ready-made artificial eye802 Conformer Conformer803 Silicone band for squint surgery Silicone band for squint surgery804 Low vision optical devices Low vision optical devices

Surgical Vitreoretina Surgical Vitreoretina805 Silicone oil Silicone oil806 Gas C3F8 Gas C3F8 807 Gas SF6 Gas SF6808 Silicone band Silicone band 809 Silicone sponge Silicone sponge810 Silicone tyre Silicone tyre

Glaucoma Glaucoma811 Baerveldt implant (standard) Baerveldt implant (standard)812 Baerveldt implant (pars plana) Baerveldt implant (pars plana)813 Ahmad Valve (standard) Ahmad Valve (standard)814 Ahmad Valve (pars plana) Ahmad Valve (pars plana)815 Molteno implant Molteno implant816 Amniotic membrane Amniotic membrane817 Implant tube extender Implant tube extender818 Cataract and refractive surgery Cataract and refractive surgery819 Capsular tension ring Capsular tension ring820 Aniridia ring Aniridia ring

Cornea Cornea821 Corneal –precut Corneal –precut822 Corneal-tissue in optisol Corneal-tissue in optisol823 Corneal tissue-tissue in glycerol Corneal tissue-tissue in glycerol824 Amniotic membrane Amniotic membrane825 Bandage contact lens - weekly Bandage contact lens - weekly826 Bandage contact lens - monthly Bandage contact lens - monthly827 Keratoprosthesis - Ocular Landers Keratoprosthesis - ocular landers828 Keratoprosthesis - Boston Keratoprosthesis - Boston

829 Intrastromal corneal ring segment - INTACSIntrastromal corneal ring segment - INTACS

830Optical Cylinder for Osteo-odonto-

Keratoprostesis (OOKP)

Optical Cylinder for Osteo-Odonto-Keratoprostesis (OOKP)

831 Symblepharon ring Symblepharon ringOculoplastic Oculoplastic

832 Crawford lacrimal intubation Crawford lacrimal intubation833 O'Donoghue lacrimal intubation O'Donoghue lacrimal intubation834 Ritleng intubation set Ritleng intubation set835 Bicanaliculus intubation set Bicanaliculus intubation set836 Snug plug - punctal plug Snug plug - punctal plug837 Ptosis probe – silicone Ptosis probe – silicone838 Ptosis probe – gortex Ptosis probe – gortex839 Conformer - silicone, perforated Conformer - silicone, perforated840 Symblepharon ring Symblepharon ring841 Titanium plate Titanium plate 842 Titanium screw Titanium screw843 Gold weight implant Gold weight implant844 Platinum weight implant Platinum weight implant845 Silicone tyre 276 Silicone tyre 276

Page 19


846 Fixation sleeve Fixation sleeve847 Sponge Sponge848 Mini monoka Mini monoka849 Monoka Monoka850 Upper eyelid spacer Upper eyelid spacer851 Lower eyelid spacer Lower eyelid spacer852 Acrylic implant Acrylic implant853 Hydroxyapatite orbital implant Hydroxyapatite orbital implant854 MEDPOR - micro thin sheet MEDPOR - micro thin sheet855 MEDPOR - ultra thin sheet MEDPOR - ultra thin sheet856 MEDPOR - sheets MEDPOR - sheets857 MEDPOR - titanium sheets MEDPOR - titanium sheets858 MEDPOR Enophthalmos wedges MEDPOR enophthalmos wedges859 MEDPOR Orbital conical implant MEDPOR orbital conical implant860 MEDPOR Orbital sphere implant MEDPOR orbital sphere implant861 MEDPOR blocks MEDPOR blocks862 Orbital sphere tissue expander Orbital sphere tissue expander863 PESS implant PESS implant864 Customised artificial eye Customised artificial eye865 Ready-made artificial eye Ready-made artificial eye

IMPLAN UNTUK PERKHIDMATAN ORTOPEDIKIMPLANT CHARGES FOR ORTHOPAEDICS SERVICES

8661.5mm Cortical Screw, 0.5mm Pitch, Full

Thread (Length Range: 6mm-30mm )

1.5mm cortical screw, 0.5mm pitch, full thread (length range: 6mm-30mm )


Thread (Length Range: 6mm-40mm)

2.0mm cortical screw, 0.6mm pitch, full thread (length range: 6mm-40mm)


Thread (Length Range: 8mm – 50mm)

2.7mm cortical screw, 1.0mm pitch, full thread (length range: 8mm – 50mm)

869

2.7mm Cortical Screw, 1.0mm Pitch, Self

Tapping, Full Thread (Length Range: 6mm –

40mm )

2.7mm cortical screw, 1.0mm pitch, self tapping, full thread (length range: 6mm – 40mm )

870

Epiphysis Mini Plates 2.0mm (Range:

Left/Right L-Obligue, Left/Right 90 Degree T-

Plate)

Epiphysis mini plates 2.0mm (range: left/right L-Obligue, left/right 90 Degree T-Plate)

871Quarter Tubular Plate 2.7mm (Hole Range:

3mm – 8mm)

Quarter tubular plate 2.7mm (hole range: 3mm – 8mm)

872Self Compression Plates 2.0mm (Hole

Range: 4mm – 8mm)

Self compression plates 2.0mm (hole range: 4mm – 8mm)

873Self Compression Plates 2.7mm (Hole

Range: 2mm – 12mm)

Self compression plates 2.7mm (hole range: 2mm – 12mm)

874Straight Mini Plate 2.0mm (Hole Range:

3mm – 6mm)

Straight mini plate 2.0mm (hole range: 3mm – 6mm)

8754.0mm Cancellous Screws, 1.75mm Pitch,

Full Thread (Length Range: 10mm – 70mm)

4.0mm cancellous screws, 1.75mm pitch, full thread (length range: 10mm – 70mm)

876


Long Thread (Length Range: 16mm –

72mm)

4.0mm cancellous screws, 1.75mm pitch, long thread (length range: 16mm – 72mm)

877


Short Thread (Length Range: 10mm –

80mm)

4.0mm cancellous screws, 1.75mm pitch, short thread (length range: 10mm – 80mm)

8783.5mm Cortical Screws, 1.25mm Pitch, Full

Thread (Length Range: 10mm– 70mm)

3.5mm cortical screws, 1.25mm pitch, full thread (length range: 10mm– 70mm)

879

3.5mm Cortical Screws, 1.25mm Pitch, Self

Tapping, Full Thread (Length Range: 10mm

– 65mm)

3.5mm cortical screws, 1.25mm pitch, self tapping, full thread (length range: 10mm – 65mm)

880Clover Leaf Plate 3.5mm (Hole Range: 3mm

– 5mm)

Clover leaf plate 3.5mm (hole range: 3mm – 5mm)

881LC-Self Compression Plate 3.5mm (Hole


LC-self compression plate 3.5mm (hole range: 2mm – 12mm)

882One Third Tubular Plate 3.5mm (Hole


One third tubular plate 3.5mm (hole range: 2mm – 12mm)

Page 20


883Self Compression Plate 3.5mm (Hole Range:

2mm – 12mm)

Self compression plate 3.5mm (hole range: 2mm – 12mm)

884Small T-Plate (Obligue Angled) 3.5mm (Hole

Range: 3mm – 5mm)

Small T-Plate (obligue angled) 3.5mm (hole range: 3mm – 5mm)

885Small T-Plate (Right Angled) 3.5mm (Hole

Range: 3mm – 6mm)

Small T-Plate (right angled) 3.5mm (hole range: 3mm – 6mm)

886

6.5mm Cancellous Screw, 2.75mm Pitch,

32mm Thread Length (Length Range:

30mm – 110mm)

6.5mm cancellous screw, 2.75mm pitch, 32mm thread length (length range: 30mm – 110mm)

8876.5mm Cancellous Screw, 2.75mm Pitch,

Full Thread (Length Range: 16mm – 110mm)

6.5mm cancellous screw, 2.75mm pitch, full thread (length range: 16mm – 110mm)


Thread (Length Range: 14mm – 80mm)

4.5mm cortical screw, 1.75mm pitch, full thread (length range: 14mm – 80mm)

889

4.5mm Cortical Screw, 1.75mm Pitch, Self

Tapping, Full Thread (Length Range: 14mm

– 80mm)

4.5mm cortical screw, 1.75mm pitch, self tapping, full thread (length range: 14mm – 80mm)

890

4.5mm Malleolar Screw, 1.75mm Pitch,

Threaded Length (Length Range: 25mm –

100mm)

4.5mm malleolar screw, 1.75mm pitch, threaded length (length range: 25mm – 100mm)

891Broad Self Compression Plate 4.5mm (Holes


Broad self compression plate 4.5mm (holes range: 4mm – 18mm)

892Butress L-Plate (Right Angled) 4.5mm (Hole

Range: 3mm – 6mm)

Butress L-Plate (right angled) 4.5mm (hole range: 3mm – 6mm)

893Buttress L-Plate (Left Angled) 4.5mm (Hole

Range: 3mm – 8mm)

Buttress L-Plate (left angled) 4.5mm (hole range: 3mm – 8mm)

894Buttress T-Plate 4.5mm (Hole Range: 3mm –

8mm)

Buttress T-Plate 4.5mm (hole range: 3mm – 8mm)

895Cobra Head Plate 4.5mm (Hole Range:

8mm – 11mm)

Cobra head plate 4.5mm (hole range: 8mm – 11mm)

896Condylar Buttress Plate (Left Angled) 4.5mm

(Hole Range: 7mm – 15mm)

Condylar buttress plate (left angled) 4.5mm (hole range: 7mm – 15mm)

897Condylar Buttress Plate (Right Angled)

4.5mm (Hole Range: 7mm – 15mm)

Condylar buttress plate (right angled) 4.5mm (hole range: 7mm – 15mm)

898Large T-Plate 4.5mm (Hole Range: 3mm –

9mm)

Large T-Plate 4.5mm (hole range: 3mm – 9mm)

899Lateral Tibia Plate (Left Angled) 4.5mm


Lateral tibia plate (left angled) 4.5mm (hole range: 5mm – 13mm)

900Lateral Tibia Plate (Right Angled) 4.5mm


Lateral tibia plate (right angled) 4.5mm (hole range: 5mm – 13mm)

901Limited Contact - Broad Self Compression

Plate 4.5mm (Holes Range: 6mm – 18mm)

Limited contact - broad self compression plate 4.5mm (holes range: 6mm – 18mm)

902Limited Contact - Narrow Self Compression

Plate 4.5mm (Holes Range: 2mm – 16mm)

Limited contact - narrow self compression plate 4.5mm (holes range: 2mm – 16mm)

903Narrow Self Compression Plate 4.5mm

(Holes Range: 2mm – 18mm)

Narrow self compression plate 4.5mm (holes range: 2mm – 18mm)

904Semi-Tubular Plate 4.5mm (Hole Range:

2mm- 12mm)

Semi-tubular plate 4.5mm (hole range: 2mm- 12mm)

905Spoon Plate 4.5mm (Hole Range: 5mm –

6mm)

Spoon plate 4.5mm (hole range: 5mm – 6mm)

906Bone Screw Washers (Range: Outer 6.5mm,

7.2mm, 10.0mm, 13.0mm)

Bone screw washers (range: outer 6.5mm, 7.2mm, 10.0mm, 13.0mm)

9074.0mm Cannulated Screw, 16mm Thread

Length (Length Range: 25mm – 50mm)

4.0mm cannulated screw, 16mm thread length (length range: 25mm – 50mm)


Length (Length Range: 20mm -80mm)

4.5mm cannulated screw, 16mm thread length (length range: 20mm -80mm)

9096.5mm Cannulated Screw, Full Thread

(Length Range: 25mm – 115mm)

6.5mm cannulated screw, full thread (length range: 25mm – 115mm)


Length (Length Range: 30mm – 130mm)

7.0mm cannulated screw, 16mm thread length (length range: 30mm – 130mm)

Page 21



Length (Length Range: 45mm)

7.0mm cannulated screw, 32mm thread length (length range: 45mm)

9127.0mm Cannulated Screw, Full Thread


7.0mm cannulated screw, full thread (length range: 20mm – 130mm)

913Curved Reconstruction Plate 3.5mm (Holes

Range: 6mm- 18mm)

Curved reconstruction plate 3.5mm (holes range: 6mm- 18mm)

914Straight Reconstruction Plate 3.5mm (Hole


Straight reconstruction plate 3.5mm (hole range: 5mm – 22mm)

915Straight Reconstruction Plate 4.5mm (Hole


Straight reconstruction plate 4.5mm (hole range: 3mm – 16mm)

916 DHS Plate 130 (Hole Range: 2mm – 9mm) DHS Plate 130 (hole range: 2mm – 9mm)

917 DHS Plate 135 (Hole Range: 2mm – 9mm) DHS Plate 135 (hole range: 2mm – 9mm)

918 DHS Plate 140 (Hole Range: 2mm – 12mm)DHS Plate 140 (hole range: 2mm – 12mm)



921Hexagonal Head Compression Screw,

Length 36mm

Hexagonal head compression screw, length 36mm

922Lag Screw, Thread 12.5mm, Thread Length

22.0mm (Length Range: 50mm – 145mm)

Lag screw, thread 12.5mm, thread length 22.0mm (length range: 50mm – 145mm)

923Calibrated Guide Wires, 2.5mm, Length

230mm

Calibrated guide wires, 2.5mm, length 230mm

924Austin Moore Narrow Stem Stainless Steel

(Head Size Range: 38mm – 56mm)

Austin Moore Narrow Stem Stainless Steel (head size range: 38mm – 56mm)

925Austin Moore Standard Stem Stainless Steel


Austin Moore Standard Stem Stainless Steel (head size range: 38mm – 56mm)

926Austin Moore Standard Stem Titanium


Austin Moore Standard Stem Titanium (head size range: 38mm – 56mm)

927Thompson Standard Stem Stainless Steel


Thompson Standard Stem Stainless Steel (head size range: 38mm – 56mm)

928Thompson Standard Stem Titanium (Head

Size Range: 38mm – 55mm)

Thompson Standard Stem Titanium (head size range: 38mm – 55mm)

929130 Angled Blade Plates (Hole Range: 4mm

– 12mm)

130 Angled Blade Plates (hole range: 4mm – 12mm)

93095 Angled Blade Plates (Condylar Plate 95)


95 Angled Blade Plates (Condylar Plate 95) (hole range: 5mm – 18mm)

931Supracondylar Plates 95 Degress (Hole


Supracondylar plates 95 degress (hole range: 6mm – 16mm)

932Carbon Fibre Rods 11.0mm (Length Range:

100mm – 600mm)

Carbon fibre rods 11.0mm (length range: 100mm – 600mm)

933Schanz Screws 4.0mm (Length Range:

100mm – 250mm)

Schanz screws 4.0mm (length range: 100mm – 250mm)

934Schanz Screws 4.0mm/3.0mm (Length


Schanz screws 4.0mm/3.0mm (length range: 80mm – 100mm)


100mm – 250mm)



100mm – 250mm)


937Tube to Pin Clamp, Connection Schanz

Screw 5.0mm to 11.0mm Tube

Tube to pin clamp, connection Schanz Screw 5.0mm to 11.0mm Tube

938Tube to Tube Clamp, End Connector

11.0mm to 11.0mm Tube

Tube to tube clamp, end connector 11.0mm to 11.0mm tube

939Tube to Tube Clamp, Mid Shaft Connector

11.0mm to 11.0mm Tube

Tube to tube clamp, mid shaft connector 11.0mm to 11.0mm tube

940Ender Nails 4.5mm (Length Range: 420mm –

520mm)

Ender nails 4.5mm (length range: 420mm – 520mm)

941Ender Nails 4.8mm (Length Range: 220mm –

520mm)

Ender nails 4.8mm (length range: 220mm – 520mm)

Page 22


942Kuntcher Nails 10.0 mm (Length Range: 20

cm – 52 cm)

Kuntcher nails 10.0 mm (length range: 20 cm – 52 cm)

943Kuntcher Nails 11.0mm (Length Range: 20

cm – 52 cm)

Kuntcher nails 11.0mm (length range: 20 cm – 52 cm)


cm – 52 cm)



cm – 52 cm)



cm – 52 cm)



cm – 52 cm)



cm – 40 cm)



cm – 40 cm)



cm – 52 cm)



cm – 52 cm)


952Cerclage Wires (10's) (Diameter Range:

1.0mm - 1.2mm)

Cerclage wires (10's) (diameter range: 1.0mm - 1.2mm)

953Cerclage Wires, Length 10 Meters

(Diameter Range: 1.0mm - 1.2mm)

Cerclage wires, length 10 meters (diameter range: 1.0mm - 1.2mm)

954Kirchner Wires 0.9mm, Trocar Tip Single or

Double (Length Range: 70mm – 150mm)

Kirchner wires 0.9mm, trocar tip single or double (length range: 70mm – 150mm)















Kirchner wires 1.6mm, trocar tip single or double (length Range: 150mm – 280mm)



Kirchner wires 1.8mm, trocar tip single or double (length Range: 150mm – 280mm)r




962Rush Pins 2.4mm (Length Range: 25mm –

254mm)

Rush pins 2.4mm (length range: 25mm – 254mm)


356mm)



356mm)



431mm)


966Steinmann Pins 3.5mm with Trocar Tip


Steinmann pins 3.5mm with trocar tip (length range: 125mm – 150mm)

967Steinmann Pins 4.0mm/5.0mm Mid Thread


Steinmann pins 4.0mm/5.0mm mid thread (length range: 175mm – 200mm)




Page 23








971 Interlocking Femoral Nail Interlocking femoral nail972 Interlocking Tibia Nail Interlocking tibia nail973 Distal Tibia Plate Distal tibia plate974 Osteotomy Plate Osteotomy plate975 Calcaneal Plates Calcaneal plate976 Bone Staples Bone staples977 Stainless Steel Elastic Nail Stainless steel elastic nail978 Bone Cement (plain) Bone cement (plain)979 External Fixator 2 tubes and 8 clamps External fixator 2 tubes and 8 clamps980 Wrist External Fixator Wrist external fixator981 Reconstruction External Fixator Set Tibia Reconstruction external fixator set tibia

982 Reconstruction External Fixator Set Femur Reconstruction external fixator set femur

IMPLAN KAKI DAN BUKU LALI FOOT AND ANKLE IMPLANT

983Suture anchor – 2.4mm - 5.5mm (titanium,

bio absorbable, PEEK) Suture anchor – 2.4mm - 5.5mm (titanium, bio absorbable, PEEK)

984 Syndesmosis tightrope Syndesmosis tightrope985 Bio tenodesis screw Bio tenodesis screw986 Break away screw Break away screw987 Triple threaded screw 6.0mm Triple threaded screw 6.0mm

988Cannulated screw 2.4mm, 3.0mm, 4.0mm,

6.5mm, 7.0mm & 7.3mm (titanium) Cannulated screw 2.4mm, 3.0mm, 4.0mm, 6.5mm, 7.0mm & 7.3mm (titanium)

989 Locking plate (mini & calcaneum) Locking plate (mini & calcaneum)990 Compression staple Compression staple 991 Pilon plate (distal end tibia) Pilon plate (distal end tibia)992 Ankle distractor (external fixator) Ankle distractor (external fixator)993 Bone graft (Bonalive) Bone graft (bonalive)

994 Radiofrequency coblation probe (Topaz) Radiofrequency coblation probe (topaz)

995Arthroscopic radiofrequency probe

(Covac)

Arthroscopic radiofrequency probe (covac)

996 Arthroereisis screw Arthroereisis screw997 Total ankle replacement Total ankle replacement998 Taylor spatial frame Taylor spatial frame999 Hind foot nail Hind foot nail

1000Metatarsophalangeal joint arthroplasty

(hemi & total)

Metatarsophalangeal joint arthroplasty (hemi & total)

GENERAL/TRAUMA IMPLANTS GENERAL/TRAUMA IMPLANTS1001 DHS DHS1002 Interlocking Femoral Nail Interlocking femoral nail1003 Interlocking Tibial Nail Interlocking tibial nail1004 Kuntscher Intramedullary Nail Tibia Kuntscher intramedullary nail tibia1005 Kuntscher Intramedullary Nail Femur Kuntscher intramedullary nail femur1006 Steinman Pin Steinman pin1007 Schanz Screw Schanz screw1008 Cortical Screw 3.5mm Cortical screw 3.5mm 1009 Cortical Screw 4.5mm Cortical screw 4.5mm 1010 Circlage Wire 0.2mm - 1.5mm Circlage wire 0.2mm - 1.5mm

10116.5mm Cancellous screw (16/32/Full

Thread)

6.5mm cancellous screw (16/32/full thread)

1012 4.0mm Cancellous screw (Full/Short Thread)4.0mm cancellous screw (full/short thread)

1013 Cannulated Screw 4.0mm, 6.5mm, 7.0mm Cannulated screw 4.0mm, 6.5mm, 7.0mm

1014 Mini Plates Mini plates1015 Mini Screws 1.5mm, 2.0mm, 2.7mm Mini screws 1.5mm, 2.0mm, 2.7mm1016 Angle Blade Plate Angle blade plate1017 K-Wires various sizes and length K-Wires various sizes and length1018 Rush Nails Rush nails

Page 24


1019 Straight Reconstruction Plate 2.7mm Straight reconstruction plate 2.7mm1020 Reconstruction Plate 3.5mm Reconstruction plate 3.5mm 1021 Reconstruction Plate 4.5mm Reconstruction plate 4.5mm 1022 Broad DCP Plate (4.5mm) Broad DCP plate (4.5mm)1023 Narrow DCP (4.5mm) Narrow DCP (4.5mm)1024 Small Fragments Plate (3.5mm) Small fragments plate (3.5mm)1025 One Third Tubular Plate (3.5mm) One third tubular plate (3.5mm)1026 Semi Tubular Plate (4.5mm) Semi tubular plate (4.5mm)1027 T-Buttress Plate 4H - 6H (4.5mm) T-buttress plate 4H - 6H (4.5mm)1028 T - Plate (4.5mm) T - plate (4.5mm)1029 L- Buttress Plate 4H - 6H (4.5mm) L- buttress plate 4H - 6H (4.5mm)

1030 Small T- Plate (3.5mm) :Oblique/Right/LeftSmall T- plate (3.5mm) :oblique/Right/Left

1031 Condylar Buttress Plate (4.5mm) Condylar buttress plate (4.5mm)1032 Clover Leaf Plate Clover leaf plate1033 Spoon Plate Spoon plate1034 Distal Tibial Plate Distal tibial plate1035 Osteotomy Plate Osteotomy plate1036 LC-DCP Plate (3.5mm, 4.5mm) LC-DCP plate (3.5mm, 4.5mm)1037 Calcanel Plate Calcanel plate1038 Y-Plate Y-plate1039 Bone Staples Bone staples1040 Washer Washer

JOINT ARTHROPLASTY JOINT ARTHROPLASTY

1041Hemi Hip Prosthesis (Austin

Moore/Thompson)

Hemi hip prosthesis (Austin Moore/Thompson)

MISCELLANEOUS MISCELLANEOUS1042 Bone Cement (Plain) Bone cement (plain)

BASIC LCP SMALL FRAGMENT 3.5mm BASIC LCP SMALL FRAGMENT 3.5mm

1043 LCP Straight Plate 3.5mm: (Stainless Steel) :LCP Straight Plate 3.5mm: (Stainless

Steel) :1044 6-9 holes (1 set) 1 Plate and Screws 6-9 holes (1 set) 1 Plate and Screws1045 10-12 holes 10-12 holes

1046 LCP Metaphyseal 3.5mm (Titanium) : LCP Metaphyseal 3.5mm (Titanium) :

1047 6-9 holes (1 set) 1 Plate and Screws 6-9 holes (1 set) 1 Plate and Screws1048 10-12 holes 10-12 holes

LCP T Plate 3.5mm: (Stainless Steel) LCP T Plate 3.5mm: (Stainless Steel)1049 - Right Angled (3-6 holes) - Right Angled (3-6 holes)1050 - Obloque Angle (3-5 holes) - Obloque Angle (3-5 holes)

1051LCP Reconstruction Plate 3.5mm (6-9 holes)

Stainless Steel

LCP Reconstruction Plate 3.5mm (6-

9 holes) Stainless Steel

1052LCP Plate (1.0mm, 1.3mm, 1.5mm, 2.0mm,

2.4mm) - 1 plate & screw

LCP Plate (1.0mm, 1.3mm, 1.5mm,

2.0mm, 2.4mm) - 1 plate & screw1053 Screw only Screw only1054 Proximal Humeral Locking Plate Proximal Humeral Locking Plate1055 Distal Humeral Locking Plate Distal Humeral Locking Plate1056 Distal Radius Locking Plate (volar) Distal Radius Locking Plate (volar)1057 Distal Radius Locking Plate (dorsal) Distal Radius Locking Plate (dorsal)1058 LCP Distal Radius Plate 2.4mm : LCP Distal Radius Plate 2.4mm :1059 - Dorsal Plate (2 Plates) - Dorsal Plate (2 Plates)

1060 - Volar Plate (Extraarticular or Juxta

Articular)

- Volar Plate (Extraarticular or Juxta

Articular)1061 - Extra Long Volar Plate (10 holes) - Extra Long Volar Plate (10 holes)1062 - LCP Wrist Fusion 2.7mm/3.5mm - LCP Wrist Fusion 2.7mm/3.5mm1063 - LCP Ulna Hook 2.0mm - LCP Ulna Hook 2.0mm1064 - 3.0mm Headless Compression Screw - 3.0mm Headless Compression

1065Variable Angle 2 column Distal Radius Plate

2.4mm

Variable Angle 2 column Distal

Radius Plate 2.4mmLOCKING PLATE (Upper Limb)(Stainless

Steel)

LOCKING PLATE (Upper

Limb)(Stainless Steel)1066 Clavicular Locking Plate Clavicular Locking Plate1067 Proximal Humeral Locking Plate Proximal Humeral Locking Plate1068 Distal Humeral locking plate Distal Humeral locking plate

Page 25


1069LCP Extra-Articular Distal Humerus Plate

3.5mm(6 holes, 8 holes, 9 holes, 10 holes)

LCP Extra-Articular Distal Humerus

Plate 3.5mm(6 holes, 8 holes, 9 holes,

10 holes)1070 LCP Hook Plate 3.5mm LCP Hook Plate 3.5mm1071 Olecranon locking plate Olecranon locking plate1072 Unreamed Humeral Nail Unreamed Humeral Nail1073 Without End Caps Without End Caps1074 with End Caps with End Caps

1075LCP Compact hands (1.0mm, 1.3mm,

1.5mm, 2.0mm, 2.4mm)

LCP Compact hands (1.0mm,

1.3mm, 1.5mm, 2.0mm, 2.4mm)

BASIC LCP LARGE FRAGMENT 4.5mm/5.0mmBASIC LCP LARGE FRAGMENT

4.5mm/5.0mm

LCP Narrow 4.5mm/5.0mm humerus/tibia :LCP Narrow 4.5mm/5.0mm

humerus/tibia :1076 - 6-9 holes - 6-9 holes 1077 - 10-16 holes - 10-16 holes1078 - 8-9 holes - 8-9 holes1079 - 10-14 holes - 10-14 holes1080 - 16 holes - 16 holes

1081LCP T-Buttress Plate 4.5mm/5.0mm (4-5

holes)

LCP T-Buttress Plate 4.5mm/5.0mm (4-

5 holes)

1082 LCP T Plate 4.5mm/5.0mm (4-6 holes)LCP T Plate 4.5mm/5.0mm (4-6

holes)

1083LCP L-Buttress Plate 4.5mm/5.0mm (4-6

holes)

LCP L-Buttress Plate 4.5mm/5.0mm

(4-6 holes)

1084LCP Metaphyseal 3.5mm/4.5mm/5.0mm

BROAD ( 3-9 holes)

LCP Metaphyseal

3.5mm/4.5mm/5.0mm BROAD ( 3-9

holes)

1085LCP Reconstruction Plate 4.5mm/5.0mm (6-

10 holes)

LCP Reconstruction Plate

4.5mm/5.0mm (6-10 holes)

INTERLOCKING NAIL (Stainless Steel) INTERLOCKING NAIL (Stainless Steel)

LCP Dynamic Hip Screw 4.5mm/5.0mm 2-6

holes:

LCP Dynamic Hip Screw

4.5mm/5.0mm 2-6 holes:1086 - 1 Plate and Srews - 1 Plate and Srews

1087 - 1 Plate + 1 Lag Screw + 1 Compression

Screw + Screws

- 1 Plate + 1 Lag Screw + 1

Compression Screw + Screws1088 - 8 -10 holes - 8 -10 holes1089 - 12-14 holes - 12-14 holes1090 Femur Interlocking Nail Femur Interlocking Nail1091 Retrograde Nail Retrograde Nail1092 Femur Reconstruction nail Femur Reconstruction nail1093 Proximal Femoral Nail (Standard) Proximal Femoral Nail (Standard)1094 Proximal Femoral Nail (Long Stem) Proximal Femoral Nail (Long Stem)1095 Gamma Nail Gamma Nail1096 Distal Femoral Nail Distal Femoral Nail1097 Tibial Interlocking Nail Tibial Interlocking Nail1098 LCP Hook Plate 3.5mm LCP Hook Plate 3.5mm

LCP 1/3 Tubular 1.3mm : LCP 1/3 Tubular 1.3mm :1099 - 5-7 holes - 5-7 holes1100 - 8-10 holes - 8-10 holes

1101LCP Medial Proximal Tibia Plate 3.5mm (4-8

holes)

LCP Medial Proximal Tibia Plate

3.5mm (4-8 holes)LCP Medial Distal Tibia Plate 3.5mm LCP Medial Distal Tibia Plate 3.5mm

1102 - low bend 6-8 holes - low bend 6-8 holes1103 - 12-14 holes - 12-14 holes

1104LCP Anterolateral Distal Tibial Plate 3.5mm

(5-11 holes)

LCP Anterolateral Distal Tibial Plate

3.5mm (5-11 holes)

1105LCP Compact Foot : (LCP Plate

2.0mm/2.4mm/2.7mm)

LCP Compact Foot : (LCP Plate

2.0mm/2.4mm/2.7mm)

1106LCP 2 Hole Plate 2.7mm (consists of 1 Plate

& Screws)

LCP 2 Hole Plate 2.7mm (consists of

1 Plate & Screws)

1107 Screw only (2.0mm, 2.4mm, 2.7mm) Screw only (2.0mm, 2.4mm, 2.7mm)

1108 LCP Calcaneal Plate 3.5mm LCP Calcaneal Plate 3.5mm1109 Midfoot Fusion Bolt Midfoot Fusion Bolt

Page 26


INTERLOCKING NAIL (Titanium) INTERLOCKING NAIL (Titanium)1110 Femur Interlocking Nail Femur Interlocking Nail1111 Gamma Nail Gamma Nail1112 Distal Femoral Nail Distal Femoral Nail1113 Spiral locking Spiral locking1114 Tibial Interlocking Nail Tibial Interlocking Nail1115 Expert Tibial Nail (Cannulated) Expert Tibial Nail (Cannulated)1116 Expert A2FN Standard locking Expert A2FN Standard locking

1117 Periarticular plate LCP Tomofix 3.5mmPeriarticular plate LCP Tomofix

3.5mm

1118LCP Distal Fibula Plate 2.7mm/3.5mm

(lateral/posterolateral)

LCP Distal Fibula Plate

2.7mm/3.5mm

(lateral/posterolateral)

1119LCP Proximal Tibia Plate 3.5mm, lateral (6-8

holes)

LCP Proximal Tibia Plate 3.5mm,

lateral (6-8 holes)OTHERS OTHERS

1120 Expert nail Expert nailDISTAL FEMUR /PROXIMAL & DISTAL TIBIA

FRACTURES

DISTAL FEMUR /PROXIMAL & DISTAL

TIBIA FRACTURES

1121

(Consist of: Posts, 3 Hole Wire Clamps, 2

Hole Wire Clamp, Supplementary Screw

Holder Bar & Clamps, HA Coated Orthofix

Tapered Cortical Screws)

(Consist of: Posts, 3 Hole Wire

Clamps, 2 Hole Wire Clamp,

Supplementary Screw Holder Bar &

Clamps, HA Coated Orthofix

Tapered Cortical Screws)ACUTE TRAUMA/POST-TRAUMATIC STIFFNESS

ACUTE TRAUMA/POST-TRAUMATIC

STIFFNESS

1122

(Consist of: Complete Orthofix Elbow Fixator

Kit With HA Coated Orthofix Tapered

Cortical Screws )

(Consist of: Complete Orthofix

Elbow Fixator Kit With HA Coated

Orthofix Tapered Cortical Screws )GENU VARUM/GENU VALGUM/LLD/ ANKLE

VALGUS etc.(Consist of : Brand : Orthofix,

Italy)

GENU VARUM/GENU VALGUM/LLD/

ANKLE VALGUS etc.(Consist of :

Brand : Orthofix, Italy)1123 Trauma Paediatric Orthopedik Trauma Paediatric Orthopedik

Titanium Elastic Nail (TEN) Titanium Elastic Nail (TEN)

1124- Without End Caps (consists of 2 pcs

TEN only)

- Without End Caps (consists of

2 pcs TEN only)

1125- With End caps (consists of 2 pcs TEN

& 2 pcs End Cap)

- With End caps (consists of 2

pcs TEN & 2 pcs End Cap)

1126Capos 3.5mm & 4.5mm (consists of 1 Plate

& Screw) (Stainless Steel)

Capos 3.5mm & 4.5mm (consists of 1

Plate & Screw) (Stainless Steel)

1127Paediatric Hip Plate (3.5mm & 5.0mm) 1

Plate & Screw (Stainless Steel)

Paediatric Hip Plate (3.5mm &

5.0mm) 1 Plate & Screw (Stainless 1128 Telescopic nail Telescopic nail1129 Paediatric Hip Locking Plate Paediatric Hip Locking Plate1130 8 Plate 8 Plate1131 Paediatric Limb reconstruction System Paediatric Limb reconstruction 1132 Arthrodiastasis Arthrodiastasis1133 Scoliosis Instrumentation (Anterior) Scoliosis Instrumentation (Anterior)

1134 Scoliosis Instrumentation (Anterior-Posterior)Scoliosis Instrumentation (Anterior-

Posterior)1135 Scoliosis Instrumentation (Posterior) Scoliosis Instrumentation (Posterior)

1136Anterior Cervical Fusion System (single

level)

Anterior Cervical Fusion System

(single level)1137 Posterior Cervical Fusion Posterior Cervical Fusion1138 Spinal Cages Spinal Cages1139 Anterior Spinal Instrumentations Anterior Spinal Instrumentations

1140 Lower Back Instrumentations (single level)Lower Back Instrumentations (single

level)1141 Artificial Discs (Cervical) Artificial Discs (Cervical)1142 Artificial Discs (lumbar) Artificial Discs (lumbar)1143 Kyphoplasty (per level) Kyphoplasty (per level)1144 Vertebroplasty (per level) Vertebroplasty (per level)1145 Halo Vest System Halo Vest System1146 Scoliosis Bracing Scoliosis Bracing1147 Juwett, SOMI,TLSO, LSO Bracing Juwett, SOMI,TLSO, LSO Bracing1148 Pedicle Screws Pedicle Screws

Page 27


Sports Surgery and Arthroscopy : Sports Surgery and Arthroscopy :

1149 Primary ACL reconstruction (single bundle)Primary ACL reconstruction (single

bundle)

1150Primary ACL reconstruction (double

bundle)

Primary ACL reconstruction (double

bundle)

1151 Primary PCL reconstruction (single bundle)Primary PCL reconstruction (single

bundle)

1152 Primary PCL reconstruction (double bundle)Primary PCL reconstruction (double

bundle)

1153 Primary PLC reconstruction (single bundle)Primary PLC reconstruction (single

bundle)

1154 Primary PLC reconstruction (double bundle)Primary PLC reconstruction (double

bundle)

1155 Primary MCL reconstruction (single bundle)Primary MCL reconstruction (single

bundle)

1156Primary MCL reconstruction (double

bundle)

Primary MCL reconstruction (double

bundle)Multiligament reconstruction without

allograft

Multiligament reconstruction

without allograft1157 - 2 ligaments - 2 ligaments1158 - 3 ligaments - 3 ligaments1159 - 4 ligaments - 4 ligaments

Multiligament reconstruction with allograftMultiligament reconstruction with

allograft1160 - 2 ligaments - 2 ligaments1161 Patella stabilization surgery Patella stabilization surgery1162 Knee malalignment surgery Knee malalignment surgery1163 Meniscus repair surgery Meniscus repair surgery1164 Meniscus transplantation surgery Meniscus transplantation surgery1165 Shoulder stabilization surgery Shoulder stabilization surgery1166 Anterior and Posterior stabilization Anterior and Posterior stabilization

1167 Single Row (small or medium size tear)Single Row (small or medium size

tear)1168 Single Row (massive tear) Single Row (massive tear)

1169 Double Row (small or medium size tear) Double Row (small or medium size

tear) 1170 Double Row (massive tear) Double Row (massive tear)1171 Biceps tendon repair or tenodesis Biceps tendon repair or tenodesis1172 ACJ repair ACJ repair1173 ACJ reconstruction ACJ reconstruction

1174 Osteochondral transplantation surgeryOsteochondral transplantation

surgery

Implants for Arthroscopy and Sport SurgeryImplants for Arthroscopy and Sport

Surgery1175 Bioabsorbable Interference Screw Bioabsorbable Interference Screw 1176 Extracortical button Extracortical button1177 Suture Anchor Suture Anchor1178 Meniscus repair Meniscus repair 1179 Tight rope repair kit Tight rope repair kit1180 AC graftrope AC graftrope 1181 Meniscus implant Meniscus implant1182 Allograft tissue (Freeze-Dried) Allograft tissue (Freeze-Dried)1183 Allograft tissue (Fresh Frozen) Allograft tissue (Fresh Frozen)1184 Osteochondral implant Osteochondral implant1185 Force fibrewire Force fibrewire1186 Knee Brace Knee Brace1187 Shoulder Brace Shoulder Brace1188 Osteotomy Plate Osteotomy Plate1189 Bone Substitute Bone Substitute

OSTEOTITE HA COATED SCREWS:- OSTEOTITE HA COATED SCREWS:-

1190Osteotite bone screw 180mm/50mm

diameter 6mm, thread 6-5mm

Osteotite bone screw 180mm/50mm






Page 28






























BASIC LRS COMPONENTS BASIC LRS COMPONENTS 1199 LRS Extra Short Rail Length 12cm LRS Extra Short Rail Length 12cm 1200 LRS Standard Rail Length 30cm LRS Standard Rail Length 30cm 1201 LRS Long Rail Length 40cm LRS Long Rail Length 40cm 1202 LRS Straight Central Clamp LRS Straight Central Clamp 1203 LRS Straight Outer Clamp LRS Straight Outer Clamp 1204 LRS T-Clamp LRS T-Clamp

1205 Sandwich Clamp With C/D Unit for LRS Sandwich Clamp With C/D Unit for

LRS

1206Compression Distraction Unit Long Clicker

Model

Compression Distraction Unit Long

Clicker Model 1207 Compression Distraction Unit Short Compression Distraction Unit Short

1208Compression Distraction Unit STD Clicker

Model

Compression Distraction Unit STD

Clicker Model

1209 Dyna-Ring with C/D Unit Attach For LRS Dyna-Ring with C/D Unit Attach For

LRS

ACUTE/GRADUAL CORRECTION CLAMPSACUTE/GRADUAL CORRECTION

CLAMPS1210 LRS Multiplanar Clamp LRS Multiplanar Clamp

1211 Micrometric Swivelling Clamp for LRS Micrometric Swivelling Clamp for

LRS 1212 LRS Hinged Rail Coupling LRS Hinged Rail Coupling 1213 LRS of-Garches T-Clamp LRS of-Garches T-Clamp

1214Of-Garches Standard

Compression/Distraction Unit

Of-Garches Standard

Compression/Distraction Unit

1215Of-Garches Long Compression/Distrraction

Unit

Of-Garches Long

Compression/Distrraction Unit

1216Pelvic Fixator Long Model Kit with 6pcs of

Screws

Pelvic Fixator Long Model Kit with

6pcs of Screws1217 Hand/forearm applications Hand/forearm applications1218 Articulated hip distraction/perthes Articulated hip distraction/perthes

1219Orthofix dynamic wrist fixator system with

screws

Orthofix dynamic wrist fixator system

with screws(Kit No: 37000 or 37001) (Kit No: 37000 or 37001)

1220 SS Half Rings (Diameter 80mm - 240mm) SS Half Rings (Diameter 80mm -

240mm)

1221 SS 5/8 Rings (Diameter 80mm - 220mm)SS 5/8 Rings (Diameter 80mm -

220mm)

1222 Carbon Fibre Half Ring (Diameter 80mm –

240mm)

Carbon Fibre Half Ring (Diameter

80mm – 240mm)SS Italian Femoral Arches SS Italian Femoral Arches

1223 - 90 degree Arch, small/large size - 90 degree Arch, small/large size 1224 - 120 degree Arch, small/large size - 120 degree Arch, small/large size

1225 - Threaded Rods (Size: 40mm - 450mm) - Threaded Rods (Size: 40mm -

450mm)

Page 29


1226 - Slotted Threaded Rods (Size: 40mm –

100mm)

- Slotted Threaded Rods (Size:

40mm – 100mm)Telescopic Rods Telescopic Rods

1227 Telescopic Rods: 100mm Telescopic Rods: 100mm1228 Telescopic Rods: 150mm Telescopic Rods: 150mm1229 Telescopic Rods: 200mm Telescopic Rods: 200mm1230 Telescopic Rods: 250mm Telescopic Rods: 250mm1231 Telescopic Rods: 300mm Telescopic Rods: 300mm1232 Telescopic Rods: 350mm Telescopic Rods: 350mm1233 Telescopic Rods: 400mm Telescopic Rods: 400mm1234 Posts Female (Size: 2-4 Holes) Posts Female (Size: 2-4 Holes)1235 Male Post (Size: 2-4 Holes) Male Post (Size: 2-4 Holes)1236 Hinges Female Standard Hinges Female Standard1237 Hinges Male Standard Hinges Male Standard1238 Hinges-90 degree Standard Hinges-90 degree Standard1239 Hinges-90 degree Low profile Hinges-90 degree Low profile

Short Connection Plates Short Connection Plates

1240 Short Connection Plate 2 Holes Length

35mm

Short Connection Plate 2 Holes

Length 35mm


45mm


Length 45mm


55mm


Length 55mm


65mm


Length 65mm


75mm


Length 75mm


85mm


Length 85mm


95mm


Length 95mm


105mm


Length 105mm


115mm


Length 115mm Long Connection Plate Long Connection Plate

1249 Long Connection Plate Size: 8 Holes

Length 155mm

Long Connection Plate Size: 8 Holes

Length 155mm


Length 235mm

Long Connection Plate Size: 12

Holes Length 235mm


Length 335mm

Long Connection Plate Size: 17

Holes Length 335mm Connected Plates with Threaded Ends Connected Plates with Threaded

1252 Connection Plates with threaded ends: 5

Holes Length 135mm

Connection Plates with threaded

ends: 5 Holes Length 135mm

1253 Connection Plates with threaded end: 7

Holes Length 175mm


end: 7 Holes Length 175mm


Holes Length 215mm


ends: 9 Holes Length 215mm


Holes Length 255mm


ends: 11 Holes Length 255mm Twisted Plates Twisted Plates

1256 Twisted Plates: 2 Holes Length 45mm Twisted Plates: 2 Holes Length

45mm


65mm


85mm1259 Curved Plates: 3 Holes Curved Plates: 3 Holes1260 Bushing (for Big RFS) Bushing (for Big RFS)1261 Threaded Sockets (20mm - 60mm) Threaded Sockets (20mm - 60mm)

Connection Bolts and Nuts Connection Bolts and Nuts 1262 Connection Bolts: 10mm Connection Bolts: 10mm1263 Connection Bolts: 16mm Connection Bolts: 16mm1264 Connection Bolts: 20mm Connection Bolts: 20mm1265 Connection Bolts: 30mm Connection Bolts: 30mm

Page 30


1266 Nut 6mm Nut 6mm1267 Nut 13mm Nut 13mm1268 Thin Nut Thin Nut1269 Nylon Insert Nut Nylon Insert Nut1270 Square Nut Square Nut1271 Spacing Washers 1.5mm Spacing Washers 1.5mm1272 Spacing Washers 2.0mm Spacing Washers 2.0mm1273 Split Locking Washer 2.0mm Split Locking Washer 2.0mm1274 Flat Sided Washers 2.0mm Flat Sided Washers 2.0mm1275 Flat Sided Washers 4.0mm Flat Sided Washers 4.0mm1276 Slotted Washers 4.0mm Slotted Washers 4.0mm1277 Conical Washer Couple Conical Washer Couple1278 Wire fixation Bolt Slotted Wire fixation Bolt Slotted1279 Wire fixation Bolt Cannulated Wire fixation Bolt Cannulated1280 Pin fixation Bolts for 3mm Pins Pin fixation Bolts for 3mm Pins1281 Pin fixation Bolts for 4mm Pins Pin fixation Bolts for 4mm Pins1282 Pin fixation Bolts for 5mm Pins Pin fixation Bolts for 5mm Pins1283 Pin fixation Bolts for 6mm Pins Pin fixation Bolts for 6mm Pins1284 Single Pin Fixation Bolt Single Pin Fixation Bolt1285 Multiple Pin Fixation Clamp Multiple Pin Fixation Clamp1286 Wire Fixation Buckle Wire Fixation Buckle

Blocks for Half Pins (Rancheo Cubes) Blocks for Half Pins (Rancheo Cubes)

1287 Blocks for Half Pins: 1 Hole Blocks for Half Pins: 1 Hole1288 Blocks for Half Pins: 2 Holes Blocks for Half Pins: 2 Holes1289 Blocks for Half Pins: 3 Holes Blocks for Half Pins: 3 Holes1290 Blocks for Half Pins: 4 Holes Blocks for Half Pins: 4 Holes1291 Blocks for Half Pins: 5 Holes Blocks for Half Pins: 5 Holes

1292Blocks for Half Pins for Centre Sleeve: 1

Holes

Blocks for Half Pins for Centre Sleeve:

1 Holes


Holes


2 Holes


Holes


3 Holes


Holes


4 Holes


Holes


5 HolesCentre Sleeve for Block for Half Pins Centre Sleeve for Block for Half Pins

1297 Centre Sleeve for Block for Half Pins - 3mmCentre Sleeve for Block for Half Pins -

3mm


4mm


5mm


6mm1301 Universal Joint Universal Joint1302 Rotational Translation Device Rotational Translation Device1303 Oblique Support Connection Oblique Support Connection

Wires Wires1304 K-Wires-Cortical 1.5mm x 300mm K-Wires-Cortical 1.5mm x 300mm1305 K-Wires-Cortical 1.8mm x 370mm K-Wires-Cortical 1.8mm x 370mm

1306 K-Wires-Cancellous 1.5mm x 300mm K-Wires-Cancellous 1.5mm x 300mm

1307 K-Wires-Cancellous 1.8mm x 370mm K-Wires-Cancellous 1.8mm x 370mm

1308 Olive Wires-(Bayonet Point) 1.5 x 300mmOlive Wires-(Bayonet Point) 1.5 x

300mm

1309 Olive Wires-(Bayonet Point) 1.8 x 400mmOlive Wires-(Bayonet Point) 1.8 x

400mm1310 Set Screws 3.0mm Set Screws 3.0mm1311 Schanz Screws 5 x 175mm Schanz Screws 5 x 175mm1312 Schanz Screws 5 x 150mm Schanz Screws 5 x 150mm1313 Proximal Humerus Endoprosthesis Proximal Humerus Endoprosthesis1314 Distal Humerus Endoprosthesis Distal Humerus Endoprosthesis

Page 31


1315 Total Humerus Endoprosthesis Total Humerus Endoprosthesis1316 Proximal Femur Endoprosthesis Proximal Femur Endoprosthesis1317 Total Femur Endoprosthesis Total Femur Endoprosthesis1318 Proximal Tibia Endoprosthesis Proximal Tibia Endoprosthesis1319 Bone Cement Bone Cement1320 Expandable Endoprosthesis Expandable Endoprosthesis1321 Long Stem Bipolar Long Stem Bipolar1322 Shoulder arthroplasty Shoulder arthroplasty1323 Radio-capitellum prosthesis Radio-capitellum prosthesis1324 Total wrist prosthesis Total wrist prosthesis1325 Distal ulnar head prosthesis Distal ulnar head prosthesis1326 Sigmoid notch (DRUJ) prosthesis Sigmoid notch (DRUJ) prosthesis1327 Radial head modular Co Ci/Ti Radial head modular Co Ci/Ti1328 Radial head prosthesis Radial head prosthesis1329 Bipolar radial head Bipolar radial head1330 Silicone PIP, MCP, MCP Preflex Silicone PIP, MCP, MCP Preflex

1331Silicone PIP, MCP, MCP Preflex with bone

cement

Silicone PIP, MCP, MCP Preflex with

bone cement1332 Semi constrained PIP Arthoplasty Semi constrained PIP Arthoplasty1333 Semi constrained MCP Arthoplasty Semi constrained MCP Arthoplasty

1334 Surface replacement PIP ArthoplastySurface replacement PIP

Arthoplasty

1335 Surface replacement MCP ArthoplastySurface replacement MCP

Arthoplasty1336 CMC Thumb Arthroplasty CMC Thumb Arthroplasty1337 Carpal fusion plate 3 holes Carpal fusion plate 3 holes1338 Carpal fusion plate 4 holes Carpal fusion plate 4 holes1339 Carpal fusion plate 5 holes Carpal fusion plate 5 holes1340 Hunter’s rod (Silastic rods) Hunter’s rod (Silastic rods)

Stainless Steel Mini plates Stainless Steel Mini plates1341 Straight 1.5mm 20 holes Straight 1.5mm 20 holes1342 Straight 2.0mm 20 holes Straight 2.0mm 20 holes1343 Condylar plate 1.5mm R/L Condylar plate 1.5mm R/L1344 Condylar plate 2.0mm R/L Condylar plate 2.0mm R/L1345 Condylar plate 2.7mm R/L Condylar plate 2.7mm R/L1346 T plate 1.5mm; shaft 9 holes; 3/4 holes

T plate 1.5mm; shaft 9 holes; 3/4

holes1347 T plate 2.0mm; shaft 9 holes; 3/4 holes

T plate 2.0mm; shaft 9 holes; 3/4

holes 1348 H plate 2.0mm H plate 2.0mm1349 H plate 1.5mm H plate 1.5mm1350 Reconstruction plate 2.7mm, 5-8 holes

Reconstruction plate 2.7mm, 5-8

holes1351 Reconstruction plate 2.7mm 5-8 holes

Reconstruction plate 2.7mm 5-8

holes1352 Adaptation plate 2.0mm 20 holes Adaptation plate 2.0mm 20 holes

Low Profile Titanium Plates Low Profile Titanium Plates1353 1.3mm 1.5mm 1.3mm 1.5mm 1354 Condylar blade plate Condylar blade plate 1355 Y, T plate Y, T plate 1356 H, Extended H plate H, Extended H plate 1357 Straight plate Straight plate

13581.0mm, 1.3mm, 1.5mm, 2.0mm, 2.4mm

screws

1.0mm, 1.3mm, 1.5mm, 2.0mm,

2.4mm screwsScaphoid Screws Scaphoid Screws

1359 Accutrac micro 2.8mm/2.2mm Accutrac micro 2.8mm/2.2mm1360 Accutrac mini 3.8mm/3.2mm Accutrac mini 3.8mm/3.2mm

1361 Headless compression screw 3.0mm Headless compression screw 3.0mm

1362 Autofix 2.0mm/2.5mm Autofix 2.0mm/2.5mm 1363 Autofix 3.0mm/4.0mm Autofix 3.0mm/4.0mm 1364 3.0mm cannulated screw 3.0mm cannulated screw

Locking Plates Locking Plates1365 Dorsal Dorsal1366 Volar (extra/intra articular) Volar (extra/intra articular)1367 10 holes 10 holes1368 Variable angle Variable angle1369 Wrist fusion 2.7mm/3.5mm Wrist fusion 2.7mm/3.5mm 1370 3.5mm LCP 6-9 holes 3.5mm LCP 6-9 holes

Page 32


1371 3.5mm LCP 10-12 holes 3.5mm LCP 10-12 holes

13723.5mm locking reconstruction plate 6-9

holes

3.5mm locking reconstruction plate

6-9 holes

1373 3.5mm LCP metaphyseal plate 6-9 holes3.5mm LCP metaphyseal plate 6-9

holes1374 3.5mm LCP metaphyseal plate 10 holes

3.5mm LCP metaphyseal plate 10

holes1375 3.5mm LCP T plate 3-6 holes 3.5mm LCP T plate 3-6 holes

1376 Proximal humerus internal locking systemProximal humerus internal locking

system

1377LCP distal humerus 2.7mm/3.5mm 3-9 holes

(2 plates)

LCP distal humerus 2.7mm/3.5mm 3-

9 holes (2 plates)1378 LCP olecranon 3.5mm 2-8 holes LCP olecranon 3.5mm 2-8 holes

Anchor Sutures Anchor Sutures1379 Minilok 2.3mm absorbable Minilok 2.3mm absorbable1380 Microfix 1.6mm absorbable Microfix 1.6mm absorbable1381 Hinged Elbow External Fixator Hinged Elbow External Fixator

1382 1 Hinge, 4 Clamps, 4 Schantz screws 1 Hinge, 4 Clamps, 4 Schantz screws

Surgery System Surgery SystemTotal Knee Replacement System Total Knee Replacement System

1383 - Total Knee Replacement System for

Young

- Total Knee Replacement System

for Young

1384 - Total Knee Replacement System Mobile

Bearing

- Total Knee Replacement System

Mobile Bearing

1385 - Ts Tibial Total Knee Replacement System - Ts Tibial Total Knee Replacement

System

1386 - Total Stabilization Total Knee Revision

Replacement System

- Total Stabilization Total Knee

Revision Replacement System

1387 - Modular Rotating Hinged (MRH) Total

Knee Replacement System

- Modular Rotating Hinged (MRH)

Total Knee Replacement System

1388

- Global Modular Replacement System

(GMRS) Proximal Femur Total Knee

Replacement System

- Global Modular Replacement

System (GMRS) Proximal Femur

Total Knee Replacement System

1389


(GMRS) Proximal Tibial Total Knee

Replacement System


System (GMRS) Proximal Tibial Total


1390


(GMRS) Distal Femur Total Knee

Replacement System


System (GMRS) Distal Femur Total


1391


(GMRS) Total Femur Total Knee

Replacement System


System (GMRS) Total Femur Total

Knee Replacement SystemTotal Hip Replacement System Total Hip Replacement System

1392 - Bipolar Hemi Hip Replacement System - Bipolar Hemi Hip Replacement

System

1393 - Total Hip Replacement System

(Cemented)

- Total Hip Replacement System

(Cemented)

1394 - Total Hip Replacement System for Young

Adult

- Total Hip Replacement System for

Young Adult

1395 - Total Hip Replacement System

(Cementless)

- Total Hip Replacement System

(Cementless)

1396 - Total Hip Replacement System -Long

Stem (Cemented)

- Total Hip Replacement System -

Long Stem (Cemented)

1397 - Total Hip Replacement System -Gap Ii

and Mesh (Cemented)

- Total Hip Replacement System -

Gap Ii and Mesh (Cemented)

1398 - Total Elbow Replacement System - Total Elbow Replacement System

1399 - Hemi Shoulder Replacement System - Hemi Shoulder Replacement

System1400 - Total Shoulder Replacement System

- Total Shoulder Replacement

System1401 - Reversed Shoulder - Reversed Shoulder1402 - Total Ankle Replacement - Total Ankle Replacement

Revision Accessories Revision Accessories

1403 - Acetabulum Reconstruction Ring - Acetabulum Reconstruction Ring

1404 - Revision Stems - Revision Stems

Page 33


1405 - Mesh Femoral - Mesh Femoral1406 - Mesh Acetabulum - Mesh Acetabulum1407 - Cables - Cables1408 - Pulse Lavage - Pulse Lavage1409 - Plate - Plate1410 - Cement - Cement1411 - Antibiotic Bone Cement - Antibiotic Bone Cement

1412 - Antibiotic Bone Cement (Tobramycin) - Antibiotic Bone Cement

(Tobramycin)1413 - Trabecular Metal Cone/Wedges - Trabecular Metal Cone/Wedges1414 - Constraint Cup with Head - Constraint Cup with Head1415 - Cement Joint Spacer - Cement Joint Spacer1416 - Trochanteric Hook Plate - Trochanteric Hook Plate

Page 34

TAHUN 2018 HINGGA TERKINI

[Kos perkhidmatan (RM)]

100 sehari

1,500 setiap kali dimasukkan ke

hospital.

3,021

2,5932,5932,593

1205027527585

50

1,000

1,500

3,000

5,000

20,000

350

450

500500700500

30,000

250

250500300

5,000

5,000

5,000

7,000

300

JADUAL 3FI RAWATAN

Page 35



6,500

6,000

7,500

10,000

800

65656565

260260260260260

1,1001,1001,1001,1001,1001,1001,100

5,5005,500

7066189971227325148398105564

1,033292231133126

6,16059269

1,018446833334147318742433774

Page 36



1,389528674

1,293

317304

1,560

220

488

1,645

1,236

92

62

310

68

278

1,125

1,120

924

2,472

1,019

888

1,0151,070912981

766

90

515

258

581745695

1,148

338

217

1,110

975

392

1,157

Page 37



944

1,141

354

232

658

534

441953

405516255

5,405

4,7055,8004,4925,0439,2101,8482,7906,9775,0746,112

747479691126316971

26

80016

992

265

1,136

140240

1,700

1,8001,360400

300

2,100500

1,0001,000200

2,000

Page 38



200 setiap lawatan.

800800

800

800

2,000

2,000

890

2,1001,9001,900300200

200

200

200

2,500

500

500

1501,000

1,000

800

1,0002,500300180180180

180

500500500

1,000 per hari.200200

200

200

200100150

80808080

Page 39



8080

80

80808080

40404040

8080

60

6060606060606060

808080120120120

120120120120120

80

8080808080808080

80

808080808080808080

Page 40



808080

80

80808080

40

120

120

120120120120120

120

120120120120120

50

50

25

50

50

50

75

100

3030214

900

500

80020

70

20

12050502005010020050100

Page 41



200

120

60

120

120

120

200

200

50305015030150200300250

300400200150

150

150150200

30

50

200

5005050504030

5,500

2,700

2,000

300

370

370

100

100

300200100

Page 42



200

2,000

2,000

250

1,500

400

400

400

250

250

250

300250

250

400

800

200

200

100100

200

100

400400400400

674

800

500

617

5501,3121,0361,648674400400400

1,4191,4191,312

421

Page 43



637

158300150150

150

134647

150

1,000

400

1,000

200

750

200

200

100

600

20

750

300

300

120

400

30

200150150

200

120

300

120

20012050200170170

1,000

750

300

120

Page 44



1,000

400

400

400

750

400

150

200

400

150

600

400

400

50

400

50

300

75

6075

75

50

30

75

75120

50

30

30

30

2,8001,2004,0006,3007,500

9,500

Page 45



1,8003,800

3,550

5,500

9,500

18,800

13,800

7,500

9,000

15,000

35,000

15,000450

1,100700

450

400

3,800

350250

400

500

350

7070130200140450

700

700

5565280300130

1,000

550

9003,0001,1003,0001,000

2,800

700800650900

Page 46



700

2,800

150

3,000

5555555555140

45

55

125

5858

680

280800

1,200

1,4001,4001,500200

50 per sesi.50 per sesi.

50 per sesi.

150 per sesi.

50 per sesi.


60 per sesi.

50 per sesi.

250 per kitaran. (1 kitaran =

2 minggu)



Page 47



120120120120120120630110200160600800

1,350690160

540

300

790

590

2,970180

700

6701,190450

40

40

40

40

40

40

40

40

404040

40404040404040404040404040

Page 48



40404040404040

40

40404040

40

40

40

40

40

40

40404040404040404040

400400

40

400400400400400400400

40404040404040404040

Page 49



404040404040404040404040404040404040

8080808080808040

40404040404040404040

240

404040

4040404040404040404040

Page 50



4040

4040404040

404040

40404040

40

4040404040

40404040404040404040404040404040404040404040

404040

Page 51



Kadar Caj

Semasa

Warga Asing

(RM)

Kos

Perkhidmatan

(RM)

TAHUN

2015 (RM)

TAHUN

2016 (RM)

TAHUN

2017 (RM)

TAHUN

2018 (RM)

5 10 7 8 9 1010 20 13 15 17 2015 30 20 23 26 3010 20 13 15 17 2015 30 20 23 26 3030 60 39 45 51 6020 40 26 30 34 4010 20 13 15 17 2020 40 26 30 34 4020 40 26 30 34 4030 60 39 45 51 6015 30 20 23 26 3015 30 20 23 26 3015 30 20 23 26 30

5 10 7 8 9 1010 20 13 15 17 2015 30 20 23 26 3015 30 20 23 26 3015 30 20 23 26 3030 60 39 45 51 6020 40 26 30 34 4020 40 26 30 34 4030 60 39 45 51 6060 120 78 90 102 12020 40 26 30 34 405 10 7 8 9 100 40 12 20 28 405 10 7 8 9 1015 60 29 38 47 6010 60 25 35 45 605 10 7 8 9 10

100 100 100 100 100 100180 360 234 270 306 360

Bayi (0hingga 12 bulan)

Page 52



6001,125600608600

2,0552,4001,9503,900120480120

3,000

675225225120450150

2,0552,0552,4003,3001,950750

1,2001,200525

1,125

6,0002,7001,5007501545

2,99712,000

4,500

3,000

585

435375600225300600990480585

1,425225

3,1503,900150

Page 53



75450600600

1,3501,350

752,4001,0501,0501,0501,4251,9502,0251,9501,1702,7003,3003,900120

15

16

17

18

67

77

104

141

94

18

13

11

16

17

334

256

71

Page 54



94

168

168

30

31

16

17

33

211

281

281

234

667

585

585

328

585

585

422

375

153

78

312

10

206

206

206

206

Page 55



217

217

410

234

328

585

585

702

702

702

43

234

94

953

953

1,521

953

1,521

634

1,112

913

153

57

52

57

113

223

223

223

195

161

Page 56



385

390

413

425

436

459

331

344

356

367

1,404

134

6

6

6

6

8

8

8

9

84

102

102

127

34

141

34

Page 57



34

34

880880

3,3002,8602,200110

1,760220

4,9504,9508,800

13,200

1,375

1,7501,690360900

525

2,350475

2,0006,0002,800

1,300

950

2,57515,50012,0003,350

6,125

65069569519519539591013105

22

17

190

1692475013649

Page 58



158273275147113905271179212195

120

450265229

1,1256502255252254015

725

250

8001,100

1,8002,000

800800

850

1,600

1503,0003,9002,2002,300

2,300

1,800

2,7002,8001,600700

2,500

1,8002,2003,900

Page 59



3,900

1,2003,0001,6001,2001,600

1,600

1,0001,6001,1001,6502,000

900

900

900

2,200

2,000

1,000

1,200

1,4001,800850

1,5001,5001,8002,5001,8002,400850

1,200

1,2001,400

2,400

2,1002,600

2,100

1,600

800

150

2,0001,800

Page 60



1,6002,2002,0002,400850

2,0001,800

2,600

2,900

2,400

1,800

15,800

15,000

2,400

1,200

1,600

1,200

2,200

9,0002,5002,50015,00015,00030,000

30,000

25,000

6,000

10,0003,00010,000

9,000

11,00011,0007,8754,5009,450840998

1,155

Page 61



4,643

6,943

5,976

7,068

4,515

7,005

4,515

7,005

7,87310,10813,558

16,8734,0104,4004,34327,2554,5007,723

12,500

4,670

7,945

7,3706,99510,7953,513

4,438

1,2451,3351,3701,100875

1,50025,0006,00011,5003,000210

1,500475

2,5001,400

360

360

Page 62



360

360

360

360

360

360

360

2,4272,5583,5344,1673,0332,904

3,676

2,242

1,319

909

1,055

4,537

3,534

3,7453,941

985

985

11,500

5,50016,000

6,500

160

180

320

200200

34

Page 63



62

94109125156187187187595959595959

62

62

62

62

62

94

94

94

94

94

94

109

94

94

125

125

50

50

50

623140

992222

Page 64



35461644677931343462626262125406218

3939395662

42

42

42

56

62

12

12

12

12

18727053

2525

25

25

29

29

63535

17,50035,000

Page 65



40,00021,00041,50033,000

35097,0007,2507,9008,50012,0005,6004,8006,5005,0006,0001,000

1,150

6,3005,600

4,700

3,600

5,2501,7002,1002,450800

310280445500440500

420340160400

520

300

1,6001,6001,6001,6001,600

1,600

1,2001,000

700

600600450

2,3001,8002,7002,5002,800800

Page 66



1,100

850

1,800

2,000

800

2,200

3,900

2,700

850850

7,500

12,000

8,000

13,000

19,000

22,000

48,000

35,000

35,000

48,000

4,100

7,500

13,000

10,750

8,000

13,100

8,500

7,250

8,00017,0009,500

4,500

8,000

Page 67



2,0002,000500300

1,500270350

1,100

3,5003,5004,00012,000

Page 68

Page 69

Page 70

Page 71

Page 72

Page 73

Page 74

Page 75

Page 76

Page 77

Page 78

Page 79

Page 80

Page 81

Page 82

Page 83

Page 84

Page 85

Kadar Caj

Semasa

Warga

Asing

(RM)

Kos

Perkhidmatan

(RM)

TAHUN

2015 (RM)

TAHUN

2016 (RM)

TAHUN

2017 (RM)

TAHUN

2018 (RM)

Kadar Caj

Semasa

Warga

Asing

(RM)

Kos

Perkhidmatan

(RM)

5 10 7 8 9 10 5 1010 30 16 20 24 30 10 3015 40 23 28 33 40 15 4010 30 16 20 24 30 10 4015 40 23 28 33 40 15 5030 80 45 55 65 80 30 12020 60 32 40 48 60 20 10010 20 13 15 17 20 10 3020 60 32 40 48 60 20 8020 60 32 40 48 60 20 8030 80 45 55 65 80 30 12015 40 23 28 33 40 15 5015 40 23 28 33 40 15 5015 40 23 28 33 40 15 50

5 10 7 8 9 10 5 1010 20 13 15 17 20 10 3015 50 26 33 40 50 15 8015 60 29 38 47 60 15 12015 60 29 38 47 60 15 12030 120 57 75 93 120 30 24020 60 32 40 48 60 20 16020 80 38 50 62 80 20 16030 120 57 75 93 120 30 16060 160 90 110 130 160 60 30020 120 50 70 90 120 20 1605 20 10 13 16 20 5 300 70 21 35 49 70 0 705 20 10 13 16 20 5 3015 60 29 38 47 60 15 7010 30 16 20 24 30 10 405 10 7 8 9 10 5 10

100 250 145 175 205 250 100 5000 10 3 5 7 10 0 0

Dewasa (18 tahun ke atas)Kanak-kanak (1 hingga 18 tahun)

Page 86

Page 87

Page 88

Page 89

Page 90

Page 91

Page 92

Page 93

Page 94

Page 95

Page 96

Page 97

Page 98

Page 99

Page 100

Page 101

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Page 110

Page 111

Page 112

Page 113

Page 114

Page 115

Page 116

Page 117

Page 118

Page 119

TAHUN

2015 (RM)

TAHUN

2016 (RM)

TAHUN

2017 (RM)

TAHUN

2018 (RM)

7 8 9 1016 20 24 3023 28 33 4019 25 31 4026 33 40 5057 75 93 12044 60 76 10016 20 24 3038 50 62 8038 50 62 8057 75 93 12026 33 40 5026 33 40 5026 33 40 50

7 8 9 1016 20 24 3035 48 61 8047 68 89 12047 68 89 12093 135 177 24062 90 118 16062 90 118 16069 95 121 160

132 180 228 30062 90 118 16013 18 23 3021 35 49 7013 18 23 3032 43 54 7019 25 31 40

7 8 9 10220 300 380 500

0 0 0 0

Dewasa (18 tahun ke atas)

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Page 121

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Page 124

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JADUAL 3 FI RAWATAN Bil. Prosedur (BM) Procedure (BI)