PERINTAH FI (PERUBATAN) (PINDAAN) 2017 FEES (MEDICAL) (AMENDMENT) ORDER 2017

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1 WARTA KERAJAAN PERSEKUTUAN 1 Februari February 2017 P.U. (A) 47 FEDERAL GOVERNMENT GAZETTE PERINTAH FI (PERUBATAN) (PINDAAN) 2017 FEES (MEDICAL) (AMENDMENT) ORDER 2017 DISIARKAN OLEH/ PUBLISHED BY JABATAN PEGUAM NEGARA/ ATTORNEY GENERAL S CHAMBERS

2 AKTA FI 1951 PERINTAH FI (PERUBATAN) (PINDAAN) 2017 PADA menjalankan kuasa yang diberikan oleh seksyen 3 Akta Fi 1951 [Akta 209], Yang di-pertuan Agong membuat perintah yang berikut: Nama dan permulaan kuat kuasa 1. (1) Perintah ini bolehlah dinamakan Perintah Fi (Perubatan) (Pindaan) (2) Perintah ini mula berkuat kuasa pada 1 Februari Pindaan Jadual B 2. Perintah Fi (Perubatan) 1982 [P.U. (A) 359/1982], yang disebut Perintah ibu dalam Perintah ini, dipinda dengan menggantikan Jadual B dengan Jadual yang berikut: JADUAL B CAJ WAD BAHAGIAN 1 WAD AM Tidak berhawa dingin (Caj sehari) Berhawa dingin (Caj sehari) Satu: - Bilik dengan satu katil Bilik dengan dua katil Bilik dengan tiga katil atau lebih Dua Tiga 3 3 2

3 BAHAGIAN 2 BILIK PROSEDUR (OBSTETRIK) Bilik bersalin (setiap kemasukan) Dewan bedah (setiap kemasukan) 120 ( Satu sahaja) 120 ( Satu sahaja) BAHAGIAN 3 WAD PSIKIATRIK Caj sehari Satu 15 Dua 10 Tiga Percuma BAHAGIAN 4 WAD EKSEKUTIF Caj sehari Bilik dengan satu katil (Orang kenamaan) 225 Bilik dengan satu katil 180 Bilik dengan dua katil 150. Pindaan Jadual C 3. Perintah ibu dipinda dengan menggantikan Jadual C dengan Jadual yang berikut: JADUAL C CAJ RAWATAN BAHAGIAN 1 RAWATAN PESAKIT DALAM Caj sehari Satu 15 Dua 5 Tiga Percuma 3

4 Jenis rawatan BAHAGIAN 2 ACCOUCHEMENT DAN BERSALIN Satu Dua Tiga Pembedahan Caesarean Bersalin dengan bantuan: Forseps/songsang/vakum Bersalin kembar Bersalin biasa Jenis rawatan BAHAGIAN 3 FISIOTERAPI Satu Setiap lawatan Dua Tiga Modaliti elektroterapi Biomaklumbalas/miomaklumbalas Arus terus/iontoforesis Arus dwidinamik Arus terus terganggu Terapi interferens Diatermi gelombang pendek Stimulasi saraf transkutan elektrik Terapi ultrasound Ultrasound masa nyata Stimulasi elektrik fungsional Terapi gelombang kejut Terapi haba/krioterapi Pek panas Mandi lilin Sinaran inframerah Krioterapi Fototerapi Terapi laser Terapi sinar ultraungu Terapi kardiorespiratori Teknik Pernafasan Kitaran Aktif (ACBT) Senaman pernafasan Sedutan bronkiol Spirometer insentif

5 Setiap lawatan Jenis rawatan Satu Dua Tiga Fluter Latihan otot inspiratori Terapi penyedutan Perkusi/getaran Tekanan ekspirasi positif Penyaliran postural Terapi mekano Tarikan servikal Tarikan lumbar Pam berangkai Hidroterapi Senaman kolam Pusaran air Terapi manual Manipulasi tisu lembut Lepasan miofasia Penyaliran limfa secara manual Akutekanan Pemitaan/pembalutan/pengikat Percuma Terapi mampatan (limfoedema) Percuma Teknik khas Teknik reposisi Canalith Senaman penstabilan renungan Pengaisan atau pemberusan Mobilisasi sendi Teknik McKenzie Program pembelajaran semula motor Akupunktur atau penjaruman kering Teknik perkembangan neuro Pemudahan proprioseptif saraf otot Terapi senaman Aktif, pasif atau berbeban Ambulasi atau latihan gaya jalan Senaman antenatal dan postnatal Latihan imbangan Latihan pundi kencing/usus Latihan litar Senaman bola gim

6 Setiap lawatan Jenis rawatan Satu Dua Tiga Teknik tahan kemutan untuk otot lantai pelvis Aktiviti kefungsian Senaman berkumpulan Senaman isokinetik Senaman mekanikal Senaman otot lantai pelvis Teknik relaksasi Pendidikan semula sensori Rejim tangan khas UJIAN KHAS Alat diagnostik Ujian imbangan Berg Ujian Klinikal bagi Interaksi Sensori dan Imbangan (CTSIB) Postugrafi dinamik berkomputer Penilaian tangan berkomputer Indeks gaya jalan dinamik Penilaian otot lantai pelvis Ujian sensori Lengkungan tempoh kekuatan Ujian otot voluntari Ujian vestibular Ujian bangun dan pergi bermasa Ujian jangkauan fungsi BAHAGIAN 4 RAWATAN RADIOTERAPI DAN ONKOLOGI Jenis rawatan Satu Dua 6 Tiga Rujukan daripada Pengamal Persendirian Pesakit Luar Rujukan daripada Pegawai Perubatan Kerajaan Simulasi dan perancangan berkomputer Penandaan setempat Percuma Simulasi konvensional Percuma Simulasi CT: Biasa (tanpa kontras) Percuma

7 Jenis rawatan Simulasi CT: Rumit (dengan kontras) Simulasi CT: Radioterapi Keamatan Bermodulasi (IMRT) Simulasi CT: Penyinaran Seluruh Badan (TBI) Simulasi CT: Penyinaran Seluruh Nodal (TNI) Simulasi CT: Elektron Suluruh Badan (TBE) Simulasi CT: Radioterapi Stereotaktik (SRT) Simulasi CT: Radiosurgeri Stereotaktik (SRS) Simulasi CT: Radioterapi Stereotaktik Badan (SBRT) Satu Dua Tiga Rujukan daripada Pengamal Persendirian Pesakit Luar Rujukan daripada Pegawai Perubatan Kerajaan Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Rawatan radioterapi 2D/medan tunggal/selari setentang (setiap pecahan) 3D/apa-apa rancangan dengan 3 atau lebih medan (setiap pecahan) IMRT (setiap pecahan) TBI (setiap pecahan) TNI (setiap pecahan) SRT (setiap pecahan)

8 Jenis rawatan Satu SRS 7,000 (rawatan pakej untuk sekali caj sahaja) 7,000 (rawatan SBRT pakej untuk sekali caj sahaja) Dua 5,000 (rawatan pakej untuk sekali caj sahaja) 5,000 (rawatan pakej untuk sekali caj sahaja) Tiga 12 (setiap rawatan) 12 (setiap rawatan) Rujukan daripada Pengamal Persendirian 7,000 (rawatan pakej untuk sekali caj sahaja) 7,000 (rawatan pakej untuk sekali caj sahaja) Pesakit Luar Rujukan daripada Pegawai Perubatan Kerajaan 500 (rawatan pakej untuk sekali caj sahaja) 500 (rawatan pakej untuk sekali caj sahaja) Rawatan brakiterapi Intrakavitari: Dobi/sumber satu baris (setiap sesi) Intrakavitari: ovoid berpasangan (setiap sesi) Intrakavitari: intrakavitari penuh (setiap sesi) Intrakavitari: bagi kanser nasofaringeal (NPC) (setiap sesi) Intraluminal: Esofagus, bronkus, anorektal (setiap sesi) Implan brakiterapi interstisial: implan brakiterapi payudara (setiap sesi) Implan brakiterapi interstisial: implant ekstremiti (setiap sesi) Implan brakiterapi: implan kaviti oral/ anorektal/prostat/mata dan lain-lain (setiap sesi) Prosedur brakiterapi prostat (rawatan pakej) ,000 5,

9 Jenis rawatan Rawatan anti-neoplastik Rawatan anti-neoplastik untuk kanser (selain terapi sasaran) (setiap rawatan) Rawatan terapi sasaran untuk kanser (setiap rawatan) Rawatan kanser yang memerlukan kelulusan khas Ketua Pengarah Kesihatan (KPK) (setiap rawatan) Satu Dua Tiga Rujukan daripada Pengamal Persendirian Pesakit Luar Rujukan daripada Pegawai Perubatan Kerajaan Perubatan nuklear Isotop radioaktif: (i) Diagnosis (ii) Terapi BAHAGIAN 5 NEFROLOGI Jenis rawatan Satu Dua Tiga Dialisis berselang-selang peritoneal (setiap rawatan) Rawatan Dialisis Peritoneal Ambulasi Berterusan (CAPD) (sebulan) Hemodialisis setiap rawatan: (i) satu kegunaan buah pinggang tiruan (ii) kegunaan semula buah pinggang tiruan Biopsi buah pinggang (tidak termasuk laporan) Pengkateteran femoral/subklavian untuk hemodialisis Hemoperfusi Implantasi kateter tenkoff Rawatan dialisis prapemindahan Lawatan di rumah bagi setiap hemodialisis 100 (setiap lawatan) 9

10 BAHAGIAN 6 RAWATAN PSIKIATRIK Setiap kemasukan Satu 1125 Dua 300 Tiga Percuma BAHAGIAN 7 TERAPI CARA KERJA Jenis rawatan PENILAIAN Penilaian aktiviti kehidupan seharian (ADL) Ukuran Pelaksanaan Terapi Cara Kerja Kanada (C.O.P.M.) Jadual Pendek Penafsiran Keperluan 10 Satu Dua Tiga Percuma Percuma Camberwell (CANSAS) Penilaian Keupayaan Kefungsian (FAA) Percuma Ukuran Kebebasan Kefungsian (FIM) Percuma Penilaian Kemahiran Hidup Kohlman (KELS) Percuma Aktiviti instrumental skala kehidupan seharian Lawton Percuma Indeks terubah suai Barthel (MBI) Percuma Terapi cara kerja bagi penilaian jantung Percuma Inventori penilaian kehilangan upaya pediatrik Percuma (PEDI) Penilaian Pelaksanaan Kemahiran Pengurusan Percuma Diri (PASS) Penilaian Kemahiran Motor dan Pemprosesan bagi Kesihatan Mental (AMPS) Percuma Penilaian fizikal Ujian Manual Otot (MMT) Percuma Kekuatan dinamometer/tolok kutil Percuma Ujian pembezaan 2 titik Percuma Ujian pasak 9 lubang Percuma Ujian imbangan Berg Percuma Papan pasak beralur Percuma Ujian fungsi tangan Jebsen Taylor Percuma Ujian kecakatan manual Minnesota Percuma Skala kesakitan Percuma

11 Jenis rawatan Satu Dua Tiga Ujian kecakatan jari O Connor Percuma Ujian kecakatan penyepit O Connor Percuma Ton otot Percuma Ujian papan pasak Purdue Percuma Julat pergerakan sendi (goniometer) Percuma Ujian aptitud manipulatif Roeder Percuma Ujian monofilamen Semmes-Weinstein Percuma Profil sensori Percuma Ujian stereognosis Percuma Getaran Percuma Volumeter Percuma Ujian imbangan Tinnetti Percuma Alat Senaman Anggota Atas Mikrokomputer (MULE) Percuma Penilaian perkembangan normal Ujian Bruininks-Oseretsky Percuma Carta tapisan perkembangan Denver Percuma Skala pengadaran motor oral Percuma Peabody Percuma Penilaian persepsi dan kognitif Ujian Perkembangan Integrasi Visual-Motor Percuma Beery Buktenica (Beery VMI) Bateri Penilaian Neurologi Terapi Cara Kerja Percuma Chessington (C.O.T.N.A.B.) Skala keresahan dan kemurungan hospital Percuma Penilaian Kognitif Terapi Cara Kerja Percuma Lowerstein (LOCTA) - LOCTA-A (bagi kes dewasa am) - LOTCA-G (bagi kes geriatrik) - LOTCA-D (bagi kes kanak-kanak/ perkembangan) Pemeriksaan Mini Keadaan Mental (MMSE) Percuma Penilaian Kognitif Montreal (MoCA) Percuma Bateri penilaian persepsi Rivermead Percuma Penilaian prasekolah Penilaian pelajar prasekolah Miller Percuma Penilaian Fungsi Sekolah (SFA) Percuma Ujian kemahiran tulisan tangan Percuma Penilaian tingkah laku Grid Penilaian Ambang (TAG) Percuma Skala keresahan dan kemurungan hospital Percuma Keteriritasian (skala kemurungan dan Percuma 11

12 Jenis rawatan Satu Dua Tiga keresahan) Soal selidik fungsi Sharman Percuma Skala kemurungan Beck Percuma Skala amnesia pascatrauma (skala PTA) Percuma Penilaian kerusi roda Percuma Penilaian pemanduan Penilaian pra-memandu Percuma Penilaian tapisan pemanduan pesakit strok Percuma Penilaian rumah/tempat kerja/sekolah Alat Tapisan Kejatuhan dan Kemalangan dalam Rumah (FAST) Percuma Penilaian kerja/vokasional Penilaian kapasiti kefungsian Percuma Penilaian LAM bagi Kesediaan Pekerjaan (LASER) Percuma Senarai semak peranan Percuma Latihan aktiviti kehidupan seharian Kebolehan untuk menggunakan telefon Percuma Ambulasi awal Percuma Kebersihan diri Percuma Pindah Percuma Kebolehan mengendalikan kewangan Percuma Mandi Percuma Pengurusan pundi kencing Percuma Pengurusan usus Percuma Kerja pembersihan Percuma Penjagaan peralatan Percuma Kemahiran domestic Percuma Memakai pakaian Percuma Makan/memberi makan Percuma Penyediaan makanan/hidangan Percuma Kefungsian komunikasi Percuma Kefungsian mobiliti Percuma Hias diri Percuma Eminens kesihatan Percuma Penyelenggaraan isi rumah Percuma Pengemasan rumah Percuma Dobi Percuma Mod pengangkutan Percuma Pengurusan wang Percuma 12

13 Jenis rawatan Satu Dua Tiga Tanggungjawab bagi pengubatan Percuma Prosedur keselamatan Percuma Fungsi seksual Percuma Beli-belah Percuma Penjagaan tandas Percuma Alat bantuan dan adaptasi (bagi setiap pengubahsuaian peralatan yang dibekalkan) Perkakas memasak Percuma Mengenakan pakaian Percuma Perkakas makan/minum Percuma Mobiliti Percuma Mandi Percuma Membaca/menulis Percuma Dudukan kerusi roda Percuma Rehabilitasi penglihatan terhad Percuma Intervensi persepsi dan kognitif Konsep asas Percuma Pengenalpastian bahagian badan Percuma Stimulasi kognitif Percuma Aktiviti pembelajaran Percuma Pembezaan kanan/kiri Percuma Diskriminasi bentuk dan persekitaran Percuma Orientasi realiti Percuma Aktiviti orientasi topografi Percuma Penjujukan Percuma Pengkategorian Percuma Terapi cermin Percuma Terapi tingkah laku Percuma Terapi kreatif Terapi seni Percuma Drama/lakon peranan Percuma Terapi muzik Percuma Intervensi kemahiran sosial Latihan asertif Percuma Latihan kemahiran daya tindak Percuma Kumpulan sokongan Percuma Terapi berkumpulan Percuma Terapi individu Percuma Kemahiran interpersonal Percuma Aktiviti kesedaran diri Percuma Kawalan diri Percuma Ekspresi diri Percuma 13

14 Jenis rawatan Satu Dua Tiga Pelakuan sosial Percuma Latihan kemahiran sosial Percuma Pengurusan masa Percuma Senarai semak peranan Percuma Pendidikan terapi cara kerja untuk pesakit dan penjaga Mekanik dan ergonomik badan Percuma Kawalan dan pencegahan edema Percuma Penjimatan tenaga/pemudahan kerja Percuma Terapi persekitaran Percuma Teknik penjagaan sendi Percuma Main dan santai Senarai semak santai Percuma Eksplorasi main dan santai Percuma Latihan main dan santai Percuma Relaksasi Biomaklumbalas Percuma Pernafasan dalam Percuma Pernafasan diafragma Percuma Relaksasi khayalan Percuma Teknik relaksasi otot progresif Percuma Latihan sensori Penyahpekaan sensori Percuma Integrasi sensori Percuma Pendidikan semula sensori Percuma Stimulasi sensori Percuma Fluidoterapi Percuma Latihan motor Prostesis atas siku Percuma Prostesis atas lutut Percuma Senaman bantuan aktif Percuma Prostesis bawah siku Percuma Prostesis bawah lutut Percuma Integrasi bilateral Percuma Garis tengah bersilang Percuma Latihan ergonomik Percuma Kemahiran motor halus Percuma Prostesis jari Percuma Latihan gaya jalan Percuma Aktiviti motor kasar Percuma Koordinasi tangan dan mata Percuma Tambah baik keseimbangan Percuma 14

15 Jenis rawatan Satu Dua Tiga Pendidikan semula motor Percuma Teknik perkembangan neuro Percuma Penormalan ton otot Percuma Stimulasi otot mulut Percuma Senaman meningkatkan kekuatan Percuma Latihan ketahanan Percuma Penyusutan ton otot Percuma Intervensi orientasi dan mobiliti Percuma Kategori Satu dan Dua 0 hingga 12 bulan Tiga Satu dan Dua 1 hingga 18 tahun Tiga Satu dan Dua 18 tahun dan ke atas Tiga Terapi mampatan Tiub cengkaman 10 Percuma 20 Percuma 20 Percuma Pembalut Coban 10 Percuma 15 Percuma 20 Percuma Pakaian tekanan Strap jari 5 Percuma 5 Percuma Gauntlet 10 Percuma 15 Percuma 15 Percuma Sarung tangan 15 Percuma 20 Percuma 20 Percuma Sarung lengan 10 Percuma 15 Percuma 20 Percuma Sarung lengan 15 Percuma 20 Percuma 25 Percuma penuh Baju lengan 30 Percuma 40 Percuma 60 Percuma panjang Baju lengan 20 Percuma 30 Percuma 50 Percuma pendek Strap dagu 10 Percuma 10 Percuma 15 Percuma Topeng muka 20 Percuma 30 Percuma 40 Percuma Seluar pendek 20 Percuma 30 Percuma 40 Percuma Seluar panjang 30 Percuma 40 Percuma 60 Percuma Sarung paha 15 Percuma 20 Percuma 25 Percuma Sarung betis 15 Percuma 20 Percuma 25 Percuma Stoking (1 unit) 15 Percuma 20 Percuma 25 Percuma Penganduh dinamik Percuma harga mekanisme (mengikut harga pasaran) Percuma harga mekanisme (mengikut harga pasaran) Percuma 15

16 Kategori Satu dan Dua 0 hingga 12 bulan Tiga Satu dan Dua 1 hingga 18 tahun Tiga Satu dan Dua 18 tahun dan ke atas Tiga Penganduh statik Jari/ibu jari kaki 5 Percuma 5 Percuma Tangan/kaki 10 Percuma 10 Percuma 15 Percuma Tangan hingga lengan bawah Jari hingga lengan bawah Lengan bawah hingga lengan atas 15 Percuma 25 Percuma 40 Percuma 15 Percuma 30 Percuma 60 Percuma 15 Percuma 30 Percuma 60 Percuma Tangan hingga 30 Percuma 60 Percuma 120 Percuma lengan atas Lengan atas 20 Percuma 30 Percuma 80 Percuma Kolar keras 20 Percuma 40 Percuma 80 Percuma Kaki hingga betis 30 Percuma 60 Percuma 80 Percuma Kaki hingga tengah paha Tengah betis hingga tengah paha 60 Percuma 80 Percuma 150 Percuma 20 Percuma 60 Percuma 80 Percuma Tapak dalam 5 Percuma 10 Percuma 15 Percuma Plastazote Siku tenis 35 Percuma 35 Percuma Sesaran ulnar 5 Percuma 10 Percuma 15 Percuma Sling Lengan 30 Percuma 35 Percuma Ergonomik (EAS) Semakan kulaian 15 Percuma 20 Percuma kaki Pita Buddy 5 Percuma 5 Percuma 5 Percuma Pendakap badan 100 Percuma 250 Percuma 500 Percuma Abah-abah pelvis 100 Percuma 180 Percuma 16

17 BAHAGIAN 8 TERAPI PERTUTURAN BAHASA Kategori penilaian Satu Dua Tiga Pesakit Luar Penilaian pertuturan bahasa Percuma 10 Penilaian Penelanan Klinikal Percuma 10 (CSE) Penilaian suara Percuma 10 berinstrumen Penilaian resonans Percuma 10 berinstrumen Penilaian Penelanan Endoskopik Serat Optik (FEES) Percuma 10 Penilaian Penelanan Videofloroskopik (VFSS) Percuma 20 Kategori rawatan Satu Dua Tiga Pesakit Luar Terapi pertuturan bahasa Percuma 10 Elektroterapi Percuma 10 BAHAGIAN 9 PERKHIDMATAN DIETETIK Kategori siasatan Satu Dua Tiga Pesakit Luar Penilaian pemakanan 10 5 Percuma 1 Kalorimetri tak langsung Percuma 5 17

18 Kategori terapi Satu Dua Tiga Pesakit Luar Terapi diet individu 10 5 Percuma 2 Terapi diet berkumpulan 1 Terapi diet individu: tambahan pemakanan oral Percuma Terapi diet individu: pemakanan enteral Percuma BAHAGIAN 10 PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI Jenis rawatan Satu Dua Tiga Pesakit Luar PERUBATAN TRADISIONAL MELAYU Urutan tradisional Sakit kronik (setiap sesi) Percuma 20 Pasca angin ahmar (setiap sesi) Percuma 20 Penjagaan tradisional postnatal Urutan kesegaran postnatal (setiap sesi) Penjagaan perbidanan (setiap sesi) Percuma Percuma 50 PERUBATAN TRADISIONAL CINA Akupunktur Sakit kronik (setiap sesi) Percuma 20 Pasca angin ahmar Percuma 20 (setiap sesi) Akupunktur dan moxibustion Percuma 25 untuk sakit kronik (setiap sesi) Akupunktur dan moxibustion untuk pasca angin ahmar (setiap sesi) Percuma 25 18

19 Jenis rawatan Akupunktur dan bekam untuk sakit kronik (setiap sesi) Akupunktur dan bekam untuk pasca angin ahmar (setiap sesi) Satu Dua Tiga Pesakit Luar Percuma Percuma 25 Indikasi lain (setiap sesi) Percuma 20 Onkologi herba Terapi tambahan untuk kanser (setiap kitaran) Percuma 100 PERUBATAN TRADISIONAL INDIA Ayurveda Shirodhara (setiap sesi) Percuma 50 Terapi basti luaran Percuma 50 (setiap sesi) Abhyanga (setiap sesi) Percuma 50 Siddha Terapi Varman (setiap sesi) Percuma 20 TERAPI KOMPLEMENTARI Kiropraktik (setiap sesi) Percuma 50 Osteopatik (setiap sesi) Percuma 75. Pindaan Jadual D 4. Perintah ibu dipinda dengan menggantikan Jadual D dengan Jadual yang berikut: JADUAL D CAJ SIASATAN BAHAGIAN 1 PEMERIKSAAN RADIOLOGI Jenis rawatan Satu Dua Tiga Pemeriksaan tanpa kontras media Anggota Kepala

20 Jenis rawatan Satu Dua Tiga Spina Dada kecuali filem kecil dada Filem kecil dada Tulang pelvis, pinggul dan abdomen Tomografi Pelvimetri Fluoroskopi jantung, paru-paru, diafragm Kaji selidik skeletal Mamografi Intra-oral pergigian (setiap filem) Ortopantomogram pergigian (OPG) Tengkorak lateral Ultrasound Ultrasound (mudah) Pengukuran Tomografi Pemancar Kon Percuma (CBCT) gigi 3D OPG Percuma Radiograf digital gigi Percuma C.T. abdomen C.T. kepala C.T. seluruh badan Pemeriksaan khas dengan media kontras Arteriografi Pemeriksaan kontras saluran G.I Pemeriksaan kontras saluran Biliary Pemeriksaan kontras saluran kencing Pemeriksaan kontras sistem saraf pusat Pemeriksaan kontras lain-lain duktus dan saluran Artografi Bronkografi Limfangiografi Insuflasi udara presakral Kolangiografi Transhepatik Perkutaneus (PTC) Splenoportografi Salpingografi

21 BAHAGIAN 2 UJIAN MAKMAL Kumpulan Satu Dua Tiga Kumpulan A Ujian imunologi sel Kumpulan B Mikroskopi elektron Seksyen beku (termasuk pengesahan) Kumpulan C Ujian khas hematologi Analisis mikrobiologi produk makanan, dsb Assai antibiotik dan ujian pensterilan Ujian kefungsian (biokimia) Kumpulan D Ujian pakej pemakanan Biopsi pembedahan Pemeriksaan sitologikal termasuk pungutan specimen Penilaian hormon Ujian rutin ekstensif hematologi Kumpulan E Mikroskopi fluoresen Ujian antibodi fluoresen Ujian resapan gel Ujian siasatan hemotologi Assai seminal Ujian khas biokimia dan pemakanan Imunoglobulin, imunoelektroforesis, ELISA Kuantitasi pelengkap Kumpulan F Analisis kuantitatif biokimia (Cat. A) Pemeriksaan sitologi spesimen klinikal Ujian rutin ekstra hematologi Kultur spesimen klinikal Teknik imunologi (pengaglutinatan, flokulasi, hemolisis, dsb.) Kepekaan antibiotik

22 Kumpulan Satu Dua Tiga Kumpulan G Mikroskopi cahaya Ujian rutin hemotologikal Pemeriksaan seminal (ujian biasa) Analisis kuantitatif biokimia (Cat. B) Kumpulan H Analisis kuantitatif/kualitatif biokimia Jenis siasatan BAHAGIAN 3 SIASATAN LAIN Satu Dua Tiga SIASATAN KARDIOLOGI Elektrokardiografi Ujian senaman Holter Ekokardiogram Pengkateteran jantung dan angiografi SIASATAN OFTALMOLOGI Perimetri/skotometri Angiografi fluoresin fundus/angiografi iris Ujian untuk penglihatan binokular Pembiasan dengan atau tanpa preskripsi kaca mata SIASATAN NEUROLOGI Elektroensefalografi SIASATAN TELINGA, HIDUNG DAN KERONGKONG Audiometri Audiometri nada tulen Bekesy Impedans Lain-lain (SISI, rosot nada, medan bebas) Kalorimetri SIASATAN PERGIGIAN Ujian pergigian 22

23 Jenis siasatan Satu Dua Tiga Kevitalan pulpa (setiap ujian) Percuma Model diagnostik Percuma Kerentanan karies (setiap ujian) 5 5 Percuma. Pindaan Jadual E 5. Perintah ibu dipinda dengan menggantikan Jadual E dengan Jadual yang berikut: JADUAL E CAJ PEMBEDAHAN CAJ PEMBEDAHAN TERMASUK ANESTESIA Pembedahan Satu Dua Tiga Pembedahan Jenis A Pembedahan Jenis B Pembedahan Jenis C Pembedahan Jenis D Pembedahan Jenis E Pembedahan Jenis F Pindaan Jadual F 6. Perintah ibu dipinda dengan menggantikan Jadual F dengan Jadual yang berikut: JADUAL F CAJ PERGIGIAN RAWATAN PERGIGIAN Jenis rawatan Satu Dua Tiga Pesakit Luar Fluorida topikal (setiap arkus) Percuma 5 Pengapan fisur (setiap gigi) Percuma 5 Penskaleran mulut penuh dan penggilapan Percuma 55 23

24 Jenis rawatan Satu 24 Dua Tiga Pesakit Luar Pencabutan sebatang gigi kekal/ Percuma 15 supernumerari/akar tertinggal Pencabutan gigi desidus Percuma 10 (setiap gigi) Pembuangan melalui pembedahan (setiap gigi/gigi terimpak mudah/ akar tertinggal) Pembuangan gigi terimpak melalui pembedahan (setiap gigi)(rumit) Kawalan pendarahan selepas Percuma 20 pencabutan Komplikasi selepas pencabutan Percuma 5 Operkulektomi gingiva Percuma 10 Pendawaian gigi Percuma 20 (setiap arkus) Tampalan gigi kekal Percuma 20 (satu permukaan) Tampalan gigi kekal (permukaan Percuma 25 berganda/dengan pin pegangan) Tampalan gigi desidus Percuma 10 Tampalan sementara Percuma 10 Inlai (setiap gigi) Percuma 30 (tidak termasuk harga logam) Korona (setiap gigi) (termasuk korona sementara, tetapi tidak termasuk caj logam) Percuma 50 Jambatan (setiap gigi tupang termasuk tampalan sementara tetapi tidak termasuk caj bahan dan makmal) Percuma 50 Rawatan kanal akar Percuma 40 (gigi anterior) Rawatan kanal akar Percuma 75 (gigi posterior) Pengapeksan (setiap gigi) Percuma 50 Pemberhentian resorpsi gigi Percuma 40 (setiap gigi) Pulpotomi korona Percuma 40 (setiap gigi kekal) Pulpotomi (setiap gigi desidus) Percuma 40 Pulpektomi (setiap gigi desidus) Percuma 50 Ekstirpasi pulpa (setiap gigi) Percuma 15 Pelunturan gigi (eksternal) (setiap rahang) 500

25 Jenis rawatan Satu Dua Tiga Pesakit Luar Pelunturan gigi (internal) 50 (setiap gigi) Mikrolelasan (setiap gigi) 50 Penyahpekaan (setiap arkus) 25 Pembentukan gigi palsu penuh tidak termasuk logam (setiap rahang) Pembentukan sebahagian gigi palsu tidak termasuk logam (setiap rahang) Penambahan setiap gigi akrilik Pembaikan dentur tanpa mengganti plat landas Pembaikan dentur (penambahan setiap gigi akrilik) Lapikan semula/landasan semula Percuma 30 (setiap dentur) Impresi bagi model kerja 40 (setiap set) Splin lembut Percuma 15 Splin keras Percuma 50 Splin lain Percuma 10 Aplians atau obturator Kecil Sederhana Besar Aplians tetap (setiap arkus) 500 Aplians sebahagian tetap 300 (setiap arkus) Aplians boleh tanggal 100 (pasif)(setiap arkus) Aplians boleh tanggal 200 (aktif)(setiap arkus) Aplians fungsi tetap 1000 Aplians fungsi boleh tanggal 400 Penggantian komponen aplians 25 tetap (setiap komponen) Pembaikan komponen aplians 25 boleh tanggal Pembaikan aplians patah 10 (semua jenis aplians boleh tanggal/ obturator) Pembaikan aplians fungsi boleh 50 tanggal 25

26 Jenis rawatan Satu Dua Tiga Pesakit Luar Auksiliari ortodontik 100 Arkus transpalatal 100 Arkus lingual 100 Arkus transpalatal 50 (setiap pembaikan) Arkus lingual (setiap pembaikan) 50 Arkus transpalatal 50 (setiap penyimenan semula) Arkus lingual 50 (setiap penyimenan semula) Penyenggara ruang boleh tanggal 100 (setiap arkus) Retainer tetap (setiap arkus) 100 Retainer Essix 100 Retainer tetap 50 (pembaikan setiap gigi) Retainer tetap 100 (nyahlekat setiap arkus) Peralatan pengangkoran 150 sementara (setiap alat) Rantai emas untuk gigi terimpak 400 Rantai traksi untuk pergerakan 50 gigi minor (setiap gigi) Rawatan pengembang palatal 100 Rawatan alat kepala 100. Dibuat 24 Januari 2017 [KKM(S)-280(32/41); PN(PU2)86/XXII] Dengan Titah Perintah DATUK SERI DR. S.SUBRAMANIAM Menteri Kesihatan [Akan dibentangkan dalam Dewan Rakyat menurut seksyen 4 Akta Fi 1951] 26

27 FEES ACT 1951 FEES (MEDICAL) (AMENDMENT) ORDER 2017 IN exercise of the powers conferred by section 3 of the Fees Act 1951 [Act 209], the Yang di-pertuan Agong makes the following order: Citation and commencement 1. (1) This order may be cited as the Fees (Medical) (Amendment) Order (2) This Order comes into operation on 1 February Amendment of Schedule B 2. The Fees (Medical) Order 1982 [P.U. (A) 359/1982], which is referred to as the principal Order in this Order, is amended by substituting for Schedule B the following Schedule: SCHEDULE B WARD CHARGES PART 1 GENERAL WARD Non-airconditioned (Charge per day) Airconditioned (Charge per day) First : - One bedded room Two bedded room Three bedded room or more

28 PART 2 PROCEDURE ROOM (OBSTETRIC) Labour room (per admission) 120 (First only) Operation theater (per admission) 120 (First only) PART 3 PSYCHIATRIC WARD Charge per day First Free PART 4 EXECUTIVE WARD Charge per day One bedded room (VIP) 225 One bedded room 180 Two bedded room 150. Amendment of Schedule C 3. The principal Order is amended by substituting for Schedule C the following Schedule: SCHEDULE C TREATMENT CHARGES PART 1 INPATIENT TREATMENT Charge per day First 15 5 Free 28

29 PART 2 ACCOUCHEMENT AND DELIVERY Type of treatment First Caesaran operation Assisted delivery: Forceps/breech/vacuum Twin delivery Normal delivery Type of treatment PART 3 PHYSIOTHERAPY First Per visit Electrotherapy modalities Biofeedback/myofeedback Direct current/iontophoresis Didynamic current Interrupted direct current Interferential therapy Shortwave diathermy Transcutaneous electrical nerve stimulation Ultrasound therapy Realtime ultrasound Functional electrical stimulation Shockwave therapy Thermal therapy/cryotherapy Hot pack Wax bath Infrared radiation Cryotherapy Phototherapy Laser therapy Ultraviolet light therapy Cardiorespiratory therapy Active Cycle Breathing Technique (ACBT)

30 Per visit Type of treatment First Breathing exercise Bronchial suction Incentive spirometer Flutter Inspiratory muscle training Inhalation therapy Percussion/vibration Positive expiratory pressure Postural drainage Mechano therapy Cervical traction Lumbar traction Sequential pump Hydrotherapy Pool exercise Whirlpool Manual therapy Soft tissue manipulation Myofascial release Manual lymphatic drainage Acupressure Taping/bandaging/strapping Free Compression therapy (lymphoedema) Free Special techniques Canalith repositioning technique Gaze stabilisation exercise Icing or brushing Joint mobilization McKenzie technique Motor re-learning program Acupuncture or dry needling Neurodevelopmental technique Proprioceptive neuromuscular facilitation

31 Type of treatment First Per visit Exercise therapy Active, passive or resisted Ambulation or gait training Antenatal and postnatal exercise Balance training Bladder/bowel training Circuit training Gymnic ball exercise Counter bracing technique for pelvic floor muscle Functional activities Group exercise Isokinetic exercise Mechanical exercise Pelvic floor muscle exercise Relaxation technique Sensory re-education Special hand regime SPECIAL TEST Diagnostic tool Berg s balance test Clinical Test for Sensory Interaction and Balance (CTSIB) Computerized Dynamic Posturography Computerized hand evaluation Dynamic gait index Pelvic floor muscle assessment Sensory testing Strength duration curve Voluntary muscle testing Vestibular test Timed up and go test Functional reach test

32 PART 4 RADIOTHERAPY AND ONCOLOGY TREATMENT Type of treatment Outpatient First Referral from a Private Practitioner Referral from a Government Medical Officer Simulation and computerized planning Mark on set Free Conventional Free simulation CT simulation: Normal (without contrast) Free CT simulation: Complex (with contrast) CT simulation: Intensity Modulated Radiotherapy (IMRT) CT Simulation: Total Body Irradiation (TBI) CT Simulation: Total Nodal Irradiation (TNI) CT Simulation: Total Body Electron (TBE) CT Simulation: Stereotactic Radiotherapy (SRT) CT Simulation: Stereotactic Radiosurgery (SRS) CT Simulation: Stereotactic Body Radiotherapy (SBRT) Free Free Free Free Free Free Free Free Radiotherapy treatment 2D/ single field/ parallel opposed (per fraction)

33 Type of treatment Outpatient 3D/ any plans with 3 or more fields (per fraction) First 33 Referral from a Private Practitioner Referral from a Government Medical Officer IMRT (per fraction) TBI (per fraction) TNI (per fraction) SRT (per fraction) SRS 7,000 (package treatment for one time charge only) SBRT 7,000 (package treatment for one time charge only) 5,000 (package treatment for one time charge only) 5,000 (package treatment for one time charge only) 12 (per treatment) 12 (per treatment) 7,000 (package treatment for one time charge only) 7,000 (package treatment for one time charge only) 500 (package treatment for one time charge only) 500 (package treatment for one time charge only) Brachytherapy treatment Intracavitary: dhobbies/single line source (per session) Intracavitary: paired ovoids (per session) Intracavitary: full intracavitary (per session) Intracavitary: for nasopharyngeal cancer (NPC) (per session) Intraluminal : Esophagus, bronchus, anorectal (per session)

34 Type of treatment Interstitial brachytherapy implants: breast brachytherapy implants (per session) Interstitial brachytherapy implants: extremities implants (per session) Brachytherapy implants: oral cavity/ anorectal/prostate/ eye and other implants (per session) Prostate brachytherapy procedure (package treatment) First Referral from a Private Practitioner Outpatient Referral from a Government Medical Officer ,000 5,000 6 Anti neoplastic treatment Anti-neoplastic for cancer (besides targeted therapy) (per treatment) Targeted therapy treatment for cancer (per treatment) Cancer treatment that needs special approval from the Director General of Health (per treatment)

35 Type of treatment Outpatient First Referral from a Private Practitioner Nuclear medicine Radioactive isotopes: (i) Diagnosis (ii) Therapy Referral from a Government Medical Officer Type of treatment Intermitent peritonial dialysis per treatment Continuous Ambulatory Peritoneal Dialysis (CAPD) treatment (monthly) Hemodialysis per treatment: PART 5 NEPHROLOGY First (i) one use of artificial kidney (ii) re-use of artificial kidney Renal biopsy (excluding report) Femoral/subclavian catheterisation for hemodialysis Haemoperfusion Implantation of tenchkoff catheter Pretransplant dialysis treatment Home visit per hemodialysis 100 (per visit) 35

36 PART 6 PSYCHIATRIC TREATMENT Per admission First Free Type of treatment PART 7 OCCUPATIONAL THERAPY ASSESSMENT Activities of Daily Living (ADL) Assessment Canadian Occupational Therapy Performance Measure (C.O.P.M.) Camberwell Assessment of Needs Short First Free Free Schedule (CANSAS) Functional Ability Assessment (FAA) Free Functional Independence Measure (FIM) Free Kohlman Evaluation of Living Skill (KELS) Free The Lawton instrumental activities daily Free living scale Modified Barthel Index (MBI) Free Occupational therapy for cardiac Free assessment Pediatric Evaluation Disabilities inventory Free (PEDI) Performance Assessment of Self Care Skills Free (PASS) Assessment of Motor and Process Skills in Mental Health (AMPS) Free Physical assessment Muscle Manual Test (MMT) Free Strength-dynamometer/pinch gauge Free 2 point discrimination test Free 9 hole peg test Free Berg balance test Free Grooved peg board Free Jebsen Taylor hand function test Free Minnesota manual dexterity test Free Pain scale Free 36

37 Type of treatment First O Connor finger dexterity test Free O Connor tweezer dexterity test Free Muscle tone Free Purdue pegboard test Free Range of motion (Goniometer) Free Roeder manipulative aptitude test Free Semmes-Weinstein monofilaments test Free Sensory profile Free Stereognosis test Free Vibration Free Volumeter Free Tinnetti balance test Free Microcomputer Upper Limb Exerciser (MULE) Free Normal development assessment Bruiniks-Oseretsky test Free Denver developmental screening chart Free Oral motor rating scale Free Peabody Free Perceptual and cognitive assessment The Berry Buktenica Development Test of Free Visual Motor Integration (Berry VMI) Chessington Occupational Therapy Free Neurological Assessment Battery (C.O.T.N.A.B) Hospital anxiety depression scale Free Lowerstein Occupational Therapy Free Cognitive Assessment (LOCTA) - LOCTA-A (for adult general cases) - LOTCA-G (for geriatric cases) - LOTCA-D (for children/developmental cases) Mini Mental State Examination (MMSE) Free Montreal Cognitive Assessment (MoCA) Free Rivermead preceptual assessment battery Free Preschool assesment Free Miller assessment pre schoolers Free School Function Assessment (SFA) Free Test of handwriting skill Free Behavior assessment Free Threshold Assessment Grid (TAG) Free 37

38 Type of treatment First Hospital anxiety and depression scale Free Irritability (depression anxiety scale) Free Sharman's function questionaire Free The Beck depression scale Free Post Traumatic Amnesia scale (PTA scale) Free Wheel chair assessment Free Driving assessment Pre driving assessment Free Stroke driving screening assessment Free Home/work place/school assessment Home falls and accidents screening tool (FAST) Free Work/vocational assessment Functional capacity evaluation Free LAM Assessment of Employment Free Readiness (LASER) Role check list Free Activities of daily living training Ability to use telephone Free Early ambulation Free Self hygiene Free Transfer Free Ability handle finance Free Bathing Free Bladder management Free Bowel management Free Cleaning work Free Device care Free Domestic skill Free Dressing Free Eating/feeding Free Food/meal preparation Free Functional communication Free Functional mobility Free Grooming Free Health eminence Free Household maintenance Free Housekeeping Free Laundry Free Mode of transportation Free 38

39 Type of treatment First Money management Free Responsibility for medication Free Safety procedure Free Sexual function Free Shopping Free Toileting Free Aids and adaptation (for each modification equipment supplied) Cooking utensil Free Dressing Free Feeding/drinking utensil Free Mobility Free Bathing Free Reading/writing Free Wheel chair seating Free Low vision rehabilitation Free Cognitive and perceptual intervention Basic concepts Free Body part identification Free Cognitive stimulation Free Educational activities Free Right/left discrimination Free Figure-ground discrimination Free Reality orientation Free Topographical orientation activities Free Sequencing Free Categorization Free Mirror therapy Free Behavioral therapy Free Creative therapy Art therapy Free Drama/role play Free Music therapy Free Social skill intervention Assertive training Free Coping skill training Free Group support Free Group therapy Free Individual therapy Free Interpersonal skill Free Self awareness activities Free Self control Free 39

40 Type of treatment First Self expression Free Social conduct Free Social skill training Free Time management Free Role checklist Free Patient s and carer s occupational therapy education Body mechanic and ergonomic Free Edema control and prevention Free Energy conservation/work simplification Free Environment therapy Free Joint protection techniques Free Play and leisure Leisure check list Free Play and leisure exploration Free Play and leisure training Free Relaxation Free Biofeedback Free Deep breathing Free Diaphragmatic breathing Free Imaginary relaxation Free Progressive muscular relaxation techniques Free Sensory training Sensory desensitization Free Sensory integration Free Sensory re-education Free Sensory stimulation Free Fluidotherapy Free Motor training Above elbow prosthesis Free Above knee prosthesis Free Active assisted exercise Free Below elbow prosthesis Free Below knee prosthesis Free Bilateral integration Free Crossing midline Free Ergonomic training Free Fine motor skills Free Finger prosthesis Free Gait training Free 40

41 Type of treatment First Gross motor activities Free Hand and eye coordination Free Improve balance Free Motor re-education Free Neuro developmental technique Free Normalize muscle tone Free Oral muscle stimulation Free Strengthening exercise Free Endurance training Free Reduce muscle tone Free Orientation and mobility intervention Free Category 0 to 12 months First and 1 to 18 years First and 18 years and above First and Compression therapy Tubegrip 10 Free 20 Free 20 Free Coban bandage 10 Free 15 Free 20 Free Pressure garment Finger strap 5 Free 5 Free Gauntlet 10 Free 15 Free 15 Free Glove 15 Free 20 Free 20 Free Forearm sleeve 10 Free 15 Free 20 Free Full arm sleeve 15 Free 20 Free 25 Free Vest with long 30 Free 40 Free 60 Free sleeve Vest with short 20 Free 30 Free 50 Free sleeve Chin strap 10 Free 10 Free 15 Free Mask 20 Free 30 Free 40 Free Short pants 20 Free 30 Free 40 Free Long pants 30 Free 40 Free 60 Free Thigh strap 15 Free 20 Free 25 Free Calf strap 15 Free 20 Free 25 Free Socks (1 unit) 15 Free 20 Free 25 Free 41

42 Category 0 to 12 months First and 1 to 18 years First and Dynamic splint Free the price of mechanism (according to market price) 18 years and above First and Free the price of mechanism (according to market price) Static splint Finger/toe 5 Free 5 Free Hand/foot 10 Free 10 Free 15 Free Hand to forearm 15 Free 25 Free 40 Free Finger to forearm 15 Free 30 Free 60 Free Forearm to upper 15 Free 30 Free 60 Free arm Hand to upper 30 Free 60 Free 120 Free arm Upper arm 20 Free 30 Free 80 Free Hard collar 20 Free 40 Free 80 Free Foot to calf 30 Free 60 Free 80 Free Foot to mid thigh 60 Free 80 Free 150 Free Mid calf to mid 20 Free 60 Free 80 Free thigh Plastazote insole 5 Free 10 Free 15 Free Tennis elbow 35 Free 35 Free Ulnar driff 5 Free 10 Free 15 Free Ergonomic Arm 30 Free 35 Free Sling (EAS) Foot drop check 15 Free 20 Free Buddy strap 5 Free 5 Free 5 Free Body brace 100 Free 250 Free 500 Free Pelvis harness 100 Free 180 Free Free 42

43 PART 8 SPEECH-LANGUAGE THERAPY Assessment category First Outpatient Speech-language assessment Free 10 Clinical Swallowing Evaluation Free 10 (CSE) Instrumental assessment of voice Free 10 Instrumental assessment of Free 10 resonance Fiberoptic Endoscopic Evaluation Free 10 of Swallowing (FEES) Videofloroscopic Swallowing Study (VFSS) Free 20 Treatment category First Outpatient Speech-language therapy Free 10 Electrotherapy Free 10 PART 9 DIETETIC SERVICES Investigation category First Outpatient Nutrition assessment 10 5 Free 1 Indirect calorimetry Free 5 43

44 Therapy category First Outpatient Individual diet therapy 10 5 Free 2 Group diet therapy 1 Individual diet therapy: Free Oral nutritional supplement Individual diet therapy: Enteral nutrition Free PART 10 TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES Type of treatment First Outpatient TRADITIONAL MALAY MEDICINE Traditional massage Chronic pain (per session) Free 20 Post stroke (per session) Free 20 Traditional postnatal care Wellness postnatal massage Free 20 (per session) Midwifery care (per session) Free 50 TRADITIONAL CHINESE MEDICINE Acupuncture Chronic pain (per session) Free 20 Post stroke (per session) Free 20 Acupuncture and moxibustion for Free 25 chronic pain (per session) Acupuncture and moxibustion for Free 25 post stroke (per session) Acupuncture and cupping for Free 25 chronic pain (per session) Acupuncture and cupping for Free 25 post stroke (per session) Other indication (per session) Free 20 Herbal oncology Adjunct therapy for cancer (per cycle) Free

45 Type of treatment First Outpatient TRADITIONAL INDIAN MEDICINE Ayurveda Shirodhara (per session) Free 50 External basti therapy Free 50 (per session) Abhyanga (per session) Free 50 Siddha Varman therapy (per session) Free 20 COMPLEMENTARY THERAPY Chiropractic (per session) Free 50 Osteopathic (per session) Free 75. Amendment of Schedule D 4. The principal Order is amended by substituting for Schedule D the following Schedule: SCHEDULE D INVESTIGATION CHARGES PART 1 RADIOLOGICAL EXAMINATIONS Type of treatment First Examination without contrast media Limbs Head Spine Chest except miniature film of chest Miniature film of chest Bone pelvis, hips and abdomen Tomography Pelvimetry Fluroscopy of heart, lungs, diaphragm

46 Type of treatment First Skeletal survey Mammography Dental intra-oral (per film) Dental Orthopantomogram (OPG) Lateral skull Ultrasound Ultrasound (simple) Dental Cone Beam Computed Free Tomography (CBCT) 3D OPG Free Dental digital radiograph Free C.T. abdomen C.T. head C.T. whole body Specialised examination with contrast media Arteriography Contrast examination of G.I. tract Contrast examination of Biliary tract Contrast examination of urinary tract Contrast examination of central nervous system Contrast examination of other ducts and tracts Artography Bronkography Limfangiography Presacral air insufflation Percutaneous Transhepatic Cholangiography (PTC) Splenoportography Salpingography PART 2 LABORATORY TESTS Group First Group A Cellular immunological tests

47 Group First Group B Electron microscopy Frozen section (inclusive of confirmation) Group C Special haematological tests Microbiological analysis of food products, etc. Antibiotic assay and sterility testing Functional test (biochemical) Group D Package nutritional tests Surgical biopsy Cytological examination inclusive of collecting of specimens Hormonal assessment Extensive routine haematological test Group E Fluorescent microscopy Fluorescent antibody tests Gel diffusion tests Haemotological investigative tests Seminal assays Special biochemical and nutritional tests Immunoglobulin, immunoelectrophoresis, ELISA Complement quantitation Group F Quantitative biochemical analysis (Cat. A) Cytological examinations of clinical specimens Extra-routine haematological tests Culture of clinical specimens Immunological techniques (agglutination, Flocculation, haemolysis, etc.) Antibiotic sensitivity

48 Group First Group G Light microscopy Routine haemotological tests Seminal examination (normal tests) Quantitative biochemical analysis (Cat. B) Group H Quantitative/qualitativef biochemical analysis PART 3 OTHER INVESTIGATIONS Type of investigation First CARDIOLOGICAL INVESTIGATION Electrocardiography Exercise tests Holter Echocardiogram Cardiac catheterisation and angiography OPHTHALMOLOGICAL INVESTIGATION Perimetry/scotometry Fluoresceine fundus angiografi/iris angiography Test for binocular vision Refraction with or without prescription of glasses NEUROLOGICAL INVESTIGATION Electroencephalography EAR, NOSE AND THROAT INVESTIGATION Audiometry Pure tone audiometry Bekesy Impedance

49 Type of investigation First Others (SISI, Tone Decay, Free Field) Calorimetry DENTAL INVESTIGATION Dental tests Pulp vitality per tests Free Diagnostic cast Free Caries susceptibility per test 5 5 Free. Amendment of Schedule E 5. The principal Order is amended by substituting for Schedule E the following Schedule: SCHEDULE E OPERATION CHARGES OPERATION CHARGES INCLUSIVE OF ANAESTHESIA Operation First Operation Type A Operation Type B Operation Type C Operation Type D Operation Type E Operation Type F Amendment of Schedule F 6. The principal Order is amended by substituting for Schedule F the following Schedule: 49