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

WARTA KERAJAAN PERSEKUTUAN 1 Februari 2017 1 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

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) 2017. (2) Perintah ini mula berkuat kuasa pada 1 Februari 2017. 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 90 120 - Bilik dengan dua katil 60 90 - Bilik dengan tiga katil atau 45 60 lebih Dua 25 40 Tiga 3 3 2

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

Jenis rawatan BAHAGIAN 2 ACCOUCHEMENT DAN BERSALIN Satu Dua Tiga Pembedahan Caesarean 1200 400 100 Bersalin dengan bantuan: Forseps/songsang/vakum 600 200 50 Bersalin kembar 600 200 50 Bersalin biasa 450 150 10 Jenis rawatan BAHAGIAN 3 FISIOTERAPI Satu Setiap lawatan Dua Tiga Modaliti elektroterapi Biomaklumbalas/miomaklumbalas 30 20 5 Arus terus/iontoforesis 30 20 5 Arus dwidinamik 30 20 5 Arus terus terganggu 30 20 5 Terapi interferens 30 20 5 Diatermi gelombang pendek 30 20 5 Stimulasi saraf transkutan elektrik 30 20 5 Terapi ultrasound 30 20 5 Ultrasound masa nyata 30 20 5 Stimulasi elektrik fungsional 30 20 5 Terapi gelombang kejut 30 20 5 Terapi haba/krioterapi Pek panas 15 10 2 Mandi lilin 15 10 2 Sinaran inframerah 15 10 2 Krioterapi 15 10 2 Fototerapi Terapi laser 30 15 5 Terapi sinar ultraungu 30 15 5 Terapi kardiorespiratori Teknik Pernafasan Kitaran Aktif (ACBT) 30 15 5 Senaman pernafasan 30 15 5 Sedutan bronkiol 30 15 5 Spirometer insentif 30 15 5 4

Setiap lawatan Jenis rawatan Satu Dua Tiga Fluter 30 15 5 Latihan otot inspiratori 30 15 5 Terapi penyedutan 30 15 5 Perkusi/getaran 30 15 5 Tekanan ekspirasi positif 30 15 5 Penyaliran postural 30 15 5 Terapi mekano Tarikan servikal 20 10 2 Tarikan lumbar 20 10 2 Pam berangkai 20 10 2 Hidroterapi Senaman kolam 20 10 2 Pusaran air 20 10 2 Terapi manual Manipulasi tisu lembut 20 10 2 Lepasan miofasia 20 10 2 Penyaliran limfa secara manual 20 10 2 Akutekanan 20 10 2 Pemitaan/pembalutan/pengikat 30 20 Percuma Terapi mampatan (limfoedema) 30 20 Percuma Teknik khas Teknik reposisi Canalith 30 20 2 Senaman penstabilan renungan 30 20 2 Pengaisan atau pemberusan 30 20 2 Mobilisasi sendi 30 20 2 Teknik McKenzie 30 20 2 Program pembelajaran semula motor 30 20 2 Akupunktur atau penjaruman kering 30 20 2 Teknik perkembangan neuro 30 20 2 Pemudahan proprioseptif saraf otot 30 20 2 Terapi senaman Aktif, pasif atau berbeban 20 10 2 Ambulasi atau latihan gaya jalan 20 10 2 Senaman antenatal dan postnatal 20 10 2 Latihan imbangan 20 10 2 Latihan pundi kencing/usus 20 10 2 Latihan litar 20 10 2 Senaman bola gim 20 10 2 5

Setiap lawatan Jenis rawatan Satu Dua Tiga Teknik tahan kemutan untuk otot lantai 20 10 2 pelvis Aktiviti kefungsian 20 10 2 Senaman berkumpulan 20 10 2 Senaman isokinetik 20 10 2 Senaman mekanikal 20 10 2 Senaman otot lantai pelvis 20 10 2 Teknik relaksasi 20 10 2 Pendidikan semula sensori 20 10 2 Rejim tangan khas 20 10 2 UJIAN KHAS Alat diagnostik Ujian imbangan Berg 50 30 5 Ujian Klinikal bagi Interaksi Sensori dan 50 30 5 Imbangan (CTSIB) Postugrafi dinamik berkomputer 50 30 5 Penilaian tangan berkomputer 50 30 5 Indeks gaya jalan dinamik 50 30 5 Penilaian otot lantai pelvis 50 30 5 Ujian sensori 50 30 5 Lengkungan tempoh kekuatan 50 30 5 Ujian otot voluntari 50 30 5 Ujian vestibular 50 30 5 Ujian bangun dan pergi bermasa 50 30 5 Ujian jangkauan fungsi 50 30 5 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 45 30 Percuma 45 15 Simulasi konvensional 450 200 Percuma 450 75 Simulasi CT: Biasa (tanpa kontras) 450 200 Percuma 450 75

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 450 200 Percuma 450 75 450 200 Percuma 450 75 450 200 Percuma 450 75 450 200 Percuma 450 75 450 200 Percuma 450 75 450 200 Percuma 450 75 450 200 Percuma 450 75 450 200 Percuma 450 75 Rawatan radioterapi 2D/medan tunggal/selari 100 50 12 100 25 setentang (setiap pecahan) 3D/apa-apa rancangan 100 50 12 100 25 dengan 3 atau lebih medan (setiap pecahan) IMRT (setiap pecahan) 100 50 12 100 25 TBI (setiap pecahan) 100 50 12 100 25 TNI (setiap pecahan) 100 50 12 100 25 SRT (setiap pecahan) 100 50 12 100 25 7

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) 75 30 6 75 15 75 30 6 75 15 75 30 6 75 15 75 30 6 75 15 75 30 6 75 15 75 30 6 75 15 75 30 6 75 15 75 30 6 75 15 7,000 5,000 6 8

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 400 200 50 400 100 600 400 50 600 150 800 200 50 800 200 Perubatan nuklear Isotop radioaktif: (i) Diagnosis 150 50 25 150 25 (ii) Terapi 750 250 125 750 125 BAHAGIAN 5 NEFROLOGI Jenis rawatan Satu Dua Tiga Dialisis berselang-selang peritoneal 275 100 50 (setiap rawatan) Rawatan Dialisis Peritoneal Ambulasi 750 200 100 Berterusan (CAPD) (sebulan) Hemodialisis setiap rawatan: (i) satu kegunaan buah pinggang tiruan 190 50 25 (ii) kegunaan semula buah pinggang tiruan 75 20 10 Biopsi buah pinggang 75 20 10 (tidak termasuk laporan) Pengkateteran femoral/subklavian untuk hemodialisis 75 20 10 Hemoperfusi 375 100 50 Implantasi kateter tenkoff 150 40 20 Rawatan dialisis prapemindahan 1500 400 200 Lawatan di rumah bagi setiap hemodialisis 100 (setiap lawatan) 9

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 20 10 Percuma 20 10 Percuma Camberwell (CANSAS) Penilaian Keupayaan Kefungsian (FAA) 20 10 Percuma Ukuran Kebebasan Kefungsian (FIM) 20 10 Percuma Penilaian Kemahiran Hidup Kohlman (KELS) 20 10 Percuma Aktiviti instrumental skala kehidupan seharian Lawton 20 10 Percuma Indeks terubah suai Barthel (MBI) 20 10 Percuma Terapi cara kerja bagi penilaian jantung 20 10 Percuma Inventori penilaian kehilangan upaya pediatrik 20 10 Percuma (PEDI) Penilaian Pelaksanaan Kemahiran Pengurusan 20 10 Percuma Diri (PASS) Penilaian Kemahiran Motor dan Pemprosesan bagi Kesihatan Mental (AMPS) 20 10 Percuma Penilaian fizikal Ujian Manual Otot (MMT) 20 10 Percuma Kekuatan dinamometer/tolok kutil 20 10 Percuma Ujian pembezaan 2 titik 20 10 Percuma Ujian pasak 9 lubang 20 10 Percuma Ujian imbangan Berg 20 10 Percuma Papan pasak beralur 20 10 Percuma Ujian fungsi tangan Jebsen Taylor 20 10 Percuma Ujian kecakatan manual Minnesota 20 10 Percuma Skala kesakitan 20 10 Percuma

Jenis rawatan Satu Dua Tiga Ujian kecakatan jari O Connor 20 10 Percuma Ujian kecakatan penyepit O Connor 20 10 Percuma Ton otot 20 10 Percuma Ujian papan pasak Purdue 20 10 Percuma Julat pergerakan sendi (goniometer) 20 10 Percuma Ujian aptitud manipulatif Roeder 20 10 Percuma Ujian monofilamen Semmes-Weinstein 20 10 Percuma Profil sensori 20 10 Percuma Ujian stereognosis 20 10 Percuma Getaran 20 10 Percuma Volumeter 20 10 Percuma Ujian imbangan Tinnetti 20 10 Percuma Alat Senaman Anggota Atas Mikrokomputer (MULE) 20 10 Percuma Penilaian perkembangan normal Ujian Bruininks-Oseretsky 20 10 Percuma Carta tapisan perkembangan Denver 20 10 Percuma Skala pengadaran motor oral 20 10 Percuma Peabody 20 10 Percuma Penilaian persepsi dan kognitif Ujian Perkembangan Integrasi Visual-Motor 20 10 Percuma Beery Buktenica (Beery VMI) Bateri Penilaian Neurologi Terapi Cara Kerja 20 10 Percuma Chessington (C.O.T.N.A.B.) Skala keresahan dan kemurungan hospital 20 10 Percuma Penilaian Kognitif Terapi Cara Kerja 20 10 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) 20 10 Percuma Penilaian Kognitif Montreal (MoCA) 20 10 Percuma Bateri penilaian persepsi Rivermead 20 10 Percuma Penilaian prasekolah Penilaian pelajar prasekolah Miller 20 10 Percuma Penilaian Fungsi Sekolah (SFA) 20 10 Percuma Ujian kemahiran tulisan tangan 20 10 Percuma Penilaian tingkah laku Grid Penilaian Ambang (TAG) 20 10 Percuma Skala keresahan dan kemurungan hospital 20 10 Percuma Keteriritasian (skala kemurungan dan 20 10 Percuma 11

Jenis rawatan Satu Dua Tiga keresahan) Soal selidik fungsi Sharman 20 10 Percuma Skala kemurungan Beck 20 10 Percuma Skala amnesia pascatrauma (skala PTA) 20 10 Percuma Penilaian kerusi roda 20 10 Percuma Penilaian pemanduan Penilaian pra-memandu 150 100 Percuma Penilaian tapisan pemanduan pesakit strok 150 100 Percuma Penilaian rumah/tempat kerja/sekolah Alat Tapisan Kejatuhan dan Kemalangan dalam Rumah (FAST) 20 10 Percuma Penilaian kerja/vokasional Penilaian kapasiti kefungsian 150 100 Percuma Penilaian LAM bagi Kesediaan Pekerjaan (LASER) 150 100 Percuma Senarai semak peranan 150 100 Percuma Latihan aktiviti kehidupan seharian Kebolehan untuk menggunakan telefon 20 10 Percuma Ambulasi awal 20 10 Percuma Kebersihan diri 20 10 Percuma Pindah 20 10 Percuma Kebolehan mengendalikan kewangan 20 10 Percuma Mandi 20 10 Percuma Pengurusan pundi kencing 20 10 Percuma Pengurusan usus 20 10 Percuma Kerja pembersihan 20 10 Percuma Penjagaan peralatan 20 10 Percuma Kemahiran domestic 20 10 Percuma Memakai pakaian 20 10 Percuma Makan/memberi makan 20 10 Percuma Penyediaan makanan/hidangan 20 10 Percuma Kefungsian komunikasi 20 10 Percuma Kefungsian mobiliti 20 10 Percuma Hias diri 20 10 Percuma Eminens kesihatan 20 10 Percuma Penyelenggaraan isi rumah 20 10 Percuma Pengemasan rumah 20 10 Percuma Dobi 20 10 Percuma Mod pengangkutan 20 10 Percuma Pengurusan wang 20 10 Percuma 12

Jenis rawatan Satu Dua Tiga Tanggungjawab bagi pengubatan 20 10 Percuma Prosedur keselamatan 20 10 Percuma Fungsi seksual 20 10 Percuma Beli-belah 20 10 Percuma Penjagaan tandas 20 10 Percuma Alat bantuan dan adaptasi (bagi setiap pengubahsuaian peralatan yang dibekalkan) Perkakas memasak 20 10 Percuma Mengenakan pakaian 20 10 Percuma Perkakas makan/minum 20 10 Percuma Mobiliti 20 10 Percuma Mandi 20 10 Percuma Membaca/menulis 20 10 Percuma Dudukan kerusi roda 20 10 Percuma Rehabilitasi penglihatan terhad 20 10 Percuma Intervensi persepsi dan kognitif Konsep asas 20 10 Percuma Pengenalpastian bahagian badan 20 10 Percuma Stimulasi kognitif 20 10 Percuma Aktiviti pembelajaran 20 10 Percuma Pembezaan kanan/kiri 20 10 Percuma Diskriminasi bentuk dan persekitaran 20 10 Percuma Orientasi realiti 20 10 Percuma Aktiviti orientasi topografi 20 10 Percuma Penjujukan 20 10 Percuma Pengkategorian 20 10 Percuma Terapi cermin 20 10 Percuma Terapi tingkah laku 20 10 Percuma Terapi kreatif Terapi seni 20 10 Percuma Drama/lakon peranan 20 10 Percuma Terapi muzik 20 10 Percuma Intervensi kemahiran sosial Latihan asertif 20 10 Percuma Latihan kemahiran daya tindak 20 10 Percuma Kumpulan sokongan 20 10 Percuma Terapi berkumpulan 20 10 Percuma Terapi individu 20 10 Percuma Kemahiran interpersonal 20 10 Percuma Aktiviti kesedaran diri 20 10 Percuma Kawalan diri 20 10 Percuma Ekspresi diri 20 10 Percuma 13

Jenis rawatan Satu Dua Tiga Pelakuan sosial 20 10 Percuma Latihan kemahiran sosial 20 10 Percuma Pengurusan masa 20 10 Percuma Senarai semak peranan 20 10 Percuma Pendidikan terapi cara kerja untuk pesakit dan penjaga Mekanik dan ergonomik badan 20 10 Percuma Kawalan dan pencegahan edema 20 10 Percuma Penjimatan tenaga/pemudahan kerja 20 10 Percuma Terapi persekitaran 20 10 Percuma Teknik penjagaan sendi 20 10 Percuma Main dan santai Senarai semak santai 20 10 Percuma Eksplorasi main dan santai 20 10 Percuma Latihan main dan santai 20 10 Percuma Relaksasi Biomaklumbalas 20 10 Percuma Pernafasan dalam 20 10 Percuma Pernafasan diafragma 20 10 Percuma Relaksasi khayalan 20 10 Percuma Teknik relaksasi otot progresif 20 10 Percuma Latihan sensori Penyahpekaan sensori 20 10 Percuma Integrasi sensori 20 10 Percuma Pendidikan semula sensori 20 10 Percuma Stimulasi sensori 20 10 Percuma Fluidoterapi 20 10 Percuma Latihan motor Prostesis atas siku 20 10 Percuma Prostesis atas lutut 20 10 Percuma Senaman bantuan aktif 20 10 Percuma Prostesis bawah siku 20 10 Percuma Prostesis bawah lutut 20 10 Percuma Integrasi bilateral 20 10 Percuma Garis tengah bersilang 20 10 Percuma Latihan ergonomik 20 10 Percuma Kemahiran motor halus 20 10 Percuma Prostesis jari 20 10 Percuma Latihan gaya jalan 20 10 Percuma Aktiviti motor kasar 20 10 Percuma Koordinasi tangan dan mata 20 10 Percuma Tambah baik keseimbangan 20 10 Percuma 14

Jenis rawatan Satu Dua Tiga Pendidikan semula motor 20 10 Percuma Teknik perkembangan neuro 20 10 Percuma Penormalan ton otot 20 10 Percuma Stimulasi otot mulut 20 10 Percuma Senaman meningkatkan kekuatan 20 10 Percuma Latihan ketahanan 20 10 Percuma Penyusutan ton otot 20 10 Percuma Intervensi orientasi dan mobiliti 20 10 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 150 + harga mekanisme (mengikut harga pasaran) Percuma 150 + harga mekanisme (mengikut harga pasaran) Percuma 15

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

BAHAGIAN 8 TERAPI PERTUTURAN BAHASA Kategori penilaian Satu Dua Tiga Pesakit Luar Penilaian pertuturan bahasa 50 20 Percuma 10 Penilaian Penelanan Klinikal 50 20 Percuma 10 (CSE) Penilaian suara 50 20 Percuma 10 berinstrumen Penilaian resonans 50 20 Percuma 10 berinstrumen Penilaian Penelanan Endoskopik Serat Optik (FEES) 50 20 Percuma 10 Penilaian Penelanan Videofloroskopik (VFSS) 80 30 Percuma 20 Kategori rawatan Satu Dua Tiga Pesakit Luar Terapi pertuturan bahasa 50 20 Percuma 10 Elektroterapi 50 20 Percuma 10 BAHAGIAN 9 PERKHIDMATAN DIETETIK Kategori siasatan Satu Dua Tiga Pesakit Luar Penilaian pemakanan 10 5 Percuma 1 Kalorimetri tak langsung 20 10 Percuma 5 17

Kategori terapi Satu Dua Tiga Pesakit Luar Terapi diet individu 10 5 Percuma 2 Terapi diet berkumpulan 1 Terapi diet individu: tambahan pemakanan oral 20 10 Percuma Terapi diet individu: pemakanan enteral 50 30 Percuma BAHAGIAN 10 PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI Jenis rawatan Satu Dua Tiga Pesakit Luar PERUBATAN TRADISIONAL MELAYU Urutan tradisional Sakit kronik (setiap sesi) 20 20 Percuma 20 Pasca angin ahmar (setiap sesi) 20 20 Percuma 20 Penjagaan tradisional postnatal Urutan kesegaran postnatal (setiap sesi) Penjagaan perbidanan (setiap sesi) 20 20 Percuma 20 50 50 Percuma 50 PERUBATAN TRADISIONAL CINA Akupunktur Sakit kronik (setiap sesi) 20 20 Percuma 20 Pasca angin ahmar 20 20 Percuma 20 (setiap sesi) Akupunktur dan moxibustion 25 25 Percuma 25 untuk sakit kronik (setiap sesi) Akupunktur dan moxibustion untuk pasca angin ahmar (setiap sesi) 25 25 Percuma 25 18

Jenis rawatan Akupunktur dan bekam untuk sakit kronik (setiap sesi) Akupunktur dan bekam untuk pasca angin ahmar (setiap sesi) Satu Dua Tiga Pesakit Luar 25 25 Percuma 25 25 25 Percuma 25 Indikasi lain (setiap sesi) 20 20 Percuma 20 Onkologi herba Terapi tambahan untuk kanser (setiap kitaran) 100 100 Percuma 100 PERUBATAN TRADISIONAL INDIA Ayurveda Shirodhara (setiap sesi) 50 50 Percuma 50 Terapi basti luaran 50 50 Percuma 50 (setiap sesi) Abhyanga (setiap sesi) 50 50 Percuma 50 Siddha Terapi Varman (setiap sesi) 20 20 Percuma 20 TERAPI KOMPLEMENTARI Kiropraktik (setiap sesi) 50 50 Percuma 50 Osteopatik (setiap sesi) 75 75 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 75 20 10 Kepala 90 25 12 19

Jenis rawatan Satu Dua Tiga Spina 90 25 12 Dada kecuali filem kecil dada 75 20 10 Filem kecil dada 25 6 2 Tulang pelvis, pinggul dan abdomen 90 25 12 Tomografi 150 40 17 Pelvimetri 100 40 17 Fluoroskopi jantung, paru-paru, diafragm 150 40 12 Kaji selidik skeletal 375 100 37 Mamografi 150 40 12 Intra-oral pergigian (setiap filem) 15 5 1 Ortopantomogram pergigian (OPG) 105 30 10 Tengkorak lateral 105 30 10 Ultrasound 150 40 17 Ultrasound (mudah) 75 20 10 Pengukuran Tomografi Pemancar Kon 350 150 Percuma (CBCT) gigi 3D OPG 350 150 Percuma Radiograf digital gigi 100 40 Percuma C.T. abdomen 675 200 75 C.T. kepala 525 150 60 C.T. seluruh badan 900 240 120 Pemeriksaan khas dengan media kontras Arteriografi 450 120 50 Pemeriksaan kontras saluran G.I. 150 40 17 Pemeriksaan kontras saluran Biliary 180 48 20 Pemeriksaan kontras saluran kencing 150 40 17 Pemeriksaan kontras sistem saraf pusat 225 60 25 Pemeriksaan kontras lain-lain duktus dan 115 30 12 saluran Artografi 150 40 17 Bronkografi 190 50 21 Limfangiografi 300 80 35 Insuflasi udara presakral 300 80 35 Kolangiografi Transhepatik Perkutaneus 225 60 25 (PTC) Splenoportografi 450 120 50 Salpingografi 150 40 17 20

BAHAGIAN 2 UJIAN MAKMAL Kumpulan Satu Dua Tiga Kumpulan A Ujian imunologi sel 150 50 25 Kumpulan B Mikroskopi elektron 120 40 20 Seksyen beku (termasuk pengesahan) 120 40 20 Kumpulan C Ujian khas hematologi 75 25 12 Analisis mikrobiologi produk makanan, dsb. 75 25 12 Assai antibiotik dan ujian pensterilan 75 25 12 Ujian kefungsian (biokimia) 75 25 12 Kumpulan D Ujian pakej pemakanan 60 20 10 Biopsi pembedahan 60 20 10 Pemeriksaan sitologikal termasuk pungutan 60 20 10 specimen Penilaian hormon 60 20 10 Ujian rutin ekstensif hematologi 60 20 10 Kumpulan E Mikroskopi fluoresen 60 15 7 Ujian antibodi fluoresen 60 15 7 Ujian resapan gel 60 15 7 Ujian siasatan hemotologi 60 15 7 Assai seminal 60 15 7 Ujian khas biokimia dan pemakanan 60 15 7 Imunoglobulin, imunoelektroforesis, ELISA 60 15 7 Kuantitasi pelengkap 60 15 7 Kumpulan F Analisis kuantitatif biokimia (Cat. A) 30 10 5 Pemeriksaan sitologi spesimen klinikal 30 10 5 Ujian rutin ekstra hematologi 30 10 5 Kultur spesimen klinikal 30 10 5 Teknik imunologi (pengaglutinatan, 30 10 5 flokulasi, hemolisis, dsb.) Kepekaan antibiotik 30 10 5 21

Kumpulan Satu Dua Tiga Kumpulan G Mikroskopi cahaya 15 5 2 Ujian rutin hemotologikal 15 5 2 Pemeriksaan seminal (ujian biasa) 15 5 2 Analisis kuantitatif biokimia (Cat. B) 15 5 2 Kumpulan H Analisis kuantitatif/kualitatif biokimia 10 2 1 Jenis siasatan BAHAGIAN 3 SIASATAN LAIN Satu Dua Tiga SIASATAN KARDIOLOGI Elektrokardiografi 45 10 5 Ujian senaman 150 40 20 Holter 150 40 20 Ekokardiogram 150 40 20 Pengkateteran jantung dan angiografi 375 100 50 SIASATAN OFTALMOLOGI Perimetri/skotometri 30 8 4 Angiografi fluoresin fundus/angiografi iris 90 24 12 Ujian untuk penglihatan binokular 45 12 6 Pembiasan dengan atau tanpa preskripsi kaca mata 30 8 4 SIASATAN NEUROLOGI Elektroensefalografi 60 15 5 SIASATAN TELINGA, HIDUNG DAN KERONGKONG Audiometri Audiometri nada tulen 15 10 10 Bekesy 15 10 10 Impedans 15 10 10 Lain-lain (SISI, rosot nada, medan bebas) 15 10 10 Kalorimetri 15 10 10 SIASATAN PERGIGIAN Ujian pergigian 22

Jenis siasatan Satu Dua Tiga Kevitalan pulpa (setiap ujian) 15 15 Percuma Model diagnostik 40 40 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 4500 1200 200 Pembedahan Jenis B 2250 600 100 Pembedahan Jenis C 1200 400 50 Pembedahan Jenis D 450 150 20 Pembedahan Jenis E 225 80 15 Pembedahan Jenis F 75 40 10. 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) 15 10 Percuma 5 Pengapan fisur (setiap gigi) 15 10 Percuma 5 Penskaleran mulut penuh dan penggilapan 110 80 Percuma 55 23

Jenis rawatan Satu 24 Dua Tiga Pesakit Luar Pencabutan sebatang gigi kekal/ 25 20 Percuma 15 supernumerari/akar tertinggal Pencabutan gigi desidus 20 15 Percuma 10 (setiap gigi) Pembuangan melalui pembedahan 225 80 15 40 (setiap gigi/gigi terimpak mudah/ akar tertinggal) Pembuangan gigi 1200 400 50 200 terimpak melalui pembedahan (setiap gigi)(rumit) Kawalan pendarahan selepas 40 30 Percuma 20 pencabutan Komplikasi selepas pencabutan 15 10 Percuma 5 Operkulektomi gingiva 20 15 Percuma 10 Pendawaian gigi 40 30 Percuma 20 (setiap arkus) Tampalan gigi kekal 40 30 Percuma 20 (satu permukaan) Tampalan gigi kekal (permukaan 50 40 Percuma 25 berganda/dengan pin pegangan) Tampalan gigi desidus 20 15 Percuma 10 Tampalan sementara 20 15 Percuma 10 Inlai (setiap gigi) 60 45 Percuma 30 (tidak termasuk harga logam) Korona (setiap gigi) (termasuk korona sementara, tetapi tidak termasuk caj logam) 100 75 Percuma 50 Jambatan (setiap gigi tupang termasuk tampalan sementara tetapi tidak termasuk caj bahan dan makmal) 100 75 Percuma 50 Rawatan kanal akar 75 60 Percuma 40 (gigi anterior) Rawatan kanal akar 150 115 Percuma 75 (gigi posterior) Pengapeksan (setiap gigi) 100 75 Percuma 50 Pemberhentian resorpsi gigi 75 60 Percuma 40 (setiap gigi) Pulpotomi korona 75 60 Percuma 40 (setiap gigi kekal) Pulpotomi (setiap gigi desidus) 75 60 Percuma 40 Pulpektomi (setiap gigi desidus) 100 75 Percuma 50 Ekstirpasi pulpa (setiap gigi) 25 20 Percuma 15 Pelunturan gigi (eksternal) (setiap rahang) 500

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) 225 170 25 110 Pembentukan sebahagian gigi palsu tidak termasuk logam (setiap rahang) 100 75 5 50 Penambahan setiap gigi akrilik 15 10 1 5 Pembaikan dentur tanpa 35 30 1 20 mengganti plat landas Pembaikan dentur 15 10 1 5 (penambahan setiap gigi akrilik) Lapikan semula/landasan semula 60 45 Percuma 30 (setiap dentur) Impresi bagi model kerja 40 (setiap set) Splin lembut 25 20 Percuma 15 Splin keras 100 75 Percuma 50 Splin lain 25 20 Percuma 10 Aplians atau obturator Kecil 115 30 15 15 Sederhana 150 40 20 20 Besar 190 50 25 25 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

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

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 2017. (2) This Order comes into operation on 1 February 2017. 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 90 120 - Two bedded room 60 90 - Three bedded room or more 45 60 25 40 3 3 27

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 15 10 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

PART 2 ACCOUCHEMENT AND DELIVERY Type of treatment First Caesaran operation 1200 400 100 Assisted delivery: Forceps/breech/vacuum 600 200 50 Twin delivery 600 200 50 Normal delivery 450 150 10 Type of treatment PART 3 PHYSIOTHERAPY First Per visit Electrotherapy modalities Biofeedback/myofeedback 30 20 5 Direct current/iontophoresis 30 20 5 Didynamic current 30 20 5 Interrupted direct current 30 20 5 Interferential therapy 30 20 5 Shortwave diathermy 30 20 5 Transcutaneous electrical nerve 30 20 5 stimulation Ultrasound therapy 30 20 5 Realtime ultrasound 30 20 5 Functional electrical stimulation 30 20 5 Shockwave therapy 30 20 5 Thermal therapy/cryotherapy Hot pack 15 10 2 Wax bath 15 10 2 Infrared radiation 15 10 2 Cryotherapy 15 10 2 Phototherapy Laser therapy 30 15 5 Ultraviolet light therapy 30 15 5 Cardiorespiratory therapy Active Cycle Breathing Technique (ACBT) 29 30 15 5

Per visit Type of treatment First Breathing exercise 30 15 5 Bronchial suction 30 15 5 Incentive spirometer 30 15 5 Flutter 30 15 5 Inspiratory muscle training 30 15 5 Inhalation therapy 30 15 5 Percussion/vibration 30 15 5 Positive expiratory pressure 30 15 5 Postural drainage 30 15 5 Mechano therapy Cervical traction 20 10 2 Lumbar traction 20 10 2 Sequential pump 20 10 2 Hydrotherapy Pool exercise 20 10 2 Whirlpool 20 10 2 Manual therapy Soft tissue manipulation 20 10 2 Myofascial release 20 10 2 Manual lymphatic drainage 20 10 2 Acupressure 20 10 2 Taping/bandaging/strapping 30 20 Free Compression therapy (lymphoedema) 30 20 Free Special techniques Canalith repositioning technique 30 20 2 Gaze stabilisation exercise 30 20 2 Icing or brushing 30 20 2 Joint mobilization 30 20 2 McKenzie technique 30 20 2 Motor re-learning program 30 20 2 Acupuncture or dry needling 30 20 2 Neurodevelopmental technique 30 20 2 Proprioceptive neuromuscular facilitation 30 20 2 30

Type of treatment First Per visit Exercise therapy Active, passive or resisted 20 10 2 Ambulation or gait training 20 10 2 Antenatal and postnatal exercise 20 10 2 Balance training 20 10 2 Bladder/bowel training 20 10 2 Circuit training 20 10 2 Gymnic ball exercise 20 10 2 Counter bracing technique for pelvic 20 10 2 floor muscle Functional activities 20 10 2 Group exercise 20 10 2 Isokinetic exercise 20 10 2 Mechanical exercise 20 10 2 Pelvic floor muscle exercise 20 10 2 Relaxation technique 20 10 2 Sensory re-education 20 10 2 Special hand regime 20 10 2 SPECIAL TEST Diagnostic tool Berg s balance test 50 30 5 Clinical Test for Sensory Interaction 50 30 5 and Balance (CTSIB) Computerized Dynamic Posturography 50 30 5 Computerized hand evaluation 50 30 5 Dynamic gait index 50 30 5 Pelvic floor muscle assessment 50 30 5 Sensory testing 50 30 5 Strength duration curve 50 30 5 Voluntary muscle testing 50 30 5 Vestibular test 50 30 5 Timed up and go test 50 30 5 Functional reach test 50 30 5 31

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 45 30 Free 45 15 Conventional 450 200 Free 450 75 simulation CT simulation: Normal (without contrast) 450 200 Free 450 75 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) 450 200 Free 450 75 450 200 Free 450 75 450 200 Free 450 75 450 200 Free 450 75 450 200 Free 450 75 450 200 Free 450 75 450 200 Free 450 75 450 200 Free 450 75 Radiotherapy treatment 2D/ single field/ parallel opposed (per fraction) 100 50 12 100 25 32

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 100 50 12 100 25 IMRT (per fraction) 100 50 12 100 25 TBI (per fraction) 100 50 12 100 25 TNI (per fraction) 100 50 12 100 25 SRT (per fraction) 100 50 12 100 25 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: 75 30 6 75 15 dhobbies/single line source (per session) Intracavitary: paired 75 30 6 75 15 ovoids (per session) Intracavitary: full 75 30 6 75 15 intracavitary (per session) Intracavitary: for 75 30 6 75 15 nasopharyngeal cancer (NPC) (per session) Intraluminal : Esophagus, bronchus, anorectal (per session) 75 30 6 75 15

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 75 30 6 75 15 75 30 6 75 15 75 30 6 75 15 7,000 5,000 6 Anti neoplastic treatment Anti-neoplastic for 400 200 50 400 100 cancer (besides targeted therapy) (per treatment) Targeted therapy 600 400 50 600 150 treatment for cancer (per treatment) Cancer treatment that needs special approval from the Director General of Health (per treatment) 800 200 50 800 200 34

Type of treatment Outpatient First Referral from a Private Practitioner Nuclear medicine Radioactive isotopes: (i) Diagnosis 150 50 25 150 25 (ii) Therapy 750 250 125 750 125 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 275 100 50 750 200 100 (i) one use of artificial kidney 190 50 25 (ii) re-use of artificial kidney 75 20 10 Renal biopsy (excluding report) 75 20 10 Femoral/subclavian catheterisation 75 20 10 for hemodialysis Haemoperfusion 375 100 50 Implantation of 150 40 20 tenchkoff catheter Pretransplant 1500 400 200 dialysis treatment Home visit per hemodialysis 100 (per visit) 35

PART 6 PSYCHIATRIC TREATMENT Per admission First 1125 300 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 20 10 Free 20 10 Free Schedule (CANSAS) Functional Ability Assessment (FAA) 20 10 Free Functional Independence Measure (FIM) 20 10 Free Kohlman Evaluation of Living Skill (KELS) 20 10 Free The Lawton instrumental activities daily 20 10 Free living scale Modified Barthel Index (MBI) 20 10 Free Occupational therapy for cardiac 20 10 Free assessment Pediatric Evaluation Disabilities inventory 20 10 Free (PEDI) Performance Assessment of Self Care Skills 20 10 Free (PASS) Assessment of Motor and Process Skills in Mental Health (AMPS) 20 10 Free Physical assessment Muscle Manual Test (MMT) 20 10 Free Strength-dynamometer/pinch gauge 20 10 Free 2 point discrimination test 20 10 Free 9 hole peg test 20 10 Free Berg balance test 20 10 Free Grooved peg board 20 10 Free Jebsen Taylor hand function test 20 10 Free Minnesota manual dexterity test 20 10 Free Pain scale 20 10 Free 36

Type of treatment First O Connor finger dexterity test 20 10 Free O Connor tweezer dexterity test 20 10 Free Muscle tone 20 10 Free Purdue pegboard test 20 10 Free Range of motion (Goniometer) 20 10 Free Roeder manipulative aptitude test 20 10 Free Semmes-Weinstein monofilaments test 20 10 Free Sensory profile 20 10 Free Stereognosis test 20 10 Free Vibration 20 10 Free Volumeter 20 10 Free Tinnetti balance test 20 10 Free Microcomputer Upper Limb Exerciser (MULE) 20 10 Free Normal development assessment Bruiniks-Oseretsky test 20 10 Free Denver developmental screening chart 20 10 Free Oral motor rating scale 20 10 Free Peabody 20 10 Free Perceptual and cognitive assessment The Berry Buktenica Development Test of 20 10 Free Visual Motor Integration (Berry VMI) Chessington Occupational Therapy 20 10 Free Neurological Assessment Battery (C.O.T.N.A.B) Hospital anxiety depression scale 20 10 Free Lowerstein Occupational Therapy 20 10 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) 20 10 Free Montreal Cognitive Assessment (MoCA) 20 10 Free Rivermead preceptual assessment battery 20 10 Free Preschool assesment 20 10 Free Miller assessment pre schoolers 20 10 Free School Function Assessment (SFA) 20 10 Free Test of handwriting skill 20 10 Free Behavior assessment 20 10 Free Threshold Assessment Grid (TAG) 20 10 Free 37

Type of treatment First Hospital anxiety and depression scale 20 10 Free Irritability (depression anxiety scale) 20 10 Free Sharman's function questionaire 20 10 Free The Beck depression scale 20 10 Free Post Traumatic Amnesia scale (PTA scale) 20 10 Free Wheel chair assessment 20 10 Free Driving assessment Pre driving assessment 150 100 Free Stroke driving screening assessment 150 100 Free Home/work place/school assessment Home falls and accidents screening tool (FAST) 20 10 Free Work/vocational assessment Functional capacity evaluation 150 100 Free LAM Assessment of Employment 150 100 Free Readiness (LASER) Role check list 150 100 Free Activities of daily living training Ability to use telephone 20 10 Free Early ambulation 20 10 Free Self hygiene 20 10 Free Transfer 20 10 Free Ability handle finance 20 10 Free Bathing 20 10 Free Bladder management 20 10 Free Bowel management 20 10 Free Cleaning work 20 10 Free Device care 20 10 Free Domestic skill 20 10 Free Dressing 20 10 Free Eating/feeding 20 10 Free Food/meal preparation 20 10 Free Functional communication 20 10 Free Functional mobility 20 10 Free Grooming 20 10 Free Health eminence 20 10 Free Household maintenance 20 10 Free Housekeeping 20 10 Free Laundry 20 10 Free Mode of transportation 20 10 Free 38

Type of treatment First Money management 20 10 Free Responsibility for medication 20 10 Free Safety procedure 20 10 Free Sexual function 20 10 Free Shopping 20 10 Free Toileting 20 10 Free Aids and adaptation (for each modification equipment supplied) Cooking utensil 20 10 Free Dressing 20 10 Free Feeding/drinking utensil 20 10 Free Mobility 20 10 Free Bathing 20 10 Free Reading/writing 20 10 Free Wheel chair seating 20 10 Free Low vision rehabilitation 20 10 Free Cognitive and perceptual intervention Basic concepts 20 10 Free Body part identification 20 10 Free Cognitive stimulation 20 10 Free Educational activities 20 10 Free Right/left discrimination 20 10 Free Figure-ground discrimination 20 10 Free Reality orientation 20 10 Free Topographical orientation activities 20 10 Free Sequencing 20 10 Free Categorization 20 10 Free Mirror therapy 20 10 Free Behavioral therapy 20 10 Free Creative therapy Art therapy 20 10 Free Drama/role play 20 10 Free Music therapy 20 10 Free Social skill intervention Assertive training 20 10 Free Coping skill training 20 10 Free Group support 20 10 Free Group therapy 20 10 Free Individual therapy 20 10 Free Interpersonal skill 20 10 Free Self awareness activities 20 10 Free Self control 20 10 Free 39

Type of treatment First Self expression 20 10 Free Social conduct 20 10 Free Social skill training 20 10 Free Time management 20 10 Free Role checklist 20 10 Free Patient s and carer s occupational therapy education Body mechanic and ergonomic 20 10 Free Edema control and prevention 20 10 Free Energy conservation/work simplification 20 10 Free Environment therapy 20 10 Free Joint protection techniques 20 10 Free Play and leisure Leisure check list 20 10 Free Play and leisure exploration 20 10 Free Play and leisure training 20 10 Free Relaxation 20 10 Free Biofeedback 20 10 Free Deep breathing 20 10 Free Diaphragmatic breathing 20 10 Free Imaginary relaxation 20 10 Free Progressive muscular relaxation techniques 20 10 Free Sensory training Sensory desensitization 20 10 Free Sensory integration 20 10 Free Sensory re-education 20 10 Free Sensory stimulation 20 10 Free Fluidotherapy 20 10 Free Motor training Above elbow prosthesis 20 10 Free Above knee prosthesis 20 10 Free Active assisted exercise 20 10 Free Below elbow prosthesis 20 10 Free Below knee prosthesis 20 10 Free Bilateral integration 20 10 Free Crossing midline 20 10 Free Ergonomic training 20 10 Free Fine motor skills 20 10 Free Finger prosthesis 20 10 Free Gait training 20 10 Free 40

Type of treatment First Gross motor activities 20 10 Free Hand and eye coordination 20 10 Free Improve balance 20 10 Free Motor re-education 20 10 Free Neuro developmental technique 20 10 Free Normalize muscle tone 20 10 Free Oral muscle stimulation 20 10 Free Strengthening exercise 20 10 Free Endurance training 20 10 Free Reduce muscle tone 20 10 Free Orientation and mobility intervention 20 10 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

Category 0 to 12 months First and 1 to 18 years First and Dynamic splint Free 150 + the price of mechanism (according to market price) 18 years and above First and Free 150 + 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

PART 8 SPEECH-LANGUAGE THERAPY Assessment category First Outpatient Speech-language assessment 50 20 Free 10 Clinical Swallowing Evaluation 50 20 Free 10 (CSE) Instrumental assessment of voice 50 20 Free 10 Instrumental assessment of 50 20 Free 10 resonance Fiberoptic Endoscopic Evaluation 50 20 Free 10 of Swallowing (FEES) Videofloroscopic Swallowing Study (VFSS) 80 30 Free 20 Treatment category First Outpatient Speech-language therapy 50 20 Free 10 Electrotherapy 50 20 Free 10 PART 9 DIETETIC SERVICES Investigation category First Outpatient Nutrition assessment 10 5 Free 1 Indirect calorimetry 20 10 Free 5 43

Therapy category First Outpatient Individual diet therapy 10 5 Free 2 Group diet therapy 1 Individual diet therapy: 20 10 Free Oral nutritional supplement Individual diet therapy: Enteral nutrition 50 30 Free PART 10 TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES Type of treatment First Outpatient TRADITIONAL MALAY MEDICINE Traditional massage Chronic pain (per session) 20 20 Free 20 Post stroke (per session) 20 20 Free 20 Traditional postnatal care Wellness postnatal massage 20 20 Free 20 (per session) Midwifery care (per session) 50 50 Free 50 TRADITIONAL CHINESE MEDICINE Acupuncture Chronic pain (per session) 20 20 Free 20 Post stroke (per session) 20 20 Free 20 Acupuncture and moxibustion for 25 25 Free 25 chronic pain (per session) Acupuncture and moxibustion for 25 25 Free 25 post stroke (per session) Acupuncture and cupping for 25 25 Free 25 chronic pain (per session) Acupuncture and cupping for 25 25 Free 25 post stroke (per session) Other indication (per session) 20 20 Free 20 Herbal oncology Adjunct therapy for cancer (per cycle) 100 100 Free 100 44

Type of treatment First Outpatient TRADITIONAL INDIAN MEDICINE Ayurveda Shirodhara (per session) 50 50 Free 50 External basti therapy 50 50 Free 50 (per session) Abhyanga (per session) 50 50 Free 50 Siddha Varman therapy (per session) 20 20 Free 20 COMPLEMENTARY THERAPY Chiropractic (per session) 50 50 Free 50 Osteopathic (per session) 75 75 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 75 20 10 Head 90 25 12 Spine 90 25 12 Chest except miniature film of chest 75 20 10 Miniature film of chest 25 6 2 Bone pelvis, hips and abdomen 90 25 12 Tomography 150 40 17 Pelvimetry 100 40 17 Fluroscopy of heart, lungs, diaphragm 150 40 12 45

Type of treatment First Skeletal survey 375 100 37 Mammography 150 40 12 Dental intra-oral (per film) 15 5 1 Dental Orthopantomogram (OPG) 105 30 10 Lateral skull 105 30 10 Ultrasound 150 40 17 Ultrasound (simple) 75 20 10 Dental Cone Beam Computed 350 150 Free Tomography (CBCT) 3D OPG 350 150 Free Dental digital radiograph 100 40 Free C.T. abdomen 675 200 75 C.T. head 525 150 60 C.T. whole body 900 240 120 Specialised examination with contrast media Arteriography 450 120 50 Contrast examination of G.I. tract 150 40 17 Contrast examination of Biliary tract 180 48 20 Contrast examination of urinary tract 150 40 17 Contrast examination of central 225 60 25 nervous system Contrast examination of other ducts 115 30 12 and tracts Artography 150 40 17 Bronkography 190 50 21 Limfangiography 300 80 35 Presacral air insufflation 300 80 35 Percutaneous Transhepatic 225 60 25 Cholangiography (PTC) Splenoportography 450 120 50 Salpingography 150 40 17 PART 2 LABORATORY TESTS Group First Group A Cellular immunological tests 150 50 25 46

Group First Group B Electron microscopy 120 40 20 Frozen section (inclusive of confirmation) 120 40 20 Group C Special haematological tests 75 25 12 Microbiological analysis of food 75 25 12 products, etc. Antibiotic assay and sterility testing 75 25 12 Functional test (biochemical) 75 25 12 Group D Package nutritional tests 60 20 10 Surgical biopsy 60 20 10 Cytological examination inclusive of 60 20 10 collecting of specimens Hormonal assessment 60 20 10 Extensive routine haematological test 60 20 10 Group E Fluorescent microscopy 60 15 7 Fluorescent antibody tests 60 15 7 Gel diffusion tests 60 15 7 Haemotological investigative tests 60 15 7 Seminal assays 60 15 7 Special biochemical and nutritional 60 15 7 tests Immunoglobulin, 60 15 7 immunoelectrophoresis, ELISA Complement quantitation 60 15 7 Group F Quantitative biochemical analysis 30 10 5 (Cat. A) Cytological examinations of clinical 30 10 5 specimens Extra-routine haematological tests 30 10 5 Culture of clinical specimens 30 10 5 Immunological techniques 30 10 5 (agglutination, Flocculation, haemolysis, etc.) Antibiotic sensitivity 30 10 5 47

Group First Group G Light microscopy 15 5 2 Routine haemotological tests 15 5 2 Seminal examination (normal tests) 15 5 2 Quantitative biochemical analysis (Cat. B) 15 5 2 Group H Quantitative/qualitativef biochemical analysis 10 2 1 PART 3 OTHER INVESTIGATIONS Type of investigation First CARDIOLOGICAL INVESTIGATION Electrocardiography 45 10 5 Exercise tests 150 40 20 Holter 150 40 20 Echocardiogram 150 40 20 Cardiac catheterisation and angiography 375 100 50 OPHTHALMOLOGICAL INVESTIGATION Perimetry/scotometry 30 8 4 Fluoresceine fundus angiografi/iris 90 24 12 angiography Test for binocular vision 45 12 6 Refraction with or without prescription of glasses 30 8 4 NEUROLOGICAL INVESTIGATION Electroencephalography 60 15 5 EAR, NOSE AND THROAT INVESTIGATION Audiometry Pure tone audiometry 15 10 10 Bekesy 15 10 10 Impedance 15 10 10 48

Type of investigation First Others (SISI, Tone Decay, Free Field) 15 10 10 Calorimetry 15 10 10 DENTAL INVESTIGATION Dental tests Pulp vitality per tests 15 15 Free Diagnostic cast 40 40 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 4500 1200 200 Operation Type B 2250 600 100 Operation Type C 1200 400 50 Operation Type D 450 150 20 Operation Type E 225 80 15 Operation Type F 75 40 10. Amendment of Schedule F 6. The principal Order is amended by substituting for Schedule F the following Schedule: 49

SCHEDULE F DENTAL CHARGES DENTAL TREATMENT Type of treatment First Outpatient Topical fluoride (per arch) 15 10 Free 5 Fissure sealant (per tooth) 15 10 Free 5 Full mouth scaling and polishing 110 80 Free 55 Extraction permanent 25 20 Free 15 tooth/supernumerary/retained root Extraction deciduous (per tooth) 20 15 Free 10 Surgical removal 225 80 15 40 (per tooth/simple impacted tooth/retained root) Surgical removal of impacted tooth 1200 400 50 200 (per tooth) (complex) Control of post extraction 40 30 Free 20 haemorrhage Post-extraction complication 15 10 Free 5 Gingival operculectomy 20 15 Free 10 Dental wiring (per arch) 40 30 Free 20 Restoration of permanent tooth 40 30 Free 20 (one surface) Permanent tooth restoration 50 40 Free 25 (multiple surfaces/with pin retention) Deciduous tooth restoration 20 15 Free 10 Temporary restoration 20 15 Free 10 Inlay (per tooth) 60 45 Free 30 (not inclusive of metal charge) Crown (per tooth) 100 75 Free 50 (including temporary crown but not inclusive of metal charge) Bridge (per abutment teeth 100 75 Free 50 including provisional restoration but not inclusive of material and lab charges) Root canal treatment 75 60 Free 40 (anterior tooth) Root canal treatment 150 115 Free 75 (posterior tooth) Apexification (per tooth) 100 75 Free 50 50

Type of treatment First Outpatient Arrest of tooth resorption 75 60 Free 40 (per tooth) Coronal pulpotomy 75 60 Free 40 (per permanent tooth) Pulpotomy 75 60 Free 40 (per deciduous tooth) Pulpectomy 100 75 Free 50 (per deciduous tooth) Pulp extirpation (per tooth) 25 20 Free 15 Tooth bleaching (external) 500 (per arch) Tooth bleaching (internal) 50 (per tooth) Microabrasion (per tooth) 50 Desensitisation (per arch) 25 Full denture construction not 225 170 25 110 inclusive of metal (per jaw) Partial denture construction not 100 75 5 50 inclusive of metal (per jaw) Addition of each acrylic tooth 15 10 1 5 Denture repair without changing 35 30 1 20 the base plate Denture repair 15 10 1 5 (addition of each acrylic tooth) Relining/rebasing (per denture) 60 45 Free 30 Impression for working model 40 (per set) Soft splint 25 20 Free 15 Hard splint 100 75 Free 50 Other splint 25 20 Free 10 Dental appliances or obturators Small 115 30 15 15 Medium 150 40 20 20 Large 190 50 25 25 Fixed appliance (per arch) 500 Partial fixed appliance (per arch) 300 Removable appliance (passive) 100 (per arch) Removable appliance (active) 200 (per arch) Fixed functional appliance 1000 Removable functional appliance 400 Fixed appliance components 25 51

Type of treatment First Outpatient replacement (per component) Repair of removable appliance 25 component Repair of broken appliance 10 (all types of removable appliances/obturator) Removable functional appliance 50 (repair) Orthodontic auxiliary 100 Transpalatal arch 100 Lingual arch 100 Transpalatal arch (each repair) 50 Lingual arch (each repair) 50 Transpalatal arch 50 (each re-cementation) Lingual arch (each re-cementation) 50 Removable space maintainer 100 (per arch) Fixed retainer (per arch) 100 Essix retainer 100 Fixed retainer 50 (repair per tooth) Fixed retainer 100 (debond per arch) Temporary anchorage devices 150 (per device) Gold chain for impacted tooth 400 Traction chain for minor tooth 50 movement (per tooth) Palatal expander treatment 100 Headgear treatment 100. Made 24 January 2016 [KKM(S)-280(32/41); PN(PU2)86/XXII] By Command DATUK SERI DR. S.SUBRAMANIAM Minister of Health [To be laid before the Dewan Rakyat pursuant to section 4 of the Fees Act 1951] 52