This is the latest version of this Legal Notice.
The Medical Practitioners and Dentists (Professional Fees) Rules
- Citation
- Legal Notice 131 of 2016
- Primary work
- Medical Practitioners and Dentists Act
- Date
- 31 December 2022
- Language
- English
- Type
- Legal Notice
- Original enactment
- Download original enactment (PDF) (16.7 MB)
Related documents
- Is amended by 24th Annual Supplement

LAWS OF KENYA
MEDICAL PRACTITIONERS AND DENTISTS ACT
THE MEDICAL PRACTITIONERS AND DENTISTS (PROFESSIONAL FEES) RULES
LEGAL NOTICE 131 OF 2016
- Published in Kenya Gazette Vol. CXVIII—No. 84 on 29 July 2016
- Commenced on 29 July 2016
- [Revised by 24th Annual Supplement (Legal Notice 221 of 2023) on 31 December 2022]
1. Citation
These Rules may be cited as the Medical Practitioners and Dentists (Professional Fees) Rules, 2016.2. Interpretation
In these Rules, unless the context otherwise requires—"Board" means the Medical Practitioners and Dentists Board established under section 4 of the Act;"institution" means a facility or institution registered under the Act to offer medical or dental services or both; and"practitioner" means a practitioner registered under the Act as a medical or dental practitioner.3. Chargeable fees
4. Powers of the Board
The Board shall have powers to arbitrate any disputes on fees as shall arise between a practitioner and an institution or between a practitioner and a patient or a third party and the Board shall conduct the arbitration in such manner as it shall consider suitable for determination of the dispute.5. Effect of failure to comply
Where a practitioner fails to comply with these Rules that practitioner commits an act of professional misconduct.SCHEDULE [r. 3(1),(4)]
FEES
FORMAnnual Inflation Rate |
Year |
2013 - 5.60 |
2014 - 6.50 |
2015 - 6.80 |
Compounded Inflation Rate - 0.20 |
NOTE: The Current figures have been adjusted using the inflation rate as from the year 2013 toMarch 2015 as quoted by The Kenya National Bureau of Statistics attached as ANNEX 1. |
A: GENERAL PRACTITIONERS | |||
New | New | ||
Minimum (KSh.) | Maximum (KSh.) | ||
Consultation | 1,800.00 | 5,000.00 | |
House Visits – NB (Consultations only. Incidentals to be agreed upon by the parties) | - | - | |
Day Time | 3,600.00 | 7,500.00 | |
Night Time | 6,000.00 | 12,000.00 | |
Hospital Visits | |||
Day Time | 3,600.00 | 7,500.00 | |
Night Time | 6,000.00 | 12,000.00 | |
Institutional Locum Fees per hour -Daytime | 2,000.00 | 5,000.00 | |
Institutional Locum Fees per hour - Nighttime | 3,000.00 | 6,000.00 | |
B: SPECIALISTS | |||
Consultations | 3,600.00 | 7,500.00 | |
House Visits NB (Consultations only. Incidentals to be agreed upon by the parties) | - | - | |
Day Time | 6,000.00 | 12,000.00 | |
Night Time | 12,000.00 | 18,000.00 | |
Hospital Visits | |||
Day Time | 6,000.00 | 12,000.00 | |
Emergency Night visits | 12,000.00 | 18,000.00 | |
Emergency Day visits | 7,200.00 | 12,000.00 | |
ICU Visit (Daily charges) | 7,200.00 | 10,000.00 | |
HDU Visit (Daily charges) | 6,000.00 | 7,500.00 | |
Witnessing a postmortem | 24,000.00 | 60,000.00 | |
Institutional Locum Fees per hour - Daytime | 3,000.00 | 6,000.00 | |
Institutional Locum Fees per hour - Nighttime | 4,500.00 | 9,000.00 | |
C: GENERAL MEDICAL AND DENTAL LEGAL REPORTS | |||
GMDLR01 | General medical and dental reports | 6,000.00 | 12,000.00 |
GMDLR02 | Medical and Dental Legal Reports | 6,000.00 | 60,000.00 |
GMDLR03 | Court Appearances ( per session) | 50,000.00 | 120,000.00 |
M001: GENERAL SURGERY | - | - | |
A) Complex Major | Minimum | Maximum | |
GEN.SURG01 | Abdominoperineal resection (APR) | 90,000.00 | 180,000.00 |
GEN.SURG02 | Anterior Resection of Rectum | 80.00.00 | 150,000.00 |
GEN.SURG03 | Total Gastrectomy | 96,000.00 | 140,000.00 |
GEN.SURG04 | Partial Gastrectomy | 60,000.00 | 100,000.00 |
GEN.SURG05 | Total Oesophagectomy | 84,000.00 | 144,000.00 |
GEN.SURG06 | Unilateral Adrenalectomy | 90,000.00 | 144,000.00 |
GEN.SURG07 | Bilateral Adrenalectomy | 108,000.00 | 180,000.00 |
GEN.SURG08 | Total Resection of Colon | 84,000.00 | 180,000.00 |
GEN.SURG09 | Partial Pancreatectomy | 132,000.00 | 180,000.00 |
GEN.SURG10 | Nephrectomy | 66,000.00 | 90,000.00 |
GEN.SURG11 | Cholecystectomy + CBD exploration | 90,000.00 | 170,000.00 |
GEN.SURG12 | Excision of Biliary stricture | 132,000.00 | 180,000.00 |
B) Major I | |||
GEN.SURG14 | Open cholecystectomy | 72,000.00 | 168,000.00 |
GEN.SURG15 | Laparoscopic cholecystectomy | 96,000.00 | 150,000.00 |
GEN.SURG16 | Vagotomy + drainage | 72,000.00 | 132,000.00 |
GEN.SURG17 | Repair of perforated duodenal ulcer | 72,000.00 | 96,000.00 |
GEN.SURG18 | Repair of hiatus hernia | 54,000.00 | 96,000.00 |
GEN.SURG19 | Splenectomy | 70,000.00 | 180,000.00 |
GEN.SURG20 | Parathyroidectomy | 120,000.00 | 180,000.00 |
GEN.SURG21 | Radical mastectomy | 100,000.00 | 180,000.00 |
GEN.SURG22 | Simple mastectomy | 72,000.00 | 96,000.00 |
GEN.SURG23 | Breast lumpectomy | 36,000.00 | 72,000.00 |
GEN.SURG24 | Drainage of breast abscess | 40,000.00 | 60,000.00 |
GEN.SURG25 | Segmental resection of breast | 60,000.00 | 96,000.00 |
GEN.SURG26 | Total thyroidectomy | 72,000.00 | 170,000.00 |
GEN.SURG27 | Intestinal resection + anastomosis | 72,000.00 | 150,000.00 |
GEN.SURG28 | Exploration of retroperitoneal mass | 72,000.00 | 180,000.00 |
GEN.SURG29 | Exploratory laparatomy | 72,000.00 | 108,000.00 |
GEN.SURG30 | Bowel resection and anastomosis | 72,000.00 | 108,000.00 |
GEN.SURG31 | Laparatomy for pyloric stenosis | 48,000.00 | 72,000.00 |
GEN.SURG32 | Hemicolectomy | 84,000.00 | 144,000.00 |
GEN.SURG33 | Transverse colectomy | 84,000.00 | 144,000.00 |
GEN.SURG34 | Exteriorization of caecum | 72,000.00 | 108,000.00 |
GEN.SURG35 | Stripping of bilateral varicose veins | 72,000.00 | 108,000.00 |
GEN.SURG36 | Bilateral inguinal herniorrapphy | 60,000.00 | 140,000.00 |
GEN.SURG37 | Bilateral sympathectomy | 60,000.00 | 96,000.00 |
GEN.SURG38 | Bilateral gynaecomastia correction | 48,000.00 | 110,000.00 |
GEN.SURG39 | Excision of Liver hydatid cyst | 66,000.00 | 160,000.00 |
C ) Major II | |||
GEN.SURG40 | Repair of umbilical hernia | 50,000.00 | 100,000.00 |
GEN.SURG41 | Repair of epigastric hernia | 60,000.00 | 110,000.00 |
GEN.SURG42 | Repair of incisional hernia | 50,000.00 | 110,000.00 |
GEN.SURG43 | Unilateral inguinal herniorrhaphy | 50,000.00 | 120,000.00 |
GEN.SURG44 | Unilateral femoral herniorrhaphy | 60,000.00 | 100,000.00 |
GEN.SURG45 | Repair of recurrent inguinal hernia | 80,000.00 | 150,000.00 |
GEN.SURG46 | Repair of strangulated hernias | 54,000.00 | 120,000.00 |
GEN.SURG47 | Repair of burst abdomen | 50,000.00 | 100,000.00 |
GEN.SURG48 | Stripping of unilateral varicose veins | 40,000.00 | 80,000.00 |
GEN.SURG49 | Unilateral sympathectomy | 30,000.00 | 66,000.00 |
GEN.SURG50 | Unilateral gynaecomastia correction | 30,000.00 | 66,000.00 |
GEN.SURG51 | Laparoscopic appendicectomy | 80,000.00 | 140,000.00 |
GEN.SURG52 | Laparoscopic herniorraphy | 65,000.00 | 120,000.00 |
GEN.SURG53 | Laparoscopic Niessens | 120,000.00 | 180,000.00 |
GEN.SURG54 | Laparoscopic gastrojejunostomy | 70,000.00 | 140,000.00 |
GEN.SURG55 | Laparoscopic repair of perforated duodenal ulcer | 80,000.00 | 120,000.00 |
D) Intermediate I | — | — | |
GEN.SURG56 | Unilateral orchidopexy | 60,000.00 | 120,000.00 |
GEN.SURG57 | Bilateral orchidopexy | 90,000.00 | 140,000.00 |
GEN.SURG58 | Appendicectomy | 60,000.00 | 120,000.00 |
GEN.SURG59 | Diagnostic laparoscopy + biopsy | 60,000.00 | 100,000.00 |
GEN.SURG60 | Unilateral herniotomy | 50,000.00 | 80,000.00 |
GEN.SURG61 | Bilateral herniotomy | 60,000.00 | 90,000.00 |
GEN.SURG62 | Unilateral herniotomy + orchidopexy | 80,000.00 | 100,000.00 |
GEN.SURG63 | Bilateral herniotomy + orchidopexy | 90,000.00 | 180,000.00 |
GEN.SURG64 | Haemorrhoidectomy | 70,000.00 | 150,000.00 |
GEN.SURG65 | Colostomy | 70,000.00 | 90,000.00 |
GEN.SURG66 | Closure of colostomy | 80,000.00 | 140,000.00 |
GEN.SURG67 | EUA and anorectal stretch | 40,000.00 | 66,000.00 |
GEN.SURG68 | Lateral sphincterotomy | 50,000.00 | 60,000.00 |
GEN.SURG69 | Excision of pilonidal sinus | 36,000.00 | 72,000.00 |
GEN.SURG70 | Fistulectomy for fistulae in ano | 36,000.00 | 80,000.00 |
GEN.SURG71 | Orchidectomy | 36,000.00 | 60,000.00 |
GEN.SURG72 | Tracheostomy | 30,000.00 | 60,000.00 |
E) Intermediate II | |||
GEN.SURG73 | Minor skin graft | 30,000.00 | 48,000.00 |
GEN.SURG74 | Minor release of contractures | 30,000.00 | 54,000.00 |
GEN.SURG75 | Excision of sternomastoid tumour | 30,000.00 | 54,000.00 |
GEN.SURG76 | Repair of hydrocele | 36,000.00 | 80,000.00 |
GEN.SURG77 | Excision of thyroglossal cyst | 30,000.00 | 60,000.00 |
F) Minor (GA) | — | — | |
GEN.SURG78 | Lymph node biopsy | 18,000.00 | 36,000.00 |
GEN.SURG79 | Surgical toilet | 30,000.00 | 80,000.00 |
GEN.SURG80 | Needle biopsy: liver | 18,000.00 | 36,000.00 |
GEN.SURG81 | Secondary suturing of wounds | 30,000.00 | 60,000.00 |
GEN.SURG82 | Excision of ganglion | 30,000.00 | 50,000.00 |
GEN.SURG83 | Excision of lipoma | 30,000.00 | 70,000.00 |
GEN.SURG84 | Skin biopsy | 22,000.00 | 36,000.00 |
GEN.SURG85 | Excision of warts /skin lesions | 18,000.00 | 50,000.00 |
GEN.SURG86 | Adult circumcision | 18,000.00 | 50,000.00 |
GEN.SURG87 | Paediatric circumcision | 18,000.00 | 70,000.00 |
GEN.SURG88 | Incision & drainage | 25,000.00 | 60,000.00 |
GEN.SURG89 | Incision & drainage (perineal abscess ) | 25,000.00 | 60,000.00 |
GEN.SURG90 | Ingrown toenail | 20,000.00 | 40,000.00 |
M002 : GENERAL SURGERY | — | — | |
G) Minor (LA) | |||
GEN.SURG91 | Lymph node biopsy | 15,000.00 | 50,000.00 |
GEN.SURG92 | Excision of lipoma/lump | 15,000.00 | 50,000.00 |
GEN.SURG93 | Excision of breast lump | 15,000.00 | 50,000.00 |
GEN.SURG95 | Ingrown toenail | 20,000.00 | 50,000.00 |
GEN.SURG96 | Excision of sebacious cyst | 25,000.00 | 50,000.00 |
GEN.SURG97 | Excision of ganglion | 20,000.00 | 50,000.00 |
GEN.SURG98 | Excision of warts/skin lesions | 15,000.00 | 50,000.00 |
GEN.SURG99 | Sigmoidoscopy | 18,000.00 | 40,000.00 |
GEN.SURG100 | Colonoscopy | 30,000.00 | 54,000.00 |
GEN.SURG101 | Proctoscopy (and biopsy) | 15,000.00 | 24,000.00 |
GEN.SURG102 | Suprapubic cystostomy | 20,000.00 | 36,000.00 |
GEN.SURG103 | Testicular biopsy | 20,000.00 | 24,000.00 |
GEN.SURG104 | Adult circumcision | 20,000.00 | 40,000.00 |
GEN.SURG105 | Paediatric circumcision | 25,000.00 | 30,000.00 |
GEN.SURG106 | Incision & drainage | 20,000.00 | 40,000.00 |
GEN.SURG107 | Vasectomy | 12,000.00 | 18,000.00 |
M003 : NEUROSURGERY | |||
A) Complex Major | — | — | |
NEURO01 | Craniotomy for aneurysm | 144,000.00 | 360,000.00 |
NEURO02 | Craniotomy for AV malformation | 144,000.00 | 300,000.00 |
NEURO03 | Cranitomy for brain tumour | 144,000.00 | 300,000.00 |
NEURO04 | Posterior fossa surgery | 180,000.00 | 360,000.00 |
B) Major I | — | — | |
NEURO05 | Microdiscectomy | 96,000.00 | 180,000.00 |
NEURO06 | Anterior cervical discectomy | 96,000.00 | 180,000.00 |
NEURO07 | Anterior cervical fusion - AO plating | 108,000.00 | 180,000.00 |
NEURO08 | Craniotomy for intracelebral haematoma | 96,000.00 | 180,000.00 |
NEURO09 | Glioma | 96,000.00 | 192,000.00 |
NEURO10 | Extradural haematoma | 96,000.00 | 144,000.00 |
NEURO11 | Subdural haematoma | 96,000.00 | 144,000.00 |
NEURO12 | Laminectomy for cervical / thoracic / or lumbar spine | 108,000.00 | 180,000.00 |
NEURO13 | Spinal fusions with implants | 120,000.00 | 240,000.00 |
NEURO14 | Lumbar fusion / spondylosis /disc procedure | 120,000.00 | 240,000.00 |
NEURO15 | Excision of intracranial nerve lesions | 108,000.00 | 180,000.00 |
NEURO16 | Repair of dura | 72,000.00 | 132,000.00 |
C) Major II | |||
NEURO17 | Burr hole(s) for | ||
NEURO18 | Subdural haematoma | ||
NEURO19 | Brain abscess | 72,000.00 | 144,000.00 |
NEURO20 | Biopsy procedure | 72,000.00 | 144,000.00 |
NEURO21 | ICP monitoring/VP shunt | 72,000.00 | 144,000.00 |
NEURO22 | Excision of spinal tumours | 108,000.00 | 216,000.00 |
NEURO23 | Acrylic cranioplasty | 120,000.00 | 180,000.00 |
NEURO24 | Stereotactic intracranial procedure | 96,000.00 | 210,000.00 |
NEURO25 | Clipping of cerebral artery | 48,000.00 | 144,000.00 |
NEURO26 | Elevation of depressed skull fracture | 60,000.00 | 120,000.00 |
NEURO27 | Application of skull callipers | 54,000.00 | 84,000.00 |
NEURO28 | Spina bifida surgery | 96,000.00 | 144,000.00 |
D) Intermediate I | |||
NEURO29 | Microsurgical nerve graft / nerve repair/exploration/microsurgical anastomosis | 48,000.00 | 108,000.00 |
E) Intermediate II | |||
NEURO30 | Surgical toilet and repair of major scalp wounds / lacerations | 18,000.00 | 48,000.00 |
NEURO31 | Surgical toilet for scalp tumour | 48,000.00 | 96,000.00 |
NEURO32 | Ventricular / cisternal puncture | 12,000.00 | 24,000.00 |
F) Minor (LA) | |||
NEURO33 | Repair minor scalp wounds /lacerations | 12,000.00 | 30,000.00 |
NEURO34 | Lumbar puncture | 12,000.00 | 24,000.00 |
M004 : UROLOGICAL SURGERY | |||
A) Complex Major | |||
UROS01 | Percutaneous nephrostomy | 120,000.00 | 168,000.00 |
UROS02 | Ureteroscopic extraction of calculus in ureter flexible | 144,000.00 | 216,000.00 |
UROS03 | Ureteroscopic extraction of calculus in ureter - rigid | 144,000.00 | 216,000.00 |
UROS04 | Bilateral orchidectomy | 120,000.00 | 210,000.00 |
UROS05 | Laparoscopic orchidectomy | 120,000.00 | 180,000.00 |
UROS06 | Primary repair of incisional hernia | 60,000.00 | 90,000.00 |
UROS07 | Primary repair of incisional hernia laparoscopic | 80,000.00 | 120,000.00 |
UROS08 | Repair of previous incision in abdominal wall | 60,000.00 | 100,000.00 |
UROS09 | Repair of kidney wound | 120,000.00 | 180,000.00 |
UROS10 | Repair of vesico-colic fistula | 180,000.00 | 360,000.00 |
UROS11 | Repair of injury to penis | 180,000.00 | 240,000.00 |
UROS12 | Transplantation of kidney | 240,000.00 | 360,000.00 |
UROS13 | Radical nephrectomy | 240,000.00 | 360,000.00 |
UROS14 | Radical nephrectomy laparoscopic | 240,000.00 | 360,000.00 |
UROS15 | Nephro-ureterectomy | 240,000.00 | 360,000.00 |
UROS16 | Open removal of calculus from kidney | 180,000.00 | 300,000.00 |
UROS17 | Construction of ileal conduit | 240,000.00 | 360,000.00 |
UROS18 | Bilateral re-implantation of ureter into bladder | 180,000.00 | 360,000.00 |
UROS19 | Bilateral re-implantation of ureter into bowel | 144,000.00 | 300,000.00 |
UROS20 | Orchidopexy bilateral | 144,000.00 | 240,000.00 |
UROS21 | Repair of recurrent femoral hernia | 36,000.00 | 72,000.00 |
UROS22 | Repair of recurrent femoralhernia laparoscopic | 48,000.00 | 90,000.00 |
UROS23 | Drainage of kidney | 120,000.00 | 180,000.00 |
UROS24 | Drainage of pyonesphrosis | 120,000.00 | 180,000.00 |
UROS25 | Excision of segment of ureter | 120,000.00 | 180,000.00 |
UROS26 | Cystoscopy turp | 144,000.00 | 216,000.00 |
UROS27 | External meatotomy | 36,000.00 | 96,000.00 |
UROS28 | Excision of lesion of testes | 60,000.00 | 108,000.00 |
UROS29 | Reconstruction of penis | 120,000.00 | 180,000.00 |
UROS31 | Bilateral herniotomy | 48,000.00 | 108,000.00 |
UROS32 | Laparotomy for post-operative | 36,000.00 | 72,000.00 |
UROS33 | Ileal or colonic replacement of ureter | 180,000.00 | 360,000.00 |
UROS34 | Repair of recurrent inguinal hernia - bilateral | 96,000.00 | 192,000.00 |
UROS35 | Repair of recurrent inguinal hernia - bilateral lap | 90,000.00 | 180,000.00 |
UROS36 | PCNL per track | 144,000.00 | 204,000.00 |
UROS37 | Emergency laparotomy | 90,000.00 | 120,000.00 |
UROS38 | Radical prostatectomy | 180,000.00 | 360,000.00 |
UROS39 | Radical prostatectomy lapaoscopic | 180,000.00 | 360,000.00 |
UROS40 | Operations on ureteric orifice | 36,000.00 | 60,000.00 |
UROS41 | Cystostomy and insertion of SP catheter | 60,000.00 | 84,000.00 |
UROS42 | Panendoscopy laser urethrotomy | 48,000.00 | 72,000.00 |
UROS43 | Orchidectomy & excision of spermatic cord | 60,000.00 | 96,000.00 |
UROS44 | Hydrocele repair | 36,000.00 | 72,000.00 |
UROS45 | Adult circumcision | 18,000.00 | 36,000.00 |
UROS46 | Paediatric circumcision | 18,000.00 | 36,000.00 |
UROS47 | Ureteroscopy (diagnostic) | 60,000.00 | 84,000.00 |
UROS48 | Ureteroscopy (diagnostic) flexible | 60,000.00 | 84,000.00 |
UROS49 | Repair of ruptured urethra | 96,000.00 | 132,000.00 |
UROS50 | Excision of epididymal cyst | 48,000.00 | 84,000.00 |
UROS51 | Operation on varicocele laparoscopic | 72,000.00 | 96,000.00 |
UROS52 | Endoscopic insertion of prosthesis in ureter | 48,000.00 | 72,000.00 |
UROS53 | Endoscopic extraction of bladder calculus | 96,000.00 | 132,000.00 |
UROS54 | Excision of lesion of skin or subcutaneous tissue | 12,000.00 | 24,000.00 |
UROS55 | Unilateral herniotomy | 24,000.00 | 54,000.00 |
UROS57 | Primary repair of femoral hernia | 24,000.00 | 60,000.00 |
UROS58 | Primary repair of femoral hernia laparoscopic | 30,000.00 | 72,000.00 |
UROS59 | Repair of peri-umbilical hernia - reducible | 48,000.00 | 84,000.00 |
UROS60 | Repair of peri-umbilical hernia - irreducible | 60,000.00 | 108,000.00 |
UROS61 | Operation for peyronies disease | 90,000.00 | 120,000.00 |
UROS62 | Injection intracavernosal | 12,000.00 | 30,000.00 |
UROS63 | Catheterisation | 10,000.00 | 24,000.00 |
UROS64 | Dressing | 4,000.00 | 6,000.00 |
UROS65 | Aspiration of subcutaneous haematoma | 12,000.00 | 18,000.00 |
UROS66 | Injection into subcutaneous tissue/painful Trig. | 12,000.00 | 24,000.00 |
UROS67 | Introduction of substance into skin | 6,000.00 | 12,000.00 |
UROS68 | Incision & drainage | 12,000.00 | 18,000.00 |
UROS69 | Endoscopic hydrodisention of bladder | 12,000.00 | 30,000.00 |
UROS70 | Biopsy of lesion of penis | 24,000.00 | 48,000.00 |
UROS71 | Diathermic excision of warts or subcutaneous tissue | 36,000.00 | 72,000.00 |
UROS72 | Removal of D J Stent | 12,000.00 | 36,000.00 |
UROS73 | Ureteric meatotomy | 60,000.00 | 120,000.00 |
UROS74 | Cystoscopy (Incl biopsy) | 36,000.00 | 72,000.00 |
UROS75 | Excision of urethral caruncle | 36,000.00 | 72,000.00 |
UROS76 | Meatoplasty | 48,000.00 | 96,000.00 |
UROS77 | Orchidopexy abdominal | 120,000.00 | 180,000.00 |
UROS78 | Open pyeloplasty | 180,000.00 | 300,000.00 |
UROS79 | Dilatation of female bladder outlet | 36,000.00 | 72,000.00 |
UROS80 | Urethoplasty simple | 120,000.00 | 180,000.00 |
UROS81 | Urethoplasty complex | 180,000.00 | 240,000.00 |
UROS82 | Repair of bladder | 120,000.00 | 300,000.00 |
UROS83 | Cystoscopy rigid uretero, nephroscopy, laser lithotripsy | 120,000.00 | 300,000.00 |
UROS84 | Cystoscopy flexible uretero, nephroscopy, laser lithotripsy | 120,000.00 | 300,000.00 |
UROS85 | Combined abdominal and vaginal operations on bladder | 180,000.00 | 300,000.00 |
UROS86 | Endoscopic resection of lesion inbladder | 96,000.00 | 192,000.00 |
UROS87 | Retropubic suspension of bladder neck | 84,000.00 | 144,000.00 |
M005 : PLASTIC AND RECONSTRUCTIVE SURGERY | |||
PRS01 | Cleaning and dressing of burn wounds under G.A. | 60,000.00 | 120,000.00 |
PRS02 | Excision of a single lump or uncomplicated keloid growth under L.A | 40,000.00 | 50,000.00 |
PRS03 | Single partial thickness graft under L.A. | 50,000.00 | 60,000.00 |
PRS04 | Revision of a single scar under L.A. | 50,000.00 | 60,000.00 |
PRS05 | Major pressure sores debridement | 50,000.00 | 70,000.00 |
PRS06 | Excision of multiple growths or complicated keloid growth and reconstruction under G.A. | 80,000.00 | 100,000.00 |
PRS07 | Single partial thickness graft under G.A. | 90,000.00 | 100,000.00 |
PRS08 | Single partial thickness graft following excision of ulcer or growth under G.A. | 80,000.00 | 100,000.00 |
PRS09 | Full thickness grafting under G.A. | 80,000.00 | 100,000.00 |
PRS10 | Revision of multiple scars under G.A. | 120,000.00 | 160,000.00 |
PRS11 | Syndactyly/polydactyly correction ( single ) | 80,000.00 | 120,000.00 |
PRS12 | Syndactyly/polydactyly correction (multiple) | 140,000.00 | 180,000.00 |
PRS13 | Lipoma (less than 5cm) under LA | 60,00.00 | 80,000.00 |
PRS14 | Lipoma (more than 5cm) under GA | 100,000.00 | 120,000.00 |
PRS15 | Gynaecomastia | 150,000.00 | 180,000.00 |
PRS16 | Ganglion under GA | 80,000.00 | 90,000.00 |
PRS17 | Sebaceous cyst | 50,000.00 | 70,000.00 |
PRS18 | Surgical toilet (minor) under GA | 50,000.00 | 70,000.00 |
PRS19 | Excision of lesions (single site & reconstruction) under LA | 60,000.00 | 80,000.00 |
PRS20 | Excision of lesions (multiple sites & reconstruction ) under GA | 100,000.00 | 150,000.00 |
PRS21 | Blepharoplasty | 150,000.00 | 180,000.00 |
PRS22 | Anterior canthotomy & Z-plasty under GA | 120,000.00 | 140,000.00 |
PRS23 | Nerve release and decompression under GA | 80,000.00 | 100,000.00 |
PRS24 | Tissue expander insertion | 120,000.00 | 150,000.00 |
PRS25 | Tissue expander removal and advancement | 150,000.00 | 200,000.00 |
PRS26 | Lip reconstruction | 100,000.00 | 150,000.00 |
PRS27 | Digit reconstruction under GA | 100,000.00 | 150,000.00 |
PRS28 | Multiple contracture release or major | 150,000.00 | 180,000.00 |
PRS29 | Neck contracture & skin grafting under GA | ||
PRS30 | Dermabrasion/Chemical peel/Laser | 100,000.00 | 180,000.00 |
PRS31 | Fat injection for scar repair | 150,000.00 | 200,000.00 |
PRS32 | Tendon/muscle repair extensor - single under GA | 80,000.00 | 100,000.00 |
PRS33 | Tendon/muscle repair flexor - single under GA | 80,000.00 | 100,000.00 |
PRS34 | Tendon repair - multiple under GA | 120,000.00 | 150,000.00 |
PRS35 | Tendon repair - Achilles tendon under GA | 160,000.00 | 180,000.00 |
PRS36 | Tendon transfer | 150,000.00 | 180,000.00 |
PRS37 | Brow lift | 100,000.00 | 120,000.00 |
PRS38 | Re-plantation (team charges) | 600,000.00 | 800,000.00 |
PRS39 | Ectropion/entropion correction - single under GA | 120,000.00 | 150,000.00 |
PRS40 | Ectropion/entropion correction - bilateral under GA | 150,000.00 | 200,000.00 |
PRS41 | Buttock lift | 150,000.00 | 200,000.00 |
PRS42 | Thigh lift | 150,000.00 | 200,000.00 |
PRS43 | Release of minor contractures under GA | 100,000.00 | 120,000.00 |
PRS44 | Advancement flaps reconstruction under G.A. | 120,000.00 | 180,000.00 |
PRS45 | Unilateral cleft lip repair under G.A. | 80,000.00 | 100,000.00 |
PRS46 | Bilateral cleft lip repair under G.A. | 100,000.00 | 150,000.00 |
PRS47 | Cleft palate repair under G.A. | 150,000.00 | 200,000.00 |
PRS48 | Bilateral cleft lip & palate repair under GA | 150,000.00 | 300,000.00 |
PRS49 | Rotational myocutaneous flap reconstruction of pressure sores | 200,000.00 | 250,000.00 |
PRS50 | Fingertip injuries – advancement flaps or cross finger flaps | 120,000.00 | 150,000.00 |
PRS51 | Liposuction (Single site) | 90,000.00 | 220,000.00 |
PRS52 | Augmentation Mammoplasty (Bilateral) | 150,000.00 | 200,000.00 |
PRS53 | Reduction Mammoplasty (Bilateral) | 200,000.00 | 400,000.00 |
PRS54 | Face-lift (limited) | 216,000.00 | 300,000.00 |
PRS55 | Face-lift (extended) | 360,000.00 | 420,000.00 |
PRS56 | Reconstruction of breast (using latissmuss dorsi flap) | 220,000.00 | 300,000.00 |
PRS57 | Reconstruction of breast (using TRAM flap) | 250,000.00 | 350,000.00 |
PRS58 | Major flap reconstruction of head and neck | 250,000.00 | 300,000 |
PRS59 | Free-flap reconstruction (Team charges) | 600,000.00 | 800,000.00 |
PRS60 | Reconstruction of the hand (groin flap – reversed radial etc) | 150,000.00 | 180,000.00 |
PRS61 | Rhinoplasty | 300,000.00 | 400,000.00 |
PRS62 | Auriculoplasty (per stage) | 250,000.00 | 300,000.00 |
PRS63 | Abdominoplasty (mini) | 150,000.00 | 200,000.00 |
PRS64 | Abdominoplasty (full) | 300,000.00 | 360,000.00 |
PRS65 | Rotational flap for compound fracture | 160,000.00 | 190,000.00 |
PRS66 | Rotational flap for pressure sores | 200,000.00 | 220,000.00 |
PRS67 | Pedicle flap | 120,000.00 | 180,000.00 |
PRS68 | Hair transplant | 300,000.00 | 400,000.00 |
PRS69 | Lipoplasty including autologus fat grafting | 200,000.00 | 300,000.00 |
PRS70 | Brachioplasty - bilateral | 150,000.00 | 200,000.00 |
PRS71 | Inverted nipple correction | 100,000.00 | 120,000.00 |
PRS72 | Labioplasty | 150,000.00 | 200,000.00 |
PRS73 | Vaginoplasty | 150,000.00 | 200,000.00 |
PRS74 | Augmentoplasty | 200,000.00 | 300,000.00 |
PRS75 | Excision of malignant tumours (BCC, SCC, MM) & reconstruction under GA | 100,000.00 | 120,000.00 |
PRS76 | Excision of malignant tumours (BCC, SCC, MM) & reconstruction under GA | 150,000.00 | 200,000.00 |
PRS77 | Corrective procedures for female genital anomalies | 200,000.00 | 300,000.00 |
PRS78 | Surgical treatment of vulvovaginal tumours | 300,000.00 | 400,000.00 |
PRS79 | Surgical treatment of penile tumours | 200,000.00 | 300,000.00 |
PRS80 | Correction of asymmetric breast (including Poland syndrome) | 200,000.00 | 300,000.00 |
PRS81 | Correction of tuberous breast | 200,000.00 | 300,000.00 |
PRS82 | Surgical treatment of Fournier gangrene | 120,000.00 | 140,000.00 |
PRS83 | Surgical treatment of amputations (ear, nose, lids, lip, eyebrow, scalp) with reconstruction | 200,000.00 | 250,000.00 |
PRS84 | Static support in facial palsy | 100,000.00 | 120,000.00 |
PRS85 | Dynamic support in facial palsy including free muscle flap | 150,000.00 | 200,000 |
PRS86 | Nerve grafting in facial palsy | 200,000.00 | 220,000.00 |
PRS87 | Brachial Plexus repair | 300,000.00 | 600,00 |
PRS88 | Otoplasty (surgery for bat ear)-bilateral | 80,000.00 | 100,000.00 |
PRS89 | Wound dressings - clinic | 15,000.00 | 20,000.00 |
PRS90 | Wound dressings - ward | 25,000.00 | 50,000.00 |
M006: ORTHOPAEDIC SURGERY | |||
A. Complex Major | |||
PROCEDURE | |||
1. ARTHROPLASTY | |||
ORTHOS01 | 1.1. Hemiarthroplasty | 72,000.00 | 96,000.00 |
ORTHOS02 | 1.2 Primary Joint Replacement | 120,000.00 | 216,000.00 |
ORTHOS03 | 1.3 Revision Joint Replacement | 240,000.00 | 420,000.00 |
2. SPINE PROCEDURES | |||
ORTHOS04 | 2.1. Discectomies (open & endoscopic) | 144,000.00 | 240,000.00 |
ORTHOS05 | 2.1.1. Cervical | 144,000.00 | 240,000.00 |
ORTHOS06 | 2.1.2. Thoracolumbar | 108,000.00 | 180,000.00 |
ORTHOS07 | |||
ORTHOS08 | 2.2. Laminectomy (without instrumentation) | 72,000.00 | 144,000.00 |
ORTHOS09 | 2.3. Laminectomy (without instrumentation) | 144,000.00 | 240,000.00 |
ORTHOS10 2.4. | Kyphoplasty/ vertebroplasty | 144,000.00 | 216,000.00 |
ORTHOS11 | 2.5. Complex deformity corrections including Scoliosis, High cervical stabilization | 240,000.00 | 420,000.00 |
3. LIMB RECONSTRUCTION | |||
ORTHOS12 | 3.1 Microsurgical procedures(digit reattachment & transfers) | 180,000.00 | 300,000.00 |
ORTHOS13 | 3.2 Prosthesis - fitting surgery | 180,000.00 | 300,000.00 |
4. COMPLEX FRACTURE FIXATION | |||
ORTHOS14 | 4.1 Pelvis | 144,000.00 | 180,000.00 |
ORTHOS15 | 4.2 Elbow | 96,000.00 | 144,000.00 |
B: MAJOR I | |||
1.0 ARTHROSCOPIC SURGERY | |||
ORTHOS016 | 1.1 Diagnostic | 48,000.00 | 96,000.00 |
ORTHOS017 | 1.2 Corrective/ Reconstruction | 90,000.00 | 180,000.00 |
2.0. OPEN REDUCTION & INTERNAL FIXATION | |||
ORTHOS018 | 2.1. Long bones | 72,000.00 | 144,000.00 |
ORTHOS020 | 2.3. Ankle and foot | 72,000.00 | 144,000.00 |
ORTHOS021 | 3.0. OPEN REDUCTION & EXTERNAL FIXATION | 48,000.00 | 96,000.00 |
4.0. CLOSED REDUCTION & FIXATION | |||
ORTHOS022 | 4.1. Minimal Invasive percutaneous osteosynthesis | 72,000.00 | 144,000.00 |
ORTHOS023 | 4.2. Imaging guided wire/ screw fixation | 72,000.00 | 144,000.00 |
5.0. JOINT NON-PROSTHETIC STABILIZATION | |||
ORTHOS024 | 5.1. Open stabilization procedures | 72,000.00 | 144,000.00 |
6.0. TENDON SURGERY | |||
ORTHOS025 | 6.1 Tendon repair | ||
ORTHOS026 | 6.1.1. Multiple | 108,000.00 | 180,000.00 |
ORTHOS027 | 6.1.2. Single | 72,000.00 | 108,000.00 |
ORTHOS028 | 6.2 Tendon transfer | 90,000.00 | 180,000.00 |
ARTHROTOMY (Interventional) | |||
ORTHOS029 | 7.1. Small joint | 36,000.00 | 72,000.00 |
ORTHOS030 | 7.2. Large joint | 84,000.00 | 120,000.00 |
C: MAJOR II | |||
1. AMPUTATIONS | |||
ORTHOS031 | 1.1 Major amputation | 36,000.00 | 120,000.00 |
ORTHOS032 | 1.2. Minor (finger, toe) | 18,000.00 | 48,000.00 |
3. CORRECTIVE SURGERY | |||
3.1. HAND & FOOT DEFORMITIES | |||
ORTHOS035 | 3.1.1.Moderate/ severe deformity | 60,000.00 | 108,000.00 |
ORTHOS036 | 3.1.2.Minor deformity | 36,000.00 | 48,000.00 |
3.2. OSTEOTOMIES (Excluding spine) | — | — | |
ORTHOS037 | 3.2.1. With casting | 60,000.00 | 84,000.00 |
ORTHOS038 | 3.2.2. With ORIF | 72,000.00 | 144,000.00 |
ORTHOS039 | 3.2.3. With External fixation (Ilizarov) | 72,000.00 | 144,000.00 |
ORTHOS040 | 4. NERVE EXPLORATION & REPAIR | 72,000.00 | 120,000.00 |
ORTHOS041 | 5. BONE GRAFT (without additional procedure) | 48,000.00 | 96,000.00 |
ORTHOS042 | 6. SOFT TISSUE RELEASE | 48,000.00 | 84,000.00 |
ORTHOS043 | 7. Open Ligament repair | 60,000.00 | 84,000.00 |
ORTHOS044 | 8. Major tumour excision | 72,000.00 | 144,000.00 |
D. INTERMEDIATE EXCISION SURGERY | |||
ORTHOS045 | 1.0 Sequestrectomy (excluding spine) | 48,000.00 | 96,000.00 |
ORTHOS046 | 2.0 Excisional arthroplasty - isolated | 60,000.00 | 84,000.00 |
ORTHOS047 | Excisional arthroplasty - with replacement (Replacement fees apply) | ||
ORTHOS048 | 3.0 Fasciectomy | 36,000.00 | 60,000.00 |
ORTHOS049 | 4.0 Major surgical debridement | 60,000.00 | 96,000.00 |
E. MINOR | |||
ORTHOS050 | 1.0 Closed fracture/ joint reduction under GA & casting | 36,000.00 | 60,000.00 |
2.0 MINOR EXCISIONS/ BIOPSY | |||
ORTHOS051 | 2.1 Small lesions under GA | 24,000.00 | 42,000.00 |
ORTHOS052 | 2.2 Surgical debridement | 36,000.00 | 48,000.00 |
ORTHOS053 | 3.0 REMOVAL OF A FOREIGN BODY FROM A JOINT | 24,000.00 | 48,000.00 |
4.0 REMOVAL OF IMPLANTS | |||
ORTHOS054 | 4.1 Spine & complex pelvis | 48,000.00 | 84,000.00 |
ORTHOS055 | 4.2 Long and short bones | 24,000.00 | 60,000.00 |
ORTHOS056 | 5.0 Application of cast without anaesthesia/ traction systems | 6,000.00 | 24,000.00 |
M007 : CARDIOTHORACIC AND VASCULAR SURGERY | — | — | |
A) Complex Major | — | — | |
CARVS01 | Pleurectomy / decortication | 108,000.00 | 168,000.00 |
CARVS02 | Pericardectomy | 108,000.00 | 168,000.00 |
CARVS03 | Vessel bypass surgery | 138,000.00 | 180,000.00 |
CARVS04 | Coronary angioplasty / stent | 216,000.00 | 270,000.00 |
CARVS05 | Oesophagectomy | 144,000.00 | 270,000.00 |
CARVS06 | Splenorenal shunt | 84,000.00 | 132,000.00 |
CARVS07 | Portocaval shunt | 84,000.00 | 132,000.00 |
CARVS08 | Excision of carotid body tumour | 90,000.00 | 180,000.00 |
CARVS09 | Closed valvotomy | 72,000.00 | 108,000.00 |
CARVS10 | Mitral valvotomy / baloon | 72,000.00 | 108,000.00 |
CARVS11 | Open heart surgery | 180,000.00 | 360,000.00 |
CARVS12 | Pneumonectomy / lobectomy | 126,000.00 | 240,000.00 |
CARVS13 | Surgery for achalasia of cardia | 72,000.00 | 108,000.00 |
CARVS14 | Vascular amputation | 90,000.00 | 180,000.00 |
CARVS15 | Aneurysm repair | 132,000.00 | 216,000.00 |
CARVS16 | Repair of traumatic arterial transection | 90,000.00 | 144,000.00 |
CARVS17 | Thoracotomy | 54,000.00 | 156,000.00 |
CARVS18 | Resection of complex AV fistula | 90,000.00 | 144,000.00 |
CARVS19 | Subfascial DVT ligation + skin graft | 72,000.00 | 126,000.00 |
CARVS20 | Thromboembolectomy | 72,000.00 | 132,000.00 |
CARVS21 | Carotid arterectomy | 72,000.00 | 108,000.00 |
CARVS22 | PDA ligation | 90,000.00 | 138,000.00 |
B) Major | |||
CARVS023 | Insertion of MB tube | 72,000.00 | 144,000.00 |
CARVS024 | Mediastinoscopy | 90,000.00 | 144,000.00 |
CARVS025 | Thoracoscopy | 72,000.00 | 120,000.00 |
CARVS026 | Minithoracotomy for open lung biopsy | 72,000.00 | 12,000.00 |
Pacemaker implantation | |||
CARVS027 | Single | 108,000.00 | 126,000.00 |
CARVS028 | Dual | 180,000.00 | 216,000.00 |
CARVS029 | Excision of mediastinal tumour | 108,000.00 | 144,000.00 |
CARVS030 | Ligation / stripping of varicose veins | 54,000.00 | 90,000.00 |
CARVS031 | Myocardial biopsy | 36,000.00 | 60,000.00 |
CARVS032 | Thymectomy | 72,000.00 | 108,000.00 |
CARVS033 | Pericardial window | 54,000.00 | 96,000.00 |
CARVS034 | Resection of simple AV fistula | 54,000.00 | 108,000.00 |
CARVS035 | Rib resection for thoracic outlet syndrome | 90,000.00 | 132,000.00 |
C) Intermediate | |||
CARVS036 | Bronchoscopy and removal of FB | ||
CARVS037 | Oesophagoscopy biopsy / dilatation / removal of FB | 48,000.00 | 96,000.00 |
CARVS038 | Feeding gastrostomy / jejunostomy | 48,000.00 | 108,000.00 |
CARVS039 | Other rib resection | 18,000.00 | 36,000.00 |
CARVS040 | Pericardial catheterisation | 24,000.00 | 60,000.00 |
CARVS041 | Repair of ruptured diaphram | 48,000.00 | 96,000.00 |
D) Minor | |||
CARVS042 | Insertion of chest tube / chest aspiration | 8,400.00 | 18,000.00 |
CARVS043 | Pericardiocentesis | 8,400.00 | 18,000.00 |
CARVS044 | Pulmonary artery catherisation | 6,000.00 | 12,000.00 |
M008: CARDIOLOGY | |||
CARD01 | 2 D echocardiogram | 14,400.00 | 18,000.00 |
CARD02 | 12 Lead ECG | 3,600.00 | 4,800.00 |
CARD03 | 24 hour holter | 12,000.00 | 14,400.00 |
CARD04 | Pericardiocentesis | 36,000.00 | 48,000.00 |
CARD05 | Pacemaker insertion | 60,000.00 | 72,000.00 |
Out patient | |||
CARD06 | Consultation | 6,000.00 | 9,000.00 |
CARD07 | Urgent consultation | 9,000.00 | 12,000.00 |
CARD08 | ECG (with interpretation) | 3,000.00 | 4,800.00 |
CARD09 | Echocardiogram | 14,400.00 | 18,000.00 |
CARD010 | Echocardiogram - portable | 18,000.00 | 21,600.00 |
CARD011 | Exercise stress test | 14,400.00 | 21,600.00 |
CARD012 | 24 hour holter | 14,400.00 | 18,000.00 |
CARD013 | 24 hour ambulatory BP | 18,000.00 | 30,000.00 |
CARD014 | Pacemaker check | 9,000.00 | 12,000.00 |
CARD015 | ICD /CRTD check | 12,000.00 | 18,000.00 |
CARD016 | Pulmonary function tests | 9,600.00 | 12,000.00 |
CARD017 | Transoesophaegeal echo | 24,000.00 | 48,000.00 |
Inpatient | |||
CARD018 | Emergency A&E | 14,400.00 | 18,000.00 |
CARD019 | ICU/HDU care | 12,000.00 | 21,600.00 |
CARD020 | Ward (per day) | 9,000.00 | 12,000.00 |
CARD021 | Resuscitation | 18,000.00 | 24,000.00 |
CARD022 | Right heart catheter | 48,000.00 | 84,000.00 |
CARD023 | Coronary angiogram | 60,000.00 | 96,000.00 |
CARD024 | Coronary PCI - per vessel (50% for additional vessel) | 144,000.00 | 210,000.00 |
CARD025 | Coronary thrombectomy (aspiration) | 36,000.00 | 48,000.00 |
CARD026 | Coronary FFR/IVU | 36,000.00 | 48,000.00 |
CARD027 | Loop recorder implantation | 36,000.00 | 48,000.00 |
CARD028 | ICD implantation | 240,000.00 | 300,000.00 |
CARD029 | CRTD implantation | 240,000.00 | 300,000.00 |
CARD030 | IVC filter | 36,000.00 | 48,000.00 |
CARD031 | DC cardioversion | 24,000.00 | 48,000.00 |
CARD032 | CVP insertion | 30,000.00 | 42,000.00 |
CARD033 | Intra-aortic ballon pump insertion | 48,000.00 | 90,000.00 |
CARD034 | Intra-aortic ballon pump per day | 30,000.00 | 54,000.00 |
Cardiac catheterization | |||
CARD035 | Right heart catheterization including measurement of oxygen saturation pulmonary pressures and cardiac output | 30,000.00 | 48,000.00 |
CARD036 | Left heart catheterization | 36,000.00 | 60,000.00 |
CARD037 | Diagnostic right and left heart catheterization | 72,000.00 | 84,000.00 |
CARD038 | Catheter placement & coronary angiography, imaging supervision and interpretation | 48,000.00 | 72,000.00 |
CARD039 | Coronary angiography with catheter placement(s) in bypass graft(s) internal mammary, arterial, venous graft) including intraprocedural injections for bypass graft angiography | 72,000.00 | 96,000.00 |
CARD040 | Coronary angiography with right heart catheterization | 84,000.00 | 108,000.00 |
CARD041 | Coronary angiography with bypass graft angiography and right heart catheterization | 96,000.00 | 120,000.00 |
CARD042 | Trans septal puncture | 30,000.00 | 48,000.00 |
CARD043 | Pharmacological study | 9,000.00 | 12,000.00 |
CARD044 | Injection right ventricle or right atrial angiography, imaging and supervision | 30,000.00 | 48,000.00 |
CARD045 | Injection supravalvular aortography imaging supervision and interpretation | 18,000.00 | 30,000.00 |
CARD046 | Injection for pulmonary angiography, imaging supervision and interpretation | 30,000.00 | 48,000.00 |
CARD047 | Insertion of arterial closure device (eg angioseal, starclose, per close | 3,000.00 | 9,000.00 |
Non-invasive cardiopulmonary testing | |||
CARD048 | Performing and interpretation of the resting 12 lead ECG | 1,800.00 | 3,600.00 |
CARD049 | Performing and interpretation of the cardiovascular stress ECG, supervision and report | 14,400.00 | 21,600.00 |
CARD050 | 24 hour ambulatory ECG/holter with monitoring and interpretation and report | 12,000.00 | 18,000.00 |
CARD051 | 24 hour ambulatory BP measurement, analysis and interpretation and report | 12,000.00 | 18,000.00 |
CARD052 | Spirometry including graphic report | 6,000.00 | 9,000.00 |
CARD053 | Spirometry, for bronchospasm evaluation: before and after bronchodilator | 7,200.00 | 9,600.00 |
CARD054 | Tilt-table testing for syncope evaluation | 6,000.00 | 9,000.00 |
Percutaneous coronary intervention | |||
CARD055 | Percutaneous transluminal coronary angioplasty, single vessel | 120,000.00 | 180,000.00 |
CARD056 | Percutaneous transluminal coronary, each additional vessel | 60,000.00 | 96,000.00 |
CARD057 | Transcatheter placement of intracoronary stent, percutaneous initial vessel | 144,000.00 | 210,000.00 |
CARD058 | Transcatheter placement of intracoronary stent, each additional vessel | 72,000.00 | 108,000.00 |
CARD059 | Aspiration thrombectomy of intracoronary thrombus | 30,000.00 | 48,000.00 |
CARD060 | Intracoronary physiology studies, fractional flow reserve | 30,000.00 | 48,000.00 |
CARD061 | Intracoronary ultrasound studies, IVUS | 30,000.00 | 48,000.00 |
Pacemakers | |||
CARD062 | Permanent single chamber insertion | 84,000.00 | 120,000.00 |
CARD063 | Permanent - dual chamber insertion | 120,000.00 | 180,000.00 |
CARD064 | Insertion of implantable cardiac defibrillator (ICD) | 180,000.00 | 240,000.00 |
CARD065 | Insertion of biventricular cardiac resynchronization device | 300,000.00 | 42,000.00 |
CARD066 | Defibrillation threshold testing during or after implantation of ICD device | 30,000.00 | 4,800.00 |
CARD067 | Insertion of temporary transvenous pacemaker | 36,000.00 | 60,000.00 |
CARD068 | Programming of atrio-ventibular sequential pacemaker or single chamber pacemaker (eg DDD,VVI) | 9,000.00 | 12,000.00 |
CARD069 | Programming of ICD (implantable cardiacdefibrillator) | 12,000.00 | 15,000.00 |
CARD070 | Renewal of pacemaker generator (battery change) | 42,000.00 | 72,000.00 |
CARD071 | Insertion of implantable loop recorder | 36,000.00 | 60,000.00 |
CARD072 | Syncrhonized DC cardioversion for unstable technyarrhythmia | 18,000.00 | 30,000.00 |
Structural heart disease interventional procedures | |||
CARD073 | Atrial septostomy | 96,000.00 | 120,000.00 |
CARD074 | Pulmonary valve valvuloplasty | 96,000.00 | 144,000.00 |
CARD075 | Aortic valve valvuloplasty | 96,000.00 | 144,000.00 |
CARD076 | Mitral valve valvuloplasty, percutaeous balloon | 96,000.00 | 144,000.00 |
CARD077 | Coarctation of the aorta, percutaneous balloon dilatation | 108,000.00 | 72,000.00 |
CARD078 | Closure of atrial septal defect | 96,000.00 | 144,000.00 |
CARD079 | Closure of patent ductus arteriosus | 90,000.00 | 144,000.00 |
CARD080 | Pericardiocentesis without drainage, diagnostic | 9,000.00 | 18,000.00 |
CARD081 | Pericardiocentesis with catheter draining, therapeutic | 24,000.00 | 42,000.00 |
Specialist consultations and inpatient visits | |||
CARD082 | Cardiology specialist office consultation initial visit during normal office hours | 4,800.00 | 9,600.00 |
CARD083 | Cardiology specialist casualty/emergency room consultation, initial visit | 9,000.00 | 12,000.00 |
CARD084 | Cardiology specialist hospital consultation, intensive care unit initial visit | 12,000.00 | 18,000.00 |
CARD085 | Cardiology specialist hospital consultation, medical or surgical ward, initial visit | 6,000.00 | 10,800.00 |
CARD086 | Cardiology specialist hospital, ICU follow up visit | 9,000.00 | 10,800.00 |
CARD087 | Cardiology specialist hospital, high dependency unit, follow up visit | 6,000.00 | 10,800.00 |
CARD088 | Cardiology specialist hospital, medical or surgical ward, follow up visit | 4,800.00 | 9,600.00 |
CARD089 | Emergency cardiac resuscitation | 18,000.00 | 30,000.00 |
CARD090 | Microlaryngeal surgery | 144,000.00 | 180,000.00 |
CARD091 | Microlaryngoscopy | 72,000.00 | 120,000.00 |
CARD092 | Intranasal ethmoidectomy | 90,000.00 | 120,000.00 |
CARD093 | Cochlea operations | 90,000.00 | 144,000.00 |
CARD094 | Middle ear tumour excision | 144,000.00 | 180,000.00 |
M009 : EAR, NOSE AND THROAT SURGERY | |||
A) Major I | |||
ENT01 | Excision of thyroglossal cyst /duct | 90,000.00 | 132,000.00 |
ENT02 | Excision of submandibular salivary gland | 72,000.00 | 108,000.00 |
ENT03 | Excision of branchial cyst / sinus / fistula | 90,000.00 | 144,000.00 |
ENT04 | Caldwell-Luc procedure | 72,000.00 | 120,000.00 |
ENT05 | T.I.T. and turbinoplasty | 54,000.00 | 84,000.00 |
ENT06 | T.I.T. and intranasal antrostomy | 72,000.00 | 108,000.00 |
ENT07 | Tonsillectomy ( adult ) | 54,000.00 | 108,000.00 |
ENT08 | Submucous resection of nasal septum | 72,000.00 | 144,000.00 |
ENT09 | Urulopalatopharyngoplasty | 54,000.00 | 144,000.00 |
Bat Ears reduction: | |||
ENT010 | Unilateral | 72,000.00 | 108,000.00 |
ENT011 | Bilateral | 90,000.00 | 144,000.00 |
ENT012 | Lateral rhinotomy | 108,000.00 | 144,000.00 |
ENT013 | Laryngocele excision | 108,000.00 | 144,000.00 |
ENT014 | Maxillary artery ligation | 108,000.00 | 156,000.00 |
ENT015 | Meatoplasty | 90,000.00 | 132,000.00 |
ENT016 | Transplatatal excision of choanal atresia | 126,000.00 | 168,000.00 |
ENT017 | Vocal cord lateralisation | 90,000.00 | 126,000.00 |
B) Intermediate I | |||
ENT018 | Bronchoscopy and removal of FB | 72,000.00 | 108,000.00 |
ENT019 | Excision of head and neck lipoma | 72,000.00 | 132,000.00 |
ENT020 | Tracheostomy | 48,000.00 | 72,000.00 |
ENT021 | Adenoidectomy | 36,000.00 | 72,000.00 |
ENT022 | Adenotonsillectomy (Ts 7 As ) | 60,000.00 | 96,000.00 |
ENT023 | Tonsillectomy ( paediatric ) | 60,000.00 | 120,000.00 |
ENT024 | Direct laryngoscopy and biopsy | 60,000.00 | 84,000.00 |
ENT025 | Myringotomy | 18,000.00 | 36,000.00 |
ENT026 | Myringoplasty | 18,000.00 | 48,000.00 |
ENT027 | Nasal polypectomy | 36,000.00 | 72,000.00 |
ENT028 | Oesophagoscopy and removal of FB | 60,000.00 | 96,000.00 |
ENT029 | EUA and biopsy of nasopharynx, eas, nose | 48,000.00 | 96,000.00 |
ENT030 | Intranasal antrostomy | 36,000.00 | 96,000.00 |
C) Intermediate II | |||
ENT031 | Incision + drainage head and neck abscess (I&D) | 30,000.00 | 48,000.00 |
ENT032 | Pharyngeal abscess drainage | 36,000.00 | 72,000.00 |
ENT033 | Preauricular sinus excision | 36,000.00 | 72,000.00 |
ENT034 | Bilateral antronasal washout (BAWO) | 36,000.00 | 60,000.00 |
D) Minor | |||
ENT035 | MUA # nose | 12,000.00 | 30,000.00 |
ENT036 | Antral and nasal packing | 12,000.00 | 30,000.00 |
ENT037 | Release of tongue tie | 12,000.00 | 30,000.00 |
ENT038 | Chemical cauterisation of the nose | 12,000.00 | 30,000.00 |
ENT039 | Diathermy and reduction of septum | 8,400.00 | 24,000.00 |
ENT040 | Nasal / tonsillar cautery | 18,000.00 | 36,000.00 |
ENT041 | Cervical lymph node biopsy | 30,000.00 | 30,000.00 |
ENT042 | Removal of FB in ear or nose | 8,400.00 | 18,000.00 |
ENT043 | Removal of wax from external ears ( syringing ) | 6,000.00 | 12,000.00 |
M010 OPHTHALMOLOGY | |||
Diagnostic Tests | |||
OPHT01 | Tonometery per eye | 1,200.00 | 1,800.00 |
OPHT02 | Pachymetery per eye | 1,800.00 | 2,400.00 |
OPHT03 | Gonioscopy per eye | 1,800.00 | 2,400.00 |
OPHT04 | Retinal photography per eye | 1,800.00 | 2,400.00 |
OPHT05 | Flourescein Angiography | 12,000.00 | 18,000.00 |
OPHT06 | Visual Fields per eye | 2,400.00 | 3,000.00 |
OPHT07 | Ocular Coherent Tomography Scan per eye | 6,000.00 | 6,600.00 |
OPHT08 | Corneal Topography per eye | 2,400.00 | 3,000.00 |
OPHT09 | Ultrasound per eye | 6,000.00 | 7,200.00 |
OPHT10 | Visual Fields per eye | 2,400.00 | 3,600.00 |
OPHT11 | Biometry per eye | 3,600.00 | 4,800.00 |
OPHT12 | Oculyzer per eye | 3,600.00 | 4,800.00 |
OPHT13 | Retinoscopy | 1,800.00 | 3,600.00 |
OPHT14 | Endothelia Cell count per eye | 2,400.00 | 3,600.00 |
OPHT15 | Dressing | 3,600.00 | 4,800.00 |
OPHT16 | Optical coherence tomography (OCT) | 5,000.00 | 8,000.00 |
OPHT17 | Topography | 5,000.00 | 8,000.00 |
OPHT18 | Tomography | 5,000.00 | 8,000.00 |
ORBIT AND ACCULOPLASTICS | |||
Lids | |||
OPHT19 | Entropion repair Moderate | 48,000.00 | 80,000.00 |
OPHT20 | Epiblepharon repair | 24,000.00 | 60,000.00 |
OPHT21 | Ectropion repair Moderate | 48,000.00 | 70,000.00 |
OPHT22 | Ptosis repair | 60,000.00 | 80,000.00 |
OPHT23 | Brow lift | 36,000.00 | 100,000.00 |
OPHT24 | Lid +/- canaliculi laceration repair | 48,000.00 | 60,000.00 |
OPHT25 | Lid tumour excision/incisional biopsy | 72,000.00 | 80,000.00 |
OPHT26 | Lid tumour excision + reconstruction | 96,000.00 | 150,000.00 |
OPHT27 | Tarsorrhaphy | 24,000.00 | 30,000.00 |
OPHT28 | Upper lid blepharoplasty | 48,000.00 | 80,000.00 |
OPHT29 | Lower lid blepharoplasty | 48,000.00 | 80,000.00 |
OPHT30 | Lid abscess I&D | 24,000.00 | 100,000.00 |
OPHT31 | Chalazion I&D | 24,000.00 | 30,000.00 |
OPHT32 | Epilation | 6,000.00 | 10,000.00 |
OPHT33 | Lash Electrolysis | 24,000.00 | 30,000.00 |
Sockets | |||
OPHT034 | Evisceration | 48,000.00 | 60,000.00 |
OPHT035 | Evisceration + orbital implant | 60,000.00 | 72,000.00 |
OPHT036 | Enucleation | 48,000.00 | 60,000.00 |
OPHT037 | Enucleation + orbital implant | 48,000.00 | 80,000.00 |
OPHT038 | Socket/Fornix reconstruction | 96,000.00 | 150,000.00 |
Orbit | |||
OPHT039 | Dermoid excision | 72,000.00 | 96,000.00 |
OPHT040 | Anterior orbitotomy | 12,000.00 | 180,000.00 |
OPHT041 | Lateral orbitotomy | 12,000.00 | 180,000.00 |
OPHT042 X | Lateral orbitotomy | 12,000.00 | 180,000.00 |
OPHT043 | Orbital wall decompression | 120,000.00 | 200,000.00 |
OPHT044 | Mucocele incision and drainage | 60,000.00 | 80,000.00 |
OPHT045 | Exenteration Lacrimal | 96,000.00 | 120,000.00 |
OPHT046 | Punctoplasty | 36,000.00 | 60,000.00 |
OPHT047 | Syringing and probing (S&P) | 24,000.00 | 40,000.00 |
OPHT048 | Syringing, Probing & intubation | 48,000.00 | 80,000.00 |
OPHT049 | DCR | 96,000.00 | 120,000.00 |
OPHT050 | DCR + Jones tube | 120,000.00 | 200,000.00 |
RETINA AND POSTERIOR SEGMENT SURGERY | |||
Retina Photocoagulation | |||
OPHT051 | Central laser per session | 15,000.00 | 40,000.00 |
OPHT052 | PRP on slit lamp per session | 20,000.00 | 40,000.00 |
OPHT053 | PRP Laser indirect with parabulbar per eye per session | 40,000.00 | 60,000.00 |
OPHT054 | Laser retinopexy | 48,000.00 | 72,000.00 |
OPHT055 | Cyclo-Cryo per eye | 24,000.00 | 36,000.00 |
OPHT056 | Cyclo-photo per eye | 24,000.00 | 36,000.00 |
OPHT057 | Intra-vitreal injections | 15,000.00 | 35,000.00 |
OPHT058 | Posterior segment trauma surgery/repair | 150,000.00 | 300,000.00 |
Surgical Procedures | |||
OPHT059 | Silicon Oil Removal | 120,000.00 | 180,000.00 |
OPHT060 | Cataract surgery with Silicon Oil removal | 180,000.00 | 240,000.00 |
OPHT061 | Posterior Vitrectomy with dropped intra ocular lens or vitreous foreign body | 240,000.00 | 300,000.00 |
OPHT062 | Posterior vitrectomy and gas | 240,000.00 | 300,000.00 |
OPHT063 | Posterior vitrectomy and oil | 240,000.00 | 300,000.00 |
OPHT064 | Posterior vitrectomy, Delamination and gas or oil | 240,000.00 | 300,000.00 |
OPHT065 | Combined Procedures (Vitrectomy, band or buckle, gas or oil) | 300,000.00 | 360,000.00 |
OPHT066 | Combine procedure (Posterior vitrectomy and cataract surgery and intraocular lens implant) | 300,000.00 | 360,000.00 |
OPHT067 | Combine procedure (Posterior vitrectomy, buckle or band and cataract surgery and intraocular lens implant) | 300,000.00 | 360,000.00 |
OPHT068 | Posterior Vitrectomy and Macula hole surgery | 240,000.00 | 300,000.00 |
OPHT069 | Retina Detachment surgery - Scleral buckle/Scleral Explant and Cryotherapy | 240,000.00 | 300,000.00 |
OPHT070 | Posterior Segment Trauma surgery/Repair | 24,000.00 | 360,000.00 |
OPHT071 | Scleral Buckle/Explant removal | 84,000.00 | 120,000.00 |
PEDIATRIC OPHTHALMOLOGY AND SQUINTS | |||
OPHT072 | AC Reformation | 12,000.00 | 18,000.00 |
OPHT073 | AC wash out | 18,000.00 | 24,000.00 |
OPHT074 | Corneal FB removal | 12,000.00 | 18,000.00 |
OPHT075 | Corneal repair | 60,000.00 | 120,000.00 |
OPHT076 | EUA | 18,000.00 | 24,000.00 |
OPHT077 | Goniotomy | 60,000.00 | 72,000.00 |
OPHT078 | IOL exchange | 72,000.00 | 960,000.00 |
OPHT079 | Lensectomy and IOL | 72,000.00 | 96,000.00 |
OPHT080 | AC Membrane Removal | 18,000.00 | 24,000.00 |
OPHT081 | Pars Plana Posterior Capsulutomoy | 36,000.00 | 48,000.00 |
OPHT082 | Iridectomy/ Iridotomy | 24,000.00 | 36,000.00 |
OPHT083 | Pupilloplasty | 24,000.00 | 36,000.00 |
OPHT084 | Squint Repair Per Muscle | 48,000.00 | 60,000.00 |
OPHT085 | Every extra muscle | 30,000.00 | 48,000.00 |
OPHT086 | Optical Iridectomy | 36,000.00 | 60,000.00 |
GLAUCOMA SURGERY | |||
OPHT087 | Trabeculectomy | 60,000.00 | 96,000.00 |
OPHT088 | Goniotomy | 60,000.00 | 84,000.00 |
OPHT089 | Combined Phaco/trab | 120,000.00 | 144,000.00 |
OPHT090 | Combined ECCE/Trab | 120,000.00 | 144,000.00 |
OPHT091 | Glaucoma Drainage Implants [GDI] | 84,000.00 | 96,000.00 |
OPHT092 | Combined Phaco/GDI | 120,000.00 | 144,000.00 |
OPHT093 | Surgical Iridectomy | 24,000.00 | 36,000.00 |
OPHT094 | EUA for congenital glaucoma | 18,000.00 | 40,000.00 |
OPHT095 | Bleb Revision | 24,000.00 | 36,000.00 |
OPHT096 | Cyclocryotherapy | 24,000.00 | 36,000.00 |
OPHT097 | Retrobulbar Alcohol | 6,000.00 | 12,000.00 |
Lasers | |||
OPHT098 | Trabeculoplasty | 24,000.00 | 36,000.00 |
OPHT099 | Laser Peripheral Iridotomy | 24,000.00 | 36,000.00 |
OPHT100 | Trans-Scleral cyclophotocoagulation | 24,000.00 | 36,000.00 |
OPHT101 | Laser suturelysis | 12,000.00 | 18,000.00 |
CORNEA AND ANTERIOR SEGMENT | |||
OPHT102 | Small Incision Cataract surgery with Implant | 60,000.00 | 84,000.00 |
OPHT103 | Phacoemulsification Cataract surgery with Implant | 84,000.00 | 108,000.00 |
OPHT104 | Combined Phacoemulsfication with Trab | 120,000.00 | 144,000.00 |
OPHT105 | Intraocular lens implant with vitrectomy | 84,000.00 | 108,000.00 |
OPHT106 | Perforating eye injury repair | 84,000.00 | 108,000.00 |
OPHT107 | Conjuctival lesion excision | 24,000.00 | 36,000.00 |
OPHT108 | Conjuctival lesion excision with graft | 36,000.00 | 48,000.00 |
OPHT109 | Corneal transplant (PKP) | 180,000.00 | 24,000.00 |
OPHT110 | Corneal Transplant (Lamellar Keratoplasty) | 180,000.00 | 240,000.00 |
OPHT111 | Triple Procedure (Corneal transplant+cataract surgery+ intraocular lens) | 240,000.00 | 300,000.00 |
OPHT112 | Elective Removal of Corneal Sutures - Theatre | 12,000.00 | 24,000.00 |
OPHT113 | Removal of Corneal Sutures - Slit Lamp | 6,000.00 | 12,000.00 |
OPHT114 | Corneal Ulcer Scrapping | 6,000.00 | 12,000.00 |
OPHT115 | Removal of Corneal Foreign Body | 6,000.00 | 12,000.00 |
OPHT116 | Cross Linking per eye | 48,000.00 | 84,000.00 |
OPHT117 | YAG posterior Capsulotomy per eye | 6,000.00 | 12,000.00 |
OPHT118 | Anterior Chamber Tap / injection | 8,400.00 | 12,000.00 |
OPHT119 | Subconjuctival/Subtenon Injection | 8,400.00 | 12,000.00 |
REFRACTIVE SURGERIES | |||
OPHT120 | Pre-LASIK assesment | 8,400.00 | 12,000.00 |
OPHT121 | LASIK procedure per eye | 84,000.00 | 108,000.00 |
OPHT122 | Surface Ablation per eye | 84,000.00 | 108,000.00 |
OPHT123 | Intraocular Contact Lens per eye | 84,000.00 | 108,000.00 |
OPHT124 | Photokeratectomy (removal ofcorneal scar) | 84,000.00 | 108,000.00 |
M011 : OBSTETRICS ANDGYNAECOLOGICALSURGERY | |||
A) Complex Major | |||
OBGYN01 | Wertheim’s hysterectomy | 180,000.00 | 420,000.00 |
OBGYN02 | Ovarian cancer resection (pelvic clearance) | 180,000.00 | 420,000.00 |
OBGYN03 | Repair of vesicovaginal | 180,000.00 | 420,000.00 |
OBGYN04 | Repair of rectovaginal fistula | 180,000.00 | 420,000.00 |
OBGYN04 | Repair of rectovaginal fistula | 180,000.00 | 420,000.00 |
OBGYN05 | AP colpoperineorrhaphy | 180,000.00 | 360,000.00 |
OBGYN06 | Repair of ruptured uterus /caesarian hysterectomy | 180,000.00 | 420,000.00 |
OBGYN07 | Radical vulvectomy | 180,000.00 | 420,000.00 |
OBGYN08 | Manchester repair | 180,000.00 | 420,000.00 |
OBGYN09 | Repair of pelvic floor | 180,000.00 | 420,000.00 |
B) Major ILaparotomy: | |||
OBGYN010 | Tuboplasty | 144,000.00 | 300,000.00 |
OBGYN011 | Hysterectomy ( abdominal ) | 144,000.00 | 300,000.00 |
OBGYN012 | Myomectomy | 144,000.00 | 300,000.00 |
OBGYN013 | Ovarian cystectomy | 120,000.00 | 240,000.00 |
OBGYN014 | Ruptured ectopic pregnancy | 100,000.00 | 200,000.00 |
OBGYN015 | Pelvic abscess | 120,000.00 | 240,000.00 |
OBGYN016 | Exploratory / adhesiolysis | 120,000.00 | 240,000.00 |
OBGYN017 | Ventrosuspension | 120,000.00 | 240,000.00 |
OBGYN018 | Salpingo – oopherectomy | 120,000.00 | 240,000.00 |
OBGYN019 | Endometriosis surgery | 180,000.00 | 300,000.00 |
OBGYN020 | Metroplasty / uteroplasty | 144,000.00 | 300,000.00 |
OBGYN021 | Simple vulvectomy | 180,000.00 | 300,000.00 |
OBGYN022 | Vaginal hysterectomy | 180,000.00 | 300,000.00 |
Operative Laparoscopy: | |||
OBGYN023 | Ovarian cystectomy / drilling | 144,000.00 | 300,000.00 |
OBGYN024 | Ectopic pregnancy | 144,000.00 | 300,000.00 |
OBGYN025 | Tuboplasty | 144,000.00 | 300,000.00 |
OBGYN026 | Adhesiolysis | 144,000.00 | 300,000.00 |
OBGYN027 | Endometriosis surgery | 144,000.00 | 300,000.00 |
OBGYN028 | Myomectomy | 144,000.00 | 300,000.00 |
OBGYN029 | Hysterectomy | 144,000.00 | 300,000.00 |
C) Major II | |||
OBGYN030 | Caesarian section | 96,000.00 | 180,000.00 |
OBGYN031 | Colposuspension + D&C | 84,000.00 | 120,000.00 |
OBGYN032 | Hysterotomy | 84,000.00 | 120,000.00 |
OBGYN033 | Laparoscopic bilateral tubal ligation | 60,000.00 | 96,000.00 |
OBGYN034 | Diagnostic / dye laparoscopy + D&C | 72,000.00 | 108,000.00 |
Operative Hysteroscopy | |||
OBGYN035 | Biopsy | 48,000.00 | 72,000.00 |
OBGYN036 | Retrieval of lost / fragmented IUCD | 48,000.00 | 84,000.00 |
OBGYN037 | Synechiolysis / septolysis | 84,000.00 | 180,000.00 |
OBGYN038 | Resection of submucous fibroid | 84,000.00 | 180,000.00 |
OBGYN039 | Avulsion of endometrial polyps | 84,000.00 | 180,000.00 |
OBGYN040 | Endometrial ablation | 84,000.00 | 120,000.00 |
D) Intermediate I | |||
OBGYN041 | Resuturing of burst abdomen | 24,000.00 | 60,000.00 |
Termination of pregnancy | |||
OBGYN042 | Medical | 12,000.00 | 36,000.00 |
Surgical | |||
OBGYN043 | Before 12 weeks | 36,000.00 | 96,000.00 |
OBGYN044 | After 12 weeks | 60,000.00 | 120,000.00 |
OBGYN045 | D & C hysterosalpingogram | 36,000.00 | 60,000.00 |
OBGYN046 | D & C + cone biopsy | 48,000.00 | 96,000.00 |
OBGYN047 | Manual removal of retained placenta | 36,000.00 | 60,000.00 |
OBGYN048 | Postnatal tubal ligation | 36,000.00 | 72,000.00 |
OBGYN049 | Cerclage | 36,000.00 | 48,000.00 |
OBGYN050 | Mini-laparotomy for tubal ligation | 36,000.00 | 72,000.00 |
OBGYN051 | Vasectomy | 12,000.00 | 24,000.00 |
OBGYN052 | Marsupialisation of Batholins Cyst / abscess | 24,000.00 | 36,000.00 |
OBGYN053 | Menstrual regulation / MVA | 12,000.00 | 24,000.00 |
E) Intermediate II | |||
OBGYN054 | Cervical cauterisation | 24,000.00 | 36,000.00 |
OBGYN055 | Fanton’s operation + D & C | 36,000.00 | 60,000.00 |
OBGYN056 | Diagnostic D & C | 36,000.00 | 60,000.00 |
OBGYN057 | Diagnostic hysteroscopy | 36,000.00 | 60,000.00 |
OBGYN058 | Repair of cervical tears | 36,000.00 | 60,000.00 |
OBGYN059 | Cauterisation / excision ofvulval warts | 24,000.00 | 36,000.00 |
OBGYN060 | Cryotherapy | 18,000.00 | 30,000.00 |
OBGYN061 | Repair of broken episiotomy /third degree tear | 36,000.00 | 60,000.00 |
OBGYN062 | Cone biospy of cervix | 36,000.00 | 60,000.00 |
OBGYN063 | LLETZ ( loop excision ) | 36,000.00 | 60,000.00 |
OBGYN064 | Normal delivery | 36,000.00 | 72,000.00 |
OBGYN065 | Augmented delivery | 36,000.00 | 72,000.00 |
OBGYN066 | Breech vaginal delivery | 36,000.00 | 96,000.00 |
OBGYN067 | Assisted vaginal delivery (vacuum/ forceps) | 48,000.00 | 96,000.00 |
OBGYN068 | Twin vaginal delivery | 72,000.00 | 120,000.00 |
OBGYN069 | Resuscitation of new born | 12,000.00 | 24,000.00 |
F) Minor ( GA ) | |||
OBGYN070 | Evacuation of uterus ( RPOC’s ) | 60,000.00 | 96,000.00 |
OBGYN071 | Examination under GA (EUA) / biopsy | 36,000.00 | 96,000.00 |
OBGYN072 | Colposcopy | 30,000.00 | 60,000.00 |
G) Minor office based procedures ) | |||
OBGYN073 | HVS collection | 6,000.00 | 12,000.00 |
OBGYN074 | Pap smear collection | 3,600.00 | 7,200.00 |
OBGYN075 | Norplant insertion / removals | 6,000.00 | 12,000.00 |
OBGYN076 I | UCD insertion / removals | 6,000.00 | 12,000.00 |
OBGYN077 | IUCD retrieval ( lost IUCD’s ) | 6,000.00 | 12,000.00 |
OBGYN078 | Endometrial biopsy | 12,000.00 | 24,000.00 |
OBGYN079 | External cephalic version | 12,000.00 | 24,000.00 |
M012 : PAEDIATRIC SURGERY | |||
A) Complex Major | |||
PAEDS01 | Small bowel atresia | 60,000.00 | 180,000.00 |
PAEDS02 | Thoracotomy ( oesophageal atresia ) | 60,000.00 | 240,000.00 |
PAEDS03 | Biliary atresia ( Kasai Kimura procedures, porto –enterostomy ) | 90,000.00 | 240,000.00 |
PAEDS04 | Nissen’s fundoplication | 60,000.00 | 144,000.00 |
PAEDS05 | Gut duplications procedure | 36,000.00 | 108,000.00 |
Hirschsprung’s disease procedure: | — | — | |
PAEDS06 | a) Laparotomy, biopsy, colostomy | 48,000.00 | 96,000.00 |
PAEDS07 | b) Abdominoperineal pull through (Soave, Swenson) | 72,000.00 | 180,000.00 |
PAEDS08 | c) Closure of colostomy | 36,000.00 | 60,000.00 |
PAEDS09 | d) Rectal biopsies | 24,000.00 | 48,000.00 |
PAEDS10 | Hellers cadiomyotomy | 60,000.00 | 120,000.00 |
PAEDS11 | Bladder neck reconstruction | 96,000.00 | 240,000.00 |
PAEDS12 | Urinary diversion | 48,000.00 | 96,000.00 |
PAEDS13 | Rectosigmoidostomy | 54,000.00 | 108,000.00 |
PAEDS14 | Posterior sagittal anorectoplasty (PSARP ) for anorectal malformation | 72,000.00 | 180,000.00 |
B) Major I | |||
PAEDS015 | Omphalocele | 36,000.00 | 96,000.00 |
PAEDS016 | Splenectomy | 60,000.00 | 108,000.00 |
Laparotomy: | |||
PAEDS017 | Intussusception | 48,000.00 | 96,000.00 |
PAEDS018 | Volvulus | 48,000.00 | 96,000.00 |
PAEDS019 | Malrotation & plication | 60,000.00 | 120,000.00 |
PAEDS020 | Tumours | 72,000.00 | 144,000.00 |
PAEDS021 | Intestinal resection + anastomasis | 60,000.00 | 144,000.00 |
PAEDS022 | Exploration of retroperitoneal mass | 72,000.00 | 108,000.00 |
PAEDS023 | Hemicolectomy | 48,000.00 | 96,000.00 |
PAEDS024 | Excision of liver hydatid cyst | 60,000.00 | 144,000.00 |
PAEDS025 | Nephrectomy | 72,000.00 | 120,000.00 |
PAEDS026 | Reflux hydrorephrosis ( re - implantation ) | 36,000.00 | 60,000.00 |
PAEDS027 | Urethroplasty for hypospadies and epispadies | 60,000.00 | 144,000.00 |
PAEDS028 | Repair of fistula after urethroplasty | 24,000.00 | 48,000.00 |
PAEDS029 | Thyroidectomy | 24,000.00 | 60,000.00 |
PAEDS030 | Pyloric stenosis | 60,000.00 | 120,000.00 |
PAEDS031 | Pelvic ureteric junction obstruction (PUJO) | 60,000.00 | 144,000.00 |
PAEDS032 | Bladder calculi | 24,000.00 | 48,000.00 |
PAEDS033 | Umbilicoplasty | 36,000.00 | 72,000.00 |
PAEDS034 | Mastectomy | 36,000.00 | 84,000.00 |
C) Major II | |||
PAEDS035 | Colostomy | 48,000.00 | 96,000.00 |
PAEDS036 | Gastrostomy | 36,000.00 | 72,000.00 |
PAEDS037 | Diagnostic laparotomy | 48,000.00 | 96,000.00 |
PAEDS038 | Repair of inguinal hernia / hydrocele | 24,000.00 | 60,000.00 |
PAEDS038 | Repair of inguinal hernia /hydrocele | 24,000.00 | 60,000.00 |
PAEDS039 | Bilateral inguinal hernia | 36,000.00 | 72,000.00 |
PAEDS040 | Repair of diaphragmatic hernia | 60,000.00 | 90,000.00 |
PAEDS041 | Orchidopexy | 24,000.00 | 60,000.00 |
PAEDS042 | Bilateral orchidopexy | 36,000.00 | 96,000.00 |
D) Intermediate I | |||
PAEDS043 | Appendicectomy | 36,000.00 | 84,000.00 |
PAEDS044 | Resuturing of burst abdomen | 24,000.00 | 48,000.00 |
PAEDS045 | Herniotomy + unilateral orchidectomy | 54,000.00 | 90,000.00 |
PAEDS046 | Herniotomy + unilateral orchidopexy | 54,000.00 | 90,000.00 |
PAEDS047 | Fistula in ano | 48,000.00 | 96,000.00 |
PAEDS048 | Excision of pilonidal sinus | 30,000.00 | 84,000.00 |
PAEDS049 | Fissure in ano | 18,000.00 | 48,000.00 |
PAEDS050 | Resection of posterior / anterior urethral valves | 48,000.00 | 96,000.00 |
PAEDS051 | Torsion of testis | 48,000.00 | 96,000.00 |
PAEDS052 | Extrophy of bladder ( repair ) | 96,000.00 | 240,000.00 |
PAEDS053 | Cystic hygroma | 48,000.00 | 96,000.00 |
PAEDS054 | Excision of ganglion / lipoma | 18,000.00 | 36,000.00 |
E) Intermediate II ( GA ) | |||
PAEDS055 | Tracheostomy | 48,000.00 | 72,000.00 |
PAEDS056 | Skin grafting (burns ) | 24,000.00 | 48,000.00 |
PAEDS057 | Release of contractures | 18,000.00 | 60,000.00 |
PAEDS058 | Surgical toilet | 12,000.00 | 24,000.00 |
PAEDS059 | Polypectomy | 18,000.00 | 48,000.00 |
PAEDS060 | Testicular biopsy | 18,000.00 | 48,000.00 |
PAEDS061 | Cystoscopy + insertion of DJ stent | 12,000.00 | 36,000.00 |
PAEDS062 | Cystoscopy + insertion of DJ stent | 30,000.00 | 60,000.00 |
PAEDS063 | Insertion of CAPD catheter | 24,000.00 | 48,000.00 |
PAEDS064 | Suprapubic cystotomy | 18,000.00 | 36,000.00 |
PAEDS065 | Exploration of foreign body | 24,000.00 | 48,000.00 |
PAEDS066 | Excision of haemorrhoids | 24,000.00 | 48,000.00 |
F) Minor (GA) | |||
PAEDS067 | Lymph node biopsy | 18,000.00 | 36,000.00 |
PAEDS068 | Needle biopsy liver | 18,000.00 | 36,000.00 |
PAEDS069 | Secondary suturing of wounds - LA | 12,000.00 | 24,000.00 |
PAEDS070 | Secondary suturing of wounds - GA | 24,000.00 | 48,000.00 |
PAEDS071 | Skin biopsy | 12,000.00 | 24,000.00 |
PAEDS072 | Excision of warts | 8,400.00 | 24,000.00 |
PAEDS073 | Rigid sigmoidoscopy + rectal snip | 8,400.00 | 30,000.00 |
PAEDS074 | Excision of fingernail / toenail | 18,000.00 | 30,000.00 |
PAEDS075 | Circumcision | 12,000.00 | 30,000.00 |
PAEDS076 | Release of tongue tie | 18,000.00 | 30,000.00 |
PAEDS077 | Incision and drainage of abscess | 18,000.00 | 30,000.00 |
PAEDS078 | Insertion of underwater seal drainage | 18,000.00 | 36,000.00 |
M013: ANAESTHESIA | |||
ANAESTHESIA | |||
Transfers | Minimum KSh. | Maximum KSh. | |
ANAES01 | Inter hospital (From one unit to another) Per Hour | 10,000.00 | 15,000.00 |
ANAES02 | Inter hospital (Same town) - Per hour | 10,000.00 | 20,000.00 |
ANAES03 | Inter hospital (Different town) - Per hour | 10,000.00 | 50,000.00 |
ANAES04 | Inter hospital (International) - Perhour excluding air fare, accomodation and travelinsurance | 10,000.00 | 25,000.00 |
Procedures outside the operating room | |||
ANAES05 | Tracheal intubation | 7,500.00 | 15,000.00 |
ANAES06 | Tracheal extubation | 7,500.00 | 15,000.00 |
ANAES07 | CVP Catheterization | 15,000.00 | 20,000.00 |
ANAES08 | Lumbar puncture (LP) | 10,000.00 | 15,000.00 |
ANAES09 | Bladder Cathetirization | 5,000.00 | 20,000.00 |
ANAES10 | NG tube insertion | 10,000.00 | 20,000.00 |
ANAES11 | ICU Admission protocol | 25,000.00 | 40,000.00 |
ANAES12 | Insertion of IV line | 5000.00 (+visit 3000.00) | |
ANAES13 | Arterial line | 10,000.00 | 10,000.00 |
ANAES14 | Epidurals for labour | ||
ANAES15 | Pain procedures (including nerve blocks) | ||
Visits and Reviews | |||
ANAES016 | Pre-operative visit | 5,000.00 | 8,000.00 |
ANAES017 | Post operative visit | 5,000.00 | 8,000.00 |
ANAES018 | ICU visit | 10,000.00 | 10,000.00 |
ANAES019 | HDU visit | 7,500.00 | 7,500.00 |
Monitored anaesthetic care, anaesthesia for other procedures, investigations i.e. CT scans/MRI as per category A and B | |||
The anaesthetic charges for group A and B apply | |||
The anaesthetic charges for group A and B apply | |||
ANAESTHESIA SPECIALTY FEES(invoicing begins at induction to accept recovery, handover at PACU) | |||
Group A: ASA I,II Patient | |||
ANAES020 | Minimum charge (1st half hour) | 15,000.00 | 20,000.00 |
ANAES021 | Second half hour + | 15,000.00 | 20,000.00 |
ANAES022 | Second and third hours | 20,000.00 | 25,000.00 |
ANAES023 | Fourth and subsequent hours | 25,000.00 | 27,500.00 |
Group B: ASA III,IV,V neonates and specialized surgery | |||
ANAES024 | Minimum charge + 1st half hour | 30,000.00 | 35,000.00 |
ANAES025 | Second half hour | 30,000.00 | 35,000.00 |
ANAES026 | Second and third hours | 35,000.00 | 40,000.00 |
ANAES027 | Second and third hours | 35,000.00 | 40,000.00 |
EMERGENCIES: 40% additional charge | |||
NB: In group B it may be mandatory to involve a second anaesthesiologist. In such cases, the second anaesthesiologist will invoice 50% of the charges raised by the primary. This is an additional cost of 50% on the anaesthetic fee. | |||
Diagnostic and Therapeutic Regional Anesthetic & Chronic pain Procedure Fees | |||
ANAES028 | 1st Consultations | 4,000.00 | 10,000.00 |
ANAES029 | Follow up Consultation | 2,500.00 | 5,000.00 |
Procedure | Minimum cost | Maximum cost | |
Nerve & Plexus blocks | |||
ANAES030 | Nerve plexus | 14,000.00 | 24,500.00 |
ANAES031 | Peripheral nerve block - single | 10,500.00 | 18,400.00 |
ANAES032 | Peripheral nerve block - multiple | 14,000.00 | 24,500.00 |
ANAES033 | Peripheral Nerve block - continous | 17,500.00 | 30,700.00 |
ANAES034 | Greater occipital nerve block: | 21,000.00 | 36,800.00 |
ANAES035 | Lesser occipital nerve block: | 21,000.00 | 36,800.00 |
ANAES036 | Suprascapular nerve: | 14,000.00 | 24,500.00 |
ANAES037 | Intercostal nerve (single) | 10,500.00 | 18,400.00 |
ANAES038 | Intercostal nerve (multiple) | 14,000.00 | 24,500.00 |
ANAES039 | Ilioinguinal and Iliohypogastric nerve: | 10,500.00 | 18,400.00 |
ANAES040 | Trigeminal nerve (any branch): | 56,000.00 | 98,000.00 |
ANAES041 | Sphenopalatine ganglion: | 28,000.00 | 49,000.00 |
ANAES042 | Stellate ganglion (cervical sympathetic): | 14,000.00 | 24,500.00 |
ANAES043 | Superior hypogastric plexus | 28,000.00 | 49,000.00 |
ANAES044 | Thoracic or lumbar paravertebral sympathetic or ganglion impar block | 28,000.00 | 49,000.00 |
ANAES045 | Celiac plexus: | 28,000.00 | 49,000.00 |
ANAES046 | Gasserian ganglion | 28,000.00 | 49,000.00 |
ANAES047 | Lateral femoral cutaneous nerve of the thigh | 10,500.00 | 18,400.00 |
ANAES048 | Paravertebral catheter | 17,500.00 | 30,700.00 |
JOINT / BURSA INJECTION OR ASPIRATION | |||
ANAES049 | Major joint/bursa (knee, hip, shoulder, trochanteric bursa, subacromial bursa, pes anserine bursa) | 7,000.00 | 12,300.00 |
ANAES050 | Intermediate joint/ bursa: (temporomandibular,acromioclavicular, wrist, elbow, ankle, olecranon bursa) | 10,500.00 | 18,400.00 |
ANAES051 | Minor joint / bursa: (fingers [PIP, DIP], toes) | 3,500.00 | 6,200.00 |
ANAES052 | Sacroiliac joint (SIJ) with fluoroscopy/ ultrasound | 21,000.00 | 36,800.00 |
ANAES053 | Sacroiliac joint (SIJ) without fluoroscopy/ ultrasound (billed like trigger point injection) | 7,000.00 | 12,300.00 |
ANAES054 | Fluoroscopic needle guidance (non-spinal): | 21,000.00 | 36,800.00 |
ANAES055 | Shoulder arthrogram injection: | 17,500.00 | 30,700.00 |
ANAES056 | Hip arthrogram injection: | 17,500.00 | 30,700.00 |
Tendons, Ligaments, and Muscle Injections | |||
ANAES057 | Tendon sheath or Ligament: (iliolumbar ligament, trigger finger, De Quervain’s tenosynovitis, plantar fascia) | 7,000.00 | 12,300.00 |
ANAES058 | Tendon origin/insertion: | 7,000.00 | 12,300.00 |
ANAES059 | Trigger point injection (1 or 2 muscles) | 7,000.00 | 12,300.00 |
ANAES060 | Trigger point injection (3 or more muscles): | 10,500.00 | 18,400.00 |
Epidural Steroid Injections (ESI) | |||
Interlaminar | |||
ANAES061 | Interlaminar – cervical or thoracic | 28,000.00 | 49,000.00 |
ANAES062 | Interlaminar – lumbar or sacral: | 14,000.00 | 24,500.00 |
ANAES063 | Fluoroscopic needle guidance (Spinal) | 14,000.00 | 24,500.00 |
Transforaminal--Remember: Fluoro can NOT be billed separately for these. | |||
ANAES064 | Transforaminal – cervical or thoracic (first level) | 28,000.00 | 49,000.00 |
ANAES065 | Transforaminal – cervical or thoracic (each additional level): | 31,500.00 | 55,200.00 |
ANAES066 | Transforaminal – lumbar or sacral (first level): | 21,000.00 | 36,800.00 |
ANAES067 | Transforaminal – lumbar or sacral (each additional level): | 24,500.00 | 42,900.00 |
Facet Joint Procedures | |||
Intraarticular Joint or Medial Branch Block-Remember: Fluoro can NOT be billed separately for these. | |||
ANAES068 | Intraarticular joint or medial branch block (MBB) – cervical or thoracic (1st level) | 28,000.00 | 49,000.00 |
ANAES069 | Intraarticular joint or medial branch block (MBB) – cervical or thoracic (2nd level): | 28,000.00 | 49,000.00 |
ANAES070 | Intraarticular joint or medial branch block (MBB) – cervical or thoracic (3rd level): | 28,000.00 | 49,000.00 |
ANAES071 | Intraarticular joint or medial branch block (MBB) – lumbar or sacral (1st level): | 21,000.00 | 36,800.00 |
ANAES072 | Intraarticular joint or medial branch block (MBB) – lumbar or sacral (2nd level): | 21,000.00 | 36,800.00 |
ANAES073 | Intraarticular joint or medial branch block (MBB) – lumbar or sacral (3rd level): | 21,000.00 | 36,800.00 |
Radiofrequency Ablation (RFA)/ ―Destruction‖ of Facet Joint---- Remember: Fluoro can NOT be billed separately for these. | |||
ANAES074 | Radiofrequency ablation (RFA) – cervical or thoracic (1st joint): | 35,000.00 | 61,300.00 |
ANAES075 | Radiofrequency ablation (RFA) – cervical or thoracic (eachadditional joint): | 35,000.00 | 61,300.00 |
ANAES076 | Radiofrequency ablation (RFA) – lumbar or sacral (1st joint): | 28,000.00 | 49,000.00 |
ANAES077 | Radiofrequency ablation (RFA) – lumbar or sacral (each additional joint): | 28,000.00 | 49,000.00 |
Sacroiliac Joint | |||
ANAES078 | Sacroiliac joint (SIJ) without fluoroscopy: (billed as a trigger point injection) | 10,500.00 | 18,400.00 |
ANAES079 | Sacroiliac joint (SIJ) with fluoroscopy: | 21,000.00 | 36,800.00 |
ANAES080 | Sacral lateral branch blocks: | 24,500.00 | 42,900.00 |
Radiofrequency Ablation (RFA) of the Sacroiliac Joint | 24,500.00 | 42,900.00 | |
ANAES081 | RF of L5 dorsal primary ramus: | 24,500.00 | 42,900.00 |
ANAES082 | RF of S1 lateral branches: | 24,500.00 | 42,900.00 |
ANAES083 | RF of S2 lateral branches: | 24,500.00 | 42,900.00 |
ANAES084 | RF of S3 lateral branches: | 24,500.00 | 42,900.00 |
ANAES085 | Fluoroscopic needle guidance (Spinal): (for the S1-S3 nerve lateral branches, not the L5) | 28,000.00 | 49,000.00 |
Vertebroplasty / Kyphoplasty | Same as Orthopedic surgery | ||
Vertebroplasty | |||
ANAES086 | Vertebroplasty – Thoracic (1st level): | ||
ANAES087 | Vertebroplasty – Thoracic (each additional level): | ||
ANAES088 | Vertebroplasty – Lumbar (1st level): | ||
ANAES089 | Vertebroplasty – Lumbar (each additional level):Kyphoplasty | ||
ANAES090 | Kyphoplasty – Thoracic (1st level): | ||
ANAES091 | Kyphoplasty – Thoracic (each additional level): 22525 | ||
ANAES092 | Kyphoplasty – Lumbar (1st level): | ||
ANAES093 | Kyphoplasty – Lumbar (each additional level): | ||
Discogram / Discography-Remember: Fluoroscopy is bundled here and can NOT be billed separately for these | |||
ANAES094 | Discogram / Discography – Cervical/Thoracic (each disc): | 10,500.00 | 18,400.00 |
ANAES095 | Supervision & interpretation of fluoroscopy – Cervical/Thoracic (each disc): | 87,500.00 | 153,200.00 |
ANAES096 | Discogram / Discography – Lumbar (each disc): | 94,500.00 | 165,400.00 |
ANAES097 | Supervision & interpretation of fluoroscopy – Lumbar (each disc): | 70,000.00 | 122,500.00 |
Botulinum Toxin Injections | |||
ANAES098 | Botulinum toxin type A – Botox, | 17,500.00 | 30,700.00 |
Permanent Chemical / Cryosection and/or Neurolysis: | |||
ANAES099 | Chemodenervation of muscles in the neck (spasmodic torticollis): | 35,000.00 | 61,300.00 |
ANAES100 | Chemodenervation of muscles of the trunk and/or extremity(cerebral palsy, dystonia, multiple sclerosis): | 28,000.00 | 49,000.00 |
ANAES101 | Chemodenervation of muscles innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (chronic migraine): | 35,000.00 | 61,300.00 |
Neurostimulation (Spinal Cord Stimulator) | |||
Trial Procedure | |||
ANAES102 | Percutaneous implant of electrode array: | 189,000.00 | 330,800.00 |
Implantation of Spinal Cord Stimulator Percutaneous Leads and Generato | |||
ANAES103 | Percutaneous implant of electrode array | 280,000.00 | 490,000.00 |
ANAES104 | Insertion or replacement of pulse generator | 280,000.00 | 490,000.00 |
Removal of Leads/Generator (Explant) | |||
ANAES105 | Removal of spinal neurostimulator percutaneous array(s) | ||
ANAES106 | Removal of pulse generator: | 189,000.00 | 330,800.00 |
ANAES107 | Replacement of Battery | 94,500.00 | 165,400.00 |
Intrathecal Pump | |||
ANAES108 | Trial Procedure | 94,500.00 | 165,400.00 |
ANAES109 | Implantation | 280,000.00 | 490,000.00 |
ANAES110 | Testing | 94,500.00 | 165,400.00 |
ANAES111 | Removal of Intrathecal pump | 189,000.00 | 330,800.00 |
ANAES112 | Replacement of battery | 94,500.00 | 165,400.00 |
ANAES113 | Assessing the pump and making changes to pump delivery | 10,500.00 | 18,400.00 |
ANAES114 | Refill of pump medications | 18,900.00 | 33,100.00 |
Others Procedures | |||
ANAES115 | Carpal tunnel injection | 14,000.00 | 24,500.00 |
ANAES116 | Epidural blood patch | 21,000.00 | 36,800.00 |
ANAES118 | Fluoroscopic needle guidance (non-spinal): | 21,000.00 | 36,800.00 |
ANAES119 | CT needle guidance: | 21,000.00 | 36,800.00 |
ANAES120 | Labor Epidural | 35,000.00 | 61,300.00 |
ANAES121 | Tunnelled/Long term Epidural for Chronic Cancer pain | 49,000.00 | 85,800.00 |
Prolotherapy | |||
ANAES122 | single region | 7,000.00 | 12,300.00 |
ANAES123 | multiple | 10,500.00 | 18,400.00 |
Lidocaine/ Ketamine infusions | 35,000.00 | 61,300.00 | |
ANAES124 | IV | 28,000.00 | 49,000.00 |
ANAES125 | S/C | ||
ANAES126 P | CEA & PCA Protocol | 17,500.00 | 30,700.00 |
Modifiers | |||
Incomplete procedure (reduced service) [Stopping a part of a procedure because of reasons other than the patient’s wellbeing] | |||
Incomplete procedure (physicianelected to terminate a surgical or diagnostic procedure due to the patient’s well-being) – reduced service | |||
Procedures done under some sedation or monitored anaesthesia care will be billed separately | |||
Procedures done under general anaesthesia for postoperative pain management will be billedseparately. | |||
Procedures done under general anaesthesia for anaesthesia purposes will not be billed separately. | |||
M014 : DIAGNOSTIC RADIOLOGY | — | — | |
A ) X- Ray of Extremities | |||
DGRAD01 | Hand | 1,200.00 | 1,800.00 |
DGRAD02 | Both Hands | 1,800.00 | 2,160.00 |
DGRAD03 | Digits | 1,200.00 | 1,800.00 |
DGRAD04 | Wrist | 9,600.00 | 18,000.00 |
DGRAD05 | Scaphoid views | 1,800.00 | 2,160.00 |
DGRAD06 | Forearm | 1,800.00 | 2,160.00 |
DGRAD07 | Both forearms | 3,000.00 | 3,360.00 |
DGRAD08 | Elbow | 2,400.00 | 3,360.00 |
DGRAD09 | Both elbows | 3,600.00 | 4,200.00 |
DGRAD010 | Humerus | 1,800.00 | 3,000.00 |
DGRAD011 | Both humeri | 3,000.00 | 3,360.00 |
DGRAD012 | Shoulder | 2,400.00 | 3,600.00 |
DGRAD013 | Both shoulders | 4,800.00 | 6,000.00 |
DGRAD014 | Clavicle | 1,200.00 | 1,800.00 |
DGRAD015 | Both clavicles | 1,800.00 | 30,000.00 |
DGRAD016 | Sternoclavicular joint | 2,400.00 | 3,600.00 |
DGRAD017 | Foot | 1,200.00 | 2,400.00 |
DGRAD018 | Both feet | 1,800.00 | 3,000.00 |
DGRAD019 | Ankle | 1,200.00 | 2,400.00 |
DGRAD020 | Both ankles | 1,800.00 | 3,000.00 |
DGRAD021 | Leg | 1,440.00 | 3,360.00 |
DGRAD022 | Both legs | 2,400.00 | 3,600.00 |
DGRAD023 | Knee | 1,440.00 | 3,360.00 |
DGRAD024 | Both knees | 2,160.00 | 3,600.00 |
DGRAD025 | Knee skyline view | 1,800.00 | 3,600.00 |
DGRAD026 | Both knees akyline view | 3,000.00 | 4,200.00 |
DGRAD027 | Femur | 1,800.00 | 3,600.00 |
DGRAD028 | Both femora | 3,360.00 | 4,200.00 |
DGRAD029 | Portable X – rays | 600.00 | 1,440.00 |
DGRAD030 | Heels | 120.00 | 3,600.00 |
DGRAD031 | Hip | 3,360.00 | 4,200.00 |
DGRAD032 | Both hips | 1,440.00 | 2,160.00 |
DGRAD033 | Pelvis | 1,440.00 | 2,160.00 |
B ) Myelogram | 12,000.00 | 24,000.00 | |
DGRAD034 | Regional | 18,000.00 | 30,000.00 |
C ) Angiogram / Venogram | |||
DGRAD035 | Unilateral venogram | 12,000.00 | 12,000.00 |
DGRAD036 | Bilateral venogram | 14,400.00 | 18,000.00 |
DGRAD037 | Unilateral femora arteriogram | 24,000.00 | 36,000.00 |
DGRAD038 | Bilateral femora arteriogram | 42,000.00 | 48,000.00 |
DGRAD039 | Regional selective arteriogram | 36,000.00 | 48,000.00 |
DGRAD040 | Bilateral flush aortography | 36,000.00 | 48,000.00 |
DGRAD041 | Unilateral carotid angiogram | 36,000.00 | 48,000.00 |
DGRAD042 | Bilateral carotid angiogram | 42,000.00 | 42,000.00 |
DGRAD043 | Vessel angiogram | 48,000.00 | 60,000.00 |
D ) Image Intensifier | |||
DGRAD044 | Theatre 0.5 hours | 7,200.00 | 9,600.00 |
DGRAD045 | Theatre 1 hour | 12,000.00 | 21,600.00 |
DGRAD046 | Theatre 1.5 hours | 12,000.00 | 21,600.00 |
DGRAD047 | Theatre 2 hours | 18,000.00 | 21,600.00 |
DGRAD048 | Theatre 3 hours | 18,000.00 | 21,600.00 |
E ) Other X – Rays | |||
DGRAD049 | AP or PA chest | 1,200.00 | 2,400.00 |
DGRAD050 | Thoracic inlet | 1,440.00 | 2,400.00 |
DGRAD051 | Chest PA & lateral / oblique | 2,160.00 | 4,200.00 |
DGRAD052 | Skull 2 views | 2,400.00 | 3,360.00 |
DGRAD053 | Skull 3 views | 3,000.00 | 3,600.00 |
DGRAD054 | Skull 4 views | 1,200.00 | 2,400.00 |
DGRAD055 | Pituatary fossa | 3,000.00 | 4,200.00 |
DGRAD056 | Mandible | 3,360.00 | 4,200.00 |
DGRAD057 | Facial bones 4 Views | ||
E ) Other X – Rays ( continued ) | |||
DGRAD058 | Optic foramina | 2,400.00 | 6,000.00 |
DGRAD059 | T.M. joints | 3,000.00 | 6,000.00 |
DGRAD060 | Mastoids | 3,000.00 | 6,000.00 |
DGRAD061 | Paranasal sinuses | 3,000.00 | 6,000.00 |
DGRAD062 | Maxillary antrum / orbit antrum | 2,640.00 | 6,000.00 |
DGRAD063 | Nasal bone | 1,200.00 | 2,400.00 |
DGRAD064 | Cervical spine AP & lateral | 1,800.00 | 3,600.00 |
DGRAD065 | Cervical spine 5 views, flexion, extention | 3,000.00 | 6,000.00 |
DGRAD067 | Lumbar spine AP & lateral | 3,000.00 | 6,000.00 |
DGRAD068 | Sacro – iliac joints | 3,000.00 | 6,000.00 |
DGRAD069 | Sacrum & coccyx | 3,000.00 | 6,000.00 |
DGRAD070 | Skeletal survey | 12,000.00 | 24,000.00 |
DGRAD071 | Supine abdomen | 1,200.00 | 2,400.00 |
DGRAD072 | Supine & erect abdomen | 1,800.00 | 3,000.00 |
DGRAD073 | Pelvimetry | 1,800.00 | 3,000.00 |
DGRAD074 | Barium swallow | 3,000.00 | 4,200.00 |
DGRAD075 | Barium meal | 6,000.00 | 9,600.00 |
DGRAD076 | Barium meal & follow through | 7,200.00 | 9,600.00 |
DGRAD077 | Gastrograffin examination | 6,000.00 | 9,600.00 |
DGRAD078 | Barium enema | 7,200.00 | 9,600.00 |
DGRAD079 | Double contrast barium enema | 12,000.00 | 24,000.00 |
DGRAD080 | IVU | 8,400.00 | 14,400.00 |
DGRAD081 | High dose IVU | 12,000.00 | 18,000.00 |
DGRAD082 | Retrograde pyelogram | 9,600.00 | 14,400.00 |
DGRAD083 M | CU | 6,000.00 | 12,000.00 |
DGRAD084 | Ascending cystourethrogram | 6,000.00 | 12,000.00 |
DGRAD085 | T – Tube cholangiogram | 7,200.00 | 12,000.00 |
DGRAD086 | Cholangiogram in theatre | 12,000.00 | 24,000.00 |
F ) Ultrasound | |||
DGRARD087 | Liver, gallbladder, pancreas, spleen | 6,000.00 | 9,600.00 |
DGRARD088 | Pelvic, gynae, bladder, prostate | 6,000.00 | 9,600.00 |
DGRARD089 | Ultrasound guided biopsies | 12,000.00 | 24,000.00 |
DGRARD090 | Bilateral doppler | 12,000.00 | 24,000.00 |
DGRARD091 | Unilateral doppler | 6,000.00 | 9,600.00 |
DGRARD092 | Transrectal | 6,000.00 | 9,600.00 |
DGRARD093 | Thyroid | 6,000.00 | 9,600.00 |
DGRARD094 | Testes | 6,000.00 | 9,600.00 |
DGRARD095 | Breast | 6,000.00 | 9,600.00 |
DGRARD096 | Lumbar spine | 6,000.00 | 9,600.00 |
DGRARD097 | Chest | 6,000.00 | 9,600.00 |
DGRARD098 | Transvaginal | 6,000.00 | 9,600.00 |
G ) CT Scan | |||
DGRARD99 | Emergency | 18,000.00 | 30,000.00 |
DGRARD100 | Regional | 18,000.00 | 30,000.00 |
DGRARD101 | Abdominal | 18,000.00 | 30,000.00 |
DGRARD102 | Head / Skull | 14,400.00 | 26,400.00 |
DGRARD103 | Orbits / Sinuses | 12,000.00 | 24,000.00 |
H ) Others | |||
DGRARD104 | Cardiac Sc ( pacemaker ) | 14,400.00 | 21,600.00 |
DGRARD105 | Cardiac Sc ( perm port) | 18,000.00 | 24,000.00 |
DGRARD106 | HSG | 6,000.00 | 120,000.00 |
DGRARD107 | Sialogram | 6,000.00 | 12,000.00 |
DGRARD108 | Sinogram | 6,000.00 | 12,000.00 |
DGRARD109 | Athrogram | 6,000.00 | |
DGRARD110 | 12,000.00 | 24,000.00 | |
M015: DERMATOLOGY | |||
DERM01 | Laser | 15,000.00 | 60,000.00 |
DERM02 | Electrocaurtery | 30,000.00 | 60,000.00 |
DERM03 | Basal Cell Excision | 24,000.00 | 60,000.00 |
DERM04 | Squamous Cell Excision | 36,000.00 | 72,000.00 |
DERM05 | Cryotherapy | 25,000.00 | 50,000.00 |
DERM06 | Cautery | 36,000.00 | 72,000.00 |
DERM07 | KOH Preparation | 2,500.00 | 5,000.00 |
DERM08 | Skin Biopsy (small to large) | 12,000.00 | 50,000.00 |
DERM09 | Chemical Cautery (phenol) | 6,000.00 | 15,000.00 |
DERM10 | Iontophoresis (per session minimum 5 sessions) | 4,800.00 | 7,200.00 |
DERM11 | Botox injection per session | 60,000.00 | 120,000.00 |
DERM12 | Intra lesional injection | 30,000.00 | 50,000.00 |
DERM13 | Phototherapy per session minumum 7 sessions | 20,000.00 | 60,000.00 |
DERM14 | Ingrown toe nail | 24,000.00 | 48,000.00 |
DERM15 | A typical mole excision | 36,000.00 | 72,000.00 |
DERM16 | Culletage | 12,000.00 | 36,000.00 |
DERM17 | Microdemabration / microneddling | 24,000.00 | 48,000.00 |
DERM18 | Chemical peels | 6,000.00 | 12,000.00 |
DERM19 | Dermal feelers | 60,000.00 | 120,000.00 |
DERM20 | Electrolysis/epilation /Electrofulguration | 48,000.00 | 72,000.00 |
DERM21 | Skin punch biopsy | 15,000.00 | 60,000.00 |
DERM22 | Incision and drainage of abscess | 12,000.00 | 24,000.00 |
DERM23 | excision of skin lesions /wart, ganglion, lipoma | 20,000.00 | 50,000.00 |
M016 : GASTROENTEROLOGY AND ENDOSCOPYOGD | |||
GASTROEND01 | Diagnostic | 18,000.00 | 48,000.00 |
GASTROEND02 | Sclerotherapy | 36,000.00 | 72,000.00 |
GASTROEND03 | Diathermy ( haemostatic procedure ) | 36,000.00 | 72,000.00 |
GASTROEND04 | Pyloric balloon dilatation | 36,000.00 | 72,000.00 |
GASTROEND05 | PEG tube insertion | 36,000.00 | 72,000.00 |
GASTROEND06 | Stricture dilatation (savary gilliard) | 36,000.00 | 72,000.00 |
GASTROEND07 | Upper GI polypectomy | 36,000.00 | 72,000.00 |
GASTROEND08 | Stent insertion | 36,000.00 | 72,000.00 |
GASTROEND09 | Stricture dilatation (TTC) | 36,000.00 | 72,000.00 |
GASTROEND10 | Pneumatic dilatation | 36,000.00 | 72,000.00 |
GASTROEND11 | Band ligation | 36,000.00 | 72,000.00 |
Colonoscopy | |||
GASTROEND12 | Diagnostic | 18,000.00 | 36,000.00 |
GASTROEND13 | Stricture dilatation | 36,000.00 | 72,000.00 |
GASTROEND14 | Lower GI polypectomy | 36,000.00 | 72,000.00 |
ERCP | |||
GASTROEND15 | Diagnostic | 36,000.00 | 60,000.00 |
GASTROEND16 | Sphicterotomy | 36,000.00 | 72,000.00 |
GASTROEND17 | Stent insertion | 36,000.00 | 84,000.00 |
GASTROEND18 | Sphincterotomy + stone removal | 36,000.00 | 60,000.00 |
Others | |||
GASTROEND19 | Bronchoscopy | 18,000.00 | 36,000.00 |
GASTROEND20 | Laryngoscopy | 12,000.00 | 36,000.00 |
GASTROEND21 | Sigmoidoscopy | 12,000.00 | 36,000.00 |
GASTROEND22 | Rectal snip | 6,000.00 | 12,000.00 |
GASTROEND23 | Liver biopsy | 18,000.00 | 36,000.00 |
GASTROEND24 | Peritoneal biopsy | 6,000.00 | 36,000.00 |
M017 : OTHER PROCEDURES | — | — | |
A) Neurology | |||
EEG | 6,000.00 | 18,000.00 | |
Nerve conduction atudies | 12,000.00 | 36,000.00 | |
Evoked potential | 12,000.00 | 36,000.00 | |
Diagnostic lumbar puncture | 6,000.00 | 18,000.00 | |
Therapeutic lumbar puncture | 12,000.00 | 36,000.00 | |
B) Respiratory | #VALUE! | #VALUE! | |
Peak flowmetry | 6,000.00 | 18,000.00 | |
Spirometry | 6,000.00 | 18,000.00 | |
Chest aspiration | 6,000.00 | 18,000.00 | |
Chest aspiration | 6,000.00 | 18,000.00 | |
Chest aspiration with biopsy | 6,000.00 | 18,000.00 | |
C) Dermatology | |||
Basal cell excision | 18,000.00 | 36,000.00 | |
Squamous cell excision | 18,000.00 | 36,000.00 | |
Cryotherapy | 6,000.00 | 18,000.00 | |
Cautery | 18,000.00 | 36,000.00 | |
KOH preparation | 6,000.00 | 12,000.00 | |
Skin biospy | 6,000.00 | 12,000.00 | |
D) Nephrology | |||
Vascular access | — | — | |
A – V shunt / fistulae | 24,000.00 | 60,000.00 | |
Renal biopsy | 18,000.00 | 36,000.00 | |
Insertion of peritoneal catheter | 24,000.00 | 60,000.00 | |
Haemodialysis | 6,000.00 | 18,000.00 | |
Pertineal dialysis | 6,000.00 | 18,000.00 | |
Renal transplant | 36,000.00 | 72,000.00 | |
CVVHD | 6,000.00 | 18,000.00 | |
E) Psychiatry | |||
Electroconvulsive Therapy (persession) | 12,000.00 | 24,000.00 | |
Psychotherapy (per hour) | 8,000.00 | 15,000.00 | |
M017 : OTHER PROCEDURES — | |||
F ) Paediatrics | |||
Exchange transfusion | 24,000.00 | 48,000.00 | |
Cannulae fixation - anaes | 1,200.00 | 6,000.00 | |
Venepuncture | 1,200.00 | 1,800.00 | |
Chemotherapy - IV | 6,000.00 | 12,000.00 | |
Chemotherapy intrathecal | 9,600.00 | 18,000.00 | |
Intraosseous cannulation | 12,000.00 | 24,000.00 | |
Central line insertion | 12,000.00 | 18,000.00 | |
Venous cutdown | 12,000.00 | 24,000.00 | |
Femoral vein cannulation | 12,000.00 | 24,000.00 | |
Umbilical catheterization | 6,000.00 | 12,000.00 | |
Lumbar puncture | 6,000.00 | 12,000.00 | |
Resuscitation | 12,000.00 | 24,000.00 | |
Pleural tap | 12,000.00 | 24,000.00 | |
Pleural biopsy | 18,000.00 | 30,000.00 | |
Intubation | 6,000.00 | 12,000.00 | |
Surprapubic bladder tap | 6,000.00 | 9,600.00 | |
Urinary catheter insertion | 3,600.00 | 7,200.00 | |
N.G. tube insertion | 3,600.00 | 7,200.00 | |
Flatus tube insertion | 3,600.00 | 7,200.00 | |
Proctoscopy | 1,200.00 | 6,000.00 | |
Enema | 6,000.00 | 12,000.00 | |
Manual removal of impacted stool | 9,000.00 | 18,000.00 | |
Removal of Foreign Bodies: | — | — | |
Eye | 6,000.00 | 12,000.00 | |
Nose | 6,000.00 | 12,000.00 | |
Ear | 6,000.00 | 12,000.00 | |
Vagina | 6,000.00 | 12,000.00 | |
Rectum | 6,000.00 | 12,000.00 | |
Bone marrow aspirate - path | 6,000.00 | 12,000.00 | |
Splenic aspirate - gastro | 6,000.00 | 12,000.00 | |
Pericardial tap / aspirate | 12,000.00 | 24,000.00 | |
Insertion of PD catheter | 18,000.00 | 36,000.00 | |
Permcath | 18,000.00 | 36,000.00 | |
M018: ANATOMICAL PATHOLOGY: HISTOLOGY/CYTOLOGY/PM | |||
PATH01 | Cytology Pap smears/Gynae Cytology Vaginal or cervical smears, each | 2,040.00 | 3,360.00 |
PATH02 | Cytology Sputum, all body fluids and tumour aspirates: First unit | 2,040.00 | 2,880.00 |
PATH03 | Cytology: Performance of fineneedle aspiration (FNA) | 2,760.00 | 5,040.00 |
PATH04 | Histology Additonal Blocks (per block) | 1,920.00 | 2,880.00 |
PATH05 | Histology and frozen section in laboratory | 3,600.00 | 5,760.00 |
PATH06 | Histology and frozen section in theatre | 7,200.00 | 21,600.00 |
PATH07 | Histology consultation per slide | 2,160.00 | 4,320.00 |
PATH08 | Histology Medium sized biopsies (3 to 5 blocks) | 5,760.00 | 8,640.00 |
PATH09 | Histology Small Sized Biopsies (1-2 blocks) | 3,600.00 | 5,760.00 |
PATH10 | Histology Large Sized Biopsies (more than 5 slides) | 8,000.00 | 15,000.00 |
PATH11 | Immunofluorescence studies | 3,360.00 | 5,520.00 |
PATH12 | Immunoperoxidase studies | 5,040.00 | 8,280.00 |
PATH13 | Intraop Examination of fine needle aspiration in theatre | 12,960.00 | 19,440.00 |
PATH14 | Postmortem: Foetal autopsy excluding histology & ancillary tests | 30,000.00 | 60,000.00 |
PATH15 | Postmortem: Forensic autopsy excluding histology & ancillary tests/procedures/court appearance | 36,000.00 | 66,000.00 |
PATH16 | Postmoterm: Clinical autopsy excluding histology & ancillary tests/procedures | 30,000.00 | 60,000.00 |
PATH17 | Second and subsequent frozen sections, each | 6,240.00 | 4,200.00 |
PATH18 | Serial step sections | 3,240.00 | 4,800.00 |
PATH19 | Special stains | 1,080.00 | 1,440.00 |
PATH20 | Transmission electron microscopy | 10,680.00 | 21,600.00 |
PATH21 | Forensic toxicology | 150,000.00 | 250,000.00 |
PATH22 | Exhumantion | 100,000.00 | 150,000.00 |
CLINICAL CHEMISTRY, SEROLOGY, ENDOCRINOLOGY | |||
PATH23 | Abnormal pigments: Qualitative | 600.00 | 960.00 |
PATH24 | Abnormal pigments: Quantitative | 1,200.00 | 1,800.00 |
PATH25 | Acid phosphate | 720.00 | |
PATH26 | Amino acids Quantitative (Post derivatisation HPLC) | 9,840.00 | 14,760.00 |
PATH27 | Albumin | 720.00 | 1,080.00 |
PATH28 | Alcohol | 2,040.00 | 3,480.00 |
PATH29 | Alkaline phosphatase | 720.00 | 1,080.00 |
PATH30 | Alkaline phosphatase-isoenzymes | 2,040.00 | 2,400.00 |
PATH31 | Ammonia: Enzymatic | 1,080.00 | 1,440.00 |
PATH32 | Ammonia: Monitor | 600.00 | 960.00 |
PATH33 | Alpha-1-antitrypsin: Total | 1,080.00 | 1,440.00 |
PATH34 | Amylase | 720.00 | 1,080.00 |
PATH35 | Arsenic in blood, hair or nails | 4,680.00 | 6,840.00 |
PATH36 | Bilirubin - Reflectance | 720.00 | 1,080.00 |
PATH37 | Bilirubin: Total | 720.00 | 1,080.00 |
PATH38 | Bilirubin: Conjugated | 600.00 | 720.00 |
PATH39 | Breath Hydrogen Test | 2,760.00 | 4,080.00 |
PATH40 | CSF Nicotinic Acid | 2,040.00 | 3,480.00 |
PATH41 | CSF Glutamine | 1,440.00 | 2,160.00 |
PATH42 | Cadmium: Atomic absorption | 2,400.00 | 3,480.00 |
PATH43 | Calcium: Ionized | 960.00 | 1,320.00 |
PATH44 | Calcium: Spectrophotometric | 600.00 | 720.00 |
PATH45 | Calcium: Atomic absorption | 1,080.00 | 1,440.00 |
PATH46 | Carotene | 360.00 | 480.00 |
PATH47 | Carnitine (Total or free) in biological fluid: Each | 2,040.00 | 2,400.00 |
PATH48 | Carnitine (Total or free) in muscle: Each | 3,120.00 | 4,560.00 |
PATH49 | Acyl Carnitine | 3,120.00 | 4,560.00 |
PATH50 | Chloride | 480.00 | 600.00 |
PATH51 | Chol/HDL/LDL/Trig | 1,920.00 | 3,840.00 |
PATH52 | LDL cholesterol (chemical determination) | 960.00 | 1,320.00 |
PATH53 | Cholesterol total | 720.00 | 1,080.00 |
PATH54 | HDL cholesterol | 720.00 | 1,080.00 |
PATH55 | Cholinesterase: Serum or erythrocyte: Each | 1,080.00 | 1,440.00 |
PATH56 | Cholinesterase phenotype (Dibucaine or fluoride each) | 1,200.00 | 1,800.00 |
PATH57 | Total CO2 | 720.00 | 1,080.00 |
PATH58 | Creatinine | 600.00 | 720.00 |
PATH59 | CSF-Immunoglobulin G | 1,320.00 | 1,920.00 |
PATH60 | C1-Esterase Inhibitor | 1,320.00 | 1,920.00 |
PATH61 | CSF-Albumin | 1,320.00 | 1,920.00 |
PATH62 | CSF-IgG Index | 2,760.00 | 4,200.00 |
PATH63 | Glutamic acid | 3,840.00 | 5,520.00 |
PATH64 | Homocysteine (random) | 2,040.00 | 2,880.00 |
PATH65 | Homocysteine (after Methionine load) | 2,400.00 | 3,480.00 |
PATH66 | D-Xylose absorption test: Two hours | 1,800.00 | 3,480.00 |
PATH67 | Fibrinogen: Quantitative | 600.00 | 720.00 |
PATH68 | Glucose tolerance test (2 specimens) | 1,200.00 | 1,800.00 |
PATH69 | Glucose strip-test with photometric reading | 360.00 | 480.00 |
PATH70 | Galactose | 1,440.00 | 2,160.00 |
PATH71 | Glucose tolerance test (3 specimens) | 1,800.00 | 3,480.00 |
PATH72 | Glucose tolerance test (4 specimens) | 2,160.00 | 3,360.00 |
PATH73 | Glucose: Quantitative | 600.00 | 720.00 |
PATH74 | Glucose tolerance test (5 specimens) | 2,760.00 | 4,080.00 |
PATH75 | Galactose-1-phosphate uridyl transferase | 2,040.00 | 3,120.00 |
PATH76 | Fructosamine | 1,080.00 | 1,440.00 |
PATH77 | HbA1C | 2,160.00 | 3,600.00 |
PATH78 | Immunofixation: Total protein, IgG, IgA, IgM, Kappa, Lambda | 6,000.00 | 8,880.00 |
PATH79 | Lithium: Flame ionisation | 720.00 | 1,080.00 |
PATH80 | Lithium: Atomic absorption | 1,080.00 | 1,440.00 |
PATH81 | Iron | 960.00 | 1,320.00 |
PATH82 | Iron-binding capacity | 1,080.00 | 1,440.00 |
PATH83 | Blood gases: Astrup/pO2 and ancillary tests - can only be charged to a maximum of 6 times per patient per day | 2,520.00 | 3,600.00 |
PATH84 | Oximetry analysis: MetHb, COHb, O2Hb, RHb, SulfHb | 960.00 | 1,320.00 |
PATH85 | Ketones in plasma: Qualitative | 360.00 | 480.00 |
PATH86 | Drug level-biological fluid: Quantitative per drug (others) | 2,880.00 | 5,760.00 |
PATH87 | Anti-Mullerian Hormone | 7,080.00 | 9,840.00 |
PATH88 | Cyclosporin assay | 2,880.00 | 4,440.00 |
PATH89 | Tacrolimus assay | 2,880.00 | 4,440.00 |
PATH90 | Lysosomal enzyme assay | 4,680.00 | 6,960.00 |
PATH91 | Thymidine kinase | 2,640.00 | 3,840.00 |
PATH92 | Lipase | 720.00 | 1,440.00 |
PATH93 | Lactate | 2,040.00 | 3,120.00 |
PATH94 | Lipoprotein electrophoresis | 1,200.00 | 1,800.00 |
PATH95 | Orosmucoid | 1,320.00 | 1,920.00 |
PATH96 | Osmolality: Serum or urine | 960.00 | 1,320.00 |
PATH97 | Magnesium: Spectrophotometric | 600.00 | 720.00 |
PATH98 | Magnesium: Atomic absorption | 1,080.00 | 1,440.00 |
PATH99 | Mercury: Atomic absorption | 2,400.00 | 3,480.00 |
PATH100 | Copper: Atomic absorption | 2,400.00 | 3,480.00 |
PATH101 | Protein electrophoresis | 1,200.00 | 1,800.00 |
PATH102 | IgG sub-class 1, 2, 3 or 4: Per sub-class | 2,640.00 | 3,840.00 |
PATH103 | Serological antibody (tests per antibody) | 2,640.00 | 4,560.00 |
PATH104 | Phosphate | 600.00 | 720.00 |
PATH105 | Potassium | 600.00 | 720.00 |
PATH106 | Sodium | 600.00 | 720.00 |
PATH107 | Protein: Total | 480.00 | 720.00 |
PATH108 | pH, pCO2 or pO2: Each | 960.00 | 1,320.00 |
PATH109 | Pyruvic acid | 600.00 | 960.00 |
PATH110 | Salicylates | 600.00 | 960.00 |
PATH111 | Caeruloplasmin | 600.00 | 960.00 |
PATH112 | Phenylalanine: Quantitative | 1,440.00 | 2,160.00 |
PATH113 | Aspartate aminotransferase (AST) | 720.00 | 1,080.00 |
PATH114 | Alanine aminotransferase (ALT) | 720.00 | 1,080.00 |
PATH115 | Creatine kinase (CK) | 720.00 | 1,080.00 |
PATH116 | Lactate dehidrogenase (LD) | 720.00 | 1,080.00 |
PATH117 | Gamma glutamyl transferase (GGT) | 720.00 | 1,080.00 |
PATH118 | Aldolase | 720.00 | 1,080.00 |
PATH119 | Angiotensin converting enzyme (ACE) | 1,200.00 | 1,800.00 |
PATH120 | Lactate dehydrogenase isoenzyme | 1,440.00 | 2,040.00 |
PATH121 | CK-MB: Immunoinhibition/precipitation | 1,440.00 | 2,040.00 |
PATH122 | Adenosine deaminase | 720.00 | 1,080.00 |
PATH123 | Serum/plasma enzymes | 720.00 | 1,080.00 |
PATH124 | Transferring | 2,040.00 | 2,400.00 |
PATH125 | Lead: Atomic absorption | 1,920.00 | 2,880.00 |
PATH126 | Triglyceride | 1,080.00 | 1,680.00 |
PATH127 | Tay - Sachs Study | 4,680.00 | 6,960.00 |
PATH128 | Red cell magnesium | 2,040.00 | 2,400.00 |
PATH129 | Urea | 600.00 | 720.00 |
PATH130 | CK-MB: Mass determination:Quantitative (Automated) | 2,040.00 | 3,480.00 |
PATH131 | CK-MB: Mass determination:Quantitative (Not automated) | 2,400.00 | 4,200.00 |
PATH132 | Myoglobin quantitative:Monoclonal immunological | 2,040.00 | 3,480.00 |
PATH133 | Uric acid | 600.00 | 720.00 |
PATH134 | Vitamin D3 | 2,880.00 | 5,760.00 |
PATH135 | Vitamin A-saturation test | 2,880.00 | 5,760.00 |
PATH136 | Vitamin E (tocopherol) | 2,880.00 | 5,760.00 |
PATH137 | Vitamin A | 2,880.00 | 5,760.00 |
PATH138 | Troponin isoforms: Each | 3,000.00 | 4,800.00 |
PATH139 | Apoprotein AI: Turbidometric method | 1,200.00 | 1,680.00 |
PATH140 | Apoprotein AII: Turbidometric method | 1,200.00 | 1,680.00 |
PATH141 | Apoprotein B: Turbidometric method | 1,200.00 | 1,680.00 |
PATH142 | Lipoprotein (a)(Lp(a)) assay | 2,040.00 | 3,480.00 |
PATH143 | Sodium + potassium + chloride + CO2 + urea | 2,040.00 | 3,120.00 |
PATH144 | ELISA technique (other test) per antibody | 2,520.00 | 4,320.00 |
PATH145 | Sirolimus Assay | 9,840.00 | 14,640.00 |
PATH146 | Quantitative protein estimation: Mancini method | 1,080.00 | 1,680.00 |
PATH147 | Quantitative protein estimation: Nephelometer or Turbidometeric method | 1,200.00 | 1,680.00 |
PATH148 | Quantitative protein estimation: Labelled antibody | 2,040.00 | 3,480.00 |
PATH149 | C-reactive protein (Ultra sensitive) | 1,920.00 | 2,880.00 |
PATH150 | Lactose | 1,440.00 | 2,040.00 |
PATH151 | Vitamin B6 | 2,040.00 | 2,880.00 |
PATH152 | Zinc: Atomic absorption | 2,400.00 | 3,480.00 |
PATH153 | Urine dipstick, per stick (irrespective of the number oftests on stick) | 360.00 | 360.00 |
PATH154 | Abnormal pigments | 600.00 | 960.00 |
PATH155 | Alkapton test: Homogentisic acid | 600.00 | 960.00 |
PATH156 | Amino acids: Quantitative (Post derivatisation HPLC) | 9,840.00 | 14,760.00 |
PATH157 | Amino laevulinic acid | 2,400.00 | 3,480.00 |
PATH158 | Amylase | 720.00 | 1,080.00 |
PATH159 | Arsenic | 2,400.00 | 3,480.00 |
PATH160 | Ascorbic acid | 360.00 | 480.00 |
PATH161 | Bence-Jones protein | 480.00 | 600.00 |
PATH162 | Calcium: Atomic absorption | 1,080.00 | 1,440.00 |
PATH163 | Calcium: Spectrophotometric | 600.00 | 720.00 |
PATH164 | Lead: Atomic absorption | 1,920.00 | 2,880.00 |
PATH165 | Urine collagen telopeptides | 4,680.00 | 6,960.00 |
PATH166 | Bile pigments: Qualitative | 360.00 | 480.00 |
PATH167 | Protein: Quantitative | 360.00 | 480.00 |
PATH168 | Mucopolysaccharides: Qualitative | 600.00 | 720.00 |
PATH169 | Oxalate | 1,320.00 | 1,920.00 |
PATH170 | Glucose: Quantitative | 360.00 | 480.00 |
PATH171 | Steroids: Chromatography (each) | 1,080.00 | 1,440.00 |
PATH172 | Creatinine | 600.00 | 720.00 |
PATH173 | Creatinine clearance | 1,080.00 | 1,440.00 |
PATH174 | Electrophoresis: Qualitative | 600.00 | 960.00 |
PATH175 | Fetal Lung Maturity | 4,680.00 | 6,960.00 |
PATH176 | Urine/Fluid - Specific Gravity | 240.00 | 360.00 |
PATH177 | Metabolites HPLC (High Pressure Liquid Chromatography) | 4,800.00 | 7,080.00 |
PATH178 | Metabolites (Gaschromatography/Mass spectrophotometry) | 6,000.00 | 8,880.00 |
PATH179 | Pharmacological/Drugs of abuse:Metabolites HPLC (High Pressure Liquid Chromatography) | 4,800.00 | 7,080.00 |
PATH180 | Pharmacological/Drugs of abuse:Metabolites (Gaschromatography/Mass spectrophotometry) | 6,000.00 | 8,880.00 |
PATH181 | 5-Hydroxy-indole-acetic acid: Screen test | 480.00 | 600.00 |
PATH182 | 5HIAA (Hplc) | 9,840.00 | 14,760.00 |
PATH183 | Ketones: Excluding dip-stick method | 360.00 | 480.00 |
PATH184 | Reducing substances | 360.00 | 480.00 |
PATH185 | Metanephrines: Column chromatography | 2,760.00 | 4,200.00 |
PATH186 | Metanephrine (Hplc) | 9,840.00 | 14,760.00 |
PATH187 | Aromatic amines (gas chromatography/mass spectrophotometry) | 3,480.00 | 5,040.00 |
PATH188 | Nitrosonaphtol test for tyrosine | 360.00 | 480.00 |
PATH189 | Orotic Acid - Urine | 1,320.00 | 1,920.00 |
PATH190 | Very long Chain Fatty Acids | 16,200.00 | 24,240.00 |
PATH191 | Micro Albumin: Quantitative | 2,040.00 | 3,480.00 |
PATH192 | Micro Albumin: Qualitative | 600.00 | 960.00 |
PATH193 | pH: Excluding dip-stick method | 240.00 | 360.00 |
PATH194 | Thin layer chromatography: One way | 960.00 | 1,320.00 |
PATH195 | Thin layer chromatography: Two way | 1,440.00 | 2,160.00 |
PATH196 | Organic acids: Quantitative: GCMS | 13,680.00 | 20,520.00 |
PATH197 | Phenylpyruvic acid: Ferric chloride | 360.00 | 480.00 |
PATH198 | Chromium Total Urine | 2,400.00 | 3,480.00 |
PATH199 | Phosphate excretion index | 2,760.00 | 4,200.00 |
PATH200 | Porphobilinogen qualitative screen: Urine | 720.00 | 1,080.00 |
PATH201 | Porphobilinogen/ALA: Quantitative each | 1,920.00 | 2,880.00 |
PATH202 | Magnesium: Spectrophotometric | 600.00 | 720.00 |
PATH203 | Magnesium: Atomic absorption | 1,080.00 | 1,440.00 |
PATH204 | Identification of carbohydrate | 1,080.00 | 1,440.00 |
PATH205 | Identification of drug: Qualitative | 600.00 | 960.00 |
PATH206 | Identification of drug: Quantitative | 1,440.00 | 4,080.00 |
PATH207 | Urea clearance | 720.00 | 1,080.00 |
PATH208 | Copper: Spectrophotometric | 600.00 | 720.00 |
PATH209 | Copper: Atomic absorption | 2,400.00 | 3,480.00 |
PATH210 | Chloride | 480.00 | 600.00 |
PATH211 | Urobilinogen: Quantitative | 960.00 | 1,320.00 |
PATH212 | Phosphates | 600.00 | 720.00 |
PATH213 | Potassium | 600.00 | 720.00 |
PATH214 | Sodium | 600.00 | 720.00 |
PATH215 | Urea | 600.00 | 720.00 |
PATH216 | Uric acid | 600.00 | 720.00 |
PATH217 | Total protein and protein electrophoresis | 1,440.00 | 2,160.00 |
PATH218 | VMA: Quantitative | 7,800.00 | 13,440.00 |
PATH219 | Catecholamines (HPLC) | 7,800.00 | 13,440.00 |
PATH220 | Immunofixation: Total protein, IgG, IgA, IgM, Kappa, Lambda | 6,000.00 | 8,880.00 |
PATH221 | Immunoglobulin D | 1,320.00 | 1,920.00 |
PATH222 | Cystine: Quantitative | 2,040.00 | 3,480.00 |
PATH223 | Dinitrophenol hydrazine test: Ketoacids | 360.00 | 480.00 |
PATH224 | Chloride | 480.00 | 600.00 |
PATH225 | Fat: Qualitative | 480.00 | 720.00 |
PATH226 | Fat: Quantitative | 2,760.00 | 4,200.00 |
PATH227 | Ph | 240.00 | 360.00 |
PATH228 | Occult blood: Chemical test | 360.00 | 480.00 |
PATH229 | Occult blood: Monoclonal antibodies | 1,200.00 | 1,800.00 |
PATH230 | Potassium | 600.00 | 720.00 |
PATH231 | Sodium | 600.00 | 720.00 |
PATH232 | Secretory IgA | 1,320.00 | 1,920.00 |
PATH233 | Elastase quantitative ELISA | 6,000.00 | 8,880.00 |
PATH234 | Stercobilinogen: Quantitative | 960.00 | 1,320.00 |
PATH235 | Porphyrin screen qualitative: Urine, stool, red blood cells: Each | 720.00 | 1,080.00 |
PATH236 | Porphyrin qualitative analysis by TLC: Urine, stool, red blood cells: Each | 2,640.00 | 3,840.00 |
PATH237 | Porphyrin: Total quantisation: Urine, stool, red blood cells: Each | 2,640.00 | 3,840.00 |
PATH238 | Porphyrin quantitative analysis by TLC/HPLC: Urine, stool, red blood cells: Each | 3,840.00 | 5,640.00 |
PATH239 | Drug level in biological fluid: Monoclonal immunological | 2,040.00 | 3,480.00 |
PATH240 | Amylase in exudate | 720.00 | 1,080.00 |
PATH241 | Fluoride in biological fluids and water | 2,040.00 | 3,120.00 |
PATH242 | Trace metals in biological fluid: Atomic absorption | 2,400.00 | 3,480.00 |
PATH243 | Calcium in fluid: Spectrophotometric | 600.00 | 720.00 |
PATH244 | Calcium in fluid: Atomic absorption | 1,080.00 | 1,440.00 |
PATH245 | Gallstone analysis: (Bilirubin, Ca, P, Oxalate, Cholesterol) | 2,760.00 | 4,200.00 |
PATH246 | Urea breath test | 7,440.00 | 11,040.00 |
PATH247 | Lecithin in amniotic fluid: L/S ratio | 3,480.00 | 5,040.00 |
PATH248 | Lamellar body count in amniotic fluid | 1,320.00 | 1,920.00 |
PATH249 | Foam test: Amniotic fluid | 480.00 | 720.00 |
PATH250 | Renal calculus: Chemistry | 720.00 | 1,080.00 |
PATH251 | Renal calculus: Crystallography | 2,040.00 | 3,120.00 |
PATH252 | Sweat: Sodium | 600.00 | 720.00 |
PATH253 | Sweat: Potassium | 600.00 | 720.00 |
PATH254 | Sweat: Chloride | 480.00 | 600.00 |
PATH255 | Sweat collection by iontophoresis (excluding collection material) | 600.00 | 960.00 |
PATH256 | Tryptophane loading test | 2,760.00 | 4,200.00 |
PATH257 | Cell count | 480.00 | 720.00 |
PATH258 | Cell count, protein, glucose and chloride | 1,080.00 | 1,440.00 |
PATH259 | Chloride | 480.00 | 600.00 |
PATH260 | Sodium | 600.00 | 720.00 |
PATH261 | Protein: Qualitative | 240.00 | 360.00 |
PATH262 | Protein: Quantitative | 480.00 | 720.00 |
PATH263 | Glucose | 600.00 | 720.00 |
PATH264 | Urea | 600.00 | 720.00 |
PATH265 | Protein electrophoresis | 2,040.00 | 3,480.00 |
PATH266 | HCG: Latex agglutination: Qualitative (side room) | 600.00 | 960.00 |
PATH267 | HCG: Latex agglutination: Semiquantitative (side room) | 1,200.00 | 1,800.00 |
PATH268 | HCG: Monoclonal immunological: Qualitative | 1,320.00 | 1,920.00 |
PATH269 | HCG: Monoclonal immunological: Quantitative | 2,040.00 | 3,480.00 |
PATH270 | Bone Specific Alk Phosphatase | 2,640.00 | 3,840.00 |
PATH271 | Anti IgE receptor antibody test (10 samples and dilution) | 20,160.00 | 30,240.00 |
PATH272 | Eosinophil cationic protein | 3,480.00 | 5,280.00 |
PATH273 | Micro-albuminuria: Radioisotope method | 2,040.00 | 3,480.00 |
PATH274 | Acetyl choline receptor antibody | 19,800.00 | 29,520.00 |
PATH275 | CA-199 tumour marker | 2,640.00 | 3,840.00 |
PATH276 | Nuclear Matrix Protein 22 | 4,560.00 | 6,720.00 |
PATH277 | CA-125 tumour marker | 2,640.00 | 3,840.00 |
PATH278 | C6 complement functional essay | 5,640.00 | 8,520.00 |
PATH279 | Beta-2-microglobulin | 2,040.00 | 3,480.00 |
PATH280 | Chromograqnin A | 6,000.00 | 8,880.00 |
PATH281 | CA-549 | 2,640.00 | 3,840.00 |
PATH282 | Tumour markers: Monoclonal immunological (each) | 2,640.00 | 3,840.00 |
PATH283 | CA-195 tumour marker | 2,640.00 | 3,840.00 |
PATH284 | Carcino-embryonic antigen | 2,640.00 | 3,840.00 |
PATH285 | TSH Receptor Ab | 2,400.00 | 4,680.00 |
PATH286 | Cast Per Allergen | 3,480.00 | 5,280.00 |
PATH287 | CA-724 | 2,640.00 | 3,840.00 |
PATH288 | Neuron specific enolase | 2,640.00 | 3,840.00 |
PATH289 | Osteocalcin | 4,080.00 | 6,000.00 |
PATH290 | Vitamin B12-absorption: Shilling test | 2,040.00 | 2,400.00 |
PATH291 | Serotonin | 2,520.00 | 3,600.00 |
PATH292 | T4 Free thyroxine (FT4) | 2,040.00 | 3,360.00 |
PATH293 | TSH/T4 Thyrotropin (TSH) + Free Thyroxine (FT4) | 3,240.00 | 6,360.00 |
PATH294 | Insulin | 2,040.00 | 3,480.00 |
PATH295 | C-Peptide | 2,040.00 | 3,480.00 |
PATH296 | Calcitonin | 2,520.00 | 3,600.00 |
PATH297 | B-Type Natriuretic Peptide | 5,040.00 | 8,880.00 |
PATH298 | Releasing hormone response | 6,360.00 | 9,360.00 |
PATH299 | Vitamin B12 | 1,920.00 | 3,600.00 |
PATH300 | Vitamin D3: Calcitroil (RIA) | 9,360.00 | 9,360.00 |
PATH301 | Drug concentration: Quantitative | 2,040.00 | 3,480.00 |
PATH302 | Free hormone assay | 2,400.00 | 3,360.00 |
PATH303 | Growth hormone | 2,040.00 | 3,480.00 |
PATH304 | Hormone concentration: Quantitative | 2,040.00 | 3,480.00 |
PATH305 | Carbohydrate deficient transferrin | 3,840.00 | 5,520.00 |
PATH306 | Cortisol | 2,040.00 | 3,480.00 |
PATH307 | DHEA sulphate | 2,040.00 | 3,480.00 |
PATH308 | Testosterone | 2,040.00 | 3,480.00 |
PATH309 | Free testosterone | 2,400.00 | 3,360.00 |
PATH310 | Oestradiol | 2,040.00 | 3,480.00 |
PATH311 | Oestriol | 1,440.00 | 2,040.00 |
PATH312 | Multiple antigen specific IgE screening test for Atopy | 4,800.00 | 7,080.00 |
PATH313 | TSH - Thyrotropin (TSH) | 2,520.00 | 3,840.00 |
PATH314 | Combined antigen specific IgE | 3,240.00 | 4,680.00 |
PATH315 | TFT - Thyroid function test (T3+T4+TSH) | 4,320.00 | 7,200.00 |
PATH316 | T3 Free tri-iodothyronine (FT3) | 2,040.00 | 3,360.00 |
PATH317 | Renin activity | 2,520.00 | 3,600.00 |
PATH318 | Parathormone | 2,160.00 | 3,360.00 |
PATH319 | Aldosterone | 2,040.00 | 3,480.00 |
PATH320 | Follitropin (FSH) | 2,040.00 | 3,480.00 |
PATH321 | Lutropin (LH) | 2,040.00 | 3,480.00 |
PATH322 | Soluble transferrin receptor | 1,440.00 | 2,160.00 |
PATH323 | Prostate specific antigen | 1,920.00 | 2,760.00 |
PATH324 | 17 Hydroxy progesterone | 2,040.00 | 3,480.00 |
PATH325 | Progesterone | 2,040.00 | 3,480.00 |
PATH326 | Alpha-feto protein | 2,040.00 | 3,480.00 |
PATH327 | ACTH | 3,240.00 | 5,400.00 |
PATH328 | Free PSA | 2,760.00 | 3,840.00 |
PATH329 | Sex hormone binding globulin | 2,040.00 | 3,480.00 |
PATH330 | Gastrin | 2,040.00 | 3,480.00 |
PATH331 | Ferritin | 2,040.00 | 3,480.00 |
PATH332 | Anti-DNA antibodies | 2,040.00 | 3,480.00 |
PATH333 | Antiplatelet antibodies | 2,040.00 | 2,880.00 |
PATH334 | Hepatitis: Per antigen or antibody | 1,920.00 | 2,760.00 |
PATH335 | Transcobalamine | 2,040.00 | 3,480.00 |
PATH336 | Folic acid | 2,040.00 | 3,480.00 |
PATH337 | Prostatic acid phosphatase | 2,040.00 | 3,480.00 |
PATH338 | Erythrocyte folate | 2,400.00 | 3,360.00 |
PATH339 | Prolactin | 2,040.00 | 3,480.00 |
PATH340 | Procalcitonin: Semi-quantitative | 4,080.00 | 6,120.00 |
PATH341 | Procalcitonin: Quantitative | 5,760.00 | 8,640.00 |
PATH342 | HCG: Quantitative as used for Down's screen | 1,920.00 | 2,880.00 |
PATH343 | First trimester Downs screen | 6,840.00 | 10,080.00 |
PATH344 | Second Trimester Down's screen | 4,200.00 | 6,360.00 |
PATH345 | Anti-CCP | 2,160.00 | 3,360.00 |
PATH346 | Erythropoietin | 2,640.00 | 3,840.00 |
PATH347 | HTLV I/II | 2,640.00 | 3,840.00 |
PATH348 | Anti-Gm1 Antibody Assay | 9,360.00 | 14,160.00 |
PATH349 | HIV Ab - Rapid Test | 2,040.00 | 2,400.00 |
PATH350 | Thyroglubulin | 2,640.00 | 2,400.00 |
PATH351 | SCC marker | 2,640.00 | 2,400.00 |
CYTOGENETIC STUDIES | — | — | |
PATH352 | First trimester Downs screen | 6,840.00 | 10,080.00 |
PATH353 | Second Trimester Down's screen | 4,200.00 | 6,360.00 |
PATH354 | Cell culture: Lymphocytes, cord blood | 2,040.00 | 2,880.00 |
PATH355 | Cell culture: Amniotic fluid, fibroblasts, leukaemia bloods, bone marrow, other specialised cultures | 5,760.00 | 8,640.00 |
PATH356 | Cell culture: Chorionic villi | 7,680.00 | 11,520.00 |
PATH357 | Cytogenetic analysis:Lymphocytes: Idiograms, karyotyping, one staining technique | 17,280.00 | 25,800.00 |
PATH358 | Cytogenetic analysis: Amniotic fluid, fibroblasts, chorionic villi, products of conception, bone marrow, leukamia bloods: Idiograms, karyotyping, one straining technique | 34,440.00 | 51,720.00 |
HAEMATOLOGY AND COAGULATION | |||
PATH359 | Alkali resistant haemoglobin | 600.00 | 960.00 |
PATH360 | Antiglobulin test (Coombs' or trypsinzied red cells) | 600.00 | 720.00 |
PATH361 | Antibody titration | 1,080.00 | 1,440.00 |
PATH362 | Antibody identification | 1,200.00 | 1,680.00 |
PATH363 | Bleeding time (does not include the cost of the simplate device) | 960.00 | 1,320.00 |
PATH364 | Blood volume, dye method | 1,080.00 | 1,440.00 |
PATH365 | Buffy layer examination | 2,640.00 | 3,840.00 |
PATH366 | Bone marrow cytological examination only | 2,640.00 | 3,840.00 |
PATH367 | Bone marrow Aspiration Procedure (excl consumables and histology) | 3,000.00 | 5,280.00 |
PATH368 | Bone marrow trephine biopsy (excl consumables and histology) | 4,200.00 | 6,240.00 |
PATH369 | Bone marrow aspiration and trephine biopsy procedure (excl consumables and histology) | 4,680.00 | 6,960.00 |
PATH370 | Capillary fragility: Hess | 360.00 | 480.00 |
PATH371 | Circulating anticoagulants | 720.00 | 1,200.00 |
PATH372 | Coagulation factor inhibitor assay | 7,200.00 | 10,800.00 |
PATH373 | Activated protein C resistance | 3,360.00 | 4,920.00 |
PATH374 | Coagulation time | 480.00 | 720.00 |
PATH375 | Anti-factor Xa Activity | 6,840.00 | 10,080.00 |
PATH376 | Cold agglutinins | 600.00 | 720.00 |
PATH377 | Protein S: Functional | 3,960.00 | 5,760.00 |
PATH378 | Compatibility for blood transfusion | 600.00 | 720.00 |
PATH379 | Cryoglobulin | 600.00 | 720.00 |
PATH380 | Protein C (chromogenic) | 3,960.00 | 5,760.00 |
PATH381 | Anti-thrombin III (chromogenic) | 2,760.00 | 4,200.00 |
PATH382 | Plasminogen (chromogenic) | 7,800.00 | 11,520.00 |
PATH383 | Lupus Russel Viper method | 2,160.00 | 3,240.00 |
PATH384 | Lupus Kaolin Exner method | 3,240.00 | 4,800.00 |
PATH385 | Erythrocyte count | 360.00 | 480.00 |
PATH386 | Factors V and VII: Qualitative | 1,080.00 | 1,440.00 |
PATH387 | Erythrocyte sedimentation rate | 480.00 | 600.00 |
PATH388 | Fibrin stabilizing factor (urea test) | 960.00 | 960.00 |
PATH389 | Fibrin monomers | 480.00 | 600.00 |
PATH390 | Plasminogen activator inhibitor (PAI-I) | 8,280.00 | 12,480.00 |
PATH391 | Tissue plasminogen Activator (tPA) | 8,520.00 | 12,720.00 |
PATH392 | Osmotic fragility (before and after incubation) | 2,400.00 | 3,480.00 |
PATH393 | ABO Reverse Group | 600.00 | 720.00 |
PATH394 | Full blood count | 1,080.00 | 2,040.00 |
PATH395 | Full cross match | 1,080.00 | 2,160.00 |
PATH396 | Coagulation factors: Quantitative | 4,080.00 | 6,120.00 |
PATH397 | Factor VIII related antigen | 7,680.00 | 11,400.00 |
PATH398 | Coagulation factor correction study | 2,040.00 | 2,400.00 |
PATH399 | Factor XIII related antigen | 7,680.00 | 11,520.00 |
PATH400 | Haemoglobin estimation | 360.00 | 480.00 |
PATH401 | Contact activated product assay | 2,040.00 | 3,120.00 |
PATH402 | Grouping: A B and O antigens | 600.00 | 720.00 |
PATH403 | Grouping: Rh antigen | 600.00 | 720.00 |
PATH404 | PIVKA | 5,520.00 | 8,280.00 |
PATH405 | Euglobulin Lysis time | 3,360.00 | 4,920.00 |
PATH406 | Haemoglobin A2 (column chromatography) | 1,920.00 | 2,880.00 |
PATH407 | Haemoglobin electrophoresis | 3,480.00 | 5,040.00 |
PATH408 | Haemoglobin electrophoresis HPLC | 9,720.00 | 13,080.00 |
PATH409 | Haemoglobin-S (solubility test) | 600.00 | 720.00 |
PATH410 | Haptoglobin: Quantitative | 3,480.00 | 4,320.00 |
PATH411 | Ham's acidified serum test | 1,080.00 | 1,680.00 |
PATH412 | Heinz bodies 3 | 60.00 | 480.00 |
PATH413 | Haemosiderin in urinary sediment | 360.00 | 480.00 |
PATH414 | Leucocyte differential count | 960.00 | 1,200.00 |
PATH415 | Leucocytes: Total count | 360.00 | 480.00 |
PATH416 | QBC malaria concentration and fluorescent staining | 720.00 | 1,440.00 |
PATH417 | LE-cells | 1,200.00 | 1,680.00 |
PATH418 | Neutrophil alkaline phosphatase | 3,600.00 | 5,400.00 |
PATH419 | Packed cell volume: Haematocrit | 360.00 | 480.00 |
PATH420 | Plasmodium falciparum: Monoclonal immunological identification | 1,200.00 | 1,800.00 |
PATH421 | Plasma haemoglobin | 960.00 | 1,320.00 |
PATH422 | Platelet sensitivities | 2,520.00 | 3,600.00 |
PATH423 | Platelet aggregation per aggregant | 2,040.00 | 2,400.00 |
PATH424 | Platelet count | 360.00 | 480.00 |
PATH425 | Platelet adhesiveness | 600.00 | 960.00 |
PATH426 | Prothrombin consumption | 720.00 | 1,200.00 |
PATH427 | Prothrombin determination (two stages | 720.00 | 1,200.00 |
PATH428 | Prothrombin index (INR) | 960.00 | 1,200.00 |
PATH429 | Therapeutic drug level: Dosage | 600.00 | 960.00 |
PATH430 | Reticulocyte count | 480.00 | 600.00 |
PATH431 | Schumm's test | 600.00 | 720.00 |
PATH432 | Sickling test | 360.00 | 480.00 |
PATH433 | Sucrose lysis test for PNH | 600.00 | 720.00 |
PATH434 | T and B-cells EAC markers (limited to ONE marker only for CD4/8 counts) | 2,760.00 | 4,080.00 |
PATH435 | Thrombo - Elastogram | 3,360.00 | 4,920.00 |
PATH436 | Fibrinogen titre | 600.00 | 720.00 |
PATH437 | Glucose 6-phosphatedehydrogenase: Qualitative | 1,080.00 | 1,680.00 |
PATH438 | Glucose 6-phosphatedehydrogenase: Quantitative | 2,040.00 | 3,120.00 |
PATH439 | Red cell pyruvate kinase: Quantitative | 2,040.00 | 3,120.00 |
PATH440 | Red cell Rhesus phenotype | 1,320.00 | 1,920.00 |
PATH441 | Haemoglobin F in blood smear | 720.00 | 1,200.00 |
PATH442 | Partial thromboplastin time | 720.00 | 1,200.00 |
PATH443 | Thrombin time (screen) | 1,080.00 | 1,440.00 |
PATH444 | Thrombin time (serial) | 1,080.00 | 1,440.00 |
PATH445 | Haemoglobin H | 360.00 | 480.00 |
PATH446 | Fibrin degeneration products (diffusion plate) | 1,320.00 | 2,040.00 |
PATH447 | Fibrin degeneration products (latex slide) | 600.00 | 960.00 |
PATH448 | XDP (Dimer test or equivalent latex slide test) | 1,200.00 | 1,680.00 |
PATH449 | Haemagglutination inhibition | 1,320.00 | 1,920.00 |
PATH450 | D-Dimer (quantitative) | 2,760.00 | 5,280.00 |
PATH451 | Ristocetin Cofactor | 4,560.00 | 6,840.00 |
PATH452 | Heparin removal | 3,600.00 | 5,520.00 |
PATH453 | Autogenous vaccine | 2,040.00 | 3,480.00 |
PATH454 | Entomological examination | 2,640.00 | 3,960.00 |
PATH455 | Parasites in blood smear | 720.00 | 1,200.00 |
PATH456 | CD4/CD8 | 1,440.00 | 4,320.00 |
PATH457 | Flow Cytometry per marker | 4,800.00 | 6,240.00 |
IMMUNOLOGY & TISSUE TYPING | |||
PATH458 | HLA test for specific allele DNA-PCR | 4,680.00 | 6,840.00 |
PATH459 | HLA typing low resolution Class I DNA-PCR per locus | 12,600.00 | 18,720.00 |
PATH460 | HLA typing low resolution Class II DNA-PCR per locus | 9,240.00 | 13,920.00 |
PATH461 | HLA typing high resolution Class I or II DNA-PCR per locus | 8,280.00 | 12,480.00 |
PATH462 | Anti IgE receptor antibody test (10 samples and dilution) | 20,160.00 | 30,240.00 |
PATH463 | Mast cell tryptase | 12,120.00 | 18,240.00 |
PATH464 | Acetyl choline receptor antibody | 19,800.00 | 29,520.00 |
PATH465 | IgE: Total | 2,040.00 | 3,480.00 |
PATH466 | Antigen specific IgE | 2,040.00 | 3,480.00 |
PATH467 | Panel typing: Antibody detection: Class I | 4,680.00 | 6,840.00 |
PATH468 | Panel typing: Antibody detection: Class II | 5,520.00 | 8,280.00 |
PATH469 | HLA test for specific locus/antigen - serology | 3,480.00 | 5,040.00 |
PATH470 | HLA typing: Class I - serology | 6,480.00 | 9,840.00 |
PATH471 | HLA typing: Class II - serology | 6,480.00 | 9,840.00 |
PATH472 | HLA typing: Class I & II - serology | 11,280.00 | 16,920.00 |
PATH473 | Cross matching T-cells (per tray) | 2,400.00 | 3,480.00 |
PATH474 | Cross matching B-cells | 4,800.00 | 7,200.00 |
PATH475 | Cross matching T- & B-cells | 6,120.00 | 9,120.00 |
MICROBIOLOGY | |||
PATH476 | Miscellaneous (body fluids, urine, exudate, fungi, puss, scrapings, etc.) | 720.00 | 1,080.00 |
PATH477 | Fungus identification | 1,200.00 | 1,680.00 |
PATH478 | Faeces (including parasites) | 720.00 | 1,080.00 |
PATH479 | Inclusion bodies | 600.00 | 960.00 |
PATH480 | Crystal identification polarized light microscopy | 600.00 | 960.00 |
PATH481 | Campylobacter in stool: Fastidious culture | 1,320.00 | 1,920.00 |
PATH482 | Antigen detection with polyclonal antibodies | 600 | 960.00 |
PATH483 | Mycobacteria microscopy | 480.00 | 600.00 |
PATH484 | Antigen detection with monoclonal antibodies | 1,440.00 | 2,040.00 |
PATH485 | Concentration techniques for parasites | 480.00 | 600.00 |
PATH486 | Dark field, phase or interference contrast microscopy, Nomarski or Fontana | 960.00 | 1,320.00 |
PATH487 | Cytochemical stain | 720.00 | 1,200.00 |
PATH488 | Antibiotic susceptibility test: Per organism | 1,080.00 | 1,680.00 |
PATH489 | Adhesive tape preparation | 480.00 | 600.00 |
PATH490 | Clostridium difficile toxin: Monoclonal immunological | 3,480.00 | |
PATH491 | Antibiotic assay of tissues and fluids | 1,800.00 | 2,640.00 |
PATH492 | Blood culture: Aerobic | 1,440.00 | 2,640.00 |
PATH493 | Blood culture: Anaerobic | 1,440.00 | 2,640.00 |
PATH494 | Bacteriological culture: Miscellaneous | 1,320.00 | 3,000.00 |
PATH495 | Radiometric blood culture | 1,440.00 | 2,520.00 |
PATH496 | Bacteriological culture: Fastidious organisms | 1,800.00 | 3,120.00 |
PATH497 | In vivo culture: Bacteria | 2,040.00 | 3,120.00 |
PATH498 | In vivo culture: Virus | 2,040.00 | 2,040.00 |
PATH499 | Bacterial exotoxin production (in vivo assay) | 2,640.00 | 3,960.00 |
PATH500 | Fungal culture | 1,440.00 | 2,640.00 |
PATH501 | Clostridium difficile (cytotoxicity neutralisation) | 3,840.00 | 5,640.00 |
PATH502 | Antibiotic level: Biological fluids | 2,040.00 | 2,400.00 |
PATH503 | Rotavirus latex slide test | 720.00 | 1,200.00 |
PATH504 | Identification of virus or rickettsia | 2,640.00 | 3,960.00 |
PATH505 | Identification: Chlamydia | 2,040.00 | 3,120.00 |
PATH506 | Culture for staphylococcus aureus | 360.00 | 480.00 |
PATH507 | Anaerobe culture: Comprehensive | 3,480.00 | 5,280.00 |
PATH508 | Anaerobe culture: Limited procedure | 1,320.00 | 1,920.00 |
PATH509 | Beta-lactamase assay | 600.00 | 960.00 |
PATH510 | Sterility control test: Biological method | 600.00 | 960.00 |
PATH511 | Mycobacterium culture | 3,240.00 | 5,520.00 |
PATH512 | Radiometric tuberculosis culture | 1,440.00 | 2,040.00 |
PATH513 | Mycoplasma culture: Comprehensive | 1,320.00 | 1,920.00 |
PATH514 | Identification of mycobacterium | 1,320.00 | 1,920.00 |
PATH515 | Mycobacterium: Antibiotic sensitivity | 1,320.00 | 1,920.00 |
PATH516 | Antibiotic synergistic study | 2,640.00 | 3,960.00 |
PATH517 | Viable cell count | 360.00 | 360.00 |
PATH518 | Biochemical identification of bacterium: Abridged | 480.00 | 720.00 |
PATH519 | Biochemical identification of bacterium: Extended | 2,040.00 | 3,480.00 |
PATH520 | Serological identification of bacterium: Abridged | 480.00 | 720.00 |
PATH521 | Serological identification of bacterium: Extended | 1,320.00 | 2,040.00 |
PATH522 | Grouping for streptococci | 1,080.00 | 1,440.00 |
PATH523 | Antimicrobic substances | 600.00 | 720.00 |
PATH524 | Radiometric mycobacterium identification | 1,920.00 | 2,760.00 |
PATH525 | Radiometric mycobacterium antibiotic sensitivity | 3,240.00 | 4,800.00 |
PATH526 | Helicobacter: Monoclonal immunological | 2,040.00 | 3,480.00 |
PATH527 | HIV ELISA - Antibodies to human immunodeficiency virus (HIV) | 2,040.00 | 2,760.00 |
PATH528 | IgE: Total: EMIT or ELISA | 2,040.00 | 2,400.00 |
PATH529 | Auto antibodies by labelled antibodies | 2,040.00 | 3,120.00 |
PATH530 | Sperm antibodies | 2,040.00 | 3,120.00 |
PATH531 | Virus neutralisation test: First antibody | 9,360.00 | 14,160.00 |
PATH532 | Virus neutralisation test: Each additional antibody | 1,920.00 | 2,880.00 |
PATH533 | Precipitation test per antigen | 600.00 | 960.00 |
PATH534 | Agglutination test per antigen | 720.00 | 1,200.00 |
PATH535 | Cryptococcal Antigen | 1,440.00 | 3,000.00 |
PATH536 | Haemagglutination test: Per antigen | 1,320.00 | 1,920.00 |
PATH537 | Modified Coombs' test for brucellosis | 600.00 | 960.00 |
PATH538 | Hepatitis Rapid Viral Ab | 2,040.00 | 2,400.00 |
PATH539 | Antibody titer to bacterial exotoxin | 600.00 | 720.00 |
PATH540 | IgE: Specific antibody titer: ELISA/EMIT: Per Ag | 2,040.00 | 3,480.00 |
PATH541 | Complement fixation test | 720.00 | 1,200.00 |
PATH542 | IgM: Specific antibody titer:ELISA/EMIT: Per Ag | 1,920.00 | 2,760.00 |
PATH543 | C-reactive protein (CRP) | 1,800.00 | 2,640.00 |
PATH544 | IgG: Specific antibody titer: ELISA/EMIT: Per Ag | 2,040.00 | 3,480.00 |
PATH545 | Qualitative Kahn, VDRL or other flocculation | 360.00 | 480.00 |
PATH546 | Neutrophil phagocytosis | 3,240.00 | 4,800.00 |
PATH547 | Quantitative Kahn, VDRL or other flocculation | 600.00 | 720.00 |
PATH548 | Neutrophil chemotaxis | 8,520.00 | 12,720.00 |
PATH549 | Tube agglutination test (others) | 600.00 | 960.00 |
PATH550 | Paul Bunnell: Presumptive | 360.00 | 480.00 |
PATH551 | Infectious mononucleosis latex slide test (Monospot orequivalent) | 1,200.00 | 1,680.00 |
PATH552 | Anti Gad/Ia2 Ab | 8,520.00 | 12,720.00 |
PATH553 | Rose Waaler agglutination test | 600.00 | 960.00 |
PATH554 | Gonococcal, listeria or echinococcus agglutination | 1,320.00 | 1,920.00 |
PATH555 | Slide agglutination test | 480.00 | 600.00 |
PATH556 | Serum complement level: Each component | 480.00 | 720.00 |
PATH557 | Anti Ia2 Antibodies | 4,680.00 | 6,840.00 |
PATH558 | Anti Gad Antibodies | 4,680.00 | 6,840.00 |
PATH559 | Auto-antibody: Sensitized erythrocytes | 600.00 | 960.00 |
PATH560 | Herpes virus typing: Monoclonal immunological | 2,640.00 | 3,960.00 |
PATH561 | Western blot technique | 9,240.00 | 13,920.00 |
PATH562 | Epstein-Barr virus antibody titer | 960.00 | 1,320.00 |
PATH563 | Immuno-diffusion test: Per antigen | 480.00 | 720.00 |
PATH564 | Respiratory syncytial virus (ELISA technique) | 4,560.00 | 6,720.00 |
PATH565 | Immuno electrophoresis: Per immune serum | 1,320.00 | 1,920.00 |
PATH566 | Polymerase chain reaction | 9,360.00 | 14,160.00 |
PATH567 | Indirect immuno-fluorescence test (bacterial, viral, parasitic) | 2,040.00 | 2,400.00 |
PATH568 | Lymphocyte transformation | 6,480.00 | 9,720.00 |
PATH569 | Bilharzia Ag Serum/Urine | 1,920.00 | 2,760.00 |
PATH570 | Histone Ab | 2,040.00 | 3,120.00 |
PATH571 | Quantitative PCR (DNA/RNA) others | 10,800.00 | 21,600.00 |
PATH572 | Recombinant DNA technique per probe | 3,240.00 | 4,800.00 |
PATH573 | Ribosomal RNA targeting for bacteriological identification | 4,560.00 | 6,720.00 |
PATH574 | Ribosomal RNA amplification for bacteriological identification | 9,360.00 | 14,160.00 |
PATH575 | Bacteriological DNA identification (LCR) per probe | 3,240.00 | 4,800.00 |
PATH576 | Bacteriological DNA identification (PCR) per test | 7,680.00 | 14,040.00 |
PATH577 | Mixed antiglobulin reaction: Semen | 960.00 | 1,320.00 |
PATH578 | Friberg test: Semen | 1,920.00 | 2,760.00 |
PATH579 | Kremer test: Semen | 600.00 | 720.00 |
PATH580 | Quantitative PCR - viral load (not HIV) - hepatitis C, hepatitis B, CMV, etc. | 17,400.00 | 25,200.00 |
PATH581 | Semen analysis: Cell count | 1,080.00 | 1,440.00 |
PATH582 | Semen analysis: Cytology | 1,080.00 | 1,440.00 |
PATH583 | Semen analysis: Viability + motility - 6 hours | 960.00 | 1,200.00 |
PATH584 | Semen analysis: Supravital stain | 720.00 | 1,200.00 |
PATH585 | Seminal fluid: Alpha glucosidase | 2,640.00 | 3,840.00 |
PATH586 | Seminal fluid fructose | 480.00 | 720.00 |
PATH587 | Seminal fluid: Acid phosphatase | 720.00 | 1,080.00 |
PATH588 | Helicobacter: Pylori antigen test | 1,920.00 | 4,080.00 |
PATH589 | HIV Ab - Rapid Test | 360.00 | 1,080.00 |
PATH590 | Antibiotic MIC per organism per antibiotic | 1,080.00 | 1,680.00 |
PATH591 | Non-radiometric automated blood cultures | 1,800.00 | 2,640.00 |
PATH592 | Rapid automated bacterial identification per organism | 1,920.00 | 2,880.00 |
PATH593 | Rapid automated antibiotic susceptibility per organism | 2,160.00 | 3,240.00 |
PATH594 | Rapid automated MIC per organism per antibiotic | 2,160.00 | 3,240.00 |
PATH595 | Mycobacteria: MIC determination - E Test | 2,160.00 | 3,240.00 |
PATH596 | Mycobacteria: Identification HPLC | 4,560.00 | 6,720.00 |
PATH597 | Mycobacteria: Liquefied, consentrated, fluorochrome stain | 1,320.00 | 1,920.00 |
PATH598 | Transmission electron microscopy | 10,680.00 | 15,840.00 |
PATH599 | HIV Drug Resistance Testing | 42,000.00 | 72,000.00 |
PATH600 | HIV Viral Load | 6,000.00 | 11,520.00 |
PATH601 | HIV Qualitative DNA test | 6,000.00 | 11,520.00 |
PATH602 | Scanning electron microscopy | 12,600.00 | 18,720.00 |
MOLECULAR STUDIES/PCR | — | — | |
PATH603 | Specified additional analysis e.g. mosaicism, Fanconi anaemia, Fra X, additional staining techniques | 9,000.00 | 13,440.00 |
PATH604 | FISH procedure, including cell culture | 14,760.00 | 22,080.00 |
PATH605 | FISH analysis per probe system | 4,560.00 | 6,840.00 |
PATH606 | Blood: DNA extraction | 5,760.00 | 8,640.00 |
PATH607 | Blood: Genotype per person: Southern blotting | 11,400.00 | 17,160.00 |
PATH608 | Blood: Genotype per person: PCR | 7,680.00 | 11,520.00 |
PATH609 | Prenatal diagnosis: Amniotic fluid or chorionic tissue: DNAextraction | 11,520.00 | 17,280.00 |
PATH610 | Prenatal diagnosis: Amniotic fluid or chorionic tissue: Genotype per person: Southern blotting | 24,120.00 | 36,000.00 |
PATH611 | Prenatal diagnosis: Amniotic fluid or chorionic tissue:Genotype per person: PCR | 15,480.00 | 23,040.00 |
PATH612 | PCR - generic tests per marker | 11,520.00 | 23,040.00 |
PATH613 | DNA paternity test profile per individual | 14,400.00 | 28,800.00 |
PATH614 | Quantitative PCR (DNA/RNA) others | 10,800.00 | 21,600.00 |
PATH615 | Qualitative PCR (DNA/RNA) others | 8,400.00 | 18,000.00 |
OTHER CONSULTATION WORK | — | — | |
PATH616 | Attendance in theatre | 7,200.00 | 21,600.00 |
PATH617 | Sit-in consultancy per hour session | 7,200.00 | 21,600.00 |
PATH618 | Teaching consultancy per hour session | 7,200.00 | 21,600.00 |
CODE | D001: FEES GUIDELINES FOR DENTAL PRACTITIONERS | ||
A | Consultation Fees | Minimum (KES) | Maximum(KES) |
IMPORTANT NOTE: Valid for 3 months | |||
C001 | General dentist | 1,500.00 | 4,000.00 |
C002 | Dental specialist | 3,000.00 | 6,000.00 |
HOSPITAL VISIT | |||
CONSULTATION FEES | |||
Per visit | |||
C003 | Hospital visit-day | 5,000.00 | 10,000.00 |
C004 | Hospital visit-night | 10,000.00 | 20,000.00 |
B Radiology | Minimum (KES) | Maximum(KES) | |
RAD001 | Occlusal views | 1,000.00 | 1,500.00 |
RAD002 | Left / Right Bitewing (LBW /RBW) | 1,000.00 | 1,500.00 |
RAD003 | Bilateral Bitewings (BBW) | 1,500.00 | 2,000.00 |
RAD004 | Intraoral Periapical (IOPA) | 1,000.00 | 1,500.00 |
RAD005 | Orthopantomogram ( OPG ) | 2,000.00 | 3,000.00 |
RAD006 | Cephalometric radiograph (Lateral Cephalogram) | 3,500.00 | 5,000.00 |
RAD007 | Sialogram | 6,000.00 | 10,000.00 |
RAD008 | TMJ Tomograms | 2,000.00 | 4,000.00 |
RAD009 | CBCT Single tooth | 1,500.00 | 2,000.00 |
RAD010 | CBCT Maxilla | 8,000.00 | 12,000.00 |
RAD011 | CBCT Right/Left Maxilla | 4,000.00 | 7,000.00 |
RAD012 | CBCT Mandible | 8,000.00 | 12,000.00 |
RAD013 | CBCT Right/Left Mandible | 4,000.00 | 7,000.00 |
RAD014 | Radiology Report | 2,000.00 | 5,000.00 |
C | ORAL SURGERY BY GENERAL DENTIST | Minimum (KES) | Maximum(KES) |
IMPORTANT NOTE: Oral Surgery cases that are diagnosed as complex will be reffered to Specialist Oral & MaxillofacialSurgeons | |||
MOS001 | Extraction - Uncomplicated | 3,000.00 | 7,000.00 |
MOS002 | Extraction - Complicated/Surgical | 5,000.00 | 10,000.00 |
MOS003 | Dismpaction (Surgical Odontectomy ) | 20,000.00 | 25,000.00 |
MOS004 | Management of Alveolar Osteitis (Dry Socket) | 6,000.00 | 8,000.00 |
MOS005 | Dentoalveolar Debridement | 10,000.00 | 15,000.00 |
MOS006 | Incision & Drainage | 6,000.00 | 10,000.00 |
MOS007 | Apicectomy | 15,000.00 | 30,000.00 |
MOS008 | Dentoalveolar Splinting | 14,000.00 | 18,000.00 |
MOS009 | Soft Tissue Management | 10,000.00 | 15,000.00 |
MOS010 | Removal of Sutures & Post Operative Review | 1,500.00 | 2,000.00 |
MOS011 | Maxillo - Mandibular Fixation | 20,000.00 | 40,000.00 |
D RESTORATIVE DENTISTRY | Minimum (KES) | //Maximum(KES)// | |
Restorations/Fillings | |||
RES001 | Amalgam – one surface | 4,000.00 | 6,000.00 |
RES002 | Amalgam – two surfaces | 5,000.00 | 8,000.00 |
RES003 | Amalgam three surfaces | 6,000.00 | 8,000.00 |
RES004 | Complex multisurface Amalgam Filling (More than 3 surfaces) | 7,000.00 | 9,000.00 |
RES005 | Composite / Tooth coloured Filling (one surface) | 5,000.00 | 6,000.00 |
RES006 | Composite / Tooth coloured Filling (two surfaces) | 6,000.00 | 7,000.00 |
RES007 | Composite / Tooth coloured Filling (three surfaces) | 7,000.00 | 9,000.00 |
RES008 | Complex multisurface Tooth coloured Filling (More than 3surfaces) | 8,000.00 | 9,000.00 |
RES009 | Temporary / Provisional filling | 3,000.00 | 5,000.00 |
RES010 | Fissure sealant - per tooth | 4,000.00 | 5,000.00 |
RES011 | Preventive Resin Restorations (PRR) | 4,000.00 | 5,000.00 |
RES012 | Pins (each) | 2,000.00 | 5,000.00 |
RES013 | Metalic Post (each) | 3,500.00 | 6,000.00 |
RES014 | Fibre Post | 12,000.00 | 15,000.00 |
RES015 | Cast Post | 15,000.00 | 25,000.00 |
E | ENDODONTICS (ROOT CANAL TREATMENT) | Minimum (KES) | //Maximum(KES)// |
Charges Do not include Cost of Filling (Restoration) or Crown post Endodontic Treatment | |||
END001 | Pulputomy | 10,000.00 | 15,000.00 |
Root Canal Treatment | |||
END002 | a) Anterior tooth | 15,000.00 | 20,000.00 |
END003 | b) Premolars | 20,000.00 | 25,000.00 |
END004 | c) Molars | 25,000.00 | 40,000.00 |
END005 | d) Accessory or Extra Canals (each) | 10,000.00 | 15,000.00 |
END006 | e) Retreatment of a previoulsy root treated tooth (Additional charge to the basic cost of Root Canal Treatment) | 10,000.00 | 20,000.00 |
END007 | f) Access through crowns (Additional Charge) | 6,000.00 | 10,000.00 |
END008 | Bleaching Non-vital (per tooth/Per session) | 5,000.00 | 7,000.00 |
END009 | Apico-ectomy (anterior teeth - (using MTA) | 20,000.00 | 30,000.00 |
END010 | Apico-ectomy (Posterior teeth - (using MTA) | 40,000.00 | 50,000.00 |
END011 | Hemisection/Root amputation (Exclude cost of RCC) | 20,000.00 | 30,000.00 |
END012 | Root submersion | 15,000.00 | 20,000.00 |
END013 | Repair of Perforation (using MTA) non-surgical | 20,000.00 | 30,000.00 |
END014 | Repair of Perforation (using MTA) Surgical | 30,000.00 | 40,000.00 |
END015 | Pulp Revascularization | 40,000.00 | 50,000.00 |
END016 | Removal of separated/Fractured Instruments plus RCC | 30,000.00 | 50,000.00 |
END017 | Endodontics Transplantation/Re- Implantation | 20,000.00 | 35,000.00 |
END018 | Apexification (using MTA) | 30,000.00 | 40,000.00 |
END019 | Apexification (using Calcium Hydroxide) | 20,000.00 | 25,000.00 |
END020 | Apexogenesis | 20,000.00 | 30,000.00 |
END021 | Endodontic Implants | 50,000.00 | 80,000.00 |
END022 | Vital Pulp Therapy (using Calcim Hydroxide) | 5,000.00 | 7,000.00 |
F | PERIODONTICS | Minimum (KES) | Maximum(KES) |
General Periodontics | |||
PERI001 | Scaling and polishing | 6,000.00 | 15,000.00 |
PERI002 | Prophylaxis | 4,500.00 | 7,000.00 |
PERI003 | Polishing and stain removal | 3,600.00 | 8,000.00 |
PERI004 | Management of Dentine Hypersensitivity Per appointment | 3,600.00 | 10,000.00 |
PERI005 | Full Mouth Flouride application (Flouridation) | 3,000.00 | 5,000.00 |
PERI006 | Root planing (per quadrant) | 6,000.00 | 10,000.00 |
Periodontal Splinting | |||
PERI007 | Resin composite/wire splint (per sextant) | 10,000.00 | 20,000.00 |
PERI008 | Reinforced fiber splint (per sextant excluding cost of splint) | 15,000.00 | 25,000.00 |
Perioldontal Surgery | |||
PERI009 | Open flap debridement (1 to 3 contiguous teeth or edentulous spans) | 25,000.00 | 40,000.00 |
PERI010 | Root coverage surgery using xenografts/allografts (exclude cost of graft) | 30,000.00 | 40,000.00 |
PERI011 | Root coverage surgery using autograft | 40,000.00 | 60,000.00 |
PERI012 | Frenectomy | 10,000.00 | 15,000.00 |
PERI013 | Crown lengthening (1 to 3 contiguous teeth) | 15,000.00 | 30,000.00 |
PERI014 | Gingivectomy (1 to 3 contiguous teeth) | 15,000.00 | 25,000.00 |
PERI015 | Gingivoplasty (1 to 3 contiguous teeth) | 15,000.00 | 25,000.00 |
PERI016 | Vestibuloplasty | 20,000.00 | 40,000.00 |
PERI017 | Root resection (excluding cost of endodontic therapy andsubsequent crown) | 25,000.00 | 40,000.00 |
PERI018 | Hemisection (excluding cost of endodontic therapy andsubsequent crown) | 20,000.00 | 30,000.00 |
PERI019 | Guided tissue regeneration per site (excluding cost of graftmaterial) | 25,000.00 | 35,000.00 |
PERI020 | Guided bone regeneration per site (excluding cost of graftmaterial) | 25,000.00 | 35,000.00 |
PERI021 | Block grafts (excluding cost of graft) | 100,000.00 | 120,000.00 |
PERI022 | Alveoloplasty | 20,000.00 | 30,000.00 |
PERI023 | Socket preservation per extraction site (excluding cost ofgraft material) | 10,000.00 | 15,000.00 |
Surgical Phase of Oral Implantology | |||
Exlusive of Costs of Implant Fixtures, Healing Abutments & Provisional prothesis / restorations. Cost of implantfixtures will vary depnending on the choice of implant selected | |||
PERI024 | Development of implant therapy treatment plan (excluding cost of radiological examination) | As per theconsultationcharges | As per theconsultationcharges |
PERI025 | Single implant placement (excluding cost of implantfixture) | 60,000.00 | 80,000.00 |
PERI027 | Subsequent non contiguous implant placement in the samequadrant (excluding cost of fixture) | 35,000.00 | 50,000.00 |
PERI028 | Implant exposure (excluding cost of healing abutment) | 15,000.00 | 20,000.00 |
PERI029 | Removal of failed implant | 35,000.00 | 50,000.00 |
PERI030 | Scaling of implant fixture (excluding cost of general scaling) | 5,000.00 | 8,000.00 |
PERI031 | Sinus lift (Closed Sinus Lift) (excluding cost of graft material) | 45,000.00 | 60,000.00 |
PERI032 | Lateralisation of mandibular canal | 120,000.00 | 150,000.00 |
PERI033 | Application of locally delivered antimicrobials per site (excluding cost of antimicrobials) | 3,000.00 | 5,000.00 |
PERI034 | Supportive periodontal therapy | 5,000.00 | 10,000.00 |
PERI035 | Collecting and processing blood for platelet rich plasma | 8,000.00 | 12,000.00 |
G | PROSTHODONTICS | Minimum (KES) | Maximum(KES) |
Fixed prosthodontics | |||
PROS001 | Diagnostic cast / Study Models | 3,600.00 | 4,800.00 |
PROS002 | Wax up per unit | 2,000.00 | 4,000.00 |
PROS003 | Prefabricated post & core | 15,000.00 | 20,000.00 |
PROS004 | Cast post and core ( excluding cost of gold) | 20,000.00 | 30,000.00 |
Crowns | |||
PROS005 | Temporary crown per unit | 10,000.00 | 15,000.00 |
PROS006 | Metal ceramic Crown | 40,000.00 | 55,000.00 |
PROS007 | Ceramic / Zirconia / Emax Crown | 45,000.00 | 60,000.00 |
PROS008 | Full gold crown | 60,000.00 | 80,000.00 |
PROS009 | Implant retained crown per unit (excluding cost of components) | 40,000.00 | 55,000.00 |
PROS010 | Fixed Definitive Bridge (Charges are per Unit) | 40,000.00 | 55,000.00 |
Provisional Maryland Bridge | |||
PROS011 | Composite (per unit) | 15,000.00 | 20,000.00 |
PROS012 | Porcelain/Ceramic Fused to Metal (per unit) | 40,000.00 | 55,000.00 |
PROS013 | Recementation of crown or bridge per unit | 5,000.00 | 10,000.00 |
PROS014 | Removal of crown /bridge per unit | 8,000.00 | 12,000.00 |
Veneers per unit: | |||
PROS015 | Direct composite Venneers | 10,000.00 | 15,000.00 |
PROS016 | Indirect Composite Venners | 25,000.00 | 30,000.00 |
PROS017 | Ceramic / Porcelain Venners | 30,000.00 | 40,000.00 |
PROS018 | Inlays /onlays (excluding cost of alloy) | 30,000.00 | 45,000.00 |
PROS019 | Repair of fractured procelain | 10,000.00 | 15,000.00 |
Prosthodontic Phase of Oral Implantology | |||
PROS020 | Temporary implant restoration (excluding cost of components) | 15,000.00 | 30,000.00 |
PROS021 | Permanent / Definitive implant retained restoration - crown or bridge (excluding cost of components) | 40,000.00 | 60,000.00 |
Removable prosthodontics | |||
PROS022 | Complete upper and lower denture | 40,000.00 | 60,000.00 |
PROS023 | Single complete denture | 25,000.00 | 35,000.00 |
Acrylic Removable Partial Dentures | |||
PROS024 | Acrylic Removable Partial Denture 1 -3 teeth | 12,000.00 | 15,000.00 |
PROS025 | Acrylic Removable Partial Denture 4-6 teeth | 15,000.00 | 25,000.00 |
PROS026 | Acrylic Removable Partial Denture 7 or more | 25,000.00 | 40,000.00 |
PROS027 | Repair of broken acrylic denture: Without impression | 4,000.00 | 7,000.00 |
PROS028 | Repair of broken acrylic denture: With Impression | 8,000.00 | 10,000.00 |
PROS029 | Cobalt chrome Removable Partial Denture (excluding lab fee) | 40,000.00 | 70,000.00 |
PROS030 | Repair of cobalt chrome RPD | 8,000.00 | 10,000.00 |
PROS031 | Addition of a tooth on denture | 5,000.00 | 10,000.00 |
PROS032 | Soft/Hard reline | 8,000.00 | 10,000.00 |
PROS033 | Michigan splint | 40,000.00 | 60,000.00 |
PROS034 | Mouth guard | 10,000.00 | 15,000.00 |
Maxillofacial prosthodontics | |||
PROS036 | Obturator with acrylic base | 40,000.00 | 60,000.0 |
PROS037 | Obturator with cobalt chrome base | 80,000.00 | 100,000.00 |
PROS038 | Facial prothesis | Case Dependent | Case Dependent |
H PAEDIATRIC DENTISTRY | Minimum (KES) | Maximum(KES) | |
PAED001 | Fissure sealant | 4,000.00 | 6,000.00 |
PAED002 | Fluoride varnish application | 5,000.00 | 7,000.00 |
PAED003 | Preventive resin restoration | 6,000.00 | 8,000.00 |
PAED004 | Pulpotomy | 10,000.00 | 15,000.00 |
PAED005 | Pulpectomy | 15,000.00 | 20,000.00 |
PAED006 | Uncomplicated extraction | 3,000.00 | 6,000.00 |
PAED007 | Stainless steel Crown | 10,000.00 | 15,000.00 |
PAED008 | Restorative dentistry | Refer tocharges inrestorativesection | |
PAED009 | Prophylaxis, Scaling, Root planning, Gingivoplasty, Gingivectomy, Frenectomy | Refer tocharges inPeriodonticssection | |
PAED010 | Dentures | Refer tochargesprosthodonticssection | |
PAED011 | Minor oral surgery | Refer tocharges insurgery section | |
PAED012 | Root canal treatment, apexification, apexogenesis and other endodontic treatment procedures | Refer tocharges inendodonticssection | |
PAED013 | Study models and orthodontic treatment procedures | Refer tocharges inorthodonticssection | |
I | ORTHODONTICS | Minimum (KES) | Maximum(KES) |
Diagnosis + treatment planning | |||
ORTH001 | Orthodontic Study models | 3,000.00 | 8,000.00 |
Photographs | 1,000.00 | 5,000.00 | |
ORTH003 | Diagnosis + treatment planning | Charge as perconsultation | Charge as perconsultation |
ORTH004 | Orthodontic diagnostic setup | Charge as perconsultation | Charge as perconsultation |
ORTH005 | Treatment planning orthognathic Surgery | Charge as perconsultation | Charge as perconsultation |
Comprehensive Fixed Orthodontic Treatment | |||
ORTH006 | Single arch Orthodontics - Mild & Moderate Malocclusion | 75,000.00 | 150,000.00 |
ORTH007 | Class I Malocclusion - Mild & Moderate | 150,000.00 | 250,000.00 |
ORTH008 | Class I Malocclusion - Severe | 187,500.00 | 350,000.00 |
ORTH009 | Class I Malocclusion - Severe + Complications | 262,500.00 | 400,000.00 |
ORTH010 | Class II + III - Mild | 112,500.00 | 250,000.00 |
ORTH011 | Class II + III - Moderate | 187,500.00 | 300,000.00 |
ORTH012 | Class II + III - Severe | 225,000.00 | 480,000.00 |
ORTH013 | Class II + III - Severe + Complications | 375,000.00 | 600,000.00 |
ORTH014 | Re-bonding of brackets/attachments/bands | 2,250.00 | 5,000.00 |
ORTH015 | Implant- aided orthodontics (TADs Temporary Achorage Devices) - per implant | 30,000.00 | 60,000.00 |
ORTH016 | Sectional Fixed Appliance per arch | 37,500.00 | 100,000.00 |
Lingual Orthodontics | |||
ORTH017 | Single arch - Mild & Moderate | 150,000.00 | 300,000.00 |
ORTH018 | Single arch - severe | 240,000.00 | 400,000.00 |
ORTH019 | Class I Malocclusion - Mild & Moderate | 315,000.00 | 500,000.00 |
ORTH020 | Class I Malocclusion - Severe | 390,000.00 | 600,000.00 |
ORTH021 | Class I Maloccl. - Severe + Complications | 465,000.00 | 700,000.00 |
ORTH022 | Class II + III - mild | 375,000.00 | 600,000.00 |
ORTH023 | Class II + III - moderate | 412,500.00 | 650,000.00 |
ORTH024 | Class II + III - severe | 510,000.00 | 720,000.00 |
ORTH025 | Class II + III - severe + complications | 562,500.00 | 1,000,000.00 |
Interceptive Orthodontics | |||
ORTH026 | First Removable appliance per arch | 22,500.00 | 50,000.00 |
ORTH027 | Fixed Interceptive Orthodontics Appliance | 37,500.00 | 75,000.00 |
ORTH028 | Subsequent Removable appliance | 11,250.00 | 30,000.00 |
ORTH029 | Removable Habit Breaker | 15,000.00 | 40,000.00 |
ORTH030 | Fixed Habit breaker | 26,250.00 | 60,000.00 |
ORTH031 | Fixed Space Maintainer per arch | 15,000.00 | 40,000.00 |
Retentive Phase of Orthodontics | |||
ORTH032 | Removable retainer per arch | 15,000.00 | 35,000.00 |
ORTH033 | Fixed retainer per arch | 18,750.00 | 40,000.00 |
Correction of Dentofacial Anomalies | |||
ORTH034 | Functional appliance | 37,500.00 | 100,000.00 |
ORTH035 | Bite plate for TMJ dysfunction | 15,000.00 | 40,000.00 |
ORTH036 | Major occlusal adjustment | 15,000.00 | 25,000.00 |
ORTH037 | Minor occlusal adjustment | 7,500.00 | 15,000.00 |
ORTH038 | Cleft palate: Consultation Out of surgery | As perConsultation | As perConsultation |
ORTH039 | Cleft palate: Subsequent consultations | As perConsultation | As perConsultation |
ORTH040 | Passive presurgical protheses | 15,000.00 | 45,000.00 |
ORTH041 | Active Presurgical Orthopaedic Appliance | 33,750.00 | 90,000.00 |
J | AESTHETIC DENTISTRY | Minimum(KES) | (KES) Maximum |
ORTH043 | Tooth Whitening / Bleaching per Arch (Take Home Bleach including the gel) | 24,000.00 | 36,000.00 |
ORTH044 | Chairside Tooth Whitening (Power Bleaching / Zoom Bleaching) | 35,000.00 | 50,000.00 |
ORTH045 | Microabrasion (per tooth) | 5,000.00 | 7,000.00 |
K | DENTAL TREATMENT UNDER GENERAL ANAESTHESIA | Minimum (KES) | Maximum(KES) |
Fees outlined are Dental Surgeon's fees only : Excluding theatre/hospital fees, materials and anaesthetists fees | |||
DGA001 | Children : Multiple fillings (Full Mouth Restorations - FMR) & or Extractions | 60,000.00 | 100,000.00 |
DGA002 | Adults : Multiple fillings /extractions | 60,000.00 | 100,000.00 |
L | DENTAL TREATMENT UNDER CONSCIOUS SEDATION | Minimum(KES) | Maximum(KES) |
Fees outlined are for conscious sedation 1-2 hours in a dentalsurgery with these facilities: (Excluding anaesthetists fess &cost of dental procedures. An Anaesthetist is required for this conscious sedation) | |||
DCONSED01 | Children | Charge as perprocedure | Charge as perprocedure |
DCONSED02 | Adults | Charge asper procedure | Charge as perprocedure |
OMFS001: FEE GUIDELINES FOR ORAL AND MAXILLOFACIAL SURGERY | |||
Specialists Consultation Fees | |||
Consultations | Minimum (KES) | Maximum(KES) | |
OMFS001 | First visit | 3,600.00 | 7,500.00 |
OMFS002 | Follow up Consulation for the Same Condition | 3,600.00 | 7,200.00 |
House Visits NB (Consultations only. Incidentals to be agreed upon by the parties) | Minimum (KES) | Maximum(KES) | |
OMFS003 | Day Time | 6,000.00 | 12,000.00 |
OMFS004 | Night Time | 12,000.00 | 18,000.00 |
Hospital Visits | |||
OMFS005 | Day Time | 6,000.00 | 12,000.00 |
OMFS006 | Emergency Night visits | 12,000.00 | 18,000.00 |
OMFS007 | Emergency Day visits | 7,200.00 | 12,000.00 |
OMFS008 ICU | Visit (Daily charges) | 7,200.00 | 10,000.00 |
OMFS009 | HDU Visit (Daily charges) | 6,000.00 | 7,500.00 |
OMFS010 | Witnessing a postmortem | 24,000.00 | 60,000.00 |
A) Minor Surgery | Minimum (KES) | Maximum (KES) | |
OMFS011 | Incision & Drainage dentoalveolar abscess (I&D) | 7,800.00 | 15,600.00 |
OMFS012 | Cervical lymph node biopsy | 15,600.00 | 31,200.00 |
OMFS013 | MUA # nose | 39,000.00 | 46,800.00 |
OMFS014 | Intranasal antrostomy | 39,000.00 | 46,800.00 |
B) Intermediate I | Minimum (KES) | //Maximum(KES)// | |
OMFS015 | Surgical removal supernumerary/other teeth | 15,600.00 | 39,000.00 |
OMFS016 | Transplantation/reimplantation of teeth | 31,200.00 | 54,600.00 |
OMFS017 | EUA | 39,000.00 | 54,600.00 |
OMFS018 | Removal of bone plates | 31,200.00 | 54,600.00 |
OMFS019 | Reduction of alveolar fracture | 39,000.00 | 54,600.00 |
OMFS020 | Sequestrectomy/Decortication Mandible/Maxilla | 39,000.00 | 54,600.00 |
OMFS021 | Tracheostomy: routine | 23,400.00 | 39,000.00 |
OMFS022 | Intermediate facaial soft tissue repair | 23,400.00 | 46,800.00 |
OMFS023 | Exploration/removal facial foreign bodies | 23,400.00 | 46,800.00 |
OMFS024 | TMJ athroscopy | 39,000.00 | 54,600.00 |
OMFS025 | Endoscopic EUA/biopsy | 39,000.00 | 54,600.00 |
OMFS026 | Incision & Drainage head and neck abscess | 23,400.00 | 39,000.00 |
OMFS027 | Posterior apicectomy | 23,400.00 | 39,000.00 |
OMFS028 | Septoplasty – simple | 31,200.00 | 70,200.00 |
OMFS029 | Sinus Lift | 80,000.00 | 140,000.00 |
C) Intermediate II | Minimum (KES) | //Maximum(KES)// | |
OMFS030 | Surgical removal of impacted third molars | 62,400.00 | 93,600.00 |
OMFS031 | Surgical exposure/removal of impacted canines | 62,400.00 | 93,600.00 |
OMFS032 | Closure of oro – antral fistula | 62,400.00 | 109,200.00 |
OMFS033 | Caldwell-Luc procedure | 62,400.00 | 109,200.00 |
OMFS034 | Elevation # zygoma: closed | 62,400.00 | 109,200.00 |
OMFS035 | Exploration of submandibular/parotid gland duct | 62,400.00 | 109,200.00 |
OMFS036 | Ennucleation of mandibular/maxillary mass | 2,400.00 | 93,600.00 |
OMFS037 | Excision of head and neck lipoma | 62,400.00 | 93,600.00 |
OMFS038 | Submandibular gland Sialadenectomy | 62,400.00 | 93,600.00 |
OMFS039 | Sublingual gland Sialadenectomy | 62,400.00 | 93,600.00 |
OMFS040 | Vestibuloplasty & skin graft | 62,400.00 | 109,200.00 |
OMFS041 | Excision of oral/facial fibroosseous lesion | 62,400.00 | 109,200.00 |
OMFS042 | Coronoidectomy | 62,400.00 | 109,200.00 |
OMFS043 | Temporalis/Masseter Myotomy | 62,400.00 | 109,200.00 |
OMFS044 | Cryotherapy to V Nerve branches/Minor Haemangioma | 62,400.00 | 109,200.00 |
OMFS045 | Cheiloplasty | 62,400.00 | 109,200.00 |
OMFS046 | Minor oral/facial bone/cartilage onlay graft | 62,400.00 | 93,600.00 |
OMFS047 | Torticollis/Fibromatosis Colli correction | 2,400.00 | 93,600.00 |
OMFS048 | Lip shave & Mucosal Advancement Flap | 62,400.00 | 117,000.00 |
OMFS049 | Wedge excision & primary closure lip | 62,400.00 | 117,000.00 |
OMFS050 | Excision facial BCC & local flap reconstruction | 62,400.00 | 117,000.00 |
OMFS051 | Excision/revision of facial scar | 62,400.00 | 117,000.00 |
OMFS052 | Primary repair bilateral cleft lip | 62,400.00 | 124,800.00 |
OMFS053 | Primary repair bilateral/complete cleft palate | 62,400.00 | 124,800.00 |
OMFS054 | Pharyngoplasty | 62,400.00 | 124,800.00 |
OMFS055 | Revision cleft lip/nose/palatoplasty | 62,400.00 | 124,800.00 |
D) Major I | Minimum (KES) | //Maximum(KES)// | |
OMFS056 | Closed reduction # mandible/maxilla | 93,600.00 | 124,800.00 |
OMFS057 | Segmental osteotomy mandible/maxilla | 93,600.00 | 124,800.00 |
OMFS058 | Excision of thyroglossal cyst | 93,600.00 | 124,800.00 |
OMFS059 | Removal of branchial/thyroglossal neck cyst | 93,600.00 | 124,800.00 |
OMFS060 | Superficaial parotidectomy | 93,600.00 | 124,800.00 |
OMFS061 | Extraoral/intraoral implants | 93,600.00 | 124,800.00 |
OMFS062 | Ridge augmentation/sinus lift | 93,600.00 | 124,800.00 |
OMFS063 | Genioplasty:augmentation/reduction | 93,600.00 | 124,800.00 |
OMFS064 | Tongue reduction | 93,600.00 | 124,800.00 |
OMFS065 | Open joint procedure TMJ | 93,600.00 | 124,800.00 |
OMFS066 | Closure cleft oronasal fistula & bone graft | 93,600.00 | 124,800.00 |
OMFS067 | Excision of scalp lesion & Wolfe graft | 93,600.00 | 124,800.00 |
OMFS068 | Open rhinoplastry & auricular cartilage grafts | 93,600.00 | 124,800.00 |
OMFS069 | Partial thickness skin graft to oral defect – minor | 93,600.00 | 124,800.00 |
OMFS070 | Full thickness skin/composite graft oral defect | 93,600.00 | 124,800.00 |
E) Major II | Minimum (KES) | //Maximum(KES)// | |
OMFS071 | ORIF # Zygoma | 140,400.00 | 187,200.00 |
OMFS072 | Exploration/graft orbital # | 140,400.00 | 187,200.00 |
OMFS073 | ORIF Nasoethmoid/frontal # | 140,400.00 | 187,200.00 |
OMFS074 | ORIF # Maxilla (Le Fort I) | 140,400.00 | 187,200.00 |
OMFS075 | ORIF # Mandible | 140,400.00 | 187,200.00 |
OMFS076 | Major facial soft tissue repair | 140,400.00 | 187,200.00 |
OMFS077 | Mandibular ostectomy (Le Fort I/cleft) (SS/VS/EO) | 140,400.00 | 187,200.00 |
OMFS078 | Maxillary Osteotomy (Le Fort I/cleft) | 140,400.00 | 187,200.00 |
OMFS079 | Postcondylar cartilage graft | 140,400.00 | 187,200.00 |
OMFS080 | Salivary duct redirection (Wilkie procedure) | 140,400.00 | 187,200.00 |
OMFS081 | Cleft alveolar bone graft | 140,400.00 | 187,200.00 |
OMFS082 | Excision facial hemangioma/lymphangioma | 140,400.00 | 187,200.00 |
OMFS083 | Nerve exploration & microsurgical repair | 140,400.00 | 187,200.00 |
OMFS084 | Primary repair unilateral cleft lip | 140,400.00 | 187,200.00 |
OMFS085 | Primary repair unilateral/incomplete cleft palate | 140,400.00 | 187,200.00 |
OMFS086 | Closed Rhinoplasty | 140,400.00 | 187,200.00 |
OMFS087 | Radical/modified neck dissection (RMND) | 140,400.00 | 187,200.00 |
OMFS088 | Radical Parotidectomy | 140,400.00 | 187,200.00 |
F) Complex Major | Minimum (KES) | //Maximum(KES)// | |
OMFS089 | ORIF # zygoma & orbit – complex comminuted | 156,000.00 | 312,000.00 |
OMFS090 | ORIF # nasoethmoid | 156,000.00 | 312,000.00 |
OMFS091 | Frontal & Canthopexy | 156,000.00 | 312,000.00 |
OMFS092 | ORIF # maxilla (Le Fort II/III) – unilateral | 156,000.00 | 312,000.00 |
OMFS093 | ORIF # maxilla (Le Fort II/III) – bilateral | 156,000.00 | 312,000.00 |
OMFS094 | ORIF # mandible — complex comminuted | 156,000.00 | 312,000.00 |
OMFS095 | Complex facial soft tissue repair (STR) | 156,000.00 | 312,000.00 |
OMFS096 | Complex facial STR & VIIn/parotid duct repair | 156,000.00 | 312,000.00 |
OMFS097 | Radical Parotidectomy & VIIn graft | 156,000.00 | 312,000.00 |
OMFS098 | Le Fort II/Kufener midfacial osteotomy | 156,000.00 | 312,000.00 |
OMFS099 | Bimaxillary osteotomy | 156,000.00 | 312,000.00 |
OMFS100 | Costochondral graft to mandible | 156,000.00 | 312,000.00 |
OMFS101 | Hypertelorism correction | 156,000.00 | 312,000.00 |
OMFS102 | Secondary craniofacial reconstruction | 156,000.00 | 312,000.00 |
OMFS103 | Closed rhinoplasty | 156,000.00 | 312,000.00 |
OMFS104 | RMND & Mandibulectomy/Maxillectomy | 156,000.00 | 312,000.00 |
OMFS105 | RMND & reconstruction plate/bone graft | 156,000.00 | 312,000.00 |
OMFS106 | RMND & glossectomy/oral cancer resection | 156,000.00 | 312,000.00 |
OMFS107 | RMND & pedicled flap/microvascualr free flap | 156,000.00 | 312,000.00 |
History of this document
31 December 2022 this version
Revised by
24th Annual Supplement
29 July 2016
Commenced