WARTA KERAJAAN PERSEKUTUAN
1 Februari 2017 1 February 2017 P.U. (A) 47
FEDERAL GOVERNMENT GAZETTE
PERINTAH FI (PERUBATAN) (PINDAAN) 2017 FEES (MEDICAL) (AMENDMENT) ORDER 2017
DISIARKAN OLEH/ PUBLISHED BY JABATAN PEGUAM NEGARA/ ATTORNEY GENERAL’S CHAMBERS
P.U. (A) 47 AKTA FI 1951 PERINTAH FI (PERUBATAN) (PINDAAN) 2017 PADA menjalankan kuasa yang diberikan oleh seksyen 3 Akta Fi 1951 [Akta 209], Yang di-Pertuan Agong membuat perintah yang berikut: Nama dan permulaan kuat kuasa 1.
(1)
Perintah
ini
bolehlah
dinamakan
Perintah
Fi
(Perubatan)
(Pindaan) 2017. (2)
Perintah ini mula berkuat kuasa pada 1 Februari 2017.
Pindaan Jadual B 2.
Perintah Fi (Perubatan) 1982 [P.U. (A) 359/1982], yang disebut “Perintah ibu”
dalam Perintah ini, dipinda dengan menggantikan Jadual B dengan Jadual yang berikut: “JADUAL B CAJ WAD BAHAGIAN 1 WAD AM
Tidak berhawa dingin (Caj sehari) (RM)
Berhawa dingin (Caj sehari) (RM)
90 60
120 90
45
60
25 3
40 3
Kelas Satu: - Bilik dengan satu katil - Bilik dengan dua katil - Bilik dengan tiga katil atau lebih Kelas Dua Kelas Tiga
2
P.U. (A) 47
BAHAGIAN 2 BILIK PROSEDUR (OBSTETRIK) (RM) 120 (Kelas Satu sahaja) 120 (Kelas Satu sahaja)
Bilik bersalin (setiap kemasukan) Dewan bedah (setiap kemasukan)
BAHAGIAN 3 WAD PSIKIATRIK Caj sehari (RM) 15 10 Percuma
Kelas Satu Kelas Dua Kelas Tiga BAHAGIAN 4 WAD EKSEKUTIF
Caj sehari (RM) 225 180 150”.
Bilik dengan satu katil (Orang kenamaan) Bilik dengan satu katil Bilik dengan dua katil
Pindaan Jadual C 3.
Perintah ibu dipinda dengan menggantikan Jadual C dengan Jadual yang berikut: “JADUAL C CAJ RAWATAN BAHAGIAN 1 RAWATAN PESAKIT DALAM Caj sehari (RM) 15 5 Percuma
Kelas Satu Kelas Dua Kelas Tiga
3
P.U. (A) 47 BAHAGIAN 2 ACCOUCHEMENT DAN BERSALIN Jenis rawatan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
1200
400
100
600 600 450
200 200 150
50 50 10
Pembedahan Caesarean Bersalin dengan bantuan: Forseps/songsang/vakum Bersalin kembar Bersalin biasa
BAHAGIAN 3 FISIOTERAPI Kelas Satu (RM)
Setiap lawatan Kelas Dua (RM)
Kelas Tiga (RM)
30 30 30 30 30 30 30 30 30 30 30
20 20 20 20 20 20 20 20 20 20 20
5 5 5 5 5 5 5 5 5 5 5
Terapi haba/krioterapi Pek panas Mandi lilin Sinaran inframerah Krioterapi
15 15 15 15
10 10 10 10
2 2 2 2
Fototerapi Terapi laser Terapi sinar ultraungu
30 30
15 15
5 5
Terapi kardiorespiratori Teknik Pernafasan Kitaran Aktif (ACBT) Senaman pernafasan Sedutan bronkiol Spirometer insentif
30 30 30 30
15 15 15 15
5 5 5 5
Jenis rawatan Modaliti elektroterapi Biomaklumbalas/miomaklumbalas Arus terus/iontoforesis Arus dwidinamik Arus terus terganggu Terapi interferens Diatermi gelombang pendek Stimulasi saraf transkutan elektrik Terapi ultrasound Ultrasound masa nyata Stimulasi elektrik fungsional Terapi gelombang kejut
4
P.U. (A) 47
Kelas Satu (RM) 30 30 30 30 30 30
Setiap lawatan Kelas Dua (RM) 15 15 15 15 15 15
Kelas Tiga (RM) 5 5 5 5 5 5
Terapi mekano Tarikan servikal Tarikan lumbar Pam berangkai
20 20 20
10 10 10
2 2 2
Hidroterapi Senaman kolam Pusaran air
20 20
10 10
2 2
Terapi manual Manipulasi tisu lembut Lepasan miofasia Penyaliran limfa secara manual Akutekanan
20 20 20 20
10 10 10 10
2 2 2 2
Pemitaan/pembalutan/pengikat
30
20
Percuma
Terapi mampatan (limfoedema)
30
20
Percuma
Teknik khas Teknik reposisi Canalith Senaman penstabilan renungan Pengaisan atau pemberusan Mobilisasi sendi Teknik McKenzie Program pembelajaran semula motor Akupunktur atau penjaruman kering Teknik perkembangan neuro Pemudahan proprioseptif saraf otot
30 30 30 30 30 30 30 30 30
20 20 20 20 20 20 20 20 20
2 2 2 2 2 2 2 2 2
Terapi senaman Aktif, pasif atau berbeban Ambulasi atau latihan gaya jalan Senaman antenatal dan postnatal Latihan imbangan Latihan pundi kencing/usus Latihan litar Senaman bola gim
20 20 20 20 20 20 20
10 10 10 10 10 10 10
2 2 2 2 2 2 2
Jenis rawatan Fluter Latihan otot inspiratori Terapi penyedutan Perkusi/getaran Tekanan ekspirasi positif Penyaliran postural
5
P.U. (A) 47
Jenis rawatan Teknik tahan kemutan untuk otot lantai pelvis Aktiviti kefungsian Senaman berkumpulan Senaman isokinetik Senaman mekanikal Senaman otot lantai pelvis Teknik relaksasi Pendidikan semula sensori Rejim tangan khas
Kelas Satu (RM) 20
Setiap lawatan Kelas Dua (RM) 10
Kelas Tiga (RM) 2
20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10
2 2 2 2 2 2 2 2
50 50
30 30
5 5
50 50 50 50 50 50 50 50 50 50
30 30 30 30 30 30 30 30 30 30
5 5 5 5 5 5 5 5 5 5
UJIAN KHAS Alat diagnostik Ujian imbangan Berg Ujian Klinikal bagi Interaksi Sensori dan Imbangan (CTSIB) Postugrafi dinamik berkomputer Penilaian tangan berkomputer Indeks gaya jalan dinamik Penilaian otot lantai pelvis Ujian sensori Lengkungan tempoh kekuatan Ujian otot voluntari Ujian vestibular Ujian bangun dan pergi bermasa Ujian jangkauan fungsi
BAHAGIAN 4 RAWATAN RADIOTERAPI DAN ONKOLOGI Jenis rawatan
Kelas Satu (RM)
Simulasi dan perancangan berkomputer Penandaan setempat 45 Simulasi konvensional 450 Simulasi CT: 450 Biasa (tanpa kontras)
Kelas Dua (RM)
Kelas Tiga (RM)
30 200 200
Percuma Percuma Percuma
6
Pesakit Luar Rujukan Rujukan daripada daripada Pengamal Pegawai Persendirian Perubatan (RM) Kerajaan (RM) 45 450 450
15 75 75
P.U. (A) 47 Jenis rawatan
Simulasi CT: Rumit (dengan kontras) Simulasi CT: Radioterapi Keamatan Bermodulasi (IMRT) Simulasi CT: Penyinaran Seluruh Badan (TBI) Simulasi CT: Penyinaran Seluruh Nodal (TNI) Simulasi CT: Elektron Suluruh Badan (TBE) Simulasi CT: Radioterapi Stereotaktik (SRT) Simulasi CT: Radiosurgeri Stereotaktik (SRS) Simulasi CT: Radioterapi Stereotaktik Badan (SBRT) Rawatan radioterapi 2D/medan tunggal/selari setentang (setiap pecahan) 3D/apa-apa rancangan dengan 3 atau lebih medan (setiap pecahan) IMRT (setiap pecahan) TBI (setiap pecahan) TNI (setiap pecahan) SRT (setiap pecahan)
Pesakit Luar Rujukan Rujukan daripada daripada Pengamal Pegawai Persendirian Perubatan (RM) Kerajaan (RM) 450 75
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
450
200
Percuma
450
200
Percuma
450
75
450
200
Percuma
450
75
450
200
Percuma
450
75
450
200
Percuma
450
75
450
200
Percuma
450
75
450
200
Percuma
450
75
450
200
Percuma
450
75
100
50
12
100
25
100
50
12
100
25
100 100 100 100
50 50 50 50
12 12 12 12
100 100 100 100
25 25 25 25
7
P.U. (A) 47 Jenis rawatan
SRS
SBRT
Rawatan brakiterapi Intrakavitari: Dobi/sumber satu baris (setiap sesi) Intrakavitari: ovoid berpasangan (setiap sesi) Intrakavitari: intrakavitari penuh (setiap sesi) Intrakavitari: bagi kanser nasofaringeal (NPC) (setiap sesi) Intraluminal: Esofagus, bronkus, anorektal (setiap sesi) Implan brakiterapi interstisial: implan brakiterapi payudara (setiap sesi) Implan brakiterapi interstisial: implant ekstremiti (setiap sesi) Implan brakiterapi: implan kaviti oral/ anorektal/prostat/mata dan lain-lain (setiap sesi) Prosedur brakiterapi prostat (rawatan pakej)
Pesakit Luar Rujukan Rujukan daripada daripada Pengamal Pegawai Persendirian Perubatan (RM) Kerajaan (RM) 7,000 500 (rawatan (rawatan pakej untuk pakej untuk sekali caj sekali caj sahaja) sahaja) 7,000 500 (rawatan (rawatan pakej untuk pakej untuk sekali caj sekali caj sahaja) sahaja)
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
7,000 (rawatan pakej untuk sekali caj sahaja) 7,000 (rawatan pakej untuk sekali caj sahaja)
5,000 (rawatan pakej untuk sekali caj sahaja) 5,000 (rawatan pakej untuk sekali caj sahaja)
12 (setiap rawatan)
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
7,000
5,000
6
―
―
8
12 (setiap rawatan)
P.U. (A) 47 Jenis rawatan
Rawatan anti-neoplastik Rawatan anti-neoplastik untuk kanser (selain terapi sasaran) (setiap rawatan) Rawatan terapi sasaran untuk kanser (setiap rawatan) Rawatan kanser yang memerlukan kelulusan khas Ketua Pengarah Kesihatan (KPK) (setiap rawatan) Perubatan nuklear Isotop radioaktif: (i) Diagnosis (ii) Terapi
Pesakit Luar Rujukan Rujukan daripada daripada Pengamal Pegawai Persendirian Perubatan (RM) Kerajaan (RM)
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
400
200
50
400
100
600
400
50
600
150
800
200
50
800
200
150 750
50 250
25 125
150 750
25 125
Kelas Satu (RM) 275
Kelas Dua (RM) 100
Kelas Tiga (RM) 50
750
200
100
190 75 75
50 20 20
25 10 10
75
20
10
375 150 1500
100 40 400 100 (setiap lawatan)
50 20 200
BAHAGIAN 5 NEFROLOGI Jenis rawatan Dialisis berselang-selang peritoneal (setiap rawatan) Rawatan Dialisis Peritoneal Ambulasi Berterusan (CAPD) (sebulan) Hemodialisis setiap rawatan: (i) satu kegunaan buah pinggang tiruan (ii) kegunaan semula buah pinggang tiruan Biopsi buah pinggang (tidak termasuk laporan) Pengkateteran femoral/subklavian untuk hemodialisis Hemoperfusi Implantasi kateter tenkoff Rawatan dialisis prapemindahan Lawatan di rumah bagi setiap hemodialisis 9
P.U. (A) 47 BAHAGIAN 6 RAWATAN PSIKIATRIK Setiap kemasukan (RM) Kelas Satu Kelas Dua Kelas Tiga
1125 300 Percuma
BAHAGIAN 7 TERAPI CARA KERJA Jenis rawatan PENILAIAN Penilaian aktiviti kehidupan seharian (ADL) Ukuran Pelaksanaan Terapi Cara Kerja Kanada (C.O.P.M.) Jadual Pendek Penafsiran Keperluan Camberwell (CANSAS) Penilaian Keupayaan Kefungsian (FAA) Ukuran Kebebasan Kefungsian (FIM) Penilaian Kemahiran Hidup Kohlman (KELS) Aktiviti instrumental skala kehidupan seharian Lawton Indeks terubah suai Barthel (MBI) Terapi cara kerja bagi penilaian jantung Inventori penilaian kehilangan upaya pediatrik (PEDI) Penilaian Pelaksanaan Kemahiran Pengurusan Diri (PASS) Penilaian Kemahiran Motor dan Pemprosesan bagi Kesihatan Mental (AMPS) Penilaian fizikal Ujian Manual Otot (MMT) Kekuatan dinamometer/tolok kutil Ujian pembezaan 2 titik Ujian pasak 9 lubang Ujian imbangan Berg Papan pasak beralur Ujian fungsi tangan Jebsen Taylor Ujian kecakatan manual Minnesota Skala kesakitan 10
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
20
10
Percuma
20
10
Percuma
20 20 20
10 10 10
Percuma Percuma Percuma
20
10
Percuma
20 20 20
10 10 10
Percuma Percuma Percuma
20
10
Percuma
20
10
Percuma
20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
P.U. (A) 47 Jenis rawatan Ujian kecakatan jari O’Connor Ujian kecakatan penyepit O’Connor Ton otot Ujian papan pasak Purdue Julat pergerakan sendi (goniometer) Ujian aptitud manipulatif Roeder Ujian monofilamen Semmes-Weinstein Profil sensori Ujian stereognosis Getaran Volumeter Ujian imbangan Tinnetti Alat Senaman Anggota Atas Mikrokomputer (MULE) Penilaian perkembangan normal Ujian Bruininks-Oseretsky Carta tapisan perkembangan Denver Skala pengadaran motor oral Peabody Penilaian persepsi dan kognitif Ujian Perkembangan Integrasi Visual-Motor Beery Buktenica (Beery VMI) Bateri Penilaian Neurologi Terapi Cara Kerja Chessington (C.O.T.N.A.B.) Skala keresahan dan kemurungan hospital Penilaian Kognitif Terapi Cara Kerja Lowerstein (LOCTA) - LOCTA-A (bagi kes dewasa am) - LOTCA-G (bagi kes geriatrik) - LOTCA-D (bagi kes kanak-kanak/ perkembangan) Pemeriksaan Mini Keadaan Mental (MMSE) Penilaian Kognitif Montreal (MoCA) Bateri penilaian persepsi Rivermead Penilaian prasekolah Penilaian pelajar prasekolah Miller Penilaian Fungsi Sekolah (SFA) Ujian kemahiran tulisan tangan Penilaian tingkah laku Grid Penilaian Ambang (TAG) Skala keresahan dan kemurungan hospital Keteriritasian (skala kemurungan dan 11
Kelas Satu (RM) 20 20 20 20 20 20 20 20 20 20 20 20 20
Kelas Dua (RM) 10 10 10 10 10 10 10 10 10 10 10 10 10
Kelas Tiga (RM) Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
20 20 20 20
10 10 10 10
Percuma Percuma Percuma Percuma
20
10
Percuma
20
10
Percuma
20 20
10 10
Percuma Percuma
20 20 20
10 10 10
Percuma Percuma Percuma
20 20 20
10 10 10
Percuma Percuma Percuma
20 20 20
10 10 10
Percuma Percuma Percuma
P.U. (A) 47 Jenis rawatan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
20 20 20
10 10 10
Percuma Percuma Percuma
Penilaian kerusi roda
20
10
Percuma
Penilaian pemanduan Penilaian pra-memandu Penilaian tapisan pemanduan pesakit strok
150 150
100 100
Percuma Percuma
20
10
Percuma
150
100
Percuma
150
100
Percuma
150
100
Percuma
20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
keresahan) Soal selidik fungsi Sharman Skala kemurungan Beck Skala amnesia pascatrauma (skala PTA)
Penilaian rumah/tempat kerja/sekolah Alat Tapisan Kejatuhan dan Kemalangan dalam Rumah (FAST) Penilaian kerja/vokasional Penilaian kapasiti kefungsian Penilaian LAM bagi Kesediaan Pekerjaan (LASER) Senarai semak peranan Latihan aktiviti kehidupan seharian Kebolehan untuk menggunakan telefon Ambulasi awal Kebersihan diri Pindah Kebolehan mengendalikan kewangan Mandi Pengurusan pundi kencing Pengurusan usus Kerja pembersihan Penjagaan peralatan Kemahiran domestic Memakai pakaian Makan/memberi makan Penyediaan makanan/hidangan Kefungsian komunikasi Kefungsian mobiliti Hias diri Eminens kesihatan Penyelenggaraan isi rumah Pengemasan rumah Dobi Mod pengangkutan Pengurusan wang 12
P.U. (A) 47 Jenis rawatan
Kelas Satu (RM) 20 20 20 20 20
Tanggungjawab bagi pengubatan Prosedur keselamatan Fungsi seksual Beli-belah Penjagaan tandas
Kelas Dua (RM) 10 10 10 10 10
Kelas Tiga (RM) Percuma Percuma Percuma Percuma Percuma
Alat bantuan dan adaptasi (bagi setiap pengubahsuaian peralatan yang dibekalkan) Perkakas memasak 20 10 Mengenakan pakaian 20 10 Perkakas makan/minum 20 10 Mobiliti 20 10 Mandi 20 10 Membaca/menulis 20 10 Dudukan kerusi roda 20 10 Rehabilitasi penglihatan terhad 20 10
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
Intervensi persepsi dan kognitif Konsep asas Pengenalpastian bahagian badan Stimulasi kognitif Aktiviti pembelajaran Pembezaan kanan/kiri Diskriminasi bentuk dan persekitaran Orientasi realiti Aktiviti orientasi topografi Penjujukan Pengkategorian Terapi cermin Terapi tingkah laku
20 20 20 20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
Terapi kreatif Terapi seni Drama/lakon peranan Terapi muzik
20 20 20
10 10 10
Percuma Percuma Percuma
Intervensi kemahiran sosial Latihan asertif Latihan kemahiran daya tindak Kumpulan sokongan Terapi berkumpulan Terapi individu Kemahiran interpersonal Aktiviti kesedaran diri Kawalan diri Ekspresi diri
20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
13
P.U. (A) 47 Jenis rawatan
Kelas Satu (RM) 20 20 20 20
Kelas Dua (RM) 10 10 10 10
Kelas Tiga (RM) Percuma Percuma Percuma Percuma
Pendidikan terapi cara kerja untuk pesakit dan penjaga Mekanik dan ergonomik badan 20 Kawalan dan pencegahan edema 20 Penjimatan tenaga/pemudahan kerja 20 Terapi persekitaran 20 Teknik penjagaan sendi 20
10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma
Main dan santai Senarai semak santai Eksplorasi main dan santai Latihan main dan santai
20 20 20
10 10 10
Percuma Percuma Percuma
Relaksasi Biomaklumbalas Pernafasan dalam Pernafasan diafragma Relaksasi khayalan Teknik relaksasi otot progresif
20 20 20 20 20
10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma
Latihan sensori Penyahpekaan sensori Integrasi sensori Pendidikan semula sensori Stimulasi sensori Fluidoterapi
20 20 20 20 20
10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma
Latihan motor Prostesis atas siku Prostesis atas lutut Senaman bantuan aktif Prostesis bawah siku Prostesis bawah lutut Integrasi bilateral Garis tengah bersilang Latihan ergonomik Kemahiran motor halus Prostesis jari Latihan gaya jalan Aktiviti motor kasar Koordinasi tangan dan mata Tambah baik keseimbangan
20 20 20 20 20 20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10 10 10 10 10 10
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
Pelakuan sosial Latihan kemahiran sosial Pengurusan masa Senarai semak peranan
14
P.U. (A) 47 Jenis rawatan
Kelas Satu (RM) 20 20 20 20 20 20 20 20
Pendidikan semula motor Teknik perkembangan neuro Penormalan ton otot Stimulasi otot mulut Senaman meningkatkan kekuatan Latihan ketahanan Penyusutan ton otot Intervensi orientasi dan mobiliti Kategori
Terapi mampatan Tiub cengkaman Pembalut Coban Pakaian tekanan Strap jari Gauntlet Sarung tangan Sarung lengan Sarung lengan penuh Baju lengan panjang Baju lengan pendek Strap dagu Topeng muka Seluar pendek Seluar panjang Sarung paha Sarung betis Stoking (1 unit) Penganduh dinamik
0 hingga 12 bulan Kelas Kelas Satu dan Tiga Kelas Dua (RM) (RM)
Kelas Dua (RM) 10 10 10 10 10 10 10 10
1 hingga 18 tahun Kelas Kelas Satu dan Tiga Kelas Dua (RM) (RM)
Kelas Tiga (RM) Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
18 tahun dan ke atas Kelas Kelas Satu dan Tiga Kelas Dua (RM) (RM)
10 10
Percuma Percuma
20 15
Percuma Percuma
20 20
Percuma Percuma
― 10 15 10 15
― Percuma Percuma Percuma Percuma
5 15 20 15 20
Percuma Percuma Percuma Percuma Percuma
5 15 20 20 25
Percuma Percuma Percuma Percuma Percuma
30
Percuma
40
Percuma
60
Percuma
20
Percuma
30
Percuma
50
Percuma
10 20 20 30 15 15 15 ―
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
10 30 30 40 20 20 20 150 + harga mekanisme (mengikut harga pasaran)
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
15 40 40 60 25 25 25 150 + harga mekanisme (mengikut harga pasaran)
Percuma Percuma Percuma Percuma Percuma Percuma Percuma Percuma
15
P.U. (A) 47 Kategori
Penganduh statik Jari/ibu jari kaki Tangan/kaki Tangan hingga lengan bawah Jari hingga lengan bawah Lengan bawah hingga lengan atas Tangan hingga lengan atas Lengan atas Kolar keras Kaki hingga betis Kaki hingga tengah paha Tengah betis hingga tengah paha Tapak dalam Plastazote Siku tenis Sesaran ulnar Sling Lengan Ergonomik (EAS) Semakan kulaian kaki Pita Buddy Pendakap badan Abah-abah pelvis
0 hingga 12 bulan Kelas Kelas Satu dan Tiga Kelas Dua (RM) (RM)
1 hingga 18 tahun Kelas Kelas Satu dan Tiga Kelas Dua (RM) (RM)
18 tahun dan ke atas Kelas Kelas Satu dan Tiga Kelas Dua (RM) (RM)
10 15
Percuma Percuma
5 10 25
Percuma Percuma Percuma
5 15 40
Percuma Percuma Percuma
15
Percuma
30
Percuma
60
Percuma
15
Percuma
30
Percuma
60
Percuma
30
Percuma
60
Percuma
120
Percuma
20 20 30 60
Percuma Percuma Percuma Percuma
30 40 60 80
Percuma Percuma Percuma Percuma
80 80 80 150
Percuma Percuma Percuma Percuma
20
Percuma
60
Percuma
80
Percuma
5
Percuma
10
Percuma
15
Percuma
― 5 ―
― Percuma ―
35 10 30
Percuma Percuma Percuma
35 15 35
Percuma Percuma Percuma
―
―
15
Percuma
20
Percuma
5 100 100
Percuma Percuma Percuma
5 250 180
Percuma Percuma Percuma
5 500 ―
Percuma Percuma ―
16
P.U. (A) 47 BAHAGIAN 8 TERAPI PERTUTURAN BAHASA Kategori penilaian
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Penilaian pertuturan bahasa Penilaian Penelanan Klinikal (CSE) Penilaian suara berinstrumen Penilaian resonans berinstrumen Penilaian Penelanan Endoskopik Serat Optik (FEES) Penilaian Penelanan Videofloroskopik (VFSS)
50 50
20 20
Percuma Percuma
Pesakit Luar (RM) 10 10
50
20
Percuma
10
50
20
Percuma
10
50
20
Percuma
10
80
30
Percuma
20
Kategori rawatan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Pesakit Luar (RM)
Terapi pertuturan bahasa Elektroterapi
50 50
20 20
Percuma Percuma
10 10
BAHAGIAN 9 PERKHIDMATAN DIETETIK Kategori siasatan
Penilaian pemakanan Kalorimetri tak langsung
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Pesakit Luar (RM)
10 20
5 10
Percuma Percuma
1 5
17
P.U. (A) 47
Kategori terapi
Terapi diet individu Terapi diet berkumpulan Terapi diet individu: tambahan pemakanan oral Terapi diet individu: pemakanan enteral
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Pesakit Luar (RM)
10 ―
5 ―
Percuma ―
2 1
20
10
Percuma
―
50
30
Percuma
―
BAHAGIAN 10 PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI Jenis rawatan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Pesakit Luar (RM)
20 20
Percuma Percuma
20 20
20
20
Percuma
20
50
50
Percuma
50
20 20
20 20
Percuma Percuma
20 20
25
25
Percuma
25
25
25
Percuma
25
PERUBATAN TRADISIONAL MELAYU Urutan tradisional Sakit kronik (setiap sesi) 20 Pasca angin ahmar 20 (setiap sesi) Penjagaan tradisional postnatal Urutan kesegaran postnatal (setiap sesi) Penjagaan perbidanan (setiap sesi)
PERUBATAN TRADISIONAL CINA Akupunktur Sakit kronik (setiap sesi) Pasca angin ahmar (setiap sesi) Akupunktur dan moxibustion untuk sakit kronik (setiap sesi) Akupunktur dan moxibustion untuk pasca angin ahmar (setiap sesi)
18
P.U. (A) 47 Jenis rawatan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
25
25
Percuma
Pesakit Luar (RM) 25
25
25
Percuma
25
20
20
Percuma
20
100
100
Percuma
100
PERUBATAN TRADISIONAL INDIA Ayurveda Shirodhara (setiap sesi) 50 Terapi basti luaran 50 (setiap sesi) Abhyanga (setiap sesi) 50
50 50
Percuma Percuma
50 50
50
Percuma
50
Akupunktur dan bekam untuk sakit kronik (setiap sesi) Akupunktur dan bekam untuk pasca angin ahmar (setiap sesi) Indikasi lain (setiap sesi) Onkologi herba Terapi tambahan untuk kanser (setiap kitaran)
Siddha Terapi Varman (setiap sesi)
20
20
Percuma
20
TERAPI KOMPLEMENTARI Kiropraktik (setiap sesi)
50
50
Percuma
50
Osteopatik (setiap sesi)
75
75
Percuma
75”.
Pindaan Jadual D 4.
Perintah ibu dipinda dengan menggantikan Jadual D dengan Jadual yang berikut: “JADUAL D CAJ SIASATAN BAHAGIAN 1 PEMERIKSAAN RADIOLOGI Jenis rawatan Pemeriksaan tanpa kontras media Anggota Kepala 19
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
75 90
20 25
10 12
P.U. (A) 47 Jenis rawatan Spina Dada kecuali filem kecil dada Filem kecil dada Tulang pelvis, pinggul dan abdomen Tomografi Pelvimetri Fluoroskopi jantung, paru-paru, diafragm Kaji selidik skeletal Mamografi Intra-oral pergigian (setiap filem) Ortopantomogram pergigian (OPG) Tengkorak lateral Ultrasound Ultrasound (mudah) Pengukuran Tomografi Pemancar Kon (CBCT) gigi 3D OPG Radiograf digital gigi C.T. abdomen C.T. kepala C.T. seluruh badan
Kelas Satu (RM) 90 75 25 90 150 100 150 375 150 15 105 105 150 75 350
Kelas Dua (RM) 25 20 6 25 40 40 40 100 40 5 30 30 40 20 150
Kelas Tiga (RM) 12 10 2 12 17 17 12 37 12 1 10 10 17 10 Percuma
350 100 675 525 900
150 40 200 150 240
Percuma Percuma 75 60 120
450 150 180 150
120 40 48 40
50 17 20 17
225 115
60 30
25 12
150 190 300 300 225
40 50 80 80 60
17 21 35 35 25
450 150
120 40
50 17
Pemeriksaan khas dengan media kontras Arteriografi Pemeriksaan kontras saluran G.I. Pemeriksaan kontras saluran Biliary Pemeriksaan kontras saluran kencing Pemeriksaan kontras sistem saraf pusat Pemeriksaan kontras lain-lain duktus dan saluran Artografi Bronkografi Limfangiografi Insuflasi udara presakral Kolangiografi Transhepatik Perkutaneus (PTC) Splenoportografi Salpingografi
20
P.U. (A) 47 BAHAGIAN 2 UJIAN MAKMAL Kumpulan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Kumpulan A Ujian imunologi sel
150
50
25
Kumpulan B Mikroskopi elektron Seksyen beku (termasuk pengesahan)
120 120
40 40
20 20
Kumpulan C Ujian khas hematologi Analisis mikrobiologi produk makanan, dsb. Assai antibiotik dan ujian pensterilan Ujian kefungsian (biokimia)
75 75 75 75
25 25 25 25
12 12 12 12
60 60 60
20 20 20
10 10 10
60 60
20 20
10 10
60 60 60 60 60 60 60 60
15 15 15 15 15 15 15 15
7 7 7 7 7 7 7 7
30 30 30 30 30
10 10 10 10 10
5 5 5 5 5
30
10
5
Kumpulan D Ujian pakej pemakanan Biopsi pembedahan Pemeriksaan sitologikal termasuk pungutan specimen Penilaian hormon Ujian rutin ekstensif hematologi Kumpulan E Mikroskopi fluoresen Ujian antibodi fluoresen Ujian resapan gel Ujian siasatan hemotologi Assai seminal Ujian khas biokimia dan pemakanan Imunoglobulin, imunoelektroforesis, ELISA Kuantitasi pelengkap
-
Kumpulan F Analisis kuantitatif biokimia (Cat. A) Pemeriksaan sitologi spesimen klinikal Ujian rutin ekstra hematologi Kultur spesimen klinikal Teknik imunologi (pengaglutinatan, flokulasi, hemolisis, dsb.) Kepekaan antibiotik 21
P.U. (A) 47 Kumpulan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Kumpulan G Mikroskopi cahaya Ujian rutin hemotologikal Pemeriksaan seminal (ujian biasa) Analisis kuantitatif biokimia (Cat. B)
15 15 15 15
5 5 5 5
2 2 2 2
Kumpulan H Analisis kuantitatif/kualitatif biokimia
10
2
1
BAHAGIAN 3 SIASATAN LAIN Jenis siasatan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
45 150 150 150 375
10 40 40 40 100
5 20 20 20 50
30 90 45 30
8 24 12 8
4 12 6 4
60
15
5
SIASATAN TELINGA, HIDUNG DAN KERONGKONG Audiometri Audiometri nada tulen 15 Bekesy 15 Impedans 15 Lain-lain (SISI, rosot nada, medan bebas) 15
10 10 10 10
10 10 10 10
Kalorimetri
10
10
SIASATAN KARDIOLOGI Elektrokardiografi Ujian senaman Holter Ekokardiogram Pengkateteran jantung dan angiografi SIASATAN OFTALMOLOGI Perimetri/skotometri Angiografi fluoresin fundus/angiografi iris Ujian untuk penglihatan binokular Pembiasan dengan atau tanpa preskripsi kaca mata SIASATAN NEUROLOGI Elektroensefalografi
15
SIASATAN PERGIGIAN Ujian pergigian 22
P.U. (A) 47 Jenis siasatan
Kelas Satu (RM) 15 40 5
Kevitalan pulpa (setiap ujian) Model diagnostik Kerentanan karies (setiap ujian)
Kelas Dua (RM) 15 40 5
Kelas Tiga (RM) Percuma Percuma Percuma”.
Pindaan Jadual E 5.
Perintah ibu dipinda dengan menggantikan Jadual E dengan Jadual yang berikut: “JADUAL E CAJ PEMBEDAHAN CAJ PEMBEDAHAN TERMASUK ANESTESIA Pembedahan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
4500 2250 1200 450 225 75
1200 600 400 150 80 40
200 100 50 20 15 10”.
Pembedahan Jenis A Pembedahan Jenis B Pembedahan Jenis C Pembedahan Jenis D Pembedahan Jenis E Pembedahan Jenis F
Pindaan Jadual F 6.
Perintah ibu dipinda dengan menggantikan Jadual F dengan Jadual yang berikut:
“JADUAL F CAJ PERGIGIAN RAWATAN PERGIGIAN Jenis rawatan
Fluorida topikal (setiap arkus) Pengapan fisur (setiap gigi) Penskaleran mulut penuh dan penggilapan
Kelas Satu (RM)
Kelas Dua (RM)
Kelas Tiga (RM)
Pesakit Luar (RM)
15 15 110
10 10 80
Percuma Percuma Percuma
5 5 55
23
P.U. (A) 47 Jenis rawatan Pencabutan sebatang gigi kekal/ supernumerari/akar tertinggal Pencabutan gigi desidus (setiap gigi) Pembuangan melalui pembedahan (setiap gigi/gigi terimpak mudah/ akar tertinggal) Pembuangan gigi terimpak melalui pembedahan (setiap gigi)(rumit) Kawalan pendarahan selepas pencabutan Komplikasi selepas pencabutan Operkulektomi gingiva Pendawaian gigi (setiap arkus) Tampalan gigi kekal (satu permukaan) Tampalan gigi kekal (permukaan berganda/dengan pin pegangan) Tampalan gigi desidus Tampalan sementara Inlai (setiap gigi) (tidak termasuk harga logam) Korona (setiap gigi) (termasuk korona sementara, tetapi tidak termasuk caj logam) Jambatan (setiap gigi tupang termasuk tampalan sementara tetapi tidak termasuk caj bahan dan makmal) Rawatan kanal akar (gigi anterior) Rawatan kanal akar (gigi posterior) Pengapeksan (setiap gigi) Pemberhentian resorpsi gigi (setiap gigi) Pulpotomi korona (setiap gigi kekal) Pulpotomi (setiap gigi desidus) Pulpektomi (setiap gigi desidus) Ekstirpasi pulpa (setiap gigi) Pelunturan gigi (eksternal) (setiap rahang)
Kelas Satu (RM) 25
Kelas Dua (RM) 20
Kelas Tiga (RM) Percuma
Pesakit Luar (RM) 15
20
15
Percuma
10
225
80
15
40
1200
400
50
200
40
30
Percuma
20
15 20 40
10 15 30
Percuma Percuma Percuma
5 10 20
40
30
Percuma
20
50
40
Percuma
25
20 20 60
15 15 45
Percuma Percuma Percuma
10 10 30
100
75
Percuma
50
100
75
Percuma
50
75
60
Percuma
40
150
115
Percuma
75
100 75
75 60
Percuma Percuma
50 40
75
60
Percuma
40
75 100 25 ―
60 75 20 ―
Percuma Percuma Percuma ―
40 50 15 500
24
P.U. (A) 47 Jenis rawatan Pelunturan gigi (internal) (setiap gigi) Mikrolelasan (setiap gigi) Penyahpekaan (setiap arkus) Pembentukan gigi palsu penuh tidak termasuk logam (setiap rahang) Pembentukan sebahagian gigi palsu tidak termasuk logam (setiap rahang) Penambahan setiap gigi akrilik Pembaikan dentur tanpa mengganti plat landas Pembaikan dentur (penambahan setiap gigi akrilik) Lapikan semula/landasan semula (setiap dentur) Impresi bagi model kerja (setiap set) Splin lembut Splin keras Splin lain Aplians atau obturator Kecil Sederhana Besar Aplians tetap (setiap arkus) Aplians sebahagian tetap (setiap arkus) Aplians boleh tanggal (pasif)(setiap arkus) Aplians boleh tanggal (aktif)(setiap arkus) Aplians fungsi tetap Aplians fungsi boleh tanggal Penggantian komponen aplians tetap (setiap komponen) Pembaikan komponen aplians boleh tanggal Pembaikan aplians patah (semua jenis aplians boleh tanggal/ obturator) Pembaikan aplians fungsi boleh tanggal
Kelas Satu (RM) ―
Kelas Dua (RM) ―
Kelas Tiga (RM) ―
Pesakit Luar (RM) 50
― ― 225
― ― 170
― ― 25
50 25 110
100
75
5
50
15 35
10 30
1 1
5 20
15
10
1
5
60
45
Percuma
30
―
―
―
40
25 100 25
20 75 20
Percuma Percuma Percuma
15 50 10
115 150 190 ― ―
30 40 50 ― ―
15 20 25 ― ―
15 20 25 500 300
―
―
―
100
―
―
―
200
― ― ―
― ― ―
― ― ―
1000 400 25
―
―
―
25
―
―
―
10
―
―
―
50
25
P.U. (A) 47 Jenis rawatan Auksiliari ortodontik Arkus transpalatal Arkus lingual Arkus transpalatal (setiap pembaikan) Arkus lingual (setiap pembaikan) Arkus transpalatal (setiap penyimenan semula) Arkus lingual (setiap penyimenan semula) Penyenggara ruang boleh tanggal (setiap arkus) Retainer tetap (setiap arkus) Retainer Essix Retainer tetap (pembaikan setiap gigi) Retainer tetap (nyahlekat setiap arkus) Peralatan pengangkoran sementara (setiap alat) Rantai emas untuk gigi terimpak Rantai traksi untuk pergerakan gigi minor (setiap gigi) Rawatan pengembang palatal Rawatan alat kepala
Kelas Satu (RM) ― ― ― ―
Kelas Dua (RM) ― ― ― ―
Kelas Tiga (RM) ― ― ― ―
Pesakit Luar (RM) 100 100 100 50
― ―
― ―
― ―
50 50
―
―
―
50
―
―
―
100
― ― ―
― ― ―
― ― ―
100 100 50
―
―
―
100
―
―
―
150
― ―
― ―
― ―
400 50
― ―
― ―
― ―
100 100”.
Dibuat 24 Januari 2017 [KKM(S)-280(32/41); PN(PU2)86/XXII] Dengan Titah Perintah DATUK SERI DR. S.SUBRAMANIAM Menteri Kesihatan [Akan dibentangkan dalam Dewan Rakyat menurut seksyen 4 Akta Fi 1951]
26
P.U. (A) 47 FEES ACT 1951 FEES (MEDICAL) (AMENDMENT) ORDER 2017 IN exercise of the powers conferred by section 3 of the Fees Act 1951 [Act 209], the Yang di-Pertuan Agong makes the following order: Citation and commencement 1.
(1)
This order may be cited as the Fees (Medical) (Amendment)
Order 2017. (2)
This Order comes into operation on 1 February 2017.
Amendment of Schedule B 2.
The Fees (Medical) Order 1982 [P.U. (A) 359/1982], which is referred to as the
“principal Order” in this Order, is amended by substituting for Schedule B the following Schedule: “SCHEDULE B WARD CHARGES PART 1 GENERAL WARD
First Class: - One bedded room - Two bedded room - Three bedded room or more Second Class Third Class
Non-airconditioned (Charge per day) (RM)
Airconditioned (Charge per day) (RM)
90 60 45 25 3
120 90 60 40 3
27
P.U. (A) 47 PART 2 PROCEDURE ROOM (OBSTETRIC) (RM) Labour room (per admission) 120 (First Class only) Operation theater (per admission) 120 (First Class only) PART 3 PSYCHIATRIC WARD Charge per day (RM) 15 10 Free
First Class Second Class Third Class
PART 4 EXECUTIVE WARD Charge per day (RM) 225 180 150”.
One bedded room (VIP) One bedded room Two bedded room
Amendment of Schedule C 3.
The principal Order is amended by substituting for Schedule C the following
Schedule: “SCHEDULE C TREATMENT CHARGES PART 1 INPATIENT TREATMENT Charge per day (RM) 15 5 Free
First Class Second Class Third Class 28
P.U. (A) 47 PART 2 ACCOUCHEMENT AND DELIVERY Type of treatment
Caesaran operation Assisted delivery: Forceps/breech/vacuum Twin delivery Normal delivery
First Class (RM)
Second Class (RM)
Third Class (RM)
1200
400
100
600 600 450
200 200 150
50 50 10
PART 3 PHYSIOTHERAPY First Class (RM)
Per visit Second Class (RM)
Third Class (RM)
30 30 30 30 30 30 30
20 20 20 20 20 20 20
5 5 5 5 5 5 5
30 30 30 30
20 20 20 20
5 5 5 5
Thermal therapy/cryotherapy Hot pack Wax bath Infrared radiation Cryotherapy
15 15 15 15
10 10 10 10
2 2 2 2
Phototherapy Laser therapy Ultraviolet light therapy
30 30
15 15
5 5
30
15
5
Type of treatment Electrotherapy modalities Biofeedback/myofeedback Direct current/iontophoresis Didynamic current Interrupted direct current Interferential therapy Shortwave diathermy Transcutaneous electrical nerve stimulation Ultrasound therapy Realtime ultrasound Functional electrical stimulation Shockwave therapy
Cardiorespiratory therapy Active Cycle Breathing Technique (ACBT) 29
P.U. (A) 47
First Class (RM) 30 30 30 30 30 30 30 30 30
Per visit Second Class (RM) 15 15 15 15 15 15 15 15 15
Third Class (RM) 5 5 5 5 5 5 5 5 5
Mechano therapy Cervical traction Lumbar traction Sequential pump
20 20 20
10 10 10
2 2 2
Hydrotherapy Pool exercise Whirlpool
20 20
10 10
2 2
Manual therapy Soft tissue manipulation Myofascial release Manual lymphatic drainage Acupressure
20 20 20 20
10 10 10 10
2 2 2 2
Taping/bandaging/strapping
30
20
Free
Compression therapy (lymphoedema)
30
20
Free
30 30 30 30 30 30 30 30 30
20 20 20 20 20 20 20 20 20
2 2 2 2 2 2 2 2 2
Type of treatment Breathing exercise Bronchial suction Incentive spirometer Flutter Inspiratory muscle training Inhalation therapy Percussion/vibration Positive expiratory pressure Postural drainage
Special techniques Canalith repositioning technique Gaze stabilisation exercise Icing or brushing Joint mobilization McKenzie technique Motor re-learning program Acupuncture or dry needling Neurodevelopmental technique Proprioceptive neuromuscular facilitation
30
P.U. (A) 47
Type of treatment Exercise therapy Active, passive or resisted Ambulation or gait training Antenatal and postnatal exercise Balance training Bladder/bowel training Circuit training Gymnic ball exercise Counter bracing technique for pelvic floor muscle Functional activities Group exercise Isokinetic exercise Mechanical exercise Pelvic floor muscle exercise Relaxation technique Sensory re-education Special hand regime SPECIAL TEST Diagnostic tool Berg’s balance test Clinical Test for Sensory Interaction and Balance (CTSIB) Computerized Dynamic Posturography Computerized hand evaluation Dynamic gait index Pelvic floor muscle assessment Sensory testing Strength duration curve Voluntary muscle testing Vestibular test Timed up and go test Functional reach test
31
First Class (RM)
Per visit Second Class (RM)
Third Class (RM)
20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10
2 2 2 2 2 2 2 2
20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10
2 2 2 2 2 2 2 2
50 50
30 30
5 5
50 50 50 50 50 50 50 50 50 50
30 30 30 30 30 30 30 30 30 30
5 5 5 5 5 5 5 5 5 5
P.U. (A) 47 PART 4 RADIOTHERAPY AND ONCOLOGY TREATMENT Type of treatment
Outpatient First Class (RM)
Second Class (RM)
Simulation and computerized planning Mark on set 45 30 Conventional 450 200 simulation CT simulation: 450 200 Normal (without contrast) CT simulation: 450 200 Complex (with contrast) CT simulation: 450 200 Intensity Modulated Radiotherapy (IMRT) CT Simulation: 450 200 Total Body Irradiation (TBI) CT Simulation: 450 200 Total Nodal Irradiation (TNI) CT Simulation: 450 200 Total Body Electron (TBE) CT Simulation: 450 200 Stereotactic Radiotherapy (SRT) CT Simulation: 450 200 Stereotactic Radiosurgery (SRS) CT Simulation: 450 200 Stereotactic Body Radiotherapy (SBRT) Radiotherapy treatment 2D/ single field/ 100 parallel opposed (per fraction)
50
32
Third Class (RM)
Referral from a Private Practitioner (RM)
Referral from a Government Medical Officer (RM)
Free Free
45 450
15 75
Free
450
75
Free
450
75
Free
450
75
Free
450
75
Free
450
75
Free
450
75
Free
450
75
Free
450
75
Free
450
75
12
100
25
P.U. (A) 47 Type of treatment
3D/ any plans with 3 or more fields (per fraction) IMRT (per fraction) TBI (per fraction) TNI (per fraction) SRT (per fraction) SRS
SBRT
Outpatient First Class (RM)
Second Class (RM)
Third Class (RM)
Referral from a Private Practitioner (RM)
100
50
12
100
Referral from a Government Medical Officer (RM) 25
100 100 100 100 7,000 (package treatment for one time charge only) 7,000 (package treatment for one time charge only)
50 50 50 50 5,000 (package treatment for one time charge only) 5,000 (package treatment for one time charge only)
12 12 12 12 12 (per treatment)
100 100 100 100 7,000 (package treatment for one time charge only)
25 25 25 25 500 (package treatment for one time charge only)
12 (per treatment)
7,000 (package treatment for one time charge only)
500 (package treatment for one time charge only)
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
75
30
6
75
15
Brachytherapy treatment Intracavitary: dhobbies/single line source (per session) Intracavitary: paired ovoids (per session) Intracavitary: full intracavitary (per session) Intracavitary: for nasopharyngeal cancer (NPC) (per session) Intraluminal : Esophagus, bronchus, anorectal (per session)
33
P.U. (A) 47 Type of treatment
Interstitial brachytherapy implants: breast brachytherapy implants (per session) Interstitial brachytherapy implants: extremities implants (per session) Brachytherapy implants: oral cavity/ anorectal/prostate/ eye and other implants (per session) Prostate brachytherapy procedure (package treatment)
Outpatient First Class (RM)
Second Class (RM)
Third Class (RM)
Referral from a Private Practitioner (RM)
75
30
6
75
Referral from a Government Medical Officer (RM) 15
75
30
6
75
15
75
30
6
75
15
7,000
5,000
6
―
―
200
50
400
100
400
50
600
150
200
50
800
200
Anti–neoplastic treatment Anti-neoplastic for 400 cancer (besides targeted therapy) (per treatment) Targeted therapy 600 treatment for cancer (per treatment) Cancer treatment 800 that needs special approval from the Director General of Health (per treatment)
34
P.U. (A) 47 Type of treatment
Outpatient First Class (RM)
Nuclear medicine Radioactive isotopes: (i) Diagnosis (ii) Therapy
150 750
Second Class (RM)
Third Class (RM)
50 250
25 125
Referral from a Private Practitioner (RM)
Referral from a Government Medical Officer (RM)
150 750
25 125
PART 5 NEPHROLOGY Type of treatment
First Class (RM)
Second Class (RM)
Third Class (RM)
275
100
50
750
200
100
190 75 75 75
50 20 20 20
25 10 10 10
375 150
100 40
50 20
1500
400
200
Intermitent peritonial dialysis per treatment Continuous Ambulatory Peritoneal Dialysis (CAPD) treatment (monthly) Hemodialysis per treatment: (i) one use of artificial kidney (ii) re-use of artificial kidney Renal biopsy (excluding report) Femoral/subclavian catheterisation for hemodialysis Haemoperfusion Implantation of tenchkoff catheter Pretransplant dialysis treatment Home visit per hemodialysis
100 (per visit)
35
P.U. (A) 47 PART 6 PSYCHIATRIC TREATMENT Per admission (RM) First Class Second Class Third Class
1125 300 Free PART 7 OCCUPATIONAL THERAPY
Type of treatment
First Class (RM)
ASSESSMENT Activities of Daily Living (ADL) Assessment Canadian Occupational Therapy Performance Measure (C.O.P.M.) Camberwell Assessment of Needs Short Schedule (CANSAS) Functional Ability Assessment (FAA) Functional Independence Measure (FIM) Kohlman Evaluation of Living Skill (KELS) The Lawton instrumental activities daily living scale Modified Barthel Index (MBI) Occupational therapy for cardiac assessment Pediatric Evaluation Disabilities inventory (PEDI) Performance Assessment of Self Care Skills (PASS) Assessment of Motor and Process Skills in Mental Health (AMPS) Physical assessment Muscle Manual Test (MMT) Strength-dynamometer/pinch gauge 2 point discrimination test 9 hole peg test Berg balance test Grooved peg board Jebsen Taylor hand function test Minnesota manual dexterity test Pain scale 36
Second Class (RM)
Third Class (RM)
20
10
Free
20
10
Free
20 20 20 20
10 10 10 10
Free Free Free Free
20 20
10 10
Free Free
20
10
Free
20
10
Free
20
10
Free
20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10
Free Free Free Free Free Free Free Free Free
P.U. (A) 47 Type of treatment
First Class (RM) 20 20 20 20 20 20 20 20 20 20 20 20 20
Second Class (RM) 10 10 10 10 10 10 10 10 10 10 10 10 10
Third Class (RM) Free Free Free Free Free Free Free Free Free Free Free Free Free
20 20 20 20
10 10 10 10
Free Free Free Free
20
10
Free
20
10
Free
20 20
10 10
Free Free
20 20 20
10 10 10
Free Free Free
Preschool assesment Miller assessment pre schoolers School Function Assessment (SFA) Test of handwriting skill
20 20 20 20
10 10 10 10
Free Free Free Free
Behavior assessment Threshold Assessment Grid (TAG)
20 20
10 10
Free Free
O’Connor finger dexterity test O’Connor tweezer dexterity test Muscle tone Purdue pegboard test Range of motion (Goniometer) Roeder manipulative aptitude test Semmes-Weinstein monofilaments test Sensory profile Stereognosis test Vibration Volumeter Tinnetti balance test Microcomputer Upper Limb Exerciser (MULE) Normal development assessment Bruiniks-Oseretsky test Denver developmental screening chart Oral motor rating scale Peabody Perceptual and cognitive assessment The Berry Buktenica Development Test of Visual–Motor Integration (Berry VMI) Chessington Occupational Therapy Neurological Assessment Battery (C.O.T.N.A.B) Hospital anxiety depression scale Lowerstein Occupational Therapy Cognitive Assessment (LOCTA) - LOCTA-A (for adult general cases) - LOTCA-G (for geriatric cases) - LOTCA-D (for children/developmental cases) Mini Mental State Examination (MMSE) Montreal Cognitive Assessment (MoCA) Rivermead preceptual assessment battery
37
P.U. (A) 47 Type of treatment
First Class (RM)
Hospital anxiety and depression scale Irritability (depression anxiety scale) Sharman's function questionaire The Beck depression scale Post Traumatic Amnesia scale (PTA scale)
20 20 20 20 20
Second Class (RM) 10 10 10 10 10
Wheel chair assessment
20
10
Free
Driving assessment Pre driving assessment Stroke driving screening assessment
150 150
100 100
Free Free
20
10
Free
150 150
100 100
Free Free
150
100
Free
20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10
Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free Free
Home/work place/school assessment Home falls and accidents screening tool (FAST) Work/vocational assessment Functional capacity evaluation LAM Assessment of Employment Readiness (LASER) Role check list Activities of daily living training Ability to use telephone Early ambulation Self hygiene Transfer Ability handle finance Bathing Bladder management Bowel management Cleaning work Device care Domestic skill Dressing Eating/feeding Food/meal preparation Functional communication Functional mobility Grooming Health eminence Household maintenance Housekeeping Laundry Mode of transportation 38
Third Class (RM) Free Free Free Free Free
P.U. (A) 47 Type of treatment
First Class (RM)
Money management Responsibility for medication Safety procedure Sexual function Shopping Toileting
20 20 20 20 20 20
Second Class (RM) 10 10 10 10 10 10
Third Class (RM) Free Free Free Free Free Free
Aids and adaptation (for each modification equipment supplied) Cooking utensil 20 10 Dressing 20 10 Feeding/drinking utensil 20 10 Mobility 20 10 Bathing 20 10 Reading/writing 20 10 Wheel chair seating 20 10 Low vision rehabilitation 20 10
Free Free Free Free Free Free Free Free
Cognitive and perceptual intervention Basic concepts Body part identification Cognitive stimulation Educational activities Right/left discrimination Figure-ground discrimination Reality orientation Topographical orientation activities Sequencing Categorization Mirror therapy Behavioral therapy
20 20 20 20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10 10 10 10
Free Free Free Free Free Free Free Free Free Free Free Free
Creative therapy Art therapy Drama/role play Music therapy
20 20 20
10 10 10
Free Free Free
Social skill intervention Assertive training Coping skill training Group support Group therapy Individual therapy Interpersonal skill Self awareness activities Self control
20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10
Free Free Free Free Free Free Free Free
39
P.U. (A) 47 Type of treatment
First Class (RM)
Second Class (RM) 10 10 10 10 10
Third Class (RM) Free Free Free Free Free
Patient’s and carer’s occupational therapy education Body mechanic and ergonomic 20 Edema control and prevention 20 Energy conservation/work simplification 20 Environment therapy 20 Joint protection techniques 20
10 10 10 10 10
Free Free Free Free Free
Play and leisure Leisure check list Play and leisure exploration Play and leisure training
20 20 20
10 10 10
Free Free Free
20 20 20 20 20 20
10 10 10 10 10 10
Free Free Free Free Free Free
Sensory training Sensory desensitization Sensory integration Sensory re-education Sensory stimulation Fluidotherapy
20 20 20 20 20
10 10 10 10 10
Free Free Free Free Free
Motor training Above elbow prosthesis Above knee prosthesis Active assisted exercise Below elbow prosthesis Below knee prosthesis Bilateral integration Crossing midline Ergonomic training Fine motor skills Finger prosthesis Gait training
20 20 20 20 20 20 20 20 20 20 20
10 10 10 10 10 10 10 10 10 10 10
Free Free Free Free Free Free Free Free Free Free Free
Self expression Social conduct Social skill training Time management Role checklist
20 20 20 20 20
Relaxation Biofeedback Deep breathing Diaphragmatic breathing Imaginary relaxation Progressive muscular relaxation techniques
40
P.U. (A) 47 Type of treatment
First Class (RM)
Gross motor activities Hand and eye coordination Improve balance Motor re-education Neuro developmental technique Normalize muscle tone Oral muscle stimulation Strengthening exercise Endurance training Reduce muscle tone Orientation and mobility intervention Category
0 to 12 months First Class Third and Class Second (RM) Class (RM) Compression therapy Tubegrip 10 Free Coban bandage 10 Free Pressure garment Finger strap Gauntlet Glove Forearm sleeve Full arm sleeve Vest with long sleeve Vest with short sleeve Chin strap Mask Short pants Long pants Thigh strap Calf strap Socks (1 unit)
20 20 20 20 20 20 20 20 20 20 20
Second Class (RM) 10 10 10 10 10 10 10 10 10 10 10
1 to 18 years First Class Third and Second Class Class (RM) (RM)
Third Class (RM) Free Free Free Free Free Free Free Free Free Free Free
18 years and above First Class Third and Second Class Class (RM) (RM)
20 15
Free Free
20 20
Free Free
Free Free Free Free Free Free
5 15 20 20 25 60
Free Free Free Free Free Free
10 15 10 15 30
Free Free Free Free Free
5 15 20 15 20 40
20
Free
30
Free
50
Free
10 20 20 30 15 15 15
Free Free Free Free Free Free Free
10 30 30 40 20 20 20
Free Free Free Free Free Free Free
15 40 40 60 25 25 25
Free Free Free Free Free Free Free
41
P.U. (A) 47 Category
Dynamic splint
Static splint Finger/toe Hand/foot Hand to forearm Finger to forearm Forearm to upper arm Hand to upper arm Upper arm Hard collar Foot to calf Foot to mid thigh Mid calf to mid thigh Plastazote insole Tennis elbow Ulnar driff Ergonomic Arm Sling (EAS) Foot drop check Buddy strap Body brace Pelvis harness
0 to 12 months First Class Third and Class Second (RM) Class (RM) Free
1 to 18 years First Class Third and Second Class Class (RM) (RM)
18 years and above First Class Third and Second Class Class (RM) (RM)
150 + the price of mechanism (according to market price)
Free
150 + the price of mechanism (according to market price)
Free
Free Free Free Free Free
5 15 40 60 60
Free Free Free Free Free
10 15 15 15
Free Free Free Free
5 10 25 30 30
30
Free
60
Free
120
Free
20 20 30 60 20
Free Free Free Free Free
30 40 60 80 60
Free Free Free Free Free
80 80 80 150 80
Free Free Free Free Free
5
Free
5
Free
10 35 10 30
Free Free Free Free
15 35 15 35
Free Free Free Free
5 100 100
Free Free Free
15 5 250 180
Free Free Free Free
20 5 500
Free Free Free
42
P.U. (A) 47 PART 8 SPEECH-LANGUAGE THERAPY Assessment category
First Class (RM)
Speech-language assessment Clinical Swallowing Evaluation (CSE) Instrumental assessment of voice Instrumental assessment of resonance Fiberoptic Endoscopic Evaluation of Swallowing (FEES) Videofloroscopic Swallowing Study (VFSS)
Treatment category
Speech-language therapy Electrotherapy
50 50
Second Class (RM) 20 20
Third Class (RM) Free Free
50 50
20 20
Free Free
10 10
50
20
Free
10
80
30
Free
20
First Class (RM)
Second Class (RM)
Third Class (RM)
50 50
20 20
Free Free
Outpatient (RM) 10 10
Outpatient (RM) 10 10
PART 9 DIETETIC SERVICES Investigation category
Nutrition assessment Indirect calorimetry
First Class (RM)
Second Class (RM)
Third Class (RM)
10 20
5 10
Free Free
43
Outpatient (RM) 1 5
P.U. (A) 47 Therapy category
Individual diet therapy Group diet therapy Individual diet therapy: Oral nutritional supplement Individual diet therapy: Enteral nutrition
First Class (RM)
Second Class (RM)
Third Class (RM)
10
5
Free
20
10
Free
50
30
Free
Outpatient (RM)
2 1
PART 10 TRADITIONAL AND COMPLEMENTARY MEDICINE SERVICES Type of treatment
TRADITIONAL MALAY MEDICINE Traditional massage Chronic pain (per session) Post stroke (per session) Traditional postnatal care Wellness postnatal massage (per session) Midwifery care (per session) TRADITIONAL CHINESE MEDICINE Acupuncture Chronic pain (per session) Post stroke (per session) Acupuncture and moxibustion for chronic pain (per session) Acupuncture and moxibustion for post stroke (per session) Acupuncture and cupping for chronic pain (per session) Acupuncture and cupping for post stroke (per session) Other indication (per session) Herbal oncology Adjunct therapy for cancer (per cycle)
First Class (RM)
Second Class (RM)
Third Class (RM)
Outpatient (RM)
20 20
20 20
Free Free
20 20
20
20
Free
20
50
50
Free
50
20 20 25
20 20 25
Free Free Free
20 20 25
25
25
Free
25
25
25
Free
25
25
25
Free
25
20
20
Free
20
100
100
Free
100
44
P.U. (A) 47 Type of treatment
First Class (RM)
Second Class (RM)
Third Class (RM)
Outpatient (RM)
50 50
50 50
Free Free
50 50
50
50
Free
50
Siddha Varman therapy (per session)
20
20
Free
20
COMPLEMENTARY THERAPY Chiropractic (per session)
50
50
Free
50
Osteopathic (per session)
75
75
Free
75.”
TRADITIONAL INDIAN MEDICINE Ayurveda Shirodhara (per session) External basti therapy (per session) Abhyanga (per session)
Amendment of Schedule D 4.
The principal Order is amended by substituting for Schedule D the following
Schedule: “SCHEDULE D INVESTIGATION CHARGES PART 1 RADIOLOGICAL EXAMINATIONS Type of treatment
First Class Second Class (RM) (RM)
Examination without contrast media Limbs Head Spine Chest except miniature film of chest Miniature film of chest Bone pelvis, hips and abdomen Tomography Pelvimetry Fluroscopy of heart, lungs, diaphragm 45
75 90 90 75 25 90 150 100 150
20 25 25 20 6 25 40 40 40
Third Class (RM) 10 12 12 10 2 12 17 17 12
P.U. (A) 47 Type of treatment
First Class Second Class (RM) (RM)
Skeletal survey Mammography Dental intra-oral (per film) Dental Orthopantomogram (OPG) Lateral skull Ultrasound Ultrasound (simple) Dental Cone Beam Computed Tomography (CBCT) 3D OPG Dental digital radiograph C.T. abdomen C.T. head C.T. whole body
Third Class (RM)
375 150 15 105 105 150 75 350
100 40 5 30 30 40 20 150
37 12 1 10 10 17 10 Free
350 100 675 525 900
150 40 200 150 240
Free Free 75 60 120
120 40 48 40 60
50 17 20 17 25
30
12
40 50 80 80 60
17 21 35 35 25
120 40
50 17
Specialised examination with contrast media Arteriography 450 Contrast examination of G.I. tract 150 Contrast examination of Biliary tract 180 Contrast examination of urinary tract 150 Contrast examination of central 225 nervous system Contrast examination of other ducts 115 and tracts Artography 150 Bronkography 190 Limfangiography 300 Presacral air insufflation 300 Percutaneous Transhepatic 225 Cholangiography (PTC) Splenoportography 450 Salpingography 150
PART 2 LABORATORY TESTS Group
Group A Cellular immunological tests 46
First Class (RM)
Second Class (RM)
Third Class (RM)
150
50
25
P.U. (A) 47 Group
Group B Electron microscopy Frozen section (inclusive of confirmation) Group C Special haematological tests Microbiological analysis of food products, etc. Antibiotic assay and sterility testing Functional test (biochemical) Group D Package nutritional tests Surgical biopsy Cytological examination inclusive of collecting of specimens Hormonal assessment Extensive routine haematological test Group E Fluorescent microscopy Fluorescent antibody tests Gel diffusion tests Haemotological investigative tests Seminal assays Special biochemical and nutritional tests Immunoglobulin, immunoelectrophoresis, ELISA Complement quantitation Group F Quantitative biochemical analysis (Cat. A) Cytological examinations of clinical specimens Extra-routine haematological tests Culture of clinical specimens Immunological techniques (agglutination, Flocculation, haemolysis, etc.) Antibiotic sensitivity 47
First Class (RM)
Second Class (RM)
Third Class (RM)
120 120
40 40
20 20
75 75
25 25
12 12
75 75
25 25
12 12
60 60 60
20 20 20
10 10 10
60 60
20 20
10 10
60 60 60 60 60 60
15 15 15 15 15 15
7 7 7 7 7 7
60
15
7
60
15
7
30
10
5
30
10
5
30 30 30
10 10 10
5 5 5
30
10
5
P.U. (A) 47 Group
First Class (RM)
Second Class (RM)
Third Class (RM)
Group G Light microscopy Routine haemotological tests Seminal examination (normal tests) Quantitative biochemical analysis (Cat. B)
15 15 15 15
5 5 5 5
2 2 2 2
Group H Quantitative/qualitativef biochemical analysis
10
2
1
PART 3 OTHER INVESTIGATIONS Type of investigation CARDIOLOGICAL INVESTIGATION Electrocardiography Exercise tests Holter Echocardiogram Cardiac catheterisation and angiography OPHTHALMOLOGICAL INVESTIGATION Perimetry/scotometry Fluoresceine fundus angiografi/iris angiography Test for binocular vision Refraction with or without prescription of glasses NEUROLOGICAL INVESTIGATION Electroencephalography EAR, NOSE AND THROAT INVESTIGATION Audiometry Pure tone audiometry Bekesy Impedance 48
First Class (RM)
Second Class (RM)
Third Class (RM)
45 150 150 150 375
10 40 40 40 100
5 20 20 20 50
30 90
8 24
4 12
45 30
12 8
6 4
60
15
5
15 15 15
10 10 10
10 10 10
P.U. (A) 47 Type of investigation
First Class (RM) 15
Second Class (RM) 10
Third Class (RM) 10
Calorimetry
15
10
10
DENTAL INVESTIGATION Dental tests Pulp vitality per tests Diagnostic cast Caries susceptibility per test
15 40 5
15 40 5
Free Free Free”.
Others (SISI, Tone Decay, Free Field)
Amendment of Schedule E 5.
The principal Order is amended by substituting for Schedule E the following
Schedule: “SCHEDULE E OPERATION CHARGES OPERATION CHARGES INCLUSIVE OF ANAESTHESIA Operation
First Class (RM)
Second Class (RM)
Third Class (RM)
Operation Type A Operation Type B Operation Type C Operation Type D Operation Type E Operation Type F
4500 2250 1200 450 225 75
1200 600 400 150 80 40
200 100 50 20 15 10”.
Amendment of Schedule F 6.
The principal Order is amended by substituting for Schedule F the following
Schedule:
49
P.U. (A) 47 “SCHEDULE F DENTAL CHARGES DENTAL TREATMENT Type of treatment
First Class (RM)
Second Class (RM)
Third Class (RM)
Outpatient (RM)
Topical fluoride (per arch) Fissure sealant (per tooth) Full mouth scaling and polishing Extraction permanent tooth/supernumerary/retained root Extraction deciduous (per tooth) Surgical removal (per tooth/simple impacted tooth/retained root) Surgical removal of impacted tooth (per tooth) (complex) Control of post extraction haemorrhage Post-extraction complication Gingival operculectomy Dental wiring (per arch) Restoration of permanent tooth (one surface) Permanent tooth restoration (multiple surfaces/with pin retention) Deciduous tooth restoration Temporary restoration Inlay (per tooth) (not inclusive of metal charge) Crown (per tooth) (including temporary crown but not inclusive of metal charge) Bridge (per abutment teeth including provisional restoration but not inclusive of material and lab charges) Root canal treatment (anterior tooth) Root canal treatment (posterior tooth) Apexification (per tooth)
15 15 110 25
10 10 80 20
Free Free Free Free
5 5 55 15
20 225
15 80
Free 15
10 40
1200
400
50
200
40
30
Free
20
15 20 40 40
10 15 30 30
Free Free Free Free
5 10 20 20
50
40
Free
25
20 20 60
15 15 45
Free Free Free
10 10 30
100
75
Free
50
100
75
Free
50
75
60
Free
40
150
115
Free
75
100 50
75
Free
50
P.U. (A) 47 Type of treatment
Arrest of tooth resorption (per tooth) Coronal pulpotomy (per permanent tooth) Pulpotomy (per deciduous tooth) Pulpectomy (per deciduous tooth) Pulp extirpation (per tooth) Tooth bleaching (external) (per arch) Tooth bleaching (internal) (per tooth) Microabrasion (per tooth) Desensitisation (per arch) Full denture construction not inclusive of metal (per jaw) Partial denture construction not inclusive of metal (per jaw) Addition of each acrylic tooth Denture repair without changing the base plate Denture repair (addition of each acrylic tooth) Relining/rebasing (per denture) Impression for working model (per set) Soft splint Hard splint Other splint Dental appliances or obturators Small Medium Large Fixed appliance (per arch) Partial fixed appliance (per arch) Removable appliance (passive) (per arch) Removable appliance (active) (per arch) Fixed functional appliance Removable functional appliance Fixed appliance components
First Class (RM)
Second Class (RM)
Third Class (RM)
Outpatient (RM)
75
60
Free
40
75
60
Free
40
75
60
Free
40
100
75
Free
50
25 ―
20 ―
Free ―
15 500
―
―
―
50
― ― 225
― ― 170
― ― 25
50 25 110
100
75
5
50
15 35
10 30
1 1
5 20
15
10
1
5
60 ―
45 ―
Free ―
30 40
25 100 25
20 75 20
Free Free Free
15 50 10
115 150 190 ― ― ―
30 40 50 ― ― ―
15 20 25 ― ― ―
15 20 25 500 300 100
―
―
―
200
― ― ― 51
― ― ―
― ― ―
1000 400 25
P.U. (A) 47 Type of treatment
replacement (per component) Repair of removable appliance component Repair of broken appliance (all types of removable appliances/obturator) Removable functional appliance (repair) Orthodontic auxiliary Transpalatal arch Lingual arch Transpalatal arch (each repair) Lingual arch (each repair) Transpalatal arch (each re-cementation) Lingual arch (each re-cementation) Removable space maintainer (per arch) Fixed retainer (per arch) Essix retainer Fixed retainer (repair per tooth) Fixed retainer (debond per arch) Temporary anchorage devices (per device) Gold chain for impacted tooth Traction chain for minor tooth movement (per tooth) Palatal expander treatment Headgear treatment
First Class (RM)
Second Class (RM)
Third Class (RM)
Outpatient (RM)
―
―
―
25
―
―
―
10
―
―
―
50
― ― ― ― ― ―
― ― ― ― ― ―
― ― ― ― ― ―
100 100 100 50 50 50
― ―
― ―
― ―
50 100
― ― ―
― ― ―
― ― ―
100 100 50
―
―
―
100
―
―
―
150
― ―
― ―
― ―
400 50
― ―
― ―
― ―
100 100”.
Made 24 January 2016 [KKM(S)-280(32/41); PN(PU2)86/XXII]
By Command DATUK SERI DR. S.SUBRAMANIAM Minister of Health [To be laid before the Dewan Rakyat pursuant to section 4 of the Fees Act 1951] 52