senarai caj dalam perintah fi (perubatan) …hrpz2.moh.gov.my/v3/uploads/pekeliling/senarai caj...

1

SENARAI CAJ DALAM PERINTAH FI (PERUBATAN) (PINDAAN) 2017

JADUAL B

CAJ WAD

BAHAGIAN 2

BILIK PROSEDUR (OBSTETRIK)

Bil. Bilik Prosedur (Obstetrik) Procedure Room (Obstetric) (RM)

1 Bilik bersalin (setiap kemasukan)

Labour room (per admission) 120 (Kelas Satu sahaja)

2 Dewan bedah (setiap kemasukan)

Operation theater (per admission)

120 (Kelas Satu sahaja)

JADUAL B

CAJ WAD

BAHAGIAN 1

WAD AM

Bil. Kelas Class

Tidak berhawa

dingin

Berhawa dingin

(Caj sehari)

(Caj sehari)

(RM) (RM)

Kelas Satu: First Class:

1 Bilik dengan satu katil One bedded room 90 120

2 Bilik dengan dua katil Two bedded room 60 90

3 Bilik dengan tiga katil

atau lebih Three bedded room or

more 45 60

4 Kelas Dua Second Class 25 40

5 Kelas Tiga Third Class 3 3

2

JADUAL B

CAJ WAD

BAHAGIAN 3

WAD PSIKIATRIK

Bil. Kelas Class Caj sehari (RM)

1 Kelas Satu First Class 15

2 Kelas Dua Second Class 10

3 Kelas Tiga Third Class Percuma

JADUAL B

CAJ WAD

BAHAGIAN 4

WAD EKSEKUTIF

Bil.

Caj sehari (RM)

1 Bilik dengan satu katil (Orang kenamaan) One bedded room (VIP) 225

2 Bilik dengan satu katil One bedded room 180

3 Bilik dengan dua katil Two bedded room 150

JADUAL C

CAJ RAWATAN

BAHAGIAN 1

RAWATAN PESAKIT DALAM

Bil. Kelas Class Caj sehari

(RM)




3

JADUAL C

CAJ RAWATAN

BAHAGIAN 2

ACCOUCHEMENT DAN BERSALIN

Bil. Jenis rawatan Type of treatment

Kelas wad

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

1 Pembedahan Caesarean Caesarean operation 1200 400 100

2 Bersalin dengan bantuan: Assisted delivery:

3 Forseps/ songsang/ vakum Forceps/ breech/ vacuum 600 200 50

4 Bersalin kembar Twin delivery 600 200 50

5 Bersalin biasa Normal delivery 450 150 10

JADUAL C

CAJ RAWATAN

BAHAGIAN 3

FISIOTERAPI


Setiap lawatan

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

Modaliti elektroterapi Electrotherapy modalities

1 Biomaklumbalas/miomaklumbalas

Biofeedback /myofeedback 30 20 5

2 Arus terus/ iontoforesis Direct current / iontophorosis 30 20 5

3 Arus dwidinamik Didynamic current 30 20 5

4 Arus terus terganggu Interrupted direct current 30 20 5

5 Terapi interferens Interferential therapy 30 20 5

6 Diatermi gelombang pendek Shortwave diathermy 30 20 5

7 Stimulasi saraf transkutan elektrik

Transcutaneous electrical nerve stimulation

30 20 5

8 Terapi ultrasound Ultrasound therapy 30 20 5

9 Ultrasound masa nyata Realtime ultrasound 30 20 5

10 Stimulasi elektrik fungsional Functional electrical stimulation 30 20 5

11 Terapi gelombang kejut Shockwave therapy 30 20 5

4


Setiap lawatan

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

Terapi Haba/Krioterapi

Thermal therapy/cryotherapy

12 Pek panas Hot pack 15 10 2

13 Mandi lilin Wax bath 15 10 2

14 Sinaran inframerah Infrared radiation 15 10 2

15 Krioterapi Cryotherapy 15 10 2

Fototerapi Phototherapy

16 Terapi laser Laser therapy 30 15 5

17 Terapi sinar ultraungu Ultraviolet light therapy 30 15 5

Terapi kardiorespiratori Cardiorespiratory therapy

18 Teknik Pernafasan Kitaran Aktif (ACBT)

Active Cycle Breathing Technique (ACBT)

30 15 5

19 Senaman pernafasan Breathing exercise 30 15 5

20 Sedutan bronkiol Bronchial suction 30 15 5

21 Spirometer insentif Incentive spirometer 30 15 5

22 Fluter Flutter 30 15 5

23 Latihan otot inspiratori Inspiratory muscle training 30 15 5

24 Terapi penyedutan Inhalation therapy 30 15 5

25 Perkusi/ Getaran Percussion/vibration 30 15 5

26 Tekanan ekspirasi positif Positive expiratory pressure 30 15 5

27 Penyaliran postural Postural drainage 30 15 5

Terapi mekano Mechano therapy

28 Tarikan servikal Cervical traction 20 10 2

29 Tarikan lumbar Lumbar traction 20 10 2

30 Pam berangkai Sequential pump 20 10 2

Hidroterapi Hydrotherapy

31 Senaman kolam Pool exercise 20 10 2

32 Pusaran air Whirlpool 20 10 2

Terapi manual Manual therapy

33 Manipulasi tisu lembut Soft tissue manipulation 20 10 2

5


Setiap lawatan

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

34 Lepasan miofasia Myofascial release 20 10 2

35 Penyaliran limfa secara manual Manual lymphatic drainage 20 10 2

36 Akutekanan Accupressure 20 10 2

37 Pemitaan/pembalutan/pengikat

Taping/bandaging/strapping 30 20 Percuma

38 Terapi mampatan (limfoedema)

Compression therapy (lymphoedema)

30 20 Percuma

Teknik khas Special techniques

39 Teknik reposisi Canalith Canalith repositioning technique

30 20 2

40 Senaman penstabilan renungan Gaze stabilisation exercise 30 20 2

41 Pengaisan atau pemberusan Icing or brushing 30 20 2

42 Mobilisasi sendi Joint mobilization 30 20 2

43 Teknik McKenzie McKenzie technique 30 20 2

44 Program pembelajaran semula motor

Motor re-learning programme 30 20 2

45 Akupunktur atau penjaruman kering

Acupuncture or dry needling 30 20 2

46 Teknik perkembangan neuro Neurodevelopmental technique 30 20 2

47 Pemudahan proprioseptif saraf otot

Proprioceptive neuromuscular facilitation

30 20 2

Terapi senaman Exercise therapy

48 Aktif, pasif atau berbeban Active, passive or resisted 20 10 2

49 Ambulasi atau latihan gaya jalan Ambulation or gait training 20 10 2

50 Senaman antenatal dan postnatal

Antenatal and postnatal exercise

20 10 2

51 Latihan imbangan Balance training 20 10 2

52 Latihan pundi kencing/ usus Bladder/bowel training 20 10 2

53 Latihan litar Circuit training 20 10 2

54 Senaman bola gim Gymnic ball exercise 20 10 2

55 Teknik tahan kemutan untuk otot lantai pelvis

Counter bracing technique for pelvic floor muscle

20 10 2

56 Aktiviti kefungsian Functional activities 20 10 2

57 Senaman berkumpulan Group exercise 20 10 2

6


Setiap lawatan

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

58 Senaman isokinetik Isokinetic exercise 20 10 2

59 Senaman mekanikal Mechanical exercise 20 10 2

60 Senaman otot lantai pelvis Pelvic floor muscle exercise 20 10 2

61 Teknik relaksasi Relaxation technique 20 10 2

62 Pendidikan semula sensori Sensory re-education 20 10 2

63 Rejim tangan khas Special hand regime 20 10 2

UJIAN KHAS SPECIAL TEST

Alat diagnostik Diagnostic tool

64 Ujian imbangan Berg Berg’s balance test 50 30 5

65 Ujian Klinikal bagi Interaksi Sensori dan Imbangan (CTSIB)

Clinical Test for Sensory Interaction and Balance (CTSIB)

50 30 5

66 Postugrafi dinamik berkomputer

Computerized Dynamic Posturography

50 30 5

67 Penilaian tangan berkomputer Computerized hand evaluation 50 30 5

68 Indeks gaya jalan dinamik Dynamic gait index 50 30 5

69 Penilaian otot lantai pelvis Pelvic floor muscle assessment 50 30 5

70 Ujian sensori Sensory testing 50 30 5

71 Lengkungan tempoh kekuatan Strength duration curve 50 30 5

72 Ujian otot voluntari Voluntary muscle testing 50 30 5

73 Ujian vestibular Vestibular test 50 30 5

74 Ujian bangun dan pergi bermasa

Timed up and go test 50 30 5

75 Ujian jangkauan fungsi Functional reach test 50 30 5

7

CAJ RAWATAN

BAHAGIAN 4

RAWATAN RADIOTERAPI DAN ONKOLOGI

Bil. Jenis rawatan Type of treatment Kelas Satu (RM)

Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar

Rujukan Pengamal

Persendirian

Rujukan Pegawai

Perubatan

Kerajaan

(RM) (RM)

Simulasi dan perancangan berkomputer

Simulation and computerized planning

1 Penandaan setempat

Mark on set 45 30 Percuma 45 15

2 Simulasi konvensional

Conventional simulation

450 200 Percuma 450 75

3 Simulasi CT: CT simulation: 450 200 Percuma 450 75

Biasa (tanpa kontras)

Normal (without contrast)


Rumit (dengan kontras)

Complex (with contrast)

5 Simulasi CT: CT simulation:

450 200 Percuma 450 75

Radioterapi Keamatan Bermodulasi (IMRT)

Intensity Modulated Radiotherapy (IMRT)


Penyinaran Seluruh Badan (TBI)

Total Body Irradiation (TBI)


Penyinaran Seluruh Nodal (TNI)

Total Nodal Irradiation (TNI)


Elektron Suluruh Badan (TBE)

Total Body Electron (TBE)


450 200 Percuma 450 75

Radioterapi Stereotaktik (SRT)

Stereotactic Radiotherapy (SRT)


Radiosurgeri Stereotaktik (SRS)

Stereotactic Radiosurgery(SRS)

8


Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar

Rujukan Pengamal

Persendirian

Rujukan Pegawai

Perubatan

Kerajaan

(RM) (RM)


450 200 Percuma 450 75

Radioterapi Stereotaktik Badan (SBRT)

Stereotactic Body Radiotherapy (SBRT)

Rawatan radioterapi

Radiotherapy treatment

12 2D/ medan tunggal/ selari setentang (setiap pecahan)

2D/single field/parallel opposed (per fraction)

100 50 12 100 25

13

3D/apa-apa rancangan dengan 3 atau lebih medan (setiap pecahan)

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

100 50 12 100 25

14 IMRT (setiap pecahan)

IMRT (per fraction)

100 50 12 100 25

15 TBI (setiap pecahan)

TBI (per fraction) 100 50 12 100 25

16 TNI (setiap pecahan)

TNI (per fraction) 100 50 12 100 25

17 SRT (setiap pecahan)

SRT (per fraction) 100 50 12 100 25

18 SRS SRS

7000 (rawa

tan pakej untuk sekali

caj sahaj

a)

5000 (rawatan

pakej untuk sekali

caj sahaj

a)

12 (setiap

rawatan)

7000 (rawatan

pakej untuk sekali caj sahaja)

500 (rawatan

pakej untuk

sekali caj sahaja)

19 SBRT SBRT

7000 (rawa

tan pakej untuk sekali

caj sahaj

a)

5000 (rawatan

pakej untuk sekali

caj sahaj

a)

12 (setiap

rawatan)

7000 (rawatan

pakej untuk sekali caj sahaja)

500 (rawatan

pakej untuk

sekali caj sahaja)

9


Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar

Rujukan Pengamal

Persendirian

Rujukan Pegawai

Perubatan

Kerajaan

(RM) (RM)

Rawatan brakiterapi

Brachytherapy treatment

20 Intrakavitari: Dobi/sumber satu baris (setiap sesi)

Intracavitary : dhobbies/single line source (per session)

75 30 6 75 15

21 Intrakavitari: ovoid berpasangan (setiap sesi)

Intracavitary : paired ovoids (per session)

75 30 6 75 15

22 Intrakavitari: intrakavitari penuh (setiap sesi)

Intracavitary : full intracavitary (per session)

75 30 6 75 15

23

Intrakavitari: bagi kanser nasofaringeal (NPC) (setiap sesi)

Intracavitary : for nasopharyngeal cancer (NPC) (per session)

75 30 6 75 15

24

Intraluminal: Esofagus, bronkus, anorektal (setiap sesi)

Intraluminal : Esophagus, bronchus, anorectal (per session)

75 30 6 75 15

25

Implan brakiterapi interstisial: implan brakiterapi payudara (setiap sesi)

Interstitial brachytherapy implants : breast brachytherapy implants (per session)

75 30 6 75 15

26

Implan brakiterapi interstisial: implant ekstremiti (setiap sesi)

Interstitial brachytherapy implants : extremities implants (per session)

75 30 6 75 15

27

Implan brakiterapi: implan kaviti oral/ anorektal/ prostat/ mata dan lain-lain (setiap sesi)

Brachytherapy implants : oral cavity/ anorectal/ prostate/eye and other implants (per session)

75 30 6 75 15

10


Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar

Rujukan Pengamal

Persendirian

Rujukan Pegawai

Perubatan

Kerajaan

(RM) (RM)

28 Prosedur brakiterapi prostat (rawatan pakej)

Prostate brachytherapy procedure (package treatment)

7,000 5,000 6 - -

Rawatan anti-neoplastik

Anti-neoplastic treatment

29

Rawatan anti-neoplastik untuk kanser (selain terapi sasaran) (setiap rawatan)

Anti-neoplastic for cancer (besides targeted therapy) (per treatment)

400 200 50 400 100

30

Rawatan terapi sasaran untuk kanser (setiap rawatan)

Targeted therapy treatment for cancer (per treatment)

600 400 50 600 150

31

Rawatan kanser yang memerlukan kelulusan khas Ketua Pengarah Kesihatan (KPK) (setiap rawatan)

Cancer treatment that needs special approval from the Director General of Health (per treatment)

800 200 50 800 200

Perubatan nuklear Nuclear medicine

Isotop radioaktif: Radioactive isotopes:

32 (i) Diagnosis (i) Diagnosis 150 50 25 150 25

33 (ii) Terapi (ii) Theraphy 750 250 125 750 125

11

JADUAL C

CAJ RAWATAN

BAHAGIAN 5

NEFROLOGI


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

1

Dialisis berselang-selang peritoneal (setiap rawatan)

Intermitent peritonial dialysis per treatment

275 100 50

2

Rawatan Dialisis Peritoneal Ambulasi Berterusan (CAPD) (sebulan)

Continuous Ambulatory Peritoneal Dialysis (CAPD) treatment (monthly)

750 200 100

3 Hemodialisis setiap rawatan: Hemodialysis per treatment:

4 (i) satu kegunaan buah pinggang tiruan

(i) one use of artificial kidney 190 50 25

5 (ii) kegunaan semula buah pinggang tiruan

(ii) re-use of artificial kidney 75 20 10

6

Biopsi buah pinggang (tidak termasuk laporan)

Renal biopsy (excluding report) 75 20 10

7

Pengkateteran femoral/ subklavian untuk hemodialisis

Femoral/subclaviancatheterisation for hemodialysis

75 20 10

8 Hemoperfusi Haemoperfusion 375 100 50

9 Implantasi kateter tenkoff Implantation of tenchkoff catheter 150 40 20

10 Rawatan dialisis prapemindahan

Pretransplant dialysis treatment 1500 400 200

11 Lawatan di rumah bagi setiap hemodialisis

Home visit per hemodialysis 100 (setiap lawatan)

JADUAL C

CAJ RAWATAN

BAHAGIAN 6

RAWATAN PSIKIATRIK

Bil. Kelas Class

Setiap kemasukan

(RM)




12

JADUAL C

CAJ RAWATAN

BAHAGIAN 7

TERAPI CARA KERJA


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

PENILAIAN ASSESSMENT

Penilaian aktiviti kehidupan seharian (ADL)

Activities of Daily Living (ADL) Assessment

1 Ukuran Pelaksanaan Terapi Cara Kerja Kanada (C.O.P.M)

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

20 10 Percuma

2 Jadual Pendek Penafsiran Keperluan Camberwell (CANSAS)

Camberwell Assessment of Needs Short Schedule (CANSAS)

20 10 Percuma

3 Penilaian Keupayaan Kefungsian (FAA)

Functional Ability Assessment (FAA)

20 10 Percuma

4 Ukuran Kebebasan Kefungsian (FIM)

Functional Independence Measure (FIM)

20 10 Percuma

5 Penilaian Kemahiran Hidup Kohlman (KELS)

Kohlman Evaluation of Living skill (KELS)

20 10 Percuma

6 Aktiviti instrumental skala kehidupan seharian Lawton

The Lawton instrumental activities daily living scale

20 10 Percuma

7 Indeks terubah suai Barthel (MBI)

Modified Barthel Index (MBI) 20 10 Percuma

8 Terapi cara kerja bagi penilaian jantung

Occupational therapy for cardiac assessment

20 10 Percuma

9 Inventori penilaian kehilangan upaya pediatrik (PEDI)

Pediatric Evaluation Disabilities inventory (PEDI)

20 10 Percuma

10 Penilaian Pelaksanaan Kemahiran Pengurusan Diri (PASS)

Performance Assessment of Self Care Skills (PASS)

20 10 Percuma

11

Penilaian Kemahiran Motor dan Pemprosesan bagi Kesihatan Mental (AMPS)

Assessment of Motor and Process Skills in Mental Health (AMPS)

20 10 Percuma

13


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

Penilaian fizikal Physical assessment

12 Ujian Manual Otot (MMT)

Muscle Manual Test (MMT) 20 10 Percuma

13 Kekuatan dinamometer/ tolok kutil

Strength-dynamometer/ pinch gauge

20 10 Percuma

14 Ujian pembezaan 2 titik 2 point discrimination test 20 10 Percuma

15 Ujian pasak 9 lubang 9 hole peg test 20 10 Percuma

16 Ujian imbangan Berg Berg balance test 20 10 Percuma

17 Papan pasak beralur Grooved peg board 20 10 Percuma

18 Ujian fungsi tangan Jebsen Taylor

Jebsen Taylor hand function test

20 10 Percuma

19 Ujian kecakatan manual Minnesota

Minnesota manual dexterity test

20 10 Percuma

20 Skala kesakitan Pain Scale 20 10 Percuma

21 Ujian kecakatan jari O’Connor

O’Connor finger dexterity test 20 10 Percuma

22 Ujian kecakatan penyepit O’Connor

O’Connor tweezer dexterity test

20 10 Percuma

23 Ton otot Muscle Tone 20 10 Percuma

24 Ujian papan pasak Purdue

Purdue pegboard test 20 10 Percuma

25 Julat pergerakan sendi (Goniometer)

Range of motion (Goniometer)

20 10 Percuma

26 Ujian aptitud manipulatif Roeder

Roeder manipulative aptitude test

20 10 Percuma

14


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

27 Ujian monofilamen Semmes-Weinstein

Semmes-Weinstein monofilaments test

20 10 Percuma

28 Profil sensori Sensory profile 20 10 Percuma

29 Ujian stereognosis Stereognosis test 20 10 Percuma

30 Getaran Vibration 20 10 Percuma

31 Volumeter Volumeter 20 10 Percuma

32 Ujian imbangan Tinnetti Tinnetti balance test 20 10 Percuma

33 Alat Senaman Anggota Atas Mikrokomputer (MULE)

Microcomputer Upper Limb Exerciser (MULE)

20 10 Percuma

Penilaian perkembangan normal

Normal development assessment

34 Ujian Bruininks-Oseretsky

Bruiniks-Oseretsky test 20 10 Percuma

35 Carta tapisan perkembangan Denver

Denver developmental screening chart

20 10 Percuma

36 Skala pengadaran motor oral

Oral motor rating scale 20 10 Percuma

37 Peabody Peabody 20 10 Percuma

Penilaian persepsi dan kognitif

Perceptual and cognitive assessment

38

Ujian Perkembangan Integrasi Visual-Motor Beery Buktenica (Beery VMI)

The Berry Buktenica Development Test Of Visual –Motor Integration (Berry VMI)

20 10 Percuma

15


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

39

Bateri Penilaian Neurologi Terapi Cara Kerja Chessington (C.O.T.N.A.B)

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

20 10 Percuma

40 Skala keresahan dan kemurungan hospital

Hospital anxiety depression scale

20 10 Percuma

41 Penilaian Kognitif Terapi Cara Kerja Lowerstein (LOCTA)

Lowerstein Occupational Therapy Cognitive Assessment (LOCTA)

20 10 Percuma

42 -LOCTA-A (bagi kes dewasa am)

-LOCTA-A (for adult general cases)

43 -LOTCA-G (bagi kes geriatrik)

-LOTCA-G (for geriatric cases)

44 -LOTCA-D (bagi kes kanak-kanak/ perkembangan)

-LOTCA-D (for children/developmental cases)

45 Pemeriksaan Mini Keadaan Mental (MMSE)

Mini Mental State Examination (MMSE)

20 10 Percuma

46 Penilaian Kognitif Montreal (MoCA)

Montreal Cognitive Assessment (MoCA)

20 10 Percuma

47 Bateri penilaian persepsi kederiaan Rivermead

Rivermead preceptual assessment battery

20 10 Percuma

Penilaian prasekolah Preschool assessment

48 Penilaian pelajar prasekolah Miller

Miller assessment pre schoolers

20 10 Percuma

49 Penilaian Fungsi Sekolah (SFA)

School Function Assessment (SFA)

20 10 Percuma

50 Ujian kemahiran tulisan tangan

Test of handwritting skill 20 10 Percuma

16


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

Penilaian tingkah laku Behavior assessment

51 Grid Penilaian Ambang (TAG)

Threshold Assessment Grid (TAG)

20 10 Percuma

52 Skala keresahan dan kemurungan hospital

Hospital anxiety and depression scale

20 10 Percuma

53 Keteriritasian (skala kemurungan dan keresahan)

Irritability (depression anxiety scale)

20 10 Percuma

54 Soal selidik fungsi Sharman

Sharman's function questionaire

20 10 Percuma

55 Skala kemurungan Beck The Beck depression scale 20 10 Percuma

56 Skala amnesia pascatrauma (skala PTA)

Post Traumatic Amnesia scale (PTA scale)

20 10 Percuma

57 Penilaian kerusi roda Wheel chair assessment 20 10 Percuma

Penilaian pemanduan Driving assessment

58 Penilaian pra-memandu Pre driving assessment 150 100 Percuma

59 Penilaian tapisan pemanduan pesakit strok

Stroke driving screening assessment

150 100 Percuma

Penilaian rumah/ tempat kerja/ sekolah

Home/work place/ school assessment

60 Alat Tapisan Kejatuhan dan Kemalangan dalam Rumah (FAST)

Home falls and accidents screening tool (FAST)

20 10 Percuma

17


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

Penilaian kerja/vokasional

Work/vocational assessment

61 Penilaian kapasiti kefungsian

Functional capacity evaluation

150 100 Percuma

62 Penilaian LAM bagi Kesediaan Pekerjaan (LASER)

LAM Assessment of Employment Readiness (LASER)

150 100 Percuma

63 Senarai semak peranan Role check list 150 100 Percuma

Latihan aktiviti kehidupan seharian

Activities of daily living training

64 Kebolehan untuk menggunakan telefon

Ability to use telephone 20 10 Percuma

65 Ambulasi awal Early ambulation 20 10 Percuma

66 Kebersihan diri Self hygiene 20 10 Percuma

67 Pindah Transfer 20 10 Percuma

68 Kebolehan mengendalikan kewangan

Ability handle finance 20 10 Percuma

69 Mandi Bathing 20 10 Percuma

70 Pengurusan pundi kencing

Bladder management 20 10 Percuma

71 Pengurusan usus Bowel management 20 10 Percuma

72 Kerja pembersihan Cleaning work 20 10 Percuma

73 Penjagaan peralatan Device care 20 10 Percuma

18


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

74 Kemahiran domestic Domestic skill 20 10 Percuma

75 Memakai pakaian Dressing 20 10 Percuma

76 Makan/ Memberi makan Eating/feeding 20 10 Percuma

77 Penyediaan makanan/ hidangan

Food/meal preparation 20 10 Percuma

78 Kefungsian komunikasi Functional communication 20 10 Percuma

79 Kefungsian mobiliti Functional mobility 20 10 Percuma

80 Hias diri Grooming 20 10 Percuma

81 Eminens kesihatan Health eminence 20 10 Percuma

82 Penyelenggaraan isi rumah

Household maintenance 20 10 Percuma

83 Pengemasan rumah Housekeeping 20 10 Percuma

84 Dobi Laundry 20 10 Percuma

85 Mod pengangkutan Mode of transportation 20 10 Percuma

86 Pengurusan wang Money management 20 10 Percuma

87 Tanggungjawab bagi pengubatan

Responsibility for medication 20 10 Percuma

88 Prosedur keselamatan Safety procedure 20 10 Percuma

89 Fungsi seksual Sexual function 20 10 Percuma

90 Beli-belah Shopping 20 10 Percuma

19


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

91 Penjagaan tandas Toileting 20 10 Percuma

Alat bantuan dan adaptasi (bagi setiap pengubahsuaian peralatan yang dibekalkan)

Aids and adaptation (for each modification equipment supplied)

92 Perkakas memasak Cooking utensil 20 10 Percuma

93 Mengenakan pakaian Dressing 20 10 Percuma

94 Perkakas makan/ minum Feeding/drinking utensil 20 10 Percuma

95 Mobiliti Mobility 20 10 Percuma

96 Mandi Bathing 20 10 Percuma

97 Membaca/ Menulis Reading/writing 20 10 Percuma

98 Dudukan kerusi roda Wheel chair seating 20 10 Percuma

99 Rehabilitasi penglihatan terhad

Low vision rehabilitation 20 10 Percuma

100 Intervensi persepsi dan kognitif

Cognitive and perceptual intervention

101 Konsep asas Basic concepts 20 10 Percuma

102 Pengenalpastian bahagian badan

Body part identification 20 10 Percuma

103 Stimulasi kognitif Cognitive stimulation 20 10 Percuma

20


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

104 Aktiviti pembelajaran Educational activities 20 10 Percuma

105 Pembezaan kanan/ kiri Right/left discrimination 20 10 Percuma

106 Diskriminasi bentuk dan persekitaran

Figure-ground discrimination 20 10 Percuma

107 Orientasi realiti Reality orientation 20 10 Percuma

108 Aktiviti orientasi topografi

Topographical orientation activities

20 10 Percuma

109 Penjujukan Sequencing 20 10 Percuma

110 Pengkategorian Categorization 20 10 Percuma

111 Terapi cermin Mirror therapy 20 10 Percuma

112 Terapi tingkah laku Behavioral therapy 20 10 Percuma

Terapi kreatif Creative therapy

113 Terapi seni Art therapy 20 10 Percuma

114 Drama/ Lakon peranan Drama/role play 20 10 Percuma

115 Terapi muzik Music therapy 20 10 Percuma

Intervensi kemahiran sosial

Social skill intervention

116 Latihan asertif Assertive training 20 10 Percuma

21


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

117 Latihan kemahiran daya tindak

Coping skill training 20 10 Percuma

118 Kumpulan sokongan Group support 20 10 Percuma

119 Terapi berkumpulan Group therapy 20 10 Percuma

120 Terapi individu Individual therapy 20 10 Percuma

121 Kemahiran interpersonal Interpersonal skill 20 10 Percuma

122 Aktiviti kesedaran diri Self awareness activities 20 10 Percuma

123 Kawalan diri Self control 20 10 Percuma

124 Ekspresi diri Self expression 20 10 Percuma

125 Pelakuan sosial Social conduct 20 10 Percuma

126 Latihan kemahiran sosial Social skill training 20 10 Percuma

127 Pengurusan masa Time management 20 10 Percuma

128 Senarai semak peranan Role checklist 20 10 Percuma

Pendidikan terapi cara kerja untuk pesakit dan penjaga

Patient's and carer's occupational therapy education

129 Mekanik dan ergonomik badan

Body mechanic and ergonomic

20 10 Percuma

130 Kawalan dan pencegahan edema

Edema control and prevention

20 10 Percuma

131 Penjimatan tenaga/ pemudahan kerja

Energy conservation/work simplification

20 10 Percuma

22


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

132 Terapi persekitaran Environment therapy 20 10 Percuma

133 Teknik penjagaan sendi Joint protection techniques 20 10 Percuma

Main dan santai Play and leisure

134 Senarai semak santai Leisure check list 20 10 Percuma

135 Eksplorasi main dan santai

Play and leisure exploration 20 10 Percuma

136 Latihan main dan santai Play and leisure training 20 10 Percuma

Relaksasi Relaxation

137 Biomaklumbalas Biofeedback 20 10 Percuma

138 Pernafasan dalam Deep breathing 20 10 Percuma

139 Pernafasan diafragma Diaphragmatic breathing 20 10 Percuma

140 Relaksasi khayalan Imaginary relaxation 20 10 Percuma

141 Teknik relaksasi otot progresif

Progressive muscular relaxation techniques

20 10 Percuma

Latihan sensori Sensory training

142 Penyahpekaan sensori Sensory desensitization 20 10 Percuma

23


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

143 Integrasi sensori Sensory integration 20 10 Percuma

144 Pendidikan semula sensori

Sensory re-education 20 10 Percuma

145 Stimulasi sensori Sensory stimulation 20 10 Percuma

146 Fluidoterapi Fluidotherapy 20 10 Percuma

Latihan motor Motor training

147 Prostesis atas siku Above elbow prosthesis 20 10 Percuma

148 Prostesis atas lutut Above knee prosthesis 20 10 Percuma

149 Senaman bantuan aktif Active assisted exercise 20 10 Percuma

150 Prostesis bawah siku Below elbow prosthesis 20 10 Percuma

151 Prostesis bawah lutut Below knee prosthesis 20 10 Percuma

152 Integrasi bilateral Bilateral integration 20 10 Percuma

153 Garis tengah bersilang Crossing midline 20 10 Percuma

154 Latihan ergonomik Ergonomic training 20 10 Percuma

155 Kemahiran motor halus Fine motor skills 20 10 Percuma

156 Prostesis jari Finger prosthesis 20 10 Percuma

157 Latihan gaya jalan Gait training 20 10 Percuma

24


Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

158 Aktiviti motor kasar Gross motor activities 20 10 Percuma

159 Koordinasi tangan dan mata

Hand and eye coordination 20 10 Percuma

160 Tambah baik keseimbangan

Improve balance 20 10 Percuma

161 Pendidikan semula motor

Motor re-education 20 10 Percuma

162 Teknik perkembangan neuro

Neuro developmental technique

20 10 Percuma

163 Penormalan ton otot Normalize muscle tone 20 10 Percuma

164 Stimulasi otot mulut Oral muscle stimulation 20 10 Percuma

165 Senaman meningkatkan kekuatan

Strengthening exercise 20 10 Percuma

166 Latihan ketahanan Endurance training 20 10 Percuma

167 Penyusutan ton otot Reduce muscle tone 20 10 Percuma

168 Intervensi orientasi dan mobiliti

Orientation and mobility intervention

20 10 Percuma

25

JADUAL C

CAJ RAWATAN

BAHAGIAN 7

TERAPI CARA KERJA

Bil.

0 hingga 12 bulan

1 hingga 18 tahun 18 tahun dan ke atas

Kelas Satu dan

Kelas Dua

Kelas Tiga

Kelas Satu dan

Kelas Dua

Kelas Tiga

Kelas Satu dan

Kelas Dua

Kelas Tiga

(RM) (RM) (RM) (RM) (RM) (RM)

Terapi mampatan

Compression therapy

1 Tiub cengkaman

Tubegrip 10 Percuma 20 Percuma 20 Percuma

2 Pembalut Coban

Coban bandage

10 Percuma 15 Percuma 20 Percuma

Pakaian tekanan

Pressure garment

3 Strap jari Finger strap - - 5 Percuma 5 Percuma

4 Gauntlet Gauntlet 10 Percuma 15 Percuma 15 Percuma

5 Sarung tangan Glove 15 Percuma 20 Percuma 20 Percuma

6 Sarung lengan Forearm sleeve


7 Sarung lengan penuh

Full arm sleeve


8 Baju lengan panjang

Vest with long sleeve


9 Baju lengan pendek

Vest with short sleeve


10 Strap dagu Chin strap 10 Percuma 10 Percuma 15 Percuma

26

Bil.

0 hingga 12 bulan


Kelas Satu dan

Kelas Dua

Kelas Tiga

Kelas Satu dan Kelas

Dua

Kelas Tiga


Dua

Kelas Tiga


11 Topeng muka Mask 20 Percuma 30 Percuma 40 Percuma

12 Seluar pendek Short pants 20 Percuma 30 Percuma 40 Percuma

13 Seluar panjang Long pants 30 Percuma 40 Percuma 60 Percuma

14 Sarung paha Thigh strap 15 Percuma 20 Percuma 25 Percuma

15 Sarung betis Calf strap 15 Percuma 20 Percuma 25 Percuma

16 Stoking (1 unit) Socks (1 unit) 15 Percuma 20 Percuma 25 Percuma

17 Penganduh dinamik

Dynamic splint

- Percuma

150 + harga mekanisme (mengikut harga pasaran)

Percuma

150 + harga

mekanisme (mengikut

harga pasaran)

Percuma

Penganduh statik

Static splint

18 Jari/ ibu jari kaki

Finger/toe - - 5 Percuma 5 Percuma

19 Tangan/ kaki Hand/foot 10 Percuma 10 Percuma 15 Percuma

20 Tangan hingga lengan bawah

Hand to forearm


21 Jari hingga lengan bawah

Finger to forearm


27

Bil.

0 hingga 12 bulan


Kelas Satu dan

Kelas Dua

Kelas Tiga


Dua

Kelas Tiga


Dua

Kelas Tiga


22 Lengan bawah hingga lengan atas

Forearm to upper arm


23 Tangan hingga lengan atas

Hand to upper arm


24 Lengan atas Upper arm 20 Percuma 30 Percuma 80 Percuma

25 Kolar keras Hard collar 20 Percuma 40 Percuma 80 Percuma

26 Kaki hingga betis

Foot to calf 30 Percuma 60 Percuma 80 Percuma

27 Kaki hingga tengah paha

Foot to mid thigh


28 Tengah betis hingga tengah paha

Mid calf to mid thigh


29 Tapak dalam Plastazote

Plasterzote insole


30 Siku tenis Tennis elbow - - 35 Percuma 35 Percuma

31 Sesaran ulnar Ulnar driff 5 Percuma 10 Percuma 15 Percuma

32 Sling Lengan Ergonomik (EAS)

Ergonomic Arm Sling (EAS)

- - 30 Percuma 35 Percuma

33 Semakan kulaian kaki

Foot drop check

- - 15 Percuma 20 Percuma

34 Pita Buddy Buddy strap 5 Percuma 5 Percuma 5 Percuma

35 Pendakap badan

Body brace 100 Percuma 250 Percuma 500 Percuma

36 Abah-abah pelvis

Pelvis harness 100 Percuma 180 Percuma - -

28

JADUAL C

CAJ RAWATAN

BAHAGIAN 8

TERAPI PERTUTURAN BAHASA

Bil. Kategori penilaian Assessment

Category

Kelas Satu

Kelas Dua

Kelas Tiga Pesakit

Luar

(RM) (RM) (RM) (RM)

1 Penilaian pertuturan bahasa

Speech-language assessment

50 20 Percuma 10

2 Penilaian Penelanan Klinikal (CSE)

Clinical Swallowing Evaluation (CSE)

50 20 Percuma 10

3 Penilaian suara berinstrumen

Instrumental assessment of voice

50 20 Percuma 10

4 Penilaian resonans berinstrumen

Instrumental assessment of resonance

50 20 Percuma 10

5 Penilaian Penelanan Endoskopik Serat Optik (FEES)

Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

50 20 Percuma 10

6 Penilaian Penelanan Videofloroskopik (VFSS)

Videofloroscopic Swallowing Study (VFSS)

80 30 Percuma 20

Bil. Kategori rawatan Treatment category

Kelas Satu

Kelas Dua

Kelas Tiga Pesakit

Luar

(RM) (RM) (RM) (RM)

7 Terapi pertuturan bahasa

Speech-language therapy

50 20 Percuma 10

8 Elektroterapi Electrotherapy 50 20 Percuma 10

29

JADUAL C

CAJ RAWATAN

BAHAGIAN 9

PERKHIDMATAN DIETETIK

Bil. Kategori siasatan Investigation category

Kelas Satu

Kelas Dua

Kelas Tiga

Pesakit Luar

(RM) (RM) (RM) (RM)

1 Penilaian pemakanan Nutrition assessment 10 5 Percuma 1

2 Kalorimetri tak langsung

Indirect calorimetry 20 10 Percuma 5

Bil. Kategori terapi Therapy category

Kelas Satu

Kelas Dua

Kelas Tiga

Pesakit Luar

(RM) (RM) (RM) (RM)

3 Terapi diet individu

Individual diet therapy 10 5 Percuma 2

4 Terapi diet berkumpulan

Group diet therapy - - - 1

5

Terapi diet individu: Individual diet therapy: 20 10 Percuma -

tambahan pemakanan oral

Oral nutritional supplement

6

Terapi diet individu: Individual diet therapy:

50 30 Percuma - pemakanan enteral

Enteral nutrition

30

JADUAL C

CAJ RAWATAN

BAHAGIAN 10

PERKHIDMATAN PERUBATAN TRADISIONAL DAN KOMPLEMENTARI

Bil. Kelas Satu (RM)

Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar (RM)

PERUBATAN TRADISIONAL MELAYU

TRADITIONAL MALAY MEDICINE

Urutan tradisional Traditional massage

1 Sakit kronik (setiap sesi) Chronic pain (per session) 20/sesi 20/sesi Percuma 20/sesi

2 Pasca angin ahmar (setiap sesi)

Post stroke (per session) 20/sesi 20/sesi Percuma 20/sesi

Penjagaan tradisional postnatal

Traditional postnatal care

3 Urutan kesegaran postnatal (setiap sesi)

Wellness postnatal massage (per session)

20/sesi 20/sesi Percuma 20/sesi

4 Penjagaan perbidanan (setiap sesi) Midwifery care (per session)


PERUBATAN TRADISIONAL CINA

TRADITIONAL CHINESE MEDICINE

Akupunktur Acupuncture

5 Sakit kronik (setiap sesi) Chronic pain (per session) 20/sesi 20/sesi Percuma 20/sesi

6 Pasca angin ahmar (setiap sesi)

Post stroke (per session) 20/sesi 20/sesi Percuma 20/sesi

7 Akupunktur dan moxibustion untuk sakit kronik (setiap sesi)

Acupuncture and moxibustion for chronic pain (per session)


8 Akupunktur dan moxibustion untuk pasca angin ahmar (setiap sesi)

Acupuncture and moxibustion for post stroke (per session)


9 Akupunktur dan bekam untuk sakit kronik (setiap sesi)

Acupuncture and cupping for chronic pain (per session)


10 Akupunktur dan bekam untuk pasca angin ahmar (setiap sesi)

Acupuncture and cupping for post stroke (per session)


11 Indikasi lain (setiap sesi) Other indication (per session) 20/sesi 20/sesi Percuma 20/sesi

Onkologi herba Herbal oncology

12 Terapi tambahan untuk kanser (setiap kitaran)

Adjunct therapy for cancer (per cycle)

100/ kitaran

100/ kitaran

Percuma 100/

kitaran

31

Bil. Kelas Satu (RM)

Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar (RM)

PERUBATAN TRADISIONAL INDIA

TRADITIONAL INDIAN MEDICINE

Ayurveda Ayurveda

13 Shirodhara (setiap sesi) Shirodhara (per session) 50/sesi 50/sesi Percuma 50/sesi

14 Terapi basti luaran (setiap sesi)

External basti theraphy (per session)


15 Abhyanga (setiap sesi) Abhyanga (per session) 50/sesi 50/sesi Percuma 50/sesi

Siddha Siddha

16 Terapi Varman (setiap sesi)

Varman therapy (per session) 20/sesi 20/sesi Percuma 20/sesi

TERAPI KOMPLEMENTARI

COMPLEMENTARY THERAPY

17 Kiropraktik (setiap sesi)

Chiropractic (per session) 50/sesi 50/sesi Percuma 50/sesi

18 Osteopatik (setiap sesi) Osteopathic (per session) 75/sesi 75/sesi Percuma 75/sesi

JADUAL D

CAJ SIASATAN

BAHAGIAN 1

PEMERIKSAAN RADIOLOGI

Bil.

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

Pemeriksaan tanpa kontras media

Examination without contrast media

1 Anggota Limbs 75 20 10

2 Kepala Head 90 25 12

3 Spina Spine 90 25 12

4 Dada kecuali filem kecil dada Chest except miniature film of chest

75 20 10

5 Filem kecil dada Miniature film of chest 25 6 2

32

Bil.

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

6 Tulang pelvis, pinggul dan abdomen

Bone pelvis, hips and abdomen 90 25 12

7 Tomografi Tomography 150 40 17

8 Pelvimetri Pelvimetry 100 40 17

9 Fluoroskopi jantung, paru-paru, diafragm

Fluroscopy of heart, lungs, diaphragm

150 40 12

10 Kaji selidik skeletal Skeletal Survey 375 100 37

11 Mamografi Mammography 150 40 12

12 Intra-oral pergigian (setiap filem)

Dental intra-oral (per film) 15 5 1

13 Ortopantomogram pergigian (OPG)

Dental Orthopantomogram (OPG) 105 30 10

14 Tengkorak lateral Lateral skull 105 30 10

15 Ultrasound Ultrasound 150 40 17

16 Ultrasound (mudah) Ultrasound (simple) 75 20 10

17 Pengukuran Tomografi Pemancar Kon (CBCT) gigi

Dental Cone Beam Computed Tomography (CBCT)

350 150 Percuma

18 3D OPG 3D OPG 350 150 Percuma

19 Radiograf digital gigi Dental digital radiograph 100 40 Percuma

20 C.T. abdomen C.T. abdomen 675 200 75

21 C.T. kepala C.T. head 525 150 60

22 C.T. seluruh badan C.T. whole body 900 240 120

Pemeriksaan khas dengan media kontras

Specialised examination with contrast media

23 Arteriografi Arteriography 450 120 50

24 Pemeriksaan kontras saluran G.I.

Contrast examination of G.I. tract 150 40 17

25 Pemeriksaan kontras saluran Biliary

Contrast examination of Biliary tract

180 48 20

26 Pemeriksaan kontras saluran kencing

Contrast examination of urinary tract

150 40 17

27 Pemeriksaan kontras sistem saraf pusat

Contrast examination of central nervous system

225 60 25

28 Pemeriksaan kontras lain-lain duktus dan saluran

Contrast examination of other ducts and tracts

115 30 12

33

Bil.

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

29 Artografi Artography 150 40 17

30 Bronkografi Bronkography 190 50 21

31 Limfangiografi Limfangiography 300 80 35

32 Insuflasi udara presakral Presacral air insufflation 300 80 35

33 Kolangiografi Transhepatik Perkutaneus (PTC)

Percutaneous Transhepatic Cholangiography (PTC)

225 60 25

34 Splenoportografi Splenoportography 450 120 50

35 Salpingografi Salpingography 150 40 17

JADUAL D CAJ SIASATAN BAHAGIAN 2

UJIAN MAKMAL

Bil. Kumpulan Group Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM) Kumpulan A Group A 1 Ujian imunologi sel Cellular immunological tests 150 50 25 Kumpulan B Group B 2 Microskopi elektron Electron microscopy 120 40 20

3 Seksyen beku (termasuk pengesahan)

Frozen section (inclusive of confirmation)

120 40 20

Kumpulan C Group C 4 Ujian khas hematologi Special haematological tests 75 25 12

5 Analisis mikrobiologi produk makanan, dsb.

Microbiological analysis of food products, etc.

75 25 12

6 Assai antibiotik dan ujian pensterilan

Antibiotic assay and sterility testing 75 25 12

7 Ujian kefungsian (biokimia)

Functional test (biochemical) 75 25 12

Kumpulan D Group D 8 Ujian pakej pemakanan Package nutritional tests 60 20 10 9 Biopsi pembedahan Surgical biopsy 60 20 10

34

Bil. Kumpulan Group

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

10 Pemeriksaan sitologikal termasuk pungutan spesimen

Cytological examination inclusive of collecting of specimens

60 20 10

11 Penilaian hormon Hormonal assessment 60 20 10

12 Ujian rutin ekstensif hematologi

Extensive routine haematological test 60 20 10

Kumpulan E Group E

13 Mikroskopi fluoresen Fluorescent microscopy 60 15 7 14 Ujian antibodi fluoresen Fluorescent antibody tests 60 15 7 15 Ujian resapan gel Gel diffusion tests 60 15 7

16 Ujian siasatan hemotologi Haemotological investigative tests 60 15 7

17 Assai seminal Seminal assays 60 15 7

18 Ujian khas biokimia dan pemakanan

Special biochemical and nutritional tests

60 15 7

19 Imunoglobulin, imunoelektroforesis, ELISA

Immunoglobulin, immunoelectrophoresis, ELISA

60 15 7

20 Kuantitasi pelengkap Complement quantitation 60 15 7 Kumpulan F Group F

21 Analisis kuantitatif biokimia (Cat. A)

Quantitative biochemical analysis (Cat. A)

30 10 5

22 Pemeriksaan sitologi spesimen klinikal

Cytological examinations of clinical specimens

30 10 5

23 Ujian rutin ekstra hematologi Extra-routine haematological tests

30 10 5

24 Kultur spesimen klinikal Culture of clinical specimens 30 10 5

25 Teknik imunologi (pengaglutinatan, flokulasi, hemolisis, dsb.)

Immunological techniques (agglutination, Flocculation, haemolysis, etc.)

30 10 5

26 Kepekaan antibiotik Antibiotic sensitivity Kumpulan G Group G

27 Mikroskopi cahaya Light microscopy 15 5 2 28 Ujian rutin hematologikal Routine haemotological tests 15 5 2

29 Pemeriksaan seminal (ujian biasa)

Seminal examination (normal tests) 15 5 2

30 Analisis kuantitatif biokimia (Cat. B)

Quantitative biochemical analysis (Cat. B)

15 5 2

Kumpulan H Group H

31 Analisis kuantitatif/kualitatif biokimia

Quantitative/qualitativef biochemical analysis

10 2 1

35

JADUAL D

CAJ SIASATAN

BAHAGIAN 3

SIASATAN LAIN

Bil. Jenis siasatan Type of investigation Kelas Satu (RM)

Kelas Dua

(RM)

Kelas Tiga (RM)

SIASATAN KARDIOLOGI CARDIOLOGICAL INVESTIGATION

1 Elektrokardiografi Electrocardiography 45 10 5

2 Ujian senaman Exercise tests 150 40 20

3 Holter Holter 150 40 20

4 Ekokardiogram Echocardiogram 150 40 20

5 Pengkateteran jantung dan angiografi

Cardiac catheterisation and angiography

375 100 50

SIASATAN OFTALMOLOGI OPHTHALMOLOGICAL INVESTIGATION

6 Perimetri/ Skotometri Perimetry/scotometry 30 8 4

7 Angiografi fluoresin fundus/ Angiografi iris

Fluoresceine fundus angiografi/iris angiography

90 24 12

8 Ujian untuk penglihatan binokular

Test for binocular vision 45 12 6

9 Pembiasan dengan atau tanpa preskripsi kaca mata

Refraction with or without prescription of glasses

30 8 4

SIASATAN NEUROLOGI NEUROLOGICAL INVESTIGATION

10 Elektroensefalografi Electroencephalography 60 15 5

SIASATAN TELINGA, HIDUNG DAN KERONGKONG

EAR, NOSE AND THROAT INVESTIGATION

Audiometri Audiometry

11 Audiometri nada tulen Pure tone audiometry 15 10 10

12 Bekesy Bekesy 15 10 10

13 Impedans Impedance 15 10 10

36

Bil. Jenis siasatan Type of investigation Kelas Satu (RM)

Kelas Dua

(RM)

Kelas Tiga (RM)

14 Lain-lain (SISI, rosot nada, medan bebas)

Others (SISI, Tone, Decay Free Field)

15 10 10

15 Kalorimetri Calorimetry 15 10 10

SIASATAN PERGIGIAN DENTAL INVESTIGATION

Ujian Pergigian Dental tests

16 Kevitalan pulpa (setiap ujian)

Pulp vitality per tests 15 15 Percuma

17 Model diagnostik Diagnostic cast 40 40 Percuma

18 Kerentanan karies (setiap ujian)

Caries susceptibility per test 5 5 Percuma

JADUAL E

CAJ PEMBEDAHAN

CAJ PEMBEDAHAN TERMASUK ANESTESIA

Bil. Pembedahan Operation

Kelas Satu

Kelas Dua

Kelas Tiga

(RM) (RM) (RM)

1 Pembedahan Jenis A Operation Type A 4500 1200 200

2 Pembedahan Jenis B Operation Type B 2250 600 100

3 Pembedahan Jenis C Operation Type C 1200 400 50

4 Pembedahan Jenis D Operation Type D 450 150 20

5 Pembedahan Jenis E Operation Type E 225 80 15

6 Pembedahan Jenis F Operation Type F 75 40 10

37

JADUAL F

CAJ PERGIGIAN

RAWATAN PERGIGIAN


Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar (RM)

1 Fluorida topikal (setiap arkus)

Topical fluoride (per arch) 15 10 Percuma 5

2 Pengapan fisur (setiap gigi)

Fissure sealant (per tooth) 15 10 Percuma 5

3 Penskaleran mulut penuh dan penggilapan

Full mouth scaling and polishing

110 80 Percuma 55

4

Pencabutan sebatang gigi kekal/ supernumerari/ akar tertinggal

Extraction permanent tooth/supernumerary/ retained root

25 20 Percuma 15

5 Pencabutan gigi desidus (setiap gigi)

Extraction deciduous (per tooth)

20 15 Percuma 10

6

Pembuangan melalui pembedahan (setiap gigi/ gigi terimpak mudah/ akar tertinggal)

Surgical removal (per tooth/simple impacted tooth/retained root)

225 80 15 40

7

Pembuangan gigi terimpak melalui pembedahan (setiap gigi) (rumit)

Surgical removal of impacted tooth (per tooth) (complex)

1200 400 50 200

8 Kawalan pendarahan selepas pencabutan

Control of post extraction haemorrhage

40 30 Percuma 20

9 Komplikasi selepas pencabutan

Post-extraction complication 15 10 Percuma 5

10 Operkulektomi gingiva Gingival operculectomy 20 15 Percuma 10

11 Pendawaian gigi (setiap arkus)

Dental wiring (per arch) 40 30 Percuma 20

12 Tampalan gigi kekal (satu permukaan)

Restoration of permanent tooth (one surface)

40 30 Percuma 20

13

Tampalan gigi kekal (permukaan berganda/dengan pin pegangan)

Permanent tooth restoration (multiple surfaces/with pin retention)

50 40 Percuma 25

14 Tampalan gigi desidus Deciduous tooth restoration 20 15 Percuma 10

15 Tampalan sementara Temporary restoration 20 15 Percuma 10

16 Inlai (setiap gigi)(tidak termasuk harga logam)

Inlay (per tooth) (not inclusive of metal charge)

60 45 Percuma 30

38


Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar (RM)

17

Korona (setiap gigi)(termasuk korona sementara, tetapi tidak termasuk caj logam)

Crown (per tooth) (including temporary crown but not inclusive of metal charge)

100 75 Percuma 50

18

Jambatan (setiap gigi tupang termasuk tampalan sementara tetapi tidak termasuk caj bahan dan makmal)

Bridge (per abutment teeth including provisional restoration but not inclusive of material and lab charges)

100 75 Percuma 50

19 Rawatan kanal akar (gigi anterior)

Root canal treatment (anterior tooth)

75 60 Percuma 40

20 Rawatan kanal akar (gigi posterior)

Root canal treatment (posterior tooth)

150 115 Percuma 75

21 Pengapeksan (setiap gigi)

Apexification (per tooth) 100 75 Percuma 50

22 Pemberhentian resorpsi gigi (setiap gigi)

Arrest of tooth resorption (per tooth)

75 60 Percuma 40

23 Pulpotomi korona (setiap gigi kekal)

Coronal pulpotomy (per permanent tooth)

75 60 Percuma 40

24 Pulpotomi (setiap gigi desidus)

Pulpotomy (per deciduous tooth)

75 60 Percuma 40

25 Pulpektomi (setiap gigi desidus)

Pulpectomy (per deciduous tooth)

100 75 Percuma 50

26 Ekstirpasi pulpa (setiap gigi)

Pulp extirpation (per tooth) 25 20 Percuma 15

27 Pelunturan gigi (eksternal)(setiap rahang)

Tooth bleaching (external) (per arch)

- - - 500

28 Pelunturan gigi (internal)(setiap gigi)

Tooth bleaching (internal) (per tooth)

- - - 50

29 Mikrolelasan (setiap gigi)

Microabrasion (per tooth) - - - 50

30 Penyahpekaan (setiap arkus)

Desensitisation (per arch) - - - 25

31 Pembentukan gigi palsu penuh tidak termasuk logam (setiap rahang)

Full denture construction not inclusive of metal (per jaw)

225 170 25 110

32

Pembentukan sebahagian gigi palsu tidak termasuk logam (setiap rahang)

Partial denture construction not inclusive of metal (per jaw)

100 75 5 50

33

Penambahan setiap gigi akrilik

Addition of each acrylic tooth 15 10 1 5

39


Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar (RM)

34 Pembaikan dentur tanpa mengganti plat landas

Denture repair without changing the base plate

35 30 1 20

35 Pembaikan dentur (penambahan setiap gigi akrilik)

Denture repair (addition of each acrylic tooth)

15 10 1 5

36 Lapikan semula/ landasan semula (setiap dentur)

Relining/rebasing (per denture)

60 45 Percuma 30

37 Impresi bagi model kerja (setiap set)

Impression for working model (per set)

- - - 40

38 Splin lembut Soft splint 25 20 Percuma 15

39 Splin keras Hard splint 100 75 Percuma 50

40 Splin lain Other splint 25 20 Percuma 10

41 Aplians atau obturator:

Dental appliances or obturators

42 Kecil Small 115 30 15 15

43 Sederhana Medium 150 40 20 20

44 Besar Large 190 50 25 25

45 Aplians tetap (setiap arkus)

Fixed appliance (per arch) - - - 500

46 Aplians sebahagian tetap (setiap arkus)

Partial fixed appliance (per arch)

- - - 300

47 Aplians boleh tanggal (pasif)(setiap arkus)

Removable appliance (passive)(per arch)

- - - 100

48 Aplians boleh tanggal (aktif)(setiap arkus)

Removable appliance (active)(per arch)

- - - 200

49 Aplians fungsi tetap Fixed functional appliance - - - 1000

50 Aplians fungsi boleh tanggal

Removable functional appliance

- - - 400

51 Penggantian komponen aplians tetap (setiap komponen)

Fixed appliance components replacement (per component)

- - - 25

52 Pembaikan komponen aplians boleh tanggal

Repair of removable appliance component

- - - 25

53

Pembaikan aplians patah (semua jenis aplians boleh tanggal/ obturator)

Repair of broken appliance (all types of removable appliances/obturator)

- - - 10

54 Pembaikan aplians fungsi boleh tanggal

Removable functional appliance (repair)

- - - 50

55 Auksiliari ortodontik Orthodontic auxiliary - - - 100

56 Arkus transpalatal Transpalatal arch - - - 100

40


Kelas Dua

(RM)

Kelas Tiga (RM)

Pesakit Luar (RM)

57 Arkus lingual Lingual arch - - - 100

58 Arkus transpalatal (setiap pembaikan)

Transpalatal arch (each repair)

- - - 50

59 Arkus lingual (setiap pembaikan) Lingual arch (each repair)

- - - 50

60 Arkus transpalatal (setiap penyimenan semula)

Transpalatal arch (each re-cementation)

- - - 50

61 Arkus lingual (setiap penyimenan semula)

Lingual arch (each re-cementation)

- - - 50

62 Penyenggara ruang boleh tanggal (setiap arkus)

Removable space maintainer (per arch)

- - - 100

63 Retainer tetap (setiap arkus) Fixed retainer (per arch)

- - - 100

64 Retainer Essix Essix retainer - - - 100

65 Retainer tetap (pembaikan setiap gigi)

Fixed retainer (repair per tooth)

- - - 50

66 Retainer tetap (nyahlekat setiap arkus)

Fixed retainer (debond per arch)

- - - 100

67 Peralatan pengangkoran sementara (setiap alat)

Temporary anchorage devices (per device)

- - - 150

68 Rantai emas untuk gigi terimpak Gold chain for impacted tooth

- - - 400

69 Rantai traksi untuk pergerakan gigi minor (setiap gigi)

Traction chain for minor tooth movement (per tooth)

- - - 50

70 Rawatan pengembang palatal Palatal expander treatment

- - - 100

71 Rawatan alat kepala Headgear treatment - - - 100

senarai caj dalam perintah fi (perubatan) …hrpz2.moh.gov.my/v3/uploads/pekeliling/senarai caj...

Documents