HAND & MICROSURGERY PROCEDURE A ( RM RM 4800 ) PROCEDURE B ( RM RM 4400 ) PROCEDURE C ( RM RM 3600 )

Transcription

1 HAND & MICROSURGERY PROCEDURE A ( RM RM 4800 ) 1 Brachial plexus Exploration with nerve graft 2 Brachial plexus Exploration with neurotisation 3 Brachial plexus Free functioning muscle transfer 4 Correction of complex congenital hand malformation 5 Excision of vascular malformation involving hand and forearm 6 Functioning free muscle transfer 7 Pollicisation 8 Polydactyly excision with complex reconstruction 9 Replantation One hand at metacarpal level 10 Replantation One hand at wrist level 11 Replantation One hand at forearm and arm level 12 Revascularisation One hand at metacarpal level 13 Revascularisation One hand at wrist level 14 Toe to hand transfer 15 Vascularised iliac crest graft 16 Vascularised fibula graft 17 Vascularised joint transfer PROCEDURE B ( RM RM 4400 ) 18 Replantation One thumb Proximal 19 Revascularisation One hand at forearm and arm level PROCEDURE C ( RM RM 3600 ) 20 Free flap 21 Replantation One thumb Distal 22 Replantation Digit per digit 23 Revascularisation One thumb Proximal PROCEDURE D ( RM RM 2800 ) 24 Excision of lesion Brachial plexus 25 Radical resection of tumour of the hand and forearm 26 Revascularisation One thumb Distal 27 Revascularisation Digit per digit 28 Steindler s flexorplasty 29 Syndactyly release Complex per release 30 Toe phalangeal transfer 31 Vein graft for microvascular anastomosis

2 PROCEDURE E ( RM RM 2200 ) 32 Radialisation 33 Sural nerve graft 34 Tendon Transfer Hand 35 Thumb duplication Bilhout Cloquet PROCEDURE F ( RM RM 1800 ) 36 Brachial plexus Exploration only 37 Centralisation for radial clubhand 38 Digital transfer 39 Flexor tendon repair Other zones Multiple tendon 40 Microvascular anastomosis per anastomosis 41 Open reduction Carpal fracture dislocation 42 Pedicle nerve graft 43 Radial forearm flap 44 Reverse radial forearm flap 45 Syndactyly release Simple per release 46 Tendon Grafting per digit PROCEDURE G ( RM RM 1500 ) 47 Arthrodesis Wrist joint 48 Cross intrinsic transfer 49 Denervation 50 Excision of lesion Peripheral nerve 51 Fasciectomy palm and digit 52 Groin flap 53 Intercarpal fusion 54 Muscle slide 55 Myocutaneous flap 56 Nerve decompression 57 Nerve grafting 58 Neurotisation 59 Pedicle flap 60 Tendon Lengthening multiple 61 Thumb duplication excision and reconstruction 62 Transposition nerve 63 Z-plasty multiple with release PROCEDURE H ( RM RM 1000 ) 64 Arthroplasty per finger joint 65 Bone graft

3 66 Carpal tunnel release Endoscopic 67 Close reduction Carpal fracture dislocations 68 Cross finger flap 69 Excision of lesion Digital nerve 70 External fixation per fracture 71 Fascia lata graft 72 Fasciotomy palm and digit 73 Flexor and extensor tendon repair per digit 74 Iliac crest bone graft non-vascularised 75 Interpositional arthroplasty 76 Joint reconstruction 77 Muscle release 78 Nerve repair microcoaptation 79 Neurolysis 80 Opponensplasty 81 Percutaneous skeletal fixation of distal radial fracture 82 Plating of hand fracture per fracture 83 Radial styloidectomy 84 Ray amputation finger per finger 85 Release and skin graft per release 86 Neurovascular island flap 87 Open reduction Hand fracture 88 Synovectomy Hand and forearm 89 Tendon Advancement 90 Tendon Excision 91 Tendon Lengthening single 92 Tendon Shortening 93 Tendon Spacer 94 Tenodesis 95 Tenolysis per digit 96 Tenotomy 97 Vein anastomosis 98 Z-plasty multiple PROCEDURE I ( RM RM 750 ) 99 Arthrodesis Per finger joint 100 Capsulectomy per joint 101 Close reduction Finger fractures under fluoroscopy per fracture 102 Excision of benign lesion 103 Excision of nail matrix 104 Exploration for post-operative vascular thrombosis 105 Extensor tendon repair per tendon 106 Flexor tendon repair Zone 2 per digit 107 Flexor tendon repair Other zones single tendon 108 Intrinsic release per digit

4 109 Ligament reconstruction/repair 110 Local flap 111 Nail bed repair under magnification 112 Neurectomy 113 Osteotomy 114 Pulley reconstruction per digit 115 Removal of foreign body hand Deep 116 Rotation flap Hand and forearm 117 Synovectomy Per digit 118 Thenar flap 119 V-Y plasty for finger tip PROCEDURE J ( RM RM 600 ) 120 Carpal tunnel release Open 121 Full thickness graft 122 K-wiring per fracture 123 Revision amputation per digit 124 Rotation flap Digit 125 Skin graft 126 Tendon Sheath excision per finger 127 Toilet and suture (T&S) Hand 128 Trigger finger release per finger PROCEDURE K ( RM RM 400 ) 129 Arthrolysis 130 Biopsy of soft tissue tumour 131 Close reduction Finger fractures per fracture 132 Toilet and suture (T&S) Digit per digit PROCEDURE L ( RM RM 300 ) PROCEDURE M ( RM RM 200 ) PROCEDURE N ( RM 76 - RM 120 ) 133 Aspiration 134 Avulsion of nail 135 Dequervain s injection 136 Injection Carpal tunnel 137 Injection Trigger finger 138 Release of local flap 139 Removal of foreign body hand Superficial

5 PROCEDURE O ( RM 51 - RM 75 ) 140 Injection Other than carpal tunnel and trigger finger PROCEDURE P ( RM 31 - RM 50 ) PROCEDURE Q ( RM 21 - RM 30 ) PROCEDURE R ( RM 20 )