PLASTIC SURGERY PROCEDURE A ( RM RM 4800 ) PROCEDURE B ( RM RM 4400 ) (TRAM)/lattissimus dorsi myocutaneous flap

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1 PLASTIC SURGERY PROCEDURE A ( RM RM 4800 ) 1 Arteriovenous: Ligation of acquired arteriovenous fistula 2 Arteriovenous: Excision of arteriovenous malformation (complex) 3 Ear External ear: Reconstruction of external ear using graft 4 Ear External ear: Reconstruction of pinna (microtia/trauma) 5 Eyelid Total reconstruction (bilateral) 6 Face Fronto orbital advancement 7 Flap Distant flap of skin and muscle 8 Flap Microvascular free tissue transfer 9 Flap Neurovascular island flap 10 Hand Replantation of wrist by microsurgery 11 Mandible Bilateral distraction osteogenesis 12 Mandible Other subsigmoid osteotomy 13 Mandible Sagittal split osteotomy 14 Mandible Vertical subsigmoid osteotomy 15 Mandibular condyle open reduction of fracture 16 Maxilla Distraction osteogenesis 17 Maxilla Le Fort I osteotomy 18 Nerve Exploration and grafting of Pleksus brakial 19 Orbit Exenteration 20 Orbit Orbital floor Exploration and grafting of fracture 21 Salivary gland Parotidectomy Superficial 22 Salivary gland Parotidectomy Total conservative PROCEDURE B ( RM RM 4400 ) 23 Arteriovenous Ligation of arteriovenous fistula 24 Arteriovenous Excision of arteriovenous malformation of face Breast Reconstruction of breast using rectus abdominis myocutaneous 25 (TRAM)/lattissimus dorsi myocutaneous flap 26 Breast Mastectomy Subcutaneous with immediate implant 27 Breast Reduction mammoplasty 28 Ear Facial nerve Exploration 29 Ear Facial nerve Grafting of facial nerve 30 Eyelid Total reconstruction (unilateral) 31 Flap Reconstruction of delto pectoralis flap 32 Flap Reconstruction of pectoralis major myocutaneous flap 33 Flap Extensive excision with multiple flap closures 34 Flap Large local flap including myocutaneous and fascia 35 Hand Pollicisation of finger 36 Hand Replantation of digit by microsurgery 37 Hand Upper limb Nerve graft 38 Mandible Extensive resection

2 39 Mandible Reconstruction 40 Mandible Segmental osteotomy 41 Mandible Distraction osteogenesis (unilateral) 42 Maxilla Segmental osteotomy 43 Maxilla Maxillectomy (unilateral) 44 Orbit Correction of hypertelorism 45 Orbit Decompression 46 Orbit Open reduction of fracture and floor reconstruction 47 Orbit Orbital floor Exploration 48 Skull Craniostenosis (for more than one suture)/vault Reconstruction 49 Thorax Correction of pectus deformity of chest wall 50 Tongue Glossectomy Total (including block dissection) 51 Trauma Face Internal fixation of facial fractures complex 52 Trauma Facial lacerations complex PROCEDURE C ( RM RM 3600 ) 53 Abdomen/Abdominal wall Abdominoplasty 54 Artery Repair of artery using vein graft 55 Artery Repair of artery using vein graft Microsurgical 56 Breast Reconstruction using local flap 57 Burns Escharectomy/Tangential excision More than10% 58 Chest wall Chest wall deformity correction (open or laparoscopic) 59 Chin Genioplasty 60 Cystic Excision of hygroma 61 Ear External ear Reconstruction of pinna (for Bat Ears ) (bilateral) 62 Ear External ear Reconstruction using cartilage graft 63 Eyelid reconstruction with grafts 64 Eyelid Ptosis repair with tendon grafts (bilateral) 65 Facial cleft repair 66 Excision of haemangioma/lymphangioma (face or limbs) 67 Hand Dupuytren's dermofasciectomy 68 Hand Flexor tendon First stage reconstruction 69 Lymph nodes Block dissection Cervical lymph nodes (selective/modified/radical) 70 Lymph nodes Block dissection Pelvic lymph nodes 71 Lymphangioma Excision of large lymphangioma 72 Mandible Mandibulectomy 73 Maxilla Surgically assisted arch expansion 74 Mouth Reconstruction using flap 75 Nose Septo-rhinoplasty 76 Nose Septo-rhinoplasty with graft/implant 77 Orbit Dacrocysto-rhinostomy with/without insertion of tube 78 Orbit Exploration 79 Skin Excision of large congenital pigmented nevus 80 Skull Craniostenosis (for single suture) 81 Spine Myelomeningocoele Extensive repair and skin flaps

3 82 Tongue Glossectomy Partial 83 Trauma Skin Toilet and suture (T&S) Complex major lacerations 84 Tumour Soft tissue tumour Wide excision with flap/graft closure PROCEDURE D ( RM RM 2800 ) 85 Abdomen/Abdominal wall Abdominoplasty for Prune Belly syndrome 86 Alveolar cleft Alveolar bone graft 87 Arteriovenous Excision of arteriovenous malformation (superficial) 88 Arteriovenous Creation of arteriovenous fistula 89 Artery Repair of artery 90 Artery Repair of artery or vein Microsurgical 91 Breast Mastectomy Combined with chest coverage 92 Cleft lip Revision of primary repair of lip 93 Cleft lip Repair of lip/nose/palate 94 Cleft lip Primary repair of palate 95 Eyelid Correction of ptosis 96 Eyelid Correction of telecanthus 97 Eyelid Ptosis repair by tarsal plate reduction (bilateral) 98 Graft Split autograft of skin Large site 99 Hand Syndactyly/polydactyly correction 100 Hand Flexor tendon graft as sole procedure 101 Hand Flexor tendon Secondary repair/second stage reconstruction 102 Hand Prosthetic arthroplasty of digital joint(s) 103 Hand Internal fixation of scaphoid fracture 104 Hand Tenolysis of flexor 105 Lacrimal system Repair of torn canaliculus 106 Lymphangioma Excision of small lymphangioma 107 Mandible Open reduction of fracture 108 Mandible Partial resection 109 Maxilla Open reduction of fracture 110 Maxilla Partial resection 111 Nerve Cranial, facio-hypoglossal or accessory anastomosis 112 Nerve Secondary repair of peripheral nerve including microsurgery 113 Nose Rhinoplasty following trauma or excision of tumour 114 Nose Total excision of nose (rhinectomy) 115 Nose Alar of nose reconstruction with composite graft 116 Nose Augmentation rhinoplasty with allografts 117 Nose Deviated nose correction involving refracture 118 Salivary gland Excision submandibular gland 119 Skin Extensive excision with large flap closure 120 Skull Cranioplasty Recronstructive 121 Thorax Excision of chest wall tumour 122 Trauma Facial lacerations Intermediate 123 Zygomatic complex Open reduction of fracture PROCEDURE E ( RM RM 2200 )

4 124 Breast Mastectomy Subcutaneous with immediate implant PROCEDURE F ( RM RM 1800 ) 125 Abdomen/Abdominal wall Resuture of burst abdomen 126 Alveolar malignant lesion Excision 127 Breast Mastectomy Radical/Modified radical 128 Breast Augmentation mammoplasty (unilateral) 129 Breast Mastopexy (unilateral) 130 Burns Escharectomy/Tangential excision 10% or less 131 Cleft lip Primary repair of lip 132 Ear External ear Excision of lesion of external ear 133 Ear External ear Reconstruction with skin grafts 134 Ear Excision of pre-auricular sinus 135 Eyelid Correction of epicanthus 136 Eyelid Tarsomullerectomy 137 Flap Local flap (small) 138 Graft Full thickness graft More than 1 cm Graft Split autograft of skin Medium site 140 Hand Congenital band release 141 Hand Finger tip reconstruction with flap 142 Hand Transposition ulnarnerve 143 Hand Upper limb Nerve repair 144 Hand Upper limb Reduction and fixation of hand fractures 145 Lymph nodes Block dissection Axillary lymph nodes 146 Lymph nodes Block dissection Inguinal lymph nodes 147 Mandible Harvesting bone graft from chin 148 Mandible Harvesting bone graft from ramus 149 Maxilla/Mandible Excision of lesion 150 Maxilla/Mandible Internal fixation 151 Mouth Reconstruction using graft 152 Nerve Carpal or cubital tunnel release (open/endoscopic) 153 Nerve Excision of peripheral nerve lesion 154 Nerve Primary graft/repair of peripheral nerve 155 Nose Nasal septum Septoplasty 156 Nose Nasal septum Submucous resection 157 Nose Nasal fracture reduction 158 Oral Cavity Excision malignant lesion 159 Skin Pressure ulcer excision 160 Trachea Tracheostomy 161 Trauma Face Internal fixation of facial fractures Intermediate 162 Trauma Skin T&S Lacerations 10-20cm 163 Trauma Debridement and suture Deep extensive wounds 164 Varicose veins Excision of venous ulcer

5 PROCEDURE G ( RM RM 1500 ) 165 Biopsy Open biopsy of peripheral nerve, artery, muscle 166 Breast Mastectomy subcutaneous 167 Breast Wide local excision of lesion of breast 168 Breast Inverted nipples correction 169 Breast Operations on nipple 170 Breast Removal of prosthesis from breast 171 Ear External ear Reconstruction of pinna (for Bat Ears ) (unilateral) 172 Eyelid Correction of epiblepharon 173 Eyelid Excision of lesion of canthus 174 Eyelid Ptosis repair by tarsal plate reduction (unilateral) 175 Eyelid Skin graft 176 Graft Autologous bone graft 177 Graft Full thickness graft 1 cm 2 or less 178 Graft Split autograft of skin small site 179 Hand Amputation of hand 180 Hand Repair of flexor tendon of hand 181 Hand Upper limb local flaps 182 Lip Excision biopsy of lip lesion 183 Lymph node Excision biopsy of cervical node 184 Mandible Extra oral fixation 185 Maxilla Extra oral fixation 186 Muscle Excision of muscle lesion 187 Oral Mucosa laser ablation of lesion 188 Oral Vestibuloplasty 189 Orbit Enucleation of eyeball 190 Orbit Evisceration of eyeball 191 Salivary gland Open extraction of calculus from submandibular duct 192 Skin/scalp Excision of tumour cyst 193 Skin Dermabrasion of skin extensive 194 Skin Pilonidal sinus excision 195 Skin Excision of skin lesion more than 2cm size 196 Tongue Lesion of tongue excision biopsy 197 Trauma Face Internal fixation of facial fractures simple 198 Trauma Facial lacerations simple lacerations 5-10cm 199 Trauma Debridement and suture deep wounds 200 Trauma Debridement/drainage of bone(s) (including sequestectomy) 201 Zygomatic complex Closed reduction of fracture PROCEDURE H ( RM RM 1000 ) 202 Breast Excision biopsy of breast lesion after localisation 203 Breast Excision biopsy of breast lesion 204 Breast Repeat local excision to clear margins of breast lesion 205 Breast Mastectomy simple

6 206 Breast Microdochectomy 207 Ear External ear repair of external ear 208 Ear Excision of ear lesion 209 Ear Excision of pre-auricular skin tag 210 Ear Excision of pre-auricular abnormalities 211 Eyelid Biopsy of lesion of eyelid 212 Eyelid Botox injection 213 Eyelid Ectropian correction (unilateral) 214 Eyelid Suture of eyelid laceration 215 Eyelid Tarsorrhaphy 216 Hand Digital nerve repair by microsurgery 217 Hand Fusion of metacarpo-phalangeal/intercarpal joint 218 Hand Excision of ganglion (including repeat excision) 219 Hand Refashioning of stump(s)/digit(s) 220 Lacrimal system Probing under GA 221 Lymph node Excision biopsy of lymph node 222 Mandible Closed reduction of fracture 223 Maxilla/Mandible Enucleation of small cyst 224 Maxilla/Mandible Intermaxillary fixation 225 Maxilla/Mandible Removal of fixator 226 Maxilla Closed reduction of fracture 227 Nail Excision of nail bed (Zadeks operation) 228 Nail Wedge excision of nail 229 Oral Cavity excision of benign oral lesion 230 Oral Mucosa graft harvesting 231 Oral Mucosa removal of excess tissue 232 Oral Mouth mucosal graft 233 Oral Biopsy of lesion of palate 234 Oral Excision/Destruction of lesion of palate 235 Salivary gland Excision of sublingual gland 236 Skin/Scalp T&S of laceration 237 Skin Drainage of abscess/haematoma large 238 Skin Removal of foreign body 239 Skin Pilonidal sinus laying open 240 Skin Excision of skin lesion 1-2cm size 241 Tongue Frenectomy of tongue 242 Trauma Muscle repair of extensive muscle tear 243 Trauma Skin T&S lacerations with jaggered margin 5cm or less PROCEDURE I ( RM RM 750 ) PROCEDURE J ( RM RM 600 ) 244 Breast Removal of prosthesis from breast 245 Breast Drainage of breast abscess 246 Eyelid Corrective cantopexy (unilateral) 247 Eyelid Excision of eyebrow lesion

7 248 Eyelid Excision/curettage/Cryotherapy of lesion 249 Eyelid Eyebrow suture 250 Maxilla/Mandible Biopsy of bone lesion 251 Maxilla/Mandible Removal of osteosynthesis plates and screws 252 Oral Intraoral incision and drainage of abcess 253 Oral Cavity Biopsy of lesion 254 Oral Mucosa Suture 255 Oral Labial frenectomy 256 Skin Drainage of abscess/haematoma small 257 Skin Drainage of abscess/haematoma small (neonatal) 258 Skin Dermabrasion of skin limited 259 Skin Incision and drainage (unspecified) 260 Skin Secondary suture of skin 261 Skin Excision of skin lesion less than 1cm size 262 Skin Skin lesion destruction with laser 263 Tongue Biopsy of tongue lesion 264 Trauma Skin T&S lacerations with straight margin 1-5 cm 265 Trauma Debridement and suture superficial wounds 266 Trauma Debridement and suture unspecified wounds PROCEDURE K ( RM RM 400 ) 267 Breast Percutaneous biopsy of lesion of breast 268 Biopsy Open bone biopsy 269 Biopsy Needle/Tru-cut muscle biopsy 270 Biopsy Biopsy of skin lesion 271 Burns Escharectomy/Tangential excision 272 Burns Extensive dressing of burns of skin 273 Eyelid Canthotomy/Cantholysis/Curettage 274 Eyelid Drainage of lesion 275 Mandible Manipulation 276 Muscle Repair of small muscle tear 277 Nail Nail avulsion 278 Nose Excision of lesion of nose (external) 279 Nose Nasendoscopy 280 Nose Packing of nasal cavity (as sole procedure) 281 Skin Aspiration of abscess/haematoma 282 Skin Introduction of substance/hormone pellet into skin 283 Skin Excision of keloid 284 Skin Injection into subcutaneous tissue/painful trigger point 285 Trauma Skin T&S lacerations with straight margin 1cm or less PROCEDURE L ( RM RM 300 ) PROCEDURE M ( RM RM 200 ) PROCEDURE N ( RM 76 - RM 120 )

8 PROCEDURE O ( RM 51 - RM 75 ) 286 Skin Keloid Kenocort injection PROCEDURE P ( RM 31 - RM 50 ) PROCEDURE Q ( RM 21 - RM 30 ) PROCEDURE R ( RM 20 )