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PTJ : JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.01 : MAMMOGRAM
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 672
10672 - MAMMOGRAM - HOOKWIRE
LOCALISATION 100.00 200.00 355.00 0
2 673
10673 - MAMMOGRAM - STEREOTACTIC
BIOPSY 425.00 850.00 2,246.00 0
3 674 10674 - MA_USGUIDED-BIOPSY 100.00 200.00 251.00 0
4 675 10675 - MA_DUCTOGRAM 50.00 100.00 176.00 0
5 6170 15903 - MA_MAMMOGRAM 50.00 100.00 174.00 0
6 6183 15916 - MA_ULTRASOUND 3D (ABVS) 50.00 100.00 148.00 0
7 6185 15918 - MA_STEREO BARD BIOPSY 100.00 200.00 344.00 0
8 6188 15920 - MA_ULTRASOUND BREAST 10.00 20.00 124.00 0
9 8398 10676 - MA_USFNAC 100.00 200.00 220.00 0
10 8928
18382 - MA_MAMMOGRAM DAN
U/SOUND 50.00 100.00 260.00 0
PTJ : JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.02 : CT SCAN
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 707 10707 - CT SCAN - NECK WITH CONTRAST 225.00 450.00 762.00 0
2 746 10746 - CT_PARANASAL SINUSES 225.00 450.00 631.00 0
3 764 10764 - CT_CTA - ABDOMINAL AORTA 300.00 600.00 668.00 0
4 765 10765 - CT_CTA - THORACIC AORTA 300.00 600.00 668.00 0
5 766 10766 - CT_CTA - CIRCLE OF WILLIS 300.00 600.00 668.00 0
6 767 10767 - CT_CTA - INT JUGULAR VEIN 300.00 600.00 601.00 0
7 768 10768 - CT_CTA - UPPER LIMB 300.00 600.00 735.00 0
8 769 10769 - CT_CTA - LOWER LIMB 300.00 600.00 735.00 0
9 770 10770 - CT_CTA - INF VENA CAVA 300.00 600.00 601.00 0
10 771 10771 - CT_CTA - CORONARY 450.00 900.00 735.00 0
11 772 10772 - CT_CTA - CEREBRAL VESSEL 300.00 600.00 735.00 0
12 776 10776 - CT_BASE OF SKULL 200.00 400.00 763.00 0
13 777 10777 - CT_NECK 200.00 400.00 762.00 0
SENARAI KADAR CAJ YANG TELAH MENDAPAT KELULUSAN
( JABATAN RADIOLOGI )
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
14 778 10778 - CT_TEMPORAL BONE 200.00 400.00 601.00 0
15 781 10781 - CT_3D SKULL 200.00 400.00 601.00 0
16 822 10822 - CT_DRAINAGE 225.00 450.00 934.00 0
17 6246 15977 - CT_BRAIN 200.00 400.00 601.00 0
18 8469 17928 - CT_SHOULDER 200.00 400.00 601.00 0
19 8470 17929 - CT_BRAIN - KONTRAS 225.00 450.00 631.00 0
20 8471 17930 - CT_ORBITS 200.00 400.00 601.00 0
21 8472 17931 - CT_ORBITS - KONTRAS 225.00 450.00 631.00 0
22 8473 17932 - CT_PIT FOSSA 200.00 400.00 601.00 0
23 8474 17933 - CT_PIT FOSSA - KONTRAS 225.00 450.00 630.00 0
24 8475 17934 - CT_POSTNASAL SPACE 200.00 400.00 601.00 0
25 8476 17935 - CT_POSTNASAL SPACE - KONTRAS 225.00 450.00 630.00 0
26 8477
17936 - CT_PARANASAL SINUSES -
KONTRAS 225.00 450.00 630.00 0
27 8478 17938 - CT_TEMPORAL BONE - KONTRAS 225.00 450.00 601.00 0
28 8480 17939 - CT_BASE OF SKULL - KONTRAS 225.00 450.00 763.00 0
29 8481 17940 - CT_FACIAL BONE 200.00 400.00 601.00 0
30 8483 17943 - CT_THORAX 200.00 400.00 601.00 0
31 8485 17944 - CT_THORAX - KONTRAS 225.00 450.00 763.00 0
32 8487
17946 -
CT_NECK/THORAX/ABDOMEN/PELVIS -
KONTRAS 325.00 650.00 825.00 0
33 8492
17951 - CT_THORAX/ABDOMEN/PELVIS -
KONTRAS 275.00 550.00 825.00 0
34 8493 17952 - CT_NECK/THORAX - KONTRAS 275.00 550.00 762.00 0
35 8496 17955 - CT_ABDOMEN KONTRAS 225.00 450.00 825.00 0
36 8497 17956 - CT_ADRENAL - KONTRAS 225.00 450.00 825.00 0
37 8498 17957 - CT_HEPATOBILIARY - KONTRAS 225.00 450.00 825.00 0
38 8500 17958 - CT_KIDNEY - KONTRAS 225.00 450.00 825.00 0
39 8501 17960 - CT_ LIVER - KONTRAS 225.00 450.00 825.00 0
40 8503 17962 - CT_ CTU 200.00 400.00 601.00 0
41 8509 17968 - CT_WHOLE BODY 200.00 400.00 601.00 0
42 8510 17970 - CT_BIOPSY 200.00 400.00 812.00 0
43 8512 17971 - CT_CERVICAL SPINE 200.00 400.00 601.00 0
44 8514 17973 - CT_THORACIC SPINE 200.00 400.00 601.00 0
45 8516 17975 - CT_THORACIC SPINE - KONTRAS 225.00 450.00 660.00 0
46 8517 17977 - CT_ LUMBAR SPINE 200.00 400.00 601.00 0
47 8519
17979 - CT_LUMBOSACRAL SPINE -
KONTRAS 225.00 450.00 601.00 0
48 8521 17980 - CT_WHOLE SPINE - KONTRAS 225.00 450.00 601.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
49 8524 17983 - CT_CTA - CAROTID 300.00 600.00 772.00 0
50 8526 17985 - CT_CTA - AORTA 300.00 600.00 772.00 0
51 8528 17986 - CT_CTA - LIVER 300.00 600.00 772.00 0
52 8530 17989 - CT_CTA - PULMONARY 300.00 600.00 772.00 0
53 8533 17991 - CT_SHOULDER - BOTH 250.00 500.00 601.00 0
54 8534 17992 - CT_HUMERUS - BOTH 250.00 500.00 601.00 0
55 8535 17993 - CT_HUMERUS 200.00 400.00 601.00 0
56 8536 17994 - CT_ ELBOW - BOTH 250.00 500.00 601.00 0
57 8537 17995 - CT_ ELBOW 200.00 400.00 601.00 0
58 8539 17998 - CT_RADIUS/ULNA - BOTH 250.00 500.00 601.00 0
59 8541 17999 - CT_ RADIUS/ULNA 200.00 400.00 601.00 0
60 8542 18000 - CT_ WRIST - BOTH 250.00 500.00 601.00 0
61 8543 18001 - CT_ WRIST 200.00 400.00 601.00 0
62 8544 18002 - CT_HAND - BOTH 250.00 500.00 601.00 0
63 8545 18003 - CT_HAND 200.00 400.00 601.00 0
64 8546 18004 - CT_HIP - BOTH 250.00 500.00 601.00 0
65 8547 18005 - CT_FEMUR - BOTH 250.00 500.00 601.00 0
66 8548 18006 - CT_FEMUR 200.00 400.00 601.00 0
67 8549 18007 - CT_TIBIA/FIBULA - BOTH 250.00 500.00 601.00 0
68 8550 18008 - CT_TIBIA/FIBULA 200.00 400.00 601.00 0
69 8551 18009 - CT_KNEE - BOTH 250.00 500.00 601.00 0
70 8552 18010 - CT_KNEE 200.00 400.00 601.00 0
71 8553 18011 - CT_ANKLE - BOTH 250.00 500.00 601.00 0
72 8554 18012 - CT_ ANKLE 200.00 400.00 601.00 0
73 8555 18013 - CT_ FEET - BOTH 250.00 500.00 601.00 0
74 8556 18014 - CT_ FOOT 200.00 400.00 601.00 0
75 8557 18015 - CT_CALCANEUM - BOTH 250.00 500.00 601.00 0
76 8558 18016 - CT_CALCANEUM 250.00 500.00 601.00 0
77 8559
18017 -
CT_BRAIN/NECK/THORAX/ABDOMEN/PELVI 350.00 700.00 825.00 0
78 8560 18019 - CT_ IVU 275.00 550.00 825.00 0
79 8562 18020 - CT_CTA - PERFUSION 350.00 700.00 927.00 0
80 8564 18022 - CT_NECK - KONTRAS 225.00 450.00 762.00 0
81 8566 18024 - CT_COLONOSCOPY 225.00 450.00 603.00 0
82 8568 18026 - CT_PELVIS 200.00 400.00 601.00 0
83 8570 18028 - CT_PELVIS - KONTRAS 225.00 450.00 825.00 0
84 8572 18030 - CT_WHOLE BODY - KONTRAS 225.00 450.00 825.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
85 8574 18032 - CT_FLURO 200.00 400.00 601.00 0
86 8576 18034 - CT_MYELO-CERVICAL 225.00 450.00 726.00 0
87 8578 18036 - CT_MYELO-CISTERNOGRAPHY 225.00 450.00 722.00 0
88 8579 18037 - CT_ MYELO-LUMBAR 225.00 450.00 726.00 0
89 8581 18039 - CT_MYELO-THORACIC 225.00 450.00 726.00 0
90 8582 18040 - CT_CERVICAL SPINE - KONTRAS 225.00 450.00 653.00 0
91 8584 18042 - CT_LUMBAR SPINE - KONTRAS 225.00 450.00 630.00 0
92 8587 18045 - CT_ LUMBOSACRAL SPINE 200.00 400.00 601.00 0
93 8589 18046 - CT_WHOLE SPINE 200.00 400.00 601.00 0
94 8592 18049 - CT_HIP 200.00 400.00 601.00 0
95 8830 18285 - CT_ABDOMEN 200.00 400.00 825.00 0
96 8831 18286 - CT_PANCREAS - KONTRAS 225.00 450.00 825.00 0
97 8901 10693 - CT BRAIN WITH CONTRAST 275.00 550.00 630.00 0
98 8925 18377 - CT_BRAIN/NECK - KONTRAS 275.00 550.00 630.00 0
PTJ :JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.03 : MRI
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 929 10929 - MR_BRAIN - FUNCTIONAL 500.00 1,000.00 1,100.00 0
2 931 10931 - MR_NECK 325.00 650.00 836.00 0
3 933 10933 - MR_PARANASAL SINUSES 325.00 650.00 836.00 0
4 952 10952 - MR_TMJ 325.00 650.00 838.00 0
5 954 10954 - MR_THORAX 325.00 650.00 836.00 0
6 980 10980 - MR_PELVIS 325.00 650.00 836.00 0
7 8600 18056 - MR_BRAIN 325.00 650.00 836.00 0
8 8601 18058 - MR_BRAIN FUNCTIONAL - KONTRAS 500.00 1,000.00 1,100.00 0
9 8605 18062 - MR_ORBIT 325.00 650.00 836.00 0
10 8607 18064 - MR_PIT FOSSA 325.00 650.00 836.00 0
11 8609 18066 - MR_BASE OF SKULL 325.00 650.00 836.00 0
12 8610 18067 - MR_BRACHIAL PLEXUS 325.00 650.00 836.00 0
13 8627 18084 - MR_ABDOMEN 325.00 650.00 836.00 0
14 8628 18085 - MR_ADRENALS 325.00 650.00 836.00 0
15 8630 18087 - MR_LIVER 325.00 650.00 836.00 0
16 8631 18088 - MR_KIDNEYS 325.00 650.00 836.00 0
17 8632 18089 - MR_PANCREAS 325.00 650.00 836.00 0
18 8637 18094 - MR_UROGRAPHY 325.00 650.00 836.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
19 8639 18096 - MR_ MRCP 325.00 650.00 836.00 0
20 8641 18097 - MR_ENTEROGRAPHY 400.00 800.00 836.00 0
21 8647 18104 - MR_HSG 325.00 650.00 836.00 0
22 8648 18105 - MR_PROSTATE 325.00 650.00 836.00 0
23 8649 18107 - MR_ANO FISTULA 325.00 650.00 845.00 0
24 8650 18108 - MR_PENIS 375.00 750.00 918.00 0
25 8652 18110 - MR_SPECTROSCOPY - KONTRAS 375.00 750.00 918.00 0
26 8654 18112 - MR_CAROTID - KONTRAS 400.00 800.00 1,014.00 0
27 8655 18113 - MR_CERVICAL SPINE 325.00 650.00 836.00 0
28 8701 18160 - MR_CERVICOTHORACIC SPINE 325.00 650.00 836.00 0
29 8702 18161 - MR_THORACIC SPINE 325.00 650.00 836.00 0
30 8703 18162 - MR_THORACOLUMBAR SPINE 325.00 650.00 836.00 0
31 8704 16876 - MR_LUMBOSACRAL SPINE 325.00 650.00 836.00 0
32 8705 18163 - MR_WHOLE SPINE 325.00 650.00 836.00 0
33 8706 18164 - MR_MYELOGRAPHY 325.00 650.00 836.00 0
34 8707 18165 - MR_SHOULDER 325.00 650.00 836.00 0
35 8708 18166 - MR_SHOULDER BOTH 325.00 650.00 836.00 0
36 8709 18167 - MR_HUMERUS 325.00 650.00 836.00 0
37 8710 18168 - MR_HUMERUS BOTH 400.00 800.00 836.00 0
38 8711 18169 - MR_HUMERUS BOTH - KONTRAS 400.00 800.00 918.00 0
39 8712 18170 - MR_ELBOW 325.00 650.00 836.00 0
40 8713 18171 - MR_ELBOW BOTH 400.00 800.00 836.00 0
41 8714 18172 - MR_ELBOW BOTH - KONTRAS 400.00 800.00 918.00 0
42 8715 18173 - MR_RAD/ULNA 325.00 650.00 836.00 0
43 8716 18174 - MR_RAD/ULNA BOTH 400.00 800.00 836.00 0
44 8717 18175 - MR_RAD/ULNA BOTH - KONTRAS 400.00 800.00 918.00 0
45 8718 18176 - MR_WRIST 325.00 650.00 836.00 0
46 8719 18177 - MR_WRIST BOTH 400.00 800.00 836.00 0
47 8720 18178 - MR_WRIST BOTH - KONTRAS 400.00 800.00 918.00 0
48 8721 18179 - MR_HAND 325.00 650.00 836.00 0
49 8722 18180 - MR_HAND BOTH 400.00 800.00 836.00 0
50 8723 18181 - MR_HAND BOTH - KONTRAS 400.00 800.00 918.00 0
51 8724 18182 - MR_HIP JOINT 325.00 650.00 836.00 0
52 8725 18183 - MR_HIP JOINT BOTH 400.00 800.00 836.00 0
53 8726 18184 - MR_HIP JOINT BOTH - KONTRAS 400.00 800.00 918.00 0
54 8727 18185 - MR_FEMUR 325.00 650.00 836.00 0
55 8728 18186 - MR_FEMUR BOTH 400.00 800.00 836.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
56 8729 18187 - MR_FEMUR BOTH - KONTRAS 400.00 800.00 918.00 0
57 8730 18188 - MR_KNEE 325.00 650.00 836.00 0
58 8731 18189 - MR_KNEE BOTH 400.00 800.00 836.00 0
59 8732 18190 - MR_KNEE BOTH - KONTRAS 400.00 800.00 918.00 0
60 8733 18191 - MR_TIBIA/FIBULA 325.00 650.00 836.00 0
61 8734 18192 - MR_TIBIA/FIBULA(L) 325.00 650.00 836.00 0
62 8735 18193 - MR_TIBIA/FIBULA BOTH - KONTRAS 400.00 800.00 918.00 0
63 8736 18194 - MR_ANKLE 325.00 650.00 836.00 0
64 8737 18195 - MR_ANKLE BOTH 400.00 800.00 836.00 0
65 8738 18196 - MR_ANKLE BOTH - KONTRAS 400.00 800.00 918.00 0
66 8739 18197 - MR_FOOT 325.00 650.00 836.00 0
67 8740 18198 - MR_ FEET BOTH 400.00 800.00 836.00 0
68 8741 18199 - MR_FEET BOTH - KONTRAS 400.00 800.00 918.00 0
69 8742 18200 - MR_ARTHROGRAM 325.00 650.00 918.00 0
70 8743 18201 - MR_ARTHROGRAM BOTH 400.00 800.00 836.00 0
71 8744
18202 - MR_ARTHROGRAM BOTH -
KONTRAS 400.00 800.00 836.00 0
72 8745 18203 - MR_BRAIN T2 RELAXOMETRY 375.00 750.00 918.00 0
73 8746 18204 - MR_BRAIN TRACTOGRAPHY 375.00 750.00 918.00 0
74 8747 18205 - MR_BRAIN CSF FLOW STUDY 375.00 750.00 918.00 0
75 8748 18206 - MR_BRAIN VESSELS FLOW STUDY 375.00 750.00 918.00 0
76 8750 18208 - MR_ORBIT - KONTRAS 350.00 700.00 918.00 0
77 8832 18287 - MR_PIT FOSSA - KONTRAS 350.00 700.00 918.00 0
78 8833 18288 - MR_CP ANGLE/IAC - KONTRAS 350.00 700.00 918.00 0
79 8834 18289 - MR_TMJ - KONTRAS 350.00 700.00 921.00 0
80 8835
18290 - MR_PARANASAL SINUSES -
KONTRAS 350.00 700.00 918.00 0
81 8836 18291 - MR_BASE OF SKULL - KONTRAS 350.00 700.00 918.00 0
82 8837 18292 - MR_NECK - KONTRAS 350.00 700.00 918.00 0
83 8838 18293 - MR_BRACHIAL PLEXUS - KONTRAS 350.00 700.00 918.00 0
84 8839 18294 - MR_THORAX - KONTRAS 350.00 700.00 918.00 0
85 8840 18295 - MR_BREAST 325.00 650.00 1,014.00 0
86 8841 18296 - MR_BREAST - KONTRAS 350.00 700.00 1,014.00 0
87 8842 18297 - MR_ABDOMEN - KONTRAS 350.00 700.00 918.00 0
88 8843 18298 - MR_ADRENALS - KONTRAS 350.00 700.00 918.00 0
89 8844 18299 - MR_LIVER - KONTRAS 350.00 700.00 1,791.00 0
90 8845 18300 - MR_KIDNEYS - KONTRAS 350.00 700.00 1,014.00 0
91 8846 18301 - MR_PANCREAS - KONTRAS 350.00 700.00 918.00 0
92 8847 18302 - MR_UROGRAPHY - KONTRAS 350.00 700.00 918.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
93 8848 18303 - MR_MRCP - KONTRAS 350.00 700.00 918.00 0
94 8849 18304 - MR_PELVIS - KONTRAS 350.00 700.00 918.00 0
95 8850 18305 - MR_HSG - KONTRAS 350.00 700.00 918.00 0
96 8851 18306 - MR_PROSTATE - KONTRAS 350.00 700.00 1,014.00 0
97 8852 18307 - MR_TESTIS - KONTRAS 350.00 700.00 918.00 0
98 8853 18308 - MR_ANO FISTULA - KONTRAS 350.00 700.00 927.00 0
99 8855 18309 - MR_PENIS - KONTRAS 350.00 700.00 836.00 0
100 8857 18311 - MR_MRA/V BRAIN - TOF 350.00 700.00 918.00 0
101 8858 18312 - MR_MRA/V BRAIN - KONTRAS 400.00 800.00 1,014.00 0
102 8859 18313 - MR_CAROTID - TOF 350.00 700.00 918.00 0
103 8860 18314 - MR_MRA ARCH AORTA 375.00 750.00 1,014.00 0
104 8861 18315 - MR_MRA THORACIC AORTA 375.00 750.00 1,014.00 0
105 8862 18316 - MR_MRA PULMONARY 375.00 750.00 1,014.00 0
106 8863 18317 - MR_MRA ABDOMINAL AORTA 375.00 750.00 1,014.00 0
107 8864 18318 - MR_MRA RENAL 375.00 750.00 1,014.00 0
108 8865 18319 - MR_MRA UPPER LIMB RIGHT 375.00 750.00 1,014.00 0
109 8866 18320 - MR_MRA UPPER LIMB LEFT 375.00 750.00 1,014.00 0
110 8867 18321 - MR_MRA UPPER LIMB BOTH 375.00 750.00 1,014.00 0
111 8868 18322 - MR_MRV IJV 375.00 750.00 1,014.00 0
112 8869 18323 - MR_MRV VENA CAVA 375.00 750.00 1,014.00 0
113 8870 18324 - MR_CERVICAL SPINE 325.00 650.00 836.00 0
114 8871 18325 - MR_CERVICAL SPINE - KONTRAS 350.00 700.00 918.00 0
115 8873
18327 - MR_CERVICOTHORACIC SPINE -
KONTRAS 350.00 700.00 918.00 0
116 8874 18328 - MR_THORACIC SPINE - KONTRAS 350.00 700.00 918.00 0
117 8875
18329 - MR_THORACOLUMBAR SPINE -
KONTRAS 350.00 700.00 918.00 0
118 8876
18330 - MR_LUMBOSACRAL SPINE -
KONTRAS 350.00 700.00 918.00 0
119 8877 18331 - MR_WHOLE SPINE - KONTRAS 350.00 700.00 918.00 0
120 8878 18332 - MR_MYELOGRAPHY - KONTRAS 350.00 700.00 918.00 0
121 8879 18333 - MR_SHOULDER - KONTRAS 350.00 700.00 918.00 0
122 8880 18334 - MR_SHOULDER BOTH - KONTRAS 350.00 700.00 918.00 0
123 8881 18335 - MR_HUMERUS - KONTRAS 350.00 700.00 918.00 0
124 8882 18336 - MR_RAD/ULNA - KONTRAS 350.00 700.00 918.00 0
125 8883 18337 - MR_WRIST - KONTRAS 350.00 700.00 918.00 0
126 8884 18338 - MR_HAND - KONTRAS 350.00 700.00 918.00 0
127 8885 18339 - MR_HIP JOINT - KONTRAS 350.00 700.00 918.00 0
128 8886 18340 - MR_FEMUR - KONTRAS 350.00 700.00 918.00 0
129 8887 18341 - MR_TIBIA/FIBULA - KONTRAS 325.00 700.00 918.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
130 8888 18342 - MR_ANKLE - KONTRAS 350.00 700.00 918.00 0
131 8889 18343 - MR_FOOT - KONTRAS 350.00 700.00 918.00 0
132 8890 18344 - MR_ARTHROGRAM - KONTRAS 350.00 700.00 918.00 0
133 8902 18355 - MR_THORAX T2* LIVER & HEART 325.00 650.00 1,053.00 0
134 8903 18356 - MR_BRAIN - KONTRAS 350.00 700.00 918.00 0
135 8921 18373 - MR_TESTIS 325.00 650.00 836.00 0
136 8922 18374 - MR_ELBOW - KONTRAS 350.00 700.00 918.00 0
137 8923 18375 - MR_KNEE - KONTRAS 350.00 700.00 918.00 0
138 9095 10956 - MR_CARDIAC 325.00 650.00 875.00 0
PTJ :JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.04 : X RAY
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 8751 18209 - XR_SKELETAL SURVEY 50.00 100.00 106.00 0
2 8752 18210 - XR_CERVICAL 20.00 40.00 102.00 0
3 8753 18211 - XR_THORACIC 20.00 40.00 104.00 0
4 8754 18212 - XR_T/LUMBAR 20.00 40.00 104.00 0
5 8755 18213 - XR_LUMBAR 20.00 40.00 104.00 0
6 8758 18214 - XR_L/SACRAL 20.00 40.00 104.00 0
7 8759 18215 - XR_SACRUM 20.00 40.00 104.00 0
8 8760 18216 - XR_COCCYX 20.00 40.00 104.00 0
9 8761 18217 - XR_WHOLE SPINE 20.00 40.00 102.00 0
10 8762 18218 - XR_CLAVICLE BOTH 20.00 40.00 101.00 0
11 8763 18219 - XR_SCAPULAR BOTH 20.00 40.00 113.00 0
12 8764 18220 - XR_SHOULDER BOTH 20.00 40.00 113.00 0
13 8765 18221 - XR_HUMERUS BOTH 20.00 40.00 113.00 0
14 8766 18222 - XR_ELBOW BOTH 20.00 40.00 113.00 0
15 8767 18223 - XR_RAD/ULNA BOTH 20.00 40.00 113.00 0
16 8768 18224 - XR_WRIST BOTH 20.00 40.00 113.00 0
17 8769 18225 - XR_SCAPHOID BOTH 20.00 40.00 113.00 0
18 8770 18226 - XR_HAND BOTH 20.00 40.00 112.00 0
19 8771 18227 - XR_HIP BOTH 20.00 40.00 115.00 0
20 8772 18228 - XR_FEMUR BOTH 20.00 40.00 113.00 0
21 8773 18229 - XR_KNEE BOTH 20.00 40.00 113.00 0
22 8774 18230 - XR_PATELLA BOTH 20.00 40.00 113.00 0
23 8775 18231 - XR_TIB/FIB 12.50 25.00 101.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
24 8776 18232 - XR_TIB/FIB BOTH 20.00 40.00 113.00 0
25 8777 18233 - XR_ANKLE BOTH 20.00 40.00 113.00 0
26 8778 18234 - XR_FEET BOTH 20.00 40.00 113.00 0
27 8779 18235 - XR_CALCANEUM BOTH 20.00 40.00 113.00 0
28 8780 18236 - XR_SCANOGRAM BOTH 20.00 40.00 102.00 0
29 8781 18237 - XR_SXR 12.50 25.00 101.00 0
30 8782 18238 - XR_PIT FOSSA 12.50 25.00 102.00 0
31 8783 18239 - XR_OPTIC FORAMENA 12.50 25.00 102.00 0
32 8784 18240 - XR_ORBIT 12.50 25.00 102.00 0
33 8785 18241 - XR_IAM 12.50 25.00 102.00 0
34 8786 18242 - XR_MANDIBLE 12.50 25.00 102.00 0
35 8787 18243 - XR_MASTOIDS 17.50 35.00 102.00 0
36 8788 18244 - XR_FACIAL BONES 12.50 25.00 102.00 0
37 8789 18245 - XR_MAXILLA 12.50 25.00 102.00 0
38 8790 18246 - XR_POST NASAL SPACE 12.50 25.00 101.00 0
39 8791 18247 - XR_NECK 17.50 35.00 102.00 0
40 8792 18248 - XR_CHEST 12.50 25.00 102.00 0
41 8793 18249 - XR_STERNUM 12.50 25.00 102.00 0
42 8794 18250 - XR_PRONOGRAM 12.50 25.00 102.00 0
43 8795 18251 - XR_CLAVICLE 12.50 25.00 101.00 0
44 8796 18252 - XR_SCAPULAR 12.50 25.00 101.00 0
45 8797 18253 - XR_SHOULDER 12.50 25.00 101.00 0
46 8798 18254 - XR_ST/CLAVICULAR JOINT 12.50 25.00 101.00 0
47 8799 18255 - XR_HUMERUS 12.50 25.00 101.00 0
48 8800 18256 - XR_ELBOW 12.50 25.00 101.00 0
49 8801 18257 - XR_RAD/ULNA 12.50 25.00 101.00 0
50 8802 18258 - XR_WRIST 12.50 25.00 101.00 0
51 8803 18259 - XR_SCAPHOID 12.50 25.00 101.00 0
52 8804 18260 - XR_HAND 12.50 25.00 101.00 0
53 8805 18261 - XR_FINGER 12.50 25.00 101.00 0
54 8806 18262 - XR_PELVIC 12.50 25.00 102.00 0
55 8807 18263 - XR_SACRO ILLIAC JOINT 12.50 25.00 104.00 0
56 8808 18264 - XR_HIP JOINT 12.50 25.00 102.00 0
57 8809 18265 - XR_FEMUR 12.50 25.00 101.00 0
58 8810 18266 - XR_KNEE 12.50 25.00 101.00 0
59 8811 18267 - XR_PATELLA 12.50 25.00 101.00 0
60 8812 18268 - XR_ANKLE 12.50 25.00 101.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
61 8813 18269 - XR_FOOT 12.50 25.00 101.00 0
62 8814 18270 - XR_CALCANEUM 12.50 25.00 101.00 0
63 8891 18345 - XR_NASAL BONE 12.50 25.00 101.00 0
64 8892 18346 - XR_COCHLEAR IMPLANT 12.50 25.00 102.00 0
65 8893 18347 - XR_PARANASAL SINUSES 12.50 25.00 102.00 0
66 8894 18348 - XR_ABDOMEN 12.50 25.00 102.00 0
67 8895 18349 - XR_KUB 12.50 25.00 102.00 0
68 8896 18350 - XR_ELP 12.50 25.00 102.00 0
69 8924 18376 - XR_UG-CLAVICLE (BOTH) 20.00 40.00 113.00 0
70 8926 18378 - XR_TOES 12.50 25.00 101.00 0
71 8927 18379 - XR_SCANOGRAM LL 12.50 25.00 102.00 0
PTJ :JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.05 : ULTRASOUND
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 1193 11193 - US_OK 432 INJECTION 50.00 100.00 366.00 0
2 1194 11194 - US_BLEOMYCIN INJECTION 50.00 100.00 366.00 0
3 1195 11195 - US_CHEST 25.00 50.00 152.00 0
4 1200 11200 - US_HEPATOBILIARY 25.00 50.00 152.00 0
5 8479 17937 - US_BRAIN 25.00 50.00 163.00 0
6 8482 17941 - US_ THYROID 25.00 50.00 152.00 0
7 8484 17942 - US_NECK 25.00 50.00 152.00 0
8 8486 17945 - US_ BREAST 25.00 50.00 152.00 0
9 8488 17947 - US_UPPER ABDOMEN 25.00 50.00 152.00 0
10 8489 17948 - US_ABDOMEN 25.00 50.00 163.00 0
11 8490 17949 - US_PELVIS 25.00 50.00 141.00 0
12 8491 17950 - US_ KUB 25.00 50.00 152.00 0
13 8494 17953 - US_SCROTUM/TESTIS/PENIS 25.00 50.00 141.00 0
14 8495 17954 - US_ENDOANAL 50.00 100.00 196.00 0
15 8499 17959 - US_MUSCULAR SKELETAL 25.00 50.00 163.00 0
16 8502 17961 - US_MUSCULAR SKELETAL BOTH 45.00 90.00 196.00 0
17 8504 17963 - US_SCAPULAR 25.00 50.00 163.00 0
18 8505 17964 - US_SCAPULAR BOTH 45.00 90.00 196.00 0
19 8506 17965 - US_CLAVICLE 25.00 50.00 163.00 0
20 8507 17966 - US_CLAVICLE BOTH 45.00 90.00 196.00 0
21 8508 17967 - US_SHOULDER 25.00 50.00 141.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
22 8511 17969 - US_SHOULDER BOTH 45.00 90.00 196.00 0
23 8513 17972 - US_ST/CLAVICULAR JOINT 25.00 50.00 163.00 0
24 8515 17974 - US_ELBOW 25.00 50.00 163.00 0
25 8518 17976 - US_ELBOW BOTH 45.00 90.00 196.00 0
26 8520 17978 - US_WRIST 25.00 50.00 163.00 0
27 8522 17981 - US_WRIST BOTH 45.00 90.00 196.00 0
28 8523 17982 - US_HAND 25.00 50.00 163.00 0
29 8525 17984 - US_HAND BOTH 45.00 90.00 196.00 0
30 8527 17987 - US_FINGER 25.00 50.00 163.00 0
31 8529 17988 - US_FINGER BOTH 45.00 90.00 163.00 0
32 8531 17990 - US_BIOPSY THYROID 100.00 200.00 515.00 0
33 8538 17996 - US_BIOPSY KIDNEY 100.00 200.00 515.00 0
34 8540 17997 - US_BIOPSY LIVER 100.00 200.00 515.00 0
35 8561 18018 - US_FNAC THYROID 100.00 200.00 368.00 0
36 8563 18021 - US_FNAC KIDNEY 100.00 200.00 411.00 0
37 8565 18023 - US_FNAC LIVER 100.00 200.00 411.00 0
38 8567 18025 - US_ASPIRATION/PERC.DRAIN 100.00 200.00 385.00 0
39 8569 18027 - US_DOPPLER 75.00 150.00 273.00 0
40 8571 18029 - US_BOTULINUM TOXIN INJECTION 50.00 100.00 328.00 0
41 8573 18031 - US_FLUID LOCALIZATION 50.00 100.00 152.00 0
42 8575
18033 - US_ECHO-CONTRAST SONOGRAPHY
IV 50.00 100.00 515.00 0
43 8577 18035 - US_SALIVARY GLAND 25.00 50.00 163.00 0
44 8580
18038 - US_ECHO-CONTRAST SONOGRAPHY
MCU 50.00 100.00 515.00 0
45 8583
18041 - US_REDUCTION OF
INTUSSUSCEPTION 50.00 100.00 382.00 0
46 8897 18351 - US_HUMERUS 25.00 50.00 163.00 0
47 8898 18352 - US_HUMERUS (BOTH) 45.00 90.00 196.00 0
48 8899 18353 - UL-RAD/ULNA 25.00 50.00 163.00 0
49 8900 18354 - UL-RAD/ULNA (BOTH) 45.00 90.00 196.00 0
PTJ :JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.06 : FLUROSKOPI
No ID
ChargeItem Charge Code / Name Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)1 1220 11220 - FL_DISTAL LOPOGRAM 50.00 100.00 576.00 0
2 1222 11222 - FL_GASTROGRAFFIN STUDY 50.00 100.00 551.00 0
3 1236 11236 - FL_SINOGRAM 50.00 100.00 462.00 0
4 1239 11239 - FL_T-TUBE CHOLANGIOGRAM 50.00 100.00 506.00 0
5 1248 11248 - FL_DIAPHRAGM 50.00 100.00 301.00 0
6 8586 18044 - FL_BA SWALLOW 50.00 100.00 343.00 0
7 8588 18043 - FL_ARTHROGRAM 50.00 100.00 440.00 0
8 8590 18047 - FL_VFSS 50.00 100.00 402.00 0
9 8591 18048 - FL_BA MEAL 50.00 100.00 518.00 0
10 8593 18050 - FL_BA MEAL FT 50.00 100.00 518.00 0
11 8594 18051 - FL_BA ENEMA 50.00 100.00 516.00 0
12 8595 18052 - FL_SMALL BOWEL ENEMA 50.00 100.00 518.00 0
13 8596 18053 - FL_OESOPHAGEAL DILATATION 50.00 100.00 343.00 0
14 8597 18054 - FL_LOCM SWALLOW 50.00 100.00 435.00 0
15 8598 18055 - FL_SIALOGRAM 50.00 100.00 462.00 0
16 8599 18057 - FL_CYSTOGRAM 50.00 100.00 440.00 0
17 8602 18059 - FL_DACRYOCYSTOGRAM 75.00 150.00 462.00 0
18 8603 18060 - FL_FISTULOGRAM 175.00 350.00 576.00 0
19 8604 18061 - FL_GENITOGRAM 50.00 100.00 421.00 0
20 8606 18063 - FL_HSG 50.00 100.00 377.00 0
21 8608 18065 - FL_MCU 50.00 100.00 487.00 0
22 8611 18068 - FL_PROCTOGRAM 50.00 100.00 637.00 0
23 8612 18069 - FL_TUBOGRAM 50.00 100.00 506.00 0
24 8613 18070 - FL_VENOGRAM 50.00 100.00 506.00 0
PTJ : JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.08 : IVU
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 1313 11313 - I/V UROGRAM 40.00 80.00 160.00 0
PTJ :JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.10 : MOBILE XR
No ID
ChargeItem Charge Code / Name Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)1 1364 11364 - MX_KUB 20.00 40.00 179.00 0
2 8614 18072 - MX _SXR 20.00 40.00 179.00 0
3 8616 18073 - MX _NASAL BONE 20.00 40.00 179.00 0
4 8617 18074 - MX_PIT FOSSA 20.00 40.00 179.00 0
5 8618 18075 - MX_ORBIT 20.00 40.00 179.00 0
6 8619 18076 - MX_PARANASAL 20.00 40.00 179.00 0
7 8620 18077 - MX_MASTOID 20.00 40.00 179.00 0
8 8621 18078 - MX_MANDIBLE 20.00 40.00 179.00 0
9 8622 18079 - MX_MAXILLA 20.00 40.00 179.00 0
10 8623 18080 - MX_TMJ 20.00 40.00 179.00 0
11 8624 18081 - MX_NECK 20.00 40.00 179.00 0
12 8625 18082 - MX_STERNUM 20.00 40.00 179.00 0
13 8626 18083 - MX_CHEST 20.00 40.00 179.00 0
14 8629 18086 - MX _ABDOMEN 20.00 40.00 179.00 0
15 8633 18090 - MX_PELVIS 20.00 40.00 179.00 0
16 8634 18091 - MX_SACRO ILLIAC JOINT 20.00 40.00 179.00 0
17 8635 18092 - MX_CERVICAL 25.00 50.00 179.00 0
18 8636 18093 - MX_THORACIC 20.00 40.00 179.00 0
19 8638 18095 - MX_THORACOLUMBAR 20.00 40.00 179.00 0
20 8640 18098 - MX_LUMBOSACRAL 20.00 40.00 179.00 0
21 8642 18099 - MX_COCCYX 20.00 40.00 179.00 0
22 8643 18100 - MX_WHOLE SPINE 20.00 40.00 179.00 0
23 8644 18101 - MX_CLAVICLE 20.00 40.00 179.00 0
24 8645 18102 - MX_CLAVICLE BOTH 20.00 40.00 179.00 0
25 8646 18103 - MX_SCAPULAR 20.00 40.00 179.00 0
26 8656 18114 - MX_SCAPULAR BOTH 20.00 40.00 179.00 0
27 8657 18115 - MX_STERNOCLAVICULAR JOINT 20.00 40.00 179.00 0
28 8658 18116 - MX_SHOULDER 20.00 40.00 179.00 0
29 8659 18117 - MX_SHOULDER BOTH 20.00 40.00 179.00 0
30 8660 18118 - MX_HUMERUS 20.00 40.00 179.00 0
31 8661 18119 - MX_HUMERUS BOTH 20.00 40.00 179.00 0
32 8662 18120 - MX_ELBOW 20.00 40.00 179.00 0
33 8663 18121 - MX_ELBOW BOTH 20.00 40.00 179.00 0
34 8664 18122 - MX_RADIUS/ULNA 20.00 40.00 179.00 0
35 8665 18123 - MX_RADIUS/ULNA BOTH 20.00 40.00 179.00 0
36 8666 18124 - MX_WRIST 20.00 40.00 179.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
37 8667 18125 - MX_WRIST BOTH 20.00 40.00 179.00 0
38 8668 18126 - MX_HAND 20.00 40.00 179.00 0
39 8669 18127 - MX_HAND BOTH 20.00 40.00 179.00 0
40 8670 18128 - MX_FINGER 20.00 40.00 179.00 0
41 8671 18129 - MX_FINGER BOTH 20.00 40.00 179.00 0
42 8672 18130 - MX_HIP JOINT 20.00 40.00 179.00 0
43 8673 18131 - MX_HIP JOINT BOTH 20.00 40.00 179.00 0
44 8674 18132 - MX_FEMUR 20.00 40.00 179.00 0
45 8675 18133 - MX_FEMUR BOTH 20.00 40.00 179.00 0
46 8676 18134 - MX_KNEE 20.00 40.00 179.00 0
47 8677 18135 - MX_KNEE BOTH 20.00 40.00 179.00 0
48 8678 18137 - MX_PATELLA 20.00 40.00 179.00 0
49 8679 18138 - MX_PATELLA BOTH 20.00 40.00 179.00 0
50 8680 18139 - MX_TIBIA/FIBULA 20.00 40.00 179.00 0
51 8681 18140 - MX_TIBIA/FIBULA BOTH 20.00 40.00 179.00 0
52 8682 18141 - MX_ANKLE 20.00 40.00 179.00 0
53 8683 18142 - MX_ANKLE BOTH 20.00 40.00 179.00 0
54 8684 18143 - MX_CALCANEUM 20.00 40.00 179.00 0
55 8685 18144 - MX_CANCANEUM BOTH 20.00 40.00 179.00 0
56 8686 18145 - MX_FOOT 20.00 40.00 179.00 0
57 8687 18146 - MX_ FEET BOTH 20.00 40.00 179.00 0
58 8688 18147 - MX_SKELETAL SURVEY 20.00 40.00 179.00 0
59 8689 18148 - MX_PRONOGRAM 20.00 40.00 179.00 0
PTJ :JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.12 : CBCT
No ID
ChargeItem Charge Code / Name Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)1 8690 18149 - OPG_ORTHOGONAL 30.00 60.00 131.00 0
2 8691 18150 - OPG_INCISOR 30.00 60.00 131.00 0
3 8692 18151 - CBCT_SINUSES 30.00 60.00 197.00 0
4 8693 18152 - CBCT_TMJ 30.00 60.00 197.00 0
5 8694 18153 - CBCT_OCCLUSION 50.00 100.00 197.00 0
6 8695 18154 - CBCT_MANDIBLE 50.00 100.00 197.00 0
7 8696 18155 - CBCT_MAXILLA 50.00 100.00 197.00 0
8 8697 18156 - CBCT_FULL SIZE 50.00 100.00 197.00 0
9 8698 18157 - CBCT_D MODE 50.00 100.00 197.00 0
10 8699 18158 - CBCT_S MODE 50.00 100.00 197.00 0
11 8700 18159 - CBCT_FREE FOV 50.00 100.00 197.00 0
PTJ : JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.13 : IT-PACS
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 827 10827 - SALINAN CAKERA PADAT (CD) 30.00 30.00 33.00 0
2 1006 11006 - DUPLICATE FILM UTK 40.00 40.00 44.00 0
PTJ : JK.36 : JABATAN PERKHIDMATAN
RADIOLOGI (JRAD)
Sub PTJ : JK.36.11 : EIR (ENDOVASULAR
INTERVENTIONAL RADIOLOGY
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
1 5810
15558 - EIR - AGB03 - CT/MRI GUIDED
BIOPSY (IES) 540.00 1,080.00 2,365.00 0
2 5812
15560 - EIR - AGB05 - FLUROSCOPICALLY
GUIDED DRAINAGE OF FLUID COLLECTION 490.00 980.00 2,145.00 0
3 5909
15646 - EIR - AGB13 - PERCUTANEOUS
DILATATION OF BILIARY STRICTURE UNDER
IMAGING CONTROL 1,275.00 2,550.00 5,610.00 0
4 5912
15648 - EIR - AGB15 - INSERTION OF
FIDUCIAL OR TUMOUR MARKER (USING
COILS) 700.00 1,400.00 3,108.00 0
5 5915
15650 - EIR - AGM02 - FLUROSCOPICALLY
GUIDED DISCECTOMY (LASER) 850.00 1,700.00 3,878.00 0
6 5920
15656 - EIR - AGM03 - CT GUIDED
DISCECTOMY (INCLUDING LASER) 1,105.00 2,210.00 4,868.00 0
7 5921
15658 - EIR - AGM04 - FLUROSCOPICALLY
GUIDED PERCUTANEOUS VERTEBROPLASTY
WITH SET 995.00 1,990.00 4,373.00 0
8 5924
15661 - EIR - AGM05 - FLUOROSCOPICALLY
GUIDED PERCUTANEOUS VERTEBROPLASTY, 1,280.00 2,560.00 5,638.00 0
9 5926
15663 - EIR - AGM07 - CT GUIDED
PERCUTANEOUS VERTEBROPLASTY 1,630.00 3,260.00 7,178.00 0
10 5928
15664 - EIR - AGM08 - FLUOROSCOPIC
GUIDED KYPHOPLASTY 1,630.00 3,260.00 7,178.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
11 5930
15666 - EIR - AGM11 - IMAGE GUIDED
PERCUTAENOUS INTRA-ARTICULAR
STEROID INJECTION 820.00 1,640.00 3,603.00 0
12 5932
15669 - EIR - AGM12 - IMAGE GUIDED
FACET JOINT INJECTION 775.00 1,550.00 3,410.00 0
13 5934
15670 - EIR - AGM13 - IMAGE GUIDED
PERCUTAENOUS TRANSDISCAL RF
ABLATION, PRE LEVEL 995.00 1,990.00 4,373.00 0
14 5935
15671 - EIR - AGM15 - IMAGE GUIDED
PERCUTANEOUS RADIOFREQUENCY
ANNULOPLASTY, PER LEVEL 975.00 1,950.00 4,290.00 0
15 5939
15675 - EIR - AGM18 - IMAGE GUIDED
PERCUTANEOUS SYMPATHECTOMY:
RADIOFREQUENCY, THORACIC 1,050.00 2,100.00 4,620.00 0
16 5940
15676 - EIR - AGM19 - IMAGE GUIDED
PERCUTANEOUS SYMPATHECTOMY:
RADIOFREQUENCY, LUMBAR, SPLANCHNIC
NERVE 995.00 1,990.00 4,373.00 0
17 5945
15681 - EIR - AGM22 - IMAGE GUIDED
DORSAL ROOT GANGLION BLOCK, EACH
ADDITIONAL LEVEL 475.00 950.00 2,090.00 0
18 5947
15683 - EIR - AGM23 - IMAGE GUIDED
RADIOFREQUENCY ABLATION: FACET OR
SACROILIAC JOINTS 930.00 1,860.00 4,098.00 0
19 5948
15685 - EIR - AGM24 - IMAGE GUIDED
RADIOFREQUENCY ABLATION: DORSAL
ROOT GANGLION, CERVICAL 930.00 1,860.00 4,098.00 0
20 5972
15708 - EIR - AGM42 - IMAGE GUIDED
PERIPHERAL NERVE ABLATION,
RADIOFREQUENCY OR CHEMICAL, PER
LESION 585.00 1,170.00 2,580.00 0
21 5974
15711 - EIR - AGT01 - INSERTION OF
TRACHEO-BRONCHIAL METALLIC STENT
UNDER IMAGING 980.00 1,960.00 4,318.00 0
22 5976
15712 - EIR - AGT01A - INSERTION OF
TRACHEO BRONCHIOL ONE BALLOON ( KOD
BARU) 1,180.00 2,360.00 5,198.00 0
23 5980
15717 - EIR - AGT05 - EMBOLIZATION OF
BRONCHIAL ARTERY WITHOUT
MICROCATHETER 1,175.00 2,350.00 5,170.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
24 5983
15719 - EIR - AGT05A - EMBOLIZATON OF
BRONCIOL ARTERY ONE MICROCATHETER
WITH TWO EMBOLIC AGENT( KOD BARU) 1,750.00 3,500.00 7,700.00 0
25 5985
15721 - EIR - AGT05B - EMBOLIZATON OF
BRONCIOL ARTERY TWO MICROCATHETER
WITH FOUR EMBOLIC AGENT( KOD BARU) 2,250.00 4,500.00 9,900.00 0
26 5987
15723 - EIR - AGT05C - EMBOLIZATON OF
BRONCIOL ARTERY THREE MICROCATHETER
WITH SIX EMBOLIC AGENT( KOD BARU) 2,750.00 5,500.00 12,100.00 0
27 5988
15724 - EIR - AGT06 - PULMONARY
ANGIOGRAM 1,375.00 2,750.00 6,050.00 0
28 5989
15725 - EIR - AGT07 - STEREOTECTIC
RADIOSURGERY ANGIOGRAM, EXCLUDING
CT/MR PLANNING 1,000.00 2,000.00 4,840.00 0
29 5991
15727 - EIR - AGG02 - PERCUTANEOUS
GASTROJEJUNOSTOMY 970.00 1,940.00 4,259.00 0
30 5996
15732 - EIR - AGG06 - IMAGE GUIDED
PANCREATIC PSEUDO CYST DRAINAGE 350.00 700.00 1,540.00 0
31 6000
15736 - EIR - AGG09 - MESENTERIC
ANGIOGRAM: SUPERSELECTIVE, WITH
TERTIARY BRANCH CANNULATION,
INCLUDIING BRONCHIAL 1,300.00 2,600.00 5,720.00 0
32 6001
15737 - EIR - AGG10 - MESENTERIC
ANGIOGRAM AND EMBOLISATION 2,150.00 4,300.00 9,460.00 0
33 6002
15738 - EIR - AGG11 - UTERINE ARTERY
EMBOLIZATION (KOD BARU) 1,245.00 2,490.00 5,473.00 0
34 6005
15741 - EIR - AGH04 - PERCUTANEOUS
INSERTION METALIC BILLIARY
ENDOPROSTHESIS STENT (CAJ ALAT
BERASINGAN) 1,170.00 2,340.00 5,148.00 0
35 6022
15757 - EIR - AGH15 - TRANS ARTERIAL
CHEMO-EMBOLISATION HEPATIC
TUMOURS (TACE) 700.00 1,400.00 2,558.00 0
36 6027
15762 - EIR - AGH16C - TRANSARTERIAL
CHEMO EMBOLISATION HEPATIC TUMOR
THREE BEADS TWO MICROCATHETER( KOD
BARU) 3,960.00 7,920.00 17,415.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
37 6028
15763 - EIR - AGH17 - TRANSJUGULAR
INTRAHEPATIC PORTO-SYSTEMIC SHUNT
(TIPSS) 2,050.00 4,100.00 9,021.00 0
38 6033
15768 - EIR - AGN02 - PERCUTANEOUS
NEPHROSTOMY, 2 SIDES 795.00 1,590.00 3,493.00 0
39 6036
15770 - EIR - AGN06 - PERCUTANEOUS
URETERIC BALLON DILATATION, 2 SIDES 1,245.00 2,490.00 5,473.00 0
40 6037
15772 - EIR - AGN07 - ANTEGRADE
URETERIC STENTING, 1 SIDE 1,045.00 2,090.00 4,593.00 0
41 6039
15774 - EIR - AGN09 - PERCUTANEOUS
REMOVAL OF STONE 1,250.00 2,500.00 5,500.00 0
42 6044
15779 - EIR - AGN20 - INRAD - RETRIEVAL
OF FOREIGN BODY UNDER X-RAY
GUIDANCE, NON CRITICAL SYSTEMS 1,420.00 2,840.00 6,243.00 0
43 6045
15780 - EIR - AGN21 - RETRIEVAL OF
FOREIGN BODY UNDER IMAGE GUIDANCE,
COMPLEX, NEUROVASCULAR, PULMONARY
OR OTHER CRITICAL ORGANS 2,000.00 4,000.00 8,800.00 0
44 6046
15781 - EIR - AGN22 - OCCLUSION OF
FISTULA UNDER IMAGING CONTROL 1,145.00 2,290.00 5,033.00 0
45 6047
15782 - EIR - AGN23 - RENAL ARTERY
ANGIOPLASTY 2,150.00 4,300.00 9,460.00 0
46 6048
15783 - EIR - AGN24 - RENAL
EMBOLISATION (KOD BARU) 1,825.00 3,650.00 8,030.00 0
47 6049
15784 - EIR - AGN25 - RENAL ARTERY
ANGIOPLASTY WITH INSERTION OF STENT
(CAJ ALAT BERASINGAN) 2,300.00 4,600.00 10,120.00 0
48 6050
15785 - EIR - AGP01A - ANGIOPLASTY WITH
1 BALLOON 1,275.00 2,550.00 5,610.00 0
49 6051
15786 - EIR - AGP01B - ANGIOPLASTY WITH
2 BALLOON 1,525.00 3,050.00 6,710.00 0
50 6052
15787 - EIR - AGP01C - ANGIOPLASTY WITH
3 BALLOON 1,775.00 3,550.00 7,810.00 0
51 6053
15788 - EIR - AGP02A - ANGIOPLASTY WITH
1 CUTTING BALLOON 1,650.00 3,300.00 7,260.00 0
52 6054
15789 - EIR - AGP02B - ANGIOPLASTY WITH
1 CUTTING BALLOON AND ONE STANDARD
BALLOON 1,900.00 3,800.00 8,360.00 0
53 6055
15790 - EIR - AGP02C - ANGIOPLASTY WITH
2 CUTTING BALLOON AND ONE STANDARD
BALLOON 2,400.00 4,800.00 10,560.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
54 6056
15791 - EIR - AGP05 - ANGIOPLASTY WITH
INSERTION OF METALLIC STENT (CAJ ALAT
BERASINGAN) 1,225.00 2,450.00 5,390.00 0
55 6057
15792 - EIR - AGP05A - ANGIOPLASTY WITH
STENT AND BALLOON (CAJ ALAT
BERASINGAN) 1,475.00 2,950.00 6,490.00 0
56 6059
15793 - EIR - AGP06A - ANGIOPLASTY WITH
DRUG ELUTING STENT AND BALLOON (CAJ
ALAT BERASINGAN) 1,550.00 3,100.00 6,820.00 0
57 6060
15794 - EIR - AGP07A - EMERGENCY
ANGIOPLASTY WITH STENT GRAFT AND
BALLOON( KOD BARU) 2,600.00 5,200.00 11,440.00 0
58 6064
15798 - EIR - AGP10C - TEVAR WITH STENT(
KOD BARU) 2,225.00 4,450.00 9,791.00 0
59 6065
15799 - EIR - AGP11A - ANGIOPLASTY OF
ILIAC ARTERY WITH BALLOON( KOD BARU) 1,400.00 2,800.00 6,160.00 0
60 6066
15800 - EIR - AGP11B - ANGIOPLASTY OF
ILIAC ARTERY WITH STENT AND BALLOON
(CAJ ALAT BERASINGAN) 1,625.00 3,250.00 7,150.00 0
61 6071
15804 - EIR - AGP16A - PERPHERAL
EMBOLIZATION WITH 1 MICROATHETER 1
PVA 1 MICROCOIL 1 GLUE( KOD BARU) 1,620.00 3,240.00 7,123.00 0
62 6072
15805 - EIR - AGP16B - PERPHERAL
EMBOLIZATION WITH 2 MICROATHETER 2
PVA 2 MICROCOIL 2 GLUE( KOD BARU) 2,240.00 4,480.00 9,851.00 0
63 6073
15806 - EIR - AGP16C - PERPHERAL
EMBOLIZATION WITH 3 MICROATHETER 3
PVA 3 MICROCOIL 3 GLUE( KOD BARU) 2,500.00 5,000.00 11,083.00 0
64 6074
15807 - EIR - AGP17 - PERIPHERAL
ANGIOGRAM, SELECTIVE, PER SIDE 760.00 1,520.00 3,343.00 0
65 6075
15808 - EIR - AGP17A - PERIPHERAL
ARTERIO BLOCKAGE WITH 1 STENT 1,200.00 2,400.00 5,280.00 0
66 6076
15809 - EIR - AGP18A - PERCUTANEOUS
EMBOLIZATION AVM PERIPHERALL WITH
GLUE 1,000.00 2,000.00 4,400.00 0
67 6077
15810 - EIR - AGP18B - PERCUTANEOUS
EMBOLIZATION AVM PERIPHERALL WITH
TWO CO POLIMER EMBOLIC AGENT ( KOD
BARU) 2,400.00 4,800.00 10,560.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
68 6078
15811 - EIR - AGP18C - PERCUTANEOUS
EMBOLIZATION AVM PERIPHERALL WITH
TWO PVA ( KOD BARU) 1,275.00 2,550.00 5,610.00 0
69 6079
15812 - EIR - AGP18D - PERCUTANEOUS
EMBOLIZATION AVM PERIPHERALL WITH
SCLEROSANT 1,150.00 2,300.00 5,060.00 0
70 6085
15818 - EIR - AGA02 - CEREBRAL
ANGIOPLASTY WITH INSERTION OF
METALLIC STENT (INTRACRANIAL) (CAS
ALAT BERASINGAN) 4,000.00 8,000.00 17,766.00 0
71 6086
15819 - EIR - AGA02A - CEREBRAL
ANGIOPLASTY WITH INSERTION OF
METALLIC STENT (COMPLEX)
(INTRACRANIAL) ***** 4,500.00 9,000.00 20,296.00 0
72 6087
15820 - EIR - AGA04 - INTRACRANIAL CLOT
RETRIEVAL, NOT INCLUDING ADJUNCTIVE
PROCEDURE 9,210.00 18,420.00 28,931.00 0
73 6088
15821 - EIR - AGA04A - INTRACRANIAL CLOT
RETRIEVAL, NOT INCLUDING ADJUNCTIVE
PROCEDURE COMPLEX (KOD BARU) 10,290.00 20,580.00 45,266.00 0
74 6090
15824 - EIR - AGA05A -
INTRACRANIAL/SKULL BASE TUMOUR
EMBOLIZATION COMPLEX 4,790.00 9,580.00 21,066.00 0
75 6097
15830 - EIR - AGA09 - EMBOLISATION OF
CAROTICO-CAVERNOUS FISTULAS
(CCFS)STANDARD ***** 2,650.00 5,300.00 11,613.00 0
76 6098
15831 - EIR - AGA10 - EMBOLISATION OF
CAROTICO-CAVERNOUS FISTULAS (CCFS)
COMPLEX (CAS ALAT BERASINGAN) 4,000.00 8,000.00 17,876.00 0
77 6099
15832 - EIR - AGA11 - EMBOLISATION OF
DURAL AVFS (CAS ALAT BERASINGAN) 3,200.00 6,400.00 14,253.00 0
78 6100
15833 - EIR - AGA11A - EMBOLISATION OF
DURAL AVF`S COMPLEX (CAS ALAT
BERASINGAN) 3,750.00 7,500.00 16,501.00 0
79 6102
15835 - EIR - AGA12A - EMBOLISATION OF
INTRACRANIAL AVM COMPLEX (CAS ALAT
BERASINGAN) 5,500.00 11,000.00 24,201.00 0
80 6103
15836 - EIR - AGA12B - EMBOLIZATION OF
INTRACRANIAL AVM VERY COMPLEX (CAS
ALAT BERASINGAN) 5,500.00 11,000.00 24,311.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
81 6105
15838 - EIR - AGA17 - EMBOLISATION OF
ANEURYSM WITH BALLOON REMODELLING
(KOD BARU) 7,490.00 14,980.00 32,953.00 0
82 6107
15840 - EIR - AGA20 - EMBOLISATION OF
ANEURYSM WITH INTRACRANIAL STENT
(CAS ALAT BERASINGAN) 4,050.00 8,100.00 17,876.00 0
83 6108
15841 - EIR - AGA20A - EMBOLISATION OF
ANEURYSM WITH INTRACRANIAL STENT
COMPLEX (CAS ALAT BERASINGAN) 4,450.00 8,900.00 19,636.00 0
84 6109
15842 - EIR- AGA20B - EMBOLISATION OF
ANEURYSM WITH INTRACRANIAL STENT
VERY COMPLEX (CAS ALAT BERASINGAN) 4,450.00 8,900.00 19,636.00 0
85 6110
15843 - EIR - AGA21 - CEREBRAL
ANGIOGRAM 945.00 1,890.00 4,153.00 0
86 6111
15844 - EIR - AGA21A - CEREBRAL
ANGIOGRAM COMPLEX WITH 6 VESSEL
(KOD BARU) 1,125.00 2,250.00 4,950.00 0
87 6113
15846 - EIR - AGA23 - CAROTID AND
CEREBRAL ANGIOGRAM 1,075.00 2,150.00 4,730.00 0
88 6115
15848 - EIR - AGA25 - MYELOGRAM (NOT
INCLUDING CT MYELOGRAM) 995.00 1,990.00 4,373.00 0
89 6117
15850 - EIR - AGA27 - EMBOLIZATION OF
SPINAL AVM (KOD BARU) 3,390.00 6,780.00 14,913.00 0
90 6119
15851 - EIR - AGA27A - EMBOLIZATION OF
SPINAL AVM COMPLEX (KOD BARU) 5,240.00 10,480.00 23,046.00 0
91 6120
15853 - EIR - AGA28 - EMBOLIZATION OF
VASCULAR HEAD AND NECK TUMOR
/LESION 2,300.00 4,600.00 10,265.00 0
92 6122
15855 - EIR - AGA29 - EMBOLIZATION OF
VASCULAR MALFORMATION OF HEAD AND
NECK (KOD BARU) 2,300.00 4,600.00 10,265.00 0
93 6123 15856 - EIR - AGA30 - VASO CT (KOD BARU) 350.00 700.00 1,623.00 0
94 6126
15859 - EIR - AGV01B - IVC FILTER SET
RETRIEVEL ( KOD BARU) 1,345.00 2,690.00 5,913.00 0
95 6134
15867 - EIR - AGV04B - RETRIEVEL OF
FORIGN BODY WITH 2 SNARE KIT 1,735.00 3,470.00 7,625.00 0
96 6135
15868 - EIR - AGV05 - PERMENANT
CATHETER INSERTION 920.00 1,840.00 4,043.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
97 6140 15873 - EIR - AGV12 - CATHETER REMOVAL 370.00 740.00 1,623.00 0
98 6141
15874 - EIR - AGV13 - HICKMAN LINE
REMOVAL 395.00 790.00 1,733.00 0
99 6143
15876 - EIR - AGV15A - INFERIOR PETROSAL
SAMPLING ( KOD BARU) (IPSS) WITH
MICROCATHETER 1,460.00 2,920.00 6,415.00 0
100 6145
15878 - EIR - AGV17 - VENOUS SAMPLING:
COMPLEX, ARTERIAL STIMULATED,
PANCREATIC, PARATHYROID 1,070.00 2,140.00 4,703.00 0
101 6146
15879 - EIR - AGV17A - ARTERIAL
STIMULATED VENOUS ( KOD BARU)
SAMPLING (ASVS) WITH MICROCATHETER 1,370.00 2,740.00 6,023.00 0
102 6147 15880 - EIR - AGV22 - FISTULOGRAM 370.00 740.00 1,623.00 0
103 6148 15881 - EIR - AGV23 - CATHETOGRAM 370.00 740.00 1,623.00 0
104 6450
16167 - AGP12A - "ANGIOPLASTY LOWER
LIMB SFA WITH ONE BALLOON 1,400.00 2,800.00 6,160.00 0
105 6451
16168 - EIR - AGP12B - ANGIOPLASTY
LOWER LIMB SFA WITH TWO BALLOON 1,600.00 3,200.00 7,040.00 0
106 6452
16169 - EIR - AGP12C - ANGIOPLASTY
LOWER LIMB SFA WITH STENT AND
BALLOON ( KOD BARU) 1,575.00 3,150.00 6,930.00 0
107 6454
16170 - EIR - AGP13A - ANGIOPLASTY
LOWER LIMB BELOW THE KNEE WITH 1
BALLOON 1,375.00 2,750.00 6,050.00 0
108 6458
16174 - AGP13B - ANGIOPLASTY LOWER
LIMB BELOW THE KNEE WITH 2 BALLOON 1,575.00 3,150.00 6,930.00 0
109 6460
16176 - EIR - AGP13C - ANGIOPLASTY
LOWER LIMB BELOW THE KNEE WITH 1
DRUG ELUTING BALLOON AND 1 STANDARD
BALLOON 2,700.00 5,400.00 11,880.00 0
110 6461
16177 - EIR - AGP13D - ANGIOPLASTY
LOWER LIMB BELOW THE KNEE WITH 2
DRUG ELUTING BALLOON AND 1 STANDARD
BALLOON 3,950.00 7,900.00 17,380.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
111 8161
15556 - EIR - AGB01 - FLUROSCOPICALLY
GUIDED BIOPSY (IES) 412.50 825.00 1,815.00 0
112 8165
15557 - EIR - AGB02 - ULTRASOUND
GUIDED BIOPSY FNAC (IES) 587.50 1,175.00 2,585.00 0
113 8169
15559 - EIR - AGB04 -
TRANSJUGULAR/TRANSLUMINAL PLUGGED
BIOPSY (IES) 737.50 1,475.00 3,245.00 0
114 8171
15561 - EIR - AGB06 - FLUROSCOPICALLY
GUIDED DRAINAGE OF FLUID COLLECTION:
COMPLEX, RETROPERITONEAL, US OR CT
ASSISTANCE 812.50 1,625.00 3,575.00 0
115 8172
15562 - EIR - AGB07 - ULTRASOUND
GUIDED DRAINAGE OF FLUID COLLECTION
(SIMPLE) 612.50 1,225.00 2,695.00 0
116 8174
15600 - EIR - AGB08 - CT/MRI GUIDED
DRAINAGE OF FLUID COLLECTION (SIMPLE) 837.50 1,675.00 3,685.00 0
117 8175
15603 - EIR - AGB09 - INTRACAVITORY
FIBRINOLYSIS 762.50 1,525.00 3,355.00 0
118 8176
15609 - EIR - AGB10 - INTRACAVITORY
FIBRINOLYSIS, INCLUDING DRAINAGES 787.50 1,575.00 3,465.00 0
119 8177
15644 - EIR - AGB11 - PERCUTANEOUS
PLEURODESIS 612.50 1,225.00 2,695.00 0
120 8178
15645 - EIR - AGB12 - CHANGE OF
DRAINAGE CATHETER 417.50 835.00 1,837.00 0
121 8179
15673 - EIR - AGM16 - IMAGE GUIDED
PERCUTANEOUS THROACIC
SYMPATHECTOMY, NEUROLYTIC 737.50 1,475.00 3,245.00 0
122 8180
15674 - EIR - AGM17 - IMAGE GUIDED
PERCUTANEOUS SYMPATHECTOMY INCL.
LUMBAR AND CELIAC PLEXUS 737.50 1,475.00 3,245.00 0
123 8181
15679 - EIR - AGM20 - IMAGE GUIDED
PERIPHERAL JOINT INJECTION OF
SUBSTANCE 487.50 975.00 2,145.00 0
124 8182
15680 - EIR - AGM21 - IMAGE GUIDED
DORSAL ROOT GANGLION BLOCK, SINGLE
LEVEL, LA OR NEUROLYTIC 712.50 1,425.00 3,135.00 0
125 8183
15687 - EIR - AGM25 - IMAGE GUIDED
RADIOFREQUENCY ABLATION: DORSAL
ROOT GANGLION, LUMBER/THORACIC 837.50 1,675.00 3,685.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
126 8184
15689 - EIR - AGM26 - IMAGE GUIDED
INJECTION, LA OR NEUROLYTIC:
SPHENOPALATINE OR TRIGEMINAL
GANGLION, 1 SIDE 737.50 1,475.00 3,245.00 0
127 8185
15693 - EIR -AGM27 - IMAGE GUIDED
RADIOFREQUENCY ABLATION:
SPHENOPALATINE OR TRIGEMINAL
GANGLION, 1 SIDE 762.50 1,525.00 3,355.00 0
128 8187
15696 - EIR - AGM28 - IMAGE GUIDED
INJECTION, LA OR NEUROLYTIC: SUPERIOR
CERVICAL GANGLION, 1 SIDE 737.50 1,475.00 3,245.00 0
129 8188
15697 - EIR - AGM29 - IMAGE GUIDED
RADIOFREQUENCY ABLATION: SUPERIOR
CERVICAL GANGLION 762.50 1,525.00 3,355.00 0
130 8190
15698 - EIR - AGM30 - IMAGE GUIDED
STELLATE GANGLION ABLATION,
NEUROLYTIC 737.50 1,475.00 3,245.00 0
131 8192
15700 - EIR - AGM31 - IMAGE GUIDED
STELLATE GANGLION ABLATION,
RADIOFREQUENCY 837.50 1,675.00 3,685.00 0
132 8193
15701 - EIR - AGM33 - IMAGE GUIDED
EPIDURAL INJECTION: CERVICAL/THORACIC 612.50 1,225.00 2,695.00 0
133 8194
15702 - EIR - AGM34 - IMAGE GUIDED
EPIDURAL INJECTION: LUMBAR 462.50 925.00 2,030.00 0
134 8195
15706 - EIR - AGM38 - IMAGE GUIDED
PERCUTANEOUS EPIDURAL ELECTRODE
INSERTION 832.50 1,665.00 3,658.00 0
135 8196
15707 - EIR - AGM41 - IMAGE GUIDED
INTRATHECAL DRUG INJECTION 537.50 1,075.00 2,365.00 0
136 8197
15709 - EIR - AGM43 - DISCOGRAPHY, 1
LEVEL 737.50 1,475.00 3,245.00 0
137 8198
15713 - EIR - AGT02 - INSERTION OF
OESOPHAGEAL METALLIC STENT UNDER
IMAGING CONTROL 912.50 1,825.00 4,015.00 0
138 8200
15714 - EIR - AGT02A - INSERTION OF
OESOPHAGEAL WITH BALLOON ( KOD
BARU) 1,112.50 2,225.00 4,895.00 0
139 8201
15715 - EIR - AGT03 - IMAGE GUIDED
OCCLUSION FOR BRONCHOPLEURAL
FISTULA 1,127.50 2,255.00 4,958.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
140 8202
15726 - EIR - AGG01 - PERCUNTANEOUS
GASTROSTOMY 737.50 1,475.00 3,245.00 0
141 8203
15728 - EIR - AGG03 - IMAGE GUIDED
BALLOON DILATATION 957.50 1,915.00 4,208.00 0
142 8204
15730 - EIR - AGG04 - IMAGE GUIDED
INSERTION OF METALLIC STENT
(OESOPHAGEAL, COLONIC, GASTRIC,
DUODENAL) 1,087.50 2,175.00 4,785.00 0
143 8212
15733 - EIR - AGG07 - VISCERAL
ANGIOGRAM: HEPATIC OR RENAL 737.50 1,475.00 3,245.00 0
144 8213
15735 - EIR - AGG08 - MESENTERIC
ANGIOGRAM, NON-SELECTIVE
CANNULATION 737.50 1,475.00 3,245.00 0
145 8214
15739 - EIR - AGH01 - PERCUTANEOUS
CHOLECYSTOTOMY 612.50 1,225.00 2,695.00 0
146 8215
15740 - EIR - AGH02 - PERCUT.
TRANSHEPATIC BILIARY DRAINAGE (PTBD) 957.50 1,915.00 4,208.00 0
147 8216
15751 - EIR - AGH06 - PERCUTANEOUS
INSERTION PLASTIC BILIARY
ENDOPROSTHESIS 1,207.50 2,415.00 5,308.00 0
148 8217
15752 - EIR - AGH10 - IMAGE GUIDED
ABLATION OF TUMOUR CHEMICAL
(ALCOHOL/ACETIC ACID) 687.50 1,375.00 3,025.00 0
149 8218
15753 - EIR - AGH11 - IMAGE GUIDED
PERTUCANEOUS TUMOUR ABLATION
THERAPY: CHEMICAL, 2-3 LESIONS 762.50 1,525.00 3,355.00 0
150 8219
15754 - EIR - AGH11A - IMAGE GUIDED
PERCUTANEOUS TUMOR ABLATION
THERAPHY NEDDLE (CAJ ALAT BERASINGAN) 687.50 1,375.00 3,025.00 0
151 8220
15755 - EIR - AGH12A - IMAGE GUIDED
PERCUTANEOUS TUMOR ABLATION
THERAPHY CRYO NEEDLE( KOD BARU) 762.50 1,525.00 3,355.00 0
152 8221
15756 - EIR - AGH13A - IMAGE GUIDED
PERCUTANEOUS TUMOR ABLATION
THERAPHY MICROWAVE ONE NEEDLE( KOD
BARU) 687.50 1,375.00 3,025.00 0
153 8222
15758 - EIR - AGH15A - TRANSARTERIAL
CHEMO EMBOLISATION HEPATIC TUMOR
ONE MICROCATHETER( KOD BARU) 1,257.50 2,515.00 5,528.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
154 8223
15759 - EIR - AGH15B - TRANSARTERIAL
CHEMO EMBOLISATION HEPATIC TUMOR
TWO MICROCATHETER( KOD BARU) 1,632.50 3,265.00 7,178.00 0
155 8224
15760 - EIR - AGH16A - TRANSARTERIAL
CHEMO EMBOLISATION HEPATIC TUMOR
ONE BEADS ONE MICROCATHETER( KOD
BARU) 2,257.50 4,515.00 9,928.00 0
156 8225
15761 - EIR - AGH16B - TRANSARTERIAL
CHEMO EMBOLISATION HEPATIC TUMOR
TWO BEADS ONE MICROCATHETER( KOD
BARU) 3,332.50 6,665.00 14,656.00 0
157 8226
15764 - EIR - AGH18 - PERCUT. DILATATION
OF BILIARY STRICTURE IMAGE GUIDED 1,377.50 2,755.00 6,062.00 0
158 8227
15765 - EIR - AGH19 - PERCUTANEOUS
TRANSHEPATIC CHOLANGIOGRAM, PTC 537.50 1,075.00 2,365.00 0
159 8228
15766 - EIR - AGH21 - PERCUTANEOUS
CHOLECYSTOGRAM 462.50 925.00 2,035.00 0
160 8229
15767 - EIR - AGN01 - PERCUTANEOUS
NEPHROSTOMY (SIMPLE) 562.50 1,125.00 2,475.00 0
161 8230
15769 - EIR - AGN05 - PERCUTANEOUS
URETERIC BALLON DILATATION, 1 SIDE 1,087.50 2,175.00 4,785.00 0
162 8231
15773 - EIR - AGN08 - ANTEGRADE
URETERIC STENTING, 2 SIDES 1,432.50 2,865.00 6,298.00 0
163 8232
15775 - EIR - AGN11 - IMAGE GUIDED CYST
ABLATION 782.50 1,565.00 3,438.00 0
164 8233
15777 - EIR - AGN16 - CYST ABLATION
UNDER IMAGING CONTROL, 1 LESION 757.50 1,515.00 3,328.00 0
165 8234
15778 - EIR - AGN19 - IMAGE GUIDED CYST
ASPIRATION, PER CYST 757.50 1,515.00 3,328.00 0
166 8235
15795 - EIR - AGP07B - ANGIOPLASTY WITH
STENT GRAFT AND BALLOON (CAJ ALAT
BERASINGAN) 1,612.50 3,225.00 7,095.00 0
167 8236
15796 - EIR - AGP10A - EVAR AND TEVAR (
KOD BARU) 2,627.50 5,255.00 11,551.00 0
168 8237
15797 - EIR - AGP10B - EVAR WITH STENT(
KOD BARU) 2,327.50 4,655.00 10,231.00 0
NoID
ChargeItem Charge Code / Name
Senior
Citizen (RM)
Normal
(RM)
Non-Citizen
(RM)
JKM
(RM)
169 8238
16179 - EIR - AGP13E - ANGIOPLASTY
LOWER LIMB BELOW THE KNEE WITH 3
DRUG ELUTING BALLOON AND 1 STANDARD
BALLOON( KOD BARU) 5,352.50 10,705.00 23,548.00 0
170 8240 15801 - EIR - AGP14 - AORTOGRAM 612.50 1,225.00 2,695.00 0
171 8241
15802 - EIR - AGP15 - PERIPHERAL
ARTERIOGRAM 662.50 1,325.00 2,915.00 0
172 8243
15803 - EIR - AGP16 - PERIPHERAL
ANGIOGRAM, NON-SELECTIVE, FLUSH
AORTIC INJECTION 687.50 1,375.00 3,025.00 0
187 8268
15864 - EIR - AGV04 - RETRIEVAL OF
FOREIGN BODY UNDER X-RAY CONTROL
WITHOUT SNARE 1,197.50 2,395.00 5,264.00 0
188 8269
15865 - EIR - AGV04A - RETRIEVEL OF
FORIGN BODY WITH 1 SNARE KIT 1,207.50 2,415.00 5,308.00 0
189 8270
15869 - EIR - AGV06 - READJUSTMENT
PERMENANT CATHETRER 587.50 1,175.00 2,585.00 0
190 8271 15870 - EIR - AGV08 - CHEMOPORT 937.50 1,875.00 4,125.00 0
191 8272
15871 - EIR - AGV09 - PORT PLACEMENT:
ARTERIAL, WITHOUT
EMBOLIZATION/ARTERIAL REMODELING 1,012.50 2,025.00 4,455.00 0
192 8273 15872 - EIR - AGV11 - PORT REMOVAL 387.50 775.00 1,705.00 0
193 8274
15875 - EIR - AGV15 - INFERIOR PETROSAL
VENOUS SAMPLING 1,007.50 2,015.00 4,428.00 0
194 8276
15877 - EIR - AGV16 - VENOUS SAMPLING:
STANDARD, ADRENAL, OVARIAN 812.50 1,625.00 3,575.00 0
Recommended