PTJ : JK.69 : JABATAN BEDAH MULUT DAN

MAKSILOFASIAL (JMAX)

Sub PTJ : JK.69.01 : AM

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

1 4538

14525 - EXTRACTION - ONE TOOTH (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 15.00 30.00 344.00 0

2 4539

14526 - SURGICAL EXTRACTION - IMPACTED ,

ROOTS , EMBEDDED ( ORAL SURGERY UNDER

LOCAL ANAESTHESIA ) 100.00 200.00 468.00 0

3 4540

14527 - BIOPSY - SOFT TISSUE (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 75.00 150.00 366.00 0

4 4541

14528 - BIOPSY - HARD TISSUE ( ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 100.00 200.00 366.00 0

5 4542

14529 - EXCISION - SOFT TISSUE ( ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 75.00 150.00 366.00 0

6 4543

14530 - EXCISION - HARD TISSUE (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 100.00 200.00 377.00 0

7 4544

14531 - TOILET AND SUTURING - MINOR

WOUNDS (ORAL SURGERY UNDER LOCAL

ANAESTHESIA) 50.00 100.00 320.00 0

8 4545

14532 - TOILET AND SUTURING - MAJOR

WOUNDS (ORAL SURGERY UNDER LOCAL

ANAESTHESIA ) 100.00 200.00 377.00 0

9 4546

14533 - TRAUMA - DRESSING OF SOFT TISSUE

INJURY (ORAL SURGERY UNDER LOCAL

ANAESTHESIA) 15.00 30.00 366.00 0

10 4547

14535 - TRAUMA - CLOSED REDUCTION AND

FIXATION OF FRACTURES (MAXILLOFACIAL)

(ORAL SURGERY UNDER LOCAL ANAESTHESIA) 150.00 300.00 457.00 0

11 4548

14536 - TRAUMA - CLOSED REDUCTION AND

FIXATION OF FRACTURES (DENTOALVEOLAR) (

ORAL SURGERY UNDER LOCAL ANAESTHESIA) 100.00 200.00 446.00 0

12 4549

14537 - TRAUMA - REMOVAL OF FIXATION

(ORAL SURGERY UNDER LOCAL ANAESTHESIA) 50.00 100.00 446.00 0

13 4550

14538 - ENUCLEATION / MARSUPIALISATION

OF CYST (ORAL SURGERY UNDER LOCAL

ANAESTHESIA) 100.00 200.00 435.00 0

SENARAI KADAR CAJ YANG TELAH MENDAPAT KELULUSAN

( JABATAN BEDAH MULUT DAN MAKSILOFASIAL )

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

14 4551

14539 - REMOVAL OF FOREIGN BODY (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 75.00 150.00 440.00 0

15 4552

14540 - MANAGEMENT OF INFECTED SOCKET

(ORAL SURGERY UNDER LOCAL ANAESTHESIA) 30.00 60.00 303.00 0

16 4553

14541 - HAEMOSTASIS (ORAL SURGERY

UNDER LOCAL ANAESTHESIA) 25.00 50.00 349.00 0

17 4554

14542 - INCISION AND DRAINAGE (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 75.00 150.00 349.00 0

18 4555

14543 - AUTOGENOUS BONE GRAFTING

(ORAL SURGERY UNDER LOCAL ANAESTHESIA) 100.00 200.00 451.00 0

19 4677

14544 - PROSTHETIC SURGERY - MINI DENTAL

IMPLANT (EX COST) (ORAL SURGERY UNDER

LOCAL ANAESTHESIA) 100.00 200.00 355.00 0

20 4678

14545 - PROSTHETIC SURGERY -

CONVENTIONAL DENTAL IMPLANT (EX.

IMPLANT COST)(ORAL SURGERY UNDER

LOCAL ANAESTHESIA) 250.00 500.00 550.00 0

21 4679

14546 - PROSTHETIC SURGERY - SINUS LIFT

(ORAL SURGERY UNDER LOCAL ANAESTHESIA) 100.00 200.00 457.00 0

22 4680

14547 - PROSTHETIC SURGERY - SULCUS

DEEPEDING (ORAL SURGERY UNDER LOCAL

ANAESTHESIA) 75.00 150.00 468.00 0

23 4681

14548 - PROSTHETIC SURGERY -

ALVEOLOPLASTY (ORAL SURGERY UNDER

LOCAL ANAESTHESIA) 75.00 150.00 468.00 0

24 4683

14550 - ENDODONTIC SURGERY -

APICECTOMY (ORAL SURGERY UNDER LOCAL

ANAESTHESIA) 100.00 200.00 377.00 0

25 4684

14551 - ENDODONTIC SURGERY -

RETROGRADE FILLING (ORAL SURGERY

UNDER LOCAL ANAESTHESIA) 75.00 150.00 382.00 0

26 4685

14552 - ENDODONTIC SURGERY -

ORTHODONTIC IMPLANT (EX. IMPLANT COST)

(ORAL SURGERY UNDER LOCAL ANAESTHESIA) 100.00 200.00 377.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

27 4687

14554 - ORTHODONTIC SURGERY - EXPOSURE

AND GOLD CHAIN BONDING (EX COST OF

CHAIN) (ORAL SURGERY UNDER LOCAL

ANAESTHESIA) 100.00 200.00 468.00 0

28 4688

14668 - SIMPLE FILLING - PER TOOTH

(CONSERVATIVE DENTISRY) 25.00 50.00 342.00 0

29 4690 14670 - INLAY (CONSERVATIVE DENTISTRY) 50.00 100.00 406.00 0

30 4692

14675 - NASOORBITAL - CLOSE - CLOSED

REDUCTION & FIXATION (KOS RAWATAN DI

BAWAH GENRAL ANAESTHESIA - TRAUMA) 200.00 400.00 1,970.00 0

31 4693

14676 - NASOORBITAL - OPEN - ORIF (KOS

RAWATAN DI BAWAH GENRAL ANAESTHESIA -

TRAUMA) 375.00 750.00 1,970.00 0

32 4694

14677 - NASOETHMOID - CLOSE - CLOSED

REDUCTION & FIXATION (KOS RAWATAN DI

BAWAH GENRAL ANAESTHESIA - TRAUMA) 375.00 750.00 1,970.00 0

33 4695

14678 - NASOETHMOID - OPEN - ORIF (KOS

RAWATAN DI BAWAH GENRAL ANAESTHESIA -

TRAUMA) 375.00 750.00 1,970.00 0

34 4696

14679 - MAXILLA - LE FORT 111 - ORIF (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TRAUMA) 375.00 750.00 2,905.00 0

35 4697

14680 - MAXILLA - LE FORT 111 -

CIRCUMZYGOMATIC SUSPENSION (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TRAUMA) 375.00 750.00 2,905.00 0

36 4698

14681 - REMOVAL - PLATE - REMOVAL OF

OSTEOSYNTHESIS PLATE (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 200.00 400.00 678.00 0

37 4699

14682 - REMOVAL - SILASTIC ETC - REMOVAL

SILASTIC (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TRAUMA) 200.00 400.00 898.00 0

38 4700

14683 - REMOVAL - WIRE - REMOVAL OF

OSTEOSYNTHESIS WIRE (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 200.00 400.00 678.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

39 4701

14684 - REMOVAL - OTHER - REMOVAL OF

PACK ETC (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TRAUMA) 200.00 400.00 678.00 0

40 4702

14685 - IMF- IMF - INTERMAXILLARY SCREWS

IMF (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TRAUMA) 200.00 400.00 1,200.00 0

41 4703

14686 - IMF- IMF - INTERMAXILLARY ARCH

BARS IMF (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TRAUMA) 200.00 400.00 1,200.00 0

42 4705

14688 - SIMPLE TREATMENTS - ANAESTHETIC

INJECTION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 200.00 400.00 799.00 0

43 4706

14689 - SIMPLE TREATMENTS - CHEMICAL

NEUROLYSIS INJECTION INTO JOINT (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 200.00 400.00 1,063.00 0

44 4707

14690 - SIMPLE TREATMENTS - NEURECTOMY

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TMJ) 200.00 400.00 440.00 0

45 4708

14691 - SIMPLE TREATMENTS -

CRYONEURECTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TMJ) 200.00 400.00 440.00 0

46 4709

14692 - ARTHROSCOPY - ARTHROSCOPY

UPPER SPACE DIAGNOSTIC (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TMJ) 250.00 500.00 1,118.00 0

47 4710

14693 - ARTHROSCOPY - ARTHROSCOPY

LOWER SPACE DIAGNOSTIC (KOS RAWATAN

DI BAWAH GENERAL ANAESTHESIA - TMJ) 250.00 500.00 1,000.00 0

48 4711

14694 - ARTHROCENTESIS - ARTHROSCOPY

UPPER SPACE ARTHROCENTESIS (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 250.00 500.00 1,000.00 0

49 4712

14695 - ARTHROCENTESIS - ARTHROSCOPY

LOWER SPACE ARTHROCENTESIS (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 250.00 500.00 1,118.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

50 4713

14696 - SURGERY - ARTHROSCOPY SURGERY (

KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TMJ) 250.00 500.00 1,118.00 0

51 4715

14700 - MENISCUS - MENISCUS ALLOPLASTIC

REPLACEMENT (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 1,118.00 0

52 4716

14701 - MENISCUS - MENISCUS REPAIR ( KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 250.00 500.00 980.00 0

53 4717

14702 - MENISCUS - MENISCUS RE-

ATTACHMENT (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 980.00 0

54 4718

14703 - MENISCUS - MENISCUS OTHER (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 250.00 500.00 980.00 0

55 4719

14704 - CONDYLE REMOVAL - HIGH

CONDYLAR SHAVE (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 375.00 750.00 2,905.00 0

56 4721

14705 - CONDYLE REMOVAL -

CINDYLECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 375.00 750.00 2,905.00 0

57 4722

14706 - CONDYLE OSTEOTOMY -

CONDYLOTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 1,118.00 0

58 4723

14707 - CONDYLE OSTEOTOMY - GAP

ARTHROPLASTY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 1,118.00 0

59 4724

14708 - CONDYLE OSTEOTOMY - CONDYLE

OSTEOTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 980.00 0

60 4725

14709 - PROTHESIS - PROSTHESIS GLENOID

FOSSA (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TMJ) 250.00 500.00 1,000.00 0

61 4726

14710 - PROTHESIS - PROSTHESIS CONDYLE

HEAD (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TMJ) 250.00 500.00 1,000.00 0

62 4728

14711 - PROTHESIS - PROSTHESIS TOTAL (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 250.00 500.00 1,000.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

63 4729

14674 - ROOT CANAL TREATMENT -

ANTERIOR & PREMOLAR (CONSERVATIVE

DENTISTRY) 75.00 150.00 432.00 0

64 4733

14712 - CORONOID - CORONOIDECTOMY

INTRAORAL APPROACH (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TMJ) 250.00 500.00 550.00 0

65 4734

14713 - CORONOID - CORONOIDECTOMY

EXTRAORAL APPROACH (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TMJ) 250.00 500.00 550.00 0

66 4735

14717 - DISLOCATION - DISLOCATION

MANIPUALATION / REDUCTION (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 150.00 300.00 799.00 0

67 4736

14718 - DISLOCATION - DISLOCATION

CAPSULAR PLICATION (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TMJ) 200.00 400.00 799.00 0

68 4737

14719 - DISLOCATION - EXTRA - ARTICULAR

SCLEROSANT INJECTION (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TMJ) 200.00 400.00 799.00 0

69 4738

14720 - DISLOCATION - EMINECTOMY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TMJ) 250.00 500.00 799.00 0

70 4739

14721 - DISLOCATION - ZYGOMATIC ARCH

DOWN FRACTURE (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 980.00 0

71 4740

14722 - DISLOCATION - EMINENCE

AUGMENTATION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 799.00 0

72 4741

14723 - DISLOCATION - DISLOCATION

MYOTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 250.00 500.00 550.00 0

73 4742

14724 - TREATMENT - TMJ STEROIDS

INJECTION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TMJ) 200.00 400.00 1,063.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

74 4743

14725 - SOFT TISSUE - ORA - FACIAL-

PRIMARY CLOSURE (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 250.00 500.00 947.00 0

75 4744

14726 - SOFT TISSUE - ORA - FACIAL- FLAP

REPAIR (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TRAUMA) 250.00 500.00 1,750.00 0

76 4745

14727 - SOFT TISSUE - ORA - FACIAL- SCAR

REVISION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TRAUMA) 250.00 500.00 947.00 0

77 4746

14730 - MANDIBLE - CLOSED REDUCTION OF

MANDIBULAR FRACTURE (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 200.00 400.00 1,024.00 0

78 4747

14731 - MANDIBLE - OPEN REDUCTION AND

INTERNEAL FIXATION (ORIF) OF MANDIBULAR

FRACTURE (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TRAUMA) 375.00 750.00 1,255.00 0

79 4748

14732 - ZYGOMA - CLOSED - CLOSED

REDUCTION - OTHER TECHNOQUE (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TRAUMA) 200.00 400.00 800.00 0

80 4749

14733 - ZYGOMA - CLOSED - CLOSED

REDUCTION - GILLIES APPROACH (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TRAUMA) 200.00 400.00 800.00 0

81 4750

14734 - ZYGOMA - OPEN - OPEN REDUCTION

& INTERNAL FIXATION (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 200.00 400.00 1,063.00 0

82 4752

14736 - ORBITAL FLOOR - REPAIR - ORBITAL

FLOOR REPAIR ALLOPLAST (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 375.00 750.00 1,970.00 0

83 4753

14737 - ORBITAL FLOOR - REPAIR - ORBITAL

FLOOR REPAIR AUTOGENOUS (KOS RAWATAN

DI BAWAH GENERAL ANAESTHESIA -

TRAUMA) 375.00 750.00 1,970.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

84 4753

14737 - ORBITAL FLOOR - REPAIR - ORBITAL

FLOOR REPAIR AUTOGENOUS (KOS RAWATAN

DI BAWAH GENERAL ANAESTHESIA -

TRAUMA) 375.00 750.00 1,970.00 0

85 4754

14738 - ORBITAL FLOOR - REPAIR - ORBITAL

FLOOR REPAIR TITANIUM MESH (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TRAUMA) 375.00 750.00 1,970.00 0

86 4755

14739 - MAXILLA - LE FORT 1 - ORIF (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- TRAUMA) 375.00 750.00 1,200.00 0

87 4756

14740 - MAXILLA - LE FORT 1 - CLOSE

REDUCTION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TRAUMA) 375.00 750.00 1,063.00 0

88 4757

14741 - CRANIOFACIAL - OPEN - ORBITAL

RIDGE FRACTURE REPAIR (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 375.00 750.00 2,245.00 0

89 4758

14742 - CRANIOFACIAL - OPEN -

CRANIOTOMY COMPLICATING FRACTURE

REPAIR (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TRAUMA) 375.00 750.00 2,905.00 0

90 4759

14743 - CRANIOFACIAL - OPEN - ANTERIOR

CRANIOTOMY REPAIR (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - TRAUMA) 375.00 750.00 2,905.00 0

91 4760

14744 - EXCISION OF TUMOUR AND

RECONSTRUTION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - TRAUMA) 500.00 1,000.00 1,585.00 0

92 4762

14746 - NEOPLASIA (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA) 375.00 750.00 1,500.00 0

93 4763

14747 - CUTENEUOS - EXCOSION & PRIMARY

CLOSURE (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 870.00 0

94 4764

14748 - CUTENEUOS - EXCOSION & SPLIT SKIN

GRAFT (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 1,063.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

95 4765

14749 - CUTENEUOS - EXCOSION & WOLFE

GRAFT (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 1,118.00 0

96 4766

14750 - CUTENEUOS - EXCOSION & FLAP

COSURE (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 1,283.00 0

97 4767

14751 - CUTENEUOS - CRYSURGERY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- NEOPLASIA) 375.00 750.00 825.00 0

98 4768

14752 - CUTENEUOS - EXCISIONAL BIOPSY

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 799.00 0

99 4769

14754 - TUMOUR DEBULKING - TUMOUR

DEBULKING (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 250.00 500.00 1,000.00 0

100 4770

14755 - INTRAORAL SOFT TISSU - EUA +

BIOPSY (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 799.00 0

101 4771

14756 - INTRAORAL RESECTION - AXCISION

OF TUMOUR (UNSPEC) (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 1,500.00 0

102 4772

14757 - INTRAORAL RESECTION - PALATE

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 980.00 0

103 4773

14758 - INTRAORAL RESECTION - BIOPSY

TONGUE / FLOOR OF MOUTH (KOS RAWATAN

DI BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 870.00 0

104 4774

14759 - INTRAORAL RESECTION - PARTIAL

GLOSSECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 1,365.00 0

105 4775

14760 - INTRAORAL RESECTION - TOTAL

GLOSSECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 2,575.00 0

106 4776

14761 - INTRAORAL RESECTION - FLOOR OF

MOUTH (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 870.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

107 4777

14762 - INTRAORAL RESECTION -

DESTUCTION OF LESION FOM LASER

EXCISION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 980.00 0

108 4778

14763 - BONE MANDIBLE -

MANDIBULOTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 1,063.00 0

109 4779

14764 - BONE MANDIBLE - MANDIBULAR RIM

RESECTION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 1,118.00 0

110 4780

14765 - BONE MANDIBLE - SEGMENTAL

MANDIBULECTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 1,200.00 0

111 4781

14766 - BONE MANDIBLE -

HEMIMANDIBULECTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 2,905.00 0

112 4782

14767 - BONE MANDIBLE - SUBTOTAL

MANDIBULECTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 1,063.00 0

113 4783

14768 - BONE MANDIBLE - TOTAL

MAXILLECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 1,750.00 0

114 4785

14770 - BONE MAXILLARY - MAXILLARY

DECORTICATION / ALVEOLECTOMY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- NEOPLASIA) 150.00 300.00 980.00 0

115 4786

14776 - BONE MANDIBLE - BONE BIOPSY

MANDIBLE (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 799.00 0

116 4787

14771 - BONE MAXILLARY -

HEMIMAXILLECTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 1,585.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

117 4788

14772 - BONE MAXILLARY - PASTIAL

MAXILLECTOMY / FENESTRATION (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- NEOPLASIA) 375.00 750.00 1,503.00 0

118 4790

14773 - BONE MAXILLARY - TOTAL

MAXILLECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 2,245.00 0

119 4791

14774 - BONE MAXILLARY - ORBITAL

EXENTERATION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 1,970.00 0

120 4792

14775 - BONE MAXILLARY - BONE BIOPSY

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 799.00 0

121 4793

14777 - PAROTID - SUPERFICAL

PAROTIDECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 200.00 400.00 1,970.00 0

122 4794

14778 - PAROTID - PAROTID BIOPSY (OPEN)

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 250.00 500.00 898.00 0

123 4795

14779 - PAROTID - TOTAL CONSERVATIVE

PAROTIDECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 250.00 500.00 2,245.00 0

124 4796

14780 - PAROTID - TOTAL RADICAL

PAROTIDECTOMY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 250.00 500.00 2,245.00 0

125 4797

14781 - PAROTID - NERVE RECONSTRUCTION

IN PAROTIDECTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 250.00 500.00 898.00 0

126 4798

14786 - DUCT - REPOSITIONING OF PAROTID

DUCT (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 898.00 0

127 4799

14782 - SUBMANDIBULAR - SUBMANDIBULAR

GLAND EXCISION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 250.00 500.00 980.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

128 4800

14787 - DUCT - REPOSITIONING OF

SUBMANDIBULAR DUCT (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 898.00 0

129 4801

14783 - SUBLINGUAL - EXCISION OF

SUBLINGUAL GLAND (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 980.00 0

130 4802

14784 - SUBLINGUAL - OTHER SUBLINGUAL

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - NEOPLASIA) 375.00 750.00 980.00 0

131 4803

14785 - MINOR GLAND - EXCISION OF MINOR

SALIVARY TUMOUR (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 898.00 0

132 4804

14788 - GIANT CELL - EXCISION OF GIANT

CELL LESION (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - NEOPLASIA) 375.00 750.00 898.00 0

133 4805

14789 - FIBRO - OSSEOUS - EXCISION OF

FIBRO - OSSEOUS LESION (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA -

NEOPLASIA) 375.00 750.00 1,500.00 0

134 4806

14790 - AMELOBLASTOMA - EXCISION (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- NEOPLASIA) 375.00 750.00 1,500.00 0

135 4807

14791 - E. ORTHOGNATHIC SURGERY (PER

JAW) (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA) 1,000.00 2,000.00 2,905.00 0

136 4808

14792 - THIRD MOLARS - SIMPLE

EXTRACTION / ELEVATION OF 18, 28 (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 100.00 200.00 716.00 0

137 4809

14793 - THIRD MOLARS - SURGICAL

REMOVAL OF 38 , 48 (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - MINOR) 200.00 400.00 958.00 0

138 4810

14794 - THIRD MOLARS - THIRD MOLAR

TRANSPLANTATION (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - MINOR) 200.00 400.00 1,123.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

139 4811

14795 - THIRD MOLARS - MULTIPLE

SURGICAL REMOVAL (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - MINOR) 250.00 500.00 958.00 0

140 4812

14796 - OTHER TEETH - SIMPLE EXTRACTION

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 100.00 200.00 716.00 0

141 4814

14797 - OTHER TEETH - SURGICAL REMOVAL

OF RETAIN ROOT (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 200.00 400.00 958.00 0

142 4815

14798 - OTHER TEETH - TRANSPLANTATION

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 200.00 400.00 1,123.00 0

143 4816

14799 - OTHER TEETH - EXPOSURE (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 200.00 400.00 716.00 0

144 4817

14800 - OTHER TEETH - FULL CLEARANCE

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 200.00 400.00 980.00 0

145 4818

14801 - APICECTOMY - APICECTOMY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 200.00 400.00 859.00 0

146 4819

14802 - APICECTOMY - APICECTOMY +

RETROGADE ROOT FILLING (KOS RAWATAN

DI BAWAH GENERAL ANAESTHESIA - MINOR) 200.00 400.00 865.00 0

147 4820

14803 - APICECTOMY - APICECTOMY + CYST /

GRANULOMA ENUCLEATION (KOS RAWATAN

DI BAWAH GENERAL ANAESTHESIA - MINOR) 200.00 400.00 881.00 0

148 4821

14804 - APICECTOMY - ROOT CANAL

THERAPY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 200.00 400.00 969.00 0

149 4822

14805 - CYST - ENUCLEATION CYST (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 250.00 500.00 936.00 0

150 4823

14806 - CYST - MARSUPIALISATION OF CYST

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 250.00 500.00 936.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

151 4830

14813 - FIXED APPLIANCE (KOS RAWATAN

DIBAWAH LOCAL ANAESTHESIA-

ORTHODONTICS) 1,250.00 2,500.00 2,750.00 0

152 4831

14814 - REMOVABLE APPLIANCE

(ORTHODONTICS) 75.00 150.00 377.00 0

153 4832

14816 - SALIVARY (MINOR) - EXCISION OF

MUCOCELE (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 100.00 200.00 400.00 0

154 4833

14817 - SALIVARY (MINOR) - BIOPSY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 100.00 200.00 870.00 0

155 4837

14821 - ANTRUM - CALDWELL LUC (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 250.00 500.00 870.00 0

156 4838

14822 - ANTRUM - ANTROSTOMY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 250.00 500.00 980.00 0

157 4839

14823 - ANTRUM - REMOVAL OF TOOTH

FROM ANTRUM (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 250.00 500.00 898.00 0

158 4840

14824 - ANTRUM - WASHOUT / IRRIGATION

AND DRAINAGE (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 100.00 200.00 898.00 0

159 4844

14827 - PERIODONTAL - GINGIVECTOMY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 250.00 500.00 898.00 0

160 4845

14828 - PERIODONTAL - REPOSITIONED FLAP

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 250.00 500.00 898.00 0

161 4846

14829 - PERIODONTAL - GINGIVOPLASTY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 250.00 500.00 898.00 0

162 4847

14830 - PERIODONTAL - MUSCOSAL GRAFT

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 250.00 500.00 898.00 0

163 4848

14831 - PERIODONTAL - BONE

REGENERATION TECHNIQUES (KOS RAWATAN

DI BAWAH GENERAL ANAESTHESIA - MINOR) 250.00 500.00 678.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

164 4849

14832 - SOFT TISSUE - FRENECTOMY (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 125.00 250.00 898.00 0

165 4850

14833 - SEQUESTRECTOMY - BONE

SEQUESTRECTOMY (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - MINOR) 200.00 400.00 980.00 0

166 4851

14834 - IMPLANTOLOGY - IMPLAN

INTRAORAL OSSEOUS INTEGRATED . 1ST

STAGE (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 150.00 300.00 1,063.00 0

167 4852

14835 - IMPLANTOLOGY - IMPLAN

EXTRAORAL OSSEOUS INTEGRATED . 1ST

STAGE (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 150.00 300.00 1,063.00 0

168 4853

14836 - IMPLANTOLOGY - IMPLAN

INTRAORAL OSSEOUS INTEGRATED . 2ND

STAGE (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 150.00 300.00 678.00 0

169 4854

14837 - IMPLANTOLOGY - IMPLAN

EXTRAORAL OSSEOUS INTEGRATED . 2ND

STAGE (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 150.00 300.00 678.00 0

170 4855

14838 - IMPLANTOLOGY - IMPLAN OTHER

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 150.00 300.00 678.00 0

171 4857 14840 - REVIEW (OTHERS / MATERIALS) 5.00 10.00 78.00 0

172 4858

14841 - ULTRASOUND THERAPY (OTHERS /

MATERIALS) 25.00 50.00 138.00 0

173 4860

14843 - PROFESSIONAL FLUORIDE

APLICATION - APF / NAF (OTHERS /

MATERIALS) 10.00 20.00 94.00 0

174 4861

14844 - PROFESSIONAL FLUORIDE

APLICATION - DURAPHAT / VARNISH (OTHERS

/ MATERIALS) 10.00 20.00 94.00 0

175 4862

14845 - TOOTH MOUSSE (OTHERS /

MATERIALS) 40.00 80.00 88.00 0

176 4863

14846 - OPTION PIEZOSURGERY (OTHERS /

MATERIALS) 75.00 150.00 299.00 0

177 4864

14847 - OPTION - LASER (OTHERS /

MATERIALS) 75.00 150.00 344.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

178 4865

14848 - AIR ABRASION (KOS RAWATAN

DIBAWAH LOCAL ANAESTHESIA-OTHERS /

MATERIALS) 25.00 50.00 189.00 0

179 4866

14849 - TEETH WHITENING (EX MATERIAL

COST) (OTHERS / MATERIALS) 100.00 200.00 741.00 0

180 4867

14850 - SOFT SPLINT - PER SPLINT (OTHERS /

MATERIALS) 50.00 100.00 976.00 0

181 4868

14851 - HARD SPLINT - PER SPLINT (OTHERS /

MATERIALS) 75.00 150.00 976.00 0

182 4869

14852 - PREFABRICATED SPLINT - PER SPLINT

(OTHERS / MATERIALS) 125.00 250.00 976.00 0

183 4871 14815 - RETAINER (ORTHODONTICS) 75.00 150.00 377.00 0

184 4872

14854 - TRAINER FOR BRACES

(ORTHODONTICS) 75.00 150.00 377.00 0

185 4873

14855 - TRANSPALANTAL APPLIANCE

(ORTHODONTICS) 75.00 150.00 377.00 0

186 4874

14856 - QUAD HELIX APPLIANCE

(ORTHODONTICS) 75.00 150.00 377.00 0

187 4875

14857 - CROWN - PER CROWN (EX .

MATERIAL COST) (PROSTHODONTICS) 75.00 150.00 1,088.00 0

188 4876

14858 - BRIDGE - PER UNIT (EX . MATERIAL

COST) (PROSTHODONTICS) 75.00 150.00 1,088.00 0

189 4877

14859 - VENEER - PER VENEER (EX .

MATERIAL COST) (PROSTHODONTICS) 100.00 200.00 674.00 0

190 4878 14860 - POST AND CORE (PROSTHODONTICS) 25.00 50.00 100.00 0

191 4879

14861 - RECEMENT CROWN / BRIDGE /

VENEER (PROSTHODONTICS) 25.00 50.00 111.00 0

192 4880

14862 - OBTURATOR : BASE

(PROSTHODONTICS) 50.00 100.00 200.00 0

193 4881

14863 - OBTURATOR : CLASP - EACH

(PROSTHODONTICS) 5.00 10.00 111.00 0

194 4882

14864 - OBTURATOR : REST - EACH

(PROSTHODONTICS) 5.00 10.00 111.00 0

195 4883

14865 - OBTURATOR : TOOTH - EACH

(PROSTHODONTICS) 10.00 20.00 111.00 0

196 4884

14866 - DENTURE : BASE - CO - CR

(PROSTHODONTICS) 175.00 350.00 586.00 0

197 4885

14867 - DENTURE : CLASP - EACH

(PROSTHODONTICS) 5.00 10.00 111.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

198 4886

14868 - DENTURE : REST - EACH

(PROSTHODONTICS) 5.00 10.00 111.00 0

199 4887

14869 - DENTURE : TOOTH - EACH

(PROSTHODONTICS) 10.00 20.00 111.00 0

200 4888

14870 - REPAIR : REPLACE METAL HOUSING

(MINI DENTAL IMPLANT) (PROSTHODONTICS) 25.00 50.00 211.00 0

201 4889

14871 - REPAIR : REPLACE O - RING (MINI

DENTAL IMPLANT) (PROSTHODONTICS) 50.00 100.00 211.00 0

202 4890

14872 - REPAIR : RELINE DENTURE

(PROSTHODONTICS) 25.00 50.00 211.00 0

203 4891

14873 - REPAIR : REBASE DENTURE

(PROSTHODONTICS) 35.00 70.00 211.00 0

204 4892

14874 - REPAIR : REPLACE DENTURE TOOTH -

EACH (PROSTHODONTICS) 10.00 20.00 134.00 0

205 4893

14875 - INTRAORAL XRAY - PERIAPICAL

(DIAGNOSTICS) 17.50 35.00 247.00 0

206 4894

14876 - INTRAORAL XRAY - BITEWING

(DIAGNOSTICS) 17.50 35.00 247.00 0

207 4895

14877 - INTRAORAL XRAY - OCCLUSAL

(DIAGNOSTICS) 25.00 50.00 251.00 0

208 4897

14879 - COAGUCHEK - INR TESTING

(DIAGNOSTICS) 5.00 10.00 11.00 0

209 4898

14880 - TOOTH DESENSITIZATION - PER

TOOTH (CONSERVATIVE DENTISRY) 15.00 30.00 244.00 0

210 4899

14881 - STAINLESS STEEL CROWN / STRIP

CROWN - PER CROWN (CONSERVATIVE

DENTISRY) 50.00 100.00 344.00 0

211 4901

14883 - PULPOTOMY - PER TOOTH

(CONSERVATIVE DENTISRY) 25.00 50.00 289.00 0

212 4902 14884 - ONLAY (CONSERVATIVE DENTISRY) 50.00 100.00 406.00 0

213 4903

14885 - OCCULUSAL ADJUSTMENT

(CONSERVATIVE DENTISRY) 25.00 50.00 133.00 0

214 4904

14886 - FISSURE SEALANT - PER TOOTH

(CONSERVATIVE DENTISRY) 17.50 35.00 222.00 0

215 4905

14887 - FILLING ADJUSTMENT - PER FILLING

(CONSERVATIVE DENTISRY) 15.00 30.00 133.00 0

216 4906

14888 - ATRAUMATIC RESTORATIVE

TREATMENT - PER TOOTH (CONSERVATIVE

DENTISRY) 25.00 50.00 244.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

217 4907

14889 - SCALING AND POLISHING - PER

TREATMENT (PERIODONTICS) 25.00 50.00 255.00 0

218 4908

14890 - ROOT DEBRIMENT - PER TOOTH

(PERIODONTICS) 50.00 100.00 366.00 0

219 4909

14891 - PERIODONTAL SURGERY (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 200.00 400.00 495.00 0

220 4910

14892 - COMPLEX FILLING - PER TOOTH

(CONSERVATIVE DENTISTRY) 37.50 75.00 150.00 0

221 4923

14900 - RECEMENT INLAY / ONLAY

(CONSERVATIVE DENTISTRY) 25.00 50.00 298.00 0

222 4924

14901 - DRESSING (CONSERVATIVE

DENTISTRY) 15.00 30.00 200.00 0

223 4926

14903 - TRIGEMINAL NEURALGIA -

CRYOSURGERY (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 250.00 500.00 1,000.00 0

224 4928 14905 - GOLD CHAIN (OTHERS / MATERIALS) 100.00 200.00 220.00 0

225 4929

14906 - ABSCESS DRAINAGE - INCISION &

DRAINAGE I/O (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 100.00 200.00 870.00 0

226 4930

14907 - ABSCESS DRAINAGE - INCISION &

DRAINAGE E/O (KOS RAWATAN DI BAWAH

GENERAL ANAESTHESIA - MINOR) 100.00 200.00 870.00 0

227 4931

14908 - ABSCESS DRAINAGE - EXPLORATION

OF TISSUE SPACES & DRAINAGE (KOS

RAWATAN DI BAWAH GENERAL ANAESTHESIA

- MINOR) 100.00 200.00 870.00 0

228 4934

14912 - COMPREHENSIVE - DENTAL CARE

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 250.00 500.00 1,000.00 0

229 4935

14914 - ZYGOMA - OTHER - OPEN

REDUCTION ZYGOMA (OTHER TECHNIQUE)

(KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TRAUMA) 375.00 750.00 1,500.00 0

230 4943

14916 - PROSTHESIS - PROSTHESIS GLENOID

FOSSA (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TMJ) 250.00 500.00 1,118.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

231 4944

14917 - PROSTHESIS - PROSTHESIS CONDYLE

HEAD (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - TMJ) 250.00 500.00 1,118.00 0

232 4945

14918 - OTHER TEETH - SURGICAL REMOVAL

CANINE (KOS RAWATAN DI BAWAH GENERAL

ANAESTHESIA - MINOR) 200.00 400.00 958.00 0

233 4948 14921 - DEXTROSE STICK (DIAGNOSTICS) 2.50 5.00 6.00 0

234 4949

14922 - ANTRUM - OROANTRAL FISULA

REPAIR PALATAL FLAP (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - MINOR) 250.00 500.00 1,200.00 0

235 4950

14923 - ANTRUM - OROANTRAL FISULA

REPAIR BUCCAL FLAP (KOS RAWATAN DI

BAWAH GENERAL ANAESTHESIA - MINOR) 250.00 500.00 755.00 0

236 4990

14957 - CONE BEAM COMPUTED

TOMOGRAPHY (CBCT) 100.00 200.00 458.00 0

237 6259

15991 - EXTRACTION - 5-10 TOOTH (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 60.00 120.00 344.00 0

238 6261

15993 - EXTRACTION - 11-20 TOOTH (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 100.00 200.00 344.00 0

239 6265

15995 - EXTRACTION - > 20 TOOTH (ORAL

SURGERY UNDER LOCAL ANAESTHESIA) 125.00 250.00 344.00 0

240 6284

16016 - SIMPLE FILLING - AMALGAM PER

SURFACE/ PER TOOTH (CONSERVATIVE

DENTISTRY) 15.00 30.00 342.00 0

241 6285

16017 - COMPLEX FILLING - AMALGAM PER

SURFACE/ PER TOOTH (CONSERVATIVE

DENTISTRY) 30.00 60.00 342.00 0

242 6286

16018 - SIMPLE FILLING - COMPOSITE PER

SURFACE/ PER TOOTH (CONSERVATIVE

DENTISTRY) 30.00 60.00 342.00 0

243 6287

16019 - COMPLEX FILLING - COMPOSITE PER

SURFACE/ PER TOOTH (CONSERVATIVE

DENTISTRY) 60.00 120.00 342.00 0

244 6288

16020 - SIMPLE FILLING - GLASS IONOMER

(GIC) PER SURFACE/ PER TOOTH

(CONSERVATIVE DENTISTRY) 25.00 50.00 342.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

245 6289

16021 - COMPLEX FILLING - GLASS IONOMER

(GIC) PER SURFACE/ PER TOOTH

(CONSERVATIVE DENTISTRY) 40.00 80.00 342.00 0

246 6295

16022 - TEMPORARY FILLING

(KALZINOL/CAVIT) (CONSERVATIVE

DENTISTRY) 15.00 30.00 200.00 0

247 6297

16023 - COMPOSITE SPLINT PER TOOTH

(CONSERVATIVE DENTISTRY) 25.00 50.00 355.00 0

248 6298

16024 - REMOVE ARCH BAR (ORAL SURGERY

UNDER LOCAL ANAESTHESIA) 25.00 50.00 366.00 0

249 6299

16025 - PORCELAIN FUSED TO METAL

CROWN (PFM) (PROSTHODONTICS) 175.00 350.00 1,088.00 0

250 6300

16026 - PFM IMPLANT CROWN

(PROSTHODONTICS) 250.00 500.00 1,088.00 0

251 6301

16027 - FULL CERAMIC CROWN

(PROSTHODONTICS) 400.00 800.00 1,088.00 0

252 6302

16028 - FULL CERAMIC IMPLANT CROWN

(PROSTHODONTICS) 500.00 1,000.00 1,262.00 0

253 6310

16032 - BRIDGE PONTIC PFM

(PROSTHODONTICS) 175.00 350.00 1,088.00 0

254 6311

16033 - BRIDGE PONTIC CERAMIC

(PROSTHODONTICS) 250.00 500.00 1,088.00 0

255 6312

16034 - POST AND CORE: CUSTOMIZED CORE

(PROSTHODONTICS) 75.00 150.00 421.00 0

256 6313

16035 - POST AND CORE: PRE-FABRICATED

(METAL) (PROSTHODONTICS) 50.00 100.00 421.00 0

257 6314

16036 - POST AND CORE: NAYA CORE

(AMALGAM) PER CANAL (PROSTHODONTICS) 35.00 70.00 366.00 0

258 6315

16037 - OBTURATOR : BASE ACRYLIC

(PROSTHODONTICS) 75.00 150.00 531.00 0

259 6316

16038 - OBTURATOR : BASE CO-CR

(PROSTHODONTICS) 250.00 500.00 732.00 0

260 6317

16039 - SURGICAL PLATE-PARTIAL

(PROSTHODONTICS) 50.00 100.00 421.00 0

261 6318

16040 - SURGICAL PLATE- ADD CLASP

(PROSTHODONTICS) 5.00 10.00 111.00 0

262 6319

16041 - SURGICAL PLATE- FULL

(PROSTHODONTICS) 75.00 150.00 421.00 0

263 6320

16042 - SURGICAL PLATE- TOOTH ADDED

(PER TOOTH) (PROSTHODONTICS) 10.00 20.00 111.00 0

NoID

ChargeItem Charge Code / Name

Senior Citizen

(RM)

Normal

(RM)

Non-Citizen

(RM)

JKM

(RM)

264 6321 16043 - DENTURE : BASE - ACRYLIC 50.00 100.00 531.00 0

265 6322

16044 - FULL DENTURE : PER JAW

(PROSTHODONTICS) 125.00 250.00 531.00 0

266 6323

16045 - SOFT SPLINT-PER JAW

(PROSTHODONTICS) 25.00 50.00 211.00 0

267 6324

16046 - HARD SPLINT-PER JAW

(PROSTHODONTICS) 40.00 80.00 211.00 0

268 6325

16047 - SLEEP APNOEA APPLIANCE BOTH JAW

(PROSTHODONTICS) 150.00 300.00 567.00 0

269 6326 16048 - TRISMUS SCREW-SMALL 25.00 50.00 211.00 0

270 6330

16049 - TRISMUS SCREW-MEDIUM

(PROSTHODONTICS) 37.50 75.00 211.00 0

271 6331

16050 - TRISMUS SCREW-LARGE

(PROSTHODONTICS) 50.00 100.00 211.00 0

272 6332

16051 - FACIAL PROSTHESIS-SMALL DEFECT

(PROSTHODONTICS) 125.00 250.00 476.00 0

273 6333

16052 - FACIAL PROSTHESIS-MEDIUM DEFECT

(PROSTHODONTICS) 175.00 350.00 476.00 0

274 6334

16053 - FACIAL PROSTHESIS-LARGE DEFECT

(PROSTHODONTICS) 250.00 500.00 732.00 0

275 6335

16054 - OCULAR PROSTHESIS (EYE GLOBE)

(PROSTHODONTICS) 75.00 150.00 311.00 0

276 7994

14956 - ROOT CANAL TREATMENT - MOLAR

(CONSERVATIVE DENTISTRY) 100.00 200.00 454.00 0

277 8051

17748 - SILICONE ADHESIVE FOR FACIAL

PROSTHESIS 15.00 30.00 33.00 0

278 8375 17867 - DISTRACTION OSTEOGENESIS 500.00 1,000.00 1,118.00 0

279 8467 17926 - MOLAR BRACKET (ORTHODONTICS) 40.00 80.00 166.00 0