ࡱ> /eh6789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcd_ vPbjbj"bbnx x tnnn6 &inVd&&X~~~Y. MMMMMMM@Y[hMpYYppM~~V   pd~~M pM  {HM~{VBjsJ8MV0VJZ\x Z\pMZ\M0' 9[MM$ pVppppZ\x H :  *2#1  33 *2#1  +%12#A%0A'4 2#@4H2C IH2"2!-1#2H2#42#*22#*8@7H-C I*3+#12#@4H2" H2#1)2"22%C*2"22%-2#2 2# A'22#42#2@#5"@5"#2"2##42##1)2"22%-*2"22% 1#2"2#2!#02(#0#'2#%1 @#7H- -1#2H2#42#*22#*8 @7H-C I*3+#12#@4H2"H2#1)2"22%C*2"22%-2#2 2# #2"2#-1#2H2#42#*22#*8 - +!'5H 1 H2+I-A%0H2-2+2# - +!'5H 2 H2-'1"'0@5"!A%0-8#LC2#31#1)2B# - +!'5H 3 H2"2A%0*2#-2+2#2@*I@%7- - +!'5H 4 H2"2%1I2 - +!'5H 5 H2@'  1L5H!4C H"2 - +!'5H 6 H2#42#B%+4A%0*H'#0--B%+4 - +!'5H 7 H2#''44 1"2@42#A"LA%0"24'4"2 - +!'5H 8 H2#''44 1"A%0#1)22#1*5'4"2 - +!'5H 9 H2#''44 1"B"'454@()-7HF - +!'5H 10 H2-8#L-C IA%0@#7H-!7-22#A"L - +!'5H 11 H23+12#A%0'4*1  5 - +!'5H 12 H2#42#22#"22% - +!'5H 13 H2#42#21##! - +!'5H 16 H2#42#-7HF 5HD!H@5H"'12##1)2"22%B"# #2"2#AI2": H2#'*8 2#035 !2#2+I- ICU -*2"22%#014" 9!4 +%12#A%0A'4 C2#13-1#2H2#42#*22#*8@7H-C I*3+#12#@4H2"H2#1)2"22%C*2"22%-2#2 2# #0#'2#%1B"#!1  5%2DI13B"-2(1"I-!9%5H#0#'*22#*8C IC2#3+-1#2H2#42#-*2#42#*22#*8C*11#0#'*22#*8 .(. 2547 @G2C2#3' @7H-2!5'2!#-%8! A%0DI@ 4 9IA2*2"22%C*11H2F 6HDIAH *2"22%C*11B#@#5"A"L #0#'%2B+! #0#'*22#*8 @I2#H'!42#2I'" B"-1#2H2#42#1%H2' #0-I'" 1. I8A#2 (Labor Cost: LC) 4@ 20H2-A5H@G@4-#0!2 B"4C-1#2#I-"%0 50 2I8A#2-#0#'*22#*8 2. I8'1*8 (Material Cost: MC) 42'1*85H*2"22%I-C IC2#C+I#42#C4##!1IF 3. I8#8 1L *4HH-*#I2 (Capital Cost: CC) 42H2@*7H-!#22-@#7H-!7-A"LA%0-22#5HC IC2#C+I#42#C4##!1IF B"@#7H-!7-A"L4H2@*7H-!#222!-2"82#C I2-@#7H-!7-AH%0#0@  *H'-22#*4HH-*#I24H2@*7H-!#222-2"82#C I2 25 5 4. I8H2#4+2#12# (Overhead Cost) 42#I-"%0 20 -I8#'! LC, MC A%0 CC 6H@GI82# H2#4+2#12#@GI82-I-!5H@422#C I#1"2##H'!1-8ACB#"22% @ H H2*22#9B  6H4C2#3'0I-!52##02"I8 (1*H') 2+H'"*1*88+H'"@I2*9H+H'"%4AH%0+H'"@G*1*H'2! 1H'B!2#32 4##! A%0C#55HD!H*2!2##02"I8DI2!5HC I#4 *2!2#42I82#DI 5. I82#12 (Future Development Cost) @G3D#@7H-C IC2#12 05I4C-1#2#I-"%0 20-25 -I8#'! LC, MC, CC A%0 Overhead Cost (6I1B"2" 6H-2!52#@%5H"A%DI) *3+#1H2"2C+I@4H2"B"'@4H! (Mark up) @G1I (Step) @7H-'2!@+!20*!2#22I8H-+H'" @7H-2C2#4-1#2H2#42#DI#'!I8A%03D#D'IA%I' 6D!H3@GI-33D#2H2"2D-8+8H2#42##2"2#-7H 2#@4H2C IH2"2!-1#2H2#42#*22#*8@7H-C I*3+#12#@4H2" H2#1)2"22%C*2"22%-2#2 2# -1#2H2#42#*22#*8@7H-C I*3+#12#@4H2"H2#1)2"22%C*2"22%-2#2 2# AH--@G 16 +!' 2!2#3A+!'#2"H2"#0@ 9IH'"C 6HDIAH +!'5H 1 H2+I-A%0H2-2+2# +!'5H 2 H2-'1"'0@5"!A%0-8#LC2#31#1)2B# +!'5H 3 H2"2A%0*2#-2+2#2@*I@%7- +!'5H 4 H2"2%1I2 +!'5H 5 H2@'  1L5H!4C H"2 +!'5H 6 H2#42#B%+4A%0*H'#0--B%+4 +!'5H 7 H2#''44 1"2@42#A"LA%0"24'4"2 +!'5H 8 H2#''44 1"A%0#1)22#1*5'4"2 +!'5H 9 H2#''44 1"B"'454@()-7HF +!'5H 10 H2-8#L-C IA%0@#7H-!7-22#A"L +!'5H 11 H23+12#A%0'4*1  5 +!'5H 12 H2#42#22#"22% +!'5H 13 H2#42#21##! +!'5H 14 H2#42#22" 231A%02@' ##!7I9 +!'5H 15 H2#42#1@G!A%0H2#42#2#C+I2#31-9I#0-B#(4%0-7H +!'5H 16 H2#42#-7HF 5HD!H@5H"'12##1)2"22%B"# 2#@4H2C IH2"2!+!'1%H2' 1. H2C IH2"C+!'5H 1 A%0 2 7- H2+I-A%0H2-2+2# A%0H2-'1"'0@5"!A%0-8#LC2#31#1)2B#1I *H'5H@4DI +!2"6 3'@45HD!H@4-1#25H#0#'2#%13+ *H'5H@4D!HDI +!2"6 3'@4*H'5H@4'H2-1#2#0#'2#%13+C+I@4DI (9I!5*44I-#14 -H2C IH2"*H'5I@-) 2. H2C IH2"C+!'5H 3 6 12 ("@'I+!'5H 11 #2"2#+12#C+I-H21) C+I@4DI2!#2"2# -1#2 A%0+%1@L5H3+ *3+#1H2#42##2"2#C5H!5'2!3@GI-C IC2#31#1)2AHD!H-"9HC#2"2#5H#0#'2#%13+ C+I@4H2"15I 2.1 #2"2#C5H*2!2#@5"@5"1#2"2#5H!5%1)0C%I@5"1 C+I@4C-1#2H2#42##2"2#5H!5%1)0C%I@5"1 2.2 #2"2#C5HD!H*2!2#@5"#2"2#5H!5%1)0C%I@5"DI C+I@42!-1#25H*2"22%@#5"@GC5 2548 A%03@42#2!5H#0#'2#%13+ 1I5I -1#2C5HD!HDI#08'H29I!5*44I-!5*H'#H'!H2" !4C+I*2"22%@#5"@G@4H! 3. H2C IH2"C+!'5H 11 @ 20#2"2#+12#C+I-H21 C+I@4H2"DI2!-1#25H*2"22%@#5"@GC5 2548 B"*2"22%0I-4-1#2H2#42#2!+%1@L5H3+C#2"2#+12#C+I-H21 +I2 11-15 4. H2C IH2"C+!'5H 13 H2#42#21##! C+I@4DI2!#2"2# -1#2 A%0+%1@L5H3+ -@+7-25I@G*H'5H@4D!HDI (9I!5*44I-#14 -H2C IH2"@-) 5. *3+#1H2C IH2"C+!'5H 8 I2H2#42##1*5#1)2 +!'5H 14 A%0 15 0#02(#2"2# -1#2 A%0+%1@L5H3+C+I#2H-D *H'H2C IH2"C+!'5H 16 7- H2#42#-7HF 5HD!H@5H"'12##1)2"22%B"# @G*H'5H@4D!HDI1I+!' (9I!5*44I-#14 -H2C IH2"@-) 6. 2#@4H2C IH2"C2##'*8 2#035 C+I@GD2!5H#0#'2#%13+C#2"2#AI2"#02( 7. 2#@4H2#42#"22%1H'D ICU (#014" 9!4) +2*2"22%CC+I#42#2!!2#25H3+D'IC#2"2#AI2"#02( C+I-3'2!%1#0#'2#%1@G#2"#5C2#@4H2"-1#2 1,000 2 A'22#42#2@#5"@5"#2"2##42##1)2"22%-*2"22%1#2"2#2!#02(#0#'2#%1 @#7H- -1#2H2#42#*22#*8 @7H-C I*3+#12#@4H2"H2#1)2"22%C*2"22%-2#2 2# @7H-22#3+ 7H-#2"2##42##1)2"22%C#02(#0#'2#%1 @#7H- -1#2H2#42#*22#*8@7H-C I*3+#12#@4H2"H2#1)2"22%C*2"22%-2#2 2# -20H-6#0@ +#7-%1)0-2##''44 1"A%0%%1L-2##1)2"22%A%I' "1-2!5I-'2!5HH6 '452# @4 @#7H-!7- +#7-'1*8-8#L5HC II'" 11I @7H-C+IAH%0*2"22%*2!2#42#2@#5"@5"#2"2##42#/ 5H3@42#-"9HC181 +#7-3+#2"2##42#/ DI-"H29I- A%0#11#2"2#-1#2H2#42#/ 2!#02(5I 6-3+A'2C2#42#2 15I 1. #2"2#5H!5 7H-@#5"H21AH!5'2!+!2"@5"'1 (Synonym, Acronym A%0 Eponym) C+I7-'H2@G#2"2#@5"'1 *2!2#C I#2"2#1IDIB"D!HI-@5"@5" @ H 2##' Anti-Scl-70 A%0 Anti-topoisomerase I 7-@G2##'*4H@5"'1 1I5I C2#42#2'H2#2"2#C!5'2!+!2"@5"'10I-42#26'452# @4 @#7H-!7- A%0'1*8-8#L5HC II'" @#200!5%H-#0*44 22##1)2"22%A%0!5 2'0A# I-H-9IH'"D!H@+!7-1 +#7-!5%H-'2!%0@-5"+#7-'2!A!H"3-2##'AH21 11I #2"2#5H!5@I2+!2"5H%%1L@5"'1AHC I'452# @4 /%/ 5HAH21 A%0C+I%H2-"H2!51"*31  D!H-27-@G#2"2#@5"'1DI 2. +22#42#22!I- 1 A%I'#2'H2D!H@G#2"2#@5"'1 C+I*2"22%*H#2"2#A%0I-!9%-7H5H@5H"'I-D"1*312%2*2#*@(#42#*8 2 (**.) @7H--C+I42#2'H20C+I@4H2"C-1#25H@5"@5"1#2"2#C5H!5-"9HA%I' (@5"@5"DI) +#7-2!-1#25H*2"22%@#5"@GC5 2548 #5#2"2#C#02(/ D!HDI#08 @4 '452# /%/ D'I *2"22%-2@%7-3@42# 15I 2.1 3+C+I@G#2"2#@5"'11#2"2#2!#02( A%0C I#2"2#1%H2' +#7- 2.2 *H#2"2##I-!I-!9%5H@5H"'I-D"1 **. @7H--C+I42#2@#5"@5"#2"2#5H!5%1)0C%I@5" C#55H*2"22%@+G'H2#42#1%H2'-*2"22%!5'2!AH2 -1@7H-!22@4 '452# /%/ @ 20 3. #2"2##42##1)2"22%5HC+I%%1LH21 +#7-@G2##'H2 4H2'4511#2"2#5H!5-"9HC#02(/ 1@G#2"2#5HD!H*2!2#@5"@5"DI C+I@4H2"2!-1#25H*2"22%@#5"@GC5 2548 #I-!1I*H#2"2##'!6I-!9%5H@5H"'I-D"1 **. @7H-#'#'!@*-C+I#0#'2#%13+@G#2"2#C+!HH-D -6H (1L5HC IC22#A"L!5'2!+%2+%2"!2 '4542#25I6@G@5"A'2'I2F C+I*2"22%C I@#5"@5"+#7-3+-1#2H2#42#/ *3+#1#2"2#*H'C+ HDIB"D!H@4I-4%2 *3+#1#2"2#C5H!5'2! 1 I-!2 +#7-D!H*2!2# 5I 1DI'H20@G2##42##1)2"22%C#0@ +#7-%1)0C C+I*2"22%*H#2"2#5H!5I-**1"D"1 **. @7H-42#2H-D #2"2#-1#2H2#42#*22#*8@7H-C I*3+#12#@4H2"H2#1)2"22% C*2"22%-2#2 2# +!'5H 1 H2+I-A%0H2-2+2# H2+I-A%0H2-2+2# +!2"6 H2+I-+#7-H2@5"*2!1 #'!-2+2# *3+#19IH'"05H1#1)2C*2"22% H2-2+2# +!2"6 1. -2+2#4 2. -2+2#2*2""2 (-2+2#@+%'5HC+I9IH'"H22*2""2) 3. -2+2#22#A"L5HC+I22+#7-*2""2 (-2+2#5H6I0@5"1 -.". @G-2+2#22#A"L) 1I5I -2+2#@*#4!5HC+I2@*I@%7- 1-"9HC+!'H2"2A%0*2#-2+2#2@*I@%7- H2+I- I.C.U. @4DIC-1#2H2+I-A%0H2-2+2# B"-8B%!'1%0 300-600 2 2!%1)0-@5" A%07I5H (@5"#'! +#7-+I-A") A%0I-D!H4H2+I-4@() H2C I-8#LC+I- I.C.U. 1-"9HC+!'H2-8#L-C IA%0@#7H-!7-22#A"L#5@GA#@4H'"C+I4H2C IH2"A"H2+22A!H +2@GA#@4D!HH'"C+I4H2C IH2"#'!1A!H %31#2"2#+H'"#22+!2"@+8#+1*#2"2#1.1@5"*2!1  '1300@4DI#H'!1H2-2+2#C#22D!H@4 300 2 2!#0@5"#0#'2#%1211011.2+I-4@()'1600@4DI#H'!1H2-2+2#C#22D!H@4 600 2 2!#0@5"#0#'2#%1212011.3@5"*1@-22#/ Ambulatory, one day treatment (#'!H22#"22%)#1I/'1100- *3+#19IH'"-5H!2C+I"2@!531 +12#5HD!H3@G I--B#"22% AHI-*1@-22#1IAH 2 1H'B!6ID - D!H#'!62#-@%7-I'"'45D@5"!21301 +%1@L2#1'1-A%0#0"0@'%2C2#@4H2+I-A%0H2-2+2# 1. 2#1@'%2C2#43''1-@7H-@4@4H2@5"*2!1 A%0H2-2+2# +#7-H2+I-A%0H2-2+2# C+I11IAH@'%25H*2"22%#11'D'I@G9IH'"C6@'%25H*2"22%3+H2"9IH'"--2*2"22% B"C+I1"5H*4*5H 1H'B!@G+6H'1 I2D!H6"5H*4*5H 1H'B!+#7-@4"5H*4*5H 1H'B! A%0*H'5HD!H6+#7-@4"5H*4*5H 1H'B!1I1DI@4+ 1H'B! C+I7-@G+6H'1 B" 1.1 H2@5"*2!1  C+I@4DID!H313''1 1.2 H2+I-4@() C+I@4DI@G#0"0@'%2D!H@4 13 '1 *H'5H@4'H21I C+I*2"22%@#5"@G29I!5*44 @'IAH#55H0##!2#A"L5H9I-3'"2#*2"22%AH1I'44 1"'H23@GI-#1)2@4'H2 13 '1 C+I@4H2+I-A%0H2-2+2#DI2!3''15H0##!2#A"L'44 1"A%0--+1*7-#1#-C+I @7H-C I#0-2#@4H2" 2. 2#1@'%2C2#43''1-1%H2' #5*2"22%#11'D'I@G9IH'" 2"CA%I'#2'H29IH'"@*5" 5'4 +#7-!5'2!3@G22#A"LI-*HH-D#12##1)2"22%  *2"22%5H!5(1" 2*9'H2C'1A#1I C+I11IAH@'%25H*2"22%#11'D'I@G9IH'" 2"C6@'%25H9IH'"@*5" 5'4 +#7-@'%25H*2"22%3+H2"9IH'"--2*2"22% I2D!H6"5H*4*5H 1H'B!A%0*H'5HD!H61I1DID!H@4+ 1H'B! C+I@4H2+I-A%0H2-2+2# 15I 2.1 H2@5"*2!1  C+I@4DID!H@4 100 2 2.2 H2+I-4@() C+I@4DID!H@4 200 2 1I5I C2#*HI-!9%@5H"'12##1)2"22%-9IH'"D"1*312%2*2#*@(#42#*8 2 (**.) C+I*2"22%%@'%25H#1A%03+H2"9IH'"C+I 1@8#1I -6H #5*2"22%#11'D'I@G9IH'" 2"CA%I' #2'H29IH'"D!HDI#12##1)2 "22%C*2"22% B"!4DI!52#3+H2"9IH'"--2*2"22% !4C+I*2"22%@4H2@5"*2!1  +#7-H2+I-4@()C H'#0"0@'%25H9IH'"D!HDI#12##1)2"22%1I 1'-"H22#1@'%2C2#43''1-@7H-@4@4H2+I-A%0H2-2+2# . *2"22%#11'9I!5*44D'I@G9IH'" 2"C '15H 1 8%2! 2548 @'%2 18.00 . A%03+H2"--2*2"22% '15H 3 8%2! 2548 @'%2 10.00 . *2"22%*2!2#@4@4H2+I-A%0H2-2+2#DI3' 2 '1 B" 18.00 . '15H 1 8%2!  18.00 . '15H 2 8%2! = 24 1H'B! = 1 '1 18.00 . '15H 2 8%2!  10.00 . '15H 3 8%2! = 16 1H'B! C+I4@G 1 '1 . *2"22%#11'9I!5*44D'I@G9IH'" 2"C '15H 1 8%2! 2548 @'%2 9.00 . A%03+H2"--2*2"22% '15H 3 8%2! 2548 @'%2 11.00 . *2"22%*2!2#@4@4H2+I-A%0H2-2+2#DI3' 2 '1 B" 9.00 . '15H 1 8%2!  9.00 . '15H 2 8%2! = 24 1H'B! = 1 '1 9.00 . '15H 2 8%2!  9.00 . '15H 3 8%2! = 24 1H'B! = 1 '1 9.00  11.00 . '15H 3 8%2! = 2 1H'B! D!H1@G'1C+!H . *2"22%#11'9I!5*44D'I@G9IH'" 2"C '15H 1 8%2! 2548 @'%2 10.00 . A%03+H2"--2*2"22% @'%2 17.00 . C'1@5"'1 *2"22%*2!2#@4@4H2+I-A%0H2-2+2#DI3' 1 '1 B" 10.00  17.00 . '15H 1 8%2! = 7 1H'B! C+I4@G 1 '1 . *2"22%#11'9I!5*44D'I@G9IH'" 2"C '15H 1 8%2! 2548 @'%2 10.00 . A%09IH'"@*5" 5'4 @'%2 15.00 . C'1@5"'1 = 5 1H'B! *2"22%*2!2#@4@4H2@5"*2!1 A%0H2-2+2#DIC-1#2 100 2 +#7-H2 +!'5H 2 H2-'1"'0@5"!A%0-8#LC2#31#1)2B# H2-'1"'0@5"!A%0-8#LC2#31#1)2B# +!2"6 H2C IH2"2!#2"2#H2-'1"'0@5"!A%0-8#LC2#31#1)2B#2!5H#0#'2#%13+ 15I - 2!+1*7-#0#'2#%1 H'5H*8 5H  0417/' 460 %'15H 24 1'2! 2547 @#7H-#0@ A%0-1#2H2-'1"'0@5"!A%0-8#LC2#31#1)2B# 3+C+I@#7H-*3+#12##08I*!-H2#0*2*!-@*I5H 10 (Vagal Nerve Stimulator) #I-!-8#L@G-8#LC2#31#1)2B#*3+#1C IC2##1)29IH'"B#%! 1 (#+1* 1201) B"C+I@4H2"C-1#2D!H@4 8%0 900,000 2 - 2!+1*7-#0#'2#%1 H'5H*8 5H  0417/' 77 %'15H 15 8! 21L 2548 @#7H-#0@ A%0-1#2H2-'1"'0@5"!A%0-8#LC2#31#1)2B# 3+#0@ A%0-1#2H2-'1"'0@5"!A%0-8#LC2#31#1)2B# B"AH--@G 10 +!' DIAH - +!'1 #0#0*2 - +!' 2 2 +9 - !9 - +!' 3 #02@4+2"C - +!' 4 +1'CA%0+%-@%7- - +!' 5 2@4-2+2# - +!' 6 2@41**2'0 A%0*718L - +!' 7 #09 I-H- %I2!@7I- @*I@-G - +!' 8 '1*8/-8#LI2@' (2*#L7I9 - +!' 9 -7HF - +!''1*8*4I@%7-5H@G'1*822#A"L 1I5I C+I*H'#2 2##2A%07-4142!%1)0I-H 5IC2#C I 15I 1. #0@ -'1"'0@5"!A%0-8#LC2#31#1)2B#5H!5%1)0I-H 5IC2#C I@G2#@ 20 C+I7-4142!5H#02( 2. #0@ -'1"'0@5"!A%0-8#LC2#31#1)2B#5H!5'2! 1@-"9HC1' D!H!52#3+%1)0A%0I-H 5IC2#C I 3. 2# H-!A !-'1"'0@5"!C+I@4DI2!5HA"L-*2"22%5H#'#1)2@G9I*1H H-!B"#0+"1 1I5I C+I+!2"#'!6-8#LC2#31#1)2B#2!5H3+I'" *3+#1*2"22% C+I#2A%07-4142!+1*7-#0#'2#%1 H'5H*8 5H  0417/ ' 140 %'15H 7 @!)2" 2548 +!'5H 3 H2"2A%0*2#-2+2#2@*I@%7- H2"2 +!2"6 H2"25HC IC2#31#1)2B#D!H'H20!5'452#C+I"2C%1)0C @ H @G"2 5 "22 "2C*HA% +#7-"2#1#02 H2"25H@4DI +!2"6 1. "2C1  5"2+%1A+H 24 6H2#C I"2I-@GD2!@7H-D5H3+C1  5"2+%1A+H 24C01IF A%0I-@GD2!I-H 5I5H*3120##!2#-2+2#A%0"2 (-".) 3+ 2. "2-1  5"2+%1A+H 24 6H#0-I'"@7H-D15I 2.1 0##!2#5H9I-3'"*2"22%-2#2 2#AH1I@G9I'44 1"A%0--+1*7-#1#-C+I B"C+I7-4142!+1*7-#0#'2#%1 H'5H*8 5H  0526.5/' 66 %'15H 30 *4+2! 2542 *3+#1*2"22%C+I7-4142!+1*7-#0#'2#%1 5H  0526.5/' 65 1I5I C+I#08@+8%5HD!H*2!2#C I"2C1  5"2+%1A+H 24DI 2.2 @G"25H!52#6I0@5"1 -". @7H-3+H2"C#0@(D" 1I5I "25H3@I2B"#0#' ' #! C+I25HI-1+#7-31B# * 22 2D" A%0-L2#@ *1 ##! D!H*2!2#@4DI 2.3 2#C I"2I-@GD2!I-H 5I5H -". 3+ *2#-2+2#2@*I@%7- +!2"6 *2#I3+#7-*2#-2+2#5HC+I9IH'"2@*I@%7- 6HD!HDIC I#1#0222B"4 @ H %9B* I3@%7- #-0!4B @GI +%1@LC2#3+#22"2 #22I8H-+H'" (2) #225HC+I@4 0.01  0.20 0.50 0.21  0.50 1.00 0.50  1 1.50 1.01  10 1.50 + 125 % -*H'5H@4 1 2 10.01  100 13 + 120 % -*H'5H@4 10 2 100.01  1,000 126 + 115 % -*H'5H@4 100 2 @4 1,000 1,161 + 110 % -*H'5H@4 1,000 2 #222"H3'H2 10 2 '#1C+I@G@H2- 0.25 2 #222"*9'H2 10 2 AHD!H@4 100 2 '#1C+I@G@H2- 0.50 2 #222"*9'H2 100 2 '#1@()C+I@G2 B" I-"'H2 0.50 21% 0.50 6ID16I 1I5I 0!52##02(#22%2-"25HC+I@4C 2"+%1 1'-"H2 8 #225HC+I@4 #225HC+I@4 1@() 2 1.50 + 1.25 X (2  1) 2.75 - 4 1.50 + 1.25 X (4  1) 5.25 - 8 1.50 + 1.25 X (8  1) 10.25 10 16 13 + 1.20 X (16  10) 20.20 20 32 13 + 1.20 X (32 10) 39.40 39.50 64 13 + 1.20 X (64 10) 77.80 78 128 126 + 1.15 X (128 100) 158.20 158 512 126 + 1.15 X (512 100) 599.80 600 1,024 1,161 + 1.10 X (1,024 1,000) 1,187.40 1,187 6,000 1,161 + 1.10 X (6,000 1,000) 6,661 11,000 1,161 + 1.10 X (11,000 1,000) 12,161 +!'5H 4 H2"2%1I2 H2"2%1I2 +!2"6 *H'-H2"25HC+I9IH'"3%1DC I5HI2 B"A"--2H2"25HC I0-"9HB#"22%C+I 1@ D!H'H20@G"2 5+#7-"2#1#02 +!2"@+8 2#H2""2I-C+I*-%I-1'11 A%0*-%I-1A2##1)2 +!'5H 5 H2@'  1L5H!4C H"2 H2@'  1L5H!4C H"2 +!2"6 H2'1*822#A"L5HC I@7H-2#31#1)29IH'"CB#"22% '1*822#A"L5H1-"9HC#2"2#H2-'1"'0@5"!A%0-8#LC2#31#1)2B#C+!'5H 2 03!2D'IC+!'5ID!HDI A%0H2'1*822#A"L5HDI!52#4#22#'!-"9HCH2C IH2"+!'-7HA%I' +#7-#'!-"9HCH2+12# H22##42#-7HF 03!24C+!'5I-5D!HDI (@ H C#55H2#3+#22H2H21 DI3+B"4#'!-8#L7I25HC IC2#H21##0'2#A%I' @!7H-!52#4H2C IH2"-9IH'" 03H2D+!@"GA%5HC IC2#H21!24@GH2C IH2"C+!'5I-5D!HDI) *H'5H@4DI +!2"6 *H'5HC I19IH'"05H-"9HCB#"22% *3+#1*H'5HH2"C+I19IH'"@!7H-3+H2"--2B#"22%@7H-3DC I-B#"22% @4D!HDI @'IAH#2"2#5H#0#'2#%13+ +%1@LC2#3+#22H2@'  1L C+I3+@ H@5"'12#3+#22"2 +!'5H 6 H2#42#B%+4A%0*H'#0--B%+4 H2#42#B%+4A%0*H'#0--B%+4 +!2"6 H212##42#2#C+IB%+4+#7-*H'#0--B%+4 @ H B%+4 (Whole Blood) @!GB%+4A (Packed Red Cell) %2*!2* (Fresh Plasma +#7- Fresh Frozen Plasma) @%GB%+4 (Platelet Concentrate) %2*!2 (Plasma) B"C+I#'!H2-8#L##8 I3"25HC IC2#@#5"!2##'2@4 %-H2#42#C2#C+II'" %31#2"2# Blood Bank Section+H'"#22+!2"@+8#+1*#2"2#6.1 2##'@7H-2#C+I@%7- +#7-*H'#0--@%7-6.1.1Antibody identification (tube method)Test2001) *3+#12##'@7H-2#C+IB%+4+#7-*H'#0-- B%+4@H21I 2) #55H@G2##'B"D!H!52#C+IB%+4+#7-*H'#0--B%+4C+IC I+!'5H 7 (+1'I-7.1.1.16 - 7.1.1.25)221016.1.2Antibody identification (gel test)Test400221026.1.3Antibody screening, (Indirect antiglobulin) (tube method)Test50221036.1.4Antibody screening, (Indirect antiglobulin) (gel test)Test100221046.1.5Blood group (ABO) - Tube methodTest100221056.1.6ABO Cell grouping Test50221066.1.7ABO Serum grouping Test50221076.1.8Rh. (D) TypingTest40221086.1.9Rh. Typing (Complete)Test350221096.1.10Direct antiglobulin testTest45221106.1.11Direct antiglobulin test (gel test)Test100221116.1.12Cross matching Test80221146.1.13Cross matching (gel test)Test15022115 H2#42#*H'#0--B%+4 AH--@G*-*H' 7-*H'5H#1#42#H-2* 22 2D" 6H@G#2"2#5H!52##' NAT 8 Unit A%I' A%0*H'5H*2"22%I-#1#42@- #225H3+ @G#22 5H#'!#2"2#H2-8#LC2##'1#-B#4@ 7I- 8##8B%+4 A%02#@#5"!*H'#0--B%+46.2Whole Blood1) #225H3+5I#'!8##8B%+4A%02#@#5"!*H' #0--B%+4 A%02##'1#-B#4@ 7I-A%I' 2) #22-*H'#0-B%+4 4 Leukocyte depleted DI#'! H2 filtration set A%I' 3) 2#C I Leukocyte depletion filter 5H+-9IH'" @7H-C+I@G Leukocyte depleted products C+I4#22@G Leukocyte depleted products 4) *H'#0-B%+42* 22 2D" 8 unit DIH2 2##' NAT A%I' 6.2.1Whole blood (2 2)"94720231016.2.2Leukocyte depleted whole blood (LD.WB) (2 2)"941,860231026.2.3Whole blood"94700231516.2.4Whole blood (NAT)"941,200231526.2.5Autologous blood/whole blood"94700231536.3Packed Red Cell: PRC6.3.1PRC (2 2)"94580232016.3.2Leukocyte poor PRC (2 2)"94660232026.3.3Leukocyte depleted PRC (2 2)"941,710232036.3.4Single donor PRC/unit (2 2)"941,800232046.3.5Leukocyte depleted single donor PRC/ unit (2 2)"942,640232056.3.6Single donor red cell. (SDR) Non-Filter (2 2)"941,800 232066.3.7Single donor red cell. (SDR) Filter (2 2)"942,640232076.3.8PRC"94480232516.3.9PRC (NAT)"94780232526.3.10Leukocyte poor PRC"94550232536.3.11Leukocyte poor PRC (NAT)"94850232546.3.12Leukocyte depleted PRC "941,650232556.3.13Leukocyte depleted PRC (NAT)"941,950232566.4Platelet6.4.1Random platelet conc. (2 2)"94400233016.4.2Leukocyte poor pooled platelet conc. (2 2) "944,800233026.4.3Leukocyte depleted pooled platelet conc. (2 2) (4units)"945,520233036.4.4Single donor platelet conc., Non-Filtered, close system (2 2)"947,200 233046.4.5Single donor platelet conc., Filtered, close system (2 2)"949,000233056.4.6Platelet concentrate "94380233516.4.7Leukocyte poor platelet conc. 4 units "944,500233526.4.8Leukocyte depleted platelet conc. 4 units (filtration method)"946,300233536.4.9Single donor platelet, open system "947,000233546.4.10Single donor platelet, open system (filtration method)"948,500233556.4.11Single donor platelet, close system"947,500233566.4.12Single donor platelet, close system (filtration method)"949,500233576.5Plasma, WBC6.5.1Fresh frozen plasma (2 2)"94400234016.5.2Cryo-removed plasma (2 2)"94330234026.5.3Cryoprecipitate (2 2)"94330234036.5.4Fresh frozen plasma "94370234516.5.5Fresh frozen plasma (NAT) "94670234526.5.6Leucocyte depleted fresh frozen plasma (LD.FFP)"94695234536.5.7Aged Plasma/cryo-removed plasma"94400234546.5.8Cryoprecipitate"94370234556.5.9Single donor granocyte"947,000234566.6-7HF @5H"'1#42#B%+4/6.6.1H2#42# 2"A*@%7- (#1I)"94350235016.6.2Leukapheresis"947,000235026.6.3Blood exchange C I@#7H- Apherresis"947,000235036.6.4Plasma exchange C I@#7H- Apherresis"947,000235046.6.5Stem cell processing for Autologous Bone marrow collection"947,500235056.6.6Stem cell processing for Autologous PBSC collection"947,500235066.6.7Stem cell processing for Bone marrow collection"943,000235076.6.8Stem cell processing for Cord blood collection"947,500235086.6.92#12#2##1#42B%+4"94100235096.6.10H2-8#L@ 7H-!8@%7- B"@#7H--1B!14"94100C I@4H!C@ 20 2#2"5H*2"H- 8@%7-*1I@4D23510-7H F 5H-@+7-2#2"2#2! +1'I- 6.1-6.6 I2I A%0@G#2"2#5HD!H*2!2#@5"@5"DI C+I*2"22%3@42#2!5H#0#'2#%13+ 2!5H*2 "22% @#5"@G C5 254823999 *NAT= Nucleic acid Amplification Technology 1'-"H22#3' #2"2#1. H2#42#C2#-B%+4 (H2 Cross matching x 3'"945H-) + H2#'+!9HB%+49IH'"2. H2#42#@!7H-C IB%+4 (#22 Blood component x 3'5HC I)#'!H2#42#1I+! @!7H-C IB%+4 (1+2)- Whole blood 2 "94 (2 2)(80 x 2) + 140 = 300 2C I 1 "94 = 720 2 C I 2 "94 = 1,440 2C I 1 "94 = 300 + 720 = 1,020 2 C I 2 "94 = 300 + 1,440 = 1,740 2- Packed red cell 3 "94 (2 2)(80 x 3) + 140 = 380 2C I 1 "94 = 580 2 C I 2 "94 = 1,160 2C I 1 "94 = 380 + 580 = 960 2 C I 2 "94 = 380 + 960 = 1,540 2- Leukocyte poor pooled platelet concentrate 1 8 (2 2)4@ 20H2#'+!9HB%+49IH'" 140 2C I 1 8 = 4 "94 = 4,800 2 #22 = 140 + 4,800 = 4,940 2  +!'5H 7 H2#''44 1"2@42#A"LA%0"24'4"2 H2#''44 1"2@42#A"LA%0"24'4"2 +!2"6 H2#42#2##'2+I-4142# @ H H2#'I32%C@%7- H2#'1**2'0 H2#' 4I@7I- @GI B"C+I4H2#42##'!H2I3"2A%0'1*8*4I@%7- H2@#7H-!7-A%0-8#L5HC IC2##' A%0H2#42#C2#1@G1'-"H2@7H-#'2+I-4142#I'" H2#''44 1"2@42#A"L %31#2"2#+H'"#22#+1*#2"2#7.1 Hematology7.1.1Blood Cells7.1.1.1CBC (+ diff. + RBC morphology + plt count) by automationTest90301017.1.1.2CBC (+ diff. + RBC morphology, platelet smear) - ManualTest60301027.1.1.3Reticulocyte countTest40301037.1.1.4Hct (Hematocrit)Test30301047.1.1.5ESR (Erythrocyte Sedimentation Rate)Test40301057.1.1.6Acid phosphatase with tartrate (hairy cell leukemia)Test200301067.1.1.7Bone marrow stain (wright stain), differential, interpretationTest185301077.1.1.8Bone marrow, iron stain, interpretationTest50301087.1.1.9Cytochemical profile stain ( 4%0)Test100301097.1.1.10Buffy coat preparation, stain, interpretationTest110301107.1.1.11Heinz bodyTest50301117.1.1.12Hemosiderin testTest80301127.1.1.13Inclusion bodyTest30301137.1.1.14Sudan BlackTest100301277.1.1.15LAP scoreTest550301147.1.1.16Antibody identification (tube method)Test200301157.1.1.17Antibody identification (gel test)Test400301287.1.1.18Antibody screening, (Indirect antiglobulin) (tube method)Test50301167.1.1.19Antibody screening, (Indirect antiglobulin) (gel test)Test100301297.1.1.20Blood group (ABO) Tube methodTest100301187.1.1.21ABO Cell grouping Test50301197.1.1.22ABO Serum grouping Test50301207.1.1.23Rh. (D) TypingTest40301217.1.1.23Rh. Typing (complete)Test350301307.1.1.24Direct antiglobulin testTest45301227.1.1.25Direct antiglobulin test (gel test)Test100301317.1.1.26LE cell preparation, stain, examinationTest150301247.1.1.27Osmotic fragility test, screeningTest50301257.1.1.28Osmotic fragility test, quantitativeTest100301337.1.1.29Malarial filmTest50301267.1.2Coagulation7.1.2.1PT (Prothombin Time)Test60302017.1.2.2PTT (Partial Thomboplastin Time)Test70302027.1.2.3TT (Thrombin Time)Test80302037.1.2.4VCT (Venous Cloting Time)Test40302047.1.2.5Clot retraction time/Clot lysis timeTest30302057.1.2.6ELT (Euglobulin Lysis Time)Test50302067.1.2.7FDP (Fibrin Degradation Product)Test800302077.1.2.8D-dimerTest300302087.1.2.9Von Willebrand factor Test400302097.1.2.10Bleeding timeTest60302107.1.2.11Ristocetin cofactor activityTest250302117.1.2.12Ristocetin induced agglutinationTest250302127.1.2.13Dichlorophenol indophenol precipitation test (DCIP)Test70302137.1.2.14Fibrinogen levelTest350302147.1.2.15Factor assay - Factor IITest1,000302157.1.2.16Factor assay - Factor VTest1,000302167.1.2.17Factor assay - Factor V LeidenTest1,900302177.1.2.18Factor assay - Factor VIITest1,000302187.1.2.19Factor assay - Factor VIIITest750302197.1.2.20Factor assay - Factor VIII InhibitorTest900302207.1.2.21Factor assay - Factor IXTest600302217.1.2.22Factor assay - Factor IX InhibitorTest1,000302227.1.2.23Factor assay - Factor XTest1,000302237.1.2.24Factor assay - Factor XITest1,000302247.1.2.25Factor assay - Factor XIITest1,000302257.1.2.26Platelet aggregration with ADP, Collagen, Adrenaline, RistocetinTest800302267.1.2.27Protein C (automate ACC)Test600302277.1.2.28Protein S (automate ACC)Test700302287.1.2.29Antithrombin III activity (chromogenic)Test250302297.1.2.30Heparin anti XaTest400302307.1.2.31Alpha 2 antiplasminTest300302317.1.2.32Lupus anticoagulant (screening)Test90302337.1.2.33Lupus anticoagulant (confirm), conc RWTest250302347.1.3Other Substances/Molecules/Tests7.1.3.1Red cell folate (chemiluminescent)Test250303037.1.3.2Serum ironTest80303047.1.3.3TIBCTest80303057.1.3.4FerritinTest310303067.1.3.5TransferrinTest250303077.1.3.6EPO (erythropoietin)Test250303087.1.3.7Fetal hemoglobinTest80303097.1.3.8G-6-PDTest60303107.1.3.9HomocysteinTest400303117.1.3.10Hams testTest90303127.1.3.11Hb typing (Hemoglobin typing)Test270303137.1.3.12Serum viscosityTest100303167.1.3.13HaptoglobinTest200303177.1.4Chromosome/DNA7.1.4.1Chromosome study from blood/BMTest1,500304017.1.4.2Chromosome study from amniotic fluid/ chorionic villusTest2,500304027.1.4.3DNA index (ploidy) for ALLTest1,600304037.1.4.4DNA detection for , -thalassemia geneTest1,200304047.1.4.5RT-PCR for BCR/ABL gene for diagnosis of CMLTest1,000304057.1.5Leukocyte Surface Antigens/Subpopulation7.1.5.1Flow cytometry for acute leukemia panel, AML, ALL Test2,300305017.1.5.2Flow cytometry for Non Hodgkins lymphoma panelTest1,800305027.1.5.3Flow cytometry for detection of DAF (CD55 and CD59) (blood)Test600305037.1.5.4Immunophenotyping for CD34 surface antigen (blood, flow cytometry)Test1,000305047.1.5.5Flow cytometry for minimal residual disease, B-ALL panel Test1,800305057.1.5.6Flow cytometry for minimal residual disease, T-ALL panel Test1,600305067.1.5.7Flow cytometry for minimal residual disease, AML panel Test1,600305077.1.5.8CD3 CountTest1,000305087.1.5.9CD4 CountTest500305097.1.5.10CD8 CountTest500305107.1.5.11CD19 CountTest1,000305117.1.5.12CD56 CountTest1,000305127.1.6HLA7.1.6.1Disease association: HLA-B27 typingTest500306017.1.6.2Kidney/Bone marrow transplantation - Autoantibody (T, B)Test1,500306027.1.6.3Kidney/Bone marrow transplantation - Lymphocyte crossmatch T, B cellTest2,000306037.1.6.4Bone marrow transplantation - HLA-AB common Ag typingTest1,200306047.1.6.5Bone marrow transplantation - HLA-ABC complete typingTest5,000306057.1.6.6Bone marrow transplantation - HLA class II DNA High ResolutionTest7,600306067.1.6.7Transfusion reaction - HLA antibodyTest800306077.1.6.8Transfusion reaction - LeukoagglutininTest400306087.1.6.9Kidney transplantation - HLA-A, B DNA typingTest5,000306097.1.6.10Kidney transplantation - Panel reactive antibody (PRA)Test1,300306107.1.6.11Kidney transplantation - HLA-DRB, DQB DNA typingTest4,500306117.1.7Stem cells7.1.7.1Stem cell cuture for BFU-E numberTest600307017.1.7.2Stem cell cuture for CFU-GM numberTest600307027.2. Clinical Microscopy7.2.1Urine examination7.2.1.1Urine AnalysisTest50310017.2.1.2Specific gravityTest20310027.2.1.3pHTest20310037.2.1.4AlbuminTest20310047.2.1.5SugarTest20310057.2.1.6BileTest40310067.2.1.7Ketone bodyTest40310077.2.1.8PhenyketonuriaTest30310087.2.1.9UrobilinogenTest50310097.2.1.10HemosiderinTest40310107.2.1.11AlkaptonuriaTest50310117.2.1.12Urine IodineTest100310127.2.1.13Melanin in urineTest50310137.2.1.14Pregnancy testTest70311017.2.1.15Bence-Jones proteinTest40311027.2.2Stool examination7.2.2.1Routine direct smearTest40312017.2.2.2Routine concentrationTest60312027.2.2.3Occult bloodTest30312037.2.2.4Sudan stain (stool)Test30312047.2.2.5Stool fatTest80312057.2.3Other Examination7.2.3.1Body fluid examinationTest60313017.2.3.2Giemsa stain for Virus or Parasite -"H2%0Test80313027.2.3.3Pneumocystis carinii Test150313037.2.3.4Semen analysis Test120314017.2.3.5Acid phosphatase and spermatozoaTest270314027.2.3.6#'+2 Herpes virus I'" DIFTest100315017.2.3.7Dark field for TreponemaTest50315027.2.3.8Tzanks smear (wright stain)Test80315037.3 Clinical Chemistry7.3.1Combined7.3.1.1Electrolyte (Na, K, Cl, CO2) Test80320017.3.1.2Blood gas analysisTest160320027.3.1.3Liver function testTest350320037.3.1.4Lipid profile(Cholesterol, HDL-chol, LDL-chol, TG)Test200320047.3.1.5Lipoprotein electrophoresisTest300320057.3.1.6Protein electrophoresisTest300320067.3.2Inorganic7.3.2.1Serum osmolarityTest120321017.3.2.2NaTest40321027.3.2.3KTest40321037.3.2.4ClTest40321047.3.2.5CO2Test40321057.3.2.6CalciumTest50321067.3.2.7Ionized calcium Test400321107.3.2.8Magnesium Test70321077.3.2.9Ionized magnesium Test400321117.3.2.10ZincTest350321087.3.2.11PhosphorusTest55321097.3.3Organic/Biochem7.3.3.1BUN (Blood Urea Nitrogen)Test50322017.3.3.2CreatinineTest50322027.3.3.3GlucoseTest40322037.3.3.4OGTT (Oral Glucose Tolerance Test) #'!I32%Test170322047.3.3.5Uric acidTest60322057.3.3.6FructosamineTest100322067.3.3.7Bilirubin, DirectTest50322077.3.3.8Bilirubin, TotalTest50322087.3.3.9Bilirubin, MicroTest60322097.3.3.10AmmoniaTest300322107.3.4Proteins Enzymes7.3.4.1Acid phosphatase, TotalTest150323017.3.4.2Aldolase Test150323147.3.4.3Amylase (blood)Test100323037.3.4.4CPKTest90323047.3.4.5CK-MBTest120323057.3.4.6LDHTest60323067.3.4.7LDH isoenzymeTest250323157.3.4.8Troponin ITest260323077.3.4.9Troponin TTest400323087.3.4.10Alkaline phosphataseTest50323097.3.4.11SGOT (AST)Test50323107.3.4.12SGPT (ALT) Test50323117.3.4.13Gamma glutamyl transpeptidase Test130323127.3.4.14LipaseTest250323137.3.4.15Myoglobin Test300323167.3.5Proteins - nonenzyme, Vitamins7.3.5.1Hb A1CTest150324017.3.5.2Protein, TotalTest50324027.3.5.3AlbuminTest50324037.3.5.4CeruloplasminTest300324067.3.5.5NT-pro BNPTest1,500324077.3.5.6PrealbuminTest300324087.3.5.7Vitamin ATest1,000324097.3.5.8Vitamin B1Test150324107.3.5.9Vitamin B12Test200303117.3.5.10Vitamin CTest300324127.3.5.11Vitamin ETest1,000324137.3.5.12Beta caroteneTest1,000324147.3.5.13FolateTest200303157.3.6Lipid & Lipoproteins7.3.6.1Lipid - CholesterolTest60325017.3.6.2Lipid - TG (Triglyceride)Test60325027.3.6.3Lipid - HDL-cholTest100325037.3.6.4Lipid - LDL-chol (direct) *1H#2"2#@5"' Test150325047.3.6.5Apo ATest200325057.3.6.6Apo BTest200325067.3.6.7Lipoprotein ATest250325077.3.7Hormones7.3.7.1ACTH (Immulite)Test350326017.3.7.2ACTH (IRMA)Test700326027.3.7.3Cortisol Test300326037.3.7.417-OxosteroidsTest200326287.3.7.517-Oxogenic steroidsTest250326297.3.7.6Aldosterone Test600326047.3.7.7ReninTest800326057.3.7.817-OH-progesteroneTest250326067.3.7.9DHEA-sulphateTest300326077.3.7.10Thyroid hormone - TSH (Thyroid Stimulating Hormone)Test200326087.3.7.11Thyroid hormone - T4 (Thyroxine)Test180326097.3.7.12Thyroid hormone - Free T4 (Free Thyroxine)Test200326107.3.7.13Thyroid hormone - T3 (Tri - iodothyroxine)Test200326117.3.7.14Thyroid hormone - Free T3 (Free Tri - iodothyroxine )Test200326127.3.7.15PTH (intact)Test200326137.3.7.16Osteocalcin Test250326147.3.7.17CalcitoninTest500326157.3.7.18FSH Test250326167.3.7.19LHTest250326177.3.7.20EstradiolTest300326187.3.7.21ProgesteroneTest250326197.3.7.22TestosteroneTest250326207.3.7.23Free androgen indexTest450326217.3.7.24ProlactinTest300326227.3.7.25Growth hormoneTest600326237.3.7.26C-peptideTest350326247.3.7.27InsulinTest250326257.3.7.28Insulin - IG F1Test600326267.3.7.29Insulin - IGF BP3Test400326277.3.7.30Serum thyroglobulin (IRMA)Test400326307.3.7.31Serum anti-thyroglobulin antibody (IRMA)Test400326317.3.7.32Serum neonatal blood spots TSH (IRMA)Test50326327.3.8Drugs7.3.8.1AminoglycosideTest200330017.3.8.2Isoniazid (INH) (HPLC)Test220330027.3.8.3Pyrazinamide (HPLC)Test220330037.3.8.4Rifampicin (HPLC)Test220330047.3.8.5VancomycinTest220330057.3.8.6Carbamazepine (Tegretol)Test250331017.3.8.7PhenobarbitalTest200331027.3.8.8Phenytoin (Dilantin)Test250331037.3.8.9Valproic acid/Sodium valproate (Depakin)Test250331047.3.8.10Benzodiazepine, Phenothiazine, Tricyclic antidepressantTest250331057.3.8.11ChlorpromazineTest200331067.3.8.12AcetaminophenTest300331077.3.8.13SalicylateTest300331087.3.8.14ChlorpheniramineTest250331097.3.8.15Lithium (blood)Test350331107.3.8.16Cyclosporin (CSA)Test1,000332017.3.8.17Methotrexate Test220332027.3.8.18TracolimusTest1,000332037.3.8.19SirolimusTest1,000332047.3.8.20TheophylineTest250333017.3.8.21DigoxinTest200333027.3.8.22HydrocortisoneTest200333037.3.8.23WafarinTest200333047.3.8.24PrednisoloneTest250333057.3.8.25DexamethasoneTest200333067.3.9Toxicology Metals7.3.9.1Aluminium (blood)Test300335017.3.9.2Arsenic (gastric lavage)Test100335027.3.9.3Arsenic (blood, urine)Test350335037.3.9.4Cadmium (blood, urine)Test350335047.3.9.5Chromium (blood)Test350335057.3.9.6Copper (blood)Test350335067.3.9.7Copper (24 hours urine)Test350335077.3.9.8Lead (blood)Test200335087.3.9.10Lead (urine)Test300335107.3.9.11Manganese (blood)Test200335117.3.9.12Mercury (blood, urine)Test350335127.3.9.13Nickel (blood, urine)Test35033513Volatile Agents, Solvents7.3.9.14Acetone (urine)Test250335507.3.9.15AcetonitriteTest250335517.3.9.16Benzene (urine)Test250335527.3.9.17ButanolTest150335537.3.9.18ChloroformTest250335547.3.9.19Ethanol (Ethyl alcohol) (blood) '45 GCTest250335557.3.9.20Isopropanol (urine)Test250335567.3.9.21Methanol (blood) '45 GC-headspaceTest250335577.3.9.22Thinner (urine)Test300335587.3.9.23Xylene (urine)Test250335597.3.9.24Other volatile agentTest25033560Pesticides7.3.9.25CarbamateTest200336017.3.9.26Carbamate (Gastric lavage)Test100336027.3.9.27Chlorinated hydrocarbonTest250336037.3.9.28Organophosphate (Gastric lavage)Test100336047.3.9.29ParaquatTest250336057.3.9.30Paraquate (urine)Test100336067.3.9.31Zinc Phosphide (Gastric lavage)Test10033607Drugs7.3.9.32Amphetamine (urine)Test300337017.3.9.33Cannabis (Urine)Test300337027.3.9.34Cocaine Test700337037.3.9.35Cocain (urine)Test300337047.3.9.36Marijuana (Cannabinoid) (urine) (immunoassay)Test120337057.3.9.37Marijuana (urine) (HPLC)Test700337067.3.9.38Methadone, Confirm testTest700337077.3.9.39Methamphetamine (urine) (immunoassay)Test150337087.3.9.40Methamphetamine (urine), Confirm test '45 HPLCTest1,000337097.3.9.41Morphine, Confirm testTest700337107.3.9.42Pethidine, Confirm testTest700337117.3.9.43Urine organic acid Test2,000337127.3.9.44Opiate, Screening test (eg. Morphine, Heroin, Codeine) 1'%0Test140337137.3.9.45Screening for basic drugs and drugs abuse (blood)(Automate HPLC: REMEDI)Test1,300337147.3.9.46Screening for basic drugs and drugs abuse (urine) (Automate HPLC: REMEDI)Test1,000337157.3.9.47Screening for drugs and pesticide (Paracetamol , Benzodizipine) (Gastric larvage) ('45 GC-MS) Test1,30033716 Body s Molecules7.3.9.48Adenosine deaminase test (body fluid)Test200338017.3.9.49Acetylcholinesterase activity in RBC or Plasma (Organophosphate)Test250338027.3.9.50Cholinesterase (plasma or red cell)Test360338037.3.9.51CarboxyhemoglobinTest250338047.3.10Urine Chemistry7.3.10.1Urine OsmolalityTest120340017.3.10.2Urine SodiumTest40340027.3.10.3Urine PotassiumTest40340047.3.10.4Urine CalciumTest50340067.3.10.5Urine Creatinine Test50341017.3.10.6Urine Creatinine (24 hours)Test90341027.3.10.7Urine MicroalbuminTest270341167.3.10.8Urine Protein (Random)Test50341037.3.10.9Urine Protein (24 Hours) Test90341047.3.10.10Urine VMATest300341057.3.10.11Urine VMA (HPLC)Test600341067.3.10.12Urine catecholamineTest800341077.3.10.13Urine metanephrineTest1,000341087.3.10.14Urine HVATest600341097.3.10.15Urine HIAA (5-Hydroxyindoleacetic acid)Test600341107.3.10.16Urine free cortisolTest250341117.3.10.17Urine 17-KSTest250341127.3.10.18Urine 17-OHCSTest250341137.3.10.19Urine AmylaseTest100341147.3.10.20Urine PorphyrinTest100341157.3.11Body Fluid Chemistry7.3.11.1ProteinTest70343017.3.11.2SugarTest70343027.3.11.3ChlorideTest70343037.4 Microbiology Section7.4.1AFB stain (Acid-Fast Bacilli stain)Test 60350017.4.2Modified AFB Test70350057.4.3Gram stainTest65350027.4.4Gram chromotope stain for microsporidiumTest100350067.4.5Indian ink preparation Test55350037.4.6KOH preparationTest60350047.4.7Wet smearTest50350077.4.8scabiesTest50350087.4.9Routine aerobic culture and sensitivity Test200351017.4.10Anaerobic culture and sensitivityTest400351027.4.11Mycobacterium culture Test200351037.4.12Mycobacterial culture and sensitvityTest400351107.4.13Hemoculture and sensitivity, Manual '%0Test220351047.4.14Hemoculture and sensitivity, Automate '%0Test290351057.4.15Culture - Helicobacter culture ( 4I@7I-2#0@20)Test400351067.4.16Culture for fungusTest110351077.4.17Sensitivity Test Test130351087.4.18MICTest150351097.4.19MBCTest150351117.4.20SBCTest150351127.4.21Mycobacteria: antimicrobial susceptibility test for non-tuberculous mycobacteriaTest200351137.4.22Fungi: antimicrobial susceptibility test yeastTest600351147.4.23Urease test ( 4I@7I-2#0@20)Test50352017.5 Immunological/Serology and Virology Section7.5.1Bacteria7.5.1.1ASO test - LatexTest110360017.5.1.2ASO test - NephelometryTest250360027.5.1.3VDRL (RPR)Test50360037.5.1.4FTA-AbsTest200360047.5.1.5FTA-ABS Ig MTest200360057.5.1.6TPHATest100360067.5.1.7Leptospira-Ab screening Test200360077.5.1.8S. pneumoniae AgTest250360087.5.1.9Streptococcus gr B AgTest250360097.5.1.10N. meningitidis ACYW 135 AgTest250360107.5.1.11N. meningitidis B/E coli K 1 AgTest250360117.5.1.12B. pseudomallei-Ab (Melloid titer)Test80360127.5.1.13H. influenzae type b AgTest200360137.5.1.14Helicobacter pyroli/AbTest500360147.5.1.15H. Pylori (CLO)Test300360157.5.1.16Mycoplasma pneumoniae-Ab IgGTest250360167.5.1.17Mycoplasma pneumoniae-Ab IgMTest350360227.5.1.18Mycoplasma pneumoniae-AbTest250360237.5.1.19C. defficile toxin ATest500360177.5.1.20TB-DNA (PCR for TB)Test1,500360187.5.1.21Weil-felix testTest100360197.5.1.22Widals testTest100360207.5.1.23Bacterial AntigenTest800360217.5.1.24Brucella AbTest100360247.5.2Fungal7.5.2.1Cryptococcus neoformans - Ag titer (LA)Test270361017.5.2.2Cryptococcus: DNA detectionTest650361047.5.2.3Histoplasma Test180361027.5.2.4Toxoplasma, IgG/ IgM Test250361037.5.2.5Candida: DNA detectionTest650361057.5.2.7Pythium antibody detectionTest200361067.5.2.8Pythium antibody detection Western blotTest1,000361077.5.3Parasites7.5.3.1E. histolytica-AbTest130362017.5.3.2PCP (Pneumocistis) - IFATest300362027.5.3.3Cysticercosis AbTest100362037.5.4Viruses: Hepatitis, HIV7.5.4.1Hepatitis - Anti HAV total (ELISA)Test500363017.5.4.2Hepatitis - Anti HAV IgM (ELISA)Test500363027.5.4.3Hepatitis - HAV RNA (PCR)Test1,700363037.5.4.4HBc-Ab - PHATest140363107.5.4.5HBc-Ab - ELISA, MEIA, ECLIATest230363117.5.4.6HBc-Ab (IgM)Test300363127.5.4.7HBe-Ag - PHATest150363137.5.4.8HBe-Ag - ELISA, MEIA, ECLIATest300363147.5.4.9HBe-AbTest350363157.5.4.10HBs-Ab (Hepatitis B surface Ab) - PHATest100363167.5.4.11HBs-Ab (Hepatitis B surface Ab) - ELISA, MEIA, ECLIATest180363177.5.4.12HBs-Ag (Hepatitis B surface antigen) - PHATest80363187.5.4.13HBs-Ag (Hepatitis B surface antigen) - ELISA, MEIA, ECLIATest130363197.5.4.14HBs-Ag (Hepatitis B surface antigen) - PCR QualitativeTest1,700363207.5.4.15HBs-Ag (Hepatitis B surface antigen) - Quantitative (Amplicor)Test2,200363217.5.4.16HBs-Ag (Hepatitis B surface antigen) - Quantitative (bDNA)Test3,000363227.5.4.17HBV Genotype, drug resistance (INNO-LIPA)Test3,200363237.5.4.18HCV-Ab (Hepatitis C Antibody) - PHATest200363307.5.4.19HCV-Ab (Hepatitis C Antibody) - ELISA, MEIA, ECLIATest300363317.5.4.20HCV-Ag - Qualitative PCR Test1,700363327.5.4.21HCV-Ag - Quantitative (Amplicor, bDNA)Test2,500363337.5.4.22HCV genotype (line-probe)Test3,800363347.5.4.23HIV-Ab (screening) - RAPIDTest250363507.5.4.24HIV-Ab (screening) - GPA, ELISA, MEIA, ECLIATest140363517.5.4.25HIV-Ab (confirm) - WESTERN BLOT Test1,000363527.5.4.26Anti- HTLV-1Test150363537.5.4.27HIV-AgTest160363607.5.4.28HIV - Qualitative RT-PCRTest1,700363617.5.4.29HIV - Quantitative, viral load standard methodTest2,000363627.5.4.30HIV-I genotype (3-DCR), reverse transcriptase and protease inhibitors)Test8,000363707.5.4.31HIV-I genotype (3-DCR), reverse transcriptase inhibitorsTest4,700363717.5.4.32HIV-I genotype (3-DCR), protease inhibitorsTest4,700363727.5.4.33HIV-2, qualitative RT-PCR Test1,600363807.5.5Viruses: Others Herpes (HSV, VZV, EBV,CMV,HHV) 7.5.5.1HSV-1 and -2 (Herpes simplex virus type 1 and 2), direct FA smear sample (slide)Test250364017.5.5.2HSV-1 and -2 IgG (ELISA)Test300364027.5.5.3HSV-1 and -2 IgM (ELISA)Test300364037.5.5.4HSV-1 and -2, qualitative RT-PCRTest1,600364047.5.5.5HSV-1 and -2, viral load RT-PCRTest1,600364057.5.5.6HSV-1 and -2, isolation (culture)Test500364067.5.5.7HSV-2 AgTest300364157.5.5.8VZV, IgG/IgM (Varicella-Zoster) (ELISA)Test300364207.5.5.9VZV, qualitative RT-PCRTest1,600364217.5.5.10VZV, viral load RT-PCRTest1,600364227.5.5.11EBV-IgG/IgM (Anti-Epstein Barr Virus)Test300364307.5.5.12EBV-IgA (Anti-Epstein Barr Virus)Test250364317.5.5.13EBV, qualitative RT-PCRTest1,600364327.5.5.14EBV, viral load RT-PCRTest1,600364337.5.5.15Cytomeglovirus-AbTest250364407.5.5.16Cytomegalovirus (CMV), IgG/IgM (ELISA)Test300364417.5.5.17Cytomegalovirus (CMV) - Qualitative-PCRTest1,600364427.5.5.18Cytomegalovirus (CMV) - Viral load (Amplicor)Test2,500364437.5.5.19HHV-6 (Human Herpesvirus type 6), qualitative RT-PCRTest1,600364507.5.5.20HHV-7, qualitative RT-PCRTest1,600364517.5.5.21HHV-8, qualitative RT-PCRTest1,60036452Resp, GI viruses7.5.5.22Influenza virus-A, B, IgG/ IgM (ELISA)Test300365017.5.5.23Influenza virus, qualitative RT-PCRTest1,600365027.5.5.24Influenza virus, viral load RT-PCRTest1,600365037.5.5.25Avian influenza virus, qualitative RT-PCRTest1,600365047.5.5.26Avian influenza virus, viral load RT-PCRTest1,600365057.5.5.27Parainfluenza virus1,2,3 IgG/ IgM (ELISA)Test300365207.5.5.28SARS corona virus-QualitativeTest1,600365307.5.5.29SARS corona virus-Viral load (PCR)Test1,600365317.5.5.30Respiratory syncytial virus IgG/IgM (ELISA)Test300365407.5.5.31Adenovirus, Ig G/Ig M (ELISA)Test250365507.5.5.32Panenterovirus Test2,200365607.5.5.33Rota virusTest200365707.5.5.34Rotavirus (ds-RNA PAGE test)Test250365717.5.5.35Coxackie B Ab, neutralizing Ab (NT)Test50036580Arthropod - borne and other viruses7.5.5.36Chikungunya-AbTest250366017.5.5.37Chikungunya, IgG (HAI)Test150366027.5.5.38Dengue virus-Ab Test310366107.5.5.39Dengue - IgG (HAI)Test200366117.5.5.40Dengue - IgM (ELISA)Test300366127.5.5.41Dengue virus, qualitative RT-PCRTest800366137.5.5.42Japanese Encephalitis virus AbTest250366207.5.5.43West Nile virusTest1,500366307.5.5.44Nipah virusTest1,500366357.5.5.45Rabies AbTest400366407.5.5.46Rabies virus Ag (FTA)Test250366417.5.5.47Rabies (NASBA)Test1,500366427.5.5.48Mumps, IgG/IgM (ELISA)Test250366507.5.5.49Measles, IgG/IgM (ELISA) Test250366557.5.5.50Rubella IgGTest200366607.5.5.51Rubella IgM antibodyTest300366617.5.5.52JC Virus and BK Virus, qualitative RT-PCRTest1,600366707.5.5.53JC Virus and BK Virus, viral load RT-PCRTest1,600366717.5.5.54Parvo virus B19, IgG/IgM (ELISA)Test300366807.5.5.55Parvo virus B19, qualitative RT-PCRTest1,600366817.5.5.56Parvo virus B19, viral load RT-PCRTest1,600366827.5.5.57HPV (Human papilomavirus) qualitative RT-PCR, screen for high risk typesTest1,600366907.5.6Immunology7.5.6.1Rheumatoid factor test - LatexTest80370017.5.6.2Rheumatoid factor test - NephelometryTest200370027.5.6.3FANA Test450370037.5.6.4Anti-DNATest200370047.5.6.5Anti-SmTest90370057.5.6.6Anti-Sm (ELISA)Test350370067.5.6.7Anti-nRNP (Immunodiffusion)Test90370077.5.6.8Anti-nRNP (ELISA)Test350370087.5.6.9Anti-Ro (SS-A)Test400370097.5.6.10Anti-La (SS-B)Test400370107.5.6.11Anti-Scl 70Test150370117.5.6.12AnticentromereTest250370127.5.6.13Anti-MPO (Myeloperoxidase)Test550370137.5.6.14Anti-PR3 (Proteinase 3)Test550370147.5.6.15ANCATest300370157.5.6.16AntimitrochondrialTest300370167.5.6.17Smooth muscle AbTest300370177.5.6.18Anti-LKM (Liver-Kidney Microsome)Test300370187.5.6.19Thyroid antibody testTest200370197.5.6.20AnticardiolipinTest400370207.5.6.21Complement C3 level - LatexTest50371017.5.6.22Complement C3 level - NephelometryTest250371027.5.6.23CRP (C-Reactive protein) - LatexTest110371037.5.6.24CRP (C-Reactive protein) - NephelometryTest170371047.5.6.25CH50Test150371057.5.6.26Cold agglutininTest40371067.5.6.27C4Test300371077.5.6.28Immunoglobulin level (IgG/IgA/IgM)Test350372017.5.6.29Heterophile-Ab testTest200372027.5.6.30Immunoelectrophoresis (3 antibodies)Test800372037.5.6.31Immunoelectrophoresis (5 antibodies )Test1,200372047.5.7Tumor markers7.5.7.1Alpha Fetoprotein (AFP) - PHATest80373017.5.7.2Alpha Fetoprotein (AFP) - ELISA, MEIA, ECLIATest270373027.5.7.3Beta-HCG Test270373037.5.7.4Beta-2 microglobulin, serum/urineTest400373047.5.7.5HCG titerTest300373057.5.7.6CA 125Test600373067.5.7.7CA 19-9Test600373077.5.7.8CEA (Carcinoembryonic antigen)Test300373087.5.7.9PSA (Prostate-specific antigen)Test300373107.5.7.10Free PSATest400373117.5.7.11TPS (Tissue polypeptide specific Antigen)Test400373127.5.7.12NSE (Neuro-specific enolase)Test500373137.5.7.13CA 153Test400373147.5.7.14Beta2 glycoprotein IgG (b2 Gp1)Test300373157.5.8IgE7.5.8.1IgE (total)Test400373507.5.8.2Specific IgE to mixture of food allergens (screening test)Test450373517.5.8.3Specific IgE to mixture of food allergens (screening test) plus total IgETest650373527.5.8.4Specific IgE to mixture of respiratory (inhalant) allergens (screening test)Test350373537.5.8.5Specific IgE to mixture of respiratory (inhalant) allergens (screening test) plus total IgETest550373547.5.8.6Specific IgE, quantitative (1 allergen)Test450373557.5.8.7Specific IgE, quantitative (1 allergen) plus total IgETest650373567.5.8.8Specific IgE, quantitative (3 allergens)Test1,200373577.5.8.9Specific IgE, quantitative (3 allergens) plus total IgETest1,400373587.5.8.10Specific IgE, quantitative (5 allergens) Test1,800373597.5.8.11Specific IgE, quantitative (5 allergens) plus total IgETest2,000373607.5.8.12Specific IgE, quantitative (7 allergens) Test2,500373617.5.8.13Specific IgE, quantitative (7 allergens) plus total IgETest2,70037362 7.6 Genetic testings7.6.1Metabolic screenTest200375017.6.2Quantitative plasma amino acid analysisTest2,500375027.6.3Urine organic acid analysisTest2,500375037.6.4Urine Thin layer chromatography for MPSTest2,000375047.6.5Carnitine/acylcarnitine analysisTest2,000375057.6.6Chromosome breakage studyTest2,500375067.6.7Fluorescence in situ hybridization using probeTest2,50037507 7.6.8PCR for SRY geneTest500375087.6.9PCR (methylation sensitive) for fragile X syndromeTest2,50037509 7.6.10PCR (multiplex) for Duchenne/Becker muscular dystrophyTest2,500375107.6.11MLPA test for Duchenne/Becker muscular dystrophyTest2,500375117.6.12PCR (methylation sensitive) for methylation analysisTest2,500375127.6.13PCR-RFLP for spinal muscular atrophyTest1,000375137.6.14PCR-RFLP for Hb E alleleTest500375147.6.15PCR-ASA for common V37I GJB2 mutation in hearing lossTest500375157.6.16PCR-ASA for factor V LeidenTest500375167.6.17PCR-ASA for MTHFR C677TTest500375177.6.18PCR-ASA (multiplex) for thrombophilia variantsTest1,000375187.6.19PCR-Gap (multiplex) for deletional alpha thalassemiaTest500375197.6.20PCR-ASA (multiplex) for non-deletional alpha thalassemiaTest500375207.6.21Real time PCR for ApoE polymorphismTest1,000375217.6.22Real time PCR for Charcot - Marie-Tooth type IATest2,000375227.6.23Real time PCR for CYP450 2C9 Test1,000375237.6.24Real time PCR OthersTest2,000375247.6.25Long PCR for hemophilia A intron 22 inversionTest1,000375257.6.26Long PCR for glucocorticoid remediable aldosteronismTest1,000375267.6.27Sequencing of triplet repeats - Huntington diseaseTest2,500375277.6.28Sequencing of triplet repeats - OPMDTest2,000375287.6.29Sequencing of triplet repeats - SCA type 1, 2, 3Test2,500375297.6.30Sequencing of triplet repeats - Kennedy diseaseTest1,500375307.6.31Sequencing of triplet repeats - OthersTest2,500375317.6.32Whole gene sequencing - Beta thalassemiaTest2,500375327.6.33Whole gene sequencing - GJB2 in hearing lossTest2,000375337.6.34Whole gene sequencing - Von Hippel Lindau diseaseTest5,000375347.6.35Whole gene sequencing - Dopa-responsive dystonia DYT1Test1,000375357.6.36Whole gene sequencing - Hemochromatosis HFETest5,000375367.6.37Whole gene sequencing - Idiopathic pancreatitis PRSS1Test5,000375377.6.38Whole gene sequencing - Metachromatic leukodystrophyTest5,000375387.6.39Whole gene sequencing - MECP2Test5,000375397.6.40Whole gene sequencing - ARXTest2,500375407.6.41Whole gene sequencing - X-linked adrenoleukodystrophyTest5,000375417.6.42Whole gene sequencing - Wiskott Aldrich syndromeTest5,000375427.6.43Whole gene sequencing - Peutz-Jeghers syndromeTest5,000375437.6.44Whole gene sequencing - CystinosisTest5,000375447.6.45Whole gene sequencing - Bruton hypogammaglobulinemiaTest5,000375457.6.46Whole gene sequencing - Chronic granulomatous diseaseTest5,000375467.6.47Whole gene sequencing - Methemoglobinemia (cyt b5R)Test5,000375477.6.48Whole gene sequencing OthersTest5,000375487.6.49Whole gene mutation screening - Marfan syndromeTest10,000375497.6.50Whole gene mutation screening - BRCA1, 2Test10,000375507.6.51Whole gene mutation screening - HNPCC MSH2, MLH1Test10,000375517.6.52Whole gene mutation screening - ADPKDTest10,000375527.6.53Whole gene mutation screening - Wilson diseaseTest5,000375537.6.54Whole gene mutation screening - Hemophilia ATest10,000375547.6.55Whole gene mutation screening - DysferlinopathyTest10,000375557.6.56Whole gene mutation screening - DMRVTest5,000375567.6.57Whole gene mutation screening - FAPTest5,000375577.6.58Limited gene sequencing - CADASILTest1,000375587.6.59Limited gene sequencing - FGFR related conditionsTest3,000375597.6.60Limited gene sequencing - RET related conditionsTest2,000375607.6.61Limited gene sequencing - Liddle's syndromeTest2,000375617.6.62Limited gene sequencing - Hereditary pancreatitis SPINK1Test1,000375627.6.63Mitochondrial DNA analysis - Leber optic atrophyTest2,500375637.6.64Mitochondrial DNA analysis - Kearns Sayre/CPEOTest3,500375647.6.65Mitochondrial DNA analysis - EncephalomyopathyTest2,500375657.6.66Microsatellite instability testing from tissue specimenTest3,000375667.6.67Tumor clonality DNA studyTest5,000375677.6.68Prenatal diagnosis using direct mutation analysisTest3,000375687.6.69Prenatal diagnosis using linkage analysisTest5,00037569-7HF 5H-@+7-2#2"2#2!+1'I- 7.1-7.6 I2I A%0@G#2"2#5H D!H*2!2#@5"@5"DI C+I*2"22%3@42#5H#0#'2#%13+ Test2!5H*2 "22%@#5"@G C5 254837999 7.7 H2#'2"24'4"2 %31#2"2#+H'"#22#+1*#2"2#7.7.1 2##'@7I-(1%"##! (Surgical pathology)#542!2+#7-#4!2#- 4I@7I- (4#22AH%0 2 0)7.7.1.1 Biopsy +#7- 4I@7I-5H!5'2!"2'!25H*8 D!H@4 2 !.240380017.7.1.2Biopsy +#7- 4I@7I-5H!5'2!"2'!2'H2 2 !.AHD!H@4 5 !.500380027.7.1.3Biopsy +#7- 4I@7I-5H!5'2!"2'!2'H2 5 !.1,000380037.7.1.4-'1"'0+#7-*H'--'1"'05HD!HI-@%20#'H-!I3@+%7-1,200380047.7.1.5-'1"'0+#7-*H'--'1"'05HI-@%20#'H-!I3@+%7-2,400380057.7.1.6Excisional biopsy with margin examination1,000380067.7.1.72##'I'"'45 Frozen section 2##'#2"%01,16038010#542!-'1"'0 (4#22AH%0 2 0)Neuro, Endocrine, Eye, Ear, Nose, Mouth7.7.1.8Nerve with resin study1,350380207.7.1.9Thyroidectomy (lobectomy or subtotal or total)1,200380307.7.1.10Thyroidectomy with node dissection2,400380317.7.1.11Eye ball, enucleatiion500380407.7.1.12Eye ball, excenteration1,000380417.7.1.13Tonsil, each specimen24038060 Respiratory, Cardivascular, Lymphatic7.7.1.14Lung, wedge biopsy1,000380707.7.1.15Lung, lobectomy1,200380717.7.1.16Lung, lobectomy with lymph node2,400380727.7.1.17Heart valve1,000380807.7.1.18Lymph node, radical dissection1,20038090Digestive7.7.1.19Esophagus, esophagectomy1,200381007.7.1.20Esophagus, esophagectomy with node dissection2,400381017.7.1.21Stomach, gastrectomy1,200381027.7.1.22Stomach, gastrectomy with node dissection2,400381037.7.1.23Small bowel, resection1,200381047.7.1.24Small bowel, resection with node dissection2,400381057.7.1.25Appendix240381067.7.1.26Colon, colectomy1,200381077.7.1.27Colon, colectomy with node dissection2,400381087.7.1.28Rectum1,200381097.7.1.29Rectum with node dissection2,400381107.7.1.30Whipple's specimen2,400381207.7.1.31Liver needle biopsy500381217.7.1.32Liver wedge biopsy500381227.7.1.33Liver resection1,200381237.7.1.34Gallbladder500381247.7.1.35Omentectomy50038130Urinary7.7.1.36Kidney needle biopsy750381407.7.1.37Kidney needle biopsy (with immunohistochemical study)2,350381417.7.1.38Kidney, nephrectomy and partial nephrectomy1,200381427.7.1.39Kidney, wedge biopsy500381437.7.1.40Urinary bladder, cystectomy1,200381447.7.1.41Urinary bladder, cystectomy with lymph nodes dissection2,400381457.7.1.42Urinary bladder, cystoscopic biopsy240381467.7.1.43Urinary bladder, TUR-tumor50038147Male genital7.7.1.44Prostate, needle biopsy1,000381507.7.1.45Prostate gland, prostatic chips (TUR)1,450381517.7.1.46Prostate gland, prostatectomy for BPH1,000381527.7.1.47Prostate gland, prostatectomy with radical node dissection2,400381537.7.1.48Testis, unilateral or bilateral orchidectomy500381607.7.1.49Vasectomy (unilateral or bilateral)24038161Female genital7.7.1.50Pelvic exenteration (uterus with urinary bladder or colon and lymph node)3,000381707.7.1.51Wertheim's operation3,000381717.7.1.52Ovarian mass1,200381727.7.1.53Fallopian tube, Tubal steritization240381737.7.1.54Fallopian tube, tubal pregnancy240381747.7.1.55Uterus with cervical conization2,400381767.7.1.56Uterus with multiple groups of lymph nodes2,400381777.7.1.57Uterus with ovarian tumor2,400381787.7.1.58Uterus, hysterectomy (TAH)1,000381797.7.1.59Uterus, hysterectomy with adnexa1,200381807.7.1.60Cervical conization, LEEP1,20038181Musculoskeletal7.7.1.61Bone (tumor : en bloc resection pelvectomy, sacrectomy)2,400381907.7.1.62Bone marrow biopsy240381917.7.1.63Muscle biopsy500382007.7.1.64Muscle biopsy with special study2,400382017.7.1.65Extremities, amputation with tumor3,000382107.7.1.66Leg, amputation (AK, BK) for non-tumor2,40038211Skin and Breast7.7.1.67Breast (mass, excision, 2-5 cm)500382207.7.1.68Breast (mass, excision, > 5 cm)1,000382217.7.1.69Breast (mass, excision, less than 2 cm)240382227.7.1.70Breast (core needle biopsy, multiple pieces)1,200382237.7.1.71Breast (simple mastectomy)1,200382247.7.1.72Breast, mastectomy (simple, radical, modified radical) and axillary content2,400382257.7.1.73Skin biopsy (Dermatosis)50038230 7.7.2 2##'@ %%L'4"2 (Cytopathology)7.7.2.12##'@ %%L'4"2 - Non-Gynecological specimen#2"500383017.7.2.22##'@ %%L'4"2 - Gynecological specimen (PAP smear)#2"100383027.7.3 2##'8%##(L-4@%G#- (Electron microscopy)7.7.3.12##'I'"'458%##(L-4@%G#-A*H-H2 (Transmission electron microscopy) 4I2,800383307.7.3.22##'I'"'458%##(L-4@%G#-A*H-'2 (Scanning electron microscopy) 4I3,400383317.7.3.32#@#5"!*D%L resinSlide1,100383327.7.4 2#"I-!*54@() (Special staining)7.7.4.1"I-!*54@() *560384017.7.5 2##'I'"'45-4!!9B.5*B@!57.7.5.1ACT#1I270385017.7.5.2ACTH#1I420385027.7.5.3Alpha-Actinin#1I1,320385037.7.5.4AE1/AE3#1I300385047.7.5.5AFP#1I290385057.7.5.6ALK protein#1I420385067.7.5.7Alpha-Inhibin#1I390385077.7.5.8Amyloid A#1I540385087.7.5.9Aromatase#1I480385097.7.5.10AT#1I270385107.7.5.11B-cell his X#1I300385117.7.5.12Bcl-2#1I360385127.7.5.13Bcl-6#1I420385137.7.5.14Bcl-10#1I320385147.7.5.15Ber-EP 4#1I290385157.7.5.1634-beta-E12#1I350385167.7.5.17Beta2-Microglobulin#1I280385177.7.5.18Beta-hCG#1I290385187.7.5.19BLA-36#1I310385197.7.5.20BM-2#1I380385207.7.5.21BOB-1#1I540385217.7.5.22C1q#1I280385227.7.5.23C3c#1I280385237.7.5.24Calcitonin#1I440385247.7.5.25Caldesmon#1I340385257.7.5.26Calponin#1I340385267.7.5.27Calretinin#1I390385277.7.5.28CAM 5.2#1I330385287.7.5.29Cathepsin D#1I330385297.7.5.30CD1a#1I720385307.7.5.31CD3#1I430385317.7.5.32CD4#1I420385327.7.5.33CD5#1I400385337.7.5.34CD8#1I480385347.7.5.35CD10#1I430385357.7.5.36CD15#1I300385367.7.5.37CD20#1I360385377.7.5.38CD21#1I300385387.7.5.39CD23#1I490385397.7.5.40CD30#1I330385407.7.5.41CD31#1I320385417.7.5.42CD34#1I390385427.7.5.43CD35#1I300385437.7.5.44CD43#1I340385447.7.5.45CD45#1I340385457.7.5.46CD56#1I350385467.7.5.47CD57#1I410385477.7.5.48CD68#1I320385487.7.5.49CD74#1I250385497.7.5.50CD79a#1I400385507.7.5.51CD99#1I360385517.7.5.52CD117#1I560385527.7.5.53CD138#1I310385537.7.5.54CD141 (Thrombomodulin)#1I350385547.7.5.55CD146 MCAM#1I350385557.7.5.56CDW75#1I250385567.7.5.57CDX-2#1I320385577.7.5.58CEA#1I320385587.7.5.59Chlamydia#1I340385597.7.5.60Chromogranin A#1I450385607.7.5.61CK-5/6#1I410385617.7.5.62CK-7#1I350385627.7.5.63CK-8#1I330385637.7.5.64CK-19#1I350385647.7.5.65CK-20#1I340385657.7.5.66CMV#1I320385667.7.5.67c-myc#1I400385677.7.5.68Collagen IV#1I340385687.7.5.69Collagen VI#1I1,450385697.7.5.70Cryptosporidium#1I300385707.7.5.71Cyclin D1#1I430385717.7.5.72Desmin#1I340385727.7.5.73Dysferin#1I1,550385737.7.5.74Dystrophin-1 (Rod domain)#1I490385747.7.5.75Dystrophin-2 (C-terminus) / Dystrophin A#1I490385757.7.5.76Dystrophin-3 (N-terminus)#1I490385767.7.5.77EBV#1I250385777.7.5.78E-cadherin#1I360385787.7.5.79EGFR#1I460385797.7.5.80EMA#1I280385807.7.5.81Emerin#1I1,450385817.7.5.82ER#1I570385827.7.5.83Factor VIII#1I310385837.7.5.84Fascin#1I350385847.7.5.85FDRC Predilute#1I480385857.7.5.86Fibrinogen#1I250385867.7.5.87FSH#1I320385877.7.5.88Gastrin#1I400385887.7.5.89GCDFP 15#1I400385897.7.5.90GFAP#1I330385907.7.5.91Glucagon#1I340385917.7.5.92Glycophorin A#1I380385927.7.5.93Glycophorin C#1I320385937.7.5.94Granzyme B#1I430385947.7.5.95Growth hormone#1I350385957.7.5.96H.pylori#1I320385967.7.5.97HBcAg#1I300385977.7.5.98HBsAg#1I340385987.7.5.99HCV#1I450385997.7.5.100Hemoglobin#1I220386017.7.5.101Hepatocyte#1I370386027.7.5.102HER-2#1I740386037.7.5.103HHF - 35#1I340386047.7.5.104HLA class II#1I290386057.7.5.105HMB - 45#1I360386067.7.5.106hPL (Placental Lactogen)#1I260386077.7.5.107HPV#1I260386087.7.5.108HSV (type II)#1I270386097.7.5.109IgA#1I280386107.7.5.110IgD#1I280386117.7.5.111IgG#1I280386127.7.5.112IgM#1I250386137.7.5.113Insulin#1I370386147.7.5.114Kappa#1I280386157.7.5.115Ker I (human)#1I220386167.7.5.116Ker II (Bovine)#1I210386177.7.5.117Ki-67 (MIB-1)#1I390386187.7.5.118Lambda#1I300386197.7.5.119LH#1I320386207.7.5.120Lysozyme#1I260386217.7.5.121Mac-387#1I280386227.7.5.122MAK-6#1I250386237.7.5.123Mast cell tryptase#1I320386247.7.5.124Melan A#1I400386257.7.5.125Merosin#1I1,440386267.7.5.126MNF 116#1I310386277.7.5.127MOC-31#1I380386287.7.5.128MUC-2#1I640386297.7.5.129MUC-5AC#1I640386307.7.5.130MUM-1#1I410386317.7.5.131Myelin (MBP 88)#1I340386327.7.5.132Myeloperoxidase#1I310386337.7.5.133Myogenin#1I380386347.7.5.134Myoglobin#1I260386357.7.5.135Myosin#1I340386367.7.5.136Neuroblastoma#1I300386377.7.5.137Neurofilament#1I330386387.7.5.138Neutrophil elastase#1I290386397.7.5.139NSE#1I460386407.7.5.140OCT-2#1I560386417.7.5.141OCT-3/4#1I350386427.7.5.142Osteocalcin#1I1,190386437.7.5.143Osteonectin#1I400386447.7.5.144P504#1I570386457.7.5.145p53#1I390386467.7.5.146p57#1I450386477.7.5.147p63#1I450386487.7.5.148Parathyroid hormone#1I380386497.7.5.149Perforin#1I390386507.7.5.150Peripherin#1I390386517.7.5.151PGP 9.5#1I380386527.7.5.152PIP#1I390386537.7.5.153PLAP#1I320386547.7.5.154Plasma cell#1I290386557.7.5.155Plt. (GP IIIa)#1I310386567.7.5.156Pneumocystis#1I320386577.7.5.157PR#1I570386587.7.5.158Prolactin#1I360386597.7.5.159PSA#1I290386607.7.5.160PSAP#1I270386617.7.5.161PTEN#1I360386627.7.5.161Renal cell carcinoma#1I320386637.7.5.162S-100#1I310386647.7.5.163Alpha-Sarcoglycan#1I1,260386657.7.5.164Beta-Sarcoglycan#1I1,480386667.7.5.166Delta-Sarcoglycan#1I1,480386677.7.5.167Gamma-Sarcoglycan#1I1,490386687.7.5.168Sarcomeric actin#1I320386697.7.5.169Serotonin#1I280386707.7.5.170Smooth m.actin#1I310386717.7.5.171Smooth muscle myosin heavy chain#1I390386727.7.5.172Somatostatin#1I350386737.7.5.173Spectrin#1I320386747.7.5.174Surfactant#1I450386757.7.5.175Synaptophysin#1I360386767.7.5.176T-cell, UCHL-1#1I280386777.7.5.177TdT 2#1I670386787.7.5.178Testosterone#1I270386797.7.5.179Thyroglobulins (TG)#1I270386807.7.5.180TIA-1#1I390386817.7.5.181TTF-1#1I400386827.7.5.182Tyrosinase#1I470386837.7.5.183Ulex B279#1I220386847.7.5.184Ulex X921#1I210386857.7.5.185VEGF#1I540386867.7.5.186Villin#1I330386877.7.5.187Vimentin#1I360386887.7.5.188Wilms' tumor#1I37038689-7HF 5H-@+7-2#2"2#2!+1'I- 7.7 I2I A%0@G#2"2#5HD!H*2!2#@5"@5"DI C+I*2"22%3@42#2!5H#0#'2#%13+  2!5H*2 "22%@#5"@GC5 254838999 +!'5H 8 H2#''44 1"A%0#1)22#1*5'4"2 H2#''44 1"A%0#1)22#1*5 +!2"6 H2#42#2#1*5'4"21IC2##''44 1"A%02##1)2 @ H 2#3 X-ray, CT scan, Ultrasonography, MRI, Radionuclide scan A%0#1*5#1)2H2F @GI B"C+I4H2#42##'!H2-8#L H2"2 (I2!5) A%0'1*8*4I@%7-5H3@GB"# @ H 4%L! @G!A%0#0- 5"2 *2"I3@%7- -- 4@ 2#C I@#7H- monitor @GI (I-D!H3D4#'!1H2@'  1L5H!4C H"2 +#7-H2-8#L-C I@#7H-!7-22#A"L-5) A%0H2#4+2#12# #2"2##1*5#H'!#1)2 1-"9HC+!'+12#-+I-H21 (+!'5H 11) H2#42##1*5'44 1" (8.1 - 8.5) !2#23+2#C I*2#6#1*5C2##' Computerized tomography @G Ionic contrast media I2C I Nonionic contrast media C+I4#22@4H!2!5H3+C#2"2# #2"2#5HD!H!5#08A"@G Non contrast (NC) A%0 with contrast media (CM) C+IC I@G#22@5"'1 B"I2C I Nonionic contrast media C+I4#22@4H!2!5H3+C#2"2# *3+#12##'4@() I'"%7HA!H@+%GDI2 #225H3+D'I5ID!H#'! Gd-contrast I23@GI-C I C+I4#22@4H!2!5H3+C#2"2# H2#'5H3+5ID!H#'!H23+12##H'! @ H 2#1 4I@7I- 2#*H#' 2#C*H*2"*'H2F %31#2"2#+H'"#22+!2"@+8#+1*#2"2#8.1Plain X-ray8.1.1 2H2"@-G @#"L1H'Dfilm170410018.1.2Mobile X-Raysfilm300410028.1.3TM jointfilm130412038.1.4Panoramic/Cephalometryfilm300412018.1.5Dental filmfilm80412028.1.6Mass chest (small film)film50413018.1.7 2H2"@-G @#"L441% 2220D!HC+I!52#4H24%L!@4H!410038.2X-ray: Special8.2.1Fluoroscopic observation #1I600D!H#'!H21+#7-@20*H#' 4I@7I-420018.2.2Myelography one part cervical/lumbar#1I2,0008#2"2##'! *2#6A*A%0'1*8-8#L7I2-+12#1IF A%I' (#'!1I%'32*2" A%0*2" catheter 5H3@G7I2 +6H 8 C#55H C I@4H! *2!2#@4@4H!27I2DI A%0I-!5+%122#C I#0-2#@4H2")421018.2.3Myelographycomplete/thoracic#1I2,550421028.2.4Sialography#1I1,150422018.2.5Dracyography#1I1,150422028.2.6Venography#1I1,800420108.2.7Mammography#1I1,200423308.2.8Mammography with US#1I1,700423318.2.9Barium swallowing#1I1,350425018.2.10Esophagogram#1I1,350425028.2.11BS with esophagogram#1I1,350425038.2.12UGI#1I1,400425048.2.13UGI with small bowel series#1I1,700425058.2.14Barium enema, single CM#1I1,750425068.2.15Barium enema, double CM#1I2,300425078.2.16Transhepatic cholangiography#1I2,050425088.2.17T-Tube cholangiography#1I1,300425098.2.18Intraoperative cholangiography#1I450425108.2.19Fistulography#1I1,300425118.2.20IVP (Ionic contrast)#1I1,950426018.2.21Retrograde Pyelography #1I1,500426028.2.22VCUG/Cystogram#1I1,800426038.2.23Urethrogram#1I1,500426048.2.24Hysterosalpingography#1I1,850426058.2.25Arthrography#1I1,750427018.2.26Bone density: X-rays 1 part#1I1,000427028.2.27Bone density: X-Rays whole body#1I2,900427038.2.28Angiography, single shot#1I4,000#'!'1*8@'  1L7I2C2#3+12# set @G! *2"*' catheter A%0@#7H-!7-#1*5'44 1"425128.2.29Angiography, selective#1I17,000425138.2.30Angiography, each following vessel#1I5,000425148.2.31Splenoportography (percutaneous)#1I2,050425158.2.32Splenoportography (selective)#1I18,000425168.3Ultrasound8.3.1US Portable#1I1,050430018.3.23-D Ultrasound#1I800430028.3.34-D Ultrasound, diagnostic of fetal anomalies, breast biopsy#1I2,500430038.3.4US Small part#1I650430048.3.5US Doppler artery or vein#1I1,000430058.3.6US Upper/lower abdomen#1I650435018.3.7US Whole abdomen#1I850435028.3.8US Endovaginal or endorectal probe#1I850436018.3.9Bone density: US#1I650437018.3.10Fine needle aspiration under U/S #1I1,000#'!'1*8 set sterile @'  1L7I2 A%0 2#C I@#7H-!7-#1*5'44 1"439108.3.11US guided for biopsy#1I2,300#'!'1*8 set semiautomatic needle @'  1L7I2 A%02#C I@#7H-!7-#1*5'44 1"439118.4CT & CTA 8.4.1CT 1 part + Multiphase CM#1I6,800440018.4.2CT 1 part + 3D Navigator#1I14,500440028.4.33D CT scan#1I8,000440038.4.4Additional surface 3D views#1I350440048.4.5Additional multiphase#1I1,000440058.4.6CTA 1 part#1I12,000440108.4.7CTA Peripheral run off#1I12,000440118.4.8CT Fistulogram#1I6,000440208.4.9CT Brain NC#1I3,100441018.4.10CT Brain with CM#1I4,600441028.4.11CTA Brain#1I12,000441038.4.12CT Sella#1I4,000441108.4.13CT Pituitary gland 2 planes #1I5,000441118.4.14CT Spine 1 part #1I5,350441408.4.15CT Myelogram#1I5,800441508.4.16CT Facial bone#1I4,000442018.4.17CT Facial bone3 D#1I6,000442028.4.18CT Orbits 2 planes #1I5,000442108.4.19CT Temporal bone#1I5,000442208.4.20CT IAC/Temporal bone screening#1I3,100442218.4.21CT IAC#1I5,000442228.4.22CT Parotid gland#1I5,700442238.4.23CT Nasal cavity#1I4.000442308.4.24CT Nasopharynx 2 planes #1I5,700442318.4.25CT PNS screening 1 plane #1I2,500442328.4.26CT PNS 2 planes #1I5,000442338.4.27CT Oral cavity#1I5,700442408.4.28CT Dental scan -maxilla#1I5,000442418.4.29CT Dental scan - mandible#1I5,000442428.4.30CT Oropharynx#1I5,700442438.4.31CT Neck #1I5,700442508.4.32CTA Neck#1I12,000442518.4.33CT Neck, Thyroid and Parathyroid #1I5,700442528.4.34CT Larynx #1I5,700442608.4.35CT Thyroid#1I5,700442618.4.36CT Chest/Lungs CM#1I5,000443018.4.37High resolution CT (Lungs)#1I4,000@G#22@4H!2#2"2##' CT 7I2443028.4.38CTA Chest#1I12,000443108.4.39CTA for Pulmonary Emboli #1I12,000443118.4.40Cardiac function graft full cardiac function including coronary artery angiogram#1I18,000444018.4.41CTA Coronary artery#1I13,000444028.4.42CTA Aorta (1 part)#1I12,000444208.4.43CTA Whole aorta#1I16,000444218.4.44CT Upper abdomen #1I5,000445018.4.45CT Lower abdomen#1I5,000445028.4.46CT Whole abdomen #1I9,500445038.4.47CTA Liver donor#1I12,000445108.4.48CT Pancreas spiral#1I5,000445118.4.49CT Kidney spiral#1I5,000446108.4.50CTA Renal artery#1I12,000446118.4.51CT Adrenal#1I5,000446128.4.52CT Extremity and joint per part#1I5,000447018.4.53Bone density: CT#1I2,500447108.4.54CTA Arm#1I12,000447508.4.55Using Nonionic CM add50 ml.750449018.4.56Biopsy under CT guidance#1I3,000#'!'1*8 set sterile A%0 set semiautomatic needle449108.5MRI, MRA, MRV, MRCP8.5.1MRI 1 small part or small organ#1I4,000450018.5.2MRI Diffusion/Perfusion#1I4,000450038.5.3Functional MRI#1I10,000450048.5.4MR Spectroscopy#1I4,000450058.5.5MRA (one part)#1I9,100450108.5.6MRV (one part) #1I9,100450118.5.7MRI + MRA (nonbrain)#1I12,000450208.5.8MRA + MRV#1I12,000450218.5.9MRI + MRA + MRV#1I15,000450228.5.10MR SRT or SRS #1I4,000450308.5.11MRI Brain#1I8,000451018.5.12MRl Brain + MRA#1I11,000451028.5.13MRl Brain + CSF flow#1I11,000451038.5.14MRI Hippocampus#1I4,000451048.5.15MRI Pituitary gland#1I8,000451108.5.16MR Cisternography#1I8,000451118.5.17MRI Base of skull#1I4,000451208.5.18MRI Cavernous sinus#1I4,000451218.5.19MRI Cranial nerve#1I4,000451308.5.20MRI Spine 1 part#1I8,000451408.5.21MRI Whole spine#1I16,000451418.5.22MRI Myelogram#1I8,000451508.5.33MRI Brachial plexus#1I13,500451608.5.24MRI LS  Plexus#1I8,000451618.5.25MRI Sacral plexus#1I4,000451628.5.26MRI TM joint#1I8,000452018.5.27MRI Orbits#1I8,000452118.5.28MRI 3D IAC#1I4,000452208.5.29MRI Nasopharynx#1I8,000452308.5.30MRI PNS#1I8,000452318.5.31MRI Oropharynx8,000452408.5.32MRA Carotid#1I12,000452508.5.33MRI Larynx (Neck)#1I8,000452608.5.34MRI Thyroid glands#1I8,000452618.5.35MRI Chest#1I8,000453018.5.36MRV Chest#1I12,000453028.5.37MRA Pulmonary#1I12,000453108.5.38MRI Mediastinum#1I4,000453208.5.39MRI Breast (1 side)#1I8,000453308.5.40MRI Breasts (2 sides)#1I12,000453318.5.41MRI Guided breast biopsy#1I8,000453328.5.42MRI Heart #1I8,000454018.5.43MRI Heart + perfusion#1I12,000454028.5.44MRI Heart CgHD/Cine#1I12,000454038.5.45MRI Heart screening ASD#1I4,000454048.5.46MRA Heart#1I12,000454108.5.47MRA Aorta#1I12,000454208.5.48MRI Upper/Lower abdomen#1I8,000455018.5.49MRI Whole abdomen#1I16,000455028.5.50MRA Upper/Lower abdomen#1I12,000455038.5.51MRA Whole abdomen#1I16,000455048.5.52MRV upper/lower abd.#1I12,000455058.5.53MRI Pancrease#1I4,000455108.5.54MRCP onIy#1I4,000455118.5.55MRCP + Upper abdomen#1I12,000455128.5.56MRV Portal v.#1I12,000455138.5.57MRI Pelvic cavity#1I4,000456018.5.58MRI Urography#1I4,000456028.5.59MRI Kidney#1I4,000456118.5.60MRI Adrenal gland #1I4,000456128.5.61MRA Renal artery#1I12,000456138.5.62MRI Prostate gland#1I8,000456408.5.63MRS Prostate gland#1I4,000456418.5.64MRI Prostate special coil#1I12,000456028.5.65MRI Bone/Joint/Extremity 1 part#1I8,000457018.5.66MR Arthrography#1I8,000457108.5.67MRA Femoral artery/ Peripheral run off#1I12,000457608.5.68MRV Femoral v.#1I12,000457618.5.69Using Gd contrast medium15 ml.2,500459018.5.70Using Ferucarbotran contrast mediumVial9,05045902 -7H F 5H-@+7-2#2"2#2!+1'I- 8.1-8.5 I2I A%0@G#2"2#5HD!H*2!2#@5"@5"DI C+I*2"22%3@42#2!5H#0#' 2#%13+2!5H*2 "22% @#5"@G C5 254845999 H2#42#@' (2*#L4'@%5"#L (8.6  8.7) %31#2"2#+H'"#22+!2"@+8#+1*#2"2#8.6@' (2*#L4'@%5"#L: 2#'44 1"8.6.1Total Body scan l-131#1I2,900470018.6.2Total Body scan MIBI#1I4,100470028.6.3Tc-99m-WBC#1I8,000470038.6.4Gallium scan (Ga-67-citrate)#1I13,500470048.6.5Octreoscan (In-111 Pentetreotide)#1I59,000470058.6.6Parotid scan#1I2,800472018.6.7Parathyroid (MIBI)#1I4,000472028.6.8Thyroid uptake#1I500472038.6.9Thyroid scan pertechnetrate#1I800472048.6.10Parathyroid (MIBI + Pertechnetate)#1I4,200472058.6.11Lung scan#1I5,800473018.6.12MUGA scan (Multiple Gated Acquisition)#1I3,000474018.6.13Heart SPECT MIBI TL-201#1I8,300474028.6.14Venogram scan#1I1,000474038.6.15Lymphatic scan (Dextrans)#1I7,400474048.6.16Gl Bleeding (Phaytate)#1I2,300475018.6.17Gl Bleeding (RBC)#1I4,700475028.6.18Gl scan (Albumin)#1I7,600475038.6.19Gastric emptying#1I3,200475048.6.20Meckels scan#1I4,000475058.6.21Liver scan (Phytate)#1I2,100475068.6.22Liver scan (RBC)#1I3,500475078.6.23Hepatobiliary (DISIDA)#1I5,800475088.6.24Renal scan DMSA#1I3,500476018.6.25Captopril renogram#1I3,700476028.6.26Furosemide renogram#1I3,700476038.6.27Testicular scan#1I3,300476048.6.28Bone scan#1I2,900477018.7@' (2*#L4'@%5"#L: 2##1)28.7.1Rx Sr-89 (Strontum Chloride Sr 89)#1I59,000#'!"2+#7-*2#1!!1 2#1*51I+!5HC IC2##1)2480018.7.2Rx Sm-153 50 mCi (Samarium Sm 153 lexidronam)#1I5,100480028.7.3Rx Hyperthyroid I-131:1-10 mCi#1I1,500482018.7.4Rx Hyperthyroid I-131:11-15 mCi#1I2,000482068.7.5Rx Hyperthyroid I-131:16-30 mCi#1I3,000482078.7.6Post treatment I131#1I4,000482088.7.7Rx CA Thyroid with l-I31 (OPD)#1I3,500482028.7.8Rx CA Thyroid with I-131 100 mCi#1I8,000482038.7.9Rx CA Thyroid with l-131 150 mCi#1I11,300482048.7.10Rx CA Thyroid with I-131 200 mCi#1I15,30048205-7H F 5H-@+7-2#2"2#2!+1'I- 8.6-8.7 I2I A%0@G#2"2#5HD!H*2!2#@5"@5"DI C+I*2"22%3@42#2!5H#0#'2#%13+2!5H*2 "22% @#5"@G C5 254848999 +!'5H 9 H2#''44 1"B"'454@()-7HF H2#''44 1"B"'454@()-7HF +!2"6 H2C IH2"C2##''44 1"I'"'45-7H-@+7-22##'2@42#A"LA%0"24'4"2 A%0#1*5'4"2 @ H EKG, EMG, EEG, Exercise stress test, Echocardiography, Audiometry @GI B"C+I#'!H22#C I-8#L H2"2A%0'1*8*4I@%7-5H3@GB"# H2#4+2#12#I'" %31#2"2#+H'"#22+!2"@+8#+1* #2"2#9.12##'2#0*2'4"2#'%7HDI2*!-9.1.1Scalp E.E.G. (16 H-) #1I900511109.1.2Scalp & Sphenoid E.E.G. (16 H-)#1I1,500511119.1.3Scalp & Sleep Record E.E.G. (16 H-)#1I1,500511129.1.4Multiple sleep latency test (ICD-9-CM 89.18)#1I5,500511139.1.5Scalp EEG 10-20 system (32 H-)#1I1,800511149.1.6Scalp EEG & Nasopharynx (32 H-)#1I2,000511159.1.7Scalp EEG & Sleep deprivation (32 H-)#1I2,000511169.1.8Scalp EEG & VDO monitoring (4-8 hours)#1I4,200511179.1.9Scalp EEG & VDO monitoring (24 hours)#1I4,800511189.1.10Intra-Op Cortical EEG #1I3,000D!H#'!H2-8#L511199.1.11Polysomnogram (ICD-9-CM 89.17) #1I/77,000@+!2H2"#'! H2+I- -2+2# A%0A%%51120#'2#*---#0#0*2H-2##08I9.1.12Auditory brain stem response (ABR)#1I500511309.1.13Brain stem evoked potential response#1I700511319.1.14Long-Latency Auditory and Auditory P300#1I700511329.1.15Standard Pattern-Shift VER#1I700511339.1.16Flash VER#1I700511349.1.172##''1'2!@#G'-@*I#0*2 (Nerve conduction velocity)H-@*I/ H-#1I500511409.1.182##'%I2!@7I-A%0#0*2 (Electro myograghy)limb 500511419.1.192##'#0%I2!@7I-A%0#0*2B"2##08I#0*2#1'2!#9I*6 (Somato-sensory evoked potential)H-@*I/H-#1I 700511429.22##'21)8 B* 2*49.2.1A-scan (IOL measurement)#1I300512109.2.2B-scan#1I500512119.2.3Fundus fluorescein angiography#1I1,000D!H#'! contrast512129.2.4Refraction and strabismus examination#1I200512209.2.5Routine hearing test (Audiogram)#1I150512309.2.6Special hearing test (Tympanogram)#1I150512319.2.7Speech evaluation#1I150512409.2.8Speech therapy #1I70512419.32##'@5H"'1-9.3.1Lung Function Test - Spirometry (Peak flow)#1I30513109.3.2Lung Function Test - Spirometry (Pulmonary Function Test)#1I300513119.3.3Lung Function Test - Spirometry (Pre & post Brochodilater PFT)#1I400#'!H2"2513129.3.4Lung Function Test - Lung Volume Study (+ DLCO)#1I1,000#'!H2 CO513139.3.5Lung Function Test - Cardiopulmonary Exercise Test (CPET) #1I1,500#'!H2 Gas513149.42##'@5H"'1+1'CA%0+%-@%7-9.4.1E.C.G. (Electrocardiography)#1I200#'! red dot514109.4.2Stress Test Electrocardiography#1I1,500514119.4.3Holter Monitor#1I2,000514129.4.4Echo-Transthoracic + color + Doppler#1I2,000514209.4.53 D Echocardiography#1I3,000514219.4.6Transesophageal Echocardiogram#1I2,000514228.4.7Dobutamine Echocardiography#1I4,000D!H#'!H2"2514239.4.8Tilt table test#1I2,000D!H#'!H2"2514302##'+%-@%7-I'"%7H@*5"'2!5H*99.4.9Transcranial Doppler Ultrasound#1I2,000514409.4.10Carotid Duplex Scan#1I1,500514412##' 2'051-+%-@%7-*H'%2"9.4.11Ankle-Brachial index (A.B.I)#1I500514609.4.12Toe-Brachial Index (T.B.I)#1I700514619.52##'2#01**2'09.5.1Uroflowmetry#1I200516109.5.2Urometry#1I1,000516119.62##'24'4"29.6.1#42##'24'4"21I+!#1I200#59IH'"5H@GB#24@' +#7-1  2-H-5HI-DI#12#31#1)2519009.6.2*-@ 2'L1  2#1I200519019.6.3*-8%4 2#1I300519029.6.4*-"24'4"22*!-#1I200519039.6.5Standardized occupational therapy assessment (DDST, reflex testing, dexterity)#1I100519109.6.6Non-standardized OT assessment#1I80519119.6.7Group assessment (no later than 5 clients per one OT)#1I8051912 -7HF 5H-@+7-2#2"2#2!+1'I- 9.1-9.6 I2I A%0@G#2"2#5H D!H*2!2#@5"@5"DI C+I*2"22%3@42#2!5H#0#'2#%13+2!5H *2 "22% @#5"@GC5 2548 51999 +!'5H 10 H2-8#L-C IA%0@#7H-!7-22#A"L H2-8#L-C IA%0@#7H-!7-22#A"L +!2"6 H2C IH2"C2#C I-8#L+#7-@#7H-!7--*2"22%@7H-#0-2#31#1)2 B"C+I#'!H2"2A%0'1*8*4I@%7-5H3@GH-2#C I A%0!5#4!22#C I5HAH- #H'!1-8#L-C IA%0@#7H-!7-22#A"L1I 1I5I 2#4H2#42#0I-D!H I3 I-1H2#42##0@ -7H A%0*2"22%I-!5+%1@LC2#3+-1#25H 1@ @ H @#7H- H'"+2"C (C+I#'!H2-- 4@) @#7H- monitor H2 F A%0H2 set 5HC IC2##'#1)2H2 F @GI %31#2"2#+H'"#22+!2"@+8#+1*#2"2# 10.11H'D10.1.1H29I-@G%-H-3+ '15505201010.1.2Infant radiant warmer'11005201110.1.3H2 2"A*#1)2@G1'@+%7-%- 2##1)23005201210.1.42#C I Hypo-hyperthemia#1I200#'!I2+H!H-@#7H-5201310.1.52##1)2I'"-- 4@'2!1*9 - #1)2B" Multiplace Chamber #1I 1,250 @7H-#1)2B# 1. CO poisoning 2. Non diabetic - non atherosclerotic leg ulcer, (not include pressure sore) 3. Diabetic ulcers for Wagner gr III and IV 4. Osteoradionecrosis5202010.1.62##1)2I'"-- 4@'2!1*9 - #1)2B" Monoplace Chamber #1I1,600 5202110.1.72##1)2I'"-- 4@'2!1*9 @7H-#1)2B#5H@422#3I3 1H'B!12,00052022 10.2@5H"'1#0#0*210.2.1Intracranial pressure monitoring'1400D!H#'!*2" #+1* 11035211010.2.22#C I@#7H- PCA (pain control assistant)'11805212010.3@5H"'1#02#+2"C10.3.1H2@#7H- H'"+2"C - Pressure control respirator<8 !.650#'!-- 4@A%0H-H-8 4 @ H Flexible tube, Connector5231010.3.2H2@#7H- H'"+2"C - Pressure control respirator'11,0005231110.3.3H2@#7H- H'"+2"C - Volume control respirator<8 !.1,0005231210.3.4H2@#7H- H'"+2"C - Volume control respirator'11,9005231310.3.5H2@#7H- H'"+2"C - Bipap (non invasive positive pressure)'11,0005231410.3.6H2-- 4@ <8 !.160 #'!*2"C+I-- 4@ Canular +#7- Mask+#7- T-tube A%0-8#L5232010.3.7H2-- 4@ '14505232110.4@5H"'1#0+1'CA%02#D+%@'5"10.4.1EKG monitor '1300#'! Red dot5241010.4.2H2@#7H-42!2#2-+1'C H- 1 '1'1600Monitor -"H2I-" 3 4 BP, EKG, O2 sat #'! Red dot5241110.4.3Monitoring of cardiac output'11,0005242010.4.4Swan-Gantz'1200#22@4DI@!7H- !52#H-@#7H- Monitor5243010.4.5Invasive blood pressure monitoring'12005243110.4.6Cental venous pressure'12005243210.4.7NIBP'11005244010.4.8O2 sat'11005244110.4.9Defibrillator'14005245010.4.10Intraaortic balloon pump'11,0005246010.5@5H"'1#02@4-2+2#10.5.1Intermittent NG suction'11005251010.6@5H"'12#%-/#0*71L/2@41**2'010.6.1Electronic fetal monitoring #0+'H2@G## L#1I/'12005261010.6.2Continuous electronic fetal monitoring'12005261110.6.3#'1#-2#C## LI'" -1%#2 2'L (1st level ultrasound for pregnant woman)#1I4005261210.6.4Contraction stress test#1I/'1200D!H#'!"25262010.6.5Non stress test/ acoustic stimulation test#1I2005262110.7@5H"'14'+1A%0#0-7HF10.7.12#C I5H-%!'1405281010.8-7HF10.8.12#C I@#7H-'8!*2#I3 (Infusion pump)'1180#'! Set infusion pump 52910-7HF 5H-@+7-2#2"2#2!+1'I- 10.1-10.8 I2IA%0@G#2"2#5HD!H*2!2#@5"@5"DI C+I*2"22%3@42#2!5H#0#'2#%13+ 2!5H *2 "22%@#5"@G C5 254852999 +!'5H 11 H23+12# A%0'4*1  5 H2#42#'2"2*%A1H'D #0-I'" 1. @#7H-!"2*%A%0'1*87I25HC I#H'!1@#7H-!"2*% @ H Bacteria filter 8 A%0*2"9@*!+0 J2 -- 4@A%0D#1*--D L *2#9 12#L-D--D L @#7H- Monitor '1 Vital Signs -1B!14 (NIBP, EKG) #'! red dot @#7H-'1H2'2!-4H!1'-- 4@C@%7- H2C I@#7H- H'"+2"C Airway assisted intubation, Airway nasal or oral 2. 8%2#9IC+I#42#'4*1  5 6H#0-I'"'4*1  5A"L A%0'4*1  5"22% 3. H2'1*87I25HC IC2#@4@*I @ H @G!A%0 8C+II3@%7- 3-way, Extension tube, Syringes H2#42#'2"2*%5H 1 I- #0-I'" 1. H2#42#'2"2*%A1H'D 2. H2C I@#7H- Monitor 5HI-2# function 2#32!26I DIAH 2# Monitor pressure DI#I-!F 1 2-3 pressure, Monitor EKG #I-!F 1DI 2 lead, #'!1I2# Monitor -8+ 9!42" 1-2 3A+H 3. 8%2# @4H!'4*1  5"22%-5 1  H22#'2"2*%@ 20A+H (Regional block) 1. I-!5 Anesthetic machine stand by @*!- A%0#I-!C I2 2. #'!H2 Sterile A%01@#5"! 8*3+#12#3 Spinal block A%0 Epidural block, H2@G! Spinal H2-8#LC2#C+I-- 4@ A%0-- 4@ #42#'2"2*%2@*I@%7- (IVA) I-!5 Anesthetic machine stand by @*!- A%0#I-!C I2 #'!-8#LC2# 5"2 -8#LC2#C+I-- 4@ A%0-- 4@ +%1@LC2#1@'%2 2"C+6H 1H'B!A# C+I4@G+6H 1H'B! A%0 1H'B!1D4H2#42#@G8 15 25 (12!5H#2CC!"2*%) %31#2"2#+H'"#22#+1*#2"2#11.0.1#42#'2"2*%A1H'D (GA) 1H'B!A# 1H'B!1,4007011011.0.2#42#'2"2*%A1H'D (GA) 1H'B!1D 1H'B!1,0007011111.0.3#42#'2"2*%5H 1 I- (GA) 1H'B!A# 1H'B!2,0007011211.0.4#42#'2"2*%5H 1 I- (GA) 1H'B!1D 1H'B!1,5007011311.0.5#42#'2"2*%2@*I@%7- (IVA) H- 1H'B! 1H'B!7007012011.0.6#42#'2"2*%@ 20A+H (RA) 1H'B!A# 1H'B!1,2007013011.0.7#42#'2"2*%@ 20A+H (RA) 1H'B!1D 1H'B!90011.0.8#42# 5"2 2@ 205H B"5!'4*1  5 (LA with MAC) H-#1I#1I5007014011.0.9H2 Volatile anesthetic agents #22@+!2H2"  1H'B!4507020111.0.10H2 Carbondioxide monitoring#1I2007030111.0.11H2C I@#7H-'1'2!@I!I-D-#0@+"- "2!*%#1I3007031011.0.12H2C I@#7H- jet ventilation#1I5007032011.0.13H2C I@#7H- fiber optic H'"C*HH- H'"+2"C#1I1,0007033011.0.14H2C I@#7H-'8!*2#I3 (infusion pump) C+12#'4*1  5@#7H-6070340 +!2"@+8 1. #225H3+#'!-8#L7I2-#42#'4*1  5 41IF @ H 2#'2"2*%@ 20A+H #'!@G!C IC2#A"2 2. 4@4H!#2"2#1H-D5I - H- H'"+2"C - Lab - IV Fluid, Plasma expander, H2@%7- - H2"2 42! unit dose 5HC I H23+12# +!2"6 H2#42#@+!22!#2"2#+12#H2 F #'!62#H21 A%02#3%-I'" 2#4H2#42##0-I'" 1. H2-8#L -C I A%0@#7H-!7-22#A"L5HC IC2#3+12#1I F @ H C2#H21 C+I#'!H2@#7H-!7-H21 H2I2%8! I29H2 F I'" 2. H2"27I25HC I @ H Antiseptic "2 2 5HC IC2#3+12# 3. H2'1*8*4I@%7-7I25HC IC2#3+12# @ H C!5 D+!@"GA% I2-* *3%5 '1*85HC IC2#42A% 8!7- @GI #2"2#+12#-+I-H21 (#225H3+@G#225H#'!-8#L/'1*87I28-"H2) %31#2"2#+H'"#22+!2"@+8#+1*#2"2#11.11H'D11.1.12#7I7 5#1I900- #'!2#C I@#7H- Defibrillation - D!H#'!"2 A%0 ET tube7101111.22##'#1)22#0*2'4"211.2.1Lumbar puncture#1I2007112111.32 +9 - !911.3.1Remove eye FB #1I707121011.3.2I & D 22/I2#1I907121111.3.32#"2"!H22A%09-#0*22#1I507122011.3.4@-2*4HA%%-!--2+9#1I1007123011.3.5@-2*4HA%%-!--2!9#1I120D!H#'! Fiber optic7124011.3.6Nasal packing, anterior#1I1207124111.3.7Nasal packing, anterior and posterior#1I1,000#'!"2A%0'1*8 packing7124211.3.8Nasal endoscope#1I8007125011.3.9@-2*4HA%%-!--2-#1I120D!H#'! Fiber optic7126011.3.10Direct FOL laryngoscopy#1I1,0007127011.3.11Direct laryngoscopy with remove FB#1I1,4007127111.3.12Microdirect laryngoscopy with or without laser therapy#1I1,5007127211.42@4+2"CA%0-11.4.12#C*HH-+%-%!- (Intubation/D!H#'!H-)#1I180- #'!-8#L/'1*8A%0 Airway - D!H#'! ET tube7131011.4.2Rigid bronchoscope#1I1,2007132011.4.3Rigid bronchoscope with FB removal/ dilatation#1I1,400D!H#'!H2!"27132111.4.4Laryngo-esophago-bronchoscope#1I2,0507132211.4.5FOL Bronchoscopy #1I1,800- @G%I-#' VDO - D!H#'!H2!"27133011.4.6FOL Bronchoscopy & biopsy#1I1,9007133111.4.7FOL Bronchoscope with remove FB2,1007133211.4.8FOL Bronchoscopy & treatment (laser, heat)#1I2,6007133311.4.9@20- (Diagnostic thoracocentesis)#1I2007134011.4.102##02"@-2I3C H---- (Chest Drain)#1I400D!H#'!*2" chest drain (#+1* 3101) 7134111.4.111@"7H-8 H-- (Pleural Biopsy)#1I3007134211.5+1'CA%0+%-@%7- +12#B#+1'CH-D5I @G#22@+!2H2"1I+! #'!H2A# H2C I@#7H-!7-2!!2#2 set A%0@'  1L!4C H"2 @ H Thouhy bose, Indeflater, Needle pucture, Manifold, Connector, Dome, Contrast media, Torguer device, etc. A%0'1*85H-"9HC#2"2#-8#LC2#31#1)2B# (2!+!'5H 2) @ H Introducer sheath, Guide wire, Balloon for PTCA, Guide wire for PTCA AHD!H#'!#2"2#-8#L31#1)2B# C#+1* 4307, 4308, 4309, 4310, 4313, 4802 11.5.12#@4+%-@%7-3 (Cut down) #1I800#'!-8#L/'1*8 @ H *2" Cut down "2 2 8!7- "2H2@ 7I- %2*@-#L /%/7141011.5.22#@4+%-@%7-A#1I4007141111.5.32#*'+%-@%7-5H*2"*07- #1I3507141211.5.42#H2"@%5H"@%7- #1I700#'!H2 Set7141311.5.52#C*H Double lumen catheter#1I450D!H#'!H2*2" Double lumen cath7142011.5.62#C*H Permanent catheter#1I1,000D!H#'!H2*2"Permanent cath7142111.5.7C*H*2"*'+1'C (Pulmonary wedge pressure)#1I900D!H#'!*2" Pulm wed pressure7142211.5.8@20I3C H-+8I!+1'C #1I900#'!H2@#7H- Monitor 03+12#7143011.5.9Myocardial biopsy#1I3,000#'! Set Myotome7143211.5.10Coronary angiography (CAG) #1I15,0007144011.5.11Percutaneous transluminal coronary agiography and stent implantation#1I50,000@4 Stent D!H@4-1#2 5H#0#'2#%13+A%02!3'5HC I#47144111.5.12Additional coronary arteries #1I16,500C2#3 PTCA +#7-C*H stent 5H@4H!6I2@*IA#7144211.5.13Right & Left heart catheterization#1I15,000#'!H2 Lab7145011.5.14Ablation #1I100,000@+!2H2"1I+! D!H!5*H'5HI-@4@4H! 7145111.5.15PTMC#1I55,0007145211.5.16ASD#1I140,0007145311.5.17PDA#1I80,0007145411.5.18Temporary Pacemaker#1I10,000#'!H2C I@#7H-#08I+1'C7146011.5.19Permanent Pacemaker#1I10,000@4@#7H-#08I+1'C D!H@4-1#25H#0#' 2#%13+7146111.5.20IABP#1I10,000- #'!H2C I@#7H-%-2##1)2 - D!H#'!*2" 44247147011.62@4-2+2#11.6.1@20I-@-2I3-- (Abdominal Paracentesis)#1I2007151011.6.22#9+-255H1 (Liver Aspiration)#1I2507151111.6.32#@20 4I@7I-1*H#'"24 (Liver Biopsy)#1I2507151211.6.42#*H-#' H-I- (Peritoneoscopy)#1I7007152011.6.5Esophagoscopy#1I1,300- @G%I-#' VDO - D!H#'!H2!"27153011.6.6Esophagoscopy with remove FB#1I1,4007153111.6.72#C*H Zengstaken Intubation#1I450#'!2#"22%9A%*2"7153211.6.8Gastroduodenoscopy#1I1,300- @G%I-#' VDO - D!H#'!H2!"27154011.6.9Gastroduodenoscopy & biopsy#1I1,5007154111.6.10Esophago-gastroscope with banding#1I1,900D!H#'!*2" Banding7154211.6.11Gastroscope & adrenaline injection#1I1,600#'!"2 Adrenaline71543 11.6.12Gastroduodenoscopy & sclerotherapy (laser, heat)#1I2,900#'!-8#L "2 A%0/+#7- Probe 5HC I7154411.6.13Endoscopic ultrasound #1I3,0007154511.6.142#*H-#''2#+1 (Proctoscopy)#1I407155011.6.152#*H-#''2#+1A%0 4!-"L (Proctosigmoidoscopy fiberoptic)#1I1,0007155111.6.16Banding Hemorrhoid#1I2507155211.6.17Colonoscopy (2#*H-#'%3D*IC+ H)#1I2,3007156011.6.18Colonoscopy & biopsy#1I2,500A"4H2 4I@7I-7156111.6.19Colonoscopy & Polypectomy#1I3,3007156211.6.202#3 Endoscopic Retrograde Cholangio Pancreatography (ERCP)#1I6,500#'!-8#L7I2C2#'44 1" *2" catheter A%0 GW D!H#'!H24%L!A%0-8#L@7H-2##1)2 @ H stent, brush, balloon, sphincterostomy7157011.72B#DA%02@41**2'011.7.1H21 4I@7I-D*H4*9L "24* 2 #1I900D!H#'!H2#'"247161011.7.22#%I2D2 H-I- (Peritoneal Dialysis) #0@  1H'#2' - C*H*2" Tro cath#1I1,100D!H#'!*2" Tro cath #+1* 56037162011.7.32#%I2D2 H-I- (Peritoneal Dialysis) #0@  1H'#2' - H24142# 24 1H'B! (Manual)#1I900D!H#'!H2I3"2%I2D7162111.7.42#%I2D2 H-I- (Peritoneal Dialysis) #0@  1H'#2' - H24142# 24 1H'B! (Machine)#1I2,5007162211.7.52#%I2D2 H-I- #0@ 2'# (CAPD) - H2C*H*2" Tenchkoff (CAPD)#1I1,400D!H#'!*2" Tenchkoff #+1* 5604, 56057163011.7.62#%I2D2 H-I- #0@ 2'# (CAPD) - H24142#'8!A%06*-9IH'"#1I1,400@+!2#'!9IH'"414DI7163111.7.72#C ID@5"! (Hemodialysis) - Acute Hemodialysis#1I3,500#'!-8#L7I2 '1*8*4I@%7- 1'#- Blood line @G!A "27I2 -- 4@ A%0 monitor71640 11.7.82#C ID@5"! (Hemodialysis) - Chronic Hemodialysis) #1I2,000H2#1)2"22%C2#-@%7-@+!2H2" 2!#02(#0#'2#%1  '15H 31 *.. 25487164111.8*94  #5@' ##!11.8.1H2%-42 H-%- H2(5#)0#1I1,0007165011.8.2H2%-H2I2 H-%-#1I1,3007165111.8.3H2%-C I@#7H-!7- H'" (Vac/forcep)#1I1,3007165211.8.4%I'##1I3507165311.8.5H2#'!0@#G2!%9#1I70 7166011.8.6Colposcopic examination (#'I'"%I-)#1I2507166111.8.7Culdocentesis #1I 1707166211.8.8Cryosurgery (5II'"'2!@"G)#1I1607167011.8.95I+92/C H-%-I'"DI2#1I2507167111.8.105I+92/C H-%-I'""2 Podiphyllin +#7- Trichloacetic acid#1I1307167211.8.11H255H2 H-%-/Incission and drain of Bartholin abscess#1I3007167311.8.12Marsupialization of Bartholin cyst#1I3507167411.8.13Endometrial biopsy #1I1507168011.8.14H2C*H+H' #1I09I!5*44#14 -H2C IH2"*H'5I@-7168111.8.15H2@-2+H'--#1I07168211.8.16Artificial Insemination#1I07168311.8.17H21"28!#1I07169011.8.18H2@-2"21--#1I07169111.9B# 9!4AI-4!!9'4"2A%0B#I-11.9.1@20I3--2I- #1I1507171011.9.22# 5"2@I2I-#1I1207171111.10+12#1H'D@5H"'1#09A%0I-11.10.11@7-#1I 100 1. AP Slab +!2"6 Slab 2 4I 2I2 anterior A%0 posterior 2. Volar slab, post. slab +!2"6 slab 1 4I 3. 8#2"2##'!H2'1*88-"H2A%I'7172011.10.2-@+%G--#1I 300 7172111.10.3Skin traction#1I 300 7172211.10.4Skeletal traction#1I 900 7172311.10.52!4I' (Finger splint)#1I 100 7172411.10.62!I- +#7-2!#09 2"- 1H'#2'#1I 300 71725@I2@7-91H'DA%0@7-9 1 I-11.10.7Short arm AP slab#1I 250 7173011.10.8Short arm volar slab#1I 180 7173111.10.9Ulnar gutter#1I 220 7173211.10.10Radius gutter#1I 220 7173311.10.11Long arm AP slab#1I 380 7173411.10.12Long arm post. slab#1I 340 7173511.10.13U slab#1I 380 7173611.10.14Thumb spica slab#1I 220 7173711.10.15Short leg AP slab#1I 500 7173811.10.16Short leg post. slab#1I 400 7173911.10.17Long leg AP slab#1I 850 7174011.10.18Long leg post slab#1I 750 7174111.10.19Knee AP slab#1I 650 7174211.10.20Knee post. slab#1I 550 7174311.10.21Short arm cast#1I 250 7175011.10.22Long arm cast#1I 380 7175111.10.23Thumb spica cast#1I 250 7175211.10.24Short leg cast#1I 420 7175311.10.25Long leg cast#1I 800 7175411.10.26Short leg walking cast#1I 500 7175511.10.27Club foot cast (Long leg cast *3+#1@G)#1I 250 7175611.10.28Knee cast#1I 570 7175711.10.29PTB (Patella tension banding) cast#1I 800 7175811.10.30Body jacket#1I 1,900 7176011.10.31Single hip spica#1I 1,500 7176111.10.32Double hip spica#1I 1,800 7176211.10.33Shoulder spica#1I 1,300 7176311.10.34Minerva cast#1I 2,000 71764@I2@7-96H*3@#G#9I2@5"'11.10.35Short arm volar slab#1I 260 7177011.10.36Short arm post. slab#1I 750 7177111.10.37Long arm post. slab#1I 500 7177211.10.38Thumb spica slab#1I 420 7177311.10.39Long leg post. slab#1I 1,100 7177411.10.40Knee slab#1I 680 71775@I2@7-%2*411.10.41Short arm cast#1I 670 7178011.10.42Long arm cast#1I 1,350 7178111.10.13Short leg cast#1I 1,750 7178211.10.44Long leg cast#1I 3,300 7178311.10.45Knee cast#1I 1,750 7178411.10.46PTB (Patella tension banding) cast#1I 2,650 7178511.10.47Body jacket#1I 4,000 7178611.114'+111.11.12#1 4I@7I-@7H-2#'44 1"B# (Skin Biopsy)#1I2007181011.11.2*-4'+1 (Patch test 8%0 7-10 -"H2)#1I100#'!"2A%I'7181111.11.32# 5"2@I24'+1@7H-2##1)2B# (Intralesional injection)#1I607182011.11.42##1)2I'"2#5I @ H Podophyllin#1I1307182111.11.52#5II'"DI2#1I2507182211.11.6@"GA%1H'D #1I350#'! 8@"G @G! I2" D+!@"G 1 @*I "2 2 (D!H#'!D+! 44@()) 7183011.11.7-@%G #1I3007183111.11.8H2 Sebaceous cyst#1I5007183211.11.95I+9#1I3007183311.11.10H25#1I3007183411.11.1122%2#1I807183511.12B%+4'4"211.12.12#@20D#09 (Bone marrow aspiration)#1I300 7184011.12.22#1 4I@7I-D#09 (Bone marrow biopsy)#1I4007184111.132##'#1)224@' 11.13.13 G-DI2H-H-#1IA Unmodified#1I1007191011.13.23 G-DI2H-H-#1IA Modified#1I3007191111.14#1*5#H'!#1)2: Non-vascular Intervention11.14.1PTBD (#22@+!2H2")#1I13,000#'!-8#L7I2 Set introducer access *2" PTBD (@G#2"2#5H"1D!H-"9HC+!'5H 2) 7261011.14.2PTBD with stent (#22 @+!2H2")#1I17,000D!H#'! Stent7261111.14.3Stent implantation (#22@+!2H2")#1I8,000D!H#'! Stent7261211.15#1*5#H'!#1)2: Vascular Intervention and other interventions #2"2##1*5#H'!'44 1"%8H! Vascular Intervention A%05H-@+7-25H3+C Non-vacular Intervention C+I4#222!@#7H-!7-#1*5'44 1"5HC I B"@4@'  1L5HD!HC H"2 "2 A%0-8#LC2#31 #1)2B# 2!+!'5H 2  4@#7H-11.15.1Fluoroscope#1I1,700 #225I3'5H@'%2 2 1H'B! #'! Set 7I2C+12# 8!7- Mask I29 @*7I-%8! 2#C I-- 4@ @#7H-!7-'1*1  2 59IH'"7294011.15.2DSI#1I5,000 7294111.15.3DSA 1 plane#1I12,000 7294211.15.4DSA 2 planes#1I18,00072943-7H F 5H-@+7-2#2"2#2!+1'I- 11.1-11.15 I2I A%0@G#2"2#5H D!H*2!2#@5"@5"DI C+I*2"22%3@42#2!5H#0#'2#%13+2!5H*2 "22% @#5"@G C5 254872999 #2"2#+12#C+I-H21 C+I@42!-1#25H*2"22%@#5"@GC5 2548 B"2#4I8H2A#C2#H21 C+I4@ 20H2-A5H@G@4-#0!2 6H4@G-1#2#I-"%0 50 -H2A#1I+!A%02#4H2H21C+I4#'! 1. H2"2A%0@'  1L!4C H"27I25HC IC2#H21 @ H 8H21 8!7- *3%5 -* C!5H21 D+!@"GA%7I2 @GI 2. H2*4HH-*#I2 (H2+I-H21) @5"H21 @#7H-!7-A%0-8#L5HC IC2#H21 @ H Set H21 I29A%0I2%8!C2#H211I2'#A%0*4I@%7- @#7H-5I @#7H- Suction %I- H'"2#H21 @GI 1I5I D!H#'!-'1"'0@5"!A%0-8#LC2#31#1)2B#5H-"9HC#2"2#2!#02(#0#'2#%1 5H  0417/'77 A%0@'  1L!4C H"25HD!HDI#'!-"9HC#2"2#7I2-2#3+12#1IF @ H gel foam 2#4#22H2H21C+I45H+12#*8I2" @ H 2#3H21@4 H-I-@7H-1!I2!-- (Explore laparotomy and splenectomy (54.11 + 41.5)) +2#22 Splenectomy @H21 6,000 2 A%0#22 Explore laparotomy @H21 3,150 2 C+I4@ 20#22 Splenectomy (6,000 2) @H21I D!HC+I4#22- Explore laparotomy (3,150 2) #'!1#22 Splenectomy (6,000 2) #52#3+12#!2'H2+6H-"H2#I-!1C Operative fields @5"'1 C+I%H2+12# 4H-D@+%7-@5"#I-"%0 25 -#225H1ID'I @ H 2#3 Cesarian section (4,100 2) #H'!12#3 Incidental appendectomy (2,550 2) A%0 Tubal ligation (1,600 2) C+I4#225H*9'H2@G#22+%1A%0#225HH3'H2@G#22#- (4,100 + (0.25 x 2,550) + (0.25 x 1,600)) "@'I2#H21I-#05H!52#3@%*L--A%0C*H@%*L@I2 C+I7-@G+12#@5"' C#55H@G2#H21H23A+H1 C+I4#22A"2!+12#1IF @ H H21*!-#I-!1H215H2 C+I4#22H21*!-A%0H215H22!#225H3+ *3+#12#3+12#5H@G2#@*#4!'2!2! @ H Cosmetic blepharoplasty (08.36), Augmentation rhinoplasty (21.85), Face lift (86.82) @GI 0D!H*2!2#@4DI2!+!2" 9I!5*44#14 -H2C IH2"*H'5I@- PROCEDURESICD-9-CM+H'"#22 1. OPERATIONS ON THE NERVOUS SYSTEM (01-05)Incision and excision of skull, brain, and cerebral meninges01#222!5H*2"22%@#5"@G C5 2548Open biopsy of cerebral meninges01.12#1IOpen biopsy of brain01.14#1IBiopsy of skull01.15#1IIncision and drainage of cranial sinus01.21#1IReopening of craniotomy site01.23#1ICranial decompression01.24#1ICraniotomy with removal of epidural abscess01.24#1ICraniotomy with removal of extradural hematoma01.24#1ICraniotomy with removal of foreign body of skull01.24#1IBurr hole with irrigation and drainage01.24#1ISequestrectomy of skull01.25#1IDrainage of intracranial hygroma01.31#1IDrainage of subarachnoid abscess (cerebral)01.31#1IDrainage of subdural empyema01.31#1IDrainage of subdural hematoma01.31#1IDivision of brain tissue (lobotomy)01.32#1IDrainage of intracerebral hematoma01.39#1IDecortication of (cerebral) meninges01.51#1IHemispherectomy01.52#1ILobectomy of brain01.53#1ICurettage of brain01.59#1IDebridement of brain01.59#1IMarsupialization of brain cyst01.59#1IExcision of brain tumor01.59#1IExcision of lesion of skull01.6#1IOther operations on skull, brain, and cerebral meninges02Opening of cranial suture02.01#1IDecompression of skull fracture02.02#1I#222!5H*2"22%@#5"@G C5 2548Repair of skull with flap02.03#1IPericranial graft (autogenous) (heterogenous)02.04#1IInsertion of skull plate02.05#1IRevision of bone flap of skull02.06#1IRemoval of skull plate02.07#1ISimple suture of dura mater of brain02.11#1IClosure of fistula of cerebrospinal fluid02.12#1IDural graft02.12#1IRepair of encephalocele including synchronous cranioplasty02.12#1ISubdural patch02.12#1ILigation of middle meningeal artery02.13#1IVentriculostomy02.2#1IExtracranial ventricular shunt02.3 (1-5, 9)#1IRevision of ventriculoperitoneal shunt at ventricular site02.42#1IRemoval of ventricular shunt02.43#1IRepair of brain02.92#1IOperations on spinal cord and spinal canal structures03Decompression of spinal canal (laminectomy)03.09#1IExploration of spinal nerve root03.09#1IAnterior decompression of spinal canal03.09#1IRhizotomy03.1#1IBiopsy of spinal cord or spinal meninges03.32#1IExcision or destruction of lesion of spinal cord or spinal meninges03.4#1IRepair of spinal meningocele03.51#1IRepair of spinal myelomeningocele03.52#1IReduction of fracture of vertebrae03.53#1ILysis of adhesions of spinal cord and nerve roots03.6#1IOperations on cranial and peripheral nerves04#222!5H*2"22%@#5"@G C5 2548Suture of cranial and peripheral nerves04.3#1IDecompression of facial nerve04.42#1IRelease of carpal tunnel04.43#1ICranial or peripheral nerve graft04.5#1IHypoglossal-facial anastomosis04.71#1IAccessory-facial anastomosis04.72#1IRepair of facial nerve04.74#1IRepair of digital nerve04.74#1IOperations on sympathetic nerves or ganglia05Biopsy of sympathetic nerve or ganglion05.11#1ICervical sympathectomy05.22#1ILumbar sympathectomy05.23#1I 2. OPERATIONS ON THE ENDOCRINE SYSTEM (06-07)Operations on thyroid and parathyroid glands06#222!5H*2"22%@#5"@G C5 2548Reopening of wound of thyroid field for control of (postoperative) hemorrhage06.02#1IExploration neck by incision06.09#1IOpen biopsy of thyroid gland06.12#1IBiopsy of parathyroid gland06.13#1IComplete removal of one lobe of thyroid (with removal of isthmus or portion of other lobe)06.2#1IHemithyroidectomy06.2#1IExcision of lesion of thyroid06.31#1ISubtotal thyroidectomy06.39#1IComplete thyroidectomy06.4#1IPartial substernal thyroidectomy06.51#1IComplete substernal thyroidectomy06.52#1IExcision of thyroid by submental route06.6#1IExcision of thyroid by transoral route06.6#1I#222!5H*2"22%@#5"@G C5 2548Excision of thyroglossal duct or tract06.7#1IComplete parathyroidectomy06.81#1IPartial parathyroidectomy06.89#1IDivision of thyroid isthmus06.91#1ILigation of thyroid vessels06.92#1ISuture of thyroid gland06.93#1IAutotransplantation of parathyroid tissue06.95#1IOperations on other endocrine glands07Unilateral adrenalectomy07.22#1IBilateral adrenalectomy07.3#1IThymectomy by median sternotomy07.80#1ITotal excision of thymus07.82#1I 3. OPERATIONS ON THE EYE (08-16)Operations on eyelids08#222!5H*2"22%@#5"@G C5 2548Incision of lid margin08.01#1ISevering of blepharorrhaphy08.02#1IBiopsy of eyelid08.11#1IExcision of chalazion08.21#1IExcision of minor lesion of eyelid08.22#1IExcision involving one-fourth or more of lid margin, partial-thickness08.23#1IExcision involving one-fourth or more of lid margin, full-thickness08.24#1IRepair of blepharoptosis by frontalis muscle technique with suture08.31#1IRepair of blepharoptosis by frontalis muscle technique with fascial sling08.32#1IRepair of blepharoptosis by resection or advancement of levator muscle or aponeurosis08.33#1I#222!5H*2"22%@#5"@G C5 2548Repair of blepharoptosis by other levator muscle techniques08.34#1IRepair of blepharoptosis by tarsal technique08.35#1ICorrective blepharoplasty08.36#1ICosmetic blepharoplasty 08.36#1I0Reduction of overcorrection of ptosis08.37#1I#222!5H*2"22%@#5"@G C5 2548Correction of lid retraction08.38#1IRepair of entropion or ectropion by suture technique08.42#1IRepair of entropion or ectropion with wedge resection08.43#1IRepair of entropion or ectropion with lid reconstruction08.44#1IRepair of entropion or ectropion 2 I208.49#1ICanthotomy08.51#1IBlepharorrhaphy08.52#1ICanthorrhaphy08.52#1ITarsorrhaphy08.52#1IReconstruction of eyelid with skin flap or graft08.61#1IReconstruction of eyelid with mucous membrane flap or graft08.62#1IReconstruction of eyelid with hair follicle graft08.63#1IReconstruction of eyelid with tarsoconjunctival flap08.64#1IEyelid reconstruction, Z-plasty 1 I208.70#1IEyelid reconstruction, Z-plasty 2 I208.70#1IReconstruction of eyelid involving lid margin, partial-thickness08.71#1IReconstruction of eyelid involving lid margin, full-thickness08.73#1ILinear repair of laceration of eyelid or eyebrow08.81#1IRe8:DFH\przx z | * ɸwi[i[i[J7J$h24@CJ OJQJ^JaJ o(!h24@CJ OJQJ^JaJ h24CJ OJQJ^JaJ h24CJ OJQJ^JaJ h24CJ OJQJ^JaJ o( h24CJ OJQJ^JaJ o(h24CJ OJQJ^JaJ #h245CJ$OJQJ\^JaJ$o( h245CJ$OJQJ\^JaJ$#h245CJ$OJQJ\^JaJ$&h245CJ$OJQJ\^JaJ$o( hq5CJ$OJQJ\^JaJ$FHrz | d ^ ^ ` r *~d:$a$$a$ ^`gd24* \ b d 2 \ ^  \ ^ ݩtcTFT7TFh24CJ OJQJ^JaJ o(h24CJ OJQJ^JaJ h24CJ OJQJ^JaJ !h24@CJ OJQJ^JaJ o($h24@CJ OJQJ^JaJ o(!h24@CJ OJQJ^JaJ  h24CJ OJQJ^JaJ o(h24@CJ OJQJ^JaJ $h24@CJ OJQJ^JaJ o(!h24@CJ OJQJ^JaJ o(h24@CJ OJQJ^JaJ $h24@CJ OJQJ^JaJ o(^ ` h r *vv~bd*:vxz$XϮ{&h245CJ$OJQJ\^JaJ$o(h24CJ OJQJ^JaJ o(h24@CJ OJQJ^JaJ $h24@CJ OJQJ^JaJ o(h24CJ OJQJ^JaJ h24CJ OJQJ^JaJ o( h24CJ OJQJ^JaJ o( h24CJ OJQJ^JaJ o():xz`,4 d!!!!!!!!t"v"##`$$$a$$a$6*,.Pp24T|6\` @^˸scsPscscs$h24@CJ OJQJ^JaJ o(h24@CJ OJQJ^JaJ $h24@CJ OJQJ^JaJ o(h24CJ OJQJ^JaJ $h24@CJ OJQJ^JaJ o( h24CJ OJQJ^JaJ o($h24@CJ OJQJ^JaJ o($h24@CJ OJQJ^JaJ o( h245CJ OJQJ\^JaJ h245CJ$OJQJ\^JaJ$bdf H^f . 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C5 2548Eletrolysis08.91#1IOperations on lacrimal system09Incision of lacrimal cyst (with drainage)09.0#1IBiopsy of lacrimal gland09.11#1IBiopsy of lacrimal sac09.12#1IExcision of lesion of lacrimal gland09.21#1IPartial dacryoadenectomy09.22#1ITotal dacryoadenectomy09.23#1IRefixation of lacrimal gland09.3#1IProbing of lacrimal punctum09.41#1IProbing of lacrimal canaliculi09.42#1IProbing of nasolacrimal duct09.43#1IDacryocystorhinostomy (DCR) with insertion of tube or stent09.44#1IRepair of canaliculus and punctum with/without silicone intubation09.44#1IIncision of lacrimal punctum09.51#1IIncision of lacrimal sac09.53#1IExcision of lacrimal sac and passage09.6#1IRepair of punctual ectropion 1 I209.71#1IRepair of punctual ectropion 2 I209.71#1IRepair of canaliculus09.73#1IDacryocystorhinostomy [DCR]09.81#1IConjunctivodacryocystorhinostomy [CDCR]09.82#1IObliteration of lacrimal punctum09.91#1IOperations on conjunctiva10Removal of embedded foreign body from conjunctiva by incision10.0#1IBiopsy of conjunctiva10.21#1IExcision of lesion or tissue of conjunctiva10.31#1IRepair of symblepharon with free graft10.41#1I#222!5H*2"22%@#5"@G C5 2548Repair fornixes with graft (Mucosa graft)10.42#1IRepair fornixes with silicone rod10.43#1ILysis of adhesions of conjunctiva and eyelid10.5#1IRepair of laceration of conjunctiva10.6#1ISubconjunctival injection10.91#1IOperations on cornea11Magnetic removal of embedded foreign body from cornea11.0#1IScraping of cornea for smear or culture11.21#1IBiopsy of cornea11.22#1IExcision of pterygium with corneal graft11.32#1IExcision of pterygium11.39#1ISuture of corneal laceration11.51#1IRepair of corneal laceration or wound with conjunctival flap11.53#1IKeratoplasty11.60#1IKeratoprosthesis11.73#1ITattooing of cornea11.91#1IOperations on iris, ciliary body, sclera, and anterior chamber12Removal of intraocular foreign body from anterior segment of eye12.0 (0-2)#1IIridectomy (basal) (peripheral) (total)12.14#1IDiagnostic aspiration of anterior chamber of eye12.21#1ILysis of goniosynechiae12.31#1ILysis of anterior synechiae by injection of air or liquid12.32#1ILysis of posterior synechiae12.33#1ILysis of corneovitreal adhesions12.34#1IExcision of lesion of iris12.42#1IExcision of lesion of ciliary body12.44#1IGoniotomy without goniopuncture12.52#1ITrabeculotomy ab externo12.54#1I#222!5H*2"22%@#5"@G C5 2548Cyclodialysis12.55#1ITrephination of sclera with iridectomy12.61#1IIridencleisis and iridotasis12.63#1ITrabeculectomy ab externo12.64#1IPostoperative revision of scleral fistulization procedure12.66#1ICyclodiathermy12.71#1ICyclocryotherapy12.72#1ICyclophotocoagulation12.73#1ISuture of laceration of sclera12.81#1IExcision or destruction of lesion of sclera12.84#1IParacentesis of anterior chamber12.91#1IInjection into anterior chamber12.92#1IRemoval or destruction of epithelial downgrowth from anterior chamber12.93#1IOperations on lens13Intracapsular extraction of lens13.1 (1, 9)#1IExtracapsular extraction of lens by linear extraction technique13.2#1IExtracapsular extraction of lens by simple aspiration (and irrigation) technique13.3#1IPhacoemulsification and aspiration of cataract13.41#1IMechanical phacofragmentation and aspiration of cataract by posterior route13.42#1IDiscission of secondary membrane [after cataract]13.64#1IExcision of secondary membrane [after cataract] Capsulectomy13.65#1IInsertion of intraocular lens prosthesis at time of cataract extraction, one-stage13.71#1ISecondary insertion of intraocular lens prosthesis13.72#1IOperations on retina, choroid, vitreous, and posterior chamber14#222!5H*2"22%@#5"@G C5 2548Removal of foreign body from posterior segment of eye14.0 (0-2)#1IDestruction of chorioretinal lesion by cryotherapy14.22#1IRepair of retinal tear by cryotherapy14.32#1IScleral buckling with implant14.41#1IScleral buckling with vitrectomy14.49#1IRepair of retinal detachment with cryotherapy14.52#1IRemoval of surgically implanted material from posterior segment of eye14.6#1IRemoval of vitreous, anterior approach14.71#1IAspiration of vitreous by posterior sclerotomy14.72#1IMechanical vitrectomy by anterior approach14.73#1IInjection of vitreous substitute14.75#1IOperations on extraocular muscles15Biopsy of extraocular muscle or tendon15.01#1IOperations on one extraocular muscle involving temporary detachment from globe15.1 (1-9)#1ILengthening procedure on one extraocular muscle15.21#1IShortening procedure on one extraocular muscle15.22#1IOperations on two or more extraocular muscles involving temporary detachment from globe, one or both eyes15.3#1ITransposition of extraocular muscles15.5#1IRevision of extraocular muscle surgery15.6#1IRepair of injury of extraocular muscle15.7#1IOperations on orbit and eyeball16Orbitotomy with bone flap16.01#1IDiagnostic aspiration of orbit16.22#1IRemoval of ocular contents with synchronous implant into scleral shell16.31#1IEnucleation of eyeball with synchronous implant into Tenon's capsule with attachment of muscles16.41#1I#222!5H*2"22%@#5"@G C5 2548Exenteration of orbit with removal of adjacent structures16.51#1IExenteration of orbit with therapeutic removal of orbital bone16.52#1ISecondary insertion of ocular implant16.61#1IRemoval of ocular or orbital implant16.7 (1-2)#1IRepair of wound of orbit16.81#1IRepair of rupture of eyeball16.82#1IRetrobulbar injection of therapeutic agent16.91#1IExcision of lesion of orbit16.92#1I 4. OPERATIONS ON THE EAR (18-20)Operations on external ear18#222!5H*2"22%@#5"@G C5 2548Excision of preauricular sinus18.21#1IExcision of preauricular cyst18.21#1IExcision of preauricular remnant [appendage]18.29#1IRadical excision of lesion of external ear18.31#1IAmputation of external ear18.39#1ISuture of laceration of external ear18.4#1ISurgical correction of prominent ear18.5#1IReattachment of amputated ear18.72#1IPlastic repair of external ear (#52-814@+8)18.79#1IReconstructive operations on middle ear19Stapedectomy19.1 (1, 9)#1IRevision of stapedectomy19.2 (1, 9)#1IMyringoplasty19.4#1IType II tympanoplasty19.52#1IType III tympanoplasty19.53#1IType IV tympanoplasty19.54#1IType V tympanoplasty19.55#1IRevision of tympanoplasty19.6#1I#222!5H*2"22%@#5"@G C5 2548Other operations on middle and inner ear20Myringotomy20.0 (0, 9)#1ISimple mastoidectomy20.41#1IRadical mastoidectomy20.42#1IExcision of lesion of middle ear20.51#1IFenestration of inner ear20.6 (1, 2)#1IRevision of mastoidectomy20.92#1I 5. OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)Operations on nose21#222!5H*2"22%@#5"@G C5 2548Control of epistaxis by posterior (and anterior) packing21.02#1IControl of epistaxis by ligation of ethmoidal arteries21.04#1IControl of epistaxis by (transantral) ligation of the maxillary artery21.05#1IControl of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral nasal wall21.07#1IBiopsy of nose21.22#1ILocal excision or destruction of intranasal lesion21.31#1INasal polypectomy21.31#1ILocal excision or destruction of skin lesion of nose21.32#1ISubmucous resection of nasal septum21.5#1IClosed reduction of nasal fracture21.71#1IOpen reduction of nasal fracture21.72#1ISuture of laceration of nose21.81#1ITotal nasal reconstruction21.83#1IRevision rhinoplasty21.84#1IRhinoseptoplasty21.84#1IAugmentation rhinoplasty21.85#1I0Other rhinoplasty (#52-814@+8)21.87#1I#222!5H*2"22%@#5"@G C5 2548Repair of septal perforation21.88#1IOperations on nasal sinuses22Open biopsy of nasal sinus22.12#1IIntranasal antrotomy22.2#1IRadical maxillary antrotomy22.31#1IFrontal sinusotomy22.41#1IFrontal sinusectomy22.42#1IExcision of lesion of maxillary sinus with Caldwell-Luc approach22.61#1IEthmoidectomy22.63#1ISphenoidectomy22.64#1IClosure of nasal sinus fistula22.71#1IOther operations on teeth, gums, and alveoli24Apical alveolotomy24.0#1IBiopsy of gum24.11#1IBiopsy of alveolus24.12#1IGingivoplasty24.2#1IExcision of lesion or tissue of gum24.31#1ISuture of laceration of gum24.32#1IExcision of dental lesion of jaw24.4#1IAlveoloplasty24.5#1IExposure of tooth24.6#1IApplication, insertion, or fitting of arch bars24.7#1IRemoval of arch bars24.8#1IExtension or deepening of buccolabial or lingual sulcus24.91#1IOperations on tongue25Excision or destruction of lesion or tissue of tongue25.1#1IPartial glossectomy25.2#1IComplete glossectomy25.3#1I#222!5H*2"22%@#5"@G C5 2548Radical glossectomy25.4#1ISuture of laceration of tongue25.51#1ILingual frenotomy25.91#1ILingual frenectomy25.92#1ILysis of adhesions of tongue25.93#1IOperations on salivary glands and ducts26Incision of salivary gland or duct26.0#1IOpen biopsy of salivary gland or duct26.12#1IExcision of lesion of salivary gland26.2#1IMarsupialization of salivary gland cyst26.21#1ISuperficial parotidectomy26.31#1ITotal parotidectomy26.32#1IMaxillary gland resection26.32#1ISubmandibular gland resection26.32#1ISuture of laceration of salivary gland26.41#1IRepair of Stensen's duct26.49#1IProbing of salivary duct26.91#1IOther operations on mouth and face27Drainage of facial region (abscess)27.0#1IDrainage of Ludwig's angina27.0#1IIncision of palate27.1#1IBiopsy of bony palate27.21#1IBiopsy of uvula and soft palate27.22#1IBiopsy of lip27.23#1ILocal excision or destruction of lesion or tissue of bony palate27.31#1IWide excision or destruction of lesion or tissue of bony palate27.32#1ILabial frenectomy27.41#1IWide excision of lesion of lip27.42#1ISuture of laceration of lip27.51#1I#222!5H*2"22%@#5"@G C5 2548Closure of fistula of mouth27.53#1IRepair of cleft lip27.54#1IFull-thickness skin graft to lip and mouth27.55#1IAttachment of pedicle or flap graft to lip and mouth27.57#1ISuture of laceration of palate27.61#1ICorrection of cleft palate27.62#1ICorrection of cleft palate by push-back operation27.62#1IRevision of cleft palate repair27.63#1IRepair of uvula27.73#1ILabial frenotomy27.91#1IOperations on tonsils and adenoids28Incision and drainage of tonsil and peritonsillar structures28.0#1ITonsillectomy without adenoidectomy28.2#1ITonsillectomy with adenoidectomy28.3#1IAdenoidectomy without tonsillectomy28.6#1IControl of hemorrhage after tonsillectomy and adenoidectomy28.7#1IRemoval of foreign body from tonsil and adenoid by incision28.91#1IExcision of lesion of tonsil and adenoid28.92#1IOperations on pharynx29Excision of branchial cleft cyst or vestige29.2#1ISuture of laceration of pharynx29.51#1IClosure of branchial cleft fistula29.52#1I 6. OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)Excision of larynx30#222!5H*2"22%@#5"@G C5 2548Marsupialization of laryngeal cyst30.01#1IExcision of lesion of vocal cords30.09#1IHemilaryngectomy30.1#1IComplete laryngectomy30.3#1IRadical laryngectomy30.4#1I#222!5H*2"22%@#5"@G C5 2548Other operations on larynx and trachea31Temporary tracheostomy31.1#1IMediastinal tracheostomy31.21#1ILaryngoscopy and other tracheoscopy31.42#1IOpen biopsy of larynx or trachea31.45#1ISuture of laceration of larynx31.61#1ISuture of laceration of trachea31.71#1ITracheoesophageal fistulectomy31.73#1IRevision of tracheostomy31.74#1ITracheoplasty with artificial larynx31.75#1ILysis of adhesions of trachea or larynx31.92#1ILaryngoplasty31.98#1IExcision of lung and bronchus32Thoracotomy with resection of thoracic tumor32.29#1ISegmental resection of lung32.3#1ILobectomy32.4#1IComplete pneumonectomy32.5#1IOther operations on lung and bronchus33Fiber-optic bronchoscopy33.22#1IRigid bronchoscopy33.23#1IClosed [endoscopic] biopsy of bronchus33.24#1IOpen biopsy of bronchus33.25#1IV.A.T.S. with biopsy of lung33.27#1IV.A.T.S. with bleb resection mass, lung biopsy33.27#1IOpen lung biopsy33.28#1IArtificial pneumothorax for collapse of lung33.32#1IThoracoplasty33.34#1ISuture of laceration of bronchus33.41#1IClosure of bronchial fistula33.42#1I#222!5H*2"22%@#5"@G C5 2548Closure of laceration of lung33.43#1IThoracotomy, with Repair Bronchus33.48#1IUnilateral lung transplantation33.51#1IBronchial dilation33.91#1IOperations on chest wall, pleura, mediastinum, and diaphragm34Extrapleural drainage34.01#1IExploratory thoracotomy with or without biopsy34.02#1IThoracotomy34.02#1IVideo Assist Thoracic surgery (V.A.T.S.)34.02#1IRevision of intercostal catheter (chest tube) (with lysis of adhesions)34.04#1IInsertion of intercostals catheter for drainage34.04#1IRib resection and drainage34.09#1IThoracotomy, with stop bleeding34.09#1IMedian sternotomy34.1#1IV.A.T.S. (Video Assisted Thoracic Surgery)34.21#1IMediastinoscope34.22#1IBiopsy of chest wall34.23#1IV.A.T.S. With biopsy of chest wall, pleura, mediastinum, diaphragm34.23#1IV.A.T.S. with pleural biopsy34.24#1IOpen mediastinal biopsy34.26#1IBiopsy of diaphragm34.27#1IV.A.T.S. with biopsy of diaphragm34.27#1IExcision or destruction of lesion or tissue of mediastinum34.3#1IExcision or destruction of lesion of chest wall34.4#1IV.A.T.S. with decortication of lung34.5#1IV.A.T.S. with decortication of lung34.51#1IDecortications34.51#1I#222!5H*2"22%@#5"@G C5 2548Suture of laceration of chest wall34.71#1IRepair of pectus carinatum (with implant)34.74#1IRepair of pectus excavatum (with implant)34.74#1IExcision of lesion or tissue of diaphragm34.81#1ISuture of laceration of diaphragm34.82#1IClosure of fistula of diaphragm34.83#1IRepair or plication of diaphragm34.84#1IRepair diaphragm34.84#1IImplantation of diaphragmatic pacemaker34.85#1IV.A.T.S. with chemical pleurodesis 34.92#1IRepair of pleura34.93#1I 7. OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)Operations on valves and septa of heart35#222!5H*2"22%@#5"@G C5 2548Closed mitral valvulotomy35.02#1IOpen heart valvuloplasty of aortic valve without replacement35.11#1IOpen heart valvuloplasty of mitral valve without replacement35.12#1IOpen heart valvuloplasty of pulmonary valve without replacement35.13#1IOpen heart valvuloplasty of tricuspid valve without replacement35.14#1IRepair of aortic valve with tissue graft (autograft) (heterograft) (homograft)35.21#1IRepair of aortic valve with replacement prosthetic (partial) (synthetic) (total)35.22#1IRepair of mitral valve with tissue graft (autograft) (heterograft) (homograft)35.23#1IRepair of mitral valve with replacement prosthetic (partial) (synthetic) (total)35.24#1IRepair of pulmonary valve with tissue graft (autograft) (heterograft) (homograft)35.25#1I#222!5H*2"22%@#5"@G C5 2548Repair of pulmonary valve with replacement prosthetic (partial) (synthetic) (total)35.26#1IRepair of tricuspid valve with tissue graft (autograft) (heterograft) (homograft)35.27#1IRepair of tricuspid valve with replacement prosthetic (partial) (synthetic) (total)35.28#1ISingle Valve Repair/Replacement35.2 (1-8)#1IRedo Valve35.2 (1-8)#1IAnnuloplasty35.33#1IBentall's operation35.39#1IBlalock operation35.42#1ICorrection of atrial septal defect with prosthesis35.51#1IRepair of atrial septal defect with prosthesis, closed technique35.52#1IRepair of ventricular septal defect with prosthesis35.53#1ICorrection of ventricular septal defect with prosthesis35.53#1IRepair of ventricular septal defect with tissue graft35.62#1ITotal repair of tetralogy of Fallot35.81#1ITOF35.81#1IOperations on vessels of heart36CABG (Coronary Artery Bypas Graft)36.1 (0-9)#1ICABG x 436.14#1IOther operations on heart and pericardium37Pericardial window37.12#1ISubxiphoid window37.12#1IPericardial biopsy37.24#1IV.A.T.S. with pericardiectomy37.31#1IPericardiectomy37.31#1I#222!5H*2"22%@#5"@G C5 2548Repair of heart and pericardium37.4#1IHeart transplantation37.51#1IPacemaker implantation (permanent) epicardium lead37.67#1IInsertion or replacement of epicardial lead [electrode] into epicardium37.74#1IOpen chest cardiac massage37.91#1IIncision, excision, and occlusion of vessels38Embolectomy38.0 (0-9)#1IThrombectomy38.0 (0-9)#1IEndarterectomy with embolectomy38.1(0-6,8)#1IEndarterectomy with patch graft38.1(0-6,8)#1IEndarterectomy with thrombectomy38.1(0-6,8)#1IBiopsy of blood vessel38.21#1IExcision of blood vessel (lesion) with anastomosis, upper limb vessels38.33#1ICoarctation38.34#1IExcision of blood vessel (lesion) with anastomosis, abdominal arteries38.36#1IExcision of blood vessel (lesion) with anastomosis, lower limb arteries38.38#1IExcision of aneurysm (arteriovenous) or blood vessel (lesion) with replacement, upper limb vessels38.43#1IThoracic aortic aneurysm resection38.44#1IThoracoabdominal aortic aneurysm resection38.44#1IAbdominal aortic aneurysm resection38.44#1IExcision of aneurysm (arteriovenous) or blood vessel (lesion) with replacement, lower limb arteries38.48#1ILigation and stripping of varicose veins38.5 (0-9)#1IPA banding38.85#1I#222!5H*2"22%@#5"@G C5 2548PDA38.85#1ILigation of blood vessel, hepatic artery38.86#1IOther operations on vessels39Blalock' s shunt39.0#1IAnastomosis portacaval39.1#1IAnastomosis splenic and renal veins39.1#1IAorta-subclavian-carotid bypass39.22#1IAorta-renal bypass39.24#1IAorta-iliac-femoral bypass39.25#1IBypass aortoceliac39.26#1IAnastomosis for renal dialysis, forearm loop graft39.27#1IAnastomosis for renal dialysis, forearm straight graft39.27#1IAnastomosis for renal dialysis, arm straight graft39.27#1IFormation of (peripheral) arteriovenous fistula for renal [kidney] dialysis39.27#1IBypass (graft) axillary-brachial39.29#1IBypass (graft) axillary-femoral [axillofemoral] (superficial)39.29#1IBypass (graft) brachial39.29#1IBypass (graft) femoral-femoral39.29#1IBypass (graft) femoroperoneal39.29#1IBypass (graft) femoropopliteal (arteries)39.29#1IBypass (graft) femorotibial (anterior) (posterior)39.29#1ISuture of artery39.31#1ISuture of vein39.32#1IRevision of arteriovenous shunt for renal dialysis39.42#1IRemoval of arteriovenous shunt for renal dialysis39.43#1IRevision of anastomosis of blood vessel39.49#1IRepair of arteriovenous fistula39.53#1IEmbolization of carotid cavernous fistula39.53#1I#222!5H*2"22%@#5"@G C5 2548Repair of arteriovenous fistula by clipping, intracranial39.53#1IRepair of arteriovenous fistula by ligation and division, PDA39.53#1IFenestration of dissecting aneurysm of thoracic aorta39.54#1IRepair of blood vessel with tissue patch graft39.56#1IRepair of blood vessel with synthetic patch graft39.57#1I 8. OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)Operations on lymphatic system40#222!5H*2"22%@#5"@G C5 2548Biopsy of lymphatic structure40.11#1IExcision of deep cervical lymph node40.21#1IExcision of internal mammary lymph node40.22#1IExcision of axillary lymph node40.23#1IExcision of inguinal lymph node40.24#1IExcision of cystic hygroma40.29#1IRegional lymph node excision40.3#1IRadical neck dissection, unilateral40.41#1IRadical neck dissection, bilateral40.42#1IRadical excision of axillary lymph nodes40.51#1IRadical excision of periaortic lymph nodes40.52#1IRadical excision of iliac lymph nodes40.53#1IRadical groin dissection40.54#1IClosure of fistula of thoracic duct40.63#1ILigation of thoracic duct40.64#1IOperations on bone marrow and spleen41Open biopsy of spleen41.33#1IPartial splenectomy41.43#1ITotal splenectomy41.5#1ISplenorrhaphy41.95#1I 9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)Operations on esophagus42#222!5H*2"22%@#5"@G C5 2548Incision of esophageal web42.01#1ICervical esophagostomy42.11#1IOpen biopsy of esophagus42.25#1ILocal excision of esophageal diverticulum42.31#1IEsophagogastrectomy42.40#1IPartial esophagectomy42.41#1ITotal esophagectomy42.42#1IIntrathoracic esophagoesophagostomy42.51#1IIntrathoracic esophagogastrostomy42.52#1IIntrathoracic esophageal anastomosis with interposition of small bowel42.53#1IIntrathoracic esophageal anastomosis with interposition of colon42.55#1IAntesternal esophagogastrostomy42.62#1IAntethoracic esophagojejunostomy42.64#1IAntethoracic esophagocolostomy42.66#1IEsophagomyotomy42.7#1ISuture of laceration of esophagus42.82#1IClosure of esophagostomy42.83#1ILigation of esophageal varices42.91#1IDilation of esophagus42.92#1IIncision and excision of stomach43Gastrotomy43.0#1IGastrostomy43.19#1IPyloromyotomy43.3#1IProximal gastrectomy43.5#1IBillroth I operation43.6#1IBillroth II operation43.7#1I#222!5H*2"22%@#5"@G C5 2548Partial gastrectomy with jejunal transposition43.81#1ITotal gastrectomy43.9 (1,9)#1IRadical gastrectomy43.99#1IOther operations on stomach44Truncal vagotomy44.01#1IHighly selective vagotomy44.02#1IIntraoperative gastroscopy44.11#1IOpen biopsy of stomach44.15#1IPyloroplasty44.2 (1, 2, 9)#1IHigh gastric bypass44.31#1IBypass gastroduodenostomy44.39#1IBypass gastrojejunostomy44.39#1ISuture of gastric ulcer site44.41#1ISuture of duodenal ulcer site44.42#1IClosure of gastroduodenostomy44.5#1IClosure of gastrojejunostomy44.5#1ISuture of laceration of stomach44.61#1IClosure of gastrostomy44.62#1IClosure of gastrocolic fistula44.63#1IGastropexy44.64#1INissen's fundoplication44.66#1ILigation of gastric varices44.91#1IReduction of gastric volvulus44.92#1IIncision, excision, and anastomosis of intestine45Incision of small intestine45.00#1IIncision of duodenum45.01#1IIncision of large intestine45.03#1IEsophagogastroduodenoscopy [EGD]45.13#1IOpen biopsy of small intestine45.15#1I#222!5H*2"22%@#5"@G C5 2548Flexible sigmoidoscopy45.24#1IRigid sigmoidoscopy45.24#1IOpen biopsy of large intestine45.26#1IMeckel's diverticulectomy45.33#1ISegmental resection for multiple traumatic lesions of small intestine45.61#1ISmall bowel resection45.62#1ITotal removal of small intestine45.63#1ISegmental resection for multiple traumatic lesions of large intestine45.71#1ICecectomy45.72#1IRight hemicolectomy45.73#1IResection of transverse colon45.74#1ILeft hemicolectomy45.75#1ISigmoidectomy45.76#1ITotal intra-abdominal colectomy45.8#1ISmall-to-small intestinal anastomosis45.91#1IDuodenoduodenostomy45.91#1IAnastomosis of small intestine to rectal stump45.92#1ILarge-to-large intestinal anastomosis45.94#1IFormation of endorectal ileal pouch (H- pouch) (J-pouch) (S-pouch) with anastomosis of small intestine to anus45.95#1IOther operations on intestine46Loop ileostomy46.01#1ILoop colostomy46.03#1ITemporary colostomy46.11#1IPermanent colostomy46.13#1IDelayed opening of colostomy46.14#1ITemporary ileostomy46.21#1I#222!5H*2"22%@#5"@G C5 2548Continent ileostomy46.22#1IDelayed opening of ileostomy46.24#1IDuodenostomy46.39#1IOpen feeding enterostomy 46.39#1IRevision of stoma of small intestine46.41#1IRepair of pericolostomy hernia46.42#1IClosure of stoma of small intestine46.51#1IClosure or take-down of cecostomy46.52#1IClosure or take-down of colostomy46.52#1IClosure or take-down of sigmoidostomy46.52#1ICecocoloplicopexy46.63#1ISigmoidopexy (Moschowitz)46.63#1ISuture of laceration of duodenum46.71#1IClosure of fistula of duodenum46.72#1ISuture of laceration of small intestine, except duodenum46.73#1IClosure of fistula of small intestine, except duodenum46.74#1ISuture of laceration of large intestine46.75#1IClosure of fistula of large intestine46.76#1ICorrection of intestinal malrotation46.80#1IReduction of intestinal volvulus46.80#1IReduction of intussusception46.80#1IRevision of anastomosis of small intestine46.93#1IRevision of anastomosis of large intestine46.94#1IOperations on appendix47Laparoscopic appendectomy47.01#1IAppendectomy47.09#1ILaparoscopic incidental appendectomy47.11#1IIncidental appendectomy47.19#1IDrainage of appendiceal abscess47.2#1I#222!5H*2"22%@#5"@G C5 2548Closure of appendiceal fistula47.92#1IOperations on rectum, rectosigmoid and perirectal tissue48Decompression of imperforate anus48.0#1IPanas' operation [linear proctotomy]48.0#1IProctosigmoidoscopy with biopsy48.24#1IOpen biopsy of rectum48.25#1IBiopsy of perirectal tissue48.26#1ILocal excision of rectal lesion or tissue48.35#1I[Endoscopic] polypectomy of rectum48.36#1IEndorectal pull-through operation48.41#1IAbdominoperineal pull-through48.49#1IAbdominoperineal resection of rectum48.5#1ITranssacral rectosigmoidectomy48.61#1IAnterior resection of rectum with synchronous colostomy48.62#1ILow anterior resection48.63#1IDuhamel resection of rectum48.65#1ISuture of laceration of rectum48.71#1IRipstein repair of rectal prolapse48.75#1IProctosigmoidopexy48.76#1IRepair of old obstetric laceration of rectum48.79#1IExcision of perirectal tissue48.82#1IAnorectal myectomy48.92#1IPosterior sagittal anorectoplasty48.99#1IOperations on anus49Incision of perianal abscess49.01#1IExcision of perianal skin tags49.03#1IAnal fistulotomy49.11#1IAnal fistulectomy49.12#1IBiopsy of perianal tissue49.22#1I#222!5H*2"22%@#5"@G C5 2548Biopsy of anus49.23#1IReduction of hemorrhoids49.41#1IExcision of hemorrhoids49.46#1IEvacuation of thrombosed hemorrhoids49.47#1ILeft lateral anal sphincterotomy49.51#1ISuture of laceration of anus49.71#1IGracilis muscle transplant for anal incontinence49.74#1IReduction of anal prolapse49.94#1IControl of (postoperative) hemorrhage of anus49.95#1IPerineal anoplasty49.99#1IOperations on liver50Incision of abscess of liver50.0#1IOpen biopsy of liver50.12#1IMarsupialization of lesion of liver50.21#1IWedge resection of liver50.22#1IEnucleation of hepatic lesion50.29#1ILobectomy of liver50.3#1ILiver transplant50.5 (1,9)#1IClosure of laceration of liver50.61#1IOperations on gallbladder and biliary tract51Open cholecystostomy51.03#1IOpen biopsy of gallbladder or bile ducts51.13#1IIntraoperative choledochoscopy51.19#1ICholecystectomy51.22#1ILaparoscopic cholecystectomy51.23#1IAnastomosis of gallbladder to intestine51.32#1ICholedochoduodenostomy51.36#1ICholedochojejunostomy51.36#1IKasai portoenterostomy51.37#1I#222!5H*2"22%@#5"@G C5 2548Hepaticojejunostomy51.37#1ICommon duct exploration for removal of calculus51.41#1IInsertion of choledochohepatic tube for decompression51.43#1IExploration of common duct51.51#1IExcision of ampulla of Vater (with reimplantation of common duct)51.62#1IExcision of Choledochal cyst51.63#1ISimple suture of common bile duct51.71#1IPancreatic sphincterotomy51.82#1ITransduodenal ampullary sphincteroplasty51.83#1IRepair of laceration of gallbladder51.91#1IRevision of anastomosis of biliary tract51.94#1IOperations on pancreas52Drainage of pancreatic cyst by catheter52.01#1IOpen biopsy of pancreas52.12#1IPancreaticocystoduodenostomy52.4#1IPancreaticocystogastrostomy52.4#1IPancreaticocystojejunostomy52.4#1IDistal pancreatectomy52.52#1IRadical subtotal pancreatectomy52.53#1ITotal pancreatectomy52.6#1IWhipple procedure52.7#1ISimple suture of pancreas52.95#1IAnastomosis of pancreas (duct) to jejunum52.96#1IRepair of hernia53Herniotomy53.00#1IRepair of direct inguinal hernia53.01#1IRepair of indirect inguinal hernia53.02#1IRepair of direct inguinal hernia with graft or prosthesis53.03#1I#222!5H*2"22%@#5"@G C5 2548Repair of indirect inguinal hernia with graft or prosthesis53.04#1IBilateral repair of direct inguinal hernia53.11#1IBilateral repair of indirect inguinal hernia53.12#1IBilateral repair of inguinal hernia, one direct and one indirect53.13#1IBilateral repair of direct inguinal hernia with graft or prosthesis53.14#1IBilateral repair of indirect inguinal hernia with graft or prosthesis53.15#1IBilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis53.16#1IUnilateral repair of femoral hernia53.2 (1,9)#1IBilateral repair of femoral hernia53.3 (1,9)#1IRepair of umbilical hernia53.4 (1,9)#1IIncisional hernia repair53.51#1IRepair of hernia ventral53.59#1IIncisional hernia repair with prosthesis53.61#1IRepair of diaphragmatic hernia, abdominal approach53.7#1IRepair of diaphragmatic hernia, thoracic approach53.8#1IPlication of the diaphragm53.81#1IRepair of parasternal hernia53.82#1IRepair of hernia obturator53.9#1IOther operations on abdominal region54Drainage of abdominal wall54.0#1IDrainage of extraperitoneal abscess54.0#1IDrainage of retroperitoneal abscess54.0#1IExploratory laparotomy54.11#1IReopening of recent laparotomy site for control of hemorrhage54.12#1IReopening of recent laparotomy site for exploration54.12#1I#222!5H*2"22%@#5"@G C5 2548Drainage of intraperitoneal abscess or hematoma54.19#1IStaging laparotomy54.19#1IBiopsy of abdominal wall or umbilicus54.22#1IBiopsy of peritoneum54.23#1IBiopsy of mesentery54.23#1IBiopsy of omentum54.23#1IDiagnostic peritoneal lavage54.25#1IDebridement of abdominal wall54.3#1IExcision of lesion of mesentery 54.4#1IExcision of lesion of omentum54.4#1IExcision of lesion of peritoneum54.4#1IExcision of retroperitoneal lesion54.4#1ILaparoscopic lysis of peritoneal adhesions54.51#1IFreeing of adhesions of intestines54.59#1IReclosure of postoperative disruption of abdominal wall54.61#1IDelayed closure of granulating abdominal wound54.62#1ISuture of laceration of abdominal wall54.63#1IRepair of gastroschisis54.71#1IRepair of omphalocele54.72#1IReduction of torsion of omentum54.74#1IRemoval of foreign body from peritoneal cavity54.92#1ILadd operation54.95#1I10. OPERATIONS ON THE URINARY SYSTEM (55-59)Operations on kidney55#222!5H*2"22%@#5"@G C5 2548Nephrotomy55.01#1IEvacuation of renal cyst55.01#1INephrolithotomy55.01#1INephrostomy55.02#1INephrostolithotomy, percutaneous (nephroscopic)55.03#1I0Percutaneous nephrostomy without fragmentation55.03#1I#222!5H*2"22%@#5"@G C5 2548Pyelotomy55.11#1IPyelolithotomy55.11#1IPyelostomy55.12#1IClosed [percutaneous] [needle] biopsy of kidney55.23#1IPartial nephrectomy55.4#1INephroureterectomy55.51#1ITotal nephrectomy (unilateral)55.51#1IRemoval of transplanted or rejected kidney55.53#1ITransplant of kidney55.6 (1,9)#1INephropexy55.7#1ISuture of laceration of kidney55.81#1IReduction of torsion of renal pedicle55.84#1ICorrection of ureteropelvic junction55.87#1IPercutaneous aspiration of kidney (pelvis) 55.92#1IReplacement of nephrostomy tube55.93#1IBivalve renal calculi with hypothermia55.99#1IOperations on ureter56URSL (Ureteroscopy with litholapaxy)56.0#1IUreteral meatotomy56.1#1IIncision of ureter for removal of calculus56.2#1IUreteroscopy56.31#1IPartial ureterectomy56.41#1ITotal ureterectomy56.42#1IUreteroneocystostomy56.74#1IUreteroureterostomy56.75#1ILysis of intraluminal adhesions of ureter56.81#1ISuture of laceration of ureter56.82#1IClosure of ureterostomy56.83#1I#222!5H*2"22%@#5"@G C5 2548Ureteropexy56.85#1IDilation of ureteral meatus56.91#1IDouble J insertion56.99#1IOperations on urinary bladder57Transurethral litholapexy57.0#1IPercutaneous suprapubic cystostomy57.17#1ISuprapubic cystostomy57.18#1ICystolithotomy57.19#1IVesicostomy57.21#1IRevision or closure of vesicostomy57.22#1ITransurethral cystoscopy57.32#1IClosed [transurethral] biopsy of bladder57.33#1ITUR bladder neck57.49#1ITUR bladder tumor57.49#1IExcision of urachus57.51#1ISuprapubic excision of bladder lesion57.59#1IPartial cystectomy57.6#1ITotal cystectomy57.7#1IRadical cystectomy57.71#1ISuture of laceration of bladder57.81#1IVaginovesical fistulectomy57.84#1IV-Y plasty of bladder neck57.85#1IIleal bladder57.87#1IOperations on urethra58Urethrotomy58.0#1IUrethral meatotomy58.1#1IBiopsy of urethra58.23#1ISuture of laceration of urethra58.41#1IRepair of hypospadias or epispadias58.45#1I#222!5H*2"22%@#5"@G C5 2548Urethral meatoplasty58.47#1IRelease of urethral stricture58.5#1IDilation of urethra58.6#1IOther operations on urinary tract59Marshall-Marchetti-Krantz operation59.5#1IUreteral catheterization59.8#1IReplacement of ureterostomy tube59.93#1IReplacement of cystostomy tube59.94#1I 11. OPERATIONS ON THE MALE GENITAL ORGANS (60-64)Operations on prostate and seminal vesicles60#222!5H*2"22%@#5"@G C5 2548Transurethral resection of prostate (TURP)60.29#1ISuprapubic prostatectomy60.3#1IRetropubic prostatectomy60.4#1IRadical prostatectomy60.5#1IOperations on scrotum and tunica vaginalis61Incision and drainage of scrotum and tunica vaginalis61.0#1IBiopsy of scrotum or tunica vaginalis61.11#1IExcision of hydrocele (of tunica vaginalis)61.2#1IExcision or destruction of lesion or tissue of scrotum61.3#1ISuture of laceration of scrotum and tunica vaginalis61.41#1IReconstruction with rotational or pedicle flaps61.49#1IExcision of hematocele of tunica vaginalis61.92#1IOperations on testes62Unilateral orchiectomy62.3#1IBilateral orchiectomy62.4 (1,2)#1IOrchiopexy62.5#1ISuture of laceration of testis62.61#1IOperations on spermatic cord, epididymis, and vas deferens63#222!5H*2"22%@#5"@G C5 2548High ligation of spermatic vein63.1#1IHydrocelectomy of canal of Nuck63.1#1IVaricocelectomy63.1#1IReduction of torsion of testis or spermatic cord63.52#1IVasectomy63.73#1IReconstruction of surgically divided vas deferens63.82#1IOperations on penis64Circumcision64.0#1IBiopsy of penis64.11#1ILocal excision or destruction of lesion of penis64.2#1IAmputation of penis64.3#1ISuture of laceration of penis64.41#1IReconstruction of penis64.44#1IReattachment of amputated penis64.45#1IDorsal or lateral slit of prepuce64.91#1I 12. OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)Operations on ovary65#222!5H*2"22%@#5"@G C5 2548Other biopsy of ovary65.12#1IOther biopsy of ovary65.12#1ILaparoscopic biopsy of ovary65.13#1IWedge resection of ovary65.22#1ILaparoscopic wedge resection of ovary65.24#1IOther laparoscopic local excision or destruction of ovary : cauterization of endometriosis65.25#1IOther local excision or destruction of ovary :Bisection, Cauterization, Partial excision65.29Laparoscopic unilateral oophorectomy65.31#1IUnilateral oophorectomy65.39#1ILaparoscopic unilateral salpingo-oophorectomy65.41#1I#222!5H*2"22%@#5"@G C5 2548Unilateral salpingo-oophorectomy65.49#1IBilateral oophorectomy65.5 (1,3)#1IOther removal of remaining ovary65.52#1ILaparoscopic removal of remaining ovary65.54#1IBilateral salpingo-oophorectomy65.6 (1, 3, 4)#1IOther removal of remaining ovary and tube65.62#1ILaparoscopic removal of both ovaries and tubes at same operative episode65.63#1ILaparoscopic removal of remaining ovary and tube65.64#1IOther simple suture of ovary65.71#1ISalpingo-oophoroplasty65.73#1ILaparoscopic simple suture of ovary65.74#1ILaparoscopic salpingo-oophoroplasty65.76#1IOther repair of ovary: oophoropexy65.79#1ILaparoscopic lysis adhesion of ovary and fallopian tube65.81#1IOther lysis of adhesion of ovary and fallopian tube65.89#1IRelease of torsion of ovary65.95#1IOperations on fallopian tubes66Salpingotomy 66.01#1ISalpingostomy: Conservative operation for ectopic pregnancy66.02#1IBilateral endoscopic ligation and crushing of fallopian tubes66.21#1IBilateral endoscopic ligation and division of fallopian tubes66.22#1IOther bilateral endoscopic destruction or occlusion of fallopian tubes66.29#1ITR66.32#1IBilateral destruction or occlusion of fallopian tubes66.39#1ITotal unilateral salpingectomy66.4#1ITotal bilateral salpingectomy66.51#1IRemoval of remaining of fallopian tube66.52#1I#222!5H*2"22%@#5"@G C5 2548Excision or destruction of lesion of fallopian tube66.61#1ISalpingectomy with removal of tubal pregnancy66.62#1IBilateral partial salpingectomy, NOS.66.63#1IPartial salpingectomy: exp. For Ectopic pregnancy66.69#1ISimple suture of fallopian tube66.71#1ISalpingo-salpingostomy66.73#1ISalpingo-uterostomy66.74#1IOther repair of fallopian tube: Graft of fallopian tube, Reopening of devided fallopian tube, Salpingoplasty66.79#1ISalpingoplasty66.79#1IInsufflation of fallopian tube: with air, dye, gas, saline, Rubin s test66.8#1IUnilateral destruction or occlusion of fallopian tube66.92#1IBurying of fimbriae in uterine wall66.97#1IOperations on cervix67Dilation of cervical canal67.0#1IConization of cervix67.2#1IDestruction of lesion of cervix by cauterization67.32#1IDestruction of lesion of cervix by cryosurgery67.33#1IOther excision/destruction of lesion/tissue of cervix67.39#1IAmputation of cervix: Cervicectomy with synchronous colporrhaphy67.4#1ICerclage of isthmus uteri67.59#1ISuture of laceration of cervix67.61#1IRepair of fistula of cervix67.62#1IRepair of fornix67.69#1IOther incision and excision of uterus68Hysterotomy : with removal of hydatidiform mole/fetus68.0#1IHysteroscopy68.12#1I#222!5H*2"22%@#5"@G C5 2548Open biopsy of uterus68.13#1IOpen biopsy of uterine ligament68.14#1IClosed biopsy of uterine ligament: Laparoscopic68.15#1IClosed biopsy of uterus: Laparoscopic, Hysteroscopic68.16#1IDivision of endometrial synechiae68.21#1IIncision of excision of congenital septum of uterus68.22#1IDilation and curettage for destruction of lesion or tissue of uterus68.23#1IUterine myomectomy68.29#1ILaparoscopic excision or destruction of lesion or tissue of uterus: Myomectomy68.29#1ISubtotal abdominal hysterectomy68.3 (1,9)#1ISubtotal abdominal hysterectomy: Supracervical hysterectomy68.39#1ITotal abdominal hysterectomy68.4#1ITotal abdominal laparoscopic hysterectomy: TLH68.4#1ILaparoscopically assisted vaginal hysterectomy (LAVH)68.51#1IVaginal hysterectomy68.59#1IVaginal hysterectomy with A-P repair68.59#1IRadical abdominal hysterectomy68.6#1IRadical vaginal hysterectomy68.7#1IPelvic evisceration: Removal of ovaries, tubes, uterus, vagina, bladder and urethra (with removal of sigmoid colon and rectum)68.8#1IOther and unspecified hysterectomy68.9#1ID and C for termination of pregnancy69.01#1ID and C following delivery and abortion69.02#1IOther dilatation and curettage: Diagnostic D&C, F/C69.09#1IOther excision and destruction of uterus and supporting structures69.19#1I#222!5H*2"22%@#5"@G C5 2548Paracervical uterine denervation69.3#1ISuture of laceration of uterus: esp.:-Ruptured uterus69.41#1IOther repair of uterus: Repair of old obstetric laceration of uterus69.49#1IAspiration curettage of uterus69.5#1IMenstrual extraction or regulation69.6#1IManual replacement of inverted uterus69.94#1IRemoval of cerclage material from cervix69.96#1IOther operation on supporting structures of uterus69.98#1IOperations on vagina and cul-de-sac70Hymenotomy70.11#1ICuldotomy70.12#1ILysis of intraluminal adhesion of vagina70.13#1IOther vaginotomy: Devision of vaginal septum, Drainage of hematoma of vaginal cuff 70.14#1IHymenectomy70.31#1IExcision or destruction of lesion of vagina70.33#1IObliteration and total excision of vagina: Vaginectomy70.4#1IRepair of cystocele and rectocele70.50#1IRepair of cystocele70.51#1IRepair of cystocele/urethrocele: Anterior colporrhaphy 70.51#1IRepair of rectocele70.52#1IRepair of rectocele: Posterior colporrhaphy70.52#1IVaginal construction70.61#1IVaginal reconstruction70.62#1ISuture of laceration of vagina:- Repair of fornix70.71#1IRepair of colovaginal fistula70.72#1IRepair of rectovaginal fistula70.73#1I#222!5H*2"22%@#5"@G C5 2548Repair of other vaginoenteric fistula70.74#1IRepair of other fistula of vagina70.75#1IHymenorrhaphy70.76#1IVaginal suspension and fixation70.77#1IOther repair of vagina: Colpoperineoplasty, Repair of old obstetric laceration of vagina70.79#1IObliteration of vaginal vault: LeFort operation70.8#1IOperations on vulva and perineum71Lysis of vulvar adhesion71.01#1IOther incision of vulva and perineum: Enlargement of introitus NOS71.09#1IMarsupialization of Bartholin's gland (cyst)71.23#1IExcision or other destruction of Bartholin s mass71.24#1ICauterization of condyloma71.3#1IFemale circumcision71.4#1I0Radical vulvectomy71.5#1I#222!5H*2"22%@#5"@G C5 2548Unilateral vulvectomy71.61#1IBilateral vulvectomy71.62#1ISuture of laceration of vulva or perineum71.71#1IAnterior-posterior repair of perineum71.79#1IPosterior repair of perineum71.79#1I 13. OBSTETRICAL PROCEDURES (72-75)Cesarean section and removal of fetus74#222!5H*2"22%@#5"@G C5 2548Classical cesarean section74.0#1ILow cervical cesarean section74.1#1I 14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)Operations on facial bones and joints76#222!5H*2"22%@#5"@G C5 2548Sequestrectomy of facial bone76.01#1IBiopsy of facial bone76.11#1ILocal excision or destruction of lesion of facial bone76.2#1IHemimandibulectomy76.31#1IHemimaxillectomy (with bone graft or prosthesis)76.39#1ITotal mandibulectomy with synchronous reconstruction76.41#1ITotal ostectomy of other facial bone with synchronous reconstruction76.44#1ITemporomandibular arthroplasty76.5#1IClosed osteoplasty [osteotomy] of mandibular ramus76.61#1IOpen osteoplasty [osteotomy] of mandibular ramus76.62#1IOsteoplasty [osteotomy] of body of mandible76.63#1ISegmental or subapical osteotomy76.64#1ISegmental osteoplasty [osteotomy] of maxilla76.65#1ITotal osteoplasty [osteotomy] of maxilla76.66#1IReduction genioplasty76.67#1IAugmentation genioplasty76.68#1IClosed reduction of malar and zygomatic fracture76.71#1IOpen reduction of malar and zygomatic fracture76.72#1IClosed reduction of maxillary fracture76.73#1IOpen reduction of maxillary fracture76.74#1IClosed reduction of mandibular fracture76.75#1IOpen reduction of mandibular fracture76.76#1IOpen reduction of alveolar fracture76.77#1IOpen reduction of orbit rim or wall76.79#1IBone graft to facial bone76.91#1IInsertion of synthetic implant in facial bone76.92#1IClosed reduction of temporomandibular dislocation76.93#1I#222!5H*2"22%@#5"@G C5 2548Open reduction of temporomandibular dislocation76.94#1IRemoval of internal fixation device from facial bone76.97#1IIncision, excision, and division of other bones77Sequestrectomy77.0 (1-9)#1IWedge osteotomy77.2 (1-9)#1IBiopsy of bone77.4 (1-9)#1IBunionectomy with soft tissue correction and osteotomy of the first metatarsal77.51#1IRib resection77.61#1ILocal excision of lesion or tissue of bone, clavicle77.61#1ILocal excision of lesion or tissue of bone, humerus77.62#1ILocal excision of lesion or tissue of bone, femur77.65#1ILocal excision of lesion or tissue of bone, patella77.66#1ILocal excision of lesion or tissue of bone, tibia and fibula77.67#1ILocal excision of lesion or tissue of bone, tarsals and metatarsals77.68#1ILocal excision of lesion or tissue of bone, pelvic bones77.69#1ILocal excision of lesion or tissue of bone, phalanges (of foot) (of hand)77.69#1IExcision of bone for graft77.7 (1-9)#1ICondylectomy77.8 (1-9)#1IOther operations on bones, except facial bones78Bone graft (autogenous) (heterogenous), humerus78.02#1IBone graft (autogenous) (heterogenous), radius and ulna78.03#1IBone graft (autogenous) (heterogenous), femur78.05#1IBone graft (autogenous) (heterogenous), tibia and fibula78.07#1IMinifixator with insertion of pins/wires/screws into bone, clavicle78.11#1IMinifixator with insertion of pins/wires/screws into bone, humerus78.12#1I#222!5H*2"22%@#5"@G C5 2548Minifixator with insertion of pins/wires/screws into bone, radius and ulna78.13#1IMinifixator with insertion of pins/wires/screws into bone, femur78.15#1IApplication of external fixation device, humerus78.12#1IApplication of external fixation device, radius and ulna78.13#1IApplication of external fixation device, femur78.15#1IApplication of external fixation device, tibia and fibula78.17#1IApplication of external fixation device, pelvic bones78.19#1IApplication of external fixation device, phalanges (of foot) (of hand)78.19#1IEpiphyseal stapling, femur78.25#1ILimb lengthening procedures, femur78.35#1IRemoval of external fixator device, humerus78.62#1IRemoval of external fixator device, radius and ulna78.63#1IRemoval of external fixator device, tibia and fibula78.67#1IRemoval of internal fixation device, humerus78.62#1IRemoval of internal fixation device, radius and ulna78.63#1IRemoval of internal fixation device, carpals and metacarpals78.64#1IRemoval of internal fixation device, femur78.65#1IRemoval of internal fixation device, patella78.66#1IRemoval of internal fixation device, tibia and fibula78.67#1IRemoval of internal fixation device, tarsals and metatarsals78.68#1IRemoval of internal fixation device, phalanges (of foot) (of hand)78.69#1IRemoval of internal fixation device, vertebrae78.69#1IReduction of fracture and dislocation79Closed reduction of fracture without internal fixation, humerus79.01#1IClosed reduction of fracture without internal fixation, radius and ulna79.02#1I#222!5H*2"22%@#5"@G C5 2548Closed reduction of fracture without internal fixation, carpals and metacarpals79.03#1IClosed reduction of fracture without internal fixation, phalanges of hand79.04#1IClosed reduction of fracture without internal fixation, femur79.05#1IClosed reduction of fracture without internal fixation, tibia and fibula79.06#1IClosed reduction of fracture without internal fixation, tarsals and metatarsals79.07#1IClosed reduction of fracture without internal fixation, phalanges of foot79.08#1IClosed reduction of fracture with internal fixation, humerus79.11#1IClosed reduction of fracture with internal fixation, radius and ulna79.12#1IClosed reduction of fracture with internal fixation, carpals and metacarpals79.13#1IClosed reduction of fracture with internal fixation, phalanges of hand79.14#1IClosed reduction of fracture with internal fixation, femur79.15#1IClosed reduction of fracture with internal fixation, tibia and fibula79.16#1IClosed reduction of fracture with internal fixation, tarsals and metatarsals79.17#1IClosed reduction of fracture with internal fixation, phalanges of foot79.18#1IOpen reduction of fracture without internal fixation, humerus79.21#1IOpen reduction of fracture without internal fixation, radius and ulna79.22#1IOpen reduction of fracture without internal fixation, carpals and metacarpals79.23#1I#222!5H*2"22%@#5"@G C5 2548Open reduction of fracture without internal fixation, phalanges of hand79.24#1IOpen reduction of fracture without internal fixation, femur79.25#1IOpen reduction of fracture without internal fixation, tibia and fibula79.26#1IOpen reduction of fracture without internal fixation, tarsals and metatarsals79.27#1IOpen reduction of fracture without internal fixation, phalanges of foot79.28#1IOpen reduction of fracture with internal fixation, humerus79.31#1IOpen reduction of fracture with internal fixation, radius and ulna79.32#1IOpen reduction of fracture with internal fixation, carpals and metacarpals79.33#1IOpen reduction of fracture with internal fixation, phalanges of hand79.34#1IOpen reduction of fracture with internal fixation, neck of femur79.35#1IOpen reduction of fracture with internal fixation, femur79.35#1IOpen reduction of fracture with internal fixation, femuoral condyle79.35#1IOpen reduction of fracture with internal fixation, tibia and fibula79.36#1IOpen reduction of fracture with internal fixation, malleolar79.36#1IOpen reduction of fracture with internal fixation, tarsals and metatarsals79.37#1IOpen reduction of fracture with internal fixation, phalanges of foot79.38#1IOpen reduction of fracture with internal fixation, platella79.39#1IOpen reduction of fracture with internal fixation, clavicle79.39#1I#222!5H*2"22%@#5"@G C5 2548Closed reduction of separated epiphysis, humerus79.41#1IClosed reduction of separated epiphysis, radius and ulna79.42#1IClosed reduction of separated epiphysis, femur79.45#1IClosed reduction of separated epiphysis, tibia and fibula79.46#1IOpen reduction of separated epiphysis, humerus79.51#1IOpen reduction of separated epiphysis, radius and ulna79.52#1IOpen reduction of separated epiphysis, femur79.55#1IOpen reduction of separated epiphysis, tibia and fibula79.56#1IDebridement of compound fracture, humerus79.61#1IDebridement of compound fracture, radius and ulna79.62#1IDebridement of compound fracture, carpals and metacarpals79.63#1IDebridement of compound fracture, phalanges of hand79.64#1IDebridement of compound fracture, femur79.65#1IDebridement of compound fracture, tibia and fibula79.66#1IDebridement of compound fracture, tarsals and metatarsals79.67#1IDebridement of compound fracture, phalanges of foot79.68#1IClosed reduction of dislocation of shoulder79.71#1IClosed reduction of dislocation of elbow79.72#1IClosed reduction of dislocation of wrist79.73#1IClosed reduction of dislocation of hand and finger79.74#1IClosed reduction of dislocation of hip79.75#1IClosed reduction of dislocation of knee79.76#1IClosed reduction of dislocation of ankle79.77#1IClosed reduction of dislocation of foot and toe79.78#1IOpen reduction of dislocation of shoulder79.81#1IOpen reduction of dislocation of elbow79.82#1IOpen reduction of dislocation of wrist79.83#1IOpen reduction of dislocation of hand and finger79.84#1I#222!5H*2"22%@#5"@G C5 2548Open reduction of dislocation of hip79.85#1IOpen reduction of dislocation of knee79.86#1IOpen reduction of dislocation of ankle79.87#1IOpen reduction of dislocation of foot and toe79.88#1IIncision and excision of joint structures80Arthrostomy, shoulder80.11#1IArthrostomy, elbow80.12#1IArthrostomy, knee80.16#1IArthroscopy, shoulder80.21#1IArthroscopy, knee80.26#1IAspiration biopsy80.3 (1-9)#1IDiskectomy80.51#1IExcision of meniscus of knee80.6#1ISynovectomy, carpals and metacarpals80.73#1ISynovectomy, knee80.76#1ISynovectomy, tarsals and metatarsals80.77#1ISynovectomy, phalanges of foot80.78#1IRepair and plastic operations on joint structures81Harrington rod fixation for fracture spine81.0 (0-9)#1IPedicular screws fixation of spine81.0 (0-9)#1ICraniocervical fusion by anterior, transoral, or posterior technique81.01#1IArthrodesis of C2 level or below anterior (interbody) technique81.02#1IArthrodesis of C2 level or below anterolateral technique81.02#1IArthrodesis of C2 level or below posterior (interbody) technique81.03#1IArthrodesis of C2 level or below posterolateral technique81.03#1ILumbar and lumbosacral fusion, posterior technique81.08#1I#222!5H*2"22%@#5"@G C5 2548Ankle fusion81.11#1IArthrodesis of hip81.21#1IArthrodesis of knee81.22#1IArthrodesis of shoulder81.23#1IArthrodesis of elbow81.24#1IInterphalangeal fusion81.28#1IACL reconstruction81.45#1IPCL reconstruction81.45#1IOpen reduction with screw fixation for PCL avulsion81.45#1ITotal hip replacement81.51#1IFemoral head replacement (hemiarthroplasty)81.52#1IBipolar endoprosthesis81.52#1ITotal knee replacement81.54#1ITotal ankle replacement81.56#1ITotal shoulder replacement81.80#1ISuture of capsule or ligament of upper extremity81.93#1ISuture of capsule or ligament of ankle and foot81.94#1IOperations on muscle, tendon, and fascia of hand82Removal of rice bodies in tendon sheath of hand82.01#1IBursotomy of hand82.03#1IExcision of lesion of tendon sheath of hand82.21#1ISuture of tendon sheath of hand82.41#1IDelayed suture of flexor tendon of hand82.42#1ISuture of muscle or fascia of hand82.46#1IReattachment of tendon of hand82.53#1IDigital transfer to act as thumb82.6 (1,9)#1IPlastic operation on hand with graft of muscle or fascia82.72#1IRepair of cleft hand82.82#1IOperations on muscle, tendon, fascia, and bursa, except hand83#222!5H*2"22%@#5"@G C5 2548Removal of rice bodies from tendon sheath83.01#1IFasciotomy83.14#1IRelease of Volkmann's contracture by fasciotomy83.14#1IDivision of muscle for torticollis83.19#1IMuscle release83.19#1IMyotomy for thoracic outlet decompression83.19#1IBiopsy of soft tissue83.21#1IExcision of ganglion of tendon sheath, except of hand83.31#1IExcision of lesion of muscle83.32#1IExcision of Baker's cyst83.39#1IExcision of tendon for graft83.41#1IExcision of muscle or fascia for graft83.43#1IScalenectomy83.45#1IBursectomy83.5#1ISuture of tendon sheath83.61#1IRotator cuff repair83.63#1IAchillorrhaphy83.64#1IAdvancement of tendon83.71#1IRecession of tendon83.72#1IReattachment of tendon83.73#1IReattachment of muscle83.74#1ITendon transfer or transplantation83.75#1ITendon graft83.81#1IGraft of muscle or fascia83.82#1ITendon pulley reconstruction83.83#1IRelease of clubfoot83.84#1ITeno achillis lengthening83.85#1IMyotenoplasty83.88#1IOther procedures on musculoskeletal system84#222!5H*2"22%@#5"@G C5 2548Amputation and disarticulation of finger84.01#1IAmputation and disarticulation of thumb84.02#1IAmputation through hand84.03#1IDisarticulation of wrist84.04#1IForearm amputation84.05#1IDisarticulation of elbow84.06#1IUpper arm amputation84.07#1IDisarticulation of shoulder84.08#1IAmputation of toe84.11#1IAmputation through metatarsophalangeal joint84.11#1IRay amputation of foot (disarticulation of the metatarsal head of the toe extending across the forefoot just proximal to the metatarsophalangeal crease) 84.11#1IAmputation through foot84.12#1IDisarticulation of ankle84.13#1IAmputation below knee84.15#1IDisarticulation of knee84.16#1IAmputation above knee84.17#1IDisarticulation of hip84.18#1IThumb reattachment84.21#1IFinger reattachment84.22#1IForearm, wrist, or hand reattachment84.23#1IUpper arm reattachment84.24#1IReamputation of stump84.3#1ISecondary closure of stump84.3#1ITrimming of stump84.3#1I 15. OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)Operations on the breast85#222!5H*2"22%@#5"@G C5 2548Open biopsy of breast85.12#1ILocal excision of lesion of breast85.21#1IResection of quadrant of breast85.22#1IExcision of ectopic breast tissue85.24#1IExcision of nipple85.25#1IUnilateral reduction mammoplasty85.31#1I0Bilateral reduction mammoplasty85.32#1I0Removal of breast tissue with preservation of skin and nipple85.34#1I#222!5H*2"22%@#5"@G C5 2548Unilateral simple mastectomy85.41#1IBilateral simple mastectomy85.42#1IModified radical mastectomy85.43#1IUnilateral radical mastectomy85.45#1IAugmentation mammoplasty85.5 (0-4)#1I0Mastopexy85.6#1I#222!5H*2"22%@#5"@G C5 2548Total reconstruction of breast85.7#1ISuture of laceration of breast85.81#1ISplit-thickness graft to breast85.82#1IFull-thickness graft to breast85.83#1IPedicle graft to breast85.84#1IMuscle flap graft to breast85.85#1IRevision of implant of breast85.93#1IOperations on skin and subcutaneous tissue86Incision with removal of foreign body from skin and subcutaneous tissue86.05#1IRemoval of tissue expander(s) from skin or soft tissue other than breast tissue86.05#1IEscharotomy 86.09#1IExcisional debridement of wound, infection, or burn86.22#1I#222!5H*2"22%@#5"@G C5 2548Tangential excision of burn86.22#1IDermabrasion86.25#1ILigation of dermal appendage86.26#1IDebridement of nail, nail bed, or nail fold86.27#1IScrub burn86.28#1IDestruction of skin by laser beam86.3#1IWide excision of skin lesion involving underlying or adjacent structure86.4#1IReplantation of scalp86.51#1IClosure of skin and subcutaneous tissue86.59#1ISplit-thickness skin graft86.60#1IFull-thickness skin graft to hand86.61#1IFull-thickness skin graft to other sites86.63#1ICutting and preparation of pedicle grafts or flaps86.71#1IAdvancement of pedicle graft86.72#1IAttachment of pedicle or flap graft to hand86.73#1IAttachment of pedicle or flap graft to other sites86.74#1IRevision of pedicle or flap graft86.75#1IRepair for facial weakness86.81#1IFace lift86.82#1I0Liposuction86.83#1I0Reduction of adipose tissue of abdominal wall (pendulous)86.83#1I#222!5H*2"22%@#5"@G C5 2548Relaxation of scar or web contracture of skin86.84#1IZ-plasty of skin86.84#1ICorrection of syndactyly86.85#1IRepair of facial wound86.89#1IScar revision86.89#1IInsertion of tissue expander86.93#1I 16. MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)Diagnostic Radiology87#222!5H*2"22%@#5"@G C5 2548Intraoperative intravenous pyelogram87.73#1IIntraoperative retrograde pyelogram87.74#1IIntraoperative retrograde cystourethrogram87.76#1IPhysical therapy, respiratory therapy, rehabilitation, and related procedures93Skeletal traction93.44#1IAdhesive tape traction93.46#1INonoperative removal of foreign body or calculus98Removal of intraluminal foreign body from esophagus without incision98.02#1IRemoval of intraluminal foreign body from larynx without incision98.14#1IRemoval of intraluminal foreign body from trachea and bronchus without incision98.15#1IRemoval of intraluminal foreign body from urethra without incision98.19#1IESWL98.51#1IA#ESWL98.51#1IH-D-I2@5"'1 +!2"@+8: #2"2#+12#5H!5#22@H21 0 @G#2"2#5H@4D!HDI2!+!2" 9I!5*44#14 -H2C IH2"@- Combination code PROCEDURESICD-9-CM+H'"#22Thoracotomy with suture heart, repair vascular, suture lung (I-3+12#1I 3 #2"2#)33.43 37.4 39.31 39.32#1I#222!5H*2"22%@#5"@G C5 2548V.A.T.S. with chemical pleurodesis, pericardiectomy, decorticate34.92 + 34.51 + 37.31#1IMedian sternotomy with suture heart, repair vascular37.4 39.31 39.32#1IAneurysm resection38.3 (4-6)#1IDouble Valve Repair/Replacement35.2 (0-8) 35.2 (0-8)#1ITriple Valve Repair/Replacement35.2 (0-8) 35.2 (0-8) 35.2 (0-8)#1IOMV, ASD35.51 35.61#1IVSD, venticuloseptoplexy or ventriculoseptoplasty35.53 35.62#1IAneurysm with graft (By pass)38.4 (4-6) + 39.61#1IBentall's operation36.10 + 38.34#1IRedo CABG36.1 (0-9)#1ICABG vein + internal mammary arterial graft36.15 36.16#1ICABG vein + radial arterial graft36.1 (0-4) 38.13#1ISingle valve + CABG35.2 (1-8) + 36.1 (0-9)#1I#222!5H*2"22%@#5"@G C5 2548Double Valve + CABG35.2 (1-8) + 36.1 (0-9)#1IRoss's operation 35.21 + 35.13#1ITotal abdominal hysterectomy + radical excision of iliac nodes + Omentectomy68.4 + 40.53#1IRadical abdominal hysterectomy: Modified, Wertheim s operation with radical excision of iliac nodes68.6 + 40.53#1IRadical vulvectomy With groin nodes dissection71.5 + 40.54#1I +!'5H 12 H2#42#22#"22% H2#42#22#"22% AH@G 2 *H' - H2#42#"22%1H'D A%0 H2#42#"22%1H'D ICU 7- 2#"22%7I25H4@+!2H2"@G#2"'1 6H#-%8!2#"22%!2#2C*H'5H@5H"'I- @ H 2#'1*1  2 5 2#1"2 2#C+I"2 2# 5"2 2#H"2 2#@#4H!*2"I3@%7- 2#@20@%7- 2#C+I@%7- 2#C+I*2#%0%2"2@*I@%7- 2#9A%H-A%0*2##02" 2#9@*!+0 2#*H#' 2#9A%0#11I-8#L2#A"L 2#@ G1' 2#-2I3@GA#@4 2#C+I-2+2#H22*2""2 2#%41'9IH'"5HD!H*2!2# H'"@+%7-1'@-DI @GI C2#5I #225H3+DI4#'!-8#L/'1*87I28-"H2 @ H @G! 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H2@#7H-!7- H2"27I25HC I A%0'1*8*4I@%7-I'" 1I5I H2#42#21##!5H@4DII-@GD@7H-2##1)2"22%2#@GH'"+#7--814@+8 @ H 2#-1 -81 9+49 2#11@ 20#5#0*-814@+8 (B"C+I!5+1*7-#1#-A*@G+%12#0-2#@4H2") 2#4!L2 @7H-2##1)2 *3+#1H211 H2C*H@7-" H21@5"! H2#-1 A%02#3+12#@7H-@G2#I-1 (@ H2#@%7-+%8!#H-1 @%7-%9--D#L) @4D!HDI +!2"@+8 1. C+I0##!2##4+2#B#"22%3+ A%0#02(-1#2H2 LAB 2!#2"2# @G#0385 B"*2!2#4@4H!2I8H2 LAB DID!H@4#I-"%0 10 (C9IH'"-814@+85HC I#42#1##!#04)L) 2. H2#42#1##!C5HD!HDI3+D'IC-1#2H2#42#5I D!H*2!2#@4H2"DI %31#2"2#+H'"#22#+1*#2"2# 13.1 (1%"(2*#L H-213.1.1@5H"'11A%0#21Extraction and Suture is needed13.1.1.1-1 5H1706210113.1.1.2-15H"2 (@ H #-AH#21) 5H35062102Surgical Extraction13.1.1.3H21@-2#21I2-- (Surgical Removal of Residual Tooth Root) 5H3506210313.1.1.4H2118B"D!HI-#-#09A%01 (Soft Tissue Impaction) 5H3406210413.1.1.5H2118+#7-11B"#-#09A%01 (Bony Impaction or Embedded Tooth) - Partial Bony 5H4706210513.1.1.6H2118+#7-11B"#-#09A%01 (Bony Impaction or Embedded Tooth) - Complete Bony 5H60062106Other Surgical Procedure13.1.1.7H21%2"#21 (Root resection) - 1+I2 5H4706210713.1.1.8H21%2"#21 (Root resection) - 1+%1 5H6006210813.1.1.9H21A%0-8%2"#21 (Retrograde) - 1+I2 5H6506210913.1.1.10H21A%0-8%2"#21 (Retrograde) - 1+%1 5H8606211013.1.1.11Root Amputation/Bicuspidization/Hemisection 5H8606211113.1.2-'1"'0-7HF (-@+7-21)13.1.2.1Marsupialization (under local anesthesia)3A+H5406220113.1.2.2Oroantral Fistula Closure (D!H#'!H23 Soft Tissue Graft) under local anesthesia3A+H4906220213.1.2.3Excision of Pericoronal Gingiva 5H1706220313.1.2.4Biopsy of Oral Tissue (Hard/Soft)3A+H2806220413.1.2.5Debridement and Suturing A%C H-2#1I28062205Excision of Bone Tissue13.1.2.6%4A%0AH#09@7H-C*H1 (Alveolectomy/ Alveoloplasty)3A+H4706220613.1.2.7Vestibuloplasty3A+H6006220713.1.2.8@*#4!*1#09 (Ridge Augmentation)3A+H7506220813.1.2.9AID Epulis, Fibrous Alveolar Ridge3A+H4506220913.1.2.10Torectomy, Ostectomy  (D!H#'!H2 stent) Arch6706221013.1.2.11Torectomy, Ostectomy %H2 (D!H#'!H2 stent) Arch52062211Removal of Tumors, Cysts, Neoplasms13.1.2.12H21@%208I3, 8+-2@%G (<1.5 cm)3A+H4506221213.1.2.13H21@%208I3, 8+-2C+ H (>1.5 cm)3A+H6006221313.1.2.14H21@7I--C H-22@%G (<1.5cm)3A+H4506221413.1.2.15H21@7I--C H-22C+ H (>1.5cm)3A+H60062215Surgical Incision13.1.2.16@208+- 2"C H-23A+H2006221613.1.2.17@208+- 2"- H-2 ( 2"CI"2 2@ 205H)3A+H3306221713.1.2.18Sequestrectomy ( 2"CI"2 2@ 205H)3A+H4606221813.1.2.19Maxillary Sinusotomy for Removal of Tooth fragment or Foreign body (Cald Well Luc) - 2"CI"2 2@ 205H#1I9806221913.1.3Treatment of Fracture (2##1)2#09+1/A)13.1.3.1@I2@7-1 (Intra Arch) @ H Subluxation#1I6806230113.1.3.2Fracture Mandible - Closed reduction ( 2"CI "2 2@ 205H)#1I1,3006230213.1.3.3Fracture Maxilla - Closed reduction ( 2"CI"2 2@ 205H)#1I1,3006230313.1.3.4Alveolar Fracture - Closed reduction ( 2"CI"2 2@ 205H)Arch6806230413.1.4Correction or Repair Procedure (2#AIDA%0 H-!A !)13.1.4.1Frenectomy, Frenoplasty3A+H4006240113.1.4.2Sialolithotomy ( 2"CI"2 2@ 205H)#1I4406240213.1.5Miscellaneous Procedures (@G@%G)13.1.5.1%I2A%C H-2#1I1506250113.1.5.2C*H"2#1)2 Dry Socket#1I1306250213.1.5.39#1)2A% (Curettage)#1I1706250313.1.5.4Wound dressing with Coe-pack (without splint)#1I2506250413.1.5.5Wound dressing with Coe-pack (with splint)#1I5006250513.1.5.6Special procedure for Stop Bleeding (packing with Avogel, gel foam in bleeding disorder)#1I1806250613.1.5.7Surgical stent, upper/lowerArch8006250713.2 1##!+12#13.2.1-81 1H'#2'/Pulp capping 5H2006710113.2.2-81I'"'1*8 Amalgam - I2@5"' 5H2706720113.2.3-81I'"'1*8 Amalgam - 2 I2 5H3706720213.2.4-81I'"'1*8 Amalgam - 3 I2 5H3706720313.2.5-81I'"'1*8 Amalgam - 1IAH 4 I26ID+#7- Amalgam overlay 5H3706720413.2.6-81I'"'1*8*5@+!7-1 (Composite, GI, Flowable composite) - I2@5"' 5H3006721013.2.7-81I'"'1*8*5@+!7-1 (Composite, GI, Flowable composite) - 2 I2 5H4306721113.2.8-81I'"'1*8*5@+!7-1 (Composite, GI, Flowable composite) - 3 I2 5H4306721213.2.9-81I'"'1*8*5@+!7-1 (Composite, GI, Flowable composite) - 1IAH 4 I26ID+#7- Composite onlay (direct) 5H4306721313.2.109#01B"C IA@+%GD#I*4! (Band) - 1#2!I-" 5H3006722013.2.119#01B"C IA@+%GD#I*4! (Band) - 1#2! 5H3906722113.3 @-B-L3113.3.1@-GB-L31 8@ 4 5H5406310113.3.2Pulpotomy - 1I3! 5H4806310213.3.3Pulpotomy - 1AI 5H5806310313.3.43 Pulpectomy (1I3!) - 1+I2 5H8206310413.3.53 Pulpectomy (1I3!) - 1+%1 5H9706310513.3.62##1)2%-#21 - 1+I2 5H1,7506311013.3.72##1)2%-#21 - 1#2!I-" (@+!2H2" 1-3 #2) 5H2,1806311113.3.82##1)2%-#21 - 1#2! (@+!2H2" 1-4 #2) 5H2,9006311213.3.9Apexification/Recalcification#1I4206312013.3.10-*51 (Non-vital Bleaching) @ 20#5H-@7H-+%12##1)2#21 D!HC H2#@*#4!*'"#1I34063130+!2"@+8 H2#1)22@-GB-L31 "1D!HDI4#'!H2 X-ray A%0H2-812'#13.4 #41'4"213.4.19+4I3%2" 1I21I22806410113.4.2Root planing/CurettageQualdant3406410213.4.3Flap Operation3A+H6006411013.4.4Osseous Surgery3A+H7806411113.4.5Crown Lengthening  5H7606411213.4.6Mucogingival Surgery @4DI@ 20 Periodontitis D!HC H2#@*#4!*'" - CPFP, APFP3A+H8606412013.4.7Mucogingival Surgery @4DI@ 20 Periodontitis D!HC H2#@*#4!*'" - FGG A%0 Stent3A+H1,2906412113.4.8Mucogingival Surgery @4DI@ 20 Periodontitis D!HC H2#@*#4!*'" - GTR (D!H#'!H2AH Membrane A%0 Bone graft)3A+H9406412213.4.92#C*H@7-1 (Periodontal Splint)3A+H4006413013.4.10AID2#*144 - @ 203A+H#1I2406413113.4.11AID2#*144 - 1I2#1I3906413213.4.12#1)2-22#@*5"'1B"2#2"2 5H1706414013.4.13@%5H" Periodontal Dressing#1I170641411##!11  D!H*2!2#3!2*H@4DI1##!I-1  D!H*2!2#3!2*H@4DI '1AH#2"2#5H#08I2%H213.5 #2"2#5H@4@4H!DI@ 202#@GH'"5H@42#09C+I2+1 +#7-!5B#5H42# Cleft lip, Cleft palate, B#@7I--+#7-!0@#GC H-2 B#5H@4+%12# 2"#1*5#1)213.5.1Feeding Aid 4I8006010113.5.2Speech Aid*  4I1,4506010213.5.3@%7-%9--D#L1I2#1I1406110113.5.4Tooth Reimplantation and/or Stabilization of Accidentally Avulsed or Displaced Tooth (Splinting Composite wire or Arch bar) 5H4006211213.5.5Off Arch Bar#1I3706231013.5.6Removal Suspension Wire#1I3706231113.5.7Plate and Screw/Wire Removal - 2"CI"2 2@ 205H#1I5006231213.5.8Obtulator prosthesis: Surgical  4I8006241013.5.9Obtulator prosthesis: Definitive* 4I1,60062411* +!2"625H"1D!HDI4#'!H2 Lab#2"2#5H-@+7-25H3+D!H*2!2#3!2@4H2"22#2 2#DI +!'5H 16 H2#42#-7H F 5HD!H@5H"'12##1)2"22%B"# H2#42#-7HF 5HD!H@5H"'12##1)2"22%B"# +!2"6 H2#42#5H*2"22%@#5"@G 6HD!H@5H"'1H2C IH2"C2##1)2"22% @ H H2C IB#(1L @GI #2"2#AI2": H2#'*8 2#035 2##'*8 2#035 C+IA"L@7H-C+I3#6)2H-8#1I A%0C+I@4H2" H2#'*8 2#035 15I 1. 2##'*3+#19I!5-2"8D!H@4 35 5 #49#L #2"2##221.1 Chest X-ray - Film Chest (#+1* 41001)170 - Mass Chest (#+1* 41301)501.2 Urine Examination - Urine Analysis (#+1* 31001)501.3 Stool Examination - Routine direct smear (#+1* 31201) #H'!1 Occult blood (#+1* 31203)701.4 Complete Blood Count: CBC A Automation (#+1* 30101)901.5 #'!0@#G2!%9 - #' 2"C (#+1* 55620)100 - Pap Smear (#+1* 38302)50 2. 2##'*3+#19I!5-2"8!2'H2 35 5#49#L6ID #2"2##222.1 #2"2#2##'*3+#19I5H!5-2"8D!H@4 35 5#49#L #2"2#5H 1.1-1.52!-1#2 5H3+ 2.2 Blood Chemistry - Glucose (#+1* 32203)40  - Cholesteral (#+1* 32501)60 - Triglyceride (#+1* 32502)60 - Blood Urea Nitrogen: BUN (#+1* 32201)50 - Creatinine (#+1* 32202)50 - SGOT (AST) (#+1* 32310)50 - SGPT (ALT) (#+1* 32311)50 - Alkaline Phosphatase (#+1* 32309)50 - Uric Acid (#+1* 32205)60 #2"2#AI2": !2#2+I- ICU -*2"22%#014" 9!4 ItemsRequirements1Facilities 1.1 Organ support- VentilatorA%I'AH#0@  ICU !5*1*H'1IAH 1 @#7H- H- 2 @5" - 1.2 @#7H- H- 1 @5" - Hemodynamic monitoring3'@H213'@5" - Hemodialysis unitShare facility #0+'H2 ICU - Liver dialysis unitShare facility #0+'H2 ICU 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