| No | National code | Code description | Service/s | Equipment | Fee ($) |
|---|---|---|---|---|---|
| 1 | 602235 | Cataract | Cataract surgery with applying lenses; with any kind of procedure | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Radiography, Medicine, and Medical supplies | - Microscope Light Operating Ophtalmology Unit-Anterior/ Posterior Phaco Unit | 267 |
| 2 | 602685 | DCR | Dacryo cysto rhinostomy (DCR) | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography, Medicine, and Medical supplies | Electro Surgery Unit | 125 |
| 3 | 500030 | Nephrolithotomy | Nephrolithotomy, gravel removal or secondary surgery for it, or complicated due tocongenital malformation of the kidney or the removal of a large stone (antler) that fills the basin and the bassinet of the kidney. | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Radiography, Medicine, and Medical supplies | Lithotripter | 535 |
| 4 | 501350 | Prostatectomy | Prostatectomy, suprapubic, or full or partial one or two-stage retropubic control, including postoperative haemorrhage during the first full-time hospitalization (vasectomy, meatotomy, calibration, or dilatation of the urethra and internal orthorhombia) | Wages, Anesthesiology, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography, Sonography, Medicine, and Medical supplies | Electro Surgery Unit | 714 |
| 5 | 201305 | Varicocele | Varicocele excision or closure of spermatic veins for varicocele through the abdomen with hernia repair | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Radiography, Sonography, Medicine, and Medical supplies | Electro Surgery Unit | 357 |
| 6 | 402176 | hernia | Reconstruction of herniated or strangulated hernia | Wages, Anesthesia, Hoteling, Surgeon Assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography, Medicine, and Medical supplies | Electro Surgery Unit | 312 |
| 7 | 401175 | appendectomy | Incision and drainage of the appendix abscess or peritonitis caused by it (appendectomy) | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography, Medicine, and Medical supplies | Laparoscopy Unit | 357 |
| 8 | 401520 | hemorrhoidectomy | Simple internal and external hemorrhoidectomy or a vast problem with/or without phisherectomy | Wages, Anesthesiology, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Radiography, Medicine, and Medical supplies | Electro Surgery Unit | 223 |
| 9 | 401821 | Cholecystectomy | Cholecystectomy with cholangitisexploratory with or without cholangiographyor Choledochondrostomy | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography, Sonography, Medicine, and Medical supplies | Laparoscopy Unit | 535 |
| 10 | 500575 | Systo vertoscopy | Systo vertoscopy with or without washing and evacuatingmany clots or with or without Ureteral catheterization (independent operation) | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography,Sonography, Medicine, and Medical Supplies | Laparoscopy Unit | 133 |
| 11 | 100160 | pilonidal | Cyst excision or pilonidal sinus;simple, large or complicated | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography, Sonography, Medicine, and Medical supplies | Electro Surgery Unit | 178 |
| 12 | 501820 | abdominal hysterectomy | Complete abdominal hysterectomy including incomplete vaginctomy by sampling the para-aortic and pelvic lymph nodes, with or without removal of the tube(s), with or without removal of ovary(s) | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Pathology, Radiography, Sonography, Medicine, and Medical supplies | Electro Surgery Unit | 535 |
| 13 | 502170 | Routine midwifery care including prepartum care, cesarean delivery and post- cesarean care | Wages, Anesthesia, Hoteling, Surgeon assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Radiography, Sonography, Medicine, and Medical supplies | Electro Surgery Unit / Warmer | 357 |
| 14 | 502155 | Routine midwifery care | Routine midwifery care including pre and postpartum care, vaginal delivery (with or without episiotomy or without forceps and vacuums); with any kinds of procedure | Wages, Anesthesiology, Hoteling, Surgeon Assistant, Consultation, Cost of operating room, Hospital visit, Electrocardiography, Laboratory, Radiography, Medicine, Medical supplies | Electro Surgery Unit / Anesthesia Unit / Warmer | 223 |
| 15 | 204920 Restoration of PCL | Orthopedic/ Restoration , strength or renovation of anterior cruciate ligment with the help of arthroscop | Visit , laboratory , fee, operating room cost, anesthesia, recovery medicine and medical supplies, assistant of surgeon | Arthroscopy , suction, electro cautery , monitoring patients vital signs,anaesthetic machine,surgical light , surgical operating tab le | 357 |
| 16 | 204885 | Arthroscopy of knee | Orthopedic/ Arthroplasty with picking up medial and lateral meniscus included any kinds of shaving of meniscus or (medial or lateral included any kinds of shaving meniscus) | Visit, consolation, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , hoteling , assistant of surgeon, pathology | Arthroscopy , suction, electro cautery , monitoring patients vital signs,anaesthetic machine,surgical light , surgical operating table | 357 |
| 17 | 204725 | Arthroscopy of shoulder | Orthopedic/ Shoulder arthroscopy with restoration of rotator cuff | Visit, consolation, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , hoteling , assistant of surgeon , ECG(electrocardiography) | Arthroscopy , suction, electro cautery , monitoring patients vital signs, anaesthetic machine, surgical light , surgical operating table | 312 |
| 18 | 203780 | FX double leg | Orthopedic/ Treatment of breakage of tibia bone (with or without breaking of fibula) with plate or screw with or without cerclage) | Visit, consolation, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , assistant of surgeon | Tourniquet ,suction, electro cautery, Monitoring Patient vital signs,anaesthetic machine , surgical light, surgical operating table ,orthopedic drill | 223 |
| 19 | 203385 | Replacement of knee joint | Orthopedic/ Whole of knee arthroplasty with or without renovation of patella | Visit, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , hoteling , assistant of surgeon , radiography (radiology) | Tourniquet ,suction, electro cautery, Monitoring Patient vital signs,anaesthetic machine , surgical light , surgical operating table, orthopedic drill , orthopedic saw | 446 |
| 20 | 203020 | DHS | Orthopedic/ Treatment of interochanteric breakage trochanteric or subtrochanteric with screw or plate type of implant with or without cerclage | Visit, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , hoteling , assistant of surgeon , radiography (radiology) ECG | Suction, electro cautery, monitoring Patient vital signs, anaesthetic machine , surgical light , surgical operating table, orthopedic drill | 446 |
| 21 | 202860 | Total hip(replacement of hip joint) | Orthopedic/ Whole of hip arthroplasty with or without graft | Visit, consolation, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , assistant of surgeon | Suction, electro cautery, monitoring Patient vital signs, anaesthetic machine , surgical light , surgical operating table, orthopedic drill | 580 |
| 22 | 200108 | Eliminating leg plaque | Orthopedic/ Taking out of plaque or rod in channel with screw or without osteotomy | Visit, consolation, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , assistant of surgeon , radiography (radiology) | suction, electro cautery, Monitoring Patient vital signs,anaesthetic machine , surgical light , surgical operating table | 196 |
| 23 | 200108 | Eliminating femur plaque | Orthopedic/ Taking out of plaque or rod in channel with screw or without osteotomy | Visit, consolation, laboratory, fee , operating room cost, anesthesia , recovery, medicine and medical supplies , assistant of surgeon | suction, electro cautery, Monitoring Patient vital signs, anaesthetic machine , surgical light , surgical operating table | 196 |
| 24 | 601655 | CTS | Orthopedic/ Neoroplasty or movement median nerve in carpal tunnel included external neurolysis (closed method) | Visit, laboratory, fee, operating room cost, anesthesia , recovery,hoteling medicine and medical supplies , assistant of surgeon | Electro cautery , anaesthetic machine , tourniquet, monitoring patient vital signs, surgical light, surgical operating table | 178 |
| 25 | 501615 | APR (restoration of vagina, perineorrhaphy) | Obstetrics &gynecology/ Colporrhaphy(restoration of compartment)anterior –posterior coinciding | Visit, laboratory, fee, operating room cost, anesthesia , recovery,hoteling medicine and medical supplies , assistant of surgeon | anaesthetic machine , tourniquet, monitoring patient vital signs, surgical light, surgical operating table | 446 |
| 26 | 500186 | Putting double J(DJ,DJ) | Urology/ Operating of expelling(taking out) or breaking the ureteral stone with the (tul)method. Included cystoscopy,putting dj and breaking stone with any method | Visit, consultation, electerocardiography ,laboratory, fee, operating room cost, anesthesia , recovery,hoteling medicine and medical supplies , assistant of surgeon | Electro cautery ,monitoring patients vital signs ,anaesthaticmachine , litho trips | 223 |
| 27 | 500186 | TUL(crusher) | (trans ureteral lithotripsy) | Urology/ Operating of expelling(taking out) or breaking the ureteral stone with the (tul)method. Included cystoscopy, putting dj and breaking stone with any method | Visit, laboratory, fee, operating room cost, anesthesia , recovery,hoteling medicine and medical supplies , assistant of surgeon | Electro cautery ,monitoring patients vital signs ,anaesthaticmachine , litho trips | 535 |
| 28 | 300095 | Septoplasty | ENT(ear,nose,throat)/ Restoration of nasal blade or resection of sub mucosa of septum with or without shaving forming cartilage or replacing with grafts (septoplasty) | Visit, laboratory, fee, operating room cost, anesthesia , recovery,hoteling medicine and medical supplies , assistant of surgeon | Suction , Electro cautery bipolar, anaesthetic machine , tourniquet, monitoring patient vital signs, surgical light, surgical operating table , head lamp | 312 |
| 29 | 204920 | Restoration of ACL | Orthopedics/ Restoration strength or renovation of anterior croclate ligament | Visit, laboratory, fee, operating room cost, anesthesia , recovery , hoteling medicine and medical supplies , assistant of surgeon | Arthroscopy , suction , electro cautery , monitoring patients vital signs , anaesthatic machine , surgical lights, surgical operating table | 357 |
