PEMBEDAHAN :

DAFTAR PEMBEDAHAN A. BESAR 30 %

B. SEDANG 10 - 29 %

PENGGOLONGAN OPRASU BESAR : > 30 % C. KECIL < 10 %

PENGGOLONGAN OPERASI SEDANG 10 - 29 %PENGGOLONGAN OPERASI KECIL < 9 %

Persentasi dari Jaminan yang didapatABDOMEN AND DIGESTIVE SYSTEM BRAIN, NERVOUS SYSTEM (continiued)ABDOMEN: Exploratory laparotomy, celiotomy Thoracoplasty, resection ribs . . . . . . . . . . . . . . . . . . 20 exploration, retroperitoneal . . . . . . . . . . . . . . . . . . 16 Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 exploration, retroperitoneal . . . . . . . . . . . . . . . . . . 18 Elevation of depressed fracture, simple,extraduralBILIARY TRACT : Cholecystectomy . . . . . . . . . . . . . 21 compound or comminuted . . . . . . . . . . . . . . . . . . . 28 with exploration, of common bile duct . . . . . . . . . . 23 with debridement brain and repair of dura . . . . . . . 38 Cholecystotomy or Cholecystotomy . . . . . . . . . . . . 18 BRAIN : Excision, brian tumour . . . . . . . . . . . . . . . . 57LIVER : Biopsy, percutaneous . . . . . . . . . . . . . . .. . 3 brain abcess . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Wedge resection . . . . . . . . . . . . . . . . . . . . . . . . 16 foreign body from brain . . . . . . . . . . . . . . . . . . . . . 48 Cyst or abscess, marsupialization . . . . . . . . . . . . 23 Lobectomy, partial or total . . . . . . . . . . . . . . . . . . . 55 Hepatectomy, partial lobectomy . . . . . . . . . . . . . . . 31 Lobectomy, including cingulotomy . . . . . . . . . . . . . 38 Hepatorrhaphy, suture of wound or injury . . . . . . . . 23 Hemispheretomy . . . . . . . . . . . . . . . . . . . . . . . . . . 67PANCREAS : Cyst, marsupialization, biopsy . . . . . . 18 SPINE : Discectomy, anterior or posterior approach . . 35 Pancreatectomy, with pancreatico-jejunostomy . . . . 35 Laminectomy, with or without decompression nerve Whipple type . . . . . . . . . . . . . . . . . . . . . . . .. . . . 55 root, cervical or thoracic . . . . . . . . . . . . . . . . . . . . 45SPLEEN : Splenectomy . . . . . . . . . . . . . . . . . . . . . . 25 lumbar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40HERNIA : Herniorrhaphy, hernioplasty . . . . . . . . . . . 14 more than two segments, cervical, 75ENDOSCOPY : Colonoscopy with biopsy, removal Laminotomy, and/or decompression nerve root, of polyp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 cervical or thoracic . . . . . . . . . . . . . . . . . . . . . . . . 36 Esophagoscopy, gastroscopy with biopsy . . . . . . . . 6 lumbar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33ESOPHAGUS : Esophagectomy, resection with Spinal puncture, lumbar, for decompression . . . . . . . 2 gastric anastomosis . . . . . . . . . . . . . . . . . . . . . . . 47 Esophagotomy, with/without removal CHEST, RESPIRATORY SYSTEM foreign body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Bronchoscopy with biopsy . . . . . . . . . . . . . . . . . . . 8STOMACH : Gastronomy, with exploration or foreign Pleurectomy, parietal . . . . . . . . . . . . . . . . . . . . . . . 30 body removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Pneumonectomy, total . . . . . . . . . . . . . . . . . . . . . . 45 Subtotal or hemigastrectomy, with vagotomy . . . . . 32 Lobectomy, total or segmental . . . . . . . . . . . . . . . . 39 Total gastrectomy with repair by intestinal Pneumonostomy, with open drainage transplant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 abscess/cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Vagotomy and pyloroplasty, with/without Decortication, pulmonary . . . . . . . . . . . . . . . . . . . . 32 gastrostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Wedge resection/enucleation of Lesion, single orINTESTINES : Enterotomy, with exploration or multiple . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 removal foreign body . . . . . . . . . . . . . . . . . . . . . 24 resection, with thoracoplasty or resection/ Enterectomy, colectomy, resection small/large reconstruction, chest wall . . . . . . . . . . . . . . . . . . . 45 Intestines . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 27 Thoracotomy, with/without biopsy of lung/pleural . . . 14 with colostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Thoracostomy, tube with waterseal . . . . . . . . . . . . . 3 Tube enterostomy or cecostomy, ileostomy . . . . . . 16 with rib resection for empyema . . . . . . . . . . . . . . . . 13APPENDIX : Abscess, incision and drainage . . . . . . 12 Thoracoplasty, resection ribs . . . . . . . . . . . . . . . . . 20 Appendectomy . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Tracheostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8RECTUM : Incision and drainage, deep supra levator, perirectal or retrorectal abscess . . . . . . . . 8 Protectomy, complete, combined abdominoperineal . . . . . . . . . . . . . . . . . . . . . . . . . 36 EAR, NOSE, THROAT Proctopexy for prolapsed rectum . . . . . . . . . . . . . 35 EAR : Aural polyp(s), excision . . . . . . . . . . . . . . . . 3ANUS : Abscess, incision and drainage . . . . . . . . . . 4 Fenestration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Cauterization of perianal abscess . . . . . . . . . . . . . 5 Labyrinthectomy, transcanal with 81 Fistulectomy, subcutaneous . . . . . . . . . . . . . . . . . 4 mastoidectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Submuscular . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Myringoplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Fissurectomy, with/without sphincterotomy . . . . . . . 8 Stapes mobilization . . . . . . . . . . . . . . . . . . . . . . . . 19 Hemorrhoidectomy, internal and external . . . . . . . . 11 Transmastoid antrotomy . . . . . . . . . . . . . . . . . . . . . 16 rubber band ligation . . . . . . . . . . . . . . . . . . . . . . . 3 Tympanoplasty, with mastoidectomy, ossicular

chain reconstruction . . . . . . . . . . . . . . . . . . . . . . . 38BRAIN, NERVOUS SYSTEM Tympanotomy, with insertion of ventilating tube . . . . 6SKULL : Burr holes, not followed by other surgery . . 12 NOSE : Cautery, biopsy PNS . . . . . . . . . . . . . . . . . . 1 burr hole or trephine for drainage intracranial Excision polyp(s), cyst . . . . . . . . . . . . . . . . . . . . . . 3 abscess or cyst . . . . . . . . . . . . . . . . . . . . . . . . . . 33 submucous resection, turbinate, partial/complete . . . 12Craniectomy or craniotomy . . . . . . . . . . . . . . . . . . . 48 Removal foreign body, intranasal . . . . . . . . . . . . . . 6

EAR, NOSE, THROAT GENITAL SYSTEMS - FEMALETHROAT : Larynx, laryngoscopy, with biopsy . . . . . . . 6 CORPUS UTERI : Endometrical biopsy, suction . . . . . 2 Laryngotomy, with removal tumour . . . . . . . . . . . . . 26 Dilatation and curettage (non-obstetrical) . . . . . . . . 6 Laryngectomy, total with/without radical neck Myomectomy, single or multiple, dissection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 abdominal approach . . . . . . . . . . . . . . . . . . . . . . . 21 Stripping and/or excision of vocal cords . . . . . . . . . . 9 Hysterectomy, total, abdominal approach with orPharynx, Adenoids, Tonsils, drainage of without tubes, and/or ovaries, one or both . . . . . . . 25 abscess, peritonsillar . . . . . . . . . . . . . . . . . . . . . . . 1 OVIDUCT : Transection fallopian tube, unilateral/ bila 14

Tonsillectomy, with/without Adenoidectomy . . . . . . . 9 Salpingo-oophorectomy, complete, unilateral/bilateral 17OVARY : Drainage of cyst(s), abscess, unilateral/ bilateral vaginal approach . . . . . . . . . . . . . . . . . . . 7

ENDOCRINE SYSTEM abdominal approach . . . . . . . . . . . . . . . . . . . . . . . 18THYROID, Thyro-glossal cyst, incision and drainage. Oophorectomy, with total omentectomy . . . . . . . . . . 21 biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Laparoscopy, with fulguration of lesions, lysis Cyst or adenoma, excision or transection of isthmus 15 of adhesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Thyroidectomy, hemi, partial or subtotal . . . . . . . . . 22 total or complete . . . . . . . . . . . . . . . . . . . . . . . . . . 24 GENITAL SYSTEMS - MALE total or subtotal with radical neck resection . . . . . . . 45 PENIS : Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Circumcision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Excision . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 12

EYE SPERMATIC CORD : Operations for varicocele . . . . . 11CONJUNCTIVA : Incision and drainage of 1 TESTES : Hydrocele, aspiration, incision and cyst, stye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 drainage, biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . 1 chalazion, excision, one or multiple . . . . . . . . . . . . 1 excision, local lesion . . . . . . . . . . . . . . . . . . . . . . . 9 removal of foreign body . . . . . . . . . . . . . . . . . . . . 9 Orchiectomy, simple, unilateral . . . . . . . . . . . . . . . . 9CORNEA : Excision or transposition of pterygium radical, bilateral . . . . . . . . . . . . . . . . . . . . . . .. . . . 13 excision of lesion . . . . . . . . . . . . . . . . . . . . . . . . . 11 PROSTATE : Biopsy, needle or punch . . . . . . . . . . . . 3EXTRAOCULAR MUSCLE : Repair wound . . . . . . . . 5 incisional . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11EYEBALL : Removal with implant . . . . . . . . . . . . . . . 30 Prostatectomy, external drainage of abscess . . . . . . 20LACRIMAL SYSTEM : Incision and drainage of Prostatectomy, sub-total or total . . . . . . . . . . . . . . 28 lacrimal gland or sac . . . . . . . . . . . . . . . . . . . . . . . 3 excision of lacrimal gland or sac . . . . . . . . . . . . . . 16 HEART AND CIRCULATORY SYSTEMLENS ; cataract extraction . . . . . . . . . . . . . . . . . . . . 25 PERICARDIUM : Pericardiotomy for removal clot of with implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 foreign body . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Discission of lens capsule (needling of lens) . . . . . 7 HEART : Intracardiac tumour, resection RETINA : Repair of retinal detachment . . . . . . . . . . . 27 with bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 prophylactic retinal cryotherapy, diathermy, Pacemaker Insertion with epicardial photocoagulation, laser (one or more stages) . . . . . 16 electrode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20SCLERA : Fistulization for glaucoma, trephine, repair, cardiac wound, with bypass . . . . . . . . . . . . . 43 with iridectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 VALVES : Commissurotomy, open, with bypass . . . . . 50 Repair, scleral staphyloma, with graft . . . . . . . . . . 33 Valvuloplasty, with bypass . . . . . . . . . . . . . . . . . . . 55

Replacement, single valve . . . . . . . . . . . . . . . . . . . 72 double valve with commissurotomy/valvuloplasty

GENITAL SYSTEMS - FEMALE one valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82PERINEUM : Abscess, incision, and triple valve . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . 100drainage, or biopsy . . . . . . . . . . . . . . . . . . . . . . . . 1 AORTA AND GREAT VESSELS : Suture repair,VULVA and INTROITUS : Bartholin's cyst incision with bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 and drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 repair post infarction ventricular septal defect . . . . . 75 marsupialization . . . . . . . . . . . . . . . . . . . . . . . . . . 5 CORONARY ARTERY : Anomalous ligation . . . . . . . . 31 Excision, Bartholin's tumour or gland . . . . . . . . . . . 7 Coronary artery with bypass (e.g. saphenous vein or internal VAGINA : Biopsy, vaginal mucosa . . . . . . . . . . . . . . 6 mammary artery), single artery, two coronary artery, Colpotomy with exploration . . . . . . . . . . . . . . . . . . 1 three or more coronary artery . . . . . . . . . . . . . . . . 62 Colpectomy, complete obliteration . . . . . . . . . . . . . 17 PULMONARY ARTERY : Embolectomy, Anterior, colporrhaphy, repair cystocele with/ with bypass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 without urethrocele . . . . . . . . . . . . . . . . . . . . . . . 11 ARTERIES and VEINS : Arterial embolectomy . . . . . . . 20 Posterior, colporrhaphy, repair cystocele with/ venous, trombectomy . . . . . . . . . . . . . . . . . . . . . . . 17 without urethrocele . . . . . . . . . . . . . . . . . . . . . . . 9 varicose, ligation/division/stripping Combined anterior/posterior colporrhaphy . . . . . . . 16 long saphenous, complete unilateral . . . . . . . . . . . . 10

Repair of enterocele (abdominal approach) . . . . . . 19 bilateral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15CERVIX UTERI : Biopsy or local excision of short or lesser saphenous, unilateral . . . . . . . . . . . 9 lesion, Cauterization, cryosurgery,laser therapy . . . 2 bilateral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Repair of cervix/amputation . . . . . . . . . . . . . . . . . . 9 ligation and excision - minor veins . . . . . . . . . . . . . 2

MUSCULO-SKELETAL SYSTEM FRACTURESAMPUTATIONS AND DISARTICULATION : ANKLE : Closed, manipulative reduction . . . . . . . . . . 6 Arms, through humerus, radius and ulna . . . . . . . . . 20 closed or open, open reduction, Finger or thumb, toe, amputation at any joint with skeletal fixation . . . . . . . . . . . . . . . . . . . . . . . 15 including neurectomies . . . . . . . . . . . . . . . . . . . . . 6 CLAVICLE : closed, manipulative reduction . . . . . . . . 5 Hand or foot, amputation . . . . . . . . . . . . . . . . . . . . 15 closed or open, open reduction, with/without skeletal Hip, interpelvi-abdominal amputation . . . . . . . . . . . 82 fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Leg, through tibia and fibula, with immediate ELBOW : comminuted, closed, fitting technique . . . . . . . . . . . . . . . . . . . . . . . . . . 20 manipulative reduction . . . . . . . . . . . . . . . . . . . . . . 13 Thigh, amputation through femur, any level . . . . . . . 22 closed or open, open reduction, with/without skeletal

fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20DISLOCATIONS FEMUR : closed, manipulative reduction . . . . . . . . . . 5ANKLE : closed, manipulative reduction . . . . . . . . . 4 closed or open, open reduction, with/without skeletal closed or open, open reduction . . . . . . . . . . . . . . . 20 fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30ELBOW : closed, manipulative reduction . . . . . . . . . 4 FIBULA : proximal or distal end, closed, manipulative closed or open, open reduction . . . . . . . . . . . . . . . 17 reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5FINGERS : closed, manipulative reduction . . . . . . . . 4 closed or open, open reduction, closed or open, open reduction . . . . . . . . . . . . . . . . 10 with skeletal fixation . . . . . . . . . . . . . . . . . . . . . . . 13HIP : traumatic dislocation, manipulative . . . . . . . . . 8 FINGERS : closed, manipulative reduction . . . . . . . . . 5

closed or open, with acetabular hip fixation . . . . . . 36 closed or open, open reduction, with/without skeletalJAW : temporo-mandibular, simple, fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 closed reduction . . . . . . . . . . . . . . . . . . . . . . . . . . 3 FOOT : tarsal, metatarsal, closed, manipulative . . . . . 4 open reduction with interdental fixation . . . . . . . . . 28 HUMERUS : closed, manipulative reduction . . . . . . . . 8KNEE : closed, manipulative reduction . . . . . . . . . . 5 closed or open, open reduction, with/without skeletal closed or open, open reduction . . . . . . . . . . . . . . . 25 fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28KNEE CAP : closed, manipulative reduction . . . . . . . . 4 JAW : mandibular closed, manipulative reduction with closed or open, open reduction, with/without interdental fixation . . . . . . . . . . . . . . . . . . . . . . . . 13 patellectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 open reduction with interdental fixation . . . . . . . . . . 28 closed or open, open reduction/repair, including obtaining graft . . . . . . . . . . . . . . . . . . . . . . . . . . . 17SHOULDER : Sternoclavicular, KNEE CAP : open reduction . . . . . . . . . . . . . . . . . . 7 manipulative, reduction . . . . . . . . . . . . . . . . . . . . . 5 RADIUS : Shaft, closed, manipulative reduction . . . . 7 closed or open, open reduction/repair, including closed or open, open reduction, 17 obtaining graft . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 with skeletal fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TOES : tarsal bone, closed or open, manipulative . . . 4 closed or open, open reduction . . . . . . . . . . . . . . . 10WRIST : closed, manipulative reduction . . . . . . . . . . 5 RIBS : simple, 1 rib . . . . . . . . . . . . . . . . . . . . . . . . . 3 closed or open, open reduction or repair . . . . . . . . 11 SCAPULA : closed, manipulative reduction . . . . . . . . 5

closed or open, open reduction, with/without skeletalEXCISION, FIXATION OR REPAIR BY CUTTING fixation . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . 20OPERATIONS SPINE : vertebral process, one more one, manipulativeANKLE : Achilles tendon repair; primary . . . . . . . . . . 18 reduction, cervical, open reduction & fusion repair, torn or severed collateral ligament. . . . . . . . 17 posterior approach . . . . . . . . . . . . . . . . . . . . . . . . 45 both collateral ligaments . . . . . . . . . . . . . . . . . . . . 23 anterior approach, with iliac or other bone graft . . . . 48ELBOW : Arthroplasty, radial head, with implant . . . . . 17 TIBIA : shaft. closed, manipulative reduction . . . . . . 10

closed or open, open reduction FEMUR : Excision bone cyst, benign tumour, with skeletal fixation . . . . . . . . . . . . . . . . . . . . . . . 20 with/without graft . . . . . . . . . . . . . . . . . . . . . . . . . 17 TIBIA and FIBULA : closed, manipulative, with/ with autogenous graft . . . . . . . . . . . . . . . . . . . . . . 25 without external pinning . . . . . . . . . . . . . . . . . . . . 15HAND and FINGERS : Excision/curettage bone closed or open, open reduction with/without skeletalcyst benign tumours, with autogenous graft . . . . . . . . 14 fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24HIP : Arthroplasty with acetabuloplasty . . . . . . . . . . . 45 ULNA : closed, manipulative reduction . . . . . . . . . . . 7 acetabular and proximal femoral prosthetic closed or open, open reduction, with skeletal replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 osteotomy, Iliac or acetabular . . . . . . . . . . . . . . . . 25 ULNA and RADIUS : closed, manipulative arthrodesis, hip joint, with subtrochanteric reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 closed or open, open reduction, with skeletal

HUMERUS : Excision/curettage bone cyst/benign, tum 16 fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25KNEE : Suture intrapatellar tendon, primary lengthening WRIST : colles or Smith type : closed manipulative of hamstring tendon, multiple, one leg . . . . . . . . . . . 13 reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 repair, primary, torn severed collateral ligament with closed, complex, with external skeletal or without meniscectomy . . . . . . . . . . . . . . . . . . . . 23 fixation percutaneous pinning . . . . . . . . . . . . . . . . . 13 capsulotomy, posterior capsular release . . . . . . . . . 23 removal of implants, superficial . . . . . . . . . . . . . . . 2

DAFTAR PEMBEDAHAN (lanjutan)

Persentasi dari Jaminan yang didapat Persentasi dari Jaminan yang didapatSKIN, INTEGUMENTARY, LYMPHATIC SYSTEM URINARY SYSTEM (lanjutan)AND BREAST with unilateral/bilateral recipient nephrectomy . . . . . 72ABSCESS : Carbuncle or furuncle, incision and URETER: Ureterotomy, with exploration or drainage. drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ureterolithotomy . . . . . . . . . . . . . . . . . . . . . . . . . . 26BENIGN LESIONS : Skin tags excision . . . . . . . . . . . 2 ureterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 paring or curettement, with/without cauterization . . 1 URETHRA: Urethrostomy . . . . . . . . . . . . . . . . . . . . . 4MALIGNANT LESIONS : Excision . . . . . . . . . . . . . . . 6 Dilation of urethral stricture . . . . . . . . . . . . . . . . . . 2 Biopsy, skin or subcutaneous tissue, BLADDER: Aspiration by needle, trocar of including closure . . . . . . . . . . . . . . . . . . . . . . . . . 1 intracatheter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1CYST : Infected or non-infected, incision Cystectomy, partial or total, with biopsy intravesical and drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 operation, diathermy to bladder . . . . . . . . . . . . . . . 28 excision with removal sac treatment of cavity . . . . . 2 Cystostomy or cystotomy, with fulguration . . . . . . . . 20PILONIDAL SINUS or CYST : Incision and drainage Cystourethroscopy, with biopsy . . . . . . . . . . . . . . . 4 excision with removal sac treatment of cavity . . . . . 3 Litholapaxy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15GANGLION : Excision . . . . . . . . . . . . . . . . . . . . . . 5LYMPH NODE : Biopsy or excision, superficial . . . . . 2 deep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 CONGENITAL CONDITION (jika ditanggung)NAILS : Avulsion, nail plate, partial or complete . . . . 1 DIGESTIVE SYSTEM : Cleft lip and/or palate repair excision, nail and matrix, partial or complete . . . . . 4 unilateral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20PEDICLE FLAPS : Skin and deep tissue complete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 tube pedicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 incision lingual frenum . . . . . . . . . . . . . . . . . . . . . 2REPAIRS : Simple . . . . . . . . . . . . . . . . . . . . . . . . . 5 Colostomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Intermediate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Gastrostomy, temporary . . . . . . . . . . . . . . . . . . . . . 15 Complex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Oesophageal - jejunostomy . . . . . . . . . . . . . . . . . . . 22TISSUE TRANSFER or RE-ARRANGEMENT: Pyloromyotomy (Rammstedt's operation) . . . . . . . . . 16 Trunk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Reduction of volvulus, intussusception, by Scalp, arms and legs . . . . . . . . . . . . . . . . . . . . . . . 11 laparatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Forehead, cheeks, chin, mouth, neck, axillae, Repair of congenital anorectal malformation . . . . . . 30 genitalia, hands and feet . . . . . . . . . . . . . . . . . . . . 14 EYE : Stabismus . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Eyelids, nose, ears and lips . . . . . . . . . . . . . . . . . . 14 HEARTH : Closure of Atrial or Ventricular Spetal BREAST: Abscess, biopsy, incisional . . . . . . . . . . . . 5 Defect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 excision, cyst fibro-adenoma/benign tumour/aberrant Devition and suture of Patent Ductus Arteriosus 25 tissue/duct lesion/nipple lesion, Ligation of Patent Ductus Arteriosus . . . . . . . . . . . . . 25 male or female, 1 or more . . . . . . . . . . . . . . . . . . . 7 Resection and anastomosis of Coarctation of Mastectomy, complete, unilateral . . . . . . . . . . . . . . . 13 Aorta . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Bilateral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Total correction of Fallot's Tetralogy . . . . . . . . . . . . . 50radical, including breast, pectoral muscles and HERNIA : Hiatus, diaphragmatic hernia, including axillary lymph nodes . . . . . . . . . . . .. . . . . . . . . . . . 30 chest tube and ventral hernia . . . . . . . . . . . . . . . . . . 27

Inguinal, herniotomy, herniorrhaphy . . . . . . . . . . . . . 12 Umbilical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

URINARY SYSTEM MUSCULO-SKELETAL : Arthroplasty . . . . . . . . . . . 25KIDNEY: Abscess, perirenal or renal, Open reduction for congenital dislocation drainage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 of hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Biopsy, percutaneous . . . . . . . . . . . . . . . . . . . . . . 4 Operation for scoliosis, spinal bifida, kyphosis 40 open incisional . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Soft Tissue, muscle and tendon release eg. Cysts, excision . . . . . . . . . . . . . . . . . . . . . . . . . . 26 club foot, cerebral palsy . . . . . . . . . . . . . . . . . . . . . 20 Extra-corporeal Shock Wave Lithotripsy 20 NERVOUS SYSTEM : Shunt operation for Nephrectomy, including partial 28 Hydrocephalus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Nephrectomy (Removal of calculus) URO-GENITAL : Closure of vesicovaginal, pyelolithotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 urethrovaginal fistula . . . . . . . . . . . . . . . . . . . . . . . 18 Nephrostotomy, Nephrotomy with drainage, Congenital kidney abnormality . . . . . . . . . . . . . . . . . 35 exploration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Meatotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Renal transplant . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Orchidopexy for undescended testis . . . . . . . . . . . . 11