Schedule 3 Classes of Specialized Services · Classes of Specialized Services Column 1 Column 2 Column 3 Class of specialized . services Particular medical procedures. Exceptions

Schedule 3[ss. 2, 15, 103 & 123]

Classes of Specialized Services

Column 1 Column 2 Column 3Class of

specialized services

Particular medical procedures

Exceptions to medical procedures described in

column 2

1. Surgicalprocedure

(a) Creation of surgicalwound to allow accessto major body cavity orviscus, including accessto central large joints

(i) Needle injection(ii) Creation of surgical

wound to allowaccess to peripheral joints distal to knee and elbow

(b) Removal of tissue orfluid, or both, of a totalvolume of 500 mL orabove

Suprapubic tap

(c) Removal of tissue orfluid, or both, of anyvolume from deepseated organ in childrenunder the age of 12years

(d) Removal of tissue orfluid, or both, of anyvolume from thoraciccavity

Diagnostic pleural tapping

Last updated date2.7.2019

Private Healthcare Facilities Ordinance

Schedule 3 S3-2Cap. 633

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column 2

(e) Insertion of prosthesisor implant

(i) Insertion ofprosthesis in ear,nose and throatcavity

(ii) Insertion of dentalprosthesis andimplant

(iii) Insertion of facialimplant

(iv) Insertion of extra-ocular prosthesisand implant

(v) Insertion ofintrauterine orvaginal prosthesis

(vi) Insertion of bulkingagent of urethra

(vii) Insertion ofprostatic urethralstent

(viii) Insertion ofurethral sling

(ix) Insertion oftesticular prosthesis




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(f) Core biopsy (i) Core biopsy ofsuperficial tissueexcluding thyroidor salivary glands

(ii) Core biopsy ofsuperficial andperipheral muscle

(g) Biopsy of deep-seatedorgan

(h) Lumbar puncture (i) Transplant of any

cell, tissue or organ,including autograft,allograft, xenograft,processed tissueor blood products(including platelet-richplasma) and skin flap(including face lift)

(i) Skin graft less than 1% of total bodysurface area

(ii) Transplant ofconjunctivalautograft

(iii) Transplantprocedure whichprimarily involvesdento-alveolarregion

(j) Termination ofpregnancy

(k) Dilation and curettage




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(l) Circumcision withuse of skin sutures inpaediatric patients

2. Endoscopicprocedure

(a) Endoscopic procedurerequiring imageguidance

(b) Endoscopic procedureinvolving invasionof sterile cavity orgastrointestinal tract

Cystoscopy, and cystoscopic removal of ureteric catheter or stent, but not including other therapeutic cystoscopic procedure

(c) Therapeutic endoscopicprocedure

Minor therapeutic procedure such as removal of foreign body

3. Dentalprocedure

Maxillofacial surgical procedure that extends beyond dento-alveolar process, including but not limited to—

(i) Temporomandibulararthrocentesis

(ii) Temporomandibulararthroscopy

(a) Maxillaryosteotomiesand mandibularosteotomies(including anglereduction)




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(b) Open reduction andfixation of complexmaxillofacialfracture

(c) Surgical treatmentof diagnosedmalignancies

(d) Surgical treatmentof complexhaemangioma

(e) Surgery involvingmajor salivaryglands

(f) Open surgery oftemporomandibularjoint

(g) Harvesting ofautogenous bonefrom outside oralcavity

(h) Primary cleft lipand palate surgery




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4. Chemo-therapy

Administration of chemotherapy (cytotoxic) through parenteral routes regardless of therapeutic indication

5. Haemo-dialysis

Haemodialysis

6. Inter-ventionalradiology andlithotripsy

(a) Extracorporeal shockwave lithotripsy(ESWL) requiringimage guidance

(b) Image-guided corebiopsy

(i) Image-guidedcore biopsy ofsuperficial tissuesexcluding thyroidor salivary glands

(ii) Image-guidedcore biopsy ofsuperficial andperipheral muscle

7. Anaestheticprocedure

(a) General anaesthesia(b) Neuroaxial blocks

(including spinal,epidural and caudal)




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(c) Major plexus block(including brachial,lumbar and sacral)

(d) Intravenous regionalanaesthesia

(e) Intercostal nerve block(f) Major nerve block—

(i) Glossopharyngealnerve, vagusnerve or theirterminal branches(including superior,inferior andrecurrent laryngealnerves);

(ii) Sciatic and femoralnerves;

(iii) Posterior tibialnerve, pudendalnerve or para-cervical block




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Column 1 Column 2 Column 3

Class of specialized

servicesParticular medical

procedures


column 2

(g) Use of sedative oranalgesic drugs withreasonable expectationthat it will, in themanner used, resultin deep sedation for asignificant percentageof a group of patients

(h) Tumescent anaesthesia

8. Radiotherapy (a) External beamradiotherapy

(b) Brachytherapy(c) Radionuclide therapy

(Added L.N. 86 of2019)




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Schedule 3 Classes of Specialized Services · Classes of Specialized Services Column 1 Column 2 Column 3 Class of specialized . services Particular medical procedures. Exceptions

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