MOH Category - TTL Representation - Healthcare Financial Services IG Edition 1 v0.3.0

Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: MOH Category - TTL Representation

Active as of 2025-06-23
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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "moh-category"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2022-08-08T13:04:40.59+03:00"^^xsd:dateTime ]
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem moh-category</b></p><a name=\"moh-category\"> </a><a name=\"hcmoh-category\"> </a><a name=\"moh-category-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2022-08-08 13:04:40+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/moh-category</code> provides <b>a fragment</b> that includes following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">650426<a name=\"moh-category-650426\"> </a></td><td>Release Of Carpal Tunnel Syndrom General Anaesthesia</td></tr><tr><td style=\"white-space:nowrap\">506060<a name=\"moh-category-506060\"> </a></td><td>C &amp; S Prostrate</td></tr><tr><td style=\"white-space:nowrap\">650424<a name=\"moh-category-650424\"> </a></td><td>Release Of Carpal Tunnel Syndrome Regional Anaesthesia</td></tr><tr><td style=\"white-space:nowrap\">75-34.50<a name=\"moh-category-75-34.4650\"> </a></td><td>Pleurectomy</td></tr><tr><td style=\"white-space:nowrap\">K57200<a name=\"moh-category-K57200\"> </a></td><td>Suturing of Vaginal Tear</td></tr><tr><td style=\"white-space:nowrap\">650422<a name=\"moh-category-650422\"> </a></td><td>Release Of Carpal Tunnel Syndrome Local Anaesthesia</td></tr><tr><td style=\"white-space:nowrap\">518046<a name=\"moh-category-518046\"> </a></td><td>Vasopressin (Adh)</td></tr><tr><td style=\"white-space:nowrap\">650420<a name=\"moh-category-650420\"> </a></td><td>Theco-Peritoneal Shunt</td></tr><tr><td style=\"white-space:nowrap\">518048<a name=\"moh-category-518048\"> </a></td><td>5-Hiaa</td></tr><tr><td style=\"white-space:nowrap\">U80172<a name=\"moh-category-U80172\"> </a></td><td>Gold</td></tr><tr><td style=\"white-space:nowrap\">T76020<a name=\"moh-category-T76020\"> </a></td><td>Skeletal Survey</td></tr><tr><td style=\"white-space:nowrap\">U80170<a name=\"moh-category-U80170\"> </a></td><td>Gentamycin</td></tr><tr><td style=\"white-space:nowrap\">518044<a name=\"moh-category-518044\"> </a></td><td>17-Ketosteriods, Urine</td></tr><tr><td style=\"white-space:nowrap\">518086<a name=\"moh-category-518086\"> </a></td><td>Oestradiol</td></tr><tr><td style=\"white-space:nowrap\">750906<a name=\"moh-category-750906\"> </a></td><td>Telengiectasia Treatment, Legs, Medium Area -Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">518088<a name=\"moh-category-518088\"> </a></td><td>Digoxin</td></tr><tr><td style=\"white-space:nowrap\">650428<a name=\"moh-category-650428\"> </a></td><td>Release Of Ulnar Nerve Entrapment At Wrist</td></tr><tr><td style=\"white-space:nowrap\">800026<a name=\"moh-category-800026\"> </a></td><td>Socket Reconstruction</td></tr><tr><td style=\"white-space:nowrap\">518082<a name=\"moh-category-518082\"> </a></td><td>Ft3</td></tr><tr><td style=\"white-space:nowrap\">U80168<a name=\"moh-category-U80168\"> </a></td><td>Ethosuximide</td></tr><tr><td style=\"white-space:nowrap\">518040<a name=\"moh-category-518040\"> </a></td><td>17-Hydroxycortisoteriods, Urine</td></tr><tr><td style=\"white-space:nowrap\">518084<a name=\"moh-category-518084\"> </a></td><td>T B G</td></tr><tr><td style=\"white-space:nowrap\">U80166<a name=\"moh-category-U80166\"> </a></td><td>Doxepin</td></tr><tr><td style=\"white-space:nowrap\">750908<a name=\"moh-category-750908\"> </a></td><td>Telengiectasia Treatment, Legs, Large Area -Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U80164<a name=\"moh-category-U80164\"> </a></td><td>Depakine Level (Valproic Acid)</td></tr><tr><td style=\"white-space:nowrap\">518080<a name=\"moh-category-518080\"> </a></td><td>Chromosomal Analysis</td></tr><tr><td style=\"white-space:nowrap\">800024<a name=\"moh-category-800024\"> </a></td><td>Thyroid Orbital Decompression (Both Eyes)</td></tr><tr><td style=\"white-space:nowrap\">U84520<a name=\"moh-category-U84520\"> </a></td><td>Bun</td></tr><tr><td style=\"white-space:nowrap\">750902<a name=\"moh-category-750902\"> </a></td><td>Laser Facial Rejuvenation - Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">650430<a name=\"moh-category-650430\"> </a></td><td>Release Of Cubital Tunnel Syndrome</td></tr><tr><td style=\"white-space:nowrap\">750904<a name=\"moh-category-750904\"> </a></td><td>Telengiectasia Treatment, Legs, Small Area -Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">E42420<a name=\"moh-category-E42420\"> </a></td><td>Parotidectomy total</td></tr><tr><td style=\"white-space:nowrap\">650416<a name=\"moh-category-650416\"> </a></td><td>Repair Of Meningomyelocele Major</td></tr><tr><td style=\"white-space:nowrap\">800028<a name=\"moh-category-800028\"> </a></td><td>Enucl. With Hydroxy. Orbital</td></tr><tr><td style=\"white-space:nowrap\">650414<a name=\"moh-category-650414\"> </a></td><td>Repair Of Meningomyelocele, Minor Defect</td></tr><tr><td style=\"white-space:nowrap\">506068<a name=\"moh-category-506068\"> </a></td><td>C &amp; S Swine Flu (H1N1)</td></tr><tr><td style=\"white-space:nowrap\">506066<a name=\"moh-category-506066\"> </a></td><td>C &amp; S Semen</td></tr><tr><td style=\"white-space:nowrap\">75-34.02<a name=\"moh-category-75-34.4602\"> </a></td><td>Thoracotomy, exploratory</td></tr><tr><td style=\"white-space:nowrap\">U82784<a name=\"moh-category-U82784\"> </a></td><td>IGA/IGM/IGD/IGG</td></tr><tr><td style=\"white-space:nowrap\">U82785<a name=\"moh-category-U82785\"> </a></td><td>IGE</td></tr><tr><td style=\"white-space:nowrap\">K57210<a name=\"moh-category-K57210\"> </a></td><td>Colpo Perineorraphy</td></tr><tr><td style=\"white-space:nowrap\">800022<a name=\"moh-category-800022\"> </a></td><td>Thyroid Orbital Decompression (One Eye)</td></tr><tr><td style=\"white-space:nowrap\">650412<a name=\"moh-category-650412\"> </a></td><td>Posterior Fusion And Stabilization</td></tr><tr><td style=\"white-space:nowrap\">202080<a name=\"moh-category-202080\"> </a></td><td>Long Term Care (Ltc) - Per Day Package</td></tr><tr><td style=\"white-space:nowrap\">650410<a name=\"moh-category-650410\"> </a></td><td>Anterior Or Anterolateral Verteb, Resection And Stabilization</td></tr><tr><td style=\"white-space:nowrap\">506062<a name=\"moh-category-506062\"> </a></td><td>Fern Test</td></tr><tr><td style=\"white-space:nowrap\">U80162<a name=\"moh-category-U80162\"> </a></td><td>Digoxin - Lanoxin</td></tr><tr><td style=\"white-space:nowrap\">800020<a name=\"moh-category-800020\"> </a></td><td>Optic Nerve Sheath Fenes – Onsf</td></tr><tr><td style=\"white-space:nowrap\">D92250<a name=\"moh-category-D92250\"> </a></td><td>Fundus Photography with interpretation</td></tr><tr><td style=\"white-space:nowrap\">518074<a name=\"moh-category-518074\"> </a></td><td>Insulin, Serum</td></tr><tr><td style=\"white-space:nowrap\">506050<a name=\"moh-category-506050\"> </a></td><td>C &amp; S Umbilical</td></tr><tr><td style=\"white-space:nowrap\">650418<a name=\"moh-category-650418\"> </a></td><td>Repair Of Occult Spinal Dysraphism</td></tr><tr><td style=\"white-space:nowrap\">518038<a name=\"moh-category-518038\"> </a></td><td>Cortisol</td></tr><tr><td style=\"white-space:nowrap\">518076<a name=\"moh-category-518076\"> </a></td><td>C-Peptide, Serum</td></tr><tr><td style=\"white-space:nowrap\">518034<a name=\"moh-category-518034\"> </a></td><td>Vitamine D</td></tr><tr><td style=\"white-space:nowrap\">518070<a name=\"moh-category-518070\"> </a></td><td>Vitamine B12, Serum</td></tr><tr><td style=\"white-space:nowrap\">U80156<a name=\"moh-category-U80156\"> </a></td><td>Tegretol Level - Carbamazipene</td></tr><tr><td style=\"white-space:nowrap\">518036<a name=\"moh-category-518036\"> </a></td><td>Acth</td></tr><tr><td style=\"white-space:nowrap\">518072<a name=\"moh-category-518072\"> </a></td><td>Haptoglobin</td></tr><tr><td style=\"white-space:nowrap\">518030<a name=\"moh-category-518030\"> </a></td><td>Free T4</td></tr><tr><td style=\"white-space:nowrap\">U80152<a name=\"moh-category-U80152\"> </a></td><td>Amitriptyline</td></tr><tr><td style=\"white-space:nowrap\">518032<a name=\"moh-category-518032\"> </a></td><td>Calcitonin</td></tr><tr><td style=\"white-space:nowrap\">U84512<a name=\"moh-category-U84512\"> </a></td><td>Triponin Qualitiative</td></tr><tr><td style=\"white-space:nowrap\">750096<a name=\"moh-category-750096\"> </a></td><td>Patch Test (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">800034<a name=\"moh-category-800034\"> </a></td><td>Drill Of Hyder. Imp. With Artif.</td></tr><tr><td style=\"white-space:nowrap\">750094<a name=\"moh-category-750094\"> </a></td><td>Dermabrasion (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">506058<a name=\"moh-category-506058\"> </a></td><td>C &amp; S Conjunctiva</td></tr><tr><td style=\"white-space:nowrap\">U84550<a name=\"moh-category-U84550\"> </a></td><td>Uric Acid</td></tr><tr><td style=\"white-space:nowrap\">750910<a name=\"moh-category-750910\"> </a></td><td>Telengiectasia Treatment, Face, Few Area -Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">650442<a name=\"moh-category-650442\"> </a></td><td>Old Perineural Nerve Repair</td></tr><tr><td style=\"white-space:nowrap\">E49080<a name=\"moh-category-E49080\"> </a></td><td>Peritoneal lavage</td></tr><tr><td style=\"white-space:nowrap\">506056<a name=\"moh-category-506056\"> </a></td><td>C &amp; S Axilla</td></tr><tr><td style=\"white-space:nowrap\">U80194<a name=\"moh-category-U80194\"> </a></td><td>Quinidine</td></tr><tr><td style=\"white-space:nowrap\">750912<a name=\"moh-category-750912\"> </a></td><td>Telengiectasia Treatment, Face, Multiple Area -Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U80192<a name=\"moh-category-U80192\"> </a></td><td>N-Acetylprocainamide</td></tr><tr><td style=\"white-space:nowrap\">800032<a name=\"moh-category-800032\"> </a></td><td>Impl. Of Hydr. Orb. In Enucl.</td></tr><tr><td style=\"white-space:nowrap\">U80190<a name=\"moh-category-U80190\"> </a></td><td>Procainamide</td></tr><tr><td style=\"white-space:nowrap\">202090<a name=\"moh-category-202090\"> </a></td><td>Icu/Nicu/Picu Per Day Package</td></tr><tr><td style=\"white-space:nowrap\">750092<a name=\"moh-category-750092\"> </a></td><td>Comedon Extraction - Large Area (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U82775<a name=\"moh-category-U82775\"> </a></td><td>Galactose-1-Phosphate-Uridyltransferase</td></tr><tr><td style=\"white-space:nowrap\">750090<a name=\"moh-category-750090\"> </a></td><td>Comedon Extraction - Medium Area (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U80188<a name=\"moh-category-U80188\"> </a></td><td>Primidone</td></tr><tr><td style=\"white-space:nowrap\">506054<a name=\"moh-category-506054\"> </a></td><td>C &amp; S Skin</td></tr><tr><td style=\"white-space:nowrap\">U80186<a name=\"moh-category-U80186\"> </a></td><td>Phenytoin - Free</td></tr><tr><td style=\"white-space:nowrap\">U82776<a name=\"moh-category-U82776\"> </a></td><td>Galactose-1-Phosphate</td></tr><tr><td style=\"white-space:nowrap\">U80185<a name=\"moh-category-U80185\"> </a></td><td>Phenytoin - Epanutin Level Total</td></tr><tr><td style=\"white-space:nowrap\">U84545<a name=\"moh-category-U84545\"> </a></td><td>Urea Clearance</td></tr><tr><td style=\"white-space:nowrap\">800030<a name=\"moh-category-800030\"> </a></td><td>Implan. Of Reg. In Enuc. Evisc.</td></tr><tr><td style=\"white-space:nowrap\">650438<a name=\"moh-category-650438\"> </a></td><td>Interfasicular Repair</td></tr><tr><td style=\"white-space:nowrap\">650436<a name=\"moh-category-650436\"> </a></td><td>Nerve Neurolysis</td></tr><tr><td style=\"white-space:nowrap\">506052<a name=\"moh-category-506052\"> </a></td><td>C &amp; S Rectal</td></tr><tr><td style=\"white-space:nowrap\">650434<a name=\"moh-category-650434\"> </a></td><td>Surgery For Unusual Nerve Entrapment Or Injury</td></tr><tr><td style=\"white-space:nowrap\">U84540<a name=\"moh-category-U84540\"> </a></td><td>Urine Urea Nitrogen</td></tr><tr><td style=\"white-space:nowrap\">650404<a name=\"moh-category-650404\"> </a></td><td>Excision Of Lesions Intraspinal Intradural – Lumbar</td></tr><tr><td style=\"white-space:nowrap\">650432<a name=\"moh-category-650432\"> </a></td><td>Brachial Plexus Decompression</td></tr><tr><td style=\"white-space:nowrap\">U80184<a name=\"moh-category-U80184\"> </a></td><td>Phenobarbital - Gardinal Level</td></tr><tr><td style=\"white-space:nowrap\">650402<a name=\"moh-category-650402\"> </a></td><td>Excision Of Lesions Intraspinal Extradural – Cervical</td></tr><tr><td style=\"white-space:nowrap\">518096<a name=\"moh-category-518096\"> </a></td><td>Trypsin</td></tr><tr><td style=\"white-space:nowrap\">650400<a name=\"moh-category-650400\"> </a></td><td>Excision Of Lesions Intraspinal Extradural – Dorsal</td></tr><tr><td style=\"white-space:nowrap\">518098<a name=\"moh-category-518098\"> </a></td><td>Carbamazepine (Tegretol)</td></tr><tr><td style=\"white-space:nowrap\">518068<a name=\"moh-category-518068\"> </a></td><td>Folic Acid, Serum</td></tr><tr><td style=\"white-space:nowrap\">518092<a name=\"moh-category-518092\"> </a></td><td>Dibucaine Inhibition Of Pseudocholinesterase</td></tr><tr><td style=\"white-space:nowrap\">U80150<a name=\"moh-category-U80150\"> </a></td><td>Amikacin</td></tr><tr><td style=\"white-space:nowrap\">D92235<a name=\"moh-category-D92235\"> </a></td><td>Flouroscene Angiography</td></tr><tr><td style=\"white-space:nowrap\">518064<a name=\"moh-category-518064\"> </a></td><td>Tranferritin, Serum</td></tr><tr><td style=\"white-space:nowrap\">U80178<a name=\"moh-category-U80178\"> </a></td><td>Lithium level</td></tr><tr><td style=\"white-space:nowrap\">650408<a name=\"moh-category-650408\"> </a></td><td>Excision Of Lesions Intraspinal Intradural – Cervical</td></tr><tr><td style=\"white-space:nowrap\">U80176<a name=\"moh-category-U80176\"> </a></td><td>Lidocaine</td></tr><tr><td style=\"white-space:nowrap\">518066<a name=\"moh-category-518066\"> </a></td><td>Ferritin, Serum</td></tr><tr><td style=\"white-space:nowrap\">U80174<a name=\"moh-category-U80174\"> </a></td><td>Imipramine</td></tr><tr><td style=\"white-space:nowrap\">650406<a name=\"moh-category-650406\"> </a></td><td>Excision Of Lesions Intraspinal Intradural – Dorsal</td></tr><tr><td style=\"white-space:nowrap\">518090<a name=\"moh-category-518090\"> </a></td><td>Cystic Fibrosis</td></tr><tr><td style=\"white-space:nowrap\">518060<a name=\"moh-category-518060\"> </a></td><td>Alpha-Fetoprotein</td></tr><tr><td style=\"white-space:nowrap\">650440<a name=\"moh-category-650440\"> </a></td><td>Direct Perineural Nerve Repair</td></tr><tr><td style=\"white-space:nowrap\">800004<a name=\"moh-category-800004\"> </a></td><td>Orbital Tumour Biopsy+Histopathology Analysis</td></tr><tr><td style=\"white-space:nowrap\">518062<a name=\"moh-category-518062\"> </a></td><td>Carcinembryonic Antigen (Cea)</td></tr><tr><td style=\"white-space:nowrap\">800002<a name=\"moh-category-800002\"> </a></td><td>Orbital Exploration</td></tr><tr><td style=\"white-space:nowrap\">800008<a name=\"moh-category-800008\"> </a></td><td>Reconstruction Of Orbital Base Fracture</td></tr><tr><td style=\"white-space:nowrap\">800006<a name=\"moh-category-800006\"> </a></td><td>Orbital Tumour Excision+Histopathology Analysis</td></tr><tr><td style=\"white-space:nowrap\">710002<a name=\"moh-category-710002\"> </a></td><td>Polishing Of Teeth (Prophylaxis)</td></tr><tr><td style=\"white-space:nowrap\">704098<a name=\"moh-category-704098\"> </a></td><td>Periodontal Root Planning (Less Than 6 Teeth)</td></tr><tr><td style=\"white-space:nowrap\">710006<a name=\"moh-category-710006\"> </a></td><td>Oral Prophylaxis: With Flouride (2 Visits-Children</td></tr><tr><td style=\"white-space:nowrap\">710004<a name=\"moh-category-710004\"> </a></td><td>Scaling &amp; Polishing</td></tr><tr><td style=\"white-space:nowrap\">704096<a name=\"moh-category-704096\"> </a></td><td>Periodontal Root Planning (Entire Mouth)</td></tr><tr><td style=\"white-space:nowrap\">T74290<a name=\"moh-category-T74290\"> </a></td><td>Oral Cholecystogram/Gall Bladder</td></tr><tr><td style=\"white-space:nowrap\">716084<a name=\"moh-category-716084\"> </a></td><td>Adding Tooth To Partial Denture To Replace Extracted Tooth-Each Tooth(Not Involv</td></tr><tr><td style=\"white-space:nowrap\">518056<a name=\"moh-category-518056\"> </a></td><td>Metanephrines, Urine</td></tr><tr><td style=\"white-space:nowrap\">518058<a name=\"moh-category-518058\"> </a></td><td>Catecholanines, 24 Hours Urine</td></tr><tr><td style=\"white-space:nowrap\">460298<a name=\"moh-category-460298\"> </a></td><td>Dp-Oto-Ecuastic Emission</td></tr><tr><td style=\"white-space:nowrap\">716082<a name=\"moh-category-716082\"> </a></td><td>Repair Of Broken Complete Or Partial Denture - No Teeth Damaged</td></tr><tr><td style=\"white-space:nowrap\">518052<a name=\"moh-category-518052\"> </a></td><td>Vanillymandelic Acid (Vma), Urine</td></tr><tr><td style=\"white-space:nowrap\">460296<a name=\"moh-category-460296\"> </a></td><td>Follow Up Tympanometry</td></tr><tr><td style=\"white-space:nowrap\">518054<a name=\"moh-category-518054\"> </a></td><td>Homovanillic Acid Urine</td></tr><tr><td style=\"white-space:nowrap\">716080<a name=\"moh-category-716080\"> </a></td><td>Paratial Denture Adjustment</td></tr><tr><td style=\"white-space:nowrap\">800014<a name=\"moh-category-800014\"> </a></td><td>Enucleation Or Evisceration=Prosth.Implant</td></tr><tr><td style=\"white-space:nowrap\">825246<a name=\"moh-category-825246\"> </a></td><td>Penile Prosthesis With Implant (Malleable)</td></tr><tr><td style=\"white-space:nowrap\">108-35.50<a name=\"moh-category-108-35.4650\"> </a></td><td>Repair, septa, atrial and ventricular, with prosthesis</td></tr><tr><td style=\"white-space:nowrap\">800012<a name=\"moh-category-800012\"> </a></td><td>Enucleation Or Evisceration Of Eye Ball</td></tr><tr><td style=\"white-space:nowrap\">825248<a name=\"moh-category-825248\"> </a></td><td>Penilse Prosthesis With Implant (Inflatable)</td></tr><tr><td style=\"white-space:nowrap\">518050<a name=\"moh-category-518050\"> </a></td><td>Human Growth Hormone</td></tr><tr><td style=\"white-space:nowrap\">308-58.93<a name=\"moh-category-308-58.4693\"> </a></td><td>Implantation, artificial urinary sphincter</td></tr><tr><td style=\"white-space:nowrap\">800018<a name=\"moh-category-800018\"> </a></td><td>Posterior Orbital Tumour</td></tr><tr><td style=\"white-space:nowrap\">716088<a name=\"moh-category-716088\"> </a></td><td>Chair - Side Relining (Complete Denture)Chair - Side Relining (Complete Denture)</td></tr><tr><td style=\"white-space:nowrap\">716086<a name=\"moh-category-716086\"> </a></td><td>Adding Tooth To Partial Denture To Replace Extracted Tooth(Involving Clasp Or Ab</td></tr><tr><td style=\"white-space:nowrap\">800016<a name=\"moh-category-800016\"> </a></td><td>Posterior Orbital Exploration</td></tr><tr><td style=\"white-space:nowrap\">704094<a name=\"moh-category-704094\"> </a></td><td>Membrane / Bone Grafts - Per Tooth</td></tr><tr><td style=\"white-space:nowrap\">800010<a name=\"moh-category-800010\"> </a></td><td>Exentration</td></tr><tr><td style=\"white-space:nowrap\">704092<a name=\"moh-category-704092\"> </a></td><td>Gingivectomy And Treatment (Fewer Than 5 Teeth)</td></tr><tr><td style=\"white-space:nowrap\">825240<a name=\"moh-category-825240\"> </a></td><td>Diverticulectomy</td></tr><tr><td style=\"white-space:nowrap\">704090<a name=\"moh-category-704090\"> </a></td><td>Gingivectomy Or Gingioplasty - Per Quadrant</td></tr><tr><td style=\"white-space:nowrap\">825242<a name=\"moh-category-825242\"> </a></td><td>Urs &amp; Stone Extraction</td></tr><tr><td style=\"white-space:nowrap\">825244<a name=\"moh-category-825244\"> </a></td><td>Cystoscopy + Removal Of Djs Under G.A.</td></tr><tr><td style=\"white-space:nowrap\">G29870<a name=\"moh-category-G29870\"> </a></td><td>Arthroscopy (Diagnostic) Knee</td></tr><tr><td style=\"white-space:nowrap\">E43621<a name=\"moh-category-E43621\"> </a></td><td>Subtotal gastrectomy</td></tr><tr><td style=\"white-space:nowrap\">716072<a name=\"moh-category-716072\"> </a></td><td>Upper Chrome Cobalt Partial Denture (1-3 Teeth / Unilateral)</td></tr><tr><td style=\"white-space:nowrap\">704058<a name=\"moh-category-704058\"> </a></td><td>Vestibuloplasty/Sulcus Deepening (Per Jaw)</td></tr><tr><td style=\"white-space:nowrap\">716070<a name=\"moh-category-716070\"> </a></td><td>Acrylic Partial Denture (4-7 Teeth)</td></tr><tr><td style=\"white-space:nowrap\">704056<a name=\"moh-category-704056\"> </a></td><td>Removal Of Lorus Palatinus Or Mandibularis</td></tr><tr><td style=\"white-space:nowrap\">518196<a name=\"moh-category-518196\"> </a></td><td>Galactose 1 Phosphate Uridyltrasferase (Quantative</td></tr><tr><td style=\"white-space:nowrap\">810102<a name=\"moh-category-810102\"> </a></td><td>Microlaryngoscopy</td></tr><tr><td style=\"white-space:nowrap\">518198<a name=\"moh-category-518198\"> </a></td><td>Ionized Calcium</td></tr><tr><td style=\"white-space:nowrap\">704054<a name=\"moh-category-704054\"> </a></td><td>Post Extraction Complication:Dressing (Opd)</td></tr><tr><td style=\"white-space:nowrap\">518192<a name=\"moh-category-518192\"> </a></td><td>Galactosemia Screening</td></tr><tr><td style=\"white-space:nowrap\">810104<a name=\"moh-category-810104\"> </a></td><td>Microlaryngosurgery</td></tr><tr><td style=\"white-space:nowrap\">825236<a name=\"moh-category-825236\"> </a></td><td>Epididymectomy</td></tr><tr><td style=\"white-space:nowrap\">704052<a name=\"moh-category-704052\"> </a></td><td>Post Surgical Extraction:Drsyspicules Removal</td></tr><tr><td style=\"white-space:nowrap\">716078<a name=\"moh-category-716078\"> </a></td><td>Complete Denture Adjustment</td></tr><tr><td style=\"white-space:nowrap\">518194<a name=\"moh-category-518194\"> </a></td><td>Amino Acid Screening</td></tr><tr><td style=\"white-space:nowrap\">810106<a name=\"moh-category-810106\"> </a></td><td>Larynx Laser Surgery</td></tr><tr><td style=\"white-space:nowrap\">825238<a name=\"moh-category-825238\"> </a></td><td>Cystoscopy And Lithlapexy</td></tr><tr><td style=\"white-space:nowrap\">716040<a name=\"moh-category-716040\"> </a></td><td>Chrome Cobalt Partial 4-7 Teeth</td></tr><tr><td style=\"white-space:nowrap\">716076<a name=\"moh-category-716076\"> </a></td><td>Bite Guard (Bite Raising Appliance)</td></tr><tr><td style=\"white-space:nowrap\">108-35.42<a name=\"moh-category-108-35.4642\"> </a></td><td>Creation, septal defect, in heart</td></tr><tr><td style=\"white-space:nowrap\">108-35.91<a name=\"moh-category-108-35.4691\"> </a></td><td>Transposition, interatrial, venous return</td></tr><tr><td style=\"white-space:nowrap\">716074<a name=\"moh-category-716074\"> </a></td><td>Upper Chrome Cobalt Partial Denture (3 Or More Teeth Bilateral)</td></tr><tr><td style=\"white-space:nowrap\">108-35.92<a name=\"moh-category-108-35.4692\"> </a></td><td>Creation, conduit, between right ventricle,</td></tr><tr><td style=\"white-space:nowrap\">501-81.22<a name=\"moh-category-501-81.4622\"> </a></td><td>Arthrodesis,knee</td></tr><tr><td style=\"white-space:nowrap\">U84630<a name=\"moh-category-U84630\"> </a></td><td>Zinc</td></tr><tr><td style=\"white-space:nowrap\">108-35.93<a name=\"moh-category-108-35.4693\"> </a></td><td>Creation, conduit, between left ventricle,</td></tr><tr><td style=\"white-space:nowrap\">825230<a name=\"moh-category-825230\"> </a></td><td>Vasal Reversal</td></tr><tr><td style=\"white-space:nowrap\">825232<a name=\"moh-category-825232\"> </a></td><td>Vasoepididymostomy</td></tr><tr><td style=\"white-space:nowrap\">716048<a name=\"moh-category-716048\"> </a></td><td>Porcelain Set For Complete Dentures (Additional)</td></tr><tr><td style=\"white-space:nowrap\">825234<a name=\"moh-category-825234\"> </a></td><td>Vasovasostomy</td></tr><tr><td style=\"white-space:nowrap\">108-35.94<a name=\"moh-category-108-35.4694\"> </a></td><td>Creation, conduit, between atrium,</td></tr><tr><td style=\"white-space:nowrap\">460276<a name=\"moh-category-460276\"> </a></td><td>Foreign Body Removal L.A. (Throat)</td></tr><tr><td style=\"white-space:nowrap\">460274<a name=\"moh-category-460274\"> </a></td><td>Incision + Drainage Of Quinzy (L.A)</td></tr><tr><td style=\"white-space:nowrap\">H94240<a name=\"moh-category-H94240\"> </a></td><td>Lung Volume - Helium Dilution</td></tr><tr><td style=\"white-space:nowrap\">460278<a name=\"moh-category-460278\"> </a></td><td>Fine Needle Aspiration Cytology</td></tr><tr><td style=\"white-space:nowrap\">108-35.95<a name=\"moh-category-108-35.4695\"> </a></td><td>Revision, corrective procedure, heart</td></tr><tr><td style=\"white-space:nowrap\">460280<a name=\"moh-category-460280\"> </a></td><td>Somnoplasty Tounge - Clinic (1St Stage)</td></tr><tr><td style=\"white-space:nowrap\">716046<a name=\"moh-category-716046\"> </a></td><td>Other Corrective Procedures (Per 1/4 Hour)</td></tr><tr><td style=\"white-space:nowrap\">825224<a name=\"moh-category-825224\"> </a></td><td>Repair Of Urethral Injuries</td></tr><tr><td style=\"white-space:nowrap\">716044<a name=\"moh-category-716044\"> </a></td><td>Ceka Attachment Per Piece</td></tr><tr><td style=\"white-space:nowrap\">U82009<a name=\"moh-category-U82009\"> </a></td><td>Acetone Total</td></tr><tr><td style=\"white-space:nowrap\">825226<a name=\"moh-category-825226\"> </a></td><td>Urethroplasty One Stage</td></tr><tr><td style=\"white-space:nowrap\">500004<a name=\"moh-category-500004\"> </a></td><td>Glucose (Serum) Random</td></tr><tr><td style=\"white-space:nowrap\">460284<a name=\"moh-category-460284\"> </a></td><td>Pure Tone Audiometry (Air &amp; Bone)</td></tr><tr><td style=\"white-space:nowrap\">825228<a name=\"moh-category-825228\"> </a></td><td>Urethroplasty Two Stages</td></tr><tr><td style=\"white-space:nowrap\">716042<a name=\"moh-category-716042\"> </a></td><td>Chrome Cobalt Partial 8-12 Teeth</td></tr><tr><td style=\"white-space:nowrap\">108-35.31<a name=\"moh-category-108-35.4631\"> </a></td><td>Operation, papillary muscle</td></tr><tr><td style=\"white-space:nowrap\">500002<a name=\"moh-category-500002\"> </a></td><td>Glucose (Serum) Fasting</td></tr><tr><td style=\"white-space:nowrap\">108-35.32<a name=\"moh-category-108-35.4632\"> </a></td><td>Operation, Chordae tendinae</td></tr><tr><td style=\"white-space:nowrap\">460282<a name=\"moh-category-460282\"> </a></td><td>Somnoplasty Tounge - Clinic (2Nd Stage)</td></tr><tr><td style=\"white-space:nowrap\">704050<a name=\"moh-category-704050\"> </a></td><td>Alveolectomy (Per Quadrant)</td></tr><tr><td style=\"white-space:nowrap\">L90810<a name=\"moh-category-L90810\"> </a></td><td>Psychotheraphy Interactive</td></tr><tr><td style=\"white-space:nowrap\">810110<a name=\"moh-category-810110\"> </a></td><td>Laser Tonsillectomy</td></tr><tr><td style=\"white-space:nowrap\">137202<a name=\"moh-category-137202\"> </a></td><td>Child Anxiety Manifest Level</td></tr><tr><td style=\"white-space:nowrap\">704068<a name=\"moh-category-704068\"> </a></td><td>Surgical Exposure Of Impacted Or Unerrupted Tooth</td></tr><tr><td style=\"white-space:nowrap\">825220<a name=\"moh-category-825220\"> </a></td><td>Radical Prostatectomy</td></tr><tr><td style=\"white-space:nowrap\">810112<a name=\"moh-category-810112\"> </a></td><td>Tonsillectomy</td></tr><tr><td style=\"white-space:nowrap\">825222<a name=\"moh-category-825222\"> </a></td><td>Repair Of Hypospadias Two Stages</td></tr><tr><td style=\"white-space:nowrap\">704066<a name=\"moh-category-704066\"> </a></td><td>Tooth Extraction Additional Each + L.A..</td></tr><tr><td style=\"white-space:nowrap\">137208<a name=\"moh-category-137208\"> </a></td><td>Mmpi Sub Scale</td></tr><tr><td style=\"white-space:nowrap\">36-14.27<a name=\"moh-category-36-14.4627\"> </a></td><td>Destruction, chorioretinal lesion, adiation sources</td></tr><tr><td style=\"white-space:nowrap\">137204<a name=\"moh-category-137204\"> </a></td><td>Child Behaviour Check List</td></tr><tr><td style=\"white-space:nowrap\">G29894<a name=\"moh-category-G29894\"> </a></td><td>Arthroscopy (Diagnostic) Ankle</td></tr><tr><td style=\"white-space:nowrap\">810114<a name=\"moh-category-810114\"> </a></td><td>Pan-Endoscopy (Triple Procedure)</td></tr><tr><td style=\"white-space:nowrap\">137206<a name=\"moh-category-137206\"> </a></td><td>Middle Sex Scale</td></tr><tr><td style=\"white-space:nowrap\">36-14.26<a name=\"moh-category-36-14.4626\"> </a></td><td>Destruction, chorioretinal lesion, by radiation therapy</td></tr><tr><td style=\"white-space:nowrap\">716094<a name=\"moh-category-716094\"> </a></td><td>Laboratory Relining (Partial Denture)</td></tr><tr><td style=\"white-space:nowrap\">704064<a name=\"moh-category-704064\"> </a></td><td>Alveolar Ridge Grafting Per Jaw</td></tr><tr><td style=\"white-space:nowrap\">460288<a name=\"moh-category-460288\"> </a></td><td>Tone Decay Test</td></tr><tr><td style=\"white-space:nowrap\">810116<a name=\"moh-category-810116\"> </a></td><td>Hypopharyngoscopy &amp; Foreign Body Removal</td></tr><tr><td style=\"white-space:nowrap\">716092<a name=\"moh-category-716092\"> </a></td><td>Laboratory Relining (Complete Denture)</td></tr><tr><td style=\"white-space:nowrap\">704062<a name=\"moh-category-704062\"> </a></td><td>Other Undefined Surgical Procedures Per 15 Minutes</td></tr><tr><td style=\"white-space:nowrap\">460286<a name=\"moh-category-460286\"> </a></td><td>Follow Up Pure Tone Audiometry (Air &amp; Bone)</td></tr><tr><td style=\"white-space:nowrap\">T76770<a name=\"moh-category-T76770\"> </a></td><td>Ultra Sound - Retroperitoneal</td></tr><tr><td style=\"white-space:nowrap\">L96100<a name=\"moh-category-L96100\"> </a></td><td>Psychological Test</td></tr><tr><td style=\"white-space:nowrap\">108-35.80<a name=\"moh-category-108-35.4680\"> </a></td><td>Repair, total, certain congenital cardiac anomalies</td></tr><tr><td style=\"white-space:nowrap\">716036<a name=\"moh-category-716036\"> </a></td><td>Chrome Cobalt Full Denture: Upper And Lower</td></tr><tr><td style=\"white-space:nowrap\">716090<a name=\"moh-category-716090\"> </a></td><td>Chair - Side Relining (Partial Denture)</td></tr><tr><td style=\"white-space:nowrap\">716034<a name=\"moh-category-716034\"> </a></td><td>Rebasing (Upper Or Lower)</td></tr><tr><td style=\"white-space:nowrap\">X1005<a name=\"moh-category-X1005\"> </a></td><td>Ventilator Per Day</td></tr><tr><td style=\"white-space:nowrap\">460290<a name=\"moh-category-460290\"> </a></td><td>Ablb</td></tr><tr><td style=\"white-space:nowrap\">716032<a name=\"moh-category-716032\"> </a></td><td>Changing Teeth In Old Chrome - Partial</td></tr><tr><td style=\"white-space:nowrap\">825214<a name=\"moh-category-825214\"> </a></td><td>Iliocystoplasty</td></tr><tr><td style=\"white-space:nowrap\">X1004<a name=\"moh-category-X1004\"> </a></td><td>Oxy Hood Per Day</td></tr><tr><td style=\"white-space:nowrap\">L90804<a name=\"moh-category-L90804\"> </a></td><td>Individual psycho therapy insight oriented</td></tr><tr><td style=\"white-space:nowrap\">X1003<a name=\"moh-category-X1003\"> </a></td><td>Mist Tent Per Day</td></tr><tr><td style=\"white-space:nowrap\">716030<a name=\"moh-category-716030\"> </a></td><td>Splints/Guards</td></tr><tr><td style=\"white-space:nowrap\">U80299<a name=\"moh-category-U80299\"> </a></td><td>Amphotericin B Level</td></tr><tr><td style=\"white-space:nowrap\">X1002<a name=\"moh-category-X1002\"> </a></td><td>Oxygen Inhalation Per Day</td></tr><tr><td style=\"white-space:nowrap\">X1001<a name=\"moh-category-X1001\"> </a></td><td>Oxygen Inhalation - Per Hour X1001</td></tr><tr><td style=\"white-space:nowrap\">825216<a name=\"moh-category-825216\"> </a></td><td>Insertion Of Penile Prothesis</td></tr><tr><td style=\"white-space:nowrap\">704060<a name=\"moh-category-704060\"> </a></td><td>Apicoectomy (Per Tooth Excluding Rct)</td></tr><tr><td style=\"white-space:nowrap\">716098<a name=\"moh-category-716098\"> </a></td><td>Lower Chrome Cobalt Partial Denture (3 Or More Teeth / Bilateral)</td></tr><tr><td style=\"white-space:nowrap\">810108<a name=\"moh-category-810108\"> </a></td><td>Adenoidectomy</td></tr><tr><td style=\"white-space:nowrap\">460294<a name=\"moh-category-460294\"> </a></td><td>Audiological Assessment</td></tr><tr><td style=\"white-space:nowrap\">716038<a name=\"moh-category-716038\"> </a></td><td>Chrome Cobalt Partial 1-3 Teeth</td></tr><tr><td style=\"white-space:nowrap\">825218<a name=\"moh-category-825218\"> </a></td><td>Radical Cystectomy</td></tr><tr><td style=\"white-space:nowrap\">148-46.92<a name=\"moh-category-148-46.4692\"> </a></td><td>Myotomy, colon, other parts</td></tr><tr><td style=\"white-space:nowrap\">716096<a name=\"moh-category-716096\"> </a></td><td>Lower Chrome Cobalt Partial Denture (1-3 Teeth / Unilateral)</td></tr><tr><td style=\"white-space:nowrap\">460292<a name=\"moh-category-460292\"> </a></td><td>Strenger Test</td></tr><tr><td style=\"white-space:nowrap\">512002<a name=\"moh-category-512002\"> </a></td><td>Hemoglobin Electrophoresis</td></tr><tr><td style=\"white-space:nowrap\">137212<a name=\"moh-category-137212\"> </a></td><td>Beck Depression Inventory</td></tr><tr><td style=\"white-space:nowrap\">704078<a name=\"moh-category-704078\"> </a></td><td>Ridge Extension (Augmentation Per Arch)</td></tr><tr><td style=\"white-space:nowrap\">137214<a name=\"moh-category-137214\"> </a></td><td>Performance Anxiety Scale</td></tr><tr><td style=\"white-space:nowrap\">825210<a name=\"moh-category-825210\"> </a></td><td>Excision Of Ureterocele And Reimplantation Of Ureter</td></tr><tr><td style=\"white-space:nowrap\">704076<a name=\"moh-category-704076\"> </a></td><td>Biopsy Of Extra Oral Tissues</td></tr><tr><td style=\"white-space:nowrap\">137210<a name=\"moh-category-137210\"> </a></td><td>Self Esteem Inventory</td></tr><tr><td style=\"white-space:nowrap\">704074<a name=\"moh-category-704074\"> </a></td><td>Biopsy Of Oral Tissue (Soft)</td></tr><tr><td style=\"white-space:nowrap\">825212<a name=\"moh-category-825212\"> </a></td><td>Ileal Ureter</td></tr><tr><td style=\"white-space:nowrap\">512004<a name=\"moh-category-512004\"> </a></td><td>Protein Electrophoresis (Serum, Csf, Urine)</td></tr><tr><td style=\"white-space:nowrap\">716062<a name=\"moh-category-716062\"> </a></td><td>Denture - Complete Lower (Chrome Cobbalt)</td></tr><tr><td style=\"white-space:nowrap\">128100<a name=\"moh-category-128100\"> </a></td><td>Schanz Screw</td></tr><tr><td style=\"white-space:nowrap\">500018<a name=\"moh-category-500018\"> </a></td><td>Creatinine Urine (Random)</td></tr><tr><td style=\"white-space:nowrap\">128102<a name=\"moh-category-128102\"> </a></td><td>Malleolar Screw</td></tr><tr><td style=\"white-space:nowrap\">716060<a name=\"moh-category-716060\"> </a></td><td>Denture - Complete Upper (Chrome Cobbalt)</td></tr><tr><td style=\"white-space:nowrap\">I92590<a name=\"moh-category-I92590\"> </a></td><td>Hearing Aid adjustment &amp; Evaluation Unilateral</td></tr><tr><td style=\"white-space:nowrap\">800758<a name=\"moh-category-800758\"> </a></td><td>Laser Trabeculoplasty</td></tr><tr><td style=\"white-space:nowrap\">128104<a name=\"moh-category-128104\"> </a></td><td>Partial Hip - Thomson Hip Prothesis</td></tr><tr><td style=\"white-space:nowrap\">108-35.70<a name=\"moh-category-108-35.4670\"> </a></td><td>Repair, septa, atrial, ventricular, unspecified</td></tr><tr><td style=\"white-space:nowrap\">I92591<a name=\"moh-category-I92591\"> </a></td><td>Hearing aid Adjustment &amp; Evaluation Bilateral</td></tr><tr><td style=\"white-space:nowrap\">800762<a name=\"moh-category-800762\"> </a></td><td>Photo. Kera. Astigm - Pak Vizx</td></tr><tr><td style=\"white-space:nowrap\">128106<a name=\"moh-category-128106\"> </a></td><td>Penning Mini External Fixator</td></tr><tr><td style=\"white-space:nowrap\">500022<a name=\"moh-category-500022\"> </a></td><td>Uric Acid (Serum)</td></tr><tr><td style=\"white-space:nowrap\">850240<a name=\"moh-category-850240\"> </a></td><td>Laparascopic Salpingo-Oophorectomy (Bilateral)</td></tr><tr><td style=\"white-space:nowrap\">800760<a name=\"moh-category-800760\"> </a></td><td>Phototherapeutic Keratectomy (P.T.K.) One Eye</td></tr><tr><td style=\"white-space:nowrap\">850242<a name=\"moh-category-850242\"> </a></td><td>Diagnostic Laparascopy + New Ostia Of Fallopian Tube (Unilateral)</td></tr><tr><td style=\"white-space:nowrap\">716068<a name=\"moh-category-716068\"> </a></td><td>Acrylic Partial Denture (1-3 Teeth)</td></tr><tr><td style=\"white-space:nowrap\">850244<a name=\"moh-category-850244\"> </a></td><td>Diagnostic Laparascopy + New Ostia Of Fallopian Tube (Bilateral)</td></tr><tr><td style=\"white-space:nowrap\">T73700<a name=\"moh-category-T73700\"> </a></td><td>CT LO EXT without Contrast</td></tr><tr><td style=\"white-space:nowrap\">500020<a name=\"moh-category-500020\"> </a></td><td>Creatinine Clearance</td></tr><tr><td style=\"white-space:nowrap\">500027<a name=\"moh-category-500027\"> </a></td><td>Globulin</td></tr><tr><td style=\"white-space:nowrap\">716066<a name=\"moh-category-716066\"> </a></td><td>Denture - Immediate Lower Complete</td></tr><tr><td style=\"white-space:nowrap\">500026<a name=\"moh-category-500026\"> </a></td><td>Albumin</td></tr><tr><td style=\"white-space:nowrap\">716064<a name=\"moh-category-716064\"> </a></td><td>Denture - Immediate Uper Complete</td></tr><tr><td style=\"white-space:nowrap\">640020<a name=\"moh-category-640020\"> </a></td><td>Ptca (Per.Tr.Coronory Angioplasty) - Sv +2 Stents</td></tr><tr><td style=\"white-space:nowrap\">500024<a name=\"moh-category-500024\"> </a></td><td>Total Protein, Serum</td></tr><tr><td style=\"white-space:nowrap\">K59025<a name=\"moh-category-K59025\"> </a></td><td>CTG less than an hour</td></tr><tr><td style=\"white-space:nowrap\">704072<a name=\"moh-category-704072\"> </a></td><td>Biopsy Of Oral Tissue (Hard)</td></tr><tr><td style=\"white-space:nowrap\">T73701<a name=\"moh-category-T73701\"> </a></td><td>CT Scan Knee Lower Ext with Contrast</td></tr><tr><td style=\"white-space:nowrap\">850236<a name=\"moh-category-850236\"> </a></td><td>Laparascopic Checking Of Tubal Patency</td></tr><tr><td style=\"white-space:nowrap\">K57240<a name=\"moh-category-K57240\"> </a></td><td>Anterior Colporrhapy &amp; Repair Cystocele</td></tr><tr><td style=\"white-space:nowrap\">850238<a name=\"moh-category-850238\"> </a></td><td>Laparascopic Salpingo-Oophorectomy (Unilateral)</td></tr><tr><td style=\"white-space:nowrap\">H43450<a name=\"moh-category-H43450\"> </a></td><td>Oesophageal Dilation</td></tr><tr><td style=\"white-space:nowrap\">110-37.12<a name=\"moh-category-110-37.4612\"> </a></td><td>Pericardiotomy</td></tr><tr><td style=\"white-space:nowrap\">810220<a name=\"moh-category-810220\"> </a></td><td>Labyrinthectomy</td></tr><tr><td style=\"white-space:nowrap\">640022<a name=\"moh-category-640022\"> </a></td><td>Ptca (Per.Tr.Coronory Angioplasty) - Dv + Stent</td></tr><tr><td style=\"white-space:nowrap\">650018C<a name=\"moh-category-650018C\"> </a></td><td>Microguide Wire</td></tr><tr><td style=\"white-space:nowrap\">U85384<a name=\"moh-category-U85384\"> </a></td><td>Fibrinogen</td></tr><tr><td style=\"white-space:nowrap\">750074<a name=\"moh-category-750074\"> </a></td><td>Electro Cautery - Multiple Lesion (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">750232<a name=\"moh-category-750232\"> </a></td><td>Brow Lift (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">810222<a name=\"moh-category-810222\"> </a></td><td>Vestibular Neurectomy</td></tr><tr><td style=\"white-space:nowrap\">750072<a name=\"moh-category-750072\"> </a></td><td>Electro Cautery - Few Lesion (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">810224<a name=\"moh-category-810224\"> </a></td><td>Facial Nerve Surgery</td></tr><tr><td style=\"white-space:nowrap\">110014<a name=\"moh-category-110014\"> </a></td><td>Orthofix Rental (Per Day)</td></tr><tr><td style=\"white-space:nowrap\">810226<a name=\"moh-category-810226\"> </a></td><td>Ossiculoplasty</td></tr><tr><td style=\"white-space:nowrap\">300226<a name=\"moh-category-300226\"> </a></td><td>Thyroid Imaging</td></tr><tr><td style=\"white-space:nowrap\">110012<a name=\"moh-category-110012\"> </a></td><td>Orthofix</td></tr><tr><td style=\"white-space:nowrap\">650018A<a name=\"moh-category-650018A\"> </a></td><td>Each Additional : Coil</td></tr><tr><td style=\"white-space:nowrap\">I69210<a name=\"moh-category-I69210\"> </a></td><td>Ear Wash</td></tr><tr><td style=\"white-space:nowrap\">650018B<a name=\"moh-category-650018B\"> </a></td><td>Microcatheter</td></tr><tr><td style=\"white-space:nowrap\">300224<a name=\"moh-category-300224\"> </a></td><td>X-Ray Film Copy Cash (Nett) Each</td></tr><tr><td style=\"white-space:nowrap\">38-12.14<a name=\"moh-category-38-12.4614\"> </a></td><td>Subtotal or complete iridectomy for melanoma</td></tr><tr><td style=\"white-space:nowrap\">704014<a name=\"moh-category-704014\"> </a></td><td>Surgical Extraction - Complex (Bone Removal)</td></tr><tr><td style=\"white-space:nowrap\">D92283<a name=\"moh-category-D92283\"> </a></td><td>Color vision exam</td></tr><tr><td style=\"white-space:nowrap\">750070<a name=\"moh-category-750070\"> </a></td><td>Electrolysis Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">650026A<a name=\"moh-category-650026A\"> </a></td><td>Each Additional : Coil</td></tr><tr><td style=\"white-space:nowrap\">202004<a name=\"moh-category-202004\"> </a></td><td>Private Room Per Day</td></tr><tr><td style=\"white-space:nowrap\">202002<a name=\"moh-category-202002\"> </a></td><td>Suite Room Per Day</td></tr><tr><td style=\"white-space:nowrap\">650026B<a name=\"moh-category-650026B\"> </a></td><td>Microcatheter</td></tr><tr><td style=\"white-space:nowrap\">704012<a name=\"moh-category-704012\"> </a></td><td>Surgical Extraction - Simple</td></tr><tr><td style=\"white-space:nowrap\">304032<a name=\"moh-category-304032\"> </a></td><td>Colour Doppler Sonography Breast (Two)</td></tr><tr><td style=\"white-space:nowrap\">650026C<a name=\"moh-category-650026C\"> </a></td><td>Microguide Wire</td></tr><tr><td style=\"white-space:nowrap\">704010<a name=\"moh-category-704010\"> </a></td><td>Removal Of Teeth (Soft Tissue) + La</td></tr><tr><td style=\"white-space:nowrap\">304030<a name=\"moh-category-304030\"> </a></td><td>Colour Doppler Sonography Breast (One)</td></tr><tr><td style=\"white-space:nowrap\">524008<a name=\"moh-category-524008\"> </a></td><td>Anti Sperm Antibody</td></tr><tr><td style=\"white-space:nowrap\">704018<a name=\"moh-category-704018\"> </a></td><td>Removal Of Teeth (Completely Bony) + L.A.</td></tr><tr><td style=\"white-space:nowrap\">810140<a name=\"moh-category-810140\"> </a></td><td>Cleft Palate Repair</td></tr><tr><td style=\"white-space:nowrap\">704016<a name=\"moh-category-704016\"> </a></td><td>Removal Of Teeth (Partially Bony) + L.A.</td></tr><tr><td style=\"white-space:nowrap\">710018<a name=\"moh-category-710018\"> </a></td><td>Topical Application Of Flouride -2 Vis (Ex Prophylaxis)</td></tr><tr><td style=\"white-space:nowrap\">524012<a name=\"moh-category-524012\"> </a></td><td>Osteocalcin</td></tr><tr><td style=\"white-space:nowrap\">U80202<a name=\"moh-category-U80202\"> </a></td><td>Vancomycin</td></tr><tr><td style=\"white-space:nowrap\">716004<a name=\"moh-category-716004\"> </a></td><td>Partial Denture 1-3 Teeth</td></tr><tr><td style=\"white-space:nowrap\">500044<a name=\"moh-category-500044\"> </a></td><td>Sgpt (Alt)</td></tr><tr><td style=\"white-space:nowrap\">137018<a name=\"moh-category-137018\"> </a></td><td>Psychological Assessment- Category 2 - Anxiety</td></tr><tr><td style=\"white-space:nowrap\">U80200<a name=\"moh-category-U80200\"> </a></td><td>Tobramycin</td></tr><tr><td style=\"white-space:nowrap\">716002<a name=\"moh-category-716002\"> </a></td><td>Complete Dentures</td></tr><tr><td style=\"white-space:nowrap\">500042<a name=\"moh-category-500042\"> </a></td><td>Sgot (Ast)</td></tr><tr><td style=\"white-space:nowrap\">524016<a name=\"moh-category-524016\"> </a></td><td>Hydroxproline Total</td></tr><tr><td style=\"white-space:nowrap\">500048<a name=\"moh-category-500048\"> </a></td><td>Alkaline Phosphatase</td></tr><tr><td style=\"white-space:nowrap\">500046<a name=\"moh-category-500046\"> </a></td><td>Ggt</td></tr><tr><td style=\"white-space:nowrap\">716008<a name=\"moh-category-716008\"> </a></td><td>Partial Denture 8-12 Teeth</td></tr><tr><td style=\"white-space:nowrap\">500040<a name=\"moh-category-500040\"> </a></td><td>Total And Direct Biliburin</td></tr><tr><td style=\"white-space:nowrap\">524010<a name=\"moh-category-524010\"> </a></td><td>Thyroid Uptake</td></tr><tr><td style=\"white-space:nowrap\">716006<a name=\"moh-category-716006\"> </a></td><td>Partial Denture 4-7 Teeth</td></tr><tr><td style=\"white-space:nowrap\">704024<a name=\"moh-category-704024\"> </a></td><td>Cyst Operation</td></tr><tr><td style=\"white-space:nowrap\">704022<a name=\"moh-category-704022\"> </a></td><td>Suturing - Large Area</td></tr><tr><td style=\"white-space:nowrap\">704020<a name=\"moh-category-704020\"> </a></td><td>Suturing - Small Area (2-3 Sutures)</td></tr><tr><td style=\"white-space:nowrap\">500028<a name=\"moh-category-500028\"> </a></td><td>Osmolarity, Serum / Urine</td></tr><tr><td style=\"white-space:nowrap\">U88162<a name=\"moh-category-U88162\"> </a></td><td>Cytology ( Fine Needle Aspiration )</td></tr><tr><td style=\"white-space:nowrap\">T74150<a name=\"moh-category-T74150\"> </a></td><td>CT Scan Abdomen</td></tr><tr><td style=\"white-space:nowrap\">704028<a name=\"moh-category-704028\"> </a></td><td>Incision And Drainage Of Abscess - Extraoral</td></tr><tr><td style=\"white-space:nowrap\">704026<a name=\"moh-category-704026\"> </a></td><td>Incision And Drainage Of Abscess - Intraoral</td></tr><tr><td style=\"white-space:nowrap\">500034<a name=\"moh-category-500034\"> </a></td><td>Total Bilirubin</td></tr><tr><td style=\"white-space:nowrap\">500032<a name=\"moh-category-500032\"> </a></td><td>Albumin/Globumin Ratio</td></tr><tr><td style=\"white-space:nowrap\">500038<a name=\"moh-category-500038\"> </a></td><td>Direct Bilirubin</td></tr><tr><td style=\"white-space:nowrap\">500036<a name=\"moh-category-500036\"> </a></td><td>Total Biliburin, Neonatal</td></tr><tr><td style=\"white-space:nowrap\">500030<a name=\"moh-category-500030\"> </a></td><td>Plasma Globumin</td></tr><tr><td style=\"white-space:nowrap\">650024B<a name=\"moh-category-650024B\"> </a></td><td>Microcatheter</td></tr><tr><td style=\"white-space:nowrap\">650024C<a name=\"moh-category-650024C\"> </a></td><td>Microguide Wire</td></tr><tr><td style=\"white-space:nowrap\">524020<a name=\"moh-category-524020\"> </a></td><td>Factor Viii</td></tr><tr><td style=\"white-space:nowrap\">704036<a name=\"moh-category-704036\"> </a></td><td>Pericoronal Flap Removal - Simple</td></tr><tr><td style=\"white-space:nowrap\">650028B<a name=\"moh-category-650028B\"> </a></td><td>Microguide Wire</td></tr><tr><td style=\"white-space:nowrap\">810122<a name=\"moh-category-810122\"> </a></td><td>Plastic Surgery Of Throat</td></tr><tr><td style=\"white-space:nowrap\">704034<a name=\"moh-category-704034\"> </a></td><td>Closure Of Oro-Antral Fistula</td></tr><tr><td style=\"white-space:nowrap\">810124<a name=\"moh-category-810124\"> </a></td><td>Tumor Surgery Of Throat</td></tr><tr><td style=\"white-space:nowrap\">I30400<a name=\"moh-category-I30400\"> </a></td><td>Rhinoplasty</td></tr><tr><td style=\"white-space:nowrap\">704032<a name=\"moh-category-704032\"> </a></td><td>Wiring Fractured Jaw - Complex</td></tr><tr><td style=\"white-space:nowrap\">U84560<a name=\"moh-category-U84560\"> </a></td><td>Urine Uric Acid</td></tr><tr><td style=\"white-space:nowrap\">704070<a name=\"moh-category-704070\"> </a></td><td>Surgical Removal Of Suprenumerary Tooth</td></tr><tr><td style=\"white-space:nowrap\">850246<a name=\"moh-category-850246\"> </a></td><td>Diagnostic Laparascopy + Canalization Of Tube</td></tr><tr><td style=\"white-space:nowrap\">36-14.41<a name=\"moh-category-36-14.4641\"> </a></td><td>Scleral buckling with implant, f vitreous substitute</td></tr><tr><td style=\"white-space:nowrap\">U80198<a name=\"moh-category-U80198\"> </a></td><td>Theophyline</td></tr><tr><td style=\"white-space:nowrap\">704088<a name=\"moh-category-704088\"> </a></td><td>Excision Of Hyperplastic Tissue (Per Arch)</td></tr><tr><td style=\"white-space:nowrap\">U80196<a name=\"moh-category-U80196\"> </a></td><td>Acetylsalicylic Acid</td></tr><tr><td style=\"white-space:nowrap\">36-14.49<a name=\"moh-category-36-14.4649\"> </a></td><td>Scleral buckling with vitrectomy, membranectomy, ion</td></tr><tr><td style=\"white-space:nowrap\">640024<a name=\"moh-category-640024\"> </a></td><td>Ptca (Per.Tr.Coronory Angioplasty) - Dv + 2 Stents</td></tr><tr><td style=\"white-space:nowrap\">704086<a name=\"moh-category-704086\"> </a></td><td>Release Of Tounge Tie</td></tr><tr><td style=\"white-space:nowrap\">750230<a name=\"moh-category-750230\"> </a></td><td>Otoplasty - Ear Reshaping (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">704084<a name=\"moh-category-704084\"> </a></td><td>Excision Of Bengin Tumour - Lesion Diameter Over 1 Cm</td></tr><tr><td style=\"white-space:nowrap\">303-56.92<a name=\"moh-category-303-56.4692\"> </a></td><td>Implantation, electronic uteral stimulator</td></tr><tr><td style=\"white-space:nowrap\">716050<a name=\"moh-category-716050\"> </a></td><td>Isosit Injection Moulded Denture</td></tr><tr><td style=\"white-space:nowrap\">218-78.37<a name=\"moh-category-218-78.4637\"> </a></td><td>Lengthening bone, tibia and fibula</td></tr><tr><td style=\"white-space:nowrap\">353-40.53<a name=\"moh-category-353-40.4653\"> </a></td><td>Excision, lymph node - iliac, radical</td></tr><tr><td style=\"white-space:nowrap\">353-40.52<a name=\"moh-category-353-40.4652\"> </a></td><td>Excision, lymph node - periaortic, radical</td></tr><tr><td style=\"white-space:nowrap\">500008<a name=\"moh-category-500008\"> </a></td><td>Glucose Tolerance Test</td></tr><tr><td style=\"white-space:nowrap\">173030<a name=\"moh-category-173030\"> </a></td><td>Activated Clotting Time</td></tr><tr><td style=\"white-space:nowrap\">500006<a name=\"moh-category-500006\"> </a></td><td>Glucose (Serum) 2Hpp</td></tr><tr><td style=\"white-space:nowrap\">300228<a name=\"moh-category-300228\"> </a></td><td>Chest Pa / Erect</td></tr><tr><td style=\"white-space:nowrap\">650474<a name=\"moh-category-650474\"> </a></td><td>Microscopic Brain Excision Of Epileptic Focus</td></tr><tr><td style=\"white-space:nowrap\">353-40.54<a name=\"moh-category-353-40.4654\"> </a></td><td>Dissection, groin, radical</td></tr><tr><td style=\"white-space:nowrap\">716058<a name=\"moh-category-716058\"> </a></td><td>Denture - Complere Lower (Acrylic)</td></tr><tr><td style=\"white-space:nowrap\">1099700<a name=\"moh-category-1099700\"> </a></td><td>Ang cor1ca 107-88.55 Angiocardiogram- coronary, 1 catheter</td></tr><tr><td style=\"white-space:nowrap\">500012<a name=\"moh-category-500012\"> </a></td><td>Bun</td></tr><tr><td style=\"white-space:nowrap\">640062<a name=\"moh-category-640062\"> </a></td><td>E.T.Suction</td></tr><tr><td style=\"white-space:nowrap\">640064<a name=\"moh-category-640064\"> </a></td><td>Infusion Syringe Pump</td></tr><tr><td style=\"white-space:nowrap\">304036<a name=\"moh-category-304036\"> </a></td><td>Colour Doppler Sonography Brain(Through Fontanell)</td></tr><tr><td style=\"white-space:nowrap\">108-35.60<a name=\"moh-category-108-35.4660\"> </a></td><td>Repair, septa, atrial, ventricular, with tissue graft</td></tr><tr><td style=\"white-space:nowrap\">800146<a name=\"moh-category-800146\"> </a></td><td>Unilat. Ptosis Repair+Fresh</td></tr><tr><td style=\"white-space:nowrap\">810218<a name=\"moh-category-810218\"> </a></td><td>Endolymphatic Shunt</td></tr><tr><td style=\"white-space:nowrap\">716056<a name=\"moh-category-716056\"> </a></td><td>Denture - Complete Upper (Acrylic)</td></tr><tr><td style=\"white-space:nowrap\">650472<a name=\"moh-category-650472\"> </a></td><td>Ct Guided Aspiration Of Intra-Cerebral</td></tr><tr><td style=\"white-space:nowrap\">518126<a name=\"moh-category-518126\"> </a></td><td>Fructose Test</td></tr><tr><td style=\"white-space:nowrap\">500010<a name=\"moh-category-500010\"> </a></td><td>Glucose ( Glucometer) Test</td></tr><tr><td style=\"white-space:nowrap\">304034<a name=\"moh-category-304034\"> </a></td><td>Colour Doppler Sonography Testicular W/Out Doppler - T</td></tr><tr><td style=\"white-space:nowrap\">800144<a name=\"moh-category-800144\"> </a></td><td>Bilateral Sim. Ptosis Repair</td></tr><tr><td style=\"white-space:nowrap\">716054<a name=\"moh-category-716054\"> </a></td><td>Tissue Conditioning Material</td></tr><tr><td style=\"white-space:nowrap\">I30300<a name=\"moh-category-I30300\"> </a></td><td>Removal of foreign body- Nose</td></tr><tr><td style=\"white-space:nowrap\">191-50.40<a name=\"moh-category-191-50.4640\"> </a></td><td>Hepatectomy, total</td></tr><tr><td style=\"white-space:nowrap\">500016<a name=\"moh-category-500016\"> </a></td><td>Creatinine, Serum</td></tr><tr><td style=\"white-space:nowrap\">300192<a name=\"moh-category-300192\"> </a></td><td>Forearm (Ulna/Radius) 2 Views</td></tr><tr><td style=\"white-space:nowrap\">716052<a name=\"moh-category-716052\"> </a></td><td>Refixing Tooth In Denture Or Hairline Cracks</td></tr><tr><td style=\"white-space:nowrap\">800148<a name=\"moh-category-800148\"> </a></td><td>Bil. Ptosis Repair+Fresh Fasc.</td></tr><tr><td style=\"white-space:nowrap\">518128<a name=\"moh-category-518128\"> </a></td><td>Mast (Allergy Screen)</td></tr><tr><td style=\"white-space:nowrap\">300190<a name=\"moh-category-300190\"> </a></td><td>Forearm (Ulna/Radius) 1 View</td></tr><tr><td style=\"white-space:nowrap\">518122<a name=\"moh-category-518122\"> </a></td><td>Prostate Specific Antigen</td></tr><tr><td style=\"white-space:nowrap\">300196<a name=\"moh-category-300196\"> </a></td><td>Scaphoid - 1 View</td></tr><tr><td style=\"white-space:nowrap\">460218<a name=\"moh-category-460218\"> </a></td><td>Sinsus Puncture</td></tr><tr><td style=\"white-space:nowrap\">518124<a name=\"moh-category-518124\"> </a></td><td>Lithium</td></tr><tr><td style=\"white-space:nowrap\">D68520<a name=\"moh-category-D68520\"> </a></td><td>Dacryocystectomy</td></tr><tr><td style=\"white-space:nowrap\">710020<a name=\"moh-category-710020\"> </a></td><td>Follow-Up (Period)</td></tr><tr><td style=\"white-space:nowrap\">710024<a name=\"moh-category-710024\"> </a></td><td>Flap Operation</td></tr><tr><td style=\"white-space:nowrap\">460216<a name=\"moh-category-460216\"> </a></td><td>Cryoturbinectomy</td></tr><tr><td style=\"white-space:nowrap\">U86430<a name=\"moh-category-U86430\"> </a></td><td>Rheumatoid Factor</td></tr><tr><td style=\"white-space:nowrap\">130504<a name=\"moh-category-130504\"> </a></td><td>Occupational Therapy (One Part)</td></tr><tr><td style=\"white-space:nowrap\">460210<a name=\"moh-category-460210\"> </a></td><td>Foreign Body Removal</td></tr><tr><td style=\"white-space:nowrap\">130502<a name=\"moh-category-130502\"> </a></td><td>Occupational Therapy (More Than One Part)</td></tr><tr><td style=\"white-space:nowrap\">M15780<a name=\"moh-category-M15780\"> </a></td><td>Dermabrasion Face</td></tr><tr><td style=\"white-space:nowrap\">460214<a name=\"moh-category-460214\"> </a></td><td>Electrical Cautry</td></tr><tr><td style=\"white-space:nowrap\">130506<a name=\"moh-category-130506\"> </a></td><td>Occupational Therapy &amp; Physiotherapy (One Sitting)</td></tr><tr><td style=\"white-space:nowrap\">460212<a name=\"moh-category-460212\"> </a></td><td>Chemical Cautry</td></tr><tr><td style=\"white-space:nowrap\">T73620<a name=\"moh-category-T73620\"> </a></td><td>Foot Oscalcis - 2 Views</td></tr><tr><td style=\"white-space:nowrap\">N97116<a name=\"moh-category-N97116\"> </a></td><td>GAIT training</td></tr><tr><td style=\"white-space:nowrap\">106002<a name=\"moh-category-106002\"> </a></td><td>Ambulance Fee Less Than 50 Kms</td></tr><tr><td style=\"white-space:nowrap\">H91105<a name=\"moh-category-H91105\"> </a></td><td>Gastric Lavage</td></tr><tr><td style=\"white-space:nowrap\">460228<a name=\"moh-category-460228\"> </a></td><td>Somnoplasty Turbinate - Clinic</td></tr><tr><td style=\"white-space:nowrap\">825190<a name=\"moh-category-825190\"> </a></td><td>Repair Of Ureteral Injuries</td></tr><tr><td style=\"white-space:nowrap\">810126<a name=\"moh-category-810126\"> </a></td><td>Tracheostomy</td></tr><tr><td style=\"white-space:nowrap\">106006<a name=\"moh-category-106006\"> </a></td><td>Ambulance Fee More Than 100 Kms Less Than 250 Kms</td></tr><tr><td style=\"white-space:nowrap\">825192<a name=\"moh-category-825192\"> </a></td><td>Retropubic Prostatectomy</td></tr><tr><td style=\"white-space:nowrap\">106004<a name=\"moh-category-106004\"> </a></td><td>Ambulance Fee More Than 50 Kms Less Than 100 Kms</td></tr><tr><td style=\"white-space:nowrap\">460222<a name=\"moh-category-460222\"> </a></td><td>Epistaxis Nasal Pack</td></tr><tr><td style=\"white-space:nowrap\">I69405<a name=\"moh-category-I69405\"> </a></td><td>Eustachian Catheterization</td></tr><tr><td style=\"white-space:nowrap\">825274<a name=\"moh-category-825274\"> </a></td><td>Trans Obturator Tape Insertion</td></tr><tr><td style=\"white-space:nowrap\">110-37.24<a name=\"moh-category-110-37.4624\"> </a></td><td>Biopsy, pericardium</td></tr><tr><td style=\"white-space:nowrap\">825278<a name=\"moh-category-825278\"> </a></td><td>Trans Vaginal Tape Insertion (Tot)</td></tr><tr><td style=\"white-space:nowrap\">518108<a name=\"moh-category-518108\"> </a></td><td>Trop T.</td></tr><tr><td style=\"white-space:nowrap\">U84590<a name=\"moh-category-U84590\"> </a></td><td>Vitamin A (Retinol)</td></tr><tr><td style=\"white-space:nowrap\">518106<a name=\"moh-category-518106\"> </a></td><td>Microalbuminuria</td></tr><tr><td style=\"white-space:nowrap\">104-35.20<a name=\"moh-category-104-35.4620\"> </a></td><td>Replacement,heart valve</td></tr><tr><td style=\"white-space:nowrap\">U84585<a name=\"moh-category-U84585\"> </a></td><td>Vanillyl Mandelic Acid (NMA, Urine)</td></tr><tr><td style=\"white-space:nowrap\">110-37.31<a name=\"moh-category-110-37.4631\"> </a></td><td>Pericardiectomy</td></tr><tr><td style=\"white-space:nowrap\">104-35.33<a name=\"moh-category-104-35.4633\"> </a></td><td>Annulopasty</td></tr><tr><td style=\"white-space:nowrap\">110-37.40<a name=\"moh-category-110-37.4640\"> </a></td><td>Repair, heart and pericardium</td></tr><tr><td style=\"white-space:nowrap\">U84578<a name=\"moh-category-U84578\"> </a></td><td>Urine Urobilinogen</td></tr><tr><td style=\"white-space:nowrap\">40-14.60<a name=\"moh-category-40-14.4660\"> </a></td><td>Removal of surgically implanted material from posterior, separate procedure)</td></tr><tr><td style=\"white-space:nowrap\">U85060<a name=\"moh-category-U85060\"> </a></td><td>Peripheral Smear</td></tr><tr><td style=\"white-space:nowrap\">304072<a name=\"moh-category-304072\"> </a></td><td>Colour Doppler Femoral Artery (Unilateral)</td></tr><tr><td style=\"white-space:nowrap\">T76856<a name=\"moh-category-T76856\"> </a></td><td>Ultra Sound - Pelvis</td></tr><tr><td style=\"white-space:nowrap\">304070<a name=\"moh-category-304070\"> </a></td><td>Colour Doppler Brachial Artery (Bilateral)</td></tr><tr><td style=\"white-space:nowrap\">304076<a name=\"moh-category-304076\"> </a></td><td>Colour Doppler Peripheral Veins (One Limb)</td></tr><tr><td style=\"white-space:nowrap\">304074<a name=\"moh-category-304074\"> </a></td><td>Colour Doppler Femoral Artery (Bilateral)</td></tr><tr><td style=\"white-space:nowrap\">K56740<a name=\"moh-category-K56740\"> </a></td><td>Excision of Bartholin Cyst</td></tr><tr><td style=\"white-space:nowrap\">304078<a name=\"moh-category-304078\"> </a></td><td>Colour Doppler Peripheral Veins (Two Limbs)</td></tr><tr><td style=\"white-space:nowrap\">840004<a name=\"moh-category-840004\"> </a></td><td>Closed Reduction Of Dislocation And P.O.P</td></tr><tr><td style=\"white-space:nowrap\">840002<a name=\"moh-category-840002\"> </a></td><td>Excision Of Ganglion</td></tr><tr><td style=\"white-space:nowrap\">115-37.85<a name=\"moh-category-115-37.4685\"> </a></td><td>Replacement any type pacemaker,single chamber device</td></tr><tr><td style=\"white-space:nowrap\">840008<a name=\"moh-category-840008\"> </a></td><td>Tendon Release Of Wrist</td></tr><tr><td style=\"white-space:nowrap\">115-37.83<a name=\"moh-category-115-37.4683\"> </a></td><td>Insertion dual chamber device, initial</td></tr><tr><td style=\"white-space:nowrap\">840006<a name=\"moh-category-840006\"> </a></td><td>Tendon Release Of Fingers</td></tr><tr><td style=\"white-space:nowrap\">115-37.82<a name=\"moh-category-115-37.4682\"> </a></td><td>Insertion, single chamber device, initial rate responsive</td></tr><tr><td style=\"white-space:nowrap\">115-37.80<a name=\"moh-category-115-37.4680\"> </a></td><td>Insertion, permanent pacemaker, initial</td></tr><tr><td style=\"white-space:nowrap\">U85048<a name=\"moh-category-U85048\"> </a></td><td>White Blood Cell Count Only</td></tr><tr><td style=\"white-space:nowrap\">F54640<a name=\"moh-category-F54640\"> </a></td><td>Orchipexy, bilateral</td></tr><tr><td style=\"white-space:nowrap\">840012<a name=\"moh-category-840012\"> </a></td><td>Closed Reduction Of Fracture Dislocation</td></tr><tr><td style=\"white-space:nowrap\">115-37.87<a name=\"moh-category-115-37.4687\"> </a></td><td>Replacement any type pacemaker,dual chamber device</td></tr><tr><td style=\"white-space:nowrap\">840018<a name=\"moh-category-840018\"> </a></td><td>Closed Fracture Small Bones Of Hand Or Foot</td></tr><tr><td style=\"white-space:nowrap\">840016<a name=\"moh-category-840016\"> </a></td><td>Menisectomy Or Excisin Of Cyst Of The Knee Joint</td></tr><tr><td style=\"white-space:nowrap\">E40701<a name=\"moh-category-E40701\"> </a></td><td>Repair cleft lip</td></tr><tr><td style=\"white-space:nowrap\">800836<a name=\"moh-category-800836\"> </a></td><td>Ch- Draniage ( Outside Hospital)</td></tr><tr><td style=\"white-space:nowrap\">800834<a name=\"moh-category-800834\"> </a></td><td>Ch-Drainage ( Inside Hospita )</td></tr><tr><td style=\"white-space:nowrap\">117-37.74<a name=\"moh-category-117-37.4674\"> </a></td><td>Insertion or replacement epicardial pacemaker, -37.74</td></tr><tr><td style=\"white-space:nowrap\">117-37.75<a name=\"moh-category-117-37.4675\"> </a></td><td>Revision,pacemaker lead,electrode</td></tr><tr><td style=\"white-space:nowrap\">117-37.76<a name=\"moh-category-117-37.4676\"> </a></td><td>Replacement,transvenous atrial/ventr pacemaker lead</td></tr><tr><td style=\"white-space:nowrap\">800838<a name=\"moh-category-800838\"> </a></td><td>Graft Replacment (Inhospital)</td></tr><tr><td style=\"white-space:nowrap\">117-37.77<a name=\"moh-category-117-37.4677\"> </a></td><td>Removal ,pacemaker leads/electrodes w/o replacement</td></tr><tr><td style=\"white-space:nowrap\">304050<a name=\"moh-category-304050\"> </a></td><td>Colour Doppler Renal Artery</td></tr><tr><td style=\"white-space:nowrap\">202102<a name=\"moh-category-202102\"> </a></td><td>Disposables I.C.U.</td></tr><tr><td style=\"white-space:nowrap\">800840<a name=\"moh-category-800840\"> </a></td><td>Balloon Dacyoplasty</td></tr><tr><td style=\"white-space:nowrap\">U82803<a name=\"moh-category-U82803\"> </a></td><td>U82803 Blood Gases</td></tr><tr><td style=\"white-space:nowrap\">304054<a name=\"moh-category-304054\"> </a></td><td>Colour Doppler Portal System</td></tr><tr><td style=\"white-space:nowrap\">800844<a name=\"moh-category-800844\"> </a></td><td>Collagen Plug</td></tr><tr><td style=\"white-space:nowrap\">T76830<a name=\"moh-category-T76830\"> </a></td><td>Ultra Sound - Transvaginal</td></tr><tr><td style=\"white-space:nowrap\">304052<a name=\"moh-category-304052\"> </a></td><td>Colour Doppler Hepatic Artery</td></tr><tr><td style=\"white-space:nowrap\">800842<a name=\"moh-category-800842\"> </a></td><td>Amniotic Membrane Graft</td></tr><tr><td style=\"white-space:nowrap\">304058<a name=\"moh-category-304058\"> </a></td><td>Colour Doppler Iliac Vessels</td></tr><tr><td style=\"white-space:nowrap\">840022<a name=\"moh-category-840022\"> </a></td><td>Reconstruction Of Amputated Finger W/O Grafting</td></tr><tr><td style=\"white-space:nowrap\">304056<a name=\"moh-category-304056\"> </a></td><td>Colour Doppler Aortic</td></tr><tr><td style=\"white-space:nowrap\">840020<a name=\"moh-category-840020\"> </a></td><td>Pop To Simple Fracture Without Displacement</td></tr><tr><td style=\"white-space:nowrap\">840026<a name=\"moh-category-840026\"> </a></td><td>Correction Of Hallux Valgus</td></tr><tr><td style=\"white-space:nowrap\">840024<a name=\"moh-category-840024\"> </a></td><td>Closed Reduction Of Dislocated Phalanges</td></tr><tr><td style=\"white-space:nowrap\">840028<a name=\"moh-category-840028\"> </a></td><td>Arthrodesis Of The Big Toe</td></tr><tr><td style=\"white-space:nowrap\">117-37.89<a name=\"moh-category-117-37.4689\"> </a></td><td>Revision or removal pacemaker device</td></tr><tr><td style=\"white-space:nowrap\">800848<a name=\"moh-category-800848\"> </a></td><td>Anterior Chamber Reformation Post Operative (Inside Hospital)</td></tr><tr><td style=\"white-space:nowrap\">202108<a name=\"moh-category-202108\"> </a></td><td>Cardiac Care Unit (Ccu)</td></tr><tr><td style=\"white-space:nowrap\">800846<a name=\"moh-category-800846\"> </a></td><td>Unilateral Punctural Occlusion</td></tr><tr><td style=\"white-space:nowrap\">202106<a name=\"moh-category-202106\"> </a></td><td>Disposables Nicu</td></tr><tr><td style=\"white-space:nowrap\">202104<a name=\"moh-category-202104\"> </a></td><td>Isolation Disposables Per Day</td></tr><tr><td style=\"white-space:nowrap\">800850<a name=\"moh-category-800850\"> </a></td><td>Anterior Chamber Reformation Post Operative (Outside Hospital)</td></tr><tr><td style=\"white-space:nowrap\">304060<a name=\"moh-category-304060\"> </a></td><td>Colour Doppler Testicular Artery</td></tr><tr><td style=\"white-space:nowrap\">304064<a name=\"moh-category-304064\"> </a></td><td>Colour Doppler Carotid Artery (Unilateral)</td></tr><tr><td style=\"white-space:nowrap\">202110<a name=\"moh-category-202110\"> </a></td><td>Pediatric Icu (Picu)</td></tr><tr><td style=\"white-space:nowrap\">T71134<a name=\"moh-category-T71134\"> </a></td><td>Chest 4 Views with Fluroscopy</td></tr><tr><td style=\"white-space:nowrap\">304062<a name=\"moh-category-304062\"> </a></td><td>Colour Doppler Veins (Varices)</td></tr><tr><td style=\"white-space:nowrap\">304068<a name=\"moh-category-304068\"> </a></td><td>Colour Doppler Brachial Artery (Unilateral)</td></tr><tr><td style=\"white-space:nowrap\">840030<a name=\"moh-category-840030\"> </a></td><td>Pop For Correction Of Foot Deformity</td></tr><tr><td style=\"white-space:nowrap\">304066<a name=\"moh-category-304066\"> </a></td><td>Colour Doppler Carotid Artery (Bilateral)</td></tr><tr><td style=\"white-space:nowrap\">840036<a name=\"moh-category-840036\"> </a></td><td>Fracture Of Coles</td></tr><tr><td style=\"white-space:nowrap\">840034<a name=\"moh-category-840034\"> </a></td><td>Excision Of Olecranon Bursa</td></tr><tr><td style=\"white-space:nowrap\">U85260<a name=\"moh-category-U85260\"> </a></td><td>Factor 10</td></tr><tr><td style=\"white-space:nowrap\">L90871<a name=\"moh-category-L90871\"> </a></td><td>Electro convulsive therapy (ECT) multiple seizures</td></tr><tr><td style=\"white-space:nowrap\">U86592<a name=\"moh-category-U86592\"> </a></td><td>VDRL/RPR</td></tr><tr><td style=\"white-space:nowrap\">U86593<a name=\"moh-category-U86593\"> </a></td><td>RPR TITER</td></tr><tr><td style=\"white-space:nowrap\">208062<a name=\"moh-category-208062\"> </a></td><td>Narrow Band Nb-Uvb</td></tr><tr><td style=\"white-space:nowrap\">137216<a name=\"moh-category-137216\"> </a></td><td>Self Assessment Scale</td></tr><tr><td style=\"white-space:nowrap\">704134<a name=\"moh-category-704134\"> </a></td><td>Reduction Of Complicated Middle/Upper Face Fracture</td></tr><tr><td style=\"white-space:nowrap\">G24130<a name=\"moh-category-G24130\"> </a></td><td>Excision of radial head</td></tr><tr><td style=\"white-space:nowrap\">652004<a name=\"moh-category-652004\"> </a></td><td>Cabg &amp; Tissue Aortic Valve Replacement</td></tr><tr><td style=\"white-space:nowrap\">137218<a name=\"moh-category-137218\"> </a></td><td>Eating Disorder Scale</td></tr><tr><td style=\"white-space:nowrap\">L90870<a name=\"moh-category-L90870\"> </a></td><td>Electro Convulsive Therapy (ECT) Single seizure</td></tr><tr><td style=\"white-space:nowrap\">201-39.26<a name=\"moh-category-201-39.4626\"> </a></td><td>Bypass, vascular, intra-abdominal</td></tr><tr><td style=\"white-space:nowrap\">652006<a name=\"moh-category-652006\"> </a></td><td>Cabg &amp; Mechanical Aortic Valve</td></tr><tr><td style=\"white-space:nowrap\">825202<a name=\"moh-category-825202\"> </a></td><td>Turp</td></tr><tr><td style=\"white-space:nowrap\">518006<a name=\"moh-category-518006\"> </a></td><td>Progesterone</td></tr><tr><td style=\"white-space:nowrap\">825204<a name=\"moh-category-825204\"> </a></td><td>Ureteroscope</td></tr><tr><td style=\"white-space:nowrap\">U86674<a name=\"moh-category-U86674\"> </a></td><td>Giardia Lamblia ABS.</td></tr><tr><td style=\"white-space:nowrap\">112-35.96<a name=\"moh-category-112-35.4696\"> </a></td><td>Valvuloplasty, percutaneous</td></tr><tr><td style=\"white-space:nowrap\">518008<a name=\"moh-category-518008\"> </a></td><td>Pregnandiol</td></tr><tr><td style=\"white-space:nowrap\">825208<a name=\"moh-category-825208\"> </a></td><td>Boari Flap</td></tr><tr><td style=\"white-space:nowrap\">L90875<a name=\"moh-category-L90875\"> </a></td><td>Bio Feedback Therapy</td></tr><tr><td style=\"white-space:nowrap\">137222<a name=\"moh-category-137222\"> </a></td><td>Anorexia Nervosa Scale</td></tr><tr><td style=\"white-space:nowrap\">H85095<a name=\"moh-category-H85095\"> </a></td><td>Bone Marrow - Aspiration</td></tr><tr><td style=\"white-space:nowrap\">137224<a name=\"moh-category-137224\"> </a></td><td>Bender Gestalat Scale</td></tr><tr><td style=\"white-space:nowrap\">U84600<a name=\"moh-category-U84600\"> </a></td><td>Alcohol Isopropanol</td></tr><tr><td style=\"white-space:nowrap\">173028<a name=\"moh-category-173028\"> </a></td><td>Sodium Profiling</td></tr><tr><td style=\"white-space:nowrap\">825200<a name=\"moh-category-825200\"> </a></td><td>Tuna</td></tr><tr><td style=\"white-space:nowrap\">U86622<a name=\"moh-category-U86622\"> </a></td><td>Brucella Agglutination Test</td></tr><tr><td style=\"white-space:nowrap\">173024<a name=\"moh-category-173024\"> </a></td><td>Surgical Revision Of Fistula</td></tr><tr><td style=\"white-space:nowrap\">300230<a name=\"moh-category-300230\"> </a></td><td>Chest Ap / Supine</td></tr><tr><td style=\"white-space:nowrap\">173026<a name=\"moh-category-173026\"> </a></td><td>Bone Biopsy</td></tr><tr><td style=\"white-space:nowrap\">173020<a name=\"moh-category-173020\"> </a></td><td>Creation Of A V Fistula</td></tr><tr><td style=\"white-space:nowrap\">300234<a name=\"moh-category-300234\"> </a></td><td>Chest Lat. Decubitus</td></tr><tr><td style=\"white-space:nowrap\">173022<a name=\"moh-category-173022\"> </a></td><td>Insertion Of Central Vascular Catheter(Femoral/Subclavian/Jugular)</td></tr><tr><td style=\"white-space:nowrap\">U84490<a name=\"moh-category-U84490\"> </a></td><td>Stool for Trypsin Activity</td></tr><tr><td style=\"white-space:nowrap\">300232<a name=\"moh-category-300232\"> </a></td><td>Chest. Lat. View</td></tr><tr><td style=\"white-space:nowrap\">I69200<a name=\"moh-category-I69200\"> </a></td><td>Removal FB Impacted Ear</td></tr><tr><td style=\"white-space:nowrap\">128022<a name=\"moh-category-128022\"> </a></td><td>Spoon Plate 6 Holes Each</td></tr><tr><td style=\"white-space:nowrap\">300238<a name=\"moh-category-300238\"> </a></td><td>Ribs Ap</td></tr><tr><td style=\"white-space:nowrap\">704030<a name=\"moh-category-704030\"> </a></td><td>Wiring Fractured Jaw - Simple</td></tr><tr><td style=\"white-space:nowrap\">128024<a name=\"moh-category-128024\"> </a></td><td>Cancelleus Bone Screws</td></tr><tr><td style=\"white-space:nowrap\">300236<a name=\"moh-category-300236\"> </a></td><td>Chest Pa / Lat. View</td></tr><tr><td style=\"white-space:nowrap\">T76090<a name=\"moh-category-T76090\"> </a></td><td>Mamography ( 1 Breast )</td></tr><tr><td style=\"white-space:nowrap\">128026<a name=\"moh-category-128026\"> </a></td><td>Cortex Bone Screws</td></tr><tr><td style=\"white-space:nowrap\">K56810<a name=\"moh-category-K56810\"> </a></td><td>Perineoplasty</td></tr><tr><td style=\"white-space:nowrap\">128028<a name=\"moh-category-128028\"> </a></td><td>Malleable Bone Screws</td></tr><tr><td style=\"white-space:nowrap\">173018<a name=\"moh-category-173018\"> </a></td><td>Plasma Pheresis / Exchange Per Session</td></tr><tr><td style=\"white-space:nowrap\">P-211<a name=\"moh-category-P-211\"> </a></td><td>Stapedectomy</td></tr><tr><td style=\"white-space:nowrap\">300240<a name=\"moh-category-300240\"> </a></td><td>Ribs Ap / Oblique</td></tr><tr><td style=\"white-space:nowrap\">P-212<a name=\"moh-category-P-212\"> </a></td><td>P-212 Adenoidectomy</td></tr><tr><td style=\"white-space:nowrap\">173014<a name=\"moh-category-173014\"> </a></td><td>Haemodiafilteration 4 To 12 Hours - Per Session</td></tr><tr><td style=\"white-space:nowrap\">T70360<a name=\"moh-category-T70360\"> </a></td><td>NECK - Soft Tissue</td></tr><tr><td style=\"white-space:nowrap\">U83586<a name=\"moh-category-U83586\"> </a></td><td>17-Ketosteroids</td></tr><tr><td style=\"white-space:nowrap\">128020<a name=\"moh-category-128020\"> </a></td><td>Broad Dynamic Comp Plate 14 Holes Each</td></tr><tr><td style=\"white-space:nowrap\">173016<a name=\"moh-category-173016\"> </a></td><td>Continous Arteriovenous Haemofiltration 12 To 24 Hours Per Session</td></tr><tr><td style=\"white-space:nowrap\">U86615<a name=\"moh-category-U86615\"> </a></td><td>Pertussis Bordetella</td></tr><tr><td style=\"white-space:nowrap\">300244<a name=\"moh-category-300244\"> </a></td><td>Shoulder Ap / Lat.</td></tr><tr><td style=\"white-space:nowrap\">173010<a name=\"moh-category-173010\"> </a></td><td>Permicath</td></tr><tr><td style=\"white-space:nowrap\">300242<a name=\"moh-category-300242\"> </a></td><td>Shoulder Ap</td></tr><tr><td style=\"white-space:nowrap\">173012<a name=\"moh-category-173012\"> </a></td><td>Subclavian Double Lumen</td></tr><tr><td style=\"white-space:nowrap\">300204<a name=\"moh-category-300204\"> </a></td><td>Skeletal Survey</td></tr><tr><td style=\"white-space:nowrap\">173050<a name=\"moh-category-173050\"> </a></td><td>Acid Concentrate ( Litre)</td></tr><tr><td style=\"white-space:nowrap\">300202<a name=\"moh-category-300202\"> </a></td><td>Pattela - 1 View</td></tr><tr><td style=\"white-space:nowrap\">T76080<a name=\"moh-category-T76080\"> </a></td><td>Fistulogram/Sinogram</td></tr><tr><td style=\"white-space:nowrap\">173052<a name=\"moh-category-173052\"> </a></td><td>Insertion Of Perma Cath Tunnel Line</td></tr><tr><td style=\"white-space:nowrap\">300208<a name=\"moh-category-300208\"> </a></td><td>Mcu (Along With Ivp)</td></tr><tr><td style=\"white-space:nowrap\">300206<a name=\"moh-category-300206\"> </a></td><td>Intra-Operative Choloangiogram (I.O.C)</td></tr><tr><td style=\"white-space:nowrap\">212002<a name=\"moh-category-212002\"> </a></td><td>Operation Fine Major - Doctor Fees</td></tr><tr><td style=\"white-space:nowrap\">300207<a name=\"moh-category-300207\"> </a></td><td>Mcu (Micuratug Urethrogram)</td></tr><tr><td style=\"white-space:nowrap\">506008<a name=\"moh-category-506008\"> </a></td><td>T.B.Culture</td></tr><tr><td style=\"white-space:nowrap\">K56800<a name=\"moh-category-K56800\"> </a></td><td>Plastic Repair of Introitus</td></tr><tr><td style=\"white-space:nowrap\">506006<a name=\"moh-category-506006\"> </a></td><td>Anaerobic Culture</td></tr><tr><td style=\"white-space:nowrap\">506004<a name=\"moh-category-506004\"> </a></td><td>Routine Culture, Mycology</td></tr><tr><td style=\"white-space:nowrap\">640066<a name=\"moh-category-640066\"> </a></td><td>Intubation</td></tr><tr><td style=\"white-space:nowrap\">810302<a name=\"moh-category-810302\"> </a></td><td>Thyroidectomy</td></tr><tr><td style=\"white-space:nowrap\">840038<a name=\"moh-category-840038\"> </a></td><td>Amputation Of Finger Or Toe</td></tr><tr><td style=\"white-space:nowrap\">640140<a name=\"moh-category-640140\"> </a></td><td>Mitral Balloon Valuloplasty</td></tr><tr><td style=\"white-space:nowrap\">49-25.30<a name=\"moh-category-49-25.4630\"> </a></td><td>Glossectomy - complete</td></tr><tr><td style=\"white-space:nowrap\">116-37.87<a name=\"moh-category-116-37.4687\"> </a></td><td>Replacement any type pacemaker,dual chamber device</td></tr><tr><td style=\"white-space:nowrap\">750112<a name=\"moh-category-750112\"> </a></td><td>Punch Graft - Medium Area (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">304038<a name=\"moh-category-304038\"> </a></td><td>Colour Doppler Sonography Neck Lesions</td></tr><tr><td style=\"white-space:nowrap\">640142<a name=\"moh-category-640142\"> </a></td><td>Bronchial Artery Angiography</td></tr><tr><td style=\"white-space:nowrap\">K57250<a name=\"moh-category-K57250\"> </a></td><td>Posterior Colporrhaphy &amp; Repair Eectocele</td></tr><tr><td style=\"white-space:nowrap\">750110<a name=\"moh-category-750110\"> </a></td><td>Punch Graft - Small Area (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">750086<a name=\"moh-category-750086\"> </a></td><td>Excision Of Mole - Large (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">810232<a name=\"moh-category-810232\"> </a></td><td>Laser Ear Surgery</td></tr><tr><td style=\"white-space:nowrap\">110008<a name=\"moh-category-110008\"> </a></td><td>Wheel Chair - Rental (Per Day)</td></tr><tr><td style=\"white-space:nowrap\">750084<a name=\"moh-category-750084\"> </a></td><td>Excision Of Mole - Medium (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">810234<a name=\"moh-category-810234\"> </a></td><td>Mastoid Abscess Drainage Under G.A.</td></tr><tr><td style=\"white-space:nowrap\">110006<a name=\"moh-category-110006\"> </a></td><td>Wheel Chair - Deposit</td></tr><tr><td style=\"white-space:nowrap\">810236<a name=\"moh-category-810236\"> </a></td><td>Ear Foreign Body Removal Under G.A.</td></tr><tr><td style=\"white-space:nowrap\">110004<a name=\"moh-category-110004\"> </a></td><td>Crutches - Rental (Per Day)</td></tr><tr><td style=\"white-space:nowrap\">750088<a name=\"moh-category-750088\"> </a></td><td>Comedon Extraction - Small Area (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">810238<a name=\"moh-category-810238\"> </a></td><td>Suction Clearance Under G.A.</td></tr><tr><td style=\"white-space:nowrap\">110002<a name=\"moh-category-110002\"> </a></td><td>Crutches Deposit</td></tr><tr><td style=\"white-space:nowrap\">202007<a name=\"moh-category-202007\"> </a></td><td>Semi-Suite Room Per Day</td></tr><tr><td style=\"white-space:nowrap\">750082<a name=\"moh-category-750082\"> </a></td><td>Excision Of Mole - Small (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">202008<a name=\"moh-category-202008\"> </a></td><td>Paediatric Ward</td></tr><tr><td style=\"white-space:nowrap\">810230<a name=\"moh-category-810230\"> </a></td><td>Implantable Hearing Aid</td></tr><tr><td style=\"white-space:nowrap\">202006<a name=\"moh-category-202006\"> </a></td><td>Semi-Private Room Per Day</td></tr><tr><td style=\"white-space:nowrap\">202014<a name=\"moh-category-202014\"> </a></td><td>Special Nurse 24 Hours</td></tr><tr><td style=\"white-space:nowrap\">202012<a name=\"moh-category-202012\"> </a></td><td>Nursery</td></tr><tr><td style=\"white-space:nowrap\">202010<a name=\"moh-category-202010\"> </a></td><td>Infant Incubator</td></tr><tr><td style=\"white-space:nowrap\">304042<a name=\"moh-category-304042\"> </a></td><td>Colour Doppler Vaginal Ultrasound With Doppler Study</td></tr><tr><td style=\"white-space:nowrap\">304040<a name=\"moh-category-304040\"> </a></td><td>Colour Doppler Vaginal Ultrasound Exam W/Out Dopp.Study</td></tr><tr><td style=\"white-space:nowrap\">810228<a name=\"moh-category-810228\"> </a></td><td>Second Stage Of Two Stage Tympanoplasty</td></tr><tr><td style=\"white-space:nowrap\">110010<a name=\"moh-category-110010\"> </a></td><td>Walking Stick</td></tr><tr><td style=\"white-space:nowrap\">54-20.92<a name=\"moh-category-54-20.4692\"> </a></td><td>Revision, Mastoidectomy</td></tr><tr><td style=\"white-space:nowrap\">304044<a name=\"moh-category-304044\"> </a></td><td>Colour Doppler Pregnancy Umbilical Artery Placental Flow Ovarian &amp; Uterian</td></tr><tr><td style=\"white-space:nowrap\">K57260<a name=\"moh-category-K57260\"> </a></td><td>Combined Antero Posterior Colporraphy</td></tr><tr><td style=\"white-space:nowrap\">304008<a name=\"moh-category-304008\"> </a></td><td>Colour Doppler Hip Joint (Two)</td></tr><tr><td style=\"white-space:nowrap\">750050<a name=\"moh-category-750050\"> </a></td><td>Puva Per Session (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">810202<a name=\"moh-category-810202\"> </a></td><td>Unilateral Myringatomy (G.A.)</td></tr><tr><td style=\"white-space:nowrap\">810204<a name=\"moh-category-810204\"> </a></td><td>Bilateral Myringatomy (G.A.)</td></tr><tr><td style=\"white-space:nowrap\">750054<a name=\"moh-category-750054\"> </a></td><td>Eye Brow Transplant (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">D92260<a name=\"moh-category-D92260\"> </a></td><td>Ophthalmodynametry</td></tr><tr><td style=\"white-space:nowrap\">202018<a name=\"moh-category-202018\"> </a></td><td>Isolation Room</td></tr><tr><td style=\"white-space:nowrap\">202016<a name=\"moh-category-202016\"> </a></td><td>Intensive Care Unit (Icu)</td></tr><tr><td style=\"white-space:nowrap\">202026<a name=\"moh-category-202026\"> </a></td><td>Head Box(Neo-Natal Care)</td></tr><tr><td style=\"white-space:nowrap\">U82725<a name=\"moh-category-U82725\"> </a></td><td>Fatty Acids Nonesterified</td></tr><tr><td style=\"white-space:nowrap\">202024<a name=\"moh-category-202024\"> </a></td><td>Observation Room Er / Or Recovery More Than 6 Hour</td></tr><tr><td style=\"white-space:nowrap\">304010<a name=\"moh-category-304010\"> </a></td><td>Colour Doppler Knee Joint (One)</td></tr><tr><td style=\"white-space:nowrap\">U82728<a name=\"moh-category-U82728\"> </a></td><td>Ferritin</td></tr><tr><td style=\"white-space:nowrap\">202022<a name=\"moh-category-202022\"> </a></td><td>Observation Room Er / Or Recovery Less Than 6 Hour</td></tr><tr><td style=\"white-space:nowrap\">202020<a name=\"moh-category-202020\"> </a></td><td>Guest Board &amp; Lodging</td></tr><tr><td style=\"white-space:nowrap\">304014<a name=\"moh-category-304014\"> </a></td><td>Colour Doppler Wrist J - Carpal T (One)</td></tr><tr><td style=\"white-space:nowrap\">304012<a name=\"moh-category-304012\"> </a></td><td>Colour Doppler Knee Joint (Two)</td></tr><tr><td style=\"white-space:nowrap\">304018<a name=\"moh-category-304018\"> </a></td><td>Colour Doppler Muscles (One Limb)</td></tr><tr><td style=\"white-space:nowrap\">304016<a name=\"moh-category-304016\"> </a></td><td>Colour Doppler Wrist J - Carpal T (Two)</td></tr><tr><td style=\"white-space:nowrap\">750064<a name=\"moh-category-750064\"> </a></td><td>Trichogram (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">214014<a name=\"moh-category-214014\"> </a></td><td>Operation Room Charges Simple</td></tr><tr><td style=\"white-space:nowrap\">810210<a name=\"moh-category-810210\"> </a></td><td>Myringoplasty</td></tr><tr><td style=\"white-space:nowrap\">750062<a name=\"moh-category-750062\"> </a></td><td>Skin Biopsy (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">810212<a name=\"moh-category-810212\"> </a></td><td>Tympanoplasty + Mastoidectomy</td></tr><tr><td style=\"white-space:nowrap\">650478<a name=\"moh-category-650478\"> </a></td><td>Craniectomy, Brain Dissection &amp; Haematoma Evaucation</td></tr><tr><td style=\"white-space:nowrap\">750068<a name=\"moh-category-750068\"> </a></td><td>Cryo Cautery - Multiple Lesion (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">214010<a name=\"moh-category-214010\"> </a></td><td>Operation Room Charges Medium</td></tr><tr><td style=\"white-space:nowrap\">810214<a name=\"moh-category-810214\"> </a></td><td>Radical Mastoidectomy</td></tr><tr><td style=\"white-space:nowrap\">650476<a name=\"moh-category-650476\"> </a></td><td>Microscopic Total Suprasellar Tumour Excision Through Subfrontal Approach With F</td></tr><tr><td style=\"white-space:nowrap\">750066<a name=\"moh-category-750066\"> </a></td><td>Cryo Cautery - Few Lesion (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">214012<a name=\"moh-category-214012\"> </a></td><td>Operation Room Charges Minor</td></tr><tr><td style=\"white-space:nowrap\">E60280<a name=\"moh-category-E60280\"> </a></td><td>Thyro glossal cyst excision</td></tr><tr><td style=\"white-space:nowrap\">810216<a name=\"moh-category-810216\"> </a></td><td>Stapedectomy</td></tr><tr><td style=\"white-space:nowrap\">T76872<a name=\"moh-category-T76872\"> </a></td><td>Ultra Sound Trans Rectal</td></tr><tr><td style=\"white-space:nowrap\">T76870<a name=\"moh-category-T76870\"> </a></td><td>Ultra Sound - Scrotum and Content</td></tr><tr><td style=\"white-space:nowrap\">750060<a name=\"moh-category-750060\"> </a></td><td>Facial Cleansing Skin Care (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">202034<a name=\"moh-category-202034\"> </a></td><td>Companion Charges With Child Per Day</td></tr><tr><td style=\"white-space:nowrap\">202032<a name=\"moh-category-202032\"> </a></td><td>Extra Lunch/Dinner Tray</td></tr><tr><td style=\"white-space:nowrap\">304020<a name=\"moh-category-304020\"> </a></td><td>Colour Doppler Muscles (Two Limbs)</td></tr><tr><td style=\"white-space:nowrap\">202030<a name=\"moh-category-202030\"> </a></td><td>Nursing Care Per Day</td></tr><tr><td style=\"white-space:nowrap\">810206<a name=\"moh-category-810206\"> </a></td><td>Unilateral Myringatomy &amp; Grommet (G.A.)</td></tr><tr><td style=\"white-space:nowrap\">304024<a name=\"moh-category-304024\"> </a></td><td>Colour Doppler Tendons (Two)</td></tr><tr><td style=\"white-space:nowrap\">810208<a name=\"moh-category-810208\"> </a></td><td>Bilateral Myringatomy &amp; Grommet (G.A.)</td></tr><tr><td style=\"white-space:nowrap\">304022<a name=\"moh-category-304022\"> </a></td><td>Colour Doppler Tendons (One)</td></tr><tr><td style=\"white-space:nowrap\">49-25.40<a name=\"moh-category-49-25.4640\"> </a></td><td>Glossectomy - radical</td></tr><tr><td style=\"white-space:nowrap\">304028<a name=\"moh-category-304028\"> </a></td><td>Colour Doppler Bones (Two Limbs)</td></tr><tr><td style=\"white-space:nowrap\">214006<a name=\"moh-category-214006\"> </a></td><td>Operation Room Charges Fine Major</td></tr><tr><td style=\"white-space:nowrap\">304026<a name=\"moh-category-304026\"> </a></td><td>Colour Doppler Bones (One Limb)</td></tr><tr><td style=\"white-space:nowrap\">214008<a name=\"moh-category-214008\"> </a></td><td>Operation Room Charges Major</td></tr><tr><td style=\"white-space:nowrap\">650038A<a name=\"moh-category-650038A\"> </a></td><td>Each Additional : Coil</td></tr><tr><td style=\"white-space:nowrap\">650038B<a name=\"moh-category-650038B\"> </a></td><td>Microcatheter</td></tr><tr><td style=\"white-space:nowrap\">650038C<a name=\"moh-category-650038C\"> </a></td><td>Microguide Wire</td></tr><tr><td style=\"white-space:nowrap\">650268<a name=\"moh-category-650268\"> </a></td><td>Repair Of Scalp Injury Under General Anaesthesia</td></tr><tr><td style=\"white-space:nowrap\">650266<a name=\"moh-category-650266\"> </a></td><td>Excision Of Scalp Swelling Or Tumour</td></tr><tr><td style=\"white-space:nowrap\">526308<a name=\"moh-category-526308\"> </a></td><td>Phenol</td></tr><tr><td style=\"white-space:nowrap\">7-86.06<a name=\"moh-category-7-86.4606\"> </a></td><td>Insertion - infusion pump, totally implantable</td></tr><tr><td style=\"white-space:nowrap\">526312<a name=\"moh-category-526312\"> </a></td><td>Adrenal Cortex Abs</td></tr><tr><td style=\"white-space:nowrap\">526310<a name=\"moh-category-526310\"> </a></td><td>Ccp</td></tr><tr><td style=\"white-space:nowrap\">526316<a name=\"moh-category-526316\"> </a></td><td>C-1 Esterase Inhibitor</td></tr><tr><td style=\"white-space:nowrap\">526314<a name=\"moh-category-526314\"> </a></td><td>Anti Ccp Abs</td></tr><tr><td style=\"white-space:nowrap\">112002<a name=\"moh-category-112002\"> </a></td><td>Mortuary Rent Per Day</td></tr><tr><td style=\"white-space:nowrap\">650276<a name=\"moh-category-650276\"> </a></td><td>Repair Of Skull Fracture With Damaged Brain Tissue</td></tr><tr><td style=\"white-space:nowrap\">U82980<a name=\"moh-category-U82980\"> </a></td><td>Glutethimide</td></tr><tr><td style=\"white-space:nowrap\">650274<a name=\"moh-category-650274\"> </a></td><td>Repair Of Compound Skull Fracture</td></tr><tr><td style=\"white-space:nowrap\">650272<a name=\"moh-category-650272\"> </a></td><td>Repair Of Simple Skull Fracture</td></tr><tr><td style=\"white-space:nowrap\">I30100<a name=\"moh-category-I30100\"> </a></td><td>Nose, EUA, Biopsy</td></tr><tr><td style=\"white-space:nowrap\">650270<a name=\"moh-category-650270\"> </a></td><td>Excision Of Skull Vault Tumour</td></tr><tr><td style=\"white-space:nowrap\">650258<a name=\"moh-category-650258\"> </a></td><td>Craniotomy And Excision Of Clival Tumour</td></tr><tr><td style=\"white-space:nowrap\">650256<a name=\"moh-category-650256\"> </a></td><td>Craniotomy And Excision Of C P Angle Tumour</td></tr><tr><td style=\"white-space:nowrap\">526318<a name=\"moh-category-526318\"> </a></td><td>Aldolase</td></tr><tr><td style=\"white-space:nowrap\">U82977<a name=\"moh-category-U82977\"> </a></td><td>GGT (Gamma G.T.)</td></tr><tr><td style=\"white-space:nowrap\">U82979<a name=\"moh-category-U82979\"> </a></td><td>Glutathione Reductase</td></tr><tr><td style=\"white-space:nowrap\">650262<a name=\"moh-category-650262\"> </a></td><td>Craniotomy And Evacuation Of Acute Subdural Hematoma</td></tr><tr><td style=\"white-space:nowrap\">650036C<a name=\"moh-category-650036C\"> </a></td><td>Microguide Wire</td></tr><tr><td style=\"white-space:nowrap\">500014<a name=\"moh-category-500014\"> </a></td><td>Ammonia</td></tr><tr><td style=\"white-space:nowrap\">303222<a name=\"moh-category-303222\"> </a></td><td>Ct Cardiac Angiography</td></tr><tr><td style=\"white-space:nowrap\">H47000<a name=\"moh-category-H47000\"> </a></td><td>Liver Biopsy</td></tr><tr><td style=\"white-space:nowrap\">704082<a name=\"moh-category-704082\"> </a></td><td>Excision Of Bengin Tumour - Lesion Diameter Upto 1Cm</td></tr><tr><td style=\"white-space:nowrap\">704080<a name=\"moh-category-704080\"> </a></td><td>Bone Grafting (Synthetic / Pop)</td></tr><tr><td style=\"white-space:nowrap\">300194<a name=\"moh-category-300194\"> </a></td><td>T.Tube Cholanglogram</td></tr><tr><td style=\"white-space:nowrap\">800142<a name=\"moh-category-800142\"> </a></td><td>Exci. Of Lid Tum=Rec. Us Flao</td></tr><tr><td style=\"white-space:nowrap\">303226<a name=\"moh-category-303226\"> </a></td><td>Ct Virtual Colonography &amp; Polyp Detection</td></tr><tr><td style=\"white-space:nowrap\">137024<a name=\"moh-category-137024\"> </a></td><td>Psychological Assessment- Category 2 - Personality</td></tr><tr><td style=\"white-space:nowrap\">303224<a name=\"moh-category-303224\"> </a></td><td>Ct Brain Perfusion Studies</td></tr><tr><td style=\"white-space:nowrap\">800140<a name=\"moh-category-800140\"> </a></td><td>Exci. Of Lid Tumour With Com. Re</td></tr><tr><td style=\"white-space:nowrap\">300198<a name=\"moh-category-300198\"> </a></td><td>Heel - 1 View</td></tr><tr><td style=\"white-space:nowrap\">1099699<a name=\"moh-category-1099699\"> </a></td><td>Ang R&amp;L-H 107-88.54 Angiocardiogram- right and &amp; heart</td></tr><tr><td style=\"white-space:nowrap\">460220<a name=\"moh-category-460220\"> </a></td><td>Intra Nasal Mucosal Allergy T.</td></tr><tr><td style=\"white-space:nowrap\">710022<a name=\"moh-category-710022\"> </a></td><td>Other Preventive Procedures: Per 15 Minutes</td></tr><tr><td style=\"white-space:nowrap\">I92553<a name=\"moh-category-I92553\"> </a></td><td>Speech audiometry air &amp; bone</td></tr><tr><td style=\"white-space:nowrap\">710028<a name=\"moh-category-710028\"> </a></td><td>Pit &amp; Fissure Sealant - Per Tooth</td></tr><tr><td style=\"white-space:nowrap\">208064<a name=\"moh-category-208064\"> </a></td><td>Removal Of Skin Tag 1 To 3</td></tr><tr><td style=\"white-space:nowrap\">460226<a name=\"moh-category-460226\"> </a></td><td>Follow Up-Sinus Endoscopy (One Year )</td></tr><tr><td style=\"white-space:nowrap\">750030<a name=\"moh-category-750030\"> </a></td><td>Hair Transplantation (300-400) Graft (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">460224<a name=\"moh-category-460224\"> </a></td><td>Follow Up Sinus Endoscopy (One Time)</td></tr><tr><td style=\"white-space:nowrap\">N97124<a name=\"moh-category-N97124\"> </a></td><td>N97124 Massage Therapy</td></tr><tr><td style=\"white-space:nowrap\">T73610<a name=\"moh-category-T73610\"> </a></td><td>Ankle - 3 Views</td></tr><tr><td style=\"white-space:nowrap\">T71250<a name=\"moh-category-T71250\"> </a></td><td>CT Thorax without Contrast</td></tr><tr><td style=\"white-space:nowrap\">U82055<a name=\"moh-category-U82055\"> </a></td><td>Alcohol, Ethyl</td></tr><tr><td style=\"white-space:nowrap\">825194<a name=\"moh-category-825194\"> </a></td><td>Simple Cystectomy</td></tr><tr><td style=\"white-space:nowrap\">825196<a name=\"moh-category-825196\"> </a></td><td>Simple Nephrectomy</td></tr><tr><td style=\"white-space:nowrap\">652008<a name=\"moh-category-652008\"> </a></td><td>Cabg &amp; Tissue Mitral Valve</td></tr><tr><td style=\"white-space:nowrap\">825198<a name=\"moh-category-825198\"> </a></td><td>Transvesical Prostatectomy</td></tr><tr><td style=\"white-space:nowrap\">652010<a name=\"moh-category-652010\"> </a></td><td>Cabg &amp; Mechanical Mitral Valve</td></tr><tr><td style=\"white-space:nowrap\">T73615<a name=\"moh-category-T73615\"> </a></td><td>Ankle Arthrography</td></tr><tr><td style=\"white-space:nowrap\">840160<a name=\"moh-category-840160\"> </a></td><td>Amputations : Upper Limbs</td></tr><tr><td style=\"white-space:nowrap\">302008<a name=\"moh-category-302008\"> </a></td><td>Antenatal Scan</td></tr><tr><td style=\"white-space:nowrap\">652012<a name=\"moh-category-652012\"> </a></td><td>Cabg &amp; Double Tissue Valve</td></tr><tr><td style=\"white-space:nowrap\">652014<a name=\"moh-category-652014\"> </a></td><td>Cabg &amp; Double Mechanical Valve</td></tr><tr><td style=\"white-space:nowrap\">840164<a name=\"moh-category-840164\"> </a></td><td>Arthroclesis, Shoulder</td></tr><tr><td style=\"white-space:nowrap\">750226<a name=\"moh-category-750226\"> </a></td><td>Complete Cleft Lip (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">518002<a name=\"moh-category-518002\"> </a></td><td>Estrogen</td></tr><tr><td style=\"white-space:nowrap\">640014<a name=\"moh-category-640014\"> </a></td><td>Ptca (Per.Tr.Coronory Angioplasty) - Dv</td></tr><tr><td style=\"white-space:nowrap\">840162<a name=\"moh-category-840162\"> </a></td><td>Arthrodesis 1 Big Joint – Hip, Knee (Subtalar:Ankle), Foot : Triple</td></tr><tr><td style=\"white-space:nowrap\">518004<a name=\"moh-category-518004\"> </a></td><td>Estradiol</td></tr><tr><td style=\"white-space:nowrap\">750224<a name=\"moh-category-750224\"> </a></td><td>In-Complete Cleft Lip (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">506028<a name=\"moh-category-506028\"> </a></td><td>Haemoglobin H (For Alpha Thalassemia)</td></tr><tr><td style=\"white-space:nowrap\">137220<a name=\"moh-category-137220\"> </a></td><td>Bulimia Nervosa Scale</td></tr><tr><td style=\"white-space:nowrap\">506026<a name=\"moh-category-506026\"> </a></td><td>Food Testing For Coliforms</td></tr><tr><td style=\"white-space:nowrap\">506024<a name=\"moh-category-506024\"> </a></td><td>Water Testing: Routine Bacteriological Analysis</td></tr><tr><td style=\"white-space:nowrap\">U86664<a name=\"moh-category-U86664\"> </a></td><td>Epstein BARR Nuclear AG.</td></tr><tr><td style=\"white-space:nowrap\">506022<a name=\"moh-category-506022\"> </a></td><td>Skin Scrapping Microscopy For Herpes</td></tr><tr><td style=\"white-space:nowrap\">ICU<a name=\"moh-category-ICU\"> </a></td><td>ICU Services Adult/Pediatric Incl cost Provide ICU Services, Adult/Pediatric (after 2 to 4 weeks of admission in ICU,if no active interventions patient will be converted to long term condition -definition will be applicable)\n* Medication above 350 SR per day as per SFDA price list, Blood &amp; blood products, MRI, CT, ECHO, Doppler , CRRT , Surgical and endoscopic procedure are  an excluded services.\nTo get re-imbused for medication above the daily limit, submission must include a list of details medications as per SFDA codes and pricelist</td></tr><tr><td style=\"white-space:nowrap\">810128<a name=\"moh-category-810128\"> </a></td><td>Incision &amp; Drainage Of Quinsy Under G.A.</td></tr><tr><td style=\"white-space:nowrap\">G29830<a name=\"moh-category-G29830\"> </a></td><td>Arthroscopy (Diagnostic) Elbow</td></tr><tr><td style=\"white-space:nowrap\">137226<a name=\"moh-category-137226\"> </a></td><td>A D H D Scale</td></tr><tr><td style=\"white-space:nowrap\">137228<a name=\"moh-category-137228\"> </a></td><td>Brief Psychotherapy 6 Sessions</td></tr><tr><td style=\"white-space:nowrap\">506020<a name=\"moh-category-506020\"> </a></td><td>Direct Fungal Wet Mount</td></tr><tr><td style=\"white-space:nowrap\">518150<a name=\"moh-category-518150\"> </a></td><td>Beta Hcg</td></tr><tr><td style=\"white-space:nowrap\">P-210<a name=\"moh-category-P-210\"> </a></td><td>Tympanoplasty</td></tr><tr><td style=\"white-space:nowrap\">650028A<a name=\"moh-category-650028A\"> </a></td><td>Each Additional: Microcatheter</td></tr><tr><td style=\"white-space:nowrap\">G29800<a name=\"moh-category-G29800\"> </a></td><td>Arthroscopy (Diagnostic) TM joint</td></tr><tr><td style=\"white-space:nowrap\">704038<a name=\"moh-category-704038\"> </a></td><td>Pericoronal Flap Removal - Complex</td></tr><tr><td style=\"white-space:nowrap\">810120<a name=\"moh-category-810120\"> </a></td><td>Bronchoscopy</td></tr><tr><td style=\"white-space:nowrap\">T74710<a name=\"moh-category-T74710\"> </a></td><td>Pelvimetry - 2 Views</td></tr><tr><td style=\"white-space:nowrap\">353-71.50<a name=\"moh-category-353-71.4650\"> </a></td><td>Vulvectomy, radical</td></tr><tr><td style=\"white-space:nowrap\">U86644<a name=\"moh-category-U86644\"> </a></td><td>Cytomegalo Virus Screening-IGG</td></tr><tr><td style=\"white-space:nowrap\">156-42.84<a name=\"moh-category-156-42.4684\"> </a></td><td>Repair, fistula, esophageal, other</td></tr><tr><td style=\"white-space:nowrap\">156-42.85<a name=\"moh-category-156-42.4685\"> </a></td><td>Repair, esophageal, stricture</td></tr><tr><td style=\"white-space:nowrap\">173046<a name=\"moh-category-173046\"> </a></td><td>Dialyser</td></tr><tr><td style=\"white-space:nowrap\">640068<a name=\"moh-category-640068\"> </a></td><td>Intubasion - Elective</td></tr><tr><td style=\"white-space:nowrap\">506002<a name=\"moh-category-506002\"> </a></td><td>C &amp; S (Culture &amp; Sensitivity)</td></tr><tr><td style=\"white-space:nowrap\">U86645<a name=\"moh-category-U86645\"> </a></td><td>Cytomegalo Virus Screening-IGM</td></tr><tr><td style=\"white-space:nowrap\">173048<a name=\"moh-category-173048\"> </a></td><td>Sodium Bicarbonate ( Litre)</td></tr><tr><td style=\"white-space:nowrap\">U86648<a name=\"moh-category-U86648\"> </a></td><td>Diptheria Antitoxin</td></tr><tr><td style=\"white-space:nowrap\">800814<a name=\"moh-category-800814\"> </a></td><td>Gluocoma Cyclo Photo – Coagulation ( Cbc)</td></tr><tr><td style=\"white-space:nowrap\">173042<a name=\"moh-category-173042\"> </a></td><td>Permanent Peritoneal Cathetor</td></tr><tr><td style=\"white-space:nowrap\">173044<a name=\"moh-category-173044\"> </a></td><td>Acute Peritoneal Cathetor</td></tr><tr><td style=\"white-space:nowrap\">840100<a name=\"moh-category-840100\"> </a></td><td>Fracture Vetebrae</td></tr><tr><td style=\"white-space:nowrap\">800812<a name=\"moh-category-800812\"> </a></td><td>Conjunctival Revision (Inside Hospital)</td></tr><tr><td style=\"white-space:nowrap\">650260<a name=\"moh-category-650260\"> </a></td><td>Craniotomy And Excision Of Foramen Mangum Tumour</td></tr><tr><td style=\"white-space:nowrap\">840106<a name=\"moh-category-840106\"> </a></td><td>Removal K-Wires Without Incision Under G.A.</td></tr><tr><td style=\"white-space:nowrap\">K57160<a name=\"moh-category-K57160\"> </a></td><td>Insertion of Pessary</td></tr><tr><td style=\"white-space:nowrap\">T76070<a name=\"moh-category-T76070\"> </a></td><td>CT Bone Density Study</td></tr><tr><td style=\"white-space:nowrap\">173040<a name=\"moh-category-173040\"> </a></td><td>Central Venous Pressure Monitoring</td></tr><tr><td style=\"white-space:nowrap\">840108<a name=\"moh-category-840108\"> </a></td><td>Application Of Hip Spica Muga + Uii</td></tr><tr><td style=\"white-space:nowrap\">1099698<a name=\"moh-category-1099698\"> </a></td><td>Ang L-H 107-88.53 Angiocardiogram- left heart</td></tr><tr><td style=\"white-space:nowrap\">303228<a name=\"moh-category-303228\"> </a></td><td>Ct Virtual Bronchoscopy</td></tr><tr><td style=\"white-space:nowrap\">1099697<a name=\"moh-category-1099697\"> </a></td><td>Ang R-H 107-88.52 Angiocardiogram- right heart</td></tr><tr><td style=\"white-space:nowrap\">1099696<a name=\"moh-category-1099696\"> </a></td><td>Cath R&amp;L-H 107-37.23 Catheterization cardiac, combined right and left heart</td></tr><tr><td style=\"white-space:nowrap\">650228<a name=\"moh-category-650228\"> </a></td><td>Endoscopy For The Management Of Hydrocephalus</td></tr><tr><td style=\"white-space:nowrap\">U86308<a name=\"moh-category-U86308\"> </a></td><td>Monotest (Paul Bunnel Test)</td></tr><tr><td style=\"white-space:nowrap\">1099695<a name=\"moh-category-1099695\"> </a></td><td>Cath L-H 107-37.22 Catheterization cardiac, left heart</td></tr><tr><td style=\"white-space:nowrap\">830072<a name=\"moh-category-830072\"> </a></td><td>Cervical Polypectomy</td></tr><tr><td style=\"white-space:nowrap\">1099694<a name=\"moh-category-1099694\"> </a></td><td>Cath R-H 107-37.21 Catheterization cardiac, right heart</td></tr><tr><td style=\"white-space:nowrap\">650226<a name=\"moh-category-650226\"> </a></td><td>Ventriculo-Peritoneal Shunt Insertion</td></tr><tr><td style=\"white-space:nowrap\">L95881<a name=\"moh-category-L95881\"> </a></td><td>Developmental testing</td></tr><tr><td style=\"white-space:nowrap\">830074<a name=\"moh-category-830074\"> </a></td><td>Oophrectomy</td></tr><tr><td style=\"white-space:nowrap\">650224<a name=\"moh-category-650224\"> </a></td><td>Brachial Plexus Repair</td></tr><tr><td style=\"white-space:nowrap\">750354<a name=\"moh-category-750354\"> </a></td><td>Erbium Laser - Single Treatment (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">650222<a name=\"moh-category-650222\"> </a></td><td>Release Of Carpal Tunnel Syndrome</td></tr><tr><td style=\"white-space:nowrap\">208066<a name=\"moh-category-208066\"> </a></td><td>Removal Of Skin Tag 4 To 10</td></tr><tr><td style=\"white-space:nowrap\">704132<a name=\"moh-category-704132\"> </a></td><td>Reduction Of Simple / Middle Face Fractures + Plating</td></tr><tr><td style=\"white-space:nowrap\">L95883<a name=\"moh-category-L95883\"> </a></td><td>Neuro Psychological Testing Battery</td></tr><tr><td style=\"white-space:nowrap\">750352<a name=\"moh-category-750352\"> </a></td><td>Laser Test (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">K57288<a name=\"moh-category-K57288\"> </a></td><td>Sling Operation</td></tr><tr><td style=\"white-space:nowrap\">208068<a name=\"moh-category-208068\"> </a></td><td>Removal Of Skin Tag More Than 10</td></tr><tr><td style=\"white-space:nowrap\">704130<a name=\"moh-category-704130\"> </a></td><td>Reduction Of Fractured Zygomatic Arch</td></tr><tr><td style=\"white-space:nowrap\">712080<a name=\"moh-category-712080\"> </a></td><td>Treatment Plan - C</td></tr><tr><td style=\"white-space:nowrap\">750034<a name=\"moh-category-750034\"> </a></td><td>Hair Transplantation (500-600) Graft (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">140070<a name=\"moh-category-140070\"> </a></td><td>Ercp - With Placement Of Stent</td></tr><tr><td style=\"white-space:nowrap\">140072<a name=\"moh-category-140072\"> </a></td><td>Ercp - With Nasobilliary Drainage Tube</td></tr><tr><td style=\"white-space:nowrap\">140074<a name=\"moh-category-140074\"> </a></td><td>Ercp - With Mechanical Lithotripsy</td></tr><tr><td style=\"white-space:nowrap\">N97034<a name=\"moh-category-N97034\"> </a></td><td>Contrast bath, each 15 minutes</td></tr><tr><td style=\"white-space:nowrap\">140066<a name=\"moh-category-140066\"> </a></td><td>Ercp - With Sphincterotomy With Or Without Removal Of Stone</td></tr><tr><td style=\"white-space:nowrap\">N97035<a name=\"moh-category-N97035\"> </a></td><td>Ultrasound, each 15 minutes</td></tr><tr><td style=\"white-space:nowrap\">140068<a name=\"moh-category-140068\"> </a></td><td>Ercp - With Use Of Retrieval Ballon</td></tr><tr><td style=\"white-space:nowrap\">H94760<a name=\"moh-category-H94760\"> </a></td><td>Pulse Oximetry</td></tr><tr><td style=\"white-space:nowrap\">712082<a name=\"moh-category-712082\"> </a></td><td>Treatment Plan - D</td></tr><tr><td style=\"white-space:nowrap\">712084<a name=\"moh-category-712084\"> </a></td><td>Treatment Plan - E</td></tr><tr><td style=\"white-space:nowrap\">U86588<a name=\"moh-category-U86588\"> </a></td><td>Smart Test (Strep A)</td></tr><tr><td style=\"white-space:nowrap\">208060<a name=\"moh-category-208060\"> </a></td><td>Testicular Puncture</td></tr><tr><td style=\"white-space:nowrap\">E36450<a name=\"moh-category-E36450\"> </a></td><td>Exchange transfusion</td></tr><tr><td style=\"white-space:nowrap\">750360<a name=\"moh-category-750360\"> </a></td><td>Erbium Laser - More Than Ten Pcs (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U85250<a name=\"moh-category-U85250\"> </a></td><td>Factor 9</td></tr><tr><td style=\"white-space:nowrap\">750364<a name=\"moh-category-750364\"> </a></td><td>Dye Laser Per Session Medium Area 5-10 Cm (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">WD9215<a name=\"moh-category-WD9215\"> </a></td><td>Local Anaesthesia</td></tr><tr><td style=\"white-space:nowrap\">750362<a name=\"moh-category-750362\"> </a></td><td>Dye Laser Per Session Small Area 2-5 Cm (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">WD9210<a name=\"moh-category-WD9210\"> </a></td><td>Dental Anaesthesia w/o Surgery</td></tr><tr><td style=\"white-space:nowrap\">WD9211<a name=\"moh-category-WD9211\"> </a></td><td>Regional Block Anaesthesia</td></tr><tr><td style=\"white-space:nowrap\">712074<a name=\"moh-category-712074\"> </a></td><td>Space Retainer Removable - Follow Up</td></tr><tr><td style=\"white-space:nowrap\">712076<a name=\"moh-category-712076\"> </a></td><td>Treatment Plan - A</td></tr><tr><td style=\"white-space:nowrap\">T75710<a name=\"moh-category-T75710\"> </a></td><td>Angiography - Extremity Unilateral</td></tr><tr><td style=\"white-space:nowrap\">712070<a name=\"moh-category-712070\"> </a></td><td>Space Retainer - Fixed</td></tr><tr><td style=\"white-space:nowrap\">712072<a name=\"moh-category-712072\"> </a></td><td>Space Retainer - Removable</td></tr><tr><td style=\"white-space:nowrap\">U85246<a name=\"moh-category-U85246\"> </a></td><td>Factor 8 Associated AG.</td></tr><tr><td style=\"white-space:nowrap\">750358<a name=\"moh-category-750358\"> </a></td><td>Erbium Laser - More Than Five Pcs (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U85245<a name=\"moh-category-U85245\"> </a></td><td>Factor 8 Ristocetin Cofactor</td></tr><tr><td style=\"white-space:nowrap\">750356<a name=\"moh-category-750356\"> </a></td><td>Erbium Laser - Less Than Three Pcs (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">712078<a name=\"moh-category-712078\"> </a></td><td>Treatment Plan - B</td></tr><tr><td style=\"white-space:nowrap\">T75716<a name=\"moh-category-T75716\"> </a></td><td>Angiography - Extremity Bilateral</td></tr><tr><td style=\"white-space:nowrap\">750332<a name=\"moh-category-750332\"> </a></td><td>Liposuction Upper Back (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">750330<a name=\"moh-category-750330\"> </a></td><td>Liposuction Lower Back (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U85280<a name=\"moh-category-U85280\"> </a></td><td>Factor 12</td></tr><tr><td style=\"white-space:nowrap\">N97014<a name=\"moh-category-N97014\"> </a></td><td>Electrical Stimulation (Unattended)</td></tr><tr><td style=\"white-space:nowrap\">N97012<a name=\"moh-category-N97012\"> </a></td><td>Traction, Mechanical</td></tr><tr><td style=\"white-space:nowrap\">N97010<a name=\"moh-category-N97010\"> </a></td><td>Application of modality to 1or more area;hot/cold pack</td></tr><tr><td style=\"white-space:nowrap\">U88305<a name=\"moh-category-U88305\"> </a></td><td>Gross and Micro Exam Level IV</td></tr><tr><td style=\"white-space:nowrap\">750324<a name=\"moh-category-750324\"> </a></td><td>Liposuction Gynocomastia - Large (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U88304<a name=\"moh-category-U88304\"> </a></td><td>Gross and Micro Exam Level III</td></tr><tr><td style=\"white-space:nowrap\">750322<a name=\"moh-category-750322\"> </a></td><td>Liposuction Gynocomastia - Medium (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">N97018<a name=\"moh-category-N97018\"> </a></td><td>Paraffin Bath</td></tr><tr><td style=\"white-space:nowrap\">750328<a name=\"moh-category-750328\"> </a></td><td>Liposuction Buttock (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U88309<a name=\"moh-category-U88309\"> </a></td><td>Gross and Micro Exam Level VI</td></tr><tr><td style=\"white-space:nowrap\">N97016<a name=\"moh-category-N97016\"> </a></td><td>Vasopneumatic Devices</td></tr><tr><td style=\"white-space:nowrap\">U88307<a name=\"moh-category-U88307\"> </a></td><td>Gross and Micro Exam Level V</td></tr><tr><td style=\"white-space:nowrap\">750326<a name=\"moh-category-750326\"> </a></td><td>Liposuction Flanks (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U85270<a name=\"moh-category-U85270\"> </a></td><td>Factor 11</td></tr><tr><td style=\"white-space:nowrap\">U88302<a name=\"moh-category-U88302\"> </a></td><td>Gross and Micro Exam Level II</td></tr><tr><td style=\"white-space:nowrap\">750342<a name=\"moh-category-750342\"> </a></td><td>Full Abdominoplasty - Large (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U88300<a name=\"moh-category-U88300\"> </a></td><td>Histopathology (Frozen Section)</td></tr><tr><td style=\"white-space:nowrap\">750340<a name=\"moh-category-750340\"> </a></td><td>Full Abdominoplasty - Small (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">E39502<a name=\"moh-category-E39502\"> </a></td><td>Paraesophageal hiatus hernia repair trans abdominal</td></tr><tr><td style=\"white-space:nowrap\">N97026<a name=\"moh-category-N97026\"> </a></td><td>Infra Red</td></tr><tr><td style=\"white-space:nowrap\">N97024<a name=\"moh-category-N97024\"> </a></td><td>Diathermy</td></tr><tr><td style=\"white-space:nowrap\">N97022<a name=\"moh-category-N97022\"> </a></td><td>Whirlpool</td></tr><tr><td style=\"white-space:nowrap\">N97020<a name=\"moh-category-N97020\"> </a></td><td>Microwave</td></tr><tr><td style=\"white-space:nowrap\">750336<a name=\"moh-category-750336\"> </a></td><td>Liposuction Chin (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">750334<a name=\"moh-category-750334\"> </a></td><td>Liposuction Arms (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">750338<a name=\"moh-category-750338\"> </a></td><td>Mini Abdominoplasty (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">N97028<a name=\"moh-category-N97028\"> </a></td><td>Ultra Violet</td></tr><tr><td style=\"white-space:nowrap\">840238<a name=\"moh-category-840238\"> </a></td><td>Application Of Splints, Slabs, Pop Without Reduction</td></tr><tr><td style=\"white-space:nowrap\">840236<a name=\"moh-category-840236\"> </a></td><td>Removal Of F.B. Superficial</td></tr><tr><td style=\"white-space:nowrap\">830030<a name=\"moh-category-830030\"> </a></td><td>Polypectomy Fract. Curretage</td></tr><tr><td style=\"white-space:nowrap\">750310<a name=\"moh-category-750310\"> </a></td><td>Liposuction Lateral Thighs (Small-Medium) (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">T74440<a name=\"moh-category-T74440\"> </a></td><td>Vasography</td></tr><tr><td style=\"white-space:nowrap\">T73110<a name=\"moh-category-T73110\"> </a></td><td>Wrist - 3 Views</td></tr><tr><td style=\"white-space:nowrap\">830036<a name=\"moh-category-830036\"> </a></td><td>Posterior Colpoperineorrhaphy</td></tr><tr><td style=\"white-space:nowrap\">830038<a name=\"moh-category-830038\"> </a></td><td>Anterior Colpoperineorrhaphy</td></tr><tr><td style=\"white-space:nowrap\">830032<a name=\"moh-category-830032\"> </a></td><td>Douglas Pouch Abscess Drainage</td></tr><tr><td style=\"white-space:nowrap\">140030<a name=\"moh-category-140030\"> </a></td><td>Sclerotherapy (Oesophagus)</td></tr><tr><td style=\"white-space:nowrap\">140020<a name=\"moh-category-140020\"> </a></td><td>Laryngo-Bronoscopy/Diagnostic</td></tr><tr><td style=\"white-space:nowrap\">140022<a name=\"moh-category-140022\"> </a></td><td>Laryngo-Bronoscopy/Diagnostic + Biopsy</td></tr><tr><td style=\"white-space:nowrap\">750308<a name=\"moh-category-750308\"> </a></td><td>Liposuction Abdomen -Large (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">140024<a name=\"moh-category-140024\"> </a></td><td>Laryngo-Bronoscopy/Diagnostic + Film</td></tr><tr><td style=\"white-space:nowrap\">830028<a name=\"moh-category-830028\"> </a></td><td>Laparascopy (Not For Infertility Investigations) Diagnostic</td></tr><tr><td style=\"white-space:nowrap\">T73100<a name=\"moh-category-T73100\"> </a></td><td>Wrist - 2 Views</td></tr><tr><td style=\"white-space:nowrap\">140026<a name=\"moh-category-140026\"> </a></td><td>Colonoscopy</td></tr><tr><td style=\"white-space:nowrap\">140028<a name=\"moh-category-140028\"> </a></td><td>Endoscopy Under L.A.</td></tr><tr><td style=\"white-space:nowrap\">840242<a name=\"moh-category-840242\"> </a></td><td>Terminalisation</td></tr><tr><td style=\"white-space:nowrap\">750302<a name=\"moh-category-750302\"> </a></td><td>Liposuction (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">840240<a name=\"moh-category-840240\"> </a></td><td>C.R. Of Fractures Or Dislocations Without Anaesthesia + Application Of Pop</td></tr><tr><td style=\"white-space:nowrap\">840246<a name=\"moh-category-840246\"> </a></td><td>O.R. + If Of Single Bone Except Fracture Neck, Femur, Torch, Fracture And Fractu</td></tr><tr><td style=\"white-space:nowrap\">750306<a name=\"moh-category-750306\"> </a></td><td>Liposuction Abdomen - Medium (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">712048<a name=\"moh-category-712048\"> </a></td><td>Expansion Of Lower Mandible, Crozat Appliance</td></tr><tr><td style=\"white-space:nowrap\">840244<a name=\"moh-category-840244\"> </a></td><td>Wound Toilet &amp; Debridment</td></tr><tr><td style=\"white-space:nowrap\">750304<a name=\"moh-category-750304\"> </a></td><td>Liposuction Abdomen - Small (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">840248<a name=\"moh-category-840248\"> </a></td><td>Cervical Disc Prolapse- Desectomy + Decompression</td></tr><tr><td style=\"white-space:nowrap\">750320<a name=\"moh-category-750320\"> </a></td><td>Liposuction Gynocomastia - Small (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">825180<a name=\"moh-category-825180\"> </a></td><td>Pyeloplasty</td></tr><tr><td style=\"white-space:nowrap\">830024<a name=\"moh-category-830024\"> </a></td><td>Caesarian Delivery (With Normal Baby)</td></tr><tr><td style=\"white-space:nowrap\">T74430<a name=\"moh-category-T74430\"> </a></td><td>Cystography</td></tr><tr><td style=\"white-space:nowrap\">G23410<a name=\"moh-category-G23410\"> </a></td><td>Repair of rotator cuff</td></tr><tr><td style=\"white-space:nowrap\">830026<a name=\"moh-category-830026\"> </a></td><td>Shirodkar Suture</td></tr><tr><td style=\"white-space:nowrap\">825182<a name=\"moh-category-825182\"> </a></td><td>Removal Of Penile Prosthesis</td></tr><tr><td style=\"white-space:nowrap\">302007<a name=\"moh-category-302007\"> </a></td><td>Ultrasound Obstetric Level Iii</td></tr><tr><td style=\"white-space:nowrap\">I69436<a name=\"moh-category-I69436\"> </a></td><td>Gromet Sheppard vent tube, fluoroplastic</td></tr><tr><td style=\"white-space:nowrap\">T73600<a name=\"moh-category-T73600\"> </a></td><td>Ankle - 2 Views</td></tr><tr><td style=\"white-space:nowrap\">640016<a name=\"moh-category-640016\"> </a></td><td>Ptca (Per.Tr.Coronory Angioplasty) - Tv</td></tr><tr><td style=\"white-space:nowrap\">U82088<a name=\"moh-category-U82088\"> </a></td><td>Aldosterone</td></tr><tr><td style=\"white-space:nowrap\">136006<a name=\"moh-category-136006\"> </a></td><td>Air Mist Therapy</td></tr><tr><td style=\"white-space:nowrap\">840168<a name=\"moh-category-840168\"> </a></td><td>Benign Bone Tumours : Curretage Bone Grafting</td></tr><tr><td style=\"white-space:nowrap\">U86668<a name=\"moh-category-U86668\"> </a></td><td>Francisella Tularensis ABS.</td></tr><tr><td style=\"white-space:nowrap\">T76938<a name=\"moh-category-T76938\"> </a></td><td>Ultra Sound Guided Aspiration Cyst</td></tr><tr><td style=\"white-space:nowrap\">640018<a name=\"moh-category-640018\"> </a></td><td>Ptca (Per.Tr.Coronory Angioplasty - Sv + Stent</td></tr><tr><td style=\"white-space:nowrap\">840166<a name=\"moh-category-840166\"> </a></td><td>Arthroscopy Diagnostic + Proceed</td></tr><tr><td style=\"white-space:nowrap\">750228<a name=\"moh-category-750228\"> </a></td><td>Forehead Lift (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">U86663<a name=\"moh-category-U86663\"> </a></td><td>EB Virus(Epstein Barr Virus) IGM IFA</td></tr><tr><td style=\"white-space:nowrap\">650020B<a name=\"moh-category-650020B\"> </a></td><td>Microcatheter</td></tr><tr><td style=\"white-space:nowrap\">506018<a name=\"moh-category-506018\"> </a></td><td>Glemsa Staining</td></tr><tr><td style=\"white-space:nowrap\">506016<a name=\"moh-category-506016\"> </a></td><td>Methylene Blue Staining</td></tr><tr><td style=\"white-space:nowrap\">506014<a name=\"moh-category-506014\"> </a></td><td>Acid Fast Staining</td></tr><tr><td style=\"white-space:nowrap\">500067<a name=\"moh-category-500067\"> </a></td><td>Electrolytes (Na, K, C1) Urine</td></tr><tr><td style=\"white-space:nowrap\">P-208<a name=\"moh-category-P-208\"> </a></td><td>Septoplasty</td></tr><tr><td style=\"white-space:nowrap\">716026<a name=\"moh-category-716026\"> </a></td><td>Relining Upper Or Lower Denture</td></tr><tr><td style=\"white-space:nowrap\">P-209<a name=\"moh-category-P-209\"> </a></td><td>Polypectomy</td></tr><tr><td style=\"white-space:nowrap\">500066<a name=\"moh-category-500066\"> </a></td><td>Sodium, Serum Or Urine</td></tr><tr><td style=\"white-space:nowrap\">128012<a name=\"moh-category-128012\"> </a></td><td>Broad Dynamic Comp Plate 7 Holes Each</td></tr><tr><td style=\"white-space:nowrap\">716024<a name=\"moh-category-716024\"> </a></td><td>Immediate Complete Dentures (Requiring Relining)</td></tr><tr><td style=\"white-space:nowrap\">U84481<a name=\"moh-category-U84481\"> </a></td><td>T3 (Free T3)</td></tr><tr><td style=\"white-space:nowrap\">500064<a name=\"moh-category-500064\"> </a></td><td>Total Co2</td></tr><tr><td style=\"white-space:nowrap\">U84480<a name=\"moh-category-U84480\"> </a></td><td>T3</td></tr><tr><td style=\"white-space:nowrap\">128014<a name=\"moh-category-128014\"> </a></td><td>Broad Dynamic Comp Plate 8 Holes Each</td></tr><tr><td style=\"white-space:nowrap\">716022<a name=\"moh-category-716022\"> </a></td><td>Additional Casted Clasp-Gold Or Metal</td></tr><tr><td style=\"white-space:nowrap\">P-204<a name=\"moh-category-P-204\"> </a></td><td>Sinus washout - Bilateral</td></tr><tr><td style=\"white-space:nowrap\">716020<a name=\"moh-category-716020\"> </a></td><td>Tooth Additional (Each)</td></tr><tr><td style=\"white-space:nowrap\">500068<a name=\"moh-category-500068\"> </a></td><td>Total Cholesterol</td></tr><tr><td style=\"white-space:nowrap\">P-205<a name=\"moh-category-P-205\"> </a></td><td>Removal of nasal foreign body</td></tr><tr><td style=\"white-space:nowrap\">810118<a name=\"moh-category-810118\"> </a></td><td>Esophagoscopy</td></tr><tr><td style=\"white-space:nowrap\">500063<a name=\"moh-category-500063\"> </a></td><td>Electrolytes (Na, K, C1) Serum</td></tr><tr><td style=\"white-space:nowrap\">128016<a name=\"moh-category-128016\"> </a></td><td>Broad Dynamic Comp Plate 9 Holes Each</td></tr><tr><td style=\"white-space:nowrap\">500062<a name=\"moh-category-500062\"> </a></td><td>Lipase</td></tr><tr><td style=\"white-space:nowrap\">P-206<a name=\"moh-category-P-206\"> </a></td><td>Tonsillectomy</td></tr><tr><td style=\"white-space:nowrap\">P-207<a name=\"moh-category-P-207\"> </a></td><td>Tonsillectomy &amp; Adenoidectomy</td></tr><tr><td style=\"white-space:nowrap\">810304<a name=\"moh-category-810304\"> </a></td><td>Total Laryngectomy</td></tr><tr><td style=\"white-space:nowrap\">U84484<a name=\"moh-category-U84484\"> </a></td><td>CDT ( Cardiac Troponin )</td></tr><tr><td style=\"white-space:nowrap\">128018<a name=\"moh-category-128018\"> </a></td><td>Broad Dynamic Comp Plate 12 Holes Each</td></tr><tr><td style=\"white-space:nowrap\">800818<a name=\"moh-category-800818\"> </a></td><td>Iol Repositioning ( Inside Hospital)</td></tr><tr><td style=\"white-space:nowrap\">P-200<a name=\"moh-category-P-200\"> </a></td><td>Laryngoscopy + Biopsy</td></tr><tr><td style=\"white-space:nowrap\">800816<a name=\"moh-category-800816\"> </a></td><td>Gluocoma Ext+ Drang Implant</td></tr><tr><td style=\"white-space:nowrap\">P-201<a name=\"moh-category-P-201\"> </a></td><td>Myringotomy and insertion of Gromet - Unilateral</td></tr><tr><td style=\"white-space:nowrap\">110-37.91<a name=\"moh-category-110-37.4691\"> </a></td><td>Massage, cardiac, open chest</td></tr><tr><td style=\"white-space:nowrap\">P-202<a name=\"moh-category-P-202\"> </a></td><td>Myringotomy and insertion of Gromet - Bilateral</td></tr><tr><td style=\"white-space:nowrap\">P-203<a name=\"moh-category-P-203\"> </a></td><td>Sinus washout - Unilateral</td></tr><tr><td style=\"white-space:nowrap\">650036D<a name=\"moh-category-650036D\"> </a></td><td>Detachable Balloon</td></tr><tr><td style=\"white-space:nowrap\">128010<a name=\"moh-category-128010\"> </a></td><td>Broad Dynamic Comp. Plate 6 Holes Each</td></tr><tr><td style=\"white-space:nowrap\">N.2<a name=\"moh-category-N.462\"> </a></td><td>NICU Second week (SR/Day) N.2 Exlusion as above</td></tr><tr><td style=\"white-space:nowrap\">E38100<a name=\"moh-category-E38100\"> </a></td><td>Splenectomy</td></tr><tr><td style=\"white-space:nowrap\">830096<a name=\"moh-category-830096\"> </a></td><td>Removal Of Circulage / Shirodkar Suture</td></tr><tr><td style=\"white-space:nowrap\">N.1<a name=\"moh-category-N.461\"> </a></td><td>NICU First week (SR/Day) N.1\n* Medication above 350 SR per day as per SFDA price list, Blood &amp; blood products, MRI, CT, ECHO, Doppler , CRRT , Surgical and endoscopic procedure are  an excluded service\nTo get re-imbused for medication above the daily limit, submission must include a list of details medications as per SFDA codes and pricelist</td></tr><tr><td style=\"white-space:nowrap\">640000<a name=\"moh-category-640000\"> </a></td><td>Catheterization Left Heart</td></tr><tr><td style=\"white-space:nowrap\">497-81.08<a name=\"moh-category-497-81.4608\"> </a></td><td>Fusion,posterior,lumbar/lumbosacral</td></tr><tr><td style=\"white-space:nowrap\">T93882<a name=\"moh-category-T93882\"> </a></td><td>U/S Doppler Carotid Unilateral</td></tr><tr><td style=\"white-space:nowrap\">N.4<a name=\"moh-category-N.464\"> </a></td><td>NICU Fourth week (SR/Day) N.4  Exlusion as above</td></tr><tr><td style=\"white-space:nowrap\">U83505<a name=\"moh-category-U83505\"> </a></td><td>Hydroxyproline, Total</td></tr><tr><td style=\"white-space:nowrap\">800158<a name=\"moh-category-800158\"> </a></td><td>Unilateral Tarsal Strip With Graft</td></tr><tr><td style=\"white-space:nowrap\">800156<a name=\"moh-category-800156\"> </a></td><td>Bilateral Tarsal Strip</td></tr><tr><td style=\"white-space:nowrap\">800150<a name=\"moh-category-800150\"> </a></td><td>Unil. Levator Mus. Recession</td></tr><tr><td style=\"white-space:nowrap\">303232<a name=\"moh-category-303232\"> </a></td><td>Ct Carotid &amp; Vertebral Arteries Angiography</td></tr><tr><td style=\"white-space:nowrap\">303230<a name=\"moh-category-303230\"> </a></td><td>Ct Cerebral Arteries Angiography</td></tr><tr><td style=\"white-space:nowrap\">137020<a name=\"moh-category-137020\"> </a></td><td>Psychological Assessment- Category 2 - Ocd</td></tr><tr><td style=\"white-space:nowrap\">U83500<a name=\"moh-category-U83500\"> </a></td><td>Hydroxyproline, Free</td></tr><tr><td style=\"white-space:nowrap\">800154<a name=\"moh-category-800154\"> </a></td><td>Unilateral Tarsal Strip</td></tr><tr><td style=\"white-space:nowrap\">303236<a name=\"moh-category-303236\"> </a></td><td>Ct Pulmonary Arteries Angiography</td></tr><tr><td style=\"white-space:nowrap\">800152<a name=\"moh-category-800152\"> </a></td><td>Bil. Levator Mus. Recession</td></tr><tr><td style=\"white-space:nowrap\">303234<a name=\"moh-category-303234\"> </a></td><td>Ct Aorta &amp; Mesenteric Arteries Angiography</td></tr><tr><td style=\"white-space:nowrap\">710026<a name=\"moh-category-710026\"> </a></td><td>Periodontal Bone Grafting Implant/Bony Detect</td></tr><tr><td style=\"white-space:nowrap\">T73090<a name=\"moh-category-T73090\"> </a></td><td>ULNA Radius (Forearm) - 2 Views</td></tr><tr><td style=\"white-space:nowrap\">830070<a name=\"moh-category-830070\"> </a></td><td>Abdominal Sling For Congenital Prolapse</td></tr><tr><td style=\"white-space:nowrap\">800124<a name=\"moh-category-800124\"> </a></td><td>Eye Plastic Surgery</td></tr><tr><td style=\"white-space:nowrap\">800122<a name=\"moh-category-800122\"> </a></td><td>Trichiasis Repair (Both Eyes)</td></tr><tr><td style=\"white-space:nowrap\">800128<a name=\"moh-category-800128\"> </a></td><td>Repair Of Simple Lid+Explora</td></tr><tr><td style=\"white-space:nowrap\">830076<a name=\"moh-category-830076\"> </a></td><td>Removal Of Iucd Under Ga</td></tr><tr><td style=\"white-space:nowrap\">750032<a name=\"moh-category-750032\"> </a></td><td>Hair Transplantation (400-500) Graft (Skincare)</td></tr><tr><td style=\"white-space:nowrap\">830078<a name=\"moh-category-830078\"> </a></td><td>Salpingectomy / Salpingostomy</td></tr><tr><td style=\"white-space:nowrap\">U82943<a name=\"moh-category-U82943\"> </a></td><td>Glucagon (P)</td></tr><tr><td style=\"white-space:nowrap\">U82947<a name=\"moh-category-U82947\"> </a></td><td>Glucose Quantitative Blood /CSF</td></tr><tr><td style=\"white-space:nowrap\">137022<a name=\"moh-category-137022\"> </a></td><td>Psychological Assessment- Category 2 - Panic &amp; Phobia</td></tr><tr><td style=\"white-space:nowrap\">650232<a name=\"moh-category-650232\"> </a></td><td>Spinal Stenosis : Inter Laminar Decompression / Laminectomy With Discectomy</td></tr><tr><td style=\"white-space:nowrap\">I92562<a name=\"moh-category-I92562\"> </a></td><td>ABLB-Alternate Binaural Loudness Balance</td></tr><tr><td style=\"white-space:nowrap\">710008<a name=\"moh-category-710008\"> </a></td><td>Gingival Currettage - Per Quadrant</td></tr><tr><td style=\"white-space:nowrap\">I92563<a name=\"moh-category-I92563\"> </a></td><td>Tone decay test</td></tr><tr><td style=\"white-space:nowrap\">830020<a name=\"moh-category-830020\"> </a></td><td>Vacuum Delivery (With Normal Baby)</td></tr><tr><td style=\"white-space:nowrap\">825184<a name=\"moh-category-825184\"> </a></td><td>Repair Of Fracture Penis</td></tr><tr><td style=\"white-space:nowrap\">830022<a name=\"moh-category-830022\"> </a></td><td>Breech Delivery (With Normal Baby)</td></tr><tr><td style=\"white-space:nowrap\">U85290<a name=\"moh-category-U85290\"> </a></td><td>Factor 13</td></tr><tr><td style=\"white-space:nowrap\">825186<a name=\"moh-category-825186\"> </a></td><td>Repair Of Renal Injuries</td></tr><tr><td style=\"white-space:nowrap\">825188<a name=\"moh-category-825188\"> </a></td><td>Repair Of Ruptured Urethra Or Bladder</td></tr><tr><td style=\"white-space:nowrap\">136008<a name=\"moh-category-136008\"> </a></td><td>Breathing Exercise</td></tr></table></div>"^^rdf:XMLLiteral
  ] ; # 
  fhir:url [ fhir:v "http://nphies.sa/terminology/CodeSystem/moh-category"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "0.3.0"] ; # 
  fhir:name [ fhir:v "MOH_Category"] ; # 
  fhir:title [ fhir:v "MOH Category"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v false] ; # 
  fhir:date [ fhir:v "2025-06-23T22:09:21+03:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 Saudi Arabia"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Saudi Arabia" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://test-project.org/test-publisher" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "These are MOH-specific billing codes."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SA" ] ;
fhir:display [ fhir:v "Saudi Arabia" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Ministry of Health Saudi Arabia (https://www.moh.gov.sa)"] ; # 
  fhir:caseSensitive [ fhir:v true] ; # 
  fhir:compositional [ fhir:v false] ; # 
  fhir:versionNeeded [ fhir:v false] ; # 
  fhir:content [ fhir:v "fragment"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "650426" ] ;
fhir:display [ fhir:v "Release Of Carpal Tunnel Syndrom General Anaesthesia" ]
  ] [
fhir:code [ fhir:v "506060" ] ;
fhir:display [ fhir:v "C & S Prostrate" ]
  ] [
fhir:code [ fhir:v "650424" ] ;
fhir:display [ fhir:v "Release Of Carpal Tunnel Syndrome Regional Anaesthesia" ]
  ] [
fhir:code [ fhir:v "75-34.50" ] ;
fhir:display [ fhir:v "Pleurectomy" ]
  ] [
fhir:code [ fhir:v "K57200" ] ;
fhir:display [ fhir:v "Suturing of Vaginal Tear" ]
  ] [
fhir:code [ fhir:v "650422" ] ;
fhir:display [ fhir:v "Release Of Carpal Tunnel Syndrome Local Anaesthesia" ]
  ] [
fhir:code [ fhir:v "518046" ] ;
fhir:display [ fhir:v "Vasopressin (Adh)" ]
  ] [
fhir:code [ fhir:v "650420" ] ;
fhir:display [ fhir:v "Theco-Peritoneal Shunt" ]
  ] [
fhir:code [ fhir:v "518048" ] ;
fhir:display [ fhir:v "5-Hiaa" ]
  ] [
fhir:code [ fhir:v "U80172" ] ;
fhir:display [ fhir:v "Gold" ]
  ] [
fhir:code [ fhir:v "T76020" ] ;
fhir:display [ fhir:v "Skeletal Survey" ]
  ] [
fhir:code [ fhir:v "U80170" ] ;
fhir:display [ fhir:v "Gentamycin" ]
  ] [
fhir:code [ fhir:v "518044" ] ;
fhir:display [ fhir:v "17-Ketosteriods, Urine" ]
  ] [
fhir:code [ fhir:v "518086" ] ;
fhir:display [ fhir:v "Oestradiol" ]
  ] [
fhir:code [ fhir:v "750906" ] ;
fhir:display [ fhir:v "Telengiectasia Treatment, Legs, Medium Area -Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "518088" ] ;
fhir:display [ fhir:v "Digoxin" ]
  ] [
fhir:code [ fhir:v "650428" ] ;
fhir:display [ fhir:v "Release Of Ulnar Nerve Entrapment At Wrist" ]
  ] [
fhir:code [ fhir:v "800026" ] ;
fhir:display [ fhir:v "Socket Reconstruction" ]
  ] [
fhir:code [ fhir:v "518082" ] ;
fhir:display [ fhir:v "Ft3" ]
  ] [
fhir:code [ fhir:v "U80168" ] ;
fhir:display [ fhir:v "Ethosuximide" ]
  ] [
fhir:code [ fhir:v "518040" ] ;
fhir:display [ fhir:v "17-Hydroxycortisoteriods, Urine" ]
  ] [
fhir:code [ fhir:v "518084" ] ;
fhir:display [ fhir:v "T B G" ]
  ] [
fhir:code [ fhir:v "U80166" ] ;
fhir:display [ fhir:v "Doxepin" ]
  ] [
fhir:code [ fhir:v "750908" ] ;
fhir:display [ fhir:v "Telengiectasia Treatment, Legs, Large Area -Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "U80164" ] ;
fhir:display [ fhir:v "Depakine Level (Valproic Acid)" ]
  ] [
fhir:code [ fhir:v "518080" ] ;
fhir:display [ fhir:v "Chromosomal Analysis" ]
  ] [
fhir:code [ fhir:v "800024" ] ;
fhir:display [ fhir:v "Thyroid Orbital Decompression (Both Eyes)" ]
  ] [
fhir:code [ fhir:v "U84520" ] ;
fhir:display [ fhir:v "Bun" ]
  ] [
fhir:code [ fhir:v "750902" ] ;
fhir:display [ fhir:v "Laser Facial Rejuvenation - Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "650430" ] ;
fhir:display [ fhir:v "Release Of Cubital Tunnel Syndrome" ]
  ] [
fhir:code [ fhir:v "750904" ] ;
fhir:display [ fhir:v "Telengiectasia Treatment, Legs, Small Area -Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "E42420" ] ;
fhir:display [ fhir:v "Parotidectomy total" ]
  ] [
fhir:code [ fhir:v "650416" ] ;
fhir:display [ fhir:v "Repair Of Meningomyelocele Major" ]
  ] [
fhir:code [ fhir:v "800028" ] ;
fhir:display [ fhir:v "Enucl. With Hydroxy. Orbital" ]
  ] [
fhir:code [ fhir:v "650414" ] ;
fhir:display [ fhir:v "Repair Of Meningomyelocele, Minor Defect" ]
  ] [
fhir:code [ fhir:v "506068" ] ;
fhir:display [ fhir:v "C & S Swine Flu (H1N1)" ]
  ] [
fhir:code [ fhir:v "506066" ] ;
fhir:display [ fhir:v "C & S Semen" ]
  ] [
fhir:code [ fhir:v "75-34.02" ] ;
fhir:display [ fhir:v "Thoracotomy, exploratory" ]
  ] [
fhir:code [ fhir:v "U82784" ] ;
fhir:display [ fhir:v "IGA/IGM/IGD/IGG" ]
  ] [
fhir:code [ fhir:v "U82785" ] ;
fhir:display [ fhir:v "IGE" ]
  ] [
fhir:code [ fhir:v "K57210" ] ;
fhir:display [ fhir:v "Colpo Perineorraphy" ]
  ] [
fhir:code [ fhir:v "800022" ] ;
fhir:display [ fhir:v "Thyroid Orbital Decompression (One Eye)" ]
  ] [
fhir:code [ fhir:v "650412" ] ;
fhir:display [ fhir:v "Posterior Fusion And Stabilization" ]
  ] [
fhir:code [ fhir:v "202080" ] ;
fhir:display [ fhir:v "Long Term Care (Ltc) - Per Day Package" ]
  ] [
fhir:code [ fhir:v "650410" ] ;
fhir:display [ fhir:v "Anterior Or Anterolateral Verteb, Resection And Stabilization" ]
  ] [
fhir:code [ fhir:v "506062" ] ;
fhir:display [ fhir:v "Fern Test" ]
  ] [
fhir:code [ fhir:v "U80162" ] ;
fhir:display [ fhir:v "Digoxin - Lanoxin" ]
  ] [
fhir:code [ fhir:v "800020" ] ;
fhir:display [ fhir:v "Optic Nerve Sheath Fenes – Onsf" ]
  ] [
fhir:code [ fhir:v "D92250" ] ;
fhir:display [ fhir:v "Fundus Photography with interpretation" ]
  ] [
fhir:code [ fhir:v "518074" ] ;
fhir:display [ fhir:v "Insulin, Serum" ]
  ] [
fhir:code [ fhir:v "506050" ] ;
fhir:display [ fhir:v "C & S Umbilical" ]
  ] [
fhir:code [ fhir:v "650418" ] ;
fhir:display [ fhir:v "Repair Of Occult Spinal Dysraphism" ]
  ] [
fhir:code [ fhir:v "518038" ] ;
fhir:display [ fhir:v "Cortisol" ]
  ] [
fhir:code [ fhir:v "518076" ] ;
fhir:display [ fhir:v "C-Peptide, Serum" ]
  ] [
fhir:code [ fhir:v "518034" ] ;
fhir:display [ fhir:v "Vitamine D" ]
  ] [
fhir:code [ fhir:v "518070" ] ;
fhir:display [ fhir:v "Vitamine B12, Serum" ]
  ] [
fhir:code [ fhir:v "U80156" ] ;
fhir:display [ fhir:v "Tegretol Level - Carbamazipene" ]
  ] [
fhir:code [ fhir:v "518036" ] ;
fhir:display [ fhir:v "Acth" ]
  ] [
fhir:code [ fhir:v "518072" ] ;
fhir:display [ fhir:v "Haptoglobin" ]
  ] [
fhir:code [ fhir:v "518030" ] ;
fhir:display [ fhir:v "Free T4" ]
  ] [
fhir:code [ fhir:v "U80152" ] ;
fhir:display [ fhir:v "Amitriptyline" ]
  ] [
fhir:code [ fhir:v "518032" ] ;
fhir:display [ fhir:v "Calcitonin" ]
  ] [
fhir:code [ fhir:v "U84512" ] ;
fhir:display [ fhir:v "Triponin Qualitiative" ]
  ] [
fhir:code [ fhir:v "750096" ] ;
fhir:display [ fhir:v "Patch Test (Skincare)" ]
  ] [
fhir:code [ fhir:v "800034" ] ;
fhir:display [ fhir:v "Drill Of Hyder. Imp. With Artif." ]
  ] [
fhir:code [ fhir:v "750094" ] ;
fhir:display [ fhir:v "Dermabrasion (Skincare)" ]
  ] [
fhir:code [ fhir:v "506058" ] ;
fhir:display [ fhir:v "C & S Conjunctiva" ]
  ] [
fhir:code [ fhir:v "U84550" ] ;
fhir:display [ fhir:v "Uric Acid" ]
  ] [
fhir:code [ fhir:v "750910" ] ;
fhir:display [ fhir:v "Telengiectasia Treatment, Face, Few Area -Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "650442" ] ;
fhir:display [ fhir:v "Old Perineural Nerve Repair" ]
  ] [
fhir:code [ fhir:v "E49080" ] ;
fhir:display [ fhir:v "Peritoneal lavage" ]
  ] [
fhir:code [ fhir:v "506056" ] ;
fhir:display [ fhir:v "C & S Axilla" ]
  ] [
fhir:code [ fhir:v "U80194" ] ;
fhir:display [ fhir:v "Quinidine" ]
  ] [
fhir:code [ fhir:v "750912" ] ;
fhir:display [ fhir:v "Telengiectasia Treatment, Face, Multiple Area -Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "U80192" ] ;
fhir:display [ fhir:v "N-Acetylprocainamide" ]
  ] [
fhir:code [ fhir:v "800032" ] ;
fhir:display [ fhir:v "Impl. Of Hydr. Orb. In Enucl." ]
  ] [
fhir:code [ fhir:v "U80190" ] ;
fhir:display [ fhir:v "Procainamide" ]
  ] [
fhir:code [ fhir:v "202090" ] ;
fhir:display [ fhir:v "Icu/Nicu/Picu Per Day Package" ]
  ] [
fhir:code [ fhir:v "750092" ] ;
fhir:display [ fhir:v "Comedon Extraction - Large Area (Skincare)" ]
  ] [
fhir:code [ fhir:v "U82775" ] ;
fhir:display [ fhir:v "Galactose-1-Phosphate-Uridyltransferase" ]
  ] [
fhir:code [ fhir:v "750090" ] ;
fhir:display [ fhir:v "Comedon Extraction - Medium Area (Skincare)" ]
  ] [
fhir:code [ fhir:v "U80188" ] ;
fhir:display [ fhir:v "Primidone" ]
  ] [
fhir:code [ fhir:v "506054" ] ;
fhir:display [ fhir:v "C & S Skin" ]
  ] [
fhir:code [ fhir:v "U80186" ] ;
fhir:display [ fhir:v "Phenytoin - Free" ]
  ] [
fhir:code [ fhir:v "U82776" ] ;
fhir:display [ fhir:v "Galactose-1-Phosphate" ]
  ] [
fhir:code [ fhir:v "U80185" ] ;
fhir:display [ fhir:v "Phenytoin - Epanutin Level Total" ]
  ] [
fhir:code [ fhir:v "U84545" ] ;
fhir:display [ fhir:v "Urea Clearance" ]
  ] [
fhir:code [ fhir:v "800030" ] ;
fhir:display [ fhir:v "Implan. Of Reg. In Enuc. Evisc." ]
  ] [
fhir:code [ fhir:v "650438" ] ;
fhir:display [ fhir:v "Interfasicular Repair" ]
  ] [
fhir:code [ fhir:v "650436" ] ;
fhir:display [ fhir:v "Nerve Neurolysis" ]
  ] [
fhir:code [ fhir:v "506052" ] ;
fhir:display [ fhir:v "C & S Rectal" ]
  ] [
fhir:code [ fhir:v "650434" ] ;
fhir:display [ fhir:v "Surgery For Unusual Nerve Entrapment Or Injury" ]
  ] [
fhir:code [ fhir:v "U84540" ] ;
fhir:display [ fhir:v "Urine Urea Nitrogen" ]
  ] [
fhir:code [ fhir:v "650404" ] ;
fhir:display [ fhir:v "Excision Of Lesions Intraspinal Intradural – Lumbar" ]
  ] [
fhir:code [ fhir:v "650432" ] ;
fhir:display [ fhir:v "Brachial Plexus Decompression" ]
  ] [
fhir:code [ fhir:v "U80184" ] ;
fhir:display [ fhir:v "Phenobarbital - Gardinal Level" ]
  ] [
fhir:code [ fhir:v "650402" ] ;
fhir:display [ fhir:v "Excision Of Lesions Intraspinal Extradural – Cervical" ]
  ] [
fhir:code [ fhir:v "518096" ] ;
fhir:display [ fhir:v "Trypsin" ]
  ] [
fhir:code [ fhir:v "650400" ] ;
fhir:display [ fhir:v "Excision Of Lesions Intraspinal Extradural – Dorsal" ]
  ] [
fhir:code [ fhir:v "518098" ] ;
fhir:display [ fhir:v "Carbamazepine (Tegretol)" ]
  ] [
fhir:code [ fhir:v "518068" ] ;
fhir:display [ fhir:v "Folic Acid, Serum" ]
  ] [
fhir:code [ fhir:v "518092" ] ;
fhir:display [ fhir:v "Dibucaine Inhibition Of Pseudocholinesterase" ]
  ] [
fhir:code [ fhir:v "U80150" ] ;
fhir:display [ fhir:v "Amikacin" ]
  ] [
fhir:code [ fhir:v "D92235" ] ;
fhir:display [ fhir:v "Flouroscene Angiography" ]
  ] [
fhir:code [ fhir:v "518064" ] ;
fhir:display [ fhir:v "Tranferritin, Serum" ]
  ] [
fhir:code [ fhir:v "U80178" ] ;
fhir:display [ fhir:v "Lithium level" ]
  ] [
fhir:code [ fhir:v "650408" ] ;
fhir:display [ fhir:v "Excision Of Lesions Intraspinal Intradural – Cervical" ]
  ] [
fhir:code [ fhir:v "U80176" ] ;
fhir:display [ fhir:v "Lidocaine" ]
  ] [
fhir:code [ fhir:v "518066" ] ;
fhir:display [ fhir:v "Ferritin, Serum" ]
  ] [
fhir:code [ fhir:v "U80174" ] ;
fhir:display [ fhir:v "Imipramine" ]
  ] [
fhir:code [ fhir:v "650406" ] ;
fhir:display [ fhir:v "Excision Of Lesions Intraspinal Intradural – Dorsal" ]
  ] [
fhir:code [ fhir:v "518090" ] ;
fhir:display [ fhir:v "Cystic Fibrosis" ]
  ] [
fhir:code [ fhir:v "518060" ] ;
fhir:display [ fhir:v "Alpha-Fetoprotein" ]
  ] [
fhir:code [ fhir:v "650440" ] ;
fhir:display [ fhir:v "Direct Perineural Nerve Repair" ]
  ] [
fhir:code [ fhir:v "800004" ] ;
fhir:display [ fhir:v "Orbital Tumour Biopsy+Histopathology Analysis" ]
  ] [
fhir:code [ fhir:v "518062" ] ;
fhir:display [ fhir:v "Carcinembryonic Antigen (Cea)" ]
  ] [
fhir:code [ fhir:v "800002" ] ;
fhir:display [ fhir:v "Orbital Exploration" ]
  ] [
fhir:code [ fhir:v "800008" ] ;
fhir:display [ fhir:v "Reconstruction Of Orbital Base Fracture" ]
  ] [
fhir:code [ fhir:v "800006" ] ;
fhir:display [ fhir:v "Orbital Tumour Excision+Histopathology Analysis" ]
  ] [
fhir:code [ fhir:v "710002" ] ;
fhir:display [ fhir:v "Polishing Of Teeth (Prophylaxis)" ]
  ] [
fhir:code [ fhir:v "704098" ] ;
fhir:display [ fhir:v "Periodontal Root Planning (Less Than 6 Teeth)" ]
  ] [
fhir:code [ fhir:v "710006" ] ;
fhir:display [ fhir:v "Oral Prophylaxis: With Flouride (2 Visits-Children" ]
  ] [
fhir:code [ fhir:v "710004" ] ;
fhir:display [ fhir:v "Scaling & Polishing" ]
  ] [
fhir:code [ fhir:v "704096" ] ;
fhir:display [ fhir:v "Periodontal Root Planning (Entire Mouth)" ]
  ] [
fhir:code [ fhir:v "T74290" ] ;
fhir:display [ fhir:v "Oral Cholecystogram/Gall Bladder" ]
  ] [
fhir:code [ fhir:v "716084" ] ;
fhir:display [ fhir:v "Adding Tooth To Partial Denture To Replace Extracted Tooth-Each Tooth(Not Involv" ]
  ] [
fhir:code [ fhir:v "518056" ] ;
fhir:display [ fhir:v "Metanephrines, Urine" ]
  ] [
fhir:code [ fhir:v "518058" ] ;
fhir:display [ fhir:v "Catecholanines, 24 Hours Urine" ]
  ] [
fhir:code [ fhir:v "460298" ] ;
fhir:display [ fhir:v "Dp-Oto-Ecuastic Emission" ]
  ] [
fhir:code [ fhir:v "716082" ] ;
fhir:display [ fhir:v "Repair Of Broken Complete Or Partial Denture - No Teeth Damaged" ]
  ] [
fhir:code [ fhir:v "518052" ] ;
fhir:display [ fhir:v "Vanillymandelic Acid (Vma), Urine" ]
  ] [
fhir:code [ fhir:v "460296" ] ;
fhir:display [ fhir:v "Follow Up Tympanometry" ]
  ] [
fhir:code [ fhir:v "518054" ] ;
fhir:display [ fhir:v "Homovanillic Acid Urine" ]
  ] [
fhir:code [ fhir:v "716080" ] ;
fhir:display [ fhir:v "Paratial Denture Adjustment" ]
  ] [
fhir:code [ fhir:v "800014" ] ;
fhir:display [ fhir:v "Enucleation Or Evisceration=Prosth.Implant" ]
  ] [
fhir:code [ fhir:v "825246" ] ;
fhir:display [ fhir:v "Penile Prosthesis With Implant (Malleable)" ]
  ] [
fhir:code [ fhir:v "108-35.50" ] ;
fhir:display [ fhir:v "Repair, septa, atrial and ventricular, with prosthesis" ]
  ] [
fhir:code [ fhir:v "800012" ] ;
fhir:display [ fhir:v "Enucleation Or Evisceration Of Eye Ball" ]
  ] [
fhir:code [ fhir:v "825248" ] ;
fhir:display [ fhir:v "Penilse Prosthesis With Implant (Inflatable)" ]
  ] [
fhir:code [ fhir:v "518050" ] ;
fhir:display [ fhir:v "Human Growth Hormone" ]
  ] [
fhir:code [ fhir:v "308-58.93" ] ;
fhir:display [ fhir:v "Implantation, artificial urinary sphincter" ]
  ] [
fhir:code [ fhir:v "800018" ] ;
fhir:display [ fhir:v "Posterior Orbital Tumour" ]
  ] [
fhir:code [ fhir:v "716088" ] ;
fhir:display [ fhir:v "Chair - Side Relining (Complete Denture)Chair - Side Relining (Complete Denture)" ]
  ] [
fhir:code [ fhir:v "716086" ] ;
fhir:display [ fhir:v "Adding Tooth To Partial Denture To Replace Extracted Tooth(Involving Clasp Or Ab" ]
  ] [
fhir:code [ fhir:v "800016" ] ;
fhir:display [ fhir:v "Posterior Orbital Exploration" ]
  ] [
fhir:code [ fhir:v "704094" ] ;
fhir:display [ fhir:v "Membrane / Bone Grafts - Per Tooth" ]
  ] [
fhir:code [ fhir:v "800010" ] ;
fhir:display [ fhir:v "Exentration" ]
  ] [
fhir:code [ fhir:v "704092" ] ;
fhir:display [ fhir:v "Gingivectomy And Treatment (Fewer Than 5 Teeth)" ]
  ] [
fhir:code [ fhir:v "825240" ] ;
fhir:display [ fhir:v "Diverticulectomy" ]
  ] [
fhir:code [ fhir:v "704090" ] ;
fhir:display [ fhir:v "Gingivectomy Or Gingioplasty - Per Quadrant" ]
  ] [
fhir:code [ fhir:v "825242" ] ;
fhir:display [ fhir:v "Urs & Stone Extraction" ]
  ] [
fhir:code [ fhir:v "825244" ] ;
fhir:display [ fhir:v "Cystoscopy + Removal Of Djs Under G.A." ]
  ] [
fhir:code [ fhir:v "G29870" ] ;
fhir:display [ fhir:v "Arthroscopy (Diagnostic) Knee" ]
  ] [
fhir:code [ fhir:v "E43621" ] ;
fhir:display [ fhir:v "Subtotal gastrectomy" ]
  ] [
fhir:code [ fhir:v "716072" ] ;
fhir:display [ fhir:v "Upper Chrome Cobalt Partial Denture (1-3 Teeth / Unilateral)" ]
  ] [
fhir:code [ fhir:v "704058" ] ;
fhir:display [ fhir:v "Vestibuloplasty/Sulcus Deepening (Per Jaw)" ]
  ] [
fhir:code [ fhir:v "716070" ] ;
fhir:display [ fhir:v "Acrylic Partial Denture (4-7 Teeth)" ]
  ] [
fhir:code [ fhir:v "704056" ] ;
fhir:display [ fhir:v "Removal Of Lorus Palatinus Or Mandibularis" ]
  ] [
fhir:code [ fhir:v "518196" ] ;
fhir:display [ fhir:v "Galactose 1 Phosphate Uridyltrasferase (Quantative" ]
  ] [
fhir:code [ fhir:v "810102" ] ;
fhir:display [ fhir:v "Microlaryngoscopy" ]
  ] [
fhir:code [ fhir:v "518198" ] ;
fhir:display [ fhir:v "Ionized Calcium" ]
  ] [
fhir:code [ fhir:v "704054" ] ;
fhir:display [ fhir:v "Post Extraction Complication:Dressing (Opd)" ]
  ] [
fhir:code [ fhir:v "518192" ] ;
fhir:display [ fhir:v "Galactosemia Screening" ]
  ] [
fhir:code [ fhir:v "810104" ] ;
fhir:display [ fhir:v "Microlaryngosurgery" ]
  ] [
fhir:code [ fhir:v "825236" ] ;
fhir:display [ fhir:v "Epididymectomy" ]
  ] [
fhir:code [ fhir:v "704052" ] ;
fhir:display [ fhir:v "Post Surgical Extraction:Drsyspicules Removal" ]
  ] [
fhir:code [ fhir:v "716078" ] ;
fhir:display [ fhir:v "Complete Denture Adjustment" ]
  ] [
fhir:code [ fhir:v "518194" ] ;
fhir:display [ fhir:v "Amino Acid Screening" ]
  ] [
fhir:code [ fhir:v "810106" ] ;
fhir:display [ fhir:v "Larynx Laser Surgery" ]
  ] [
fhir:code [ fhir:v "825238" ] ;
fhir:display [ fhir:v "Cystoscopy And Lithlapexy" ]
  ] [
fhir:code [ fhir:v "716040" ] ;
fhir:display [ fhir:v "Chrome Cobalt Partial 4-7 Teeth" ]
  ] [
fhir:code [ fhir:v "716076" ] ;
fhir:display [ fhir:v "Bite Guard (Bite Raising Appliance)" ]
  ] [
fhir:code [ fhir:v "108-35.42" ] ;
fhir:display [ fhir:v "Creation, septal defect, in heart" ]
  ] [
fhir:code [ fhir:v "108-35.91" ] ;
fhir:display [ fhir:v "Transposition, interatrial, venous return" ]
  ] [
fhir:code [ fhir:v "716074" ] ;
fhir:display [ fhir:v "Upper Chrome Cobalt Partial Denture (3 Or More Teeth Bilateral)" ]
  ] [
fhir:code [ fhir:v "108-35.92" ] ;
fhir:display [ fhir:v "Creation, conduit, between right ventricle," ]
  ] [
fhir:code [ fhir:v "501-81.22" ] ;
fhir:display [ fhir:v "Arthrodesis,knee" ]
  ] [
fhir:code [ fhir:v "U84630" ] ;
fhir:display [ fhir:v "Zinc" ]
  ] [
fhir:code [ fhir:v "108-35.93" ] ;
fhir:display [ fhir:v "Creation, conduit, between left ventricle," ]
  ] [
fhir:code [ fhir:v "825230" ] ;
fhir:display [ fhir:v "Vasal Reversal" ]
  ] [
fhir:code [ fhir:v "825232" ] ;
fhir:display [ fhir:v "Vasoepididymostomy" ]
  ] [
fhir:code [ fhir:v "716048" ] ;
fhir:display [ fhir:v "Porcelain Set For Complete Dentures (Additional)" ]
  ] [
fhir:code [ fhir:v "825234" ] ;
fhir:display [ fhir:v "Vasovasostomy" ]
  ] [
fhir:code [ fhir:v "108-35.94" ] ;
fhir:display [ fhir:v "Creation, conduit, between atrium," ]
  ] [
fhir:code [ fhir:v "460276" ] ;
fhir:display [ fhir:v "Foreign Body Removal L.A. (Throat)" ]
  ] [
fhir:code [ fhir:v "460274" ] ;
fhir:display [ fhir:v "Incision + Drainage Of Quinzy (L.A)" ]
  ] [
fhir:code [ fhir:v "H94240" ] ;
fhir:display [ fhir:v "Lung Volume - Helium Dilution" ]
  ] [
fhir:code [ fhir:v "460278" ] ;
fhir:display [ fhir:v "Fine Needle Aspiration Cytology" ]
  ] [
fhir:code [ fhir:v "108-35.95" ] ;
fhir:display [ fhir:v "Revision, corrective procedure, heart" ]
  ] [
fhir:code [ fhir:v "460280" ] ;
fhir:display [ fhir:v "Somnoplasty Tounge - Clinic (1St Stage)" ]
  ] [
fhir:code [ fhir:v "716046" ] ;
fhir:display [ fhir:v "Other Corrective Procedures (Per 1/4 Hour)" ]
  ] [
fhir:code [ fhir:v "825224" ] ;
fhir:display [ fhir:v "Repair Of Urethral Injuries" ]
  ] [
fhir:code [ fhir:v "716044" ] ;
fhir:display [ fhir:v "Ceka Attachment Per Piece" ]
  ] [
fhir:code [ fhir:v "U82009" ] ;
fhir:display [ fhir:v "Acetone Total" ]
  ] [
fhir:code [ fhir:v "825226" ] ;
fhir:display [ fhir:v "Urethroplasty One Stage" ]
  ] [
fhir:code [ fhir:v "500004" ] ;
fhir:display [ fhir:v "Glucose (Serum) Random" ]
  ] [
fhir:code [ fhir:v "460284" ] ;
fhir:display [ fhir:v "Pure Tone Audiometry (Air & Bone)" ]
  ] [
fhir:code [ fhir:v "825228" ] ;
fhir:display [ fhir:v "Urethroplasty Two Stages" ]
  ] [
fhir:code [ fhir:v "716042" ] ;
fhir:display [ fhir:v "Chrome Cobalt Partial 8-12 Teeth" ]
  ] [
fhir:code [ fhir:v "108-35.31" ] ;
fhir:display [ fhir:v "Operation, papillary muscle" ]
  ] [
fhir:code [ fhir:v "500002" ] ;
fhir:display [ fhir:v "Glucose (Serum) Fasting" ]
  ] [
fhir:code [ fhir:v "108-35.32" ] ;
fhir:display [ fhir:v "Operation, Chordae tendinae" ]
  ] [
fhir:code [ fhir:v "460282" ] ;
fhir:display [ fhir:v "Somnoplasty Tounge - Clinic (2Nd Stage)" ]
  ] [
fhir:code [ fhir:v "704050" ] ;
fhir:display [ fhir:v "Alveolectomy (Per Quadrant)" ]
  ] [
fhir:code [ fhir:v "L90810" ] ;
fhir:display [ fhir:v "Psychotheraphy Interactive" ]
  ] [
fhir:code [ fhir:v "810110" ] ;
fhir:display [ fhir:v "Laser Tonsillectomy" ]
  ] [
fhir:code [ fhir:v "137202" ] ;
fhir:display [ fhir:v "Child Anxiety Manifest Level" ]
  ] [
fhir:code [ fhir:v "704068" ] ;
fhir:display [ fhir:v "Surgical Exposure Of Impacted Or Unerrupted Tooth" ]
  ] [
fhir:code [ fhir:v "825220" ] ;
fhir:display [ fhir:v "Radical Prostatectomy" ]
  ] [
fhir:code [ fhir:v "810112" ] ;
fhir:display [ fhir:v "Tonsillectomy" ]
  ] [
fhir:code [ fhir:v "825222" ] ;
fhir:display [ fhir:v "Repair Of Hypospadias Two Stages" ]
  ] [
fhir:code [ fhir:v "704066" ] ;
fhir:display [ fhir:v "Tooth Extraction Additional Each + L.A.." ]
  ] [
fhir:code [ fhir:v "137208" ] ;
fhir:display [ fhir:v "Mmpi Sub Scale" ]
  ] [
fhir:code [ fhir:v "36-14.27" ] ;
fhir:display [ fhir:v "Destruction, chorioretinal lesion, adiation sources" ]
  ] [
fhir:code [ fhir:v "137204" ] ;
fhir:display [ fhir:v "Child Behaviour Check List" ]
  ] [
fhir:code [ fhir:v "G29894" ] ;
fhir:display [ fhir:v "Arthroscopy (Diagnostic) Ankle" ]
  ] [
fhir:code [ fhir:v "810114" ] ;
fhir:display [ fhir:v "Pan-Endoscopy (Triple Procedure)" ]
  ] [
fhir:code [ fhir:v "137206" ] ;
fhir:display [ fhir:v "Middle Sex Scale" ]
  ] [
fhir:code [ fhir:v "36-14.26" ] ;
fhir:display [ fhir:v "Destruction, chorioretinal lesion, by radiation therapy" ]
  ] [
fhir:code [ fhir:v "716094" ] ;
fhir:display [ fhir:v "Laboratory Relining (Partial Denture)" ]
  ] [
fhir:code [ fhir:v "704064" ] ;
fhir:display [ fhir:v "Alveolar Ridge Grafting Per Jaw" ]
  ] [
fhir:code [ fhir:v "460288" ] ;
fhir:display [ fhir:v "Tone Decay Test" ]
  ] [
fhir:code [ fhir:v "810116" ] ;
fhir:display [ fhir:v "Hypopharyngoscopy & Foreign Body Removal" ]
  ] [
fhir:code [ fhir:v "716092" ] ;
fhir:display [ fhir:v "Laboratory Relining (Complete Denture)" ]
  ] [
fhir:code [ fhir:v "704062" ] ;
fhir:display [ fhir:v "Other Undefined Surgical Procedures Per 15 Minutes" ]
  ] [
fhir:code [ fhir:v "460286" ] ;
fhir:display [ fhir:v "Follow Up Pure Tone Audiometry (Air & Bone)" ]
  ] [
fhir:code [ fhir:v "T76770" ] ;
fhir:display [ fhir:v "Ultra Sound - Retroperitoneal" ]
  ] [
fhir:code [ fhir:v "L96100" ] ;
fhir:display [ fhir:v "Psychological Test" ]
  ] [
fhir:code [ fhir:v "108-35.80" ] ;
fhir:display [ fhir:v "Repair, total, certain congenital cardiac anomalies" ]
  ] [
fhir:code [ fhir:v "716036" ] ;
fhir:display [ fhir:v "Chrome Cobalt Full Denture: Upper And Lower" ]
  ] [
fhir:code [ fhir:v "716090" ] ;
fhir:display [ fhir:v "Chair - Side Relining (Partial Denture)" ]
  ] [
fhir:code [ fhir:v "716034" ] ;
fhir:display [ fhir:v "Rebasing (Upper Or Lower)" ]
  ] [
fhir:code [ fhir:v "X1005" ] ;
fhir:display [ fhir:v "Ventilator Per Day" ]
  ] [
fhir:code [ fhir:v "460290" ] ;
fhir:display [ fhir:v "Ablb" ]
  ] [
fhir:code [ fhir:v "716032" ] ;
fhir:display [ fhir:v "Changing Teeth In Old Chrome - Partial" ]
  ] [
fhir:code [ fhir:v "825214" ] ;
fhir:display [ fhir:v "Iliocystoplasty" ]
  ] [
fhir:code [ fhir:v "X1004" ] ;
fhir:display [ fhir:v "Oxy Hood Per Day" ]
  ] [
fhir:code [ fhir:v "L90804" ] ;
fhir:display [ fhir:v "Individual psycho therapy insight oriented" ]
  ] [
fhir:code [ fhir:v "X1003" ] ;
fhir:display [ fhir:v "Mist Tent Per Day" ]
  ] [
fhir:code [ fhir:v "716030" ] ;
fhir:display [ fhir:v "Splints/Guards" ]
  ] [
fhir:code [ fhir:v "U80299" ] ;
fhir:display [ fhir:v "Amphotericin B Level" ]
  ] [
fhir:code [ fhir:v "X1002" ] ;
fhir:display [ fhir:v "Oxygen Inhalation Per Day" ]
  ] [
fhir:code [ fhir:v "X1001" ] ;
fhir:display [ fhir:v "Oxygen Inhalation - Per Hour X1001" ]
  ] [
fhir:code [ fhir:v "825216" ] ;
fhir:display [ fhir:v "Insertion Of Penile Prothesis" ]
  ] [
fhir:code [ fhir:v "704060" ] ;
fhir:display [ fhir:v "Apicoectomy (Per Tooth Excluding Rct)" ]
  ] [
fhir:code [ fhir:v "716098" ] ;
fhir:display [ fhir:v "Lower Chrome Cobalt Partial Denture (3 Or More Teeth / Bilateral)" ]
  ] [
fhir:code [ fhir:v "810108" ] ;
fhir:display [ fhir:v "Adenoidectomy" ]
  ] [
fhir:code [ fhir:v "460294" ] ;
fhir:display [ fhir:v "Audiological Assessment" ]
  ] [
fhir:code [ fhir:v "716038" ] ;
fhir:display [ fhir:v "Chrome Cobalt Partial 1-3 Teeth" ]
  ] [
fhir:code [ fhir:v "825218" ] ;
fhir:display [ fhir:v "Radical Cystectomy" ]
  ] [
fhir:code [ fhir:v "148-46.92" ] ;
fhir:display [ fhir:v "Myotomy, colon, other parts" ]
  ] [
fhir:code [ fhir:v "716096" ] ;
fhir:display [ fhir:v "Lower Chrome Cobalt Partial Denture (1-3 Teeth / Unilateral)" ]
  ] [
fhir:code [ fhir:v "460292" ] ;
fhir:display [ fhir:v "Strenger Test" ]
  ] [
fhir:code [ fhir:v "512002" ] ;
fhir:display [ fhir:v "Hemoglobin Electrophoresis" ]
  ] [
fhir:code [ fhir:v "137212" ] ;
fhir:display [ fhir:v "Beck Depression Inventory" ]
  ] [
fhir:code [ fhir:v "704078" ] ;
fhir:display [ fhir:v "Ridge Extension (Augmentation Per Arch)" ]
  ] [
fhir:code [ fhir:v "137214" ] ;
fhir:display [ fhir:v "Performance Anxiety Scale" ]
  ] [
fhir:code [ fhir:v "825210" ] ;
fhir:display [ fhir:v "Excision Of Ureterocele And Reimplantation Of Ureter" ]
  ] [
fhir:code [ fhir:v "704076" ] ;
fhir:display [ fhir:v "Biopsy Of Extra Oral Tissues" ]
  ] [
fhir:code [ fhir:v "137210" ] ;
fhir:display [ fhir:v "Self Esteem Inventory" ]
  ] [
fhir:code [ fhir:v "704074" ] ;
fhir:display [ fhir:v "Biopsy Of Oral Tissue (Soft)" ]
  ] [
fhir:code [ fhir:v "825212" ] ;
fhir:display [ fhir:v "Ileal Ureter" ]
  ] [
fhir:code [ fhir:v "512004" ] ;
fhir:display [ fhir:v "Protein Electrophoresis (Serum, Csf, Urine)" ]
  ] [
fhir:code [ fhir:v "716062" ] ;
fhir:display [ fhir:v "Denture - Complete Lower (Chrome Cobbalt)" ]
  ] [
fhir:code [ fhir:v "128100" ] ;
fhir:display [ fhir:v "Schanz Screw" ]
  ] [
fhir:code [ fhir:v "500018" ] ;
fhir:display [ fhir:v "Creatinine Urine (Random)" ]
  ] [
fhir:code [ fhir:v "128102" ] ;
fhir:display [ fhir:v "Malleolar Screw" ]
  ] [
fhir:code [ fhir:v "716060" ] ;
fhir:display [ fhir:v "Denture - Complete Upper (Chrome Cobbalt)" ]
  ] [
fhir:code [ fhir:v "I92590" ] ;
fhir:display [ fhir:v "Hearing Aid adjustment & Evaluation Unilateral" ]
  ] [
fhir:code [ fhir:v "800758" ] ;
fhir:display [ fhir:v "Laser Trabeculoplasty" ]
  ] [
fhir:code [ fhir:v "128104" ] ;
fhir:display [ fhir:v "Partial Hip - Thomson Hip Prothesis" ]
  ] [
fhir:code [ fhir:v "108-35.70" ] ;
fhir:display [ fhir:v "Repair, septa, atrial, ventricular, unspecified" ]
  ] [
fhir:code [ fhir:v "I92591" ] ;
fhir:display [ fhir:v "Hearing aid Adjustment & Evaluation Bilateral" ]
  ] [
fhir:code [ fhir:v "800762" ] ;
fhir:display [ fhir:v "Photo. Kera. Astigm - Pak Vizx" ]
  ] [
fhir:code [ fhir:v "128106" ] ;
fhir:display [ fhir:v "Penning Mini External Fixator" ]
  ] [
fhir:code [ fhir:v "500022" ] ;
fhir:display [ fhir:v "Uric Acid (Serum)" ]
  ] [
fhir:code [ fhir:v "850240" ] ;
fhir:display [ fhir:v "Laparascopic Salpingo-Oophorectomy (Bilateral)" ]
  ] [
fhir:code [ fhir:v "800760" ] ;
fhir:display [ fhir:v "Phototherapeutic Keratectomy (P.T.K.) One Eye" ]
  ] [
fhir:code [ fhir:v "850242" ] ;
fhir:display [ fhir:v "Diagnostic Laparascopy + New Ostia Of Fallopian Tube (Unilateral)" ]
  ] [
fhir:code [ fhir:v "716068" ] ;
fhir:display [ fhir:v "Acrylic Partial Denture (1-3 Teeth)" ]
  ] [
fhir:code [ fhir:v "850244" ] ;
fhir:display [ fhir:v "Diagnostic Laparascopy + New Ostia Of Fallopian Tube (Bilateral)" ]
  ] [
fhir:code [ fhir:v "T73700" ] ;
fhir:display [ fhir:v "CT LO EXT without Contrast" ]
  ] [
fhir:code [ fhir:v "500020" ] ;
fhir:display [ fhir:v "Creatinine Clearance" ]
  ] [
fhir:code [ fhir:v "500027" ] ;
fhir:display [ fhir:v "Globulin" ]
  ] [
fhir:code [ fhir:v "716066" ] ;
fhir:display [ fhir:v "Denture - Immediate Lower Complete" ]
  ] [
fhir:code [ fhir:v "500026" ] ;
fhir:display [ fhir:v "Albumin" ]
  ] [
fhir:code [ fhir:v "716064" ] ;
fhir:display [ fhir:v "Denture - Immediate Uper Complete" ]
  ] [
fhir:code [ fhir:v "640020" ] ;
fhir:display [ fhir:v "Ptca (Per.Tr.Coronory Angioplasty) - Sv +2 Stents" ]
  ] [
fhir:code [ fhir:v "500024" ] ;
fhir:display [ fhir:v "Total Protein, Serum" ]
  ] [
fhir:code [ fhir:v "K59025" ] ;
fhir:display [ fhir:v "CTG less than an hour" ]
  ] [
fhir:code [ fhir:v "704072" ] ;
fhir:display [ fhir:v "Biopsy Of Oral Tissue (Hard)" ]
  ] [
fhir:code [ fhir:v "T73701" ] ;
fhir:display [ fhir:v "CT Scan Knee Lower Ext with Contrast" ]
  ] [
fhir:code [ fhir:v "850236" ] ;
fhir:display [ fhir:v "Laparascopic Checking Of Tubal Patency" ]
  ] [
fhir:code [ fhir:v "K57240" ] ;
fhir:display [ fhir:v "Anterior Colporrhapy & Repair Cystocele" ]
  ] [
fhir:code [ fhir:v "850238" ] ;
fhir:display [ fhir:v "Laparascopic Salpingo-Oophorectomy (Unilateral)" ]
  ] [
fhir:code [ fhir:v "H43450" ] ;
fhir:display [ fhir:v "Oesophageal Dilation" ]
  ] [
fhir:code [ fhir:v "110-37.12" ] ;
fhir:display [ fhir:v "Pericardiotomy" ]
  ] [
fhir:code [ fhir:v "810220" ] ;
fhir:display [ fhir:v "Labyrinthectomy" ]
  ] [
fhir:code [ fhir:v "640022" ] ;
fhir:display [ fhir:v "Ptca (Per.Tr.Coronory Angioplasty) - Dv + Stent" ]
  ] [
fhir:code [ fhir:v "650018C" ] ;
fhir:display [ fhir:v "Microguide Wire" ]
  ] [
fhir:code [ fhir:v "U85384" ] ;
fhir:display [ fhir:v "Fibrinogen" ]
  ] [
fhir:code [ fhir:v "750074" ] ;
fhir:display [ fhir:v "Electro Cautery - Multiple Lesion (Skincare)" ]
  ] [
fhir:code [ fhir:v "750232" ] ;
fhir:display [ fhir:v "Brow Lift (Skincare)" ]
  ] [
fhir:code [ fhir:v "810222" ] ;
fhir:display [ fhir:v "Vestibular Neurectomy" ]
  ] [
fhir:code [ fhir:v "750072" ] ;
fhir:display [ fhir:v "Electro Cautery - Few Lesion (Skincare)" ]
  ] [
fhir:code [ fhir:v "810224" ] ;
fhir:display [ fhir:v "Facial Nerve Surgery" ]
  ] [
fhir:code [ fhir:v "110014" ] ;
fhir:display [ fhir:v "Orthofix Rental (Per Day)" ]
  ] [
fhir:code [ fhir:v "810226" ] ;
fhir:display [ fhir:v "Ossiculoplasty" ]
  ] [
fhir:code [ fhir:v "300226" ] ;
fhir:display [ fhir:v "Thyroid Imaging" ]
  ] [
fhir:code [ fhir:v "110012" ] ;
fhir:display [ fhir:v "Orthofix" ]
  ] [
fhir:code [ fhir:v "650018A" ] ;
fhir:display [ fhir:v "Each Additional : Coil" ]
  ] [
fhir:code [ fhir:v "I69210" ] ;
fhir:display [ fhir:v "Ear Wash" ]
  ] [
fhir:code [ fhir:v "650018B" ] ;
fhir:display [ fhir:v "Microcatheter" ]
  ] [
fhir:code [ fhir:v "300224" ] ;
fhir:display [ fhir:v "X-Ray Film Copy Cash (Nett) Each" ]
  ] [
fhir:code [ fhir:v "38-12.14" ] ;
fhir:display [ fhir:v "Subtotal or complete iridectomy for melanoma" ]
  ] [
fhir:code [ fhir:v "704014" ] ;
fhir:display [ fhir:v "Surgical Extraction - Complex (Bone Removal)" ]
  ] [
fhir:code [ fhir:v "D92283" ] ;
fhir:display [ fhir:v "Color vision exam" ]
  ] [
fhir:code [ fhir:v "750070" ] ;
fhir:display [ fhir:v "Electrolysis Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "650026A" ] ;
fhir:display [ fhir:v "Each Additional : Coil" ]
  ] [
fhir:code [ fhir:v "202004" ] ;
fhir:display [ fhir:v "Private Room Per Day" ]
  ] [
fhir:code [ fhir:v "202002" ] ;
fhir:display [ fhir:v "Suite Room Per Day" ]
  ] [
fhir:code [ fhir:v "650026B" ] ;
fhir:display [ fhir:v "Microcatheter" ]
  ] [
fhir:code [ fhir:v "704012" ] ;
fhir:display [ fhir:v "Surgical Extraction - Simple" ]
  ] [
fhir:code [ fhir:v "304032" ] ;
fhir:display [ fhir:v "Colour Doppler Sonography Breast (Two)" ]
  ] [
fhir:code [ fhir:v "650026C" ] ;
fhir:display [ fhir:v "Microguide Wire" ]
  ] [
fhir:code [ fhir:v "704010" ] ;
fhir:display [ fhir:v "Removal Of Teeth (Soft Tissue) + La" ]
  ] [
fhir:code [ fhir:v "304030" ] ;
fhir:display [ fhir:v "Colour Doppler Sonography Breast (One)" ]
  ] [
fhir:code [ fhir:v "524008" ] ;
fhir:display [ fhir:v "Anti Sperm Antibody" ]
  ] [
fhir:code [ fhir:v "704018" ] ;
fhir:display [ fhir:v "Removal Of Teeth (Completely Bony) + L.A." ]
  ] [
fhir:code [ fhir:v "810140" ] ;
fhir:display [ fhir:v "Cleft Palate Repair" ]
  ] [
fhir:code [ fhir:v "704016" ] ;
fhir:display [ fhir:v "Removal Of Teeth (Partially Bony) + L.A." ]
  ] [
fhir:code [ fhir:v "710018" ] ;
fhir:display [ fhir:v "Topical Application Of Flouride -2 Vis (Ex Prophylaxis)" ]
  ] [
fhir:code [ fhir:v "524012" ] ;
fhir:display [ fhir:v "Osteocalcin" ]
  ] [
fhir:code [ fhir:v "U80202" ] ;
fhir:display [ fhir:v "Vancomycin" ]
  ] [
fhir:code [ fhir:v "716004" ] ;
fhir:display [ fhir:v "Partial Denture 1-3 Teeth" ]
  ] [
fhir:code [ fhir:v "500044" ] ;
fhir:display [ fhir:v "Sgpt (Alt)" ]
  ] [
fhir:code [ fhir:v "137018" ] ;
fhir:display [ fhir:v "Psychological Assessment- Category 2 - Anxiety" ]
  ] [
fhir:code [ fhir:v "U80200" ] ;
fhir:display [ fhir:v "Tobramycin" ]
  ] [
fhir:code [ fhir:v "716002" ] ;
fhir:display [ fhir:v "Complete Dentures" ]
  ] [
fhir:code [ fhir:v "500042" ] ;
fhir:display [ fhir:v "Sgot (Ast)" ]
  ] [
fhir:code [ fhir:v "524016" ] ;
fhir:display [ fhir:v "Hydroxproline Total" ]
  ] [
fhir:code [ fhir:v "500048" ] ;
fhir:display [ fhir:v "Alkaline Phosphatase" ]
  ] [
fhir:code [ fhir:v "500046" ] ;
fhir:display [ fhir:v "Ggt" ]
  ] [
fhir:code [ fhir:v "716008" ] ;
fhir:display [ fhir:v "Partial Denture 8-12 Teeth" ]
  ] [
fhir:code [ fhir:v "500040" ] ;
fhir:display [ fhir:v "Total And Direct Biliburin" ]
  ] [
fhir:code [ fhir:v "524010" ] ;
fhir:display [ fhir:v "Thyroid Uptake" ]
  ] [
fhir:code [ fhir:v "716006" ] ;
fhir:display [ fhir:v "Partial Denture 4-7 Teeth" ]
  ] [
fhir:code [ fhir:v "704024" ] ;
fhir:display [ fhir:v "Cyst Operation" ]
  ] [
fhir:code [ fhir:v "704022" ] ;
fhir:display [ fhir:v "Suturing - Large Area" ]
  ] [
fhir:code [ fhir:v "704020" ] ;
fhir:display [ fhir:v "Suturing - Small Area (2-3 Sutures)" ]
  ] [
fhir:code [ fhir:v "500028" ] ;
fhir:display [ fhir:v "Osmolarity, Serum / Urine" ]
  ] [
fhir:code [ fhir:v "U88162" ] ;
fhir:display [ fhir:v "Cytology ( Fine Needle Aspiration )" ]
  ] [
fhir:code [ fhir:v "T74150" ] ;
fhir:display [ fhir:v "CT Scan Abdomen" ]
  ] [
fhir:code [ fhir:v "704028" ] ;
fhir:display [ fhir:v "Incision And Drainage Of Abscess - Extraoral" ]
  ] [
fhir:code [ fhir:v "704026" ] ;
fhir:display [ fhir:v "Incision And Drainage Of Abscess - Intraoral" ]
  ] [
fhir:code [ fhir:v "500034" ] ;
fhir:display [ fhir:v "Total Bilirubin" ]
  ] [
fhir:code [ fhir:v "500032" ] ;
fhir:display [ fhir:v "Albumin/Globumin Ratio" ]
  ] [
fhir:code [ fhir:v "500038" ] ;
fhir:display [ fhir:v "Direct Bilirubin" ]
  ] [
fhir:code [ fhir:v "500036" ] ;
fhir:display [ fhir:v "Total Biliburin, Neonatal" ]
  ] [
fhir:code [ fhir:v "500030" ] ;
fhir:display [ fhir:v "Plasma Globumin" ]
  ] [
fhir:code [ fhir:v "650024B" ] ;
fhir:display [ fhir:v "Microcatheter" ]
  ] [
fhir:code [ fhir:v "650024C" ] ;
fhir:display [ fhir:v "Microguide Wire" ]
  ] [
fhir:code [ fhir:v "524020" ] ;
fhir:display [ fhir:v "Factor Viii" ]
  ] [
fhir:code [ fhir:v "704036" ] ;
fhir:display [ fhir:v "Pericoronal Flap Removal - Simple" ]
  ] [
fhir:code [ fhir:v "650028B" ] ;
fhir:display [ fhir:v "Microguide Wire" ]
  ] [
fhir:code [ fhir:v "810122" ] ;
fhir:display [ fhir:v "Plastic Surgery Of Throat" ]
  ] [
fhir:code [ fhir:v "704034" ] ;
fhir:display [ fhir:v "Closure Of Oro-Antral Fistula" ]
  ] [
fhir:code [ fhir:v "810124" ] ;
fhir:display [ fhir:v "Tumor Surgery Of Throat" ]
  ] [
fhir:code [ fhir:v "I30400" ] ;
fhir:display [ fhir:v "Rhinoplasty" ]
  ] [
fhir:code [ fhir:v "704032" ] ;
fhir:display [ fhir:v "Wiring Fractured Jaw - Complex" ]
  ] [
fhir:code [ fhir:v "U84560" ] ;
fhir:display [ fhir:v "Urine Uric Acid" ]
  ] [
fhir:code [ fhir:v "704070" ] ;
fhir:display [ fhir:v "Surgical Removal Of Suprenumerary Tooth" ]
  ] [
fhir:code [ fhir:v "850246" ] ;
fhir:display [ fhir:v "Diagnostic Laparascopy + Canalization Of Tube" ]
  ] [
fhir:code [ fhir:v "36-14.41" ] ;
fhir:display [ fhir:v "Scleral buckling with implant, f vitreous substitute" ]
  ] [
fhir:code [ fhir:v "U80198" ] ;
fhir:display [ fhir:v "Theophyline" ]
  ] [
fhir:code [ fhir:v "704088" ] ;
fhir:display [ fhir:v "Excision Of Hyperplastic Tissue (Per Arch)" ]
  ] [
fhir:code [ fhir:v "U80196" ] ;
fhir:display [ fhir:v "Acetylsalicylic Acid" ]
  ] [
fhir:code [ fhir:v "36-14.49" ] ;
fhir:display [ fhir:v "Scleral buckling with vitrectomy, membranectomy, ion" ]
  ] [
fhir:code [ fhir:v "640024" ] ;
fhir:display [ fhir:v "Ptca (Per.Tr.Coronory Angioplasty) - Dv + 2 Stents" ]
  ] [
fhir:code [ fhir:v "704086" ] ;
fhir:display [ fhir:v "Release Of Tounge Tie" ]
  ] [
fhir:code [ fhir:v "750230" ] ;
fhir:display [ fhir:v "Otoplasty - Ear Reshaping (Skincare)" ]
  ] [
fhir:code [ fhir:v "704084" ] ;
fhir:display [ fhir:v "Excision Of Bengin Tumour - Lesion Diameter Over 1 Cm" ]
  ] [
fhir:code [ fhir:v "303-56.92" ] ;
fhir:display [ fhir:v "Implantation, electronic uteral stimulator" ]
  ] [
fhir:code [ fhir:v "716050" ] ;
fhir:display [ fhir:v "Isosit Injection Moulded Denture" ]
  ] [
fhir:code [ fhir:v "218-78.37" ] ;
fhir:display [ fhir:v "Lengthening bone, tibia and fibula" ]
  ] [
fhir:code [ fhir:v "353-40.53" ] ;
fhir:display [ fhir:v "Excision, lymph node - iliac, radical" ]
  ] [
fhir:code [ fhir:v "353-40.52" ] ;
fhir:display [ fhir:v "Excision, lymph node - periaortic, radical" ]
  ] [
fhir:code [ fhir:v "500008" ] ;
fhir:display [ fhir:v "Glucose Tolerance Test" ]
  ] [
fhir:code [ fhir:v "173030" ] ;
fhir:display [ fhir:v "Activated Clotting Time" ]
  ] [
fhir:code [ fhir:v "500006" ] ;
fhir:display [ fhir:v "Glucose (Serum) 2Hpp" ]
  ] [
fhir:code [ fhir:v "300228" ] ;
fhir:display [ fhir:v "Chest Pa / Erect" ]
  ] [
fhir:code [ fhir:v "650474" ] ;
fhir:display [ fhir:v "Microscopic Brain Excision Of Epileptic Focus" ]
  ] [
fhir:code [ fhir:v "353-40.54" ] ;
fhir:display [ fhir:v "Dissection, groin, radical" ]
  ] [
fhir:code [ fhir:v "716058" ] ;
fhir:display [ fhir:v "Denture - Complere Lower (Acrylic)" ]
  ] [
fhir:code [ fhir:v "1099700" ] ;
fhir:display [ fhir:v "Ang cor1ca 107-88.55 Angiocardiogram- coronary, 1 catheter" ]
  ] [
fhir:code [ fhir:v "500012" ] ;
fhir:display [ fhir:v "Bun" ]
  ] [
fhir:code [ fhir:v "640062" ] ;
fhir:display [ fhir:v "E.T.Suction" ]
  ] [
fhir:code [ fhir:v "640064" ] ;
fhir:display [ fhir:v "Infusion Syringe Pump" ]
  ] [
fhir:code [ fhir:v "304036" ] ;
fhir:display [ fhir:v "Colour Doppler Sonography Brain(Through Fontanell)" ]
  ] [
fhir:code [ fhir:v "108-35.60" ] ;
fhir:display [ fhir:v "Repair, septa, atrial, ventricular, with tissue graft" ]
  ] [
fhir:code [ fhir:v "800146" ] ;
fhir:display [ fhir:v "Unilat. Ptosis Repair+Fresh" ]
  ] [
fhir:code [ fhir:v "810218" ] ;
fhir:display [ fhir:v "Endolymphatic Shunt" ]
  ] [
fhir:code [ fhir:v "716056" ] ;
fhir:display [ fhir:v "Denture - Complete Upper (Acrylic)" ]
  ] [
fhir:code [ fhir:v "650472" ] ;
fhir:display [ fhir:v "Ct Guided Aspiration Of Intra-Cerebral" ]
  ] [
fhir:code [ fhir:v "518126" ] ;
fhir:display [ fhir:v "Fructose Test" ]
  ] [
fhir:code [ fhir:v "500010" ] ;
fhir:display [ fhir:v "Glucose ( Glucometer) Test" ]
  ] [
fhir:code [ fhir:v "304034" ] ;
fhir:display [ fhir:v "Colour Doppler Sonography Testicular W/Out Doppler - T" ]
  ] [
fhir:code [ fhir:v "800144" ] ;
fhir:display [ fhir:v "Bilateral Sim. Ptosis Repair" ]
  ] [
fhir:code [ fhir:v "716054" ] ;
fhir:display [ fhir:v "Tissue Conditioning Material" ]
  ] [
fhir:code [ fhir:v "I30300" ] ;
fhir:display [ fhir:v "Removal of foreign body- Nose" ]
  ] [
fhir:code [ fhir:v "191-50.40" ] ;
fhir:display [ fhir:v "Hepatectomy, total" ]
  ] [
fhir:code [ fhir:v "500016" ] ;
fhir:display [ fhir:v "Creatinine, Serum" ]
  ] [
fhir:code [ fhir:v "300192" ] ;
fhir:display [ fhir:v "Forearm (Ulna/Radius) 2 Views" ]
  ] [
fhir:code [ fhir:v "716052" ] ;
fhir:display [ fhir:v "Refixing Tooth In Denture Or Hairline Cracks" ]
  ] [
fhir:code [ fhir:v "800148" ] ;
fhir:display [ fhir:v "Bil. Ptosis Repair+Fresh Fasc." ]
  ] [
fhir:code [ fhir:v "518128" ] ;
fhir:display [ fhir:v "Mast (Allergy Screen)" ]
  ] [
fhir:code [ fhir:v "300190" ] ;
fhir:display [ fhir:v "Forearm (Ulna/Radius) 1 View" ]
  ] [
fhir:code [ fhir:v "518122" ] ;
fhir:display [ fhir:v "Prostate Specific Antigen" ]
  ] [
fhir:code [ fhir:v "300196" ] ;
fhir:display [ fhir:v "Scaphoid - 1 View" ]
  ] [
fhir:code [ fhir:v "460218" ] ;
fhir:display [ fhir:v "Sinsus Puncture" ]
  ] [
fhir:code [ fhir:v "518124" ] ;
fhir:display [ fhir:v "Lithium" ]
  ] [
fhir:code [ fhir:v "D68520" ] ;
fhir:display [ fhir:v "Dacryocystectomy" ]
  ] [
fhir:code [ fhir:v "710020" ] ;
fhir:display [ fhir:v "Follow-Up (Period)" ]
  ] [
fhir:code [ fhir:v "710024" ] ;
fhir:display [ fhir:v "Flap Operation" ]
  ] [
fhir:code [ fhir:v "460216" ] ;
fhir:display [ fhir:v "Cryoturbinectomy" ]
  ] [
fhir:code [ fhir:v "U86430" ] ;
fhir:display [ fhir:v "Rheumatoid Factor" ]
  ] [
fhir:code [ fhir:v "130504" ] ;
fhir:display [ fhir:v "Occupational Therapy (One Part)" ]
  ] [
fhir:code [ fhir:v "460210" ] ;
fhir:display [ fhir:v "Foreign Body Removal" ]
  ] [
fhir:code [ fhir:v "130502" ] ;
fhir:display [ fhir:v "Occupational Therapy (More Than One Part)" ]
  ] [
fhir:code [ fhir:v "M15780" ] ;
fhir:display [ fhir:v "Dermabrasion Face" ]
  ] [
fhir:code [ fhir:v "460214" ] ;
fhir:display [ fhir:v "Electrical Cautry" ]
  ] [
fhir:code [ fhir:v "130506" ] ;
fhir:display [ fhir:v "Occupational Therapy & Physiotherapy (One Sitting)" ]
  ] [
fhir:code [ fhir:v "460212" ] ;
fhir:display [ fhir:v "Chemical Cautry" ]
  ] [
fhir:code [ fhir:v "T73620" ] ;
fhir:display [ fhir:v "Foot Oscalcis - 2 Views" ]
  ] [
fhir:code [ fhir:v "N97116" ] ;
fhir:display [ fhir:v "GAIT training" ]
  ] [
fhir:code [ fhir:v "106002" ] ;
fhir:display [ fhir:v "Ambulance Fee Less Than 50 Kms" ]
  ] [
fhir:code [ fhir:v "H91105" ] ;
fhir:display [ fhir:v "Gastric Lavage" ]
  ] [
fhir:code [ fhir:v "460228" ] ;
fhir:display [ fhir:v "Somnoplasty Turbinate - Clinic" ]
  ] [
fhir:code [ fhir:v "825190" ] ;
fhir:display [ fhir:v "Repair Of Ureteral Injuries" ]
  ] [
fhir:code [ fhir:v "810126" ] ;
fhir:display [ fhir:v "Tracheostomy" ]
  ] [
fhir:code [ fhir:v "106006" ] ;
fhir:display [ fhir:v "Ambulance Fee More Than 100 Kms Less Than 250 Kms" ]
  ] [
fhir:code [ fhir:v "825192" ] ;
fhir:display [ fhir:v "Retropubic Prostatectomy" ]
  ] [
fhir:code [ fhir:v "106004" ] ;
fhir:display [ fhir:v "Ambulance Fee More Than 50 Kms Less Than 100 Kms" ]
  ] [
fhir:code [ fhir:v "460222" ] ;
fhir:display [ fhir:v "Epistaxis Nasal Pack" ]
  ] [
fhir:code [ fhir:v "I69405" ] ;
fhir:display [ fhir:v "Eustachian Catheterization" ]
  ] [
fhir:code [ fhir:v "825274" ] ;
fhir:display [ fhir:v "Trans Obturator Tape Insertion" ]
  ] [
fhir:code [ fhir:v "110-37.24" ] ;
fhir:display [ fhir:v "Biopsy, pericardium" ]
  ] [
fhir:code [ fhir:v "825278" ] ;
fhir:display [ fhir:v "Trans Vaginal Tape Insertion (Tot)" ]
  ] [
fhir:code [ fhir:v "518108" ] ;
fhir:display [ fhir:v "Trop T." ]
  ] [
fhir:code [ fhir:v "U84590" ] ;
fhir:display [ fhir:v "Vitamin A (Retinol)" ]
  ] [
fhir:code [ fhir:v "518106" ] ;
fhir:display [ fhir:v "Microalbuminuria" ]
  ] [
fhir:code [ fhir:v "104-35.20" ] ;
fhir:display [ fhir:v "Replacement,heart valve" ]
  ] [
fhir:code [ fhir:v "U84585" ] ;
fhir:display [ fhir:v "Vanillyl Mandelic Acid (NMA, Urine)" ]
  ] [
fhir:code [ fhir:v "110-37.31" ] ;
fhir:display [ fhir:v "Pericardiectomy" ]
  ] [
fhir:code [ fhir:v "104-35.33" ] ;
fhir:display [ fhir:v "Annulopasty" ]
  ] [
fhir:code [ fhir:v "110-37.40" ] ;
fhir:display [ fhir:v "Repair, heart and pericardium" ]
  ] [
fhir:code [ fhir:v "U84578" ] ;
fhir:display [ fhir:v "Urine Urobilinogen" ]
  ] [
fhir:code [ fhir:v "40-14.60" ] ;
fhir:display [ fhir:v "Removal of surgically implanted material from posterior, separate procedure)" ]
  ] [
fhir:code [ fhir:v "U85060" ] ;
fhir:display [ fhir:v "Peripheral Smear" ]
  ] [
fhir:code [ fhir:v "304072" ] ;
fhir:display [ fhir:v "Colour Doppler Femoral Artery (Unilateral)" ]
  ] [
fhir:code [ fhir:v "T76856" ] ;
fhir:display [ fhir:v "Ultra Sound - Pelvis" ]
  ] [
fhir:code [ fhir:v "304070" ] ;
fhir:display [ fhir:v "Colour Doppler Brachial Artery (Bilateral)" ]
  ] [
fhir:code [ fhir:v "304076" ] ;
fhir:display [ fhir:v "Colour Doppler Peripheral Veins (One Limb)" ]
  ] [
fhir:code [ fhir:v "304074" ] ;
fhir:display [ fhir:v "Colour Doppler Femoral Artery (Bilateral)" ]
  ] [
fhir:code [ fhir:v "K56740" ] ;
fhir:display [ fhir:v "Excision of Bartholin Cyst" ]
  ] [
fhir:code [ fhir:v "304078" ] ;
fhir:display [ fhir:v "Colour Doppler Peripheral Veins (Two Limbs)" ]
  ] [
fhir:code [ fhir:v "840004" ] ;
fhir:display [ fhir:v "Closed Reduction Of Dislocation And P.O.P" ]
  ] [
fhir:code [ fhir:v "840002" ] ;
fhir:display [ fhir:v "Excision Of Ganglion" ]
  ] [
fhir:code [ fhir:v "115-37.85" ] ;
fhir:display [ fhir:v "Replacement any type pacemaker,single chamber device" ]
  ] [
fhir:code [ fhir:v "840008" ] ;
fhir:display [ fhir:v "Tendon Release Of Wrist" ]
  ] [
fhir:code [ fhir:v "115-37.83" ] ;
fhir:display [ fhir:v "Insertion dual chamber device, initial" ]
  ] [
fhir:code [ fhir:v "840006" ] ;
fhir:display [ fhir:v "Tendon Release Of Fingers" ]
  ] [
fhir:code [ fhir:v "115-37.82" ] ;
fhir:display [ fhir:v "Insertion, single chamber device, initial rate responsive" ]
  ] [
fhir:code [ fhir:v "115-37.80" ] ;
fhir:display [ fhir:v "Insertion, permanent pacemaker, initial" ]
  ] [
fhir:code [ fhir:v "U85048" ] ;
fhir:display [ fhir:v "White Blood Cell Count Only" ]
  ] [
fhir:code [ fhir:v "F54640" ] ;
fhir:display [ fhir:v "Orchipexy, bilateral" ]
  ] [
fhir:code [ fhir:v "840012" ] ;
fhir:display [ fhir:v "Closed Reduction Of Fracture Dislocation" ]
  ] [
fhir:code [ fhir:v "115-37.87" ] ;
fhir:display [ fhir:v "Replacement any type pacemaker,dual chamber device" ]
  ] [
fhir:code [ fhir:v "840018" ] ;
fhir:display [ fhir:v "Closed Fracture Small Bones Of Hand Or Foot" ]
  ] [
fhir:code [ fhir:v "840016" ] ;
fhir:display [ fhir:v "Menisectomy Or Excisin Of Cyst Of The Knee Joint" ]
  ] [
fhir:code [ fhir:v "E40701" ] ;
fhir:display [ fhir:v "Repair cleft lip" ]
  ] [
fhir:code [ fhir:v "800836" ] ;
fhir:display [ fhir:v "Ch- Draniage ( Outside Hospital)" ]
  ] [
fhir:code [ fhir:v "800834" ] ;
fhir:display [ fhir:v "Ch-Drainage ( Inside Hospita )" ]
  ] [
fhir:code [ fhir:v "117-37.74" ] ;
fhir:display [ fhir:v "Insertion or replacement epicardial pacemaker, -37.74" ]
  ] [
fhir:code [ fhir:v "117-37.75" ] ;
fhir:display [ fhir:v "Revision,pacemaker lead,electrode" ]
  ] [
fhir:code [ fhir:v "117-37.76" ] ;
fhir:display [ fhir:v "Replacement,transvenous atrial/ventr pacemaker lead" ]
  ] [
fhir:code [ fhir:v "800838" ] ;
fhir:display [ fhir:v "Graft Replacment (Inhospital)" ]
  ] [
fhir:code [ fhir:v "117-37.77" ] ;
fhir:display [ fhir:v "Removal ,pacemaker leads/electrodes w/o replacement" ]
  ] [
fhir:code [ fhir:v "304050" ] ;
fhir:display [ fhir:v "Colour Doppler Renal Artery" ]
  ] [
fhir:code [ fhir:v "202102" ] ;
fhir:display [ fhir:v "Disposables I.C.U." ]
  ] [
fhir:code [ fhir:v "800840" ] ;
fhir:display [ fhir:v "Balloon Dacyoplasty" ]
  ] [
fhir:code [ fhir:v "U82803" ] ;
fhir:display [ fhir:v "U82803 Blood Gases" ]
  ] [
fhir:code [ fhir:v "304054" ] ;
fhir:display [ fhir:v "Colour Doppler Portal System" ]
  ] [
fhir:code [ fhir:v "800844" ] ;
fhir:display [ fhir:v "Collagen Plug" ]
  ] [
fhir:code [ fhir:v "T76830" ] ;
fhir:display [ fhir:v "Ultra Sound - Transvaginal" ]
  ] [
fhir:code [ fhir:v "304052" ] ;
fhir:display [ fhir:v "Colour Doppler Hepatic Artery" ]
  ] [
fhir:code [ fhir:v "800842" ] ;
fhir:display [ fhir:v "Amniotic Membrane Graft" ]
  ] [
fhir:code [ fhir:v "304058" ] ;
fhir:display [ fhir:v "Colour Doppler Iliac Vessels" ]
  ] [
fhir:code [ fhir:v "840022" ] ;
fhir:display [ fhir:v "Reconstruction Of Amputated Finger W/O Grafting" ]
  ] [
fhir:code [ fhir:v "304056" ] ;
fhir:display [ fhir:v "Colour Doppler Aortic" ]
  ] [
fhir:code [ fhir:v "840020" ] ;
fhir:display [ fhir:v "Pop To Simple Fracture Without Displacement" ]
  ] [
fhir:code [ fhir:v "840026" ] ;
fhir:display [ fhir:v "Correction Of Hallux Valgus" ]
  ] [
fhir:code [ fhir:v "840024" ] ;
fhir:display [ fhir:v "Closed Reduction Of Dislocated Phalanges" ]
  ] [
fhir:code [ fhir:v "840028" ] ;
fhir:display [ fhir:v "Arthrodesis Of The Big Toe" ]
  ] [
fhir:code [ fhir:v "117-37.89" ] ;
fhir:display [ fhir:v "Revision or removal pacemaker device" ]
  ] [
fhir:code [ fhir:v "800848" ] ;
fhir:display [ fhir:v "Anterior Chamber Reformation Post Operative (Inside Hospital)" ]
  ] [
fhir:code [ fhir:v "202108" ] ;
fhir:display [ fhir:v "Cardiac Care Unit (Ccu)" ]
  ] [
fhir:code [ fhir:v "800846" ] ;
fhir:display [ fhir:v "Unilateral Punctural Occlusion" ]
  ] [
fhir:code [ fhir:v "202106" ] ;
fhir:display [ fhir:v "Disposables Nicu" ]
  ] [
fhir:code [ fhir:v "202104" ] ;
fhir:display [ fhir:v "Isolation Disposables Per Day" ]
  ] [
fhir:code [ fhir:v "800850" ] ;
fhir:display [ fhir:v "Anterior Chamber Reformation Post Operative (Outside Hospital)" ]
  ] [
fhir:code [ fhir:v "304060" ] ;
fhir:display [ fhir:v "Colour Doppler Testicular Artery" ]
  ] [
fhir:code [ fhir:v "304064" ] ;
fhir:display [ fhir:v "Colour Doppler Carotid Artery (Unilateral)" ]
  ] [
fhir:code [ fhir:v "202110" ] ;
fhir:display [ fhir:v "Pediatric Icu (Picu)" ]
  ] [
fhir:code [ fhir:v "T71134" ] ;
fhir:display [ fhir:v "Chest 4 Views with Fluroscopy" ]
  ] [
fhir:code [ fhir:v "304062" ] ;
fhir:display [ fhir:v "Colour Doppler Veins (Varices)" ]
  ] [
fhir:code [ fhir:v "304068" ] ;
fhir:display [ fhir:v "Colour Doppler Brachial Artery (Unilateral)" ]
  ] [
fhir:code [ fhir:v "840030" ] ;
fhir:display [ fhir:v "Pop For Correction Of Foot Deformity" ]
  ] [
fhir:code [ fhir:v "304066" ] ;
fhir:display [ fhir:v "Colour Doppler Carotid Artery (Bilateral)" ]
  ] [
fhir:code [ fhir:v "840036" ] ;
fhir:display [ fhir:v "Fracture Of Coles" ]
  ] [
fhir:code [ fhir:v "840034" ] ;
fhir:display [ fhir:v "Excision Of Olecranon Bursa" ]
  ] [
fhir:code [ fhir:v "U85260" ] ;
fhir:display [ fhir:v "Factor 10" ]
  ] [
fhir:code [ fhir:v "L90871" ] ;
fhir:display [ fhir:v "Electro convulsive therapy (ECT) multiple seizures" ]
  ] [
fhir:code [ fhir:v "U86592" ] ;
fhir:display [ fhir:v "VDRL/RPR" ]
  ] [
fhir:code [ fhir:v "U86593" ] ;
fhir:display [ fhir:v "RPR TITER" ]
  ] [
fhir:code [ fhir:v "208062" ] ;
fhir:display [ fhir:v "Narrow Band Nb-Uvb" ]
  ] [
fhir:code [ fhir:v "137216" ] ;
fhir:display [ fhir:v "Self Assessment Scale" ]
  ] [
fhir:code [ fhir:v "704134" ] ;
fhir:display [ fhir:v "Reduction Of Complicated Middle/Upper Face Fracture" ]
  ] [
fhir:code [ fhir:v "G24130" ] ;
fhir:display [ fhir:v "Excision of radial head" ]
  ] [
fhir:code [ fhir:v "652004" ] ;
fhir:display [ fhir:v "Cabg & Tissue Aortic Valve Replacement" ]
  ] [
fhir:code [ fhir:v "137218" ] ;
fhir:display [ fhir:v "Eating Disorder Scale" ]
  ] [
fhir:code [ fhir:v "L90870" ] ;
fhir:display [ fhir:v "Electro Convulsive Therapy (ECT) Single seizure" ]
  ] [
fhir:code [ fhir:v "201-39.26" ] ;
fhir:display [ fhir:v "Bypass, vascular, intra-abdominal" ]
  ] [
fhir:code [ fhir:v "652006" ] ;
fhir:display [ fhir:v "Cabg & Mechanical Aortic Valve" ]
  ] [
fhir:code [ fhir:v "825202" ] ;
fhir:display [ fhir:v "Turp" ]
  ] [
fhir:code [ fhir:v "518006" ] ;
fhir:display [ fhir:v "Progesterone" ]
  ] [
fhir:code [ fhir:v "825204" ] ;
fhir:display [ fhir:v "Ureteroscope" ]
  ] [
fhir:code [ fhir:v "U86674" ] ;
fhir:display [ fhir:v "Giardia Lamblia ABS." ]
  ] [
fhir:code [ fhir:v "112-35.96" ] ;
fhir:display [ fhir:v "Valvuloplasty, percutaneous" ]
  ] [
fhir:code [ fhir:v "518008" ] ;
fhir:display [ fhir:v "Pregnandiol" ]
  ] [
fhir:code [ fhir:v "825208" ] ;
fhir:display [ fhir:v "Boari Flap" ]
  ] [
fhir:code [ fhir:v "L90875" ] ;
fhir:display [ fhir:v "Bio Feedback Therapy" ]
  ] [
fhir:code [ fhir:v "137222" ] ;
fhir:display [ fhir:v "Anorexia Nervosa Scale" ]
  ] [
fhir:code [ fhir:v "H85095" ] ;
fhir:display [ fhir:v "Bone Marrow - Aspiration" ]
  ] [
fhir:code [ fhir:v "137224" ] ;
fhir:display [ fhir:v "Bender Gestalat Scale" ]
  ] [
fhir:code [ fhir:v "U84600" ] ;
fhir:display [ fhir:v "Alcohol Isopropanol" ]
  ] [
fhir:code [ fhir:v "173028" ] ;
fhir:display [ fhir:v "Sodium Profiling" ]
  ] [
fhir:code [ fhir:v "825200" ] ;
fhir:display [ fhir:v "Tuna" ]
  ] [
fhir:code [ fhir:v "U86622" ] ;
fhir:display [ fhir:v "Brucella Agglutination Test" ]
  ] [
fhir:code [ fhir:v "173024" ] ;
fhir:display [ fhir:v "Surgical Revision Of Fistula" ]
  ] [
fhir:code [ fhir:v "300230" ] ;
fhir:display [ fhir:v "Chest Ap / Supine" ]
  ] [
fhir:code [ fhir:v "173026" ] ;
fhir:display [ fhir:v "Bone Biopsy" ]
  ] [
fhir:code [ fhir:v "173020" ] ;
fhir:display [ fhir:v "Creation Of A V Fistula" ]
  ] [
fhir:code [ fhir:v "300234" ] ;
fhir:display [ fhir:v "Chest Lat. Decubitus" ]
  ] [
fhir:code [ fhir:v "173022" ] ;
fhir:display [ fhir:v "Insertion Of Central Vascular Catheter(Femoral/Subclavian/Jugular)" ]
  ] [
fhir:code [ fhir:v "U84490" ] ;
fhir:display [ fhir:v "Stool for Trypsin Activity" ]
  ] [
fhir:code [ fhir:v "300232" ] ;
fhir:display [ fhir:v "Chest. Lat. View" ]
  ] [
fhir:code [ fhir:v "I69200" ] ;
fhir:display [ fhir:v "Removal FB Impacted Ear" ]
  ] [
fhir:code [ fhir:v "128022" ] ;
fhir:display [ fhir:v "Spoon Plate 6 Holes Each" ]
  ] [
fhir:code [ fhir:v "300238" ] ;
fhir:display [ fhir:v "Ribs Ap" ]
  ] [
fhir:code [ fhir:v "704030" ] ;
fhir:display [ fhir:v "Wiring Fractured Jaw - Simple" ]
  ] [
fhir:code [ fhir:v "128024" ] ;
fhir:display [ fhir:v "Cancelleus Bone Screws" ]
  ] [
fhir:code [ fhir:v "300236" ] ;
fhir:display [ fhir:v "Chest Pa / Lat. View" ]
  ] [
fhir:code [ fhir:v "T76090" ] ;
fhir:display [ fhir:v "Mamography ( 1 Breast )" ]
  ] [
fhir:code [ fhir:v "128026" ] ;
fhir:display [ fhir:v "Cortex Bone Screws" ]
  ] [
fhir:code [ fhir:v "K56810" ] ;
fhir:display [ fhir:v "Perineoplasty" ]
  ] [
fhir:code [ fhir:v "128028" ] ;
fhir:display [ fhir:v "Malleable Bone Screws" ]
  ] [
fhir:code [ fhir:v "173018" ] ;
fhir:display [ fhir:v "Plasma Pheresis / Exchange Per Session" ]
  ] [
fhir:code [ fhir:v "P-211" ] ;
fhir:display [ fhir:v "Stapedectomy" ]
  ] [
fhir:code [ fhir:v "300240" ] ;
fhir:display [ fhir:v "Ribs Ap / Oblique" ]
  ] [
fhir:code [ fhir:v "P-212" ] ;
fhir:display [ fhir:v "P-212 Adenoidectomy" ]
  ] [
fhir:code [ fhir:v "173014" ] ;
fhir:display [ fhir:v "Haemodiafilteration 4 To 12 Hours - Per Session" ]
  ] [
fhir:code [ fhir:v "T70360" ] ;
fhir:display [ fhir:v "NECK - Soft Tissue" ]
  ] [
fhir:code [ fhir:v "U83586" ] ;
fhir:display [ fhir:v "17-Ketosteroids" ]
  ] [
fhir:code [ fhir:v "128020" ] ;
fhir:display [ fhir:v "Broad Dynamic Comp Plate 14 Holes Each" ]
  ] [
fhir:code [ fhir:v "173016" ] ;
fhir:display [ fhir:v "Continous Arteriovenous Haemofiltration 12 To 24 Hours Per Session" ]
  ] [
fhir:code [ fhir:v "U86615" ] ;
fhir:display [ fhir:v "Pertussis Bordetella" ]
  ] [
fhir:code [ fhir:v "300244" ] ;
fhir:display [ fhir:v "Shoulder Ap / Lat." ]
  ] [
fhir:code [ fhir:v "173010" ] ;
fhir:display [ fhir:v "Permicath" ]
  ] [
fhir:code [ fhir:v "300242" ] ;
fhir:display [ fhir:v "Shoulder Ap" ]
  ] [
fhir:code [ fhir:v "173012" ] ;
fhir:display [ fhir:v "Subclavian Double Lumen" ]
  ] [
fhir:code [ fhir:v "300204" ] ;
fhir:display [ fhir:v "Skeletal Survey" ]
  ] [
fhir:code [ fhir:v "173050" ] ;
fhir:display [ fhir:v "Acid Concentrate ( Litre)" ]
  ] [
fhir:code [ fhir:v "300202" ] ;
fhir:display [ fhir:v "Pattela - 1 View" ]
  ] [
fhir:code [ fhir:v "T76080" ] ;
fhir:display [ fhir:v "Fistulogram/Sinogram" ]
  ] [
fhir:code [ fhir:v "173052" ] ;
fhir:display [ fhir:v "Insertion Of Perma Cath Tunnel Line" ]
  ] [
fhir:code [ fhir:v "300208" ] ;
fhir:display [ fhir:v "Mcu (Along With Ivp)" ]
  ] [
fhir:code [ fhir:v "300206" ] ;
fhir:display [ fhir:v "Intra-Operative Choloangiogram (I.O.C)" ]
  ] [
fhir:code [ fhir:v "212002" ] ;
fhir:display [ fhir:v "Operation Fine Major - Doctor Fees" ]
  ] [
fhir:code [ fhir:v "300207" ] ;
fhir:display [ fhir:v "Mcu (Micuratug Urethrogram)" ]
  ] [
fhir:code [ fhir:v "506008" ] ;
fhir:display [ fhir:v "T.B.Culture" ]
  ] [
fhir:code [ fhir:v "K56800" ] ;
fhir:display [ fhir:v "Plastic Repair of Introitus" ]
  ] [
fhir:code [ fhir:v "506006" ] ;
fhir:display [ fhir:v "Anaerobic Culture" ]
  ] [
fhir:code [ fhir:v "506004" ] ;
fhir:display [ fhir:v "Routine Culture, Mycology" ]
  ] [
fhir:code [ fhir:v "640066" ] ;
fhir:display [ fhir:v "Intubation" ]
  ] [
fhir:code [ fhir:v "810302" ] ;
fhir:display [ fhir:v "Thyroidectomy" ]
  ] [
fhir:code [ fhir:v "840038" ] ;
fhir:display [ fhir:v "Amputation Of Finger Or Toe" ]
  ] [
fhir:code [ fhir:v "640140" ] ;
fhir:display [ fhir:v "Mitral Balloon Valuloplasty" ]
  ] [
fhir:code [ fhir:v "49-25.30" ] ;
fhir:display [ fhir:v "Glossectomy - complete" ]
  ] [
fhir:code [ fhir:v "116-37.87" ] ;
fhir:display [ fhir:v "Replacement any type pacemaker,dual chamber device" ]
  ] [
fhir:code [ fhir:v "750112" ] ;
fhir:display [ fhir:v "Punch Graft - Medium Area (Skincare)" ]
  ] [
fhir:code [ fhir:v "304038" ] ;
fhir:display [ fhir:v "Colour Doppler Sonography Neck Lesions" ]
  ] [
fhir:code [ fhir:v "640142" ] ;
fhir:display [ fhir:v "Bronchial Artery Angiography" ]
  ] [
fhir:code [ fhir:v "K57250" ] ;
fhir:display [ fhir:v "Posterior Colporrhaphy & Repair Eectocele" ]
  ] [
fhir:code [ fhir:v "750110" ] ;
fhir:display [ fhir:v "Punch Graft - Small Area (Skincare)" ]
  ] [
fhir:code [ fhir:v "750086" ] ;
fhir:display [ fhir:v "Excision Of Mole - Large (Skincare)" ]
  ] [
fhir:code [ fhir:v "810232" ] ;
fhir:display [ fhir:v "Laser Ear Surgery" ]
  ] [
fhir:code [ fhir:v "110008" ] ;
fhir:display [ fhir:v "Wheel Chair - Rental (Per Day)" ]
  ] [
fhir:code [ fhir:v "750084" ] ;
fhir:display [ fhir:v "Excision Of Mole - Medium (Skincare)" ]
  ] [
fhir:code [ fhir:v "810234" ] ;
fhir:display [ fhir:v "Mastoid Abscess Drainage Under G.A." ]
  ] [
fhir:code [ fhir:v "110006" ] ;
fhir:display [ fhir:v "Wheel Chair - Deposit" ]
  ] [
fhir:code [ fhir:v "810236" ] ;
fhir:display [ fhir:v "Ear Foreign Body Removal Under G.A." ]
  ] [
fhir:code [ fhir:v "110004" ] ;
fhir:display [ fhir:v "Crutches - Rental (Per Day)" ]
  ] [
fhir:code [ fhir:v "750088" ] ;
fhir:display [ fhir:v "Comedon Extraction - Small Area (Skincare)" ]
  ] [
fhir:code [ fhir:v "810238" ] ;
fhir:display [ fhir:v "Suction Clearance Under G.A." ]
  ] [
fhir:code [ fhir:v "110002" ] ;
fhir:display [ fhir:v "Crutches Deposit" ]
  ] [
fhir:code [ fhir:v "202007" ] ;
fhir:display [ fhir:v "Semi-Suite Room Per Day" ]
  ] [
fhir:code [ fhir:v "750082" ] ;
fhir:display [ fhir:v "Excision Of Mole - Small (Skincare)" ]
  ] [
fhir:code [ fhir:v "202008" ] ;
fhir:display [ fhir:v "Paediatric Ward" ]
  ] [
fhir:code [ fhir:v "810230" ] ;
fhir:display [ fhir:v "Implantable Hearing Aid" ]
  ] [
fhir:code [ fhir:v "202006" ] ;
fhir:display [ fhir:v "Semi-Private Room Per Day" ]
  ] [
fhir:code [ fhir:v "202014" ] ;
fhir:display [ fhir:v "Special Nurse 24 Hours" ]
  ] [
fhir:code [ fhir:v "202012" ] ;
fhir:display [ fhir:v "Nursery" ]
  ] [
fhir:code [ fhir:v "202010" ] ;
fhir:display [ fhir:v "Infant Incubator" ]
  ] [
fhir:code [ fhir:v "304042" ] ;
fhir:display [ fhir:v "Colour Doppler Vaginal Ultrasound With Doppler Study" ]
  ] [
fhir:code [ fhir:v "304040" ] ;
fhir:display [ fhir:v "Colour Doppler Vaginal Ultrasound Exam W/Out Dopp.Study" ]
  ] [
fhir:code [ fhir:v "810228" ] ;
fhir:display [ fhir:v "Second Stage Of Two Stage Tympanoplasty" ]
  ] [
fhir:code [ fhir:v "110010" ] ;
fhir:display [ fhir:v "Walking Stick" ]
  ] [
fhir:code [ fhir:v "54-20.92" ] ;
fhir:display [ fhir:v "Revision, Mastoidectomy" ]
  ] [
fhir:code [ fhir:v "304044" ] ;
fhir:display [ fhir:v "Colour Doppler Pregnancy Umbilical Artery Placental Flow Ovarian & Uterian" ]
  ] [
fhir:code [ fhir:v "K57260" ] ;
fhir:display [ fhir:v "Combined Antero Posterior Colporraphy" ]
  ] [
fhir:code [ fhir:v "304008" ] ;
fhir:display [ fhir:v "Colour Doppler Hip Joint (Two)" ]
  ] [
fhir:code [ fhir:v "750050" ] ;
fhir:display [ fhir:v "Puva Per Session (Skincare)" ]
  ] [
fhir:code [ fhir:v "810202" ] ;
fhir:display [ fhir:v "Unilateral Myringatomy (G.A.)" ]
  ] [
fhir:code [ fhir:v "810204" ] ;
fhir:display [ fhir:v "Bilateral Myringatomy (G.A.)" ]
  ] [
fhir:code [ fhir:v "750054" ] ;
fhir:display [ fhir:v "Eye Brow Transplant (Skincare)" ]
  ] [
fhir:code [ fhir:v "D92260" ] ;
fhir:display [ fhir:v "Ophthalmodynametry" ]
  ] [
fhir:code [ fhir:v "202018" ] ;
fhir:display [ fhir:v "Isolation Room" ]
  ] [
fhir:code [ fhir:v "202016" ] ;
fhir:display [ fhir:v "Intensive Care Unit (Icu)" ]
  ] [
fhir:code [ fhir:v "202026" ] ;
fhir:display [ fhir:v "Head Box(Neo-Natal Care)" ]
  ] [
fhir:code [ fhir:v "U82725" ] ;
fhir:display [ fhir:v "Fatty Acids Nonesterified" ]
  ] [
fhir:code [ fhir:v "202024" ] ;
fhir:display [ fhir:v "Observation Room Er / Or Recovery More Than 6 Hour" ]
  ] [
fhir:code [ fhir:v "304010" ] ;
fhir:display [ fhir:v "Colour Doppler Knee Joint (One)" ]
  ] [
fhir:code [ fhir:v "U82728" ] ;
fhir:display [ fhir:v "Ferritin" ]
  ] [
fhir:code [ fhir:v "202022" ] ;
fhir:display [ fhir:v "Observation Room Er / Or Recovery Less Than 6 Hour" ]
  ] [
fhir:code [ fhir:v "202020" ] ;
fhir:display [ fhir:v "Guest Board & Lodging" ]
  ] [
fhir:code [ fhir:v "304014" ] ;
fhir:display [ fhir:v "Colour Doppler Wrist J - Carpal T (One)" ]
  ] [
fhir:code [ fhir:v "304012" ] ;
fhir:display [ fhir:v "Colour Doppler Knee Joint (Two)" ]
  ] [
fhir:code [ fhir:v "304018" ] ;
fhir:display [ fhir:v "Colour Doppler Muscles (One Limb)" ]
  ] [
fhir:code [ fhir:v "304016" ] ;
fhir:display [ fhir:v "Colour Doppler Wrist J - Carpal T (Two)" ]
  ] [
fhir:code [ fhir:v "750064" ] ;
fhir:display [ fhir:v "Trichogram (Skincare)" ]
  ] [
fhir:code [ fhir:v "214014" ] ;
fhir:display [ fhir:v "Operation Room Charges Simple" ]
  ] [
fhir:code [ fhir:v "810210" ] ;
fhir:display [ fhir:v "Myringoplasty" ]
  ] [
fhir:code [ fhir:v "750062" ] ;
fhir:display [ fhir:v "Skin Biopsy (Skincare)" ]
  ] [
fhir:code [ fhir:v "810212" ] ;
fhir:display [ fhir:v "Tympanoplasty + Mastoidectomy" ]
  ] [
fhir:code [ fhir:v "650478" ] ;
fhir:display [ fhir:v "Craniectomy, Brain Dissection & Haematoma Evaucation" ]
  ] [
fhir:code [ fhir:v "750068" ] ;
fhir:display [ fhir:v "Cryo Cautery - Multiple Lesion (Skincare)" ]
  ] [
fhir:code [ fhir:v "214010" ] ;
fhir:display [ fhir:v "Operation Room Charges Medium" ]
  ] [
fhir:code [ fhir:v "810214" ] ;
fhir:display [ fhir:v "Radical Mastoidectomy" ]
  ] [
fhir:code [ fhir:v "650476" ] ;
fhir:display [ fhir:v "Microscopic Total Suprasellar Tumour Excision Through Subfrontal Approach With F" ]
  ] [
fhir:code [ fhir:v "750066" ] ;
fhir:display [ fhir:v "Cryo Cautery - Few Lesion (Skincare)" ]
  ] [
fhir:code [ fhir:v "214012" ] ;
fhir:display [ fhir:v "Operation Room Charges Minor" ]
  ] [
fhir:code [ fhir:v "E60280" ] ;
fhir:display [ fhir:v "Thyro glossal cyst excision" ]
  ] [
fhir:code [ fhir:v "810216" ] ;
fhir:display [ fhir:v "Stapedectomy" ]
  ] [
fhir:code [ fhir:v "T76872" ] ;
fhir:display [ fhir:v "Ultra Sound Trans Rectal" ]
  ] [
fhir:code [ fhir:v "T76870" ] ;
fhir:display [ fhir:v "Ultra Sound - Scrotum and Content" ]
  ] [
fhir:code [ fhir:v "750060" ] ;
fhir:display [ fhir:v "Facial Cleansing Skin Care (Skincare)" ]
  ] [
fhir:code [ fhir:v "202034" ] ;
fhir:display [ fhir:v "Companion Charges With Child Per Day" ]
  ] [
fhir:code [ fhir:v "202032" ] ;
fhir:display [ fhir:v "Extra Lunch/Dinner Tray" ]
  ] [
fhir:code [ fhir:v "304020" ] ;
fhir:display [ fhir:v "Colour Doppler Muscles (Two Limbs)" ]
  ] [
fhir:code [ fhir:v "202030" ] ;
fhir:display [ fhir:v "Nursing Care Per Day" ]
  ] [
fhir:code [ fhir:v "810206" ] ;
fhir:display [ fhir:v "Unilateral Myringatomy & Grommet (G.A.)" ]
  ] [
fhir:code [ fhir:v "304024" ] ;
fhir:display [ fhir:v "Colour Doppler Tendons (Two)" ]
  ] [
fhir:code [ fhir:v "810208" ] ;
fhir:display [ fhir:v "Bilateral Myringatomy & Grommet (G.A.)" ]
  ] [
fhir:code [ fhir:v "304022" ] ;
fhir:display [ fhir:v "Colour Doppler Tendons (One)" ]
  ] [
fhir:code [ fhir:v "49-25.40" ] ;
fhir:display [ fhir:v "Glossectomy - radical" ]
  ] [
fhir:code [ fhir:v "304028" ] ;
fhir:display [ fhir:v "Colour Doppler Bones (Two Limbs)" ]
  ] [
fhir:code [ fhir:v "214006" ] ;
fhir:display [ fhir:v "Operation Room Charges Fine Major" ]
  ] [
fhir:code [ fhir:v "304026" ] ;
fhir:display [ fhir:v "Colour Doppler Bones (One Limb)" ]
  ] [
fhir:code [ fhir:v "214008" ] ;
fhir:display [ fhir:v "Operation Room Charges Major" ]
  ] [
fhir:code [ fhir:v "650038A" ] ;
fhir:display [ fhir:v "Each Additional : Coil" ]
  ] [
fhir:code [ fhir:v "650038B" ] ;
fhir:display [ fhir:v "Microcatheter" ]
  ] [
fhir:code [ fhir:v "650038C" ] ;
fhir:display [ fhir:v "Microguide Wire" ]
  ] [
fhir:code [ fhir:v "650268" ] ;
fhir:display [ fhir:v "Repair Of Scalp Injury Under General Anaesthesia" ]
  ] [
fhir:code [ fhir:v "650266" ] ;
fhir:display [ fhir:v "Excision Of Scalp Swelling Or Tumour" ]
  ] [
fhir:code [ fhir:v "526308" ] ;
fhir:display [ fhir:v "Phenol" ]
  ] [
fhir:code [ fhir:v "7-86.06" ] ;
fhir:display [ fhir:v "Insertion - infusion pump, totally implantable" ]
  ] [
fhir:code [ fhir:v "526312" ] ;
fhir:display [ fhir:v "Adrenal Cortex Abs" ]
  ] [
fhir:code [ fhir:v "526310" ] ;
fhir:display [ fhir:v "Ccp" ]
  ] [
fhir:code [ fhir:v "526316" ] ;
fhir:display [ fhir:v "C-1 Esterase Inhibitor" ]
  ] [
fhir:code [ fhir:v "526314" ] ;
fhir:display [ fhir:v "Anti Ccp Abs" ]
  ] [
fhir:code [ fhir:v "112002" ] ;
fhir:display [ fhir:v "Mortuary Rent Per Day" ]
  ] [
fhir:code [ fhir:v "650276" ] ;
fhir:display [ fhir:v "Repair Of Skull Fracture With Damaged Brain Tissue" ]
  ] [
fhir:code [ fhir:v "U82980" ] ;
fhir:display [ fhir:v "Glutethimide" ]
  ] [
fhir:code [ fhir:v "650274" ] ;
fhir:display [ fhir:v "Repair Of Compound Skull Fracture" ]
  ] [
fhir:code [ fhir:v "650272" ] ;
fhir:display [ fhir:v "Repair Of Simple Skull Fracture" ]
  ] [
fhir:code [ fhir:v "I30100" ] ;
fhir:display [ fhir:v "Nose, EUA, Biopsy" ]
  ] [
fhir:code [ fhir:v "650270" ] ;
fhir:display [ fhir:v "Excision Of Skull Vault Tumour" ]
  ] [
fhir:code [ fhir:v "650258" ] ;
fhir:display [ fhir:v "Craniotomy And Excision Of Clival Tumour" ]
  ] [
fhir:code [ fhir:v "650256" ] ;
fhir:display [ fhir:v "Craniotomy And Excision Of C P Angle Tumour" ]
  ] [
fhir:code [ fhir:v "526318" ] ;
fhir:display [ fhir:v "Aldolase" ]
  ] [
fhir:code [ fhir:v "U82977" ] ;
fhir:display [ fhir:v "GGT (Gamma G.T.)" ]
  ] [
fhir:code [ fhir:v "U82979" ] ;
fhir:display [ fhir:v "Glutathione Reductase" ]
  ] [
fhir:code [ fhir:v "650262" ] ;
fhir:display [ fhir:v "Craniotomy And Evacuation Of Acute Subdural Hematoma" ]
  ] [
fhir:code [ fhir:v "650036C" ] ;
fhir:display [ fhir:v "Microguide Wire" ]
  ] [
fhir:code [ fhir:v "500014" ] ;
fhir:display [ fhir:v "Ammonia" ]
  ] [
fhir:code [ fhir:v "303222" ] ;
fhir:display [ fhir:v "Ct Cardiac Angiography" ]
  ] [
fhir:code [ fhir:v "H47000" ] ;
fhir:display [ fhir:v "Liver Biopsy" ]
  ] [
fhir:code [ fhir:v "704082" ] ;
fhir:display [ fhir:v "Excision Of Bengin Tumour - Lesion Diameter Upto 1Cm" ]
  ] [
fhir:code [ fhir:v "704080" ] ;
fhir:display [ fhir:v "Bone Grafting (Synthetic / Pop)" ]
  ] [
fhir:code [ fhir:v "300194" ] ;
fhir:display [ fhir:v "T.Tube Cholanglogram" ]
  ] [
fhir:code [ fhir:v "800142" ] ;
fhir:display [ fhir:v "Exci. Of Lid Tum=Rec. Us Flao" ]
  ] [
fhir:code [ fhir:v "303226" ] ;
fhir:display [ fhir:v "Ct Virtual Colonography & Polyp Detection" ]
  ] [
fhir:code [ fhir:v "137024" ] ;
fhir:display [ fhir:v "Psychological Assessment- Category 2 - Personality" ]
  ] [
fhir:code [ fhir:v "303224" ] ;
fhir:display [ fhir:v "Ct Brain Perfusion Studies" ]
  ] [
fhir:code [ fhir:v "800140" ] ;
fhir:display [ fhir:v "Exci. Of Lid Tumour With Com. Re" ]
  ] [
fhir:code [ fhir:v "300198" ] ;
fhir:display [ fhir:v "Heel - 1 View" ]
  ] [
fhir:code [ fhir:v "1099699" ] ;
fhir:display [ fhir:v "Ang R&L-H 107-88.54 Angiocardiogram- right and & heart" ]
  ] [
fhir:code [ fhir:v "460220" ] ;
fhir:display [ fhir:v "Intra Nasal Mucosal Allergy T." ]
  ] [
fhir:code [ fhir:v "710022" ] ;
fhir:display [ fhir:v "Other Preventive Procedures: Per 15 Minutes" ]
  ] [
fhir:code [ fhir:v "I92553" ] ;
fhir:display [ fhir:v "Speech audiometry air & bone" ]
  ] [
fhir:code [ fhir:v "710028" ] ;
fhir:display [ fhir:v "Pit & Fissure Sealant - Per Tooth" ]
  ] [
fhir:code [ fhir:v "208064" ] ;
fhir:display [ fhir:v "Removal Of Skin Tag 1 To 3" ]
  ] [
fhir:code [ fhir:v "460226" ] ;
fhir:display [ fhir:v "Follow Up-Sinus Endoscopy (One Year )" ]
  ] [
fhir:code [ fhir:v "750030" ] ;
fhir:display [ fhir:v "Hair Transplantation (300-400) Graft (Skincare)" ]
  ] [
fhir:code [ fhir:v "460224" ] ;
fhir:display [ fhir:v "Follow Up Sinus Endoscopy (One Time)" ]
  ] [
fhir:code [ fhir:v "N97124" ] ;
fhir:display [ fhir:v "N97124 Massage Therapy" ]
  ] [
fhir:code [ fhir:v "T73610" ] ;
fhir:display [ fhir:v "Ankle - 3 Views" ]
  ] [
fhir:code [ fhir:v "T71250" ] ;
fhir:display [ fhir:v "CT Thorax without Contrast" ]
  ] [
fhir:code [ fhir:v "U82055" ] ;
fhir:display [ fhir:v "Alcohol, Ethyl" ]
  ] [
fhir:code [ fhir:v "825194" ] ;
fhir:display [ fhir:v "Simple Cystectomy" ]
  ] [
fhir:code [ fhir:v "825196" ] ;
fhir:display [ fhir:v "Simple Nephrectomy" ]
  ] [
fhir:code [ fhir:v "652008" ] ;
fhir:display [ fhir:v "Cabg & Tissue Mitral Valve" ]
  ] [
fhir:code [ fhir:v "825198" ] ;
fhir:display [ fhir:v "Transvesical Prostatectomy" ]
  ] [
fhir:code [ fhir:v "652010" ] ;
fhir:display [ fhir:v "Cabg & Mechanical Mitral Valve" ]
  ] [
fhir:code [ fhir:v "T73615" ] ;
fhir:display [ fhir:v "Ankle Arthrography" ]
  ] [
fhir:code [ fhir:v "840160" ] ;
fhir:display [ fhir:v "Amputations : Upper Limbs" ]
  ] [
fhir:code [ fhir:v "302008" ] ;
fhir:display [ fhir:v "Antenatal Scan" ]
  ] [
fhir:code [ fhir:v "652012" ] ;
fhir:display [ fhir:v "Cabg & Double Tissue Valve" ]
  ] [
fhir:code [ fhir:v "652014" ] ;
fhir:display [ fhir:v "Cabg & Double Mechanical Valve" ]
  ] [
fhir:code [ fhir:v "840164" ] ;
fhir:display [ fhir:v "Arthroclesis, Shoulder" ]
  ] [
fhir:code [ fhir:v "750226" ] ;
fhir:display [ fhir:v "Complete Cleft Lip (Skincare)" ]
  ] [
fhir:code [ fhir:v "518002" ] ;
fhir:display [ fhir:v "Estrogen" ]
  ] [
fhir:code [ fhir:v "640014" ] ;
fhir:display [ fhir:v "Ptca (Per.Tr.Coronory Angioplasty) - Dv" ]
  ] [
fhir:code [ fhir:v "840162" ] ;
fhir:display [ fhir:v "Arthrodesis 1 Big Joint – Hip, Knee (Subtalar:Ankle), Foot : Triple" ]
  ] [
fhir:code [ fhir:v "518004" ] ;
fhir:display [ fhir:v "Estradiol" ]
  ] [
fhir:code [ fhir:v "750224" ] ;
fhir:display [ fhir:v "In-Complete Cleft Lip (Skincare)" ]
  ] [
fhir:code [ fhir:v "506028" ] ;
fhir:display [ fhir:v "Haemoglobin H (For Alpha Thalassemia)" ]
  ] [
fhir:code [ fhir:v "137220" ] ;
fhir:display [ fhir:v "Bulimia Nervosa Scale" ]
  ] [
fhir:code [ fhir:v "506026" ] ;
fhir:display [ fhir:v "Food Testing For Coliforms" ]
  ] [
fhir:code [ fhir:v "506024" ] ;
fhir:display [ fhir:v "Water Testing: Routine Bacteriological Analysis" ]
  ] [
fhir:code [ fhir:v "U86664" ] ;
fhir:display [ fhir:v "Epstein BARR Nuclear AG." ]
  ] [
fhir:code [ fhir:v "506022" ] ;
fhir:display [ fhir:v "Skin Scrapping Microscopy For Herpes" ]
  ] [
fhir:code [ fhir:v "ICU" ] ;
fhir:display [ fhir:v "ICU Services Adult/Pediatric Incl cost Provide ICU Services, Adult/Pediatric (after 2 to 4 weeks of admission in ICU,if no active interventions patient will be converted to long term condition -definition will be applicable)\n* Medication above 350 SR per day as per SFDA price list, Blood & blood products, MRI, CT, ECHO, Doppler , CRRT , Surgical and endoscopic procedure are  an excluded services.\nTo get re-imbused for medication above the daily limit, submission must include a list of details medications as per SFDA codes and pricelist" ]
  ] [
fhir:code [ fhir:v "810128" ] ;
fhir:display [ fhir:v "Incision & Drainage Of Quinsy Under G.A." ]
  ] [
fhir:code [ fhir:v "G29830" ] ;
fhir:display [ fhir:v "Arthroscopy (Diagnostic) Elbow" ]
  ] [
fhir:code [ fhir:v "137226" ] ;
fhir:display [ fhir:v "A D H D Scale" ]
  ] [
fhir:code [ fhir:v "137228" ] ;
fhir:display [ fhir:v "Brief Psychotherapy 6 Sessions" ]
  ] [
fhir:code [ fhir:v "506020" ] ;
fhir:display [ fhir:v "Direct Fungal Wet Mount" ]
  ] [
fhir:code [ fhir:v "518150" ] ;
fhir:display [ fhir:v "Beta Hcg" ]
  ] [
fhir:code [ fhir:v "P-210" ] ;
fhir:display [ fhir:v "Tympanoplasty" ]
  ] [
fhir:code [ fhir:v "650028A" ] ;
fhir:display [ fhir:v "Each Additional: Microcatheter" ]
  ] [
fhir:code [ fhir:v "G29800" ] ;
fhir:display [ fhir:v "Arthroscopy (Diagnostic) TM joint" ]
  ] [
fhir:code [ fhir:v "704038" ] ;
fhir:display [ fhir:v "Pericoronal Flap Removal - Complex" ]
  ] [
fhir:code [ fhir:v "810120" ] ;
fhir:display [ fhir:v "Bronchoscopy" ]
  ] [
fhir:code [ fhir:v "T74710" ] ;
fhir:display [ fhir:v "Pelvimetry - 2 Views" ]
  ] [
fhir:code [ fhir:v "353-71.50" ] ;
fhir:display [ fhir:v "Vulvectomy, radical" ]
  ] [
fhir:code [ fhir:v "U86644" ] ;
fhir:display [ fhir:v "Cytomegalo Virus Screening-IGG" ]
  ] [
fhir:code [ fhir:v "156-42.84" ] ;
fhir:display [ fhir:v "Repair, fistula, esophageal, other" ]
  ] [
fhir:code [ fhir:v "156-42.85" ] ;
fhir:display [ fhir:v "Repair, esophageal, stricture" ]
  ] [
fhir:code [ fhir:v "173046" ] ;
fhir:display [ fhir:v "Dialyser" ]
  ] [
fhir:code [ fhir:v "640068" ] ;
fhir:display [ fhir:v "Intubasion - Elective" ]
  ] [
fhir:code [ fhir:v "506002" ] ;
fhir:display [ fhir:v "C & S (Culture & Sensitivity)" ]
  ] [
fhir:code [ fhir:v "U86645" ] ;
fhir:display [ fhir:v "Cytomegalo Virus Screening-IGM" ]
  ] [
fhir:code [ fhir:v "173048" ] ;
fhir:display [ fhir:v "Sodium Bicarbonate ( Litre)" ]
  ] [
fhir:code [ fhir:v "U86648" ] ;
fhir:display [ fhir:v "Diptheria Antitoxin" ]
  ] [
fhir:code [ fhir:v "800814" ] ;
fhir:display [ fhir:v "Gluocoma Cyclo Photo – Coagulation ( Cbc)" ]
  ] [
fhir:code [ fhir:v "173042" ] ;
fhir:display [ fhir:v "Permanent Peritoneal Cathetor" ]
  ] [
fhir:code [ fhir:v "173044" ] ;
fhir:display [ fhir:v "Acute Peritoneal Cathetor" ]
  ] [
fhir:code [ fhir:v "840100" ] ;
fhir:display [ fhir:v "Fracture Vetebrae" ]
  ] [
fhir:code [ fhir:v "800812" ] ;
fhir:display [ fhir:v "Conjunctival Revision (Inside Hospital)" ]
  ] [
fhir:code [ fhir:v "650260" ] ;
fhir:display [ fhir:v "Craniotomy And Excision Of Foramen Mangum Tumour" ]
  ] [
fhir:code [ fhir:v "840106" ] ;
fhir:display [ fhir:v "Removal K-Wires Without Incision Under G.A." ]
  ] [
fhir:code [ fhir:v "K57160" ] ;
fhir:display [ fhir:v "Insertion of Pessary" ]
  ] [
fhir:code [ fhir:v "T76070" ] ;
fhir:display [ fhir:v "CT Bone Density Study" ]
  ] [
fhir:code [ fhir:v "173040" ] ;
fhir:display [ fhir:v "Central Venous Pressure Monitoring" ]
  ] [
fhir:code [ fhir:v "840108" ] ;
fhir:display [ fhir:v "Application Of Hip Spica Muga + Uii" ]
  ] [
fhir:code [ fhir:v "1099698" ] ;
fhir:display [ fhir:v "Ang L-H 107-88.53 Angiocardiogram- left heart" ]
  ] [
fhir:code [ fhir:v "303228" ] ;
fhir:display [ fhir:v "Ct Virtual Bronchoscopy" ]
  ] [
fhir:code [ fhir:v "1099697" ] ;
fhir:display [ fhir:v "Ang R-H 107-88.52 Angiocardiogram- right heart" ]
  ] [
fhir:code [ fhir:v "1099696" ] ;
fhir:display [ fhir:v "Cath R&L-H 107-37.23 Catheterization cardiac, combined right and left heart" ]
  ] [
fhir:code [ fhir:v "650228" ] ;
fhir:display [ fhir:v "Endoscopy For The Management Of Hydrocephalus" ]
  ] [
fhir:code [ fhir:v "U86308" ] ;
fhir:display [ fhir:v "Monotest (Paul Bunnel Test)" ]
  ] [
fhir:code [ fhir:v "1099695" ] ;
fhir:display [ fhir:v "Cath L-H 107-37.22 Catheterization cardiac, left heart" ]
  ] [
fhir:code [ fhir:v "830072" ] ;
fhir:display [ fhir:v "Cervical Polypectomy" ]
  ] [
fhir:code [ fhir:v "1099694" ] ;
fhir:display [ fhir:v "Cath R-H 107-37.21 Catheterization cardiac, right heart" ]
  ] [
fhir:code [ fhir:v "650226" ] ;
fhir:display [ fhir:v "Ventriculo-Peritoneal Shunt Insertion" ]
  ] [
fhir:code [ fhir:v "L95881" ] ;
fhir:display [ fhir:v "Developmental testing" ]
  ] [
fhir:code [ fhir:v "830074" ] ;
fhir:display [ fhir:v "Oophrectomy" ]
  ] [
fhir:code [ fhir:v "650224" ] ;
fhir:display [ fhir:v "Brachial Plexus Repair" ]
  ] [
fhir:code [ fhir:v "750354" ] ;
fhir:display [ fhir:v "Erbium Laser - Single Treatment (Skincare)" ]
  ] [
fhir:code [ fhir:v "650222" ] ;
fhir:display [ fhir:v "Release Of Carpal Tunnel Syndrome" ]
  ] [
fhir:code [ fhir:v "208066" ] ;
fhir:display [ fhir:v "Removal Of Skin Tag 4 To 10" ]
  ] [
fhir:code [ fhir:v "704132" ] ;
fhir:display [ fhir:v "Reduction Of Simple / Middle Face Fractures + Plating" ]
  ] [
fhir:code [ fhir:v "L95883" ] ;
fhir:display [ fhir:v "Neuro Psychological Testing Battery" ]
  ] [
fhir:code [ fhir:v "750352" ] ;
fhir:display [ fhir:v "Laser Test (Skincare)" ]
  ] [
fhir:code [ fhir:v "K57288" ] ;
fhir:display [ fhir:v "Sling Operation" ]
  ] [
fhir:code [ fhir:v "208068" ] ;
fhir:display [ fhir:v "Removal Of Skin Tag More Than 10" ]
  ] [
fhir:code [ fhir:v "704130" ] ;
fhir:display [ fhir:v "Reduction Of Fractured Zygomatic Arch" ]
  ] [
fhir:code [ fhir:v "712080" ] ;
fhir:display [ fhir:v "Treatment Plan - C" ]
  ] [
fhir:code [ fhir:v "750034" ] ;
fhir:display [ fhir:v "Hair Transplantation (500-600) Graft (Skincare)" ]
  ] [
fhir:code [ fhir:v "140070" ] ;
fhir:display [ fhir:v "Ercp - With Placement Of Stent" ]
  ] [
fhir:code [ fhir:v "140072" ] ;
fhir:display [ fhir:v "Ercp - With Nasobilliary Drainage Tube" ]
  ] [
fhir:code [ fhir:v "140074" ] ;
fhir:display [ fhir:v "Ercp - With Mechanical Lithotripsy" ]
  ] [
fhir:code [ fhir:v "N97034" ] ;
fhir:display [ fhir:v "Contrast bath, each 15 minutes" ]
  ] [
fhir:code [ fhir:v "140066" ] ;
fhir:display [ fhir:v "Ercp - With Sphincterotomy With Or Without Removal Of Stone" ]
  ] [
fhir:code [ fhir:v "N97035" ] ;
fhir:display [ fhir:v "Ultrasound, each 15 minutes" ]
  ] [
fhir:code [ fhir:v "140068" ] ;
fhir:display [ fhir:v "Ercp - With Use Of Retrieval Ballon" ]
  ] [
fhir:code [ fhir:v "H94760" ] ;
fhir:display [ fhir:v "Pulse Oximetry" ]
  ] [
fhir:code [ fhir:v "712082" ] ;
fhir:display [ fhir:v "Treatment Plan - D" ]
  ] [
fhir:code [ fhir:v "712084" ] ;
fhir:display [ fhir:v "Treatment Plan - E" ]
  ] [
fhir:code [ fhir:v "U86588" ] ;
fhir:display [ fhir:v "Smart Test (Strep A)" ]
  ] [
fhir:code [ fhir:v "208060" ] ;
fhir:display [ fhir:v "Testicular Puncture" ]
  ] [
fhir:code [ fhir:v "E36450" ] ;
fhir:display [ fhir:v "Exchange transfusion" ]
  ] [
fhir:code [ fhir:v "750360" ] ;
fhir:display [ fhir:v "Erbium Laser - More Than Ten Pcs (Skincare)" ]
  ] [
fhir:code [ fhir:v "U85250" ] ;
fhir:display [ fhir:v "Factor 9" ]
  ] [
fhir:code [ fhir:v "750364" ] ;
fhir:display [ fhir:v "Dye Laser Per Session Medium Area 5-10 Cm (Skincare)" ]
  ] [
fhir:code [ fhir:v "WD9215" ] ;
fhir:display [ fhir:v "Local Anaesthesia" ]
  ] [
fhir:code [ fhir:v "750362" ] ;
fhir:display [ fhir:v "Dye Laser Per Session Small Area 2-5 Cm (Skincare)" ]
  ] [
fhir:code [ fhir:v "WD9210" ] ;
fhir:display [ fhir:v "Dental Anaesthesia w/o Surgery" ]
  ] [
fhir:code [ fhir:v "WD9211" ] ;
fhir:display [ fhir:v "Regional Block Anaesthesia" ]
  ] [
fhir:code [ fhir:v "712074" ] ;
fhir:display [ fhir:v "Space Retainer Removable - Follow Up" ]
  ] [
fhir:code [ fhir:v "712076" ] ;
fhir:display [ fhir:v "Treatment Plan - A" ]
  ] [
fhir:code [ fhir:v "T75710" ] ;
fhir:display [ fhir:v "Angiography - Extremity Unilateral" ]
  ] [
fhir:code [ fhir:v "712070" ] ;
fhir:display [ fhir:v "Space Retainer - Fixed" ]
  ] [
fhir:code [ fhir:v "712072" ] ;
fhir:display [ fhir:v "Space Retainer - Removable" ]
  ] [
fhir:code [ fhir:v "U85246" ] ;
fhir:display [ fhir:v "Factor 8 Associated AG." ]
  ] [
fhir:code [ fhir:v "750358" ] ;
fhir:display [ fhir:v "Erbium Laser - More Than Five Pcs (Skincare)" ]
  ] [
fhir:code [ fhir:v "U85245" ] ;
fhir:display [ fhir:v "Factor 8 Ristocetin Cofactor" ]
  ] [
fhir:code [ fhir:v "750356" ] ;
fhir:display [ fhir:v "Erbium Laser - Less Than Three Pcs (Skincare)" ]
  ] [
fhir:code [ fhir:v "712078" ] ;
fhir:display [ fhir:v "Treatment Plan - B" ]
  ] [
fhir:code [ fhir:v "T75716" ] ;
fhir:display [ fhir:v "Angiography - Extremity Bilateral" ]
  ] [
fhir:code [ fhir:v "750332" ] ;
fhir:display [ fhir:v "Liposuction Upper Back (Skincare)" ]
  ] [
fhir:code [ fhir:v "750330" ] ;
fhir:display [ fhir:v "Liposuction Lower Back (Skincare)" ]
  ] [
fhir:code [ fhir:v "U85280" ] ;
fhir:display [ fhir:v "Factor 12" ]
  ] [
fhir:code [ fhir:v "N97014" ] ;
fhir:display [ fhir:v "Electrical Stimulation (Unattended)" ]
  ] [
fhir:code [ fhir:v "N97012" ] ;
fhir:display [ fhir:v "Traction, Mechanical" ]
  ] [
fhir:code [ fhir:v "N97010" ] ;
fhir:display [ fhir:v "Application of modality to 1or more area;hot/cold pack" ]
  ] [
fhir:code [ fhir:v "U88305" ] ;
fhir:display [ fhir:v "Gross and Micro Exam Level IV" ]
  ] [
fhir:code [ fhir:v "750324" ] ;
fhir:display [ fhir:v "Liposuction Gynocomastia - Large (Skincare)" ]
  ] [
fhir:code [ fhir:v "U88304" ] ;
fhir:display [ fhir:v "Gross and Micro Exam Level III" ]
  ] [
fhir:code [ fhir:v "750322" ] ;
fhir:display [ fhir:v "Liposuction Gynocomastia - Medium (Skincare)" ]
  ] [
fhir:code [ fhir:v "N97018" ] ;
fhir:display [ fhir:v "Paraffin Bath" ]
  ] [
fhir:code [ fhir:v "750328" ] ;
fhir:display [ fhir:v "Liposuction Buttock (Skincare)" ]
  ] [
fhir:code [ fhir:v "U88309" ] ;
fhir:display [ fhir:v "Gross and Micro Exam Level VI" ]
  ] [
fhir:code [ fhir:v "N97016" ] ;
fhir:display [ fhir:v "Vasopneumatic Devices" ]
  ] [
fhir:code [ fhir:v "U88307" ] ;
fhir:display [ fhir:v "Gross and Micro Exam Level V" ]
  ] [
fhir:code [ fhir:v "750326" ] ;
fhir:display [ fhir:v "Liposuction Flanks (Skincare)" ]
  ] [
fhir:code [ fhir:v "U85270" ] ;
fhir:display [ fhir:v "Factor 11" ]
  ] [
fhir:code [ fhir:v "U88302" ] ;
fhir:display [ fhir:v "Gross and Micro Exam Level II" ]
  ] [
fhir:code [ fhir:v "750342" ] ;
fhir:display [ fhir:v "Full Abdominoplasty - Large (Skincare)" ]
  ] [
fhir:code [ fhir:v "U88300" ] ;
fhir:display [ fhir:v "Histopathology (Frozen Section)" ]
  ] [
fhir:code [ fhir:v "750340" ] ;
fhir:display [ fhir:v "Full Abdominoplasty - Small (Skincare)" ]
  ] [
fhir:code [ fhir:v "E39502" ] ;
fhir:display [ fhir:v "Paraesophageal hiatus hernia repair trans abdominal" ]
  ] [
fhir:code [ fhir:v "N97026" ] ;
fhir:display [ fhir:v "Infra Red" ]
  ] [
fhir:code [ fhir:v "N97024" ] ;
fhir:display [ fhir:v "Diathermy" ]
  ] [
fhir:code [ fhir:v "N97022" ] ;
fhir:display [ fhir:v "Whirlpool" ]
  ] [
fhir:code [ fhir:v "N97020" ] ;
fhir:display [ fhir:v "Microwave" ]
  ] [
fhir:code [ fhir:v "750336" ] ;
fhir:display [ fhir:v "Liposuction Chin (Skincare)" ]
  ] [
fhir:code [ fhir:v "750334" ] ;
fhir:display [ fhir:v "Liposuction Arms (Skincare)" ]
  ] [
fhir:code [ fhir:v "750338" ] ;
fhir:display [ fhir:v "Mini Abdominoplasty (Skincare)" ]
  ] [
fhir:code [ fhir:v "N97028" ] ;
fhir:display [ fhir:v "Ultra Violet" ]
  ] [
fhir:code [ fhir:v "840238" ] ;
fhir:display [ fhir:v "Application Of Splints, Slabs, Pop Without Reduction" ]
  ] [
fhir:code [ fhir:v "840236" ] ;
fhir:display [ fhir:v "Removal Of F.B. Superficial" ]
  ] [
fhir:code [ fhir:v "830030" ] ;
fhir:display [ fhir:v "Polypectomy Fract. Curretage" ]
  ] [
fhir:code [ fhir:v "750310" ] ;
fhir:display [ fhir:v "Liposuction Lateral Thighs (Small-Medium) (Skincare)" ]
  ] [
fhir:code [ fhir:v "T74440" ] ;
fhir:display [ fhir:v "Vasography" ]
  ] [
fhir:code [ fhir:v "T73110" ] ;
fhir:display [ fhir:v "Wrist - 3 Views" ]
  ] [
fhir:code [ fhir:v "830036" ] ;
fhir:display [ fhir:v "Posterior Colpoperineorrhaphy" ]
  ] [
fhir:code [ fhir:v "830038" ] ;
fhir:display [ fhir:v "Anterior Colpoperineorrhaphy" ]
  ] [
fhir:code [ fhir:v "830032" ] ;
fhir:display [ fhir:v "Douglas Pouch Abscess Drainage" ]
  ] [
fhir:code [ fhir:v "140030" ] ;
fhir:display [ fhir:v "Sclerotherapy (Oesophagus)" ]
  ] [
fhir:code [ fhir:v "140020" ] ;
fhir:display [ fhir:v "Laryngo-Bronoscopy/Diagnostic" ]
  ] [
fhir:code [ fhir:v "140022" ] ;
fhir:display [ fhir:v "Laryngo-Bronoscopy/Diagnostic + Biopsy" ]
  ] [
fhir:code [ fhir:v "750308" ] ;
fhir:display [ fhir:v "Liposuction Abdomen -Large (Skincare)" ]
  ] [
fhir:code [ fhir:v "140024" ] ;
fhir:display [ fhir:v "Laryngo-Bronoscopy/Diagnostic + Film" ]
  ] [
fhir:code [ fhir:v "830028" ] ;
fhir:display [ fhir:v "Laparascopy (Not For Infertility Investigations) Diagnostic" ]
  ] [
fhir:code [ fhir:v "T73100" ] ;
fhir:display [ fhir:v "Wrist - 2 Views" ]
  ] [
fhir:code [ fhir:v "140026" ] ;
fhir:display [ fhir:v "Colonoscopy" ]
  ] [
fhir:code [ fhir:v "140028" ] ;
fhir:display [ fhir:v "Endoscopy Under L.A." ]
  ] [
fhir:code [ fhir:v "840242" ] ;
fhir:display [ fhir:v "Terminalisation" ]
  ] [
fhir:code [ fhir:v "750302" ] ;
fhir:display [ fhir:v "Liposuction (Skincare)" ]
  ] [
fhir:code [ fhir:v "840240" ] ;
fhir:display [ fhir:v "C.R. Of Fractures Or Dislocations Without Anaesthesia + Application Of Pop" ]
  ] [
fhir:code [ fhir:v "840246" ] ;
fhir:display [ fhir:v "O.R. + If Of Single Bone Except Fracture Neck, Femur, Torch, Fracture And Fractu" ]
  ] [
fhir:code [ fhir:v "750306" ] ;
fhir:display [ fhir:v "Liposuction Abdomen - Medium (Skincare)" ]
  ] [
fhir:code [ fhir:v "712048" ] ;
fhir:display [ fhir:v "Expansion Of Lower Mandible, Crozat Appliance" ]
  ] [
fhir:code [ fhir:v "840244" ] ;
fhir:display [ fhir:v "Wound Toilet & Debridment" ]
  ] [
fhir:code [ fhir:v "750304" ] ;
fhir:display [ fhir:v "Liposuction Abdomen - Small (Skincare)" ]
  ] [
fhir:code [ fhir:v "840248" ] ;
fhir:display [ fhir:v "Cervical Disc Prolapse- Desectomy + Decompression" ]
  ] [
fhir:code [ fhir:v "750320" ] ;
fhir:display [ fhir:v "Liposuction Gynocomastia - Small (Skincare)" ]
  ] [
fhir:code [ fhir:v "825180" ] ;
fhir:display [ fhir:v "Pyeloplasty" ]
  ] [
fhir:code [ fhir:v "830024" ] ;
fhir:display [ fhir:v "Caesarian Delivery (With Normal Baby)" ]
  ] [
fhir:code [ fhir:v "T74430" ] ;
fhir:display [ fhir:v "Cystography" ]
  ] [
fhir:code [ fhir:v "G23410" ] ;
fhir:display [ fhir:v "Repair of rotator cuff" ]
  ] [
fhir:code [ fhir:v "830026" ] ;
fhir:display [ fhir:v "Shirodkar Suture" ]
  ] [
fhir:code [ fhir:v "825182" ] ;
fhir:display [ fhir:v "Removal Of Penile Prosthesis" ]
  ] [
fhir:code [ fhir:v "302007" ] ;
fhir:display [ fhir:v "Ultrasound Obstetric Level Iii" ]
  ] [
fhir:code [ fhir:v "I69436" ] ;
fhir:display [ fhir:v "Gromet Sheppard vent tube, fluoroplastic" ]
  ] [
fhir:code [ fhir:v "T73600" ] ;
fhir:display [ fhir:v "Ankle - 2 Views" ]
  ] [
fhir:code [ fhir:v "640016" ] ;
fhir:display [ fhir:v "Ptca (Per.Tr.Coronory Angioplasty) - Tv" ]
  ] [
fhir:code [ fhir:v "U82088" ] ;
fhir:display [ fhir:v "Aldosterone" ]
  ] [
fhir:code [ fhir:v "136006" ] ;
fhir:display [ fhir:v "Air Mist Therapy" ]
  ] [
fhir:code [ fhir:v "840168" ] ;
fhir:display [ fhir:v "Benign Bone Tumours : Curretage Bone Grafting" ]
  ] [
fhir:code [ fhir:v "U86668" ] ;
fhir:display [ fhir:v "Francisella Tularensis ABS." ]
  ] [
fhir:code [ fhir:v "T76938" ] ;
fhir:display [ fhir:v "Ultra Sound Guided Aspiration Cyst" ]
  ] [
fhir:code [ fhir:v "640018" ] ;
fhir:display [ fhir:v "Ptca (Per.Tr.Coronory Angioplasty - Sv + Stent" ]
  ] [
fhir:code [ fhir:v "840166" ] ;
fhir:display [ fhir:v "Arthroscopy Diagnostic + Proceed" ]
  ] [
fhir:code [ fhir:v "750228" ] ;
fhir:display [ fhir:v "Forehead Lift (Skincare)" ]
  ] [
fhir:code [ fhir:v "U86663" ] ;
fhir:display [ fhir:v "EB Virus(Epstein Barr Virus) IGM IFA" ]
  ] [
fhir:code [ fhir:v "650020B" ] ;
fhir:display [ fhir:v "Microcatheter" ]
  ] [
fhir:code [ fhir:v "506018" ] ;
fhir:display [ fhir:v "Glemsa Staining" ]
  ] [
fhir:code [ fhir:v "506016" ] ;
fhir:display [ fhir:v "Methylene Blue Staining" ]
  ] [
fhir:code [ fhir:v "506014" ] ;
fhir:display [ fhir:v "Acid Fast Staining" ]
  ] [
fhir:code [ fhir:v "500067" ] ;
fhir:display [ fhir:v "Electrolytes (Na, K, C1) Urine" ]
  ] [
fhir:code [ fhir:v "P-208" ] ;
fhir:display [ fhir:v "Septoplasty" ]
  ] [
fhir:code [ fhir:v "716026" ] ;
fhir:display [ fhir:v "Relining Upper Or Lower Denture" ]
  ] [
fhir:code [ fhir:v "P-209" ] ;
fhir:display [ fhir:v "Polypectomy" ]
  ] [
fhir:code [ fhir:v "500066" ] ;
fhir:display [ fhir:v "Sodium, Serum Or Urine" ]
  ] [
fhir:code [ fhir:v "128012" ] ;
fhir:display [ fhir:v "Broad Dynamic Comp Plate 7 Holes Each" ]
  ] [
fhir:code [ fhir:v "716024" ] ;
fhir:display [ fhir:v "Immediate Complete Dentures (Requiring Relining)" ]
  ] [
fhir:code [ fhir:v "U84481" ] ;
fhir:display [ fhir:v "T3 (Free T3)" ]
  ] [
fhir:code [ fhir:v "500064" ] ;
fhir:display [ fhir:v "Total Co2" ]
  ] [
fhir:code [ fhir:v "U84480" ] ;
fhir:display [ fhir:v "T3" ]
  ] [
fhir:code [ fhir:v "128014" ] ;
fhir:display [ fhir:v "Broad Dynamic Comp Plate 8 Holes Each" ]
  ] [
fhir:code [ fhir:v "716022" ] ;
fhir:display [ fhir:v "Additional Casted Clasp-Gold Or Metal" ]
  ] [
fhir:code [ fhir:v "P-204" ] ;
fhir:display [ fhir:v "Sinus washout - Bilateral" ]
  ] [
fhir:code [ fhir:v "716020" ] ;
fhir:display [ fhir:v "Tooth Additional (Each)" ]
  ] [
fhir:code [ fhir:v "500068" ] ;
fhir:display [ fhir:v "Total Cholesterol" ]
  ] [
fhir:code [ fhir:v "P-205" ] ;
fhir:display [ fhir:v "Removal of nasal foreign body" ]
  ] [
fhir:code [ fhir:v "810118" ] ;
fhir:display [ fhir:v "Esophagoscopy" ]
  ] [
fhir:code [ fhir:v "500063" ] ;
fhir:display [ fhir:v "Electrolytes (Na, K, C1) Serum" ]
  ] [
fhir:code [ fhir:v "128016" ] ;
fhir:display [ fhir:v "Broad Dynamic Comp Plate 9 Holes Each" ]
  ] [
fhir:code [ fhir:v "500062" ] ;
fhir:display [ fhir:v "Lipase" ]
  ] [
fhir:code [ fhir:v "P-206" ] ;
fhir:display [ fhir:v "Tonsillectomy" ]
  ] [
fhir:code [ fhir:v "P-207" ] ;
fhir:display [ fhir:v "Tonsillectomy & Adenoidectomy" ]
  ] [
fhir:code [ fhir:v "810304" ] ;
fhir:display [ fhir:v "Total Laryngectomy" ]
  ] [
fhir:code [ fhir:v "U84484" ] ;
fhir:display [ fhir:v "CDT ( Cardiac Troponin )" ]
  ] [
fhir:code [ fhir:v "128018" ] ;
fhir:display [ fhir:v "Broad Dynamic Comp Plate 12 Holes Each" ]
  ] [
fhir:code [ fhir:v "800818" ] ;
fhir:display [ fhir:v "Iol Repositioning ( Inside Hospital)" ]
  ] [
fhir:code [ fhir:v "P-200" ] ;
fhir:display [ fhir:v "Laryngoscopy + Biopsy" ]
  ] [
fhir:code [ fhir:v "800816" ] ;
fhir:display [ fhir:v "Gluocoma Ext+ Drang Implant" ]
  ] [
fhir:code [ fhir:v "P-201" ] ;
fhir:display [ fhir:v "Myringotomy and insertion of Gromet - Unilateral" ]
  ] [
fhir:code [ fhir:v "110-37.91" ] ;
fhir:display [ fhir:v "Massage, cardiac, open chest" ]
  ] [
fhir:code [ fhir:v "P-202" ] ;
fhir:display [ fhir:v "Myringotomy and insertion of Gromet - Bilateral" ]
  ] [
fhir:code [ fhir:v "P-203" ] ;
fhir:display [ fhir:v "Sinus washout - Unilateral" ]
  ] [
fhir:code [ fhir:v "650036D" ] ;
fhir:display [ fhir:v "Detachable Balloon" ]
  ] [
fhir:code [ fhir:v "128010" ] ;
fhir:display [ fhir:v "Broad Dynamic Comp. Plate 6 Holes Each" ]
  ] [
fhir:code [ fhir:v "N.2" ] ;
fhir:display [ fhir:v "NICU Second week (SR/Day) N.2 Exlusion as above" ]
  ] [
fhir:code [ fhir:v "E38100" ] ;
fhir:display [ fhir:v "Splenectomy" ]
  ] [
fhir:code [ fhir:v "830096" ] ;
fhir:display [ fhir:v "Removal Of Circulage / Shirodkar Suture" ]
  ] [
fhir:code [ fhir:v "N.1" ] ;
fhir:display [ fhir:v "NICU First week (SR/Day) N.1\n* Medication above 350 SR per day as per SFDA price list, Blood & blood products, MRI, CT, ECHO, Doppler , CRRT , Surgical and endoscopic procedure are  an excluded service\nTo get re-imbused for medication above the daily limit, submission must include a list of details medications as per SFDA codes and pricelist" ]
  ] [
fhir:code [ fhir:v "640000" ] ;
fhir:display [ fhir:v "Catheterization Left Heart" ]
  ] [
fhir:code [ fhir:v "497-81.08" ] ;
fhir:display [ fhir:v "Fusion,posterior,lumbar/lumbosacral" ]
  ] [
fhir:code [ fhir:v "T93882" ] ;
fhir:display [ fhir:v "U/S Doppler Carotid Unilateral" ]
  ] [
fhir:code [ fhir:v "N.4" ] ;
fhir:display [ fhir:v "NICU Fourth week (SR/Day) N.4  Exlusion as above" ]
  ] [
fhir:code [ fhir:v "U83505" ] ;
fhir:display [ fhir:v "Hydroxyproline, Total" ]
  ] [
fhir:code [ fhir:v "800158" ] ;
fhir:display [ fhir:v "Unilateral Tarsal Strip With Graft" ]
  ] [
fhir:code [ fhir:v "800156" ] ;
fhir:display [ fhir:v "Bilateral Tarsal Strip" ]
  ] [
fhir:code [ fhir:v "800150" ] ;
fhir:display [ fhir:v "Unil. Levator Mus. Recession" ]
  ] [
fhir:code [ fhir:v "303232" ] ;
fhir:display [ fhir:v "Ct Carotid & Vertebral Arteries Angiography" ]
  ] [
fhir:code [ fhir:v "303230" ] ;
fhir:display [ fhir:v "Ct Cerebral Arteries Angiography" ]
  ] [
fhir:code [ fhir:v "137020" ] ;
fhir:display [ fhir:v "Psychological Assessment- Category 2 - Ocd" ]
  ] [
fhir:code [ fhir:v "U83500" ] ;
fhir:display [ fhir:v "Hydroxyproline, Free" ]
  ] [
fhir:code [ fhir:v "800154" ] ;
fhir:display [ fhir:v "Unilateral Tarsal Strip" ]
  ] [
fhir:code [ fhir:v "303236" ] ;
fhir:display [ fhir:v "Ct Pulmonary Arteries Angiography" ]
  ] [
fhir:code [ fhir:v "800152" ] ;
fhir:display [ fhir:v "Bil. Levator Mus. Recession" ]
  ] [
fhir:code [ fhir:v "303234" ] ;
fhir:display [ fhir:v "Ct Aorta & Mesenteric Arteries Angiography" ]
  ] [
fhir:code [ fhir:v "710026" ] ;
fhir:display [ fhir:v "Periodontal Bone Grafting Implant/Bony Detect" ]
  ] [
fhir:code [ fhir:v "T73090" ] ;
fhir:display [ fhir:v "ULNA Radius (Forearm) - 2 Views" ]
  ] [
fhir:code [ fhir:v "830070" ] ;
fhir:display [ fhir:v "Abdominal Sling For Congenital Prolapse" ]
  ] [
fhir:code [ fhir:v "800124" ] ;
fhir:display [ fhir:v "Eye Plastic Surgery" ]
  ] [
fhir:code [ fhir:v "800122" ] ;
fhir:display [ fhir:v "Trichiasis Repair (Both Eyes)" ]
  ] [
fhir:code [ fhir:v "800128" ] ;
fhir:display [ fhir:v "Repair Of Simple Lid+Explora" ]
  ] [
fhir:code [ fhir:v "830076" ] ;
fhir:display [ fhir:v "Removal Of Iucd Under Ga" ]
  ] [
fhir:code [ fhir:v "750032" ] ;
fhir:display [ fhir:v "Hair Transplantation (400-500) Graft (Skincare)" ]
  ] [
fhir:code [ fhir:v "830078" ] ;
fhir:display [ fhir:v "Salpingectomy / Salpingostomy" ]
  ] [
fhir:code [ fhir:v "U82943" ] ;
fhir:display [ fhir:v "Glucagon (P)" ]
  ] [
fhir:code [ fhir:v "U82947" ] ;
fhir:display [ fhir:v "Glucose Quantitative Blood /CSF" ]
  ] [
fhir:code [ fhir:v "137022" ] ;
fhir:display [ fhir:v "Psychological Assessment- Category 2 - Panic & Phobia" ]
  ] [
fhir:code [ fhir:v "650232" ] ;
fhir:display [ fhir:v "Spinal Stenosis : Inter Laminar Decompression / Laminectomy With Discectomy" ]
  ] [
fhir:code [ fhir:v "I92562" ] ;
fhir:display [ fhir:v "ABLB-Alternate Binaural Loudness Balance" ]
  ] [
fhir:code [ fhir:v "710008" ] ;
fhir:display [ fhir:v "Gingival Currettage - Per Quadrant" ]
  ] [
fhir:code [ fhir:v "I92563" ] ;
fhir:display [ fhir:v "Tone decay test" ]
  ] [
fhir:code [ fhir:v "830020" ] ;
fhir:display [ fhir:v "Vacuum Delivery (With Normal Baby)" ]
  ] [
fhir:code [ fhir:v "825184" ] ;
fhir:display [ fhir:v "Repair Of Fracture Penis" ]
  ] [
fhir:code [ fhir:v "830022" ] ;
fhir:display [ fhir:v "Breech Delivery (With Normal Baby)" ]
  ] [
fhir:code [ fhir:v "U85290" ] ;
fhir:display [ fhir:v "Factor 13" ]
  ] [
fhir:code [ fhir:v "825186" ] ;
fhir:display [ fhir:v "Repair Of Renal Injuries" ]
  ] [
fhir:code [ fhir:v "825188" ] ;
fhir:display [ fhir:v "Repair Of Ruptured Urethra Or Bladder" ]
  ] [
fhir:code [ fhir:v "136008" ] ;
fhir:display [ fhir:v "Breathing Exercise" ]
  ] ) . #