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Papua New Guinea Consolidated Legislation |
This reprint of this Statutory Instrument incorporates all amendments, if any, made before25 November 2006 and in force at 1 July 2001.
.........
Legislative Counsel
Dated 25 November 2006
INDEPENDENT STATE OF PAPUA NEW GUINEA.
Chapter 116.
Public Hospitals (Charges) Regulation 1978
ARRANGEMENT OF SECTIONS.
Public Hospitals (Charges) Regulation 1978
MADE under the Public Hospitals (Charges) Act 1972.
Dated 200 .
In this Regulation, unless the contrary intention appears–
“after-care”, in relation to an operation, does not include–
(a) an operation necessarily performed in respect of complications arising after the primary operation; or
(b) such treatment of the original conditions as may be necessary, independent of and succeeding an operation and after-care of that operation;
“consultation” means an examination and questioning of the patient and the supply of pharmaceuticals and supplies needed for immediate treatment but not those to be supplied on prescription;
“intermediate”, in relation to–
(a) radiological services, means the services specified in Part 2 of Schedule 3; and
(b) operations, means the operations specified in Part 2 of Schedules 4 to 14;
“major”, in relation to–
(a) radiological services, means the services specified in Part 3 of Schedule 3; and
(b) operations, means the operations specified in Part 3 of Schedules 4 to 14;
“minor”, in relation to–
(a) radiological services, means the services specified in Part 1 of Schedule 3; and
(b) operations, means the operations specified in Part 1 of Schedules 4 to 14.
“private practitioner” means a registered medical practitioner operating on his own account and not affiliated to the State health system;
“Secretary” means the Departmental Head of the Department responsible for health matters;
“Schedule 1 service” means a service specified in Column 1 of Schedule 1 provided at a public section or public clinic;
“Schedule 2 service” means a service specified in Column 1 of Schedule 2 provided at an intermediate section.
Subject to this Regulation, a person who receives–
(a) a Schedule 1 service–shall pay the fee specified opposite that service in Column 2 of Schedule 1; or
(b) a Schedule 2 service–shall pay the fee specified opposite that service in Column 2 of Schedule 2.
(1) A person who has received, or is receiving, a Schedule 2 service and with or as part of that service, at the direction of the Secretary, receives at a public section or public clinic a service specified in Column 1 of Schedule 2 shall pay for that service the fee specified opposite that service in Column 2 of Schedule 2.
(2) A person who has received, or is receiving, a Schedule 1 service who, at his request, receives with or as part of that service a Schedule 2 service shall pay the specified fee for that Schedule 2 service.
A person who, at his request, receives instead of the services specified in Part 1 of Schedule 2 special or additional services shall pay for those services the cost of those services as assessed by the Secretary.
A person who receives a Schedule 2 service consisting of two or more operations shall pay for that service–
(a) the sum of–
(i) the fee for the operation performed which carries the highest fee; and
(ii) one half of the fee for the operation performed which carries the second highest fee; and
(iii) one quarter of the fee for each of any remaining operations performed; or
(b) K80.00,
whichever is the less.
No fee is payable if the service is–
(a) a prophylactic injection, vaccination or test being part of a disease prevention or control programme; or
(b) in respect of a venereal disease, tuberculosis or Hansen’s disease; or
(c) a blood test to ascertain whether filariae or malaria parasites are present in the blood; or
(d) provided to a person in a public section or public clinic where the Secretary is satisfied that the person is–
(i) destitute; or
(ii) under the age of 14 years; or
(iii) a child still attending high school; or
(iv) over the age of 59 years.
There shall be displayed in a conspicuous position in each intermediate section a notice stating that services provided in that section will be charged for in accordance with Schedule 2.
An amount payable under this Regulation may be recovered by the State as a debt.
SCHEDULE 1 – [2]FEES FOR HOSPITAL SERVICES FOR PATIENTS IN PUBLIC SECTION OR PUBLIC CLINIC.
Reg. Sec. 2.
SERVICE | FEE | |
| K | |
Each admission as an in-patient | 10.00 | |
Each inpatient day (includes tests, treatment, drugs, sheets and food) | 2.00 | |
Each pharmacy prescription | 1.00 | |
Each attendance for outpatient consultation | 2.00 | |
Each antenatal care consultation | 1.00 | |
Supervision of delivery | 10.00 | |
Ambulance-each trip | 1.00 | |
Radiology, ultrasonography and Electrocardiography | 2.00 | |
Each pathology test | 2.00 | |
Each attendance for radiotherapy | 2.00 | |
Surgery | | |
| Minor | 8.00 |
| Intermediate | 15.00 |
| Major | 30.00. |
SCHEDULE 2 – [3]FEES FOR HOSPITAL SERVICES FOR PATIENTS IN INTERMEDIATE SECTION.
Reg. Sec. 2.
| | PART I.-HOSPITAL SERVICES. | |
| | Division 1.–Inpatients. | |
SERVICE | FEE | ||
| | | K |
Each day in hospital-for accommodation, meals, drugs, dressings and general medical and nursing care: | | ||
| Provincial Hospitals | 30.00 | |
| Base Hospitals | 60.00 | |
| | Division 2.–Outpatients. | |
SERVICE | FEE | ||
| | | K |
Each attendance as an outpatient | 1.00 | ||
Each attendance for outpatient for consultation | 20.00 | ||
Each course of injection as an outpatient | 1.00 | ||
Receiving family planning advice and services, including insertion of IUD, Injection of Depo Provera, Supply of contraceptive pills
or other appropriate methods. | 15.00 | ||
Each antenatal care | 20.00 | ||
Supervision of delivery | 80.00 | ||
Each consultation with a health worker other than a medical officer. | 3.00 | ||
Each consultation with a general medical practitioner. | 8.00 | ||
Each consultation with a specialist medical practitioner. | 15.00 | ||
| | PART II.-PATHOLOGY SERVICES. | |
| | Division 1.–Tests done in haematology. | |
ITEM | TEST | FEE | |
| | | K |
1. | HB (1) | 5.00 | |
2. | FBE, FBC, WCC, FILM (3) | 15.00 | |
3. | Malaria Parasites (1) | 5.00 | |
4. | ESR, Erythematosus Sedimentation Rate (1) | 5.00 | |
5. | Lupus Erythematosus-L.E. Cells Preparation (1) | 5.00 | |
6. | Micro-filaria (1) | 5.00 | |
7. | Rheumotoid factor R.A. Factor (1) | 10.00 | |
8. | Monospot, or Denco IM or Paul Bunnel (1) | 10.00 | |
9. | Prothrombin time-P.T. test (1) | 5.00 | |
10. | Partial Thromboplastin time Kaolin (PTTK) (1) | 5.00 | |
11. | Glucose-6 Phosphate Dehydro genase-G6PD (1) | 5.00 | |
12. | Haemoglobin Electrophoresis-HB.A, Hb. F, Strips (3) | 15.00 | |
13. | Platelet Count (1) | 5.00 | |
14. | Reticulocyted count or Retic Count (1) | 5.00 | |
15. | Packed Cell Volume, or Haematocrit, (PCV) Tests (1) | 5.00 | |
16. | Thrombin Time (T.T) tests (1) | 5.00 | |
17. | Ham’s Test (1) | 5.00 | |
18. | Osmotic Fragility (1) | 5.00 | |
19. | Coagulation study– | | |
| -Bleeding time-test: 8 tests altogether:– | | |
| x 8 test | | |
| | Clotting time | |
| | Prothrombin time (P.T.) | |
| | Partial Thromboplastin time with | |
| | Kaolin (PTTK) Test | |
| | Fibain Degredation Product (FDP) test | |
| | Clot retraction | |
| | Fibanogen titre | |
| | Factor XIII Activity | 40.00 |
20. | Full Anaemia Investigations | 35.00 | |
21. | Bone Marrow examination | | |
| | A/ Aspirations | |
| | B/ Preparations and Reports | 35.00 |
| | Division 2.–Tests done in bacteriology. | |
ITEM | TEST | FEE | |
| | | K |
1. | Urine-Microscopy (1) each test | 5.00 | |
| Urine-MCS (3) (Microculture and Sensitivity) | 15.00 | |
2. | Faeces/Stool-OCP (1) | | |
| Faeces/Stool-OCP Microscopy only | 5.00 | |
| Faeces/Stool MCS (3) | 15.00 | |
3. | High Vaginal Swab (H.V.S) | | |
| -Microscopy | 5.00 | |
| -M.C.S. | 15.00 | |
4. | CX Swab-Microscopy | 5.00 | |
| -MCS (3) | 15.00 | |
5. | Pus Swab-Microscopy | 5.00 | |
| -MCS (3) | 15.00 | |
6. | Throat Swab-Microscopy | 5.00 | |
| -MCS (3) | 15.00 | |
7. | Cervical Swab-MCS (3) Each culture | 15.00 | |
8. | Urethral Swab Microscopy | 5.00 | |
| -MCS (3) (+ sensitivity) | 15.00 | |
9. | All other Swabs MCS (3) | 15.00 | |
10. | Semen Analysis-MCS (3) | 15.00 | |
| -Microscopy | 15.00 | |
11. | Sputum-MCS (3) | 15.00 | |
| -Microscopy | 5.00 | |
12. | Sputum for TB/AFB’s Culture | Free | |
13. | CSF Test-MCS (3) | 15.00 | |
| -Microscopy | 5.5.00 | |
14. | a/ Aspirates-MCS (3) | 15.00 | |
| b/ Scrappings for Microscopy (1) | 5.00 | |
15. | a/ Scrappings for Microscopy (1) | 5.00 | |
| b/ Donovan Bodies-Microscopy (1) | 5.00 | |
16. | Dark Ground Microscopy (1) | 5.00 | |
17. | Blood Culture (1) | 15.00 | |
18. | Blood Sample test for Australia/Brisbane-Viral Studies (send to Australia) (1) Sample | 30.00 | |
| | Division 3.–Histopathology and Cytology. | |
ITEM | TEST | FEE | |
| | | K |
1. | Histopathology (1) | 10.00 | |
2. | Cytology (1) | 10.00 | |
3. | FNAB (Fine needle Aspiration) (1) | 10.00 | |
4. | Immuno histochemistry | 10.00 | |
| | Division 4.–Test done in Biochemistry. | |
ITEM | TEST | FEE | |
| | | K |
1. | Na, K, Cl, Urea, Creatinine (U/E/C) | 25.00 | |
| b) Urea, Creatinine (RFTS) | 10.00 | |
2. | Bilirubine, Protein, Alkaline phosphate, SGOT, SGPT and Albumin, LFTS and SGPT | 35.00 | |
3. | Random Blood Sugar (RBSL) | 5.00 | |
| b/ Fasting Blood sugar, and 2 hour Post Prandial Blood sugar (fasting and 2hr PP BSL) | 10.00 | |
| b/ Glucose tolerance test-fasting, lhr, 2hr (GTT) only for (Antenatal mothers). | 20.00 | |
4. | Triglyceride | 5.00 | |
5. | Cholestrol | 5.00 | |
6. | SGOT, CPK, LDH (Cardiac Enzymes) | 15.00 | |
7. | Protein Electrophoresis (EPP) (Australia) | 35.00 | |
8. | Calcium | 5.00 | |
9. | Inorganic phosphate | 5.00 | |
10. | Magnesium | 5.00 | |
11. | Iron and TIBC and Ferratin (Australia) | 35.00 | |
12. | Pregnancy Test | 5.00 | |
13. | Amylase | 5.00 | |
14. | Acid Phos | 5.00 | |
15. | Uric Acid | 5.00 | |
16. | HCO3 | 5.00 | |
17. | Serum B-12 and Serum RBC folate (Australia) | 35.00 | |
18. | Thyroid function tests (PMGH) | 35.00 | |
19. | Alpha-feto protein | 5.00 | |
20. | Prostatic Specific Antigen (PSA) | 50.00 | |
21. | C.K-M.B | 15.00 | |
22. | Beta-HCG | 15.00 | |
23. | Serum Prolalctin | 15.00 | |
24. | L H | 15.00 | |
25. | FSH | 15.00 | |
| | Division 5.–Tests sent to Royal Brisbane Hospital. | |
ITEM | TEST | FEE | |
| | | K |
1. | Auto immune Antibodies | 35.00 | |
2. | Immunoglobulins | 35.00 | |
3. | C-Reactive Protein (CRP) | 25.00 | |
4. | Serum Protein electrophoresis or electrophoresis or immuno-electrophoresis | 35.00 | |
5. | Crotisols or Testosterone | 35.00 | |
6. | Serum Iron, T/BC, Ferrantin | 35.00 | |
7. | Serum B12 and serum or RBC folate | 35.00 | |
8. | 24-Hour Urinary VMA, Catecholamines | 35.00 | |
9. | Alpha-Antitrypsin or Insulin or Lipoproteins | 35.00 | |
10. | Drugs assay, per drugs | 35.00 | |
11. | HLA/TA/T8: Total Lymphocytes | 35.00 | |
12. | Para-thyroid hormones | 35.00 | |
13. | Calcitonin | 35.00 | |
| | Division 6.–Tests sent in serology lab-CPHL. | |
ITEM | TEST | FEE | |
| | | K |
1. | CSF/CRYPTOCOCCAL | 10.00 | |
2. | VDRL/TPHA | Free | |
3. | HIV | Free | |
4. | ASOT | 10.00 | |
5. | WIDAL | 10.00 | |
TESTS/TB LAB | | ||
SPUTUM: | TB. CULTURE-ALL free of charge from any doctor’s request. | | |
| DIABETICS PATIENTS | | |
| | PUBLIC-50t | |
| | PRIVATE-K3.50 | 10.00 |
| ASTHMATIC, TB and CARDIAC: All free | | |
| | Division 7.–Blood Bank charges. | |
ITEM | TEST | FEE | |
| | | K |
1. | Haemoglobin | 5.00 | |
2. | Abo Grouping | 5.00 | |
3. | Rhesus Grouping | 5.00 | |
4. | Gerbich Grouping | 5.00 | |
5. | Cross Matching | 15.00 | |
6. | Antibody Screen | 20.00 | |
7. | Investigation of Transfusion | | |
8. | Reaction | 20.00 | |
9. | Haemolysin | 5.00 | |
10. | Cold Aggluttinin | 5.00 | |
11. | Genotyping | 50.00 | |
12. | Direct Combs Test (D.C.T) | 5.00 | |
13. | Hepatitis B. Antigen (HB’s Ag) | 10.00 | |
14. | Hepatitis B. Antibody (Hb’s Ab) | 10.00 | |
15. | Indirect Combs Test | 10.00 | |
| | PART III.-DIAGNOSTIC AND THERAPY RADIOGRAPHY, CARDIOGRAPHY, ULTRASONOGRAPHY, ENCEPHALOGRAPHY, MYOGRAPHY, AUDIOGRAPHY AND OTHER TESTS. | |
SERVICE | FEE | ||
| | | K |
Minor | 15.00 | ||
Intermediate | 20.00 | ||
Major | 30.00 | ||
Electro/phono and ballistocardiograph | 20.00 | ||
Electroencephalography | 30.00 | ||
Audiography/audiometry | 20.00 | ||
Opthalmological examinations/optometry | 20.00 | ||
Radiotheraphy treatment by means of x-ray, radium, or other radioactive substances not otherwise covered, being: | | ||
| (I) | A major course of supervoltage therapy | 90.00 |
| (ii) | Low voltage radiotherapy | 60.00 |
| (iii) | Minor radiotherapy | 30.00 |
| (iv) | Follow up consultations | 20.00 |
Electroconvulsive therapy (ECT) | 20.00 | ||
| | PART IV.-PHARMACEUTICAL AND DISPENSING FEES. | |
SERVICE | FEE | ||
| | | K |
Administration of vaccination or prophylactic sera for travellers | 20.00 | ||
Fee for each drug, materials and equipment on the outpatients prescription on inpatient record | cost x 2 | ||
| | PART V.-SURGICAL OPERATIONS. | |
SERVICE | FEE | ||
At Base Hospitals | K | ||
Minor-with post-operative care | 60.00 | ||
Intermediate-with post-operative care | 100.00 | ||
Major-with post-operative care | 150.00 | ||
| | PART VI.-MIDWIFERY SERVICES. | |
SERVICE | FEE | ||
Antenatal consultation by a general medical practitioner: | K | ||
| -initial consultation | 5.00 | |
| -each subsequent consultations for the same pregnancy | 3.00 | |
Antenatal consultation by a specialist medical practitioner: | | ||
| -initial consultation | 15.00 | |
| -each subsequent consultations for the same pregnancy | 10.00 | |
Confinement by a general medical practitioner | 10.00 | ||
Confinement by a specialist medical practitioner (includes Caesarean section, foreceps or vacuum delivery, induction of labour and
such procedures that assists in delivery) | 50.00 | ||
| | PART VII.-PHYSIOTHERAPY. | |
SERVICE | FEE | ||
| | | K |
Each attendance for treatment of one disability | 6.00 | ||
Each attendance for treatment of more than one disability | 12.00 | ||
Plaster work for each half hour or part thereof plus cost of materials | 20.00 | ||
Group physiotherapy-each course of treatment | 25.00 | ||
| | PART VIII.-ACUPUNCTURE. | |
SERVICE | FEE | ||
| | | K |
Each attendance for treatment of one condition | 10.00 | ||
Each attendance for treatment of more than one condition | 15.00 | ||
| | PART IX.-PRIVATE PRACTITIONERS USE OF GOVERNMENT FACILITIES AND PRIVATE PATIENTS UNDER THE CARE OF GOVERNMENT MEDICAL PRACTITIONERS. | |
SERVICE | FEE | ||
| | | K |
Labour Ward fee for private patients (each day) | 80.00 | ||
Inpatient for Ante/Post natal and Gynaecology Care (each day) | 80.00 | ||
Theatre fee without Government Anaesthesiologist | 30.00 | ||
Theatre fee with Government Anaesthesiologist | 60.00 | ||
Referred private patients to Government Specialist Medical Officer for specialist attention | 80.00 |
SCHEDULE 3 – Reg., Sec. 1.
RADIOLOGICAL SERVICES.
PART I – MINOR.
Radiographical examination of–
Extremities including toes to thigh and fingers to shoulder clavicle and scapula
Chest (with or without fluoroscopy)
Heart (including lateral chest with barium in the oesophagus)
Ribs, sternum, breast
Nose or eye
PART 2 – INTERMEDIATE.
Radiographical examination of–
Skull
Sinuses, mastoids, salivary glands
Mandible
Maxilla
Pelvis or hips
Spine–cervical, thoracic, lumbar, lumbo-sacral, sacral and coccygeal (one or more regions)
Abdomen (including pregnancy tests and pelvimetry)
Urinary tract (plain film)
PART 3 – MAJOR.
Special examination with or without contrast media
Barium swallow or meal or follow through or other opaque meal
Barium enema, or other opaque enema
Intravenous pyelogram
Retrograde pyelogram
Cystogram urethrogram
Oral chelecystrogram (Graham’s Test)
Cholangiogram (intravenous, T Tube or operative)
Myelogram, pneumonecephalogram, ventriculogram
Angiogram, venogram, lymphangiogram
Hysterosalphingogram
Sinugram
Bronchogram, sialogram, arthrogram
Tomogram
SCHEDULE 4 – Reg., Sec. 1.
GENERAL SURGERY.
PART I – MINOR.
Cystoscopy with or without retrograde pyelogram
Dressings or examination under anaesthesia
Excision of simple tumours–sebaceous cysts, dermoid cysts, papillomata, lipomata, fibromata, sebaceous adenomata, excision of moles (except melanoma), simple biopsy of any kind, incision and drainage of abscess (except where otherwise stated)
Exploration of extremities for foreign bodies
Castroscopy
Castrostomy
Injection of haemorrhoids, anal stretch for haemorrhoids or other conditions
Laparoscopy
Repair of umbilical, epigastric hernia
Sigmoidoscopy with or without biopsy
PART 2 – INTERMEDIATE.
Appendicectomy
Aspiration liver abscess
Cholecystostomy
Closure of colostomy
Closure perforated gastric or duodenal ulcer
Drainage of pelvis abscess
Excision bronchial cyst or sinus
Excision Meckel’s diverticulum
Excision of anal fistula or fissure
Excision of submandibular salivary gland or calculus
Excision thyroglossal cyst or sinus
Haemorrhoidectomy
Hernia–inguinal (unilateral or bilateral), femoral, incisional
Laparotomy–exploratory only or with simple biopsy
Open–polypectomy of stomach, small bowel or colon
Operation for elephantiasis
Phyloroplasty
Ramms tedt’s operation
Scalerne node biopsy
Simple mastectomy
PART 3 – MAJOR.
Abdominoperineal resection of rectum
Cholecystecomy
Cholecystenterostomy
Choledochostomy
Colectomy, partial or total
Colostomy
Diaphragmatic hernia
Division of adhesions for intestinal obstruction
Drainage of hepatic, sub-hepatic or subphrenis abscess
Drainage or excision pancreatic cysts
Gastrectomy, partial or total
Gastroenterostomy, with or without vagotomy
Hepatic resection
Ileostomy
Laparotomy for trauma of any kind
Mastectomy, radical or modified radical
Parathyroidectomy
Parotidectomy–superficial or total
Pharyngeal diverticulum–excision
Radical excision head of pancreas
Radical groin dissection
Radical neck dissection
Resection of small or large bowel
Splenectomy
Thyroidectomy
Vagotomy
SCHEDULE 5 – ORTHOPAEDIC.
Reg., Sec. 1.
PART I – MINOR.
Amputation fingers or toes
Closed reduction dislocated shoulder, elbow, finger, hip or toe
Excision of exostoses
Excision small bursae
Insertion of skull tongs and other skeletal traction
Manipulation of spine, knees or feet
Reduction of simple closed fractures
Wedge resection or total removal toenail or fingernail
PART 2 – INTERMEDIATE.
Amputation of limbs except fingers and toes (minor) and thigh, shoulder and hip (major)
Bunionectomy
Drilling for osteomyelitis
Excision head of radius
Manipulation for congenital dislocation of hip
Meniscectomy
Patellectomy
Synovectomy
PART 3 – MAJOR.
Amputation through mid-thigh, hip or shoulder
Arthrodesis any joint (except finger or toe)
Arthroplasty
Bone grafts
Excision of cervical rib
Open reduction of dislocation or fracture
Operative treatment of compound fractures
Putti-Platt or Bankhart operation
Radical excision of bone tumours
SCHEDULE 6 – PLASTIC AND TRAUMA.
Reg., Sec. 1.
PART I – MINOR.
Excision and closure BCC or SCC
Minor procedures relating to pedicle grafting
Primary repair small or uncomplicated lacerations
Reduction of nasal fractures
Reduction of simple zygomatic fractures
Skin grafting small areas
Tenotomy
PART 2 – INTERMEDIATE.
Blepharoplasty
Dupuytrens contracture
Excision rodent ulcer involving bone or eye
Peripheral nerve repair (primary or secondary)
Pronator teres transfer
Raising of tube pedicle, transfer of pedicle except for minor procedures
Resection of cutaneous malignancy with grafting or other reconstruction
Rhytidectomy
Skin grafting areas (less than major)
Sublimis transfer
Surgery for prominent ears
Syndactyly
Tibialis posterior transfer
Z plasty correction contractures
PART 3 – MAJOR.
Cleft lip and/or palate
Cross leg flap
Eyebrow grafting
Flexor tendon repair or graft
Hypospadias
Major skin grafting or rotating flaps
Mammaplasty (reduction or augmentation)
Primary repair major or complicated lacerations
Radical excision melanoma
Radical neck dissection
Radical operation for oral cancer
Rhinoplasty
Temporalis transfer
SCHEDULE 7 – NEUROSURGERY.
Reg., Sec. l.
PART I – MINOR.
Carpal tunnel decompression
PART 2 – INTERMEDIATE.
Burr hole and ventriculography
Burr holes only
Craniectomy for subdural or extradural haematoma
Elevation or other operation for fractured skull (except formal craniotomy)
Neurolysis
Ulnar nerve transposition
PART 3 – MAJOR.
Anterior cervical fusion
Carotid surgery
Cranioplasty
Craniotomy
Laminectomy
Shunt operations
Sympathectomy (any level)
SCHEDULE 8 – PAEDIATRIC SURGERY.
Reg., Sec. 1.
PART I – MINOR.
Exchange transfusion in newborn
PART 2 – INTERMEDIATE.
Relief of intussusception
PART 3 – MAJOR.
Relief of intestinal obstruction
Repair of atresia of oesophagus
Repair of omphalocele
Repair of tracheo-oesophageal fistula
Resection and pull through for Hirschsprungs disease
Resection of teratoma
Resection of Wilm’s tumour
SCHEDULE 9 – THORACIC.
Reg., Sec. 1.
PART I – MINOR.
Intercostal drainage
PART 2 – INTERMEDIATE.
Bronchoscopy or oesophagoscopy
Exploration of uncomplicated penetrating wounds
Rib resection for empyema
PART 3 – MAJOR.
Excision of mediastinal tumours
Lobectomy
Oesophagectomy
Other exploratory thoracotomies
Pericardiectomy
Pneumonectomy
Thymectomy
SCHEDULE 10 – VASCULAR.
Reg., Sec. 1.
PART I – MINOR.
Ligation minor varicosities
PART 2 – INTERMEDIATE.
Arterial angioma
A-v fistula
High ligation and/or stripping of varicose veins
Small vessel aneurysm
PART 3 – MAJOR.
Aneurysm of major vessel
Endarterectomy
Hypertension
Porto-caval anastomosis or other definitive operation for portal circulation
Vascular grafting
SCHEDULE 11 – GENITO-URINARY.
Reg., Sec. 1.
PART I – MINOR.
Circumcision
Cystoscopy
Hydrocele, any method
Urethral dilatation
Urethral meatotomy
Vasectomy
PART 2 – INTERMEDIATE.
Cystolithotomy
Cystostomy
Epididectomy
Orchidectomy (simple)
Orchiopexy
Partial amputation of penis
Varicocele
PART 3 – MAJOR.
Adrenalectomy
Amputation of penis (total)
Cystectomy, partial or total
Kidney–any operation
Prostatectomy (any method)
Ureter–any operation
Urethral reconstruction
SCHEDULE 12 – Reg., Sec. 1.
GYNAECOLOGY AND OBSTETRICS.
PART I – MINOR.
Assisted breech delivery
Biopsy of cervix
Breech extraction
Cauterisation cervix
D & C
Examination under anaesthetic
Excision of simple tumours of vulvo-vaginal area
Insertion of radium for ca. cervix
Laparoscopy
Manual removal of placenta
Posterior colpotomy
Removal cervical polyps
Shirodkar operation
Uterine aspiration
Vacuum extraction or forceps delivery
PART 2 – INTERMEDIATE.
Excision cyst of borad ligament
Ovarian cystectomy
Repair of cervical laceration
Repair of cystocele and/or rectocele
Repair of 3rd degree tear
Salpingo-oopherectomy
Simple vulvectomy
Symphysiotomy
Tubal ligation
PART 3 – MAJOR.
Caesarean section
Construction of vagina
Destructive operation
Hysterectomy of any kind
Hysterotomy
Manchester repair (cystocele, rectocele and cervix)
Myomectomy
Radical vulvectomy
Repair of ruptured uterus
Salpingectomy for hydrosalpinx, pyosalpinx or ectopic gestation
Uterine suspension
SCHEDULE 13 – EARS, NOSE AND THROAT.
Reg., Sec. 1.
PART I – MINOR.
Laryngoscopy
Reduction nasal fractures
Incision of peri-tonsillar abscess
Myringotomy
Nasal Polypectomy
Tonsillectomy and/or adenoidectomy
PART 2 – INTERMEDIATE.
Bronchoscopy and oesophagoscopy, with or without biopsy
Intra-nasal antrostomy or other sinus operation
Rhinoplasty
Simple mastoidectomy
Submuscous resection
Tracheostomy
PART 3 – MAJOR.
Fenestration
Laryngectomy, partial or total
Labyrinthectomy
Radical mastoidectomy
Stapedectomy
Tympanoplasty
SCHEDULE 14 – OPHTHALMIC.
Reg., Sec. 1.
PART I – MINOR.
Cauterisation of corneal ulcer
Excision biopsy lesions of eyelid
Excision pterygium
Probing of tear duct
Removal of chalazion
Removal of foreign body embedded in cornea
PART 2 – INTERMEDIATE.
Enucleation or evisceration
Excision of lacrimal sac, all methods
Iridectomy
Needling for cataract
Paracentesis
Plastic repair of ectroprion, entroprion, ptosis, strabismus
Repair corneal lacerations
PART 3 – MAJOR.
Cataract–lens extraction
Corneal grafting
Exteneration of orbit
Removal of intro-ocular foreign body
Removal of intra-orbital tumour
Office of Legislative Counsel, PNG
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URL: http://www.paclii.org/pg/legis/consol_act/phr1978333