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KMPDU Private Practice CBA Eldoret
KMPDU Private Practice CBA Eldoret
COLLECTIVE BARGAINING AGREEMENT BETWEEN MOI TEACHING AND REFERRAL HOSPITAL PRIVATE WINGS
(HEREINAFTER REFERED TO AS THE HOSPITAL) AND
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TABLE OF CONTENTS
DEFINITION OF TERMS...............................................................3 ARTICLE I: TERMS OF AGREEMENT..............................................4
A: Preamble..................................................................................4 B. Effective Date and Duration of Agreement..................................4 C: Waiver Clause...........................................................................4 D: Severability Clause...................................................................4 E: Prohibition of unilateral action...................................................4 G: Dispute resolution....................................................................5 H: Labour Management Committee................................................5
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DEFINITION OF TERMS
Doctor Any holder of the following degrees MBChB, BPharm, BDS, or their equivalents as recognised by the Kenya Medical Practitioners and Dentists Board. A doctor who in addition is a holder of an MMed or MDS degree, COSECSA fellowship or their equivalents. Any aggrieved member of the Union or group of members of the Union similarly affected The person or persons designated by the grievant as his or her counsel to act in his or her behalf.
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C: Waiver Clause
Regardless of any procedure set forth in this agreement, the signatory parties may mutually agree upon any method for achieving goals; or resolving any question, controversy, claim or matter of difference related to this agreement or the performance or breach of any part thereof. No action taken under the provisions of this section shall constitute a past practice for future negotiations.
D: Severability Clause
Any provision inconsistent with or contrary to law shall be considered as deleted from the Agreement without harm to the remaining provisions of the Agreement. If any section of this Agreement or any addendum to it is held invalid by operation of law or by any tribunal of competent jurisdiction, or if compliance with or enforcement of any section is restrained by such tribunal, the remainder of this Agreement shall not be affected thereby, and the parties shall enter into immediate negotiations for the purpose of arriving at a mutually satisfactory replacement for such section.
G: Dispute resolution
In case of a dispute in the interpretation, application or execution of this agreement, the labour management committee shall meet to seek an agreement failure to which channels of dispute resolution shall be followed as described in the Labour Laws of Kenya.
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xi. Radiologists shall be paid for interpreting or reading imaging diagnostic radiological tests at a rate of 35% of the cost of the test. For interventional/procedural tests, they shall be paid for performing the intervention/procedure at a rate of 50% of the cost of the test. Refer to Appendix B.
b.Night i. Cash paying General Practitioners Medical Specialists ii. Corporate General Practitioners Medical Specialists 3. House visits excludes psychiatrists a. Daytime i. Cash paying General Practitioners Medical Specialists ii. Corporate General Practitioners Medical Specialists b.Night i. Cash paying General Practitioners Medical Specialists ii. Corporate General Practitioners Medical Specialists 4. Psychiatrists i. Domiciliary visits a. Daytime Cash paying Corporate b.Night Cash paying Corporate ii. Hospital visits KSh. 8,000 per visit KSh. 10,000 per visit KSh. 5,000 per visit KSh. 7,000 per visit KSh. 4,000 per visit KSh. 8,000 per visit KSh. 3,000 per visit KSh. 5,000 per visit KSh. 3,500 per visit KSh. 5,000 per visit KSh. 2,000 per visit KSh. 3,000 per visit KSh. 4,000 per visit KSh. 6,000 per visit KSh. 2,000 per visit KSh. 3,000 per visit
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a. Daytime Cash paying Corporate b.Night Cash paying Corporate iii. Therapy sessions Psychotherapy Family therapy Marital therapy 5. Critical care services (HDU/ICU/CCU) ICU admission ICU visits 6. Medical legal issues a. General medical examination/report b. Psychiatrists medical examination/report c. Medical legal examination/report d. Court appearances session 7. Procedures/surgical operations Refer to Appendix B for details 8. Public Lecture Within town Outside town KSh. 20,000 KSh. 50,000 KSh. 5,000 KSh. 8,000 KSh. 12,000 KSh. 15,000 per KSh. 8,000 KSh. 5,000 per day KSh. 6,000 per hour KSh. 6,000 per hour KSh. 8,000 per hour KSh. 5,000 per visit KSh. 6,000 per visit KSh. 4,000 per visit KSh. 5,000 per visit
First visit Subsequent visits consult b.Dental Specialists i. Cash paying First visit Subsequent visits consult ii. Corporate First visit Subsequent visits consult 2. Hospital visits a. Daytime i. Cash paying General Practitioners Dental Specialists ii. Corporate General Practitioners Dental Specialists b.Night i. Cash paying General Practitioners Dental Specialists ii. Corporate General Practitioners Dental Specialists 3. House visits a. Daytime i. Cash paying General Practitioners Dental Specialists
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ii. Corporate General Practitioners Dental Specialists b.Night i. Cash paying General Practitioners Dental Specialists ii. Corporate General Practitioners Dental Specialists 4. Medical legal issues a. General dental examination/report b. Dental legal examination/report c. Court appearances session 5. Procedures/surgical operations Refer to Appendix B for details 6. Public Lecture Within town Outside town KSh. 20,000 KSh. 50,000 KSh. 5,000 KSh. 12,000 KSh. 15,000 per KSh. 4,000 per visit KSh. 8,000 per visit KSh. 3,000 per visit KSh. 5,000 per visit KSh. 3,500 per visit KSh. 5,000 per visit
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v. A doctor reserves the right to opt out of the call list. vi. The Hospital reserves the right to summarily strike off a doctor from the call rota for a lawful cause.
B: Support services
i. The Hospital shall provide satisfactory support services in terms of nursing, physiotherapy, counselling, records, billing, lab, pharmacy, casualty/emergency room, theatre/operating room and any other relevant support ii. The Labour Management Committee or its subcommittee shall be tasked with setting out minimum standards for members of the Union to utilize facilities of the Hospital. iii.The Labour Management Committee shall also advise the Hospital in ways of improving its facilities and its income generating capabilities.
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B. Procedure
i. STAGE ONE (Hospital Administrator/Director) a. The grievant shall present his/her grievance in writing to the Hospital Administrator/Director within 28 days after knowledge of the act giving rise to the grievance. b. The Hospital Administrator/Director shall discuss the grievance orally and informally with the grievant. The Hospital Administrator/Director shall undertake such investigations as he/she deems appropriate. c. Within seven (7) days after presentation of the grievance to him or her, the Hospital Administrator/Director shall render his or her determination in writing to the grievant. ii. STAGE TWO (Labour Management Committee) a. If the grievant is not satisfied with the decision made by the Hospital Administrator/Director, he or she may, within seven (7) days of the final determination by the Hospital Administrator/Director, make a written request to the Labour Management Committee for review and determination. All written statements and records of the case shall be submitted to the Committee.
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b. The Committee shall hold a hearing regarding the case within fourteen (14) days of receipt of the request for review by the grievant. c. The Committee shall render a decision within fourteen (14) days after its hearing. iii. STAGE THREE (Arbitration) a. If the grievant is not satisfied with the decision made by the Committee, the grievant, the Union or Hospital may, within fourteen (14) days after the decision, submit the grievance to arbitration as per the Arbitration laws of the country. b. The Arbitrator shall have no power or authority to make any decision which requires the commission of an act prohibited by law or which violates the terms of this Agreement, nor shall he/she have any power to modify or vary in any way the terms of this Agreement. c. The decision of the Arbitrator shall be final and binding, subject to the right of judicial review set out by applicable law. d. The costs for the services of the arbitration will be borne equally by the Hospital and the Union.
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SIGNATURES
SIGNED FOR AND ON BEHALF OF THE HOSPITAL
SIGNED FOR AND ON BEHALF OF THE UNION: Sign: ............................................................................................................. .............. Designation: ................................................................................................. ........... Date: ............................................................................................................. ............. IN THE PRESENCE OF: Sign: ............................................................................................................. .............. Designation: ................................................................................................. ........... Date: ............................................................................................................. .............
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No
.............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. .............. Page 19 of 57
Procedure
Fee
............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................
................................................ ....... ................................................ ....... ................................................ ....... ................................................ ....... ................................................ ....... ................................................ ....... ................................................ ....... ................................................ ....... ................................................ .......
............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................ ............................ ................
Signed: ........................................................ (On behalf of the Hospital) Signed: ........................................................ (Doctor) (To be filled in triplicate, original to the doctor, 1st and 2nd copy to the hospital)
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ANAESTHESIOLOGY
CODE ANA001 ANA002 ANA003 ANA004 ANA005 ANA006 ANA007 ANA008 ANA009 ANA010 ANA011 ANA012 ANA013 ANA014 ANA015 PROCEDURE Minor Procedures Minor operations under LA CVP catheterisation Tracheal intubation NG tube insertion X-ray guided pain procedures-lumbar spine X-ray guided pain procedures-cervical spine Epidurals: initial insertion or single shot Epidurals: top-ups by anaesthetist (per episode) Lumbar puncture Peripheral venous access Daily ventilator management Initiation of ventilation Extubation and post extubation management Resuscitation Drawing of blood for blood gas analysis Major Procedures Group A: ASA I and ASA II Minimum charge or within first half hour Second half hour Second and subsequent hours (per hour) Group B: ASA III, IV, V and infants Minimum charge or within first half hour Second half hour Second and subsequent hours (per hour) Group C: High risk and/or specialized surgery: Neurosurgery (tumor and posterior cranial fossa), neonates, bronchoscopy, thoracotomy, prone and abnormal Page 23 of 57 positioning, complex oromaxillofacial head and neck surgery Minimum charge or within first half hour Second half hour Eldoret Consensus Procedure Fee 2,500 8,000 7,500 2,000 10,000 15,000 10,000 4,000 4,500 2,000 4,000 4,000 3,000 7,000 2,000
ANA151 ANA152
20,000 20,000
CARDIOLOGY
CODE CAR001 CAR002 CAR003 CAR004 CAR005 CAR006 CAR007 CAR008 CAR009 CAR010 CAR011 CAR012 CAR013 CAR014 CAR015 CAR016 CAR017 CAR018 CAR019 CAR020 CAR021 PROCEDURE ECG Cardiac catheterisation Single pacemaker insertion Dual chamber pacemaker insertion Temporary pacemaker Pericardiocentesis Pulmonary artery catheterisation Pericardial catheterisation Selective coronary arteriography Coronary angioplasty and stent Overdrive pacing for tachycardia Myocardial biopsy Cardiac evaluation (exercise stress test, ECG, 2D ECHO) Holter monitoring Vent care in ICU (daily charges) Ambulatory BP monitoring Intracardiac balloon pump (daily) Intraaortic balloon pump (daily) Electric cardioversion Transesophageal ECHO C-V line insertion Eldoret Consensus Procedure Fee 1,500 45,000 65,000 110,000 15,000 15,000 15,000 22,500 60,000 135,000 15,000 30,000 15,000 13,500 4,500 12,000 15,000 30,000 15,000 15,000
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CODE
PROCEDURE Complex major Pleurectomy/decortication Pericardectomy Vessel bypass surgery Coronary angioplasty/stenting Oesophagectomy Splenorenal shunt Portocaval shunt Excision of carotid body tumour Closed valvotomy Mitral valvotomy/balloon Open heart surgery Pneumonectomy/lobectomy Surgery for achalasia cardia Vascular amputation Aneurysm repair Repair of traumatic arterial transection Thoracotomy Resection of complex AV fistula Subfascial DVT ligation + skin graft Thromboembolectomy Carotid arterectomy PDA ligation Major Insertion of MB tube Mediastinoscopy Thoracoscopy Mini thoracotomy for open lung biopsy Pacemaker implantation: single Page 26 of 57 Pacemaker implantation: dual Excision of mediastinal tumor Ligation/stripping of varicose veins
CVS001 CVS002 CVS003 CVS004 CVS005 CVS006 CVS007 CVS008 CVS009 CVS010 CVS011 CVS012 CVS013 CVS014 CVS015 CVS016 CVS017 CVS018 CVS019 CVS020 CVS021 CVS022
75,000 75,000 87,500 135,000 115,000 60,000 60,000 75,000 50,000 50,000 150,000 100,000 50,000 75,000 100,000 65,000 60,000 65,000 55,000 57,500 50,000 62,500
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DENTAL
CODE PROCEDURE Surgical Procedures Simple extraction 3rd molar extraction Dry socket Open surgical disimpaction Closed disimpaction Wound stitching Incisional biopsy under LA Cyst - enucleation under LA (minor) Simple fracture management under LA (IMF) Complex fracture management under GA Splinting (1st tooth) Splinting (additional tooth) Operculectomy Frenectomy Alveoplasty Apicectomy Conservative treatment Plastic filling composite/GIC Fissure sealing Amalgam Temporary filling Restoration pin Root canal treatment - 1 canal 2 canals 3 canals Pulpotomy/pulpectomy Crown and bridge work ( per unit) Page 28 of 57 Acrylic Porcelain Post- crown Composite masking Eldoret Consensus Surgeons Fee Cash-paying 1,000 2,000 900 6,500 2,500 2,500 4,000 6,000 20,000 2,000 1,000 2,000 2,000 3,000 4,000 Eldoret Consensus Surgeons Fee Corporate 2,000 3,000 1,200 9,000 3,500 3,500 6,000 9,000 30,000 3,000 1,500 3,000 3,000 4,000 6,000
DEN001 DEN002 DEN003 DEN004 DEN005 DEN006 DEN007 DEN008 DEN009 DEN010 DEN011 DEN012 DEN013 DEN014 DEN015 DEN016
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ENT001 ENT002 ENT003 ENT004 ENT005 ENT006 ENT007 ENT008 ENT009 ENT010 ENT011 ENT012 ENT013 ENT014 ENT015 ENT016
150,000 130,000 80,000 75,000 100,000 60,000 70,000 55,000 90,000 80,000 40,000 100,000 100,000 60,000 100,000 180,000
ENT051 ENT052 ENT053 ENT054 ENT055 ENT056 ENT057 ENT058 ENT059 ENT060 ENT061 ENT062 ENT063 ENT064
50,000 50,000 50,000 50,000 50,000 40,000 70,000 60,000 50,000 30,000 80,000 40,000 65,000 80,000
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GASTROENTEROLOGY
CODE GAS001 GAS002 GAS003 GAS004 GAS005 GAS006 GAS007 GAS008 GAS009 GAS010 GAS011 PROCEDURE OGD Diagnostic Sclerotherapy Diathermy (haemostatic procedure) Pyloric balloon dilatation PEG tube insertion Stricture dilatation (Savary Gilliard) Upper GI polypectomy Stent insertion Stricture dilatation (TTC) Pneumatic dilatation Band ligation Colonoscopy Diagnostic Stricture dilatation Lower GI polypectomy ERCP Diagnostic Sphincterectomy Stent insertion Sphincterectomy + stone removal Others Sigmoidoscopy Rectal snip Liver biopsy Peritoneal biopsy Eldoret Consensus Procedure Fee 12,000 22,000 30,000 25,000 22,000 25,000 12,000 30,000 20,000 20,000 25,000
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GENERAL SURGERY
Eldoret Consensus Surgeons Fee
CODE
PROCEDURE Complex major Abdominoperineal resection (APR) Anterior resection of rectum Total gastrectomy Partial gastrectomy Total esophagectomy Unilateral adrenalectomy Bilateral adrenalectomy Total resection of colon Partial pancreatectomy Nephrectomy Cholecystectomy + CBD exploration Biliary stricture surgery Major I Open cholecystectomy Laparascopic cholecystectomy Vagotomy + drainage Repair of perforated duodenal ulcer Repair of hiatus hernia Splenectomy Parathyroidedectomy Radical mastectomy Simple mastectomy Breast lumpectomy Drainage of breast abscess Segmental resection of breast Total thyroidectomy Intestinal resection + anastomosis Exploration of retroperitoneal mass Page 36 of 57 Exploration laparatomy Bowel resection and anastomosis Laparotomy for pyloric stenosis
GES001 GES002 GES003 GES004 GES005 GES006 GES007 GES008 GES009 GES010 GES011 GES012
60,000 50,000 60,000 45,000 55,000 50,000 65,000 55,000 50,000 40,000 55,000 80,000
GES051 GES052 GES053 GES054 GES055 GES056 GES057 GES058 GES059 GES060 GES061 GES062 GES063 GES064 GES065 GES066 GES067 GES068
50,000 60,000 50,000 45,000 40,000 45,000 40,000 45,000 40,000 25,000 21,000 30,000 45,000 45,000 50,000 45,000 45,000 40,000
NEPHROLOGY
CODE NEP001 NEP002 NEP003 NEP004 NEP005 NEP006 PROCEDURE Hemodialysis line fixation: internal jugular/femoral Hemodialysis line fixation: tunnelled (PermCath) Vascular access (A-V shunts/fistulae) Renal biopsy Insertion of peritoneal catheter Renal transplant: nephrologists fee Eldoret Consensus Procedure Fee 8,000 12,000 22,500 10,000 22,500 30,000
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NEUROLOGY
Eldoret Consensus Procedure Fee 7,000 11,000 11,000 5,000 10,000
PROCEDURE EEG Nerve conduction studies Evoked potential Diagnostic lumbar puncture Therapeutic lumbar puncture
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NEUROSURGERY
Eldoret Consensus Surgeons Fee Cash-paying 150,000 100,000 120,000 120,000 100,000 150,000 120,000 80,000 100,000 120,000 Eldoret Consensus Surgeons Fee Corporate 200,000 150,000 180,000 150,000 150,000 200,000 180,000 120,000 150,000 180,000
CODE
PROCEDURE Complex major Endonasal pituitary surgery Transphenoidal pituitary surgery Craniotomy for aneurysm Craniotomy for AV malformation Craniotomy for brain tumour Posterior fossa surgery Spinal fusions with implants Anterior cervical discectomy and fusion: 1 level Anterior cervical discectomy and fusion: 2 levels Anterior cervical discectomy and fusion: 3 levels Major I Microdisectomy: 1 level Microdisectomy: 2 levels Microdisectomy: 3 levels Microdisectomy and rhizolysis: 1 level Microdisectomy and rhizolysis: 2 levels (bilateral) Microdisectomy and rhizolysis: 3 levels Craniotomy for intracerebral hematoma Craniotomy for extradural hematoma Craniotomy for subdural hematoma Craniotomy for brain abscess Craniotomy for tuberculoma Laminectomy (cervical/thoracic/lumbar spine): 1 level Laminectomy (cervical/thoracic/lumbar spine): 2 levels Laminectomy (cervical/thoracic/lumbar spine): 3 levels Arnold-Chiari decompression Page 40 of 57 Laminectomy and excision of spinal tumour Laminectomy and repair of dura Intracranial repair of dura
NES001 NES002 NES003 NES004 NES005 NES006 NES007 NES008 NES009 NES010
NES051 NES052 NES053 NES054 NES055 NES056 NES057 NES058 NES059 NES060 NES061 NES062 NES063 NES064 NES065 NES066 NES067 NES068
70,000 80,000 90,000 80,000 95,000 110,000 60,000 60,000 60,000 50,000 60,000 60,000 80,000 100,000 90,000 90,000 60,000 50,000
90,000 100,000 120,000 100,000 110,000 150,000 80,000 80,000 80,000 70,000 80,000 80,000 100,000 120,000 120,000 120,000 80,000 70,000
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CODE
PROCEDURE Complex major Wertheims hysterectomy Ovarian cancer resection (pelvic clearance) Repair of vesicovaginal fistula Repair of rectovaginal fistula AP colpoperineorrhaphy Repair of ruptured uterus Radical vulvectomy Manchester repair Repair of pelvic floor Major I Laparotomy: tubolasty Laparotomy: hysterectomy (abdominal) Laparotomy: myomectomy Laparotomy: ovarian cystectomy Laparotomy: ruptured ectopic pregnancy Laparotomy: pelvic abscess Laparotomy: exploratory/adhesionolysis Laparotomy: ventrosuspension Laparotomy: salpingo- oophorectomy Laparotomy: endometriosis surgery Laparotomy: metroplasty/uteroplasty Simple vulvectomy Vaginal hysterectomy Operative laparoscopy: ovarian cystectomy/drilling Operative laparoscopy: ectopic pregnancy Operative laparoscopy: tuboplasty Operative laparoscopy: adhesionolysis Operative laparoscopy: myomectomy Page 42 of 57 Operative laparoscopy: endometriosis surgery Operative laparoscopy: hysterectomy
OGS051 OGS052 OGS053 OGS054 OGS055 OGS056 OGS057 OGS058 OGS059 OGS060 OGS061 OGS062 OGS063 OGS064 OGS065 OGS066 OGS067 OGS068 OGS069 OGS070
45,000 60,000 55,000 25,000 30,000 40,000 45,000 45,000 35,000 60,000 35,000 75,000 60,000 65,000 65,000 65,000 65,000 72,500 72,500 72,500
ONCOLOGY Eldoret Consensus Procedure Fee 2000 1000 6000 6000 6000 6000 6000
PROCEDURE Cannulae fixation Venepuncture IV Chemotherapy Lumbar puncture IT chemotherapy Chemical pleurodesis BMA
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OPTHALMIC SURGERY
CODE PROCEDURE Eldoret Consensus Surgeons Fee
Complex major Retinal detachment correction (sclera buckling) Orbital exenteration Orbitotomy Corneal graft /transplant/keratoplasty Corneal graft /transplant/keratoplasty: Button supplied Vitreo-retinal surgery (vitrectomy) Major I Bilateral blepharoplasty Iridolysis Ptosis correction Lacrimal drainage surgery Major II Cataract extraction with implant Cataract extraction without implant Intermediate Glaucoma surgery (GA) Repair of corneal perforation Enucleation/evisceration of the eye Squint surgery Entropion/ectropion correction Lens extraction Lens washout Lid repair Laser surgery (YAG, photocoagulation, trabeculoplasty) Page 45 of 57 Trabeculectomy Goniotomy Capsulotomy
OPS101 OPS102
60,000 40,000
OPS151 OPS152 OPS153 OPS154 OPS155 OPS156 OPS157 OPS158 OPS159 OPS160 OPS161 OPS162
50,000 50,000 35,000 55,000 30,000 22,500 25,000 25,000 20,000 40,000 45,000 25,000
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PAEDIATRICS
CODE PAE001 PAE002 PAE003 PAE004 PAE005 PAE006 PAE007 PAE008 PAE009 PAE010 PAE011 PAE012 PAE013 PAE014 PAE015 PAE016 PAE017 PAE018 PAE019 PAE020 PAE021 PAE022 PAE023 PAE024 PAE025 PAE026 PAE027 PAE028 PAE029 PAE030 PAE031 PROCEDURE Receiving a newborn Resuscitation of a newborn/child Exchange transfusion Cannulae fixation Venepuncture IV chemotherapy Intaraosseous cannulation Central line insertion Venous cutdown Femoral vein cannulation Umbilical catheterisation Lumbar puncture, diagnostic Lumbar puncture, therapeutic Pleural tap Pleural biopsy Intubation Suprapubic bladder tap/catheterisation Urethral catheterisation Nasogastric/orogastric tube insertion Flatus tube insertion Proctoscopy Enema Manual removal of impacted stool Removal of foreign bodies: eye Removal of foreign bodies: nose Removal of foreign bodies: ear Removal of foreign bodies: vagina Page 47 of 57 Removal of foreign bodies: rectum Bone marrow aspirate Splenic aspirate Pericardial tap/aspirate Eldoret Consensus Procedure Fee 10,000 8,000 30,000 800 800 5,000 3,000 8,000 4,000 4,000 4,000 5,000 10,000 5,000 6,000 3,000 3,000 3,000 3,000 3,000 1,500 3,000 3,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000 8,000
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PAEDIATRIC SURGERY
Eldoret Consensus Surgeons Fee
CODE
PROCEDURE Complex major Small bowel atresia Thoracotomy (oesophageal atresia) Biliary atresia (Kasai-Kimura procedures, portoenterostomy) Niessens fundoplication Gut duplication procedure Hirschprungs disease procedure: laparatomy, biopsy, colostomy Hirschprungs disease procedure: abdominoperineal pullthrough (Soave, Swenson) Hirschprungs disease procedure: closure of colostomy Hirschprungs disease procedure: rectal biopsies Hellers cardiomyotomy Bladder neck reconstruction: urinary diversion (rectosigmoidostomy) Posterior sagittal anorectoplasty (PSARP) for anorectal malformation Exploration of retroperitoneal mass Hemicolectomy Excision of liver hydatid cyst Nephrectomy Reflux hydronephrosis (reimplantation) Urethropplasty for hypospadias and epispadias Pelvic ureteric junction obstruction (PUJO) Major I Omphalocele Splenectomy Laparotomy: intussusception Laparotomy: volvulus Laparotomy: malrotation and placation Laparotomy: peritonitis Page 49 of 57 Laparotomy: intestinal resection + anastomosis Repair of fistula after urethroplasty Thyroidectomy
PDS001 PDS002 PDS003 PDS004 PDS005 PDS006 PDS007 PDS008 PDS009 PDS010 PDS011 PDS012 PDS013 PDS014 PDS015 PDS016 PDS017 PDS018 PDS019
51,000 59,000 59,000 50,000 40,000 29,500 51,000 36,000 17,500 51,000 56,000 36,000 59,000 45,000 50,000 59,000 59,000 43,000 59,000
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PATHOLOGY
Eldoret Consensus Reading/Interpre tation 1,000 40% 10,000 15,000 40% 40% 2,000 40% 40% 1500 3,000 3000 40% 1000 40% 40% 40% 600 40% 40% 40% 3,000 40% 40%
CODE PAT001 PAT002 PAT003 PAT004 PAT005 PAT006 PAT007 PAT008 PAT009 PAT010 PAT011 PAT012 PAT013 PAT014 PAT015 PAT016 PAT017 PAT018 PAT019 PAT020 PAT021 PAT022 PAT023 PAT024
PROCEDURE FNA- cytology: performing FNA- cytology: reading Clinical post-mortem Forensic post-mortem Biopsy specimen Cytology exfoliative (e.g Pap and fluid cytology): reading Taking of bone marrow aspirate Reading of bone marrow aspirate Reading peripheral blood films Coagulation studies (consultation and interpretation of results) Cytotoxic drug administration Bone marrow trephine biopsy-taking Bone marrow trephine biopsy-reading Protein electrophoresis Readin/interpreting biochemical studies Reading of culture and sensitivity Microscopy of any specimen Blood slide for malaria, filarial, Trypanosome parasites Stool examination Urine examination Rectal snip readings Liver, spleen, lymph node aspirates: performing Liver, spleen, lymph node aspirates: reading Skin snip reading Page 51 of 57
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CODE PLS001 PLS002 PLS003 PLS004 PLS005 PLS006 PLS007 PLS008 PLS009 PLS010 PLS011 PLS012 PLS013 PLS014
PROCEDURE Complex major Mammoplasty Cranioplasty Classic abdominoplasty Facelift(Rhytidectomy) Liposuction Rhinoplasty Auriculoplasty/otoplasty Unilateral cleft lip repair Bilateral cleft lip repair Cleft palate repair Bilateral cleft lip and palate repair Rotation flaps Release of contractures Tendon transfer and repairs Major I Blapharoplasty Anterior canthotomy and Z-plasty Nerve release and decomprression Insertion and removal of tissue expander Lip reconstruction Digital reconstruction Revision of scars Advancement flaps Syndactyly/polydactyly correction Major II Skin graft Dermabrasion Page 53 of 57 Intermediate I Excision of keloid and lumps (LA)
PLS101 PLS102
32,500 20,000
PLS151
30,000
PSYCHIATRY
CODE PSY001 PROCEDURE Electroconvulsive therapy Eldoret Consensus Procedure Fee 10,000
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PULMONARY
Eldoret Consensus Procedure Fee 3,000 5,000 3,000 5,000
PROCEDURE Peak flowmetry Spirometry Chest aspiration Chest aspiration with biopsy
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UROLOGICAL SURGERY
Eldoret Consensus Surgeons Fee
CODE
PROCEDURE Complex major Retroperitoneal lymphadenectomy Adrenal gland surgery Radical nephrectomy Nephroureterectomy Renal transplantation - recipient Renal transplantation - donor Cystectomy + urinary diversion Radical prostatectomy Major I Pyelolithotomy Nephrolithotomy Simple nephrectomy Congenital ureteropelvic junction obstruction Repair of megaurete Bladder neck resection Repair of urinary vaginal fistula Open prostatectomy Urethroplasty Partial/radical penectomy Transurethral resection of prostate (TURP) Percutaneous nephrolithostomy Pyeloplasty Ureteric reimplanatation Removal of ureteric calculi Bladder diverticulum surgery Repair of ruptured bladder Major II Page 57 of 57 Meatotomy/meatoplasty Orchidectomy Bilateral orchidopexy
URO051 URO052 URO053 URO054 URO055 URO056 URO057 URO058 URO059 URO060 URO061 URO062 URO063 URO064 URO065 URO066 URO067
67,500 75,000 50,000 57,500 57,500 40,000 55,000 57,500 35,000 35,000 57,500 50,000 67,500 67,500 57,500 40,000 37,500