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836100070 | 83610-00-70 | Room & board: ward | Daily room and board fees for a shared accommodation in a room fit for 2 patients and more with shared bathroom (ward) | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room and board fees for a shared accommodation in a room fit for 2 patients and more with shared bathroom (ward). | null | null | null |
836100080 | 83610-00-80 | Room & board: semi -private (shared room) | Daily room and board fees for a shared accommodation in a room fit for 2 patients only with shared bathroom | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room and board fees for a shared accommodation in a room fit for 2 patients only with shared bathroom. | null | null | null |
836100090 | 83610-00-90 | Room & board- isolation room or negative pressure room | Private room or shared room with a select companion fully equipped to prevent the spread of an infectious agent from an infected or colonized patient to susceptible persons inclusive of all of protective barriers and mechanical measurements taken for maintaining isolation charged per day | 23 | KSA Service Codes | 3,610 | Room and Board | Private room or shared room with a select companion fully equipped to prevent the spread of an infectious agent from an infected or colonized patient to susceptible persons. inclusive of all of protective barriers and mechanical measurements taken for maintaining isolation; charged per day. | null | null | null |
836100100 | 83610-01-00 | Room & board: per diem - first class room | Daily room and board fees for a single room with aprivate bathroom, providingsufficientstorage area for patient personal belongings, and other accessories of comfort. (first class room)
| 23 | KSA Service Codes | 3,610 | Room and Board | Daily room and board fees for a single room with a private bathroom, providing sufficient storage area for patient personal belongings, and other accessories of comfort (first class room). | null | null | null |
836100110 | 83610-01-10 | Room rate diff, daily rate (>/= 1 day) 1st class room | Difference between ward or shared room and first class room , this code is inclusive of only room & board charges difference for first class room | 23 | KSA Service Codes | 3,610 | Room and Board | Difference between ward or shared room and first class room, this code is inclusive of only room & board charges difference for first class room. | null | null | null |
836100120 | 83610-01-20 | Room & board - first class paediatric room | Daily room and board fees for a single room with aprivate bathroom, providing sufficient storage area for patient personal belongings, and other accessories of comfort. (first class paediatric room) | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room and board fees for a single room with a private bathroom, providing sufficient storage area for patient personal belongings, and other accessories of comfort. (first class paediatric room). | null | null | null |
836100130 | 83610-01-30 | Room & board: private room deluxe | Daily room not inclusive cost of care charges day 2 and further, private room deluxe | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room not inclusive cost of care charges day 2 and further, private room deluxe. | null | null | null |
836100140 | 83610-01-40 | Room & board: private room standard suite | Daily room not inclusive cost of care charges day 2 and further, private room standard suite | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room not inclusive cost of care charges day 2 and further, private room standard suite. | null | null | null |
836100150 | 83610-01-50 | Room & board: suite | Daily room not inclusive cost of care charges day 2 and further, suite | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room not inclusive cost of care charges day 2 and further, suite. | null | null | null |
836100160 | 83610-01-60 | Room rate difference - daily rate (day 1 & more ) - suite | Difference between ward or shared room ,first class room and suite room this code is inclusive of only room & board charges difference for first class room | 23 | KSA Service Codes | 3,610 | Room and Board | Difference between ward or shared room, first class room and suite room. this code is inclusive of only room & board charges difference for first class room. | null | null | null |
836100170 | 83610-01-70 | Room & board: royal suite | Daily room and board charges for a single room plus 1 guest room with addition comforts | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room and board charges for a single room plus 1 guest room with addition comforts. | null | null | null |
836100180 | 83610-01-80 | Room rate difference - daily rate (day 1 & more ) - royal suite | One room (for the patient)plus1 or more rooms (forguests), provided with 2 or more separatebathrooms inclusive of all possible items forluxury and all possible measurements taken forprivacy and exclusivity.
Patient room is inclusive of a fully mechanical electric bed, adequate storage area for personal belongings, special table for patient food, medical gases, vacuum, air and suction as well as other features associated with bedside and/or mobile charting ,nurse server amenities and access to a private phone. chargedper day (Royal suite). | 23 | KSA Service Codes | 3,610 | Room and Board | One room (for the patient)plus1 or more rooms (for guests), provided with 2 or more separate bathrooms. inclusive of all possible items for luxury and all possible measurements taken for privacy and exclusivity.
patient room is inclusive of a fully mechanical electric bed, adequate storage area for personal belongings, special table for patient food, medical gases, vacuum, air and suction as well as other features associated with bedside and/or mobile charting ,nurse server amenities and access to a private phone. charged per day (royal suite). | null | null | null |
836100190 | 83610-01-90 | Room & board: vip room | Daily room and board charges for a single room with addition comforts (VIP room) | 23 | KSA Service Codes | 3,610 | Room and Board | Daily room and board charges for a single room with addition comforts (vip room). | null | null | null |
836100200 | 83610-02-00 | Room rate difference - daily rate (day 1 & more ) - vip room | Difference between ward or shared room ,first class room & suite room this code is inclusive of only room & board charges difference for royal suite(VIP room) | 23 | KSA Service Codes | 3,610 | Room and Board | Difference between ward or shared room ,first class room & suite room. this code is inclusive of only room & board charges difference for royal suite (vip room) | null | null | null |
836100210 | 83610-02-10 | Room & board scu including consumables | Room and board charges of an adult requiring of special medical attentioninspecial care settings all inclusive except for drugs and consumables above | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of an adult requiring of special medical attention in special care settings. all inclusive. except for drugs and consumables above. | null | null | null |
836100220 | 83610-02-20 | Room & board scu excluding consumables | Room and board charges of an adult requiring of special medical attention in special care settings where consumables need to be reported separately | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of an adult requiring of special medical attention in special care settings. where consumables need to be reported separately. | null | null | null |
836100230 | 83610-02-30 | Adult special-care unit (ascu) | Room and board charges of an adultrequiring of special medical attentioninspecial care settings daily basis | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of an adult requiring of special medical attention in special care settings; daily basis. | null | null | null |
836100240 | 83610-02-40 | Room & board spec care nursry exclude consumables | Room and board charges of a neonatal ( 0-22 days age) requiring of special medical attentioninspecial care settings all inclusive. | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a neonatal (0-22 days age) requiring of special medical attention in special care settings; all inclusive. | null | null | null |
836100250 | 83610-02-50 | Room & board nursery including consumables | Room and board charges of a neonatal ( 0-22 days age) born in the hospitalrequiring of special medical attention in special care settings.all inclusive except for drugs and consumables above limit(nursery) | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a neonatal (0-22 days age) born in the hospital requiring of special medical attention in special care settings; all inclusive; except for drugs and consumables above limit (nursery). | null | null | null |
836100260 | 83610-02-60 | Room & board nursery excluding consumables | Room and board charges of a neonatal ( 0-22 days age) born in the hospital requiring of special medical attention in special care settings where consumables and drugs need to be reported separately (nursery) | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a neonatal (0-22 days age) born in the hospital requiring of special medical attention in special care settings; where consumables and drugs need to be reported separately (nursery). | null | null | null |
836100270 | 83610-02-70 | Room & board - nursery | Room and board charges of a neonatal ( 0-22 days age) born in the hospital requiring of special medical attention in special care settings charged per day (nursery) | 23 | KSA Service Codes | 3,610 | Room and Board | neonates are 0-22 days age | null | null | null |
836100280 | 83610-02-80 | Room & board SCBU including consumables | Room and board charges of a neonatal ( 0-22 days age) born in the hospital or admitted. requiring of special medical attention in special care settings all inclusive except for drugs and consumables above limit | 23 | KSA Service Codes | 3,610 | Room and Board | neonates are 0-22 days age | null | null | null |
836100290 | 83610-02-90 | Room & board SCBU excluding consumables | Room and board charges of a neonatal ( 0-22 days age)born in the hospital or admitted requiring of special medical attention in special care settings where consumables and drugs need to be reported separately | 23 | KSA Service Codes | 3,610 | Room and Board | neonates are 0-22 days age | null | null | null |
836100300 | 83610-03-00 | Special-care baby unit (SCBU) | Room and board charges of a neonatal ( 0-22 days age) born in the hospital requiring of special medical attentioninspecial care settings. charged per day (Special-care baby unit (scbu)) | 23 | KSA Service Codes | 3,610 | Room and Board | neonates are 0-22 days age | null | null | null |
836100310 | 83610-03-10 | Room & board PICU including consumables | Room and board charges of a paediatric patient ( 1-14 years age) requiring of special medical attention in special care settings.all inclusive. except for drugs and consumables above limit 200 sr | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a paediatric patient (1-14 years age) requiring of special medical attention in special care settings; all inclusive; except for drugs and consumables above limit 200 SAR | null | null | null |
836100320 | 83610-03-20 | Room & board PICU excluding consumables | Room and board charges of a paediatric patient ( 1-14 years age) requiring of special medical attention in special care settings. drugs and consumables to be billed separately | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a paediatric patient (1-14 years age) requiring of special medical attention in special care settings; drugs and consumables to be billed separately. | null | null | null |
836100330 | 83610-03-30 | Per diem - paediatric intensive-care unit (picu) | Room and board charges of a paediatric patient ( 1- 15 months) requiring of special medical attentioninspecial care settings.all inclusive. | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a paediatric patient (1- 15 months) requiring of special medical attention in special care settings; all inclusive. | null | null | null |
836100340 | 83610-03-40 | Room & board NICU including consumables | Room and board charges of a neonatal ( 0-22 days age) requiring of special medical attention in special care settings.all inclusive. except for drugs and consumables above 200 sr | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a neonatal (0-22 days age) requiring of special medical attention in special care settings. all inclusive. except for drugs and consumables above 200 SAR. | null | null | null |
836100350 | 83610-03-50 | Room & board NICU excluding consumables | Room and board charges of a neonatal ( 0-22 days age) requiring of special medical attention in special care settings. consumablesand drugs to be billed separately | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges of a neonatal (0-22 days age) requiring of special medical attention in special care settings; consumables and drugs to be billed separately. | null | null | null |
836100360 | 83610-03-60 | NICU observation | New born monitoringwithout any special life saving equipment in nicu environment per 24 hr interval
| 23 | KSA Service Codes | 3,610 | Room and Board | NICU is a hospital ward or department equipped and staffed to provide intensive care to dangerously ill or premature newborn babies. | null | null | null |
836100370 | 83610-03-70 | Room & board ICU including consumables | Room and board for patient in an intensive care unit including consumables up to 200 srand excluding drugs | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board for patient in an intensive care unit including consumables up to 200 SAR and excluding drugs. | null | null | null |
836100380 | 83610-03-80 | Room & board ICU excluding consumables | Room and board for patient in an intensive care unit andconsumables anddrugs are charged separately | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board for patient in an intensive care unit and consumables and drugs are charged separately. | null | null | null |
836100390 | 83610-03-90 | Room & board VIP-ICU excluding consumables | Room and board for vip ( with an additional service room)icu patient in an intensive care unit and consumables anddrugs are charged separately | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board for vip (with an additional service room) icu patient in an intensive care unit and consumables and drugs are charged separately. | null | null | null |
836100400 | 83610-04-00 | Intensive care /cardiac care unit | Room and board for patient in an intensive care unit related to cardiac care | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board for patient in an intensive care unit related to cardiac care. | null | null | null |
836100410 | 83610-04-10 | Coro care unit (CCU) | Room and board in coronary care unit needing intensive care | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board in coronary care unit needing intensive care. | null | null | null |
836100420 | 83610-04-20 | Emergency room - hourly rate including consumables | Hourly rate for the bed / room in emergency department. excluding drugs and including consumables up to 200 sr
| 23 | KSA Service Codes | 3,610 | Room and Board | Hourly rate for the bed / room in emergency department; excluding drugs and including consumables up to 200 sr. | null | null | null |
836100430 | 83610-04-30 | Emergency room - hourly rate excluding consumables | Emergency room - hourly rate excluding consumables | 23 | KSA Service Codes | 3,610 | Room and Board | Emergency room - hourly rate excluding consumables. | null | null | null |
836100440 | 83610-04-40 | Companion accommodation | Room and board charges for a person who is accompanying the patient excluding meals | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board charges for a person who is accompanying the patient excluding meals. | null | null | null |
836100450 | 83610-04-50 | Medical escort accommodation - daily rate | Room and board for medically necessary escort. | 23 | KSA Service Codes | 3,610 | Room and Board | Room and board for medically necessary escort. | null | null | null |
836200000 | 83620-00-00 | Nurses fixed fee for a day time, home care | Include all medical services and transportation - supportive services, home care : includes physiotherapy, speech therapy, occupational therapy, respiratory therapy. exclude medication, consumables and equipment which will be paid separately. billed on daily basis each day is for 8 hours work (Nurses fixed fee for a day time) | 23 | KSA Service Codes | 3,620 | Homecare | Include all medical services and transportation - supportive services: includes physiotherapy, speech therapy, occupational therapy, respiratory therapy. exclude medication, consumables and equipment which will be paid separately. billed on daily basis each day is for 8 hours work (nurses fixed fee for a day time). | null | null | null |
836200010 | 83620-00-10 | Physio therapy, home care | Physio therapy, home care, per session | 23 | KSA Service Codes | 3,620 | Homecare | Physiotherapy: helps to restore movement and function when patient is affected by injury, illness or disability, per session. | null | null | To be billed per session |
836200020 | 83620-00-20 | Respiratory therapy, home care | Respiratory therapy, home care, per session | 23 | KSA Service Codes | 3,620 | Homecare | Respiratory therapy: evaluate and treat patient who have breathing problems or other lung disorders, per session. | null | null | To be billed per session |
836200030 | 83620-00-30 | Speech therapy, home care | Speech theray,home care per session | 23 | KSA Service Codes | 3,620 | Homecare | Speech therapy: help patient with speech and language problems to speak more clearly, per session. | null | null | To be billed per session |
836200040 | 83620-00-40 | Occupational therapy, home care | Occupational therapy, home care, per session | 23 | KSA Service Codes | 3,620 | Homecare | Occupational therapy: the use of particular activities as an aid to recuperation from physical or mental illness, per session. | null | null | To be billed per session |
836200050 | 83620-00-50 | Home care GP consult | Home assessmentfor diagnosistreatmentand counselling of a new or established patient by general practitioner | 23 | KSA Service Codes | 3,620 | Homecare | Home assessment for diagnosis treatment and counselling of a new or established patient by general practitioner. | null | null | null |
836200060 | 83620-00-60 | Home Care specialist-1 consult | Home Assessment for diagnosis treatment and counselling of a new or established patient by Specialist-1 | 23 | KSA Service Codes | 3,620 | Homecare | Home assessment for diagnosis treatment and counselling of a new or established patient by specialist-1. | null | null | null |
836200061 | 83620-00-61 | Home Care specialist-2 consult | Home Assessment for diagnosis treatment and counselling of a new or established patient by Specialist-2 | 23 | KSA Service Codes | 3,620 | Homecare | Home assessment for diagnosis treatment and counselling of a new or established patient by specialist-2. | null | null | null |
836200070 | 83620-00-70 | Home care Consultant consult | Home assessment for diagnosis, treatment and counselling of a new or established patient by consultant | 23 | KSA Service Codes | 3,620 | Homecare | Home assessment for diagnosis treatment and counselling of a new or established patient by consultant. | null | null | null |
836200080 | 83620-00-80 | Fixed fee for 7 day time period home care for simple cases | Bundled base payment of home care (simple).includes all medical services and transportation - supportive services: includes physiotherapy, speech therapy, occupational therapy, respiratory therapy . exclude medication, consumables and equipment which will be paid separately | 23 | KSA Service Codes | 3,620 | Homecare | Bundled base payment of home care (simple).includes all medical services and transportation - supportive services: includes physiotherapy, speech therapy, occupational therapy, respiratory therapy . exclude medication, consumables and equipment which will be paid separately. | null | null | null |
836300000 | 83630-00-00 | Delivery room excluding consumables | Maternity facilities for normaldelivery. all incisive. drugs and consumablesreported separately. | 23 | KSA Service Codes | 3,630 | Delivery Room | Maternity facilities for normal delivery. all incisive. drugs and consumables reported separately. | null | null | null |
836300010 | 83630-00-10 | Delivery room including consumables | Maternity facilities for normaldelivery. all incisive. drugs reported separately. consumables are included up to 200 sr per item per day. | 23 | KSA Service Codes | 3,630 | Delivery Room | Maternity facilities for normal delivery. all incisive. drugs reported separately. consumables are included up to 200 sr per item per day. | null | null | null |
836400000 | 83640-00-00 | Cath lab charges exclude consumables; ea 30 mins | The cardiac catheterization room all inclusive . drugs, consumables and anesthesiabilled separately | 23 | KSA Service Codes | 3,640 | Cath Lab | The cardiac catheterization room all inclusive . drugs, consumables and anesthesia billed separately. | null | null | null |
836400010 | 83640-00-10 | Cath lab charges include consumables ; ea 30 mins | The cardiac catheterization room all inclusive ( drugs, consumables ) . anesthesia should be billed separately | 23 | KSA Service Codes | 3,640 | Cath Lab | The cardiac catheterization room all inclusive (drugs, consumables ); anesthesia should be billed separately. | null | null | null |
836700000 | 83670-00-00 | Pre operating room services | For assessment and pre medication services only focused on immense procedure | 23 | KSA Service Codes | 3,670 | Anesthesia | This code is assigned for pre-anesthesia evaluation that is conducted to assess the risks and develop the plan for anesthesia. | null | null | null |
836700010 | 83670-00-10 | Proc room/minor operating room excluding consumables | Procedure room utilized for diagnostic and therapeutic procedures as classified by guidelines for procedures.drugs; consumables, and anesthesia billed separately | 23 | KSA Service Codes | 3,670 | Anesthesia | Procedure room utilized for diagnostic and therapeutic procedures as classified by guidelines for procedures. drugs; consumables, and anesthesia billed separately. | null | null | null |
836700020 | 83670-00-20 | Proc room/minor operating room including consumables | Procedure room utilized for diagnostic and therapeutic procedures as classified by guidelines for procedures.drugs andconsumables are included , and anesthesia billed separately | 23 | KSA Service Codes | 3,670 | Anesthesia | Procedure room utilized for diagnostic and therapeutic procedures as classified by guidelines for procedures. drugs and consumables are included , and anesthesia billed separately. | null | null | null |
836700030 | 83670-00-30 | Operating room services - first 30 minutes | Operating room for complex procedure or surgery, 30 minutes all inclusive. drugs and anesthesiologist fees to be billed separately
| 23 | KSA Service Codes | 3,670 | Anesthesia | using anesthesia in an operating room where complex procedures are held | null | null | null |
836700040 | 83670-00-40 | Operating room services - every additional 30 minutes. | Operating room for complex procedure or surgery, every additional 30 minutes all inclusive. drugs and anesthesiologist fees to be billed separately
| 23 | KSA Service Codes | 3,670 | Anesthesia | using anesthesia in an operating room where complex procedures are held | null | null | null |
836700050 | 83670-00-50 | Recovery room - hourly rate | Hourly charges of recovery room in which surgical patients are assessedduring the immediate postoperative period for care and recovery | 23 | KSA Service Codes | 3,670 | Anesthesia | This code is assigned when surgical patients are evaluated for care and recovery immediately after the operation. the charge here in the recovery room is per hour. | null | null | null |
836700060 | 83670-00-60 | Anesthesia services per unit | Charges per 15 minutes during surgical procedures (including doctor's time, consumables, gases etc.) (Anesthesia services per unit) | 23 | KSA Service Codes | 3,670 | Anesthesia | Charges per 15 minutes during surgical procedures (including doctor's time, consumables, gases etc.) (anesthesia services per unit). | null | null | null |
836800000 | 83680-00-00 | Hemodialysis OP | Hemodialysis per session in non admitted care setting | 23 | KSA Service Codes | 3,680 | Dialysis | Hemodialysis per session in non admitted care setting. | null | null | null |
836800010 | 83680-00-10 | Automated peritoneal dialysis (apd). per session | Automated peritoneal dialysis (apd) done in a sterilized unit setup per session
| 23 | KSA Service Codes | 3,680 | Dialysis | Automated peritoneal dialysis (apd) done in a sterilized unit setup per session. | null | null | null |
836800020 | 83680-00-20 | Continuous ambulatory peritoneal dialysis (capd). | Automated peritoneal dialysis (apd) done in a sterilized unite setup hourly fees | 23 | KSA Service Codes | 3,680 | Dialysis | Automated peritoneal dialysis (apd) done in a sterilized unite setup hourly fees. | null | null | null |
836900000 | 83690-00-00 | Per diem - IP care covid- 19 suspected | Room and board all inclusive . including lab tests (Covid- 19 suspected) | 23 | KSA Service Codes | 3,690 | COVID - 19 PACKAGES | Room and board all inclusive, including lab tests (covid- 19 suspected). | null | null | null |
836900010 | 83690-00-10 | Per diem - IP care covid- 19 asymptomatic | Room and board all inclusive . including lab tests (Covid- 19 asymptomatic) | 23 | KSA Service Codes | 3,690 | COVID - 19 PACKAGES | Room and board all inclusive, including lab tests (covid- 19 asymptomatic). | null | null | null |
836900020 | 83690-00-20 | Per diem - IP care covid- 19 mild | Room and board all inclusive . including lab tests (Covid- 19 mild) | 23 | KSA Service Codes | 3,690 | COVID - 19 PACKAGES | Symptoms (no O2 requirements/no evidence of pneumonia/ no shortness of breath )but with other symptoms of covid-19 e.g., fever) | null | null | null |
836900030 | 83690-00-30 | Per diem - IP care covid- 19 moderate | Room and board all inclusive . including lab tests (Covid- 19 moderate) | 23 | KSA Service Codes | 3,690 | COVID - 19 PACKAGES | Symptoms (no O2 requirements/no evidence of pneumonia/ no shortness of breath )but with other symptoms of covid-19 e.g., fever) | null | null | null |
836900040 | 83690-00-40 | Per diem - IP care covid- 19 severe | Room and board all inclusive . including lab tests (Covid- 19 severe | 23 | KSA Service Codes | 3,690 | COVID - 19 PACKAGES | Severe: Clinical signs of pneumonia (fever, cough, dyspnea, fast breathing) and one of the following: 1- Respiratory rate >30/min (adults); ≥40/min (children < 5 years). 2- Blood oxygen saturation 3-Severe respiratory distress | null | null | null |
836900050 | 83690-00-50 | Per diem - IP care covid- 19 critical | Room and board all inclusive . including lab tests (Covid- 19 critical) | 23 | KSA Service Codes | 3,690 | COVID - 19 PACKAGES | Critical: - Symptoms of the following: o ARDS o Respiratory failure requiring ventilation o Sepsis o Septic Shock | null | null | null |
837000000 | 83700-00-00 | Unlist services yet to be defined | Unlisted services yet to be defined | 23 | KSA Service Codes | 3,700 | UNLISTED | Unlisted or unspecified services yet to be defined. | null | null | null |
100010000 | 10001-00-00 | Mort prep: body kept at mort isolation per day; w comm dis | Mortuary preparation: keeping body at mortuary, isolation per day, person with communicable (infectious) disease | 25 | Mortuary Services | 4,000 | Mortuary preparation | Mortuary preparation service, includes: isolating the dead body with infectious disease; per day. | null | null | Not to exceed 9 days, Per day. |
100020000 | 10002-00-00 | Mortpreparation body embalming/mummification/coffin | Mortuary preparation of body : embalming/mummification/coffin | 25 | Mortuary Services | 4,000 | Mortuary preparation | Mortuary body preparation service, includes: embalming, mummification and coffin. | null | null | Exclusive to MOH, KSA |
100100000 | 10010-00-00 | Mort transp road usg mort vehicle /road ambulance ≤50km | Mortuary transportation, road, using mortuary vehicle or road ambulance, distance of 50km or less. | 25 | Mortuary Services | 4,010 | Mortuary transportation | Transports human remains by mortuary vehicle or road ambulance (≤ 50 km). | null | null | Inclusive of single mortuary attendant. Includes any type of road vehicle (for example, car, van, mini-bus). Not chargeable where vehicle is provided by family member/neighbour or other volunteer (individual or organisation). In these instances, eliminate this item and use 10013-00-00 only instead to cover the cost of the mortuary attendant (if accompanying the body). for Muslims, include into the distance travel to a mosque for funeral prayers before transporting the body to the burial site.
Use Mortuary transportation codes (10010-00-00 to 10013-00-00) for local transportation within the city and outside city where EMS services are not covered. |
100100100 | 10010-01-00 | Mort trans road mort vhcle/road amblnc ea 10 km > 50km | Mortuary transportation, road, using mortuary vehicle or road ambulance, distance of more than 50km; for each 10 km | 25 | Mortuary Services | 4,010 | Mortuary transportation | Transports human remains by mortuary vehicle or road ambulance (> 50 km; for each additional 10 km). | null | null | Inclusive of single mortuary attendant. Includes any type of road vehicle (for example, car, van, mini-bus). Not chargeable where vehicle is provided by family member/neighbour or other volunteer (individual or organisation). In these instances, eliminate this item and use 10013-00-00 only instead to cover the cost of the mortuary attendant (if accompanying the body). for Muslims, include into the distance travel to a mosque for funeral prayers before transporting the body to the burial site.
Use Mortuary transportation codes (10010-00-00 to 10013-00-00) for local transportation within the city and outside city where EMS services are not covered. |
100130000 | 10013-00-00 | Mort trans road extra mortuary attendant per hour | Mortuary transportation, road: extra mortuary attendant (accompanying additional mortuary worker or social worker), per hour | 25 | Mortuary Services | 4,010 | Mortuary transportation | Transports human remains by mortuary vehicle or road ambulance with additional mortuary worker or social worker; per hour. | null | null | Can also be used for single mortuary attendant where transport vehicle is provided by family member/neighbour or other volunteer (individual or organisation) and only service of mortuary attendant is being charged.
Use Mortuary transportation codes (10010-00-00 to 10013-00-00) for local transportation within the city and outside city where EMS services are not covered. |
100200000 | 10020-00-00 | Mort trans air fxd wng amblnc; air mileage per km( in country) | Mortuary transportation, air: fixed wing ambulance serving as mortuary transportation, air mileage, per km (within the country) | 25 | Mortuary Services | 4,010 | Mortuary transportation | Transports human remains by mortuary fixed wing ambulance (local; per km). | null | null | Excludes commercial carriers (see 10022-00-00), subject to the airline provider and the destination country. |
100210000 | 10021-00-00 | Mort trans air rtry wng amblnc; air mileage per km(in country) | Mortuary transportation, air: rotary wing ambulance serving as mortuary transportation, air mileage, per km (within the country) | 25 | Mortuary Services | 4,010 | Mortuary transportation | Transports human remains by mortuary rotary wing ambulance (local; per km). | null | null | Excludes commercial carriers (see 10022-00-00), subject to the airline provider and the destination country. |
100220000 | 10022-00-00 | Mort trans air commercial carrier (repatriation) | Mortuary transportation, air: commercial carrier (repatriation) | 25 | Mortuary Services | 4,010 | Mortuary transportation | Transports human remains by commercial carrier (repatriation). | null | null | Inclusive of ticket bookings for the dead person and any companion.
Ticket Price to be at invoice amount with the commercial carrier with pre-approval from the insurer, or an amount set by the insurer in advance, subject to the airline provider and the destination country. |
100240000 | 10024-00-00 | Mort trans air dead body storage in airport (per day) | Mortuary transportation, air: dead body storage in airport, (per day) | 25 | Mortuary Services | 4,010 | Mortuary transportation | Mortuary transport service: keeping human remains in the airport; per day. | null | null | Airport handling charges |
100500000 | 10050-00-00 | Mort provision death certificate | Mortuary, provision of a death certificate | 25 | Mortuary Services | 4,020 | Mortuary other services | Mortuary, other: provision of a death certificate. | null | null | Includes preparation of a medical certificate by a doctor documenting a person's cause of death. |
999999999 | 99999-99-99 | Unlist ambulatory | Unlisted ambulatory service | null | null | 4,021 | null | Unlisted ambulatory service | null | null | null |