Final Therapy Prices

GOVERNMENT OF ANDHRA PRADESH ABSTRACT Health, Medical and Family Welfare Employees Health Scheme Notification and adoption
on of Final Therapy Prices - Orders Issued. HEALTH, MEDICAL AND FAMILY WELFARE (M2) DEPARTMENT G.O.Ms.No. 176 Dated: 01-11-2013. Read the following:
1. G.O.Ms.No.227 HM&FW (K2) Dept dated 09-06-2006. 2. G.O.Ms.No.184 HM&FW(M2) Dept dated 14-08-2012. 3. Govt Memo. No. 21233 /M2/2012-3 HM&FW (M2) Dept dated 06/02/2013. 4. Representation dated 30-03-2013 received from AP Speciality Hospitals Association (ASHA). 5. Representation dated:03-04-2013 received from AP Private Hospitals & Nursing Homes Association (APNA). 6. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Hyderabad letter No.2349 /P&C/F.49/2013 dated 26-04-2013. 7. Govt Letter No.21233/M2/2012-4 HM&FW(M2) Dept dt.2904-2013. 8. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Hyderabad letter No.AST/2349 /P&C/F.49/2013 dated 2904-2013. 9. G.O.Ms.No.87 HM&FW (M2) Dept dated 27-06-2013. 10. From the Chief Executive Officer,Aarogyasri Healthcare Trust Letter No.AST/ 4768 /P&C/F.49/ 2013, dated: 06-09-2013. 11. Government Memo.No.16977/M2/2010, Dated: 30/10/2013. 12. From the Chief Executive Officer, Aarogyasri Healthcare Trust, Letter No.AST/ 4768 /P&C/F.49/ 2013, dated: 30-10-2013. 13. G.O.Ms.No.174, HM&FW (M2) Dept. Dated: 01/11/2013. 14. G.O.Ms.No.175, HM&FW (M2) Dept. Dated:01/11/2013. ORDER: -:oOo:-
Rajiv Aarogyasri Scheme (RAS) is being implemented by Government from 01.04.2007 to financially assist 233 lakh poor families to avail medical treatment for identified diseases covering 938 In-patient (IP) therapies and 125 follow-up therapies vide G.O. first read above. Government have also decided to implement a similar cashless scheme (Employees Health Scheme) for Government pensioners and employees with coverage envisaged in APIMA rules, 1972 vide G.O. 2nd read above. Aarogyasri Healthcare Trust, after deliberations and in consultation with specialists, has identified additional IP therapies for inclusion in employees health scheme, in addition to Aarogyasri packages. 2. AP Speciality Hospitals Association (ASHA) and A P Private Hospitals & Nursing Homes Association (APNA) representing the private hospitals empanelled under Rajiv Aarogyasri Scheme, submitted representations to Government, seeking revision of the package rates for Rajiv Aarogyasri Scheme and also clarifications on certain other issues. In Memo. No. 21233 /M2/2012-3 HM&FW (M2) Dept dated 06-02-2013, Government have constituted a committee headed by Principal Finance Secretary and consisting of Principal Secretary to Government, Health Medical & Family Welfare Department, Commissioner, A.P.
Contd. P.2.,
-2-
Vaidhya Vidhana Parishad, Director of Medical Education, as members, Chief Executive Officer, Aarogyasri Health Care Trust as member-convenor, and two representatives each from ASHA and APNA as members for examining the grievances of ASHA and APNA. The Committee, after detailed discussions and deliberations submitted its recommendations to the Government. 3. Government issued orders in the G.O. 9th read above, by notifying the Input Code Book, Standard Schedule of Rates for 2012-13, and the Final Therapy Prices , for being adopted by the Aarogyasri Health Care Trust for determining the package rates for treatment of patients in empanelled hospitals, for Rajiv Aarogyasri Scheme. 4. In the letter 10th read above, the Chief Executive Officer, Aarogyasri Healthcare Trust has submitted the Final Therapy prices for Employees Health Scheme which include additional therapies in addition to the existing Aarogyasri therapies, prepared basing on the Input Code Book and Standard Scheduled of Rates (SSR 2012-13) already notified in the G.O. 9th read above. These final therapy prices are inclusive of OP evaluation. 5. In the G.O., 9th read above, Standard Schedule of Rates for 2012-13 are approved according to which Rs.900/- per day is the rate prescribed for General Ward. Government have decided to consider Rs.1200/- per day for stay in semi-private ward and Rs.1500/- per day for private ward in the non-NABH accredited hospitals. In so far as the NABH accredited hospitals are concerned, the rates would be Rs.1500/- per day for semiprivate ward and Rs.2000/- per day for private ward. This would be an incentive to the NABH accredited hospitals for promoting quality of health care. The APIMA Rules adopt CGHS norms and the CGHS prescribes incentives to the NABH accredited hospitals for promoting quality of health care. Hence, NABH hospitals are considered for higher tariff so far as hospital stay is concerned. Moreover, the scheme will be reviewed after obtaining the actual data for six months, the rationalization of the above prices for semi-private ward and private wards would also be considered in the review. The Chief Executive Officer, Aarogyasri Health Care Trust will carefully monitor the implementation of the Scheme and after obtaining the actual data for six months, will place the same before the Steering Committee for considering rationalization of the above prices for semi-private ward and private wards. 6. Government after careful examination hereby issue the following orders:a. List of therapies and the package prices are placed in the Annexure. These shall be adopted by Aarogyasri Health Care Trust for treatment of patients in empanelled hospitals, under the Employees Health Scheme. The Chief Executive Officer, Aarogyasri Healthcare Trust is authorized to include any additional inputs, which may be required during the course of implementation of the scheme, code them, finalise the prices and append the same in the Medical Input Code Book and Standard Schedule of Rates (SSR) subsequently. The following standard schedule of Rates are hereby approved i. Stay in Semiprivate ward Rs.1,200/- per day in non-NABH accredited hospitals and Rs.1,500/- per day in NABH accredited hospitals.
Contd. P.3., -3-
b.
c.
ii.
Stay in Private ward Rs.1,500/- per day in non-NABH accredited hospitals and Rs.2,000/- per day in NABH accredited hospitals.
7. The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad shall take further necessary action, accordingly in the matter. 8. This order issues with the concurrence of Finance (Expr.M&H.1) vide their U.O.No.360/A1/Expr.M&H.I/2013, Dated: 26/10/2013. Department
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH) Dr. P.K. MOHANTY CHIEF SECRETARY TO GOVERNMENT To The Chief Executive Officer, Aarogyasri Health Care Trust, Hyderabad. The Commissioner of Printing, Stationary & Stores (Printing Wing), A.P, Hyderabad (with a request to furnish 500 copies of the G.O. to Government . Copy to: The Commissioner of Family Welfare, AP., Hyderabad. The Director of Medical Education, AP., Hyderabad. The Director of Public Health & Family Welfare, AP., Hyderabad. The Commissioner, AP Vaidya Vidhana Parishad, Hyderabad. The Managing Director, AP Medical Services and Infrastructure development Corporation, Hyderabad. The Accountant General (A&E), AP., Hyderabad. Finance (Expr.M&H-1) Dept. S.F. / S.Cs. // FORWARDED :: BY ORDER //
SECTION OFFICER
ANNEXURE to G.O.Ms.No.176, H.M. & F.W. (M2) Dept., dt.01-11-2013 EHS THERAPY LIST
ICD Procedure/ Diagnostic Code S1. GENERAL SUGERY 1 04.06.1 Excision of Ganglion - large 9983 Government Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital
S. No
Procedure Name
PRICE
Treating Hospital
04.06.3
Excision of Ganglion - Small
10000
3 4 5 6 7 8
04.92 05.23.2 06.2.1 06.2.2 06.31.1 06.31.2
Ganglion Sclerotherapy Laproscopic-Lumbar Sympathectomy Hemithyroidectomy Laproscopic Hemi Thyroidectomy Resection Enucleation - Thyroid Subtotal Thyroidectomy
2000 25000 25000 28326 25000 28000
9 10 11
06.31.3 06.31.4 06.39.1
Laproscopic Sub total Thyroidectomy Laproscopic Thyroid Nodule Excision Isthmectomy
27774 27765 24302
Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital
12 13 14 15 16
06.39.2 06.39.3 06.4.1 06.4.2 06.6
Partial Thyroidectomy Laproscopic Isthmectomy Total Thyroidectomy Laproscopic Total Thyroidectomy Excision of Lingual Thyroid
24217 28665 30000 28805 30000
17
06.7
Excision of Thyroglossal Cyst Fistula
29999
18 19 20 21 22
06.8.1 07.22.1 07.3.1 17.33.1 17.35 /
Parathyroidectomy -Non Malignant Unilateral Adrenelectopmy in nonmalignant conditions Bilateral Adrenalectomy in nonmalignant conditions Laproscopic Right Hemi Colectomy in non malignant conditions Laproscopic Left Hemicolectomy
30001 35002 39999 40001 31760
17.35.3 23 24 25 26 27 28 29 25.1.1 25.1.2 25.2.1 26.30.2 26.30.3 26.31 26.4 Excision of large growth from Tongue Excision of Small growth from Tongue Partial Glossectomy Excision of Salivary Gland Removal Of Submandibular Salivary Gland Superficial Parotoidectomy (Non-malignant) Parotid Duct Repair 19693 16466 26646 21263 25084 21263 26152 Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital
30
27.42.1
Wedge Excision of Lip
14727
31
27.42.2
Wedge Excision of Lip&Vermilionectomy(27.43)
17731
32
27.43.2
Vermilionectomy
21174
33
27.54.2
ABBE Operation
20001
34
29.2
Excision of Branchial Cyst
24001
35 36 37 38 39 40 41
29.52.1 38.5 39.1.1 39.1.2 39.1.3 39.8.1 39.92
Excision of Branchial Sinus Excision and Ligation of Varicose Veins Splenorenal Anastomosis Warren Shunt for Portal Hypertension Portocaval Anastomosis Excision of Carotid Body Tumours Hemangioma Scleotherapy
24000 24123 70000 70000 80000 33930 9151
Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital
42 43 44
40.11 40.23 40.29.1
Lymph Node Biopsy Axillary Lymph Node Dissection Excision of Cystic Hygroma -Extensive
8770 27813 23239
45
40.29.2
Excision of Cystic Hygroma -Major
24000
46
40.29.3
Cystic Hygroma Excision - Minor
10000
47
41.5.2
Splenectomy For Hypersplenism
40001
48 49
41.5.3 43.1.1
Laproscopic Splenectomy - For other Indications Gastrostomy
55000 20001
Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
50 51 52
43.3.1 43.5.1 44.02
Pyloromyotomy Partial/Subtotal Gastrectomy with anastomosis to Esophagus for ulcer Highly Selective Vagotomy
30000 40001 25000
53
44.03
Selective Vagotomy drainage
48000
54
44.2
Pyloroplasty & Vagotomy
48000
55 56 57 58 59 60 61
44.39.2 44.4.1 44.40 44.42 44.42.1 44.62 45.3.2
Gastrojejunostomy & Vagotomy Surgical management For Haemorrhage Of The Small Intestine Operation for bleeding peptic ulcer Surgical management of Duodenal perforation Laproscopic Surgical treatment for Duodenal Perforation Gastrostomy Closure Resection & Anastomosis Of Small Intestine(45.9)
40000 48001 48001 48001 48000 22000 48000
62
45.31
Surgical treatment for Duodenal Diverticulum
30004
Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital
63 64 65 66 67 68 69 70 71 72 73
45.33.1 45.34.1 45.62 45.63 45.73 45.75 45.81 45.82 46.03 46.23 46.62
Excision of Meckel's Diverticulum Surgical treatment for Acute Intestinal obstrucion Duodenectomy Surgical treatment for Duplication Of Intestines Right Hemi Colectomy Left Hemi Colectomy Lap roscopic colectomy (Total Colectomy) Total Colectomy Loop Colostomy Sigmoid Illieo Sigmoidostomy Surgical treatment For Recurrent Intestinal obstruction (Noble Plication Other) Cecopexy Surgical treatment for Acute Intestinal perforation
39999 48001 38653 48001 40001 40000 60001 60001 20000 48000 48001
74 75
46.64 46.73
29999 48000
76 77 78 79 80 81 82 83 84 85 86
46.74 46.81 46.82 47.01 47.19 48.3 48.35 48.49 48.73 48.9 49.01
Excision Small Intestinal Fistula Surgical treatment for Mal-Rotation & Volvulus Of The Midgut Surgical treatment for Volvulus of Large bowel Laproscopic Appendicectomy Laproscopic Surgical treatment for Appendicular Mass-Abscess Excision of Prolapse of Rectal Mass Excision of Papilloma Rectum Pull Through Abdominal Resection Fistulectomy Anorectoplasty Drainage of Ischio Rectal Abscess
50000 48000 48001 20914 30000 25677 19660 50001 15000 26049 15000
Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government
87
49.45
Lord's Procedure for Haemorrhoids
10000
88 89
51.02 51.7
Cholecystostomy Repair Of CBD
29665 48001
Hospital 90 91 92 93 94 95 96 97 53.01 53.03 53.04 53.41 53.62 53.63 53.72 61.92 Herinoplasty without Mesh for Direct Inguinal Hernia Herinoplasty with Mesh Direct Inguinal Hernia Laproscopic Surgical treatment for Unilateral Femoral Hernia With Mesh Umbilical Hernia repair with Mesh Laproscopic Surgical treatment for Incisional Hernia with Mesh Laproscopic Surgical treatment for Epigastric Hernia repair with Mesh Hiatus Hernia Repair - Abdominal Evacuation of Scrotal Hematoma 20000 25000 30000 30000 40001 50000 48003 18554 Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital
98
61.99
Excision of multiple Scrotal Cysts
8250
99
63.2
Excision of Epididymal Cyst
15000
100 101 102 103
63.4 64.91 77.5 77.91
Epididectomy Dorsal Slit and Reduction of Paraphimosis Surgical treatment for Infected Bunion Foot Excision of Cervical Rib
15000 8841 4499 26879
104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119
85.44 85.91 86.05 86.23 86.6 46.1.1 46.2.2 46.51.2 46.52.2 46.80.1 47.09.1 47.09.2 48.62.1 48.75.1 48.75.2 48.75.3
Surgical repair of bilateral Gynaecomastia I & D of Breast Abscess Foreign Body Removal in Deep Region Surgical treatment for Ingrowing Nail Skin Grafting Colostomy Ileostomy Ileostomy Closure Colostomy Closure Surgical treatment for Intususception Open Appendicectomy Surgical treatment for Appendicular Perforation Anterior Resection of Rectum Rectopexy Open with Mesh for Rectal Prolapse Laproscopic Rectopexy With Mesh for Rectal Prolapse Rectopexy Open without Mesh for Rectal Prolapse
11801 8937 28618 6653 16323 20000 20001 25000 25000 48001 17479 25867 50000 40000 50000 30000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital
120 121 122 123 124 125 126 127 128
48.75.5 49.3 49.46.1 49.46.2 50.29.1 50.29.2 51.22.1 51.22.2 51.22.3
Laproscopic Rectopexy With Repair Fissurectomy Haemorroidectomy Haemorroidectomy+ Fistulectomy(49.12) Excision of liver Abscess Surgical treatment For Hydatid cyst of Liver Cholecystectomy With CBD Exploration (51.41) Laproscopic Cholecystectomy With CBD Exploration (51.41) Cholecystectomy
40001 15001 21169 25238 30000 40000 40000 30000 24999
Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
129 130 131 132 133 134
51.22.4 51.22.5 51.22.6 51.22.7 52.4.2 52.4.4
Laproscopic Cholecystectomy Laproscopic Cholecystectomy With Gargrene Laproscopic Cholecystectomy For Calculus Laproscopic Cholecystectomy With CBD Repair Pancreaticocystojejunostomy Pancreaticocystogastrostomy
30000 30000 30000 40000 50000 41925
135
53.29.1
Laproscopic Surgical treatment for Unilateral Femoral Hernia Without Mesh Unilateral Femoral Hernia repair Laproscopic Surgical treatment for - Umbilical Hernia With Mesh Umbilical Hernia repair without Mesh Laproscopic Surgical treatment for Incisional Hernia without Mesh Epigastric Hernia repair without Mesh
40000
Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Government Hospital
136 137 138 139 140
53.29.2 53.42.1 53.49.1 53.51.1 53.59.1
25001 50000 25000 30000 25000
141
53.59.2
Ventral And Scar Hernia repair without Mesh
30000
142
53.69.1
Epigastric Hernia repair with Mesh
40000
143 144 145 146 147
53.69.2 53.71.1 53.9.1 54.0.1 54.0.2
Ventral And Scar Hernia repair with Mesh Laproscopic Surgical treatment for Hiatus Hernia With Mesh Rare Hernias repair (Spigalion,Obuturator,Sciatic) Drainage of Perigastric Abscess Drainage of Subdiaphragmatic Abscess
40001 50000 20000 35131 29264
148 149 150 151 152 153 154 155 156
54.0.3 54.0.4 54.3.4 54.4.1 54.7.2 54.7.3 54.7.4 54.99.1 61.2.1
Open Drainage of Pelvic Abscess Laproscopic Surgical treatment for Intra Abdominal Abscess Excision of Umbillical SinusExcision of Mesenteric Cyst Surgical treatment for Minor Abdominal Injuries Surgical treatment for Major Abdominal Injuries Surgical treatment for Burst Abdomen Treatment with Self Expanding Metalic Stent (SEMS) Surgical treatment for Unilateral Hydrocoele
27364 35000 16703 31262 20291 50000 50000 20417 16915
Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital
157 158 159
61.2.2 61.3.2 61.3.3
Surgical treatment for Bilateral Hydrocoele Surgical treatment for Fourniers Gangrene Surgical treatment for Filarial Scrotum
18647 29997 25001
160
61.3.4
Excision of multiple Scrotal swellings
8829
161
62.3.1
Orchidectomy -Unilateral
22000
162 163 164 165 166 167 168 169 170 171 172
62.3.4 62.5.1 63.1.4 64.0 70.73.2 76.31.1 76.31.4 83.95.1 85.21.1 85.21.2 85.21.3
Orchidectomy + Herniorraphy(53.00) Orchidopexy with Eversion of Sac Laproscopic Excision of Varicocele Cyst Circumcision Rectovaginal fistula Management without Colostomy Hemimandibulectomy Segmental Mandible Excision Drainage of Psoas Abscess Excision of Mammary Fistula Wide Excision of Mammary Fistula Excision of Bilateral Fibroadenoma
30001 25000 40000 8202 38799 42781 34736 17366 14044 12821 15000
Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital
173
85.21.4
Excision of Unilateral Fibroadenoma
10000
174
85.21.5
Unilateral Lumpectomy
10000
175
85.21.6
Bilateral Lumpectomy
15001
176 177 178
85.21.7 85.22.2 85.41.1
Breast Conservation Surgery Segmental Resection of Breast Simple Mastectomy (Non Malignant)
15000 14865 30000
Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Government Hospital Government Hospital Network Hospital Government Hospital
179 180 181
86.01.1 86.01.2 86.21.1
Drainage of large Abscess Paronychia Drainage Excision of Pilonidal Sinus
18320 6821 17152
182 183 184
86.3.12 86.3.16 86.3.17
Excision of Large Corn Excision of Large Swelling in Hand Excision of Small Swelling in Hand
5416 15417 10775
185
86.3.18
Excision of Fibro Lipoma
8954
186 187 188
86.3.19 86.3.20 86.3.21
Excision of Fibroma Excision of Sinus Excision of Large Dermoid Cyst
9181 16851 10377
189 190 191 192
86.3.22 86.3.3 86.3.5 86.3.6
Excision of Small Dermoid Cyst Excision of swelling Neck Excision of Granuloma Surgical treatment for Carbuncle back
6934 11135 9907 26292
Government Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital
193 194 195 196 197
86.3.7 86.3.8 86.3.9 86.4.4 86.89.1
Excision of Sebaceous Cyst Excision of Keloid Excision of Pyogenic Granuloma Wide Local Excision (Non - malignant) Surgical treatment for Cut Throat Injury S2 ENT SURGERY
8967 25305 7705 34452 33285
198 199 200 201 202
04.42.2 09.53 18.21.1 18.29 18.39
Facial Nerve Decompression Endoscopic Surgery for Dacrocystitis Surgical treatment for Preauricular sinus Cryosurgery Partial amputation of Pinna (malignancy perichondritis)
20001 9906 18545 10967 17424
Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital
203 204 205 206 207 208 209
19.11 19.4.1 19.4.2 19.5 20.01.1 20.01.2 20.4
Stapedectomy - Veingraft Myringoplasty Myringoplasty with ossiculoplasty (19.3) Tympanoplasty Myringotomy with grommet for one ear Myrinogotomy with-grommet for both ears Mastoidectomy
17999 15089 17000 16502 10000 15000 16502
Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital
210 211 212 213
20.51 20.79.1 21.1 21.3
Aural polypectomy Labyrinthectomy lateral Rhinotomy Excision of Benign tumours of Nose
16501 20000 15000 15001
214 215 216 217
21.32 21.84 21.88 21.99
Surgery for Angiofibroma Septo rhinoplasty Youngs operation Surgical treatment for Choanal atresia
40001 18500 14000 15000
218 219
22.39 22.5
Caldwell-luc(unilateral) Endoscopic Sinus Surgery
17000 16501
Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital
220 221 222 223 224 225
22.71 25.93 26.2 27 27.49.1 27.7
Surgical treatment for Oro antral fistula Surgical treatment for release of tongue tie Excision of Benign Parotid gland tumor Drainage Parapharyngeal abscess Surgical treatment for Pararetro pharyngeal abscess Uvulo Palato - Pharyngoplasty
15001 10000 20000 10000 10000 24999
226
28.3
Adeno tonsillectomy
12000
227
28.6.1
Adenoidectomy Gromet insertion
10000
228
29.39.1
Exision of Tumors In Pharynx
20003
229
29.39.2
Exision of Parapharyngeal Tumour
20004
230
30.22
Phono Surgery For Vocal Cord Paralysis
25001
231 232 233 234 235 236 237 238
30.3 31.62 31.98.1 31.98.2 76.45 76.5.1 76.79 96.52
Laryngectomy in nonmalignant conditions Laryngo Fissurectomy Microlaryngeal Surgery Surgical treatment for Laryngotracheal stenosis Temporal Bone Excision Bilateral Styloidectomy Exision of Maxilla Removal of Impacted Ear wax
40000 24928 18238 20000 50002 15000 36497 9100
Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital
239 240 241 242 243
96.53.1 96.53.2 98.02 98.11 98.15.2
Rhinorrhoea- repair CSF rhinorrhoea - Endoscopic repair Bronchoscopy Foreign Body Removal from Oesophagus Removal of foreign body in Ear Bronchoscopy Foreign Body Removal from Bronchous S3. OPHTHAMOLOGY
25000 25000 10002 10000 24001
244
04.42.1
Decompression/Excision Of Optic Nerve Lesions
78000
Government Hospital
245 246 247 248
08.0 08.01 08.2.1 08.2.2
Surgical treatment for Ankyloblepharon Drainage of Lid Abscess Surgical treatment for disorders of Eyelid Exision of Small tumour of lid
14065 8858 9526 9836
Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
249
08.4.1
Ectropion correction
15000
250 251 252 253 254 255 256 257 258 259
08.4.2 08.3 08.38 08.59 08.7 09.21 09.4 09.43 09.81 09.82
Entropion correction Surgical correction of Ptosis Lagophthalmos correction Epicanthus repair Lid Reconstruction surgery Dacrocystectomy Surgery for Congenital dacrocystitis Congenital NLD probing External Dacryocysto rhinostomy Canaliculo/conjuctivo Dacryocysto rhinostomy
15001 30001 13214 6808 10052 7839 9907 10109 14047 12827
260 261
10.41 10.6
Surgical treatment for Symblepharon Fornix forming sutures
4453 10688
Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital
262 263 264 265 266 267 268 269 270 271 272 273 274
11.31 11.32 11.59.1 11.6 11.61 11.63 11.64 11.69 12.0 12.1 12.13 12.4 12.41
Pterygium repair Pterigium + conjunctival autograft Double Z-Plasty Corneal Patch Graft Lamellar Keratoplasty Penetrating Keratoplasty Therapeutic Penetrating Keratoplasty Amniotic Membrane Graft for Cornea Intraocular foreign body removal Iridectomy-Iridotomy Surgical treatment for Iris prolapse Surgical treatment for Other disorders of iris and ciliary body Exision of tumours of iris
7295 11779 4000 17414 22486 17748 19500 11000 32525 7000 7001 7000 21040
275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291
12.54.1 12.72 12.79 12.81.1 12.81.2 12.87.1 12.87.2 12.89 12.99 13.41 13.42 13.64.1 13.64.2 13.7 13.71.1 13.71.2 13.71.3
Glaucoma Surgery Cyclocryotherapy Glaucoma Filtering Surgery For Paediatric Glaucoma Surgical treatment for Scleral wound Surgical treatment for Perforating scleral injury Scleral Patch Graft Amniotic Membrane Graft for Sclera Removal of blood clot Anterior chamber reconstruction Cataract surgery phacoemulsification Lensectomy Posterior capsulotomy/polishing Yag laser capsulotomy Bandage contact lens with glue application Cataract surgery phacoemulsification +IOL Cataract surgery SICS + IOL(ECCE+IOL) Paediatric Cataract Surgery (Phacoemulsification IOL)
8181 12079 9288 10439 21256 19134 16132 7197 7688 20001 11916 10789 7288 6184 22146 15000 17344
Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
292 293 294 295 296 297 298 299 300 301
13.72 14.25.1 14.25.2 14.4 14.52.1 14.52.2 14.72 14.74.1 14.74.2 14.74.3
Secondary IOL-scleral fixation-sulcus fixation of lens ACIOL Photocoagulation for Retinopathy Photocoagulation For Retinopathy Of Prematurity Scleral buckle procedure for Retinal detachment Cryoretinopexy - closed Cryoretinopexy - open Vitrectomy - Membrane Peeling- Endolaser Vitrectomy Vitrectomy Plus Silicon Oil Or Gas (14.75) Vitrectomy -Membrane peeling - Endolaser _Silicon oil or Gas - with or without belt bulking Monthly Intravitreal Anti-Vegf For Macular Degeneration - Per Injection (Maximum - 6) Removal Of Silicon Oil Or Gas post Vitrectomy Rectus Muscle Surgery(Single) Oblique muscle surgery Rectus Muscle Surgery(Twohree) Orbitotomy
22000 2000 9727 28094 12246 11581 20182 23020 23325 30000
Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
302 303 304 305 306 307
14.75 14.79 15.2.1 15.2.2 15.4 16
14291 9726 7922 7719 10689 27099
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
308 309 310 311 312 313
16.3 16.5 16.63 16.64 16.81 16.92
Evisceration /Enucleation with Orbital implant Exenteration of Orbit Dermis Fat Graft Socket Reconstruction Endoscopic orbital decompression Excision of Benign neoplasm of Eye and Adnexa
15507 11974 22892 25516 9049 9713
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital
314
16.99
Surgical Management of Proptosis
60000
315
86.3.11
Dermoid cyst excision S4. GYNAECOLOGY & OBSTETRICS
14215
316 317 318 319 320 321 322
38.86 54.03 54.51 59.4.3 59.4.4 65.21 65.22
PPH-Conservative Surgical management Surgical management of pelvic abscess Laparoscopic Adhesiolysis Purandares Sling operations - Open Laparoscopic Sling Operations Surgical Management of Ovarian Tumours Ovarian cystectomy
31001 26147 30000 25453 32500 31764 31764
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
323 324 325 326 327
65.23 65.49 66.62 66.73 67.33
Laparoscopic Cystectomy Surgical Management of Tubal Ovarian mass Laparoscopic Ectopic Resection Laparoscopic Recanalisation Cryo Surgery
24914 29404 22135 32732 3090
Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital
328 329 330 331 332 333 334 335 336 337
67.5 67.61 68.21 68.23 68.29.1 68.29.2 68.29.3 68.29.4 68.4 68.51
Encirclage Surgical Management of Cervical Tears Hysteroscopic septal resection Ablation of Endometrium Laparoscopic Myomectomy Hysteroscopic submucus fibroid resection Myomectomy Polypectomy Hysterectomy - abdominal Laproscopic Vaginal Hysterectomy
10383 11000 17489 10977 30001 15000 25820 12174 23918 30001
338
68.5.1
Vaginal Hysterectomy
25001
Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital
339
68.5.2
Vaginal Hysterectomy With Pelvic Floor Repair(70.79)
30000
340 341 342 343 344 345 346 347 348 349 350 351 352
69.0 69.02.1 69.02.2 69.02.3 69.09 69.1 69.22 69.92 70.31 70.5 70.51 70.61 70.71
D&C (Dilatation & Curettage) Incomplete Abortion + inevitable abortion Management Surgical Management of Missed abortion Surgical Management of Septic Abortion Surgical Management of Vesicular moles (Benign GTD) D & C Surgical Management of Endometriosis - Excision of Chocolate Cyst Manchesters Operation + Cervical amputation(67.4) Intra Uterine Insemination Haemato Colpo Surgical management or Hymenectomy Repair of Cystocele ,Rectocele &Perineorraphy(71.71) Surgical Management of Cystocoele - Repair Mc Indoe's operation For Vaginal Atresia Surgical Management of Vaginal Tear
5999 8850 9618 10201 14000 23000 25000 10003 15001 20001 14216 39001 12999
353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368
70.77.1 70.77.2 70.78 71.23 71.6 71.8 72 73.59.1 73.59.2 73.59.3 73.59.4 73.59.5 74.1.1 74.1.2 74.1.3 74.1.4
Abdominal Repair for Vault Prolapse Laproscopic Sacrospinocolpopexy for vault prolapse Abdominal Repair With Mesh for Vault Prolapse Surgery for Bartholin cyst(Marsupilasation,cyst removal) Vulvectomy for tumors Surgical Treatment for Vulval Heamatoma Instrumental Vaginal Delivery Normal Vaginal Delivery Normal Vaginal Delivery with Epidural Anesthesia Normal Vaginal Delivery In Rh-Negative Mother With Rh-Positive Baby Normal Vaginal Delivery in Twins(Multiple pregnency) Normal Vaginal Delivery HIV +ve Mother Caesarean Section Caesarean Section In Rh-Negative Mother With Rh-Positive Baby Caesarean Section in Twins(Multiple pregnency) Cesarean Section in HIV+ve Mother
35001 45001 40001 9999 21198 13502 14635 14549 20000 18000 15808 20001 14707 16196 15902 20000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital
369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384
74.3 74.91 74.99.1 74.99.2 74.99.3 75.0.1 75.0.2 75.4 75.69 93.9.1 96.49 97.71.1 97.71.2 98.16 99.0.1 99.0.2
Surgical Management of Ectopic pregnancy Caesarean Hysterectomy with Bladder Repair Surgery for Rupture Uterus with Tubectomy Surgical Management of Abruptio-Placenta with Coagulation Defects(Dic) Obstetric Hysterectomy (Atonic PPH,Traumatic PPH , Rupture-Rupture Uterus,Abnormal Placentation) First Trimester Medically Induced Abortion Termination of pregnancies for foetal anamolies + IUD Retained Placenta with Manual Removal Complete perineal tear repair Management of Eclampsia with Complications Requiring Ventilatory Support LNG-IUS (Levonorgestrene Intautrine system) Intra abdominal IUCD retrival - Open Intra abdominal IUCD retrival - Lap Hysteroscopic FB removal Medical Management of PPH Medical Management of Haemorragic shock in pregnancy
21219 46783 32500 26825 30201 4050 8299 29410 18200 40001 14000 20000 25000 10560 10465 37001
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
385 386 387 388 389 390
D25 E28.2 N73.9 N80 N93.8 O10.1
Medical Management of Fibroids Medical Management of Polycystic Ovarian Syndrome Medical Management of Pelvic Inflammatory Disease Medical Management of Endometriosis Medical Management of DUB Heart disease complicating pregnancy Management
7680 11330 7694 7090 10017 20000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital
391
O14.1
Pre- eclampsia / PIH Management
40272
392
O14.2
HELLP Syndrome Management in pregnancy
20001
393
O15.0
Eclampsia Management without ventilator support
30001
394
O21
Hyperemisis Gravidarum Management
8263
395
O24
Diabetes complicating pregnancy Management
20000
396
O26.6
Hepatic Disorder Management in pregnancy
20001
397
O28.0.A
Moderate Anaemia Management in pregnancy
10178
398
O28.0.B
Severe Anemia Management in pregnancy
25256
Government Hospital Government Hospital Government Hospital Government Hospital
399
O36.8
Intra Uterine Growth Retardation Management
20000
400
O40
Acute Poly Hydramnios Management
20000
401
O44
Placenta Previa-type III to IV Management S5. ORTHOPEDIC SURGERY AND PROCEDURES
20000
402 403 404 405 406 407 408
04.0 04.04 04.3.1 04.5.1 77.00.1 77.00.2 77.63.1
Surgery for Brachial Plexus & Cervical Rib Obturatorneurectomy Neurolysis / Nerve Suture Nerve Repair With Grafting Sequestrectomy&Saucerizations Sequestrectomy& bone grafting Excision of Radial head
44764 20001 25002 41628 38000 39000 23001
Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital
409
77.63.2
Excision of Lower end Ulna
23000
410
77.1
Excision of Accessory bone
20000
Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
411 412 413 414 415 416 417 418 419 420 421 422 423 424
77.20.1 77.20.2 77.31 77.35 77.37 77.39 77.60.4 77.60.5 77.60.6 77.60.7 77.60.8 77.60.9 77.60.10 77.61
Long bone osteotomy with POP application & k-wires Long bone osteotomy with internal fixation Costo Transversectomy(77.39) Corrective osteotomy Acetabulum High tibial osteotomy Anterolateral Clearance For Tuberculosis Excision of deep Bone Tumours and Re-Construction With Conventional Prosthesis Bone tumor curettage and bone graft(78.00) Bone tumor curettage Bone curettage and bone cement(84.56) Surgical Management of Exostosis of small joints Surgical Management of Exostosis of long bones Excision of Fracture fragment Excision of Scaphoid
30001 30001 40125 40001 31000 60000 48812 30001 24426 30000 22000 28000 85508 23000
425 426 427 428 429 430 431 432 433 434 435 436 437 438
77.64 77.8 77.89 77.96 78.00.1 78.00.2 78.10.1 78.10.2 78.15 78.3 78.41.1 78.42 78.43 78.60.1
Excision Or Other Operations For Scaphoid Fractures Bone tumor surgery reconstruction with internal fixation(78.59) Spinal Ostectomy And Internal Fixations(78.59) Excision of Patella Bone Grafting As Exclusive Procedure Phemister grafting Neglected CTEV. Jess Fixator Tension band wirings Cancecllous screw/pins fixations for fracture neck of Femur Limb lengthening Clavicle surgery Internal fixation lateral epicondyle for non union Humerus Reconstruction around Radial head Removal of implants plates and nail
15000 48023 47616 16322 20000 26000 36001 25000 35001 40940 25001 26458 32000 15001
Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital
439
78.60.2
Removal of implants wires and screws
15000
440 441 442 443 444 445
78.95 79.0.1 79.0.2 79.0.3 79.3 79.71
Surgery for Avascular Necrosis Of Femoral Head (Core Decompression) Reduction Of Compound Fractures & External Fixation(78.10) Closed reduction with percutaneous k-wire fixation(78.10) Closed reduction with percutaneous screw fixation(78.10) Open reduction & Internal Fixation Of Fingers & Toes Closed reduction of Shoulder dislocation
29286 25000 16000 17001 15483 7800
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital
446
79.72
Closed reduction of Elbow dislocation
7800
447
79.73
Closed reduction of Wrist dislocation
7800
448
79.74
Closed reduction of fingers small joint dislocation
7800
449
79.75
Closed reduction of Hip dislocation
7800
450
79.76
Closed reduction of Knee dislocation
7801
451 452
79.77 79.8
Closed reduction of Ankle dislocation Open reduction of Deep dislocations
7799 30000
453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470
79.81.1 80.1 80.2 80.21 80.42 80.6 80.70.1 80.70.2 81.00.1 81.04 81.1.1 81.1.2 81.2.1 81.11 81.12 81.18 81.21 81.22
Acromioclavicular joint dislocation open reconstruction Arthrotomy and joint lavage Diagnostic Arthroscopy Subacromial decompression Release of Stiff Elbow Arthroscopy . Operative Meniscectomy Synovectomy Surgical management Dequerenstenosynovities Mossmiami instrumentation for vertebral fractures Scoliosis and kyphosis correction(81.05+33.4) Arthrodesis of foot Small joints Congenital ankle deformity correction Arthrodesis of major joints Ankle arthrodesis Triple arthrodesis Subtalar arthrodesis Arthrodesis of Hip Arthrodesis of Knee
25768 35000 24000 30001 30000 25000 35001 6500 48867 95000 15001 50000 30000 35000 35000 35000 35000 35001
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487
81.23 81.24 81.26 81.27 81.4 81.43 81.45.1 81.45.2 81.51.1 81.51.2 81.52.1 81.52.2 81.52.3 81.52.4 81.54 81.8.2 81.7
Arthrodesis of Shoulder Arthrodesis of Elbow Arthrodesis of hand Small joint(81.27/81.28) Arthrodesis of Wrist Flexion construction of hip release Release of Stiff knee Anterior cruciate ligamentl reconstruction Posterior cruciate ligament reconstruction Total hip replacement cemented Total hip replacement uncemented Bipolar hemiarthroplastyof Hip without cement Hemiarthroplasty of Hip uncemented Bipolar hemiarthroplasty of Hip with cement Hemiarthroplasty of Hip cemented Total knee replacement Shoulder replacement Excision arthroplasty(81.8)
35001 35001 15000 35001 40001 35001 25001 25000 78000 100001 38001 35001 42000 35000 105001 40001 30000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
488 489 490 491 492
81.82 81.83 81.84 81.96 82.11
Reconstruction procedure for recurrent dislocation shoulder Arthroplasty of Shoulder Elbow replacement Joint reconstruction/intraarticular fractures Trigger Finger release
30001 40000 40001 35000 6500
Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
493 494 495 496 497 498 499 500 501 502 503
82.35 82.56.2 82.99.2 83.3.2 83.12 83.13 83.14.1 83.14.2 83.5 83.63 83.75
Dupuytrens contracture release Tendon transfer procedure for claw hand Maxpage release for Volkmann Synovial cyst excision/ganglion/Bakers Cyst Adductor release Tenotomy Fasciotomy Fasciotomy with skin graft Excision of Retrocalcaneal bursa Rotator cuff repair Tendon transfer procedure around ankle
20000 32000 30001 19788 15000 15000 20001 25000 15001 30001 32001
504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519
83.81 83.84.1 83.85 83.86 83.87 83.89 83.95.2 83.95.3 84.01.1 84.04 84.05 84.06 84.07 84.08.1 84.09.2 84.11.1
Tendon transfer with graft CTEV correction Hamstrings release Quadricepsplasty Tricepsplasty Fasciotomy with skin graft with fixator Drainage of cold abscess Drainage of acute osteomyelitis Fingers amputations Disarticulation at wrist level Below Elbow amputations Disarticulation at elbow level Above Elbow amputations Disarticulation at Shoulder level Amputations - Forequarter Disarticulations at small joints Foot
32000 50000 15001 35001 30000 40001 30000 28000 10000 23001 23000 25000 25001 40000 37068 10000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government
Hospital 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 84.13 84.15 84.16 84.17.1 84.18 84.19.1 84.4 84.54 84.72.1 84.72.2 86.21.2 86.89.3 86.89.4 93.41 93.44 Disarticulation at ankle level Below Knee amputations Disarticulations at knee level Above Knee amputations Disarticulation at Hip level Amputations - Hind Quarter And Hemipelvectomy Orif-long bones with locking plates Limb reconstruction system(lrs) Ilizarov Ring Fixator Application Ilizarov fixator with joint arthrolysis Excision of Sinus over Sacrum Soft Tissue Reconstruction Procedures For Joints/Osteotomy CDH soft tissue reconstruction Cervical spine injury(skull traction) treatment Application of skeletal traction 25001 26858 27001 27001 40001 50001 35001 38001 44001 50000 16000 30001 35000 20000 6000 Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
535 536 537 538 539 540 541 542 543 544
93.46 93.5 93.53.1 93.53.2 93.53.3 93.53.4 93.53.5 93.53.6 93.53.7 93.54.1
Application of skin traction Hip spica Application of functional cast brace U-slab application Synthetic cast application above Elbow Synthetic cast application below Elbow Synthetic cast application above Knee Synthetic cast application below Knee Synthetic cast cutting POP application above Elbow
4500 8000 2500 6500 5000 5553 6500 5000 500 4000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital
545
93.54.2
POP application below Elbow
3000
546
93.54.3
POP application above Knee
5000
547
93.54.4
POP application below Knee
4000
548
93.56
Bandages and strapping procedures for fractures S6. SURGICAL GASTROENTEROLOGY
6500
549 550 551 552
39.1.4 41.5.1 41.5.6 41.42
Surgery For Portal Hypertension Bleed Splenectomy Splenectomy + Devascularisation + Spleno Renal Shunt(39.1) Spleenectomy For Space Occupying Lesion Surgery For Oesophageal Perforation Stage 1 Cervical Exclusion And Chest Tube And Feeding Jejunostomy Surgery For Oesophageal Perforation Stage 2 Definitive Surgery Surgery For Oesophageal Perforation - Single Staged Foreign Body, Iatrogenic & Spontaneous Laproscopic Hellers Myotomy Oesophagectomy Colonic Pull Up Open Hellers Myotomy Partial Gastrectomy with anastomosis to esophagus Partial Gastrectomy with anastomosis to duodenum Distal Gastrectomy For Gastric Outlet Obstruction
100000 34999 76562 41996
Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital
553 554 555 556 557 558 559 560 561 562
42.11 42.32.1 42.32.2 42.7.1 42.40.1 42.55 42.7 43.5.2 43.6.1 43.6.2
125001 100000 100000 28115 89999 59999 80000 40001 40000 40000
563 564 565 566 567 568 569 570 571 572 573 574 575 576 577 578
43.7.1 43.4 43.9 43.99.1 44.0 44.4.2 44.43 44.63 44.67 45.73.3 45.8 45.83 45.95.1 46.51.4 46.51.5 46.80.2
Partial/Subtotal Gastrectomy with anastomosis to jejunum For Ulcer Surgery for Corrosive Injury Stomach Total Gastrectomy Oesophago-Gastrectomy Truncal Vagotomy + Gastro Jejunostomy(44.3) Surgery For Bleeding Ulcers Surgery For Obscure Gi Bleed Gastro Jejuno-Colic Fistula Surgical Management Lap Fundoplications Extended Right Hemicolectomy I Stage-Sub Total Colectomy + Ileostomy(46.2) I Stage- Sub Total Colectomy + Ileostomy + J - Pouch II Stage-J - Pouch II Stage- Ileostomy Closure III Stage-Ileostomy Closure Surgical management of Volvulus
31984 60000 40000 89999 48000 48000 72001 59999 53998 48000 60001 96000 50000 25001 24995 48000
Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
579 580 581 582 583 584 585 586 587 588 589 590 591 592 593 594 595
46.80.3 48.5 48.62.2 48.63.1 48.93 49.7.1 49.7.2 50.3.1 50.3.2 50.21 50.22 50.26 50.29.3 50.4 51.2 51.37 51.39
Surgical management of Malrotation Abdomino Perineal Resection of rectum Hartman.S Procedure With Colostomy Anterior Resection of Large Intestine Anterior Resection With Ileostomy Anal Sphincter Repair -With Colostomy Anal Sphincter Repair -Without Colostomy Rt.Hepatectomy Lt.Hepatectomy Hydatid Cyst-Marsupilisation Haemangioma Sol Liver Hepatectomy + Wedge Resection Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation Segmentectomy Hepatectomy For Cholangiocarcinoma Radical Extended Cholecystectomy For Ca Gall Bladder Hepatico Jejunostomy Choledochoduodenostomy Or Choledocho Jejunostomy
48000 50685 53998 40000 59994 33853 31326 86580 90000 39999 89999 71998 59999 150000 100000 66970 40594
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
596 597 598 599 600 601 602 603 604 605 606 607 608 609 610
51.41 51.6 51.98 52.4.1 52.4.3 52.4.5 52.22.1 52.22.2 52.3 52.52.1 52.52.2 52.59 52.7 53.75 70.73.1
GB+ Calculi CBD Stones Or Dilated CBD Cyst Excision+Hepatic Jejunostomy(51.37) Benign Biliary Stricture Repair Triple Bypass -Pancreas Lateral Pancreaticojejunostomy(Non- Malignant) Other Bypasses -Pancreas Laproscopic Pancreatic Necrosectomy Open Pancreatic Necrosectomy Enucleation Of Cyst Distal Pancreatectomy Distal Pancreatectomy + Splenectomy(41.5) Central Pancreatectomy Whipples Any Type Diaphragmatic Hernia (Gortex Mesh Repair) Rectovaginal fistula Management with Colostomy S7. CARDIOTHORASIC SURGERY
50000 54000 100000 60000 99999 39248 112775 120057 90000 120000 119999 120000 100000 48001 39320
Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628
00.61 00.66.1 00.66.2 00.66.3 00.66.4 32.2.1 32.4.2 32.5.1 32.9 33.32 33.98 34.3.1 34.3.5 34.51 34.73.1 34.73.2 34.73.3 34.81
Vertebral Angioplasty Coronary Balloon Angioplasty with stent(00.45) PTCA 1 Additional Stent (00.46) PTCA 2 Additional Stent (00.47) PTCA 3 Additional Stent (00.48) Surgical management of lung cyst Lobectomy Pneumonectomy Surgical management of Lung Abcess Surgical management of Empyema Thoracis Surgical management For Bronchial Injuries due to foreign Body Surgical management of SolItary fibrous tumor- Mediastinum Surgical Management Of Thymoma Mediastinum Decortication of lung Surgical management of Bronchopleural Fistula -Thorocoplasty Transpleural Bronchopleural Fistula closure Surgical management of Bronchopleural Fistula - Myoplasty Surgical management of Diaphragmatic Eventeration
75000 40000 9000 12000 25000 40000 60001 60000 60001 52146 60000 60001 66487 60000 67534 65001 75149 50000
629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644
34.82 35 35.02 35.1 35.11 35.12 35.13 35.20.1 35.20.2 35.20.3 35.21 35.22.1 35.22.2 35.22.3 35.23 35.24
Surgical management of Diaphragmatic injuries, Thoraco Abdominal approach Balloon Valvotomy Closed Mitral Valvotomy Valve repair without Prosthetic Ring Ross procedure - Intracardiac repair of complex congenitalheart diseases without Special Conduits Mitral valvotomy (Open) Open Pulmonary Valvotomy Valve repair with Prosthetic Ring Double valve replacement (With Valve) Double valve replacement With Bio Prosthetic Valve Aortic Valve Replacement (With Valve) Ross procedure - Intracardiac repair of complex congenital heart diseases with Special Conduits Surgical management of Annulus Aortic Ectasia With Valved Conduits Arotic Valve Replacement With Bioprosthetic Valve Mitral Valve Replacement (With Valve) Replacement of Mitral valve with Bioprosthetic valve low Profile
55000 26000 40000 110000 109507 110000 77000 140000 177999 198000 120000 150000 167837 165001 145001 160000
645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661
35.27 35.28 35.41 35.51 35.53 35.71 35.72 35.8 35.81 35.82 35.83.1 35.83.2 35.83.3 35.83.4 35.83.5 35.84 35.91
Tricuspid valve Replacement (With Valve) Tricuspid valve Replacement with Bio Prosthetic Balloon Atrial Septostomy ASD Device Closure VSD Device Closure Intra Cardiac Repair Of ASD Intracardiac Repair Of VSD Total Correction Of Complex Congenital Heart Disease With Special Conduits (Xeno Graft) Total Correction of Tetralogy of Fallot surgical management (Correction) of TAPVC Patent Ductus Arterious - Stenting Patent Ductus Arterious - Device Closure Patent Ductus Arterious - Single Coil Closure Patent Ductus Arterious - Multiple Coils Closrue Surgery for-PDA TGA - Arterial Switch TGA - Sennings Procedure
144239 160000 33377 80001 80000 80000 85000 190001 104275 119840 74999 72320 25001 35002 40000 150000 150001
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
662 663 664 665 666 667 668 669
36.1.1 36.1.2 36.1.3 36.1.4 36.11 37 37.12 37.23.1
Coronary Bypass Surgery Coronary Bypass Surgery-Post Angioplasty CABG With IABP Pump(37.61) CABG With Aneurysmal Repair(39.52) Surgery For Anomalous left coronary artery from the pulmonary artery (ALCAPA) Pericardiocentesis Pericardiostomy Medical Management Of Valvular Heart Diseases -Requiring Cardiac Catheterization Medical Management Of Congenital Heart Diseases -Requiring Cardiac Catheterization Pericardiectomy Surgical Treatment For MVR And Atrial Fibrillation- Maze Method Surgical Treatment For MVR And Atrial Fibrillation- Cryoablation Method Surgical Treatment For MVR And Atrial Fibrillation- Hifu Method Surgery For Intracardiac Tumors Surgery for Cardiac injuries Without CPB Surgery for Cardiac injuries With CPB
115847 118722 157780 154250 115385 15000 25000 17661
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
670 671 672 673 674 675 676 677
37.23.2 37.31 37.33.1 37.33.2 37.33.3 37.34 37.49.1 37.49.2
17662 49448 170000 118882 169104 100001 70000 91957
678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695
37.78 37.8 38 38.1 38.7.1 38.12.1 38.15 38.3 38.34.1 38.34.2 38.35 38.40.1 38.40.2 38.40.3 38.44.1 38.44.2 38.44.3 38.45
Temporary Pacemaker Implantation Permanent Pacemaker Implantation Peripheral Embolectomy Without Graft Arterial Embolectomy DVT - Ivc Filter implantation TGA - Carotid Embolectomy Pulmonary Thrombo Embolectomy Surgical management of Vascular Tumors Coarctation-Arota Repair Without Graft Coaractation of Aorta Repair Without Stent+ Aortoplasty(35.11) Intrathoracic Aneurysm -Aneurysm Not Requiring Bypass Aneurysm Resection & Grafting Medium Size Arterial Aneurysms - Repair With Synthetic Graft Excision Of Vascular Tumors With Prosthetic Graft Coaractation of Aorta Repair With Stent + Aortoplasty(35.11) Coarctation-Arota Repair With Graft Thoraco Abdominal Aneurysm Or Dissection Repair With Graft(38.45) Intrathoracic Aneurysm -Requiring Bypass (With Graft)
13000 75000 30000 29999 100000 70000 149001 40001 70000 30384 100002 183793 95000 75002 80001 100000 200001 185001
696 697 698 699 700 701 702 703 704 705 706 707 708 709 710 711
38.60.1 38.60.2 39.0.1 39.0.2 39.3.1 39.3.2 39.3.3 39.3.4 39.3.5 39.3.6 39.3.7 39.3.8 39.8.2 39.8.3 39.22 39.23
Excision Of Arterio Venous Malformation - Large Excision Of Arterio Venous Malformation - Small Systemic Pulmonary Shunts With Graft TOF Systemic Pulmonary Shunts Without Graft TOF Surgery for Arterial Injuries, Venous Injuries Without Graft Surgical Management of Major Vascular Injury -In Lower Limbs Surgical Management of Minor Vascular Injury - Tibial Vessels In Leg Surgical Management of Minor Vascular Injury -Vessels In Foot Surgical Management of Neck Vascular Injury - Carotid Vessels Surgical Management of Abdominal Vascular Injuries - Aorta, Illac Arteries, Ivc, Iliac Veins Surgical Management of Thoracic Vascular Injuries Surgical Management Of Abdominal Vascular Injuries - Aorta, Illac Arteries, Ivc, Iliac Veins Without Prosthetic Graft Excicion Of Carotid Body Tumor With Vascular Repair Excision Of Carotid Body Tumor With Prosthetics Graft Repair Carotid Artery Bypass With Synthetic Graft Aorto-Aorto Bypass With Graft
90000 44000 63606 55403 25000 30000 20000 20000 100000 100000 150001 74999 80000 100000 124000 100000
712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 729
39.26 39.25.1 39.25.2 39.25.3 39.27.1 39.27.2 39.29.1 39.29.2 39.29.3 39.29.4 39.29.5 39.29.6 39.29.7 39.29.8 39.29.9 39.50.2 39.50.3 39.50.4
Aorto-Aorto Bypass Without Graft Femoro- Ileal Bypass With Graft Femoro- Ileal Bypass Without Graft Aorto Billiac - Bifemoral Bypass With Synthetic Graft A V Fistula surgery (creation) at Wrist A. V Fistula surgery (creation) At Elbow Femoro- Poplitial Bypass With Graft Femoro- Poplitial Bypass Without Graft Femoro-Femoral Bypass With Graft Femoro-Femoral Bypass Without Graft Axillo Bifemoral Bypass With Synthetic Graft Femoro Distal Bypass With Vein Graft Femoro Distal Bypass With Synthetic Graft Axillo Brachial Bypass Using With Synthetic Graft Brachio - Radial Bypass With Synthetic Graft Renal Angioplasty Peripheral Angioplasty Perpheral Angioplasty - Additional Stent(00.46)
85000 65000 45001 125001 10000 9999 65000 45001 65000 45000 99999 60001 80000 70000 59000 60000 60001 9000
730 731 732 733 734 735 736 737
39.52.1 39.52.2 39.52.3 39.54 39.56.1 39.56.2 39.57.2 39.57.3
Small Arterial Aneurysms - Repair Medium Size Arterial Aneurysms - Repair surgical management of Ruptured Sinus Of Valsalva Surgical management of Dissecting Aneurysms Surgical Management of Vascular Injury In Upper Limbs Axillary,Branchial,Radial And Ulnar -With Vein Graft Surgical Management of Vascular Injury With Vein Graft Surgical Management of Vascular Injury With Prosthetic Graft Surgical Management Of Neck Vascular Injury - Carotid Vessels - With Prosthetic Graft Surgical Management Of Major Vascular Injury -In Lower Limbs With Prosthetic Graft Surgical Management Of Abdominal Vascular Injuries - Aorta, Illac Arteries, Ivc, Iliac Veins With Prosthetic Graft Surgical Management Of Vascular Injury In Upper Limbs Axillary,Branchial,Radial And Ulnar -With Prosthetic Graft Surgical Management of Oesophageal Diverticula /Achalasia Cardia Gastro Study Followed By Thoracotomy & Repairs For Oesophageal Injury For Corrosive Injuries/Fb Surgical Management of Diaphragmatic Hernia
20000 25000 130000 180001 20000 30000 40001 100000
738
39.57.4
70000
Network Hospital
739
39.57.5
70000
Network Hospital
740 741 742 743
39.57.6 42.31 42.9 53.8
70000 50000 65000 60000
Network Hospital Network Hospital Network Hospital Government
Hospital 744 98.15.1 Bronchoscopic Foreign body removal S8. PAEDIATRIC SURGERIES 745 746 747 748 749 750 751 752 02.1 05.2 07.2 16.49.1 18.71 18.21.2 27.43.1 27.54.3 Surgical management of Encephalocele Surgical management of Neuroblastoma Adrenal Gland Surgeries In Paediatric patients(07.3&07.4) Execision of pediatric tumors Surgical correction of Microtia/Anotia In Paediatric Patient Surgical treatment for Preauricular sinus in pediatric patient Excision of Retention Cyst Lip Surgical correction of Cleft Lip 42083 46270 47334 50000 32840 10000 2761 25000 Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital 20000 Network Hospital
753 754 755 756
27.62 27.69 29.52.2 32.2
Surgical correction of Cleft Palate Surgical corection of Velo-Pharyngeal Incompetence Surgical management of Sinuses & Fistula of the neck in Paediatric Patient Excision ofThoracoscopic cysts
25000 35335 20870 40001
757 758 759 760 761 762
32.2.2 34.06 34.09 34.3.3 34.52 34.74
Open excision of Lung cyst In Paediatric Patient Empyema decortication In Paediatric Patients Empyema-ICD drainage In Paediatric Patients Mediastinal Cyst Excision In Paediatric Patients Thoracoscopic Decortication In Paediatric Patients Surgical Correction of Thoracic Wall Defects
40001 30632 10001 66000 48001 65007
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
763 764 765 766 767 768 769 770
39.99 40.29.4 41.5.5 42.12 42.42.4 42.85 42.89 43.3.2
Excision of Haemangioma Surgical management of Lymphangioma In Paediatric Patients Paediatric Splenectomy (Non Traumatic) Surgical management of Oesophageal Atresia In Paediatric Patients Surgical Correction of Thoracic Duplications In Paediatric Patients Surgical Correction of Esophageal Obstructions In Paediatric Patients Surgical Correction of Esophageal Substitutions In Paediatric Patients Surgical management of - Gastric Outlet Obstructions In Paediatric Patients Surgical management of Gastro Esophageal Reflux In Paediatric Patients
18828 48000 42000 61889 44545 58499 73167 30000
771
44.66
36411
772
45.3.3
Surgical Management of Intestinal Atresias & Obstructions In Paediatric Patients Meckel's Diverticulectomy In Paediatric Patients
65000
Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital
773
45.33.2
40001
774 775 776 777 778 779 780 781 782 783 784 785
45.4 45.95.2 46.11.1 46.11.2 46.32.1 46.51.3 46.52.3 46.52.4 46.99 48.36 48.41.1 48.41.2
Surgical management of Intestinal Polyposis In Paediatric Patients Stage 2 procedure for Anorectal Malformations In Paediatric Patients Stage 1 procedure for Anorectal Malformations In Paediatric Patients Stage 1 procedure for Hirschprungs Disease In Paediatric Patients Feeding Jejunostomy In Paediatric Patients Ileostomy closure In Paediatric Patients Stage 2 procedure for Hirschprungs Disease In Paediatric Patients Colostomy closure In Paediatric Patients Surgical mangement of Acute Intestinal Obstruction In Paediatric Patients Rectal polypectomy In Paediatric Patients Laparoscopic Pull Through For Ano Rectal Anomalies In Paediatric Patients Laparoscopic Pull Through Surgeries For Hirschprungs Disease In Paediatric Patients
60000 60001 48001 48001 28848 25000 72000 24999 48002 8000 72000 72001
786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802
49.12 51.63 52.9 53 53.1 53.21 53.42.2 53.51.2 53.72.1 53.9.2 54.11 54.3.2 54.7 54.9 54.99.2 55.03.1 55.5.1
Surgical mangement of Anal Fissure and Fistula In Paediatric Patients Surgical Management of Biliary Atresia & Choledochal Cyst In Paediatric Patients Pancreatic surgery in Paediatric Patients Unilateral Inguinal Hernia repair In Paediatric Patients Bilateral Inguinal Hernia repair In Paediatric Patients Femoral Hernia repair In Paediatric Patients Umbilical Hernia repair In Paediatric Patients Incisional Hernia repair In Paediatric Patients Open repair of diaphragmatic hernia in Paediatric patients Lumbar Hernia repair In Paediatric Patients Surgical management of peritonitis in Paediatric Patients Correction of Vitello intestinal duct anomalies in Paediatric Patients Repair of Abdominal wall defects Surgical management of Abdominal trauma in Paediatric Patients Correction of Duplications of alimentary tract in Paediatric Patients Renal calculi-nephrolithotomy in Paediatric Patients Simple Nephrectomy
22591 69455 75000 14999 20000 15000 20000 30000 74734 15000 39999 38760 75000 59999 47160 32210 40000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government
Hospital 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 55.8 56.2.1 56.6 56.74.1 56.92 57.1 57.17 57.21.1 57.22 57.86.1 57.86.2 57.87 58.39 58.4 58.45.1 58.45.2 Surgical Management of Congenital Hydronephrosis in Paediatric Patients Open ureterolithotomy Ureterostomy in Paediatric Patients Ureteric Reimplantations Ureteric Implantation with tailoring Vesical calculi-vesicolithotomy in Paediatric Patients Supra pubic drainage- open in Paediatric Patients Vesicostomy Vesicotomy closure in Paediatric Patients Stage 1 procedure for Exstrophy Bladder in Paediatric Patients Stage 2 procedure for Exstrophy Bladder in Paediatric Patients Bladder augmentation Surgical Management of Posterior Urethral Valves Repair of Urethral injuries in Paediatric Patients Single Stage procedure for Hypospadiasis Stage 1 procedure for Hypospadiasis 54708 28785 32355 34774 41883 23601 10000 25760 26912 73212 70227 52643 30002 26026 40000 29357 Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
819 820
58.45.3 58.45.4
Stage 2 procedure for Hypospadiasis Surgical Correction of Epispadiasis
29861 41866
Network Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Government Hospital
821
61.49
Surgical Correction of Scrotal Transposition In Paediatric Patients
20000
822 823 824 825 826 827 828 829 830
62.5.2 62.5.3 63.1.1 63.1.2 63.1.3 63.52 64.4 64.5 76.5.2
Surgical management of Undescended Testis In Paediatric Patients Laparoscopic Orchidopexy In Paediatric Patients Laparoscopic Varicocele Ligation Open Varicocele ligation Hydrocele high ligation In Paediatric Patients Surgical Management for Torsion of Testis Surgical Management of Phimosis and Paraphimosis Intersex-Genitoplasty surgery(70.6) Surgical Management of Tempero mandibular Joint Ankylosis
25000 25000 40001 30000 15000 25193 8000 45377 44541
831
76.93.2
Management Of Tmj Dysfunction Syndrome (76.94)
1087
832 833 834 835 836 837 838 839 840 841
77.8.1 83.79 86.04.1 86.09.1 86.3.10 86.3.13 86.3.15 86.85.1 86.85.2 96.23
Execision of cogental dermal sinus Surgical Management of Torticollis in Paediatric Patient Excision of hamartoma Execision of cysti lesions of neck Excision of External angular dermoid in Paediatric Patient Surgical Management (excision) of Congenital Dermal Sinus Excision of Sebacencyst Lipoma in Paediatric Patient Surgical correction of Syndactyly of Hand For Each Hand in Paediatric Patient Syndactoly correction-multiple correction in Paediatric Patient Anal Dilatation S9. GENITO URINARY SURGERIES
30000 15467 20000 25000 8057 30001 5840 25000 27998 5000
Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
842 843 844 845
38.17 39.27.3 39.50.1 39.53.1
Renal angio embolization A.V. Fistula surgery (creation) [Pre-Transplant Procedure Only] Balloon dialatation of transplant Renal Artery stenosis AV Fistula
34313 9999 32614 10995
Network Hospital Network Hospital Network Hospital Network Hospital
846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863
40.9.1 40.9.2 40.24.1 40.24.2 54 54.99 55.01 55.02 55.04 55.4.1 55.4.3 55.5.2 55.5.3 55.7.0 55.11.1 55.11.2 55.11.3 55.11.4
Open post transplant lymphocele Laproscopic post transplant lymphocele Uni-lateral illioinguinal block dissection in non malignant conditions Bi-lateral illioinguinal block dissection Surgery for Retroperitoneal Fibrosis Open/Lap Parapelvic Cyst Excision-Open/Lap Open Nephrolithotomy Nephrostomy - Renal Percutaneous Nephrolithotomy Nephrectomy for Pyonephrosis/Xgp Laproscopic Partial Nephrectomy Laproscopic Simple Nephrectomy Laproscopic Radical Nephrectomy Revascularization procedure for renovascular hypertension Open Pyelolithotomy Laparoscopic Pyelolithotomy Anatrophic Peylolithotomy For Staghorn Caliculus Partial stag horn caluculi
29330 31389 30000 63849 39427 32000 24100 13001 34281 40003 60001 50001 61880 28433 21767 41807 50000 33767
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government
Hospital 864 55.11.5 Complete stag horn caluculi 37960 Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
865 866 867 868 869 870 871 872 873 874 875 876 877 878
55.39 55.51.1 55.51.2 55.51.3 55.51.4 55.51.5 55.53 55.6 55.61 55.7 55.87.1 55.87.2 55.87.3 55.92
Renal Cyst Excision Radical Nephro-Ureterectomy Bilateral Nephroureterectomy Laproscopic unilateral Nephroureterectomy Open unilateral Nephroureterectomy Hemi- Nephroureterectomy Post transplant graft Nephrectomy Renal Transplantation Surgery Renal auto transplantation Nephropexy Surgical Management of Congenital Hydronephrosis Anderson Hynes Pyeloplasty Retrograde Intrarenal Surgery(RIRS) Laparoscopic deroofing of Renal Cyst
23218 50000 80001 50000 44999 45000 35001 161100 60000 35766 35000 48000 31579 31786
879 880 881 882 883 884 885 886 887 888 889 890 891 892 893 894
56 56.2.2 56.4 56.41 56.51 56.74.2 56.74.3 56.75 56.91 57 57.01 57.6.1 57.19 57.21.2 57.49.1 57.49.2
URSL Laparoscopic ureterolithotromy Surgical corrrection of Ureterocele Excision of Ureterocele with Ureteric Implantation Surgical Procedure for Ileal Conduit Formation Post transplant revision Ureteroneo cystostomy/Pyelo Ureterostomy Ureteric replacement Uretero ureterostomy Balloon dilatation of Ureteric stricture Cystolithotripsy Endoscope removel of stone in bladder Partial Cystectomy Open Cystolithotomy Mitrafanoff procedure Transurethral resection of bladder tumour (TURBT) Transurethral resection of bladder tumour (TURBT) with intravesical Mitomycin instillation
25000 30000 23659 42372 40673 37263 44875 32823 20103 13001 14000 33842 19131 46248 39001 35000
Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
895 896
57.51 57.59
Excision of Urachal cyst Bladder Diverticulectomy
34652 32197
Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
897 898 899 900 901 902 903 904 905 906 907 908 909 910
57.7 57.71.1 57.71.3 57.71.4 57.71.5 57.71.6 57.84.1 57.84.2 57.84.4 57.88 57.91.1 57.91.2 58 58.5.1
Total Cystectomy Laproscopic radical cystectomy with Ilealconduit diversion Laproscopic radical cystectomy with Ureterosigmoidostomy(57.88) Open radical cystectomy with Ureterosigmoidostomy (57.88) Laproscopic radical cystectomy with Continent Urinary diversion(56.7) Open radical cystectomy with Continent Urinary diversion Surgical correction of Vesicovaginal Fistula Transvaginal repair of Vesicovaginal Fistula Trans abdominal repair of Vesicovaginal Fistula with omentoplasty Caecocystoplasty Bladder neck incision Bladder neck reconstruction for Incontinence Perineal Urethrostomy Optical Urethrotomy
45021 125000 56663 45000 64656 50000 44000 35836 52501 41841 24134 60000 31650 20929
911 912 913 914 915 916 917 918 919 920 921 922 923 924 925 926 927
58.5.2 58.31 58.43 58.45.5 58.46 58.47 58.49 58.49.1 58.49.2 58.6 59.02 59.4.1 59.4.2 59.8.1 59.8.2 59.09 59.5
BMG Urethroplasty for pan Urethral stricture Excision of Urethral Caruncle Urethral Fistula closure Single stage- Urethroplasty for Stricture Double stage Urethroplasty (Reconstruction Procedure) for stricture Urethra. Meatoplasty Transpubic Urethroplasty with Omentoplasty Urethroplasty doblestage stage I Urethroplasty doublestage stageII Dilatation for Urethra stenosis Nephrolysis/surgery for Chyluria Open/Lap Surgical Management of Incontinence Urine (Male) Surgical Management of Incontinence Urine (Female) Dj Stent (One Side) CAPD-Tenchkoff catheter insertion Drainage of Perinephric Abscess MMK/birch colpo suspension for stress urinary Incontinence
65000 15962 30000 50001 37497 12275 65000 38671 37500 10562 40000 25601 22001 5001 36517 37966 40000
928 929 930 931 932 933 934 935 936 937 938 939 940 941 942
59.79 60.5.1 60.5.2 60.21 60.29.1 60.29.2 60.29.3 60.3 61.4 62.5 63.92 64.3.1 64.41 64.42.1 64.42.2
Mid urethral sling procedure for stress urinary incontinence Laproscopic radical Prostratectomy Open radical Prostratectomy Laser Prostatectomy Transurethral Resection of Prostate (TURP) Transurethral Resection of Prostate (TURP) Cyst Lithotripsy Bipolar TURP Open Prostatectomy Scrotal/Perineal Injuries Orchidopexy Bilateral Vasectomy reversal Partial amputation of penis Surgical Management of Penile Injuries Surgical correction of Chordee Surgical Correction of Chordee without Hypospadiasis
30000 55000 50000 40000 30000 30000 40000 33001 27460 22865 23009 36669 25000 32862 32318
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital
943 944 945 946 947 948 949
64.43 64.98 86.75 97.64 97.65 98.51 99.23.1
Plaque Excision/Plasty for Penile curvature/Peyronies disease Surgery for Priapism Difficult vascular access/graft CAPD-Tenchkoff catheter removal Cystoscopy/ Stent removal Extracorporeal shockwave lithotripsy (ESWL) Post Renal Transplant Immunosuppressive Treatment From 1st To 6th Months Post Renal Transplant Immunosuppressive Treatment From 7th To 12 Th Month. Intravesical BCG Induction therapy Intravesical BCG maintenance S10. NEURO SURGERY
40000 35000 30000 33942 9102 20000 91669
Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital
950 951 952
99.23.2 99.28.1 99.28.2
61208 9751 16914
Network Hospital Network Hospital Network Hospital
953 954 955 956 957
01.09.1 01.09.2 01.09.3 1.13 1.18
Twist Drill Craniostomy Subdural Tapping Ventricular Tapping Burr Hole procedure for evacuation of Brain Abscess Endoscopy Procedures -Brain
15000 19500 15000 32681 78000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
958 959 960 961 962 963 964 965 966 967 968 969 970 971 972 973 974 975
01.24.1 01.24.2 1.25 1.31 1.39 01.53.1 01.53.2 1.53.3 01.59.1 01.59.2 01.59.3 01.59.4 01.59.5 01.59.6 01.59.7 01.59.8 01.59.9 01.59.10
Craniotomy And Evacuation of Subdural Haematoma Craniotomy And Evacuation of Extradural Haematoma De-Compressive Craniectomy (Non Traumatic) Tapping of Brain Abscess Evacuation of Intra-Cerebral Hematoma Temporal Lobectomy Plus Depth Electrodes Temporal Lobectomy Excision of Lobe(frontal,temporal,cerebe llum Etc.) Excision of Parasagital Brain tumour Excision of Basal Brain tumour Excision of Brain Stem Brain tumour Excision of C P Angle Brain tumour Excision of Other Brain tumours Lesionectomy Type 1 Lesionectomy Type 2 Excision of Subtentorial Brain Tumours Evacuation of Brain Abscess Surgical Management of Meningomyelocele
66000 60000 80000 40000 72000 140000 75001 40000 68890 70001 70001 80004 48249 56860 57044 48249 60000 39999
976 977 978 979 980 981 982 983 984 985 986 987 988 989 990 991 992
01.59.11 01.59.12 1.59.1 2 2.02 2.05 2.06 2.12 2.2 2.31 2.32 2.32.1 2.34 2.34.1 2.39 3.1 03.4.1
Intra Ventricular Tumours Meningocele Excision Excision of brain abscess Cranioplasty Depressed / Elevated Fracture Cranioplasty With Impants Cranioplasty With Titanium Mesh Surgical Management of Meningo Encephalocele Endoscopic Third Ventriculostomy Surgical Management of C.S.F. Rhinorrhoea Ventriculo Atrial Shunt Atrial shunt Ventriculo Peritoneal Shunt Ventriculoatrial / Ventriculoperitonial shunt External Ventricular Drainage (EVD) Selective Posterior Rhizotomy Surgery for Cord Tumours
60000 40001 70001 30000 30001 30000 31633 40000 30000 40000 20000 20000 30000 20000 40000 30000 38000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
993 994 995 996 997 998 999 1000 1001 1002 1003 1004 1005 1006 1007 1008
03.4.2 03.4.3 03.09.1 03.09.2 3.39 3.52 03.59.1 03.59.2 3.96 4.02 4.2 04.5.2 4.41 4.43 04.76.1 5.22
Surgical Management of Intra Medullary Spinal Tumours Surgical Management of Syringomyelia Laminectomy Laminoplasty With Implants Endoscopy - Spinal Meningo Myelocele Spinal Procedure Surgical Management of Spina Bifida Major Surgical Management of Spina Bifida Minor Facet, Nerve Root Blocks Radio Surgery For Brain Tumours & Vascular Malformations/ Trigeminal Neuralgia Radiofrequency Ablation For Trigeminal Neuralgia Surgical treatment for brachial plexus injuries Microvascular Decompression For Trigeminal Neuralgia Surgical management Carpal tunnel syndrome Peripheral Nerve Injury Repair Cervical Sympathectomy
50000 60000 26648 30179 29000 25001 34999 29999 10000 25001 30000 71998 60000 10001 40000 30000
Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
1009 1010 1011 1012 1013 1014 1015 1016 1017 1018 1019 1020 1021 1022 1023 1024
05.23.1 7.62 38.12.2 39.28 39.51 39.53.2 39.72.1 39.72.2 39.79.1 39.79.2 78.19 80.5.1 80.51.1 80.51.2 80.51.3 80.51.4
Lumbar Sympathectomy Trans Sphenoidal Surgery Carotid Endarterectomy Intra Cranial Vascular Bypass Aneurysm Clipping Other Vascular Malformations (Other Than AVM) - Cavernomas, AV Fistulas, Sinus Pericranii Embolization of Aneurysm Brain Tumour Embolisation Coil Embolization of Aneurysm (each coil cost) Surgical Management of Vascular Malformations Spinal Fixation Rods And Plates, Artificial Discs Anterior Lateral Decompression Postirior cervical disectomy Excision Of Cervical Inter-Vertebral Discs Anterior Discectomy & Bone Grafting Discectomy With Implants
30000 40001 39999 100000 110000 60000 75001 28001 30000 60002 85000 30000 26648 30000 40000 65000
Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government
Hospital 1025 1026 1027 1028 1029 1030 1031 1032 1033 1034 80.51.5 80.51.6 80.99 81.00.2 81.01.1 81.01.2 81.01.3 81.02 86.3.14 93.59 Anterior Cervical Discectomy Disectomy Corpectomy For Spinal Fixation Spinal Fusion Procedure Trans Oral Surgery Combined Trans-Oral Surgery & Cv Junction Fusion C.V. Junction Fusion Anterior Cervical Spine Surgery With Fusion Excision Of Scalp Lesions Stereotactic Procedures S11. SURGICAL ONCOLOGY 1035 1036 1037 1038 1039 1040 06.4.3 06.8.2 06.31.5 06.39 07.3.2 07.22.2 Thyroidectomy any type in malignant conditions Parathyroidectomy in malignant conditions Excision of Solitory Thyroid nodule in malignant conditions Thyroidectomy for solitary nodule in malignant conditions Laparoscopic Biilateral adrenalectomy in malignant conditions Unilateral Adrenalectomy in malignant conditions 30003 34958 35696 37342 41080 65636 Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital 26650 26648 74999 50000 40000 51190 40000 45001 10000 20000 Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1041 1042 1043 1044 1045 1046 1047 1048 1049 1050 1051 1052 1053 1054 1055 1056 1057
16.51 16.59 17.33.2 17.35.1 17.35.2 18.3 25.2.2 25.3 26.32.1 26.32.2 27.32 27.49.2 29.3.1 29.3.2 30.4.1 30.4.2 31.5
Maxillectomy + Orbital Exenteration in malignant conditions Orbital Exenteration in malignant conditions Laproscopic Right Hemicolectomy in malignant conditions Hartman procedure in malignant conditions Laparoscopic Left Hemicolectomy in malignant conditions Sleeve Resection of Ear in malignant conditions Hemiglossectomy in malignant conditions Total Glossectomy + Reconstruction in malignant conditions(25.59) Parotidectomy any type in malignant conditions Excision of Submandibular gland in malignant conditions Palatectomy any type in malignant conditions Full Thickness Buccal Mucosal Resection & Reconstruction in malignant conditions(27.59) Excision of Parapharyngeal tumours in malignant conditions Resection of Nasopharyngeal Tumor in malignant conditions Laryngectomy Any Type in malignant conditions Laryngopharyngo Oesophagectomy in malignant conditions Tracheal Resection in malignant conditions - CA Thyroid/CA Trachea
53863 42061 40001 49787 40000 44307 41267 57849 25005 26001 39784 63314 47429 76605 68183 97000 65002
1058 1059 1060 1061 1062 1063 1064 1065 1066 1067 1068
32.4.1 32.4.3 32.5.2 32.9.0 32.29.1 32.29.2 34.04 34.3.2 34.3.4 34.4.1 34.4.2
Sleeve Resection of Lung Cancer Lobectomy for Carcinoma Lung Pneumonectomy for Carcinoma Lung Icd + pleurodesis Solitary Lung Metastatectomy in malignant conditions Lung Metastatectomy multiple in malignant conditions Intercostal Drainage(Icd) in malignant conditions Resection of mediastinal tumors in malignant conditions Superior Mediastinal Dissection+Sternotomy in malignant conditions(77.31) Surgical Resection of Soft tissue /Bone tumors of Chest wall Surgical Resection and Reconstruction of Soft tissue /Bone tumors of Chest wall in malignant conditions Surgical Correction of Bronchopleural Fistula - Transpleural BPF Closure in malignant conditions IVC thrombectomy in malignant conditions IVC filters for tumour thrombus in malignant conditions Vascular reconstruction with synthetic graft in malignant conditions Vascular reconstruction with auto graft in malignant conditions
108000 77000 80287 19384 69060 78001 3001 63757 60751 30000 70000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1069 1070 1071 1072 1073
34.73.4 38.07 38.7.2 39.57.1 39.58
75038 53662 57863 71249 75854
1074 1075 1076 1077 1078 1079 1080 1081 1082 1083 1084 1085 1086 1087 1088
39.97 39.59 40.4 40.50 40.24 40.51 40.53 40.53.1 40.54 40.59.1 40.59.2 41.5.7 42.40.2 42.42.1 42.42.2
Vascular isolation and perfusion in malignant conditions Microvascular reconstruction Neck Dissection Any Type in malignant conditions Retro Peritoneal Lymph Node Dissection RPLND As Part Of Staging in malignant conditions Ilioinguinal block disection in malignant conditions Axillary Dissection in malignant conditions Bilateral Pelvic Lymph Node Dissection(Bplnd) in malignant conditions Bilateral pelvic lymph node dissection(bplnd)(CA. URINARY BLADDER) Inguinal Block Dissection One Side in malignant conditions Retro Peritoneal Lymph Node Dissection(Rplnd) (For Residual Disease) in malignant conditions Popliteal lymphadenectomy in malignant conditions Splenectomy in malignant conditions Oesophagectomy Any Type in malignant conditions Transhiatal oesophagectomy in malignant conditions Oesophagectomy With Two Field Lymphadenectomy in malignant conditions(40.59)
53344 88301 32500 40001 63849 39225
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
40001 40001 29781 78000 30000 42804 78004 80000 117000
1089 1090 1091 1092
42.42.3 42.65 43.1.2 43.7.3
Oesophagectomy With Three Field Lymphadenectomy in malignant conditions(40.59) Substernal Gastric Bypass in malignant conditions Gastrostomy in malignant conditions Laparoscopic mobilization of stomach with distal gastrectomy with billroth i/ii anastomosis in malignant conditions Thoracoscopic Mobilization of Oesophagus + Laparoscopic Mobilization of stomach + Gastric Pull-up in malignant conditions Gastrectomy Any Type in malignant conditions Gastro Jejunostomy in malignant conditions Small Bowel Resection in malignant conditions Colectomy Any Type in malignant conditions Ileotransverse Colostomy in malignant conditions Colostomy in malignant conditions Ileostomy in malignant conditions Jejunostomy in malignant conditions Laparoscopic anterior/low resection with stapplers with diversion covering ileostomy in malignant conditions Ileostomy Closure in malignant conditions
120001 49771 20001 100000
1093 1094 1095 1096 1097 1098 1099 1100 1101 1102 1103
43.7.4 43.89 44.39.1 45.3.1 45.7 45.93 46.1.2 46.2.1 46.32.2 46.41 46.51.1
120000 50001 50001 48000 52001 60004 20001 32606 31848 100000 25000
1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 1116 1117 1118 1119
46.52.1 48.51 48.52 48.63.2 48.64 48.69 50.2 51.22 52.52 52.96 54.1 54.3.1 54.3.3 54.4 55.4.2 55.5
Colostomy Closure in malignant conditions Laparoscopic abdominoperineal resection in malignant conditions Abdomino Perineal Resection (Apr) + Sacrectomy in malignant conditions(77.99) Anterior Resection of rectum in malignant conditions Posterior Exenteration for Carcinoma Rectum Total Exenteration for Carcinoma Rectum Hepatectomies in malignant conditions Radical Cholecystectomy in malignant conditions Distal Pancreatectomy in malignant conditions Other Bypasses-Pancreas in malignant conditions Inoperable Laparotomy in malignant conditions Abdominal Wall Tumor Resection in malignant conditions Resection With Reconstruction of Abdominal wall Tumors in malignant conditions Resection Of Retroperitoneal Tumors in malignant conditions Open Partial Nephrectomy Laproscopic radical nephrectomy in malignant conditions
25001 100000 60000 50000 60000 98001 100000 78000 100000 50517 36267 52483 59001 60000 40002 100000
1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 1135
55.5.4 54.21 55.51.6 56.5 57.6.2 57.18 57.71.2 57.79.2 57.79.3 60.5.3 60.29.4 61.3.1 62.3.3 62.4 64.3 64.3.2
Radical Nephrectomy Diagnostic Laparoscopy in malignant conditions Nephroureterectomy For Transitional Cell Carcinoma Of Renal Pelvis in malignant conditions Urinary Diversion in malignant conditions(56.6/56.7) Other Cystectomies in malignant conditions Suprapubic cystostomy Open radical cystectomy with Ilealconduit diversion Anterior Exenteration (CA. Urinary Bladder) Total Exenteration (CA. Urinary Bladder) Radical Prostatectomy in malignant conditions Channel TURP Scrotectomy in malignant conditions High Orchidectomy Bilateral Orchidectomy Emasculation in malignant conditions Total Penectomy
50001 22145 65001 63249 87641 16993 100000 60000 75001 86646 39280 38442 22000 23344 40566 36670
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
1136 1137 1138 1139 1140 1141 1142 1143 1144 1145 1146 1147 1148 1149
65 65.2.1 65.2.2 65.4 65.6 65.6.1 67.4 68.6 68.8.1 68.8.2 68.8.3 68.8.4 68.8.5 68.41.1
Surgery For Carcinoma Ovary Early Stage Excision of Complex ovarian mass in malignant conditions Ovarian cystectomy in malignant conditions Unilateral Salpingo Oophorectomy in malignant conditions Surgery For Carcinoma Ovary Advance Stage Bilateral Salpingo Oophorectomy in malignant conditions Radical Trachelectomy in malignant conditions Radical Hysterectomy in malignant conditions Laparoscopic pelvic exenteration in malignant conditions Anterior Exenteration - Carcinoma Cervix Posterior Exenteration - Carcinoma Cervix Total Pelvic Exenteration - Carcinoma Cervix Supra Levator Exenteration - Carcinoma Cervix Laparoscopic extraFACIAL hysterectomy + multiple biopsies + omentectomy in malignant conditions Laparoscopic ExtraFACIAL Hysterectomy with Bilateral pelvic node dissection in malignant conditions Hysterectomy in malignant conditions
31764 50080 50024 30000 52000 30000 50572 55661 120000 84752 65000 98000 90000 47251
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1150 1151
68.41.2 68.49
47067 32500
Network Hospital Network Hospital
1152
68.69.1
Total Abdominal Hysterectomy(Tah) + Bilateral Salpingo Ophorectomy (Bso) + Bilateral Pelvic Lymph Node Dissection (Bplnd) + Omentectomy in malignant conditions Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (Bplnd) + Bilateral Salpingo Ophorectomy (Bso) / Ovarian Transposition in malignant conditions Laparoscopic wertheim hysterectomy in malignant conditions Radical Vaginectomy in malignant conditions Radical Vaginectomy + Reconstruction(70.62) Vulvectomy in malignant conditions Cranio Facial Resection in malignant conditions Resection of Lateral Temporal Bone in malignant conditions Subtotal Resection of Temporal Bone in malignant conditions Total Resection of Temporal Bone in malignant conditions Hemimandibulectomy in malignant conditions Marginal Mandibulectomy in malignant conditions Maxillectomy Any Type in malignant conditions Maxillectomy + Infratemporal Fossa Clearance in malignant conditions Bone Resection in malignant conditions
62139
Network Hospital
1153
68.69.2
50007
Network Hospital
1154 1155 1156 1157 1158 1159 1160 1161 1162 1163 1164 1165 1166
68.69.3 70.4.1 70.4.2 71.5 76.4 76.5.3 76.5.4 76.5.5 76.31 76.31.3 76.39 76.65.1 77.60.1
53215 53121 60547 45864 91000 68119 71975 78000 37764 44120 30772 65677 42966
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1167 1168 1169
77.60.2 77.60.3 77.60.11
Scalp tumour with calvarial resection in malignant conditions Bone and Soft TissueTumors Amputation in malignant conditions(83.49) Surgery (removal) for Bone/Soft tissue tumors-Without Prosthesis in malignant conditions(83.49) Surgery (removal) for Bone / Soft tissue tumors-With Custom Made Prosthesis in malignant conditions(83.49+84.40) Surgery (removal) for Bone / Soft tissue tumors-With Modular Prosthesis in malignant conditions(83.49+84.40) Shoulder Girdle Resection in malignant conditions Sacral Resection in malignant conditions Soft tissue and bone tumour wide exision Soft tissue And Bone tumors wide excision reconstruction Head and Neck - Wide Excision Forequarter Amputation in malignant conditions Hemipelvectomy in malignant conditions Internal Hemipelvectomy in malignant conditions Curettage & Bone Cement in malignant conditions Mastectomy Any Type in malignant conditions Breast Reconstruction Surgery
60662 28301 49173
1170
77.60.12
85508
Network Hospital
1171 1172 1173 1174 1175 1176 1177 1178 1179 1180 1181 1182
77.60.13 77.81 77.99 83.49.1 83.49.2 83.49.3 84.09.1 84.19.2 84.19.3 84.56 85.4 85.7.1
98000 55093 60000 15000 25001 39575 78234 78886 79638 51130 30000 41827
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1183 1184 1185 1186 1187 1188 1189 1190
85.21 85.22.1 86.4.1 86.4.2 86.4.3 86.4.5 86.9 86.63
Lumpectomy Wide Excision - Breast in malignant conditions Skin Tumors Wide Excision in malignant conditions Skin Tumors wide Excision + Reconstruction in malignant conditions(86.6/86.7) Wide local excision in malignant conditions Wide local excision + reconstruction Skin Tumors amputation in malignant conditions Reconstructon with Myocutaneous / Cutaneous Flap in malignant conditions Composite Resection & Reconstruction - Head & Neck in malignant conditions Isolated limb perfusion-hyperthermia in malignant conditions S12. MEDICAL ONCOLOGY
3090 5150 34452 40000 63406 63406 24382 35675
1191 1192
86.89 99.85
65061 60933
1193 1194 1195 1196
99.24 99.25.1 99.25.2 99.25.3
Prostate Cancer with Hormonal Therapy Chemotherapy for Breast Cancer with Adriamycin / Cyclophosphamide (Ac) Chemotherapy for Bladder Cancer with Weekly Cisplatin. Chemotherapy for Bladder Cancer with Methotrexate Vinblastine Adriamycin Cyclophosphamide (Mvac)
3711 3601 2000 6000
1197 1198 1199 1200 1201 1202 1203 1204 1205 1206 1207 1208 1209 1210 1211 1212
99.25.4 99.25.5 99.25.6 99.25.7 99.25.8 99.25.9 99.25.10 99.25.11 99.25.12 99.25.13 99.25.14 99.25.15 99.25.16 99.25.17 99.25.18 99.25.19
Chemotherapy for Breast Cancer with 5- Fluorouracil A-C (Fac) Chemotherapy for Non SMAL cell Lung Cancer with Cisplatin/Etoposide (Iiib) Chemotherapy for Non SMAL cell Lung Cancer with Erlotinib Chemotherapy for Non SMAL cell Lung Cancer with GEFITINIB Chemotherapy for Non SMAL cell Lung Cancer with Paclitaxel /Carboplatin Chemotherapy for Non SMAL cell Lung Cancer with PEM + Cisplatin Chemotherapy for Oesophageal Cancer with Cisplatin/5fu Chemotherapy for Gastric Cancer with 5-Fu Leucovorin (Mcdonald Regimen) Chemotherapy for Vulval Cancer with Cisplatin/5-Fu Chemotherapy for Gastric Cancer with EOX Chemotherapy for Gastric Cancer with Gemcitabine+Oxaliplatin Chemotherapy for Gastric Cancer with Gemcitabine / Cisplatin Ac (Ac Then T) Chemotherapy for Gastric Cancer with Imatinib(CML) Chemotherapy for Gastric Cancer with Dcf Chemotherapy for Colorectal Cancer with Monthly 5-Fu
3600 7000 15001 7081 10000 20000 6502 5001 5000 15000 16000 12000 3601 5634 18000 5201
1213
99.25.20
Chemotherapy for Colorectal Cancer with 5-Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III) Only Chemotherapy for Colorectal Cancer with Capecitabine + bevacizumab (metastatic) Chemotherapy for Colorectal Cancer with Capecitabine + Oxalipantia (adjuvant) and metastatic Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu Chemotherapy for Colorectal Cancer with Capacitabine Chemotherapy for Bone Tumors with Cisplatin/Adriamycin Chemotherapy for Bone Tumors - Hodgkin Lymphoma disease with Adriamycin Bleomycin Vinblastine Dacarbazine (Abvd) Chemotherapy for Non Hodgkin Lymphoma with Cyclophosphamide Adriamycin Vincristine Prednisone (Chop) Chemotherapy for Breast Cancer with Paclitaxel Chemotherapy for Non Hodgkin Lymphoma with R - chop Chemotherapy for Multiple Myeloma with Vincristine, Adriamycin,Dexamethasone(Vad) Chemotherapy for Multiple Myeloma with Thalidomide+Dexamethasone(Oral) Chemotherapy for Multiple Myeloma with Melphalan Prednisone (Oral)
11500
Network Hospital
1214
99.25.21
7712
Network Hospital
1215 1216 1217 1218 1219
99.25.22 99.25.23 99.25.24 99.25.25 99.25.26
12000 6000 7000 7000 5000
1220 1221 1222 1223
99.25.27 99.25.28 99.25.29 99.25.30
4501 7001 45001 4001
1224 1225
99.25.31 99.25.32
5000 4501
1226 1227 1228 1229 1230 1231 1232 1233 1234 1235 1236 1237 1238 1239 1240
99.25.33 99.25.34 99.25.35 99.25.36 99.25.37 99.25.38 99.25.39 99.25.40 99.25.41 99.25.42 99.25.43 99.25.44 99.25.45 99.25.46 99.25.47
Chemotherapy for Wilms Tumor with Siopwts Regimen(Stages I-III) Chemotherapy for Ovarian cancer with Carboplatin / Paclitaxel Chemotherapy for Hepatoblastoma operable with Cisplatin -Adriamycin Chemotherapy for Childhood B cell Lymphoma with variable regimen Chemotherapy for Neuroblastoma (Stages I-III ) with Variable Regimen Chemotherapy for Neuroblastoma (Stages I-III ) PCV (medulloblastoma) Chemotherapy for Retinoblastoma with Carbo/Etoposide/Vincristine Chemotherapy for Breast Cancer with Cyclophosphamide/ Methotrexate / 5fluorouracil (Cmf) Chemotherapy for Histiocytosis with Variable Regimen Chemotherapy for Rhabdomyosarcoma with Vincristine-ActinomycinCyclophosphamide(Vactc) Based Chemo Chemotherapy for Ewings Sarcoma with Variable Regimen Chemotherapy for Acute Myeloid Leukemia with Induction Phase Chemotherapy for Ovarian cancer with Germ Cell Tumor BleomycinEtoposide-Cisplatin (Bep) Chemotherapy for Acute Myeloid Leukemia with Consolidation Phase Chemotherapy for Acute Myeloid Leukemia with Maintenance phase
7000 11000 5001 19999 10000 5000 5000 2000 5000 9000 5000 60000 8000 60000 3000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1241
99.25.48
Chemotherapy for Acute Lymphoblastic Leukemia with Induction 1st And 2nd Months Chemotherapy for Acute Lymphoblastic Leukemia with Induction 3rd, 4th, 5th Chemotherapy for Acute Lymphoblastic Leukemia with Induction Maintenance Palliative Chemotherapy for unlisted Regimen Chemotherapy for Breast Cancer with Tamoxifen Tabs Palliative And Supportive Therapy for terminally ill cancer patient Chemotherapy for Acute Myeloid Leukemia with Xelox Along With Adjuvant Chemotherapy Of As-I Chemotherapy for Multiple myeloma with Zoledronic Acid Along With Adjuvant Chemotherapy Of As-I Chemotherapy for low risk Gestational trophoblast DS with Weekly Methotrexate Chemotherapy for Multiple myeloma with Lenalidomide dexa Chemotherapy for Multiple myeloma with MPT(myeloma) Chemotherapy for Multiple myeloma with Imatinib (GSIT) Chemotherapy for Febrile Neutropenia with 1st Line Iv Antibiotics And Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)
100000
Network Hospital
1242
99.25.49
10000
Network Hospital
1243 1244 1245 1246 1247
99.25.50 99.25.51 99.25.52 99.25.53 99.25.54
12000 5000 500 3000 12000
1248
99.25.55
3000
Network Hospital
1249 1250 1251 1252
99.25.56 99.25.57 99.25.58 99.25.59
2000 10000 5366 7000
1253
99.25.60
5000
Network Hospital
1254
99.25.61
Chemotherapy for Febrile Neutropenia with 2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,) Chemotherapy for Chronic lymphoid leukemia with Benadamustine Chemotherapy for Chronic lymphoid leukemia with Chilorambucil Chemotherapy for Breast Cancer with Aromatase Inhibitors Chemotherapy for Chronic lymphoid leukemia with IA Chemotherapy for Chronic lymphoid leukemia with Imatinib(CML) Chemotherapy for low risk Gestational trophoblast DS with Actinomycin Chemotherapy for Chronic lymphoid leukemia with Sunitinib Chemotherapy With Temozolamide(brain tumours) Chemotherapy With Benadamustin -RITUXIMAB Chemotherapy With TIP(GCT 2nd line) Chemotherapy for Breast Cancer with Docetaxel Chemotherapy for Cervical Cancer with Weekly Cisplatin Chemotherapy for high risk Gestational trophoblast DS with EtoposideMethotrexate -Actinomycin / Cyclophosphamide Vincristine (Ema-Co) Chemotherapy for Testicular Cancer with Bleomycin with EtoposideCisplatin (Bep)
40000
Network Hospital
1255 1256 1257 1258 1259 1260 1261 1262 1263 1264 1265 1266 1267
99.25.62 99.25.63 99.25.64 99.25.65 99.25.66 99.25.67 99.25.68 99.25.69 99.25.70 99.25.71 99.25.72 99.25.73 99.25.78
16001 3000 1199 10000 7000 5000 15001 10001 60000 20001 10000 2000 6999
1268
99.25.83
8000
Network Hospital
1269 1270 1271
99.25.84 99.25.85 99.25.86
Chemotherapy Chemotherapy for Hepatoblastoma operable with Sorafenib Chemotherapy with Capeiri(metastatic) Chemotherapy with Capeox(adjuvant) and metastatic S13. RADIATION ONCOLOGY
10000 7712 7187
1272 1273 1274 1275 1276 1277
92.20.1 92.20.2 92.23.1 92.23.2 92.23.3 92.24.1
Brachytherapy Intracavitary I. Ldr Per Application Brachytherapy Intracavitary II. Hdr Per Application Radical Treatment with Cobalt 60 External Beam Radiotherapy Palliative Treatment with Cobalt 60 External Beam Radiotherapy Adjuvant Treatment with Cobalt 60 External Beam Radiotherapy Radical Treatment With Photons External Beam Radiotherapy (on Linear Accelerator) Palliative Treatment With Photons External Beam Radiotherapy (on Linear Accelerator) Adjuvant Treatment With Photons/Electrons / (92.25)External Beam Radiotherapy (on Linear Accelerator) Brachytherapy Interstitial I. Ldr Per Application Brachytherapy Interstitial II. Hdr One Application And Multiple Dose Fractions
5850 3250 26000 13000 14999 65001
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1278
92.24.2
26000
Network Hospital
1279 1280 1281
92.24.3 92.27.1 92.27.2
45000 16331 25000
1282
92.29.1
Specialized Radiation therapy- IMRT (Intensity modulated radiotherapy) Upto 40 Fractions IMRT In 8 Weeks Specialized Radiation therapy - 3DCRT(3-D conformational radiotherapy)Upto 30 Fractions 3DCRT In 6 Weeks Specialized Radiation therapy - SRS/SRT Upto 30 Fractions In SRS/SRT 6 Weeks S14. PLASTIC SURGERY
115697
Network Hospital
1283
92.29.2
95000
Network Hospital
1284
92.29.3
95000
Network Hospital
1285 1286 1287 1288 1289 1290 1291 1292 1293 1294
01.24.3 02.01 04.3.2 04.76.2 04.76.3 08.23 08.52 18.6 18.71.1 18.79
Skull base surgery Surgical correction for Craniosynostosis Surgical Correction of Nerve and Tendon Repair + Vascular Repair (82.4+39.3) Sequalae of brachial plexus injuries Conservative treatment for brachial plexus injuries Corrective surgery for Hyperchalonism elecanthes Tarsorrhaphy surgery to prevent exposure keratitis to prevent loss or impairment of vision especially in facial burns Ear reconstruction Reconstruction or prosthetic appliance for absent ear Surgical Correction of anamolies of Ear (cup & bat ears)
100000 87872 46788 40580 10001 52742 10001 41885 30000 25004
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government
Hospital 1295 1296 1297 21.7.1 21.8 25.2.3 Nose fractures with implants Nose deformities with functional disturbances Macroglossia Correction 45000 60000 44999 Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1298 1299 1300 1301 1302 1303 1304 1305 1306 1307 1308 1309
25.59 27.5 27.53 27.54.1 27.54.4 27.63 39.7 58.45.6 58.45.7 63.8 64.44.1 64.44.2
Micrognathia - pierre robbinsequalae Tessiers cleft Palatal fistula Repair Surgical Management Of Cleft Lip Cleft lip nasal deformity correction Secondary correction of cleft lip/palate Surgical correction for Vascular malformations Hypospadias cripples Epispadias / exstrophy Vasovasalanastamosis Penis reconstruction - pedicled Penis reconstruction - micro vascular
65013 51501 39800 25000 75001 60001 32946 39678 21088 60000 75000 125001
1310 1311 1312 1313 1314 1315 1316 1317 1318 1319 1320 1321 1322 1323 1324 1325
66.79 70.62 76.41 76.41.1 76.6.1 76.6.2 76.7.2 76.71.1 76.71.2 76.73.1 76.73.3 76.73.5 76.75.1 76.75.3 76.9 76.91
Tuboplasty/Open Tubal Recanalisation Reconstructive procedures for vaginal atresia Surgical Correction of lid retraction with Tumour of Mandible And Maxilla Corrcetion of lid retraction Functional corrective surgery for sequel of facial injuries Orthognathic surgeries involving facial bones Panfacial fractures combination with polytrauma Zygoma/orbital fractures Zygoma/ Orbital Fractures Maxilla fractures lefort II Surgical Correction Of Fracture Lefort III Maxilla fractures lefort III Facial bone fractures - mandible fracture single with implants Facial bone fractures - mandible fracture multiple with implants Frontonasoethmoid fractures with implants Alveolar bone grafting with bone graft
26590 37452 58850 25001 70001 80000 102514 74467 78456 72012 51088 74497 50000 75001 100001 30319
Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1326 1327 1328 1329
77.98 78.41.2 82.1 82.6.1
Polydactyly Repair Calvarial reconstruction Treatment for trisser fingerenosynovitis(82.2) Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction conventional surgery Aplasia / hypoplasia / post traumatic loss of thumb for reconstruction microsurgery Surgical correction for Congenital Deformity of Hand (Per Hand) Tendon transfer procedure for wrist drop Surgical Correction of Leprosy Reconstructive Surgery Cleft hand / foot Correction Mallet finger Surgery Boutonnieries deformity Repair Finger tip injuries Repair Compressive neuropathies Treatment for supparativechondritis Free functional muscle transfer Post cabg(sternal dehiscence/osdo Repair
29238 75000 28735 63536
1330 1331 1332 1333 1334 1335 1336 1337 1338 1339 1340 1341
82.6.2 82.48 82.56.1 82.8 82.82 82.84 82.89 82.99.1 83 83.3.1 83.77 83.8
85539 23509 32000 21406 52232 26681 35001 20114 30696 30001 76713 40756
Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1342 1343 1344 1345 1346 1347 1348 1349 1350 1351 1352 1353 1354 1355 1356 1357 1358
83.84.2 83.91.1 83.91.2 83.91.3 83.99.1 84 84.01.2 84.08.2 84.17.2 84.22.1 84.22.2 84.23 84.25 85.3.1 85.3.2 85.7.2 85.87
Corrective surgery for congenital deformities of foot (per foot) Post Burn Contracture Surgeries - Mild Post Burn Contracture Surgeries - Moderate Post Burn Contracture Surgeries - Severe Mgt of electrical burns with vital expossed with flapcover Amputation of hand / fore arm / arm / foot / leg / thigh with skin cover (84.1) Amputation of digit with skin cover(84.11) Disarticulation through shoulder Disarticulation through thigh Reimplantation / revascularization - multiple digits per finger Reimplantation / revascularization - single digit Reimplantation / revascularization - wrist Toe transfer Breast reduction for gynacomastia-male Breast reduction for gigantomachia female Post mastectomy breast reconstruction with flap and tissue expandor Nipple areola reconstruction
50000 38564 40594 47997 50000 38026 25000 36510 40000 83919 83919 83919 85555 37643 49913 85842 38223
1359 1360 1361 1362 1363 1364 1365 1366 1367 1368 1369 1370 1371 1372 1373 1374
86.04 86.22.1 86.22.2 86.28.1 86.28.2 86.28.3 86.28.4 86.59 86.59.1 86.59.2 86.59.3 86.6.1 86.6.2 86.6.3 86.63.1 86.63.2
Reduction Surgery For Filarial Lymphoedema Debridement and primary closure for avulsion injuries(86.59) Debridement and skin grafting for avulsion injuries(86.63) Surgical Management of 40% mixed burns Surgical Management of 50% mixed burns Surgical Management of 60% mixed burns Surgical Management of above 60% mixed burns Eyelid injuries / avulsions - major (more than 25% either in thickness or length) Nose injuries / avulsions- primary closure/ skin graft(86.6) Ear injuries / avulsions - primary closure/ skin graft(86.6) Lip injuries / avulsions - primary closure/ skin graft(86.6) Any raw area which needs skin grafting - mild<5% Any raw area which needs skin grafting - moderate 5-10% Any raw area which needs skin grafting - major - >10 % Sub mucosal fibrosis - surgical management with grafts Extensive degloving injuries / lacerations of the face in rta / animal bites with exposure of vital structures
39615 55000 75000 65003 115262 133543 131585 60000 40000 40000 40000 32610 36663 49894 60000 75000
1375 1376 1377
86.70.1 86.70.2 86.70.3
Surgical management for keloid & hypertrophic scar requiring flap cover Pedicle flap Sub mucosal fibrosis - surgical management with flap Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture - flap division Crush injury hand involving loss of skin and vital parts requiring flap cover Flap cover for trauma of the hand / forearm / arm / foot / leg / thigh etc., with exposure of the underlying vital structures like tendons, nerves, vessels, bone, with or without any fracture- flap insert Micro vascular reconstruction flap (post burns, post neoplastic, trauma, post traumatic, congenital) Nose injuries / avulsions -flap cover Ear injuries / avulsions - flap cover Lip injuries / avulsions - flap cover Scar revision procedures involving natural orifices Reconstructive surgery for facial palsy -micro vascular Surgical Correction of Hemifacial Atrophy Reconstructive surgery for facial palsy -conventional
25305 70148 48423
1378
86.73.1
59027
Network Hospital
1379
86.73.2
48941
Network Hospital
1380
86.74.1
60000
Network Hospital
1381 1382 1383 1384 1385 1386 1387 1388
86.74.2 86.74.3 86.74.4 86.74.5 86.74.6 86.81.1 86.81.2 86.81.3
90315 33746 35368 33292 27983 80546 88333 79594
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital
1389 1390 1391 1392 1393 1394 1395 1396
86.81.4 86.84 86.85 86.93 96.5.1 96.5.2 96.59.5 99.1
Surgical Correction of hemifacial microsomia Post traumatic squeal like contractures, severe hypertrophy, unstable scars, non-healing ulcers etc., Surgical Management of Syndactyly of Hand For Each Hand Tissue expansion -for functional purpose Conservative management of 40% burns Conservative management of 50% burns Conservative management of 60% burns Injection treatment - each sitting for keloid,haemangioma, lymphangioma and vascular malformations S15. POLYTRAUMA
81011 38773 32746 45148 60001 120000 200002 20000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
1397 1398 1399 1400 1401 1402 1403
05.9 31.1 34.32 34.71 54.7.1 76.7.1 78.10.3
Surgical Treatment (Up To) for Neuro Surgical Trauma Tracheostomy Thoracostomy Surgical Treatment for Chest injuries Surgical Management for Abdominal Injuries Surgical treatement of fascial bone fracture Surgical management with K-Wiring for Small bone fractures (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure)
150000 6233 10523 28809 75000 15000 4999
1404 1405 1406 1407 1408 1409 1410 1411 1412 1413 1414 1415 1416
78.16 78.59 79 79.6.1 79.6.2 79.6.3 84.11.2 84.91.1 83.6 93.9.2 96.59.1 96.59.2 96.59.3
Surgical Management of Patella Fracture (To Be Covered Along With Other Injuries Only And Not As Exclusive Procedure) Surgical Correction Of Pelvic Bone Fractures. Surgical Correction Of Longbone Fracture Surgical Management of Grade I&II Compound Fractures Surgical Management of Grade III Compound Fractures Surgical Management of wound In Compound Fracture with Flap cover(86.7) Toes Amputation Amputation surgery Management of Soft Tissue Injury Intesive care management for Chest injuries in RICU Rs. 4000/- per day Medical management of Neurosurgical troma in general ward @900/- day Conservative management of chest injuries in general ward @900/- day Conservative management of Abdominal surgical in general ward Major @900/- day Intesive care managementof Neuro Surgical Trauma in Neuro Icu @Rs.4000/Day Intesive care management for Abdominal Injuries In Surgical
5001 34898 30001 15000 26001 26000 10001 10000 6502 35004 10800 5400 5401
1417 1418
96.7.1 96.7.2
48000 27999
ICU@Rs.4000/Day S16. COCHLEAR IMPLANT SURGERY 1419 1420 1421 1422 1423 20.95 20.96 95.49.3 95.49.2 95.49.4 Behind Ear Analogue Hearing Aid for Hearing impaired Cochlear Implant Surgery for children below 2 years Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Second Installment Auditory - Verbal Therapy - 751 Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Third Installment Post Switch On Mapping/Initiation Of AVT And Training Of Child And Mother - Fourth Installment Initial mapping switch on for auditory verbal therapy Post switchon mapping /initiation of avt and Training of child and mother first installement S17. Prostheses 1427 1428 1429 1430 84.40.1 84.40.2 84.40.3 84.41.1 SYMES Prostheses - High Density Ppolyethylene (HDP) / Polypropylene (PP) SYMES Prostheses - Fibre SYMES Prostheses - Modular Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) 1001 1201 1501 1500 Network Hospital Network Hospital Network Hospital Network Hospital 10001 520002 20000 21028 20001 Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1424 1425 1426
95.49.5 95.49.7 95.49.8
20000 50000 20000
1431 1432 1433 1434 1435 1436 1437 1438 1439 1440 1441 1442 1443 1444 1445 1446
84.41.2 84.41.3 84.43.1 84.43.2 84.43.3 84.44.1 84.44.2 84.44.3 84.45.1 84.45.2 84.45.3 84.45.4 84.46.1 84.46.2 84.46.3 84.47.1
Upper Limb - Fibre Upper Limb - Modular Whole Upper Limb - High Density Ppolyethylene (HDP) / Polypropylene (PP) Whole Upper Limb - Fibre Whole Upper Limb - Modular Above Elbow - High Density Ppolyethylene (HDP) / Polypropylene (PP) Above Elbow - Fibre Above Elbow - Modular Above Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP) Above Knee - Fibre Above Knee - Modular Above Knee - Partial Foot Prostheses Below Knee/ Petellar Tendon Bearing - High Density Ppolyethylene (HDP) / Polypropylene (PP) Below Knee/Petellar Tendon Bearing - Fibre Below Knee/Petellar Tendon Bearing - Modular Through Knee - High Density Ppolyethylene (HDP) / Polypropylene (PP)
1801 3501 1001 1201 1500 1500 2000 4000 1501 1801 3501 501 1201 1500 3000 1500
1447 1448 1449 1450 1451
84.47.2 84.47.3 84.47.4 84.47.5 84.47.6
Through Knee - Fibre Through Knee - Modular HIP Disarticulation prostheses-HDP/PP HIP Disarticulation prostheses- fibre HIP Disarticulation prostheses- Modular S18 Dental Surgery
1800 3500 2501 3000 6000
Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital
1452 1453 1454 1455 1456
21.7.2 21.82 22.31.1 22.31.2 23.01
Surgical Management of Naso Ethmoidal Floor Fracture - G.A Surgical Closure Oro-Nasal Fistula Sinus Lift Procedure Without Grafting (22.39) Sinus Lift Procedure With Grafting (22.39/76.91) Simple Extraction Of Tooth
18344 7453 17135 18730 300
Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government
1457
23.2.1
Application Of Pit & Fissure Sealants (Pedo)
580
1458
23.2.2
Amalgam Restoration Per Tooth
336
1459 1460
23.2.3 23.2.4
Temporary Filling Per Tooth Tooth Coloured Restoration Per Tooth
251 452
Hospital 1461 23.3.1 Fabrication & Cementation Of Inlay & Onlay-Ceramic 2626 Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1462
23.3.2
Fabrication & Cementation Of Inlay & Onlay-Metal
1658
1463 1464 1465 1466 1467 1468 1469
23.4.1 23.4.2 23.4.3 23.4.4 23.4.5 23.4.6 23.4.7
Flouride Gel Application (Pedo) Treatment Under Conscious Sedation Vital Bleaching Procedure For 8 Upper Teeth Restoration With Composite Veneers (Pertooth) Preparation & Cementation Of Anterior All Ceramic Laminates Atraumatic Restorative Treatment Pulpotomy & Pulpectomy With Ssc
1404 830 1106 602 3222 764 903
1470 1471 1472 1473 1474
23.5 23.6.1 23.6.2 23.6.3 23.6.4
Management Of Avulsed Tooth Surgical Placement Of Dental Implants Under L.A Treatment with Micro Implants (Each) Surgical Placement Of Eye Prosthesis With Implants Surgical Placement Of Nose Prosthesis With Implants
932 11227 599 40449 36033
1475 1476
23.6.5 23.7.1
Surgical Placement Of Zygomatic Implants Under G.A Root Canal Treatment - Deciduous Tooth
129565 885
Network Hospital Government Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1477
23.7.2
Anterior Root Canal Treatment
2001
1478 1479 1480 1481 1482 1483 1484 1485 1486 1487 1488 1489
23.7.3 23.7.4 23.7.5 23.7.6 23.11 23.19.1 23.19.2 23.19.3 23.41.1 23.41.2 23.41.3 23.41.4
Apicoectomy Root Canal Treatment With Hemisection Of Root Posterior Root Canal Treatment Apicoectomy With Grafting (76.91) Root Resection Extraction Of III Molar / Impacted Toot Under L.A Surgical Extraction Of Tooth Extraction Of Deep Bony Impacted Tooth Under G.A. Preparation And Cementation Of Acrylic Crown Fabrication & Cementation Of Metal Ceramic Crown (Per Unit) Preparation & Cementattion Of Anterior All Ceramic Crown Placement Of Stainless Steel Crown (Per Tooth)
2000 4000 2001 2219 1932 2000 1485 10000 414 1349 3054 692
1490 1491 1492 1493 1494 1495 1496
23.41.5 23.41.6 23.41.7 23.42.1 23.42.2 23.43.1 23.43.2
Fibre Post & Core Restoration With Anterior All Ceramic Crown (23.4) Fibre Post & Core Restoration With Metal Ceramic Crown (23.4) Metal Post & Core Restoration With Metal Ceramic Crown (23.4) Placement Of Fixed Habit Breaking Appliances Tretament With Expansion Plate Fabrication & Insertion Of Removable Habit Breaking Appliance Fabrication & Insertion Of Removable Appliance (Upper / Lower )
3551 2269 2287 2055 1638 1516 1575
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
1497
23.43.3
Fabrication & Insertion Of Removable Functional Appliance
2849
1498 1499 1500 1501 1502 1503 1504
23.43.4 23.43.5 23.43.6 23.43.7 23.43.8 23.43.9 24.1
Fabrication & Insertion Of Removable Partial Denture- Single Tooth Fabrication & Insertion Of Removable Retainers-Each Arch Fabrication & Insertion Of Fixed Space Maintainers / Space Retainer Fabrication & Insertion Of Removable Space Maintainers (Pedo) Treatment With Inclined Plane Fabrication Of Occlusal Night Guard (Hard Or Soft) Operculectomy
547 684 1281 996 891 1003 441
1505 1506 1507 1508 1509 1510 1511 1512 1513 1514 1515 1516 1517 1518 1519 1520
24.2.1 24.2.2 24.2.3 24.2.4 24.2.5 24.2.6 24.3.1 24.3.2 24.3.3 24.3.4 24.3.5 24.3.6 24.4.1 24.4.2 24.4.3 24.4.4
Sub Gingival Curretage Per Quadrant Gingivectomy (Per Quadrant) Gingivectomy-Single Tooth Flap Surgery - Single Tooth Crown Lengthening Procedure (24.6) Root Coverage Procedure (Per Tooth) Osseous Surgery Flap Surgery (Per Quadrant) Flap Surgery With Bone Grafting (Per Quadrant) Free Gingival Graft-Gum Surgery Gingival De Pigmentation Procedure Local Drug Delivery -Periodontal Treatments Pre Prosthetic Surgery - Ridge Augmentation(Full mouth) Resection And Reconstruction (Tumor) (76.46) Surgical Managemant Of Cyst(<2.5 cm) Under L.A. Excision Of Growth Under L.A.
830 1172 621 736 947 1643 3472 1721 2076 2246 1522 1006 20858 20859 1714 3324
Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government
Hospital 1521 24.4.5 Surgical Managemant Of Cyst(> 2.5 cm) Under G.A. 10673 Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1522
24.4.6
Excision Of Growth Under G.A.
14836
1523
24.4.7
Excision Of Precancerous Lesions Under L.A
6232
1524
24.4.8
Excision Of Precancerous Lesions Under G.A
10472
1525 1526 1527
24.4.9 24.4.10 24.4.11
Excision Of Precancerous Lesions With Grafting (76.91) Surgical Excision With Grafting (76.91) Enucleation Of Cyst/ Tumor
13244 20921 10472
1528 1529 1530 1531 1532
24.5.1 24.7.1 24.7.2 24.7.3 24.7.4
Alveoloplasty (Quadrant) Rapid Maxillary Expansion With Hyrax Screwifr Palatal Expanders Treatment With Temporary Anchorage Devices Treatment With Fixed Functional Appliances Fixed Orthodontics Treatment-Ceramic Braces
692 4718 1923 3576 5140
1533 1534 1535 1536 1537 1538 1539 1540 1541 1542 1543 1544 1545 1546 1547 1548
24.7.5 24.7.6 24.7.7 24.7.8 24.7.9 24.7.10 24.9 24.91.1 24.91.2 24.91.3 24.99.1 24.99.2 25.92 26.29.1 26.29.2 27.1
Fixed Orthodontics Treatment-Metal Braces Treatment With Fixed Retainers Fabrication Of Acrylic Splinting Arch ( In Auto Polymerizing Acrylic) Fabrication & Insertion Of Feeding Plate (Acrylic) Fabrication & Insertion Of Obturator -Acrylic Fabrication & Insertion Of Obturator & Speech Bulb-Acrylic Relining / Rebasing of Complete Denture Vestibuloplasty - Maxilla / Mandible- G.A. Vestibuloplasty - Maxilla / Mandible- L.A Sulcus Extention Procedure Surgical Placement Of Nose Prosthesis Surgical Placement Of Ear Prosthesis Frenectomy Surgical Removal Of Sialolith -L.A. Surgical Removal Of Sialolith -G.A. Incision & Drainage of Simple Abscess (per Tooth)
10679 1020 1049 917 850 1983 927 24242 13222 2339 2038 2176 657 25001 35000 658
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital
1549
27.2
Incision & Drainage of Facial Abscess Under G.A
8003
Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1550 1551 1552 1553 1554 1555 1556 1557 1558 1559 1560 1561 1562 1563
27.3 76.01 76.31.2 76.31.5 76.64.1 76.64.2 76.64.3 76.65 76.65.2 76.73.2 76.74.1 76.74.2 76.75.2 76.75.4
Incision & Drainage of Facial Abscess Under L.A Sequestrectomy & Saucerization Of Osteomyelitis Of Maxilla & Mandible Marginal Mandibulectomy- Osteomyelitis Coronoidectomy Segmental Osteotomy Mandible Vertical Sub Sigmoid Osteotomy Bilateral Sagittal Split Osteotomy Of Mandible (BSSO) Anterior Segmental Osteotomy - Maxilla / Mandible (ASO) Segmental Osteotomy Maxilla Surgical Management Of Combined Fracture Of Mandible & Maxilla (76.74/76.75/76.76) Surgical Correction Of Fracture Lefort II Open Reduction & Internal Fixation Of Jaw Fractures Under G.A. (76.76) Closed Reduction & Immobilisation Of Mandibular Fracture Under L.A. Surgical Correction Of Fracture Lefort I -G.A. (76.76)
3500 30001 20876 11683 13882 7470 29163 22886 13636 31868 37964 12503 1883 37833
1564 1565 1566 1567 1568
76.93.1 78.3.1 78.3.2 78.3.3 81.2
Surgical Management Of TMJ Dislocation (G.A.) (76.94) Distraction Osteogenesis- Mandible- G.A. Distraction Osteogenesis- Maxilla- G.A. Alveolar Distraction L.A. Surgical Management Of TMJ Ankylosis (G.A.) Radio Frequency & Thermo Coagulaton For Treatment Of Trigeminal Neuralgia Cryosurgery In Dental Procedures Laser Treatment For Precancerous Lesions Chin Cup Thepary Head Gear Therapy Face Mask Therapy Surgical Placement Of Eye Prosthesis Intermaxillary Fixation(IMF) For Alveolar Fractures Under L.A. Splinting Of Teeth Under L.A(24.7)
15000 36192 36395 5134 16417
Government Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital
1569 1570 1571 1572 1573 1574 1575 1576 1577
86.3.1 86.3.2 86.3.4 93.23.1 93.23.2 93.23.3 95.34 93.55.1 93.55.2
15623 10828 1068 4363 4149 3446 2484 4174 951
1578
96.54.1
Oral Prophylaxis - Extrinsic Stains (Upper/ Lower)
427
1579
96.54.2
Oral Prophylaxis - Calculi (Upper/ Lower)
562
Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital
1580
99.97.1
Fabrication & Insertion Of Complete Denture (U & L)
5668
1581 1582 1583 1584 1585 1586 1587 1588
99.97.2 99.97.3 99.97.4 99.97.5 99.97.6 99.97.7 99.97.8 G50.0
Fabrication & Insertion Of Complete Denture (Upper / Lower) Fabrication & Insertion of Soft Liner Denture Fabrication & Insertion Of Cast Partial Dentures Framework With Precission Attachments Fabrication Of Over Dentures Without Attachments Fabrication Of Over Dentures -Implant Supported (2 units) Fabrication Of Over Dentures With Attachments Fabrication & Insertion Of Cast Partial Dentures Framework Per Unit Medical Management Of Trigeminal Neuralgia
3177 7475 9796 5931 26369 11196 4830 8000
1589
K12.3
Medical Management of Oral Ulcers
5001
1590
K13.21.A
Medical Management of Leukoplakia Medical Management of Premalignant Lesions And Conditions (Antioxidant Therapy) ( K13.29/K13.5)
3000
1591
K13.21.B
5000
1592 1593
K13.5.A K13.5.B
Hesters Opener Procedure - Management of OSMF Combination Of Intralesional Injection For Oral Submucous Fibrosis
25000 3001
Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital
1594
K13.5.C
Medical Management of OSMF
3000
1595
K73.9.B
Chronic hepatitis, unspecified
12923
1596
L43
Medical Management Of Lichen Planus
1108
1597
M26.69
Mdical Management Of TMJ Dysfunction Syndrome (76.94)
5000
1598
M79.1
Medical Management Of Myo FACIAL Pain Dysfunction Syndrome (MPDS) M1 CRITICAL CARE
5000
1599
J20.0
Medical Management of Acute Bronchitis with Pneumonia and Respiratory Failure Medical Management of COPD with Respiratory Failure (Infective Exacerbation) Medical Management of Acute Severe Asthma With Acute Respiratory Failure Medical Management of ARDS
60000
Network Hospital
1600
J44.0
80000
Network Hospital
1601 1602
J46 J80.A
50000 100000
1603 1604 1605 1606
J80.B J80.C R57.2 T63
Medical Management of ARDS with Multi Organ failure (R65.1) Medical Management of ARDS with DIC (Blood & Blood Products) (D65) Intensive care management of Septic Shock Medical Management of Poisioning Requiring Ventilatory Assistance M2. GENERAL MEDICINE
115000 140001 60000 50000
1607 1608 1609 1610 1611 1612 1613 1614 1615 1616 1617
A01.A A09.9 A17.0 A90 A91 B50 B50.0 B51 D46 D56.1 D61.0
Medical Management of Typhoid And Paratyphoid Fevers Medical Management of Acute Gastroenteritis Medical Management of Tb Meningitis Medical Management of Dengue Fever Medical Management of Dengue Haemorrhagic Fever Medical Management of Falciparum Malaria Medical Management of Cerebral Malaria Medical Management of Vivax Malaria Medical Management of Myelodysplastic Syndromes Medical Management of Chelation Therapy For Thalassemia Major Medical Management of Pancytopenia
20000 15000 30001 25000 35000 10000 25001 10000 30000 15000 30000
Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital
1618 1619 1620 1621 1622 1623 1624 1625 1626 1627 1628
D64.9.B D66 D69.5 D69.9 G72.3 G93.4 I00.1 I13.9 R40.2 T63.0 T63.2.A
Medical Management of Anaemias (Less Than 7 Gms)/ Heart Failure Medical Management of Hemophilia (D67/D68.0) Medical Management of Thrombocytopenia With Bleeding Diathesis Medical Management of Other Coagulation Disorders Medical Management of Periodic Paralysis Medical Management of Metabolic Encephalopathy Medical Management of Acute Rheumatic Fever Medical Management of Hypertensive Emergencies Medical Management of Metabolic Coma Requiring Ventilatory Support Medical Management of Snake Bite Requiring Ventilator Support Medical Management of Scorpion Sting Requiring Ventilator Support M3 INFECTIOUS DISEASES
30000 60000 30000 44000 15000 35000 15000 20000 35000 60000 25000
1629 1630 1631
A35 A36.A B45.1
Medical Management of Severe Tetanus Medical Management of Complicated Diphtheria Medical Management of Cryptococcal Meningitis M4. PEDIATRICS
27970 26797 29796
1632 1633
A01.B A09.0.B
Medical Management of Enteric Fever Complicated in Paediatric patient Medical Management of Acute gastritis in Paediatric patient
10733 8330
Network Hospital Government
Hospital 1634 1635 1636 1637 1638 1639 1640 1641 1642 1643 1644 1645 1646 A15 A17.A A17.B A33 A36.B A99 B19 D59.1 D64.9.A D68.0 D69.0 D69.3 E10.1 Medical Management of Pulmonary koch's with complications in Paediatric patient Medical Management of Neuro Tuberculosis in Paediatric patient Medical Management of Neuro Tuberculosis With Ventilation in Paediatric patient Medical Management of Tetanus in Paediatric patient Medical Management of Diphtheria in Paediatric patient Medical Management of Viral haemmaragic fever with complicatons in Paediatric patient Medical Management of Viral hepatitis in Paediatric patient Medical Management of Auto immune hemolytic anemia in Paediatric patient Medical Management of Anemia Of Unknown Cause in Paediatric patient Medical Management of Haemophillia Including Von Willibrands disease in Paediatric patients Medical Management of Henoch - schonlein purpura in Paediatric patient Medical Management of Idiopathic thrombocytopenic purpura in Paediatric patient Medical Management of Diabetic Ketoacidosis in Paediatric patient 10000 15000 25000 13551 15000 25000 10000 15001 10000 20000 14377 25000 30000 Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1647 1648 1649
E55.0 G00.9 G04.2.A
Medical Management of Rickets in Paediatric patient Medical Management of Neuroinfections -Pyogenic Meningitis(Bacterial) Medical Management of Meningo- Encephalitis in Paediatric patients (Non Ventilated) Medical Management of Meningo- Encephalitis in Paediatric patients (Ventilated) Medical Management of Encephalitis / Encephalopathy in Paediatric patient Medical Management of Status Epilepticus Medical Management of Convulsive Disorders/Status Epilepticus (Fits)in Paediatric patient Medical Management of Stroke Syndrome in Paediatric patient Medical Management of Muscular dystrophy in Paediatric patient Medical Management of Acute flaccid paralysis in Paediatric patient Medical Management of Rheumatic heart disease in Paediatric patient Medical Management of Infective Endocarditis Medical Management of Severe Myocarditis in Paediatric patient Medical Management of Viral Myocarditis in Paediatric patient Acquired heart disease with congestive cardiac failure
8000 27984 40000
Government Hospital Network Hospital Network Hospital
1650
G04.2.B
60000
Network Hospital
1651 1652 1653 1654 1655 1656 1657 1658 1659 1660 1661
G05 G41 G41.9 G46 G71.0 G81.0 I05 I33.0 I40 I41.1 I50.9.D
25000 21513 10000 20000 15000 35000 15000 25000 40000 20000 15000
1662 1663 1664 1665
I62.9 J05.0 J06.0 J18.0.A
Medical Management of Intra Cranial Bleed in Paediatric patient Medical Management of Croup in Paediatric patient Medical Management of Acute pharyngo tonsillitis in Paediatric patient Medical Management of Acute Broncho Lobar pneumonia With Empyema/ Pleural Effusion in Paediatric patients(J18.1/J43/J90) Medical Management of Acute Broncho Lobar pneumonia With Pyo Pneumothorax in Paediatric patient(J18.1/J86/J93) Medical Management of Acute Hepatitis With Hepatic Encephalopathy in Paediatric patient Medical Management of Portal hypertension in Paediatric patient Medical management of Acute Pancreatitis (Mild) Medical Management of Acute Gastro Intestinal Bleed in Paediatric patients Medical Management of Rheumatoid Arthritis Requiring Hospitalisation Medical Management of Acute glomerulonephritis in Paediatric patient Medical Management of Steroid Resistant Nephrotic Syndrome Complicated Or Resistant in Paediatric patients Medical Management of Nephrotic syndrome-non steriod resistant in Paediatric patient Medical Management of Acute Renal Failure in Paediatric patient
50000 10002 5000 25000
1666
J18.0.B
20000
Network Hospital
1667 1668 1669 1670 1671 1672 1673
K72.0.A K76.6 K85.A K92.2.A M05 N00.1 N04.A
50000 15000 50001 25000 30000 10000 25000
1674 1675
N04.B N17.9.A
15000 20000
1676 1677 1678
N17.9.D N25.8 N39.0.A
Medical Management of Acute Renal Failure With Dialysis in Paediatric patients Medical Management of Renal Tubular Acidosis Medical Management of UTI (Urinary Tract Infection) Medical Management of Urinary Tract Infection With Complications Like Pyelonephritis And Renal Failure in Paediatric patient(N13.6/N17.9) Newborn (suspected to be) affected by maternal renal and urinary tract diseasesNewborn (suspected to be) affected by maternal conditions classifiable to N00-N39 Medical Management of Severe Hyaline Membrane disease with clinically evident septicemia , Hyperbilirubinemia in 30 To 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9) Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby not requiring ventilatory support. (A41.9+P59.9) Medical Management of severe Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper bilirubinemia in above 34 Weeks Preterm baby requiring ventilatory support. (A41.9+P59.9+P21.9) Medical Management of Patent Ductus Arteriosus/ Severe Hyaline Membrane disease with clinically evident septicemia, Hyperbilirubinemia requiring ventilatory support in 30 To 34 Weeks Preterm baby. (A41.9+P59.9+Q25.0)
40000 18714 16306
Network Hospital Network Hospital Government Hospital Network Hospital
1679
N39.0.B
14165
1680
P00.1.A
16059
Government Hospital
1681
P22.0.A
35000
Network Hospital
1682
P22.0.B
35000
Network Hospital
1683
P22.0.C
50000
Network Hospital
1684
P22.0.D
60000
Network Hospital
1685
P22.0.E
Medical management of pre-term Baby of <30 weeks severe Hyline Membrance Disease septi cemia culture positive,Hyperbili rubinemia patient Ductus Arteriosus requiring Mechanical Ventilation. Medical Management of Severe respiratory distress in paediatric patient not requiring ventilatory support Medical Management of Severe respiratory distress in paediatric patient requiring ventilatory support. Medical Management of Cyanotic heart disease in Paediatric patient Medical Management of Congenital Heart Disease With Congestive Cardiac Failure in Paediatric patients Medical Management of Congenital Heart Disease With Infection (Non Ventilated) in Paediatric patient Medical Management of Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) in Paediatric patients Medical Management of Febrile Seizures (Atypical- Mechanical Ventilated) in Paediatric patients Medical Management of Cardiogenic Shock in Paediatric patients Medical Management of Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance in Paediatric patients Medical Management of Poison Ingestion/ Aspiration Requiring Ventilatory Assistance in Paediatric patients
90000
Network Hospital
1686
P22.9.A
15000
Network Hospital
1687 1688 1689
P22.9.B Q21 Q24.9.A
20000 10000 15000
1690
Q24.9.B
25000
Network Hospital
1691
Q24.9.C
50000
Network Hospital
1692 1693 1694
R56.0 R57.0.A T63.2.B
25000 50000 40000
1695
T65.9
40000
Network Hospital
M5 CARDIOLOGY 1696 1697 1698 1699 1700 1701 1702 1703 1704 1705 1706 1707 1708 1709 1710 I10.A I20.8 I21.9.A I21.9.B I21.9.C I21.9.D I21.9.E I21.9.F I26 I30 I31.3 I49.9.A I49.9.B I49.9.C I50.0.A Medical Management of Accelerated Systemic Hypertension Medical Management of CAD - Chronic Stable Angina Management Of Acute MI without Angiogram Management Of Acute MI With Angiogram Medical Management of Acute MI-AHF-Not Requiring Ventilator Medical Management of CAD-Acute MI With Pulmonary Edema Requiring Ventilator Medical Management of Acute MI With Cardiogenic Shock Medical Management of Acute MI Requiring IABP Pump Medical Management of Pulmonary Embolism Medical Management Of Pericardial Effusion-Without Aspiration Medical Management of Pericardial Effusion, Tamponade without Aspiration Medical Management of Complex Arrhythmias Ablation Therapy for Simple Arrythmias Medical Management Of Simple Arrhythmias CHF-Acute Decompensation-Medical Management Without Ventilator 10000 8000 10000 30001 25001 35001 30000 55003 35000 5000 16000 140003 91000 8000 10000 Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1711 1712 1713 1714 1715 1716 1717 1718
I50.0.B I50.9.A I50.9.B I71.0.A I80.2 I82.9 M31.4 R57.0.B
CHF-Acute Decompensation-Medical Management With Ventilator Medical Management of Chronic Heart Failure Medical Management of Refractory Cardiac Failure Medical Management Of Aortic Dissection Medical Management of Deep Vein Thrombosis Medical Management Of Vascular Embolisation Medical Management Of Aortoarteritis Medical Management Cardiogenic Shock (Non AMI) With Out Angiogram
20000 5000 40000 15000 25000 15001 15000 15000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital
1719
R57.0.C
Medical Management Cardiogenic Shock (Non AMI) With Angiogram M6. NEPHROLOGY
20000
1720 1721 1722 1723 1724 1725
A41.9 K65.9 N00 N04.C N17.9.B N17.A
Medical Management of Post Transplant Sepsis CAPD Peritonitis Medical Management of Acute Glomerulo Nephritis Medical Management of Nephrotic Syndrome Medical Management of Rapidly Progressive Renal Failure Medical Management of AKI Without Dialysis
36756 47989 26020 16890 30766 20000
Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital
1726 1727
N18.5 N18.6.A
Medical Management of CKD Stage-V With Complications Maintanence of CKD with Haemodialysis M7. NEUROLOGY
30871 12500
1728 1729 1730 1731 1732 1733 1734 1735 1736 1737 1738 1739
B69.0 E83.0 F03 G02.1 G04.0 G05.1 G20 G43 G61.0 G61.8 G70.0 G71.2
Medical Management of Epilepsy - Idiopathic Neurocysticercosis Tuberculoma Medical Management of Wilson'S Disease Medical Management of Dementia Medical Management of Neuroinfections -Fungal Meningitis Medical Management of ADEM Medical Management of Neuroinfections -Viral Meningoencephalitis (Including Herpes Encephalitis) Medical Management of Parkinsonism Medical Management of Migraine Medical Management of Guillian-Barre Syndrome Medical Management of Chronic Inflammatory Demyelinating Polyneuropathy(CIDP) Medical Management of Neuromuscular disorders (Myasthenia Gravis) Medical Management of Myopathies Heriditary
15684 15120 12942 54331 20000 37521 12194 4807 80000 14338 21352 10819
Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1740 1741 1742 1743 1744
G72 H46 I60 I63 99.14.1
Medical Management of Acquired Myopathies Medical Management of Optic Neuritis Medical Management of Hemorrhagic Stroke/Strokes(I61/I62/I63/I64) Medical Management of Ischemic Strokes management with immuno globulin therapy - IV M8. PULMONOLOGY
19457 10888 31027 20000 74932
1745 1746 1747 1748 1749 1750 1751 1752 1753 1754
A18.4 B44 B44.0 D86 E84 I77.8 J18.9 J43 J44.1 J44.8
Medical Management of Cold Abscess Chest Wall Medical Management of Aspergilloma Medical Management of A.B.P.A (Alergic Broncho Pulmonary Aspergillosis) Medical Management of Sarcoidosis Medical Management of Cystic Fibrosis Medical Management of Pulmonary Vasculitis Medical Management of Pneumonias Medical Management of Emphysema Without Respirative Failure Medical Management of COPD Acute Exacerbation Medical Management of Chronic Persistent Asthama
12500 24854 40000 15000 20000 20000 30001 15000 15000 15000
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital
1755
J45
Medical Management of Bronchial Asthma (Acute and Chronic Severe) Medical Management of Bronchiectasis with Repeated Hospitalisation>6per Year Medical Management of Pneumoconiosis Medical Management of Inhalational Lung Injuries Medical Management of Interstitial Lung Diseases Medical Management of Lung Abscess ,Non Resolving Medical Management of Empyema
15000
Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Government Hospital
1756 1757 1758 1759 1760 1761
J47 J64 J68 J84.9 J85 J86
30000 35001 20000 30002 35002 30000
1762
J90
Medical Management of Pleural Effusion
30000
1763 1764 1765 1766 1767
J93 J93.9 J96.9.A J96.9.B R04.2
Medical Management of Pneumothorax Recurrent Medical Management of Pneumothorax (Large/Recurrent) Medical Management of Acute Respiratory Failure (Without Ventilator) Medical Management of Acute Respiratory Failure (With Ventilator) Medical Management of Haemoptysis For Evaluation M9. DERMATOLOGY
30000 30000 25000 50001 30001
1768 1769 1770 1771 1772 1773
A30 A55 B02.2 B07 C43 C44
Medical Management of Leprosy Reactions & Deformities (Type I & Type Ii) Medical Management of Chlamydial Tests Medical Management of Herpes Zoster Post Herpetic Neuralgia Medical Management of Electro/Cryocautery For Warts Medical Management of Cutaneous Malignancies -Malignant Melanoma Medical Management of Cutaneous Malignancies (Sq. Cell Ca ,Bcc, Lymphomas ) Medical management of Pemphigus Medical Management of Bullous Disorders (Pemphigoid/Pemphigois) Medical Management of Acute Contact Allergic Dermatitis Medical Management of Pustular Psoriasis Medical Management of Adverse Drug Reactions Medical Management of Acute Urticaria Medical Management of Erythema Multiforme Medical management of Stevens- Johnson Syndrome
20000 27286 12722 8211 13376 13376
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital
1774 1775 1776 1777 1778 1779 1780 1781
L10 L12 L23 L40 L50.0 L50.9 L51 L51.1
27767 23795 15000 25000 14340 19414 8642 21656
1782
L51.2
Medical management of Toxic Epidermal Necrolysis
37804
1783 1784 1785 1786 1787 1788
L53.9 L80 L95 M33.9 M34 M60
Medical Management of Erythroderma Medical Management of Vitiligo Medical (OP Management) Medical Management of Cutaneous Vasculitis Medical Management of Dermatomyositis Medical Management of Connective Tissue Disorders - Systemic Sclerosis Medical Management of Connective Tissue Disorders - Dermatomyositis / Polymyositis M10. RHEUMATOLOGY
20000 15001 20000 20000 20000 20229
Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital
1789
D68.8
Medical Management of Anti Phospho Lipid Antibody Syndrome With Ischemia Medical Management of Vasculitis Including Undifferentiated Medical Management of Severe Lupus Erythamatosis Medical management of Scleroderma
50000
Network Hospital Government Hospital Network Hospital Government Hospital Government Hospital Network Hospital
1790 1791 1792
I77.9 L93 L94.0
30000 50000 30000
1793 1794
M07 M08.0
Medical Management of Severe Psoriatic Arthritis Medical Management of Juvenile Idiorpathic Arthritis
20000 20000
1795 1796
M08.2 M10
Medical Management of Juvenile Idiorpathic Arthritis with systemic onset Medical Management of Gout
30000 10000
Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government
1797
M12.8
Medical Management of Infection Related Arthrites
9664
1798
M13.9
Medical Management of Undifferentiated Inflammatory Arthritis
30000
1799
M32
Medical Management of SLE (Systemic Lupus Erythematosis)
25648
1800
M32.1
Medical management of SLE (Systemic Lupus Erythematosis) with sepsis
71251
1801
M35.0
Medical management of Primary Sjogren'S Syndrome
20000
1802 1803 1804 1805 1806 1807
M35.1 M35.8 M48.9 M60.9.A M60.9.B M80.9
Medical Management of MCTD (Mixed Connective Tissue Disorder) Medical Management of Undifferentiated Connective Tissue Disorder Medical Management of Severe Spondylo Arthropathies Medical Management of Inflamatory Myositis Medical Management of Severe Myositis Requiring IVIG Medical Management of Osteoporosis With Recent Painful Yertebral
25001 20284 24753 30000 30001 14105
Fracture 1808 M83 Medical Management of Osteomalacia M11. ENDOCRINOLOGY 1809 1810 1811 1812 1813 1814 1815 1816 1817 1818 1819 1820 1821 B46.1 E05.0 E11.2 E11.5 E22.0 E23.0 E23.1 E23.2 E24.9 E30.1 J22 J32.9 K81 Medical management of Rhinocerebral Mucormycosis Medical Management of Grave'S Disease Medical management of Pyelonephritis in uncontrolled Diabetes melitus Medical management of Cavernous Sinus Thrombosis in uncontrolled Diabetes melitus Hormonal therapy for Pituitary - Acromegaly Initial evaluation and management of Hypopituitarism without growth harmone Hypopiturasim Initial Evaluation And Management With Growth Hormone Hypopiturasim Maintanance Phase Monthly Package For Growth Hormone Medical Management of Cushings Syndrome Medical Management of Precocious Puberty Medical management of Lower Respiratoy Tract Infection Medical management of Fungal Sinusitis Medical management of Cholecystitis 51619 10055 21511 41012 18442 15079 25997 13561 30000 15000 23001 40940 29696 12947
Hospital Network Hospital
1822 1823 1824
M82.1 Q96 Q98.4
Medical Management of Osteoporosis Hormonal therapy for Delayed Puberty Hypogonadism-Turners Syndrome Hormonal therapy for Delayed Puberty Hypogonadism - Kleinfelter Syndrome M12. GASTRO ENTEROLOGY
11085 14500 14500
Government Hospital Network Hospital Network Hospital
1825 1826 1827 1828 1829
A04.9 A08.4 A09.0.A A18.3 C24
Medical Management of Other Bacterial Intestinal Infections Medical Management of Viral And Other Specified Intestinal Infections Medical Management of Infective Proctitis entero Colitis Medical Management of Abdominal Tuberculosis Medical Management - SEMS (Stent) For Paliation Of Advanced Biliary Malignancy Medical Management- SEMS (Stent) For Paliation Of Advanced Pancreatic Malignancy Medical Management - SEMS (Stent) For Paliation Of Advanced GI Malignancy Medical Management of Budd-Chiari Syndrome Medical Management of Haemorrhoids
17150 17150 17150 20000 51659
Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital
1830
C25
51659
Network Hospital
1831 1832 1833
C26.9 I82.0 I84
33919 34239 10132
Network Hospital Network Hospital Government Hospital
1834 1835 1836 1837 1838 1839
I85 I85.1 I86.4 J95.0 K20 K21
Medical Management of Oesophageal Varices with Sclerotherapy Medical Management of Oesophageal Varices using Variceal Banding Medical management of Gastric Varices Medical management of Oesophageal Fistula Medical Management of Infective Oesophagitis (Candida Viralbacterial) Medical Management ofGastro Esophageal Reflux Disease
10105 12195 14899 30001 12086 7426
Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Network Hospital
1840 1841 1842 1843 1844
K22.0 K22.1 K22.2 K22.3.A K22.3.B
Medical management of Achalasia Cardia Medical management of Corrosive Oesophageal Injury Conservative management of Oesophageal Foreign Body Conservative management of Oesophageal Perforation Medical Management of Oesophageal Perforation, Conservative Management With Stent Medical Management of Mallory Weiss Tear
13292 21312 7928 50000 33860
1845
K22.6
10001
1846 1847
K26 K28
Medical Management of Duodenal Ulcer Medical Management of Gastric Ulcer
11234 11906
1848 1849 1850 1851 1852 1853 1854 1855 1856
K29.0 K31.1 K31.7 K31.8 K50 K51 K55.9 K60.2 K62
Medical Management of Erosive Gastritis Medical Management of Gastric Outlet Obstruction Medical Management of Gastric Polyp Medical management of GAVE(Gastric Antral Vascular Ectasia) Medical Management of Crohn'S Disease Medical Management of Ulcerative Colitis Medical Management of Ischaemic Bowel Disease Medical Management of Fissure Medical Management of Rectal Polyp Medical Management
10636 12611 11074 20001 42330 25372 28698 5000 7035
Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital Network Hospital Government Hospital
1857
K62.3
Medical Management of Colorectal Polyps
10000
1858
K62.6
Medical Management of Solitary Rectal Ulcer Syndrome
10233
1859 1860 1861 1862
K62.7 K72 K72.0.B K73.9
Medical Management of Radiation Proctitis Conservative management of Cirrhosis with Hepatic Encephalopathy Medical Management of Acute Liver Failure Medical Management of Chronic Hepatitis (Viral , Alchohol, NASH, Drug, auto Immune, metabolic)
10191 40002 49501 22052
1863
K74.6.A
Medical Management of Cirrhosis Decompensated Including SBP, Portal HTN, Bleed Medical Management of Compensated Cirrhosis Medical Management of Liver Abscess (Amoebic, Pyogenic & Misc. Infections) Medical Management of Acute Hepatitis (Viral, Alcohol, Drugs, Misc. Infections) Medical management of Cirrhosis with Hepato Renal Syndrome Medical Management of Gall Stone Diseases(Biliary Colic, cholangitis, cholecystitis) Medical management of Sclerosing Cholangitis Medical Management of Billiary Stricture Medical management of Acute Pancreatitis (Severe) Conservative management of Chronic Pancreatitis with Severe Pain Conservative management of Acute Pancreatitis With Pseudocyst (Infected) Medical Management of Chronic Pancreatitis With Pseudocyst Infected Medical Management of Malabsorption Syndrome
36868
Government Hospital Government Hospital Government Hospital Government Hospital Network Hospital Government Hospital Network Hospital Government Hospital Network Hospital Network Hospital Network Hospital Network Hospital Government Hospital
1864
K74.6.B
23263
1865
K75
30000
1866 1867 1868 1869 1870 1871 1872 1873 1874 1875
K75.9 K76.7 K80 K83.0 K83.1 K85.B K86.1 K86.3.A K86.3.B K90
15000 40000 23331 75000 13060 150000 30001 30000 30000 30456
1876 1877 1878 1879 1880 1881 1882
K90.3 K91.8 K91.9 K92.0 K92.1 K92.2.B R18
Medical Management of Chronic Pancreatitics With Maldigestion Medical management of Post op stent Medical management of Post op leaks Medical Management of Upper GI Bleed Medical Management of Lower GI Bleed Conservative management of Obscure GI Bleed Medical Management of Ascities Of Any Etiology (Tubercolor, Melignant, Pancreatic, Biliary) M13. PSYCHIATRY
10000 46832 47307 43998 45365 50001 15003
Network Hospital Network Hospital Network Hospital Government Hospital Network Hospital Network Hospital Government Hospital
1883
F20
Medical Management of Schizophrenia
28700
Government Hospital Government Hospital Government Hospital
1884
F23
Medical Management of Acute Psychotic Episode
25000
1885
F31
Medical Management of Bipolar Affective Disorder (A. Type-1, B. Type-2)
30500
* NOTE: TREATING HOSPITAL 1. GOVERNMENT HOSPITAL MEANS PROCEDURE WILL BE EXCLUSIVELY RESERVED FOR EMPANELLED GOVERNMENT HOSPITAL 2. NETWORK HOSPITAL MEANS PROCEDURE WIL BE IN EMPANELLED HOSPITAL COMPRISING BOTH GOVERNMENT AND PRIVATE HOSPITAL
OP PACKAGES FOR CHRONIC DISEASES IN EHS Sl No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Package Name Hypertension Hyperthyroidism Hypothyroidism Rhumatoid Arthritis Rheumatic Fever Cardiac Failure Osteo Arthritis Gout Psoriasis Chronic Hepatitis Cirrhosis Asthma Bronchial Convulsive Disorder Dementia Psychosis and Other Chronic Psychiartric problems Vascular occlusive disorder of Extremities SLE and other connective tissue disorders Inflammatory Bowel Disease Heamolytic disorders Neuropathies Peripheral Neuritis Nephrotic syndrome CKD Parkinsons disease CAD - Medical Arrhythmias Price
CHIEF SECRETARY TO GOVERNMENT

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GOVERNMENT OF ANDHRA PRADESH ABSTRACT Health, Medical and Family Welfare Employees Health Scheme Notification and adoption

Excision of Ganglion - Small

04.92 05.23.2 06.2.1 06.2.2 06.31.1 06.31.2

2000 25000 25000 28326 25000 28000

06.31.3 06.31.4 06.39.1

Laproscopic Sub total Thyroidectomy Laproscopic Thyroid Nodule Excision Isthmectomy

27774 27765 24302

06.39.2 06.39.3 06.4.1 06.4.2 06.6

24217 28665 30000 28805 30000

Excision of Thyroglossal Cyst Fistula

06.8.1 07.22.1 07.3.1 17.33.1 17.35 /

30001 35002 39999 40001 31760

Wedge Excision of Lip

Wedge Excision of Lip&Vermilionectomy(27.43)

Excision of Branchial Cyst

29.52.1 38.5 39.1.1 39.1.2 39.1.3 39.8.1 39.92

24000 24123 70000 70000 80000 33930 9151

40.11 40.23 40.29.1

8770 27813 23239

Excision of Cystic Hygroma -Major

Cystic Hygroma Excision - Minor

Splenectomy For Hypersplenism

Laproscopic Splenectomy - For other Indications Gastrostomy

43.3.1 43.5.1 44.02

30000 40001 25000

Selective Vagotomy drainage

Pyloroplasty & Vagotomy

44.39.2 44.4.1 44.40 44.42 44.42.1 44.62 45.3.2

40000 48001 48001 48001 48000 22000 48000

Surgical treatment for Duodenal Diverticulum

Lord's Procedure for Haemorrhoids

Cholecystostomy Repair Of CBD

Excision of multiple Scrotal Cysts

Excision of Epididymal Cyst

100 101 102 103

63.4 64.91 77.5 77.91

15000 8841 4499 26879

120 121 122 123 124 125 126 127 128

48.75.5 49.3 49.46.1 49.46.2 50.29.1 50.29.2 51.22.1 51.22.2 51.22.3

40001 15001 21169 25238 30000 40000 40000 30000 24999

129 130 131 132 133 134

51.22.4 51.22.5 51.22.6 51.22.7 52.4.2 52.4.4

30000 30000 30000 40000 50000 41925

136 137 138 139 140

53.29.2 53.42.1 53.49.1 53.51.1 53.59.1

25001 50000 25000 30000 25000

Ventral And Scar Hernia repair without Mesh

Epigastric Hernia repair with Mesh

143 144 145 146 147

53.69.2 53.71.1 53.9.1 54.0.1 54.0.2

40001 50000 20000 35131 29264

148 149 150 151 152 153 154 155 156

54.0.3 54.0.4 54.3.4 54.4.1 54.7.2 54.7.3 54.7.4 54.99.1 61.2.1

27364 35000 16703 31262 20291 50000 50000 20417 16915

157 158 159

61.2.2 61.3.2 61.3.3

18647 29997 25001

Excision of multiple Scrotal swellings

Excision of Unilateral Fibroadenoma

176 177 178

85.21.7 85.22.2 85.41.1

15000 14865 30000

179 180 181