MEDICAL INSURANCE SCHEME FOR STATE EMPLOYEES AND PENSIONERS (MEDISEP)
Government of Kerala hereby makes the following Scheme,
1. SHORT TITLE, COMMENCEMENT AND APPLICABILITY
A. This Scheme may be called the MEDICAL INSURANCE SCHEME FOR STATE EMPLOYEES AND PENSIONERS (MEDISEP).B. This Scheme shall come into force on 01.07.2022.
C. Subject to
the provisions contained therein this Scheme shall apply to all serving
employees of the State Government including the High Court of Kerala, and their
family who are covered under the existing Kerala Government Servants Medical
Attendant Rules [KGSMA Rules, 1960], Part time contingent employees, Part time
teachers, teaching and nonteaching staff of aided schools and colleges and
their family and pensioners and their spouses and family pensioners on
compulsory basis, and All India Service
officers serving under the Government of Kerala on optional basis. In addition
to the above mentioned categories, employees and pensioners of the Universities which receive GrantinAid from the State
Government and Local Self Government Institutions and the directly
recruited Personal staff of the Chief Minister, Ministers, Leader of
Opposition, Chief Whip, Speaker, Deputy Speaker, Chairmen of the Financial
Committees and personal staff pensioners/ family pensioners shall also be
considered as beneficiary for this scheme. Not withstanding the above, the
authority have the discretion to include or exclude any categories of
beneficiaries to/from the coverage of the scheme at any stage of the scheme.
2. DEFINITIONS
In this Scheme unless the context otherwise requires:
i.
“Additional Coverage” means the additional sum insured for specified diseases.
ii.
“Authority” means Additional Chief Secretary, Finance
Department, Government of Kerala.
iii.
“Beneficiaries” means all serving employees of the State
Government including the High Court of Kerala and their family who are covered
under the existing Kerala Government Servants Medical Attendant Rules [KGSMA
Rules, 1960], part time contingent employees, part time teachers, teaching
& nonteaching staff of aided schools and colleges and their family and
pensioners and their spouses and family pensioners on compulsory basis,
and all
All India Service officers serving under
the Government of Kerala on optional basis. In addition to the above
mentioned categories, employees and pensioners of the Universities which
receive GrantinAid from the State
Government and Local Self Government Institutions and the directly recruited
personal staff of the Chief Minister, Ministers, Leader of Opposition, Chief Whip, Speaker,
Deputy Speaker, Chairmen
of the Financial Committees and Personal
staff pensioners/ family pensioners shall also be considered as beneficiary for
this scheme.
iv.
“Cashless
facility” means a facility provided to the insured by the Insurance Company, to
make payments of treatment costs directly to the hospital in respect of
treatment undergone in a network provider, to the extent of approval given
where such treatment is in accordance with the policy terms and conditions.
v.
“Catastrophic illness” means severe illness requiring
prolonged hospitalization for recovery. These illness (speciality and super
speciality) involve high costs for treatment and may incapacitate the person
from working, creating a financial hardship.
vi.
“Day Care Centre” means any registered institution
established for day care treatment of illness and/or injuries or a medical set
up with a hospital and is under supervision of a registered and qualified
medical practitioner and must comply with all minimum criterion.
vii. “Day one” means the date on which the scheme will come into force.
viii.
“Dependant” means those who are dependant on the
employee for their livelihood.
ix.
“Empanelled Hospitals” means those hospitals
fulfilling the minimum prescribed standards and thereby tied up as network
hospitals by the insurer.
x.
“Enrolment” means registration of beneficiaries to the scheme.
xi.
“Enrolment Period” means
the period given for the registration of the beneficiaries to the scheme.
xii.
“Family” means all or any of the following relatives of an insured
person, namely:
A. In the case of an insured employee:
a)
Legal spouse of the employee (who do not have the
eligibility to enrol in this scheme).
b) Minor or adopted child/children dependant upon the insured, till they get employed, married or attained the age
of 25 years whichever is earlier.
c) Physically
challenged/mentally challenged children of the employee without any age
restriction on the grounds of Bench Mark
Disability. (certificate
should be produced as specified in Annexure 4 of the scheme).
d) Dependant parents of the
employee .
B. In the case of insured pensioner:
Legal Spouse (who do not have the eligibility to enrol in this scheme) and physically challenged/mentally challenged children of the pensioner without any age restriction on the grounds of Bench Mark Disability . (certificate should be produced as specified in Annexure 4 of the scheme).
C.
In the case of insured family pensioner.
Physically challenged/mentally challenged children of the pensioner without any age restriction on the grounds of Bench Mark Disability. (certificate should be produced as specified in Annexure 4 of the scheme).
xiii.
“Government” means Government of Kerala.
xiv. “Medical insurance policy” is a contract between an
Insurer and the Government in which the Insurer agrees to provide specified
health insurance cover to the employees and pensioners at a particular “premium”.
xv.
“Hospital” means any institution established for
inpatient care and day care treatment of illness and/or injuries and which has
been registered as a hospital with the local authorities under relevant Act,
having the standards and benchmarks for hospitalisation that provides network
prescribed by IRDAI.
xvi.
“Hospitalisation” means admission in a Hospital for a
minimum period of 24 consecutive 'Inpatient Care' hours except for specified
procedures/treatments, where such admission could be for a period of less than
24 consecutive hours.
xvii.
“Inpatient care” means treatment for which the insured
person has to stay in a hospital for more than 24 hours for a covered event.
xviii.
“Insurer” means Insurance Company registered under
IRDAI and selected by Government of Kerala.
xix. “Insured Person” means a person who has got insurance coverage under the scheme.
xx.
“Medical Board” means standing medical
board constituted by the Director
of Health Services consisting
of not less than 3 members.
xxi. “Medical Expenses” means those expenses that an Insured Person has necessarily incurred for medical treatment on account of illness or Accident on the advice of a Medical Practitioner.
xxii.
“New Born Benefit” means the benefit given to the new
born child/children along with the insured mother.
xxiii.
“New born baby” means baby born during the Policy Period.
xxiv.
“Period of Contract” means three years and 3 months
from the date of signing of
MoU/Agreement between the Government and the
Insurer.
xxv.
“Period of Insurance” means three years from the date
of commencement of the Scheme.
xxvi.
“Pre–existing disease” is a medical condition/disease
that existed before the commencement of the insurance coverage
obtained from the health insurance policy.
xxvii.
“Prehospitalization/Posthospitalisation Medical
Expenses” means medical expenses incurred in the same hospital where agreed Medical
Treatment or Surgical Procedure is carried out during 15 days before
hospitalisation and 15 days after discharge. The final package cost is
inclusive of pre and post hospitalisation expenses.
xxviii.
“Premium” means the payment made on behalf of the
insured persons as consideration for the policy. The Premium of the employee
shall be deducted from their salary in monthly instalments and the premium of
the pensioner shall be met from their monthly
entitlement.
xxix.
“Policy plan period” means the three year period from
the date which the scheme starts.
xxx.
“Provider Network” means hospitals or health care
providers enlisted by an insurer, to provide medical services to an insured by
cashless facility.
xxxi.
“State Nodal Cell” means the implementation and
monitoring mechanism for MEDISEP under the Authority.
xxxii.
“Sum Assured” means the total benefit coverage provided by the insurer.
xxxiii.
“HDU” means High Definition Unit.
xxxiv.
“ICU” means Intensive Care Unit.
3. SCOPE OF THE SCHEME :
The scope of the scheme shall be to provide coverage for the eligible expenses incurred by the beneficiary for the listed procedures under the basic benefit package including day care packages and additional package which includes transplant/catastrophic procedures listed as Annexure2. The benefit package coverage includes the cost of medicines, procedures, doctor and attendant fees, room charges, diagnostic charges, implant charges, dietary charges availed from empanelled hospitals. The scheme will provide cashless facility for the enlisted procedures and will cover all preexisting diseases. The coverage is restricted only to the empanelled public and private hospitals under the scheme. However, the coverage of the medical assistance under the scheme shall also be extended in respect of accident /emergency cases where the patient is treated for approved treatment / surgery undergone in nonempanelled hospitals. In such cases, treatment cost shall be reimbursed by the insurance company to beneficiary based on the approved rates/package of the scheme.
However the Out Patient Treatment will not be covered under this scheme. Out Patient Treatment will be catered through the existing Medical Reimbursement System in such a way that the said facility will be limited to the treatments in the Government Sector Hospitals and super speciality institutions including Sree Chithra Institute of Medical Sciences and Technology Thiruvananthapuram, Regional Cancer Center Thiruvananthapuram, Malabar Cancer Center and Cochin Cancer Center.
4. ELIGIBILITY
i.
All serving employees of State Government including
teaching and nonteaching staff of Aided Schools and Colleges by remitting
prescribed premium. In addition to the above mentioned categories, employees of
the Universities which receive Grant inAid from the State Government and
Local Self Government Institutions and the directly recruited personal staff of the Chief Minister, Ministers, Leader of Opposition
and Chief Whip, Speaker, Deputy Speaker and the Chairmen of the Financial
Committees shall also be considered as beneficiary for this scheme.
Not withstanding
the above, the Authority have the discretion to include or exclude any categories of beneficiaries to / from the coverage of the Scheme at any stage of the Scheme.
ii.
Newly appointed employees who joined service during
the policy period of three years shall join the scheme by remitting the premium
from the month of joining and can avail Rupees One Lakh Fifty Thousand per
annum as Basic Sum Insured. Newly joined employees may get enrolled either by
paying full year premium for that year and avail the benefit package in total
or join the scheme in subsequent year. If they join from second year, the block
period Sum Insured (SI) available would be only Six Lakh and so on.
iii.
All service pensioners including teaching and nonteaching staff of aided schools and colleges by deduction from monthly entitlement. In addition to the abovementioned categories pensioners of
the Universities which receive Grant in Aid from the State Government and Local
Self Government Institutions and the directly recruited personal staff
pensioners/family pensioners shall also be considered as beneficiary for this scheme.
iv.
Those who avail LWA under Appendix XII A, XII B and
XII C Part I KSR shall not have the eligibility to join/continue in the scheme
during the policy period.
v.
Those who avail Leave Without Allowance for a short
spell not exceeding the period of one year during the policy period shall have
the option to remit the premium in advance during the tenure of the leave but
before the date of renewal of the policy.
vi.
Employees joining back from leave without pay may get
enrolled for current year, by paying the full year premium. If they join from 2nd
year or 3rd year , the block period
Sum Insured (SI) would only be available corresponding to the number of
years full premium is paid (e.g. if an employee pays only 2 years full premium,
block period Sum Insured (SI) of Rs.6 Lakh only would be available, similarly
for one year premium, Sum Insured (SI) available would be Rs. 3 Lakh).
vii.
If an employee opts out in between the policy period
(LWA/resignation), Eligibility criteria would be as under:
(a) if no claims are made during
service period, no
impact is on premium collection. (b) if claims were made only up to the basic SI and up to block period SI, then full year(s) premium is to be paid.
viii. In the case
of employees under deputation and employees not drawing salary through SPARK,
the Drawing and Disbursing Officer concerned shall deduct the premium and remit
the same to the head of account to be opened for this purpose. The remittance details shall be forwarded to Finance(Health Insurance) Department. (Detailed instructions in this regard will be issued separately).
ix.
Pensioners under National Pension System (NPS) have
the option to enrol in the scheme by remitting the prescribed premium.
x.
If an
employee is under suspension, the premium during the period shall be deducted
from the subsistence allowance admissible.
xi.
If an
employee is dismissed or terminated from service as a part of major penalty,
he/she shall cease to be the beneficiary of the scheme with effect from the
date of order of such dismissal/termination.
xii.
If an employee retires/superannuates during the policy
period, the membership of his/her policy shall sustain and remittance towards
the premium payment will be deducted from his/her entitlement as a pensioner.
xiii. Those who
remit the full premium amount for the entire policy period of 3 years is only
eligible for the additional benefit package for catastrophic illness.
5. ENROLLMENT OF BENEFICIARY
i)
The beneficiaries must mandatorily fulfil their
enrolment procedure as prescribed by Government within the duration of
enrolment Period.
ii)
Enrolment of such beneficiaries shall not be allowed
after the expiry of the enrolment period.
iii)
In case of pensioners the prescribed enrolment
procedure shall be followed as specified by Government from time to time.
iv)
The database of beneficiaries will be maintained by
the State Nodal Cell and will be shared with the selected insurer for initiating
the enrolment process.
The enrolment of the beneficiaries and issuance of ID cards would be undertaken by the insurer.
v)
The date of expiry of policy shall be coterminus for all the beneficiaries.
vi)
Insured will have the option to change the details
regarding dependant beneficiary.
vii) Every
employee/pensioner will be notified regarding enrolment with Permanent Employee
Number/Pension Payment Order Number.
viii) The
empanelled Hospitals/Nursing Homes/Day Care Clinics and the beneficiaries shall
have the access to the dedicated website to see their relevant information.
ix)
The beneficiaries falling under the category of
compulsory enrolment shall remain the member of the scheme with future renewals
automatically awarded. The beneficiaries falling under the category of optional
enrolment, if wish to opt out of the scheme, shall be required to submit the
declaration to the Finance Department for discontinuation from the Scheme at
the time of next renewal of the Scheme. In such cases the benefits shall cease
on the expiry of the policy.
x)
No fresh enrolment of the serving employees and
pensioners shall be allowed after the date of expiry of enrolment period.
xi)
The scheme shall also be compulsory to new government
employees who would be joining after the date of expiry of enrolment period of
the scheme.
xii) The
enrolment of new employees, who join after the date of expiry of Enrolment
Period, shall continue throughout the policy plan period.
6. FAMILY ENROLLMENT
The Scheme shall cover a family and dependants as follows.
A. In the case of an insured employee:
i)
Legal spouse of the employee (who do not have the
eligibility to enrol in this scheme).
ii)
Minor or adopted child/children dependant upon the
insured, till they get employed,
married or attained the age of 25 years whichever is earlier.
iii)
Physically
challenged/mentally challenged child/children of the employee without any age
restriction on the grounds of Bench Mark
Disability.(Certificate
should be produced as specified in Annexure 4 of the scheme).
iv) Dependant parents of the employee.
B. In the case of insured pensioner:
Legal Spouse (who do not have the eligibility to enrol in this scheme) and physically challenged/mentally challenged child/children of the pensioner without any age restriction on the grounds of Bench Mark Disability. (certificate should be produced as specified in Annexure 4 of the scheme).
C. In the case of insured family pensioner:
Physically challenged/mentally challenged child/ children of the pensioner without any age restriction on the grounds of Bench Mark Disability. (certificate should be produced as specified in Annexure 4 of the scheme).
7. ADDITION & DELETION OF FAMILY MEMBERS
A. Addition to the family is
allowed in following contingencies during the policy period.
(1) Marriage of the beneficiary
(requiring inclusion of spouse’s name)
(2)
Children born during policy period
(3)
If an employee
retires/superannuates from service
or die inharness the dependants of that employee can be added
as the dependants of his/her spouse if he/she is an employee enrolled under the
scheme subject to the eligibility of dependency.
B.
Deletion from Family is allowed in following contingencies
(1)
Death of covered beneficiary.
(2)
Divorce of the spouse.
(3)
Member becoming ineligible (on condition of dependency)
8. BENEFIT PACKAGE
The scheme envisages cashless treatment facility to beneficiaries through an insurance company and a network of empanelled hospitals for the benefit package given below.
1.
Basic Benefit Package The Insurer shall pay all
expenses (as per package costs specified) incurred in course of medical
treatment availed by the beneficiaries in empanelled hospitals (24 hours
admission clause) for the medical, surgical and day care procedures as enlisted
in Annexure 1.
2.
Additional Benefit Package: The Insurance coverage
given over and above the basic coverage for catastrophic illness specified
enlisted in Annexure 2.
3.
Coverage of Preexisting diseases: All diseases under
the Scheme shall be covered from day one and there shall not be any waiting period.
4.
Pre & Post hospitalization benefit: means medical
expenses incurred in the same hospital where agreed
Medical Treatment or Surgical Procedure
is carried out during
15 days before hospitalisation and 15 days after discharge. The final package
cost is inclusive of pre and post hospitalisation expenses.
5.
Newborn child/children to an insured mother would be
covered from day one up to the expiry of the current policy plan period.
However, next year the child/children could be covered as a regular member of
the family. All Congenital diseases of newborn child/children shall be covered
under the scheme.
6.
The
insurance coverage shall start from day one and continue till the expiry of the
policy plan period.
7.
‘Unspecified Procedures’ should be covered under Basic Benefit package based on the preauthorization
process initiated by Insurance Company
and Authority, which will be
limited to Rs.1.5 lakh per annum
during the block period of three years.
New diseases like COVID19 will also be covered based on the regulatory
provisions issued by IRDAI from time to time.
9.
BENEFIT PACKAGE RATES
The Expert Committee has also recommended the benefit package rates for all the procedures which are part of the Basic and Additional Benefit Package. The costing of the
basic benefit package includes three components (1) Procedure Cost (2) Implant Cost if any (3) Room charges.
1.
Procedure Charges The first
component of the package cost includes procedure costs which would include all
cost components related to medical consultation and treatment. The procedure
charges include pre hospitalization expenses, medicine and consumables,
diagnostic and laboratory investigations, procedures including surgeries if
any, doctor, and nursing charges,
discharge medicines and post hospitalization review if required.
The procedure costs will thus follow the approach of a ‘bundled rates’
covering all input cost related to conducting the surgical procedures and
managing the medical conditions.
2.
Implant Cost Certain
procedures require single or multiple implants, the cost of which is variable.
Hence the implant cost is separate from the procedure costs, wherever it is
applicable. In such cases, the price of Implant / HighEnd Consumable will be
added over and above the procedure price based on either the actual usage or
the maximum capping of Implant / HighEnd Consumable defined (whichever is
less). The cost of the implants will be based on the maximum ceiling price
fixed by the National Pharmaceutical Authority of India (NPPA). The insurance
company can use the implant list and costs suggested by the National Health Authority
as the reference point for MEDISEP.
3.
Room Charges – The third
component of the package cost is room charges and the following room charges as
applicable. For General Ward up to Rs.1000; For Semiprivate Ward up to Rs.1500
and Private Ward up to Rs.2000. As all the procedures require
a pre authorization process,
the insurance company will have to fix the average length of stay for all
procedures, and accordingly the total charges would be calculated. Any charge over and above the ceiling rates
prescribed would have to be borne by the patient. In case, a hospital has room
rent less than the patient's eligibility, then only the actual rates applicable
for each category room should be claimed from that hospital. The room charge
details are given in Annexure3. However where the hospital stay gets prolonged
on account of medical/surgical complications, the attendant treatment charges
will also get covered and the Insurance Company/Empanelled Health Care Provider
cannot charge
additional amount from the beneficiary.
The final package cost of any procedure enlisted in the Annexure1 will be inclusive of the above three components.
For calculating the final package cost, three components are to be included. To cite an example, if the package is PTCA, then the total cost would include the procedure cost which is Rs.40,600 + Implant Cost for DrugEluting Stent which is Rs.31,600 and the room charges for three days in a private ward which is Rs.6000. The final package cost of any procedure enlisted in the Annexure1 will be inclusive of the above three components.
The costing of the catastrophic package list specified in Annexure2 is inclusive of all the four components i.e. Procedure Charges; Implant Costs; Room Charges and Investigation costs. All the packages will have a single package rate and any additional expense above the ceiling rates will have to be borne by the beneficiary. This is irrespective of the number of days of hospital stay of the patient and the attendant medical or surgical complications will also get covered in the package and insurance company / Empanelled Health Care Provider cannot charge additional amount from the beneficiary.
10. AGE LIMIT.
There shall be no age limit for the beneficiaries/dependants except dependent child/children for admitting into the scheme.
11. SUM INSURED ON FAMILY FLOATER BASIS.
As mentioned in the previous section, the coverage of the scheme will be provided as follows.
i) Basic Benefit Package Coverage : This caters to the benefit package list mentioned in Annexure1 in which medical, surgical and day care procedures will be covered up to a sum of Rs. 3 lakh per annum for a block period of three years. Out of the annual coverage of Rs. 3 lakh, Rs.1.5 lakh are fixed in nature and Rs.1.5 lakh can be availed on a floater
basis each year. The first component of Rs.1.5 lakh is fixed for each year and will lapse at the end of each year. The floater component, if not exhausted, can be carried over to the subsequent years of the policy.
ii). Additional Package Coverage : In addition to the Basic Benefit Package coverage mentioned above, all procedures mentioned in the Annexure2 will be covered by the policy.
Corpus fund for Catastrophic illness : An additional sum of not less than Rs. 35 crore for three years shall be provided by the Insurer as a corpus fund for providing coverage to Additional Packages enlisted in Annexure2. The corpus fund can also be used for reimbursement of expenses to insurance company, in case there is any new catastrophic illness and a treatment package for the same, which is not listed in the benefit package, but recommended for inclusion after detailed review by the Health Department.
12. PAYMENT OF PREMIUM
The Government of Kerala will pay the insurance premium on behalf of the employees/pensioners to the Insurance Company in advance. For the first year, the premium will be initially calculated based on the number of beneficiaries in position covered under the Scheme as on date of implementation. Of this amount, 25% will be paid as the first instalment on signing the agreement and commencement of the Scheme. During the implementation, the actual premium will be arrived at based on the number of identity cards distributed. The remaining 75% will be calculated as per the premium amount and will be paid in three equal instalments after the successful completion of three months of the scheme and before the end of the first policy year.
The same payment schedule will be continued during the second and third year. For these years, the total annual premium will be calculated based on number of identity cards or certificates of Pay Drawing Officers issued under the Scheme. The payment of premium will be based on the data made available by the department.
13. PREMIUM
i.
The annual premium
of the employees and the pensioners will be Rs.4800/
+18% GST for the policy period of 20222025. The monthly premium will be rounded as Rs.500 (including GST) for the above policy period. The annual premium thus collected beyond which quoted by the insurer will be kept as a buffer fund and will be utilized for the treatment of catastrophic illness listed in Annexure2 upon exhaustion of the corpus fund of Rs. 35 Crore kept exclusively for such expenses by the Insurance Company. For this the company has to meet the catastrophic procedure expense by own which crosses the limit of Rs. 35 Crore and seek the reimbursement of the same from the Authority.
ii.
The Annual Premium on behalf of the employees and
pensioners shall be paid by the Government in advance as per the terms and
conditions of the agreement between the Government and the Insurer.
iii.
The Annual Premium paid by the Government on behalf of
the employee will be deducted from their salary in twelve equal instalments.
(Detailed instructions in this regard will be issued separately)
iv.
The premium of the pensioner shall be met from their
monthly entitlement. (Detailed instructions in this regard will be issued separately)
14. ENROLMENT PERIOD
Enrolment Period shall start with immediate effect from the date of notification of the scheme and will complete by the date which will be announced later.
15. PERIOD OF INSURANCE AND PERIOD OF CONTRACT
i) The scheme
will be introduced from the date mutually
agreed between Government of Kerala and the insurer for the period of 3 years.
ii) The period
of insurance contract will be effective from the day/date of signing agreement between
the Government of Kerala and the Insurance Company selected.
iii) The period
of agreement shall expire three months after the date of expiry of policy plan
period or at completion of all the obligations of the insurance company,
whichever is later.
iv) The
Government of Kerala reserves the right to terminate the contract with the
insurance company for any reasons whatsoever. (If the insurance company
defaults in delivery of services or it is found that it has misrepresented any
fact during the tender process to attain qualification or breaches any of the
conditions of the contract)
v) In case the
contract is terminated after the expiry of the policy plan period the Insurer
shall continue to remain liable for making payments in respect of all the
claims lodged with it or the TPA in respect of all the claims/ invoices of
Provider Network and Beneficiaries on or before the date of expiry of the
policy plan period.
16. EMPANELLED PROVIDER NETWORK
The empanelled provider network for MEDISEP will include public and private hospitals which will be empanelled by the insurer. All the secondary and tertiary public hospitals should be empanelled as providers of the scheme. The insurer will also have to empanel the super speciality institutions which includes Regional Cancer Center (RCC), Malabar Cancer Center (MCC), Cochin Cancer Center (CCC) and Sree Chitra Thirunal Institute of Medical Sciences and Technology (SCTIMST), and the package rates specified for accredited institutions will be applicable to the treatments undergone by the beneficiaries in the above listed super speciality institutions.
The insurer shall empanel private hospitals as network hospitals fulfilling the required infrastructure and human resources criteria laid down for as part of the empanelment process. The network hospitals shall also agree to the package rates of the scheme for the procedures of various specialities under MEDISEP. Based on the clinical specialities, private hospitals will be divided into three categories.
(1)
Category 1 General
Purpose Hospitals: These are hospitals having 25 or more beds with the
following specialities: General Medicine, General Surgery, Obstetrics and
Gynaecology, Paediatrics, Orthopaedics, ENT, Dermatology, ICU and Critical
Care units.
(2)
Category 2 Speciality
and Super Speciality Hospitals: Hospitals having 50 or more beds can be
empanelled as a speciality hospital, provided they have at least 10 beds
earmarked for the speciality. The specialities include Cardiology,
Cardiovascular and Cardiothoracic surgery, Genito Urinary Surgery, Gastroenterology,
Ophthalmology, Pulmonology, Poly Trauma & Critical Care, Plastic Surgery,
Neurosurgery, Neurology, Paediatric Surgery, Nephrology, Rheumatology,
Endocrinology etc. In this category, the insurer can also empanel
singlespecialty hospitals with a minimum
bed strength of 20 beds (Example: Ophthalmology,
Gastroenterology etc). In addition to this, if the insurance company
empanelling only specific departments in a super speciality hospital, they
should ensure that all services related to that department are provided as per
the contract.
(3)
Category3: Hospitals for Transplant Surgery:
Hospitals with experience in conducting
transplant surgeries (Kidney, Liver, Heart Transplant etc.)
The Insurance Company shall ensure the availability of a minimum of five hospitals in category one (excluding government hospitals) in each district of the State and the availability of a minimum 25 network hospitals (excluding government hospitals) in the areas under each cluster of districts indicated below.
In category 2, (excluding government hospitals) the Insurance Company should ensure a minimum of five hospitals for each speciality group of the benefit package in each cluster. In category 3, (excluding government hospitals) the Insurance Company shall ensure a minimum of two hospitals for transplant surgeries mentioned in additional benefit package in each cluster.
The Insurance Company can empanel all specialities or a group of specialities depending on availability of each specialities in a network hospital. If the insurance company is empanelling specific departments in a super specialty hospital, they should ensure that all services related to that department are provided as per the contract. To illustrate, if the
insurance company is empanelling the Oncology Department of a hospital, then the hospital will have to provide medical, surgical, and radiation oncology services. Along with this, the hospital also needs to ensure treatment for any comorbidity while the patient is admitted to that facility.
The insurer is bound to ensure empanelment of at least two hospitals having full accreditation of NABH in the cities of Kozhikode, Ernakulam, and Thiruvananthapuram for all specialities available at such health care providers.
A network hospital can be empanelled for all three categories or for any one of the three categories specified above.
Cluster1 (Northern Districts): Kasaragod, Kannur, Wayanad, Kozhikode, Malappuram, Palakkad.
Cluster2 (Central Districts): Thrissur, Ernakulam, Kottayam, Idukki.
Cluster3 (Southern Districts): Alappuzha, Pathanamthitta, Kollam, Thiruvananthapuram. If any district or cluster does not have the number of hospitals as specified above, the successful insurance company can seek specific exemption for that district or cluster and the same will be considered by the Authority after verification of the available qualified hospitals in that district or cluster.
In addition to this, the Insurer shall try to ensure the empanelment of a minimum one of each network hospitals situated in Mangalore, Coimbatore, Mumbai, Chennai and Delhi. In addition, the insurer may empanel additional hospitals outside the State.
The Insurer shall consider the list of hospitals which are part of the medical reimbursement scheme of Government of Kerala and empanelled hospitals under CGHS or other central/state insurance schemes in Kerala, while conducting the empanelment process for MEDISEP.
Notwithstanding above, the clustering of hospitals as mentioned above shall not restrict the choice of the insured to seek treatment in hospitals outside the cluster which belongs to his/her residence. The guidelines/operational procedures of deempanelment of network hospitals whose services are not satisfactory as per the requisite standards should be developed and executed by the Insurer at any stage of the scheme based on the
recommendations of the Authority provided after affording reasonable opportunity to be heard to all concerned.
The benefit package rates for empanelled providers will be classified based on the quality accreditation/certification of hospitals as recommended by the Expert Committee on revision of procedures and costing. Based on the quality certification, empanelled hospitals will be classified into three (a) Normal rate for hospitals without any quality certification
(b) a Base rate i.e. 5% incentive for the hospitals which have NABH/NQAS entrylevel certification and (c) Accredited Rate i.e. 10% rate (from the base rates applicable to NABH entrylevel hospitals) for hospitals having NABH/NQAS full certification. The incentive will apply only to the procedure cost of the package and not to other items like implant cost, room charges, etc. The base package rates of MEDISEP would be the rates that apply to the NABH entrylevel hospital.
In the
case of
NABH full accreditation, where hospitals get a 10% higher rate for procedures, the additional amount
from the base price has to be borne by the beneficiary. To cite an example, the procedure cost for Laparoscopic Appendicectomy is Rs.22,100 in a hospital without quality certification (Normal Rate) and
the Rs.23,200 (Base Rate) in a hospital with entry level
quality certification and
this will be the base package rate.
In both these cases,
the procedure charges
will be reimbursed by the insurance company.
But in the third case, i.e. hospitals with full accreditation (Accredited Rates),
where there is an
increase of 10% over the base package price, (accredited rate being Rs.25,500), the difference of Rs.2300 from the base rate
will have
to be borne by the beneficiary.
17. PREAUTHORIZATION AND CLAIM SETTLEMENT
The insurer should establish a comprehensive process flow and mechanisms regarding preauthorization and claims settlement of procedures under the scheme. The process of preauthorization should be done electronically through epreauthorization mode. The insurer shall appoint enough number of medical auditors for scrutinizing the said process. The preauthorization must be done round the clock and the process would be monitored by the State Nodal Cell. The Insurer shall ensure that in all cases pre authorisation request related decisions are communicated to the EHCP within 12 working
hours for all normal cases and within one working hour for emergencies. If there is no response from the Insurer within 12 working hours of an EHCP filing the preauthorisation request, the request of the EHCP shall be deemed to be automatically authorised. A provision for emergency intimation and approval should also be established subject to proper approval later. In instance of dispute, the final decision on preauthorization rest with the Authority.
18. ESTABLISHMENT OF 24*7 CALL CENTER
The insurer shall set up a 24 X 7, 365 days a year toll free helpline with online work flow. The call centre should be set up in Thiruvananthapuram city limits and shall be available to all the beneficiaries for taking any information/ clarification regarding enrolment, benefits available under the Scheme, exclusions, list of empanelled private as well as government hospitals, process to be followed for lodging claim with Insurance Company or with State Government and for redressal of any complaint regarding enrolment, treatment, exclusions, benefits etc. available under the Scheme. The complaint will be redressed in a time bound manner.
19. DISPUTE
RESOLUTION AND GRIEVANCE REDRESSAL:
If any dispute arises between the parties namely Insurer & beneficiary, Insurer & empanelled hospital, beneficiary & empanelled hospital during the the policy plan period or thereafter, in connection with the validity, interpretation, implementation or alleged breach of any provision of the scheme etc. it will be settled in the following way.
a. District Level Grievance Redressal Committee
A Grievance Redressal committee shall be set up in each District for redressing of grievance of beneficiaries/Network provider by the Insurer. The committee will constitute following members:
i) District Collector /
Representative (Convener)
ii) District Medical Officer
iii) Representative of insurer
iv)
Finance Officer of District Collectorate
The Committee will resolve the Grievance within 30 days from the date of receiving the application. The aggrieved, if not satisfied with the decision of the committee, can approach to the State Level Committee.
b. State Level Grievance Redressal Committee
A State Level GRC consisting of the following members will be set up to examine the grievances which could not be solved in the DGRC.
i) Additional Secretary,
Finance Health Insurance Department (Convener)
ii) Additional Secretary (Health
& Family Welfare Department)
iii) Additional Director of
Health Services (Medical)
iv)
Representative of Insurer.
The Committee will resolve the Grievance within 30 days from the date of receiving the application. The aggrieved, if not satisfied with the decision of the committee, can approach the Appellate Authority for arbitration.
c. Appellate Authority.
The appellate authority will consist of the following members.
i) Additional Chief
Secretary/Principal Secretary (Finance) (Convener)
ii)
Additional Chief Secretary/Principal Secretary (Health & Family Welfare)
iii)
Director of Health Services.
iv)
Director of Medical Education.
The decision of Appellate Authority will be final & binding to all the parties. In case of disputes arising between the Government of Kerala and the Insurer, in respect of the validity, interpretation, implementation or alleged breach of any provision of the scheme etc, can directly be taken up with the appellate authority for resolution.
The civil courts situated in Thiruvananthapuram, Kerala shall have exclusive jurisdiction of any disputes which remain unresolved by any of the above procedure.
20. IDENTITY CARDS
Beneficiaries shall be identified by electronic " ID Card" issued by the Insurer/ TPA which
would contain Unique Insurance Identification Number along with Permanent Employee Number (PEN)/ Pension Payment Order Number (PPO) and all relevant details of MEDISEP members. This card would be used at the Provider Network to access health insurance benefits.
21. PROCESS MANUAL FOR SCHEME IMPLEMENTATION
The insurer will publish a detailed manual for the “MEDISEP" which shall include operational guidelines and details of the scheme in consultation with Authority, with provision to update and modify the same. The insurer shall follow the guidelines and instructions given in the manual while implementing the scheme. All guidelines and relevant information regarding MEDISEP shall be also made available on the official website of the scheme.
22. CLAIM SETTLEMENT
The empanelled Hospital shall be reimbursed the cost of treatment as per agreed MEDISEP package rates with hospitals. The Insurance Company shall settle the claims of the empanelled hospitals within 15 working days of receipt of the complete documents along with the discharge summary of the patient. The claim settlement progress will be scrutinized and reviewed by the Authority. The Insurer shall decide on the acceptance or rejection of any Claim received from an Empanelled Health Care Provider. In case of any claim is found untenable, the TPA/ Insurer shall communicate reasons to the Health provider and Designated Authority of the State / Nodal Department for this purpose with a copy to the beneficiary. The Empanelled Health Care Provider can send reconsideration request to Insurance Company and if still not resolved Empanelled Health Care Provider can approach relevant Grievance Redressal Committee against such decision to reject such claim. All such claims shall be reviewed by the State Government on monthly basis.
23. INFORMATION TECHNOLOGY PLATFORM
The insurer shall develop a dedicated information technology platform by means of suitable web portal and data base & management information system for supporting the
implementation of MEDISEP and provide real time access to State Nodal Cell for monitoring the scheme performance. The information technology platform is expected to include the following parameters.
i. Database of beneficiaries.
ii. Database of Enrolment.
iii. Package details in the
network hospitals.
iv.
e Health database: This database will maintain the
patient details along with the diagnosis and treatment details. This Database
will also be linked to the Enrolment Database & Claims Transaction Database
to form the Central Database.
v.
ePreauthorization: The Hospital will require a
PreAuthorization eform to be filled before going in for the treatment.
vi.
Claim processing and settlement Data Base: The claims
processing database should include claim intimation, scrutiny of claims and
status update and upon verification, settlement of claims.
vii. MIS Reporting: Realtime
reporting on performance and monitoring indicators.
viii. Accounting system: Payment Reconciliation.
ix.
Third Party Integration: This will include
(a) Electronic clearance of bills with payment
gateway (b) SMS Gateway.
The web portal for MEDISEP shall provide information on the scheme details, List of empanelled and deempanelled Hospitals, claims status, grievance redressal mechanisms, and other relevant information about the scheme. The insurer shall be responsible for ensuring the regular backup of data in collaboration with the State Nodal Cell.
The IT platform developed for the implementation of the scheme will be owned by the Government of Kerala and at the shared information of beneficiaries and claims should be used only for the said purpose. The insurer should strictly maintain the confidentiality of any form of data or information shared by the Authority and protect information created, disclosed or acquired in the context of the client and health service provider relationship.
24. PERFORMANCE MONITORING
The Insurer shall furnish a Fortnightly / Monthly / Quarterly / Annual report to the Authority with heads of department / organization wise details of the number of subscribers enrolled, number of claims received and the total amount disbursed diseases, treatments and surgerieswise. Moreover, heads of department / organization wise monthly report detailing the opening balance of number of employees of the month, additions and deletions during the month shall be furnished. Similarly, heads of department / organization wise monthly report shall reveal the opening balance of number of Identity Cards, number of Identity Cards issued during the month and balance yet to be issued. Regarding the scheme performance, the insurer shall furnish details of preauthorization, claims settlement, complaints redressal, claims ratio and any other parameters decided by the government.
25. PENALTY CLAUSE
Failure to abide by the terms of the Scheme as stipulated in the tender document will attract penalty as may be determined by the Government of Kerala but not limited to the following. The details and the modalities of the penalty will be part of the agreement with the insurance company.
Grievance Redressal: It is mandated that all orders of the grievance redressal committee is carried out within 30 days unless stayed by the next higher level. Any failure to comply with the direction of the Grievance Redressal Committee at any level will meet with a penalty of Rs. 25,000/ per decision for the first month and Rs.50,000/ per month thereafter during which the decision remains uncomplied. The amount shall be paid by the insurance company to the Authority.
Apart from the above, in the event of noncompliance of guidelines and agreement leading to disruption of the
project
will attract a penalty subject to
a maximum of
75% of
estimated annual project cost.
ANNEXURE-1
List of Basic Benefit Package (Procedure charges excluding implants and
room rent)
|
Sl. No.. |
Procedure
Name |
Normal Rate Hospital without Quality Certification |
Base Rate Hospital with
Entry level Certification (5% than
Normal Rate) |
Accreditation Rate
Hospital With full NABH (10% than Base Rate) |
|
General
Surgery |
||||
|
1 |
Excision of Ganglion - large |
10,300 |
10,800 |
11,900 |
|
2 |
Excision of Ganglion - Small |
10,600 |
11,100 |
12,200 |
|
3 |
Ganglion Sclerotherapy |
2,000 |
2,100 |
2,300 |
|
4 |
Laproscopic-Lumbar Sympathectomy |
26,200 |
27,500 |
30,300 |
|
5 |
Hemithyroidectomy |
26,200 |
27,500 |
30,300 |
|
6 |
Laproscopic Hemi Thyroidectomy |
28,900 |
30,400 |
33,400 |
|
7 |
Total Thyroidectomy |
31,500 |
33,100 |
36,400 |
|
8 |
Laproscopic Total Thyroidectomy |
29,400 |
30,900 |
34,000 |
|
9 |
Excision of Lingual Thyroid |
30,900 |
32,400 |
35,700 |
|
10 |
Excision of Thyroglossal Cyst Fistula |
30,900 |
32,400 |
35,700 |
|
11 |
Parathyroidectomy -Non Malignant |
31,500 |
33,100 |
36,400 |
|
12 |
Resection Enucleation - Thyroid |
26,800 |
28,100 |
31,000 |
|
13 |
Subtotal Thyroidectomy |
29,200 |
30,700 |
33,700 |
|
14 |
Laproscopic Sub total Thyroidectomy |
28,400 |
29,800 |
32,800 |
|
15 |
Laproscopic Thyroid Nodule Excision |
28,400 |
29,800 |
32,800 |
|
16 |
Isthmectomy |
25,500 |
26,800 |
29,500 |
|
17 |
Partial Thyroidectomy |
25,400 |
26,700 |
29,400 |
|
18 |
Laproscopic Isthmectomy |
29,300 |
30,700 |
33,800 |
|
19 |
Bilateral Adrenalectomy in nonmalignant conditions |
43,000 |
45,200 |
49,700 |
|
20 |
Unilateral Adrenelectopmy in nonmalignant conditions |
37,100 |
39,000 |
42,900 |
|
21 |
Laproscopic Right Hemi Colectomy in non malignant conditions |
40,300 |
42,300 |
46,500 |
|
22 |
Laproscopic Left Hemicolectomy |
33,000 |
34,600 |
38,100 |
|
23 |
Excision of large growth from Tongue |
20,600 |
21,600 |
23,800 |
|
24 |
Excision of Small growth from Tongue |
17,400 |
18,200 |
20,100 |
|
25 |
Partial Glossectomy |
28,500 |
29,900 |
32,900 |
|
26 |
Parotid Duct Repair |
28,300 |
29,700 |
32,600 |
|
27 |
Excision of Salivary Gland |
23,400 |
24,500 |
27,000 |
|
28 |
Removal Of Submandibular Salivary Gland |
25,700 |
27,000 |
29,700 |
|
29 |
Superficial Parotoidectomy (Non- |
23,400 |
24,500 |
27,000 |
|
|
malignant) |
|
|
|
|
30 |
Wedge Excision of Lip |
15,900 |
16,700 |
18,400 |
|
31 |
Wedge Excision of Lip & Vermilionectomy(27.43) |
19,200 |
20,200 |
22,200 |
|
32 |
Vermilionectomy |
22,400 |
23,500 |
25,800 |
|
33 |
ABBE Operation |
21,800 |
22,900 |
25,200 |
|
34 |
Excision of Branchial Cyst |
25,500 |
26,800 |
29,500 |
|
35 |
Excision of Branchial Sinus |
24,900 |
26,100 |
28,800 |
|
36 |
Excision and Ligation of Varicose Veins |
25,600 |
26,900 |
29,600 |
|
37 |
Splenorenal Anastomosis |
71,500 |
75,100 |
82,600 |
|
38 |
Warren Shunt for Portal Hypertension |
71,200 |
74,800 |
82,200 |
|
39 |
Portocaval Anastomosis |
81,800 |
85,900 |
94,500 |
|
40 |
Excision of Carotid Body Tumours |
36,300 |
38,100 |
42,000 |
|
41 |
Hemangioma Scleotherapy |
9,200 |
9,600 |
10,600 |
|
42 |
Lymph Node Biopsy |
8,800 |
9,200 |
10,100 |
|
43 |
Axillary Lymph Node Dissection |
28,400 |
29,800 |
32,800 |
|
44 |
Excision of Cystic Hygroma -Extensive |
24,700 |
26,000 |
28,600 |
|
45 |
Excision of Cystic Hygroma -Major |
25,500 |
26,800 |
29,500 |
|
46 |
Cystic Hygroma Excision - Minor |
10,900 |
11,400 |
12,600 |
|
47 |
Splenectomy For Hypersplenism |
42,100 |
44,200 |
48,600 |
|
48 |
Laproscopic Splenectomy - For other Indications |
55,600 |
58,400 |
64,200 |
|
49 |
Gastrostomy |
21,200 |
22,300 |
24,500 |
|
50 |
Pyloromyotomy |
32,100 |
33,700 |
37,100 |
|
51 |
Partial/Subtotal Gastrectomy with anastomosis to Esophagus for ulcer |
41,200 |
43,300 |
47,600 |
|
52 |
Highly Selective Vagotomy |
27,100 |
28,500 |
31,300 |
|
53 |
Pyloroplasty & Vagotomy |
50,100 |
52,600 |
57,900 |
|
54 |
Selective Vagotomy drainage |
49,200 |
51,700 |
56,800 |
|
55 |
Operation for bleeding peptic ulcer |
48,900 |
51,300 |
56,500 |
|
56 |
Surgical management For Haemorrhage
Of The Small Intestine |
49,800 |
52,300 |
57,500 |
|
57 |
Gastrojejunostomy & Vagotomy |
40,900 |
42,900 |
47,200 |
|
58 |
Surgical management of Duodenalperforation |
50,100 |
52,600 |
57,900 |
|
59 |
Laproscopic Surgical treatment forDuodenal Perforation |
48,900 |
51,300 |
56,500 |
|
60 |
Gastrostomy Closure |
23,800 |
25,000 |
27,500 |
|
61 |
Resection & Anastomosis Of Small Intestine(45.9) |
50,100 |
52,600 |
57,900 |
|
62 |
Surgical treatment for Duodenal Diverticulum |
32,100 |
33,700 |
37,100 |
|
63 |
Excision of Meckel's Diverticulum |
41,500 |
43,600 |
47,900 |
|
64 |
Surgical treatment for Acute Intestinal obstrucion |
50,100 |
52,600 |
57,900 |
|
65 |
Duodenectomy |
40,200 |
42,200 |
46,400 |
|
66 |
Surgical treatment for Duplication Of Intestines |
50,400 |
52,900 |
58,200 |
|
67 |
Right Hemi Colectomy |
40,300 |
42,300 |
46,500 |
|
68 |
Left Hemi Colectomy |
40,900 |
42,900 |
47,200 |
|
69 |
Laproscopic colectomy (Total Colectomy) |
61,200 |
64,300 |
70,700 |
|
70 |
Total Colectomy |
62,100 |
65,200 |
71,700 |
|
71 |
Colostomy |
20,900 |
21,900 |
24,100 |
|
72 |
Ileostomy |
20,900 |
21,900 |
24,100 |
|
73 |
Loop Colostomy Sigmoid |
22,100 |
23,200 |
25,500 |
|
74 |
Illieo Sigmoidostomy |
50,100 |
52,600 |
57,900 |
|
75 |
Ileostomy Closure |
25,900 |
27,200 |
29,900 |
|
76 |
Colostomy Closure |
25,900 |
27,200 |
29,900 |
|
77 |
Surgical treatment For Recurrent Intestinal obstruction (Noble Plication Other) |
50,100 |
52,600 |
57,900 |
|
78 |
Cecopexy |
31,800 |
33,400 |
36,700 |
|
79 |
Surgical treatment for Acute Intestinal perforation |
50,100 |
52,600 |
57,900 |
|
80 |
Excision Small Intestinal Fistula |
51,500 |
54,100 |
59,500 |
|
81 |
Surgical treatment for Intususception |
50,100 |
52,600 |
57,900 |
|
82 |
Surgical treatment for Mal-Rotation & Volvulus Of The Midgut |
50,100 |
52,600 |
57,900 |
|
83 |
Surgical treatment for Volvulus of Large bowel |
50,100 |
52,600 |
57,900 |
|
84 |
Laproscopic Appendicectomy |
22,100 |
23,200 |
25,500 |
|
85 |
Open Appendicectomy |
18,700 |
19,600 |
21,600 |
|
86 |
Surgical treatment for Appendicular Perforation |
27,700 |
29,000 |
31,900 |
|
87 |
Laproscopic Surgical treatment for Appendicular Mass-Abscess |
30,900 |
32,400 |
35,700 |
|
88 |
Excision of Prolapse of Rectal Mass |
27,200 |
28,500 |
31,400 |
|
89 |
Anorectoplasty |
28,200 |
29,600 |
32,500 |
|
90 |
Excision of Papilloma Rectum |
21,200 |
22,200 |
24,400 |
|
91 |
Pull Through Abdominal Resection |
52,100 |
54,700 |
60,200 |
|
92 |
Anterior Resection of Rectum |
52,100 |
54,700 |
60,200 |
|
93 |
Fistulectomy |
15,600 |
16,400 |
18,000 |
|
94 |
Rectopexy Open with Mesh for Rectal Prolapse |
41,800 |
43,900 |
48,300 |
|
95 |
Laproscopic Rectopexy With Mesh for Rectal Prolapse |
51,800 |
54,400 |
59,800 |
|
96 |
Rectopexy Open without Mesh for Rectal Prolapse |
31,800 |
33,400 |
36,700 |
|
97 |
Laproscopic Rectopexy With Repair |
41,200 |
43,300 |
47,600 |
|
98 |
Drainage of Ischio Rectal Abscess |
16,500 |
17,300 |
19,100 |
|
99 |
Fissurectomy |
15,600 |
16,400 |
18,000 |
|
100 |
Lord's Procedure for Haemorrhoids |
10,300 |
10,800 |
11,900 |
|
101 |
Haemorroidectomy |
22,700 |
23,800 |
26,200 |
|
102 |
Haemorroidectomy+ Fistulectomy(49.12) |
27,600 |
29,000 |
31,900 |
|
103 |
Excision of liver Abscess |
32,100 |
33,700 |
37,100 |
|
104 |
Surgical treatment For Hydatid cyst of Liver |
40,300 |
42,300 |
46,500 |
|
105 |
Cholecystostomy |
31,800 |
33,300 |
36,700 |
|
106 |
Repair Of CBD |
49,500 |
52,000 |
57,200 |
|
107 |
Cholecystectomy With CBD Exploration |
41,800 |
43,900 |
48,300 |
|
108 |
Laproscopic Cholecystectomy With CBD Exploration (51.41) |
30,600 |
32,100 |
35,300 |
|
109 |
Cholecystectomy |
25,300 |
26,600 |
29,200 |
|
110 |
Laproscopic Cholecystectomy |
30,300 |
31,800 |
35,000 |
|
111 |
Laproscopic Cholecystectomy With Gargrene |
30,600 |
32,100 |
35,300 |
|
112 |
Laproscopic Cholecystectomy For Calculus |
30,600 |
32,100 |
35,300 |
|
113 |
Laproscopic Cholecystectomy With CBD Repair |
40,600 |
42,600 |
46,900 |
|
114 |
Pancreaticocystojejunostomy |
51,800 |
54,400 |
59,800 |
|
115 |
Pancreaticocystogastrostomy |
43,400 |
45,600 |
50,200 |
|
116 |
Herinoplasty without Mesh for Direct Inguinal Hernia |
20,900 |
21,900 |
24,100 |
|
117 |
Herinoplasty with Mesh Direct Inguinal Hernia |
25,900 |
27,200 |
29,900 |
|
118 |
Laproscopic Surgical treatment for Unilateral
Femoral Hernia With Mesh |
30,600 |
32,100 |
35,300 |
|
119 |
Rare Hernias repair (Spigalion,Obuturator,Sciatic) |
21,500 |
22,600 |
24,800 |
|
120 |
Laproscopic Surgical treatment for Unilateral
Femoral Hernia Without Mesh |
40,600 |
42,600 |
46,900 |
|
121 |
Unilateral Femoral Hernia repair |
26,500 |
27,800 |
30,600 |
|
122 |
Umbilical Hernia repair with Mesh |
31,500 |
33,100 |
36,400 |
|
123 |
Laproscopic Surgical treatment for - Umbilical Hernia With Mesh |
50,600 |
53,100 |
58,400 |
|
124 |
Umbilical Hernia repair without Mesh |
26,500 |
27,800 |
30,600 |
|
125 |
Laproscopic Surgical treatment for Incisional
Hernia without Mesh |
30,600 |
32,100 |
35,300 |
|
126 |
Epigastric Hernia repair without Mesh |
26,500 |
27,800 |
30,600 |
|
127 |
Ventral And Scar Hernia repair without Mesh |
31,500 |
33,100 |
36,400 |
|
128 |
Laproscopic Surgical treatment for Incisional Hernia with Mesh |
40,600 |
42,600 |
46,900 |
|
129 |
Laproscopic Surgical treatment for Epigastric
Hernia repair with Mesh |
50,600 |
53,100 |
58,400 |
|
130 |
Epigastric Hernia repair with Mesh |
41,500 |
43,600 |
47,900 |
|
131 |
Ventral And Scar Hernia repair with Mesh |
41,500 |
43,600 |
47,900 |
|
132 |
Laproscopic Surgical treatment for Hiatus Hernia With Mesh |
50,600 |
53,100 |
58,400 |
|
133 |
Hiatus Hernia Repair - Abdominal |
49,800 |
52,300 |
57,500 |
|
134 |
Drainage of Perigastric Abscess |
37,200 |
39,100 |
43,000 |
|
135 |
Drainage of Subdiaphragmatic Abscess |
31,700 |
33,200 |
36,600 |
|
136 |
Open Drainage of Pelvic Abscess |
30,100 |
31,600 |
34,700 |
|
137 |
Laproscopic Surgical treatment for Intra |
35,600 |
37,400 |
41,100 |
|
|
Abdominal Abscess |
|
|
|
|
138 |
Excision of Umbillical Sinus |
18,200 |
19,100 |
21,000 |
|
139 |
Excision of Mesenteric Cyst |
33,700 |
35,300 |
38,900 |
|
140 |
Surgical treatment for Minor Abdominal Injuries |
21,500 |
22,600 |
24,800 |
|
141 |
Surgical treatment for Major Abdominal Injuries |
52,100 |
54,700 |
60,200 |
|
142 |
Surgical treatment for Burst Abdomen |
51,500 |
54,100 |
59,500 |
|
143 |
Treatment with Self Expanding Metalic Stent (SEMS) |
21,000 |
22,100 |
24,300 |
|
144 |
Surgical treatment for Unilateral Hydrocoele |
18,400 |
19,300 |
21,300 |
|
145 |
Surgical treatment for Bilateral Hydrocoele |
20,100 |
21,100 |
23,300 |
|
146 |
Surgical treatment for Fourniers Gangrene |
34,200 |
35,900 |
39,500 |
|
147 |
Surgical treatment for Filarial Scrotum |
27,100 |
28,500 |
31,300 |
|
148 |
Excision of multiple Scrotal swellings |
9,100 |
9,600 |
10,500 |
|
149 |
Evacuation of Scrotal Hematoma |
20,700 |
21,700 |
23,900 |
|
150 |
Excision of multiple Scrotal Cysts |
8,600 |
9,000 |
9,900 |
|
151 |
Orchidectomy -Unilateral |
23,500 |
24,700 |
27,100 |
|
152 |
Orchidectomy + Herniorraphy(53.00) |
31,500 |
33,100 |
36,400 |
|
153 |
Orchidopexy with Eversion of Sac |
27,100 |
28,500 |
31,300 |
|
154 |
Laproscopic Excision of Varicocele Cyst |
41,200 |
43,300 |
47,600 |
|
155 |
Excision of Epididymal Cyst |
16,200 |
17,000 |
18,700 |
|
156 |
Epididectomy |
15,900 |
16,700 |
18,400 |
|
157 |
Circumcision |
8,500 |
8,900 |
9,800 |
|
158 |
Dorsal Slit and Reduction of Paraphimosis |
9,400 |
9,900 |
10,900 |
|
159 |
Rectovaginal fistula Management without Colostomy |
40,900 |
42,900 |
47,200 |
|
160 |
Hemimandibulectomy |
45,800 |
48,100 |
52,900 |
|
161 |
Segmental Mandible Excision |
37,100 |
39,000 |
42,900 |
|
162 |
Surgical treatment for Infected Bunion Foot |
4,800 |
5,000 |
5,500 |
|
163 |
Excision of Cervical Rib |
28,400 |
29,800 |
32,800 |
|
164 |
Drainage of Psoas Abscess |
19,500 |
20,400 |
22,500 |
|
165 |
Excision of Mammary Fistula |
16,100 |
16,900 |
18,600 |
|
166 |
Wide Excision of Mammary Fistula |
14,000 |
14,700 |
16,200 |
|
167 |
Excision of Bilateral Fibroadenoma |
15,600 |
16,400 |
18,000 |
|
168 |
Excision of Unilateral Fibroadenoma |
10,300 |
10,800 |
11,900 |
|
169 |
Unilateral Lumpectomy |
10,600 |
11,100 |
12,200 |
|
170 |
Bilateral Lumpectomy |
15,900 |
16,700 |
18,400 |
|
171 |
Breast Conservation Surgery |
16,200 |
17,000 |
18,700 |
|
172 |
Segmental Resection of Breast |
15,800 |
16,500 |
18,200 |
|
173 |
Simple Mastectomy (Non Malignant) |
32,100 |
33,700 |
37,100 |
|
174 |
Surgical repair of bilateral Gynaecomastia |
12,700 |
13,300 |
14,700 |
|
175 |
I & D of Breast Abscess |
9,200 |
9,700 |
10,700 |
|
176 |
Drainage of large Abscess |
20,100 |
21,100 |
23,200 |
|
177 |
Paronychia Drainage |
6,800 |
7,200 |
7,900 |
|
178 |
Excision of swelling Neck |
11,400 |
12,000 |
13,200 |
|
179 |
Excision of Granuloma |
10,500 |
11,000 |
12,100 |
|
180 |
Surgical treatment for Carbuncle back |
30,500 |
32,000 |
35,200 |
|
181 |
Excision of Sebaceous Cyst |
9,300 |
9,700 |
10,700 |
|
182 |
Excision of Keloid |
28,000 |
29,400 |
32,300 |
|
183 |
Excision of Pyogenic Granuloma |
8,300 |
8,700 |
9,600 |
|
184 |
Excision of Large Corn |
5,700 |
6,000 |
6,600 |
|
185 |
Excision of Large Swelling in Hand |
15,700 |
16,500 |
18,200 |
|
186 |
Excision of Small Swelling in Hand |
11,100 |
11,600 |
12,800 |
|
187 |
Excision of Fibro Lipoma |
9,300 |
9,700 |
10,700 |
|
188 |
Excision of Fibroma |
9,200 |
9,600 |
10,600 |
|
189 |
Excision of Sinus |
18,100 |
19,000 |
20,800 |
|
190 |
Excision of Large Dermoid Cyst |
11,300 |
11,800 |
13,000 |
|
191 |
Excision of Small Dermoid Cyst |
7,200 |
7,600 |
8,400 |
|
192 |
Wide Local Excision (Non - malignant) |
36,600 |
38,400 |
42,200 |
|
193 |
Foreign Body Removal in Deep Region |
30,700 |
32,300 |
35,500 |
|
194 |
Skin Grafting |
18,400 |
19,300 |
21,300 |
|
195 |
Excision of Pilonidal Sinus |
19,300 |
20,200 |
22,200 |
|
196 |
Surgical treatment for Ingrowing Nail |
7,000 |
7,300 |
8,000 |
|
197 |
Surgical treatment for Cut Throat Injury |
35,400 |
37,100 |
40,900 |
|
ENT Surgery |
||||
|
198 |
Facial Nerve Decompression |
20,600 |
21,600 |
23,800 |
|
199 |
Endoscopic Surgery for Dacrocystitis |
10,500 |
11,000 |
12,100 |
|
200 |
Surgical treatment for Preauricular sinus |
18,600 |
19,500 |
21,400 |
|
201 |
Cryosurgery |
11,300 |
11,800 |
13,000 |
|
202 |
Partial amputation of Pinna (malignancy perichondritis) |
19,500 |
20,500 |
22,500 |
|
203 |
Myringoplasty |
16,600 |
17,400 |
19,100 |
|
204 |
Myringoplasty with ossiculoplasty (19.3) |
17,300 |
18,200 |
20,000 |
|
205 |
Tympanoplasty |
17,400 |
18,300 |
20,100 |
|
206 |
Stapedectomy - Veingraft |
18,900 |
19,800 |
21,800 |
|
207 |
Myringotomy with grommet for one ear |
10,300 |
10,800 |
11,900 |
|
208 |
Myrinogotomy with-grommet for both ears |
15,600 |
16,400 |
18,000 |
|
209 |
Mastoidectomy |
18,600 |
19,500 |
21,500 |
|
210 |
Aural polypectomy |
17,400 |
18,300 |
20,100 |
|
211 |
Labyrinthectomy |
20,000 |
21,000 |
23,100 |
|
212 |
lateral Rhinotomy |
15,600 |
16,400 |
18,000 |
|
213 |
Excision of Benign tumours of Nose |
17,400 |
18,300 |
20,100 |
|
214 |
Surgery for Angiofibroma |
42,100 |
44,200 |
48,600 |
|
215 |
Septo rhinoplasty |
19,100 |
20,000 |
22,000 |
|
216 |
Youngs operation |
14,600 |
15,300 |
16,900 |
|
217 |
Surgical treatment for Choanal atresia |
15,000 |
15,800 |
17,300 |
|
218 |
Endoscopic Sinus Surgery |
18,300 |
19,200 |
21,100 |
|
219 |
Caldwell-luc(unilateral) |
18,200 |
19,100 |
21,000 |
|
220 |
Surgical treatment for Oro antral fistula |
15,000 |
15,800 |
17,300 |
|
221 |
Surgical treatment for release of tongue tie |
10,000 |
10,500 |
11,500 |
|
222 |
Excision of Benign Parotid gland tumor |
20,600 |
21,600 |
23,800 |
|
223 |
Drainage Parapharyngeal abscess |
10,300 |
10,800 |
11,900 |
|
224 |
Uvulo ¿ Palato - Pharyngoplasty |
26,200 |
27,500 |
30,200 |
|
225 |
Surgical treatment for Pararetro pharyngeal abscess |
10,000 |
10,500 |
11,500 |
|
226 |
Adeno tonsillectomy |
12,000 |
12,600 |
13,900 |
|
227 |
Adenoidectomy Gromet insertion |
12,100 |
12,700 |
14,000 |
|
228 |
Exision of Tumors In Pharynx |
20,900 |
21,900 |
24,100 |
|
229 |
Exision of Parapharyngeal Tumour |
21,500 |
22,600 |
24,800 |
|
230 |
Laryngectomy in nonmalignant conditions |
43,000 |
45,100 |
49,700 |
|
231 |
Phono Surgery For Vocal Cord Paralysis |
27,400 |
28,800 |
31,600 |
|
232 |
Laryngo Fissurectomy |
27,300 |
28,700 |
31,600 |
|
233 |
Microlaryngeal Surgery |
19,400 |
20,400 |
22,500 |
|
234 |
Surgical treatment for Laryngotracheal stenosis |
20,900 |
21,900 |
24,100 |
|
235 |
Bilateral Styloidectomy |
15,900 |
16,700 |
18,400 |
|
236 |
Temporal Bone Excision |
52,100 |
54,700 |
60,200 |
|
237 |
Exision of Maxilla |
39,500 |
41,500 |
45,600 |
|
238 |
Removal of Impacted Ear wax |
9,700 |
10,200 |
11,200 |
|
239 |
Rhinorrhoea- repair |
25,600 |
26,900 |
29,600 |
|
240 |
CSF rhinorrhoea - Endoscopic repair |
25,600 |
26,900 |
29,600 |
|
241 |
Bronchoscopy Foreign Body Removal from Oesophagus |
10,600 |
11,100 |
12,200 |
|
242 |
Removal of foreign body in Ear |
10,600 |
11,100 |
12,200 |
|
243 |
Bronchoscopy Foreign Body Removal from Bronchous |
24,600 |
25,800 |
28,400 |
|
OPTHALMOLOGY |
||||
|
244 |
Decompression/Excision Of Optic Nerve Lesions |
78,900 |
82,800 |
91,100 |
|
245 |
Surgical treatment for Ankyloblepharon |
14,400 |
15,100 |
16,600 |
|
246 |
Drainage of Lid Abscess |
9,500 |
9,900 |
10,900 |
|
247 |
Surgical treatment for disorders of Eyelid |
11,000 |
11,600 |
12,700 |
|
248 |
Exision of Small tumour of lid |
10,700 |
11,300 |
12,400 |
|
249 |
Surgical correction of Ptosis |
30,600 |
32,100 |
35,300 |
|
250 |
Ectropion correction |
17,700 |
18,600 |
20,400 |
|
251 |
Entropion correction |
15,300 |
16,100 |
17,700 |
|
252 |
Lid Reconstruction surgery |
10,400 |
10,900 |
12,000 |
|
253 |
Lagophthalmos correction |
13,200 |
13,900 |
15,300 |
|
254 |
Epicanthus repair |
7,100 |
7,500 |
8,200 |
|
255 |
Surgery for Congenital dacrocystitis |
10,800 |
11,400 |
12,500 |
|
256 |
Dacrocystectomy |
8,100 |
8,500 |
9,400 |
|
257 |
Congenital NLD probing |
11,000 |
11,600 |
12,700 |
|
258 |
External Dacryocysto rhinostomy |
15,000 |
15,700 |
17,300 |
|
259 |
Canaliculo/conjuctivo Dacryocysto rhinostomy |
13,400 |
14,100 |
15,500 |
|
260 |
Fornix forming sutures |
11,300 |
11,900 |
13,000 |
|
261 |
Surgical treatment for Symblepharon |
4,800 |
5,000 |
5,500 |
|
262 |
Corneal Patch Graft |
17,700 |
18,600 |
20,500 |
|
263 |
Pterygium repair |
7,600 |
8,000 |
8,800 |
|
264 |
Pterigium + conjunctival autograft |
12,100 |
12,700 |
14,000 |
|
265 |
Double Z-Plasty |
4,300 |
4,500 |
5,000 |
|
266 |
Lamellar Keratoplasty |
22,800 |
23,900 |
26,300 |
|
267 |
Penetrating Keratoplasty |
18,700 |
19,600 |
21,500 |
|
268 |
Therapeutic Penetrating Keratoplasty |
19,800 |
20,800 |
22,900 |
|
269 |
Amniotic Membrane Graft for Cornea |
11,900 |
12,500 |
13,700 |
|
270 |
Intraocular foreign body removal |
33,700 |
35,400 |
39,000 |
|
271 |
Iridectomy-Iridotomy |
7,900 |
8,300 |
9,100 |
|
272 |
Surgical treatment for Other disorders of iris and ciliary body |
7,300 |
7,700 |
8,400 |
|
273 |
Surgical treatment for Iris prolapse |
7,300 |
7,700 |
8,400 |
|
274 |
Exision of tumours of iris |
21,300 |
22,400 |
24,600 |
|
275 |
Glaucoma Surgery |
9,100 |
9,500 |
10,500 |
|
276 |
Cyclocryotherapy |
12,700 |
13,300 |
14,600 |
|
277 |
Glaucoma Filtering Surgery For Paediatric Glaucoma |
10,200 |
10,700 |
11,800 |
|
278 |
Surgical treatment for Scleral wound |
11,300 |
11,900 |
13,100 |
|
279 |
Surgical treatment for Perforating scleral injury |
23,400 |
24,500 |
27,000 |
|
280 |
Scleral Patch Graft |
21,500 |
22,600 |
24,900 |
|
281 |
Amniotic Membrane Graft for Sclera |
18,200 |
19,100 |
21,100 |
|
282 |
Removal of blood clot |
7,500 |
7,900 |
8,700 |
|
283 |
Anterior chamber reconstruction |
8,600 |
9,000 |
9,900 |
|
284 |
Bandage contact lens with glue application |
7,100 |
7,400 |
8,200 |
|
285 |
Cataract surgery phacoemulsification |
20,000 |
21,000 |
23,100 |
|
286 |
Lensectomy |
12,800 |
13,500 |
14,800 |
|
287 |
Posterior capsulotomy/polishing |
11,700 |
12,300 |
13,500 |
|
288 |
Yag laser capsulotomy |
8,200 |
8,600 |
9,500 |
|
289 |
Cataract surgery phacoemulsification +IOL |
22,500 |
23,600 |
25,900 |
|
290 |
Cataract surgery SICS + IOL(ECCE+IOL) |
15,300 |
16,100 |
17,700 |
|
291 |
Paediatric Cataract Surgery (Phacoemulsification IOL) |
19,200 |
20,100 |
22,100 |
|
292 |
Secondary IOL-scleral fixation-sulcus fixation of lens ACIOL |
22,600 |
23,700 |
26,100 |
|
293 |
Scleral buckle procedure for Retinal |
30,500 |
32,000 |
35,200 |
|
294 |
Photocoagulation for Retinopathy |
2,000 |
2,100 |
2,300 |
|
295 |
Photocoagulation For Retinopathy Of Prematurity |
10,300 |
10,800 |
11,900 |
|
296 |
Cryoretinopexy - closed |
13,200 |
13,800 |
15,200 |
|
297 |
Cryoretinopexy - open |
11,900 |
12,500 |
13,700 |
|
298 |
Vitrectomy - Membrane Peeling- Endolaser |
21,400 |
22,400 |
24,700 |
|
299 |
Vitrectomy |
24,200 |
25,400 |
28,000 |
|
300 |
Vitrectomy Plus Silicon Oil Or Gas -14.75 |
24,800 |
26,100 |
28,700 |
|
301 |
Vitrectomy -Membrane peeling -
Endolaser _Silicon oil or Gas - with
or without belt bulking |
32,400 |
34,000 |
37,400 |
|
302 |
Monthly Intravitreal Anti-Vegf ForMacular
Degeneration - Per Injection (Maximum - 6) |
16,400 |
17,200 |
18,900 |
|
303 |
Removal Of Silicon Oil Or Gas post Vitrectomy |
10,600 |
11,200 |
12,300 |
|
304 |
Rectus Muscle Surgery(Single) |
8,500 |
8,900 |
9,800 |
|
305 |
Oblique muscle surgery |
8,300 |
8,700 |
9,600 |
|
306 |
Rectus Muscle Surgery(Twohree) |
11,300 |
11,900 |
13,000 |
|
307 |
Orbitotomy |
27,400 |
28,800 |
31,600 |
|
308 |
Evisceration /Enucleation with Orbital implant |
16,100 |
16,900 |
18,600 |
|
309 |
Exenteration of Orbit |
13,500 |
14,200 |
15,600 |
|
310 |
Dermis Fat Graft |
24,100 |
25,300 |
27,800 |
|
311 |
Socket Reconstruction |
26,700 |
28,100 |
30,900 |
|
312 |
Endoscopic orbital decompression |
9,100 |
9,500 |
10,500 |
|
313 |
Excision of Benign neoplasm of Eye and Adnexa |
10,000 |
10,500 |
11,600 |
|
314 |
Surgical Management of Proptosis |
60,900 |
63,900 |
70,300 |
|
315 |
Dermoid cyst excision |
14,500 |
15,200 |
16,800 |
|
Gynecology
and Obstretrics |
||||
|
316 |
PPH-Conservative Surgical management |
33,100 |
34,800 |
38,200 |
|
317 |
Surgical management of pelvic abscess |
28,200 |
29,700 |
32,600 |
|
318 |
Laparoscopic Adhesiolysis |
31,800 |
33,400 |
36,700 |
|
319 |
Purandares Sling operations - Open |
26,100 |
27,400 |
30,100 |
|
320 |
Laparoscopic Sling Operations |
33,100 |
34,800 |
38,200 |
|
321 |
Surgical Management of Ovarian Tumours |
33,300 |
34,900 |
38,400 |
|
322 |
Ovarian cystectomy |
33,300 |
34,900 |
38,400 |
|
323 |
Laparoscopic Cystectomy |
25,500 |
26,800 |
29,500 |
|
324 |
Surgical Management of Tubal Ovarian mass |
30,000 |
31,500 |
34,700 |
|
325 |
Laparoscopic Ectopic Resection |
22,700 |
23,900 |
26,300 |
|
326 |
Laparoscopic Recanalisation |
33,600 |
35,300 |
38,800 |
|
327 |
Encirclage |
11,300 |
11,800 |
13,000 |
|
328 |
Cryo Surgery |
3,100 |
3,200 |
3,600 |
|
329 |
Surgical Management of Cervical Tears |
11,600 |
12,200 |
13,400 |
|
330 |
Hysterectomy - abdominal |
25,400 |
26,700 |
29,400 |
|
331 |
Vaginal Hysterectomy |
26,200 |
27,500 |
30,300 |
|
332 |
Vaginal Hysterectomy With Pelvic Floor Repair(70.79) |
31,800 |
33,400 |
36,700 |
|
333 |
Hysteroscopic septal resection |
17,500 |
18,400 |
20,200 |
|
334 |
Ablation of Endometrium |
11,300 |
11,800 |
13,000 |
|
335 |
Laparoscopic Myomectomy |
30,600 |
32,100 |
35,300 |
|
336 |
Hysteroscopic submucus fibroid resection |
15,300 |
16,100 |
17,700 |
|
337 |
Myomectomy |
27,600 |
29,000 |
31,900 |
|
338 |
Polypectomy |
13,100 |
13,700 |
15,100 |
|
339 |
Laproscopic Vaginal Hysterectomy |
30,600 |
32,100 |
35,300 |
|
340 |
D&C (Dilatation & Curettage) |
6,300 |
6,600 |
7,300 |
|
341 |
Surgical Management of Endometriosis - Excision of Chocolate Cyst |
23,600 |
24,800 |
27,300 |
|
342 |
Incomplete Abortion + inevitable abortion Management |
9,200 |
9,600 |
10,600 |
|
343 |
Surgical Management of Missed abortion |
9,900 |
10,400 |
11,400 |
|
344 |
Surgical Management of Septic Abortion |
11,400 |
12,000 |
13,200 |
|
345 |
Surgical Management of Vesicular moles (Benign GTD) D & C |
14,900 |
15,600 |
17,200 |
|
346 |
Manchesters Operation + Cervical amputation(67.4) |
25,600 |
26,900 |
29,600 |
|
347 |
Intra Uterine Insemination |
10,000 |
10,500 |
11,600 |
|
348 |
Repair of Cystocele ,Rectocele &Perineorraphy (71.71) |
20,900 |
21,900 |
24,100 |
|
349 |
Haemato Colpo Surgical management or Hymenectomy |
15,600 |
16,400 |
18,000 |
|
350 |
Surgical Management of Cystocoele - Repair |
14,800 |
15,600 |
17,100 |
|
351 |
Mc Indoe's operation For Vaginal Atresia |
42,000 |
44,100 |
48,500 |
|
352 |
Surgical Management of Vaginal Tear |
13,600 |
14,300 |
15,700 |
|
353 |
Abdominal Repair for Vault Prolapse |
36,200 |
38,000 |
41,800 |
|
354 |
Laproscopic Sacrospinocolpopexy for vault prolapse |
45,900 |
48,200 |
53,000 |
|
355 |
Abdominal Repair With Mesh for Vault Prolapse |
41,200 |
43,300 |
47,600 |
|
356 |
Vulvectomy for tumors |
22,700 |
23,800 |
26,200 |
|
357 |
Surgical Treatment for Vulval Heamatoma |
14,100 |
14,800 |
16,300 |
|
358 |
Surgery for Bartholin cyst(Marsupilasation,cyst removal) |
10,300 |
10,800 |
11,900 |
|
359 |
Instrumental Vaginal Delivery |
15,500 |
16,300 |
17,900 |
|
360 |
Normal Vaginal Delivery |
15,100 |
15,900 |
17,500 |
|
361 |
Normal Vaginal Delivery with Epidural Anesthesia |
20,600 |
21,600 |
23,800 |
|
362 |
Normal Vaginal Delivery In
Rh-Negative Mother With Rh-Positive Baby |
18,600 |
19,500 |
21,500 |
|
363 |
Normal Vaginal Delivery in Twins(Multiple pregnency) |
16,400 |
17,200 |
19,000 |
|
364 |
Normal Vaginal Delivery HIV +ve Mother |
22,100 |
23,200 |
25,500 |
|
365 |
Caesarean Section |
15,600 |
16,400 |
18,000 |
|
366 |
Caesarean Section In Rh-Negative Mother With Rh-Positive Baby |
17,400 |
18,300 |
20,100 |
|
367 |
Caesarean Section in Twins(Multiple pregnency) |
17,400 |
18,300 |
20,100 |
|
368 |
Cesarean Section in HIV+ve Mother |
21,200 |
22,300 |
24,500 |
|
369 |
Surgical Management of Ectopic pregnancy |
21,800 |
22,900 |
25,200 |
|
370 |
Caesarean Hysterectomy with Bladder Repair |
49,200 |
51,600 |
56,800 |
|
371 |
Surgery for Rupture Uterus with Tubectomy |
33,700 |
35,400 |
38,900 |
|
372 |
Surgical Management of Abruptio- Placenta with Coagulation Defects(Dic) |
27,700 |
29,100 |
32,000 |
|
373 |
Obstetric Hysterectomy (AtonicPPH,Traumatic PPH , Rupture- RuptureUterus,Abnormal Placentation) |
32,300 |
33,900 |
37,300 |
|
374 |
First Trimester Medically Induced Abortion |
4,400 |
4,600 |
5,000 |
|
375 |
Termination of pregnancies for foetal anamolies + IUD |
9,200 |
9,700 |
10,600 |
|
376 |
Retained Placenta with Manual Removal |
30,900 |
32,500 |
35,700 |
|
377 |
Complete perineal tear repair |
19,400 |
20,400 |
22,400 |
|
378 |
Management of Eclampsia with Complications Requiring Ventilatory Support |
41,200 |
43,300 |
47,600 |
|
379 |
LNG-IUS (Levonorgestrene Intautrine system) |
14,000 |
14,700 |
16,200 |
|
380 |
Intra abdominal IUCD retrival - Open |
21,200 |
22,300 |
24,500 |
|
381 |
Intra abdominal IUCD retrival - Lap |
25,600 |
26,900 |
29,600 |
|
382 |
Hysteroscopic FB removal |
10,600 |
11,100 |
12,200 |
|
383 |
Medical Management of PPH |
11,400 |
11,900 |
13,100 |
|
384 |
Medical Management of Haemorragic shock in pregnancy |
37,900 |
39,800 |
43,800 |
|
385 |
Medical Management of Fibroids |
8,900 |
9,300 |
10,300 |
|
386 |
Medical Management of Polycystic Ovarian Syndrome |
11,600 |
12,200 |
13,400 |
|
387 |
Medical Management of Pelvic Inflammatory Disease |
8,900 |
9,300 |
10,300 |
|
388 |
Medical Management of Endometriosis |
8,000 |
8,400 |
9,200 |
|
389 |
Medical Management of DUB |
11,200 |
11,800 |
12,900 |
|
390 |
Heart disease complicating pregnancy Management |
22,100 |
23,200 |
25,500 |
|
391 |
Pre- eclampsia / PIH Management |
42,400 |
44,500 |
48,900 |
|
392 |
HELLP Syndrome Management in pregnancy |
22,100 |
23,200 |
25,500 |
|
393 |
Eclampsia Management without ventilator support |
32,400 |
34,000 |
37,400 |
|
394 |
Hyperemisis Gravidarum Management |
9,200 |
9,600 |
10,600 |
|
395 |
Diabetes complicating pregnancy Management |
22,100 |
23,200 |
25,500 |
|
396 |
Hepatic Disorder Management in pregnancy |
22,100 |
23,200 |
25,500 |
|
397 |
Moderate Anaemia Management in pregnancy |
12,300 |
12,900 |
14,200 |
|
398 |
Severe Anemia Management in pregnancy |
25,900 |
27,200 |
29,900 |
|
399 |
Intra Uterine Growth Retardation Management |
23,000 |
24,200 |
26,600 |
|
400 |
Acute Poly Hydramnios Management |
21,500 |
22,600 |
24,800 |
|
401 |
Placenta Previa-type III to IV Management |
21,200 |
22,300 |
24,500 |
|
ORTHOPEDIC
SURGERY AND PROCEDURES |
||||
|
402 |
Surgery for Brachial Plexus & Cervical Rib |
46,300 |
48,600 |
53,400 |
|
403 |
Neurolysis / Nerve Suture |
26,500 |
27,800 |
30,600 |
|
404 |
Obturatorneurectomy |
20,600 |
21,600 |
23,800 |
|
405 |
Nerve Repair With Grafting |
43,100 |
45,300 |
49,800 |
|
406 |
Sequestrectomy&Saucerizations |
40,700 |
42,700 |
47,000 |
|
407 |
Sequestrectomy& bone grafting |
40,800 |
42,900 |
47,100 |
|
408 |
Excision of Accessory bone |
21,500 |
22,600 |
24,800 |
|
409 |
Bone tumor surgery reconstruction with internal fixation(78.59) |
50,400 |
52,900 |
58,200 |
|
410 |
Long bone osteotomy with POP application & k-wires |
31,800 |
33,400 |
36,700 |
|
411 |
Long bone osteotomy with internal fixation |
31,500 |
33,100 |
36,400 |
|
412 |
Costo Transversectomy(77.39) |
41,600 |
43,700 |
48,100 |
|
413 |
Corrective osteotomy Acetabulum |
42,400 |
44,500 |
49,000 |
|
414 |
High tibial osteotomy |
33,400 |
35,100 |
38,600 |
|
415 |
Anterolateral Clearance For Tuberculosis |
61,500 |
64,600 |
71,000 |
|
416 |
Excision of deep Bone
Tumours and Re- Construction With Conventional Prosthesis |
51,800 |
54,400 |
59,800 |
|
417 |
Bone tumor curettage and bone graft(78.00) |
31,500 |
33,100 |
36,400 |
|
418 |
Bone tumor curettage |
25,300 |
26,600 |
29,300 |
|
419 |
Bone curettage and bone cement(84.56) |
31,500 |
33,100 |
36,400 |
|
420 |
Surgical Management of Exostosis of small joints |
23,500 |
24,700 |
27,100 |
|
421 |
Surgical Management of Exostosis of long bones |
28,900 |
30,300 |
33,400 |
|
422 |
Excision of Fracture fragment |
87,000 |
91,400 |
1,00,500 |
|
423 |
Excision of Scaphoid |
23,900 |
25,100 |
27,600 |
|
424 |
Excision of Radial head |
24,500 |
25,700 |
28,300 |
|
425 |
Excision of Lower end Ulna |
24,500 |
25,700 |
28,300 |
|
426 |
Excision Or Other Operations For Scaphoid Fractures |
16,500 |
17,300 |
19,100 |
|
427 |
Spinal Ostectomy And Internal Fixations(78.59) |
49,400 |
51,900 |
57,100 |
|
428 |
Excision of Patella |
17,200 |
18,100 |
19,900 |
|
429 |
Bone Grafting As Exclusive Procedure |
20,900 |
21,900 |
24,100 |
|
430 |
Phemister grafting |
27,500 |
28,900 |
31,800 |
|
431 |
Limb lengthening |
43,000 |
45,200 |
49,700 |
|
432 |
Neglected CTEV. Jess Fixator |
37,800 |
39,700 |
43,700 |
|
433 |
Tension band wirings |
26,200 |
27,500 |
30,300 |
|
434 |
Cancecllous screw/pins
fixations for fracture neck of Femur |
37,100 |
39,000 |
42,900 |
|
435 |
Clavicle surgery |
25,900 |
27,200 |
29,900 |
|
436 |
Internal fixation lateral epicondyle for non union Humerus |
28,000 |
29,400 |
32,300 |
|
437 |
Reconstruction around Radial head |
33,800 |
35,500 |
39,000 |
|
438 |
Removal of implants plates and nail |
16,200 |
17,000 |
18,700 |
|
439 |
Removal of implants wires and screws |
15,600 |
16,400 |
18,000 |
|
440 |
Surgery for Avascular Necrosis Of Femoral Head (Core Decompression) |
30,800 |
32,300 |
35,600 |
|
441 |
Reduction Of Compound Fractures & External Fixation(78.10) |
26,500 |
27,800 |
30,600 |
|
442 |
Closed reduction with percutaneous k- wire fixation(78.10) |
16,300 |
17,100 |
18,800 |
|
443 |
Closed reduction with percutaneous screw fixation(78.10) |
17,600 |
18,500 |
20,300 |
|
444 |
Open reduction & Internal Fixation Of Fingers & Toes |
16,400 |
17,200 |
18,900 |
|
445 |
Open reduction of Deep dislocations |
32,400 |
34,000 |
37,400 |
|
446 |
Closed reduction of Shoulder dislocation |
8,100 |
8,500 |
9,400 |
|
447 |
Closed reduction of Elbow dislocation |
8,400 |
8,800 |
9,700 |
|
448 |
Closed reduction of Wrist dislocation |
8,100 |
8,500 |
9,400 |
|
449 |
Closed reduction of fingers small joint dislocation |
8,100 |
8,500 |
9,400 |
|
450 |
Closed reduction of Hip dislocation |
8,100 |
8,500 |
9,400 |
|
451 |
Closed reduction of Knee dislocation |
8,400 |
8,800 |
9,700 |
|
452 |
Closed reduction of Ankle dislocation |
8,400 |
8,800 |
9,700 |
|
453 |
Acromioclavicular joint dislocation open reconstruction |
26,700 |
28,000 |
30,800 |
|
454 |
Arthrotomy and joint lavage |
37,100 |
39,000 |
42,900 |
|
455 |
Diagnostic Arthroscopy |
24,900 |
26,100 |
28,800 |
|
456 |
Arthroscopy . Operative Meniscectomy |
25,900 |
27,200 |
29,900 |
|
457 |
Subacromial decompression |
31,500 |
33,100 |
36,400 |
|
458 |
Release of Stiff Elbow |
31,500 |
33,100 |
36,400 |
|
459 |
Synovectomy |
37,100 |
39,000 |
42,900 |
|
460 |
Surgical management Dequerenstenosynovities |
6,500 |
6,800 |
7,500 |
|
461 |
Mossmiami instrumentation for vertebral fractures |
51,900 |
54,500 |
59,900 |
|
462 |
Arthrodesis of foot Small joints |
15,300 |
16,100 |
17,700 |
|
463 |
Congenital ankle deformity correction |
54,200 |
56,900 |
62,600 |
|
464 |
Arthrodesis of major joints |
30,300 |
31,800 |
35,000 |
|
465 |
Flexion construction of hip release |
41,500 |
43,600 |
47,900 |
|
466 |
Scoliosis and kyphosis correction(81.05+33.4) |
97,100 |
1,02,000 |
1,12,200 |
|
467 |
Excision arthroplasty(81.8) |
31,500 |
33,100 |
36,400 |
|
468 |
Shoulder replacement |
41,200 |
43,300 |
47,600 |
|
469 |
Ankle arthrodesis |
37,100 |
39,000 |
42,900 |
|
470 |
Triple arthrodesis |
36,800 |
38,600 |
42,500 |
|
471 |
Subtalar arthrodesis |
37,400 |
39,300 |
43,200 |
|
472 |
Arthrodesis of Hip |
37,100 |
39,000 |
42,900 |
|
473 |
Arthrodesis of Knee |
36,800 |
38,600 |
42,500 |
|
474 |
Arthrodesis of Shoulder |
37,400 |
39,300 |
43,200 |
|
475 |
Arthrodesis of Elbow |
36,800 |
38,600 |
42,500 |
|
476 |
Arthrodesis of hand Small joint(81.27/81.28) |
15,600 |
16,400 |
18,000 |
|
477 |
Arthrodesis of Wrist |
36,800 |
38,600 |
42,500 |
|
478 |
Release of Stiff knee |
36,800 |
38,600 |
42,500 |
|
479 |
Anterior cruciate ligamentl reconstruction |
26,500 |
27,800 |
30,600 |
|
480 |
Posterior cruciate ligament reconstruction |
26,500 |
27,800 |
30,600 |
|
481 |
Bipolar hemiarthroplastyof Hip without cement |
40,400 |
42,400 |
46,700 |
|
482 |
Hemiarthroplasty of Hip uncemented |
36,200 |
38,000 |
41,800 |
|
483 |
Bipolar hemiarthroplasty of Hip with cement |
44,400 |
46,600 |
51,300 |
|
484 |
Hemiarthroplasty of Hip cemented |
36,800 |
38,700 |
42,500 |
|
485 |
Reconstruction procedure for recurrent dislocation shoulder |
31,200 |
32,800 |
36,000 |
|
486 |
Arthroplasty of Shoulder |
42,400 |
44,500 |
49,000 |
|
487 |
Elbow replacement |
41,500 |
43,600 |
47,900 |
|
488 |
Joint reconstruction/intraarticular fractures |
36,800 |
38,600 |
42,500 |
|
489 |
Trigger Finger release |
6,500 |
6,800 |
7,500 |
|
490 |
Dupuytrens contracture release |
21,200 |
22,300 |
24,500 |
|
491 |
Tendon transfer procedure for claw hand |
33,800 |
35,500 |
39,000 |
|
492 |
Maxpage release for Volkmann |
31,500 |
33,100 |
36,400 |
|
493 |
Synovial cyst excision/ganglion/Bakers Cyst |
20,100 |
21,100 |
23,200 |
|
494 |
Excision of Retrocalcaneal bursa |
15,900 |
16,700 |
18,400 |
|
495 |
Adductor release |
15,900 |
16,700 |
18,400 |
|
496 |
Tenotomy |
16,500 |
17,300 |
19,100 |
|
497 |
Fasciotomy |
21,500 |
22,600 |
24,800 |
|
498 |
Fasciotomy with skin graft |
25,900 |
27,200 |
29,900 |
|
499 |
Rotator cuff repair |
31,200 |
32,800 |
36,000 |
|
500 |
Tendon transfer procedure around ankle |
34,100 |
35,800 |
39,400 |
|
501 |
Tendon transfer with graft |
33,200 |
34,900 |
38,300 |
|
502 |
CTEV correction |
50,900 |
53,400 |
58,800 |
|
503 |
Hamstrings release |
16,500 |
17,300 |
19,100 |
|
504 |
Quadricepsplasty |
37,100 |
39,000 |
42,900 |
|
505 |
Tricepsplasty |
32,100 |
33,700 |
37,100 |
|
506 |
Fasciotomy with skin graft with fixator |
42,700 |
44,800 |
49,300 |
|
507 |
Drainage of cold abscess |
31,200 |
32,800 |
36,000 |
|
508 |
Drainage of acute osteomyelitis |
29,500 |
31,000 |
34,100 |
|
509 |
Fingers amputations |
10,600 |
11,100 |
12,200 |
|
510 |
Disarticulation at wrist level |
24,500 |
25,700 |
28,300 |
|
511 |
Orif-long bones with locking plates |
36,200 |
38,000 |
41,800 |
|
512 |
Below Elbow amputations |
24,500 |
25,700 |
28,300 |
|
513 |
Disarticulation at elbow level |
25,900 |
27,200 |
29,900 |
|
514 |
Above Elbow amputations |
26,800 |
28,100 |
31,000 |
|
515 |
Disarticulation at Shoulder level |
41,500 |
43,600 |
47,900 |
|
516 |
Amputations - Forequarter |
39,500 |
41,400 |
45,600 |
|
517 |
Disarticulations at small joints Foot |
10,000 |
10,500 |
11,600 |
|
518 |
Disarticulation at ankle level |
26,200 |
27,500 |
30,300 |
|
519 |
Below Knee amputations |
28,700 |
30,100 |
33,100 |
|
520 |
Disarticulations at knee level |
27,000 |
28,400 |
31,200 |
|
521 |
Above Knee amputations |
28,800 |
30,200 |
33,300 |
|
522 |
Disarticulation at Hip level |
42,100 |
44,200 |
48,600 |
|
523 |
Amputations - Hind Quarter And Hemipelvectomy |
52,100 |
54,700 |
60,200 |
|
524 |
Limb reconstruction system(lrs) |
40,400 |
42,400 |
46,700 |
|
525 |
Ilizarov Ring Fixator Application |
46,400 |
48,700 |
53,600 |
|
526 |
Ilizarov fixator with joint arthrolysis |
52,100 |
54,700 |
60,200 |
|
527 |
Excision of Sinus over Sacrum |
16,300 |
17,100 |
18,800 |
|
528 |
Soft Tissue Reconstruction Procedures For Joints/Osteotomy |
31,500 |
33,100 |
36,400 |
|
529 |
CDH soft tissue reconstruction |
36,500 |
38,300 |
42,200 |
|
530 |
Hip spica |
8,600 |
9,000 |
9,900 |
|
531 |
Cervical spine injury(skull traction) treatment |
21,500 |
22,600 |
24,800 |
|
532 |
Application of skeletal traction |
6,300 |
6,600 |
7,300 |
|
533 |
Application of skin traction |
4,500 |
4,700 |
5,200 |
|
534 |
Application of functional cast brace |
2,500 |
2,600 |
2,900 |
|
535 |
U-slab application |
7,100 |
7,500 |
8,200 |
|
536 |
Synthetic cast application above Elbow |
5,000 |
5,300 |
5,800 |
|
537 |
Synthetic cast application below Elbow |
5,600 |
5,800 |
6,400 |
|
538 |
Synthetic cast application above Knee |
6,500 |
6,800 |
7,500 |
|
539 |
Synthetic cast application below Knee |
5,000 |
5,300 |
5,800 |
|
540 |
Synthetic cast cutting |
500 |
500 |
600 |
|
541 |
POP application above Elbow |
4,300 |
4,500 |
5,000 |
|
542 |
POP application below Elbow |
3,300 |
3,500 |
3,800 |
|
543 |
POP application above Knee |
5,300 |
5,600 |
6,100 |
|
544 |
POP application below Knee |
4,300 |
4,500 |
5,000 |
|
545 |
Bandages and strapping procedures for fractures |
6,800 |
7,100 |
7,900 |
|
SURGICAL
GASTROENTEROLOGY |
||||
|
546 |
Surgery For Portal Hypertension Bleed |
1,02,100 |
1,07,200 |
1,17,900 |
|
547 |
Splenectomy |
36,500 |
38,300 |
42,200 |
|
548 |
Splenectomy + Devascularisation +Spleno Renal Shunt(39.1) |
79,300 |
83,200 |
91,500 |
|
549 |
Spleenectomy For Space Occupying Lesion |
42,300 |
44,400 |
48,800 |
|
550 |
Open Hellers Myotomy |
81,200 |
85,300 |
93,800 |
|
551 |
Laproscopic Hellers Myotomy |
29,600 |
31,100 |
34,200 |
|
552 |
Surgery For Oesophageal Perforation Stage 1
Cervical Exclusion And Chest Tube And Feeding Jejunostomy |
1,26,800 |
1,33,100 |
1,46,500 |
|
553 |
Surgery For Oesophageal
Perforation Stage 2 Definitive Surgery |
1,02,400 |
1,07,500 |
1,18,300 |
|
554 |
Surgery For Oesophageal Perforation -Single Staged Foreign
Body, Iatrogenic & Spontaneous |
1,02,400 |
1,07,500 |
1,18,300 |
|
555 |
Oesophagectomy |
91,200 |
95,800 |
1,05,300 |
|
556 |
Colonic Pull Up |
61,500 |
64,600 |
71,000 |
|
557 |
Surgery for Corrosive Injury Stomach |
61,200 |
64,300 |
70,700 |
|
558 |
Partial Gastrectomy with anastomosis to esophagus |
41,200 |
43,300 |
47,600 |
|
559 |
Partial Gastrectomy with anastomosis to duodenum |
41,200 |
43,300 |
47,600 |
|
560 |
Distal Gastrectomy For Gastric Outlet Obstruction |
41,200 |
43,300 |
47,600 |
|
561 |
Partial/Subtotal Gastrectomy with anastomosis to jejunum For Ulcer |
33,200 |
34,800 |
38,300 |
|
562 |
Total Gastrectomy |
41,800 |
43,900 |
48,300 |
|
563 |
Oesophago-Gastrectomy |
91,200 |
95,800 |
1,05,300 |
|
564 |
Truncal Vagotomy + Gastro Jejunostomy(44.3) |
48,900 |
51,300 |
56,500 |
|
565 |
Surgery For Bleeding Ulcers |
48,900 |
51,300 |
56,500 |
|
566 |
Surgery For Obscure Gi Bleed |
72,900 |
76,500 |
84,200 |
|
567 |
Gastro Jejuno-Colic Fistula Surgical Management |
62,100 |
65,200 |
71,700 |
|
568 |
Lap Fundoplications |
54,300 |
57,000 |
62,700 |
|
569 |
Extended Right Hemicolectomy |
48,300 |
50,700 |
55,800 |
|
570 |
I Stage-Sub Total Colectomy + Ileostomy(46.2) |
60,300 |
63,300 |
69,600 |
|
571 |
I Stage- Sub Total Colectomy + Ileostomy + J - Pouch |
96,300 |
1,01,100 |
1,11,200 |
|
572 |
II Stage-J - Pouch |
50,300 |
52,800 |
58,100 |
|
573 |
II Stage- Ileostomy Closure |
25,900 |
27,200 |
29,900 |
|
574 |
III Stage-Ileostomy Closure |
26,800 |
28,100 |
31,000 |
|
575 |
Surgical management of Volvulus |
49,200 |
51,700 |
56,800 |
|
576 |
Surgical management of Malrotation |
49,200 |
51,700 |
56,800 |
|
577 |
Abdomino Perineal Resection of rectum |
53,100 |
55,700 |
61,300 |
|
578 |
Hartman.S Procedure With Colostomy |
54,300 |
57,000 |
62,700 |
|
579 |
Anterior Resection of Large Intestine |
40,900 |
42,900 |
47,200 |
|
580 |
Anterior Resection With Ileostomy |
60,300 |
63,300 |
69,600 |
|
581 |
Anal Sphincter Repair -With Colostomy |
35,100 |
36,800 |
40,500 |
|
582 |
Anal Sphincter Repair -Without Colostomy |
32,500 |
34,100 |
37,600 |
|
583 |
Rt.Hepatectomy |
86,900 |
91,200 |
1,00,300 |
|
584 |
Lt.Hepatectomy |
90,300 |
94,800 |
1,04,300 |
|
585 |
Hepatectomy For Cholangiocarcinoma |
1,51,800 |
1,59,400 |
1,75,300 |
|
586 |
Hydatid Cyst-Marsupilisation |
40,300 |
42,300 |
46,500 |
|
587 |
Haemangioma Sol Liver Hepatectomy + Wedge Resection |
90,300 |
94,800 |
1,04,300 |
|
588 |
Hepato Cellular
Carcinoma(Advanced) Radio Frequency Ablation |
72,300 |
75,900 |
83,500 |
|
589 |
Segmentectomy |
60,300 |
63,300 |
69,600 |
|
590 |
Radical Extended Cholecystectomy For Ca Gall Bladder |
1,02,400 |
1,07,500 |
1,18,300 |
|
591 |
Cyst Excision+Hepatic Jejunostomy(51.37) |
56,100 |
58,900 |
64,800 |
|
592 |
Hepatico Jejunostomy |
67,600 |
70,900 |
78,000 |
|
593 |
Choledochoduodenostomy Or Choledocho Jejunostomy |
42,100 |
44,200 |
48,600 |
|
594 |
GB+ Calculi CBD Stones Or Dilated CBD |
50,300 |
52,800 |
58,100 |
|
595 |
Benign Biliary Stricture Repair |
1,02,100 |
1,07,200 |
1,17,900 |
|
596 |
Enucleation Of Cyst |
91,500 |
96,100 |
1,05,700 |
|
597 |
Triple Bypass -Pancreas |
61,500 |
64,600 |
71,000 |
|
598 |
Lateral Pancreaticojejunostomy(Non- Malignant) |
1,03,000 |
1,08,200 |
1,19,000 |
|
599 |
Other Bypasses -Pancreas |
40,800 |
42,800 |
47,100 |
|
600 |
Whipples Any Type |
1,02,700 |
1,07,800 |
1,18,600 |
|
601 |
Laproscopic Pancreatic Necrosectomy |
1,14,900 |
1,20,600 |
1,32,700 |
|
602 |
Open Pancreatic Necrosectomy |
1,23,100 |
1,29,200 |
1,42,100 |
|
603 |
Distal Pancreatectomy |
1,21,500 |
1,27,600 |
1,40,300 |
|
604 |
Distal Pancreatectomy +Splenectomy(41.5) |
1,21,500 |
1,27,600 |
1,40,300 |
|
605 |
Central Pancreatectomy |
1,21,500 |
1,27,600 |
1,40,300 |
|
606 |
Diaphragmatic Hernia (Gortex Mesh Repair) |
49,200 |
51,700 |
56,800 |
|
607 |
Rectovaginal fistula Management with Colostomy |
41,400 |
43,500 |
47,800 |
|
Cardiology
and Cardiothoracic Surgery |
||||
|
607 |
ASD Device Closure |
38,400 |
40,300 |
44,300 |
|
608 |
Balloon Aortic Valvotomy |
29,300 |
30,700 |
33,800 |
|
609 |
Balloon Atrial Septostomy |
30,500 |
32,000 |
35,200 |
|
610 |
Balloon Dilatation of Coartication of Aorta |
48,300 |
50,700 |
55,700 |
|
611 |
Balloon Dilatation of Pulmonary Artrey Stenosis |
48,300 |
50,700 |
55,700 |
|
612 |
Balloon Mitral Valvotomy |
41,300 |
43,300 |
47,600 |
|
613 |
Balloon Pulmonary Valvotomy |
29,300 |
30,700 |
33,800 |
|
614 |
Bronchial artery Embolisation (for Haemoptysis) |
41,000 |
43,100 |
47,400 |
|
615 |
Electrophysiological Study |
25,000 |
26,300 |
28,900 |
|
616 |
Electrophysiological Study with Radio Frequency Ablation |
25,000 |
26,300 |
28,900 |
|
617 |
Left Heart Catheterization |
6,300 |
6,600 |
7,200 |
|
618 |
PDA Device Closure |
27,500 |
28,900 |
31,800 |
|
619 |
PDA stenting |
46,400 |
48,700 |
53,600 |
|
620 |
Percutaneous Transluminal Septal Myocardial Ablation |
42,600 |
44,800 |
49,200 |
|
621 |
Peripheral Angioplasty |
46,800 |
49,100 |
54,000 |
|
622 |
PTCA, inclusive of diagnostic angiogram |
50,800 |
53,300 |
58,600 |
|
623 |
Right Heart Catheterization |
6,300 |
6,600 |
7,200 |
|
624 |
Systemic Thrombolysis (for MI) |
22,400 |
23,500 |
25,800 |
|
625 |
VSD Device Closure |
38,400 |
40,300 |
44,300 |
|
626 |
Permanent Pacemaker Implantation - Double Chamber |
33,800 |
35,400 |
39,000 |
|
627 |
Permanent Pacemaker Implantation - Single Chamber |
25,000 |
26,300 |
28,900 |
|
628 |
Temporary Pacemaker implantation |
24,000 |
25,200 |
27,700 |
|
629 |
Pericardiocentesis |
15,100 |
15,900 |
17,500 |
|
630 |
Catheter directed Thrombolysis for Deep
vein thrombosis (DVT) |
38,500 |
40,400 |
44,500 |
|
631 |
Catheter directed Thrombolysis for Mesenteric Thrombosis |
38,500 |
40,400 |
44,500 |
|
632 |
Catheter directed Thrombolysis for Peripheral vessels |
38,500 |
40,400 |
44,500 |
|
633 |
Aortic Aneurysm |
1,8 7,500 |
1,96,900 |
2,16,600 |
|
634 |
Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB) |
1,50,000 |
1,57,500 |
1,73,300 |
|
635 |
Aortic Aneurysm Repair using Left Heart Bypass |
1,50,000 |
1,57,500 |
1,73,300 |
|
636 |
Aortic
Aneurysm Repair without using Cardiopulmonary bypass (CPB) |
87,500 |
91,900 |
1,01,100 |
|
637 |
Aortic Aneurysm Repair without using Left Heart Bypass |
87,500 |
91,900 |
1,01,100 |
|
638 |
Aortic Arch Replacement using bypass |
1,87,500 |
1,96,900 |
2,16,600 |
|
639 |
Aortic Dissection |
1,87,500 |
1,96,900 |
2,16,600 |
|
640 |
Aortic Valve |
1,40,000 |
1,47,000 |
1,61,700 |
|
641 |
Aortic
Valve Repair/ Aortic Valve Replacement / Mitral Valve Repair / Mitral Valve Replacement / Tricuspid Valve Repair / Tircuspid Valve Replacement |
1,87,500 |
1,96,900 |
2,16,600 |
|
642 |
Aortic
Valve Repair/ Aortic Valve Replacement / Mitral Valve Repair / Mitral Valve Replacement / Tricuspid Valve Repair / Tircuspid Valve Replacement |
1,87,500 |
1,96,900 |
2,16,600 |
|
643 |
Aorto - carotid bypass |
62,500 |
65,600 |
72,200 |
|
644 |
Aorto - subclavian bypass |
62,500 |
65,600 |
72,200 |
|
645 |
Aorto femoral bypass - B/L |
87,500 |
91,900 |
1,01,100 |
|
646 |
Aorto femoral bypass - U/L |
87,500 |
91,900 |
1,01,100 |
|
647 |
Aorto lliac bypass - B/L |
87,500 |
91,900 |
1,01,100 |
|
648 |
Aorto lliac bypass - U/L |
87,500 |
91,900 |
1,01,100 |
|
649 |
AP window repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
650 |
Arch interruption Repair with VSD closure |
1,87,500 |
1,96,900 |
2,16,600 |
|
651 |
Arch interruption Repair without VSD closure |
1,87,500 |
1,96,900 |
2,16,600 |
|
652 |
Arterial switch operation |
1,87,500 |
1,96,900 |
2,16,600 |
|
653 |
ASD Closure + Infundibular procedure |
1,50,000 |
1,57,500 |
1,73,300 |
|
654 |
ASD Closure + Mitral procedure |
1,50,000 |
1,57,500 |
1,73,300 |
|
655 |
ASD closure + Partial Anomalous Venous Drainage Repair |
1,50,000 |
1,57,500 |
1,73,300 |
|
656 |
ASD Closure + Pulmonary procedure |
1,50,000 |
1,57,500 |
1,73,300 |
|
657 |
ASD Closure + Tricuspid procedure |
1,50,000 |
1,57,500 |
1,73,300 |
|
658 |
Atrial septectomy + Glenn |
1,50,000 |
1,57,500 |
1,73,300 |
|
659 |
Atrial septectomy + PA Band |
1,50,000 |
1,57,500 |
1,73,300 |
|
660 |
AVR + Root enlargement |
1,87,500 |
1,96,900 |
2,16,600 |
|
661 |
Axillary aneurysm repair |
62,500 |
65,600 |
72,200 |
|
662 |
Axillo - Brachial Bypass |
62,500 |
65,600 |
72,200 |
|
663 |
Axillo - femoral bypass - B/L |
62,500 |
65,600 |
72,200 |
|
664 |
Axillo - femoral bypass - U/L |
62,500 |
65,600 |
72,200 |
|
665 |
Bental Procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
666 |
Brachial aneurysm repair |
62,500 |
65,600 |
72,200 |
|
667 |
Carotid - endearterectomy |
62,500 |
65,600 |
72,200 |
|
668 |
Carotid aneurysm repair |
62,500 |
65,600 |
72,200 |
|
669 |
Carotid Body Tumor Excision |
62,500 |
65,600 |
72,200 |
|
670 |
Carotido - axillary bypass |
62,500 |
65,600 |
72,200 |
|
671 |
Carotido - subclavian bypass |
62,500 |
65,600 |
72,200 |
|
672 |
Carotio - carotid Bypass |
62,500 |
65,600 |
72,200 |
|
673 |
Closed Mitral Valvotomy including thoracotomy |
71,300 |
74,800 |
82,300 |
|
674 |
Coarctation repair |
1,25,000 |
1,31,300 |
1,44,400 |
|
675 |
Complete AV canal repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
676 |
Coronary artery bypass grafting (CABG) |
1,47,600 |
1,55,000 |
1,70,500 |
|
677 |
DORV Repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
678 |
Double switch operation |
1,87,500 |
1,96,900 |
2,16,600 |
|
679 |
Ebstien repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
680 |
Excessive bleeding requiring re- exploration |
12,500 |
13,100 |
14,400 |
|
681 |
Femoral - popliteal Bypass |
62,500 |
65,600 |
72,200 |
|
682 |
Femoral aneurysm repair |
62,500 |
65,600 |
72,200 |
|
683 |
Femoro - Femoral Bypass |
62,500 |
65,600 |
72,200 |
|
684 |
Fontan procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
685 |
Glenn procedure |
1,25,000 |
1,31,300 |
1,44,400 |
|
686 |
Immediate reoperation (within 5 days) |
|
|
|
|
687 |
Infundibular PS repair |
1,50,000 |
1,57,500 |
1,73,300 |
|
688 |
Intermediate AV canal repair |
1,50,000 |
1,57,500 |
1,73,300 |
|
689 |
Isolated Secundum Atrial Septal Defect (ASD) Repair |
1,25,000 |
1,31,300 |
1,44,400 |
|
690 |
Konno procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
691 |
Low Cardiac Output
syndrome requiring IABP insertion post - operatively |
62,500 |
65,600 |
72,200 |
|
692 |
Mitral Valve |
1,40,000 |
1,47,000 |
1,61,700 |
|
693 |
Mustard Operation |
1,87,500 |
1,96,900 |
2,16,600 |
|
694 |
Norwood procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
695 |
Partial AV canal repair |
1,50,000 |
1,57,500 |
1,73,300 |
|
696 |
Patent Ductus Arteriosus (PDA) Closure via thoracotomy |
71,300 |
74,800 |
82,300 |
|
697 |
Pericardial window (via thoracotomy) |
37,500 |
39,400 |
43,300 |
|
698 |
Pericardiectomy |
83,800 |
87,900 |
96,700 |
|
699 |
Peripheral arterial injury repair (without bypass) |
37,500 |
39,400 |
43,300 |
|
700 |
Popliteal aneurysm repair |
62,500 |
65,600 |
72,200 |
|
701 |
Pulmonary Artery Banding |
1,25,000 |
1,31,300 |
1,44,400 |
|
702 |
Pulmonary Embolectomy |
1,76,300 |
1,85,100 |
2,03,600 |
|
703 |
Pulmonary Resection |
87,500 |
91,900 |
1,01,100 |
|
704 |
Rastelli Procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
705 |
Re-do sternotomy |
25,000 |
26,300 |
28,900 |
|
706 |
Ross Procedure |
1,74,400 |
1,83,100 |
2,01,400 |
|
707 |
Senning Operation |
1,87,500 |
1,96,900 |
2,16,600 |
|
708 |
Sinus of Valsalva aneurysm
repair with aortic valve procedure |
1,50,000 |
1,57,500 |
1,73,300 |
|
709 |
Sinus of Valsalva aneurysm repair without aortic valve procedure |
1,50,000 |
1,57,500 |
1,73,300 |
|
710 |
Sub-aortic membrane resection |
1,50,000 |
1,57,500 |
1,73,300 |
|
711 |
Subclavian aneurysm repair |
62,500 |
65,600 |
72,200 |
|
712 |
Supravalvular AS repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
713 |
Surgery for Hypertrophic Obstructive
Cardiomyopathy (HOCM) |
1,38,800 |
1,45,700 |
1,60,300 |
|
714 |
Systemic - Pulmonary shunt |
1,25,000 |
1,31,300 |
1,44,400 |
|
715 |
TAPVC Repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
716 |
Tetralogy of Fallot Repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
717 |
Thoracic Outlet syndrome Repair |
62,500 |
65,600 |
72,200 |
|
718 |
Thoracoabdominal aneurysm Repair using bypass |
1,87,500 |
1,96,900 |
2,16,600 |
|
719 |
Thromboendarterectomy |
1,76,300 |
1,85,100 |
2,03,600 |
|
720 |
Tricuspid Valve |
1,40,000 |
1,47,000 |
1,61,700 |
|
721 |
Truncus arteriosus repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
722 |
Unifocalization of MAPCA |
1,25,000 |
1,31,300 |
1,44,400 |
|
723 |
Valve sparing root replacement |
1,87,500 |
1,96,900 |
2,16,600 |
|
724 |
Valvular PS repair |
1,50,000 |
1,57,500 |
1,73,300 |
|
725 |
Vascular Ring division |
1,25,000 |
1,31,300 |
1,44,400 |
|
726 |
VSD + Aortic procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
727 |
VSD + Coarctation repair |
1,87,500 |
1,96,900 |
2,16,600 |
|
728 |
VSD + Infundibular procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
729 |
VSD + Mitral procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
730 |
VSD + Pulmonary procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
731 |
VSD + Tricuspid procedure |
1,87,500 |
1,96,900 |
2,16,600 |
|
732 |
VSD closure |
1,50,000 |
1,57,500 |
1,73,300 |
|
733 |
VSD closure + RV - PA conduit |
1,87,500 |
1,96,900 |
2,16,600 |
|
734 |
Foreign Body Removal with scope |
25,000 |
26,300 |
28,900 |
|
735 |
Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy |
12,500 |
13,100 |
14,400 |
|
736 |
Space - Occupying Lesion (SOL) mediastinum |
81,900 |
86,000 |
94,600 |
|
737 |
Thromboembolectomy |
35,000 |
36,800 |
40,400 |
|
738 |
Decortication |
56,300 |
59,100 |
65,000 |
|
739 |
Diaphragmatic Repair |
37,500 |
39,400 |
43,300 |
|
740 |
Hydatid cyst |
56,300 |
59,100 |
65,000 |
|
741 |
Lung cyst exision |
56,300 |
59,100 |
65,000 |
|
742 |
Other simple lung procedure excluding lung resection |
56,300 |
59,100 |
65,000 |
|
743 |
Thoracotomy, Thoraco Abdominal Approach |
37,500 |
39,400 |
43,300 |
|
744 |
Surgery for Cardiac Tumour |
1,18,800 |
1,24,700 |
1,37,200 |
|
745 |
Surgical Correction of Bronchopleural Fistula |
81,300 |
85,300 |
93,800 |
|
746 |
Lung Resection |
50,000 |
52,500 |
57,750 |
|
747 |
Aortic Stenting (Single) |
5,00,000 |
5,25,000 |
5,77,500 |
|
748 |
AVR+ Pneumonectomy |
2,00,000 |
2,10,000 |
2,31,000 |
|
749 |
ALCAPA repair |
1,75,000 |
1,83,750 |
2,02,125 |
|
750 |
Tetralogy of Fallot - Systemic Pulmonary Shunts with Graft |
41,800 |
43,890 |
48,279 |
|
751 |
Tetralogy of Fallot - Systemic Pulmonary Shunts without Graft |
55,400 |
58,170 |
63,987 |
|
752 |
Tetralogy of Fallot - Total Correction |
95,000 |
99,750 |
1,09,725 |
|
753 |
Tetralogy of Fallot (Comple) - Total Correction |
1,35,000 |
1,41,750 |
1,55,925 |
|
754 |
Tetralogy of Fallot (Simple) - Total Correction |
1,10,500 |
1,16,025 |
1,27,628 |
|
755 |
Thoracic Vascular Injuries |
1,00,000 |
1,05,000 |
1,15,500 |
|
756 |
Transposition of Great Arteries |
1,05,000 |
1,10,250 |
1,21,275 |
|
757 |
Transposition of Great Arteries -
Arterial Switch |
1,50,000 |
1,57,500 |
1,73,250 |
|
758 |
Transposition of Great Arteries - Carotid Embolectomy |
70,000 |
73,500 |
80,850 |
|
759 |
Primary Angioplasty with thrombus aspiration with one DES |
90,000 |
94,500 |
1,03,950 |
|
760 |
Primary Angioplasty with thrombus aspiration with two DES |
1,20,000 |
1,26,000 |
1,38,600 |
|
761 |
FFR + Angioplasty with 1 drug eluting stent |
1,05,000 |
1,10,250 |
1,21,275 |
|
762 |
FFR + Angioplasty with 2 drug eluting stent |
1,35,000 |
1,41,750 |
1,55,925 |
|
763 |
FFR + Angioplasty with 3 drug eluting |
1,65,000 |
1,73,250 |
1,90,575 |
|
|
stent |
|
|
|
|
764 |
IABP + Angioplasty with 1 drug eluting stent |
1,05,000 |
1,10,250 |
1,21,275 |
|
765 |
IABP + Angioplasty with 2 drug eluting stent |
1,35,000 |
1,41,750 |
1,55,925 |
|
766 |
IABP + Angioplasty with 3 drug eluting stent |
1,65,000 |
1,73,250 |
1,90,575 |
|
767 |
angioplasty needing covered stent |
1,20,000 |
1,26,000 |
1,38,600 |
|
768 |
IVUS |
70,000 |
73,500 |
80,850 |
|
769 |
FFR |
40,000 |
42,000 |
46,200 |
|
770 |
IABP |
40,000 |
42,000 |
46,200 |
|
771 |
PERCUTANEOUS SEPTAL
MYOCARDIAL ABLATION (PTSMA) REQUIRING PPI VVI |
1,00,000 |
1,05,000 |
1,15,500 |
|
772 |
PERCUTANEOUS SEPTAL
MYOCARDIAL ABLATION (PTSMA) REQUIRING PPI DDD |
2,20,000 |
2,31,000 |
2,54,100 |
|
773 |
Peripheral Angioplasty
with single non collapsible stent /covered stent |
1,40,000 |
1,47,000 |
1,61,700 |
|
774 |
Vascular plugs |
80,000 |
84,000 |
92,400 |
|
775 |
Bioptome assisted coil embolisation |
60,000 |
63,000 |
69,300 |
|
PAEDIATRIC
SURGERIES |
||||
|
776 |
Surgical management of Encephalocele |
43,000 |
45,100 |
49,600 |
|
777 |
Surgical management of Neuroblastoma |
48,400 |
50,800 |
55,900 |
|
778 |
Adrenal Gland Surgeries In Paediatric patients(07.3&07.4) |
50,300 |
52,800 |
58,100 |
|
779 |
Execision of pediatric tumors |
53,600 |
56,300 |
61,900 |
|
780 |
Surgical treatment for Preauricular sinus in pediatric patient |
10,600 |
11,100 |
12,200 |
|
781 |
Surgical correction of Microtia/Anotia In Paediatric Patient |
35,800 |
37,600 |
41,400 |
|
782 |
Excision of Retention Cyst Lip |
3,100 |
3,200 |
3,500 |
|
783 |
Surgical correction of Cleft Lip in children |
27,100 |
28,400 |
31,300 |
|
784 |
Surgical correction of Cleft Palate |
28,000 |
29,400 |
32,300 |
|
785 |
Surgical corection of Velo-Pharyngeal Incompetence |
38,900 |
40,900 |
45,000 |
|
786 |
Surgical
management
of Sinuses
& Fistula of the neck in Paediatric Patient |
21,800 |
22,900 |
25,100 |
|
787 |
Excision ofThoracoscopic cysts |
41,500 |
43,600 |
47,900 |
|
788 |
Open excision of Lung cyst In Paediatric Patient |
41,200 |
43,300 |
47,600 |
|
789 |
Mediastinal Cyst Excision In Paediatric Patients |
66,900 |
70,200 |
77,300 |
|
790 |
Empyema decortication In Paediatric Patients |
32,100 |
33,700 |
37,100 |
|
791 |
Empyema-ICD drainage In Paediatric |
10,900 |
11,400 |
12,600 |
|
792 |
Thoracoscopic Decortication In Paediatric |
49,500 |
52,000 |
57,200 |
|
793 |
Surgical Correction of Thoracic Wall defects |
65,900 |
69,200 |
76,100 |
|
794 |
Excision of Haemangioma |
19,100 |
20,100 |
22,100 |
|
795 |
Surgical management of Lymphangioma In Paediatric Patients |
49,200 |
51,600 |
56,800 |
|
796 |
Paediatric Splenectomy (Non Traumatic) |
44,700 |
46,900 |
51,600 |
|
797 |
Surgical management of
Oesophageal Atresia In Paediatric Patients |
64,600 |
67,800 |
74,600 |
|
798 |
Surgical Correction of Thoracic Duplications In Paediatric Patients |
47,200 |
49,600 |
54,600 |
|
799 |
Surgical Correction of EsophagealObstructions In Paediatric Patients |
60,000 |
63,000 |
69,300 |
|
800 |
Surgical Correction of Esophageal Substitutions In Paediatric Patients |
76,200 |
80,000 |
88,000 |
|
801 |
Surgical management of -
Gastric Outlet Obstructions In Paediatric Patients |
31,200 |
32,800 |
36,000 |
|
802 |
Surgical management of Gastro Esophageal Reflux In Paediatric Patients |
38,200 |
40,100 |
44,100 |
|
803 |
Surgical Management of Intestinal Atresias & Obstructions
In Paediatric Patients |
65,900 |
69,200 |
76,100 |
|
804 |
Surgical management of Intestinal Polyposis In Paediatric Patients |
61,500 |
64,600 |
71,000 |
|
805 |
Meckel's Diverticulectomy In Paediatric Patients |
43,000 |
45,200 |
49,700 |
|
806 |
Stage 2 procedure for Anorectal
Malformations In Paediatric Patients |
62,100 |
65,200 |
71,700 |
|
807 |
Stage 1 procedure for Anorectal
Malformations In Paediatric Patients |
49,500 |
52,000 |
57,200 |
|
808 |
Stage 1 procedure for
Hirschprungs Disease In Paediatric Patients |
48,600 |
51,000 |
56,100 |
|
809 |
Feeding Jejunostomy In Paediatric Patients |
30,400 |
31,900 |
35,100 |
|
810 |
Ileostomy closure In Paediatric Patients |
26,800 |
28,100 |
30,900 |
|
811 |
Stage 2 procedure for
Hirschprungs Disease In Paediatric Patients |
73,500 |
77,200 |
84,900 |
|
812 |
Colostomy closure In Paediatric Patients |
25,900 |
27,200 |
29,900 |
|
813 |
Surgical mangement of
Acute Intestinal Obstruction In Paediatric Patients |
51,000 |
53,600 |
58,900 |
|
814 |
Rectal polypectomy In Paediatric Patients |
8,300 |
8,700 |
9,600 |
|
815 |
Laparoscopic Pull Through
For Ano Rectal Anomalies In Paediatric Patients |
73,800 |
77,500 |
85,200 |
|
816 |
Laparoscopic Pull Through Surgeries For
Hirschprungs Disease In Paediatric Patients |
73,500 |
77,200 |
84,900 |
|
817 |
Surgical mangement of Anal
Fissure and Fistula In Paediatric Patients |
24,100 |
25,300 |
27,800 |
|
818 |
Surgical Management of
Biliary Atresia & Choledochal Cyst In Paediatric Patients |
71,900 |
75,500 |
83,000 |
|
819 |
Pancreatic surgery in Paediatric Patients |
76,500 |
80,300 |
88,400 |
|
820 |
Unilateral Inguinal Hernia repair In Paediatric Patients |
15,300 |
16,100 |
17,700 |
|
821 |
Bilateral Inguinal Hernia repair In Paediatric Patients |
20,300 |
21,300 |
23,400 |
|
822 |
Lumbar Hernia repair In Paediatric Patients |
16,800 |
17,600 |
19,400 |
|
823 |
Femoral Hernia repair In Paediatric Patients |
15,300 |
16,100 |
17,700 |
|
824 |
Umbilical Hernia repair In Paediatric Patients |
20,300 |
21,300 |
23,400 |
|
825 |
Incisional Hernia repair In Paediatric Patients |
32,700 |
34,300 |
37,800 |
|
826 |
Open repair of diaphragmatic hernia in Paediatric patients |
75,600 |
79,400 |
87,400 |
|
827 |
Correction of Vitello intestinal duct anomalies in Paediatric
Patients |
40,000 |
42,000 |
46,200 |
|
828 |
Repair of Abdominal wall defects |
76,500 |
80,300 |
88,400 |
|
829 |
Surgical management of Abdominal
trauma in Paediatric Patients |
62,400 |
65,500 |
72,100 |
|
830 |
Surgical management of peritonitis in Paediatric Patients |
40,900 |
42,900 |
47,200 |
|
831 |
Correction of Duplications
of alimentary tract in Paediatric Patients |
48,700 |
51,100 |
56,200 |
|
832 |
Simple Nephrectomy |
41,200 |
43,300 |
47,600 |
|
833 |
Surgical Management of
Congenital Hydronephrosis in Paediatric Patients |
56,200 |
59,000 |
64,900 |
|
834 |
Open ureterolithotomy |
30,300 |
31,800 |
35,000 |
|
835 |
Ureterostomy in Paediatric Patients |
33,900 |
35,500 |
39,100 |
|
836 |
Ureteric Reimplantations |
36,600 |
38,400 |
42,200 |
|
837 |
Ureteric Implantation with tailoring |
43,700 |
45,900 |
50,500 |
|
838 |
Vesical calculi-vesicolithotomy in Paediatric Patients |
25,100 |
26,400 |
29,000 |
|
839 |
Supra pubic drainage- open in Paediatric Patients |
11,200 |
11,800 |
12,900 |
|
840 |
Vesicostomy |
27,300 |
28,600 |
31,500 |
|
841 |
Vesicotomy closure in Paediatric Patients |
28,700 |
30,100 |
33,200 |
|
842 |
Stage 1 procedure for Exstrophy Bladder in Paediatric Patients |
75,300 |
79,100 |
87,000 |
|
843 |
Stage 2 procedure for Exstrophy Bladder in Paediatric Patients |
71,700 |
75,300 |
82,800 |
|
844 |
Bladder augmentation |
54,400 |
57,200 |
62,900 |
|
845 |
Repair of Urethral injuries in Paediatric Patients |
27,500 |
28,900 |
31,800 |
|
846 |
Surgical Management of Posterior Urethral Valves |
32,100 |
33,700 |
37,100 |
|
847 |
Single Stage procedure for Hypospadiasis |
43,900 |
46,100 |
50,700 |
|
848 |
Stage 1 procedure for Hypospadiasis |
31,500 |
33,000 |
36,300 |
|
849 |
Stage 2 procedure for Hypospadiasis |
31,700 |
33,300 |
36,600 |
|
850 |
Surgical Correction of Epispadiasis |
43,700 |
45,800 |
50,400 |
|
851 |
Surgical Correction of Scrotal Transposition In Paediatric Patients |
20,900 |
21,900 |
24,100 |
|
852 |
Surgical management of
Undescended Testis In Paediatric Patients |
25,900 |
27,200 |
29,900 |
|
853 |
Laparoscopic Orchidopexy In Paediatric Patients |
27,100 |
28,500 |
31,300 |
|
854 |
Laparoscopic Varicocele Ligation |
41,200 |
43,300 |
47,600 |
|
855 |
Open Varicocele ligation |
32,700 |
34,300 |
37,800 |
|
856 |
Hydrocele high ligation In Paediatric Patients |
15,300 |
16,100 |
17,700 |
|
857 |
Surgical Management for Torsion of Testis |
27,000 |
28,400 |
31,200 |
|
858 |
Surgical Management of Phimosis and Paraphimosis |
8,600 |
9,000 |
9,900 |
|
859 |
Intersex-Genitoplasty surgery(70.6) |
47,500 |
49,900 |
54,800 |
|
860 |
Surgical Management of Tempero mandibular Joint Ankylosis |
47,200 |
49,600 |
54,600 |
|
861 |
Management Of Tmj Dysfunction Syndrome (76.94) |
1,100 |
1,100 |
1,300 |
|
862 |
Execision of cogental dermal sinus |
30,600 |
32,100 |
35,300 |
|
863 |
Surgical Management of Torticollis in Paediatric Patient |
16,100 |
16,900 |
18,600 |
|
864 |
Excision of External angular dermoid in Paediatric Patient |
8,400 |
8,800 |
9,600 |
|
865 |
Surgical Management (excision) of Congenital Dermal Sinus |
30,600 |
32,100 |
35,300 |
|
866 |
Excision of Sebacencyst Lipoma in Paediatric Patient |
6,100 |
6,400 |
7,100 |
|
867 |
Excision of hamartoma |
20,600 |
21,600 |
23,800 |
|
868 |
Execision of cysti lesions of neck |
27,100 |
28,500 |
31,300 |
|
869 |
Surgical correction
of Syndactyly
of Hand For Each Hand in Paediatric Patient |
27,100 |
28,400 |
31,300 |
|
870 |
Syndactoly correction-multiple correction in Paediatric Patient |
29,500 |
31,000 |
34,100 |
|
871 |
Anal Dilatation |
5,300 |
5,600 |
6,100 |
|
GENITO URINARY
SURGERIES |
||||
|
872 |
Renal angio embolization |
36,100 |
37,900 |
41,700 |
|
873 |
A.V. Fistula surgery
(creation) [Pre- Transplant Procedure Only |
10,900 |
11,400 |
12,600 |
|
874 |
Balloon dialatation of transplant Renal Artery stenosis |
34,100 |
35,800 |
39,400 |
|
875 |
AV Fistula |
12,500 |
13,100 |
14,400 |
|
876 |
Open post transplant lymphocele |
30,800 |
32,400 |
35,600 |
|
877 |
Laproscopic post transplant lymphocele |
32,900 |
34,500 |
38,000 |
|
878 |
Uni-lateral illioinguinal
block dissection in non malignant conditions |
31,500 |
33,100 |
36,400 |
|
879 |
Bi-lateral illioinguinal
block dissection in non malignant conditions |
65,400 |
68,600 |
75,500 |
|
880 |
Surgery for Retroperitoneal Fibrosis Open/Lap |
40,900 |
43,000 |
47,300 |
|
881 |
Parapelvic Cyst Excision-Open/Lap |
33,800 |
35,500 |
39,000 |
|
882 |
Open Nephrolithotomy |
25,900 |
27,200 |
29,900 |
|
883 |
Nephrostomy - Renal |
13,900 |
14,600 |
16,100 |
|
884 |
Percutaneous Nephrolithotomy |
36,400 |
38,200 |
42,000 |
|
885 |
Nephrectomy for Pyonephrosis/Xgp |
40,900 |
42,900 |
47,200 |
|
886 |
Laproscopic Partial Nephrectomy |
62,400 |
65,500 |
72,100 |
|
887 |
Laproscopic Simple Nephrectomy |
52,400 |
55,000 |
60,500 |
|
888 |
Laproscopic Radical Nephrectomy |
63,100 |
66,200 |
72,900 |
|
889* |
a) Haemodialysis b) Peritoneal Dialysis |
1500 1800 |
1500 1800 |
1500 1800 |
|
890 |
Nephropexy |
37,900 |
39,800 |
43,700 |
|
891 |
Revascularization procedure for renovascular hypertension |
29,900 |
31,400 |
34,600 |
|
892 |
Open Pyelolithotomy |
23,000 |
24,100 |
26,500 |
|
893 |
Laparoscopic Pyelolithotomy |
43,000 |
45,200 |
49,700 |
|
894 |
Anatrophic Peylolithotomy For Staghorn Caliculus |
51,800 |
54,400 |
59,800 |
|
895 |
Partial stag horn caluculi |
35,300 |
37,000 |
40,700 |
|
896 |
Complete stag horn caluculi |
40,100 |
42,100 |
46,300 |
|
897 |
Renal Cyst Excision |
24,700 |
26,000 |
28,600 |
|
898 |
Radical Nephro-Ureterectomy |
52,100 |
54,700 |
60,200 |
|
899 |
Bilateral Nephroureterectomy |
82,100 |
86,200 |
94,800 |
|
900 |
Laproscopic unilateral Nephroureterectomy |
50,900 |
53,400 |
58,800 |
|
901 |
Open unilateral Nephroureterectomy |
47,400 |
49,800 |
54,700 |
|
902 |
Hemi- Nephroureterectomy |
47,100 |
49,500 |
54,400 |
|
903 |
Post transplant graft Nephrectomy |
37,100 |
39,000 |
42,900 |
|
904 |
Renal auto transplantation |
61,500 |
64,600 |
71,000 |
|
905 |
Surgical Management of Congenital Hydronephrosis |
37,100 |
39,000 |
42,900 |
|
906 |
Anderson Hynes Pyeloplasty |
49,500 |
52,000 |
57,200 |
|
907 |
Retrograde Intrarenal Surgery(RIRS) |
32,500 |
34,100 |
37,500 |
|
908 |
Laparoscopic deroofing of Renal Cyst |
33,000 |
34,600 |
38,100 |
|
909 |
URSL |
26,200 |
27,500 |
30,300 |
|
910 |
Laparoscopic ureterolithotromy |
31,500 |
33,100 |
36,400 |
|
911 |
Surgical corrrection of Ureterocele |
24,600 |
25,800 |
28,400 |
|
912 |
Excision of Ureterocele with Ureteric Implantation |
43,900 |
46,100 |
50,700 |
|
913 |
Surgical Procedure for Ileal Conduit Formation |
42,200 |
44,300 |
48,700 |
|
914 |
Post transplant revision Ureteroneo cystostomy/Pyelo Ureterostomy |
39,400 |
41,300 |
45,500 |
|
915 |
Ureteric replacement |
46,400 |
48,700 |
53,600 |
|
916 |
Uretero ureterostomy |
34,000 |
35,700 |
39,300 |
|
917 |
Balloon dilatation of Ureteric stricture |
20,700 |
21,700 |
23,900 |
|
918 |
Cystolithotripsy |
14,200 |
14,900 |
16,400 |
|
919 |
Endoscope removel of stone in bladder |
14,900 |
15,600 |
17,200 |
|
920 |
Partial Cystectomy |
35,400 |
37,100 |
40,800 |
|
921 |
Total Cystectomy |
47,100 |
49,500 |
54,400 |
|
922 |
Open Cystolithotomy |
20,900 |
22,000 |
24,200 |
|
923 |
Mitrafanoff procedure |
49,000 |
51,400 |
56,500 |
|
924 |
Transurethral resection of bladder tumour (TURBT) |
39,900 |
41,900 |
46,100 |
|
925 |
Transurethral resection of bladder tumour (TURBT) with intravesical Mitomycin instillation |
35,900 |
37,700 |
41,500 |
|
926 |
Excision of Urachal cyst |
36,200 |
38,000 |
41,800 |
|
927 |
Bladder Diverticulectomy |
34,000 |
35,700 |
39,300 |
|
928 |
Laproscopic radical cystectomy with Ilealconduit diversion |
1,26,500 |
1,32,800 |
1,46,100 |
|
929 |
Laproscopic radical
cystectomy with Ureterosigmoidostomy(57.88) |
59,700 |
62,700 |
68,900 |
|
930 |
Open radical cystectomy with Ureterosigmoidostomy (57.88) |
48,000 |
50,400 |
55,400 |
|
931 |
Laproscopic radical cystectomy with Continent Urinary diversion(56.7) |
65,600 |
68,800 |
75,700 |
|
932 |
Open radical cystectomy with Continent Urinary diversion |
53,000 |
55,700 |
61,200 |
|
933 |
Surgical correction of Vesicovaginal Fistula |
45,800 |
48,100 |
52,900 |
|
934 |
Transvaginal repair of Vesicovaginal Fistula |
37,900 |
39,800 |
43,800 |
|
935 |
Trans abdominal repair of
Vesicovaginal Fistula with omentoplasty |
55,800 |
58,600 |
64,400 |
|
936 |
Caecocystoplasty |
44,800 |
47,100 |
51,800 |
|
937 |
Bladder neck incision |
25,300 |
26,600 |
29,300 |
|
938 |
Bladder neck reconstruction for Incontinence |
62,100 |
65,200 |
71,700 |
|
939 |
Perineal Urethrostomy |
33,200 |
34,800 |
38,300 |
|
940 |
Optical Urethrotomy |
22,400 |
23,600 |
25,900 |
|
941 |
BMG Urethroplasty for pan Urethral stricture |
66,500 |
69,800 |
76,800 |
|
942 |
Dilatation for Urethra stenosis |
10,900 |
11,400 |
12,600 |
|
943 |
Excision of Urethral Caruncle |
16,600 |
17,400 |
19,100 |
|
944 |
Urethral Fistula closure |
31,500 |
33,100 |
36,400 |
|
945 |
Single stage- Urethroplasty for Stricture |
53,300 |
56,000 |
61,600 |
|
946 |
Double stage Urethroplasty
(Reconstruction Procedure) for stricture Urethra. |
40,200 |
42,200 |
46,400 |
|
947 |
Meatoplasty |
12,600 |
13,200 |
14,500 |
|
948 |
Transpubic Urethroplasty with Omentoplasty |
68,600 |
72,000 |
79,200 |
|
949 |
Urethroplasty doblestage stage I |
40,800 |
42,800 |
47,100 |
|
950 |
Urethroplasty doublestage stageII |
40,200 |
42,200 |
46,400 |
|
951 |
Nephrolysis/surgery for Chyluria Open/Lap |
41,800 |
43,900 |
48,300 |
|
952 |
Surgical Management of Incontinence Urine (Male) |
26,800 |
28,100 |
31,000 |
|
953 |
Surgical Management of Incontinence Urine (Female) |
22,900 |
24,000 |
26,400 |
|
954 |
MMK/birch colpo suspension for stress urinary Incontinence |
42,100 |
44,200 |
48,600 |
|
955 |
Dj Stent (One Side) |
5,300 |
5,600 |
6,100 |
|
956 |
CAPD-Tenchkoff catheter insertion |
38,600 |
40,600 |
44,600 |
|
957 |
Drainage of Perinephric Abscess |
40,100 |
42,100 |
46,300 |
|
958 |
Mid urethral sling procedure for stress urinary incontinence |
31,500 |
33,100 |
36,400 |
|
959 |
Open Prostatectomy |
34,500 |
36,200 |
39,800 |
|
960 |
Laproscopic radical Prostratectomy |
57,100 |
60,000 |
66,000 |
|
961 |
Open radical Prostratectomy |
50,900 |
53,400 |
58,800 |
|
962 |
Laser Prostatectomy |
41,500 |
43,600 |
47,900 |
|
963 |
Transurethral Resection of Prostate (TURP) |
31,500 |
33,100 |
36,400 |
|
964 |
Transurethral Resection of Prostate (TURP) Cyst Lithotripsy |
30,900 |
32,400 |
35,700 |
|
965 |
Bipolar TURP |
41,500 |
43,600 |
47,900 |
|
966 |
Scrotal/Perineal Injuries |
29,600 |
31,000 |
34,100 |
|
967 |
Orchidopexy Bilateral |
24,700 |
25,900 |
28,500 |
|
968 |
Vasectomy reversal |
23,900 |
25,100 |
27,600 |
|
969 |
Partial amputation of penis |
38,200 |
40,100 |
44,100 |
|
970 |
Surgical correction of Chordee |
34,700 |
36,400 |
40,000 |
|
971 |
Surgical Correction of Chordee without Hypospadiasis |
34,400 |
36,100 |
39,800 |
|
972 |
Surgical Management of Penile Injuries |
26,200 |
27,500 |
30,300 |
|
973 |
Plaque Excision/Plasty for Penile curvature/Peyronies disease |
42,100 |
44,200 |
48,600 |
|
974 |
Surgery for Priapism |
37,100 |
39,000 |
42,900 |
|
975 |
Difficult vascular access/graft |
31,500 |
33,100 |
36,400 |
|
976 |
CAPD-Tenchkoff catheter removal |
36,000 |
37,800 |
41,600 |
|
977 |
CAPD bags per month |
8,500 |
8,900 |
9,800 |
|
978 |
Cystoscopy/ Stent removal |
9,400 |
9,900 |
10,900 |
|
979 |
Extracorporeal shockwave lithotripsy (ESWL) |
20,600 |
21,600 |
23,800 |
|
980 |
Post Renal Transplant Immunosuppressive
Treatment From 1st To 6th Months |
91,700 |
96,300 |
1,05,900 |
|
981 |
Post Renal Transplant Immunosuppressive
Treatment From 7th To 12 Th Month. |
61,200 |
64,300 |
70,700 |
|
982 |
Intravesical BCG Induction therapy |
10,100 |
10,600 |
11,600 |
|
983 |
Intravesical BCG maintenance |
18,100 |
19,000 |
20,900 |
|
NEURO
SURGERY |
||||
|
984 |
Twist Drill Craniostomy |
15,600 |
16,400 |
18,000 |
|
985 |
Subdural Tapping |
19,500 |
20,500 |
22,500 |
|
986 |
Ventricular Tapping |
15,000 |
15,800 |
17,300 |
|
987 |
Burr Hole procedure for evacuation of Brain Abscess |
32,700 |
34,300 |
37,700 |
|
988 |
Endoscopy Procedures -Brain |
79,800 |
83,800 |
92,200 |
|
989 |
Craniotomy And Evacuation of Subdural |
66,000 |
69,300 |
76,200 |
|
|
Haematoma |
|
|
|
|
990 |
Craniotomy And Evacuation of Extradural Haematoma |
60,000 |
63,000 |
69,300 |
|
991 |
De-Compressive Craniectomy (Non Traumatic) |
80,600 |
84,600 |
93,100 |
|
992 |
Tapping of Brain Abscess |
40,000 |
42,000 |
46,200 |
|
993 |
Evacuation of Intra-Cerebral Hematoma |
72,000 |
75,600 |
83,200 |
|
994 |
Temporal Lobectomy Plus Depth Electrodes |
1,40,300 |
1,47,300 |
1,62,000 |
|
995 |
Temporal Lobectomy |
75,600 |
79,400 |
87,300 |
|
996 |
Excision of Lobe(frontal,temporal,cerebellum Etc.) |
40,300 |
42,300 |
46,500 |
|
997 |
Excision of Parasagital Brain tumour |
70,400 |
73,900 |
81,300 |
|
998 |
Excision of Basal Brain tumour |
70,300 |
73,800 |
81,200 |
|
999 |
Excision of Brain Stem Brain tumour |
70,900 |
74,400 |
81,900 |
|
1000 |
Excision of C P Angle Brain tumour |
80,300 |
84,300 |
92,700 |
|
1001 |
Excision of Other Brain tumours |
48,600 |
51,000 |
56,100 |
|
1002 |
Lesionectomy Type 1 |
57,200 |
60,000 |
66,000 |
|
1003 |
Lesionectomy Type 2 |
57,400 |
60,200 |
66,200 |
|
1004 |
Excision of Subtentorial Brain Tumours |
48,600 |
51,000 |
56,100 |
|
1005 |
Evacuation of Brain Abscess |
60,000 |
63,000 |
69,300 |
|
1006 |
Surgical Management of Meningomyelocele |
40,600 |
42,600 |
46,900 |
|
1007 |
Intra Ventricular Tumours |
60,600 |
63,600 |
70,000 |
|
1008 |
Meningocele Excision |
40,300 |
42,300 |
46,500 |
|
1009 |
Excision of brain abscess |
70,300 |
73,800 |
81,200 |
|
1010 |
Cranioplasty |
30,300 |
31,800 |
35,000 |
|
1011 |
Depressed / Elevated Fracture |
30,300 |
31,800 |
35,000 |
|
1012 |
Endoscopic Third Ventriculostomy |
30,900 |
32,400 |
35,700 |
|
1013 |
Cranioplasty With Impants |
30,300 |
31,800 |
35,000 |
|
1014 |
Cranioplasty With Titanium Mesh |
31,900 |
33,500 |
36,900 |
|
1015 |
Surgical Management of Meningo Encephalocele |
40,600 |
42,600 |
46,900 |
|
1016 |
Surgical Management of C.S.F. Rhinorrhoea |
40,600 |
42,600 |
46,900 |
|
1017 |
Ventriculo Atrial Shunt |
21,500 |
22,600 |
24,800 |
|
1018 |
Atrial shunt |
20,000 |
21,000 |
23,100 |
|
1019 |
Ventriculo Peritoneal Shunt |
30,000 |
31,500 |
34,700 |
|
1020 |
Ventriculoatrial / Ventriculoperitonial shunt |
20,000 |
21,000 |
23,100 |
|
1021 |
External Ventricular Drainage (EVD) |
40,000 |
42,000 |
46,200 |
|
1022 |
Selective Posterior Rhizotomy |
30,300 |
31,800 |
35,000 |
|
1023 |
Surgery for Cord Tumours |
38,900 |
40,800 |
44,900 |
|
1024 |
Surgical Management of Intra Medullary Spinal Tumours |
51,200 |
53,800 |
59,100 |
|
1025 |
Surgical Management of Syringomyelia |
60,600 |
63,600 |
70,000 |
|
1026 |
Laminectomy |
27,300 |
28,600 |
31,500 |
|
1027 |
Laminoplasty With Implants |
30,800 |
32,300 |
35,600 |
|
1028 |
Endoscopy - Spinal |
29,900 |
31,400 |
34,500 |
|
1029 |
Meningo Myelocele Spinal Procedure |
25,600 |
26,900 |
29,600 |
|
1030 |
Surgical Management of Spina Bifida Major |
35,600 |
37,400 |
41,100 |
|
1031 |
Surgical Management of Spina Bifida Minor |
30,300 |
31,800 |
35,000 |
|
1032 |
Facet, Nerve Root Blocks |
10,000 |
10,500 |
11,600 |
|
1033 |
Radiofrequency Ablation For Trigeminal Neuralgia |
30,600 |
32,100 |
35,300 |
|
1034 |
Radio Surgery For Brain
Tumours & Vascular Malformations/ Trigeminal Neuralgia |
25,300 |
26,600 |
29,200 |
|
1035 |
Surgical treatment for brachial plexus injuries |
72,900 |
76,500 |
84,200 |
|
1036 |
Microvascular Decompression For Trigeminal Neuralgia |
60,300 |
63,300 |
69,600 |
|
1037 |
Surgical management Carpal tunnel syndrome |
10,000 |
10,500 |
11,600 |
|
1038 |
Peripheral Nerve Injury Repair |
40,900 |
42,900 |
47,200 |
|
1039 |
Cervical Sympathectomy |
31,200 |
32,800 |
36,000 |
|
1040 |
Lumbar Sympathectomy |
31,500 |
33,100 |
36,400 |
|
1041 |
Trans Sphenoidal Surgery |
40,300 |
42,300 |
46,500 |
|
1042 |
Carotid Endarterectomy |
40,600 |
42,600 |
46,900 |
|
1043 |
Intra Cranial Vascular Bypass |
1,00,900 |
1,05,900 |
1,16,500 |
|
1044 |
Aneurysm Clipping |
1,10,000 |
1,15,500 |
1,27,100 |
|
1045 |
Other Vascular Malformations (Other Than
AVM) - Cavernomas, AV Fistulas, Sinus Pericranii |
60,900 |
63,900 |
70,300 |
|
1046 |
Embolization of Aneurysm |
76,500 |
80,300 |
88,400 |
|
1047 |
Brain Tumour Embolisation |
28,300 |
29,700 |
32,700 |
|
1048 |
Coil Embolization of Aneurysm (each coil cost) |
30,000 |
31,500 |
34,700 |
|
1049 |
Surgical Management of Vascular Malformations |
60,600 |
63,600 |
70,000 |
|
1050 |
Spinal Fixation Rods And Plates, Artificial Discs |
85,600 |
89,900 |
98,900 |
|
1051 |
Anterior Lateral Decompression |
31,200 |
32,800 |
36,000 |
|
1052 |
Postirior cervical disectomy |
27,300 |
28,600 |
31,500 |
|
1053 |
Excision Of Cervical Inter-Vertebral Discs |
31,200 |
32,800 |
36,000 |
|
1054 |
Anterior Discectomy & Bone Grafting |
41,200 |
43,300 |
47,600 |
|
1055 |
Discectomy With Implants |
65,600 |
68,900 |
75,800 |
|
1056 |
Anterior Cervical Discectomy |
27,600 |
28,900 |
31,800 |
|
1057 |
Disectomy |
27,000 |
28,300 |
31,100 |
|
1058 |
Corpectomy For Spinal Fixation |
75,600 |
79,400 |
87,300 |
|
1059 |
Spinal Fusion Procedure |
50,600 |
53,100 |
58,400 |
|
1060 |
Trans Oral Surgery |
40,300 |
42,300 |
46,500 |
|
1061 |
Combined Trans-Oral Surgery & Cv Junction Fusion |
51,800 |
54,400 |
59,800 |
|
1062 |
C.V. Junction Fusion |
40,600 |
42,600 |
46,900 |
|
1063 |
Anterior Cervical Spine Surgery With Fusion |
45,600 |
47,900 |
52,700 |
|
1064 |
Excision Of Scalp Lesions |
10,000 |
10,500 |
11,600 |
|
1065 |
Stereotactic Procedures |
20,600 |
21,600 |
23,800 |
|
SURGICAL
ONCOLOGY |
||||
|
1066 |
Thyroidectomy any type in malignant conditions |
31,200 |
32,800 |
36,000 |
|
1067 |
Parathyroidectomy in malignant conditions |
36,200 |
38,000 |
41,800 |
|
1068 |
Excision of Solitory Thyroid nodule in malignant conditions |
37,200 |
39,000 |
43,000 |
|
1069 |
Thyroidectomy for solitary nodule in malignant conditions |
38,800 |
40,800 |
44,900 |
|
1070 |
Laparoscopic Biilateral adrenalectomy in malignant conditions |
41,100 |
43,100 |
47,400 |
|
1071 |
Unilateral Adrenalectomy in malignant conditions |
67,100 |
70,500 |
77,500 |
|
1072 |
Maxillectomy + Orbital Exenteration in malignant conditions |
55,700 |
58,500 |
64,300 |
|
1073 |
Orbital Exenteration in malignant conditions |
44,200 |
46,400 |
51,000 |
|
1074 |
Laproscopic Right Hemicolectomy in malignant conditions |
40,000 |
42,000 |
46,200 |
|
1075 |
Hartman procedure in malignant conditions |
51,300 |
53,900 |
59,200 |
|
1076 |
Laparoscopic Left Hemicolectomy in malignant conditions |
40,000 |
42,000 |
46,200 |
|
1077 |
Sleeve Resection of Ear in malignant conditions |
47,300 |
49,700 |
54,600 |
|
1078 |
Hemiglossectomy in malignant conditions |
43,400 |
45,500 |
50,100 |
|
1079 |
Total Glossectomy +
Reconstruction in malignant conditions(25.59) |
59,400 |
62,300 |
68,500 |
|
1080 |
Parotidectomy any type in malignant conditions |
26,200 |
27,500 |
30,300 |
|
1081 |
Excision of Submandibular gland in malignant conditions |
26,900 |
28,200 |
31,100 |
|
1082 |
Palatectomy any type in malignant conditions |
41,000 |
43,000 |
47,300 |
|
1083 |
Full Thickness Buccal Mucosal Resection & Reconstruction in malignant conditions(27.59) |
65,100 |
68,400 |
75,200 |
|
1084 |
Excision of Parapharyngeal tumours in malignant conditions |
48,900 |
51,400 |
56,500 |
|
1085 |
Resection of Nasopharyngeal Tumor in malignant conditions |
79,300 |
83,300 |
91,600 |
|
1086 |
Laryngectomy Any Type in malignant conditions |
69,700 |
73,200 |
80,500 |
|
1087 |
Laryngopharyngo Oesophagectomy in malignant conditions |
99,100 |
1,04,100 |
1,14,500 |
|
1088 |
Tracheal Resection in malignant conditions - CA Thyroid/CA Trachea |
66,800 |
70,100 |
77,200 |
|
1089 |
Sleeve Resection of Lung Cancer |
1,10,100 |
1,15,600 |
1,27,200 |
|
1090 |
Lobectomy for Carcinoma Lung |
77,900 |
81,800 |
90,000 |
|
1091 |
Pneumonectomy for Carcinoma Lung |
81,200 |
85,200 |
93,800 |
|
1092 |
Icd + pleurodesis |
21,500 |
22,600 |
24,800 |
|
1093 |
Solitary Lung Metastatectomy in malignant conditions |
70,000 |
73,500 |
80,800 |
|
1094 |
Lung Metastatectomy multiple in malignant conditions |
78,900 |
82,800 |
91,100 |
|
1095 |
Resection of mediastinal tumors in malignant conditions |
64,700 |
67,900 |
74,700 |
|
1096 |
Superior Mediastinal Dissection+Sternotomy in malignant conditions(77.31) |
61,700 |
64,700 |
71,200 |
|
1097 |
Intercostal Drainage(Icd) in malignant conditions |
3,300 |
3,500 |
3,800 |
|
1098 |
Surgical Resection of Soft tissue /Bone tumors of Chest wall |
31,200 |
32,800 |
36,000 |
|
1099 |
Surgical Resection and Reconstruction of Soft
tissue /Bone tumors of Chest wall in malignant conditions |
71,200 |
74,800 |
82,200 |
|
1100 |
Full Thickness Buccal Mucosal Resection & Reconstruction in malignant conditions(27.59) |
75,900 |
79,700 |
87,700 |
|
1101 |
IVC thrombectomy in malignant conditions |
54,300 |
57,000 |
62,700 |
|
1102 |
IVC filters
for tumour thrombus in malignant conditions |
58,500 |
61,400 |
67,500 |
|
1103 |
Vascular reconstruction
with synthetic graft in malignant conditions |
71,900 |
75,400 |
83,000 |
|
1104 |
Vascular reconstruction with auto graft in malignant conditions |
78,000 |
81,900 |
90,000 |
|
1105 |
Microvascular reconstruction |
92,800 |
97,400 |
1,07,200 |
|
1106 |
Vascular isolation and
perfusion in malignant conditions |
55,400 |
58,200 |
64,000 |
|
1107 |
Neck Dissection Any Type in malignant conditions |
34,000 |
35,700 |
39,300 |
|
1108 |
Retro Peritoneal Lymph Node Dissection RPLND As Part Of Staging in malignant conditions |
41,800 |
43,900 |
48,300 |
|
1109 |
Uni-lateral Inguinal Block Dissection in malignant conditions |
31,300 |
32,800 |
36,100 |
|
1110 |
Bi-lateral Ilioinguinal block disection in malignant conditions |
65,400 |
68,600 |
75,500 |
|
1111 |
Axillary Dissection in malignant conditions |
41,300 |
43,400 |
47,700 |
|
1112 |
Bilateral Pelvic Lymph Node Dissection(Bplnd) in malignant Bilateral Pelvic Lymph Node |
41,800 |
43,900 |
48,300 |
|
1113 |
Bilateral pelvic lymph node dissection(bplnd)(CA. URINARY BLADDER) |
41,800 |
43,900 |
48,300 |
|
1114 |
Retro Peritoneal Lymph Node Dissection(Rplnd) (For Residual Disease) in malignant conditions |
80,100 |
84,100 |
92,500 |
|
1115 |
Popliteal lymphadenectomy in malignant conditions |
30,900 |
32,400 |
35,700 |
|
1116 |
Splenectomy in malignant conditions |
43,700 |
45,900 |
50,500 |
|
1117 |
Transhiatal oesophagectomy in malignant conditions |
82,100 |
86,200 |
94,800 |
|
1118 |
Oesophagectomy With Two Field Lymphadenectomy in malignant conditions(40.59) |
1,18,800 |
1,24,700 |
1,37,200 |
|
1119 |
Oesophagectomy With Three Field Lymphadenectomy in malignant conditions(40.59) |
1,21,500 |
1,27,600 |
1,40,300 |
|
1120 |
Substernal Gastric Bypass in malignant conditions |
51,900 |
54,500 |
59,900 |
|
1121 |
Gastrostomy in malignant conditions |
20,000 |
21,000 |
23,100 |
|
1122 |
Laparoscopic mobilization of stomach with distal
gastrectomy with billroth i/ii anastomosis in malignant conditions |
1,01,800 |
1,06,900 |
1,17,600 |
|
1123 |
Thoracoscopic Mobilization
of Oesophagus + Laparoscopic Mobilization of stomach + Gastric Pull- up in malignant conditions |
1,20,600 |
1,26,600 |
1,39,300 |
|
1124 |
Gastrectomy Any Type in malignant conditions |
51,200 |
53,800 |
59,100 |
|
1125 |
Gastro Jejunostomy in malignant conditions |
50,900 |
53,400 |
58,800 |
|
1126 |
Small Bowel Resection in malignant conditions |
49,200 |
51,700 |
56,800 |
|
1127 |
Colectomy Any Type in malignant conditions |
54,100 |
56,800 |
62,500 |
|
1128 |
Ileotransverse Colostomy in malignant conditions |
60,900 |
64,000 |
70,400 |
|
1129 |
Colostomy in malignant conditions |
21,200 |
22,300 |
24,500 |
|
1130 |
Ileostomy in malignant conditions |
33,200 |
34,900 |
38,400 |
|
1131 |
Jejunostomy in malignant conditions |
31,900 |
33,400 |
36,800 |
|
1132 |
Laparoscopic anterior/low resection
with stapplers with diversion covering ileostomy in malignant conditions |
1,00,000 |
1,05,000 |
1,15,500 |
|
1133 |
Ileostomy Closure in malignant conditions |
25,900 |
27,200 |
29,900 |
|
1134 |
Colostomy Closure in malignant conditions |
25,900 |
27,200 |
29,900 |
|
1135 |
Laparoscopic abdominoperineal resection in malignant conditions |
1,00,000 |
1,05,000 |
1,15,500 |
|
1136 |
Abdomino Perineal
Resection (Apr) + Sacrectomy in malignant conditions(77.99) |
61,500 |
64,600 |
71,000 |
|
1137 |
Anterior Resection of rectum in malignant conditions |
51,500 |
54,100 |
59,500 |
|
1138 |
Posterior Exenteration for Carcinoma Rectum |
61,500 |
64,600 |
71,000 |
|
1139 |
Total Exenteration for Carcinoma Rectum |
1,00,100 |
1,05,100 |
1,15,600 |
|
1140 |
Hepatectomies in malignant conditions |
1,01,500 |
1,06,600 |
1,17,200 |
|
1141 |
Radical Cholecystectomy in malignant conditions |
79,800 |
83,800 |
92,200 |
|
1142 |
Distal Pancreatectomy in malignant conditions |
1,01,800 |
1,06,900 |
1,17,600 |
|
1143 |
Other Bypasses-Pancreas in malignant conditions |
52,300 |
54,900 |
60,400 |
|
1144 |
Inoperable Laparotomy in malignant conditions |
37,800 |
39,700 |
43,600 |
|
1145 |
Abdominal Wall Tumor Resection in malignant conditions |
54,300 |
57,000 |
62,700 |
|
1146 |
Resection With Reconstruction of Abdominal wall Tumors in malignant conditions |
61,100 |
64,200 |
70,600 |
|
1147 |
Resection Of Retroperitoneal Tumors in malignant conditions |
61,500 |
64,600 |
71,000 |
|
1148 |
Diagnostic Laparoscopy in malignant conditions |
22,700 |
23,900 |
26,300 |
|
1149 |
Open Partial Nephrectomy |
42,100 |
44,200 |
48,600 |
|
1150 |
Laproscopic radical nephrectomy in malignant conditions |
1,00,000 |
1,05,000 |
1,15,500 |
|
1151 |
Radical Nephrectomy |
52,100 |
54,700 |
60,200 |
|
1152 |
Nephroureterectomy For Transitional Cell Carcinoma Of Renal
Pelvis in malignant conditions |
66,500 |
69,800 |
76,800 |
|
1153 |
Urinary Diversion in malignant conditions(56.6/56.7) |
64,800 |
68,000 |
74,800 |
|
1154 |
Other Cystectomies in malignant conditions |
89,100 |
93,600 |
1,03,000 |
|
1155 |
Suprapubic cystostomy |
18,500 |
19,400 |
21,400 |
|
1156 |
Open radical cystectomy with Ilealconduitdiversion |
1,02,100 |
1,07,200 |
1,17,900 |
|
1157 |
Anterior Exenteration (CA. Urinary Bladder) |
61,500 |
64,600 |
71,000 |
|
1158 |
Total Exenteration (CA. Urinary Bladder) |
76,800 |
80,600 |
88,700 |
|
1159 |
Radical Prostatectomy in malignant conditions |
89,100 |
93,500 |
1,02,900 |
|
1160 |
Channel TURP |
41,100 |
43,100 |
47,400 |
|
1161 |
Scrotectomy in malignant conditions |
41,700 |
43,800 |
48,200 |
|
1162 |
High Orchidectomy |
22,900 |
24,000 |
26,400 |
|
1163 |
Bilateral Orchidectomy |
25,200 |
26,400 |
29,000 |
|
1164 |
Emasculation in malignant conditions |
41,800 |
43,900 |
48,200 |
|
1165 |
Total Penectomy |
38,800 |
40,700 |
44,800 |
|
1166 |
Surgery For Carcinoma
Ovary Early Stage |
33,900 |
35,600 |
39,100 |
|
1167 |
Excision
of Complex ovarian
mass in malignant conditions |
53,100 |
55,700 |
61,300 |
|
1168 |
Ovarian cystectomy in malignant conditions |
53,000 |
55,700 |
61,200 |
|
1169 |
Unilateral Salpingo Oophorectomy in malignant conditions |
31,500 |
33,100 |
36,400 |
|
1170 |
Surgery For Carcinoma Ovary Advance Stage |
54,100 |
56,800 |
62,500 |
|
1171 |
Bilateral Salpingo Oophorectomy inmalignant conditions |
30,900 |
32,400 |
35,700 |
|
1172 |
Radical Trachelectomy in malignant conditions |
52,400 |
55,000 |
60,500 |
|
1173 |
Radical Hysterectomy in malignant |
59,600 |
62,500 |
68,800 |
|
|
conditions |
|
|
|
|
1174 |
Laparoscopic pelvic exenteration in malignant conditions |
1,20,000 |
1,26,000 |
1,38,600 |
|
1175 |
Anterior Exenteration - Carcinoma Cervix |
86,900 |
91,200 |
1,00,300 |
|
1176 |
Posterior Exenteration - Carcinoma Cervix |
67,100 |
70,500 |
77,500 |
|
1177 |
Total Pelvic Exenteration - Carcinoma Cervix |
1,00,100 |
1,05,100 |
1,15,600 |
|
1178 |
Supra Levator Exenteration - Carcinoma Cervix |
92,100 |
96,700 |
1,06,400 |
|
1179 |
Laparoscopic extraFACIAL hysterectomy + multiple biopsies + omentectomy in malignant conditions |
47,600 |
49,900 |
54,900 |
|
1180 |
Laparoscopic ExtraFACIAL Hysterectomy with Bilateral
pelvic node dissection in malignant conditions |
48,300 |
50,700 |
55,800 |
|
1181 |
Hysterectomy in malignant conditions |
34,000 |
35,700 |
39,300 |
|
1182 |
Total Abdominal
Hysterectomy(Tah) + Bilateral Salpingo Ophorectomy (Bso) + Bilateral Pelvic
Lymph Node Dissection (Bplnd) + Omentectomy in malignant conditions |
64,200 |
67,400 |
74,200 |
|
1183 |
Radical Hysterectomy
+Bilateral Pelvic Lymph Node
Dissection (Bplnd) + Bilateral
Salpingo Ophorectomy (Bso) /Ovarian Transposition in malignant conditions |
52,100 |
54,700 |
60,200 |
|
1184 |
Laparoscopic wertheim hysterectomy in malignant conditions |
56,200 |
59,000 |
64,900 |
|
1185 |
Radical Vaginectomy in malignant conditions |
55,200 |
58,000 |
63,800 |
|
1186 |
Radical Vaginectomy + Reconstruction(70.62) |
62,600 |
65,800 |
72,300 |
|
1187 |
Vulvectomy in malignant conditions |
47,400 |
49,700 |
54,700 |
|
1188 |
Cranio Facial Resection in malignant conditions |
93,100 |
97,700 |
1,07,500 |
|
1189 |
Resection of Lateral Temporal Bone in malignant conditions |
69,900 |
73,400 |
80,800 |
|
1190 |
Subtotal Resection of Temporal Bone in malignant conditions |
73,500 |
77,200 |
84,900 |
|
1191 |
Total Resection of Temporal Bone in malignant conditions |
79,500 |
83,500 |
91,800 |
|
1192 |
Hemimandibulectomy in malignant conditions |
39,300 |
41,200 |
45,300 |
|
1193 |
Marginal Mandibulectomy in malignant conditions |
48,000 |
50,400 |
55,500 |
|
1194 |
Maxillectomy Any Type in malignant conditions |
32,900 |
34,500 |
38,000 |
|
1195 |
Maxillectomy + Infratemporal Fossa Clearance in malignant
conditions |
67,500 |
70,900 |
77,900 |
|
1196 |
Bone Resection in malignant conditions |
44,200 |
46,400 |
51,000 |
|
1197 |
Bone and Soft TissueTumors Amputation malignant conditions |
29,800 |
31,300 |
34,400 |
|
1198 |
Surgery (removal) for Bone/Soft tissue
tumors-Without Prosthesis in malignant conditions(83.49) |
51,300 |
53,800 |
59,200 |
|
1199 |
Surgery (removal) for Bone / Soft tissue
tumors-With Custom Made Prosthesis in malignant conditions(83.49+84.40) |
87,600 |
92,000 |
1,01,200 |
|
1200 |
Surgery (removal) for Bone
/ Soft tissue tumors-With Modular Prosthesis in malignant conditions(83.49+84.40) |
99,500 |
1,04,500 |
1,14,900 |
|
1201 |
Shoulder Girdle Resection in malignant conditions |
56,300 |
59,100 |
65,000 |
|
1202 |
Sacral Resection in malignant conditions |
61,500 |
64,600 |
71,000 |
|
1203 |
Soft tissue and bone tumour wide exision |
16,800 |
17,600 |
19,400 |
|
1204 |
Soft tissue And Bone tumors wide excision reconstruction |
26,800 |
28,100 |
31,000 |
|
1205 |
Head and Neck - Wide Excision |
41,100 |
43,100 |
47,400 |
|
1206 |
Forequarter Amputation in malignant conditions |
79,100 |
83,100 |
91,400 |
|
1207 |
Hemipelvectomy in malignant conditions |
80,100 |
84,100 |
92,500 |
|
1208 |
Internal Hemipelvectomy in malignant conditions |
80,800 |
84,900 |
93,400 |
|
1209 |
Curettage & Bone Cement in malignant conditions |
52,600 |
55,300 |
60,800 |
|
1210 |
Mastectomy Any Type in malignant conditions |
30,900 |
32,400 |
35,700 |
|
1211 |
Breast Reconstruction Surgery |
43,300 |
45,500 |
50,000 |
|
1212 |
Lumpectomy |
3,400 |
3,600 |
3,900 |
|
1213 |
Wide Excision - Breast in malignant conditions |
5,800 |
6,000 |
6,600 |
|
1214 |
Skin Tumors Wide Excision in malignant conditions |
36,600 |
38,400 |
42,200 |
|
1215 |
Skin Tumors wide Excision + Reconstruction in malignant conditions(86.6/86.7) |
41,800 |
43,900 |
48,300 |
|
1216 |
Wide local excision in malignant conditions |
64,600 |
67,800 |
74,600 |
|
1217 |
Wide local excision + reconstruction |
67,000 |
70,400 |
77,400 |
|
1218 |
Skin Tumors amputation in malignant conditions |
26,200 |
27,500 |
30,200 |
|
1219 |
Reconstructon with Myocutaneous / Cutaneous Flap in malignant conditions |
39,300 |
41,200 |
45,400 |
|
1220 |
Composite Resection &
Reconstruction - Head & Neck in malignant conditions |
69,000 |
72,400 |
79,600 |
|
1221 |
Isolated limb perfusion-hyperthermia in malignant conditions |
62,100 |
65,200 |
71,800 |
|
MEDICAL ONCOLOGY |
||||
|
1222 |
Prostate Cancer with Hormonal Therapy |
3,700 |
3,900 |
4,300 |
|
1223 |
Chemotherapy for Breast
Cancer with Adriamycin / Cyclophosphamide (Ac) |
4,200 |
4,400 |
4,800 |
|
1224 |
Chemotherapy for Bladder Cancer with Weekly Cisplatin. |
2,000 |
2,100 |
2,300 |
|
1225 |
Chemotherapy for Bladder
Cancer with Methotrexate Vinblastine Adriamycin Cyclophosphamide (Mvac) |
6,000 |
6,300 |
6,900 |
|
1226 |
Chemotherapy for Breast
Cancer with 5- Fluorouracil A-C (Fac) |
4,200 |
4,400 |
4,800 |
|
1227 |
Chemotherapy for Non SMAL
cell Lung Cancer with Cisplatin/Etoposide (Iiib) |
7,900 |
8,300 |
9,100 |
|
1228 |
Chemotherapy for Non SMAL cell Lung Cancer with Erlotinib |
15,000 |
15,800 |
17,300 |
|
1229 |
Chemotherapy for Non SMAL
cell Lung Cancer with GEFITINIB |
7,100 |
7,400 |
8,200 |
|
1230 |
Chemotherapy for Non SMAL
cell Lung Cancer with Paclitaxel /Carboplatin |
10,300 |
10,800 |
11,900 |
|
1231 |
Chemotherapy for Non SMAL
cell Lung Cancer with PEM + Cisplatin |
20,300 |
21,300 |
23,400 |
|
1232 |
Chemotherapy for Oesophageal Cancer with Cisplatin/5fu |
7,400 |
7,800 |
8,500 |
|
1233 |
Chemotherapy for Gastric
Cancer with 5- Fu Leucovorin (Mcdonald Regimen) |
5,300 |
5,600 |
6,100 |
|
1234 |
Chemotherapy for Vulval Cancer with Cisplatin/5-Fu |
5,900 |
6,200 |
6,800 |
|
1235 |
Chemotherapy for Gastric Cancer with EOX |
15,600 |
16,400 |
18,000 |
|
1236 |
Chemotherapy for Gastric
Cancer with Gemcitabine+Oxaliplatin |
16,300 |
17,100 |
18,800 |
|
1237 |
Chemotherapy for Gastric Cancer with Gemcitabine / Cisplatin |
12,600 |
13,200 |
14,600 |
|
1238 |
Ac (Ac Then T) |
4,500 |
4,700 |
5,200 |
|
1239 |
Chemotherapy for Gastric Cancer with Imatinib(CML) |
5,600 |
5,900 |
6,500 |
|
1240 |
Chemotherapy for Gastric Cancer with Dcf |
18,300 |
19,200 |
21,100 |
|
1241 |
Chemotherapy for Colorectal Cancer with Monthly 5-Fu |
6,400 |
6,700 |
7,400 |
|
1242 |
Chemotherapy for
Colorectal Cancer with 5-Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III) Only |
12,400 |
13,000 |
14,300 |
|
1243 |
Chemotherapy for
Colorectal Cancer with Capecitabine + bevacizumab (metastatic) |
8,300 |
8,700 |
9,600 |
|
1244 |
Chemotherapy for
Colorectal Cancer with Capecitabine + Oxalipantia (adjuvant) and metastatic |
12,600 |
13,200 |
14,500 |
|
1245 |
Chemotherapy for Vaginal Cancer with Cisplatin/5-Fu |
6,900 |
7,200 |
8,000 |
|
1246 |
Chemotherapy for Colorectal Cancer with Capacitabine |
7,300 |
7,700 |
8,400 |
|
1247 |
Chemotherapy for Bone Tumors with Cisplatin/Adriamycin |
7,600 |
8,000 |
8,800 |
|
1248 |
Chemotherapy for Bone
Tumors - Hodgkin Lymphoma disease with Adriamycin Bleomycin Vinblastine Dacarbazine (Abvd) |
5,600 |
5,900 |
6,500 |
|
1249 |
Chemotherapy for Non
Hodgkin Lymphoma with Cyclophosphamide Adriamycin Vincristine Prednisone (Chop) |
5,100 |
5,400 |
5,900 |
|
1250 |
Chemotherapy for Breast Cancer with Paclitaxel |
7,600 |
8,000 |
8,800 |
|
1251 |
Chemotherapy for Non Hodgkin Lymphoma with R - chop |
45,300 |
47,600 |
52,300 |
|
1252 |
Chemotherapy for Multiple
Myeloma with Vincristine, Adriamycin,Dexamethasone(Vad) |
4,600 |
4,800 |
5,300 |
|
1253 |
Chemotherapy for Multiple
Myeloma with Thalidomide+Dexamethasone(Oral) |
5,000 |
5,200 |
5,800 |
|
1254 |
Chemotherapy for Multiple
Myeloma with Melphalan Prednisone (Oral) |
4,800 |
5,000 |
5,500 |
|
1255 |
Chemotherapy for Wilms
Tumor with Siopwts Regimen(Stages I-III) |
7,300 |
7,700 |
8,400 |
|
1256 |
Chemotherapy for Ovarian cancer with Carboplatin / Paclitaxel |
11,300 |
11,900 |
13,000 |
|
1257 |
Chemotherapy for Hepatoblastoma operable with Cisplatin -Adriamycin |
5,300 |
5,600 |
6,100 |
|
1258 |
Chemotherapy for Childhood
B cell Lymphoma with variable regimen |
22,100 |
23,200 |
25,500 |
|
1259 |
Chemotherapy for Neuroblastoma (Stages I-III ) with Variable Regimen |
11,500 |
12,100 |
13,300 |
|
1260 |
Chemotherapy for Neuroblastoma (Stages I-III ) PCV (medulloblastoma) |
5,600 |
5,900 |
6,500 |
|
1261 |
Chemotherapy for
Retinoblastoma with Carbo/Etoposide/Vincristine |
5,600 |
5,900 |
6,500 |
|
1262 |
Chemotherapy for Breast
Cancer with Cyclophosphamide/ Methotrexate / 5fluorouracil (Cmf) |
2,000 |
2,100 |
2,300 |
|
1263 |
Chemotherapy for Histiocytosis with Variable Regimen |
5,300 |
5,600 |
6,100 |
|
1264 |
Chemotherapy for
Rhabdomyosarcoma with Vincristine-Actinomycin- Chemotherapy for Rhabdomyosarcoma |
9,600 |
10,100 |
11,100 |
|
1265 |
Chemotherapy for Ewings Sarcoma with Variable Regimen |
5,300 |
5,600 |
6,100 |
|
1266 |
Chemotherapy for Acute Myeloid Variable Regimen |
69,000 |
72,400 |
79,700 |
|
1267 |
Chemotherapy for Ovarian cancer with Germ
Cell Tumor Bleomycin-Etoposide- Cisplatin (Bep) |
8,600 |
9,000 |
9,900 |
|
1268 |
Chemotherapy for Acute Myeloid Leukemia with Consolidation Phase |
66,300 |
69,600 |
76,600 |
|
1269 |
Chemotherapy for Acute Myeloid Leukemia with Maintenance phase |
3,000 |
3,100 |
3,500 |
|
1270 |
Chemotherapy for Acute Lymphoblastic
Leukemia with Induction 1st And 2nd Months |
1,09,000 |
1,14,400 |
1,25,900 |
|
1271 |
Chemotherapy for Acute
Lymphoblastic Leukemia with Induction 3rd, 4th, 5th |
10,900 |
11,400 |
12,600 |
|
1272 |
Chemotherapy for Acute
Lymphoblastic Leukemia with Induction Maintenance |
12,300 |
12,900 |
14,200 |
|
1273 |
Palliative Chemotherapy for unlisted Regimen |
5,600 |
5,900 |
6,500 |
|
1274 |
Chemotherapy for Breast Cancer with Tamoxifen Tabs |
500 |
500 |
600 |
|
1275 |
Palliative And Supportive Therapy for terminally ill cancer patient |
3,600 |
3,800 |
4,100 |
|
1276 |
Chemotherapy for Acute Myeloid Leukemia with Xelox Along With Adjuvant Chemotherapy Of As-I |
12,000 |
12,600 |
13,800 |
|
1277 |
Chemotherapy for Multiple
myeloma with Zoledronic Acid Along With Adjuvant Chemotherapy Of As-I |
3,300 |
3,500 |
3,800 |
|
1278 |
Chemotherapy for low risk
Gestational trophoblast DS with Weekly Methotrexate |
2,300 |
2,400 |
2,600 |
|
1279 |
Chemotherapy for Multiple myeloma with Lenalidomide dexa |
10,000 |
10,500 |
11,500 |
|
1280 |
Chemotherapy for Multiple myeloma with MPT(myeloma) |
5,400 |
5,600 |
6,200 |
|
1281 |
Chemotherapy for Multiple myeloma with Imatinib (GSIT) |
7,000 |
7,300 |
8,100 |
|
1282 |
Supportive Therapy ( Third
Generation Cephalosporin, Aminoglycoside Etc.,) |
5,300 |
5,600 |
6,100 |
|
1283 |
Chemotherapy for Febrile
Neutropenia with 2nd Line Iv Antibiotics And Other Supportive
Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,) |
44,200 |
46,400 |
51,000 |
|
1284 |
Chemotherapy for Chronic
lymphoid leukemia with Benadamustine |
16,300 |
17,100 |
18,800 |
|
1285 |
Chemotherapy for Chronic
lymphoid leukemia with Chilorambucil |
3,000 |
3,100 |
3,500 |
|
1286 |
Chemotherapy for Breast Cancer with Aromatase Inhibitors |
1,200 |
1,200 |
1,400 |
|
1287 |
Chemotherapy for Chronic lymphoid leukemia with IA |
10,600 |
11,100 |
12,200 |
|
1288 |
Chemotherapy for Chronic
lymphoid leukemia with Imatinib(CML) |
7,000 |
7,300 |
8,100 |
|
1289 |
Chemotherapy for low risk
Gestational trophoblast DS with Actinomycin |
5,300 |
5,600 |
6,100 |
|
1290 |
Chemotherapy for Chronic lymphoid leukemia with Sunitinib |
15,000 |
15,700 |
17,300 |
|
1291 |
Chemotherapy With Temozolamide(brain tumours) |
10,000 |
10,500 |
11,600 |
|
1292 |
Chemotherapy With Benadamustin - RITUXIMAB |
60,000 |
63,000 |
69,300 |
|
1293 |
Chemotherapy With TIP(GCT 2nd line) |
20,000 |
21,000 |
23,100 |
|
1294 |
Chemotherapy for Breast Cancer with Docetaxel |
10,300 |
10,800 |
11,900 |
|
1295 |
Chemotherapy for Cervical Cancer with Weekly Cisplatin |
2,000 |
2,100 |
2,300 |
|
1296 |
Chemotherapy
for high risk Gestational trophoblast DS with Etoposide- Methotrexate -Actinomycin / Cyclophosphamide Vincristine (Ema-Co) |
7,600 |
8,000 |
8,800 |
|
1297 |
Chemotherapy for Testicular Cancer with Bleomycin with Etoposide-Cisplatin (Bep) |
8,600 |
9,000 |
9,900 |
|
1298 |
Chemotherapy Chemotherapy for Hepatoblastoma operable with Sorafenib |
10,000 |
10,500 |
11,500 |
|
1299 |
Chemotherapy with Capeiri(metastatic) |
8,300 |
8,700 |
9,600 |
|
1300 |
Chemotherapy with Capeox(adjuvant) and metastatic |
7,800 |
8,200 |
9,000 |
|
Radiation
Oncology |
||||
|
1301 |
Acute lymphoblastic leukemia: radiation |
5,500 |
5,800 |
6,400 |
|
1302 |
Hodgkin Lymphoma (Favorable group): radiation |
11,000 |
11,600 |
12,700 |
|
1303 |
Hodgkin Lymphoma (unfavorable group): radiation |
16,500 |
17,300 |
19,100 |
|
1304 |
Retinoblastoma (Intraocular): radiation |
11,000 |
11,600 |
12,700 |
|
1305 |
Retinoblastoma (extraocular): radiation |
11,000 |
11,600 |
12,700 |
|
1306 |
Brain tumors: radiation |
33,000 |
34,700 |
38,100 |
|
1307 |
Wilms tumors: radiation |
5,500 |
5,800 |
6,400 |
|
1308 |
Bone tumors/soft tissue sarcomas :radiation |
27,500 |
28,900 |
31,800 |
|
1309 |
Bone tumors/soft tissue sarcomas :surgery (inlcuding prosthesis) |
2,58,500 |
2,71,400 |
2,98,600 |
|
1310 |
Cobalt 60 External Beam
Radiotherapy (Radical/Adjuvant / Neoadjuvant) |
22,000 |
23,100 |
25,400 |
|
1311 |
Cobalt 60 External Beam Radiotherapy (Palliative) |
11,000 |
11,600 |
12,700 |
|
1312 |
Linear Accelerator External Beam Radiotherapy (Palliative) |
22,000 |
23,100 |
25,400 |
|
1313 |
Linear
Accelerator, External Beam Radiotherapy 3D CRT/2D Planning
(Radical/Adjuvant/Neoadjuvant) |
55,000 |
57,800 |
63,500 |
|
1314 |
Linear
Accelerator, External Beam Radiotherapy IMRT
(Intensity Modulated Radiotherapy) (Radical/Adjuvant/Neoadjuvant) |
82,500 |
86,600 |
95,300 |
|
1315 |
Linear Accelerator
External Beam Radiotherapy IGRT (Image Guided radiotherapy) (Radical/Adjuvant/Neoadjuvent) |
1,32,000 |
1,38,600 |
1,52,500 |
|
1316 |
SRT(Stereota1036ic radiotherapy) |
82,500 |
86,600 |
95,300 |
|
1317 |
SRS (Streotactic radiosurgery) |
77,000 |
80,900 |
88,900 |
|
1318 |
Respiratory Gating along with Linear Accelerator planning |
77,000 |
80,900 |
88,900 |
|
1319 |
Electron beam with Linear accelerator
(Radical)Tomotherapy(Radical/Adjuvant/ Neoadjuvant) |
55,000 |
57,800 |
63,500 |
|
1320 |
Tomotherapy(Radical/Adjuvant/Neoadju |
55,000 |
57,800 |
63,500 |
|
|
vant) |
|
|
|
|
1321 |
Brachytherapy High Dose
Radiation(Intracavitory) - per fraction, maximum of 4 sessions |
5,000 |
5,200 |
5,700 |
|
1322 |
Brachytherapy High
Dose Radiation (Interstitial) - for one
application, multiple dose |
33,000 |
34,700 |
38,100 |
|
1323 |
Brachytherapy High
Dose Radiation (Intraluminal) - per fraction,
maximum 4 sessions |
5,000 |
5,200 |
5,700 |
|
1324 |
Cobalt 60 External Beam Radiotherapy,Definitive, Neoadjuvant, Adjuvant |
22,000 |
23,100 |
25,400 |
|
1325 |
Brachytherapy/ Interstitial LDR , adjuvant |
16,500 |
17,300 |
19,100 |
|
1326 |
Linear accelerator teletherapy, Definitive+Tab Temozolamide |
60,500 |
63,500 |
69,900 |
|
1327 |
Linear accelerator teletherapy, 3DCRT, Definitive along with
+concurrent Tab Temozolamide along with RT |
88,000 |
92,400 |
1,01,600 |
|
1328 |
Linear accelerator (Photons) teletherapy,Adjuvant |
55,000 |
57,800 |
63,500 |
|
1329 |
Cobalt 60 External Beam Radiotherapy,Definitive |
22,000 |
23,100 |
25,400 |
|
1330 |
Radioiodine Treatment < 100 Millicuries |
22,000 |
23,100 |
25,400 |
|
1331 |
Radioiodine Treatment > 100 Millicuries |
33,000 |
34,700 |
38,100 |
|
1332 |
Accelerated partial breast
irradiation (APBI) any type/ LINAC/3DCRT/IMRT |
55,000 |
57,800 |
63,500 |
|
1333 |
Linear accelerator,Involved-Site Radiotherapy (ISRT)/Involved field radiation therapy(IFRT)/3DCRT/IMRT |
27,500 |
28,900 |
31,800 |
|
1334 |
Linear accelerator, less than 20 fractions/3DCRT/IMRT |
27,500 |
28,900 |
31,800 |
|
1335 |
Linear accelerator teletherapy,3DCRT,IMRT,VMAT
Adjuvant/Definitive |
82,500 |
86,600 |
95,300 |
|
1336 |
Brachytherapy/ Interstitial HDR one application, multiple doses Definitive/Boost |
33,000 |
34,700 |
38,100 |
|
1337 |
Cobalt 60 teletherapy, Palliative |
11,000 |
11,600 |
12,700 |
|
1338 |
Linear accelerator teletherapy, Palliative |
22,000 |
23,100 |
25,400 |
|
PLASTIC
SURGERY |
||||
|
1339 |
Skull base surgery |
1,02,400 |
1,07,500 |
1,18,300 |
|
1340 |
Surgical correction for Craniosynostosis |
92,100 |
96,700 |
1,06,300 |
|
1341 |
Surgical Correction of Nerve and Tendon Repair + Vascular Repair (82.4+39.3) |
49,800 |
52,300 |
57,500 |
|
1342 |
Sequalae of brachial plexus injuries |
42,700 |
44,800 |
49,300 |
|
1343 |
Conservative treatment for brachial plexus injuries |
10,900 |
11,400 |
12,600 |
|
1344 |
Corrective surgery for Hyperchalonism elecanthes |
55,400 |
58,200 |
64,000 |
|
1345 |
Tarsorrhaphy surgery to
prevent exposure keratitis to prevent loss or impairment of vision especially
in facial burns |
10,900 |
11,400 |
12,600 |
|
1346 |
Ear reconstruction |
44,900 |
47,100 |
51,800 |
|
1347 |
Reconstruction or prosthetic appliance for absent ear |
33,000 |
34,600 |
38,100 |
|
1348 |
Surgical Correction of anamolies of Ear (cup & bat ears) |
28,600 |
30,000 |
33,000 |
|
1349 |
Nose fractures with implants |
47,400 |
49,800 |
54,700 |
|
1350 |
Nose deformities with functional disturbances |
61,800 |
64,900 |
71,400 |
|
1351 |
Macroglossia Correction |
47,400 |
49,800 |
54,700 |
|
1352 |
Micrognathia - pierre robbinsequalae |
68,300 |
71,700 |
78,900 |
|
1353 |
Tessier¿s cleft |
54,800 |
57,500 |
63,300 |
|
1354 |
Palatal fistula
Repair |
43,100 |
45,200 |
49,800 |
|
1355 |
Surgical Management Of Cleft Lip |
27,400 |
28,800 |
31,600 |
|
1356 |
Cleft lip nasal deformity correction |
76,800 |
80,600 |
88,700 |
|
1357 |
Secondary correction of cleft lip/palate |
61,800 |
64,900 |
71,400 |
|
1358 |
Surgical correction for Vascular malformations |
35,900 |
37,700 |
41,500 |
|
1359 |
Hypospadias cripples |
42,700 |
44,800 |
49,300 |
|
1360 |
Epispadias / exstrophy |
22,000 |
23,100 |
25,400 |
|
1361 |
Vasovasalanastamosis |
63,000 |
66,200 |
72,800 |
|
1362 |
Penis reconstruction - pedicled |
76,500 |
80,300 |
88,400 |
|
1363 |
Penis reconstruction - micro vascular |
1,26,200 |
1,32,500 |
1,45,800 |
|
1364 |
Tuboplasty/Open Tubal Recanalisation |
27,200 |
28,500 |
31,400 |
|
1365 |
Reconstructive procedures for vaginal atresia |
40,500 |
42,500 |
46,700 |
|
1366 |
Functional corrective surgery for sequel of facial injuries |
72,700 |
76,300 |
84,000 |
|
1367 |
Orthognathic surgeries involving facial bones |
82,700 |
86,800 |
95,500 |
|
1368 |
Panfacial fractures combination with polytrauma |
1,05,800 |
1,11,100 |
1,22,200 |
|
1369 |
Frontonasoethmoid fractures with implants |
1,01,800 |
1,06,900 |
1,17,600 |
|
1370 |
Surgical Correction of lid
retraction with Tumour of Mandible And Maxilla |
62,500 |
65,600 |
72,100 |
|
1371 |
Corrcetion of lid retraction |
27,700 |
29,100 |
32,000 |
|
1372 |
Zygoma/ Orbital Fractures |
80,900 |
84,900 |
93,400 |
|
1373 |
Maxilla fractures lefort II |
74,400 |
78,100 |
85,900 |
|
1374 |
Surgical Correction Of Fracture Lefort III |
53,500 |
56,200 |
61,800 |
|
1375 |
Maxilla fractures lefort III |
76,900 |
80,700 |
88,800 |
|
1376 |
Facial
bone fractures - mandible fracture single with implants |
53,600 |
56,300 |
61,900 |
|
1377 |
Facial bone fractures -
mandible fracture multiple with implants |
76,500 |
80,300 |
88,300 |
|
1378 |
Alveolar bone grafting with bone graft |
32,700 |
34,400 |
37,800 |
|
1379 |
Polydactyly Repair |
31,900 |
33,500 |
36,900 |
|
1380 |
Calvarial reconstruction |
77,700 |
81,600 |
89,700 |
|
1381 |
Treatment for trisser fingerenosynovitis(82.2) |
32,000 |
33,600 |
37,000 |
|
1382 |
Aplasia / hypoplasia / post traumatic loss of
thumb for reconstruction - conventional surgery |
66,500 |
69,900 |
76,900 |
|
1383 |
Aplasia / hypoplasia / post traumatic loss of
thumb for reconstruction - microsurgery |
86,700 |
91,100 |
1,00,200 |
|
1384 |
Surgical Correction of Leprosy Reconstructive Surgery |
23,500 |
24,700 |
27,100 |
|
1385 |
Surgical correction for Congenital Deformity of Hand (Per Hand) |
26,500 |
27,800 |
30,600 |
|
1386 |
Tendon transfer procedure for wrist drop |
34,400 |
36,100 |
39,700 |
|
1387 |
Cleft hand / foot Correction |
55,500 |
58,300 |
64,100 |
|
1388 |
Mallet finger Surgery |
29,700 |
31,200 |
34,300 |
|
1389 |
Boutonnierie¿s deformity Repair |
38,900 |
40,800 |
44,900 |
|
1390 |
Finger tip injuries Repair |
20,400 |
21,400 |
23,600 |
|
1391 |
Compressive neuropathies |
32,800 |
34,400 |
37,900 |
|
1392 |
Treatment for supparativechondritis |
33,300 |
35,000 |
38,500 |
|
1393 |
Post cabg(sternal dehiscence/osdo Repair |
44,700 |
46,900 |
51,600 |
|
1394 |
Free functional muscle transfer |
78,200 |
82,100 |
90,300 |
|
1395 |
Corrective surgery for congenital deformities of foot (per foot) |
53,000 |
55,700 |
61,200 |
|
1396 |
Post Burn Contracture Surgeries - Mild |
43,100 |
45,200 |
49,700 |
|
1397 |
Post Burn Contracture Surgeries - Moderate |
45,100 |
47,300 |
52,100 |
|
1398 |
Post Burn Contracture Surgeries - Severe |
51,600 |
54,200 |
59,600 |
|
1399 |
Mgt of electrical burns with vital expossed with flapcover |
59,900 |
62,900 |
69,200 |
|
1400 |
Amputation of hand / fore
arm / arm / foot / leg / thigh with skin cover (84.1) |
41,600 |
43,700 |
48,100 |
|
1401 |
Amputation of digit with skin cover(84.11) |
26,200 |
27,500 |
30,300 |
|
1402 |
Disarticulation through shoulder |
39,200 |
41,200 |
45,300 |
|
1403 |
Disarticulation through thigh |
43,300 |
45,500 |
50,000 |
|
1404 |
Reimplantation / revascularization - multiple digits per finger |
86,000 |
90,300 |
99,400 |
|
1405 |
Reimplantation / revascularization - single digit |
86,600 |
91,000 |
1,00,000 |
|
1406 |
Reimplantation / revascularization - wrist |
86,600 |
90,900 |
1,00,000 |
|
1407 |
Toe transfer |
87,100 |
91,400 |
1,00,500 |
|
1408 |
Breast reduction for gynacomastia-male |
40,000 |
42,000 |
46,200 |
|
1409 |
Breast reduction for gigantomachia female |
52,300 |
54,900 |
60,400 |
|
1410 |
Post mastectomy breast
reconstruction with flap and tissue expandor |
87,600 |
92,000 |
1,01,200 |
|
1411 |
Nipple areola reconstruction |
41,800 |
43,900 |
48,300 |
|
1412 |
Reduction Surgery For Filarial |
44,100 |
46,300 |
50,900 |
|
|
Lymphoedema |
|
|
|
|
1413 |
Any raw area which needs skin grafting - mild<5% |
35,900 |
37,700 |
41,500 |
|
1414 |
Any raw area which needs skin grafting - moderate 5-10% |
40,300 |
42,300 |
46,500 |
|
1415 |
Any raw area which needs skin grafting - major - >10 % |
55,000 |
57,700 |
63,500 |
|
1416 |
Debridement and primary closure for avulsion injuries(86.59) |
58,300 |
61,200 |
67,300 |
|
1417 |
Debridement and skin grafting for avulsion injuries(86.63) |
77,100 |
81,000 |
89,100 |
|
1418 |
Surgical Management of 40% mixed burns |
78,500 |
82,400 |
90,700 |
|
1419 |
Surgical Management of 50% mixed burns |
1,33,300 |
1,39,900 |
1,53,900 |
|
1420 |
Surgical Management of 60% mixed burns |
1,56,000 |
1,63,800 |
1,80,200 |
|
1421 |
Surgical Management of above 60% mixed burns |
1,54,100 |
1,61,800 |
1,78,000 |
|
1422 |
Eyelid injuries /
avulsions - major (more than 25% either in thickness or length) |
62,100 |
65,200 |
71,700 |
|
1423 |
Nose injuries / avulsions- primary closure/ skin graft(86.6) |
42,100 |
44,200 |
48,600 |
|
1424 |
Ear
injuries / avulsions - primary closure/ skin graft(86.6) |
42,100 |
44,200 |
48,600 |
|
1425 |
Lip
injuries / avulsions - primary closure/ skin graft(86.6) |
42,100 |
44,200 |
48,600 |
|
1426 |
Sub mucosal fibrosis - surgical management with grafts |
62,400 |
65,500 |
72,100 |
|
1427 |
Extensive degloving injuries / lacerations
of the face in rta / animal bites with exposure of vital structures |
77,400 |
81,300 |
89,400 |
|
1428 |
Surgical management for keloid & hypertrophic scar requiring flap cover |
28,000 |
29,400 |
32,300 |
|
1429 |
Pedicle flap |
72,300 |
75,900 |
83,400 |
|
1430 |
Sub mucosal fibrosis - surgical management with flap |
51,700 |
54,300 |
59,700 |
|
1431 |
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 |
62,000 |
65,100 |
71,600 |
|
1432 |
Crush injury hand
involving loss of skin and vital parts requiring flap cover |
51,600 |
54,200 |
59,600 |
|
1433 |
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 |
61,800 |
64,900 |
71,400 |
|
1434 |
Micro vascular reconstruction flap (post
burns, post neoplastic, trauma, post traumatic, congenital) |
92,400 |
97,000 |
1,06,700 |
|
1435 |
Nose injuries / avulsions -flap cover |
36,100 |
37,900 |
41,700 |
|
1436 |
Ear injuries / avulsions - flap cover |
38,100 |
40,000 |
44,000 |
|
1437 |
Lip injuries / avulsions - flap cover |
36,000 |
37,800 |
41,600 |
|
1438 |
Scar revision procedures involving natural orifices |
31,300 |
32,800 |
36,100 |
|
1439 |
Reconstructive surgery for facial palsy - micro vascular |
81,400 |
85,500 |
94,100 |
|
1440 |
Surgical Correction of Hemifacial Atrophy |
92,200 |
96,800 |
1,06,500 |
|
1441 |
Reconstructive surgery for facial palsy -conventional |
82,300 |
86,400 |
95,000 |
|
1442 |
Surgical Correction of hemifacial microsomia |
84,000 |
88,200 |
97,000 |
|
1443 |
Post traumatic squeal like
contractures, severe hypertrophy, unstable scars, non-healing ulcers etc., |
42,100 |
44,200 |
48,600 |
|
1444 |
Surgical Management of Syndactyly of Hand For Each Hand |
36,600 |
38,500 |
42,300 |
|
1445 |
Tissue expansion -for functional purpose |
48,200 |
50,600 |
55,600 |
|
1446 |
Conservative management of 40% burns |
69,000 |
72,500 |
79,700 |
|
1447 |
Conservative management of 50% burns |
1,38,000 |
1,44,900 |
1,59,400 |
|
1448 |
Conservative management of 60% burns |
2,13,500 |
2,24,200 |
2,46,600 |
|
1449 |
Injection treatment - each
sitting for keloid,haemangioma, lymphangioma and vascular malformations |
22,100 |
23,200 |
25,500 |
|
POLYTRAUMA |
||||
|
1450 |
Surgical Treatment (Up To) for Neuro Surgical Trauma |
1,51,500 |
1,59,100 |
1,75,000 |
|
1451 |
Tracheostomy |
6,200 |
6,500 |
7,200 |
|
1452 |
Thoracostomy |
11,400 |
12,000 |
13,200 |
|
1453 |
Surgical Treatment for Chest injuries |
30,600 |
32,100 |
35,400 |
|
1454 |
Surgical Management for Abdominal Injuries |
77,100 |
81,000 |
89,100 |
|
1455 |
Surgical treatement of fascial bone fracture |
16,500 |
17,300 |
19,100 |
|
1456 |
Surgical management with
K-Wiring for Small bone fractures (To Be Covered Along With Other Injuries
Only And Not As Exclusive Procedure) |
5,000 |
5,300 |
5,800 |
|
1457 |
Surgical Management of
Patella Fracture (To Be Covered
Along With Other Injuries Only And Not As Exclusive Procedure) |
5,000 |
5,300 |
5,800 |
|
1458 |
Surgical Correction Of Pelvic Bone Fractures. |
36,700 |
38,500 |
42,400 |
|
1459 |
Surgical Correction Of Longbone Fracture |
31,500 |
33,100 |
36,400 |
|
1460 |
Surgical Management of Grade I&II Compound Fractures |
16,500 |
17,300 |
19,100 |
|
1461 |
Surgical Management of Grade III Compound Fractures |
27,800 |
29,200 |
32,100 |
|
1462 |
Surgical Management of
wound In Compound Fracture with Flap cover(86.7) |
26,600 |
27,900 |
30,700 |
|
1463 |
Management of Soft Tissue Injury |
6,800 |
7,100 |
7,900 |
|
1464 |
Toes Amputation |
10,600 |
11,100 |
12,200 |
|
1465 |
Amputation surgery |
10,600 |
11,100 |
12,200 |
|
1466 |
Intesive care management
for Chest injuries in RICU Rs. 4000/- per day |
35,000 |
36,800 |
40,400 |
|
1467 |
Intesive care managementof Neuro Surgical Trauma in Neuro Icu @Rs.4000/Day |
48,000 |
50,400 |
55,400 |
|
1468 |
Intesive care management for Abdominal Injuries In Surgical ICU@Rs.4000/Day |
31,000 |
32,600 |
35,800 |
|
1469 |
Medical management of
Neurosurgical troma in general ward @900/- day |
12,300 |
12,900 |
14,200 |
|
1470 |
Conservative management of chest injuries in general ward @900/- day |
6,900 |
7,200 |
8,000 |
|
1471 |
Conservative management of Abdominal
surgical in general ward Major @900/- day |
6,900 |
7,200 |
8,000 |
|
Dental
Surgery |
||||
|
1472 |
Surgical Management of Naso Ethmoidal Floor Fracture - G.A |
19,500 |
20,500 |
22,600 |
|
1473 |
Surgical Closure Oro-Nasal Fistula |
7,500 |
7,800 |
8,600 |
|
1474 |
Sinus Lift Procedure Without Grafting |
17,100 |
18,000 |
19,800 |
|
1475 |
Sinus Lift Procedure With Grafting |
18,700 |
19,700 |
21,600 |
|
1476 |
Simple Extraction Of Tooth |
300 |
300 |
300 |
|
1477 |
Application Of Pit & Fissure Sealants (Pedo) |
600 |
600 |
700 |
|
1478 |
Amalgam Restoration Per Tooth |
300 |
400 |
400 |
|
1479 |
Temporary Filling Per Tooth |
300 |
300 |
300 |
|
1480 |
Tooth Coloured Restoration Per Tooth |
500 |
500 |
500 |
|
1481 |
Fabrication & Cementation Of Inlay & Onlay-Ceramic |
2,600 |
2,800 |
3,000 |
|
1482 |
Fabrication & Cementation Of Inlay & Onlay-Metal |
1,700 |
1,700 |
1,900 |
|
1483 |
Flouride Gel Application (Pedo) |
1,400 |
1,500 |
1,600 |
|
1484 |
Treatment Under Conscious Sedation |
800 |
900 |
1,000 |
|
1485 |
Vital Bleaching Procedure For 8 Upper Teeth |
1,100 |
1,200 |
1,300 |
|
1486 |
Restoration With Composite Veneers (Pertooth) |
600 |
600 |
700 |
|
1487 |
Preparation & Cementation Of Anterior All Ceramic Laminates |
3,200 |
3,400 |
3,700 |
|
1488 |
Atraumatic Restorative Treatment |
800 |
800 |
900 |
|
1489 |
Pulpotomy & Pulpectomy With Ssc |
900 |
900 |
1,000 |
|
1490 |
Management Of Avulsed Tooth |
900 |
1,000 |
1,100 |
|
1491 |
Surgical Placement Of Dental Implants Under L.A |
11,200 |
11,800 |
13,000 |
|
1492 |
Treatment with Micro Implants (Each) |
600 |
600 |
700 |
|
1493 |
Surgical Placement Of Eye Prosthesis With Implants |
40,400 |
42,500 |
46,700 |
|
1494 |
Surgical Placement Of Nose Prosthesis With Implants |
36,000 |
37,800 |
41,600 |
|
1495 |
Surgical Placement Of Zygomatic Implants Under G.A |
1,30,500 |
1,37,000 |
1,50,700 |
|
1496 |
Root Canal Treatment - Deciduous Tooth |
900 |
900 |
1,000 |
|
1497 |
Anterior Root Canal Treatment |
2,000 |
2,100 |
2,300 |
|
1498 |
Apicoectomy |
2,000 |
2,100 |
2,300 |
|
1499 |
Root Canal Treatment With Hemisection Of Root |
4,000 |
4,200 |
4,600 |
|
1500 |
Posterior Root Canal Treatment |
2,000 |
2,100 |
2,300 |
|
1501 |
Apicoectomy With Grafting (76.91) |
2,200 |
2,300 |
2,600 |
|
1502 |
Root Resection |
1,900 |
2,000 |
2,200 |
|
1503 |
Extraction Of III Molar / Impacted Toot Under L.A |
2,000 |
2,100 |
2,300 |
|
1504 |
Surgical Extraction Of Tooth |
1,500 |
1,600 |
1,700 |
|
1505 |
Extraction Of Deep Bony Impacted Tooth Under G.A. |
10,000 |
10,500 |
11,600 |
|
1506 |
Preparation And Cementation Of Acrylic Crown |
400 |
400 |
500 |
|
1507 |
Fabrication & Cementation
Of Metal Ceramic Crown (Per Unit) |
1,400 |
1,400 |
1,600 |
|
1508 |
Preparation & Cementattion Of Anterior All Ceramic Crown |
3,100 |
3,200 |
3,500 |
|
1509 |
Placement Of Stainless Steel Crown (Per Tooth) |
700 |
700 |
800 |
|
1510 |
Fibre Post & Core
Restoration With Anterior All Ceramic Crown (23.4) |
3,600 |
3,700 |
4,100 |
|
1511 |
Fibre Post & Core
Restoration With Metal Ceramic Crown (23.4) |
2,300 |
2,400 |
2,600 |
|
1512 |
Metal Post & Core
Restoration With Metal Ceramic Crown (23.4) |
2,300 |
2,400 |
2,600 |
|
1513 |
Placement Of Fixed Habit Breaking Appliances |
2,100 |
2,200 |
2,400 |
|
1514 |
Tretament With Expansion Plate |
1,600 |
1,700 |
1,900 |
|
1515 |
Fabrication &
Insertion Of Removable Habit Breaking Appliance |
1,500 |
1,600 |
1,800 |
|
1516 |
Fabrication &
Insertion Of Removable Appliance (Upper / Lower ) |
1,600 |
1,600 |
1,800 |
|
1517 |
Fabrication & Insertion Of Removable Functional Appliance |
2,900 |
3,000 |
3,300 |
|
1518 |
Fabrication &
Insertion Of Removable Partial Denture- Single Tooth |
600 |
600 |
600 |
|
1519 |
Fabrication & Insertion Of Removable Retainers-Each Arch |
700 |
700 |
800 |
|
1520 |
Fabrication &
Insertion Of Fixed Space Maintainers / Space Retainer |
1,300 |
1,300 |
1,500 |
|
1521 |
Fabrication &
Insertion Of Removable Space Maintainers (Pedo) |
1,000 |
1,100 |
1,200 |
|
1522 |
Treatment With Inclined Plane |
900 |
900 |
1,000 |
|
1523 |
Fabrication Of Occlusal Night Guard (Hard Or Soft) |
1,000 |
1,100 |
1,200 |
|
1524 |
Operculectomy |
400 |
500 |
500 |
|
1525 |
Sub Gingival Curretage Per Quadrant |
800 |
900 |
1,000 |
|
1526 |
Gingivectomy (Per Quadrant) |
1,200 |
1,200 |
1,400 |
|
1527 |
Gingivectomy-Single Tooth |
600 |
700 |
700 |
|
1528 |
Flap Surgery - Single Tooth |
700 |
800 |
900 |
|
1529 |
Crown Lengthening Procedure (24.6) |
1,000 |
1,000 |
1,100 |
|
1530 |
Root Coverage Procedure (Per Tooth) |
1,600 |
1,700 |
1,900 |
|
1531 |
Osseous Surgery |
3,500 |
3,600 |
4,000 |
|
1532 |
Flap Surgery (Per Quadrant) |
1,700 |
1,800 |
2,000 |
|
1533 |
Flap Surgery With Bone Grafting (Per Quadrant) |
2,100 |
2,200 |
2,400 |
|
1534 |
Free Gingival Graft-Gum Surgery |
2,300 |
2,400 |
2,600 |
|
1535 |
Gingival De Pigmentation Procedure |
1,500 |
1,600 |
1,800 |
|
1536 |
Local Drug Delivery -Periodontal Treatments |
1,000 |
1,100 |
1,200 |
|
1537 |
Pre Prosthetic Surgery - Ridge Augmentation(Full mouth) |
20,900 |
21,900 |
24,100 |
|
1538 |
Resection And Reconstruction (Tumor) |
21,500 |
22,500 |
24,800 |
|
1539 |
Surgical Managemant Of Cyst(<2.5 cm) Under L.A. |
1,700 |
1,800 |
2,000 |
|
1540 |
Excision Of Growth Under L.A. |
3,300 |
3,500 |
3,800 |
|
1541 |
Surgical Managemant Of Cyst(> 2.5 cm) Under G.A. |
10,700 |
11,200 |
12,300 |
|
1542 |
Excision Of Growth Under G.A. |
14,800 |
15,600 |
17,100 |
|
1543 |
Excision Of Precancerous Lesions Under L.A |
6,200 |
6,500 |
7,200 |
|
1544 |
Excision Of Precancerous Lesions Under G.A |
10,500 |
11,000 |
12,100 |
|
1545 |
Excision Of Precancerous Lesions With Grafting (76.91) |
13,200 |
13,900 |
15,300 |
|
1546 |
Surgical Excision With Grafting (76.91) |
22,100 |
23,200 |
25,500 |
|
1547 |
Enucleation Of Cyst/ Tumor |
10,800 |
11,300 |
12,400 |
|
1548 |
Alveoloplasty (Quadrant) |
700 |
700 |
800 |
|
1549 |
Rapid Maxillary Expansion
With Hyrax Screwifr Palatal Expanders |
4,700 |
5,000 |
5,500 |
|
1550 |
Treatment With Temporary Anchorage Devices |
1,900 |
2,000 |
2,200 |
|
1551 |
Treatment With Fixed Functional Appliances |
3,600 |
3,800 |
4,100 |
|
1552 |
Fixed Orthodontics Treatment-Ceramic Braces |
5,100 |
5,400 |
5,900 |
|
1553 |
Fixed Orthodontics Treatment-Metal Braces |
10,700 |
11,200 |
12,300 |
|
1554 |
Treatment With Fixed Retainers |
1,000 |
1,100 |
1,200 |
|
1555 |
Fabrication Of Acrylic
Splinting Arch ( In Auto Polymerizing Acrylic) |
1,100 |
1,100 |
1,200 |
|
1556 |
Fabrication & Insertion Of Feeding Plate (Acrylic) |
900 |
1,000 |
1,100 |
|
1557 |
Fabrication & Insertion Of Obturator - |
900 |
900 |
1,000 |
|
|
Acrylic |
|
|
|
|
1558 |
Fabrication & Insertion Of Obturator & Speech Bulb-Acrylic |
2,000 |
2,100 |
2,300 |
|
1559 |
Relining / Rebasing of Complete Denture |
900 |
1,000 |
1,100 |
|
1560 |
Vestibuloplasty - Maxilla / Mandible- G.A. |
26,000 |
27,300 |
30,100 |
|
1561 |
Vestibuloplasty - Maxilla / Mandible- L.A |
13,200 |
13,900 |
15,300 |
|
1562 |
Sulcus Extention Procedure |
2,300 |
2,500 |
2,700 |
|
1563 |
Surgical Placement Of Nose Prosthesis |
2,000 |
2,100 |
2,400 |
|
1564 |
Surgical Placement Of Ear Prosthesis |
2,200 |
2,300 |
2,500 |
|
1565 |
Frenectomy |
700 |
700 |
800 |
|
1566 |
Surgical Removal Of Sialolith -L.A. |
25,600 |
26,900 |
29,600 |
|
1567 |
Surgical Removal Of Sialolith -G.A. |
35,900 |
37,700 |
41,500 |
|
1568 |
Incision & Drainage of Simple Abscess (per Tooth) |
700 |
700 |
800 |
|
1569 |
Incision & Drainage of Facial Abscess Under G.A |
8,300 |
8,700 |
9,600 |
|
1570 |
Incision & Drainage of Facial Abscess Under L.A |
3,500 |
3,700 |
4,000 |
|
1571 |
Sequestrectomy & Saucerization Of Osteomyelitis Of Maxilla & Mandible |
30,000 |
31,500 |
34,700 |
|
1572 |
Marginal Mandibulectomy- Osteomyelitis |
21,200 |
22,200 |
24,500 |
|
1573 |
Coronoidectomy |
12,000 |
12,600 |
13,800 |
|
1574 |
Segmental Osteotomy Mandible |
13,900 |
14,600 |
16,000 |
|
1575 |
Vertical Sub Sigmoid Osteotomy |
7,500 |
7,800 |
8,600 |
|
1576 |
Bilateral Sagittal Split Osteotomy Of Mandible (BSSO) |
30,100 |
31,600 |
34,700 |
|
1577 |
Anterior Segmental Osteotomy - Maxilla / Mandible (ASO) |
24,700 |
25,900 |
28,500 |
|
1578 |
Segmental Osteotomy Maxilla |
13,600 |
14,300 |
15,800 |
|
1579 |
Zygoma/orbital fractures |
76,900 |
80,700 |
88,800 |
|
1580 |
Surgical Management Of
Combined Fracture Of Mandible & Maxilla (76.74/76.75/76.76) |
33,400 |
35,000 |
38,500 |
|
1581 |
Surgical Correction Of Fracture Lefort II |
40,400 |
42,400 |
46,600 |
|
1582 |
Open Reduction &
Internal Fixation Of Jaw Fractures Under G.A. (76.76) |
12,800 |
13,400 |
14,800 |
|
1583 |
Closed Reduction &
Immobilisation Of Mandibular Fracture Under L.A. |
1,900 |
2,000 |
2,200 |
|
1584 |
Surgical Correction Of Fracture Lefort I - G.A. (76.76) |
39,300 |
41,300 |
45,400 |
|
1585 |
Surgical Management Of TMJ Dislocation (G.A.) (76.94) |
15,300 |
16,100 |
17,700 |
|
1586 |
Distraction Osteogenesis- Mandible- G.A. |
37,400 |
39,300 |
43,200 |
|
1587 |
Distraction Osteogenesis- Maxilla- G.A. |
37,600 |
39,500 |
43,400 |
|
1588 |
Alveolar Distraction L.A. |
5,400 |
5,700 |
6,300 |
|
1589 |
Surgical Management Of TMJ Ankylosis (G.A.) |
17,900 |
18,800 |
20,700 |
|
1590 |
Radio Frequency &
Thermo Coagulaton For Treatment Of Trigeminal Neuralgia |
15,900 |
16,700 |
18,400 |
|
1591 |
Cryosurgery In Dental Procedures |
10,800 |
11,400 |
12,500 |
|
1592 |
Laser Treatment For Precancerous Lesions |
1,100 |
1,100 |
1,200 |
|
1593 |
Chin Cup Thepary |
4,400 |
4,600 |
5,000 |
|
1594 |
Head Gear Therapy |
4,200 |
4,400 |
4,800 |
|
1595 |
Face Mask Therapy |
3,500 |
3,600 |
4,000 |
|
1596 |
Intermaxillary Fixation(IMF) For Alveolar Fractures Under L.A. |
4,200 |
4,400 |
4,800 |
|
1597 |
Splinting Of Teeth Under L.A(24.7) |
1,000 |
1,000 |
1,100 |
|
1598 |
Surgical Placement Of Eye Prosthesis |
2,500 |
2,600 |
2,900 |
|
1599 |
Oral Prophylaxis - Extrinsic Stains (Upper/ Lower) |
400 |
500 |
500 |
|
1600 |
Oral Prophylaxis - Calculi (Upper/ Lower) |
600 |
600 |
600 |
|
1601 |
Fabrication & Insertion Of Complete Denture (U & L) |
5,700 |
6,000 |
6,500 |
|
1602 |
Fabrication & Insertion Of Complete Denture (Upper / Lower) |
3,200 |
3,300 |
3,700 |
|
1603 |
Fabrication &
Insertion of Soft Liner Denture |
7,500 |
7,800 |
8,600 |
|
1604 |
Fabrication & Insertion Of Cast Partial
Dentures Framework With Precission Attachments |
9,800 |
10,300 |
11,300 |
|
1605 |
Fabrication Of Over Dentures Without Attachments |
5,900 |
6,200 |
6,800 |
|
1606 |
Fabrication Of Over Dentures -Implant Supported (2 units) |
26,400 |
27,700 |
30,400 |
|
1607 |
Fabrication
Of Over Dentures With Attachments |
11,200 |
11,700 |
12,900 |
|
1608 |
Fabrication &
Insertion Of Cast Partial Dentures Framework Per Unit |
4,800 |
5,100 |
5,600 |
|
1609 |
Medical Management Of Trigeminal Neuralgia |
8,000 |
8,400 |
9,200 |
|
1610 |
Medical Management of Oral Ulcers |
5,000 |
5,300 |
5,800 |
|
1611 |
Hesters Opener Procedure - Management of OSMF |
25,000 |
26,300 |
28,900 |
|
1612 |
Combination Of
Intralesional Injection For Oral Submucous Fibrosis |
3,000 |
3,200 |
3,500 |
|
1613 |
Medical Management of OSMF |
3,000 |
3,200 |
3,500 |
|
1614 |
Medical Management of Leukoplakia |
3,000 |
3,200 |
3,500 |
|
1615 |
Medical Management of Premalignant Lesions And
Conditions (Antioxidant Therapy) ( K13.29/K13.5) |
5,000 |
5,300 |
5,800 |
|
1616 |
Medical Management Of Lichen Planus |
1,100 |
1,200 |
1,300 |
|
1617 |
Mdical Management Of TMJ Dysfunction Syndrome (76.94) |
5,000 |
5,300 |
5,800 |
|
1618 |
Medical Management Of Myo
FACIAL Pain Dysfunction Syndrome (MPDS) |
5,000 |
5,300 |
5,800 |
|
Medical -
Critical Care |
||||
|
1619 |
Medical Management of Acute Bronchitis with Pneumonia and Respiratory Failure |
61,500 |
64,600 |
71,000 |
|
1620 |
Medical Management of COPD
with Respiratory Failure (Infective Exacerbation) |
81,800 |
85,900 |
94,500 |
|
1621 |
Medical Management of
Acute Severe Asthma With Acute Respiratory Failure |
51,800 |
54,400 |
59,800 |
|
1622 |
Medical Management of ARDS |
1,02,100 |
1,07,200 |
1,17,900 |
|
1623 |
Medical Management of ARDS
with Multi Organ failure (R65.1) |
1,15,000 |
1,20,800 |
1,32,800 |
|
1624 |
Medical Management of ARDS
with DIC (Blood & Blood Products) (D65) |
1,43,000 |
1,50,200 |
1,65,200 |
|
1625 |
Intensive care management of Septic Shock |
63,000 |
66,100 |
72,800 |
|
1626 |
Medical Management of Poisioning Requiring Ventilatory Assistance |
51,500 |
54,100 |
59,500 |
|
Medical-General
Medicine |
||||
|
1627 |
Medical Management of Typhoid And Paratyphoid Fevers |
21,800 |
22,900 |
25,200 |
|
1628 |
Medical Management of Acute Gastroenteritis |
15,900 |
16,700 |
18,400 |
|
1629 |
Medical Management of Tb Meningitis |
32,400 |
34,000 |
37,400 |
|
1630 |
Medical Management of Dengue Fever |
26,500 |
27,800 |
30,600 |
|
1631 |
Medical Management of Dengue Haemorrhagic Fever |
36,800 |
38,600 |
42,500 |
|
1632 |
Medical Management of Falciparum Malaria |
11,500 |
12,100 |
13,300 |
|
1633 |
Medical Management of Cerebral Malaria |
27,100 |
28,500 |
31,300 |
|
1634 |
Medical Management of Vivax Malaria |
11,500 |
12,100 |
13,300 |
|
1635 |
Medical Management of Myelodysplastic Syndromes |
33,000 |
34,700 |
38,100 |
|
1636 |
Medical Management of Chelation Therapy For Thalassemia Major |
16,200 |
17,000 |
18,700 |
|
1637 |
Medical Management of Pancytopenia |
31,500 |
33,100 |
36,400 |
|
1638 |
Medical Management of Anaemias (Less Than 7 Gms)/ Heart Failure |
31,200 |
32,800 |
36,000 |
|
1639 |
Medical Management of Hemophilia (D67/D68.0) |
61,500 |
64,600 |
71,000 |
|
1640 |
Medical Management of
Thrombocytopenia With Bleeding Diathesis |
32,100 |
33,700 |
37,100 |
|
1641 |
Medical Management of Other Coagulation Disorders |
45,200 |
47,500 |
52,200 |
|
1642 |
Medical Management of Periodic Paralysis |
16,200 |
17,000 |
18,700 |
|
1643 |
Medical Management of Metabolic Encephalopathy |
36,800 |
38,600 |
42,500 |
|
1644 |
Medical Management of Acute Rheumatic Fever |
17,100 |
18,000 |
19,800 |
|
1645 |
Medical Management of Hypertensive |
21,800 |
22,900 |
25,200 |
|
|
Emergencies |
|
|
|
|
1646 |
Medical Management of Metabolic Coma Requiring Ventilatory Support |
37,400 |
39,300 |
43,200 |
|
1647 |
Medical Management of
Snake Bite Requiring Ventilator Support |
63,000 |
66,200 |
72,800 |
|
1648 |
Medical Management of
Scorpion Sting Requiring Ventilator Support |
28,000 |
29,400 |
32,300 |
|
Medical-Infectious
Diseases |
||||
|
1649 |
Medical Management of Severe Tetanus |
29,500 |
30,900 |
34,000 |
|
1650 |
Medical Management of Complicated Diphtheria |
28,900 |
30,300 |
33,400 |
|
1651 |
Medical Management of Cryptococcal Meningitis |
31,900 |
33,500 |
36,800 |
|
Medical
-Pediatrics |
||||
|
1652 |
Medical Management of
Enteric Fever Complicated in Paediatric patient |
12,200 |
12,800 |
14,100 |
|
1653 |
Medical Management of Acute gastritis in Paediatric patient |
9,800 |
10,300 |
11,400 |
|
1654 |
Medical Management of Pulmonary koch's with complications in Paediatric patient |
11,500 |
12,100 |
13,300 |
|
1655 |
Medical Management of Neuro Tuberculosis in Paediatric patient |
17,400 |
18,300 |
20,100 |
|
1656 |
Medical Management of Neuro Tuberculosis With Ventilation in Paediatric patient |
26,800 |
28,100 |
31,000 |
|
1657 |
Medical Management of Tetanus in Paediatric patient |
16,600 |
17,400 |
19,100 |
|
1658 |
Medical Management of Diphtheria in Paediatric patient |
18,600 |
19,500 |
21,500 |
|
1659 |
Medical Management of Viral haemmaragic fever with complicatons in Paediatric patient |
27,100 |
28,400 |
31,300 |
|
1660 |
Medical Management of Viral hepatitis in Paediatric patient |
13,000 |
13,700 |
15,000 |
|
1661 |
Medical Management of Auto
immune hemolytic anemia in Paediatric patient |
17,700 |
18,600 |
20,400 |
|
1662 |
Medical
Management of Anemia
Of Unknown Cause in Paediatric patient |
11,500 |
12,100 |
13,300 |
|
1663 |
Medical Management of Haemophillia Including Von Willibrands disease in Paediatric patients |
22,100 |
23,200 |
25,500 |
|
1664 |
Medical Management of Henoch -schonlein purpura in Paediatric patient |
17,400 |
18,200 |
20,100 |
|
1665 |
Medical Management of Idiopathic thrombocytopenic purpura in Paediatric patient |
28,600 |
30,000 |
33,000 |
|
1666 |
Medical Management of Diabetic Ketoacidosis in Paediatric patient |
30,000 |
31,500 |
34,700 |
|
1667 |
Medical Management of Rickets in Paediatric patient |
9,200 |
9,700 |
10,600 |
|
1668 |
Medical Management of Meningo- Encephalitis in Paediatric
patients (Non Ventilated) |
40,000 |
42,000 |
46,200 |
|
1669 |
Medical Management of Meningo- Encephalitis in Paediatric patients (Ventilated) |
60,000 |
63,000 |
69,300 |
|
1670 |
Medical Management
of Encephalitis /Encephalopathy in Paediatric patient |
28,300 |
29,700 |
32,700 |
|
1671 |
Medical Management of Status Epilepticus |
23,000 |
24,200 |
26,600 |
|
1672 |
Medical Management
of Convulsive Disorders/Status Epilepticus (Fits)in Paediatric patient |
11,800 |
12,400 |
13,600 |
|
1673 |
Medical Management of Stroke Syndrome in Paediatric patient |
24,200 |
25,400 |
28,000 |
|
1674 |
Medical Management of Muscular dystrophy in Paediatric patient |
18,000 |
18,900 |
20,800 |
|
1675 |
Medical Management
of Acute flaccid paralysis in Paediatric patient |
37,400 |
39,300 |
43,200 |
|
1676 |
Medical Management of Rheumatic heart disease in Paediatric patient |
17,100 |
18,000 |
19,800 |
|
1677 |
Medical Management of Infective Endocarditis |
29,200 |
30,700 |
33,700 |
|
1678 |
Medical Management of Severe Myocarditis in Paediatric patient |
40,000 |
42,000 |
46,200 |
|
1679 |
Medical Management of Viral Myocarditis
in Paediatric patient |
22,100 |
23,200 |
25,500 |
|
1680 |
Acquired heart disease with congestive cardiac failure |
17,100 |
18,000 |
19,800 |
|
1681 |
Medical Management of Intra
Cranial Bleed in Paediatric patient |
50,000 |
52,500 |
57,800 |
|
1682 |
Medical Management of Croup in Paediatric patient |
11,500 |
12,100 |
13,300 |
|
1683 |
Medical Management of
Acute pharyngo tonsillitis in Paediatric patient |
6,200 |
6,500 |
7,200 |
|
1684 |
Medical Management of
Acute Broncho Lobar pneumonia With Empyema/ Pleural Effusion in Paediatric patients(J18.1/J43/J90) |
29,200 |
30,700 |
33,700 |
|
1685 |
Medical
Management of Acute Broncho Lobar pneumonia With PyoPneumothorax in Paediatric patient(J18.1/J86/J93) |
24,200 |
25,400 |
28,000 |
|
1686 |
Medical Management of
Acute Hepatitis With Hepatic Encephalopathy in Paediatric patient |
50,000 |
52,500 |
57,800 |
|
1687 |
Medical Management of Portal hypertension
in Paediatric patient |
18,300 |
19,200 |
21,100 |
|
1688 |
Medical management of Acute Pancreatitis (Mild) |
52,100 |
54,700 |
60,200 |
|
1689 |
Medical Management of
Acute Gastro Intestinal Bleed in Paediatric patients |
25,000 |
26,300 |
28,900 |
|
1690 |
Medical Management of
Rheumatoidn Arthritis Requiring Hospitalisation |
33,000 |
34,700 |
38,100 |
|
1691 |
Medical Management of Acute glomerulonephritis
in Paediatric patient |
11,800 |
12,400 |
13,600 |
|
1692 |
Medical Management of
Steroid Resistant Nephrotic Syndrome Complicated Or Resistant in Paediatric patients |
29,200 |
30,700 |
33,700 |
|
1693 |
Medical Management of Nephrotic syndrome-non steriod resistant in Paediatric patient |
18,300 |
19,200 |
21,100 |
|
1694 |
Medical Management of Acute
Renal Failure in Paediatric patient |
20,000 |
21,000 |
23,100 |
|
1695 |
Medical Management of Acute Renal Failure With Dialysis in Paediatric patients |
43,000 |
45,200 |
49,700 |
|
1696 |
Medical Management of Renal Tubular Acidosis |
19,900 |
20,900 |
23,000 |
|
1697 |
Medical Management of UTI (Urinary Tract Infection) |
18,100 |
19,000 |
20,900 |
|
1698 |
Medical Management of
Urinary Tract Infection With Complications Like Pyelonephritis And Renal
Failure in Paediatric patient(N13.6/N17.9) |
16,600 |
17,400 |
19,100 |
|
1699 |
Newborn (suspected to be)
affected by maternal renal and urinary tract diseasesNewborn (suspected to
be) affected by maternal conditions classifiable to N00-N39 |
19,100 |
20,000 |
22,000 |
|
1700 |
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) |
35,000 |
36,700 |
40,400 |
|
1701 |
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) |
35,000 |
36,800 |
40,400 |
|
1702 |
Medical Management of severe
Hyaline Membrane Disease, Culture Positive Sepsis,Perinatal asphyxia, Hyper
bilirubinem ia in above 34 Weeks Preterm baby requiring ventilatory support.(A41.9+P59.9+P21.9) |
50,000 |
52,500 |
57,800 |
|
1703 |
Medical Management of
Patent DuctusArteriosus/ Severe Hyaline Membranedisease with clinically
evident septicemia,Hyperbilirubinemia requiring ventilatorysupport in 30 To
34 Weeks Preterm baby.(A41.9+P59.9+Q25.0) |
60,000 |
63,000 |
69,300 |
|
1704 |
Medical
management of pre-term Baby of<30 weeks severe Hyline MembranceDisease
septi cemia culturepositive,Hyperbili rubinemia patientDuctus Arteriosus requiring MechanicalVentilation. |
90,000 |
94,500 |
1,03,900 |
|
1705 |
Medical Management of Severe respiratory distress in paediatric patient not requiring ventilatory support |
15,000 |
15,800 |
17,300 |
|
1706 |
Medical Management of Severe respiratory distress in paediatric patient requiring ventilatory support. |
20,000 |
21,000 |
23,100 |
|
1707 |
Medical Management of
Cyanotic heart disease in Paediatric patient |
12,100 |
12,700 |
14,000 |
|
1708 |
Medical Management
of Congenital
Heart Disease With Congestive Cardiac Failure in Paediatric patients |
17,100 |
18,000 |
19,800 |
|
1709 |
Medical Management
of Congenital Heart Disease With Infection (NonVentilated) in Paediatric patient |
25,000 |
26,300 |
28,900 |
|
1710 |
Medical Management of
Congenital Heart Disease With Infection And Cardiogenic Shock (Ventilated) inPaediatric patients |
50,000 |
52,500 |
57,800 |
|
1711 |
Medical Management of Febrile Seizures (Atypical- Mechanical Ventilated) in Paediatric patients |
25,000 |
26,300 |
28,900 |
|
1712 |
Medical
Management
of Cardiogenic Shock in Paediatric patients |
50,000 |
52,500 |
57,800 |
|
1713 |
Medical Management of
Scorpion Sting With Myocarditis And Cardiogenic Shock Requiring Ventilatory Assistance in Paediatric patients |
40,000 |
42,000 |
46,200 |
|
1714 |
Medical Management of
Poison Ingestion/ Aspiration Requiring Ventilatory Assistance in Paediatric patients |
40,000 |
42,000 |
46,200 |
|
Medical-
Cardiology |
||||
|
1715 |
Medical Management of Accelerated Systemic Hypertension |
10,000 |
10,500 |
11,600 |
|
1716 |
Medical Management of CAD - Chronic Stable Angina |
8,300 |
8,700 |
9,600 |
|
1717 |
Management Of Acute MI without Angiogram |
10,600 |
11,100 |
12,200 |
|
1718 |
Management Of Acute MI With Angiogram |
30,600 |
32,100 |
35,300 |
|
1719 |
Medical Management of
Acute MI-AHF- Not Requiring Ventilator |
25,900 |
27,200 |
29,900 |
|
1720 |
Medical Management of CAD-Acute MI With
Pulmonary Edema - Requiring Ventilator |
35,900 |
37,700 |
41,500 |
|
1721 |
Medical Management of Acute MI With Cardiogenic Shock |
30,600 |
32,100 |
35,300 |
|
1722 |
Medical
Management of Acute MI Requiring IABP Pump |
55,900 |
58,700 |
64,600 |
|
1723 |
Medical Management of Pulmonary Embolism |
35,600 |
37,400 |
41,100 |
|
1724 |
Medical Management Of
Pericardial Effusion-Without Aspiration |
5,300 |
5,600 |
6,100 |
|
1725 |
Medical
Management
of Pericardial Effusion, Tamponade without Aspiration |
16,600 |
17,400 |
19,200 |
|
1726 |
Medical Management of Complex Arrhythmias |
1,40,600 |
1,47,600 |
1,62,400 |
|
1727 |
Ablation Therapy for Simple Arrythmias |
91,600 |
96,200 |
1,05,800 |
|
1728 |
Medical Management Of Simple Arrhythmias |
8,300 |
8,700 |
9,600 |
|
1729 |
CHF-Acute Decompensation-Medical Management Without Ventilator |
10,300 |
10,800 |
11,900 |
|
1730 |
CHF-Acute Decompensation-Medical Management With Ventilator |
20,600 |
21,600 |
23,800 |
|
1731 |
Medical Management of Chronic Heart Failure |
5,300 |
5,600 |
6,100 |
|
1732 |
Medical Management of Refractory Cardiac Failure |
40,600 |
42,600 |
46,900 |
|
1733 |
Medical Management Of Aortic Dissection |
15,600 |
16,400 |
18,000 |
|
1734 |
Medical Management of Deep Vein Thrombosis |
26,800 |
28,100 |
31,000 |
|
1735 |
Medical Management Of Vascular Embolisation |
15,600 |
16,400 |
18,000 |
|
1736 |
Medical Management Of Aortoarteritis |
15,000 |
15,800 |
17,300 |
|
1737 |
Medical Management Cardiogenic Shock (Non AMI) With Out Angiogram |
15,900 |
16,700 |
18,400 |
|
1738 |
Medical Management Cardiogenic Shock (Non AMI) With Angiogram |
20,900 |
21,900 |
24,100 |
|
Medical-
Nephrology |
||||
|
1739 |
Medical Management of Post Transplant Sepsis |
38,900 |
40,800 |
44,900 |
|
1740 |
CAPD Peritonitis |
49,800 |
52,300 |
57,500 |
|
1741 |
Medical Management of Acute Glomerulo Nephritis |
27,500 |
28,900 |
31,800 |
|
1742 |
Medical Management of Nephrotic Syndrome |
18,400 |
19,300 |
21,200 |
|
1743 |
Medical Management of Rapidly Progressive Renal Failure |
33,200 |
34,800 |
38,300 |
|
1744 |
Medical Management of AKI Without Dialysis |
22,400 |
23,500 |
25,900 |
|
1745 |
Medical Management of CKD Stage-V With Complications |
32,100 |
33,700 |
37,000 |
|
1746 |
Maintanence of CKD with Haemodialysis |
12,500 |
13,100 |
14,400 |
|
1747 |
management with immuno globulin therapy - IV |
75,500 |
79,300 |
87,200 |
|
1748 |
Medical Management of
Epilepsy - Idiopathic Neurocysticercosis Tuberculoma |
16,900 |
17,700 |
19,500 |
|
1749 |
Medical Management of Wilson'S Disease |
16,600 |
17,500 |
19,200 |
|
1750 |
Medical Management of Dementia |
12,900 |
13,600 |
14,900 |
|
1751 |
Medical Management of Neuroinfections - Pyogenic Meningitis(Bacterial) |
30,400 |
31,900 |
35,100 |
|
Medical-Neurology |
||||
|
1752 |
Medical Management of Neuroinfections - Fungal Meningitis |
56,400 |
59,200 |
65,200 |
|
1753 |
Medical Management of ADEM |
21,500 |
22,600 |
24,800 |
|
1754 |
Medical Management of Neuroinfections - Viral Meningoencephalitis
(Including Herpes Encephalitis) |
39,600 |
41,600 |
45,700 |
|
1755 |
Medical Management of Parkinsonism |
13,700 |
14,400 |
15,800 |
|
1756 |
Medical Management of Migraine |
4,800 |
5,000 |
5,500 |
|
1757 |
Medical Management of Guillian-Barre Syndrome |
84,500 |
88,700 |
97,600 |
|
1758 |
Medical Management of Chronic Inflammatory Demyelinating Polyneuropathy(CIDP) |
17,000 |
17,900 |
19,700 |
|
1759 |
Medical Management of
Neuromuscular disorders (Myasthenia Gravis) |
23,400 |
24,600 |
27,100 |
|
1760 |
Medical Management of Myopathies - Heriditary |
10,800 |
11,400 |
12,500 |
|
1761 |
Medical Management of Acquired Myopathies |
21,600 |
22,600 |
24,900 |
|
1762 |
Medical Management of Optic Neuritis |
12,100 |
12,700 |
14,000 |
|
1763 |
Medical Management of
Hemorrhagic Stroke/Strokes(I61/I62/I63/I64) |
32,200 |
33,800 |
37,200 |
|
1764 |
Medical Management of Ischemic Strokes |
21,500 |
22,600 |
24,800 |
|
Medical-
Pulminology |
||||
|
1765 |
Medical Management of Cold Abscess Chest Wall |
14,000 |
14,700 |
16,200 |
|
1766 |
Medical Management of Aspergilloma |
26,400 |
27,700 |
30,400 |
|
1767 |
Medical Management of
A.B.P.A (Alergic Broncho Pulmonary Aspergillosis) |
42,100 |
44,200 |
48,600 |
|
1768 |
Medical Management of Sarcoidosis |
18,000 |
18,900 |
20,800 |
|
1769 |
Medical Management of Cystic Fibrosis |
21,800 |
22,900 |
25,200 |
|
1770 |
Medical Management of Pulmonary Vasculitis |
22,100 |
23,200 |
25,500 |
|
1771 |
Medical Management of Pneumonias |
33,000 |
34,700 |
38,100 |
|
1772 |
Medical Management of
Emphysema Without Respirative Failure |
17,100 |
18,000 |
19,800 |
|
1773 |
Medical Management of COPD Acute Exacerbation |
16,500 |
17,300 |
19,100 |
|
1774 |
Medical Management of Chronic Persistent Asthama |
16,200 |
17,000 |
18,700 |
|
1775 |
Medical Management of Bronchial Asthma (Acute and Chronic Severe) |
16,800 |
17,600 |
19,400 |
|
1776 |
Medical Management of
Bronchiectasis with Repeated Hospitalisation>6per Year |
33,000 |
34,700 |
38,100 |
|
1777 |
Medical Management of Pneumoconiosis |
37,400 |
39,300 |
43,200 |
|
1778 |
Medical Management of Inhalational Lung Injuries |
21,500 |
22,600 |
24,800 |
|
1779 |
Medical Management of Interstitial Lung Diseases |
32,100 |
33,700 |
37,100 |
|
1780 |
Medical Management of Lung Abscess ,Non Resolving |
38,000 |
39,900 |
43,900 |
|
1781 |
Medical Management of Empyema |
33,000 |
34,700 |
38,100 |
|
1782 |
Medical Management of Pleural Effusion |
32,100 |
33,700 |
37,100 |
|
1783 |
Medical Management of Pneumothorax Recurrent |
33,000 |
34,600 |
38,100 |
|
1784 |
Medical Management of Pneumothorax (Large/Recurrent) |
33,300 |
35,000 |
38,500 |
|
1785 |
Medical Management of Acute Respiratory Failure (Without Ventilator) |
26,500 |
27,800 |
30,600 |
|
1786 |
Medical Management of Acute Respiratory Failure (With Ventilator) |
53,000 |
55,700 |
61,200 |
|
1787 |
Medical Management of Haemoptysis For Evaluation |
32,700 |
34,300 |
37,800 |
|
Medical-
Dermatology |
||||
|
1788 |
Medical Management of Leprosy Reactions & Deformities (Type I & Type Ii) |
23,000 |
24,200 |
26,600 |
|
1789 |
Medical Management of Chlamydial Tests |
31,200 |
32,700 |
36,000 |
|
1790 |
Medical Management of
Herpes Zoster Post Herpetic Neuralgia |
14,500 |
15,200 |
16,800 |
|
1791 |
Medical Management of Electro/Cryocautery For Warts |
9,400 |
9,900 |
10,900 |
|
1792 |
Medical Management of Cutaneous Malignancies -Malignant Melanoma |
15,500 |
16,300 |
17,900 |
|
1793 |
Medical Management of Cutaneous Malignancies (Sq. Cell Ca ,Bcc,Lymphomas ) |
15,500 |
16,300 |
17,900 |
|
1794 |
Medical management of Pemphigus |
30,800 |
32,300 |
35,500 |
|
1795 |
Medical Management of Bullous Disorders (Pemphigoid/Pemphigois) |
25,900 |
27,200 |
29,900 |
|
1796 |
Medical Management of Acute Contact Allergic Dermatitis |
16,500 |
17,300 |
19,100 |
|
1797 |
Medical Management of Pustular Psoriasis |
29,200 |
30,700 |
33,700 |
|
1798 |
Medical Management of Adverse Drug Reactions |
14,900 |
15,700 |
17,300 |
|
1799 |
Medical Management of Acute Urticaria |
20,600 |
21,600 |
23,800 |
|
1800 |
Medical Management of Erythema Multiforme |
10,100 |
10,600 |
11,700 |
|
1801 |
Medical management of Stevens- Johnson Syndrome |
23,800 |
24,900 |
27,400 |
|
1802 |
Medical management of Toxic Epidermal Necrolysis |
42,300 |
44,400 |
48,900 |
|
1803 |
Medical Management of Erythroderma |
22,100 |
23,200 |
25,500 |
|
1804 |
Medical Management of Vitiligo Medical (OP Management) |
15,300 |
16,100 |
17,700 |
|
1805 |
Medical Management of Cutaneous Vasculitis |
22,100 |
23,200 |
25,500 |
|
1806 |
Medical Management of Dermatomyositis |
21,800 |
22,900 |
25,200 |
|
1807 |
Medical Management of
Connective Tissue Disorders - Systemic Sclerosis |
22,100 |
23,200 |
25,500 |
|
1808 |
Medical Management of Connective Tissue
Disorders - Dermatomyositis / Polymyositis |
23,200 |
24,400 |
26,800 |
|
Medical-RHEUMATOLOGY |
||||
|
1809 |
Medical Management of Anti
Phospho Lipid Antibody Syndrome With Ischemia |
52,100 |
54,700 |
60,200 |
|
1810 |
Medical Management of Vasculitis Including Undifferentiated |
32,100 |
33,700 |
37,100 |
|
1811 |
Medical Management of Severe Lupus Erythamatosis |
52,100 |
54,700 |
60,200 |
|
1812 |
Medical management of Scleroderma |
32,100 |
33,700 |
37,100 |
|
1813 |
Medical Management of Severe Psoriatic Arthritis |
22,100 |
23,200 |
25,500 |
|
1814 |
Medical Management of Juvenile Idiorpathic Arthritis |
23,000 |
24,200 |
26,600 |
|
1815 |
Medical Management of Juvenile Idiorpathic Arthritis with
systemic onset |
32,100 |
33,700 |
37,100 |
|
1816 |
Medical Management of Gout |
11,500 |
12,100 |
13,300 |
|
1817 |
Medical Management of Infection Related Arthrites |
11,200 |
11,700 |
12,900 |
|
1818 |
Medical Management of
Undifferentiated Inflammatory Arthritis |
32,100 |
33,700 |
37,100 |
|
1819 |
Medical Management of SLE (Systemic Lupus Erythematosis) |
27,800 |
29,100 |
32,100 |
|
1820 |
Medical management of SLE
(Systemic Lupus Erythematosis) with sepsis |
73,400 |
77,000 |
84,700 |
|
1821 |
Medical management of Primary Sjogren'S Syndrome |
22,100 |
23,200 |
25,500 |
|
1822 |
Medical Management of MCTD
(Mixed Connective Tissue Disorder) |
27,400 |
28,800 |
31,600 |
|
1823 |
Medical Management of
Undifferentiated Connective Tissue Disorder |
22,400 |
23,500 |
25,900 |
|
1824 |
Medical Management of Severe Spondylo Arthropathies |
26,900 |
28,200 |
31,000 |
|
1825 |
Medical Management of Inflamatory Myositis |
31,500 |
33,100 |
36,400 |
|
1826 |
Medical Management of Severe Myositis Requiring IVIG |
31,500 |
33,100 |
36,400 |
|
1827 |
Medical Management of
Osteoporosis With Recent Painful Yertebral Fracture |
15,900 |
16,700 |
18,400 |
|
1828 |
Medical Management of Osteomalacia |
15,100 |
15,800 |
17,400 |
|
Medical-ENDOCRINOLOGY |
||||
|
1829 |
Medical management of Rhinocerebral Mucormycosis |
54,600 |
57,400 |
63,100 |
|
1830 |
Medical Management of Grave'S Disease |
11,600 |
12,100 |
13,400 |
|
1831 |
Medical management of
Pyelonephritis in uncontrolled Diabetes melitus |
23,600 |
24,800 |
27,300 |
|
1832 |
Medical management of Cavernous Sinus Thrombosis in uncontrolled Diabetes melitus |
44,000 |
46,200 |
50,800 |
|
1833 |
Hormonal therapy for Pituitary - Acromegaly |
20,500 |
21,600 |
23,700 |
|
1834 |
Initial evaluation and management of
Hypopituitarism without growth harmone |
17,200 |
18,000 |
19,800 |
|
1835 |
Hypopiturasim Initial
Evaluation And Management With Growth Hormone |
28,400 |
29,800 |
32,800 |
|
1836 |
Hypopiturasim Maintanance Phase Monthly Package For Growth Hormone |
13,600 |
14,200 |
15,700 |
|
1837 |
Medical Management of Cushing Syndrome |
32,100 |
33,700 |
37,100 |
|
1838 |
Medical Management of Precocious Puberty |
16,800 |
17,600 |
19,400 |
|
1839 |
Medical management of Lower Respiratoy Tract Infection |
25,400 |
26,700 |
29,300 |
|
1840 |
Medical management of Fungal Sinusitis |
43,900 |
46,100 |
50,800 |
|
1841 |
Medical management of Cholecystitis |
32,700 |
34,300 |
37,800 |
|
1842 |
Medical Management of Osteoporosis |
12,000 |
12,600 |
13,800 |
|
1843 |
Hormonal therapy for
Delayed Puberty Hypogonadism-Turners Syndrome |
16,300 |
17,100 |
18,800 |
|
1844 |
Hormonal therapy for
Delayed Puberty Hypogonadism - Kleinfelter Syndrome |
16,300 |
17,100 |
18,800 |
|
General- Gastroentrology |
||||
|
1845 |
Medical Management of Other Bacterial Intestinal Infections |
19,300 |
20,200 |
22,200 |
|
1846 |
Medical Management of
Viral And Other Specified Intestinal Infections |
18,700 |
19,600 |
21,500 |
|
1847 |
Medical Management of Infective Proctitis entero Colitis |
18,100 |
19,000 |
20,800 |
|
1848 |
Medical Management of Abdominal Tuberculosis |
23,000 |
24,200 |
26,600 |
|
1849 |
Medical Management - SEMS
(Stent) For Paliation Of Advanced Biliary Malignancy |
52,600 |
55,200 |
60,700 |
|
1850 |
Medical Management- SEMS (Stent) For Paliation Of
Advanced Pancreatic Malignancy |
52,600 |
55,200 |
60,700 |
|
1851 |
Medical Management - SEMS
(Stent) For Paliation Of Advanced GI Malignancy |
34,800 |
36,600 |
40,200 |
|
1852 |
Medical Management of Budd-Chiari Syndrome |
37,800 |
39,700 |
43,700 |
|
1853 |
Medical Management of Haemorrhoids |
11,000 |
11,600 |
12,700 |
|
1854 |
Medical Management of
Oesophageal Varices with Sclerotherapy |
10,700 |
11,200 |
12,400 |
|
1855 |
Medical Management of
Oesophageal Varices using Variceal Banding |
12,500 |
13,100 |
14,400 |
|
1856 |
Medical management of Gastric Varices |
15,500 |
16,300 |
17,900 |
|
1857 |
Medical management of Oesophageal Fistula |
30,900 |
32,400 |
35,700 |
|
1858 |
Medical Management of Infective Oesophagitis (Candida Viralbacterial) |
14,200 |
14,900 |
16,400 |
|
1859 |
Medical Management of Gastro Esophageal Reflux Disease |
8,000 |
8,400 |
9,300 |
|
1860 |
Medical management of Achalasia Cardia |
14,800 |
15,500 |
17,100 |
|
1861 |
Oesophageal Injury |
23,400 |
24,600 |
27,100 |
|
1862 |
Oesophageal Foreign Body |
8,500 |
9,000 |
9,900 |
|
1863 |
Conservative management of of Oesophageal Foreign Body |
51,200 |
53,800 |
59,100 |
|
1864 |
Medical Management of Oesophageal
Perforation, Conservative Management With Stent |
35,100 |
36,800 |
40,500 |
|
1865 |
Medical Management of Mallory Weiss Tear |
10,900 |
11,400 |
12,600 |
|
1866 |
Medical Management of Duodenal Ulcer |
12,400 |
13,100 |
14,400 |
|
1867 |
Medical Management of Gastric Ulcer |
12,500 |
13,100 |
14,400 |
|
1868 |
Medical Management of Erosive Gastritis |
11,500 |
12,100 |
13,300 |
|
1869 |
Medical Management of Gastric Outlet Obstruction |
13,200 |
13,900 |
15,300 |
|
1870 |
Medical Management of Gastric Polyp |
12,300 |
12,900 |
14,200 |
|
1871 |
Medical management of
GAVE(Gastric Antral Vascular Ectasia) |
20,900 |
21,900 |
24,100 |
|
1872 |
Medical Management of Crohn'S Disease |
43,500 |
45,700 |
50,300 |
|
1873 |
Medical Management of Ulcerative Colitis |
26,300 |
27,600 |
30,300 |
|
1874 |
Medical Management of Ischaemic Bowel Disease |
29,600 |
31,100 |
34,200 |
|
1875 |
Medical Management of Fissure |
5,600 |
5,900 |
6,500 |
|
1876 |
Medical Management of Rectal Polyp ¿ Medical Management |
7,900 |
8,300 |
9,200 |
|
1877 |
Medical Management of Colorectal Polyps |
10,900 |
11,400 |
12,600 |
|
1878 |
Medical Management of Solitary Rectal Ulcer Syndrome |
10,800 |
11,400 |
12,500 |
|
1879 |
Medical Management of Radiation Proctitis |
10,800 |
11,300 |
12,500 |
|
1880 |
Conservative management of
Cirrhosis with Hepatic Encephalopathy |
41,200 |
43,300 |
47,600 |
|
1881 |
Medical Management of Acute Liver Failure |
51,000 |
53,600 |
58,900 |
|
1882 |
Medical Management of Chronic Hepatitis (Viral , Alchohol, NASH, Drug,auto Immune, metabolic) |
23,600 |
24,700 |
27,200 |
|
1883 |
Chronic hepatitis, unspecified |
15,000 |
15,800 |
17,300 |
|
1884 |
Medical Management of Cirrhosis Decompensated Including SBP, Portal HTN, Bleed |
38,400 |
40,300 |
44,300 |
|
1885 |
Medical Management of Compensated Cirrhosis |
25,700 |
27,000 |
29,600 |
|
1886 |
Medical Management of
Liver Abscess (Amoebic, Pyogenic & Misc. Infections) |
31,200 |
32,800 |
36,000 |
|
1887 |
Medical Management of
Acute Hepatitis (Viral, Alcohol, Drugs, Misc. Infections) |
15,900 |
16,700 |
18,400 |
|
1888 |
Medical management of
Cirrhosis with Hepato Renal Syndrome |
41,200 |
43,300 |
47,600 |
|
1889 |
Medical Management of Gall
Stone Diseases(Biliary Colic, cholangitis,cholecystitis) |
23,600 |
24,800 |
27,300 |
|
1890 |
Medical management of Sclerosing Cholangitis |
76,500 |
80,300 |
88,400 |
|
1891 |
Medical Management of Billiary Stricture |
14,600 |
15,300 |
16,800 |
|
1892 |
Medical management of Acute Pancreatitis (Severe) |
1,52,100 |
1,59,700 |
1,75,700 |
|
1893 |
Conservative management of
Chronic Pancreatitis with Severe Pain |
31,200 |
32,800 |
36,000 |
|
1894 |
Conservative management of Acute Pancreatitis With
Pseudocyst (Infected) |
31,500 |
33,100 |
36,400 |
|
1895 |
Medical Management of Chronic Pancreatitis With Pseudocyst Infected |
31,200 |
32,800 |
36,000 |
|
1896 |
Medical Management of Malabsorption Syndrome |
33,500 |
35,100 |
38,600 |
|
1897 |
Medical Management of Chronic Pancreatitics With Maldigestion |
11,200 |
11,800 |
12,900 |
|
1898 |
Medical management of Post op stent |
48,300 |
50,800 |
55,800 |
|
1899 |
Medical management of Post op leaks |
48,800 |
51,300 |
56,400 |
|
1900 |
Medical Management of Upper GI Bleed |
46,100 |
48,400 |
53,200 |
|
1901 |
Medical Management of Lower GI Bleed |
47,500 |
49,800 |
54,800 |
|
1902 |
Conservative management of Obscure GI Bleed |
50,900 |
53,400 |
58,800 |
|
1903 |
Medical Management of
Ascities Of Any Etiology (Tubercolor, Melignant,Pancreatic, Biliary) |
16,200 |
17,000 |
18,700 |
|
PSYCHIATRY |
||||
|
1904 |
Medical Management of Schizophrenia |
32,900 |
34,500 |
38,000 |
|
1905 |
Medical Management of Acute Psychotic Episode |
28,000 |
29,400 |
32,300 |
|
1906 |
Medical Management of Bipolar Affective Disorder (A. Type-1) |
35,000 |
36,800 |
40,400 |
|
Interventional
Neuro Radiology |
||||
|
1907 |
Coil embolization for
aneurysms (includes cost of first 3 coils + balloon and/ or stent if used) 1
to 20 coils may be required as per need |
1,10,000 |
1,15,500 |
1,27,100 |
|
1908 |
Additional coil for coil embolization for aneurysms |
26,400 |
27,700 |
30,500 |
|
1909 |
Dural AVMs/AVFs (per sitting) with glue |
77,000 |
80,900 |
88,900 |
|
1910 |
Dural
AVMs/AVFs (per sitting) with onyx |
1,65,000 |
1,73,300 |
1,90,600 |
|
1911 |
Carotico-cavernous Fistula
(CCF) embolization with coils. [includes 5 coils, guide catheter,
micro-catheter, micro- guidewire, general items] |
1,65,000 |
1,73,300 |
1,90,600 |
|
1912 |
Carotid-cavernous Fistula (CCF)
embolization with balloon (includes one balloon, guide catheter, micro-catheter, micro- guidewire,
general items) |
82,500 |
86,600 |
95,300 |
|
1913 |
Cerebral & Spinal AVM embolization (per sitting). Using Histoacryl |
1,10,000 |
1,15,500 |
1,27,100 |
|
1914 |
Parent vessel
occlusion - Basic |
33,000 |
34,700 |
38,100 |
|
1915 |
Additonal coil for Parent Vessel Occlusion |
26,400 |
27,700 |
30,500 |
|
1916 |
Additonal balloon for Parent Vessel Occlusion |
12,100 |
12,700 |
14,000 |
|
1917 |
Balloon
test occlusion |
77,000 |
80,900 |
88,900 |
|
1918 |
Intracranial balloon angioplasty with stenting |
1,76,000 |
1,84,800 |
2,03,300 |
|
1919 |
Intracranial
thrombolysis / clot retrieval |
1,76,000 |
1,84,800 |
2,03,300 |
|
1920 |
Pre-operative tumour embolization (per session) |
44,000 |
46,200 |
50,800 |
Note
1: The cost of the implants
will be based on the maximum ceiling price fixed by the National Pharmaceutical
Authority of India (NPPA).
2. The insurance company
can use the implant list
and costs suggested by the National
Health Authority as the reference point for
MEDISEP.
ANNEXURE-2
Additional Benefit Package for Catastrophic Illnesses
The Insurance coverage given over and above the basic coverage for catastrophic illnesses specified enlisted in Annexure -2
|
Catastrophic Packages |
Package Cost |
|
Liver Transplantation |
18,00,000 |
|
Bone Marrow
Transplantation / Stem Cell Transplantation (related) |
9,46,000 |
|
Bone Marrow Transplantation / Stem Cell Transplantation (unrelated/Haploidentical) |
17,00,000 |
|
Cochlear Implantation |
6,39,000 |
|
Renal Transplantation |
3,00,000 |
|
Knee Joint Replacement |
3,00,000 |
|
Total Hip Replacement |
4,00,000 |
|
Auditory Brain Stem Implant |
18,24,100 |
|
Isolated Heart / Isolated Lung Transplant |
15,00,000 |
|
Heart Lung Transplant / Double Lung
Transplant |
20,00,000 |
|
CARDIAC RESYNCHRONISATION THERAPY [CRT] with defibrillator |
6,00,000 |
|
ICD-DUAL CHAMBER |
5,00,000 |
The costing of the catastrophic package list
specified in Annexure- 2 is inclusive of all the four components i.e. Procedure
Charges; Implant Costs; Room Charges and Investigation costs. All the packages
will have a single package rate and any additional expense above the ceiling
rates will have to borne by the beneficiary. This is irrespective of the number
of days of hospital stay of the patient and the attendant medical or surgical
complications will also get covered in the package and insurance company cannot
charge additional amount from the beneficiary.
ANNEXURE- 3: Ward Charges and Ceiling
Limit
|
Sl. No |
Type of
Ward |
Ceiling
Limit (INR) |
|
|
1 |
General Ward |
1000 |
|
|
2 |
Semiprivate Ward |
1500 |
|
|
3 |
Private Ward |
2000 |
|
|
4 |
ICU/ITU/CCU/NICU/PICU (INCLUDING OXYGENECG/SPO2/NIBP/IBPMONITORING 12 NURSING GNM NURSING ROUND THECLOCK DOCTOR (RESIDENT ONSPOT) DIET SYRINGE PUMP) |
5000 |
|
|
5 |
VENTILATOR CHARGE ACCESSORIES) PER DAY |
(INCLUDING |
2000 |
|
6 |
PNEUPACK VENTILATOR INNURSERY (PER DAY) |
1000 |
|
|
7 |
HIGH DEFINITION UNIT/ (INCLUDING OXYGEN) |
STEPDOWN |
1500 |
|
8 |
EXCHANGE TRANSFUSION |
1200 |
|
|
9 |
O.T. CHARGES FOR TRANSFUSION |
EXCHANGE |
400 |
|
10 |
CRIB (CRITICAL WARD BED) |
1000 |
|
അഭിപ്രായങ്ങളൊന്നുമില്ല:
ഒരു അഭിപ്രായം പോസ്റ്റ് ചെയ്യൂ