Chief Minister's Comprehensive Health Insurance Scheme


Annexure : C

The List of Surgeries / Therapies to be covered under the Chief Minister's Comprehensive Health Insurance Scheme



Sl No.SPECIALITYName Of Investigation / Treatment Procedure
1Medical OncologyTN0209 : Adriamycin/Cyclophosphamide (AC)
2Medical OncologyTN0210 : 5- Fluorouracil A-C (FAC)
3Medical OncologyTN0211 : AC (AC Then T)
4Medical OncologyTN0212 : Paclitaxel
5Medical OncologyTN0213 : Cyclophosphamide/ Methotrexate / 5 Fluorouracil (CMF)
6Medical OncologyTN0214 : Tamoxifen Tabs
7Medical OncologyTN0215 : Aromatase Inhibitors
8Medical OncologyTN0216 : Bladder Cancer Weekly Cisplatin
9Medical OncologyTN0217 : Methotrexate Vinblastine Adriamycin Cyclophosphamide (MVAC) (Outdated) CDDP + Gemcitabine
10Medical OncologyTN0218 : Cisplatin/Etoposide (IIIB) or Pl + Taxol
11Medical OncologyTN0219 : Cisplatin- 5Fu
12Medical OncologyTN0220 : 5-Fu Leucovorin (Mcdonald Regimen)
13Medical OncologyTN0221 : Monthly 5-Fu
14Medical OncologyTN0222 : 5-Fluorouracil-Oxaliplatin Leucovorin (Folfox) (Stage III Only)
15Medical OncologyTN0223 : Cisplatin/Adriamycin
16Medical OncologyTN0224 : Adriamycin Bleomycin Vinblastine Dacarbazine (ABVD)
17Medical OncologyTN0225 : Cyclophosphamide Adriamycin Vincristine Prednisone (CHOP) +Inj.Rituximab for CD20 + NHL
18Medical OncologyTN0226 : Vincristine, Adriamycin, Dexamethasone (VAD)
19Medical OncologyTN0227 : Thalidomide + Dexamethasone (Oral) / + or - Lenalidomide 25Mg
20Medical OncologyTN0228 : Melphalan, Prednisone (Oral)
21Medical OncologyTN0229 : SIOP/NWTS Regimen(Stages I - III)
22Medical OncologyTN0230 : Cisplatin Adriamycin
23Medical OncologyTN0231 : Cervical Cancer Weekly Cisplatin
24Medical OncologyTN0232 : Variable Regimen
25Medical OncologyTN0233 : Neuroblastoma ( Stages I-III ) Variable Regimen
26Medical OncologyTN0234 : Carbo/ Etoposide/ Vincristine
27Medical OncologyTN0235 : Histiocytosis Variable Regimen MTX + Etopioside VCR
28Medical OncologyTN0236 : Vincristine-Actinomycin-Cyclophosphamide (VACTC) Based Chemo
29Medical OncologyTN0237 : Ewings Sarcoma Variable Regimen
30Medical OncologyTN0238 : Induction Phase
31Medical OncologyTN0239 : Consolidation Phase
32Medical OncologyTN0240 : Maintenance
33Medical OncologyTN0241 : Induction 1st and 2nd Months
34Medical OncologyTN0242 : Induction 3rd, 4th, 5th
35Medical OncologyTN0243 : Induction Maintenance
36Medical OncologyTN0244 : Palliative Chemotherapy
37Medical OncologyTN0245 : Palliative and Supportive Therapy
38Medical OncologyTN0246 : Vulval Cancer Cisplatin/5-Fu
39Medical OncologyTN0247 : Vaginal Cancer Cisplatin/5-Fu
40Medical OncologyTN0248 : Carboplatin/ Paclitaxel
41Medical OncologyTN0249 : Ovary- Germ Cell Tumor Bleomycin-Etoposide-Cisplatin (BEP)
42Medical OncologyTN0250 : Weekly Methotrexate
43Medical OncologyTN0251 : Actinomycin
44Medical OncologyTN0252 : Etoposide-Methotrexate-Actinomycin / Cyclophosphamide Avincristine (EMA-CO)
45Medical OncologyTN0253 : Testicular Cancer Bleomycin-Etoposide-Cisplatin (BEP)
46Medical OncologyTN0254 : Hormonal Therapy
47Medical OncologyTN0255 : Xelox Along With Adjuvant Chemotherapy of As-I
48Medical OncologyTN0256 : 1st Line IV Antibiotics and Other Supportive Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,), Anti Fungal,Inj. G-Csf 300Micro GM till Blood Count Returns to Normal
49Medical OncologyTN0257 : 2nd Line IV Antibiotics and Other Supportive Therapy (Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles Etc.,)
50Medical OncologyTN0258 : Zoledronic Acid Along with Adjuvant Chemotherapy of AS-I
51Medical OncologyTN0259 : CML Curable T. Imatinib
52Medical OncologyTN0260 : CLL - Bendamustine 90Mg Per Meter Sq D1 & D2, T.Chlorambucil, T.Fludarabine
53Medical OncologyTN0261 : MDS T.Lenalidomide, Azacytidine
54Medical OncologyTN0262 : CD 20 +Ve Lymphomas Inj.Rituximab 500 Microgram (6 Injections once In 3 Weeks)
55Radiation OncologyTN0263 : Radical Treatment
56Radiation OncologyTN0264 : Palliative Treatment
57Radiation OncologyTN0265 : Adjuvant Treatment
58Radiation OncologyTN0266 : Radical Treatment with Photons
59Radiation OncologyTN0267 : Palliative Treatment with Photons
60Radiation OncologyTN0268 : Adjuvant Treatment with Photons/Electrons
61Radiation OncologyTN0269 : A) Intracavitary I. LDR Per Application
62Radiation OncologyTN0270 : A) Intracavitary II. HDR Per Application
63Radiation OncologyTN0271 : B) Interstitial I. LDR Per Application
64Radiation OncologyTN0272 : B) Interstitial II. HDR One Application and Multiple Dose Fractions
65Radiation OncologyTN0273 : IMRT - Upto 40 Fractions in 8 weeks
66Radiation OncologyTN0274 : 3D CRT - Upto 30 Fractions in 6 weeks
67Radiation OncologyTN0275 : SRS / SRT - Upto 30 Fractions in 6 weeks
68Radiation OncologyTN0276 : IMRT WITH IGRT - Up To 40 Fractions in 8 Weeks
69Radiation OncologyTN0277: Rapid Ax Therapy - Up to 40 fractions in 8 weeks
70PaediatricsTN0373 : Acquired Heart Disease with Congestive Cardiac Failure
71PaediatricsTN0374 : Inborn Error of Metabolism
72PaediatricsTN0375 : Kerosene Ingestion
73PaediatricsTN0376 : Immuno Deficiency
74PaediatricsTN0377 : Interstital Lung Disease
75PaediatricsTN0378 : Hemophagocytic Lympho Histiocytosis
76PaediatricsTN0379 : Hypoplastic/Aplastic Anemia (Fanconi Anemia)
77PaediatricsTN0380 : Wilsons Disease
78PaediatricsTN0381 : Neonatal Cholestasis
79PaediatricsTN0382 : End Stage Renal Disease (Per-Patient)
80PaediatricsTN0383 : Guillian - Barre Syndrome
81PaediatricsTN0384 : Thalassemia Major Requiring Chelation Therapy
82NeonatologyTN0385 : Term Baby /Culture Positive Sepsis/ Non-Ventilated/ Hyperbilirubinemia
83NeonatologyTN0386 : Preterm Baby/ Clinical Sepsis/ Hyperbilirubinemia (Non-Ventilated)
84NeonatologyTN0387 : Preterm Baby/ Hyaline Membrane Disease Clinical/Culture Positive Sepsis/Hyperbilirubinemia Mechanical Ventilation
85NeonatologyTN0388 : Term Baby With Severe Perinatal Asphyxia - Non-Ventilated clinical Sepsis with or without Hyperbilirubinemia
86NeonatologyTN0389 : Term Baby With Persistent Pulmonary Hypertension/Meconium Aspiration Syndrome/Mechanical Ventilation/with or Without- Clinical Sepsis/with or without-Hyperbilirubinemia/ with or without Perinatal Asphyxia
87NeonatologyTN0390 : Term Baby with Seizures Ventilated
88NeonatologyTN0391 : Term Baby, Septic Shock, Ventilated, Hyperbilirubinemia,with or without Renal Failure
89Paediatric Intensive CareTN0392 : Severe Bronchiolitis/Severe Broncho Pneumonia/Severe aspiration Pneumonia (Non-Ventilated)
90Paediatric Intensive CareTN0393 : Severe Bronchiolitis/Severe Broncho Pneumonia/Severe aspiration Pneumonia (Ventilated)
91Paediatric Intensive CareTN0394 : Acute Severe Asthma (Ventilated)
92Paediatric Intensive CareTN0395 : Severe Myocarditis/Congenital Heart Disease with Infection and/or Cardiogenic Shock/Cardiogenic Shock/Infective Endocarditis(Non-Ventilated)
93Paediatric Intensive CareTN0396 : Septic Shock/Infective Endocarditis( Ventilated)
94Paediatric Intensive CareTN0397 : Febrile Seizures (Mechanical Ventilated)
95Paediatric Intensive CareTN0398 : Meningitis/Encephalitis (Non-Ventilated)
96Paediatric Intensive CareTN0399 : Meningitis/Encephalitis/Status Epilepticus (Ventilated)
97Paediatric Intensive CareTN0400 : Intra Cranial Bleed
98Paediatric Intensive CareTN0401 : Acute Gastro Intestinal Bleed
99Paediatric Intensive CareTN0402 : Acute Pancreatitis/Acute Hepatitis
100Paediatric Intensive CareTN0403 : Acute Hepatitis with Hepatic Encephalopathy
101Paediatric Intensive CareTN0405 : Acute Renal Failure
102Paediatric Intensive CareTN0406 : Diabetic Ketoacidosis
103Paediatric Intensive CareTN0407 : Dengue Shock Syndrome
104Paediatric Intensive CareTN0408 : Snake Bite Requiring Ventilator Assistance
105Paediatric Intensive CareTN0409 : Scorpion Sting with Myocarditis and Cardiogenic Shock Requiring Ventilatory Assistance
106Paediatric Intensive CareTN0410 : Poison Ingestion/ Aspiration Requiring Ventilatory Assistance
107Paediatric Intensive CareTN0411 : Acute Broncho/ Lobarpneumonia with Empyema/ Pleural Effusion/Pyopneumothorax
108Paediatric Intensive CareTN0413 : Nehrotic Syndrome/Acute Glomerulo Nephritis
109Paediatric Intensive CareTN0414 : Recurrent Urinary Tract Infection with Complications like Pyelonephritis and Renal Failure
110Paediatric Intensive CareTN0415 : Acute Renal Failure with or without Dialysis
111Paediatric Intensive CareTN0416 : Haemophillia Including Von Willibrands
112Paediatric Intensive CareTN0417 : Pyogenic Meningitis
113Paediatric Intensive CareTN0418 : Neuro Tuberculosis/Neurocysticercosis
114Paediatric Intensive CareTN0419 : Idipopathic Thrombocytopenic Purpura
115Paediatric Intensive CareTN0421 : Adverse Events following Immunisation
116Paediatric Intensive CareTN0422 : Multi System Organ Failure
117Paediatric Intensive CareTN0423 : Necrotising Enterocolitis, Clinical Sepsis Non-Ventilated hyper-bilirubinemia
118EntTN0565 : Hearing Aid
119EntTN0567 : Post Switch on Mapping/Initiation of AVP and Training of Child and Mother - First Installment
120EntTN0568 : Post Switch on Mapping/Initiation of AVP and Training of Child and Mother - Second Installment
121EntTN0569 : Post Switch on Mapping/Initiation of AVP and Training of Child and Mother - Third Installment
122EntTN0570 : Post Switch on Mapping/Initiation of AVP and Training of Child and Mother - Fourth Installment
123General MedicineTN0641 : Acute Severe Asthma with Acute Respiratory Failure
124General MedicineTN0642 : Copd Respiratory Failure (Infective Exacerbation)
125General MedicineTN0643 : Acute Bronchitis and Pneumonia with Respiratory Failure
126General MedicineTN0644 : ARDS
127General MedicineTN0645 : ARDS with Multi Organ Failure
128General MedicineTN0646 : ARDS Plus DIC (Blood & Blood Products)
129General MedicineTN0647 : OP Poisioning Requiring Ventilatory Assistance
130General MedicineTN0648 : Septic Shock (ICU Management)
131General MedicineTN0649 : Metabolic Coma Requiring Ventilatory Support
132General MedicineTN0650 : Thrombocytopenia with Bleeding Diathesis
133General MedicineTN0651 : Hemophilia
134General MedicineTN0652 : Other Coagulation Disorders
135General MedicineTN0653 : Chelation Therapy for Thalassemia Major
136General MedicineTN0654 : Snake Bite Requiring Ventilator Support
137General MedicineTN0655 : Scorpion Sting Requiring Ventilator Support
138General MedicineTN0656 : Treatment for Sickle Cell Anemia
139General MedicineTN0657 : Tetanus Severe
140General MedicineTN0658 : Diphtheria Complicated
141General MedicineTN0659 : Cryptococcal Meningitis
142General MedicineTN0660 : Cerebral Malaria
143PulmonlogyTN0661 : Bronchiectasis with Repeated Hospitalisation > 6 Per Year
144PulmonlogyTN0662 : Interstitial Lung Diseases
145PulmonlogyTN0663 : Pneumoconiosis
146PulmonlogyTN0664 : Acute Respiratory Failure (Without Ventilator)
147PulmonlogyTN0665 : Acute Respiratory Failure (With Ventilator-for Minimum 5 Days)
148PulmonlogyTN0666 : Lung Absces, Non-Resolving
149PulmonlogyTN0667 : Pneumothorax (Large/Recurrent)
150PulmonlogyTN0668 : Malignant Pleural Effusion
151PulmonlogyTN0669 : Massive Hemoptysis
152GastroenterologyTN0670 : Acute Pancreatitis (Mild)
153GastroenterologyTN0671 : Acute Pancreatitis (Severe)
154GastroenterologyTN0672 : Obscure GI Bleed
155GastroenterologyTN0673 : Cirrhosis with Hepatic Encephalopathy
156GastroenterologyTN0674 : Cirrhosis with Hepato Renal Syndrome
157GastroenterologyTN0678 : Chronic Pancreatitis with Severe Pain
158CardiologyTN0688 : Acute MI (Conservative Management without Angiogram)
159CardiologyTN0689 : Acute MI (Conservative Management with Angiogram)
160CardiologyTN0690 : Acute MI With Cardiogenic Shock
161CardiologyTN0691 : Acute MI Requiring LABP Pump
162CardiologyTN0692 : Refractory Cardiac Failure
163CardiologyTN0693 : Infective Endocarditis
164CardiologyTN0694 : Pulmonary, Embolism
165CardiologyTN0695 : Complex Arrhythmias
166CardiologyTN0696 : Simple Arrythmias
167CardiologyTN0697 : Pericardial Effusion, Tamponade
168NephrologyTN0698 : Acute Renal Failure-(ARF)
169NephrologyTN0699 : Nephrotic Syndrome
170NephrologyTN0700 : Rapidly Progressive Renal Failure (RPRF)
171NephrologyTN0701 : Chronic Renal Failure 1 (CRF )
172NephrologyTN0702 : Maintenance Haemodialysis For CRF
173NephrologyTN0702a: Peritoneal Dialysis
174NephrologyTN0703 : ESRD
175NephrologyTN0704 : Kidney Biopsy
176NeurologyTN0705 : ADEM or Relapse in Multiple Sclerosis
177NeurologyTN0706 : Neuropathies (GBS)
178NeurologyTN0707 : Optic Neuritis
179NeurologyTN0708 : Immunoglobulin Therapy - IV
180NeurologyTN0709 : Chronic Inflammatory Demyelinating Poly Neuropathy (CIDP)
181NeurologyTN0710 : Hemorrhagic Stroke/Strokes
182NeurologyTN0711 : Ischemic Strokes
183NeurologyTN0712 : Myopathies - Acquired
184NeurologyTN0713 : Neuromuscular (Myasthenia Gravis)
185NeurologyTN0714 : Neuroinfections -Pyogenic Meningitis
186NeurologyTN0715 : Tb Meningitis
187NeurologyTN0716 : Neuroinfections -Viral Meningoencephalitis (Includingherpes Encephalitis)
188NeurologyTN0717 : Fungal Meningitis (Min 20 Days In ICU)
189NeurologyTN0718 : Management of Coma
190DermatologyTN0719 : Pemphigus /Pemphigoid
191DermatologyTN0720 : Toxic Epidermal Necrolysis
192DermatologyTN0721 : Stevens- Johnson Syndrome
193RheumatologyTN0722 : SLE (Systemic Lupus Erythematosis)
194RheumatologyTN0723 : SLE With Sepsis
195RheumatologyTN0724 : Scleroderma
196RheumatologyTN0725 : MCTD Mixed Connective Tissue Disorder
197RheumatologyTN0726 : Vasculitis
198RheumatologyTN0727 : Primary Sjogren'S Syndrome (7 Days Stay)
199EndocrinologyTN0728 : Cavernous Sinus Thrombosis
200EndocrinologyTN0729 : Rhinocerebral Mucormycosis
201EndocrinologyTN0730 : Hyper Osmolar Non-Ketotic Coma
202EndocrinologyTN0731 : Hypopitutarism
203EndocrinologyTN0732 : Pituitary - Acromegaly
204EndocrinologyTN0733 : Cushings Syndrome
205EndocrinologyTN0734 : Delayed Puberty Hypogonadism (Ex.Turners Synd, Kleinfelter Synd)
206Genitourinary SurgeryTN0797 : Post-Transplant Immunosuppressive Treatment from 1st to 6 th Month after Transplantation
207Genitourinary SurgeryTN0798 : Post-Transplant Immunosuppressive Treatment from 7 th to 12 th Month after Transplantation
208HepatologyTN0893 : Cirrhosis of Liver
209HepatologyTN0894 : Budd Chiari Syndrome
210HepatologyTN0895 : Chronic Hepatitis B
211HepatologyTN0896 : Chronic Hepatitis C
212HepatologyTN0897 : Cirrhosis with Spontaneous Bacterial Peritonitis
213HepatologyTN0898 : Fulminant Hepatic Failure
214PolytraumaTN0899 : Chest Injuries Conservative Stay in General Ward @ Rs.500/Day
215PolytraumaTN0900 : Stay in Respiratory ICU @ Rs.4000/Day