Chief Minister's Comprehensive Health Insurance Scheme

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Packages	Rate
CM0001 : CORONARY BALLOON ANGIOPLASTY (PPCI)	48000
CM0002 : PTCA WITH STENT	63000
CM0003 : ADDITIONAL STENT	22000
CM0004 : ASD DEVICE CLOSURE	79000
CM0005 : VSD DEVICE CLOSURE	79000
CM0006 : PDA STENTING	60000
CM0007 : DEVICE CLOSURE	53000
CM0008 : SINGLE COIL	25000
CM0009 : MULTIPLE COILS	40000
CM0010 : BALLOON VALVOTOMY(ALL VALVE)	39000
CM0011-A : PERMANENT PACEMAKER IMPLANTATION (SINGLE)	80000
CM0011-B : PERMANENT PACEMAKER IMPLANTATION (DUAL CHAMBER)	100000
CM0012 : TEMPORARY PACEMAKER IMPLANTATION	8000
CM0013 : COARCTATION OF AORTA - WITH STENT	63000
CM0014 : COARCTATION OF AORTA - WITHOUT STENT	33000
CM0015 : COARCTATION OF AORTA - ADDITIONAL STENT ONLY	40000
CM0016 : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT	63000
CM0017 : PRIMARY ANGIOPLASTY - ADDITIONAL STENT ONLY	22000
CM0018 : ENHANCED EXTERNAL COUNTER PULSATION THERAPY (EECP)	25000
CM0019 : CORONARY BYPASS SURGERY	100000
CM0020 : CORONARY BYPASS SURGERY-POST ANGIOPLASTY	120000
CM0021 : CABG WITH IABP PUMP	134000
CM0022 : CORONARY BYPASS SURGERY OFF PUMP WITH IABP	120000
CM0023 : CABG OFF PUMP WITHOUT IABP	99000
CM0024 : CABG WITH ANEURYSMAL REPAIR	124000
CM0025 : CABG WITH VENTRICULAR RUPTURE REPAIR	150000
CM0026 : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE	145000
CM0027 : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE	175000
CM0028 : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE	152000
CM0029 : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE	200000
CM0030 : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE	130000
CM0031 : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE	160000
CM0032 : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE	200000
CM0033 : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE	200000
CM0034 : COARCTATION-AORTA REPAIR WITH GRAFT	48000
CM0035 : COARCTATION-AORTA REPAIR WITHOUT GRAFT	38000
CM0036 : ANEURYSM RESECTION & GRAFTING	128000
CM0037 : INTRATHORACIC ANEURYSM - NOT REQUIRING BYPASS	73000
CM0038 : INTRATHORACIC ANEURYSM - REQUIRING BYPASS (WITH GRAFT)	100000
CM0039 : DISSECTING ANEURYSMS	83000
CM0040 : AORTO-AORTO BYPASS WITHOUT GRAFT	58000
CM0041 : AORTO-AORTO BYPASS WITH GRAFT	73000
CM0042 : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS	158000
CM0043 : ARTERIAL SWITCH	146000
CM0044 : SENNINGS PROCEDURE	123000
CM0045 : SURGERY FOR INTRACARDIAC TUMORS	92000
CM0046 : RUPTURED SINUS OF VALSULVA CORRECTION	100000
CM0047 : TAPVC CORRECTION	100000
CM0048 : SYSTEMIC PULMONARY SHUNTS WITH GRAFT	52000
CM0049 : SYSTEMIC PULMONARY SHUNTS WITHOUT GRAFT	42000
CM0050 : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE	103000
CM0051 : INTRA CARDIAC REPAIR OF ASD	82000
CM0052 : INTRA CARDIAC REPAIR OF VSD	82000
CM0053 : SURGERY-PDA	38000
CM0054 : WITH SPECIAL CONDUITS	122000
CM0055 : WITHOUT SPECIAL CONDUITS	100000
CM0056 : WITH PROSTHETIC RING	100000
CM0057 : WITHOUT PROSTHETIC RING	97000
CM0058 : OPEN PULMONARY VALVOTOMY	80000
CM0059 : CLOSED MITRAL VALVOTOMY	50000
CM0060-A : PERICARDIECTOMY	38000
CM0060-B : PERICARDIOSTOMY	16000
CM0061 : PERICARDIOCENTESIS	16000
CM0062 : MITRAL VALVOTOMY (OPEN)	55000
CM0063 : CORONARY ARTERY FISTULA REPAIR	77000
CM0064 : THORACIC DUCT LIGATION FOR CHYLOTHORAX	57000
CM0067 : LUNG CYST	58000
CM0069 : CARDIAC INJURIES SURGERY WITHOUT CARDIO PULMONARY BYPASS	54000
CM0070 : CARDIAC INJURIES SURGERY WITH CARDIO PULMONARY BYPASS	84000
CM0071 : TRACHEAL RESECTION WITH MONTGOMERY TUBE	65000
CM0072 : MINIMAL ACCESS SURGERY- ASD	100000
CM0073 : MINIMAL ACCESS SURGERY- VSD	100000
CM0074 : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT	26000
CM0075 : MINIMAL ACCESS SURGERY- CABG	40000
CM0076 : INGUINAL BLOCK DISSECTION ONE SIDE	13275
CM0077 : ABDOMNO PERINEAL RESECTION (APR) + SACRECTOMY	41040
CM0078-A : LAPROSCOPIC APR	46440
CM0078-B : EXTRALEVATOR APR	34740
CM0078-C : TRANS ABDOMINAL	34740
CM0078-D : TRANS ANAL	34740
CM0078-E : INTERSPHINCTERIC RESECTION	34740
CM0078-F : LOW ANTERIOR RESECTION	39240
CM0079 : ABDOMINAL WALL TUMORS RESECTION WITH RECONSTRUCTION	40050
CM0080 : ABDOMINAL WALL TUMORS RESECTION WITHOUT RECONSTRUCTION	28800
CM0081 : BILATERAL PELVIC LYMPH NODE DISSECTION(BPLND) ANY SITE	19800
CM0082-A : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION a) WITH LND	25425
CM0082-B : RADICAL VAGINECTOMY WITHOUT RECONSTRUCION b) WITHout LND	23175
CM0083-A : RADICAL VAGINECTOMY WITH RECONSTRUCION a) WITH LND	37125
CM0083-B : RADICAL VAGINECTOMY WITH RECONSTRUCION b) WITHOUT LND	32625
CM0084-A : RADICAL HYSTERECOMY+BILATERAL PELVIC LYMPH NODE DISSECTION+BILATERAL SALPHINGO OOPHERECTOMY	33525
CM0084-B : OVARIAN TRANSPOSITION	39825
CM0085-A : ANTERIOR EXENTRATION - ANY SITE	51975
CM0085-B : POSTERIOR EXENTRATION- ANY SITE	37575
CM0086 : TOTAL PELVIC EXENTRATION - ANY SITE	63675
CM0087 : EXTRALEVATOR EXENTRATION - ANY SITE	36225
CM0088 : SUPRALEVATOR EXENTRATION - ANY SITE	36225
CM0089 : TOTAL ABDOMINAL HYSTERECTOMY+BILATERAL SALPHINGO OOPHERECTOMY+BILATERAL PELVIC LYMPH NODE DISSECTION+OMENTECTOMY	31230
CM0090-A : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /STAGING	19125
CM0090-B : RETRO PERITONEAL LYMPH NODE DISSECTION(RPLND) (FOR RESIDUAL DISEASES /WITH VASCULAR RECONSTRUCTION	28350
CM0091-A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY	54225
CM0091-B : OESOPHAGECTOMY WITH THREE FIELD LYMPADENECTOMY	65475
CM0092-A : VERMILIONECTOMY WITHOUT WEDGE EXCISION	15075
CM0092-B : VERMILIONECTOMY WITH WEDGE EXCISION	16875
CM0093 : EMASCULATION	22230
CM0094 : PALATECTOMY ANY TYPE	22725
CM0095 : RADICAL TRACHELECTOMY	30825
CM0096 : SUBSTERNAL BYPASS	24525
CM0097 : ABBE OPERATION	16875
CM0098 : CYTOREDUCTIVE SURGERY	20925
CM0099 : VULVECTOMY	13725
CM0158 : UPTO-40% WITH SCALDS (CONSERVATIVE)	25200
CM0159 : UPTO-40% MIXED BURNS (WITH SURGERIES)	36000
CM0160 : UPTO-50% WITH SCALDS (CONSERVATIVE)	44820
CM0161 : UPTO-50% MIXED BURNS ( WITH SURGERIES)	54900
CM0162 : UPTO-60% WITH SCALDS (CONSERVATIVE)	67320
CM0163 : UP TO-60% MIXED BURNS (WITH SURGERIES)	72900
CM0164 : ABOVE 60% MIXED BURNS (WITH SURGERIES)	90900
CM0165 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD	18900
CM0166 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE	27900
CM0167 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE	35100
CM0168 : PTOSIS	22050
CM0169 : CUP AND BAT EARS	22050
CM0170A : FILARIAL LYMPHOEDEMA -NV SHUNT	12510
CM0170B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY	22050
CM0171 : HEMIFACIAL ATROPHY	31140
CM0172 : HEMIFACIAL MICROSMIA	44640
CM0173 : LEPROSY RECONSTRUCTIVE SURGERY	26010
CM0174 : TUMOR OF MANDIBLE AND MAXILLA	36090
CM0175 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND)	23940
CM0176 : PRESSURE SORE RECONSTRUCTIVE SURGERY	39510
CM0177 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION	39420
CM0178 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL)	15120
CM0291 : CRANIOTOMY AND EVACUATION OF HAEMATOMA	52425
CM0292A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA)	56925
CM0292B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR)	61425
CM0293A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA)	56925
CM0293B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR)	61425
CM0294A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA)	56925
CM0294B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR)	61425
CM0295A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT	24255
CM0295B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL	26055
CM0296A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION	24255
CM0296B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT	26955
CM0296C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION	26055
CM0296D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT	28755
CM0297 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT	36855
CM0298 : TWIST DRILL CRANIOSTOMY	17955
CM0299 : SUBDURAL TAPPING	17955
CM0300 : VENTRICULAR TAPPING	17956
CM0301 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING	17957
CM0302 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION	24528
CM0303 : C.S.F. RHINORRHOEA & ACF REPAIR	47925
CM0304 : CRANIOPLASTY	36225
CM0305 : EXTERNAL VENTRICULAR DRAINAGE (EVD)	24795
CM0306 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL , CEREBELLUM ETC)	50625
CM0307 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS )	47925
CM0308 : BASAL LESION	54225
CM0309 : BRAIN STEM LESION	65925
CM0310 : C P ANGLE LESION	65925
CM0311 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE	44775
CM0312 : STEREOTACTIC PROCEDURES- ABLATION	95175
CM0313 : STEREOTACTIC PROCEDURES- BIOPSY	44775
CM0314 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT)	52425
CM0315 : INTRA-CEREBRAL HEMATOMA EVACUATION	52425
CM0316 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH	52425
CM0317A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS)	59175
CM0317B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS)	58275
CM0317C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS)	42795
CM0317D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS)	42795
CM0318 : TEMPORAL LOBECTOMY	38925
CM0319 : LESIONECTOMY	110025
CM0320 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES	44235
CM0321 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA	48645
CM0322 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR)	29295
CM0323 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM	28395
CM0324 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION	55395
CM0325 : INTRACRANIAL FOREIGN BODY REMOVAL	52425
CM0326A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ	21555
CM0326B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ	29745
CM0326C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA	45045
CM0326D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ	37845
CM0326E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA	17595
CM0326F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ	26145
CM0326G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA	34245
CM0326H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ	34245
CM0327A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ	40923
CM0327B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ	42723
CM0328A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION	53775
CM0328B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY	47475
CM0329A : DEEP BRAIN STIMULATION E-COG with Brain mapping (MRI, FMRI with 3D- Mapping)	83475
CM0329B : DEEP BRAIN STIMULATION with E-COG, Brain mapping, intra-operative neuronavigation techniques & I-O CT/ MRI guided Stereotactic Stimulation	105975
CM0330 : INTRATHECAL PUMP IMPLANT	38925
CM0331 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION	52695
CM0332 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION	55845
CM0333 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY	36495
CM0334 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY	42345
CM0335 : CERVICAL / LUMBAR SYMPATHECTOMY	29205
CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY	13095
CM0516A : HEMORRHAGIC STROKE	27000
CM0516B : ISCHEMIC STROKE	16200
CM0573 A : CYSTOLITHOTRIPSY	12600
CM0573 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY	15300
CM0573 C : RETROGRADE INTRARENAL SURGERY	25200
CM0574 : PERCUTANEOUS NEPHROLITHOTOMY	27900
CM0576 : URETERO RENOSCOPIC LITHOTRIPSY	19800
CM0577 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA	41400
CM0578 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY	31500
CM0579 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I	22500
CM0579 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II	31500
CM0580 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - RECONSTRUCTION PROCEDURE	31500
CM0581 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS	40500
CM0582 A : RENAL CYST EXCISION - LAP	22500
CM0582 B : RENAL CYST EXCISION - OPEN	22500
CM0583 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - LAP	36000
CM0583 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - OPEN	36000
CM0584 : ENDOSCOPE REMOVAL OF STONE IN BLADDER	12600
CM0585 : URETERIC INJURY REPAIR	27000
CM0586 : BLADDER INJURY REPAIR	27000
CM0587 : URETERIC REIMPLANTATION	36000
CM0588 : VESICO VAGINAL FISTULA	27000
CM0589 : CLOSURE OF URETHRAL FISTULA	19800
CM0590 : OPTICAL URETHROTOMY	22500
CM0591 : PERINEAL URETHROSTOMY	18000
CM0592 : ANDERSON HYNES PYELOPLASTY	31500
CM0593 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY	28800
CM0593 B : BLADDER NECK INCISION (BNI)	18000
CM0594 : SUPRA PUBLIC CYSTOSTOMY	7200
CM0595 : DIVERTICULECTOMY /PERSISTENT URACHUS	18000
CM0596 : URACHAL SINUS/TUMOR / EXCISION	18000
CM0597 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS URETHROTOMY)	13500
CM0598 : TRANSURETHRAL RESECTION OF PROSTATE (TURP)	24300
CM0599 : TURP WITH CYSTOLITHOTRIPSY	25200
CM0600 : CHORDEE CORECTION	13500
CM0612 : THOROCOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS)	37125
CM0613 : MYOPLASTY ( BRONCHOPLEURAL FISTULA/OTHERS)	32625
CM0614-II : TRANSPLEURAL BPF CLOSURE	38655
CM0620-I : EXCISION OF TUMOR IN NASOPHARYNX( MALIGNANT)	18810
CM0624-I : WERTHEIMS / RADICAL HYSTERECTOMY	25695
CM0625-I : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY	36000
CM0628-I : NEPHROSTOMY	7200
CM0632-I : FULL THICKNESS BUCCAL MUCOSAL RESECTION & RECONSTRUCTION	37665
CM0633-I : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT	21285
CM0635-I : OPEN PROSTATECTOMY	27000
CM0635-II : OPEN PROSTATECTOMY	27000
CM0636-I : RADICAL PROSTATECTOMY	45000
CM0636-II : RADICAL PROSTATECTOMY	45000
CM0646-III : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER	50175
CM0650-III : EMBOLIZATION OF PULMONARY AV MALFORMATION	65925
CM0651-II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX	68625
CM0652-III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA	83475
CM0654-III : BRAIN AVM EMBOLIZATION	87975
CM0655-III : TUMOR EMBOLIZATION	75375
CM0661-A-II : SPINAL AVM EMBOLIZATION	43875
CM0661-A-III : SPINAL AVM EMBOLIZATION	43875
CM0661-B-II : SPINAL AVM EMBOLIZATION	52875
CM0661-B-III : SPINAL AVM EMBOLIZATION	52875
CM0662-II : SPINAL DURAL FISTULA EMBOLIZATION	55575
CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION	55575
CM0665-II : VEIN OF GALEN EMBOLIZATION	59625
CM0666-II : DURAL FISTULA EMBOLIZATION	73125
CM0677-II : INTRACRANIAL VENOUS STENTING	110925
CM0678-II : INTRACRANIAL ARTERIAL STENTING	110925
CM0688-II : DURAL SINUS ANGIOPLASTY AND STENTING	59175
CM0704 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC	45720
CM0705 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER	61110
CM0706-I : EXCISION OF LINGUAL THYROID	18495
CM0709 A-II : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.	40500
CM0709 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL.	40500
CM0709 B-II : LAP NEPHRECTOMY-RADICAL	40500
CM0709 B-III : LAP NEPHRECTOMY-RADICAL	40500
CM0710 A-I : NEPHROURETERECTOMY OPEN	36000
CM0710 B-I : NEPHROURETERECTOMY LAP	36000
CM0711 : BRONCHOSCOPY FOREIGN BODY REMOVAL	8910
CM0713-II : TRACHEOSTOMY	4545
CM0714-II : THOROCOSTOMY	39060
CM0715 : CLEFT LIP	14490
CM0716 : CLEFT PALATE	18090
CM0717 : SYNDACTYLY OF HAND FOR EACH HAND	23940
CM0718A : MICROTIA/ANOTIA - STAGE 1	22860
CM0718B : MICROTIA/ANOTIA - STAGE 2	15840
CM0719 : TM JOINT ANKYLOSIS	36000
CM0720 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY	22500
CM0721 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION	36360
CM0722-III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA	18045
CM0723-I : HEAD & NECK CANCER COMPOSITE RESECTION	33615
CM0724-I : HEAD & NECK CANCER COMPOSITE RESECTION WITH RECONSTRUCTION	42165
CM0725-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION	22185
CM0725-III : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION	22185
CM0727-I : TRACHEO OESOPHAGEAL FISTULA - REPAIR / RECONSTRUCTION	37665
CM0728-I : OESOPHAGEAL GROWTH / FISTULA / STRICTURE / PERFORATION / LUMINAL STENTING	64665
CM0729-I : DIAPHRAGMATIC HERNIA	36000
CM0730 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN	36000
CM0730 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN	36000
CM0730 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP	36000
CM0730 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP	36000
CM0730 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN	49500
CM0730 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN	49500
CM0730 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP	49500
CM0730 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP	49500
CM0731-II : HYPOSPADIAS	27000
CM0732-II : EPISPADIAS	37800
CM0733-II : TORSION TESTIS	22500
CM0739-I : GASTRECTOMY ANY TYPE - ANY CAUSE	35865
CM0740-I : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY	43965
CM0741-A : PENECTOMY- PARTIAL WITHOUT PERINEAL URETHEROSTOMY -CA	14040
CM0741-B : PENECTOMY- Total WITHOUT PERINEAL URETHEROSTOMY -CA	21915
CM0742A : PENECTOMY- PARTIAL WITH PERINEAL URETHEROSTOMY -CA	26595
CM0742B : PENECTOMY- TOTAL WITH PERINEAL URETHEROSTOMY -CA	35865
CM0743-I : ANTERIOR RESECTION	45765
CM0744-A-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH	22095
CM0744-B-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY	44145
CM0744-C-I : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS	67095
CM0745-I : ABDOMINOPERINIAL RESECTION	35415
CM0749A-I : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY)	27315
CM0749A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY)	27315
CM0749B-I : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY)	18315
CM0749B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY)	18315
CM0750-A-I : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY)	23265
CM0750-A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY)	23265
CM0750-B-I : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY)	31365
CM0750-B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY)	31365
CM0751-I : HEMIMANDIBULECTOMY	22635
CM0752-I : MARGINAL MANDIBULECTOMY	20205
CM0753-I : SEGMENTAL MANDIBULECTOMY	20205
CM0755 : MULTI ORGAN RESECTION FOR ANY GI CANCERS	60525
CM0759A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY	18000
CM0759A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT	13500
CM0759A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION	13500
CM0759B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY	18000
CM0759B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT	13500
CM0759B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION	13500
CM0761 : BRAIN - ANY BIOPSY	44973
CM0762 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL)	40095
CM0764B : SPLENECTOMY WITH DEVASCULARISATION -TRAUMATIC	34200
CM0764 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) FOR CANCER	17550
CM0765 : GLOSSECTOMY (TOTAL/HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER	35865
CM0766 : MAXILLECTOMY ANY TYPE -FOR CA	22500
CM0767 : PAROTIDECTOMY ANY TYPE- FOR CA	17550
CM0768 : LARYNGECTOMY ANY TYPE -FOR CA	32625
CM0769-I : LARYNGO PHARYNGO OESOPHAGECTOMY	66600
CM0769-II : LARYNGO PHARYNGO OESOPHAGECTOMY	66600
CM0770 A-I : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE	37800
CM0770 B-I : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE	29700
CM0771-I : WHIPPLES ANY TYPE	74250
CM0772A-II : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE	31500
CM0772A-III : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE	31500
CM0772B-II : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE	40500
CM0772B-III : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE	40500
CM0773 A-II : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE	31500
CM0773 B-II : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE	40500
CM0775-I : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA	22815
CM0776-I : MASTECTOMY ANY TYPE	18000
CM0777-I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION / SENTINAL NODE EXPLORATION	0
CM0777-A-I : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION	22500
CM0777-B-I : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION	22500
CM0778-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (BENIGN /MALIGNANT)	0
CM0778-A-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN	4410
CM0778-B-I : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT)	5850
CM0779 : PNEUMONECTOMY- ANY CAUSE	47115
CM0780 : LUNG LOBECTOMY - ANY CAUSE	47115
CM0781 : DECORTICATION - ANY CAUSE	38115
CM0782 : VATS-LOBECTOMY	56115
CM0783 : VATS-PNEUMONECTOMY	56115
CM0784 : VATS-DECORTICATION	51615
CM0785-I : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE	33615
CM0786-A-I : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE)	22455
CM0786-B-I : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE)	40635
CM0787 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE	31500
CM0789-I : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL	37395
CM0789-II : STERNOTOMY + MEDIASTINAL DISSECTION - CA / SOL	37395
CM0796-II : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE	36000
CM0797-III : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE	40500
CM0798-III : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY	18000
CM0803 A-III : ILEOTRANSVERSE COLOSTOMY	22500
CM0803 B-III : COLOSTOMY	18000
CM0805-III : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY	18000
CM0806-II : RESECTION OF RETRO PERITONEAL TUMORS	40095
CM0808A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING )	27000
CM0808B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY)	7200
CM0810-I : INTERCOSTAL DRAINAGE	3690
CM0812A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT )	31500
CM0812A-ii : NERVE REPAIR NEUROLYSIS	18000
CM0812A-iii : NERVE REPAIR NERVE SUTURING	18000
CM0812B-i : PERIPHERAL NERVE REPAIR	18000
CM0812B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT )	31500
CM0812B-iii : TENDON REPAIR	9000
CM0812B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT)	18000
CM0812B-v : VASCULAR REPAIR (utilise vascular repair package)	0
CM0812B-vi : VASCULAR RECONSTRUCTION (utilise vascular reconstruction package)	0
CM0813 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR)	26325
CM0814-II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY)	23625
CM0815A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD	23445
CM0815B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE	31095
CM0815C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE	34695
CM0816A : FLAP SURGERIES CUTANEOUS- FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT	22500
CM0816B : MYOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT	31950
CM0816C : OSTEOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT	40950
CM0816D : MICROSURGICAL FREE FLAP SPLIT THICKNESS GRAFT - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT	61110
CM0817 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY	22410
CM0818 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS) REQUIRES MULTIPLE SITTINGS	50310
CM0819 : FLAP SURGERIES WITH BONE GRAFTING	23400
CM0823 : OPERATIONS FOR BRACHIAL PLEXUS (multiple sitting - max 3)	27000
CM0824 : CERVICAL RIB EXCISION	27270
CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC )	36000
CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED	27000
CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA	10800
CM0851A-I : CHEST WALL RESECTION WITHOUT RECONSTRUCTION	35865
CM0851A-II : CHEST WALL RESECTION WITHOUT RECONSTRUCTION	35865
CM0851B-I : CHEST WALL RESECTION WITH RECONSTRUCTION	47115
CM0851B-II : CHEST WALL RESECTION WITH RECONSTRUCTION	47115
CM0854 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L	10800
CM0854 A-III : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L	10800
CM0855 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L	13500
CM0856 : ANEURYSM CLIPPING	87705
CM0857 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS	52893
CM0858 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR	41193
CM0859 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR	41193
CM0860 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR)	23445
CM0861-I : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS)	38835
CM0862 : ANTERIOR DISCECTOMY (WITH OR WITHOUT BONE GRAFTING/SPACER/IMPLANT/VETEBROPLASTY ) ANY LEVEL	38835
CM0863 : ANTERIOR CERVICAL SPINE SURGERY WITH FUSION	36045
CM0864 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION	21645
CM0865-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR	31545
CM0866-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL	22545
CM0867 : SPINAL FUSION PROCEDURE	38295
CM0868 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION)	71973
CM0869 : TRANS ORAL SURGERY	22698
CM0870 : C.V. JUNCTION FUSION	35775
CM0871 : SYRINGOMYELIA	54675
CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS	40545
CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS	54045
CM0888-II : GULLAIN BARRE SYNDROME	90000
CM0889-II : OPTIC NEURITIS	9000
CM0891-II : MYASTHENIA GRAVIS	13500
CM0893 : CAVERNOUS SINUS THROMBOSIS	22500
CM0894 : RHINOCEREBRAL MUCORMYCOSIS	27000
CM0914 : DIAPHRAGMATIC EVENTERATION	36000
CM0915 : THORACOTOMY/EXPLORATIVE THOROCOTOMY/ THORACO ABDOMINAL APPROACH	22500
CM0918 A : URETEROSCOPY AND DJ STENTING U/L	5400
CM0918 B : URETEROSCOPY AND DJ STENTING B/L	8100
CM0919 : URETEROSCOPY AND DJ STENT REMOVAL	2700
CM0920 : TRANSURETHRAL RESECTION OF BLADDER TUMOR /RE-TURBT	27000
CM0933-I : TRACHEAL RESECTION WITH RECONSTRUCTION	35883
CM0934-I : TRACHEAL RESECTION WITHOUT RECONSTRUCTION	23283
CM0937 A : PYELOLITHOTOMY - OPEN	22500
CM0937 B : PYELOLITHOTOMY - LAP	22500
CM0938 A : NEPHROLITHOTOMY - OPEN	22500
CM0938 B : NEPHROLITHOTOMY - LAP	22500
CM0939 : OPEN CYSTOLITHOTOMY	12600
CM0940 A : URETEROLITHOTOMY - OPEN	18000
CM0940 B : URETEROLITHOTOMY - LAP	18000
CM0941 A : VESICOLITHOTOMY - OPEN	12600
CM0941 B : VESICOLITHOTOMY - LAP	12600
CM0942 : POSTERIOR FOSSA ENDOSCOPIC SURGERY	72000
CM0943 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS	44973
CM0944-I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL / POST TRAUMATIC (INTUBATION ) - RESECTION ANASTAMOSIS	26793
CM0945-I : LARYNGOTRACHEAL/ TRACHEAL STENOSIS - POST CRICO TRACHEAL /POST TRAUMATIC (INTUBATION ) - STENTING	31293
CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY	68175
CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION	24075
CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION	90000
CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION	18000
CM0952-ii : Surgery for All Leukemias - Utilise Surgical Oncology Package if unavailable maximum payable	45000
CM0953-ii : Surgery for All Lymphomas - Utilise Surgical Oncology Package if unavailable maximum payable	45000
CM0966A : PLEURAL BIOPSY OPEN	21420
CM0966B : PLEURAL BIOPSY VATS	28170
CM0969 : SACROSPINOUS FIXATION (VAGINAL ROUTE)	20745
CM0970 : SLEEVE RESECTION CA EAR	17550
CM0971 : SLEEVE RESECTION CA LUNG	21780
CM0976A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC)	14175
CM0976B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC)	8775
CM0981 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE	10800
CM0983 : MAXILLECTOMY WITH ORBITAL EXENTERATION	30915
CM0984 : MAXILLECTOMY WITH SKULL BASE RESECTION	33975
CM0985 : CRANIOFACIAL RESECTION	43515
CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3 levels)	22500
CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels)	40500
CM0715A : CLEFT LIP - Unilateral	9000
CM0715B : CLEFT LIP - Bilateral	14490
CM0718A-II : MICROTIA/ANOTIA - STAGE 1	9000
CM0718A-IV : MICROTIA/ANOTIA - STAGE 1 (with artificial Implant)	22860
CM0158- a : Medical management only (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) upto	4500
CM0158- b : 10 to 20% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application	9000
CM0158- c : 20 to 30% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application	17100
CM0158- d : 30 to 40% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay	25200
CM0158- e : upto 10% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay	6300
CM0159 - b : 20 to 30% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG	27000
CM0159- a : UPTO 20% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG	18000
CM0159- c : 30 to 40% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay	36000
CM0160A : 40 TO 50% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application	44820
CM0161A : 40 to 50% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG	54900
CM0162A : 50 TO 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay	67320
CM0163- a : 50 TO 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay	72900
CM0164-a : ABOVE 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay	90000
CM0165a : Fingers	3600
CM0165b : Neck - MILD (LESS THAN 1/3RD) - Flexion and extension videos to be uploaded	13500
CM0165c : Others (elbow, thigh, etc)	9000
CM0165d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon	5400
CM0166a : Fingers	5400
CM0166b : Neck - MODERATE (1/3RD TO 2/3RD) - Flexion and extension videos to be uploaded	22500
CM0166c : Others (elbow, thigh, etc)	13500
CM0166d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon	5400
CM0167a : Fingers	7200
CM0167b : Neck - SEVERE (> 2/3RD) - Flexion and extension videos to be uploaded	29700
CM0167c : Others (elbow, thigh, etc)	18000
CM0167d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon	5400
CM0168a : PTOSIS Single	13500
CM0168b : PTOSIS Bilateral	22050
CM0175a : Polydactyly - Simple	4500
CM0175b : Polydactyly - Bone and neurovascular bundle	9000
CM0175c : Simple syndactyly (per finger)	5400
CM0175d : Complex syndactyly (per finger)	9000
CM0175e : Radial clubhand	13500
CM0175f : Ulnar clubhand	13500
CM0175g : Macrodactyly	15750
CM0175h : Others minor (will be paid as per procedure) Upto	9000
CM0175i : Others major (will be paid as per procedure) Upto	23940
CM0176a : PRESSURE SORE RECONSTRUCTIVE SURGERY - SSG - per 10 sq CM (upto)	10800
CM0176b : PRESSURE SORE RECONSTRUCTIVE SURGERY - Single Rotation FLAP - per 10 sq CM (upto) - per 10 sq CM (upto)	13500
CM0176c : PRESSURE SORE RECONSTRUCTIVE SURGERY - Bilateral FLAP - per 10 sq CM (upto)	18000
CM0176d : PRESSURE SORE RECONSTRUCTIVE SURGERY - Musculocutaneous flap - per 10 sq CM (upto)	27000
CM0176e : PRESSURE SORE RECONSTRUCTIVE SURGERY - Fasciocutaneous flap - per 10 sq CM (upto)	22500
CM0176f : PRESSURE SORE RECONSTRUCTIVE SURGERY - Tensor fascia lata flap - per 10 sq CM (upto)	39510
CM0176g : others (payable based on the procedure carried out) (upto)	39510
CM0177a : single closure	18000
CM0177b : Fascia Lata Graft	31500
CM0177c : Mesh Closure	22500
CM0177d : Local Flaps	18000
CM0177e : Myocutaneous Transposition	31500
CM0177f : TRAM	39510
CM0178a : Unilateral	9000
CM0178b : Bilateral	14400
CM0716A : CLEFT PALATE - Partial	13500
CM0716B : CLEFT PALATE - Complete	18090
CM0716C : CLEFT PALATE - Sub mucous (before 1.5 years of age)	18090
CM0717A : Simple syndactyly (Per finger)	5400
CM0717B : Complex Syndactyly (Per finger)	9000
CM0717C : Simple syndactyly (Per finger)	13500
CM0717D : Complex Syndactyly (Per hand)	23940
CM0718A-I : MICROTIA/ANOTIA - STAGE 1	22860
CM0718A-III : MICROTIA/ANOTIA - STAGE 1 (with cartilage autograft)	13500
CM0722-III-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA	9023
CM0722-III-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE	9023
CM0722-III-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING / Archbar	4500
CM0814 : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY)	0
CM0814-II-a : VASCULAR MALFORMATIONS- Sclerotherapy	11700
CM0814-II-b : VASCULAR MALFORMATIONS- Sclerotherapy and Excision	23625
CM0816A-i : FLAP SURGERIES CUTANEOUS- UPPER LIMB	18000
CM0816A-ii : FLAP SURGERIES CUTANEOUS- LOWER LIMB	10800
CM0861-I-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open)	38700
CM0861-I-B : POSTERIOR DISCECTOMY WITH BONE GRAFT	29700
CM0861-I-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY	22500
CM0862A : ANTERIOR DISCECTOMY WITHOUT IMPLANTS	27000
CM0862B : ANTERIOR DISCECTOMY WITH IMPLANTS	38835
CM0947 A : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES ( MORE THAN 4 LEVELS)	67500
CM0947 B : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES LESS THAN 4 LEVELS)	45000
CM0947C : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES WITH VERTERBROPLASTY	40500
CM0775-I-a : SALPINGO OOPHORECTOMY B/L- FOR CA	22815
CM0775-I-b : SALPINGO OOPHORECTOMY U/L FOR CA	16200
CM0625-I A : AMPUTATIONS - FORE QUARTER	36000
CM0625-I B : AMPUTATIONS - HIND QUARTER / Internal Hemipelvectomy	36000
CM0625-I C : AMPUTATIONS - HIND QUARTER / External Hemipelvectomy	36000
CM0765A : GLOSSECTOMY (HEMI/PARTIAL) WITH RECONSTRUCTION- FOR CANCER	27000
CM0765B : GLOSSECTOMY (TOTAL) WITH RECONSTRUCTION- FOR CANCER	35865
CM1231 : Endopyelotomy (retrograde with laser/bugbee)	22500
CM1232 : Endopyelotomy (antegrade with laser/bugbee)	25200
CM1233 : Ureterocalycostomy Open	22500
CM1234 : Ureterocalycostomy Laparoscopic	27000
CM1235 : Uretero-ureterostomy Open	22500
CM1236 : Uretero-ureterostomy Laparoscopic	31500
CM1252 : Holmium Laser Prostatectomy	36000
CM1276 : Duroplasty - Endogenous	11250
CM1277 : Duroplasty - Exogenous	36225
CM1279 : Micro discectomy - Cervical	36000
CM1283 : Cranial Nerve Anastomosis	28800
CM1286 : Additonal clip for Aneurysm Clipping	13500
CM1288 : Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure	54000
CM1296 : Balloon Atrial Septostomy	18000
CM1297 : PTSMA	25000
CM1298 : Pulmonary artery stenting	40000
CM1299 : Pulmonary artery stenting (double)	65000
CM1300 : Right ventricular outflow tract (RVOT) stenting	40000
CM1301 : Percutaneous Transluminal Tricuspid Commissurotormy (PTTC)	25000
CM1302 : Atrioventricular septal defect/ Atrioventricular (AV) Canal Defect	100000
CM1303 : Aortopulmonary Window (AP Window)	90000
CM1304 : Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM)	90000
CM1305 : Double Switch Operation	120000
CM1306 : Root Replacement (Aortic Aneurysm/ Aortic Dissection) / Bental Procedure	145000
CM1307 : Aortic Arch Replacement	160000
CM1308 : Central Shunt	50000
CM1309 : Pulmonary AV Fistula surgery	45000
CM1310 : Thyomectomy	35000
CM1311 : Encysted Empyema/Pleural Effusion - Tubercular	10000
CM1312 : Pulmonary Sequestration Resection	40000
CM1323 : Microvascular reconstruction	40500
CM1325 : Axillary dissection	13500
CM1326 : Enucleation of pancreatic neoplasm	22500
CM0692-III : ACUTE STROKE THROMBOLYSIS (R TPA )	67725
CM0692-III-B : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis)	0
CM0692-III-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 50 mg)	30300
CM0692-III-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 70mg)	48300

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