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|
| Packages | Rate |
|---|---|
| CM0436 : THERAPEUTIC PENETRATING KERATOPLASTY / OPTICAL PENETRATING KERATOPLASTY | 9951 |
| CM0437 : LAMELLAR KERATOPLASTY | 11773 |
| CM0438 : SCLERAL PATCH GRAFT | 5431 |
| CM0439 : DOUBLE Z-PLASTY | 3463 |
| CM0441 : COLLAGEN CROSS LINKING FOR KERATOCONUS | 6634 |
| CM0442 : REMOVAL OF SILICON OIL OR GAS | 4702 |
| CM0443 : VITRECTOMY ANTERIOR | 6087 |
| CM0444 : VITRECTOMY - MEMBRANE PEELING- ENDOLASER,SILICON OIL OR GAS | 15418 |
| CM0445 : MONTHLY INTRAVITREAL ANTI-VEGF FOR MACULAR DEGENERATION - PER INJECTION (MAXIMUM - 6) | 5650 |
| CM0446A : DIABETIC MACULAR EDEMA-AVASTIN | 4848 |
| CM0446B : DIABETIC MACULAR EDEMA-INTRA VITREAL LUCENTIS | 14762 |
| CM0447 : SCLERAL BUCKLE FOR RETINAL DETACHMENT | 9878 |
| CM0448 : PHOTOCOAGULATION FOR DIABETIC RETINOPATHY / INDICATIONS OTHER THAN DIABETIC RETINOPATHY - PER SITTING | 1203 |
| CM0449 : DERMIS FAT GRAFT | 6087 |
| CM0450 : ORBITOTOMY | 8347 |
| CM0454 : LID RECONSTRUCTION SURGERY /BLEPHEROPLASTY | 9003 |
| CM0455 : PAEDIATRIC CATARACT SURGERY (PHACO EMULSIFICATION IOL/SICS IOL) | 12794 |
| CM0456 : PHOTOCOAGULATION FOR RETINOPATHY OF PREMATURITY | 5468 |
| CM0458 : LASER NDYAG PERIPHERAL IRIDOTOMY/ CAPSULOTOMY | 1565 |
| CM0460 : SURGICAL MANAGEMENT FOR SECONDARY GLAUCOMA | 9732 |
| CM0464 : LATERAL TARSORRHAPHY | 3900 |
| CM0466 : CORNEAL PATCH GRAFT | 3827 |
| CM0467 : SOCKET RECONSTRUCTION | 7618 |
| CM0468 : OBLIQUE MUSCLE SURGERY | 6816 |
| CM0621-II : ENDOSCOPIC DCR | 11263 |
| CM0633-II : ORBITAL EXENTERATION/ EVISCERATION WITH IMPLANT | 17241 |
| FUP0001A : CORONARY BALLOON ANGIOPLASTY (PPCI) - First Qtr | 1500 |
| FUP0001B : CORONARY BALLOON ANGIOPLASTY (PPCI) - Next 3 Qtrs | 1000 |
| FUP0002A : PTCA WITH STENT - First Qtr | 1500 |
| FUP0002B : PTCA WITH STENT - Next 3 Qtrs | 1000 |
| FUP0004A : ASD DEVICE CLOSURE - First Qtr | 1500 |
| FUP0004B : ASD DEVICE CLOSURE - Next 3 Qtrs | 1000 |
| FUP0005A : VSD DEVICE CLOSURE - First Qtr | 1500 |
| FUP0005B : VSD DEVICE CLOSURE - Next 3 Qtrs | 1000 |
| FUP0006A : PDA STENTING - First Qtr | 1500 |
| FUP0006B : PDA STENTING - Next 3 Qtrs | 1000 |
| FUP0007A : DEVICE CLOSURE - First Qtr | 1500 |
| FUP0007B : DEVICE CLOSURE - Next 3 Qtrs | 1000 |
| FUP0008A : SINGLE COIL - First Qtr | 1500 |
| FUP0008B : SINGLE COIL - Next 3 Qtrs | 1000 |
| FUP0009A : MULTIPLE COILS - First Qtr | 1500 |
| FUP0009B : MULTIPLE COILS - Next 3 Qtrs | 1000 |
| FUP0010A : BALLOON VALVOTOMY(ALL VALVE) - First Qtr | 1300 |
| FUP0010B : BALLOON VALVOTOMY(ALL VALVE) - Next 3 Qtrs | 750 |
| FUP0011A : PERMANENT PACEMAKER IMPLANTATION (SINGLE / DUAL CHAMBER) - First Qtr | 500 |
| FUP0011B : PERMANENT PACEMAKER IMPLANTATION (SINGLE / DUAL CHAMBER) - Next 3 Qtrs | 500 |
| FUP0012A : TEMPORARY PACEMAKER IMPLANTATION - First Qtr | 500 |
| FUP0012B : TEMPORARY PACEMAKER IMPLANTATION - Next 3 Qtrs | 500 |
| FUP0013A : COARCTATION OF AORTA - WITH STENT - First Qtr | 3000 |
| FUP0013B : COARCTATION OF AORTA - WITH STENT - Next 3 Qtrs | 1500 |
| FUP0014A : COARCTATION OF AORTA - WITHOUT STENT - First Qtr | 3000 |
| FUP0014B : COARCTATION OF AORTA - WITHOUT STENT - Next 3 Qtrs | 1500 |
| FUP0016A : CORONARY BYPASS SURGERY - First Qtr | 3000 |
| FUP0016B : CORONARY BYPASS SURGERY - Next 3 Qtrs | 1500 |
| FUP0017A : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - First Qtr | 3000 |
| FUP0017B : CORONARY BYPASS SURGERY-POST ANGIOPLASTY - Next 3 Qtrs | 1500 |
| FUP0018A : CABG WITH IABP PUMP - First Qtr | 3000 |
| FUP0018B : CABG WITH IABP PUMP - Next 3 Qtrs | 1500 |
| FUP0019A : CORONARY BYPASS SURGERY OFF PUMP WITH IABP - First Qtr | 3000 |
| FUP0019B : CORONARY BYPASS SURGERY OFF PUMP WITH IABP - Next 3 Qtrs | 1500 |
| FUP0020A : CABG OF PUMP WITHOUT IABP - First Qtr | 3000 |
| FUP0020B : CABG OF PUMP WITHOUT IABP - Next 3 Qtrs | 1500 |
| FUP0021A : CABG WITH ANEURYSMAL REPAIR - First Qtr | 1300 |
| FUP0021B : CABG WITH ANEURYSMAL REPAIR - Next 3 Qtrs | 750 |
| FUP0022A : CABG WITH VENTRICULAR RUPTURE REPAIR - First Qtr | 1300 |
| FUP0022B : CABG WITH VENTRICULAR RUPTURE REPAIR - Next 3 Qtrs | 750 |
| FUP0023A : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr | 3000 |
| FUP0023B : CABG WITH VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs | 1500 |
| FUP0024A : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr | 3000 |
| FUP0024B : CABG WITH VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs | 1500 |
| FUP0025A : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr | 3000 |
| FUP0025B : SINGLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs | 1500 |
| FUP0026A : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr | 3000 |
| FUP0026B : SINGLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs | 1500 |
| FUP0027A : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr | 3000 |
| FUP0027B : DOUBLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs | 1500 |
| FUP0028A : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr | 3000 |
| FUP0028B : DOUBLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs | 1500 |
| FUP0029A : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE - First Qtr | 3000 |
| FUP0029B : TRIPLE VALVE REPLACEMENT WITH MECHANICAL VALVE - Next 3 Qtrs | 1500 |
| FUP0030A : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - First Qtr | 3000 |
| FUP0030B : TRIPLE VALVE REPLACEMENT WITH BIOPROSTHETIC VALVE - Next 3 Qtrs | 1500 |
| FUP0031A : COARCTATION-AORTA REPAIR WITH GRAFT - First Qtr | 3000 |
| FUP0031B : COARCTATION-AORTA REPAIR WITH GRAFT - Next 3 Qtrs | 1500 |
| FUP0032A : ANEURYSM RESECTION & GRAFTING - First Qtr | 3000 |
| FUP0032B : ANEURYSM RESECTION & GRAFTING - Next 3 Qtrs | 1500 |
| FUP0033A : INTRATHORACIC ANEURYSM -REQUIRING BYPASS (WITH GRAFT) - First Qtr | 3000 |
| FUP0033B : INTRATHORACIC ANEURYSM -REQUIRING BYPASS (WITH GRAFT) - Next 3 Qtrs | 1500 |
| FUP0034A : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS - First Qtr | 1300 |
| FUP0034B : ANNULUS AORTIC ECTASIA WITH VALVED CONDUITS - Next 3 Qtrs | 750 |
| FUP0035A : ARTERIAL SWITCH - First Qtr | 1300 |
| FUP0035B : ARTERIAL SWITCH - Next 3 Qtrs | 750 |
| FUP0036A : SENNINGS PROCEDURE - First Qtr | 1300 |
| FUP0036B : SENNINGS PROCEDURE - Next 3 Qtrs | 750 |
| FUP0037A : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE - First Qtr | 1300 |
| FUP0037B : TOTAL CORRECTION OF TETRALOGY OF FALLOT - ANY TYPE - Next 3 Qtrs | 750 |
| FUP0038A : WITH SPECIAL CONDUITS - First Qtr | 1300 |
| FUP0038B : WITH SPECIAL CONDUITS - Next 3 Qtrs | 750 |
| FUP0039A : WITH PROSTHETIC RING - First Qtr | 3000 |
| FUP0039B : WITH PROSTHETIC RING - Next 3 Qtrs | 1500 |
| FUP0043A : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - First Qtr | 1500 |
| FUP0043B : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - Next 3 Qtrs | 1000 |
| FUP0045A : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS - First Qtr | 600 |
| FUP0045B : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS - Next 3 Qtrs | 500 |
| FUP0046A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD LYMPADENECTOMY - First Qtr | 400 |
| FUP0046B : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD LYMPADENECTOMY - Next 3 Qtrs | 400 |
| FUP0047A : ALL - First Qtr | 1000 |
| FUP0047B : ALL - Next 3 Qtrs | 750 |
| FUP0048A : CML - First Qtr | 1000 |
| FUP0048B : CML - Next 3 Qtrs | 750 |
| FUP0049A : CLL - First Qtr | 1000 |
| FUP0049B : CLL - Next 3 Qtrs | 750 |
| FUP0050A : MYELODYSPLASTIC SYNDROME - First Qtr | 1000 |
| FUP0050B : MYELODYSPLASTIC SYNDROME - Next 3 Qtrs | 750 |
| FUP0051A : LYMPHOMA HODGKIN DISEASE - First Qtr | 1000 |
| FUP0051B : LYMPHOMA HODGKIN DISEASE - Next 3 Qtrs | 750 |
| FUP0052A : LYMPHOMA NON HODGKINS DISEASES - First Qtr | 1000 |
| FUP0052B : LYMPHOMA NON HODGKINS DISEASES - Next 3 Qtrs | 750 |
| FUP0053A : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - First Qtr | 2000 |
| FUP0053B : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - Next 3 Qtrs | 1000 |
| FUP0054A : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS - First Qtr | 2000 |
| FUP0054B : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS - Next 3 Qtrs | 1000 |
| FUP0055A : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) - First Qtr | 2000 |
| FUP0055B : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) - Next 3 Qtrs | 1000 |
| FUP0056A : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS - First Qtr | 2000 |
| FUP0056B : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS - Next 3 Qtrs | 1000 |
| FUP0057A : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - First Qtr | 2000 |
| FUP0057B : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - Next 3 Qtrs | 1000 |
| FUP0058A : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - First Qtr | 2000 |
| FUP0058B : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - Next 3 Qtrs | 1000 |
| FUP0059A : TOTAL BODY RADIATION - First Qtr | 2000 |
| FUP0059B : TOTAL BODY RADIATION - Next 3 Qtrs | 1000 |
| FUP0060A : UPTO-60% WITH SCALDS (CONSERVATIVE) - First Qtr | 750 |
| FUP0060B : UPTO-60% WITH SCALDS (CONSERVATIVE) - Next 3 Qtrs | 500 |
| FUP0061A : UP TO-60% MIXED BURNS (WITH SURGERIES) - First Qtr | 750 |
| FUP0061B : UP TO-60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs | 500 |
| FUP0062A : ABOVE 60% MIXED BURNS (WITH SURGERIES) - First Qtr | 750 |
| FUP0062B : ABOVE 60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs | 500 |
| FUP0063A : TOTAL ELBOW REPLACEMENT - First Qtr | 500 |
| FUP0063B : TOTAL ELBOW REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0064A : SHOULDER REPLACEMENT - First Qtr | 500 |
| FUP0064B : SHOULDER REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0065A : TOTAL HIP REPLACEMENT - First Qtr | 500 |
| FUP0065B : TOTAL HIP REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0066A : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) - First Qtr | 500 |
| FUP0066B : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) - Next 3 Qtrs | 500 |
| FUP0067A : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) - First Qtr | 500 |
| FUP0067B : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) - Next 3 Qtrs | 500 |
| FUP0068A : TOTAL KNEE REPLACEMENT - First Qtr | 500 |
| FUP0068B : TOTAL KNEE REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0069A : INBORN ERROR OF METABOLISM - First Qtr | 3000 |
| FUP0069B : INBORN ERROR OF METABOLISM - Next 3 Qtrs | 1500 |
| FUP0070A : PRIMARY IMMUNO DEFICIENCY DISORDERS - First Qtr | 1500 |
| FUP0070B : PRIMARY IMMUNO DEFICIENCY DISORDERS - Next 3 Qtrs | 1000 |
| FUP0071A : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - First Qtr | 900 |
| FUP0071B : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - Next 3 Qtrs | 500 |
| FUP0072A : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL VENTILATION/CPAP - First Qtr | 1250 |
| FUP0072B : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL VENTILATION/CPAP - Next 3 Qtrs | 750 |
| FUP0073A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITH VENTILATION - First Qtr | 1250 |
| FUP0073B : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITH VENTILATION - Next 3 Qtrs | 750 |
| FUP0074A : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITHOUT VENTILATION - First Qtr | 1250 |
| FUP0074B : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITHOUT VENTILATION - Next 3 Qtrs | 750 |
| FUP0075A : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - First Qtr | 3000 |
| FUP0075B : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - Next 3 Qtrs | 1500 |
| FUP0076A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - First Qtr | 1800 |
| FUP0076B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - Next 3 Qtrs | 1000 |
| FUP0077A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - First Qtr | 1800 |
| FUP0077B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - Next 3 Qtrs | 1000 |
| FUP0078A : TUMORS (NEONATES/PAEDIATRIC) - First Qtr | 500 |
| FUP0078B : TUMORS (NEONATES/PAEDIATRIC) - Next 3 Qtrs | 500 |
| FUP0079A : CONGENITAL LUNG LESIONS (CLE, CCAM) - First Qtr | 2000 |
| FUP0079B : CONGENITAL LUNG LESIONS (CLE, CCAM) - Next 3 Qtrs | 1000 |
| FUP0080A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr | 2000 |
| FUP0080B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs | 1000 |
| FUP0081A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr | 2000 |
| FUP0081B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs | 1000 |
| FUP0082A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr | 2000 |
| FUP0082B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs | 1000 |
| FUP0083A : ANEURYSM CLIPPING - First Qtr | 2000 |
| FUP0083B : ANEURYSM CLIPPING - Next 3 Qtrs | 1000 |
| FUP0084A : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - First Qtr | 2000 |
| FUP0084B : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - Next 3 Qtrs | 1000 |
| FUP0085A : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) - First Qtr | 2000 |
| FUP0085B : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) - Next 3 Qtrs | 1000 |
| FUP0086A : TRANS ORAL SURGERY - First Qtr | 2000 |
| FUP0086B : TRANS ORAL SURGERY - Next 3 Qtrs | 1000 |
| FUP0087A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - First Qtr | 1500 |
| FUP0087B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - Next 3 Qtrs | 1000 |
| FUP0088A : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - First Qtr | 2000 |
| FUP0088B : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - Next 3 Qtrs | 1000 |
| FUP0089A : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - First Qtr | 2000 |
| FUP0089B : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - Next 3 Qtrs | 1000 |
| FUP0090A : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED - First Qtr | 2500 |
| FUP0090B : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED - Next 3 Qtrs | 1500 |
| FUP0091A : DEEP BRAIN STIMULATION - First Qtr | 3000 |
| FUP0091B : DEEP BRAIN STIMULATION - Next 3 Qtrs | 1500 |
| FUP0092A : D V T - IVC FILTER - First Qtr | 3500 |
| FUP0092B : D V T - IVC FILTER - Next 3 Qtrs | 1500 |
| FUP0093A : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - First Qtr | 3500 |
| FUP0093B : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - Next 3 Qtrs | 1500 |
| FUP0094A : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - First Qtr | 3500 |
| FUP0094B : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs | 1500 |
| FUP0095A : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - First Qtr | 3500 |
| FUP0095B : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs | 1500 |
| FUP0096A : NECK VASCULAR INJURY - CAROTID VESSELS - First Qtr | 3500 |
| FUP0096B : NECK VASCULAR INJURY - CAROTID VESSELS - Next 3 Qtrs | 1500 |
| FUP0097A : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - First Qtr | 3500 |
| FUP0097B : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - Next 3 Qtrs | 1500 |
| FUP0098A : THORACIC VASCULAR INJURIES - First Qtr | 3500 |
| FUP0098B : THORACIC VASCULAR INJURIES - Next 3 Qtrs | 1500 |
| FUP0101A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - First Qtr | 1000 |
| FUP0101B : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - Next 3 Qtrs | 500 |
| FUP0102A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - First Qtr | 2500 |
| FUP0102B : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - Next 3 Qtrs | 1000 |
| FUP0103A : THALASSEMIA MAJOR/HAEMOGLOBINOPATHIES/ CHELATION THERAPY/SICKLE CELL ANAEMIA - First Qtr | 2500 |
| FUP0103B : THALASSEMIA MAJOR/HAEMOGLOBINOPATHIES/ CHELATION THERAPY/SICKLE CELL ANAEMIA - Next 3 Qtrs | 2500 |
| FUP0105A : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) - First Qtr | 2500 |
| FUP0105B : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) - Next 3 Qtrs | 1000 |
| FUP0106A : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS - First Qtr | 2500 |
| FUP0106B : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS - Next 3 Qtrs | 1500 |
| FUP0107A : ACUTE MI REQUIRING IABP PUMP - First Qtr | 4000 |
| FUP0107B : ACUTE MI REQUIRING IABP PUMP - Next 3 Qtrs | 2000 |
| FUP0108A : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY NEUROPATHIES/HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY/PLEXOPATHY (LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH NERVE BIOPSY) (HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL SYNDROME/ACUTE ENTRAPMENT/ COMPRESSIVE NEUROPATHY / GBS/DOG BITE CATEGORY III/OTHERS - First Qtr | 4000 |
| FUP0108B : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY NEUROPATHIES/HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY/PLEXOPATHY (LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH NERVE BIOPSY) (HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL SYNDROME/ACUTE ENTRAPMENT/ COMPRESSIVE NEUROPATHY / GBS/DOG BITE CATEGORY III/OTHERS - Next 3 Qtrs | 2000 |
| FUP0109A : GROWTH HORMONE FOR HYPOPITUTARISM - First Qtr | 3500 |
| FUP0109B : GROWTH HORMONE FOR HYPOPITUTARISM - Next 3 Qtrs | 1500 |
| FUP0110A : LIVER TRANSPLANTATION - First Qtr | 45000 |
| FUP0110B : LIVER TRANSPLANTATION - Next 3 Qtrs | 35000 |
| FUP0111A : RT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - First Qtr | 2200 |
| FUP0111B : RT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - Next 3 Qtrs | 1200 |
| FUP0112A : LT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - First Qtr | 2200 |
| FUP0112B : LT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - Next 3 Qtrs | 1200 |
| FUP0113A : PORTOCAVAL ANASTOMOSIS - First Qtr | 4000 |
| FUP0113B : PORTOCAVAL ANASTOMOSIS - Next 3 Qtrs | 2000 |
| FUP0114A : SLEEVE GASTRECTOMY FOR MORBID OBESITY - First Qtr | 2500 |
| FUP0114B : SLEEVE GASTRECTOMY FOR MORBID OBESITY - Next 3 Qtrs | 1500 |
| FUP0115A : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY - First Qtr | 2500 |
| FUP0115B : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY - Next 3 Qtrs | 1500 |
| FUP0116A : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION - First Qtr | 5000 |
| FUP0116B : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION - Next 3 Qtrs | 1500 |
| FUP0118A : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION - First Qtr | 2200 |
| FUP0118B : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION - Next 3 Qtrs | 1000 |
| FUP0119A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP -B OR EICHNOCANDINS) , - First Qtr | 40000 |
| FUP0119B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP -B OR EICHNOCANDINS) , - Next 3 Qtrs | 33300 |
| FUP0120A : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C - First Qtr | 1500 |
| FUP0120B : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C - Next 3 Qtrs | 1500 |
| FUP0121A : INFERIOR VENA CAVA STENTING SINGLE STENT - First Qtr | 2000 |
| FUP0121B : INFERIOR VENA CAVA STENTING SINGLE STENT - Next 3 Qtrs | 1000 |
| FUP0122A : ACUTE STROKE THROMBOLYSIS (R TPA ) - First Qtr | 2000 |
| FUP0122B : ACUTE STROKE THROMBOLYSIS (R TPA ) - Next 3 Qtrs | 1000 |
| FUP0123A : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER - First Qtr | 2500 |
| FUP0123B : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER - Next 3 Qtrs | 1000 |
| FUP0124A : CORTICAL VENOUS SINUS THROMBOLYSIS - First Qtr | 2500 |
| FUP0124B : CORTICAL VENOUS SINUS THROMBOLYSIS - Next 3 Qtrs | 1000 |
| FUP0125A : INFERIOR VENA CAVA FILTER PLACEMENT - First Qtr | 3000 |
| FUP0125B : INFERIOR VENA CAVA FILTER PLACEMENT - Next 3 Qtrs | 1500 |
| FUP0126A : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT - First Qtr | 2500 |
| FUP0126B : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT - Next 3 Qtrs | 1200 |
| FUP0127A : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - First Qtr | 2500 |
| FUP0127B : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Next 3 Qtrs | 1200 |
| FUP0128A : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT - First Qtr | 2500 |
| FUP0128B : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT - Next 3 Qtrs | 1200 |
| FUP0129A : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES - First Qtr | 2000 |
| FUP0129B : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES - Next 3 Qtrs | 1000 |
| FUP0130A : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS - First Qtr | 2000 |
| FUP0130B : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS - Next 3 Qtrs | 1000 |
| FUP0131A : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT - First Qtr | 2500 |
| FUP0131B : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT - Next 3 Qtrs | 1200 |
| FUP0132A : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA - First Qtr | 2000 |
| FUP0132B : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA - Next 3 Qtrs | 1000 |
| FUP0133A : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO) - First Qtr | 3500 |
| FUP0133B : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO) - Next 3 Qtrs | 1500 |
| FUP0134A : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS - First Qtr | 2000 |
| FUP0134B : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS - Next 3 Qtrs | 1000 |
| FUP0135A : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS - First Qtr | 2000 |
| FUP0135B : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS - Next 3 Qtrs | 1000 |
| FUP0136A : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) - First Qtr | 3500 |
| FUP0136B : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) - Next 3 Qtrs | 1500 |
| FUP0137A : EMBOLIZATION OF PULMONARY AV MALFORMATION - First Qtr | 2500 |
| FUP0137B : EMBOLIZATION OF PULMONARY AV MALFORMATION - Next 3 Qtrs | 1000 |
| FUP0138A : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION - First Qtr | 2000 |
| FUP0138B : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION - Next 3 Qtrs | 1000 |
| FUP0139A : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX - First Qtr | 6000 |
| FUP0139B : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX - Next 3 Qtrs | 1000 |
| FUP0140A : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE - First Qtr | 2000 |
| FUP0140B : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE - Next 3 Qtrs | 1000 |
| FUP0141A : INTRACRANIAL VENOUS STENTING - First Qtr | 6000 |
| FUP0141B : INTRACRANIAL VENOUS STENTING - Next 3 Qtrs | 1000 |
| FUP0142A : INTRACRANIAL ARTERIAL STENTING - First Qtr | 6000 |
| FUP0142B : INTRACRANIAL ARTERIAL STENTING - Next 3 Qtrs | 1000 |
| FUP0143A : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA - First Qtr | 2500 |
| FUP0143B : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA - Next 3 Qtrs | 1200 |
| FUP0144A : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - First Qtr | 6000 |
| FUP0144B : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - Next 3 Qtrs | 1000 |
| FUP0145A : PLAIN SIMPLE COILING OF ANEURYSM - First Qtr | 2500 |
| FUP0145B : PLAIN SIMPLE COILING OF ANEURYSM - Next 3 Qtrs | 1500 |
| FUP0146A : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE - First Qtr | 2500 |
| FUP0146B : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE - Next 3 Qtrs | 1200 |
| FUP0147A : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY - First Qtr | 2500 |
| FUP0147B : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY - Next 3 Qtrs | 1200 |
| FUP0148A : HEPATIC VEIN ANGIOPLASTY AND STENTING - First Qtr | 3000 |
| FUP0148B : HEPATIC VEIN ANGIOPLASTY AND STENTING - Next 3 Qtrs | 1500 |
| FUP0149A : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT - First Qtr | 3500 |
| FUP0149B : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT - Next 3 Qtrs | 2500 |
| FUP0150A : MINIMAL ACCESS SURGERY- CABG - First Qtr | 2000 |
| FUP0150B : MINIMAL ACCESS SURGERY- CABG - Next 3 Qtrs | 1000 |
| FUP0151A : MULTI ORGAN RESECTION FOR ANY GI CANCERS - First Qtr | 1500 |
| FUP0151B : MULTI ORGAN RESECTION FOR ANY GI CANCERS - Next 3 Qtrs | 1000 |
| FUP0152A : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR - First Qtr | 2500 |
| FUP0152B : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR - Next 3 Qtrs | 1500 |
| FUP0153A : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL - First Qtr | 2500 |
| FUP0153B : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL - Next 3 Qtrs | 1200 |
| FUP0154A : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL - First Qtr | 2000 |
| FUP0154B : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL - Next 3 Qtrs | 2000 |
| CM0436A : THERAPEUTIC PENETRATING KERATOPLASTY | 7290 |
| CM0436B : OPTICAL PENETRATING KERATOPLAS | 9951 |
| CM0444A : VITRECTOMY - MEMBRANE PEELING- ENDOLASER | 10935 |
| CM0444B : VITRECTOMY - SILICON OIL | 7290 |
The Project Director
Tamil Nadu Health Systems Project (TNHSP)
3rd Floor, DMS Annex New Building
259 Anna Salai, Teynampet
Chennai - 600 006, Tamil Nadu.
CMCHIS Project Office Chief Minister's Comprehensive Health Insurance Scheme
No.226,Om Sakthi Towers, Kilpauk Garden Road, Kilpauk, Chennai-600010, Tamil Nadu
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