Package Name | Category | A1 | A2 | A3 | A4 | A5 | A6 | S1 | S2 |
---|---|---|---|---|---|---|---|---|---|
CM0500 : COPD RESPIRATORY FAILURE (INFECTIVE EXACERBATION) | GENERAL MEDICINE | 40000 | 36000 | 32400 | 29160 | 26244 | 23620 | 40000 | 29160 |
CM0501 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE | GENERAL MEDICINE | 40000 | 36000 | 32400 | 29160 | 26244 | 23620 | 40000 | 29160 |
CM0502 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS - MAX 7 DAYS | GENERAL MEDICINE | 31500 | 28350 | 25200 | 22050 | 18900 | 15750 | 31500 | 22050 |
CM0626 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS) | GENERAL MEDICINE | 22000 | 19800 | 17820 | 16038 | 14434 | 12991 | 22000 | 16038 |
CM0626 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS) | GENERAL MEDICINE | 18000 | 16200 | 14580 | 13122 | 11810 | 10629 | 18000 | 13122 |
CM0630 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY | GENERAL MEDICINE | 16000 | 14400 | 12960 | 11664 | 10498 | 9448 | 16000 | 11664 |
CM0631A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) | GENERAL MEDICINE | 12000 | 10800 | 9720 | 8748 | 7873 | 7086 | 12000 | 8748 |
CM0631B-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY / INTERNAL ORGAN INVOLVEMENT REQUIRING INTRAVENOUS IMMUNOGLOBULIN/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ PNEUMOCOCCAL VACCINATION) | GENERAL MEDICINE | 200000 | 180000 | 162000 | 145800 | 131220 | 118098 | 200000 | 145800 |
CM0634 A-I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( LIVER) - Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 B : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( LIVER) - Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 C : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( HEART & LUNG) - Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 D : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( HEART & LUNG) Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 E : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( LUNG) Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 F : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( LUNG) Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 G : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( COCHLEAR) Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 H : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( COCHLEAR) Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( AUDITORY BRAINSTEM IMPLANTATION) Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 J : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( AUDITORY BRAINSTEM IMPLANTATION) Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 K : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( Kidney) - per month | GENERAL MEDICINE | 8000 | 8000 | 8000 | 8000 | 8000 | 8000 | 8000 | 8000 |
CM0634 L : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( Kidney) - per month | GENERAL MEDICINE | 8000 | 8000 | 8000 | 8000 | 8000 | 8000 | 8000 | 8000 |
CM0634 M : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 N : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( ALLOGENIC BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 O : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0634 P : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( AUTOLOGOUS BONE MARROW / STEM CELL TRANSPLANTATION) - Covered Primary package alloted under Corpus fund | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0703 : 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 | GENERAL MEDICINE | 200000 | 200000 | 200000 | 200000 | 200000 | 200000 | 200000 | 200000 |
CM0707-II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS | GENERAL MEDICINE | 55950 | 50355 | 45320 | 40788 | 36709 | 33038 | 55950 | 40788 |
CM0822 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT | GENERAL MEDICINE | 600 | 540 | 486 | 437 | 394 | 354 | 600 | 437 |
CM0822 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] | GENERAL MEDICINE | 5000 | 4500 | 4050 | 3645 | 3281 | 2952 | 5000 | 3645 |
CM0825A : POLYTRAUMA/HEAD INJURY MINOR (only lacerations less than 10 cm) | GENERAL MEDICINE | 2500 | 2250 | 2025 | 1823 | 1640 | 1476 | 2500 | 1823 |
CM0825B : POLYTRAUMA/HEAD INJURY MINOR (deep / pitted wound exposing scalp/ bone requiring debridement and suturing) | GENERAL MEDICINE | 7000 | 6300 | 5670 | 5103 | 4593 | 4133 | 7000 | 5103 |
CM0826 : POLYTRAUMA/HEAD INJURY MAJOR (with fractures, intracranial bleeding) | GENERAL MEDICINE | 25000 | 22500 | 20250 | 18225 | 16403 | 14762 | 25000 | 18225 |
CM0827-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED | GENERAL MEDICINE | 40000 | 36000 | 32400 | 29160 | 26244 | 23620 | 40000 | 29160 |
CM0828-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED | GENERAL MEDICINE | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0829-I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | GENERAL MEDICINE | 40000 | 36000 | 32400 | 29160 | 26244 | 23620 | 40000 | 29160 |
CM0830 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II | GENERAL MEDICINE | 30000 | 27000 | 24300 | 21870 | 19683 | 17715 | 30000 | 21870 |
CM0831-I : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON | GENERAL MEDICINE | 17150 | 15435 | 13892 | 12502 | 11252 | 10127 | 17150 | 12502 |
CM0832-I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON | GENERAL MEDICINE | 9700 | 8730 | 7857 | 7071 | 6364 | 5728 | 9700 | 7071 |
CM0833-I : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON | GENERAL MEDICINE | 11300 | 10170 | 9153 | 8238 | 7414 | 6673 | 11300 | 8238 |
CM0834-I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE | GENERAL MEDICINE | 26700 | 24030 | 21627 | 19464 | 17518 | 15766 | 26700 | 19464 |
CM0835A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED | GENERAL MEDICINE | 57000 | 51300 | 46170 | 41553 | 37398 | 33658 | 57000 | 41553 |
CM0835B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD | GENERAL MEDICINE | 77000 | 69300 | 62370 | 56133 | 50520 | 45468 | 77000 | 56133 |
CM0837-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | GENERAL MEDICINE | 30000 | 27000 | 24300 | 21870 | 19683 | 17715 | 30000 | 21870 |
CM0838-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT | GENERAL MEDICINE | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0839-I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | GENERAL MEDICINE | 12000 | 10800 | 9720 | 8748 | 7873 | 7086 | 12000 | 8748 |
CM0840 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA | GENERAL MEDICINE | 40000 | 36000 | 32400 | 29160 | 26244 | 23620 | 40000 | 29160 |
CM0840 B : TTP | GENERAL MEDICINE | 60000 | 54000 | 48600 | 43740 | 39366 | 35429 | 60000 | 43740 |
CM0841 A : ANY COAGULATION DISORDERS | GENERAL MEDICINE | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0841 B : DIC | GENERAL MEDICINE | 25000 | 22500 | 20250 | 18225 | 16403 | 14762 | 25000 | 18225 |
CM0842 : ECMO - EXTRACORPOREAL MEMBRANE OXYGENATION | GENERAL MEDICINE | 200000 | 180000 | 180000 | 180000 | 180000 | 180000 | 200000 | 180000 |
CM0843A : MULTI SYSTEM ORGAN FAILURE- ARDS WITHOUT DIC(BLOOD PRODUCTS) | GENERAL MEDICINE | 73430 | 66087 | 66087 | 66087 | 66087 | 66087 | 73430 | 66087 |
CM0843B : MULTI SYSTEM ORGAN FAILURE- ARDS WITH DIC(BLOOD PRODUCTS) | GENERAL MEDICINE | 100430 | 90387 | 90387 | 90387 | 90387 | 90387 | 100430 | 90387 |
CM0844 : ENTERIC ENCEPHALOPATHY | GENERAL MEDICINE | 20220 | 18198 | 16378 | 14740 | 13266 | 11940 | 20220 | 14740 |
CM0845 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT | GENERAL MEDICINE | 19900 | 17910 | 16119 | 14507 | 13056 | 11751 | 19900 | 14507 |
CM0846 : SUBMERSION INJURY WITH VENTILATORY SUPPORT | GENERAL MEDICINE | 27000 | 24300 | 21870 | 19683 | 17715 | 15943 | 27000 | 19683 |
CM0847 : ARDS WITH VENTILATORY SUPPORT | GENERAL MEDICINE | 84050 | 75645 | 68081 | 61272 | 55145 | 49631 | 84050 | 61272 |
CM0848-I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION | GENERAL MEDICINE | 56200 | 50580 | 45522 | 40970 | 36873 | 33186 | 56200 | 40970 |
CM0881 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY | GENERAL MEDICINE | 120000 | 108000 | 97200 | 87480 | 78732 | 70859 | 120000 | 87480 |
CM0881 B-I : SICKLE CELL ANAEMIA | GENERAL MEDICINE | 5000 | 4500 | 4050 | 3645 | 3281 | 2952 | 5000 | 3645 |
CM0882-I : INTERSTITAL LUNG DISEASE | GENERAL MEDICINE | 29300 | 26370 | 23733 | 21360 | 19224 | 17301 | 29300 | 21360 |
CM0883-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING | GENERAL MEDICINE | 10200 | 9180 | 8262 | 7436 | 6692 | 6023 | 10200 | 7436 |
CM0887-I : END STAGE RENAL DISEASE | GENERAL MEDICINE | 14150 | 12735 | 11462 | 10315 | 9284 | 8355 | 14150 | 10315 |
CM0888-I : GULLAIN BARRE SYNDROME | GENERAL MEDICINE | 100000 | 90000 | 81000 | 72900 | 65610 | 59049 | 100000 | 72900 |
CM0889-I : OPTIC NEURITIS | GENERAL MEDICINE | 10000 | 9000 | 8100 | 7290 | 6561 | 5905 | 10000 | 7290 |
CM0890-I : MYOPATHY / MUSCULAR DYSTROPHY (INCLUDING EVALUATION & PHYSIOTHERAPY AT CHC) | GENERAL MEDICINE | 13000 | 11700 | 10530 | 9477 | 8529 | 7676 | 13000 | 9477 |
CM0891-I : MYASTHENIA GRAVIS | GENERAL MEDICINE | 15000 | 13500 | 12150 | 10935 | 9842 | 8857 | 15000 | 10935 |
CM0892 : MANAGEMENT OF COMA | GENERAL MEDICINE | 30080 | 27072 | 24365 | 21928 | 19735 | 17762 | 30080 | 21928 |
CM0895 : HYPER OSMOLAR NON-KETOTIC COMA | GENERAL MEDICINE | 30000 | 27000 | 24300 | 21870 | 19683 | 17715 | 30000 | 21870 |
CM0931-I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C | GENERAL MEDICINE | 176330 | 158697 | 158697 | 158697 | 158697 | 158697 | 176330 | 158697 |
CM0932-I : CIRRHOSIS OF LIVER WITH COMPLICATIONS | GENERAL MEDICINE | 30080 | 27072 | 24365 | 21928 | 19735 | 17762 | 30080 | 21928 |
CM0935 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY | GENERAL MEDICINE | 700 | 630 | 567 | 510 | 459 | 413 | 700 | 510 |
CM0936 A : STAY IN ICU - MILD/MODERATE/SEVERE WITH OR WITHOUT VENTILATION (FOR TRAUMA/POST OP COMPLICATIONS) | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0936 B : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA) | GENERAL MEDICINE | 1000 | 900 | 810 | 729 | 656 | 590 | 1000 | 729 |
CM0936 C : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA) | GENERAL MEDICINE | 15000 | 13500 | 12150 | 10935 | 9842 | 8857 | 15000 | 10935 |
CM0936 D : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA) | GENERAL MEDICINE | 25000 | 22500 | 20250 | 18225 | 16403 | 14762 | 25000 | 18225 |
CM0936 E : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / coma) | GENERAL MEDICINE | 25000 | 22500 | 20250 | 18225 | 16403 | 14762 | 25000 | 18225 |
CM0936 F : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / Coma) | GENERAL MEDICINE | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0949 : PYOGENIC ARTHRITIS REQUIRING IV ANTIBIOTIC | GENERAL MEDICINE | 6650 | 5985 | 5387 | 4848 | 4363 | 3927 | 6650 | 4848 |
CM0950 : OSTEOMYELITIS REQUIRING IV ANTIBIOTIC | GENERAL MEDICINE | 9800 | 8820 | 7938 | 7144 | 6430 | 5787 | 9800 | 7144 |
CM0959 : CYSTIC FIBROSIS | GENERAL MEDICINE | 36600 | 32940 | 29646 | 26681 | 24013 | 21612 | 36600 | 26681 |
CM0960 : SEPTIC SHOCK (ICU MANAGEMENT) | GENERAL MEDICINE | 43050 | 38745 | 34871 | 31383 | 28245 | 25421 | 43050 | 31383 |
CM0961-I : WILSON'S DISEASE | GENERAL MEDICINE | 17250 | 15525 | 13973 | 12575 | 11318 | 10186 | 17250 | 12575 |
CM0962-I : NEPHROTIC SYNDROME | GENERAL MEDICINE | 16095 | 14486 | 13037 | 11733 | 10560 | 9504 | 16095 | 11733 |
CM0963-I : NEPHROTIC SYNDROME WITH COMPLICATIONS | GENERAL MEDICINE | 25995 | 23396 | 21056 | 18950 | 17055 | 15350 | 25995 | 18950 |
CM0964-I : ACUTE DISSEMINATED ENCEPHALOMYELITIS | GENERAL MEDICINE | 50000 | 45000 | 40500 | 36450 | 32805 | 29525 | 50000 | 36450 |
CM0967-I : TOXIC/DRUG INDUCED LIVER INJURY | GENERAL MEDICINE | 26800 | 24120 | 21708 | 19537 | 17583 | 15825 | 26800 | 19537 |
CM0968 : MALIGNANT ASCITES | GENERAL MEDICINE | 5650 | 5085 | 4577 | 4119 | 3707 | 3336 | 5650 | 4119 |
CM0982 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT (ONLY WITH FIR ) | GENERAL MEDICINE | 18000 | 16200 | 14580 | 13122 | 11810 | 10629 | 18000 | 13122 |
CM0987 : ACUTE SEVERE ASTHMA WITH VENTILATION | GENERAL MEDICINE | 51200 | 46080 | 41472 | 37325 | 33592 | 30233 | 51200 | 37325 |
CM0988 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION | GENERAL MEDICINE | 31500 | 28350 | 25200 | 22050 | 18900 | 15750 | 31500 | 22050 |
CM0989A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (heparinisation) | GENERAL MEDICINE | 20000 | 18000 | 16200 | 14580 | 13122 | 11810 | 20000 | 14580 |
CM0989B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK) | GENERAL MEDICINE | 25000 | 22500 | 20250 | 18225 | 16403 | 14762 | 25000 | 18225 |
CM0989C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (rTPA) | GENERAL MEDICINE | 75000 | 67500 | 60750 | 54675 | 49208 | 44287 | 75000 | 54675 |
CM0630 B -II-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN | GENERAL MEDICINE | 7000 | 6300 | 5670 | 5103 | 4593 | 4134 | 7000 | 5103 |
CM0630 B -II-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION | GENERAL MEDICINE | 5000 | 4500 | 4050 | 3645 | 3281 | 2953 | 5000 | 3645 |
CM0631A-II -a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE | GENERAL MEDICINE | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0631A-II -b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY | GENERAL MEDICINE | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0630 A-I-a-ii : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY | GENERAL MEDICINE | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0630 A-I-b-ii :MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE | GENERAL MEDICINE | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0630 B -II-a : MYCOPHENOLATE MOFETIL INDUCTION | GENERAL MEDICINE | 6000 | 5400 | 4860 | 4374 | 3937 | 3543 | 6000 | 4374 |
CM0630 B -II-b : MYCOPHENOLATE MOFETIL MAINTENANCE | GENERAL MEDICINE | 3000 | 2700 | 2430 | 2187 | 1969 | 1772 | 3000 | 2187 |
CM0630 B -II-e : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY/ MYCOPHENOLATE MOFETIL INDUCTION/MYCOPHENOLATE MOFETIL MAINTENANCE/ WITH GANGRENE ON IV PROSTACYCLIN/ PNEUMOCOCCAL VACCIN | GENERAL MEDICINE | 30000 | 27000 | 24300 | 21870 | 19683 | 17715 | 30000 | 21870 |
CM0631A-II-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY )(including Diagnostic evaluation - 1st time) | GENERAL MEDICINE | 12000 | 10800 | 9720 | 8748 | 7874 | 7086 | 12000 | 8748 |
CM0707-II-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT | GENERAL MEDICINE | 30000 | 27000 | 24300 | 21870 | 19683 | 17715 | 30000 | 21870 |
CM0707-II-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT | GENERAL MEDICINE | 40000 | 36000 | 32400 | 29160 | 26244 | 23620 | 40000 | 29160 |
CM0707-II-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT | GENERAL MEDICINE | 55950 | 50355 | 45320 | 40788 | 36709 | 33038 | 55950 | 40788 |
CM0881 A-I-a : THALASSEMIA MAJOR (upto) | GENERAL MEDICINE | 7000 | 6300 | 5670 | 5103 | 4593 | 4134 | 7000 | 5103 |
CM0931-I-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS | GENERAL MEDICINE | 1800 | 1800 | 1800 | 1800 | 1800 | 1800 | 1800 | 1800 |
CM0931-I-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS | GENERAL MEDICINE | 3500 | 3500 | 3500 | 3500 | 3500 | 3500 | 3500 | 3500 |
CM0931-I-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS | GENERAL MEDICINE | 2000 | 2000 | 2000 | 2000 | 2000 | 2000 | 2000 | 2000 |
CM0931-I-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS | GENERAL MEDICINE | 6000 | 6000 | 6000 | 6000 | 6000 | 6000 | 6000 | 6000 |
CM0931-II-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS | GENERAL MEDICINE | 4500 | 4500 | 4500 | 4500 | 4500 | 4500 | 4500 | 4500 |
CM0931-II-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS | GENERAL MEDICINE | 16000 | 16000 | 16000 | 16000 | 16000 | 16000 | 16000 | 16000 |
CM0931-II-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS | GENERAL MEDICINE | 11000 | 11000 | 11000 | 11000 | 11000 | 11000 | 11000 | 11000 |
CM0931-I-ii : INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) | GENERAL MEDICINE | 10000 | 10000 | 10000 | 10000 | 10000 | 10000 | 10000 | 10000 |
CM0931-II-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS | GENERAL MEDICINE | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 | 15000 |
CM0931-II-i i: INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) | GENERAL MEDICINE | 10000 | 10000 | 10000 | 10000 | 10000 | 10000 | 10000 | 10000 |
CM0931-I-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) | GENERAL MEDICINE | 1000 | 1000 | 1000 | 1000 | 1000 | 1000 | 1000 | 1000 |
CM1330 : Acute gastroenteritis with moderate dehydration | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1331 : Recurrent vomiting with dehydration | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1332 : Dysentery | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1333 : Renal colic | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1334 : Acute bronchitis | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1335 : Pneumothroax | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1336 : Accelerated hypertension | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1337 : Acute febrile illness | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1338 : Acutre excaberation of COPD | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1339 : UTI | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1340 : Malaria | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1341 : Dengue fever | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1342 : Chikungunya fever | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1343 : Leptospirosis | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1344 : Enteric fever | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1345 : Pneumonia | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1346 : Liver abscess | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1347 : Snake bite | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1348 : Pyrexia of unknown origin | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1349 : Pericardial/ Pleural tuberculosis | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1350 : Seizures | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1351 : Bacterial/ fungal endocarditis | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1352 : Acute inflammatory demyelinating polyneuropathy | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1353 : Persistent/ Chronic diarrohea | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1354 : Visceral leishmaniasis | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1355 : HIV with complications | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1356 : Neuromuscular disorders | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1357 : Metabolic encephalopathy | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1358 : Acute gastroenteritis with severe dehydration | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1359 : Hypertensive emergencies | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1360 : Heat stroke | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1361 : Hydrocephalus | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1362 : Blood and blood component transfusion (admission for a diagnostic procedure leading to treatment requiring admission, e.g. bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveolar lavage, lumbar punctu | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1363 : Plasmapheresis - per session | GENERAL MEDICINE | 2000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1364 : High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package. Rs 5000 per annum limit to a family | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1365 : High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package. Rs 5000 per annum limit to a family | GENERAL MEDICINE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1338 A : Acutre excaberation of COPD - management in ward | GENERAL MEDICINE | 5400 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1338 B : Acutre excaberation of COPD - management in HDU | GENERAL MEDICINE | 8100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1338 C : Acutre excaberation of COPD - management in ICU | GENERAL MEDICINE | 10800 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1338 D : Acutre excaberation of COPD - management in ICU - ventilated | GENERAL MEDICINE | 13500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1347 A : Snake bite (with ASV) - management in ward | GENERAL MEDICINE | 5400 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1347 B : Snake bite (with ASV) - management in HDU | GENERAL MEDICINE | 8100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1347 C : Snake bite (with ASV) - management in ICU | GENERAL MEDICINE | 10800 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1352 A : Acute inflammatory demyelinating polyneuropathy - management in ward | GENERAL MEDICINE | 5400 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1352 B : Acute inflammatory demyelinating polyneuropathy - management in HDU | GENERAL MEDICINE | 8100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1352 C : Acute inflammatory demyelinating polyneuropathy - management in ICU | GENERAL MEDICINE | 10800 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1352 D : Acute inflammatory demyelinating polyneuropathy - management in ICU - ventilated | GENERAL MEDICINE | 13500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1355 A : HIV with complications - management in ward | GENERAL MEDICINE | 5400 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1355 B : HIV with complications - management in HDU | GENERAL MEDICINE | 8100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1355 C : HIV with complications - management in ICU | GENERAL MEDICINE | 10800 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1355 D : HIV with complications - management in ICU - ventilated | GENERAL MEDICINE | 13500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1357 A : Metabolic encephalopathy - management in ward | GENERAL MEDICINE | 5400 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1357 B : Metabolic encephalopathy - management in HDU | GENERAL MEDICINE | 8100 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1357 C : Metabolic encephalopathy - management in ICU | GENERAL MEDICINE | 10800 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM1357 D : Metabolic encephalopathy - management in ICU - ventilated | GENERAL MEDICINE | 13500 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
CM0960-1-A : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED) COVID POSITIVE 1 TO 5 DAYS | GENERAL MEDICINE | 55000 | 55000 | 49500 | 49500 | 49500 | 49500 | 55000 | 49500 |
CM0960-1-B : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED ) COVID POSITIVE 6 TO 10 DAYS | GENERAL MEDICINE | 55000 | 55000 | 49500 | 49500 | 49500 | 49500 | 55000 | 49500 |
CM0960-1-C : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED) COVID - RECOVERY PHASE | GENERAL MEDICINE | 55000 | 55000 | 49500 | 49500 | 49500 | 49500 | 55000 | 49500 |
CM0960-2-A : SEPTIC SHOCK (ICU MANAGEMENT - VENTILATORY SUPPORT) COVID POSITIVE 1 TO 7DAYS | GENERAL MEDICINE | 105000 | 105000 | 94500 | 94500 | 94500 | 94500 | 105000 | 94500 |
CM0960-2-B : SEPTIC SHOCK (ICU MANAGEMENT - VENTILATORY SUPPORT) COVID POSITIVE 8 TO 14 DAYS | GENERAL MEDICINE | 105000 | 105000 | 94500 | 94500 | 94500 | 94500 | 105000 | 94500 |
CM0988-A : CRITICAL CARE ICU MANAGEMENT (RESPIRATORY DISTRESS/METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION COVID POSITIVE 1 TO 7 DAYS | GENERAL MEDICINE | 105000 | 105000 | 94500 | 94500 | 94500 | 94500 | 105000 | 94500 |
CM0988-B : CRITICAL CARE ICU MANAGEMENT (RESPIRATORY DISTRESS/METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION COVID POSITIVE 8 TO 14 DAYS | GENERAL MEDICINE | 105000 | 105000 | 94500 | 94500 | 94500 | 94500 | 105000 | 94500 |
CM01600-I-A : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 1 TO 5 DAYS | GENERAL MEDICINE | 25000 | 25000 | 25000 | 25000 | 25000 | 25000 | 25000 | 25000 |
CM01600-I-B : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 6 TO 10 DAYS | GENERAL MEDICINE | 25000 | 25000 | 25000 | 25000 | 25000 | 25000 | 25000 | 25000 |