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|
| Packages | Rate |
|---|---|
| CM0180 : TOTAL ELBOW REPLACEMENT | 34263 |
| CM0181 : SHOULDER REPLACEMENT | 34992 |
| CM0182 : RADIAL HEAD REPLACEMENT | 24057 |
| CM0183 : SURGICAL CORRECTION OF LONGBONE FRACTURE-FRACTURE NECK/ SHAFT OF FEMUR/FRACTURE SHAFT OF OTHER LONG BONES (HUMERUS,BOTH BONES OF FOREARM, BOTH BONES OF LEG) | 16220 |
| CM0184 : CORRECTION OF NON-UNION FRACTURES - NON-UNION OF FRACTURE OF FEMUR/BOTH BONE OF LEG/ NON-UNION OF OTHER LONG BONES -HUMERUS/ BOTH BONES OF FOREARM WITH OR WITHOUT BONE GRAFTING | 16220 |
| CM0185 : SKELETAL SKULL TRACTION | 22125 |
| CM0186A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS | 5650 |
| CM0186B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT) | 14945 |
| CM0187 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST / HAND / FOOT | 19683 |
| CM0192 : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING/TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING /PLATING/EXTERNAL FIXATOR/K WIRES | 28978 |
| CM0193 : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV-CTEV CORRECTIVE SURGERY /CTEV PONSETTI CORRECTION (FOLLOW UP PROCEDURES)/CTEV ILIZAROV | 32623 |
| CM0195 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION/MPFL RECONSTRUCTION | 21870 |
| CM0203 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES | 23510 |
| CM0204 : CORRECTION SACRO ILLIAC JOINT / ACETABULAR FRACTURES | 21506 |
| CM0205 : TOTAL KNEE REPLACEMENT | 65000 |
| CM0206A : TOTAL HIP REPLACEMENT- CEMENTED | 60075 |
| CM0206B : TOTAL HIP REPLACEMENT-UNCEMETED | 69075 |
| CM0248 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITHOUT OBSTRUCTION | 36450 |
| CM0249 : OESOPHAGEAL ATRESIA/INTESTINAL ATRESIA WITH OBSTRUCTION | 36450 |
| CM0250 : BILIARY ATRESIA & CHOLEDOCHAL CYST (INCLUDES OPERATIVE CHOLANGIOGRAM) | 36450 |
| CM0251 : ANORECTAL MALFORMATIONS - STAGE 1 /COLOSTOMY | 21870 |
| CM0252 : ANORECTAL MALFORMATIONS - STAGE 2/PULLTHROUGH | 29160 |
| CM0253 : ANORECTAL MALFORMATION - STAGE 3/CLOSURE | 21870 |
| CM0254 A : HIRSCHPRUNGS DISEASE - STAGE 1 | 30618 |
| CM0254 B : HIRSCHPRUNGS DISEASE - STAGE 2 | 36450 |
| CM0255 : CONGENITAL HYDRONEPHROSIS | 36450 |
| CM0256 : EXSTROPHY BLADDER - STAGE 1/2 | 40095 |
| CM0257 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY) | 21870 |
| CM0258 : POSTERIOR URETHRAL VALVES (CYSTOSCOPIC FULGRATION) | 25515 |
| CM0259 : POSTERIOR URETHRAL VALVES (VESICOSTOMY / URETEROSTOMY CLOSURE) | 21870 |
| CM0260 : HAMARTOMA EXCISION | 14580 |
| CM0261 : HEMANGIOMA EXCISION(INCLUDING MEDICAL MANAGEMENT) | 18225 |
| CM0262 : LYMPHANGIOMA EXCISION | 29160 |
| CM0263 : NEUROBLASTOMA | 32805 |
| CM0264 A : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS-SURGICAL CORRECTION | 21870 |
| CM0264 B : PAEDIATRIC OESOPHAGEAL OBSTRUCTIONS-OESOPHAGEAL SUBSTITUTIONS | 43740 |
| CM0266 : THORACOSCOPIC CYST EXCISION | 32805 |
| CM0267 : THORACIC DUPLICATION | 32805 |
| CM0268 : LAPAROSCOPIC PULL THROUGH FOR ANO RECTAL ANOMALIES | 38637 |
| CM0269 : LAPAROSCOPIC PULL THROUGH FOR HD | 38637 |
| CM0270 : GASTRIC OUTLET OBSTRUCTIONS | 25515 |
| CM0271 : INTERSEX | 30618 |
| CM0272 A : SURGICAL CORRECTION FOR URACHAL ANOMALY | 29160 |
| CM0272 B : SURGICAL CORRECTION FOR CLOACAL ANOMALY | 32805 |
| CM0273 : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION | 32805 |
| CM0274 : BLADDER AUGMENTATION AND SUBSTITUTION | 40095 |
| CM0275 A : URETEROSTOMY | 29160 |
| CM0275 B : URETEROSTOMY CLOSURE | 21870 |
| CM0276 : CONGENITAL LUNG LESIONS (CLE, CCAM) | 90000 |
| CM0277 : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY | 36450 |
| CM0278 : PATENT VITELLO INTESTINAL DUCT | 29160 |
| CM0279 A : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - UNILATERAL | 32805 |
| CM0279 B : VUR - CYSTOSCOPY/STING PROCEDURE (INSTILLATION OF HYALURONIC ACID) - BILATERAL | 58320 |
| CM0280 : RECTAL POLYP - POLYPECTOMY | 25515 |
| CM0281 : INTESTINAL POLYPOSIS SURGICAL CORRECTION | 36450 |
| CM0282 : ENCEPHALOCELE | 29160 |
| CM0283 : SCROTAL TRANSPOSITION REPAIR | 21870 |
| CM0284 : OPEN CYSTECTOMY | 25515 |
| CM0285 : LAP CYSTECTOMY | 25515 |
| CM0286 A : NECROTISING ENTEROCOLITIS - FLANK DRAINAGE | 18225 |
| CM0286 B : NECROTISING ENTEROCOLITIS - /LAPAROTOMY | 29160 |
| CM0287 : CONGENITAL HYDROCELE REPAIR | 18225 |
| CM0288 : VULVAL SYNECHIAE | 10935 |
| CM0289 : THORACIC/ABDOMINAL WALL DEFECTS -CORRECTION | 36450 |
| CM0290 : TUMORS (NEONATES/PAEDIATRICS) | 36450 |
| CM0291 : CRANIOTOMY AND EVACUATION OF HAEMATOMA | 42464 |
| CM0292A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 46109 |
| CM0292B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 49754 |
| CM0293A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 46109 |
| CM0293B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 49754 |
| CM0294A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 46109 |
| CM0294B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 49754 |
| CM0295A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT | 19647 |
| CM0295B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL | 21105 |
| CM0296A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION | 19647 |
| CM0296B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT | 21834 |
| CM0296C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION | 21105 |
| CM0296D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT | 23292 |
| CM0297 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT | 29853 |
| CM0298 : TWIST DRILL CRANIOSTOMY | 14544 |
| CM0299 : SUBDURAL TAPPING | 14544 |
| CM0300 : VENTRICULAR TAPPING | 14544 |
| CM0301 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING | 14545 |
| CM0302 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION | 19867 |
| CM0303 : C.S.F. RHINORRHOEA & ACF REPAIR | 38819 |
| CM0304 : CRANIOPLASTY | 29342 |
| CM0305 : EXTERNAL VENTRICULAR DRAINAGE (EVD) | 20084 |
| CM0306 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL , CEREBELLUM ETC) | 41006 |
| CM0307 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS ) | 38819 |
| CM0308 : BASAL LESION | 43922 |
| CM0309 : BRAIN STEM LESION | 53399 |
| CM0310 : C P ANGLE LESION | 53399 |
| CM0311 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE | 36268 |
| CM0312 : STEREOTACTIC PROCEDURES- ABLATION | 77092 |
| CM0313 : STEREOTACTIC PROCEDURES- BIOPSY | 36268 |
| CM0314 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT) | 42464 |
| CM0315 : INTRA-CEREBRAL HEMATOMA EVACUATION | 42464 |
| CM0316 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH | 42464 |
| CM0317A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) | 47932 |
| CM0317B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) | 47203 |
| CM0317C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS) | 34664 |
| CM0317D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS) | 34664 |
| CM0318 : TEMPORAL LOBECTOMY | 31529 |
| CM0319 : LESIONECTOMY | 89120 |
| CM0320 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES | 35830 |
| CM0321 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA | 39402 |
| CM0322 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR) | 23729 |
| CM0323 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM | 23000 |
| CM0324 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION | 44870 |
| CM0325 : INTRACRANIAL FOREIGN BODY REMOVAL | 42464 |
| CM0326A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 17460 |
| CM0326B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 24093 |
| CM0326C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA | 36486 |
| CM0326D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ | 30654 |
| CM0326E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA | 14252 |
| CM0326F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 21177 |
| CM0326G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA | 27738 |
| CM0326H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ | 27738 |
| CM0327A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ | 33148 |
| CM0327B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ | 34606 |
| CM0328A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION | 43558 |
| CM0328B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY | 38455 |
| CM0329A : DEEP BRAIN STIMULATION E-COG with Brain mapping (MRI, FMRI with 3D- Mapping) | 67615 |
| CM0329B : DEEP BRAIN STIMULATION with E-COG, Brain mapping, intra-operative neuronavigation techniques & I-O CT/ MRI guided Stereotactic Stimulation | 85840 |
| CM0330 : INTRATHECAL PUMP IMPLANT | 31529 |
| CM0331 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION | 42683 |
| CM0332 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION | 45234 |
| CM0333 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY | 29561 |
| CM0334 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY | 34299 |
| CM0335 : CERVICAL / LUMBAR SYMPATHECTOMY | 23656 |
| CM0501 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE | 29160 |
| CM0502 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS - MAX 7 DAYS | 22050 |
| CM0573 A : CYSTOLITHOTRIPSY | 10206 |
| CM0573 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY | 12393 |
| CM0573 C : RETROGRADE INTRARENAL SURGERY | 20412 |
| CM0574 : PERCUTANEOUS NEPHROLITHOTOMY | 22599 |
| CM0575 : EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY | 14580 |
| CM0576 : URETERO RENOSCOPIC LITHOTRIPSY | 16038 |
| CM0577 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA | 33534 |
| CM0578 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY | 25515 |
| CM0579 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I | 18225 |
| CM0579 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II | 25515 |
| CM0580 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - RECONSTRUCTION PROCEDURE | 25515 |
| CM0581 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS | 32805 |
| CM0582 A : RENAL CYST EXCISION - LAP | 18225 |
| CM0582 B : RENAL CYST EXCISION - OPEN | 18225 |
| CM0583 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - LAP | 29160 |
| CM0583 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - OPEN | 29160 |
| CM0584 : ENDOSCOPE REMOVAL OF STONE IN BLADDER | 10206 |
| CM0585 : URETERIC INJURY REPAIR | 21870 |
| CM0586 : BLADDER INJURY REPAIR | 21870 |
| CM0587 : URETERIC REIMPLANTATION | 29160 |
| CM0588 : VESICO VAGINAL FISTULA | 21870 |
| CM0589 : CLOSURE OF URETHRAL FISTULA | 16038 |
| CM0590 : OPTICAL URETHROTOMY | 18225 |
| CM0591 : PERINEAL URETHROSTOMY | 14580 |
| CM0592 : ANDERSON HYNES PYELOPLASTY | 25515 |
| CM0593 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY | 23328 |
| CM0593 B : BLADDER NECK INCISION (BNI) | 14580 |
| CM0594 : SUPRA PUBLIC CYSTOSTOMY | 5832 |
| CM0595 : DIVERTICULECTOMY /PERSISTENT URACHUS | 14580 |
| CM0596 : URACHAL SINUS/TUMOR / EXCISION | 14580 |
| CM0597 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS URETHROTOMY) | 10935 |
| CM0598 : TRANSURETHRAL RESECTION OF PROSTATE (TURP) | 19683 |
| CM0599 : TURP WITH CYSTOLITHOTRIPSY | 20412 |
| CM0600 : CHORDEE CORECTION | 10935 |
| CM0625-II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY | 29160 |
| CM0626 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS) | 16038 |
| CM0626 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS) | 13122 |
| CM0628-I : NEPHROSTOMY | 5832 |
| CM0630 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY | 11664 |
| CM0631A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) | 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) | 145800 |
| CM0634 A-I : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( LIVER) - Covered Primary package alloted under Corpus fund | 0 |
| CM0634 B : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( LIVER) - Covered Primary package alloted under Corpus fund | 0 |
| CM0634 C : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( HEART & LUNG) - Covered Primary package alloted under Corpus fund | 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 | 0 |
| CM0634 E : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( LUNG) Covered Primary package alloted under Corpus fund | 0 |
| CM0634 F : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( LUNG) Covered Primary package alloted under Corpus fund | 0 |
| CM0634 G : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6 TH MONTH AFTER TRANSPLANTATION ( COCHLEAR) Covered Primary package alloted under Corpus fund | 0 |
| CM0634 H : POST-TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 7 TH TO 12 TH MONTH AFTER TRANSPLANTATION ( COCHLEAR) Covered Primary package alloted under Corpus fund | 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 | 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 | 0 |
| 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 | 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 | 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 | 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 | 0 |
| CM0635-II : OPEN PROSTATECTOMY | 21870 |
| CM0636-II : RADICAL PROSTATECTOMY | 36450 |
| CM0651-II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX | 55586 |
| CM0652-III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA | 67615 |
| CM0654-III : BRAIN AVM EMBOLIZATION | 71260 |
| CM0655-III : TUMOR EMBOLIZATION | 61054 |
| CM0661-A-II : SPINAL AVM EMBOLIZATION | 35539 |
| CM0661-A-III : SPINAL AVM EMBOLIZATION | 35539 |
| CM0661-B-II : SPINAL AVM EMBOLIZATION | 42829 |
| CM0661-B-III : SPINAL AVM EMBOLIZATION | 42829 |
| CM0662-II : SPINAL DURAL FISTULA EMBOLIZATION | 45016 |
| CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION | 45016 |
| CM0665-II : VEIN OF GALEN EMBOLIZATION | 48296 |
| CM0666-II : DURAL FISTULA EMBOLIZATION | 59231 |
| CM0677-II : INTRACRANIAL VENOUS STENTING | 89849 |
| CM0678-II : INTRACRANIAL ARTERIAL STENTING | 89849 |
| CM0688-II : DURAL SINUS ANGIOPLASTY AND STENTING | 47932 |
| CM0707-II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS | 40788 |
| CM0709 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. | 32805 |
| CM0709 B-III : LAP NEPHRECTOMY-RADICAL | 32805 |
| CM0710 A-I : NEPHROURETERECTOMY OPEN | 29160 |
| CM0710 B-I : NEPHROURETERECTOMY LAP | 29160 |
| CM0722-II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 14616 |
| CM0725-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 17970 |
| CM0730 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 29160 |
| CM0730 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 29160 |
| CM0730 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 40095 |
| CM0730 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 40095 |
| CM0731-II : HYPOSPADIAS | 21870 |
| CM0732-II : EPISPADIAS | 30618 |
| CM0733-II : TORSION TESTIS | 18225 |
| CM0759A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY | 14580 |
| CM0759A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT | 10935 |
| CM0759A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION | 10935 |
| CM0761 : BRAIN - ANY BIOPSY | 36428 |
| CM0762 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL) | 32477 |
| CM0772A-III : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 25515 |
| CM0772B-III : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 32805 |
| CM0787 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE | 25515 |
| CM0807 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE | 21870 |
| CM0808A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) | 21870 |
| CM0808B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY) | 5832 |
| CM0820-II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) | 18225 |
| CM0820-III : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (fingers, toes and small joints) | 7290 |
| CM0821-II : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) | 100000 |
| CM0821-III : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (fingers, toes and small joints) | 50000 |
| CM0822 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT | 437 |
| CM0822 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] | 3645 |
| CM0825A : POLYTRAUMA/HEAD INJURY MINOR (only lacerations less than 10 cm) | 1823 |
| CM0825B : POLYTRAUMA/HEAD INJURY MINOR (deep / pitted wound exposing scalp/ bone requiring debridement and suturing) | 5103 |
| CM0826 : POLYTRAUMA/HEAD INJURY MAJOR (with fractures, intracranial bleeding) | 18225 |
| CM0827-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED | 29160 |
| CM0828-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED | 36450 |
| CM0829-I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | 29160 |
| CM0830 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II | 21870 |
| CM0831-I : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON | 12502 |
| CM0832-I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON | 7071 |
| CM0833-I : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON | 8238 |
| CM0834-I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE | 19464 |
| CM0835A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED | 41553 |
| CM0835B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD | 56133 |
| CM0837-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | 21870 |
| CM0838-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT | 36450 |
| CM0839-I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | 8748 |
| CM0840 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA | 29160 |
| CM0840 B : TTP | 43740 |
| CM0841 A : ANY COAGULATION DISORDERS | 36450 |
| CM0841 B : DIC | 18225 |
| CM0842 : ECMO - EXTRACORPOREAL MEMBRANE OXYGENATION | 180000 |
| CM0843A : MULTI SYSTEM ORGAN FAILURE- ARDS WITHOUT DIC(BLOOD PRODUCTS) | 66087 |
| CM0843B : MULTI SYSTEM ORGAN FAILURE- ARDS WITH DIC(BLOOD PRODUCTS) | 90387 |
| CM0844 : ENTERIC ENCEPHALOPATHY | 14740 |
| CM0845 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT | 14507 |
| CM0846 : SUBMERSION INJURY WITH VENTILATORY SUPPORT | 19683 |
| CM0847 : ARDS WITH VENTILATORY SUPPORT | 61272 |
| CM0848-I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION | 40970 |
| CM0854 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L | 8748 |
| CM0855 B-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L | 10935 |
| CM0855 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L | 10935 |
| CM0855 C : LAPAROSCOPIC VARICOCELE LIGATION (PAEDIATRIC) | 18225 |
| CM0856 : ANEURYSM CLIPPING | 71041 |
| CM0857 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS | 42843 |
| CM0858 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR | 33366 |
| CM0859 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR | 33366 |
| CM0860 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR) | 18990 |
| CM0861-I : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) | 31456 |
| CM0861-II : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) | 31456 |
| CM0862 : ANTERIOR DISCECTOMY (WITH OR WITHOUT BONE GRAFTING/SPACER/IMPLANT/VETEBROPLASTY ) ANY LEVEL | 31456 |
| CM0863 : ANTERIOR CERVICAL SPINE SURGERY WITH FUSION | 29196 |
| CM0864 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION | 17532 |
| CM0865-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR | 25551 |
| CM0865-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR | 25551 |
| CM0866-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL | 18261 |
| CM0866-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL | 18261 |
| CM0867 : SPINAL FUSION PROCEDURE | 31019 |
| CM0868 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) | 58298 |
| CM0869 : TRANS ORAL SURGERY | 18385 |
| CM0870 : C.V. JUNCTION FUSION | 28978 |
| CM0871 : SYRINGOMYELIA | 44287 |
| CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS | 32841 |
| CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS | 43776 |
| CM0881 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY | 87480 |
| CM0881 B-I : SICKLE CELL ANAEMIA | 3645 |
| CM0882-I : INTERSTITAL LUNG DISEASE | 21360 |
| CM0883-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING | 7436 |
| CM0887-I : END STAGE RENAL DISEASE | 10315 |
| CM0888-I : GULLAIN BARRE SYNDROME | 72900 |
| CM0889-I : OPTIC NEURITIS | 7290 |
| CM0891-I : MYASTHENIA GRAVIS | 10935 |
| CM0892 : MANAGEMENT OF COMA | 21928 |
| CM0895 : HYPER OSMOLAR NON-KETOTIC COMA | 21870 |
| CM0918 A : URETEROSCOPY AND DJ STENTING U/L | 4374 |
| CM0918 B : URETEROSCOPY AND DJ STENTING B/L | 6561 |
| CM0919 : URETEROSCOPY AND DJ STENT REMOVAL | 2187 |
| CM0920 : TRANSURETHRAL RESECTION OF BLADDER TUMOR /RE-TURBT | 21870 |
| CM0931-I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C | 158697 |
| CM0932-I : CIRRHOSIS OF LIVER WITH COMPLICATIONS | 21928 |
| CM0935 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY | 510 |
| CM0936 A : STAY IN ICU - MILD/MODERATE/SEVERE WITH OR WITHOUT VENTILATION (FOR TRAUMA/POST OP COMPLICATIONS) | 0 |
| CM0936 B : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA) | 729 |
| CM0936 C : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA) | 10935 |
| CM0936 D : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA) | 18225 |
| CM0936 E : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / coma) | 18225 |
| CM0936 F : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / Coma) | 36450 |
| CM0937 A : PYELOLITHOTOMY - OPEN | 18225 |
| CM0937 B : PYELOLITHOTOMY - LAP | 18225 |
| CM0938 A : NEPHROLITHOTOMY - OPEN | 18225 |
| CM0938 B : NEPHROLITHOTOMY - LAP | 18225 |
| CM0939 : OPEN CYSTOLITHOTOMY | 10206 |
| CM0940 A : URETEROLITHOTOMY - OPEN | 14580 |
| CM0940 B : URETEROLITHOTOMY - LAP | 14580 |
| CM0941 A : VESICOLITHOTOMY - OPEN | 10206 |
| CM0941 B : VESICOLITHOTOMY - LAP | 10206 |
| CM0942 : POSTERIOR FOSSA ENDOSCOPIC SURGERY | 58320 |
| CM0943 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS | 36428 |
| CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY | 55222 |
| CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION | 19501 |
| CM0959 : CYSTIC FIBROSIS | 26681 |
| CM0960 : SEPTIC SHOCK (ICU MANAGEMENT) | 31383 |
| CM0962-I : NEPHROTIC SYNDROME | 11733 |
| CM0963-I : NEPHROTIC SYNDROME WITH COMPLICATIONS | 18950 |
| CM0964-I : ACUTE DISSEMINATED ENCEPHALOMYELITIS | 36450 |
| CM0967-I : TOXIC/DRUG INDUCED LIVER INJURY | 19537 |
| CM0968 : MALIGNANT ASCITES | 4119 |
| CM0976A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) | 11482 |
| CM0976B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) | 7108 |
| CM0978 : C-ARM GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND | 11482 |
| CM0982 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT (ONLY WITH FIR ) | 13122 |
| CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3 levels) | 18225 |
| CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels) | 32805 |
| CM0987 : ACUTE SEVERE ASTHMA WITH VENTILATION | 37325 |
| CM0988 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION | 22050 |
| CM0989A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (heparinisation) | 14580 |
| CM0989B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK) | 18225 |
| CM0989C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (rTPA) | 54675 |
| 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 |
| CM0630 B -II-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN | 5103 |
| CM0630 B -II-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION | 3645 |
| CM0631A-II -a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE | 2187 |
| CM0631A-II -b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY | 2187 |
| CM0630 A-I-a-ii : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY | 2187 |
| CM0630 A-I-b-ii :MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE | 2187 |
| CM0630 B -II-a : MYCOPHENOLATE MOFETIL INDUCTION | 4374 |
| CM0630 B -II-b : MYCOPHENOLATE MOFETIL MAINTENANCE | 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 | 21870 |
| CM0631A-II-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY )(including Diagnostic evaluation - 1st time) | 8748 |
| CM0707-II-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT | 21870 |
| CM0707-II-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT | 29160 |
| CM0707-II-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT | 40788 |
| CM0881 A-I-a : THALASSEMIA MAJOR (upto) | 5103 |
| CM0931-I-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS | 1800 |
| CM0931-I-C : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 0.5MG 30 TABS | 3500 |
| CM0931-I-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS | 2000 |
| CM0931-I-H : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + VELPATASVIR 100 28 TABS | 6000 |
| CM0931-II-B : MANAGEMENT CHRONIC HEPATITIS B / C - ENTECAVIR 1 MG 30 TABS | 4500 |
| CM0931-II-D : MANAGEMENT CHRONIC HEPATITIS B / C - TELBUVUDINE 600MG 30 TABS | 16000 |
| CM0931-II-F : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS | 11000 |
| CM0931-I-ii : INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) | 10000 |
| CM0931-II-I : MANAGEMENT CHRONIC HEPATITIS B / C - SOFOSBUVIR 400 MG 28 TABS + LEDIPASVIR 90 28 TABS | 15000 |
| CM0931-II-i i: INVESTIGATION OF CHRONIC HEPATITIS B / C (VIRAL LOAD) | 10000 |
| CM0931-I-J : MANAGEMENT CHRONIC HEPATITIS B / C INTERFERON WILL BE APPROVED BASED ON DOSAGE) | 1000 |
| CM0183a : Neck/ Shaft Of Femur ORIF | 16221 |
| CM0183b : IM Nailing | 10935 |
| CM0183c : Shaft of Other Long Bones (Humerus) | 12393 |
| CM0183d : Tibia | 10935 |
| CM0183e : Radius, Fibula, Ulna (ORIF) | 10935 |
| CM0183f : Clavicle ( CRIF) (Displaced) | 5832 |
| CM0183g : Clavicel (ORIF) (Displaced) | 8748 |
| CM0183h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 16221 |
| CM0183i : Bimalleolar Fracture | 10935 |
| CM0183j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 10935 |
| CM0183k : Closed Reduction and Pinning / Tens Nail | 8748 |
| CM0183l : Closed Reduction and Internal Fixation with K wire | 4374 |
| CM0183m : Tension Band wiring | 8748 |
| CM0184a : Neck/ Shaft Of Femur ORIF | 16221 |
| CM0184b : IM Nailing | 10935 |
| CM0184c : Shaft of Other Long Bones (Humerus) | 12393 |
| CM0184d : Tibia | 10935 |
| CM0184e : Radius, Fibula, Ulna (ORIF) | 10935 |
| CM0184f : Clavicle ( CRIF) (Displaced) | 5832 |
| CM0184g : Clavicel (ORIF) (Displaced) | 8748 |
| CM0184h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 16221 |
| CM0184i : Bimalleolar Fracture | 10935 |
| CM0184j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 10935 |
| CM0184k : Closed Reduction and Pinning / Tens Nail | 8748 |
| CM0184l : Closed Reduction and Internal Fixation with K wire | 4374 |
| CM0184m : Tension Band wiring | 8748 |
| CM0186A-i : IMPLANT EXIT- K-WIRES - Single | 1094 |
| CM0186A-ii : IMPLANT EXIT- K-WIRES - Multiple | 1823 |
| CM0186A-iii : IMPLANT EXIT- SCREWS - single (Open) | 2916 |
| CM0186A-iv : IMPLANT EXIT- SCREWS - Multiple (Open) | 5468 |
| CM0186A-v : IMPLANT EXIT- SCREWS - single (Closed) | 1458 |
| CM0186A-vi : IMPLANT EXIT- SCREWS - Multiple (Closed) | 2187 |
| CM0186A-vii : IMPLANT EXIT- OTHER MINOR IMPLANTS (TENS, TBW, etc) - Solitary | 3645 |
| CM0186A-viii : IMPLANT EXIT- OTHER MINOR IMPLANTS (Pins / TENS, TBW, etc) - Multiple | 5650 |
| CM0186B-i : IMPLANT EXIT- PLATES (Open) | 9113 |
| CM0186B-ii : IMPLANT EXIT- Femoral Screws / IM Nails / Rush Nail (Open) | 7290 |
| CM0186B-iii : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(complete exit) (eg- L2-L3, L3-L4) | 12758 |
| CM0186B-iv : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(partial exit) (eg- L2-L3, L3-L4) | 10935 |
| CM0186B-v : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(complete exit) (eg- L2-L3, L3-L4, L4-L5) | 14945 |
| CM0186B-vi : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(partial exit) (eg- L2-L3, L3-L4, L4-L5) | 12758 |
| CM0186B-vii : IMPLANT EXIT- Bipolar, etc | 10935 |
| CM0186B-viii : IMPLANT EXIT - Other Major implants | 9113 |
| CM0187a : ARTHRODESIS OF JOINTS - HIP | 19683 |
| CM0187b : ARTHRODESIS OF JOINTS - SHOULDER / KNEE | 14580 |
| CM0187c : ARTHRODESIS OF JOINTS - ELBOW/ ANKLE / WRIST | 10935 |
| CM0187d : ARTHRODESIS OF JOINTS - ANKLE - Triple Arthrodesis | 11664 |
| CM0187e : ARTHRODESIS OF JOINTS - HAND / FOOT | 7290 |
| CM0192-A : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING | 18225 |
| CM0192-B : ILIZAROV RING FIXATOR APPLICATION- TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING | 13122 |
| CM0192-C : PLATING/EXTERNAL FIXATOR/K WIRES - to choose either CM0183 /CM0184 / CM0191 / CM0202 | 0 |
| CM0193-A : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV/RESISTANT CTEV BY JESS FIXATION | 32623 |
| CM0195-A : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION | 21870 |
| CM0195-B : KNEE LIGAMENT RECONSTRUCTION-MPFL RECONSTRUCTION | 18225 |
| CM0204- b : ACETABULAR FRACTURES | 21506 |
| CM0204-a : CORRECTION SACRO ILLIAC JOINT | 14580 |
| CM0625-II A : AMPUTATIONS - FORE QUARTER | 29160 |
| CM0625-II B : AMPUTATIONS - HIND QUARTER / Internal Hemipelvectomy | 29160 |
| CM0625-II C : AMPUTATIONS - HIND QUARTER / External Hemipelvectomy | 29160 |
| CM0722-II-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA | 7309 |
| CM0722-II-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE | 7309 |
| CM0722-II-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING | 3645 |
| CM0807-a - I : Cementing (only as Addon) | 3645 |
| CM0807-a : BONE RESECTION | 18225 |
| CM0807-b - I : Cementing (only as Add on) | 3645 |
| CM0807-b : BONE Curettage | 10935 |
| CM0820-II-A : Amputation of AK / BK | 21870 |
| CM0820-II-B : Amputation of AE / BE | 18225 |
| CM0820-II-C : Amputation of Fore-Foot | 10935 |
| CM0820-II-E : Amputation of Toes | 5103 |
| CM0820-II-F : Amputation of Fingers | 7290 |
| CM0820-II-G : Trans Meta-Tarsal Amputation | 10935 |
| CM0820-III-a : Amputation of great toe | 5103 |
| CM0820-III-b : Amputation toe- single | 3645 |
| CM0820-III-c : Amputation toe- Multiple | 5103 |
| CM0820-III-d : Amputation of Finger - single | 5103 |
| CM0820-III-e : Amputation of Finger - Multiple | 7290 |
| CM0820-III-f : Transmetatarsal Amputation | 7290 |
| CM0861-II-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) | 31347 |
| CM0861-II-B : POSTERIOR DISCECTOMY WITH BONE GRAFT | 24057 |
| CM0861-II-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY | 18225 |
| CM0250-A : BILIARY ATRESIA | 25515 |
| CM0250-B : CHOLEDOCHAL CYST | 25515 |
| CM0255A : CONGENITAL HYDRONEPHROSIS (IF ANTENATALLY DETECTED & AGE | 14580 |
| CM0255B : CONGENITAL HYDRONEPHROSIS (IFAGE >1YR AND NO EVIDENCE AS PER ANTENATAL USG) | 21870 |
| CM0256- B : EXSTROPHY BLADDER - STAGE 2 | 21870 |
| CM0256-A : EXSTROPHY BLADDER - STAGE 1 | 29160 |
| CM0260A : HAMARTOMA EXCISION<5CM | 10935 |
| CM0260B : HAMARTOMA EXCISION >5CM | 14580 |
| CM0273A : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION Stage 1 | 32805 |
| CM0273B : CONGENITAL UROGENITAL ANOMALY STAGED CORRECTION Stage 2 | 32805 |
| CM0276A : Lobectectomy | 38164 |
| CM0276B :Cyst excision | 72900 |
| CM0277A : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (Complex - Single stage) | 36450 |
| CM0277B : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY (simple - Single stage) | 21870 |
| CM0277C : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - Two Stage - per stage - upto | 18225 |
| CM0277D : SURGICAL CORRECTION FOR ANY CONGENITAL ANOMALY - Three Stage - per stage - upto | 12393 |
| CM0280-A : RECTAL POLYP - POLYPECTOMY- OPEN | 21870 |
| CM0280-B : RECTAL POLYP - POLYPECTOMY- LAP | 25515 |
| CM0861-I-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) | 31347 |
| CM0861-I-B : POSTERIOR DISCECTOMY WITH BONE GRAFT | 24057 |
| CM0861-I-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY | 18225 |
| CM0862A : ANTERIOR DISCECTOMY WITHOUT IMPLANTS | 21870 |
| CM0862B : ANTERIOR DISCECTOMY WITH IMPLANTS | 31457 |
| CM0947 A : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES ( MORE THAN 4 LEVELS) | 54675 |
| CM0947 B : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES LESS THAN 4 LEVELS) | 36450 |
| CM0947C : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES WITH VERTERBROPLASTY | 32805 |
| CM1220 : Fixator with Joint Arthrolysis | 14580 |
| CM1223 : Pelvic Osteotomy with fixation with plaster | 21870 |
| CM1231 : Endopyelotomy (retrograde with laser/bugbee) | 18225 |
| CM1232 : Endopyelotomy (antegrade with laser/bugbee) | 20412 |
| CM1233 : Ureterocalycostomy Open | 18225 |
| CM1234 : Ureterocalycostomy Laparoscopic | 21870 |
| CM1235 : Uretero-ureterostomy Open | 18225 |
| CM1236 : Uretero-ureterostomy Laparoscopic | 25515 |
| CM1252 : Holmium Laser Prostatectomy | 29160 |
| CM1276 : Duroplasty - Endogenous | 9113 |
| CM1277 : Duroplasty - Exogenous | 29342 |
| CM1279 : Micro discectomy - Cervical | 29160 |
| CM1283 : Cranial Nerve Anastomosis | 23328 |
| CM1286 : Additonal clip for Aneurysm Clipping | 10935 |
| CM1288 : Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure | 43740 |
| CM1316 : Fecal Fistula Closure | 18225 |
| CM1317 : GI Tumor Excision | 21870 |
| CM1318 : Hirschsprungs Disease - Retal Biopsy-Punch | 7290 |
| CM1319 : Hirschsprungs Disease - Retal Biopsy -Open | 7290 |
| CM1320 : Intussusception - Non -Operative Reduction in infants | 14580 |
| CM1321 : Congenital Lobar Emphysema | 18225 |
| CM1322 : Exomphalos/gastroschisis | 18225 |
| 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 | 0 |
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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