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|
| Packages | Rate |
|---|---|
| CM0158 : UPTO-40% WITH SCALDS (CONSERVATIVE) | 20412 |
| CM0159 : UPTO-40% MIXED BURNS (WITH SURGERIES) | 29160 |
| CM0160 : UPTO-50% WITH SCALDS (CONSERVATIVE) | 36304 |
| CM0161 : UPTO-50% MIXED BURNS ( WITH SURGERIES) | 44469 |
| CM0162 : UPTO-60% WITH SCALDS (CONSERVATIVE) | 54529 |
| CM0163 : UP TO-60% MIXED BURNS (WITH SURGERIES) | 59049 |
| CM0164 : ABOVE 60% MIXED BURNS (WITH SURGERIES) | 73629 |
| CM0165 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD | 15309 |
| CM0166 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE | 22599 |
| CM0167 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE | 28431 |
| CM0168 : PTOSIS | 17861 |
| CM0169 : CUP AND BAT EARS | 17861 |
| CM0170A : FILARIAL LYMPHOEDEMA -NV SHUNT | 10133 |
| CM0170B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY | 17861 |
| CM0171 : HEMIFACIAL ATROPHY | 25223 |
| CM0172 : HEMIFACIAL MICROSMIA | 36158 |
| CM0173 : LEPROSY RECONSTRUCTIVE SURGERY | 21068 |
| CM0174 : TUMOR OF MANDIBLE AND MAXILLA | 29233 |
| CM0175 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) | 19391 |
| CM0176 : PRESSURE SORE RECONSTRUCTIVE SURGERY | 32003 |
| CM0177 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION | 31930 |
| CM0178 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) | 12247 |
| 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 |
| CM0471 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT | 20230 |
| CM0472 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME | 16949 |
| CM0473 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC) | 14252 |
| CM0474 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC) | 18626 |
| CM0477 : SLINGS WITH MESH REPAIR FOR PROLAPSE | 13158 |
| CM0478A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH | 11700 |
| CM0478B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH | 12429 |
| CM0480 : LAPAROSCOPIC MYOMECTOMY | 15345 |
| CM0481 A : RECANALISATION ANY TYPE- open | 10607 |
| CM0481 B : RECANALISATION ANY TYPE- lap | 13887 |
| CM0482 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA | 19683 |
| CM0484 : LAPAROSCOPIC SLING OPERATIONS | 17168 |
| CM0485A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY | 13887 |
| CM0485B : PPH SURGICAL MANAGEMENT -LIGATION/ EMBOLIZATION | 11700 |
| CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY | 10607 |
| CM0516A : HEMORRHAGIC STROKE | 21870 |
| CM0516B : ISCHEMIC STROKE | 13122 |
| CM0624-II : WERTHEIMS / RADICAL HYSTERECTOMY | 20813 |
| CM0625-II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY | 29160 |
| CM0628-II : NEPHROSTOMY | 5832 |
| CM0629-II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE | 33643 |
| CM0640 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS,POST OP COLLECTIONS)DRAINAGE PIGTAIL INSERTION | 6926 |
| CM0641A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs) | 21141 |
| CM0641B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs ) | 18225 |
| CM0641C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs) | 15674 |
| CM0641D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs) | 28431 |
| CM0642A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) | 1094 |
| CM0642B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) | 1458 |
| CM0642C-I : USG GUIDED MINOR PROCEDURES (TAPPING) | 1094 |
| CM0661-A-III : SPINAL AVM EMBOLIZATION | 35539 |
| CM0661-B-III : SPINAL AVM EMBOLIZATION | 42829 |
| CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION | 45016 |
| CM0704 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC | 37033 |
| CM0705 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER | 49499 |
| CM0709 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. | 32805 |
| CM0709 B-I : LAP NEPHRECTOMY-RADICAL | 32805 |
| CM0710 A-II : NEPHROURETERECTOMY OPEN | 29160 |
| CM0710 B-II : NEPHROURETERECTOMY LAP | 29160 |
| CM0713-I : TRACHEOSTOMY | 3681 |
| CM0714-I : THOROCOSTOMY | 31639 |
| CM0715 : CLEFT LIP | 11737 |
| CM0716 : CLEFT PALATE | 14653 |
| CM0717 : SYNDACTYLY OF HAND FOR EACH HAND | 19391 |
| CM0718A : MICROTIA/ANOTIA - STAGE 1 | 18517 |
| CM0718B : MICROTIA/ANOTIA - STAGE 2 | 12830 |
| CM0719 : TM JOINT ANKYLOSIS | 29160 |
| CM0720 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY | 18225 |
| CM0721 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION | 29452 |
| CM0722-II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 14616 |
| CM0722-III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 14616 |
| CM0725-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 17970 |
| CM0725-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 17970 |
| CM0725-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 17970 |
| CM0730 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 29160 |
| CM0730 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 29160 |
| CM0730 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 29160 |
| CM0730 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 29160 |
| CM0730 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 40095 |
| CM0730 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 40095 |
| CM0730 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 40095 |
| CM0730 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 40095 |
| CM0731-I : HYPOSPADIAS | 21870 |
| CM0732-I : EPISPADIAS | 30618 |
| CM0733-I : TORSION TESTIS | 18225 |
| CM0734-I : URETEROCELE SURGERY | 21870 |
| CM0734-II : URETEROCELE SURGERY | 21870 |
| CM0735 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION | 36450 |
| CM0735 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 16038 |
| CM0735 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 16038 |
| CM0736 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION | 36450 |
| CM0736 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 16038 |
| CM0737-I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD | 16038 |
| CM0738-I : OPEN CHOLECYSTOSTOMY | 14580 |
| CM0739-II : GASTRECTOMY ANY TYPE - ANY CAUSE | 29051 |
| CM0740-II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY | 35612 |
| CM0743-II : ANTERIOR RESECTION | 37070 |
| CM0744-A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH | 17897 |
| CM0744-B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY | 35757 |
| CM0744-C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS | 54347 |
| CM0745-II : ABDOMINOPERINIAL RESECTION | 28686 |
| CM0746A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC | 25515 |
| CM0749A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) | 22125 |
| CM0749B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) | 14835 |
| CM0750-A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) | 18845 |
| CM0750-B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) | 25406 |
| CM0751-IV : HEMIMANDIBULECTOMY | 18334 |
| CM0752-IV : MARGINAL MANDIBULECTOMY | 16366 |
| CM0753-IV : SEGMENTAL MANDIBULECTOMY | 16366 |
| CM0754 : LEIOMYOMA EXCISION | 8748 |
| CM0756 : SURGERIES FOR ENTERO CUTANEOUS FISTULA | 29160 |
| CM0757 : INCISIONAL HERNIA REPAIR WITHOUT MESH | 14580 |
| CM0758 : INCISIONAL HERNIA REPAIR WITH MESH | 18225 |
| CM0759B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY | 14580 |
| CM0759B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT | 10935 |
| CM0759B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION | 10935 |
| CM0760-I : LIVER ABSCESS - OPEN DRAINAGE | 13122 |
| CM0763A-I : RECTAL PROLAPSE - THEIRSCH WIRING | 10935 |
| CM0763B-I : RECTAL PROLAPSE - DEBULKING | 18954 |
| CM0763C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY | 18954 |
| CM0770 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE | 30618 |
| CM0770 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE | 24057 |
| CM0771-III : WHIPPLES ANY TYPE | 60143 |
| CM0772A-I : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 25515 |
| CM0772B-I : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 32805 |
| CM0773 A-I : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 25515 |
| CM0773 B-I : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 32805 |
| CM0774 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 14616 |
| CM0775-II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA | 18480 |
| CM0776-II : MASTECTOMY ANY TYPE | 14580 |
| CM0777-A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION | 18225 |
| CM0777-B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION | 18225 |
| CM0778-A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN | 3572 |
| CM0778-B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) | 4739 |
| CM0785-II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE | 27228 |
| CM0786-A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) | 18189 |
| CM0786-B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) | 32914 |
| CM0795-I : PARATHYROIDECTOMY - ANY TYPE | 18225 |
| CM0796-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE | 29160 |
| CM0797-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE | 32805 |
| CM0798-I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY | 14580 |
| CM0799-I : OESOPHAGOSTOMY | 18225 |
| CM0800-I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY | 14580 |
| CM0801-I : GASTROJEJUNOSTOMY | 18225 |
| CM0802-I : ILEOSTOMY | 14580 |
| CM0803 A-I : ILEOTRANSVERSE COLOSTOMY | 18225 |
| CM0803 B-I : COLOSTOMY | 14580 |
| CM0804-I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE | 32805 |
| CM0805-I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY | 14580 |
| CM0806-I : RESECTION OF RETRO PERITONEAL TUMORS | 32477 |
| CM0807 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE | 21870 |
| CM0809 : SUPRA PUBIC CYSTOSTOMY | 5832 |
| CM0810-II : INTERCOSTAL DRAINAGE | 2989 |
| CM0811 : CRYOTHERAPY FOR ALL LESIONS | 16585 |
| CM0812A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) | 25515 |
| CM0812A-ii : NERVE REPAIR NEUROLYSIS | 14580 |
| CM0812A-iii : NERVE REPAIR NERVE SUTURING | 14580 |
| CM0812B-i : PERIPHERAL NERVE REPAIR | 14580 |
| CM0812B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) | 25515 |
| CM0812B-iii : TENDON REPAIR | 7290 |
| CM0812B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT) | 14580 |
| CM0813 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR) | 21323 |
| CM0814-II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) | 19136 |
| CM0815A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD | 18990 |
| CM0815B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE | 25187 |
| CM0815C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE | 28103 |
| CM0816A : FLAP SURGERIES CUTANEOUS- FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT | 18225 |
| CM0816B : MYOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT | 25880 |
| CM0816C : OSTEOCUTANEOUS - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT | 33170 |
| CM0816D : MICROSURGICAL FREE FLAP SPLIT THICKNESS GRAFT - FOR UPPER LIMB/HAND/LOWER LIMB/FOOT /AFTER FRACTURE FIXATION / ELETRICAL BURNS WITH OR WITHOUT VITALS EXPOSED/ ULCER/FOLLOWING TRAUMA/BURNS/ INFECTION/MALIGNANCY /DEVELOPMENTAL INCLUDING DIABETIC FOOT | 49499 |
| CM0817 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY | 18152 |
| CM0818 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS) REQUIRES MULTIPLE SITTINGS | 40751 |
| CM0819 : FLAP SURGERIES WITH BONE GRAFTING | 18954 |
| CM0820-I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) | 18225 |
| 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-I : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS (except fingers, toes and small joints) | 100000 |
| 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-I : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT | 437 |
| CM0822 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] | 3645 |
| CM0823 : OPERATIONS FOR BRACHIAL PLEXUS (multiple sitting - max 3) | 21870 |
| CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | 29160 |
| CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | 21870 |
| CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | 8748 |
| CM0854 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L | 8748 |
| 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 |
| CM0871 : SYRINGOMYELIA | 44287 |
| CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS | 32841 |
| CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS | 43776 |
| CM0878-I : PELVIC FLOOR RECONSTRUCTION WITH MESH | 22417 |
| CM0878-II : PELVIC FLOOR RECONSTRUCTION WITH MESH | 22417 |
| CM0879-I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION | 15564 |
| CM0879-II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION | 15564 |
| CM0880 : LAPAROSCOPIC ADHESOLYSIS | 14616 |
| CM0884-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY | 5540 |
| CM0885-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION | 29160 |
| CM0886-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION | 5540 |
| CM0888-II : GULLAIN BARRE SYNDROME | 72900 |
| CM0889-II : OPTIC NEURITIS | 7290 |
| CM0891-II : MYASTHENIA GRAVIS | 10935 |
| CM0893 : CAVERNOUS SINUS THROMBOSIS | 18225 |
| CM0894 : RHINOCEREBRAL MUCORMYCOSIS | 21870 |
| CM0896 : OPERATION FOR HYDATID CYST OF LIVER | 25515 |
| CM0898 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION | 36450 |
| CM0899-I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) | 47385 |
| CM0900 : OESOPHAGO- GASTRECTOMY | 58320 |
| CM0901 : ACHALASIA CARDIA -SURGICAL CORRECTION | 21870 |
| CM0902-I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) | 21870 |
| CM0903 : ACHALASIA CARDIA -PNEUMATIC DILATATION | 7618 |
| CM0904 : LAP FUNDOPLICATIONS | 32805 |
| CM0905-I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 32805 |
| CM0907 : ENUCLEATION OF CYST | 29160 |
| CM0908A-I : OTHER BYPASS PANCREAS | 29160 |
| CM0908B-I : TRIPLE BYPASS | 29160 |
| CM0910 : PANCREATIC NECROSECTOMY OPEN | 30618 |
| CM0911 : PANCREATIC NECROSECTOMY LAP | 30618 |
| CM0921A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - OPEN | 10935 |
| CM0921B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN | 25515 |
| CM0921C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN | 11664 |
| CM0921D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN | 14580 |
| CM0921E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN | 29160 |
| CM0921F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - OPEN | 14580 |
| CM0922A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - LAP | 10935 |
| CM0922B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP | 25515 |
| CM0922C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP | 11664 |
| CM0922D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP | 14580 |
| CM0922E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP | 29160 |
| CM0922F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - LAP | 14580 |
| CM0924 : APPENDICULAR PERFORATION | 10935 |
| CM0925A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES | 18225 |
| CM0925B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES | 29160 |
| CM0926 : OPERATION FOR BLEEDING PEPTIC ULCER | 29160 |
| CM0927 : PYLOROMYOTOMY | 16038 |
| CM0928 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE PLICATION /OTHER) | 25515 |
| CM0929 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION | 21870 |
| CM0930 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS / MALROTATION/INTUSUSCEPTION) | 29160 |
| CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY | 55222 |
| CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION | 19501 |
| CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION | 72900 |
| CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION | 14580 |
| CM0969 : SACROSPINOUS FIXATION (VAGINAL ROUTE) | 16803 |
| CM0973 : ENDOSCOPIC PARATHYROIDECTOMY | 21870 |
| 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 |
| CM0981 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE | 8748 |
| CM0985 : CRANIOFACIAL RESECTION | 35247 |
| CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3 levels) | 18225 |
| CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels) | 32805 |
| 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 |
| 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 |
| 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 |
| CM0879-I-a :LAPAROSCOPIC - ECTOPIC RESECTION | 15565 |
| CM0629-II-a : OBSCURE BLEED - Conservative management including Capsule endoscopy | 21870 |
| CM0629-II-b : OBSCURE BLEED - Conservative | 7290 |
| CM0629-II-c : NON VARICEAL BLEED - CLIPPING | 21870 |
| CM0629-II-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION | 33644 |
| CM0629-II-e : NON VARICEAL BLEED - CONSERVATIVE | 7290 |
| CM0774 A : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 14616 |
| CM0820-I-A : Amputation of AK / BK | 21870 |
| CM0820-I-B : Amputation of AE / BE | 18225 |
| CM0820-I-C : Amputation of Fore-Foot | 10935 |
| CM0820-I-E : Amputation of Toes | 5103 |
| CM0820-I-F : Amputation of Fingers | 7290 |
| CM0820-I-G : Trans Meta-Tarsal Amputation | 10935 |
| CM0879-I-b :LAPROTOMY - ECTOPIC RESECTION | 8748 |
| CM0898 A : COLONIC PULL THROW | 36450 |
| CM0898 B : COLOPLASTY | 21870 |
| CM0898 C : ABDOMINAL RESECTION | 29160 |
| CM0905-IA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 32805 |
| CM0905-IB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 25515 |
| CM0774 B : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 14616 |
| 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 |
| 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 |
| CM0715A : CLEFT LIP - Unilateral | 7290 |
| CM0715B : CLEFT LIP - Bilateral | 11737 |
| CM0718A-II : MICROTIA/ANOTIA - STAGE 1 | 7290 |
| CM0718A-IV : MICROTIA/ANOTIA - STAGE 1 (with artificial Implant) | 18517 |
| CM0158- a : Medical management only (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) upto | 3645 |
| CM0158- b : 10 to 20% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application | 7290 |
| CM0158- c : 20 to 30% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application | 13851 |
| CM0158- d : 30 to 40% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay | 20412 |
| CM0158- e : upto 10% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay | 5103 |
| CM0159 - b : 20 to 30% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG | 21870 |
| CM0159- a : UPTO 20% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG | 14580 |
| CM0159- c : 30 to 40% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay | 29160 |
| CM0160A : 40 TO 50% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application | 36305 |
| CM0161A : 40 to 50% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG | 44469 |
| CM0162A : 50 TO 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application including ICU stay | 54530 |
| CM0163- a : 50 TO 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay | 59049 |
| CM0164-a : ABOVE 60% burns (approval will be based on the area of burns as per clinical Photograph, Diagrammatic representation may be accepted for private parts) Medical management + collagen application + Surgical Treatment SSG including ICU stay | 72900 |
| CM0165a : Fingers | 2916 |
| CM0165b : Neck - MILD (LESS THAN 1/3RD) - Flexion and extension videos to be uploaded | 10935 |
| CM0165c : Others (elbow, thigh, etc) | 7290 |
| CM0165d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 4374 |
| CM0166a : Fingers | 4374 |
| CM0166b : Neck - MODERATE (1/3RD TO 2/3RD) - Flexion and extension videos to be uploaded | 18225 |
| CM0166c : Others (elbow, thigh, etc) | 10935 |
| CM0166d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 4374 |
| CM0167a : Fingers | 5832 |
| CM0167b : Neck - SEVERE (> 2/3RD) - Flexion and extension videos to be uploaded | 24057 |
| CM0167c : Others (elbow, thigh, etc) | 14580 |
| CM0167d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 4374 |
| CM0168a : PTOSIS Single | 10935 |
| CM0168b : PTOSIS Bilateral | 17861 |
| CM0175a : Polydactyly - Simple | 3645 |
| CM0175b : Polydactyly - Bone and neurovascular bundle | 7290 |
| CM0175c : Simple syndactyly (per finger) | 4374 |
| CM0175d : Complex syndactyly (per finger) | 7290 |
| CM0175e : Radial clubhand | 10935 |
| CM0175f : Ulnar clubhand | 10935 |
| CM0175g : Macrodactyly | 12758 |
| CM0175h : Others minor (will be paid as per procedure) Upto | 7290 |
| CM0175i : Others major (will be paid as per procedure) Upto | 19392 |
| CM0176a : PRESSURE SORE RECONSTRUCTIVE SURGERY - SSG - per 10 sq CM (upto) | 8748 |
| CM0176b : PRESSURE SORE RECONSTRUCTIVE SURGERY - Single Rotation FLAP - per 10 sq CM (upto) - per 10 sq CM (upto) | 10935 |
| CM0176c : PRESSURE SORE RECONSTRUCTIVE SURGERY - Bilateral FLAP - per 10 sq CM (upto) | 14580 |
| CM0176d : PRESSURE SORE RECONSTRUCTIVE SURGERY - Musculocutaneous flap - per 10 sq CM (upto) | 21870 |
| CM0176e : PRESSURE SORE RECONSTRUCTIVE SURGERY - Fasciocutaneous flap - per 10 sq CM (upto) | 18225 |
| CM0176f : PRESSURE SORE RECONSTRUCTIVE SURGERY - Tensor fascia lata flap - per 10 sq CM (upto) | 32004 |
| CM0176g : others (payable based on the procedure carried out) (upto) | 32004 |
| CM0177a : single closure | 14580 |
| CM0177b : Fascia Lata Graft | 25515 |
| CM0177c : Mesh Closure | 18225 |
| CM0177d : Local Flaps | 14580 |
| CM0177e : Myocutaneous Transposition | 25515 |
| CM0177f : TRAM | 32004 |
| CM0178a : Unilateral | 7290 |
| CM0178b : Bilateral | 11664 |
| CM0716A : CLEFT PALATE - Partial | 10935 |
| CM0716B : CLEFT PALATE - Complete | 14653 |
| CM0716C : CLEFT PALATE - Sub mucous (before 1.5 years of age) | 14653 |
| CM0717A : Simple syndactyly (Per finger) | 4374 |
| CM0717B : Complex Syndactyly (Per finger) | 7290 |
| CM0717C : Simple syndactyly (Per finger) | 10935 |
| CM0717D : Complex Syndactyly (Per hand) | 19392 |
| CM0718A-I : MICROTIA/ANOTIA - STAGE 1 | 18517 |
| CM0718A-III : MICROTIA/ANOTIA - STAGE 1 (with cartilage autograft) | 10935 |
| CM0722-III-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA | 7309 |
| CM0722-III-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE | 7309 |
| CM0722-III-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING / Archbar | 3645 |
| CM0814-II-a : VASCULAR MALFORMATIONS- Sclerotherapy | 9477 |
| CM0814-II-b : VASCULAR MALFORMATIONS- Sclerotherapy and Excision | 19137 |
| CM0816A-i : FLAP SURGERIES CUTANEOUS- UPPER LIMB | 14580 |
| CM0816A-ii : FLAP SURGERIES CUTANEOUS- LOWER LIMB | 8748 |
| 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 |
| CM1038 : Drainage of Subdiaphramatic Abscess | 7290 |
| CM1046 : Excision Benign Tumor -Small intestine | 10935 |
| CM1067 : IlieoSigmoidostomy | 12393 |
| CM1076 : Repair of Common Bile Duct | 10935 |
| CM1083 : Pharyngectomy& Reconstruction - Total | 14580 |
| CM1084 : Tracheoplasty (Throat) | 10935 |
| CM1088 : Estlander Operation (lip) | 5103 |
| CM1093 : Operation for carcinoma lip- cheek advancement | 8748 |
| CM1096 : Resection Enucleation of Adenoma (lung) | 7290 |
| CM1099 : Thoracoplasty | 14580 |
| CM1100 : Thoracoscopic Segmental Resection | 18225 |
| CM1101 : Thoracoscopic Sympathectomy | 10935 |
| CM1191 : Abdominal Perineal neo construction Cx + Uteria + Vagina | 14580 |
| CM1198 : Brust abdomen repair | 10206 |
| CM1212 : Intrauterine transfusions | 7290 |
| CM1220 : Fixator with Joint Arthrolysis | 14580 |
| CM1223 : Pelvic Osteotomy with fixation with plaster | 21870 |
| CM0692-III : ACUTE STROKE THROMBOLYSIS (R TPA ) | 54857 |
| CM0692-III-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 50 mg) | 30300 |
| CM0692-III-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 70mg) | 48300 |
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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