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|
| Packages | Rate |
|---|---|
| CM0158 : UPTO-40% WITH SCALDS (CONSERVATIVE) | 22680 |
| CM0159 : UPTO-40% MIXED BURNS (WITH SURGERIES) | 32400 |
| CM0160 : UPTO-50% WITH SCALDS (CONSERVATIVE) | 40338 |
| CM0161 : UPTO-50% MIXED BURNS ( WITH SURGERIES) | 49410 |
| CM0162 : UPTO-60% WITH SCALDS (CONSERVATIVE) | 60588 |
| CM0163 : UP TO-60% MIXED BURNS (WITH SURGERIES) | 65610 |
| CM0164 : ABOVE 60% MIXED BURNS (WITH SURGERIES) | 81810 |
| CM0165 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD | 17010 |
| CM0166 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE | 25110 |
| CM0167 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE | 31590 |
| CM0168 : PTOSIS | 19845 |
| CM0169 : CUP AND BAT EARS | 19845 |
| CM0170A : FILARIAL LYMPHOEDEMA -NV SHUNT | 11259 |
| CM0170B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY | 19845 |
| CM0171 : HEMIFACIAL ATROPHY | 28026 |
| CM0172 : HEMIFACIAL MICROSMIA | 40176 |
| CM0173 : LEPROSY RECONSTRUCTIVE SURGERY | 23409 |
| CM0174 : TUMOR OF MANDIBLE AND MAXILLA | 32481 |
| CM0175 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) | 21546 |
| CM0176 : PRESSURE SORE RECONSTRUCTIVE SURGERY | 35559 |
| CM0177 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION | 35478 |
| CM0178 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) | 13608 |
| CM0180 : TOTAL ELBOW REPLACEMENT | 38070 |
| CM0181 : SHOULDER REPLACEMENT | 38880 |
| CM0182 : RADIAL HEAD REPLACEMENT | 26730 |
| 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) | 18023 |
| 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 | 18023 |
| CM0185 : SKELETAL SKULL TRACTION | 24584 |
| CM0186A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS | 6278 |
| CM0186B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT) | 16605 |
| CM0187 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST / HAND / FOOT | 21870 |
| CM0192 : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING/TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING /PLATING/EXTERNAL FIXATOR/K WIRES | 32198 |
| CM0193 : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV-CTEV CORRECTIVE SURGERY /CTEV PONSETTI CORRECTION (FOLLOW UP PROCEDURES)/CTEV ILIZAROV | 36248 |
| CM0195 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION/MPFL RECONSTRUCTION | 24300 |
| CM0203 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES | 26123 |
| CM0204 : CORRECTION SACRO ILLIAC JOINT / ACETABULAR FRACTURES | 23895 |
| CM0205 : TOTAL KNEE REPLACEMENT | 65000 |
| CM0206A : TOTAL HIP REPLACEMENT- CEMENTED | 60075 |
| CM0206B : TOTAL HIP REPLACEMENT-UNCEMETED | 69075 |
| CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY | 11786 |
| CM0516A : HEMORRHAGIC STROKE | 24300 |
| CM0516B : ISCHEMIC STROKE | 14580 |
| CM0625-II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY | 32400 |
| CM0661-A-III : SPINAL AVM EMBOLIZATION | 39488 |
| CM0661-B-III : SPINAL AVM EMBOLIZATION | 47588 |
| CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION | 50018 |
| CM0704 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC | 41148 |
| CM0705 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER | 54999 |
| CM0715 : CLEFT LIP | 13041 |
| CM0716 : CLEFT PALATE | 16281 |
| CM0717 : SYNDACTYLY OF HAND FOR EACH HAND | 21546 |
| CM0718A : MICROTIA/ANOTIA - STAGE 1 | 20574 |
| CM0718B : MICROTIA/ANOTIA - STAGE 2 | 14256 |
| CM0719 : TM JOINT ANKYLOSIS | 32400 |
| CM0720 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY | 20250 |
| CM0721 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION | 32724 |
| CM0722-II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 16241 |
| CM0722-III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 16241 |
| CM0725-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 19967 |
| CM0725-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 19967 |
| CM0730 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 32400 |
| CM0730 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 32400 |
| CM0730 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 44550 |
| CM0730 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 44550 |
| CM0749A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) | 24584 |
| CM0749B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) | 16484 |
| CM0750-A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) | 20939 |
| CM0750-B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) | 28229 |
| CM0759B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY | 16200 |
| CM0759B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT | 12150 |
| CM0759B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION | 12150 |
| CM0807 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE | 24300 |
| CM0812A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) | 28350 |
| CM0812A-ii : NERVE REPAIR NEUROLYSIS | 16200 |
| CM0812A-iii : NERVE REPAIR NERVE SUTURING | 16200 |
| CM0812B-i : PERIPHERAL NERVE REPAIR | 16200 |
| CM0812B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) | 28350 |
| CM0812B-iii : TENDON REPAIR | 8100 |
| CM0812B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT) | 16200 |
| CM0813 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR) | 23693 |
| CM0814-II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) | 21263 |
| CM0815A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD | 21101 |
| CM0815B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE | 27986 |
| CM0815C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE | 31226 |
| 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 | 20250 |
| 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 | 28755 |
| 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 | 36855 |
| 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 | 54999 |
| CM0817 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY | 20169 |
| CM0818 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS) REQUIRES MULTIPLE SITTINGS | 45279 |
| CM0819 : FLAP SURGERIES WITH BONE GRAFTING | 21060 |
| CM0820-II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) | 20250 |
| CM0820-III : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (fingers, toes and small joints) | 8100 |
| 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 |
| CM0823 : OPERATIONS FOR BRACHIAL PLEXUS (multiple sitting - max 3) | 24300 |
| CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | 32400 |
| CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | 24300 |
| CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | 9720 |
| CM0857 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS | 47604 |
| CM0858 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR | 37074 |
| CM0859 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR | 37074 |
| CM0860 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR) | 21101 |
| CM0861-I : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) | 34952 |
| CM0861-II : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) | 34952 |
| CM0862 : ANTERIOR DISCECTOMY (WITH OR WITHOUT BONE GRAFTING/SPACER/IMPLANT/VETEBROPLASTY ) ANY LEVEL | 34952 |
| CM0863 : ANTERIOR CERVICAL SPINE SURGERY WITH FUSION | 32441 |
| CM0864 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION | 19481 |
| CM0865-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR | 28391 |
| CM0865-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR | 28391 |
| CM0866-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL | 20291 |
| CM0866-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL | 20291 |
| CM0867 : SPINAL FUSION PROCEDURE | 34466 |
| CM0871 : SYRINGOMYELIA | 49208 |
| CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS | 36491 |
| CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS | 48641 |
| CM0888-II : GULLAIN BARRE SYNDROME | 81000 |
| CM0889-II : OPTIC NEURITIS | 8100 |
| CM0891-II : MYASTHENIA GRAVIS | 12150 |
| CM0893 : CAVERNOUS SINUS THROMBOSIS | 20250 |
| CM0894 : RHINOCEREBRAL MUCORMYCOSIS | 24300 |
| CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY | 61358 |
| CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION | 21668 |
| CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION | 81000 |
| CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION | 16200 |
| CM0969 : SACROSPINOUS FIXATION (VAGINAL ROUTE) | 18671 |
| CM0976A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) | 12758 |
| CM0976B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) | 7898 |
| CM0978 : C-ARM GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND | 12758 |
| CM0981 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE | 9720 |
| CM0985 : CRANIOFACIAL RESECTION | 39164 |
| CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3 levels) | 20250 |
| CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels) | 36450 |
| 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 |
| 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 |
| 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 |
| CM0183a : Neck/ Shaft Of Femur ORIF | 18023 |
| CM0183b : IM Nailing | 12150 |
| CM0183c : Shaft of Other Long Bones (Humerus) | 13770 |
| CM0183d : Tibia | 12150 |
| CM0183e : Radius, Fibula, Ulna (ORIF) | 12150 |
| CM0183f : Clavicle ( CRIF) (Displaced) | 6480 |
| CM0183g : Clavicel (ORIF) (Displaced) | 9720 |
| CM0183h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 18023 |
| CM0183i : Bimalleolar Fracture | 12150 |
| CM0183j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 12150 |
| CM0183k : Closed Reduction and Pinning / Tens Nail | 9720 |
| CM0183l : Closed Reduction and Internal Fixation with K wire | 4860 |
| CM0183m : Tension Band wiring | 9720 |
| CM0184a : Neck/ Shaft Of Femur ORIF | 18023 |
| CM0184b : IM Nailing | 12150 |
| CM0184c : Shaft of Other Long Bones (Humerus) | 13770 |
| CM0184d : Tibia | 12150 |
| CM0184e : Radius, Fibula, Ulna (ORIF) | 12150 |
| CM0184f : Clavicle ( CRIF) (Displaced) | 6480 |
| CM0184g : Clavicel (ORIF) (Displaced) | 9720 |
| CM0184h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 18023 |
| CM0184i : Bimalleolar Fracture | 12150 |
| CM0184j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 12150 |
| CM0184k : Closed Reduction and Pinning / Tens Nail | 9720 |
| CM0184l : Closed Reduction and Internal Fixation with K wire | 4860 |
| CM0184m : Tension Band wiring | 9720 |
| CM0186A-i : IMPLANT EXIT- K-WIRES - Single | 1215 |
| CM0186A-ii : IMPLANT EXIT- K-WIRES - Multiple | 2025 |
| CM0186A-iii : IMPLANT EXIT- SCREWS - single (Open) | 3240 |
| CM0186A-iv : IMPLANT EXIT- SCREWS - Multiple (Open) | 6075 |
| CM0186A-v : IMPLANT EXIT- SCREWS - single (Closed) | 1620 |
| CM0186A-vi : IMPLANT EXIT- SCREWS - Multiple (Closed) | 2430 |
| CM0186A-vii : IMPLANT EXIT- OTHER MINOR IMPLANTS (TENS, TBW, etc) - Solitary | 4050 |
| CM0186A-viii : IMPLANT EXIT- OTHER MINOR IMPLANTS (Pins / TENS, TBW, etc) - Multiple | 6278 |
| CM0186B-i : IMPLANT EXIT- PLATES (Open) | 10125 |
| CM0186B-ii : IMPLANT EXIT- Femoral Screws / IM Nails / Rush Nail (Open) | 8100 |
| CM0186B-iii : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(complete exit) (eg- L2-L3, L3-L4) | 14175 |
| CM0186B-iv : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(partial exit) (eg- L2-L3, L3-L4) | 12150 |
| CM0186B-v : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(complete exit) (eg- L2-L3, L3-L4, L4-L5) | 16605 |
| CM0186B-vi : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(partial exit) (eg- L2-L3, L3-L4, L4-L5) | 14175 |
| CM0186B-vii : IMPLANT EXIT- Bipolar, etc | 12150 |
| CM0186B-viii : IMPLANT EXIT - Other Major implants | 10125 |
| CM0187a : ARTHRODESIS OF JOINTS - HIP | 21870 |
| CM0187b : ARTHRODESIS OF JOINTS - SHOULDER / KNEE | 16200 |
| CM0187c : ARTHRODESIS OF JOINTS - ELBOW/ ANKLE / WRIST | 12150 |
| CM0187d : ARTHRODESIS OF JOINTS - ANKLE - Triple Arthrodesis | 12960 |
| CM0187e : ARTHRODESIS OF JOINTS - HAND / FOOT | 8100 |
| CM0192-A : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING | 20250 |
| CM0192-B : ILIZAROV RING FIXATOR APPLICATION- TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING | 14580 |
| CM0193-A : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV/RESISTANT CTEV BY JESS FIXATION | 36248 |
| CM0195-A : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION | 24300 |
| CM0195-B : KNEE LIGAMENT RECONSTRUCTION-MPFL RECONSTRUCTION | 20250 |
| CM0204- b : ACETABULAR FRACTURES | 23895 |
| CM0204-a : CORRECTION SACRO ILLIAC JOINT | 16200 |
| CM0625-II A : AMPUTATIONS - FORE QUARTER | 32400 |
| CM0625-II B : AMPUTATIONS - HIND QUARTER / Internal Hemipelvectomy | 32400 |
| CM0625-II C : AMPUTATIONS - HIND QUARTER / External Hemipelvectomy | 32400 |
| CM0722-II-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA | 8121 |
| CM0722-II-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE | 8121 |
| CM0722-II-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING | 4050 |
| CM0807-a - I : Cementing (only as Addon) | 4050 |
| CM0807-a : BONE RESECTION | 20250 |
| CM0807-b - I : Cementing (only as Add on) | 4050 |
| CM0807-b : BONE Curettage | 12150 |
| CM0820-II-A : Amputation of AK / BK | 24300 |
| CM0820-II-B : Amputation of AE / BE | 20250 |
| CM0820-II-C : Amputation of Fore-Foot | 12150 |
| CM0820-II-E : Amputation of Toes | 5670 |
| CM0820-II-F : Amputation of Fingers | 8100 |
| CM0820-II-G : Trans Meta-Tarsal Amputation | 12150 |
| CM0820-III-a : Amputation of great toe | 5670 |
| CM0820-III-b : Amputation toe- single | 4050 |
| CM0820-III-c : Amputation toe- Multiple | 5670 |
| CM0820-III-d : Amputation of Finger - single | 5670 |
| CM0820-III-e : Amputation of Finger - Multiple | 8100 |
| CM0820-III-f : Transmetatarsal Amputation | 8100 |
| CM0861-II-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) | 34830 |
| CM0861-II-B : POSTERIOR DISCECTOMY WITH BONE GRAFT | 26730 |
| CM0861-II-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY | 20250 |
| CM0715A : CLEFT LIP - Unilateral | 8100 |
| CM0715B : CLEFT LIP - Bilateral | 13041 |
| CM0718A-II : MICROTIA/ANOTIA - STAGE 1 | 8100 |
| CM0718A-IV : MICROTIA/ANOTIA - STAGE 1 (with artificial Implant) | 20574 |
| 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 | 4050 |
| 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 | 8100 |
| 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 | 15390 |
| 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 | 22680 |
| 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 | 5670 |
| 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 | 24300 |
| 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 | 16200 |
| 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 | 32400 |
| 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 | 40338 |
| 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 | 49410 |
| 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 | 60588 |
| 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 | 65610 |
| 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 | 81000 |
| CM0165a : Fingers | 3240 |
| CM0165b : Neck - MILD (LESS THAN 1/3RD) - Flexion and extension videos to be uploaded | 12150 |
| CM0165c : Others (elbow, thigh, etc) | 8100 |
| CM0165d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 4860 |
| CM0166a : Fingers | 4860 |
| CM0166b : Neck - MODERATE (1/3RD TO 2/3RD) - Flexion and extension videos to be uploaded | 20250 |
| CM0166c : Others (elbow, thigh, etc) | 12150 |
| CM0166d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 4860 |
| CM0167a : Fingers | 6480 |
| CM0167b : Neck - SEVERE (> 2/3RD) - Flexion and extension videos to be uploaded | 26730 |
| CM0167c : Others (elbow, thigh, etc) | 16200 |
| CM0167d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 4860 |
| CM0168a : PTOSIS Single | 12150 |
| CM0168b : PTOSIS Bilateral | 19845 |
| CM0175a : Polydactyly - Simple | 4050 |
| CM0175b : Polydactyly - Bone and neurovascular bundle | 8100 |
| CM0175c : Simple syndactyly (per finger) | 4860 |
| CM0175d : Complex syndactyly (per finger) | 8100 |
| CM0175e : Radial clubhand | 12150 |
| CM0175f : Ulnar clubhand | 12150 |
| CM0175g : Macrodactyly | 14175 |
| CM0175h : Others minor (will be paid as per procedure) Upto | 8100 |
| CM0175i : Others major (will be paid as per procedure) Upto | 21546 |
| CM0176a : PRESSURE SORE RECONSTRUCTIVE SURGERY - SSG - per 10 sq CM (upto) | 9720 |
| CM0176b : PRESSURE SORE RECONSTRUCTIVE SURGERY - Single Rotation FLAP - per 10 sq CM (upto) - per 10 sq CM (upto) | 12150 |
| CM0176c : PRESSURE SORE RECONSTRUCTIVE SURGERY - Bilateral FLAP - per 10 sq CM (upto) | 16200 |
| CM0176d : PRESSURE SORE RECONSTRUCTIVE SURGERY - Musculocutaneous flap - per 10 sq CM (upto) | 24300 |
| CM0176e : PRESSURE SORE RECONSTRUCTIVE SURGERY - Fasciocutaneous flap - per 10 sq CM (upto) | 20250 |
| CM0176f : PRESSURE SORE RECONSTRUCTIVE SURGERY - Tensor fascia lata flap - per 10 sq CM (upto) | 35559 |
| CM0176g : others (payable based on the procedure carried out) (upto) | 35559 |
| CM0177a : single closure | 16200 |
| CM0177b : Fascia Lata Graft | 28350 |
| CM0177c : Mesh Closure | 20250 |
| CM0177d : Local Flaps | 16200 |
| CM0177e : Myocutaneous Transposition | 28350 |
| CM0177f : TRAM | 35559 |
| CM0178a : Unilateral | 8100 |
| CM0178b : Bilateral | 12960 |
| CM0716A : CLEFT PALATE - Partial | 12150 |
| CM0716B : CLEFT PALATE - Complete | 16281 |
| CM0716C : CLEFT PALATE - Sub mucous (before 1.5 years of age) | 16281 |
| CM0717A : Simple syndactyly (Per finger) | 4860 |
| CM0717B : Complex Syndactyly (Per finger) | 8100 |
| CM0717C : Simple syndactyly (Per finger) | 12150 |
| CM0717D : Complex Syndactyly (Per hand) | 21546 |
| CM0718A-I : MICROTIA/ANOTIA - STAGE 1 | 20574 |
| CM0718A-III : MICROTIA/ANOTIA - STAGE 1 (with cartilage autograft) | 12150 |
| CM0722-III-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA | 8121 |
| CM0722-III-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE | 8121 |
| CM0722-III-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING / Archbar | 4050 |
| CM0814-II-a : VASCULAR MALFORMATIONS- Sclerotherapy | 10530 |
| CM0814-II-b : VASCULAR MALFORMATIONS- Sclerotherapy and Excision | 21263 |
| CM0816A-i : FLAP SURGERIES CUTANEOUS- UPPER LIMB | 16200 |
| CM0816A-ii : FLAP SURGERIES CUTANEOUS- LOWER LIMB | 9720 |
| CM0861-I-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) | 34830 |
| CM0861-I-B : POSTERIOR DISCECTOMY WITH BONE GRAFT | 26730 |
| CM0861-I-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY | 20250 |
| CM0862A : ANTERIOR DISCECTOMY WITHOUT IMPLANTS | 24300 |
| CM0862B : ANTERIOR DISCECTOMY WITH IMPLANTS | 34952 |
| CM0947 A : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES ( MORE THAN 4 LEVELS) | 60750 |
| CM0947 B : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES LESS THAN 4 LEVELS) | 40500 |
| CM0947C : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES WITH VERTERBROPLASTY | 36450 |
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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