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|
| Packages | Rate |
|---|---|
| CM0158 : UPTO-40% WITH SCALDS (CONSERVATIVE) | 25200 |
| CM0159 : UPTO-40% MIXED BURNS (WITH SURGERIES) | 36000 |
| CM0160 : UPTO-50% WITH SCALDS (CONSERVATIVE) | 44820 |
| CM0161 : UPTO-50% MIXED BURNS ( WITH SURGERIES) | 54900 |
| CM0162 : UPTO-60% WITH SCALDS (CONSERVATIVE) | 67320 |
| CM0163 : UP TO-60% MIXED BURNS (WITH SURGERIES) | 72900 |
| CM0164 : ABOVE 60% MIXED BURNS (WITH SURGERIES) | 90900 |
| CM0165 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MILD | 18900 |
| CM0166 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - MODERATE | 27900 |
| CM0167 : POST BURN CONTRACTURE FOR FUNCTIONAL IMPROVEMENT (INCLUDING SPLINT / PRESSURE GARMENT / PHYSIOTHERAPY) - SEVERE | 35100 |
| CM0168 : PTOSIS | 22050 |
| CM0169 : CUP AND BAT EARS | 22050 |
| CM0170A : FILARIAL LYMPHOEDEMA -NV SHUNT | 12510 |
| CM0170B : FILARIAL LYMPHOEDEMA -REDUCTION SURGERY | 22050 |
| CM0171 : HEMIFACIAL ATROPHY | 31140 |
| CM0172 : HEMIFACIAL MICROSMIA | 44640 |
| CM0173 : LEPROSY RECONSTRUCTIVE SURGERY | 26010 |
| CM0174 : TUMOR OF MANDIBLE AND MAXILLA | 36090 |
| CM0175 : CORRECTIVE SURGERY FOR CONGENITAL DEFORMITY OF HAND (PER HAND) | 23940 |
| CM0176 : PRESSURE SORE RECONSTRUCTIVE SURGERY | 39510 |
| CM0177 : ABDOMINAL WALL RECONSTRUCTION INCLUDING POST CANCER EXCISION | 39420 |
| CM0178 : LID DEFORMITY CORRECTION (FOLLOWING TRAUMA/BURNS/CONGENITAL) | 15120 |
| CM0180 : TOTAL ELBOW REPLACEMENT | 42300 |
| CM0181 : SHOULDER REPLACEMENT | 43200 |
| CM0182 : RADIAL HEAD REPLACEMENT | 29700 |
| 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) | 20025 |
| 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 | 20025 |
| CM0185 : SKELETAL SKULL TRACTION | 27315 |
| CM0186A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS | 6975 |
| CM0186B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT) | 18450 |
| CM0187 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST / HAND / FOOT | 24300 |
| CM0192 : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING/TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING /PLATING/EXTERNAL FIXATOR/K WIRES | 35775 |
| CM0193 : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV-CTEV CORRECTIVE SURGERY /CTEV PONSETTI CORRECTION (FOLLOW UP PROCEDURES)/CTEV ILIZAROV | 40275 |
| CM0195 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION/MPFL RECONSTRUCTION | 27000 |
| CM0203 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES | 29025 |
| CM0204 : CORRECTION SACRO ILLIAC JOINT / ACETABULAR FRACTURES | 26550 |
| CM0205 : TOTAL KNEE REPLACEMENT | 65000 |
| CM0206A : TOTAL HIP REPLACEMENT- CEMENTED | 60075 |
| CM0206B : TOTAL HIP REPLACEMENT-UNCEMETED | 69075 |
| CM0291 : CRANIOTOMY AND EVACUATION OF HAEMATOMA | 52425 |
| CM0292A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 56925 |
| CM0292B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 61425 |
| CM0293A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 56925 |
| CM0293B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 61425 |
| CM0294A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 56925 |
| CM0294B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 61425 |
| CM0295A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT | 24255 |
| CM0295B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL | 26055 |
| CM0296A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION | 24255 |
| CM0296B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT | 26955 |
| CM0296C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION | 26055 |
| CM0296D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT | 28755 |
| CM0297 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT | 36855 |
| CM0298 : TWIST DRILL CRANIOSTOMY | 17955 |
| CM0299 : SUBDURAL TAPPING | 17955 |
| CM0300 : VENTRICULAR TAPPING | 17956 |
| CM0301 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING | 17957 |
| CM0302 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION | 24528 |
| CM0303 : C.S.F. RHINORRHOEA & ACF REPAIR | 47925 |
| CM0304 : CRANIOPLASTY | 36225 |
| CM0305 : EXTERNAL VENTRICULAR DRAINAGE (EVD) | 24795 |
| CM0306 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL , CEREBELLUM ETC) | 50625 |
| CM0307 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS ) | 47925 |
| CM0308 : BASAL LESION | 54225 |
| CM0309 : BRAIN STEM LESION | 65925 |
| CM0310 : C P ANGLE LESION | 65925 |
| CM0311 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE | 44775 |
| CM0312 : STEREOTACTIC PROCEDURES- ABLATION | 95175 |
| CM0313 : STEREOTACTIC PROCEDURES- BIOPSY | 44775 |
| CM0314 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT) | 52425 |
| CM0315 : INTRA-CEREBRAL HEMATOMA EVACUATION | 52425 |
| CM0316 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH | 52425 |
| CM0317A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) | 59175 |
| CM0317B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) | 58275 |
| CM0317C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS) | 42795 |
| CM0317D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS) | 42795 |
| CM0318 : TEMPORAL LOBECTOMY | 38925 |
| CM0319 : LESIONECTOMY | 110025 |
| CM0320 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES | 44235 |
| CM0321 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA | 48645 |
| CM0322 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR) | 29295 |
| CM0323 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM | 28395 |
| CM0324 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION | 55395 |
| CM0325 : INTRACRANIAL FOREIGN BODY REMOVAL | 52425 |
| CM0326A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 21555 |
| CM0326B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 29745 |
| CM0326C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA | 45045 |
| CM0326D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ | 37845 |
| CM0326E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA | 17595 |
| CM0326F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 26145 |
| CM0326G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA | 34245 |
| CM0326H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ | 34245 |
| CM0327A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ | 40923 |
| CM0327B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ | 42723 |
| CM0328A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION | 53775 |
| CM0328B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY | 47475 |
| CM0329A : DEEP BRAIN STIMULATION E-COG with Brain mapping (MRI, FMRI with 3D- Mapping) | 83475 |
| CM0329B : DEEP BRAIN STIMULATION with E-COG, Brain mapping, intra-operative neuronavigation techniques & I-O CT/ MRI guided Stereotactic Stimulation | 105975 |
| CM0330 : INTRATHECAL PUMP IMPLANT | 38925 |
| CM0331 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION | 52695 |
| CM0332 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION | 55845 |
| CM0333 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY | 36495 |
| CM0334 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY | 42345 |
| CM0335 : CERVICAL / LUMBAR SYMPATHECTOMY | 29205 |
| CM0471 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT | 24975 |
| CM0472 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME | 20925 |
| CM0473 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC) | 17595 |
| CM0474 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC) | 22995 |
| CM0477 : SLINGS WITH MESH REPAIR FOR PROLAPSE | 16245 |
| CM0478A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH | 14445 |
| CM0478B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH | 15345 |
| CM0480 : LAPAROSCOPIC MYOMECTOMY | 18945 |
| CM0481 A : RECANALISATION ANY TYPE- open | 13095 |
| CM0481 B : RECANALISATION ANY TYPE- lap | 17145 |
| CM0482 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA | 24300 |
| CM0484 : LAPAROSCOPIC SLING OPERATIONS | 21195 |
| CM0485A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY | 17145 |
| CM0485B : PPH SURGICAL MANAGEMENT -LIGATION/ EMBOLIZATION | 14445 |
| CM0501 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE | 36000 |
| CM0502 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS - MAX 7 DAYS | 28350 |
| CM0503 : DIPTHERIA COMPLICATED | 22500 |
| CM0504 : CRYPTOCOCCAL MENINGITIS | 22500 |
| CM0505 : CEREBRAL MALARIA | 18000 |
| CM0506 : CORROSIVE OESOPHAGEAL INJURY | 25335 |
| CM0507 : ACUTE PANCREATITIS WITH PSEUDOCYST (INFECTED) | 27000 |
| CM0508 : CHRONIC PANCREATITIS WITH SEVERE PAIN I) SEMS- SELF EXPANDABLE METALLIC STENT FOR BILIARY OBSTRUCTION (OBSTRUCTIVE JAUNDICE)- MALIGNANT/BENIGN | 63315 |
| CM0509 : CHRONIC PANCREATITIS WITH SEVERE PAIN- II) ENDOSCOPIC PANCREATIC SPINCTEROTOMY AND /OR PANCREATIC DUCT STENTING | 15075 |
| CM0510 : CHRONIC PANCREATITIS WITH SEVERE PAIN-PANCREATIC DUCT STENTING- PANCRETIC DUCT LEAKS, PSEUDOCYST OF PANCREAS, PANCREATIC STRICTURE, PANCREATIC STONE DISEASE | 15075 |
| CM0511 : NON VARICEAL BLEED- HEATER PROBE (UPPER & LOWER GI BLEED) INCLUDES GAVE, ULCER, RADIATION PROCTITIS/COLITIS, POST POLYPECTOMY BLEED, DIEULAFOYS LESION, ANGIODYSPLASIA,MALLORY WEISS TEAR. | 14805 |
| CM0512 : RAPIDLY PROGRESSIVE RENAL FAILURE (RPRF) | 32711 |
| CM0513 : MAINTANENCE HEMODIALYSIS FOR CRF (8 DIALYSIS) INCLUDING SEROPOSITIVE | 8000 |
| CM0514 : PERITONEAL DIALYSIS/CAPD | 12080 |
| CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY | 13095 |
| CM0516A : HEMORRHAGIC STROKE | 27000 |
| CM0516B : ISCHEMIC STROKE | 16200 |
| CM0624-II : WERTHEIMS / RADICAL HYSTERECTOMY | 25695 |
| CM0625-II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY | 36000 |
| CM0626 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS) | 19800 |
| CM0626 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS) | 16200 |
| CM0628-II : NEPHROSTOMY | 7200 |
| CM0629-II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE | 41535 |
| CM0630 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY | 14400 |
| CM0631A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) | 10800 |
| 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) | 180000 |
| CM0640 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS,POST OP COLLECTIONS)DRAINAGE PIGTAIL INSERTION | 8550 |
| CM0641A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs) | 26100 |
| CM0641B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs ) | 22500 |
| CM0641C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs) | 19350 |
| CM0641D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs) | 35100 |
| CM0642A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) | 1350 |
| CM0642B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) | 1800 |
| CM0642C-I : USG GUIDED MINOR PROCEDURES (TAPPING) | 1350 |
| CM0651-II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX | 68625 |
| CM0652-III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA | 83475 |
| CM0654-III : BRAIN AVM EMBOLIZATION | 87975 |
| CM0655-III : TUMOR EMBOLIZATION | 75375 |
| CM0661-A-II : SPINAL AVM EMBOLIZATION | 43875 |
| CM0661-A-III : SPINAL AVM EMBOLIZATION | 43875 |
| CM0661-B-II : SPINAL AVM EMBOLIZATION | 52875 |
| CM0661-B-III : SPINAL AVM EMBOLIZATION | 52875 |
| CM0662-II : SPINAL DURAL FISTULA EMBOLIZATION | 55575 |
| CM0662-III : SPINAL DURAL FISTULA EMBOLIZATION | 55575 |
| CM0665-II : VEIN OF GALEN EMBOLIZATION | 59625 |
| CM0666-II : DURAL FISTULA EMBOLIZATION | 73125 |
| CM0677-II : INTRACRANIAL VENOUS STENTING | 110925 |
| CM0678-II : INTRACRANIAL ARTERIAL STENTING | 110925 |
| CM0688-II : DURAL SINUS ANGIOPLASTY AND STENTING | 59175 |
| CM0694-II : 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 | 84105 |
| CM0703 : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY NEUROPATHIES/HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY/PLEXOPATHY (LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH NERVE BIOPSY) (HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL SYNDROME/ACUTE ENTRAPMENT/ COMPRESSIVE NEUROPATHY / GBS/DOG BITE CATEGORY III/OTHERS | 200000 |
| CM0704 : RECONSTRUCTIVE MICRO SURGERY - REPLANTATION OF HAND, FINGER, THUMB, ARM, SCALP ETC | 45720 |
| CM0705 : RECONSTRUCTIVE MICRO SURGERY -FREE TISSUE TRANSFER | 61110 |
| CM0707-I : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS | 50355 |
| CM0707-II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS | 50355 |
| CM0709 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. | 40500 |
| CM0709 B-I : LAP NEPHRECTOMY-RADICAL | 40500 |
| CM0710 A-II : NEPHROURETERECTOMY OPEN | 36000 |
| CM0710 B-II : NEPHROURETERECTOMY LAP | 36000 |
| CM0713-I : TRACHEOSTOMY | 4545 |
| CM0714-I : THOROCOSTOMY | 39060 |
| CM0715 : CLEFT LIP | 14490 |
| CM0716 : CLEFT PALATE | 18090 |
| CM0717 : SYNDACTYLY OF HAND FOR EACH HAND | 23940 |
| CM0718A : MICROTIA/ANOTIA - STAGE 1 | 22860 |
| CM0718B : MICROTIA/ANOTIA - STAGE 2 | 15840 |
| CM0719 : TM JOINT ANKYLOSIS | 36000 |
| CM0720 : RECONSTRUCTIVE MICRO SURGERY -BRACHIAL PLEXUS SURGERY | 22500 |
| CM0721 : RECONSTRUCTIVE BREAST SURGERY FOLLOWING CANCER EXCISION, REDUCTION, AUGMENTATION | 36360 |
| CM0722-II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 18045 |
| CM0722-III : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 18045 |
| CM0725-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 22185 |
| CM0725-II : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 22185 |
| CM0725-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 22185 |
| CM0730 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 36000 |
| CM0730 A-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 36000 |
| CM0730 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 36000 |
| CM0730 B-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 36000 |
| CM0730 C-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 49500 |
| CM0730 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 49500 |
| CM0730 D-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 49500 |
| CM0730 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 49500 |
| CM0731-I : HYPOSPADIAS | 27000 |
| CM0732-I : EPISPADIAS | 37800 |
| CM0733-I : TORSION TESTIS | 22500 |
| CM0734-I : URETEROCELE SURGERY | 27000 |
| CM0734-II : URETEROCELE SURGERY | 27000 |
| CM0735 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION | 45000 |
| CM0735 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 19800 |
| CM0735 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 19800 |
| CM0736 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION | 45000 |
| CM0736 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 19800 |
| CM0737-I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD | 19800 |
| CM0738-I : OPEN CHOLECYSTOSTOMY | 18000 |
| CM0739-II : GASTRECTOMY ANY TYPE - ANY CAUSE | 35865 |
| CM0740-II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY | 43965 |
| CM0743-II : ANTERIOR RESECTION | 45765 |
| CM0744-A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH | 22095 |
| CM0744-B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY | 44145 |
| CM0744-C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS | 67095 |
| CM0745-II : ABDOMINOPERINIAL RESECTION | 35415 |
| CM0746A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC | 31500 |
| CM0749A-II : NECK DISSECTION ANY TYPE - WITH WIDE EXCISION (INCLUDING MALIGNANCY) | 27315 |
| CM0749B-II : NECK DISSECTION ANY TYPE - WITHOUT WIDE EXCISION (INCLUDING MALIGNANCY) | 18315 |
| CM0750-A-II : NECK DISSECTION ANY TYPE - WITHOUT RECONSTRUCTION (INCLUDING MALIGNANCY) | 23265 |
| CM0750-B-II : NECK DISSECTION ANY TYPE - WITH RECONSTRUCTION (INCLUDING MALIGNANCY) | 31365 |
| CM0751-IV : HEMIMANDIBULECTOMY | 22635 |
| CM0752-IV : MARGINAL MANDIBULECTOMY | 20205 |
| CM0753-IV : SEGMENTAL MANDIBULECTOMY | 20205 |
| CM0754 : LEIOMYOMA EXCISION | 10800 |
| CM0756 : SURGERIES FOR ENTERO CUTANEOUS FISTULA | 36000 |
| CM0757 : INCISIONAL HERNIA REPAIR WITHOUT MESH | 18000 |
| CM0758 : INCISIONAL HERNIA REPAIR WITH MESH | 22500 |
| CM0759A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY | 18000 |
| CM0759A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT | 13500 |
| CM0759A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION | 13500 |
| CM0759B-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY | 18000 |
| CM0759B-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT | 13500 |
| CM0759B-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION | 13500 |
| CM0760-I : LIVER ABSCESS - OPEN DRAINAGE | 16200 |
| CM0761 : BRAIN - ANY BIOPSY | 44973 |
| CM0762 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL) | 40095 |
| CM0763A-I : RECTAL PROLAPSE - THEIRSCH WIRING | 13500 |
| CM0763B-I : RECTAL PROLAPSE - DEBULKING | 23400 |
| CM0763C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY | 23400 |
| CM0770 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE | 37800 |
| CM0770 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE | 29700 |
| CM0771-III : WHIPPLES ANY TYPE | 74250 |
| CM0772A-I : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 31500 |
| CM0772B-I : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 40500 |
| CM0773 A-I : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 31500 |
| CM0773 B-I : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 40500 |
| CM0774 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 18045 |
| CM0775-II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA | 22815 |
| CM0776-II : MASTECTOMY ANY TYPE | 18000 |
| CM0777-A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION | 22500 |
| CM0777-B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION | 22500 |
| CM0778-A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN | 4410 |
| CM0778-B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) | 5850 |
| CM0785-II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE | 33615 |
| CM0786-A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) | 22455 |
| CM0786-B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) | 40635 |
| CM0787 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE | 31500 |
| CM0795-I : PARATHYROIDECTOMY - ANY TYPE | 22500 |
| CM0796-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE | 36000 |
| CM0797-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE | 40500 |
| CM0798-I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY | 18000 |
| CM0799-I : OESOPHAGOSTOMY | 22500 |
| CM0800-I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY | 18000 |
| CM0801-I : GASTROJEJUNOSTOMY | 22500 |
| CM0802-I : ILEOSTOMY | 18000 |
| CM0803 A-I : ILEOTRANSVERSE COLOSTOMY | 22500 |
| CM0803 B-I : COLOSTOMY | 18000 |
| CM0804-I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE | 40500 |
| CM0805-I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY | 18000 |
| CM0806-I : RESECTION OF RETRO PERITONEAL TUMORS | 40095 |
| CM0807 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE | 27000 |
| CM0809 : SUPRA PUBIC CYSTOSTOMY | 7200 |
| CM0810-II : INTERCOSTAL DRAINAGE | 3690 |
| CM0811 : CRYOTHERAPY FOR ALL LESIONS | 20475 |
| CM0812A-i : NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) | 31500 |
| CM0812A-ii : NERVE REPAIR NEUROLYSIS | 18000 |
| CM0812A-iii : NERVE REPAIR NERVE SUTURING | 18000 |
| CM0812B-i : PERIPHERAL NERVE REPAIR | 18000 |
| CM0812B-ii : PERIPHERAL NERVE RECONSTRUCTION ( WITH NERVE GRAFT ) | 31500 |
| CM0812B-iii : TENDON REPAIR | 9000 |
| CM0812B-iv : TENDON RECONSTRUCTION ( WITH TENDON GRAFT) | 18000 |
| CM0813 : VAGINAL ATRESIA - (INCLUDING MC INDO-S REPAIR / PLASTIC SURGICAL REPAIR) | 26325 |
| CM0814-II : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) | 23625 |
| CM0815A : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MILD | 23445 |
| CM0815B : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - MODERATE | 31095 |
| CM0815C : RECONSTRUCTIVE UPPER LIMB /HAND/LOWER LIMB/FOOT SURGERY FOLLOWING INFECTION, TRAUMA, BURNS, TUMORS/ MALIGNANCY, DEVELOPMENTAL INCLUDING DIABETIC FOOT - SEVERE | 34695 |
| 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 | 22500 |
| 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 | 31950 |
| 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 | 40950 |
| 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 | 61110 |
| CM0817 : POST BURN HYPERTROPHY SURGERY/SCAR REVISION SURGERY | 22410 |
| CM0818 : RECONSTRUCTION USING TISSUE EXPANDER (POST TRAUMATIC/POST BURNS) REQUIRES MULTIPLE SITTINGS | 50310 |
| CM0819 : FLAP SURGERIES WITH BONE GRAFTING | 23400 |
| CM0820-I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) | 22500 |
| CM0820-II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) | 22500 |
| CM0820-III : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (fingers, toes and small joints) | 9000 |
| 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 | 540 |
| CM0822 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT | 540 |
| CM0822 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] | 4500 |
| CM0822 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] | 4500 |
| CM0823 : OPERATIONS FOR BRACHIAL PLEXUS (multiple sitting - max 3) | 27000 |
| CM0825A : POLYTRAUMA/HEAD INJURY MINOR (only lacerations less than 10 cm) | 2250 |
| CM0825B : POLYTRAUMA/HEAD INJURY MINOR (deep / pitted wound exposing scalp/ bone requiring debridement and suturing) | 6300 |
| CM0826 : POLYTRAUMA/HEAD INJURY MAJOR (with fractures, intracranial bleeding) | 22500 |
| CM0827-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED | 36000 |
| CM0828-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED | 45000 |
| CM0829-I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | 36000 |
| CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | 36000 |
| CM0830 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II | 27000 |
| CM0831-I : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON | 15435 |
| CM0831-II : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON | 15435 |
| CM0832-I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON | 8730 |
| CM0832-II : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON | 8730 |
| CM0833-I : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON | 10170 |
| CM0833-II : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON | 10170 |
| CM0834-I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE | 24030 |
| CM0834-II : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE | 24030 |
| CM0835A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED | 51300 |
| CM0835A-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED | 51300 |
| CM0835B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD | 69300 |
| CM0835B-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD | 69300 |
| CM0836 : RENAL BIOPSY | 13406 |
| CM0837-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | 27000 |
| CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | 27000 |
| CM0838-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT | 45000 |
| CM0838-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT | 45000 |
| CM0839-I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | 10800 |
| CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | 10800 |
| CM0840 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA | 36000 |
| CM0840 B : TTP | 54000 |
| CM0841 A : ANY COAGULATION DISORDERS | 45000 |
| CM0841 B : DIC | 22500 |
| 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 | 18198 |
| CM0845 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT | 17910 |
| CM0846 : SUBMERSION INJURY WITH VENTILATORY SUPPORT | 24300 |
| CM0847 : ARDS WITH VENTILATORY SUPPORT | 75645 |
| CM0848-I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION | 50580 |
| CM0848-II : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION | 50580 |
| CM0854 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L | 10800 |
| CM0856 : ANEURYSM CLIPPING | 87705 |
| CM0857 : SURGERY OF CORD TUMORS - INTRA MEDULLARY TUMORS | 52893 |
| CM0858 : SURGERY OF CORD TUMORS -INTRADURAL EXTRAMEDULLARY TUMOR | 41193 |
| CM0859 : SURGERY OF CORD TUMORS - EXTRADURAL TUMOR | 41193 |
| CM0860 : SPILT CORD MALFORMATIONS - ANY TYPE(INCLUDES SPINA BIFIDA MAJOR/MINOR) | 23445 |
| CM0861-I : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) | 38835 |
| CM0861-II : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) | 38835 |
| CM0862 : ANTERIOR DISCECTOMY (WITH OR WITHOUT BONE GRAFTING/SPACER/IMPLANT/VETEBROPLASTY ) ANY LEVEL | 38835 |
| CM0863 : ANTERIOR CERVICAL SPINE SURGERY WITH FUSION | 36045 |
| CM0864 : ANTERIOR LATERAL DECOMPRESSION/STABILSIATION | 21645 |
| CM0865-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR | 31545 |
| CM0865-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR | 31545 |
| CM0866-I : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL | 22545 |
| CM0866-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL | 22545 |
| CM0867 : SPINAL FUSION PROCEDURE | 38295 |
| CM0868 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) | 71973 |
| CM0869 : TRANS ORAL SURGERY | 22698 |
| CM0870 : C.V. JUNCTION FUSION | 35775 |
| CM0871 : SYRINGOMYELIA | 54675 |
| CM0872 : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS | 40545 |
| CM0873 : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS | 54045 |
| CM0878-I : PELVIC FLOOR RECONSTRUCTION WITH MESH | 27675 |
| CM0878-II : PELVIC FLOOR RECONSTRUCTION WITH MESH | 27675 |
| CM0879-I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION | 19215 |
| CM0879-II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION | 19215 |
| CM0880 : LAPAROSCOPIC ADHESOLYSIS | 18045 |
| CM0881 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY | 108000 |
| CM0881 B-I : SICKLE CELL ANAEMIA | 4500 |
| CM0882-I : INTERSTITAL LUNG DISEASE | 26370 |
| CM0882-II : INTERSTITAL LUNG DISEASE | 26370 |
| CM0883-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING | 9180 |
| CM0883-II : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING | 9180 |
| CM0884-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY | 6840 |
| CM0885-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION | 36000 |
| CM0886-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION | 6840 |
| CM0887-I : END STAGE RENAL DISEASE | 12735 |
| CM0887-II : END STAGE RENAL DISEASE | 12735 |
| CM0888-I : GULLAIN BARRE SYNDROME | 90000 |
| CM0888-II : GULLAIN BARRE SYNDROME | 90000 |
| CM0889-I : OPTIC NEURITIS | 9000 |
| CM0889-II : OPTIC NEURITIS | 9000 |
| CM0891-I : MYASTHENIA GRAVIS | 13500 |
| CM0891-II : MYASTHENIA GRAVIS | 13500 |
| CM0892 : MANAGEMENT OF COMA | 27072 |
| CM0893 : CAVERNOUS SINUS THROMBOSIS | 22500 |
| CM0894 : RHINOCEREBRAL MUCORMYCOSIS | 27000 |
| CM0895 : HYPER OSMOLAR NON-KETOTIC COMA | 27000 |
| CM0896 : OPERATION FOR HYDATID CYST OF LIVER | 31500 |
| CM0897-I : HEPATO CELLULAR CARCINOMA (ADVANCED) RADIO FREQUENCY ABLATION | 26775 |
| CM0898 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION | 45000 |
| CM0899-I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) | 58500 |
| CM0900 : OESOPHAGO- GASTRECTOMY | 72000 |
| CM0901 : ACHALASIA CARDIA -SURGICAL CORRECTION | 27000 |
| CM0902-I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) | 27000 |
| CM0903 : ACHALASIA CARDIA -PNEUMATIC DILATATION | 9405 |
| CM0904 : LAP FUNDOPLICATIONS | 40500 |
| CM0905-I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 40500 |
| CM0907 : ENUCLEATION OF CYST | 36000 |
| CM0908A-I : OTHER BYPASS PANCREAS | 36000 |
| CM0908B-I : TRIPLE BYPASS | 36000 |
| CM0910 : PANCREATIC NECROSECTOMY OPEN | 37800 |
| CM0911 : PANCREATIC NECROSECTOMY LAP | 37800 |
| CM0913 : SCLEROSING CHOLANGITIS | 9000 |
| CM0921A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - OPEN | 13500 |
| CM0921B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN | 31500 |
| CM0921C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN | 14400 |
| CM0921D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN | 18000 |
| CM0921E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN | 36000 |
| CM0921F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - OPEN | 18000 |
| CM0922A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - LAP | 13500 |
| CM0922B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP | 31500 |
| CM0922C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP | 14400 |
| CM0922D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP | 18000 |
| CM0922E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP | 36000 |
| CM0922F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - LAP | 18000 |
| CM0924 : APPENDICULAR PERFORATION | 13500 |
| CM0925A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES | 22500 |
| CM0925B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES | 36000 |
| CM0926 : OPERATION FOR BLEEDING PEPTIC ULCER | 36000 |
| CM0927 : PYLOROMYOTOMY | 19800 |
| CM0928 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE PLICATION /OTHER) | 31500 |
| CM0929 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION | 27000 |
| CM0930 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS / MALROTATION/INTUSUSCEPTION) | 36000 |
| CM0931-I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C | 158697 |
| CM0932-I : CIRRHOSIS OF LIVER WITH COMPLICATIONS | 27072 |
| CM0935 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY | 630 |
| CM0936 B : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA) | 900 |
| CM0936 C : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA) | 13500 |
| CM0936 D : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA) | 22500 |
| CM0936 E : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / coma) | 22500 |
| CM0936 F : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / Coma) | 45000 |
| CM0942 : POSTERIOR FOSSA ENDOSCOPIC SURGERY | 72000 |
| CM0943 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS | 44973 |
| CM0947 : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES /VERTERBROPLASTY | 68175 |
| CM0948 : SPINAL EPIDURAL ABSCESS/HEMATOMA - LAMINECTOMY / EVACUATION | 24075 |
| CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION | 90000 |
| CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION | 18000 |
| CM0959 : CYSTIC FIBROSIS | 32940 |
| CM0960 : SEPTIC SHOCK (ICU MANAGEMENT) | 38745 |
| CM0962-I : NEPHROTIC SYNDROME | 14486 |
| CM0962-II : NEPHROTIC SYNDROME | 14486 |
| CM0963-I : NEPHROTIC SYNDROME WITH COMPLICATIONS | 23396 |
| CM0963-II : NEPHROTIC SYNDROME WITH COMPLICATIONS | 23396 |
| CM0964-I : ACUTE DISSEMINATED ENCEPHALOMYELITIS | 45000 |
| CM0967-I : TOXIC/DRUG INDUCED LIVER INJURY | 24120 |
| CM0968 : MALIGNANT ASCITES | 5085 |
| CM0969 : SACROSPINOUS FIXATION (VAGINAL ROUTE) | 20745 |
| CM0973 : ENDOSCOPIC PARATHYROIDECTOMY | 27000 |
| CM0975A : IJV CATHETER INSERTION WITHOUT DIALYSIS | 9000 |
| CM0975B : IJV CATHETER INSERTION - INCLUDING DIALYSIS | 11700 |
| CM0976A : CT / C-ARM GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) | 14175 |
| CM0976B : USG GUIDED DISC OZONE NUCLEOLYSIS (CERVICAL / THORACIC / LUMBAR DISC) | 8775 |
| CM0978 : C-ARM GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND | 14175 |
| CM0979-I : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS | 63675 |
| CM0980-I : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) | 118125 |
| CM0981 : LUDWIGS ANGINA AND OTHER NECK ABSCESS DRAINAGE | 10800 |
| CM0982 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT (ONLY WITH FIR ) | 16200 |
| CM0985 : CRANIOFACIAL RESECTION | 43515 |
| CM0986A : POSTERIOR DECOMPRESSION WITHOUT STABILISATION AT ANY LEVEL (2 -3 levels) | 22500 |
| CM0986B : POSTERIOR DECOMPRESSION WITH STABILISATION AT ANY LEVEL (2 -3 levels) | 40500 |
| CM0987 : ACUTE SEVERE ASTHMA WITH VENTILATION | 46080 |
| CM0988 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION | 28350 |
| CM0989A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (heparinisation) | 18000 |
| CM0989B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK) | 22500 |
| CM0989C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (rTPA) | 67500 |
| 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 |
| CM0694-II-d : ERCP and Stent (plastic) | 22500 |
| CM0694-II-e : ERCP and Stent (SEMS) | 49500 |
| CM0694-II-f : POST OP BILIARY STRICTURE | 31500 |
| CM0707-I-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT | 27000 |
| CM0707-I-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT | 36000 |
| CM0707-I-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT | 50355 |
| CM0630 B -II-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN | 6300 |
| CM0630 B -II-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION | 4500 |
| CM0631A-II -a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE | 2700 |
| CM0631A-II -b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY | 2700 |
| CM0630 A-I-a-ii : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY | 2700 |
| CM0630 A-I-b-ii :MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE | 2700 |
| CM0630 B -II-a : MYCOPHENOLATE MOFETIL INDUCTION | 5400 |
| CM0630 B -II-b : MYCOPHENOLATE MOFETIL MAINTENANCE | 2700 |
| 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 | 27000 |
| CM0631A-II-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY )(including Diagnostic evaluation - 1st time) | 10800 |
| CM0707-II-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT | 27000 |
| CM0707-II-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT | 36000 |
| CM0707-II-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT | 50355 |
| CM0881 A-I-a : THALASSEMIA MAJOR (upto) | 6300 |
| 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 |
| CM0879-I-a :LAPAROSCOPIC - ECTOPIC RESECTION | 19215 |
| CM0629-II-a : OBSCURE BLEED - Conservative management including Capsule endoscopy | 27000 |
| CM0629-II-b : OBSCURE BLEED - Conservative | 9000 |
| CM0629-II-c : NON VARICEAL BLEED - CLIPPING | 27000 |
| CM0629-II-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION | 41535 |
| CM0629-II-e : NON VARICEAL BLEED - CONSERVATIVE | 9000 |
| CM0774 A : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 18045 |
| CM0820-I-A : Amputation of AK / BK | 27000 |
| CM0820-I-B : Amputation of AE / BE | 22500 |
| CM0820-I-C : Amputation of Fore-Foot | 13500 |
| CM0820-I-E : Amputation of Toes | 6300 |
| CM0820-I-F : Amputation of Fingers | 9000 |
| CM0820-I-G : Trans Meta-Tarsal Amputation | 13500 |
| CM0879-I-b :LAPROTOMY - ECTOPIC RESECTION | 10800 |
| CM0898 A : COLONIC PULL THROW | 45000 |
| CM0898 B : COLOPLASTY | 27000 |
| CM0898 C : ABDOMINAL RESECTION | 36000 |
| CM0905-IA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 40500 |
| CM0905-IB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 31500 |
| CM0774 B : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 18045 |
| CM0183a : Neck/ Shaft Of Femur ORIF | 20025 |
| CM0183b : IM Nailing | 13500 |
| CM0183c : Shaft of Other Long Bones (Humerus) | 15300 |
| CM0183d : Tibia | 13500 |
| CM0183e : Radius, Fibula, Ulna (ORIF) | 13500 |
| CM0183f : Clavicle ( CRIF) (Displaced) | 7200 |
| CM0183g : Clavicel (ORIF) (Displaced) | 10800 |
| CM0183h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 20025 |
| CM0183i : Bimalleolar Fracture | 13500 |
| CM0183j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 13500 |
| CM0183k : Closed Reduction and Pinning / Tens Nail | 10800 |
| CM0183l : Closed Reduction and Internal Fixation with K wire | 5400 |
| CM0183m : Tension Band wiring | 10800 |
| CM0184a : Neck/ Shaft Of Femur ORIF | 20025 |
| CM0184b : IM Nailing | 13500 |
| CM0184c : Shaft of Other Long Bones (Humerus) | 15300 |
| CM0184d : Tibia | 13500 |
| CM0184e : Radius, Fibula, Ulna (ORIF) | 13500 |
| CM0184f : Clavicle ( CRIF) (Displaced) | 7200 |
| CM0184g : Clavicel (ORIF) (Displaced) | 10800 |
| CM0184h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 20025 |
| CM0184i : Bimalleolar Fracture | 13500 |
| CM0184j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 13500 |
| CM0184k : Closed Reduction and Pinning / Tens Nail | 10800 |
| CM0184l : Closed Reduction and Internal Fixation with K wire | 5400 |
| CM0184m : Tension Band wiring | 10800 |
| CM0186A-i : IMPLANT EXIT- K-WIRES - Single | 1350 |
| CM0186A-ii : IMPLANT EXIT- K-WIRES - Multiple | 2250 |
| CM0186A-iii : IMPLANT EXIT- SCREWS - single (Open) | 3600 |
| CM0186A-iv : IMPLANT EXIT- SCREWS - Multiple (Open) | 6750 |
| CM0186A-v : IMPLANT EXIT- SCREWS - single (Closed) | 1800 |
| CM0186A-vi : IMPLANT EXIT- SCREWS - Multiple (Closed) | 2700 |
| CM0186A-vii : IMPLANT EXIT- OTHER MINOR IMPLANTS (TENS, TBW, etc) - Solitary | 4500 |
| CM0186A-viii : IMPLANT EXIT- OTHER MINOR IMPLANTS (Pins / TENS, TBW, etc) - Multiple | 6975 |
| CM0186B-i : IMPLANT EXIT- PLATES (Open) | 11250 |
| CM0186B-ii : IMPLANT EXIT- Femoral Screws / IM Nails / Rush Nail (Open) | 9000 |
| CM0186B-iii : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(complete exit) (eg- L2-L3, L3-L4) | 15750 |
| CM0186B-iv : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(partial exit) (eg- L2-L3, L3-L4) | 13500 |
| CM0186B-v : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(complete exit) (eg- L2-L3, L3-L4, L4-L5) | 18450 |
| CM0186B-vi : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(partial exit) (eg- L2-L3, L3-L4, L4-L5) | 15750 |
| CM0186B-vii : IMPLANT EXIT- Bipolar, etc | 13500 |
| CM0186B-viii : IMPLANT EXIT - Other Major implants | 11250 |
| CM0187a : ARTHRODESIS OF JOINTS - HIP | 24300 |
| CM0187b : ARTHRODESIS OF JOINTS - SHOULDER / KNEE | 18000 |
| CM0187c : ARTHRODESIS OF JOINTS - ELBOW/ ANKLE / WRIST | 13500 |
| CM0187d : ARTHRODESIS OF JOINTS - ANKLE - Triple Arthrodesis | 14400 |
| CM0187e : ARTHRODESIS OF JOINTS - HAND / FOOT | 9000 |
| CM0192-A : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING | 22500 |
| CM0192-B : ILIZAROV RING FIXATOR APPLICATION- TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING | 16200 |
| CM0193-A : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV/RESISTANT CTEV BY JESS FIXATION | 40275 |
| CM0195-A : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION | 27000 |
| CM0195-B : KNEE LIGAMENT RECONSTRUCTION-MPFL RECONSTRUCTION | 22500 |
| CM0204- b : ACETABULAR FRACTURES | 26550 |
| CM0204-a : CORRECTION SACRO ILLIAC JOINT | 18000 |
| CM0625-II A : AMPUTATIONS - FORE QUARTER | 36000 |
| CM0625-II B : AMPUTATIONS - HIND QUARTER / Internal Hemipelvectomy | 36000 |
| CM0625-II C : AMPUTATIONS - HIND QUARTER / External Hemipelvectomy | 36000 |
| CM0722-II-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA | 9023 |
| CM0722-II-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE | 9023 |
| CM0722-II-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING | 4500 |
| CM0807-a - I : Cementing (only as Addon) | 4500 |
| CM0807-a : BONE RESECTION | 22500 |
| CM0807-b - I : Cementing (only as Add on) | 4500 |
| CM0807-b : BONE Curettage | 13500 |
| CM0820-II-A : Amputation of AK / BK | 27000 |
| CM0820-II-B : Amputation of AE / BE | 22500 |
| CM0820-II-C : Amputation of Fore-Foot | 13500 |
| CM0820-II-E : Amputation of Toes | 6300 |
| CM0820-II-F : Amputation of Fingers | 9000 |
| CM0820-II-G : Trans Meta-Tarsal Amputation | 13500 |
| CM0820-III-a : Amputation of great toe | 6300 |
| CM0820-III-b : Amputation toe- single | 4500 |
| CM0820-III-c : Amputation toe- Multiple | 6300 |
| CM0820-III-d : Amputation of Finger - single | 6300 |
| CM0820-III-e : Amputation of Finger - Multiple | 9000 |
| CM0820-III-f : Transmetatarsal Amputation | 9000 |
| CM0861-II-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) | 38700 |
| CM0861-II-B : POSTERIOR DISCECTOMY WITH BONE GRAFT | 29700 |
| CM0861-II-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY | 22500 |
| CM0715A : CLEFT LIP - Unilateral | 9000 |
| CM0715B : CLEFT LIP - Bilateral | 14490 |
| CM0718A-II : MICROTIA/ANOTIA - STAGE 1 | 9000 |
| CM0718A-IV : MICROTIA/ANOTIA - STAGE 1 (with artificial Implant) | 22860 |
| 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 | 4500 |
| 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 | 9000 |
| 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 | 17100 |
| 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 | 25200 |
| 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 | 6300 |
| 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 | 27000 |
| 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 | 18000 |
| 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 | 36000 |
| 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 | 44820 |
| 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 | 54900 |
| 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 | 67320 |
| 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 | 72900 |
| 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 | 90000 |
| CM0165a : Fingers | 3600 |
| CM0165b : Neck - MILD (LESS THAN 1/3RD) - Flexion and extension videos to be uploaded | 13500 |
| CM0165c : Others (elbow, thigh, etc) | 9000 |
| CM0165d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 5400 |
| CM0166a : Fingers | 5400 |
| CM0166b : Neck - MODERATE (1/3RD TO 2/3RD) - Flexion and extension videos to be uploaded | 22500 |
| CM0166c : Others (elbow, thigh, etc) | 13500 |
| CM0166d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 5400 |
| CM0167a : Fingers | 7200 |
| CM0167b : Neck - SEVERE (> 2/3RD) - Flexion and extension videos to be uploaded | 29700 |
| CM0167c : Others (elbow, thigh, etc) | 18000 |
| CM0167d : Pressure Garments and Physiotherapy (2 weeks) - only as an addon | 5400 |
| CM0168a : PTOSIS Single | 13500 |
| CM0168b : PTOSIS Bilateral | 22050 |
| CM0175a : Polydactyly - Simple | 4500 |
| CM0175b : Polydactyly - Bone and neurovascular bundle | 9000 |
| CM0175c : Simple syndactyly (per finger) | 5400 |
| CM0175d : Complex syndactyly (per finger) | 9000 |
| CM0175e : Radial clubhand | 13500 |
| CM0175f : Ulnar clubhand | 13500 |
| CM0175g : Macrodactyly | 15750 |
| CM0175h : Others minor (will be paid as per procedure) Upto | 9000 |
| CM0175i : Others major (will be paid as per procedure) Upto | 23940 |
| CM0176a : PRESSURE SORE RECONSTRUCTIVE SURGERY - SSG - per 10 sq CM (upto) | 10800 |
| CM0176b : PRESSURE SORE RECONSTRUCTIVE SURGERY - Single Rotation FLAP - per 10 sq CM (upto) - per 10 sq CM (upto) | 13500 |
| CM0176c : PRESSURE SORE RECONSTRUCTIVE SURGERY - Bilateral FLAP - per 10 sq CM (upto) | 18000 |
| CM0176d : PRESSURE SORE RECONSTRUCTIVE SURGERY - Musculocutaneous flap - per 10 sq CM (upto) | 27000 |
| CM0176e : PRESSURE SORE RECONSTRUCTIVE SURGERY - Fasciocutaneous flap - per 10 sq CM (upto) | 22500 |
| CM0176f : PRESSURE SORE RECONSTRUCTIVE SURGERY - Tensor fascia lata flap - per 10 sq CM (upto) | 39510 |
| CM0176g : others (payable based on the procedure carried out) (upto) | 39510 |
| CM0177a : single closure | 18000 |
| CM0177b : Fascia Lata Graft | 31500 |
| CM0177c : Mesh Closure | 22500 |
| CM0177d : Local Flaps | 18000 |
| CM0177e : Myocutaneous Transposition | 31500 |
| CM0177f : TRAM | 39510 |
| CM0178a : Unilateral | 9000 |
| CM0178b : Bilateral | 14400 |
| CM0716A : CLEFT PALATE - Partial | 13500 |
| CM0716B : CLEFT PALATE - Complete | 18090 |
| CM0716C : CLEFT PALATE - Sub mucous (before 1.5 years of age) | 18090 |
| CM0717A : Simple syndactyly (Per finger) | 5400 |
| CM0717B : Complex Syndactyly (Per finger) | 9000 |
| CM0717C : Simple syndactyly (Per finger) | 13500 |
| CM0717D : Complex Syndactyly (Per hand) | 23940 |
| CM0718A-I : MICROTIA/ANOTIA - STAGE 1 | 22860 |
| CM0718A-III : MICROTIA/ANOTIA - STAGE 1 (with cartilage autograft) | 13500 |
| CM0722-III-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA | 9023 |
| CM0722-III-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE | 9023 |
| CM0722-III-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING / Archbar | 4500 |
| CM0814-II-a : VASCULAR MALFORMATIONS- Sclerotherapy | 11700 |
| CM0814-II-b : VASCULAR MALFORMATIONS- Sclerotherapy and Excision | 23625 |
| CM0816A-i : FLAP SURGERIES CUTANEOUS- UPPER LIMB | 18000 |
| CM0816A-ii : FLAP SURGERIES CUTANEOUS- LOWER LIMB | 10800 |
| CM0861-I-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) | 38700 |
| CM0861-I-B : POSTERIOR DISCECTOMY WITH BONE GRAFT | 29700 |
| CM0861-I-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY | 22500 |
| CM0862A : ANTERIOR DISCECTOMY WITHOUT IMPLANTS | 27000 |
| CM0862B : ANTERIOR DISCECTOMY WITH IMPLANTS | 38835 |
| CM0947 A : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES ( MORE THAN 4 LEVELS) | 67500 |
| CM0947 B : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES LESS THAN 4 LEVELS) | 45000 |
| CM0947C : SPINAL DEFORMITY STABILISATION/CORRECTION PROCEDURES WITH VERTERBROPLASTY | 40500 |
| CM1038 : Drainage of Subdiaphramatic Abscess | 9000 |
| CM1046 : Excision Benign Tumor -Small intestine | 13500 |
| CM1067 : IlieoSigmoidostomy | 15300 |
| CM1076 : Repair of Common Bile Duct | 13500 |
| CM1083 : Pharyngectomy& Reconstruction - Total | 18000 |
| CM1084 : Tracheoplasty (Throat) | 13500 |
| CM1088 : Estlander Operation (lip) | 6300 |
| CM1093 : Operation for carcinoma lip- cheek advancement | 10800 |
| CM1096 : Resection Enucleation of Adenoma (lung) | 9000 |
| CM1099 : Thoracoplasty | 18000 |
| CM1100 : Thoracoscopic Segmental Resection | 22500 |
| CM1101 : Thoracoscopic Sympathectomy | 13500 |
| CM1191 : Abdominal Perineal neo construction Cx + Uteria + Vagina | 18000 |
| CM1198 : Brust abdomen repair | 12600 |
| CM1212 : Intrauterine transfusions | 9000 |
| CM1220 : Fixator with Joint Arthrolysis | 18000 |
| CM1223 : Pelvic Osteotomy with fixation with plaster | 27000 |
| CM1276 : Duroplasty - Endogenous | 11250 |
| CM1277 : Duroplasty - Exogenous | 36225 |
| CM1279 : Micro discectomy - Cervical | 36000 |
| CM1283 : Cranial Nerve Anastomosis | 28800 |
| CM1286 : Additonal clip for Aneurysm Clipping | 13500 |
| CM1288 : Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure | 54000 |
| CM0692-III : ACUTE STROKE THROMBOLYSIS (R TPA ) | 67725 |
| 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 |
| CM0522-A : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) COVID POSITIVE 1 TO 5 DAYS | 50000 |
| CM0522-B : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) COVID POSITIVE 6 TO 10 DAYS | 50000 |
| CM0522-C : ACUTE RESPIRATORY FAILURE (WITHOUT VENTILATOR) COVID POSITIVE - RECOVERY PHASE - POST VENTILATOR PHASE | 50000 |
| CM0523-A : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS) COVID POSITIVE 1 TO 7 DAYS | 98000 |
| CM0523-B : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS) COVID POSITIVE 8 TO 14 DAYS | 98000 |
| CM0960-1-A : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED) COVID POSITIVE 1 TO 5 DAYS | 55000 |
| CM0960-1-B : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED ) COVID POSITIVE 6 TO 10 DAYS | 55000 |
| CM0960-1-C : SEPTIC SHOCK (ICU MANAGEMENT - NON VENTILATED) COVID - RECOVERY PHASE | 55000 |
| CM0960-2-A : SEPTIC SHOCK (ICU MANAGEMENT - VENTILATORY SUPPORT) COVID POSITIVE 1 TO 7DAYS | 105000 |
| CM0960-2-B : SEPTIC SHOCK (ICU MANAGEMENT - VENTILATORY SUPPORT) COVID POSITIVE 8 TO 14 DAYS | 105000 |
| CM0988-A : CRITICAL CARE ICU MANAGEMENT (RESPIRATORY DISTRESS/METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION COVID POSITIVE 1 TO 7 DAYS | 105000 |
| CM0988-B : CRITICAL CARE ICU MANAGEMENT (RESPIRATORY DISTRESS/METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION COVID POSITIVE 8 TO 14 DAYS | 105000 |
| CM01600-I-A : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 1 TO 5 DAYS | 25000 |
| CM01600-I-B : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 6 TO 10 DAYS | 25000 |
| CM01600-II-A : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 1 TO 5 DAYS | 25000 |
| CM01600-II-B : COVID POSITIVE - MILDLY SYMPTOMATIC/NON CRITICAL MANAGEMENT 6 TO 10 DAYS | 25000 |
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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