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|
| Packages | Rate |
|---|---|
| CM0180 : TOTAL ELBOW REPLACEMENT | 47000 |
| CM0181 : SHOULDER REPLACEMENT | 48000 |
| CM0182 : RADIAL HEAD REPLACEMENT | 33000 |
| 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) | 22250 |
| 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 | 22250 |
| CM0185 : SKELETAL SKULL TRACTION | 30350 |
| CM0186A : IMPLANT EXIT- K-WIRES /SCREWS/OTHER MINOR IMPLANTS | 7750 |
| CM0186B : IMPLANT EXIT- PLATES (SPINE IMPLANTS/OTHER MAJOR IMPLANT) | 20500 |
| CM0187 : ARTHRODESIS OF JOINTS -SHOULDER/ HIP / KNEE /ELBOW/ ANKLE / WRIST / HAND / FOOT | 27000 |
| CM0192 : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING/TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING /PLATING/EXTERNAL FIXATOR/K WIRES | 39750 |
| CM0193 : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV-CTEV CORRECTIVE SURGERY /CTEV PONSETTI CORRECTION (FOLLOW UP PROCEDURES)/CTEV ILIZAROV | 44750 |
| CM0195 : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION/MPFL RECONSTRUCTION | 30000 |
| CM0203 : SURGICAL CORRECTION FOR PELVIC BONE FRACTURES | 32250 |
| CM0204 : CORRECTION SACRO ILLIAC JOINT / ACETABULAR FRACTURES | 29500 |
| CM0205 : TOTAL KNEE REPLACEMENT | 65000 |
| CM0206A : TOTAL HIP REPLACEMENT- CEMENTED | 66750 |
| CM0206B : TOTAL HIP REPLACEMENT-UNCEMETED | 76750 |
| CM0291 : CRANIOTOMY AND EVACUATION OF HAEMATOMA | 58250 |
| CM0292A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 63250 |
| CM0292B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 68250 |
| CM0293A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 63250 |
| CM0293B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 68250 |
| CM0294A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) ( SUPRATENTORIAL- FRONTAL/PARIETAL/TEMPORAL/SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) | 63250 |
| CM0294B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDES SUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR) | 68250 |
| CM0295A : SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT | 26950 |
| CM0295B : LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL | 28950 |
| CM0296A : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT-REVISION | 26950 |
| CM0296B : SHUNT SURGERIES-SHUNT DYSFUNTION - SHUNT SURGERIES-VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT/ VENTRICULOPLEURAL SHUNT- REPLACEMENT | 29950 |
| CM0296C : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REVISION | 28950 |
| CM0296D : SHUNT SURGERIES-SHUNT DYSFUNTION - FAILURE/REVISION OF SHUNT ;LUMBAR PERITONEAL/SYRINGO SUBARACHANOID /CYSTO PERITONEAL - REPLACEMENT | 31950 |
| CM0297 : SHUNT SURGERIES - VP SHUNT WITH PROGRAMMABLE SHUNT | 40950 |
| CM0298 : TWIST DRILL CRANIOSTOMY | 19950 |
| CM0299 : SUBDURAL TAPPING | 19950 |
| CM0300 : VENTRICULAR TAPPING | 19951 |
| CM0301 : BRAIN ABSCESS & OTHER INFECTIVE LESION - BURR HOLE /TAPPING | 19952 |
| CM0302 : CRANIOTOMY / EXCISION OF ABSCESS & OTHER INFECTIVE LESION | 27253 |
| CM0303 : C.S.F. RHINORRHOEA & ACF REPAIR | 53250 |
| CM0304 : CRANIOPLASTY | 40250 |
| CM0305 : EXTERNAL VENTRICULAR DRAINAGE (EVD) | 27550 |
| CM0306 : EXCISION OF LOBE (FRONTAL, TEMPORAL, PARIETAL , CEREBELLUM ETC) | 56250 |
| CM0307 : PARASAGITAL LESION (INCLUDES VENTRICULAR LESIONS & CYSTS ) | 53250 |
| CM0308 : BASAL LESION | 60250 |
| CM0309 : BRAIN STEM LESION | 73250 |
| CM0310 : C P ANGLE LESION | 73250 |
| CM0311 : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE | 49750 |
| CM0312 : STEREOTACTIC PROCEDURES- ABLATION | 105750 |
| CM0313 : STEREOTACTIC PROCEDURES- BIOPSY | 49750 |
| CM0314 : DE-COMPRESSIVE CRANIECTOMY (NON TRAUMATIC / CVA INFARCT) | 58250 |
| CM0315 : INTRA-CEREBRAL HEMATOMA EVACUATION | 58250 |
| CM0316 : SUBDURAL HEMORRHAGE/ DECOMPRESSION FOR CONTUSION & ICH | 58250 |
| CM0317A : DECOMPRESSION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) | 65750 |
| CM0317B : EXCISION - OPTIC NERVE LESION (INCLUDES PROPTOSIS) | 64750 |
| CM0317C : DECOMPRESSION - ORBITAL TUMOR (INCLUDES PROPTOSIS) | 47550 |
| CM0317D : EXCISION - ORBITAL TUMOR (INCLUDES PROPTOSIS) | 47550 |
| CM0318 : TEMPORAL LOBECTOMY | 43250 |
| CM0319 : LESIONECTOMY | 122250 |
| CM0320 : TEMPORAL LOBECTOMY PLUS DEPTH ELECTRODES | 49150 |
| CM0321 : MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA | 54050 |
| CM0322 : MENINGO ENCEPHALOCELE /MENINGO MYELOCELE /MENINGOCELE EXCISION/LIPOMENINGOCELE (AT ANY LEVEL REPAIR) | 32550 |
| CM0323 : DERMAL SINUS WITH INTRADURAL EXTENSION/TETHERED CORD /RELEASE OF TIGHT FILUM | 31550 |
| CM0324 : ARNOLD CHIARI MALFORMATION - FORAMEN MAGNUM DECOMPRESSION | 61550 |
| CM0325 : INTRACRANIAL FOREIGN BODY REMOVAL | 58250 |
| CM0326A : DEPRESSED FRACTURE ( WITH HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 23950 |
| CM0326B : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 33050 |
| CM0326C : DEPRESSED FRACTURE ( WITH HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA | 50050 |
| CM0326D : DEPRESSED FRACTURE ( WITH HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR MORE THAN 3 CM SQ | 42050 |
| CM0326E : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - EXCISION- TRAUMA /OTHER THAN TRAUMA | 19550 |
| CM0326F : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA FOR 3 CM SQ | 29050 |
| CM0326G : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - BONE FLAP REMOVAL POST CRANIOPLASTY TRAUMA /OTHER THAN TRAUMA | 38050 |
| CM0326H : DEPRESSED FRACTURE ( WITHOUT HEMATOMA) - ELEVATION /SCREW & FIXATION -TRAUMA /OTHER THAN TRAUMA MORE THAN FOR 3 CM SQ | 38050 |
| CM0327A : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR 3 CM SQ | 45470 |
| CM0327B : BONY LESION OF SKULL (PRIMARY BENIGN /MALIGNANT, SECONDARIES) FOR MORE THAN 3 CM SQ | 47470 |
| CM0328A : SPONTANEOUS ICH - CRANIOTOMY & EVACUATION | 59750 |
| CM0328B : SPONTANEOUS ICH - DECOMPRESSIVE CRANIECTOMY | 52750 |
| CM0329A : DEEP BRAIN STIMULATION E-COG with Brain mapping (MRI, FMRI with 3D- Mapping) | 92750 |
| CM0329B : DEEP BRAIN STIMULATION with E-COG, Brain mapping, intra-operative neuronavigation techniques & I-O CT/ MRI guided Stereotactic Stimulation | 117750 |
| CM0330 : INTRATHECAL PUMP IMPLANT | 43250 |
| CM0331 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF INTRAVENTRICULAR LESION | 58550 |
| CM0332 : NEURO ENDOSCOPY PROCEDURES-EXCISION OF SUPRATENTORIAL LESION | 62050 |
| CM0333 : NEURO ENDOSCOPY PROCEDURES-SPINAL ENDOSCOPY FOR DISCECTOMY | 40550 |
| CM0334 : NEURO ENDOSCOPY PROCEDURES-ENDOSCOPIC THIRD VENTRICULOSTOMY | 47050 |
| CM0335 : CERVICAL / LUMBAR SYMPATHECTOMY | 32450 |
| CM0336 : D V T - IVC FILTER | 72350 |
| CM0337 : PERIPHERAL EMBOLECTOMY WITHOUT GRAFT | 27500 |
| CM0338 : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL | 39750 |
| CM0339 : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE | 74000 |
| CM0340 : ARTERIAL EMBOLECTOMY | 28250 |
| CM0341 : VASCULAR TUMORS | 39550 |
| CM0342 : SMALL ARTERIAL ANEURYSMS - REPAIR | 19000 |
| CM0343 : MEDIUM SIZE ARTERIAL ANEURYSMS - REPAIR | 46500 |
| CM0344 : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT | 73500 |
| CM0345 : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION | 69250 |
| CM0346 : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR | 45750 |
| CM0347A : AORTO - BILLIAC - BIFEMORAL BYPASS WITH VEIN | 79250 |
| CM0347B : AORTO - BILLIAC - BIFEMORAL BYPASS WITH SYNTHETIC GRAFT | 92750 |
| CM0348 : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT | 94250 |
| CM0349 : FEMORO DISTAL BYPASS WITH VEIN GRAFT | 56250 |
| CM0350 : FEMORO DISTAL BYPASS WITH SYNTHETIC GRAFT | 78750 |
| CM0351 : AXILLO BRACHIAL BYPASS USING SYNTHETIC GRAFT | 62250 |
| CM0352 : BRACHIO - RADIAL BYPASS WITH SYNTHETIC GRAFT | 47750 |
| CM0353 : FEMORO- POPLITEAL BYPASS WITH GRAFT | 55750 |
| CM0354 : FEMORO- POPLITEAL BYPASS WITHOUT GRAFT | 30250 |
| CM0355 : FEMORO ILEAL BYPASS WITH GRAFT | 45250 |
| CM0356 : FEMORO ILEAL BYPASS WITHOUT GRAFT | 23250 |
| CM0357 : FEMORO FEMORAL BYPASS WITH GRAFT | 44750 |
| CM0358 : FEMORO FEMORAL BYPASS WITHOUT GRAFT | 24250 |
| CM0359 : AORTO RENAL BYPASS | 49750 |
| CM0360 : AORTO MESENTRIC BYPASS | 49750 |
| CM0361 : CAROTID SUBCLAVIAN ARTERY BYPASS WITH SYNTHETIC GRAFT | 74250 |
| CM0362 : AXILLO AXILLARY BYPASS WITH SYNTHETIC GRAFT | 51250 |
| CM0363 : SUBCLAVIAN SUBCLAVIAN BYPASS WITH SYNTHETIC GRAFT | 52250 |
| CM0364 : CAROTID BODY TUMOR - EXCISION | 43300 |
| CM0365 : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT | 92250 |
| CM0366 : SURGERY WITHOUT GRAFT FOR ARTERIAL INJURIES OR VENOUS INJURIES | 10750 |
| CM0367 : VASCULAR INJURY IN UPPER LIMBS - AXILLARY, BRANCHIAL, RADIAL AND ULNAR - REPAIR WITH VEIN GRAFT | 34000 |
| CM0368 : MAJOR VASCULAR INJURY -REPAIR - LOWER LIMBS(INCLUDING FOOT) | 41750 |
| CM0369 : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (INCLUDING FOOT) | 18250 |
| CM0370 : SURGERY WITH VEIN GRAFT | 16500 |
| CM0371 : WITH PROSTHETIC GRAFT | 40000 |
| CM0372 : NECK VASCULAR INJURY - CAROTID VESSELS | 90750 |
| CM0373 : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS | 90750 |
| CM0374 : THORACIC VASCULAR INJURIES | 90750 |
| CM0375 : VARICOSE VEINS RFA FOR B/L | 37500 |
| CM0376 : COVERED STENT PLACEMENT FOR ANEURSYM / MURAL THROMBOSIS- Aorto-illiac | 143750 |
| CM0377A : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - STK | 49750 |
| CM0377B : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (CATHETER DIRECTED THROMBOLYSIS) - RTPA | 72750 |
| CM0378 : BRACHIO - BASILIC TRANSPOSITION FOR HEMODIALYSIS ACCESS | 22000 |
| CM0379 : VERTEBRAL ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE | 70750 |
| CM0380A : END ARTERECTOMY FOR PERIPHERAL ARTERIES | 35000 |
| CM0380B : END ARTERECTOMY FOR PERIPHERAL ARTERIES / PATCH CLOSURE | 40000 |
| CM0381 : END ARTERECTOMY FOR LARGE ARTERIES | 49750 |
| CM0382 : THROMBIN INJECTION UNDER DUPLEX GUIDANCE FOR PSEUDOANEURYSM | 19000 |
| CM0383 : PSEUDOANEURYSM MANAGEMENT WITH USG COMPRESSION THERAPY | 9750 |
| CM0384 : PSEUDOANEURYSM LIGATION | 34750 |
| CM0385 : PROFUNDA PLASTY | 30250 |
| CM0388 : SYSTEMIC THROMBOLYSIS IN PERIPHERAL ARTERY DISEASE | 15000 |
| CM0389A : REDO BYPASS AFTER GRAFT THROMBOSIS - VEIN GRAFT | 49750 |
| CM0389B : REDO BYPASS AFTER GRAFT THROMBOSIS - SYNTHETIC GRAFT | 56750 |
| CM0390A : ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH | 63000 |
| CM0390B : ENDOVASCULAR AORTIC REPAIR - WITH PATCH | 98250 |
| CM0391A : THORACIC ENDOVASCULAR AORTIC REPAIR - WITHOUT PATCH | 91750 |
| CM0391B : THORACIC ENDOVASCULAR AORTIC REPAIR - WITH PATCH | 119250 |
| CM0392 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL | 153000 |
| CM0393 : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL | 195500 |
| CM0394 : TUMOR RESECTION WITH VASCULAR RECONSTRUCTION | 67050 |
| CM0395 : GRAFT THROMBECTOMY BYPASS / AV ACCESS SURGERY | 21250 |
| CM0396 : SARTORIUS/ GRACILIS MUSCLE FLAP COVER FOR VASCULAR COVER | 29250 |
| CM0471 : ECLAMPSIA WITH COMPLICATIONS REQUIRING VENTILATORY SUPPORT | 27750 |
| CM0472 : ECLAMPSIA WITH COMPLICATIONS & HELLP SYNDROME | 23250 |
| CM0473 : ABRUPTIO-PLACENTA WITH OUT COAGULATION DEFECTS (DIC) | 19550 |
| CM0474 : ABRUPTIO-PLACENTA WITH COAGULATION DEFECTS (DIC) | 25550 |
| CM0477 : SLINGS WITH MESH REPAIR FOR PROLAPSE | 18050 |
| CM0478A : VAULT PROLAPSE ABDOMINAL REPAIR WITHOUT MESH | 16050 |
| CM0478B : VAULT PROLAPSE ABDOMINAL REPAIR WITH MESH | 17050 |
| CM0480 : LAPAROSCOPIC MYOMECTOMY | 21050 |
| CM0481 A : RECANALISATION ANY TYPE- open | 14550 |
| CM0481 B : RECANALISATION ANY TYPE- lap | 19050 |
| CM0482 : STAGING LAPROTOMY FOR OVARIAN AND UTERINE CA | 27000 |
| CM0484 : LAPAROSCOPIC SLING OPERATIONS | 23550 |
| CM0485A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY | 19050 |
| CM0485B : PPH SURGICAL MANAGEMENT -LIGATION/ EMBOLIZATION | 16050 |
| CM0501 : ACUTE BRONCHITIS AND PNEUMONIA WITH RESPIRATORY FAILURE | 40000 |
| CM0502 : REQUIRING VENTILATORY SUPPORT -OP POISIONING / METABOLIC COMA/SCORPION STING/ SNAKE BITE / BITES & STINGS - MAX 7 DAYS | 31500 |
| CM0512 : RAPIDLY PROGRESSIVE RENAL FAILURE (RPRF) | 36345 |
| CM0513 : MAINTANENCE HEMODIALYSIS FOR CRF (8 DIALYSIS) INCLUDING SEROPOSITIVE | 8000 |
| CM0514 : PERITONEAL DIALYSIS/CAPD | 12080 |
| CM0515 : CHRONIC INFLAMMATORY DEMYELINATING POLY NEUROPATHY | 14550 |
| CM0516A : HEMORRHAGIC STROKE | 30000 |
| CM0516B : ISCHEMIC STROKE | 18000 |
| CM0573 A : CYSTOLITHOTRIPSY | 14000 |
| CM0573 B : CYSTOLITHOTRIPSY - LASER LITHOTRIPSY | 17000 |
| CM0573 C : RETROGRADE INTRARENAL SURGERY | 28000 |
| CM0574 : PERCUTANEOUS NEPHROLITHOTOMY | 31000 |
| CM0575 : EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY | 20000 |
| CM0576 : URETERO RENOSCOPIC LITHOTRIPSY | 22000 |
| CM0577 : SINGLE STAGE URETHROPLASTY FOR STRICTURE URETHRA | 46000 |
| CM0578 : BUCCAL MUCOSAL GRAFT- URETHROPLASTY | 35000 |
| CM0579 A : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE I | 25000 |
| CM0579 B : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - STAGE II | 35000 |
| CM0580 : DOUBLE STAGE URETHROPLASTY FOR STRICTURE URETHRA - RECONSTRUCTION PROCEDURE | 35000 |
| CM0581 : ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALCULUS | 45000 |
| CM0582 A : RENAL CYST EXCISION - LAP | 25000 |
| CM0582 B : RENAL CYST EXCISION - OPEN | 25000 |
| CM0583 A : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - LAP | 40000 |
| CM0583 B : NEPHRECTOMY PYONEPHROSIS/XANTHO GRANULOMATOUS PYELONEPHRITIS - OPEN | 40000 |
| CM0584 : ENDOSCOPE REMOVAL OF STONE IN BLADDER | 14000 |
| CM0585 : URETERIC INJURY REPAIR | 30000 |
| CM0586 : BLADDER INJURY REPAIR | 30000 |
| CM0587 : URETERIC REIMPLANTATION | 40000 |
| CM0588 : VESICO VAGINAL FISTULA | 30000 |
| CM0589 : CLOSURE OF URETHRAL FISTULA | 22000 |
| CM0590 : OPTICAL URETHROTOMY | 25000 |
| CM0591 : PERINEAL URETHROSTOMY | 20000 |
| CM0592 : ANDERSON HYNES PYELOPLASTY | 35000 |
| CM0593 A : CAECO CYSTOPLASTY / AUGMENTATION - CYSTOPLASTY | 32000 |
| CM0593 B : BLADDER NECK INCISION (BNI) | 20000 |
| CM0594 : SUPRA PUBLIC CYSTOSTOMY | 8000 |
| CM0595 : DIVERTICULECTOMY /PERSISTENT URACHUS | 20000 |
| CM0596 : URACHAL SINUS/TUMOR / EXCISION | 20000 |
| CM0597 : INCONTINENCE URINE- (MALE)/ (FEMALE-INCLUDING CYSTOSCOPY OTIS URETHROTOMY) | 15000 |
| CM0598 : TRANSURETHRAL RESECTION OF PROSTATE (TURP) | 27000 |
| CM0599 : TURP WITH CYSTOLITHOTRIPSY | 28000 |
| CM0600 : CHORDEE CORECTION | 15000 |
| CM0615-II : CAROTID EMBOLECTOMY | 48850 |
| CM0616-II : PULMONARY EMBOLECTOMY WITH IVC FILTER | 73500 |
| CM0617-II : RENAL ANGIOPLASTY | 56750 |
| CM0618-II : VERTERBRAL ANGIOPLASTY | 62750 |
| CM0624-II : WERTHEIMS / RADICAL HYSTERECTOMY | 28550 |
| CM0625-II : AMPUTATIONS - FORE QUARTER / HIND QUARTER WITH OR WITHOUT HEMIPELVECTOMY | 40000 |
| CM0626 A : DENGUE SHOCK SYNDROME -(ADULT/PAEDIATRICS) | 22000 |
| CM0626 B : DENGUE HEMORRHAGIC FEVER -(ADULT/PAEDIATRICS) | 18000 |
| CM0628-I : NEPHROSTOMY | 8000 |
| CM0628-II : NEPHROSTOMY | 8000 |
| CM0629-II : OBSCURE/ NON VARICEAL BLEED- CLIPPING / ARGON PLASMA COAGULATION/ INJECTION/CONSERVATIVE | 46150 |
| CM0630 A-II : MIXED CONNECTIVE TISSUE DISEASE-(METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE/ PULSE CYCLOPHOSPHAMIDE THERAPY | 16000 |
| CM0631A-II : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY ) | 12000 |
| 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) | 200000 |
| CM0635-II : OPEN PROSTATECTOMY | 30000 |
| CM0636-II : RADICAL PROSTATECTOMY | 50000 |
| CM0640 : USG GUIDED MAJOR PROCEDURES ( EG. LIVER ABSCESS,POST OP COLLECTIONS)DRAINAGE PIGTAIL INSERTION | 9500 |
| CM0641A-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION Solid organs) | 29000 |
| CM0641B-I : USG GUIDED MAJOR PROCEDURES (RF ABLATION other organs ) | 25000 |
| CM0641C-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION Solid organs) | 21500 |
| CM0641D-I : USG GUIDED MAJOR PROCEDURES (ETHANOL ABLATION other organs) | 39000 |
| CM0642A-I : USG GUIDED MINOR PROCEDURES (FNAC & BIPOSY) | 1500 |
| CM0642B-I : USG GUIDED MINOR PROCEDURES (SINOGRAPHY) | 2000 |
| CM0642C-I : USG GUIDED MINOR PROCEDURES (TAPPING) | 1500 |
| CM0643-II : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER | 95250 |
| CM0644-II : EMBOLIZATION OF AV MALFORMATION OF PERIPHERAL EXTREMITY, CRANIOFACIAL AND VISCERAL PER SITTING | 66750 |
| CM0645-II : GASTROINTESTINAL VISCERAL ARTERIAL EMBOLIZATION IN UPPER AND LOWER GASTROINTESTINAL BLEEDING WITH MICROCATHETER | 76250 |
| CM0646-II : BRONCHIAL ARTERY EMBOLIZATION IN HEMOPTYSIS USING PVA AND MICRO CATHETER | 55750 |
| CM0647-II : EMBOLIZATION OF POSTOPERATIVE/ POST TRAUMATIC BLEEDING | 81750 |
| CM0648-II : UTERINE ARTERY EMBOLIZATION IN SEVERE MENORRHAGIA SECONDARY TO PPH/UTERINE FIBROIDS / AVM | 52750 |
| CM0649-II : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS | 70250 |
| CM0650-II : EMBOLIZATION OF PULMONARY AV MALFORMATION | 73250 |
| CM0651-II : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX | 76250 |
| CM0652-II : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA | 92750 |
| CM0652-III : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA | 92750 |
| CM0653-II : PLAIN SIMPLE COILING OF ANEURYSM | 47750 |
| CM0654-II : BRAIN AVM EMBOLIZATION | 97750 |
| CM0654-III : BRAIN AVM EMBOLIZATION | 97750 |
| CM0655-II : TUMOR EMBOLIZATION | 83750 |
| CM0655-III : TUMOR EMBOLIZATION | 83750 |
| CM0656-II : PERIPHERAL AVM EMBOLIZATION | 76750 |
| CM0657-II : TRANS ARTERIAL CHEMOEMBOLIZATION | 91750 |
| CM0658-II : HEAD AND NECK TUMOR EMBOLIZATION | 73750 |
| CM0659-II : PSEUDOANEURYSM EMBOLIZATION | 45750 |
| CM0660-II : PROSTATIC ARTERY EMBOLIZATION | 43250 |
| CM0661-A-II : SPINAL AVM EMBOLIZATION | 48750 |
| CM0661-B-II : SPINAL AVM EMBOLIZATION | 58750 |
| CM0662-II : SPINAL DURAL FISTULA EMBOLIZATION | 61750 |
| CM0665-II : VEIN OF GALEN EMBOLIZATION | 66250 |
| CM0666-II : DURAL FISTULA EMBOLIZATION | 81250 |
| CM0668-II : SUPERFICIAL FEMORAL ARTERY ANGIOPLASTY ANY STENTING | 107250 |
| CM0669-II : FISTULA SALVAGE ANGIOPLASTY | 73250 |
| CM0670-II : CAROTID ARTERY STENTING WITH EMBOLIC PROTECTION DEVICE | 132750 |
| CM0671-II : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE | 110250 |
| CM0672-II : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY | 57250 |
| CM0673-II : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT | 104750 |
| CM0674-II : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA | 93250 |
| CM0675-II : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT | 93250 |
| CM0676-II : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT | 98250 |
| CM0677-II : INTRACRANIAL VENOUS STENTING | 123250 |
| CM0678-II : INTRACRANIAL ARTERIAL STENTING | 123250 |
| CM0679-II : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA | 123250 |
| CM0680-II : PERIPHERAL ANGIOPLASTY | 58250 |
| CM0681-II : PERIPHERAL ANGIOPLASTY AND STENTING | 63250 |
| CM0682-II : SVC ANGIOPLASTY AND STENTING | 105500 |
| CM0683-II : IVC ANGIOPLASTY | 63500 |
| CM0684-II : IVC ANGIOPLASTY AND STENTING | 109500 |
| CM0685-II : BELOW KNEE ANGIOPLASTY | 53250 |
| CM0686-II : SUBCLAVIAN ANGIOPLASTY STENTING | 108750 |
| CM0687-II : RENAL ANGIOPLASTY STENTING | 59750 |
| CM0688-II : DURAL SINUS ANGIOPLASTY AND STENTING | 65750 |
| CM0689-III : HEPATIC VEIN ANGIOPLASTY AND STENTING | 52750 |
| CM0690-II : CENTRAL VEIN STENOSIS ANGIOPLASTY | 105000 |
| CM0692-II : ACUTE STROKE THROMBOLYSIS (R TPA ) | 75250 |
| CM0693-II : INFERIOR VENA CAVA FILTER PLACEMENT | 78500 |
| CM0695-II : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE | 112750 |
| 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 |
| CM0707-II : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS | 55950 |
| CM0709 A-I : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. | 45000 |
| CM0709 A-III : LAP NEPHRECTOMY SIMPLE/HEMI/PARTIAL. | 45000 |
| CM0709 B-I : LAP NEPHRECTOMY-RADICAL | 45000 |
| CM0709 B-III : LAP NEPHRECTOMY-RADICAL | 45000 |
| CM0710 A-I : NEPHROURETERECTOMY OPEN | 40000 |
| CM0710 A-II : NEPHROURETERECTOMY OPEN | 40000 |
| CM0710 B-I : NEPHROURETERECTOMY LAP | 40000 |
| CM0710 B-II : NEPHROURETERECTOMY LAP | 40000 |
| CM0713-I : TRACHEOSTOMY | 5050 |
| CM0714-I : THOROCOSTOMY | 43400 |
| CM0722-II : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA | 20050 |
| CM0725-I : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 24650 |
| CM0725-IV : SKIN TUMOR/SOFT TISSUE/BONE TUMORS - EXCISION / AMPUTATION/RESECTION WITH RECONSTRUCTION | 24650 |
| CM0730 A-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 40000 |
| CM0730 A-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L OPEN | 40000 |
| CM0730 B-I : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 40000 |
| CM0730 B-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - U/L LAP | 40000 |
| CM0730 C-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 55000 |
| CM0730 C-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L OPEN | 55000 |
| CM0730 D-II : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 55000 |
| CM0730 D-III : URETERIC REIMPLANTATIONS/MEGA URETER OBSTRUCTIVE /REFLUXING - B/L LAP | 55000 |
| CM0731-I : HYPOSPADIAS | 30000 |
| CM0731-II : HYPOSPADIAS | 30000 |
| CM0732-I : EPISPADIAS | 42000 |
| CM0732-II : EPISPADIAS | 42000 |
| CM0733-I : TORSION TESTIS | 25000 |
| CM0733-II : TORSION TESTIS | 25000 |
| CM0734-I : URETEROCELE SURGERY | 30000 |
| CM0734-II : URETEROCELE SURGERY | 30000 |
| CM0735 A-I : OPEN CHOLECYSTECTOMY- RADICAL WITH OR WITHOUT CBD EXPLORATION | 50000 |
| CM0735 B-I : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 22000 |
| CM0735 B-II : OPEN CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 22000 |
| CM0736 A-I : LAP CHOLECYSTECTOMY- RADICAL WITH /WITHOUT CBD EXPLORATION | 50000 |
| CM0736 B-I : LAP CHOLECYSTECTOMY- ANY TYPE/ CBD EXPLORATION | 22000 |
| CM0737-I : LAP CHOLECYSTOSTOMY WITH /WITHOUT EXPLORATION CBD | 22000 |
| CM0738-I : OPEN CHOLECYSTOSTOMY | 20000 |
| CM0739-II : GASTRECTOMY ANY TYPE - ANY CAUSE | 39850 |
| CM0740-II : GASTRECTOMY ANY TYPE - ANY CAUSE WITH LYMPHADENECTOMY | 48850 |
| CM0743-II : ANTERIOR RESECTION | 50850 |
| CM0744-A-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH | 24550 |
| CM0744-B-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH /ILEOSTOMY | 49050 |
| CM0744-C-II : SEGMENTAL RESECTION/WEDGE RESECTION OF STOMACH/ WITH STAPLED ANASTOMOSIS | 74550 |
| CM0745-II : ABDOMINOPERINIAL RESECTION | 39350 |
| CM0746A-I : SPLENECTOMY WITHOUT DEVASCULARISATION -TRAUMATIC | 35000 |
| CM0751-IV : HEMIMANDIBULECTOMY | 25150 |
| CM0752-IV : MARGINAL MANDIBULECTOMY | 22450 |
| CM0753-IV : SEGMENTAL MANDIBULECTOMY | 22450 |
| CM0754 : LEIOMYOMA EXCISION | 12000 |
| CM0756 : SURGERIES FOR ENTERO CUTANEOUS FISTULA | 40000 |
| CM0757 : INCISIONAL HERNIA REPAIR WITHOUT MESH | 20000 |
| CM0758 : INCISIONAL HERNIA REPAIR WITH MESH | 25000 |
| CM0759A-i : CRANIOSYNOSTOSIS - STRIP CRANIECTOMY | 20000 |
| CM0759A-ii : CRANIOSYNOSTOSIS - ORBITO FACIAL ADVANCEMENT | 15000 |
| CM0759A-iii : CRANIOSYNOSTOSIS - PLASTIC SURGICAL CORRECTION | 15000 |
| CM0760-I : LIVER ABSCESS - OPEN DRAINAGE | 18000 |
| CM0761 : BRAIN - ANY BIOPSY | 49970 |
| CM0762 : SPINAL VASCULAR MALFORMATION (CONVENTIONAL/INTERVENTIONAL) | 44550 |
| CM0763A-I : RECTAL PROLAPSE - THEIRSCH WIRING | 15000 |
| CM0763B-I : RECTAL PROLAPSE - DEBULKING | 26000 |
| CM0763C-I : RECTAL PROLAPSE - LAPAROSCOPIC RECTOPEXY | 26000 |
| CM0770 A-III : TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE | 42000 |
| CM0770 B-III : SUB TOTAL COLECTOMY - OPEN/ LAPROSCOPIC -ANY CAUSE | 33000 |
| CM0771-III : WHIPPLES ANY TYPE | 82500 |
| CM0772A-I : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 35000 |
| CM0772A-III : OPEN CYSTECTOMY(/PARTIAL/ COMPLETE) WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 35000 |
| CM0772B-I : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 45000 |
| CM0772B-III : OPEN CYSTECTOMY(RADICAL )WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 45000 |
| CM0773 A-I : LAPAROSCOPIC CYSTECTOMY [PARTIAL / COMPLETE] WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 35000 |
| CM0773 B-I : LAPAROSCOPIC CYSTECTOMY [RADICAL ]WITH OR WITHOUT DRAINAGE PROCEDURES - ANY CAUSE | 45000 |
| CM0774 : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 20050 |
| CM0775-II : SALPINGO OOPHORECTOMY U/L OR B/L- FOR CA | 25350 |
| CM0776-II : MASTECTOMY ANY TYPE | 20000 |
| CM0777-A-II : MASTECTOMY ANY TYPE WITH AXILLARY DISSECTION | 25000 |
| CM0777-B-II : MASTECTOMY ANY TYPE WITH SENTINAL NODE EXPLORATION | 25000 |
| CM0778-A-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST -BENIGN | 4900 |
| CM0778-B-II : WIDE EXICISION/ LUMPECTOMY - TUMORS OF BREAST (MALIGNANT) | 6500 |
| CM0785-II : METASTATECTOMY SOLITARY OR MULTIPLE - ANY CAUSE | 37350 |
| CM0786-A-II : OPERATIONS OF ADRENAL GLAND - U/L( ANY CAUSE) | 24950 |
| CM0786-B-II : OPERATIONS OF ADRENAL GLAND - B/L ( ANY CAUSE) | 45150 |
| CM0787 : TEMPORAL BONE - EXCISION / RESECTION - ANY TYPE | 35000 |
| CM0795-I : PARATHYROIDECTOMY - ANY TYPE | 25000 |
| CM0796-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - SMALL INTESTINE- ANY CAUSE | 40000 |
| CM0797-I : RESECTION AND ANASTOMOSIS /SEGMENTAL RESECTION - LARGE INTESTINE- ANY CAUSE | 45000 |
| CM0798-I : GASTROSTOMY/FEEDING GASTROSTOMY/PERCUTANEOUS ENDOSCOPIC GASTROSTOMY | 20000 |
| CM0799-I : OESOPHAGOSTOMY | 25000 |
| CM0800-I : JEJUNOSTOMY / FEEDING JEJUNOSTOMY | 20000 |
| CM0801-I : GASTROJEJUNOSTOMY | 25000 |
| CM0802-I : ILEOSTOMY | 20000 |
| CM0803 A-I : ILEOTRANSVERSE COLOSTOMY | 25000 |
| CM0803 B-I : COLOSTOMY | 20000 |
| CM0804-I : HARTMANNS PROCEDURE WITH COLOSTOMY- ANY CAUSE | 45000 |
| CM0805-I : CLOSURE OF GASTROSTOMY/ILEOSTOMY/COLOSTOMY / JEJUNOSTOMY / GASTROJEJUNOSTOMY / ILEOTRANSVERSE COLOSTOMY / OESOPHAGOSTOMY | 20000 |
| CM0806-I : RESECTION OF RETRO PERITONEAL TUMORS | 44550 |
| CM0807 : BONE RESECTION / CURRETTAGE/ CEMENTING- ANY CAUSE | 30000 |
| CM0808A : URINARY DIVERSION PROCEDURES ( INCLUDING PERCUTANEOUS / ANTEGRADE/RETROGRADE URETERIC STENTING ) | 30000 |
| CM0808B : URINARY DIVERSION PROCEDURES ( NEPHROSTOMY) | 8000 |
| CM0809 : SUPRA PUBIC CYSTOSTOMY | 8000 |
| CM0810-II : INTERCOSTAL DRAINAGE | 4100 |
| CM0811 : CRYOTHERAPY FOR ALL LESIONS | 22750 |
| CM0814-I : VASCULAR MALFORMATIONS- (INCLUDING SCLEROTHERAPY/ REDUCTION SURGERY) | 26250 |
| CM0820-I : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) | 25000 |
| CM0820-II : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (except fingers, toes and small joints) | 25000 |
| CM0820-III : AMPUTATION OF ANY SITE / ANY CAUSE WITHOUT PROSTHESIS (fingers, toes and small joints) | 10000 |
| 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 | 600 |
| CM0822 A-II : SOFT TISSUE INJURY - LACERATION (SUTURING) /WOUND DEBRIDEMENT | 600 |
| CM0822 B-I : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] | 5000 |
| CM0822 B-II : SOFT TISSUE INJURY - DEEP WOUND [NERVE/TENDON REPAIR] | 5000 |
| CM0825A : POLYTRAUMA/HEAD INJURY MINOR (only lacerations less than 10 cm) | 2500 |
| CM0825B : POLYTRAUMA/HEAD INJURY MINOR (deep / pitted wound exposing scalp/ bone requiring debridement and suturing) | 7000 |
| CM0826 : POLYTRAUMA/HEAD INJURY MAJOR (with fractures, intracranial bleeding) | 25000 |
| CM0827-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - NON VENTILATED | 40000 |
| CM0828-I : SEVERE MYOCARDITIS/CONGENITAL HEART DISEASE PRESENTING WITH OR WITHOUT / INFECTION / FAILURE / CARDIOGENIC SHOCK / SEPTIC SHOCK / INFECTIVE ENDOCARDITIS/ CYANOTIC SPELL - VENTILATED | 50000 |
| CM0829-I : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | 40000 |
| CM0829-II : STATUS EPILEPTICUS WITH MECHANICAL VENTILATION -(ADULT/PAEDIATRIC ) | 40000 |
| CM0830 : DIABETIC KETOACIDOSIS - TYPE I / TYPE II | 30000 |
| CM0831-I : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON | 17150 |
| CM0831-II : CHRONIC RENAL FAILURE WITH HEMODIALYSIS/ERYTHROPOIETIN / IRON | 17150 |
| CM0832-I : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON | 9700 |
| CM0832-II : ACUTE RENAL FAILURE WITHOUT HEMODIALYSIS/ERYTHROPOIETIN / IRON | 9700 |
| CM0833-I : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON | 11300 |
| CM0833-II : ACUTE RENAL FAILURE WITH HEMODIALYSIS/ ERYTHROPOIETIN / IRON | 11300 |
| CM0834-I : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE | 26700 |
| CM0834-II : ACUTE RENAL FAILURE / CRF WITH VENTILATOR CARE | 26700 |
| CM0835A-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED | 57000 |
| CM0835A-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY-SCUF & SLED | 57000 |
| CM0835B-I : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD | 77000 |
| CM0835B-II : ACUTE RENAL FAILURE / CRF - CONTINUOUS RENAL REPLACEMENT THERAPY - CVVH/CVVHD | 77000 |
| CM0836 : RENAL BIOPSY | 14895 |
| CM0837-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | 30000 |
| CM0837-II : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - NON VENTILATED | 30000 |
| CM0838-I : PYOGENIC /TB /VIRAL/ FUNGAL -MENINGITIS/ MENINGOENCEPHALITIS - WITH VENTILATORY SUPPORT | 50000 |
| CM0839-I : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | 12000 |
| CM0839-II : NEURO TUBERCULOSIS/NEUROCYSTICERCOSIS/ TUBERCULOMA | 12000 |
| CM0840 A : IDIPOPATHIC THROMBOCYTOPENIC PURPURA | 40000 |
| CM0840 B : TTP | 60000 |
| CM0841 A : ANY COAGULATION DISORDERS | 50000 |
| CM0841 B : DIC | 25000 |
| CM0843A : MULTI SYSTEM ORGAN FAILURE- ARDS WITHOUT DIC(BLOOD PRODUCTS) | 73430 |
| CM0843B : MULTI SYSTEM ORGAN FAILURE- ARDS WITH DIC(BLOOD PRODUCTS) | 100430 |
| CM0844 : ENTERIC ENCEPHALOPATHY | 20220 |
| CM0845 : LEPTOSPIROSIS WITH HEPATIC INVOLVEMENT | 19900 |
| CM0846 : SUBMERSION INJURY WITH VENTILATORY SUPPORT | 27000 |
| CM0847 : ARDS WITH VENTILATORY SUPPORT | 84050 |
| CM0848-I : RESPIRATORY FAILURE OF ANY CAUSE REQUIRING HIGH FREQUENCY VENTILATION | 56200 |
| CM0854 A-I : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L | 12000 |
| CM0854 A-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY U/L | 12000 |
| CM0855 B-II : ORCHIDECTOMY /HIGH ORCHIDECTOMY B/L | 15000 |
| CM0856 : ANEURYSM CLIPPING | 97450 |
| CM0861-II : POSTERIOR DISCECTOMY WITH OR WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY ( FOR CERVICAL COMPRESSIVE MYELOPATHY/ AT ANY LEVELS) | 43150 |
| CM0865-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- MICROLUMBAR | 35050 |
| CM0866-II : LAMINECTOMY AT ANY LEVEL - (INCLUDING LUMBAR LAMINECTOMY FOR LUMBAR CANAL STENOSIS)- CONVENTIONAL | 25050 |
| CM0868 : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) | 79970 |
| CM0869 : TRANS ORAL SURGERY | 25220 |
| CM0870 : C.V. JUNCTION FUSION | 39750 |
| CM0877 : CAROTID ENDARTERECTOMY | 56250 |
| CM0878-I : PELVIC FLOOR RECONSTRUCTION WITH MESH | 30750 |
| CM0878-II : PELVIC FLOOR RECONSTRUCTION WITH MESH | 30750 |
| CM0879-I : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION | 21350 |
| CM0879-II : LAPAROSCOPIC / LAPROTOMY - ECTOPIC RESECTION | 21350 |
| CM0880 : LAPAROSCOPIC ADHESOLYSIS | 20050 |
| CM0881 A-I : THALASSEMIA MAJOR /HAEMOGLOBINOPATHIES/ CHELATION THERAPY | 120000 |
| CM0881 B-I : SICKLE CELL ANAEMIA | 5000 |
| CM0882-I : INTERSTITAL LUNG DISEASE | 29300 |
| CM0883-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - BANDING | 10200 |
| CM0884-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - SCLEROTHERAPY | 7600 |
| CM0885-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - DEVASCULARISATION | 40000 |
| CM0886-I : OESOPHAGEAL VARICES /GASTRIC VARICES/PESUDO ANEURYSM - GLUE INJECTION | 7600 |
| CM0887-I : END STAGE RENAL DISEASE | 14150 |
| CM0887-II : END STAGE RENAL DISEASE | 14150 |
| CM0888-I : GULLAIN BARRE SYNDROME | 100000 |
| CM0888-II : GULLAIN BARRE SYNDROME | 100000 |
| CM0889-I : OPTIC NEURITIS | 10000 |
| CM0889-II : OPTIC NEURITIS | 10000 |
| CM0891-I : MYASTHENIA GRAVIS | 15000 |
| CM0891-II : MYASTHENIA GRAVIS | 15000 |
| CM0892 : MANAGEMENT OF COMA | 30080 |
| CM0893 : CAVERNOUS SINUS THROMBOSIS | 25000 |
| CM0894 : RHINOCEREBRAL MUCORMYCOSIS | 30000 |
| CM0895 : HYPER OSMOLAR NON-KETOTIC COMA | 30000 |
| CM0896 : OPERATION FOR HYDATID CYST OF LIVER | 35000 |
| CM0898 : COLONIC PULL THOROUGH /COLOPLASTY/ ABDOMINAL RESECTION | 50000 |
| CM0899-I : OESOPHAGECTOMY ANY TYPE INCLUDING (TRANS HIATAL / TRANS THORACIC WITH GASTRIC PULL UP) | 65000 |
| CM0900 : OESOPHAGO- GASTRECTOMY | 80000 |
| CM0901 : ACHALASIA CARDIA -SURGICAL CORRECTION | 30000 |
| CM0902-I : ACHALASIA CARDIA - LAP SURGICAL CORRECTION ( INCLUDING HELLERS MYOTOMY) | 30000 |
| CM0903 : ACHALASIA CARDIA -PNEUMATIC DILATATION | 10450 |
| CM0904 : LAP FUNDOPLICATIONS | 45000 |
| CM0905-I : CYST EXCISION WITH OR WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 45000 |
| CM0907 : ENUCLEATION OF CYST | 40000 |
| CM0908A-I : OTHER BYPASS PANCREAS | 40000 |
| CM0908B-I : TRIPLE BYPASS | 40000 |
| CM0910 : PANCREATIC NECROSECTOMY OPEN | 42000 |
| CM0911 : PANCREATIC NECROSECTOMY LAP | 42000 |
| CM0916 : AV FISTULA ( INCLUDING PRE TRANSPLANTATION ) | 9500 |
| CM0917 : COMPLEX AV ACCESS WITH GRAFT FOR HEMODIALYSIS | 28500 |
| CM0918 A : URETEROSCOPY AND DJ STENTING U/L | 6000 |
| CM0918 B : URETEROSCOPY AND DJ STENTING B/L | 9000 |
| CM0919 : URETEROSCOPY AND DJ STENT REMOVAL | 3000 |
| CM0920 : TRANSURETHRAL RESECTION OF BLADDER TUMOR /RE-TURBT | 30000 |
| CM0921A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - OPEN | 15000 |
| CM0921B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - OPEN | 35000 |
| CM0921C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - OPEN | 16000 |
| CM0921D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - OPEN | 20000 |
| CM0921E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - OPEN | 40000 |
| CM0921F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - OPEN | 20000 |
| CM0922A : EPIGASTRIC HERNIA / ABDOMINAL /UMBILICAL / FEMORAL HERNIA-WITHOUT MESH - LAP | 15000 |
| CM0922B : HIATUS HERNIA REPAIR ABDOMINAL - WITHOUT MESH - LAP | 35000 |
| CM0922C : VENTRAL AND SCAR /SPIGELIAN/OBTURATOR/SCIATIC- WITHOUT MESH - LAP | 16000 |
| CM0922D : EPIGASTRIC HERNIA/UMBILICAL HERNIA - WITH MESH - LAP | 20000 |
| CM0922E : HIATUS HERNIA REPAIR ABDOMINAL - WITH MESH - LAP | 40000 |
| CM0922F : VENTRAL AND SCAR / FEMORAL /SPIGELIAN/OBTURATOR/SCIATIC WITH MESH - LAP | 20000 |
| CM0924 : APPENDICULAR PERFORATION | 15000 |
| CM0925A : VAGOTOMY ANY TYPE WITHOUT DRAINAGE PROCEDURES | 25000 |
| CM0925B : VAGOTOMY ANY TYPE WITH DRAINAGE PROCEDURES | 40000 |
| CM0926 : OPERATION FOR BLEEDING PEPTIC ULCER | 40000 |
| CM0927 : PYLOROMYOTOMY | 22000 |
| CM0928 : OPERATIONS FOR RECURRENT INTESTINAL OBSTRUCTION (NOBLE PLICATION /OTHER) | 35000 |
| CM0929 : OPERATION FOR ACUTE INTESTINAL PERFORATION / PERFORATION PERITONITIS (INTESTINAL/GASTRIC/BILIARY)/ DUODENAL PERFORATION | 30000 |
| CM0930 : OPERATION FOR ACUTE INTESTINAL OBSTRUCTION (INCLUDING VOLVULUS / MALROTATION/INTUSUSCEPTION) | 40000 |
| CM0931-I : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C | 176330 |
| CM0932-I : CIRRHOSIS OF LIVER WITH COMPLICATIONS | 30080 |
| CM0935 : STAY IN GENERAL WARD - OBSERVATION FOR TRAUMA - PER DAY | 700 |
| CM0936 B : STAY IN ICU - MILD WITHOUT VENTILATION (FOR TRAUMA) | 1000 |
| CM0936 C : STAY IN ICU - MODERATE WITHOUT VENTILATION (FOR TRAUMA) | 15000 |
| CM0936 D : STAY IN ICU - MODERATE WITH VENTILATION (FOR TRAUMA) | 25000 |
| CM0936 E : STAY IN ICU - SEVERE WITHOUT VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / coma) | 25000 |
| CM0936 F : STAY IN ICU - SEVERE WITH VENTILATION (FOR TRAUMA / POST OP COMPLICATIONS - Sepsis / Coma) | 50000 |
| CM0937 A : PYELOLITHOTOMY - OPEN | 25000 |
| CM0937 B : PYELOLITHOTOMY - LAP | 25000 |
| CM0938 A : NEPHROLITHOTOMY - OPEN | 25000 |
| CM0938 B : NEPHROLITHOTOMY - LAP | 25000 |
| CM0939 : OPEN CYSTOLITHOTOMY | 14000 |
| CM0940 A : URETEROLITHOTOMY - OPEN | 20000 |
| CM0940 B : URETEROLITHOTOMY - LAP | 20000 |
| CM0941 A : VESICOLITHOTOMY - OPEN | 14000 |
| CM0941 B : VESICOLITHOTOMY - LAP | 14000 |
| CM0942 : POSTERIOR FOSSA ENDOSCOPIC SURGERY | 80000 |
| CM0943 : ENDOSCOPIC RESECTION OF ANTERIOR SKULL BASE LESIONS | 49970 |
| CM0951 A : TRANSVERSE MYELITIS WITH CENTRAL DEMYELINATION | 100000 |
| CM0951 B : TRANSVERSE MYELITIS WITHOUT CENTRAL DEMYELINATION | 20000 |
| CM0959 : CYSTIC FIBROSIS | 36600 |
| CM0960 : SEPTIC SHOCK (ICU MANAGEMENT) | 43050 |
| CM0962-I : NEPHROTIC SYNDROME | 16095 |
| CM0962-II : NEPHROTIC SYNDROME | 16095 |
| CM0963-I : NEPHROTIC SYNDROME WITH COMPLICATIONS | 25995 |
| CM0963-II : NEPHROTIC SYNDROME WITH COMPLICATIONS | 25995 |
| CM0964-I : ACUTE DISSEMINATED ENCEPHALOMYELITIS | 50000 |
| CM0967-I : TOXIC/DRUG INDUCED LIVER INJURY | 26800 |
| CM0968 : MALIGNANT ASCITES | 5650 |
| CM0973 : ENDOSCOPIC PARATHYROIDECTOMY | 30000 |
| CM0974-II : IVC FILTER REMOVAL | 30350 |
| CM0975A : IJV CATHETER INSERTION WITHOUT DIALYSIS | 10000 |
| CM0975B : IJV CATHETER INSERTION - INCLUDING DIALYSIS | 13000 |
| CM0978 : C-ARM GUIDED INTRA ARTICULAR INJECTIONS (SHOULDER / ELBOW / WRIST / HIP / KNEE / ANKLE / JOINTS OF FOOT AND HAND | 15750 |
| CM0982 : OP /ANY POISIONING - CONSERVATIVE MANAGEMENT OR WITHOUT VENTILATORY SUPPORT (ONLY WITH FIR ) | 18000 |
| CM0987 : ACUTE SEVERE ASTHMA WITH VENTILATION | 51200 |
| CM0988 : CRITICAL CARE ICU MANAGEMENT ( RESPIRATORY DISTRESS/ METABOLIC COMA/MULTIORGAN DYSFUNCTION/SEPTIC SHOCK/OTHERS WITH VENTILATION | 31500 |
| CM0989A : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (heparinisation) | 20000 |
| CM0989B : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (SK) | 25000 |
| CM0989C : CRITICAL CARE ICU MANAGEMENT -CRITICAL LIMB ISCHEMIA (rTPA) | 75000 |
| 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 |
| FUP0040A : HEART TRANSPLANTATION - First Qtr | 40000 |
| FUP0040B : HEART TRANSPLANTATION - Next 3 Qtrs | 20000 |
| FUP0041A : HEART & LUNG TRANSPLANTATION - First Qtr | 40000 |
| FUP0041B : HEART & LUNG TRANSPLANTATION - Next 3 Qtrs | 20000 |
| FUP0042A : LUNG TRANSPLANTATION - First Qtr | 40000 |
| FUP0042B : LUNG TRANSPLANTATION - Next 3 Qtrs | 20000 |
| FUP0043A : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - First Qtr | 1500 |
| FUP0043B : PRIMARY ANGIOPLASTY FOR ACUTE MI +DRUG ELUTING STENT - Next 3 Qtrs | 1000 |
| FUP0045A : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS - First Qtr | 600 |
| FUP0045B : AMPUTATION OF ANY SITE / ANY CAUSE WITH CUSTOM MADE PROSTHESIS - Next 3 Qtrs | 500 |
| FUP0046A : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD LYMPADENECTOMY - First Qtr | 400 |
| FUP0046B : OESOPHAGECTOMY WITH TWO FIELD LYMPADENECTOMY / THREE FIELD LYMPADENECTOMY - Next 3 Qtrs | 400 |
| FUP0047A : ALL - First Qtr | 1000 |
| FUP0047B : ALL - Next 3 Qtrs | 750 |
| FUP0048A : CML - First Qtr | 1000 |
| FUP0048B : CML - Next 3 Qtrs | 750 |
| FUP0049A : CLL - First Qtr | 1000 |
| FUP0049B : CLL - Next 3 Qtrs | 750 |
| FUP0050A : MYELODYSPLASTIC SYNDROME - First Qtr | 1000 |
| FUP0050B : MYELODYSPLASTIC SYNDROME - Next 3 Qtrs | 750 |
| FUP0051A : LYMPHOMA HODGKIN DISEASE - First Qtr | 1000 |
| FUP0051B : LYMPHOMA HODGKIN DISEASE - Next 3 Qtrs | 750 |
| FUP0052A : LYMPHOMA NON HODGKINS DISEASES - First Qtr | 1000 |
| FUP0052B : LYMPHOMA NON HODGKINS DISEASES - Next 3 Qtrs | 750 |
| FUP0053A : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - First Qtr | 2000 |
| FUP0053B : SPECIALIZED RADIATION THERAPY - 3DCRT PACKAGE ADJUVANT PACKAGE 28-33 FRACTIONS(INCLUDES AQUAPLAST MOULD, PLANNINGCT, COUNTOURING, RT PLANNING & EXECUTION) - Next 3 Qtrs | 1000 |
| FUP0054A : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS - First Qtr | 2000 |
| FUP0054B : SPECIALIZED RADIATION THERAPY 3D CRT- RADICAL PACKAGE 34-37 FRACTIONS - Next 3 Qtrs | 1000 |
| FUP0055A : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) - First Qtr | 2000 |
| FUP0055B : SPECIALIZED RADIATION THERAPY - IMRT ADJUVANT PACKAGE 28-33 FRACTIONS (INCLUDES AQUAPLAST MOULD,PLANNING CT FOR IMRT, CONTOURING, RT PLANNING, QA, EXECUTION) - Next 3 Qtrs | 1000 |
| FUP0056A : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS - First Qtr | 2000 |
| FUP0056B : SPECIALIZED RADIATION THERAPY - IMRT - RADICAL PACKAGE 34-40 FRACTIONS - Next 3 Qtrs | 1000 |
| FUP0057A : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - First Qtr | 2000 |
| FUP0057B : SPECIALIZED RADIATION THERAPY - IMRT WITH IGRT - Next 3 Qtrs | 1000 |
| FUP0058A : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - First Qtr | 2000 |
| FUP0058B : SPECIALIZED RADIATION THERAPY - RAPID ARC THERAPY - Next 3 Qtrs | 1000 |
| FUP0059A : TOTAL BODY RADIATION - First Qtr | 2000 |
| FUP0059B : TOTAL BODY RADIATION - Next 3 Qtrs | 1000 |
| FUP0060A : UPTO-60% WITH SCALDS (CONSERVATIVE) - First Qtr | 750 |
| FUP0060B : UPTO-60% WITH SCALDS (CONSERVATIVE) - Next 3 Qtrs | 500 |
| FUP0061A : UP TO-60% MIXED BURNS (WITH SURGERIES) - First Qtr | 750 |
| FUP0061B : UP TO-60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs | 500 |
| FUP0062A : ABOVE 60% MIXED BURNS (WITH SURGERIES) - First Qtr | 750 |
| FUP0062B : ABOVE 60% MIXED BURNS (WITH SURGERIES) - Next 3 Qtrs | 500 |
| FUP0063A : TOTAL ELBOW REPLACEMENT - First Qtr | 500 |
| FUP0063B : TOTAL ELBOW REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0064A : SHOULDER REPLACEMENT - First Qtr | 500 |
| FUP0064B : SHOULDER REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0065A : TOTAL HIP REPLACEMENT - First Qtr | 500 |
| FUP0065B : TOTAL HIP REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0066A : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) - First Qtr | 500 |
| FUP0066B : REVISION HIP REPLACEMENT SURGERY (ONLY WITH SPECIFIC APPROVAL) - Next 3 Qtrs | 500 |
| FUP0067A : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) - First Qtr | 500 |
| FUP0067B : REVISION KNEE REPLACEMENT SURGERY ( ONLY WITH SPECIFIC APPROVAL) - Next 3 Qtrs | 500 |
| FUP0068A : TOTAL KNEE REPLACEMENT - First Qtr | 500 |
| FUP0068B : TOTAL KNEE REPLACEMENT - Next 3 Qtrs | 500 |
| FUP0069A : INBORN ERROR OF METABOLISM - First Qtr | 3000 |
| FUP0069B : INBORN ERROR OF METABOLISM - Next 3 Qtrs | 1500 |
| FUP0070A : PRIMARY IMMUNO DEFICIENCY DISORDERS - First Qtr | 1500 |
| FUP0070B : PRIMARY IMMUNO DEFICIENCY DISORDERS - Next 3 Qtrs | 1000 |
| FUP0071A : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - First Qtr | 900 |
| FUP0071B : HYPOPLASTIC/APLASTIC ANEMIA (FANCONI ANEMIA) - Next 3 Qtrs | 500 |
| FUP0072A : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL VENTILATION/CPAP - First Qtr | 1250 |
| FUP0072B : PRETERM BABY RDS WITH OR WITHOUT SURFACTANT WITH MECHANICAL VENTILATION/CPAP - Next 3 Qtrs | 750 |
| FUP0073A : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITH VENTILATION - First Qtr | 1250 |
| FUP0073B : TERM BABY-CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITH VENTILATION - Next 3 Qtrs | 750 |
| FUP0074A : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITHOUT VENTILATION - First Qtr | 1250 |
| FUP0074B : TERM BABY - CONGENITAL HEART DISEASE / CONGESTIVE CARDIAC FAILURE/ WITHOUT VENTILATION - Next 3 Qtrs | 750 |
| FUP0075A : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - First Qtr | 3000 |
| FUP0075B : ECMO-EXTRACORPOREAL MEMBRANE OXYGENATION - Next 3 Qtrs | 1500 |
| FUP0076A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - First Qtr | 1800 |
| FUP0076B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - Next 3 Qtrs | 1000 |
| FUP0077A : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - First Qtr | 1800 |
| FUP0077B : MULTI SYSTEM ORGAN FAILURE- WITH OR WITHOUT /ARDS/DIC(BLOOD PRODUCTS) - Next 3 Qtrs | 1000 |
| FUP0078A : TUMORS (NEONATES/PAEDIATRIC) - First Qtr | 500 |
| FUP0078B : TUMORS (NEONATES/PAEDIATRIC) - Next 3 Qtrs | 500 |
| FUP0079A : CONGENITAL LUNG LESIONS (CLE, CCAM) - First Qtr | 2000 |
| FUP0079B : CONGENITAL LUNG LESIONS (CLE, CCAM) - Next 3 Qtrs | 1000 |
| FUP0080A : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr | 2000 |
| FUP0080B : EXCISION OF BRAIN TUMORS - [PRIMARY /BENIGN ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs | 1000 |
| FUP0081A : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr | 2000 |
| FUP0081B : EXCISION OF BRAIN TUMORS - [MALIGNANT ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs | 1000 |
| FUP0082A : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - First Qtr | 2000 |
| FUP0082B : EXCISION OF BRAIN TUMORS - [SECONDARIES ) (BOTH INTRA AXIAL AND EXTRA AXIAL -INCLUDESSUBTENTORIAL- CP ANGLE BRAINSTEM/CEREBELLAR/ SUPRATENTORIAL- FRONTAL/TEMPORAL /PARIETAL SELLAR/SUPRASELLAR/CRANIOPHARYNGIOMA) - Next 3 Qtrs | 1000 |
| FUP0083A : ANEURYSM CLIPPING - First Qtr | 2000 |
| FUP0083B : ANEURYSM CLIPPING - Next 3 Qtrs | 1000 |
| FUP0084A : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - First Qtr | 2000 |
| FUP0084B : STEREOTACTIC PROCEDURES- SURGICAL PROCEDURE - Next 3 Qtrs | 1000 |
| FUP0085A : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) - First Qtr | 2000 |
| FUP0085B : TRANS SPHENOIDAL SURGERY (SELLAR/SUPRASELLAR/SKULL BASAL LESION) - Next 3 Qtrs | 1000 |
| FUP0086A : TRANS ORAL SURGERY - First Qtr | 2000 |
| FUP0086B : TRANS ORAL SURGERY - Next 3 Qtrs | 1000 |
| FUP0087A : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - First Qtr | 1500 |
| FUP0087B : PROSTHETIC VALVE THROMBOSIS- THROMBOLYSIS - Next 3 Qtrs | 1000 |
| FUP0088A : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - First Qtr | 2000 |
| FUP0088B : CORPECTOMY (ANTERIOR /ANTEROLATERAL) AT ALL SPINAL LEVELS - Next 3 Qtrs | 1000 |
| FUP0089A : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - First Qtr | 2000 |
| FUP0089B : SPINAL FIXATION RODS ,SCREWS,PLATES, ARTIFICIAL DISCS - Next 3 Qtrs | 1000 |
| FUP0090A : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED - First Qtr | 2500 |
| FUP0090B : EMBOLISATION OF ANEURYSM/ ANEURYSM COILING BALLOON ASSISTED - Next 3 Qtrs | 1500 |
| FUP0091A : DEEP BRAIN STIMULATION - First Qtr | 3000 |
| FUP0091B : DEEP BRAIN STIMULATION - Next 3 Qtrs | 1500 |
| FUP0092A : D V T - IVC FILTER - First Qtr | 3500 |
| FUP0092B : D V T - IVC FILTER - Next 3 Qtrs | 1500 |
| FUP0093A : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - First Qtr | 3500 |
| FUP0093B : AORTO-BIILIAC-BIFEOMRAL BYPASS WITH VEIN / SYNTHETIC GRAFT - Next 3 Qtrs | 1500 |
| FUP0094A : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - First Qtr | 3500 |
| FUP0094B : AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs | 1500 |
| FUP0095A : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - First Qtr | 3500 |
| FUP0095B : CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT - Next 3 Qtrs | 1500 |
| FUP0096A : NECK VASCULAR INJURY - CAROTID VESSELS - First Qtr | 3500 |
| FUP0096B : NECK VASCULAR INJURY - CAROTID VESSELS - Next 3 Qtrs | 1500 |
| FUP0097A : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - First Qtr | 3500 |
| FUP0097B : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - Next 3 Qtrs | 1500 |
| FUP0098A : THORACIC VASCULAR INJURIES - First Qtr | 3500 |
| FUP0098B : THORACIC VASCULAR INJURIES - Next 3 Qtrs | 1500 |
| FUP0101A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - First Qtr | 1000 |
| FUP0101B : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - Next 3 Qtrs | 500 |
| FUP0102A : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - First Qtr | 2500 |
| FUP0102B : PPH SURGICAL MANAGEMENT - HYSTERECTOMY/LIGATION/ EMBOLIZATION - Next 3 Qtrs | 1000 |
| FUP0103A : THALASSEMIA MAJOR/HAEMOGLOBINOPATHIES/ CHELATION THERAPY/SICKLE CELL ANAEMIA - First Qtr | 2500 |
| FUP0103B : THALASSEMIA MAJOR/HAEMOGLOBINOPATHIES/ CHELATION THERAPY/SICKLE CELL ANAEMIA - Next 3 Qtrs | 2500 |
| FUP0105A : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) - First Qtr | 2500 |
| FUP0105B : ACUTE RESPIRATORY FAILURE (WITH VENTILATOR - FOR MINIMUM 5 DAYS ) - Next 3 Qtrs | 1000 |
| FUP0106A : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS - First Qtr | 2500 |
| FUP0106B : ACUTE PANCREATITIS - CONSERVATIVE MANAGEMENT / MILD / MODERATE / SEVERE MEDICAL / IMAGE GUIDED DRAINAGE OF PANCREATIC COLLECTIONS - Next 3 Qtrs | 1500 |
| FUP0107A : ACUTE MI REQUIRING IABP PUMP - First Qtr | 4000 |
| FUP0107B : ACUTE MI REQUIRING IABP PUMP - Next 3 Qtrs | 2000 |
| FUP0108A : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY NEUROPATHIES/HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY/PLEXOPATHY (LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH NERVE BIOPSY) (HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL SYNDROME/ACUTE ENTRAPMENT/ COMPRESSIVE NEUROPATHY / GBS/DOG BITE CATEGORY III/OTHERS - First Qtr | 4000 |
| FUP0108B : IMMUNOGLOBULIN THERAPY - HEREDITARY MOTOR SENSORY NEUROPATHIES/HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY/PLEXOPATHY (LUMBOSACRAL/ BRACHIAL)/PERIPHERAL NEUROPATHY (WITH NERVE BIOPSY) (HANSEN, NUTRITIONAL, TOXIC, INFECTIVE, IMMUNE)/CARPAL TUNNEL SYNDROME/ACUTE ENTRAPMENT/ COMPRESSIVE NEUROPATHY / GBS/DOG BITE CATEGORY III/OTHERS - Next 3 Qtrs | 2000 |
| FUP0109A : GROWTH HORMONE FOR HYPOPITUTARISM - First Qtr | 3500 |
| FUP0109B : GROWTH HORMONE FOR HYPOPITUTARISM - Next 3 Qtrs | 1500 |
| FUP0110A : LIVER TRANSPLANTATION - First Qtr | 45000 |
| FUP0110B : LIVER TRANSPLANTATION - Next 3 Qtrs | 35000 |
| FUP0111A : RT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - First Qtr | 2200 |
| FUP0111B : RT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - Next 3 Qtrs | 1200 |
| FUP0112A : LT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - First Qtr | 2200 |
| FUP0112B : LT. HEPATECTOMY/NON ANATOMICAL RESECTION OF LIVER - Next 3 Qtrs | 1200 |
| FUP0113A : PORTOCAVAL ANASTOMOSIS - First Qtr | 4000 |
| FUP0113B : PORTOCAVAL ANASTOMOSIS - Next 3 Qtrs | 2000 |
| FUP0114A : SLEEVE GASTRECTOMY FOR MORBID OBESITY - First Qtr | 2500 |
| FUP0114B : SLEEVE GASTRECTOMY FOR MORBID OBESITY - Next 3 Qtrs | 1500 |
| FUP0115A : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY - First Qtr | 2500 |
| FUP0115B : ROUXEN Y GASTRIC BYPASS FOR MORBID OBESITY - Next 3 Qtrs | 1500 |
| FUP0116A : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION - First Qtr | 5000 |
| FUP0116B : DEVASCULARISATION WITH OESOPHAGEAL TRANSECTION - Next 3 Qtrs | 1500 |
| FUP0118A : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION - First Qtr | 2200 |
| FUP0118B : THORACO ABDOMINAL ANEURYSM REPAIR WITH RENO / MESENTRIC REVASCULARISATION - Next 3 Qtrs | 1000 |
| FUP0119A : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP -B OR EICHNOCANDINS) , - First Qtr | 40000 |
| FUP0119B : RENAL TRANSPLANTATION SURGERY INCLUDES --POST RENAL TRANSPLANT REJECTION A.STEROID RESISTANT B.STEROID SENSITIVE/ POST RENAL TRANSPLANT INFECTION - LIFE TREATENING TREATMENT FOR FUNGAL INFECTIONS ( LIPOSOMAL AMP -B OR EICHNOCANDINS) , - Next 3 Qtrs | 33300 |
| FUP0120A : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C - First Qtr | 1500 |
| FUP0120B : INVESTIGATION AND MANAGEMENT CHRONIC HEPATITIS B / C - Next 3 Qtrs | 1500 |
| FUP0121A : INFERIOR VENA CAVA STENTING SINGLE STENT - First Qtr | 2000 |
| FUP0121B : INFERIOR VENA CAVA STENTING SINGLE STENT - Next 3 Qtrs | 1000 |
| FUP0122A : ACUTE STROKE THROMBOLYSIS (R TPA ) - First Qtr | 2000 |
| FUP0122B : ACUTE STROKE THROMBOLYSIS (R TPA ) - Next 3 Qtrs | 1000 |
| FUP0123A : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER - First Qtr | 2500 |
| FUP0123B : RENAL ARTERY EMBOLIZATION WITH MULTIPLE COILS AND MICRO CATHETER - Next 3 Qtrs | 1000 |
| FUP0124A : CORTICAL VENOUS SINUS THROMBOLYSIS - First Qtr | 2500 |
| FUP0124B : CORTICAL VENOUS SINUS THROMBOLYSIS - Next 3 Qtrs | 1000 |
| FUP0125A : INFERIOR VENA CAVA FILTER PLACEMENT - First Qtr | 3000 |
| FUP0125B : INFERIOR VENA CAVA FILTER PLACEMENT - Next 3 Qtrs | 1500 |
| FUP0126A : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT - First Qtr | 2500 |
| FUP0126B : SUBCLAVIAN, ILIAC, SUPERFICIAL FEMORAL ARTERY STENTING EACH WITH ONE STENT - Next 3 Qtrs | 1200 |
| FUP0127A : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - First Qtr | 2500 |
| FUP0127B : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Next 3 Qtrs | 1200 |
| FUP0128A : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT - First Qtr | 2500 |
| FUP0128B : MESENTERIC ARTERY ANGIOPLASTY & STENTING IN ACUTE & CHRONIC MESENTERIC ISCHEMIA - SINGLE STENT - Next 3 Qtrs | 1200 |
| FUP0129A : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES - First Qtr | 2000 |
| FUP0129B : BILIARY DRAINAGE PROCEDURES/ERCP - EXTERNAL DRAINAGE AND STENT PLACEMENT - METALLIC BILIARY STENT / POST OP BILIARY STRICTURE/LEAK/CHOLANGITIS/BILIARY PANCREATITIS/CHOLEDOCHAL CYST/BILE DUCT STONES - Next 3 Qtrs | 1000 |
| FUP0130A : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS - First Qtr | 2000 |
| FUP0130B : INTRA-ARTERIAL THROMBOLYSIS FOR ACUTE ISCHEMIC LIMBS - Next 3 Qtrs | 1000 |
| FUP0131A : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT - First Qtr | 2500 |
| FUP0131B : CENTRAL VENOUS STENTING FOR CENTRAL VENOUS OCCLUSION (BRACHIOCEPHALIC, SUBCLAVIAN VEIN AND SUP VENA CAVA) SINGLE METALLIC STENT - Next 3 Qtrs | 1200 |
| FUP0132A : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA - First Qtr | 2000 |
| FUP0132B : ENDOVASCULAR INTERVENTION FOR SALVAGING HEMODIALYSIS AV FISTULA - Next 3 Qtrs | 1000 |
| FUP0133A : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO) - First Qtr | 3500 |
| FUP0133B : BALLOON RETROGRADE TRANSVENOUS OBLITERATION OF BLEEDING GASTRIC VARICES (BRTO) - Next 3 Qtrs | 1500 |
| FUP0134A : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS - First Qtr | 2000 |
| FUP0134B : PREOPERATIVE PORTAL VEIN EMBOLIZATION FOR LIVER TUMORS - Next 3 Qtrs | 1000 |
| FUP0135A : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS - First Qtr | 2000 |
| FUP0135B : CHEMO EMBOLIZATION FOR LIVER TUMORS USING DRUG AND PVA OR DC BEADS - Next 3 Qtrs | 1000 |
| FUP0136A : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) - First Qtr | 3500 |
| FUP0136B : TRANS JUGULAR INTRAHEPATIC PORTO SYSTEMIC SHUNT (TIPSS) - Next 3 Qtrs | 1500 |
| FUP0137A : EMBOLIZATION OF PULMONARY AV MALFORMATION - First Qtr | 2500 |
| FUP0137B : EMBOLIZATION OF PULMONARY AV MALFORMATION - Next 3 Qtrs | 1000 |
| FUP0138A : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION - First Qtr | 2000 |
| FUP0138B : PREOPERATIVE PROPHYLACTIC TUMOR EMBOLISATION - Next 3 Qtrs | 1000 |
| FUP0139A : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX - First Qtr | 6000 |
| FUP0139B : EMBOLIZATION OF AV MALFORMATION OF BRAIN PER SITTING WITH ONYX - Next 3 Qtrs | 1000 |
| FUP0140A : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE - First Qtr | 2000 |
| FUP0140B : CAROTID STENTING SINGLE STENT WITH EMBOLIC PROTECTION DEVICE - Next 3 Qtrs | 1000 |
| FUP0141A : INTRACRANIAL VENOUS STENTING - First Qtr | 6000 |
| FUP0141B : INTRACRANIAL VENOUS STENTING - Next 3 Qtrs | 1000 |
| FUP0142A : INTRACRANIAL ARTERIAL STENTING - First Qtr | 6000 |
| FUP0142B : INTRACRANIAL ARTERIAL STENTING - Next 3 Qtrs | 1000 |
| FUP0143A : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA - First Qtr | 2500 |
| FUP0143B : PERIPHERAL STENT GRAFT FOR PERIPHERAL ANEURYSMS AND AV FISTULA - Next 3 Qtrs | 1200 |
| FUP0144A : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - First Qtr | 6000 |
| FUP0144B : EMBOLIZATION OF CARATICO-CAVERNOUS FISTULA - Next 3 Qtrs | 1000 |
| FUP0145A : PLAIN SIMPLE COILING OF ANEURYSM - First Qtr | 2500 |
| FUP0145B : PLAIN SIMPLE COILING OF ANEURYSM - Next 3 Qtrs | 1500 |
| FUP0146A : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE - First Qtr | 2500 |
| FUP0146B : ILIAC / IVC STENTING / HIGH END VASCULAR REVASCULARISATION PROCEDURE - Next 3 Qtrs | 1200 |
| FUP0147A : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY - First Qtr | 2500 |
| FUP0147B : VENOUS / POLY TETRA FLUORO ETHYLENE PATCH ANGIOPLASTY - Next 3 Qtrs | 1200 |
| FUP0148A : HEPATIC VEIN ANGIOPLASTY AND STENTING - First Qtr | 3000 |
| FUP0148B : HEPATIC VEIN ANGIOPLASTY AND STENTING - Next 3 Qtrs | 1500 |
| FUP0149A : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT - First Qtr | 3500 |
| FUP0149B : MINIMAL ACCESS SURGERY- VALVE REPLACEMENT - Next 3 Qtrs | 2500 |
| FUP0150A : MINIMAL ACCESS SURGERY- CABG - First Qtr | 2000 |
| FUP0150B : MINIMAL ACCESS SURGERY- CABG - Next 3 Qtrs | 1000 |
| FUP0151A : MULTI ORGAN RESECTION FOR ANY GI CANCERS - First Qtr | 1500 |
| FUP0151B : MULTI ORGAN RESECTION FOR ANY GI CANCERS - Next 3 Qtrs | 1000 |
| FUP0152A : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR - First Qtr | 2500 |
| FUP0152B : VISCERAL ARTERY ANEURSYM REPAIR / RENAL ARTERY ANEURYSM REPAIR - Next 3 Qtrs | 1500 |
| FUP0153A : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL - First Qtr | 2500 |
| FUP0153B : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - UNILATERAL - Next 3 Qtrs | 1200 |
| FUP0154A : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL - First Qtr | 2000 |
| FUP0154B : HYBRID / OPEN INCLUDING COVERED STENT PLACEMENT - BILATERAL - Next 3 Qtrs | 2000 |
| CM0630 B -II-c : MIXED CONNECTIVE TISSUE DISEASE - WITH GANGRENE ON IV PROSTACYCLIN | 7000 |
| CM0630 B -II-d : MIXED CONNECTIVE TISSUE DISEASE - PNEUMOCOCCAL VACCINATION | 5000 |
| CM0631A-II -a : VASCULITIS - PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE | 3000 |
| CM0631A-II -b : VASCULITIS - PULSE CYCLOPHOSPHAMIDE THERAPY | 3000 |
| CM0630 A-I-a-ii : MIXED CONNECTIVE TISSUE DISEASE- PULSE CYCLOPHOSPHAMIDE THERAPY | 3000 |
| CM0630 A-I-b-ii :MIXED CONNECTIVE TISSUE DISEASE-METHOTREXATE OR AZATHIOPRINE OR HYDROXY CHLOROQUINE | 3000 |
| CM0630 B -II-a : MYCOPHENOLATE MOFETIL INDUCTION | 6000 |
| CM0630 B -II-b : MYCOPHENOLATE MOFETIL MAINTENANCE | 3000 |
| 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 | 30000 |
| CM0631A-II-c : VASCULITIS (PREDNISOLONE OR METHOTREXATE OR AZATHIOPRINE/ PULSE CYCLOPHOSPHAMIDE THERAPY )(including Diagnostic evaluation - 1st time) | 12000 |
| CM0707-II-A : ACUTE MILD PANCREATITIS - CONSERVATIVE MANAGEMENT | 30000 |
| CM0707-II-B : ACUTE MODERATE PANCREATITIS - CONSERVATIVE MANAGEMENT | 40000 |
| CM0707-II-C : ACUTE SEVERE PANCREATITIS - CONSERVATIVE MANAGEMENT | 55950 |
| CM0881 A-I-a : THALASSEMIA MAJOR (upto) | 7000 |
| 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 | 21350 |
| CM0629-II-a : OBSCURE BLEED - Conservative management including Capsule endoscopy | 30000 |
| CM0629-II-b : OBSCURE BLEED - Conservative | 10000 |
| CM0629-II-c : NON VARICEAL BLEED - CLIPPING | 30000 |
| CM0629-II-d : NON VARICEAL BLEED - ARGON PLASMA COAGULATION | 46150 |
| CM0629-II-e : NON VARICEAL BLEED - CONSERVATIVE | 10000 |
| CM0774 A : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 20050 |
| CM0820-I-A : Amputation of AK / BK | 30000 |
| CM0820-I-B : Amputation of AE / BE | 25000 |
| CM0820-I-C : Amputation of Fore-Foot | 15000 |
| CM0820-I-E : Amputation of Toes | 7000 |
| CM0820-I-F : Amputation of Fingers | 10000 |
| CM0820-I-G : Trans Meta-Tarsal Amputation | 15000 |
| CM0879-I-b :LAPROTOMY - ECTOPIC RESECTION | 12000 |
| CM0898 A : COLONIC PULL THROW | 50000 |
| CM0898 B : COLOPLASTY | 30000 |
| CM0898 C : ABDOMINAL RESECTION | 40000 |
| CM0905-IA : CYST EXCISION WITH HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 45000 |
| CM0905-IB : CYST EXCISION WITHOUT HEPATIC JEJUNOSTOMY/ BILIARY DRAINAGE | 35000 |
| CM0774 B : LAPROSCOPIC ASSISTED VAGINAL HYSTERECTOMY | 20050 |
| CM0183a : Neck/ Shaft Of Femur ORIF | 22250 |
| CM0183b : IM Nailing | 15000 |
| CM0183c : Shaft of Other Long Bones (Humerus) | 17000 |
| CM0183d : Tibia | 15000 |
| CM0183e : Radius, Fibula, Ulna (ORIF) | 15000 |
| CM0183f : Clavicle ( CRIF) (Displaced) | 8000 |
| CM0183g : Clavicel (ORIF) (Displaced) | 12000 |
| CM0183h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 22250 |
| CM0183i : Bimalleolar Fracture | 15000 |
| CM0183j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 15000 |
| CM0183k : Closed Reduction and Pinning / Tens Nail | 12000 |
| CM0183l : Closed Reduction and Internal Fixation with K wire | 6000 |
| CM0183m : Tension Band wiring | 12000 |
| CM0184a : Neck/ Shaft Of Femur ORIF | 22250 |
| CM0184b : IM Nailing | 15000 |
| CM0184c : Shaft of Other Long Bones (Humerus) | 17000 |
| CM0184d : Tibia | 15000 |
| CM0184e : Radius, Fibula, Ulna (ORIF) | 15000 |
| CM0184f : Clavicle ( CRIF) (Displaced) | 8000 |
| CM0184g : Clavicel (ORIF) (Displaced) | 12000 |
| CM0184h : Both Bones of Forearm, Both Bones of Leg (Fixation of both bones) | 22250 |
| CM0184i : Bimalleolar Fracture | 15000 |
| CM0184j : Closed Reduction and Proximal Femoral nailing / Screw Fixation | 15000 |
| CM0184k : Closed Reduction and Pinning / Tens Nail | 12000 |
| CM0184l : Closed Reduction and Internal Fixation with K wire | 6000 |
| CM0184m : Tension Band wiring | 12000 |
| CM0186A-i : IMPLANT EXIT- K-WIRES - Single | 1500 |
| CM0186A-ii : IMPLANT EXIT- K-WIRES - Multiple | 2500 |
| CM0186A-iii : IMPLANT EXIT- SCREWS - single (Open) | 4000 |
| CM0186A-iv : IMPLANT EXIT- SCREWS - Multiple (Open) | 7500 |
| CM0186A-v : IMPLANT EXIT- SCREWS - single (Closed) | 2000 |
| CM0186A-vi : IMPLANT EXIT- SCREWS - Multiple (Closed) | 3000 |
| CM0186A-vii : IMPLANT EXIT- OTHER MINOR IMPLANTS (TENS, TBW, etc) - Solitary | 5000 |
| CM0186A-viii : IMPLANT EXIT- OTHER MINOR IMPLANTS (Pins / TENS, TBW, etc) - Multiple | 7750 |
| CM0186B-i : IMPLANT EXIT- PLATES (Open) | 12500 |
| CM0186B-ii : IMPLANT EXIT- Femoral Screws / IM Nails / Rush Nail (Open) | 10000 |
| CM0186B-iii : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(complete exit) (eg- L2-L3, L3-L4) | 17500 |
| CM0186B-iv : IMPLANT EXIT- SPINE IMPLANTS - upto 2 levels(partial exit) (eg- L2-L3, L3-L4) | 15000 |
| CM0186B-v : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(complete exit) (eg- L2-L3, L3-L4, L4-L5) | 20500 |
| CM0186B-vi : IMPLANT EXIT- SPINE IMPLANTS - > 2 levels(partial exit) (eg- L2-L3, L3-L4, L4-L5) | 17500 |
| CM0186B-vii : IMPLANT EXIT- Bipolar, etc | 15000 |
| CM0186B-viii : IMPLANT EXIT - Other Major implants | 12500 |
| CM0187a : ARTHRODESIS OF JOINTS - HIP | 27000 |
| CM0187b : ARTHRODESIS OF JOINTS - SHOULDER / KNEE | 20000 |
| CM0187c : ARTHRODESIS OF JOINTS - ELBOW/ ANKLE / WRIST | 15000 |
| CM0187d : ARTHRODESIS OF JOINTS - ANKLE - Triple Arthrodesis | 16000 |
| CM0187e : ARTHRODESIS OF JOINTS - HAND / FOOT | 10000 |
| CM0192-A : ILIZAROV RING FIXATOR APPLICATION-FEMUR - DEFORMITY CORRECTION / LIMB LENGTHENING | 25000 |
| CM0192-B : ILIZAROV RING FIXATOR APPLICATION- TIBIA - DEFORMITY CORRECTION / LIMB LENGTHENING | 18000 |
| CM0193-A : SURGERY FOR NEGLECTED CTEV/RECURRENT CTEV/RESISTANT CTEV BY JESS FIXATION | 44750 |
| CM0195-A : KNEE LIGAMENT RECONSTRUCTION-ACL RECONSTRUCTION/PCL RECONSTRUCTION | 30000 |
| CM0195-B : KNEE LIGAMENT RECONSTRUCTION-MPFL RECONSTRUCTION | 25000 |
| CM0204- b : ACETABULAR FRACTURES | 29500 |
| CM0204-a : CORRECTION SACRO ILLIAC JOINT | 20000 |
| CM0625-II A : AMPUTATIONS - FORE QUARTER | 40000 |
| CM0625-II B : AMPUTATIONS - HIND QUARTER / Internal Hemipelvectomy | 40000 |
| CM0625-II C : AMPUTATIONS - HIND QUARTER / External Hemipelvectomy | 40000 |
| CM0722-II-A : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MAXILLA | 10025 |
| CM0722-II-B : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE | 10025 |
| CM0722-II-C : RECONSTRUCTIVE SURGERY FOLLWING FACIO MAXILLARY TRAUMA, FRACTURE MANDIBLE, MAXILLA- INTERDENTAL WIRING | 5000 |
| CM0807-a - I : Cementing (only as Addon) | 5000 |
| CM0807-a : BONE RESECTION | 25000 |
| CM0807-b - I : Cementing (only as Add on) | 5000 |
| CM0807-b : BONE Curettage | 15000 |
| CM0820-II-A : Amputation of AK / BK | 30000 |
| CM0820-II-B : Amputation of AE / BE | 25000 |
| CM0820-II-C : Amputation of Fore-Foot | 15000 |
| CM0820-II-E : Amputation of Toes | 7000 |
| CM0820-II-F : Amputation of Fingers | 10000 |
| CM0820-II-G : Trans Meta-Tarsal Amputation | 15000 |
| CM0820-III-a : Amputation of great toe | 7000 |
| CM0820-III-b : Amputation toe- single | 5000 |
| CM0820-III-c : Amputation toe- Multiple | 7000 |
| CM0820-III-d : Amputation of Finger - single | 7000 |
| CM0820-III-e : Amputation of Finger - Multiple | 10000 |
| CM0820-III-f : Transmetatarsal Amputation | 10000 |
| CM0861-II-A : POSTERIOR DISCECTOMY WITH SPACER/IMPLANT/VERTEBROPLASTY (open) | 43000 |
| CM0861-II-B : POSTERIOR DISCECTOMY WITH BONE GRAFT | 33000 |
| CM0861-II-C : POSTERIOR DISCECTOMY WITHOUT BONE GRAFT/SPACER/IMPLANT/VERTEBROPLASTY | 25000 |
| CM0338-A : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Limbs) < 3 sq CM Surface Area | 15000 |
| CM0338-B : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Limbs) 3 to 6 CM | 20000 |
| CM0338-C : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Others) < 3 CM | 25000 |
| CM0338-D : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Others) 3 to 6 CM | 30000 |
| CM0338-E : EXCISION OF ARTERIO VENOUS MALFORMATION - SMALL (Brain) < 6 CM | 39750 |
| CM0339-A : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (Brain) > 6 CM | 74000 |
| CM0339-B : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (Limbs) > 6 CM | 25000 |
| CM0339-C : EXCISION OF ARTERIO VENOUS MALFORMATION - LARGE (Others) > 6 CM | 40000 |
| CM0343-A : MEDIUM SIZE ARTERIAL ANEURYSMS (eg. Radial, cephalic, brachial, etc) - Repair | 35000 |
| CM0343-B : MEDIUM SIZE ARTERIAL ANEURYSMS (eg. Carotid, Jugular, Femoral, etc) - Repair | 46500 |
| CM0344-A : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT (eg. Radial, cephalic, brachial, etc) | 60000 |
| CM0344-B : MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT(eg. Carotid, Jugular, Femoral, etc) | 73500 |
| CM0347A-i : AORTO - ILLIAC BYPASS WITH VEIN | 50000 |
| CM0347A-ii : AORTO - FEMORAL BYPASS WITH VEIN | 60000 |
| CM0347B-i : AORTO - BILLIAC BYPASS WITH VEIN | 70000 |
| CM0347B-ii : AORTO - BIFEMORAL BYPASS WITH VEIN | 79250 |
| CM0347C-i : AORTO - ILLIAC BYPASS WITH SYNTHETIC GRAFT | 70000 |
| CM0347C-ii : AORTO - FEMORAL BYPASS WITH SYNTHETIC GRAFT | 80000 |
| CM0347D-i : AORTO - BILLIAC BYPASS WITH VEIN WITH SYNTHETIC GRAFT | 81500 |
| CM0347D-ii : AORTO - BIFEMORAL BYPASS WITH VEIN WITH SYNTHETIC GRAFT | 92750 |
| CM0367-A : VASCULAR INJURY IN UPPER LIMBS - AXILLARY REPAIR WITH VEIN GRAFT | 34000 |
| CM0367-B : VASCULAR INJURY IN UPPER LIMBS - BRACHIAL - REPAIR WITH VEIN GRAFT | 25000 |
| CM0367-C : VASCULAR INJURY IN UPPER LIMBS - RADIAL AND ULNAR - REPAIR WITH VEIN GRAFT | 20000 |
| CM0368A : MAJOR VASCULAR INJURY -REPAIR (Femoral) | 41750 |
| CM0368B : MAJOR VASCULAR INJURY -REPAIR (Tibial) | 35000 |
| CM0369A : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (Fibular, Popliteal) | 18250 |
| CM0369B : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (Foot) | 12000 |
| CM0369C : MINOR VASCULAR INJURY REPAIR -LOWER LIMBS (Digits) | 8000 |
| CM0373A : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - Vein Graft | 70000 |
| CM0373B : ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS - Synthetic Graft | 90750 |
| CM0375A : VARICOSE VEINS RFA FOR U/L | 17500 |
| CM0377C : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (Systemic) - STK | 10000 |
| CM0377D : THROMBOLYSIS FOR DEEP VEIN THROMBOSIS (Systemic) - RTPA | 30000 |
| CM0384A : PSEUDOANEURYSM LIGATION - Small vessels (eg. Radial, cephalic, brachial, etc) | 15000 |
| CM0384B : PSEUDOANEURYSM LIGATION - Medium vessels (eg. Carotid, Jugular, Femoral, etc) | 30000 |
| CM0384C : PSEUDOANEURYSM LIGATION - Large vessels (eg. Aorta, Iliac, IVC, etc) | 34750 |
| CM0384D : PSEUDOANEURYSM LIGATION -Post AV Fistula | 9000 |
| CM0395A : GRAFT THROMBECTOMY BYPASS | 21250 |
| CM0395B : AV ACCESS SURGERY (not for Dialysis) | 15000 |
| CM0674-II-a : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Balloon plasty | 58250 |
| CM0674-II-b : TIBIAL ANGIOPLASTY IN CRITICAL LIMB ISCHEMIA - Stenting | 93250 |
| CM0692-II-A : ACUTE STROKE THROMBOLYSIS (R TPA ) (Cathter Directed) | 75250 |
| CM0814-I-a : VASCULAR MALFORMATIONS- Sclerotherapy | 13000 |
| CM0814-I-b : VASCULAR MALFORMATIONS- Sclerotherapy and Excision | 26250 |
| CM1038 : Drainage of Subdiaphramatic Abscess | 10000 |
| CM1046 : Excision Benign Tumor -Small intestine | 15000 |
| CM1067 : IlieoSigmoidostomy | 17000 |
| CM1076 : Repair of Common Bile Duct | 15000 |
| CM1083 : Pharyngectomy& Reconstruction - Total | 20000 |
| CM1084 : Tracheoplasty (Throat) | 15000 |
| CM1088 : Estlander Operation (lip) | 7000 |
| CM1093 : Operation for carcinoma lip- cheek advancement | 12000 |
| CM1096 : Resection Enucleation of Adenoma (lung) | 10000 |
| CM1099 : Thoracoplasty | 20000 |
| CM1100 : Thoracoscopic Segmental Resection | 25000 |
| CM1101 : Thoracoscopic Sympathectomy | 15000 |
| CM1191 : Abdominal Perineal neo construction Cx + Uteria + Vagina | 20000 |
| CM1198 : Brust abdomen repair | 14000 |
| CM1212 : Intrauterine transfusions | 10000 |
| CM1220 : Fixator with Joint Arthrolysis | 20000 |
| CM1223 : Pelvic Osteotomy with fixation with plaster | 30000 |
| CM1231 : Endopyelotomy (retrograde with laser/bugbee) | 25000 |
| CM1232 : Endopyelotomy (antegrade with laser/bugbee) | 28000 |
| CM1233 : Ureterocalycostomy Open | 25000 |
| CM1234 : Ureterocalycostomy Laparoscopic | 30000 |
| CM1235 : Uretero-ureterostomy Open | 25000 |
| CM1236 : Uretero-ureterostomy Laparoscopic | 35000 |
| CM1252 : Holmium Laser Prostatectomy | 40000 |
| CM1276 : Duroplasty - Endogenous | 12500 |
| CM1277 : Duroplasty - Exogenous | 40250 |
| CM1279 : Micro discectomy - Cervical | 40000 |
| CM1283 : Cranial Nerve Anastomosis | 32000 |
| CM1286 : Additonal clip for Aneurysm Clipping | 15000 |
| CM1288 : Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure | 60000 |
| CM1313 : Operations for Congenital Arteriovenous Fistula | 15000 |
| CM0692-II-B-i : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 50 mg) | 30300 |
| CM0692-II-B-ii : ACUTE STROKE THROMBOLYSIS (R TPA ) (IV - Thrombolysis - 70mg) | 48300 |
| CM0692-III : ACUTE STROKE THROMBOLYSIS (R TPA ) | 75250 |
| 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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